scholarly journals Differences In Pregnancy Care Service Visits Before And During Covid 19 Pandemic In Midwifery Independent Practice

2021 ◽  
pp. 118-127
Author(s):  
Rosalinna Rosalinna
Keyword(s):  
Health Workers ◽  
Care Service ◽  
Independent Practice ◽  
Pregnancy Care ◽  
Care Services ◽  
Central Java ◽  
Before And After ◽  
The Government ◽  
To Come ◽  
In Pregnancy

Background: Pandemic COVID-19 has prompted the government to implement a social distancing policy. This also applies to pregnant mother to come to health workers unless there are signs of pregnancy. This study aims to know the influence of pregnancy services before and after the COVID-19 pandemic. Methods: This is Mixed Method study with the sample was a midwife who carried out the Midwifery Independent Practice or “Praktek Madiri Bidan” (PMB) in Sragen Regency, Central Java Province. In-depth interviews were conducted with 10 informants. Statistical test using Paired T test, qualitative data using transcription and categorization Results: The average number of visits to maternity care at PMB was 117.0 (21.83) visits per month in the two months prior to the COVID-19 pandemic, only 67,6 (7,63) monthly visits for two months during COVID 19 pandemic. Obtained ρ value 0,000 which means there is a difference in Pregnancy Care Service Visits before and during the COVID 19 pandemic at PMB Sragen Regency, Central Java. There are two themes in the results of the qualitative study, namely the anxiety of midwives in providing midwifery services during the COVID-19 pandemic and the Protocol for Pregnancy Care Services during the COVID-19 Pandemic. Conclusions: There are differences in pregnancy services during the COVID-19 pandemic. The government is expected to be able to socialize technical guidelines for pregnant women in accessing services on pregnancy and prevention of COVID-19.

scholarly journals Penerapan Pelayanan Asuhan Kebidanan Bayi Balita di Praktik Bidan Mandiri (PMB) pada Masa Pandemi COVID-19

2021 ◽  
Vol 15 (2) ◽  
pp. 201-206
Author(s):  
Maya Indriati ◽  
Rosita Rosita
Keyword(s):  
Health Workers ◽  
Parental Knowledge ◽  
Growth Monitoring ◽  
Care Services ◽  
Immunization Services ◽  
Delivery Services ◽  
The Media ◽  
The Government ◽  
To Come ◽  
At Home

  COVID-19 has been declared a world pandemic by WHO in 2020. The government has the responsibility to ensure every citizen, including children, to obtain basic health services. At the Posyandu level, 86% of health facilities reported cessation of development and growth monitoring, 55% reported cessation of immunization services and 46% reported cessation of vitamin delivery services, and 46% cessation of antenatal care services. This research used descriptive qualitative research method, by involving 2 midwives in independent midwife (PBM) and 2 parents who have babies and toddlers who got services at the independent midwife (PBM). During this pandemic, independent midwife (PBM) is still providing services as usual and there are no health protocols that must be carried out by service recipients during their visit. The number of visits showed a decrease, due to restrictions on visits for babies who did not have serious problems and needed action. There are factors that become obstacles in implementing services for infants and toddlers during this pandemic such as parental knowledge is lacking, there has been no socialization about services during the pandemic, and parents are afraid to come to the service. Supporting factors for the implementation of services obtained several important themes, including the support of health workers, and the importance of examining babies and toddlers independently at home. It is hoped that parents who have babies and toddlers will continue to monitor the health of their babies and toddlers even at home by looking for various information either from the media or being able to consult with health workers.

scholarly journals The Compliance of Independent Practice Midwife (PMB) in Completing the MCH Handbook In Lamongan Regency, East Java

2020 ◽  
Vol 12 (1) ◽  
pp. 18
Author(s):  
Sulistiyowati Sulistiyowati ◽  
Ansih Khoiriyah
Keyword(s):  
Infant Health ◽  
Health Workers ◽  
Simple Random Sampling ◽  
Child Health Services ◽  
Independent Practice ◽  
Communication Tool ◽  
Cross Sectional ◽  
Knowledge Variable ◽  
Mother And Child ◽  
The Government

The government makes a policy for health workers to use MCH Handbook as a communication tool and medium for counseling mothers, families and the community regarding maternal and child health services including their references, mother and child service packages, nutrition, immunization and toddler development. The purpose of this study is to determine the factors that influence the compliance of MCH Handbook completion. This research is an analytic study with cross sectional approach. The population in the study were all Independent Midwife Practices (PMB) in the Lamongan district area which were listed in the IBI Branch Management as many as 572, which were divided into 38 branches. The samples were 82 PMB  obtained through simple random sampling, namely the lottery technique. The independent variables in this study were Knowledge, Motivation, Supervision and Work Time while the dependent variable is Compliance with the MCH Handbook. The collected data were processed using Bivariate and Multivariate tests. The results showed that the variables of knowledge, motivation, supervision and length of work affected the compliance of midwives in completing the MCH handbook with p <0.05. It means that H0 was rejected and H1 was accepted. The effects were also influenced the knowledge variable where p <0.05.    Based on the above data, it can be concluded that completing the MCH Handbook by midwives is important in order to monitor the development of maternal and infant health and as a means of communication to the patients. Keywords: Compliance, Midwife, Mother and Child Handbook

scholarly journals Utilization of Antenatal Care (ANC) Services by Pregnant Women in Binjai City and Factors Affecting

