Health Centers In City Research Articles

Training and mentoring of Health Workers and Cadres of Bengkulu City Health Center in Monitoring The Growth and Development of Toddlers with The SDIDTK Application

Monitoring children's growth and development is one of the basic programs implemented by Community health center (Puskesmas) to ensure a healthy life and improve children's welfare. The Bengkulu City Health Office identified limited human resources and a lack of supporting tools as inhibiting factors in achieving SDIDTK service targets. The service was carried out through training on Growth and Development Monitoring with the Android-based SDIDTK Application and field assistance. The training was held on July 24-25, 2024 with 36 participants consisting of 17 health workers, 17 cadres from 17 health centers, and 2 staff from the Family Welfare Division of the Bengkulu City Health Office at the Campus 4 Hall of Bengkulu University. The results of the pre and post-test of the training showed that 94% of participants increased their knowledge. The results of the assessment of skills in using the application showed that 100% of participants were able to do as directed. SDIDTK Kit assistance was delivered to 17 Puskesmas with the signing of the Minutes by the Head of Service implementer and staff of the Health Division of the Bengkulu City Health Office. Field assistance was carried out for 2 weeks after the training in 17 Puskesmas working areas.

Optimizing Internal Supervision: The Role of Time and Location in Enhancing Health Center Service Quality in Kendari

Introduction: The problem in this study is the data on the achievement of health center accreditation in Kendari City, namely: 10 intermediate health centers (66%), 2 basic (13%), 2 main (13%) and 1 plenary (6.6%). This data indicates that not all health centers have implemented service standards according to PMK 46 of 2015 concerning Health Center Accreditation Standards, this condition provides an illustration that technical guidance and supervision carried out at the Health Center have not been carried out optimally. The purpose of this study was to analyze the relationship between internal supervision strategies and improving the quality of health services as a managerial function at the Kendari City Health Center. Method: This type of research is quantitative Observational using Cross Sectional Study design. The population of the study were all health center leaders, Personal Health Efforts managers, Public Health Efforts managers and quality managers totaling 60 people at Kendari City health centers. The sampling method used the Total Sampling technique. Result: The results of the chi-square test on the supervision time variable obtained a value of X2 hit = 17.019, the location of supervision obtained a value of X2 hit = 13.081. Conclusion: There is a relationship between the time of supervision and the location of supervision with the improvement of service quality at the Kendari City Health Center.

Evaluation of the Program to Overcome Undernutrition in the Working Area of Cendrawasih City Health Center, Makassar

Evaluation of the Program to Overcome Undernutrition in the Working Area of Cendrawasih City Health Center, Makassar

Zinc adherence among caregivers of under five children with diarrhea in Gondar City, Northwest Ethiopia

IntroductionZinc with oral re-hydration salt supplementation provides much improved outcomes for managing childhood diarrhea. There is scarcity of evidence in the study area regarding zinc supplementation adherence and factors associated with. Thus, the aim of this study was to assess zinc supplementation adherence and associated factors among caregivers of under five children with diarrhea attending health centers in Gondar City.MethodsAn institutional based cross-sectional study was conducted with 405 caregivers of under-five children with diarrhea who received zinc supplementation in Gondar City health centers. Bivariable and multivariable logistic regression analysis were computed.Results35% (95% CI: 29.91, 39.21) of caregivers of under five children adhered for zinc supplementation. Adherence was observed among caregivers with good knowledge about zinc supplementation (AOR = 3.01 95%CI = 1.73, 5.24), and who received counseling (AOR = 8.4, 95%CI = 4.66, 15.13), presence of side effects (AOR = 0.35, 95% CI 0.20, 0.65) was negatively associated with zinc supplementation adherence.ConclusionIn the study area, more than one third of children with diarrhea were adhered to zinc supplementation. Thus, improving the knowledge of caregivers and enhancing counseling services on benefits, dosage, duration and side effects of zinc supplementation are vital to improve adherence in the area.

