scholarly journals PERSUASIVE COMMUNICATION: THE ROLE OF CAREGIVER CHARACTERISTICS ON ADOPTION OF ROUTINE IMMUNIZATION SERVICES OF CHILDREN AGED 0-5 YEARS IN BOMET COUNTY

2021 ◽  
Vol 6 (1) ◽  
pp. 45-60
Author(s):  
Mary Amatu ◽  
Professor Hellen Mberia ◽  
Dr. Kyalo Wa Ngula
Keyword(s):  
Health Workers ◽  
Routine Immunization ◽  
Persuasive Communication ◽  
Unique Contribution ◽  
Mixed Method Research ◽  
Cross Sectional ◽  
Level Of Education ◽  
Primary Level ◽  
Vaccine Preventable Diseases

Purpose: An estimated two to three million annual deaths from Vaccine preventable diseases (VPDs) are preventable through immunization. Currently about 19.5 million infants miss out on routine immunization globally. The study examined the role of caregiver characteristics in persuasive communication on adoption of routine immunization of children aged 0-5 years in Bomet County – Kenya. Methodology: This study self-funded, was a cross-sectional hospital based study, employing a mixed method research design. A sample of 384 caregivers participated in the study.Cronbach's alpha and confirmatory factor analysis tests was conducted to ascertain the reliability and validity of study instruments. Chi-square test was done to establish the relationship between caregiver characteristics and adoption of routine immunization. Data was collected using interviewer administered questionnaires and KII guide. Findings: The response rate was 95.1% with majority of the respondents in the age bracket of 19-25 at 42.2% and 61.4% were married with 36.9 % of the respondents reporting to be housewives. Majority of the respondent had primary level of education at 53.7 %, followed by secondary level those had attained only primary level of education with only 8.8% having attained tertiary level of education and those who had no level of education were 1.9%. On caregiver knowledge, 93.4% did not know any vaccines given to children. However, out of those that had knowledge on the vaccines, 66.3% agreed vaccines have side effects, though majorly they were mythical. Caregiver attitude on routine immunization was found to be negative. Unique contribution to theory, practice, and policy: The optimal model indicated that for every unit of Caregiver characteristic, the value of adoption changed by 0.386. The study concluded that caregiver characteristics had positive influence on adoption of routine immunization. The study recommended that routine immunization messages be made frequently available, targeted and tailored to the caregivers. Secondly, the community should be involved in advocacy towards adoption of routine immunization, to create ownership and adoption sustainability. Additionally, health workers should be motivated towards good practices in Healthworker-client communication specifically, persuasive communication to build trust from the caregivers. Contribution to practice and policy: Adoption of the study findings by the policy makers, will contribute to achieving the recommended 90%, fully immunized coverage. This in turn will reduce vaccine preventable diseases both in the study area and can be generalizing to settings with similar challenges in adoption of routine immunization.

Practice of Breast Feeding Under Two Years Children Amoung Mothers in a Selected Slum of Dhaka City

2011 ◽  
Vol 17 (Number 2) ◽  
pp. 9-14
Author(s):  
Md. M Bhuiyan ◽  
N Shoaib ◽  
M Begum ◽  
Md. S H Khan ◽  
A Nasreen ◽  
...  
Keyword(s):  
Breast Feeding ◽  
Health Workers ◽  
Age Group ◽  
Cross Sectional ◽  
Level Of Education ◽  
Exclusive Breast Feeding ◽  
Primary Level ◽  
Breast Feed ◽  
Safe Food ◽  
Supplementary Foods

A cross sectional descriptive study was conducted among 240 mothers who had children under two years. Mean age of tlw resputulou was 26.73 years. Most of the mother (60.83%) had dtildren tuuler the age group of 6 months. Fifty three pen.ent respondent and their husbands (47.92%) completed primary level of education and monthly im.onte of them was within 5000-10000 !aka in 39.17% (teases. Most of the respondent (78%) thought that breast milk was most safe food for baby and 82% knew what colostrum was. Only 35% of respondents acquired knowledge about breast feeding from donor and health workers and 32% of mothers thought supplementaty foods should start at the age of 3 months. but .19% of mothers started giving supplementary foods at age of 6 months. It was seen that among breast feed children 51% of them frequently felt sick. Majority of the respondent's children (33%) suffered from common cold and cough and 22% suffered front diarrhoea! diseases. Even after a huge mass publicities and mobilization for many years to promote exclusive breast feeding. only 27% mothers know the duration of exclusive breast-feeding correctly as 6 months. Thus it is obvious that there is a large knowledgesto-pradice gap.

