Health Service Facilities Research Articles

Assessing the Spatial Equity of Multi-Type Health Service Facilities: An Improved Method Integrating Scale Accessibility and Type Diversity

Ensuring the spatial equity of health service facilities (HSFs) is crucial for the well-being of residents. However, previous research has predominantly focused on the accessibility and equity of single-type facilities, neglecting the residents’ demand for diversified types of health services. This study proposes a multi-type, Gaussian-based, two-step floating catchment area method (MT-G2SFCA) to assess the comprehensive accessibility and equity of multi-type HSFs in different age groups in the Hedong District of Tianjin, with the Gini coefficient and the bivariate local Moran’s I. Furthermore, the key factors affecting the accessibility were explored through a geo-detector. The results indicate the following: (1) Neglecting the health benefits of facility type diversity can result in an underestimation of the accessibility and equity; (2) neglecting the differences in walking ability of the elderly can result in an overestimation of the accessibility and equity; and (3) the Pedestrian Route Directness is the key factor affecting the accessibility and equity in high-density urban areas, and especially that the facility density is the key factor for the elderly. This research emphasizes the impact of facility type diversity on the accessibility and equity of HSFs, which can offer more precise and holistic technical assistance and policy recommendations for optimizing the allocation of HSFs.

Stunting Prevention Strategy Through Increasing Community Participation Based on Gender Mainstreaming

This article, "Strategy for Stunting Prevention Through Increasing Community Participation" is based on the "Gender Mainstreaming" Study in Kaliau Village, Sajingan Besar district, Sambas regency. The research uses a qualitative descriptive approach. Our findings indicate that the causes of stunting in children in Kaliau village are inadequate nutrition, low-quality sanitation, poor reproductive health conditions, and decision-making skills, limited health service facilities, relatively low education level of both mothers and fathers and subsequent poor parenting skills. The form of participation carried out by the community is generally vertical in nature, where most child-caring and rearing responsibilities are shouldered by mothers, and fathers' involvement is still very low. We suggest the need to improve educational activities for community health and sanitation, parenting skills, nutritional education on healthy eating patterns for infants, pregnant women, and nursing mothers, and to increase the involvement of men as fathers and posyandu cadres. Furthermore, we need to provide adequate health-service facilities and infrastructure for every community, vitalize the Youth Family Development program (B.K.R.), and improve the coordination among local stakeholders in the area. Lastly, adequate remuneration should be provided for posyandu cadres to help them work more effectively.

BARRIERS IN ACCESSIBILITY OF DENTAL AND ORAL HEALTH SERVICES FACILITIES DURING THE COVID-19 PANDEMIC AT WEST DENPASAR II PUBLIC HEALTH CENTER

Accessibility of dental and oral health service facilities is influenced by three indicators, namely availability, barriers and utilization. Barrier indicators cause delays or difficulties for people in accessing these facilities. Barrier indicators are influenced by physical barriers, economic barriers and geographical barriers. Based on preliminary data collection from the Bali Provincial Health Service, West Denpasar II Community Health Center experienced a significant decline in visitors during the COVID-19 pandemic. This research aims to determine the barriers to accessibility of dental and oral health service facilities during the COVID-19 pandemic at the West Denpasar II Health Center and to determine the influence of the COVID-19 pandemic on barriers to accessibility of dental and oral health service facilities at the West Denpasar II Health Center. This research uses quantitative analytical methods with a retrospective approach. The sample for this research was visitors to the West Denpasar II Community Health Center who met the inclusion criteria, totaling 134 respondents. Samples were taken using non-probability sampling techniques with consecutive sampling type. The research results stated that during the COVID-19 pandemic, the accessibility of dental and oral health service facilities at the West Denpasar II Health Center was in the fairly easy access category and obstacles in the accessibility of dental and oral health service facilities at the West Denpasar II Health Center were in the hampered category. Based on the results of correlation tests between barrier factors and accessibility factors for dental and oral health service facilities during the COVID-19 pandemic, it was found that these two factors did not have a significant relationship. The research conclusions show that there were obstacles in the accessibility of dental and oral health service facilities during the COVID-19 pandemic at the West Denpasar II Health Center and there was no influence between the COVID-19 pandemic and obstacles in the accessibility of dental and oral health service facilities at the West Denpasar II Health Center.