디지털 헬스케어를 활용한 수원특례시 노인복지시스템 구축 연구

The pace of aging in Korea is the highest in the world, and Suwon City is also expected to enter a super-aged society in 2030, so preparations for the medical and welfare sectors for the elderly are urgent. In addition, interest in digital healthcare, which focuses on non-face-to-face treatment, has increased due to the COVID-19 pandemic crisis in 2019. In this study aimed to propose a plan to build an elderly welfare system for Suwon based on previous studies through literature review and expert focus group interviews As a result of literature survey, in developed countries, digital healthcare services have been developed mainly in the U.S., Japan, and Israel. In particular, the U.S., which has been promoting non-face-to-face telemedicine since early on due to its large land area, has developed a business centered on private companies, but has also been able to grow into a digital health powerhouse due to government support such as deregulation. In Korea, the development of the digital healthcare industry has been limited due to problems such as the regulation of telemedicine practices and unclear core. In addition, according to the results of the expert group interviews, those involved in the mobile healthcare project at the Suwon City Health Center pointed out errors in the system app and difficult input methods as the main factors for negative participation in the project. Therefore, it is expected that for self-healthcare through digital healthcare to be actively implemented, it is necessary not only for the right understanding and participation of the project targets, but also for the active cooperation of the government and private companies.

ANALYSIS OF STAFFING OF THE MEDICAL AND GENETIC SERVICE IN UKRAINE

Aim. To study the staffing conditions of the medical-genetic service in Ukraine during the period from 2008 to 2022 and to forecast the staffing dynamics until 2026. Materials and Methods: Statistical data from healthcare institutions in Ukraine that provided medical-genetic services during the period from 2008 to 2022 were analyzed, based on reporting forms 21, 17, 49 from the City Health Center website http://medstat.gov.ua/ukr/statdan.html and http://medstat.gov.ua/ukr/statdanMMXIX.html. Single-factor linear regression models were applied for mathematical modeling, with quality assessment conducted using the coefficient of determination R². Calculations were performed using MedCalc® Statistical Software (v.22.009). Results: Compared to 2008, there was a significant reduction in the number of full-time positions of heads of offices (genetic doctors), genetic doctors, and genetic laboratory doctors in Ukraine in 2022 by -45.24%, -24.83%, and -23.39%, respectively. A significant decrease in the number of these positions was determined (p<0.05). In 2022, compared to 2008, there was also a decrease in the staffing rate of all full-time positions with occupied positions of the personnel of centers/offices. Specifically, for genetic doctors, the staffing rate in 2022 was 69.62% compared to 85.37% in 2008, and for genetic laboratory doctors, it was 57.54% compared to 94.62% in 2022 and 2008, respectively. The level of provision of geneticists (individuals) in Ukraine in 2022 was 1.99 per 1 million population, which is -16.03% less than in 2008. Furthermore, compared to 2008, the share of vacant positions for genetic doctors in 2022 increased 2-fold, and for genetic laboratory doctors almost 8-fold. According to the results of mathematical forecasting, in 2026, a further decrease in the availability of genetic doctors to the level of 1.77 per 1 million population is predicted (R²=0.88, p<0.001). Results. Compared to 2008, there was a significant reduction in the number of full-time positions of heads of offices (genetic doctors), genetic doctors, and genetic laboratory doctors in Ukraine in 2022 by -45.24%, -24.83%, and -23.39%, respectively. A significant decrease in the number of these positions was determined (p<0.05). In 2022, compared to 2008, there was also a decrease in the staffing rate of all full-time positions with occupied positions of the personnel of centers/offices. Specifically, for genetic doctors, the staffing rate in 2022 was 69.62% compared to 85.37% in 2008, and for genetic laboratory doctors, it was 57.54% compared to 94.62% in 2022 and 2008, respectively. Furthermore, in comparison with 2008, the share of vacant positions for genetic doctors in 2022 increased in 2-fold, and for genetic laboratory doctors almost in 8-fold. According to the results of mathematical forecasting, in 2026, a further decrease in the availability of genetic doctors to the level of 1.77 per 1 million population is predicted (R²=0.88, p<0.001). Conclusions. Based on the analysis of staffing of the medical-genetic service in Ukraine during the period 2008-2022, conclusions can be drawn about the reduction in the number of full-time positions and the availability of genetic doctors in the medical-genetic service in Ukraine. To ensure proper medical-genetic counseling for the population, it is necessary to develop an effective strategy for improving the organization of the medical-genetic service, capable of providing comprehensive support for patients with genetic pathologies.

