scholarly journals C-Reactive Protein: A New Rapid Assay for Managing Infectious Disease in Primary Health Care

1991 ◽  
Vol 9 (1) ◽  
pp. 3-10 ◽  
Author(s):  
Per Hjortdahl ◽  
Sverre Landaas ◽  
Petter Urdal ◽  
Martin Steinbakk ◽  
Per Fuglerud ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Health Care ◽  
Primary Health Care ◽  
Protein A ◽  
C Reactive Protein ◽  
Rapid Assay ◽  
Reactive Protein ◽  
Primary Health

Seeking Solutions to the Challenges in Health Services in Developing Nations

2015 ◽  
pp. 1-51
Author(s):  
Jessica McCormack ◽  
Patrick Rawstorne ◽  
Mohamud Sheikh
Keyword(s):  
Infectious Disease ◽  
Health Care ◽  
Primary Health Care ◽  
Cardiovascular Diseases ◽  
Burden Of Disease ◽  
Communicable Disease ◽  
Developing Nations ◽  
Global Burden ◽  
Primary Health ◽  
Non Communicable Disease

The Global Burden of Disease (GBD) study, 2010, confirmed that the world's population is living longer and we are now less likely than a decade earlier to die from an infectious disease but also more likely to live our twilight years with morbidity (Murray et al., 2012). We will also most likely die from a chronic non-communicable disease (NCD) such as cardiovascular diseases, cancers, respiratory diseases, and diabetes (Beaglehole, et al., 2008). However this brief glimpse at the trends in the health of the world's population obscures massive inequalities in the burden of disease as well as variations across the globe. In this piece, we will revisit primary health care, both at its dawn, its contribution to developing nations, and the ills it struggled through over the years. Cuba and Thailand are the key examples of developing nations that have experienced the contribution of primary health care more than most other countries.

scholarly journals Reorganizacija službe na primarnem nivoju zdravstvene dejavnosti v času epidemije COVID-19

2021 ◽  
Author(s):  
Tatjana Kitić jaklić ◽  
Jože Prestor ◽  
Matjaž Maletič
Keyword(s):  
Infectious Disease ◽  
Health Care ◽  
Primary Health Care ◽  
Community Health ◽  
Daily Life ◽  
Good Practice ◽  
Health Centre ◽  
Health Care Sector ◽  
The Past ◽  
Primary Health

The COVID-19 epidemic caused by the SARS-Co-V2 virus has dramatically affected the daily life of society as a whole and almost without exception the functioning of various institutions. The first and hardest have been institutions falling under the health care sector. Over the past several decades, the functioning of health care institutions has retained a more or less type of fragile balance that has been further shaken by the COVID-19 epidemic. This has served to inadevertently reveal some shortcomings in the health care sector. In this article, we outline the reorganization and adaptation of the primary health care sector as seen in the example of the Community Health Centre Kranj. Particulary highlighted are challenges faced within the health care institution as well as examples of good practice that should be maintained in the event of any future infectious disease epidemic outbreaks.

scholarly journals Model Pengendalian Faktor Risiko Stunting pada Anak Bawah Tiga Tahun

2015 ◽  
Vol 9 (3) ◽  
pp. 249 ◽  
Author(s):  
Erna Kusumawati ◽  
Setiyowati Rahardjo ◽  
Hesti Permata Sari
Keyword(s):  
Infectious Disease ◽  
Risk Factors ◽  
Health Care ◽  
Primary Health Care ◽  
Family Income ◽  
Control Sample ◽  
Control Model ◽  
Normal Children ◽  
Environmental Sanitation ◽  
Primary Health

