scholarly journals Perceptions of Internship Doctors on Promotive and Preventive Health Services in Puskesmas (Community and Primary Health Care Center)

2018 ◽  
Vol 1 (2) ◽  
pp. 16
Author(s):  
Mariatul Fadillah ◽  
Murwani Emasrissa Latifah
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Preventive Health Services ◽  
Preventive Services ◽  
Preventive Health ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Centers

Background: Health care services are any efforts that are self-administered or done jointly within an organization to maintain and improve health, prevent and cure diseases and restore the health of individuals, families, groups and/or communities. Promotional and preventive services are conducted by individuals or groups in improving health and preventing the occurrence of outcomes unwanted by the community. Community Primary Health Care Centers (Puskesmas) are primary health care centers for the community which serve as the location of the new family doctors internship program in Indonesia.Objectives: The purpose of this study is to investigate the perception of internship doctors on the promotion and preventive services at the Puskesmas where they are placed for internship.Methods: This research is a quantitative analytical study with cross-sectional research design through the distribution of a questionnaire in the form of a Google survey form to all internship doctors in 571 Puskesmas in Indonesia. The questionnaire contains a list of questions that have been categorized according to the parent theory used, namely the Lawrence Green theory. The samples obtained in this study included 218 internship doctors.Results: From this study it was found that as many as 130 people (59.6%) of intern doctors who conducted promotive and preventive health services at Puskesmas came from State Universities. As many as 86 people (39.4%) of interns who conducted promotive and preventive health services at Puskesmas were 25 years old, with 143 (65.6%) females and 184 people (84.4%) unmarried. From the results of logistic regression analysis of Awareness Level, Knowledge Level, Time, Potential Revenue and Government Support, all factors have significant influence on the internship doctors’ perceptions on the promotive and preventive health care services (p<0.05).Conclusion: In this research, there are profiles and factors that significantly influence the internship doctor’s perceptions on health promotion and preventive services at Puskesmas.

scholarly journals The Role of Primary Health Care Toward Healthy Aging

2021 ◽  
Vol 4 (1SP) ◽  
pp. 10
Author(s):  
Dhanasari Vidiawati ◽  
Yuda Turana ◽  
Tonny Sundjaya
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Healthy Aging ◽  
The Elderly ◽  
Preventive Health ◽  
Care Services ◽  
Primary Health

Background: According to the World Health Organization, healthy aging is the process of developing and maintaining functional abilities that make the elderly happy. The increase in the elderly population requires more attention. In particular, health services at the primary health care level face problems related to the limited capacity of overall health services, especially in terms of health promotion and preventive health issues. It is necessary to improve the quality of health care services for the elderly to prevent greater health problems among the elderly population.Objectives: Understand the need to provide holistic health services for healthy aging and use their capabilities, and strengthen cooperation among health professionals in achieving healthy aging.Discusion: Primary health care is pointed out that primary health care should provide comprehensive services in a holistic manner to support a healthy aging process. Therefore, a well-structured, integrated, and cross-industry collaborative primary care system is needed. The system should include changes in professional behavior, coordination of care, and participation of patients' families and communities in comprehensive health care. This can be achieved through inter-professional education, continuous training and education of primary health care professionals, as well as primary health care services and cross-level health care technology innovation.Conclusions: Healthy aging is not just the absence of disease. Everyone in health and social care at all levels can play a role to help improve healthy aging. To make the elderly healthy, starting from the prevention of young health problems, it requires collaboration between health workers, primary health care and other health service levels, and health care that cooperates with patients, families, and communities.Keywords: healthy aging, primary care, preventive, health worker

scholarly journals Satisfaction of clients with disabilities with services offered at primary health care centres in Ndola, Zambia

2012 ◽  
Vol 68 (2) ◽  
Author(s):  
N. Mlenzana ◽  
R. Mwansa
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Health Professionals ◽  
Health Care Services ◽  
Waiting Times ◽  
Care Providers ◽  
Persons With Disabilities ◽  
Care Services ◽  
Primary Health