Association between the change in the job facilitating and inhibiting factors of care staff due to the employment of older assistant workers and the emotional exhaustion among care staff

Objectives The mental health condition of care staff in Japan is becoming problematic. Older assistant workers are currently being employed to assist care staff with their jobs and alleviate their job burden. This employment of older assistant workers is drawing attention; however, their influence on the job facilitating and inhibiting factors of care staff and the association with the care staff's emotional exhaustion remains unclear. In this study, we aim to examine how the employment of older care assistant workers relates to the job-facilitating and job-inhibiting factors of care staff and explore that association with the care staff's emotional exhaustion.Methods Data from a mail survey of geriatric health services facilities with older assistant workers were analyzed. Among the answers obtained from the care staff, answers from 5,185 who reported working in facilities that employ older assistant workers (over the age of 60) were analyzed. The Emotional Exhaustion subscale of the Japanese Version of the Burnout Questionnaire was used as the dependent variable. The change in job-facilitating and job-inhibiting factors of care staff due to the employment of older assistant workers (improve, maintain/exacerbate) was explored for nine contents.Results Care staff reported a decrease in the total volume of the task (63.6%), less stress during daily tasks (39.8%), and more concentration on the tasks that require expert care knowledge (38.0%). The results of multiple regression analysis showed that the emotional exhaustion score of care staff was low when the total volume of tasks decreased (β=－0.383, 95%CI=－0.719, －0.047), when less stress was perceived during daily tasks (β=－0.432, 95%CI=－0.796, －0.068), when concentration on tasks that required expert care knowledge increased (β=－0.574, 95%CI=－0.937, －0.210), and when human relationships among staff improved (β=－0.871, 95%CI=－1.263, －0.480). Conversely, an increase in tasks requiring work with regional personnel and organizations (β=0.800, 95%CI=0.162, 1.437) was associated with a high emotional exhaustion score.Conclusion The employment of older care workers was related to the job-facilitating or job-inhibiting factors of care staff, and the change in these factors was associated with lower emotional exhaustion. The employment of older personnel may lower the risk of burnout among care staff.

Occupational Health Barriers in South Africa: A Call for Ubuntu.

Many low- and middle-income countries (LMICs) grapple with shortages of health workers, a crucial component of robust health systems. The COVID-19 pandemic underscored the imperative for appropriate staffing of health systems and the occupational health (OH) threats to health workers. Issues related to accessibility, coverage, and utilization of OH services in public sector health facilities within LMICs were particularly accentuated during the pandemic. This paper draws on the observations and experiences of researchers engaged in an international collaboration to consider how the South African concept of Ubuntu provides a promising way to understand and address the challenges encountered in establishing and sustaining OH services in public sector health facilities. Throughout the COVID-19 pandemic, the collaborators actively participated in implementing and studying OH and infection prevention and control measures for health workers in South Africa and internationally as part of the World Health Organizations' Collaborating Centres for Occupational Health. The study identified obstacles in establishing, providing, maintaining and sustaining such measures during the pandemic. These challenges were attributed to lack of leadership/stewardship, inadequate use of intelligence systems for decision-making, ineffective health and safety committees, inactive trade unions, and the strain on occupational health professionals who were incapacitated and overworked. These shortcomings are, in part, linked to the absence of the Ubuntu philosophy in implementation and sustenance of OH services in LMICs.

Management Overview of the Lung Tuberculosis Control Program at the DKI Jakarta Provincial Health Office in 2023

Tuberculosis is one of the infectious diseases that is fatal if not cured immediately. In 2022, the success rate of tuberculosis treatment in DKI Jakarta Province is 81%, while the national target is 90%. In the field, the number of cadres to carry out contact investigations is still insufficient, so that in 2022 the coverage of contact investigations in DKI Jakarta Province will only reach 25%, while the national target is 90%. To increase the scope of successful treatment, the government should try to overcome tuberculosis, which is needed. Proper program management is required to run effectively and efficiently for tuberculosis control efforts. Therefore, this study aims to determine the management picture of tuberculosis control programs at the DKI Jakarta Provincial Health Office. This qualitative research type uses in-depth interview methods, observation, and document review. Determination of informants using purposive sampling techniques. Data validation using source triangulation by and method triangulation. The results showed that in the management of the tuberculosis control program, there are problems, including limited cadres to conduct contact investigations, limited recording and reporting personnel at health facilities, there are still health facilities carrying out TB diagnoses not according to standards, not yet integrated SITB with SITK, and still limited services for MDR-TB (multidrug-resistant tuberculosis). Suggestions that can be given are optimizing the role of cadres to conduct contact investigations, providing recording and reporting personnel in addition to nurses and personnel on duty in TB services at health facilities, disseminating the latest information to health facilities through socialization, immediately integrating SITB with SITK and coordinating with private health service facilities to open MDR-TB services.

