scholarly journals Challenges for National Deworming Policy in Indonesia: Experience From Bandung District West Java Province

2020 ◽  
Author(s):  
Riyadi Adrizain ◽  
Djatnika Setiabudi ◽  
Lia Faridah ◽  
Nisa Fauziah ◽  
Budi Setiabudiawan
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Primary Health Care ◽  
Control Strategy ◽  
Small Area ◽  
Group Discussion ◽  
District Health Office ◽  
District Health ◽  
Primary Health ◽  
Irregular Mass

Abstract Background The strategy of regular deworming has been the main STH control strategy recommended by the WHO for over a decade. In 2017, Indonesian government has also adapted this strategy by launching the Ministry of Health (MoH) Regulation No. 15 year 2017 regarding helminthiasis control. However, deworming effort is often hindered by various factors including poor hygiene, habits, and irregular mass drug administration in developing countries. To obtain a picture of how the deworming regulation is carried out and key challenges in Indonesia, this study investigated deworming conduct in Bandung District – one of the densest areas in Indonesia. Methods The main methodology was qualitative using published documents, interview and focus group discussion with related agencies such as MoH, Bandung District Health Office, primary health care and cadres (community participants). Results From this study, we discovered incompleteness and inconsistency of conduct – even within a relatively small area such as Bandung District. Moreover, this study also found that deworming is combined with stunting programs in some areas without proper study directly correlating the improvement of nutritional status with reduced incidence of STH. Conclusions This study has demonstrated the challenges sustaining a consistent nationwide campaign over a wide area such as in Indonesia. In the end, we recommended that further nationwide evaluation is required – placing emphasis on dissemination of policy to ensure more standardized conduct.

scholarly journals Leadership, governance and management for improving district capacity and performance: the case of USAID transform: primary health care

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Binyam Fekadu Desta ◽  
Azeb Abitew ◽  
Ismael Ali Beshir ◽  
Mesele Damte Argaw ◽  
Sualiha Abdlkader
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Development Program ◽  
District Level ◽  
District Health Office ◽  
District Health ◽  
Primary Health ◽  
Outcome Monitoring ◽  
Significant Difference ◽  
District Capacity

Abstract Background Primary health care (PHC) in Ethiopia serves as the main entry point for preventive, promotive and curative health services. The district health office is responsible for the planning, implementation and evaluation of all district health activities. In addition, district health offices manage service delivery facilities working on provision of PHC – primary hospitals, health centers and health posts. As the leader of the health care system tier, district health management must ensure direction, alignment and commitment within teams and organizations and make sure that achievements are consistent with the vision, values and strategy of the organization. USAID Transform: Primary Health Care provides diverse support to improve district health manager competencies including in-service trainings followed by planning and implementation of performance improvement projects and on-the-job mentoring and support. Methods This study was conducted to compare district level capacity and performances between leadership, management and governance (LMG) and non-LMG districts. Project outcome monitoring data that shows the performance of districts was collected from 284 districts from January to December 2019. The study was carried out using a comparative-cross sectional study design, which assessed and compared district health office level indicators. Districts were classified into two categories: LMG and non-LMG districts. The study compared data from 94 LMG and 190 non-LMG districts. Propensity score matching was used to control the effect of differences between LMG and non-LMG districts. Results Results of the independent samples t-test revealed that LMG districts scored better average performances of 61.8 ± 121.45 standard deviation (SD) compared to non-LMG districts 56.89 ± 110.39 SD, with t (282243) = − 3.407317 and p < 0.001, two-tailed. The difference of 4.9 percentage unit in the average performance indicated a statistically significant difference between the LMG and non-LMG districts. Conclusion District level leadership development program contributes to improving district capacity, structure and management practices, and quality of care.

scholarly journals Leadership, governance and management for improving district capacity and performance: the case of USAID Transform: Primary Health Care

2020 ◽  
Author(s):  
Binyam Fekadu Desta ◽  
Azeb Abitew ◽  
Ismael Ali Beshir ◽  
Mesele Damite Argaw ◽  
Sualiha Abdlkader
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Management Practices ◽  
Health Management ◽  
District Health Office ◽  
District Health ◽  
Cross Sectional ◽  
Primary Health ◽  
Outcome Monitoring ◽  
Significant Difference

Abstract Primary health care (PHC) in Ethiopia serves as the main entry point for preventive, promotive and curative health services. The district health office is responsible for the planning, implementation and evaluation of all district health activities. In addition, district health offices manage service delivery facilities working on provision of PHC – primary hospitals, health centers and health posts. As the leader of the health care system tier, district health management must ensure direction, alignment and commitment within teams and organizations and make sure that achievements are consistent with the vision, values and strategy of the organization. USAID Transform: Primary Health Care provides diverse support to improve district health manager competencies including in-service trainings followed by planning and implementation of performance improvement projects and on-the-job mentoring and support. This study was conducted to compare district level capacity and performances between leadership, management and governance (LMG) and non-LMG districts. Project outcome monitoring data that shows the performance of districts was collected from 284 districts from January to December 2019. The study was carried out using a comparative-cross sectional study design, which assessed and compared district health office level indicators. Districts were classified into two categories: LMG and non-LMG districts. The study compared data from 94 LMG and 190 non-LMG districts. Propensity score matching was used to control the effect of differences between LMG and non-LMG districts. Results of the independent samples t-test revealed that LMG districts scored better average performances of 61.8±121.45 standard deviation (SD) compared to non-LMG districts 56.89±110.39 SD, with t (282243) = -3.407317 and p < 0.001, two-tailed. The difference of 4.9 percentage unit in the average performance indicated a statistically significant difference between the LMG and non-LMG districts. The data analysis illustrated significant differences observed in management practices, district administrative capacity, and quality in project implementation sites.

