Practices Of Health Workers Research Articles

The refugee and migrant health "global competency standards for health workers": results of a survey in general practitioner trainees in Sicily.

Refugees and migrants may represent the most vulnerable communities in many societies. Health systems should be sensitive to needs of refugees and migrants. The document "The Refugee and Migrant Health: Global Competency Standards for Health Workers (the Standards)" identifies the competencies and areas of practice of health workers working with refugees and migrants. The aim of this study is to provide an analysis of these competences and training needs, identifying the educational priorities for the implementation of the Standards in Sicily, Italy. A cross-sectional analytical pilot study was conducted by administering a questionnaire, in electronic format "Google Form ®," to doctors attending the Medical Training Course for General Practitioners in Sicily (Italy). Data obtained were collected in a Microsoft Excel database and analyzed with IBM SPSS Software 24 version. Absolute and relative frequencies were calculated for relevant categorical variables. Univariate analysis of the selected variables was subsequently carried out. The significance level chosen was a p value <0.05 (two-tailed). A total of 192 General Practitioner (GP) trainees responded to the questionnaire. They were asked if their training course comprised a Global Health Course that included the topic of health protection and social and health care for migrant populations and the 65.4% of them answered "No" or "Do not Know." GP trainees were also asked if they considered useful to include a Global Health Course dedicated to the management of patients with a migratory background within the training course in general medicine. Of the total 192 participants, 81.9% answered "Yes." Overall, in a simple regression model, the perception of having addressed migrants' health needs is positively correlated with having attended a Global Health Course (OR = 3.34 95%CI 1.2-9.1; p = 0.018). This study identified educational priorities for the implementation of the Standards in Sicily for doctors attending the Medical Training Course for General Practitioners. We hope that the results of this study will guide and inform possible future projects to implement the Standards at a national level.

Knowledge and practice of health workers on sexual and reproductive health and rights and gender-based violence: Evidence from three municipalities in Senegal.

Adolescents in low- and middle-income countries face numerous developmental, sexual and reproductive health (SRHR) challenges, including exposure to multidimensional violence. Dealing with gender-based violence (GBV) is of great importance and health personnel are key players. The objective of this work was to study the knowledge and practices of health personnel on SRHR and gender-based violence in Guédiawaye, Kaolack and Kolda communities in Senegal. A descriptive and analytical cross-sectional study was conducted, which consisted of health professionals (general practitioners and specialists, nurses, and midwives) and community health workers (community relays, bajenu gox, matrons). All health facilities in the three communities were included. Data analysis consisted of univariate analysis and logistic regression modeling to investigate the factors associated with the knowledge and practice of health personnels. An alpha risk of 5% was taken. A total of 78 health professionals and 128 community actors were included in the study. More than half of the health personnel (56.3%) had good knowledge of policies, standards and protocols relating to sexual and reproductive health services for women (adolescents) and about 60% on conventions and laws. The level of knowledge was good among 51% of respondents and good practices among 54.9%. The factors associated with good knowledge were the municipality in which the profession was practiced, and the effects of training received in the social construction of gender. The factors associated with the practices were knowledge of policies, standards and protocols through training, training received in the provision of family planning services, and in medico-psychosocial management of cases of sexual violence. We conclude that the knowledge of stakeholders (health professionals and community health workers) about sexual and reproductive health and gender-based violence is important for better service provision and good management of cases of gender based violence.

Knowledge, Attitudes and Practices of Health Workers and Caregivers Towards Retinopathy of Prematurity in Uganda: A Mixed‐Methods Study

