scholarly journals Penggunaan Obat yang Tidak Rasional pada Balita dengan Diare di Kalangan Bidan, di Kabupaten Sumedang Tahun 2006

2006 ◽  
Vol 1 (3) ◽  
pp. 127
Author(s):  
Uyu Wahyudin ◽  
Besral Besral
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Acute Diarrhea ◽  
Research Result ◽  
Related Factors ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Primary Health ◽  
Compliance Level

Pengobatan diare pada balita di Puskesmas Kabupaten Sumedang dilaksanakan di Poli KIA yang sehari-harinya ditangani oleh bidan. Tujuan penelitian ini adalah untuk mengetahui tingkat kepatuhan bidan dan faktor-faktor yang berhubungan dengan kepatuhan bidan dalam penggunaan obat secara rasional pa-da balita diare akut non spesifik. Desain penelitian yang digunakan adalah cross-sectional dengan jumlah sampel 109 bidan yang berasal dari 18 puskesmas yang dipilih secara random. Pengukuran kepatuhan dilakukan dengan pengamatan terhadap resep yang ditulis oleh bidan untuk balita penderita diare akut non spesifik. Hasil penelitian memperlihatkan tingkat kepatuhan bidan adalah 69,7%. Hasil analisis regresi logistik ganda memperlihatkan bahwa faktor yang berhubungan dengan kepatuhan adalah adalah pengetahuan dan sikap bidan terhadap obat rasional dan supervisi dari atasan. Penelitian ini juga menda-patkan hubungan yang bermakna antara pengetahuan dan persepsi orang tua balita terhadap obat rasional dengan kepatuhan bidan dalam penggunaan obat rasional. Dalam rangka mengatasi ketidakrasionalan pengobatan diare akut non spesifik, maka Puskesmas harus berupaya meningkatkan pengetahuanbidan terhadap penggunaan obat rasional, melakukan supervisi, dan meningkatkan penyuluhan kepada pasien tentang penggunaan obat rasional. Kata kunci: Obat rasional, diare, bidanAbstractDiarrhea medication among children under five years old at primary health care, sub-province of Sumedang is performed at Mother and Child Polyclinic which is handled by a midwife everyday. This research purpose to obtain the description of compliance level of midwives and its factors related of midwives compliance in the usage of rational drugs among children with non specific acute diarrhea. Research used cross-sectional design with samples size were 109 midwives which were come from 18 primary health care , which were selected randomly.To measure the compliance, the observation was performed of prescriptions that written by midwives to children with non specific acute diarrhea. This research result showed that compliance level was 69,7%. Result analysis of multiple logistic regression showed that related factors were knowledge and midwives attitude of usage of rational drugs and supervision. This research also showed the association between knowledge and parent’s perception of children under five years old of rational drugs and compliance level of midwives in the usage of rational drugs. It is suggested that primary health care should increase midwives knowledge in usage of rational drugs, doing supervision and improve socialization the usage of rational drugs to patient.Keywords: Rational drugs, diarrhea, midwive

scholarly journals Prevalence of Pneumonia Severity in Children under 5 Years Old at Primary Health Care of Tambakrejo, Surabaya

2021 ◽  
Vol 12 (1) ◽  
pp. 26
Author(s):  
Shofia Ihtasya ◽  
Retno Asih Setyoningrum ◽  
Deby Kusumaningrum
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Severe Pneumonia ◽  
Danger Sign ◽  
Cross Sectional ◽  
Pneumonia Severity ◽  
Children Under Five ◽  
Under Five ◽  
Primary Health ◽  
Microsoft Office

