scholarly journals Regional Disparities of Facility-Based Childbirth in Indonesia

2021 ◽  
Vol 18 (21) ◽  
pp. 387
Author(s):  
Agung Dwi Laksono ◽  
Ratna Dwi Wulandari
Keyword(s):  
Binary Logistic Regression ◽  
Health Care Facilities ◽  
Regional Disparities ◽  
Demographic Health Survey ◽  
Healthcare Facilities ◽  
Care Facilities ◽  
Regression Test ◽  
Utilization Of Healthcare ◽  
Development Gap ◽  
Logistic Regression Test

Specifically, the characteristics of regions in Indonesia are unique. The situation is because the division of the region refers to the main islands. The study aims to analyze regional disparities of childbirth services in Indonesia. Meanwhile, the analysis in this study uses raw data from the 2017 Indonesian Demographic Health Survey (IDHS). The IDHS used stratification and multistage random sampling. The sample used in this study was 17,769 women aged 15 - 49 years with live births in the last 5 years. The study employed all region (7 regions) in the analysis, and analyzed data using the binary logistic regression test. The result shows national average of the utilization of healthcare facilities for delivery in Indonesia is 72.0 %. The 3 highest-ranking regions were in the Java-Bali region with 89.5 %, Sumatra region 73.5 %, and Kalimantan region 69.1 %. The study shows a significant disparity between all regions than the Papua region, except for Kalimantan and Sulawesi regions. Sumatra region has 1.475 times more possibilities to utilize healthcare facilities for delivery than the Papua region. The Java-Bali region has 3.010 times more potential to use healthcare facilities for delivery than the Papua region. The Nusa Tenggara region has 1.891 times more opportunities to use healthcare facilities for delivery than the Papua region. At the same time, the Maluku region has lower utilization than the Papua region. Maluku region has the possibility of 0.304 times utilizing healthcare facilities for delivery than the Papua region. The study concluded that there were significant disparities between regions in using healthcare facilities for delivery in Indonesia. HIGHLIGHTS Indonesia has made many efforts in shifting labor into health care facilities. However, this increase is still lacking, and in some cases, the community still feels that the health services received are not expected The characteristics of regions in Indonesia are unique. Economic and development movements between regions keep the development gap between areas continuing. Disparity as a result of this development also affects the accessibility of the community to health service facilities The study proved there were disparities between regions in using healthcare facilities for delivery in Indonesia GRAPHICAL ABSTRACT

scholarly journals Socioeconomic Disparities of Facility-Based Childbirth in Indonesia

2019 ◽  
Author(s):  
Agung Dwi Laksono ◽  
Astridya Paramita ◽  
Ratna Dwi Wulandari
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Binary Logistic Regression ◽  
Health Care Facilities ◽  
Socioeconomic Disparities ◽  
Sampled Data ◽  
Healthcare Facilities ◽  
Danger Signs ◽  
Parity Level ◽  
Utilization Of Healthcare

Background: In Indonesia, only 74% of women give birth in health care facilities. This study was conducted to analyze the socioeconomic disparities of facilities-based childbirth in Indonesia.Methods: The analysis in this study uses raw data from the 2017 Indonesia Demographic and Health Survey (IDHS). With stratification and multistage random sampling, 17,769 women aged 15-49 years with live births in the last 5 years were sampled. Data were analyzed using a Binary Logistic Regression test.Results: Poorer women were 1.898 times more likely to use healthcare facilities for delivery than poorest women. Middle women were 2.669 times more likely to use healthcare facilities for delivery than poorest women. Richer women have 3.163 times more opportunities to use healthcare facilities for delivery than poorest women. The richest women were 6.566 times more likely to use healthcare facilities for delivery than the poorest women. Women who live in urban areas were 2.412 times more likely to use healthcare facilities for delivery than those who live in rural areas. Age, parity, level of education, ownership of health insurance, knowledge of the danger signs of pregnancy, and antenatal care, in maternity women the past five years significantly contribute to the utilization of healthcare facilities for delivery.Conclusion: There was a significant disparity between socioeconomic in utilizing healthcare facilities for delivery in Indonesia. Women with better socioeconomic status have better possibilities for utilizing healthcare facilities for delivery.

