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Reaching the Unreached: Improving Population Health in the Rural and Remote Areas最新文献

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Family Planning-Village to Promote Healthy and Prosperous Families in Pacitan, East Java 东爪哇太平洋计划生育村促进家庭健康和繁荣
Pub Date : 2018-08-29 DOI: 10.26911/theicph.2018.02.21
N. Wulandari
Background: Family planning (FP) is arguably one of the most important public health advancements in the last century. Modern methods of family planning include birth control, assisted reproductive technology, and FP programs. In Indonesia, one of FP program based on community is called FP-village. It aims to help families to attend healthy and prosperous lives. This study aimed to investigate family planning-village to promote healthy and prosperous families in Pacitan, East Java.Subjects and Method: This was a qualitative observation study conducted in Belah Village, Pacitan, East Java. A sample of FP-Village administrators, managers, and community health workers was selected for this study. The data were collected by in-depth interview, focus group discussion, and observation.Results: FP-Village is a community based forum of various activities, including FP counseling, elderly counseling, and child counseling, handcraft making, and entrepreneurship training. FP-Village activities had a positive impact on Belah Village residents. Family health enhanced with the existence of the FP-village. Community income also increased due to entrepreneurial training.Conclusion: FP-Village has a positive impact on health, family planning, income generation, and family welfare. Community involvement determines the success of this program. Keywords: family planning, health, family welfare, village.
背景:计划生育可以说是上个世纪最重要的公共卫生进步之一。现代计划生育方法包括节育、辅助生殖技术和计划生育项目。在印度尼西亚,一个基于社区的计划生育项目被称为计划生育村。它的目的是帮助家庭过上健康和繁荣的生活。本研究旨在探讨计划生育村在促进东爪哇太平洋岛家庭健康与繁荣方面的作用。对象和方法:这是一项在东爪哇Pacitan Belah村进行的定性观察研究。本研究选取fp村行政人员、管理人员和社区卫生工作者作为样本。数据收集采用深度访谈、焦点小组讨论、观察等方法。结果:计划生育村是一个以社区为基础的论坛,提供各种活动,包括计划生育咨询、老年人咨询、儿童咨询、手工制作和创业培训。fp村活动对Belah村居民产生了积极影响。家庭健康因fp村的存在而得到加强。由于创业培训,社区收入也有所增加。结论:计划生育村对健康、计划生育、创收和家庭福利有积极影响。社区的参与决定了这个计划的成功。关键词:计划生育;卫生;家庭福利;
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引用次数: 0
Effect of Family Support on Self Efficacy among Pregnant Women with Anemia 家庭支持对贫血孕妇自我效能感的影响
Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.03.08
Sri Handayani, Fery Agusman Mm
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引用次数: 0
Association Between Maternal Education and Knowledge of Complementary Feeding in Tegalrejo, Yogyakarta 日惹Tegalrejo的母亲教育与补充喂养知识之间的关系
Pub Date : 2018-08-29 DOI: 10.26911/theicph.2018.01.71
Dewi Rokhanawati
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引用次数: 0
Risk Factors of Filariasis in Children, Bukittinggi, West Sumatera 西苏门答腊武吉丁吉儿童丝虫病的危险因素
Pub Date : 2018-08-29 DOI: 10.26911/theicph.2018.01.43
M. Masrizal, Aulia Rahmi Fitri Yani, R. Ilham
Background: Lymphatic filariasis remains a major global public health problem and is 1 of the World Health Organization's 6 diseases targeted for global eradication. Filariasis is a chronic infectious disease caused by filarial worm infection and can lead to disability in the affected. This study aimed to determine the risk factors of lymphatic filariasis in children in Bukittinggi, West Sumatera. Subjects and Method: This was a case control study conducted in Bukitinggi, West Sumatera. A sample of 80 children was selected for this study, consisiting of 40 filariasis cases and 40 controls. The dependent variable was filariasis infection. The independent variables were maternal education, maternal knowledge, use of mosquito net, use of mosquito repellent, hanging clothes, use of wire net, presence of house ceiling, animal reservoir. Filariasis data was obtained from the medical record. The other data were collected by questionnaire. The data were analyzed by a multiple logistic regression. Results: The risk of filariasis infection in children increased with low maternal education (OR= 1.20; 95%CI= 0.36 to 3.93), poor maternal knowledge (OR= 2.00; 95% CI= 0.89 to 4.45), non-user of mosquito net (OR= 1.14; 95% CI= 0.41 to 3.15), non-user of mosquito repellent (OR= 1.25; 95% CI= 0.49 to 3.16), hanging clothe habit (OR= 7.00, 95% CI= 1.59 to 30.30), non-user of wire net (OR= 1.37; 95% CI= 0.55 to 3.41), non-user of house ceiling (OR= 4.00; 95% CI= 1.12 to 14.17), presence of animal reservoir (OR= 1.25; 95% CI= 0.58 to 2.67). Conclusion: Low-quality housing is associated with an increased risk of filariasis infection. Poor preventive practices of mosquito bite is also associated with an in¬creased risk of filariasis infection. Keywords: filariasis, infection, risk factor.
