scholarly journals FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU IBU RUMAH TANGGA MELAKUKAN PEMERIKSAAN PAYUDARA SENDIRI (SADARI)

2018 ◽  
Vol 12 (2) ◽  
pp. 143
Author(s):  
Alvita Brilliana R. Arafah ◽  
Hari Basuki Notobroto
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Health Care Providers ◽  
Early Stage ◽  
Health Providers ◽  
Care Providers ◽  
Cross Sectional ◽  
Information Accessibility ◽  
Breast Examination ◽  
Access Information

Breast cancer is cancer with the number of new cases and deaths highest in Indonesia. According to the Data Center and Information Ministry of a health Indonesia in the year 2013, the number of new cases of breast cancer of 819 and the number of deaths amounted to 217. In general, breast cancer known after stepping on an advanced stage. So the methods of early detection of breast cancer are focused on the detection of early stage tumors that are usually small with self-breast examination (SADARI). The purpose of this research is to predict the factors related to the behavior of self-breast examination (SADARI) the housewives aged 40–50 years. This research is an observational study with cross sectional approach. Sample research totaling 100 people  housewife in Kelurahan Sidotopo Wetan Kenjeran Subdistrict Surabaya. The measurement was done by providing a questionnaire to obtain information about the research variables. Variable independent research is k nowledge, attitudes, information accessibility, support health providers and descent with breast cancer. The results of this research showed the variables that are associated with the  SADARI behavior of the housewifes is attitude (p = 0.000), accessibility of information (p = 0.000), and health care providers support (p = 0.010). The majority of housewives in Kelurahan Sidotopo Wetan Kenjeran Sub-district Surabaya showed a good attitude and support toward SADARI. In the area surrounding the residence h ousewife get access information easily. There are no support for doing SADARI from health care providers.

scholarly journals Exclusive breastfeeding knowledge and practices among health care workers in northern Tanzania.

2020 ◽  
Author(s):  
Melina Mgongo ◽  
Bertha Mlay ◽  
Damian Jeremia Damian ◽  
Caroline Amour ◽  
Beatrice John Leyaro ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Exclusive Breastfeeding ◽  
Health Workers ◽  
Child Survival ◽  
Cross Sectional Study ◽  
Health Providers ◽  
Care Providers ◽  
Cross Sectional ◽  
Northern Tanzania

Abstract Background Exclusive breastfeeding (EBF) practice is one of the interventions improving child survival. Health workers have been shown to be vital in influencing EBF practices. Objectives To assess the level of knowledge and supportive practices on EBF among healthcare workers Kilimanjaro region, northern Tanzania. Methods A cross sectional study was conducted between April - June 2011 health care providers working in 36 randomly selected health facilities of Hai and Siha districts. A questionnaire was used to obtain information. Observation of health worker-client interaction was conducted using a check list. Results A total of 250 health workers participated in this study. The majority (80%) had adequate knowledge of EBF. However, 36% of providers believed light porridge should be introduced after 4 months and 43% believed infants will feel thirsty on breast- milk alone. Only 7% of providers answered correctly on skills of support, positioning and attachment. Fifty percent of the facilities with labour/maternity wards gave breastfeeding lessons to post delivery women. The majority (90%) gave theoretical information, without practical demonstration with positioning and/or attachment of the baby to the breast. Conclusion Providers had adequate theoretical knowledge of EBF but lacked important skills to support women in breastfeeding practices. Few labor/maternity facilities used the opportunity to educate women on EBF. Pre- and in-service health providers’ training on breastfeeding should target improved practical skills.

scholarly journals Promoting Clinical Breast Evaluations in a Lower Middle–Income Country Setting: An Approach Toward Achieving a Sustainable Breast Health Program

2018 ◽  
pp. 1-8 ◽  
Author(s):  
Roziya Buribekova ◽  
Irina Shukurbekova ◽  
Surayo Ilnazarova ◽  
Nekruz Jamshevov ◽  
Guldarbogh Sadonshoeva ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Family Medicine ◽  
Early Detection ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Early Stage ◽  
Health Board ◽  
Care Providers ◽  
Clinical Breast

