scholarly journals The effectiveness of nutrition education for care takers at Al-Sabah children hospital in patient therapeutic feeding center, Juba South Sudan.

2020 ◽  
Vol 5 (3) ◽  
Author(s):  
John Bosco Alumai

 AbstractBackgroundA key part of treating and preventing malnutrition is the provision of effective nutrition education to the clients and caretakers so that they can self-manage their nutrition needs even after discharge from the hospital. For effective nutrition education, three factors are paramount; The successful transfer of knowledge and skills, client motivation to act on the acquired skills and knowledge and ensuring that the patient is able to understand and put to practice the educational messages given.MethodsThe study used cross sectional design with mixed method of data collection that involved 83 caretakers of admitted SAM children at Al-Sabah children hospital ITC, Sample size was determined using Cochran 1975, interviewer administered questionnaires and focus group discussion guide were the tools used in collecting data.Data set was generated using EPI info and analyzed using SPSS version 21, the analyzed descriptive data was triangulated with the qualitative data collected using FGD.Results The majority of the caretakers were female 78 (94%) of which 68 (81.9%) were mothers to the children that were admitted. Only 8 (9.6%) of the respondents were found to have attained effective nutrition education and majority of the respondents were found not to be recalling the information they were given during the education session.ConclusionAs per the guidelines adapted by the ministry of health republic of South Sudan, the nutrition education sessions conducted was found not be effective as most of the clients could not even recall the information given. 

Author(s):  
Kabiru K. Salami ◽  
Ayodele S. Jegede ◽  
Frederick O. Oshiname

Studies about production of health for children have mainly concentrated on the behavior of one or two key household members compared to the dynamics in households involving three or more members. Health production refers to the process of directing available knowledge, skills, and resources towards ensuring, maintaining, and sustaining the health of the members. This cross-sectional design study explored how the dynamics of household structure and members’ roles influence the process of health production in a rural Nigerian community. An interviewer-moderated questionnaire was administered through a panel survey approach in 576 households. Twelve in-depth interviews and eight group discussion sessions were also conducted in Igbo-Ora, Southwestern Nigeria. Twenty-two roles identified from qualitative narratives, grouped into social interaction, material supports, safe environment, and physical health care supports categories, were ranked on a score of performance by household members. The mean household size was 5.4. Malaria, acute respiratory infection, and diarrhea were reported for children in 41.8% households. Mothers recognized and took action on child’s illnesses, while fathers made payment for treatment than other household members. Household decisions on child’s wellbeing focus more on treatment (84.4%) than preventive (7.3%) actions, while final decision resides more in the fathers’ (58.3%) compared to the mothers’ (15.8%) authorities. Mothers scored the highest points in all the role categories, the fathers scored points next to the mothers in material support, and safe-environment roles, while the children’s older siblings scored points next to the mothers on social interaction and caring roles. Health is produced in Igbo-Ora through the consciousness of growth monitoring, safe environment, and hygiene practice.


2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Amy Grove ◽  
Aileen Clarke ◽  
Graeme Currie ◽  
Andy Metcalfe ◽  
Catherine Pope ◽  
...  

Abstract Background Clinical leadership is fundamental in facilitating service improvements in healthcare. Few studies have attempted to understand or model the different approaches to leadership which are used when promoting the uptake and implementation of evidence-based interventions. This research aims to uncover and explain how distributed clinical leadership can be developed and improved to enhance the use of evidence in practice. In doing so, this study examines implementation leadership in orthopaedic surgery to explain leadership as a collective endeavour which cannot be separated from the organisational context. Methods A mixed-method study consisting of longitudinal and cross-sectional interviews and an embedded social network analysis will be performed in six NHS hospitals. A social network analysis will be undertaken in each hospital to uncover the organisational networks, the focal leadership actors and information flows in each organisation. This will be followed by a series of repeated semi-structured interviews, conducted over 4 years, with orthopaedic surgeons and their professional networks. These longitudinal interviews will be supplemented by cross-sectional interviews with the national established surgical leaders. All qualitative data will be analysed using a constructivist grounded theory approach and integrated with the quantitative data. The participant narratives will enrich the social network to uncover the leadership configurations which exist, and how different configurations of leadership are functioning in practice to influence implementation processes and outcomes. Discussion The study findings will facilitate understanding about how and why different configurations of leadership develop and under what organisational conditions and circumstances they are able to flourish. The study will guide the development of leadership interventions that are grounded in the data and aimed at advancing leadership for service improvement in orthopaedics. The strength of the study lies in the combination of multi-component, multi-site, multi-agent methods to examine leadership processes in surgery. The findings may be limited by the practical challenges of longitudinal qualitative data collection, such as ensuring participant retention, which need to be balanced against the theoretical and empirical insights generated through this comprehensive exploration of leadership across and within a range of healthcare organisations.


