scholarly journals Peer supervision experiences of drug sellers in a rural district in East-Central Uganda: a qualitative study

2020 ◽  
Author(s):  
Arthur Bagonza ◽  
Henry Wamani ◽  
Stefan Peterson ◽  
Andreas Mårtensson ◽  
Milton Mutto ◽  
...  
Keyword(s):  
Sick Child ◽  
Health Workers ◽  
Performance Outcomes ◽  
Drug Shop ◽  
Peer Supervision ◽  
East Central ◽  
Good Relationship ◽  
Children Under Five ◽  
Under Five ◽  
Drug Sellers

Abstract BackgroundSupport supervision improves performance outcomes among health workers. However, the national professional guidelines for new licenses and renewal for class C drug shops in Uganda prescribe self-supervision of licensed private drug sellers.As such, inappropriate treatment of malaria, pneumonia and diarrhoea among children under five years of age continues unabated. This study assessed experiences of drug sellers and peer supervisors at the end of a peer supervision intervention in Luuka district in East Central Uganda.MethodsEightin-depth interviews (IDIs) were held with peer supervisors while five focus group discussions (FGDs) were conducted among registered drug sellersat the end of the peer supervision intervention. The study assessed experiences and challenges of peer supervisors and drug sellers regarding peer supervision.Transcripts were imported into Atlas ti 7 qualitative data management software (ATLAS.ti GmbH, Berlin) where they were analysedusing thematic content analysis.ResultsInitially, peer supervisors were disliked and regarded as another extension of drug inspectors by drug sellers. However, with time a good relationship was established between drug sellers and peer supervisors leading to regular, predictable and supportive peer supervision. This increased confidence of drug sellers in using respiratory timers and rapid diagnostic tests in diagnosing pneumonia symptoms and uncomplicated malaria respectively among children under five years. There was also an improvement in completing the sick child register which was used for self-assessment by drug sellers. The drug shop association was mentioned as a place where peer supervision should be anchored since it was a one-stop center for sharing experiences and continuous professional development. Drug sellers proposed including community health workers in monthly drug shop association meetings so that they mayalso gain from the associated benefits. Untimely completion of the sick child registers by drug sellers and inadequate financial resources were the main peer supervision challenges mentioned.ConclusionDrug sellers benefitted from peer supervision by developing a good relationship with peer supervisors.This relationship guaranteed reliable and predictable supervision ultimately leading to improved treatment practices.There is need to explore the minimum resources needed for peer supervision of drug sellers to further inform practice and policy.

scholarly journals Peer supervision experiences of drug sellers in a rural district in East-Central Uganda: a qualitative study

2020 ◽  
Author(s):  
Arthur Bagonza ◽  
Henry Wamani ◽  
Stefan Peterson ◽  
Andreas Mårtensson ◽  
Milton Mutto ◽  
...  
Keyword(s):  
Sick Child ◽  
Health Workers ◽  
Performance Outcomes ◽  
Drug Shop ◽  
Peer Supervision ◽  
East Central ◽  
Good Relationship ◽  
Children Under Five ◽  
Under Five ◽  
Drug Sellers

Abstract Background Support supervision improves performance outcomes among health workers. However, the national professional guidelines for new licenses and renewal for class C drug shops in Uganda prescribe self-supervision of licensed private drug sellers. As such, inappropriate treatment of malaria, pneumonia and diarrhoea among children under five years of age continues unabated. This study assessed experiences of drug sellers and peer supervisors at the end of a peer supervision intervention in Luuka district in East Central Uganda. Methods Eight in-depth interviews (IDIs) were held with peer supervisors while five focus group discussions (FGDs) were conducted among registered drug sellers at the end of the peer supervision intervention. The study assessed experiences and challenges of peer supervisors and drug sellers regarding peer supervision. Transcripts were imported into Atlas ti 7 qualitative data management software (ATLAS.ti GmbH, Berlin) where they were analysed using qualitative thematic content analysis. Results Initially, peer supervisors were disliked and regarded as another extension of drug inspectors by drug sellers. However, with time a good relationship was established between drug sellers and peer supervisors leading to regular, predictable and supportive peer supervision. This increased confidence of drug sellers in using respiratory timers and rapid diagnostic tests in diagnosing pneumonia symptoms and uncomplicated malaria respectively among children under five years. There was also an improvement in completing the sick child register which was used for self-assessment by drug sellers. The drug shop association was mentioned as a place where peer supervision should be anchored since it was a one-stop center for sharing experiences and continuous professional development. Drug sellers proposed including community health workers in monthly drug shop association meetings so that they may also gain from the associated benefits. Untimely completion of the sick child registers by drug sellers and lack of adequate resources were the main peer supervision challenges mentioned. Conclusion Drug sellers benefitted from peer supervision by developing a good relationship with peer supervisors. This relationship guaranteed reliable and predictable supervision ultimately leading to improved treatment practices. There is need to explore the bare minimum resources needed for peer supervision.