scholarly journals Leadership, governance and management for improving district capacity and performance: the case of USAID Transform: Primary Health Care

2020 ◽  
Author(s):  
Binyam Fekadu Desta ◽  
Abitew Azeb ◽  
Beshir Ali Ismael ◽  
Argaw Damite Mesele ◽  
Abdlkader Sualiha
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Management Practices ◽  
Health Management ◽  
District Health Office ◽  
District Health ◽  
Cross Sectional ◽  
Primary Health ◽  
Outcome Monitoring ◽  
Significant Difference

Abstract Primary health care (PHC) in Ethiopia serves as the main entry point for preventive, promotive and curative health services. The district health office is responsible for the planning, implementation and evaluation of all district health activities. In addition, district health offices manage service delivery facilities working on provision of PHC – primary hospitals, health centers and health posts. As the leader of the health care system tier, district health management must ensure direction, alignment and commitment within teams and organizations and make sure that achievements are consistent with the vision, values and strategy of the organization. USAID Transform: Primary Health Care provides diverse support to improve district health manager competencies including in-service trainings followed by planning and implementation of performance improvement projects and on-the-job mentoring and support. This study was conducted to compare district level capacity and performances between leadership, management and governance (LMG) and non-LMG districts. Project outcome monitoring data that shows the performance of districts was collected from 284 districts from January to December 2019. The study was carried out using a comparative-cross sectional study design, which assessed and compared district health office level indicators. Districts were classified into two categories: LMG and non-LMG districts. The study compared data from 94 LMG and 190 non-LMG districts. Results of the independent samples t-test revealed that LMG districts scored better average performances of 61.8 ± 12.4 standard deviation (SD) compared to non-LMG districts at 56.8 ± 11.3 SD, with t (282) = 3.407 and p < 0.001, two-tailed. The difference of 5.02 percentage unit in the average performance indicated a statistically significant difference between the LMG and non-LMG districts. The data analysis illustrated changes observed in management practices, district administrative capacity, capacity of districts in resource mobilization and use, service availability and quality in project implementation sites.

scholarly journals Leadership, governance and management for improving district capacity and performance: the case of USAID Transform: Primary Health Care

2020 ◽  
Author(s):  
Binyam Fekadu Desta ◽  
Azeb Abitew ◽  
Ismael Ali Beshir ◽  
Mesele Damite Argaw ◽  
Sualiha Abdlkader
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Development Program ◽  
District Level ◽  
District Health Office ◽  
District Health ◽  
Primary Health ◽  
Outcome Monitoring ◽  
Significant Difference ◽  
District Capacity

Abstract Background: Primary health care (PHC) in Ethiopia serves as the main entry point for preventive, promotive and curative health services. The district health office is responsible for the planning, implementation and evaluation of all district health activities. In addition, district health offices manage service delivery facilities working on provision of PHC – primary hospitals, health centers and health posts. As the leader of the health care system tier, district health management must ensure direction, alignment and commitment within teams and organizations and make sure that achievements are consistent with the vision, values and strategy of the organization. USAID Transform: Primary Health Care provides diverse support to improve district health manager competencies including in-service trainings followed by planning and implementation of performance improvement projects and on-the-job mentoring and support. Methods: This study was conducted to compare district level capacity and performances between leadership, management and governance (LMG) and non-LMG districts. Project outcome monitoring data that shows the performance of districts was collected from 284 districts from January to December 2019. The study was carried out using a comparative-cross sectional study design, which assessed and compared district health office level indicators. Districts were classified into two categories: LMG and non-LMG districts. The study compared data from 94 LMG and 190 non-LMG districts. Propensity score matching was used to control the effect of differences between LMG and non-LMG districts. Results: Results of the independent samples t-test revealed that LMG districts scored better average performances of 61.8±121.45 standard deviation (SD) compared to non-LMG districts 56.89±110.39 SD, with t (282243) = -3.407317 and p < 0.001, two-tailed. The difference of 4.9 percentage unit in the average performance indicated a statistically significant difference between the LMG and non-LMG districts. Conclusion: District level leadership development program contributes to improving district capacity, structure and management practices, and quality of care.

Childhood Mental Disorders in Primary Health Care: Results of Observations in Four Developing Countries

PEDIATRICS ◽  
1981 ◽  
Vol 68 (5) ◽  
pp. 677-683
Author(s):  
R. Giel ◽  
M. V. de Arango ◽  
C. E. Climent ◽  
T. W. Harding ◽  
H. H. A. Ibrahim ◽  
...  
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Primary Health Care ◽  
Mental Disorders ◽  
Health Workers ◽  
Health Care Facilities ◽  
Primary Health ◽  
Care Facilities ◽  
Research Procedure ◽  
Primary Health Care Facilities

To ascertain the frequency of mental disorders in Sudan, Philippines, India, and Colombia, 925 children attending primary health care facilities were studied. Rates of between 12% and 29% were found in the four study areas. The range of mental disorders diagnosed was similar to that encountered in industrialized countries. The research procedure involved a two-stage screening in which a ten-item "reporting questionnaire" constituted the first stage. The study has shown that mental disorders are common among children attending primary health care facilities in four developing countries and that accompanying adults (usually the mothers) readily recognize and report common psychologic and behavioral symptoms when these are solicited by means of a simple set of questions. Despite this, the primary health workers themselves recognized only between 10% and 22% of the cases of mental disorder. The results have been used to design appropriate brief training courses in childhood mental disorders for primary health workers in the countries participating in the study.

Sign in / Sign up

Export Citation Format

Share Document