scholarly journals Progression of the Pathway for Public Health Care during the COVID-19 Outbreak at District Health Offices

2021 ◽  
Vol 18 (19) ◽  
pp. 10533
Author(s):  
Noraziani Khamis ◽  
Intan Syafinaz Saimy ◽  
Nor Hayati Ibrahim ◽  
Nur Khairah Badaruddin ◽  
Nor Zam Azihan Mohd Hassan ◽  
...  
Keyword(s):  
Public Health ◽  
Case Management ◽  
Health Workers ◽  
Movement Control ◽  
Public Health Care ◽  
Main Process ◽  
District Health ◽  
Work Settings ◽  
Public Health Activity ◽  
Management Flow

Public health activities under district health offices (DHOs) play a major role in Malaysia’s fight against COVID-19. This article aims to describe and illustrate the public health activity pathway in combating the COVID-19 pandemic, and a team of public health workers who are familiar with DHO work settings was created in April 2020 for that purpose. Review of documents and the Ministry of Health’s updates was carried out, followed by a series of discussions with stakeholders. Based on the steps in the outbreak investigation tasks, the flow of activities from January to May 2020 was listed in line with the phases of the country’s National Movement Control Order 2020. Results show that the activities can be classified into three different sections—namely, the main action areas, category of cases, and level of care. The main process flow of activities comprised the case management and support activities. Case management flow was split into tasks for patients under investigation and persons under surveillance, while the support services existed throughout the phases. The pathways illustrate that the progression of the pandemic translated directly to changes in the pattern of activities, with additional subgroups of activities in accordance with all imposed guidelines.

Risking Lives to Save Others During COVID-19: A Focus on Public Health Care Workers in Bangladesh and Egypt

2021 ◽  
pp. 002073142110637
Author(s):  
Shahjahan Bhuiyan
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Workers ◽  
Health Workers ◽  
Public Health Care ◽  
Altruistic Behavior ◽  
Ongoing Research ◽  
Health Crisis ◽  
Street Level ◽  
Care Workers

The coronavirus (COVID-19) pandemic has been spreading around the world, causing a major public health crisis that has already claimed hundreds of thousands of lives. Street-level bureaucrats­—health workers, teachers, street cleaners, police officers­, and so forth—are at the forefront in fighting against the pandemic. Of these, public health care workers, due to the nature of their involvement, should know and understand why they are risking their lives to save others during this pandemic. Based on the preliminary data gleaned from interviews with public health care workers in Bangladesh and Egypt, this ongoing research suggests they are risking their lives for reasons such as altruistic behavior, service to profession, adherence to bureaucratic accountability, and a desire to help mankind. The findings contribute to the existing literature about street-level bureaucratic behavior in atypical times such as these of the pandemic. This study is unique in that it comprehends that public health care workers of two culturally and geographically distinct countries are risking their lives for the same public-spirited cause.

scholarly journals Evaluation Of Integrated Management Implementation In Hospital In The Health Center Of Sleman D.I Yogyakarta District

2020 ◽  
Vol 8 (2) ◽  
pp. 152
Author(s):  
Casnuri Casnuri ◽  
Puspito Panggih Rahayu
Keyword(s):  
Public Health ◽  
Health Center ◽  
Health Workers ◽  
Integrated Management ◽  
Research Result ◽  
Integrated Approach ◽  
Health Care Facilities ◽  
District Health ◽  
Public Health Center ◽  
Live Births

