scholarly journals STRATEGI PENGENDALIAN TUBERKULOSIS DI PUSKESMAS PEKANBARU KOTA, TENAYAN RAYA DAN SIMPANG TIGA KOTA PEKANBARU The Strategies Of Tb Control In Primary Health Care Pekanbaru City, Tenayan Raya and Simpang Tiga Pekanbaru City

2021 ◽  
Vol 15 (2) ◽  
pp. 168
Author(s):  
Meimi Laillah ◽  
Ridwan Manda Putra ◽  
Suyanto Suyanto
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Government Policy ◽  
Sampling Method ◽  
Causes Of Death ◽  
Tb Control ◽  
The Third ◽  
Primary Health ◽  
The Government ◽  
India And China

TTuberculosis (TB) is a chronic infectious disease caused by the Mycobacterium tuberculosis (MTB) which affects the lungs and other organ., Indonesia is the third highest after India and China and Indonesia’s top ten causes of death in Indonesia. The purposeofthis study wastodeterminestrategycontrolof the TB Program in Pekanbaru City. Thisstudyisresearchwith SWOT analysisandsurveyanddirectinterviews in thefield,and the studyisgoing onJanuary-February 2021 at Pekanbaru City Primary Health Care, Tenayan Raya and Simpang Tiga PrimaryHealth Care.interview and survey with a total sampling method of 84 samples. The study’s resultsfrom the government policy involved that supporting the TB program in   Pekanbaru cityisrespectable. At thesametime, fromthecommunity in thefield, there are stillpeoplewhodo not understand TB disease, forexample, theincidenceof TB disease, mode oftransmission, andthedurationoftreatmentandprevention. Suggested in controllingthe program TB disease, it is necessary to provide education and explanation to sufferers and the surrounding community

A Human Resource Development Strategy for Primary Health Care: an Exploratory Study of Mixed Methods

2021 ◽  
Author(s):  
Huanhuan Jia ◽  
Hairui Jiang ◽  
Jianxing Yu ◽  
Jingru Zhang ◽  
Zhou Zheng ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Human Resource Development ◽  
Structural Equation ◽  
External Environment ◽  
Medical Personnel ◽  
Public Hospitals ◽  
Individual Development ◽  
Primary Health ◽  
The Government

Abstract Background: The serious shortage of primary health care (PHC) providers is a common issue in the health reforms worldwide, including in China. The government of China have proposed that encouraging and guiding qualified medical personnel to work in primary medical and health care institutions (PMHCIs) is an effective way to improve the overall quality and efficiency of PHC, but it has not produced good results. The problem of insufficient human resources of PHC has not been substantially ameliorated.Methods: Based on implicit theory and lexical approach, pre-investigation was conducted to collect the items that influence the medical personnel to seek employment at PMHCIs from the perspective of guided objects. Through a three-phase investigation of 1,160 doctors in 29 public hospitals in 9 cities, the items were categorized, and a structural equation model was established and verified to explore the interrelationship of influencing factors.Results: A total of 5 factors were rotated, including Sense of Gain (SG), Internal Organization Development (IOD), Remuneration and Development (RD), Condition of the City Where the PMHCI Is Located (CCPL), Job Responsibilities (JR) and Family Support (FS). The results of the model showed that IOD, RD, JR and FS had a significantly positive effect on the SG, whereas CCPL had no significant direct effect. In addition, the FS, RD and JR significantly mediated the relationship between the internal and external environment of the institution and the willing of medical personnel to seek employment at PMHCIs. The values of fit index indicated an acceptable-fitting model.Conclusion: Family, remuneration, individual development, and job responsibility are closely related with the willingness of medical personnel to seek employment at PMHCIs, and the internal and external environment of PMHCIs is also an important factor. Based on this, targeted measures can be proposed to promote the development of PHC providers.

scholarly journals Kendala Organisasi Berbasis Komunitas dalam Program Pencegahan dan Penanggulangan HIV/AIDS: Studi Kasus pada Dua LSM Peduli AIDS di Jakarta

