scholarly journals Kesesuaian Antara Ketersediaan Antibiotik dan Formularium Nasional Pada Era JKN di Faskes Tingkat Pertama Kota Manado Tahun 2014 - 2017

2020 ◽  
Vol 48 (1) ◽  
Author(s):  
Lukman Prayitno ◽  
Yuyun Yuniar ◽  
Tita Rosita
Keyword(s):  
Drug Use ◽  
Secondary Data ◽  
Antibiotic Use ◽  
Health Facilities ◽  
Health Centers ◽  
National Formulary ◽  
Cross Sectional ◽  
Average Percentage ◽  
The North ◽  
Reward And Punishment

Abstract Benefits of Fornas are guidance in determining drug use, increasing rational drug use, quality control and treatment costs and optimizing services. The use of antibiotics is regulated according to the category of health service facilities. Therefore it is necessary to evaluate the suitability between the availability of antibiotic drugs and national formulary. The study design was cross sectional. This type of research is quantitative followed by qualitative data collection. Quantitative data in the form of secondary data on the availability of antibiotics for the period 2014-2017 at the North Sulawesi Provincial Health Office, Manado City Health Office, and 2 Health Centers in Manado City. The average percentage of suitability of antibiotics with the national formulary from 2014 to 2017 at level 1 health facilities was 61.77% in the Provincial Health Office, 61.59% in the City Health Office, 50.14% in the Puskesmas Bahu, 56.85% in the Tikala Health Center. The low percentage of conformity with fornas in the Provincial Health Office, Manado City Health Office and 2 Health Centers was dominated by the large number of antibiotic use which can only be used for level 2 and 3 health facilities. There needs to be escorting the process of socialization, implementation and supervision. It is necessary to consider forming a particular system, for example reward and punishment for doctors who write prescriptions. Keywords: JKN, Antibiotics, National Formulary, FKTP Abstrak Manfaat Fornas yaitu acuan penetapan penggunaan obat dalam JKN, meningkatkan penggunaan obat rasional, kendali mutu dan biaya pengobatan dan mengoptimalkan pelayanan. Penggunaan antibiotik diatur berdasarkan kategori fasilitas pelayanan kesehatan. Oleh karena itu perlu dilakukan evaluasi kesesuaian antara ketersediaan obat antibiotik dan formularium nasional. Desain penelitian adalah cross sectional. Jenis penelitian ini adalah kuantitatif yang diikuti oleh pengumpulan data kualitatif. Data kuantitatif berupa data sekunder ketersediaan antibiotik selama periode 2014 – 2017 di Dinas Kesehatan Provinsi Sulut, Dinkes Kota Manado, dan 2 Puskesmas di Kota Manado. Rata-rata persentase kesesuaian antibiotik dengan formularium nasional dari tahun 2014 – 2017 pada faskes tingkat 1 adalah 61,77% di Dinkes Provinsi, 61,59% di Dinkes Kota, 50,14% di Puskesmas Bahu, 56,85% di Puskesmas Tikala. Rendahnya persentase kesesuaian dengan fornas di Dinkes Provinsi, Dinkes Kota Manado dan 2 Puskesmas lebih didominasi karena banyaknya penggunaan antibiotik yang hanya boleh digunakan untuk faskes tingkat 2 dan 3. Perlu ada pengawalan terhadap proses sosialisasi, implementasi dan pengawasan. Perlu dipertimbangkan untuk membentuk sistem tertentu, misalnya reward and punishment terhadap dokter yang menulis resep. Kata kunci: JKN, Antibiotik, Formularium Nasional, FKTP

scholarly journals Coverage and adequacy of ferrous sulfate supplementation in the prevention of anemia among children treated at health centers of Florianopolis, Santa Catarina

2013 ◽  
Vol 31 (3) ◽  
pp. 315-323 ◽  
Author(s):  
Francieli Cembranel ◽  
Arlete Catarina T. Corso ◽  
David Alejandro González-Chica
Keyword(s):  
Ferrous Sulfate ◽  
Maternal Education ◽  
Health Information System ◽  
Secondary Data ◽  
Health Department ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Health Centers ◽  
Santa Catarina ◽  
Cross Sectional

