scholarly journals Coverage and adequacy of ferrous sulfate supplementation in the prevention of anemia among children treated at health centers of Florianopolis, Santa Catarina

2013 ◽  
Vol 31 (3) ◽  
pp. 315-323 ◽  
Author(s):  
Francieli Cembranel ◽  
Arlete Catarina T. Corso ◽  
David Alejandro González-Chica

OBJECTIVE To evaluate the National Program of Iron Supplementation (PNSF) coverage, the compliance with the directions for of using of this supplementation and the association with sociodemographic factors in children aged six to 18 months old and registered in 35 public health centers of Florinópolis (Southern Brazil). METHODS Cross-sectional study using secondary data obtained from the health information system of the Health Department of Florianópolis, Santa Catarina, Brazil (Infosaúde). Data on ferrous sulfate supplementation and sociodemographic variables were obtained of all children registered in PNSF in Florianópolis in 2010. STATA 11.0 software was used in the analyses. RESULTS The PNSF covered 6.3% (95%CI 5.9-6.7) of the children; the compliance with the directions regarding age at the onset of supplementation and its frequency was adequate only in 2.4% of the cases (95%CI 1.5-3.7). There was no association with the child's gender, maternal education level and ethnicity or the distance from home to the health center. CONCLUSIONS This study showed low coverage and inadequate compliance with the PNSF directions. Measures to improve this strategy are urgent.

2017 ◽  
Vol 26 (2) ◽  
Author(s):  
Francieli Cembranel ◽  
Arlete Catarina Tittoni Corso ◽  
David Alejandro González-Chica

ABSTRACT Objective: to identify inadequacies in the treatment of iron deficiency anemia among children enrolled in the National Program of Iron Supplementation (PNSF) and treated at public primary health centers in Florianópolis, Santa Catarina, Brazil. Method: a cross-sectional study was performed using secondary data obtained from the InfoSaúde system. Information was obtained on the ferrous sulfate dose prescribed for treating iron deficiency anemia, as well as demographic and anthropometric data of all children enrolled in the program in 2010. STATA 11.0 software was used in the analysis and p-values ≤ 0.05 were considered significant. Results: sixty-eight (68) of the 834 children enrolled in the program in 2010 were diagnosed as anemic; 58 of whom received an indication to use ferrous sulfate. Conclusion: children under six months of age (65.1%), living in economically deprived areas (66.7%) and with a height/age Z-score ≥ -1.0 (52.1%) were more prone to receive inadequate supplement dosage (<3 mg/kg/day). The results are relevant to educate health professionals about their role in effectively treating iron deficiency anemia.


2017 ◽  
Vol 33 (8) ◽  
pp. 391
Author(s):  
Safitri Dwicahyani ◽  
Yayi Suryo Prabandari

Determinants of exclusive breastfeeding in SlemanPurposeThe purpose of this paper was to determine the factors associated with the exclusive provision of breast milk in Sleman.MethodsA cross-sectional study was conducted using secondary data derived from HDSS Sleman Cycles I and II. The sample in this study were 218 mothers with children aged 7 to <24 months.ResultsThe ownership of health insurance and the use of bottles and pacifiers were significantly associated with exclusive breastfeeding. Maternal age, maternal education, and maternal occupation were not significantly associated with exclusive breastfeeding. Mothers with health insurance are 2.14 times more likely to exclusively breastfeed than those without health insurance. Infants who never use bottles, and pacifiers before the age of 6 months are 5.14 times more likely to receive exclusive breastfeeding than those who used bottles / dots before the age of 6 months.ConclusionThe use of bottles, and pacifiers is the most dominant factor associated with exclusive breastfeeding. Coverage of health insurance, especially in pregnant and lactating mothers and effective health promotion programs related to exclusive breastfeeding needs to be improved. HDSS Sleman needs to analyze the data more in-depth on exclusive breast-feeding.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
F K Nampo ◽  
S Souza ◽  
C R Pestana

