scholarly journals REGIONAL DISPARITIES OF HEALTH CENTER UTILIZATION IN RURAL INDONESIA

2019 ◽  
Vol 19 (1) ◽  
pp. 158-166 ◽  
Author(s):  
Agung Dwi Laksono ◽  
Ratna Dwi Wulandari ◽  
Oedojo Soedirham
Keyword(s):  
Health Center ◽  
Rural Areas ◽  
Binary Logistic Regression ◽  
Health Centers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Multi Stage ◽  
Utilization Of Healthcare

One indicator to see the quality of health system performance was to look at the disparity in the utilization of healthcare facilities. The research objective was to analyze the disparity between regions in the utilization of health centers in rural areas in Indonesia. The results of the 2013 Basic Health Survey (Riskesdas) were used as analysis material. The 2013 Riskesdas was designed a cross-sectional survey. Respondents obtained 388,598 using the multi-stage cluster random sampling method. Binary Logistic Regression Test was used to analyze data. Data is obtained through a structured questionnaire. The results showed that there were statistically significant disparities between regions. All regions showed better utilization than the Papua region as a reference. The best utilization was in the Sumatra region, which was 3.781 times more utilizing health centers than the Papua region (OR = 3.781; 95% CI = 3.580-3.993). The utilization of health centres that approached the Papua region was the Nusa Tenggara region (OR = 1.582; 95% CI = 1.490-1.679) and the Maluku region (OR = 2.175; 95% 1.999–2.366). All three regions are all in the Eastern part of Indonesia. The research concluded there was a disparity in health center utilization between regions in rural Indonesia. Regions in the western part of Indonesia tend to have better health center utilization in rural areas. Research results could be used as a reference for making policies that focus on equality of services to reduce existing disparities.

scholarly journals Pengaruh Faktor Demografi Terhadap Quality of Nursing Work Life (QNWL) Perawat di Puskesmas Kota Bandung pada Era BPJS

2018 ◽  
Vol 4 (1) ◽  
pp. 13
Author(s):  
Tirta Adikusuma Suparto ◽  
Asih Purwandari Wahyoe Puspita ◽  
Yanti Hermayanti ◽  
Slamet Rohaedi ◽  
Lisna Annisa Fitriani
Keyword(s):  
Health Center ◽  
Employment Status ◽  
Demographic Factors ◽  
Work Life ◽  
Health Centers ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Quality Of Nursing

ABSTRAK Sistem jaminan kesehatan nasional di Indonesia baru beroperasi sejak 2014 melalui Badan Penyelenggara Jaminan Sosial (BPJS) kesehatan. Dalam pelaksanaannya, pemberian pelayanan kesehatan pada pasien BPJS menggunakan sistem rujukan berjenjang, dimulai dari Fasilitas Kesehatan (FasKes) tingkat pertama, salah satunya yaitu Puskesmas. Hasil studi pendahuluan menunjukkan bahwa program BPJS kesehatan ini, teridentifikasi dapat memengaruhi pemberi pelayanan kesehatan, termasuk salah satunya dapat memengaruhi Kualitas Kehidupan Kerja Perawat/Quality of Nursing Work Life (QNWL) perawat di Puskesmas Kota Bandung. Padahal QNWL tersebut, pada akhirnya sangat memengaruhi komitmen dan kinerja perawat (Gray & Smelzer, 1990). Penelitian ini bertujuan untuk mengetahui gambaran QNWL dan mengetahui gambaran faktor demografi beserta pengaruhnya terhadap QNWL. Metode penelitian yang digunakan dalam penelitian ini adalah deskriptif kuantitatif dengan pendekatan  cross-sectional survey. Penelitian ini dilakukan pada tahun 2017 di 15 Puskesmas Kota Bandung. Data dikumpulkan dengan kuesioner, dan dianalisis menggunakan  uji beda 2 mean independen (uji t) dan uji Anova (α=5%). Hasil penelitian ini menunjukkan bahwa:  1) perawat di Puskesmas Kota Bandung memiliki nilai QNWL secara keseluruhan dan dimensi-dimensi QNWL yang berada dalam kategori baik. Namun demikian terdapat 3 komponen yang masih bermasalah, yaitu: masih banyaknya tugas non keperawatan, alat dan bahan untuk perawatan pasien yang kurang memadai, tempat perawat/tempat istirahat/loker yang kurang memadai; 2) tidak terdapat pengaruh yang signifikan faktor-faktor demografi (umur (p=0.096), jenis kelamin (p=0.776), status pernikahan (p=0.953), tingkat pendidikan (p=0.183), status kepegawaian (p=0.217), lama bekerja sebagai perawat (p=0.162))  terhadap Quality of Nursing Work Life (QNWL) perawat di Puskesmas Kota Bandung. Implikasi penelitian ini adalah perlu adanya upaya perbaikan komponen-komponen dan faktor-faktor QNWL yang masih bermasalah. Selain itu, perlu adanya upaya peningkatan status kepegawaian perawat kontrak BLUD menjadi PNS atau minimal setara dengan PNS ABSTRACT National health insurance system in Indonesia has been operated since 2014 by the Social Insurance Administration Organization (BPJS). Practically, the provision of health services used tiered referral system, from the first-level health facilities (FasKes), such as Health Center. The result of preliminary studies showed that BPJS program may affect health care providers, including one that can affect the Quality of Nursing Work Life (QNWL) nurses at the health center of Bandung. In the end, QNWL affects the commitment and performance of nurses (Gray &Smelzer, 1990). This research aimed to describe QNWL and to find out demographic factors and its influence on QNWL.  The method used in this research is quantitative descriptive cross-sectional survey. This research was conducted in 2017 in 15 health centers in Bandung. The data were collected through questionnaire and analyzed using independent sample t Test and Anova. The results of this study showed (1) Nurses at the health center of Bandung were in a good category on both overall scores of QNWL and dimensions. However, there are three components which are still problematic, namely: a huge number of non-nursing tasks, inadequate tools and materials for patients’ care, inadequate nurses’ restrooms/locker rooms; (2) There is no significant effect of demographic factors, age (p=0.096), sex (p=0.776), marital status (p=0162), level of education (p=0.183), employment status (p=0.217), length of nursing experience (p=0.162)  to the Quality of Nursing Work Life (QNWL) nurses in 15 health centers in Bandung. The implications of this research are the need to improve problematic components and factors of QNWL. Moreover, improving the employment status of contract nurses BLUD to civil servants or at least equal to PNS is also needed

