scholarly journals Pelaksanaan dan Faktor yang Mempengaruhi Kepemilikan Surat Izin Praktik Apoteker (SIPA) oleh Tenaga Apoteker di Rumah Sakit dan Puskesmas Kota Surabaya Tahun 2016

2018 ◽  
Vol 5 (2) ◽  
pp. 130
Author(s):  
Alvin Faizah
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Secondary Data ◽  
Primary Data ◽  
Health Minister ◽  
Cross Sectional ◽  
Primary Health ◽  
Public Health Office ◽  
Minimum Number

Surabaya had more than 1.600 pharmacists in 2016. However, based on the data there were 144 pharmacists that did not have practice licenses in hospitals and primary health care in Surabaya. It meant that the implementation of The Regulation of Health Minister Number 889 Year 2011 was ineffective. The purpose of this research was describing the pratice lincesing of pharmacist in hospitals and primary health care in Surabaya and the factors that influenced the problem. This research was an observational descriptive study with cross sectional method. Primary data were collected through observation, interview and discussion with the staff in charged in Surabaya Public Health Office. While the secondary data could be achieved from official documents, reports, and archives. Comparing the number of pharmacists in the hospitals or primary health care with the minimum manpower standard of pharmacist based on The Regulation of Health Minister Number 56 Year 2014, the result showed that 33 hospitals had not fulfilled the standard minimum number of pharmacists which mean they had not made their practice licenses. Therefore, the given recommendation was strengthening Public Health Office’s role to direct warning and punishment toward hospitals and pharmacists.Keywords: pharmacist, practice license, hospital and primary health care

scholarly journals The Implementation of Immunization Cold Chain Management in Surabaya City

2021 ◽  
Vol 9 (1) ◽  
pp. 62
Author(s):  
Alfilia Lusita ◽  
Fariani Syahrul ◽  
Ponconugroho Ponconugroho
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Secondary Data ◽  
Cold Chain ◽  
Success Rates ◽  
Cross Sectional ◽  
Chain Management ◽  
Primary Health ◽  
The City

Background: Immunization success rates can be determined by several factors. The factors that can cause occurrences of immunization preventable disease (PD3I) cases include the quality of the cold chain and invalid doses of immunization medicines. Purpose: The aim of this research was to analyze the implementation of cold chain management in the city of Surabaya. Methods: This research was conducted as a descriptive study with a cross-sectional research design. The population consisted of all primary health care centers in the city of Surabaya, and the data used were secondary data, guided by interviews with informants. Results: The majority of cold chain management personnel were found to have a medical education background of 98.42%, and primary health care workers have received cold chain-related training (100%). All primary health care equipment has a 100% cold chain. The completeness of cold chain reporting was 93.51%, and the accuracy of the cold chain reporting was 71.52%. Regarding the quality of the equipment, some vaccine refrigerators were found 12% of vaccine refrigerators were found not to be in optimal condition, and 14% of temperature monitoring devices was not activated. Conclusion: The implementation of cold chain management in public health center and the availability of equipment in the Surabaya City are going well, although there are still some problems such as undisciplined reporting and inadequate quality of tools for cold chain implementation as well as the discovery of vaccine refrigerators easily leaks, and their temperature can rise easily.

scholarly journals ANALISIS PENGGUNAAN ALAT PELINDUNG DIRI (APD) COVID-19 PADA PETUGAS PUSKESMAS DI KOTA PADANG

2021 ◽  
Vol 5 (1) ◽  
pp. 271-281
Author(s):  
Ayulia Fardila Sari ZA ◽  
Syafrawati Syafrawati ◽  
Laa Tania Fizikriy
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Workers ◽  
Transmission Risk ◽  
Primary Data ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional ◽  
Primary Health ◽  
Usage Behavior

