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 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 Knowledge, Attitude and Beliefs of Parents Regarding Fever in Children

2021 ◽  
pp. 33-40
Author(s):  
S. Dhanya Dedeepya ◽  
Vidhyasagar Krishnamoorthy ◽  
P. Ambikapathy
Keyword(s):  
Tertiary Care ◽  
Parental Knowledge ◽  
Febrile Seizures ◽  
Cross Sectional Study ◽  
Outpatient Department ◽  
Medical Attention ◽  
Care Hospital ◽  
Cross Sectional ◽  
To Come ◽  
At Home

Aim: To assess the knowledge, attitude and belief of Parents about fever in their children and how they respond to it while at home and when they seek medical attention. Objectives: The purpose of this study is to know the preexisting knowledge of parents about fever in their children and to impart additional knowledge to them. Materials and Methods: A Cross- Sectional study in the form of a questionnaire was conducted at a tertiary care hospital among parents of children visiting the outpatient department and those admitted as inpatient with fever. Children who presented to the emergency room and those with chronic illnesses were not included. Majority of the primary caregivers was the child's mother, and family becomes the 1st point of contact for the intervention, hence we chose family. As per our department that at least 80% of children were primarily brought to OP for fever, and 90% of those admitted in wards were for febrile illnesses, with or without other associated problems, we asked the statistician to come up with an adequate number and we were given.  Results: A total of 100 parents were selected and interviewed. The informants were mostly mothers (83%). Most of the children were brought to outpatient department within the first five days of onset of fever (68%). The parents said that they confirmed the fever by touch(86%)and most of them prefer to consult the pediatrician before giving any medication (56%).The most common symptoms which were seen associated with fever are cough, cold  and  running nose (54%).The most common cause for worry amongst parents are complications like febrile seizures (43%). Conclusion: Fever is one of the most common complaints with which patients come to the hospital. Majority of parents in this study do not have the practice of documenting fever at home with a thermometer. Inadequate parental knowledge about the nature of fever can lead to poor management. Appropriate education helps them to take appropriate measures when their child develops fever.

Political Economy of Farm Loan Waivers in India

2019 ◽  
Vol 8 (2) ◽  
pp. 88-93 ◽  
Author(s):  
Srirang Jha ◽  
Amiya Kumar Mohapatra ◽  
Shyam S. Lodha
Keyword(s):  
Political Economy ◽  
National Income ◽  
Political Agenda ◽  
State Governments ◽  
Farming Communities ◽  
Distribution Of Wealth ◽  
The Media ◽  
Antecedents And Consequences ◽  
The Government ◽  
To Come

Political leadership of various states in India is under tremendous pressure to provide instant relief to the farmers reeling under debt trap, resulting in suicides in several cases. Often, suicides by peasants are widely covered in the media which in turn sway the people’s perception about apparent indifference of the government towards the farming communities of the country. This certainly brings in concerns related to political economy revolving around judicious distribution of wealth and national income of the country. State governments of India are generally reluctant to waive off the farm loans as a matter of routine due to concomitant burden on exchequer that might adversely affect their fiscal balances. However, political parties tend to use farm loan waiver as tactics to come to power in spite of the fact that such populist measures are not good for the economy, nor do they offer a long-term solution to the age-old problem of higher degree of incidence of indebtedness among the farming communities. This article explores the antecedents and consequences of farm loan waivers and the way forward. Besides, it also reconnoitres whether the state takes such decisions as farm loan waiver purely on the basis of economics or any hidden political agenda.

scholarly journals Assessment of immunization services at immunization sessions under Ghatnandur PHC area in Beed district

2017 ◽  
Vol 4 (10) ◽  
pp. 3654
Author(s):  
Shashikant Shivajirao Salunke ◽  
Poonam Vijay Sancheti
Keyword(s):  
Side Effects ◽  
Service Delivery ◽  
Human Resources ◽  
Health Outcomes ◽  
Health Workers ◽  
Vaccine Delivery ◽  
Quality Of Services ◽  
Immunization Services ◽  
Delivery Services

Background: It was realized that just providing vaccine to achieve targets without giving attention to quality of services doesn’t guarantee a reduction in disease morbidity & mortality. Operational challenges such as logistic supply and microplanning have to be taken into consideration There is also increasing need to ensure that providers stick to service delivery protocols to achieve better health outcomes. Therefore the Study was aimed to assess the immunization sessions. The objective of the study was to evaluate the immunization sessions for logistics and availability of health workers, in the study area.Methods: The study was carried in 21 Grampanchayats covered by Ghatnadur PHC. semi structured preformed questionnaire was used for evaluation. Immunization sessions were also studied for information provided regarding side effects of vaccines.Results: Availability of human resources and logistics for vaccination sessions was more than 80% at all vaccination sessions. Information about side effects was the loophole in vaccine delivery services. Message regarding side effects of vaccines was not conveyed to most of the population.Conclusions: Vaccine delivery services were good in study area. Information about side effects should be conveyed 100% to of the population. The study should be extended to larger area for generalization of results. 