Purpose To promote a systems-based approach for the early detection and downstaging of breast cancer at presentation in the remote mountainous region of Gorno Badakhshan Autonomous Oblast (GBAO), Tajikistan, by introducing breast cancer awareness into the community and training health care professionals in clinical breast evaluation (CBE). Methods Through a public-private partnership between the Ministry of Health, the Aga Khan Health Services, Tajikistan, and the Aga Khan Health Board, we organized breast cancer screening in the community and trained family medicine doctors (FMDs) and family medicine nurses (FMNs) in CBE. We identified and trained CBE master trainers, who, in turn, systematically trained FMNs to conduct CBEs in each of the remote regional clinics. Results Between 2014 and 2017, 47 FMDs (85% of all FMDs in GBAO), 166 FMNs (55% of all FMNs in GBAO), and six master trainers were trained. Of 3,556 women who were screened, abnormal CBEs were noted in 696 of them (20%). Of the last 1,101 CBEs that were performed by trainee FMNs, with secondary CBEs by master trainers, the rate of abnormal CBEs plateaued at 9%. A total of 18 women were diagnosed with breast cancer—2.6% of abnormal CBEs and 0.5% of all screened women. Conclusion A dual-pronged approach of community awareness and CBE training of health care professionals, supported by CBE master trainers, offers a sustainable approach for the early detection of breast pathology. We observed anecdotal evidence of clinical early-stage detection over time with improved CBE proficiency and community acceptance. Sustaining this program will require advocacy by health care providers and a responsive public policy to support the early detection and treatment of breast cancer across the region.

scholarly journals Survey of knowledge for diagnosing and managing prediabetes in Latin-America: cross-sectional study

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Jennifer Garay ◽  
Paul A. Camacho ◽  
Jose Lopez-Lopez ◽  
Juliana Alvernia ◽  
Marcela Garcia ◽  
...  
Keyword(s):  
Health Care ◽  
Latin America ◽  
Risk Factor ◽  
Latin American ◽  
Health Care Providers ◽  
Cross Sectional Study ◽  
Health Providers ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional

Abstract Background Prediabetes has been proposed as a risk factor for the development of type 2 diabetes mellitus (DM2) and cardiovascular disease (CVD). Despite the clinical importance of prediabetes, little is known about the level of knowledge, beliefs and barriers to screening and treating prediabetes amongst care health providers in Latin America. The aim of the present survey was to evaluate the knowledge and beliefs about prediabetes amongst in Latin American health care providers. Methodology In a cross-sectional study, we adapted the written survey designed by the Johns Hopkins University group, and applied it to health care providers across Latin America during three meetings, in 2017, and with physicians from primary care centers in Bucaramanga, Colombia convened in 2017. The survey consisted of questions under four headings, diabetes screening, management of prediabetes, pharmacological treatment—metformin use, and demographic information. We perform a descriptive analysis to determine the differences in responses between different medical specialties. Results The majority of the care providers that answered the survey were Colombian physicians, 54.5% of respondents had 10 years or more since completing their training and more women responded. Only 9.5% identified the 12 prediabetes risk factors described in the literature. The most common risk factor identified was a family history of diabetes, followed by overweight, a sedentary lifestyle and dyslipidemia, while ethnicity was the risk factor least commonly. 47.1% answered that laboratory tests to detect prediabetes are fasting glucose and HbA1C, 82.5% correctly identified fasting plasma glucose as the best test, 35.9% correctly responded that to the recommended weight loss goal is 5 to 7% and 49.1% that 150 min is considered the minimum level of physical activity per week. 78% agreed that the identification and treatment of prediabetes is important. 56% believed that patients with prediabetes progress more rapidly to diabetes and 40.6% considered that metformin could reduce the risk of diabetes in patients already diagnosed with prediabetes. Conclusion These results demonstrate that there are important gaps in the knowledge of the diagnosis, clinical implications and management of prediabetes amongst Latin America health providers.

scholarly journals Exclusive breastfeeding knowledge and practices among health care workers in Northern Tanzania.

2020 ◽  
Author(s):  
Melina Mgongo ◽  
Bertha Mlay ◽  
Damian Jeremia Damian ◽  
Caroline Amour ◽  
Beatrice John Leyaro ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Exclusive Breastfeeding ◽  
Health Workers ◽  
Child Survival ◽  
Cross Sectional Study ◽  
Health Providers ◽  
Care Providers ◽  
Cross Sectional ◽  
Northern Tanzania

Abstract Background: Exclusive breastfeeding (EBF) practice is one of the interventions improving child survival. Health workers have been shown to be vital in influencing EBF practices.Objectives: To assess the level of knowledge and supportive practices on EBF among healthcare workers Kilimanjaro region, northern Tanzania.Methods: A cross sectional study was conducted between April - June 2011 health care providers working in 36 randomly selected health facilities of Hai and Siha districts. A questionnaire was used to obtain information. Observation of health worker-client interaction was conducted using a check list.Results: A total of 250 health workers participated in this study. The majority (80 %) had adequate knowledge of EBF. However, 36 % of providers believed light porridge should be introduced after 4 months and 43 % believed infants will feel thirsty on breast- milk alone. Only 7 % of providers answered correctly on skills of support, positioning and attachment. Fifty percent of the facilities with labour/maternity wards gave breastfeeding lessons to post delivery women. The majority (90 %) gave theoretical information, without practical demonstration with positioning and/or attachment of the baby to the breast.Conclusion: Providers had adequate theoretical knowledge of EBF but lacked important skills to support women in breastfeeding practices. Few labor/maternity facilities used the opportunity to educate women on EBF. Pre- and in-service health providers’ training on breastfeeding should target improved practical skills.

