scholarly journals Multidisciplinary Synergy of Health Workers as an Effort to Improve Public Health Status

2021 ◽  
Vol 7 (3) ◽  
pp. 153
Author(s):  
Ema Pristi Yunita

The low level of public knowledge of the importance of preventing diseases and maintaining health can increase morbidity and mortality. In this community service, counseling and integrated health services were provided by seven health study programs at Universitas Brawijaya (UB). This community service aimed to improve public health status and identify the correlation between education level and public behavior and their health condition. All health workers wrote the health status of the participants on the community health cards. The participants were asked to answer questionnaires as a feedback process and an analysis of the activity. A total of 95.33% of the participants stated that these activities were useful while 4.67% stated that the activities were useless. The results of the gamma correlation test showed a significant correlation between education level and public behavior towards complaints about aches and pains, coughs and colds, diarrhea, chest pains, and itching. On complaints about aches and pains and abdominal pain, the higher the education level, the worse the behavior in dealing with the complaints. Collaborative activities among health workers are needed to overcome public health problems. A high education level of the public does not always guarantee the accuracy of certain actions chosen to overcome various early symptoms of diseases. Therefore, the role of health workers is needed in providing health education to the public regardless of their education levels.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jinghua Li ◽  
Jingdong Xu ◽  
Huan Zhou ◽  
Hua You ◽  
Xiaohui Wang ◽  
...  

ABSTRACT Background Public health workers at the Chinese Centre for Disease Control and Prevention (China CDC) and primary health care institutes (PHIs) were among the main workers who implemented prevention, control, and containment measures. However, their efforts and health status have not been well documented. We aimed to investigate the working conditions and health status of front line public health workers in China during the COVID-19 epidemic. Methods Between 18 February and 1 March 2020, we conducted an online cross-sectional survey of 2,313 CDC workers and 4,004 PHI workers in five provinces across China experiencing different scales of COVID-19 epidemic. We surveyed all participants about their work conditions, roles, burdens, perceptions, mental health, and self-rated health using a self-constructed questionnaire and standardised measurements (i.e., Patient Health Questionnaire and General Anxiety Disorder scale). To examine the independent associations between working conditions and health outcomes, we used multivariate regression models controlling for potential confounders. Results The prevalence of depression, anxiety, and poor self-rated health was 21.3, 19.0, and 9.8%, respectively, among public health workers (27.1, 20.6, and 15.0% among CDC workers and 17.5, 17.9, and 6.8% among PHI workers). The majority (71.6%) made immense efforts in both field and non-field work. Nearly 20.0% have worked all night for more than 3 days, and 45.3% had worked throughout the Chinese New Year holiday. Three risk factors and two protective factors were found to be independently associated with all three health outcomes in our final multivariate models: working all night for >3 days (multivariate odds ratio [ORm]=1.67~1.75, p<0.001), concerns about infection at work (ORm=1.46~1.89, p<0.001), perceived troubles at work (ORm=1.10~1.28, p<0.001), initiating COVID-19 prevention work after January 23 (ORm=0.78~0.82, p=0.002~0.008), and ability to persist for > 1 month at the current work intensity (ORm=0.44~0.55, p<0.001). Conclusions Chinese public health workers made immense efforts and personal sacrifices to control the COVID-19 epidemic and faced the risk of mental health problems. Efforts are needed to improve the working conditions and health status of public health workers and thus maintain their morale and effectiveness during the fight against COVID-19.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
H Baysson ◽  
S Joost ◽  
H Attar Cohen ◽  
I Guessous ◽  
S Stringhini

Abstract Background In order to provide efficient public health decisions making, it is crucial to obtain reliable and recent data on the state of health of the population. For that purpose, a web-platform for the dynamic monitoring of the health status and well-being of the population is being developed in the Geneva canton. Methods Using a dedicated website, recruitment will be carried out over 5 years so as to enroll up to 20 000 volunteers, resident in Geneva and aged ≥ 18 years, followed-up for at least 10 years. Once connected to the website, participants will fill a general self-administered questionnaire on their socio-demographic and lifestyle characteristics, anthropometry, health status, physical activity and diet. Environmental, behavioral and occupational exposures will also be evaluated via more specific questionnaires. Current addresses of residence will be geocoded and linked to geographical databases to passively gather information on noise, air pollution, green areas, and other exposures. Surveillance of health events will be implemented via yearly self-administered on line questionnaires and potentially via passive linkage to medical databases (medical file) and health registries with the participants' consent. For a subsample of volunteers, biochemical samples and biomarkers will be collected. Results The pilot study shows that the project is feasible, potentially cost-effective but requires innovative methodologies for ensuring long term follow-up. Different communication strategies used for recruitment and long-term participation need to be implemented ensuring trust from participants, different levels of health literacy and the need of justice. Conclusions Specchio is a new project aimed at setting up a digital longitudinal health study in Geneva. Challenges concerns the determinants of participation, recruitment and attrition, quality of data and ethics. Long-term funding by the Directorate General of Health Geneva is currently under evaluation. Key messages This digital longitudinal health study will enable dynamic monitoring of the health status and well-being of Geneva residents and will enable efficient public health decision making. Specchio is a new project funded by the Directorate General of Health Geneva.