Abstract Background Major birth defects are characterized by its severity and are a public health challenge since it chronically affects the population. Foz do Iguassu is located in Brazili's largest international border and presents a birth defect rate 50% greater than the country's average. Methods Identifying factors associated to birth defects is important to guide preventive actions toward modifiable risk factors and target the most susceptible population. In this cross-sectional study we measured the prevalence of major birth defects and associated maternal sociodemographic factors in Foz do Iguassu. Data were collected from a governmental registry and included all births that occurred in the city between 2012 to 2017. The variables measured were maternal education, maternal race, country of residence, maternal parity and onset of prenatal care. Data were analyzed through logistic regression models to verify the maternal sociodemographic factors associated with major birth defects. Results 26,214 births were analyzed; among the 305 birth defects registered, 140 (46%) corresponded to a major birth defect. Cleft lip and/or palate and gastroschisis were the most prevalent major birth defect (9.5/10,000 live births and 6.83/10,000 live births, respectively). Maternal education up to 7 years was the only variable associated with the major birth defects (ORadj=1.58; CI = 1.07-2.33; p = 0.02). Maternal age was associated with gastroschisis (mean: 21.5 years; p = 0.002) and Down syndrome (mean: 33.5 years; p = 0.007). Conclusions In this area, cleft lip and/or palate and gastroschisis are the most common major birth defects, and maternal education is weakly associated with major birth defects. Key messages The epidemiology of major birth defects in this area differs from Brazil’s. Future research should focus on inherent risk factors for congenital defects and exposure to teratogens.


Author(s):  
M. Abdul Wassey ◽  
Ashish Giri ◽  
Aakash Raikwar ◽  
Vishal Dogra

Background: Diabetes mellitus and hypertension are chronic conditions that, on one hand demand early detection, screening, and treatment and on the other, require longitudinal follow-up for their successful management. Piramal Swasthya’s Arogyaseva program uses two contrasting methods (MMU and static clinic) to deliver diabetes and hypertension-related care. The MMU provides doorstep delivery of care, while the static clinic is located by the highway, is equipped with a telemedicine center, and has slightly higher diagnostic and therapeutic capabilities. The study aims to find the prevalence of diabetes and hypertension, and determine the association between the sociodemographic factors and the type of facility utilized for these conditions.Methods: This cross-sectional study is a secondary data analysis of the aggregated data of patients who availed health services at the Mobile Medical Unit and the static clinic. The data was analyzed to find out the prevalence of diabetes and hypertension, and Binary logistic regression was used to determine socio-demographic predictors of the type of health facility used for diabetes and hypertension-related care.Results: Overall hypertension and diabetes prevalence was 24% and 7%, respectively. Women (aOR 1.3; 95% CI 1.122–1.510), illiterate (aOR 2.61; 95% CI 2.021-3.392), hypertensives (aOR 3.28; 95% CI 2.807-3.846) and the elderly (aOR 1.43; 95% CI 1.204-1.721) were significantly more likely to utilize MMU based outreach facility compared to their respective baseline counterparts.Conclusions: The mobile medical unit can play a significant role in delivering hypertension and diabetes-related care, especially to women and the elderly.


2021 ◽  
Vol 11 (34) ◽  
pp. 227-236
Author(s):  
Dione Lúcia Prim Laurindo ◽  
Sabrina Da Silva de Souza ◽  
Ana Claudia da Cunha ◽  
Samara Eliane Rabelo Suplici ◽  
Katheri Maris Zamprogna

