scholarly journals Factor Affecting the Utilization of Family Planning Program Services

2021 ◽  
Vol 2 (2) ◽  
pp. 41-50
Author(s):  
Melda Andriani ◽  
Megawati Megawati ◽  
Asriwati Asriwati ◽  
Lucia Lastiur
Keyword(s):  
Family Planning ◽  
Community Health ◽  
Health Center ◽  
Mixed Methods Research ◽  
Quantitative Methods ◽  
Family Planning Program ◽  
Health Workers ◽  
Community Health Center ◽  
Planning Program

Family planning to spacing or planning the number and distance of pregnancies using contraception. Data on active family planning participants based on the type of contraception at the Pasie Raya Community Health Center in 2019 was 39.4%, there was no increase in the coverage of active KB participants based on the type of contraception in 2018 of 49.4%. The aim is to find out what are the factors that influence the use of family planning program services for women in the working area of ​​the Pasie Raya Community Health Center. This type of research is a combination research (mixed methods research) combining or combining quantitative methods and qualitative methods with Accidental Sampling sampling techniques on 90 samples and 5 informants. Quantitative data were analyzed using univariate, bivariate and multivariate logistic regression tests. The results of the study showed the influence of knowledge, information sources, culture, family support and support from health workers on the utilization of family planning program services. Based on the multivariate analysis, the support variable for health workers is the dominant variable, while the results of the qualitative analysis on key informants and supporters can be concluded that women have taken advantage of the Kb service program, but most of the women do not understand and understand the benefits that are obtained from the family planning program. The conclusion from the health workers is very important in the utilization of family planning program services. It is recommended that the Health Office conduct more evaluations of family planning services at the Puskesmas. It is necessary to improve the quality of Kb services by including health workers in training.

scholarly journals LOWER PERCEIVED-STIGMATIZATION BY HEALTH WORKERS AMONG HIV-AIDS PATIENTS OF KEY POPULATION BACKGROUNDS

2020 ◽  
Vol 8 (2) ◽  
pp. 90
Author(s):  
Jihan Qonitatillah ◽  
Samsriyaningsih Handayani ◽  
Ernawati Ernawati ◽  
Musofa Rusli
Keyword(s):  
Quality Of Life ◽  
Community Health ◽  
Health Center ◽  
Health Workers ◽  
Community Health Center ◽  
People Living With Hiv ◽  
Key Population ◽  
Living With Hiv ◽  
Hiv Aids

The stigma of people living with HIV-AIDS (PLWHA) by health workers may have a broad impact, so it is necessary to identify the factors that influence the occurrence of stigma. Identification of factors that cause a decrease in stigmatization by health workers will have an impact on improving the quality of life of people with HIV, increasing compliance with medication, and ultimately reducing the incidence of HIV infection itself. The purpose of this study was to analyze factors related to PLWHA’s perception of stigma among health workers in the community health center.  This research applied a cross-sectional design using interviews. Ninety-four patients from the Infectious Disease Intermediate Care of Dr. Soetomo Hospital Surabaya, a tertiary level hospital, were interviewed. The stigma perception was assessed using a questionnaire modified from the Standardized Brief Questionnaire by Health Policy Project with Cronbach’s Alpha of 0.786. The data were simultaneously analyzed with binary multiple regressions on IBM SPSS Statistics 22.0 for Windows software. There were 30 out of 94 patients with key population backgrounds, and most population was injecting drug users (IDUs) and female sex workers (FSWs). PLWHA perceived most stigmatized community health workers when they drew blood, provided care, and considered they were involved in irresponsible behavior. There were relationships between age(p=0.008), marital status(p=0.013), and the history of key population (p=0.006)to people living with HIV-AIDS (PLWHA)’s perception of stigma among health workers in East Java community health center. Future research on factors influencing HIV-related stigma is needed to improve patients’ quality of life.

scholarly journals Hubungan Pemberian Konseling oleh Petugas Kesehatan dengan Pemilihan Metode Kontrasepsi Jangka Panjang (MKJP) di Puskesmas Pakuan Baru

