scholarly journals PEMAHAMAN TENTANG HAK DAN KEWAJIBAN PESERTA BPJS KESEHATAN DI PUSKESMAS GANDING SUMENEP

2019 ◽  
Vol 4 (2) ◽  
pp. 25-27
Author(s):  
Moh. Jonaidy Prasetiawan ◽  
Dr. Eko Mulyadi ◽  
Sugesti Aliftitah
Keyword(s):  
Health Services ◽  
Health Facility ◽  
Consumer Protection ◽  
Emergency Services ◽  
Health Facilities ◽  
Research Report ◽  
Descriptive Research ◽  
To Come

The large number of BPJS Kesehatan participants who do not understand the rights and responsibilities of BPJS Kesehatan participants, make medical workers in health facilities often conflict with patients and families of patients. This research was conducted to describe the understanding about the rights and obligations of BPJS Kesehatan participants. The method in this research is qulitative descriptive research, this research is intended to investigate the condition, condition or other matters, which result presented in the form of research report. Lack of understanding of BPJS Kesehatan participants due to the absence of clear, correct, detailed and detail information regarding regulations, financing, rights and obligations, sanctions if late dues, health facility destinations, tiered referral, emergency services, how to submit complaints, or concerning health services anything that can and can not be obtained. BPJS Kesehatan socializes passively, which is only doing socialization if invited to come by interested parties. According to Law No. 08 of 1999 on Consumer Protection, BPJS Kesehatan as a business actor is obliged to provide information and socialization that is clear, true and honest about the product of goods or and services to be provided, should not cause the interpretation, must be clear, detailed, and detail. Keyword: Rights, Responsibilities, Socialization, BPJS Kesehatan.

Model Spasial Regionisasi dan Rujukan Fasilitas Kesehatan

2018 ◽  
Vol 1 (1) ◽  
pp. 78-86
Author(s):  
Agel Vidian Krama ◽  
Nurul Qamilah
Keyword(s):  
Health Services ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Health Centers ◽  
Coverage Area ◽  
Spatial Studies ◽  
Descriptive Research ◽  
Care Facilities ◽  
Health Field ◽  
Research Type

Location Hospital and Health Center in Bandar Lampung and the District Pesawaran not currently mapped by conventional or digital. And there is no data base that provides information about the location and distribution of hospitals and health centers in Bandar Lampung City, and the uneven number of health facilities to ensure the availability of health services for all citizens, by optimizing existing health care facilities. Contributions utilization of spatial studies in the health field is used for mapping and modeling of health in order to facilitate access, provision of efficiency and planning of health services in order to take policy related to determining the location of health facilities. The research method uses spatial model approach with descriptive research type and analysis through the use of Huff Model. The results of the regionization shows the coverage area of hospital services serving 33 points in the District Pesawaran and 24 point Population in Bandar Lampung with the spread of regionization is divided into 3 regions. Keywords: Health Service, Regionalization

scholarly journals Effectiveness of Essential Health Care Services Delivery in Nepal

1970 ◽  
Vol 6 (2) ◽  
pp. 74-83 ◽  
Author(s):  
B Devkota
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Health Services ◽  
Health Facility ◽  
Health Care Services ◽  
Health Facilities ◽  
Care Services ◽  
Services Delivery ◽  
Equity And Efficiency

Background: Ensuring delivery of quality health services in a sustainable and equitable manner is a challenge in Nepal. A host of factors may have impeded the access, quality and utilization of the health services particularly by the marginalized and disadvantaged sections of the population. Review essential health care services (EHCS) provided by the public health facilities, level of progress, effectiveness, sustainability, equity and efficiency, quality of care and inclusion of marginalized and disadvantaged populations in health care servicesMethods: A total of 40 VDCs from 10 districts representing five regions and three eco-zones were covered. Altogether 800 mothers with under two year children, 40 health service providers, 145 key informants and 40 exit clients were interviewed. Forty focused group discussions were also conducted. From each district, health records of one hospital, PHCC, HP, SHP and Ayurvedic health facility each were collected.Results: More than two-third (68.2%) of the mothers received antenatal checks, highest in hills (85%) followed by terai (64.5%) and mountain districts (52.8%).Tetanus vaccine coverage (80.7%) seems higher compared to Nepal Demographic Health Survey 2001 (45%). FP use rate in mountain, hill and terai are 57.6%, 54.1% and 49.7%, higher than in DoHS 2003/2004 statistics, which were 26.8%, 36.4% and 45.3% respectively. Nine out of ten patients visiting the health facilities were outpatients. The coverage of DPT 3, Polio 3, BCG and measles are 92.8%, 93.4%, 95.2% and 90.7% respectively. From the service utilization perspective, disparities in terms of gender, ecological regions, season of the year and health facility were revealed.Conclusion: Health sector services are yet to be made responsive to the ecological and district specific health problems, and be made more inclusive linking with doable safety nets.  Key words: Essential health care services; Effectiveness; Sustainability; Equity and efficiency; Quality of care and inclusion  doi: 10.3126/jnhrc.v6i2.2188Journal of Nepal Health Research Council Vol. 6 No. 2 Issue 13 Oct 2008 Page: 74-83 

