Journal articles on the topic 'Maternal health services Administration'
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Khatri, Binita, Saraj Grurung, and Anuja Kachapati. "Utilization of Maternal and Child Health Services among Women Admitted In Maternity Ward of A Hospital of Siddharthanagar Municipality." Journal of Universal College of Medical Sciences 9, no. 01 (June 22, 2021): 71–75. http://dx.doi.org/10.3126/jucms.v9i01.37985.
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INTRODUCTION
Maternal and child mortality is a global issue which could be prevented by the utilization of maternal and child health (MCH) services. The main objective of this study was to find out the utilization of MCH services among women admitted in maternity ward of a hospital.
MATERIAL AND METHODS
Cross-sectional descriptive study was conducted to find out the utilization of MCH services among 150 women admitted in maternity ward of a hospital. Non-probability purposive sampling technique was used to select the sample and semi- structured interview schedule was used to collect the data and collected data was analyzed with SPSS version 16.
RESULTS
The study showed that 100% of the women had utilized antenatal services, 98.67% delivered their baby in health centres and utilized postnatal services. During pregnancy, women got health education on danger signs (66.67%), avoidance of sexual intercourse (54%), and birth preparedness (44%). Cent percent of the children utilized at least one child health services, 80% were breastfed within hour of birth, and 93.24% of women were not aware of administration of vitamin K to their newborn. Ethnicity, religion, education, occupation, age at marriage, gravida, parity, history of abortion or child death and number of live children of women, education and occupation of spouses were significantly associated (p<0.05) with utilization of maternal health services.
CONCLUSION
It is recommended that nurses and health personnel should provide health education focusing on birth preparedness, danger signs of mother and baby, and should inform about administration of vitamin K to mother.
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Perry, Armon R., Aaron Rollins, Ramzi Sabree, and Wes Grooms. "Promoting Paternal Participation in Maternal and Child Health Services." Human Service Organizations: Management, Leadership & Governance 40, no. 2 (December 18, 2015): 170–86. http://dx.doi.org/10.1080/23303131.2015.1124821.
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Wagner, Marsden G. "Health Services for Pregnancy in Europe." International Journal of Technology Assessment in Health Care 1, no. 4 (October 1985): 789–97. http://dx.doi.org/10.1017/s026646230000177x.
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In 1979, maternal and child health issues were discussed during the annual meeting of the 33 Member States of the European Region of the World Health Organization. During this discussion many countries expressed concern about the services offered for pregnancy, birth and the period following birth. The countries recognized that, as yet, unsolved problems remain which must be examined and they asked the European Regional Office of WHO to mount activities to study and report on these problems surrounding birth and birth care. In response to this request, the maternal and child health unit of the European Regional Office organized a Perinatal Study Group. The Group's 15 members came from 10 countries and spanned 10 professional disciplines: economics, epidemiology, health administration, midwifery, nursing, obstetrics, pediatrics, psychology, sociology, and statistics. For five years the Group conducted surveys, reviewed the literature and brought its own personal and professional experience to discussions of the health services for women and their babies, during pregnancy and birth, and after birth. The entire group met together at least once a year, at which time findings from the previous year's work were presented, followed by lengthy, sometimes heated, open and free discussions.
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Amu, Hubert, and Samuel H. Nyarko. "Satisfaction with Maternal Healthcare Services in the Ketu South Municipality, Ghana: A Qualitative Case Study." BioMed Research International 2019 (April 10, 2019): 1–6. http://dx.doi.org/10.1155/2019/2516469.
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Background. Women’s satisfaction with maternal healthcare services is vital in quality healthcare delivery. However, the dearth of in-depth information on the issue is a challenge in Ghana. In this study, we explore women’s satisfaction with maternal care services at a health facility in the Ketu South Municipality, Ghana. Methods. This is a qualitative study that used a purposive sampling technique to select 15 women who attended a child welfare clinic at the facility for in-depth interviews. The interviews were tape-recorded, and the results presented in quotes in accordance with the themes that emerged. Results. The study found that respondents were generally satisfied with the quality of maternal healthcare services provided to them. However, they were dissatisfied with drug administration procedures at the facility. Respondents generally reported poor attitudes on the part of healthcare providers at the health facility. Some logistics were also reported to be in unfavorable condition. Nonetheless, respondents generally had positive perceptions about maternal care services provided to them by the healthcare facility. Conclusions. Drug administration procedures and attitude of healthcare providers toward clients as well as logistics need to be improved to enhance satisfaction with services at the health facility, particularly among pregnant women and mothers.
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Putri, S.KM., M.Kes., Nuzulul Kusuma. "MATERNAL DEATH, QUALITY SERVICES, AND MENTAL HEALTH: A CYCLE OR REPEATED EPISODE ?" Jurnal Administrasi Kesehatan Indonesia 10, no. 1 (June 30, 2022): 1–2. http://dx.doi.org/10.20473/jaki.v10i1.2022.1-2.
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Maternal issues are classic issues in every edition of the Indonesian Journal of Health Administration. In this issue, our authors, Fatmaningrum et al. (2022), revealed how the COVID-19 pandemic had increased the number of maternal deaths. Research conducted by Ernawaty and Sri (2022) again shows how big the risks Indonesian women must bear during pregnancy and childbirth are. Not only are they risking their lives because they have to give birth to children, but once discharged from treatment, they still have to be faced with high delivery costs. The National Health Insurance does help a lot, but who will help JKN from a deficit if there are many cases of diseases that require huge costs. A systematic review conducted by (Muhlis, 2022) found that the low level of participation in the JKN program was due to various multidimensional factors. This factor is not only related to the ability to pay contributions, but many are due to individual and environmental internal factors.
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Callegari, Lisa, Stephanie Edmonds, Sonya Borrero, Ginny Ryan, Caitlin Cusack, and Laurie Zephyrin. "Preconception Care in the Veterans Health Administration." Seminars in Reproductive Medicine 36, no. 06 (November 2018): 327–39. http://dx.doi.org/10.1055/s-0039-1678753.
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AbstractPreconception care (PCC), defined as a set of interventions to help women optimize their health and well-being prior to pregnancy, can improve pregnancy outcomes and is recommended by national organizations including the Centers for Disease Control and Prevention and the American College of Obstetricians and Gynecologists. Women Veterans who use the Department of Veterans Affairs (VA) health care system may face elevated risks of adverse pregnancy and birth outcomes due to a high prevalence of chronic medical and mental health conditions as well as psychosocial stressors including sexual trauma history and intimate partner violence. Many women Veterans of childbearing age experience poverty and homelessness, which are key social determinants of poor reproductive health outcomes. Furthermore, racial/ethnic disparities in maternal and neonatal outcomes are well documented, and nearly half of women Veterans of reproductive age are minority race/ethnicity. High-quality, equitable, patient-centered PCC services to address modifiable risks in this population are therefore a priority for VA. In this article, we provide a brief background of PCC, discuss the health risks of Veterans associated with adverse pregnancy outcomes, and highlight VA initiatives related to PCC. Lastly, we discuss implications and future directions for PCC research and policy within VA and across other health systems.
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Barnes, Nicole Elizabeth. "Disease in the Capital: Nationalist Health Services and the ‘Sick [Wo]man of East Asia’ in Wartime Chongqing." European Journal of East Asian Studies 11, no. 2 (2012): 283–303. http://dx.doi.org/10.1163/15700615-20121108.
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The Chongqing Bureau of Public Health, established shortly after the Nationalists relocated to the wartime capital, faced frequent air raids, rampant inflation, and acute personnel shortages. Still it accomplished an astonishing amount of work, demonstrating its commitment to public health as a barometer of modernity, national stability, and political fitness. The Bureau also treated male and female bodies differently, institutionalizing gender roles through its public health administration. This paper illustrates differences between medical care for men and women, arguing that Chongqing health officials’ myopic focus on maternal issues when discussing women’s healthcare, their failure to address highly skewed gender ratios in the patient reports and vaccination statistics that their office received on a monthly basis, and the relatively late opening of the city’s most substantial maternal health facilities, all point to male-centric priorities within the administration. Military health took priority not only because of the war, but because soldiers’ health conditions and facilities were so appallingly dismal. Thus, wartime health conditions reveal the continued haunting of modern China’s great specter, the “Sick Man of East Asia,” and two types of disease in the wartime capital: the Nationalist state, politically diseased, failed to protect its civilians and soldiers from common diseases.
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Godfred-Cato, Shana, S. Nicole Fehrenbach, Megan R. Reynolds, Romeo R. Galang, Dan Schoelles, Lessely Brown-Shuler, Braeanna Hillman, et al. "2018 Zika Health Brigade: Delivering Critical Health Screening in the U.S. Virgin Islands." Tropical Medicine and Infectious Disease 5, no. 4 (November 9, 2020): 168. http://dx.doi.org/10.3390/tropicalmed5040168.
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In 2017, Hurricanes Irma and Maria caused significant damage to the United States Virgin Islands (USVI), heightening the challenges many residents faced in accessing adequate healthcare and receiving recommended Zika virus screening services. To address this challenge, the USVI Department of Health (DOH) requested technical assistance from the Centers for Disease Control and Prevention (CDC), the Health Resources and Services Administration (HRSA), and the American Academy of Pediatrics (AAP) to organize a health brigade to bring needed medical care to an underserved population. It also established the development of important partnerships between federal and private partners as well as between clinical providers and public health entities such as the Epidemiology & Disease Reporting, Maternal Child Health (MCH), and Infant and Toddlers Programs within the DOH, and local clinicians. This health brigade model could be replicated to ensure recommended evaluations are delivered to populations that may have unmet medical needs due to the complexity of the conditions and/or rural location.
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Selby Smith, Chris. "Health services management education in South Australia." Australian Health Review 18, no. 4 (1995): 15. http://dx.doi.org/10.1071/ah950015.
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In December 1994 the Australian College of Health Service Executives (SABranch) sought ?a needs analysis for health management training programs withinSouth Australia?. Although the college was interested in a range of matters, thecentral issue was whether the current Graduate Diploma in Health Administration(or a similar course) would continue to be provided in Adelaide. The college providedbackground material and discussions were held with students, the health industry,relevant professional associations and the universities. This commentary sets out someof the background factors and my conclusions, which have been accepted by the SouthAustralian authorities.
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Saptaningrum, Epi, Sutopo Patria Jati, and Anneke Suparwati. "Faktor-Faktor Yang Mempengaruhi Motivasi Bidan Pelaksana Dalam Pelayanan Ibu Nifas Di Wilayah Kabupaten Blora." Jurnal Manajemen Kesehatan Indonesia 4, no. 2 (August 1, 2016): 139–47. http://dx.doi.org/10.14710/jmki.4.2.2016.139-147.