Introduction: Pneumonia is the world-leading cause of death in children under five years old and most prevalent in developing country. Proper initial diagnosis will determine further management, because pneumonia and severe pneumonia have different treatment. The aim of this study was to describe the prevalence of pneumonia severity in children under five years old at primary health setting. Methods: This study was a cross – sectional descriptive study on medical records of children aged 2 to 59 months with pneumonia at primary health care of Tambakrejo, Surabaya from September to December 2017. Severity of pneumonia is classified using its clinical sign such as fast breathing, fever, chest indrawing, and general danger sign. The data were processed using Microsoft Office Excel and statistically analyzed with SPSS IBM 20. Results: There were 31 respondents that were diagnosed with pneumonia at primary health care of Tambakrejo, Surabaya from September to December 2017. Most of the children diagnosed with pneumonia were aged 12 to 59 months (61.3%) and 22.6 % of the children had severe pneumonia. Conclusion: Distribution of severity case of pneumonia at primary health care of Tambakrejo, Surabaya showed that there were more case of pneumonia with fast breathing than severe pneumonia or pneumonia with any general danger sign. Most of them were diagnosed at 12 to 59 months with a good nutritional status.

scholarly journals Knowledge, adherence and control among patients with hypertension attending a peri-urban primary health care clinic, KwaZulu-Natal

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Olumuyiwa A. Olowe ◽  
Andrew J. Ross
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Cross Sectional Study ◽  
Related Factors ◽  
Cross Sectional ◽  
Care Clinic ◽  
Primary Health ◽  
Validated Questionnaire ◽  
Study Population ◽  
And Control

Background: Despite hypertension being a common condition among patients attending primary health care (PHC) clinics, blood pressure (BP) control is often poor. Greater insight into patient-related factors that influence the control of hypertension will assist in the development of an intervention to address the issues identified.Aim: The aim of the study was to assess patient-related variables associated with hypertension control among patients attending a peri-urban PHC clinic.Setting: The setting for this study was a peri-urban PHC clinic in KwaZulu-Natal.Method: This was an observational, descriptive and cross-sectional study with 348 patients selected over a 1-month period. A validated questionnaire was used to collect data on patients’ hypertension knowledge and self-reported adherence, and BP recordings from their medical record were recorded to ascertain control.Results: Of the 348 participants, only 49% had good BP control and 44% (152/348) had concurrent diabetes mellitus. The majority of patients had moderate levels of knowledge on hypertension and exhibited moderate adherence. There was a significant relationship between knowledge and reported adherence, between reported adherence and control, but not between reported knowledge and control.Conclusion: Despite over 90% of the study population having moderate knowledge, and 62% with moderate reported adherence, BP was well controlled in only less than 50% of the study population. These findings suggest a need to emphasise adherence and explore new ways of approaching adherence.

scholarly journals Hubungan capaian program gizi dengan tingkat akreditasi puskesmas di Aceh

2020 ◽  
Vol 5 (2) ◽  
pp. 105
Author(s):  
Junaidar Junaidar ◽  
Melania Hidayat ◽  
Hafnidar A Rani ◽  
Milza Oka Yussar
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Statistical Tests ◽  
P Value ◽  
Cross Sectional ◽  
Under Five ◽  
Nutrition Programs ◽  
Primary Health ◽  
Low Performance

The quality of health services is measured by 3 components, namely input (HR, Infrastructure,) process (reliability), and output (product results). If the program's achievements do not reach the target, the quality of primary health care services can be doubted. The research objective is to determine the achievements of the program with the level of accreditation of health centers. The study uses a descriptive-analytic method with a cross-sectional design, using secondary data essential nutrition programs. The population and sample are all primary health care in Aceh Province that are accredited or not accredited, data collection is carried out in the program and data section of the Aceh Health Office and the statistical tests used are chi-square and odds ratio using STATA 13 software. The results of the study indicate, that malnutrition that receives care with low performance, children under five are weighed with low performance and low LBW cases have a relationship with the level of accreditation (p-value <0,05). In conclusion, several nutrition programs related to primary health care accreditation are malnourished children receiving treatment, LBW, and weighing under five. While the achievements of other nutrition programs do not show a relationship with the accreditation of primary health care. Suggestions, to create excellently and quality service, the health center must be able to improve program achievements according to the Government's target either in accordance with one of the indicators namely the strategic plan and health indicators.

