scholarly journals Strengthening the primary care workforce to deliver community case management for child health in rural Indonesia

2018 ◽  
Vol 42 (5) ◽  
pp. 536 ◽  
Author(s):  
Agus Setiawan ◽  
Angela Dawson
Keyword(s):  
Health Care ◽  
Child Health ◽  
Infant Mortality ◽  
Health Service ◽  
Health Service Delivery ◽  
Child Health Care ◽  
Community Case Management ◽  
Model Of Care ◽  
Childhood Illnesses ◽  
Life Saving

Objectives The aim of the present study was to report on the implementation of community case management (CCM) to reduce infant mortality in a rural district, namely Kutai Timur, Kalimantan Indonesia. Methods An interpretive qualitative methodology was used. In-depth interviews were conducted with 18 primary healthcare workers (PHCWs), and PHCWs were observed during a consultation with mothers to gain insight into the delivery of the new protocol and workforce issues. The field notes and interview transcripts were analysed thematically. Results PHCWs reported that their performance had improved as a result of increased knowledge and confidence. The implementation of CCM had also reportedly enhanced the PHCWs’ clinical reasoning. However, the participants noted confusion surrounding their role in prescribing medication. Conclusions CCM is viewed as a useful model of care in terms of enhancing the capacity of rural PHCWs to provide child health care and improve the uptake of life-saving interventions. However, work is needed to strengthen the workforce and to fully integrate CCM into maternal and child health service delivery across Indonesia. What is known about the topic? Indonesia has successfully reduced infant mortality in the past 10 years. However, concerns remain regarding issues related to disparities between districts. The number of infant deaths in rural areas tends to be staggeringly high compared with that in the cities. One of the causes is inadequate access to child health care. What does this paper add? CCM is a model of care that is designed to address childhood illnesses in limited-resource settings. In CCM, PHCWs are trained to deliver life-saving interventions to sick children in rural communities. In the present study, CCM improved the capacity of PHCWs to treat childhood illnesses. What are the implications for practitioners? CCM can be considered to strengthen PHCWs’ competence in addressing infant mortality in areas where access to child health care is challenging. Policy regarding task shifting needs to be examined further so that CCM can be integrated into current health service delivery in Indonesia.

scholarly journals Utilization of Integrated Community Case Management and Its Factors in Southern Ethiopia: Facility Based-Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Samuel Yohannes ◽  
Yitagesu Habtu ◽  
Bereket Abreham ◽  
Menen Ayele
Keyword(s):  
Health Care ◽  
Child Health ◽  
Case Management ◽  
Southern Ethiopia ◽  
Child Health Care ◽  
Community Case Management ◽  
Health Development ◽  
Integrated Community Case Management ◽  
Child Caregivers ◽  
Study Participants

Background. An integrated community case management (ICCM) program fosters child health care seeking and access to appropriate treatment for illnesses in children at the community level in Ethiopia. There is paucity of evidence to the utilization of ICCM services by mothers/child caregivers in rural Sothern Ethiopia. Hence, the aim of this study was to determine the utilization of integrated community case management (ICCM) and its factors among mothers/child caregivers in rural Southern Ethiopia. Methods. A multistage sampling technique was used to select study participants in health care facilities offering child health care services. An exit interview was conducted on 574 mothers/child caregivers in randomly selected public health centres. Data were entered using Epi Info and transported to SPSS version 20 for analysis. Results. Only less than a quarter of participants visited health posts for ICCM services during the study period. Those study participants who have not heard about ICCM service before the survey were about 6.53 times more likely not to use the services as compared to those who have heard about the service. Participants who were not members of the women’s development team were about 2.23 times more likely not to utilize ICCM services when compared to their counterparts. Conclusion. The study shows low utilization of ICCM service by children less than five years. Prior information about ICCM services and membership in the health development army was significantly associated with ICCM use. Therefore, our finding may suggest the need for advocacy to increase participation in the health development army and information education to increase the level of awareness and formal education efforts.

scholarly journals Flip the Clinic: A Digital Health Approach to Youth Mental Health Service Delivery During the COVID-19 Pandemic and Beyond (Preprint)

2020 ◽  
Author(s):  
Tracey A Davenport ◽  
Vanessa Wan Sze Cheng ◽  
Frank Iorfino ◽  
Blake Hamilton ◽  
Eva Castaldi ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Service ◽  
Health Service ◽  
Service Delivery ◽  
Digital Health ◽  
Youth Mental Health ◽  
Health Service Delivery ◽  
Model Of Care ◽  
Mental Health Service Delivery

UNSTRUCTURED The demand for mental health services is projected to rapidly increase as a direct and indirect result of the COVID-19 pandemic. Given that young people are disproportionately disadvantaged by mental illness and will face further challenges related to the COVID-19 pandemic, it is crucial to deliver appropriate mental health care to young people as early as possible. Integrating digital health solutions into mental health service delivery pathways has the potential to greatly increase efficiencies, enabling the provision of “right care, first time.” We propose an innovative digital health solution for demand management intended for use by primary youth mental health services, comprised of (1) a youth mental health model of care (ie, the Brain and Mind Centre Youth Model) and (2) a health information technology specifically designed to deliver this model of care (eg, the InnoWell Platform). We also propose an operational protocol of how this solution could be applied to primary youth mental health service delivery processes. By “flipping” the conventional service delivery models of majority in-clinic and minority web-delivered care to a model where web-delivered care is the default, this digital health solution offers a scalable way of delivering quality youth mental health care both in response to public health crises (such as the COVID-19 pandemic) and on an ongoing basis in the future.