OBJECTIVE To evaluate the National Program of Iron Supplementation (PNSF) coverage, the compliance with the directions for of using of this supplementation and the association with sociodemographic factors in children aged six to 18 months old and registered in 35 public health centers of Florinópolis (Southern Brazil). METHODS Cross-sectional study using secondary data obtained from the health information system of the Health Department of Florianópolis, Santa Catarina, Brazil (Infosaúde). Data on ferrous sulfate supplementation and sociodemographic variables were obtained of all children registered in PNSF in Florianópolis in 2010. STATA 11.0 software was used in the analyses. RESULTS The PNSF covered 6.3% (95%CI 5.9-6.7) of the children; the compliance with the directions regarding age at the onset of supplementation and its frequency was adequate only in 2.4% of the cases (95%CI 1.5-3.7). There was no association with the child's gender, maternal education level and ethnicity or the distance from home to the health center. CONCLUSIONS This study showed low coverage and inadequate compliance with the PNSF directions. Measures to improve this strategy are urgent.

scholarly journals Geographical variation in demand, utilization, and outcomes of hospital services for COVID-19 in Brazil: A descriptive serial cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257643
Author(s):  
Claudia Cristina de Aguiar Pereira ◽  
Mônica Martins ◽  
Sheyla Maria Lemos Lima ◽  
Carla Lourenço Tavares de Andrade ◽  
Fernando Ramalho Gameleira Soares ◽  
...  
Keyword(s):  
Geographical Variation ◽  
Ventilatory Support ◽  
Secondary Data ◽  
Respiratory Illness ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Health Region ◽  
The North ◽  
Public Data

Objective To analyze the geographical variation in the provision of health services, namely in demand, patterns of utilization, and effectiveness in the Brazilian Health Regions in four different periods of the COVID-19 pandemic, from February 2020 to March 2021. Methods Descriptive serial cross-sectional study based on secondary data on COVID-19 hospitalizations from SIVEP-Gripe, a public and open-access database of Severe Acute Respiratory Illness records collected by the Brazilian Ministry of Health, and COVID-19 case notification data from Brasil.io, a repository of public data. Fifty-six epidemiological weeks were split into four periods. The following variables were considered for each Brazilian Health Region, per period: number of hospitalizations, hospitalizations per 100,000 inhabitants, hospitalizations per 100 new cases notified in the Health Region, percentage of hospitalizations with ICU use, percentages of hospitalizations with invasive and non-invasive ventilatory support, percentage of hospitalizations resulting in death and percentage of hospitalizations with ICU use resulting in death. Descriptive statistics of the variables were obtained across all 450 Health Regions in Brazil over the four defined pandemic periods. Maps were generated to capture the spatiotemporal variation and trends during the first year of the COVID-19 pandemic in Brazil. Results There was great variation in how COVID-19 hospitalizations grew and spread among Health Regions, with higher numbers between June and August 2020, and, especially, from mid-December 2020 to March 2021. The variation pattern in the proportion of ICU use in the hospitalizations across the Health Regions was broad, with no intensive care provision in large areas in the North, Northeast, and Midwest. The proportions of hospitalizations and hospitalizations with ICU use resulting in deaths were remarkably high, reaching medians of 34.0% and 62.0% across Health Regions, respectively. Conclusion The Heath Regions in Brazil are highly diverse, showing broad disparities in the capacity to respond to the demands imposed by COVID-19, services provided, use and outcomes.

scholarly journals Étude De La Gestion Des Déchets Hospitaliers Dans Les Structures Sanitaires De Référence De La Région Du Nord-Cameroun

2016 ◽  
Vol 12 (11) ◽  
pp. 364
Author(s):  
Justin Ndié ◽  
H. Blaise Nguendo Yongsi
Keyword(s):  
Cross Sectional Study ◽  
Poor Quality ◽  
Health Facilities ◽  
Management Policy ◽  
The Political ◽  
Cross Sectional ◽  
The North ◽  
Hospital Wastes ◽  
Solid Liquid

Hospital wastes are solid, liquid or gaseous substances which are produced as a result of diagnostic or non-diagnostic health care procedures in health facilities. These wastes generated in health facilities constitute a risk for environmental pollution and a vector for the propagation of numerous pathologies. This study was aimed at analysing the determinants of the quality of hospital wastes management in health facilities in the North Region of Cameroon. It was a cross-sectional study carried out over a period of two months (1st of July to 31st August 2015) in 13 referral health facilities of the North Region of Cameroon. A census of 12 heads of referral health facilities out of the 13 projected was made using a standardised questionnaire, in which the key items were: the political and institutional organisation, the functioning of the hospital wastes management system, the human resources, materials and finances involved in the management of the hospital wastes. The quality of the scores was calculated using points attributed to keys indicators enabling the appreciation of the level of the quality of hospital wastes management. The results of this study showed that on the political/institutional level, 41.70% of health facilities did not have a hospital hygiene unit, 66.67% did not have a reference document and no health facilities produced any report on activities of hospital wastes management. In material resources, 50% of health facilities had at least one incinerator which is more or less functional, 91.70% of health facilities had a trash can despite their non-conformity. Concerning finances, 91.70% of health facilities did not receive funds from government for hospital wastes management. In total, 92% of health facilities had a poor quality of hospital wastes management. In general, this situation is justified by the inexistence of a hospital wastes management policy. Despite certain efforts, the quality of hospital wastes management in health facilities in the North Region of Cameroun remains low. The implementation of an operational plan which will take into account the national directives and the identified problems is necessary as it, will help in improving the quality of hospital wastes management in these health facilities.

