scholarly journals ANALISIS PERAN FAKTOR PENYEBAB KEMATIAN MATERNAL YANG DAPAT DICEGAH TERHADAP KETERLAMBATAN RUJUKAN DAN PENANGANAN DI KABUPATEN KARAWANG PROVINSI JAWA BARAT

2019 ◽  
Vol 2 (2) ◽  
pp. 214-225
Author(s):  
Jasmi Ati ◽  
Firman F Wirakusumah ◽  
Hadyana Sukandar ◽  
Farid Husin ◽  
Yudi Mulyana Hidayat ◽  
...  
Keyword(s):  
Early Detection ◽  
Maternal Mortality ◽  
Mixed Method ◽  
Health Workers ◽  
Group Discussion ◽  
Health Facilities ◽  
Patient Factors ◽  
Cross Sectional

Maternal mortality rate is an important indicator of public health quality. Most of the causes of maternal mortality are preventable factors such as patients, health workers, health facilities and referral. The purpose of this study was to analyze of the role of factors maternal mortality could have been prevented to delays in referral and treatment. This is a sequential explanatory mixed method research. The first stage is carried out through quantitative cross sectional study with data capture as much as 65 maternal mortality could have been prevented retrieved from 2015’s Maternal Perinatal Audit (AMP) documents  in Karawang Regency. The second stage is through qualitative approach with Focused Group Discussion (FGD) and in-depth interviews.The results of quantitative research shows that the majority (52 cases or 80,0%) of maternal mortality could have been prevented with delays in referral and treatment and there is a significant role of patient factors, health workers, health facilities with delays in referral and treatment while the referral factor does not have a significant role. Qualitative research results indicate that maternal mortality is caused by patient factors such as mother’s attitude toward risk, delayed and/or refusing treatment; factors of health workers due to lack of early detection, poor quality of service, lack of skilled professionals and late treatment; health facilities factors due to poor facility; referral factors such as referral refusal, referral inaccuracies and referral delays due to patient’s financial factor and team coordination and cross-sectoral cooperation is also contributing factors. The failure of early detection and decision-making due to lack of capacity of health personnel to recognize and capture high-risk cases and failure to effectively provide information, education and communication (KIE) are factors that cause delays in referral and treatment. Therefore, active participation of society, stakeholders, health professionals and policy makers are required to improve the quality of obstetric care to reduce maternal mortality.   Kematian maternal menjadi indikator penting derajat kesehatan masyarakat. Sebagian besar penyebab kematian maternal dapat dicegah meliputi faktor pasien, tenaga kesehatan, fasilitas kesehatan dan rujukan. Tujuan penelitian ini adalah menganalisis peran faktor penyebab kematian maternal yang dapat dicegah terhadap keterlambatan rujukan dan penanganan. Desain penelitian menggunakan sequensial eksplanatory mixed method. Tahap pertama secara kuantitatif yaitu cross sectional dengan pengambilan data dari dokumen Audit Maternal Perinatal (AMP) tahun 2015 sebanyak 65 kematian maternal yang dapat dicegah di Kabupaten Karawang. Tahap kedua secara kualitatif melalui Focus Group Discussion (FGD) dan wawancara mendalam. Hasil penelitian kuantitatif menunjukkan sebagian besar kematian maternal yang dapat dicegah mengalami keterlambatan rujukan dan penanganan yaitu 52 kasus (80,0%) dan terdapat peran yang bermakna dari faktor pasien, tenaga kesehatan, fasilitas kesehatan terhadap keterlambatan rujukan dan penanganan sedangkan faktor rujukan tidak terdapat peran yang bermakna. Hasil penelitian kualitatif didapatkan penyebab dari faktor pasien karena karakteristik ibu berisiko, terlambat mencari penanganan dan menolak pengobatan, dari faktor tenaga kesehatan karena kurangnya deteksi dini dan kualitas pelayanan, kurangnya tenaga profesional dan terlambat penanganan, dari faktor fasilitas kesehatan karena kurang fasilitas, dari faktor rujukan karena menolak rujukan, kurang tepatnya rujukan dan keterlambatan rujukan terkait biaya dan koordinasi tim serta kerja sama lintas sektor juga merupakan faktor yang berperan. Keterlambatan deteksi dini dan pengambilan keputusan karena kurangnya kemampuan tenaga kesehatan mengenali dan menjaring kasus risiko tinggi serta tidak efektif memberikan komunikasi informasi dan edukasi (KIE) yang menyebabkan keterlambatan rujukan dan penanganan. Diperlukan peran serta masyarakat, stakeholder, tenaga kesehatan dan pengambil kebijakan dalam meningkatkan kualitas pelayanan kebidanan untuk menurunkan kematian maternal.

scholarly journals KNOWLEDGE AND THE ROLE OF CADRES IN THE IMPLEMENTATION OF EARLY DETECTION OF TODDLERS DEVELOPMENT USING KPSP

