scholarly journals The Effect of Wechat-Based Training on Improving the Village Doctors’ Knowledge of Tuberculosis Management: A Pre-And-Post Intervention Study from China

2021 ◽  
Author(s):  
Henan Xin ◽  
Haoran Zhang ◽  
Dakuan Wang ◽  
Bin Zhang ◽  
Xuefang Cao ◽  
...  
Keyword(s):  
New Media ◽  
Rural China ◽  
Village Doctor ◽  
Training Methods ◽  
Post Intervention ◽  
Gender And Education ◽  
Village Doctors ◽  
One Year ◽  
Control Work ◽  
The Village

Abstract Background: In China, village doctors played a crucial role in TB cases referral and management. The current study aimed to evaluate the effect of WeChat-based training program on improving the village doctors’ knowledge on TB management.Methods: A One-year WeChat-based training was conducted by means of releasing original contents (in forms of text, poster, video or cartoon), through WeChat subscription account (WeChat SA) once a week. Pre-and post-training offline tests were hold using the same self-administered questionnaire to evaluate the training effect.Results: A total of 467 village doctor were included in the study. During the training, sixty original articles were posted through WeChat SA. With respect to the two tests, the median score increased from 50 (40.0-60.0) to 60 (53.0-70.0) (p<0.001) after training. The median scores were always higher after training no matter what kind of article contents and forms. In addition, the effectiveness of such training was found to be influenced by gender and education level.Conclusions: Our results indicated that WeChat-based training could partly improve the knowledge of village doctors on TB management. It is worthy to explore more effective new media-based training methods that might promote TB control work in rural China.

scholarly journals The effect of WeChat-based training on improving the village doctors’ knowledge of tuberculosis management: a pre-and-post intervention study from China

2020 ◽  
Author(s):  
Lei Gao ◽  
Henan Xin ◽  
Haoran Zhang ◽  
Xuefang Cao ◽  
Boxuan Feng ◽  
...  
Keyword(s):  
New Media ◽  
Rural Areas ◽  
Rural China ◽  
Community Health Center ◽  
Self Control ◽  
Training Methods ◽  
Post Intervention ◽  
Village Doctors ◽  
One Year ◽  
The Village

Abstract Background: In China, around 70% tuberculosis (TB) cases occurred in rural areas. Village doctors played a crucial role in TB cases referral and management. The current study aimed to evaluate the effect of WeChat-based training program on improving the village doctors’ knowledge on TB management.Methods: A One-year WeChat-based training was conducted by means of releasing original contents (in forms of text, poster, video or cartoon), through WeChat subscription account (WeChat SA) once a week, with the topics of TB detection, treatment, prevention and patient’s management. Based on a self-control design, pre-and post-training offline tests were hold using the same self-administered questionnaire to evaluate the training effect.Results: A total of 467 village doctor registered in Zhongmu County (Henan province, China), who worked in the local village clinic or community health center, were included in the study. During the training, sixty original articles were posted through WeChat SA during the one-year training. There are 19, 26 and 15 were displayed in the form of text, poster and other types (such as video or cartoon), and the corresponding average reading times were 245, 38, 199, respectively. With respect to the two tests, the median score increased from 50 (40.0-60.0) to 60 (53.0-70.0) (p<0.001) after training. The median scores were always higher after training no matter what kind of article contents and forms. In addition, the effectiveness of such training was found to be influenced by gender and education level.Conclusions: Our results indicated that WeChat-based training could improve the knowledge of village doctors on TB management. It is worthy to explore more effective new media-based training methods that might promote TB control work in rural China.

Pattern of antibiotic prescribing and factors associated with it in eight village clinics in rural Shandong Province, China: a descriptive study

2019 ◽  
Vol 113 (11) ◽  
pp. 714-721 ◽  
Author(s):  
Jia Yin ◽  
Oliver James Dyar ◽  
Peng Yang ◽  
Ding Yang ◽  
Gaetano Marrone ◽  
...  
Keyword(s):  
Rural China ◽  
Village Doctor ◽  
Antibiotic Prescribing ◽  
Upper Respiratory Tract ◽  
Structured Interviews ◽  
Antibiotic Overuse ◽  
Factors Associated ◽  
Village Doctors ◽  
Level Of Knowledge ◽  
Tract Infections