<p>Integrated Management of Sick Toddler (MTBS) is an integrated approach whose governance is carried out on sick toddlers with outpatient facilities. MTBS is used as a service standard for sick infants and toddlers as well as a guideline for nursing staff (midwives and nurses) especially in primary health care facilities. In 2006 the MTBS program socialization and training for puskesmas staff were conducted, where each puskesmas was represented by 1 medical staff and 2 paramedics. MTBS aims to reduce morbidity and mortality due to diarrhea, pneumonia, DHF and infections. IMR in Sleman Regency is better than the national target. In 2015 there were 14,134 live births and 51 (3.61%) stillbirths. This tends to decrease from 2014 when the number of live births was 14,406 with 67 infant deaths (4.65%). The death was caused by diarrhea, pneumonia, DHF and infections. This shows that there is still a need to increase the role of cross-program and cross-sectoral efforts to reduce infant mortality, which is to evaluate the implementation of IMCI or MTBM in the Sleman D.I Yogyakarta Public Health Center.</p><p><strong>Research Purpose </strong>investigate the factors in the implementation of IMCI at the Sleman D.I Yogyakarta Public Health Center.</p><p><strong>Research Methods </strong>is descriptive qualitative. The main Informantts were 25 MTBS officers, 25 Puskesmas heads, and 1 Kasie Kesga District Health Office, Sleman D.I Yogyakarta with in-depth interviews.</p><p><strong>Research result: </strong>All puskesmas in Sleman Regency have implemented MTBS services according to service procedures with different achievements in each puskesmas. This is due to the disorderly officers in conducting data recapitulation. The achievement of the MTBS program in Sleman Regency was 65.39%.<strong></strong></p><p><strong>Conclusion</strong>: The MTBS program at the Sleman district health center has been implemented well due to several factors, namely Human Resources, both the number of trained health workers and the quality of the competencies of health workers, leadership support in the form of facilities and infrastructure, as well as funding support in increasing competence.</p><p> </p><p> </p>

scholarly journals It never happened to me, so I don’t know if there are procedures”: identification and case management of torture survivors in the reception and public health system of Rome, Italy

2018 ◽  
Vol 28 (2) ◽  
pp. 38-55
Author(s):  
Caterina Spissu ◽  
Gianfranco De Maio ◽  
Rafael Van den Bergh ◽  
Engy Ali ◽  
Emilie Venables ◽  
...  
Keyword(s):  
Public Health ◽  
Case Management ◽  
Health System ◽  
Public Health System ◽  
Health Sector ◽  
Linkage To Care ◽  
Public Health Care ◽  
Prise En Charge ◽  
Correct Identification ◽  
Torture Survivors

Background: Access and linkage to care for migrant torture survivors is contingent on their identification and appropriate referral. However, appropriate tools for identification of survivors are not readily available, and the (staff of) reception systems of host countries may not always be equipped for this task. This study explores practices in the identification and case management of torture survivors in the reception structures and in the public health sector in Rome, Italy. Method: Data were analysed manually and codes and themes generated. Results: A non-homogeneous level of awareness and experience with torture survivors was observed, together with a general lack of knowledge on national and internal procedures for correct identification of torture survivors. Identification and case management of torture survivors was mainly carried out by non-trained staff. Participants expressed the need for training to gain experience in the identification and management of torture survivors’ cases, as well support and increased resources at both the reception and public health system levels. Conclusions: The crucial process of identification and prise en charge of survivors of torture among migrant and refugee populations is relegated to nontrained and inexperienced professionals at different levels of the reception system and public health care sector, which may carry a risk of non-identification andpossible harm to survivors. Additional resources and structured interventions are urgently needed, in the form of developing procedures, training, and adapted multidisciplinary services.

Infectious Diseases After Tsunami Aceh (Indonesia) Experience

2012 ◽  
Vol 7 (6) ◽  
pp. 754-758
Author(s):  
Nasronudin ◽  
◽  
Juniastuti ◽  
Retno H. Oktamia ◽  
Maria I. Lusida ◽  
...  
Keyword(s):  
Public Health ◽  
Health Workers ◽  
Clinical Care ◽  
Public Health Intervention ◽  
Disease Outbreaks ◽  
Public Health Care ◽  
Upper Respiratory Infection ◽  
Infectious Disease Outbreaks ◽  
Medical Needs ◽  
Laboratory Capacity

An earthquake of magnitude 9 on the Richter scale followed by a tsunami devastated large swaths of northern Indonesia within minutes on December 26, 2004. The response to this disaster has been a rapid, national and international co-coordinated effort. Combined teams were multidisciplinary, consisting of health workers such as surgeons, anesthetiststraumatologists, emergency primary care workers, nurses, microbiologists and laboratory technicians, public health physicians, very importantly logisticians, and others. The need for critical clinical care was greatest in the first 1-2 weeks, then it quickly declined. After the initial crisis period, needs quickly changed to reestablishing public health care with an emphasis on Sphere standards such as promoting access to clean water, good sanitation, adequate nutrition and access to health workers for treatment and control of common conditions such as diarrhea, malaria, and respiratory diseases. The introduction of immunization programs for diseases to victims in vulnerable location was also an important public health intervention. No major disease outbreaks occurred following the Aceh tsunami. This was in part because of most of the displaced population settled into many small places/areas with at least rudimentary sanitation. No large camps that would support the rapid spread of disease were built. There were, however, still many diseases with epidemic potential found in tsunami-affected areas. In Aceh, the rate of diarrhea as a disease of immediate concern was 16%. Acute upper respiratory infection and pneumonia as diseases related to over-crowding were found to be 21%, 20% and 3%, respectively. The number of persons with malaria as a disease posing threats in the first month was no greater (4%) than previously, because there was an established-large vector control project. Proper national and international coordination and total health response considering public health, laboratory capacity and medical needs are important lessons to learn for anticipating the possibility of infectious disease outbreaks following the tsunami in Aceh.