scholarly journals Influence of Message Content in Persuasive Communication on Adoption of Routine Immunisation of Children Aged 0-5 years in Bomet County, Kenya

2021 ◽  
Vol 8 (1) ◽  
pp. 185-201
Author(s):  
Mary Amatu ◽  
Hellen Mberia ◽  
Kaylo Wa Ngula
Keyword(s):  
Health Workers ◽  
Good Practice ◽  
Medical Officer ◽  
Positive Influence ◽  
Persuasive Communication ◽  
Mixed Method Research ◽  
Message Content ◽  
Routine Immunisation ◽  
Vaccine Preventable Diseases ◽  
Client Communication

An estimated two to three million annual deaths from vaccine preventable diseases (VPDs) are prevented through immunisation. Currently about 19.5 million infants miss out on routine immunisation globally. We carried out a study on the role of message content in persuasive communication on adoption of routine immunisation services. The study employed a mixed method research design. A sample of 384 caregivers was used. Data was collected using interviewer administered questionnaires and Key Informant Interviews. The key informants interviewed were taken with sub-county medical officer of health, health promotion officer and EPI coordinator. Both descriptive and inferential statistics were applied in the analysis. The study findings were that message content had positive influence on adoption of routine immunisation. The study recommended that routine immunisation messages be made frequently available, targeted and tailored to the caregivers. Secondly, the community should be involved in advocacy towards adoption of routine immunisation, to create ownership and adoption sustainability. Additionally, health workers should be motivated towards good practice in health worker-client communication, specifically, persuasive communication to build trust from the caregivers. The researcher recommends comparative studies should be conducted, comparing the well performing counties with Bomet County, Kenya.An estimated two to three million annual deaths from vaccine preventable diseases (VPDs) are prevented through immunisation. Currently about 19.5 million infants miss out on routine immunisation globally. We carried out a study on the role of message content in persuasive communication on adoption of routine immunisation services. The study employed a mixed method research design. A sample of 384 caregivers was used. Data was collected using interviewer administered questionnaires and Key Informant Interviews. The key informants interviewed were taken with sub-county medical officer of health, health promotion officer and EPI coordinator. Both descriptive and inferential statistics were applied in the analysis. The study findings were that message content had positive influence on adoption of routine immunisation. The study recommended that routine immunisation messages be made frequently available, targeted and tailored to the caregivers. Secondly, the community should be involved in advocacy towards adoption of routine immunisation, to create ownership and adoption sustainability. Additionally, health workers should be motivated towards good practice in health worker-client communication, specifically, persuasive communication to build trust from the caregivers. The researcher recommends comparative studies should be conducted, comparing the well performing counties with Bomet County, Kenya.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KONSUMSI TABLET TAMBAH DARAH PADA IBU NIFAS DI WILAYAH KERJA PUSKESMAS MUTIARA BARAT TAHUN 2019

2020 ◽  
Vol 4 (2) ◽  
pp. 321
Author(s):  
Fatmini Fatmini ◽  
Heru Santoso ◽  
Kesaktian Manurung ◽  
Rosdiana Rosdiana
Keyword(s):  
Nutritional Status ◽  
Pregnant Women ◽  
Health Center ◽  
Health Workers ◽  
Post Partum ◽  
Dominant Factor ◽  
Chi Square ◽  
Cross Sectional ◽  
Work Area