Hospital Efforts in Fulfilling Patients' Rights to Emergency Unit Health Services

A hospital is a health service facility that provides complete individual health services through promotive, preventive, curative, rehabilitative and/or palliative health services by providing inpatient, outpatient and emergency services. The Emergency Department (IGD) is a hospital unit that provides first care to patients. Emergency Services are medical actions required by Emergency Victims/Patients immediately to save lives and prevent disability. The current difficulty of society is expensive health financing. Not only because of the doctor, but to reach health facilities and infrastructure you also have to make a lot of effort. We can see in several cases of patient refusal in the ER at hospitals in several regions of Indonesia how difficult it is for people to get optimal health services. The method used is the Normative Juridical Method which aims to find legal regulations regarding hospitals in their efforts to treat emergency patients. The problem formulation that the author can put into this paper is how to implement and optimize hospital efforts to fulfill patients' rights to health services in the emergency unit. The results of the author's research are that in order to optimize the fulfillment of patient rights, hospitals are required to form internal hospital regulations and require hospitals to implement good corporate governance and good clinical governance.

Sustainable solutions to barriers of point-of-care diagnostic testing services in health facilities without laboratories in the Bono Region, Ghana: a qualitative study

BackgroundA sustainable point-of-care (POC) diagnostic testing implementation in low-resourced facilities enhances quick diagnostic investigation and halts unnecessary referrals. This study identified the barriers impeding the implementation of POC diagnostic testing in health facilities without laboratories in the Bono Region of Ghana; as well as explored potential solutions that could enhance the accessibility and effectiveness of POC diagnostic testing, ultimately improving the quality of healthcare delivery.MethodsA total of twenty-eight participants were purposively selected from health facilities in low-resourced settings in the Bono Region for a descriptive qualitative study. Of the twenty-eight participants, seventeen including ten healthcare providers from CHPS facilities, six district health depot managers, and one regional depot manager were engaged in in-depth interviews. Additional eleven including nine healthcare providers and two district depot managers were also engaged in focus group discussions. NVivo version 12 software was employed for condensation, labelling, and grouping of themes. Data was analysed narratively.ResultsWork overloads, limited POC testing services, stock-outs of POC tests at the facilities, and supply-related challenges of POC test kits were identified as major barriers to POC testing services. To solve these barriers, adequate funding, an effective delivery system, stakeholders’ engagement and advocacy, and in-service and refresher training courses were suggested as potential solutions to POC diagnostic testing services implementation by the stakeholders.ConclusionsThis study’s findings emphasize the need to address the barriers hindering the implementation of POC diagnostic testing in health facilities without laboratories in the Bono Region of Ghana. The suggested solutions provide a roadmap for improving the accessibility and effectiveness of POC testing, which has the potential to enhance the quality of healthcare delivery, reduce unnecessary referrals, and ultimately improve patient health outcomes in underserved settings.

Factors associated with timely initiation of antenatal care among reproductive age women in The Gambia: a multilevel fixed effects analysis.

