scholarly journals Sanitary quality (bacteriological and physical-chemical) of drinking water in urban slums in Rio de Janeiro, RJ, Brazil

2020 ◽  
Vol 10 (3) ◽  
pp. 413-424
Author(s):  
Natasha Berendonk Handam ◽  
José Augusto Albuquerque dos Santos ◽  
Antonio Henrique Almeida de Moraes Neto ◽  
Maria de Fátima Leal Alencar ◽  
Caroline Ferraz Ignacio ◽  
...  
Keyword(s):  
Drinking Water ◽  
Rio De Janeiro ◽  
Urban Slums ◽  
Water Quality Standards ◽  
Access To Health Services ◽  
Government Action ◽  
Education Access ◽  
Access To Health ◽  
Water And Wastewater ◽  
Drinking Water Analysis

Abstract Water must meet the drinking water standards in order not to cause disease. In urban slums the infrastructure (water supply, sewage) is more precarious, leaving the population susceptible to health problems. The objective was to analyze drinking water consumed by the population in Manguinhos slums, Rio de Janeiro, Brazil, based on the standards established in the Brazilian Regulation, and based on socioenvironmental indicators related to the health of the slums population. Bacteriological and physicochemical parameters were analyzed according to Standard Methods for the Examination of Water and Wastewater, compared with socioenvironmental data through spatial statistics. The results revealed that water, for the most part, exceeded the limits of drinking water quality standards, which places the population's health at risk and reinforces the urgency of public policies. Spatial and drinking water analysis indicated that the regions with the highest population density were the regions with the highest socioenvironmental vulnerability. These areas are priorities for government action to reduce health inequities, such as education, access to health services and access to sewer and water treatment.

scholarly journals HUBUNGAN PENDIDIKAN, AKSES PELAYANAN KESEHATAN DAN DUKUNGAN KELUARGA DENGAN PEMANFAATAN PELAYANAN KESEHATAN PENDERITA TB PARU BTA+ DI PUSKESMAS JANTI KOTA MALANG

2019 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Alfreda Dinayu Purbantari ◽  
Roesdiyanto Roesdiyanto ◽  
Nurnaningsih Herya Ulfah
Keyword(s):  
Public Health ◽  
Health Service ◽  
Health Services ◽  
Health Center ◽  
Family Support ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Education Access ◽  
Utilization Of Health Services ◽  
Access To Health

Abstract: Tuberculosis (TB) is a contagious disease that is still the world's attention, Until now, there is not a single country that is free of TB (Kemenkes 2011). Public Health Center (puskesmas) Janti is a puskesmas where the number of TB BTA+ sufferers increases every year while the number of treatment success rate at Puskesmas Janti decreases every year. In 2013 is 96%, in 2014 is 87,50% and in 2015 is 85,37%. Increasing the number of patients and decreasing the number of success rates of treatment indicates that the utilization of health services is less. This study aims to find out the relationship of Education, Health Service Access and Family Support with Health Service Utilization of BTA+ Pulmonary TB Patients at Public Health Center (puskesmas) Janti Malang. The design of this study is quantitative correlation with samples of all patients with TB Paru + BTA who are still doing treatment at Puskesmas Janti in September 2016 until April 2017. The analysis used correlation test and logistic regression test with cross sectional approach. The results of the research analysis found that there is a significant relationship between education, access to health services and family support together with the utilization of health services of patients Tb Paru BTA+. Based on the results of determination coefficient R2 (Nagelkerke) of 0.619, this means that education (X1), access to health services (X2), and family support (X3) has contributed 61.9% to the utilization of health services of patients with TB Paru BTA+ at Puskesmas Janti.Keywords: education, access, family support, health service utilizationAbstrak: Tuberkulosis (TB) adalah penyakit menular yang masih menjadi perhatian dunia, hingga saat ini, belum ada satu negara pun yang bebas TB (Kemenkes 2011). Puskesmas Janti adalah satu puskesmas yang berada di Kota Malang dengan jumlah pasien TB Paru BTA+ yang paling tinggi dan meningkat setiap tahun diantara puskesmas yang lain di Kota Malang, sedangkan jumlah angka keberhasilan pengobatan di Puskesmas Janti mengalami penurunan setiap tahun. Tahun 2013 sebesar 96%, pada tahun 2014 sebesar 87,50% dan pada tahun 2015 sebesar 85,37%. Peningkatan jumlah penderita dan penurunan jumlah angka keberhasilan pengobatan menunjukkan bahwa pemanfaatan pelayanan kesehatan kurang. Penelitian ini bertujuan untuk mengetahui Hubungan Pendidikan, Akses Pelayanan Kesehatan dan Dukungan Keluarga dengan Pemanfaatan Pelayanan Kesehatan Penderita TB Paru BTA+ di Puskesmas Janti Kota Malang. Rancangan penelitian ini adalah kuantitatif korelasional dengan sampel seluruh penderita TB Paru BTA+ yang masih melakukan pengobatan di Puskesmas Janti pada bulan September 2016 sampai dengan April 2017. Analisis menggunakan uji korelasi dan uji regresi logistik dengan pendekatan cross sectional. Hasil analisis penelitian di dapatkan ada hubungan yang dignifikan antara pendidikan, akses pelayanan kesehatan dan dukungan keluarga secara bersama-sama dengan pemanfaatan pelayanan kesehatan penderita Tb Paru BTA+. Berdasarkan hasil koefisien determinasi R2 (Nagelkerke) sebesar 0,619, hal ini berarti bahwa pendidikan (X1), akses pelayanan kesehatan (X2), dan dukungan keluarga (X3) memiliki kontribusi sebesar 61,9% terhadap pemanfaatan pelayanan kesehatan penderita TB Paru BTA+ di Puskesmas Janti.Kata Kunci:    pendidikan, akses pelayanan kesehatan, dukungan keluarga, pemanfaatan pelayanan kesehatan penderita TB Paru BTA+