scholarly journals Primary Healthcare on Utilization of Insecticide Treated Nets among Pregnant Mothers and Carers of Children in South –South Nigeria

2020 ◽  
Vol 2 (6) ◽  
pp. 01-06
Author(s):  
Joseph Odoko
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Primary Healthcare ◽  
Insecticide Treated Nets ◽  
Children Under Five ◽  
Under Five ◽  
Attitudes And Practices ◽  
Care Givers ◽  
Primary Health ◽  
Pregnant Mothers

One of the strategies of Primary Health Care (PHC) is the use of insecticide treated nets (ITNs) against malaria among pregnant mothers and care givers of children under five years. The agency for PHC in Nigeria is the National Primary Health Care Development Agency (NPHCDA). The objective of this narrative review is to identify the role of PHC providers in promoting the use of ITNs among pregnant mothers and care givers of children under five years. Method was by review of 30 published literatures on PHC; as it relates to use of ITNs. Findings indicate that most pregnant mothers and care-givers of children under five years in Nigeria are aware that the best option to prevent malaria infection is by use of ITNs. Healthcare providers participate in mass distribution of ITNs. There is increase nets ownership in households. Supervisory guidance influences use of ITNs. However, there is evidence of slow uptake of ITNs due to resistance to behavioural change. Also, the knowledge of pregnant women concerning ITNs use was good, but the attitudes and practices were poor. The implication is that health promotion need to be enhanced among both PHC workers and community leaders on use of ITNs. Primary healthcare workers may need to be motivated to do their job in terms of promoting the use of ITNs among pregnant mothers and carers of children under five years.

scholarly journals Nursing Diagnosis of Impaired Physical Mobility in Elderly People at Primary Health Care

10.3823/2305 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Paula Cristina Araújo Morais ◽  
Tibelle Freitas Mauricio ◽  
Rafaella Pessoa Moreira ◽  
Nirla Gomes Guedes ◽  
Emília Soares Chaves Rouberte ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Motor Skills ◽  
Fine Motor ◽  
Mobility Impairment ◽  
Related Factors ◽  
Cross Sectional ◽  
Physical Mobility ◽  
Primary Health ◽  
Nursing Diagnosis

Objective: to identify the frequency of the nursing diagnosis of Impaired Physical Mobility Impairment and its components in elderly population registered in a Primary Health Care Unit. Method: cross-sectional study conducted from November 2014 to February 2015, performed with 50 seniors at their homes. A questionnaire on patients's identification, their health conditions and their mobility was used. Results: the nursing diagnosis in question was identified in 71.4% of the population. The most present related factors were: lack of knowledge about the advantages of physical activity (66.7%), discomfort (76.9%), pain (82.1%), joint stiffness (76+9%) and sedentary lifestyle (82.1%). The defining characteristics were: limited capacity to perform gross motor skills (89.7%) and fine motor skills (56.4%), and engagement in substitution of movements (74.4%). Conclusion: participants showed difficulties related to physical mobility, evidencing a need for better care from health professionals. Keywords: Nursing Diagnosis; Elderly; Nursing.  

scholarly journals Primary health care physicians’ prescribing patterns for children under five in Qassim, Saudi Arabia

2019 ◽  
Vol 20 ◽  
Author(s):  
Saulat Jahan ◽  
Abdullah Mohammed Al-Saigul ◽  
Salih Ahmed Hamdelsseed
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Drug Use ◽  
Prescribing Patterns ◽  
World Health ◽  
Drug Prescribing ◽  
Children Under Five ◽  
Under Five ◽  
Primary Health ◽  
Rational Drug