2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Fisseha Hagos ◽  
Fessehaye Alemseged ◽  
Fikadu Balcha ◽  
Semarya Berhe ◽  
Alemseged Aregay

Background.Nursing process is considered as appropriate method to explain the nursing essence, its scientific bases, technologies and humanist assumptions that encourage critical thinking and creativity, and permits solving problems in professional practice.Objective.To assess the application of nursing process and it’s affecting factors in Mekelle Zone Hospitals.Methods.A cross sectional design employing quantitative and qualitative methods was conducted in Mekelle zone hospitals March 2011. Qualitative data was collected from14 head nurses of six hospitals and quantitative was collected from 200 nurses selected by simple random sampling technique from the six hospitals proportional to their size. SPSS version 16.1 and thematic analysis was used for quantitative and qualitative data respectively.Results.Majority 180 (90%) of the respondents have poor knowledge and 99.5% of the respondents have a positive attitude towards the nursing process. All of the respondents said that they did not use the nursing process during provision of care to their patients at the time of the study. Majority (75%) of the respondent said that the nurse to patient ratio was not optimal to apply the nursing process.Conclusion and Recommendation.The nursing process is not yet applied in all of the six hospitals. The finding revealed that the knowledge of nurses on the nursing process is not adequate to put it in to practice and high patient nurse ratio affects its application. The studied hospitals should consider the application of the nursing process critically by motivating nurses and monitor and evaluate its progress.


2021 ◽  
Vol 38 (4) ◽  
pp. 1017-1025
Author(s):  
Abubakar ISKANDAR ◽  
◽  
Oetje SUBAGDJA ◽  
Zahid MUBAROK ◽  
◽  
...  

Based on the Work Plan of the Ministry of Manpower of the Republic of Indonesia, the number of foreign workers entering Indonesia in 2018 were 353,630 workers, causing the Indonesian workers to find job more difficult in their country. The Research Objectives are: (a) To describe policies and implementations to decrease unemployment rates in Southeast Sulawesi Province; (b) To Analyze an expert Chinese Foreign Worker accompanied by ten Indonesian Workers for transfer of knowledge and transfer of jobs; (c) To Identify Chinese Foreign Workers and Indonesian Workers who are employed in Chinese Companies. The research design is a cross sectional design. The sample consisted of 100 people, while the data analysis used flow models, correlation and respondents' perceptions. The results showed that there were 10 Chinese workers and 90 Indonesian workers who worked in a chinese companies, but there are discrimination in different position and payroll system that Chinese workers salary were higher than Indonesian workers.


2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Vella Dwi Yani ◽  
Ova Emilia ◽  
Hari Kusnanto