scholarly journals Effectiveness of Peer-Supervision on Paediatric Fever Treatment Among Registered Private Drug Sellers in East-Central Uganda: An Interrupted Time Series Analysis

2020 ◽  
Author(s):  
Arthur Bagonza ◽  
Freddy Eric Kitutu ◽  
Stefan Peterson ◽  
Andreas Mårtensson ◽  
Milton Mutto ◽  
...  
Keyword(s):  
Time Series ◽  
Rural Areas ◽  
Uncomplicated Malaria ◽  
Interrupted Time Series ◽  
Bloody Diarrhoea ◽  
Drug Shop ◽  
Peer Supervision ◽  
East Central ◽  
Appropriate Treatment ◽  
Drug Sellers

Abstract Background: Appropriate treatment of paediatric fever in rural areas remains a challenge and may be partly due to inadequate supervision of licensed drug sellers. This study assessed the effectiveness of peer-supervision among drug sellers on appropriate treatment of pneumonia symptoms, uncomplicated malaria and non-bloody diarrhoea among children less than five years of age in the intervention (Luuka) and comparison (Buyende) districts, in East-Central Uganda.Methods: Data on pneumonia symptoms, uncomplicated malaria and non-bloody diarrhoea among children less than five years of age was abstracted from drug shop sick child registers over a 12-month period; six months before and six months after introduction of peer-supervision. Interrupted time series was applied to determine the effectiveness of the peer-supervision intervention on appropriate treatment of pneumonia, uncomplicated malaria and non-bloody diarrhoea among children less than five years of age attending drug shops in East Central Uganda.Results: The proportion of children treated appropriately for pneumonia symptoms was 10.84% (P < 0.05, CI = [1.75, 19.9]) higher, for uncomplicated malaria was 1.46% (P = 0.79, CI = [-10.43, 13.36]) higher, and for non-bloody diarrhoea was 4.00% (p < 0.05, CI = [-7.95, -0.13]) lower in the intervention district than the comparison district, respectively.Post-intervention trend results showed an increase of 1.21% (p =0.008, CI = [0.36, 2.05]) in the proportion appropriately treated for pneumonia symptoms, no difference in appropriate treatment for uncomplicated malaria, and a reduction of 1% (p <0.06, CI = [-1.95, 0.02]) in the proportion of children appropriately treated for non-bloody diarrhoea, respectively.Conclusions: Peer-supervision increased the proportion of children less than five years of age that received appropriate treatment for pneumonia symptoms but not for uncomplicated malaria and non-bloody diarrhoea. Implementation of community level interventions to improve paediatric fever management should consider including peer-supervision among drug sellers.

scholarly journals Peer supervision experiences of drug sellers in a rural district in East-Central Uganda: a qualitative study

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Arthur Bagonza ◽  
Henry Wamani ◽  
Stefan Peterson ◽  
Andreas Mårtensson ◽  
Milton Mutto ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Rural District ◽  
Peer Supervision ◽  
East Central ◽  
Drug Sellers

scholarly journals Pengaruh integrasi intervensi gizi dan stimulasi tumbuh kembang terhadap peningkatan berat badan dan perkembangan balita kurus

2018 ◽  
Vol 15 (1) ◽  
pp. 16 ◽  
Author(s):  
Bunga Paramashanti ◽  
Sulistyawati Sulistyawati
Keyword(s):  
Health Workers ◽  
Nutrition Intervention ◽  
Food Supplementation ◽  
Control Group ◽  
Intervention Package ◽  
Education Development ◽  
Double Burden ◽  
Children Under Five ◽  
Under Five ◽  
Feeding Center

