scholarly journals INTEGRATED TRADITIONAL HEALTH SERVICE DEVELOPMENT STRATEGY IN COMMUNITY HEALTH CENTER IN DENPASAR BALI

2021 ◽  
Vol 9 (4) ◽  
pp. 125-135
Author(s):  
Ni Putu Eka Cahyati ◽  
I Ketut Widnyana ◽  
I Gusti Ngurah Alit Wiswasta ◽  
Ni Putu Pandawani
Keyword(s):  
Health Services ◽  
Community Health ◽  
Development Strategy ◽  
Health Workers ◽  
Development Program ◽  
Community Empowerment ◽  
Health Centers ◽  
Service Development ◽  
Traditional Health ◽  
Integration Program

Traditional Health Services (Yankestrad) is a development program that is a priority of the Indonesian government, and its existence is of sufficient interest to the public so that it needs to be developed to improve public health. Yankestrad can be combined with conventional health services to be implemented in an integrated manner in hospitals and in health centers. The purpose of this study was to evaluate the Yankestrad program in Denpasar Bali and develop strategies for the development of the Yankestrad Integration program at community health centers (Puskesmas) in Denpasar Bali. The method used in this research is descriptive qualitative using SWOT analysis. The results showed that the implementation of the Yankestrad Integration program in Denpasar City was categorized as sufficient. The dominant internal factor being the strength is that the vision and mission of the Yankestrad program has been stated in the strategic plan and trained and certified health workers, while the weakness is that the officers hold multiple programs so that they do not focus on providing services. The external factor, the biggest opportunity is community empowerment through independent care groups with the use of family medicinal plants (TOGA), and the biggest threat is that the community still tends to curative rather than preventive efforts and the community still sees Yankestrad as magical / mystical. Yankestrad Integration development strategy can be carried out by supporting an aggressive growth policy or a Streng Opportunity strategy, namely by taking advantage of opportunities to use their strengths for the sustainability of the program.

scholarly journals ACCUPRESSURE PROGRAM AT THE HEALTH CENTERS IN SOUTH JAKARTA IN 2018

2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Sandra Octaviani Dyah Puspita Rini ◽  
Anhari Achadi
Keyword(s):  
Qualitative Research ◽  
Health Services ◽  
Health Workers ◽  
The Body ◽  
Health Centers ◽  
Acupuncture Points ◽  
Traditional Health ◽  
Document Review ◽  
Depth Interviews

Abstract. Traditional Health Services is a treatment or therapy using methods and medication that is based on the experience and skills of our ancestors that can be accounted for and is in accordance with the norms prevailing in the community. One example is acupressure, ehich is a healing method that uses pressure on certain points of the body or acupuncture points. This type of service has been regulated in various laws on traditional health. However, not all Health Centers provide this service. In South Jakarta City, there are only two Health Centers that provide acupressure services. This is a qualitative research, and aims to analyze the policies and implementation of the implementation of acupressure services in the Health Centers and its obstacles. The data was collected through in-depth interviews and document review. In this study we found that the quality and quantity of health workers trained in acupressure and their comprehension of the program was inadequate. In addition, the room for acupressure is only found in health centers that have provided this service. Communication is still a problem, because there is no regulation socialization regarding the regulation of acupressure services for policy implementers. However, 60% of patients were satisfied with the services provided. Abstrak. Pelayanan Kesehatan Tradisional adalah pengobatan/atau perawatan dengan cara dan obat yang berdasarkan pada pengalaman dan keterampilan turun temurun secara empiris, dapat dipertanggungjawabkan dan diterapkan sesuai dengan norma yang berlaku di masyarakat. Salah satu diantaranya adalah akupresur. Akupresur merupakan suatu cara penyembuhan dengan teknik penekanan titik-titik tertentu pada tubuh (titik-titik akupunktur) yang menggunakan jari-jari tangan ataupun alat bantu seperti batang kayu. Pelayanan jenis ini sudah dituangkan dalam berbagai undang-undang tentang kesehatan tradisional. Namun, tidak semua puskesmas menyelenggarakan layanan ini. Di Kota Jakarta Selatan, hanya terdapat dua Puskesmas yang menyelenggarakan pelayanan akupresur. Penelitian ini adalah penelitian kualitatif, dan bertujuan untuk menganalisis kebijakan dan implementasi pelaksanaan pelayanan akupresur di Puskesmas serta hambatannya. Metode pengumpulan data melalui wawacara mendalam dan telaah dokumen. Dalam penelitian ini ditemukan bahwa kualitas dan kuantitas tenaga kesehatan yang terlatih akupresur dan mengerti tentang program masih belum mencukupi. Selain itu, ruangan untuk akupresur hanya terdapat pada puskesmas yang sudah menyediakan pelayanan ini. Komunikasipun masih menjadi masalah, karena belum ada sosialisasi regulasi tentang pengaturan pelayanan akupresur bagi pelaksana kebijakan.

