scholarly journals POST TSUNAMI IMPACT ON HYPERTENSION AND DIABETES MELLITUS CASES IN PANDEGLANG DISTRICT, BANTEN, INDONESIA

2020 ◽  
Vol 8 (3) ◽  
pp. 208
Author(s):  
Mugi Wahidin ◽  
Fiona Kong ◽  
Hadi Safaat
Keyword(s):  
Diabetes Mellitus ◽  
Communicable Disease ◽  
Disease Outbreaks ◽  
Primary Data ◽  
Local Health ◽  
Contributing Factors ◽  
District Health Office ◽  
District Health ◽  
Aggregated Data ◽  
One Year

Background: Pandeglang, a district in Banten province, Indonesia, was the worst affected area of the Sunda Strait tsunami which occurred on 22nd December, 2018. Aside from threats of communicable disease outbreaks, the district faced the challenges of managing non-communicable diseases (NCD) in the community. Purpose: The aim of the study is to describe the post tsunami impact on cases of hypertension and diabetes mellitus and the expected one-year projections of these diseases in the district of Pandeglang, Banten. Methods: In January 2019, we collected primary data from Pandeglang District Health Office (DHO) and 15 Public Health Centres (PHCs) that were heavily affected by the tsunami. Surveillance officers were also interviewed for their subjective opinions on disease projections in both the DHO and PHCs. Aggregated data of cases presenting to the PHCs for assistance were analysed in relation to the post tsunami period. The diseases of interest included hypertension and diabetes mellitus. Results: Reported cases of hypertension and diabetes mellitus increased a few days after the tsunami. For hypertension, the cases spiked on the 5th and 8th days, but for diabetes mellitus the spike came much later. Average cases of hypertension and diabetes mellitus per PHC were 62 and 3, respectively. At district and PHC level, hypertension and diabetes mellitus were considered as minor contributing factors to the morbidity and mortality in the affected communities. The projection of these diseases was optimistic after the first month. Conclusion: It can be concluded that the volume of cases with hypertension and diabetes in the district of Pandeglang tended to be in the first few weeks post tsunami These diseases are projected to lessen in the second month after the disaster due to the recovery of local health services.  

scholarly journals Retention of Healthcare Workers One Year After Recruitment and Deployment in Rural Setting: an Experience Post-Ebola in Five Health Districts in Guinea

2020 ◽  
Author(s):  
Delphin Kolie ◽  
Remco Van De Pas ◽  
Alexandre Delamou ◽  
Nafissatou Dioubaté ◽  
Foromo Timothée Beavogui ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Maternity Leave ◽  
Healthcare Delivery ◽  
Rural Setting ◽  
Local Health ◽  
Medical Doctors ◽  
District Health ◽  
Roles And Responsibilities ◽  
One Year ◽  
Health Districts

Abstract IntroductionHealth workforce reform was undertaken in Guinea in 2016 following the Ebola outbreak to overcome the decades-long shortage and maldistribution of HCWs. This study aims to assess the effects of this programme on local health systems and its influence on HCWs turnover in rural Guinea. MethodsAn exploratory study design using a mixed-method approach was conducted in five rural health districts. Data were collected through a semi-structured questionnaire, in-depth interviews guides and documentary review. ResultsOut of the 611 HCWs officially deployed in the selected districts, 600 (98%) took-up duties. Female HCWs (64%), assistant nurses (39%), nurses (26%) and medical doctors (20%) represented the majority. Findings showed that 69% of HCWs were posted in health centres; the majority of which were medical doctors, nurses and midwives. The deployment has reportedly enhanced quality and timely data reporting. However, challenges were faced by local health authorities in the posting of HCWs including the unfamiliarity of some with primary healthcare delivery, collaboration conflicts between HCWs and the high feminization of the recruitment. One year after their deployment, 31% of the HCWs were absent from their posts. This included 59% of nurses, 29% of medical doctors and 11% of midwives. Main reasons for absenteeism were unknown (51%), continuing training (12%), illness (10%) and maternity leave (9%). Finding showed a confusion of roles and responsibilities between national and local actors in the management of HCWs; which was accentuated by lack of policy documents. ConclusionThe post-Ebola healthcare workers policy appears to have been successfully positive in the redistribution of HCWs, quality improvement of staffing levels in peripheral healthcare facilities, and the enhancing of district health offices capacities. However, greater attention should be given to the development of policy guidance documents with the full participation of all actors and a clear distinction of their roles and responsibilities for improved implementation and efficacy of this programme.

