scholarly journals Pembuatan Pemberian Makanan Tambahan dan MP- ASI sebagai Upaya Pencegahan Stunting pada Kader ‘Aisyiyah

2020 ◽  
Vol 1 (2) ◽  
pp. 94-98
Author(s):  
Sawitri Dewi ◽  
Purwati Purwati ◽  
Diah Atmarina Yuliani
Keyword(s):  
Food Processing ◽  
Critical Period ◽  
Health Workers ◽  
Vulnerable Groups ◽  
Infants And Toddlers ◽  
Complementary Foods ◽  
Additional Food ◽  
Knowledge And Skills ◽  
Menu Selection ◽  
Diet Survey

Growth and development disorders in infants and children under 2 years of age (baduta) are problems that need to be addressed seriously. This age is an important and critical period in the process of child development, both physical and intellectual. Provision of additional food (PMT) especially for vulnerable groups is one of the supplementation strategies in overcoming nutritional problems. Based on the 2014 Total Diet Survey (SDT) data, it is known that more than half of toddlers (55.7%) have energy intake that is less than the recommended Energy Adequacy Rate (AKE). This shows that the fulfillment of nutrition in infants and toddlers is still lacking. The involvement of health workers, cadres and parents in fulfilling nutrition for children under five is very important, therefore it requires sufficient knowledge and skills in menu selection and food processing as PMT and complementary foods. This activity provides skills and knowledge to cadres in making supplementary food and complementary foods according to the needs of toddlers as well as improving the skills of cadres in counseling. The method used was to provide counseling on nutrition for PMT and complementary foods and how to make them. There was an increase in the knowledge and skills of cadres after participating in this activity. The contribution of cadres in the implementation of counseling on PMT and complementary foods can be an initial illustration of the success of the community in an effort to overcome stunting in infants and toddlers.

scholarly journals Examining local perspectives on the influence of climate change on the health of Hamer pastoralists and their livestock in Ethiopia

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Samuel Lumborg ◽  
Samuel Tefera ◽  
Barry Munslow ◽  
Siobhan M. Mor
Keyword(s):  
Climate Change ◽  
Water Scarcity ◽  
Health Workers ◽  
Animal Health ◽  
Disease Outbreaks ◽  
Vulnerable Groups ◽  
Local Health ◽  
Framework Analysis ◽  
Healthcare Facilities ◽  
Grazing Lands

AbstractThis study explores the perceived influence of climate change on the health of Hamer pastoralists and their livestock in south-western Ethiopia. A combination of focus group discussions and key informant interviews were conducted with Hamer communities as well as local health workers, animal health workers and non-governmental organisation (NGO) staff. Thematic framework analysis was used to analyse the data. Reductions in rangeland, erratic rainfall, recurrent droughts and loss of seasonality were perceived to be the biggest climate challenges influencing the health and livelihoods of the Hamer. Communities were travelling greater distances to access sufficient grazing lands, and this was leading to livestock deaths and increases in ethnic violence. Reductions in suitable rangeland were also precipitating disease outbreaks in animals due to increased mixing of different herds. Negative health impacts in the community stemmed indirectly from decreases in livestock production, uncertain crop harvests and increased water scarcity. The remoteness of grazing lands has resulted in decreased availability of animal milk, contributing to malnutrition in vulnerable groups, including children. Water scarcity in the region has led to utilisation of unsafe water sources resulting in diarrhoeal illnesses. Further, seasonal shifts in climate-sensitive diseases such as malaria were also acknowledged. Poorly resourced healthcare facilities with limited accessibility combined with an absence of health education has amplified the community’s vulnerability to health challenges. The resilience and ambition for livelihood diversification amongst the Hamer was evident. The introduction of camels, increase in permanent settlements and new commercial ideas were transforming their livelihood strategies. However, the Hamer lack a voice to express their perspectives, challenges and ambitions. There needs to be collaborative dynamic dialogue between pastoral communities and the policy-makers to drive sustainable development in the area without compromising the values, traditions and knowledge of the pastoralists.

scholarly journals Upaya Penanganan Khusus Narapidana Lansia sebagai Kelompok Rentan

2021 ◽  
Vol 1 (12) ◽  
pp. 855-867
Author(s):  
Elika Sifra Lidya ◽  
Mitro Subroto
Keyword(s):  
Justice System ◽  
Health Workers ◽  
The Elderly ◽  
Vulnerable Groups ◽  
Special Treatment ◽  
Correctional Institution ◽  
Correctional Services ◽  
The Social ◽  
Directorate General ◽  
The Government

