Promotion Services Research Articles

Assessment of the influence of healthcare financing strategies on universal health coverage: a case of Garissa County, Kenya

Background: Universal health coverage aims to ensure that all people can use the promotive, preventive, and curative health services they need, while also ensuring that the use of these services does not expose the user to financial hardship. This study aimed to assess the influence of healthcare financing strategies on universal health coverage in Garissa County, Kenya. Methods: The research design for this study was an analytical cross-section study. The study used a mixed research methodology approach where both qualitative and quantitative data were obtained for triangulation purposes. Purposive, systematic, and simple random sampling techniques were employed to recruit study participants in this study. Results: The findings indicated that UHC coverage in Garissa County had been achieved only to a moderate extent. The results indicated that public healthcare financing had a positive and significant influence on UHC coverage in Garissa County (β=0.459; p<0.05). The results indicated that healthcare financing through aid had a positive and significant influence on UHC coverage in Garissa County (β=0.249; p<0.05). The results indicated that private healthcare financing had a negative and not significant influence on UHC coverage in Garissa County (β=-0.092; p>0.05). Conclusions: The results led to the conclusion that public and healthcare aid financing were the most appropriate financing approaches to achieve a notable improvement in UHC coverage in the county. The study also concluded that private health financing had a negative impact on the attainment of UHC.

1.K. Scientific session: Health literacy of children and adolescents across Europe

Abstract Health literacy is developed throughout the life course. Enhancing health literacy at an early age is especially important since it may impact both current and future health skills and outcomes. Low health literacy in child and adolescent populations has been linked to worse health outcomes and health disparities in Europe, making health literacy of children and adolescents an important public health topic. Developing and delivering targeted interventions and services for these age groups requires insight and data on the development and state of health literacy in early age. However, child and adolescent health literacy is still an under-researched topic. This is partly due to a lack of appropriate measurement instruments and methods to involve children in research. In the past years, new studies on child and adolescent health literacy have emerged in several European countries. In this workshop, innovative studies from Germany, the Netherlands and the UK on HL in childhood and adolescence are introduced and discussed. Both methodological findings as well as empirical data will be presented. In Germany, an instrument to measure child health literacy was developed and validated for primary school children. This instrument, the HLS-Child-Q15, has been used both in Germany and in the Netherlands to study the relationship between children’s health literacy and their health behaviors and outcomes. In the UK, methods of involving primary school children in health literacy research were studied. Experiences with a Children’s Advisory Group will be shared. Another study in the Netherland focuses on the health literacy profiles and needs of adolescent patients with rheumatic diseases. The format of this workshop will be 4x10-minute presentations (including questions) followed by a 20-minute interactive discussion, reflecting on the relevance of these results to further research, health promotion and health services. which will be followed by Q&A and an open discussion with the audiences. This workshop offers a forum for researchers, health educators, practitioners and policy-makers interested in health literacy measurement and research in children and adolescents. Key messages • Child and adolescent health literacy is an important, yet under-researched public health topic. • Child health literacy is an important predictor of their health behavior and outcomes.

Immigrants and nurses’ perspectives on the barriers in using health promotion services in Finland

Abstract Background The incidence of chronic diseases and health disparities is high among immigrants. Lack of access to health promotion services targeting the needs of the immigrant population was reported. This study aimed to explore the perspectives of immigrants and nurses on the barriers to using health promotion services in Finland. Methods A qualitative study with 12 focus group interviews was conducted in various cities across Finland. A total of 69 participants, including 46 adult immigrants and 23 registered nurses, were selected through purposive sampling. A semi-structured interview was used. Interviews were transcribed verbatim and analyzed using content analysis. Results The analysis generated four themes: insufficient individual factors (i.e., knowledge, skills), restraining cultural norms (i.e., unhealthy cultural habits, gender disparities), inadequate health promotion services (i.e., lack of resources, structural limitations), and negative environmental impacts on health behavior (i.e., sweet foods and beverages, cold weather). Conclusions The findings suggest reinforcing health promotion services to prevent chronic diseases among the immigrant community. Providing health education resources that are culturally tailored helps improve immigrants’ knowledge to make healthier decisions in their own lives after migration. Moreover, it is recommended to introduce the health care system of the host country and healthy habits during the integration process, along with language training. Key messages • Improving equity in using health promotion services for immigrants requires reforms. • More strategies are needed to prevent chronic diseases among immigrants in Finland.