scholarly journals FAKTOR-FAKTOR PENYEBAB KEKAMBUHAN PADA PENDERITA SKIZOFRENIA SETELAH PERAWATAN DI RUMAH SAKIT JIWA

2018 ◽  
Vol 11 (1) ◽  
pp. 65-73
Author(s):  
Siti Qorrotu Aini
Keyword(s):  
Data Analysis ◽  
Life Events ◽  
Secondary Data ◽  
Primary Data ◽  
Health Clinic ◽  
Family Role ◽  
District Health Office ◽  
District Health ◽  
Schizophrenic Patients ◽  
Descriptive Method

ENGLISHSchizophrenic patients are used to experiencing relapse after completing treatment in psychiatric hospital. The aim of research was to find the causes of relapse in schizophrenic patients. The type of research was qualitative. The subjects in this research were five persons who formerly schizophrenic patients and experienced relapse. Primary data were obtained through interviews and observations, while secondary data were gained from the document Pati District Health Office and the relevant references. Data analysis used descriptive method. The results showed that the cause of relapse in patients with schizophrenia are: 1) pressure life events, such as being abandoned by spouse, thinking about the wedding preparations with ex-wife (remarriage) and the failure of marriage planning 2) lack of family role because of lack of knowledge, and lack of economic sources, 3) uncompliance and irregularity on medication, 3) the limitations of medicine and health clinic personnel assistance. INDONESIAPenderita Skizofrenia seringkali mengalami kambuh setelah selesai menjalani masa perawatan di rumah sakit jiwa. Tujuan penelitian adalah untuk mengetahui penyebab kambuh pada penderita skizofrenia. Jenis penelitian yang digunakan adalah penelitian kualitatif. Subjek dalam penelitian ini berjumlah lima penderita skizofrenia dan pernah dinyatakan sembuh kemudian mengalami kekambuhan. Data primer diperoleh dari wawancara dan observasi. Data sekunder diperoleh dari dokumen Dinas Kesehatan Kabupaten Pati dan referensi yang relevan. Analisa data dalam penelitian ini menggunakan metode deskriptif. Hasil penelitian menunjukkan bahwa penyebab kekambuhan pada subjek penderita skizofrenia yaitu 1) Tekanan peristiwa kehidupan, diantaranya ditinggalkan pasangan, memikirkan persiapan pernikahan dengan mantan istri (rujuk) dan gagal menikah; 2) Kurangnya peran keluarga karena kurangnya pengetahuan, dan kurangnya ekonomi keluarga; 3) Ketidakpatuhan dan ketidakteraturan minum obat; dam 4) Keterbatasan obat dan pendampingan tenaga puskesmas.

scholarly journals Analysis of Family Duty with Diet Compliance in Mellitus Diabetes Patients in the Working Area of Dinas Kesehatan, Jayawijaya District

2021 ◽  
Vol 5 (1) ◽  
pp. 120-126
Author(s):  
Winarko Winarko ◽  
Indasah Indasah
Keyword(s):  
Diabetes Mellitus ◽  
Family Support ◽  
Sampling Technique ◽  
The Body ◽  
Spearman Correlation ◽  
District Health Office ◽  
District Health ◽  
Dietary Compliance ◽  
Diet Compliance ◽  
The Relationship

