scholarly journals Anemia and its determinants among women of reproductive age of a slum in Kolkata: A focus group discussion among health workers in a slum of Kolkata

2016 ◽  
Vol 5 (2) ◽  
pp. 276
Author(s):  
Kaushik Sarkar ◽  
Aparajita Dasgupta ◽  
Ranadip Chowdhury ◽  
Arindam Ray ◽  
Bhaskar Shahbabu
2019 ◽  
Author(s):  
Abdinasir Abdullahi Jama ◽  
Ayodele O Arowojolu ◽  
IkeOluwapo O Ajay

Abstract Background: Homebirth (home delivery) is a birth that takes place in a residence rather than in a hospital or a birth center. Aims: The aim of the study is to determine factors influencing obstetric home delivery and the outcomes among women of reproductive age in Dusmareb district, Somalia. Methods: The study was used a descriptive cross-sectional study in Dusamreb district of Somalia with both qualitative and quantitative techniques of data collections and random technique was used to select 228 women of reproductive age. Well-structured questionnaires were administered by the interviewer to participants who gave their consent and also two focus group discussion sessions were conducted with discussion guides. Data were analysed using the Statistical Package for Social Sciences version 20.0. Descriptive , and Inferential statistics were used to test association, with the level of significance set at 5%. Results: The findings of this study show that 41% have had at least one child delivery at home. The mean age of the respondents was 32.9 ± 8.1 years; 15(6.6%) had tertiary education and Women with 4 – 6 children were four times more likely to have a home delivery (OR = 3.65, p = 0.002), Women with employment were 59% less likely to have a home delivery (OR = 0.41, p = 0.009); the study also found as outcome of home delivery that 22% of the women reported their baby was not okay and have taken to hospital, while 41(73.2%) reported the child died within 28 days following delivery while 24 (42.8%), women experienced prolonged labour during their last delivery at home.in the focus group discussion the women reported that there is poor communication relationship between the mothers and health staff. Conclusion: the study is highly recommended the government to create employment for the women,also the hospital directors were recommended to monitor the relationship between the care giver and the pregnant mother.


Author(s):  
Siti Nurunniyah ◽  
Detty Siti Nurdiati ◽  
Madarina Julia ◽  
Hamam Hadi

Background: Healthy preconception is very essential to prepare for pregnancy, childbirth, and healthy babies. However, many women still lack of knowledge on having healthy preconceptions. Effective education requires relevant and standardized material and educational media. The objective of this study aimed to explain the process of developing a preconception education booklet.Methods: We have developed a preconception education booklet. The method to develop this booklet involved five main stages: literature review, interviews with preconception women and health care workers in primary health care, focus group discussions with the lecturer of midwifery, nutrition, and health promotion, expert review, and measure response test from women of reproductive age.Results: Our literature review has come out with a summary of the preconception educational materials consist of 15 topics that have been present. By using In-depth interviews, we observed and then developed materials that were required by women of reproductive age and health workers and they consisted of 10 topics. Our Focus Group Discussion has come out with the need to grouping the materials into 4 groups (pillars). We then validated our booklet material by using Expert review. Finally, our response test showed that 96% of respondents agree that booklet material is easy to understand, 90% of respondents agree that booklets are interesting to read, 93% of respondents agree that booklet material is relevant to their condition, 90% of respondents agree that the material in the booklet is the material it needs, 86% of respondents agree that the material in this booklet can help with their health problems, 80% of respondents agree that the choice of words in the booklet is easy to understand, 90% of respondents agree that the cover of the booklet is very interesting, 100 respondents agree that the font of the letters in the booklet is easy to read, 80% of respondents agreed that the illustrations relevant with the materials. Booklets were positively appreciated by 87% (26 out of 30 respondents) of reproductive-age women.Conclusions: Our preconception booklet can be used by health care workers to provide pregnancy preparation counselling for women of reproductive age.


