scholarly journals Pre-hospital emergency care system: Utilization of ambulance services in Nairobi county

2021 ◽  
Vol 17 (4) ◽  
Author(s):  
Felistus Ndanu Musyoka ◽  
Abdushakur Ndolo Kioko
Keyword(s):  
Emergency Care ◽  
Emergency Services ◽  
Service Providers ◽  
Public Awareness ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Hospital Environment ◽  
Hospital Emergency ◽  
Cross Sectional ◽  
Ambulance Dispatch

Emergency Medical Service (EMS) is the system that organizes all aspects of medical care provided to patients in the pre-hospital environment and emergency department within hospitals. It comprises agencies and organizations (both private and public), communication and transportation networks, hospitals, highly trained professionals and a public aware on how to respond in emergencies. Kenya needs robust EMS due to the high prevalence of acute medical events such as COVID-19, natural and man-made disasters. The objective of this study was to assess utilization of ambulance services in Nairobi County. The study design was descriptive cross-sectional, using quantitative and qualitative research methods. Data was collected using interviewer-administered semi-structured questionnaires and key in-depth interviews from 14 ambulance services, 19 Emergency Care Centers (ECC), and community. Thirty-nine key informants were sampled using purposive sampling technique and 101 community members sampled using simple random sampling technique from 10 sub-counties. Data tools were pretested at Mukuru Kwa Njenga, a populous slum in Nairobi County. Approval to carry out the study was granted by the Ministry of Health, Kenya. Qualitative data was analyzed using NVIVO12 and quantitative data analyzed using descriptive statistics by use of SPSS vs 25 software. Findings are represented as frequencies and percentages. There were 14 ambulance service providers in the Nairobi Metropolitan Services area with a total of 42 ambulances. Forty-one ambulances were facility-based ambulances. All ambulance services had emergency numbers, and only 3 had short-toll free ambulance access numbers. There were 9 different ambulance dispatch centers in the county. Five ambulance services did not have a dispatch Centre. Public members were the first to assist in in 79% emergencies. There was low public awareness on available pre-hospital emergency care services and tollfree lines for emergency services. Ambulances utilization was also low.

scholarly journals Community attitude towards Community Health Fund on Health Security in Kalambo District, Rukwa Region, Tanzania

2020 ◽  
Vol 10 (2) ◽  
pp. 311
Author(s):  
Alexander D. Kasonso ◽  
Emanuel E. Chingonikaya ◽  
Anna N. Sikira
Keyword(s):  
Community Health ◽  
Positive Attitude ◽  
Service Providers ◽  
Negative Attitude ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Cross Sectional ◽  
Health Security ◽  
Health Fund ◽  
The Government

Community Health Fund (CHF) is one among health insurance schemes found in Tanzania. It was established in 1996 with the aim of improving the health of people who work in informal sectors. However, since its formulation, it has not performed well; the majority of HHs are not members, and some members are withdrawing from the scheme. The overall objective was to assess the attitude of community members towards the importance of CHF for health security. Specifically, the paper assesses the attitude towards CHF interventions among members and non-members of CHF and compares the attitude between members and non-members of CHF on health security. Cross sectional research design was used in this study. Simple random sampling technique using the lottery method was employed to select 354 respondents. Data were collected using a household questionnaire survey, Focus Group Discussions guide, Key Informant Interviews checklist and documents’ reviews. Descriptive statistics, inferential statistics and content analysis were used to analyze the data. The findings show that CHF has inclusive benefits to its members as it covers costs of health treatment rather than paying money every time they attend medical treatments. Furthermore, the attitude towards CHF among members and non-members was accounted for 9.3% and 51.9 negative, 2.3% and 4.1 neutral and 88.4 and 44.0 positive. This indicates that the majority of people in the study area had a positive attitude towards CHF services. Thus, the study concludes that a great proportion of members of CHF in Kalambo District have positive attitude towards CHF intervention while the majority of non-members have negative attitude towards CHF intervention because they were not aware of it due to lack of knowledge. It is recommended that the government should mainstream CHF intervention to all communities so that non-members can join the scheme and hence get better health services.  Also, the study recommends that the CHF service providers should put more emphasis on sensitising communities against negative attitudes from non-members of CHF.

scholarly journals PENGARUH KEGIATAN POSYANDU AYAH TERHADAP PENCAPAIAN SKDN DI POSYANDU DESA PULO GEBANG DAN POSYANDU DESA GUBUS BANARAN WILAYAH KERJA PUSKESMAS TEMBELANG KABUPATEN JOMBANG

2020 ◽  
Vol 6 (1) ◽  
pp. 53-59
Author(s):  
Mudhawaroh Mudhawaroh ◽  
Septi Fitrah Ningtyas ◽  
Niken Grah Prihartanti
Keyword(s):  
Public Awareness ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Statistical Testing ◽  
Control Group ◽  
Case Group ◽  
Healthy Children ◽  
Cross Sectional ◽  
A Value

