scholarly journals The Relationship between Exclusive Breastfeeding with Foods Intake and Nutritional Status of 6-to-12-Month-Old Children in Working Area of Hamadi Primary Health Care in the City Jayapura

2020 ◽  
Vol 5 (2) ◽  
pp. 111-120
Author(s):  
Ribka Fransiska Youwe ◽  
Dary Dary ◽  
Rifatolistia Tampubolon ◽  
Gelora Mangalik

First nutritional intake supplied to newborn infants is exclusive breast milk because it contains a lot of nutrients and it is supplied for 6-month-old children without adding weaning foods. Global Nutrition Report (GNR) report in 2014 stated that Indonesia was included in 117 countries that had three highest nutritional problems in children, namely stunting (37.2%), wasting (12.1%), and overweight (11.9%). The result of Riskesdas prevalence in 2013 regarding to nutritional status of children in Papua Province was undernutrition (21.9%) while in Jayapura there were malnutrition (3.4%) for toddlers and undernutrition (17.8%). The purpose of the research was to analyze the relationship between exclusive breastfeeding with foods intake and nutritional status of 6-to-12-month-old children in the working area of Hamadi Primary Health Care in the city of Jayapura. Quantitative research methods with cross sectional study design using the spearman rank test were done which exclusive breastfeeding as independent variable, food intake and nutritional status as dependent variables. Statistical test results showed that there was no relationship between exclusive breastfeeding and nutritional status with parameter p = 0.658, there was no relationship between exclusive breastfeeding and food intake (TKE p = 0.335), (TKP p = 0.626), (TKL p = 0.715), (TKK p = 0.980), there was a relationship between food intake and nutritional status (TKE p = 0.050), (TKP p = 0.041), (TKL p = 0.032), (TKK p = 0.049). The conclusion of this research is either exclusive or non-exclusive breastfeeding children have the same nutritional status and food intake, while children's food intake affects nutritional status of children.

2019 ◽  
Vol 8 (1) ◽  
pp. 57-62
Author(s):  
Pande Putu Novi Ekajayanti ◽  
Pande Putu Indah Purnamayanthi

According to data from the Basic Health Research of Indonesia (Riskesdas), exclusively breastfed babies has reached only 15.3% in 2010. While in Denpasar, its level fell from 62.2% in 2007 to 56.2% in 2008 for infants aged 0-6 months. This study aims to find out an exclusive breastfeeding given in infants, assessing infant’s nutritional status, and the correlation between an exclusive breastfeeding with infant’s nutritional status at Primary Health Care, Region I in North Denpasar. This research used a descriptive correlative method. Subjects were given exclusively breastfed for totally 45 respondents. This type of sampling using a purposive sampling. Statistical analysis was done by Chi-Square. Respondents were breastfed exclusively has higher normal nutritional status for about 51.1% compared with those whose was not given, showing only 15.6%. 


2021 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Vera Kurnia ◽  
Desti Nataria

Hypertension is one of the most common causes of morbidity and mortality  all over the world, also known as “the silent killer” because people with hypertension are without symptoms. West Sumatera Province reported that the prevalence of hypertension at the age 18 years has increased from 25,8% in 2013 to 31,7% in 2018. Successful strategies to manage the blood preasure depends on patients self-care management or the ability and willingness of the patient to change and maintain certain behavior.The purpose of this research is to determine the effect of self-education management of hypertension patients in the working area of primary health care in Bukittinggi.Design of this research is a quasi experimental design with pretest-posttest with control group. The sample which used were 62 respondents consist of 31 people in the intervention group and 31 people in the group control. Sampling was done by consecutive sampling technique. Data was analyzed Wilcoxon signed rank test and Mann Whitney test. The result of this research shows that there isn’t any effect of self education management to healthy behavior which includes exercise and healthy diet of the intervention group and the control group at community health center in Bukittinggi (mean rank after the intervention < 10; p> 0,05). Based on the result of this research it can be concluded that the habits of respondents who carry out light and medium activities every day and also education provided by primary health care  have given big impact to respondent’s habits where they always do exercise and healthy diet in their daily life.The result of this research can be used as an input for primary health care to maintain and improve education of healthy behavior for hypertension patients.


