scholarly journals The Primary Health Center Factors Associated with Contraceptive Use Among Women in Indonesia

2021 ◽  
Vol 8 (4) ◽  
pp. 261
Author(s):  
Arini Hardianti ◽  
Siswanto Agus Wilopo ◽  
Mohammad Hakimi ◽  
Althaf Setiawan
Keyword(s):  
Health Care ◽  
Health Center ◽  
Access To Health Care ◽  
Multivariable Analysis ◽  
Health Centers ◽  
Modern Contraceptive ◽  
Research Subjects ◽  
Primary Health ◽  
Contraceptive Utilization ◽  
Days Open

<em><em>Access to health care, especially health care’s days open was one of the important poin to increasing contraceptive user. Many people who want to use contraception tend to want to get the method in the same day when visited the health care. The aim of this study is to find the relationship health care days open and contraceptive utilization. The cross-sectional study used Performance Monitoring and Accountability (PMA) 2020 data in 33 provinces of Indonesia in 2015. The research subjects were primary health care (Puskesmas). In this research, a number of districts were merged to reach a minimum number of respondents of 30 women. One hundred and four health center were studied and analyzed with t-test and correlation, and multivariable analysis by looking at the level of significance p &lt;0.05, and multivariable analysis. Female, household, and service delivery point questionnaire were used in this study. Result: All health centers in 76% area in Indonesia open more than five days a week and no stock out more than five contraceptive methods. All health centers in 69% area provides more than 5 methods. Days open statistically significant with modern contraceptive utilization after considering the stock out and method provides. Conclusion: contraceptive days open in health care generally good and have relation with contraceptive utilization after considers the stock and how many methods they provide.</em></em>

Distance from the Primary Health Center: A GIS method to study geographical access to health care

1995 ◽  
Vol 19 (6) ◽  
pp. 425-436 ◽  
Author(s):  
S. Kohli ◽  
K. Sahlén ◽  
Å. Sivertun ◽  
O. Löfman ◽  
E. Trell ◽  
...  
Keyword(s):  
Health Care ◽  
Health Center ◽  
Access To Health Care ◽  
Primary Health Center ◽  
Primary Health ◽  
Geographical Access ◽  
Access To Health

scholarly journals Health Care Facility Mapping with GIS in Majuli, India

2019 ◽  
Vol 9 (2) ◽  
pp. 5250-5253
Keyword(s):  
Health Care ◽  
Community Health ◽  
Health Center ◽  
Community Health Centers ◽  
Care Facility ◽  
Health Care Facility ◽  
Secondary Data ◽  
Health Centers ◽  
Primary Health ◽  
Development Block

This paper concerns the availability of healthcare facilities including primary health centers (PHC), sub-centers and community health centers in the Majuli region, Jorhat district of Assam, India. Majuli Consist of two development blocks i.e. Ujoni Majuli and Majuli blocks. The paper is based on secondary data and analyses are done in GIS environment. It is identified that primary health care centers are not equally distributed in Majuli development block but instead of PHC there are lots of sub-centers and community health centers are available in the study area. Again availability of sub-centers is found satisfactory in both of these blocks. The number of community health centers is very low in the whole region of Majuli. The result also shows served areas of primary health center in Ujoni Majuli block (77.13%) is much higher than the Majuli Development block (43.70%), again for sub-center and community health center, it is found satisfactory than the PHC service area in both of the blocks.

scholarly journals Gambaran Faktor Penyebab Rujukan Di Puskesmas Kota Depok

2019 ◽  
Vol 22 (3) ◽  
Author(s):  
Iin Nurlinawati ◽  
Rosita Rosita ◽  
Sefrina Werni
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Health Center ◽  
Health Workers ◽  
Health Centre ◽  
Health Centers ◽  
Cross Sectional ◽  
Medical Needs ◽  
Primary Health

