scholarly journals A study on Facility (Hospital) upkeep, hygiene promotion and Support services at Primary Health Centers of western Gujarat: Assessment of performance parameters by using Kayakalp tool

Healthline ◽  
2020 ◽  
Vol 11 (2) ◽  
pp. 53-59
Author(s):  
Lalit Bhandari ◽  
Dipesh Parmar ◽  
Mittal Rathod ◽  
Raj Maunesh ◽  
Nilesh Prajapati ◽  
...  
Keyword(s):  
Support Services ◽  
Water Conservation ◽  
Local Community ◽  
Health Centre ◽  
Health Facilities ◽  
Health Centers ◽  
Primary Health ◽  
Community Monitoring ◽  
Study Results ◽  
Hygiene Promotion

Introduction: Primary Health Centre (PHC) is the cornerstone ofpreventive and promotive health care. Thus services provided at PHCs should be quality care and adequate care.To promote the same, GOI has started award giving based on performance of health facility under different themes. The present study was intended to have insight of the implementation status of swachhta guidelines (Kayakalp).Objective: To assess the Facility upkeep, Support services and Hygiene promotion at Primary Health centers of western Gujarat. Method: The cross sectional study carried out in 33 PHCs (universal sample) of Jamnagar district from 2017 to 2018. The assessment were done for following three categories: 1. Thematic Area 2. Criteria 3. Checkpoint. Under this study three thematic areas(from total 6), Hospital/Facility Upkeep, Support Services and Hygiene Promotion were covered. The data were obtained in present study in the terms of score for each variable. The score divided into up to 50%, 50%-70% and more than 70% then it was compared with different criterion under each theme and data were entered in Microsoft Excel version 2007. Data collection was done through Staff interview, Observations, patient Interview, Record review. Ethical clearance was taken from Institutional ethical committee before commencement of the study. Results: For criterion ; Maintenance of Open Areas, Facility Appearance, Infrastructure Maintenance, Illumination, water sanitation, pharmacy store, outreach services majority of health facilities obtained score >70%, whereas for Water conservation, pest & animal control, Laundry Services and Linen Management, Security services it was around 50%. Community Monitoring & Patient Participation & Information Education and Communication was observed average as per the criteria used.Conclusion:Half of the health facilities performed satisfactorily in work placemanagement. Involvement of Local community and organization in monitoring and promoting cleanliness.poor performance was seen regarding water conservation like maintenance of Water supply system, the preventive measures which were taken to reduce wastage.

Communitarian campaign against the stigma of schizophrenia: “be on the stage”

2011 ◽  
Vol 26 (S2) ◽  
pp. 464-464
Author(s):  
N.S.L. Filipe ◽  
P.J. Clemente ◽  
S.I.S. Mateus ◽  
R.C.C. Lopes
Keyword(s):  
Local Community ◽  
Health Centre ◽  
Medical Illness ◽  
The Public ◽  
Living Body ◽  
Body Imagery ◽  
Primary Health ◽  
The People ◽  
The Subject ◽  
The Impact

The use of cultural approaches addressing stigma and discrimination promotes acceptance by raising consciousness. People with schizophrenia are often stigmatized by others.Discrimination associated with common myths contributes to social exclusion and treatment delay, creating a barrier to recovery.This paper aims to present the development, implementation and evaluation of an anti-stigma campaign in the context of primary health care and local community using theatrical techniques.In the Health Centre waiting rooms the invisible theatre technique was implemented, consisting in the performance of a previously rehearsed script without informing the public that it was a play, aiming to provoke debate and clarify problems related to social inequality and discrimination. The play script addressed common myths related to schizophrenia: People with schizophrenia are usually dangerous and violent; People with schizophrenia are unlikely to recover; Schizophrenia, as other mental conditions is a sign of weakness and not a true medical illness and others. In the local community, street performances were implemented based on image theatre techniques consisting in the use of living body imagery to address the myths described above.Behavioural responses to the intervention were assessed using Likert type scale. Most of the people in both the settings were paying attention to the performances and dialogues. People watching street performances, however, were more active in expressing opinions or making specific questions related to the subject.Further research on the impact of anti-stigma campaigns using theatre techniques is needed. These strategies may provide an effective approach to fight stigma in communitarian settings.

scholarly journals Evaluasi sistem pengelolaan limbah medis Puskesmas di wilayah Kabupaten Bantul