2019 ◽  
Vol 21 (4) ◽  
Author(s):  
Hario Megatsari ◽  
Agung Dwi Laksono ◽  
Ilham Akhsanu Ridlo ◽  
Mohammad Yoto ◽  
Arsya Nur Azizah

Access to health services is often seen only from the provider perspective, while from the community side as a user is less noticed. Improving the quality of health services access requires a complete perspective on two diff erent sides. This research is designed descriptively qualitative. Data were collected by Focus Group Discussion (FGD), in-depth interview and observation. The research was conducted in Malang Regency in June-August 2018. The study results showed health services access generally the community believes that there are still perceived defi ciencies. Especially on the aspect of physical access, due to poor facilities and infrastructure. In addition, social access was also considered inadequate, because there were still health workers who served with less friendly. This study concludes that people still feel access to physical and social aspects is still diffi cult. It should be recommended to the local government for eff orts to improve physical access, and the Health Offi ce to disseminate health information about the rights of patients to the community. Abstrak Akses pelayanan kesehatan seringkali dilihat hanya dari perspektif pemberi pelayanan saja, sementara akses dari sisi masyarakat sebagai pengguna kurang terperhatikan. Perbaikan kualitas pelayanan kesehatan dari sisi akses memerlukan perspektif yang lengkap dari dua sisi yang berbeda. Penelitian ini didesain secara deskriptif kualitatif. Data dikumpulkan dengan Focus Group Discussion (FGD), wawancara mendalam dan pengamatan. Penelitian dilakukan di Kabupaten Malang pada bulan Juni–Agustus 2018. Hasil penelitian menunjukkan aksesibilitas pelayanan kesehatan yang ada, secara umum masyarakat berpendapat bahwa masih ada kekurangan yang dirasakan. Terutama pada aspek akses secara fisik, dikarenakan sarana dan prasarana yang kurang baik. Selain itu akses secara sosial juga dirasa kurang, karena masih ada tenaga kesehatan yang melayani dengan kurang ramah. Penelitian ini menyimpulkan bahwa masyarakat masih merasa akses dari aspek fisik dan sosial masih sulit. Perlu direkomendasikan pada pemerintah daerah setempat untuk upayaperbaikan akses secara fi sik, dan Dinkes untuk mendiseminasikan informasi kesehatan mengenai hak pasien kepada masyarakat.


2019 ◽  
Vol 16 (2) ◽  
pp. 49-57
Author(s):  
Ikhwan Yuda Kusuma ◽  
Doni Anshar Nuari ◽  
Kusnandar Anggadiredja

The drop out rate of contraceptive use in Indonesia until 2016 still high at 25.7% of the government's target of 24%, this the optimization of the performance of health personnel should be improved, especially regarding health personnel knowledge about the use of oral and contraceptives which is the largest user in the city of Bandung. One of the efforts to improve the quality of family planning programs, through increasing the competence of health workers called Interprofessional Education (IPE). The purpose of this study was to identify the level of knowledge of health personnel at the health center regarding oral and injection contraceptives between professions with IPE in Bandung. This research used an experimental method with the type of group pre-posttest design. Data were analyzed using the Wilcoxon rank test from a questionnaire on health personnel's knowledge about oral and injection contraceptives on IPE before, and after Focus Group Discussion (FGD). The results showed there was an increase in the level of knowledge in 152 health personnel, a decrease in the level of knowledge in 5 health personnel, and no change in the four health personnel. Focus Group Discussion (FGD) through Interprofessional Education (IPE) was proven to significantly increase knowledge about oral contraceptives and injections on health personnel at the Health Center.


2019 ◽  
Vol 13 (3) ◽  
pp. 225-232
Author(s):  
Octa Reni Setiawati ◽  
Nurseha Nurseha ◽  
Teguh Pribadi