Promoting Equity: Child & Adolescent Health Service

Abstract The health and well-being of children and adolescents face significant challenges, particularly in times of social instability. In response to these challenges, the Norwegian government allocated funding in 2021 to establish a national center for Child and Adolescent Health Promotion Services. Situated within the Norwegian Institute of Public Health, this center focuses on enhancing expertise, professional development, and research within municipal maternity and child health clinics, school health services, and youth health clinics. This presentation delves into the crucial role of Universal Health Promoting Services (UHPS) in mitigating the adverse effects of social inequality on child and adolescent health. By leveraging evidence-based practices and identifying knowledge gaps in health promotion and disease prevention in primary care settings, UHPS serve as catalysts for reducing health disparities and enhancing outcomes among expecting parents, children, and adolescents. Moreover, UHPS plays a vital role in addressing the underlying determinants of health inequality, including social network, lifestyle factors, promotion of health literacy and ensuring accessible health care services for all. UHPS empowers individuals and communities to actively participate in health promotion efforts, fostering a culture of health equity and resilience. Through targeted health education programs, early intervention strategies, and community empowerment initiatives the UHPS work both at a systems and individual level to address social inequality in health. This presentation contextualizes UHPS within a broader picture aimed at promoting child and adolescent health while addressing social inequality in health. By highlighting effective approaches and areas requiring further research, it aims to contribute to the ongoing discourse on optimizing health outcomes for young populations.

4.N. Scientific session: Equity in Child Health: Leveraging Universal Health Promotion Services for Families Amid Uncertainty

Abstract This workshop addresses the urgent need to foster resilience and equity in child health within the context of an increasingly uncertain Europe. Rapid societal changes, exacerbated by events such as the COVID-19 pandemic and heightened risks of conflict, climate change and economic instability, underscore the importance of nurturing environments where children can thrive despite challenging circumstances. The workshop aims to explore strategies for promoting well-being and addressing social inequalities in child health within the context of universal health promotion services, such as school health services and child health clinics. Objectives are to 1) Elucidate the importance and impact of universal health promotion services in addressing social inequalities and promoting equitable opportunities for all children, regardless of background or circumstance; 2) Identify actionable steps for interventions mitigating social inequalities and promoting equitable opportunities focusing on health literacy among parents with immigrant backgrounds; 3) Showcase successful models and initiatives in universal healthcare and health promotion services for children and families, emphasizing early intervention and standardized evaluation tools; and 4) Facilitate dialogue and knowledge exchange among professionals, policymakers, and stakeholders involved in child and adolescent health promotion. This workshop’s added value lies in its multidisciplinary approach, fostering collaboration for innovative solutions in child health resilience and equity. The coherence between presentations lies in their joint focus on addressing social inequalities in the context of universal health promotion services for children and families. Each presentation offers a unique perspective on these themes, contributing to a comprehensive understanding of the challenges and opportunities in child health promotion. • Hanne Nissen Bjørnsen’s presentation on the role of universal services in public health and addressing social inequality sets the stage by examining the structural factors contributing to disparities in child health outcomes. • Kirsti Riiseŕs presentation conveys the importance of user, stakeholder, and community involvement in creating culturally sensitive strategies for effective health promotion services in the context of health literacy among parents with immigrant backgrounds • Kristin Haraldstad’s presentation on Starting Right, an evidence-based assessment of children in municipalities healthcare centers, highlights the importance of early intervention and targeted support in mitigating health inequalities and promoting well-being. Format of the workshop: Three 10-minute presentations followed by a 20-minute moderated discussion to delve into empowerment and equity in child health, encouraging rich idea exchanges. Key messages • Leveraging universal health promotion services effectively empowers children and families while addressing social inequalities amidst periods of uncertainty. • Collaborative, user-centered approaches and evidence-based working strategies are key to promoting equity and building resilience in child health.