PERSEPSI REMAJA TERHADAP FAKTOR PENGHAMBATPEMANFAATAN PELAYANAN KESEHATAN REPRODUKSIDI PUSKESMAS GAMBOK KABUPATEN SIJUNJUNGVella Dwi Yani, Ova Emilia, Hari KusnantoABSTRACTBackground: Reproductive health service is an important component that has to be improved globally becauseteenagers often lack basic information about reproductive health. Despite the need for reproductive health serviceonly a few teenagers utilize the service due to several constraints in having reproductive and sexual health serviceas a result of limited access to the service and negative perception about center of reproductive health service.Data of Sijunjung District Health Office Sumatera Barat show that only 20% of teenagers utilize reproductivehealth service available. Whereas cases in teenagers indicate that 9.2% of teenagers have had premarital sexualintercourse and 40% are married at teenage period (<20 years) and 10% is caused by unwanted pregnancy.Objective: To study the perception of teenagers about physical, process, economic and psychosocial factors asobstacles in the utilization of reproductive health service.Method: The study was observational with cross sectional design and descriptive quantitative approach thatused qualitative data obtained from indepth interview. Subject of the study were students of SMU 1 and 2 of 14-16 years old around the working area of Health Centers that have health service for teenagers with as many as131 respondents.Result and Discussion: Perception of teenagers about physical, process and economic factors showed that themajority had good perception so these factors were not obstacles for teenagers in utilizing reproductive healthservice. The majority of teenagers (68%) had bad perception about psychosocial factor so this was an obstacle inthe utilization of reproductive health service.Conclusion: Obstacles in the utilization of reproductive health service at the health center were caused bypsychosocial factor because of shame and unwillingness to tell the problem to staff that was considered asstrangers. Teenagers also doubted the confidentiality of the problem they told to the staff.Keywords: perception, teenagers, reproductive health, utilizationABSTRAKLatar belakang: Pelayanan kesehatan reproduksi merupakan komponen penting yang harus diperbaiki secaraglobal. Remaja sering kali kekurangan informasi dasar tentang kesehatan reproduksi. Meskipun kebutuhanpelayanan kesehatan reproduksi tinggi namun pemanfaatannya masih rendah karena berbagai hambatanmemperoleh pelayanan dan juga adanya persepsi negatif terhadap pusat pelayanan kesehatan reproduksi. Datadari dinas Kesehatan kabupaten Sijunjung Sumatera Barat menunjukkan hanya 20% remaja yang memanfaatkanpelayanan kesehatan reproduksi. Sedangkan kasus dan masalah kesehatan reproduksi menunjukkan 9,2% sudahberhubungan seks sebelum menikah, dan 40% menikah pada usia remaja (<20 tahun) serta 10% mengakibatkankehamilan tak dikehendaki.Tujuan: Untuk mempelajari persepsi remaja terhadap faktor fisik, proses, ekonomi dan psikososial untukmemanfaatkan pelayanan kesehatan reproduksi remaja.melalui wawancara mendalam.Subyek penelitian adalah siswa SMA kelas 1 dan 2 usia 14-16 tahun di wilayahkerja puskesmas sebanyak 131 responden.Hasil dan Pembahasan: Mayoritas remaja memiliki persepsi baik terhadap faktor fisik, proses, dan ekonomi. Tigafaktor bukanmerupakan penghambatmemperoleh layanan kesehatan reproduksi. Sementara itu faktor psikososialdianggap sebagai penghambat (68%) untuk memanfaatkan pelayanan kesehatan reproduksi.Kesimpulan: Hambatan pemanfaatan layanan kesehatan reproduksi adalah faktor psikososial karena malu dantidak percaya untuk menceritakan masalah pada petugas kesehatan yang tidak dikenal. Remaja juga meragukankerahasiaan masalah yang diungkapkan.Kata kunci: persepsi, remaja, kesehatan reproduksi, pemanfaatan


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Hilda Carmitha Panjaitan ◽  
Theresia Pratiwi Elingsetyo Sanubari ◽  
Fiane De Fretes