Psychoeducation for anxiety in parent: Impact of family member with thalassemia major undergoing treatment in Lampung-IndonesiaBackground: There were 120 and 158 thalassemia patients hospitalized at Dr. Abdul Moeloek General Hospital in Bandar Lampung City in 2016 and 2018 respectively. Major thalassemia is a genetically hereditary disease which is suffered for a lifetime and non-healable. This condition can cause psychosocial effect on parents of thalassemia patients. The anxiety among the parents is mainly caused by the continuous medication and care for lifetime.Purpose: The objective of this study was to examine the effect of psycho-education (FGD  Audiovisual) towards the anxiety on parents of thalassemia patients.Methods:This was a quantitative study with quasi experiment method. The design was non-equivalent control group. The samples were 60 people.Results: The univariate analysis was conducted on the frequency distribution while the bivariate analysis was through t-test dependent. At last, the multivariate was analyszed with Anova Post-hoc. The result indicated that there were significant relations among Focus Group Discussion (FGD) (p = 0.000), audiovisual (p = 0.001), control group (p = 0.530). The multivariate revealed that the FGD intervention had bigger influence on reducing anxiety among parents of major thalassemia patients than the audiovisual. In order to reduce anxiety among parents of thalassemia patients, the health workers should expose them with FGD (Forum Group Discussion) psycho-education.Keywords:  Psycho-education; Audiovisual; AnxietyPendahuluan: Jumlah penderita di Bandar Lampung yang mendapat perawatan di RSUD Dr.H.Abdul Moeloek tahun 2016 berjumlah 120 orang dan tahun 2018 berjumlah 158 orang. Thalasemia mayor adalah penyakit genetik yang diderita seumur hidup, tidak bisa sembuh, hal ini akan menimbulkan dampak psikososial bagi orang tua penderita thalasemia karena pengobatan dan perawatan yang terus menerus dan seumur hidup, salah satu dampak psikososial adalah kecemasan maka diperlukan salah satu pelayanan kesehatan yang ada dalam Pyramid of Family Care yaitu Psikoedukasi.Tujuan:  Penelitian untuk mengetahui pengaruh psikoedukasi (FGD, Audiovisual) terhadap kecemasan orangtua pasien thalasemia.Metode: Jenis penelitian kuantitatif dengan desain  eksperimen semu (quasi eksperiment), rancangan penelitian yang digunakan adalah Non equivalent control group desaign. Sampel dalam penelitian ini berjumlah 60 orang. Analisis data univariate dengan distribusi frekuensi, bivariat dengan uji t-test dependent dan analisis lanjutan dengan  Anova post-hoc. Hasil: Diketahui bahwa terdapat hubungan signifikan antara Focus Group Discussion (FGD) (p=0,000), Audiovisual  (p=0,001), Kelompok kontrol (p=0,530). Hasil analisis multivariat menunjukkan intervensi FGD yang lebih besar pengaruhnya dalam  menurunkan kecemasan orang tua pasien thalasemia mayor dibandingkan dengan audiovisual. Untuk menurunkan kecemasan orangtua pasien thalasemia untuk meberikan psikoedukasi dengan intervensi Focus Group Discussion (FGD).


2021 ◽  
Vol 4 (2) ◽  
pp. 26-37
Author(s):  
Elendu C.O. ◽  
Chigbu L.N. ◽  
Daniel M.G. ◽  
Uzochukwu G.E. ◽  
Onuigbo C.M.

Introduction: Diabetes is a chronic condition that can affect the entire body. There is no doubt that the prevalence of diabetes mellitus has been increasing worldwide. This study investigated the knowledge and attitude on diabetes mellitus (DM) among residents of Jos metropolis, Plateau State, Nigeria. Five research objectives were outlined to identify the causes of DM in Jos metropolis, to examine the effects of diabetes mellitus in Jos, to interrogate the level of knowledge of diabetes in Jos, and proffer recommendation and suggestions on how the challenges of diabetes can be addressed. Methodology: Data were collected both qualitatively and quantitatively using questionnaire, and Focus Group Discussion (FGD). 420 respondents were sampled using multi stage and simple random sampling technique, the data analyzed was based on 393 questionnaires retrieved from the field and presented according to the study objectives. The key informants were purposely selected for the Focus Group Discussion. An FGD guide was used for the research. Results: 94.8% of the respondents agreed that they were knowledgeable of diabetes mellitus and have ideas of the possible causes of diabetes. Majority of the respondents (60.7%) agreed that diabetes is a genetic disease, some indicated that it is a nutritional disease. 247 (62.8%) indicated that people between the ages of forty to sixty years are more likely to contract diabetes, 28 (7.1%) of the respondents indicated that aged people of seventy years and above are more likely to be diabetic. While 89 (22.6%) of the respondents indicated that people of all age categories can suffer diabetes mellitus. Conclusion: Factors militating against the effective treatment of diabetes in Jos metropolis are stigmatization of diabetic patients, poor access to healthcare facilities and low level of awareness by residents on DM. The study established that when people are knowledgeable of the causes, effects and remedy of diabetes mellitus, the rate of the disease will be reduced to the lowest minimum. The study recommends that there should be awareness among the health workers and training health professionals on nutrition and diabetes as may enhance quality healthcare delivery in the nearest future.


