scholarly journals Patient Experience of Primary Health Care Users in KwaZulu-Natal

2020 ◽  
Vol 22 (1) ◽  
Author(s):  
Hope Padayachee ◽  
Muhammad E Hoque ◽  
Emmanuel Mutambara
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Patient Experience ◽  
Health Sector ◽  
Health Clinic ◽  
P Value ◽  
Cross Sectional ◽  
Health Clinics ◽  
Primary Health ◽  
Kwazulu Natal

This study was conducted to evaluate Patient Experience in primary health clinics in the province of KwaZulu-Natal (KZN). A quantitative study approach included 280 participants. The descriptive cross sectional study utilised a self-administered questionnaire as the research instrument, which was distributed to the target population of primary health care (PHC) users. The overall Patient Experience-Satisfaction showed that more than half of the respondents were not satisfied with the current Patient Experience in the primary health clinic. There was a significant association with age and the overall Patient Experience-Satisfaction (p<0.05). Older patients indicate a favourable Patient Experience when compared to younger patients, who are more critical of the Patient Experience elicited in primary health clinics. The results showed that gender did not significantly affect the overall Patient Experience-Satisfaction (p=0.957). Race significantly affected Patient Experience (p value = 0.011) with black respondents having a significantly lower mean rank of Patient Experience when compared to Indian respondents. There was an overall negative perception toward the Patient Experience elicited in users. There is an urgent need to review the service delivery of clinics. The need for a Patient Experience Model is highlighted for the health sector in South Africa.

scholarly journals The prevalence of underweight in children aged 5 years and younger attending primary health care clinics in the Mangaung area, Free State

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Danae Koetaan ◽  
Andrea Smith ◽  
Anke Liebenberg ◽  
Marietjie Brits ◽  
Christos Halkas ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Free State ◽  
Health Clinic ◽  
Cross Sectional ◽  
Health Care Clinics ◽  
Primary Health ◽  
History Of

Background: The Constitution of South Africa stipulates that all children have the right to basic nutrition; however, a great number of South African children are underweight for age. It is important to address malnutrition as it is associated with more than 50% of all child deathsin developing countries and also increases the risk for infective diseases.Aim: To determine the prevalence of underweight in children aged 5 years and younger attending primary health care clinics in the Mangaung area, Free State, and determine the possible underlying causes thereof.Setting: Six preselected primary health care clinics in the Mangaung area.Methods: This was a cross-sectional study. Demographic and clinical information and anthropometric measurements were collected from the children’s Road-to-Health clinic cards,obtained from the children’s caregivers.Results: In total, 240 children were included, of which 51.7% were girls. The median age was 7.5 months. The weight-for-age graph revealed that 7.7% (95% confidence interval: 4.8%;11.9%) of children were underweight or severely underweight for age. Length-for-age and weight-for-height graphs were mostly incomplete. Underweight children differed from normal weight children regarding birth weight (low birth weight 70.6% vs. 12.4%) and history of malnutrition (60.0% vs. 7.1%).Conclusion: The prevalence of underweight in children aged 0–5 years attending primary health care clinics in Mangaung is 7.7% based on information available from Road-to-Healthcards. This figure could be higher if these cards were filled in more accurately. A low birth weight and history of malnutrition are associated with underweight.

scholarly journals Hubungan capaian program gizi dengan tingkat akreditasi puskesmas di Aceh

2020 ◽  
Vol 5 (2) ◽  
pp. 105
Author(s):  
Junaidar Junaidar ◽  
Melania Hidayat ◽  
Hafnidar A Rani ◽  
Milza Oka Yussar
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Statistical Tests ◽  
P Value ◽  
Cross Sectional ◽  
Under Five ◽  
Nutrition Programs ◽  
Primary Health ◽  
Low Performance

The quality of health services is measured by 3 components, namely input (HR, Infrastructure,) process (reliability), and output (product results). If the program's achievements do not reach the target, the quality of primary health care services can be doubted. The research objective is to determine the achievements of the program with the level of accreditation of health centers. The study uses a descriptive-analytic method with a cross-sectional design, using secondary data essential nutrition programs. The population and sample are all primary health care in Aceh Province that are accredited or not accredited, data collection is carried out in the program and data section of the Aceh Health Office and the statistical tests used are chi-square and odds ratio using STATA 13 software. The results of the study indicate, that malnutrition that receives care with low performance, children under five are weighed with low performance and low LBW cases have a relationship with the level of accreditation (p-value <0,05). In conclusion, several nutrition programs related to primary health care accreditation are malnourished children receiving treatment, LBW, and weighing under five. While the achievements of other nutrition programs do not show a relationship with the accreditation of primary health care. Suggestions, to create excellently and quality service, the health center must be able to improve program achievements according to the Government's target either in accordance with one of the indicators namely the strategic plan and health indicators.

