scholarly journals ANALISIS PENGGUNAAN ALAT PELINDUNG DIRI (APD) COVID-19 PADA PETUGAS PUSKESMAS DI KOTA PADANG

2021 ◽  
Vol 5 (1) ◽  
pp. 271-281
Author(s):  
Ayulia Fardila Sari ZA ◽  
Syafrawati Syafrawati ◽  
Laa Tania Fizikriy
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Workers ◽  
Transmission Risk ◽  
Primary Data ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional ◽  
Primary Health ◽  
Usage Behavior

Introduction: Health workers are groups that are vulnerable to contracting COVID-19. There are 20 health workers in West Sumatra test positive for COVID-19 until April 30th 2020, while six of them are Padang primary health care officers. Using Personal Protective Equipment (PPE) is important to prevent and reduce COVID-19 transmission risk of health workers. This study aimed to measure factors of using PPE for Padang primary health care officers. Methods: Research used a quantitative method with cross sectional design in 12 Padang primary health care from March to July 2020. Independent variables were age, PPE availability, leadership support, knowledge, and attitudes. Dependent variable was PPE usage behavior. Research population was health care officers who directly contacted with people in Padang primary health care area with 100 samples. Primary data collection used questionnaire with accidental sampling technique and analyzed using bivariate analysis. Results:There was a significant relationship between age and PPE usage behavior for health care officers, p value=0.037 (p

scholarly journals Assessment of health workers’ concern about COVID-19 pandemic: implication for surveillance activities among Primary Health Care workers in Oyo State, South-Western Nigeria

2020 ◽  
Author(s):  
Olaniyan Akintunde Babatunde ◽  
Muideen Babatunde Olatunji ◽  
Roseline Oluyemisi Akande ◽  
Joseph Muyiwa Olumoyegun
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Workers ◽  
Health Workers ◽  
Sampling Technique ◽  
Bivariate Analysis ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Primary Health ◽  
Care Workers

Abstract Background: The outbreak of COVID-19 has continued to threaten the existence of human race. The novelty and unstable epidemiologic pattern of the virus had generated so much concern among the global health experts. These concerns were found to be escalated among frontline health care workers to the extent of impeding the timeliness of the response activities. To slow down the spread of the already established community transmission through the surveillance activities, the concern of the health workers at the community level needs to be addressed. Therefore, this study assessed the concern about COVID-19 pandemic among the primary health workers in Oyo State, Nigeria.MethodsThis was an online cross-sectional survey conducted among primary health care workers in Oyo State between March and April 2020. Using a two-stage sampling technique, we recruited 284 respondents. A semi-structured questionnaire linked to the Google form was used to collect data. Data were analyzed using IBM SPSS version 25; bivariate analysis was done using Chi-square and binary logistic regression was used to identify the predictors of health workers’ concern at 5% level of significance.ResultsThe mean age of respondents was 45.0 + 9.0 years. About 52.5% had goodk knowledge of COVID-19. In the domains of concern, 66.9%, 53.2%, 51.4%, and 46.5% of the respondents expressed government-related concern, self-satisfaction related concern, work-related concern and social status related concern respectively. Male respondents were less likely to express concern about COVID-19 compared with their female counterparts (aOR= 0.39, 95% CI = 0.20 – 0.76). Nurses/midwives (aOR= 0.21, 95% CI = 0.05 – 0.85) had lesser likelihood of expressing concern about COVID-19 while middle staff (aOR= 2.5, 95% CI = 1.18 – 5.39) and income earner of ≥ N200, 000 (aOR= 2.3, 95% CI = 1.34 – 3.92) had higher likelihood of expressing concern about COVID-19.ConclusionThe study revealed an average knowledge of COVID-19 among the respondents. Government-related and self-satisfaction related concerns were majorly expressed by the majority of the PHC workers. Therefore, holistic policy that addresses the welfare and training of the HCWs is recommended.