2017 ◽  
Vol 33 (12) ◽  
pp. 587
Author(s):  
Riang Lala Manila ◽  
Sarto Sarto
Keyword(s):  
Waste Management ◽  
Medical Waste ◽  
Health Facilities ◽  
Health Centers ◽  
Private Institution ◽  
Primary Health ◽  
Medical Waste Management ◽  
Bail Out ◽  
Health Cooperation

Evaluation of community health center's medical waste management system in Bantul RegencyPurposeThis study aimed to evaluate the Primary health centers medical waste management systems.MethodsThis research was a qualitative study using a case study design in five Puskesmas of Bantul Dis­trict.ResultsThe manage­ment of medical waste in Bantul Regency is a new model using private party as a user (health cooperative) to hire services to the private transporter (CV. Jogya Prima Per­kasa) to carry out the transportation and destruction of medical waste generated by health facilities of Puskesmas, Pustu, Polindes and private health facilities. Con­sideration of Health Cooperation is a private institution belonging to Dinas Kesehatan and has a legal entity con­sidered more flexible to bail out the initially issued funds to pay the financing of transport and extermination services to the transporter.ConclusionPrimary health care medical waste man­agement has followed the regulations. Health center has conducted medical waste management starting from the sorting, collection, pack­aging, storage, and transport. There should be improvements in some aspects, especially the creation of TPS for Puskesmas that do not have them yet, while Puskesmas who already have TPS need to make im­provements ac­cording to the conditions specified. 

Evaluating the effectiveness of a community-based hygiene promotion program in a rural Salvadoran setting

2017 ◽  
Vol 26 (1) ◽  
pp. 69-80
Author(s):  
Elizabeth L. Andrade ◽  
Jeffrey B. Bingenheimer ◽  
Mark C. Edberg ◽  
Kathryn L. Zoerhoff ◽  
Emily M. Putzer
Keyword(s):  
Disease Transmission ◽  
Local Community ◽  
Diarrheal Disease ◽  
Child Death ◽  
Personal Hygiene ◽  
Local Health ◽  
Community Based ◽  
Hygiene Behavior ◽  
Study Results ◽  
Hygiene Promotion

There has been considerable progress in the reduction of diarrheal disease among children under five through health and nutrition interventions. However, diarrheal disease is still the second leading cause of child death worldwide. There is growing recognition that comprehensive hygiene behavior improvements should be integral to prevention efforts, but the effectiveness of different approaches for hygiene promotion is still being established. Hygiene risk practices vary across settings, suggesting that prevention strategies should be adapted to local contexts using community-based approaches. We planned, implemented, and evaluated a hygiene promotion intervention using the hygiene cluster framework. The two-year, multi-level intervention was implemented by local health promoters who were involved in identifying and addressing disease transmission risks at the household, school, and community levels. The intervention was evaluated using a quasi-experimental pretest-posttest design with repeated follow-up assessments to determine changes in hygiene knowledge and behavior. A household survey instrument was administered at three time points in the intervention ( n = 480) and comparison ( n = 271) communities to assess two hygiene knowledge and eleven hygiene behavior outcome variables. We used one-way analysis of variance with post hoc analysis using Tukey’s HSD for multiple comparisons to examine change and differences over time. We also fit a linear regression model to identify statistically significant differences. Study results demonstrated improvements in the areas of: knowledge of disease transmission and key times for handwashing, water container hygiene, sanitation practices, personal hygiene and food hygiene. The hygiene cluster framework is useful for hygiene promotion intervention planning and evaluation, and we recommended continued testing of this framework across contexts. We also recommend local community participatory approaches, as well as in-depth formative behavioral assessments by hygiene cluster that also consider environmental barriers to behavior change.

scholarly journals Accessibility Analysis of Primary Healthcare Services in Mysore District Using Geospatial Techniques

2021 ◽  
pp. 62-69
Author(s):  
Dr. Minutha. V
Keyword(s):  
Health Services ◽  
Primary Healthcare ◽  
Rural Areas ◽  
Health Centre ◽  
Healthcare Services ◽  
Service Area ◽  
Health Centers ◽  
Primary Health ◽  
Thiessen Polygon ◽  
The Impact

