scholarly journals Evaluation Medicine Availability Before and After NHI Implementation at Health Centers in Keerom District, Papua Province

2017 ◽  
Vol 7 (1) ◽  
pp. 31
Author(s):  
Ivonie Carolien ◽  
Achmad Fudholi ◽  
Dwi Endarti
Keyword(s):  
Health Center ◽  
Drug Distribution ◽  
Essential Medicine ◽  
Health Centers ◽  
Integrated Medicine ◽  
Medicine Management ◽  
Primary Health ◽  
Before And After ◽  
Set Up ◽  
Medicine Availability

The availability of medicine in health center is associated with medicine management system and should be supported by adequate and sustainable resource. The Implementation of National Health Insurance (NHI) program will increase the need for medicine, to describe the medicine availability at primary health center before and after NHI, to identify the factors affect the availability, to compile solutions to increase the medicine availability at health centers in Keerom District. This research method was a descriptive. The data has been gathered based on observations to primary health center’s document of 2012 to 2015, for 35 indicator medicine, and interview with  the medicine manager and  the chief of health center, the manager of pharmacy district and the chief of health office at Keerom District. The data analysis was presented by charts, tables, and in narrative description. The results were  the availability of medicine at the health centers in Keerom District, before and after NHI program was same, by category of supply was safe, but insufficient as health center’s need. The medicine availability was not appropriate with essential medicine list and illness, the expired and defected medicine still be found, and  stock out time increased after NHI. In that period, the factors affect were, the demand process has not been optimal, insuffiecient and uneven distribution, lack of personel and  inadequate supporting for drug distribution charges the solution proposed were,  to improve knowledge and skill for medicine manager of health center, to plan pharmacist requirements, to set up medicine management information system, to do the integrated medicine planning and to provide the enough cost of distribution.

scholarly journals Do electronic reminders alter recorded diagnoses in primary care office-hours practices of health centers: A register-based study in a Finnish city

2021 ◽  
Vol 9 ◽  
pp. 205031212110361
Author(s):  
Mika Lehto ◽  
Kaisu Pitkälä ◽  
Ossi Rahkonen ◽  
Merja K Laine ◽  
Marko Raina ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Health Centers ◽  
Health Record ◽  
Record System ◽  
Electronic Reminder ◽  
Primary Health ◽  
Primary Care Health ◽  
Before And After ◽  
Care Health

Objectives: One purpose of electronic reminders is improvement of the quality of documentation in office-hours primary care. The aim of this study was to evaluate how implementation of electronic reminders alters the rate and/or content of diagnostic data recorded by primary care physicians in office-hours practices in primary care health centers. Methods: The present work is a register-based longitudinal follow-up study with a before-and-after design. An electronic reminder was installed in the electronic health record system of the primary health care of a Finnish city to remind physicians to include the diagnosis code of the visit in the health record. The report generator of the electronic health record system provided monthly figures for the number of various recorded diagnoses by using the International Classification of Diseases, 10th edition, and the total number of visits to primary care physicians, thus allowing the calculation of the recording rate of diagnoses on a monthly basis. The distribution of diagnoses before and after implementing ERs was also compared. Results: After the introduction of the electronic reminder, the rate of diagnosis recording by primary care physicians increased clearly from 39.7% to 87.2% (p < 0.001). The intervention enhanced the recording rate of symptomatic diagnoses (group R) and some chronic diseases such as hypertension, type 2 diabetes and other soft tissue disorders. Recording rate of diagnoses related to diseases of the respiratory system (group J), injuries, poisoning and certain other consequences of external causes (group S), and diseases of single body region of the musculoskeletal system and connective tissue (group M) decreased after the implementation of electronic reminders. Conclusion: Electronic reminders may alter the contents and extent of recorded diagnosis data in office-hours practices of the primary care health centers. They were found to have an influence on the recording rates of diagnoses related to chronic diseases. Electronic reminders may be a useful tool in primary health care when attempting to change the behavior of primary care physicians.

scholarly journals EVALUASI LPLPO (LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT)