Este estudo tem por objetivo avaliar a Cobertura de exames citopatológicos de Colo Uterino na população de 25 a 64 anos e sua relação com a cobertura populacional pelas equipes de Saúde da Família nos municípios de Santa Catarina. Estudo transversal que utilizou dados secundários do banco de dados oficiais do Estado de Santa Catarina dos indicadores de Cobertura de exames citopatológicos e cobertura populacional pelas equipes de Saúde da Família nos anos de 2017 e 2018. Análise descritiva incluindo média, desvio padrão, mediana, percentil 25 e 75, mínimos e máximos para todos os indicadores de estudo e correlação de Spearman.  O estudo confirmou a hipótese de que quanto maior a cobertura de Equipes de Saúde da Família (ESF) melhores são os indicadores de saúde, pois os municípios com melhor cobertura de ESF apresentaram melhor a razão de exames citopatológicos de Colo Uterino na população de 25 a 64 anos no período estudado.Descritores: Enfermagem, Citopatológico, Indicadores de Saúde Comunitária. Reason for cervical cytopathological exams in women aged 25 to 64 years in Santa Catarina: an ecological studyAbstract: This study aims to evaluate the coverage of cervical cytological examinations in the population aged 25 to 64 years and its relationship with population coverage by the Family Health teams in the municipalities of Santa Catarina. Cross-sectional study using secondary data from official databases of the State of Santa Catarina, indicators of coverage of cytopathological examinations, and population coverage by family health teams in the years 2017 and 2018. Descriptive analysis including mean, standard pattern, median, 25th, and 75th percentile, minimum and maximum for all study indicators, and Spearman correlation. The study confirmed the hypothesis that the greater the coverage of family health equipment (FHS), the better health indicators, as the municipalities with the best FHS coverage consider the ratio of cervical cytopathological examinations better in the population aged 25 to 64 years in the studied period.Descriptors: Nursing, Cytopathological, Health Indicators. Motivo de los exámenes citopatológicos del cuello uterino en mujeres de 25 a 64 años en Santa Catarina: un estudio ecológicoResumen: Este estudio tiene como objetivo evaluar la cobertura de los exámenes citológicos del cuello uterino en la población de 25 a 64 años y su relación con la cobertura poblacional por parte de los equipos de salud familiar en los municipios de Santa Catarina. Estudio transversal que utiliza datos secundarios de bases de datos oficiales del Estado de Santa Catarina, indicadores de cobertura de exámenes citopatológicos y cobertura poblacional por equipos de salud familiar en los años 2017 y 2018. Análisis descriptivo que incluye la media, patrón estándar, mediana, 25 y percentil 75, mínimo y máximo para todos los indicadores de estudio y la correlación de Spearman. El estudio confirmó la hipótesis de que cuanto mayor es la cobertura del equipo de salud familiar (FHS), mejores son los indicadores de salud, ya que los municipios con la mejor cobertura de FHS consideran mejor la proporción de exámenes citopatológicos del cuello uterino en la población de 25 a 64 años el periodo estudiadoDescriptores: Enfermería, Citopatológico, Indicadores de Salud Comunitaria.


Author(s):  
Enka Nur Ishmatika ◽  
◽  
Tris Eryando ◽  

ABSTRACT Background: Exclusive breastfeeding is one of the essential things in the early life of a baby. Historical, socio-economic, cultural, and individual factors influenced the decision of initiation and behavior of breastfeeding. This study aimed to examine the determinants of cessation of exclusive breastfeeding in Indonesia. Subjects and Method: This was a cross-sectional study conducted by using secondary data from the Indonesian Demographic and Health Survey (IDHS) 2017. A total of 1,497 mothers aged 15-49 years old with infants aged 0-5 month was selected by total sampling. The dependent variable was the cessation of exclusive breastfeeding. The independent variables were maternal age, living place, level of maternal education, work status, wealth index, number of live births, and infant age. The data were analyzed using multiple logistic regression. Results: Maternal age (cOR= 1.27; 95% CI= 0.81 to 1.98; p= 0.293), residence (aOR= 1.98; 95% CI= 1.36 to 2.91; p= 0.008), number of live births (aOR= 1.82; 95% CI= 1.06 to 3.12; p= 0.036), and work status (cOR= 1.18; 95% CI= 0.80 to 1.74; p= 0.417) increased the cessation of exclusive breastfeeding, and it was statistically significant except for maternal age and work status. Maternal education (cOR= 0.76; 95% CI= 0.46 to 1.24; p= 0.266), wealth index (cOR= 0.92; 95% CI= 0.58 to 1.47; p= 0.728), and infant age (aOR= 0.88; 95% CI= 0.79 to 0.99; p= 0.033) decreased the cessation of exclusive breastfeeding, it was statistically insignificant except for infant age. Conclusion: Residence, number of live births increase the cessation of exclusive breastfeeding. Maternal education and wealth index decrease the cessation of exclusive breastfeeding. Keywords: cessation, exclusive breastfeeding, determinants, IDHS Correspondence: Enka Nur Ishmatika. Faculty of Public Health, Universitas Indonesia, Depok, West Java, 16424. Email: [email protected]. Mobile: +6281240293100. DOI: https://doi.org/10.26911/the7thicph.03.54