scholarly journals Midwife’s Role in the Mother-to-Child Transmission Prevention Program in Primary Health Care in Yogyakarta

2019 ◽  
Vol 14 (2) ◽  
Author(s):  
Niken Meilani ◽  
Nanik Setiyawati ◽  
Sammy Onyapidi Barasa
Keyword(s):  
Health Care ◽  
Sustainable Development ◽  
Primary Health Care ◽  
Sustainable Development Goals ◽  
Dominant Factor ◽  
P Value ◽  
Cross Sectional ◽  
Factors Associated ◽  
Primary Health ◽  
Development Goals

Curing and eradicating Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (AIDS) are to the core principles of the United Nations’ Sustainable Development Goals (SDGs). The incidence of HIV in the world remains high. Although midwives play a pivotal role in PMTCT implementation, the factors associated with midwives’ role in its implementation are not well understood. The aim of this study was to determine factors associated with midwives’ role in implementation of PMTCT. This study used a cross-sectional design. The subjects were 80 midwives at 14 primary health care in Yogyakarta City, Indonesia. The study was conducted from April to August 2017. Data were analyzed through univariate, bivariate with chi-square and Fisher’s exact test, multivariate with logistic regression. The results showed that 47.5% of midwives were in the poor category regarding implementation of PMTCT. Information availability through socialization (p-value = 0.047) and knowledge level (p-value = 0.016) were found to be related to PMTCT implementation. There was no relationship between age, length of work, education level, marital status, availability of information, midwife’s attitude, perception of the availability of facilities and institutional support with midwife behavior in PMTCT implementation. Multivariate analysis showed that level of knowledge was the most dominant factor affecting PMTCT implementation (OR:6.2; CI 95% = 1.8-21.4). We recommend that efforts should be made to continuously improve the knowledge of midwives on PMTCT implementation through peer support and training in order to achieve sustainable development goals.

scholarly journals Workload Assessment of Medical Doctors at Primary Health Care Centers in the Duhok Governorate

2021 ◽  
Author(s):  
Samim Ahmed Al-Dabbagh ◽  
Hushyar Musa Sulaiman ◽  
Nazik Abdulrahman Abdulkarim
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Sector ◽  
Health Care Facilities ◽  
Medical Doctors ◽  
Cross Sectional ◽  
Primary Health ◽  
Physician Shortages ◽  
Primary Health Care Centers ◽  
Health Care Centers

Abstract Background: A shortage in human resources, particularly physicians, has become a challenge confronting health authorities in the Duhok governorate, as these resources are the key input for delivering health care. It has become necessary to identify the most appropriate scientifically sound method for having adequate staffing levels. This study aimed to forecast the required number of physicians to cope with the current workload at the main primary health care centers in the Duhok governorate.Methods: A cross-sectional study was adopted to collect data for one full year. Data collection included both primary and secondary data sources. A semi-structured questionnaire was developed to obtain information every month from health centers on activities related to training and leaves. Data analysis was performed using Workload Indicators of Staffing Need software.Results: Sixty-one primary health care centers met the final criteria for analysis. The study revealed physician shortages and inequity in the distribution of staffing. In these centers, 145 physicians lacked an adequate delivery of health services based on the workload imposed on them. The 'workload indicators of staffing need' ratio was 0.33, indicating high work pressure on medical doctors. Some centers offered more health care than others but had fewer doctors based on the current staffing practices. Conclusions: This study pointed out the importance for the public health sector and academic medical institutions to use Workload Indicators of Staffing Needs software in health policy administration to restructure their efforts to address the physician shortages and distribution imbalances at primary health care facilities.

scholarly journals An analysis of the meaning of integrated Primary Health Care from the KwaZulu- Natal Primary Health Care context

Curationis ◽  
2009 ◽  
Vol 32 (2) ◽  
Author(s):  
M.N. Sibiya ◽  
N.S. Gwele
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Health Care Services ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Primary Health ◽  
Kwazulu Natal ◽  
Comprehensive Health