Background: Indonesia has faced the problem where double burden malnutrition increasing. On the other hand, malnutrition in children may affect the development both in early childhood and the quality of human capital in later life.Objective: This study aimed to examine the effect of integration of nutrition intervention and development stimulation on weight gain and development of wasted children.Method: Design used in this study was quasi-experimental with pre- and post-test control group. Subjects were 38 children under-five resided in Sedayu Subdistrict. Sampels were selected by using total sampling of children under-five in community feeding center, meanwhile controls were children under-five selected from integrated health posts in another villages with the ratio of 1:1. Interventions given were education, development stimulation and food supplementation package distributed by the community health workers whom were given capacity building. Analysis used were Mann-Whitney U and Wilcoxon Signed Rank tests at the level of significance 0,05.Results: Children in intervention groups gained their weight significantly from before (9.17±1.89) and after (9.27±1.79) intervention (p=0.04). Meanwhile, development impairment score decreased from 1.32±0.75 to 0.42±0.61 significantly (p=0.00).Conclusion: Intervention package containing nutrition and development education, development stimulation and supplementary food through community feeding center (CFC) sucessfully increased body weight and development of wasted children significantly.

scholarly journals FAKTOR-FAKTOR YANG MEMPENGARUHI KUNJUNGAN IBU BALITA KE POSYANDU: LITERATUR REVIEW

2021 ◽  
Vol 12 (2) ◽  
pp. 256
Author(s):  
Emilia Yunritati Rehing ◽  
Antono Suryoputro ◽  
Sakundarno Adi
Keyword(s):  
Health Workers ◽  
Active Role ◽  
Community Health Service ◽  
Children Under Five ◽  
Under Five ◽  
Factors Associated ◽  
Service Activity ◽  
Health Related ◽  
Improve Health

AbstrakPosyandu merupakan suatu kegiatan pelayanan kesehatan masyarakat yang dikelola bersama sebagai upaya dalam peningkatan kesehatan. Kegiatan posyandu salah satunya yakni untuk memantau pertumbuhan dan perkembangan balita. Posyandu balita dilakukan secara rutin sesuai dengan yang jadwalkan dan perlunya peran aktif ibu yang memiliki anak balita untuk melakukan kunjungan guna mendapat penyuluhan terkait kesehatan, pemantauan tumbuh kembang anak, pemberian vitamin, dan imunisasi. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kunjungan balita ke Posyandu. Hasil penelitian menunjukan factor kunjungan posyandu antara lain pengetahuan, pekerjaan ibu, peran kader dan petugas kesehatan, dukungan keluarga, jarak posyandu, pendidikan ibu, sikap, motivasi, kepemilikan KMS. Penelitian ini dilakukan dengan menggunakan literature riview yaitu sebanyak 10 artikel dan dipublikasikan 5 tahun terakhir yaitu tahun 2017-2021. Pencarian artikel dengan menggunakan google scolar dan science direct. Kata Kunci: Kunjungan Posyandu, Ibu, Balita Abstract Posyandu is a community health service activity that is jointly managed as an effort to improve health. One of the posyandu activities is for the growth and development of children under five. Posyandu for toddlers are carried out regularly as scheduled and the need for an active role for mothers with children under five to make visits to get health-related education, warnings on child development, offer vitamins, and immunization. This study aims to determine the factors associated with under-five visits to Posyandu. The results showed that the posyandu visit factors included knowledge, maternal occupation, the role of cadres and health workers, family support, distance of posyandu, mother's education, attitudes, motivation, ownership of KMS. This research was conducted using a literature review of 10 articles and published in the last 5 years, namely 2017-2021. Search for articles using google scolar and science direct. Keywords: Posyandu visits, mothers, toddlers

scholarly journals DETERMINAN KEJADIAN ISPA NON PNEUMONIA PADA ANAK BALITA DI KELURAHAN KEDUNG SARI KECAMATAN SUKAJADI KOTA PEKANBARU

2019 ◽  
Vol 1 (2) ◽  
pp. 90-97
Author(s):  
Christine Vita Gloria Purba ◽  
Okta Safryanni ◽  
Al Hidayati ◽  
Zulmeliza Rasyid
Keyword(s):  
Tract Infection ◽  
Respiratory Tract ◽  
Respiratory Tract Infection ◽  
Cigarette Smoke ◽  
Health Workers ◽  
Acute Respiratory Tract Infection ◽  
Primary Data ◽  
P Value ◽  
Children Under Five ◽  
Under Five

