scholarly journals Spatial and socioeconomic inequalities in the availability of community health centres in the Jakarta region, Indonesia

2021 ◽  
Vol 16 (2) ◽  
Author(s):  
Fikriyah Winata ◽  
Sara L. McLafferty
Keyword(s):  
Community Health ◽  
Low Income ◽  
Healthcare Workers ◽  
Healthcare Services ◽  
Socioeconomic Inequalities ◽  
Local Public Health ◽  
Community Health Centres ◽  
Village Level ◽  
Health Centres ◽  
The Village

In the late 1960s, Indonesia established community health centres (CHCs) throughout the country to provide basic healthcare services for the poor. However, CHC expenditures and investments vary widely at the sub-provincial level, among administrative areas known as cities and regencies, raising concern that facilities and services do not correspond to population needs. This study aimed to examine spatial and socioeconomic inequalities in the availability of CHCs in the Jakarta region. We used spatial and statistical analysis methods at the village level to investigate these inequalities based on CHC data from the Ministry of Health and socioeconomic data from Indonesia Statistics. Results show that CHCs and the healthcare workers within them are unevenly distributed. In areas with high need, the availability of CHCs and healthcare workers were found to be low. There is a mismatch in healthcare services and delivery for low-income, unemployed populations at the village level that needs to be addressed. The findings discussed in this paper suggest that Jakarta Department of Health should coordinate with local public health districts to determine locations for new CHCs and assign healthcare workers to each CHC based on need as this would improve access to essential health services for the low-income population.

scholarly journals Hospital Preparedness and Resilience in Public Health Emergencies at District Hospitals and Community Health Centres

2020 ◽  
Vol 22 (2) ◽  
pp. 146-156
Author(s):  
Sandesh Kumar Sharma ◽  
Neeraj Sharma
Keyword(s):  
Public Health ◽  
Community Health ◽  
Emergency Preparedness ◽  
Healthcare Workers ◽  
Local Level ◽  
Community Health Centres ◽  
Public Health Emergencies ◽  
District Hospitals ◽  
Health Centres ◽  
Hospital Preparedness

Background: Public health emergencies (PHE) caused by natural hazards spread from one particular locality to adjacent geographic areas and then encompass the entire planet in today’s fast global connectivity mode. Each country, including India, has its own set of potential disasters based on the hazards present as well as the unique vulnerabilities of the community and community’s preparedness to respond to particular disasters. Currently, human history is observing a very critical time fighting an invisible enemy—COVID-19. Therefore, in this study, we seek to understand the standardised measures of public hospital preparedness and resilience at times of health emergencies, including a pandemic, the most current one being COVID-19. Methods: We conducted a descriptive, cross-sectional study among health officials of district hospitals (DHs) and community health centres (CHCs) of Rajasthan using a semi-structured online questionnaire, with COVID-19 in mind, and sending it to those who had attended a training programme on disaster preparedness in hospitals. Results: In all, questionnaires were sent to 80 health officials of DHs and CHCs, of which 58 responded, with a response rate of 72.5 per cent. We collected responses on public health emergency preparedness, training-related issues, the capacity to deal with emergencies and prior experience in managing an emergency. Conclusion: The resilience and preparedness of DHs and CHCs in Rajasthan appear to be limited. From the studies it has been revealed that proper training and education on disasters like the current COVID-19, which is of significant importance for healthcare workers, is limited to only 37.9 per cent of healthcare workers. It also emerges that the staff members whenever required could mark and perform in the triage area, but the Isolation room haven’t got the request facilities and equipped to stabilise a critical patient despite availability of emergency stock of medicine. The stated functional status of DHs and CHCs reveals that the level of emergency preparedness is between low and medium and also varies from hospital to hospital and from CHC to CHC. Hence, it is time to reassess and upgrade emergency preparedness plans, which include mitigation, preparedness, response and recovery. Federal-, state- and local-level emergency management agencies’ functioning has to be effective and well-coordinated with the local level of operation.

scholarly journals The development of urban community health centres for strengthening primary care in China: a systematic literature review

2015 ◽  
pp. ldv043 ◽  
Author(s):  
Harry H. X. Wang ◽  
Jia Ji Wang ◽  
Samuel Y. S. Wong ◽  
Martin C. S. Wong ◽  
Stewart W. Mercer ◽  
...  
Keyword(s):  
Primary Care ◽  
Literature Review ◽  
Community Health ◽  
Systematic Literature Review ◽  
Urban Community ◽  
Community Health Centres ◽  
Health Centres

scholarly journals Attributes of primary care in community health centres in China and implications for equitable care: a cross-sectional measurement of patients' experiences

QJM ◽  
2014 ◽  
Vol 108 (7) ◽  
pp. 549-560 ◽  
Author(s):  
H. H. X. Wang ◽  
S. Y. S. Wong ◽  
M. C. S. Wong ◽  
J. J. Wang ◽  
X. L. Wei ◽  
...  
Keyword(s):  
Primary Care ◽  
Community Health ◽  
Cross Sectional ◽  
Community Health Centres ◽  
Health Centres ◽  
Sectional Measurement
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