Penggerombolan Daerah 3T  di  Indonesia Berdasarkan  Rasio Tenaga Kesehatan dengan Metode Penggerombolan Berhierarki dan Cluster Ensemble

Health is a major factor in community development. Inequality on health is most felt by people living in disadvantaged, outermost, and leading areas (3T) because of the difficulty of access to transportation and communication. Effective efforts are needed to achieve the optimal distribution of health services, one of which is by clustering 3T areas based on the ratio of health workers to see which areas are experiencing shortage of health workers and know the adequacy of the number of health workers spread in 3T areas. The object used in this research is 27 provinces 3T region in Indonesia and the applied statistical method is various hierarchical methods and Cluster Ensemble. Based on the results of this study, 3T area is divided into four clusters. The first cluster consists of 22 provinces and has good characteristics because all categories of the variables are in the medium category. The second and the third cluster consists of two provinces. The characteristics of the second cluster are good enough. The characteristics of the third cluster are not been good enough because there is one variable in the low category. The fourth cluster consists of one province and has characteristics that are not been good enough because there are several categories of the variables are in the low category.

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Penggerombolan Daerah 3T di Indonesia Berdasarkan Rasio Tenaga Kesehatan dengan Metode Penggerombolan Berhierarki dan Cluster Ensemble

Xplore Journal of Statistics ◽

10.29244/xplore.v7i3.145 ◽

2019 ◽

Vol 7 (3) ◽

Author(s):

Kesuma Millati ◽

Cici Suhaeni ◽

Budi Susetyo

Keyword(s):

Community Development ◽

Health Services ◽

Statistical Method ◽

Health Workers ◽

Optimal Distribution ◽

Cluster Ensemble ◽

The Third

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HUBUNGAN MANAJEMEN AKTIF KALA III DENGAN KEJADIAN PERDARAHAN POST PARTUM PRIMER DI PBM UMI SURABAYA

J-HESTECH (Journal Of Health Educational Science And Technology) ◽

10.25139/htc.v3i1.2383 ◽

2020 ◽

Vol 3 (1) ◽

pp. 35

Author(s):

Sulenti Widiastutik

Keyword(s):

Health Services ◽

Health Workers ◽

Post Partum ◽

Sampling Technique ◽

Active Management ◽

Chi Square ◽

Cross Sectional ◽

Post Partum Hemorrhage ◽

The Third ◽

Third Stage

ABSTRAK ABSTRAK Manajemen akif kala III merupakan suatu intervesi yang sangat penting dilakukan pada setiapasuhan persalinan normal dengan tujuan menurunkan angka kemati ibu. Sebagian besar kasus perdarahan terjadi selama persalinan kala III salah satunya seperti atonia uteri. Dalam penelitian ini menggunakan metode analitik observasional, dengan desain penelitian ini bersifat “ cross sectional “ populasi penelitian ini sebanyak 60 ibu bersalin di PBMUmi Surabaya.Hasil penelitian menunjukkan bahwa manajemen aktif kala III dilakukan dengan sempuirna sebanyak 36 ibu bersalin.(60%) dan ibu bersalin yang tidak mengalami perdarahan post partum primer sebanyak 33 ibu (55%) Populasi dalam penelitian ini adalah semua ibu yang bersalin di PBM Umi Surabayadengan besar sampel sebanyak 60 ibu bersalin dengan tehnik total sampling.Dari hasil analisis data menggunakan chi square menunjukkan hasil hitung (21,237) > tabel (3,84) = Ho ditolak H1 diterima. Sehingga ada hubungan manajemen aktif kala III dengan kejadian perdarahan post partum primer di PBM Umi Surabaya Upaya percepatan penurunan AKI dapat dilakukan dengan menjamin agar setiap ibu mampu mengakses pelayanan kesehatan ibu yang berkwalitras, seperti pelayanan kesehatan ibu hamil, pertolongan persalinan oleh tenaga kesehatan terlatih, dan perawatan pasca persalinan ibu dan bayi, perawatan khusus dan rujukan jika terjadi komplikasi Kata kunci Manajemen aktif kala III, Perdarahan Post Paetum PrimerABSTRACTThe third stage of active management is a very important intervention performed in every normal childbirth care with the aim of reducing maternal mortality. Most cases of bleeding occur during the third stage of labor such as uterine atony. In this study using observational analytic methods, the design of this study is "cross sectional" in this study population of 60 women giving birth in PBM Umi Surabaya.The results showed that the active management of the third stage was carried out with up to 36 mothers (60%) and women who did not experience primary post partum hemorrhage as many as 33 mothers (55%). a large sample of 60 mothers with total sampling technique. From the results of data analysis using chi square showed the results of X2 count (21,237)> X2 table (3.84) = Ho rejected H1 accepted. So there is an active management relationship between the third stage and the incidence of primary post partum hemorrhage at PBM Umi Surabaya Efforts to accelerate the reduction of MMR can be done by ensuring that every mother is able to access quality maternal health services, such as health services for pregnant women, delivery assistance by trained health workers, and postpartum care for mothers and babies, special care and referrals if complications occur. Keywords Active management stage III, Primary Post Partum Bleeding

