Health Workers Readiness for Implementation of a Mobile Pregnancy Monitoring System in Primary Health Care: A Cross-Sectional Study (Preprint)

2021 ◽  
Author(s):  
Sandra Hakiem Afrizal ◽  
Achmad Nizar Hidayanto ◽  
Putu Wuri Handayani ◽  
Besral Besral ◽  
Adang Suhendra ◽  
...  
Keyword(s):  
Health Care ◽  
Social Media ◽  
Primary Health Care ◽  
Monitoring System ◽  
Health Workers ◽  
Demographic Factors ◽  
Care Process ◽  
Cross Sectional ◽  
It Implementation ◽  
Primary Health

BACKGROUND It is necessary to assess readiness amongst health workers as an approach to successful IT implementation. However, little attention has been paid to assess demographic and associate factors related to such readiness. OBJECTIVE The study aims to describe factors related to the readiness of health workers with respect to implementation of a mobile Pregnancy Monitoring System in Primary Health Care (PHC) sites of the South Tangerang District in Banten Province, Indonesia using a socio-technical approach. METHODS A cross-sectional survey design was used among respondents who were involved during the antenatal care process. The participants (n=210) completed the questionnaire that measured information needs regarding the socio-technical aspect of readiness and factors affecting the readiness. The data was analysed using logistic regression analysis. RESULTS The findings of this study showed that the majority of the health workers who were involved in the antenatal care process were ready to implement the mobile pregnancy monitoring system. Having social media and willingness to be involved in IT implementation are associated with IT readiness, while there is no significant association between demographic factors to the readiness of the health workers. CONCLUSIONS Since there is no connectivity between the demographic factors to readiness, thus the supportive factors such as having a social media and willingness are easier to resolve than inferring from the demographic factors CLINICALTRIAL 783/UN2.F10/PPM.00.02/2018

INDIVIDUALS’ BEHAVIOR TOWARDS INTERNET AND SOCIAL MEDIA MEDICAL INFORMATION IN DAMMAM AND KHOBAR PRIMARY HEALTH CARE CENTERS

2021 ◽  
pp. 12-16
Author(s):  
Dania Alshiha ◽  
Mashael Alghamdi ◽  
Abeer Aldakhil
Keyword(s):  
Health Care ◽  
Social Media ◽  
Primary Health Care ◽  
Medical Information ◽  
Treatment Plan ◽  
Cross Sectional ◽  
Primary Health ◽  
Primary Health Care Centers ◽  
Health Care Centers ◽  
Internet And Social Media

Nowadays, internet and social media are being used widely. They affect individuals who seek medical information, as a result, inaccurate information lead individuals to misdiagnose themselves and change their treatment plan. The purpose of this study is to determine the behavior of individuals regarding using internet and social media to obtain medical information, sociodemographic factors and reasons for seeking medical information. This study employed a cross-sectional analytical design in primary health care centers in Dammam and Khobar cities. A total of 439 participants were invited to complete a structured, self-administered questionnaire. The results of the study revealed that 87.7% used internet and social media to obtain medical information. The most common reason for searching was symptoms participants had 42.9%. Eighty ve percent were inuenced and 15% were rarely inuenced by the information obtained. More than half of individuals had a positive behavioral change. Majority of individuals had veried the information they obtained, mostly with a physician 83.6%.

Evaluation Of Drugs Use With Who Prescribing Indicator In Kuta Primary Health

2018 ◽  
Vol 3 (3) ◽  
pp. 483
Author(s):  
Dewa Ayu Putu Satrya Dewi ◽  
Putu Eka Arimbawa ◽  
Abdul Khodir Jaelani
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Drug Use ◽  
Focus Group ◽  
Health Workers ◽  
Generic Drugs ◽  
Cross Sectional ◽  
Rational Use ◽  
Primary Health ◽  
The Government