Anemia is still a problem in the world, especially in developing countries. This condition can have a detrimental impact on every age group including pregnant women. In pregnant women, anemia can cause complications for the mother and the baby she is carrying, such as life-threatening bleeding, miscarriage, low birth weight and premature birth. The purpose of this study was to determine the relationship between parity, anemia, ANC visits, nutritional status and the role of health workers with the consumption of blood-added tablets in post-partum mothers in the work area of the Mutiara Barat Health Center in 2019. This type of research is a correlation analytic study with cross-sectional method. The population in this study were all pregnant women in the third trimester who were recorded at the Mutiara Barat Health Center in January 2019 as many as 139 people and the sample was the total population of 139 respondents. Data were analyzed using the chi square statistical test which includes univariate, bivariate and multivariate analysis. The results obtained: there is a relationship between parity (p = 0.000), anemia (p = 0.016), ANC visits (p = 0.015), nutritional status (p = 0.021) and the role of officers (p = 0.000) with the consumption of tablets with blood added at postpartum mother. The dominant factor related to the consumption of blood-added tablets is the role of the officer. From the research results obtained, it is hoped that the Puskesmas can increase the knowledge of mothers about blood supplemented tablets through counseling so that it can influence the attitude of pregnant women to consume blood supplemented tablets. Keywords: ANC visit; anemia; consumption of blood added tablets; nutritional status; parity; role of officers ABSTRAKAnemia masih menjadi permasalahan di dunia terutama di negara-negara berkembang. Kondisi ini dapat memberikan dampak merugikan di setiap kelompok umur termasuk ibu hamil. Pada ibu hamil, kejadian anemia dapat menyebabkan penyulit pada ibu maupun bayi yang dikandungnya seperti perdarahan yang mengancam jiwa, keguguran, berat badan bayi lahir rendah dan kelahiran prematur. Tujuan dari penelitian ini adalah untuk mengetahui hubungan faktor paritas, anemia, kunjugan ANC, status gizi dan peran petugas kesehatan dengankonsumsi tablet tambah darah pada ibu nifas di wilayah kerja Puskesmas Mutiara Barat tahun 2019. Jenis penelitian ini adalah penelitian analitik korelasi dengan metode cross sectional. Populasi dalam penelitian ini adalah seluruh ibu hamil trimester III yang terdata di Puskesmas Mutiara Barat pada bulan Januari 2019 sebanyak 139 orang dan sampel merupakan total populasi yaitu 139 responden. Data dianalisis menggunakan uji statistik chi square yang meliputi analisis univariat, bivariat dan multivariat. Hasil penelitian diperoleh: ada hubungan antara paritas (p=0,000), anemia (p=0,016), kunjungan ANC (p=0,015), status gizi (p=0,021) dan peran petugas(p=0,000) dengan konsumsi tablet tambah darah pada ibu nifas. Faktor yang dominan berhubungan dengan konsumsi tablet tambah darah adalah peran petugas. Dari hasil penelitian yang diperoleh diharapkan Puskesmas dapat meningkatkan pengetahuan ibu tentang tablet tambah darah melalui penyuluhan sehingga dapat mempengaruhi sikap para ibu hamil untuk berperilaku mengkonsumsi tablet tambah darah. 

scholarly journals The role of knowledge, attitudes, and health workers’ behavior in COVID19 pandemic preparedness at Aceh Pidie Jaya District, Indonesia

2021 ◽  
pp. 205343452110616
Author(s):  
Budi Yanti ◽  
Nurdarlila Armita ◽  
Iskandar Zakaria
Keyword(s):  
Health Workers ◽  
Cross Sectional Study ◽  
Good Knowledge ◽  
District Health ◽  
Chi Square ◽  
Cross Sectional ◽  
Positive Attitudes ◽  
Chi Square Test ◽  
Level 3

