Health seeking behavior. Ova Emilia

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1 Health seeking behavior Ova Emilia 1

2 Ruli mengalami nyeri perut dan punggung hilang timbul sejak 3 bulan terakhir. Nyeri tersebut hilang bila minum asam mefenamat. Ibunya menyarankan Ruli untuk urut siapa tahu ada organ yang tidak pas tempatnya. Kakaknya mendorong Ruli untuk periksa ke puskesmas atau Rumah sakit. Ruli tidak peduli dengan saran itu. 2

3 Mengapa perlu dipahami? Diare Kanker 3

4 Health Belief Model (Rosenstock, 1974, cited in Jones, 2003) 4

5 Health behavior Preventive health behavior intended to reduce susceptibility to disease, as well as to reduce the effects of chronic diseases when they occur in the individual Illness behavior related to the control of a disease that an individual has or that is incipient in the individual Sick role behavior. directed towards reducing the impact and progression of symptomatic disease in the individual. 5

6 Hubungan timbal balik Consumer Provider 6

7 What is health seeking behavior The process of responding to illness or seeking care Beli obat Dokter terdekat Rumah sakit 7

8 When a family member sick 8

9 Access to health facility 9

10 Cost of health care 10

11 What is health seeking behavior Dipengaruhi oleh faktor Si kon Budaya Sosial Personal Pengalaman 11

12 What is health seeking behavior Involves multiple steps (Uzma et al, 1999), and can rarely be translated into a simple one of choice or act, or be explained by a single model of health seeking behaviour. 12

13 Penting Memahami bagaimana masyarakat masuk dalam sistem pelayanan kesehatan 13

14 Health promotion Good health seeking behavior Is not sufficient Individual Element dynamic, collective, interactive 14

15 Dua pendekatan health seeking behavior 1. Menekankan pada end point (utilisation of the formal system, or health care seeking behaviour); 2. Menekankan pada process (illness response, or health seeking behaviour). Tipping and Segall (1995). 15

16 Health seeking behavior issues 16

17 Tuberculosis a classic public health issue effective diagnosis, treatment and control are important for the whole of a society. 17

18 Tuberculoasis Late presentation and delayed diagnosis are key problems When occurs, reflecting both individual and social factors, and system failures. Delay can be related to social stigma, gender, fear or multiple health seeking behavior. 18

19 Tuberculosis Understanding of health seeking behaviour may improve treatment compliance and shorten delay to diagnosis. Health education should be promoted at family and community level. Multiple health seeking with better cooperation between public and private providers in particular. The doctor-patient relationship. 19

20 MCH Maternal health and health seeking behaviour of mothers have a huge impact not only on the lives of women, but also on the lives of their children. 20

21 MCH The way in which women reach the decisions Improve women s embededness in health systems and social structures that is as yet under-developed in the literature. The introduction of public sector charges 21

22 Komplikasi persalinan 22

23 Health seeking behavior pattern (Koenig et al, 2007) 23

24 HIV, STI The very social nature of the spread of HIV, and the reflection of cultural beliefs around sexuality, virility and reproduction 24

25 HIV, STI Prevention through community education Stigma reduction: preparation of staff Comparable services: management Follow up of cases 25

26 Barriers-determinants 26

27 27

28 28

29 Process pathway of seeking traditional healers, village homeopaths, or untrained allopathic doctors formally trained practitioners government health facilities (Ahmed et al, 2001). 29

30 drawing out the factors which enable or prevent people from making healthy choices, in either their lifestyle behaviours or their use of medical care and treatment. behaviour is best understood in terms of an individual s perception of their social environment. Model: Health belief model, social cognition model 30

31 Basic Components of The Health Belief Model (Rosenstock, 1990, cited in Simon-Morton, Green & Gottlieb, 1995) 31

32 Social cognition model 32

33 Perubahan perilaku: Teori kognitif sosial Self management: Self observation Self judgment Self reaction Modelling: Diberi contoh perilaku Menggunakan tokoh panutan/idola profesional kesehatan sebaiknya mengaplikasikan perilaku sehat Skill training: Diberikan latihan keterampilan 33

34 But These only based on individuals KABP model not always work 34

35 MacPhail and Campbell (2001) begin to explore the neglected societal, normative and cultural contexts in which individual-level phenomena such as knowledge, attitudes and behaviour are negotiated or constructed. 35

36 Bedri (2001) Health seeking behaviour clearly varies for the same individuals or communities when faced with different illnesses. 36

37 Tahapan Perubahan Perilaku transtheoretical theory (Simon-Morton, Greene & Gottlieb, 1995) Tahapan Prekontemplasi Kontemplasi Persiapan Aksi Mempertahankan Pendekatan Intervensinya Informasi terkini, komunikasi persuasif, pengalaman Informasi, komunikasi persuasif, pengalaman Cara untuk melakukan perubahan, pengembangan keterampilan, perubahan sikap Keterampilan untuk mempertahankan perilaku yang sudah diubah, penguatan, dukungan, manajemen diri, perubahan sikap Keterampilan pencegahan kekambuhan, manajemen diri, dukungan sosial dan lingkungan 37

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