scholarly journals Hubungan Karakteristik dan Tingkat Pengetahuan Petugas Imunisasi terhadap Praktik Penyimpanan dan Transportasi Vaksin Imunisasi di Tingkat Puskesmas Kota Padang Tahun 2014

2015 ◽  
Vol 4 (3) ◽  
Author(s):  
Nadia Rahmah ◽  
Putri Sri Lasmini ◽  
Rahmatini Rahmatini
Keyword(s):  
Health Care ◽  
Statistical Tests ◽  
Health Centers ◽  
Cold Chain ◽  
Good Knowledge ◽  
Training Experience ◽  
Cross Sectional ◽  
Handling Practices ◽  
And Storage ◽  
And Training

Abstrak Rantai dingin sangat penting dipertahankan selama distribusi dan penyimpanan vaksin untuk mencapai efektifitas vaksin. Petugas Imunisasi di layanan primer harus memiliki pengetahuan dan pemahaman yang baik mengenai transportasi dan penyimpanan vaksin. Penelitian dilaksanakan di seluruh puskesmas Kota Padang padaMaret 2014, dengan menggunakan desain cross sectional. Jumlah sampel adalah 21petugas imunisasi dengan teknik total sampling. Pengumpulan data dilakukan dengan menggunakan kuesioner dan observasi. Hasil penelitian didapatkan responden dengan pengetahuan yang baik tentang penyimpanan dan transportasi vaksin sebesar 61,9% dan praktik penyimpanan dan transportasi vaksin di Puskesmas yang baik sebesar 61,9%. Berdasarkan uji statistik, didapatkan tidak adanya hubungan umur, tingkat pendidikan, masa kerja dan pengalaman pelatihan petugas imunisasi dengan praktik penyimpanan dan transportasi vaksin di Puskesmas tetapi terdapat hubungan pengetahuan petugas dengan praktik. Berdasarkan hasil penelitian disimpulkan bahwa tidak terdapatnya hubungan karakteristik petugas imunisasi dengan praktik penyimpanan dan transportasi vaksin dan terdapatnya hubungan bermakna antarapengetahuan petugas dengan praktik penyimpanan dan transportasi vaksin di Puskesmas Kota Padang.Kata kunci: karakteristik, pengetahuan, penyimpanan, transportasi vaksinAbstract Preserving the cold chain during distribution and storage is critical to achieve the effectiveness of the vaccine. Immunization workers in primary health care should have a good knowledge and understanding about the handling and storage of the vaccine. The experiment was conducted in all health centers Padang in 2014 March, using a crosssectional design. Total samples 21 immunization workers with total sampling. The data was collected using questionnaires and observation. The results showed respondents with good knowledge about vacci ne storage and handling of 61.9% and vaccine storage and handling practices in health centers of 61.9% which is good. Based on statistical tests, found no rellation between age, education, years of working and training experience of immunizationworkers with vaccine storage and handling practices in health care but a significant correlation between knowledge with practice. Based on the results of the study concluded that the absence of the relations between characteristic immunization workers with vaccine storage and handling practices and a significant correlation between knowledge workers with practical storage and handling of vaccines at the health center of Padang.Keywords: characteristics, knowledge, storage, handling of vaccines

scholarly journals Optimalisasi Sistem Pelayanan Kesehatan Berjenjang pada Program Kartu Jakarta Sehat

2014 ◽  
Vol 9 (1) ◽  
pp. 94
Author(s):  
Fachmi Idris
Keyword(s):  
Health Care ◽  
Statistical Tests ◽  
Health Centers ◽  
Wilcoxon Test ◽  
Referral System ◽  
Intervention Package ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Department Of Health ◽  
Primary Health

