scholarly journals The Effectiveness of IMCI (Integrated Management of Childhood Illness) Mini Training in Improving Health Workers’ Skills in Primary Health Centers in Bantul

2018 ◽  
Vol 1 (3) ◽  
pp. 129
Author(s):  
RR Anugrah Wiendyasari ◽  
Hari Kusnanto ◽  
Tunjung Wibowo
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Treatment Group ◽  
Health Workers ◽  
Integrated Management ◽  
Care Center ◽  
Control Group ◽  
Health Care Center ◽  
Primary Health ◽  
Significant Difference

ABSTRACTBackground: At the Community and Primary Health Care Center in Bantul, the number of paramedics receiving Integrated Management of Childhood Illness (IMCI) training is very limited and not evenly distributed. With the low number of IMCI trained officers, this affects the skill of the officers in conducting the IMCI. Fewer skills affect the handling of sick children including the recognition of general danger signs, classification, designing appropriate action, as well as providing treatment and counseling.Objective: This study aimed to know the effectiveness of IMCI Mini Training intervention to improve health workers’ skills in handling sick children with IMCI.Methods: This research was a quasi-experimental study with a non-equivalent pre-post control group design. The sample of this study was a group of health workers who implement IMCI in daily work at 20 Community and Primary Health Care Centers in Bantul. Data were collected by observing 20 health workers in the control group and 20 health workers in IMCI treatment group before and after receiving IMCI Mini Training. Data results were analyzed using univariate, bivariate and multivariate statistical tests.Results: Using t-test analysis the mean value of health worker’s pretest and posttest skill scores in implementing IMCI in control group showed no significant difference (p=0.857) while in the treatment group, the mean value of pretest and posttest score showed a significant difference (p=0.000). In the treatment group, the improvement of sign recognition skills was significant (p=0.000) compared with the classification (p=0.148), treatment (p=0.009), communication and counseling (p=0.005). Multivariate analysis of linear regression showed that IMCI Mini Training was significant in improving the skill of health workers (p=0.000) compared with variables: age (p=0.970), duty (p=0.425), IMCI training history (p=0.686), category of Community and Primary Health Care Center (p=0.409) and education (p= 0.474). IMCI Mini Training improved significantly the sign recognition skills (p=0.000), classification (p=0.001) as well as communication and counseling (p=0.011) but was not significant in treatment skill (p=0.093). IMCI Mini Training can be done in a shorter time and more interactive method by using ICATT.Conclusion: This study showed that IMCI Mini Training increased health workers’ skills in IMCI implementation with the advantages of shorter course time, lower cost, and more interactive methods. The IMCI skills were enhanced by the provision of IMCI Mini Training which includes skills in the recognition of common signs, classifications as well as providing appropriate communication and counseling.

scholarly journals The Influence of Aloe Vera Juice on Lipid Profile at Prediabetes Patient in East Pontianak Primary Health Care Center, Indonesia

2020 ◽  
Vol 11 (3) ◽  
pp. 4603-4607
Author(s):  
Muhammad Faisal ◽  
Rahayu Indriasari ◽  
Meta Mahendradatta ◽  
Rukman Abdullah ◽  
Masrianih ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Triglyceride Level ◽  
Care Center ◽  
Intervention Group ◽  
Control Group ◽  
Health Care Center ◽  
Primary Health ◽  
Significant Difference ◽  
And Control

Aloe is a medicinal plant in Indonesia, which is often used as traditional medicine. The purpose of this study was to find out the influence of Aloe juice administration on changes in lipid profile (HDL, LDL, Triglycerides) in East Pontianak Primary Health Care Center. This study used quasi-experimental. This study used sampling on 36 people in 2 groups. In the treatment group, there was Aloe juice administration of 250 ml/day for 15 days while in the control group there was no Aloe juice administration. HDL level in the intervention group had an increase of 14.89 mg/ whereas in the control group had an increase of 1.22 mg/, where there was no significant difference between the intervention group and control group (p> 0.05), LDL level in the intervention group had a decrease of 10.56 mg/ while the control group had a decrease of 5.94 mg/ where there was no significant difference between the intervention group and the control group (p> 0.05) and triglyceride level in the intervention group had a decrease of 8.78 mg/ whereas in the control group had a decrease of 3.50 mg/ where there was no significant difference between the intervention group and the control group (p> 0.05) which means intervention group and control group had no significant differences. The mean HDL level had an increase while the LDL level and triglyceride level had a decrease.

The effect of pillbox use and education by pharmacist toward medication adherence in diabetes mellitus patients in a Primary Health Care Center in Mataram

2021 ◽  
Vol 32 (4) ◽  
pp. 577-582
Author(s):  
Mahacita Andanalusia ◽  
Yunita Nita ◽  
Umi Athiyah
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Primary Health Care ◽  
Medication Adherence ◽  
Care Center ◽  
Intervention Group ◽  
Primary Health Care Center ◽  
Control Group ◽  
Health Care Center ◽  
Primary Health