2017 ◽  
Vol 11 (1) ◽  
pp. 40
Author(s):  
Dian Shanti Yunita

In Dengue Hemorrhagic Fever (DHF) is a health problem and the number of cases is increasing every year, including in East Java. Blitar City is one of the cities in East Java which is endemic dengue. The Incident Rate (IR) in 2015 which is 70,28 per 100.000 population over the target area that is 21 per 100.000 population. One effort that can be done to reduce the number of dengue cases is increasing activeness jumantik in the prevention of dengue. Jumantik task in the prevention of dengue fever include CHD (Flick Periodic Monitoring), larvasidasi and reporting results of CHD to the clinic regularly. The purpose of this study was to determine and analyze the relationship between training, motivation and availability of facilities with participation jumantik in Blitar City. This study used an analytic observational study with cross sectional study design. Respondents in this study are jumantik in Blitar City with a sample of 171 samples. The data used in this study are primary data and secondary data. Statistical test results obtained value of meaningful relationship training (p = 0,000), motivation (p=0,000) and the availability of facilities (p = 0,000).Conclusions of this research that thereare a relationship between the training, motivation and availability of facilities with participation jumantik in Blitar City. Suggestions for Blitar City Health Department and clinics in Blitar City which should jumantik training ongoing each year and monitor the results of CHD regularly to anticipate the incidence of DHF.Keywords: Blitar City, Jumantik, Participation


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Oliyad Kebede ◽  
Gizachew Tilahun ◽  
Desalegn Feyissa

Abstract Background Keeping proper storage conditions at health facilities is vital to reduce pharmaceutical wastage caused by environmental factors. The expiration of medicines at the health facilities could lead to wastage of potentially life-saving drugs and unnecessary expenditure on the disposal of those expired medicines. Therefore, the aim of this study was to assess pharmaceutical stores and wastage of reproductive health medicines due to expiration in the west Wollega zone of Ethiopia. Method We conducted a facility-based cross-sectional study from 15th to 31st July 2019 using quantitative and qualitative data from West Wollega Zone of Ethiopia. Results Among 23 health facilities assessed, 17 (73.91%) (4(100%) hospitals and 13(68.42%) health centers) fulfilled desirable storage conditions. Hospitals’ stores had equipment and furniture, fulfilled desirable storage conditions, whereas, a significant number of the health centers’ stores did not comply with desirable storage conditions. Challenges of store management identified were poor store infrastructure and shortage of manpower. The total value of reproductive health medicines wasted due to expire in surveyed facilities was 357,920.52 ETB (12,323.81 US dollars) and the Percentage of Stock Wasted due to Expiration was 8.04%. Levonorgestrel 0.75 mg tablet is the highest in the percentage of stock wasted due to expiry. Factors contributing to wastage due to expiration were supply and demand imbalance. Conclusion Reproductive health medicines wasted due to expiration is high compared to the government of Ethiopia’s plan for the year 2018/19. This might imply that the monitoring of this plan is poor. Even though hospitals store management is good, there is a weakness in store management in health centers. This could be due to poor attention given to health centers. Therefore, west Wollega zonal health department should appropriately monitor the wastage of Reproductive health medicines and enforce health centers to follow appropriate storage guidelines. Hospitals and health centers should not accept medicines beyond their need to reduce expiry.


e-CliniC ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Grace A. D. Kaidel ◽  
Sarah M. Warouw ◽  
Stefanus Gunawan

