scholarly journals Retention of pediatric patients in care: a study of the Kibera Community Health Center HIV/AIDS Program

2021 ◽  
Vol 21 (1) ◽  
pp. 39-43
Author(s):  
Sara K Muli-Kinagwi ◽  
Meshack Ndirangu ◽  
Onesmus Gachuno ◽  
Samuel Muhula
Keyword(s):  
Community Health ◽  
Health Center ◽  
Pediatric Patients ◽  
Retention Rate ◽  
Community Health Center ◽  
P Value ◽  
Loss To Follow Up ◽  
Hiv Exposed ◽  
Hiv Aids

Background: In 2011, 3.4 million children were living with HIV worldwide1. Objectives: Describe the characteristics of pediatric patients enrolled into the HIV program at the Kibera community health center between January 2012 and March 2013. Determine the proportion of enrolled paediatric patients lost to follow up. Determine the correlates associated with retention and loss to follow up. Methods: The study was a retrospective cohort study of program data of all pediatric patients enrolled into the HIV pro- gram in the facility between January 2012 and March 2013. The data was analyzed using SPSS. Results: Of the 100 pediatric patients enrolled during the study period, 79 and 21 were HIV negative and positive respec- tively. Only 4 (5%) of the HIV exposed Infants and 11 (52%) of the HIV positive children were started on ART within the study period. The retention rate of the children at 3 months was 87% while the retention at both 12 and 15 months was 79%. There was an association between the mother or guardian disclosing their status and the retention of the child (p-value 0.026). Conclusion: The disclosure of the HIV status by parent/guardian to the child was associated with better retention of the children in the program. Keyword: Pediatric patients in care; Kibera community health center; HIV/AIDS.

scholarly journals Retention of pediatric patients in care: a study of the Kibera Community Health Center HIV/AIDS Program

2021 ◽  
Vol 21 ◽  
pp. 39-43
Author(s):  
Sara K Muli-Kinagwi ◽  
Meshack Ndirangu ◽  
Onesmus Gachuno ◽  
Samuel Muhula
Keyword(s):  
Community Health ◽  
Health Center ◽  
Pediatric Patients ◽  
Retention Rate ◽  
Community Health Center ◽  
P Value ◽  
Loss To Follow Up ◽  
Hiv Exposed ◽  
Hiv Aids

Background: In 2011, 3.4 million children were living with HIV worldwide1. Objectives: Describe the characteristics of pediatric patients enrolled into the HIV program at the Kibera community health center between January 2012 and March 2013. Determine the proportion of enrolled paediatric patients lost to follow up. Determine the correlates associated with retention and loss to follow up. Methods: The study was a retrospective cohort study of program data of all pediatric patients enrolled into the HIV pro- gram in the facility between January 2012 and March 2013. The data was analyzed using SPSS. Results: Of the 100 pediatric patients enrolled during the study period, 79 and 21 were HIV negative and positive respec- tively. Only 4 (5%) of the HIV exposed Infants and 11 (52%) of the HIV positive children were started on ART within the study period. The retention rate of the children at 3 months was 87% while the retention at both 12 and 15 months was 79%. There was an association between the mother or guardian disclosing their status and the retention of the child (p-value 0.026). Conclusion: The disclosure of the HIV status by parent/guardian to the child was associated with better retention of the children in the program. Keyword: Pediatric patients in care; Kibera community health center; HIV/AIDS.

scholarly journals Hubungan Peran Pengawas Menelan Obat (PMO) Terhadap Keberhasilan Pengobatan Tuberkulosis Di Puskesmas Kecamatan Johar Baru Jakarta Pusat Tahun 2016

2018 ◽  
Vol 12 (1) ◽  
Author(s):  
Wahyuni Herda ◽  
Insan Sosiawan A Tunru ◽  
Yusnita Yusnita
Keyword(s):  
Community Health ◽  
Health Center ◽  
Extrapulmonary Tuberculosis ◽  
Community Health Center ◽  
Simple Random Sampling ◽  
Tuberculosis Treatment ◽  
World Health ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional

