scholarly journals Manajemen Penyakit Berbasis Wilayah

2009 ◽  
Vol 3 (4) ◽  
pp. 147
Author(s):  
Umar Fahmi Achmadi

Secara universal, kejadian penyakit merupakan inti permasalahan kesehatan masyarakat yang harus dicegah guna menampilkan wilayah yang sehat dan negara yang kuat. Kejadian penyakit merupakan fenomena yang bersandar pada basis wilayah yang mencakup ekosistem dalam dimensi ruang dan waktu Tulisan ini membahas kepentingan, makna, lokasi dan metoda manajemen penyakit berbasis wilayah. Asumsi dasar yang dianut adalah bahwa keberhasilan mengendalikan faktor risiko dan kejadian penyakit akan mampu meningkatkan dan memelihara kualitas kehidup masyarakat. Pembangunan kesehatan Wilayah dapat dilakukan dengan merujuk konsep MPBW dan rancangan SKK setiap wilayah pemerintahan otonom. Secara lebih terperinci, perlu disusun suatu pedoman MPBW kabupaten dan kota yang dapat dijadikan panduan oleh para perancang dan pelaksana. MPBW diharapkan dapat meningkatkan kesehatan penduduk di suatu Kabupaten Kota tertentu secara bertahap dan berkesinambungan. Terakhir dan yang tidak kalah pentingnya adalah bahwa pelaksanaan MPBW harus menggunakan prinsip-prinsip Ilmu Kesehatan Masyarakat.Kata kunci : Basis wilayah, manajemen penyakit, pembangunan kesehatan masyarakatAbstractIt is universally accepted that disease occurrence is the nucleus of public health problem and should be prevented to achieve healthy area and strong country. Disease occurrence is a phenomenon that is area-based and include ecosystem both spatial and temporal dimensions. This paper tries to explain the importance, meaning, location and method of area-based disease management. The important basic assumption is that the successful risk and disease control can increase ability to increase and maintain life quality of the people. Area-based development could be implemented by referring to MPBW concept and SKK design for each and every autonomous government. Furthermore, there is a need to develop MPBW guidelines in district level to be used by development designer and planner. It is expected that MPBW could improve community health in a district gradually and continuously. Last but not least, the implementation of MPBW should utilise Public Health sciences principles.Keywords: Area-based, disease management, public health devlopment

2004 ◽  
Vol 62 (2) ◽  
Author(s):  
Valerio Verdiani ◽  
Carlo Nozzoli

Chronic heart failure is a growing public health problem for prevalence, morbidity and costs. The major proportion of costs is attributable to rehospitalizations and many of these readmissions may be preventable. Since 1990, some investigators have tested a variety of disease management programs designed to improve quality of life, functional status and decrease rehospitalizations rates. We identified these studies by a computerized search of the MEDLINE database. The programs described reflected a wide variety of methods and we categorized these programs recognizing the prevalent disease management approach. We reported the results of these trials about rehospitalizations and analysed a number of limitations that must be considered when determining their adoption into clinical practice.


2021 ◽  
Vol 7 (2) ◽  
pp. 214-235
Author(s):  
Catia Almeida Alves da Silva ◽  
Karina Aparecida Ferreira da Rocha ◽  
Luiz Roberto Marquezi Ferro ◽  
Aislan José de Oliveira ◽  
Márcia Guimarães Rivas

The cancer has been studied for a long time and some conclusions of these illness should be associate of many reasons. According some researches, this illness has been considered one of the biggest public health problem around the world and with many cases registered. Everybody who is in front of possibility to positive diagnostic of cancer can be negative feelings or thoughts about the future and their uncertainties. The psychologist should contribute with the mental process by using technical knowledge to help people and mental impacts caused because the illness and contribute with a complete care identifying potentials psychical disorders. In this process the faith becomes a significant alternative to the treatment, could result in trust and power of balance. The faith should be represented part of a process to understand and take on lidding with the cancer, improving the life quality and intensifying the struggle of illness. The focus on this studying was identifying the influence of faith on oncological patients’ treatment on hospital unit in São Paulo from capital. It was about a qualitative research and were considered seven people with the same repetitive talks after had been interviewed. The people selection was random, inside the hospital and all of participants was interviewed following a guide prepared before of the researches. The analyses results were produced about the “Talk Analyses or Speech Analyses” making the categories. In terms of expected results, the faith was considered a positive alternative and source to face or to feel of cancer. The faith phenomenon can contribute significantly to the cancer treatment process.


2020 ◽  
Author(s):  
Shelui Collinson ◽  
Joseph Timothy ◽  
Samuel K Zayay ◽  
Karsor K Kollie ◽  
Eglantine Lebas ◽  
...  