Abstract: Malaria is a disease of the symptoms of acute or chronic infection caused by Plasmodium, characterized by recurrent fever, chills, sweating, anemia and hepatosplenomegali. In Indonesia, malaria is still a major infectious disease, especially the East part. The most frequently found plasmodia are Plasmodium falciparum and Plasmodium malaria vivax. Risk factors are malnutrition, the state of the neighborhood around the bush, rice fields, ditches or gutters with puddle air. According to the Biak Health Department in January-December 2012 there were 3608 cases of malaria in 190 villages and the most commonly found was Plasmodium vivax. This was a descriptive observational study using cross-sectional study design. This study was done once in every neighborhood with diagnosed malaria patients. Samples were children aged 5-14 years who were diagnosed with malaria in public hospitals and health centers in Biak during October to December 2013, and the parents approved the form of a questionnaire study. Conclusion: In Biak, boys aged 5-7 years had the highest percentage of malaria. Environmental factors that affected might be the condition of house ventilation, not using repellent or mosquito nets, opened water reservoirs, puddle areas, bushes, and landfills around the houses.Keywords: malaria, children, environmentAbstrak: Malaria adalah penyakit infeksi akut atau kronis yang disebabkan oleh Plasmodium, ditandai dengan gejala demam rekuren, menggigil, berkeringat, anemia dan hepatosplenomegali. Di Indonesia, malaria masih merupakan penyakit infeksi utama khususnya dibagian Timur. Di kawasan Indonesia Timur plasmodia yang sering ditemukan ialah plasmodia falciparum dan vivax. Faktor risiko terkena malaria yaitu kekurangan gizi, keadaan lingkungan tempat tinggal disekitar semak belukar, persawahan, dan parit atau selokan dengan genangan air. Menurut Laporan Dinas Kesehatan Kota Biak penyakit malaria pada Januari-Desember tahun 2012 berjumlah 3608 kasus dengan jumlah 190 desa yang tertular. Malaria yang sering ditemukan yaitu plasmodium vivax. Penelitian ini bertujuan untuk mengetahui pengaruh lingkungan dan tempat tinggal pada penyakit malaria anak di Kota Biak, dengan rancangan potong lintang. Penelitian hanya dilakukan satu kali pada setiap lingkungan dan tempat tinggal pasien yang terdiagnosis malaria. Sampel ialah anak umur 5-14 tahun yang terdiagnosis malaria di RSU dan Puskesmas di Kota Biak selama bulan Oktober – Desember 2013 dan orang tua menyetujui penelitian berupa kuesioner. Simpulan: Di kota Biak, anak laki – laki berumur 5 – 7 tahun yang terbanyak terkena penyakit malaria. Hal ini mungkin disebabkan oleh faktor lingkungan antara lain ventilasi rumah yang tidak menggunakan kawat kasa, adanya genangan air dan terdapat semak- semak disekitar rumah, tidak memakai kelambu dan obat nyamuk saat tidur, tempat penampungan air yang tidak tertutup, dan tempat pembuangan sampah disekitar rumah.Kata kunci: malaria, anak, lingkugan


2018 ◽  
pp. 83-89
Author(s):  
Nurbaeti Arifin

Child morbidity and mortality rates in Makassar are generally high, especially in low-income families. One of the suspected cause factors is low child survival. This study aims to assess the multiple roles of mothers, the amount of husband's income, maternal education and levels mother's knowledge of health efforts for the survival of children in low-income families. The research method used was observational with cross-sectional study design. The samples studied are housewives in low income families (under UMP / UMK) who have children under five. The sample size was 92 people selected by purposive sampling. Data analysis is done with the help of computer. Hypothesis testing was performed by using independent T test, correlation test and Anova. The determinants of child survival were assessed on the basis of regression analysis double. The statistical test used the significance level of 0.05. It can be concluded that the survival of children in low-income families in Makassar is influenced by two factors: maternal education and knowledge about MCH, but the dominant is mother's knowledge. The result of the study explains that there is no significant influence of mother / woman involvement in working to find additional income of household while taking care of anak.Disulkan related institution (especially health department) more to increase promotion effort and quality of health service mother and child in low income family.


Sign in / Sign up

Export Citation Format

Share Document