Tuberculosis is a disease of global concern. By 2015 six countries contributing to 60% of the global total are India, Indonesia, China, Nigeria, Pakistan and South Africa. China, India and Indonesia alone accounted for 45% of cases in the world.The World Health Organization (WHO)has recommended the Directly Observed Treatment Shortcourse (DOTS) strategy for TB control by involving Drug Supervisors (PMO). It aims to achieve patient recovery, prevent transmission, and avoid drug resistant cases. This study aims to determine the relation between the roles of treatment observers (PMO) with the success of tuberculosis treatment at community health center of Johar Baru Central Jakarta in 2016.This research was conducted by Cross-Sectional non-experimental quantitative method. Population and sample are the patient of adult pulmonary and extrapulmonary tuberculosis at community health center of Johar Baru Central Jakarta in 2016. Samples are selected by using Simple Random Sampling. The data were collected by interview using questionnaire. Data analysis using SPSS with Chi-Square test.There were 45 respondents (80,4%) succeed in TB treatment and respondent with PMO roles category were 40 (71,4%). Result of statistical test using Chi-Square test obtained P value = 1,000 (> 0,05).There is no relation between the roles of treatment observers (PMO) with the success of tuberculosis treatment at community health center of Johar Baru Central Jakarta in 2016.

scholarly journals Efektifitas Senam Hamil terhadap Kejadian Rupture Perineum pada Ibu Bersalin di Puskesmas Limboto

2018 ◽  
Vol 1 (1) ◽  
pp. 053
Author(s):  
Juli Gladis Claudia ◽  
Wirdawaty S Adam
Keyword(s):  
Community Health ◽  
Health Center ◽  
Pelvic Floor Muscle ◽  
Community Health Center ◽  
P Value ◽  
Chi Square ◽  
Pelvic Muscles ◽  
Chi Square Test ◽  
Exercise In Pregnancy ◽  
Positive Effect

Exercise in pregnancy have positive effect on the pregnancy outcomebecause stumulate to strengthen and maintain elasticity in abdominalmuscles and pelvic muscles which was associated with labor that whenstraining the muscles will relax actively that the head baby will outeasily and the pelvic floor muscle is weak, will not easily tear when willgive birth. The incidence of perineum rupture at Limboto CommunityHealth Center is 46,7%. The purpose of this study was to analyze theeffectiveness of gymnastics pregnancy against rupture perineum inMaternity at Limboto Community Health Center. The method of researchwas used pre-experimental research with statistical group comparisondesign with using chi square test. The population in this study were allthirty pregnant trimester III which amounted 30 people. The sample inthis study were 15 case groups and 15 control groups. The variablepregnant exercise was independent variabel and the dependentvariable was incidence of perineal rupture. The result of this researchby using chi square statistic test was showed t arithmetic 8,571, thatmean the respondent who have high pregnancy exercise did notexperience rupture perineum. Results p - value 0.009 with degree ofsignificance 0.05 (p < 0.05). The conclusion there was a significant effectof pregnancy exercise effectiveness on the incidence of perineal rupturein maternal mothers at Limboto Community Health Center.

scholarly journals THE EFFECT OF ACUPRESSURE AND EFFLEURAGE ON PAIN RELIEF IN THE ACTIVE PHASE OF THE FIRST STAGE OF LABOR IN THE COMMUNITY HEALTH CENTER OF KAWUNGANTEN, CILACAP, INDONESIA

2017 ◽  
Vol 3 (5) ◽  
pp. 508-514
Author(s):  
Yuli Sya’baniah Khomsah ◽  
Agus Suwandono ◽  
Ida Ariyanti
Keyword(s):  
Community Health ◽  
Health Center ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Community Health Center ◽  
Active Phase ◽  
Labor Pain ◽  
Control Group ◽  
P Value ◽  
First Stage Of Labor

Background: Pain during pregnancy and childbirth is a physiological process, but it leads to discomfort without pain management. Acupressure and effleurage are considered to be effective in reducing labor pain.Objective: To examine the effect of acupressure and effleurage in reducing pain during in the active phase of the first stage of labor in the community health center of Kawunganten, Cilacap regency.Methods: This was a quasi-experimental study with pretest-posttest control group design. There were 33 respondents recruited using simple random sampling. Numerical rating scale was used to measure labor pain. Data were analyzed using one way anova, Post hoc anova and repeated anova for normal data distribution. Kruskal Wallis was also used for non-normal data distribution.Results: There was a statistically significant mean difference of pain scale before and after given acupressure and effleurage (p-value <0.05). However, acupressure treatment had a greater effect  in reducing pain compared with effleurage.Conclusion: Acupressure and efflurage had a significant effect in reducing pain in mothers in the active phase of the first stage of labor. The results of this study are expected to enrich and contribute to the development of science in the field of health promotion, and  serve as an additional input for midwives in order to carry out the care of mother during labor.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN PENGGUNAAN ANTIBIOTIKA UNTUK TERAPI PNEUMONIA