scholarly journals Malaria Community Health Workers in Eliminating Malaria in Banyumas Regency

2016 ◽  
Vol 12 (1) ◽  
Author(s):  
Dwi Sarwani Sri Rejeki ◽  
Sri Nurlaela ◽  
Devi Octaviana ◽  
Hari Kusnanto ◽  
Elsa Herdiana Murhandarwati
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Quantitative Research ◽  
Health Workers ◽  
Negative Attitude ◽  
Community Empowerment ◽  
Health Centers ◽  
Case Detection ◽  
Cross Sectional ◽  
Cross Sectional Design

Banyumas has not reached the elimination of malaria yet. One of the efforts is done by community empowerment by establishing malaria Community Health Workers (CHWs/JMD). JMD are people who conduct the discovery and medication of malaria in Active Case Detection (ACD). The research aims at describing JMDs attitude and knowledge towards the malaria elimination in Banyumas Regency in 2015. Quantitative research with cross sectional design was performed in the study. There were 15 JMDs spreading across in 7 public health centers/Puskesmas. The results show that most of JMDs were male with primary education background. They are mostly employed and do not join any training within 3 years. The average age of JMDs is 48.4 years old although there are some workers who are over 65 years old. 33.3% of JMDs are in low-medium categories, and there are 26.7% JMDs who have negative attitude to malaria. All JMDs have less skill such as not to do home visits as scheduled, not to do periodic reports, not to send blood preparations immediately and unstandardized of the blood preparation.

Coping mechanisms among health workers in community health centers

2020 ◽  
Vol 30 ◽  
pp. 122-125
Author(s):  
Hasniati ◽  
Badu Ahmad ◽  
Andi Ahmad Yani ◽  
Nur Indrayanti Nur Indar ◽  
Atta Irene Allorante ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Centers ◽  
Health Workers ◽  
Coping Mechanisms ◽  
Health Centers

Stock-Outs of Essential Medicines Among Community Health Workers (CHWs) In Low- And Middle-Income Countries (LMICs): A Systematic Literature Review of The Extent, Reasons, And Consequences

2021 ◽  
Author(s):  
Abimbola Olaniran ◽  
Jane Briggs ◽  
Ami Pradhan ◽  
Erin Bogue ◽  
Benjamin Schreiber ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Grey Literature ◽  
Community Level ◽  
Health Centers ◽  
Essential Medicines ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

Abstract Background: This paper explores the extent of community-level stock-out of essential medicines among Community Health Workers (CHWs) in Low- and Middle-Income Countries (LMICs) and identifies the reasons for and consequences of essential medicine stock-outs. Methods: A systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was conducted. Five electronic databases were searched with a prespecified strategy and the grey literature examined, January 2006 - March 2021. Papers containing information on (i) the percentage of CHWs stocked out or (ii) reasons for stock-outs along the supply chain and consequences of stock-out were included and appraised for risk of bias. Outcomes were quantitative data on the extent of stock-out, summarized using descriptive statistics, and qualitative data regarding reasons for and consequences of stock-outs, analyzed using thematic content analysis and narrative synthesis. Results: Two reviewers screened 1083 records; 78 evaluations were included. Over the last fifteen years, CHWs experienced stock-outs of essential medicines nearly one third of the time and at a significantly (p < 0.01) higher rate than the health centers to which they are affiliated (28.93% [CI 95%: 28.79 - 29.07] vs 9.17 % [CI 95%: 8.64 - 9.70], respectively). A comparison of the period 2006-2015 and 2016-2021 showed a significant (p < 0.01) increase in CHW stock-out level from 26.36% [CI 95%: 26.22 -26.50] to 48.65% [CI 95%: 48.02- 49.28] while that of health centers increased from 7.79% [95% CI: 7.16 - 8.42] to 14.28% [95% CI: 11.22- 17.34]. Distribution barriers were the most cited reasons for stock-outs. Ultimately, patients were the most affected: stock-outs resulted in out-of-pocket expenses to buy unavailable medicines, poor adherence to medicine regimes, dissatisfaction, and low service utilization. Conclusion: Community-level stock-out of essential medicines constitutes a serious threat to achieving universal health coverage and equitable improvement of health outcomes. This paper suggests stock-outs are getting worse, and that there are particular barriers at the last mile. There is an urgent need to address the health and non-health system constraints that prevent the essential medicines procured for LMICs by international and national stakeholders from reaching the people who need them the most.

