scholarly journals ANALYSIS OF HEALTH POLICY IN THE BORDER AREA OF WEST KALIMANTAN INDONESIA

2017 ◽  
Author(s):  
Abil Rudi
Keyword(s):  
Health Policy ◽  
Health Status ◽  
Health Services ◽  
Local Community ◽  
Health Workers ◽  
Health Care Facilities ◽  
Health Policies ◽  
Border Area ◽  
West Kalimantan ◽  
Border Areas

Background : The health status of the people in the border areas with low economic level, especially in rural areas, have not received equitable health services optimally due to geographical location, infrastructure and social. In addition, the border area with vast areas still found the lack facilities and infrastructure of hea lth services that will be make people in the border area is still low in accessing health care facilities. On the other hand, the health workers who are not willing to be placed in the border area has a big influence and that’s lowering the community health status. Problems of inequality health efforts in the border area also caused by the socioeconomic status of the local community which is poverty so that can’t access the health services. Objective : This study aims to analyze the implementation of health policies in the border areas in West Kalimantan, Indonesia. Method : This study is a descriptive study with qualitative approach. This study is a literature study research. Results : Health policy in border area has not been able to overcome the problems of the spread of health workers in the border area. Policies on the health insurance system in the border areas are not distributed optimally. Policies on basic health infrastructure in border areas have not been equally distributed. Policies on referral transportation in border areas are not yet sufficient. Conclusion : The implementation of health policies in the border areas have not been fit for the purposes to increase health status for community.

The Health Status and Health Needs of Chinese Population in Glasgow

1995 ◽  
Vol 40 (3) ◽  
pp. 77-80 ◽  
Author(s):  
Xiao-Hui Liao ◽  
G. McIlwaine
Keyword(s):  
Health Status ◽  
Health Services ◽  
Chinese Population ◽  
Local Community ◽  
Local Population ◽  
Cross Sectional Study ◽  
Health Needs ◽  
Chinese Community ◽  
Structured Interviews ◽  
Cross Sectional

This cross sectional study explored the health problems and health needs in the local Chinese community in Glasgow. Several data collection methods have been used in this study, including face-to-face and telephone structured interviews, postal and hand delivered questionnaires. A total of 800 questionnaires were processed, and 493 were completed, giving an overall response rate 61.6%. The results from the present survey indicated that the health status of Chinese residents in Glasgow is poorer than that of the local population. The most important findings of the study is that the Chinese community in Glasgow underuse health services, and unmet health needs exist in the community. The main barrier to effective use of present health services and benefit from the health promotion and health education programmes is language difficulties. Following discussion with the local community, options for improving the health services for the Chinese community in Glasgow were obtained. The findings of the study have implications for health service purchaser/providers of health care to the Chinese population generally in Scotland.

scholarly journals Socialization of self-care guidelines for tuberculosis patients at UPT Pulmonary Health Services in West Kalimantan Province

2021 ◽  
Vol 6 (11) ◽  
pp. 2058-2062
Author(s):  
Tri Wahyuni ◽  
Parliani Parliani ◽  
Tutur Kardiatun ◽  
Prasetyo Aji Nugroho ◽  
Al Fikri ◽  
...  
Keyword(s):  
Health Services ◽  
Health Workers ◽  
Self Care ◽  
Psychosocial Problems ◽  
Intensive Phase ◽  
West Kalimantan ◽  
Tb Treatment ◽  
Service Activity ◽  
Care Guidelines

Tuberculosis is an infectious disease caused by the bacterium Mycobacterium tuberculosis, which can harm the lungs and attack other organs. This will result in nursing issues, the risk of infection spreading to other organs and people, ineffective airway clearance, impaired gas exchange, nutritional disorders, and psychosocial problems. Efforts are made to overcome nursing problems by increasing the participation of patients and families, who serve as the primary supporters. The intervention performed by the patient as an agent for himself is known as self-care. Self-care is concerned with an individual's ability to care for and maintain his or her own health. Treatment, family support, and nutritional fulfillment are all part of TB treatment. The outcomes of service activity at UPT Pulmonary Health Services includes teaching health workers about self-care for TB patients, as well as conducting follow-up discussions about TB patients with anxiety in the intensive phase.