ABSTRACTIntroductionRetinopathy of prematurity (ROP) is a significant global issue and a leading cause of preventable childhood blindness. Early screening and timely management of preterm babies at risk are crucial. To effectively implement this strategy, it is essential that caregivers and health workers are well‐informed about ROP. This study plays a vital role in assessing the knowledge, attitudes and practices of caregivers and healthcare workers towards ROP in Uganda, providing valuable insights into the current understanding and approach towards this condition.MethodWe conducted a sequential explanatory mixed‐methods study, involving 214 participants. This group included 12 paediatricians, 56 neonatal nurses and 146 caregivers, all of whom play crucial roles in the healthcare system. The study was conducted at two tertiary hospital neonatal clinics in Uganda. A researcher‐administered structured questionnaire was used to collect the data on the participants’ knowledge, attitudes and practices. Descriptive statistics were used to describe variables, while qualitative data were analysed using thematic content analysis.ResultsWe recruited 146 caregivers with a mean age of 29.4 (±standard deviation 6.5) years, 12 paediatricians with a median age of 37 years (IQR: 36–41) and 56 nurses with a median age of 35 years (30–42). The median working duration of health workers at the neonatal unit was 3 (IQR: 1.8–4.2) years. Thirty‐two (21.92%) caregivers and 28 (49.12%) health workers had good knowledge about ROP, whereas 9 nurses and 2 paediatricians did not know about ROP. Barriers to ROP screening included limited resources (equipment, time and skilled personnel) and limited parental involvement. Enhancing collaboration among medical care teams has the potential to improve ROP screening.ConclusionInsufficient knowledge about ROP among caregivers calls for increased efforts to educate and sensitise them about ROP and its risk factors.

Knowledge, behaviours, practices, and expectations regarding climate change and environmental sustainability among health workers in France: a multicentre, cross-sectional study

Faced with climate change, hospitals are confronted with a dual challenge. On one hand, they need to embark on a far-reaching ecological transformation to reduce their contribution to greenhouse gas emissions and other environmental impacts; on the other hand, they need to limit the effects of climate change on their activities. We aimed to evaluate the knowledge, behaviours, practices, and expectations of health workers in French hospitals regarding climate change and environmental sustainability. This multicentre, cross-sectional study was carried out in six French hospitals from June 1, 2021 to Dec 31, 2022. All health workers at the hospitals were eligible to participate and were recruited through internal publicity. We designed a structured questionnaire consisting of five parts: participant characteristics, knowledge and perceptions of climate change, pro-environmental behaviours, practices concerning environmental sustainability actions, and expectations. A multilevel logistic regression model was used to evaluate associations between the knowledge, behaviours, and practices of health workers and the characteristics of the health workers and hospitals. Of 57 034 health workers across the six hospitals, 4552 (8·0%) participated in the study. Of those for whom gender data were available, 3518 (78·2%) participants were women and 979 (21·8%) were men. Participants considered energy consumption (71·0%) and waste and discharges related to medical activities (55·6%) and non-medical activities (50·2%) to be the three activities with the greatest environmental impact. On a scale of 1 (not a priority) to 10 (high priority), the median rating attributed by the participants to the commitment of their hospitals to ecological transformation was 5·0 (IQR 3·0-6·0). 1079 (23·7%) of 4552 participants had already initiated at least one environmental sustainability action in their hospital. Barriers reported by participants to the implementation of environmental sustainability-related projects were the lack of dedicated time (40·4%), hierarchical support (32·5%), methodological support (28·9%), and access to training (23·7%). The presence of a sustainable development steering committee, especially one with more than 5 years of activity, was positively associated with health workers feeling better informed about the ecological transformation of their hospital (adjusted odds ratio 1·78 [95% CI 1·29-2·45]), having better knowledge of the environmental impacts of their hospital (1·83 [1·32-2·53]), and initiating a larger number of environmental sustainability actions (1·74 [1·33-2·29]). We showed that health workers in French hospitals seem to be committed to the ecological transformation of their workplaces, and identified some drivers and barriers to further support these essential transformations. There is an urgent need to bolster training for all health workers, enhance structural frameworks within hospitals, and encourage future interdisciplinary research on the vulnerability of health-care facilities to climate change. The University Hospital of Poitiers.

The Translation of Recovery-Oriented Social Work Practice in Child and Youth Mental Health: A Scoping Review

Abstract Recovery-oriented practice has become taken for granted and seen as the most ideal way of working for social workers alongside other allied health practitioners in the mental health field. Recovery-oriented practice is defined as a person-centred and strengths-based approach, providing interventions, as well as facilitating environmental and multidisciplinary resources to support the individual’s independence. The applicability of recovery in a child and youth mental health (CYMH) context, however, continues to be questioned. Although some research has explored what recovery means for young people, there is scant literature that examines how recovery-oriented practice is enacted when working with children and their families. This scoping review, guided by the Arksey and O’Malley’s framework explores how recovery is conceptualised and translated into practice with children aged two to twelve years who have identified ‘mental health concerns’ and their families. Qualitative and grey literature from the last twenty years was thematically analysed. The findings highlight the primacy placed on global recovery-oriented principles and expose the superficial articulation of the application of recovery-oriented practice with children. Findings underscore the need to critically investigate how social workers enact recovery approaches when working in a clinical CYMH setting, dominated by the medical model which prioritises evidence-based intervention and marginalises children’s knowledge.