2020 ◽  
Vol 7 (1) ◽  
pp. 16
Author(s):  
Nita Pujianti ◽  
Lia Anggraini
Keyword(s):  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
Sampling Technique ◽  
Dominant Factor ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Under Five

ABSTRAKPneumonia merupakan penyebab banyak kematian balita di dunia. Selama tahun 2016 terdapat 568.146 (65,27%) jumlah kasus pneumonia pada balita yang ada di Indonesia. Berdasarkan data Dinas Kesehatan Provinsi Kalimantan Selatan tercatat kasus pneumonia tahun 2017 sebesar 66,52%, data tertinggi pada Puskesmas Beruntung Raya dengan angka 105 kasus (10,80%) di tahun 2017. Tujuan penelitian ini adalah untuk menganalisis faktor-faktor yang berhubungan dengan kepatuhan penggunaan antibiotika pada orang tua pasien anak yang terdiagnosa pneumonia di wilayah kerja Puskesmas Beruntung Raya serta menganalisa faktor yang paling dominan mempengaruhi. Penelitian ini menggunakan rancangan observasional analitik melalui pendekatan cross sectional. Populasi dalam penelitian ini adalah semua orang tua yang memeriksakan anaknya dalam satu tahun terakhir di Puskesmas Beruntung Raya. Sampel dalam penelitian ini berjumlah 77 responden ditentukan dengan teknik purposive sampling dan berlangsung selama 3 (tiga) bulan. Analisa data menggunakan uji chi square dan regresi logistik biner dan kuisioner sebagai Instrumen penelitian. Hasil penelitian menunjukkan bahwa terdapat hubungan antara kedisiplinan (p-value= 0,001), sugesti sembuh (p-value= 0,012), dan komunikasi (p-value= 0,025). Variabel kedisiplinan merupakan yang paling berpengaruh dominan terhadap kepatuhan penggunaan antibiotika, sehingga pasien yang disiplin lakan lebih patuh dalam meminum obat antibiotika daripada pasien yang tidak disiplin.Kata-kata kunci: Kepatuhan, pneumonia, kedisiplinan, sugesti sembuh, komunikasiABSTRACTPneumonia is the cause of many under-five deaths in the world. During 2016 there were 568,146 (65.27%) of the number of pneumonia cases in children under five in Indonesia. From the data of the South Kalimantan Provincial Health Office recorded pneumonia cases in 2017 amounted to 66.52%, the highest data in Beruntung Jaya Community Health Center with a number of 105 cases (10.80%) in 2017. The purpose of this study was to analyze the factors related by adhering to the use of antibiotics in the parents of pediatric patients with diagnosed with pneumonia in the work area of Beruntung Jaya Community Health Center and analysis the most dominant factor influencing. This study uses an observational analytic design through a cross sectional approach. The population in this study were all parents who had their children examined in the past year at Beruntung Raya Health Center. The sample in this study amounted to 77 respondents determined by purposive sampling technique and lasted for 3 (three) months. Data analysis using chi square test and binary logistic regression and questionnaires as research instruments. The results showed that there was a relationship between discipline (p-value= 0.001), recovery suggestions (p-value= 0.012), and communication (p-value= 0.025). Disciplinary variable is the most dominant influence on adherence to the use of antibiotics, so that disciplined patients are more obedient in taking antibiotic drugs than patients who are not disciplined.Key words: Compliance, pneumonia, discipline, healing suggestion, communication

scholarly journals The Implementation of AIDS Care Community (ACC) Work Program as an Efforts for Handling HIV / AIDS Cases in Poncol Community Health Center Work Area

