Experience of Health Workers in the Implementation of Adolescent Friendly Health Services (AFHS) in Magelang

This chapter uses a randomized community development programme in rural Pakistan to assess the impact of citizen engagement on public service delivery and maternal and child health outcomes. The programme had a strong emphasis on organizing women, who also identified health services as a development priority at baseline. At midline, we find that the mobilization effort alone had a significant impact on the performance of village-based health providers. We detect economically large improvements in pregnancy and well-baby visits by female health workers, as well as increased utilization of pre- and post-natal care by pregnant women. In contrast, the quality of supra-village health services did not improve, underscoring the importance of community enforcement and monitoring capacity for improving service delivery.

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Building trust and enhancing localization to improve access to women’s health services in Afghanistan

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.928 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

F R Rab ◽

S S Stranges ◽

A D Thind ◽

S S Sohani

Keyword(s):

Health Care ◽

Health Services ◽

Vulnerable Populations ◽

Time Trend ◽

Health Workers ◽

Healthcare Services ◽

Delivery Of Healthcare ◽

Care Services ◽

Women And Children ◽

Delivery Of Health Services

Abstract Background Over 34 million people in Afghanistan have suffered from death and devastation for the last four decades as a result of conflict. Women and children have borne the brunt of this devastation. Afghanistan has some of the poorest health indicators in the world for women and children. In the midst of armed conflict, providing essential healthcare in remote regions in the throws of conflict remains a challenge, which is being addressed the Mobile Health Teams through Afghan Red Crescent (ARCS). To overcome socio-cultural barriers, ARCS MHTs have used local knowledge to hire female staff as part of the MHTs along with their male relatives as part of MHT staff. The present study was conducted to explore the impact of engaging female health workers as part of MHTs in conflict zones within Afghanistan on access, availability and utilization of maternal and child health care. Methods Quantitative descriptive and time-trend analysis were used to evaluate impact of introduction of female health workers. Qualitative data is being analyzed to assess the possibilities and implications of engaging female health workers in the delivery of health services. Results Preliminary results show a 96% increase in uptake of services for expectant mothers over the last four years. Average of 18 thousand services provided each month by MHTs, 70% for women and children. Service delivery for women and children significantly increased over time (p < 0.05) after inclusion of female health workers in MHTs. Delivery of maternity care services showed a more significant increase (p < 0.001). Time trend and qualitative analyses is ongoing. Conclusions Introduction of female health workers significantly improved uptake of health care services for women and children especially in extremely isolated areas controlled by armed groups in Afghanistan. Engaging with local stakeholders is essential for delivery of health services for vulnerable populations in fragile settings like Afghanistan. Key messages Understanding cultural norms results in socially acceptable solutions to barriers in delivery of healthcare services and leads to improvements in access for women and children in fragile settings. Building local partnerships and capacities and using local resources result in safe, efficient and sustainable delivery of healthcare services for vulnerable populations in fragile settings.

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Engaging Parents in Mental Health Services: A Qualitative Study of Community Health Workers’ Strategies in High Poverty Urban Communities

Administration and Policy in Mental Health and Mental Health Services Research ◽

10.1007/s10488-021-01124-8 ◽

2021 ◽

Author(s):

Erika L. Gustafson ◽

Davielle Lakind ◽

Angela L. Walden ◽

Dana Rusch ◽

Marc S. Atkins

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Qualitative Study ◽

Health Services ◽

Community Health ◽

Urban Communities ◽

Community Health Workers ◽

Health Workers ◽

High Poverty

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Factors influencing access to and utilisation of youth-friendly sexual and reproductive health services in sub-Saharan Africa: a systematic review

Reproductive Health ◽

10.1186/s12978-021-01183-y ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Lesley Rose Ninsiima ◽

Isabel Kazanga Chiumia ◽

Rawlance Ndejjo

Keyword(s):

