Organizational Context and Leadership in the Integration Role of Health Care Provider of Integrated Antenatal Care Team in Public Health Centre

2018 ◽  
Vol 9 (5) ◽  
pp. 284
Author(s):  
Wardani S Diadjeng ◽  
Fendy Suhariadi ◽  
Nyoman Anita Damayanti
Keyword(s):  
Public Health ◽  
Health Care ◽  
Antenatal Care ◽  
Health Care Provider ◽  
Care Provider ◽  
Organizational Context ◽  
Health Centre ◽  
Care Team ◽  
Public Health Centre

scholarly journals DISTRIBUTION AND SPATIAL PATTERN ANALYSIS ON MALNUTRITION CASES: A CASE STUDY IN PONTIANAK CITY

2020 ◽  
Vol 20 (2) ◽  
pp. 56-64
Author(s):  
Agus Fitriangga ◽  
Gerry Albilardo ◽  
Muhammad Pramulya
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Household Income ◽  
Health Care Service ◽  
Health Centre ◽  
Geographic Information ◽  
Spatial Pattern Analysis ◽  
Public Health Centre ◽  
Primary Health

Based on the Basic Health Research (Riskesdas) in 2018, malnutrition cases in West Kalimantan reached 23.8 percent. In 2015, Pontianak City documented 27 cases of malnutrition. Then, the cases increased in 2016 and 2017 as many as 29 and 41 cases. The utilization of Geographic Information System (GIS) is required as a method for public health surveillance and monitoring. This study aims to analyze the distribution of malnutrition cases based on several clinical and non-clinical factors using GIS between 2016 to 2017. The dependent variable was malnutrition cases and the independent variables included household income level, parent’s educational level, comorbidities factors, and distance to the primary health care service. A total of 65 cases of malnutrition in Pontianak City were collected from six sub-districts in Pontianak City. This research was a cross-sectional study. The results showed that of 65 cases of malnutrition occurred on under 5-year-old children in Pontianak in 2016-2017, malnutrition cases taking place in East Pontianak sub-district were 29 cases (44.6%). In addition, malnutrition with clinical symptoms was reported 63 cases (96.9%), while the distance from home to primary health care less than 1 km was 32 cases (49.23%). The study also revealed that malnutrition with comorbidities were 78,5%. Finally, household income levels with malnutrition were below Pontianak regional minimum wage (Rp 2,515,000/month or $176,88). The mapping of malnutrition cases using Geographic Information Systems can facilitate the nutrition programmer in Pontianak City Health Office and Public Health Centre in intervening the social determinant of health to overcome malnutrition.

scholarly journals Pemanfaatan Pelayanan Kesehatan Sasaran Program Jaminan Tabalong Sehat di Kabupaten Tabalong Kalimantan Selatan

2018 ◽  
pp. 102-112
Author(s):  
Amir Su'udi ◽  
Harimat Hendarwan
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Health Services Utilization ◽  
Health Centre ◽  
Cross Sectional ◽  
Public Health Centre ◽  
Health Security ◽  
Services Utilization ◽  
Free Health Care

