community health centre
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Author(s):  
Zethembiso C. Hlongwa ◽  
Saajida Mahomed

Background: In South Africa, patients are meant to attend the clinic close to their place of residence. However, patients often choose which clinic to attend, which results in overcrowding.Aim: This study aimed to investigate the structural and process factors influencing patients’ choice to attend a community health centre (CHC) in KwaZulu-Natal, South Africa.Setting: The study was conducted at the Inanda C Community Health Centre (CHC).Methods: Systematic random sampling was used to select study participants. A structured questionnaire was used to collect socio-demographic data and assess the factors influencing patients’ choice to attend this CHC.Results: There were 400 patients who participated. The commonest structural indicator that patients agreed on as the reason they attend Inanda C CHC was because it has enough medication (126, 73.3%). There was a significant difference in the proportion of patients who agreed that seeing a doctor instead of nurse was a reason for attending this clinic with 118 (68.6%) patients from within the catchment area and 170 (74.6%) from outside the catchment area. The commonest process indicators that patients from within and outside the catchment area agreed on as reasons for attending Inanda C CHC were ‘the doctor or nurse explains my sickness and treatment to me’ and ‘I get good quality of care’.Conclusion: The structural and process indicators that influence patients’ choice of clinic may need to be improved at other clinics in this area in order to decrease the overcrowding at this clinic.


2021 ◽  
Vol 7 (3) ◽  
pp. 441-452
Author(s):  
Kadek Edy Artana Putra ◽  
Rilyani Rilyani ◽  
Lidya Ariyanti

THE CORRELATION BETWEEN KNOWLEDGE OF NUTRITIONAL STATUS, DIETARY PATTERNS AND DIETARY RESTRICTIONS WITH THE SMOOTH PRODUCTION OF BREAST MILK ON BREASTFEEDING MOTHERS AT WAY KANDIS COMMUNITY HEALTH CENTER, BANDAR LAMPUNG 2020Introduction: Based on health office of Bandar Lampung, 3 community health centreswith the lowest coverage of breastfeeding, such as, Way Kandis Community Health Centre, with 2730 children who received breastfeeding only 757 children, with a percentage of 31.94%, Panjang Community Health Centre, with 177 children who received breast milk only 61 children, with a percentage of 34.46%, Sukaraja Community Health Centre, with 317 children who received breast milk only 150 children, with a percentage of 47.32%. Purpose: It was known the correlation between knowledge, nutritional status, dietary pattern, and dietary restrictions with the smooth production of breast milk on breastfeeding mothers at Way Kandis Community Health Centre, Bandar Lampung 2020. Method:Quantitative research type, analytical survey research design by using cross sectional approach, population and sample was breastfeeding mothers as many 43 respondents, total sampling technique. Univariate and bivariate data analysis by using chi square test. Result: Frequency distributionknowledge of breastfeeding mothers in the poor category was 26 respondents (60.5%), the nutritional status of breastfeeding mothers in the poor category was 26 respondents (60.5%), the diet in the good category was 24 respondents (55.8%), dietary restriction category as many as 22 respondents (51.2%), the smooth production of breast milk mothers with less category was 18 respondents, p-value 0.004 <0.05, which means that there was a correlation between knowledge about breastfeeding and the smoothness of breast milk production, p-value 0.004 <0.05 which means that there was a correlation between nutritional status and the smooth production of breast milk in breastfeeding mothers, p-value 0.001 <0.05, which means there was a correlation between dietary pattern and the smooth production of breast milk for breastfeeding mothers, p-value 0.157 <0.05, which means there was a correlation between dietary restriction and smooth production of breast milk on breastfeeding mothers. It is hoped that mothers can increase milk production by increasing knowledge and consuming nutritious foods and maintaining a good diet. Keywords      ; Knowledge, Nutritional Status, Dietary Pattern, Dietary Restriction,                            Smooth Production of Breast Milk HUBUNGAN PENGETAHUAN STATUS GIZI,  POLA MAKAN DAN PANTANGAN MAKANAN DENGAN KELANCARAN PRODUKSI ASI PADA IBU MENYUSUI DI PUSKESMAS WAY KANDIS  KOTA BANDAR LAMPUNG TAHUN 2020  Pendahuluan: Berdasarkan data dinas kesehatan Kota Bandar Lampung, 3 Puskesmas dengan cakupan pemberian ASI terendah yaitu, Puskesmas Way kandis, dengan jumlah anak 2.730 yang mendapat ASI hanya  757 anak, dengan persentase 31,94%, Puskesmas Panjang, dengan jumlah anak 177 yang mendapat ASI hanya  61 anak, dengan persentase 34,46%, Puskesmas Sukaraja, dengan jumlah anak 317 yang mendapat ASI hanya  150 anak, dengan persentase 47,32% Tujuan: Diketahui hubungan pengetahuan, status gizi, pola makan, pantangan makanan dengan kelancaran produksi ASI pada ibu menyusui di Puskesmas Way Kandis Kota Bandar Lampung Tahun 2020 Metode: Jenis penelitian kuantitatif, rancangan penelitian survey analitik pendekatan cross sectional, populasi dan sampel adalah ibu yang menyusui sebanyak 43 responden, teknik sampling total sampling,. Analisa data univariat dan bivariat mengguankan uji uji chisquare Hasil : Distribusi frekuensi pengetahuan ibu menyusui dengan kategori kurang baik sebanyak 26 responden (60,5%), status gizi ibu menyusui dengan kategori kurang baik sebanyak 26 responden (60,5%), pola makan dengan kategori baik sebanyak 24 responden (55,8%), pantang makan dengan kategori melakukan pantang makan sebanyak 22 responden (51,2%), kelancaran asi ibu menyusui dengan kategori kurang sebanyak 18 responden, p-value 0,004<0,05 yang artinya terdapat hubungan pengetahuan ibu tentang asi dengan kelancaran produksi ASI, p-value 0,004<0,05 yang artinya terdapat hubungan status gizi dengan kelancaran produksi asi pada ibu menyusui, p-value 0,001<0,05 yang artinya terdapat hubungan pola makan dengan kelancaran produksi asi pada ibu menyusui, p-value 0,157>0,05 yang artinya tidak terdapat hubungan pantang makan dengan kelancaran produksi ASI pada ibu menyusui. Diharpkan ibu dapat meningkatkan produkasi ASI dengan cara meningkatkan pengetahuan dan mengkomsumsi makanan bergizi serta menjaga pola makan yang baik