scholarly journals Predictors and reasons for inappropriate hospitalization days for surgical patients in a tertiary hospital in Wuhan, China: a retrospective study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hao Li ◽  
Hongbing Tao ◽  
Gang Li
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Average Frequency ◽  
Tertiary Hospital ◽  
Surgical Patients ◽  
Health Providers ◽  
Care Providers ◽  
Binary Logistic Regression Model ◽  
Cross Sectional ◽  
Retrospective Audit

Abstract Background Inappropriate hospitalization day (IHD) is recognized as an important indication of the excessive demand for health-care services, especially for surgical patients. We aim to examine the degree of IHDs, predictors associated with higher incidences of IHDs, and reasons for each IHD in different periods of hospitalization. Methods A total of 4586 hospital days from 408 cases were evaluated by a cross-sectional and retrospective audit program carried out in a tertiary hospital with 5613 beds and 9623 faculty in Wuhan, China. This study used the revised Chinese version of the Appropriateness Evaluation Protocol (C-AEP) to assess IHDs, and the Delay Tool to ascertain each reason for IHDs. A binary logistic regression model was performed to examine the predictors of higher incidences of IHDs. Results The average frequency of IHDs was 23.24 %, and a total of 322 cases (78.92 %) were reported to have experienced at least one IHD. The multivariate analysis showed that patients at the age of 60–69 with respect to under 50, and with overlength of stay were predictors of higher incidences of preoperative IHDs, while admission from outpatient, multiple diagnosis, higher surgical incision level, and overlength of stay were predictors of higher incidence of postoperative IHDs. The most frequent reasons related to health providers for IHDs were doctor’s conservative views of patient management and delays in inspection, prescription, appointment, or result report. Patient factors gave rise to nearly a quarter of postoperative IHDs. Conclusions Findings from this study indicate that measures including paying more attention to the construction of MDT for diagnosis and treatment in general surgery, reducing laboratory turnaround time, dispelling distrust among health-care providers and patients, setting stricter discharge standards and, providing integrated out-of-hospital services could be adopted accordingly to improve the inappropriateness of hospital stays.

scholarly journals How do private practitioners in Pakistan manage children suspected having tuberculosis?

2020 ◽  
Author(s):  
Aashifa Yaqoob ◽  
Sven Hinderaker ◽  
Razia Fatima ◽  
Hina Najmi ◽  
Anwar Haq
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Failure To Thrive ◽  
Cross Sectional Study ◽  
Private Health Care ◽  
Health Providers ◽  
Care Providers ◽  
Cross Sectional ◽  
Private Providers ◽  
Childhood Tb

Abstract Background: Private providers provide a large portion of health care in Pakistan, including tuberculosis (TB). All TB patients are supposed to be reported to the National Tuberculosis Program (NTP), which provides drugs free of charge in addition to monitoring, supervision and support. It is difficult to confirm the diagnosis of TB in children. We aimed to assess the private health care provider investigation practices and management of childhood TB. Methods: This cross sectional study was based on a national survey that measured under-reporting of children with TB in 12 selected districts in Pakistan from Apr-Jun, 2016. We explored the practices of private health care providers involved in the diagnosis of TB in children under 15 years for investigating and managing children suspected having TB, like general practitioners, pediatricians, pulmonologists and chest specialists. Results: Among 6519 presumptive child TB cases, a total of 5193(79.7%) children under the age of 15 years were diagnosed as TB by private health care providers during second quarter, 2016. Out of all diagnosed TB cases, only 187(3.6%) were notified to NTP. The majority of presumptive child TB cases reported cough, fever, and failure to thrive; few had TB contacts with pulmonary TB patients. For further diagnostic tests, private providers relied on chest X-ray in 41.7% of 0-4 years and 48.2% of 5-14 years. Utilization of Tuberculin skin test and Gene-Xpert MTB/RIF testing was very low. Bacteriological confirmation was present in 9.6%, and clinical assessment was the only basis for diagnosis in 39.3%. Of children with presumptive TB, 3121(47.9%) cases were referred for diagnosis and 2443(37.5%) were referred after diagnosis for treatment; among all the referred, 3812(68.5%) were sent for investigations to District TB Centre(NTP). Conclusion: This study showed that many private providers referred children suspected having TB to laboratories for further diagnosis, but cases identified in investigations were often not notified to the NTP. This problem needs to be resolved by strengthening the referral linkages between private health providers, NTP laboratories and treatment centres through capacity building and training of their staff.

scholarly journals How do private practitioners in Pakistan manage children suspected having tuberculosis?