Referral System for Individual Health Services states that health services are conducted in stages according to medical needs, starting from basic, second, and then third level health . The BPJS standard on the referral ratio limitation from health center to hospital is 15%. A total of 22 out of 32 health centers (69%) in Depok have referral ratios above 15%. This study was to identify factors infl uencing high referral ratios at health centers in Depok..This study was implemented from March to October 2017 by cross sectional design. The population was 32 health centers in Depok. Samples were health centers in Depok registered by BPJS as FKTP. There were 12 health centers, each 6 with high and low referrals. The sample of health workers were providers such as: doctors and dentist, heads of health centers and health offi ces. The results showed that the most referenced disease was a refraction disorder, unspecifi ed. Most primary health care with a high referral ratio (> 15%) did not have the required compulsory services at the primary health care, especially emergency and laboratory services (66.7%). The type of health personnel was less than that at Permenkes 75 of 2014 (83.3%). Facilities and infrastructure in health center were out of standards. Less drugs supplies also affected to referral. Suggestion: The government needs to provide more types of services, numbers of health workers and infrastructure in order to support the capacity of the health centre as well as better services . Abstrak Sistem Rujukan Pelayanan Kesehatan Perorangan menyebutkan bahwa pelayanan kesehatan dilaksanakan secara berjenjang sesuai kebutuhan medis, dimulai dari pelayanan dasar ke pelayanan kesehatan tingkat kedua berlanjut ke tingkat ketiga. Standar BPJS mengenai batasan rasio rujukan puskesmas ke pelayanan kesehatan tingkat lanjut maksimal 15%. Sebanyak 22 puskesmas (69%) dari 32 puskesmas di Kota Depok yang memiliki rasio rujukan diatas 15%. Penelitian ini bertujuan untuk memberikan gambaran faktor yang mempengaruhi rasio rujukan tinggi di puskesmas Kota Depok. Penelitian dilaksanakan pada bulan Maret sampai Oktober 2017. Metode yang digunakan adalah cross sectional (potong lintang). Populasi penelitian sebanyak 32 puskesmas di Kota Depok. Sampel yang diambil adalah puskesmas Kota Depok yang telah terdaftar pada BPJS sebagai FKTP sebanyak 12 puskesmas, 6 puskesmas dengan rujukan tinggi dan 6 puskesmas dengan rujukan rendah. Sampel tenaga kesehatan yang diwawancara meliputi pemberi pelayanan (dokter dan dokter gigi), kepala puskesmas dan Kepala Bidang Yankes Dinas Kesehatan. Hasil penelitian menunjukkan bahwa penyakit yang paling banyak dirujuk adalah disorder of refraction, unspecifi ed (kelainan refraksi mata). Sebagian besar puskesmas dengan rasio rujukannya tinggi (>15%) tidak memiliki kelengkapan pelayanan yang wajib ada di puskesmas terutama pelayanan gawat darurat dan laboratorium (66,7%). Jenis tenaga kesehatan kurang dari jumlah yang ada berdasarkan Permenkes 75 tahun 2014 (83,3%). Sarana dan prasarana belum sesuai dengan standar yang harus ada di puskesmas. Obat-obatan yang tidak tersedia di puskesmas menjadi salah satu alasan melakukan rujukan. Saran: Pemerintah harus selalu berupaya melengkapi jenis pelayanan, tenaga kesehatan dan sarana prasarana di puskesmas, agar kemampuan puskesmas dalam memberikan pelayanan menjadi lebih baik lagi.  

scholarly journals Exploring country-wide equitable government health care facility access in Uganda

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Nicholas Dowhaniuk
Keyword(s):  
Health Care ◽  
Random Forest ◽  
Health Center ◽  
Travel Time ◽  
Health Centers ◽  
Sub Saharan Africa ◽  
Walking Distance ◽  
Laboratory System ◽  
Government Health ◽  
Sub Saharan

Abstract Background Rural access to health care remains a challenge in Sub-Saharan Africa due to urban bias, social determinants of health, and transportation-related barriers. Health systems in Sub-Saharan Africa often lack equity, leaving disproportionately less health center access for the poorest residents with the highest health care needs. Lack of health care equity in Sub-Saharan Africa has become of increasing concern as countries enter a period of simultaneous high infectious and non-communicable disease burdens, the second of which requires a robust primary care network due to a long continuum of care. Bicycle ownership has been proposed and promoted as one tool to reduce travel-related barriers to health-services among the poor. Methods An accessibility analysis was conducted to identify the proportion of Ugandans within one-hour travel time to government health centers using walking, bicycling, and driving scenarios. Statistically significant clusters of high and low travel time to health centers were calculated using spatial statistics. Random Forest analysis was used to explore the relationship between poverty, population density, health center access in minutes, and time saved in travel to health centers using a bicycle instead of walking. Linear Mixed-Effects Models were then used to validate the performance of the random forest models. Results The percentage of Ugandans within a one-hour walking distance of the nearest health center II is 71.73%, increasing to 90.57% through bicycles. Bicycles increased one-hour access to the nearest health center III from 53.05 to 80.57%, increasing access to the tiered integrated national laboratory system by 27.52 percentage points. Significant clusters of low health center access were associated with areas of high poverty and urbanicity. A strong direct relationship between travel time to health center and poverty exists at all health center levels. Strong disparities between urban and rural populations exist, with rural poor residents facing disproportionately long travel time to health center compared to wealthier urban residents. Conclusions The results of this study highlight how the most vulnerable Ugandans, who are the least likely to afford transportation, experience the highest prohibitive travel distances to health centers. Bicycles appear to be a “pro-poor” tool to increase health access equity.