Stunting merupakan masalah gizi, terbukti data pemantauan status gizi Kabupaten Banyumas 2012 prevalensi stunting sebesar 28,37% dan prevalensi tertinggi (41,6%) di Puskesmas Kedungbanteng. Tujuan penelitian untuk menganalisis faktor risiko terkait faktor anak, ibu, lingkungan terhadap stunting bawah tiga tahun (batita) agar dapat dikembangkan model pengendaliannya. Penelitian menggunakan desain kasus kontrol, populasi adalah seluruh anak usia 6 sampai 36 bulan di Puskesmas Kedungbanteng Kabupaten Banyumas selama enam bulan tahun 2013. Sampel kasus adalah 50 batita stunting, sampel kontrol adalah 50 batita status normal. Teknik pengambilan sampel kasus diambil dari tujuh desa yang terbanyak stuntingnya, sedangkan kontrol adalah batita normal tetangga terdekat kasus dengan usia yang disamakan. Pengumpulan data dengan wawancara dan pengukuran. Analisis data univariat, bivariat (uji kai kuadrat), dan multivariat (uji regresi logistik ganda). Hasil penelitian menemukan karakteristik batita stunting terkena penyakit infeksi (82%), riwayat panjang badan lahir < 48 centimeter (66%), riwayat pemberian ASI dan makanan pendamping ASI kurang baik (66%), riwayat berat badan lahir rendah (8%). Pada penelitian ini, faktor risiko stunting adalah penyakit infeksi, pelayanan kesehatan, immunisasi, pengetahuan ibu, pendapatan keluarga, ketersediaan pangan keluarga, dan sanitasi lingkungan. Faktor yang paling dominan adalah penyakit infeksi. Model pengendalian stunting melalui peningkatan pemberdayaan keluarga terkait pencegahan penyakit infeksi, memanfaatkan pekarangan sebagai sumber gizi keluarga dan perbaikan sanitasi lingkungan.  Model of Stunting Risk Factor Control among Children under Three Years OldStunting is a nutritional problem, proved by the evidence of nutritional status monitoring at Banyumas District in 2012, the prevalence of stunting was 28.37% and the highest prevalence 41.6% at Kedungbanteng Primary Health Care. This study aimed to analyze risk factors related to child, maternal, and environmental factors toward stunting among children under three year old in 2013 in order to develop the control model. This study used case control design, the population was all children aged of six to 36 months at Kedungbanteng Primary Health Care, Banyumas District. Sample was 50 stunting children, while the control sample was 50 normal children. Sampling technique was taken from seven villages with the highest stunting number, meanwhile the control was normal children living closest to the case with similar age. Data was collected through interview and measurement. Data analysis was conducted in univariate, bivariate (chi-square test), and multivariate analyze (multiple logistic regression test). The results found that characteristics of stunting children under three years old were often suffering infectious diseases (66%), having body length record < 48 centimeter (66%), bad records of breastfeeding and comlementary feeding (66%), and record of low birth weight (8%).Stunting risk factors in this study were infectious disease, health services, immunization, maternal knowledge, family income, family food availability, and environmental sanitation. The most dominating factor was infectious disease. The stunting control model through enhancement of family empowerment related to infectious disease prevention, utilization yard as a family nutrition source and environmental sanitation repair.

scholarly journals Maternal depression and primary healthcare use for children: a population-based cohort study in Denmark

2018 ◽  
Vol 69 (680) ◽  
pp. e182-e189 ◽  
Author(s):  
Bente K Lyngsøe ◽  
Dorte Rytter ◽  
Trine Munk-Olsen ◽  
Claus H Vestergaard ◽  
Kaj S Christensen ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Health Care ◽  
Cohort Study ◽  
Primary Health Care ◽  
Maternal Depression ◽  
Population Based ◽  
Secondary Outcome ◽  
Birth Cohort Study ◽  
Healthcare Use ◽  
Primary Health

BackgroundDepression is a common mental illness worldwide. The offspring of a mother with depression has higher risk of developing mental and physical illness.AimThis study aimed to investigate the association between the timing of maternal depression and the use of primary health care for the offspring.Design and settingA population-based birth cohort study in Danish primary care using Danish national registers.MethodAll Danish children born between 1 January 2000 and 31 December 2013 (n = 869 140 children) were included in the study. The primary outcome was number and type of annual contacts with the GP. The secondary outcome was specific services used by the GP to assess inflammatory and infectious disease in the children. Exposure was maternal depression of four categories: non-depressed, recent, previous, and past depression. The association was expressed as adjusted incidence rate ratios (IRR) with 95% confidence intervals (CI).ResultsMaternal depression was associated with a higher use of primary health care for all three categories of depression. The strongest association was found for children of a mother with recent depression; they had 16% more contacts than children of a non-depressed mother (adjusted IRR = 1.16, 95% CI = 1.15 to 1.17), and 19–24% more positive infectious-related tests were found in this group.ConclusionExposure to maternal depression was associated with a significantly higher use of primary health care for the offspring for all exposure categories. These findings reveal that healthcare use is higher for the offspring exposed to maternal depression, even several years after expected remission. The higher ratio of positive tests indicates that exposed children are ill with infectious disease more often.

scholarly journals Analisis Utilisasi Resep Antibiotik Pasien Rawat Jalan Tingkat Pertama (RJTP) di Puskesmas Tebet Jakarta Selatan, Tahun 2005

2007 ◽  
Vol 1 (6) ◽  
pp. 266
Author(s):  
Nurlaili Isnaini
Keyword(s):  
Infectious Disease ◽  
Health Care ◽  
Multivariate Analysis ◽  
Primary Health Care ◽  
Bacterial Resistance ◽  
Drug Expenditure ◽  
Average Price ◽  
Primary Health ◽  
Antibiotics Use ◽  
Price Analysis