Assessing the Preparedness of Healthcare Facilities for Disasters and Emergencies in Damghan, Iran

2021 ◽  
pp. 1-7
Author(s):  
Behrad Pourmohammadi ◽  
Ahad Heydari ◽  
Farin Fatemi ◽  
Ali Modarresi
Keyword(s):  
Health Care ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Mitigation Measures ◽  
Health Staff ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Wide Range ◽  
Care Facilities ◽  
The Impact

Abstract Objectives: Iran is exposed to a wide range of natural and man-made hazards. Health-care facilities can play a significant role in providing life-saving measures in the minutes and hours immediately following the impact or exposure. The aim of this study was to determine the preparedness of health-care facilities in disasters and emergencies. Methods: This cross-sectional study was conducted in Damghan, Semnan Province, in 2019. The samples consisted of all the 11 health-care facilities located in Damghan County. A developed checklist was used to collect the data, including 272 questions in 4 sections: understanding threatening hazards, functional, structural, and nonstructural vulnerability of health-care facilities. The data were analyzed using SPSS 21. Results: The results revealed that the health-care facilities were exposed to 22 different natural and man-made hazards throughout the county. The total level of preparedness of the health-care centers under assessment was 45.8%. The average functional, structural, and nonstructural vulnerability was assessed at 49.3%, 31.6%, and 56.4%, respectively. Conclusions: Conducting mitigation measures is necessary for promoting the functional and structural preparedness. Disaster educational programs and exercises are recommended among the health staff in health-care facilities.

scholarly journals A National Accessibility Audit of Primary Health Care Facilities in Brazil—Are People with Disabilities Being Denied Their Right to Health?

2021 ◽  
Vol 18 (6) ◽  
pp. 2953
Author(s):  
Alexandro Pinto ◽  
Luciana Sepúlveda Köpcke ◽  
Renata David ◽  
Hannah Kuper
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
People With Disabilities ◽  
Health Care Facilities ◽  
Internal Space ◽  
Major Barrier ◽  
Healthcare Facilities ◽  
Primary Health ◽  
Care Facilities ◽  
Primary Health Care Facilities

Poor accessibility of healthcare facilities is a major barrier for people with disabilities when seeking care. Yet, accessibility is rarely routinely audited. This study reports findings from the first national assessment of the accessibility of primary health care facilities, undertaken in Brazil. A national accessibility audit was conducted by trained staff of all 38,812 primary healthcare facilities in Brazil in 2012, using a 22-item structured questionnaire. An overall accessibility score was created (22 items), and three sub-scales: external accessibility (eight items), internal accessibility (eight items), information accessibility (six items). The main finding is that the overall accessibility score of primary care facilities in Brazil was low (mean of 22, standard deviation (SD) of 0.21, on a 0–100 scale). Accessibility of different aspects of the healthcare facilities was also low, including external space (mean = 31.0, SD = 2.0), internal space (18.9, 1.9) and accessibility features for people with other visual or hearing impairments (6.3, SD = 1.0). Scores were consistently better in the least poor regions of Brazil and in facilities in larger municipality size (indicating more urban areas). In conclusion, large-scale accessibility audits are feasible to undertake. Poor accessibility means that people with disabilities will experience difficulties in accessing healthcare, and this is a violation of their rights according to international and Brazilian laws.

scholarly journals Delayed access to treatment and frequency of acute respiratory infection as risk factors of severe pneumonia among children aged 12-59 months in Denpasar, Bali

2017 ◽  
Vol 5 (1) ◽  
pp. 61
Author(s):  
Dewa Ayu Ketut Sri Abadi ◽  
Dewa Nyoman Wirawan ◽  
Anak Agung Sagung Sawitri ◽  
I Gusti Ayu Trisna Windiani
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Access To Health Care ◽  
Respiratory Infections ◽  
Severe Pneumonia ◽  
Health Care Facilities ◽  
First Episode ◽  
Access To Treatment ◽  
Healthcare Facilities ◽  
Care Facilities