scholarly journals Faktor yang Menentukan Pengetahuan Akhir Pasien tentang Obat di Puskesmas

2019 ◽  
Vol 6 (2) ◽  
pp. 91
Author(s):  
Diesty Anita Nugraheni ◽  
Prisca Widiyanti ◽  
Chaifah Salim Assaidi ◽  
Cendana Handayani Hariyadi ◽  
Kristina Dewi Pratiwi
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Center ◽  
Health Worker ◽  
Health Workers ◽  
Primary Data ◽  
Systematic Sampling ◽  
Primary Health Center ◽  
Cross Sectional ◽  
Primary Health

ABSTRAK Proses pemberian informasi yang memuaskan antara pasien dan apoteker merupakan hal yang penting dalam penggunaan obat secara rasional oleh pasien dan sangat dipengaruhi oleh banyak faktor baik dispensing time, karakteristik pasien dan petugas kesehatan. Tujuan penelitian adalah untuk menganalisis faktor-faktor yang menentukan pengetahuan akhir pasien tentang obat di Puskesmas. Jenis penelitian ini adalah penelitian observasional yang dilakukan dengan metode cross-sectional. Populasi adalah pasien atau keluarga pasien yang mendapatkan obat di Unit Farmasi empat Puskesmas Kabupaten Sleman. Sampel dipilih menggunakan teknik systematic sampling. Sumber data primer yaitu menghitung dispensing time dan wawancara terstruktur. Data dianalisis menggunakan uji regresi linier dan crosstab. Faktor-faktor yang diteliti sebagai penentu pengetahuan akhir pasien tentang obat di Puskesmas yaitu waktu penyerahan obat (dispensing time), jenis petugas kesehatan yang menyerahkan obat, jenis kelamin, usia, pendidikan, suku bangsa, status pernikahan, pekerjaan, pendapatan, bahasa sehari-hari, dan area tinggal. Hasil penelitian menunjukkan faktor yang menentukan tingkat pengetahuan akhir pasien adalah jenis petugas kesehatan, usia, pendidikan, pendapatan, bahasa sehari-hari, dan area tinggal pasien yaitu dengan nilai p<0,1 pada analisis regresi linier. Kesimpulan penelitian yaitu tingkat pengetahuan pasien terkait obat di Puskesmas dapat digambarkan dengan persamaan regresi Y= 2,236 + 0,223 jenis petugas kesehatan - 0,338 usia + 0,231 pendidikan – 0,103 pendapatan – 0,115 bahasa – 0,403 area tinggal. Kata kunci: dispensing time, faktor, pengetahuan obat, puskesmas, sosiodemografi.  ABSTRACT The process of providing satisfactory information between patients and pharmacists was important in rational of drugs use and greatly influenced by many factors such as dispensing time, patient characteristics and health care workers. The objective of the study was to analyze the factors related to the patient's medication exit knowledge at primary health care. This research was an observational study conducted with cross-sectional method. The population werw patients or their families who get medication at pharmacy unit of four primary health care in the Sleman district. Samples were selected using systematic sampling techniques. The primary data source were observe dispensing time and structured interviews. Data were analyzed using linear regression and crosstab tests. The factors studied as determinants of the patient's medication exit knowledge at the primary health center were dispensing time, the health worker who dispensing drugs, sex, age, education, ethnicity, marital status, occupation, income,  language, and area of residence. The factors that determine patient’s medication exit knowledge were the type of health worker, age, education, income, language, and area of residence. The conclusion of the study is the patient’s medication exit knowledge at primary health center can be described by the regression equation Y = 2.236 + 0.223 types of health workers - 0.338 ages + 0.231 education - 0.103 income - 0.115 languages - 0.403 residence area. Keywords: dispensing time, factor, medication knowledge, primary health care, sociodemographic

scholarly journals Epidemiology of non-exclusive breastfeeding behavior (study in the working area of primary health care Margorejo Pati regency)