2021 ◽  
Vol 3 (1) ◽  
pp. 47-56
Author(s):  
Connie Sianipar

Diarrhea is the second leading death cause in toddlers after pneumonia. It is a disease that often occurs in seemingly healthy toddlers. In Indonesia, every child has 1.6-2 times diarrhea episodes per year. This study aims to find out how thoroughly the mother's knowledge of diarrhea in toddlers at Sangkunur Community Health Center in 2019. This research was conducted by collecting data through a research questionnaire. The sample is 33 mothers who brought their toddlers to the community health centre. The result is most mothers have poor knowledge of diarrhea in their toddlers. Twenty-two respondents (66.67%) had a good understanding of the diarrhea definition. Twenty-three respondents (67.70%) had a poor understanding of diarrhea causes. Twenty-five respondents (75.76%) had a poor understanding of diarrhea signs and symptoms. Twenty-two respondents (66.67%) had a poor understanding of diarrhea prevention, and 29 respondents (87.88%) had a poor understanding of diarrhea management. The conclusion is community health centres should be more active in providing counselling about diarrhea and visit people's houses to give further information regarding diarrhea.  


Author(s):  
Samantha Zimmerman ◽  
Alan Bi ◽  
Trevor Dallow ◽  
Alexander R. Rutherford ◽  
Tamon Stephen ◽  
...  

2021 ◽  
Vol 60 (3) ◽  
pp. 145-151
Author(s):  
Špela Tevžič ◽  
Antonija Poplas-Susič ◽  
Zalika Klemenc-Ketiš

Abstract Introduction Patient safety is one of the key aspects of healthcare quality and a serious global public health concern. Patient safety culture is a part of the patient safety concept. In Slovenia, primary care is easily accessible, and for medical care, it serves as a gatekeeper to hospital care. For several years, the quality and safety at the primary healthcare level have been the focus of several studies. The present study aimed to assess patient safety culture among all employees of the Community Health Centre Ljubljana. Methods We conducted a cross-sectional study in 2017 using the Slovene version of “Medical Office Survey on Patient Safety Culture” from the Agency for Healthcare Research and Quality. Mean percent positive scores on all items in each composite were calculated according to a user guide. Results The final sample contained 1021 participants (67.8% response rate), of which 909 (89.0%) were women. The mean age of the sample was 43.0±11.0 years. The dimensions most highly rated by the respondents were: teamwork and patient care tracking/follow-up. The lowest scores came from leadership support for patients’ safety and work pressure and pace. Conclusion Patient safety culture in the Community Health Centre Ljubljana is high, but there are certain areas of patient safety that need to be evaluated further and improved. Our study revealed differences between professions, indicating that a customized approach per profession group might contribute to the successful implementation of safety strategies. Patient safety culture should be studied at national levels.


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