scholarly journals The challenges faced by service providers on satellite mental health-care facilities in Yangon, Myanmar: a qualitative study

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kyaw Lin ◽  
Sun Lin ◽  
Than Tun Sein
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Care ◽  
Service Providers ◽  
Health Workers ◽  
Health Care Facilities ◽  
Significant Treatment ◽  
Content Type

PurposeMyanmar has an insufficient number of mental health workers with few institutional facilities resulting in a significant treatment gap. Although few mental health services are integrated into primary health care (PHC), the challenges are unknown. This study aimed to assess the challenges perceived by providers in the service delivery of satellite mental health care (SMHC) in two sample townships in Yangon.Design/methodology/approachThe research was based on a case study design by applying a qualitative approach using in-depth interviews (IDIs). In the three types of service providers, a total of six staff participated as interviewees. These consisted of two team leaders, two clinical specialists providing consultations to clients and two mental health nurses.FindingsProviders perceived the following as major challenges in the provision of services: unstable financial resources and management, insufficient human resources and capacity of service providers, restricted outpatient services, the lack of a functional referral system, overcrowding, inadequate individual consultation time, long-waiting hours, finite opening days and hours and poor setting of infrastructure, resulting in lack of privacy.Research limitations/implicationsIn the absence of similar studies in Myanmar, findings could not be placed in the context of the national literature for comparison. Further, the study involved a limited number of respondents, which may have affected the findings.Originality/valueAlthough the challenges revealed were not uncommon in mental health services in developing countries, this study focused on a specific model of mental health care integrated into general healthcare settings in Myanmar. The findings offer a benchmark on efforts to develop decentralized mental health services in Myanmar and provide input for future in-depth studies.

scholarly journals PELATIHAN DALAM PENGGUNAAN INFORMED CONSENT PADA FASILITAS PELAYANAN KESEHATAN

2021 ◽  
Vol 5 (1) ◽  
pp. 244
Author(s):  
Arief Setiyoargo ◽  
Romaden Marbun ◽  
Richard One Maxelly
Keyword(s):  
Informed Consent ◽  
Health Services ◽  
Community Service ◽  
Health Workers ◽  
Health Care Facilities ◽  
Online Discussions ◽  
Initial Assessment ◽  
Current State ◽  
Service Activity ◽  
Google Drive

ABSTRAKKegiatan Pengabdian kepada Masyarakat ini bertujuan untuk meningkatkan kualitas pelayanan kesehatan melalui pemahaman penggunaan informed consent. Kegiatan ini diawali dengan penilaian awal kondisi terkini di lapangan di fasilitas pelayanan kesehatan melalui petugas kesehatan/kader kesehatan dan warga. Asesmen awal menemukan masih kurangnya pengetahuan masyarakat tentang penanganan medis bagi pasien dan pengetahuan terkait penggunaan informed consent di fasilitas kesehatan terutama pada masa pandemi Covid-19 saat ini, fokus pelayanan kesehatan masih berpusat pada kesehatan. protokol atau jarak fisik. Kegiatan diawali dengan penyusunan rencana dan jadwal kegiatan serta perlengkapan yang diperlukan. Pelaksanaan kegiatan dilakukan dengan memberikan penyuluhan dan pendampingan yang dikemas dalam bentuk materi dan video yang dibagikan melalui google drive secara serta diskusi secara online melalui grup WhatsApp. Kegiatan diakhiri dengan evaluasi menggunakan google form. Hasil kegiatan pengabdian masyarakat terdapat sebanyak 57,69% pemahaman warga dalam kategori baik, 26,92% cukup dan 15,38% kurang. Kegiatan berjalan dengan baik dan perlu pemantauan lebih lanjut. Kata kunci: tenaga kesehatan; pasien; informed consent. ABSTRACTThis Community Service activity aims to improve the quality of health services through understanding the use of informed consent. This activity begins with an initial assessment of the current state of the field in health care facilities through health workers/health cadres and residents. The initial assessment found that there was still a lack of public knowledge about medical treatment for patients and knowledge related to the use of informed consent in health facilities, especially during the current Covid-19 pandemic, the focus of health services is still centered on health protocols or physical distancing. The activity begins with preparing a plan and schedule of activities as well as the necessary equipment. The activities are carried out by providing counseling and assistance packaged in the form of materials and videos that are distributed via Google Drive as well as online discussions through WhatsApp groups. The activity ended with an evaluation using a google form. The results of community service activities there are as many as 57,69% of citizens' understanding in the good category, 26,92% sufficient and 15,38% less. Activities are going well and need further monitoring. Keywords: health worker; patient; informed consent 