2020 ◽  
Vol 6 (2) ◽  
pp. 677-681
Author(s):  
Wawang Anwarudin
Keyword(s):  
Health Center ◽  
Drug Distribution ◽  
Health Centers ◽  
Drug Management ◽  
Unit Recording ◽  
Record Keeping ◽  
Drug Storage ◽  
Data Source ◽  
And Control ◽  
Effective Drugs

Standar pelayanan kefarmasian di Puskesmas yang bersifat Managerial dimulai dari perencanaan kebutuhan obat, permintaan obat, penerimaan obat, penyimpanan obat, pendistribusian obat serta pencatatan dan pelaporan yang tujuannya untuk menjamin kelangsungan ketersediaan dan keterjangkauan obat yang efektif, efisian dan rasional. Dalam pencatatan dan pelaporan termasuk pembuatan LPLPO merupakan rangkaian kegiatan dalam rangka penatalaksanaan obat baik yang diterima, disimpan dan didistribusikan dan digunakan di Puskesmas atau diunit pelayanan kesehatan lainnya.Tujuan pencatatan pelaporan LPLPO adalah sebagai bukti tertulis bahwa pengelolaan obat telah dilaksanakan sebagai sumber data untuk melakukan pengaturan dan pengendalian serta memberikan penilaian terhadap capaian kinerja pengelolaan obat di Puskesmas.Kata Kunci :  Evaluasi, LPLPO ABSTRACTStandard pharmaceutical services in health centers managerial activities are starting from the planning needs of the drug, drug demand, acceptance of drug, drug storage, drug distribution and record keeping and reporting that aim to ensure continuity of availability and affordability of effective drugs, fuel-efficient and rational. In recording and reporting including LPLPO manufacturea series of activities in the framework of the management of both drug sare received, stored and distributed and used in the health center or other health cared unit. Recording purposes LPLPO reporting is as written evidence that drug management has been implemented as a data source to perform the regulation and control as well as providing an assessment of achievement of management performance drugs in health centers.Keywords : Evaluation, LPLPO

scholarly journals The Primary Health Center Factors Associated with Contraceptive Use Among Women in Indonesia

2021 ◽  
Vol 8 (4) ◽  
pp. 261
Author(s):  
Arini Hardianti ◽  
Siswanto Agus Wilopo ◽  
Mohammad Hakimi ◽  
Althaf Setiawan
Keyword(s):  
Health Care ◽  
Health Center ◽  
Access To Health Care ◽  
Multivariable Analysis ◽  
Health Centers ◽  
Modern Contraceptive ◽  
Research Subjects ◽  
Primary Health ◽  
Contraceptive Utilization ◽  
Days Open

<em><em>Access to health care, especially health care’s days open was one of the important poin to increasing contraceptive user. Many people who want to use contraception tend to want to get the method in the same day when visited the health care. The aim of this study is to find the relationship health care days open and contraceptive utilization. The cross-sectional study used Performance Monitoring and Accountability (PMA) 2020 data in 33 provinces of Indonesia in 2015. The research subjects were primary health care (Puskesmas). In this research, a number of districts were merged to reach a minimum number of respondents of 30 women. One hundred and four health center were studied and analyzed with t-test and correlation, and multivariable analysis by looking at the level of significance p &lt;0.05, and multivariable analysis. Female, household, and service delivery point questionnaire were used in this study. Result: All health centers in 76% area in Indonesia open more than five days a week and no stock out more than five contraceptive methods. All health centers in 69% area provides more than 5 methods. Days open statistically significant with modern contraceptive utilization after considering the stock out and method provides. Conclusion: contraceptive days open in health care generally good and have relation with contraceptive utilization after considers the stock and how many methods they provide.</em></em>

scholarly journals Calculating the Total Cost of Services at One Health Center Before and After Assignment (2014-2016)

2020 ◽  
Author(s):  
Alireza Jabbari ◽  
Yasamin Molavi Taleghani ◽  
Reza Khadivi ◽  
Marzieh Hadian
Keyword(s):  
Health Services ◽  
Private Sector ◽  
Health Center ◽  
School Health ◽  
One Health ◽  
Health Centers ◽  
Activity Based Costing ◽  
Cross Sectional ◽  
Total Cost ◽  
Before And After