scholarly journals Ongoing long-lasting insecticide-treated net distribution efforts are insufficient to maintain high rates of use among children in rural Uganda

2021 ◽  
Author(s):  
Claire Cote ◽  
Varun Goel ◽  
Rabbison Muhindo ◽  
Emmanuel Baguma ◽  
Moses Ntaro ◽  
...  
Keyword(s):  
Health Center ◽  
Rural Areas ◽  
Universal Coverage ◽  
Health Centers ◽  
Insecticide Treated Nets ◽  
Cross Sectional Survey ◽  
Previous Night ◽  
Cross Sectional ◽  
Llin Use ◽  
Western Uganda

Background: Long-lasting insecticide treated nets (LLINs) remain a cornerstone of malaria control, but optimal distribution strategies to sustain universal coverage are not well defined Methods: We conducted a cross sectional survey of 2,190 households in the highlands of western Uganda to examine LLIN source and use among children age with elevation and distance to clinic being the primary variables of interest. Results: We found that only 64.7% (95% CI 64.0 to 65.5%) of children were reported to have slept under a LLIN the previous night. Compared to those living <1 km from a health center, households at ≥ 2 km were less likely to report the child sleeping under a LLIN (RR 0.86, 95% CI: 0.83 to 0.89, p<.001). Households located farther from a health center received a higher proportion of nets from government distributions compared to households living closer to health centers. Conclusions: Continuous, clinic based distribution efforts were insufficient to sustain high rates of LLIN use among children between mass distribution campaigns. More frequent campaigns and complementary approaches are required to achieve and maintain universal LLIN coverage in rural areas.

scholarly journals Predictors of quality of life of older persons in rural Uganda:  A cross sectional study

2018 ◽  
Vol 1 ◽  
pp. 22 ◽  
Author(s):  
Fred Maniragaba ◽  
Betty Kwagala ◽  
Emmanuel Bizimungu ◽  
Stephen Ojiambo Wandera ◽  
James Ntozi
Keyword(s):  
Quality Of Life ◽  
Rural Areas ◽  
Older Persons ◽  
Cross Sectional Study ◽  
Poor Quality ◽  
Hiv And Aids ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Government

Background: Little is known about the quality of life of older persons (OPs) in Uganda in particular, and Africa in general. This study examined factors associated with quality of life of older persons in rural Uganda. Method: We performed a cross-sectional survey of 912 older persons from the four regions of Uganda. Data were analyzed at univariate, bivariate and multivariate level where ordinal logistic regression was applied. Results: Older persons in northern (OR=0.39; CI=0.224-0.711) and western (OR=0.33; CI=0.185-0.594) regions had poor quality of life relative to those in central region. Those who were HIV positive had poor quality of life (OR=0.45; CI=0.220-0.928) compared to those who were HIV negative. In contrast, living in permanent houses predicted good quality of life (OR=2.04; CI=1.391-3.002). Older persons whose household assets were controlled by their spouses were associated with good quality of life (OR=2.06;CI=1.032-4.107) relative to those whose assets were controlled by their children. Conclusion: Interventions mitigating the HIV and AIDS related Quality of life should target older persons. The government of Uganda should consider improving housing conditions for older persons in rural areas.

