EVALUASI PERESEPAN OBAT PASIEN RAWAT JALAN PUSKESMAS SUNGAI TABUK 1 KALIMANTAN SELATAN TERHADAP FORMULAIRUM KABUPATEN

Drug formularies are a guide for health workers in choosing drugs rationally. One of the benefits of formularies is controlling quality and optimizing services for patients. The conformity of prescription drugs to formularies is important to improve the quality of service. The purpose of this study was to assess the conformity of prescription drugs at Sungai Tabuk 1 Primary Health Care against the Banjar District Formulary for the period 2019. This retrospective descriptive study was conducted in January to February 2020 at the outpatient of Sungai Tabuk 1 Primary Health, South Kalimantan. Prescribing drugs at the outpatient of the 16 therapy classes, there are 13 therapy classes 100% according to the Banjar Regency Formulary for the period 2019. Meanwhile, 3 classes of less than 100% conformity therapy include anti-infection, topical medicines for the skin, and vitamins and minerals. The mean percentage of prescription drugs at the outpatient of Sungai Tabuk 1 in accordance with the Banjar Regency Formulary was 99.15.

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Evaluation of integrated antenatal care implementation in primary health care

Journal of Integrated Care ◽

10.1108/jica-07-2019-0031 ◽

2020 ◽

Vol 28 (2) ◽

pp. 99-117 ◽

Cited By ~ 1

Author(s):

Sandra Hakiem Afrizal ◽

Achmad Nizar Hidayanto ◽

Putu Wuri Handayani ◽

Besral Besral ◽

Evi Martha ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Antenatal Care ◽

Local Governments ◽

Health Workers ◽

Practical Implication ◽

Functional Integration ◽

Content Type ◽

Primary Health

PurposeThis study was aimed to evaluate the implementation of an integrated antenatal care (ANC) scheme through a retrospective document study using a checklist for measuring the adequacy of the cohort ANC register documented by midwives in an urban area and to describe the barriers for the midwives during the ANC record process.Design/methodology/approachAn exploratory descriptive study using a sequential mixed method was utilised where a quantitative method was employed by collecting secondary data of 150 entries of the cohort ANC register and followed by in-depth interviews among midwives and community health workers.FindingsThe results show that the cohort registry indicators for integrated care such as laboratory and management were poorly recorded. Several barriers were found and categorised during the implementation of the integrated ANC, namely (1) governance and strategy, (2) process of care, (3) organisation and management support.Research limitations/implicationsThe contribution of this present research is that it provides empirical data of the integrated ANC implementation in primary health care (PHC) which has the responsibility to deliver an integrated level of care for ANC using a cohort registry for pregnancy registration monitoring which facilitates the continuity and quality of care.Practical implicationsPractical implication of the finding is that functional integration such as the clinical information system to facilitate an efficient and effective approach during the implementation of integrated ANC in primary care should be considered to support the clinical, professional, organisational, system and normative integration.Originality/valueSince only limited studies have been conducted to assess the quality of the cohort ANC registry and to investigate the barriers against integrated ANC implementation in Indonesia, the research findings are valuable information for the national and local governments to improve the ANC service in Indonesia.

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Quality of routine health data collected by health workers using smartphone at primary health care in Ethiopia

International Journal of Medical Informatics ◽

10.1016/j.ijmedinf.2017.01.016 ◽

2017 ◽

Vol 101 ◽

pp. 9-14 ◽

Cited By ~ 9

Author(s):

Araya Abrha Medhanyie ◽

Mark Spigt ◽

Henock Yebyo ◽

Alex Little ◽

Kidane Tadesse ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Health Workers ◽

Health Data ◽

Primary Health

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Primary Health Care from the perception of women living in a rural area

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-623420150000500003 ◽

2015 ◽

Vol 49 (5) ◽

pp. 726-732 ◽

Cited By ~ 1

Author(s):

Érica de Brito Pitilin ◽

Maicon Henrique Lentsck

Keyword(s):

Health Care ◽

Primary Health Care ◽

Rural Area ◽

Descriptive Study ◽

Southern Brazil ◽

Care Model ◽

Unequal Treatment ◽

Primary Health ◽

Rural Context

AbstractOBJECTIVEUnderstanding the perception of women living in a rural area about the actions and services of Primary Health Care (PHC) in a municipality of southern Brazil, which is the only one regarded as predominantly rural.METHODA descriptive study of qualitative approach, carried out with women who lived in the countryside and required health services in the 15 days prior to collection.RESULTSThe results registered low fidelity to PHC attributes, focusing its functional axis on sickness, transforming the unit into small points of emergency care and a bureaucratic place where patients are referred to other types of services. The quality of service offered is compromised to offering quick, fragmented and unequal treatment in the rural context.CONCLUSIONThe findings of this study highlight the need for greater efforts in order to adequate the new care model in the development of appropriate actions as designated by PHC in the rural context studied.

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Evaluation of the Quality of Care for Sexually Transmitted Infections in Primary Health Care Centres in South Africa

South African Journal of Psychology ◽

10.1177/008124630203200404 ◽

2002 ◽

Vol 32 (4) ◽

pp. 33-40 ◽

Cited By ~ 1

Author(s):

Nokuthula Shabalala ◽

Anna Strebel ◽

Tammy Shefer ◽

Leickness Simbayi ◽

Tanya Wilson ◽

...