Non-Communicable Diseases (PTM) has become a serious health problem in the community. One PTM that has received a lot of attention is Diabetes Mellitus (DM) which occurs when the body cannot produce enough of the hormone insulin or cannot use insulin effectively. The aim of this study was to analyze the relationship between family support tasks and dietary adherence in Diabetes Mellitus patients in Jayawijaya District Health Office. The type of research used is survey research with explanatory research methods. The population in this study were 145 diabetes mellitus patients treated at the Jayawijaya District Health Office. The sample of this study were patients with militus diabetes who underwent treatment at the Jayawijaya District Health Office who met the sample criteria of 58 people. The sampling technique used in this research is purposive sampling technique. Based on the results of the study there is a relationship between family duties and dietary compliance in diabetus mellitus patients using spearman correlation calculations of 0.000 < 0.05 in addition to data obtained as many as 38 (65.5% ) respondents from 43 respondents of family duties are good and obedient to the diet diabetus mellitus, while from 13 respondents with family duties are quite obtained data as many as 7 respondents (12.1%) disobedient. And from 2 respondents with family duties, less data was obtained by 2 respondents (3.4%) disobedient. Based on the results of the research, it is hoped that further communication, information, and education (IEC) will improve regarding the dietary needs of diabetes mellitus.

scholarly journals Hubungan Efikasi Diri dengan Sikap Kader Nasyiatul Aisyiyah terhadap Program STOP Stunting di Kabupaten Boyolali

2021 ◽  
Vol 16 (4) ◽  
pp. 212
Author(s):  
Shofia Andriyani ◽  
Kusuma Estu Werdani
Keyword(s):  
Significant Relationship ◽  
Self Efficacy ◽  
Secondary Data ◽  
Primary Data ◽  
District Health Office ◽  
District Health ◽  
Chi Square ◽  
Cross Sectional ◽  
Internal Factors ◽  
The Relationship

Background: The STOP stunting program that has been launched by the leadership of Nasyiatul Aisyiyah has not run optimally because there are still obstacles in its implementation. Self-efficacy is one of the internal factors that can shape the attitude of Nasyiatul Aisyiyah cadres in carrying out the STOP stunting program to support the implementation of programs that are not yet running. Objective: To analyze the relationship between self-efficacy and the attitude of Nasyiatul Aisyiyah cadres towards the STOP stunting program in Boyolali Regency. Methods: This research is quantitative observational using aapproach cross sectional which was conducted in December 2020 involving 80 Nasyiatul Aisyiyah cadres. The variables in this study were self-efficacy and cadre attitudes. The primary data was obtained through a questionnaire, while the secondary data was obtained from the Boyolali District Health Office and the Nasyiatul Aisyiyah leadership. The analysis was carried out by univariate and bivariate using test chi square. Results: A total of 51.3% of cadres had low self-efficacy and 47.5% had poor attitudes towards the STOP stunting program and there was a significant relationship between self-efficacy and cadre attitudes (p=0.001). Conclusion: Self-efficacy is closely related to the attitude of Nasyiatul Aisyiyah cadres.

scholarly journals Agile Governance Dinas Kesehatan Kabupaten Tulungagung Dalam Menangani Covid-19

2021 ◽  
Vol 4 (2) ◽  
pp. 757-766
Author(s):  
Winda Kusumawati ◽  
Arimurti Kriswibowo
Keyword(s):  
Secondary Data ◽  
Primary Data ◽  
Quick Response ◽  
District Health Office ◽  
District Health ◽  
A Value ◽  
Primary Data Source ◽  
Data Source ◽  
Descriptive Approach ◽  
Secondary Data Sources

Entering November 2020, the Covid-19 case in Tulungagung Regency has spiked, accompanied by a soaring death rate. The concept of Agile Governance is a way to organize better governance by paying attention to the principles in it consisting of a value proposition and agility shift, the character of a leader who is ready for change, a citizen centric approach, and human resource investment. This research is interesting to study because researchers want to know the quick response made by the Tulungagung District Health Office to unexpected changes in meeting the demands and needs of the community due to the Covid-19 pandemic. This research uses qualitative research methods with a descriptive approach. In this study using primary and secondary data. As for the primary data source in this study were Mr. Didik Eka S.P., S.Km., M.Si. as Head of the P2P Division of the Tulungagung Regency Health Office and other related parties and obtained through interviews. Then the secondary data sources, namely documentation and questionnaires, literature, articles, journals, and sites on the internet relating to the research conducted. The results of this study are that the Tulungagung District Health Office responds quickly to the handling of COVID-19 and can run by applying the concept of Agile Governance.

