scholarly journals Sexual Violence Against Adolescents in a Brazilian State: an Analysis of Reported Cases

2021 ◽  
Author(s):  
Mayara Alves Luis ◽  
Franciele Marabotti Costa Leite ◽  
Nataly Jímenez Monróy ◽  
Luciana Graziela de Godoi ◽  
Nicole Letourneau
Keyword(s):  
Sexual Violence ◽  
Prevalence Ratio ◽  
Chi Square ◽  
Cross Sectional ◽  
Espírito Santo ◽  
Institutional Review ◽  
Injury Reporting ◽  
Reported Data ◽  
Espirito Santo ◽  
The Relationship

Abstract Background: sexual violence against adolescents is a highly prevalent problem with profound impacts throughout life, and most often perpetrators are relatives and acquaintances of the victims. In Brazil, sexual violence is a problem that must be reported in all health services and the data collected must be registered in the Information System for Reporting Diseases (SINAN - Sistema de Informação de Agravos de Notificação). This study aimed to describe the frequency of reported cases of sexual violence against adolescents and to analyze their associated factors. Method: a cross-sectional analytical study was conducted with reported data on sexual violence against adolescents in the state of Espírito Santo registered in SINAN between 2011 and 2018. Variables to characterize the victim, aggression and perpetrator were used. Bivariate analyzes were performed using Chi-Square (χ²) and Fisher’s exact tests. Multivariate analysis considered the log-binomial model and adjustment results were presented in Prevalence Ratio. All analyzes were stratified by sex. The study was approved by the Institutional Review Board of Federal University of Espirito Santo, under Opinion 2,819,597. Results: among the full-filled forms in the variables analyzed in the study, the frequency of sexual violence was 32.6% and 93% of victims were female. The occurrence of injury reporting was associated in both sexes with adolescents aged between 10 and 12 years, the place of occurrence being the home, the relationship with the victim, and the recurrence of violence. In females, the outcome was also associated with number of perpetrators, and in males, with perpetrator’s age. Conclusion: through this study, prevalence and factors associated with reporting sexual violence in Espírito Santo were observed. The importance of information systems for disseminating data and the need for measures to prevent and treat the disease among adolescents is verified. PORTUGUESE ABSTRACTIntrodução: a violência sexual contra adolescentes é um agravo de alta prevalência e de profundos impactos ao longo da vida, sendo os agressores em sua maior parte são familiares e conhecidos das vítimas. No Brasil, a violência sexual é um agravo de notificação compulsória em todos os serviços de saúde e os dados coletados devem ser registrados no Sistema de Informação de Agravos de Notificação (SINAN). O objetivo desse estudo foi descrever a frequência dos casos de violência sexual notificados contra adolescentes e analisar os seus fatores associados. Método: estudo analítico do tipo transversal realizado com os dados notificados de violência sexual contra adolescentes no Espírito Santo registrados no SINAN entre 2011 e 2018. Foram utilizadas as variáveis de caracterização da vítima, da agressão e do agressor. Foram realizadas análises bivariadas por meio do teste Qui-Quadrado (χ²) e exato de Fisher. A análise multivariada considerou o modelo log-binomial e os resultados do ajuste foram apresentados em Razão de Prevalência. Todas as análises foram estratificadas por sexo. Resultados: entre as fichas de preenchimento completo nas variáveis analisadas no estudo, a frequência de violência sexual foi 32,6%, sendo que 93% das vítimas eram do sexo feminino. A ocorrência da notificação do agravo esteve associada em ambos os sexos a adolescentes com idade entre 10 e 12 anos, ao local de ocorrência ser a residência, à variável vínculo com a vítima, e à reincidência da violência. No sexo feminino o desfecho também se manteve associado à variável quantidade de agressores e no sexo masculino à variável idade do agressor. Através desse estudo, foi observado a prevalência e os fatores associados à notificação de violência sexual em um estado do Espírito Santo.Conclusão: constata-se a importância dos sistemas de informação para a disseminação de dados e a necessidade de medidas de prevenção e tratamento do agravo entre os adolescentes.

scholarly journals Self-inflicted injuries among adolescents: Prevalence and associated factors, Espírito Santo, Brazil

