scholarly journals The Impact of Environmental Health Services in Primary Health Care on Improving the Behavior of Pulmonary Tuberculosis Patients in Banyuwangi Regency

2020 ◽  
Vol 12 (3) ◽  
pp. 181
Author(s):  
Sheilla Mufidha Wahyuningtyas ◽  
Endang Sri Lestari ◽  
Jojok Mukono ◽  
Endro Sukmono
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Pulmonary Tuberculosis ◽  
Environmental Health ◽  
Tuberculosis Patients ◽  
Pulmonary Tb ◽  
Primary Health ◽  
Post Test ◽  
The Impact

Introduction: Tuberculosis (TB) is a global health crisis. Environmental health services in Primary health care provide counseling services, inspections and environmental health interventions. Research aims to determine the impact of environmental health services in Primary health care on the behavior of TB patients that includes the knowledge, attitudes and actions of pulmonary tuberculosis patients in the prevention of the transmission of pulmonary tuberculosis disease. Method: The method in this study was experimental quasi. Respondents were a new case of pulmonary TB at 6 Primary health care in Banyuwangi Regency April S/d June 2019. Pre test before obtaining environmental health services. Post test was given after counseling, inspection and environmental health intervention. Result and Discussion: The results showed a total of 24 respondents to the majority pulmonary tuberculosis patient was male (54.17%). Pre test knowledge of pulmonary TB patient is good (4.16%), enough (8.33%) and less (87.50%). Category Post test knowledge of TB patients acquired good (20.83%), sufficient category (75.00%) and less (4.20%). The average Pre test knowledge score is 37.70 and the Post test is 67.20. Category Prettest Action patients TB is good (4.16%) and less (95.83%). Category Post Test action patients pulmonary TB is good (54.17%), enough (41.67%) and less (4.16%) Which is an improvement in the form of masks, hand washing soap, the habit of spitting, the use of individual cutlery and drinking equipment, washing dinnerware and drinking with hot water/drying, drying the sleeping tools, opening a window every day, separate sleeping habits. Conclusion: The conclusion of this research is environmental health services in Primary health care in patients with pulmonary tuberculosis improves the behavior of TB patients in the form of increased knowledge, attitudes and actions of the patient in the prevention of disease transmission of TB.

scholarly journals The Effectiveness of the Environmental Health Services in the Primary Health Care Against the Prevention of Pulmonary Tuberculosis in the Regency of Banyuwangi

2020 ◽  
Vol 12 (3) ◽  
pp. 211
Author(s):  
Rachman Setiawan ◽  
Endang Sri Lestari ◽  
Jojok Mukono ◽  
Endro Sukmono
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Pulmonary Tuberculosis ◽  
Human Resources ◽  
Environmental Health ◽  
Notification Rate ◽  
Pulmonary Tb ◽  
Primary Health ◽  
Lack Of Commitment

Introduction: One of the promotive and preventive efforts in the prevention of pulmonary tuberculosis (TB) disease in primary health care is a health services environment that includes counseling, inspection and intervention of environmental health. The purpose of this study is to evaluate the effectiveness of the Environmental health services in the primary health care against the prevention of Pulmonary TB disease in Regency of Banyuwangi. Method: This research was observational descriptive design of study cross-ssectional. The study population was the primary health care in districy of Banyuwangi and a large sample of 6 primary health care. The determination of the study sample by using purposive sampling based on criteria of results Assessment of Performance of primary health care (PKP) services and programs environmental health in primary health cares and numbers Case Notification Rate (CNR) at the top of the East Java Province. Processing and analysis of data using a scoring system based on the scale of the theoretically grouped in the category of good, enough, less. The data is then interpreted descriptively. Result and Discussion: The Program of health service in the prevention of the disease is said to be effective when the probability of >50.00%. The results showed the probability of the effectiveness of the environmental health services in the Primary Health Care of Klatak of 77.00%. The Primary Health Care of Mojopanggung, Sobo, and Kabat respectively 78.80%, Primary Health Care of Gitik by 64.20% and the Primary Health Care of Songgon 49.50%. Human resources at the Primary Health Care of Songgon not competent. The Primary Health Care of Gitik and Songgon not planning activities. The achievement of the output in all the primary health care less, it is because of the lack of commitment of the implementers and the coordination of cross-program not running. Conclusion: There are 5 primary health cares service programs environmental health in the prevention of Pulmonary TB effective that the Primary Health Care of Klatak, Mojopangung, Sobo, Kabat and Gitik while at the Primary Health Care of Songgon is not effective. The effectiveness of services and programs environmental health in TB patients is influenced by policies, human resources, infrastructure, planning and coordination across the program.

scholarly journals Scope of Ayurvedic Medicine in Pneumonia Patients Visiting Govt. Hospitals in Bangladesh: A Cross-sectional Study

