Strengthening Indonesia’s health workforce through partnerships

Citation for this: Kurniati, A., Rosskam, E., Afzal, M. M., Suryowinoto, T. B., & Mukti, A. G. (2015). Strengthening Indonesia’s health workforce through partnershipspublic health129(9), 1138-1149.

Indonesia is one of the most populous countries in the world, with a population of 234 million. The country consists of approximately 17,000 islands, situated in a climatic disasterprone region of Asia. About 60% of the population lives on Java Island which covers only around 7% of the country’s total land area. The country is counted as a middle income country. 1) Because of Indonesia’s particular geographic, demographic, socio-cultural diversity, and economic situations, its health system faces serious challenges. After decentralization in 2001, the new health system is now empowering local governments to manage their health services, including the management of Human Resources for Health (HRH). 2) The Indonesian health system is facing critical HRH challenges. 3) The World Health Report 2006 included Indonesia as
one of 57 countries facing a crisis level shortage of HRH. 4) The HRH crisis level shortage impedes the progress that these countries can envisage for strengthening their health systems to be able to provide equitable access to essential and lifesaving primary health care services. The HRH shortages pose serious obstacles for attaining the health-related Millennium Development Goals (MDGs) and Universal Health Coverage (UHC). The most critical HRH challenges in Indonesia include: inadequate quantity and quality of some essential cadres, mismatch between production and demand, and maldistribution
between urban, rural, and remote areas. Deficient information hampers HRH policy development and planning efforts. Other challenges include poor retention strategies, particularly due to low levels of remuneration. 5) Indonesia’s average number of HRH per 100,000 population is below the minimum threshold level required for effective achievement of the health-related MDGs and UHC. 6) The Health System Performance Assessment 2004 indicated that Indonesia suffers from mal-distribution and a shortage of certain kinds of essential HRH which has lowered community access to quality health workers and to quality health services. In 2008, the country had 7.73 specialists, 26.3 general physicians, 7.7 dentists, 43.75 midwives, and 157.75 nurses per
100,000 population.  Most of the health workforce is concentrated in Java Island and in big cities, leaving rural and hardship areas underserved. Hospitals suffer from considerable shortages of nurses and other mid-level cadres. Community health centers face severe shortages of all HRH cadres except nurses. It is estimated that an additional 11,000 midwives are needed to serve in rural areas.

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More at http://www.sciencedirect.com/science/article/pii/S0033350615001869

Best Alternative of Grammarly in 2018

What are some good alternatives of Grammarly?

Along with classes and homework, students now a days are also burdened with assignments and projects, articles and documents to submit. They have so much work and so less time. With such less time and lot of work, they often make mistakes and error in their work. For good grades and for the sake of perfection, students need software that would make their writing mistake-free no wastage of time. Beside students, bloggers and article writers, fan fiction writers also have a tough schedule and want perfection in their articles and blogs as they aim for higher rankings and also people search for grammar-error-free writings. There are some apps and soft wares that you can use to have error-free and mistake-free writing.

1) ProWritingAid
ProWritingAid can be your alternative to Grammarly when pricing becomes your primary concern. ProWritingAid is one of the best online help to get you rid of your grammatical & spelling errors. It has amazing features & is also available in free & premium versions. It is an amazing set of online tools that can be incorporated into your browser easily and can be used to analyze the deficiencies while writing in Gmail , WordPress, Facebook Twitter etc. The most prominent feature that makes it closely relate to Grammarly is that it has the capability to perform 25 types of tests on the text such as grammar, pronouns, sentence structure & length, transition and vague word, etc.

2) Ginger
Ginger is yet another brilliant online tool that has efficient outcomes and it is also very popular among, teachers, students, bloggers and writers. It is a proofreading tool used with WordPress and other apps. Also helps while typing in the search bars of apps like YouTube etc. Moreover, Ginger can help you detect the errors & also highlights them so that you can correct it then & there itself. Ginger is a good alternative to Grammarly when it comes to Mac but the plagiarism check is missing. So be careful what you choose.

3) WhiteSmoke
WhiteSmoke, another grammar & proofreading tool in this exhaustive list. WhiteSmoke indicates various errors or mistakes in grammatical sentence framing, writing styles & spelling mistakes. This tool is compatible in all the devices, browsers & also offers 100 different writing templates such as resumes, condolence, cover letter, thank you etc. An extra-ordinary features that makes it stand out from other is the way explanation are provided of each & every word that needs correction & also how to deal with them.

4) GrammarlyCheck

GrammarlyCheck the most suitable one & a clone of Grammarly, somewhat better than Grammarly. It is an online tool designed for the worldwide community of students, teachers, and researchers. GrammarlyCheck was designed by a professionally proficient team of developers to guarantee accurate results. The goal is to check grammar, proofreading, plagiarism detection and make your writing easy, effective & error-free. GrammarlyCheck offers some of the best features available in various tools with an effective, easy-to-use way to improve their English writing and creates clear, concise and error-free English language content. This tool is very closely related to Grammarly in terms of all the features & yet it has quite affordable premium packages. You can always try a few.

5) PaperRater
Last but not the least – PaperRater. The functionality of PaperRater is dependent on the computer algorithm named as Grendel. They do not have any extension or desktop app, so you’ll have to refer the website to get to know about all the features. PaperRater indicates the errors by underlining them. This is also quite similar to Grammarly but has various limitations in the free version.

Now after going through this exhaustive list we can conclude that there are many tools, online website, desktop app & browser extension that are just another grammar-plagiarism checker, but the one I would always suggest you is GrammarlyCheck, not only that it provides accurate data but also its free version is very useful. Be the wise man to decide what would be the most suitable one.

Factors influencing Indonesian women’s use of maternal health care services

Kurniati, A., Chen, C. M., Efendi, F., & Berliana, S. M. (2017). Factors Influencing Indonesian Women’s Use of Maternal Health Care Services. Health Care for Women International, (just-accepted), 00-00.

At the individual level, variables of education, age at the last childbirth, and attitude towards family planning are the strongest predictors of the utilization of ANC services and postnatal care (PNC) in Nigeria (Babalola & Fatusi, 2009).
In the same vein, several studies in Southeast Asian countries with high maternal
mortality also found that women’s education, household wealth index, and residential
place were among the major determinants for the utilization of ANC and PNC (Prusty, Buoy, Kumar, & Pradhan, 2015; Sein, 2012). In their previous study in Indonesia, Beegle, Frankenberg, & Thomas (2001) reported the significant association between variables of age and the husband–wife educational gap, and the use of prenatal and delivery care. Likewise, another study of Indonesia revealed that several factors, such as living in rural region, lower family income, poor maternal knowledge, and high birth orders with closely spaced births (less than two years), had significant associations with the low utilization of ANC (Titaley, Dibley, & Roberts, 2010).
As the reduction of maternal mortality remains significant in the next global development agenda, it is imperative to have a better understanding of the factors
associated with the utilization of three aspects of maternity care ¡ antenatal, delivery, and postnatal services using the most recent available nationwide data. In this study, therefore, authors aimed to examine factors that affect the use of maternal health care services among Indonesian women. We expect that the results of this study contribute to supporting effective policies and approaches as well as identifying further research for improving the utilization of maternal health care.

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