Introduction: Posyandu is one form of Community-Based Health Efforts (UKBM) which is managed and organized from, by, for, and together with the community in organizing health development, in order to empower the community and provide facilities to the public in obtaining basic health services to accelerate the decline in numbers maternal and infant deaths. In addition, posyandu is a form of community participation that truly carries enormous significance for the health and welfare of the community. Posyandu success can be seen from the achievement of SKDN. The purpose of this research is to analyze the influence of father's Posyandu activities on the achievement of SKDN. Method: This study used an observational analytic method with a cross sectional study design. The population in this study is the population in this study are all participants in Posyandu activities, the sampling technique used in this study is simple random sampling. A sample of 50 people in both groups. Data analysis was performed by univariate and bivariate, statistical testing using the Mann Whitney Test with a confidence level of 95% (α = 0.05). Results: Almost all toddlers in the father's posyandu group experienced an increase in July - September by 44 (88%) and in the control group the majority rose by 34 (68%). Respondent participation (D / S) with a value> 80% was found in the case group, while the increase in body weight in the last 3 months with a value> 80% was found in the case group. p <α, where the value is 0.047 <0, 05 so that it can be concluded that there is an influence of the father's Posyandu activity on the achievement of SKDN. Discussion: With the presence of the father's posyandu and toddlers' posyandu, it can increase public awareness about the importance of toddler health, by participating will also increase the child's weight. The simplest indicator in a posyandu is "Healthy children get older, gain weight" And this is also an icon of the existence of a posyandu (weighing post), as well as acting as an output for all activities at the posyandu.  Keywords: Father's Posyandu, SKDN Achievement, Toddler  

scholarly journals Compliance with Standard Precautions and Associated Factors among Healthcare Workers in Gondar University Comprehensive Specialized Hospital, Northwest Ethiopia

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Tariku Gebre Haile ◽  
Eshetu Haileselassie Engeda ◽  
Abdella Amano Abdo
Keyword(s):  
Healthcare Workers ◽  
Associated Factors ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Management Support ◽  
Standard Precautions ◽  
Cross Sectional ◽  
Specialized Hospital

Background. In many studies, compliance with standard precautions among healthcare workers was reported to be inadequate.Objective.The aim of this study was to assess compliance with standard precautions and associated factors among healthcare workers in northwest Ethiopia.Methods.An institution-based cross-sectional study was conducted from March 01 to April 30, 2014. Simple random sampling technique was used to select participants. Data were entered into Epi info 3.5.1 and were exported to SPSS version 20.0 for statistical analysis. Multivariate logistic regression analyses were computed and adjusted odds ratio with 95% confidence interval was calculated to identify associated factors.Results.The proportion of healthcare workers who always comply with standard precautions was found to be 12%. Being a female healthcare worker (AOR [95% CI] 2.18 [1.12–4.23]), higher infection risk perception (AOR [95% CI] 3.46 [1.67–7.18]), training on standard precautions (AOR [95% CI] 2.90 [1.20–7.02]), accessibility of personal protective equipment (AOR [95% CI] 2.87 [1.41–5.86]), and management support (AOR [95% CI] 2.23 [1.11–4.53]) were found to be statistically significant.Conclusion and Recommendation.Compliance with standard precautions among the healthcare workers is very low. Interventions which include training of healthcare workers on standard precautions and consistent management support are recommended.

scholarly journals Socioeconomic determinants of micro and small enterprise growth in North Wollo and Waghimira Zone selected towns

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Erstu Tarko Kassa
Keyword(s):  
Research Design ◽  
Binary Logistic Regression ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Small Enterprise ◽  
Binary Logistic Regression Analysis ◽  
Cross Sectional ◽  
Tax Rate ◽  
Socioeconomic Determinant ◽  
North Wollo

AbstractThis study aims to investigate the socioeconomic determinant factors that affect the growth of micro and small enterprises (MSEs) in North Wollo and Waghimira Zone selected towns. In this study, a cross-sectional research design with both descriptive and explanatory research design has been employed, and 303 owners of enterprises have participated. The towns were selected purposely, and the respondents were also selected by using a simple random sampling technique. The data were analyzed by using STATA v-14 and applied descriptive and binary logistic regression analysis (odds ratio). The finding of the study revealed that age of the owner, access to finance, family business background, and interest rate most likely affect the growth of the enterprises with the statistically significant level. On the contrary, entrepreneurship training, the experience of the owner, the inflation rate, and competition less likely affect the growth of the enterprises with a statistical significant level. The remaining factors such as gender of the owners, education background, business age, business type, business location, social responsibility, tax rate, and social attitude were not statistically significant to determine the growth of MSEs.