2020 ◽  
Vol 15 (3) ◽  
pp. 390-398
Author(s):  
Herbert Wau ◽  
Nidya Razella
Keyword(s):  
Antenatal Care ◽  
Family Support ◽  
Health Workers ◽  
Care Service ◽  
Sampling Technique ◽  
P Value ◽  
Health Staff ◽  
Cross Sectional ◽  
Staff Support ◽  
Care Services

Antenatal care services have an influence on fetal growth or during pregnancy, one effort to reduce maternal mortality due to complications is through the use of antenatal care. Based on data from the Health Profile of Kebun Lada Public Health Center, it is known that the scope of ANC services (K1 and K4) in 2017 is K1 96% AND K4 84%. In 2018 that is K1 82.7% and K4 81%. Where there is a difference in the percentage of coverage of K1 and K4 visits. The research was an analytical survey using Cross Sectional with a sample of 76 people. This research uses chi-square data analysis method with accidental sampling technique to find out the significant influence between, Knowledge, Attitude, ANC Service Facilities, Husband / Family Support and Health Staff Support. This research shows there is influence of Knowledge (p = 0,000), Attitude (p = 0,000), Service Facilities (p = 0,000), Husband / family Support (p = 0,000), Officer Support with (p = 0,001) with Utilization of Antenatal Care Services where p-value <0.05. This study, showed that all factors affect the Antenatal Care service. Health workers, especially midwives, are expected to maintain health education and promotion and motivation on a regular basis about the importance of regular antenatal care.

scholarly journals Who Is Doing What in Home Care Services?

2021 ◽  
Vol 18 (19) ◽  
pp. 10504
Author(s):  
Berit Irene Helgheim ◽  
Birgithe Sandbaek
Keyword(s):  
Home Care ◽  
Registered Nurses ◽  
Health Workers ◽  
Care Service ◽  
Home Care Services ◽  
Smartphone Application ◽  
Care Staff ◽  
Care Services ◽  
Patient Work ◽  
Assistant Nurses

(1) Background: This paper investigates the distribution of work hours by activity, for the main staff categories in home care services in three rural Norwegian municipalities. In Norway these categories are registered nurses, assistant nurses and assistant health workers. (2) Methods: The three categories of home care staff recorded 20,964 eligible observations over 8 weeks. We identified 19 activities, which were recorded. The majority of staff used a smartphone application for the time measuring, while some staff used a manual form for reporting purposes. (3) Results: The registered nurses (RNs) spent 32% of their time on direct patient work, while driving accounted for 18%. Direct patient work and driving accounted for the majority of activities performed by assistant nurses (48% and 29%, respectively) and assistant health workers (70% and 17%, respectively). (4) Conclusions: The demand for home care services is increasing in terms of both size and complexity. Simultaneously, there is a growing shortage of skilled staff. RNs is the group with the least face-to-face time with patients. To meet the patients’ needs, it is necessary to discuss and modify existing home care service systems in order to use resources appropriately and effectively.

scholarly journals The role of health services in encouraging disclosure of violence against women

2017 ◽  
Vol 56 (4) ◽  
pp. 220-226
Author(s):  
Vesna Leskošek ◽  
Miha Lučovnik ◽  
Lucija Pavše ◽  
Tanja Premru Sršen ◽  
Megie Krajnc ◽  
...  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Health Workers ◽  
Care Service ◽  
Health Care Service ◽  
Care Staff ◽  
Health Care Staff ◽  
Care Services

Abstract Introduction The aim of the survey was to assess the differences in disclosure by the type of violence to better plan the role of health services in identifying and disclosing violence. Methods A validated, anonymous screening questionnaire (NorAQ) for the identification of female victims of violence was offered to all postpartum women at a single maternity unit over a three-month period in 2014. Response rate was 80% (1018 respondents). Chi square test was used for statistical analysis (p<0.05 significant). Results There are differences in disclosure by type of violence. Nearly half (41.5%) of violence by health care services was not reported, compared to 33.7% physical, 23.4% psychological, and 32.5% sexual that was reported. The percentage of violence in intimate partnership reported to health care staff is low (9.3% to 20.8%), but almost half of the violence experienced by heath care services (44%) is reported. Intimate partnership violence is more often reported to the physician than to the psychologist or social worker. Violence in health care service is reported also to nurses. Conclusions Disclosure enables various institutions to start with the procedures aimed at protecting victims against violence. Health workers should continuously encourage women to speak about violence rather than asking about it only once. It is also important that such inquiries are made on different levels of health care system and by different health care professions, since there are differences to whom women are willing to disclose violence.

