scholarly journals Occupational exposures and utilisation of HIV postexposure prophylaxis amongst health workers of three hospitals in Tanzania’s Lake Zone

2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Rogatus Kabyemera ◽  
Albino Kalolo ◽  
Geethika Fernando ◽  
Susan Bergson

Occupational exposures predispose health workers (HWs) to a risk of HIV infection. When properly used, HIV Post Exposure Prophylaxis (PEP) can significantly reduce this risk. Th purpose of this study was to determine the extent and types of occupational exposures, availability of PEP guidelines, and utilisation of PEP amongst HWs. A cross-sectional mixed methods baseline study was conducted between March and May 2014 using a structured questionnaire administered to 236 HWs from Shinyanga, Sengerema and Musoma hospitals in Tanzania. Relationships between variables were determined using the chi-square test. Qualitative data was gathered during interviews with key informants and walkthrough observations in the hospital wards, and analysed using the framework method. Majority of respondents were nurses (53%), over 40 years old (61%) with more than 20 years (40%) of hospital experience. Needle stick and sharp injuries were experienced by 31% of respondents whilst 26% experienced splashes. Only 28% of splashes were reported compared to 80% and 68% of needle sticks and sharp injuries, respectively. Those who experienced needle sticks were more likely to report the incident (p < 0.001), receive testing (p < 0.003) or PEP (p = 0.005). Although 66% reported the availability of PEP guidelines, only 39% of exposed HWs received PEP. Occupational exposures are common in these hospitals. HWs under-report and suboptimally use PEP services. Health worker safety programmes should establish functional systems for reporting and adherence to PEP procedures. Future research should establish factors that determine compliance with PEP procedures.

2021 ◽  
pp. 205343452110616
Author(s):  
Budi Yanti ◽  
Nurdarlila Armita ◽  
Iskandar Zakaria

Introduction Health workers are at high risk of contracting the disease because they are at the forefront of assisting COVID19 patients. Globally, Indonesia has the worst death toll of health workers. Many previous studies have shown the differences in knowledge, attitudes, and behavior of health workers in handling with the COVID19 pandemic. This study aims to asses the role of knowledge, attitudes, and health workers' preparedness during the COVID-19 pandemic in Aceh Pidie Jaya District. Methods A cross-sectional study and the data were collected by distributing online questionnaires about knowledge, attitudes, behavior, and preparedness related to the COVID-19 at 12 Pidie Jaya District health centers. The knowledge, behavior, and preparedness parameters used Guttman and Likert scales to measure the workers' attitudes. Chi-square test was used to evaluate the relationship between knowledge, attitudes, behavior, and preparedness. Results In this study, 377 health workers were selected, the majority of respondents' education level was diploma, level 3 (257, 76.3%), and one-third of the respondents did not attend training. There are 197 (58.5%) respondents who had good knowledge, 177 (52.5%) positive attitudes, 283 (84%) good behavior, and 173 (51, 3%) well prepared. Furthermore, good knowledge, positive attitude, and good behavior had a significant correlation statistically with well prepared during the pandemic (p < 0.05). Discussion Most of the health workers in Aceh Pidie Jaya have good knowledge, positive attitudes, and good behavior that create adequate preparedness. Even though training is still very limited, educational attainment would remain the cornerstone for preparedness to encounter COVID-19.


2022 ◽  
Vol 7 (2) ◽  
pp. 150-160
Author(s):  
Putri Rahmadani ◽  
Besral Besral ◽  
Masrizal Masrizal

Background: The measles rubella (MR) immunization coverage rate in Padang City is only 30.82%, still far below Indonesia's national target of 95%. The coverage of measles rubella immunization at the Rawang Health Center is around 62.1%. This study aims to determine the role of health workers in the success of measles rubella immunization in the Rawang Public Health Center, Padang City. Methods: This study used a cross sectional design. The study was conducted in October 2018-July 2019. The research population is mothers who have children aged 12-59 months (toddlers) as many as 1807 respondents. The sampling method is proportional random sampling with a sample of 87 respondent. Data was collected by interview using a questionnaire. Results: The results showed that 37.9% of children under five had not been immunized against measles rubella and 44.8% of health workers had an unfavorable role. The results of the chi-square test showed a significant relationship  between  the role of officers in  the success of measles rubella immunization  (p-value=0.020). Recommendation: It is hoped that health workers can increase health promotion activities regarding the risks due to children not being immunized against measles rubella and intensify door-to-door programs in the implementation of measles rubella immunization


2021 ◽  
Vol 10 (1) ◽  
pp. 108-115
Author(s):  
Yurike Septianingrum ◽  
Andikawati Fitriasari ◽  
Erika Martining Wardani