背景:淋巴丝虫病仍然是一个主要的全球公共卫生问题,是世界卫生组织全球根除目标的6种疾病之一。丝虫病是一种由丝虫病感染引起的慢性传染病,可导致患者残疾。本研究旨在确定西苏门答腊武吉丁吉儿童淋巴丝虫病的危险因素。研究对象和方法:本研究是在西苏门答腊武吉丁吉进行的病例对照研究。本研究选取80名儿童作为样本,包括40例丝虫病病例和40例对照。因变量为丝虫病感染。自变量为产妇教育程度、产妇知识、蚊帐使用情况、驱蚊剂使用情况、挂衣情况、铁丝网使用情况、有无天花、动物蓄水池。丝虫病数据来自医疗记录。其他数据采用问卷调查的方式收集。数据采用多元逻辑回归分析。结果:母亲受教育程度越低,儿童丝虫病感染风险越高(OR= 1.20;95%CI= 0.36 ~ 3.93),孕产妇知识贫乏(OR= 2.00;95% CI= 0.89 ~ 4.45),未使用蚊帐者(OR= 1.14;95% CI= 0.41 ~ 3.15),未使用驱蚊剂(OR= 1.25;95% CI= 0.49 ~ 3.16)、有挂衣服习惯(OR= 7.00, 95% CI= 1.59 ~ 30.30)、不使用钢丝网(OR= 1.37;95% CI= 0.55 ~ 3.41),不使用天花板的人(OR= 4.00;95% CI= 1.12 ~ 14.17),存在动物宿主(OR= 1.25;95% CI= 0.58 ~ 2.67)。结论:低质量住房与丝虫病感染风险增加有关。蚊虫叮咬的不良预防措施也与丝虫病感染风险增加有关。关键词:丝虫病,感染,危险因素。
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引用次数: 0
Effectiveness of Multilevel Health Promotion on Exclusive Breastfeeding in Jember, East Java 东爪哇6月纯母乳喂养多层次健康促进的效果
Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.02.18
Nur Khamidah, Y. Prabandari, D. Nurdiati
Background: The need for multilevel and comprehensive health promotion programmes has become widely accepted, as has the importance of community approaches. Multilevel-Multicomponent (ML-MC) interventions are interventions that work on more levels at the same time and that involves more intervention components that are synchronized across levels. As a result, they require extensive community engagement. This study aimed to examine the effectiveness of multilevel health promotion on enhancing exclusive breastfeeding practice among lactating women in Jember, East Java. Subjects and Method: This was a mix method study (qualitative and quantitative) conducted in Jember, East Java. A sample of 245 lactating women was selected for this study, divided in 2 groups: 120 women with multilevel health promotion program and 125 women without multilevel health promotion program. The dependent variable was exclusive breastfeeding. The independent variable was multilevel health promotion program. The data were collected by questionnaire, indepth interview, and focus group discussion. Difference in percent of exclusive breastfeeding between the two groups was tested by chi square. Qualitative data were analyzed by content analysis. Results: Percent of women who breastfed in the multilevel health promotion program was 2.4 times as many as that in the control group. Conclusion: Multilevel health promotion program is effective to enhance exclusive breastfeeding practice among lactating women.