2021 ◽  
Vol 10 (2) ◽  
pp. 294
Author(s):  
Ria Febrina
Keyword(s):  
Family Planning ◽  
Community Health ◽  
Health Center ◽  
Quantitative Research ◽  
Health Workers ◽  
Statistical Tests ◽  
Community Health Center ◽  
Poverty Line ◽  
P Value

An increase in population can lead to poverty, economic inequality in the population which is usually measured by the proportion of households with income below the poverty line. One of the government's efforts to control the rate of population growth is through the implementation of a family planning program (KB) for fertile age couples age (PUS) using contraception. The use of long term contraception methods is still very low, of the total number of active family planning participants, only 17.45% of them use long term contraception methods. Meanwhile, 81.23% were non- long term contraception methods family planning users and 1.32% used traditional family planning. Jambi Province only 1.9% uses long term contraception method. Based on data obtained from the Jambi City Health Office in 2018 the number of IUD KB participants was 2,032, 1,252 implants, 542 MOW people, 16 MOP people from 20 community health center in Jambi City, Pakuan Baru community health center none of the active family planning participants which uses long term contraception method. This study was to determine the relationship of counseling by health workers with the choice of long-term contraceptive method at Pakuan Baru Community Health Center, Jambi City. This type of quantitative research with a descriptive design. Respondents who were active family planning participants who visited the Pakuan Baru community health center were taken using accidental sampling. The data collection technique was done by filling out a questionnaire. The data were processed using fisher exact statistical tests. The results of the study most of the respondents used long term contraception method of 24 (57.1%), there was a relationship between the provision of counseling and the choice of long term contraception method with a p-value: 0.001 and there was no relationship between the provision of counseling media by health workers and the selection of long term contraception method with a p-value: 0.068.

scholarly journals Validity of Using Mobile Phone Surveys to Evaluate Community Health Worker Program in Mali

2021 ◽  
Author(s):  
Xiaomeng Chen ◽  
Diwakar Mohan ◽  
Abdoulaye Maïga ◽  
Emily Frost ◽  
Djeneba Coulibaly ◽  
...  
Keyword(s):  
Family Planning ◽  
Mobile Phone ◽  
Community Health ◽  
Sensitivity And Specificity ◽  
Family Planning Program ◽  
Health Workers ◽  
Background Information ◽  
Community Case Management ◽  
Planning Program ◽  
Integrated Community Case Management

Abstract BackgroundAssessing implementation strength through face-to-face interviews in hard-to-reach and unstable regions presents many challenges. Mobile phone-based interviews have become an alternative, but the validity of these data from this approach for Implementation Strength Assessment evaluation has not been sufficiently studied yet. The objective of this study was to assess the validity of mobile phone-based health provider interviews to measure the implementation strength of an integrated community case management (iCCM) and family planning program in Mali.MethodsFrom July to August 2018, interviewers administered a structured questionnaire to community health workers (ASCs) implementing the iCCM and family planning program in six districts in Mali. Interviews were conducted, first by phone, then verified through in-person visits. Survey questions addressed background information, training, supervision, demand generation activities and supplies of essential drugs and contraceptive methods. Sensitivity and specificity of the phone responses were calculated using the in-person response as the gold standard. A threshold of 80% for sensitivity and specificity respectively was considered acceptable.ResultsOf 157 ASCs interviewed by phone, 115 (73.2%) were reached in-person. Most indicators (9/10 iCCM indicators, 6/6 family planning indicators) for training, supervision, and availability of supplies on the day of interview, and those related to patient utilization reached the 80% threshold for sensitivity, but few (2/10 iCCM indicators, 1/6 family planning indicators) reached 80% for specificity. In contrast, most indicators of supply stock-outs in the last 3 months reached the threshold for specificity (5/6 iCCM indicators, 3/3 family planning indicators) but few reached the threshold for sensitivity (1/6 iCCM indicators, 1/3 family planning indicators).ConclusionsThe validity of data collected by phone were adequate for indicators of training, supervision, and day-of-interview commodity availability. Phone-based surveys are useful as a low-cost option for data collection in the assessment of implementation strength on general activities in inaccessible and resource-limited regions with mobile network connectivity.