Visualizing science - the rise of graphical abstracts in public health journals

Abstract Background As graphical abstracts (GA) gain popularity in scientific journals, they enhance visibility and engagement by summarizing research articles visually, while reaching both scientists and lay audiences more effectively. This study assesses the integration of GA in public health journals, focusing their role in enhancing scientific dissemination. Methods We conducted a descriptive quantitative analysis of 163 top-tier journals in Public Health, Environmental, and Occupational Health, using SCImago rankings. The analysis focused on factors such as mentions of GA and video abstracts (VA) in guidelines, mandatory use of GA, accessibility to GA, and adherence to GA’s best practices, which include graphical support, titles, and basic explanations. Results Of the journals analysed, 43 (26.4%) mention GA in their guidelines; only three (1.8%) require their mandatory use. Eight journals (4.9%) offer GA as part of paid promotional services, while 16 (9.8%) provide easy access to GA in their articles, and just six adhere to basic best practices. VA is mentioned in 25 journals (15.3%), with only nine (5.5%) featuring both GA and VA. Dedicated website sections for GA or VA are found in six journals (3.7%). Elsevier B.V. and Wiley-Blackwell are leaders in promoting GA usage, with 19 and nine mentions in guidelines, respectively. Conclusions The adoption of GA in public health journals is increasing, yet full adherence to best practices is not widespread. This trend points to a more visually engaging form of scientific communication, potentially influencing publication standards and research dissemination. The study underscores the need for further training in GA production and promotion among researchers and editors. Additionally, the emergence of GA as a paid promotional tool indicates a novel approach to broadening research outreach, with relevant implications for the standardization of scientific communication across Europe. Key messages • Only 26.4% of public health journals mention graphical abstracts, highlighting the need for wider adoption to enhance research visibility. • Graphical abstracts boost engagement, but adherence to best practices remains low, underlining the need for better training in visual communication.

University students’ access and use of sexual and reproductive health services in Australia

University attendance can lead to changes in sexual behaviour that place people at increased risk of negative sexual and reproductive health (SRH) experiences; however, relatively few studies have explored access to and use of SRH services by university students in Australia. A convenience sample of students (N = 4291) from five universities completed an online survey to examine barriers and facilitators to accessing SRH services. Descriptive statistics were used to analyse variations by gender, sexuality, and enrolment status. Content analyses were conducted on responses to two open-ended questions. Over half (59%, 2934) had never spoken to a health professional about SRH issues. Of the 41% (1357) who had, female, non-binary/gender diverse, and Australian-born students were significantly more likely to have done so than students identifying as male, heterosexual, or as an international student. Frequently reported barriers to use of SRH services were ‘feeling embarrassed’, ‘being judged’ and ‘not knowing where to go’. LGBTQIA+ students along with international and overseas-born domestic students faced specific access barriers. Recommendations targeting student-identified barriers to access are offered, calling for universities to support student wellbeing by providing supportive, non-judgemental, and inclusive SRH promotion and health services that cater to needs of diverse student cohorts.

Virtual Posyandu Program during the Pandemic Maintained Children’s Growth and Development

Background: Posyandu program suspension due to COVID-19 has resulted in a decrease in monitoring children’s growth, leading to undetected problems. Understanding mothers' eating behavior plays a crucial role in preventing malnutrition, we must continue the program as a health promotion medium to enhance mothers' understanding and track children's growth and development. Objectives: This research aimed to determine the effectiveness of virtual Posyandu program in strengthening cadre health promotion services for nutritionally vulnerable children in Jember Regency agricultural area during the absence of offline Posyandu. Methods: The research was carried out September 2022-January 2023, implementing a 21-day intervention on 169 respondents from Puskesmas Arjasa and Paleran (representing two different socio-cultures). The cadres utilized the application to enhance children's nutritional health and instruct parents on its usage. The success parameter is that there were significant differences between the growth and development of children pre- and post-program. Growth variables were assessed by measuring nutritional status according to Ministry-of-Health Regulation, before and after the intervention, while development variables were assessed using a Developmental Pre-Screening questionnaire (DPSQ). Results: The virtual Posyandu program in both Puskesmas demonstrated significant differences (p<0.001) in children's growth and development parameters, such as height-for-age, weight-for-height, and DPSQ, between the pre- and post-program periods. Despite the challenges posed by the pandemic, the program has effectively maintained children's growth and development. Conclusions: Balitagrow© Android-based application in virtual Posyandu program effectively maintained children’s growth and development in pandemic era and worth continuing to be developed according to user needs.

