scholarly journals The Accountability of Health Facility Governing Committees and its Associated Factors in Selected Primary Health Facilities Implementing Direct Health Facility Financing in Tanzania

2021 ◽  
Author(s):  
Anosisye Kesale ◽  
Christopher Mahonge ◽  
Mikidadi Muhanga
Keyword(s):  
Health Facility ◽  
Financial Management ◽  
Service Providers ◽  
Fiscal Decentralization ◽  
Health Planning ◽  
Health Service Delivery ◽  
Health Facilities ◽  
Cross Sectional ◽  
The Status ◽  
Cross Sectional Design

Abstract Users Committees such as Health Facility Governing Committees (HFGCs) are one of the popular mechanisms used to represent communities and civil societies in holding service providers into account. This study embarked on assessing the status of accountability of HFGCs under the DHFF context in Tanzania as experienced by the supply side (HFGCs members). A cross-sectional design was employed in collecting both qualitative and quantitative data at one point in time in 32 selected health facilities. A closed-ended questionnaire, in-depth interview and FGDs were employed to collect data. Data were analyzed through descriptive statistics and Multiple logistics regression, and thematic analyses. The study found high accountability of HFGCs by 78%. specifically, HFGCs have high accountability in mobilizing the community to join community health funds 99.71%, receiving medicines and medical commodities 88.57% and timely health services 84.29%. It was reviled that the accountability of the health facility governance committee was significantly associated with the health planning aspect (p=0.0048) and financial management aspect (p=0.0045). This study concluded that the fiscal decentralization context empowers HFGCs to be accountable in accomplishing their responsibilities hence improving health service delivery in developing countries. This study recommends more efforts to be directed in supporting HFGCs addressing challenges of managing health facilities works and mobilization of resources from other stakeholders.

scholarly journals Health Status and Quality of Health Care Services of Congolese Refugees in Nakivale, Uganda

2016 ◽  
Vol 5 (3) ◽  
pp. 39
Author(s):  
Amegovu K. Andrew
Keyword(s):  
Health Status ◽  
Health Services ◽  
Resource Constraints ◽  
Service Providers ◽  
Geographic Origin ◽  
Health Service Delivery ◽  
Health Facilities ◽  
Cross Sectional ◽  
Adequate Food

Physical and emotional wellness, as well as access to healthcare, are foundations for successful resettlement. Without feeling healthy, it is difficult to work, to go school, or take care of a family. Many factors can affect refugee health, including geographic origin and refugee camp conditions. Refugees may face a wide variety of acute or chronic health issues (Office of Refugee Resettlement, ORR Annual Report to Congress 2014; http://www.acf.hhs.gov). Resettlement of refugees in Uganda is usually supported by concerted efforts of UNHCR, Governments through the Office of the Prime Minister, OPM with support from host communities, local and international Non-Governmental Organizations. Due to resource constraints and local factors, immigrants are often subjected to poor living conditions which coupled with inadequacy inessential medical supplies might significantly affects quality of care and health service delivery and hence, rendering refugees to poor health status. This study was conducted from 2013-2014 to assess the determinants of health status of Congolese refugees living in Nakivale refugee settlement, in Isingiro district- South Western Uganda. A cross-sectional study design was used involving mixed techniques of both qualitative and quantitative KAP survey. The study focussed on Congolese refugee population in Nakivale Refugee settlement. 2401 key informants’ interviews and 8 focus group discussions respectively were conducted targeting service providers and beneficiaries/Congolese refugees in this case. The data was analysed using SPSS ver.20, 2011. Although majority (97%) of respondents sought medical services from established health facilities, findings confirm a high level of ill health prevalence among Congolese refugees in Nakivale camp, however, the difference in health services and perceived health status in camp versus the one in DRcongo is insignificant ( p=0.000) with respondents perceiving their health status as worse than when they were their own Country before the resettlement. Identified key challenges affecting access & uptake of available health services includes: language barrier; inadequate drugs; and the long distances to access health facilities. The health status of refugees could be improved by addressing the challenges related to language, drug supplies in addition to humanising conditions of shelter, providing appropriate waste disposal facilities while proving adequate food rations and clean & safe drinking water.

