Factors Affecting The use Of Posbindu PTM Elderly In Medan Puskesmas Rantang Medan District Medan Petisah District In 2018

Sri Natalia Ginting; Asriwati Asriwati; Anto Anto

doi:10.25311/keskom.vol6.iss1.523

Factors Affecting The use Of Posbindu PTM Elderly In Medan Puskesmas Rantang Medan District Medan Petisah District In 2018

Jurnal Kesehatan Komunitas ◽

10.25311/keskom.vol6.iss1.523 ◽

2020 ◽

Vol 6 (1) ◽

pp. 121-128

Author(s):

Sri Natalia Ginting ◽

Asriwati Asriwati ◽

Anto Anto

Keyword(s):

Mixed Methods ◽

Factors Affecting

Penyakit tidak menular telah menjadi penyebab utama kematian secara global pada saat ini. Posbindu PTM merupakan suatu bentuk pelayanan yang melibatkan peran serta masyarakat melalui upaya promotif-preventif. Jenis penelitian adalah dengan pendekatan mixed methods dengan tujuan untuk mengetahui faktor yang memengaruhi terhadap pemanfaatan Posbindu PTM pada lansia di Wilayah Kerja Puskesmas Rantang Medan Kecamatan Medan Petisah dengan populasi penelitian adalah sebanyak 653 lansia dengan teknik sampel menggunakan accidental sampling sebanyak 87 lansia. Hasil penelitian menunjukkan bahwa pengetahuan memiliki sig-p 0,011 < 0,05, sikap sig-p 0,017 > 0,05, jarak tempuh sig-p 0,041 < 0,05, dukungan tenaga kesehatan sig-p 0,415 > 0,05 dan dukungan keluarga memilikisig-p 0,028 < 0,05. Kesimpulan ada pengaruh pengetahuan, sikap, jarak tempuh dan dukungan keluarga terhadap pemanfaatan Posbindu PTM pada lansia, sedangkan dukungan tenaga kesehatan tidak memiliki pengaruh terhadap pemanfaatan Posbindu PTM pada lansia. Penelitian ini diharapkan dapat menjadi bahan masukan atau informasi yang bermanfaat bagi Puskesmas, Dinas Kesehatan, maupun instansi lain terkait dengan pemanfaatan Posbindu PTM. Kata Kunci: Faktor yang Memengaruhi, Pemanfaatan Posbindu PTM, Lansi

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Factors affecting retention in the Philippine National Rural Physician Deployment Program from 2012 to 2019: a mixed methods study

BMC Health Services Research ◽

10.1186/s12913-021-07219-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Erika Louise L. Flores ◽

Edric Matthew R. Manahan ◽

Miguel Paulo B. Lacanilao ◽

Isabella Ma. Beatriz T. Ladaw ◽

Mico Martin B. Mallillin ◽

...

Keyword(s):

Mixed Methods ◽

Healthcare Providers ◽

Well Being ◽

The Philippines ◽

Social Needs ◽

Factors Affecting ◽

Work Related ◽

Universal Healthcare ◽

The Individual ◽

Rural Physician

Abstract Background To address the maldistribution of healthcare providers and the shortage of physicians in geographically isolated and disadvantaged areas of the Philippines, the Philippine National Rural Physician Deployment Program, or more commonly known as the Doctors to the Barrios (DTTB) program was established in 1993. However, as of 2011, only 18% of the DTTBs chose to stay in their assigned municipalities after their two-year deployment, termed retention. This study aims to identify the individual, local, work, national, and international factors affecting the retention of DTTBs in their assigned communities after their two-year deployment. Methods A descriptive, mixed-methods, explanatory design was used. For the quantitative part, the modified and updated Stayers Questionnaire was given to all current DTTBs present in a Continuing Medical Education session in the Development Academy of the Philippines. Descriptive statistics were then presented. For the qualitative part, individual, semi-structured key informant interviews were conducted in-person or via phone with current and alumni DTTBs from 2012 to 2019. Proceedings of the interviews were transcribed, translated, and analyzed thematically. Results 102 current DTTBs participated in the quantitative part of our study, while 10 current and former DTTBs participated in the interviews. Demographic factors and location, personal beliefs, well-being, friends and family dynamics, and perceptions about work were the individual factors identified to affect retention. Social working conditions, career development, and infrastructure, medical equipment, and supplies were among the work factors identified to affect retention. Geography, living conditions, local social needs, and technology were among the local factors identified to affect retention. Compensation, the recently signed Universal Healthcare Law, and Safety and Security were identified as national factors that could affect retention. International factors did not seem to discourage DTTBs from staying in their communities. Conclusions A host of individual, work-related, local, national, and international factors influence the DTTB’s decision to be retained in different, complex, interconnected, and dynamic ways. We also identified implementation issues in the DTTB program and suggested interventions to encourage retention.