背景:多层次和全面的健康促进方案的必要性已被广泛接受,社区办法的重要性也已被广泛接受。multi - level- multicomponent (ML-MC)干预是指同时在多个层面上起作用的干预,它涉及更多在各个层面上同步的干预组件。因此,它们需要广泛的社区参与。本研究旨在检查多层健康促进对加强东爪哇Jember哺乳期妇女纯母乳喂养做法的有效性。对象和方法:这是一项在东爪哇Jember进行的混合方法(定性和定量)研究。本研究以245名哺乳期妇女为研究对象,分为两组:120名妇女参加了多层次的健康促进计划,125名妇女没有参加多层次的健康促进计划。因变量为纯母乳喂养。自变量为多层次健康促进计划。采用问卷调查法、深度访谈法和焦点小组讨论法收集数据。两组之间纯母乳喂养百分比的差异采用卡方检验。定性资料采用内容分析法进行分析。结果:参与多层次健康促进项目的妇女母乳喂养比例是对照组的2.4倍。结论:多层次的健康促进计划能有效提高哺乳期妇女纯母乳喂养的习惯。
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引用次数: 0
Effects of Workload and Job Satisfaction on Work Performance among Health Workers at Siloam Hospital, East Nusa Tenggara 东努沙登加拉西罗亚医院医护人员工作量和工作满意度对工作绩效的影响
Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.04.54
Jovita Marlin Langko, Hari Rarindo, Luh Putu Ruliyanti
Background: Work performance is a hugely important process to the entire company's success, as it affects a company's performance. Work performance is the assessment of whether an employee has done their job well. It is an individual evaluation, measured based on a single person’s effort. This study aimed to determine the effects of workload and job satisfaction on work performance among health workers at Siloam Hospital, East Nusa Tenggara. Subjects and Method: This was a cross-sectional study conducted at Siloam Hospital, Kupang, East Nusa Tenggara. A total of 97 health workers were selected for this study. The dependent variable was work performance. The independent variables were job satisfaction and workload. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Work performance increased with job satisfaction (OR= 4.25; p= 0.024) but decreased with workload (OR= 0.37; p= 0.035). Conclusion: Work performance increases with job satisfaction but decreases with workload.
背景:工作绩效对整个公司的成功来说是一个非常重要的过程,因为它影响着公司的业绩。工作表现是对员工是否做好工作的评估。它是一种基于个人努力的个人评价。本研究旨在了解东努沙登加拉西罗亚医院医护人员的工作量和工作满意度对工作绩效的影响。对象和方法:这是一项在东努沙登加拉古邦西罗亚医院进行的横断面研究。本研究共选取97名卫生工作者。因变量为工作绩效。自变量为工作满意度和工作量。采用问卷调查法收集资料,采用多元logistic回归分析。结果:工作绩效随工作满意度的增加而增加(OR= 4.25;p= 0.024),但随着工作量的增加而下降(OR= 0.37;p = 0.035)。结论:工作绩效随工作满意度的增加而增加,随工作量的增加而降低。
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引用次数: 0
Mitigating Musculoskeletal Disorder Using Occupational Chair among Batik Workers 蜡染工人使用职业椅缓解肌肉骨骼疾病
Pub Date : 2018-08-29 DOI: 10.26911/theicph.2018.01.23
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引用次数: 0
Doctor-Nurse Professional Relationship and Health Care Team Communication in the Hospital Setting 医院环境中医护专业关系与医疗团队沟通
Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.04.35
Shela Sabrina Mutmainnah, W. Setyonugroho