2019 ◽  
pp. 163-174
Author(s):  
Ranti Suciati ◽  
Mujiati Mujiati ◽  
Novianti Novianti
Keyword(s):  
Social Support ◽  
Health Care ◽  
Content Analysis ◽  
Primary Health Care ◽  
Community Based ◽  
Purposive Sampling ◽  
Community Based Organizations ◽  
Primary Health ◽  
The Government ◽  
Hiv Aids

Abstrak Semakin meningkatnya jumlah kasus HIV/AIDS di Indonesia, berdampak tidak hanya pada masalah kesehatan, memacu pemerintah untuk melibatkan masyarakat sipil dalam Organisasi Berbasis Komunitas (OBK) untuk ikut berperan dalam upaya pencegahan dan penanggulangan HIV/AIDS. Pentingnya identifikasi kendala atau hambatan yang dihadapi oleh OBK memunculkan strategi atau alternatif solusi untuk mengatasi kendala, serta memberikan gambaran model intervensi yang lebih sinkron antara pemerintah dan masyarakat. Desain penelitian adalah kualitatif dengan melakukan studi kasus di dua LSM Peduli AIDS di Jakarta. Informan dipilih secara purposive sampling yaitu pengurus, anggota/petugas, dan dampingan dari dua OBK. Pengumpulan informasi dengan wawancara mendalam berdasarkan pedoman wawancara dan diolah menggunakan metode content analysis. Kendala yang dihadapi OBK yaitu alur rujukan BPJS yang mengikuti domisili sehingga memberatkan pasien, kurang optimalnya koordinasi dan kerjasama antara OBK dengan Puskesmas, belum meratanya kualitas dan kapasitas SDM anggota OBK, persoalan administratif organisasi, sumber dana yang tidak selalu kontinu, adanya perbedaan kepentingan antara OBK dengan pihak kepolisian, serta masih tingginya stigma masyarakat terhadap penderita HIV/AIDS. Solusi mengatasi kendala OBK dilakukan dengan peningkatan efektifitas pelaksanaan program pemerintah melalui OBK, antara lain dengan penerapan fleksibilitas pengelolaan dana berdasarkan kinerja OBK, peningkatan kapasitas SDM, pemantapan sistem manajerial, pemahaman alur layanan kesehatan di Puskesmas, serta social support bagi penderita HIV/AIDS. Kata kunci: organisasi berbasis komunitas, LSM, HIV/AIDS Abstract The increasing number of HIV/AIDS cases in Indonesia that impact not only on health issues, spur the Government to involve civil society in community-based organizations (OBK) to play a role in HIV/AIDS prevention program. Identification of constraints or obstacles faced by OBK do as they can generate alternative strategies or solutions to overcome these constraints, and provide a more synchronous model of intervention between the government and the community. This type of research is a case study at two AIDS Awareness NGOs in Jakarta. The informants were chosen by purposive sampling ie the board, members/officers, and assistants from the two NGOs. Information collection with by in-depth interview based on interview guideline and processed using content analysis method. Constraints faced by the OBK is the issue of referral flow pathways that follow the domicile so burdensome patients, less optimal coordination and cooperation between OBK with primary health care, uneven quality and capacity of human resources of NGO members, organizational administrative issues, sources of funds that are not always continuous, different interests between the OBK with the police department, and the stigma. Reduction of obstacles faced by OBK can be done by increasing the effectiveness of government program implementation through OBK, among others by applying flexibility of fund management based on OBK performance, human resource capacity building, managerial system strengthening, understanding of health service flow in primary health care, and social support for patient HIV/AIDS. Keywords: community-based organizations, NGOs, HIV/AIDS

Nursing supervised curricular internship in the Covid-19 pandemic: experience in the program Brasil Conta Comigo