Health Services in the Home

PEDIATRICS ◽  
1974 ◽  
Vol 54 (3) ◽  
pp. 382-382
Author(s):  
Lewis L. Bock
Keyword(s):  
Health Care ◽  
Child Health ◽  
Infant Mortality ◽  
Maternal And Child Health ◽  
Maternal Care ◽  
Memorial Lecture ◽  
Child Health Care ◽  
Mortality And Morbidity ◽  
Reduce Infant Mortality ◽  
And Child Health

The Blackfan Memorial Lecture by Dr. Cicely Williams1 was read with keen interest and agreement. Pediatrics should be commended for its publication. I trust that the increased rumbling that one hears, reads about and senses in maternal and child health care in our country will gather momentum and volume until we actually do implement the programs that will reduce infant mortality and morbidity and improve maternal care so that infants will be born into a society with far fewer deficiencies, deprivation and dependence.

Utilization of School and Primary Health Care Resources for Common Health Problems of Schoolchildren

PEDIATRICS ◽  
1981 ◽  
Vol 68 (5) ◽  
pp. 700-704
Author(s):  
Susan Gilman Brink ◽  
Philip R. Nader
Keyword(s):  
Health Care ◽  
Child Health ◽  
Health Service ◽  
Health Care Providers ◽  
School Health ◽  
Health Care Facilities ◽  
Child Health Care ◽  
Care Providers ◽  
Health Maintenance ◽  
School Health Service

The episode of care is used as a concept to assess potential areas for interaction between private and public health care facilities in the community and the school health service in child health care. Health care utilization (both patient-initiated and provider-initiated) of a random sample of elementary school-aged children in three ethnic groups was observed for two years. The analysis suggests areas of child health care in which a school health service can be used more effectively with community health care providers: care for chronic childhood diseases, follow-up for acute infections and some trauma, and health maintenance.

scholarly journals Flip the Clinic: A Digital Health Approach to Youth Mental Health Service Delivery During the COVID-19 Pandemic and Beyond

10.2196/24578 ◽  
2020 ◽  
Vol 7 (12) ◽  
pp. e24578
Author(s):  
Tracey A Davenport ◽  
Vanessa Wan Sze Cheng ◽  
Frank Iorfino ◽  
Blake Hamilton ◽  
Eva Castaldi ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Service ◽  
Health Service ◽  
Service Delivery ◽  
Digital Health ◽  
Youth Mental Health ◽  
Health Service Delivery ◽  
Model Of Care ◽  
Mental Health Service Delivery

The demand for mental health services is projected to rapidly increase as a direct and indirect result of the COVID-19 pandemic. Given that young people are disproportionately disadvantaged by mental illness and will face further challenges related to the COVID-19 pandemic, it is crucial to deliver appropriate mental health care to young people as early as possible. Integrating digital health solutions into mental health service delivery pathways has the potential to greatly increase efficiencies, enabling the provision of “right care, first time.” We propose an innovative digital health solution for demand management intended for use by primary youth mental health services, comprised of (1) a youth mental health model of care (ie, the Brain and Mind Centre Youth Model) and (2) a health information technology specifically designed to deliver this model of care (eg, the InnoWell Platform). We also propose an operational protocol of how this solution could be applied to primary youth mental health service delivery processes. By “flipping” the conventional service delivery models of majority in-clinic and minority web-delivered care to a model where web-delivered care is the default, this digital health solution offers a scalable way of delivering quality youth mental health care both in response to public health crises (such as the COVID-19 pandemic) and on an ongoing basis in the future.

scholarly journals Improving Access to Child Health Care in Indonesia Through Community Case Management

2016 ◽  
Vol 20 (11) ◽  
pp. 2254-2260 ◽  
Author(s):  
Agus Setiawan ◽  
Denise Dignam ◽  
Cheryl Waters ◽  
Angela Dawson
Keyword(s):  
Health Care ◽  
Child Health ◽  
Case Management ◽  
Child Health Care ◽  
Community Case Management

Improving Maternal and Child Health Care: A Blueprint for Community Action in Pittsburgh Region: Summary

2005 ◽  
Author(s):  
Harold Alan Pincus ◽  
Stephen B. Thomas ◽  
Donna J. Keyser ◽  
Nicholas Castle ◽  
Jacob W. Dembosky ◽  
...  
Keyword(s):  
Health Care ◽  
Child Health ◽  
Maternal And Child Health ◽  
Community Action ◽  
Child Health Care ◽  
And Child Health

Leveraging child health care to promote responsive parenting and school readiness: 24- and 36-month findings from the video interaction project

2010 ◽  
Author(s):  
Alan Mendelsohn ◽  
Samantha Berkule-Silberman ◽  
Lesley Morrow ◽  
Catherine S. Tamis-LeMonda ◽  
Carolyn Brockmeyer ◽  
...  
Keyword(s):  
Health Care ◽  
Child Health ◽  
School Readiness ◽  
Child Health Care ◽  
Responsive Parenting
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