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The Impact of Social Mobilization on Health Service Delivery and Health Outcomes

10.1093/oso/9780198829591.003.0011 ◽

2018 ◽

Author(s):

Xavier Giné ◽

Salma Khalid ◽

Mansuri Ghazala

Keyword(s):

Health Services ◽

Service Delivery ◽

Health Outcomes ◽

Health Workers ◽

Health Service Delivery ◽

Health Providers ◽

Child Health Outcomes ◽

Rural Pakistan ◽

Post Natal Care ◽

The Impact

This chapter uses a randomized community development programme in rural Pakistan to assess the impact of citizen engagement on public service delivery and maternal and child health outcomes. The programme had a strong emphasis on organizing women, who also identified health services as a development priority at baseline. At midline, we find that the mobilization effort alone had a significant impact on the performance of village-based health providers. We detect economically large improvements in pregnancy and well-baby visits by female health workers, as well as increased utilization of pre- and post-natal care by pregnant women. In contrast, the quality of supra-village health services did not improve, underscoring the importance of community enforcement and monitoring capacity for improving service delivery.

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Building trust and enhancing localization to improve access to women’s health services in Afghanistan

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.928 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

F R Rab ◽

S S Stranges ◽

A D Thind ◽

S S Sohani

Keyword(s):

Health Care ◽

Health Services ◽

Vulnerable Populations ◽

Time Trend ◽

Health Workers ◽

Healthcare Services ◽

Delivery Of Healthcare ◽

Care Services ◽

Women And Children ◽

Delivery Of Health Services

Abstract Background Over 34 million people in Afghanistan have suffered from death and devastation for the last four decades as a result of conflict. Women and children have borne the brunt of this devastation. Afghanistan has some of the poorest health indicators in the world for women and children. In the midst of armed conflict, providing essential healthcare in remote regions in the throws of conflict remains a challenge, which is being addressed the Mobile Health Teams through Afghan Red Crescent (ARCS). To overcome socio-cultural barriers, ARCS MHTs have used local knowledge to hire female staff as part of the MHTs along with their male relatives as part of MHT staff. The present study was conducted to explore the impact of engaging female health workers as part of MHTs in conflict zones within Afghanistan on access, availability and utilization of maternal and child health care. Methods Quantitative descriptive and time-trend analysis were used to evaluate impact of introduction of female health workers. Qualitative data is being analyzed to assess the possibilities and implications of engaging female health workers in the delivery of health services. Results Preliminary results show a 96% increase in uptake of services for expectant mothers over the last four years. Average of 18 thousand services provided each month by MHTs, 70% for women and children. Service delivery for women and children significantly increased over time (p < 0.05) after inclusion of female health workers in MHTs. Delivery of maternity care services showed a more significant increase (p < 0.001). Time trend and qualitative analyses is ongoing. Conclusions Introduction of female health workers significantly improved uptake of health care services for women and children especially in extremely isolated areas controlled by armed groups in Afghanistan. Engaging with local stakeholders is essential for delivery of health services for vulnerable populations in fragile settings like Afghanistan. Key messages Understanding cultural norms results in socially acceptable solutions to barriers in delivery of healthcare services and leads to improvements in access for women and children in fragile settings. Building local partnerships and capacities and using local resources result in safe, efficient and sustainable delivery of healthcare services for vulnerable populations in fragile settings.