scholarly journals SURVEI MITIGASI RISIKO COVID-19 PADA TENAGA KESEHATAN DI DAERAH ISTIMEWA YOGYAKARTA

2021 ◽  
pp. 155-163
Author(s):  
Joko Murdiyanto ◽  
Heni Suryadi ◽  
Rina Nuryati ◽  
Tri Wijaya
Keyword(s):  
Health Workers ◽  
High Rate ◽  
Professional Organizations ◽  
Protective Equipment ◽  
Additional Food ◽  
Special Concern ◽  
The Government ◽  
Quantitative Descriptive ◽  
Descriptive Method ◽  
At Home

Tenaga Kesehatan merupakan salah satu profesi yang paling beresiko untuk terjangkit infeksi COVID-19. Tingginya angka morbiditas dan mortalitas tenaga kesehatan menjadi perhatian khusus bagi pemerintah dan organisasi profesi terkait, sehingga perlu dilakukan survey terkait perilaku tenaga kesehatan dalam masa pandemic COVID 19. Penelitian ini bertujuan untuk mendsikripsikan mitigasi tentang perilaku tenaga kesehatan selama pandemi COVID 19. Penelitian menggunakan metode deskriptif survei dengan responden yaitu tenaga kesehatan di Wilayah Darah Istimewa Yogyakarta yang terapapar COVID 19. Analisa data menggunakan deskriptif kuantitatif. Hasil penelitian menunjukkan dari 111 responden didapatkan hasil untuk physical distancing, menggunakan masker, dan cuci tangan pakai sabun selama di rumah yaitu 73%, 55%, 99,1% sedangkan saat di masyarakat hasilnya 87,3%, 99,1%, 94,3%. Sewaktu di fasilitas kesehatan tempat bekerja, responden 48,1% bisa menjaga jarak > 1 m, sedangkan penggunaan APD mencapai 95,5%. Ada beberapa alasan Tenaga Kesehatan tidak menggunakan APD, diantaranya tidak tersedia (16,7%), lupa (8,3%) tidak sempat (8,3%), tidak lengkap (41,5%) dan lainnya seperti tidak menangani pasien, tidak kontak langsung dengan pasien terkonfirmasi COVID 19 (25,2). Ruang ganti APD masih banyak yang jadi satu antara ruang pemakaian dan pelepasan (41,3%). Dari sisi imunitas sejumlah responden tidak mengkonsumsi makanan tambahan (38%) dan multivitamin (14,8%) untuk meningkatkan daya tahan tubuh ketika terpaksa harus terpapar Covid-19. Kesimpulannya disiplin penerapan protokol kesehatan masih rendah baik ketika memberikan pelayanan kepada pasien maupun saat di rumah, hal ini tentu menjadi potensi besar terjadi transmisi dari penderita. Health workers are one of the professions most at risk for contracting COVID-19 infection. The high rate of morbidity and mortality of health workers is a special concern for the government and related professional organizations, so it is necessary to conduct a survey related to the behavior of health workers during the COVID 19 pandemic. This study aims to describe the mitigation of the behavior of health workers during the COVID 19 pandemic. The study uses a descriptive method survey with respondents, namely health workers in the Special Blood Region of Yogyakarta who were exposed to COVID 19. Data analysis used quantitative descriptive. The results showed that from 111 respondents, the results for physical distancing, using masks, and washing hands with soap while at home were 73%, 55%, 99.1% while in the community the results were 87.3%, 99.1%, 94 ,3%. While at the health facility where they work, 48.1% of respondents can maintain a distance of > 1 m, while the use of PPE reaches 95.5%. There are several reasons why health workers do not use PPE, including unavailability (16.7%), forgetting (8.3%) not having time (8.3%), incomplete (41.5%) and others such as not handling patients, no direct contact with confirmed COVID-19 patients (25,2). There are still many PPE changing rooms that are one between the use and removal rooms (41.3%). In terms of immunity, a number of respondents did not consume additional food (38%) and multivitamins (14.8%) to increase their immune system when forced to be exposed to Covid-19. In conclusion, the discipline of implementing health protocols is still low both when providing services to patients and at home, this is certainly a great potential for transmission from patients.Keywords: personal protective equipment; the Covid-19 pandemic; health workers.