<p><em>The Government of Indonesia has a lot of intervention for rationalizing drug use of all levels of health services including Primary Health Care. One of the programs of rational use of drugs at Primary Health Care is monitoring and evaluation of drug use conducted by pharmacist. The purpose of this research was to evaluate the rationality of drug usein Kuta Primary Health Care that review from WHO prescribing indicators and knowing the difference percentage of rationality of drug use between Kuta Primary Health Care. This research used cross sectional design research conducted in Kuta Primary Health Care on October 2017. Data analyzed using descriptive analysis and Kruskall-Wallis test. The average number of drug prescribed per en counter was 2.9. The percentage of drugs prescribed by generic drugs was 85.91percent. The percentage prescribed of encounters in which an antibiotic on ARI non Pneumonia was 29.94 pecent  and percentage prescribing antibiotic drugs in a non-specific diarrhea was 23.84 percent. The percentage prescribed of encounters injection was 0 percent. On the basic of the finding of this study the prescribed practices for polypharmacy, generic prescribing, and antibiotic shows deviation from the standard recommended by WHO and Directorate General of Pharmaceutical and Medical Devices Indonesia. These finding suggested increase health workers knowledge through scientific meetings or Focus Group Disscution (FGD) that can support a rational use of drugs in the Primary Health Care.</em></p><p> </p><p>Pemerintah Indonesia telah banyak melakukan intervensi untuk merasionalkan penggunaan obat dari segala tingkat pelayanan kesehatan termasuk Puskesmas. Salah satu program Penggunaan Obat Rasional (POR) di Puskesmas adalah monev penggunaan obat yang dilakukan oleh farmasis. Tujuan penelitian ini adalah melakukan evaluasi rasionalitas penggunaan obat di Puskesmas Kecamatan Kuta ditinjau dari indikator peresepan (% peresepan obat generik, % persentase antibiotik, % peresepan injeksi) dan mengetahui perbedaan persentase rasionalitas penggunaan obat antar Puskesmas Kecamatan Kuta. Penelitian ini menggunakan rancangan penelitian<em> cross sectional </em>yang dilakukan pada Puskesmas Kuta I, Kuta II, dan Kuta Utara pada bulan Oktober 2017. Analisis data menggunakan analisis deskriptif dan uji Kruskall-Wallis. Analisis deskriptif dari tenaga kesehatan menunjukkan bahwa, profesi Apoteker masih langka di Puskesmas Kecamatan Kuta yaitu hanya ada di Puskesmas Kuta 1 per November 2018. Hasil penelitian tiap parameter pada Puskesmas Kecamatan Kuta tidak ada yang memenuhi target kriteria POR dari target Dirjen Binfar kecuali parameter peresepan injeksi. Rata-rata obat tiap pasien adalah 2,9, % peresepan obat generik adalah 85,91%, % peresepan obat antibiotik pada ISPA non Pneumonia adalah 29,94%, % peresepan obat antibiotik pada diare non spesifik adalah 23,84%, dan % peresepan injeksi adalah 0%. Hal tersebut menunjukkan bahwa Puskesmas Kecamatan Kuta masih mengalami masalah polifarmasi dan penggunaan antibiotik berlebihan. Hasil penelitian ini dapat menunjukkan adanya kebutuhan untuk meningkatkan pengetahuan tenaga kesehatan melalui pertemuan ilmiah atau <em>Focus Group Disscution (</em>FGD) yang dapat mendukung penggunaan obat yang rasional di Puskesmas.</p>

A Health Education Approach to Training Village Health Workers in Nigeria

1982 ◽  
Vol 3 (2) ◽  
pp. 145-152 ◽  
Author(s):  
William R. Brieger ◽  
Samuel U. Akpovi
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Status ◽  
Health Education ◽  
Health Workers ◽  
Care Process ◽  
Skill Transfer ◽  
Primary Health ◽  
Village Health Workers ◽  
Village Health

Health education plays an important role in the primary health care process, particularly in the training of village health workers. Three educational concepts, training based on community felt needs, trainee involvement and social and cultural realism, are essential in designing these programs. These concepts were applied over a three year period in the training of village health caretakers in Idere town of Oyo State, Nigeria. Volunteer village health workers from ten villages were able to bring about changes in knowledge, behaviour and health status of their fellow villagers indicating that the health education approach fostered skill transfer to the communities.