scholarly journals PENGHULU AND MARRIAGE PROBLEMATICS OF BOUNDARY SOCIETY IN ENTIKONG AND SEKAYAM WEST KALIMANTAN

2019 ◽  
Vol 19 (2) ◽  
Author(s):  
Muhammad Ishom El-saha
Keyword(s):  
Social Economic ◽  
Customary Law ◽  
Political Factors ◽  
Marital Problems ◽  
Border Area ◽  
West Kalimantan ◽  
Border Areas ◽  
The Law ◽  
Written Law ◽  
To Receive

This study focuses on the problem’s task of Penghulu about registering marriages and problems of unregistering marriages in the border areas of Indonesia and Malaysia, especially at Entikong-Sekayam, West Kalimantan. Communities in the area complained about the absence of KUA Staff which caused them not to receive maximum service. While on staff’s KUA perception, they have worked but the community does not want to adjust to them, such as obeying the applicable provisions. There is a possibility of a gap between written law as a reference for KUA Staff and customary law for communities. With the law in action approach, it’s found legal, social, economic, and political factors that cause marital problems in the border area.

scholarly journals Determination of Priority Regions as The Direction of Decision-Making for Land Development of West Kalimantan Province

2019 ◽  
Vol 4 (3) ◽  
pp. 186
Author(s):  
Ratih Fitria Putri ◽  
Aryana Rachmad Sulistya
Keyword(s):  
Decision Making ◽  
Land Development ◽  
Development Model ◽  
Small Islands ◽  
Border Area ◽  
Economic Productivity ◽  
West Kalimantan ◽  
Priority Areas ◽  
Border Areas

Indonesia is an archipelago country consisting of large and small islands with a large number of approximately 17,508. Some of the islands are among the border to neighboring countries. One of the islands is a border area of land that is found on the island of Borneo, especially West Kalimantan Province. West Kalimantan province is directly adjacent to Malaysia. The identic character of the Indonesian border area is largely a lagging region. Determination of priority areas is certainly needed as an effective way of developing these border areas. The objectives of the research include (1) identification of the distribution of lagging priority areas in West Kalimantan Province, (2) give recommendations related to development of lagging priority areas. Overlays of lagging region parameters and economic productivity are used to determine priority areas. The result of identification is known that Bengkayang Regency, Kayong Utara, and Melawi are the lagging priority areas. Recommendation given to the lagging priority regions are through regional development model and also based on determination of base sector.