scholarly journals Implementation of maternal and perinatal deaths surveillance and response system among health facilities in Rural Tanzania: Analytical cross-sectional study

2021 ◽  
Author(s):  
Christina Kashililika ◽  
Fabiola Vincent Moshi
Keyword(s):  
Health Facility ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Cross Sectional ◽  
Perinatal Deaths ◽  
Rural Tanzania ◽  
Surveillance And Response ◽  
The Status ◽  
Bivariate Logistic Regression ◽  
Implementation Status

Abstract BackgroundMaternal and Perinatal Deaths Review and Surveillance (MPDSR) system when used effectively has the power to bring into reality, a revolutionary victory in the fight against maternal and perinatal mortality from avoidable causes. This study aimed at determining the status of implementation of the system among health facilities in rural settings of Tanzania.MethodThis study was conducted among 38 health facilities from three districts of Morogoro region, Tanzania from April 27, 2020 to May 29, 2020. Quantitative data was collected through document review for MPDSR implementation status. The outcome was determined by using special scoring sheet with a total 30 points. Facilities that scored 10 points or above were considered to have satisfactory status of MPDSR implementation while the facilities that scored below 10 points were considered to have unsatisfactory status of MPDSR implementation. Bivariate logistic regression analyses were used to determine the predictors of implementation status among health facilities.ResultsMajority of health facilities 20(52.6%) had satisfactory MPDSR implementation status. The predictors of MPDSR implementation in a facility were level of health facility [Hospital (AOR = 11.945 at 95% CI = 1.133 – 125.942, P = 0.039)] and ownership of the facility [Public (AOR = 0.133 at 95% CI = 0.019 – 0.920, P = 0.041)].ConclusionMPDSR implementation status among health facility is on average not satisfactory. More efforts are needed to raise the status of MPDSR implementation in the country so that the maximum benefit of MPDSR is obtained.

scholarly journals Aksesibilitas Mahasiswa Kesehatan dan Mahasiswa Non Kesehatan Strata S-1 Universitas Airlangga terhadap Program Jaminan Kesehatan Nasional

2018 ◽  
Vol 6 (1) ◽  
pp. 7
Author(s):  
Ulfia Hazna Safira
Keyword(s):  
Community Participation ◽  
Health Facility ◽  
National Health ◽  
Observational Research ◽  
Cross Sectional ◽  
Health Security ◽  
Agents Of Change ◽  
Cross Sectional Design ◽  
Lack Of Knowledge

The participant of National Health Security in October 2016 still reached 66,11% of population. Public and students knowledge about benefits and uses of National Health Security still low. The lack of knowledge, used, and community participation showed the lack of community accessibility in National Health Security program. Students as agents of change are expected to make National Health Security success The objectives of this research was to analyze the differences of health student’s accessibility and non-helath student’s accesssibility to National Health Security program. The method of this research used online questionnairre with analytic type of research used observational research and cross sectional design. The results showed there were differences of accessibility between health students and non-health students based on knowledge aspect, proximity of health facility that accept National Health Security, perception of the importance of National Health Security, National Health Security participants, utilization of National Health Security, ease of National Health Security used, affordability of National Health Security, and satisfaction of National Health Security. Meanwhile health students accessibility with non-health students did not have differences on ease of gets information aspect, accomodation availability, and perception of the accuracy of National Health Security program.Keywords: accessibility, national health security, students

Factors Influencing Choice of Delivery Place among Mothers in Rukungiri and Kanungu Districts, South Western Uganda: A Cross Sectional Study

2020 ◽  
Author(s):  
Richard Mugambe ◽  
Habib Yakubu ◽  
Solomon Wafula ◽  
Tonny Ssekamatte ◽  
Simon Kasasa ◽  
...  
Keyword(s):  
Health Facility ◽  
Rural Areas ◽  
Health Workers ◽  
Public Health Facility ◽  
Facility Delivery ◽  
Health Facilities ◽  
Public Facility ◽  
Cross Sectional ◽  
Western Uganda ◽  
Delivery Place