Abstract Background This study describes the patterns of antibiotic prescribing in eight village clinics in rural China and evaluates factors associated with antibiotic prescribing using quantitative and qualitative methods. Methods From January 2015 to July 2017, 60 prescriptions were collected monthly from selected village clinics in Shandong, China. Village clinic doctors completed a questionnaire regarding their knowledge of antibiotic prescribing. Semi-structured interviews were conducted with 15 village doctors and 1 deputy director from the township hospital. Results Of the 14 526 prescriptions collected, 5851 (40.3%) contained at least one antibiotic, among which 18.4% had two or more antibiotics and 24.3% had parenteral antibiotics. The antibiotic prescribing rate (β=−0.007 [95% confidence interval −0.009 to −0.004]) showed a declining trend (1.7% per month). Higher antibiotic prescribing rates were observed for patients <45 y of age and those diagnosed with upper respiratory tract infections and among village doctors who had less working experience and a lower level of knowledge on antibiotic prescribing. Qualitative analyses suggested that antibiotic prescribing was influenced by the patients’ symptoms, patients’ requests, policies restraining the overuse of antibiotics, subsidies for referral and routine village doctor training. Conclusions Antibiotic prescribing has declined in the included village clinics, which may be due to the policy of reducing antibiotic overuse in primary health care centres in China.

scholarly journals The Influence of Job satisfaction, Resilience and Work engagement on Turnover Intention among Village Doctor in China:a cross-sectional study

2019 ◽  
Author(s):  
Xuewen Zhang ◽  
Liyan Bian ◽  
Xue Bai ◽  
Dezhong Kong ◽  
Li Liu ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Work Engagement ◽  
Turnover Intention ◽  
Village Doctor ◽  
Mediating Effect ◽  
Equation Modeling ◽  
Rural Residents ◽  
Village Doctors ◽  
Negative Effect ◽  
The Village

Abstract Background As the gatekeepers of rural residents ‘health, the team of village doctors plays a vital role in improving the health level of rural residents. However, a large number of village doctor’s turnover, or even dozens of them turnover collectively, threatening the stability of the village medical team. This research evaluated the influence of job satisfaction, resilience, work engagement on turnover intention of village doctor and explored the mediating role of resilience and work engagement between job satisfaction and turnover intention among village doctor in China.Methods A quantitative study using a self-administered questionnaire containing mostly structured items was conducted among the village doctors with a sample size of 2693 from 1345 rural hospitals or clinics of Shandong province, China, during May and June 2019. All variables including demographic characteristics, job satisfaction, resilience, work engagement and turnover intention were based on literature and measured on 5- or 6-point Likert scale. Such statistical methods as one-way ANOVA, bivariate correlation, exploratory factor analysis (EFA) and Structural Equation Modeling (SEM) were used.Results As high as 46.9% of the participants had a high turnover intention and no less than 26.3% of the participants had a medium turnover intention. Job satisfaction not only has a direct negative effect on turnover intention(β=-0.37, p < 0.001), but also has an indirect effect on it through work engagement(β= -0.04, p < 0.001), work engagement has a direct negative impact on turnover intention(β= -0.13, p < 0.002), and resilience had an indirect negative effect on turnover intention through the mediating effect of work engagement(β= -0.09, p < 0.001). The results of this study strongly verified that job satisfaction, resilience, work engagement were early, powerful predicators of turnover intention.Conclusion According to the results, reasonable and fair income, effective promotion mechanism, fair social old-age security, reasonable workload, strong psychological coping mechanism for work stress, should be taken seriously to improve job satisfaction. The turnover intention of village doctors could be reduced through improving job satisfaction, resilience and work engagement.

Rationale and Design of a Cluster Randomized Trial of a Village Doctor-Led Intervention on Hypertension Control in China

2021 ◽  
Author(s):  
Yingxian Sun ◽  
Zhao Li ◽  
Xiaofan Guo ◽  
Ying Zhou ◽  
Nanxiang Ouyang ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Cluster Randomized Trial ◽  
Village Doctor ◽  
Health Coaching ◽  
Multifaceted Intervention ◽  
Hypertension Control ◽  
Rural Residents ◽  
Village Doctors ◽  
Cluster Randomized ◽  
The Village

Abstract Background In China, hypertension prevalence is high and increasing while the control rate is low, especially in rural areas. Traditionally, village doctors play an important role in infectious disease control and delivering essential health services to rural residents. We aim to test the effectiveness of a village doctor-led multifaceted intervention compared to usual care on blood pressure (BP) control and cardiovascular disease (CVD) among rural residents with hypertension in China. Methods In the China Rural Hypertension Control Project (CRHCP), a cluster randomized trial, 163 villages were randomly assigned to the village doctor-led intervention and 163 villages to control. A total of 33,995 individuals aged ≥40 years with an untreated BP ≥140/90 mmHg or treated BP ≥130/80 mmHg or with an untreated BP ≥130/80 mmHg and a history of clinical CVD were recruited into the study. The village doctor-led multifaceted intervention is designed to overcome barriers at the healthcare system, provider, patient, and community levels. Village doctors receive training on standard BP measurement, protocol-based hypertension treatment, and health coaching. They also receive technical support and supervision from hypertension specialists/primary care physicians and performance-based financial incentives. Study participants receive health coaching on home BP monitoring, lifestyle changes, and adherence to medications. The primary outcome is BP control (&lt;130/80 mmHg) at 18 months in phase 1 and CVD events over 36 months in phase 2. Conclusions The CRHCP will provide critically important data on the effectiveness, implementation, and sustainability of a hypertension control strategy in rural China for reducing the BP-related CVD burden. Clinical trials registration ClinicalTrials.gov identifier NCT03527719

scholarly journals Time Waits for No One: Longitudinal Study on the Effects of an Anti-Stigma Seminar on the Psychology Student Population

