scholarly journals The Quality of Child Health Care Services in Community Health Centers in Urban Indonesia: Health Workers’ Perspectives

2019 ◽  
Author(s):  
Agus Setiawan ◽  
Poppy Fitriyani ◽  
Rizkiyani Istifada
Keyword(s):  
Health Care ◽  
Community Health ◽  
Health Care Services ◽  
Community Health Centers ◽  
Health Workers ◽  
Health Centers ◽  
Children Under Five ◽  
Under Five ◽  
Care Services

Abstract BackgroundThe quality of health delivery in primary care is crucial to improve the health status of sick children. The purpose of this study is to explore the experience of health workers in providing health care services to children under five years old in community health centre in Depok, Indoneisa. The viewpoint of these professionals can provide the necessary information for improving the quality of these services at the community health centers. MethodThe study utilizes a qualitative study design with a phenomenological approach. Twelve health care professionals from the community health centers in the city of Depok were interviewed. The data were analyzed using the Colaizzi approach. ResultsThe result of the study covers three major themes, i.e. (1) the significance of health workers in delivering health care services to children under five years old, (2) factors affecting the delivery of health care services to children under five years old, (3) the continuing efforts in providing health care services to children under five years old.ConclusionThe perception of health care professional with regard to their responsibility in delivering health care services to children under five years old becomes an input for improving the quality of the services. The best efforts to reduce the mortality and morbidity of children under five is by optimizing the primary and secondary preventive measures.

scholarly journals Quality of Care for Children Under Five with Malaria Using IMCI Approach at Public Health Centre: Literature Review

2022 ◽  
Author(s):  
Orpa Diana Suek ◽  
Moses Pandin
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Health Care Services ◽  
Integrated Management ◽  
Childhood Illness ◽  
Public Health Centre ◽  
Children Under Five ◽  
Under Five ◽  
Care Services

Integrated Management of Childhood Illness is one of the strategies in health care services for infants and children under five at primary health care facilities. Children with fever in high malaria endemic areas must have a blood test done to check whether the children have malaria or not. IMCI is one of the interventions recommended by WHO to screen and also ensure that children receive proper initial treatment at first-level health facilities. This article aims to discuss the quality of care for children under five with malaria using IMCI approach. This is a systematic review by searching 4 databases including Scopus, Web of Science, SAGE and Proquest. Health care services for children under five with an integrated management of childhood illness are intended to provide immediate and appropriate treatment. The guideline for treating children under five with malaria using IMCI approach is very helpful for nurses both in assessing, classifying, treating/curing and making decisions for pre-referral measures for severe cases. Several factors to support quality of care are trained officers, supervision and procurement of essential medicines, RDT and malaria microscopy. Enforcement of the right diagnosis will improve the quality of life of children and prevent death in children under five. Keywords: IMCI, Malaria, Children under five

Why is the Coverage of Pneumonia Case Detection on Children under Five Years-Old Still Considered as Low in Sleman?

2017 ◽  
Vol 1 (1) ◽  
pp. 26
Author(s):  
Ade Kartikasari Sebba ◽  
Baning Rahayujati ◽  
Isa Dharmawidjaja
Keyword(s):  
Community Health ◽  
Community Health Centers ◽  
Sampling Technique ◽  
Health Centers ◽  
Case Detection ◽  
Upper Respiratory Infection ◽  
Children Under Five ◽  
Under Five ◽  
Pneumonia Case ◽  
Case Investigation

Pneumonia is one of the deadliest diseases for children under five years-old throughout the world. In Indonesia, pneumonia is the second deadliest disease after diarrhea. In 2015-2016, the Coverage of pneumonia case detection on children under five years-old increased from 22.33% to 36.06% but it had not achieved the detection target (-85%). A program evaluation needs to conduct, consequently. The evaluation aims to observe the implementation of pneumonia investigation program on children under five years-old in Sleman in 2016. The evaluation used a descriptive design performed in June-July 2017. The research subject was the program of Upper Respiratory Infection (ISPA, Infeksi Saluran Pernapasan Akut) implemented in community health centers (puskesmas, pusat kesehatan masyarakat). Twenty respondents as the sample were chosen by using the purposive sampling technique. The surveillance evaluation employed the input, activities, and output. The instruments were structural questionnaires and checklist sheets. The analysis result was presented in forms of tabulation and narration. From the input facet, 100% respondents have not had any special trainings related to pneumonia. 55% respondents have interlocking jobs with the longest service time of three years or more (75%). 70% respondents are able to show ARI Soundtimer. There are only 10% respondents holding the media of communication, information, and education (KIE, Komunikasi, Informasi, dan Edukasi) in forms of flipchart and leaflet; while 100% respondents admit that they have no stamp seal of URI. The proses facet displays that 100% respondents do not arrange any plan. The case investigation is only passive (100%). 80% respondents do socialization of case management and only 15% respondents perform a home visit. 100% respondents have not held trainings for responsible people, alert villages, and private midwives. From the output facet, the scope of case investigation is still low (36.06%).The implementation of pneumonia case investigation program on children under five years-old has been well executed but there are still weaknesses. Hence, public health offices (dinas kesehatan) should improve their human resources by arran ging a training program, equalize the use of breath counting tool and make MoU with all health services to report pneumonia cases. Community health centers are recommended to arrange plans, actively attempt to discover pneumonia cases, and train the responsible people, centers for pre-and postnatal health care (posyandu, pos pelayanan terpadu), or midwives related to the subject of pneumonia.