Abstract Background: Child birth in health facilities is generally associated with lower risk of maternal and neonatal mortality. However, in Uganda, little is known about factors that influence use of health facilities for delivery especially in rural areas. In this study, we examined the determinants of mothers’ decision of the choice of child delivery place in Western Uganda.Methods: Cross-sectional data was collected from 894 randomly-sampled mothers within the catchment of two private hospitals in Rukungiri and Kanungu districts. Data was collected on the place of delivery for the most recent child, mothers’ sociodemographic characteristics, health facility water, sanitation and hygiene (WASH) status. Modified Poisson regression was used to estimate prevalence ratios (PRs) for the determinants of mothers’ choice of delivery place as well as determinants for the choice of private versus public facility for delivery at 95% confidence intervals. Results: Majority of mothers (90.2%) delivered in health facilities. Non-facility deliveries were attributed to fast progression of labour (77.3%), lack of transport (31.8%) and high cost of hospital delivery (12.5%). Being engaged in business as an occupation [APR = 1.06, 95% CI (1.01 – 1.11)] and belonging to the highest wealth quintile [APR = 1.09, 95% CI (1.02 – 1.17)] favoured facility delivery while higher parity of 3 – 4 [APR = 0.93, 95% CI (0.88 – 0.99)] was inversely associated with facility delivery as compared to parity of 1-2. Choice of private facility over public facility was influenced by how mothers valued factors such as high skilled health workers [APR = 1.15, 95% CI (1.05 – 1.26)], higher quality of WASH services [APR = 1.11, 95% CI (1.04 – 1.17)], cost of the delivery [APR = 0.85, 95% CI (0.78 – 0.92)] and availability of caesarean services [APR = 1.13, 95% CI (1.08 – 1.19)].Conclusion: Utilization of health facility child delivery services was high. Health facility delivery service utilization was influenced by engaging in business, belonging to wealthiest quintile and being multiparous. Choice of private versus public health facility for child delivery was influenced by health facility WASH status, cost of services, and availability of skilled workforce and caesarean services.

scholarly journals Pregnant women’s retention and associated health facility characteristics in the prevention of mother-to-child HIV transmission in Indonesia: cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e034418
Author(s):  
Christina Lumbantoruan ◽  
Margaret Kelaher ◽  
Michelle Kermode ◽  
Endang Budihastuti
Keyword(s):  
Antenatal Care ◽  
Health Facility ◽  
Hiv Transmission ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Hiv Positive ◽  
Pmtct Programme ◽  
Cross Sectional ◽  
Hiv Epidemic ◽  
Mother To Child

ObjectivesDespite the national effort to integrate the Prevention of Mother-to-Child Transmission (PMTCT) programme into antenatal care clinics in Indonesia, the rate of mother-to-child HIV transmission remains high. This national study was conducted to describe PMTCT programme performance and to identify health facility characteristics associated with this performance in order to inform programme planning and policy development.DesignA retrospective cross-sectional study in December 2017.SettingAll health facilities providing PMTCT programmes in Indonesia.ParticipantsAll health facilities registering at least one woman in antenatal care in 2017.InterventionPMTCT data extraction from the national reporting system on HIV/AIDS and government reports.OutcomesWomen retention in the PMTCT programme for at least 3 months and associated health facility characteristics.ResultsA total of 373 health facilities registering 6502 HIV-positive women in antenatal care were included in the analysis. One-third of women (2099) never started antiretroviral treatment. Of the 4403 women who started, 2610 (57%) were retained; 462 (10%) were not retained; and the retention status of 1252 (28%) women referred out of the health facilities was unknown. Compared with primary health centres, hospitals were more likely to retain women (OR=2.88, 95% CI 2.19 to 3.79). The odds of retention were higher in hospital types A and B (OR=3.89, 95% CI 3.19 to 4.76), located within concentrated HIV epidemic areas (OR=2.09, 95% CI 1.83 to 2.38) and a high-priority area for the HIV programme (OR=1.83, 95% CI 1.60 to 2.09). We observed no differential retention between women who initiated PMTCT under different options (B+/non-B+).ConclusionsWe observed low retention of HIV-positive pregnant women in the PMTCT programme in Indonesia in 2017. Additional efforts are needed to improve women’s retention in the PMTCT programme. Retention could be increased through the delivery of PMTCT programmes by replicating strategies implemented at hospital types A and B located in concentrated HIV epidemic areas where an HIV programme is a high priority.

