scholarly journals THE ROLE OF INTEGRATED SERVICE POST CADRES IN THE JAVANESE COUNTRYSIDE

2018 ◽  
Vol 1 (2) ◽  
pp. 123-139
Author(s):  
Diah Fatma Sjoraida ◽  
Cucu Sugyati

This study seeks to make a deep, systematic analysis of the urgency of implementing elements in the implementation of public health policies, especially in the field of mother and child in West Java, Indonesia. This study is important in order to evaluate whether the government services on maternal and child health is sufficient or not. With descriptive-qualitative method this study presents a discussion of how the implementers interact with the community implementing public health programs in West Java province so that their presence is indispensable. With theories of implementation of policies and interactionism, the data was obtained and it showed that (a) the unity of the coordination and uniformity of information services, and a network of cooperation in public health institutions, in the Provincial Government of West Java have been performed well; (b) in implementing their obligations the implementers are highly motivated for the services of public health has become a major function in the duties and functions of the health department. However, the lack of health care workers who directly addressing maternal and child health were perceived by the public so well that this study recommend the convening of additional health workers in the community.

2018 ◽  
Vol 1 (1) ◽  
pp. 73-85
Author(s):  
Cucu Sugyati

This study seeks to make a deep systematic analysis of the involvement of the community as an additional implementing element in the implementation of public health policy, especially in the field of mother and child in West Java, Indonesia. This descriptive-qualitative study presents a discussion of how the elements of public health practitioners interact with communities in West Java Province so that their knowledge and skills are needed. With the theory of health services, data obtained that (a) service and network cooperation in public health institutions, within the Provincial Government of West Java is quite uniform and well implemented; (b) in carrying out its obligations as the implementing element of the community deeply understand public policy in the field of public health, especially maternal and child health; so they can carry out their functions to serve the community. Nevertheless, the lack of community volunteers directly addressing maternal and child health is felt so that this review recommends incentives for health workers coming from ordinary people.


Author(s):  
Laxmi Gautam ◽  
Jwala Subedi

Background: Maternal and Child Health remains a public health challenge in Nepal. This study explored information regarding barriers in the utilization of Maternal and Child Health services among women of Musahar community.Methods: A cross-sectional study was carried out in Dudhauli Municipality, Sindhuli using qualitative and quantitative methods. Qualitative data were obtained from, In Depth Interview among health workers and a Focus Group Discussion among FCHVs of Musahar community. Interview was carried out using questionnaire for quantitative study among 121 mothers of under 5 children. The data was analyzed using SPSS software version 21. Chi Square test was applied to test the associations while p value <0.05 was considered significant.Results: The average age and age at marriage of respondents were 24.6±5.7 years and 16.22±2.8 respectively, 76% were illiterate, 93.2% lies below poverty line and 73.6% were home maker. Among them, 29.8 did not have ANC while 47.1 had 4 or more ANC visits, 64.5% institutional delivery and 29.8% PNC visit. Social barriers and lack of information are major barriers contributing to more than half of no ANC visit and which contribute to >60% in case of PNC. Home delivery for first child was 56.2% while for last child was 33.9%. Almost 1/5th of the children were not vaccinated. Qualitative study identified social factors like negligence, family pressure, shyness, and unhealthy financial decisions as important barriers.Conclusions: Utilization of maternal and child health services was poor among Musahar mothers and children which indicates a serious public health concern.