2020 ◽  
Author(s):  
Aashifa Yaqoob ◽  
Sven Hinderaker ◽  
Razia Fatima ◽  
Hina Najmi ◽  
Anwar Haq
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Failure To Thrive ◽  
Cross Sectional Study ◽  
Private Provider ◽  
Private Health Care ◽  
Health Providers ◽  
Care Providers ◽  
Cross Sectional ◽  
Private Providers

Abstract Background:Private providers provide a large portion of health care in Pakistan, including tuberculosis (TB). All TB patients are supposed to be reported to the National Tuberculosis Program (NTP), which provides drugs free of charge in addition to monitoring, supervision and support. Diagnosis of TB in children is difficult. We aimed to assess the private health care providers’ investigation practices and management of childhood TB. Methods:This cross-sectional study was based on a national survey that measured under-reporting of children with TB in 12 selected districts in Pakistan from Apr-Jun, 2016. We explored the practices of private health care providers, like general practitioners, pediatricians, pulmonologists and chest specialists, involved in the diagnosis of TB in children under 15 years for investigating and managing children suspected having TB.Results:Among 6519 presumptive child TB cases, a total of 5193(79.7%) children under 15 years were diagnosed as TB by private health care providers during second quarter, 2016. Only 187(2.9%) were notified to NTP. The majority of presumptive child TB cases reported cough, fever, and failure to thrive; few had TB contacts with pulmonary TB patients. Failure to thrive, loss of body weight and absence of BCG scar was more common in female children. Private providers relied on chest X-ray in 46.1%, but tuberculin skin test and Gene-Xpert MTB/RIF testing was little utilized. Bacteriological confirmation was present in 7.6%, and clinical assessment was the only basis for diagnosis in 39.3%. Of children with presumptive TB, only 955(14.6%) children were treated by private provider, while 3121(47.9%) cases were referred for diagnosis and 2443(37.5%) were referred after diagnosis for treatment; among all the referred, 3812(68.5%) were sent for investigations to District TB Centre (NTP).Conclusion:This study showed that many private providers referred children suspected having TB to laboratories for further diagnosis, but cases identified in investigations were often not notified to the NTP. This problem needs to be resolved by strengthening the referral linkages between private health providers, NTP laboratories and treatment centres through capacity building and training of their staff.

scholarly journals (Ex-)breast cancer patients with (pre-existing) symptoms of anxiety and/or depression experience higher barriers to contact health care providers during the COVID-19 pandemic

2021 ◽  
Author(s):  
Dieuwke R. Mink van der Molen ◽  
◽  
Claudia A. Bargon ◽  
Marilot C. T. Batenburg ◽  
Roxanne Gal ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Cancer Patients ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Depression Scale ◽  
Current Treatment ◽  
Care Providers ◽  
Breast Cancer Patients ◽  
Cross Sectional

Abstract Purpose To identify factors associated with (perceived) access to health care among (ex-)breast cancer patients during the COVID-19 pandemic. Methods Cross-sectional study within a large prospective, multicenter cohort of (ex-)breast cancer patients, i.e., UMBRELLA. All participants enrolled in the UMBRELLA cohort between October 2013 and April 2020 were sent a COVID-19-specific survey, including the Hospital Anxiety and Depression Scale (HADS) questionnaire. Results In total, 1051 (66.0%) participants completed the survey. During COVID-19, 284 (27.0%) participants reported clinically relevant increased levels of anxiety and/or depression, i.e., total HADS score ≥ 12. Participants with anxiety and/or depression reported statistically significant higher barriers to contact their general practitioner (47.5% vs. 25.0%, resp.) and breast cancer physicians (26.8% vs. 11.2%, resp.) compared to participants without these symptoms. In addition, a higher proportion of participants with anxiety and/or depression reported that their current treatment or (after)care was affected by COVID-19 compared to those without these symptoms (32.7% vs. 20.5%, resp.). Factors independently associated with symptoms of anxiety and/or depression during COVID-19 were pre-existent anxiety (OR 6.1, 95% CI 4.1–9.2) or depression (OR 6.0, 95% CI 3.5–10.2). Conclusion During the COVID-19 pandemic, (ex-)breast cancer patients with symptoms of anxiety and/or depression experience higher barriers to contact health care providers. Also, they more often report that their health care was affected by COVID-19. Risk factors for anxiety and/or depression during COVID-19 are pre-existent symptoms of anxiety or depression. Extra attention—including mental health support—is needed for this group.

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