Pelatihan Penatalaksanaan Prehospital Henti Janting Dan Anak Demam Dengan Konsep Safe Community Di Kota Lubuklinggau

ABSTRAK Kasus kegawatan medis dapat terjadi dimana dan kapan saja, salah satunya adalah henti jantung dan demam anak. Akan sangat berbahaya kejadian yang terjadi di lingkungan masyarakat yang tidak ada orang yang mampu memberikan pertolongan pertama, ataupun tidak tahu kemana akan mencari pertolongan. Kesalahan memberikan pertolongan bisa membuat pasien menjadi lebih menderita dan meninggalkan kecacatan. Keadaan diatas memerlukan pertolongan yang baik dan segera sebelum pasien dibawa ke rumah sakit untuk perawatan definitif. Permasalahan muncul karena tidak banyak orang awam di yang bisa memberikan pertolongan pertama pada kejadian tersebut dan ketidaktahuan akan sistem pengaduan kasus tersebut. Kegiatan ini dilaksanakan dengan metode demonstrasi dan praktik agar partisipan memiliki pengetahuan dan keterampilan pertolongan pada henti jantung dan demam pada anak. Selain itu butuh pembuatan sebuah sistem sederhana berbasis komunitas sebagai alur awal pertolongan pasien, dengan sistem ini masyarakat mengetahui kemana mereka harus melapor. Semua rangkaian kegiatan tersebut dengan tujuan membentuk sebuah komunitas yang aman yang disebut “Safe Community”. Dari pelaksanaan kedua pelatihan tersebut di atas, terdapat peningkatan pengetahuan dan keterampilan masyarakat dalam memberikan pertolongan henti jantung dan demam anak yaitu sebesar rata-rata 23 poin dalam skala 100. Kata Kunci: Henti Jantung, Kejang Demam, Safe Community ABSTRACT Medical emergency cases can occur anywhere and anytime, one of which is cardiac arrest and childhood fever. It would be very dangerous to happen in a community where no one is able to provide first aid, or does not know where to go for help. Mistakes in providing help can make patients suffer more and leave disabilities. The above conditions require good and immediate assistance before the patient is admitted to the hospital for definitive treatment. The problem arose because there were not many ordinary people who could provide first aid to the incident and they were ignorant of the complaint system for the case. This activity is carried out with demonstration and practical methods so that participants have the knowledge and skills to help with cardiac arrest and fever in children. In addition, it is necessary to create a simple community-based system as the initial flow of patient assistance, with this system the community knows where they have to report. All of these series of activities are aimed at forming a safe community called "Safe Community". From the implementation of the two pieces of training above, there is an increase in the knowledge and skills of the community in providing assistance for cardiac arrest and child fever, which is an average of 23 points on a scale of 100. Keywords: Cardiac Arrest, Febrile Convulsion, Safe Community

Factors associated with mothers’ health care-seeking behaviours for childhood fever in Burkina Faso: Findings from repeated cross-sectional household surveys

IntroductionFever is one of the most frequent reasons for paediatric consultations in Burkina Faso, but health care-seeking behaviours and the factors associated with health care-seeking in the event of childhood fever are poorly documented. This study aims to help fill this gap.MethodsThis study used the data from the baseline and endline surveys conducted to evaluate the impact of the Performance-Based Financing (PBF) program in Burkina Faso. Univariate and multivariate binary logistic regression analyses were used to identify the factors associated with appropriate healthcare-seeking for childhood fever. Odds ratios (ORs) were estimated to assess the strength of associations and used 95% confidence intervals for significance tests. Data were cleaned, coded and analysed using Stata software version 16.1.ResultsAmong the children under five who had a fever, 75.19% and 79.76 sought appropriate health care in 2013 and 2017, respectively. Being 24–59 months old (AOR: 0.344, 95% CI: 0.182–0.649 in 2013) and 79,2% (AOR: 0. 208, 95% CI: 0.115–0.376 in 2017), living in a very wealthy household households (AOR: 2.014, 95% CI: 1.149–3.531 in 2013 and AOR: 2.165, 95% CI: 1.223–3.834 in 2017), having a mother with a secondary or higher level of education or having made at least four antenatal care visits were significantly associated with seeking appropriate health care for childhood fever. Living in an area where the health facility is safe was also significantly associated with seeking appropriate care for childhood fevers.ConclusionThe findings underscore the need for interventions that would improve appropriate health care-seeking among mothers for their children. These interventions could include mothers’ sensitization to the benefits of modern health care use, increasing women’s education, improving household wealth status, improving the level of prenatal and postnatal care use and improving health care quality and safety in health facilities.

Knowledge, Attitude, and Practice in Management of Childhood Fever Among Saudi Parents

Fever is considered as a frequent symptom in childhood and is the cause of almost 65% to 70% of pediatric visits. Saudi Arabia has about 10% of child population (under 4 years of age), imposing a high burden of childhood illnesses including fever. A total of 1700 questionnaires were distributed to Saudi parents with children visiting pediatric clinic. Most of the participants were mothers (77.4%). A temperature of 38.0 °C was defined fever by 42% of participants. The majority of parents (80%) believed seizure is the consequence of untreated high fever. A total of 72.5% indicated that 40.7 to 43.20°C is the highest temperature that can be reached if untreated. There was a statistically significant relationship between mothers and fathers for overall knowledge, attitude, and practice scores. This study indicates that numerous misconceptions still persist regarding fever as more than 90% of parents demonstrated undue fear of consequent body damage from fever and also believed antibiotics can reduce high temperature.