Introduction Health workers are at high risk of contracting the disease because they are at the forefront of assisting COVID19 patients. Globally, Indonesia has the worst death toll of health workers. Many previous studies have shown the differences in knowledge, attitudes, and behavior of health workers in handling with the COVID19 pandemic. This study aims to asses the role of knowledge, attitudes, and health workers' preparedness during the COVID-19 pandemic in Aceh Pidie Jaya District. Methods A cross-sectional study and the data were collected by distributing online questionnaires about knowledge, attitudes, behavior, and preparedness related to the COVID-19 at 12 Pidie Jaya District health centers. The knowledge, behavior, and preparedness parameters used Guttman and Likert scales to measure the workers' attitudes. Chi-square test was used to evaluate the relationship between knowledge, attitudes, behavior, and preparedness. Results In this study, 377 health workers were selected, the majority of respondents' education level was diploma, level 3 (257, 76.3%), and one-third of the respondents did not attend training. There are 197 (58.5%) respondents who had good knowledge, 177 (52.5%) positive attitudes, 283 (84%) good behavior, and 173 (51, 3%) well prepared. Furthermore, good knowledge, positive attitude, and good behavior had a significant correlation statistically with well prepared during the pandemic (p < 0.05). Discussion Most of the health workers in Aceh Pidie Jaya have good knowledge, positive attitudes, and good behavior that create adequate preparedness. Even though training is still very limited, educational attainment would remain the cornerstone for preparedness to encounter COVID-19.

scholarly journals Determinan Kepatuhan Minum Obat Pasien Tuberkulosis Paru

2019 ◽  
Vol 1 (2) ◽  
pp. 176-185
Author(s):  
Christine Vita Gloria ◽  
Zulmeliza Rasyid ◽  
Sherly Vermita W ◽  
Elmia Kursani ◽  
Bizanti Umayyah
Keyword(s):  
Pulmonary Tuberculosis ◽  
Health Center ◽  
Family Support ◽  
Health Workers ◽  
Treatment Compliance ◽  
P Value ◽  
Cross Sectional ◽  
Tuberculosis Patients ◽  
Lung Tuberculosis

This study aims to see whether the determinants are related to treatment compliance for pulmonary tuberculosis patients at the 2019 health center. This type of research is a quantitative observational cross-sectional design. The results showed that with a P value of 0.05, there was a significant relationship between knowledge (P value = 0.005 and POR = 14.276), attitudes (P value = 0.506 and POR = 1.615), family support (P value = 0.038 and POR = 1,961), the role of health workers (P values = 0.026 and POR = 4.440), with medication adherence for pulmonary tuberculosis patients. Conclusions, of the 4 variables there are 3 variables related to adherence to taking pulmonary TB drugs in the Work Area of the Siak Hulu II Health Center, namely knowledge, family support, and the role of health workers and 1 unrelated variable, attitude.   Keywords: Obedience, Medicine, Lung Tuberculosis

THE ROLE HEALTH OFFICERS AS A DETERMINING FACTOR FOR THE SUCCESSFUL MEASLES RUBELLA IMMUNIZATION IN THE WORK AREA OF THE RAWANG HEALTH CENTER, PADANG CITY

2022 ◽  
Vol 7 (2) ◽  
pp. 150-160
Author(s):  
Putri Rahmadani ◽  
Besral Besral ◽  
Masrizal Masrizal
Keyword(s):  
Health Center ◽  
Health Workers ◽  
Immunization Coverage ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Research Population ◽  
Chi Square Test ◽  
Cross Sectional Design

Background: The measles rubella (MR) immunization coverage rate in Padang City is only 30.82%, still far below Indonesia's national target of 95%. The coverage of measles rubella immunization at the Rawang Health Center is around 62.1%. This study aims to determine the role of health workers in the success of measles rubella immunization in the Rawang Public Health Center, Padang City. Methods: This study used a cross sectional design. The study was conducted in October 2018-July 2019. The research population is mothers who have children aged 12-59 months (toddlers) as many as 1807 respondents. The sampling method is proportional random sampling with a sample of 87 respondent. Data was collected by interview using a questionnaire. Results: The results showed that 37.9% of children under five had not been immunized against measles rubella and 44.8% of health workers had an unfavorable role. The results of the chi-square test showed a significant relationship  between  the role of officers in  the success of measles rubella immunization  (p-value=0.020). Recommendation: It is hoped that health workers can increase health promotion activities regarding the risks due to children not being immunized against measles rubella and intensify door-to-door programs in the implementation of measles rubella immunization

scholarly journals Peran Tenaga Pelaksana Eliminasi dalam Pelaksanaan Program Pemberian Obat Secara Massal (POPM) Filariasis di Kota Pekalongan

