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>

Primary Health Care is Not Cheap: A Case Study from Guinea Bissau

1987 ◽  
Vol 17 (3) ◽  
pp. 387-409 ◽  
Author(s):  
Jarl Chabot ◽  
Catriona Waddington
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Workers ◽  
Care Program ◽  
Guinea Bissau ◽  
Primary Health ◽  
Regional Community ◽  
The Government ◽  
Donor Agencies ◽  
National Governments

In 1977 the Ministry of Health in Guinea Bissau started two regional community health projects. In this article we describe the progress of the Tombali project. Three aspects are discussed: the “Learning Process Approach” used in the project; measurement of the effectiveness of the project and the problems of collecting and interpreting these data; and the ratio of investment to recurrent costs and the proportions borne by government and by villagers. Primary health care projects evolve slowly, and the importance of the willingness of project workers, donor agencies, and the national government to work without a blueprint plan is emphasized. We discuss ways of evaluating the success of primary health care schemes; the measurement of any change in health status is difficult and discounts other benefits that may result, such as encouraging community participation and involving villagers in government activities. Both government and villagers contribute significantly to the scheme, the government and donors bearing most of the investment costs, while most of the recurrent costs fall on the villagers. The data show that for neither government nor villagers is the scheme a cheap option to secure health care for rural populations. Finally, we discuss the lessons to be learned by national governments, donor agencies, and health workers from this attempt to implement a primary health care program.

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 Scope of Ayurvedic Medicine in Pneumonia Patients Visiting Govt. Hospitals in Bangladesh: A Cross-sectional Study

2020 ◽  
pp. 1-6
Author(s):  
Nazmul Hasan ◽  
Shurab Hossain ◽  
M. Atiqul Haque
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
National Health ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary Health ◽  
The Government ◽  
The Impact

Ayurveda is considered by many scholars to be the oldest healing science and is often called the ‘Mother of all healing’. In this sub-continent, it is one of the ancient health care systems. Nowadays, it is practiced by millions of people in India, Nepal, Sri Lanka, China, Tibet, Pakistan, and Bangladesh. In response to the urge of public demand and to achieve the goals of primary health care, the Government of Bangladesh has appointed and posted numbers of Ayurvedic doctors all over Bangladesh. It was due to assay the impact of these recruitments in primary health care as well as in national health services. Aiming this a cross-sectional study was designed to conduct within randomly selected twenty-two centers, approximately covering 35% of each administrative division. This study revealed that roughly 12% of total visiting patients seeking Ayurvedic health service, and among them 7.26% of patients were <5 years old children. A calculative 14.20%, children were suffering from Respiratory Tract Infection (RTI), and of these RTI patients, 42.77% were diagnosed as pneumonia. Bashakarist, Chandramrita rasa, Shwas Kuthar rasa, and Talishadi Churna were prescribed invariably to manage RTIs and pneumonia. This study revealed with such limited manpower of Ayurvedic medical service, it is helping significantly in securing primary health care goals set by the government. The inclusion of more qualified manpower and engaging them in effective training may help the government to conquer the zenith of success in national health services. 

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

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 Medicine dispensing service in primary health care of SUS

2017 ◽  
Vol 51 (suppl.2) ◽  
Author(s):  
Silvana Nair Leite ◽  
Noemia Liege Maria da Cunha Bernardo ◽  
Juliana Álvares ◽  
Augusto Afonso Guerra Junior ◽  
Ediná Alves Costa ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Physical Structure ◽  
Clinical Activity ◽  
Cross Sectional ◽  
Rational Use ◽  
Rational Use Of Medicines ◽  
Primary Health ◽  
Individual Care ◽  
Computerized System

OBJECTIVE: To characterize the medicine dispensing services in the primary health care network in Brazil and in its different regions, aiming to promote the access and rational use of medicines. METHODS: This is a cross-sectional, quantitative study with data obtained from the Pesquisa Nacional sobre Acesso, Utilização e Uso Racional de Medicamentos (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines), 2015. Observation visits were carried out in 1,175 dispensing units, and interviews were held with 1,139 professionals responsible for the dispensation of medicines in the dispensing units and 495 municipal coordinators of pharmaceutical services. RESULTS: More than half (53%) of the units presented a space smaller than 10 m2 for dispensing of medicines; 23.8% had bars or barriers between users and dispenser; 41.7% had computerized system; and 23.7% had counters for individual care. Among those responsible for dispensation, 87.4% said they always or repeatedly inform users how to use the medicines, and 18.1% reported developing some type of clinical activity. Isolated pharmacies presented a more developed physical and personal structure than those belonging to health units, but we found no significant differences regarding the information provided and the development of clinical activities. CONCLUSIONS: There are major differences in the organization models of dispensation between cities, with regional differences regarding the physical structure and professionals involved. The centralization of medicine dispensing in pharmacies separated from the health services is associated with better structural and professional conditions, as in the dispensing units of the South, Southeast, and Midwest regions. However, the development of dispensation as health service does not prevail in any pharmacy or region of the Country yet

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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