scholarly journals Multiple interventions to strengthen immunization services in an Angolan district

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Fattorini ◽  
G Raguzzoni ◽  
C Cuccaro ◽  
N Nante ◽  
C Quercioli ◽  
...  
Keyword(s):  
Public Health ◽  
Local Community ◽  
Health Workers ◽  
Local Level ◽  
Health Department ◽  
Health Staff ◽  
Continuous Training ◽  
District Health ◽  
Immunization Services ◽  
Multiple Interventions

Abstract Background Immunization represents one of the most effective intervention in public health. In the Sustainable Development Goals era, adequate vaccination services are still crucial for the prevention of infectious diseases and the reduction of under-5 mortality. However, in 2017 WHO estimated that children &lt;1 year who did not receive the third dose of Diphtheria-Tetanus-Pertussis (DTP3) vaccine were 19.2 million globally, and 600000 of these were located in Angola, a Sub-Saharan country with an estimated DTP3 coverage of 52%. Since 2000, Italian Non-Governmental Organization (NGO) Doctors with Africa CUAMM supports the activity of the hospital of Chiulo in the commune of Mucope (district of Ombadja, south of Angola). Aim of the study is to describe the interventions implemented to strengthen the immunization services performed by the hospital Public Health Staff (PHS). Methods In May 2018 the NGO started to implement multiple interventions to enhance the number of vaccine doses administered. Firstly, outreach immunization sessions were reorganized and reinforced, for example involving local Community Health Workers in the identification of villages with a high burden of unvaccinated children. Other actions were the continuous training of the PHS in data collection and the increased collaboration with the Ombadja District Health Department in order to develop a more efficient vaccine supply chain at local level. Results In 2018, among children &lt;1 year the PHS administered 19746 doses, with a 22.3% growth compared to 2017 (15349 doses). Doses administered during outreach sessions increased by 35.4% (6597 versus 4259 doses). Estimated DTP3 coverage in Mucope commune was 71% (2017, 59%). Conclusions The WHO “Reaching Every Community” strategy emphasizes the importance of high quality immunization services in hard-to-reach areas. The organisation of well-functioning immunization services requires a multifaceted approach by the involved stakeholders. Key messages In 2017, globally 19.2 million of children &lt;1 year did not receive the recommended three DTP doses. Six-hundred thousand were located in Angola. To obtain and sustain an adequate vaccination coverage, especially in hard-to-reach areas, multiple and well-coordinated actions should be implemented by all the involved stakeholders.

scholarly journals MEMAKNAI PENTINGNYA PERAWATAN KESEHATAN MASYARAKAT DALAM MENINGKATKAN KUALITAS HIDUP

2020 ◽  
Vol 11 (1) ◽  
pp. 61-78
Author(s):  
Dwi Sogi Sri Redjeki
Keyword(s):  
Public Health ◽  
Health Care ◽  
Development Strategy ◽  
Health Workers ◽  
Scientific Paper ◽  
Continuous Variable ◽  
Public Health Care ◽  
Decentralized System ◽  
Professional Health ◽  
The Government