scholarly journals ANALISIS PENGGUNAAN ALAT PELINDUNG DIRI (APD) COVID-19 PADA PETUGAS PUSKESMAS DI KOTA PADANG

2021 ◽  
Vol 5 (1) ◽  
pp. 271-281
Author(s):  
Ayulia Fardila Sari ZA ◽  
Syafrawati Syafrawati ◽  
Laa Tania Fizikriy
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Workers ◽  
Transmission Risk ◽  
Primary Data ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional ◽  
Primary Health ◽  
Usage Behavior

Introduction: Health workers are groups that are vulnerable to contracting COVID-19. There are 20 health workers in West Sumatra test positive for COVID-19 until April 30th 2020, while six of them are Padang primary health care officers. Using Personal Protective Equipment (PPE) is important to prevent and reduce COVID-19 transmission risk of health workers. This study aimed to measure factors of using PPE for Padang primary health care officers. Methods: Research used a quantitative method with cross sectional design in 12 Padang primary health care from March to July 2020. Independent variables were age, PPE availability, leadership support, knowledge, and attitudes. Dependent variable was PPE usage behavior. Research population was health care officers who directly contacted with people in Padang primary health care area with 100 samples. Primary data collection used questionnaire with accidental sampling technique and analyzed using bivariate analysis. Results:There was a significant relationship between age and PPE usage behavior for health care officers, p value=0.037 (p

scholarly journals The burden of recording and reporting health data in primary health care facilities in five low- and lower-middle income countries

2021 ◽  
Vol 21 (S1) ◽  
Author(s):  
Amani Siyam ◽  
Por Ir ◽  
Dararith York ◽  
James Antwi ◽  
Freddie Amponsah ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Workers ◽  
Health Data ◽  
Health Care Facilities ◽  
International Standards ◽  
Care Process ◽  
Middle Income ◽  
Primary Health ◽  
Service Delivery Systems

Abstract Background Recording and reporting health data in facilities is the backbone of routine health information systems which provide data collected by health facility workers during service provision. Data is firstly collected in a register, to record patient health data and care process, and tallied into nationally designed reporting forms. While there is anecdotal evidence of large numbers of registers and reporting forms for primary health care (PHC) facilities, there are few systematic studies to document this potential burden on health workers. This multi-country study aimed to document the numbers of registers and reporting forms use at the PHC level and to estimate the time it requires for health workers to meet data demands. Methods In Cambodia, Ghana, Mozambique, Nigeria and Tanzania, a desk review was conducted to document registers and reporting forms mandated at the PHC level. In each country, visits to 16 randomly selected public PHC facilities followed to assess the time spent on paper-based recording and reporting. Information was collected through self-reports of estimated time use by health workers, and observation of 1360 provider-patient interactions. Data was primarily collected in outpatient care (OPD), antenatal care (ANC), immunization (EPI), family planning (FP), HIV and Tuberculosis (TB) services. Result Cross-countries, the average number of registers was 34 (ranging between 16 and 48). Of those, 77% were verified in use and each register line had at least 20 cells to be completed per patient. The mean time spent on recording was about one-third the total consultation time for OPD, FP, ANC and EPI services combined. Cross-countries, the average number of monthly reporting forms was 35 (ranging between 19 and 52) of which 78% were verified in use. The estimated time to complete monthly reporting forms was 9 h (ranging between 4 to 15 h) per month per health worker. Conclusions PHC facilities are mandated to use many registers and reporting forms pausing a considerable burden to health workers. Service delivery systems are expected to vary, however an imperative need remains to invest in international standards of facility-based registers and reporting forms, to ensure regular, comparable, quality-driven facility data collection and use.

scholarly journals INTERAKSI IBU HAMIL DENGAN TENAGA KESEHATAN DAN PENGARUHNYA TERHADAP KEPATUHAN IBU HAMIL MENGONSUMSI TABLET BESI (Fe) DAN ANEMIA DI PUSKESMAS KOTA WILAYAH SELATAN KOTA KEDIRI