2020 ◽  
pp. 1-6
Author(s):  
Nazmul Hasan ◽  
Shurab Hossain ◽  
M. Atiqul Haque
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
National Health ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary Health ◽  
The Government ◽  
The Impact

Ayurveda is considered by many scholars to be the oldest healing science and is often called the ‘Mother of all healing’. In this sub-continent, it is one of the ancient health care systems. Nowadays, it is practiced by millions of people in India, Nepal, Sri Lanka, China, Tibet, Pakistan, and Bangladesh. In response to the urge of public demand and to achieve the goals of primary health care, the Government of Bangladesh has appointed and posted numbers of Ayurvedic doctors all over Bangladesh. It was due to assay the impact of these recruitments in primary health care as well as in national health services. Aiming this a cross-sectional study was designed to conduct within randomly selected twenty-two centers, approximately covering 35% of each administrative division. This study revealed that roughly 12% of total visiting patients seeking Ayurvedic health service, and among them 7.26% of patients were <5 years old children. A calculative 14.20%, children were suffering from Respiratory Tract Infection (RTI), and of these RTI patients, 42.77% were diagnosed as pneumonia. Bashakarist, Chandramrita rasa, Shwas Kuthar rasa, and Talishadi Churna were prescribed invariably to manage RTIs and pneumonia. This study revealed with such limited manpower of Ayurvedic medical service, it is helping significantly in securing primary health care goals set by the government. The inclusion of more qualified manpower and engaging them in effective training may help the government to conquer the zenith of success in national health services. 

scholarly journals Hubungan pemberian imunisasi BCG dengan kejadian TB paru pada anak di Puskesmas Tuminting periode Januari 2012 – Juni 2012

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Christian K. Susanto ◽  
Audrey . Wahani ◽  
Johnny . Rompis
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Pulmonary Tuberculosis ◽  
Public Health Problem ◽  
Case Finding ◽  
Pulmonary Tb ◽  
Primary Health ◽  
Body Resistance ◽  
The Relationship

Abstract: Pulmonary Tuberculosis (Tb) is still a public health problem. The prevalence of pulmonary Tb from year to year in Manado is still high even though the management of strategy is relatively the same- prevention by immunization, case finding, and treatment strategy with supervision and with DOT directly. Prevention with immunization results in better body resistance. Immunization against Tb is required in some countries and is recommended in several other countries. Although the majority of toddlers are already BCG vaccinated there are still many pulmonary Tb cases among children in Manado. This study aimed to obtain the relationship between the BCG immunization and pulmonary TB occurence in children in Tuminting Primary Health Care, Manado. The results showed that at Tuminting Primary Health Care most of the toddlers had been BCG immunized. Tuberculosis was found among toddlers aged >3 years and there was a significant correlation between BCG immunization and the occurence of tuberculosis with an OR 0.804. Keywords: immunization BCG, occurence of TB  Abstrak: Penyakit TB paru sampai saat ini masih menjadi masalah kesehatan masyarakat. Prevalensi TB paru dari tahun ke tahun di Kota Manado tetap tinggi meskipun strategi penanganan yang diterapkan relative sama, yaitu pencegahan dengan imunisasi. penemuan penderita, dan pengobatan dengan strategi DOT atau dengan pengawasan minum obat secara langsung. Pencegahan dengan imunisasi merupakan tindakan yang mengakibatkan seseorang mempunyai ketahanan tubuh yang lebih baik. Imunisasi terhadap penyakit TB telah diwajibkan di beberapa negara serta direkomendasikan di beberapa negara lainnya. Penyakit TB banyak terjadi pada anak di Kota Manado padahal anak balita tersebut sebagian besar sudah divaksinasi BCG. Penelitian ini bertujuan untuk mengetahui hubungan antara pemberian imunisasi BCG dengan kejadian TB Paru pada anak di Puskesmas Tuminting Manado. Hasil penelitian memperlihatkan bahwa sebagian besar anak balita yang berobat di Puskesmas Tuminting telah diberikan imunisasi BCG. Kejadian tuberkulosis ditemukan pada umur >3 tahun dan terdapat hubungan bermakna antara pemberian imunisasi BCG dengan kejadian tuberkulosis paru dengan nilai OR 0,804.Kata kunci: imunisasi BCG, kejadian TB paru

scholarly journals IDENTIFICATION OF THERAPY PROFILE AND FACTORS RELATED TO INCIDENCE OF PULMONARY TUBERCULOSIS IN DENPASAR-BALI

2020 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Anisa Hanum ◽  
Made Krisna Adi Jaya ◽  
I Made Bakta
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Pulmonary Tuberculosis ◽  
Healthy Lifestyle ◽  
Smoking Behavior ◽  
High Rate ◽  
Related Factors ◽  
Cross Sectional ◽  
Tuberculosis Patients ◽  
Primary Health