Abstract Background: Irrational prescription of drugs in children is reported to be widespread. There are scarce studies on the pediatric prescribing pattern especially at primary health care (PHC) level. Aim: To determine the physicians’ prescribing patterns for children under five years, to explore completeness of prescriptions’ recorded information, and to analyze the core indicators of drug prescribing at primary health care centers (PHCC) in Qassim. Methods: This cross-sectional study was conducted on 25 randomly selected PHCCs. All prescriptions, for the first week of first six months of the year 1437 Hijrah (October 2015 to April 2016), were reviewed. Among 25 012 prescriptions, 4125 (16.5%) were for children under five years. We randomly selected 1212 prescriptions for the study. World Health Organization (WHO) specified drug use indicators, and index of rational drug prescribing (IRDP) with a maximum value of 5, were calculated. The physicians and pharmacists of sampled PHCCs were also surveyed to explore prescribing issues. Findings: The completeness of recorded date, patient age, and gender was more than 90%. The diagnosis was legibly written in 842 (69.5%), while the patient weight was recorded in 307 (25.3%) prescriptions. The least commonly recorded instruction was the drug strength (26.8%), while the dose and frequency of use were stated for 91.3% and 90.8% of the drugs, respectively. The average number of drugs per prescription was 2.35 ± 0.89; 72.97% drugs were prescribed by generic name; in 65.98% patient encounters, antibiotics were prescribed. The overall IRDP was 3.56. Most of the physicians and pharmacists reported availability of the drug list and Saudi PHC formulary in their PHCCs. Conclusion: PHC physicians’ drug prescribing was not at the optimal level of rational use, especially regarding prescription of antibiotics. Creating awareness about rational drug use and hazards of overuse of antibiotics is needed.

scholarly journals Controlo da Hipertensão Arterial nos Cuidados de Saúde Primários: Uma Comparação entre Nativos Portugueses e Imigrantes dos Países Africanos de Língua Oficial Portuguesa

2016 ◽  
Vol 29 (3) ◽  
pp. 193
Author(s):  
Elisa Lopes ◽  
Violeta Alarcão ◽  
Rui Simões ◽  
Milene Fernandes ◽  
Verónica Gómez ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
Primary Health Care ◽  
Family Doctor ◽  
Uncontrolled Hypertension ◽  
Hypertension Control ◽  
Structured Interviews ◽  
Related Factors ◽  
Cross Sectional ◽  
Primary Health

<p><strong>Introduction:</strong> In Portugal, the frequency of patient with treated and controlled hypertension is low. It is unknown the relation of socio-economic determinants with hypertension control, particularly in African immigrants. <br /><strong>Aims:</strong> To compare frequency of control in treated hypertension and to identify characteristics associated with uncontrolled and treated hypertension between Portuguese natives (Caucasian) and Portuguese Speaking African Coutries immigrants (black). <br /><strong>Material and Methods:</strong> Cross-sectional study of patients with treated hypertension, 40-80 years old, randomized from Primary Health Care of Lisbon Region. We collected sociodemographic, clinical and health care data through structured interviews. We compared the frequency of patients with uncontrolled hypertension, and identified related factors through univariate and multivariate analysis. <br /><strong>Results:</strong> In this study participated 786 patients with treated hypertension (participation rate: 71%): 449 natives and 337 immigrants. Of these, 46% had controlled hypertension. Diastolic blood pressure was higher in younger immigrants. Were associated with no control, in natives, male sex, low education, going to emergency and / or nursing services and not looking for the family doctor; on immigrants, being single, using the pharmacist, the number of years of illness and intentional non-adherence.<br /><strong>Discussion:</strong> Treated hypertension control has been increasing for last years. Natives and immigrants differ, regarding blood pressure control, relatively to the frequency of family doctor consultation, and resorting to other services and health professionals. These differences didn´t reflect in statistically different control rates.<br /><strong>Conclusions:</strong> It is needed to define strategies to control hypertension in primary health care specific for ethnic groups.</p>

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

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