scholarly journals PERBEDAAN PENINGKATAN KADAR HEMOGLOBIN YANG MENGKONSUMSI TABLET FE DENGAN TABLET FE KOMBINASI VITAMIN C

2018 ◽  
Vol 7 (2) ◽  
pp. 192-197
Author(s):  
Ni Made Dwi Suparningsih
Keyword(s):  
Vitamin C ◽  
Health Research ◽  
Health Workers ◽  
Experiment Design ◽  
Third Trimester ◽  
Independent Test ◽  
Before And After ◽  
The Difference ◽  
Test Result ◽  
In Pregnancy

According of Health Research Base (2013), prevalance of anemia in pregnancy (37,1%). The provision of iron tablets combination vitamin C increases of hemoglobin rate. Purpose of this study to known the difference in the enhancement of hemoglobin rate who consumed iron tablets with iron tablets combination vitamin C. This study used quasi experiment design. Samples in this study were 60. The measurement used hemoglobin digital. The analysis of data used dependent and independent test. Result of this study showed there was difference hemoglobin rate before and after treatments each the group with dependent test showed (p=0,000). Independent test showed (p=0,000), there were differences in the enhancement of hemoglobin rate between who consumed iron tablets with iron tablets combination vitamin C. Be expected health workers check the hemoglobin rate when the the fisrt trimester and third trimester, then provide vitamin C with iron tablets and also provide explanation of the types of foods that contain a lot of vitamin C.

scholarly journals Strategic Analysis of Participants in the Provision of Elderly Care Services—An Evolutionary Game Perspective

2021 ◽  
Vol 18 (16) ◽  
pp. 8595
Author(s):  
Jiahuan He ◽  
Xinggang Luo ◽  
Zhongliang Zhang ◽  
Yang Yu
Keyword(s):  
Initial Conditions ◽  
Care Service ◽  
Elderly Care ◽  
Evolutionary Game ◽  
Evolutionary Process ◽  
Behavioral Strategies ◽  
Care Services ◽  
Strategic Behaviors ◽  
The Government

Population aging poses challenges to the immature elderly care service system in many countries. The strategic behaviors of different participants in the provision of elderly care services in a long-term and dynamic situation have not been well studied. In this paper, an evolutionary game model is developed to analyze the strategic behaviors of two types of participants—the government sectors and the private sectors in provision of elderly care services. Firstly, eight scenarios are analyzed, and the evolutionary process and stable strategies are identified. Then, the behavioral strategies of the two types of participants under demand disturbance and dynamic subsidy strategy are analyzed. Simulation experiments are conducted to explore the influence of different initial conditions and parameter changes on the evolutionary process and results. The obtained observations are not only conducive to a systematic understanding of the long-term dynamic provision of elderly care services but also to the policymaking of the government.

scholarly journals Utilization of iron folic acid tablets among pregnant women in rural Punjab: an interventional study

2020 ◽  
Vol 7 (4) ◽  
pp. 1307
Author(s):  
Geetika Singh ◽  
Mohan Lal ◽  
Saurav Singh
Keyword(s):  
Folic Acid ◽  
Health Education ◽  
Pregnant Women ◽  
Health Workers ◽  
Economic Status ◽  
Public Health Problem ◽  
Before And After ◽  
The Government ◽  
Iron Folic Acid ◽  
Prevalence Of Anemia

Background: Anemia in pregnancy remains a public health problem and is an important indirect cause of maternal mortality accounting for 20% of total maternal deaths in India. However, it is largely preventable and easily treatable. Since, decades, the Government of India has recommended iron folic acid (IFA) supplementation as prophylaxis but adherence to IFA tablets is invariably poor. Health education of antenatal women can be an effective tool for improvement in IFA consumption and compliance. Thus, this study was conducted to assess the problem of anemia and its epidemiological determinants among pregnant women in rural field practice area of Punjab as well as to evaluate the compliance and utilization of IFA tablets before and after the health education intervention.Methods: Author filled in the predesigned and pretested proforma and imparted health education to all the pregnant women who were then followed. Hb was estimated on two different occasions, before and after the intervention.Results: After intervention, 82.88% of pregnant women took IFA tablets out of which 42.31% consumed more than 90 tablets. Factors like education, socio-economic status, type of family and gravidity were found to be significantly associated with anemia. Although the overall prevalence of anemia reduced slightly from 96.4% to 92.67% after intervention, the mean Hb levels got decreased.Conclusions: Despite interventions, the desired outcomes were not obtained. Constant motivation of antenatal women by health workers and IEC activities in the community are thus recommended to improve the IFA compliance rates and combat anemia.

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