The accessibility of healthcare centers is one of the most important indicators for measuring the efficiency of a healthcare system. Accessibility is a complex indicator that reflects the number of health care institutions, their geographical distribution and the impact of different types of barriers social, Economic and culture (1). Primary health centre which acts as the first level of contact between the population and health centers. It acts has a cornerstone of rural health services. Primary healthcare is affordable, accessible and appropriate care for the particular needs of a given population especially in rural areas. The main objectives of the study are to study the spatial distribution pattern and delineation of service area of primary health centers; to identify the gap between the availability and accessibility of health services. The base map of study area has been geo-referenced and digitized using ARC GIS software. The Global positioning system (GPS) was adopted to take the coordinate of all the existing primary health centers in the study area. Simple Euclidean buffers are mapped and analyzed to define the service area, Thiessen polygon and Nearest Neighbour Technique was used here to identify the availability of health services in Mysore district. The results reveal that, the spatial variation in the distribution of PHC’s, which were not evenly distributed across the study area and there is scarcity in the availability of workforce among the study area.

scholarly journals Comprehensive primary health facilities are more efficient in delivering primary care: Efficiency analysis of primary healthcare facilities in Afghanistan

2020 ◽  
Author(s):  
Farhad Farewar ◽  
Khwaja Mir Ahad Saeed ◽  
Abo Ismael Foshanji ◽  
Said Mohammad Karim Alawi ◽  
Mohammad Yonus Zawoli ◽  
...  
Keyword(s):  
Health Services ◽  
Primary Healthcare ◽  
Relative Efficiency ◽  
Healthcare Services ◽  
Efficiency Score ◽  
Health Facilities ◽  
Health Centers ◽  
Healthcare Facilities ◽  
Average Efficiency ◽  
Primary Health

Abstract Background: The Afghan health system is unique in that primary healthcare is delivered by donor-funded implementing partners, not the government. Given the wide range of implementers providing the basic package of health services, there may exist performance differences in primary healthcare. This study assessed the relative efficiency of different levels of primary healthcare services and explored its determinants in Afghanistan. Method: Data on personnel and capital expenditure (inputs) and the number of facility visits for six primary healthcare services (outputs) were obtained from national health information databases for 1,263 healthcare facilities in 31 provinces. Data envelopment analysis was used to assess the relative efficiency of three levels of primary healthcare facilities (comprehensive, basic, and sub health centers). Bivariate analysis was conducted to assess the correlation of various elements with efficiency scores. Regression models were used to identify potential factors associated with efficiency scores at the health facility level. Results: The average efficiency score of health facilities was 0.74, when pooling all 1,263 health facilities, with 102 health facilities (8.1%) having efficiency scores of 1 (100% efficient). The lowest quintile of health facilities had an average efficiency score of 0.36 while the highest quintile had a score of 0.96. On average, efficiency scores of comprehensive health centers were higher than basic and sub health centers by 0.108 and .071 respectively. In addition, the difference between efficiency scores of facilities in the highest and lowest quintiles was highest in facilities that offer fewer services, so that they have the largest room for improvement. Conclusions: Our findings show that public health facilities in Afghanistan that provide more comprehensive primary health services, use their resources more efficiently, and that smaller facilities have more room for improvement. A more integrated delivery model would help improve the efficiency in providing primary healthcare in Afghanistan.

scholarly journals Integration of traditional birth attendants into prevention of mother-to-child transmission at primary health facilities in Kaduna, North-West Nigeria

2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Reward O. Nsirim ◽  
Joseph A. Iyongo ◽  
Olayinka Adekugbe ◽  
Maureen Ugochuku
Keyword(s):  
Pregnant Women ◽  
Health Facilities ◽  
Traditional Birth Attendants ◽  
Health Centers ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
North West ◽  
Birth Attendants ◽  
Primary Health ◽  
Mother To Child

One of the fundamental challenges to implementing successful prevention of mother-tochild transmission (PMTCT) programs in Nigeria is the uptake of PMTCT services at health facilities. Several issues usually discourage many pregnant women from receiving antenatal care services at designated health facilities within their communities. The CRS Nigeria PMTCT Project funded by the Global Fund in its Round 9 Phase 1 in Nigeria, sought to increase demand for HIV counseling and testing services for pregnant women at 25 supported primary health centers (PHCs) in Kaduna State, North-West Nigeria by integrating traditional birth attendants (TBAs) across the communities where the PHCs were located into the project. Community dialogues were held with the TBAs, community leaders and women groups. These dialogues focused on modes of mother to child transmission of HIV and the need for TBAs to refer their clients to PHCs for testing. Subsequently, data on number of pregnant women who were counseled, tested and received results was collected on a monthly basis from the 25 facilities using the national HIV/AIDS tools. Prior to this integration, the average number of pregnant women that were counseled, tested and received results was 200 pregnant women across all the 25 health facilities monthly. After the integration of TBAs into the program, the number of pregnant women that were counseled, tested and received results kept increasing month after month up to an average of 1500 pregnant women per month across the 25 health facilities. TBAs can thus play a key role in improving service uptake and utilization for pregnant women at primary health centers in the community – especially in the context of HIV/AIDS. They thus need to be integrated, rather than alienated, from primary healthcare service delivery.