2020 ◽  
Vol 202 ◽  
pp. 12028
Author(s):  
Emawati Fatima ◽  
Lintang Dian Saraswati ◽  
Praba Ginandjar ◽  
Dwi Sutiningsih
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Exclusive Breastfeeding ◽  
Control Method ◽  
Health Workers ◽  
Negative Attitude ◽  
Bivariate Analysis ◽  
Maternal Knowledge ◽  
Low Level ◽  
Primary Health

Non-exclusive breastfeeding is defined as the provision of food or fluids in addition to drugs, vitamins, and minerals to infants before the age of 6 months. Exclusive breastfeeding for infants is seen to prevent and cure stunting and other forms of malnutrition. Primary Health Care (PHC) Margorejo is the health center with the lowest exclusive breastfeeding coverage in Pati Regency in 2017 and 2018. The purpose of this study was to analyze the factors related to the behavior of non-exclusive breastfeeding in the working area of the PHC Margorejo in Pati Regency. This study uses a case control method. The research sample consisted of 70 consisting of 35 cases and 35 controls. The research targets were mothers who have 6-11 months old infants in the working area of the PHC Margorejo. Bivariate analysis showed a low level of maternal knowledge (p = 0.008), negative maternal attitudes (p = 0.022), and the absence of support from health workers (p = 0.002) related to non-exclusive breastfeeding behavior. Low level knowledge of mothers, negative attitude of mothers, and the absence of support from health workers are all factors related to the behavior of non-exclusive breastfeeding in the working area of PHC Margorejo in Pati Regency.

scholarly journals Hubungan capaian program gizi dengan tingkat akreditasi puskesmas di Aceh

2020 ◽  
Vol 5 (2) ◽  
pp. 105
Author(s):  
Junaidar Junaidar ◽  
Melania Hidayat ◽  
Hafnidar A Rani ◽  
Milza Oka Yussar
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Statistical Tests ◽  
P Value ◽  
Cross Sectional ◽  
Under Five ◽  
Nutrition Programs ◽  
Primary Health ◽  
Low Performance

The quality of health services is measured by 3 components, namely input (HR, Infrastructure,) process (reliability), and output (product results). If the program's achievements do not reach the target, the quality of primary health care services can be doubted. The research objective is to determine the achievements of the program with the level of accreditation of health centers. The study uses a descriptive-analytic method with a cross-sectional design, using secondary data essential nutrition programs. The population and sample are all primary health care in Aceh Province that are accredited or not accredited, data collection is carried out in the program and data section of the Aceh Health Office and the statistical tests used are chi-square and odds ratio using STATA 13 software. The results of the study indicate, that malnutrition that receives care with low performance, children under five are weighed with low performance and low LBW cases have a relationship with the level of accreditation (p-value <0,05). In conclusion, several nutrition programs related to primary health care accreditation are malnourished children receiving treatment, LBW, and weighing under five. While the achievements of other nutrition programs do not show a relationship with the accreditation of primary health care. Suggestions, to create excellently and quality service, the health center must be able to improve program achievements according to the Government's target either in accordance with one of the indicators namely the strategic plan and health indicators.

scholarly journals Midwife’s Role in the Mother-to-Child Transmission Prevention Program in Primary Health Care in Yogyakarta

2019 ◽  
Vol 14 (2) ◽  
Author(s):  
Niken Meilani ◽  
Nanik Setiyawati ◽  
Sammy Onyapidi Barasa
Keyword(s):  
Health Care ◽  
Sustainable Development ◽  
Primary Health Care ◽  
Sustainable Development Goals ◽  
Dominant Factor ◽  
P Value ◽  
Cross Sectional ◽  
Factors Associated ◽  
Primary Health ◽  
Development Goals