Knowledge and practice of health workers towards maternal and child health in the Democratic Republic of the Congo: a cross-sectional study

BackgroundThe burden of maternal and child mortality is high in the Democratic Republic of the Congo (DRC). While health workers (HWs) with adequate knowledge and practice of maternal and child health (MCH) are crucial to reduce this burden, the skill level of HWs in charge of MCH in the DRC is currently insufficient. This study aimed to assess the knowledge and practice of HWs towards MCH in Kasai and Maniema, two DRC provinces with very high maternal mortality ratios and under-5 mortality rates.MethodsThis cross-sectional study was conducted in 96 health facilities of Kasai and Maniema provinces in 2019. All HWs in charge of MCH were eligible for the study. Data were collected using a structured questionnaire containing 76 questions on knowledge and practice of MCH. Analyses were performed using the Wilcoxon-Mann-Whitney test, Kendall’s correlation test, and a multivariate linear mixed regression model.ResultsAmong participating HWs, 42.6% were A2 nurses (lowest qualification), 81.9% had no up-to-date training in MCH, and 48.4% had only 1-5 years of experience in MCH. In the two provinces combined, about half of HWs had poor knowledge (50.6%) and poor practice (53.3%) of MCH. Knowledge and practice scores were higher in Maniema than in Kasai (P < 0.001). Good knowledge and practice scores were significantly associated with high qualification (P = 0.001), continuing up-to-date training in MCH (P = 0.009), and 6 years of experience or more in MCH (P = 0.01).ConclusionIn Maniema and Kasai provinces, about half of HWs had poor knowledge and poor practice of MCH. The conversion of A1 nurses into midwives as well as the provision of up-to-date training in MCH, supervision, and mentorship could improve the skill level of HWs and could thus reduce the burden of MCH in the DRC.

Hospital social workers and mental health: essential roles during the COVID-19 pandemic

ABSTRACT Hospital social workers play a critical role during public health emergencies such as the COVID-19 pandemic. This study examined how hospital social workers describe essential roles and responsibilities in mental health care. In response to an exploratory survey, 97% of participants (N = 225) stated that hospital social workers provide essential services and using inductive content analysis, five essential responsibilities of social work practice emerged: (1) counseling, intervention, and support, (2) suicide and crisis intervention, (3) support for families, (4) clinical case management, and (5) interprofessional collaboration and support. We discuss implications for social work practice in mental health.

ANALISIS DENGAN METODE ETHNONURSING LEININGER PREVALENSI KUSTA: SOSIAL, BUDAYA DAN PERAN TENAGA KESEHATAN

Leprosy has not been eliminated in six provinces in Indonesia, one of which is Papua. Mappi Regency, Papua, contributed one thousand cases of leprosy in the last five years and 100 active cases in 2020. The high leprosy prevalence in Mappi Regency is still a mystery of the main cause. It is necessary to explore the causes of the high prevalence of leprosy in the region. The study aimed to explore socio-cultural factors and the role of health workers on the prevalence of leprosy in Mappi Regency, Papua, Indonesia. The study method was Qualitative ethnonursing by purposive sampling. This research was conducted in Mappi Regency. Data saturation was obtained from fourteen informants: four leprosy patients, four leprosy patients' families, three health workers, and three stakeholders in Primary Health Center Kepi, Kota 2, Senggo, and Health Office Mappi. Data retrieval and processing with Leininger's Ethnonursing analysis was assisted by Atlas.ti application. The study result showed there were seven emerging themes, including social and cultural: leprosy is considered like a common disease, changes in economic situation, affordability and geographical conditions, leprosy care by patients, families, and communities, suboptimal practices of health workers, limited role of government, budget, and logistics, and expectations for handling leprosy cases. The study concluded that social and cultural factors and the role of health workers contribute to the prevalence of leprosy in Mappi District, Papua, Indonesia. Strengthening the role of families, communities, health workers, and government policies is needed to support the recovery of leprosy patients and reduce the prevalence of leprosy.