2020 ◽  
Vol 19 (1) ◽  
pp. 14-18
Author(s):  
Herlysse Jorghi Jorghi ◽  
Praba Ginandjar ◽  
Nissa Kusariana ◽  
Lintang Dian Saraswati
Keyword(s):  
Family Member ◽  
Drug Administration ◽  
Mass Drug Administration ◽  
Research Method ◽  
Health Workers ◽  
Family Members ◽  
Cross Sectional ◽  
Target Family ◽  
The Given

Latar belakang: Penyakit Filariasis merupakan penyakit yang disebabkan oleh cacing filaria. Kota Pekalonganmerupakan kota dengan endemis filariasis dan telah dilakukan Program Pemberian Obat secara Massal (POPM) sejak tahun 2011 hingga 2015, Namun, hasil Survei Darah Jari (SDJ) menunjukkan nilai Mikrofilaria Rate di Kota  Pekalongan  masih  >  1%.  Penelitian  ini  bertujuan  untuk  menggambarkan  peran  Tenaga  Pelaksana Eliminasi (TPE) filariasis dan hambatan yang ditemui pada pelaksanaan POPM di Kota Pekalongan.Metode: Penelitian ini merupakan penelitian cross sectiona. Jumlah sampel 95 orang petugas TPE dengan menggunakan simple ramdom sampling. Pengumpulan data dengan wawancara menggunakan kuesioner.  Hasil: Hasil penelitian menunjukkan bahwa EP dalam memilih anggota keluarga target yang akan dirawat adalah optimal (63,2%). EP dalam membantu puskesmas menentukan dosis dan pemberian obat-obatan untuk masing-masing keluarga yang dibantu (52,6%). EP dalam merekam keluarga yang dibantu yang minum obat pada kartu sudah optimal (55,8%). EP dalam memantau dan mencatat reaksi perawatan yang mungkin timbul dan melaporkan kepada petugas kesehatan adalah optimal (61,1%).Simpulan: Peran tenaga pelaksana eliminasi TPE di Kota Pekalongan dalam menyeleksi anggota keluarga binaan yang akan diobati, dalam membantu puskesmas menentukan dosis dan pemberian obat pada setiap keluarga binaan, dalam pencatatan keluarga binaan yang meminum obat pada kartu, dan dalam pengawasan dan pencatatan reaksi pengobatan yang mungkin timbul serta pelaporan kepada petugas kesehatan sudah optimalKata kunci: Filariasis, Tenaga Pelaksana EliminasiABSTRACT Title: The role of Elimination Personnel (EP) implementing filariasis MDA in Pekalongan City Background: Filariasis is a disease caused by filarial worms, Pekalongan City has carried out filariasis MDA (Mass Drug Administration) since 2011-2015. However, the results of the Finger Blood Survey (SDJ) showed that the microfilaria rate was > 1%. This study aims to describe the role of Elimination Personnel (EP) and the obstacles faced in implementing filariasis MDA in Pekalongan City.Method: This study used a cross sectional research method. Sampling in this study used simple random side, total 95 respondents. Data obtained by structure interviews using questionnaires.Result: The results showed that EP in selecting the target family members to be treated is optimal (63.2%). EP in helping puskesmas determine the dosage and administration of medicines for each of the assisted families (52.6%). EP in recording the assisted families who drank the medicine on the card was optimal (55.8%). EP in monitoring and recording treatment reactions that may arise and reporting to health workers was optimal (61.1%).Conclusion: The roles of TPE elimination workers of Pekalongan City were optimum, such as selecting family member who will be treated, helping Puskesmas in deciding the dosage and giving the medicine to every treated family, record of treated family who take the medicine in the given card, and in the supervision and record of medical reaction that might happen and reporting it to health workers.Keywords: Filariasis, Elimination Personnel  

Acceptance of Post-Placental Intrauterine Contraceptive Device in Denpasar

2016 ◽  
pp. 104
Author(s):  
N.M. Rai Widiastuti ◽  
N.L.P Suaryani ◽  
Mangku Karmaya
Keyword(s):  
Side Effects ◽  
Health Center ◽  
Contraceptive Use ◽  
Health Workers ◽  
Intrauterine Device ◽  
Bivariate Analysis ◽  
Contraceptive Device ◽  
Cross Sectional ◽  
Post Placental