Elections, Legitimacy, Media and Democracy: The Case of Georgia

2008 ◽  
Vol 36 (3) ◽  
pp. 471-487
Author(s):  
Sue Davis
Keyword(s):  
Political System ◽  
Interesting Case ◽  
Political Leaders ◽  
Media Freedom ◽  
The Media ◽  
The Republic ◽  
The Government ◽  
To Come ◽  
Democratic Systems ◽  
The Relationship

Elections are one of the major ways in which democratic governments maintain legitimacy. Do elections serve the same functions in transitioning, non-democratic, or semi-democratic systems? Perhaps the relationship between elections and legitimacy is different in systems that are not fully democratic? And what of the media? Is their role the same or is the role they play dependent upon the type of system in which they exist? The Republic of Georgia offers an interesting case in which to look at these relationships. I would posit that in transitioning, non-democratic, and semi-democratic systems, elections serve a different function than in a fully democratic society and the media are one tool that leaders in such systems can use to enhance their legitimacy. When non-democratic leaders enjoy popularity, there is no need to finesse the media since positive coverage is easy to come by when you are popular. But if your popularity is waning and democratic habits are not well ingrained, the temptation to overtly or covertly subvert the media can be quite intense. So instead of maintaining legitimacy, elections may serve to create legitimacy or at least the appearance of legitimacy when legitimacy is lacking. To that end, regimes and leaders cannot afford to lose, and moreover need to win, elections by large margins if their legitimacy is questionable. Therefore, control over the media is more important when this is the case. In fact, there may be an inverse relationship between media freedom and regime insecurity, as the insecurity of the regime goes up, the freedom of the media goes down. Couple this tendency with the fact that the media in these transitioning systems have not fully become a “fourth estate” that is strong, independent, and can hold the government and political leaders accountable and you have a climate in which the media are harassed, biased, and often co-opted. Georgia, through the 2000 presidential election, is such a political system.

scholarly journals Covid-19 crisis in Romania - between perception and attitude

2020 ◽  
Vol 6 ◽  
pp. 69-87
Author(s):  
Mihaela Rus ◽  
Mihaela Luminita Sandu ◽  
Tănase Tasențe
Keyword(s):  
Social Media ◽  
Infection Rate ◽  
Transmission Rate ◽  
Educational Institutions ◽  
Awareness Campaigns ◽  
Fish Market ◽  
The Media ◽  
The Government ◽  
And Control ◽  
At Home

The 2019–2020 coronavirus pandemic, also known as Covid-19, debuted on December 12, 2019 in downtown Wuhan, China, when a group of people with pneumonia of unknown cause appeared, was mainly linked by the owners of stalls working on the Huanan fish market, who also sold live animals. The virus presents evidence of person-to-person transmission, and the transmission rate (infection rate) appears to have escalated by mid-January. As measures to prevent the spread of the virus, Romania has adapted a strategy to prevent and control this situation, such as: cancellation or closure of air flights, cancellation of residential meetings, closure of large stores, mandatory self – quarantine of infected persons. Thus, institutions and factories were closed, with the exception of the vital institutions, the closure of churches, educational institutions, universities, sports halls. Awareness campaigns have been launched through the media and social media, the use of disinfectant materials to clean the hands, the use of protective masks and medical gloves, the sanitizing of neighborhoods and roads with cleaning materials. The objective of the study was to determine the effects of the new Coronavirus (COVID19) on the population, both in perception and in attitude. The sample consists of 244 persons and the data obtained after the application of the questionnaire were statistically processed, obtaining the following conclusions: most of the respondents consider that the information received about Covid-19 is correct, a smaller percentage believe that the news about the new Coronavirus are exaggerated; At the same time, the respondents affirm that they will respect all the measures that the Government imposes on them: they will stay at home, they will go out only to buy the necessary products, they will wear masks, gloves, they will wash their hands often. Moreover, most respondents believe that both the country's economy and their personal economy will have to suffer greatly during this period of crisis.

scholarly journals Moral Hazard on Free Health Care Services:A Study from Consumer's Side

2020 ◽  
Vol 10 (2) ◽  
pp. 1-5
Author(s):  
Sushila Baral ◽  
Sony Pandey ◽  
Rajesh kumar Yadav ◽  
Sudarshan Subedi
Keyword(s):  
Health Care ◽  
Moral Hazard ◽  
Health Care Services ◽  
Health Workers ◽  
Education Level ◽  
Health Facilities ◽  
Normal Behaviour ◽  
Care Services ◽  
Free Health Care ◽  
At Home