scholarly journals Implementation research on sustainable electrification of rural primary care facilities in Ghana and Uganda

2020 ◽  
Vol 35 (Supplement_2) ◽  
pp. ii124-ii136
Author(s):  
Dena Javadi ◽  
John Ssempebwa ◽  
John Bosco Isunju ◽  
Lucy Yevoo ◽  
Alberta Amu ◽  
...  
Keyword(s):  
Health Services ◽  
Rural Health ◽  
Health Facility ◽  
Health Systems ◽  
Implementation Research ◽  
Health Facilities ◽  
Service Availability ◽  
Community Satisfaction ◽  
Energy Infrastructure ◽  
Implementation Factors

Abstract Access to energy is essential for resilient health systems; however, strengthening energy infrastructure in rural health facilities remains a challenge. In 2015–19, ‘Powering Healthcare’ deployed solar energy solutions to off-grid rural health facilities in Ghana and Uganda to improve the availability of maternal and child health services. To explore the links between health facility electrification and service availability and use, the World Health Organization (WHO), in partnership with Dodowa Health Research Centre and Makerere University School of Public Health, carried out an implementation research study. The objectives of this study were to (1) capture changes in service availability and readiness, (2) describe changes in community satisfaction and use and (3) examine the implementation factors of sustainable electrification that affect these changes. Data were collected through interviews with over 100 key informants, focus group discussions with over 800 community members and health facility assessment checklist adapted from the WHO’s Service Availability and Readiness Assessment tool. Implementation factors were organized using Normalization Process Theory constructs. The study found that access to energy is associated with increased availability of health services, access to communication technologies, appropriate storage of vaccines and medicines, enhanced health worker motivation and increased community satisfaction. Implementation factors associated with improved outcomes include stakeholder engagement activities to promote internalization, provision of materials and information to encourage participation, and establishment of relationships to support integration. Barriers to achieving outcomes are primarily health systems challenges—such as drug stockouts, lack of transportation and poor amenities—that continue to affect service availability, readiness and use, even where access to energy is available. However, through appropriate implementation and integration of sustainable electrification, strengthened energy infrastructure can be leveraged to catalyze investment in other components of functioning health systems. Improving access to energy in health facilities is, therefore, necessary but not sufficient for strengthening health systems.

scholarly journals Perceptions on adolescents’ friendly health services concepts and the use of health services by adolescents in Kavango region, Namibia

2021 ◽  
Vol 8 (4) ◽  
pp. 1632
Author(s):  
Taimi Amakali-Nauiseb ◽  
Joan M. Kloppers
Keyword(s):  
Health Services ◽  
Health Facility ◽  
Health Facilities ◽  
Drop Out ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Qualitative Approaches ◽  
School Drop Out ◽  
Transition Into Adulthood ◽  
Use Of Health Services

Background: The objective of this study was to determine the perceptions on adolescents’ friendly health services concepts and the use of health services by adolescents in Kavango region, Namibia.Methods: A cross-sectional analytical study was conducted using mixed methods - quantitative and qualitative approaches among 350 school learners and 150 school drop-out adolescents. In total a sample of 540 was utilized. The stratified random sampling techniques were used in the selections of the circuit and the schools. Structured questionnaires were used in face-to-face interviews, and in depth interviews were conducted among the key informants (25 teachers) and as well with 15 school learners.Results: Illustrated the following: there was a statistically highly significant association between adequate confidentiality, last visit at the health facility and both sexually transmitted infections and visited health facility (p=0.004 respectively). A statistically significant association was found between all visits to health facilities, pamphlets and talks on contraceptives; visit to health facilities, comfortable and contraceptives talks (p=0.001 respectively). Additionally, there was a statistically significant association respectively between both contraceptives used and number of times services sought and between services, pamphlets and contraceptives with a (p 0.010<0.05).Conclusions: The youth need health services that are sensitive to their unique stage of biological, cognitive, and psychosocial transition into adulthood. Health services that are more accessible and acceptable to adolescents and made more youth-friendly.  