2018 ◽  
Vol 21 (2) ◽  
pp. 92-89
Author(s):  
Dina Dewi Anggraini ◽  
Windhu Purnomo ◽  
Bambang Trijanto
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Pregnant Women ◽  
Health Worker ◽  
Random Sampling ◽  
Health Workers ◽  
Pregnant Mother ◽  
Cross Sectional ◽  
Primary Health ◽  
Target Program

Anemia is a major cause of bleeding. And iron defi ciency is a major cause of anemia. Pregnant women have a high risk of iron defi ciency anemia. The prevention of iron defi ciency anemia is done through an iron supplementation program with a daily dosing of 1 consecutive tablet for at least 90 days during pregnancy. Fe1 and Fe3 coverage at Primary Health Care of Kediri City South Region is 69.81% and 66.29%. This coverage is still below the target program 95% of 2014. This study to analyze the infl uence of interaction of pregnant mother with health worker on compliance to consume iron tablet (Fe) and anemia in pregnant mother at Primary health Care of Kediri City South Region. Analytical observation with cross sectional design. The population consists of 63 trimester pregnant women III. With a simple random sampling technique, a sample of 34 trimester pregnant women III who have received 90 iron tablets (Fe). Data were obtained from questionnaires, Maternal and Child Health books, and in-depth interviews. Data analysis using ordinal regression and binarylogistic regression. Hypothesis of research that there is infl uence of interaction of pregnant woman with health worker to compliance consume iron tablet (Fe) at pregnant mother at Primary Health Care of Kediri City South Region. There was an effect of interaction of pregnant women with health workers with good category and suffi cient compared to the less category of compliance of pregnant women consuming iron tablet (Fe) (p = 0.000 < 0.05), and there was considerable compliance effect compared with non compliance iron tablet (Fe) to anemia in pregnant mother (p = 0.012 < 0.05). The better the interaction of pregnant women with health workers, the more likely the pregnant women to obediently consume iron tablets (Fe) to prevent anemia during pregnancy. Abstrak Anemia merupakan penyebab utama terjadinya perdarahan. Dan kekurangan zat besi merupakan penyebab utama terjadinya anemia. Ibu hamil mempunyai risiko yang tinggi untuk mengalami anemia defi siensi besi. Penanggulangan anemia defi siensi besi dilakukan melalui program pemberian suplemen zat besi dengan dosis pemberian sehari sebanyak 1 tablet berturut-turut minimal selama 90 hari selama kehamilan. Cakupan Fe1 dan Fe3 di Puskesmas Kota Wilayah Selatan Kota Kediri yaitu sebesar 69,81% dan 66,29%. Cakupan ini masih berada di bawah target program tahun 2014 yaitu sebesar 95%. Penelitian ini untuk menganalisis pengaruh interaksi ibu hamil dengan tenaga kesehatan terhadap kepatuhan mengonsumsi tablet besi (Fe) dananemia pada ibu hamil di Puskesmas Kota Wilayah Selatan Kota Kediri. Observasi analitik dengan rancang bangun cross sectional. Populasi terdiri dari 63 ibu hamil trimester III. Dengan teknik simpel random sampling, sampel sebanyak 34 ibu hamil trimester III yang telah mendapatkan 90 tablet besi (Fe). Data diperoleh dari kuesioner, buku Kesehatan Ibu dan Anak, dan wawancara yang mendalam. Analisis data dengan menggunakan regresi ordinal dan regresi logistik biner. Hipotesis penelitian yaitu ada pengaruh interaksi ibu hamil dengantenaga kesehatan terhadap kepatuhan mengonsumsi tablet besi (Fe) pada ibu hamil di Puskesmas Kota Wilayah Selatan Kota Kediri. Hasil penelitian ini ada pengaruh interaksi ibu hamil dengan tenaga kesehatan dengan kategori baik dan cukup dibandingkan dengan kategori kurang terhadap kepatuhan ibu hamil mengonsumsi tablet besi (Fe) (p = 0,000 < 0,05),dan ada pengaruh kepatuhan yang cukup dibandingkan dengan tidak patuh mengonsumsi tablet besi (Fe) terhadap anemia pada ibu hamil (p = 0,012 < 0,05). Semakin baik interaksi ibu hamil dengan tenaga kesehatan, maka semakin cenderung ibu hamil untuk patuh mengonsumsi tablet besi (Fe) untuk mencegah anemia pada masa kehamilan.