scholarly journals The effect of preceptorship on nurses' training and preparation with implications for Qatar: A literature review

2018 ◽  
Vol 8 (7) ◽  
pp. 44 ◽  
Author(s):  
Hajer Arbabi ◽  
Jessie Johnson ◽  
Daniel Forgrave
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Literature Review ◽  
Organizational Support ◽  
Care Delivery ◽  
Health Centers ◽  
Primary Health ◽  
Newly Graduated Nurses ◽  
Level Of Training ◽  
High Level

Background and objective: The Primary Health Care Corporation in Qatar was established in 2012 and is comprised of 23 Health Centers. One of its goals is to create excellence in its workforce. A preceptorship program needs to be initiated at the Primary Health Care Corporation to ensure a high level of training for its nurses. The purpose of these preceptorship programs is to ensure nurses are equipped to carry out Qatar’s National Health Strategy and in doing so the Primary Health Care Corporation has this as its goal. This study amis to assess the effectiveness of preceptorship program models that can eventually be used for adoption as training programs for nurses in Health Centers in Qatar.Methods: A literature review of twenty articles published between 2006 and 2017 that focused on different models of preceptorship programs was conducted. The Mixed Methods Appraisal Tool was used to assess the quality of these studies. The data was analyzed by categorizing the included articles in a matrix sheet based on study design.Results and conclusions: Preceptorship programs are effective in four key areas: increasing nursing knowledge, supporting effective and safe care delivery by newly graduated nurses, increasing organizational support, and decreasing turnover rate and cost. 

scholarly journals Analysis Of Hospital Health Care, Health Facilities Level I Of BPJS Patients Satisfaction In Sikumana Public Health Centre Kupang

2020 ◽  
Vol 3 (2) ◽  
pp. 544-552
Author(s):  
Oktaviana Manek
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Patient Satisfaction ◽  
Data Analysis ◽  
Health Center ◽  
Community Health Center ◽  
P Value ◽  
Research Subjects ◽  
Good Service ◽  
Level I

Good health care is a community need and is often a measure of development success. The purpose of this study was to analyze inpatient health care service level I to the satisfaction of BPJS patients in the Sikumana Health Center in Kupang City. The study was conducted at the Sikumana Community Health Center in Kupang City from 15 October to 10 November 2019. The research design used was a qualitative study using a cross sectional approach. The independent variable is health service and the dependent variable is patient satisfaction. The population of all BPJS patients in the Sikumana Kupang health center in the January-August period was 230 respondents. The sampling technique used was Simple Random Sampling with a sample of 146 respondents data analysis techniques using the Logistic regression test. The results of the study of 146 respondents the majority (56.2%) of respondents were very satisfied with the service of nurses, there were 82 research subjects, the majority (58.9%) of respondents were very satisfied with the service of doctors namely there were 86 research subjects and the majority (56, 2%) respondents are very Satisfied with Nurse services, there are 82 research subjects, almost half (45.9%) respondents get good service based on Tangibels, almost half (43.2%) respondents get good service based on reliability, most ( 54.1%) respondents get good service based on Responsiveness, almost half (46.6%) respondents get good service based on Assurance and almost half (44.5%) respondents get good service based on Empathy. Logistic regression data analysis concluded that BPJS patient satisfaction based on health services at the Community Health Center in Sikumana, Kupang, obtained a p value of 0.002 because p value <α (0.05) It is expected that research sites will improve the cleanliness of the ward each morning before the examination and in the afternoon, especially the bathroom of the patient and the staff must be diligent in controlling hygiene

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