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Maternal Mortality Rate mostly occurred during postnatal period. Midwives played an important role and had responsibility in providing maternal services. Postnatal services in Blora District had not been optimally implemented. This condition was influenced by motivation of midwives in providing postnatal services. Five of seven midwives said that they were lazy to provide postnatal services particularly in visiting maternal. Motivation was influenced by intrinsic and extrinsic factors. Therefore, factors influencing motivation of midwives in providing maternal services needed to be investigated. This was a quantitative-analytic study using cross sectional approach. Data were collected using a questionnaire. Number of population was 359 midwives in Blora District. Number of samples were 76 respondents calculated using minimal sample size. A validity test used pearson product moment whereas alpha Cronbach test was used to analyse reliability. Data were analysed using methods of univariate (Kolmogorov-Smirnov test), bivariate (Chi-Square test), and multivariate (logistic regression test). The results of this research showed that factors of perception of administration and policy (p=0.043; C=0.227), perception of supervision (p=0.001; C=0.346), perception of work (p=0.000; C=0.503) and perception of environmental condition (p=0.001; C=0.350) statistically significantly related to motivation of midwives. Perception of work was the most influenced factor of motivation (p=0.000; Exp(B)=11.655). As suggestions, other researchers need to investigate the factor of perception of work. District Health Office needs to evaluate main and additional tasks and to consider increasing incentive for activities of maternal services. Indonesian Midwives Association of Blora needs to guide and to improve motivation of midwives in providing maternal services. Health Centres (Coordinator Midwives) need to involve midwives in improving perception of work (maternal services) by conducting training.
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Muttaleb, Wisam M. "Impact the Implementation of Feto-Maternaltriage Program Upon Maternal Health Outcomes in Maternity Hospitals of Baghdad City." Pakistan Journal of Medical and Health Sciences 16, no. 5 (May 30, 2022): 663–66. http://dx.doi.org/10.53350/pjmhs22165663.
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Triage is a major portion of clinical hazard administration in all divisions when clinical load surpasses clinical accessibility. (Jones,K 2006). Triage is used to sort, to direct requires clinical judgments and to rapidly assess a patient and assign a priority based on clinical need. Also triage considers as a fundamental cornerstone of clinical risk management (Mackway-Jones,k 2006). triage in obstetric area become one of the latest obstetric services to emerge.( PA-PSRS 2015 ). "In the last years, OB triage become important in the OB services in most hospitals in the world and developed a triage area adjacent to the labor and delivery department (The Pennsylvania Patient Safety Advisory 2008). According to triage protocol the women should be treated according to the severity or the acuity of the case and not the time of her arrival to the outpatient clinic. Keyword: Triage, Obstetric Triage, Maternal Outcomes
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Bintabara, Deogratius, Alex Ernest, and Bonaventura Mpondo. "Health facility service availability and readiness to provide basic emergency obstetric and newborn care in a low-resource setting: evidence from a Tanzania National Survey." BMJ Open 9, no. 2 (February 2019): e020608. http://dx.doi.org/10.1136/bmjopen-2017-020608.
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ObjectiveThis study used a nationally representative sample from Tanzania as an example of low-resource setting with a high burden of maternal and newborn deaths, to assess the availability and readiness of health facilities to provide basic emergency obstetric and newborn care (BEmONC) and its associated factors.DesignHealth facility-based cross-sectional survey.SettingWe analysed data for obstetric and newborn care services obtained from the 2014–2015 Tanzania Service Provision Assessment survey, using WHO-Service Availability and Readiness Assessment tool.Primary and secondary outcome measuresAvailability of seven signal functions was measured based on the provision of ‘parental administration of antibiotic’, ‘parental administration of oxytocic’, ‘parental administration of anticonvulsants’, ‘assisted vaginal delivery’, ‘manual removal of placenta’, ‘manual removal of retained products of conception’ and ‘neonatal resuscitation’. Readiness was a composite variable measured based on the availability of supportive items categorised into three domains: staff training, diagnostic equipment and basic medicines.ResultsOut of 1188 facilities, 905 (76.2%) were reported to provide obstetric and newborn care services and therefore were included in the analysis of the current study. Overall availability of seven signal functions and average readiness score were consistently higher among hospitals than health centres and dispensaries (p<0.001). Furthermore, the type of facility, performing quality assurance, regular reviewing of maternal and newborn deaths, reviewing clients’ opinion and number of delivery beds per facility were significantly associated with readiness to provide BEmONC.ConclusionThe study findings show disparities in the availability and readiness to provide BEmONC among health facilities in Tanzania. The Tanzanian Ministry of Health should emphasise quality assurance efforts and systematic maternal and newborn death audits. Health leadership should fairly distribute clinical guidelines, essential medicines, equipment and refresher trainings to improve availability and quality BEmONC.
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Keleher, Helen, and Kerreen Reiger. "Tensions in maternal and child health policy in Victoria: looking back, looking forward." Australian Health Review 27, no. 2 (2004): 17. http://dx.doi.org/10.1071/ah042720017.
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Helen Keleher is Associate Professor in the School of Health and Social Development, Deakin University.Kerreen Reiger is Associate Professor in the School of Social Sciences, La Trobe University.Since the late 1980s, Maternal and Child Health Services (MCHS) in Victoria have undergone significant change. This paper provides an historically-informed analysis of the complex intersection of policy, administrative restructuring and stakeholder interests. It draws on and extends the authors' previous research into MCH Service policy directions and administration, including the impact of Compulsory Competitive Tendering (CCT) on MCH nurses in the 1990s. Historically there has been little explicit debate about either organisational arrangements, or the policy objectives of the MCHS. The dominant focus on health surveillance of infants never adequately reflected nurses' wider role in the community and was not consistent with a wider social model of health. Tensions between professional, consumer and administrative stakeholders became heightened by the implementation of the 1990s neoliberal political agenda. During this period, when restructuring linked funding to service delivery through tendering arrangements, apolitical and policy settlement further institutionalised surveillance as the basis of the MCHS. The restructured Service has remained constrained by the dominance of health surveillance as the primary program goal even after more varied contracting arrangements replaced CCT. Although recent initiatives indicate signs of hange, narrow surveillancebased guidelines for Victorian MCH Services are not consistent, we argue, with recent early years of life policy which calls for approaches derived from socio-ecological models of health.
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Condon, Eileen M. "Maternal, Infant, and Early Childhood Home Visiting: A Call for a Paradigm Shift in States' Approaches to Funding." Policy, Politics, & Nursing Practice 20, no. 1 (February 2019): 28–40. http://dx.doi.org/10.1177/1527154419829439.
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Early home visiting is a vital health promotion strategy that is widely associated with positive outcomes for vulnerable families. To expand access to these services, the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program was established under the Affordable Care Act, and over $2 billion have been distributed from the Health Resources and Services Administration to states, territories, and tribal entities to support funding for early home visiting programs serving pregnant women and families with young children (birth to 5 years of age). As of October 2018, 20 programs met Department of Health and Human Services criteria for evidence of effectiveness and were approved to receive MIECHV funding. However, the same few eligible programs receive MIECHV funding in almost all states, likely due to previously established infrastructure prior to establishment of the MIECHV program. Fully capitalizing on this federal investment will require all state policymakers and bureaucrats to reevaluate services currently offered and systematically and transparently develop a menu of home visiting services that will best match the specific needs of the vulnerable families in their communities. Federal incentives and strategies may also improve states' abilities to successfully implement a comprehensive and diverse menu of home visiting service options. By offering a menu of home visiting program models with varying levels of service delivery, home visitor education backgrounds, and targeted domains for improvement, state agencies serving children and families have an opportunity to expand their reach of services, improve cost-effectiveness, and promote optimal outcomes for vulnerable families. Nurses and nursing organizations can play a key role in advocating for this approach.
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Yasin, Raheel, and Ghulam Abbas Anjum. "REFLECTION ON QUALITY OF HEALTH SERVICES." Professional Medical Journal 22, no. 05 (May 10, 2015): 527–31. http://dx.doi.org/10.29309/tpmj/2015.22.05.1260.
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Health care is the crucial and fundamental right of every human being. Qualityhealth care is the strong desire of every human being. Quality is considered as one of theprime pillar of differentiation in services. Service quality is lifeline of organizational success.This paper throws a public eye on patient’s expectations and the satisfaction level pertaining toquality of service provided by public hospitals. Objectives: (1) To dig out the quality of servicein public teaching hospitals of Lahore, Pakistan by using SERVQUAL model. Study Design:Quantitative Study. Period: Sep 2014 to Oct 2014. Setting: Five Teaching Hospital, JinnahHospital, Mayo Hospital, Services Hospital, General Hospital, Sir Ganga Ram Hospital, Lahorewhich are the Medical Giants of Pakistan. Material & Methods: The research is carried out onprimary data, recording 250 responses from target audience by using structure questionnaire.Regression and correlation analysis were performed to confirm a relationship between ServiceQuality dimensions and patient satisfaction. Results: Study shows that empathy is the mostimportant factor that brings happiness and satisfaction to the patients. Conclusions: Researchfindings are fruitful for health department and hospital administration to plan strategies in orderto improve service quality and become benchmark for others in industry.
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Zaidi, Shehla, Maryam Huda, Ammarah Ali, Xaher Gul, Rawshan Jabeen, and Mashal Murad Shah. "Pakistan’s Community-based Lady Health Workers (LHWs): Change Agents for Child Health?" Global Journal of Health Science 12, no. 11 (September 29, 2020): 177. http://dx.doi.org/10.5539/gjhs.v12n11p177.
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BACKGROUND: In Pakistan’s high child mortality context, a large-scale Lady Health Worker (LHW) Program raises the need to look at whether LHWs are delivering their key mandate as agents of change for child health. This study examines the quantity and quality of LHW interactions with mothers for child health and their impact on mothers' knowledge and child health practices.
METHODS: 1,968 mothers of children <2 years (n=1,968) were interviewed through a cross-sectional survey in two rural districts of Pakistan focusing on immunization, nutrition, and early child illness. Data on frequency of LHW’s visits; services provided, specific services related to routine immunization (RI), nutrition and child illness, and maternal knowledge and practices were analyzed using median values for continuous variables and counts and percentages for categorical data.