scholarly journals Predictors of antibiotics prescription for febrile patients: A health facility-based survey in the Greater Accra region of Ghana

2019 ◽  
Author(s):  
Michael Mireku Opoku ◽  
Harriet Affran Bonful ◽  
Kwadwo Ansah Koram
Keyword(s):  
Secondary Data ◽  
Antibiotic Use ◽  
Health Facilities ◽  
Baseline Survey ◽  
Antibiotic Prescribing ◽  
Prescribing Practices ◽  
Practice Experience ◽  
Effective Interventions ◽  
Laboratory Investigations ◽  
Greater Accra Region

Abstract Introduction Frequent or/and misguided prescription of antibiotics are important facilitators of the emergence and spread of antibiotic resistance. In the absence of the implementation of effective interventions to control antibiotic use, its consumption may quadruple. Antibiotic stewardship interventions must be appropriately targeted to enhance the proper use of antibiotics. The objective of this study was to determine the predictors of prescribing antibiotics to febrile patients who seek care in health facilities within the Greater Accra region of Ghana. Methods Secondary data obtained from a review of medical records of 2,519 febrile patients at the outpatient department of 6 health facilities in 3 municipalities during the baseline survey of a quasi-experiment in 2016, were used. In addition, sociodemographic data on the prescribers who saw the patients were obtained. The primary outcome was prescription of any antibiotic. Predictor variables included patients’ demographics, symptoms, laboratory investigations, diagnoses and prescribed medicines. Binary and multivariable logistic regression analyses were used to determine the predictors of antibiotics prescription. Clustering was adjusted for in all the analyses. Results The prevalence of antibiotics prescription was 70.1% (95% CI: 67.7-72.4). Prescribers with 6 to 9 years and 10 or more years of practice experience were 3 (95% CI: 1.99, 4.44) and 1.6 (95% CI: 1.12, 2.27) times more likely to prescribe antibiotics, respectively (p < 0.001). IMCI training was associated with a 2.3 (95% CI: 1.54, 3.53, p < 0.001) times higher odds of antibiotic prescribing. Patients aged 5 years or more were 60% less likely to be prescribed antibiotics compared with those under 5 years (AOR=0.40, 95% CI: 0.32, 0.51; p<0.001). Patients referred for laboratory investigations were 29% less likely to be prescribed with antibiotics than those not referred. Presenting to the outpatient clinic with cough was associated with a 3.5 (95% CI: 2.54, 4.92) times higher odds of antibiotics prescribing. Conclusion Prescription of antibiotics to febrile patients was high. Promoting laboratory testing can potentially reduce irrational antibiotics prescribing. Prescribing antibiotics for children under five and the prescribing practices of experienced prescribers should be targeted with interventions.

scholarly journals Pengaruh Pemberian Dana Kapitasi Dengan Motivasi Kerja Dokter Puskesmas di Wilayah Perkotaan di Indonesia

2020 ◽  
Vol 20 (2) ◽  
pp. 670
Author(s):  
Rusdiana Rusdiana ◽  
Ahmad Fickry Faisya
Keyword(s):  
Work Motivation ◽  
Health Workers ◽  
Secondary Data ◽  
Health Centers ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Cross Sectional Design ◽  
And Performance

The payment of capitation funds affects the motivation and performance of health workers in providing quality services at the Puskesmas. The work motivation of doctors can affect the quality of service and the performance of other health workers. The purpose of this study is to determine the effect of the distribution of capitation funds on the work motivation of doctors in Puskesmas in Indonesia. This study uses secondary data from Risnakes 2017 research results with cross-sectional design. The sample was all doctors in the puskesmas in Indonesia who were successfully interviewed and had independent variables is 4.012 sample. Data analysis was performed descriptively and statistically using chi-square test and logistic regression. From the results of the study found there is a relationship between the suitability of the distribution of capitation funds with the work motivation of doctors in urban health centers in Indonesia with a P value of 0,000 and PR 1,309 (95% CI 1,153 - 1,487). This means that the appropriate distribution and capitation have an influence of 1,309 times in increasing the work motivation of doctors in Indonesian health centers. The distribution of capitation funds must be in accordance with the workload of doctors at the puskesmas to increase motivation and performance of quality services at the puskesmas and the existing regulations must be regularly evaluated. 