Background: During the Covid-19 outbreak, health workers, especially nurses, are vulnerable to potential psychological symptoms such as anxiety, which can prevent nurses from carrying out their role as caregivers in health services (Lai et al., 2020; Shanafelt et al., 2020). Objectives: The purpose of this study is to analyze the factors that can influence the anxiety of nurses in playing the role of caregiver during the Covid-19 pandemic. Methods: This is a cross-sectional study with a population of all nurses who met the inclusion criteria as much as 105 nurses. The research sample was selected through stratified random sampling and obtained 84 nurses. This research was conducted at RSI Jemursari Surabaya from June until September 2020. The research instruments used in this study were the demographic observation sheet, knowledge questionnaire, and the Hamilton Anxiety Rank Scale (HARS). Data analysis used Pearson chi-square test and multivariate logistic regression. Results: The results of the Pearson Chi-square test showed that of all the factors studied, only age (p = 0.004), availability of personal protective equipment (p = 0.002), and knowledge (p = 0.017) influenced nurses' anxiety. The results of the analysis using multivariate logistic regression test showed that the factor that most influenced nurses' anxiety was the availability of personal protective equipment (p = 0.001; OR = -3.062). Conclusion: Younger nurses, inadequate personal protective equipment, and less knowledgeable nurses were at high risk for more severe anxiety. Regular observation of the psychological condition of nurses and the fulfillment of the need for personal protective equipment is needed to prevent increased anxiety in nurses.   Keywords: Nurse, anxiety, Covid-19, caregiver.


2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Yuan Qu ◽  
Jianfeng Yu ◽  
Wei Xia ◽  
Huijuan Cai

Purpose. To analyse the correlation of myopia with physical exercise and sleep habits to explore the possible risk or protective factors of juvenile myopia. Methods. This study was a retrospective cross-sectional study. A total of 1831 students aged 11–18 years from five schools in Qingpu completed questionnaires from 2018 to 2019; the students were divided into the nonmyopia group and the myopia group, with students in the myopia group having myopia in at least one eye. Based on the chi-square test, the variables with statistical significance were selected for the logistic regression analysis. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were determined. Results. Myopia was positively associated with older age (OR = 2.216, 95% CI: 1.720–2.855), having a parent with myopia (father: OR = 2.463, 95% CI: 1.900–3.193; mother: OR = 2.853, 95% CI: 2.232–3.646), and a late bedtime during holidays (before 10 pm: p = 0.002; 10 pm-11 pm: OR = 1.516, 95% CI: 1.095–2.100; 11 pm-12 am: OR = 1.966, 95% CI: 1.383–2.795), but negatively correlated with male gender (OR = 0.693, 95% CI: 0.549–0.876), a late daily wake time (OR = 0.782, 95% CI: 0.621–0.985), and having more days per week of outdoor activities during the semester (OR = 0.764, 95% CI: 0.597–0.978). After adjustment for demographic characteristics, myopia was positively associated with a late bedtime during holidays (before 10 pm: p = 0.003; 10 pm-11 pm: OR = 1.570, 95% CI: 1.076–2.289; 11 pm-12 am: OR = 2.173, 95% CI: 1.451–3.253; after 12 am: OR = 1.786, 95% CI: 1.093–2.919), but negatively correlated with a late daily wake time during the semester (OR = 0.761, 95% CI: 0.581–0.997). Conclusion. The association of outdoor exercise with myopia among Chinese suburban adolescents does not seem to be as strong as that of sleep habits. Future research could seek to provide consistent evidence for a potential association between myopia and sleep habits.


2021 ◽  
Vol 8 (2) ◽  
pp. 108
Author(s):  
Muslim Muslim ◽  
Herlina A.N Nasution

