scholarly journals Identification and Management of High Risk Complications during Postnatal Period by Ground Level Workers

2021 ◽  
Author(s):  
Jasneet Kaur ◽  
Suresh Ray
Keyword(s):  
High Risk ◽  
Health Workers ◽  
Ground Level ◽  
Postnatal Period ◽  
Child Health Services ◽  
Child Birth ◽  
Puerperal Infection ◽  
The Government ◽  
Set Up ◽  
National Programs

What to expect after the child birth. A healthy newborn is considered as priority, but postnatal care counts too. It is not always that story ended up with safe child birth; mother is still at high risk if not taken care after birth. Antenatal and intra natal period are the hardest part of a life span of a pregnant women. Mandatory Antenatal visits and maternal and child health services provided by the government with hand holding national programs and schemes have converted this tough path into smooth platform. Similarly postnatal period is equally important in the life of a new mother. The transition has already been set up by creating fourth stage of pregnancy instead of traditional three stages. Several studies have observed complications in postnatal period especially Primary PPH but very minimal studies had concentrated on Secondary PPH. Over and above there are no significant and standardized guidelines made available for the health workers to define the set limits of blood loss and management of secondary PPH. The condition becomes more critical when severe secondary PPH came for the hospitalization when the exact cause and associated factors remains often unknown. Also many postpartum infections emerge 24 hours after the delivery and discharge from hospital. Consequently, in the lack of proper knowledge and skills regarding identification of postnatal complications like secondary PPH and Puerperal infection, many cases go undiagnosed and unreported. This chapter will deals with the skills of the ground level workers required to identify and manage selected high risk complications in postnatal period.

scholarly journals Contact tracing: a global perspective and recommendations for the Indian scenario

2020 ◽  
Vol 7 (9) ◽  
pp. 3740
Author(s):  
Varad Puntambekar ◽  
Parth Sharma ◽  
Manish Mulchandani
Keyword(s):  
Health Workers ◽  
Negative Impact ◽  
Global Perspective ◽  
Contact Tracing ◽  
User Privacy ◽  
Self Monitoring ◽  
Highly Educated ◽  
The Government ◽  
Set Up ◽  
Tracing Techniques

We are currently in the midst of a pandemic of SARS-COVID-19 that has spread and increased its reach geometrically in just 3 months. Different countries and states are employing multiple methods to decrease the spread of the virus and decrease its negative impact. The government of India also has taken steps to identify and trace all patients and their contacts. This requires immense input of manpower, finance and technological solutions. Models from India and all over the world act as guides in highlighting the advantages and pitfalls of this method. Models of South Korea, Taiwan and Singapore, where intensive contact tracing measures have been implemented have been successful in controlling the pandemic but have created issues of invasion of privacy. Most successful models, in the developing world have sought out to create a multi-disciplinary dedicated contact tracing team of roughly 2-3 contact tracers per 1000 population. It is important to set up a dedicated team for this so that the already stretched ASHA and other community health workers are not overburdened as more responsibilities might lead do decrease in quality. Such a team, which is sensitive to local customs and armed with basics of contact-tracing techniques, need not be highly educated. Technological solutions that keep user privacy as a priority and encourage transparent sharing of methodologies to ensure user privacy must be promoted. Solutions must ensure dissemination of information from trusted sources and self-monitoring of symptoms.

scholarly journals The Compliance of Independent Practice Midwife (PMB) in Completing the MCH Handbook In Lamongan Regency, East Java

2020 ◽  
Vol 12 (1) ◽  
pp. 18
Author(s):  
Sulistiyowati Sulistiyowati ◽  
Ansih Khoiriyah
Keyword(s):  
Infant Health ◽  
Health Workers ◽  
Simple Random Sampling ◽  
Child Health Services ◽  
Independent Practice ◽  
Communication Tool ◽  
Cross Sectional ◽  
Knowledge Variable ◽  
Mother And Child ◽  
The Government

