scholarly journals Caregivers’ and Health Extension Workers’ Perceptions and Experiences of Outreach Management of Childhood Illnesses in Ethiopia: A Qualitative Study

2021 ◽  
Vol 18 (7) ◽  
pp. 3816
Author(s):  
Atkure Defar ◽  
Kassahun Alemu ◽  
Zemene Tigabu ◽  
Lars Åke Persson ◽  
Yemisrach B. Okwaraji
Keyword(s):  
Health Workers ◽  
Capacity Development ◽  
The Other ◽  
Child Health Services ◽  
Quality Of Services ◽  
Health Extension Workers ◽  
Childhood Illnesses ◽  
Outreach Services ◽  
Sick Children

Introduction: Ethiopian Health Extension Workers provide facility-based and outreach services, including home visits to manage sick children, aiming to increase equity in service coverage. Little is known about the scope of the outreach services and caregivers’ and health workers’ perceptions of these services. We aimed at exploring mothers’ and health extension workers’ perceptions and experiences of the outreach services provided for the management of childhood illnesses. Methods: Four focus groups and eight key informant interviews were conducted. A total of 45 community members participated. Interviews were recorded, transcribed verbatim, and translated into English. We applied thematic content analysis, identified challenges in providing outreach services, and suggestions for improvement. We balanced the data collection by selecting half of the participants for interview and focus group discussions from remote areas and the other half from areas closer to the health posts. Results: Mothers reported that health extension workers visited their homes for preventive services but not for managing childhood illnesses. They showed lack of trust in the health workers’ ability to treat children at home. The health extension workers reported that they provide sick children treatment during outreach services but also stated that in most cases, mothers visit the health posts when their child is sick. On the other hand, mothers considered distance from home to health post not to be a problem if the quality of services improved. Workload, long distances, and lack of incentives were perceived as demotivating factors for outreach services. The health workers called for support, incentives, and capacity development activities. Conclusions: Mothers and health extension workers had partly divergent perceptions of whether outreach curative services for children were available. Mothers wanted improvements in the quality of services while health workers requested capacity development and more support for providing effective community-based child health services.

scholarly journals Identifikasi Kompetensi Bidan: Data Riset Pendidikan Tenaga Kesehatan Tahun 2017

2020 ◽  
pp. 142-151
Author(s):  
Sefrina Werni ◽  
Rosita Rosita ◽  
Nita Prihartini ◽  
Mieska Despitasari
Keyword(s):  
Health Care ◽  
Professional Education ◽  
Health Workers ◽  
Health Care Facilities ◽  
Child Health Services ◽  
Prospective Students ◽  
Average Value ◽  
Midwifery Education ◽  
Depth Interviews

