Suchergebnisse

Health services provided by local governments through puskesmas are basic needs for the community in addition to clothing, food and education. Through public health centers, the government provides health services and facilities to the community in realizing a healthy and prosperous society. One of the puskesmas that provides health services is the Rambah Samo I Health Center, Rokan Hulu Regency. Through JELITA TBC Innovation (Pick up and Serve TB Patients). The purpose of creating JELITA TBC Innovation is the low priority of TB disease prevention and making it easier for the community to get optimal health services. The purpose of this study was to determine the implementation of JELITA TBC innovation at the Rambah Samo I Health Center, Rokan Hulu Regency and identify factors that hindered the implementation of JELITA TBC innovation. This study uses the attribute theory of innovation success by Bugge in Pandi 2020, in which there are six indicators, namely: Governance and innovation, sources of ideas (source of ideas for innovation), innovation culture (innovation culture), objectives , out comes, expense and obstacles (goals, results, costs and obstacles), collecting innovation data for single innovation (collecting innovation data for single innovation). This type of research is a qualitative method with data collection techniques with interviews, observations, and documentation. The results of this study are that existing innovations have not gone well because there are still inhibiting factors in their implementation, namely the lack of socialization from the puskesmas, the lack of human resources at the puskesmas, and being constrained due to the covid-19 pandemic.

The Indian Health Service (IHS) within the Department of Health and Human Services (HHS) is the lead federal agency charged with improving the health of American Indians and Alaska Natives. It aims to do so by providing health services either directly or through contracts or compacts with Indian Tribes (ITs) and Tribal Organizations (TOs). This book provides an overview of the Indian Health Service. It also discusses the opportunities that may be available to help improve the contract health services program; the impact of the Affordable Care Act on IHS; and the Indian Health Care Improvement

"Reviewing recent healthcare policy in the NHS, this book firmly locates the NHS in the context of the welfare state. Setting health policy in both an historical and modern context (post-1997) Carrier and Kendall weigh up the successes and failures of the National Health Service in the United Kingdom and examine the conflicts which have driven the Health Service for over fifty years. After looking at recent responses to the apparent failure of healthcare in the United Kingdom, they conclude that the NHS has successfully met the challenges it faced when founded over sixty years ago and is likely to continue to meet the changing health needs of the population. This excellent book is appropriate for a wide range of undergraduate and postgraduate students studying health policy and the NHS"--

All over the world people who use mobile phones to amplify their voices have revolutionised participatory communication in mass media. The use of mobile phones as instruments for participatory communication in public service broadcasting (PSB) has been growing and gaining strength in the so-called Third World. In this article it is argued that members of audience from different parts of Tanzania use mobile phones to participate in dialogue taking place on national radio (TBC-TAIFA) and/or national television (TBC1), and share their knowledge and lived experiences with the national audience as if they lived next door to each other. Further, the findings of this study show that TBC journalists use mobile phones to interact and involve the audiences in the processes of producing programmes. Consequently, TBC communication has become less hierarchical, more two-way, horizontal, and interactive. Moreover, the study reveals that the audiences use phone-in programmes on TBC as a platform to air the voices and concerns of the grass-roots population. Thus, the use of mobile phones as tools for participatory communication via TBC sets an agenda, which helps to bring about some social changes and transformation.

In 2003, the Swedish Parliament adopted a national public health policy that included the domain - "A more health-promoting health service". Strategies and tools are needed in the work to reorient health services. Personal health documents are documents concerning a person's health, and are owned by the individual. Several studies that have evaluated such documents indicate that they could be of interest in health-promotion work. However, there is insufficient knowledge concerning personal health documents that target adolescents, and little is known about the feasibility of such documents in a Swedish cultural context. The concept of empowerment is gaining increased interest for health services, but the associations between empowerment, self-rated health and health behaviour are sparsely studied. The overall aim of the thesis is to explore a strategy - empowerment - and a tool - personal health documents - that might facilitate the work of the public health goal of a health-promoting health service. Specific aims are to examine the feasibility of using personal health documents in health promotion; to examine professionals' experiences of working with health promotion and personal health documents; to examine the association between personal health documents and self-reported health behaviour change; and to examine the perception of empowerment in relation to self-rated health and health behaviour among adolescents. Two personal health documents that targeted adults and adolescents were developed and evaluated. Distribution to adults in different settings was compared in a cross-sectional study (n = 1 306). Adolescents received the document in school, and surveys were performed at baseline and after one year (n = 339). Practical use and attitudes by document owners were studied by questionnaires. Teachers (n = 69) answered a questionnaire, and community health nurses were interviewed (n = 12). The interviews also explored nurses' experiences of working with health promotion in general, and were analysed by qualitative methodology. Adolescents' empowerment was examined by a questionnaire (n = 1 046). Most participants reported reading in the documents; writing in the documents varied between 16% (distribution in occupational health) and 87% (adolescents). The health document was perceived as useful by 35% of the adolescents. Factors significantly related to personal usefulness were being born outside Sweden, experiencing fair treatment by teachers, being a non-smoker and having a positive school experience. Community health nurses were striving for a balance of being a doer of practical, disease-oriented tasks and a health-promotion communicator. The structural organisation in health care centres was important for their work with health promotion and the health document. Teachers were generally in favour of continued work with the document. In different settings, between 10% and 26% of adults reported changes in their health situations as a result of reading the booklet. Self-reported changes in health situations were less likely using postal distribution, and there were no significant differences between the other types of distribution. Adolescents with low empowerment scores reported poorer self-rated health and more risk-taking behaviours such as smoking and binge drinking. To conclude, personal health documents are feasible to use in different settings. Health promotion in health services needs active support from leaders as well as adequate support systems. Findings suggest that personal health documents can be tools for promoting self-reported lifestyle changes among adults in different settings. There is a close relation among adolescents between low empowerment in the domain of health, low self-rated health and health behaviours such as binge drinking and smoking.