scholarly journals Differences in the quality of life dependent on family status of the elderly living in rural areas – a cross-sectional survey

2018 ◽  
Vol 25 (3) ◽  
pp. 532-538 ◽  
Author(s):  
Paweł Chruściel ◽  
Katarzyna Szczekala ◽  
Tomasz Derewiecki ◽  
Klaudia Jakubowska ◽  
Dorota Nalepa ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rural Areas ◽  
The Elderly ◽  
Family Status ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Elderly Living

scholarly journals Urban and Rural Disparities in Hospital Utilization among Indonesian Adults

2019 ◽  
Author(s):  
Agung Dwi LAKSONO ◽  
Ratna Dwi WULANDARI ◽  
Oedojo SOEDIRHAM
Keyword(s):  
Rural Areas ◽  
Multinomial Logistic Regression ◽  
Hospital Utilization ◽  
Hospital Inpatient ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Patient’S Satisfaction ◽  
Significant Difference ◽  
Urban Rural

Background: Equal access to healthcare facilities, patient’s satisfaction, and respect for the desire of the patient were recognized as the basic principles of each of the health care system. Each person must be given the opportunity to access health services in accordance with the requirements of their health. We aimed to prove the existence of disparities hospital utilization based on the category of urban-rural areas. Methods: The research used the 2013 Indonesian Basic Health Survey (RKD) as analysis material, that was designed a cross-sectional survey. With the multi-stage cluster random sampling method, 722,329 respondents were obtained. Data were analyzed using Multinomial Logistic Regression tests. Results: The results showed adults living in urban were likely to use hospital outpatient facilities 1.246 times higher than adults living in rural areas (OR 1.246; 95% CI 1.026 – 1.030). The likelihood of utilizing at the same time outpatient and inpatient facilities at 1.134 times higher in adults living in urban than those in rural areas (OR 1.134; 95% CI 1.025 - 1.255). While for the category of hospital inpatient utilization, there was no significant difference. Conclusion: There was a disparity in hospital utilization between urban-rural areas. Urban show better utilization than rural areas in outpatient and at the same time the use of inpatient care

scholarly journals High burden and frailty: association with poor cognitive performance in older caregivers living in rural areas

2017 ◽  
Vol 39 (4) ◽  
pp. 257-263 ◽  
Author(s):  
Allan Gustavo Brigola ◽  
Bruna Moretti Luchesi ◽  
Tiago da Silva Alexandre ◽  
Keika Inouye ◽  
Eneida Mioshi ◽  
...  
Keyword(s):  
Cognitive Performance ◽  
Rural Areas ◽  
Well Being ◽  
Cross Sectional Survey ◽  
Frailty Phenotype ◽  
Cross Sectional ◽  
High Burden ◽  
Global Cognition ◽  
Older Caregivers

Abstract Introduction: Older caregivers living in rural areas may be exposed to three vulnerable conditions, i.e., those related to care, their own aging, and their residence context. Objective: To analyze the association of burden and frailty with cognition performance in older caregivers in rural communities. Method: In this cross-sectional survey, 85 older caregivers who cared for dependent elders were included in this study. Global cognition (Addenbrooke's Cognitive Examination – Revised; Mini Mental State Examination), burden (Zarit Burden Interview) and frailty (Fried's frailty phenotype) were assessed. All ethical principles were observed. Results: Older caregivers were mostly women (76.7%); mean age was 69 years. Cognitive impairment was present in 15.3%, severe burden in 8.2%, frailty in 9.4%, and pre-frailty in 52.9% of the older caregivers. More severely burdened or frail caregivers had worse cognitive performance than those who were not, respectively (ANOVA test). Caregivers presenting a high burden level and some frailty degree (pre-frail or frail) simultaneously were more likely to have a reduced global cognition performance. Conclusion: A significant number of older caregivers had low cognitive performance. Actions and resources to decrease burden and physical frailty may provide better cognition and well-being, leading to an improved quality of life and quality of the care provided by the caregivers.

scholarly journals Predictors of quality of life of older persons in rural Uganda:  A cross sectional study

2018 ◽  
Vol 1 ◽  
pp. 22 ◽  
Author(s):  
Fred Maniragaba ◽  
Betty Kwagala ◽  
Emmanuel Bizimungu ◽  
Stephen Ojiambo Wandera ◽  
James Ntozi
Keyword(s):  
Quality Of Life ◽  
Rural Areas ◽  
Older Persons ◽  
Cross Sectional Study ◽  
Poor Quality ◽  
Hiv And Aids ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Government