RESULTS: Monthly visits by LHW were reported by only 63% of LHW covered households. During LHW monthly encounters, Oral Polio drops administration was most frequently reported (77%), followed by RI (59%), breastfeeding counseling (20%), child illness management advice (18%), growth monitoring (9.5%), while none reported receiving hygiene counseling. Although LHWs were reported to be the main information source for child health; limited impact of LHW-mother interaction was seen on maternal knowledge and practices: 76% mothers reported receiving ORS packets from LHWs but only 27% knew of correct usage, only 34% washed hands before feeding children, less than a third could correctly recall early signs of pneumonia and awareness of Vaccine Preventable Diseases other than Polio ranged from 42%-9% only.
CONCLUSION: Although LHWs are main information source for child health services but infrequent, poor quality household encounters indicate ineffective delivery on the key mandate of community-based child health. Policy debate instead of focusing on scaling up or downsizing the program, should prioritize quality and supervision to improve value for money of a critical community resource.
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Windsma, Mitchell, Tienke Vermeiden, Floris Braat, Andualem Mengistu Tsegaye, Asheber Gaym, Thomas van den Akker, and Jelle Stekelenburg. "Emergency obstetric care provision in Southern Ethiopia: a facility-based survey." BMJ Open 7, no. 11 (November 2017): e018459. http://dx.doi.org/10.1136/bmjopen-2017-018459.
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ObjectivesTo assess the provision of basic emergency obstetric and newborn care (BEmONC), knowledge of high-risk pregnancies and referral capacity at health centres in Southern Ethiopia.DesignA facility-based survey, using an abbreviated version of the Averting Maternal Death and Disability needs assessment tool for emergency obstetric and newborn care. Modules included infrastructure, staffing, number of deliveries, maternal and perinatal mortality, BEmONC signal functions, referral capacity and knowledge of risk factors in pregnancy.SettingPrimary healthcare centres providing delivery services in the Eastern Gurage Zone, a predominantly rural area in Southern Ethiopia.ParticipantsAll 20 health centres in the study area were selected for the assessment. One was excluded, as no delivery services had been provided in the 12 months prior to the study.ResultsThree out of 19 health centres met the government’s staffing norm. In the 12 months prior to the survey, 10 004 (X−=527±301) deliveries were attended to at the health centres, but none had provided all seven BEmONC signal functions in the three months prior to the survey (X−=3.7±1.2). Eight maternal and 32 perinatal deaths occurred. Most health centres had performed administration of parenteral uterotonics (17/89.5%), manual removal of placenta (17/89.5%) and neonatal resuscitation (17/89.5%), while few had performed assisted vaginal delivery (3/15.8%) or administration of parenteral anticonvulsants (1/5.3%). Reasons mentioned for non-performance were lack of patients with appropriate indications, lack of training and supply problems. Health workers mentioned on average 3.9±1.4 of 11 risk factors for adverse pregnancy outcomes. Five ambulances were available in the zone.ConclusionBEmONC provision is not guaranteed to women giving birth in health centres in Southern Ethiopia. Since the government aims to increase facility deliveries, investments in capacity at health centres are urgently needed.
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Li, Virginia Cheng. "Critical Public Health Problems Perceived by Urban Chinese Health Workers." International Quarterly of Community Health Education 6, no. 4 (January 1986): 297–308. http://dx.doi.org/10.2190/c3kb-tyd4-p0ah-k509.
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This study surveyed a cross section of urban Chinese health workers' perception of problems, needs and priorities in health care delivery. Eleven categories of problems were identified by the health workers. When asked to prioritize what they perceived as critical public health problems in China, more respondents (25.9%) cited family planning and maternal child health as the most critical problem. However, in terms of response frequency, family planning and maternal child health ranked fifth (10.7%) behind disease prevention (18.4%), health education of the public (15.4%), health services administration (13.1%), and environmental health (12.1%). Other critical problems identified were medical education (10.0%). industrial health (5.3%), research (4.5%), nutrition and food sanitation (4.5%), young adults (3.6%), and the elderly (3.6%). Apparently, family planning is perceived as the most critical societal health problem affecting the welfare of the state, but heart disease, cancer, dysentery, hepatitis, and others were perceived as personal health problems critical to the individual and the public. The delineation suggests a distinction of state versus individual priorities. The Chinese health workers saw solutions to these critical problems more often in combined measures of health education, policy regulation, and medical care, than in single measures. They recognized the importance of an enlightened public and felt that educating the public must undergrid all health measures to reach the goal of Health for All by the Year 2000.
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Chou, Doris. "Looking Outward to Look Within: The Health Resources and Services Administration Maternal Mortality Summit, and What It Means for Women Everywhere." Annals of Internal Medicine 173, no. 11_Supplement (December 1, 2020): S1—S2. http://dx.doi.org/10.7326/m19-3259.
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Carreón Guillén, Javier. "Governance of the public Administration of water Resources and Services in the COVID-19 era." Brain and Neurological Disorders 5, no. 2 (June 21, 2022): 01–05. http://dx.doi.org/10.31579/2642-9730/023.
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Water problems focused on scarcity, shortages, unhealthiness and high cost have been addressed from the social representations of users of the public drinking water service, although such studies have avoided the incidence of print media on readers. The objective of the present work was to specify a model for the study of the phenomenon, considering a review of press releases of national circulation during the period from 2015 to 2022, as well as the inclusion of frames in the disseminated information. A prevalence of the data was observed towards an intermediate frame of the problems, although the research design limited the results to the study scenario, suggesting the extension of the work to other scenarios such as the contamination of the aquifers and their effects on health Environmental public.
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Druguet, Mònica, Laura Nuño, Carlota Rodó, Silvia Arévalo, Elena Carreras, and Juana Gómez-Benito. "Maternal Satisfaction with Healthcare after Perinatal Loss in Monochorionic Twin Pregnancy." Journal of Clinical Medicine 8, no. 8 (August 14, 2019): 1213. http://dx.doi.org/10.3390/jcm8081213.
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Introduction: The analysis of patients’ satisfaction with healthcare is recognised as being useful in the evaluation of health outcomes and perceived quality of care. Little is known, however, about how the psychological status of women who experience perinatal complications may affect their perceived satisfaction with care. Methods: We assessed healthcare satisfaction in 52 women who had undergone intrauterine surgery during a complicated monochorionic twin pregnancy and examined the influence that fetal loss and sociodemographic, clinical, and psychological factors had on the degree of satisfaction. Data were gathered in an individual interview and through the administration of the Medical Patient Satisfaction Questionnaire, Beck Depression Inventory, and State–Trait Anxiety Inventory. Relationships between variables were analysed using a chi-square test, Spearman’s rho, Student’s t test, and the Mann–Whitney U test, in accordance with the metric nature of the variables and the assumptions fulfilled. Results: Age and level of education were not associated with the degree of healthcare satisfaction. Negative but non-significant correlations were observed between the level of satisfaction and symptoms of anxiety and depression. Satisfaction with healthcare was high in the sample as a whole, although it was significantly higher among women who had not experienced fetal loss. There were no differences in satisfaction with services involving direct contact with medical staff, whereas satisfaction with indirect services was lower among women who had experienced perinatal loss. Conclusions: Due to the unique characteristics of this population, specialised care teams of both professional healthcare and indirect services are needed. Although administrative aspects of healthcare are regarded as being of secondary importance, this may not be the case with more vulnerable populations.
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Willey, Barbara, Nasir Umar, Emma Beaumont, Elizabeth Allen, Jennifer Anyanti, Abubakar Bala Bello, Antoinette Bhattacharya, et al. "Improving maternal and newborn health services in Northeast Nigeria through a government-led partnership of stakeholders: a quasi-experimental study." BMJ Open 12, no. 2 (February 2022): e048877. http://dx.doi.org/10.1136/bmjopen-2021-048877.
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ObjectivesThis study aimed to quantify change in the coverage, quality and equity of essential maternal and newborn healthcare interventions in Gombe state, Northeast Nigeria, following a four year, government-led, maternal and newborn health intervention.DesignQuasi-experimental plausibility study. Repeat cross-sectional household and linked health facility surveys were implemented in intervention and comparison areas.SettingGombe state, Northeast Nigeria.ParticipantsEach household survey included a sample of 1000 women aged 13–49 years with a live birth in the previous 12 months. Health facility surveys comprised a readiness assessment and birth attendant interview.InterventionsBetween 2016–2019 a complex package of evidence-based interventions was implemented to increase access, use and quality of maternal and newborn healthcare, spanning the six WHO health system building blocks.Outcome measuresEighteen indicators of maternal and newborn healthcare.ResultsBetween 2016 and 2019, the coverage of all indicators improved in intervention areas, with the exception of postnatal and postpartum contacts, which remained below 15%. Greater improvements were observed in intervention than comparison areas for eight indicators, including coverage of at least one antenatal visit (71% (95% CI 62 to 68) to 88% (95% CI 82 to 93)), at least four antenatal visits (46% (95% CI 39 to 53) to 69% (95% CI 60 to 75)), facility birth (48% (95% CI 37 to 59) to 64% (95% CI 54 to 73)), administration of uterotonics (44% (95% CI 34 to 54) to 59% (95% CI 50 to 67)), delayed newborn bathing (44% (95% CI 36 to 52) to 62% (95% CI 52 to 71)) and clean cord care (42% (95% CI 34 to 49) to 73% (95% CI 66 to 79)). Wide-spread inequities persisted however; only at least one antenatal visit saw pro-poor improvement.ConclusionsThis intervention achieved improvements in life-saving behaviours for mothers and newborns, demonstrating that multipartner action, coordinated through government leadership, can shift the needle in the right direction, even in resource-constrained settings.
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Nagoriyanskii, A. O. "IMPROVEMENT OF PUBLIC ADMINISTRATION OF THE MEDICAL REHABILITATION SYSTEM AS AN INTEGRAL PART OF PUBLIC HEALTH POLICY." Клінічна та профілактична медицина 2, no. 16 (June 25, 2021): 63–69. http://dx.doi.org/10.31612/2616-4868.2(16).2021.08.
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Objective of the study: to substantiate the theoretical approaches and develop priority areas for improving public administration to ensure the system of medical rehabilitation and recreation in Ukraine.
Material and methods. To achieve this goal, a set of interconnected and complementary general and special research methods was used, in particular, specific search methods (detection, selection, theoretical analysis, synthesis, updating, classification) were used to summarize regulatory, documentary, printed and electronic sources of information on public administration of the system of medical rehabilitation and sanatorium services.
