scholarly journals Hubungan pemberian imunisasi BCG dengan kejadian TB paru pada anak di Puskesmas Tuminting periode Januari 2012 – Juni 2012

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Christian K. Susanto ◽  
Audrey . Wahani ◽  
Johnny . Rompis
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Pulmonary Tuberculosis ◽  
Public Health Problem ◽  
Case Finding ◽  
Pulmonary Tb ◽  
Primary Health ◽  
Body Resistance ◽  
The Relationship

Abstract: Pulmonary Tuberculosis (Tb) is still a public health problem. The prevalence of pulmonary Tb from year to year in Manado is still high even though the management of strategy is relatively the same- prevention by immunization, case finding, and treatment strategy with supervision and with DOT directly. Prevention with immunization results in better body resistance. Immunization against Tb is required in some countries and is recommended in several other countries. Although the majority of toddlers are already BCG vaccinated there are still many pulmonary Tb cases among children in Manado. This study aimed to obtain the relationship between the BCG immunization and pulmonary TB occurence in children in Tuminting Primary Health Care, Manado. The results showed that at Tuminting Primary Health Care most of the toddlers had been BCG immunized. Tuberculosis was found among toddlers aged >3 years and there was a significant correlation between BCG immunization and the occurence of tuberculosis with an OR 0.804. Keywords: immunization BCG, occurence of TB  Abstrak: Penyakit TB paru sampai saat ini masih menjadi masalah kesehatan masyarakat. Prevalensi TB paru dari tahun ke tahun di Kota Manado tetap tinggi meskipun strategi penanganan yang diterapkan relative sama, yaitu pencegahan dengan imunisasi. penemuan penderita, dan pengobatan dengan strategi DOT atau dengan pengawasan minum obat secara langsung. Pencegahan dengan imunisasi merupakan tindakan yang mengakibatkan seseorang mempunyai ketahanan tubuh yang lebih baik. Imunisasi terhadap penyakit TB telah diwajibkan di beberapa negara serta direkomendasikan di beberapa negara lainnya. Penyakit TB banyak terjadi pada anak di Kota Manado padahal anak balita tersebut sebagian besar sudah divaksinasi BCG. Penelitian ini bertujuan untuk mengetahui hubungan antara pemberian imunisasi BCG dengan kejadian TB Paru pada anak di Puskesmas Tuminting Manado. Hasil penelitian memperlihatkan bahwa sebagian besar anak balita yang berobat di Puskesmas Tuminting telah diberikan imunisasi BCG. Kejadian tuberkulosis ditemukan pada umur >3 tahun dan terdapat hubungan bermakna antara pemberian imunisasi BCG dengan kejadian tuberkulosis paru dengan nilai OR 0,804.Kata kunci: imunisasi BCG, kejadian TB paru

scholarly journals The Impact of Environmental Health Services in Primary Health Care on Improving the Behavior of Pulmonary Tuberculosis Patients in Banyuwangi Regency

2020 ◽  
Vol 12 (3) ◽  
pp. 181
Author(s):  
Sheilla Mufidha Wahyuningtyas ◽  
Endang Sri Lestari ◽  
Jojok Mukono ◽  
Endro Sukmono
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Pulmonary Tuberculosis ◽  
Environmental Health ◽  
Tuberculosis Patients ◽  
Pulmonary Tb ◽  
Primary Health ◽  
Post Test ◽  
The Impact

Introduction: Tuberculosis (TB) is a global health crisis. Environmental health services in Primary health care provide counseling services, inspections and environmental health interventions. Research aims to determine the impact of environmental health services in Primary health care on the behavior of TB patients that includes the knowledge, attitudes and actions of pulmonary tuberculosis patients in the prevention of the transmission of pulmonary tuberculosis disease. Method: The method in this study was experimental quasi. Respondents were a new case of pulmonary TB at 6 Primary health care in Banyuwangi Regency April S/d June 2019. Pre test before obtaining environmental health services. Post test was given after counseling, inspection and environmental health intervention. Result and Discussion: The results showed a total of 24 respondents to the majority pulmonary tuberculosis patient was male (54.17%). Pre test knowledge of pulmonary TB patient is good (4.16%), enough (8.33%) and less (87.50%). Category Post test knowledge of TB patients acquired good (20.83%), sufficient category (75.00%) and less (4.20%). The average Pre test knowledge score is 37.70 and the Post test is 67.20. Category Prettest Action patients TB is good (4.16%) and less (95.83%). Category Post Test action patients pulmonary TB is good (54.17%), enough (41.67%) and less (4.16%) Which is an improvement in the form of masks, hand washing soap, the habit of spitting, the use of individual cutlery and drinking equipment, washing dinnerware and drinking with hot water/drying, drying the sleeping tools, opening a window every day, separate sleeping habits. Conclusion: The conclusion of this research is environmental health services in Primary health care in patients with pulmonary tuberculosis improves the behavior of TB patients in the form of increased knowledge, attitudes and actions of the patient in the prevention of disease transmission of TB.