2017 ◽  
Vol 75 (2) ◽  
pp. 131-152 ◽  
Author(s):  
Joshua Breslau ◽  
Bradley D. Stein ◽  
Bing Han ◽  
Shoshanna Shelton ◽  
Hao Yu

The dependent coverage expansion (DCE), a component of the Affordable Care Act, required private health insurance policies that cover dependents to offer coverage for policyholders’ children through age 25. This review summarizes peer-reviewed research on the impact of the DCE on the chain of consequences through which it could affect public health. Specifically, we examine the impact of the DCE on insurance coverage, access to care, utilization of care, and health status. All studies find that the DCE increased insurance coverage, but evidence regarding downstream impacts is inconsistent. There is evidence that the DCE reduced high out-of-pocket expenditures and frequent emergency room visits and increased behavioral health treatment. Evidence regarding the impact of the DCE on health is sparse but suggestive of positive impacts on self-rated health and health behavior. Inferences regarding the public health impact of the DCE await studies with greater methodological diversity and longer follow-up periods.


Author(s):  
Agus Mulyawan ◽  
Rita Sekarsari ◽  
Nuraini Nuraini ◽  
Eriyono Budi

ABSTRACT Covid-19 is still a serious world problem with the number of cases still rising and falling every day. In response to this, the government is currently aggressively humiliating the Covid-19 Vaccination program and at the same time encouraging the public to continue to carry out health protocols such as wearing masks, washing hands and maintaining distance. This study aims to describe the level of community compliance in the application of post-Covid-19 vaccination health protocols in the Pakuhaji Health Center Work Area. The design in this study was cross sectional. Data collection using online and manual questionnaires. The sample is 85 respondents who have been vaccinated against Covid-19 to 1 or 2, respondents were taken by purposive sampling technique. The results obtained as many as 17 respondents (20%) in the non-compliant category and 68 respondents (80%) in the obedient category. And based on the characteristics of the respondents age, gender, and education. Based on this study, it was found that respondents with early adulthood (18-40 years) were more obedient to the implementation of health protocols. based on gender, female respondents were much more obedient in implementing health protocols and furthermore based on education level, respondents with middle to high education levels were much more obedient in implementing health protocols. ABSTRAK Covid-19 hingga saat ini masih menjadi permasalahan dunia yang serius dengan jumlah kasus yang masih naik turun setiap harinya. Dalam menanggapi hal tersebut pemerintah saat ini sedang gencar malukan program Vaksinasi Covid-19 dan sekaligus menganjurkan masyarakat untuk tetap melakukan protokol kesehatan seperti memakai masker, mencuci tangan dan manjaga jarak. Penelitian ini bertujuan untuk mengetahui gambaran tingkat kepatuhan masyarakat dalam penerapan protokol kesehatan post Vaksinasi Covid-19 di Wilayah Kerja Puskesmas Pakuhaji. Desain pada penelitian ini adalah cross sectional. Pengumpulan data menggunakan kuesioner secara online dan manual. Sample berjumlah 85 responden yang sudah vaksinasi Covid-19 ke 1 atau 2, responden diambil dengan teknik purposive sampling. Hasil penelitian didapatkan sebanyak 17 responden (20%) dengan kategori tidak patuh dan 68 responden (80%) dengan kategori patuh. Dan berdasarkan karakteristik responden usia, jenis kelamin, serta pendidikan. Berdasarkan penelitian ini, ditemukan responden dengan usia dewasa awal (18-40 tahun) lebih patuh terhadap penerapan protokol kesehatan. Selain itu berdasarkan jenis kelamin, responden perempuan jauh lebih patuh dalam penerapan protokol kesehatan dan selanjutnya berdasarkan tingkat pendidikan, responden dengan tingkat pendidikan menenga hingga tinggi jauh lebih patuh dalam penerapan protokol kesehatan.