Aquichan ◽  
2021 ◽  
Vol 21 (3) ◽  
pp. 1-15
Author(s):  
Mayara Alves Luis ◽  
Nataly Adriana Jiménez Monroy ◽  
Luciana Graziela de Godoi ◽  
Franciéle Marabotti Costa Leite
Keyword(s):  
Associated Factors ◽  
Analytical Study ◽  
Prevalence Ratio ◽  
Female Gender ◽  
Chi Square ◽  
Cross Sectional ◽  
Espírito Santo ◽  
High Prevalence ◽  
Collective Housing ◽  
Espirito Santo

Objective: To identify the prevalence of notified self-inflicted injuries among adolescents in Espírito Santo and to analyze the associated factors. Materials and methods: A cross-sectional and analytical study, with the notified data of self-inflicted violence among adolescents in Espírito Santo registered in the Notifiable Diseases Information System from 2011 to 2018. The bivariate analyses considered the Chi-square (χ²) and Fisher’s Exact tests. The multivariate analysis considered the log-binomial model, and the adjustment results were presented as prevalence ratio. Results: The prevalence of notified self-inflicted injuries was 33 % and, of this total, 79.8 % occurred among female adolescents. Prevalence was higher among adolescents aged from 13 to 17 years old (female gender) and from 18 to 19 years old (male gender), as well as among those with some disability or disorder. Higher prevalence values were found in the residence and in collective housing, as well as among those who did not consume alcohol at the event in question. In the female gender, there was also an association with the urban area (p < 0.05). Conclusions: High prevalence of notified self-inflicted injuries is perceived among adolescents in Espírito Santo, as well as of the factors associated to this phenomenon. The importance of adopting promotion, prevention and recovery measures for the problem is verified.

scholarly journals The correlation of teacher’s role, peers, and mass media with the incidence of dating violence in adolescents at SMK Piri 1 Yogyakarta

2019 ◽  
Vol 6 (6) ◽  
pp. 2325
Author(s):  
Suci Musvita Ayu ◽  
Liena Sofiana ◽  
Febri Utami Jayanti
Keyword(s):  
Mass Media ◽  
Dating Violence ◽  
Prevalence Ratio ◽  
Chi Square ◽  
Cross Sectional ◽  
Teacher’S Role ◽  
Teacher's Role ◽  
Negative Impacts ◽  
Forms Of Violence ◽  
The Relationship

Background: Dating violence has long-lasting and also short effects that are serious and have negative impacts severity toward physical forms of violence, psychic, economic and sexual. This study aims to know the relationship between the teachers’ role, their peers and the mass media and dating violence in adolescents at SMK PIRI 1 Yogyakarta.Methods: The design of the study is analytical survey with cross-sectional design.The sample was students of class XI of SMK Piri 1 Yogyakarta with a total of 147 respondents.A questionnaire was used to determine the relationship between the role of the teacher, peers and mass media with dating violence. Univariate and bivariate analyzes were performed with chi square test.Results: There were two variables that show there was a relationship between peers (p=0.009), mass media (p=0.019) with dating violence and there was no relationship between teacher roles and dating violence (p=1.00), peer prevalence ratio values indicate (RP=0.682), mass media (RP=1,432) and the teacher's role (RP=0,977) and confidence interval 95% confidence level, that there are peers (CI=0,528-0,888), mass media (CI = 1,067-1,922) and the teacher's role (CI=0.745-1.228).Conclusions: There is a relationship between peers and mass media with dating violence, and there is no relationship between teachers’ role and dating violence in SMK 1 Piri Yogyakarta.

IDENTIFIKASI SERTA HUBUNGAN KONSTRUKSI SUMUR GALI TERHADAP KANDUNGAN COLIFORM PADA AIR SUMUR GALI DI DUSUN JIKEN KABUPATEN LOMBOK TIMUR

2019 ◽  
Vol 7 (2) ◽  
pp. 115
Author(s):  
Dini Yuliansari
Keyword(s):  
Cross Sectional Study ◽  
Coliform Bacteria ◽  
Well Water ◽  
Chi Square ◽  
Cross Sectional ◽  
Content Variable ◽  
Chi Square Test ◽  
Dug Wells ◽  
Dug Well ◽  
The Relationship