scholarly journals Consumer choice of health facility among the lowest socioeconomic group in newly established demand-side health-financing scheme in Khyber Pakhtunkhwa, Pakistan

2021 ◽  
Author(s):  
Sidra Malik ◽  
Naveed Sadiq ◽  
Saeed Anwar ◽  
Umair Qazi
Keyword(s):  
Health Services ◽  
Private Sector ◽  
Health Facility ◽  
Consumer Choice ◽  
Geographic Location ◽  
Health Facilities ◽  
Health Protection ◽  
Social Health ◽  
Socioeconomic Group ◽  
The Social

Background: The Social Health Protection Initiative was introduced initially in Pakistan in Khyber Pakhtunkhwa Province. The initiative aimed to provide the lowest socioeconomic group of the population with in-patient healthcare services, which otherwise would be financially hard to obtain. It is one of the flagship projects of the Provincial Government to contribute towards the United Nations Sustainable Development Goals and universal health coverage. Aims: To assess consumer choice of health facility and its determinants for public versus private sector health facilities by people enrolled in Social Health Protection Initiative. Methods: We used secondary data of availed health services from February 2016 to September 2017 under the Social Health Protection Initiative. A proxy outcome variable, visit to health facility, was used to determine consumer choice between public and private sector health facilities. The treatment group (health services received by beneficiaries) was used as an independent variable controlled for age groups, cost groups, and geographic location of health facilities. All statistical analyses were performed by SPSS version 20. Results: Most beneficiaries chose private over public health facilities (90.25%). However, adjusted odds of visiting a public sector health facility for surgical and gynaecological services were 0.12 [95% confidence interval (CI): 0.10–0.16] and 0.11 (95% CI: 0.09–0.14) respectively, when compared to medical services. Conclusion: Social Health Protection Initiative beneficiaries have lesser odds of visiting a public hospital over a private one. The choice may be affected by factors such as age of the beneficiary, cost of health services, and geographic location of health facilities.

HARMONISASI POLA PENGELOLAAN KEUANGAN FASKES DI LINGKUNGAN KEMENTERIAN PERTAHANAN DAN TNI DENGAN UU NO. 44 TAHUN 2009 tentang RUMAH SAKIT

2019 ◽  
Vol 19 (2) ◽  
pp. 182
Author(s):  
Sutarno Sutarno
Keyword(s):  
Health Insurance ◽  
Health Services ◽  
Social Security ◽  
Health Facility ◽  
Health Facilities ◽  
Fundamental Change ◽  
Legal Research ◽  
Legal Rules ◽  
The Social ◽  
The Government

<em>Since the enactment of Law Number 24 of 2011 concerning the Social Security Organizing Agency, there has been a very fundamental change in terms of Health Services. Health facilities within the Ministry of Defense and TNI which also affect budget governance. This legal research is a normative law with sources of primary and secondary legal materials that aim to review and analyze the legal rules regarding the management of income income received by Health Facilities within the Ministry of Defense and the TNI based on Law Number 44 of 2009; and reviewing and analyzing conflicting norms for the use of the TNI Health Facility as of the enactment of Law Number 24 of 2011 concerning the Health Insurance Administering Body. The results showed that the TNI Hospital which is a health facility owned by the Government should be subject to the rules contained in RI Law No. 44 of 2009 concerning Hospitals.</em>

scholarly journals Factors Influencing the Choice of Place of Delivery among Women in Rural Northern Ghana: A Cross-sectional Descriptive Study

2021 ◽  
Vol 17 (7) ◽  
Author(s):  
Agulu Gilbert Gangtaba ◽  
Mitsuaki Matsui ◽  
Yasuhiko Kamiya
Keyword(s):  
Health Care ◽  
Socioeconomic Status ◽  
Health Services ◽  
Health Facility ◽  
Educational Level ◽  
Facility Delivery ◽  
Health Facilities ◽  
Northern Ghana ◽  
Care Providers ◽  
Statistical Software

