Sistem Informasi Geografis Pemantauan Status Gizi Balita di Kabupaten Lombok Barat untuk Pemeringkatan Daerah Rawan Gizi dengan Menggunakan Metode Analytical Hierarchy Process

This research was triggered by the increasing number of malnutrition cases in West Lombok Regency that caused the mortality rate of children under five years old is also increasing. This research is aimed to provide the malnutrition status information and other related nutritional information, also to let the citizen send their feedbacks to the Public Health Office and Community Health Clinic. This system was built with waterfall model as its System Development Method and Analytical Hierarchy Process (AHP) method to determine the nutritional areas. This system was tested with blackbox, whitebox and MOS. Whitebox was used to test the Analytical Hierarchy Process and the result was corresponding to the manually done calculation. Meanwhile the testing using blackbox showed that the system has been running well. The testing using MOS showed that the average assessment of public respondents to the system stated strongly agree, agree and fair were 39.04%, 55.24%, and 5.72% respectively

Barriers to Using Telehealth During a Pandemic Versus In-Person Appointments to Conduct Nutrition Assessments in a Community Health Clinic Setting

Objectives Barriers to healthcare among undocumented immigrants include fear of deportation, national policies excluding patients from receiving healthcare, and resource constraints, such as a lack of financial assets and transportation. The pandemic has exacerbated these barriers for community health clinic patients at St. Mary's Health Clinics (SMHC). Nutrition assessments are pivotal in providing holistic healthcare at SMHC, as high rates of food insecurity and chronic diseases exist, in addition to a unified need for education on culturally appropriate food selections for long-term health. The primary objective was to assess the barriers for SMHC patients when conducting nutrition assessments via telehealth versus an in-person clinic. Methods SMHC registered nurses (RN) triaged patients in need of nutrition assessment based on recent laboratory results or patient requests. The schedule was coordinated between RN, registered dietitian (RD), interpreter, and patient; the interpreter connected the patient to the telehealth appointment by providing call-in details or merging phone calls. The appointment was conducted via a secure virtual platform where phone or computer access was granted to all parties. Perception of barriers to telehealth were recorded by RD. Results Pre-pandemic, 6–8 nutrition assessments were conducted in-person monthly. Between the initiation of telehealth in July and December of 2020, 62 telehealth appointments were conducted, averaging 12.4 appointments per month. As a result of telehealth, the barrier of transportation to appointments was eliminated, nutrition assessment volume increased by 1.5–2 times, flexibility in appointment scheduling times increased, and the risk of spreading illness decreased. Challenges of telehealth were the inability to conduct nutrition-focused physical examinations, the presence of distractions in patient and/or provider home environments, increased coordination of care across the interprofessional team, and miscommunication/technology issues with the telehealth platform. Conclusions Telehealth has reduced some of the barriers to conducting nutrition assessments and has allowed for accessibility to a wider patient population, however, additional challenges unique to telehealth during the global pandemic were present. Funding Sources GHR Foundation Grant

Validation of the FRESH Austin Food Frequency Questionnaire Using Multiple 24-hour Dietary Recalls

Objective: The purpose of this study was to examine the validity of a Food Frequency Questionnaire (FFQ) utilized in the Food Retail: Evaluating Strategies for a Healthy Austin (FRESH Austin) study, designed to evaluate changes in the consumption of fruits and vegetables (FV) in diverse low-income communities in Austin, TX. Design: The FRESH Austin FFQ was validated against three 24-hour dietary recalls (24hDRs). All dietary assessments were administered (in-person or by telephone) by trained investigators. Setting: Recruitment was conducted at sites within the geographic areas targeted in the FRESH Austin recruitment. People at a community health clinic, a local health center, and a YMCA within the intervention area were approached by trained and certified data collectors, and invited to participate. Participants: Among n=56 participants, 83% were female, 46% were non-White, 24% had income < $25K/year, and 30% spoke only/mostly Spanish at home. Results: The FFQ and average of three 24hDRs produce similar estimates of average total servings per day across FV (6.68 and 6.40 servings per day, respectively.) Correlations produced measures from 0.01 for “Potatoes” and 0.59 for “Other Vegetables”. Mean Absolute Percentage Errors (MAPE) values were small for all FV, suggesting the variance of the error estimates were also small. Bland-Altman plots indicate acceptable levels of agreement between the two methods. Conclusion: These outcomes indicate that the FRESH FFQ is a valid instrument for assessing FV consumption. The validation of the FRESH Austin FFQ provides important insights for evaluating community-based efforts to increase FV consumption in diverse populations.

WORLD HEALTH ORGANIZATION DRUG PRESCRIBING INDICATORS AT A UNIVERSITY PRIMARY HEALTH-CARE CENTER IN OMAN

Objective: This study aimed at evaluating the prescribing patterns of drugs based on the World Health Organization (WHO) indicators at the primary health-care Family Medicine and Community Health Clinic in Sultan Qaboos University Hospital, Oman. Methods: This was a retrospective cross-sectional study covering a 6-month period in 2016 (January–June) for all patients attended Family Medicine and Community Health Clinic in Sultan Qaboos University Hospital, Oman. Data of 300 patients with 892 prescriptions were assessed during the study period. Results: The average number of drugs per encounter (2.82), the percentage of encounters with antibiotics (13.3%), and the percentage of encounters with an injection (7.6%) were within the optimal range set by the WHO. The percentage of drugs prescribed by generic name (80.1%) and the percentage of drugs prescribed from an essential drug list (EDL) (40.4%) did not reach the optimal 100% value set by the WHO. Conclusion: Most of the WHO core prescribing indicators in the study were within the optimal range. Prescribing from the WHO EDL was sub-optimal. These data will set ground to optimize rational drug prescribing in the primary health-care setting.

Generating CHARISMA: Development of an Intervention to Help Women Build Agency and Safety in Their Relationships While Using PrEP for HIV Prevention

This article describes the development of the Community Health clinic model for Agency in Relationships and Safer Microbicide Adherence intervention (CHARISMA), an intervention designed to address the ways in which gender norms and power differentials within relationships affect women's ability to safely and consistently use HIV pre-exposure prophylaxis (PrEP). CHARISMA development involved three main activities: (1) a literature review to identify appropriate evidence-based relationship dynamic scales and interventions; (2) the analysis of primary and secondary data collected from completed PrEP studies, surveys and cognitive interviews with PrEP-experienced and naïve women, and in-depth interviews with former vaginal ring trial participants and male partners; and (3) the conduct of workshops to test and refine key intervention activities prior to pilot testing. These steps are described along with the final clinic and community-based intervention, which was tested for feasibility, acceptability, and preliminary effectiveness in Johannesburg, South Africa.