Results. Theoretical principles of public administration of the medical rehabilitation system are investigated. The current state of medical rehabilitation and sanatorium treatment in the health care system of Ukraine is analyzed, namely: regulatory and legal support of medical rehabilitation and sanatorium treatment in the health care system of Ukraine. The priority directions of improvement of the state administration concerning maintenance of system of medical rehabilitation and recreation in Ukraine are substantiated and the ways of improvement of the state management of system of medical rehabilitation as a component of the state policy in the field of public health services are offered.
Findings. Support for the development of sanatorium-resort activities should be carried out using the methodology of program-targeted management, which provides for the development and adoption of comprehensive programs aimed at implementing specific measures to develop resort potential, improve quality and efficiency of sanatorium-resort services, strengthen the material and technical base of resort management at the level of the state and regions.
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Becker, Genevieve Ellen, Jennifer Cashin, Tuan T. Nguyen, and Paul Zambrano. "Expanding Integrated Competency-Focused Health Worker Curricula for Maternal Infant and Young Child Nutrition." Education Sciences 12, no. 8 (July 29, 2022): 518. http://dx.doi.org/10.3390/educsci12080518.
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Maternal, infant, and young child nutrition (MIYCN) is important for health, survival, productivity, and development. Knowledgeable, skilled health workers are vital to provide quality care, improve health outcomes, and meet global nutrition targets. When nutrition is not adequately addressed in pre-service curricula, health workers may not be equipped with the knowledge, skills and confidence required to deliver nutrition services and accurate information free of commercial influence. Curriculum review, revision, and competency structuring provides an opportunity to benchmark course topics and content to global standards, to increase focus on learner outcomes, and to facilitate mutual recognition of qualifications across countries and regions. This paper discusses a multistage process to map an existing curriculum, analyse expected competencies, and recognize broader factors when developing a competency-focused curriculum in pre-service education that includes MIYCN. Examples of tools are provided which can be used for review and discussion of curricula and competency at local and national level and to integrate skills such as communication and counselling.
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Hale, Kshea, Yvonne Kellar-Guenther, Sarah McKasson, Sikha Singh, and Jelili Ojodu. "Expanding Newborn Screening for Pompe Disease in the United States: The NewSTEPs New Disorders Implementation Project, a Resource for New Disorder Implementation." International Journal of Neonatal Screening 6, no. 2 (June 11, 2020): 48. http://dx.doi.org/10.3390/ijns6020048.
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Public health programs in the United States screen more than four million babies each year for at least 30 genetic disorders. The Health and Human Services (HHS) Advisory Committee on Heritable Disorders in Newborns and Children (ACHDNC) recommends the disorders for state newborn screening (NBS) programs to screen. ACHDNC updated the Recommended Uniform Screening Panel (RUSP) to include Pompe disease in March 2015. To support the expansion of screening for Pompe disease, the Association of Public Health Laboratories (APHL) proposed the Newborn Screening Technical assistance and Evaluation Program (NewSTEPs) New Disorders Implementation Project, funded by the HHS’ Health Resources and Services Administration (HRSA) Maternal and Child Health Bureau (MCHB). Through this project, APHL provided financial support to 15 state NBS programs to enable full implementation of screening for Pompe disease. As of April 27, 2020, nine of the 15 programs had fully implemented Pompe disease newborn screening and six programs are currently pursuing implementation. This article will discuss how states advanced to statewide implementation of screening for Pompe disease, the challenges associated with implementing screening for this condition, the lessons learned during the project, and recommendations for implementing screening for Pompe disease.
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Trowbridge, Frederick L., Denise Sofka, Katrina Holt, and Sarah E. Barlow. "Management of Child and Adolescent Obesity: Study Design and Practitioner Characteristics." Pediatrics 110, Supplement_1 (July 1, 2002): 205–9. http://dx.doi.org/10.1542/peds.110.s1.205.
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Objective. A study was undertaken to examine the attitudes and practices of health care providers in the assessment and treatment of overweight and obese children and adolescents. This study describes the study design and the practice settings and person characteristics of the practitioners included in this study. Methods. A needs assessment questionnaire was developed by a working group consisting of researchers, clinicians, educators, and representatives of the Maternal and Child Health Bureau, Health Resources and Services Administration (Department of Health and Human Services), National Center for Education in Maternal and Child Health, International Life Sciences Institute, and Harris Interactive, Inc. The questionnaire consisted of 35 questions divided into 3 topic areas and was disseminated to a sample of pediatricians (n = 1088), pediatric nurse practitioners (n = 879), and registered dietitians (n = 1652). Results. Despite a low response rate (33% for pediatric nurse practitioners, 27% for registered dieticians, and 19% for pediatricians), descriptive data were obtained about a variety of practitioner characteristics. Some significant differences were observed across practitioner groups and between genders in regard to years in practice, body mass index, and dietary and physical activity behaviors. Significant relationships were also observed in some practitioner groups between body mass index and compliance with dietary and physical activity guidelines. Conclusions. Our data show there is a wide variance in practitioner characteristics, particularly in regard to gender, years of practice, body mass index, and obesity-related behaviors. It is hoped the analyses presented in this and in the subsequent articles will provide useful information on current attitudes and practices and will contribute to improvements in the treatment of overweight children and adolescents.
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Manchaiah, Vinaya, Rebecca J. Bennett, Pierre Ratinaud, and De Wet Swanepoel. "Experiences With Hearing Health Care Services: What Can We Learn From Online Consumer Reviews?" American Journal of Audiology 30, no. 3 (September 10, 2021): 745–54. http://dx.doi.org/10.1044/2021_aja-21-00041.
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Objective The aim of this study was to examine experiences of hearing health care services as described in online consumer reviews. Design This study used a cross-sectional design. Online consumer reviews about hearing health care services generated from Google.com to an open-ended question “Share details of your own experience at this place” and perceived overall experience (indicated on a 5-point rating scale: “very good” to “very poor”) were extracted from 40 different cities across the United States. The open text contributed a text corpus of 9,622 unique consumer reviews. These responses were analyzed with the cluster analysis approach using an open-source automated text analysis software program, IRaMuTeQ, to identify key themes. Association between clusters and consumer experience ratings as well as consumer metadata (percentage of older adults in the city, region) were examined using the chi-square analysis. Results The majority of consumers appeared satisfied with their hearing health care services, with nearly 95% of consumers reporting “very good” and “good” on the global experience scale. The analysis of text responses resulted in seven clusters within two domains. Domain 1 (Clinical Processes) included the three clusters: administration processes, perceived benefits, and device acquisition. Domain 2 (Staff and Service Interactions) included the four clusters: clinician communications, staff professionalism , customer service, and provider satisfaction . Content relating to administration processes was associated with overall rating regarding the hearing health care service experience. Consumer's reviews relating to administration processes mostly described negative experiences, and these participants were more inclined to provide poorer overall experience ratings. In addition, city characteristics (i.e., percentage of older adults, region) had bearing toward what elements of hearing health care services are highlighted more in the consumer reviews. Conclusions Consumers comment on a variety of elements when describing their experiences with hearing health care services. Experiences reported in most clusters were generally positive, although some concerns in the “clinical process” are associated with lower satisfaction. Employing patient-centered strategies and ensuring patients have good experiences in the areas of concern may help improve both patient experience and their satisfaction. Supplemental Material https://doi.org/10.23641/asha.16455924
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Martinez, Gabriela, Stephanie Ayers, Anaid Gonzalvez, Meg Bruening, Beatriz Vega-Luna, Flavio F. Marsiglia, and Sonia Vega-López. "Associations of Health-Related Conversations and Mealtime Media Device Use Among Parent-Adolescent Dyads." Current Developments in Nutrition 5, Supplement_2 (June 2021): 156. http://dx.doi.org/10.1093/cdn/nzab035_064.
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Abstract Objectives To determine how health-related conversations between parents and their adolescent children is associated with mealtime media device use by adolescents. Methods A sample of primarily Hispanic parents (n = 347; 43 ± 6.5 years; 89.3% female) of 6th, 7th or 8th grade adolescents enrolled in a parenting intervention focusing on the promotion of healthy nutrition and substance use prevention. Parents completed baseline surveys to self-report the frequency with which they had health-related conversations with their adolescent child (healthy eating, being physically active, adolescent's weight, adolescent weighing too much, eating differently to lose weight, exercising to lose weight), and the frequency with which the adolescent used media devices during mealtimes (television and movie watching, cellphone use or texting, handheld gaming devices, listening to music with headphones). Spearman's rank correlations were used to assess the associations between health-related communication and mealtime media device use. Results Reported conversations about healthy eating, being physically active, and general weight of the adolescent were not associated with reported use of media devices by adolescents during mealtimes. Having conversations related to the adolescent weighing too much was positively and significantly correlated with television/movie watching (r = 0.219; P < 0.0001), talking on a cellphone (r = 0.130; P < 0.05), using gaming devices (r = 0.140; P < 0.05), and listening to music with headphones (r = 0.136; P < 0.05). Having conversations about exercising to lose weight was also significantly correlated with television/movie watching during mealtimes (r = 0.137; P < 0.05). Conclusions Findings suggest that higher frequency of weight-related conversation is associated with higher usage of media devices during mealtimes. Whether parenting practices, parental concerns about their children's weight, and the home mealtime environment play a role on adolescent weight status in Hispanic households warrants further investigation. Funding Sources National Institute on Minority Health and Health Disparities and Health Resources and Services Administration of the U.S. Department of Health and Human Services as part of a Maternal Child Health Bureau Nutrition Training Grant.
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Babore, Getachew Ossabo, and Asnakech Zekiwos Heliso. "Contraceptive utilization and associated factors among youths in Hossana town administrative, Hadiya zone, Southern Ethiopia." PLOS ONE 17, no. 11 (November 17, 2022): e0275124. http://dx.doi.org/10.1371/journal.pone.0275124.
