Pengaruh Gaya Kepemimpinan Terhadap Kinerja Karyawan (Studi Pada Karyawan Tetap Service Center Panasonic Surabaya)

Research entitled “The Influence Leadership Style on Employee Performance” conducted on permanent employees at Service Center Panasonic Surabaya aims to explain at influence of leadership style partially on employee performance. The research method used is explanatory research, collecting data using questionnaires distributed to all permanent employees of Panasonic Service Center Surabaya which amounted to 48 respondents. Data analysis used in this research is descriptive analysis and multiple linear regression using SPSS 18 for windows. The results showed Democratic Leadership Style had the most significant effect on employee performance compared Authoritarian Leadership Style and Laissez-Faire Leadership Style

Identifying inequities in maternal and child health through risk stratification to inform health systems strengthening in Northern Togo

ObjectiveIn Togo, substantial progress in maternal and child health is needed to reach global development goals. To better inform clinic and community-based health services, this study identifies factors associated with maternal and child health care utilization in the Kara region of Northern Togo. Methods We conducted a population-representative household survey of four health clinic catchment areas of 1,075 women of reproductive age in 2015. Multivariable logistic regression was used to model individual and structural factors associated with utilization of four maternal and child health services. Key outcomes were: facility-based delivery, maternal postnatal health check by a health professional within the first six weeks of birth, childhood vaccination, and receipt of malaria medication for febrile children under age five within 72 hours of symptom onset. Results 83 percent of women who gave birth in the last 2 years delivered at a health facility. In adjusted models, the strongest predictor of facility delivery in the rural catchment areas was proximity to a health center, with women living under three kilometers having 3.7 (95% CI 1.7, 7.9) times the odds of a facility birth. Only 11 percent of women received a health check by a health provider at any time in the postnatal period. Postnatal health checks were less likely for women in the poorest households and for women who resided in rural areas. Children of polygamous mothers had half the odds of receiving malaria medication for fever within 72 hours of symptom onset, while children with increased household wealth status had increased odds of childhood vaccination and receiving treatment for malaria. Conclusion Our analysis highlights the importance of risk stratification analysis to inform the delivery and scope of maternal and child health programs needed to reach those with the least access to care

Closing the delivery gaps in pediatric HIV care in Togo, West Africa: using the care delivery value chain framework to direct quality improvement

ABSTRACT Providing quality care for all children living with HIV/AIDS remains a global challenge and requires the development of new healthcare delivery strategies. The care delivery value chain (CDVC) is a framework that maps activities required to provide effective and responsive care for a patient with a particular disease across the continuum of care. By mapping activities along a value chain, the CDVC enables managers to better allocate resources, improve communication, and coordinate activities. We report on the successful application of the CDVC as a strategy to optimize care delivery and inform quality improvement (QI) efforts with the overall aim of improving care for Pediatric HIV patients in Togo, West Africa. Over the course of 12 months, 13 distinct QI activities in Pediatric HIV/AIDS care delivery were monitored, and 11 of those activities met or exceeded established targets. Examples included: increase in infants receiving routine polymerase chain reaction testing at 2 months (39–95%), increase in HIV exposed children receiving confirmatory HIV testing at 18 months (67–100%), and increase in patients receiving initial CD4 testing within 3 months of HIV diagnosis (67–100%). The CDVC was an effective approach for evaluating existing systems and prioritizing gaps in delivery for QI over the full cycle of Pediatric HIV/AIDS care in three specific ways: (1) facilitating the first comprehensive mapping of Pediatric HIV/AIDS services, (2) identifying gaps in available services, and (3) catalyzing the creation of a responsive QI plan. The CDVC provided a framework to drive meaningful, strategic action to improve Pediatric HIV care in Togo

“Increasing Warm Handoffs: Optimizing Community Based Referrals in Primary Care Using QI Methodology”

Social and environmental factors have an outsized effect on one’s health. Children are particularly impacted by the adverse effects of poverty. While social determinants of health (SDH) screening in healthcare settings has proliferated there remain gaps in best practices for screening processes. As research has shown that patient navigation leads to an improvement in unmet social needs and family-reported child health, warm handoffs may be a key factor in assuring that the social needs of families are effectively addressed. Using quality improvement (QI) methods our pediatric clinic worked to increase the warm handoff rate between Community Health Workers (CHWs) and patients with unmet social needs. CHW warm handoff rates increased two-fold over the intervention period. Our results illustrate that QI methods can be used to optimize workflows to increase warm handoffs with CHWs. This is important as health centers work to improve their social needs screening and referral programs

Multivariable logistic regression models of predictors of use of maternal and child health care in rural sites only, HTH population-representative household survey of 3 rural catchment areas in Kara region, Togo, 2015.

<p>Multivariable logistic regression models of predictors of use of maternal and child health care in rural sites only, HTH population-representative household survey of 3 rural catchment areas in Kara region, Togo, 2015.</p

Percent distribution of women by sociodemographic characteristics and access to maternal health care, women with live births in the last 2 years, HTH population-representative household survey of 4 catchment areas in Kara region, Togo, 2015.

<p>Percent distribution of women by sociodemographic characteristics and access to maternal health care, women with live births in the last 2 years, HTH population-representative household survey of 4 catchment areas in Kara region, Togo, 2015.</p

Percentage distribution of maternal and child health service utilization, HTH population-representative household survey of 4 catchment areas in Kara region, Togo, 2015.

<p>Percentage distribution of maternal and child health service utilization, HTH population-representative household survey of 4 catchment areas in Kara region, Togo, 2015.</p

Multivariable logistic regression models of predictors of use of maternal and child health care, HTH population-representative household survey of 4 catchment areas in Kara region, Togo, 2015.

<p>Multivariable logistic regression models of predictors of use of maternal and child health care, HTH population-representative household survey of 4 catchment areas in Kara region, Togo, 2015.</p

Percent distribution of women by sociodemographic characteristics and access to child health care, women with live births in the past 10 years, HTH population-representative household survey of 4 catchment areas in Kara region, Togo, 2015.

<p>Percent distribution of women by sociodemographic characteristics and access to child health care, women with live births in the past 10 years, HTH population-representative household survey of 4 catchment areas in Kara region, Togo, 2015.</p