 Latar belakang: Pembangunan perawatan kesehatan merupakan bentuk aktivitas dalam rangka mengisi kemerdekaan bangsa supaya dapat mewujudkan masyarakat yang sehat dan kuat. Salah satunya adalah dengan melakukan penyelenggaraan pelayanan kesehatan. Pelayanan kesehatan adalah sebuah kegiatan yang diberikan kepada individu maupun masyarakat oleh pemerintah dengan tujuan untuk mencegah dan menyembuhkan penyakit individu maupun masyarakat.Tujuan: Perawatan kesehatan masyarakat mengacu pada kemampuan untuk: a) membuat dan memelihara hubungan dengan orang lain; b) berinteraksi dengan baik dengan orang-orang dan lingkungan, sehingga dengan pemahaman kesehatan tersebut dapat menunjukkan kemampuan untuk beradaptasi dengan lingkungan yang berubah serta bertujuan memberikan pemaknaan sebagai kemampuan seseorang untuk berpikir secara konkrit, obyektif dalam norma dan kepatutan yang layak dalam sebuah atau suatu sistem (misal: keluarga, atau masyarakat) dalam rangka untuk merespons secara adaptif terhadap berbagai tantangan lingkungan. Metode: Penulisan ilmiah ini dilakukan dengan melakukan analisa akademik dari aspek berbagai sumber rujukan relevan sehingga menemukan makna teoritis baru dalam rangka menjawab tantangan perawatan kesehatan yang terjadi di masyarakat.Hasil: Paradigma perawatan kesehatan masyarakat merupakan suatu strategi baru pembangunan kesehatan yang memandang masalah kesehatan sebagai suatu variable kontinyu, direncanakan dalam suatu sistem desentralisasi, dengan kegiatan pelayanan yang senantiasa bersifat promotif untuk mengentaskan kesehatan masyarkat, oleh tenaga kesehatan professional bersama masyarakat yang partisipatif. Kata kunci: perawatgan kesehatan, kesehatan masyarakat, hidup sehat AbstractBackground: Health care development is a form of activity to fill the nation's independence which has a role to create a healthy and strong society. One of them is by conducting health services. Health service is an activity provided to individuals and communities by the government to prevent and cure individual and community diseases. Purpose: Public health care refers to the ability to: a) make and maintain relationships with others; b) interacts well with people and the environment, so that understanding of health can demonstrate the ability to adapt to a changing environment and aims to provide meaning as a person's ability to think concretely, objectively inappropriate norms and appropriateness in a system or system (e.g. family, or community) to respond adaptively to various environmental challenges. Method: This scientific paper is carried out by conducting academic analysis from various aspects of relevant reference sources to find new theoretical meaning to answer the challenges of health care that occur in society. Results: The public health paradigm is a new health development strategy that views health issues as a continuous variable, planned in a decentralized system, with service activities that are always promotive to alleviate public health, by professional health workers together with participatory communities. Keywords: health care, public health, healthy living 

scholarly journals IMPLEMENTASI PROGRAM ASI EKSKLUSIF DI PUSKESMAS ALAI KECAMATAN TEBING TINGGI BARAT KABUPATEN KEPULAUAN MERANTI TAHUN 2020

2020 ◽  
Vol 4 (2) ◽  
pp. 235-241
Author(s):  
Welly Sando ◽  
Dami Yanthi ◽  
Muhammad Dedi Widodo ◽  
Tengku Khairani
Keyword(s):  
Public Health ◽  
Pregnant Women ◽  
Health Center ◽  
Exclusive Breastfeeding ◽  
Health Workers ◽  
Community Health Center ◽  
Observational Research ◽  
Research Subjects ◽  
District Health ◽  
Public Health Center

Implementation is the implementation of laws in which various actors, organizations, procedures, and techniques work together to carry out policies in an effort to achieve policy objectives or policy programs. Exclusive breastfeeding coverage The Meranti Islands District Health Office experienced the lowest exclusive breastfeeding coverage in 2019, namely Alai Community Health Center, which is 25% where the achievement of the exclusive Breastfeeding Program (ASI) in Meranti Islands Regency in 2019 is 50% and still far from the national target of 80%. This study aims to determine the implementation of the exclusive breastfeeding program at Alai Public Health Center, Tebing Tinggi Barat District, Meranti Islands Regency in 2020. This type of qualitative research uses observational research. When the research was conducted in June-August at the Alai Public Health Center, Tebing Tinggi Barat District, Meranti Islands Regency. The research subjects were the head of the puskesmas (IK1), pregnant women (IU1), PJ KIA (IP1), and posyandu cadres (IP2). Data analysis is used by systematically arranging the interview guidelines, then processing the data, data from observations are identified to describe each variable, a summary will be presented in narrative form. The results of this study indicate that the policies in the exclusive breastfeeding program have been implemented but the coverage of exclusive breastfeeding is still low because many pregnant women do not follow the recommendations that have been given by health workers in counseling such as the benefits of breastfeeding. It can be concluded that health workers in the policy of the exclusive breastfeeding program provide counseling to pregnant women and approach pregnant women in order to achieve an exclusive breastfeeding program. It is recommended that the head of the Alai Community