Abstrak Bidan sebagai tenaga kesehatan strategis yang berperan dalam pelayanan kesehatan ibu dan anak dituntut memiliki kompetensi tinggi untuk dapat menjalankan fungsinya dengan baik. Kompetensi yang tinggi dapat tercapai bila penyelenggara pendidikan profesi bidan memenuhi standar penyelenggaraan pendidikan. Berdasarkan data Majelis Tenaga Kesehatan Indonesia (MTKI) tahun 2016, nilai rata-rata uji kompetensi DIII kebidanan hanya 41,08. Peserta uji kompetensi yang belum lulus sebanyak 46,5%. Hasil yang masih jauh dari harapan juga ditunjukkan dari rerata try out uji kompetensi tenaga kesehatan tahun 2012 hingga tahun 2015 yang cenderung menurun. Kajian ini bertujuan untuk mendapatkan informasi identifikasi kompetensi bidan berdasarkan Kepmenkes 369/MENKES/SK/III/2007 tentang standar profesi bidan pada hasil Risdiknakes tahun 2017. Kajian dilakukan menggunakan observasi, wawancara mendalam dan literatur review. Informan adalah bidan di puskesmas dan pakar kebidanan. Hasil kajian menunjukkan bahwa kompetensi bidan di fasilitas pelayanan kesehatan masih belum sesuai standar. Beberapa faktor dalam penyelenggaraan pendidikan kebidanan turut membentuk kompetensi bidan yang dihasilkan. Proses rekrutmen calon peserta didik, kualitas dosen, dan proses penyelenggaraan pendidikan kebidanan secara keseluruhan merupakan komponen yang harus menjadi fokus untuk menghasilkan bidan yang sesuai dengan standar kompetensi seperti tercantum dalam Kepmenkes Nomor 369/MENKES/SK/III/2007. Kata kunci: kompetensi bidan, kajian kebidanan, pendidikan bidan, kurikulum kebidanan Abstract Midwives are strategic health workers who play an important role in maternal and child health services. They are required to have well competencies to run their tasks properly. Well, competencies can be achieved if the midwife's professional education providers meet the standards. Based on the Indonesian Health Workers' Assembly (MTKI) data in 2016, the average value of the DIII midwifery-competency test was only 41.08. Participants who failed the competency test were as much as 46.5%. It is still far from the expectation as the average value of health workers’ competency tests try out between 2012 to 2015 tends to decline. This study aims to identify midwife competencies based on Minister of Health's decree No. 369/MENKES/SK/III/2007 on midwives' profession standards and the results of the 2017 Research on Health Workers’ Education (Risdiknakes). The study was conducted using observation, in-depth interviews, and literature review. Informants are midwives at primary health care and midwifery experts. The results of the study indicate that midwife competencies in health care facilities are still not up to standard. Several factors in the administration of midwifery education also shape the competence of the midwives produced. The process of recruiting prospective students, the quality of lecturers, and the process of conducting midwifery education as a whole are components that must be the focus to produce midwives that comply with the competency standards in Minister of Health's decree No. 369/MENKES/SK/III/ 2007. Keywords: midwife competencies, midwifery studies, midwife education

scholarly journals Assessment of immunization services at immunization sessions under Ghatnandur PHC area in Beed district

2017 ◽  
Vol 4 (10) ◽  
pp. 3654
Author(s):  
Shashikant Shivajirao Salunke ◽  
Poonam Vijay Sancheti
Keyword(s):  
Side Effects ◽  
Service Delivery ◽  
Human Resources ◽  
Health Outcomes ◽  
Health Workers ◽  
Vaccine Delivery ◽  
Quality Of Services ◽  
Immunization Services ◽  
Delivery Services

Background: It was realized that just providing vaccine to achieve targets without giving attention to quality of services doesn’t guarantee a reduction in disease morbidity & mortality. Operational challenges such as logistic supply and microplanning have to be taken into consideration There is also increasing need to ensure that providers stick to service delivery protocols to achieve better health outcomes. Therefore the Study was aimed to assess the immunization sessions. The objective of the study was to evaluate the immunization sessions for logistics and availability of health workers, in the study area.Methods: The study was carried in 21 Grampanchayats covered by Ghatnadur PHC. semi structured preformed questionnaire was used for evaluation. Immunization sessions were also studied for information provided regarding side effects of vaccines.Results: Availability of human resources and logistics for vaccination sessions was more than 80% at all vaccination sessions. Information about side effects was the loophole in vaccine delivery services. Message regarding side effects of vaccines was not conveyed to most of the population.Conclusions: Vaccine delivery services were good in study area. Information about side effects should be conveyed 100% to of the population. The study should be extended to larger area for generalization of results. 

scholarly journals Pelaksanaan Permainan Ular Tangga dalam Kelas Ibu Hamil

2020 ◽  
Vol 1 (1) ◽  
pp. 23-28
Author(s):  
Lisda Widianti Longgupa ◽  
Nurfatimah Nurfatimah ◽  
Nilda Yulita Siregar
Keyword(s):  
Child Health ◽  
Health Services ◽  
Pregnant Women ◽  
Maternal And Child Health ◽  
Health Workers ◽  
Child Health Services ◽  
Flip Chart ◽  
Post Test ◽  
And Child Health

