Perceived Need Factor Analysis on the Utilization of Elderly Health Services in Puskesmas and Posyandu

The need factor-based to the theory of Andersen and Newman (2005) is seen from 2 aspects, which include the individual assessment aspect (perceived need factor) and the clinical aspect (evaluated need). There is still no publication of review research that discusses specific analyzes of subjective assessment of the needs of the elderly on the use of services in health facilities at Puskesmas and Posyandu. The purpose of this study was to identify the relationship between the influence of perceived need factors on the utilization of health services for the elderly at the Puskesmas and Posyandu. This study is a qualitative study with a literature review using quantitative and mixed methods analysis which are published from 2016 to 2021. The collection of literature using the Scopus, Science Direct, PubMed, and Google Scholar databases. The search results obtained 60 articles that matched the keywords and then the overall identification was carried out using inclusion and exclusion criteria in the content of the article so that 12 articles were reviewed. The results showed which variable of perceived need factor that most commonly found to be related to the utilization of elderly health care services at Puskesmas and Posyandu was the chronic condition variable (n = 4 articles), followed by the self-rated health, subjective health complaint, perception for benefit matter and limitation in daily activities variable, each of them are (n=2 articles). Further studies are needed to develop an appropriate instrument in assessing the factors of the needs of the elderly in full, namely the factors of the needs of the elderly which are seen from the clinical aspect of the utilization of health services at the Puskesmas and Posyandu.

Nature and extent of counseling practice in community pharmacies in Sulaimani city, Iraq: A cross-sectional study

Background and objective: Community pharmacists play an important role in the best use of drugs and in improving patient outcomes. Evidence demonstrates that pharmacists' counseling improves the quality of life, clinical outcomes, and drug and disease knowledge and reduces the utilization of health services. This study aimed to investigate the nature and extent of counseling practices of community pharmacists in community pharmacies in Sulaimani region of Kurdistan, Iraq. Methods: A cross-sectional survey was conducted in community pharmacies in Sulaimani city, in a one-month duration from November to December 2020. The sample size was 100 community pharmacies, which were selected randomly. The data were stored and analyzed using Excel 2016 and expressed as frequencies and percentages. Results: According to the completed questionnaires, about 78.8% of pharmacists would do counseling spontaneously each time they dispense any drug. Only 61% of the pharmacists would ask the patients if they understood what was said during their communication to assess the understanding of advice given to their patients. The most common barrier observed during patient counseling was the patient's lack of time. Conclusion: This study indicates that community pharmacists counsel the patients in an appropriate way. They provide information orally and in written form. However, further research is needed to evaluate the quality of patient counseling by using different methods like pseudo-patient methodology to gain real counseling data. Keywords: Counselling; Community pharmacist; Community pharmacy; Counselling barriers.

Analysis Socioeconomic Influence on the Utilization of Health Service in the Inpatient Room of Faisal Islamic Hospital Makassar

Hospitals in carrying out their role cannot be separated from problems, both from within and from outside that can interfere with the mechanism of work of the hospital in providing health services for the community. Faisal Islamic Hospital Makassar is one of the private hospitals in the city of Makassar which in the last 3 years has decreased the value of BOR. The purpose of this study was to find out the socio-economic influence on the utilization of health services in the inpatient room of Faisal Islamic Hospital Makassar. This research is a cross-sectional study. A total of 99 people were sampled in the inpatient room of Faisal Islamic Hospital Makassar by taking a sample using the purposive sampling method. Data is collected by conducting interviews with respondents. Data processing is done by frequency distribution analysis and univariate and multivariate analysis with the Binary Regression approach namely logit and probit analysis. Based on the results of the study, it was obtained that socioeconomic variables that have an influence on the utilization of health services in the Faisal Islamic Hospital Makassar is the ownership of health insurance with the results of p-value< 0.1 is logit 0.299 and probit of 0.000. For the government to evaluate the ownership of health insurance, because there are still respondents who do not have health insurance where this is not in accordance with the objectives of the National Health Insurance program.

