scholarly journals An assessment of available treatment facilities at different treatment centers of Sikkim: a cross sectional baseline study from dependents’ perspective

Author(s):  
Sunil K. Pandey ◽  
Deepanjana Dass

Background: Substance dependents is a major challenge for the economic wellbeing of an individual, society or a country. There is a huge gap between treatment demand and supply. Treatment facilities provided by the centers are different and are many a times lesser and inferior than required. This study was aimed to explore the status of basic facilities in the treatment centers of Sikkim from dependents’ perspectives.Methods: This study was conducted with n=241 participants who were undergoing treatment in seven different treatment centers of Sikkim. Reliable and pre-validated sociodemographic and treatment facility questionnaires were administered by the investigator on personal interview. Answers were recorded on the questionnaire and the same was entered in SPSS following which frequency and chi square analysis was done.Results: There were more male participants than females. Also, more number of participants were from Nepali, Hindu and urban origin. 31% participants were found to be unemployed. Knowledge about other treatment centers was fair (66%) and maximum had the knowledge of present treatment facilities. More than 90% participants were not satisfied with the contact facilities and nutritional supplements (98%). At around 41% participants reported that the education sessions were either boring or useless or both.Conclusions: In order to increase the entry in the treatment, there is a need to improve the quality of different facilities at the treatment centers. Also, there is a need of intermittent audit of the minimum required facilities.

Author(s):  
Diana Andriyani Pratamawati ◽  
Widiarti Widiarti ◽  
Wiwik Trapsilowati ◽  
Riyani Setiyaningsih

Tembalang Subdistrict is still ranked as the first highest IR Dengue in Semarang City in 2014-2016. Incidence rate of dengue in Tembalang Sub District in 2016 was Dengue hemorrhagic fever (DHF) IR 166.89/100,000 population with Case Fatality Rate (CFR) 1.02%. The Semarang City Government has implemented PERDA No.5 of 2010 concerning DHF control with the establishment of special larvae monitoring officers namely Semantik (Semarang Bebas Jentik) and Gasurkes (Health Surveillance Officer) to conduct routine larval monitoring and socialize PSN-3M Plus. However, dengue cases in Tembalang District continue to exist.The purpose of the study was to identify behavioral factors related to monitoring larva presence in Tembalang District, Semarang City. This study is based on the cross sectional method, with quota sampling was used to recruit 100 respondents. The criteria for the case were the latest DHF cases recorded in the Semarang City Health Office Data (January to September 2017). Samples were taken in quota with 100 respondents. Data were analyzed by analytic descriptive using chi-square analysis and odds ratio. The results showed behavioral factors to monitor larvae routinely related to the results of larvae examination (p <0,05) with risk factors OR = 5,02 and form observations obtained ABJ in Tembalang District by 89% in 2017. This needs additional attention in the larva monitoring procedure by Semantics and Gasurkes. The more complete the quality of the larvae examination, the existence of larvae can be eradicated, so that the incidence of DHF can be prevented


2021 ◽  
Vol 2 (2) ◽  
pp. 134-138
Author(s):  
Sheryl Putri Asri ◽  
Soetimah

It is estimated that 60% of maternal mortality resulting from gestation happened right after giving birth, and 50% of puerperium deaths happened in the first 24 hours. This research aims to know the relation between the amount of bleeding, remaining placenta, and the act of episiotomy to puerperal sepsis cases. This research uses analytical description methods with a cross-sectional approach. The population of this research was the postpartum mothers in puerperal sepsis cases in October – December 2017 at RSAB Harapan Kita Jakarta Barat counted 85 persons. The sampling method used in this research is an accidental sampling method with 32 respondents. The Instruments of this research are medical records and questionnaires with the chi-square analysis method. This research data analysis has the quality of univariate and bivariate, which means knowing about the relation between the amount of bleeding, remaining placenta, and the act of episiotomy to puerperal sepsis cases. This research shows a relation between the amount of bleeding with a p-value (0,035) and OR (7,200). There is a relation between remained placenta variable with a p-value (0,035) and OR (7,200). There is no relation in the act of episiotomy variable with p-value (0,142) and OR (3,500) to puerperal sepsis cases. The researcher suggests RSAB Harapan Kita increase the quality of their health services, mainly socialize information and give education for maternity women about various birth complications, such as bleeding and remaining placenta and sepsis puerperalis's risks.