2020 ◽  
Vol 10 (32) ◽  
pp. 53-61
Author(s):  
Angélica Cristina Silveira Marques ◽  
Adriani Izabel de Souza Moraes ◽  
Sílvia Carla da Silva André Uehara

O processo de adoecimento dos homens vem sendo determinado pelo seu comportamento na sociedade e como expressam suas crenças de masculinidade. O objetivo deste trabalho foi identificar as ações realizadas pelos enfermeiros da Atenção Primária à Saúde (APS) direcionadas à promoção da saúde do homem. Trata-se de uma pesquisa descritiva, exploratória e de abordagem quantitativa. A pesquisa foi realizada com 29 enfermeiros de serviços da APS do município de São Carlos-SP. Os dados foram coletados por meio de uma entrevista, utilizando um instrumento validado. Os dados foram analisados por meio da estatística descritiva. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa. Os resultados mostram que 65,5% (19) dos enfermeiros referiram não ter recebido capacitação sobre a saúde do homem. Quanto aos fatores facilitadores do acesso dos homens nos serviços de saúde, destacam-se que 19% (11) das respostas incluíram o vínculo estabelecido entre os profissionais e usuários; e, como agentes dificultadores, em 35,1% (19) das respostas foi ressaltada a cultura do homem. Para uma maior efetividade da assistência à saúde do homem, torna-se necessário a sensibilização de profissionais e gestores de saúde na busca de estratégias para facilitar o acesso da população masculina aos serviços de saúde.Descritores: Saúde do Homem, Atenção Primária à Saúde, Enfermagem. Fragilities and strengths of man's health care in primary health careAbstract: The illness process of men has been determined by their behavior in society and how they express their beliefs about masculinity. The objective of this study was to identify the actions performed by nurses of Primary Health Care (PHC) directed to the promotion of men's health. It is descriptive, exploratory, and quantitative approach research. The research was conducted with 29 nurses from the PHC services of the city of São Carlos-SP. Data were collected through an interview using an instrument validated. Data were analyzed using descriptive statistics. Still, data collection began after approval by the Research Ethics Committee. The results show that 65.5% (19) of the nurses reported not having received training on men's health. Regarding factors that facilitate men's access to health services, it is noteworthy that 19% (11) of the answers included the bond established between professionals and users; and, as hindering agents, 35.1% (19) of the answers highlighted men's culture. Thus, for greater effectiveness of men's health care, health professionals and managers need to be sensitized in the search for strategies to facilitate the male population's access to health services.Descriptors: Men's Health, Primary Health Care, Nursing. Fragilidades y fortalezas de la atención médica del hombre en la atención primaria de saludResumen: El proceso de enfermedad de los hombres ha sido determinado por su comportamiento en la sociedad y cómo expresan sus creencias sobre la masculinidad. El objetivo de este estudio fue identificar las acciones realizadas por las enfermeras de Atención Primaria de Salud (APS) dirigidas a la promoción de la salud de los hombres. Es una investigación de enfoque descriptivo, exploratorio y cuantitativo. La investigación se realizó con 29 enfermeras de los servicios de APS de la ciudad de São Carlos-SP. Los datos fueron recolectados a través de una entrevista utilizando un instrumento validado. Los datos se analizaron mediante estadística descriptiva. Aún así, la recopilación de datos comenzó después de la aprobación del Comité de Ética en Investigación. Los resultados muestran que el 65.5% (19) de las enfermeras informaron no haber recibido capacitación sobre la salud de los hombres. En cuanto a los factores que facilitan el acceso de los hombres a los servicios de salud, cabe destacar que el 19% (11) de las respuestas incluyeron el vínculo establecido entre profesionales y usuarios; y, como agentes obstaculizadores, el 35,1% (19) de las respuestas destacaron la cultura de los hombres. Por lo tanto, para una mayor efectividad de la atención médica de los hombres, los profesionales de la salud y los gerentes deben ser sensibilizados en la búsqueda de estrategias para facilitar El acceso de la población masculina a los servicios de salud.Descriptores: Salud del Hombre, Atención Primaria de Salud, Nursing.


2020 ◽  
Vol 202 ◽  
pp. 12028
Author(s):  
Emawati Fatima ◽  
Lintang Dian Saraswati ◽  
Praba Ginandjar ◽  
Dwi Sutiningsih

Non-exclusive breastfeeding is defined as the provision of food or fluids in addition to drugs, vitamins, and minerals to infants before the age of 6 months. Exclusive breastfeeding for infants is seen to prevent and cure stunting and other forms of malnutrition. Primary Health Care (PHC) Margorejo is the health center with the lowest exclusive breastfeeding coverage in Pati Regency in 2017 and 2018. The purpose of this study was to analyze the factors related to the behavior of non-exclusive breastfeeding in the working area of the PHC Margorejo in Pati Regency. This study uses a case control method. The research sample consisted of 70 consisting of 35 cases and 35 controls. The research targets were mothers who have 6-11 months old infants in the working area of the PHC Margorejo. Bivariate analysis showed a low level of maternal knowledge (p = 0.008), negative maternal attitudes (p = 0.022), and the absence of support from health workers (p = 0.002) related to non-exclusive breastfeeding behavior. Low level knowledge of mothers, negative attitude of mothers, and the absence of support from health workers are all factors related to the behavior of non-exclusive breastfeeding in the working area of PHC Margorejo in Pati Regency.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Borges Costa ◽  
C Salles Gazeta Vieira Fernandes ◽  
T Custódio Mota ◽  
E Torquato Santos ◽  
M Moura de Almeida ◽  
...  

