scholarly journals Utilization of adolescent friendly health services and its associated factors in Dang district of Nepal

Author(s):  
Niraj Giri ◽  
Shushila Shrestha ◽  
Srijana Uprety ◽  
Raj Kumar Sangroula

Background: Adolescence is a period of transition from childhood to adulthood. It is very crucial for adolescents to use the adolescent friendly health services in order to meet sexual and reproductive health needs. This study aimed to assess the factors associated with utilization of adolescent friendly health services in Dang district of Nepal.Methods: A community based analytical cross-sectional study was conducted in Dang district of Nepal. Five adolescent friendly health facilities were randomly selected and proportionate sampling was done to fulfill the required sample size. The adolescents were selected conveniently from the areas. Verbal informed consent was taken from the participants and their parents in case of age below 16 years. Approval was taken from Institutional Review Committee of Chitwan Medical College. Bivariate analysis was performed to detect the factors associated with utilization of adolescent friendly health services.Results: Nearly half (48.7%) of the adolescents had utilized adolescent friendly health services. Different socio-demographic factors like age of the participants, current educational status, mother’s education, ethnicity was significantly associated with utilization of adolescent friendly health services. Other factors like awareness about were services, convenient opening days and hour of health facilities and shyness to utilize the services were significantly associated with the utilization of the services.Conclusions: The utilization of the adolescent friendly services was found to be low among the adolescents of Dang district. In order to increase awareness among the adolescent regarding utilization of the services, there is need of coordination between schools, health institutions, communities etc. to conduct various awareness related program.

2017 ◽  
Vol 20 (1) ◽  
pp. 138-148 ◽  
Author(s):  
Natália Araujo de Almeida ◽  
Annelita Almeida Oliveira Reiners ◽  
Rosemeiry Capriata de Souza Azevedo ◽  
Ageo Mário Cândido da Silva ◽  
Joana Darc Chaves Cardoso ◽  
...  

Abstract Objective: to verify the prevalence of and factors associated with polypharmacy among elderly residents of the city of Cuiabá, in the state of Mato Grosso. Method: a cross-sectional study of 573 people aged 60 and over was performed. Polypharmacy was defined as the use of five or more medications. To investigate the association between polypharmacy and sociodemographic variables, health and access to medication, the Mantel Haenszel chi square test was used in bivariate analysis and Poisson regression was used in multivariate analysis. The significance level adopted was 5%. Result: the prevalence of polypharmacy was 10.30%. Statistically significant associations were found between polypharmacy and living with others, describing suffering from circulatory, endocrine, nutritional and digestive tract diseases, and referring to financial difficulties for the purchase of medicines. Conclusion: some social and health condition factors play an important role in the use of multiple medications among the elderly.


2018 ◽  
Vol 1 (1) ◽  
pp. 039
Author(s):  
Maesarah Maesarah ◽  
Lisa Djafar ◽  
Fremly Pakaya

Nutrition is a major factor that has an important role in the growth anddevelopment in the toddlers. In the nutritional fulfillment of the toddler,the mother plays very important role. This study aimed to determinethe factors associated with the behavior of parents with the nutritionalstatus of toddlers. The research design was used analytical surveywith cross sectional study approach. The population in this researchwas 213 Balita, the sample in this research was 136 children in BulaloVillage Kwandang District, North Gorontalo District, the samplingmethod was used purposive sampling technique. Data collection ofrespondents in general using questionnaires, data analysis usingSPSS program version 21.0. Bivariate analysis to know the existenceof relation between dependent variable and independet by using chisquared test α = 0,05. The results showed that there was a correlationbetween parents' knowledge on the Nutritional Status of Toddlers (p =0,000), there was a correlation between parental attitudes with thenutritional status in the toddler (p = 0,000), there was a correlationbetween parental action with the nutritional status in the toddler (p =0,000 ). This study recommends to parents to always pay attention tothe type of food consumed and the mothers should often follow thecounseling done by midwives and nutrition officials so that thenutritional status of toddlers has increased.


2017 ◽  
Vol 10 (2) ◽  
pp. 82
Author(s):  
M. Muyenga ◽  
K. Amakali ◽  
W. Wilkinson

Adolescents experience development related challenges more so related to the reproductive health. If they are not guided during this transitional stage, they may reap detrimental results including teenage pregnancy. Despite the existence of the national standards for Adolescent Friendly Health Services (AFHS) for the prevention of among others, teenage pregnancy, adolescent pregnancy continues to rise across the regions of Namibia.This article presents quantitative, descriptive findings of a cross-sectional study regarding the utilization of the Adolescent Active Participation component of the Adolescent Friendly Health Services standards by adolescent girls in Otjozondjupa region of Namibia.Quantitative data were collected (through structured questionnaire) from a sample of 540 (out of 4995 study population) school-going teenage girls as the potential users of the AFHS in Otjozondjupa Region.The findings indicated that, although the standards for the implementation of AFHS exist, adolescent girls do not utilize the services as demonstrated by high percentage (96%) of lack of awareness of the existence of the AFHS among the study participants, low (33%) use of condom among the sexually active study participants, non-participation (92%) of adolescent girls in health care committees as well as lack of participation (91%).  in development and distributions of the Information Education Communication materials (IEC) Therefore, the study recommended the strategies which may accelerate active participations of the adolescents in the implementation of the AFHS standards, particularly in Otjozondjupa region and Namibia at large.