AbstractBackgroundScabies is known to be a public health problem in many settings but the majority of recent data is from rural settings in the Pacific. There is a need for high quality data from sub-Saharan Africa and peri-Urban settings to inform scale up of scabies control efforts. There have been anecdotal reports of scabies being a public health problem in Liberia but robust data are lacking.MethodsWe conducted a cross-sectional cluster-randomised prevalence survey for scabies in a peri-urban community in Monrovia, Liberia in February-March 2020. Participants underwent a standardised examination conducted by trained local health care workers. Health related quality of life (HRQoL) was assessed using age-appropriate dermatology life quality indices (DLQIs). Prevalence estimates were calculated accounting for clustering at community and household levels and associations with key demographic variables assessed through multivariable random-effects logistic regression.Results1,318 participants from 477 households were surveyed. The prevalence of scabies prevalence was 9.3% (95% CI: 6.5-13.2%), across 75 (19.7%) households; impetigo or infected scabies prevalence was 0.8% (95% CI: 0.4-1.9%). The majority (52%) of scabies cases were classified as severe. Scabies prevalence was lower in females and higher in the youngest age group; no associations were found with other collected demographic or socio-economic variables. DLQI scores indicated a very or extremely large effect on HRQoL in 29% of adults and 18% of children diagnosed with scabies.ConclusionsOur study indicates a substantial burden of scabies in this peri-Urban population in Liberia. This was associated with significant impact on quality of life, highlighting the need for action to control scabies in this population. Further work is needed to assess the impact of interventions in this context on both the prevalence of scabies and quality of life.Plain English summaryScabies is an infestation with a microscopic mite which affects many people living in low-resource tropical countries. It causes intense itching, which can lead to complications through bacterial infection and poor quality of life. To help develop global scabies control programmes, we need a better understanding of how common it is across different tropical settings. We conducted a survey to assess the burden of scabies and bacterial skin infection in a random sample of people living in a community in Monrovia, Liberia. Information about participants and their household were collected and their skin was examined; those with skin conditions were asked about its impact on quality of life.We examined 1,318 participants and found that almost 10% of people had scanies. Scabies was more common in young children, and was more common in male children than female children. We found that there was a large impact on quality of life due mostly to the itching that scabies causes and to people feeling embarrassed or sad because of their skin condition. This scabies survey is one of the first conducted across all age groups in recent years in sub-Saharan Africa and indicates a substantial burden and impact on quality of life. More work is needed to understand how common scabies is in different settings and the impact that different treatment strategies may have.


2017 ◽  
Vol 54 (1) ◽  
pp. 27-32 ◽  
Author(s):  
Émerson Soares PONTES ◽  
Ana Karênina de Freitas Jordão do AMARAL ◽  
Flávia Luiza Costa do RÊGO ◽  
Elma Heitmann Mares AZEVEDO ◽  
Priscila Oliveira Costa SILVA

ABSTRACT BACKGROUND The elderly population faces many difficulties as a result of the aging process. Conceptualize and evaluate their life quality is a challenge, being hard to characterize the impact on daily activities and on functional capacity. The stroke is one of the most disabling neurological diseases, becoming a public health problem. As an aggravating result, there is dysphagia, a disorder that compromises the progression of the food from the mouth to the stomach, causing clinical complications to the individual. OBJECTIVE Characterize the life quality of the elderly swallowing affected by stroke. METHODS Cross-sectional study conducted at the University Hospital, attended by 35 elderly with stroke, being 19 women and 16 men, with age between 60 and 90 years old, that self-reported satisfactory overall clinical picture. It was applied the Quality of Life Swallowing protocol. The data were statistically analyzed, by means of ANOVA tests, Spearman correlation, t test, with significance level of 5%. RESULTS The mean age was 69.5 years; as for the scores obtained by the 35 participants in the 11 domains of the protocol, it was observed a change in score indicating severe to moderate impact in quality of life related to self-reported swallowing (31.8% to 59.5%); the domain that most interfered was the feeding time (31.8%). CONCLUSION Elderly affected by stroke that present dysphagia has low scores in quality of life related to swallowing.


2003 ◽  
Vol 31 (4) ◽  
pp. 607-614 ◽  
Author(s):  
Daniel M. Fox

Changes in the scope of health policy in the United States are creating opportunities and obligations for lawmakers and the lawyers who advise them. These changes are the result of a new politics of policy for the health of populations. The new politics is connecting areas of policy that, because they have had separate histories, are governed by distinct, usually uncoordinated laws and regulations.The subject of the new politics of health policy is what the Iowa Senate President, speaking in a plenary at the 2003 conference on Public Health Law in the 21st Century, called the “quality of life, what the people think is important.” An increasing number of leaders in general govemment–people who run for office and their staff–have practical reasons to make policy that acknowledges the expanding scope of what their constituents define as health policy.