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Background In low-income countries out of, 60.7 million unintended pregnancies, 19% of them are subjected to abortion of which 11% of were unsafe. Surprisingly, about 2.5 million occur in women under the age of 20 years. Aim of this study is to measure the level of contraceptive utilization and associated factors among youths in Hosanna town administration. Method Institutional based cross-sectional study was conducted in Hossana town administration, Hadiya zone, Southern Ethiopia. A multistage sampling procedure was employed by clustering health facilities into reproductive health clubs and health facilities to select 781 study participants. Data was collected by using structured pre-tested, self-administered questionnaires. All coded and cleaned data were entered into EPI-info version 3.5.1 and it was exported to SPSS version 16.0 for recoding and further analysis. Result Among youths who had been sexually active within the last 12 months, 67.6% had used contraceptives prior to the survey. Multivariate analysis was found statistically significant association between contraceptive utilization and education status of mothers who attained university AOR = 4.57 [95% CI (1.29, 16.19)], utilization of sexual and reproductive health services within last 12 months AOR = 2.26 [(95% CI: 1.33, 3.86)], age initiation of first sex between 15–19 year OR = 2.63 [(95% CI 1.48,4.64)], discussion with sexual partner AOR = 1.99 [(95% CI: 1.27, 3.13)], good knowledge on contraceptive advantage AOR = [1.89 (95%CI: 1.07, 3.32)]. Whereas educational status: being secondary level decrease utilization of contraceptives by 51% AOR = 0.49 [95% CI (0.27, 0.94)]. Conclusion & recommendation The findings of our study imply that level of contraceptive utilization is higher than as compared to the previous studies. Discussion with a sexual partner as well as with a spouse, having awareness on contraceptive advantages, early age initiation of sexual intercourse, maternal educational status and getting sexual and reproductive health services recently were identified as predictors of contraceptive utilization.
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Ruggiero, Cara, Holly Harris, Lisa Bailey-Davis, and Jennifer Savage. "Household Chaos and Parenting Competence Are Associated with Low-Income Mothers’ Use of Food to Soothe: A Longitudinal Analysis in Early Infancy." Current Developments in Nutrition 4, Supplement_2 (May 29, 2020): 1066. http://dx.doi.org/10.1093/cdn/nzaa054_138.
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Abstract Objectives Use of food to soothe (FTS) infant distress has been linked to later obesity risk. Infant characteristics influence mothers’ use of FTS, but less is known about how broader family characteristics, like parenting or the home environment impact FTS. We aimed to examine whether maternal parenting competence and household chaos, factors known to influence responsive parenting, were associated with the use of FTS over time. Methods This secondary analysis includes 288 low-income mothers and their full-term newborns participating in the WEE Baby Care study. The Babies Basic Needs Questionnaire was used to assess emotional FTS (e.g., in response to infant distress, maternal stress) and contextual FTS (e.g., car, church) at infant ages 2, 5, and 7 months. The Confusion, Hubbub and Order Scale (chaos) and the Parenting Sense of Competence Scale (total competence, parenting satisfaction, parenting self-efficacy) were completed at 2 months. Mixed linear models adjusted for study group were used to examine emotional and contextual FTS over time. Results The use of FTS decreased over time from 2 to 7 months of age (P < 0.05). Mean (SD) chaos was 25.7 (5.3) with a possible range from 15 to 60. Mean (SD) competence was 78.8 (9.8) with a possible range of 16 to 96. Lower competence and parenting satisfaction (both P < 0.0001) and higher chaos (P = 0.03) were associated with mothers’ greater use of emotional FTS. Competence (P = 0.46) and chaos (P = 0.29) were not associated with mothers’ use of contextual FTS. Lower parenting satisfaction was marginally associated with mothers’ greater use of contextual FTS (P = 0.06). Parenting self-efficacy was not associated with the use of FTS. Conclusions Results suggest that maternal parenting characteristics and household chaos may be potentially modifiable factors related to mothers’ use of FTS, especially to relieve their personal or their infants’ emotional distress. Interventions that target low-income mothers’ feeding practices may need to address a broad range of maternal and household characteristics. Funding Sources Health Resources and Services Administration of the U.S. Department of Health and Human Services, Maternal and Child Health Field-initiated Innovative Research Studies Program.
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Yu, Huina, Guihong Zhang, Jiali Liu, and Kai Li. "Intelligent Knowledge Service System Based on Depression Monitoring of College Students." International Journal of Emerging Technologies in Learning (iJET) 14, no. 12 (June 27, 2019): 71. http://dx.doi.org/10.3991/ijet.v14i12.10702.
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The number of college students suffering from depression has increased in recent years. In order to help the college student administration departments understand students' psychological state of depression better and keep college students mentally healthy through mental health services, this paper studies an intelligent monitoring system for depression. Different from previous researches, this study, based on the cloud services platform, incorporates three indicators closely related to depression-sleeping, exercise and heart rate-into the monitoring database subsystem and establishes a relatively macroscopic intelligent knowledge service system for depression monitoring of college students. It uses the Mobile Material Link Device (MMLD) to collect data and information to monitor and analyze the changes in the depression status of college students dynamically, which also provides timely warnings and a chain of personalized intelligent knowledge services based on individuals’ depression status.
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Salehi, Ahmad S., Josephine Borghi, Karl Blanchet, and Anna Vassall. "The cost-effectiveness of using performance-based financing to deliver the basic package of health services in Afghanistan." BMJ Global Health 5, no. 9 (September 2020): e002381. http://dx.doi.org/10.1136/bmjgh-2020-002381.
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Performance-based financing (PBF) is a mechanism to improve the quality and the utilisation of health benefit packages. There is a dearth of economic evaluations of PBF in the ‘real world’. Afghanistan implemented PBF between 2010 and 2015 and evaluated the programme using a pragmatic cluster-randomised control trial. We conducted a cost-effectiveness analysis of the PBF programme in Afghanistan, compared with the standard of care, from the provider payer’s perspective. The incremental cost-effectiveness ratio of PBF compared with the standard of care was US$1242 per disability-adjusted life year averted; not cost-effective when compared with an opportunity cost threshold of US$349. Incentive payments were the main contributor to PBF financial cost (70%) followed by data verification (23%), staff time (5%) and administration (2%). The unit cost per case of antenatal care (ANC), skilled birth attendance (SBA) and postnatal care (PNC) services in the standard of care was US$0.96 (95% CI 0.92–1.0), US$4.8 (95% CI 4.1–6.3) and US$1.3 (95% CI 1.2–1.4), respectively, whereas the cost of ANC, SBA and PNC services per case in PBF areas were US$4.72 (95% CI 4.68–5.7), US$48.5 (95% CI 48.0–52.5) and US$5.4 (95% CI 5.1–5.9), respectively. To conclude, our study found that PBF, as implemented in the Afghan context, was not the best use of funds to strengthen the delivery of maternal and child health services. The cost-effectiveness of alternative PBF designs needs to be appraised before using PBF at scale to support health benefit packages. PBF needs to be considered in the context of funding the range of constraints that inhibit health service performance improvement.
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Smith, Taryn, and M. Pia Chaparro. "Trends in Pre-Pregnancy Obesity Among WIC-Participating Mothers Across 20 U.S. States, 2000–2016." Current Developments in Nutrition 4, Supplement_2 (May 29, 2020): 1690. http://dx.doi.org/10.1093/cdn/nzaa063_088.
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Abstract Objectives The objective of this study was to examine trends in pre-pregnancy obesity among WIC-participating mothers between 2000–2016 across twenty U.S. states. Methods Data on self-reported maternal pre-pregnancy body mass index (BMI, kg/m2) were obtained from publicly available records and trends were analyzed for states with data for all selected years (2000–2016; n = 20). Pre-pregnancy obesity was defined as BMI ≥30 kg/m2. Trends were adjusted for race, ethnicity, and median education. Results Overall, all states experienced a significant increase in the prevalence of pre-pregnancy obesity from 2000 until 2016. Noteworthy trends were found in several states: 1) Alabama consistently had the highest prevalence of pre-pregnancy obesity, ranging from 31.8% in 2000 to 42.8% in 2016. 2) Wisconsin had the most significant increase of the 20 states, increasing from 22.4% in 2000 to 42.3% in 2016 (annual % change [APC] = 6%). 3) Michigan had a significant increase in prevalence between 2000 and 2006, from 27.9% in 2000 to 32.5% in 2006 (APC = 2.5%), but then plateaued at 33% from 2006–2016. 4) Vermont had a significant increase from 2000–2012 (29% to 36.5%), but then experienced a decline from 2012 to 2016 (36.5% to 33.4%). Conclusions These findings suggest that obesity interventions should be targeted at women before they start their reproductive lives. Identifying ways to support a healthy gestational weight gain within WIC may ameliorate the negative consequences associated with pre-pregnancy obesity on both women and children, especially since most women join WIC when they are already pregnant, if not later. Funding Sources This research was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under the grant: Maternal and Child Health Nutrition Training Program. The contents are those of the authors and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS or the U.S. Government.
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Taufik Ridwan. "Pemberdayaan Ekonomi Rumah Tangga Yang Terdampak Pandemi Covid-19 Melalui Usaha Mikro dan Kecil di Kelurahan Tukmudal." Jurnal Indonesia Sosial Teknologi 1, no. 5 (December 21, 2020): 438–48. http://dx.doi.org/10.36418/jist.v1i5.55.
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This activity aims to improve the economic condition by managing and obtaining funding sources and increasing marketing using technology. Community Service is carried out using the guidance and mentoring method by providing material on Islamic financial institutions, culinary businesses, and the use of technology. Results from this activity were that participants could increase their understanding of the material provided by an average of 87 percent, which could be used to motivate and increase sales turnover. This happened because participants have knowledge of Islamic financial institutions as managers and sources of funding, culinary efforts to increase diversification in the food business, and use of technology to improve marketing and administration. Community services implemented during the pandemic must follow health protocols, whether offline or online. This service’s result is not optimal because it could not interact directly in giving and receiving material. Post of community services, the community’s economy improved because it can increase partners’ insight in overcoming capital and marketing problems, so they are motivated to develop their business.
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Soeharjoto, Soeharjoto, Nirdukita Ratnawati, Tatik Mariyanti, Syofriza Syofyan, and Debbie Aryani Tribudhi. "Pemberdayaan ekonomi rumah tangga yang terdampak pandemi Covid-19 melalui usaha mikro dan kecil di Kelurahan Mustikajaya." Yumary : Jurnal Pengabdian Kepada Masyarakat 1, no. 1 (September 10, 2020): 25–33. http://dx.doi.org/10.35912/jpm.v1i1.65.
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Purpose: This activity aims to improve the economic condition by managing and obtaining funding sources and increasing marketing using technology. Community Method: Service is carried out using the guidance and mentoring method by providing material on Islamic financial institutions, culinary businesses, and the use of technology. Results: Results from this activity were that participants could increase their understanding of the material provided by an average of 93 percent, which could be used to motivate and increase sales turnover. This happened because participants have knowledge of Islamic financial institutions as managers and sources of funding, culinary efforts to increase diversification in the food business, and use of technology to improve marketing and administration. Conclusion: Community services implemented during the pandemic must follow health protocols, whether offline or online. This service’s result is not optimal because it could not interact directly in giving and receiving material. Post of community services, the community’s economy improved because it can increase partners’ insight in overcoming capital and marketing problems, so they are motivated to develop their business. Keywords: Empowerment, Home economics, Covid-19
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Nancarrow, Susan A., Alison Roots, Sandra Grace, and Vahid Saberi. "Models of care involving district hospitals: a rapid review to inform the Australian rural and remote context." Australian Health Review 39, no. 5 (2015): 494. http://dx.doi.org/10.1071/ah14137.