Background: Tuberculosis is a problem for millions of people around the world. Indonesia as the second biggest country with the highest number of Pulmonary Tuberculosis that treatment has improved gradually. Denpasar is a city with the highest sufferers in Bali. It’s caused by the high rate of population, dense human settlement, and other related factors. Objective: Profiling incident and pulmonary tuberculosis treatment in Denpasar City primary health care. Methods: Observational study with cross-sectional analytic approaches. Forty pulmonary tuberculosis patients and  One hundred twenty non-tuberculosis patients were observed in this study. Those were taken by multistage random sampling. Data were collected from medical records and questionnaires. A Chi-Square test was used for analyzing data. Results: Pulmonary tuberculosis sufferers are in productive ages which 65% were men. The treatment profile was excellently seen from the final treatment results of 31 people recovered and 9 people with complete treatment. Factors that have a statistical relation with pulmonary tuberculosis were occupation (p=0,012), income (p=0.003), smoking behavior (p=0.001), and contact history (p=0.001). The other factors with no relationship were education (p=0.270) and occupancy density (p=0.540). Conclusion: Pay attention to the caused factors of tuberculosis infection; society is suggested to implement a healthy lifestyle, maintain home sanitation, and environment. Keywords: Factor Related, Pulmonary, Tuberculosis, Primary Health Care, Denpasar City

The Roots of Global Health Inequity

2017 ◽  
Author(s):  
Joia S. Mukherjee
Keyword(s):  
Health Care ◽  
World War Ii ◽  
Primary Health Care ◽  
Economic Policies ◽  
World War ◽  
The Public ◽  
The World Bank ◽  
Primary Health ◽  
The Cold War ◽  
The Impact

This chapter outlines the historical roots of health inequities. It focuses on the African continent, where life expectancy is the shortest and health systems are weakest. The chapter describes the impoverishment of countries by colonial powers, the development of the global human rights framework in the post-World War II era, the impact of the Cold War on African liberation struggles, and the challenges faced by newly liberated African governments to deliver health care through the public sector. The influence of the World Bank and the International Monetary Fund’s neoliberal economic policies is also discussed. The chapter highlights the shift from the aspiration of “health for all” voiced at the Alma Ata Conference on Primary Health Care in 1978, to the more narrowly defined “selective primary health care.” Finally, the chapter explains the challenges inherent in financing health in impoverished countries and how user fees became standard practice.

scholarly journals Cohort study of ageing from Bagé (SIGa-Bagé), Brazil: profile and methodology

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elaine Thumé ◽  
Marciane Kessler ◽  
Karla P. Machado ◽  
Bruno P. Nunes ◽  
Pamela M. Volz ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Cohort Study ◽  
Primary Health Care ◽  
Rio Grande ◽  
Cognitive Testing ◽  
Rio Grande Do Sul ◽  
Primary Health ◽  
The Impact

Abstract Background The Bagé Cohort Study of Ageing is a population-based cohort study that has recently completed the first follow-up of a representative sample of older adults from Bagé, a city with more than 100,000 inhabitants located in the state of Rio Grande do Sul, Brazil. This is one of the first longitudinal studies to assess the impact of primary health care coverage on health conditions and inequalities. Our aim is to investigate the prevalence, incidence and trends of risk factors, health behaviours, social relationships, non-communicable diseases, geriatric diseases and disorders, hospitalisation, self-perceived health, and all-cause and specific-cause mortality. In addition, we aim to evaluate socioeconomic and health inequalities and the impact of primary health care on the outcomes under study. Methods/design The study covers participants aged 60 or over, selected by probabilistic (representative) sampling of the urban area of the city of Bagé, which is covered by Primary Health Care Services. The baseline examination included 1593 older adults and was conducted from July 2008 to November 2008. After eight to nine years (2016/2017), the first follow-up was conducted from September 2016 to August 2017. All participants underwent an extensive core assessment programme including structured interviews, questionnaires, cognitive testing (baseline and follow-up), physical examinations and anthropometric measurements (follow-up). Results Of the original participants, 1395 (87.6%) were located for follow-up: 757 elderly individuals (47.5%) were re-interviewed, but losses in data transfer occurred for 22. The remaining 638 (40.1%) had died. In addition, we had 81 (5.1%) refusals and 117 (7.3%) losses. Among the 1373 older adults who were followed down, there was a higher proportion of female interviewees (p=0.042) and a higher proportion of male deaths (p=0.001) in 2016/2017. There were no differences in losses and refusals according to gender (p=0.102). There was a difference in average age between the interviewees (68.8 years; SD ±6.5) and non-interviewees (73.2 years; SD ±9.0) (p<0.001). Data are available at the Department of Social Medicine in Federal University of Pelotas, Rio Grande do Sul, Brazil, for any collaboration.

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