Case Study Analysis: The Utilization of Health Services by Citizens at Area of Tangerang Selatan, Indonesia

BACKGROUND: Citizens are people who have a high risk of exposure to diseases due to unhealthy environmental conditions. This requires citizens to take advantage of health services in order to get optimal examinations. AIM: The purpose of this study was to determine the description and relationship between the characteristics of citizens, the characteristics of health services and the utilization of health services by citizens in the area of Tangerang Selatan, Indonesia in 2020. METHODS: The quantitative research method with cross-sectional design used random sampling techniques. The number of samples was 150 families in the area of Tangerang Selatan, Indonesia. The riset measured data using a questionnaire and collected data by interviewing the respondents. Data analysis used Chi-square analysis and multiple logistic regression analysis. RESULTS: The results showed that the variables related to the utilization of health services were knowledge variable (p = 0.001), number of families (p = 0.021), perception of pain (p = 0.001), and family support (p = 0.030). And the variables that were not related to the utilization of health services were ownership of health insurance (p = 0.750), transportation (p = 0.297), distance (0.340), health information (p = 0.538), and attitudes of health workers (p = 1000). As well as the dominant variable related to the utilization of health services, that is knowledge (p = 0.000) with odds ratio 12.876. CONCLUSION: It is hope that primary healthcare and health workers can involve more communities around the area in their work programs, such as providing health information.

Health problems and utilization of health services among Forcibly Displaced Myanmar Nationals in Bangladesh

Background Access to and utilization of health services have remained major challenges for people living in low- and middle-income countries, especially for those living in impaired public health environment such as refugee camps and temporary settlements. This study presents health problems and utilization of health services among Forcibly Displaced Myanmar Nationals (FDMNs) living in the southern part of Bangladesh. Methods A mixed-method (quantitative and qualitative) approach was used. Altogether 999 household surveys were conducted among the FDMNs living in makeshift/temporary settlements and host communities. We used a grounded theory approach involving in-depth interviews (IDIs), focus group discussions (FGDs), and key informant interviews (KIIs) including 24 IDIs, 10 FGDs, and 9 KIIs. The quantitative data were analysed with STATA. Results The common health problems among the women were pregnancy and childbirth-related complications and violence against women. Among the children, fever, diarrhoea, common cold and malaria were frequently observed health problems. Poor general health, HIV/AIDS, insecurity, discrimination, and lack of employment opportunity were common problems for men. Further, 61.2% women received two or more antenatal care (ANC) visits during their last pregnancy, while 28.9% did not receive any ANC visit. The majority of the last births took place at home (85.2%) assisted by traditional birth attendants (78.9%), a third (29.3%) of whom suffered pregnancy- and childbirth-related complications. The clinics run by the non-governmental organizations (NGOs) (76.9%) and private health facilities (86.0%) were the most accessible places for seeking healthcare for the FDMNs living in the makeshift settlements. All participants heard about HIV/AIDS. 78.0% of them were unaware about the means of HIV transmission, and family planning methods were poorly used (45.2%). Conclusions Overall, the health of FDMNs living in the southern part of Bangladesh is poor and they have inadequate access to and utilization of health services to address the health problems and associated factors. Existing essential health and nutrition support programs need to be culturally appropriate and adopt an integrated approach to encourage men’s participation to improve utilization of health and family planning services, address issues of gender inequity, gender-based violence, and improve women empowerment and overall health outcomes.