The efforts to reduce maternal and infant mortality can be done by increasing the coverage and quality of maternal and child health services. One effort is made to bring health services closer to the community through the pregnant mothers class program. Pregnant woman class is a study group of pregnant women with gestational age between 4 weeks to 36 weeks with a maximum number of 10 participants. In this class, pregnant women will learn together, discuss and exchange experiences on overal maternal and child health, facilitated by midwives or health workers by using the class package for pregnant women, namely flip chart, guidelines for implementing classes of pregnant women,  class facilitator’s handbook pregnant women, exercise books for pregnant women  and books on maternal and child health (MCH). Based on the results of community service activities with participants of 40 pregnant women there was an increase in correct answers to all participants after participating in class activities for snakes ladderss of pregnant women. From the pre-test result it turns out that most of the results obtained were less than 60. This shows that the knowledge ability of pregnant women is still lacking. However, after holding the snakes ladder pregnant class, there was an increase in the knowledge of pregnant women with an increase in the post-test score point in the range between 21-30 (47.5%).

scholarly journals Effects of Leadership Styles on Quality of Health Services

2021 ◽  
Author(s):  
Denis Warri
Keyword(s):  
Transformational Leadership ◽  
Leadership Styles ◽  
Leadership Style ◽  
Health Workers ◽  
Critical Role ◽  
Quality Of Services ◽  
Research Attention ◽  
Quality Of Work ◽  
Transformational Leadership Style

Abstract Background Leadership and quality of services have been linked together, where both influence each other in a significant manner. Effective leadership in the field of healthcare has attracted research attention over the last few years. One of the key areas of focus by the Cameroon government, which is believed to better the country's health care sector, has been the quality of leadership. Claims have been made that the most effective way of achieving high-quality service delivery would be through strong leadership. On the other hand, the strength of the leadership within an organization was linked to the type of leadership style adopted by the organization. Therefore, it is paramount that research is conducted to assess the link between the type of leadership style and the quality of services among health workers. Methods The study used a descriptive research design with a simple random size of 150 health workers of the CBCHS. Data were collected using closed-ended questions and analyzed using IBM SPSS Statistics™ Version 20. Inferential statistics were used to determine the effects of leadership style on the performance of health workers. The mean comparison of quality scores across the different types of leadership styles was using One Way ANOVA. Results The most common leadership style among the hospitals of the CBCHS is the transformational leadership style followed by task-focused, person-focused, transactional, and passive-laissez-faire. Transformational leadership style was associated with higher scores for maintaining good public relations and customer care than other leadership styles. The effect of leadership styles on the quality of work was not confirmed as the results were not statistically significant. Conclusion Leadership styles play a critical role in improving the quality of work in healthcare settings. Health-related outcomes differ from one setting to another based on the different leadership styles. Although the effect of leadership style on the quality of work was not statistically significant, further studies should explore the role of leadership in influencing other organizational parameters such as motivation and quality of care expectations.

scholarly journals Efficiency, cost and benefits in contracts of public-private partnerships

Nova Economia ◽  
2016 ◽  
Vol 26 (2) ◽  
pp. 369-392 ◽  
Author(s):  
Rodrigo Nobre Fernandez ◽  
◽  
André Carraro ◽  
Ronald Otto Hillbrecht ◽  
◽  
...  
Keyword(s):  
Numerical Range ◽  
The Other ◽  
Quality Of Services ◽  
Additional Parameter ◽  
Private Partnership ◽  
Efficiency Cost ◽  
Productive Process ◽  
The Government ◽  
Made In

Abstract: This paper presents a theoretical model in order to better understand the elaboration of Public-Private Partnership contracts. Starting from the model developed by Iossa and Martimort (2012), we consider an additional parameter that measures the sensibility of the effort made in between the stages of the project. We also delimitate the numerical range of the variable that determines the technology flexibility. In this regard, a bundling regime, under which the companies form a consortium, presents better results than when they are contracted separately. This is a consequence of the first model, in which the companies are able to internalize the externalities of the productive process. On the other hand, even though the bundling regime is more efficient, the government should seek mechanisms to monitor the quality of services.

scholarly journals The Analysis of Slovenian Political Party Programs Regarding Doctors and Health Workers from 1992 to 2014