Background of the Study: Studies have shown that three-quarters of all maternal deaths happen during childbirth and the immediate postpartum periods. Most of these deaths occur due to a lack of support from a health care provider. Globally, in 2016, one out of five childbirths took place without the assistance of a skilled birth attendant (SBA). The coverage among women in deprived areas is even lower. Women’s choice of a birthing place is often influenced by a complex mixture of factors ranging from individual, household, accessibility, health facility and provider-related factors, socioeconomic status, etc. Despite many interventions put in place in Ghana to encourage the use of health facilities for deliveries, utilization remains inadequate and the reasons have not been explored in detail. This study examines the factors affecting utilization of health facilities for delivery by pregnant women in the West Mamprusi Municipality (WMM) of Northern Ghana by adopting the three delays model. Materials and Methods: A crosssectional household survey of 381 women within the age group, 15-49 years, was conducted from January to March 2019 in the WMM. Data was collected using a structured questionnaire consisting of open and closed-ended questions. Data entry was done using IBM-SPSS version 25 statistical software, and it was exported to Stata version 15 statistical software for the analysis. Descriptive statistics and Chi-square tests were done. Bivariate and multivariate logistic regression analysis was conducted to identify the variables associated with facility delivery. All statistical tests were set at a 5% level of significance and a 95% confidence interval. Results: This study revealed that 75.3% of the respondents delivered their last child in a health facility while 24.7% delivered at home. The ANC coverage was high (98.2%). However, this does not translate into the proportion of facility deliveries. Factors leading to the choice of the delivery place include; poor health care provider’s attitudes, low knowledge about the signs of labor, poor quality of health services, sociocultural beliefs, low socioeconomic status of women, low educational level of mothers, and inaccessibility to health services. It was observed that respondents with a higher educational level were almost four times [AOR=3.66; 95% CI:1.19-68.9] more likely to deliver their children in a health facility. Women who made more ANC contacts with health care providers have a higher chance [AOR=1.17; 95% CI:1.04-36.7] of delivering in a health facility than those who made less or no contact. Conclusion: Though the findings show a high proportion of facility delivery in the study area, much can be achieved by intensifying health education on early initiation of ANC, signs of labor and delivery, as well as the importance of health facility delivery.

scholarly journals The Direct Health Facility Financing Impact on Financial Management in Kaliua District Council, Tabora Tanzania

2021 ◽  
Vol 7 (1) ◽  
pp. 1
Author(s):  
Batamaga Akimu Kajuni ◽  
Deogratias Faustine Mpenzi
Keyword(s):  
Health Services ◽  
Health Facility ◽  
Financial Management ◽  
Planning Process ◽  
Health Facilities ◽  
Health Services Delivery ◽  
Services Delivery ◽  
Primary Health ◽  
District Council ◽  
Primary Health Facilities

This study assessed the implementation of Direct Health Facility Financing (DHFF) on financial management among primary health facilities of Kaliua District Council. The assessment conducted because Kaliua District is the one among 184 councils where the government introduced DHFF; the study adopted case study design whereby, both qualitative and quantitative approaches were used. A structured questionnaire, Interview, FDGs, Documentary review were used in obtaining data which were classified into planning process, rate of fund utilization, adherence to financial management guidelines and perceptions of employees on fund utilization which were administered to 238 respondents who sampled through simple random and purposeful sampling techniques. Data analysed using excel and SPSS for quantitative data and content analysis for qualitative data.Study revealed that, planning process work in excellent way (72.9%); utilization capacity of funds disbursed has been acknowledged at 70%; Fund utilization perceived positively impacting on the quality of health services delivery like availability of medicines and medical equipment in health facilities unlike the time before DHFF. Financial and procurement guidelines to some extent are adhered for about 50%. However, study observed some problems like lack of funds to facilitate HFGCs’ activities, late disbursement of funds that affected utilization. Conclusively based on findings, financial management at health facilities is effective as it attributed to significantly positive impacts on general improvement of health services delivery in public primary health facilities.

scholarly journals Health Status and Quality of Health Care Services of Congolese Refugees in Nakivale, Uganda