Nurses' health promotion practices in rural primary health care in Nigeria. A qualitative study.

Nurses play a vital role in providing high-quality primary healthcare and health promotion services. The state of research highlights their often complex operational realities and shows the need for an evidence-based understanding of nurses' perspectives on health promotion practices, especially in low-resource settings. This study focuses on how community health nurses in rural primary healthcare centers in Nigeria perceive their health promotion role and the opportunities and challenges of, and potential entry points for strengthening, their practice. A sample of 10 nurses from eight rural primary healthcare centers in eight local government areas of Anambra state, Nigeria, was purposively selected. Data were collected via semistructured telephone and written interviews and analyzed by qualitative content analysis using a deductive-inductive approach. Nurses emphasized their commitment to supporting patients and communities to develop skills and take control of their own lives. Nurses described their role as facilitators of behavioral and environmental change, individual and community empowerment facilitators as well as social activists. Factors that enhance the health promotion practice of nurses include adequate skills, sufficient human and material resources and community support and participation. Inhibiting factors included insufficient funding, poor working conditions, staff shortages, high workload, lack of training opportunities and low participation of community members. Overcoming challenges and facilitating health promotion activities in rural communities require bolstering nurses by providing further training opportunities for enhancing their health promotion competencies and creating supportive environments. Future research should focus on how to strengthen nurses' health promotion efforts through interprofessional and intersectoral collaboration.

The need for a broad perspective when assessing value-for-money for out-of-hours primary care.

Out-of-hours primary care (OOH-PC) has emerged as a promising solution to improve efficiency, accessibility, and quality of care and to reduce the strain on emergency departments. As this modality gains traction in diverse healthcare settings, it is increasingly important to fully assess its societal value-for-money and conduct thorough process evaluations. However, current economic evaluations mostly emphasise direct- and short-term effect measures, thus lacking a broader societal perspective. This study offers a comprehensive overview of current effect measures in OOH-PC evaluations and proposes additional measures from the evaluation of integrated care programmes. First, we systematically identified the effect measures from published cost-effectiveness studies and classified them as process, outcome, and resource use measures. Second, we elaborate on the incorporation of 'productivity gains', 'health promotion and early intervention', and 'continuity of care' as additional effects into economic evaluations of OOH-PC. Seeking care affects personal and employee time, potentially resulting in decreased productivity. Challenges in taking time off work and limited access to convenient care are often cited as barriers to accessing primary care. As such, OOH-PC can potentially reduce opportunity costs for patients. Furthermore, improving access to healthcare is important in determining whether people receive promotional and preventive services. Health promotion involves empowering people to take control of their health and its determinants. Given the unscheduled nature and the fragmented or rotational care in OOH-PC, the degree to which interventions and modalities provide continuity should be monitored, assessed, and included in economic evaluations. Continuity of care in primary care improves patient satisfaction, promotes adherence to medical advice, reduces reliance on hospitals, and reduces mortality. Although it is essential to also address local settings and needs, the integration of broader scope measures into OOH-PC economic evaluations improves the comprehensive evaluation that aligns with welfare gains.

Effectiveness of Health Behaviour Modification for Chronic Non-communicable Disease Patients with Health Coaches at Khiensa Hospital, Surat Thani Province