2017 ◽  
Vol 149 (9) ◽  
pp. 383-390
Author(s):  
Raquel Arias Vega ◽  
Luis Angel Pérula de Torres ◽  
Celia Jiménez García ◽  
Julia Carrasco Valiente ◽  
Maria José Requena Tapia ◽  
...  

PHARMACON ◽  
2019 ◽  
Vol 8 (4) ◽  
pp. 888
Author(s):  
Gerald N. P. Tulung ◽  
Gayatri Citraningtyas ◽  
Imam Jayanto

ABSTRACT The quality of health services is classified as good if the health services provided could cause satisfaction to each patient in accordance with the level of satisfaction of the average population who are the main target of the health service. The purpose of this study was to determine the level of satisfaction of outpatients with the quality of pharmacy services at the Pharmacy Installation at Budi Setia Langowan Hospital. This research is a cross-sectional study with the study sample determined using the accidental sampling method, which is a sampling technique by taking samples randomly. Data were taken by prospective way then analyzed using statistical methods with SPSS analysis program, using bivariate analysis to test the relationship between independent variables, namely the level of outpatient satisfaction with the dependent variable namely Outpatient Service Quality (Tangibles, Reliability, Responsiveness, Assurance, and Empathy) given by the hospital to outpatients. The results showed that the value of outpatient patient satisfaction was at a positive index with a value of 0.07 with a CSI value of 87.74, which was in the very satisfied range, thus stating overall of the patients receiving pharmaceutical services at the Budi Setia Langowan Pharmacy Installation, had felt very satisfied. Keywords: Analysis of the level of satisfaction of outpatients, Budi Setia Langowan. ABSTRAK Kualitas pelayanan kesehatan digolongkan baik jika pelayanan kesehatan yang diberikan dapat menimbulkan rasa puas pada setiap pasien yang sesuai dengan tingkat kepuasan rata-rata penduduk yang menjadi target utama dari pelayanan kesehatan tersebut. Tujuan penelitian ini untuk mengetahui tingkat kepuasan pasien rawat jalan terhadap kualitas pelayanan kefarmasian di Instalasi Farmasi Rumah Sakit Budi Setia Langowan. Penelitian ini merupakan penelitian cross-sectional dengan sampel penelitian ditetapkan menggunakan metode accidental sampling, yaitu teknik pengambilan sampel dengan mengambil sampel secara bebas. Data yang diambil secara prospektif  kemudian  dianalisis menggunakan metode statistik dengan program analisis SPSS, dengan menggunakan Analisis bivariat untuk melakukan uji hubungan antara variabel bebas yaitu tingkat kepuasan pasien rawat jalan dengan variabel terikat yaitu Mutu Pelayanan Rawat Jalan (Tangibles, Reliability, Responsiveness, Assurance, dan Emphaty) yang diberikan Rumah Sakit kepada pasien tawat jalan. Hasil penelitian menunjukan nilai Ikj kepuasan pasien  rawat jalan berada pada indeks positif dengan nilai 0,07 dengan nilai CSI sebesar 87,74 yang berada pada rentang sangat puas, sehingga menyatakan secara keseluruhan pasien yang menerima pelayanan kefarmasian di Instalasi Farmasi Budi Setia Langowan sudah merasa sanggat puas. Kata kunci : Analisa tingkat kepuasan pasien rawat jalan, Budi Setia Langowan.


PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0255327
Author(s):  
Asrat Arja ◽  
Wanzahun Godana ◽  
Hadiya Hassen ◽  
Biruk Bogale

Background Delayed tuberculosis diagnosis and treatment increase morbidity, mortality, expenditure, and transmission in the community. Early diagnosis and initiation of treatment are essential for effective TB control. Therefore, the main objective of this study was to assess the magnitude and factors associated with patient delay among tuberculosis patients in Gamo Zone, Southern Ethiopia. Methods A cross-sectional study was conducted in Gamo Zone, Southern Ethiopia from February to April 2019. Fifteen health facilities of the study area were selected randomly and 255 TB patients who were ≥18 years of age were included. Data were collected using a questionnaire through face-to-face interviews and analyzed using SPSS version 20.0. Patient delay was analyzed using the median as the cut-off value. Multivariable logistic regression analysis was fitted to identify factors associated with patient delay. A p-value of ≤ 0.05 with 95% CI was considered to declare a statistically significant association. Results The median (inter-quartile range) of the patient delay was 30 (15–60) days. About 56.9% of patients had prolonged patients’ delay. Patient whose first contact were informal provider (adjusted odds ratio [AOR]: 2.24; 95% confidence interval [CI] 1.29, 3.86), presenting with weight loss (AOR: 2.53; 95%CI: 1.35, 4.74) and fatigue (AOR: 2.38; 95%CI: 1.36, 4.17) and body mass index (BMI) categories of underweight (AOR: 1.74; 95%CI: 1.01, 3.00) were independently associated with increased odds of patient delay. However, having good knowledge about TB (AOR: 0.44; 95% CI: 0.26, 0.76) significantly reduce patients’ delay. Conclusion In this study, a significant proportion of patients experienced more than the acceptable level for the patient delay. Knowledge about TB, the first action to illness, presenting symptoms, and BMI status were identified factors associated with patient delay. Hence, raising public awareness, regular training, and re-training of private and public healthcare providers, involving informal providers, and maintenance of a high index of suspicion for tuberculosis in the vulnerable population could reduce long delays in the management of TB.