The earthquake occurring in Indonesia caused various problems, especially the decreased degree of human health caused by insufficient food availability. It makes victims of natural disasters need assistance from government programs. One case of a natural disaster in 2018 was an earthquake in Central Sulawesi. Unfortunately, disaster survival has the challenge to continue their living caused by program absences from the government in post-disaster. This study aimed to explore disaster survival's resilience after one year of the earthquake disaster in Sidera village, Sigi regency, in response to government programs, especially nutrition, sanitation, and food fulfillment response. This research used mixed-method approaches with a cross-sectional design. Data collection was done with questionnaires, in-depth interviews, and anthropometric measurements. The study was conducted from February to April 2020 with 30 refugees in the temporary shelter in Sidera village as respondents. The study results found that people still need to initiate countermeasures related to sanitation and fulfillment of food. Government programs in health services produce good conditions related to normal nutritional status at the age of 5 years (40%), 5–18 years (100%), and 18 years (41%). The conclusion is that the government program is not sustainable, which makes the community still need to initiate countermeasures related to sanitation and food fulfillment. The program recommendations are to ensure clean water availability and guide the community to fulfill their food need. TANGGAPAN SIGI TERHADAP PROGRAM BENCANA: GIZI, SANITASI, DAN PEMENUHAN PANGANGempa bumi yang terjadi di Indonesia menyebabkan berbagai masalah, secara khusus penurunan derajat kesehatan manusia dikarenakan oleh ketersediaan pangan yang tidak tercukupi. Hal tersebut membuat korban bencana alam membutuhkan bantuan dari program pemerintah. Salah satu kasus bencana alam tahun 2018 adalah gempa bumi di Sulawesi Tengah. Namun, hingga pascabencana, korban bencana alam masih tinggal di pengungsian tanpa program. Tujuan penelitian ini adalah mengeksplorasi daya lenting pengungsi pasca-satu tahun bencana gempa bumi di Desa Sidera, Kabupaten Sigi sebagai tanggapan dari program pemerintah khususnya gizi, air bersih, dan pemenuhan pangan. Penelitian ini menggunakan pendekatan mixed-method dengan desain cross-sectional. Teknik pengumpulan data dilakukan melalui pengisian kuesioner, in depth interview, serta pengukuran antropometri. Penelitian dilakukan pada 30 responden yang merupakan pengungsi di hunian sementara (huntara) Desa Sidera. Penelitian dilakukan selama bulan Februari hingga April 2020. Hasil penelitian menemukan bahwa masyarakat masih perlu melakukan inisiasi penanggulangan terkait air bersih dan pemenuhan pangan. Program pemerintah terkait pelayanan kesehatan menghasilkan kondisi yang baik terkait status gizi normal pada usia ≤5 tahun (40%), 5–18 tahun (100%), dan ≥18 tahun (41%). Simpulan dari penelitian ini adalah program pemerintah tidak memiliki keberlanjutan, hal tersebut membuat masyarakat masih perlu melakukan inisiasi penanggulangan terkait air bersih dan pemenuhan pangan. Rekomendasi program yang dapat diberikan adalah ketersediaan air bersih serta pemantauan program dalam membimbing masyarakat agar dapat memenuhi kebutuhan pangan.


2021 ◽  
Vol 1 (2) ◽  
pp. 90-98
Author(s):  
Gabriel T. Galleposo

There is a limited number of studies on why people, specifically teachers, can immediately cope with health and security crisis, and continue to live their lives as normally as those who have not experienced such events in their lives, hence, the necessity to conduct this study. It explored the factors that influenced their coping mechanisms through exploratory sequential mixed method, involving respondents from seven schools district of Zamboanga Sibugay Division and from one school district of Lanao del Sur. The qualitative data  gathered from 10 respondents through face-to-face interview and focused group discussion  arrived at the factors that influenced the inherent coping mechanisms, namely: family, faith, profession, alliance, self-reliance, and service.  The quantitative data  gathered from 131 respondents through a researcher-made survey instrument  were subjected to Pearson coefficient of correlation, t-test, weighted mean,  and stepwise regression. It is   concluded that faith, family, alliance, and profession wield a significant influence in the coping mechanisms of the respondents. Experience, and training were also found to have a differentiating performance in coping from health and security crisis;  and that success in coping from catastrophic situations depends greatly on these factors.  This study further proposed a model which can be used as basis in designing mental, spiritual, emotional, and social health programs to enhance the inherent coping mechanisms of teachers.


2021 ◽  
Vol 6 (1) ◽  
pp. 341-352
Author(s):  
Dadan Suryana ◽  
Farida Mayar ◽  
Rustika Eka Sari

Pendidikan berbasiskan budaya lokal terhadap prilaku positif nilai sumbang duo baleh berfungsi membentuk karakter budaya peserta didik melalui metoda bermain sambil belajar dan pembiasaan.. Penelitian ini bertujuan untuk melihat bagaimana pelaksanaan metode sumbang kurenah terhadap perkembangan karakter anak usia dini di Kabupaten Rao Kecamatan Pasaman. Jenis penelitian ini yaitu menggunakan penelitian kombinasi (Mixed Method) melalui pendekatan explanatory design. Subjek/Informan dalam penelitian ini yaitu guru dan orangtua di Taman Kanak-kanak di Kabupaten Rao Kecamatan Pasaman.Teknik analisis data yang digunakan untuk penelitian kuantitatif yaitu cross sectional design sedangkan untuk penelitian kualitatif yaitu menggunakan alur dari Miles dan Huberman. Teknik pengumpulan data kuantitatif yaitu menggunakan angket sedangkan untuk kuaalitatif terdiri dari pengumpulan data, reduksi data, penyajian data dan menarik kesimpulan. Hasil penelitian menunjukkan bahwaReaksi anak saat dikenalkan metode sumbang kurenah yaitu anak-anak terlihat bersemangat. Metode sumbang kurenahberpengaruh secara langsung terhadap perkembangan karakter anak dengan tingkat capaian sebesar 48,5%. Metode sumbang kurenah dapat mengembangkan karakter anak melalui bermain beran seperti sosiodrama, bercerita tentang penanaman nilai moral maupun metode tanya jawab tentang adat istiadat budaya Minangkabau.


