scholarly journals Analysis of implementation of the COVID-19 vaccination program for midwives in Banyumas regency in 2021

2021 ◽  
pp. 11-18
Author(s):  
Ika Pantiawati ◽  
Widya Ratna Wulan ◽  
Edi Jaya Kusuma ◽  
Evina Widianawati ◽  
Slamet Isworo
Keyword(s):  
Qualitative Research ◽  
Human Resources ◽  
Health System ◽  
Health Workers ◽  
Vaccination Program ◽  
Implementation Model ◽  
Resource Factor

The COVID-19 pandemic has paralyzed the health system, including the puskesmas, so concrete steps are needed for prevention, one of which is through vaccination. The COVID-19 vaccination is a program that is carried out in stages with health workers being the priority target. Banyumas Regency is an area in Jawa Tengah Province that has been affected by COVID-19 with four puskesmas closing their services due to the large number of health workers with COVID-19. Vaccine quotas in Banyumas Regency are often short, thus affecting the implementation of the vaccination program. The implementation model shows that there are four variables that play a role in the success of the program, namely communication, resources, disposition, and bureaucracy. The aim of this research is to analyze the implementation of the COVID19 vaccination program at the puskesmas in the working area of the Dinas Kesehatan Kabupaten Banyumas. This research is a qualitative research with the main informants were from the four puskesmas with the most affected by COVID-19 and the puskesmas with the highest number of midwives, and with triangulation informants were the vaccination program’s coordinator at the puskesmas, the head of the puskesmas and the vaccination program’s coordinator at the Dinas Kesehatan Kabupaten Banyumas. The results obtained were on the communication factor, the main informant received information from the health office. On the resource factor, the main informants felt that the human resources involved were sufficient, competent, and involved cross-sectoral collaboration, and always complied with SOPs. On the disposition factor, both main and triangulation informants agreed on the COVID-19 vaccination program for midwives despite the obstacles. Meanwhile, due to the bureaucratic factor, the main informant stated that the SOPs was complete and had been implemented accordingly.

scholarly journals Implementation of an Effective Strategy for the Development of Human Capital as a Basis for Strengthening the National Health System

2020 ◽  
Vol 3 (38) ◽  
pp. 4-9
Author(s):  
Kanat Tossekbaev ◽  
◽  
Timur Sultangaziyev ◽  
Keyword(s):  
Human Capital ◽  
Human Resources ◽  
Health System ◽  
National Health ◽  
Health Workers ◽  
Human Resources For Health ◽  
Human Resources Management ◽  
National Health System ◽  
Social Recognition ◽  
Effective Strategy

Abstract One of the most important components of strengthening the national health system is the introduction of an effective strategy for the development of human capital in the industry based on improving the status of health workers, changing the sectoral system of qualifications and their confirmation, changing approaches to the health education system, as well as improving the system of state planning for training health workers. The implementation of these measures will ensure an increase in the efficiency of human resources management in the industry, ensuring the provision of quality healthcare services. At the same time, the new sectoral policy of human resource management should be based on such principles as the availability of the necessary human resources, the proper competence of employees, integrated development of human resources, responsiveness of human resources to the needs of the population, continuous professional development, productivity of human resources, and social recognition. Key words: human resources for health, training of health workers, status of health workers

Senegal Health System Analysis and Its Implications to Global Health Cooperation

2021 ◽  
Author(s):  
Yue Zhang ◽  
Jingyi Chen ◽  
Chunfeng Zhang ◽  
Lucy Chen
Keyword(s):  
Global Health ◽  
Human Resources ◽  
Health System ◽  
International Development ◽  
Population Health ◽  
Urban Areas ◽  
System Analysis ◽  
Health Workers ◽  
Health Human Resources ◽  
Health Cooperation

Abstract As an active participant of global health cooperation in west Africa, the Republic of Senegal is one of the major recipients of international development assistance. Yet, funding and actions from different donors and implementing organizations are fragmented, which is one of the reasons that Senegal is failing to outstand its health performance disproportionally. This report provides an overview of Senegal’s population health status and health system performance and pinpoint areas that should be prioritized for focused global health assistance. Undernutrition and neonatal disorders were found to have posed the highest and most urgent risks on the public health of Senegal. This is intensified by the severe shortage of health human resources, vast disparity of resources between rural and urban areas, and unsatisfactory health financing mechanism. Based on the situation analysis of Senegal’s population health and health system, this report recommends (1) the Senegal MSAS to take the lead of integrating and coordinating public, private, and international health programs to reduce fragmentation with a focus on financing rural health human resources; (2) to research the root causes of undernutrition and neonatal disorders in Senegal and construct nutrition and maternal health interventions based on evidence generated; and (3) to conduct continued training of doctors, nurses, midwives, community health workers with strong focus in Kedougou and Kolda.