Background: Little is known about the quality of life of older persons (OPs) in Uganda in particular, and Africa in general. This study examined factors associated with quality of life of older persons in rural Uganda. Method: We performed a cross-sectional survey of 912 older persons from the four regions of Uganda. Data were analyzed at univariate, bivariate and multivariate level where ordinal logistic regression was applied. Results: Older persons in northern (OR=0.39; p=0.002) and western (OR=0.33; p<0.001) regions had poor quality of life relative to those in central region. Those who were HIV positive had poor quality of life (OR=0.45; p=0.031) compared to those who were HIV negative. In contrast, living in permanent houses predicted good quality of life (OR=2.04; p=<0.001). Older persons whose household assets were controlled by their spouses were associated with good quality of life (OR=2.06; p=0.040) relative to those whose assets were controlled by their children. Conclusion: Interventions mitigating the HIV and AIDS related Quality of life should target older persons. The government of Uganda should consider improving housing conditions for older persons in rural areas.

scholarly journals Counseling Quality of Dangerous Signs of Pregnancy Health in Work Region of Urban and Rural Puskesmas (Public Health Center) Jeneponto

2020 ◽  
Vol 8 (T2) ◽  
pp. 172-175
Author(s):  
Hafidah Amiruddin ◽  
Ansariadi Ansariadi ◽  
Sukri Palutturi ◽  
Wahidin M. Wahidin ◽  
Abdul Rahman Akmal ◽  
...  
Keyword(s):  
Public Health ◽  
Rural Areas ◽  
Standard Of Care ◽  
Cross Sectional Study ◽  
Poor Quality ◽  
Health Centers ◽  
Computer Application ◽  
Cross Sectional ◽  
Work Area

BACKGROUND: Quality healthcare is the standard of care received by citizens who are entitled to guarantee their health status due to the poor quality of health care that affect the high mortality. AIM: This study aimed to determine the difference in counseling quality of pregnancy dangerous signs at the public health centers of urban and rural areas in Jeneponto regency. METHODS: The type of study was analytical observation with a cross-sectional study design. The populations of this research are all pregnant women in Jeneponto regency in October 2015–May 2016 at the work area of Urban and Rural Public Health centers. There were 278 respondents obtained by proportionate stratified random sampling. Data analysis used computer application of SPSS examined with the Chi-square test. RESULTS: The results indicate that 85.3% of counseling quality of pregnancy dangerous signs in the work area of urban and rural Puskesmas are categorized bad. There is a difference of counseling quality of pregnancy dangerous sign component of vagina bleeding (p = 0.000), severe headache (p = 0.000), visual problems/blurred sight (p = 0.000), swelling on face and hand (p = 0.001), and severe abdominal pain (p = 0.000), fetus movement is lacking or not felt (p = 0.000) and fever (p = 0.000). CONCLUSION: There is no difference in counseling quality based on age, education, job, and parities.

scholarly journals PATIENT SATISFACTION ANALYSIS BASED ON SERVICE QUALITY ASSESSMENT AND TRUST IN HEALTH FACILITIES

2021 ◽  
Vol 10 (2) ◽  
pp. 105-113
Author(s):  
Agus Aan Adriansyah ◽  
Makki Makki ◽  
Budhi Setianto ◽  
Nikmatus Sa’adah ◽  
Indah Lestari ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Service Quality ◽  
Health Center ◽  
Binary Logistic Regression ◽  
Sampling Technique ◽  
P Value ◽  
Cross Sectional ◽  
Perceived Service Quality ◽  
Almost All

Health centers have an important role to provide the best service to the community. One of the problems in the outpatient installation of the Tambelangan Health Center is the decrease in the number of patient visits. It is necessary to evaluate the quality of service so that patients put their trust and then reuse the service until they feel satisfied. The purpose of this study was to analyze the effect of service quality and trust on patient satisfaction. This research is included in the type of analytic observational using a cross-sectional approach. The sample size is 100 patients who seek treatment at the outpatient installation of the Tambelangan Health Center. The sampling technique was carried out by systematic random sampling. Data were obtained directly through the perception of the patient's assessment of the perceived service quality, their trust in the facilities and services received and including the satisfaction that the patient felt through the questionnaire instrument. The data obtained were then analyzed using binary logistic regression. The results showed that all patients (86%) stated that the overall dimensions of service quality were good, and almost all patients (81%) stated that they had believed and almost all respondents (84%) stated that they were satisfied with the service at the Outpatient Installation of the Tambelangan Health Center. Furthermore, service quality has a significant effect on patient satisfaction (p-value = 0.022) and trust has a significant effect on patient satisfaction (p-value = 0.006). The conclusion of the study shows that service quality and trust can affect patient satisfaction.

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