2016 ◽  
Vol 55 (1) ◽  
pp. 67-77
Author(s):  
Alem Maksuti ◽  
Danica Rotar Pavlič ◽  
Tomaž Deželan
Keyword(s):  
Political Parties ◽  
Qualitative Data ◽  
Health Workers ◽  
Software Tool ◽  
Quality Of Services ◽  
Policy Agenda ◽  
Analysis Method ◽  
Parliamentary Elections ◽  
Content Analysis Method

AbstractIntroductionThe study focuses on the programmatic bases of Slovenian political parties since independence. It presents an analysis of party programs and their preferences regarding doctors and other health workers, as well as the contents most commonly related to them. At the same time, the study also highlights the intensity of the presence of doctors on the policy agenda through time.MethodsIn the study, 83 program documents of political parties have been analysed. The study includes programmes of political parties that have occurred in parliamentary elections in Slovenia between 1992 and 2014 and have exceeded the parliamentary threshold. The data were analysed using the content analysis method, which is suitable for analysing policy texts. The analysis was performed using ATLAS.ti, the premier software tool for qualitative data analysis.ResultsThe results showed that doctors and other health workers are an important political topic in noncrisis periods. At that time, the parties in the context of doctors mostly dealt with efficiency and the quality of services in the health system. They often criticize doctors and expose the need for their control. In times of economic crisis, doctors and other health workers are less important in normative commitments of parties.ConclusionsSlovenian political parties and their platforms cannot be distinguished ideologically, but primarily on the principle of access to government. It seems reasonable to conclude that parties do not engage in dialogue with doctors, and perceive the latter aspassive recipients of government decisions—politics.

scholarly journals Stakeholders’ perceptions of service quality in hotels

2017 ◽  
Vol 8 (1) ◽  
pp. 19-36
Author(s):  
Eunice Fay Amissah
Keyword(s):  
Service Quality ◽  
Service Providers ◽  
The Other ◽  
Quality Of Services ◽  
Anecdotal Evidence ◽  
Frontline Employees ◽  
Cross Sectional ◽  
Extra Effort ◽  
Management Staff

Ghana is said to have the distinctive peculiarity of delivering poor service and anecdotal evidence suggests that hotel customers, both domestic and international guests have in one way or the other experienced shortfalls in the quality of services offered. Guests have expressed varied needs and expectations during their stay but hotels have not responded adequately. This study explored the perceptual interface between guests and service providers. The study gathered cross-sectional data using questionnaires from 172 hotel guests, 197 frontline employees and 125 management staff. The findings of the study reveal that there were significant differences between guests and service providers’ perceptions of service quality. It is therefore recommended that managers of hotels put in extra effort to minimize the gaps between guests and frontline staff’s perceptions by training employees and treating them as internal clients so that they understand and appreciate how the hotel works in order to satisfy and motivate employees to satisfy customers.

scholarly journals Pengaruh Motivasi Intrinsik, Motivasi Ekstrinsik dan Komitmen Pelayanan Tenaga Kesehatan Terhadap Kualitas Pelayanan BPJS Kesehatan

2020 ◽  
Vol 19 (1) ◽  
pp. 19-26
Author(s):  
Much. Riyadus Solichin ◽  
Kabul Trifiyanto
Keyword(s):  
Health Services ◽  
Intrinsic Motivation ◽  
Extrinsic Motivation ◽  
Service Providers ◽  
Health Workers ◽  
Medical Personnel ◽  
Public Hospitals ◽  
Quality Of Services ◽  
Private Hospitals