A significant factor impacting the incidence of maternal and neonatal fatalities is the timely initiation of antenatal care (ANC) services in healthcare facilities. Despite the recommendations by the World Health Organization and the numerous benefits of timely initiation of ANC, studies have revealed that the overall prevalence of timely ANC initiation in 36 sub-Saharan African countries remains low and women in The Gambia also initiate ANC late. However, no known study in The Gambia has focused on assessing the factors associated with timely initiation of ANC at the time of writing this paper. Thus, this study aimed to assess the prevalence and factors associated with the timely initiation of ANC among reproductive-age women in The Gambia. A cross-sectional survey design was used in this study and conducted among 5,734 reproductive-age women using data from the 2019-2020 Gambia Demographic and Health Survey (GDHS). Using STATA version 14.0, we conducted the analysis using descriptive and inferential statistics. Multilevel logistic regression models were fitted to determine the factors associated with timely ANC utilization and adjusted odds ratios were used to present the results with statistical significance set at p < 0.05. The overall prevalence of timely initiation of ANC services among reproductive-age women in The Gambia was 43.0%. We found that women aged 30-34 [aOR = 1.79, 95% CI = 1.30-2.47], those who were married [aOR = 2.69, 95% CI = 1.85-3.90] as well as women from the richest households [aOR = 1.63, 95% CI = 1.20, 2.20] had higher odds of seeking timely ANC services as compared to their counterparts. Also, those who had given birth to two children [aOR = 0.74, 95% CI = 0.6 -0.91] had lower odds of initiating timely ANC as compared to those who had given birth only once. Women who reside in rural areas [aOR = 1.72, 95%CI = 1.34, 2.20] also had higher odds of seeking timely ANC services than those residing in urban areas. Individual-level factors such as maternal age, marital status, parity, wealth status, place of residence, and religion were associated with the timely initiation of ANC services among reproductive-age women. These factors ought to be considered in efforts to increase the timely initiation of ANC among reproductive-age women in The Gambia.

Participatory action research to develop and implement multicomponent, multilevel strategies for implementing colorectal cancer screening interventions in American Indian communities in New Mexico

BackgroundDespite the effectiveness of colorectal cancer (CRC) screening, American Indians (AIs) have low screening rates in the US. Many AIs receive care at Indian Health Services, Tribal, and Urban Indian (I/T/U) healthcare facilities, where published evidence regarding the implementation of CRC screening interventions is lacking. To address this gap, the University of New Mexico Comprehensive Cancer Center and the Albuquerque Area Southwest Tribal Epidemiology Center collaborated with two tribally-operated healthcare facilities in New Mexico with the goal of improving CRC screening rates among New Mexico’s AI communities.MethodsGuided by the principles of Community Based Participatory Research, we engaged providers from the two tribal healthcare facilities and tribal community members through focus group (two focus groups with providers (n = 15) and four focus group and listening sessions with community members (n = 65)), to elicit perspectives on the feasibility and appropriateness of implementing The Guide to Community Preventive Services (The Community Guide) recommended evidence-based interventions (EBIs) and strategies for increasing CRC screening. Within each tribal healthcare facility, we engaged a Multisector Action Team (MAT) that participated in an implementation survey to document the extent to which their healthcare facilities were implementing EBIs and strategies, and an organizational readiness survey that queried whether their healthcare facilities could implement additional strategies to improve uptake of CRC screening.ResultsThe Community Guide recommended EBIs and strategies that received the most support as feasible and appropriate from community members included: one-on-one education from providers, reminders, small media, and interventions that reduced structural barriers. From the providers’ perspective, feasible and acceptable strategies included one-on-one education, patient and provider reminders, and provider assessment and feedback. Universally, providers mentioned the need for patient navigators who could provide culturally appropriate education about CRC and assist with transportation, and improved support for coordinating clinical follow-up after screening. The readiness survey highlighted overall readiness of the tribal facility, while the implementation survey highlighted that few strategies were being implemented.ConclusionsFindings from this study contribute to the limited literature around implementation research at tribal healthcare facilities and informed the selection of specific implementation strategies to promote the uptake of CRC screening in AI communities.

Psychiatric Residential Treatment Facilities for Child Behavioral Health Services in North Carolina Medicaid.

Psychiatric residential treatment facilities (PRTFs) are non-hospital inpatient treatment settings for children with severe be-havioral health disorders. PRTFs are a restrictive and costly form of care that can potentially be avoided with community-based behavioral health services. Statewide Medicaid enrollment and claims data for 2015-2022 were used to describe PRTF utilization in North Carolina. We examined annual episodes of care in PRTFs and compared trends before and during the COVID-19 public health emergency. From 2015 to 2022, 10,038 children insured by NC Medicaid entered a PRTF across 10,966 episodes of care. In the past five years (2018-2022), care in PRTFs resulted in Medicaid expenditures of over $550 million total, or over $100 million per year. In 2022, 42% of children who entered PRTFs were in foster care and 44% of children were placed in PRTFs outside of North Carolina. The analysis was limited to data collected for administrative purposes. Current trends indicate an ongoing overrepresentation of children in foster care placed in PRTFs and increased out-of-state PRTF placements. Coordinated efforts in future research, policy, and practice are needed to determine the cause of these trends and iden-tify solutions.