scholarly journals Storage Management and Wastage of Reproductive Health Medicines in Public Health Facilities of West Wollega Zone, Ethiopia: Mixed Study

2021 ◽  
Author(s):  
Oliyad Kebede ◽  
Gizachew Tilahun ◽  
Desalegn Feyissa
Keyword(s):  
Reproductive Health ◽  
Storage Conditions ◽  
Storage Management ◽  
Health Facilities ◽  
Health Centers ◽  
Cross Sectional ◽  
Life Saving ◽  
Resource Stock ◽  
Poor Infrastructure ◽  
Expired Medicines

Abstract Background: Keeping proper storage conditions at health facilities is important to reduce pharmaceutical wastage caused by environmental factors. The expiration of medicines at the health facilities led to wastage of potentially life-saving drugs and unnecessary expenditure on the disposal of those expired medicines. Therefore, the aim of this study was to assess pharmaceutical stores and wastage of reproductive health medicines due to expirationMethod: A facility-based descriptive cross-sectional quantitative and qualitative study was conducted using a checklist, structured and semi-structured questionnaires.Results: Among 23 health facilities assessed, 17 (73.91%) (4(100%) hospitals and 13(68.42%) health centers) fulfilled desirable storage conditions. The total value of reproductive health medicines wasted due to expire in surveyed facilities was 357,920.52 ETB (12,323.81 US dollars) and the Percentage of Stock Wasted due to Expiration was 8.04%. Levonorgestrel 0.75mg tablet contributed highest percentage to expired medicines.Conclusion: Pharmaceutical stores in hospitals had equipment and furniture, fulfilled desirable storage conditions, whereas, significant number of the health centers’ medical store did not comply with the recommended storage conditions. Challenges of store management identified were poor infrastructure, administrative challenges, and shortage of human resource. Stock wasted due to expiration was high and the contributing challenge was non-need-based supply. So Ethiopian pharmaceutical Supply Agency should supply reproductive health medicines based on need and concerned government bodies should avail pharmaceutical store infrastructures, hire professionals, and follow health facilities administrations.

scholarly journals CORRELATION OF SUPERVISION, OPPORTUNITIES FOR ADVANCEMENT AND JOB SAFETY WITH SATISFACTION OF PUSKESMAS EMPLOYEES IN NORTH KONAWE DISTRICT

2019 ◽  
Vol 1 (1) ◽  
pp. 9-21
Author(s):  
Putu Suri Saraswati
Keyword(s):  
Job Satisfaction ◽  
Health Center ◽  
Quantitative Research ◽  
Cross Sectional Study ◽  
Health Centers ◽  
Chi Square ◽  
Cross Sectional ◽  
The North ◽  
Chi Square Test ◽  
Job Safety

Background: Job satisfaction can motivate an employee health center work, so it will affect the performance of the employee in performing health services for people in the health center. This study aimed to analyze the relationship between surveillance, advanced untu opportunities and job safety of the employee satisfaction Konawe health centers in the North. Methods: This research is a quantitative research with cross sectional study. The population in this study were all employees of health centers in North Konawe as many as 389 people, while the sample size of 194 respondents were collected by stratified random sampling. Data were collected by questionnaire and analyzed using chi square test and Cramer coefficient. Results: The results showed that chi square of supervision = 40,166, opportunities for advancement = 27,353 and job safety = 12,317. The chi square table is 9,488 at α = 5% and df =4. It means that chi square value > chi square table. Conclusion: There was a relationship between supervision, opportunities for advancement, and job safety with job satisfaction of Puskesmas employees in Konawe Utara Regency.    

scholarly journals Quality of Medical Records in Public Health Facilities of Jimma Zone, Oromia Regional State, Southwest, Ethiopia 2021

2021 ◽  
Author(s):  
Nigusu Endashaw ◽  
Bezawit Birhanu ◽  
Melese Teka ◽  
Gelila Abrham
Keyword(s):  
Public Health ◽  
Medical Records ◽  
Quantitative Data ◽  
Health Facilities ◽  
Health Centers ◽  
Cross Sectional ◽  
Southwest Ethiopia ◽  
Public Health Facilities ◽  
Jimma Zone