Inovasi ◽  
2018 ◽  
Vol 15 (2) ◽  
pp. 153-162 ◽  
Author(s):  
Wanda Kuswanda

Salah satu habitat gajah yang masih tersisa adalah Kawasan Taman Nasional Gunung Leuser (TNGL), terutama di wilayah Besitang. Penelitian ini bertujuan mengidentifikasi karakteristik sosial ekonomi, kepemilikan lahan, pemetaan wilayah dan mitigasi konflik manusia dengan gajah di Resort Besitang, TNGL. Metode pengumpulan data dilakukan dengan penyebaran kuesioner, wawancara dan Focus Group Discussion (FGD). Analisis data menggunakan tabel frekuensi dan analisa deskriptif. Hasil penelitian menunjukkan bahwa wilayah yang memiliki potensi konflik gajah di Resort Besitang adalah Daerah Halaban, Aras Senapal, Sekundur, Bukit Selamat dan Bukit Mas dengan intensitas konflik rendah sampai tinggi. Penyebab utama konflik manusia dengan gajah adalah fragmentasi kawasan hutan,  ketidakpastian status lahan di daerah penyangga, pertumbuhan penduduk yang tinggi dan meningkatnya pendatang di wilayah Besitang, perambahan dan ilegal logging yang terus terjadi, minimnya kesadaran masyarakat dan peranan lembaga desa dalam mendukung konservasi gajah. Rekomendasi resolusi mitigasi konflik gajah diantaranya: 1) memperbaiki habitat gajah yang sudah terfragmentasi di dalam kawasan TNGL; 2) meningkatkan peran Tim CRU (Conservation Response Unit); 3) membentuk unit reaksi cepat penanganan konflik gajah dengan melibatkan para pihak; 4) menanam jenis tanaman yang tidak disukai dan dijauhi oleh gajah; 5) mereduksi ketergantungan masyarakat akan sistem pertanian yang membutuhkan lahan yang luas; 6) mengembangkan program untuk membantu peningkatan hasil panen; dan,  7) penyuluhan untuk meningkatkan pemahaman bahwa gajah merupakan bagian dari ekosistem yang harus lestari.   Kata kunci: gajah, konflik, habitat, Besitang, Taman Nasional Gunung Leuser


2019 ◽  
Vol 1 (1) ◽  
pp. 14-21
Author(s):  
Rili Windiasih

Perkembangan Teknologi informasi dan komunikasi di era globalisasi, demokratisasi dan desentralisasi sudah menjadi kebutuhan sekaligus tantangan khususnya bagi pemerintah daerah dalam komunikasi pembangunan untuk pelayanan publik dan pemberdayaan masyarakat. Penelitian menggunakan metode kualitatif studi kasus, dengan pengumpulan data melalui dokumentasi, wawancara, pengamatan dan Focus Group Discussion (FGD). Subjek penelitian dipilih secara purposif yaitu pemerintah daerah di Eks-KaresidenanBanyumas Jawa Tengah, akademisi dan civil society. Penelitian dianalisis dengan analisis interaktif melalui reduksi data, penyajian data, penarikan kesimpuan dan verifikasi data. Hasil penelitian menunjukkan bahwa (1) Pentingnya komunikasi pembangunan dengan media teknologi informasi dan komunikasi melalui e-Government untuk meningkatkan pelayanan publik yang baik, cepat dan responsif, adanya partisipasi aktif dari publik dan transparansi baik anggaran serta program pembangunan. (2) Perlunya mengantisipasi adanya kesenjangan teknologi informasisehingga membutuhkan peningkatan kompetensi sumber daya manusia di pemerintahan daerah dan publik, serta memperluas fasilitas akses jaringan informasi.Kata kunci: komunikasi pembangunan, pelayanan publik, partisipasi, teknologi informasi, transparansi 


