scholarly journals Analisa Keberhasilan Program Pemberian Obat Pencegahan Massal (POPM) Filariasis Re-TAS 1 di Kabupaten Hulu Sungai Utara

2021 ◽  
Vol 13 (1) ◽  
pp. 9-22
Author(s):  
Yuniarti Suryatinah ◽  
Nita Rahayu ◽  
Sri Sulasmi ◽  
Windy Tri Yuana ◽  
Dian Eka Setyaningtyas

District of Hulu Sungai Utara conducted an additional 2 (two) rounds of Mass Drug Administration (MDA) for filariasis prevention in 2014 and 2015 that resulted in the success of the re-Transmission Assessment Survey Phase 1 (re-TAS 1) in 2016. This study was conducted to identify factors affecting the technical aspects of the aforementioned two additional rounds of MDA. This is a descriptive qualitative study, with a cross-sectional study design. The research was performed from September to November 2017. Data was collected through in-depth interviews with some executive stakeholders (health workers, cadres, community leaders, local women group) involved in the implementation of MDA for the filariasis elimination program. The result from indepth interviews shows the presence of technical factors at the execution level which supports the smooth implementation of the two additional rounds of MDA. Those factors include communication, resources, operational standard, bureaucracy, and pharmaceutical innovation. The success of the additional MDA roundswas marked by the absence of the re-TAS sample that was tested positive of Brugia Rapid™. The pharmaceutical innovation which transforms the dosage form of the medication into powdered form with some additional sweetener that was done in 2014-2015 can improve coverage of the treatment as well as the medication adherence for the early childhood population group. Changing pharmaceutical dosage forms require additional support in the form of human resources, infrastructure as well as financing

2019 ◽  
Vol 1 (3) ◽  
Author(s):  
Florani Asanab ◽  
Ribka Limbu ◽  
Enjelita M. Ndoen

Mothers’ regularity of weighing their children aged <5 yo at Posyandu is crucial to monitor the growth, nutritional status, and health of the children. Several factors could affect mothers’ regularity in weighing their children at Posyandu. This study aimed to identify factors affecting mothers to regularly measure the weight of their children <5 yo at Posyandu in Toobaun Village Kupang District. The study used an analytical survey with a cross-sectional study design. The sample was 57 mothers who had under-five children obtained by simple random sampling technique. Data were collected through interviews using questionnaires and analyzed using the chi-square test. The result showed that knowledge (p= 0,002) and distance home-posyandu (p=0,000) associated with mothers’ regularity of weighing their under-five children, while mother’s occupation had no association with mothers’ regularity of weighing their children( p=0,091). Health workers should encourage mothers to measure regularly the weight of their under-five children at Posyandu.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Adaeze Ayuk ◽  
Chizalu Ndukwu ◽  
Samuel Uwaezuoke ◽  
Eno Ekop

Abstract Background Global standards require that spirometry should be performed by trained and experienced personnel, who would be able to assess the correct performance of tests by patients and assure good quality of the result. The complete achievement of this requires a two-step assessment where competency in both knowledge and skills are tested. This study aims to assess the impact of a one-day hands-on spirometry training (Phase1), on the knowledge and application of spirometry among health workers. Methods This was a descriptive cross-sectional study, which describes a one-day (seven hours) spirometry training and skills impartation done at two conference city locations in Enugu and Calabar in the southern part of Nigeria. All the verbally consenting attendees who completed the training assessment tests constituted the study population. The assessment of the spirometry knowledge base before and after the theory and practical sessions, on the various aspects of spirometry, according to international best practices, quality assurance and the interpretation of results, was done and the outcome was analyzed. Factors that could affect the outcome were also assessed. Results There were 64 consenting participants of whom 54.7% (35/64) were females. Theparticipants demonstrated much improved post-intervention knowledge and could satisfactorily perform spirometry, calibration, interpretation of test results and quality control as evidenced by the post test scores after practical sessions were conducted. Pre-test mean scores improved by a mean difference of 12% (p < 001) and were affected by the year of academic graduation and availability of spirometers at the place of work, an effect that was no longer seen at post-test following the hands-on spirometry training. Conclusion The present study has shown that a one-day spirometry workshop significantly improved the knowledge of spirometry practice. There is need to set up more frequent locally-organized spirometry workshops since a one-day seven-hour effective knowledge and practical training would most likely have significant impact on participants’ spirometry practice with its expected positive outcome on respiratory health in Nigeria.