Introduction: Health workers are groups that are vulnerable to contracting COVID-19. There are 20 health workers in West Sumatra test positive for COVID-19 until April 30th 2020, while six of them are Padang primary health care officers. Using Personal Protective Equipment (PPE) is important to prevent and reduce COVID-19 transmission risk of health workers. This study aimed to measure factors of using PPE for Padang primary health care officers. Methods: Research used a quantitative method with cross sectional design in 12 Padang primary health care from March to July 2020. Independent variables were age, PPE availability, leadership support, knowledge, and attitudes. Dependent variable was PPE usage behavior. Research population was health care officers who directly contacted with people in Padang primary health care area with 100 samples. Primary data collection used questionnaire with accidental sampling technique and analyzed using bivariate analysis. Results:There was a significant relationship between age and PPE usage behavior for health care officers, p value=0.037 (p

scholarly journals Evaluation of public health literacy in adults who applied for primary health care in Turkey

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Kılınç ◽  
C Çam ◽  
S Aydoğan Gedik ◽  
D Oktar ◽  
U Taşcıoğlu ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Health Literacy ◽  
Education Level ◽  
Study Group ◽  
Cross Sectional ◽  
Health Decisions ◽  
Primary Health ◽  
Public Health Literacy

Abstract Background The climate change, conflicts, mass migrations and global epidemics happening in today's world shows that it's necessary for the communities to implement public health decisions. In this context, the degree of obtaining and complying with the information required for individuals to process, understand and evaluate public health decisions has revealed the concept of public health literacy. The aim of the study was to determine the public health literacy (PHL) levels in adults applying for health care. Methods This is a cross-sectional study conducted on 1672 adults who applied for primary health care in Eskişehir in 2019. Public Health Literacy Knowledge Scale (PHLKS) which is created with a WHO initiative was used to assess the PHL levels. The scores that can be obtained from this scale ranges from 0 to 17 and higher score implies higher literacy levels. In the study group, Cronbach's alpha value was 0.72 for the PHLKS. Multiple linear regression was used to determine the variables that affect PHLKS score. Results In the study group; 924 (55.3%) were male, 399 (23.9%) were living in a rural area, their ages ranged from 18 to 87 and the mean age was 40.94 ± 15.22. The median score from the PHLKS was 13.0 and mean score was 12.38 ± 2.99. Among the participants, 27.8% of them had a correct response rate of ≥ 90% for the items of the scale. Variables related to PHLKS were found to be high level of education, to exercise regularly and to perceive the general health status as good (F = 28.869, p < 0.001, R2 = 0.161). Education level was the most important variable related with PHL level (Standardized β coefficient: 0.34 95% CI: 0.28-0.39). Conclusions PHL levels of the participants was thought to be moderate. Education level and the lifestyle choices were related to PHL. Key messages It was thought that new and improved tools to measure public health literacy levels are needed. Societies should improve their education levels and invest in health education programs for more effective public health interventions.

scholarly journals Faktor yang Menentukan Pengetahuan Akhir Pasien tentang Obat di Puskesmas

2019 ◽  
Vol 6 (2) ◽  
pp. 91
Author(s):  
Diesty Anita Nugraheni ◽  
Prisca Widiyanti ◽  
Chaifah Salim Assaidi ◽  
Cendana Handayani Hariyadi ◽  
Kristina Dewi Pratiwi
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Center ◽  
Health Worker ◽  
Health Workers ◽  
Primary Data ◽  
Systematic Sampling ◽  
Primary Health Center ◽  
Cross Sectional ◽  
Primary Health