scholarly journals Occupational citizenship

2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Lise Rosendal Østergaard
Keyword(s):  
Public Health ◽  
Health Care ◽  
Burkina Faso ◽  
Health Professionals ◽  
Health Workers ◽  
Material Deprivation ◽  
Public Health Care ◽  
The Public ◽  
Political Agitation ◽  
Professional Health

Health workers are an overlooked category in the growing literature on health and citizenship. In this article I describe a 2012–2013 nationwide conflict in the public health care sector in Burkina Faso to explore how ideas about citizenship were mobilized in a situation of political agitation. I examine how public health care is done in a context of material deprivation, technological shortage, and great demand from the population. Three distinct repertoires of practice, routine, and bureaucracy are identified, through which health workers strive to make meaning of their work and engage in the practice of public health care. Drawing on these findings, I argue that adopting a citizenship framework offers an opportunity to improve our understanding of the multiple ways in which health workers manage the difficulties related to being (health professionals) and doing (professional health care) in rural Burkina Faso.

scholarly journals Bounded Solidarity as an Asset for Public Health Care Intervention

2021 ◽  
pp. 104973232110570
Author(s):  
Mireia Yter ◽  
David Murillo ◽  
Andreas Georgiou
Keyword(s):  
Public Health ◽  
Health Care ◽  
Social Capital ◽  
Health Workers ◽  
Public Health Care ◽  
Public Health Communication ◽  
The Public ◽  
Health Care Intervention ◽  
Public Health Workers ◽  
Capital Development

The relationship between social capital and public health has been extensively analyzed. However, not much has been written about the formation of social capital among citizens and public health workers in times of a pandemic. Our aim is to analyze social capital development through the prism of bounded solidarity and seek its manifestations toward public health workers. A qualitative self-administered survey was used to analyze what actions, practices, attitudes, and reasons inspired citizens to behave as they did with respect to public health workers during the first weeks of lockdown under the COVID-19 pandemic. Respondents, mostly from European countries, reveal that citizens aimed to prevent the collapse of the public health system through reinforcing trust toward institutions, legitimizing health care personnel expertise, practicing reciprocity and altruism, giving recognition to public health workers, and providing them with means. Finally, recommendations for public health communication on risks and crises are discussed.

scholarly journals Evaluation Of Programs For Stunting Prevention Management At Tajinan Public Health Center

2021 ◽  
Vol 14 (02) ◽  
pp. 128-136
Author(s):  
Rifzul Maulina
Keyword(s):  
Public Health ◽  
Health Center ◽  
Intervention Program ◽  
Health Workers ◽  
Growth Monitoring ◽  
District Health ◽  
Public Health Center ◽  
Family Approach ◽  
The Family ◽  
The Government

Stunting is one of the problems that can human development globally. East Java is one of the provinces that has a high prevalence of stunting. This shows the low quality of health services. The government is committed to reduce stunting rates through several health policies. The policy is in the form of a program launched by the Indonesian Ministry of Health (Kemenkes), namely the Healthy Indonesia Program with a Family Approach (PIS-PK), Provision of Supplementary Food and the First 1000 Days of Life (HPK). The purpose of this study was to evaluate the intervention program for the management of nutritional status of stunting under five with elements of input, process and output. This research is a qualitative research. The initial informants were determined by purposive sampling technique. The data collection method was through in-depth interviews, observation and documentation of 6 initial informants consisting of the head of the puskesmas, the coordinating midwife for Children and Mother Health, the nutrition coordinator, the village midwife, framework and some target mothers. Two triangulation informants consisting of the family health coordinator and the district health office nutrition coordinator. The results showed that at the input stage, the health workers involved still needed additional, there were no nutrition workers. In the process element, some of the programs were well implemented including the family approach through home visits by framework, healthy programs for pregnant women, exclusive breastfeeding, growth monitoring, supplementary feeding, giving vitamin A except for the taburia program. In the output element, the coverage of the prevalence of stunting in the Tajinan Public Health Center, Malang Regency in 2018 was 17.24%

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