Upaya Edukasi Ibu Hamil Dalam Mengenali Kurang Energi Kronis (KEK) Melalui Faktor Risiko

Chronic Energy Deficiency is a condition of a person's nutritional status which is caused because the source of intake they receive does not meet their daily and sustainable needs. The nutritional needs of pregnant women have increased and if this is not met in the short and long term it can result in chronic energy deficiency. The aim of this research is to determine the mother's level of knowledge in detecting CED. Based on the results of the Chi Square test, it was found that the value of p = 0.000 < α (0.05) for the variables of pregnancy distance and income showed that there was a significant relationship that influenced the incidence of chronic energy deficiency (CED) in pregnant women, while the variables of parity, education and employment showed that there was none. significant relationship that influences the incidence of chronic energy deficiency (CED) in pregnant women. The results of the activity showed that the activity to increase knowledge of pregnant women in detecting chronic energy deficiency (KEK) through risk factors in the Saigon City Health Center area, Pontianak City, ran smoothly. There was an increase in knowledge of pregnant women between before and after being given counseling by 20 points.

Educational Packages on Breastfeeding Increase Behavior and Self-Efficacy of Mothers

As a specific breastfeeding practice, the proportion of exclusive breastfeeding in Indonesia remains below the intended indicator. Education about breastfeeding techniques aims to increase success in providing exclusive breastfeeding by increasing mothers' knowledge and skills in breastfeeding their babies. The goal of this study is to find out how the Jambi City Health Center's breastfeeding education program affects moms' confidence and nursing behavior. Mothers who had just given birth or were nursing their babies participated in this study. Using a control group and a quasi-experimental design with pre- and post-test measures, the study used a quantitative methodology. Using accidental sampling, 25 respondents from the treatment and control groups made up the sample. The variables measured are maternal behavior and self-efficacy. The measuring instruments used were the breastfeeding action instrument and the BSES-FS. The treatment group's behavioral results produced a p-value of 0.001 (<0.05) according to statistical analysis using the Wilcoxon test, while the control group's p-value was 0.629 (>0.05). In a similar vein, the treatment group's p-value for self-efficacy outcomes was 0.001 (<0.05), but the control group's was 0.122 (>0.05). These findings imply that nursing moms' behavior and self-efficacy are significantly impacted by teaching packages on breastfeeding procedures delivered by video and booklet medium. In particular, compared to the control group that did not get the intervention, the treatment group, who did receive the intervention, exhibited improved behavior and greater levels of self-efficacy.

The Relationship Between Frequency of Infant Massage and Spa with The Quality of Sleep among Infants Aged 3-6 Months at The City Health Center

The quality of infant rest can be defined as a specific physiological state occurring when the child is at rest. Infants who receive adequate rest without frequent waking tend to be healthier and less irritable the next day. The quality of infant rest can be assessed by the duration of rest and any discomfort experienced during or after rest. According to WHO data from 2012, approximately 33% of infants experience sleep problems. This study aimed to investigate the effect of baby massage and spa frequency on sleep quality in infants aged 3-6 months. Using a quantitative approach, the study sampled 40 mothers and their infants at the City Health Center. The results showed a correlation between baby spa frequency and sleep quality. The study recommends conducting baby spa training and suggests future research explore the combination of massage with other interventions like music or aromatherapy to enhance sleep quality. This research aims to provide insights into the benefits of baby spa and massage for infant sleep quality and to recommend these interventions as part of routine care programs in health facilities

Factors Associated with the Recovery of Tuberculosis Patients at the Padang City Health Center