Implementasi Algoritma Rivest Shamir Adleman (RSA) Untuk Keamanan Data Rekam Medik Penyakit Pasien Rumah Sakit

Medical records are records of the who, what, where, and how of patient care while in hospital. One aspect of the use of medical records is the documentation aspect, namely medical records contain important information that is useful for various parties. Medical records contain data regarding past and present health and contain health professional notes regarding the patient's current condition in the form of physical findings, results of diagnostic and therapeutic procedures and patient responses. Medical record documents belong to doctors, dentists and health service facilities, while the contents of medical records belong to the patient. What can be given, recorded or duplicated by the patient is a summary of the medical record. Patients have the right to know the contents of medical records, however, the entire medical record file can only be held by authorized health/medical records officers and cannot leave the location of the health facility. This aims to maintain medical confidentiality (because medical information can be misused) and prevent medical records from being lost or damaged. To overcome this problem, a computerized system is needed that is able to secure medical record data so that unauthorized parties cannot read it. One technique that can be used to secure medical record data is cryptography. Cryptography comes from Greek which consists of the words kryptos which means hidden and graphia which means something written so that cryptography can be interpreted as something written in secret or hidden.. In applying the Rivest Shamir Adleman (RSA) method in securing medical record data at home Mitra Sejati Medan Hospital, namely by inserting program coding from Shamir Adleman's Rivest method into the programming language used. Next, form a public and private key, then carry out the encryption process for medical record data

Analysis Of BPJS Types, Access And Aspects Interpersonal On Satisfaction Patients At The Health Center Medokan Ayu Surabaya

Patient satisfaction is one of the goals of the Surabaya City Government in the 2016 - 2021 RPJMD which has been formulated in the performance of government administration and public services with the target of increasing the capacity and competence of government officials, improving good government administration and improving the quality of public services. This type of research is cross sectional study. Analytical survey research design. The population is BPJS patients at the Medokan Ayu Surabaya Community Health Center in 2021, totaling 310 respondents in the last 3 months. The sampling technique used accidental sampling so that the sample was 75 people. Data collection uses questionnaires, and data analysis uses contingency coefficient correlation. The results of the research show that bivariate analysis with the results of the correlation hypothesis test of the contingency coefficient for each variable, obtained a BPJS type variable with a p-value of 0.002 (p&lt;0.005) with a correlation coefficient value of 0.346, meaning that the level of strength of the relationship is sufficient and the value is positive so that the relationship is in the same direction. The access variable has a p-value of 0.000 (p&lt;0.005) with a correlation coefficient of 0.429, meaning that the level of strength of the relationship is sufficient and the value is positive so that the relationship is in the same direction. The interpersonal aspect variable has a p-value of 0.001 (p&lt;0.005) with a correlation coefficient of 0.402, meaning that the level of relationship strength is sufficient and the value is positive so that the relationship is in the same direction. Patient satisfaction is an important element in evaluating the quality of BPJS services by measuring the patient's response after receiving the service. With an assessment of these services, it is hoped that these health service facilities will continue to exist and continue to develop (Abidin, 2016). Several factors that give rise to a sense of satisfaction in patients are access, interpersonal aspects. Based on this, the researchers assume there is a relationship between BPJS Type, Access and Interpersonal Aspects on patient satisfaction at the Medokan Ayu Surabaya Community Health Center in 2021.

The Role of Medical Schools in Enhancing the Quality of Health Facility Services: A Doctoral Perspective: A Brief Review

This article explores the pivotal role of doctoral-level medical education in enhancing the quality of health facility services. Through a comprehensive examination of Doctoral programs, it underscores their significance in shaping competent healthcare professionals. Emphasizing clinical training, interprofessional education, research, and continuous professional development, Doctoral programs prepare doctors to deliver patient-centered, evidence-based care. The article suggests further research avenues including assessing learning methodologies' impact, evaluating healthcare service performance post-educational interventions, comparative analyses of international programs, examining emerging technology's influence, developing innovative curriculum models, and conducting cost-benefit analyses. These efforts aim to deepen understanding and advance healthcare delivery globally.