The government makes a policy for health workers to use MCH Handbook as a communication tool and medium for counseling mothers, families and the community regarding maternal and child health services including their references, mother and child service packages, nutrition, immunization and toddler development. The purpose of this study is to determine the factors that influence the compliance of MCH Handbook completion. This research is an analytic study with cross sectional approach. The population in the study were all Independent Midwife Practices (PMB) in the Lamongan district area which were listed in the IBI Branch Management as many as 572, which were divided into 38 branches. The samples were 82 PMB  obtained through simple random sampling, namely the lottery technique. The independent variables in this study were Knowledge, Motivation, Supervision and Work Time while the dependent variable is Compliance with the MCH Handbook. The collected data were processed using Bivariate and Multivariate tests. The results showed that the variables of knowledge, motivation, supervision and length of work affected the compliance of midwives in completing the MCH handbook with p <0.05. It means that H0 was rejected and H1 was accepted. The effects were also influenced the knowledge variable where p <0.05.    Based on the above data, it can be concluded that completing the MCH Handbook by midwives is important in order to monitor the development of maternal and infant health and as a means of communication to the patients. Keywords: Compliance, Midwife, Mother and Child Handbook

scholarly journals The baseline characteristics and interim analyses of the high-risk sentinel cohort of the Vietnam Initiative on Zoonotic InfectiONS (VIZIONS)

2015 ◽  
Vol 5 (1) ◽  
Author(s):  
Juan J. Carrique-Mas ◽  
Ngo T. Tue ◽  
Juliet E. Bryant ◽  
Karen Saylors ◽  
Nguyen V. Cuong ◽  
...  
Keyword(s):  
High Risk ◽  
Health Workers ◽  
Animal Health ◽  
Disease Outbreaks ◽  
Community Based ◽  
Wild Pigs ◽  
Exotic Animals ◽  
Zoonotic Infections ◽  
Set Up ◽  
Bamboo Rat

Abstract The Vietnam Initiative for Zoonotic Infections (VIZIONS) includes community-based ‘high-risk sentinel cohort’ (HRSC) studies investigating individuals at risk of zoonotic infection due to occupational or residential exposure to animals. A total of 852 HRSC members were recruited between March 2013 and August 2014 from three provinces (Ha Noi, Dak Lak and Dong Thap). The most numerous group (72.8%) corresponded to individuals living on farms, followed by slaughterers (16.3%) and animal health workers (8.5%). Nasal/pharyngeal and rectal swabs were collected from HRSC members at recruitment and after notifying illness. Exposure to exotic animals (including wild pigs, porcupine, monkey, civet, bamboo rat and bat) was highest for the Dak Lak cohort (53.7%), followed by Ha Noi (13.7%) and Dong Thap (4.0%). A total of 26.8% of individuals reported consumption of raw blood over the previous year; 33.6% slaughterers reported no use of protective equipment at work. Over 686 person-years of observation, 213 episodes of suspect infectious disease were notified, equivalent of 0.35 reports per person-year. Responsive samples were collected from animals in the farm cohort. There was noticeable time and space clustering of disease episodes suggesting that the VIZIONS set up is also suitable for the formal epidemiological investigation of disease outbreaks.

India is poised for fintech boom

2021 ◽  
Keyword(s):  
High Risk ◽  
Transaction Costs ◽  
Low Income ◽  
Ease Of Use ◽  
Light Touch ◽  
Content Type ◽  
Low Income Population ◽  
The Government ◽  
Set Up

Significance Registering compound growth of 23% per year, the value of its fintech market is expected to reach USD6.2tn by 2025 from USD1.9tn in 2019, according to industry estimates. There are over 2,100 fintechs in the country, two-thirds of which were set up in the last five years. Due to India’s vast unbanked population, the government favours light-touch regulation. Impacts Demand for cybersecurity services for fintechs will rise. Lower transaction costs and ease of use will make fintechs attractive to India’s low-income population. Fintechs face high risk of delinquency and fraud.

Unique Experiences of Frontline Health Workers involved in management of COVID-19: Stories from Rural Odisha

2021 ◽  
Vol 7 (12) ◽  
pp. 623-628
Author(s):  
Hari Ram Choudhary ◽  
Hemraj P. Jangir ◽  
Shalu Gupta
Keyword(s):  
High Risk ◽  
Rural Areas ◽  
Health Workers ◽  
Social Stigma ◽  
Narrative Study ◽  
Frontline Health Workers ◽  
The Government