Tuberculosis is a disease whose control is one of the global commitments in the Sustainable Development Goals. The tuberculosis cure rate in Padang City is 50.5%, which is far from the national target (85%). This low cure rate is caused by several factors. This study aims to determine the factors associated with the recovery of TB patients at the Padang City Health Center. This study is a quantitative study, with a cross sectional study design. The sample in this study were pulmonary TB patients at the Padang City Health Center, as many as 67 people selected by systematic random sampling. The results showed 53.7% of respondents had high education, 77.6% had high knowledge, 64.2% had low social status, 71.6% had affordable access, and 73.1% had good family support. There was a relationship between family support (p=0.002) and pulmonary TB cure. There was no relationship between education level (p=0.956), knowledge (p=0.774), social status (p=0.098), access to services (0.328) with pulmonary TB cure. Family support variable was the most influential variable on patient recovery (p=0.004). The results showed that patients who received family support had a chance to recover by 6 times compared to patients who did not receive family support after controlling for socioeconomic variables, attitudes, and treatment compliance. TB program holders need to improve socialization and education of patients and their families who play a role in supervising and providing support to patients. Keywords: Recovery; Patient; Tuberculosis

Analysis of Factors Not Achieving Fasting Blood Glucose Levels of Diabetes Mellitus Patients at the Singgani Health Center Palu City

Introduction: Diabetes Mellitus is still a serious health problem worldwide, especially in Indonesia. Due to its persistent nature and increasing prevalence, it appears that efforts to control this disease still face many challenges in its implementation in the community. Several risk factors play a role in the development of this disease. These include family history of diabetes, environmental influences, age, obesity, ethnicity, comorbidities, medication, occupation, unhealthy diet, and physical inactivity. Objective: The purpose of this study was to determine the factors of not achieving fasting blood glucose levels in patients with diabetes mellitus at the Singgani Health Center in Palu City. Method: This study used a cross-sectional design in patients with diabetes mellitus at the Singgani health center in Palu City, data collection was carried out using non-probability sampling techniques with purposive sampling techniques, with a total sample of 100. Data were obtained from the results of patient medical records, data analysis using descriptive analysis, namely the analysis method used to describe the characteristics of the research subjects and the character of blood glucose levels, then analyzed using SPSS, namely to see the analysis of factors not achieving fasting blood glucose levels statistically tested using Chi-Square. Result: The results of the study were that most patients were in the category of unattainable fasting blood glucose levels, totaling 87 patients ? 110 mg/dl out of a total of 100 samples. As well as being influenced by sociodemographic characteristic factors, namely in employment status, namely in the group of patients not working in the category of fasting blood glucose not reached, totaling 62 patients, with an Odds Ratio of 2.32 with a significance value of p = 0.02. Conclusion: The employment status of 62 patients in the non-working group had a 2.32 times risk of not achieving fasting blood glucose levels.

Prevalence of Blastocystis in Patients Referred to Bushehr Medical Centers and Its Relationship with Urticaria.

Recent studies determined that the amoeboid form of Blastocystis acts as a factor in stimulating the host's immune responses and ultimately results in urticaria and other skin disorders. The present study was conducted in order to determine the prevalence of Blastocystis in people referred to Bushehr city health centers and the relationship of this parasite with urticaria. Fecal samples were collected from 180 males and females referred to Bushehr health centers and a questionnaire containing demographic information was completed for each person. Samples were examined by preparing direct smear (wet mount) and then formalin-detergent sedimentation techniques. Data were analyzed using SPSS 22.0 software and chi-square test. The results showed that 11.1% of cases infected with Blastocystis and 55% of patients with Blastocystis had various gastrointestinal symptoms. Statistical analysis showed that there was no significant relationship between infection with some demographic factors such as sex, age, literacy level and residence, but this was significant with some clinical symptoms such as itching and urticaria. Despite the existence of conflicting information and many ambiguities about the Blastocystis, this emerging pathogen is very important in terms of causing allergic and skin disorders in sufferers, therefore, it is necessary that patients with urticaria be evaluated for Blastocystis along with other diagnostic procedures and physicians should request a test before any medical intervention. Thus, diagnosis and treatment of these people can play an important role in improving the health of society.