Widyaparwa ◽  
2017 ◽  
Vol 45 (2) ◽  
pp. 151-164
Author(s):  
Novita Sumarlin Putri

Tindak tutur komisif merupakan salah satu aspek pragmatik yang harus diperhatikan oleh penerjemah ketika menerjemahkan teks. Hal itu dilakukan agar menghasilkan terjemahan yang berkualitas dari aspek keakuratan dan keberterimaan. Berdasarkan alasan tersebut, penelitian ini bertujuan mendiskripsikan tingkat keakuratan dan keberterimaan terjemahan kalimat yang mengakomodasi tindak tutur komisif dengan pendekatan pragmatik. Data yang digunakan ialah tuturan komisif dan hasil penilaian kualitas terjemahan. Data bersumber dari novel Insurgent karya Veronica Roth dan informan. Data dikumpulkan dengan cara analisis dokumen, kuesioner dan Focus Group Discussion. Selanjutnya, data dianalisis dengan cara analisis domain, taksonomi, komponensial, dan tema budaya. Hasil penelitian ini menunjukkan bahwa terjemahan dalam novel Insurgent mempunyai nilai keakuratan dan keberterimaan yang cukup tinggi. Berdasarkan penelitian ini, dapat disimpulkan bahwa tingkat keakuratan dan keberterimaan pada setiap jenis tindak tutur komisif memiliki dampak terhadap kualitas keseluruhan terjemahan kalimat yang mengandung tindak tutur komisif.Commissive speech act is one of the pragmatic aspects to regard by the translator in translating the text. It aims to produce a qualified translation in regarding accuracy and acceptability aspects. According to the aspects, this research aims to describe accuracy and acceptability of translation in sentences which accommodate commissive speech act using pragmatic approach. The data used is commissive speech and qualitative translation value result. The sources of the data are an Insurgent novel by Veronica Roth and informants. The data were collected through document analysis, questionnaire, and Focus Group Discussion then analyzed the domain, taxonomic, componential analysis, and cultural theme. The result shows that translation in the Insurgent novel has high accuracy and acceptability values. This research concludes that the accuracy and acceptability level in each commissive speech act has an impact on quality of whole translated sentences which contain commissive speech act.


2018 ◽  
Vol 16 (1) ◽  
pp. 53
Author(s):  
Bejo Danang Saputra

Perencanaan pengembangan uji kompetensi perawat Indonesia akan dikembangkan  dengan metode OSCE.. Pelaksanaan uji OSCE membutuhkan persiapan yang matang, terutama kesiapan sumber daya manusia (SDM) dalam hal ini adalah dosen untuk melaksanakan uji OSCE. Mengetahui kesiapan SDM dalam pengembangan uji OSCE di Prodi D3 Keperawatan Sekolah Tinggi Ilmu Kesehatan (STIKES) Al-Irsyad Al-Islamiyyah Cilacap. Desain penelitian yang digunakan adalah kualitatif dengan rancangan studi kasus. Informan penelitian adalah 6 orang dosen dan Kepala Program Studi D3 keperawatan. Data diperoleh melalui, focus group discussion, wawancara mendalam dan studi dokumentasi. Data kemudian dianalisis dengan menggunakan constant comparative method. Penelitian menunjukan bahwa pengetahuan dosen tentang OSCE dan kompetensi berdasarkan pendidikan memenuhi persyaratan untuk pengembangan uji OSCE, namun masih membutuhkan pelatihan mengenai OSCE. Uji OSCE dapat diselenggarakan dengan melibatkan dosen dari prodi lain karena jumlah dosen di Prodi D3 Keperawatan  STIKES Al-Irsyad Al-Islamiyyah Cilacap belum memenuhi kebutuhan pelaksanaan uji OSCE. Hambatan penyelenggaraan OSCE adalah SDM belum terkoordinasi, belum terlatih dan keterbatasan sarana pendukun. Pengetahuan dan kompetensi dosen berdasarkan tingkat pendidikan memenuhi syarat dalam pengembangan OSCE dan OSCE dapat diselenggarakan dengan melibatkan dosen prodi lain.


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