Aquichan ◽  
2021 ◽  
Vol 21 (2) ◽  
pp. 1-13
Author(s):  
Daianne Teixeira ◽  
Telmara Menezes Couto ◽  
Ridalva Dias Martins ◽  
Jules Ramon Brito Teixeira ◽  
Jaqueline Alves Pires ◽  
...  

Objective: Checking the sociodemographic and clinical factors associated with the prevalence of postpartum hemorrhage (PPH) in a maternity school. Materials and methods: A quantitative cross-sectional study in a maternity hospital in Salvador, Bahia, Brazil. In data collection, we used a standardized form that contained sociodemographic and clinical data from the medical records of 83 women for the period of 2018. Stata version 14 software was used in the analyses. Bivariate analysis was conducted using Pearson’s or Fisher’s exact tests. Poisson regression was performed with robust variation in multivariate analysis. Prevalence ratios (PR) and respective 95 % confidence intervals were estimated. The significance level of the tests was 5 %. Results: The prevalence of PPH was 38.6 % and 25.6 % for atony as the cause. In the bivariate analysis, there was an association between PPH and non-breastfeeding in the first hour of life (p = 0.039). In the multivariate analysis, it was identified that multiparous women had an increase in the prevalence of PPH by almost twice (PR = 1.97). Not breastfeeding in the first hour of life increased this prevalence more than four times (PR = 4.16). Conclusions: Monitoring multiparous women during birth care and encouraging breastfeeding in the first hour of life may decrease the prevalence of PPH.


2013 ◽  
Vol 18 (12) ◽  
pp. 3645-3652 ◽  
Author(s):  
Riva Rozenberg ◽  
Katia Silveira da Silva ◽  
Claudia Bonan ◽  
Eloane Gonçalves Ramos

This article seeks to analyze contraceptive practices of Brazilian adolescents and to discuss associated vulnerability situations. A cross-sectional study was conducted, using the database of the National Survey on Demography and Health of Women and Children _ PNDS 2006. Factors associated with the current use of contraceptive methods were investigated. The analysis included 986 sexually-active adolescents. Bivariate analysis between the outcome and each of the socioeconomic, demographic and reproductive characteristics of women was performed. The associations between variables were evaluated using multivariate logistic regression. Four factors related to outcome were identified in the multivariate analysis: having completed junior high school (aOR=2.29; CI 95% 1.07_4.85); being married or cohabiting with a partner (aOR=2.85; CI 95% 1.45_5.59); having used contraceptives during the first sexual intercourse (aOR=2.77; CI 95% 1.36_5.63); and having access to transportation to get to health center services (aOR=3.33; CI 95% 1.42_7.80). Adolescents with higher social vulnerability are at a disadvantage regarding adoption of contraceptive methods. This points to the need to establish intersectoral articulations of public policies, which could ensure their reproductive rights.


Author(s):  
Aldo Shpuza ◽  
Xhesika Xhetani

Introduction: The World Health Organization (WHO) defines physical activity (PA) as any movement of the body produced by skeletal muscle that requires expenditure of energy. The aim of research is to assess the prevalence of and socio-demographic characteristics associated with physical inactivity (PI) among adult primary healthcare (PHC) users in Tirana, the capital of Albania.Methods: This was a cross-sectional study carried out in Tirana from November 2020 to January 2021. During this period 500 consecutively approached individuals aged ≥18 years exiting PHC centers were interviewed face-to-face about the presence of some of the risk factors for non-communicable disease. A structured WHO STEPS questionnaire, an integrated part of which is the instrument required for this study, “Global PA Questionnaire,” was used. In addition to demographic and socioeconomic data, we obtained data on the performance of PA in terms of domains, duration, and intensity. Logistic regression was used to assess socio-demographic factors associated with PI.Results: Prevalence of PI in the study population was 31.6%. Following multivariable adjustment for all covariates, significant positive correlates of PI were female gender, rural residence, retiree status, and unemployment. Conversely, there was an inverse association with moderate level of education.Conclusions: Similar to that of other European populations, the population of Tirana has a high rate of PI showing an upward tendency. The population groups at the highest risk of PI who may be targeted for intervention programs to address this risk factor are women, rural residents, unemployed persons, and retirees.


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