Virus corona merupakan virus berbahaya yang menyerang saluran pernapasan dan menyebabkan demam tinggi, batuk, flu, sesak napas serta nyeri tenggorokan. Cara yang dapat dilakukan untuk mencegah tertularnya Covid-19 yaitu menjalankan protokol kesehatan. Di Kabupaten Aceh Utara masih banyak masyarakat tidak patuh untuk menjalankan protokol kesehatan tersebut. Hal tersebut dikarenakan banyak masyarakat belum begitu mempercayai penyakit Covid-19. Penelitian ini bertujuan mengidentifikasi pengaruh tingkat kepercayaan masyarakat tentang Covid-19 terhadap kepatuhan menjalankan protokol kesehatan pada masa pandemi Covid-19. Jenis penelitian ini yaitu quantitative dengan desain korelasi analitik dengan cross sectional. Pengambilan sampel dengan teknik convenience sampling dengan jumlah 175 responden. Analisis data secara  uji Chi-Square. Hasil penelitian menunjukkan sebanyak 67,4% responden memiliki tingkat kepercayaan dalam kategori tidak percaya dan sebanyak 82,9% responden tidak patuh dalam menjalankan protokol kesehatan. Ada pengaruh tingkat kepercayaan masyarakat tentang Covid-19 terhadap kepatuhan menjalankan protokol kesehatan pada masa pandemi Covid-19 masyarakat di Desa Lueng Bata Kecamatan Baktiya Kabupaten Aceh Utara (p=0,000). Diharapkan kepada petugas kesehatan terutama perawat lebih optimal dalam memberikan pendidikan kesehatan untuk meningkatkan kepercayaan masyarakat tentang Covid-19 sehingga masyarakat patuh dalam menjalankan protokol kesehatan. Kata kunci: covid-19; kepatuhan; protokol kesehatan; tingkat kepercayaanThe Effect Of  Community Trust Regarding Covid-19 On The Compliance Of Health Protocol Implementation During Covid-19 PandemicsAbstractCorona virus is a dangerous virus that attacks the respiratory tract and causes high fever, cough, flu, shortness of breath and sore throat. One way to prevent the spread of COVID-19 is to follow health protocols. In North Aceh District, there are still many people who do not comply with the health protocol. This is because many people do not really believe in the Covid-19 disease. This study was aimed to identify the effect of the level of public trust about Covid-19 on compliance with health protocols during the Covid-19 pandemic. This type of research was quantitative analytical correlation design with cross sectional. Sampling technique used convenience sampling technique with a total of 175 respondents. Data analysis used Chi-Square test. The results showed that 67.4% of respondents had a level of trust in the distrust category and as many as 82.9% of respondents did not comply with health protocols. There is an influence on the level of public trust about Covid-19 on compliance with health protocols during the Covid-19 pandemic in Lueng Bata Village, Baktiya District, North Aceh Regency (p = 0.000). It is hoped that health workers, especially nurses, are more optimal in providing health education to increase public trust about Covid-19 so that people obey in carrying out health protocols. Keywords: covid-19; obedience; health protocols; level of confidence 


2018 ◽  
Vol 5 (2) ◽  
pp. 46-50
Author(s):  
Catur Wulan ◽  
Wulan Ayu Fitria

Consumption of iron tablet 1 tablet per day during pregnancy can cause constipation. Based on the results of preliminary study in the Bandar Village, Pacitan through interviews with 14 pregnant women there were 12 pregnant women who consumed iron tablet regularly and 8 pregnant women complain of difficulty to defecate while not experiencing constipation 4 pregnant women. From two pregnant women who did not consume fe tablets they didn’t get constipation. The purpose of this study was to determine the relationship consuming Fe tablet with constipation in pregnant women. This type of research is quantitative with cross sectional design conducted in March 2016. The population of all pregnant women in Bandar Village Bandar Subdistrict District of Pacitan as many as 33 pregnant women. The respondents ware all pregnant women in the Bandar Village Bandar district Pacitan. Using total sampling technique, the research was conducted on March 1 until March 30, 2016. The variable in this study is the fe tablet intake and incidence of constipation. The research instrument used was observation about fe tablet consumption and interviewing about incidence of constipation. The data were tabulated and analyzed using a statistical test Chi Square test determined significant with p> 0.05. From the results showed that majority of 19 pregnant women (57.5%) consume iron tablet regularly, and majority of 18 pregnant women (54.5%) got constipation. There was a relationship consuming Fe tablet constipation with in pregnant women in the Bandar Village district ofPacitan. Evidenced by the significant level of 0.000> 0.05 so that Ho refused. Based on the results of the study, the researcher suggested to health workers to provide counseling to pregnant women about how to consume tablets fe correetly and balanced with foods contaiming high in fiber.


2019 ◽  
Vol 1 (3) ◽  
Author(s):  
Florani Asanab ◽  
Ribka Limbu ◽  
Enjelita M. Ndoen

Mothers’ regularity of weighing their children aged <5 yo at Posyandu is crucial to monitor the growth, nutritional status, and health of the children. Several factors could affect mothers’ regularity in weighing their children at Posyandu. This study aimed to identify factors affecting mothers to regularly measure the weight of their children <5 yo at Posyandu in Toobaun Village Kupang District. The study used an analytical survey with a cross-sectional study design. The sample was 57 mothers who had under-five children obtained by simple random sampling technique. Data were collected through interviews using questionnaires and analyzed using the chi-square test. The result showed that knowledge (p= 0,002) and distance home-posyandu (p=0,000) associated with mothers’ regularity of weighing their under-five children, while mother’s occupation had no association with mothers’ regularity of weighing their children( p=0,091). Health workers should encourage mothers to measure regularly the weight of their under-five children at Posyandu.


Author(s):  
Kurnia Indriyanti Purnama Sari ◽  
Yufi Aris Lestari ◽  
Titiek Titiek Idayanti ◽  
Widya Widya Anggraeni ◽  
Siti Siti Muthoharoh ◽  
...  