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Engaging Parents in Mental Health Services: A Qualitative Study of Community Health Workers’ Strategies in High Poverty Urban Communities

Administration and Policy in Mental Health and Mental Health Services Research ◽

10.1007/s10488-021-01124-8 ◽

2021 ◽

Author(s):

Erika L. Gustafson ◽

Davielle Lakind ◽

Angela L. Walden ◽

Dana Rusch ◽

Marc S. Atkins

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Qualitative Study ◽

Health Services ◽

Community Health ◽

Urban Communities ◽

Community Health Workers ◽

Health Workers ◽

High Poverty

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Factors influencing access to and utilisation of youth-friendly sexual and reproductive health services in sub-Saharan Africa: a systematic review

Reproductive Health ◽

10.1186/s12978-021-01183-y ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Lesley Rose Ninsiima ◽

Isabel Kazanga Chiumia ◽

Rawlance Ndejjo

Keyword(s):

Reproductive Health ◽

Health Services ◽

Sexual And Reproductive Health ◽

Health Workers ◽

Sub Saharan Africa ◽

Inclusion Criteria ◽

Reproductive Health Services ◽

Factors Influencing ◽

Sub Saharan ◽

Youth Friendly

Abstract Background Despite the global agreements on adolescents’ sexual and reproductive health and rights, access to and utilisation of these services among the youth/adolescents remain unsatisfactory in low- and middle-income countries which are a significant barrier to progress in this area. This review established factors influencing access and utilisation of youth-friendly sexual and reproductive health services (YFSRHS) among the youth in sub-Saharan Africa to inform programmatic interventions. Methodology A systematic review of studies published between January 2009 and April 2019 using PubMed, Web of Science, EMBASE, Medline, and Cochrane Library, and Google Scholar databases was conducted. Studies were screened based on the inclusion criteria of barriers and facilitators of implementation of YFSRHS, existing national policies on provision of YFSRHS, and youth’s perspectives on these services. Findings A total of 23,400 studies were identified through database search and additional 5 studies from other sources. After the full-text screening, 20 studies from 7 countries met the inclusion criteria and were included in the final review. Structural barriers were the negative attitude of health workers and their being unskilled and individual barriers included lack of knowledge among youth regarding YFSRHS. Facilitators of utilisation of the services were mostly structural in nature which included community outreaches, health education, and policy recommendations to improve implementation of the quality of health services and clinics for adolescents/youth to fit their needs and preferences. Conclusion Stakeholder interventions focusing on implementing YFSRHS should aim at intensive training of health workers and put in place quality implementation standard guidelines in clinics to offer services according to youth’s needs and preferences. In addition, educating the youth through community outreaches and health education programs for those in schools can facilitate utilisation and scale up of the service.

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Extension of Mental Health Services Through Training of Primary Health Workers

Psychiatry The State of the Art ◽

10.1007/978-1-4757-1853-9_45 ◽

1985 ◽

pp. 293-296

Author(s):

Carlos E. Climent

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Health Workers ◽

Primary Health

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COMMUNITY DEVELOPMENT IN THE THIRD WORLD—CAN WE LEARN FROM IT?

World Leisure & Recreation ◽

10.1080/10261133.1996.9673998 ◽

1996 ◽

Vol 38 (1) ◽

pp. 12-15

Author(s):

Christian P. Casparis ◽

Hans-Peter Meier-Dallach ◽

Peter Schübeler

Keyword(s):

Community Development ◽

Third World ◽

The Third ◽

The Third World

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Developing and Using Vignettes to Explore the Relationship Between Risk Management Practice and Recovery-Oriented Care in Mental Health Services

Qualitative Health Research ◽

10.1177/1049732317725284 ◽

2017 ◽

Vol 28 (3) ◽

pp. 371-380 ◽

Cited By ~ 4

Author(s):

Jessica Holley ◽

Steven Gillard

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Services ◽

Health Services ◽

Focus Groups ◽

Health Workers ◽

Management Practice ◽

Health Care Research ◽

Empirical Literature ◽

Care Research

There is a lack of literature evaluating the development and use of vignettes to explore contested constructs in qualitative health care research where a conventional interview schedule might impose assumptions on the data collected. We describe the development and validation of vignettes in a study exploring mental health worker and service user understandings of risk and recovery in U.K. mental health services. Focus groups with mental health workers and service users explored study questions from experiential perspectives. Themes identified in the groups were combined with existing empirical literature to develop a set of vignettes. Feedback focus groups were conducted to validate and amend the vignettes. Following use in research interviews, results suggested that the vignettes had successfully elicited data on issues of risk and recovery in mental health services. Further research using creative, comparative methods is needed to fully understand how vignettes can best be used in qualitative health care research.