ABSTRAK Proses pemberian informasi yang memuaskan antara pasien dan apoteker merupakan hal yang penting dalam penggunaan obat secara rasional oleh pasien dan sangat dipengaruhi oleh banyak faktor baik dispensing time, karakteristik pasien dan petugas kesehatan. Tujuan penelitian adalah untuk menganalisis faktor-faktor yang menentukan pengetahuan akhir pasien tentang obat di Puskesmas. Jenis penelitian ini adalah penelitian observasional yang dilakukan dengan metode cross-sectional. Populasi adalah pasien atau keluarga pasien yang mendapatkan obat di Unit Farmasi empat Puskesmas Kabupaten Sleman. Sampel dipilih menggunakan teknik systematic sampling. Sumber data primer yaitu menghitung dispensing time dan wawancara terstruktur. Data dianalisis menggunakan uji regresi linier dan crosstab. Faktor-faktor yang diteliti sebagai penentu pengetahuan akhir pasien tentang obat di Puskesmas yaitu waktu penyerahan obat (dispensing time), jenis petugas kesehatan yang menyerahkan obat, jenis kelamin, usia, pendidikan, suku bangsa, status pernikahan, pekerjaan, pendapatan, bahasa sehari-hari, dan area tinggal. Hasil penelitian menunjukkan faktor yang menentukan tingkat pengetahuan akhir pasien adalah jenis petugas kesehatan, usia, pendidikan, pendapatan, bahasa sehari-hari, dan area tinggal pasien yaitu dengan nilai p<0,1 pada analisis regresi linier. Kesimpulan penelitian yaitu tingkat pengetahuan pasien terkait obat di Puskesmas dapat digambarkan dengan persamaan regresi Y= 2,236 + 0,223 jenis petugas kesehatan - 0,338 usia + 0,231 pendidikan – 0,103 pendapatan – 0,115 bahasa – 0,403 area tinggal. Kata kunci: dispensing time, faktor, pengetahuan obat, puskesmas, sosiodemografi.  ABSTRACT The process of providing satisfactory information between patients and pharmacists was important in rational of drugs use and greatly influenced by many factors such as dispensing time, patient characteristics and health care workers. The objective of the study was to analyze the factors related to the patient's medication exit knowledge at primary health care. This research was an observational study conducted with cross-sectional method. The population werw patients or their families who get medication at pharmacy unit of four primary health care in the Sleman district. Samples were selected using systematic sampling techniques. The primary data source were observe dispensing time and structured interviews. Data were analyzed using linear regression and crosstab tests. The factors studied as determinants of the patient's medication exit knowledge at the primary health center were dispensing time, the health worker who dispensing drugs, sex, age, education, ethnicity, marital status, occupation, income,  language, and area of residence. The factors that determine patient’s medication exit knowledge were the type of health worker, age, education, income, language, and area of residence. The conclusion of the study is the patient’s medication exit knowledge at primary health center can be described by the regression equation Y = 2.236 + 0.223 types of health workers - 0.338 ages + 0.231 education - 0.103 income - 0.115 languages - 0.403 residence area. Keywords: dispensing time, factor, medication knowledge, primary health care, sociodemographic

scholarly journals Resolution, access, and waiting time for specialties in different models of care

2020 ◽  
Vol 54 ◽  
pp. 18
Author(s):  
Natália Leite Rosa Mori ◽  
Jaime Olbrich Neto ◽  
Regina Stella Spagnuolo ◽  
Carmen Maria Casquel Monti Juliani
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Waiting Time ◽  
Health Care Services ◽  
Secondary Data ◽  
Cross Sectional Study ◽  
Models Of Care ◽  
Cross Sectional ◽  
Medical Specialties ◽  
Primary Health

OBJECTIVE: This study aimed to identify the treatment demands coming from primary health care units and, based on that, the demand for referrals to medical specialties in reference services. This study is justified by the scarcity of scientific literature on the subject. METHODS: This is a cross-sectional study using secondary data on the treatments and referrals made by the primary health care units, throughout 2014, in a municipality of the State of São Paulo, Brazil. The total population treated in 2014 was considered, resulting in 411,177 treatments. RESULTS: Out of all treatments performed, the percentage of referrals was of 4.42%, showing that 95,58% of the problems did not need to be referred to another service. A number of 8,897 referrals were made, to 6,850 users, who were mostly women (60.74%). The mean of referrals per patient was 1.3 (min. 1 and max. 8), and 1,604 patients (23.5%) were referred at least twice. CONCLUSIONS: Primary health care services have been responsible for a large number of treatments, whereas the demand for referrals has decreased, suggesting that such services have established themselves as a gateway to the health system and achieved the expected solvability, although the waiting time for some specialties is very long.

scholarly journals Faktor yang Mempengaruhi Rekrutmen Dokter di Puskesmas Wilayah Kerja Dinas Kesehatan Kabupaten Buol Tahun 2016

