scholarly journals Policy Model of Community Adaptation using AHP in the Malaria Endemic Region of Lahat Regency - Indonesia

Lahat Regency is a malaria-endemic region, so the research aims to develop a model of policy adaptation of society in the malaria-endemic region to Lahat Regency. This research is a qualitative study by collecting data through interviews and Focus Group Discussion (FGD), which is then processed using Expert Choice that is analyzed by the Analytical Hierarchy Process (AHP) technique. The results showed that there were 3 criteria in determining the priorities of the adaptation policy, i.e the hosts/society, agent/cause of the disease, and vector/environment. The policy Model was compiled using 3 criteria that resulted in successive policy priorities as follows: strengthening of preventive and curative malaria program of local-based (39.8%), strengthening malaria information system through community empowerment (17.4%), strengthening the commitment of central and local governments in sustainability fulfilment of program needs and coordination among related agencies (14.7%), projection of malaria transmission in space and time scale periodically and sustainably based on environmental factors (9%), malaria centre or malaria control centre (6.2%), the program of Chemoppropilaxis as an action against Plasmodium (5.8%), strengthening the capacity of health workers and laboratory personnel (4.2%), and development of the cross-sectoral intervention model (3%). 3 priorities became the main program conducted through a wide range of strategies.

2016 ◽  
Vol 1 ◽  
pp. 60-65
Author(s):  
Umi Solikhah ◽  
Hari Kusnanto ◽  
Fitri Haryanti

Community empowerment with regard to maternal and child health services at the community level carried out by cadre.Cadre is health volunteers, selected by the community.404 number of active cadres in primary health care of South Purwokerto entirely female, although it may be a cadre of men. Active cadre toddler actively providing services every month for child before 5 years age. Interest to know the various reasons committed cadres in performing their duties. The method used is qualitative study,to describe a variety of reasons commitment to perform cadre duties in child health care. Retrieving data using interview techniques through the focus group discussion. Data from 30 cadres.Results of interviews taken until the data saturation, as a reason believed by cadres in the commitment to carry out tasks of serving the Muslim community. Characteristic respondent are mean of age 38 years (the youngest age of 25 years and the oldest 55 years old), a 100% Islamic religion, level of education majority of senior high school(at least primary school). Educational level health cadres in Banyumas has met the minimum requirements by the WHO.Results of the analysis showed thatcommitment includes a cadre of dedicated, caring community, a desire to learn, social esteem, individual satisfaction, togetherness, organization, and spirituality. The spirit of cadre to the community need the attention of the government for development and prosperity in accordance with their duties.Spiritual reasons become one of the motivations in providing health services to the community, albeit to a spirit of dedication and a great desire to learn. Cadres continue to provide services, even to families with different spiritual.


2016 ◽  
Vol 3 (2) ◽  
pp. 82-93
Author(s):  
Gugulethu Shamaine Nkala ◽  
Rodreck David

Knowledge presented by Oral History (OH) is unique in that it shares the tacit perspective, thoughts, opinions and understanding of the interviewee in its primary form. While teachers, lecturers and other education specialists have at their disposal a wide range of primary, secondary and tertiary sources upon which to relate and share or impart knowledge, OH presents a rich source of information that can improve the learning and knowledge impartation experience. The uniqueness of OH is presented in the following advantages of its use: it allows one to learn about the perspectives of individuals who might not otherwise appear in the historical record; it allows one to compensate for the digital age; one can learn different kinds of information; it provides historical actors with an opportunity to tell their own stories in their own words; and it offers a rich opportunity for human interaction. This article discusses the placement of oral history in the classroom set-up by investigating its use as a source of learning material presented by the National Archives of Zimbabwe to students in the Department of Records and Archives Management at the National University of Science and Technology (NUST). Interviews and a group discussion were used to gather data from an archivist at the National Archives of Zimbabwe, lecturers and students in the Department of Records and Archives Management at NUST, respectively. These groups were approached on the usability, uniqueness and other characteristics that support this type of knowledge about OH in a tertiary learning experience. The findings indicate several qualities that reflect the richness of OH as a teaching source material in a classroom set-up. It further points to weak areas that may be addressed where the source is considered a viable strategy for knowledge sharing and learning. The researchers present a possible model that can be used to champion the use of this rich knowledge source in classroom education at this university and in similar set-ups. 