2021 ◽  
Vol 18 (10) ◽  
pp. 5441
Author(s):  
Luca Pingani ◽  
Sara Evans-Lacko ◽  
Sandra Coriani ◽  
Silvia Ferrari ◽  
Maria Filosa ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Online Survey ◽  
Student Population ◽  
Post Intervention ◽  
People With Mental Illness ◽  
T1 And T2 ◽  
One Year ◽  
Intended Behaviour

The primary aim is to describe the changes in the knowledge of mental health conditions, the attitudes toward the mentally ill, and the intended behaviour towards people with mental illness among the entire student population of the third year of a degree course in Psychology. A total of 570 students attended a seminar on stigma towards mental illness and were invited to complete an online survey which collected data on sociodemographic characteristics and three validated questionnaires evaluating different aspects of stigma at three different time points (pre-intervention, post-intervention, and at one year follow up). A total of 253 students (44.39%) completed the questionnaires at t0, t1, and t2. The mean age of the sample was 23.7 (SD = ±5.89), and 86.96% (n = 220) were females. Between t0 and t1, a statistically significant improvement was observed for all three outcomes, while the intended behaviour outcome was no longer significant between t1 and t2 (Z = −0.70; p = 0.48). Females and who participated live at the seminar maintained a significant knowledge of mental illness and a better attitude toward community mental health care. The effects of the seminar focused on reducing stigma tended to diminish over time at one year follow-up, particular in relation to intended behaviour.

scholarly journals Poverty alleviation research in rural China: Three decades and counting

2019 ◽  
Author(s):  
Jay Luo
Keyword(s):  
Poverty Alleviation ◽  
Poverty Reduction ◽  
Rural China ◽  
Safety Nets ◽  
Rural Governance ◽  
Negative Impacts ◽  
Development Outcomes ◽  
Social Safety Nets ◽  
The Impact ◽  
The Village

Poverty alleviation is a hallmark of post-revolution Chinese policymaking. Since 1978, the Communist Party of China (CPC) has implemented successive waves of poverty alleviation policies whose effects have become the focus of an ever-increasing body of academic literature. This paper reviews this diverse but limited literature that evaluates the impact of the CPC’s poverty reduction programs through four major channels, namely fiscal investment programs, social safety nets, rural governance on the village-, county- and provincial level, and the relocation of rural populations from destitute regions. This paper aims to synthesize results and evaluate whether and how the abovementioned poverty alleviation programs have had distinct positive or negative impacts on regional development outcomes. Furthermore, I highlight contradictions in empirical findings to motivate the discussion about contextual importance when designing and implementing future poverty alleviation programs. Finally, I suggest that an exhaustive and critical appraisal of the empirical strategies used in this literature would further the development and application of more accurate and informative methodologies.

scholarly journals ANALISIS KINERJA PENURUNAN DEFORESTASI DI 10 IZIN HUTAN DESA KECAMATAN BATU AMPAR

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Denni Nurdwiansyah ◽  
Gusti Hardiansyah ◽  
Emi Roslinda
Keyword(s):  
Survey Method ◽  
Social Forestry ◽  
Improve Performance ◽  
Deforestation Rates ◽  
Long Run ◽  
The Social ◽  
And Performance ◽  
One Year ◽  
The Village ◽  
Forestry Programs

The effectiveness of devolution policies through social forestry programs in village forest schemes is still being debated at regional, national, and international levels. It departs from the fact that the community has limited resources in managing forests in the long run (35 years). The background of this research is to measure the implementation of devolution policy in 10 granted village forest licenses in the sub-district of Batu Ampar, Kubu Raya District, and its relationship with deforestation rates. The study was conducted by survey method and data collection with literature studies and observations. Observation aims to measure the biophysical condition of the forest as well as the social and economic conditions of the community in the village. The data is processed and analyzed using spatial analysis and performance analysis. The results showed that the devolution policy through the issuance of 10 village forest licenses was proven to be able to improve performance in reducing deforestation, especially after one year of the village forest permits were granted. Keywords: devolution, social forestry, village forest, deforestation, performance AbstrakEfektifitas kebijakan devolusi melalui program perhutanan sosial skema hutan desa masih menjadi perdebatan di level regional, nasional, dan internasional. Hal ini berangkat dari fakta keterbatasan sumber daya yang dimiliki masyarakat dalam mengelola hutan dalam jangka waktu panjang (35 tahun). Penelitian bertujuan untuk mengurai implementasi kebijakan devolusi di 10 izin hutan desa Kecamatan Batu Ampar, Kabupaten Kubu Raya, dan pengaruhnya terhadap laju deforestasi. Penelitian dilakukan dengan metode survei. Pengumpulan data dengan studi literatur dan observasi. Observasi bertujuan untuk mengetahui kondisi biofisik hutan serta kondisi sosial dan ekonomi masyarakat di desa. Data-data diolah dan dianalisis menggunakan analisis spasial dan analisis kinerja. Hasil penelitian menunjukan kebijakan devolusi melalui pemberian 10 izin hutan desa telah terbukti secara kumulatif mampu meningkatkan kinerja positif dalam penurunan deforestasi, terutama setelah satu tahun izin hutan desa diberikan.Kata kunci: devolusi, perhutanan sosial, hutan desa, deforestasi, kinerja