2021 ◽  
Vol 4 (3) ◽  
pp. 89-97
Author(s):  
Siti Ekfiyatil Wafah ◽  
Besar Tirto Husodo ◽  
Novia Handayani
Keyword(s):  
Local Government ◽  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
Community Support ◽  
Care Community ◽  
Descriptive Research ◽  
Central Java ◽  
Work Area ◽  
Hiv Aids

Introduction: Semarang City has the highest number of HIV / AIDS cases in Central Java. Several attempts to control HIV / AIDS cases, such as the organization for AIDS that is named after AIDS Care Community (ACC) in every village scope. The purpose of this study is to describe the implementation of the ACC program in Poncol Community Health Center.Methods: This is a descriptive research, uses qualitative methods using in-depth interview for data collection techniques. There are 9 informants who are selected by using purposive sampling method. Data is analyzed using descriptive method. The process of data analysis begins with collecting data, and then reducing the data that has been generated. After that, the data are presented and concluded.Results: The results show that the implementation of ACC program in the work area of Poncol Community Health Center is assisted by Poncol Puskesmas. There is 1 ACC out of 9 ACC that is actively implementing the ACC program while the others are not running well. It is found that low capacity of ACC members, lack of funds, low of support from the local government (village), low community support, inadequate facilities and infrastructure that affect the implementation of ACC programs. Therefore, the output is not achieved optimally.Conclusions: The implementation of the of the ACC program in Poncol Community Health Center work area has not been running optimally. Support from all parties is needed, including from the members of the ACC, local government, AIDS commission, and the community in order to achieve the ACC goals.  

scholarly journals LOWER PERCEIVED-STIGMATIZATION BY HEALTH WORKERS AMONG HIV-AIDS PATIENTS OF KEY POPULATION BACKGROUNDS

2020 ◽  
Vol 8 (2) ◽  
pp. 90
Author(s):  
Jihan Qonitatillah ◽  
Samsriyaningsih Handayani ◽  
Ernawati Ernawati ◽  
Musofa Rusli
Keyword(s):  
Quality Of Life ◽  
Community Health ◽  
Health Center ◽  
Health Workers ◽  
Community Health Center ◽  
People Living With Hiv ◽  
Key Population ◽  
Living With Hiv ◽  
Hiv Aids

The stigma of people living with HIV-AIDS (PLWHA) by health workers may have a broad impact, so it is necessary to identify the factors that influence the occurrence of stigma. Identification of factors that cause a decrease in stigmatization by health workers will have an impact on improving the quality of life of people with HIV, increasing compliance with medication, and ultimately reducing the incidence of HIV infection itself. The purpose of this study was to analyze factors related to PLWHA’s perception of stigma among health workers in the community health center.  This research applied a cross-sectional design using interviews. Ninety-four patients from the Infectious Disease Intermediate Care of Dr. Soetomo Hospital Surabaya, a tertiary level hospital, were interviewed. The stigma perception was assessed using a questionnaire modified from the Standardized Brief Questionnaire by Health Policy Project with Cronbach’s Alpha of 0.786. The data were simultaneously analyzed with binary multiple regressions on IBM SPSS Statistics 22.0 for Windows software. There were 30 out of 94 patients with key population backgrounds, and most population was injecting drug users (IDUs) and female sex workers (FSWs). PLWHA perceived most stigmatized community health workers when they drew blood, provided care, and considered they were involved in irresponsible behavior. There were relationships between age(p=0.008), marital status(p=0.013), and the history of key population (p=0.006)to people living with HIV-AIDS (PLWHA)’s perception of stigma among health workers in East Java community health center. Future research on factors influencing HIV-related stigma is needed to improve patients’ quality of life.

scholarly journals Hubungan Pemberian Konseling oleh Petugas Kesehatan dengan Pemilihan Metode Kontrasepsi Jangka Panjang (MKJP) di Puskesmas Pakuan Baru

2021 ◽  
Vol 10 (2) ◽  
pp. 294
Author(s):  
Ria Febrina
Keyword(s):  
Family Planning ◽  
Community Health ◽  
Health Center ◽  
Quantitative Research ◽  
Health Workers ◽  
Statistical Tests ◽  
Community Health Center ◽  
Poverty Line ◽  
P Value