Abstract Objectives Nonadherence to a long-term therapy, including diabetes mellitus, is one of the global problems that need to be overcome. This study aims to determine the effect of pillbox use and education by pharmacists toward medication adherence in patients with diabetes mellitus in a Primary Health Care Center in Mataram. Methods This research was an experimental research design with pretest-posttest with control group design. The study was conducted from October to December 2019 at Tanjung Karang Primary Health Care Center, Mataram. Measurement of adherence was done using the Adherence to Refill and Medication Scale questionnaire. The higher the score, the more nonadherence the patients. Patients were divided into three groups, which were the control group, educational intervention group, and pillbox and educational intervention group. Each group consisted of 11 patients. Results Patients’ medication adherence increased from 19.54 (SD 4.37) to 15.18 (SD 2.64) in the education and pillbox intervention group (p=0.004). Whereas, in the education and control group, the adherence did not provide a significant change (p>0.05). Based on the difference in adherence scores, it was known that what contributed to changes in compliance was refilling medicine and intentional nonadherence in taking medicine subscale (p=0.024). Conclusions Providing education and pillbox done by pharmacists at the Primary Health Care Center can increase adherence to the therapy of diabetes mellitus patients. Pharmacists at the Primary Health Care Center can use the intervention model to improve the level of adherence of patients with chronic illness.

scholarly journals Job Satisfaction and Its Associated Factors among PHC Level Health Workers of Kaski District

2020 ◽  
Vol 10 (2) ◽  
pp. 88-93
Author(s):  
Narayan Tripathi ◽  
Bijaya Parajuli ◽  
Sudarshan Subedi
Keyword(s):  
Job Satisfaction ◽  
Health Care ◽  
Primary Health Care ◽  
Associated Factors ◽  
Health Workers ◽  
Care Center ◽  
Outcome Variable ◽  
Health Care Center ◽  
Primary Health ◽  
Overall Job Satisfaction

Introduction: Job satisfaction has been identified as key factor of health worker retention and turnover in Low and middle income countries. In Nepal, only 55% of the health workers were satisfied with their current jobs. There is limited amount of literature in the areas related to factors affecting job satisfaction. This study aimed to assess the level of   job satisfaction and its associated factors among PHC level health workers in Kaski district. Methodology: Health facility based cross sectional, quantitative study was conducted collecting quantitative data from all PHC level health facilities (3 Primary Health Care Center and 45 Health Posts) health workers of Kaski district, Nepal through face to face interview. The perceived 12 item job satisfaction scale was developed and used to identify job satisfaction. The association between the independent and outcome variable was analyzed by using chi square test. Results: The results showed two-third (66%) of PHC level health workers were satisfied with their current jobs in overall job satisfaction at Kaski district. The study showed that Health Assistant were more satisfied than Auxiliary Nurse Midwifery and Auxiliary Health Workers. Sex (OR=1.80, 95%CI=1.0-3.26), level of working post (OR= 2.62,95%CI=.1.44-4.77) salary (OR= 3.96,95%CI=2.07-7.57) ,pension (OR=3.96, 95%CI=2.07-7.57)  training (OR=5.01, 95%CI=2.66-9.39) , opportunity for promotion (OR=2.80, 95%CI=1.54-5.09) , reward provision (OR=3.63,95% CI=1.94-6.77) and role in decision making OR=5.08,95% CI=2.34-11.04) were found to be significantly associated with overall job satisfaction. Conclusion: Two- third of the PHC level health workers of Kaski district were found to be satisfied with their job. Responsible bodies need to make provisions to improve the job satisfaction level of health professional so as to improve the healthcare services of PHCCS and HPs. Key words: Job satisfaction, Health workers, Primary health care level

scholarly journals Study of Acceptance and Application of Calgary Cambridge Communication Guideline for Doctor-Patient Communication in Primary Health Care

2018 ◽  
Vol 1 (3) ◽  
pp. 123
Author(s):  
Widyastuti Widyastuti ◽  
Mora Claramita ◽  
Retna Siwi Padmawati
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Clinical Skills ◽  
Care Center ◽  
Application Rate ◽  
Cross Sectional ◽  
Health Care Center ◽  
Primary Health ◽  
Application Rates ◽  
Significant Difference

ABSTRACTBackground: Communication is a basic skill that must be acquired by every doctor just like all other clinical skills. One of communication guidelines for doctor-patient that is the most widely used in many countries is the Calgary-Cambridge Communication Guideline (CCCG). However, since CCCG is based on the Western style of communications, a further study is necessary to determine whether CCCG is acceptable and applicable in Indonesia.Methods:  This research was an analytic descriptive study with a cross-sectional design. The research was conducted from December 2016 until January 2017 in Yogyakarta with 58 primary care doctors. The data was collected using the CCCG-based questionnaire method with a cross-cultural adaptation.Results: The CCCG is well accepted although its application is not optimum. The acceptance rate was 4.03 (indicating highly acceptable), while the application rate was 3.74 (indicating occasionally implemented). There was a significant difference between the acceptance and application rates (p<0.01). There were no significant differences between the acceptance rates of Puskesmas (Community and Primary Health Care Center) and non-Puskesmas (p = 0.115) facilities while the application was significantly different (p = 0.001). The application levels of the Puskesmas were lower than those in non-Puskesmas. Additionally, there was no difference in the acceptance or application of CCCG for doctors who have and who have not attended communication training.Conclusion: There was no difference in the acceptance of CCCG, but there was a difference in its application. The application rate at Puskesmas was lower than non-Puskesmas facilities. The experience in communication training did not affect the acceptance and the application rates of CCCG.

Non-Fatal Deliberate Self-Harm in Three Remote Indigenous Communities in Far North Queensland, Australia

Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Chris Rouen ◽  
Alan R. Clough ◽  
Caryn West
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Center ◽  
Indigenous Communities ◽  
Indigenous Australians ◽  
Deliberate Self Harm ◽  
Health Care Center ◽  
Far North ◽  
Primary Health ◽  
Self Harm

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.

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