scholarly journals Upaya dan Kendala Konselor Puskesmas Dalam Perawatan Pasien Skizofrenia

2020 ◽  
Vol 9 (1) ◽  
pp. 81-86
Author(s):  
Rendi Editya Darmawan ◽  
Sudiro Sudiro
Keyword(s):  
Public Health ◽  
Health Service ◽  
Public Health Service ◽  
Psychosocial Support ◽  
Sense Of Self ◽  
Test Validity ◽  
Public Health Care ◽  
Schizophrenic Patients ◽  
The Government

Introduction : Schizophrenia is a severe mental disorder and chronic affecting 20 million people worldwide. Schizophrenia is characterized by impaired of language, sense of self and behaviour distortions in thinking, perception, and emotions. Some case include  delusions (fixed, false beliefs) and  hallucinations (hearing voices or seeing things that are not there).  Schizophrenia is treatable disease with  psychosocial support and medicines is effective. The role of public health service counselor is important to give  psychosocial support and medicines to patient. Aim of this studi to  describe efforts and constraints  public health care counselor  in the care of schizophrenic patients. Methods : A descriptive qualitative study with 4 informants from public health service counselor. Purposive sampling is used to selecting informants. Analize of data was carried out qualitatively. The triangulation of sources, methods, researchers, and theories is used to test validity. The study was conducted in January-November 2019, in Pilang Kenceng Village, Madiun Regency. Data collection was carried out by in-depth interviewing using guide questions. Results : The results showed that there were 6 themes in answering research objectives are submission of training, optimizing the role of the community, early detection, providing treatment, counseling and constraints. Conclution : Efforts made by counselors have not been running optimally because of the synergy and communication with the community is not going well. Contraints in efforts in the care of schizophrenic patients is support from the government that is minimum.

scholarly journals Does Fiscal Transfer Improve the Equalization of Regional Public Health Service Evidence from a Spatial Panel-Data Analysis in China

2021 ◽  
Vol 235 ◽  
pp. 03001
Author(s):  
Youwen Jin ◽  
Guoping Nong
Keyword(s):  
Public Health ◽  
Health Service ◽  
Central Government ◽  
Public Health Service ◽  
Panel Data Analysis ◽  
Service Development ◽  
Spatial Panel ◽  
Fiscal Transfer ◽  
Spatial Panel Data ◽  
The Government

Public health service is regarded a key social resource contributing to the national health and sustainable development. Its development gap, however, exists among regions in China due to the unbalanced regional economy, and is also affected by financial distribution. With the effect of tax reform, central fiscal transfer has become a strategic approach to narrow the regional gap of public health service and improve the regional development. This paper aims to evaluate provincial public health service levels in China by applying entropy method and shows that obvious spatial imbalance of public health service level exists in Chinese provinces and such imbalance is also consistent with that of average fiscal transfer from the central government to the regional ones. The current research also looks at, by adopting spatial panel model, a model developed from economic convergence model, whether central fiscal transfer effectively helps to lower the level of public health service difference in regions and the outcome depicts that central fiscal transfer, particularly fiscal transfer for specific purposes, accelerates Chinese public health service development especially in eastern, middle and western regions. From the perspective of spatial effect, neighborhood imitation effect exists to allow completion among neighboring regional governments and therefore more investment to public health service. Compared with the pace of economic development, central fiscal transfer’s limited effect is still seen in less developed regions particularly some midland and western areas, due to the inadequate investment rooted in government’s structured expenditure plan. The implication of this research is that, apart from the attention to economic growth, the government should, with the effort of fiscal transfer, financially focus more on the area of public health service.

scholarly journals The 1955 Salk Polio Vaccine and the 1957-61 Niles Leukemia Cluster: A Flawed Investigation by the U.S. Public Health Service

2002 ◽  
Vol 69 (2) ◽  
pp. 169-175
Author(s):  
Herbert Ratner
Keyword(s):  
Public Health ◽  
Health Service ◽  
Physical Environment ◽  
Public Health Service ◽  
Second Graders ◽  
Polio Virus ◽  
Polio Vaccine ◽  
Cluster A ◽  
The U.S

A 1963 U.S. Public Health Service study of the 1957-1961 leukemia cluster of eight children in Niles, IL, gave cursory attention to the possible role of the Salk polio vaccine in the etiology of the leukemia. Entitled “Leukemia among Children in a Suburban Community,” and published in the American Journal of Medicine, 34:796-812 June, 1963, the study was reprinted as a “Classic in Oncology” in CA — A Cancer Journal for Clinicians, 40, 1:27-50 Jan.-Feb., 1990. Focusing on the physical environment of the school and church community to which six of the children belonged, the study either overlooked or ignored the presence of live polio virus in the first two inoculations received by first and second graders in Chicago and its suburbs in the spring of 1955. Had the investigators considered the 1955 vaccine as a vector of the disease, their conclusions might have been other than to say the etiology of the leukemia cluster could not be determined.

scholarly journals Changing perspectives of public health in India: the growing role of health economics

2020 ◽  
Vol 4 ◽  
pp. 14
Author(s):  
Nutan Shashi Tigga ◽  
Vikash R. Keshri
Keyword(s):  
Public Health ◽  
Health Economics ◽  
Private Sector ◽  
Care Delivery ◽  
Public Health Care ◽  
Regulatory Control ◽  
Future Research ◽  
Indian Government ◽  
The Government

Health economics is a sub-discipline of economics that has significant relevance to public health. The academic discipline of health economics has not evolved in India till now. Since India became independent country, the public health practice in India has revolved largely around public health systems; the private health system has functioned in parallel with negligible regulatory control by the government. The recent launch of a large health insurance program by the Indian government has opened the door of public resources for the private sector in health. It is envisaged that a substantial portion of public money will be diverted to the private sector with little regulation. This situation will potentially change the landscape of public health care delivery in the country.  With this change, the role of health economists is bound to increase, given the increased demand for economic evaluation. Ironically, there is a complete dearth of educational institutions offering specialised training in health economics in India. To fulfil this demand-supply gap, there is an urgent need to introduce the discipline of health economics at master’s level within existing university economics departments and schools of public health. Building on this foundation, academic research degrees in health economics can be evolved to fulfil future research gaps.

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