2021 ◽  
Author(s):  
M. Emad Al Madadha ◽  
Khalid E. Ahmed ◽  
Rama Rayyan ◽  
Mamoun Ahram ◽  
Nancy Al-Sanouri ◽  
...  

Abstract Background With the implementation of nucleotide-based vaccines (NBVs) in the COVID-19 vaccination campaigns, a wide controversy surrounding NBVs has become a heated subject of debate, and it did not spare healthcare workers (HCW) and staff. HCW have a powerful influence on the acceptance of NBVs by the general public. Hence, the aim of this study was to assess the knowledge and attitude of healthcare workers regarding this new vaccine technology. Methods This is a cross-sectional study using an online survey involving health workers in Jordan. The survey assessed the participants' socio-demographic characteristics, knowledge, and attitude about the safety and efficacy if NBVs. The study population was divided into two groups, educated and uneducated groups, whereby the former received a small educational pamphlet on NBVs. The Mann-Whitney test was used to compare between the response of the two groups. Results A total of 330 health workers participated in this study. Respondents believed that RNA-based NBVs would be a safer option compared to DNA-based ones, with the educated group showing significant difference. The notion of NBVs being a form of gene therapy was more common among the educated group. The majority of the participants, particularly amongst the uneducated group, were concerned about undiscovered effects of NBVs. Respondents also agreed that NBVs must be reevaluated in phase 1 trials. As for efficacy, our study population agreed that these vaccines would prevent severe illness. Conclusions Although healthcare workers have positive knowledge and attitude towards NBVs, misconceptions and skepticism exist and must be addressed with more education efforts.


2018 ◽  
Vol 7 (2) ◽  
pp. 97-99
Author(s):  
Riesmiyatiningdyah Riesmiyatiningdyah ◽  
Kusuma Wijaya Ridi Putra ◽  
Mahfudh Jamil

Background. The survival of children to grow and develop and get good care is needed to achieve a healthy generation. The success of exclusive breastfeeding in infants 0-6 months in Indonesia still does not meet expectations due to a poor knowledge of the importance Exclusive Breastfeeding and their perception of infant formula is better than breast milk. The low achievement of breastfeeding (ASI) exclusively due to several factors, namely low knowledge of the mother of the importance of breastfeeding, the sex of the baby, birth weight or premature birth, culture that does not support, families that do not support, and social change that happening in the community.Objective. This study aimed to examine predictive factors toward the success of exclusive breastfeeding among breastfeeding mothers in Child’s Poly DKT Gubeng Pojok Hospital, Surabaya.Methods. The design of this study is a cross-sectional study. The variables studied were age, occupation, level of education, family support, and exclusive breastfeeding success. The results of this study were analyzed using the Stepwise Multiple Regression method with SPSS 21.Result. Family support (β = 0.78, p < .001) were significant predictor of exclusive breastfeeding success and accounted 75.9% in the variance of exclusive breastfeeding success (R2 = .759, F (4, 27) = 9.18, p < .001).Conclusion. The importance of family support in supporting the success of exclusive breastfeeding in infants 0-6 months. For this reason, health workers are expected to improve their approach to families so that they want to provide support to breastfeeding mothers. Keywords: Exclusive breastfeeding, infants 0-6 months, factors affecting, breastfeeding mothers


2020 ◽  
Vol 04 (03) ◽  
pp. 116-123
Author(s):  
Duc Thanh Nguyen ◽  
◽  
Xuan Luong Nguyen ◽  
Thanh Phung