The well is one of the source water used for bathing, washing, and drinking by the citizens in Jiken Hamlet, Rarang Village, Terara Sub-District. Poor dug well construction conditions can affect the amount of coliform bacteria contained in the dug well water. The purpose of this study is to identify the construction of dug wells and the content of coliform bacteria in dug well water and determine the relationship between dug well construction and the content of coliform bacteria. This research is analytic with a cross sectional study design. The results were obtained from 11 samples of dug wells which were observed in construction and the coliform content was known that all samples did not requirements as good dug well construction. Coliform content test results showed that as many as 5 dug well water samples did not pass the clean water quality standards. The results of data analysis with the chi-square test variable construction of dug wells with coliform content variable  showed 0,172 > 0,05, then the concluded is the dug well not suitable to use by people in that area as a source of water for daily needs.

The relationship betweenparityand the incident of perinealruptures on women’s physiological maternity

2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Evi Rosita ◽  
Siti Nurnaningrum
Keyword(s):  
Public Health ◽  
Health Center ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Midwifery Care ◽  
Public Health Center ◽  
Record Data ◽  
The Relationship ◽  
Very High

There are about 2.8 million incident of perineal rupture in maternal physiological labor. In 2050,it is estimated that the incidence of perineal rupture can be 6.3 million if it is not accompanied by a good midwifery care. In 2016, in Trawas, there was (89%) perineal rupture in primiparas and (57%) perineal rupture in multiparas. Perineal rupture incidences due to parity were still very high. This study aims to analyze the relationship between parity and the incidence of perineal rupture . It is quantitative studyusing a cross sectional approach, by using analysis of physiological maternity women  medical record data from January to April 2017 of 130 peoplein Trawas Public Health Center, Mojokerto Regency.The dataanalysis used was Chi - Square , indicated by p value = 0,000 with ɑ = 0,05. It means that the value of p <ɑ, so H1 is accepted. It can be concluded that there is a relationship between parity and the incidence of perineal rupture on physiological maternity women in Trawas Public Health Center,Mojokerto Regency. Midwives can apply collaboration with patients and their families to have physical and psychologicalpreparation with an alternative of hypnobirthing methods.

A Cross Sectional Analysis of Tourism Development and Social Development

2021 ◽  
Vol 12 (2) ◽  
pp. 487
Author(s):  
Tauseef AMAN ◽  
Mussawar SHAH ◽  
Humera JAMAL ◽  
Younas KHAN ◽  
Muhammad ARIF ◽  
...  
Keyword(s):  
Social Development ◽  
Local Community ◽  
Tourism Development ◽  
Chi Square ◽  
Cross Sectional ◽  
Close Proximity ◽  
Chi Square Test ◽  
The Government ◽  
Sectional Analysis ◽  
The Relationship

The major objective of this study was to measure the association between various interventions and Chitral Gole National Park (CGNP) role in preservation of bio-diversity and socio-economic uplift. A sample size of 346 respondents was randomly selected from total population of 3326 from the 4 selected villages on the basis of close proximity. A conceptual framework including dependent variable social development and independent variable tourism development were taken. The data were analyzed through frequency and percentage distribution. Moreover, Chi-square test was applied to know the relationship between dependent and independent variables at bi-variate level. In bi-variate analysis a highly significant (P=0.000) relation was found between CGNP is main source of promoting tourism in Chitral,tourists do any impacts upon local community in terms of increased business activities, local culture is safeguarded despite influx of tourists in the area, tourism produced employment opportunities, and social development. Qualitative data supported the empirical findings, however tourism brings economic opportunities at micro and macro level, but unfortunately CGNP is not as satisfactory regarding generating income since its establishment. The government should ensure to make such polices pertaining to the entrance fee, provides accommodation services on payment to the tourists and to reserve the entrance fee or any other form of taxes to ensure CGNP to spend on self-sustaining basis by ensuring refinement in the procedures as well.