Background: Medical error has been defined as an unintended act or one that does not achieve its intended health outcome. Medical error causes not only monetary loss, but also lost of patient’s trust in the healthcare system, low patient satisfaction, and degraded morale among healthcare professionals, who often feel helpless to change the situation. Patient harm from medical error can occur at the individual or system level. Medical error may arise due to poor doctor-nurse professional relationship and poor health care team communication. This study aimed to assess the doctor-nurse professional relationship and health care team communication in the hospital setting.Subjects and Method: This was a cross sectional study conducted at 8 teaching hospitals under-cooperation with Universitas Muhammadiyah Yogyakarta, including Bantul Hospital, PKU Muhammadiyah Gamping Hospital, Yogyakarta City Hospital, Magelang Hospital, Purworejo Regional Hospital, Salatiga Regional Hospital, Temanggung Regional General Hospital, and Wonosobo Regional Hospital. A sample of 61 medical co-assistants was selected for this study. The study theme was doctor-nurse professional relationship and health care team communication. The data were collected by questionnaire, in-depth interview, and direct observation. Results: Doctor-nurse professional relationship, communication, and collaboration, in the medical decision process, discussion for the medical decision process, and dissemination of medical information to patients, were still weak. There were 2 hospitals with the lowest rating points of doctor-nurse relationship and medical team communication, namely Purworejo District Hospital and Yogyakarta City Hospital among the six other hospitals.Conclusion: Doctor-nurse professional relationship and the quality of communication between doctors and other health professionals is still poor.Keywords: doctor-nurse professional relationship, health care team communication, hospital
背景:医疗错误被定义为意外行为或未达到预期健康结果的行为。医疗差错不仅会造成经济损失,还会导致患者对医疗系统的信任丧失,患者满意度降低,医护人员的士气下降,他们往往对改变现状感到无助。医疗差错对患者的伤害可能发生在个人或系统层面。医护专业关系不佳,医疗团队沟通不畅,可能导致医疗事故的发生。本研究旨在探讨医院护医专业关系与团队沟通之关系。对象和方法:这是一项横断面研究,在与日惹穆罕默德大学合作的8家教学医院进行,包括班图尔医院、北京大学穆罕默德大学甘平医院、日惹市医院、Magelang医院、Purworejo地区医院、Salatiga地区医院、Temanggung地区综合医院和Wonosobo地区医院。本研究选取61名医疗助理作为样本。研究主题为医护专业关系与医疗团队沟通。采用问卷调查法、深度访谈法和直接观察法收集数据。结果:医护在医疗决策过程中的专业关系、沟通协作、医疗决策过程的讨论、医疗信息向患者的传播等方面仍然薄弱。在其他6家医院中,医护关系和医疗团队沟通评分最低的医院有2家,分别是Purworejo区医院和日惹市医院。结论:医护专业关系和医生与其他卫生专业人员的沟通质量仍然较差。关键词:医护专业关系,医疗团队沟通,医院
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引用次数: 0
Life Course Factors associated with Wasting in Children under Five in East Lombok, West Nusa Tenggara 东龙目岛、西努沙登加拉岛五岁以下儿童的生命历程因素与消瘦有关
Pub Date : 2018-08-29 DOI: 10.26911/theicph.2018.03.39
Husniyati Sajalia, Yulia Lanti Retno Dewi, Bhisma Murti
Background:Wasting, stunting, and underweight are the most devastating problems affecting the majority of the world’s children. Worldwide, 52 million children under five years of age are wasted and most of the global burden of wasting (acute under nutrition) is found in developing countries. That poor nutritional status during childhood has long lasting scarring consequences. Under nutrition diminishes the working capacity of an individual during adulthood, and it silently destroys the future socioeconomic development of nations. This study aimed to investigate life course