Fulfilling The Right to Health of Pregnant Women Through Obstetric Ultrasound Examination at Antenatal Care (ANC) at The Palu City Health Center - Central Sulawesi, Indonesia

The government's efforts to reduce the maternal mortality rate (MMR) through quality and standard antenatal care examinations using ultrasonography (USG) is a manifestation of the Government's responsibility to fulfill citizens' health rights, especially maternal health rights. This research was located in the city of Palu, Central Sulawesi Province (Indonesia). The research question that will be discussed in this paper is: how is the implementation of the right to health of pregnant women in obtaining quality and standard antenatal care services (obstetric ultrasound examinations) at community health centers in the city of Palu? Furthermore, from the results of the analysis of research questions, it was concluded that: a) the Palu city government has demonstrated responsibility in providing health services for pregnant women that meet standards; b) fulfillment of the right to health of pregnant women through obstetric ultrasound examinations in antenatal care has not reached the target; c) Pregnant women's compliance with having their pregnancy checked at the Community Health Center so that they get an obstetric ultrasound examination by a doctor shows that there are disparities.

Depression, Perfectionism, and Hypertension in the Elderly: A Path Analysis Examining Worry, Ambiguity Tolerance, and Problem-Solving

Introduction: Hypertension is a prevalent condition among the elderly, significantly contributing to the burden of cardiovascular disease and related complications. This study examined how depression and perfectionism influence hypertension in older adults. It also explored how worry, tolerance for ambiguity, and problem-solving skills might influence this relationship. Methods: Researchers recruited 192 participants with hypertension from a health center in Khoy city, Urmia, Iran. Participants completed questionnaires that assessed depression, perfectionism, worry, ambiguity tolerance, and problem-solving skills. Statistical methods were used to analyze the data and identify relationships between these factors and hypertension. Results: Depression, perfectionism, worry, and ambiguity tolerance were all significantly associated with hypertension. Interestingly, problem-solving skills were not linked to blood pressure. Further analysis revealed that worry played a reinforcing role in the link between depression/perfectionism and hypertension, while ambiguity tolerance had a protective effect. In other words, higher worry levels strengthened the association between depression/perfectionism and high blood pressure, while greater tolerance for ambiguity lessened this association. Conclusion: These findings suggest that emotional factors like worry and intolerance for ambiguity can significantly impact blood pressure in older adults. Therefore, managing these emotions alongside depression and perfectionistic tendencies may be crucial for controlling hypertension.

DUKUNGAN LINTAS SEKTOR DALAM MENINGKATKAN GERAKAN MASYARAKAT HIDUP SEHAT

The prevalence of non-communicable diseases in Indonesia showed a significant increasing trend, from 25% at the end of 2013 to 35% at the end of 2018. Prevention efforts in a community had to be conducted through healthy lifestyle implementation characterized by four indicators, namely physical activity, daily fruit and vegetable intake, not smoking, and routine health checks. Public awareness of healthy life is shallow, even though they have a high educational background. The research aimed to know the role of cross-sector support programs as a solution in improving the Healthy Life Behavior of the citizen. This research was conducted in July-August 2018 in 22 working areas of the Bandung City Health Center. The research used a cross-sectional approach design. The respondents were 205 people, using the purposive random sampling technique. The analysis used chi-square test. The results showed that respondents had poor knowledge about GERMAS, 60.4% of whom were also bad at implementing GERMAS. The respondents whose attitude towards GERMAS was poor, 61.0% of them were also poor in implementing GERMAS. Most people had not felt cross-sector support. There was a significant relationship between cross-sector support and the improvement of people's healthy clean living behavior. The research concluded that almost all people have good knowledge and attitudes about GERMAS, but most people were not good at implementing GERMAS, and there were most people who do not feel any cross-sectoral support in implementing GERMAS. There was a meaningful relationship between cross-sectoral support, both government and private, and the implementation of GERMAS.

