scholarly journals Analysis of Implementation of Maternity Planning and Prevention of Complication (P4K) Program with Stickers in Purwakarta Regency 2017

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Yunita Restu Safitri ◽  
Pujiyanto Pujiyanto
Keyword(s):  
Human Resources ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Primary Healthcare ◽  
Risk Groups ◽  
District Health ◽  
Maternal Deaths ◽  
Healthcare Center ◽  
Interviewing Techniques ◽  
Primary Healthcare Center

Pregnant women are one of the risk groups that should be considered to receive particular attention. Maternal mortality is caused by direct and indirect causes, which generally can be identified in early pregnancy. The Ministry of Health has launched various programs to reduce maternal mortality. At the community level, since 2007, there has been a birth planning and prevention of complications (P4K) program as a screening tool for pregnant women at risk by using stickers. The main point of this program is the active participation of families and communities to care for pregnant women in their environment. Purwakarta Regency, a region with uncomplicated geographical conditions, is supported by Health Human Resources (SDMKes) and Health facilities to do various programs in reducing the number of maternal deaths; one of them is P4K with stickers. In 2017, there were still 21 maternal deaths that should have been identified and referred to the hospital if the program was running well. The study aims to analyze the implementation of the P4K Sticker at the District Level. This research is qualitative research with in-depth interviewing techniques involving 12 informants and related documents, according to the theory of Van Meter and Van Horn policy implementation based on 6 (six) variables. This study found that the standard and policy objectives have not been fully achieved. There is still insufficient funding to support the program optimally. In terms of communication, there still a different understanding between the Health Office and Primary Healthcare Center. Despite there are still constraints on the number of human resources, the program's attitude is supportive.  Economic and political situations are good, but social conditions are not supportive. The conclusion is that the program's implementation still has constraints in each variable. Existing program barriers can be overcome by optimizing inter-organizational communication, in this case, the District Health Office with Primary Healthcare Center, to have a common understanding regarding the implementation of Sticker P4K.

scholarly journals Prenatal care in a primary healthcare center for imprisoned pregnant women

Rev Rene ◽  
2014 ◽  
Vol 15 (2) ◽  
Author(s):  
Maria do Carmo Silva Fochi ◽  
Agnês Raquel Camisão da Silva ◽  
Maria Helena Baena de Moraes Lopes
Keyword(s):  
Prenatal Care ◽  
Pregnant Women ◽  
Primary Healthcare ◽  
Healthcare Center ◽  
Primary Healthcare Center

scholarly journals Analisa Program Tablet Tambah Darah untuk Ibu Hamil di Kota Bogor

2020 ◽  
Vol 8 (1) ◽  
pp. 19
Author(s):  
Shabrina Ayu Margirizki ◽  
Sri Sumarmi
Keyword(s):  
Pregnant Women ◽  
Primary Healthcare ◽  
Health Workers ◽  
Current Data ◽  
High Coverage ◽  
Healthcare Center ◽  
Clear Explanation ◽  
Implementation Program ◽  
The Media ◽  
Primary Healthcare Center