To establish satisfaction level of persons with disabilitiesregarding health services at primary health care centres in Ndola, Zambia.Key stakeholders views on satisfaction of services is an important componentof service rendering thus obtaining information is important in assistingwith the evaluation of health care service delivery. This will assist in improvingeffectiveness and availability of health care services to persons with physicaldisabilities.All persons with disabilities attending both rehabilitation centres andprimary health care centres in Ndola, Zambia, were targeted for this study. Willing participants were convenientlyselected to take part in the study.A cross sectional, descriptive study design using quantitative methods of data collection was used. The GeneralPractice Assessment Questionnaire was adjusted, piloted for Ndola population and used in this study to establishsatisfaction of participants. The study was ethically cleared at the University of the Western Cape and Zambia.Information and consent forms were signed by participants.Quantitative data was analysed descriptively and was reported in percentages.In the current study there were 191 participants of whom 56% were male and 44% were female with age rangefrom 18-65 years. Fifty-two percent of the participants presented with learning disabilities and 38% of persons withphysical disabilities. Majority of clients (54%) were dissatisfied with availability of services and health care servicesat the health care centres. Areas that clients were dissatisfied with were accessibility, consultation with health professionals,waiting times and opening hours of the health care centres.Clients with disabilities who accessed health care services from selected health centres in Ndola were dissatisfiedwith aspects of health services. Accessibility, consultation with health professionals, waiting times and opening hoursof the health care centres were the origin of client dissatisfaction. Other clients were satisfied with thoroughness ofhealth care providers regarding symptoms, feelings, reception and treatment received at the primary health care centre.Understanding the views of the clients is essential in improving health delivery services and could impact on thecompliance of people attending primary health care services.

scholarly journals Caregivers’ Satisfaction toward Under-Five Health Care Services Provided at Primary Health Care Centers in Al Karkh, Baghdad, 2020

2022 ◽  
Vol 63 (4) ◽  
pp. 138-144
Author(s):  
Lamia D. Bahaa Al Deen ◽  
Abeer Abdulkareem Fadhel
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Services ◽  
Medical Provider ◽  
Under Five ◽  
Care Services ◽  
Primary Health ◽  
Level Of Satisfaction ◽  
Primary Health Care Centers ◽  
Health Care Centers

Background: Satisfied caregivers are more likely to return for further care and to recommend the primary health care center services to others. Satisfied caregivers usually are compliant with the medical provider advice and the recommended treatment plan. Compliance will eventually lead to better health outcomes. Method: A cross-sectional study with an analytic element was conducted during the period from the beginning of July to the end of September 2020. A convenient sample was collected from six primary health care centers in Al-Karkh side of Baghdad city where caregivers who attend those centers with their children for under-five health care services were interviewed using a structured questionnaire.Objective: To measure the caregivers’ satisfaction toward under-five health care services at primary health care centers in Baghdad Al-Karkh and their association with certain socio-demographic characteristics. Results: A total of 500 caregivers were interviewed during the study period, the overall satisfaction was (64%). Caregivers were satisfied with primary health care centers cleanliness (77.8%), while they were highly dissatisfied with the communication with the nurses (78.8%), with the waiting time for a routine visit (74.6%), with nurses’ antiseptic methods (59.2%), and with the availability and adequacy of their children’s vaccines (65.4%). Conclusions: The level of satisfaction of caregivers with under-five health care services provided at primary health care centers was relatively low. The study revealed that the less educated and older caregivers showed a significant higher level of satisfaction.

scholarly journals Die uitdagings verbonde aan die lewering van primêre gesondheidsorgdienste in artikel 30-gebiede

Curationis ◽  
1981 ◽  
Vol 4 (3) ◽  
Author(s):  
Delene Mcnulty
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Epidemiological Data ◽  
Supportive Services ◽  
Care Services ◽  
Primary Health ◽  
Comprehensive Primary Health Care ◽  
Primary Health Care Services

Article 30 areas are those in which the Department of Health, Welfare and Pensions act as the local authority in terms of health services. The Department has been developing comprehensive primary health care services, provided by registered nurses, in these areas since 1975. These services are challenged by complex problems and methods for primary health care used successfully in other areas are inappropriate. As those served are mostly immigrant farm labourers, village workers cannot be used. A lack of demographic and epidemiological data complicates the setting of objectives and thus planning of services. There are few clinic services and supportive services and sources for referral are inadequate or non-existent. The nurse mostly provides the service from a car at suitable central points. Sophisticated technology cannot be used and equipment, techniques and procedures must be carefully selected or even improvised. The success of the service depends on the nurses’ ability to gain the co-operation and acceptance of the farmer who is the employer; doctors and pharmacists; school principals; magistrates; the nearest hospitals which may be in another country; and of the target group comprising the workers and their families. In this time of fragmentation and specialised care in health services the nurses providing the section 30 services must be able to meet all promotive, preventive, curative and rehabilitative health needs — she is expected to be a model of versatility.

scholarly journals Factors Influencing Utilization of Preventive Health Services in Primary Health Care in the Serbia

2021 ◽  
Vol 18 (6) ◽  
pp. 3042
Author(s):  
Slavka Mitričević ◽  
Janko Janković ◽  
Željka Stamenković ◽  
Vesna Bjegović-Mikanović ◽  
Marko Savić ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Health Expenditure ◽  
Preventive Health Services ◽  
Preventive Health ◽  
Health Determinants ◽  
Insurance Fund ◽  
Life Expectancy At Birth ◽  
Primary Health

