Does Community Health Centers Have Contextual Effect on Midwife Performance in the Implementation of Prevention Mother to Child Transmission Counseling and Testing?

2020 ◽  
Author(s):  
◽  
Uki Retno Budihastuti ◽  
Endang Sutisna Sulaeman ◽  
◽  
◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Centers ◽  
Work Performance ◽  
Health Centers ◽  
Contextual Effect ◽  
Good Work ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Counseling And Testing ◽  
Mother To Child

ABSTRACT Background: Prevention mother to child transmission counseling and testing (PMTCT) service is primarily provided at health facility level. However, their full implementation requires strong linkages with communities. The purpose of this study was to examine contextual effect of community health centers on midwife performance in the implementation of PMTCT? Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at 24 community health centers in Madiun, East Java, from August to September 2019. A sample of 184 midwives was selected by total sampling. The dependent variable was implementation of PMTCT. The independent variables were age, tenure, knowledge, training, work performance, and accreditation. The data were collected by questionnaire and analyzed by a multiple linear regression. Results: Implementation of PMTCT counseling and testing improved with tenure ≥8 years (b= 0.51; 95% CI= 0.15 to 0.87; p= 0.006), good knowledge (b= 0.61; 95% CI= 0.33 to 0.89; p<0.001), had trained (b= 0.41; 95% CI= 0.08 to 0.74; p= 0.014), good work performance (b= 0.56; 95% CI= 0.21 to 0.92; p= 0.002), and good accreditation (b= 0.49; 95% CI= 0.04 to 0.95; p= 0.031). Implementation of PMTCT counseling and testing reduced with midwives age ≥35 years (b= -0.51; 95% CI= -0.80 to -0.21; p= 0.001). Conclusion: Implementation of PMTCT counseling and testing improves with tenure ≥8 years, good knowledge, had trained, good work performance, and good accreditation. Implementation of PMTCT counseling and testing reduces with midwives age ≥35 years. Keywords: implementation, prevention mother to child transmission, work performance, accreditation Correspondence: Sringatin. Dolopo Regional Public Hospital, Madiun, East Java. Jl. Raya Dolopo 117, Dolopo, Madiun 63174, East Java, Indonesia. Email: [email protected]. Mobile: 081231683090. DOI: https://doi.org/10.26911/the7thicph.03.96

scholarly journals Factors Affecting the Performance of Health Workers at the Community Health Centers in Klaten, Central Java

2020 ◽  
Author(s):  
Nia Handayani ◽  
◽  
Didik Gunawan Tamtomo ◽  
Bhisma Murti ◽  
◽  
...  
Keyword(s):  
Community Health ◽  
Leadership Style ◽  
Work Stress ◽  
Community Health Centers ◽  
Work Performance ◽  
Health Workers ◽  
Health Centers ◽  
Factors Affecting ◽  
Democratic Leadership ◽  
Central Java

ABSTRACT Background: Stress is unavoidable on workplaces, employees who feel stress are more likely to be less motivated, less satisfied, show poor performance, and less productivity. The purpose of this study was to examine factors affecting the performance of health workers at the community health centers in Klaten, Central Java. Subjects and Method: A cross sectional study was conducted at community health centers in Klaten, Central Java, from November to December 2019. A sample of 200 health workers was selected by stratified random sampling. The dependent variable was work performance. The independent variables were work stress, education, tenure, leadership style, and type of work. The data were collected by questionnaire and analyzed by a multiple logistic regression run on Stata 13. Results: Health workers performance increased with democratic leadership style (b= 1.40; 95% CI= 0.44 to 2.36; p= 0.004), education (undergraduate and magister) (b= 1.58; 95% CI= 0.65 to 2.52; p= 0.001), tenure ≥6 years (b= 1.72; 95% CI= 0.73 to 2.70; p= 0.001), single job (b= 2.05; 95% CI= 1.07 to 3.03; p<0.001). Health workers performance decreased with high work stress (b= -1.65; 95% CI= -2.58 to -0.72; p= 0.001). Conclusion: Health workers performance increases with democratic leadership style, education, tenure ≥6 years, and single job. Health workers performance decreases with high work stress. Keywords: work performance, heath workers, stress, leadership style Correspondence: Nia Handayani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +6282133055176. DOI: https://doi.org/10.26911/the7thicph.04.40

scholarly journals Evidence for the importance of community involvement: Implications for initiatives to prevent mother-to-child transmission of HIV

2001 ◽  
Keyword(s):  
Community Involvement ◽  
Hiv Transmission ◽  
Perinatal Transmission ◽  
Companion Paper ◽  
Lessons Learned ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Voluntary Counseling And Testing ◽  
Counseling And Testing ◽  
Mother To Child

This paper offers lessons learned from a literature review of community involvement in biomedical and other technologies that can guide appropriate and effective introduction of services for prevention of mother-to-child transmission of HIV. A companion paper discusses research in Botswana and Zambia that showed gaps in community knowledge about HIV transmission, particularly from mother to child, and yielded insights into community perspectives about barriers to using voluntary counseling and testing services; stigma and fear associated with HIV; traditional norms on breastfeeding; and the role of family and community members in women’s decisions to participate in programs to prevent mother-to-child transmission of HIV. A separate publication (“Community involvement in the prevention of mother-to-child transmission of HIV: Insights and recommendations”) offers recommendations for community involvement strategies. Placed within the framework of community involvement, an intervention that addresses mother-to-child transmission of HIV offers an enormous opportunity to improve HIV prevention and care. Successful interventions can influence how AIDS is perceived by the community, reduce stigma, and have an effect beyond the immediate prevention of perinatal transmission.

scholarly journals Assessment of quality antenatal care-linked HIV counseling and testing as an intervention for prevention of mother-to-child transmission of HIV at government health facilities in Harari region, Eastern Ethiopia

2021 ◽  
Vol 9 ◽  
pp. 205031212110477
Author(s):  
Masresha Leta ◽  
Siraj Adem ◽  
Biniyam Daniel
Keyword(s):  
Health Facilities ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Eastern Ethiopia ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Government Health ◽  
Counseling And Testing ◽  
Post Test ◽  
Mother To Child

Objective: To assess quality of antenatal care-linked to HIV counseling and testing as an intervention for prevention of mother-to-child transmission at government health facilities in Harar Town, Eastern Ethiopia, 2020. Methods: Institutional-based cross-sectional study was done from 1 February to 30 February 2020 by applying quantitative method conducting in government health facilities in Harar town, Eastern, Ethiopia. A total of 422 participants were recruited from four governmental hospitals in Harar Town. Simple random sampling method was used to select the participants. Data were collected by three nurses selected from prospected hospitals. The collected data were cleaned, checked for quality, coded, and analyzed using “Software package Social Science, version 20” computer program. Result: From a total of 422 participants, 348 (82.5%) were satisfied with the counseling room’s privacy, and having pre-test and post-test counseling by the same person provided comfort for 357 (98.9%) of clients. Three hundred eighty-nine (92.2%) felt comfortable with the counselors’ client handling/respect; 386 (91.5%) were satisfied with technical competence of the counselors. About a quarter (25.4%) of clients had no discussion of prevention of mother-to-child transmission at all, and the majority (68.2%) comprehended that HIV counseling and testing could benefit prevention of mother-to-child transmission. Conclusion: Exit interview revealed that the basic topics were covered in most of the pre- and/or post-test sessions, and the majority of those counseled comprehended the information; however, nearly a quarter of the clients did not understand why they were offered HIV counseling and testing particularly during their pregnancy time.

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