HUBUNGAN PENGGUNAAN KOMPUTER DENGAN KEJADIAN NYERI KEPALA TIPE TEGANG PADA PEKERJA

2020 ◽  
Vol 9 (1) ◽  
pp. 27-38
Author(s):  
Suryanti Suryanti ◽  
Andi Ipaljri
Keyword(s):  
Sampling Technique ◽  
The United States ◽  
Chi Square ◽  
Cross Sectional ◽  
Tension Headaches ◽  
Technological Developments ◽  
Tension Type Headaches ◽  
Chi Square Analysis ◽  
Relationship Of ◽  
The Relationship

In the current era of globalization, humans always interact with technological developments. One result of the development of technology is the use of computers. The use of computers that are not under the ergonomic position causes effects on health, one of them is tension-type headaches. In the United States, 1-4% of patients coming to the Emergency Care Unit complain of headache, 90% of them are tension-type headaches. The proportion of migraine and other headache syndromes in the hospital. Harapan Bunda in 2011 and RS. Camatha Sahidya in Batam in Batam was 5% and 0.7% respectively. Whereas the incidence of tension headaches in 5 puskesmas in Batam in 2014 ranged from 0.5% - 1.3%. The proportion of tension headaches at the BIP Clinic in the January-April 2018 period is 1.5%. Tension-type headaches that occur continuously can cause barriers to daily activities. The purpose of this study is to determine the relationship of computer use with the incidence of tension-type headaches in workers. This research uses a descriptive-analytic method with a cross-sectional approach. The sampling technique is purposive sampling. Of 97 respondents who visited the clinical BIP that met the criteria, it was found that computer user respondents experienced tension-type headaches of 18 people (42.9%) and not tension-type headaches of 24 people (57.1%). Whereas the respondents who were not computer users experienced tension-type headaches of 10 people (18.2%), and non-tension-type headaches of 45 people (81.8%). Bivariate chi-square analysis showed that p = 0.008 (p <0.05). This means that Ha is accepted and H0 is rejected.

HUBUNGAN SIKAP PASIEN TERHADAP HAK DAN KEWAJIBAN RAWAT INAP DI RUMAH SAKIT PEKANBARU MEDICAL CENTER (PMC)

2021 ◽  
Vol 13 (1) ◽  
pp. 17-25
Author(s):  
Nur Maimun ◽  
Arnawilis ◽  
Cindy Feby Fayza ◽  
Nur Asikin
Keyword(s):  
Patient Safety ◽  
Medical Information ◽  
Medical Center ◽  
Patient Treatment ◽  
Patient Attitudes ◽  
Chi Square ◽  
Cross Sectional ◽  
The Right ◽  
Relationship Of ◽  
The Relationship

Patient as service users have right and obligations to be hospitalized and patients also have the right to medical information in receiving medical practice services. This study aims to determine the relationship between patient attitudes towards the rights and obligations of being hospitalized in the hospital Pekanbaru Medical Center (PMC). This research method using observational analytic method with cross sectional design. The total sample used in this study 107 sample were taken as simpel random sampling. Chi square test is used to determine the relationship between variables. The data were processed using SPSS statistical software and analyzed using univariate and bivariate analyzes. Of the result obtained of the study namely the relationship between patient attitude to the rights and obligations of patient with chi-suare obtained pvalue 0.016 (<0,05), the relationship of attitude patients to the rights and obligations of choosing a doctor and class of patient care with chi-square obtained pvalue 0,070 (<0,05), the relationship of patient attitudes to the right and obligations of confidentiality of disease by inpatient medical staff with chi-square obtained pvalue 0,000 (<0,05), the relationship of patient attitudes to the rights and obligations of consent to the patient treatment with chi-square obtained pvalue 0,000 (<0,05), the relationship of patient attitudes to the right and obligation of patient safety with chi-square obtained pvalue 0,000 (<0,05), the relationship between patient attitudes towards the right and obligations of patient safety with chi-square obtained pvalue 0,000 (<0,05). Suggestions in order to protect what has been achieved in this case is his ability as effort of service is getting better in the future Keyword : Attitudes of patient, Rights and Obligations inpatient, Hospital

KEJADIAN DEPRESI PADA REMAJA MENURUT DUKUNGAN SOSIAL DI KABUPATEN JEMBER

2021 ◽  
Vol 3 (2) ◽  
pp. 92-101
Author(s):  
Adi Zayd Bintang ◽  
Ayik Mirayanti Mandagi
Keyword(s):  
Social Support ◽  
Random Sampling ◽  
Quantitative Research ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Prevalence Of Depression ◽  
Chi Square Test ◽  
Effective Role ◽  
The Relationship