An increase in population can lead to poverty, economic inequality in the population which is usually measured by the proportion of households with income below the poverty line. One of the government's efforts to control the rate of population growth is through the implementation of a family planning program (KB) for fertile age couples age (PUS) using contraception. The use of long term contraception methods is still very low, of the total number of active family planning participants, only 17.45% of them use long term contraception methods. Meanwhile, 81.23% were non- long term contraception methods family planning users and 1.32% used traditional family planning. Jambi Province only 1.9% uses long term contraception method. Based on data obtained from the Jambi City Health Office in 2018 the number of IUD KB participants was 2,032, 1,252 implants, 542 MOW people, 16 MOP people from 20 community health center in Jambi City, Pakuan Baru community health center none of the active family planning participants which uses long term contraception method. This study was to determine the relationship of counseling by health workers with the choice of long-term contraceptive method at Pakuan Baru Community Health Center, Jambi City. This type of quantitative research with a descriptive design. Respondents who were active family planning participants who visited the Pakuan Baru community health center were taken using accidental sampling. The data collection technique was done by filling out a questionnaire. The data were processed using fisher exact statistical tests. The results of the study most of the respondents used long term contraception method of 24 (57.1%), there was a relationship between the provision of counseling and the choice of long term contraception method with a p-value: 0.001 and there was no relationship between the provision of counseling media by health workers and the selection of long term contraception method with a p-value: 0.068.

scholarly journals Longitudinal Observation of Outcomes and Patient Access to Integrated Care Following Point-of-Care Glycemic Screening in Community Health Center Dental Safety Net Clinics

2021 ◽  
Vol 2 ◽  
Author(s):  
Ingrid Glurich ◽  
Richard Berg ◽  
Aloksagar Panny ◽  
Neel Shimpi ◽  
Annie Steinmetz ◽  
...  
Keyword(s):  
At Risk ◽  
Community Health ◽  
Health Center ◽  
Integrated Care ◽  
Point Of Care ◽  
Community Health Center ◽  
Safety Net ◽  
Risk Patients ◽  
Dental Appointments

Introduction: Rates of diabetes/prediabetes continue to increase, with disparity populations disproportionately affected. Previous field trials promoted point-of-care (POC) glycemic screening in dental settings as an additional primary care setting to identify potentially at-risk individuals requiring integrated care intervention. The present study observed outcomes of POC hemoglobin A1c (HbA1c) screening at community health center (CHC) dental clinics (DC) and compliance with longitudinal integrated care management among at-risk patients attending dental appointments.Materials and Methods: POC HbA1c screening utilizing Food and Drug Administration (FDA)-approved instrumentation in DC settings and periodontal evaluation of at-risk dental patients with no prior diagnosis of diabetes/prediabetes and no glycemic testing in the preceding 6 months were undertaken. Screening of patients attending dental appointments from October 24, 2017, through September 24, 2018, was implemented at four Wisconsin CHC-DCs serving populations with a high representation of disparity. Subjects meeting at-risk profiles underwent POC HbA1c screening. Individuals with measures in the diabetic/prediabetic ranges were advised to seek further medical evaluation and were re-contacted after 3 months to document compliance. Longitudinal capture of glycemic measures in electronic health records for up to 2 years was undertaken for a subset (n = 44) of subjects with available clinical, medical, and dental data. Longitudinal glycemic status and frequency of medical and dental access for follow-up care were monitored.Results: Risk assessment identified 224/915 (24.5%) patients who met inclusion criteria following two levels of risk screening, with 127/224 (57%) qualifying for POC HbA1c screening. Among those tested, 62/127 (49%) exhibited hyperglycemic measures: 55 in the prediabetic range and seven in the diabetic range. Moderate-to-severe periodontitis was more prevalent in patients with prediabetes/diabetes than in individuals with measures in the normal range. Participant follow-up compliance at 3 months was 90%. Longitudinal follow-up documented high rates of consistent access (100 and 89%, respectively), to the integrated medical/DC environment over 24 months for individuals with hyperglycemic screening measures.Conclusion: POC glycemic screening revealed elevated HbA1c measures in nearly half of at-risk CHC-DC patients. Strong compliance with integrated medical/dental management over a 24-month interval was observed, documenting good patient receptivity to POC screening in the dental setting and compliance with integrated care follow-up by at-risk patients.

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