scholarly journals HUBUNGAN ANTARA KONTRASEPSI DMPA (DEPO MEDROXY PROGESTERON ASETAT) DENGAN PENINGKATAN BERAT BADAN AKSEPTOR KB DI PUSKESMAS PUNGGUR TAHUN 2018

2021 ◽  
Vol 1 (2) ◽  
pp. 99-103
Author(s):  
Weda Ayu Ardini
Keyword(s):  
Weight Gain ◽  
Family Planning ◽  
Health Center ◽  
Family Planning Program ◽  
Health Workers ◽  
Average Rate ◽  
P Value ◽  
Contraceptive Device ◽  
Planning Program ◽  
Chi Square Analysis

The number of population in Indonesia is increasing, this is a big problem. Indonesia is the fifth country in the world with the highest estimated population of 249 million, with 2.6 Fertility or Total Fertility Rate (TFR) still high compared to other ASEAN countries with an average rate of 2.4 (Ministry of Health RI, 2014). Efforts to deal with the rate of Indonesian population hold a Family Planning program to achieve quality families, namely by regulating the number of children, while the most widely used contraceptives are DMPA injections, the most frequent side effect of DMPA injection contraception is weight gain which can result in drop out acceptors. The purpose of this study was to determine the relationship between DMPA (Depo Medroxy Progesteron Asetat) contraception and weight gain in KB acceptors at Punggur Health Center in 2018. The results of the research conducted by researchers on 133 respondents that there were 77 family planning acceptors (57.8%) using DMPA KB injections, and 73 acceptors (45.1%) KB acceptors at Purbolinggo Health Center experienced a one-year increase in weight after using the tool contraception. Based on the bivariate test of acceptors with DMPA injection contraception and weight gain of 43 (55.8%) KB acceptors. Based on the results of the chi-square analysis with a 95% confidence level obtained p-value = 0.004 <α (0.05), then Ha is accepted and Ho is rejected or means there is a relationship between DMPA injections with an increase in birth control weight gain in Punggur Health Center in 2018 and the Odds Ratio (OR) is 2.9. It is expected that health workers to improve family planning services, especially in the case of DMPA contraceptive use. And it is expected that KB acceptors will increase their knowledge, especially regarding contraceptives to be chosen so that they can minimize the effects of contraceptive device use and play a role in the national family planning program, namely Active KB acceptors.

scholarly journals Validity of using mobile phone surveys to evaluate community health worker program in Mali

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiaomeng Chen ◽  
Diwakar Mohan ◽  
Abdoulaye Maïga ◽  
Emily Frost ◽  
Djeneba Coulibaly ◽  
...  
Keyword(s):  
Family Planning ◽  
Mobile Phone ◽  
Community Health ◽  
Sensitivity And Specificity ◽  
Family Planning Program ◽  
Health Workers ◽  
Modern Contraceptive ◽  
Planning Program ◽  
Cross Sectional Survey ◽  
Integrated Community Case Management

Abstract Background The monitoring and evaluation of public health programs based on traditional face-to-face interviews in hard-to-reach and unstable regions present many challenges. Mobile phone-based methods are considered to be an effective alternative, but the validity of mobile phone-based data for assessing implementation strength has not been sufficiently studied yet. Nested within an evaluation project for an integrated community case management (iCCM) and family planning program in Mali, this study aimed to assess the validity of a mobile phone-based health provider survey to measure the implementation strength of this program. Methods From July to August 2018, a cross-sectional survey was conducted among the community health workers (ASCs) from six rural districts working with the iCCM and family planning program. ASCs were first reached to complete the mobile phone-based survey; within a week, ASCs were visited in their communities to complete the in-person survey. Both surveys used identical implementation strength tools to collect data on program activities related to iCCM and family planning. Sensitivity and specificity were calculated for each implementation strength indicator collected from the phone-based survey, with the in-person survey as the gold standard. A threshold of ≥ 80% for sensitivity and specificity was considered adequate for evaluation purposes. Results Of the 157 ASCs interviewed by mobile phone, 115 (73.2%) were reached in person. Most of the training (2/2 indicators), supervision (2/3), treatment/modern contraceptive supply (9/9), and reporting (3/3) indicators reached the 80% threshold for sensitivity, while only one supervision indicator and one supply indicator reached 80% for specificity. In contrast, most of the stock-out indicators (8/9) reached 80% for specificity, while only two indicators reached the threshold for sensitivity. Conclusions The validity of mobile phone-based data was adequate for general training, supervision, and supply indicators for iCCM and family planning. With sufficient mobile phone coverage and reliable mobile network connection, mobile phone-based surveys are useful as an alternative for data collection to assess the implementation strength of general activities in hard-to-reach areas.