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Wouter Bakker ◽  
Siem Zethof ◽  
Felix Nansongole ◽  
Kelvin Kilowe ◽  
Jos van Roosmalen ◽  
...  

Abstract Objective Informed consent is a prerequisite for caesarean section, the commonest surgical procedure in low- and middle-income settings, but not always acquired to an appropriate extent. Exploring perceptions of health care workers may aid in improving clinical practice around informed consent. We aim to explore health workers’ beliefs and experiences related to principles and practice of informed consent. Methods Qualitative study conducted between January and June 2018 in a rural 150-bed mission hospital in Southern Malawi. Clinical observations, semi-structured interviews and a focus group discussion were used to collect data. Participants were 22 clinical officers, nurse-midwives and midwifery students involved in maternity care. Data were analysed to identify themes and construct an analytical framework. Results Definition and purpose of informed consent revolved around providing information, respecting women’s autonomy and achieving legal protection. Due to fear of blame and litigation, health workers preferred written consent. Written consent requires active participation by the consenting individual and was perceived to transfer liability to that person. A woman’s refusal to provide written informed consent may pose a dilemma for the health worker between doing good and respecting autonomy. To prevent such refusal, health workers said to only partially disclose surgical risks in order to minimize women's anxiety. Commonly perceived barriers to obtain a fully informed consent were labour pains, language barriers, women’s lack of education and their dependency on others to make decisions. Conclusions Health workers are familiar with the principles around informed consent and aware of its advantages, but fear of blame and litigation, partial disclosure of risks and barriers to communication hamper the process of obtaining informed consent. Findings can be used to develop interventions to improve the informed consent process.


Animals ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 1818
Author(s):  
Jennifer Routh ◽  
Sharmini Julita Paramasivam ◽  
Peter Cockcroft ◽  
Vishna Devi Nadarajah ◽  
Kamalan Jeevaratnam

The public health implications of the Covid-19 pandemic have caused unprecedented and unexpected challenges for veterinary schools worldwide. They are grappling with a wide range of issues to ensure that students can be trained and assessed appropriately, despite the international, national, and local restrictions placed on them. Moving the delivery of knowledge content largely online will have had a positive and/or negative impact on veterinary student learning gain which is yet to be clarified. Workplace learning is particularly problematic in the current climate, which is concerning for graduates who need to develop, and then demonstrate, practical core competences. Means to optimise the learning outcomes in a hybrid model of curriculum delivery are suggested. Specific approaches could include the use of video, group discussion, simulation and role play, peer to peer and interprofessional education.


Author(s):  
Nia Kurniati ◽  
Reginawanti Hindersah

Objective - The objective of this study is to identify the food security characteristics in local communities at Napan Village, Nusa Tenggara Timur Indonesia and to study the implementation of agrarian reform principles covering asset reform and access reform, in achieving food sustainability. Methodology/Technique - The method used is a normative judicial method. The data is analysed through qualitative judicial means, supported by Focus Group Discussion, to obtain primary qualitative data. Findings - The results show that synchronization of agrarian reform programs, including asset reform with "Food Intensification Program" along with "Social Forestry Program", reinforce farmers' rights over their farmlands and assure farmland tenure and ownership. The approach of "access reform" by means of the "Food Intensification Program", integrated with government intervention, might serve as the base for achieving the inclusivity and continuity of food sustainability in Napan Novelty - This study highlights the need for central and local governments to accelerate food production in underdeveloped regions through asset and access reform programs. Land Certification, Social Forestry Program, and the Food Intensification Program can all be implemented to strengthen farmers' land rights as well as their productivity. Type of Paper - Empirical. Keywords: Agrarian Reform; Food Security; Napan Village; Indonesia. JEL Classification: Q1, Q18.