Background: Patients with chronic noncommunicable diseases often struggle to control their blood sugar and blood pressure levels, and they frequently experienced physical, mental, and self-care practice issues that needed to be addressed. However, they may not receive adequate guidance, or the guidance they receive may be mismatched to their needs, or they may be misunderstandings between providers and patients. Therefore, medical treatment alone is insufficient; lifestyle and behavioural changes are also required throughout treatment. Objectives: This quasi-experimental study aimed to investigate the effectiveness of health behaviour modification for chronic non-communicable disease patients through health coaching at Khiensa Hospital, Surat Thani Province. Methods: The study included 550 participants who underwent a three-month health behaviour change process for patients with chronic non-communicable diseases. Each group of ten participants was supervised by a single health coach. Health literacy, health behaviour modification, and blood sugar levels were assessed before and after participating in the process using structured questionnaires. The data were analyzed by using a paired t-test to compare the mean scores of the effectiveness of health behaviour modification for chronic non-communicable disease patients through health coaching using STATA. Result: The results showed that the average health literacy scores related to chronic noncommunicable diseases increased significantly from 162.0 to 170.2 after intervention. Similarly, the average health behaviour modification scores increased significantly from 51.4 to 55.1. Furthermore, average blood sugar levels decreased from 114.1 mg/dl to 109.2 mg/dl. Our statistical analysis revealed that the significant differences in the average scores of health literacy, health behaviour modification, and blood sugar levels before and after participating in the process (t=170.3, 151.6, and 95.0, respectively, p<0.001). Conclusion: The Ministry of Public Health should develop policies to support and prioritize holistic patient care and promote proactive health promotion services for patients through intensive health promotion program activities led by health coaches to enhance the effectiveness of care for chronic non-communicable disease patients.

Optimizing psychiatric social work interventions: Formulating guidelines for mental health settings.

Psychiatric social workers typically play an important role in the treatment and management of psychosocial issues at different levels, such as individual, family, and community levels. However, despite the field having a long history, there are significantly fewer standardized guidelines for interventions in mental health settings. This study aims to develop guidelines for psychiatric social work interventions in mental health settings. Psychiatric social workers with a degree of M.Phil. in Psychiatric Social Work, 2 years of working experience, and working in mental health settings were selected for this study. Using purposive sampling, 15 psychiatric social workers were selected for this study and were interviewed using a semi-structured interview schedule. The data were analyzed using the qualitative method of content analysis. There is a high level of satisfaction rate among psychiatric social workers about their work and profession, however, they face challenges because of non-clarity of roles and responsibilities, lack of theories, and difficulties in implementing theories into practice. More training, discussion, supervision, and exposure to different cases help improve the interventions' quality. Although psychiatric social work interventions are effective in addressing the treatment gap by providing curative, preventive, promotive, and rehabilitative services, there is no uniformity in the interventions, which in turn, explains the need for standardized guidelines for intervention. The study explains the guidelines for psychiatric social work interventions at the community, group, family, and individual levels.

Increasing Tourism Potential through Natural Resource Management and Development of Tourism Packages in Building Independence and Productivity of the Ngulungwetan Village Community

PPK ORMAWA is one of the MBKM activities held by the government to support student education so that it can be directly conveyed to the Indonesian people through students. The ORMAWA PPK activity is an activity that has 3 program aspects, one of which is Promotional Media, Services, and Tourism Village Product Requirements. Ngulungwetan Village is a tourist village where this village is also one of the villages where the average community has a low level of awareness of the potential of tourist villages. So with the tourist attraction of beach camping as a tourism village product in Ngulungwetan Village, now the community and pokdarwis (tourism awareness groups) can manage tourism well. Camping tourism uses Minister of Tourism and Creative Economy Regulation Number 7 of 2021, the KBLI group is included in the low-scale business category which must have a business permit in the form of a business registration number (NIB) (KEMENPAREKRAF, 2021). This service aims to increase the attractiveness of local and foreign tourists because there are tourist destinations in Ngulungwetan Village. The results obtained are that the ORMAWA PPK Team has created this program. With this program, it is hoped that it can increase the attractiveness of the community in Ngulungwetan Village in the world of tourism. So, with this program, it can improve the management of the tourist attraction of Kebo Beach, Ngulungwetan tourist village, especially beach camping as a superior product of the tourist village.