Abstract The Alma-Ata Conference promoted Primary Health Care (PHC) worldwide as a form of universal and continuous access to quality and effective health services. In Brazil, PHC, through the Family Health Strategy (FHS), aims to be the gateway to the health system and its structuring axis. For this, it is necessary to promote access, an essential condition for the quality of health care services, following the attributes systematized by Barbara Starfield. The aim of this study was to evaluate the presence of the attribute “First Contact Access” on the perspective of adult users of public PHC services in the city of Fortaleza, Ceará, Brazil. A transversal study was carried out, in 19 PHC Units, from June to December 2019, using the Primary Care Assessment Tool (PCATool) Brazil version for adult users. Kruskal-Wallis test was used for statistical analysis. 233 users participated, mostly women (69.5%), aged 30 to 59 years old (55.3%), mixed-race (69.5%), with complete high school (38.2%), without private health coverage (89.3%), homeowners (68.7%) and belonging to families of up to 4 members (87.9%). The “Accessibility” component had the lowest score, 2.83, and the “Utilization” had the highest score, 8.06. Older age was associated with higher “Accessibility” scores (p = 0,018), while lower values of “Utilization” were associated with higher education (p = 0,004). The main problems observed were: low access for acute demand consultations, lack of access at nighttime and weekends, little access through non-personal ways, bureaucratic barriers and a long time for scheduling appointments. We conclude that, although there was an improvement in PHC coverage in the city over the years, mainly due to FHS, there is still a lot to improve to ensure timely access to health services. Key messages Users consider PHC as the usual source of care, demonstrated by the high score of 'Utilization', however, they are unable to use it when necessary, demonstrated by the low score of 'Accessibility'. Expanding forms of access is essential to contribute to the strengthening of PHC in Fortaleza, Brazil, facilitating the entry to its national Universal Health System.


Medicina ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 89-99
Author(s):  
S. T. Agliullina ◽  
◽  
L. M. Mukharyamova ◽  
G. R. Khasanova ◽  
L. A. Sitdikova ◽  
...  

The aim of the study was to analyze the attitude of the population to HIV testing and counseling and the frequency of testing-related counseling in a sample of the population of Kazan. Materials. An anonymous survey of various groups of the population permanently residing in the city of Kazan (n=301) was conducted using a questionnaire developed by us. The study involved 58.1% of women (175/301), 41.9% of men (126/301). Results. Most of the respondents had experience of undergoing HIV testing (95%, 286/301). Only 92 people out of 286 (32.2%) were examined on their own initiative. HIV testing was mainly carried out in the polyclinic at the place of residence/stay (66.8%, 191/286), while counseling, according to respondents, was carried out only in 16.20% of respondents (31/191). Conclusions. It is important to conduct a high-quality procedure of pre-and post-test counseling in the conditions of primary health care. It is necessary to train the medical staff of the polyclinic level in the skills of counseling on epidemiology and prevention of HIV infection.


Author(s):  
Clemence Due ◽  
Erin Green ◽  
Anna Ziersch

Abstract Background Several reviews have found that psychological trauma affects access to health care services, including mental health care, in the general population. People from refugee and asylum seeker backgrounds are more likely to have a mental illness than the general population, and experience a broad range of barriers and facilitators to service access. However, to date there has been no comprehensive consideration of the potential effect of psychological trauma on access to primary health care within this population. Methods This paper provides a mixed-methods systematic review of literature which included any consideration of the relationship between psychological trauma and access to primary health care. A systematic search of Medline, PsychInfo, Scopus, Web of Science, Embase, CINAHL and Cochrane Library was conducted. Study eligibility criteria were empirical, peer-reviewed studies that considered the relationship between psychological trauma and access to, or use of, primary healthcare in resettlement countries for refugees (including asylum seekers). Papers were required to be written in English and published between 1998 and August 2019. Quality was assessed using the Multi-Methods Appraisal Tool. The search identified a total of 14 eligible studies (11 quantitative and 3 qualitative) which had explored this relationship in refugee and asylum seeker populations. Results Overall, synthesis of findings indicated variable results with respect to the impact of psychological trauma on service access. Specifically, the review found that while rates of psychological trauma were high. Key themes were that while general health care access was comparable or greater than the general population, rates of mental healthcare specifically were low. In addition, included papers identified a range of barriers to service access—particularly somatisation, stigma and healthcare provide knowledge about psychological trauma. Conclusions While there is a critical need for more research in this area, the study points to several key recommendations including training of general practitioners in relation to psychological trauma, ensuring culturally responsive services, and the use of interpreters. Finally, due to the levels of somatisation found in some studies, ensuring general practitioners understand the somatic element of psychological trauma—particularly within some groups of people from refugee backgrounds—is important.


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