scholarly journals Assessment of health workers’ concern about COVID-19 pandemic: implication for surveillance activities among Primary Health Care workers in Oyo State, South-Western Nigeria

2020 ◽  
Author(s):  
Olaniyan Akintunde Babatunde ◽  
Muideen Babatunde Olatunji ◽  
Roseline Oluyemisi Akande ◽  
Joseph Muyiwa Olumoyegun
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Workers ◽  
Health Workers ◽  
Sampling Technique ◽  
Bivariate Analysis ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Primary Health ◽  
Care Workers

Abstract Background: The outbreak of COVID-19 has continued to threaten the existence of human race. The novelty and unstable epidemiologic pattern of the virus had generated so much concern among the global health experts. These concerns were found to be escalated among frontline health care workers to the extent of impeding the timeliness of the response activities. To slow down the spread of the already established community transmission through the surveillance activities, the concern of the health workers at the community level needs to be addressed. Therefore, this study assessed the concern about COVID-19 pandemic among the primary health workers in Oyo State, Nigeria.MethodsThis was an online cross-sectional survey conducted among primary health care workers in Oyo State between March and April 2020. Using a two-stage sampling technique, we recruited 284 respondents. A semi-structured questionnaire linked to the Google form was used to collect data. Data were analyzed using IBM SPSS version 25; bivariate analysis was done using Chi-square and binary logistic regression was used to identify the predictors of health workers’ concern at 5% level of significance.ResultsThe mean age of respondents was 45.0 + 9.0 years. About 52.5% had goodk knowledge of COVID-19. In the domains of concern, 66.9%, 53.2%, 51.4%, and 46.5% of the respondents expressed government-related concern, self-satisfaction related concern, work-related concern and social status related concern respectively. Male respondents were less likely to express concern about COVID-19 compared with their female counterparts (aOR= 0.39, 95% CI = 0.20 – 0.76). Nurses/midwives (aOR= 0.21, 95% CI = 0.05 – 0.85) had lesser likelihood of expressing concern about COVID-19 while middle staff (aOR= 2.5, 95% CI = 1.18 – 5.39) and income earner of ≥ N200, 000 (aOR= 2.3, 95% CI = 1.34 – 3.92) had higher likelihood of expressing concern about COVID-19.ConclusionThe study revealed an average knowledge of COVID-19 among the respondents. Government-related and self-satisfaction related concerns were majorly expressed by the majority of the PHC workers. Therefore, holistic policy that addresses the welfare and training of the HCWs is recommended.

scholarly journals FACTORS RELATED TO UTILIZATION OF JAMKESMAS IN PRIMARY HEALTH CARE AT JAMBI, INDONESIA 2011

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Theresia Rhabina Noviandari Purba
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Quantitative Research ◽  
Health Workers ◽  
Cross Sectional ◽  
Face To Face ◽  
The Poor ◽  
Primary Health ◽  
Care Health ◽  
Cross Sectional Design

Jamkesmas was public health insurance organized by the Indonesian government that aims to ensure the health needs of the poor. Jamkesmas organized to increase the coverage of the poor who cannot access health services. This study aimed to examine the factors associated with utilization Jamkesmas in primary health care.This study is a quantitative research which uses cross sectional design. 100 respondents were selected by random sampling. Method of administration is face-to-face structured interview.The results show 54% people used Jamkesmas in primary health care. According to the result of statistical analyses, factors related to utilization of Jamkesmas in primary health care are accessibility (p= 0.0005) and supports from family and health workers (p=0.0005). In order to increase utilization of Jamkesmas, people need supports from their family and health workers to using primary health care. Health workers, such as doctor and nurse, have to increase quality of services to make patient more comfortable and build trust between doctor and patient. Easier accessibility, included distance, time, cost of transportation, are also needed to increase utilization.Keywords:Jamkesmas, utilization, primary health care

scholarly journals Faktor yang Menentukan Pengetahuan Akhir Pasien tentang Obat di Puskesmas