scholarly journals Analisis Karakteristik dan Persepsi Pengguna Pelayanan Terhadap Pemanfaatan Puskesmas Sebagai Gatekeeper di Dua Puskesmas Kota Bekasi Tahun 2016

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Fitria Kusumawati Wulandari ◽  
Anhari Achadi
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Managed Care ◽  
Health Workers ◽  
Health Facilities ◽  
Health Centers ◽  
Dominant Factor ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Primary Health

AbstrakKonsep pelayanan kesehatan primer pada era Jaminan Kesehatan Nasional (JKN) dikembangkan dengan penguatan pelayanan primer sebagai gatekeeper dengan konsep managed care. Pada konsep managed care, suksesnya sistem gatekeeper salah satunya dinilai dari angka kunjungan dan angka rujukan ke Fasilitas Kesehatan Tingkat Lanjutan (FKTL). Penelitian ini bertujuan untuk mengetahui karakteristik dan persepsi pengguna pelayanan terhadap pemanfaatan Puskesmas sebagai gatekeeper di dua puskesmas Kota Bekasi. Penelitian ini menggunakan desain cross sectional dan pengumpulan data melalui pengisian kuesioner oleh 208 pasien peserta JKN di dua puskesmas Kota Bekasi dengan metode pengambilan sampel secara stratified purposive sampling. Hasil penelitian menunjukkan pekerjaan (nilai p=0,018), persepsi terhadap sikap petugas kesehatan (nilai p=0,000), dan lama berobat (nilai p=0,048) berhubungan dengan pemanfaatan puskesmas sebagai gatekeeper. Persepsi terhadap sikap petugas kesehatan merupakan faktor dominan yang mempengaruhi pemanfaatan Puskesmas sebagai gatekeeper (r=0.720). Penerapan konsep gatekeeper dengan baik dapat meningkatkan pemanfaatan Puskesmas dan menekan angka rujukan ke FKTL. AbstractThe concept of primary health care in the era of National Health Insurance (JKN) is developed by strengthening primary health care as a gatekeeper with the concept of managed care. In this concept of managed care, one og the success story of the gatekeeper system is assessed by the visit and referral rates to the Higher Level of Health Facilities (ALHF/Fasilitas Kesehatan Tingkat Lanjut). This study aimed to determine the characteristics and perception of service users towards utilization of public health centers (PHC/Puskesmas) as gatekeeper in two PHC in City of Bekasi. This study used cross-sectional design and data collection by filling up questionnaires by 208 patients of JKN members in two health centers in Bekasi with stratified purposive sampling methods. The results showed that job(p=0.018), perceptions of the health workers’ attitudes (p=0.000), and treatment duration (p=0.048) were related to the utilization of PHC as a gatekeeper. Perceptions of the health workers’ attitude was the dominant factor affecting the utilization of PHC as a gatekeeper (r=0.720). The health workers’ attitude affected the repeated utilization services in PHC and its utilization as a gatekeeper, especially for continuum care. The proper application of gatekeeper concept should be able to increase the utilization of PHC and reduce the number of referrals to the Advanced Level of Health Facilities (ALHF).

scholarly journals Comprehensive primary health facilities are more efficient in delivering primary care: Efficiency analysis of primary healthcare facilities in Afghanistan

2019 ◽  
Author(s):  
Farhad Farewar ◽  
Khwaja Mir Ahad Saeed ◽  
Abo Ismael Foshanji ◽  
Said Mohammad Karim Alawi ◽  
Mohammad Yonus Zawoli ◽  
...  
Keyword(s):  
Health Services ◽  
Primary Healthcare ◽  
Relative Efficiency ◽  
Healthcare Services ◽  
Efficiency Score ◽  
Health Facilities ◽  
Health Centers ◽  
Healthcare Facilities ◽  
Average Efficiency ◽  
Primary Health