scholarly journals The Effectiveness of the Environmental Health Services in the Primary Health Care Against the Prevention of Pulmonary Tuberculosis in the Regency of Banyuwangi

2020 ◽  
Vol 12 (3) ◽  
pp. 211
Author(s):  
Rachman Setiawan ◽  
Endang Sri Lestari ◽  
Jojok Mukono ◽  
Endro Sukmono
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Pulmonary Tuberculosis ◽  
Human Resources ◽  
Environmental Health ◽  
Notification Rate ◽  
Pulmonary Tb ◽  
Primary Health ◽  
Lack Of Commitment

Introduction: One of the promotive and preventive efforts in the prevention of pulmonary tuberculosis (TB) disease in primary health care is a health services environment that includes counseling, inspection and intervention of environmental health. The purpose of this study is to evaluate the effectiveness of the Environmental health services in the primary health care against the prevention of Pulmonary TB disease in Regency of Banyuwangi. Method: This research was observational descriptive design of study cross-ssectional. The study population was the primary health care in districy of Banyuwangi and a large sample of 6 primary health care. The determination of the study sample by using purposive sampling based on criteria of results Assessment of Performance of primary health care (PKP) services and programs environmental health in primary health cares and numbers Case Notification Rate (CNR) at the top of the East Java Province. Processing and analysis of data using a scoring system based on the scale of the theoretically grouped in the category of good, enough, less. The data is then interpreted descriptively. Result and Discussion: The Program of health service in the prevention of the disease is said to be effective when the probability of >50.00%. The results showed the probability of the effectiveness of the environmental health services in the Primary Health Care of Klatak of 77.00%. The Primary Health Care of Mojopanggung, Sobo, and Kabat respectively 78.80%, Primary Health Care of Gitik by 64.20% and the Primary Health Care of Songgon 49.50%. Human resources at the Primary Health Care of Songgon not competent. The Primary Health Care of Gitik and Songgon not planning activities. The achievement of the output in all the primary health care less, it is because of the lack of commitment of the implementers and the coordination of cross-program not running. Conclusion: There are 5 primary health cares service programs environmental health in the prevention of Pulmonary TB effective that the Primary Health Care of Klatak, Mojopangung, Sobo, Kabat and Gitik while at the Primary Health Care of Songgon is not effective. The effectiveness of services and programs environmental health in TB patients is influenced by policies, human resources, infrastructure, planning and coordination across the program.

scholarly journals The impact of COVID-19 on primary health care and antibiotic prescribing in rural China: qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tingting Zhang ◽  
Xingrong Shen ◽  
Rong Liu ◽  
Linhai Zhao ◽  
Debin Wang ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Rural Areas ◽  
Rural China ◽  
Antibiotic Prescribing ◽  
Epidemic Control ◽  
Primary Health ◽  
Tract Infections ◽  
The Impact

Abstract Background In China, the primary health care (PHC) system has been designated responsible for control and prevention of COVID-19, but not treatment. Suspected COVID-19 cases presenting to PHC facilities must be transferred to specialist fever clinics. This study aims to understand the impact of COVID-19 on PHC delivery and on antibiotic prescribing at a community level in rural areas of central China. Methods Qualitative semi-structured interviews were conducted with 18 PHC practitioners and seven patients recruited from two township health centres and nine village clinics in two rural residential areas of Anhui province. Interviews were transcribed verbatim and analysed thematically. Results PHC practitioners reported a major shift in their work away from seeing and treating patients (due to government-mandated referral to specialist Covid clinics) to focus on the key public health roles of tracing, screening and educating in rural areas. The additional work, risk, and financial pressure that PHC practitioners faced, placed considerable strain on them, particularly those working in village clinics. Face to face PHC provision was reduced and there was no substitution with consultations by phone or app, which practitioners attributed to the fact that most of their patients were elderly and not willing or able to switch. Practitioners saw COVID-19 as outside of their area of expertise and very different to the non-COVID-19 respiratory tract infections that they frequently treated pre-pandemic. They reported that antibiotic prescribing was reduced overall because far fewer patients were attending rural PHC facilities, but otherwise their antibiotic prescribing practices remained unchanged. Conclusions The COVID-19 pandemic had considerable impact on PHC in rural China. Practitioners took on substantial additional workload as part of epidemic control and fewer patients were seen in PHC. The reduction in patients seen and treated in PHC led to a reduction in antibiotic prescribing, although clinical practice remains unchanged. Since COVID-19 epidemic control work has been designated as a long-term task in China, rural PHC clinics now face the challenge of how to balance their principal clinical and increased public health roles and, in the case of the village clinics, remain financially viable.

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