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Objectives District hospitals are important symbolic structures in rural and remote communities; however, little has been published on the role, function or models of care of district hospitals in rural and remote Australia. The aim of the present study was to identify models of care that incorporate district hospitals and have relevance to the Australian rural and remote context. Methods A systematic, rapid review was conducted of published peer-reviewed and grey literature using CINAHL, Medline, PsychInfo, APAIS-Health, ATSI health, Health Collection, Health & Society, Meditext, RURAL, PubMed and Google Scholar. Search terms included ‘rural’, ‘small general and district hospitals’, ‘rural health services organisation & administration’, ‘medically underserved area’, ‘specific conditions, interventions, monitoring and evaluation’, ‘regional, rural and remote communities’, ‘NSW’, ‘Australia’ and ‘other OECD countries’ between 2002 and 2013. Models of teaching and education, multipurpose services centres, recruitment and/or retention were excluded. Results The search yielded 1626 articles and reports. Following removal of duplicates, initial screening and full text screening, 24 data sources remained: 21 peer-reviewed publications and three from the grey literature. Identified models of care related specifically to maternal and child health, end-of-life care, cancer care services, Aboriginal health, mental health, surgery and emergency care. Conclusion District hospitals play an important role in the delivery of care, particularly at key times in a person’s life (birth, death, episodes of illness). They enable people to remain in or near their own community with support from a range of services. They also play an important role in the essential fabric of the community and the vertical integration of the health services. What is known about the topic? Little has been published on the function of small-to-medium district hospitals in rural and remote Australia, and almost nothing is known about models of care that are relevant to these settings. What does this paper add? District hospitals form an important part of vertically integrated models of care in Australia. Effective models of care aim to keep health services close to home. There is scope for networked models of care that keep health care within the community supported by hub-and-spoke models of service delivery. What are the implications for practitioners? This review found limited evidence on the skill mix required in district hospitals; however, the skill mix underpins the extent of service and speciality that can be provided locally, particularly with regard to the provision of surgery and emergency services. International evidence suggests that providing surgical services locally can help increase the sustainability of smaller hospitals because they typically provide high return, short episodes of care; however, this depends on the funding model being used. Similarly, the skill mix of staff required to sustain a functioning emergency department brings a skill base that supports a higher level of expertise across the hospital.
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Kowalczuk, Anna, Alexandre Wong, Kevin Chung, Urszula Religioni, Dariusz Świetlik, Katarzyna Plagens-Rotman, Jameason D. Cameron, et al. "Patient Perceptions on Receiving Vaccination Services through Community Pharmacies." International Journal of Environmental Research and Public Health 19, no. 5 (February 22, 2022): 2538. http://dx.doi.org/10.3390/ijerph19052538.
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(1) Introduction: Pharmacists are medical professionals who play an active role in the protection of public health. Since 2021, pharmacists with an appropriate certification have been authorised to administer vaccines against COVID-19. (2) Objective: The objective of this study was to ascertain the perceptions of patients about receiving vaccinations through community pharmacies. (3) Material and methods: This study was conducted in 2021. The research tool was an anonymous questionnaire published on the websites of patient organisations. Ultimately, 1062 patients participated in this study. (4) Results: This study shows that most of the respondents find community pharmacies more accessible than outpatient clinics (85.3%). Sixty-one percent of the respondents stated that getting vaccinated at pharmacies would be less time consuming than at outpatient clinics. Nearly every third respondent (29.5%) declared that they would get vaccinated if they received such a recommendation from a pharmacist. Fifty-six percent of the respondents were of the opinion that the administration of vaccines by pharmacists would relieve the burden on medical staff and the healthcare system. (5) Conclusions: Polish patients participating in the study have a positive attitude towards the implementation of vaccination services in community pharmacies as an effective way of combating infectious diseases.
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Olaleye, Atinuke O., and Oladapo Walker. "Impact of Health Systems on the Implementation of Intermittent Preventive Treatment for Malaria in Pregnancy in Sub-Saharan Africa: A Narrative Synthesis." Tropical Medicine and Infectious Disease 5, no. 3 (August 22, 2020): 134. http://dx.doi.org/10.3390/tropicalmed5030134.
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Malaria in pregnancy is a public health challenge with serious negative maternal and newborn consequences. Intermittent preventive treatment (IPTp) with sulphadoxine-pyrimethamine is recommended for the control of malaria during pregnancy within endemic areas, but coverage for the recommended ≥3 doses IPTp regimen has remained suboptimal. We searched PubMed, Cochrane library, and HINARI database from 1 January 2010 to 23 May 2020, for studies investigating the effect of the health system on IPTp implementation. Data extraction was independently performed by two investigators and evaluated for quality and content. Health system barriers and facilitators were explored using thematic analysis and narrative synthesis. Thirty-four out of 1032 screened articles were included. Key health system issues affecting the provision and uptake of IPTp were the ambiguity of policy and guidelines for IPTp administration, human resource shortages, drug stock-outs, conflicting policy implementation on free IPTp provision, hidden costs, unclear data recording and reporting guidelines, and poor quality of care. Factors affecting the supply and demand for IPTp services involve all pillars of the health system across different countries. The success of health programs such as IPTp will thus depend on how well the different pillars of the health system are articulated towards the success of each program.
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Yassin, Amal. "The Comprehensive Quality in Health Services by Using Six Sigma." International Journal for Innovation Education and Research 7, no. 9 (September 30, 2019): 83–103. http://dx.doi.org/10.31686/ijier.vol7.iss9.1708.
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Abstract
The study aimed to know the overall quality of the concept and its importance in providing high-quality health services and the availability of the key factors in the application and services and to take administrative factors, technical and human and financial, which may contribute to the raise if directed properly and have an adult in improving the quality of health services impact.
Based on the nature of the study and the objectives it seeks, the analytical descriptive approach was used. It was based on the study of the phenomenon as it exists in reality and it is treated as a precise description and expressed in qualitative and quantitative terms.
To analyze the analytical aspects of the research subject and then collect the initial data through the questionnaire as a main tool for research, designed specifically for this purpose, and distributed to government hospitals in Khartoum State, and included the study community department managers and patients in government hospitals in Khartoum state.
A random sample was collected (300) department managers and patients from the Khartoum government hospitals. Each individual has the opportunity to be a member of the study sample during the year 2016.
The study concluded with a number of results, the most important of which is that the hospital management has the material potential (furniture, equipment, ...) to use the Six Sigma curriculum with an intermediate degree. The hospital management is ready to use the Six Sigma curriculum to a high degree. Six Sigma In the middle level, the hospital management is keen to train the heads of departments to form teams for the process of continuous improvement to a high degree, the hospital administration is continuously improving the purpose of reducing the deviations and errors that occur, the hospital management is ready to provide an information system Its data continuously At, there is the management of the hospital readiness to provide direct contact with an intermediate degree of quality coaches tuning software system.
The study presented a number of recommendations, the most important of which is linking the promotion system in the public hospitals in Khartoum state with the quality control program, paying attention to the overall quality and stressing the possibility of using it in hospitals in Khartoum State because of its scientific and practical importance and improving the quality of the services and the operations provided.
Keywords: total quality management, health services, competitiveness, sigma six
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Vifladt, Anne, Randi Ballangrud, Kjetil Myhr, Eystein Grusd, Jan Porthun, Pål Anders Mæhlum, Karina Aase, Stephen J. M. Sollid, and Kristian Ringsby Odberg. "Team training program’s impact on medication administration, teamwork and patient safety culture in an ambulance service (TEAM-AMB): a longitudinal multimethod study protocol." BMJ Open 13, no. 1 (January 2023): e067006. http://dx.doi.org/10.1136/bmjopen-2022-067006.
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IntroductionMedication administration errors (MAEs) have the potential for significant patient harm, and the frequency of MAEs in the ambulance services is not well known. Effective teamwork is paramount for providing safe and effective patient care, especially in a time-sensitive, high-risk environment such as the ambulance services. Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) is an evidence-based team training programme that, to our knowledge, has not been studied in the ambulance services previously. TeamSTEPPS is based on the five principles: team structure, communication, leadership, situation monitoring and mutual support. This study aims to advance the knowledge of the medication administration process in the ambulance services and study the impact of a team training programme on the frequency of MAEs, and the perception of teamwork, and patient safety culture.Methods and analysisThis study uses a longitudinal multimethod design to evaluate medication administration and the implementation of the team training programme TeamSTEPPS in an ambulance service. A review of electronic patient journals 6 months prior to the intervention, and 12 months after the intervention will provide data on the frequency of MAEs. Focus group interviews and questionnaires will be carried out before and after the intervention to describe the perception of teamwork and patient safety culture among ambulance professionals. Observations, individual interviews and a review of guidelines will be conducted in the first and second quarters of 2022 to study the medication administration process in ambulance services.Ethics and disseminationThe study protocol was reviewed by the Regional Committees for Medical and Health Research Ethics Central Norway and approved by the Hospital Trust data protection officer, and the head of the Prehospital Division at the Hospital Trust. The data material will be managed confidentially and stored according to regulations. The results will be disseminated through scientific papers, reports, conference presentations, popular press, and social media.Trial registration numberNCT05244928.
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Hesty, Hesty. "PENTINGNYA PENGETAHUAN TENTANG PERAWATAN VULVA DAN PERINEUM PASCA MELAHIRKAN." Jurnal Abdimas Kesehatan (JAK) 1, no. 3 (November 28, 2019): 228. http://dx.doi.org/10.36565/jak.v1i3.64.
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The puerperium is the period after childbirth and the birth of a baby, placenta and membranes needed to restore the organs of the uterus such as before pregnancy with a period of approximately 6 weeks. The puerperium is an important thing to consider in order to reduce maternal and infant mortality in Indonesia. Coaching activities undertaken by the health team itself include promoting health in services, providing health education to the community, especially to post-partum mothers regarding various health education. In RT 16, Thehok Kelurahan, it was found that some mothers rarely checked their health or pregnancy because they felt sure that nothing had happened and the business took a long time because they had to queue and were lazy to take care of BPJS health insurance referrals. everything was done according to plan. The results achieved, the publication of articles in community service journals, the availability of IEC media (posters and boklets effective / easily understood and applied). Conducted health checks to the nearest health service and mothers are not lazy anymore to take care of administration related to their health, 95% of counseling participants consisting of mothers either pregnant or not pregnant can understand how to care for the vulva and perineum after childbirth, participants enthusiastic counseling and many asking questions and understanding post-partum handling.