2016 ◽  
Vol 5 (3) ◽  
pp. 39
Author(s):  
Amegovu K. Andrew
Keyword(s):  
Health Status ◽  
Health Services ◽  
Resource Constraints ◽  
Service Providers ◽  
Geographic Origin ◽  
Health Service Delivery ◽  
Health Facilities ◽  
Cross Sectional ◽  
Adequate Food

Physical and emotional wellness, as well as access to healthcare, are foundations for successful resettlement. Without feeling healthy, it is difficult to work, to go school, or take care of a family. Many factors can affect refugee health, including geographic origin and refugee camp conditions. Refugees may face a wide variety of acute or chronic health issues (Office of Refugee Resettlement, ORR Annual Report to Congress 2014; http://www.acf.hhs.gov). Resettlement of refugees in Uganda is usually supported by concerted efforts of UNHCR, Governments through the Office of the Prime Minister, OPM with support from host communities, local and international Non-Governmental Organizations. Due to resource constraints and local factors, immigrants are often subjected to poor living conditions which coupled with inadequacy inessential medical supplies might significantly affects quality of care and health service delivery and hence, rendering refugees to poor health status. This study was conducted from 2013-2014 to assess the determinants of health status of Congolese refugees living in Nakivale refugee settlement, in Isingiro district- South Western Uganda. A cross-sectional study design was used involving mixed techniques of both qualitative and quantitative KAP survey. The study focussed on Congolese refugee population in Nakivale Refugee settlement. 2401 key informants’ interviews and 8 focus group discussions respectively were conducted targeting service providers and beneficiaries/Congolese refugees in this case. The data was analysed using SPSS ver.20, 2011. Although majority (97%) of respondents sought medical services from established health facilities, findings confirm a high level of ill health prevalence among Congolese refugees in Nakivale camp, however, the difference in health services and perceived health status in camp versus the one in DRcongo is insignificant ( p=0.000) with respondents perceiving their health status as worse than when they were their own Country before the resettlement. Identified key challenges affecting access &amp; uptake of available health services includes: language barrier; inadequate drugs; and the long distances to access health facilities. The health status of refugees could be improved by addressing the challenges related to language, drug supplies in addition to humanising conditions of shelter, providing appropriate waste disposal facilities while proving adequate food rations and clean &amp; safe drinking water.

scholarly journals Safer primary healthcare facilities are needed to protect healthcare workers and maintain essential services: lessons learned from a multicountry COVID-19 emergency response initiative

2021 ◽  
Vol 6 (6) ◽  
pp. e005833
Author(s):  
Leena N Patel ◽  
Samantha Kozikott ◽  
Rodrigue Ilboudo ◽  
Moreen Kamateeka ◽  
Mohammed Lamorde ◽  
...  
Keyword(s):  
Health Facility ◽  
Healthcare Workers ◽  
National Level ◽  
Lessons Learned ◽  
Health Facilities ◽  
Infection Prevention And Control ◽  
Health Facility Level ◽  
Ensure Patient Safety ◽  
Increased Risk ◽  
Facility Level

Healthcare workers (HCWs) are at increased risk of infection from SARS-CoV-2 and other disease pathogens, which take a disproportionate toll on HCWs, with substantial cost to health systems. Improved infection prevention and control (IPC) programmes can protect HCWs, especially in resource-limited settings where the health workforce is scarcest, and ensure patient safety and continuity of essential health services. In response to the COVID-19 pandemic, we collaborated with ministries of health and development partners to implement an emergency initiative for HCWs at the primary health facility level in 22 African countries. Between April 2020 and January 2021, the initiative trained 42 058 front-line HCWs from 8444 health facilities, supported longitudinal supervision and monitoring visits guided by a standardised monitoring tool, and provided resources including personal protective equipment (PPE). We documented significant short-term improvements in IPC performance, but gaps remain. Suspected HCW infections peaked at 41.5% among HCWs screened at monitored facilities in July 2020 during the first wave of the pandemic in Africa. Disease-specific emergency responses are not the optimal approach. Comprehensive, sustainable IPC programmes are needed. IPC needs to be incorporated into all HCW training programmes and combined with supportive supervision and mentorship. Strengthened data systems on IPC are needed to guide improvements at the health facility level and to inform policy development at the national level, along with investments in infrastructure and sustainable supplies of PPE. Multimodal strategies to improve IPC are critical to make health facilities safer and to protect HCWs and the communities they serve.

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