Reproductive Health ◽

Health Services ◽

Sexual And Reproductive Health ◽

Health Workers ◽

Sub Saharan Africa ◽

Inclusion Criteria ◽

Reproductive Health Services ◽

Factors Influencing ◽

Sub Saharan ◽

Youth Friendly

Abstract Background Despite the global agreements on adolescents’ sexual and reproductive health and rights, access to and utilisation of these services among the youth/adolescents remain unsatisfactory in low- and middle-income countries which are a significant barrier to progress in this area. This review established factors influencing access and utilisation of youth-friendly sexual and reproductive health services (YFSRHS) among the youth in sub-Saharan Africa to inform programmatic interventions. Methodology A systematic review of studies published between January 2009 and April 2019 using PubMed, Web of Science, EMBASE, Medline, and Cochrane Library, and Google Scholar databases was conducted. Studies were screened based on the inclusion criteria of barriers and facilitators of implementation of YFSRHS, existing national policies on provision of YFSRHS, and youth’s perspectives on these services. Findings A total of 23,400 studies were identified through database search and additional 5 studies from other sources. After the full-text screening, 20 studies from 7 countries met the inclusion criteria and were included in the final review. Structural barriers were the negative attitude of health workers and their being unskilled and individual barriers included lack of knowledge among youth regarding YFSRHS. Facilitators of utilisation of the services were mostly structural in nature which included community outreaches, health education, and policy recommendations to improve implementation of the quality of health services and clinics for adolescents/youth to fit their needs and preferences. Conclusion Stakeholder interventions focusing on implementing YFSRHS should aim at intensive training of health workers and put in place quality implementation standard guidelines in clinics to offer services according to youth’s needs and preferences. In addition, educating the youth through community outreaches and health education programs for those in schools can facilitate utilisation and scale up of the service.

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Measuring adolescent friendly health services in India: A scoping review of evaluations

Reproductive Health ◽

10.1186/s12978-016-0251-8 ◽

2016 ◽

Vol 13 (1) ◽

Cited By ~ 5

Author(s):

Andrea J. Hoopes ◽

Paras Agarwal ◽

Sheana Bull ◽

Venkatraman Chandra-Mouli

Keyword(s):

Health Services ◽

Scoping Review ◽

Adolescent Friendly Health Services

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Extension of Mental Health Services Through Training of Primary Health Workers

Psychiatry The State of the Art ◽

10.1007/978-1-4757-1853-9_45 ◽

1985 ◽

pp. 293-296

Author(s):

Carlos E. Climent

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Health Workers ◽

Primary Health

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Developing and Using Vignettes to Explore the Relationship Between Risk Management Practice and Recovery-Oriented Care in Mental Health Services

Qualitative Health Research ◽

10.1177/1049732317725284 ◽

2017 ◽

Vol 28 (3) ◽

pp. 371-380 ◽

Cited By ~ 4

Author(s):

Jessica Holley ◽

Steven Gillard

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Services ◽

Health Services ◽

Focus Groups ◽

Health Workers ◽

Management Practice ◽

Health Care Research ◽

Empirical Literature ◽

Care Research

There is a lack of literature evaluating the development and use of vignettes to explore contested constructs in qualitative health care research where a conventional interview schedule might impose assumptions on the data collected. We describe the development and validation of vignettes in a study exploring mental health worker and service user understandings of risk and recovery in U.K. mental health services. Focus groups with mental health workers and service users explored study questions from experiential perspectives. Themes identified in the groups were combined with existing empirical literature to develop a set of vignettes. Feedback focus groups were conducted to validate and amend the vignettes. Following use in research interviews, results suggested that the vignettes had successfully elicited data on issues of risk and recovery in mental health services. Further research using creative, comparative methods is needed to fully understand how vignettes can best be used in qualitative health care research.

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Perancangan User Experience Pada Aplikasi Mobile HomeCare Rumah Sakit Semen Gresik Menggunakan Metode Design Thinking

Jurnal Teknologi Informasi dan Ilmu Komputer ◽

10.25126/jtiik.2021844550 ◽

2021 ◽

Vol 8 (5) ◽

pp. 1057

Author(s):

Fara Regina Isadora ◽

Buce Trias Hanggara ◽

Yusi Tyroni Mursityo

Keyword(s):