scholarly journals Health facility structure and maternal characteristics related to essential newborn care in Brazil: a cross-sectional study

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e021431 ◽  
Author(s):  
Maria Alexsandra Silva Menezes ◽  
Ricardo Gurgel ◽  
Sonia Duarte Azevedo Bittencourt ◽  
Vanessa Eufrazino Pacheco ◽  
Rosana Cipolotti ◽  
...  
Keyword(s):  
Health Facility ◽  
Breast Feeding ◽  
Perinatal Care ◽  
Newborn Care ◽  
Health Facilities ◽  
Cross Sectional ◽  
Essential Newborn Care ◽  
Skin Contact ◽  
Postnatal Women ◽  
Skin To Skin

ObjectivesTo assess the use of the WHO’s Essential Newborn Care (ENC) programme items and to investigate how the non-use of such technologies associates with the mothers' characteristics and hospital structure.DesignA cross-sectional observational health facility assessment.SettingThis is a secondary analysis of the ‘Birth in Brazil’ study, a national population-based survey on postnatal women/newborn babies and of 266 publicly and privately funded health facilities (secondary and tertiary level of care).ParticipantsData on 23 894 postnatal women and their newborn babies were analysed.Main outcome measuresThe facility structure was assessed by evaluating the availability of medicines and equipment for perinatal care, a paediatrician on call 24/7, a neonatal intensive care unit (NICU) and kangaroo mother care. The use of each ENC item was assessed according to the health facility structure and the mothers’ sociodemographic characteristics.ResultsThe utilisation of ENC items is low in Brazil. The factors associated with failure in pregnant woman reference were: pregnant adolescents (ORadj1.17; 95% CI 1.06 to 1.29), ≤7 years of schooling (ORadj1.47; 95% CI 1.22 to 1.78), inadequate antenatal care (ORadj1.67; 95% CI 1.47 to 1.89). The non-use of corticosteroids was more frequently associated with the absence of an NICU (ORadj3.93; 95% CI 2.34 to 6,66), inadequate equipment and medicines (ORadj2.16; 95% CI 1.17 to 4.01). In caesarean deliveries, there was a less frequent use of a partograph (ORadj4,93; 95% CI 3.77 to 6.46), early skin-to-skin contact (ORadj3.07; 95% CI 3.37 to 4.90) and breast feeding in the first hour after birth (ORadj2.55; 95% CI 2.21 to 2.96).ConclusionsThe coverage of ENC technologies use is low throughout Brazil and shows regional differences. We found a positive effect of adequate structure at health facilities on antenatal corticosteroids use and on partograph use during labour. We found a negative effect of caesarean section on early skin-to-skin contact and early breast feeding.

scholarly journals The Influence of Family Characteristics, Family Financial Management, and Saving Intensity on The Size of Farmer Families’ Saving at Ciaruteun Ilir Villages

2016 ◽  
Vol 1 (2) ◽  
pp. 13
Author(s):  
Susanti Kartikasari ◽  
Istiqlaliyah Muflikhati
Keyword(s):  
Logistic Regression ◽  
Family Size ◽  
Financial Management ◽  
Family Income ◽  
Family Characteristics ◽  
Cross Sectional ◽  
The Family ◽  
Saving Behavior ◽  
Cross Sectional Design ◽  
Purposive Selection

<p>The aim of this study was to analyze the influence of financial management on saving behavior in farmer families. This research uses cross-sectional design conducted in Ciaruteun Ilir Village with purposive selection location. The study was performed in 70 randomly selected families with working wife. The results showed that financial management of farmer family is poor.  A total of 71.4 percent of farmer families has saving. The results of multiple linear regression showed that the bigger the family size, the weaker the financial management. Nonetheless, the number of assets and higher family income would increase financial management. Logistic regression showed that family with better financial management is more likely to have better saving. Family size would reduce saving, while family income would increase saving.</p>

scholarly journals HUBUNGAN DUKUNGAN SOSIAL TERHADAP PENGOBATAN KANKER PAYUDARA DI YAYASAN KANKER WISNUWARDHANA

2017 ◽  
Vol 3 (2) ◽  
pp. 218
Author(s):  
Kevin Patar Aruan ◽  
Muhammad Atoillah Isfandiari
Keyword(s):  
Breast Cancer ◽  
Social Support ◽  
Simple Random Sampling ◽  
Cross Sectional ◽  
Family Social Support ◽  
Number Of Patients ◽  
The Family ◽  
The Status ◽  
Cross Sectional Design ◽  
Delay In Treatment