2019 ◽  
Vol 5 (2) ◽  
pp. 8
Author(s):  
Ivan Iqbal Baidowi ◽  
Yunita Armiyanti ◽  
Zahrah Febianti ◽  
Yudha Nurdian ◽  
Bagus Hermansyah

This study aimed to investigate the correlation between the use of Personal Protective Equipment (PPE) and the status of Soil-Transmitted Helminths infection in the workers of Kaliputih plantation in Jember Regency. The research method applied was Analytic observational with a Cross-sectional approach. The population, as well as the sample, were all workers of Kaliputih Plantation, Sumber Bulus Village, Ledokombo District, Jember Regency, by the total of 63 people. The sampling technique was the Total sampling. Laboratory analysis on faecal samples of respondents were conducted at the Parasitology Laboratory, Faculty of Medicine, University of Jember. Furthermore, the research data were analyzed using Chi-Square analysis or Fisher’s Exact Test. The results demonstrated that the prevalence of STH infection in Kaliputih Plantation workers was 25%. This figure was supported by the good awareness of the use of Personal Protective Equipment (PPE) of workers (91.67%). In addition, the Soil-Transmitted Helminths species that infested the plantation workers were Ascaris lumbricoides, found in 6 people (16.67%), and Hookworm, found in 3 people (8.33%). Finally, the result of Chi-square analysis showed a significance value of <0.05. Therefore, it can be concluded that the use of PPE in Kaliputih plantation workers had a significant correlation with the STH infection status. Keywords: Correlation, PPE, Soil-Transmitted Helminths Infection


2019 ◽  
Vol 4 (2) ◽  
pp. 325
Author(s):  
Aprianus Umbu Zogara

<p><em>Quality of service is an important thing that must be considered by every facility of health services in providing service to patients. Quality of service is closely linked with comprehensive and systematic services to provide excellent service without distinguishing any patients either public or health-care users. The purpose of this study to determine the relationship between the ownership of health insurance with patient satisfaction in Puskesmas Jetis 1 Bantul, Yogyakarta. This research is a quantitative research with cross- sectional design. Samples in this study were patients who came to visit or seek treatment and enrolled in Puskesmas Jetis 1 Bantul as many as 97 people taken by accidental sampling technique. Data were analyzed using chi-square analysis. The results showed most of the respondents who have collateral such as Askes, JKN, Jamkesda, and Jamkesmas (67%) were satisfied with the services provided. The result of chi-square correlation test shows that there is correlation between assurance ownership and patients satisfaction at Puskesmas Jetis 1 Bantul, Yogyakarta which is shown by Sig value. of 0.00 (Sig &lt;0.05). This study can be concluded that there is a significant relationship between guarantee ownership and patient satisfaction with the majority of patients who have more satisfied health insurance.</em></p><p><em><br /></em></p><p><em>Kualitas pelayanan merupakan suatu hal penting yang harus diperhatikan oleh setiap fasilitas pelayanan kesehatan dalam memberikan pelayanan terhadap pasien.Kualitas pelayanan berhubungan erat dengan pelayanan yang komprehensif dan sistematis untuk memberikan pelayan yang prima tanpa membedakan setiap pasien baik umum maupun pengguna jaminan kesehatan. Tujuan penelitian ini untuk mengetahui hubungan antara kepemilikan jaminan kesehatan dengan kepuasan pasien di Puskesmas Jetis 1 Bantul, Yogyakarta. Penelitian ini merupakan penelitian kuantitatif dengan desain cross-sectional. Sampel dalam penelitian ini adalah pasien yang datang berkunjung atau berobat dan terdaftar di Puskesmas Jetis 1 Bantul sebanyak 97 orang yang diambil dengan menggunakan teknik accidental sampling.Data dianalisis menggunakan analisis chi-square. Hasil penelitian menunjukkan sebagian besar responden yang memiliki jaminan seperti Askes, JKN, Jamkesda, dan Jamkesmas (67%) merasa puas dengan pelayanan yang diberikan. Hasil uji korelasi chi-square menunjukkan terdapat hubungan antara kepemilikan jaminan dengan kepuasan pasien di Puskesmas Jetis 1 Bantul, Yogyakarta yang ditunjukkan dengan nilai Sig. sebesar 0,00 (Sig &lt; 0,05). Penelitian ini dapat disimpulkan terdapat hubungan yang signifikan antara kepemilikan jaminan dengan kepuasan pasien dengan mayoritas pasien yang memiliki jaminan kesehatan yang lebih merasa puas.</em></p>