SWOT Analysis of Indonesian Coastal Tourism Destination Marketing in the International Office

This study examines the marketing strategy of beach tourism destinations in Indonesia through a SWOT (Strengths, Weaknesses, Opportunities, Threats) analysis approach. The background of this study is based on the importance of beach tourism as a major economic sector that contributes significantly to national income, especially in countries with great beach tourism potential such as Indonesia. The research method used is a SWOT analysis to identify the strengths, weaknesses, opportunities, and threats faced by beach tourism destinations in Indonesia. The results of the study show that the main strengths of Indonesian beach tourism destinations include pristine natural beauty, rich underwater ecosystems, supporting facilities, and rich local culture. However, weaknesses such as lack of infrastructure, ineffective promotion, and low service quality are still major challenges. Opportunities include increasing global interest in Indonesian beach tourism, advances in information technology, and sustainable tourism trends. Meanwhile, threats such as intense global competition, natural disasters, and marine pollution require mature risk management. The conclusion of this study emphasizes the need for innovative and sustainable marketing strategies to improve the global competitiveness of Indonesian beach tourism. Practical recommendations include improving infrastructure, more effective promotion, and developing sustainable tourism.

THE INFLUENCE OF PROMOTION, PRICE PERCEPTION, LOCATION AND SERVICE QUALITY ON CUSTOMER SATISFACTION AT SADIMO BARBERSHOP JEMBER

The service industry is currently a very large and rapidly growing creative economy sector business and is very much needed in consumer activitiesBarbershop is one of the businesses that is currently growing. One of the 17 subsectors that make up Indonesia's creative economy is barbershop. The Ministry of Tourism and Creative Economy (Kemenparekraf) states that the sector that makes the largest contribution to GDP is the creative economy. This study was conducted to determine the effect of promotional quality, perceived price, location and service quality on customer satisfaction at Sadimo Barbershop Jember. Multiple linear regression analysis was used in this study. The population used is from all walks of life, with the criteria for respondents being consumers who have used the services of Sadimo Barbershop Jember at least twice. Purposive sampling technique was applied using a sample of 95 people. Partial test results (t test) showed a significant effect of promotion variables on customer satisfaction, a significant effect of price perception variables on customer satisfaction, a significant effect of location variables on customer satisfaction, and no significant effect of service quality variables on customer satisfaction.

An approach to persons who are not willing to engage in behavioural change.

With its unique position, primary health care (PHC) can provide health promotion and prevention services, including lifestyle behavioural counselling. Unhealthy lifestyle behaviours are very prevalent among patients attending PHC, with many patients unwilling to change or in the precontemplation stage. While patients in the contemplation stage are better managed using the 5As approach of motivational interviewing counselling, those unwilling or not ready for change necessitate a different approach, such as the 5Rs of motivational interviewing (MI) counselling. The 5Rs MI approach holds promise in motivating unwilling individuals to consider embarking on the journey of behavioural change. The 5Rs approach is not a stand-alone checklist of tasks implemented in isolation but is best integrated within a theoretical behavioural change framework. Of the four health-related behavioural change theoretical frameworks that are frequently used, the transtheoretical stages of the change model are the most used. This continued professional development article provides a summary review of the literature on behavioural change theories as they apply to lifestyle health behaviour change and presents the 5Rs approach as a feasible and practical approach to manage patients who are unwilling to change or in the precontemplation stage. This offers a beacon of hope for improved patient outcomes in a PHC system saddled with high prevalence of modifiable unhealthy lifestyle behaviours.

Green Promotion Service Allocation and Information Sharing Strategy in a Dual-Channel Circumstance

Credit purchase enables the manufacturers in the e-commerce environment to provide pre-sales service that consumers can experience first and pay later. This paper considers demand associated with price and green promotion service level and builds four decentralized game models to study two green promotion service allocation strategies and demand forecasting information sharing strategies in a dual-channel environment. The effects of the degree of dual-channel competition and free-riding on the perfect Bayesian Nash equilibrium are studied. The results show that the retailer should actively cooperate with the manufacturer and share private forecasting information if the coefficient of channel substitution is relatively high. Sharing information will aggravate double marginalization and hurt the retailer. In addition, the retailer’s profit is positively influenced by the forecasting accuracy in four models. When the manufacturer invests in the green promotion service, the prediction accuracy hurts the manufacturer’s profit without information sharing and there is a positive impact with information sharing. In particular, when a retailer provides service, we take the consumer’s free-riding behavior into account, and we find that free-riding hurts both parties and the whole supply chain. In addition, the manufacturer’s profit is irrelevant to the prediction accuracy without information sharing and positively influenced by the accuracy with information sharing.