Abstrak Pemerintah Kabupaten Tabalong Kalimantan Selatan menerapkan pelayanan kesehatan gratis di Puskesmas melalui program Jaminan Tabalong Sehat (JTS) sejak tahun 2008. Peserta JTS adalah seluruh penduduk Tabalong yang tidak memiliki asuransi atau jaminan kesehatan. Penelitian ini bertujuan mengetahui faktor-faktor yang berhubungan dengan pemanfaatan pelayanan kesehatan di puskesmas. Penelitian ini menggunakan desain cross sectional dan wawancara mendalam. Sampel uji sebanyak 253 rumah tangga sasaran program JTS, diambil dari 405 sampel rumah tangga yang dipilih secara sistematik, dari klaster 15 desa/kelurahan di tiga wilayah puskesmas terpilih. Hasil penelitian menunjukkan bahwa pemanfaatan pelayanan kesehatan gratis di puskesmas belum optimal. Sebanyak 52% rumah tangga pernah memanfaatkan pelayanan kesehatan puskesmas dalam setahun terakhir. Faktor yang berhubungan dengan pemanfaatan pelayanan kesehatan di puskesmas adalah pengetahuan, kemauan untuk membayar/WTP, adanya penyakit tertentu, waktu tempuh, kemudahan dan biaya transportasi. Rendahnya pemanfaatan pelayanan kesehatan di puskemas yang sudah digratiskan disebabkan karena kurang optimalnya kegiatan puskesmas, kurangnya sosialisasi ke masyarakat dan sasaran masyarakat yang disubsidi kurang tepat. Kata kunci: Pemanfaatan pelayanan kesehatan, Puskesmas, Subsidi, Tabalong Abstract Government of Tabalong District have been giving free health care subsidies at public health centre (PHC) through Tabalong Health Security (Jaminan Tabalong Sehat /JTS) program since 2008. Targetting of JTS program are all of Tabalong citizens that have not covered by health insurance or other health security programs. The objective of this research was to know the factors that related with utilization of health services at PHC in Tabalong District. Approach of this research were cross sectional design and deep interview. Sampels were 253 targetting household taken form 405 household that selected by systematic random from 15 villages cluster at three selected PHC areas. The result showed that utilization of free health services subsidies were not optimize yet. Just 52% of household utilized health services at PHC in the last year. The factors that related with health services utilization at PHC are knowledge, willingness to pay (WTP), diseases avalaibility, travelling time, easiness and cost of transportation. The low rates utilization of free health care were also caused by un-optimize of PHC’s activities, lack of promotion the JTS programs, not matching of subsidies targetting. Keywords: Health services utilization, public health centre, subsidy, Tabalong

scholarly journals The Continued Mistreatment of Women During Pregnancy and Childbirth

2019 ◽  
Vol 28 (4) ◽  
pp. 183-185
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care Provider ◽  
Care Provider ◽  
Maternity Care ◽  
The United States ◽  
Place Of Birth ◽  
Pregnancy And Childbirth ◽  
Childbearing Women

Mistreatment of women during pregnancy and childbirth continues to define our American way of birth in spite of decades of awareness and concern. The Giving Voice to Mothers study identifies the incidence of mistreatment of childbearing women in the United States, the factors that increase a woman's risk of being mistreated including socio economic and racial characteristics, place of birth, and health-care provider. This editorial highlights the study findings, the role of the current maternity care system in perpetuating inequality and mistreatment, and calls on all stakeholders to create a culture that cares for women with respect and dignity. The editor also describes the contents of this issue, which offer a broad range of resources, research, and inspiration for childbirth educators in their efforts to promote, support, and protect natural, safe, and healthy birth.

scholarly journals Insights for rural health care provider retention : a quantitative survey analysis

2021 ◽  
Author(s):  
◽  
Maria Kuhns
Keyword(s):  
Health Care ◽  
Rural Communities ◽  
Rural Health ◽  
Health Care Provider ◽  
Health Care Providers ◽  
Care Provider ◽  
Rural Health Care ◽  
Care Providers ◽  
The Impact

Due to rural health disparities and an uneven distribution of health providers across the rural urban continuum, retaining the existing rural health care provider workforce may be an important strategy to maintain existing rural health care provision. While a large body of literature addresses how to recruit health care providers to rural areas, less is known about how to retain these providers. Even less literature has focused on the role of rural communities in health care provider retention. In this thesis, I examine the role of provider background and familial characteristics, workplace characteristics, and community characteristics that may impact a provider's likelihood to consider leaving a rural community. I use data from a survey of over 900 rural health care providers across nine states and a probit model to estimate the impact of these characteristics on a provider's propensity to consider leaving. I find that establishing social ties and integrating within the community through volunteering reduces providers' likelihood to consider leaving by 10 percent. Additionally, providers who engage in entrepreneurship by investing in part or all of their practice are 12 percent less likely to consider leaving, all else being equal. I also find that having unacceptable on-call responsibilities increases a provider's likelihood to consider leaving by 17 percent. This thesis contributes to the existing literature by estimating the effects of work-life balance, entrepreneurship, and the role of family and personal integration on provider retention. Furthermore, it emphasizes the role of communities in provider retention. These results offer insights to rural communities and decision-makers seeking to identify how to maintain their existing rural health care workforce.

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