2021 ◽  
Vol 8 (1) ◽  
pp. 7
Author(s):  
Isna Aglusi Badri

Masalah kesehatan gigi dan mulut yang sering terjadi pada manula adalah terjadinya peningkatan karies gigi penyakit periodontal, yang merupakan penyebab utama kehilangan gigi untuk manula di Indonesia. Penggunaan gigi tiruan akan meningkatkan kualitas hidup dan mengembalikan kondisi rasa nyeri pada otot masseter, sendi temporomandibula atau otot regio temporalis. Penelitian ini bertujuan untuk mengetahui hubungan penggunaan gigi tiruan dengan kualitas hidup pada lansia Di Wilayah Kerja  Puskesmas Batu Aji Kota Batam. Penelitian ini merupakan penelitian deskriptif analitik dengan pendekatan cross sectional, pengambilan sampel menggunakan non probability sampling secara purposive sampling, yaitu pada wilayah kerja Puskesmas Batu Aji Kota Batam, lansia berusia 60 tahun ke atas yang menggunakan dan tidak menggunakan gigi tiruan, sehingga diperoleh sampel sebanyak 67 lansia. Penentuan gigi tiruan menggunakan pemeriksaan langsung dan kualitas hidup yang yang menggunakan WHOQOL-BREF. Hasil analisis chi square menunjukkan ada hubungan antara penggunaan gigi tiruan dengan kualitas hidup pada lansia yang dilihat pada Nilai p = 0,029 < 0,05. Diharapkan lansia dapat memperoleh informasi penting tentang penggunaan gigi tiruan agar dapat terciptanya kualitas hidup pada lansia Kata kunci:lansia; penggunaan gigi tiruan; kualitas hidupTHE RELATIONSHIP OF THE USE OF DENTURES AND THE QUALITY OF LIFE OF THE ELDERLY AAT BATU AJI DISTRICT HEALTH CENTRE Abstract Dental and oral health problems that often occur in the elderly are the increase in periodontal disease dental caries, which is the main cause of tooth loss for the elderly in Indonesia. The use of dentures will improve the quality of life and restore painful conditions in the masseter muscles, temporomandibular joints or muscles of the temporalis region. This study was aimed to determine the relationship between the use of dentures and the quality of life in the elderly at Batu Aji District Health Centre, Batam City. This research was a descriptive analytic study with a cross sectional approach. Sampling used non-probability sampling by purposive sampling, The samples were elderly aged 60 years and over who use and do not use dentures, so that a sample of 67 elderly were obtained. Denture determination used direct examination and quality of life used WHOQOL-BREF. The results of the chi square analysis shows that there are a relationship between the use of dentures and the quality of life in the elderly, which was seen at p = 0.029 <0.05. It is hoped that the elderly can listen to important information about the use of dentures in order to create a quality of life in the elderly Keywords:elderly; use of dentures;  quality of  life


2019 ◽  
Vol 4 (2) ◽  
pp. 252
Author(s):  
Sulaiman Sulaiman ◽  
Anggriani Anggriani