Non pneumonia Acute Respiratory Tract Infection (ARI) is a respiratory tract disease that is acute with a cough that does not show symptoms of increased respiratory frequency and does not indicate the pull of the lower chest wall inward. The incidence of non pneumonia ARI  in children under five in Kedung Sari Village was recorded at 40.06%. This study aims to determine the description and determinant of the incidence of non-pneumonia ARI  in children under five in Kedung Sari Village, Sukajadi District, Pekanbaru City in 2019. This type of research is quantitative observational analytic with cross sectional design. The study population was all children under five who lived in Kedung Sari Village, Sukajadi District, Pekanbaru City, amounting to 312 people with a sample of 172 respondents. The sampling technique was done by consecutive sampling. The type of data used in this study are primary data and secondary data by means of retrieving data through measurements and questionnaires. Data analysis was done by univariate and bivariate with chi square test. The results showed that there was a correlation between exposure to cigarette smoke (p-value 0,000) and the incidence of non-pneumonia ARI in children under five. It is expected that health workers, especially in the health promotion section of the community health center in implementing control and eradication programs of Acute Respiratory Tract Infection can provide health education, especially regarding the dangers of cigarette smoke for children under five and recommend smokers to smoke in special places so children under five are not exposed cigarettes.

scholarly journals PEMBERDAYAAN IBU DALAM MENGENALI DIARE PADA ANAK DAN CARA PENCEGAHAN DIARE DI POSYANDU KALI KEJAMBON KECAMATAN TEMBELANG KABUPATEN JOMBANG

2019 ◽  
Vol 3 (1) ◽  
pp. 07
Author(s):  
Mamik Ratnawati ◽  
Monika Sawitri Prihatini ◽  
Rini Hayu Lestari
Keyword(s):  
Developing Countries ◽  
Community Service ◽  
Health Workers ◽  
Morbidity And Mortality ◽  
Children Under Five ◽  
Under Five ◽  
Global Problem ◽  
Child Morbidity ◽  
The World ◽  
Service Activities

Abstrak: Penyakit    diare    masih    menjadi    masalah  global      dengan      derajat      kesakitan      dan  kematian    yang    tinggi    di    berbagai    negara terutama   di   negara   berkembang,   dan   juga sebagai   salah  satu penyebab  utama  tingginya  angka    kesakitan    dan    kematian    anak    di  dunia. Tujuan dari kegiatan ini adalah untuk memberikan edukasi kepada ibu balita agar mengerti dan paham tentang diare dan pencegahannya di posyandu Desa Kali Kejambon Kecamatan Tembelang kabupaten Jombang. Kegiatan pengabdian masyarakat dengan Pemberdayaan Ibu Dalam Mengenali Diare Pada Anak Dan Cara Pencegahan Diare di Posyandu Kali Kejambon Kecamatan Tembelang Kabupaten Jombang berjalan dengan baik, sebanyak 50 orang ibu balita yang hadir dalam kegiatan ini dan terdapat 80% ibu balita paham dengan materi yang disampaikan oleh tim pelaksana pengabdian masyarakat serta terdapat umpan balik dengan memberikan pertanyaan kepada pelaksana kegiatan untuk pembahasan yang belum dimengerti. Bagi para ibu balita agar selalu waspada dengan kejadian diare pada balita karena diare merupakan bukan kasus yang bisa diremehkan dan bagi tenaga kesehatan agar selalu memberikan edukasi tentang penyakit-penyakit yang sering terjadi pada anak-anak agar tidak terjadi bahaya dan komplikasi.Abstract: Diarrhea is still a global problem with high degrees of illness and death in various countries, especially in developing countries, and also as one of the main causes of high child morbidity and mortality in the world. The purpose of this activity is to provide education to mothers of children under five to understand and understand diarrhea and its prevention at the Posyandu in Kali Kejambon Village, Tembelang District, Jombang Regency. Community service activities with the Empowerment of Mothers in Recognizing Diarrhea in Children and How to Prevent Diarrhea in the Kali Kejambon Posyandu in Tembelang District, Jombang Regency went well, as many as 50 under-five mothers attended this activity and 80% of toddlers understood the material delivered by the team implementing community service and providing feedback by giving questions to the implementers of activities for discussions that have not been understood. For mothers of toddlers to always be aware of the incidence of diarrhea in toddlers because diarrhea is not a case that can be underestimated and for health workers to always provide education about diseases that often occur in children so that there is no danger and complications.

scholarly journals Contribution of Community Health Workers to the treatment of common illnesses among under 5-year-olds in rural Uganda.