Human resource for health plays a vital role in improving accessibility to services and quality of care. This is cross-sectional study, combining quantitative and qualitative aims to fulfill two objectives: (1) to describe the job motivation of doctors, and (2) to analyze some factors affecting the job motivation of doctors at Ho Chi Minh City Traditrional Medicine Instittue 2020. The research results show that the average job motivation proportion of doctors at Ho Chi Minh City Traditrional Medicine Institue is 81.8%, in which the "Satisfaction with the job", "Dedication to work" and "Commitment to organizations” are at 84.2%; 82.2% and 78.9% respectively. Some of the factors posstively influence job motivation including salary, additional income and other benefits; relationship with colleagues. Besides, some negative influencing factors include facilities and equipments; operating administration. Key words: doctors, health workers, job motivation.


2021 ◽  
Vol 1 (3) ◽  
pp. 283-286
Author(s):  
Afridon Afridon

Factors affecting growth and development are genetic, environmental (prenatal, and post natal), post-natal environments that affect children's growth and development in general can be classified as biological environments. One factor that influences development is stimulation. The type of research used is descriptive analytic with Cross Sectional Study design in which to see the relationship between two variables. The variable in this study is the independent variable is the provision of stimulation and the dependent variable is the development of toddlers aged 1-5 years. Based on the results of research conducted on 34 respondents, it is known that more than a portion (64.7%) of respondents provide developmental stimulation in infants, more than a portion (61.8%) of infants of respondents have appropriate development and analysis results between the provision of stimulation and development under-five children were found to be more than a part (66.7%) who did not provide stimulation that experienced dubious development. While statistically obtained p value = 0.025 ˂ 0.05, which means that there is a significant relationship between those who do not provide stimulation with the development of children who have doubts. It is expected that health workers provide information on how to provide stimulus to their toddlers in accordance with the stage of development of their age so that respondents are able to provide stimulus to their children.


2021 ◽  
Author(s):  
Mohammad Emad Al Madadha ◽  
Khalid E.Ahmed ◽  
Rama Rayyan ◽  
Mamoun Ahram ◽  
Nancy Al-Sanouri ◽  
...  

Abstract Background and objectives: With the implementation of nucleotide-based vaccines (NBVs) in the COVID-19 vaccination campaigns, a wide controversy surrounding NBVs has become a heated subject of debate, and it did not spare healthcare workers and staff. The latter group has a powerful influence on the acceptance of NBVs by the general public. Hence, the aim of this study to assess the knowledge and attitude of healthcare workers regarding this new vaccine technology.Methods: This is a cross-sectional study using an online survey involving health workers in Jordan. The survey assessed the participants' socio-demographic characteristics, knowledge, and attitude about the safety and efficacy if NBVs. The study population was divided into two groups, educated and uneducated groups, whereby the former received a small educational pamphlet on NBVs. The Mann-Whitney test was used to compare between the response of the two groups.Results: A total of 330 health workers participated in this study. Respondents believed that RNA-based NBVs would be a safer option compared to DNA-based ones, with the educated group showing significant difference. The notion of NBVs being a form of gene therapy was more common among the educated group. The majority of the participants, particularly amongst the uneducated group, were concerned about undiscovered effects of NBVs. Respondents also agreed that NBVs must be reevaluated in phase 1 trials. As for efficacy, our study population agreed that these vaccines would prevent severe illness. Conclusions: Although healthcare workers have positive knowledge and attitude towards NBVs, misconceptions and skepticism exist and must be addressed with more education efforts.