<p><em>Good hospital services so far still seem difficult to obtain by the community when they want to seek treatment for services. Good service is a very important thing to improve patient satisfaction especially in poly physiotherapy at Siti Hajar Hospital Medan. This type of research was descriptive with a "cross sectional" design, the population in this research were 150 respondents who came to poly physiotherapy. Samples that meet the criteria in this research are 30 selected respondents. Sampling by means of "systematic sampling techniques. The purpose of this research was to analyze the relationship of factors of reliability, assurance, responsiveness, empathy, and physical evidence to the satisfaction of physiotherapy patient. The results of this research show that the majority of respondents stated that the quality of service in the poly physiotherapy at the Siti Hajar  Hospital in Medan was quite good at 14 people (46.7%). These results indicate there is a relationship between the quality of physiotherapy services and satisfaction, this is evident from the results of chi-square analysis where p-value = 0.004, smaller than 0.005. The conclusion in this resarch is that the hospital gives priority to the development of the quality of physiotherapy services, especially on poly physiotherapy.</em></p><p><em><br /></em></p><p><em><em>Pelayanan rumah sakit yang maksimal selama ini masih terkesan sulit didapatkan masyarakat ketika hendak berobat untuk mendapatkan  pelayanan. Pelayanan yang baik merupakan hal yang sangat penting untuk meningkatkan kepuasan pasien khususnya di poli fisioterapi RSU Siti Hajar Medan. Jenis penelitian ini deskriptif dengan rancangan “cross sectional”, populasi dalam penelitian ini sebanyak 150 orang responden yang datang ke poli fisioterapi. Sampel yang memnuhi kriteria dalam penelitian ini adalah pasien yang terpilih sebanyak 30 orang responden. Pengambilan sampel dengan cara “teknik sampling sistematis. Tujuan penelitian ini adalah untuk menganalisis hubungan faktor kehandalan, jaminan, daya tanggap, empati, dan bukti fisik terhadap kepuasan pasien fisioterapi. Hasil penelitian memperlihatkan bahwa mayoritas responden menyatakan mutu pelayanan di poli fisioterapis RSU Siti Hajar Medan adalah cukup baik yakni sebanyak 14 orang (46.7%). Hasil ini juga menunjukan ada hubungan mutu pelayanan fisioterapi dengan kepuasan, hal ini terbukti dari  hasil analisis chi-square dimana p-value = 0.004, lebih kecil dari 0.005. Kesimpulan dalam Penelitian ini bahwa pihak rumah sakit memberikan prioritas  pengembangan mutu pelayanan Fisioterapi terutama pada poli fisioterapi.</em></em></p>


2022 ◽  
Vol 9 ◽  
Author(s):  
Rabia Ishaq ◽  
Maryam Shoaib ◽  
Nosheen Sikander Baloch ◽  
Abdul Sadiq ◽  
Abdul Raziq ◽  
...  

BackgroundQuality of Life (QoL) and its determinants are significant in all stages of life, including pregnancy. The physical and emotional changes during pregnancy affect the QoL of pregnant women, affecting both maternal and infant health. Hence, assessing the QoL of pregnant women is gaining interest in literature. We, therefore, aimed to describe the QoL of pregnant women during physiological pregnancy and to identify its associated predictors in women attending a public healthcare institute of Quetta city, Pakistan.MethodsA cross-sectional study was conducted at the Obstetrics and Gynecology Department of Sandeman Provincial Hospital Quetta city, Pakistan. The respondents were asked to answer the Urdu (lingua franca of Pakistan) version of the Quality of Life Questionnaire for Physiological Pregnancy. Data were coded and analyzed by SPPS v 21. The Kolmogorov–Smirnov test was used to establish normality of the data and non-parametric tests were used accordingly. Quality of Life was assessed as proposed by the developers. The Chi-square test was used to identify significant associations and linear regression was used to identify the predictors of QoL. For all analyses, p &lt; 0.05 was taken significantly.ResultsFour hundred and three pregnant women participated in the study with a response rate of 98%. The mean QoL score was 19.85 ± 4.89 indicating very good QoL in the current cohort. The Chi-Square analysis reported a significant association between age, education, occupation, income, marital status, and trimester. Education was reported as a positive predictor for QoL (p = 0.006, β = 2.157). On the other hand, trimester was reported as a negative predictor of QoL (p = 0.013, β = −1.123).ConclusionImproving the QoL among pregnant women requires better identification of their difficulties and guidance. The current study highlighted educational status and trimester as the predictors of QoL in pregnant women. Health care professionals and policymakers should consider the identified factors while designing therapeutic plans and interventions for pregnant women.