scholarly journals An Overview of Microfilariae on Patients who have received treatment in Batuah Village, Kotawaringin Timur District 2015

2019 ◽  
Vol 4 (2) ◽  
pp. 49-53
Author(s):  
Dian Nurmansyah ◽  
Muhammad Fahmi ◽  
Rifqoh Rifqoh ◽  
Puspawati Puspawati ◽  
Putri Kartika Sari ◽  
...  
Keyword(s):  
Positive Sample ◽  
Local Health ◽  
Drug Treatment Program ◽  
Surrounding Area ◽  
District Health Office ◽  
District Health ◽  
Microscopic Method ◽  
Health Officer ◽  
Public Health Office ◽  
Local Health Center

Filariasis is a chronic infectious disease, caused by filarial worms in the lymph and lymph nodes cause lymphangitis and elephantiasis. Batuah Village is the area in Sampit with the largest percentage of microfilariae compared to the surrounding area. From 196 the number of Batuah villagers examined by the filariasis elimination officer of Kotawaringin Timur District Health Office in 2013 obtained 5 positive cases of filariasis with 2.55% microfilaria number which is dominated by filaria worm Brugia malayi. From the local health center has also conducted a mass drug treatment program with DEC medication, combined with albendazole for 12 days on 14-16 July 2014. The aim of this study was to determine the success rate of treatment conducted by the health officer against filariasis patients in the Batuah village. The method used in this microfilariae examination is a microscopic method. Capillary blood was taken on 4 filarial patients who tested positive on the previous examination who had been given DEC + Albendazole treatment, the result from 4 samples that examined 1 positive sample of 4 patients. The implementation of medication that has been done by public health office was successful because there was a decrease of microfilaria rate which was previously 2.55% to 0,51% (<1%).

scholarly journals PERAN BADAN PENYELENGGARA JAMINAN SOSIAL DALAM PENINGKATAN KEPESERTAAN PENERIMA BANTUAN IURAN DAERAH DI KOTA BLITAR DAN KOTA MALANG

2018 ◽  
Vol 21 (3) ◽  
pp. 199-210
Author(s):  
Rukmini Rukmini ◽  
Oktarina Oktarina
Keyword(s):  
Health Insurance ◽  
Local Government ◽  
National Health Insurance ◽  
National Health ◽  
Group Discussion ◽  
Universal Coverage ◽  
Local Health ◽  
District Health ◽  
Government District ◽  
One Year