Background and purpose: Accurate calculating and evaluating of cost of services would result in clarity on the ways to achieve the desired goals in outsourcing of health centers and health comprehensive centers. The present study was carried out to calculate the total cost of services at one health center before and after assignment to private sector (2014-2016) in Iran. Materials and methods: This research was a descriptive-applied type of study conducted by using cross-sectional method, and based on the data collected from Yazd Abad health center in 2014-2016 and its affiliated and non-affiliated bases. The collected data were analyzed by developed forms, interview, and observation, based on the activity-based costing system. Excel Software was then used to analyze the collected data. Results: The total number of services in nine sub-branches at the target health center was 783231 before assignment and 793589 after assignment. Sum of other costs was 446112820 Rials before assignment and 615112820 after assignment. The mean cost of a one-minute service at the Health Center was 90749 before assignment and 96295 after assignment. Among the nine branches, the highest cost service before and after assignment was related to school health branch and the lowest cost was related to oral health services branch. Discussion: Total cost of each service provided a clear picture of the way of spending the costs in the process of production and providing health services. The research findings suggest that the total cost of services increased after assignment, while this increase was not significant, since the increase in total cost of services might be due to an increase in wages or a non-significant increase in providing the services after assignment. Thus, more studies are needed to assess the effectiveness of comprehensive health centers after assignment to the private sector.

scholarly journals EMBERDAYAAN PERAN KADER MELALUI POSYANDU REMAJA PLUS KIE KESEHATAN REPRODUKSI DI POSYANDU REMAJA KELURAHAN PENYENGAT RENDAH KOTA JAMBI

2020 ◽  
Vol 4 (2) ◽  
pp. 165
Author(s):  
R Ruwayda
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Center ◽  
Specific Method ◽  
Implementation Phase ◽  
Knowledge And Skills ◽  
Primary Health ◽  
Integrated Health ◽  
Before And After ◽  
The Many

The implementation integrated health center of adolences begins in 2018 at Aur Duri Primary Health Care, the number of adolescent visits has decreased due to one of them being established and there is no specific method in providing information and education communication (IEC) reproductive health. The target activities are 30 adolescents in Penyengat Rendah from April to June 2019. These community service activities through 3 stages of activity: the pre-implementation stage determining and obtaining a response letter from partners, arranging cooperation and determining goals activities, determine fun and flexible methods, determine activities which include lectures, discussion of Buzz Group methods and IEC practices. The implementation phase includes the provision of information about IEC through discussions using the Buzz Group and IEC practices. The post-implementation phase evaluates the knowledge and skills in providing IEC. The results of knowledge tests showed differences in the mean knowledge before and after using the Buzz Group of 3.133. The conclusion was level of achievement the target good, and adolescents feel the many benefits received increasing knowledge and skills of giving IEC to their peers. It is recommended for Primary Health care can develop this activity in other integrated health center of adolescent

scholarly journals Mobile teledermatology in diagnosis and management of two tinea incognito cases at a primary health center of semi-urban Kathmandu

2018 ◽  
Vol 8 (3) ◽  
pp. 69-72
Author(s):  
Shumneva Shrestha ◽  
Randhir Sagar Yadav ◽  
Suwash Baral ◽  
Dwarika Prasad Shrestha
Keyword(s):  
Health Center ◽  
Skin Diseases ◽  
Health Workers ◽  
Fungal Infections ◽  
Effective Means ◽  
Medical Officer ◽  
Health Centers ◽  
Primary Health Center ◽  
Primary Health ◽  
Tinea Incognito

Skin diseases are among leading health problems in Nepal. Fungal infections are the tenth most common reason of OPD visits in Nepal. Due to inappropriate or inadequate treatment, clinically modified tinea infections known as tinea incognito is very common. There is no dermatological care in the primary health centers. The medical officers in these centers have inadequate training to manage skin diseases, while the health workers have no training. Most dermatologists are based in tertiary hospitals and medical colleges of bigger cities. Mobile teledermatology is an innovative method to provide dermatological care to the health centers where there are no dermatologists. It is equally effective means of on-site training for the medical officers. We report two cases of tinea incognito, which were treated by a medical officer at a primary health center with the aid of mobile teledermatology consultation provided by a dermatologist.