In South Africa, integration o f services policy was enacted in 1996 with the aim of increasing health service utilization by increasing accessibility and availability of all health care services at Primary Health Care (PHC) level. Integration of PHC services continues to be seen as a pivotal strategy towards the achievement of the national goals of transformation of health services, and the attainment of a comprehensive and seamless public health system. Although the drive behind the integration of PHC services was to improve accessibility of services to the community, the problem however, arises in the implementation of integrated PHC (IPHC) as there is no agreed upon understanding of what this phenomenon means in the South African context. To date no research studies have been reported on the meaning of the integration of PHC services. Hence, there is a need for shared views on this phenomenon in order to facilitate an effective implementation of this approach. A cross-sectional study, using a qualitative approach was employed in this study in order to analyze the phenomenon, IPHC in KwaZulu-Natal and the meaning attached to it in different levels of the health system. A grounded theory was selected as it is a method known for its ability to make greatest contribution in areas where little research has been done and when new viewpoints are needed to describe the familiar phenomenon that is not clearly understood. Policy makers and co-ordinators of PHC at national, provincial and district levels as well as PHC nurses at functional level participated in the study. The data was collected by means of observations, interviews and document analysis. The sample size for interviews was comprised of 38 participants. Strauss and Corbin’s process of data analysis was used. It emerged that there were three core categories that were used by the participants as discriminatory dimensions of IPHC in South Africa. These core categories were (a) comprehensive health care, (b) supermarket approach and (c) one stop shop.

scholarly journals ANALISIS PENGGUNAAN ALAT PELINDUNG DIRI (APD) COVID-19 PADA PETUGAS PUSKESMAS DI KOTA PADANG

2021 ◽  
Vol 5 (1) ◽  
pp. 271-281
Author(s):  
Ayulia Fardila Sari ZA ◽  
Syafrawati Syafrawati ◽  
Laa Tania Fizikriy
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Workers ◽  
Transmission Risk ◽  
Primary Data ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional ◽  
Primary Health ◽  
Usage Behavior

Introduction: Health workers are groups that are vulnerable to contracting COVID-19. There are 20 health workers in West Sumatra test positive for COVID-19 until April 30th 2020, while six of them are Padang primary health care officers. Using Personal Protective Equipment (PPE) is important to prevent and reduce COVID-19 transmission risk of health workers. This study aimed to measure factors of using PPE for Padang primary health care officers. Methods: Research used a quantitative method with cross sectional design in 12 Padang primary health care from March to July 2020. Independent variables were age, PPE availability, leadership support, knowledge, and attitudes. Dependent variable was PPE usage behavior. Research population was health care officers who directly contacted with people in Padang primary health care area with 100 samples. Primary data collection used questionnaire with accidental sampling technique and analyzed using bivariate analysis. Results:There was a significant relationship between age and PPE usage behavior for health care officers, p value=0.037 (p

scholarly journals HUBUNGAN UMUR DAN JENIS KELAMIN TERHADAP KEBERHASILAN PITC (PROVIDER INITIATED TESTING AND COUNSELLING) PADA PASIEN TB DI KOTA MEDAN TAHUN 2017

2019 ◽  
Vol 13 (2) ◽  
Author(s):  
Sity Kunarisasi ◽  
Imran Pambudi ◽  
Asri Mutiara Putri ◽  
Nurhanifah Hamdah
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Public Health Issue ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Primary Health ◽  
Hiv Test ◽  
Chi Square Test ◽  
And Gender

Tuberculosis is a public health issue. Prevalence of tuberculosis in 2017 is estimated 824.000 cases in which making Indonesia the third country in the world with biggest burden TB and the seventh country with biggest burden in HIV-TB. PITC in primary health care is a Health Ministry program. PITC is the only test and counseling to motivated TB patient to get HIV test. The aim of this study is to analyze relationship between age and gender with the success of PITC in TB patients to know the HIV status at Medan in 2017. Method This research is a descriptive-analytic study with cross-sectional approach. the population in this study is TB patients with age 15-49 years old wo had TB diagnosed either with bacteriologic or clinical in primary health care at Medan in 2017. Medan is chosen because Medan is one of eight cities with the highest burden of TB and HIV in Indonesia, also it has complete recording of TB patients. The sample of this study is all TB patients in primary health care at Medan in 2017 who had PITC in total 2.228 from all TB patients in total 5.039 patients. Data analysis using SPSS to search for p value and Odds Ratio (OR). Result 250 of 2.228 (11,22%) patients is positive in HIV test. Statistics analysis using chi-square test shows p value 0.000 (p<0.05) and OR = 1.905 for relationship between gender and HIV test positive. Also, p value of 0,006 (p<0,05) and OR = 1.459 for relationship between age and HIV test positive. In this study with the implementation of PITC in TB patients in primary health care at Medan there is a relationship between sex and age with HIV infection.

scholarly journals Preventive Behavior Towards Maya Index at DHF Endemic Area

2021 ◽  
Vol 13 (1) ◽  
pp. 1
Author(s):  
Tiwik Suci Pratiwi ◽  
Edza Aria Wikurendra ◽  
Ririh Yudhastuti ◽  
Yudhied Agung Mirasa
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Significant Relationship ◽  
Community Health Center ◽  
Risk Level ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Primary Health ◽  
The Relationship