Curing and eradicating Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (AIDS) are to the core principles of the United Nations’ Sustainable Development Goals (SDGs). The incidence of HIV in the world remains high. Although midwives play a pivotal role in PMTCT implementation, the factors associated with midwives’ role in its implementation are not well understood. The aim of this study was to determine factors associated with midwives’ role in implementation of PMTCT. This study used a cross-sectional design. The subjects were 80 midwives at 14 primary health care in Yogyakarta City, Indonesia. The study was conducted from April to August 2017. Data were analyzed through univariate, bivariate with chi-square and Fisher’s exact test, multivariate with logistic regression. The results showed that 47.5% of midwives were in the poor category regarding implementation of PMTCT. Information availability through socialization (p-value = 0.047) and knowledge level (p-value = 0.016) were found to be related to PMTCT implementation. There was no relationship between age, length of work, education level, marital status, availability of information, midwife’s attitude, perception of the availability of facilities and institutional support with midwife behavior in PMTCT implementation. Multivariate analysis showed that level of knowledge was the most dominant factor affecting PMTCT implementation (OR:6.2; CI 95% = 1.8-21.4). We recommend that efforts should be made to continuously improve the knowledge of midwives on PMTCT implementation through peer support and training in order to achieve sustainable development goals.

Evaluation Of Drugs Use With Who Prescribing Indicator In Kuta Primary Health

2018 ◽  
Vol 3 (3) ◽  
pp. 483
Author(s):  
Dewa Ayu Putu Satrya Dewi ◽  
Putu Eka Arimbawa ◽  
Abdul Khodir Jaelani
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Drug Use ◽  
Focus Group ◽  
Health Workers ◽  
Generic Drugs ◽  
Cross Sectional ◽  
Rational Use ◽  
Primary Health ◽  
The Government

<p><em>The Government of Indonesia has a lot of intervention for rationalizing drug use of all levels of health services including Primary Health Care. One of the programs of rational use of drugs at Primary Health Care is monitoring and evaluation of drug use conducted by pharmacist. The purpose of this research was to evaluate the rationality of drug usein Kuta Primary Health Care that review from WHO prescribing indicators and knowing the difference percentage of rationality of drug use between Kuta Primary Health Care. This research used cross sectional design research conducted in Kuta Primary Health Care on October 2017. Data analyzed using descriptive analysis and Kruskall-Wallis test. The average number of drug prescribed per en counter was 2.9. The percentage of drugs prescribed by generic drugs was 85.91percent. The percentage prescribed of encounters in which an antibiotic on ARI non Pneumonia was 29.94 pecent  and percentage prescribing antibiotic drugs in a non-specific diarrhea was 23.84 percent. The percentage prescribed of encounters injection was 0 percent. On the basic of the finding of this study the prescribed practices for polypharmacy, generic prescribing, and antibiotic shows deviation from the standard recommended by WHO and Directorate General of Pharmaceutical and Medical Devices Indonesia. These finding suggested increase health workers knowledge through scientific meetings or Focus Group Disscution (FGD) that can support a rational use of drugs in the Primary Health Care.</em></p><p> </p><p>Pemerintah Indonesia telah banyak melakukan intervensi untuk merasionalkan penggunaan obat dari segala tingkat pelayanan kesehatan termasuk Puskesmas. Salah satu program Penggunaan Obat Rasional (POR) di Puskesmas adalah monev penggunaan obat yang dilakukan oleh farmasis. Tujuan penelitian ini adalah melakukan evaluasi rasionalitas penggunaan obat di Puskesmas Kecamatan Kuta ditinjau dari indikator peresepan (% peresepan obat generik, % persentase antibiotik, % peresepan injeksi) dan mengetahui perbedaan persentase rasionalitas penggunaan obat antar Puskesmas Kecamatan Kuta. Penelitian ini menggunakan rancangan penelitian<em> cross sectional </em>yang dilakukan pada Puskesmas Kuta I, Kuta II, dan Kuta Utara pada bulan Oktober 2017. Analisis data menggunakan analisis deskriptif dan uji Kruskall-Wallis. Analisis deskriptif dari tenaga kesehatan menunjukkan bahwa, profesi Apoteker masih langka di Puskesmas Kecamatan Kuta yaitu hanya ada di Puskesmas Kuta 1 per November 2018. Hasil penelitian tiap parameter pada Puskesmas Kecamatan Kuta tidak ada yang memenuhi target kriteria POR dari target Dirjen Binfar kecuali parameter peresepan injeksi. Rata-rata obat tiap pasien adalah 2,9, % peresepan obat generik adalah 85,91%, % peresepan obat antibiotik pada ISPA non Pneumonia adalah 29,94%, % peresepan obat antibiotik pada diare non spesifik adalah 23,84%, dan % peresepan injeksi adalah 0%. Hal tersebut menunjukkan bahwa Puskesmas Kecamatan Kuta masih mengalami masalah polifarmasi dan penggunaan antibiotik berlebihan. Hasil penelitian ini dapat menunjukkan adanya kebutuhan untuk meningkatkan pengetahuan tenaga kesehatan melalui pertemuan ilmiah atau <em>Focus Group Disscution (</em>FGD) yang dapat mendukung penggunaan obat yang rasional di Puskesmas.</p>