Implementation of The Integrated Development Post for Non-Communicable Diseases

Introduction: Non-communicable diseases (NCDs/PTM) are the cause of morbidity, disability and death worldwide. NCDs are like stroke, hypertension and diabetes mellitus. NCDs can be prevented and controlled. Therefore, the government created a program to overcome this problem. The program is called Posbindu PTM. Posbindu PTM is a community service as an effort to detect early NCDs as well as follow-up efforts if NCDs are found in community groups. There are many studies on Posbindu PTM. However, there is no research that explains the partnerships carried out in the Posbindu PTM program. Therefore, researchers are interested in examining the phenomenon of Posbindu partnerships in Puskesmas of Mojotengah Work Area, Wonosobo. Objectives: This study is to describe the implementation of Posbindu PTM partnerships in the working area of ​​Mojotengah Puskesmas, Wonosobo. Methods: This research is a descriptive research. In detail, this research used a qualitative descriptive approach. Data were collected by conducting semi-structured interviews. The saturation in this study was obtained from ten participants. Furthermore, researchers in analyzing data used content analysis. Results: Researchers revealed five themes in this study. The five themes include cooperation before the implementation of Posbindu, cooperation in Posbindu activities, the lack of knowledge and skill development activities for cadres, double cadres and support facilities.&#x0D; Conclussion: The partnership between health cadres is very important. In addition, partnerships also function to support the continuity and smooth implementation of NCDs Posbindu activities in the region. Cooperation with private parties such as clinics, independent practice of health workers, companies or factories has not been implemented.

Book Review: Social Work Practice in Health: An Introduction to Contexts, Theories and Skills

Book Review: Social Work Practice in Health: An Introduction to Contexts, Theories and Skills

HIV viral load measurement: knowledge, attitudes and practices of health workers, Burkina Faso

Approximately a quarter of people living with HIV (PLHIV) had their plasma viral load (PVL) measured in 2020 in Burkina Faso. The purpose of this study was to assess the knowledge, attitudes, and practices (KAP) of health workers regarding HIV PVL measurement. A cross-sectional study was conducted among health workers involved in the care of PLHIV in the 13 regions of Burkina Faso in 2021. Scores were constructed to assess their KAP on PVL measurement. Factors associated with knowledge and practices were identified by logistic regression. A total of 255 health workers were surveyed. The majority had good knowledge (73%) and favorable attitudes (93%). However, 40% had inadequate practices. Taking into account the availability of a laboratory to carry out PVL tests within the health center, having a coordinating role increased the likelihood of having good knowledge, while not having a medical qualification reduced this likelihood. Good practices were more common among health workers working at the second level of the health pyramid. Interventions to increase the demand for a measurement of PVL are essential to improve the care of PLHIV. For example, future investigations could explore the role of mediators in increasing the demand for PVL among PLHIV and their caregivers.

Comparative Studies on Knowledge, Attitude and Practice of Health Workers towards Medical Waste Management in Two Developed Regions of the World