2021 ◽  
Author(s):  
Fred Bagenda ◽  
Andrew Christopher Wesuta ◽  
Geren Stone ◽  
Moses Ntaro ◽  
Palka Patel ◽  
...  
Keyword(s):  
Case Management ◽  
Community Health ◽  
Community Health Workers ◽  
Management Strategy ◽  
Health Workers ◽  
Community Case Management ◽  
Integrated Community Case Management ◽  
Children Under Five ◽  
Under Five ◽  
Common Illnesses

Abstract Introduction The control of malaria, pneumonia, and diarrhea is important for the reduction in morbidity and mortality among children under five years. Uganda has adopted the Integrated Community Case Management strategy using Community Health Workers to address this challenge. The extent and trend of these three conditions managed by the Community Health Workers are not well documented. This study was done to document Community Health Workers’ contribution towards treatment and the trends of the three common illnesses in Bugoye Sub-County in rural Uganda.

scholarly journals ‘I know those people will be approachable and not mistreat us’: a qualitative study of inspectors and private drug sellers on peer supervision in rural Uganda

2020 ◽  
Author(s):  
Arthur Bagonza ◽  
Stefan Peterson ◽  
Andreas Mårtensson ◽  
Milton Mutto ◽  
Phllis Awor ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Role Model ◽  
Health Workers ◽  
Care Delivery ◽  
Group Discussions ◽  
Peer Supervision ◽  
Four Dimensions ◽  
Inappropriate Treatment ◽  
Key Informant ◽  
Drug Sellers

Abstract BackgroundPeer supervision improves health care delivery by health workers. However, in rural Uganda, self-supervision is what is prescribed for licensed private drug sellers by statutory guidelines. Evidence shows that self-supervision encourages inappropriate treatment of children less than five years of age by private drug sellers. This study constructed a model for an appropriate peer supervisor to augment the self-supervision currently practiced by drug sellers at district level in rural Uganda.MethodsIn this qualitative study, six Key informant interviews were held with inspectors while ten focus group discussions were conducted with one hundred and thirty drug sellers. Data analysis was informed by the Kathy Charmaz constructive approach to grounded theory. Atlas ti.7 software package was used for data management.Results A model with four dimensions defining an appropriate peer supervisor was developed. The dimensions included; incentives, clearly defined roles, mediation and role model peer supervisor. While all dimensions were regarded as being important, all participants interviewed agreed that incentives for peer supervisors were the most crucial. Overall, an appropriate peer supervisor was described as being exemplary to other drug sellers, operated within a defined framework, well facilitated to do their role and a good go-between drug sellers and government inspectors. Conclusion Four central contributions advance literature by the model developed by our study. First, the model fills a supervision gap for rural private drug sellers. Second, it highlights the need for terms of reference for peer supervisors. Third, it describes who an appropriate peer supervisor should be. Lastly, it elucidates the kind of resources needed for peer supervision.

scholarly journals The Effect of the Emotional Demonstration Method of Mealing Schedule on the Knowledge of Mothers to Children in Posyandu V Mulyorejo Surabaya

2021 ◽  
Vol 2 (1) ◽  
pp. 17-21
Author(s):  
Nidya Comdeca Nurvitriana ◽  
Setiana Andarwulan
Keyword(s):  
Health Workers ◽  
Sampling Technique ◽  
Mean Value ◽  
T Test ◽  
P Value ◽  
Children Under Five ◽  
Under Five ◽  
Post Test ◽  
The Mean ◽  
Paired T Test

Background of research on mother's knowledge of toddlers in providing feeding schedules, especially snacks. Giving snacks that are not right on schedule will have an influence on the growth and development of infants. Through the Emotional Demontration method, eating schedule for snacking can be controlled. Emotional Demonstration is the provision of education not only through lectures but also through games so that the key messages conveyed can be remembered by mothers of toddlers in Posyandu V Mulyorejo Surabaya. The Emo Demo method is one solution to reduce the stunting rate. In 2017 the stunting rate in Indonesia reached 22.2%. Based on the results of the survey conducted through interviews with nutritionists, it was explained that there were 16 stunting toddlers in Posyandu V Surabaya. Quantitative Research Methodology, a quasi-experimental research design method with one group pretest posttest approach. The population in this study were all mothers of children under five in Posyandu V Mulyorejo Surabaya as many as 36 people, samples as many as 36 mothers of toddlers. With a total sampling technique. Analyze data with Paired T-test. The results showed the mean value of the pre test was 6.06, the mean value after the post test reached 8.16. While the significance value of p value = 0,000 with α = 0.05 through the Paired T-test. The conclusion is that there are differences in the knowledge of pre and post test among mothers of children under five in Posyandu V Mulyorejo Surabaya, p value = 0,000 with α = 0.05. Suggestions for health workers to continue to make improvements in practicing emotional demonstration to participants because it is very useful in increasing knowledge to prevent increased stunting rates.

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