scholarly journals Pengaruh Dinamika Kelompok Sosial Terhadap Angka Kejadian Dan Penyembuhan Penyakit Tuberkulosis Paru Di Wilayah Puskesmas Mojoroto

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Pardjono Pardjono ◽  
Puguh Santoso ◽  
Dyah Ika Krisnawati ◽  
Erna Susilowati ◽  
Elfi Quyumi ◽  
...  
Keyword(s):  
Public Health ◽  
Pulmonary Tuberculosis ◽  
Lung Disease ◽  
Health Center ◽  
Group Dynamics ◽  
Social Group ◽  
Sampling Technique ◽  
Health Centers ◽  
Public Health Center ◽  
Before And After

Pulmonary tuberculosis is a chronic disease that must be controlled through a comprehensive program to achieve Indonesian Health Program in 2012. From retrospective data recorded and reported, tuberculosis (Pulmonary Tuberculosis) is one of the cases that should get  routine examination and scheduled to visit health center. Public Health Center activities to the TB’s patient are by promotive, preventive, rehabilitative, and curatif coordinate with activities in the development of health centers. The purpose of this study was to determine the effect of social group dynamics of events and healing tuberculosis lung disease in Public Health Center Mojoroto. The population in this study is all patients who was came in Public Health Center Mojoroto totaled 50 people. The sampling technique used is total sampling so the number of samples taken as many as 50 people..Analysis for the effect of social group dynamics of events and healing tuberculosis lung disease is McNemar-Bowker Test. From the processing of the analysis statistic obtained probability value is more than 0.05, which means there is no effect of social group dynamics of events and healing tuberculosis lung disease in Public Health Center Mojoroto. The results showed no significant effect of group dynamics activity on the incidence of tuberculosis and cure of pulmonary tuberculosis. Most of sputum examination results before and after shown the negative result may caused by patients can not cough up sputum well.

scholarly journals Measurement of Adherence Level of Pulmonary Tuberculosis Drugs use in Patients in the Primary Health Centers in Karawang Regency, West Java, Indonesia, using MMAS Instrument

2021 ◽  
pp. 115-120
Author(s):  
Maya Arfania ◽  
Dedy Frianto ◽  
Diany Astuti ◽  
Ebta Narasukma Anggraeny ◽  
Triani Kurniawati ◽  
...  
Keyword(s):  
Health Center ◽  
Smoking Status ◽  
Health Centers ◽  
Primary Health Center ◽  
Adherence Level ◽  
Duration Of Treatment ◽  
West Java ◽  
Pulmonary Tb ◽  
Primary Health ◽  
Center Area

Aims: This study aims to determine the level of drug adherence in patients with pulmonary tuberculosis at the Cilamaya Kulon Primary Health Center area, Karawang Regency, West Java, Indonesia. Study Design: The measurement of adherence level was carried out using the MMAS (Morisky Medication Adherence Scale) instrument. Place and Duration of Study: This study was conducted at Cilamaya Kulon Primary Health Center area, specifically in Bayur Lor and Pasirukem Primary Health Centers, Karawang Regency, West Java, Indonesia, from July to September 2021. Methodology: A cross-sectional design with a purposive sampling data collection method was used. Furthermore, the subjects were pulmonary TB patients from the Bayur Lor and Pasirukem Primary Health Centers, Karawang Regency. The instrument used was the MMAS questionnaire sheet, and data analysis was performed using SPSS (version 22.0) and continued with statistical tests using the chi-square test. Results: The results showed there was no significant relationship (p>0.05) between age, gender, educational status, employment status, income level, smoking status, duration of treatment, drugs side effects, medication supervision, and patient motivation for drugs adherence in the Cilamaya Kulon Primary Health Center area. Furthermore, the level of medication adherence of pulmonary TB patients at this Primary Health Center area was high with a value of 84.13%. Conclusion: Adherence to medication in pulmonary TB patients was not influenced by age, gender, educational status, employment status, income level, smoking status, duration of treatment, drug side effects, medication supervision, and patient motivation. Therefore, the adherence level is included in the high category.

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