Prevalence and socio-economic determinants of growth and developmental delays among Iranian children aged under five years: A cross sectional study

BackgroundThe main cause of growth and development delays remains unknown, but it can occur as an interaction between genetic, environmental, and socio-economic factors.ObjectiveThe aim of the study was to investigate the prevalence and social determinants of growth and developmental delays among children aged under five years in Qazvin, Iran.MethodsA cross-sectional study was conducted between January 2019 to December 2020 with participation of 1800 mothers with children aged 4–60 months who were referred to comprehensive health centers in Qazvin city, Iran. Structural and intermediate social determinants of health were assessed including: parents and children socio-demographic characteristics, families’ living and economic status, parents’ behavioral factors, household food security, mother’s general health, and perceived social support. Children’s growth was assessed based on their anthropometric assessment and their development was assessed using their age-specific Ages and Stages Questionnaire. Data were analyzed using univariable and multivariable logistic regression models using SPSS software version 24 and Stata version 14.ResultsThe prevalence of developmental problems in each domain were 4.28% for personal and social delay, 5.72% for gross motor delay, 6.5% for communication delay, 6.72% for fine motor delay, and 8% for problem-solving delay. The prevalence of weight growth delays was 13.56% and height growth delays was 4.66%. Communication, gross motor, and problem-solving delays were higher among children whose fathers’ smoked cigarettes. Fine motor delays were lower among mothers with education status of high school diploma and university degree vs. the under diploma group. Personal and social delay was significantly higher among families with fair economic status and lower among children when their fathers were employed (vs. unemployed). Weight and height growth delays were higher among mothers who had experienced pregnancy complications and household food insecure families, respectively.ConclusionThere are different predictors of growth and developmental delay problems among Iranian children aged under five years including fathers’ smoking, families’ economic status, and household food insecurity as well as history of mothers’ pregnancy complications. The present study’s findings can be used to screen for at-risk of growth and developmental delays among children and could help in designing and implementation of timely interventions.

Factors Influencing Early Detection of Breast Cancer Through Clinical Breast Examination (SADANIS) at the North City Health Center, Gorontalo City

Early detection/screening is a secondary prevention effort that is considered the most rational to reduce the death rate due to breast cancer. Clinically early detection of breast cancer is carried out in the target group of women of childbearing age, but the priority for the early detection program in Indonesia is women aged 30-50 years. The research aims to analyze factors influencing early detection of breast cancer through clinical breast examination (SADANIS) at the North City Health Center, Gorontalo City. Analytical survey research method with a cross-sectional study design. The population is women aged 30-50 years who visited the KIA-KB services at the North City Health Center in February 2024, amounting to 136 visitors. Sampling used the Slovin formula, so the total sample was 101 people. Analysis was carried out using the chi-square test and multiple logistic regression test. Based on a multivariate test using a multiple logistic regression test on variables that influence early detection of breast cancer with SADANIS, namely family/husband support, health worker support, and exposure to information, the results obtained are that the family/husband support variable has a significant value of 0.027 <0.05 with a value of Exp(B) = 12.522 which means that family/husband support has a 12.52 times higher risk of influencing early detection of breast cancer. The conclusion of this study is The variable family/husband support is the variable that has the most influence on the early detection of breast cancer with SADANIS

Advancing Primary Care Access: Exploring the Impact of the Virtual Waiting Room on the Quadruple Aim.

Community health centers grapple with high no-show rates, posing challenges to patient access and primary care provider (PCP) utilization. To address these challenges, we implemented a virtual waiting room (VWR) program in April 2023 to enhance patient access and boost PCP utilization. Academic community health center in a small urban city in Massachusetts. Community health patients (n = 8706) and PCP (n = 14). The VWR program, initiated in April 2023, involved nurse triage of same-day visit requests for telehealth appropriateness, then placing patients in a standby pool to fill in as a telehealth visit for no-shows or last-minute cancellations in PCP schedules. Post-implementation, clinic utilization rates between July and September improved from 75.2% in 2022 to 81.2% in 2023 (p < 0.01). PCP feedback was universally positive. Patients experienced a mean wait time of 1.9h, offering a timely and convenient alternative to urgent care or the ER. The VWR is aligned with the quadruple aim of improving patient experience, population health, cost-effectiveness, and PCP satisfaction through improving same-day access and improving PCP schedule utilization. This innovative and reproducible approach in outpatient offices utilizing telehealth holds the potential for enhancing timely access across various medical disciplines.