2019 ◽  
Vol 11 (11) ◽  
pp. 180
Author(s):  
Tat Florentianus ◽  
Bait M. Maria

BACKGROUND: The fact shows that the performance of health service policy implementation from the output aspect (out put) and the outcome (out comes) policy has not been in line with expectations. This condition will also have a direct influence on the Human Development Index in East Nusa Tenggara Province, where the position of East Nusa Tenggara is still in the order of 32 out of 34 provinces in Indonesia, which ranges from 68.77. The main purpose of this study was to identify the health service accessibility in East Nusa Tenggara. Furthermore, this study also intended to find out the performance of policy implementation and was to identify the effect of accessibility of health sevices on the performance of policy implementation on mothers and children in East Nusa Tenggara. SUBJECT &amp; METHOD: This research is a quantitative study, conducted in 11 districts, 104 community healths services, and has 235 health workers as respondents in East Nusa Tenggara Province of Indonesia. RESULT: The results of the study on conditions of accessibility and networking in maternal and child health services in East Nusa Tenggara Province are still lacking (mean 2.7), meaning that conditions of accessibility in East Nusa Tenggara Province do not support the implementation of MCH policies. The performance of MCH policy implementation in East Nusa Tenggara Province is in the 3.36 category, meaning that the targets of MCH services that have been made have not been maximally realized. There is a correlation between accessibility conditions and the performance of MCH policy implementation (p = 0.00), the correlation coefficient of 0.429 shows that this correlation is quite strong, although not very strong. This correlation shows a positive relationship which means that if the accessibility conditions are easier, it will improve the performance of MCH policy implementation. The effect of accessibility on policy performance has been carried out partial linear regression test (t test), found t count = 19.0115 &gt; t table 1.97 means that there is a significant influence on the condition of accessibility to the performance of MCH policies in East Nusa Tenggara Province. CONCLUSION: Accessibility to health services in East Nusa Tenggara Province is still lacking, the policy implementation performance is good and there is a significant and positive influence between service accessibility and policy implementation performance. RECOMENDATION: The government is expected to be more serious in efforts to open the accessibility of health services and set more realistic targets that could be achieved.


PEDIATRICS ◽  
1963 ◽  
Vol 31 (5) ◽  
pp. 886-889

The University of California School of Public Health at Berkeley announces the first Annual Jessie M. Bierman Lecture on maternal and child health on May 10, 1963 at 8:00 p.m. at the School of Public Health. It will be held in honor of Dr. Jessie M. Bierman, retiring Professor of Maternal and Child Health at the School of Public Health. It will be given by Dr. Arthur Lesser of the United States Children's Bureau. Dr. Lesser will discuss current trends in maternal and child health. Public health workers, pediatricians, and obstetricians are cordially invited.


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Anu Rammohan ◽  
Srinivas Goli ◽  
Shashi Kala Saroj ◽  
C. P. Abdul Jaleel

Abstract Background Poor Maternal and Child Health (MCH) outcomes pose challenges to India’s ability to attain Goal-3 of the Sustainable Development Goals (SDGs). The government of India strengthened the existing network of frontline health workers (FHWs), under its National Rural Health Mission in 2005 and subsequent National Urban Health Mission in 2013 as a strategy to mitigate the shortage of skilled health workers and to provide affordable healthcare services. However, there is a lack of robust national-level empirical analysis on the role of maternal engagement with FHWs in influencing the level of maternal and child health care utilisation and child health outcomes in India. Methods Using data from the nationally representative Indian National Family Health Survey (NFHS) 2015–2016, this paper aims to investigate the intensity of engagement of FHWs with married women of child-bearing age (15–49 years), its influence on utilisation of maternal and child healthcare services, and child health outcomes. Our empirical analyses use multivariate regression analyses, focusing on five maternal and child health indicators: antenatal care visits (ANC) (4 or > 4 times), institutional delivery, full-immunisation of children, postnatal care (PNC) (within 2 days of delivery), and child survival. Results Our analysis finds that maternal engagement with FHWs is statistically significant and a positive predictor of maternal and child health care utilisation, and child survival. Further, the level of engagement with FHWs is particularly important for women from economically poor households. Our robustness checks across sub-samples of women who delivered only in public health institutions and those from rural areas provides an additional confidence in our main results. Conclusions From a policy perspective, our findings highlight that strengthening the network of FHWs in the areas where they are in shortage which can help in further improving the utilisation of maternal and child healthcare services, and health outcomes. Also, the role of FHWs in the government health system needs to be enhanced by improving skills, working environment, and greater financial incentives.


2015 ◽  
Author(s):  
Harolyn M. E. Belcher ◽  
Jacqueline D. Stone ◽  
Jenese A. McFadden ◽  
Tyler A. Hemmingson ◽  
Cary Kreutzer ◽  
...  

2020 ◽  
Vol 11 (7) ◽  
pp. 1006-1014
Author(s):  
Ajit Kumar Jaiswal

Maternal and child health programmes plays a key role in reducing infant and child mortality in any population. The Government of India started maternal and child health care services in the first five year plan (1951-56). This study uses data from the fourth round of the National Family Health Survey (NFHS, 2015-16). We are interested to examine the effect of child delivery at a healthcare facility, on child survival. We are followed by Mosley and Chen’s framework (1884), according to the framework, several socioeconomic determinants are grouped into some categories, namely, maternal, environmental contamination, nutrient deficiency, and personal illness control. Consequently, we reduced the number of independent variables to women’s age at birth and education, birth order, low child birth weight, household wealth, and healthcare.


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