Background and purpose: The Indonesian Demographic Health Survey of 2012 indicated that the prevalence of contraceptive use in Bali Province has decreased compared to 2007. In addition, the proportion of the use an intrauterine device (IUD) also continues to decline. To increase number of IUD acceptors is to promote post-placental intrauterine device (PPIUCD), however the acceptance remains low. This study aims to determine factors associated with acceptance of post-placental intrauterine device in Denpasar.Methods: Study was cross sectional with a total of 100 respondents selected by consecutive sampling. Respondents were mothers who had gave birth in January-February 2016 at Wangaya General Hospital and three health centers (Dauh Puri Sub Health Center, East Denpasar I and South Denpasar IV). Data were collected by interview in hospital and health center. Chi square test was conducted for bivariate analysis and multivariate using logistic regression.Results: Proportion of PPIUCD acceptance was 35%. Multivariate analysis indicated that PPIUCD acceptance was associated with perception of benefits (AOR=10.39; 95% CI: 2.792-38.56), perception of low side effects (AOR=5.288; 95%CI: 1.085-25.761), role of health workers (AOR=7.1; 95%CI: 1.781-28.60) and support of the husband (AOR=12.020; 95% CI=2.888-50.01).Conclusion: Variables associated with PPIUCD acceptance were perception of low side effects, perception of benefits, role of health workers and husband support.

scholarly journals The Relationship between Knowledge and Income on the Diet of Postpartum Mothers in South Tapanuli Regency

2021 ◽  
Vol 8 (2) ◽  
pp. 49-53
Author(s):  
Adelina Fitri Tanjung ◽  
Etti Sudaryati ◽  
Jumirah .
Keyword(s):  
Postpartum Period ◽  
Quantitative Research ◽  
Health Workers ◽  
Eating Patterns ◽  
Family Participation ◽  
Analysis Method ◽  
Cross Sectional ◽  
Postpartum Mothers ◽  
The Relationship

Diet is the regulation of the amount and type of food with a description of nutritional status. Many factors influence the diet of postpartum mothers, namely knowledge and income. This study aims to determine the relationship between knowledge and income on the diet of postpartum mothers in South Tapanuli Regency. This type of research uses quantitative research with a cross-sectional research design. The population in this study were all postpartum mothers from 0-40 days ahead and the sample was taken by multistage random sampling so that there were 265 samples. Data were collected using interviews and 24 hours recall. The data analysis method used in this study was multivariate analysis. The results showed that there was a relationship between knowledge and diet (p<0.05), and there was a relationship between income and diet (p<0.05). Family participation, especially husbands, is needed to support the diet of postpartum mothers, and it is hoped that the role of health workers in providing information about eating patterns during the postpartum period is expected to increase a good diet in the next postpartum period Keywords: Knowledge, Income, Diet.

scholarly journals Pengetahuan dan Sikap Masyarakat serta Peran Petugas Kesehatan Terkait Pencegahan Demam Berdarah Dengue (DBD)

2020 ◽  
Vol 2 (2) ◽  
pp. 138-147
Author(s):  
Maria A.L Dawe ◽  
Petrus Romeo ◽  
Enjelita Ndoen
Keyword(s):  
Health Workers ◽  
Sampling Technique ◽  
Hemorrhagic Fever ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Study Approach ◽  
Knowledge And Attitude

Dengue Hemorrhagic Fever (DHF) is an endemic disease commonly found in tropical and subtropical regions. Community behavior and the role of health workers in DHF prevention significantly influence DHF incidence. This study purposed to determine the relationship between community knowledge and attitude and the role of health workers with DHF prevention in the working area of the Bakunase Public Health Center in 2020. The study design was descriptive-analytic with a cross-sectional study approach. The research sample was 99 respondents, taken by simple random sampling technique. Analysis of research data used the chi-square test. The results showed that knowledge (p = 0.003), attitude (p = 0.000), and the role of health workers (p = 0.004) were related to DHF prevention. Most respondents had poor knowledge but showed a positive attitude towards DHF prevention. Intensive counseling on DHF prevention is essential to ensure active community participation in DHF prevention activities.

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