In the city of Surabaya, the number of patients with breast cancer is found and treated in 2014 was amounted to 709 cases. Family social support is regarded as one of the drivers of the patient for treatment. This study aimed to quantify the proportion of delay in treatment of breast cancer based on family and social support and analyzing the relationship of social support by the family against in the treatment of breast cancer cases in Yayasan Kanker Wisnuwardhana Surabaya. The study was conducted using cross sectional design using a quantitative approach. The interview was conducted on 40 patients with breast cancer. Samples were selected by simple random sampling. The results of comparison of proportions delay breast cancer treatment according to the status of family social support is 7.5: 3.6. Testing single relationship between social support by the family to delay treatment shows that there was a signifi cant relationship between social support with treatment of breast cancer (p <0.05). The conclusions are the proportion of delay in treatment more on the respondents were less lack support and there is a relationship between social support to the treatment of breast cancer cases in Yayasan Kanker Wisnuwardhana Surabaya.Keywords: breast cancer, delay treatment, social support.

scholarly journals Relationship Of Characteristic and Status of Central Obesity with The Prevalence Of Hypertension

2018 ◽  
Vol 6 (1) ◽  
pp. 57
Author(s):  
Desy Desy Amanda ◽  
Santi Martini
Keyword(s):  
Central Obesity ◽  
Test Results ◽  
Chi Square ◽  
Cross Sectional ◽  
Gender Status ◽  
The Status ◽  
Chi Square Test ◽  
Cross Sectional Design ◽  
Relationship Of ◽  
The Relationship

ABSTRAKSeseorang dengan kelebihan berat badan dan hiperkolesterol memiliki risiko mengalami penyakit hipertensi lebih besar. Tujuan penelitian ini adalah untuk menganalisis hubungan antara karakteristik dan status obesitas sentral dengan kejadian hipertensi di Puskesmas Sidoarjo. Jenis penelitian ini menggunakan observasional analitik dengan rancang bangun penelitian cross sectional. Besar sampel sebanyak 50 orang. Teknik pengambilan sampel dilakukan secara convenience atau accidental sampling. Variabel independen dalam penelitian ini yaitu karakteristik responden dan status obesitas sentral. Variabel dependen yaitu hipertensi. Karakteristik umur responden penderita hipertensi terdiri dari dua kategori yaitu umur >59 tahun dan <59 tahun. Jenis kelamin responden terdiri dari dua kategori yaitu laki-laki dan perempuan. Analisis data menggunakan uji statistik chi square. Hasil penelitian menunjukkan bahwa penderita hipertensi dengan obesitas sentral memiliki risiko lebih tinggi mengalami hipertensi dibandingkan penderita yang normal dan kelompok umur >59 tahun jenis kelamin laki-laki merupakan faktor yang paling dominan dalam penelitian ini. Ada hubungan antara umur dengan kejadian hipertensi (p = 0,000), jenis kelamin dengan kejadian hipertensi (p = 0,044) dan status obesitas sentral dengan kejadian hipertensi (p = 0,001). Kesimpulan penelitian, terdapat hubungan antara umur, jenis kelamin, dan status obesitas sentral dengan kejadian hipertensi. Saran penelitian, bagi penderita hipertensi sebaiknya melakukan pemeriksaan tekanan darah secara rutin. Kata Kunci: hipertensi, karakteristik, obesitas sentral ABSTRACTA person with overweight and hiperkolesterol have high risk of hypertension. The aim of this research is to analyse the relationship between the characteristic and status of central obesity with the prevalence of hypertension in Sidoarjo. This type of research use analytic observational with cross sectional design. A sample sizes is 50 people. The technique of sampling uses convenience or accidental sampling. Independent variables are characteristics of the respondents and the status of central obesity. The dependent variable is hypertension. The characteristics of the aged respondents divided into two categories there are aged >59 years and <59 years. The gender of respondents were into two categories, namely men and women. Analyzing data using chi square test. Results of research indicates that sufferers of hypertension with Central obesity have a higher risk of experiencing hypertension sufferers than normal and >59 year age group gender the most dominant males in this study. There is a relationship between the age with the prevalence of hypertension (p = 0.000), sex with the genesis of hypertension (p = 0.044) and statuf of central obesity with the prevalence of hypertension (p = 0.001). The conclusions of the research, there is a relationship between age, gender, status of central obesity with the prevalence of hypertension. Suggestion, for patients with hypertension should check a blood pressure regularly. Keywords: hypertension, characteristics, central obesity

