scholarly journals EMBERDAYAAN PERAN KADER MELALUI POSYANDU REMAJA PLUS KIE KESEHATAN REPRODUKSI DI POSYANDU REMAJA KELURAHAN PENYENGAT RENDAH KOTA JAMBI

2020 ◽  
Vol 4 (2) ◽  
pp. 165
Author(s):  
R Ruwayda
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Center ◽  
Specific Method ◽  
Implementation Phase ◽  
Knowledge And Skills ◽  
Primary Health ◽  
Integrated Health ◽  
Before And After ◽  
The Many

The implementation integrated health center of adolences begins in 2018 at Aur Duri Primary Health Care, the number of adolescent visits has decreased due to one of them being established and there is no specific method in providing information and education communication (IEC) reproductive health. The target activities are 30 adolescents in Penyengat Rendah from April to June 2019. These community service activities through 3 stages of activity: the pre-implementation stage determining and obtaining a response letter from partners, arranging cooperation and determining goals activities, determine fun and flexible methods, determine activities which include lectures, discussion of Buzz Group methods and IEC practices. The implementation phase includes the provision of information about IEC through discussions using the Buzz Group and IEC practices. The post-implementation phase evaluates the knowledge and skills in providing IEC. The results of knowledge tests showed differences in the mean knowledge before and after using the Buzz Group of 3.133. The conclusion was level of achievement the target good, and adolescents feel the many benefits received increasing knowledge and skills of giving IEC to their peers. It is recommended for Primary Health care can develop this activity in other integrated health center of adolescent

scholarly journals Evaluation of Emergency Health-Care Initiatives to Reduce Overcrowding in a Referral Medical Complex, Jeddah, Saudi Arabia

2021 ◽  
pp. 1-6
Author(s):  
Khalid Alabbasi ◽  
Estie Kruger ◽  
Marc Tennant
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Public Hospital ◽  
Waiting Times ◽  
Care Centre ◽  
Health Care Centre ◽  
Transfer Policy ◽  
Primary Health ◽  
Before And After ◽  
Ed Visits

<b><i>Purpose:</i></b> Excessive delays and emergency department (ED) overcrowding have become an increasingly major problem for public health worldwide. This study was to assess the key strategies adopted by an ED, at a public hospital in Jeddah, to reduce delays and streamline patient flow. <b><i>Materials and Methods:</i></b> This study was a service evaluation for a Saudi patient population of all age-groups who attended the ED of a public hospital for the period between June 2016 and July 2019. The Saudi initiative to reduce the ED visits at the King Abdullah Medical Complex hospital has started on August 7, 2018. The initiative was to apply an urgency transfer policy which outlines the procedures to follow when patients arrive to the ED where they are reviewed based on the Canadian Triage and Acuity Scale (CTAS). Patients with less-urgent conditions (category 4 and 5) are referred to a primary health-care practice (where a family medicine consultant is available). Patients with urgent conditions (category 1–3) are referred to a specialized health-care centre if the service is not currently provided. To test the effectiveness of ED initiative on reducing the overcrowd, data were categorized into before and after the initiative. The bivariate analysis χ<sup>2</sup> tests and 2 sample <i>t</i>-tests were run to explore the relationship of gender and age with dependent variable emergency. <b><i>Results:</i></b> A total of 233,998 patients were included in this study, 61.8% of them were males and the average age of ED patients were 35.5 ± 18.6 years. The majority of cases were those classified as “less urgent” (CTAS 4), which accounted for 65.4%. Number of ED visits before and after the initiative was 67 and 33%, respectively. ED waiting times after the initiative have statistically significantly decreased across all acuity levels compared to ED waiting times before the initiative. <b><i>Conclusion and Implication:</i></b> The findings suggest that the majority of patients arrive to the ED with less-urgent conditions and arrived by walking-in. The number of cases attending the ED significantly decreased following the introduction of the urgency transfer policy. Referral for less-urgent patients to primary health-care centre may be an important front-end operational strategy to relieve congestion.

scholarly journals Low Birth Weight as Risk Factor of Pneumonia Child in Primary Health Care of Surabaya