LAPAS or Correctional Institution under the auspices of the Directorate General of Corrections is the final place of the criminal justice system process that fosters and integrates the social of convicts, so that when returning to society they are able to live a normal life. Elderly (according to Law No. 13 of 1998: Elderly) is a person whose age reaches the age of 60 years and above. In its efforts, Correctional Services interpret this understanding by regulating the rights of inmates contained in Law no. 12 of 1995 article 14 paragraph 1.The increasing age and declining body condition of the elderly inmates need special treatment both in health, treatment, and public services. Elderly inmates as much as possible are treated as people usually are, it's just that the place and application are different. This is for the implementation of part of Human Rights (HAM) as a national instrument. This special handling effort involves other stakeholders be it medical or health workers and the government to support the infrastructure needed. The elderly as one of the vulnerable groups become important objects in terms of how decent handlers are so that they feel cared for in their twilight years. Although until now still in the process and stages of refinement of special handling for them. The fact is still not optimal and this study illustrates how well the effort is.

scholarly journals The Burden of COVID-19 Infection in a Rural Tamil Nadu Community

2021 ◽  
Author(s):  
Rita Isaac ◽  
Biswajit Paul ◽  
Madelon Finkel ◽  
Mahesh Moorthy ◽  
Seshasailam Venkateswaran ◽  
...  
Keyword(s):  
Community Health ◽  
Tamil Nadu ◽  
Health Workers ◽  
Extended Family ◽  
Community Health Center ◽  
Vulnerable Groups ◽  
Severe Illness ◽  
Suspected Case ◽  
Antibody Testing ◽  
The Impact

Abstract Background: There are almost 11 million cases of COVID-19 in India. Transmission rates vary from region to region, and are influenced by many factors including population susceptibility, travel and uptake of preventive measures. To date there have been relatively few studies examining the impact of the pandemic in poor, rural regions of India. We report on a study examining COVID-19 burden in a rural community in Tamil Nadu.Methods: The study was undertaken in a population of approximately 130000 people, served by the Rural Unit of Health and Social Affairs (RUHSA), a community health center of CMC, Vellore. We established and evaluated a COVID-19 PCR-testing programme for symptomatic patients – testing was offered to 350 individuals, and household members of test-positive cases were offered antibody testing. We also undertook two COVID-19 seroprevalence surveys in the same community, amongst 701 randomly-selected individuals. Results: There were 182 positive tests in the symptomatic population (52.0%). Factors associated with test-positivity were older age, male gender, higher socioeconomic status (SES, as determined by occupation, education and housing), a history of diabetes, contact with a confirmed/suspected case and attending a gathering (such as a religious ceremony, festival or extended family gathering). Amongst test-positive cases, 3 (1.6%) died and 16 (8.8%) suffered a severe illness. Amongst 129 household contacts 40 (31.0 %) tested positive. The two seroprevalence surveys showed positivity rates of 2.2% (July/Aug 2020) and 22.0% (Nov 2020). 40 tested positive (31.0%, 95% CI: 23.02 -38.98). Our estimated infection-to-case ratio was 31.7.Conclusions: A simple approach using community health workers and a community-based testing clinic can readily identify significant numbers of COVID-19 infections in Indian rural population. There appear, however, to be low rates of death and severe illness, although vulnerable groups may be under-represented in our sample. It’s vital these poor, rural populations aren’t overlooked in ongoing pandemic monitoring and vaccine roll-out in India.

scholarly journals Upaya Pengendalian Faktor Resiko PTM (Penyakit Tidak Menular)

2020 ◽  
Vol 1 (2) ◽  
pp. 73-77
Author(s):  
Purwati Purwati ◽  
Alfi Noviyana ◽  
Dea Roudhotul
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Community Service ◽  
Health Program ◽  
Health Workers ◽  
Community Support ◽  
Target Groups ◽  
Knowledge And Skills ◽  
The Public

Problems in general in Banyumas district related to non-regular diseases are: lack of health education, lack of knowledge and skills of cadres, lack of community support, and low visits by elderly / target groups. Posbindu in Pamijen village is implemented with integrated posyandu activities for toddlers where the activities are still limited to monitoring blood pressure and treating minor illnesses, while counseling activities from health workers are rarely carried out. This condition has made the mothers of the Asyiyah Pamijen branch not yet moved to join Posbindu. Apart from that, the Posbindu cadres were not ready and skilled. The method of solving problems implemented in this community service is by providing IEC (Communication, Information and Education) in the form of material about Non-Communicable Diseases (PTM) and risk factors and efforts to control PTM risk factors. PTM activities in Pamijen village involve Aisyiyah's organization as an organization that is active in the community to follow up on the Ministry of Health program so that the program can run as expected. The follow-up of this activity is carried out at the Posbindu activity in Pamijen village which is carried out routinely every 1 month. There is an increase in knowledge about PTM in Aisyiyah cadres in Pamijen village so that Aisyiyah cadres can recognize PTM on their own and educate the public to recognize PTM.