2017 ◽  
Vol 10 (1) ◽  
pp. 22
Author(s):  
Nuryanin Yani ◽  
Ayesha H.N, Nurwening T.W.
Keyword(s):  
Early Detection ◽  
Developmental Disorders ◽  
Early Childhood Development ◽  
Childhood Development ◽  
Rank Test ◽  
Cross Sectional ◽  
Independent Variable ◽  
Relationship Of

Introduction: The development of toddlers is noteworthy considering the population size is large enough. Early detection is an important development with KPSP carried out in an effort to facilitate early detection of developmental disorders that can be given early intervention and referral early in children, in the end the quality of a child's development may be optimal. Trained cadres have the authority to monitor the development of children with KPSP Method: cross sectional analytic approach. Population health cadres in the district Lembeyan with Random sampling techniques with independent variable knowledge and skills of cadres, the role of cadres in the implementation of early detection of early childhood development using KPSP as the dependent variable. Results: Correlation between knowledge and the role of cadres in the implementation of early detection of toddlers development using KPSP analyzed using Spearman Rank test with the results of 0565, while the role and the skills to 0.485 correlation value. Conclusion: there is a relationship of knowledge to the role of cadres and there is a relationship between skill to the role of cadres in the implementation of early detection of toddler development using KPSP. It is hoped the clinic routinely provide refresher material on monitoring developments and increasing the number of screening kit (infrastructure for monitoring developments).

scholarly journals Peran Suami Dan Petugas Kesehatan Dengan Deteksi Dini Kanker Serviks

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Mariene Wiwin Dolang ◽  
Christina - Leasa
Keyword(s):  
Cervical Cancer ◽  
Early Detection ◽  
Health Workers ◽  
Well Being ◽  
Cross Sectional ◽  
Factors Associated ◽  
Abnormal Vaginal Discharge ◽  
Cervical Cells ◽  
Age Of Marriage

Reproductive Health is a state of complete physical, mental and social well-being that is not solely free from diseases related to the reproductive system. Cervical cancer is cancer that grows from cervical cells, cervical cancer can originate from cells in the cervix but can also grow from cervical cells. This situation is usually accompanied by bleeding and abnormal vaginal discharge. The purpose of this study was to analyze the factors associated with early detection of cervical cancer in fertile age women at Puskesmas Benteng. The design of this study was an observational analytic study with a cross sectional approach. The sample in this study was WUS aged 15-49 years old who were in the Puskesmas Benteng area as many as 135 respondents. The results showed there was a relationship between knowledge (p = 0.004), first age of marriage (p = 0.014), husband's support (p = 0.005), and the role of health workers (p = 0.005) with early detection of cervical cancer in fertile age women at Puskesmas Benteng.DETERMINAN DETEKSI DINI KANKER SERVIKS PADA WANITA USIA SUBUR

Quality of Antenatal Care Services in a Developing Country: A Cross-Sectional Survey

2020 ◽  
Vol 26 (1) ◽  
pp. e25-e34
Author(s):  
Jacoline Sommer Albert ◽  
Ahtisham Younas ◽  
Gideon Victor
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Health Care Providers ◽  
Health Workers ◽  
World Health ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Organization

The global adult lifetime risk of maternal mortality is 1 in 180; in Pakistan, it is 1 in 170; in developed regions, 1 in 4,900 (Alkema et al., 2016; Filippi, Chou, Ronsmans, Graham, & Say, 2016; World Health Organization [WHO], 2015). The differences in maternal mortality between developed and developing countries are mainly due to the quality of antenatal care (ANC) available in the two groups of countries. The purpose of this study was to assess the structural and procedural quality of ANC services provided and to assess satisfaction levels of women receiving ANC services in two large hospitals in Islamabad, Pakistan. A cross-sectional survey was conducted at the hospitals' outpatient maternal and child health clinics, with a random sample of 138 women. The overall quality of ANC was rated as good (61%), average (17.5%), or poor (17.5%). The findings suggest a need to cultivate quality of care at public health facilities, train health workers in communication skills, and build technical capacity by continuing education and supportive supervision to train health-care providers to follow standard protocols for provision of quality ANC services.

scholarly journals PEMANFAATAN PELAYANAN JAMINAN PERSALINAN (JAMPERSAL) OLEH IBU BERSALIN DI PUSKESMAS X TAHUN 2013

2020 ◽  
Vol 3 (1) ◽  
pp. 25-36
Author(s):  
Renny Listiawaty
Keyword(s):  
Quantitative Research ◽  
Health Workers ◽  
Sampling Technique ◽  
Qualitative Approach ◽  
Cross Sectional ◽  
Factors Associated ◽  
Document Review ◽  
Depth Interviews