scholarly journals Economic Analysis of Delivering Primary Health Care Services through Community Health Workers in 3 North Indian States

PLoS ONE ◽  
2014 ◽  
Vol 9 (3) ◽  
pp. e91781 ◽  
Author(s):  
Shankar Prinja ◽  
Gursimer Jeet ◽  
Ramesh Verma ◽  
Dinesh Kumar ◽  
Pankaj Bahuguna ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Economic Analysis ◽  
Community Health ◽  
Health Care Services ◽  
Health Workers ◽  
Indian States ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services

scholarly journals Development of Vietnamese Medical Staff in the Period of Accelerated Industrialization and Modernization of the Country and International Integration

2020 ◽  
Vol 5 (1) ◽  
pp. 39
Author(s):  
Do Thi Nhuong ◽  
Chu Tuan Anh
Keyword(s):  
Health Care ◽  
Quality Of Health Care ◽  
Medical Staff ◽  
Health Care Services ◽  
Health Workers ◽  
Continuous Growth ◽  
Remote Areas ◽  
Care Services ◽  
The Right

Medical staff holds a pivotal role in the Vietnamese health system, and is crucial to the efficiency and quality of health care services in Vietnam. It is their professional and dedicated work that is a permanent basis to guarantee protection of and care for people’s health in the provision of health care services to people in all regions, including remote areas, borders and islands. The continuous growth in the quantity and quality of health workers in Vietnam has affirmed the right leadership of the Communist Party of Vietnam in building this health workforce over the years.

A Global Review of Training of Community Health Workers

2007 ◽  
Vol 27 (3) ◽  
pp. 181-218 ◽  
Author(s):  
Virginia C. Li ◽  
Peter R. Goethals ◽  
Sharon Dorfman
Keyword(s):  
Health Care ◽  
Community Health ◽  
Community Health Workers ◽  
Health Care Services ◽  
Health Workers ◽  
Relevant Information ◽  
Training Techniques ◽  
Care Services ◽  
The Cost ◽  
Training And Support

Community Health Workers (CHWs) are often the most important deliverers of health care services. This review brings together relevant information on CHWs and their training. These materials concern themselves with training techniques as they have been developed in various programs in various countries around the world. Because of the relative newness of the field the bulk of the materials have been written only in the last ten years. Four phases in training CHWs to undertake primary health care work are reviewed. These are: assessing the community's health needs and priorities and specifying the CHWs' tasks, adapting CHW training to the community, selecting CHWs and providing the CHWs with training and support. Issues of concern relating to these phases are: who is the trainer, what training strategies are to be followed, how is the training to be monitored and evaluated and, finally, what is the cost. A guide to twenty-two manuals that have been developed in various countries for use in training CHWs is included.

scholarly journals Community Health Workers and The Promotion of Health Care Services in Gasabo District, Rwanda

2019 ◽  
Vol 9 (10) ◽  
pp. 1-5
Author(s):  
Moses Kamanzi
Keyword(s):  
Health Care ◽  
Mortality Rate ◽  
Community Health ◽  
Community Health Workers ◽  
Health Care Services ◽  
Health Workers ◽  
Psychosocial Support ◽  
Infant Mortality Rate ◽  
Primary Data ◽  
Care Services

Health care is a primary need of human being. Life expectancy as an indicator of Human Development is below 40 years in most developing countries due to high Maternal Mortality Rate, HIV prevalence, Infant Mortality rate, Malaria prevalence and many other related diseases. This study examined the importance of Community Health Workers (CHWs) role in promoting Health Care services in Gasabo District of Rwanda.  A simple random sampling method with the use of a self-administered questionnaire to get primary data was used as well as a literature review for secondary data. The target population was 1500 CHWs with a sample size of 183 CHWs.  55.6% of CHWs have a role of monitoring Malnutrition & growth for children under the age of 5years, 43.2% monitor women during their pregnancy period and diagnose and treat Malaria, Diarrhoea & Pneumonia for children under 5 years old. Other roles of CHWs include; providing health education (43% of CHWs), providing Family Planning services to women (24%), and sensitizing the community for HIV/AIDS testing (14.3%), psychosocial support (11%) and Vaccination (9.8%). The challenges faced by CHWs to accomplish their roles include; transportation facilitation (39.9%), limited time (32.8%), negative perception by communities (37.7%) and no monthly salary pay (38.8%). Although the work of CHWs in Rwanda is voluntary, however, the Ministry of Health should invest more in their work through the provision of transportation facilitation and motivational incentives CHWs.

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