Introduction: Primary health care Putat Jaya is an area with the highest number of DHF cases out of the three primary health care in Sawahan District, Surabaya City. The number of breeding sites for mosquitoes and the density of larvae can be the risk factors that affect mosquitoes’ spread. Maya Index is an indicator to measure the number of water reservoirs used as breeding grounds for mosquitoes. This study aims to analyze behavioral factors towards virtual index in dengue-endemic areas in the Primary health care Putat Jaya Surabaya. Methods: The research used observational type with a cross-sectional design. The population of this study was all houses in the highest endemic. The sample consisted of 100 houses taken randomly, with research variables including mosquito nests eradication behavior and Maya Index status. Data collection used questionnaires and direct observation. The data were presented in the form of distribution tables and statistically analyzed with the chi-square test. Results and Discussion: The results showed the Maya Index of 74 houses in the high category. There was a significant relationship between the respondent’s behavior (knowledge, attitude, action) and the Maya Index. Analysis of the relationship between respondents’ knowledge and Maya Index showed that the p-value = 0.00. Analysis of the relationship between respondents’ attitudes with the Maya Index shows that p-value = 0.02. Furthermore, there was a significant relationship between the respondent’s actions and the Maya Index with a p-value = 0.03. Conclusion: Based on the results of research, community behavior (Knowledge, Attitude, Action) has a significant relationship with the Maya Index level, and the high virtual index affects the risk level of DHF transmission. Knowledge was the most potential factor that affected the Maya Index. It is suggested that the community will often strive to eradicate mosquito nests independently and regularly as well as increase community knowledge with the help of community health center officers regarding the eradication of mosquito nets.

scholarly journals Evaluation of Knowledge, Attitude and Practices of Nurses Regarding Professionalism in Main Primary Health Care (PHC) Centers and Hospitals in Erbil City/Iraq

2020 ◽  
Author(s):  
Kareem Fattah Aziz ◽  
Yousif Bahadin ◽  
Moslih Saber kareem
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
P Value ◽  
Clinical Practices ◽  
Cross Sectional ◽  
Level Of Education ◽  
Knowledge Practices ◽  
Primary Health ◽  
Principles And Standards ◽  
Health Care Centers

Abstract Background and objectives: The term 'professionalism' refers to the conduct, qualities, and goals that characterize a profession and usually describes behaviors that are expected of the members of the profession. Healthcare suppliers demonstrate expertise by attitudes, knowledge, and behaviors that reflect a multi-faceted approach to the regulations, principles, and standards underlying successful clinical practices . The objective of this study is to identify knowledge, practices and attitudes of nurses regarding professionalism and to identify association between variables and (knowledge, practices, attitudes) of nurses regarding professionalism. Methods: Research design: it is a descriptive cross sectional design. The study conducted in main primary health care centers and hospitals in Erbil city. The study was conducted from 1-6-2018 to 1-10-2018. Non- probability sampling technique was done for data collection, the estimated sample size included (100) nurses out of 400 nurses who work in health care centers and hospitals. Data were collected with interview technique with nurses, using the standardized questionnaire. The questionnaire consists of four main parts. The data was analyzed through the application of SPSS program version 23. (Statistical Package for social Science), Results: The results of this study revealed that majority of nurses have (44%) fair knowledge (50%) fair practices and (87%) fair attitudes regarding professionalism and also there was significant association between their level of education and professionalism about (knowledge, practices and attitudes) which represented (P-Value= 0.001) while there was not significant association between other variables and professionalism as for knowledge, practice and attitude (P-value <0.05). Conclusion: The outcomes of this study revealed that majority of nurses have fair knowledge, practices and attitudes regarding professionalism and also there was significant association between their level of education and professionalism while there was not significant association between other variables and professionalism.

scholarly journals Relationship between Training Intensity and Doctor’s Job Satisfaction at Primary Health Care in Indonesian

2020 ◽  
Vol 12 (2) ◽  
pp. 191
Author(s):  
Gita Purnamasari ◽  
Misnaniarti Misnaniarti
Keyword(s):  
Job Satisfaction ◽  
Health Care ◽  
Primary Health Care ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Primary Health ◽  
Using Data ◽  
The Relationship

A doctor’s job satisfaction is important because it will improve the quality of health services. This study aimed to determine the relationship between intensity training and doctors satisfaction. This research was a cross-sectional study using data from Risnakes 2017. The sample was 5,140 doctors primary health care with civil servant status in Indonesia that was randomly selected. The data were analyzed using the Spearman correlation. This study showed that mean job satisfaction was 70.07 and intensity of the training was 3.98. There is a positive correlation between the training intensityand the doctor's job satisfaction of primary health care in Indonesia (p-value <0.000 and r = 0.063). More doctor's training will improve the ability of doctors to care for the patient's clinical according to the standards of competence.

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