factors associated with wasting in children under five in East Lombok, West Nusa Tenggara, Indonesia.Subjects and Method: This was a case control study carried out at 31 posyandus (integrated family health post), East Lombok, West Nusa Tenggara, Indonesia, from April to May 2018. A sample of 186 children under five was selected by fixed disease sampling consisting of 62 wasted children and 124 normal children. The dependent variable was wasting. The independent variables were maternal age at pregnancy, maternal middle upper arm circumference (MUAC), low birth¬weight, exclusive breastfeeding, history of infectious disease, and family income. The data were collected by questionnaire and analyzed by a level logistic regression.Results: The risk of wasting decreased with high family income (b= -1.49; 95% CI= -3.13 to-0.15; p= 0.075), maternal gestational MUAC ≥ 23.5 (b= -3.42; 95% CI= -5.97 to -0.83; p= 0.009), exclusive breastfeeding (b= -2.71; 95% CI= -4.55 to -0.88; p= 0.004). The risk of wasting increased with maternal age at pregnancy 35 years (b= 1.57; 95% CI= -0.21 to 3.35; p= 0.084), low birth weight (b= 3.11; 95% CI= -0.04 to 6.25; p= 0.053) and infectious disease (b= 3.36; 95% CI= 1.41 to 5.26; p= 0.001). ICC at Posyandu level= 8.82%.Conclusion:The risk of wasting decreases with high family income, maternal age at pregnancy 35 years, maternal gestational MUAC, exclusive breast¬feeding, but it increases with low birthweight and infectious disease. Posyandu has a considerable effect on the risk of wasting.Keywords:life course factors, wasting, multilevel analysis
背景:消瘦、发育迟缓和体重不足是影响世界上大多数儿童的最具破坏性的问题。全世界有5200万5岁以下儿童消瘦,而全球消瘦负担(急性营养不良)大部分发生在发展中国家。儿童时期营养不良的状况会造成长期的不良后果。营养不良会削弱一个人成年后的工作能力,并在无形中破坏国家未来的社会经济发展。本研究旨在调查与印度尼西亚东龙目岛、西努沙登加拉岛五岁以下儿童消瘦有关的生命过程因素。对象和方法:这是一项病例对照研究,于2018年4月至5月在印度尼西亚西努沙登加拉东龙目岛的31个posyandus(综合家庭卫生站)进行。采用固定疾病抽样法抽取5岁以下儿童186名,其中残疾儿童62名,正常儿童124名。因变量是浪费。自变量为产妇怀孕年龄、产妇中上臂围(MUAC)、低出生体重、纯母乳喂养、传染病史和家庭收入。采用问卷调查法收集资料,采用水平逻辑回归法进行分析。结果:家庭收入越高,消瘦风险越低(b= -1.49;95% CI= -3.13 ~ 0.15;p= 0.075),母体妊娠期MUAC≥23.5 (b= -3.42;95% CI= -5.97 ~ -0.83;P = 0.009),纯母乳喂养(b= -2.71;95% CI= -4.55 ~ -0.88;p = 0.004)。妊娠年龄为35岁(b= 1.57;95% CI= -0.21 ~ 3.35;P = 0.084),低出生体重(b= 3.11;95% CI= -0.04 ~ 6.25;P = 0.053)和传染病(b= 3.36;95% CI= 1.41 ~ 5.26;p = 0.001)。Posyandu水平的ICC = 8.82%。结论:高家庭收入、产妇孕龄35岁、产妇妊娠期MUAC、纯母乳喂养降低新生儿消瘦风险,低出生体重和感染性疾病增加新生儿消瘦风险。Posyandu对浪费风险有相当大的影响。关键词:生命历程因素,浪费,多层次分析
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引用次数: 1
The Effects of Nutrition Intake and Peer Role on Overweight among Adolescents: A Path Analysis from Karanganyar, Central Java 营养摄入和同伴角色对青少年超重的影响:来自中爪哇Karanganyar的路径分析
Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.01.78
Aris Widiyanto, Bhisma Murti, R. Soemanto
,
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引用次数: 0
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Reaching the Unreached: Improving Population Health in the Rural and Remote Areas
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