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Factors affecting adoption, implementation fidelity, and sustainability of the Redesigned Community Health Fund in Tanzania: a mixed methods protocol for process evaluation in the Dodoma region

Global Health Action ◽

10.3402/gha.v8.29648 ◽

2015 ◽

Vol 8 (1) ◽

pp. 29648 ◽

Cited By ~ 7

Author(s):

Albino Kalolo ◽

Ralf Radermacher ◽

Manfred Stoermer ◽

Menoris Meshack ◽

Manuela De Allegri

Keyword(s):

Mixed Methods ◽

Community Health ◽

Process Evaluation ◽

Implementation Fidelity ◽

Factors Affecting ◽

Health Fund

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Factors Affecting Definitions of and Approaches to Integrative Medicine: A Mixed Methods Study Examining China’s Integrative Medicine Development

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2015/458765 ◽

2015 ◽

Vol 2015 ◽

pp. 1-12 ◽

Cited By ~ 2

Author(s):

Weijun Zhang ◽

Sonya E. Pritzker ◽

Ka-Kit Hui

Keyword(s):

Mixed Methods ◽

Integrative Medicine ◽

Mixed Methods Study ◽

Working Environment ◽

Snowball Sampling ◽

Key Factors ◽

Factors Affecting ◽

Education Practice ◽

Key Characteristics ◽

Semistructured Interviews

Aim. This study identifies existing definitions and approaches among China’s integrative medicine (IM) experts and examines relationships with key characteristics distinguishing individual experts.Methods. Snowball sampling was used to select 73 IM experts for semistructured interviews. In this mixed methods study, we first identified definitions and approaches through analyzing core statements. Four key factors, including age, education, practice type, and working environment, were then chosen to evaluate the associations with the definitions.Results. Four unique definitions were identified, including IM as a “new medicine” (D1), as a combination of western medicine (WM) and Chinese medicine (CM) (D2), as a modernization of CM (D3), and as a westernization of CM (D4). D4 was mostly supported by those working in WM organizations, while D3 was more prominent from individuals working in CM organizations (P=0.00004). More than 64% clinicians had D2 while only 1 (5.9%) nonclinician had D2. Only 1 clinician (1.8%) had D4 while almost 30% nonclinicians had D4 (P=0.0001). Among nonclinicians working in WM organizations, 83.3% of them had D4 (P=0.001).Conclusion. Findings indicate that institutional structure and practice type are factors affecting IM approaches. These results carry implications for the ways in which western countries move forward with the definition and implementation of IM.

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A mixed methods exploratory study of the utility of social cognitive career theory for research into the careers of entrepreneurial Emirati women in Dubai

African Journal of Career Development ◽

10.4102/ajcd.v3i1.46 ◽

2021 ◽

Vol 3 (1) ◽

Author(s):

Pamela Hawkswell ◽

Peter McIlveen ◽

Patricia N. Hoare

Keyword(s):

Mixed Methods ◽

Cultural Context ◽

Social Cognitive Career Theory ◽

Social Cognitive ◽

Outcome Expectations ◽

Future Research ◽

Career Theory ◽

Factors Affecting ◽

Social Cognitive Career ◽

Diverse Nations

Background: Social cognitive career theory (SCCT) is one of the leading theories within the literature of career development, but there is marginal evidence of its applicability within the diverse nations and cultures of the Middle East and Arab nations.Objectives: The research involved a mixed methods exploratory design with an aim to determine SCCT’s utility in the context of Dubai and with a specific focus on the careers of Emirati women.Method: Study 1 used interviews to explore contextual factors affecting women’s careers. Study 2 used a survey to measure core SCCT constructs, namely self-efficacy and outcome expectations, and their relations with work engagement.Results: The qualitative data from the interviews and quantitative data from the survey found salience in factors that were consistent with the tenets of SCCT.Conclusion: The findings provide evidence of SCCT’s potential utility in this cultural context; however, future research should extend into a broader and larger sample of workers in Dubai and the UAE.

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A sequential, exploratory, mixed-methods approach for development and validation of a context-specific knowledge, attitude and practice questionnaire on micronutrients for literate mothers of school-age children

Public Health Nutrition ◽

10.1017/s1368980019000521 ◽

2019 ◽

Vol 22 (11) ◽

pp. 2120-2131

Author(s):

Archana Konapur ◽

Madhavan Nair Krishnapillai ◽

Balakrishna Nagalla ◽

SubbaRao M Gavaravarapu

Keyword(s):