2021 ◽  
Vol 55 ◽  
Author(s):  
Lara Arcipreti Boel Souza ◽  
Heliny Carneiro Cunha Neves ◽  
Natália Del Angelo Aredes ◽  
Isabel Cristina Lima Jobim Medeiros ◽  
George Oliveira Silva ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Active Role ◽  
Theory And Practice ◽  
Evidence Based ◽  
Government Program ◽  
Primary Health ◽  
The Government ◽  
Teaching Learning

ABSTRACT Objective: To report the experience of the nursing supervised curricular internship in the program “O Brasil Conta Comigo” carried out in the Covid-19 pandemic. Method: Experience report of activities developed in Primary Health Care in a municipality in the southern region of the state of Goiás during the Covid-19 pandemic, from April to November 2020. Results: The inclusion in the government program allowed the strengthening of the student’s active role in the teaching-learning process and teaching-service approximation, with the student as the point of connection, which resulted in the implementation of actions for the fight against the pandemic in the municipality, such as elaboration, implementation, and evaluation of the service flowchart for people with suspected Covid-19. Conclusion: The experience was successful, as it consolidated knowledge regarding leadership and autonomy, integration between theory and practice, critical thinking, and evidence-based problem solving. The participation in the program allowed for contributions to assistance and management in the actions to combat the new coronavirus in the scope of primary care, as well as for the contribution to the training of the student tutored by nurses in the field and supervised by professors from the federal university of origin.

scholarly journals Contemporary demands on the community nurse

Curationis ◽  
1984 ◽  
Vol 7 (4) ◽  
Author(s):  
O.H. Muller
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Industrial Revolution ◽  
Cape Town ◽  
Industrial Society ◽  
Third Wave ◽  
Community Nurse ◽  
The Third ◽  
Agricultural Revolution ◽  
Primary Health

A quarter of a century ago Mr Harold MacMillan delivered his famous Winds o f Change speech in Cape Town. In 1975 Dr. Wolff Bodenstein, in delivering a paper on primary health care, referred to the storms o f change. Now, a decade later, John Naisbitt speaks of megatrends when elaborating on change on a worldwide scale from an industrial society to an informational society. Alvin Toffler’s widely read The Third Wave speaks of similar trends on a scale comparable to the agricultural revolution and the industrial revolution.

scholarly journals The Role of Posyandu as Primary Health Care Services in Implementing Early Detection and Intervention for Autistic Children in Indonesia

2019 ◽  
Vol 6 (1) ◽  
pp. 101
Author(s):  
Esdaniar Khoirunisa ◽  
Ravik Karsidi ◽  
Munawir Yusuf
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Early Detection ◽  
Health Care Services ◽  
Public Awareness ◽  
Autistic Children ◽  
New Paradigm ◽  
Know How ◽  
Primary Health ◽  
The Government

Autism is one of the most complex developmental disorder in children. In the developing country, Autism is a new paradigm, it causes various problems in autism service especially in early detection. It is caused by several factors that interconnected, such as the low understanding of society about autism, the low public awareness about the importance of early detection of autistic children, and the less prioritized attention from the government. Expanding the accessibility of autism services through primary health care is needed to overcome those problems. One of the primary health care most relatable to mother and children is the Maternal and Child Health Center, or in Indonesia it is called "Posyandu" which is an acronym means Integrated service post. The services in Posyandu is not run by professionals such doctor nor midwife. Posyandu is a service-based community and society handled by "posyandu cadres". The aim of this study is to find out how far the possibility of posyandu could provide services for autistic children. The subjects involved in this study were 120 posyandu cadres and 15 parents of autistic children. The research method used is a survey. The results show the following data: 92% of Posyandu cadres did not know how to do early detection of autistic children, 87% said they did not know how to handle autistic children, and 87% of Posyandu cadres felt they still need additional knowledge about autism. While 87% of parents feel that posyandu cadres are not involved in the early detection of their children. At the same time, 93% of parents still hope Posyandu could provide better services for their autistic children. This indicates that the primary health care has not fully played a role for autistic children yet, and there is a need to increase autism services access through posyandu cadres.

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