This narrative study tells the stories of Frontline Health Workers who are actively involved in the management of COVID-19 in the rural areas of Odisha state in India. They have been known as corona warriors by the Government and Media but at the same time, they became the victims of mental and social stigma. Despite their high risk of dealing with corona patients, they worked tirelessly but we as a society started stigmatizing them and failed to give the respect that they deserve. This study is an attempt to highlight their responses to mental and social stigma.

scholarly journals The Effect of Accessibility on Performance of Maternal and Child Health Policy Implementation in East Nusa Tenggara Province, Indonesia

2019 ◽  
Vol 11 (11) ◽  
pp. 180
Author(s):  
Tat Florentianus ◽  
Bait M. Maria
Keyword(s):  
Child Health ◽  
Health Service ◽  
Health Services ◽  
Policy Implementation ◽  
Maternal And Child Health ◽  
Health Workers ◽  
Child Health Services ◽  
Service Accessibility ◽  
The Government ◽  
And Child Health

BACKGROUND: The fact shows that the performance of health service policy implementation from the output aspect (out put) and the outcome (out comes) policy has not been in line with expectations. This condition will also have a direct influence on the Human Development Index in East Nusa Tenggara Province, where the position of East Nusa Tenggara is still in the order of 32 out of 34 provinces in Indonesia, which ranges from 68.77. The main purpose of this study was to identify the health service accessibility in East Nusa Tenggara. Furthermore, this study also intended to find out the performance of policy implementation and was to identify the effect of accessibility of health sevices on the performance of policy implementation on mothers and children in East Nusa Tenggara. SUBJECT &amp; METHOD: This research is a quantitative study, conducted in 11 districts, 104 community healths services, and has 235 health workers as respondents in East Nusa Tenggara Province of Indonesia. RESULT: The results of the study on conditions of accessibility and networking in maternal and child health services in East Nusa Tenggara Province are still lacking (mean 2.7), meaning that conditions of accessibility in East Nusa Tenggara Province do not support the implementation of MCH policies. The performance of MCH policy implementation in East Nusa Tenggara Province is in the 3.36 category, meaning that the targets of MCH services that have been made have not been maximally realized. There is a correlation between accessibility conditions and the performance of MCH policy implementation (p = 0.00), the correlation coefficient of 0.429 shows that this correlation is quite strong, although not very strong. This correlation shows a positive relationship which means that if the accessibility conditions are easier, it will improve the performance of MCH policy implementation. The effect of accessibility on policy performance has been carried out partial linear regression test (t test), found t count = 19.0115 &gt; t table 1.97 means that there is a significant influence on the condition of accessibility to the performance of MCH policies in East Nusa Tenggara Province. CONCLUSION: Accessibility to health services in East Nusa Tenggara Province is still lacking, the policy implementation performance is good and there is a significant and positive influence between service accessibility and policy implementation performance. RECOMENDATION: The government is expected to be more serious in efforts to open the accessibility of health services and set more realistic targets that could be achieved.

scholarly journals National Vaccination and Local Intervention Impacts on COVID-19 Cases

2021 ◽  
Vol 13 (15) ◽  
pp. 8282
Author(s):  
Toni Toharudin ◽  
Resa Septiani Pontoh ◽  
Rezzy Eko Caraka ◽  
Solichatus Zahroh ◽  
Panji Kendogo ◽  
...  
Keyword(s):  
High Risk ◽  
Elderly People ◽  
Impact Analysis ◽  
Health Workers ◽  
Vaccination Program ◽  
Frontline Health Workers ◽  
Global Pandemic ◽  
Causal Impact ◽  
The Government ◽  
Activity Restrictions

COVID-19, as a global pandemic, has spread across Indonesia. Jakarta, as the capital of Indonesia, is the province with the most positive cases. The government has issued various guidelines, both at the central and regional levels. Since it began in 2021, the planned new measures, called ‘Pemberlakuan Pembatasan Kegiatan Masyarakat Darurat’, or PPKM emergency public activity restrictions, began with the possibility that the number of active cases might decrease. Accordingly, global vaccinations were also carried out, as they were in Indonesia. However, the first phase prioritized frontline health workers and high-risk elderly people. This study conducted a causal impact analysis to determine the effectiveness of PPKM in Jakarta and its vaccination program against the increase in daily new cases. Based on this test, PPKM showed a significant effect on the addition of daily new cases and recovered cases. Conversely, the vaccination program only had a significant impact on recovered cases. A forecast of the COVID-19 cases was conducted and indicated that the daily new cases showed a negative trend, although it fluctuated for the next 7 days, while death and recovered cases continued to increase. Hence, it can be said that the vaccination program has still not shown its effectiveness in decreasing the number of daily new cases while PPKM is quite effective in suppressing new cases.

