scholarly journals IMPROVING THE QUALITY OF PRIMARY HEALTH SERVICES IN THE PERSPECTIVE OF PARTICIPATORY GOVERNANCE

2021 ◽  
Author(s):  
Andi Agustang
Keyword(s):  
Public Policy ◽  
Health Services ◽  
Good Governance ◽  
Health Workers ◽  
Cultural Barriers ◽  
Participatory Governance ◽  
Primary Health ◽  
Primary Health Services ◽  
The Government ◽  
Or Organization

The application of good governance within governance prerequisite that cannot be left out is the participation of the community in public policy. The main prerequisites were when the Government implemented the autonomous region with the principle of decentralization, community participation. It involves all aspects of the implementation of the development in areas starting from planning to supervision. Participatory governance is governance putting citizens or non-government as an individual or organization as a viable social stakeholder in making public policy that has just dominated the Government. Model of participatory governance policy in the primary health services is eligible to be developed by optimizing and strengthening cooperation intersectional, increasing the motivation of health workers as well as eliminating social and cultural barriers in the community.

Setting Standards for Primary Health Services

1993 ◽  
Vol 23 (4) ◽  
pp. 147-148
Author(s):  
P Garner ◽  
J Thomason
Keyword(s):  
Developing Countries ◽  
Health Services ◽  
Papua New Guinea ◽  
Health Workers ◽  
Quality Care ◽  
Supportive Supervision ◽  
High Quality ◽  
Primary Health ◽  
Primary Health Services ◽  
Service Coverage

Primary health service coverage has increased in many developing countries over the last 10 years. The number of components included in the basic package has also expanded. This has led in some countries to primary health workers becoming overloaded with responsibilities. To maintain high quality care, primary health workers not only need appropriate training, but clear performance guidelines, as well as essential resources and supportive supervision. We report on the establishment of standards for primary health services by the Ministry of Health in Papua New Guinea (PNG).

scholarly journals Decentralisation and urban primary health services: a case study of Delhi’s Mohalla Clinics

2020 ◽  
Author(s):  
Sejal Patel ◽  
Priyankita Pant
Keyword(s):  
Health Services ◽  
Primary Healthcare ◽  
Urban Poor ◽  
Current Form ◽  
Healthcare Facilities ◽  
Primary Health ◽  
National Capital ◽  
Primary Health Services ◽  
The Government ◽  
City State

The Indian political party Aam Aadmi, which assumed power in the city-state of Delhi in 2015, introduced Mohalla Clinics (i.e. neighbourhood clinics) to provide free primary health services for all, as a response to the rising inaccessibility of primary healthcare facilities for the urban poor. These clinics were to be governed through Mohalla Sabhas (i.e. neighbourhood committees), which are instruments of participatory governance within the neighbourhood. The research compares promises and practice for Mohalla Clinics, especially focusing on governance and the politics surrounding it. The authors find that in their current form Mohalla Clinics are limited to providing primary curative healthcare and have shown limited success, although Mohalla Clinic users do save time and expenditure on primary healthcare, and the clinics have led to a more comprehensive form of primary healthcare than in the past. However, Mohalla Clinics are governed in a top-down fashion by the Government of the National Capital Territory-Delhi, and not by urban local bodies or the envisaged neighbourhood committees. As a result, they face problems that may inhibit their functioning in the long term.

scholarly journals Driving digital transformation of comprehensive primary health services at scale in India: an enterprise architecture framework

2021 ◽  
Vol 6 (Suppl 5) ◽  
pp. e005242
Author(s):  
Sunita Nadhamuni ◽  
Oommen John ◽  
Mallari Kulkarni ◽  
Eshan Nanda ◽  
Sethuraman Venkatraman ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Services ◽  
Primary Healthcare ◽  
Enterprise Architecture ◽  
Digital Health ◽  
Security And Privacy ◽  
Primary Health ◽  
Architecture Framework ◽  
Primary Health Services ◽  
Enterprise Architecture Framework

In its commitment towards Sustainable Development Goals, India envisages comprehensive primary health services as a key pillar in achieving universal health coverage. Embedded in siloed vertical programmes, their lack of interoperability and standardisation limits sustainability and hence their benefits have not been realised yet. We propose an enterprise architecture framework that overcomes these challenges and outline a robust futuristic digital health infrastructure for delivery of efficient and effective comprehensive primary healthcare. Core principles of an enterprise platform architecture covering four platform levers to facilitate seamless service delivery, monitor programmatic performance and facilitate research in the context of primary healthcare are listed. A federated architecture supports the custom needs of states and health programmes through standardisation and decentralisation techniques. Interoperability design principles enable integration between disparate information technology systems to ensure continuum of care across referral pathways. A responsive data architecture meets high volume and quality requirements of data accessibility in compliance with regulatory requirements. Security and privacy by design underscore the importance of building trust through role-based access, strong user authentication mechanisms, robust data management practices and consent. The proposed framework will empower programme managers with a ready reference toolkit for designing, implementing and evaluating primary care platforms for large-scale deployment. In the context of health and wellness centres, building a responsive, resilient and reliable enterprise architecture would be a fundamental path towards strengthening health systems leveraging digital health interventions. An enterprise architecture for primary care is the foundational building block for an efficient national digital health ecosystem. As citizens take ownership of their health, futuristic digital infrastructure at the primary care level will determine the health-seeking behaviour and utilisation trajectory of the nation.