Health service underutilization and its associated factors for chronic diseases patients in poverty-stricken areas in China: a multilevel analysis

Background Underutilization of health services among chronic non-communicable disease sufferers, especially for hypertension (HBP) and diabetes mellitus (DM), was considered as a significant contributing factor to substantial cases in terms of both avoidable morbidity and mortality. However, evidence on health services underutilization and its associated factors in poverty-stricken areas remain scarce based on previous literature. This study aims to describe health services underutilization for people diagnosed with chronic diseases in impoverished regions and to identify its associated factors, which are expected to provide practical implications for the implementations of interventions tailored to the specific needs of disadvantaged residents in rural China to achieve effective utilization of health services in a timely manner. Methods Data were collected from a cross-sectional survey conducted through face-to-face interviews among 2413 patients from six counties in rural central China in 2019. The Anderson behavioral model was adopted to explore the associated factors. A two-level logistic model was employed to investigate the association strengths reflected by adjusted odds ratios (AOR) and 95% confidence intervals in forest plots. Results On average, 17.58% of the respondents with HBP and 14.87% with DM had experienced health services underutilization during 1 month before the survey. Multilevel logistic regression indicated that predisposing factors (age), enabling factors (income and a regular source of care), and need factors (self-reported health score) were the common predictors of health service underutilization both for hypertensive and diabetic patients in impoverished areas, among which obtaining a regular source of care was found to be relatively determinant as a protective factor for health services underutilization after controlling for other covariates. Conclusions Our results suggested that the implementation of a series of comprehensive strategies should be addressed throughout policy-making procedures to improve the provision of regular source of care as a significant determinant for reducing health services underutilization, thus ultimately achieving equal utilization of health services in impoverished regions, especially among chronic disease patients. Our findings are expected to provide practical implications for other developing countries confronted with similar challenges resulting from underdeveloped healthcare systems and aging population structures.

Relationship Of Knowledge, Attitude, And Perception Of Disease With The Utilization Of Health Services For Non-Convertive Diseases In Rsud Haji Makassar

Currently, the health challenge in Indonesia is the epidemiological transition, which is known as three disease burdens, namely the high prevalence of infectious diseases, the increase in non-communicable diseases and diseases that should have been resolved before but have re-emerged. Non-communicable diseases require more attention, as the productive age increases in Indonesia, several factors such as lifestyle, diet, and others make non-communicable diseases increase, so health needs to receive attention in increasing the degree of public health, one of which is health services. This study aims to determine the relationship between knowledge, attitudes, and perceptions of pain with the utilization of health services for patients with non-communicable diseases at Regional General Hospital (RSUD) Haji Makassar. This research is a quantitative study with an observational approach using a cross sectional design. The population in this study were 1037 patients with non-communicable diseases at Haji Makassar Hospital. The sample selection used accidental sampling technique, in order to obtain a sample of 87 people. Data analysis used univariate and bivariate analysis. The results of this study indicate that knowledge of non-communicable diseases (ρ = 0.000), attitude of officers (ρ = 0.100), and perception of pain (ρ = 0.016). Suggestions to the hospital to make improvements regarding the condition of the hospital, the availability of facilities, types, or variations of health services that are more complete. Doctors, nurses or officers give more special attention to the patient's condition when providing services and further explain the patient's health condition.

Analysis of Antenatal Care by Maternal to Health Services Utilization in Working Area of Cot Girek Health Centre

According to Minister of Health Regulation (Permenkes) No. 43 of 2016 every maternal must get antenatal services according to the standard which provided to pregnant women at least 4 times during pregnancy with a schedule of one first trimester, one second trimester and two-third trimesters. The purpose of this study was to determine and analyze the influence of knowledge, attitudes, education, parity, income, support of health workers, a distance of health services and maternal health to the utilization of health services in the working area of the Cot Girek health centre, a population of this study amounted 512 people and 83 respondents were taken as the sample of this study. The research was Quantitative research used Mixed Method. The results showed of knowledge p = 0.000, education p = 0.000, income p = 0.000, support of health workers p = 0.000 shows a relationship to the utilization of health services. While attitudes p = .609, parity p = .823, distance of health services p = .167, maternal health p = .386 showed no relationship to the utilization of health services. The conclusion in this study is the influence of knowledge, education, income and support of health workers on the utilization of health services found, while the attitudes, parity, distance of health services and maternal health have no found about relationship to the utilization of health services. This research can be used as information for health workers to be more active in promoting antenatal care programs.