Author(s):  
Arnold Arluke ◽  
Kate Atema

This chapter describes an original and much-needed approach to understanding worldwide efforts among disadvantaged communities to deal with roaming and unhealthy dogs. Rather than focus on the ways these efforts impact dogs and public health, as is typical of such interventions, we explore how people, too, are socially, psychologically, and economically affected by the dogs. More specifically, we examine the community impact that roaming or unhealthy dog populations can have, including negative or indifferent human-canine interactions; decreased quality of life because of dog nuisances, lack of safety, and disturbing encounters with injured, dead, or suffering dogs; weakened or fractured social ties; and economic losses from reduced tourism, livestock predation, and disease management. Lastly, we review how dog population management can have residual communitywide impact.


2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Elham Emami ◽  
Raphael Freitas de Souza ◽  
Marla Kabawat ◽  
Jocelyne S. Feine

An adequate dentition is of importance for well-being and life quality. Despite advances in preventive dentistry, edentulism is still a major public health problem worldwide. In this narrative review, we provide a perspective on the pathways that link oral to general health. A better understanding of disease indicators is necessary for establishing a solid strategy through an organized oral health care system to prevent and treat this morbid chronic condition.


2020 ◽  
Vol 14 (12) ◽  
pp. e0008943
Author(s):  
Shelui Collinson ◽  
Joseph Timothy ◽  
Samuel K. Zayzay ◽  
Karsor K. Kollie ◽  
Eglantine Lebas ◽  
...  

Scabies is known to be a public health problem in many settings but the majority of recent data is from rural settings in the Pacific. There is a need for high quality data from sub-Saharan Africa and peri-urban settings to inform scale up of scabies control efforts. There have been anecdotal reports of scabies being a public health problem in Liberia but robust data are lacking. We conducted a cross-sectional cluster-randomised prevalence survey for scabies in a peri-urban community in Monrovia, Liberia in February-March 2020. Participants underwent a standardised examination conducted by trained local health care workers. Health related quality of life (HRQoL) was assessed using age-appropriate versions of the dermatology life quality index (DLQI). Prevalence estimates were calculated accounting for clustering at community and household levels and associations with key demographic variables assessed through multivariable random-effects logistic regression. 1,318 participants from 477 households were surveyed. The prevalence of scabies was 9.3% (95% CI: 6.5–13.2%), across 75 (19.7%) households; impetigo or infected scabies prevalence was 0.8% (95% CI: 0.4–1.9%). The majority (52%) of scabies cases were classified as severe. Scabies prevalence was lower in females and higher in the youngest age group; no associations were found with other collected demographic or socio-economic variables. DLQI scores indicated a very or extremely large effect on HRQoL in 29% of adults and 18% of children diagnosed with scabies. Our study indicates a substantial burden of scabies in this peri-urban population in Liberia. This was associated with significant impact on quality of life, highlighting the need for action to control scabies in this population. Further work is needed to assess the impact of interventions in this context on both the prevalence of scabies and quality of life.


2020 ◽  
Vol 4 (2) ◽  
pp. 149-156
Author(s):  
Wahyuni Usman ◽  
John Taruna ◽  
Nila Kusumawati

ARI (Acute Respiratory Infection) is an acute inflammation of upper and lower respiratory tract caused by infection of microorganisms or bacteria, viruses, or rickets, without or with inflammation of the lung parenchyma. ARI is caused by a virus / bacteria that begins with heat accompanied by one or more symptoms such as sore throat, swallowing pain, runny nose, dry cough or phlegm. ARI is a public health problem in developing countries. The incidence of ARI tends to increase during the dry season.The goal of this research is want to know factors causing the event of ARI in dry season at public health center of kampar 2020. This research is observational analytic study with case control study design. Based on the results of research in the Kampar Public health center. The population is suffering from this research is the people in the Kampar Public health center and the samples is the people whos cames to Public health center to get treatment. Sample of case is 52 people and sample of control is 52 people. The variable in this research is Personal Protective equipments. The data were analyzed by univariate and bivariate analysis using Pearson correlation test and simple linier regression.The result of this research is that there is a significant correlation of using personal protective equipments with ARI in the dry season with (p value < 0,01). The preventive of action that can be done by the community is that if driving in the dry season, you should use PPE (Personal Protective equipments) like a mask, and if you are often active in the sun, you should use protective clothing such as hats, long sleeves, trousers and hats to avoid direct sun exposure.


Author(s):  
Susan Elliott ◽  
Francesca Cardwell

Food allergy is a growing public health epidemic in Canada, affecting 50 percent of Canadian households either directly or indirectly. Despite the physical, psychosocial and quality of life impacts to those affected, food allergy has recently been ignored in the Canadian policy context. While the complete etiology of food allergy remains unknown, we have enough information to make strong policy choices that can maximize choice and minimize risk for affected Canadians, and place Canada at the forefront of food allergy management and research. Policy recognizing food allergy as a chronic health issue that represents a significant public health problem in Canada is critical.


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