Kecenderungan peningkatan penggunaan antibiotika di Pelayanan Kesehatan Dasar merupakan penggunaaan obat yang tidak rasional dan akan menghambat penurunan angka morbiditas dan mortalitas penyakit. Pemberian antibiotika yang berlebihan akan meningkatkan resistensi bakteri dan meningkatkan pembiayaan obat. Tujuan penelitian ini adalah mengetahui gambaran utilisasi obat antibiotika Hasil penelitian menemukan bahwa persentase resep obat pasien RJTP yang berisi antibiotika 37,74 %. Proporsi terbesar pemanfaatan obat antibiotika pada pasien RJTP di Puskesmas Tebet tahun 2005 ditemukan pada kelompok usia dewasa (12-65 tahun) yaitu sebesar 56,5 %, pasien yang bayar sendiri yaitu sebesar 89,8 %, penyakit infeksi lain selain ISPA yaitu sebesar 61,6 % dan rata-rata lama hari pemberian obat antibiotika adalah 4 hari dimana nilai ini tidak sesuai dengan pedoman pengobatan antibiotika yang belaku. Rata-rata harga obat per-lembar resep adalah Rp. 6.226,01,- sedangkan rata-rata jumlah R/ nya adalah 3 R/. Hasil analisis multivariat menunjukkan bahwa usia, status pembayaran, jenis penyakit (ISPA) dan lama hari pemberian obat secara signifikan mempengaruhi rata-rata harga obat dan rata-rata jumlah R/ per-lembar resepnya. Disarankan perlu dilakukan upaya peresepan pengobatan sesuai dengan standar pengobatan yang berlaku terutama lama hari pemberian obat, analisa lebih lanjut mengenai rata-rata harga obat per-lembar resep yang lebih spesifik yaitu dengan hanya menganalisa rata-rata harga obat antibiotika.Kata kunci : Utilisasi, obat antibiotika, pasien RJTPThe tendencies of overusing of antibiotics in primary health care indicates the irrational drug use and inhibits the decrease of morbidity and mortality through increasing bacterial resistance and elevate drug expenditure. The objective of this study was to know the description of antibiotics drug utilization. Results of this study were the percentage of prescription containing antibiotics was 37,74 %. The biggest proportion of antibiotics utilization found in adult patients (12 -65 year old) i.e. 56.5%, individual payment patients was 89.8 % and non-ARI infectious disease was 61,6 %. The average number of days antibiotics use was 4 days, that was not in accordance to the antibiotics medication guideline. The average price of single prescription was Rp. 6.226,01 where the average R/ per prescription was 3 items. The result of multivariate analysis indicated age (except elderly), payment status, diagnosis of ARI and duration of antibiotics use significantly able to predict drug price per prescription and the average R/ per prescription. It was suggested to conduct standard prescription particu- larly regarding to duration of medication, more specific price analysis focused on antibiotics price is also suggested.Key words: Utilization, antibiotics drugs, RJTP patients

scholarly journals Pattern of skin diseases among patients attending Hawassa university comprehensive specialized hospital, Hawassa, Ethiopia

2021 ◽  
Vol 7 (5) ◽  
pp. 261
Author(s):  
Girum T. Assefa ◽  
Adane C. Koster ◽  
Nura K. Nurhussein
Keyword(s):  
Infectious Disease ◽  
Health Care ◽  
Primary Health Care ◽  
Skin Diseases ◽  
Care Hospital ◽  
Dermatology Clinic ◽  
Primary Health ◽  
Specialized Hospital ◽  
Skin Appendages ◽  
Hawassa University

<p><strong>Background</strong>: Spectrum of skin diseases varies from region to region due to several factors such as genetics, socioeconomic and environmental. This study aimed to determine the pattern of various skin disorders appearing in the dermatology department of a tertiary care hospital.</p><p><strong>Methods</strong>: All patients attending the dermatology clinic of the Hawassa university comprehensive specialized hospital, from January 2017 to December 2018 were included in this retrospective analysis. The medical records of the patients were obtained from registry books. </p><p><strong>Results: </strong>A total of 7727 patients attended the dermatology clinic of HUCSH. Out of these samples, 18.1% of patients repeatedly came to the hospital for a follow up visit related to their diseases, while 81.9% were enrolled as new cases.</p><p>There were more males (51.9%) than females. More than three quarter of the cases were aged above 16 years while less than a quarter were children below 16 years. Eczema was diagnose in 2734 (35.4%), being the most common cause for attendance, followed by infectious disease (23.3%) and disease of the skin appendages (12.1%).</p><p class="abstract"><strong>Conclusions</strong>: Eczema was the most common skin disease seen in our study, followed by infectious disease   and disease of the skin appendages. Concerted effort need to be made to control these conditions and training of the primary health care providers and education of General Practitioners in Dermatology must emphasize these common conditions, with the aim of improving primary health care and alleviating the burden of hospital care.</p>

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