Author(s):  
Akram Alefbae ◽  
Masoomeh Agamohammadi ◽  
Sevda Gardashkhani ◽  
Neda Beazar ◽  
Fatemeh Babaei

Background: Truth disclosure is one of the major challenges for physicians with cancer patients. The attitude toward breaking news adopted by individuals depends on their cultural background. The present study was conducted at Ardabil University of Medical sciences, Ardabil, Iran, to investigate the attitudes of Turkish-speaking patients with cancer and their families to the disclosure of bad news. Materials and Methods: The present descriptive cross-sectional study used convenience sampling to select 62 patients, 76 family members of young and 58 children. The mean age of the patients was 37.29 years, and their majorities were 32-42 years old. The data were collected using the questionnaire proposed by Managheb et al., which included six dimensions, i.e., suitability of the person, suitability of the time, the place, factors affecting the delivery of bad news, amount of disclosed information, and acceptance. Results: Despite the insignificant differences in the total score of attitude between the groups (P=0.23), significant differences were found in terms of suitability of the time (P=0.017) and affecting factors (P=0.007) between children's families. Also, in parents of children, employment made truth acceptance better (p=0.04). The acuteness of the disease increased the total attitude score in all the participants (P=0.047). Significant relationships were also observed between age and accepting truth (P=0.045), male gender and place of disclosing the truth (P=0.004), male gender and amount of disclosed information (P=0.043), as well as owning a house and accepting truth (P=0.002). Moreover, education was negatively related to the person for truth disclosing (P=0.036) and factors affecting the truth disclosing (P=0.015). Conclusion: There are different circumstances and economic impacts in children's families on their tolerance. Given the difficulty of disclosing the truth to the employee and highly-educated individuals, it is recommended that health workers consider individual conditions in these circumstances.


Author(s):  
Lilian Tzivian ◽  
Valdis Folkmanis ◽  
Lora Warshawsky-Livne ◽  
Maor Waldman ◽  
Michael Friger ◽  
...  

Abstract Low compliance to a prescribed Coumadin treatment can result in negative health outcomes. In this study we aimed to evaluate risk factors affecting patient compliance to Coumadin. For this purpose, two study phases were performed: Phase 1: a retrospective eight-year follow-up of databases from health care services; and Phase 2: a cross-sectional study with telephone interviews. A Total Compliance Index was constructed using the number of Coumadin purchases (40%), international standardised ratio (INR) tests (40%), and average INR values (20%). Multiple models for the Total Compliance Index were constructed using socio-demographic, treatment-related, and health care utilisation variables, use of drugs, patient-physician relationships and patient’s quality of life. 78.5 ± 3.4% of patients in the total population were non-compliant in the retrospective phase of the study, and 53.2% in the second, cross-sectional phase. Total Compliance Index was significantly associated with older age, number of doctor visits, and drugs from group C. We suggest that the Total Compliance Index for other drugs can be utilised as well.


MedPharmRes ◽  
2020 ◽  
Vol 4 (2) ◽  
pp. 34-39
Author(s):  
Thi-Hai-Yen Nguyen ◽  
Truong Van Dat ◽  
Phuong-Thao Huynh ◽  
Chi-Thuong Tang ◽  
Vinh-Chau Van Nguyen ◽  
...  

Vietnam has one of the highest multi drug resistance in Asia. Although, despite many efforts to implement the Antimicrobial Stewardship Programs (the ASP) since 2016, studies that on the implementation policy are very lacking of this program are limited. For that reason, we conducted this cross-sectional study to analyze the viewpoint of health workers (HWs) on the implementation of the ASP at some hospitals in Ho Chi Minh City (HCMC). An assessment of 234 HWs showed that the implementation of the ASP in HCMC hospitals was above average (62.7/100.0). A barrier to the implementation consisted of the deficiency in finances, guidelines for diagnosis, and specific interventions for some common infections, such as distributing current antibiogram and monitoring rate of Clostridioides difficile infections. These were the widely recognized problems in initially implementing the ASP. Although most HWs are aware of the importance of implementing the ASP (79.1%), the specific assessment has not been recorded clearly due to the numerous neutral responses. Despite the support of the leadership, the implementation still faces many difficulties and limitations, especially in 3rd and 4th class hospitals. Besides, there was a lack of wide dissemination of information on the ASP at each unit. To generalize the status of the ASP implementation, researchers should conduct qualitative and quantitative studies with a larger scale.


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