Abstract Background The Afghan health system is unique in that primary healthcare is delivered by donor-funded implementing partners, not the government. Given the wide range of implementers providing the basic package of health services, there may exist performance differences in primary healthcare. This study assessed the relative efficiency of different levels of primary healthcare services and explored its determinants in Afghanistan.Method Data on personnel and capital expenditure (inputs) and the number of facility visits for six primary healthcare services (outputs) were obtained from national health information databases for 1,263 healthcare facilities in 31 provinces. Data envelopment analysis was used to assess the relative efficiency of three levels of primary healthcare facilities (comprehensive, basic, and sub health centers). Bivariate analysis was conducted to assess the correlation of various elements with efficiency scores. Regression models were used to identify potential factors associated with efficiency scores at the health facility level.Results The average efficiency score of health facilities was 0.74, when pooling all 1,263 health facilities, with 102 health facilities (8.1%) having efficiency scores of 1 (100% efficient). The lowest quintile of health facilities had an average efficiency score of 0.36 while the highest quintile had a score of 0.96. On average, efficiency scores of comprehensive health centers were higher than basic and sub health centers by 0.108 and .071 respectively. In addition, the difference between efficiency scores of facilities in the highest and lowest quintiles was highest in facilities that offer fewer services, so that they have the largest room for improvement.Conclusions Our findings show that public health facilities in Afghanistan that provide more comprehensive primary health services, use their resources more efficiently, and that smaller facilities have more room for improvement. A more integrated delivery model would help improve the efficiency in providing primary healthcare in Afghanistan.

scholarly journals Analisis Karakteristik dan Persepsi Pengguna Pelayanan Terhadap Pemanfaatan Puskesmas Sebagai Gatekeeper di Dua Puskesmas Kota Bekasi Tahun 2016

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Fitria Kusumawati Wulandari ◽  
Anhari Achadi
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Managed Care ◽  
Health Workers ◽  
Health Facilities ◽  
Health Centers ◽  
Dominant Factor ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Primary Health

AbstrakKonsep pelayanan kesehatan primer pada era Jaminan Kesehatan Nasional (JKN) dikembangkan dengan penguatan pelayanan primer sebagai gatekeeper dengan konsep managed care. Pada konsep managed care, suksesnya sistem gatekeeper salah satunya dinilai dari angka kunjungan dan angka rujukan ke Fasilitas Kesehatan Tingkat Lanjutan (FKTL). Penelitian ini bertujuan untuk mengetahui karakteristik dan persepsi pengguna pelayanan terhadap pemanfaatan Puskesmas sebagai gatekeeper di dua puskesmas Kota Bekasi. Penelitian ini menggunakan desain cross sectional dan pengumpulan data melalui pengisian kuesioner oleh 208 pasien peserta JKN di dua puskesmas Kota Bekasi dengan metode pengambilan sampel secara stratified purposive sampling. Hasil penelitian menunjukkan pekerjaan (nilai p=0,018), persepsi terhadap sikap petugas kesehatan (nilai p=0,000), dan lama berobat (nilai p=0,048) berhubungan dengan pemanfaatan puskesmas sebagai gatekeeper. Persepsi terhadap sikap petugas kesehatan merupakan faktor dominan yang mempengaruhi pemanfaatan Puskesmas sebagai gatekeeper (r=0.720). Penerapan konsep gatekeeper dengan baik dapat meningkatkan pemanfaatan Puskesmas dan menekan angka rujukan ke FKTL. AbstractThe concept of primary health care in the era of National Health Insurance (JKN) is developed by strengthening primary health care as a gatekeeper with the concept of managed care. In this concept of managed care, one og the success story of the gatekeeper system is assessed by the visit and referral rates to the Higher Level of Health Facilities (ALHF/Fasilitas Kesehatan Tingkat Lanjut). This study aimed to determine the characteristics and perception of service users towards utilization of public health centers (PHC/Puskesmas) as gatekeeper in two PHC in City of Bekasi. This study used cross-sectional design and data collection by filling up questionnaires by 208 patients of JKN members in two health centers in Bekasi with stratified purposive sampling methods. The results showed that job(p=0.018), perceptions of the health workers’ attitudes (p=0.000), and treatment duration (p=0.048) were related to the utilization of PHC as a gatekeeper. Perceptions of the health workers’ attitude was the dominant factor affecting the utilization of PHC as a gatekeeper (r=0.720). The health workers’ attitude affected the repeated utilization services in PHC and its utilization as a gatekeeper, especially for continuum care. The proper application of gatekeeper concept should be able to increase the utilization of PHC and reduce the number of referrals to the Advanced Level of Health Facilities (ALHF).

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