Health Services ◽

User Experience ◽

Design Thinking ◽

Health Workers ◽

Mean Value ◽

Design Solution ◽

Experience Design ◽

User Experience Design ◽

Number Of Patients ◽

Experience Questionnaire

Rumah Sakit Semen Gresik merupakan fasilitas kesehatan yang ada di Kabupaten Gresik dengan akreditasi tingkat paripurna. Rumah Sakit Semen Gresik di kondisi pandemi saat ini mengalami penurunan jumlah pasien dan pendapatan, sehingga Rumah Sakit Semen Gresik berencana untuk menghadirkan layanan kesehatan yang dapat dilakukan di rumah menggunakan aplikasi untuk memudahkan pasien dalam mendapatkan layanan Kesehatan tanpa datang ke rumah sakit. Aplikasi yang dibangun harus memberikan kenyamanan saat digunakan oleh pengguna, maka dari itu perlu adanya rancangan user experience. Design thinking merupakan metode yang digunakan untuk merancang user experience pada aplikasi HomeCare dengan mendefinisikan permasalahan serta memberikan solusi desain yang dapat menyelesaikan permasalahan tersebut. Solusi desain selanjutnya diuji menggunakan user experience questionnaire (UEQ) untuk mengetahui apakah solusi desain yang dirancang sudah menyelesaikan permasalahan yang dialami oleh calon pengguna. Hasil dari pengujian menggunakan UEQ yaitu, untuk aplikasi HomeCare dengan pengguna pasien memiliki nilai mean tiap skala UEQ yang berada pada kategori positif dengan semua skala UEQ berada pada kategori baik kecuali skala dependability yang berada pada kategori sangat baik, sedangkan untuk aplikasi HomeCare Giver dengan pengguna tenaga kesehatan memiliki nilai mean tiap skala UEQ yang juga berada pada kategori positif dengan semua skala UEQ berada pada kategori baik kecuali skala attractiveness dan novelty yang berada pada kategori sangat baik. Sehingga aplikasi HomeCare dan HomeCare Giver memiliki rancangan user experience yang baik.AbstractSemen Gresik Hospital is a health facility in Gresik Regency with a paripurna level of accreditation. Semen Gresik Hospital in a pandemic condition is currently experiencing a decrease in the number of patients, so that Semen Gresik Hospital plans to provide health services that can be done at home using an application to make it easier for patients to get health services without coming to the hospital. Applications that are built must provide comfort when used by users, therefore there is a need for a user experience design. Design thinking is a method used to design user experiences on the HomeCare application by defining problems and providing design solutions that can solve these problems. The design solution is then tested using a user experience questionnaire (UEQ) to find out whether the design solution designed has resolved the problems experienced by potential users. The results of the test using UEQ are, for the HomeCare application whose users are patient, the mean value of each UEQ scale is in the positive category with all UEQ scales in the good category except for the dependability scale which is in the very good category, while for the HomeCare Giver application whose the users are health workers, has a mean value of each UEQ scale which is also in the positive category with all UEQ scales in the good category except the attractiveness and novelty scales which are in the very good category. This can be concluded that HomeCare and HomeCare Giver applications have a good user experience design.

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Hegemony in Effective Communication on the Modern Health Services During Pregnancy, Give Birth, and Postpartum in Baduy Communities

Global Journal of Health Science ◽

10.5539/gjhs.v13n1p28 ◽

2020 ◽

Vol 13 (1) ◽

pp. 28

Author(s):

Ratih Ariningrum ◽

Vita Kartika ◽

Rozana Ika Agustiya ◽

Choirum Latifah

Keyword(s):

Health Service ◽

Health Services ◽

Health Workers ◽

Effective Communication ◽

Qualitative Approach ◽

Participatory Action ◽

Maternal Deaths ◽

The Public ◽

Agents Of Change ◽

Organic Intellectual

Kanekes Village, where Baduy people live, is the biggest contributor to maternal deaths in the District of Lebak. Baduy awareness to check pregnancy at midwives has begun to increase, but for childbirth and childbirth examination has not been carried out. That is because there is a culture in the Baduy community regarding childbirth itself, as well as their adherence to the rules that have been issued by traditional leaders. The research uses a qualitative approach with the Participatory Action Research (PAR) approach. This study aims to examine the constraints and analyze the process of the formation of relationships between health workers, cadres, and heads of RT with the Baduy community in effective communication to improve modern health services during pregnancy, give birth, and postpartum in the Baduy community. The results showed that modern health services can be applied to the behavior of pregnancy, childbirth, and the puerperal of the Baduy community if the agents of change (organic intellectual) can change the idea of the modern health service into an ideology, then popular belief is obtained, then hegemony is formed from the agents of change. The final stage is that the country must be able to accommodate this effort. The efforts of agents of change (organic intellectuals) from the idea of modern health services to the created hegemony are sought by effective communication. Implementation of effective communication is pursued by provding explanations that are easily understood by the public through simulations.