Faktor yang Mempengaruhi Perilaku Mahasiswi Kesehatan dalam Akses Informasi Hak Kesehatan Reproduksi pada Perempuan Disabilitas

2021 ◽  
Vol 7 (1) ◽  
pp. 95-105
Author(s):  
Santy Irene Putri
Keyword(s):  
Reproductive Health ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Female Students ◽  
Access To Information ◽  
Online Questionnaire ◽  
Study Program ◽  
Cross Sectional ◽  
Women With Disabilities ◽  
Health Rights

Background: The role of health students in providing information about reproductive health is very important, especially regarding reproductive health rights for women with disabilities. This is crucial to do because women with disabilities are very vulnerable to violence and discrimination, especially in terms of reproductive health. Objectives: This study aimed to analyze the influence of knowledge and intention toward behavior of female health students in accessing information on reproductive health rights for women with disabilities. Research Methods: This was a quantitative study with a cross-sectional design. This study was conducted at the Midwifery Study Program at Tribhuwana Tunggadewi University Malang in October 2020. The sample size was 50 subjects, selected by simple random sampling technique. The dependent variable is the behavior of health female students in accessing information. The independent variables were knowledge and intention in access to information. Data collection using an online questionnaire. The data analysis technique used multiple linear regression. Results: The behavior of health female students in access to information was influenced by knowledge (b= 0.36, CI 95% = 0.12 to 0.60, p= 0.005), and intention in access to information (b= 0.45, CI 95% = 0.10 to 0.80, p= 0.014). Conclusion: Participants with good knowledge and high intention in access to information affect behavior in accessing information.   Keywords:  health students; reproductive health rights; women with disabilities

HOLY QURAN RECITATION OF SURAH AL-MULK AND AL-HASYR ON DECREASING ANXIETY IN MEDICAL STUDENTS

2021 ◽  
Vol 2 (1) ◽  
pp. 7-14
Author(s):  
Kaima Ishmata ◽  
Indri Seta Septadina ◽  
Bintang Arryotantri
Keyword(s):  
Medical Students ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Complementary Therapy ◽  
Wilcoxon Test ◽  
Primary Data ◽  
Beck Anxiety Inventory ◽  
Cross Sectional ◽  
Before And After ◽  
Quasi Experimental

Anxiety is a feeling of discomfort, worry about something unclear and accompanied by autonomic symptoms. Murottal Al-Quran therapy is a complementary therapy with the most widely used Al-Qur'an media. This study aims to analyze the effect of the murottal Al-Qur'an Surah Al-Mulk and Al-Hasyr on the anxiety of medical students of Universitas Sriwijaya. This research is a quasi-experimental study with a cross-sectional approach with one group pre-post test design which was conducted from July to December 2020 at homes through Zoom meeting application. Sampling using simple random sampling technique. Data in the form of primary data using the Beck Anxiety Inventory (BAI) questionnaire.Primary data were collected using the Beck Anxiety Inventory (BAI) questionnaire before and after receiving the Murottal Al-Qur'an Surah Al-Mulk and Al-Hasyr for 7 consecutive days. The Shapiro-Wilk normality test was performed on the data, then analyzed with Paired t-test or Wilcoxon test using SPSS device. The Wilcoxon test results showed significant results of murottal Al-Qur'an Surah Al-Mulk and Al-Hasyr on anxiety (p = 0.000) in medical students. There is an effect of murottal Al-Qur’an surah Al-Mulk and Al-Hasyr on anxiety among medical students of Universitas Sriwijaya.

scholarly journals Health, Food Consumption, Social Economy, and Stunting Incidency in Timor Leste

2017 ◽  
Vol 13 (2) ◽  
Author(s):  
Cipriano Do Rosario Pacheco ◽  
Intje Picauly ◽  
Mindo Sinaga
Keyword(s):  
Infectious Disease ◽  
Multivariate Analysis ◽  
Social Economy ◽  
Health Sector ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Bivariate Analysis ◽  
Health Food ◽  
Cross Sectional ◽  
Timor Leste

Stunting can affect the health of toddlers. The prevalence of stunting in Timor Leste in 2014 is 50.2%, whereas in Aileu District is 52.3%. Stunting can interfere intellectual growth and development. The purpose of this study was to analyze the relationship between stunting determinants. The research design was cross sectional. The population of this study was toddlers 24-59 months old, with a sample size of 102 people. Sampling technique used was simple random sampling. Data were analyzed bivariately using simple linear regression, while multivariate analysis was performed using multiple logistic regressions. Bivariate analysis revealed variables that have significant relationship with stunting: immunization (p=0.026), infectious disease (p=0.049), income (p=0.003), total family member (p=0.045). Multivariate analysis obtained two variables as determinant factor of stunting: infectious disease (p=0.025; OR=0.355; 95% CI=0.144-0.877), income (p=0.028; OR=0.332; 95% CI=0.124-0.887). The incidence of stunting in toddlers in Aileu District is very serious (54.9%). Toddlers with stunting demonstrated the adverse effects of stunting on growth, development, and the quality of human resources. Stunting is not only a health sector issue. It is necessary to have appropriate interventions with early and liable management through various related sectors.