One of the government's policy to reduce the maternal mortality rate (MMR) is to launch Jampersal Program. This study purpose to describe the factors associated with utilization Maternity Insurance service (Jampersal) by maternal in Public Health Center X, Muaro Jambi Regency in 2013. The research method used a cross sectional sampling technique with proportional random sampling, after that followed by a qualitative approach through in-depth interviews and document review 9 informants. Quantitative research results showed that 31.1% Jampersal utilize. There is a significant relationship between the variables of age, education, knowledge, attitudes, beliefs, income, accessibility, the role of health workers and the need to use Jampersal. The most dominant variable is income after controlled by education, knowledge, income and accessibility. This study recommended   midwives to give more intensive information, clear and complete to the community and always working to improve the quality of service Jampersal.

scholarly journals Reducing Maternal Mortality: A Qualitative Study of Health Workers’ Expectation in Urban Area, Indonesia

2021 ◽  
Vol 9 (T4) ◽  
pp. 18-26
Author(s):  
Arlina Dewi ◽  
Sri Sundari ◽  
Nursetiawan Nursetiawan ◽  
Supriyatiningsih Supriyatiningsih ◽  
Dianita Sugiyo ◽  
...  
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Maternal Mortality ◽  
Urban Area ◽  
Urban Areas ◽  
Health Workers ◽  
Maternal Health Services ◽  
Health Facilities ◽  
Integrated System

BACKGROUND: Maternal mortality is a sentinel event used globally to monitor maternal health and the overall quality of reproductive health care. Globally, maternal mortality is mostly due to direct causes; apparently, it is not limited by the setting or geographic region. However, Indonesia has failed to achieve the Millenium Development Goals (MDGs) target for maternal mortality. AIM: This study aims to explore health workers' and stakeholders' expectations in maternal health services to reduce maternal mortality in urban areas. METHODS: It is qualitative research through naturalistic, conducted in one of the regencies in Indonesia, the urban area with the highest Maternal Mortality Rate (MMR) in one province by 2019. Data were obtained in the form of information from Focus Group Discussions (FGDs). FGDs were carried out with stakeholders at the Health Service level (n=3), first-level health facilities or public health centres (n=3), and advanced health facilities or hospitals (n=7). Data analysis in this study employed software (Nvivo Release 1.0) to utilise transcripts in coding and categorising. RESULTS: The expectations that emerged from health workers' perspectives in the field were an integrated system of collaboration between health facilities, affordability of Hospital with Comprehensive Emergency Obstetric Care (CEmOC) in action for maternal-neonatal referral urgency, and the skilled health workers as a golden opportunity. CONCLUSION: Health workers’ expectations can improve the quality of maternal health services in urban areas, thereby reducing the MMR with a system of collaboration between health facilities, the affordability of maternal-neonatal emergency referral facilities, and the availability of Obstetricians who standby.

The Quality of Service Provision to Newborns in the Primary Healthcare, West Gojjam Zone, North-West of Ethiopia: A Cross-sectional Survey

2021 ◽  
Author(s):  
Bizuhan Gelaw Birhanu ◽  
Johanna Mmabojalwa Mathibe-Neke
Keyword(s):  
Rural Health ◽  
Health Workers ◽  
Newborn Care ◽  
Health Facilities ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Signal Functions ◽  
Rural Health Centres ◽  
Health Centres

Abstract Background: During 2019, neonatal conditions in Ethiopia accounted for 56% of under-5 deaths, with 33 neonatal deaths occurring for every 1,000 live births. More than 80% of all newborns deaths are caused by preventable and treatable conditions with available interventions. In Ethiopia, mortality rates for newborn babies have remained stubbornly high over the decades. Methods: A cross-sectional survey design was employed. Interviewer-administered questionnaires were administered to 221 health workers and health extension workers in 142 health facilities from April to July 2017. Data was entered in the EpiData 3.1, exported to SPSS and STATA for analysis. Results: Out of the ten quality of newborn care variables, 8.7 [95%CI: 6.03-11.303], the highest mean was achieved by primary hospitals, followed by urban health centres with a 6.4 mean [95%CI:5.168-7.601]. However, nearly half of the rural health centres were providing quality of newborn care at the mean of 5.7 [95%CI: 5.152-6.18], and below half was provided by health posts, 4.5 [95%CI: 3.867-5.116]. From the seven emergency newborn care signal functions, primary hospitals had a higher mean score, 6.3 [95%CI: 6.007-7.325] and rural health centres had a lowest mean score, 2.3 [95%CI: 2.043-2.623]. The availability of essential equipment is also significantly associated with the quality of neonatal care provision in the health facilities (p < 0.05). Overall, the effectiveness of the neonatal healthcare services has a significant association with the health facilitates readiness score [95%CI: 0.134-0.768]. Conclusion: The quality of newborn care was high at the higher-level health facilities and lower in the lower level health facilities such as rural health centres and health posts; where these facilities are designed to provide the newborn care services to the majority of the rural communities. In addition, the provision of emergency newborn care signal functions were critically low in rural health centres where these are a referral receiving health facilities from health posts. Thus, the rural health centres and health posts should be targeted to improve their readiness to provide the quality of services for newborns as per their expected level of care.