scholarly journals Quality of health services during the pandemic COVID-19 (Descriptive study at the Pontap community health center in Palopo City)

2021 ◽  
Vol 8 (4) ◽  
pp. 1578
Author(s):  
Adam Badwi ◽  
Periyenti Ba'ru
Keyword(s):  
Health Services ◽  
Community Health ◽  
Health Center ◽  
Quantitative Research ◽  
Health Workers ◽  
Community Health Center ◽  
Public Health Services ◽  
Good Communication ◽  
The One

Background: During the COVID-19 pandemic that has hit the world including the Indonesia since March 2020, it may not reduce the quality of public health services at the Community Health Center for visiting people on the one hand, however, on the other hand, it is still necessary to prioritize the safety of patients and health workers. Health services at the Community Health Center during the Covid-19 Pandemic will be very different from the situation before COVID-19.Methods: The research was conducted using quantitative research with a descriptive approach which was carried out at the Pontap Community Health Center, Palopo City for 3 months, namely September to November 2020.The population in this study were all patients who visited the Pontap Community Health Center in Palopo City at the time of the study with a sample of 130 people who were determined using purposive sampling technique.Results: The results of the study showed the reliability of health workers in the good category was 93.8%, the health worker assurance in the good category was 90.0%, tangibles displayed by health workers was more in the good category, namely 88.5%, empathy for health workers was 93.8%, good responsiveness of 90.0%.Conclusions: So it is concluded to provide recommendations, namely for health workers to maintain professionalism at work, especially during the COVID-19 pandemic and increase their attention to patients in terms of building good communication between health workers and the public.

scholarly journals Kompetensi Bidan Puskesmas dalam Meningkatkan Pelayanan Antenatal (Studi Kasus di Puskesmas Tambak Rejo, Surabaya)

2019 ◽  
Vol 7 (1) ◽  
pp. 1-8
Author(s):  
Andy Asmara
Keyword(s):  
Community Health ◽  
Health Center ◽  
Community Health Centers ◽  
Health Workers ◽  
Perinatal Care ◽  
Community Health Center ◽  
Community Empowerment ◽  
District Health ◽  
Soft Skill ◽  
Birth Attendance

The daily facts indicated that an individual is the key factor to achieve organization’s success. Every organization with its best performance is always related to its human resources’ balanced competency. The midwife has role, function, and competencies to provide maternal services for women. The midwife’s role is not only a doer, but also an organizer, an educator, and a researcher. Therefore, the midwife is expected to focus on prevention and health promotion aspect with basis of partnership, and community empowerment collaboration with other health workers in order to be readily prepare the health services for anyone who is in need.This was qualitative research method with case study approach. The informant was the midwives of Tambakrejo Community Health Center of Surabaya. According to the data of antenatal care attendance, trained birth attendance, and perinatal care, there were 859 pregnant women, 581 persons on phase of K1 (67.64%), and 551 persons on phase of K4 (64.14%). The birth attendances by trained birth attendants are 513 people (62.56%), while perinatal care recorded 570 people attending the health service (69.51%). The data indicated the performance by the midwives of Tambakrejo Community Health Center categorized in the lowest position among 63 community health centers in Surabaya. The result showed poor soft skill competency and poor hard skill competency on midwives. In conclusion, poor soft skill competency including personal competence and social competence should be trained and developed by obstetrics and gynecology specialist of Soewandhi Public Hospital of Surabaya. The study suggested Surabaya District Health Office needs to conduct training of technology information and computer in order to increase the service quality and to solved the problem related to hard skill competencies on technology and computer skill. 

Sign in / Sign up

Export Citation Format

Share Document