scholarly journals Gambaran kebersihan gigi dan mulut pada siswa berkebutuhan khusus di SLB YPAC Manado

e-GIGI ◽  
2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Christavia J. Motto ◽  
Christy N. Mintjelungan ◽  
Shane H.R. Ticoalu
Keyword(s):  
Special Needs ◽  
Oral Hygiene ◽  
Sampling Method ◽  
Descriptive Study ◽  
Average Score ◽  
Students With Special Needs ◽  
Cross Sectional ◽  
The Status ◽  
Cross Sectional Design ◽  
Emotional Condition

Abstract: Oral health is an important part of the overall body health. Children with special needs are at risk or have chronic physical, developmental, behavioral, or emotional condition, therefore, they commonly require some assistance in maintaining their cleanliness, especially the oral hygiene. The indicator degree of oral hygiene in Indonesia is the status of oral hygiene degree with an average of Simplified Oral Hygiene Index (OHI-S) <1.2 obtained from summing the number debris index and calculus index. This study was aimed to describe the dental and oral hygiene in students with special needs at SLB YPAC Manado. This was a descriptive study with a cross sectional design. Subjects were 36 students, aged 10-28 years, cooperative, and had letters of consent signed by their parents or proxy parents, obtained by using total sampling method. Data were analyzed manually and presented in tables, figures, and percentages, grouped based on their characteristics. The results showed that the students with special needs in SLB YPAC Manado had an average score of OHI-S of 1.3 with a total scores of Simplified Debris Index (DI-S) 0.9 and Simplified Calculus Index (CI-S) 0.4 which belonged to the moderate category.Keywords: oral hygiene, students with special needs Abstrak: Kesehatan gigi dan mulut menjadi salah satu bagian penting dari kesehatan tubuh secara keseluruhan. Anak berkebutuhan khusus (ABK) berisiko tinggi atau mempunyai kondisi kronis secara fisik, perkembangan, perilaku atau emosi sehingga memerlukan bantuan dalam menjaga kebersihan diri sendiri khususnya kebersihan gigi dan mulut. Indikator derajat kebersihan gigi dan mulut di Indonesia ialah status derajat kebersihan gigi dan mulut dengan rerata Oral Hygiene Index Simplified (OHI-S) <1,2 yang didapatkan dari menjumlahkan angka debris indeks dan kalkulus indeks. Penelitian ini bertujuan untuk mengetahui gambaran kebersihan gigi dan mulut pada siswa berkebutuhan khusus di SLB YPAC Manado. Jenis penelitian ialah deskriptif dengan desain potong lintang. Subyek penelitian sebanyak 36 siswa berusia 10-28 tahun, kooperatif, serta bersedia menjadi responden berdasarkan surat persetujuan yang ditandatangani oleh orang tua atau wali, diperoleh dengan metode total sampling. Data diolah secara manual dan ditampilkan dalam bentuk tabel, gambar, dan persentase yang dikelompokkan berdasarkan karakteristiknya. Hasil penelitian menunjukkan dari 36 siswa berkebutuhan khusus di SLB YPAC Manado didapatkan rerata skor OHI-S 1,3 dengan jumlah skor Debris Index Simplified (DI-S) 0,9 dan skor Calculus Index Simplified (CI-S) 0,4 yang tergolong pada status kebersihan gigi dan mulut sedang.Kata kunci: kebersihan gigi dan mulut, siswa berkebutuhan khusus

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