Mainstreaming youth-friendly health services into existing primary health care facilities: experiences from South-South Nigeria

2018 ◽  
Vol 0 (0) ◽  
Author(s):  
Rosemary Ogu ◽  
Omosivie Maduka ◽  
Folusho Alamina ◽  
Obelebra Adebiyi ◽  
Vetty Agala ◽  
...  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Interpersonal Communication ◽  
Health Workers ◽  
Peer Group ◽  
Health Care Facilities ◽  
Post Intervention ◽  
Utilization Of Services ◽  
Youth Friendly ◽  
Primary Health Care Facilities

Abstract Background Youth friendly services, an evidence based approach to overcome the barriers experienced by youths in accessing care, is poorly implemented. The Medical Women’s Association of Nigeria (MWAN) Rivers State chapter, was supported by Ford Foundation to mainstream youth-friendly health services (YFHS) into existing primary health care facilities in two hard-to-reach communities. This paper presents the interventions, findings, challenges and recommendations. Methods This study project was implemented in stages: design, baseline survey, interventions and evaluation, between 2014 and 2016. Interventions included facility modifications, health worker capacity building, school and community outreaches, peer group activities, and interpersonal communication. Pre-and-post-intervention surveys were carried out among in- and out-of-school youths to determine the effects of the interventions. Results The most commonly stated barriers to uptake of youth friendly health services included: unavailability of services (154; 33.1%), unavailability of health care workers (167; 38.9%), unaffordability of services (108; 45.8%) and difficulty in communicating with health workers (85; 36.0%). Post-intervention, utilization improved across all services while the perception of barriers to utilization of services reduced (p < 0.05). The interventions implemented increased the odds of youths utilizing YFHS 1.81 times (95% CI = 1.39–2.37). Conclusion Facility modifications, capacity building of health workers, school and community outreaches, peer group activities, and interpersonal communication improved utilization across all services while the perception of barriers to utilization of services reduced. Implementation of YFHS is impacted by external factors often beyond the control of project implementers. Innovative solutions outside of routine health care delivery systems are critical for success. Further evaluation to explore the effect of these interventions is needed. Strengthening of health systems remains a vital strategy for scale-up of YFHS.

scholarly journals Gambaran Griya Sehat di Indonesia

2020 ◽  
pp. 203-211
Author(s):  
Nurhayati Nurhayati ◽  
Hadi Siswoyo ◽  
Lucie Widowati ◽  
Ondri Dwi Sampurno ◽  
Delima Delima ◽  
...  
Keyword(s):  
Health Care ◽  
Health Service ◽  
Health Services ◽  
Health Workers ◽  
Health Care Facilities ◽  
Ministry Of Health ◽  
Service Facility ◽  
Traditional Health ◽  
Care Facilities ◽  
Traditional Health Care