Background: Worldwide, healthcare waste still remains a challenge to public health and potential source of hazard to biosphere. Assessment of knowledge, attitude and practice (KAP) of healthcare workers towards healthcare waste management was carried out in Sweden and Hungary for comparative analysis.&#x0D; Methods: Data was collected using a pretested questionnaire and analyzed using spss version 20.0. Total Sample size of 210 was used for the study; comprising of 105 from each area.&#x0D; Results: In Hungary, 11(10.5%) were male while 94(89.5%) were female. While Sweden comprised of 28(26.7%) male and 77(73.3%) female. In Sweden frequencies of 5.7%, 56.2%, 22.9%, 3.8%, 6.7% and 4.8% were recorded for age groups of &lt;20 years, 20-30years, 31-40years, 41-50years,51-60years and ≥61years respectively. While amongst the Hungarian respondents, the respective age groups yielded frequencies of 1.0%, 18.1%, 21.0%, 36.2%, 17.1% and 6.7% respectively(p&lt;0.05).More Doctors(63.8%) and Nurses(63.8%) in Hungary participated in the study than in Sweden(Doctors=15.2%;.Nurses=15.2%). The proportion of medical students was highest (32.4%) in Sweden than in Hungary (7.6%). According to educational qualifications, respondents with Bachelors degree occurred most in equal proportion (50.5%) in the two study areas. While those with doctorate degree recorded highest frequency of 11.4% in Sweden and least (1.0)% in Hungary. Respondents with masters degree occurred with frequencies of 27.6% and 21.0% in Hungary Sweden respectively. Result of respondents’ knowledge on healthcare waste shows that in Hungary, 81% of the respondents affirmed they are aware of waste management guidelines used in their hospital while in Sweden the proportion was 51.4%. Conversely, 19.0% of respondents from Hungary said they are not aware while in Sweden it was 26.7% and the remaining proportion (21.9%) said they don’t have idea. Where waste disposal guidelines exist, only 43.8% of Swedish respondents said they are aware of the contents while in Hungary, the proportion is high (81.0%). Those that responded “no” to the question;-meaning they are not aware of such guidelines occurred most (37.1%) in Sweden than in hungary(11.4%), though the proportion that said they don’t have idea is low in Hungary(7.6%) than in Sweden(19.0%) (P&lt;0.05).Also from the result, few proportion (19.0% in Hungary; 24.8% in Sweden) of the respondents believed that disposal of hazardous waste is extra burden to them. While most of the respondents (76.2% in Hungary; 48.6% in Sweden) said “no” to the question;- meaning that disposal of hazardous waste is not extra burden to them. More (68.6%) of the respondents from Hungary said they have been educated/trained on waste handling than the Swedish respondents where 54.3% had education/training on waste handling. The proportion that was not trained was high in Sweden (41.9%) than Hungary (31.4%). However, knowledge and attitude on healthcare waste management yielded high percentage rating scores for Hungarian respondents than those of Sweden. On the contrary, Swedish respondents demonstrated more practice than Hungarian counterparts in the area of HBV vaccination (Sweden=90.5%; Hungary=6.7%), use of personal protective equipment (Sweden=93.3%; Hungary=91.4%), change of personal protective equipment (Sweden=52.4%; Hungary=19.0%).&#x0D; Conclusion: Good knowledge and attitude was noted in the two areas but more in Hungary while Practice was mostly demonstrated in Sweden. This stands as a useful tool to relevant stakeholders in health sectors in the two areas.

Relationship between Knowledge, Attitude and Practice of the Use of Face Mask with Acne among Health Workers at General Hospitals in Mataram City, West Nusa Tenggara, Indonesia

Background: The World Health Organization (WHO) has declared the coronavirus a global emergency transmitted by droplets. Personal protective equipment (PPE) such as masks can help lower the viral infection risk. However, prolonged use of PPE can cause skin lesions and aggravate acne. Acne that develops because of the usage of masks is called mask acne (maskne). Knowledge, attitudes, and practices of health workers regarding the use of face masks can help minimize the occurrence of maskne. This study aimed to assess the relationship between knowledge, attitude ,and practices of the use of face masks with mask acne among health workers in general hospitals in Mataram City, Indonesia.Methods: This study was a cross-sectional analytic observational study involving health workers from type b and c general hospitals in the city of Mataram, specifically the West Nusa Tenggara Provincial Hospital and the Mataram University Hospital. Primary data were collected using a questionnaire consisting of demographic characteristics, knowledge, attitude, and practice of using masks, then analyzed using Lambda test.Results: In total, 104 respondents were included, of whom 39.4% (n=41) had good knowledge, 35.6% (n=37) had a good attitude towards the use of masks, and 25.0% (n=26) had good practice. Interestingly, 42.3% (n=44) had experienced maskne. Lambda test showed that a relationship between knowledge, attitude, and practices towards the usage of masks and the incidence of maskne (p = 0.014; p = 0.000; p = 0.006).Conclusion: There is a relationship between knowledge, attitudes, and practice of health workers regarding the usage of masks with the prevalence of mask acne at the general hospitals type b and c in the Mataram City. This study implies is that health workers can prevent the occurrence of mask acne, which can make the work of health workers more difficult.