scholarly journals O acesso universal aos serviços de saúde como construção psicossocial dos usuários/ Universal access to health services as psychosocial construction of users

2019 ◽  
Vol 18 (2) ◽  
Author(s):  
Denize Cristina De Oliveira ◽  
Antonio Marcos Tosoli Gomes ◽  
Thelma Spindola ◽  
Hellen Pollyanna Mantelo Cecilio ◽  
Eduardo Pereira Paschoal ◽  
...  
Keyword(s):  
Health Services ◽  
Rio De Janeiro ◽  
Universal Access ◽  
Access To Health Services ◽  
Access To Health

Objetivo: Analisar o acesso universal à saúde a partir das representações sociais dos usuários acerca do Sistema Único de Saúde, no município do Rio de Janeiro, Brasil. Método: Estudo com abordagem quanti-qualitativa, pautado na Teoria das Representações Sociais, em sua abordagem processual. A coleta de dados foi realizada em 2010, por meio de entrevista semiestruturada. Os dados foram analisados com auxílio do software Alceste 4.7. Resultados: Participaram 104 usuários do sistema de saúde, sendo a maioria mulheres, renda de até um salário mínimo e residentes no município do Rio de Janeiro. Foram evidenciados na análise lexical, dois conjuntos textuais: “O processo de avaliação do sistema de saúde: a experiência dos usuários” e “O sistema de Saúde: estrutura e finalidade”. Conclusão:Os usuários dos serviços de saúde vêm acumulando a experiência de um sistema em permanente construção que carece, em algumas situações, de insumos e ações essenciais, rotineiras e básicas, mas que efetiva a universalidade perpassando classes sociais e distintos níveis de complexidades de assistência.

scholarly journals Spatial analysis of the cure rate for tuberculosis in primary health care in the municipality of Rio de Janeiro between 2012 and 2014

2018 ◽  
Author(s):  
José Carlos Prado Junior ◽  
Roberto de Andrade Medronho
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Spatial Analysis ◽  
Health Services ◽  
Rio De Janeiro ◽  
World Health ◽  
Access To Health Services ◽  
Socioeconomic Variables ◽  
Primary Health ◽  
Access To Health