2019 ◽  
Vol 1 (1) ◽  
pp. 47-59
Author(s):  
Rika - Sepriani

Health is a healthy state, both physically, mentally, spiritually and socially that allows everyone to live productively socially and economically. Health development as one of the national developments designed for the achievement of awareness, willingness and ability to live healthy for every population to realize an optimal degree of public health. Self-medication is an attempt by someone to overcome a problem of illness or disease without prior agreement with a doctor or health worker. More than 60% of members of the public swarmed the legal basis Permenkes No.919 / MENKES / PER / X / 1993. Swamedication was more focused on handling quickly and effectively without prior intervention by medical consultants, pharmacists, to reduce the workload on the limited resources and labor. The target audience for this community service activity is 30 health cadres obtained through collaboration with the state visited by the health cadres to provide information and understanding to other community members in their neighborhoods. From this dedication activity obtained 1) Increased knowledge and understanding of health cadres about self-medication 2) Increased knowledge and understanding of health cadres about managing drugs in the household.


2020 ◽  
Vol 1 (2) ◽  
pp. 73-77
Author(s):  
Purwati Purwati ◽  
Alfi Noviyana ◽  
Dea Roudhotul

Problems in general in Banyumas district related to non-regular diseases are: lack of health education, lack of knowledge and skills of cadres, lack of community support, and low visits by elderly / target groups. Posbindu in Pamijen village is implemented with integrated posyandu activities for toddlers where the activities are still limited to monitoring blood pressure and treating minor illnesses, while counseling activities from health workers are rarely carried out. This condition has made the mothers of the Asyiyah Pamijen branch not yet moved to join Posbindu. Apart from that, the Posbindu cadres were not ready and skilled. The method of solving problems implemented in this community service is by providing IEC (Communication, Information and Education) in the form of material about Non-Communicable Diseases (PTM) and risk factors and efforts to control PTM risk factors. PTM activities in Pamijen village involve Aisyiyah's organization as an organization that is active in the community to follow up on the Ministry of Health program so that the program can run as expected. The follow-up of this activity is carried out at the Posbindu activity in Pamijen village which is carried out routinely every 1 month. There is an increase in knowledge about PTM in Aisyiyah cadres in Pamijen village so that Aisyiyah cadres can recognize PTM on their own and educate the public to recognize PTM.


Author(s):  
Idasugiarti ◽  
Arief Tarmansyah Iman ◽  
Fadil Ahmad Junaedi

Management of medical records and health information is one of the elements in the assessment of Public Health Center accreditation. Medical records play an important role in collecting accurate and comprehensive data for targeted health policies. The most appropriate management of medical records at the Public Health Center is the regional storage system or often referred to as the family folder system. Community service activities at the Cibeureum Health Center are carried out using consultation, training, and mentoring methods. Compiled 10 quality documents and the implementation of the e-family folder in stages. Furthermore, continuous data migration was carried out assisted by RMIK students. Activities carried out well.


Author(s):  
Heidi Lyshol

Introduction: The Norwegian Public Health Act of 2012 was intended to give the municipalities a bigger stake in the health of the population by emphasizing public health at a municipal level. The aim of this study was to investigate the effects of the Act on public health officials in the execution of their vocational roles.Research questions: How do public health officials in Norwegian municipalities balance the requirements of the new Public Health Act and what their local leaders, both politicians and bureaucrats, want? How do they use the Act in the performance of their vocational roles? Does this have any relevance for vocational teachers? Method :After a literature search, semi-formal interviews were conducted with 13 municipal public health officials who were also given practical tasks and short questionnaires. The interview transcripts were analysed using Thematic Analysis. This qualitative research technique is defined and described. Discussion and Results: The study shows that the public health workers see the Act as a useful tool and actively use it to leverage the public health field into greater importance. They feel that the Act is empowering, gives them greater pride in their work, and that it helps both them and their superiors to achieve greater understanding of public health workers’ roles in their municipalities. Using the informants’ own words, changes in the municipal public health workers’ roles and vocational self-definitions are discussed in the context of the new Act and selections from the relevant literature. Conclusion: The Public Health Act has changed the roles of municipal public health workers and helped them to further public health by giving them more responsibility and expanded their duty to safeguard health in all policies. The Act is seen as empowering, giving public health professionals pride in their work and greater role understanding, and should be heavily featured in the curriculum of future public health workers.


2016 ◽  
Vol 26 (6) ◽  
pp. 922-927 ◽  
Author(s):  
Ingrid Hegger ◽  
Maarten O. Kok ◽  
Susan W.J. Janssen ◽  
Albertine J. Schuit ◽  
Hans A.M. van Oers

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