2019 ◽  
Vol 6 (2) ◽  
pp. 91
Author(s):  
Diesty Anita Nugraheni ◽  
Prisca Widiyanti ◽  
Chaifah Salim Assaidi ◽  
Cendana Handayani Hariyadi ◽  
Kristina Dewi Pratiwi
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Center ◽  
Health Worker ◽  
Health Workers ◽  
Primary Data ◽  
Systematic Sampling ◽  
Primary Health Center ◽  
Cross Sectional ◽  
Primary Health

ABSTRAK Proses pemberian informasi yang memuaskan antara pasien dan apoteker merupakan hal yang penting dalam penggunaan obat secara rasional oleh pasien dan sangat dipengaruhi oleh banyak faktor baik dispensing time, karakteristik pasien dan petugas kesehatan. Tujuan penelitian adalah untuk menganalisis faktor-faktor yang menentukan pengetahuan akhir pasien tentang obat di Puskesmas. Jenis penelitian ini adalah penelitian observasional yang dilakukan dengan metode cross-sectional. Populasi adalah pasien atau keluarga pasien yang mendapatkan obat di Unit Farmasi empat Puskesmas Kabupaten Sleman. Sampel dipilih menggunakan teknik systematic sampling. Sumber data primer yaitu menghitung dispensing time dan wawancara terstruktur. Data dianalisis menggunakan uji regresi linier dan crosstab. Faktor-faktor yang diteliti sebagai penentu pengetahuan akhir pasien tentang obat di Puskesmas yaitu waktu penyerahan obat (dispensing time), jenis petugas kesehatan yang menyerahkan obat, jenis kelamin, usia, pendidikan, suku bangsa, status pernikahan, pekerjaan, pendapatan, bahasa sehari-hari, dan area tinggal. Hasil penelitian menunjukkan faktor yang menentukan tingkat pengetahuan akhir pasien adalah jenis petugas kesehatan, usia, pendidikan, pendapatan, bahasa sehari-hari, dan area tinggal pasien yaitu dengan nilai p<0,1 pada analisis regresi linier. Kesimpulan penelitian yaitu tingkat pengetahuan pasien terkait obat di Puskesmas dapat digambarkan dengan persamaan regresi Y= 2,236 + 0,223 jenis petugas kesehatan - 0,338 usia + 0,231 pendidikan – 0,103 pendapatan – 0,115 bahasa – 0,403 area tinggal. Kata kunci: dispensing time, faktor, pengetahuan obat, puskesmas, sosiodemografi.  ABSTRACT The process of providing satisfactory information between patients and pharmacists was important in rational of drugs use and greatly influenced by many factors such as dispensing time, patient characteristics and health care workers. The objective of the study was to analyze the factors related to the patient's medication exit knowledge at primary health care. This research was an observational study conducted with cross-sectional method. The population werw patients or their families who get medication at pharmacy unit of four primary health care in the Sleman district. Samples were selected using systematic sampling techniques. The primary data source were observe dispensing time and structured interviews. Data were analyzed using linear regression and crosstab tests. The factors studied as determinants of the patient's medication exit knowledge at the primary health center were dispensing time, the health worker who dispensing drugs, sex, age, education, ethnicity, marital status, occupation, income,  language, and area of residence. The factors that determine patient’s medication exit knowledge were the type of health worker, age, education, income, language, and area of residence. The conclusion of the study is the patient’s medication exit knowledge at primary health center can be described by the regression equation Y = 2.236 + 0.223 types of health workers - 0.338 ages + 0.231 education - 0.103 income - 0.115 languages - 0.403 residence area. Keywords: dispensing time, factor, medication knowledge, primary health care, sociodemographic

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