AbstractBackgroundTuberculosis (TB) has a high disease burden and the World Health Organization (WHO) states it is a global emergency. TB is the most important cause of death from infectious disease in adults. It is directly related to access to health services and socioeconomic factors. Primary health care (PHC) provides greater linkage of people to health services and greater medication adherence in some chronic diseases. It also provides supervised treatment and more effective search for contactants. The PHC Reform started in 2009 in Rio de Janeiro, increasing coverage from 7% to 46.16% in 2015.Methodology/Principal findingsThis paper aims to evaluate the spatial distribution of new TB cases closed with a cure outcome in dwellers of Rio de Janeiro in the period 2012-2014, according to PHC coverage, controlling socioeconomic, demographic and epidemiological factors. Variables were obtained from the Notifiable Diseases Information System for Tuberculosis (SINAN-TB) and the socioeconomic variables from the 2010 national census at census tract level. The socioeconomic variables were selected from multivariate analysis using main factors analysis technique. The generalized additive model (GAM) was used for the spatial analysis. Association was found between TB cure and variables education, alcoholism, contacts search, HIV serology and elderly. People with family health coverage between 35 and 41 months were 1.64 more likely of cure when compared to people without coverage (95% CI 1.07-2.51). Spatial analysis identified areas with less probability of cure for tuberculosis in the municipality of Rio de Janeiro.Author SummaryTuberculosis is associated to social and demographic conditions. Lack of access to healthcare contributes to delay in diagnosis and in the beginning of the treatment. Primary health care improve access and adherence to treatment. This study can be useful as a public health policy, since it is possible to prioritize the region in the map to improve TB cure. We found association between tuberculosis cure and the duration of implantation of the primary health care teams. This finding corroborates the importance of treating tuberculosis in this level of care. The spatial analysis of cases of tuberculosis cure showed a significant spatial association with the cure of tuberculosis. The results of this study can contribute reinforcing the policy makers for developing primary health care to improve the access to health services and to reach better TB cure rates. Spatial analysis may be an useful tool for identifying the areas where to prioritize efforts for reaching better results.

scholarly journals Acesso aos Serviços de Saúde: o que dizem as mulheres privadas de liberdade?

2018 ◽  
Vol 86 (24) ◽  
Author(s):  
Márcia Vieira dos Santos ◽  
Valdecyr Herdy Alves ◽  
Audrey Vidal Pereira ◽  
Diego Pereira Rodrigues ◽  
Giovanna Rosário Soanno Marchiori ◽  
...  
Keyword(s):  
Health Services ◽  
Rio De Janeiro ◽  
Structured Interview ◽  
Penal System ◽  
Current Policy ◽  
Access To Health Services ◽  
Comprehensive Health Care ◽  
Access To Health ◽  
Comprehensive Health ◽  
Health Care Strategies

Objetiva-se analisar como as mulheres encarceradas percebem o acesso aos serviços de saúde. Estudo descritivo,exploratório e qualitativo realizado com quarenta mulheres em um presídio feminino do Estado do Rio de Janeiro, Brasil.Foi utilizada na coleta de dados, a entrevista semiestruturada, e posterior transcrição na integra. As entrevistas foramsubmetidas à análise de conteúdo na modalidade temática. Antes e durante o encarceramento, as mulheres referiramdificuldades para acessar os serviços de saúde. Entretanto, surgem falas de modo contraditório, inferindo a possibilidadede, após a entrada no sistema penal, essas mulheres conseguem acessar alguns serviços de saúde jamais visitados antesdo período de confinamento. Conclui-se que para garantir a aplicabilidade da política vigente, existe a necessidade deestratégias de atenção integral à saúde dessas mulheres, que assegurem o acesso aos serviços de saúde numa perspectivaampliada de promoção, prevenção, tratamento e reabilitação, antes, durante e depois da prisão.Palavras-chave: Acesso aos Serviços de Saúde; Assistência Integral à Saúde; Mulheres; Prisões. AbstractThe aim is to analyze how incarcerated women perceive access to health services. This descriptive, exploratory andqualitative study was carried out with 40 women in a female prison in the state of Rio de Janeiro, Brazil. It was used indata collection, semi-structured interview, and subsequent transcription in the integrated. The interviews weresubmitted to content analysis in the thematic modality. Before and during incarceration, women reported difficulties inaccessing health services. However, they appear contradictory, inferring the possibility of, after entering the penal system,these women were able to access some health services never visited before the confinement period. It concludes that toensure the applicability of the current policy, there is a need for comprehensive health care strategies for these women,which ensure access to health services in a broader perspective of promotion, prevention, treatment and rehabilitation,before, during and after imprisonment.Keywords: Access to Health Services; Integral Health Assistance; Women; Prisons.