Peningkatan jumlah kunjungan pasien ke rumah sakit pada awal masa pemberlakuan program Kartu Jakarta Sehat (KJS) disebabkan belum optimalnya sistem pelayanan kesehatan berjenjang. PT Asuransi Kesehatan (PT Askes) bersama Dinas Kesehatan DKI Jakarta melakukan berbagai upaya dalam bentuk paket intervensi untuk mengoptimalkan sistem tersebut. Penelitian ini bertujuan untuk mengevaluasi efektivitas paket intervensi PT Askes dan Dinas Kesehatan DKI Jakarta dalam meningkatkan optimilisasi sistem rujukan pelayanan kesehatan. Penelitian ini menggunakan survei potong lintang dengan metode pengambilan sampel acak pada puskesmas di DKI Jakarta terhadap hasil intervensi PT Askes. Hasil intervensi diukur melalui wawancara pada kepala puskesmas atau petugas yang mewakili. Data dianalisis menggunakan tes statistik nonparametrik, yaitu uji Wilcoxon dan regresi Generalized Linear Model. Penelitian dilakukan pada bulan Oktober 2013 hingga Februari 2014. Terdapat perbedaan bermakna pada keempat indikator, terjadinya peningkatan kunjungan peserta KJS dipengaruhi oleh ketersediaan tempat tidur, jumlah peserta KJS terdaftar, intervensi dalam bentuk regulasi, serta persentase pengangguran terbuka. Meskipun ada perbedaan signifikan setelah dikelola PT Askes, hal ini belum cukup membentuk persepsi puskesmas untuk berpendapat bahwa PT Askes memiliki andil dalam mengoptimalkan sistem pelayanan kesehatan berjenjang pada program KJS.Increasing the number of patient visits to the hospital at the beginning of the implementation Healthy Jakarta Card (KJS) program was claimed to be associated with optimization of health care referral system. PT Asuransi Kesehatan (PT Askes) with the DKI Jakarta Department of Health Service made efforts to improve the optimalization that system. This study aimed to evaluate the effectiveness of intervention PT Askes’s and DKI Jakarta Departement Of Health’s packages in improving the optimization of health care referral system. This study used a cross sectional survey with a random sampling method in primary health centers in Jakarta related with the result of PT Askes’s intervention package. The result of intervention were conducted by interview to the head of the primary health center or officer representing. Data were analyzed with nonparametric statistical tests, using the Wilcoxon test and Generalized Linear Regression Model. The study was conducted in October 2013 until February 2014. There were significant differences between the four indicators, an increase in visits KJS participants are influenced by the availability of beds, number of participants registered KJS, intervention in the regulation, and the percentage of open unemployment. Although there were significant differences after managed by PT Askes, these efforts were not enough to make primary health centers perception that PT Askes has contributed to the optimization of health care referral system in KJS program.

scholarly journals Faktor-Faktor yang Mempengaruhi Pemanfaatan Posyandu Lansia

2018 ◽  
Vol 2 (1) ◽  
pp. 110-122
Author(s):  
Wiwit Desi Intarti dkk
Keyword(s):  
Health Care ◽  
Family Support ◽  
Statistical Tests ◽  
Health Centers ◽  
Community Center ◽  
Cross Sectional ◽  
Factors Associated ◽  
Gender Education ◽  
Elderly Health ◽  
Support Family

Posyandu elderly is a Community Center in the health care effort. The purpose of the research is to analyze the factors of gender, education, employment, family support, and distance support cadres of posyandu service quality towards the utilization of posyandu elderly health centers in the region North of Cilacap II. The type of research that used cross sectional observational approach to know the factors associated with utilization of posyandu elderly. Data analysis using statistical tests of correlation Pearson Product Moment on CI 95%. Statistical tests provide results significantly to gender p 0.182, job=0106, support family p = 0.481, support cadres p=0.443, quality posyandu p=0.558.

IMPACT OF JOINT COMMISSION INTERNATIONALACCREDITATION (JCIA) ON HEALTH CARE PROCESSES AND THE CHALLENGES FACED BY PHYSICIANS AND NURSES.

2021 ◽  
pp. 34-35
Author(s):  
Binu Thomas ◽  
Ankur Joshi
Keyword(s):  
Health Care ◽  
Employee Engagement ◽  
Interdisciplinary Collaboration ◽  
Joint Commission ◽  
Health Centers ◽  
Cross Sectional ◽  
Care Processes ◽  
Before And After ◽  
Collaboration And Communication ◽  
The Impact

Purpose: To evaluate the impact of joint commission international accreditation on health care processes as well as to assess the challenges faced by the physicians and nurses . Method: Conducted a cross sectional study in 11 health centers belong to Dubai health authority. Prepared a checklist and questionnaire to assess the changes in the processes brought by accreditation as well as the challenges faced by employees respectively. Studied perceived challenges by recruiting physician (n=106) and nurses (n=194) using convenience sampling technique. Done content validity of the tools with clinical quality experts. Conducted pilot study for the questionnaire and checked the reliability using Cronbach alpha (0.924). After obtaining ethical clearance and consent from subjects, the researcher visited health centers and administered questionnaire to the participants. To evaluate the process improvements, the researcher audited documents for the availability of processes before and after accreditation using the validated checklist, which consisted of 25 processes reecting various domains of quality, employee engagement, interdisciplinary collaboration and communication. Results: Observed tremendous improvements in the availability of processes. The proportion of processes before and after the accreditation was statistically signicantly different (p <.001) for quality of health care. However for employee engagement (p=.250) and interdisciplinary collaboration and communication (p=1.000) no statistical signicance were noted even though there were signicant improvements. Majority (57.5%) of doctors and nurses perceived that the accreditation processes were challenging. Discussion: Observed processes improvements ensuring quality, employee engagement, interdisciplinary collaboration and communication after accreditation.However,majority ofthe employees perceived that, the accreditationwas challenging in terms ofworkload, communication and documentation.