scholarly journals ANALISIS FINANSIAL USAHA PEMBENIHAN IKAN LELE SANGKURIANG (Clarias gariepinus) DI DESA TATELI DUA KECAMATAN MANDOLANG KABUPATEN MINAHASA PROVINSI SULAWESI UTARA

2016 ◽  
Vol 4 (7) ◽  
Author(s):  
Maria Binei ◽  
Victoria E.N. Manoppo ◽  
Djuwita R.R. Aling
Keyword(s):  
Return On Investment ◽  
Financial Analysis ◽  
Clarias Gariepinus ◽  
Profit Rate ◽  
Hatchery Fish ◽  
Operating Profit ◽  
North Sulawesi ◽  
One Year ◽  
Break Even Point ◽  
The Village

Abstrak Penelitian ini bertujuan untukmengetahui kelayakan usaha pembenihan ikan lele sangkuriang (Clarias gariepinus) di Desa Tateli Dua Kecamatan Mandolang Kabupaten Minahasa Provinsi Sulawesi Utara dari aspek finansialnya dan Untuk mendeskripsikan faktor-faktor apa saja yang turut mempengaruhi dalam usaha pembenihan ikan lele sangkuriang (Clarias gariepinus) di Desa Tateli Dua Kecamatan Mandolang Kabupaten Minahasa Provinsi Sulawesi Utara. Berdasarkan hasil analisis secara finansial, usaha pembenihan ikan lele sangkuriang di Desa Tateli Dua tersebut sangat layak dijalankan karena semua nilai Operating Profit positif , Profit Rate dari usaha tersebut mencapai 31%, nilai BCR > 1, usaha tersebut termasuk kategori sangat baik karena mempunyai nilai rentabilitas >100%, BEP atau titik impas tidak sama yaitu BEP penjualan Rp. 8.607.285, BEP satuan 8.197 ekor. tingkat pengembalian investasi dari usaha pembenihan ikan lele sangkuriang tersebut sangat layak dijalankan karena dapat mengembalikan investasi kurang dari 1 tahun, yaitu 0,5 tahun. Kata Kunci : Analisis Finansial, Usaha, Pembenihan Ikan Lele Sangkuriang, Kecamatan Mandolang Abstrack This study aims to determine the feasibility of hatchery fish catfish (Clarias gariepinus) in the village of Tateli Two sub district Mandolang Minahasa North Sulawesi province of aspects of financial and To describe what factors are also influencing the business hatchery fish catfish (Clarias gariepinus) Village Tateli Two subdistrict Mandolang Minahasa North Sulawesi Province. Based on the analysis in the financial, business hatchery fish catfish in the village Tateli Two is very viable for all grades Operating Profit positive, Profit Rate of the effort reaches 31%, the value of BCR> 1, these efforts included the very good category because it has the value of earnings > 100%, BEP or break-even point at which the sale of BEP Rp. 8,607,285, 8,197 units BEP tail. the return on investment of catfish fish hatchery operations is very viable because it can recover the investment of less than one year, which is 0.5 years. Keywords: Financial Analysis, Business, Catfish Hatchery Sangkuriang, District Mandolang

scholarly journals A Comparative Study of Police Government Microblog and Government Tik Tok

2021 ◽  
Vol 9 (4) ◽  
Author(s):  
Ainan Zhu ◽  
Xia Li
Keyword(s):  
New Media ◽  
Status Quo ◽  
Public Security ◽  
Guidance And Control ◽  
The Status ◽  
On Line ◽  
Government Propaganda ◽  
Control Work ◽  
And Control ◽  
Chinese Police

Based on "government micro-blog" and "government tiktok" of Chinese Police Online, this paper collects data with the help of Octopus Collector and Python, then studies the status quo of Chinese police on-line through two new government media platforms: Weibo and Weibo public security organs to use new media to carry out government propaganda and public opinion guidance and control work.

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