Analysis of Factors Influencing Purchase Decisions on Tokopedia in Bandung City

This study aims to analyze the factors that influence consumer purchasing decisions on the Tokopedia e-commerce platform in Bandung City. The factors evaluated include product quality, price, platform ease of use, consumer trust, promotion, and customer service. This research uses a quantitative approach with a survey method distributed to consumers in Bandung City who have made purchases on Tokopedia. The data were analyzed using multiple linear regression to determine the effect of each factor on purchasing decisions. The results showed that product quality, price, and consumer trust have a significant influence on purchasing decisions, while other factors such as ease of use of the platform, promotions, and customer service have a lower but still important influence. The findings provide insights for e-commerce players in improving marketing and operational strategies to attract more consumers.

Health Promotion Management in the Context of Breast Cancer Prevention Using the SADARI and CERDIK Methods at Al Ihsan Regional General Hospital, West Java Province

This study aims to determine the systematics of Health Promotion Management in Hospitals on the effectiveness of the performance of Hospital Health Promotion Services. By conducting studies, planning, implementation and evaluation as well as monitoring to measure the success of PKRS activities in accordance with the rules of the Regulation of the Minister of Health of the Republic of Indonesia Number 44 of 2018 concerning the Implementation of Hospital Health Promotion (PKRS). The research method used is Qualitative Descriptive with the data collection used is making questionnaires, and observations because they have close relevance to the problem. The results after collecting 20 respondents using the Pre Test revealed that the average score was 5.6 out of 100, which can be concluded that the knowledge of the hospital community is still minimal about the awareness of maintaining health with the Cerdik method and early examination of SADARI. After counseling and counseling activities with the same 20 respondents, it was seen that the increase in the number of community knowledge with an average score of 8.7 out of 100 was seen. The findings of this study show that the hospital health promotion management system has an impact on the effectiveness of educational services at Al Ihsan Hospital, West Java Province.

Time to recovery and its predictors among children aged 6-59 months having uncomplicated severe acute malnutrition attending an outpatient therapeutic program in Northeast Ethiopia: prospective cohort study.

There are insufficient data regarding the variables influencing recovery times, despite the accessible outpatient therapy program (OTP) bringing services for treating severe acute malnutrition (SAM) closer to the community. Therefore, this study aimed to identify the factors influencing the recovery duration in children with uncomplicated SAM between the ages of 6 and 59 months who were attending an OTP in North Wollo, northern Ethiopia. From February 2021 to July 2021, 356 children, ages 6-59 months, enrolled in a facility-based prospective cohort study. An interviewer administered a semi-structured questionnaire once a week to acquire anthropometric measures. The data were imported into Stata version 14.2 for analysis from EPI data entry version 4.6.06. The time to recovery for each attribute was determined using a log-rank test, a survival curve, and a Kaplan-Meier estimate of the median time to recovery. The Cox Proportional-Hazards Model was used to identify independent predictors of recovery time; statistical significance was indicated at 95% CI and a p-value of 0.05. With a recovery rate of 74.7%, the median recovery period was 56 days. Frequency of growth monitoring and promotion (GMP) service utilization [AHR = 1.622 (95% CI: 1.052-2.130)], cough [AHR = 0.385 (95% CI: 0.176-0.843)], maternal delivery at health center [AHR = 1.448 (95% CI: 1.023-2.050)], and maternal literacy [AHR = 1.445 (95% CI: 1.019-2.058)] were determinants of time to recovery. The median recovery period was 56 days with a recovery rate of 74.7%. Regular utilization of GMP services, maternal delivery at the health center, and cough at admission were independent predictors for this study. As a result, there should be a greater emphasis on the importance of girls' (future mothers') education and nutrition counseling, particularly the integration of GMP service components into institutional delivery/for girls/women who have received little education on how to improve time to recovery and the success of the OTP.