scholarly journals Knowledge and attitude towards mental illness among health and non-health university students in Riyadh

2020 ◽  
Vol 8 (10) ◽  
pp. 3497
Author(s):  
Samira M. Mahboub ◽  
Rahaf A. Aleyadhi ◽  
Reema I. Aldrees ◽  
Shahad S. Almuhanna
Keyword(s):  
College Students ◽  
Mental Illness ◽  
University Students ◽  
Positive Attitude ◽  
Statistical Tests ◽  
Mental Illnesses ◽  
Good Knowledge ◽  
Positive Health ◽  
Cross Sectional ◽  
Knowledge And Attitude

Background: Mental illness can affect anyone regardless of age, gender, and residence. Studying the attitude and knowledge about mental illnesses among university students is important, because they are the future decision makers dealing with such problems. The aim of this study was to assess level of knowledge and attitude towards mental illnesses among health and non-health university students in Riyadh.Methods: This study was a cross-sectional study on students of the governmental universities in Riyadh with both health and non-health speciality. The total sample size was 587 students. The questionnaire was designed electronically, and the link was distributed through social media. It included socio-demographic questions, 17 questions to assess knowledge and 22 questions to assess the attitudes. The statistical tests used were chi square, independent sample t-test, spearman’s correlation and multiple linear regression tests.Results: More than half of the participants had a positive attitude toward mental illness (52%). Only 13.46% of university students had good knowledge about mental illness. Significant higher level of good knowledge and positive attitude were reported among health college students compared to non-health (24.7% versus 7.9% for good knowledge and 60.8% versus 48.3 for positive attitude respectively). Attitude towards mental illness can be successfully predicted by using the knowledge score about mental illness and the type of college.Conclusion: Low percentage of university students had good knowledge about mental illness and their attitude towards mental illness was generally positive. Health college students had better attitude and knowledge about mental illness than non-health.

scholarly journals Factors Related to Practice on DPT Vaccine Distribution and Storage

2014 ◽  
Vol 2 (2) ◽  
pp. 240
Author(s):  
Fitri Rahayu
Keyword(s):  
Simple Random Sampling ◽  
Cold Chain ◽  
Primary Data ◽  
Cross Sectional ◽  
Immunization Service ◽  
Work Duration ◽  
History Of ◽  
Vaccine Distribution ◽  
And Storage ◽  
Dpt Vaccine

ABSTRACTThe diptheria outbreak in Surabaya indicated that immunization program failure. Immunization is primary preventif effort to decrease morbidity of disease. An immunization service is very important to protect vaccine quality through cold chain so that vaccine potency be optimal. The purpose of this study was to analysis of factors which are assosiated with midwive’s practice of DPT vaccine distribution and storage to outreach. This study is applying observational approach using cross sectional method. Populations are all village midwives in public health center East Surabaya. The numbers of sample were 38 midwives taken using simple random sampling. The dependent variable was midwive’s practice of DPT vaccine distribution and storage to outreach and the independent variables of this study were work duration, a history of training of cold chain, sosialization, knowledge, attitude. Primary data were obtained through observation and interview. The results showed that 68.4 % midwive’s practice on DPT vaccine distribution and storage at outreach is good. Independent variable which are significant assosiated with midwive’s practice on DPT vaccine distribution and storage at outreach is sosialization about vaccine distribution and storage (p = 0.026) and value of phi and Cramer’s V = 0.431. Enhancement of socialization again be needed to village midwive as efforts for increase knowledge and attitude.Keywords: midwive, cold chain, vaccine distribution, DPT

scholarly journals A Cross-Sectional Study of Pesticide Use and Knowledge of Smallholder Potato Farmers in Uganda

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Joshua Sikhu Okonya ◽  
Jürgen Kroschel
Keyword(s):  
Disease Incidence ◽  
Household Survey ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Runny Nose ◽  
Regulation Policy ◽  
Agroecological Zones ◽  
Economic Injury ◽  
Handling Practices ◽  
And Storage