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Martins, Marcelo Rodrigues, Valéria Santos Bezerra, Flávia Neri Meira de Oliveira, Alice Ramos Oliveira Silva, and Elisangela da Costa Lima. "Drug and others products shortage in Brazilian health services in the scenario imposed by COVID-19." Research, Society and Development 11, no. 5 (April 6, 2022): e26711527928. http://dx.doi.org/10.33448/rsd-v11i5.27928.
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Objective: We aimed at investigating and describing the drug and material resources in health shortage in the Brazilian services during the COVID-19 pandemic. Methods: We conducted a cross-sectional study in the format of an online survey with closed questions. Information was sought about the institutional and care profile, pharmaceutical service organization, non-compliance in the stock, or lack of drugs and other health products between April and October 2020. We performed descriptive, univariate, and multivariate statistical analyses, such as Fisher's t-test, chi-square test, and the Multiple Correspondence and Hierarchical Cluster analyses. A p-value below 0.05 and a 95% significance level were considered. Results: 228 Brazilian institutions, most located in the capital cities, with specific beds for COVID-19 and public administration, were included in the study. Grouping by similarity separated the study sample into five heterogeneous clusters. Eighty-four percent of the services indicated a drugs shortage, especially neuromuscular blocking agents (64.9%), hypnotics and sedatives (52.9%), vasoactive drugs (37.3%), and antiinfective agents (30%). Conclusion: In all the clusters, there were reports of a shortage of items considered essential in the management of critically-ill patients, corroborating the perception that this was a significant challenge for pharmaceutical assistance in various Brazilian services during the COVID-19 pandemic.
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Suleiman, Ibrahim, Sambo Abubakar, and Hamza Shehu Mohammed. "Policy Reforms in Nigerian Health Sector and the Potential for Poverty Reduction." American Economic & Social Review 1, no. 1 (October 3, 2017): 7–14. http://dx.doi.org/10.46281/aesr.v1i1.145.
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This paper studies the policy reforms in the Nigerian health sector and potentiality of the sector towards poverty reduction in the country. The study investigates the contribution of health in the process of poverty reduction by various governments in Nigeria. The study employs secondary source as a methods of data collection. The study reveals that health sector reform involves more than just improvement in health or health care. It is a process motivated by the need to address fundamental deficiencies in health care systems that affect all health care services. Health sector reform in Nigeria is based on the poor health status of the population and the poor rating of the health system itself. The study reveals that Nigerian health status was ranked 187 out of 191 countries by WHO in 2000. The infant mortality rate, the under-five mortality rate and the maternal mortality ratio are some of the indicators that are often used to compare health status of populations. Nigeria’s figures on each of the three indicators are some of the worst in the world, even by the standard of developing countries. The health sector reform was one of the social sector reforms undertaken by the Obasanjo administration, with the National Economic Empowerment Development Strategy (NEEDS) providing the overall national development framework. The NEEDS, itself, has four major goals: wealth creation, poverty reduction, employment generation and value re-orientation. Consequently, the study look at the contribution of the health sector reform towards reduction of poverty in Nigeria.
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Widyastuti, Ririn, Diyan Maria Kristin, Grasiana Florida Boa, Yuliana Dafroyati, and Uly Agustine. "Determinants Of Mothers And Components Of Antenatal Care Services With Fetal Outcome In Indonesia (Analysis Of Secondary Data Of Riskesdas 2018)." Jurnal Kebidanan Malahayati 8, no. 4 (October 30, 2022): 717–26. http://dx.doi.org/10.33024/jkm.v8i4.7715.
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Latar Belakang: Antenatal care (ANC) merupakan perawatan yang diberikan oleh tenaga kesehatan yang terampil kepada ibu hamil untuk memastikan kesehatan bagi ibu dan janin selama kehamilan. Tujuan ANC adalah mengurangi morbiditas dan mortalitas ibu dan janin baik secara langsung melalui deteksi dan pengobatan komplikasi terkait kehamilan dan tidak tidak langsung melalui peningkatan risiko komplikasi selama persalinan sehingga mendapatkan rujukan yang tepat. ANC bertujuan juga untuk memantau kemajuan proses kehamilan dan memastikan kesehatan pada ibu serta tumbuh kembang janin. Out put/luaran janin dapat dilihat dari berat badan lahir bayi yang dilahirkan.Tujuan: untuk mengetahui hubungan determinan karakteristik ibu dan komponen pelayanan antenatal care (10 T) dengan fetal outcome di Indonesia.Metode: Penelitian ini menganalisis data sekunder hasil Riskesdas 2018. Desain penelitian yang digunakan pada Riskesdas 2018 adalah studi potong lintang (cross sectional). Sampel dalam penelitian ini adalah seluruh sampel Riskesdas 2018 yang berjumlah 38.476 sampel. Kriteria ekslusi pada penelitian ini adalah data terdokumentasi yang tidak tersedia lengkap sesuai dengan variabel penelitian. Pengumpulan data dilakukan dengan cara mengajukan permintaan raw data hasil Riskesdas 2018 pada Laboratorium Manajemen data Badan Litbang Kesehatan. Teknik analisis data univariat disajikan dalam bentuk tabel distribusi frekuensi. Analisis bivariat menggunakan Chi Square untuk mengetahui hubungan determinan karakteristik ibu dan komponen pelayanan antenatal care (10T) dengan Fetal Outcome.Hasil: Terdapat hubungan antara umur ibu, pendidikan dan pekerjaan dengan fetal outcome (p value= 0,01). Terdapat hubungan antara pengukuran tinggi badan (p = 0,000), pengukuran berat badan (p= 0,021), pengukuran lila (p=0,01), pengukuran TFU (p = 0,003), pemeriksaan leopold (p=0,02), pengukuran DJJ (p=0,000), pemberian imunisasi TT (p=0,002), pemberian Tablet tambah darah (p = 0,000) dan pemeriksaan laboratorium (p=0,000) dengan fetal outcome di Indonesia. Komponen pelayanan ANC yang tidak berhubungan dengan fetal outcome adalah pengukuran tekanan darah (p=0,122) dan pelaksaan temu wicara/konseling (p=0,872).Kesimpulan: Terdapat hubungan antara umur, pendidikan dan pekerjaan, pengukuran tinggi badan, berat badan, pengukuran LILA, pengukuran TFU, pengukuran leopold, pengukuran DJJ, imunisasi TT, pemberian tablet tambah darah dan pemeriksaan laboratorium dengan fetal outcome.Saran: Ibu hamil agar memeriksaan kehamilan di fasilitas kesehatan minimal 6 kali kunjungan untuk mendapatkan pemeriksaan kehamilan yang berkualitas. Kata Kunci : ANC, Determinan Ibu, Fetal outcome ABSTRACT Background: Antenatal care (ANC) is treatment provided by professional health workers to pregnant women to ensure the health of the mother and fetus during pregnancy. The aim of ANC is to reduce maternal and fetal morbidity and mortality both directly through the detection and treatment of pregnancy-related complications and indirectly through increasing the risk of complications during delivery so as to obtain appropriate referrals. ANC also aims to monitor the progress of the pregnancy process and ensure the health of the mother and the growth and development of the fetus. Fetal output can be seen from the birth weight of the baby being born.Purpose: This study aims to determine the relationship between determinants of maternal characteristics and components of antenatal care services (10 T) with fetal outcome in Indonesia.Results: There is a relationship between maternal age, education and occupation with fetal outcome (p value = 0.01). There is a relationship between height measurement (p= 0.000), weight measurement (p= 0.021), lilac measurement (p= 0.01), TFU measurement (p= 0.003), Leopold’s examination (p= 0.02), measurement of FHR (p= 0.000), TT immunization (p = 0.002), administration of blood-added tablets (p = 0.000) and laboratory examination (p= 0.000) with fetal outcome in Indonesia. Components of ANC services that were not related to fetal outcome were blood pressure measurement (p= 0.122) and conduct of speech/counseling meetings (p= 0.872).Conclusion: There is a relationship between age, education and occupation measurement of height, weight, Circumference measurement, Fundal Height measurement, Leopold’s maneuvers, FHR measurement, TT immunization, administration of blood-added tablets and laboratory examination with fetal outcome.Suggestion: Pregnant women are required to have a pregnancy check-up at a health facility at least 6 times to get a quality pregnancy check-up. Keywords: ANC, Determinants of Mother, Fetal Outcome
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Shur, P. Z., S. V. Redko, and S. E. Zelenkin. "Development and implementation of new regulations in providing services to the population." HEALTH CARE OF THE RUSSIAN FEDERATION 66, no. 1 (March 4, 2022): 62–66. http://dx.doi.org/10.47470/0044-197x-2022-66-1-62-66.
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Introduction. At present, the process of reforming control and supervisory activities continues. Improving the compliance system is the most important area of deregulation and reducing the administrative impact on business. To effectively achieve the deregulation goals, it is necessary that this policy takes into account the peculiarities and specifics of the business and reorients the control system to reduce the administrative burden. In 2021, several new regulations came into force, including a regulatory document containing mandatory requirements for providing services to the population. The new document is a normative legal act regulating relations in sanitary legislation in terms of providing the population with services for various purposes. The purpose and objectives are to develop and implement new regulations in providing services to the population. Material and methods. In developing a new regulatory document, theoretical general logical methods and techniques of scientific knowledge were applied, their own experience of practical activities of the project developers in the institutions of the Rospotrebnadzor service was used. Results. As a result of the work, new regulations in providing services to the population were developed and implemented in the framework of the implementation of reforming public administration policies. Conclusion. New regulations have been introduced into the practical activities of business entities and control and supervisory bodies of Rospotrebnadzor, which will contribute to business compliance with sanitary and hygienic requirements and anti-epidemic measures in order to ensure the safety of services for the health of consumers. Methodological instructions or guidelines explaining the features of the new regulations will contribute to their early implementation into practice.
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Timerzyanov, M. I. "Medical and social health problems of convicted and health care delivery to this category." Kazan medical journal 96, no. 6 (December 15, 2015): 1043–49. http://dx.doi.org/10.17750/kmj2015-1043.