Author(s):  
M. Novianita ◽  
I.N. Sutarsa ◽  
N. Adiputra

Background and purpose: The approach of pharmacy service provision has shifted from rudimentary medicine distribution to becoming more patient centered. The objective of this study was to explore the factors that affect the quality of pharmaceutical care in pharmacist owned and managed (APA) pharmacies in Denpasar.Methods: Study was cross-sectional with 68 samples collected by systematic random sampling among 214 pharmacies at Denpasar City. Data was collected by interview with pharmacists, self-administered-questionnaires to their staff and observation regarding the quality of services. Bivariate data analyis was conducted using chi square test and multivariate analysis was carried out using logistic regression.Results: Findings indicated that 48.5% (33 pharmacies) provide poor quality services. The presence of APA, the status of APA and the ownership of pharmacy affected the quality of pharmacy service. Multivariate analysis indicated that ownership of pharmacy was the most dominant variable impacting upon quality of pharmaceutical care (AOR=7.04 (95%CI: 1.5-33.8).Conclusion: The ownership of pharmacy affected the quality of pharmaceutical service provision in Denpasar.


2020 ◽  
Vol 5 (2) ◽  
pp. 240-249
Author(s):  
Satrio Wibowo Rahmatullah ◽  
◽  
Ika Maulida Nurrahma ◽  
Adnan Syahrizal

Compliance to achieve treatment success can be improved by providing drug information services (PIO) and counseling to improve understanding of treatment instructions. The general objective of this study was to determine the effect of drug information service and counseling on the level of medication adherence in patients with diabetes mellitus (DM) with hypertension in the Banjarbaru Regional Hospital. This study uses a quasi experimental method with a cross sectional approach and takes patient data prospectively. The results of this study indicate that the group given PIO and counseling showed a high level of adherence as many as 20 respondents (100%). Whereas in the group that was not given PIO and the counseling level of adherence was low, there were 4 respondents (20%). Based on the mann-whitney analysis p-value = 0,000 (<α = 0.05) so that there are differences in the group with PIO and counseling with groups without PIO and counseling, while the chi square analysis p-value = 0.004 (<α = 0 , 05) so that PIO and counseling have a significant effect on the level of adherence to taking medication in patients with DM with hypertension at the Banjarbaru Regional Hospital.


Author(s):  
Adel Alizadeh ◽  
Reza Negarandeh ◽  
Fahimehe Bagheri Amiri ◽  
Zahra Yazdani

Abstract Objectives This systematic and meta-analysis review was conducted to determine the status of Iranian children and adolescents’ physical activity. Content All the related articles which were published in the major databases, including Pubmed, Scopus, Web of Science, Embase, Magiran, SID from the beginning of 2010 to the end of 2019, were reviewed by researchers. The Newcastle-Ottawa scale was also used to evaluate the quality of articles. Moreover, I 2 index and chi-square were used to assess the heterogeneity between the results. Summary 490 articles were found as a result of the search in the selected international and local databases, where finally, 10 articles were included into the meta-analysis after the elimination of the duplicated articles and applying inclusion and exclusion criteria. The results indicated that 29.5% of the girls were considered active according to WHO criteria (16.1–42.8: 95% CI) and also 20.5% of the boys (7.3–33.7: 95% CI). Outlook Overall, this study’s findings showed that a large percentage of Iranian children and adolescents do not achieve the level of physical activity recommended by the World Health Organization. This can lead to undesirable consequences for this group of population that is considered as the human capital of any country; consequently, it seems necessary to take basic measures at the micro and macro levels in order to reduce such problems in the society.


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