The use of preventive health services is a long-term health investment due to its potential to help individuals to take care of their health. This study aimed to explore the availability and performance of health services in primary health care (PHC) in the domain of general practice (GP), pediatrics, and gynecology, as well as to analyze the influence of sociodemographic and health determinants on the utilization of preventive health services. This descriptive study used data from the National Health Insurance Fund and the Statistical Office of the Serbia for 2015 and included 149 independent PHC units. The relationship between the utilization of preventive services and sociodemographic and health characteristics of the population was analyzed by bivariate and multivariate linear regression models. The higher health expenditure per capita and noncommunicable diseases mortality rate were, the more preventive health services were provided by a chosen GP. Children with a higher completion rate of primary school (p = 0.024), higher health expenditure (p = 0.017), and higher life expectancy at birth (p = 0.041) had more preventive health services. The fertility rate was positively associated with the number of preventive health services per 1000 women (p = 0.033). Our findings should serve as a starting point for where efforts should be made to achieve better health outcomes.

scholarly journals Health Literacy and The Use of Primary Health Care Services of Inpatients with Musculoskeletal Complaints

2020 ◽  
Vol 9 (3) ◽  
pp. 131-138
Author(s):  
Sebahat Gücük ◽  
Erdal Dilekçi ◽  
Mehmet Kayhan
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Literacy ◽  
Health Services ◽  
Health Care Services ◽  
Contact Point ◽  
Screening Programs ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services

Aim: Our study aimed to determine the relationship between health literacy and the use of primary health care services in our patient group, where the demand for health services is quite frequent due to their complaints. Methods: This cross-sectional study was carried out with 725 patients with various diagnoses of musculoskeletal disorders hospitalizing to whom physical therapy and/or rehabilitation was applied. The volunteer participants filled out a sociodemographic questionnaire which consisted of 26 questions and Adult Health Literacy Scale using face-to-face interview method. Results: The mean total score of health literacy of the participants was identified as 12.02±3.77. In terms of those who previously took medical home service before for any reason, who received counseling by the midwife, and who have consulted their family physician about their current complaints, health literacy score was found to be significantly higher than the others. Conclusion: In order to increase the level of health literacy, which is an integral part of preventive health services especially in primary health care which is the first medical contact point, training programs should be planned according to the level of people’s need and understanding in every opportunity like seeing the patient in polyclinic or giving mobile care or during health screening programs. Keywords: health literacy, health education, national health policy

scholarly journals Mapping services at two Nairobi County primary health facilities: identifying challenges and opportunities in integrated mental health care as a Universal Health Coverage (UHC) priority

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Manasi Kumar ◽  
Vincent Nyongesa ◽  
Martha Kagoya ◽  
Byamah B. Mutamba ◽  
Beatrice Amugune ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Health Care Providers ◽  
Health Care Services ◽  
Care Providers ◽  
Care Services ◽  
Primary Health

Abstract Introduction There is a need to scale-up mental health service provision in primary health care. The current extent of integration of mental health in primary care is pertinent to promoting and augmenting mental health at this level. We describe a facility mapping exercise conducted in two low-income/primary health facilities in Kenya to identify existing barriers and facilitators in the delivery of mental health services in general and specifically for peripartum adolescents in primary health care as well as available service resources, cadres, and developmental partners on the ground. Method and measures This study utilized a qualitative evidence synthesis through mapping facility-level services and key-stakeholder interviews. Services-related data were collected from two facility in-charges using the Nairobi City County Human Resource Health Strategy record forms. Additionally, we conducted 10 key informant interviews (KIIs) with clinical officers (Clinicians at diploma level), Nurses, Community Health Assistants (CHAs), Prevention of Mother-to-child Transmission of HIV Mentor Mothers (PMTCTMs), around both general and adolescent mental health as well as psychosocial services they offered. Using the World Health Organization Assessments Instrument for Mental Health Systems (WHO-AIMS) as a guideline for the interview, all KII questions were structured to identify the extent of mental health integration in primary health care services. Interview transcripts were then systematically analyzed for common themes and discussed by the first three authors to eliminate discrepancies. Results Our findings show that health care services centered around physical health were offered daily while the mental health services were still vertical, offered weekly through specialist services by the Ministry of Health directly or non-governmental partners. Despite health care workers being aware of the urgent need to integrate mental health services into routine care, they expressed limited knowledge about mental disorders and reported paucity of trained mental health personnel in these sites. Significantly, more funding and resources are needed to provide mental health services, as well as the need for training of general health care providers in the identification and treatment of mental disorders. Our stakeholders underscored the urgency of integrating mental health treatment, prevention, and well-being promotive activities targeting adolescents especially peripartum adolescent girls. Conclusion There is a need for further refining of the integrated care model in mental health services and targeted capacity-building for health care providers to deliver quality services.

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