ABSTRACTDepression is a mental health problem that mostly occurs during adolescence. Physical, cognitive and emotional changes experienced during adolescence can cause stress. The prevalence of depression in adolescence has a very high increase compared to the age of children and adults. The main factor in being able to cure depression in adolescents is social support (Depkes, 2007). This study aims to identify depressive symptoms in adolescents and to find out the relationship between social support factors and depression incidence. This research is a quantitative research, with the type of observational analytic research with a cross sectional approach involving students at SMA XY in Jember Regency in May 2020. The analytical method uses the Chi Square test to see the relationship between independent and dependent variables with a significance level of α ≤ 0, 05. Data collection tool using google form. Determination of respondents by random sampling with a total of 158 respondents. The results of this study indicate that the distribution of women is 76.58% more than that of men. Based on the distribution of social support, 56.96% received good social support, while based on the incidence of depression, 54.43% did not experience depression. From the statistical test, the significance value of <0.05 indicates that there is a relationship between social support factors and the incidence of depression. Social support plays an effective role in overcoming depression experienced by adolescents.Keywords: Depression, Teens, social support. ABSTRAKDepresi merupakan salah satu masalah kesehatan mental yang sebagian besar terjadi pada masa remaja. Perubahan fisik, kognitif dan emosional yang dialami pada masa remaja dapat menimbulkan stress. Prevalensi depresi pada usia remaja memiliki peningkatan yang sangat tinggi dibandingkan dengan usia anak-anak dan usia dewasa. Faktor utama untuk dapat menyembuhkan depresi pada remaja yaitu dukungan sosial (Depkes, 2007). Penelitian bertujuan untuk mengidentifikasi gejala depresi pada remaja dan mengetahui mengenai Hubungan Faktor Dukungan Sosial dengan Kejadian Depresi. Penelitian ini adalah penelitian kuantitatif, dengan jenis penelitian analitik observasional dengan pendekatan cross sectional yang melibatkan siswa di SMA XY di Kabupaten Jember pada Bulan Mei tahun 2020. Metode analisis menggunakan uji Chi Square untuk melihat hubungan variabel independen dan dependen dengan tingkat kemaknaan α ≤ 0,05. Alat pengumpulan data menggunakan google form. Penentuan responden secara random sampling dengan jumlah 158 reponden. Hasil penelitian ini menunjukan distribusi perempuan 76,58% lebih banyak daripada laki-laki, berdasarkan distribusi dukungan sosial sebesar 56,96% mendapatkan dukungan sosial yang baik, sedangkan berdasarkan kejadian depresi sebesar 54,43% tidak mengalami depresi. Dari uji statistik nilai signifikansi sebesar < 0,05 menunjukkan bahwa ada hubungan antara faktor dukungan sosial dengan kejadian depresi. Dukungan sosial berperan efektif dalam mengatasi depresi yang dialami remaja.Kata Kunci: Depresi, Remaja, Dukungan Sosial.

HUBUNGAN KEMAMPUAN ADAPTASI DAN TEMPAT TINGGAL DENGAN TINGKAT DEPRESI PADA MAHASISWA BARU

2021 ◽  
Vol 3 (2) ◽  
pp. 48-58
Author(s):  
Ajeng Febrianti Rahayu ◽  
Bagas Aidi ◽  
Meirna Mega Rizki ◽  
Ayik Mirayanti Mandagi
Keyword(s):  
Beck Depression Inventory ◽  
Transition Period ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Study Program ◽  
Cross Sectional ◽  
Chi Square Test ◽  
New Students ◽  
Depression Level ◽  
The Relationship