HHS Moves to Set Up High-Risk Insurance Pools

2010 ◽  
Vol 40 (7) ◽  
pp. 4
Author(s):  
MARY ELLEN SCHNEIDER
Keyword(s):  
High Risk ◽  
Set Up ◽  
Risk Insurance

Eliminating Hepatitis B from Bangladesh by the Year 2030

2020 ◽  
Vol 38 (3) ◽  
pp. 145-149
Author(s):  
Md Golam Mustafa ◽  
Md Shahinul Alam ◽  
Md Golam Azam ◽  
Md Mahabubul Alam ◽  
Md Saiful Islam ◽  
...  
Keyword(s):  
Hepatitis B ◽  
Health Workers ◽  
Health Sector ◽  
Public Health Problem ◽  
Integrated System ◽  
Hbv Infection ◽  
Diagnosis And Treatment ◽  
Major Public Health Problem ◽  
Medical Institutions ◽  
The Government

Worldwide, hepatitis B virus (HBV) infection is still a major public health problem. Bangladesh having a large burden of HBV infection, should be a major contributor towards it’s elimination by 2030. The country has been making progress in reducing incidence of HBV infection during the past decades. The progresses are mainly due to large vaccination coverage among children and large coverage of timely birthdose vaccine for prevention of mother-to-child transmission of HBV. However, Bangladesh still faces challenges in achieving target of reduction in mortality from HBV. On the basis of targets of the WHO’s Global health sector strategy on viral hepatitis 2016–2021, we highlight priorities for action towards HBV elimination. To attain the target of reduced mortality we propose that, the service coverage targets of diagnosis and treatment should be prioritized along with vaccination. Firstly, improvements are needed in the diagnostic and treatment abilities of medical institutions and health workers. Secondly, the government needs to reduce the costs of health care. Thirdly, better coordination is needed across existing national program and resources to establish an integrated system for prevention, screening, diagnosis and treatment of HBV infection. In this way, we can make progress towards achieving the target of eliminating HBV from Bangladesh by 2030 J Bangladesh Coll Phys Surg 2020; 38(3): 145-149

Health Cadres Commitmentin Child Health Care in Moslem Society of Banyumas District

2016 ◽  
Vol 1 ◽  
pp. 60-65
Author(s):  
Umi Solikhah ◽  
Hari Kusnanto ◽  
Fitri Haryanti
Keyword(s):  
Health Care ◽  
Child Health ◽  
Health Services ◽  
Group Discussion ◽  
Community Empowerment ◽  
Child Health Services ◽  
Child Health Care ◽  
Minimum Requirements ◽  
Social Esteem ◽  
The Government

Community empowerment with regard to maternal and child health services at the community level carried out by cadre.Cadre is health volunteers, selected by the community.404 number of active cadres in primary health care of South Purwokerto entirely female, although it may be a cadre of men. Active cadre toddler actively providing services every month for child before 5 years age. Interest to know the various reasons committed cadres in performing their duties. The method used is qualitative study,to describe a variety of reasons commitment to perform cadre duties in child health care. Retrieving data using interview techniques through the focus group discussion. Data from 30 cadres.Results of interviews taken until the data saturation, as a reason believed by cadres in the commitment to carry out tasks of serving the Muslim community. Characteristic respondent are mean of age 38 years (the youngest age of 25 years and the oldest 55 years old), a 100% Islamic religion, level of education majority of senior high school(at least primary school). Educational level health cadres in Banyumas has met the minimum requirements by the WHO.Results of the analysis showed thatcommitment includes a cadre of dedicated, caring community, a desire to learn, social esteem, individual satisfaction, togetherness, organization, and spirituality. The spirit of cadre to the community need the attention of the government for development and prosperity in accordance with their duties.Spiritual reasons become one of the motivations in providing health services to the community, albeit to a spirit of dedication and a great desire to learn. Cadres continue to provide services, even to families with different spiritual.

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