Abstrak Saat ini pelayanan kesehatan tradisional semakin berkembang maju. Griya sehat merupakan fasilitas pelayanan kesehatan tradisional (fasyankestrad) komplementer. Di Indonesia, saat ini banyak terdapat fasilitas pelayanan kesehatan tradisional griya sehat, namun tidak semua griya sehat yang ada di masyarakat sesuai dengan persyaratan yang ditetapkan oleh Kementerian Kesehatan Republik Indonesia. Tujuan penelitian ini adalah untuk memperoleh gambaran penyelenggaraan fasilitas pelayanan kesehatan tradisional griya sehat yang ada di Indonesia. Disain penelitian ini adalah potong lintang. Sampel penelitian ini adalah fasilitas pelayanan kesehatan tradisional griya sehat yang memenuhi kriteria inklusi dan eksklusi penelitian. Data penelitian diperoleh melalui wawancara dan observasi terhadap 21 griya sehat yang dikunjungi. Hasil penelitian menunjukkan bahwa menurut kepemilikan griya sehat terdapat 7 milik pemerintah dan 14 milik swasta. Menurut perizinan, terdiri dari 3 UPT pusat, 4 UPT daerah, 10 rekomendasi dinas kesehatan, dan 4 griya sehat belum memiliki perizinan. Ada beberapa jenis pelayanan kesehatan tradisional yang diberikan di setiap griya sehat, terdiri dari 16 herbal, 15 akupunktur, 15 akupresur/pijat, 16 lainnya seperti spa, bekam, totok, fisioterapi. Tenaga yang melakukan pelayanan terdiri dari 16 tenaga kesehatan, 11 tenaga kesehatan tradisional. Pengelola dan penanggung jawab pelayanan fasyankestrad terdiri dari 4 tenaga kesehatan tradisional dan 17 tenaga kesehatan dan lainnya. Pendekatan pelayanan terdiri dari 14 promotif, 18 preventif, 21 kuratif, 16 rehabilitatif, dan 2 paliatif. Penyelenggaraan fasyankestrad komplementer griya sehat masih harus dilengkapi, khususnya terkait perizinan, standar sarana prasarana, standar operasional pelayanan, sistem pelaporan dan pengawasan oleh dinas kesehatan kabupaten/kota. Perlu dilakukan sosialisasi ketentuan standar fasilitas griya sehat kepada penyelenggara sesuai pedoman kementrian kesehatan, termasuk tentang kebutuhan pendidikan dan pelatihan bagi tenaga kesehatan tradisional. Kata kunci: pelayanan kesehatan, tradisional, griya sehat Abstract In recent years, traditional health services are growing forward. Griya Sehat is a complementary traditional health service facility. In Indonesia, there are many traditional health care facilities as griya sehat, but not all are in accordance with the requirements set by the Ministry of Health of the Republic of Indonesia. The purpose of this study was to describe the implementation of traditional health care facilities as griya sehat in Indonesia. The design of this study is cross-sectional. The sample of this study is a traditional health care facility that meets inclusion and exclusion criteria. The quantitative data was collected through interviews and observation of the infrastructure in 21 visited griya sehat. The results showed that according to ownership there were 7 government-owned and 14 private (individual)-owned. The license was 3 from the central government, 4 from the district government, 10 from the health office, and 4 did not have a license. There are several types of traditional health services provided in griya sehat, consisting of 16 herbs, 15 acupuncture, 15 acupressure/massage, 16 others such as spa, cupping, full-blooded, physiotherapy. The managers and the people in charge were 4 traditional health workers, and 17 were other health workers. The service approach consists of 14 promotive, 18 preventive, 21 curative, 16 rehabilitative, and 2 palliatives. The implementation of a complementary traditional health service facility must still be completed, particularly in relation to the license, infrastructure facilities, standard operating procedures, reporting systems, and supervision by district/city health office. It is necessary to socialize the provisions on the standard for griya sehat facilities to the providers in accordance with the ministry of health guidelines, including the need for education and training for traditional health workers. Keywords: health service, traditional, griya sehat

The Associated Factors Due Satisfaction of BPJS Services in Hospital Hikmah of Makassar

2021 ◽  
Vol 4 (2) ◽  
pp. 232-238
Author(s):  
Andi Nailah Amirullah ◽  
Yuliani ◽  
Nurhidayat
Keyword(s):  
Health Services ◽  
Health Workers ◽  
Sampling Technique ◽  
Health Care Facilities ◽  
Chi Square ◽  
Cross Sectional ◽  
Care Facilities ◽  
Chi Square Test ◽  
Quality Of Health Services

Health care facilities are expected to provide satisfactory services in hospitals. Have not being able to provide the maximum service expected by service users is the problem often faced by hospitals. Where the main assessment of the quality of health services is patient satisfaction. Based on a preliminary study at the RS Hikmah Makassar, it was found that more people were dissatisfied with health services. The purpose of this study was to find out the factors related to BPJS service satisfaction in BPJS Health participants at Hospital Hikmah of Makassar. The research design used Cross-Sectional. The population is 426 people. The sample in this study were some participants who used BPJS cards in Hospital Hikmah Of Makassar as many as 81 people, taking samples by purposive sampling technique. This research was conducted in May - June 2019. Data was collected with Questioner and analysed with the Chi-Square test. The results showed that there was a relationship between BPJS administration services, doctors and nurses services, supporting examination services and drug services with the satisfaction of BPJS services for BPJS Health participants in Hospital Hikmah of Makassar. The study suggested to health workers provide patients with a more friendly attitude and attention to patients recipients of health services.

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