Factors Associated with Completeness and Accuracy of Electronic Medical Record Entry in Community Health Center in Yogyakarta

Background: The implementation of electronic patient records in primary care is a key objective of many health care systems, including Indonesia. This reflects a growing recognition of the potential benefits of electronic records on the safety, quality and efficiency of healthcare. Documentation in the medical record is expected to be complete, accurate, concise, and timed/dated. This study aimed to analyze factors associated with completeness and accuracy of electronic medical record entry in community health center in Yogyakarta. Subjects and Method: This was an analytic observational study with a cross sectional design. The study was conducted in 25 community health centers in Yogyakarta, from March to June 2018. A sample of 200 patient medical records was selected by simple random sampling. The dependent variables were completeness and accuracy of medical record. The independent variables were tenure, multi task, and accreditation status of puskesmas. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Completeness of electronic medical record was positively associated with longer tenure (b= 0.58; 95% CI= 0.10 to 1.05; p=0.018), but negatively associated with multiple task occupation (b= -2.12; 95% CI= -3.44 to -0.81; p= 0.002). Accuracy of electronic medical record was positively associated with longer tenure (b= 1.10; 95% CI= 0.34 to 1.85; p= 0.005), but negatively associated with multiple task occupation (b= -4.20; 95% CI= -6.30 to -2.11; p<0.001). Accreditation status of puskesmas did not affect completeness and accuracy. Conclusion: Completeness and accuracy of electronic medical record are positively associated with longer tenure, but negatively associated with multiple task occupation. Accreditation status of puskesmas does not affect completeness and accuracy. Keywords: electronic medical record, completeness, accuracy, tenure, occupation, community health cente

Sexual practices among unmarried adolescents in Tanzania

\ud Sexual activities are increasingly changing from the cultural point of view what they used to be. Knowledge of these practices among adolescents may be a basis to create awareness among adolescents on practices that involve risks. This study aims to assess sexual practices among unmarried adolescents in Tanzania. A cross-sectional survey was conducted among in-school and out-of-school but unmarried adolescents aged 10 to 19 in five locations in Tanzania. A questionnaire was used to collect information and to characterize sexual practices among these adolescents. About 32% of adolescents reported being sexually active; a higher proportion being males than females. The only inquired and reported sexual practices include vaginal sex, masturbation, oral and anal sex. About 15% of sexually active adolescents reported having multiple sexual partners. Significantly more males reported having multiple partners than females. Nearly 42% of sexually active adolescents reported having used a condom during most recent sexual act. Females reported older partners at first sexual act. Adolescents experience several sexual practices that include penetrative and non-penetrative. More males reported being sexually active than females. Despite adolescents reporting having multiple sexual partners, reported condom use during the most recent sexual act was low. We advocate for a more enhanced approach of reproductive health education that includes safer sex to adolescents without forgetting those in-schools.\u

9. congreso de historia agraria Preactas

Centro de Informacion y Documentacion Cientifica (CINDOC). C/Joaquin Costa, 22. 28002 Madrid. SPAIN / CINDOC - Centro de Informaciòn y Documentaciòn CientìficaSIGLEESSpai