Development of a Framework to Improve the Provision of Water, Sanitation, and Hygiene in Healthcare Facilities of Mwandi District in Western Province

Healthcare facilities (HCFs) require safe water, sanitation, hygiene, environmental cleaning, and waste management (WASH) in the provision of quality services to promote, restore, maintain, and improve health. However, the unavailability of studies on the challenges and opportunities of WASH services in HCFs of Mwandi District has limited the potential for improved health care and quality of life. Without proper elucidation, this has the potency to dissuade women from using HCFs for childbirth and healthcare, potentially increasing maternal mortality rates. To examine the challenges and opportunities in accessing safe WASH services in HCFs in Mwandi District, more of Qualitative techniques were utilized to gather data from 8 HCFs in Mwandi District. This involved initial observations employing the WASH Status Checklist, followed by focus group discussions with expectant mothers and 23 key informant interviews. Thematic analysis was used to analyse the data. The results showed that only half of the investigated facilities provided basic water services, hampered by water salinity issues. Even though most facilities had improved sanitation facilities, they, however, do not meet the basic sanitation standards. This was primarily due to issues such as corroded pipes, insufficient accessible toilets for people with disabilities, and the absence of menstrual hygiene facilities. Many facilities lacked gender-segregated staff facilities. Most of the facilities had functional hand hygiene facilities but also did not meet the basic standards due to a lack of soap for hand washing. A significant number encounter inefficiencies in cleaning protocols, and the majority face poor infrastructure conditions. The findings further revealed that these challenges stem from inadequate prioritization and funding for Water, Sanitation, and Hygiene (WASH) initiatives. The existing knowledge often concentrates on individual components, the findings stress the necessity for an integrated approach that collectively addresses water supply, sanitation, hygiene, and waste management. This holistic perspective can significantly contribute to the development of more effective guidelines and policies, offering a nuanced understanding of the interconnected nature of WASH components. Furthermore, the research sheds light on the pivotal role of localized political will, specifically highlighting the influence of Health Centre Advisory Committees (HAHC) in shaping governance at the community level, especially concerning WASH projects. The study offers a comprehensive overview of challenges and sustainability opportunities related to WASH services, crucial for their effective functioning. It emphasizes the necessity for heightened awareness and increased budget allocation for the sustainable maintenance of WASH services

Strategies for increasing effective coverage of hypertension services in health care facilities: a scoping review

Purpose: To identify supporting and inhibiting factors for effective coverage of hypertension services, as well as recommendations for improvement efforts that can be made. Methods: A scoping review consists of five steps: Identification of research questions, identification of relevant research articles, study selection, data collection, and data synthesis. Results: 19 articles met the research objectives. Supporting factors include information systems, electronic-based pharmaceutical services, self-management, health insurance, quality improvement cycles, support for professionals, patients’ interventions, and digital technology. Inhibiting factors include low health insurance coverage, inaccurate equipment, inappropriate diagnosis and treatment, lack of screening coverage, difficulty in access, and differences in policies and procedures between regions. Recommendations for improvement include changes to service systems, the use of defined hypertension thresholds, ensuring blood pressure measurement devices are functioning properly, and the implementation of consistent policies, systems, and processes throughout the healthcare system, including between regions. Conclusion: There are various opportunities for improvement, both in utilizing existing supportive factors and reducing inhibiting factors, as well as in implementing various improvement recommendations, especially those that proved effective in published research.

Edukasi Pencegahan Masalah Ginjal Akut Anak Pada Posbindu RW 02 dan Kader PKK RW 015 Tugu Cimanggis Depok

The increase in cases of Atipica Prgoressive Acute Kidney (GGAPA) in children reached 269 cases with cases of death reaching 50%.The ministry of Health issues a circular letter to carry out mapping, tracing, cross checkhing activities at health service facilities, sources of purchasing on drugs used by patients before receiving treatment at the hospital and appeal to stop giving syrup drugs. Socialization and enlightenment regarding GGAPA are urgently need so that people do not panic and teh community understand teh situation better and take precautions. GGAPA socialization is carreied out at Posbindu Kutilang RW 02 and education for PKK RW 015 so that community understand better about GGAPA and knows the efforts prevention of GGAPA. keyword: GGAPA, Posbindu, PKK, prevention

Examination of the relationship between tasks in geriatric health service facilities and benefits of working for older assistant care workers