Free Health Service is a priority program and a boon to all citizens mostly for the poor and marginalized groups. It is a timely and exemplary program of government but some people have deviation in their normal behaviour as services have been provided free. A descriptive cross-sectional approach was done to assess moral hazard on free health care services by consumers. An interview schedule was used to collect quantitative data and in depth interview with health workers for qualitative data in selected eleven health facilities. The study showed the prevalence of moral hazards of free health care services by the consumers. Two-third (65%) respondents had medicines at home. Around one-third (33%) of respondent had self demanded for the medicines. Two-third (67.6%) doesn't seek for health services during health problems. One-fourth (23.6%) had poster at home for non IEC purpose. Age, education level, travelling time to health facility, occupation, and satisfaction towards services were significantly associated with availability of medicines at home. Age, education level, health workers behaviour were significantly associated with self demand of medicines. Peoples are misutilizing the services as, government bear the burden of cost. There was deviation in the normal behaviour of the peoples due to no registration fees and free drugs availability. Many people like to take medicines and have a notion that there is a pills for every ill as a result they self demand for the medicines and mostly don’t consume full dose which can develop drug resistance. Visit to health facilities to collect medicines at home have increase unnecessary burden to health facilities and also increase in morbidity status. The result can inform developing proper policy and safety measures to drop off moral hazard on free health care services.

scholarly journals PENGARUH PARITAS DAN MEDIA KONSELING MASA NIFAS TERHADAP KEMAMPUAN PERAWATAN MANDIRI IBU POST PARTUM DI BPM VIVI SURABAYA

2018 ◽  
Vol 11 (1) ◽  
Author(s):  
Yunik Windarti ◽  
Uke Maharani Dewi
Keyword(s):  
Postnatal Care ◽  
Health Workers ◽  
Post Partum ◽  
Self Care ◽  
The Media ◽  
Analytical Research ◽  
Independent Variable ◽  
The Government ◽  
Postpartum Mothers ◽  
Better Than

In Indonesia Maternal Mortality Rate (MMR) is still high. Various attempts were made by the government to reduce AKI one of them with the implementation of adequate postnatal care. The success of postnatal care is determined by the mother's ability to care for him, especially since birth experience (parity) and the delivery of health information (media counseling) is good. The aim of research to determine the effect of parity and media postnatal counseling on self-care ability of others. postpartum Analytical research design. The population postpartum mothers day 1-10 for 30 people in BPM Vivi in April-June 2017, the sample size of 30 people were taken to the technique of "total sampling". The independent variable parity and media counseling, self-care dependent mothers. postpartum Analysis by Chi squaretest.the results showed that primiparous majority (63.3%) are less able to perform self-care, multipara almost entirely (78.9%), both in performing self-care with p = 0.047. leaflet media health education with the majority ( 60.0%) less than in performing self-care, media counselor almost entirely (86.7%) either do self-treatment with p = 0.023. this study concluded that the higher the better parity self-care during childbirth and direct counseling method (counselor) better than the media leaflets in self-care during childbirth. Therefore for health workers in providing services to clients KIE further improve the media direct counseling.

scholarly journals Rasionalitas Pengetahuan dan Kemampuan Penanganan Covid-19 (Studi Pemahaman Mahasiswa di Aceh Barat)

2021 ◽  
Vol 7 (1) ◽  
pp. 52
Author(s):  
Triyanto Triyanto ◽  
Rahma Husna Yana ◽  
Nurkhalis Nurkhalis ◽  
Irma Juraida
Keyword(s):  
Economic Growth ◽  
The State ◽  
Good Knowledge ◽  
Foreign Workers ◽  
The Public ◽  
Agents Of Change ◽  
Research Objects ◽  
The Government ◽  
To Come ◽  
At Home

The existence of COVID-19 has attracted the attention of the public, even at the beginning of its appearance, this disease was frightening. However, when there are calls to work at home, worship at home, and various policies that are considered detrimental to the community, and exacerbated by hoax news, slowly there is rejection and even distrust of the existence of COVID-19. So this research was carried out to see how students' knowledge about covid-19 and their belief in the ability of the state through the government both at the center and the regions. Students were chosen as research objects, apart from the fact that some students did not carry out health protocols on campus, also because students were seen as agents of change so that good knowledge of students would bring good knowledge to the community. The results showed that students had good knowledge and were in tune with the information provided by the government. Regarding some students not wearing masks, it was more because they were not in a crowd. Students believe that the state through the government can handle this covid-19 well, although students also see that there are some unsatisfactory things such as the ban on going home, Chinese foreign workers are instead allowed to come. Even though these foreign workers continue to carry out strict screening, they are ensured that they are in safe conditions for the community. The non-applicability of the lockdown is also considered a weakness in handling, even though the government has explained the economic growth that must be fought for.

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