2017 ◽  
Vol 6 (3) ◽  
pp. 103
Author(s):  
Arifandi Arifandi ◽  
Andreasta Meliala
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Primary Care Physicians ◽  
Health Human Resource ◽  
Recruitment Process ◽  
Factors Affecting ◽  
Primary Health ◽  
Public Health Office ◽  
Management Functions

ABSTRACTBackground: One of the health human resource management functions is to perform recruitments. Recruitment is a practice or activity undertaken by an organization with the primary purposes of identifying and attracting potential workers. Based on the profile data of Public Health Office of Buol by 2015 and 2016 were still lacking of physicians. This suggested that recruitment process conducted by Public Health Office of Buol was ineffective because it didn’t meet the standard of supply. This study aims to determine procedures of physician’s recruitment at Public Health Office of Buol and identify factors affecting the willingness of physicians to be placed at Primary Health Care of Buol. Method: This is descriptive study with qualitative approach. Informants collected were 11 respondents (N=11) consisting of Officers of Public Health Office, Regional Employment Institution, Non-Permanent Physicians working in the District of Buol. Finding: The number of Primary Care Physicians has not met yet the standard of the need and the distribution is not widespread. Factors affecting the willingness of physicians to work in Buol are compensation which is accordance with the standard of salary for the very remote areas and the reward, career path in which physicians have the chance of being civil servants as well as further promotion of education. Inhibiting factors including working condition, workload and environmental factors such as quiet and remote area. Conclusion: Recruitment of physicians of Primary Health Care conducted by Public Health Office of Buol was ineffective yet and need improvement efforts regarding recruitment process and improves factors supporting the willingness of physicians to work in the District of Buol. Keywords: recruitment, physician, supporting, inhibit. ABSTRAKLatar Belakang: Salah satu fungsi manajemen sumber daya manusia kesehatan adalah melaksanakan rekrutmen. Jumlah dokter di Kabupaten Buol masih kurang. Pada tahun 2015, jumlah dokter di Kabupaten Buol adalah sebanyak 15 dokter dengan rincian 9 dokter umum dan 6 dokter gigi, sedangkan standarnya adalah 26 dokter dengan rincian 15 dokter umum dan 11 dokter gigi. Oleh karena itu, ada kekurangan sebanyak 11 dokter dengan rincian 6 dokter umum dan 5 dokter gigi. Pada tahun 2016, jumlah dokter di Kabupaten Buol adalah sebanyak 8 dokter dengan rincian 3 dokter umum dan 5 dokter gigi, sedangkan standarnya adalah 26 dokter dengan rincian 15 dokter umum dan 11 dokter gigi. Oleh karena itu, ada kekurangan sebanyak 18 dokter dengan rincian 12 dokter umum dan 6 dokter gigi. Jumlah dokter di Kabupaten Buol pada tahun 2016 justru semakin berkurang dan semakin jauh dari kebutuhan standar. Kondisi ini menunjukkan bahwa proses rekrutmen yang dilaksanakan tidak efektif karena belum mampu memenuhi jumlah standar kebutuhan. Tujuan: Untuk mengetahui prosedur rekrutmen dokter di Dinas Kesehatan Kabupaten Buol dan mengidentifikasi faktor yang menghambat rekrutmen dokter di Dinas Kesehatan Kabupaten Buol. MetodePenelitian: Jenis penelitian ini adalah penelitian deskriptif dengan penekatan kualitatif. Informan dalam penelitian ini adalah pihak Dinas Kesehatan dan Dokter yang bekerja di Kabupaten Buol. Kesimpulan: Permasalahan yang terjadi dalam rekrutmen dokter di Kabupaten Buol adalah kurangnya jumlah pelamar. Hal ini dapat disebabkan karena kurangnya minat dan kesediaan dokter untuk bekerja di Kabupaten Buol. Faktor yang mendukung kesediaan dokter untuk bekerja di Kabupaten Buol adalah kompensasi yang sudah sesuai dengan standar gaji untuk wilayah terpencil dan penghargaan serta jenjang karir dimana dokter masih memiliki peluang untuk menjadi PNS dan mendapatkan promosi pendidikan lebih lanjut. Faktor yang menghambat kesediaan dokter untuk bekerja di Kabupaten Buol adalah kondisi kerja yang dinilai sangat berat karena kurangnya jumlah dokter pada Puskesmas rawat inap dan Puskesmas non rawat inap di Kabupaten Buol serta faktor lingkungan yang lebih luas yang dirasa sepi dan terpencil dan menjadi hambatan bagi sebagian dokter. Kata kunci : rekrutmen, seleksi, dokter