Keyword(s):

South Africa ◽

Health Care ◽

Quality Of Care ◽

Primary Health Care ◽

Health Workers ◽

Health Providers ◽

Sexually Transmitted ◽

Primary Health ◽

Depth Interviews

Sexually transmitted infections (STIs) are one of the most common illnesses among adolescents and adults in developing countries. While research from other countries indicates that a lack of financial, infra-structural and human resources are central determinants of the quality of care for STIs, South African studies suggest that there are also problems in health workers' interactions with STI patients. This study investigates the quality of care for STIs at 24 primary health care (PHC) centres in four provinces of South Africa (SA). Semi-structured interviews were conducted with STI patients and health providers. In addition, in-depth interviews were conducted with a sample of STI patients, and focus group discussions were held with diverse community groupings. Simulated patients also completed questionnaires on the care they received at the centres. Frequencies were computed on close-ended questions in order to describe patterns and trends in the data. Cross-tabulations were calculated to check for gender, provincial and urban-rural differences. Composite scores were also generated for the purpose of comparing quality of care across the different participating groups. Finally, the depth interviews and focus groups were analysed thematically. The results show that PHC centres in SA are relatively well-resourced. However, problems were found in the actual encounter between health workers and STI patients, which severely undermines the quality and effectiveness of treatment. It is strongly recommended that attention be given to health providers, in particular through the provision of further training and support in relation to effective STI management.

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Quality of Service of Primary Health Centres: Insights from a Field Study

Vikalpa The Journal for Decision Makers ◽

10.1177/0256090920040306 ◽

2004 ◽

Vol 29 (3) ◽

pp. 71-82 ◽

Cited By ~ 2

Author(s):

P Rameshan ◽

Shailendra Singh

Keyword(s):

Health Care ◽

Quality Of Service ◽

Primary Health Care ◽

Local Government ◽

Health Care Facilities ◽

Community Members ◽

Primary Health ◽

Primary Health Centres ◽

Health Centres

This paper provides an evaluation of the quality of services and customer orientation of Primary Health Centres (PHCs) against the backdrop of the changed environment in the country with customer focus and efficiency emerging as the cornerstones of economic transactions in private and public sectors alike. It focuses on ten selected PHCs of Uttar Pradesh and covers the following stakeholders: Customers including patients who use the health care facilities of PHCs as well as the relatives and their personal attendants. Community members covering the village public, local shopkeepers, local government functionaries, local intelligentsia such as teachers and others having an interest or stake in PHC activities. Doctors and staff of the PHCs. District Medical Officials responsible for controlling and monitoring the PHC activities. The paper draws, among others, the following conclusions: The customers and community members of the villages perceived the facilities and services of PHCs to be deficient in many respects. Neither doctors and PHC staff nor the district officials are able to refute adequately the issues raised by villagers about the quality of service of PHCs. While villagers do not like the panchayat (local government) coming into the picture for improving the services of PHCs, district officials totally discount privatization as a means for providing effective primary health care in rural areas. While it is not very easy to solve the primary health care problems of the Indian villagers, yet the policy-makers can take recourse to the following measures to improve the facilities and services of PHCs in future: Form village committees to monitor PHC facilities, resources, and services. Identify industry patrons/sponsors for each PHC for developing infrastructure, facilities, and logistics without straining the scarce government resources. Constitute district-level user committees to monitor not only the PHC activities of a district but also the activities of the District Medical Offices. Enable panchayat and district administration to perform monitoring and supporting functions to ensure multiple checks on activities of the PHCs and District Medical Offices.

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Effect of training and supportive supervision on knowledge and practice of integrated diseases surveillance and response among primary health care workers in Kano State, Nigeria

Annals of African Medical Research ◽

10.4081/aamr.2018.30 ◽

2018 ◽

Vol 1 (2) ◽

Author(s):

Usman Sunusi Usman ◽

Abubakar Muhammad Kurfi ◽

Yusuf Abdu Misau ◽

Umar Lawal Bello ◽

Aliyu Muhammad Maigoro ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Health Workers ◽

Statistical Significance ◽

Control Group ◽

Supportive Supervision ◽

Primary Health ◽

Surveillance And Response ◽

The Mean ◽

Knowledge And Practice

Communicable diseases continue to be major causes of, morbidity, mortality and rising health-care costs especially in developing countries. Integrated Diseases Surveillance and Response (IDSR) strategy was endorsed by Nigeria in 1998, as a means of strengthening communicable disease surveillance and response in order to make it more sensitive at all levels of government. A quasi-experimental study design was used to assess the effect of training and supportive supervision on knowledge and practice of IDSR among Primary Health Care (PHC) workers. Data was collected using an interviewer-administered questionnaire, and analyzed with the aid of Epi info version 3.5.3. Statistical significance was set at P<0.05. The mean knowledge score of IDSR at baseline was 28.9±9.7 in the study and 27.4±10.5 in the control group. However, after the intervention, it improved to 51.3±11.8 in the study and slightly changed to 27.1±10.6 in the control group (P<0.05). While, with regards to practice of IDSR, the mean practice scores improved in the study group from 6.43±1.25 to 16.37±3.86 after intervention (P<0.05). In the control group, however, the mean practice score changed from 6.89±1.36 to 8.45±2.75 (P<0.05) at the end of the study. The proportion of some IDSR core activity and supportive function changed from 0% and 16.6% to the standard benchmark of 80%. Training and retraining of health workers on IDSR were recommended as well as periodic supportive supervisory approach in order to enhance health workers capacity.

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