Mixed Methods ◽

Psychometric Validation ◽

School Age Children ◽

Diet Diversity ◽

Factors Affecting ◽

Mixed Methods Approach ◽

Attitude And Practice ◽

Context Specific ◽

Eating Practices ◽

Knowledge Attitude And Practice

AbstractObjectiveTo develop and validate a context-specific comprehensive knowledge, attitude and practice (KAP) questionnaire for literate mothers on factors affecting micronutrient status of 6–10-year-old children.DesignSequential exploratory mixed-methods study using focus group discussions (FGD) and psychometric validation.SettingSeven randomly selected villages with >500 households with three to five family members each, in Ghatkesar sub-district, Medchal district, Telangana state, India.ParticipantsLiterate mothers from middle-income households with at least one child (6–10 years) for FGD (n 44), for testing the internal consistency (n 80) and for test–retest reliability (n 30).ResultsThe themes for FGD were diet diversity, micronutrients, cooking and eating practices, national programmes and sunlight exposure. Knowledge among caregivers about sources of micronutrients, deficiency symptoms, cooking/eating practices was low, while attitude towards diet diversity and sunlight was good. Non-availability of fruits and vegetables was a barrier to diet diversity. About 72 % of the questions from the item pool were based on FGD. After content validity, 125 items were selected for the questionnaire which, upon psychometric validation, was reduced to an eighty-eight-item questionnaire with difficulty index of 0·10–0·91, discrimination index of 0·09–0·68, Cronbach’s α of 0·78 (reliability of knowledge and attitude) and 0·50 (practice). A Bland–Altman plot showed good agreement between test and retest scores.ConclusionsThe questionnaire developed and validated using a sequential exploratory mixed-methods approach can be used for assessing KAP on micronutrients and factors affecting consumption of diverse diets in rural Indian households.

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A mixed methods analysis of factors affecting antenatal care content: A Syrian case study

PLoS ONE ◽

10.1371/journal.pone.0214375 ◽

2019 ◽

Vol 14 (3) ◽

pp. e0214375 ◽

Cited By ~ 1

Author(s):

Rima Mourtada ◽

Christian Bottomley ◽

Fiona Houben ◽

Hyam Bashour ◽

Oona M. R. Campbell

Keyword(s):

Mixed Methods ◽

Antenatal Care ◽

Factors Affecting

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Factors affecting the clinical use of non-invasive prenatal testing: a mixed methods systematic review

Prenatal Diagnosis ◽

10.1002/pd.4094 ◽

2013 ◽

Vol 33 (6) ◽

pp. 532-541 ◽

Cited By ~ 28

Author(s):

Heather Skirton ◽

Christine Patch

Keyword(s):

Systematic Review ◽

Mixed Methods ◽

Prenatal Testing ◽

Clinical Use ◽

Factors Affecting ◽

Non Invasive

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Factors affecting hepatitis C treatment intentions among Aboriginal people in Western Australia: a mixed-methods study

Australian Health Review ◽

10.1071/ah19194 ◽

2020 ◽

Vol 44 (5) ◽

pp. 755

Author(s):

Amineh Rashidi ◽

Peter Higgs ◽

Susan Carruthers

Keyword(s):

Mixed Methods ◽

Hepatitis C ◽

Aboriginal People ◽

Mixed Methods Study ◽

Hcv Treatment ◽

Aboriginal Australians ◽

Hepatitis C Treatment ◽

Factors Affecting ◽

Unstable Housing ◽

Stable Housing

ObjectiveThe aim of this study was to identify the hepatitis C treatment intentions of Aboriginal people living with hepatitis C virus (HCV) in Western Australia. MethodsThis study used a mixed-methods design. In the cross-sectional survey, 123 Aboriginal people who inject drugs and self-report as living with hepatitis C completed a purpose-designed questionnaire. In the qualitative phase, 10 participants were interviewed about the factors influencing their future intentions to undertake hepatitis C treatment. ResultsAnalysis of the survey data revealed significant associations between an intention to undertake hepatitis C treatment and support, community attachment, stable housing and stigma. In addition, there was a high overall level of expressed intention to undertake HCV treatment, with 54% of participants responding positively. Analysis of the qualitative data supported quantitative findings, revealing concerns about stigma, lack of social support and unstable housing as factors affecting the intention to undertake hepatitis C treatment. ConclusionThis mixed methods study with Aboriginal people living with self-reported HCV indicates interventions focused on reducing stigma and unstable housing could positively affect hepatitis C treatment intentions. These findings have implications for developing holistic programs to promote and support people on hepatitis C treatment. What is known about the topic?Substantial knowledge gaps need to be resolved if HCV elimination among Aboriginal Australians is to be achieved. Current research has prioritised non-Aboriginal communities. What does this paper add?This study found that stigma and unstable housing require attention if Aboriginal Australians are to obtain the full benefits of direct acting antiviral (DAA) hepatitis C treatment. What are the implications for practitioners?Reducing stigma (in the primary healthcare setting) and providing access to stable housing are vital components of supportive, non-judgemental and culturally appropriate care for Aboriginal people. This study highlights the importance of education for nurses and other primary care providers to increase engagement in the hepatitis cascade of care. To achieve this, scaling-up of HCV treatment engagement, trained Aboriginal community healthcare workers and HCV treatment advocates must mobilise and support Aboriginal people to avoid the negative effects of stigma, build positive and enabling relationships and reinforce positive attitudes towards DAA hepatitis C treatment.

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