ABSTRACTFirst year student are one of the groups that are prone to depression. This is because the first year student is in a transition period or in a new condition that initially senior high school student becomes a college student. In addition, busy schedules, new learning environments and homesickness can trigger depression in college students. This study used a cross sectional study design. Respondents in this study were new students of the Study Program Outside the Main Campus (PSDKU) of Airlangga University in Banyuwangi, class 2019 with a total of 110 students. Depression levels were obtained from the Beck Depression Inventory (BDI-II) questionnaire. Meanwhile, the adaptability was obtained from the Communicative Adaptability Scale (CAS) questionnaire and the place of residence was obtained from questions about where to live during college. A total of 53 out of 110 students (49,1%) experienced low depression and students who experienced high depression were 57 out of 110 students (50,9%). The results of the chi square test regarding the relationship between residence and the level of depression of new students, obtained data p= 0.008 (p <0.05). Chi-square test results regarding the relationship between adaptation ability and depression level of new students, obtained data p = 0.001 (p <0.05). There is a relationship between residence and adaptability with the degree of depression of new students. Higher education institutions are expected to pay more attention to the psychological conditions of students and new students are expected to maintain good coping management in facing the new environment.Keywords: depression level, adaptability, place to live, new students ABSTRAKMahasiswa baru adalah salah satu kelompok yang rentan mengalami depresi. Hal ini dikarenakan mahasiswa baru berada pada masa transisi atau suatu kondisi baru yang awalnya siswa SMA menjadi mahasiswa. Selain itu, jadwal yang padat, lingkungan belajar yang baru dan homesickness dapat memicu depresi pada mahasiswa. Penelitian ini menggunakan desain penelitian crosssectional. Responden pada penelitian ini yaitu mahasiswa baru Program Studi Diluar Kampus Utama (PSDKU) Universitas Airlangga di Banyuwangi angkatan 2019 dengan jumlah 110 mahasiswa. Tingkat Depresi didapatkan dari kuisioner Beck Depression Inventory (BDI-II). Sedangkan kemampuan adaptasi didapatkan dari kuisioner Communicative Adaptability Scale (CAS) dan tempat tinggal didapatkan dari pertanyaan mengenai tempat tinggal selama kuliah. Sebanyak 49,1% (53 dari 110 mahasiswa) mengalami depresi ringan dan mahasiswa yang mengalami depresi berat sebanyak 50,9 (57 dari 110 mahasiswa). Hasil uji chisquare mengenai hubungan tempat tinggal dengan tingkat depresi mahasiswa baru, diperoleh data p=0,008 (p<0,05). Hasil uji chisquare mengenai hubungan kemampuan adaptasi dengan tingkat depresi mahasiswa baru, diperoleh data p=0,001(p<0,05). Terdapat hubungan antara tempat tinggal dan kemampuan adaptasi dengan tingkat depresi mahasiswa baru. Institusi perguruan tinggi diharapkan lebih memperhatikan kondisi psikologis mahasiswa dan mahasiswa baru diharapkan tetap mempertahankan manajemen koping yang baik dalam menghadapi lingkungan baru.Kata Kunci: tingkat depresi, kemampuan adaptasi, tempat tinggal, mahasiswa baru

Relationship between the Responsiveness of Service Providers with Patient Satisfaction at Three Conventional Radiography Services in Denpasar

2016 ◽  
pp. 75
Author(s):  
Cokorda Istri Ariwidyastuti ◽  
P.P. Januraga ◽  
Dyah Pradnyaparamita Duarsa
Keyword(s):  
Patient Satisfaction ◽  
Service Providers ◽  
Univariate Analysis ◽  
Conventional Radiography ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
The Relationship

Background and purpose: Patient satisfaction, including on radiography services, is an important component of health care provision. Surveys on patient satisfaction have been carried out particularly in government hospitals, but a more detailed study to determine the relationship between patient satisfaction with the responsiveness of service providers has yet to be carried out. This study aims to determine the relationship between the six domains of responsiveness of service providers and outpatient satisfaction at three conventional radiography facilities in Denpasar.Methods: Study was conducted by cross-sectional survey of 158 respondents selected consecutively in three conventional radiography services, namely a government hospital, a private hospital and a private radiology clinic. Data were collected through interviews using modified questionnaires on responsiveness from WHO. Data were analyzed by univariate, bivariate (chi-square test) and multivariate logistic regression method.Results: Univariate analysis indicated that patient satisfaction was 69% but still below the minimum service standards (>80,0%). Multivariate analysis showed that factors associated with satisfaction were the domain of attention (AOR= 3.77; 95%CI: 1.62-8.76), the quality of infrastructure (AOR=4.57; 95%CI: 1.61-12.93) and communication (AOR=6.30; 95%CI: 1.75-22.64).Conclusion: Patient satisfaction was generally still below the standard. Domains of responsiveness associated with patient satisfaction were the quality of infrastructure, level of attention and communication skills of service providers.

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