scholarly journals Drinking water quality in Brazilian urban slums

2020 ◽  
Vol 15 (3) ◽  
pp. 1
Author(s):  
Natasha Berendonk Handam ◽  
José Augusto Albuquerque dos Santos ◽  
Antonio Henrique Almeida de Moraes Neto ◽  
Maria De Fátima Leal Alencar ◽  
Caroline Ferraz Ignacio ◽  
...  
Keyword(s):  
Water Quality ◽  
Drinking Water ◽  
Physicochemical Parameters ◽  
Quality Standards ◽  
Urban Slum ◽  
Drinking Water Quality ◽  
Water Quality Standards ◽  
Standard Methods ◽  
Water And Wastewater

   The study analyzed the quality of drinking water used in Brazilian urban slum residences according to the standards established in Brazilian regulations. Bacteriological (n=231) and physicochemical parameters (n=134) were analyzed, as the Standard Methods for the Examination of Water and Wastewater establishes. The results revealed that contaminants in the water consumed, for the most part, exceed the limits of drinking water quality standards, putting the population's health at risk and reinforcing the urgency of the need for public policies.

Occurrence of 1,4-dioxane and MTBE in drinking water sources in Japan

2006 ◽  
Vol 6 (2) ◽  
pp. 47-53 ◽  
Author(s):  
D. Simazaki ◽  
M. Asami ◽  
T. Nishimura ◽  
S. Kunikane ◽  
T. Aizawa ◽  
...  
Keyword(s):  
Drinking Water ◽  
Surface Water ◽  
Water Samples ◽  
Quality Standards ◽  
Raw Water ◽  
Water Quality Standards ◽  
Butyl Ether ◽  
Water Treatment Plants ◽  
Standard Value ◽  
Surface Water Samples

Nationwide surveys of 1,4-dioxane and methyl-t-butyl ether (MTBE) levels in raw water used for the drinking water supply were conducted at 91 water treatment plants in Japan in 2001 and 2002, prior to the revision of the drinking water quality standards. 1,4-dioxane was widely and continuously detected in raw water samples and its occurrence was more frequent and its concentrations higher in groundwater than in surface water. However, its maximum concentration in raw water was much lower than its new standard value (50 μg/L), which was determined as a level of 10−5 excessive cancer risk to humans. Trace levels of MTBE were also detected in several surface water samples.

Trace Metal Soil Quality Criteria to Protect Ground Water

1992 ◽  
Vol 26 (9-11) ◽  
pp. 2327-2329
Author(s):  
J. Lee ◽  
B. Chen ◽  
H. E. Allen ◽  
C. P. Huang ◽  
D. L. Sparks ◽  
...  
Keyword(s):  
Drinking Water ◽  
Quality Criteria ◽  
Maximum Level ◽  
Inorganic Materials ◽  
Decision Making Process ◽  
Water Quality Standards ◽  
Solution Ph ◽  
Drinking Water Standard ◽  
Cadmium And Lead ◽  
Adsorption Desorption

A major problem in site remediation is frequently the lack of appropriate standards for pollutants in soil. Lack of standards for an exposure route can result in subjective judgments regarding the extent of remediation needed. These problems are particularly important when considering the potential for groundwater contamination by inorganic materials. The partitioning of trace metals is highly dependent on the nature of the soil and on the solution pH. The maximum level of metal in soil for which the equilibrium soluble metal does not exceed the drinking water standard can be computed, at any pH, from the measured partition coefficient for any metal and soil. The sorption of cadmium and lead onto major types of New Jersey soil has been determined as a function of pH. As the pH decreased, the amount of adsorbed metal decreased. As is conventionally done, we have transformed these data into sorption coefficients (Kd) which are a function of pH. To apply such data in the decision making process, it is necessary to use the Kd and appropriate conditions of soil/groundwater in the environment. The calculation determines the maximum concentration of metal which will not result in exceedence of water quality standards. Thesecriteria can be used as a soil standard which will be protective of groundwater quality. We developed adsorption/desorption relationships in the form of a mathematical model and computed the maximum level of metal in soil for which the equilibrium soluble metal will not exceed the drinking water standards.

Resilience and Emergency Response for Drinking Water and Wastewater Utilities

2016 ◽  
Vol 2016 (8) ◽  
pp. 2048-2052
Author(s):  
David Goldbloom-Helzner ◽  
Brian Pickard ◽  
Dawn Ison ◽  
Lauren Wisniewski ◽  
Nushat Thomas ◽  
...  
Keyword(s):  
Drinking Water ◽  
Emergency Response ◽  
Water And Wastewater
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