scholarly journals Organizational Commitment Can Improve Compliance of Blood Transfusion Procedure

2016 ◽  
Vol 5 (2) ◽  
pp. 183
Author(s):  
Edi Murwani ◽  
Stefanus Supriyanto ◽  
Suharto Suharto
Keyword(s):  
Organizational Commitment ◽  
Blood Transfusion ◽  
Structural Equation ◽  
Descriptive Analysis ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Equation Modeling ◽  
Cross Sectional ◽  
Improve Compliance ◽  
Nurses And Midwives

The purpose of this research was to improve compliance of nurses and midwives on blood transfusion procedures through increased organizational commitment. The study used observational analytic with cross sectional approach. 156 nurses and midwives who meet the inclusion and exclusion criteria agreed to participates respondents and 46 observers agrees involved in the collection of data through informed consent. The sampling technique was simple random sampling. Data instrument collectors in the form of checklists and questionnaires. Analysis of the data used in the form of descriptive analysis, correlation, and Structural Equation Modeling (SEM). Based on the findings of a new model, a model compliance nurses and midwives on blood transfusion procedures, organizational commitment can improve compliance procedure of blood transfusion if affective commitment and normative commitment improved.

scholarly journals DUKUNGAN KELUARGA MEMPENGARUHI KEMAMPUAN ADAPTASI (PENERAPAN MODEL ADAPTASI ROY) PADA PASIEN KANKER DI YAYASAN KANKER INDONESIA CABANG JAWA TIMUR

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
R. Khairiyatul Afiyah
Keyword(s):  
Family Support ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Cross Sectional ◽  
Whitney Test ◽  
Patients With Cancer ◽  
Mann Whitney Test ◽  
Independent Variable ◽  
Cross Sectional Design ◽  
Level Of Significance

Most patients with Cancer cannot adapt to their disease because they assume that it is a deadly disease. The purpose of this study was to find out the correlation between family support and adaptability of patients suffered from Cancer found at Yayasan Kanker Indonesia (Indonesian Cancer Foundation) located in East Java. This analytic study using cross sectional design involved the population of all people with Cancer found at Yayasan Kanker Indonesia located in East Java, totaling 30 patients. The samples of 27 patents were collected using simple random sampling technique. The independent variable was family support, whereas the dependent variable was adaptability. Questionnaires were used to collect the data analyzed using Mann-Whitney test with the level of significance α = 0.05. The result of study showed that most of the patients (70.4%) received good family support, whereas most of them (63.0%) had ability to adapt to their disease. Moreover, the result of Mann-Whitney test showed that p = 0.001 and the level of significance α = 0.05 so that H1 was accepted because p < 0.05. It showed that there was a correlation between family support and adaptability of patients suffered from Cancer found at Yayasan Kanker Indonesia located in East Java.The more family support, the more adaptive the patients with Cancer adapt to their disease. Hence, nurses are expected to give health education about the importance of family support to the family of patients with Cancer.

scholarly journals Correlation between Demographic Status and Nutritional Status against the Occurrence of Anemia toward Female Students in SMP Negeri 3 Kediri

2020 ◽  
Vol 9 (1) ◽  
pp. 111-118
Author(s):  
Lumastari Ajeng Wijayanti ◽  
Eny Sendra ◽  
Ratih Novitasari ◽  
Tanti Dwi Pujaningsih
Keyword(s):  
Nutritional Status ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
P Value ◽  
Cross Sectional ◽  
Exact Test ◽  
Fisher's Exact Test ◽  
Fisher’S Exact Test ◽  
Kolmogorov Smirnov ◽  
Smirnov Test

This research used cross sectional design. The population was 194 respondents and the sample was 54 respondents which are taken by using simple random sampling technique. Independent variable in this research was demographic status that was measured by questionnaire and nutritional status that was measured based on Body Mass Index (BMI). Meanwhile, dependent variable in this research was the occurrence of anemia that was measured by using spectrophotometry. Data analysis used Fisher's Exact test and Two-Sample Kolmogorov-Smirnov test (α = 0,05). Result of Fisher's Exact test was obtained that p value = 1,000 > 0,05, which meant that there was no significant correlation between demographic status and the occurrence of anemia. Meanwhile, result of Two-Sample Kolmogorov-Smirnov test was obtained that p value = 0,017 < 0,05, which meant that there was a significant correlation between nutritional status and the occurrence of anemia.

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