scholarly journals Determinants of access to primary health care for the elderly in the province of Essaouira

2021 ◽  
Vol 319 ◽  
pp. 02021
Author(s):  
Hicham Mejdouli ◽  
Abdellatif Baali ◽  
Hakima Amor ◽  
Nadia Ouzennou
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Older People ◽  
The Elderly ◽  
World Health Organisation ◽  
Health Care Facilities ◽  
World Health ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Primary Health

Morocco is experiencing demographic and epidemiological changes marked by an increase in the proportion of elderly people accompanied by a growing prevalence of chronic diseases and disabilities, thus leading to an increase in the demand for health care. the Moroccan health system therefore faces the challenge of meeting the specific needs of older populations in terms of access to and use of health care services. To achieve this, the World Health Organisation (WHO) recommends a community-based approach, based on primary health care facilities (PHCFs), to the provision of services for older people. This is a descriptive, cross-sectional study based on a quantitative approach. The survey was carried out via a questionnaire intended for a sample of 739 people aged 60 years and over attending the ESSPs in the province of Essaouira between January and February of the year 2020. Our study has allowed us to understand the determinants related to the use of PHC by the elderly in the province of Essaouira. These determinants concern the characteristics of the elderly as well as the organisational and institutional aspects of the care offer. The bivariate analysis of the results showed a statistically significant association between the use of PHC by the elderly and the area of residence, gender, level of education, distance travelled to health facilities, quality of reception, and availability of medicines. Policymakers are called upon to consider the determinants of the use of PHC in order to better address the health needs of older people, and also to respond to WHO guidance in this area.

scholarly journals HUBUNGAN UMUR DAN JENIS KELAMIN TERHADAP KEBERHASILAN PITC (PROVIDER INITIATED TESTING AND COUNSELLING) PADA PASIEN TB DI KOTA MEDAN TAHUN 2017

2019 ◽  
Vol 13 (2) ◽  
Author(s):  
Sity Kunarisasi ◽  
Imran Pambudi ◽  
Asri Mutiara Putri ◽  
Nurhanifah Hamdah
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Public Health Issue ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Primary Health ◽  
Hiv Test ◽  
Chi Square Test ◽  
And Gender