Objective In this study, we clarified the characteristics of tasks performed by older assistant care workers at geriatric health services facilities, by individual characteristics and work status. Additionally, we examined the relationship between the tasks and benefits of working for older assistant care workers.Methods A self-administered questionnaire survey was provided to 2,571 elderly care facilities employing assistant care workers aged ≥60. A total of 1,606 responses were obtained, and personal characteristics, working conditions, tasks, and benefits of working for older care assistants were surveyed. Thirteen work tasks were established and categorized into four broad categories; user transfer assistance, facility maintenance, meal-related assistance, and managing and talking to users. Seven benefits of working as care assistants were "contribution to society," "social connection," "purpose of life," "income," "learning from caregiving," "health maintenance and promotion," and "time utilization."Results Most of the respondents were women and relatively young workers. Among tasks, men, younger workers, and those working >5 days weekly represented a high proportion of those performing user transfer assistance tasks. Tasks on managing and talking to users were not correlated with sex, age, and number of days worked, but those with more flexible work patterns were more likely to be engaged in such tasks. Logistic regression analysis showed that user transfer assistance was correlated with benefits of working, such as "contribution to society," "social connection," and "learning from caregiving." Moreover, facility maintenance was associated with "income," "health maintenance and promotion," and "time utilization" and meal-related assistance was associated with "learning from caregiving." Managing and talking to users was associated with "contribution of society," "social connection," "purpose of life," and "learning from caregiving."Conclusion The tasks of the workers were associated with individual characteristics and work status. The perception of benefits between the working tasks that involved frequent contact with users and those that did not were considerably different.

Faktor yang Berpengaruh dengan Kejadian Hipertensi pada Usia 20-54 Tahun di Wilayah Kerja Puskesmas Wae Nakeng

The World Health Organization (2018) shows that about 1.13 billion people in the world have hypertension, and it is estimated that by 2025 there will be 1.5 billion people affected by hypertension. Hypertension cases at the Wae Nakeng Health Center in 2021 were 483 cases and increased in 2022 by 582 cases. Hypertensive visits in the age group of 20–54 years at the Wae Nakeng health center in 2022 were high, amounting to 1,184 visits. This study was observational-analytic using a case-control research design. Sampling in this study was divided into two groups, namely the case group using simple random sampling techniques and the control group using purposive sampling techniques using matching methods. The purpose of this study was to determine the factors that influence the incidence of hypertension at the age of 20–54 years in the working area of the Wae Nakeng Health Center, West Manggarai Regency, in 2022. The sample size in this study was 114 samples, consisting of 57 case samples and 57 control samples. The results of this study showed that the factors that influenced the incidence of hypertension were coffee consumption (p = 0.045, OR = 2.827), alcohol consumption (p = 0.021, OR = 2.654), and smoking (p = 0.039, OR = 2.352), while factors that did not affect the incidence of hypertension were obesity (p = 0.651). People are expected to carry out health checks at the nearest health service facilities and can adopt a healthy lifestyle from an early age.

Feasibility and acceptability of integrating a multicomponent breastfeeding promotion intervention into routine health services in private health facilities in Lagos State, Nigeria: A mixed methods process evaluation.

Most health care providers in Lagos State, Nigeria are private and are not required to offer breastfeeding counseling to women. From May 2019-April 2020, Alive & Thrive implemented a multicomponent breastfeeding promotion intervention in private health facilities in Lagos that included training and support to implement the Baby-Friendly Hospital Initiative and provide breastfeeding counseling and support to pregnant women and lactating mothers in person and on WhatsApp. We conducted a mixed methods process evaluation in 10 intervention and 10 comparison private health facilities to examine the feasibility and acceptability of integrating the intervention into routine health services. We conducted in-depth interviews with 20 health facility owners/managers and providers, 179 structured observations of health providers during service provision to pregnant and lactating women and 179 exit interviews with pregnant and lactating women. The in-depth interviews were transcribed and analyzed thematically. The structured observations and exit interviews were summarized using descriptive and inferential statistics. The in-depth interviews indicated that almost all health facility owners/managers and providers at the intervention health facilities had generally positive experiences with the intervention. However, the health providers reported implementation barriers including increased workload, use of personal time for counseling on WhatsApp, and some mothers' lack of access to WhatsApp support groups. Observations suggested that more breastfeeding counseling occurred at intervention compared with comparison health facilities. Third trimester exit interviews showed that 86% of women in the intervention health facilities were very confident they could carry out the breastfeeding advice they received, compared to 47% in the comparison health facilities. Our research suggests that provision of breastfeeding counseling and support through private health facilities is feasible and acceptable, but service delivery challenges must be considered for successful scale-up.