THE STATUS AND SOME FACTORS RELATED TO SAFE IMMUNIZATION PRACTICE AT COMMUNAL-WARD ADMINISTRATIVE UNITS IN PHU YEN PROVINCE IN 2022

Vaccines are preparations containing antigens that are introduced into the body to create an immune response. Therefore, the review of safe vaccination practice (TCAT) in immunization sessions at commune and ward health stations and some related factors is a very necessary and urgent issue to improve the quality of vaccination. Cross-sectional descriptive study design at 20 health stations of Phu Yen province. Results: 100% of health stations meet TCAT requirements during vaccination sessions ; 85.1% of children were trained in the satisfactory injection procedure, the reception and screening procedures and the post-injection follow-up met the requirements of 82.9% and 83.4%, respectively. There are 73.1% of children who have successfully practiced the pre-vaccination counseling process. The analysis results show that a number of factors are related to TCAT implementation, such as staff in charge of the expanded immunization program, medical qualifications, and doctors' qualifications . Besides, injection team with satisfactory general knowledge performed TCAT better than injection team with unsatisfactory general knowledge. Therefore, strengthen supervision and professional training related to vaccination practices of health workers.

Knowledge and Practices of Health Workers on Prevention of Puerperal Sepsis among Mothers at Fort Portal Regional Referral Hospital

Puerperal sepsis encompasses infections after birth usually in the first 42 days following the postpartum period and is the major cause of maternal morbidity and rendered the major cause of death worldwide. Globally, puerperal sepsis is estimated to account for 15% of the 500,000 maternal deaths annually. It is the third most common cause of maternal deaths worldwide. The purpose of the study was to assess the Knowledge and Practices of health workers on the prevention of puerperal sepsis among mothers at Fort Portal Regional Referral Hospital, Fort Portal City. The study was a cross-sectional descriptive study design that used quantitative methods. A consecutive sampling method was used to select respondents. The sample size was 96 but 81 respondents were interviewed using self-administered questionnaires, where data was coded, entered using SPPS 20.1 and presented in tables, graphs and pie charts. The results showed that health workers had inadequate knowledge of puerperal sepsis where 30(45.5%) correctly described puerperal sepsis. 31(38.3%) and 29(35.8%) reported repeated vaginal exams and caesarean section as risk factors for puerperal sepsis, respectively. Practices of health workers to prevent puerperal sepsis are hand washing 45(55.5%), wearing gloves 81(100%), screening for risk factors 76(93.6%) and use of prophylactic antibiotics. In conclusion, health workers have inadequate knowledge of puerperal sepsis prevention and good practices on puerperal sepsis prevention. And the researcher recommends that all health workers in the maternity ward should undergo special training on puerperal sepsis prevention methods and more research to evaluate the techniques of the practices applied and their association with the prevention of puerperal sepsis be conducted. Keywords: Puerperal sepsis, Infections after birth, Postpartum period, health workers, Caesarean section.

Knowledge, attitudes, and practices of healthcare workers regarding human immunodeficiency virus index testing in 2021, Burkina Faso.

Although knowing one's HIV status is a necessary step in initiating antiretroviral treatment, more than a quarter of Burkinabe who are HIV-positive do not know their status. To reach the target of screening at least 95% of people living with HIV (PLHIV), the country has opted for HIV index testing (screening of sexual partners, children and partners of intravenous drug users). This study assessed the knowledge, attitudes and practices of health workers on HIV index testing. A cross-sectional study was conducted among health workers on index testing pilot sites in Burkina Faso. We constructed scores of health workers' knowledge, attitudes and practices regarding HIV index testing. A total of 132 health workers were surveyed, 62.8% of whom were female. Regarding profiles, 44.7% of the participants were nurses and 5.3% were midwives; physicians and psychosocial counselors accounted for 16.7 and 33.3%, respectively. Most of the participants worked in public health centers (60.6%). Overall, the majority of the participants had poor or average knowledge (85.6%) of the index testing strategy and harmful or inadequate practices (87.1%). Less than half (40.9%) had favorable attitudes toward the strategy. Our study showed that the knowledge of health workers was generally average, their attitudes were not very favorable and their practices were mostly inadequate with regard to HIV index testing. In order to increase the chances of reaching the first 95% of UNAIDS, trainings on the topic must be designed for health workers.

PREGNANCY COMPLICATIONS AND WHERE TO SEEK HELP: DO PREGNANT WOMEN CHOOSE PRECISELY?