BPJS is legal body of National Health Insurance providers to achieve Indonesia universal coverage. This study aims at identifying BPJS role to increase the number Recipient of Contribution Subsidy membership. This was observational study with cross sectional design. This study conducted in Blitar and Malang city. The data were collected by in-depth interview to some stakeholders such as: the chief of BPJS, the head of membership division, district health ofice. Meanwhile, focused group discussion were conducted to gathered the opinions of some stakeholders such as: district health ofice, BPJS, local government, district inancial management and asset agency, district planning and development agency, and social ofice. Result was BPJS had issued regulation to support the increased number of National Health Insurance as beneiciaries. Moreover, they implemented advocacy to deal with local government. District health ofice and other sectors in both Blitar and Malang had played role to integrate Local Health Insurance and SPM users to become district beneiciaries in BPJS. The member of beneiciaries in Blitar and Malang was the highest coverage. Nevertheless, the coverage centre beneiciaries were higher than the local one. Actually, there were many obstacles on local beneiciaries’ management but those could be overcome by coordination among BPJS, district health ofice as well as other sectors. BPJS had optimally played role to increase number of National Health Insurance memberships especially for the poor as local beneiciaries by supporting the integration of local health insurance and SPM users. Local beneiciaries membership was supposed to use close membership with one year payment. It means purchasing premium for one year based on the number of members registered in Memorandum of Understanding.  Abstrak BPJS merupakan badan hukum penyelenggara program Jaminan Kesehatan Nasional untuk mencapai universal coverage Indonesia. Penelitian bertujuan mengetahui peran BPJS dalam peningkatan kepesertaan PBI daerah. Studi kasus dilakukan secara kualitatif, di Kota Blitar dan Kota Malang pada tahun 2015. Pengumpulan data dengan wawancara mendalam Kepala BPJS, Kepala Bidang kepesertaan BPJS, Dinas Kesehatan dan focus group discussion (FGD) dengan Dinas Kesehatan, BPJS, Pemda, Badan Pengelolaan Keuangan dan Aset Daerah (BPKAD), Bappeda, dan Dinas Sosial. Analisis data secara deskriptif. Hasil menunjukkan bahwa BPJS telah menerbitkan peraturan untuk mendukung peningkatan kepesertaan JKN sebagai PBI Daerah dan melakukan berbagai proses mulai dari advokasi sampai perjanjian kerjasama dengan Pemerintah Daerah. Dinas Kesehatan dan lintas sektor terkait di Kota Blitar dan Kota Malang telah berperan dalam integrasi Jamkesda dan pengguna SPM menjadi PBI Daerah di BPJS sesuai dengan tugas pokok dan fungsinya. Peserta PBI di Kota Blitar dan Kota Malang merupakan jenis peserta dengan cakupan tertinggi di BPJS, tetapi cakupan PBI Pusat (APBN) lebih tinggi dari PBI Daerah (APBD). Berbagai kendala ditemui dalam pengelolaan PBI Daerah tetapi dapat diselesaikan dengan koordinasi yang baik antara BPJS, Dinas Kesehatan dan Lintas Sektor yang terlibat. BPJS telah berperan penuh dalam meningkatkan kepesertaan JKN khususnya bagi masyarakat miskin sebagai PBI di Daerah, dengan membantu melaksanakan integrasi kepesertaan Jamkesda dan pengguna SPM yang dilaksanakan Dinas Kesehatan. Kepesertaan PBID sebaiknya menggunakan close member ship yang berlaku satu tahun yaitu pembayaran premi selama 1 tahun sesuai dengan jumlah peserta yang terdaftar di perjanjian kerjasama.

Nurse’s knowledge and Awareness Regarding Cervical Cancer and its Prevention in Different Hospitals of Quetta, Pakistan

2017 ◽  
Vol 4 (1) ◽  
pp. 436-441
Author(s):  
Saba Haider ◽  
Noman Ul Haq ◽  
Sohail Riaz ◽  
Aqeel Nasim ◽  
Muhammad Saood ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Family History ◽  
Sampling Technique ◽  
Knowledge Score ◽  
Validity And Reliability ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Current Area ◽  
One Year

Objective: This study aimed to assess the knowledge and awareness regarding cervical cancer and its prevention among nurses working in different hospitals of Quetta, Pakistan. Methodology: The cross sectional, descriptive study was conducted by using structured questionnaire in different hospitals of Quetta from January to September 2016. Convenient sampling technique was applied by targeting all the nurses working in different hospitals of Quetta city. Study questionnaire was developed and tested for validity and reliability. Descriptive and inferential statistics (Mann Whitney U test and Kruskal Wallis tests, p<0.05) were used to assess the significance among study variables and were performed by using IBM SPSS v.20. Results: Out of 415 distributed questionnaires 324 were returned (response rate of 78%). The mean Age of respondents was 28.18 ±9.5 years. Majority (n=127, 43.3%) of participants were interns and had no or less than one year of experience (n=128, 43.7%) with negative family history of any cancer (n=275, 93.9%). Mean knowledge score was 18.52±4.84with majority (n=258, 88.1%) had adequate knowledge regarding cervical cancer. Respondent sage, current area of practice, qualification, Institute of degree and past family history were contributing factors (p > 0.05) in adequate knowledge in this study. The results also reviled that not only 68.3% (n=200) and 65.5% (n=192) respondents knew that cervical cancer is vaccine preventable and availability of the vaccine for it. Conclusions: Nurses working in different hospitals of Quetta city had better understanding of the disease cervical cancer and its prevention. Yet many of the respondent are not aware of it vaccine and its availability.