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PERLINDUNGAN HUKUM PERAWAT PRAKTIK ATAS TINDAKAN PELAYANAN GAWAT DAN DARURAT PADA MASYARAKAT PEDESAAN DI DESA SUSUKAN KABUPATEN SEMARANG

Hukum dan Masyarakat Madani ◽

10.26623/humani.v8i1.911 ◽

2018 ◽

Vol 8 (1) ◽

pp. 42

Author(s):

Indra Yuliawan ◽

Adhi Budi Susilo

Keyword(s):

Health Services ◽

Health Workers ◽

Health Science ◽

The Public ◽

Human Needs ◽

Education And Health ◽

Primary Responsibility ◽

Wide Range ◽

Human Need ◽

Nurses And Midwives

Tenaga kesehatan banyak mendapatkan sorotan dari masyarakat, karena kesehatan merupakan kebutuhan pokok manusia dan kualitas sumber daya manusia (SDM) ditentukan dua faktor yang saling berhubungan yakni pendidikan dan kesehatan. Kesehatan merupakan prasyarat utama agar upaya pendidikan berhasil, sebaliknya pendidikan yang diperoleh akan sangat mendukung tercapainya peningkatan status kesehatan seseorang. Sorotan masyarakat terhadap profesi tenaga kesehatan merupakan suatu kewajaran karena pelayanan kesehatan merupakan kebutuhan yang tidak bisa ditunda dan diabaikan.Profesionalitas profesi kesehatan menjadi harga mati yang tidak boleh ditawar oleh siapapun, karena berhubungan dengan kebutuhan pokok manusia. Tenaga kesehatan terutama perawat dan bidan sebagai profesi mempunyai tanggung jawab pokok pelayanan kesehatan. Perawat dan bidan bertanggung jawab dalam bidang kesehatan secara preventif dan harus mampu menangani berbagai macam pelayanan kesehatan bahkan pelayanan yang memerlukan tindakan darurat, dan melakukan rujukan yang cepat dan tepat.Sebagai Subjek hukum keperanan perawat wajib dilindungi secara hukum. Perlindungan tersebut diperlukan manakala penanganan pertama yang dilakukan perawat dan bidan tidak dapat menyelamat nyawa seseorang dan kemudian ada kekecewaan dalam diri keluarga sang pasien terhadap tindakan bidan atau perawat tersebut. Perawat yang mempunyai latar belakang ilmu kesehatan menjadi tujuan masyarakat bilamana ada anggota masyarakat sedang sakit, terlebih lagi jika tidak ada dokter di sekitarnya. Dalam kondisi seseorang sakit tentunya perawat tidak dapat menolak untuk membantu menyembuhkan bahkan menyelamatkan terlebih lagi dalam kondisi gawat bahkan darurat. Health workers get a lot of attention from the public, because health is a basic human need and the quality of human resources (HR) determined two interrelated factors of education and health. Health is a major prerequisite for educational efforts to succeed, otherwise education will greatly support the achievement of improving one's health status. The public's spotlight on the health professional profession is a fairness because health care is a necessity that can not be postponed and ignored.Professionalism of the health profession becomes a fixed price that no one can bargain for, because it deals with human needs. Health workers, especially nurses and midwives as professions have primary responsibility for health services. Nurses and midwives are in charge of health in a preventive manner and should be able to handle a wide range of health services and even services that require emergency measures, and make quick and precise referrals.As the subject of nurses' law of nurses shall be protected by law. Such protection is necessary when the first handling of the nurse and midwife can not save a person's life and then there is disappointment in the patient's family for the actions of the midwife or nurse.Nurses who have a health science background become a community goal when there are members of the community are sick, especially if there is no doctor around. In the condition of someone sick of course nurses can not refuse to help heal even rescue even more in emergency conditions even emergency.

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