scholarly journals Kompetensi Bidan Puskesmas dalam Meningkatkan Pelayanan Antenatal (Studi Kasus di Puskesmas Tambak Rejo, Surabaya)

2019 ◽  
Vol 7 (1) ◽  
pp. 1-8
Author(s):  
Andy Asmara
Keyword(s):  
Community Health ◽  
Health Center ◽  
Community Health Centers ◽  
Health Workers ◽  
Perinatal Care ◽  
Community Health Center ◽  
Community Empowerment ◽  
District Health ◽  
Soft Skill ◽  
Birth Attendance

The daily facts indicated that an individual is the key factor to achieve organization’s success. Every organization with its best performance is always related to its human resources’ balanced competency. The midwife has role, function, and competencies to provide maternal services for women. The midwife’s role is not only a doer, but also an organizer, an educator, and a researcher. Therefore, the midwife is expected to focus on prevention and health promotion aspect with basis of partnership, and community empowerment collaboration with other health workers in order to be readily prepare the health services for anyone who is in need.This was qualitative research method with case study approach. The informant was the midwives of Tambakrejo Community Health Center of Surabaya. According to the data of antenatal care attendance, trained birth attendance, and perinatal care, there were 859 pregnant women, 581 persons on phase of K1 (67.64%), and 551 persons on phase of K4 (64.14%). The birth attendances by trained birth attendants are 513 people (62.56%), while perinatal care recorded 570 people attending the health service (69.51%). The data indicated the performance by the midwives of Tambakrejo Community Health Center categorized in the lowest position among 63 community health centers in Surabaya. The result showed poor soft skill competency and poor hard skill competency on midwives. In conclusion, poor soft skill competency including personal competence and social competence should be trained and developed by obstetrics and gynecology specialist of Soewandhi Public Hospital of Surabaya. The study suggested Surabaya District Health Office needs to conduct training of technology information and computer in order to increase the service quality and to solved the problem related to hard skill competencies on technology and computer skill. 

scholarly journals Challenges of Community Health Education in Improving Quality of Life in Indonesia

2020 ◽  
Vol 1 (1) ◽  
pp. p121
Author(s):  
Dwi Sogi Sri Redjeki
Keyword(s):  
Public Health ◽  
Health Education ◽  
Community Health ◽  
Development Strategy ◽  
Health Workers ◽  
Scientific Paper ◽  
Continuous Variable ◽  
Community Health Education ◽  
Decentralized System ◽  
Professional Health

The purpose of this research is to give understanding about community health education to fill the nation’s independence which has a role to create a healthy and strong society and refer to the ability to: a) make and maintain relationships with others; b) well-interact with people and the environment, so that understanding of health can demonstrate the ability to adapt to a changing environment. The method of this scientific paper is carried out by conducting academic analysis from various aspects of relevant reference sources so as to find new theoretical meaning in order to answer the challenges that occur in society. The conclusion is that the public health paradigm is a new health development strategy that views health issues as a continuous variable, planned in a decentralized system, with service activities that are always promotive to alleviate public health, by professional health workers together with participatory communities.

scholarly journals An assessment of mental health programs at community health centers in north Minahasa, Indonesia

2021 ◽  
Vol 8 (12) ◽  
pp. 5707
Author(s):  
Jessica Gloria Mogi ◽  
Gustaaf A. E. Ratag
Keyword(s):  
Mental Health ◽  
Community Health ◽  
Community Health Centers ◽  
Supported Employment ◽  
Health Workers ◽  
Health Facilities ◽  
Health Centers ◽  
Healthcare Facilities ◽  
Family Approach ◽  
Mental Health Programs

Background: The Indonesian government recognizes the importance of mental health issues as indicated by the inclusion of such issues as indicators in the national program, the Healthy Indonesian Program with Family Approach (PIS-PK). This program is enforced in community health centers (puskesmas) in every regency in the country. However, the continually increasing number of mental disorder cases and the intense stigmatization of people with these disorders indicate the need to re-evaluate the capacity and delivery of designated centers’ mental health programs.Methods: This community survey involved interviewing the program directors of four community health centers in north Minahasa using the WHO-AIMS 2.2 questionnaire.Results: Very little effort has been made to improve mental health facilities and programs. Examples of aspects of health facilities that are lacking include training for health workers, the provision of psychotropic drugs, and supported employment or occupational rehabilitation.Conclusions: Community health centers are primary healthcare facilities for society. Therefore, mental health services should be implemented as one of their main programs.

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