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Perancangan User Experience Pada Aplikasi Mobile HomeCare Rumah Sakit Semen Gresik Menggunakan Metode Design Thinking

Jurnal Teknologi Informasi dan Ilmu Komputer ◽

10.25126/jtiik.2021844550 ◽

2021 ◽

Vol 8 (5) ◽

pp. 1057

Author(s):

Fara Regina Isadora ◽

Buce Trias Hanggara ◽

Yusi Tyroni Mursityo

Keyword(s):

Health Services ◽

User Experience ◽

Design Thinking ◽

Health Workers ◽

Mean Value ◽

Design Solution ◽

Experience Design ◽

User Experience Design ◽

Number Of Patients ◽

Experience Questionnaire

Rumah Sakit Semen Gresik merupakan fasilitas kesehatan yang ada di Kabupaten Gresik dengan akreditasi tingkat paripurna. Rumah Sakit Semen Gresik di kondisi pandemi saat ini mengalami penurunan jumlah pasien dan pendapatan, sehingga Rumah Sakit Semen Gresik berencana untuk menghadirkan layanan kesehatan yang dapat dilakukan di rumah menggunakan aplikasi untuk memudahkan pasien dalam mendapatkan layanan Kesehatan tanpa datang ke rumah sakit. Aplikasi yang dibangun harus memberikan kenyamanan saat digunakan oleh pengguna, maka dari itu perlu adanya rancangan user experience. Design thinking merupakan metode yang digunakan untuk merancang user experience pada aplikasi HomeCare dengan mendefinisikan permasalahan serta memberikan solusi desain yang dapat menyelesaikan permasalahan tersebut. Solusi desain selanjutnya diuji menggunakan user experience questionnaire (UEQ) untuk mengetahui apakah solusi desain yang dirancang sudah menyelesaikan permasalahan yang dialami oleh calon pengguna. Hasil dari pengujian menggunakan UEQ yaitu, untuk aplikasi HomeCare dengan pengguna pasien memiliki nilai mean tiap skala UEQ yang berada pada kategori positif dengan semua skala UEQ berada pada kategori baik kecuali skala dependability yang berada pada kategori sangat baik, sedangkan untuk aplikasi HomeCare Giver dengan pengguna tenaga kesehatan memiliki nilai mean tiap skala UEQ yang juga berada pada kategori positif dengan semua skala UEQ berada pada kategori baik kecuali skala attractiveness dan novelty yang berada pada kategori sangat baik. Sehingga aplikasi HomeCare dan HomeCare Giver memiliki rancangan user experience yang baik.AbstractSemen Gresik Hospital is a health facility in Gresik Regency with a paripurna level of accreditation. Semen Gresik Hospital in a pandemic condition is currently experiencing a decrease in the number of patients, so that Semen Gresik Hospital plans to provide health services that can be done at home using an application to make it easier for patients to get health services without coming to the hospital. Applications that are built must provide comfort when used by users, therefore there is a need for a user experience design. Design thinking is a method used to design user experiences on the HomeCare application by defining problems and providing design solutions that can solve these problems. The design solution is then tested using a user experience questionnaire (UEQ) to find out whether the design solution designed has resolved the problems experienced by potential users. The results of the test using UEQ are, for the HomeCare application whose users are patient, the mean value of each UEQ scale is in the positive category with all UEQ scales in the good category except for the dependability scale which is in the very good category, while for the HomeCare Giver application whose the users are health workers, has a mean value of each UEQ scale which is also in the positive category with all UEQ scales in the good category except the attractiveness and novelty scales which are in the very good category. This can be concluded that HomeCare and HomeCare Giver applications have a good user experience design.

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