scholarly journals Health system gaps in cardiovascular disease prevention and management in Nepal

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Archana Shrestha ◽  
Rashmi Maharjan ◽  
Biraj Man Karmacharya ◽  
Swornim Bajracharya ◽  
Niharika Jha ◽  
...  
Keyword(s):  
Human Resources ◽  
Health System ◽  
Health Systems ◽  
National Health ◽  
Task Force ◽  
Health Spending ◽  
Building Blocks ◽  
Critical System ◽  
Government Organizations ◽  
The Government

Abstract Background Cardiovascular diseases (CVDs) are the leading cause of deaths and disability in Nepal. Health systems can improve CVD health outcomes even in resource-limited settings by directing efforts to meet critical system gaps. This study aimed to identify Nepal’s health systems gaps to prevent and manage CVDs. Methods We formed a task force composed of the government and non-government representatives and assessed health system performance across six building blocks: governance, service delivery, human resources, medical products, information system, and financing in terms of equity, access, coverage, efficiency, quality, safety and sustainability. We reviewed 125 national health policies, plans, strategies, guidelines, reports and websites and conducted 52 key informant interviews. We grouped notes from desk review and transcripts’ codes into equity, access, coverage, efficiency, quality, safety and sustainability of the health system. Results National health insurance covers less than 10% of the population; and more than 50% of the health spending is out of pocket. The efficiency of CVDs prevention and management programs in Nepal is affected by the shortage of human resources, weak monitoring and supervision, and inadequate engagement of stakeholders. There are policies and strategies in place to ensure quality of care, however their implementation and supervision is weak. The total budget on health has been increasing over the past five years. However, the funding on CVDs is negligible. Conclusion Governments at the federal, provincial and local levels should prioritize CVDs care and partner with non-government organizations to improve preventive and curative CVDs services.

scholarly journals Who could be One Health Activist at the community level?: A case for India

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Sandul Yasobant ◽  
Walter Bruchhausen ◽  
Deepak Saxena ◽  
Farjana Zakir Memon ◽  
Timo Falkenberg
Keyword(s):  
Health System ◽  
Work Experience ◽  
Financial Incentives ◽  
One Health ◽  
Health Workers ◽  
Structured Interview ◽  
Communicable Diseases ◽  
Community Level ◽  
System Level

Abstract Background Community health workers (CHWs) are the mainstay of the public health system, serving for decades in low-resource countries. Their multi-dimensional work in various health care services, including the prevention of communicable diseases and health promotion of non-communicable diseases, makes CHWs, the frontline workers in their respective communities in India. As India is heading towards the development of One Health (OH), this study attempted to provide an insight into potential OH activists (OHA) at the community level. Thus, this case study in one of India’s western cities, Ahmedabad, targeted identifying OHA by exploring the feasibility and the motivation of CHWs in a local setting. Methods This case study explores two major CHWs, i.e., female (Accredited Social Health Activists/ASHA) health workers (FHWs) and male (multipurpose) health workers (MHWs), on their experience and motivation for becoming an OHA. The data were collected between September 2018 and August 2019 through a mixed design, i.e., quantitative data (cross-sectional structured questionnaire) followed by qualitative data (focus group discussion with a semi-structured interview guide). Results The motivation of the CHWs for liaisoning as OHA was found to be low; however, the FHWs have a higher mean motivation score [40 (36–43)] as compared to MHWs [37 (35–40)] out of a maximum score of 92. Although most CHWs have received zoonoses training or contributed to zoonoses prevention campaigns, their awareness level was found to be different among male and female health workers. Comparing the female and male health workers to act as OHA, higher motivational score, multidisciplinary collaborative work experience, and way for incentive generation documented among the female health workers. Conclusion ASHAs were willing to accept the additional new liaison role of OHAs if measures like financial incentives and improved recognition are provided. Although this study documented various systemic factors at the individual, community, and health system level, which might, directly and indirectly, impact the acceptance level to act as OHA, they need to be accounted for in the policy regime.

scholarly journals Understanding Deep, Socially Embedded Human Motivations and Aspirations for Work From Whole Person and Interdisciplinary Perspectives