Latar Belakang: Anemia padaibu hamil dapat berdampak pada kematian janin selama masa kehamilan dankematian ibu saat melahirkan.Salah satu upaya pemerintah dalam penanganan dan penanggulangan anemia padaibu hamil tercantum dalam Permenkes RI Nomor 97 tahun 2014, dengan melakukan pendistribusian suplementablet tambah darah dan pemberian edukasi gizi.Tujuan:Tujuan penelitian ini adalahmenganalisis ketimpangan melalui pelaksanaanprogram tablet tambahdarah untukibu hamil di Kota Bogor.Metode:Penelitian ini termasuk kedalam penelitian deskriptifkualitatifdan menggunakan metode pengumpulandata wawancara mendalam.Informan utamaberjumlah 9 orang,yaitu 1 orang tenaga gizi Dinas Kesehatan KotaBogor, 4 orang tenaga kesehatan bidan dan gizi puskesmas, dan 4 orang ibu hamil.Hasil:Hasil penelitian menunjukkan bahwa implementasi program tablet tambah darah untuk ibu hamil di KotaBogor dilakukan melalui program distribusi tablet tambah darah dan edukasi gizi namun menunjukkanperbedaan pada penerimaan informasi yang diterima ibu hamil di puskesmas dengan cakupan rendah. Kesulitanmemahami media yang digunakan tenaga kesehatan gizi ditemukan pada puskesmas dengan cakupan tinggi.Data cakupan tablet tambah darah untuk ibu hamil belum terdata secaraaktual dari tenaga kesehatan bidanswasta karenakoordinasiyang rendahantara bidan swasta dan pihak pemerintah.Kesimpulan:Program tablet tambah darah untuk ibu hamil dapat dioptimalkan dengan meningkatkan intensitaskomunikasi antara tenaga kedinasandan tenaga kesehatan bidan swasta untuk menyamakan informasi cakupan,memberikan acuan pokok terkait media konseling dan edukasi yang digunakan oleh tenaga kesehatan dalamproses konseling dan edukasi, dan menetapkan Standar Prosedur Operasional kepada tenaga kesehatan untukmemberikan informasi yang baik dan jelas kepada ibu hamil terkait tablet tambah darah.ABSTRACTBackground:Anemia in pregnant women may impactingto miscarriage during pregnancy and death on deliveryprocess. One amongst many governments’ efforts to cope with anemia on pregnancy mentioned in Permenkes RINo 97 published on 2014 are distributing iron tablet to pregnant women and giving nutritional relatededucation. Those programsdone by primary local healthcare center.Objectives:Objective of this study was to analyzethe inequalityof iron tablet program for pregnant womenthrough intervention programmesin Kota Bogor.Methods:This was adescriptive qualitative study. Main informants were 1 nutrition staff in Dinas KesehatanKota Bogor, 4 health workers in primary healthcare center, and 4 pregnant women.Results:Result of study shown that iron tablet implementation program for pregnant women in Kota Bogor wasdone by using same method but show differences impact of pregnant women in low coverage of primaryhealthcare center. The difficulties in understanding the media facility was found in high coverage of primaryhealthcare center. Current data for iron tablet coverage for pregnant women is not the actual data due to lack ofcoordination between private midwife and government.Conclusions:Iron tablet program for pregnant women can be optimized by increasing communication intensitybetween private midwife and government to integrate the data, providing standard reference for media facilitythat used in counseling and education process, and establishing Standard Operational Procedure to every healthworkers in primary healthcare center togive right and clear explanation about iron tablet to pregnant women.

scholarly journals Maternal mortality during the COVID-19 pandemic in Mexico: a preliminary analysis during the first year

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nina Mendez-Dominguez ◽  
Karen Santos-Zaldívar ◽  
Salvador Gomez-Carro ◽  
Sudip Datta-Banik ◽  
Genny Carrillo
Keyword(s):  
Acute Respiratory Distress Syndrome ◽  
Respiratory Distress Syndrome ◽  
Maternal Mortality ◽  
Respiratory Distress ◽  
Pregnant Women ◽  
Distress Syndrome ◽  
Maternal Mortality Ratio ◽  
Maternal Deaths ◽  
Immune Impairment ◽  
Mortality Ratio

Abstract Background In Mexico, the COVID-19 pandemic led to preventative measures such as confinement and social interaction limitations that paradoxically may have aggravated healthcare access disparities for pregnant women and accentuated health system weaknesses addressing high-risk patients’ pregnancies. Our objective is to estimate the maternal mortality ratio in 1 year and analyze the clinical course of pregnant women hospitalized due to acute respiratory distress syndrome and COVID-19. Methods A retrospective surveillance study of the national maternal mortality was performed from February 2020–February 2021 in Mexico related to COVID-19 cases in pregnant women, including their outcomes. Comparisons were made between patients who died and those who survived to identify prognostic factors and underlying health conditions distribution. Results Maternal Mortality Ratio increased by 56.8% in the studied period, confirmed COVID-19 was the cause of 22.93% of cases. Additionally, unconfirmed cases represented 4.5% of all maternal deaths. Among hospitalized pregnant women with Acute Respiratory Distress Syndrome consistent with COVID-19, smoking and cardiovascular diseases were more common among patients who faced a fatal outcome. They were also more common in the age group of < 19 or > 38. In addition, pneumonia was associated with asthma and immune impairment, while diabetes and increased BMI increased the odds for death (Odds Ratio 2.30 and 1.70, respectively). Conclusions Maternal Mortality Ratio in Mexico increased over 60% in 1 year during the pandemic; COVID-19 was linked to 25.4% of maternal deaths in the studied period. Lethality among pregnant women with a diagnosis of COVID-19 was 2.8%, and while asthma and immune impairment increased propensity for developing pneumonia, obesity and diabetes increased the odds for in-hospital death. Measures are needed to improve access to coordinated well-organized healthcare to reduce maternal deaths related to COVID-19 and pandemic collateral effects.

scholarly journals URBAN-RURAL DISPARITY: THE UTILIZATION OF PRIMARY HEALTHCARE CENTERS AMONG ELDERLY IN EAST JAVA, INDONESIA

2019 ◽  
Vol 7 (2) ◽  
pp. 147 ◽  
Author(s):  
Ratna Dwi Wulandari ◽  
Agung Dwi Laksono
Keyword(s):  
Primary Healthcare ◽  
Rural Areas ◽  
Health Research ◽  
Urban Areas ◽  
The Elderly ◽  
Utilization Of Health Services ◽  
Healthcare Center ◽  
Urban Rural ◽  
Primary Healthcare Centers ◽  
Primary Healthcare Center