Author(s):  
Prattama Santoso Utomo ◽  
Savitri Shitarukmi ◽  
Noviarina Kurniawati ◽  
Widyandana Widyandana

Background: Learning media do have an important role in facilitating learning for medical students, especially in Problem Based Learning (PBL) curriculum. TV-LEDs, LCDs and whiteboards are currently popular to be used as the learning media for PBL tutorial discussions. TV-LEDs and LCDs are digital technologies which are considered more sophisticated when compared to whiteboards. Undergraduate medical students in Faculty of Medicine, Universitas Gadjah Mada (FM UGM), Yogyakarta-Indonesia attend PBL tutorials every week and use those learning media to facilitate their tutorial discussions. This study aimed to compare the effectiveness of TV-LEDs/LCDs and whiteboards as learning media in PBL tutorial discussion.Methods: A cross-sectional study using both qualitative and quantitative (mixed method) survey approaches. A total of 398 third and fourth year undergraduate medical students of FM UGM participated the survey. Data were collected using a questionnaire that incorporated close-ended questions using likert-scale (quantitative) and open-ended questions (qualitative). Quantitative data were analysed based in ARCS (Attention, Relevance, Confidence, Satisfaction) grouping method and qualitative data were analysed using deductive qualitative analysis.Results: The survey found based on ARCS groups that A = 3,68; R = 3,63; C = 3,69; S = 3,71. These results indicate that students are eager and enthusiastic in using the technology of TV-LEDs/LCDs as learning media. The qualitative responses describe the benefits and limitations of both TV-LEDs/LCDs and whiteboards as learning media in PBL tutorial. Students also provide some suggestions to optimise the benefits of both learning medias in facilitating learning in PBL tutorial.Conclusion: The use of TV-LEDs/LCDs as learning media in PBL tutorial received a positive response overall. TV-LEDs/LCDs are considered more effective and interactive rather than whiteboard. Students suggested that TV-LEDs/LCDs should be used side-by-side with whiteboard.Keywords: TV-LED/LCD, whiteboard, tutorial, learning media, effectiveness, medical student


2020 ◽  
Vol 4 (3) ◽  
pp. 13
Author(s):  
Marsellah Ogendo ◽  
Garama Mramba ◽  
Rhoda Nchogu ◽  
Rachael Mwende ◽  
Winnie Barawa ◽  
...  

Purpose: The aim of the study was to determine the perception of students of Kenya Medical Training College Mombasa on its safety after conversion into a quarantine center.Methodology: The study was conducted at KMTC Mombasa, using a descriptive cross-sectional design, where students were selected using multistage sampling. Sample size determination was done using Fischer’s statistical formula at a confidence level of 95% (p=95%). Data was collected using a structured online survey questionnaire and a focused group discussion. Analysis of data was done using SPSS and results presented in Excel tables and narrations.Findings: 65.2% (165) of the students felt the college was safe for resumption of studies while 34.8% (88) felt the college was unsafe. 56% (93) of those who felt the college was safe stated that safety is a personal responsibility and that they would observe the recommended measures. 22% (36) had confidence that the institution would implement all the measures possible to ensure safety of the facility upon reopening. Two reasons advanced by the students as to why they felt the college was unsafe were; proximity of the college to an isolation center and interaction with other students cited by 31% (27) and 30% (26) of the students respectively. The study demonstrated a significant relationship between students’ department and how comfortable they were to use the hostels after getting back to college (p=0.036).  Students felt safest to use the library while the toilets were the least safe.Unique contribution to theory, practice and Policy: The perception of students towards safety of their learning institution after its use as quarantine center during a pandemic has not been reported in literature. The findings of this study are important for leaders and policy makers across sectors in guiding decision making in instances where public facilities may need to be converted to serve other purposes. Stakeholders may have reservations as to whether the usual users are going to feel safe in such facilities after its temporary use. 


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