scholarly journals Pelayanan Kesehatan Ibu, Anak, dan Keluarga Berencana di Puskesmas Cirimekar, Bogor

2020 ◽  
Vol 11 (2) ◽  
pp. 31-36
Author(s):  
Winnie Tunggal Mutika ◽  
Magda Doria ◽  
Mita Meliani Putri ◽  
Ninda Sari ◽  
Yohana Anggriani ◽  
...  
Keyword(s):  
Family Planning ◽  
Health Services ◽  
Functional Organization ◽  
Health Workers ◽  
Descriptive Analysis ◽  
Active Role ◽  
Service Evaluation ◽  
Narrative Form ◽  
Interview Guide ◽  
The Government

Pusat Kesehatan Masyarakat (Puskesmas) adalah organisasi fungsional yang menyelenggarakan upaya kesehatan yang bersifat menyeluruh, terpadu, merata, dapat diterima, terjangkau oleh masyarakat, dengan peran serta aktif masyarakat dan menggunakan hasil pengembangan ilmu pengetahuan dan teknologi tepat guna, dengan biaya yang dapat dipikul oleh pemerintah dan masyarakat. Salah satu tugas dan fungsi puskesmas adalah melaksanakan enam upaya kesehatan wajib diantaranya adalah upaya pelayanan kesehatan ibu, anak, dan keluarga berencana. Penelitian dengan menggunakan pendekatan deskriptif (explanatory research). Pengumpulan data dilakukan melalui observasi serta wawancara kepada tenaga kesehatan dan pasien khususnya yang menerima pelayanan kesehatan ibu, anak, dan keluarga berencana di Puskesmas Cirimekar. Instrumen yang digunakan adalah panduan wawancara evaluasi pelayanan dari tim praktik klinik Program Studi Kebidanan Universitas Gunadarma. Hasil wawancara dan observasi dibuat dalam bentuk narasi sehingga dapat diberikan ke lahan praktik untuk meningkatkan pelayanan Puskesmas Cirimekar. Hasil pelayanan kesehatan ibu, anak, dan keluarga berencana menunjukkan prosedur pelayanan, waktu pelayanan, sarana dan prasarana yang terdapat di puskesmas sudah cukup baik.Keterbatasan sumber daya manusia yaitu petugas kesehatan yang ada di Puskesmas Cirimekar menyebabkan waktu tunggu lebih lama yang ditunjukkan adanya antrian pasien KIA dan KB sehingga pelayanan yang diberikan dirasa kurang optimal.    Public health center (Puskesmas) is a functional organization who held comprehensive, integrated, and acceptable health efforts to society with active role from society and using  science and technology, with cost comes from the government and society. Puskesmas duty is doing six health efforts obligatory in society, one of the obligatory is mother, child, and family planning health services. This research is using explanatory research. Data was collected through observation and interviews with health workers and patients, especially those who received maternal, child and family planning health services in Puskesmas Cirimekar. The instrument used was service evaluation interview guide from the clinical practice team of the Program Study of Universitas Gunadarma. The results of interviews and observations were made in narrative form so that they could be given to practice fields to improve Puskesmas Cirimekar services.Result from interview and observation processed using descriptive analysis. The result shows that health service for mother, child and family planning health services in Puskesmas Cirimekar is pretty good based on procedure, time and facilities. But, the limited of human resources (health workers) in Puskesmas Cirimekar sometimes make a long queue for services at mother health, child health and also family planning, and it makes the services not optimal.

scholarly journals Awareness of physicians from primary health services about standards of examination of patients with suspected respiratory tuberculosis

2020 ◽  
Vol 98 (2) ◽  
pp. 20-24
Author(s):  
P. N. Novoselov ◽  
V. V. Tinkova ◽  
M. V. Lekhlyayder ◽  
I. A. Denisenko ◽  
T. P. Dudarova ◽  
...  
Keyword(s):  
Health Services ◽  
Primary Health ◽  
Primary Health Services

scholarly journals Peran Tenaga Kesehatan dalam Melaksanakan Pelayanan Kesehatan WBP Rutan

2020 ◽  
Vol 11 (1) ◽  
pp. 205-212
Author(s):  
Ruth Faeriani Telaumbanua
Keyword(s):  
Health Services ◽  
Health Workers ◽  
Health Agency ◽  
Field Research ◽  
Detention Center ◽  
Detention Centers ◽  
Identity Card ◽  
The Government ◽  
Alternative Solutions

This research focuses on the role of health workers in carrying out health services for WBP in Detention Centers. The research method used is a qualitative approach. Data collection techniques used are field research by conducting interviews and observations as well as literature studies. Based on the results of research conducted it is known that the role of health workers in detention centers is in accordance with their main duties and functions. Detention centers have a Polyclinic as a place for the implementation of health services in detention centers. In addition in the implementation of health services, there is an MoU between the detention center and the Government. In this case the provision of free health services with a National Identity Card (KTP) at a government-owned health agency. In addition, the detention center supports the implementation of the National Health Insurance for Penitentiary Guides in the Detention Center. But in the implementation of health services, the role of health workers does not run optimally because health workers in detention centers are only nurses' medical backgrounds, besides the lack of supporting infrastructure. After analyzing various facts, several alternative solutions were found to be done by: increasing the number of human resources for medical doctors in detention centers. Each disease experienced by WBP can be directly dealt with in detention centers and the addition of infrastructure facilities so that the role of health workers in the implementation of health services in Detention center can run optimally.  

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