2021 ◽  
Vol 62 (6) ◽  
Author(s):  
Luu Thi Phuong Thao ◽  
Nguyen Thi Dao

Objectives: To determine the rate of physical activity and some associated factors between adequate physical activity and understanding, barriers, and support from family and friends in diabetic patients at the Long Ho district Health Center in Vinh Long province in 2021. Subjects and research methods: A cross-sectional descriptive study with analysis. The toolkit is based on the GPAQ (Global Physical Activity Questionnaire) questionnaire and related research [9]. Results and discussions: Patients with incorrect knowledge about diabetes accounted for 53%, with sufficient physical activity 43.6%. The results of multivariable logistic regression analysis showed that there were relationship between sufficient physical activity and age (p<0.05), barriers including exercise taking a long time, remote locations, and a lack of facilities (p<0.05) and the patient was still confident in futures activities even when the weather was bad (OR = 0.486, p<0.05). The family and friends had not supported (OR= 0.317, p<0.05). Conclusions and recommendations: Patients need to sufficient physical activity as recommended with an average intensity of 150 minutes/week. It is necessary to update the knowledge of diabetes as well as the knowledge of sufficient physical activity from health workers, family and friends. Local governments should construct cultural houses and playgrounds to make it easier for patients to participate in activities.


Parasitology ◽  
1993 ◽  
Vol 107 (S1) ◽  
pp. S159-S167 ◽  
Author(s):  
P. S. Shetty ◽  
N. Shetty

Interactions between infection and nutrition have been well recognized for several years now since they contribute directly to the health of individuals and communities. Malnourished individuals are specially prone to developing infections while infections themselves can lead to profound changes in the nutritional status of the individual. Health workers in developing countries in the tropics have long recognized the mutually aggravating interactions of malnutrition and infection. The importance of this synergistic relationship between infection and nu-tritional status has been studied extensively in the case of young children. The nutritional status of a young child is a critical determinant of both c morbidity and mortality resulting from a wide range of infections: bacterial, viral, or parasitic. Chandra (1983), in his review on the relationship of nutrition, immunity and infection has categorized the wide range of infectious agents (bacterial, viral, fungal and parasitic) into those that are definitely, variably or minimally influenced by the nutritional status of the child.


1995 ◽  
Vol 9 (4) ◽  
pp. 288-299 ◽  
Author(s):  
Philip A. May ◽  
James R. Moran

Purpose. The purpose of this review is to provide an overview of a wide range of potentially useful strategies to address the prevention of alcohol misuse among American Indians. This broad approach to the review is useful because the extreme heterogeneity of the American Indian population requires that health promotion professionals explore many options and tailor their activities to specific communities. Search Method. A literature search was initiated through MEDLINE using the following key words: prevention, alcohol, substance abuse, American Indian, and Native American. The search yielded 29 articles from the years 1982 through 1994. These articles, along with 45 previously identified in three overview articles, form the basis of the review and discussion in this paper. Summary of findings. As a group, American Indians experience many health problems that are related to alcohol misuse. Comparison of Indians to non-Indians shows that the age of first involvement with alcohol is younger, the frequency and amount of drinking is greater, and negative consequences are more common. Health promotion programs that address these issues must take into account American Indian heterogeneity and should use a comprehensive approach that addresses both heavy drinking and the sequelae of problems related to alcohol misuse. Major Conclusions. Important concepts for providing health promotion services to this population are: cultural relevance must be carefully planned and monitored; individuals in the local community must be involved; the drunken Indian stereotype must be addressed; and community empowerment should be an important goal.


2021 ◽  
Vol 4 (1) ◽  
pp. 7-14
Author(s):  
Hermelin Saras Putri ◽  
Ririn Gusti

This study aims to systematically obtain information related to community empowerment through kalamansi citrus farmer groups. The method used is the focus group discussion by getting the results that community empowerment through the kalamansi citrus farmer group was established in 2008, has 27 members, the natural lemongrass farmer group gets certificate of appreciation from the Governor of Bengkulu as an Independent Kalamansi Citrus Farm Farmer / Success in the Context of the 50th Anniversary of Bengkulu Province, on 18 November 2018. As time goes by, Kalamansi oranges have produced many fruits, the empowerment of sustainable natural lemongrass farmer groups in Padang lemongrass village is one of a form of community empowerment. The community usually sells it in the form of fresh fruit to market traders in the city of Bengkulu. With the empowerment of this sustainable natural fresh farmer group, the community can use their land as a kalamansi orange plantation where the products they plant will be traded in the market or to Mr. Amti who needing the raw material for kalamansi syrup, the community can increase their family's economic income by planting kalamansi and oranges the community also conserves kalamsi citrus fruit in the city of Bengkulu. Keywords: Empowerment, farmer groups, kalamansi oranges. 


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