Background and purpose: Period prevalence of pneumonia among children in Indonesia increased from 2.1 in 2007 to 2.7 per 1000 children in 2013. The highest incidence was found among children aged 12-23 months. This study aims to examine association between delayed access to health care facilities and severity of children pneumonia.Methods: A case control study was conducted in Denpasar City. A total of 132 children were recruited to participate in this study, consisted of 44 cases and 88 controls. Cases were selected from 161 children with severe pneumonia who registered at Pulmonology Department of Sanglah General Hospital between January 2015 to April 2016. Controls were selected from 261 children aged 12-59 months with mild pneumonia who visited out-patient service at all community health centres in Denpasar City between January 2015 and April 2016. Cases and controls were matched by sex. Data were collected by interview with the parents in their houses. Data were analysed using multivariate analysis with logistic regression.Results: Risk factors associated to severity of pneumonia among children aged 12-59 months were delayed access to treatment for more than three days (AOR=2.15;95%CI: 1.39-3.32), non-health care facilities at first episode of illness (AOR=4.02; 95%CI: 1.53-10.61) and frequent episodes of respiratory infections (>4 times) over the last 6 months (AOR=5.45; 95%CI: 2.13-13.96).Conclusion: Delayed access to treatment, did not access healthcare facilities at first episode of illness, and high frequency of acute respiratory infections are risk factors of severe pneumonia among children.

scholarly journals ANALYSIS OF TOURIST TRAVEL PATTERNS TOWARD HEALTH CARE FACILITIES

2018 ◽  
Vol 3 (2) ◽  
pp. 1
Author(s):  
Nida Hanifah ◽  
Marta Nilasari Catur Pujianingsih ◽  
Dea Handika Pratiwi ◽  
Linta Alfi Fahmi ◽  
Fathurohim Anhari ◽  
...  
Keyword(s):  
Health Care ◽  
Network Analysis ◽  
Health Service ◽  
Health Sector ◽  
Route Planning ◽  
Health Care Facilities ◽  
Travel Patterns ◽  
Service Facility ◽  
Healthcare Facilities ◽  
Care Facilities

One of the sectors that are closely related and reasonably determining for the growth and development of the tourism sector is the health sector. The aim of this research  was to a) know the affordability of health care facilities from tourism Prambanan and Plaosan Temple,  b) to know the travel patterns of tourists headed for healthcare facilities. This research uses qualitative descriptive method by using data collection observation techniques, documentation, and data analysis using network analysis. The network analysis method that used is the closest facility. The results of this research show that a) the affordability of the nearest health service facility from the Plaosan Temple object is Kebondalem Lor Puskesmas which is traveled by 1.7 km distance and takes about 4 minutes from the location of Plaosan Temple, while the closest health service facility from the Prambanan Temple is Prambanan Puskesmas which is taken with distance of 5.3 km and travel time 14 minutes from location of Prambanan Temple. to be known travelers can use private vehicles at tourism Plaosan Temple, because the attractions have a radius of 1.7 km. While on the tourist object of tourism Prambanan Temple can not use private vehicle because the mileage exceeds 3 km, and b) The travel pattern of tourists to health care facilities is categorized good, because the tourists can access health services with the nearest route and adequate facilities. Keywords: Travel Patterns, Health Facilities, Network Analysis   ReferencesAnwar, A. (2010). Introduction to Health Administration.Jakarta: Binarupa Aksara.Groenou, M. V., & Tilburg, T. V. (1975). Network Anaysis. Vrije Universitet, Amsterdam, The Netherland.Kuntarto, A., & Purwanto, T. H. (2012). Use of Geographic Information Network Analysis System for Route Planning Tourists in Sleman. Journal of The Earth Indonesia of Vol 1 Number 2, 141.Laksono, A. D., & dkk. (2016). The accessibility of health service in Indonesia. Yogyakarta: KANISIUS PT.Law number. 36 Year 2009 About HealthLaw number. 47 Year 2016 About Health Facilities.Moeleong, L. (2002). Qualitative Research Methods. Bandung: Teens Rosdakarya.Muta'ali, L. (2013). Regional and City Spatial Planning (Tinjauan Normatif-Teknis). Yogyakarta: Badan Penerbit Fakultas Geografi (BPFG) Gadjah Mada University.Narsid, S. (1988). Development Geography. Jakarta: Space.O.Z, T. (1997). Transport Planning and Modeling. Bandung: Institut Teknologi Bandung.  

scholarly journals Does a Husband's Education Matter in Antenatal Care Visits Involvement?: Study on the Poor in Indonesia

2020 ◽  
Author(s):  
Agung Dwi Laksono ◽  
Ratna Dwi Wulandari ◽  
Ratu Matahari
Keyword(s):  
Binary Logistic Regression ◽  
Education Level ◽  
Place Of Residence ◽  
The Past ◽  
The Poor ◽  
The People ◽  
Regression Test ◽  
Level 3 ◽  
Health Survey Data ◽  
Logistic Regression Test