2019 ◽  
Vol 10 (2) ◽  
pp. 61
Author(s):  
Vania Ayu Puspamaniar ◽  
Retno Asih Setyoningrum ◽  
Dwi Susanti
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Risk Factor ◽  
Primary Health Care ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Health Center ◽  
Control Group ◽  
Mortality And Morbidity ◽  
Primary Health

Introduction: Pneumonia is an infectious disease attacking lower respiratory tract. It has one of the highest number of world’s mortality and morbidity in children. Many risk factors are suspected as the reasons why the disease still occur a lot. One of the major risk factors is birth weight which makes their immune system immature and easier to get various complications and infections. The aim of this study is to analyze birth weight as risk factor of pneumonia in children under 5 years old. Methods: This was an analytical study with case control design. This study was held in Primary Health Care of Tambakrejo, from August to December 2017. The sample size was 22 respondents for each case and control group. Technique of sampling was total sampling. Secondary data were collected by medical records at the health center and Kartu Menuju Sehat (KMS). Data were entered into Microsoft Excel then statistically analyzed using IBM SPSS 22. The data were analyzed by Fisher’s Exact Test.Results: During August to December 2017, there were 22 respondents which were diagnosed with pneumonia in Tambakrejo Primary Health Center. Two of them (4.55%) had low birth weight and the rests had normal birth weight (95.45%). The analyze result stated that there is no significant correlation between pneumonia incidence and birth weight. Conclusion: Birth weight is one of pneumonia risk factors without significant impact.

scholarly journals Effectiveness of an Educational Manual to Promote Infant Feeding Practices in Primary Health Care

2019 ◽  
Vol 40 (4) ◽  
pp. 544-561
Author(s):  
Gláubia Rocha Barbosa Relvas ◽  
Gabriela Buccini ◽  
Louise Potvin ◽  
Sonia Venancio
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Infant Feeding ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Educational Strategy ◽  
Infant Feeding Practices ◽  
Multilevel Regression ◽  
Primary Health ◽  
Before And After

Objective: To test the hypothesis that a continuing educational strategy (ie, “the manual”) in primary health-care improves infant feeding practices among infants under 1 year of age. Methods: A before and after study was conducted at primary health-care units in Embu das Artes, Brazil. The intervention was the use of a manual created to support continuing educational activities on breastfeeding and complementary feeding to be performed by tutors of Estratégia Amamenta e Alimenta Brasil with health-care teams, in a period of 8 months. Five hundred sixty-one mothers before and 598 mothers after intervention were interviewed about breastfeeding and complementary feeding practices. Multivariate analysis was performed using Poisson multilevel regression to test the hypothesis. Results: Lack of minimum food diversity (before 62.9%; after 50.3%) and lack of food adequacy (before 77.5%; after 63.3%) decreased significantly. Regression analysis confirmed that infants after the intervention had lower prevalence of inadequacy of complementary feeding. While the intervention did not show significant association with exclusive breastfeeding, it showed association with the improvement of complementary feeding practices. Conclusions: The manual is a continuing educational strategy that improved complementary feeding practices in primary health care.

Gambaran Farmakoterapi Pasien Common Cold Di Puskesmas Pekanbaru

2017 ◽  
Vol 10 (1) ◽  
pp. 63
Author(s):  
Dimas Pramita Nugraha ◽  
Inayah Inayah
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Medication Error ◽  
Health Center ◽  
Medication Errors ◽  
Common Cold ◽  
Total Sample ◽  
Primary Health Center ◽  
Primary Health ◽  
The Common

Common cold is still a disease with the most number of cases in Indonesia and the province of Riau in out patientswho visited the primary health center (Puskesmas). However, in primary health care, like Puskesmas and privatepractice physicians are expected pharmacotherapy common cold is not rational. Medication errors is a common problem.The purpose of this study was to determine how the use of pharmacotherapy in patients with the common cold inPuskesmas Pekanbaru. This study was an observational descriptive , with a total sample 4602 people who meet thespecified criteria .The results showed that the percentage patients common cold using symptomatic analgesic-antipyreticdrugs 70.2%.However, the percentage of patients that using antibiotics in common cold is still quite a lot (36%), alsothe use corticosteroid (17,9%) that showed medication error. The patterns pharmacotherapy of common cold inPuskesmas Pekanbaru was relatively good, but need improvement .

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