Papsmear test is a means of detecting cervix cancer early that can detect the abnormal change of cervical cells. Papsmear test is actually highly recommended to every woman who has had sexual relation, but in reality many Indonesian women have not undertaken this test. Thus, majority patients come to undertake examination after they develop advanced-stage cervical cancer. This research aimed to find out the relationship between the > 25 year old women’s knowledge on cervical cancer and Papsmear test-undertaking behavior in Obgyn Polyclinic of Bangil Local Hospital of Pasuruan. The research design employed in this study was an analytical design with cross sectional approach. The population of research was all of > 25 year old women in Obgyn Polyclinic of Bangil Local Hospital of Pasuruan, while the sample consisted of 186 respondents, taken using accidental sampling. Data of knowledge was collected using close-ended questionnaire, while that of behavior was collected using observation sheet. Then the data passed through editing, coding, scoring, and tabulating processes and was tested using chi square test. The data was displayed in pie chart form. The result of research showed that 43 (23%) respondents had good knowledge, 40 (22) had adequate knowledge, and 103 (55%) had poor knowledge. In addition, 32 (17%) respondents behaved appropriately and 154 (83%) did so inappropriately.  The result of chi square test showed significance value 0.000 < α = 0.05, indicating that H0 was not supported and H1 was supported. The conclusion of research stated that there was a relationship between the > 25 year old women’s knowledge on cervical cancer and Papsmear test-undertaking behavior in Obgyn Polyclinic of Bangil Local Hospital of Pasuruan. Thus, the author expected government, private, and health workers to provide much more information in many accessible media and to motivate the people to undertake Papsmear test.


2019 ◽  
Vol 6 (01) ◽  
pp. 33-43
Author(s):  
Dudi Ahmad M ◽  
Sri Mulyanti ◽  
Neni Nuraeni

Human Immunodeficiency Virus (HIV) is a condition where a person does not have immunity. The disease can be transmitted from pregnant women to the child they are carrying, in an effort to detect early HIV, VCT needs to be done. Karanganyar Community Health Center data in 2017 VCT service coverage for pregnant women in 2017 was less than 26.7%. This study aims to determine the factors associated with the use of VCT in pregnant women. This type of research is quantitative by using descriptive correlation method and cross sectional approach. The population is 70 pregnant women who were obtained by purposive sampling technique. Data obtained by closed questionnaire and data analyzed using frequency distribution and chi square test. The results showed knowledge about VCT examination included less (52.9%), attitudes included negative (55.7%), secondary education (52.9%), most did not work (67.1%), more than half received less support from their husbands (57.1%), and most did not utilize VCT services (72.9%). Factors related to the use of VCT are knowledge (p value 0,000), attitude (p value 0,000), education (p value 0,000) and husband's support (p value 0,000), unrelated factors are work (p value 0.196). The conclusion from this study factors related to the use of VCT are knowledge, attitudes, education and husband's support. Therefore, it is better for health workers, especially nurses, to provide nursing services to pregnant women, especially the use of VCT services as an effort in early detection of HIV in pregnant women. Keywords: Factors, Utilization of VCT Services


2016 ◽  
Vol 4 (1) ◽  
pp. 13
Author(s):  
Kiki Agustin Fatmala

Leprosy elimination in several areas in Indonesia still late. It caused by knowledge, social and economic factor of Multi Drug Therapy (MDT) treatment. Leprosy treatment is very important to eliminate cases of leprosy because leprosy can be cured by taking medication regularly. If patient of leprosy take medication irregularly, leprosy bacteria can become resistant, so the symptoms will be persisted and even worse. This study was aimed to analyze the factors related with compliance of taking medicine by patient of leprosy in Disctrict Pragaan Sumenep. This study used cross sectional approach. The number of sample in this study were 40 patients who were taken with simple random sampling. Chi-square test in Statcalc of epi-info was used to know the relation between independent variables and dependent variable with (α = 0,05). Based on study result, there was asscociation between knowledge about leprosy with compliance of taking medicineby patient of leprosy (p = 0,012)). There was association between family support with compliance of taking medicineby patient of leprosy (p = 0,003).There was association between stigma with compliance of taking medicineby patient of leprosy (p = 0,000). There was association between the role of health workers with compliance of taking medicineby patient of leprosy (p = 0,014). There was asscociation between availabiliy of MDT with compliance of taking medicineby patient of leprosy (p = 0,006). The conclusion of this study was knowledge about leprosy, family support, stigma, availability of MDT were factors that related with compliance of taking medicineby patient of leprosy. Effective socialization will give patient motivations to be obedient of taking medicine. Keywords: compliance, leprosy, multi drug therapy.


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