2016 ◽  
Vol 9 (4) ◽  
pp. 735-739 ◽  
Author(s):  
Teresa J. Rothausen
Keyword(s):  
Qualitative Research ◽  
Human Resources ◽  
Organizational Behavior ◽  
Industrial Relations ◽  
Field Of Study ◽  
Qualitative Researcher ◽  
Industrial Organizational Psychology ◽  
Whole Person ◽  
Business And Management ◽  
Potential Use

As someone trained exclusively as a quantitative researcher, who recently became a semi-autodidactic qualitative researcher (see Rothausen, Henderson, Arnold, & Malshe, in press; “semi” in part because I am still learning and in part because my coauthors have taught me), I would like to extend the argument made by Pratt and Bonaccio (2016) for increasing qualitative research in the domains of industrial–organizational psychology (IOP), organizational behavior (OB), and human resources (HR), and I would also add industrial relations (IR), which was my doctoral field of study and “where workers went” within business and management studies as HR became more aligned with organizational interests (see Lefkowitz, 2016, from this journal). I extend their argument by deepening one of their reasons, understanding the “why” of work, and adding another potential use, understanding the “what could be” of work.

scholarly journals Conflict affected, parallel health systems: challenges to collaboration between ethnic and government health systems in Kayin State, Myanmar

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Colette Pang Biesty ◽  
Aung Ja Brang ◽  
Barry Munslow
Keyword(s):  
Health System ◽  
Health Systems ◽  
Health Workers ◽  
Health Providers ◽  
Peace Accord ◽  
Government Health ◽  
Peace Processes ◽  
Post Conflict ◽  
Observation Methods ◽  
Minority Ethnic Groups

Abstract Background Myanmar has had a long history of civil wars with its minority ethnic groups and is yet to see a sustainable peace accord. The conflicts have had a significant impact on health in Myanmar, with ethnic populations experiencing inequitable health outcomes. Consequently, to meet the health needs of ethnic people, Ethnic Health Organisations and Community-Based Health Organisations (EHO/CBHOs) created their own health system. The EHO/CBHO and Government health systems, provided by the Myanmar Ministry of Health and Sports (MoHS), remain parallel, despite both stakeholders discussing unification of the health systems within the context of ongoing but unresolved peace processes. EHO/CBHOs discuss the ‘convergence’ of health systems, whilst the MoHS discuss the integration of health providers under their National Health Plan. Methods A qualitative study design was used to explore the challenges to collaboration between EHO/CBHOs and the MoHS in Kayin state, Myanmar. Twelve health workers from different levels of the Karen EHO/CBHO health system were interviewed. Semi-structured, in-depth interviews were digitally recorded, transcribed, and coded. Data was analysed thematically using the Framework method. Topic guides evolved in an iterative process, as themes emerged inductively from the transcripts. A literature review and observation methods were also utilised to increase validity of the data. Results The challenges to collaboration were identified in the following five themes: (1) the current situation is not ‘post conflict’ (2) a lack of trust (3) centralised nature of the MoHS (4) lack of EHO/CBHO health worker accreditation (5) the NHP is not implemented in some ethnic areas. Conclusions Ultimately, all five challenges to collaboration stem from the lack of peace in Myanmar. The health systems cannot be ‘converged or ‘integrated’ until there is a peace accord which is acceptable to all actors. EHO/CBHOs want a federal political system, where the health system is devolved, equitable and accessible to all ethnic people. External donors should understand this context and remain neutral by supporting all health actors in a conflict sensitive manner.

Interventions for Improving Health Care Workers’ Retention in Epidemics – a Scoping Review

2021 ◽  
Author(s):  
Zahra Zarei Jelyani ◽  
Sadra Valiee ◽  
Mohammad Kia ◽  
Ali jajarmizadeh ◽  
Sajad Delavari
Keyword(s):  
Health Care ◽  
Human Resources ◽  
Health System ◽  
Human Health ◽  
Scoping Review ◽  
Health Care Workers ◽  
Health Resources ◽  
The United States ◽  
Human Beings ◽  
Care Workers