In response to increased pest and disease problems, potato farmers use pesticides, which could raise environmental and health concerns. This study sought to promote proper and safe pesticide-handling practices by providing data needed to guide pesticide regulation policy and training for extension staff and farmers. A household survey was conducted in three major potato-growing agroecological zones of Uganda. Two hundred and four potato farmers were interviewed about the type and source of pesticides they use in potato cultivation, the frequency of applications, the use of protective clothing, and cases of pesticide poisoning. The types of pesticides used in potato were fungicides (72%), insecticides (62%), and herbicides (3%). Overall, use of personal protective equipment was low, that is, gumboots (73%), gloves (7%), face masks (16%), and long sleeve shirts (42%). Forty-three percent of farmers who applied pesticides reported having experienced skin itching, 25% skin burning sensation, 43% coughing, 60% a runny nose, 27% teary eyes, and 42% dizziness. An IPM approach involving only moderately to slightly hazardous pesticides when pest and disease incidence has reached economic injury levels and by considering all safety measures during application and storage would be environmentally recommendable and result in reduced health risks.

scholarly journals Postharvest Handling Practices and Perception of Potato Safety among Potato Traders in Nairobi, Kenya

2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Consolata Nolega Musita ◽  
Michael Wandayi Okoth ◽  
George Ooko Abong’
Keyword(s):  
Storage Period ◽  
Economic Losses ◽  
Toxic Substances ◽  
Consumer Health ◽  
Extreme Temperatures ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Postharvest Handling ◽  
Handling Practices ◽  
And Storage

Postharvest handling of the potato is an important factor not only in preventing postharvest losses but also in maintaining its safety and nutritional quality. Exposure of the potato to unfavorable conditions such as light, extreme temperatures, and bruising can result in accumulation of glycoalkaloids, which are toxic substances. This study was a cross-sectional survey which aimed to investigate the postharvest handling practices of potatoes and perception of potato safety among open air market traders in Nairobi County, Kenya. Information was collected from 100 potato traders using a semistructured questionnaire that assessed postharvest handling practices such as potato transportation, exposure to sunlight, and storage. Results indicated that most of the potatoes (88%) took one day to be transported to the market, with the storage period at the market ranging from 2 to 3 days for most traders (42%). Forty-seven percent (47%) of the vehicles and hand-pulled carts used to transport potatoes had open backs, while 53% had closed backs. Over half (69%) of the potatoes in the markets were directly exposed to sunlight, with 75% of the traders leaving their potatoes in the open covered with a polythene bag after the day’s activities. Greening, sprouting, or bruised potatoes were mostly sold as seed, sold to restaurants and French fries vendors, or sold to consumers at a lower price. More than half of the traders did not think that consumption of greened potatoes is harmful to health. The results clearly show that there is poor handling of the potatoes by the traders which increases the risk of consumer exposure to glycoalkaloids. There is, therefore, a need to create awareness among traders on appropriate postharvest handling of potatoes to protect consumer health and reduce economic losses as well.

scholarly journals Evaluation, Awareness, Practice and Management of Cold Chain at the Primary Health Care Centers in Coastal South India

1970 ◽  
Vol 32 (1) ◽  
pp. 19-22 ◽  
Author(s):  
S Rao ◽  
S Naftar ◽  
S Baliga ◽  
B Unnikrishnana
Keyword(s):  
South India ◽  
Cross Sectional Study ◽  
Health Centers ◽  
Cold Chain ◽  
Cross Sectional ◽  
Chain Management ◽  
Primary Health ◽  
The Status ◽  
Primary Health Care Centers ◽  
Maintenance Process

Introduction: Vaccination is one of the most effective disease prevention strategies and potency of vaccines is dependent on effective management of cold chain at all levels of vaccine handling. The objective was to assess the status of cold chain at the primary health centers and to assess the knowledge and practices of medical officers at these centers regarding cold chain management.Materials and Methods: This cross sectional study was conducted at 70 primary health centers of Dakshina Kannada District of Coastal South India. Cold chain equipment and maintenance process was noted following direct observation on uninformed visits. Data regarding the knowledge and practices of cold chain management was obtained by interviewing the medical officers using structured pretested questionnaire.Results: Ice lined refrigerators and deep freezers were available in 69 (98.6%) and 67(95.8%) of centers. Dial thermometer was present in all the centers. Cold boxes, frozen packs and automated voltage stabilizers were available in 68(97.2%) centers. Improper vaccine storage was observed in 7 (10%) centers. Majority of medical officers had knowledge and correct practices in fields like ideal equipment, OPV administration, vaccine requiring diluents but only 47 (61.8%) medical officers had correct practice of defrosting the deep freezers.Conclusions: The availability of equipment is near universal. Improper vaccine storage practices and poor knowledge in some fields of cold chain management may adversely affect the quality of administered vaccine. Relevant training for those handling the cold chain is recommended.Key words: Cold Chain; India; Primary health center; Temperature monitoring   DOI: http://dx.doi.org/10.3126/jnps.v32i1.5946  J. Nepal Paediatr. Soc. Vol.32(1) 2012 19-22