Abstract Background: The husband's involvement in ANC is a form of the husband's responsibility for his wife's health. This study aims to analyze the effect of the husband's education level on the husband's involvement in ANC visits among the poor in Indonesia.Methods: The study employed the 2017 Indonesian Demographic and Health Survey data. The unit of analysis was poor coupled with wives aged 15-49 years old and had been pregnant for the past five years. Samples of 6,414 couple were obtained. Besides the husband's education, other independent variables analyzed in this study were of the place of residence, age, occupation, and wife’s parity. A binary logistic regression test was occupied in the final stage.Results: The results showed that husbands who had primary education were 1.470 times more likely than no education husbands for husband's involvement in ANC visit. Husbands who have secondary education were likely 2.129 times compared to no education husband for husband's involvement. Meanwhile, a husband who has a higher education was probably 3.618 times compared to no education husband for husband's involvement. In addition to the education level, 3 other variables proved to be significantly influential on the husband's involvement in ANC visits among the people in Indonesia, namely place of residence, occupation, and wife’s parity.Conclusion: The husband's education level was a determinant of the husband's involvement in ANC visits among the poor in Indonesia. The better the education level, the more likely it is that husband's involvement in the ANC visit.

scholarly journals Hubungan Pengetahuan dan Sikap Ibu Postpartum tentang Persalinan di Fasyankes dengan Pemilihan Pertolongan Persalinan

2018 ◽  
Vol 18 (3) ◽  
pp. 522
Author(s):  
Ratu Kusuma
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Center ◽  
Health Care Facilities ◽  
Healthcare Facilities ◽  
Public Health Center ◽  
The Public ◽  
Care Facilities ◽  
Postpartum Mothers ◽  
Selection Of

Safe childbirth is childbirth that helped by health personnel in health care facilities. Coverage of childbirth in health care facilities in Jambi province did not reach strategic plan target yet (77.00%), achievement (63.03%), Jambi city (93.86%) and the public health center did not reach target province yet (90%) that is the public health center Talang Bakung (79.00%) and Pal Merah II (78.00%). This study aimed to determine the correlation of knowledge and postpartum mothers attitude about childbirth in health care facilities with a selection of helping in childbirth at the public health center Talang Bakung. This is an analytic descriptive research; with total populations were 32 postpartum mothers, it used total sampling technique. Instrument test was conducted at the public health center Pal Merah II toward 10 postpartum mothers; an instrument used demographic data instrument, knowledge instrument, attitude instrument, and selection of helping in childbirth instrument, with fisher exact test and contingency coefficient. The findings indicated that there is no significant correlation between knowledge and attitudes of childbirth in healthcare facilities with a selection of helping in childbirth with each score p is (p=0.444 p=1.000), contingency coefficient (p=0.399, p=1.000). It is concluded that knowledge and attitude of the postpartum mother about childbirth in healthcare facilities did not affect in a selection of childbirth place chosen by the mother. For the next researcher to research about childbirth in healthcare facilities with the different method.

scholarly journals Dental students’ preference and perception on intraoral scanning and impression making

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Walter Yu-Hang Lam ◽  
Ken Chung-Kan Mak ◽  
Ebrahim Maghami ◽  
Pedro Molinero-Mourelle
Keyword(s):  
Infection Control ◽  
Response Rate ◽  
Binary Logistic Regression ◽  
Dental Students ◽  
Online Questionnaire ◽  
Defect Identification ◽  
Significance Level ◽  
Intraoral Scanning ◽  
Regression Test ◽  
Logistic Regression Test

Abstract Background To investigate the preference and perception on intraoral scanning and impression making among dental students. Methods Final-year dental students from the 2019 and 2020 cohorts were invited to complete an online questionnaire via Google-Form. Their preference on the intraoral-scanning/impression making techniques and their perception on these techniques including the ease of defect identification, ease of infection control, need of chairside support, ease to master the technique as a beginner, efficiency in their hands and ease to handle the scanner software (yes/no) were collected. The results were analysed using McNemar tests and binary logistic regression test. All tests were performed at significance level α = 0.05. Results Ninety-seven students participated in this study with a response rate of 96.0 %. Eighty-one students (83.5 %) have tried intraoral scanning on peers. Fifty-three (54.6 %) students preferred intraoral-scanning and were categorized as Pro-scanning group. Forty-four (45.4 %) students either preferred impression-making (n = 21) or not sure (n = 23) were categorized as Others. More than half of students in both groups felt that intraoral-scanning is easier to identify defect, easier in infection control and require less chairside support. Higher proportion of students in the Pro-scanning group felt that intraoral-scanning requires less chairside support, easier to master as a beginner, more efficient in their hands and they can deal well with the scanner software than that in Others (P < 0.05). Regression shown that students preferred a technique that they perceived is more efficient (P = 0.000). Conclusions While intraoral scanning has perceived advantages, many students still prefer impression making that works more efficient to them.