Background: Urban always attracts investors to invest. Health facilities in urban areas are growing rapidly compared to villages. This condition is estimated to contribute to the disparity of urban-rural areas in the utilization of health services. Studying the utilization of health services is a way to evaluate the performance of the health care system through its output.Aim: This study analyzed the urban-rural disparity in the utilization of primary healthcare center by the elderly.Method: This study used in the 2013 Basic Health Research raw data. The 2013 Basic Health Research was designed as a cross-sectional survey. With the multi-stage cluster random sampling method, 25,813 elderly people in East Java Province participated. Data were analyzed using Multinomial Logistic Regression tests.Results: Elderly people in urban areas have a better probability of outpatient use of 1.208 than those living in rural areas (OR 1.208; 95% CI 1.057-1.380). The elderly who have a primary school and under education have the possibility of 1.558 times more utilizing outpatients in primary healthcare centers than the elderly who have college education levels (OR 1.558; 95% CI 1.001-2.424).Conclusion: There was a disparity between urban and rural areas in the utilization of outpatient primary healthcare centers in East Java by the elderly. Policymakers in East Java are recommended to improve facilities and infrastructure of the primary healthcare centers in rural areas by paying attention to the results of this study.Keywords: elderly, urban-rural disparities, primary healthcare center, healthcare utilization, inpatient-outpatient. 

scholarly journals Prevalence of Overweight and Obesity in a Primary Healthcare Center in Goiania City

2018 ◽  
Vol 3 (2) ◽  
pp. 27
Author(s):  
Carlos Vieira ◽  
Paulo Gentil ◽  
Mário Campos ◽  
Wanderson Santos ◽  
Gustavo Costa ◽  
...  
Keyword(s):  
Primary Healthcare ◽  
Overweight And Obesity ◽  
Healthcare Center ◽  
Primary Healthcare Center

scholarly journals Study on causes of fever in primary healthcare center uncovers pathogens of public health concern in Madagascar

2018 ◽  
Vol 12 (7) ◽  
pp. e0006642
Author(s):  
Julia Guillebaud ◽  
Barivola Bernardson ◽  
Tsiry Hasina Randriambolamanantsoa ◽  
Laurence Randrianasolo ◽  
Jane Léa Randriamampionona ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Healthcare ◽  
Health Concern ◽  
Public Health Concern ◽  
Healthcare Center ◽  
Primary Healthcare Center

scholarly journals Knowledge and Attitudes about Antibiotic Use and Resistance: A CrossSectional Study among Primary Healthcare Center Attendees in an Urban area, Alexandria, Egypt

2019 ◽  
Author(s):  
Rehab A. Rayan
Keyword(s):  
Urban Area ◽  
Primary Healthcare ◽  
Bacterial Resistance ◽  
Single Point ◽  
Antibiotic Use ◽  
Health Concern ◽  
Knowledge And Attitudes ◽  
Healthcare Center ◽  
Level Of Knowledge ◽  
Primary Healthcare Center

Antibiotic misuse and bacterial resistance is a significant public health concern worldwide. Egypt lacks policies and regulations concerning medication prescriptions. The study explores the knowledge and attitudes regarding antibiotic use and resistance among adults attending a primary healthcare centre in an urban area of Alexandria. The researcher conducted a single point, descriptive cross-sectional study on 87 adults aged ≥18 years attending a primary healthcare center in an urban area of Alexandria in January 2019 using a semi-structured questionnaire to gather data about the knowledge and attitudes of using antibiotics and resistance through the face-to-face interviewing method. The data were analyzed by descriptive statistics to explore the respondents’ level of knowledge with respect to the use of antibiotics and resistance. High level of knowledge was assigned as &gt; 66.7% of the total score. About 52.8% of the respondents (63.2% of them were females) lack adequate knowledge about the use and resistance of antibiotics. Almost 65.6% of males had less restrictive knowledge about the use of antibiotics and resistance than 45.5% of the females. Simultaneously, 47.1% of the respondents erroneously believed that antibiotics work on both bacterial and viral infections and 14.9% thought it just fights viruses. Approximately, 66.7% of them were unaware of the meaning of antibiotic resistance. Moreover, 33.3% stated they have no role to play against bacterial resistance. 83.9% of respondents knew that vaccination can prevent bacterial resistance. The findings display poor knowledge and attitudes of proper antibiotic use and resistance among respondents. Healthcare providers should utilize these findings to educate the public on how to rationally use antibiotics and the health hazards of bacterial resistance.

Sign in / Sign up

Export Citation Format

Share Document