scholarly journals Exploring the mechanisms of collaboration between the Tuberculosis and Diabetes Programs for the control of TB-DM Comorbidity in Ghana

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Rita Suhuyini Salifu ◽  
Khumbulani W. Hlongwana
Keyword(s):  
Communicable Disease ◽  
Control Program ◽  
Communicable Diseases ◽  
Local Health ◽  
National Tuberculosis Control Program ◽  
National Tuberculosis ◽  
Local Health Facility ◽  
Control And Prevention ◽  
And Control ◽  
Non Communicable Disease

Abstract Objectives To explore the mechanisms of collaboration between the stakeholders, including National Tuberculosis Control Program (NTP) and the Non-Communicable Disease Control and Prevention Program (NCDCP) at the national, regional, and local (health facility) levels of the health care system in Ghana. This is one of the objectives in a study on the “Barriers and Facilitators to the Implementation of the Collaborative Framework for the Care and Control of Tuberculosis and Diabetes in Ghana” Results The data analysis revealed 4 key themes. These were (1) Increased support for communicable diseases (CDs) compared to stagnant support for non-communicable diseases (NCDs), (2) Donor support, (3) Poor collaboration between NTP and NCDCP, and (4) Low Tuberculosis-Diabetes Mellitus (TB-DM) case detection.

scholarly journals Examining local perspectives on the influence of climate change on the health of Hamer pastoralists and their livestock in Ethiopia

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Samuel Lumborg ◽  
Samuel Tefera ◽  
Barry Munslow ◽  
Siobhan M. Mor
Keyword(s):  
Climate Change ◽  
Water Scarcity ◽  
Health Workers ◽  
Animal Health ◽  
Disease Outbreaks ◽  
Vulnerable Groups ◽  
Local Health ◽  
Framework Analysis ◽  
Healthcare Facilities ◽  
Grazing Lands

AbstractThis study explores the perceived influence of climate change on the health of Hamer pastoralists and their livestock in south-western Ethiopia. A combination of focus group discussions and key informant interviews were conducted with Hamer communities as well as local health workers, animal health workers and non-governmental organisation (NGO) staff. Thematic framework analysis was used to analyse the data. Reductions in rangeland, erratic rainfall, recurrent droughts and loss of seasonality were perceived to be the biggest climate challenges influencing the health and livelihoods of the Hamer. Communities were travelling greater distances to access sufficient grazing lands, and this was leading to livestock deaths and increases in ethnic violence. Reductions in suitable rangeland were also precipitating disease outbreaks in animals due to increased mixing of different herds. Negative health impacts in the community stemmed indirectly from decreases in livestock production, uncertain crop harvests and increased water scarcity. The remoteness of grazing lands has resulted in decreased availability of animal milk, contributing to malnutrition in vulnerable groups, including children. Water scarcity in the region has led to utilisation of unsafe water sources resulting in diarrhoeal illnesses. Further, seasonal shifts in climate-sensitive diseases such as malaria were also acknowledged. Poorly resourced healthcare facilities with limited accessibility combined with an absence of health education has amplified the community’s vulnerability to health challenges. The resilience and ambition for livelihood diversification amongst the Hamer was evident. The introduction of camels, increase in permanent settlements and new commercial ideas were transforming their livelihood strategies. However, the Hamer lack a voice to express their perspectives, challenges and ambitions. There needs to be collaborative dynamic dialogue between pastoral communities and the policy-makers to drive sustainable development in the area without compromising the values, traditions and knowledge of the pastoralists.

Sign in / Sign up

Export Citation Format

Share Document