scholarly journals A Protocol on Using the RE-AIM Framework in the Process Evaluation of the Primary Health Integrated Care Project for Four Chronic Conditions in Kenya

2022 ◽  
Vol 9 ◽  
Author(s):  
Violet Naanyu ◽  
Hillary Koros ◽  
Beryl Maritim ◽  
Jemima Kamano ◽  
Kenneth Too ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Integrated Care ◽  
Process Evaluation ◽  
Secondary Data ◽  
Management Program ◽  
Primary Data ◽  
Breast Cancers ◽  
Structured Interviews ◽  
Primary Health

Background: There has been a rapid increase in morbidity and mortality arising from non-communicable diseases (NCDs). The Academic Model Providing Access to Healthcare (AMPATH) program has established a chronic disease management program in collaboration with the Ministry of Health (MoH) in Kenya at over 150 health facilities in western Kenya. The primary health integrated care for chronic (PIC4C) disease project seeks to deliver preventive, promotive, and curative care for diabetes, hypertension, cervical and breast cancers at the primary health care level. We apply the RE-AIM framework to conduct a process evaluation of the integrated PIC4C model. This paper describes the protocol we are using in the PIC4C process evaluation planning and activities.Methods and Analysis: This evaluation utilizes clinic reports as well as primary data collected in two waves. Using mixed methods (secondary data, observation, semi-structured interviews, and focus group discussions), the process evaluation assesses the reach, effectiveness, adoption, implementation and maintenance of the PIC4C model in Busia and Trans Nzoia Kenya. The evaluation captures the PIC4C process, experiences of implementers and users, and the wishes of those using the PIC4C services. We will analyse our data across the RE-AIM dimensions using descriptive statistics and two-sample t-test to compare the mean scores for baseline and end line. Qualitative data will be analyzed thematically.Discussion: The process evaluation of the PIC4C model in Kenya allows implementers and users to reflect and question its implementation, uptake and maintenance. Our experiences thus far suggest practicable strategies to facilitate primary health care can benefit extensively from deliberate process evaluation of the programs undertaken. Furthermore, integrating the RE-AIM framework in the process evaluation of health programs is valuable due to its pragmatic and reporting usefulness.

An Alternative Approach To User Fee Policy In The Primary Health Care Setting Of Bangladesh.

2020 ◽  
Author(s):  
Nazneen Akhter
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Complex Dynamics ◽  
Quality Care ◽  
Secondary Data ◽  
User Fees ◽  
Primary Health ◽  
Alternative Approach ◽  
Benefit Principle ◽  
User Fee

The concept of ascribing user fee in health care settings always remained a policy struggle and countries experienced different learning in this regards while implementing user fee at different tiers of health settings. The most exquisite learning among the many country specific evidences related to user fee are the match and mismatch between the equity principle and benefit principle while considering the client perspective. There is an added dimension of quality care which also add more complex dynamics into this concept since the quality care consideration has a double edged perspective both for clients and providers, where which one will get superiority over whom is a great question in health care, especially in the Primary Health care (PHC) of the country. In this reality the appropriate implementation guideline, followed by an appropriate practice of the administrative and management both service oriented and financial are of great importance in this user fee implementation consideration which always remained a challenge in the health care specially in remote care of PHC. This paper attempted a secondary data searching and scoping the available documents of Bangladesh and across the world to find an alternative approach to user fees policy where equity and benefit principle and quality - these three have to be placed in a well-constructed triad in PHC implementation which has been recommended as an alternative policy imperative in approaching user fees for Bangladesh PHC settings.

Sign in / Sign up

Export Citation Format

Share Document