scholarly journals Impact of Breast Cancer Early Detection Training on Rwandan Health Workers’ Knowledge and Skills

2018 ◽  
pp. 1-10 ◽  
Author(s):  
Lydia E. Pace ◽  
Jean-Marie Vianney Dusengimana ◽  
Nancy L. Keating ◽  
Vedaste Hategekimana ◽  
Vestine Rugema ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Center ◽  
Health Care Providers ◽  
Health Workers ◽  
Critical Role ◽  
Sub Saharan Africa ◽  
Care Providers ◽  
Knowledge And Skills ◽  
Written Test ◽  
The Impact

Purpose In April 2015, we initiated a training program to facilitate earlier diagnosis of breast cancer among women with breast symptoms in rural Rwanda. The goal of this study was to assess the impact of the training intervention in breast cancer detection on knowledge and skills among health center nurses and community health workers (CHWs). Methods We assessed nurses’ and CHWs’ knowledge about breast cancer risk factors, signs and symptoms, and treatability through a written test administered immediately before, immediately after, and 3 months after trainings. We assessed nurses’ skills in clinical breast examination immediately before and after trainings and then during ongoing mentorship by a nurse midwife. We also examined the appropriateness of referrals made to the hospital by health center nurses. Results Nurses’ and CHWs’ written test scores improved substantially after the trainings (overall percentage correct increased from 73.9% to 91.3% among nurses and from 75.0% to 93.8% among CHWs ( P < .001 for both), and this improvement was sustained 3 months after the trainings. On checklists that assessed skills, nurses’ median percentage of actions performed correctly was 24% before the training. Nurses’ skills improved significantly after the training and were maintained during the mentorship period (the median score was 88% after training and during mentorship; P < .001). In total, 96.1% of patients seen for breast concerns at the project’s hospital-based clinic were deemed to have been appropriately referred. Conclusion Nurses and CHWs demonstrated substantially improved knowledge about breast cancer and skills in evaluating and managing breast concerns after brief trainings. With adequate training, mentorship, and established care delivery and referral systems, primary health care providers in sub-Saharan Africa can play a critical role in earlier detection of breast cancer.

scholarly journals Predictors of change of health workers’ knowledge and skills after the Helping Mothers Survive Bleeding after Birth (HMS BAB) in-facility training in Tanzania

PLoS ONE ◽  
2020 ◽  
Vol 15 (5) ◽  
pp. e0232983 ◽  
Author(s):  
Fadhlun Alwy Al-beity ◽  
Andrea Barnabas Pembe ◽  
Gaetano Marrone ◽  
Ulrika Baker ◽  
Claudia Hanson
Keyword(s):  
Health Workers ◽  
Knowledge And Skills ◽  
Predictors Of Change

scholarly journals Complementary feeding patterns of Filipino infants and toddlers lack diversity, especially among children from poor households

2020 ◽  
Author(s):  
Emma F Jacquier ◽  
Imelda Angeles-Agdeppa ◽  
Yvonne Lenighan ◽  
Marvin B Toledo ◽  
Mario V Capanzana
Keyword(s):  
Human Milk ◽  
Complementary Feeding ◽  
Vegetable Consumption ◽  
Household Wealth ◽  
Infants And Toddlers ◽  
Complementary Foods ◽  
Nutrition Survey ◽  
Wealth Status ◽  
Powdered Milk ◽  
Poor Households

Abstract Consumption of nutritionally adequate complementary foods is essential for optimal growth and development of infants and toddlers, particularly in developing countries. The aim of this study was to describe percentages of consumption, energy contribution (6-23.9mo), and usual nutrient intakes (12-23.9mo) from complementary foods among Filipino infants and toddlers stratified by household wealth. Data from 1087 infants and toddlers from the 2013 National Nutrition Survey were included. Dietary intake data was assessed using a 24Hr recall and population food intakes were stratified into pre-defined wealth categories. Breast milk, infant formula, powdered milk and rice were the most commonly consumed foods and beverages across the age groups. Several differences in complementary feeding by wealth status were observed. Infants and toddlers from poor households reported significantly greater consumption of human milk, in comparison to those from the rich households who reported a significantly greater consumption of infant/toddler formula (P>0.05). A higher percentage of toddlers from rich households consumed protein-containing foods, cookies and cakes. There was no difference in fruit and vegetable consumption between wealth groups in 6-11.9mo and 18-23.9mo children. Human milk and formula were the top contributors to energy in 6.11.9mo and 12-17.9mo children, while rice was the top energy contributor in 18-23.9mo children. Intakes of protein, fat, vitamin C, B vitamins, vitamin D, vitamin E, iron and calcium were higher in 12-23.9mo children from rich households. Interventions are required to enable caregivers of young Filipino children to provide complementary foods of high nutritional quality, particularly among children from the poor households.

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