The author of this paper aims to increase the delivery of health workers in private hospitals in serving patients using BPJS health. As for the background of this writing because now BPJS patients' views on health services are not good especially in private hospitals, marked by the issue of electronic media issues about public complaints that there are differences in health services provided by public hospitals compared to BPJS patients where parties public hospitals prioritize public patients more than patients participating in the health BPJS. This research is a quantitative study conducted through surveys and questionnaires. In this study involved 90 respondents in 9 private hospitals which are service providers in collaboration with BPJS in Kebumen Regency. For intrinsic motivation variable of 2,292 is greater than t table 1,198 with a significance value of 0.024 <0.05 so it can be concluded that the hypothesis is accepted. the t value for the extrinsic motivation variable is 0.029 smaller than t table 1.198 with a significance value of 0.977> 0.05 so it can be concluded that the hypothesis is rejected. t value for the commitment variable of 2.470 is greater than t table 1.198 with a significance value of 0.015 <0.05 so it can be concluded that the hypothesis is accepted. The results obtained are intrinsic motivation influencing the quality of labor services in private hospitals. So if the motivation of medical personnel services increases, the quality of services provided will increase. Extrinsic motivation does not affect the quality of labor services in private hospitals. So if the extrinsic motivation of medical personnel services increases / decreases, it cannot stimulate the quality of services provided. Commitment affects the quality of labor services in private hospitals. So if the commitment of medical personnel services increases, the quality of services provided increases. Intrinsic motivation, extrinsic motivation and commitment together affect the quality of labor services in private hospitals. So that the motivation of medical personnel services can stimulate the quality of services provided.

scholarly journals Pengaruh Mutu Pelayanan, Harga dan Promosi terhadap Kepuasan Konsumen di BC Street Coffee Denpasar

2019 ◽  
pp. 233
Author(s):  
I MADE PUTRA AKEN MERTHAYASA ◽  
I NYOMAN GEDE USTRIYANA ◽  
IGA.A LIES ANGRENI
Keyword(s):  
Consumer Satisfaction ◽  
High School Graduates ◽  
Descriptive Analysis ◽  
The Other ◽  
Test Reliability ◽  
Quality Of Services ◽  
Reliability Test ◽  
Annual Increase ◽  
The Impact

The Impact of the Quality of Services, Price and Promotionon the Consumer Satisfaction at BC Street Coffee DenpasarThe annual increase in the contribution made by the trading sector and hotel andrestaurant sector has caused the restaurants in Denpasar, including the BC Street Coffee,to be getting more competitive. It is necessary to analyze the factors, such as the qualityof services, price and promotion, which contribute to the consumer satisfaction. Thiscurrent study is intended to identify the characteristics of the respondents, the quality ofservices, price and promotion on the consumer satisfaction. The study was conductedfrom March to May 2018. The respondents totaled 50. The data were analyzed using thevalidity test, reliability test, multiple linier analysis, classic assumption test, hypothesistest, and descriptive analysis. The dominant consumers of the BC Street Coffee werefrom 18 to 25 years old, male, senior high school graduates, private employees andsingle. They felt highly satisfied with the quality of services, price and promotionprovided. Partially and simultaneously, the quality of services, price and promotionsignificantly contributed to the consumer satisfaction. The R Square showed that thequality of services, price and promotion contributed to the consumer satisfaction by62%, and the rest, namely 38%, was affected by the other variables. It is suggested thatthe BC Street Coffee should always pay attention to what is desired and needed by theconsumers and the price of the product offered. It is suggested to the future researchersthat they add other variables and another object under a particular territory.

scholarly journals A client-centered approach to reproductive health: A trainer's manual

2005 ◽  
Author(s):  
Keyword(s):  
Quality Of Care ◽  
Reproductive Health ◽  
Health Services ◽  
Health Workers ◽  
Child Health Services ◽  
Training Manual ◽  
Reproductive Health Services ◽  
Community Based ◽  
Asking Questions

This training manual grew out of a project to improve the quality of care rendered by public-sector providers of reproductive health services. Implemented by the Population Council in collaboration with the Ministries of Population, Welfare, and Health, in Pakistan, the project extended beyond improving the quality of care provided by family planning workers and incorporated health workers who provided maternal and child health services. The success of all efforts made by the service delivery system in attracting and keeping clients depends upon the content and quality of interaction when the client comes in contact with the provider—whether the client is visiting a clinic or being visited by a community-based worker at home. To offer good quality of care, the provider should treat the client with dignity and respect, assess her reproductive health needs by asking questions rather than making assumptions based on her profile, and help her negotiate a solution appropriate to her circumstances. This training manual is oriented toward improving providers’ interpersonal skills. Emphasis is placed on the client and helping her meet her own needs rather than on meeting artificial goals or targets.

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