Proportion of early treatment seeking for sexually transmitted infections and associated factors among patients attending youth friendly service in Bahir Dar City health centers, Northwest, Ethiopia

BackgroundSexually transmitted infection is a common public health issue of youths and is characteristically transmitted through sexual intercourse. Even though early treatment for sexually transmitted infection is very important to reduce further complications and economic burden, studies to identify the proportion and the possible factor of early treatment seeking is rare in Ethiopia.ObjectiveTo assess the proportion of early treatment seeking for sexually transmitted infections and associated factors among patients attending youth friendly service in Bahir Dar city health centers, northwest, Ethiopia 2023.MethodInstitutional based Cross-sectional study was used among 407 participants from April 25 to May 24 /2023. A systematic random sampling technique was used to select the participants. An interview-administered questionnaire was used for data collection, whereas Epi-data version 4.6.0.2 and the statistical package for statistical science version 23 were used for data entry and analysis respectively. A frequency table and bar chart were used for descriptive analysis. Multiple binary logistic regression was employed to identify the factors at p-value of <0.05. The necessary assumption of the model was also checked by the Hosmer and Lemishow test.ResultsThe response rate of this study was 391 (96.1%) and the proportion of early treatment for sexually transmitted infection was 108 (27.6%, 95%CI; 23-32). Good knowledge about sexually transmitted infection (AOR=1.98, 95CI%; 1.13-3.47) know about their HIV status (AOR=1.95, 95%CI; 1.13-3.36), perceive severity of sexually transmitted infection (AOR=11.23, 95%CI; 6.15-20.45), and not fear the stigma about being infected with sexually transmitted infection (AOR=2.29, 95%CI; 1.32-3.96) were the significantly associated factors for early treatment of sexually transmitted infection.Conclusion and recommendationThe proportion of early treatment for sexually transmitted infection in Bahir Dar city was low. Knowledge about STIs, testing/ knowing HIV status, perception of the severity about sexually transmitted infection, and fear of stigma about sexually transmitted infection were the statistically significant factors for early treatment of sexually transmitted infection. So the government better give attention to health education and other health promotion activities to increase the knowledge of youths about sexually transmitted infection and to change their perception of sexually transmitted infection.

The role of sexual self-esteem, sexual desire, and sexual assertiveness in the female sexual function

BackgroundSexual function plays a very important role in the sexual health of people, and the determination of their related factors reflects the importance of paying attention to sexual function in the cultural context.ObjectiveThe present study aimed to the role of sexual self-esteem, sexual desire, and sexual assertiveness in the female sexual function.MethodsIn this descriptive-analytical cross-sectional study, 592 married women of reproductive age referring to comprehensive health centers in Rasht city (North of Iran) and eligible for the inclusion criteria were selected by cluster random sampling. The data collection tools were demographic information form, Halbert’s Sexual Rights Questionnaires, Women’s Sexual Self-Esteem (short form), Halbert’s Sexual Desire, and Female Sexual Function Index. Data analysis was done with descriptive and inferential statistical tests at a significant level (p < 0.05).ResultsThe mean and standard deviation of sexual assertiveness, sexual desire, and sexual self-esteem scores were 56.79 ± 18.24, 49.12 ± 26.04, and 98.52 ± 6.11, respectively. Sexual assertiveness (p < 0.01, r = 0.13), sexual desire (p < 0.001, r = 0.178), sexual self-esteem (p < 0.01, r = 0.34) of the participants with the total score, and all areas of female sexual function had a significant positive correlation.ConclusionBased on the findings, there is a direct and statistically significant relationship between sexual assertiveness, sexual desire, the adaptability of sexual self-esteem, and family income with sexual function in participants. However, the unemployment of the spouse had a negative effect on the female sexual function.