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An overview of the literature of domestic and foreign authors concerning the prisoners incarceration conditions and the health status, the most important disease groups and the medical support organization is presented. The prisoners health status significantly differs from the nationwide values, what is related to the maladgusted population stratum concentration, the prison conditions that facilitate some infectious diseases spread, and other factors. These problems are not isolated, as the majority of persons who are in prison, sooner or later return to the community. In the second half of the 1990s in Russia the leading in morbidity structure of convicted were respiratory diseases - 23.5% (respiratory viral infections, chronic non-specific lung disease, pneumonia, etc.); mental disorders - 19.6% (alcoholism, drug addiction), infectious and parasitic diseases - 17.3% (tuberculosis, sexually transmitted infections) diseases of the skin and subcutaneous tissue - 10.9% (scabies, pediculosis). In Russia during the 1990s, the death rate of prisoners increased by 3.2 times (from 323.0 to 1027.3 per 100 thousand of convicts). However, since the late 1990s, there is a steady decline in mortality, which is determined primarily by a decrease in prisoners mortality from tuberculosis. Doctors availability (excluding dentists) for persons who are in prisons in republic of Tatarstan is 45.4 per 10 thousand, nurses availability - 109.1. These values are higher than in the institutions of the Ministry of Health, in terms of doctors - by 3.2%, and nurses - 18.1%. Prisons represent an important public healthcare resources, allowing to identify, treat, and prevent a large group of diseases in complicated target group which is often difficult to get by civilian health services. Existing problems in the prisoners health, poor material and technical resources of medical services are due to inadequate funding of the Department of the correctional system. Lack of legal framework does not allow the administration to take into account features of the most vulnerable categories of prisoners.
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Mark Ohioghie Aihiokhai and Cletus Aikhenobhoria Imoni. "Some plants used for reproductive health by women in Agbarha-Otor community, Delta State, Nigeria." GSC Biological and Pharmaceutical Sciences 21, no. 2 (November 30, 2022): 047–55. http://dx.doi.org/10.30574/gscbps.2022.21.2.0410.
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Background: Overtime, the state of maternal health in Nigeria is poor and can be attributed to inadequate access to reproductive health services, poverty and in some areas, cultural resistance. Medicinal plants used in Agbarha-Otor, Ughelli, Nigeria for managing women’s reproductive health concerns such as conception, pregnancy, birth, contraception, menstruation, post-partum and general reproductive health were investigated in this study. Methods: Surveys were conducted both in Urhobo and English languages using semi structured questionnaire. Guided field-walk method was employed where respondents, specifically, Traditional Birth Attendants (TBAs), were interviewed. A total of 30 plants belonging to 23 families having properties against different conditions, ailments and peculiarities related to female reproductive health and gynecological conditions were surveyed, documented and their medicinal activity validated non-experimentally. Results: Most of the documented plants belong to Asteraceae family. Also, most of the reported plants were majorly herbs and shrubs which were surveyed plants from the wild. Leaves were the most frequently used plants’ part. The medications were majorly prepared as decoctions and administered orally. The choice of oral administration over possible alternatives is because some solvents such as water, palm oil, or local wine or gin called “ogogoro” serve as good vehicles to transport the remedies’ active principles. Conclusion: From the survey, it can be deduced that the use of medicinal plants for reproductive healthcare and gynaecological conditions in the study area is still in practice. However, scientific validation of the biological properties of the surveyed plants is highly recommended.
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Tarigan, Sylva Flora, and Marisa Lestary Dondo. "Behavior Paying Premium to the Independent Participants in Healthcare Social Insurance Administration Office." Jurnal Kesehatan Masyarakat 17, no. 1 (July 24, 2021): 9–13. http://dx.doi.org/10.15294/kemas.v17i1.23301.
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Premiums non-compliance leads to the Healthcare Social Insurance Administration Office (henceforth, will be referred to as BPJS Kesehatan) budget deficit, resulting in an accumulation of debt claims in various health facilities and an impact on the quality and quantity of health services in health facilities. As of March 2019, 38% of independent National Health Insurance (JKN) participants in Gorontalo City were not compliant to pay dues. This study objective to assess the relationship between willingness to pay with compliance behavior to pay premiums for BPJS Kesehatan independent participants. This study uses a cross-sectional study design. The population was 8,594 people who were independent BPJS Kesehatan participants with a sample of 95 people using accidental sampling techniques. Data were collected through interviews using a questionnaire, data analysis using Chi-Square test. The results showed that the distribution of the level of compliance paying BPJS premiums independently was still 64.2%. Distribution of the willingness to pay by 85%. There is a significant relationship between Willingness To Pay (WTP) with compliance paying dues with p = 0.031. There is a relationship between WTP with compliance to pay the premiums of BPJS Kesehatan independent participants in the inpatient installation at RSUD Prof. Dr. H. Aloei Saboe in Gorontalo City.
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Iashvili, Genadi, Tinatin Iashvili, and Besik Sherazadishvili. "CHALLENGES OF PUBLIC ADMINISTRATION IN TERMS OF SPREAD CORONAVIRUS." Economic Profile 16, no. 2(22) (January 15, 2022): 43–49. http://dx.doi.org/10.52244/ep.2021.22.04.
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Since December 31 2019, the disease caused by the new coronavirus (SARS-CoV-2) (COVID-19) has spread rapidly around the world since the first cases of the virus were reported in Wuhan City, Hubei Province, People's Republic of China. Since the outbreak of the pandemic, the Georgian government has taken steps to prevent the spread of the virus and to meet high standards of economic security, while reducing the negative impact of the virus and supporting the private sector and citizens. The current situation has affected both a large part of the country's citizens and companies. A balance needs to be struck between ensuring people’s lives and health and reducing the negative impact on the economy. It is noteworthy that the state has taken and continues to take measures to alleviate the negative processes caused by the pandemic, even in the face of constraints. It is especially important to cover as many people and businesses as possible with the limited resources. The issue of introduction of electronic technologies in public administration has become particularly relevant. "E-Government" allows citizens to receive a variety of services they need without leaving home (for example, the activities of the Service Agency in the field of public service delivery). It should be noted that the rapid development of information technology in public administration is an important factor in our time, especially under the influence of the coronavirus. The first twenty years of the XXI century are a period of radical transformation in the world, and the Coronavirus (COVID-19) pandemic has further accelerated change in many directions. Traditional views on economic, political and cultural values have changed. The rapid development of information technologies in connection with the globalization of the world economy has become a kind of catalyst for these changes. Currently, a new "e-government", "electronic technologies" is being laid in the world. The development of information technology has made possible the fundamental changes in the technology of production of commercial operations established over the centuries. In this regard, the "e-government" is noteworthy, which leads to changes in the development of the country's social Field. This involves a number of measures. Its main goals are to create technological guidelines for the formation of civil society, as well as to introduce and disseminate information technologies to increase the efficiency of public administration. The crisis caused by the new coronavirus (COVID-19) since 2020 has posed new challenges to Georgia as well as the rest of the world. The pandemic has affected all areas of public life. Therefore, the main goal for the construction of a developed European state at this stage was to overcome the pandemic crisis, rapid economic recovery and development, to create a stable and secure environment for every citizen. Public confidence in the political system increases the legitimacy of government when governance, in particular the delivery of public services, is effective, public figures are accessible to citizens, and government agencies and departments work together in a coordinated and consistent manner. As we have mentioned, the coronavirus pandemic has posed new problems to almost every country in the world, including Georgia and its economy. However, the pandemic has created new opportunities and prospects for development.. The economic policy of the country in the coming years should be based on the principles of the free market. Today, one of the priorities of the government in Georgia should be the development of E-Government, which also includes increasing access to E-Services. It is important, on the one hand, to digitize internal processes in public agencies for greater efficiency and to further refine and expand remote services to increase accessibility and efficiency, and, on the other hand, to provide simplified, customer-oriented and quality E-Government services for citizens and businesses. When we talk about the challenges of public administration in terms of the spread of the coronavirus, we think, it should be noted: In order to develop remote services, it needs to be developed Electronic archive service of the National Archives and new catalogs. Issues related to the establishment and activities of legal entities under public law should be regulated by law and in order to categorize existing legal entities under public law, their functional analysis should be carried out in accordance with the requirements of the legislation. Improve the system of distribution and management of public finances in order to strengthen accountability and responsibility; Also set standards for reporting on the implementation of programs and projects implemented during the year, as well as their publication and presentation to the public at both central and local levels. The present article discusses the current issues of public administration challenges in the context of the spread of coronavirus.
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Safridah, Safridah, and Syafei Ibrahim. "PELAYANAN KESEHATAN IBU DAN ANAK PADA PUSKESMAS KECAMATAN TEUNOM KABUPATEN ACEH JAYA." CONSILIUM: Jurnal Adminitrasi dan Kebijakan Publik 1, no. 1 (February 28, 2022): 97–116. http://dx.doi.org/10.55616/consilium.v1i1.29.
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In an implementation carried out in the Mother and Child Health Service Description at the Puskesmas Teunom of Aceh Jaya District, to improve the good service it is necessary to do the motivation of health workers, as part of the health service development process that will be given to the community in Aceh Jaya District in health services, especially patients where in a service implementation in providing the best for quality improvement of health personnel is also very important, as for the formulation in this research is (1). How is a Health Care Officer at Teunom Health Center of Aceh Jaya District? (2). How is mother and child at Puskesmas Teunom Kabupaten Aceh Jaya? In this study, researchers used a qualitative approach with informant selection done purposively (purposive sampling) on the type and source of data needed. Data collection techniques use (1). Observation (2). Interview (3) Documentation, then analysis is done interactively, while technical process of data analysis in this research is analysis by using interactive model through 3 (three) analysis component, that is data reduction, data presentation, drawing conclusion. The informants of the research include Head of Puskesmas Teunom of Aceh Jaya Regency, sub-department of administration, service, support, general practitioner, nurse staff, pharmacy staff, midwife as well as personnel in the research service room showed that (1). The description of Maternal and Child Health Services is not suitable as expected by the organization due to the low level of education. (2). Health workers are less motivated due to lack of consumables and incomplete tools. The conclusion of this research Puskesmas Teunom management tried to motivate health service at Puskesmas Teunom Kabupaten Aceh Jaya. However, in the process of providing good and optimal service for the people who are located in Puskesmas Teunom of Aceh Jaya District, in improving an optimal service or performance, motivating health personnel and having an ideal organization at Puskesmas Teunom Kabupaten Aceh Jaya is very important in improving health society especially to mother and child