Abstract Introduction: Generally, in Epidemics, such as COVID-19, health care workers (HCWs) faces many problems which lead to a shortage and weakening of human resources in the health system. Therefore, using effective strategies to retain human resources is one of the most important issues during outbreaks. This study aims to collect and classify the proposed interventions to strengthen human health resources and their sustainability during epidemics through scoping review.Methods: In this scoping review study, 2300 studies were retrieved through searching international databases –PubMed, Embase, Scopus and Web of Science. The retrieved studies were screened, and finally, 50 studies were included for analysis. The strategies were classified using inductive qualitative content analysis.Results: Most of the studies were conducted in the United States and the United Kingdom. The target population in 39 studies was all health workers; five studies were on physicians, five studies on nurses, and only one study on dentists. The proposed interventions were classified into five categories: preparation, protection, support, treatment, and feedback. Discussion: Most studies focused on providing interventions in one or two dimensions of human resources, but these interventions were summarized and categorized in this review. Therefore, this study has a holistic view of various dimensions of strengthening and maintaining human health resources during epidemics by providing a thematic map. Considering that human beings are multidimensional, policymakers and managers of the health system should use a set of interventions that simultaneously cover different aspects of their needs to strengthen and maintain HCWs.

ANALISIS PELAKSANAAN REKAM MEDIS DI RUMAH SAKIT IBU DAN ANAK (RSIA ) WIDIYANTI

2018 ◽  
Vol 11 (1) ◽  
Author(s):  
Fera Siska
Keyword(s):  
Qualitative Research ◽  
Data Analysis ◽  
Data Collection ◽  
Human Resources ◽  
Medical Record ◽  
Medical Records ◽  
Depth Information ◽  
Operational Procedure ◽  
Patient Registration ◽  
Qualitative Research Design

ABSTRACTBackground : Medical record is one of the most important pillars that can not be considered trivial in a hospital, with the development of medical scienceCommon Purpose : To find in-depth information about the implementation of medical records at the hospital Widiyanti PalembangResearch Method : Qualitative research design with data collection techniques are conducted in triangulation, The data analysis is inductive, and the results of the study are emphasized more at the meaning than the generalization. The Research Results : the Implementation of medical records have been running but there is no medical record organization, the implementation of medical record activities done by rolling. Human Resources (HR) medical records should be placed specifically in the medical record along with clear tasks. Method of organizing medical record has been run although the result is not optimal, because Standard Operational Procedure (SOP) that made not socialized. Facilities and infrastructure that support the implementation of the medical record is good, marked by the existence of a special records archive medical records. Facilities and infrastructure such as chairs, desks, computers, patient registration books and outpatient registration and inpatient services are available, do not have budget funds for medical record implementation, especially by sending medical recruiter for trainingConclusion : Implementation of medical records have been running but not optimal.

PEMILIHAN KARIR PADA PEGAWAI GENERASI MILLENIAL (STUDI KASUS : PEGAWAI PT XYZ)

2021 ◽  
Vol 8 (2) ◽  
Author(s):  
FEBRU RADHIANJAYA
Keyword(s):  
Qualitative Research ◽  
Human Resources ◽  
Career Choice ◽  
Millennial Generation ◽  
Career Selection ◽  
Interview Method ◽  
Dominating Number ◽  
Two Factors ◽  
A Company

PT XYZ is a company engaged in the field of production and services that has Human Resources spread throughout Indonesia. In this study, the object of observation is the employee in the East Java Unit which has a total of 2,300 personnel with the composition of the Millennial Generation (born 1981-1994) of 51% as the dominating number of employees in PT XYZ. The results of an interest survey conducted on 698 structural employees at the Basic Supervisor level (managerial type career) at PT XYZ East Java Unit, showed that 25% or 171 employees of the millennial generation chose functional careers (type of expertise). This phenomenon is then explored further in the research objectives, namely what factors influence career selection in millennial generation employees. This research is a qualitative research that uses the interview method. The result is that there are two factors that influence career choice, namely responsibility and type of work.   Keywords : Millenials, Careers, Qualitative

scholarly journals A job analysis of selected health workers in a district health system in KwaZulu Natal - Part two: Job analysis of nurses in primary health care settings

Curationis ◽  
2003 ◽  
Vol 26 (3) ◽  
Author(s):  
S Mbambo
Keyword(s):  
Health System ◽  
Current Practice ◽  
Health Workers ◽  
Job Analysis ◽  
District Health ◽  
District Health System ◽  
Primary Health ◽  
Kwazulu Natal ◽  
Descriptive Survey ◽  
Primary Health Care Settings

The aim of this descriptive survey was to do a job analysis of different categories of nurses in a District Health System in order to clarify job expectations, describe current practice of nurses in hospitals and clinics and to make recommendations about skills mix in district services. This article deals with the clinics only.

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