scholarly journals The occurrence of occupational health hazards in districts health facilities in Kigali, Rwanda

2017 ◽  
Vol 5 (1) ◽  
pp. 21 ◽  
Author(s):  
Chinenye Mercy Nwankwo ◽  
Simon Karanja ◽  
Hilda Vasanthakaalam
Keyword(s):  
Occupational Health ◽  
Healthcare Workers ◽  
Health Workers ◽  
Group Discussion ◽  
Health And Safety ◽  
Health Facilities ◽  
Health Hazards ◽  
Policy Enforcement ◽  
District Health ◽  
Cross Sectional

Background: Health workers are constantly exposed to chemical, physical, psychological and biological agents that affect their health. Regular information is critical for setting priorities necessary to enhance workers health and safety. The study determined the occurrence of occupational health hazards among health care worker in the three selected district health facilities in Kigali, Rwanda (July-December 2016).Methods: It adopted a cross-sectional design involving both qualitative and quantitative data collection approaches. A total of 249 healthcare workers were selected systematically for interviewing. Data were collected using semi structured questionnaires, a focus group discussion guide and an observational checklist. Data analysis involves descriptive and inferential statistics. The observed differences in the parameter of estimate were considered significantly different at p<0.05.Results: Back-ache and accidents experienced while working contributed majority of occupational hazards, thus; 151 (60.6%, 95% CI=54.28–66.75) and 139 (55.8%, 95% CI=49.42–62.09), respectively. Health hazards from violence and molestation contributed 8 (3.2%, 95% CI=01.39–6.23) of the cases, furthermore, lack of hospital management commitment to policy, poor policy enforcement, health facility safety activities, employees’ participation in safety programs and post exposure compliance were associated with occurrence occupational hazard among healthcare workers (p<0.05). Qualitatively, the process of waste collection, sorting, marking, storage and transportation were not in line with policy regulations and contributed further to the hazard cases.Conclusions: Finally, direct job supervision, proper job placement, training and effective safety communication and reporting can enhance work safety and risk aversion. 

scholarly journals Health Status and Quality of Health Care Services of Congolese Refugees in Nakivale, Uganda

2016 ◽  
Vol 5 (3) ◽  
pp. 39
Author(s):  
Amegovu K. Andrew
Keyword(s):  
Health Status ◽  
Health Services ◽  
Resource Constraints ◽  
Service Providers ◽  
Geographic Origin ◽  
Health Service Delivery ◽  
Health Facilities ◽  
Cross Sectional ◽  
Adequate Food

Physical and emotional wellness, as well as access to healthcare, are foundations for successful resettlement. Without feeling healthy, it is difficult to work, to go school, or take care of a family. Many factors can affect refugee health, including geographic origin and refugee camp conditions. Refugees may face a wide variety of acute or chronic health issues (Office of Refugee Resettlement, ORR Annual Report to Congress 2014; http://www.acf.hhs.gov). Resettlement of refugees in Uganda is usually supported by concerted efforts of UNHCR, Governments through the Office of the Prime Minister, OPM with support from host communities, local and international Non-Governmental Organizations. Due to resource constraints and local factors, immigrants are often subjected to poor living conditions which coupled with inadequacy inessential medical supplies might significantly affects quality of care and health service delivery and hence, rendering refugees to poor health status. This study was conducted from 2013-2014 to assess the determinants of health status of Congolese refugees living in Nakivale refugee settlement, in Isingiro district- South Western Uganda. A cross-sectional study design was used involving mixed techniques of both qualitative and quantitative KAP survey. The study focussed on Congolese refugee population in Nakivale Refugee settlement. 2401 key informants’ interviews and 8 focus group discussions respectively were conducted targeting service providers and beneficiaries/Congolese refugees in this case. The data was analysed using SPSS ver.20, 2011. Although majority (97%) of respondents sought medical services from established health facilities, findings confirm a high level of ill health prevalence among Congolese refugees in Nakivale camp, however, the difference in health services and perceived health status in camp versus the one in DRcongo is insignificant ( p=0.000) with respondents perceiving their health status as worse than when they were their own Country before the resettlement. Identified key challenges affecting access &amp; uptake of available health services includes: language barrier; inadequate drugs; and the long distances to access health facilities. The health status of refugees could be improved by addressing the challenges related to language, drug supplies in addition to humanising conditions of shelter, providing appropriate waste disposal facilities while proving adequate food rations and clean &amp; safe drinking water.

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