Abstract Background: Comprehensive medical records are cornerstones in the quality and efficiency of patient care, as they can provide a complete and accurate chronology of treatments, patient results, and future plans for care. The study was aimed to assess the quality of medical records in public health facilities of Jimma Zone. Methods: A facility-based cross-sectional quantitative study design supplemented by a qualitative method was used from May 30 to July 29, 2020. A total of 384 medical records were reviewed by using the facility inventory form for quantitative data. The data was entered by EPI data 3.1 and analyzed by SPSS 23 and descriptive statistics were used to present the findings. Qualitative data were triangulated with the quantitative data.Result: The majority of the health facility has a shortage of trained and qualified recording personnel in the medical record department. Among 36 health facilities, only one facility have printer in the record room and 3(8%) of them have tracer card. The overall quality of medical records in terms of content completeness as per the standard of health facilities requirements for districts, hospitals, and health centers were 30.62%, 39.49%, 25.79% respectively. Conclusion: The majority of medical records had poor completeness of administrative data, clinical, financial, and legal contents. The overall quality of medical records in Jimma Zone was very low for components of the quality of medical records as per the standard of health facilities requirements.

scholarly journals PENGARUH USIA DAN LAMA KERJA BIDAN TERHADAP KESADARAN SOSIAL BIDAN DALAM PEMBERIAN TABLET FE PADA IBU HAMIL

IKESMA ◽  
2017 ◽  
Vol 13 (2) ◽  
Author(s):  
Agus Aan Adriansyah
Keyword(s):  
Public Health ◽  
Sampling Technique ◽  
Health Centers ◽  
Social Awareness ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Average Percentage ◽  
Random Cluster ◽  
Care Visit ◽  
The Social

Coverage of Fe tablets during antenatal care visit from 2011-2013 in Public Health Centers in Surabaya was still low with an average percentage of 9.29% and 16.27%. The study aim to analyze effect of midwife�s age and length of employment towards social awareness of midwife in Fe tablets administration for pregnant women in Public Health Centers in Surabaya.This research was an analytic observational study and a cross sectional approach. The research location was in all Public Health Centers in Surabaya. The samples as many as 65 midwives were taken using multistage random cluster sampling technique from 62 Public Health Centers representing every region in Surabaya. The data obtained were analyzed by using Ordinal Logistic Regression technique.The results showed that the older midwives (more than 36 years) have a better social awareness since they have had experience in interacting with the social world. Midwives who work longer (more than 10 years) tend to have better social awareness.The conclusion of this study is that the midwife�s age and length of employment are closely towards social awareness of midwife. Keyword: Social Awareness, Midwife, Fe tablets

SITUATION OF SCIENTIFIC RESEARCH IN HUE UNIVERSITY OF MEDICINE AND PHARMACY AND HEALTH FACILITIES IN THUA THIEN HUE PROVINCE

2018 ◽  
Vol 8 (4) ◽  
pp. 108-116
Author(s):  
Lan Nguyen Hoang ◽  
Thang Vo Van ◽  
Thanh Cao Ngoc
Keyword(s):  
Quality Management ◽  
Scientific Research ◽  
Secondary Data ◽  
Health Department ◽  
Scientific Paper ◽  
Health Facilities ◽  
Research Project ◽  
Cross Sectional ◽  
Research Activities ◽  
Scientific Research Project

The study was conducted with the aim at: 1) describing situation of scientific research in Hue university of medicine and pharmacy (HUMP) and health facilities in Thua Thien Hue (TTH) province during 5 years from 2012 to 2016; and 2) evaluating effectiveness of activities of scientific research (SR) in study settings. This is a quantitative and cross sectional study. 220 researchers and 4 managers of scientific research department were directly interviewed based on structured questionnaire to learn about scientific research activities of individuals and organizations during 5 years from 2012 to 2016. Secondary data including documents, agreements related to quality management of scientific research in study settings were also reviewed. Findings showed that during 5 years from 2012 to 2016, number of scientific research project in Hue Central Hospital (HCH), HUMP and Health department of the province (HD) are 990, 596 and 582, respectively. Most of them are project with basis level. Number of scientific paper published is 1776 in HUMP, 1115 in HCH and 440 in HD. Almost of them were published in the dosmetic journals. Scientific research project were applied in health care pratice accounting for 88.1% in HD, 45.3% in HUMP and 4.7% in HCH. HUMP is only unit that gets enough contents of procedure of quality management in scientific research projects. Activities of scientific research of health section of the province achieve effectiveness according to criteria suggested. In order to enhance quality of scientific research works, procedure of their management should be improved in quality aspect of the studies and the resource support to researchers should be paid attention.

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