scholarly journals Knowledge of Healthcare Workers on Immunization: New and Under-utilized and Perception towards Future Vaccines

2019 ◽  
Vol 2 (4) ◽  
pp. 202-207
Author(s):  
AM Jibo ◽  
RS Karaye ◽  
AU Gajida ◽  
AA Abulfathi
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Health Workers ◽  
Vaccine Coverage ◽  
Sampling Technique ◽  
Vaccine Uptake ◽  
Good Knowledge ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Care Workers

Nigeria is making effort to address the child mortality burden by increasing vaccine coverage rates, yet the vaccine coverage falls short of 90% target. Scaling up of new and under-used vaccines to 90% coverage could save more than 600,000 Nigerian children. Healthcare givers knowledge of vaccine used for immunization is essential to increase the vaccine uptake rates. This study assesses the knowledge of routine, underutilized and future vaccines among health workers. A cross sectional descriptive study was done among health care workers at a tertiary health facility in Nigeria. Using a pre-tested semi structured interviewer administered questionnaire, 220 respondents were selected by cluster sampling technique. The health workers’ knowledge of these vaccines was assessed using a scale developed for the study. Data collected were analyzed using SPSS version 22.The mean age of the respondents was 31.9 + 5.7 years . Doctors and nurses formed more than half of the respondents, 51.8% (n=114). About three quarters of respondents 72.3% (n=159) had good knowledge of vaccines used in routine immunizations. Knowledge of under-utilized and future vaccine was low with less than a fifth 18.6% (n=41) and one tenth 9.1% (n=20) having good knowledge scores respectively. Similarly, poor perception scores of future vaccines were observed in 90.1% (n=218) of the respondents. Only marital status was associated with knowledge of underutilized vaccines (p<0.05) and no association was observed between other sociodemographic variables and knowledge of these vaccines (P>0.05). The awareness level of health care workers on routine immunization is high. Their knowledge and perception of under-utilized and future vaccines were however low. There is, therefore, need for more training and retraining of health care workers on the vaccines.

scholarly journals Factors Influencing Tuberculosis Knowledge among TB Patients in Gakenke District, Rwanda

2020 ◽  
Vol 2 (3) ◽  
pp. 19-31
Author(s):  
Innocent Hakizimana ◽  
Erigene Rutayisire
Keyword(s):  
Health Sector ◽  
Target Population ◽  
Health Centers ◽  
Good Knowledge ◽  
Health Seeking Behaviour ◽  
Health Seeking ◽  
Cross Sectional ◽  
Descriptive Research ◽  
Factors Influencing ◽  
Structured Questionnaire

Knowledge of tuberculosis has been shown to influence health seeking behaviour. The study aim was to assess knowledge of tuberculosis and identify the associated factors. This study was a cross sectional descriptive research design with quantitative approach. The target population was the TB patients visited health facilities in Gakenke District. A sample of 376 TB patients was randomly selected from three health centers. Interview-administrated structured questionnaire was used to collect data from 376 TB patients. Data was analyzed with SPSS-version 22. The study protocol was approved by Mount Kenya University Rwanda. The majority of respondents 71.0% were male, 51.6% were aged 45 years and above, 81.9% were married, and 65.2% had completed primary education. Few respondents identified a germ as the cause of TB (24.7%). This study revealed that 54.3% of TB patients had good knowledge about TB. The findings from multivariate analysis show that male were three times more likely to have good knowledge about TB compared to female (AOR=3.31, 95%CI: 1.98-5.53, p<0.001). Compared to TB patients aged 45 years and above, respondents aged 25-34 years old were more likely to have good knowledge about TB (AOR=38.71, 95%CI: 9.22-162.48, p<0.001). TB patients who live between 2-5 km from nearest health facility were more likely to have good knowledge about TB compared to those who live at more than 5 km (AOR=33.58, 95%CI: 14.95-74.40, p<0.001). The ministry of health and other stakeholders in health sector need to continue the interventions that aim to reduce TB infection.

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