Tuberculosis is a public health issue. Prevalence of tuberculosis in 2017 is estimated 824.000 cases in which making Indonesia the third country in the world with biggest burden TB and the seventh country with biggest burden in HIV-TB. PITC in primary health care is a Health Ministry program. PITC is the only test and counseling to motivated TB patient to get HIV test. The aim of this study is to analyze relationship between age and gender with the success of PITC in TB patients to know the HIV status at Medan in 2017. Method This research is a descriptive-analytic study with cross-sectional approach. the population in this study is TB patients with age 15-49 years old wo had TB diagnosed either with bacteriologic or clinical in primary health care at Medan in 2017. Medan is chosen because Medan is one of eight cities with the highest burden of TB and HIV in Indonesia, also it has complete recording of TB patients. The sample of this study is all TB patients in primary health care at Medan in 2017 who had PITC in total 2.228 from all TB patients in total 5.039 patients. Data analysis using SPSS to search for p value and Odds Ratio (OR). Result 250 of 2.228 (11,22%) patients is positive in HIV test. Statistics analysis using chi-square test shows p value 0.000 (p<0.05) and OR = 1.905 for relationship between gender and HIV test positive. Also, p value of 0,006 (p<0,05) and OR = 1.459 for relationship between age and HIV test positive. In this study with the implementation of PITC in TB patients in primary health care at Medan there is a relationship between sex and age with HIV infection.

scholarly journals Preventive Behavior Towards Maya Index at DHF Endemic Area

2021 ◽  
Vol 13 (1) ◽  
pp. 1
Author(s):  
Tiwik Suci Pratiwi ◽  
Edza Aria Wikurendra ◽  
Ririh Yudhastuti ◽  
Yudhied Agung Mirasa
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Significant Relationship ◽  
Community Health Center ◽  
Risk Level ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Primary Health ◽  
The Relationship

Introduction: Primary health care Putat Jaya is an area with the highest number of DHF cases out of the three primary health care in Sawahan District, Surabaya City. The number of breeding sites for mosquitoes and the density of larvae can be the risk factors that affect mosquitoes’ spread. Maya Index is an indicator to measure the number of water reservoirs used as breeding grounds for mosquitoes. This study aims to analyze behavioral factors towards virtual index in dengue-endemic areas in the Primary health care Putat Jaya Surabaya. Methods: The research used observational type with a cross-sectional design. The population of this study was all houses in the highest endemic. The sample consisted of 100 houses taken randomly, with research variables including mosquito nests eradication behavior and Maya Index status. Data collection used questionnaires and direct observation. The data were presented in the form of distribution tables and statistically analyzed with the chi-square test. Results and Discussion: The results showed the Maya Index of 74 houses in the high category. There was a significant relationship between the respondent’s behavior (knowledge, attitude, action) and the Maya Index. Analysis of the relationship between respondents’ knowledge and Maya Index showed that the p-value = 0.00. Analysis of the relationship between respondents’ attitudes with the Maya Index shows that p-value = 0.02. Furthermore, there was a significant relationship between the respondent’s actions and the Maya Index with a p-value = 0.03. Conclusion: Based on the results of research, community behavior (Knowledge, Attitude, Action) has a significant relationship with the Maya Index level, and the high virtual index affects the risk level of DHF transmission. Knowledge was the most potential factor that affected the Maya Index. It is suggested that the community will often strive to eradicate mosquito nests independently and regularly as well as increase community knowledge with the help of community health center officers regarding the eradication of mosquito nets.

scholarly journals Overview of Knowledge and Health Care Performance

2020 ◽  
Vol 10 (3) ◽  
pp. 359-364
Author(s):  
Rinayati Rinayati ◽  
Ambar Dwi Erawati ◽  
Sri Wahyuning
Keyword(s):  
Health Workers ◽  
Primary Data ◽  
Rank Test ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional ◽  
Variate Analysis ◽  
Health Care Performance ◽  
Test Result ◽  
Care Performance

In  2019 heahth program  in Semarang tend to increase, The partnership between health workers and health cadres  is important. The performance of health cadres in the community has essence that cannot be released with health service. Methods descriptive analytic with cross-sectional. Population all health cadres in the Gondoriyo region. samples  68 respondents. primary data obtained through direct interviews using a structured questionnaire.Analysis using uni variate analysis, frequency distribution and bivariate analysis using the Spearman Rank test. Result, good knowledge level (73,5%) ,good level cadre performance ( 73,5%) health cadre knowledge is not related to cadre performance (p value = 0.883 and r = 0.089.

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