scholarly journals КРІ model impact on employee motivation and competitiveness of private healthcare facilities

2021 ◽  
Vol 2 (2) ◽  
pp. 31-42
Author(s):  
Stanislav Kotenko ◽  
Iana Kobushko ◽  
Iryna Heiets ◽  
Oleksandr Rusanov
Keyword(s):  
Health Care ◽  
Medical Staff ◽  
Care Quality ◽  
Health Care Facilities ◽  
Private Health Care ◽  
Healthcare Facilities ◽  
Private Healthcare ◽  
Care Facilities ◽  
Private Medicine ◽  
Health And Economic Development

The Constitution of Ukraine stipulates that an individual, his/her life, and health are the highest state social values. The authors highlighted that the health care system is the basis of social policy, national security, public health, and economic development. The current reformation of medical and legal reforms in Ukraine are fully covered by health legislation. In the context of these laws, the government promotes the development of private, communal, and state healthcare facilities. The authors noted that private medicine is snowballing in Ukraine, but the competitiveness of private health care facilities is insufficient in state medical reform. The study emphasized the absence of appropriate tools and mechanisms to motivate staff in private healthcare facilities. Based on the findings, the authors proposed introducing a set of evaluation indicators combined into a single integrated system – key performance indicators (KPIs), which would be the basis for calculating the bonus payroll. In turn, this system of material incentives should encourage medical staff to work effectively, be active, and initiative. The mechanism for developing a set of KPIs should be approved at the administration of the private health care facility. At the same time, medical workers of all levels must participate in KPIs elaborating. The indicators of medical care quality could be further used to improve healthcare, differentiated work assessment of medical staff, and healthcare facility in general, in accreditation and certification of private health care facilities. In the study, the authors formed and analyzed groups of indicators for different categories of the medical staff of private medical institutions. The obtained results showed that different bonus rates are needed to motivate employees at various levels to create an additional incentive to build a medical career. Thus, it could be argued that private healthcare facilities should develop motivation policy and strategy, revise system and forms of remuneration, improve the mechanism of motivation and incentives, focus on increasing competitiveness indicators in private medicine.

Notes From the Field: Availability of Satellite Pharmacies and Pharmacy Service Units in Nigerian Hospitals—Implications for Pharmaceutical Care

2020 ◽  
pp. 016327872093417
Author(s):  
Ene Daniel-Ebune ◽  
Abubakar Ibrahim Jatau ◽  
Sai’du Lawal Burji ◽  
Mustapha Mohammed
Keyword(s):  
Health Care ◽  
Pharmaceutical Care ◽  
Emergency Departments ◽  
Drug Information ◽  
Health Care Facilities ◽  
Pharmacy Service ◽  
Healthcare Facilities ◽  
Care Services ◽  
Care Facilities ◽  
Hospital Pharmacies

The optimal provision of pharmaceutical care services requires an adequate number of pharmacists, satellite pharmacies and service units at healthcare facilities. We examined the availability of these requirements at Nigerian hospitals using the 2016 nationwide inspection reports of hospital pharmacies conducted by the Pharmacists Council of Nigeria. Records of 254 hospitals inspected were retrieved, of which 171 (67.3%) were public. The total number of pharmacists across facilities was 753. The most common satellite pharmacy units recorded were antiretroviral 80 (31.5%) and emergency departments 48 (18.8%). The most common service units were drug revolving funds 176 (69.3%) and drug information 112 (44.1%) units. These findings suggest the availability of pharmacists, satellite pharmacies and service units are inadequate for the optimal delivery of pharmaceutical care services at healthcare facilities in Nigeria. Therefore, there is a need for interventions to improve the provision of pharmaceutical care services at health care facilities in Nigeria.

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