Background: Untreated pregnancy complication can be at risk of maternal and fetal death.&#x0D; Objective: This study identifies types of pregnancy complication and health seeking behavior of pregnant women when experienced pregnancy complication, as well as the compliance of health facilities with ANC Minimum Service Standards (ANC-MSS).&#x0D; Method: Used cross-sectional design following the 2018 Basic Health Research (Riskesdas). The unit of analysis was female household members aged 10-54 years with married/divorced/widow status, had been pregnant, and had a pregnancy check-up, as many as 75,155 people. Caused a pregnant woman can choose more than one type of pregnancy complication experienced, so that the data are analyzed descriptively. &#x0D; Result: Abnormal bleeding, preterm premature rupture of membranes, decreased fetal movement, and hypertension are the pregnant women determined to seek help from health worker. Swollen legs, anemia, palpitations, and chest pain are not important indicators to seek help. The private practice of health workers and ”Puskesmas and its network” are type of health facility mostly used, although experienced serious complication. Generally, pregnant women are under proper treatment whose compliance with the implementation of most aspects of ANC-MSS.&#x0D; Conclusion: Recommended to develop the health workers competence, supported by complete facilities at The Primary Health Care (PHC) whose easily accessible.

Experiences of peer counsellors in supporting exclusive breastfeeding in southern India: An exploratory qualitative study.

Peer counsellors are effective in addressing a variety of health challenges, including exclusive breastfeeding (EBF). Providing education and support from a person of similar background and experience has been an important adjunct to the practice of health workers for the past 50 years. It is an exploratory qualitative study. Twenty-two peer counsellors. In-depth Interview in the community. To better understand the experiences of these important health workers, we conducted qualitative interviews with 22 peer counsellors who participated in a research study in Belagavi District, Karnataka, India. Transcripts of the interviews were organised and assigned codes by the research team. Experience of Peer counsellor's role in the community to improve breastfeeding practices. Peer counsellors had a good understanding of the larger study and of their role. Analysis of the transcripts identified three themes: personal satisfaction; the effect on the larger circle of family and community; and ideas for future programming. The positive experiences and the ability of peers to be trained in counselling women around EBF support their use in breastfeeding support and other areas of health education. The women from the community who served as peer counsellors were enthusiastic and satisfied about their work, which provided them with opportunities to do meaningful community work outside of their household routines. Use of the peer counsellor model to deliver a specific objective like improvement in EBF rates, immunisation or mental health in integration with healthcare providers can help in achieving desired goals.

Timeliness and missed opportunities for vaccination among children aged 0 to 23 months in Dschang health district, West region, Cameroon: A cross-sectional survey.

Missed opportunities for vaccination (MOV) reflect quality of immunization service. The objective of this study was to assess vaccination timeliness, prevalence, and characteristics of MOVs among children aged 0-23 months, as well as knowledge, attitude and practice of health workers towards immunization. An exit interview method was used to select caregivers and health personnel. Selection took place in 26 health facilities within 14 health areas in the Dshcang Health district. Data were collected using two face-to-face questionnaires adapted from the World Health Organization (WHO) tools. We conducted an evaluation of all free vaccines in the Expanded Programme on Immunisation (EPI). We studied timeliness, assessed MOV, and knowledge, behaviour and attitude of health workers on immunization. Basic statistical tests were used to study the association between MOV and socio demographic characteristics. A total of 363 children aged 0 to 23 months were surveyed. A total of 88 (91.66%) of health personnel agreed to participate in our study. A total of 298 (82.1%) children had vaccination cards with dates, leading to 18% not completely vaccinated. Vaccination timeliness ranged from 20% to 77%. Overall MOV estimated was 23.83%, range from 0% to 16.4% among all vaccines. Among health workers, 70.45% (62/88) had insufficient knowledge on vaccination, 73.86% assessed the vaccination status of children during any routine visit and 74% ask parents to bring the child's vaccination record to any health facility visit. The study highlighted presence of MOV among children. Strategies for remedying this includes strengthening parents' knowledge, organizing refresher courses for health workers on vaccination, and systematically assessing children's vaccination status.

Book Review: Social work practice in health: An Introduction to contexts, theories, and skills by Melissa Petrakis

Book Review: <i>Social work practice in health: An Introduction to contexts, theories, and skills</i> by Melissa Petrakis