Indonesian Journal of Health Administration
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PREVALENCE OF BURNOUT SYMPTOMS IN NURSES HOSPITAL ASSIGNED TO COVID-19 ISOLATION ROOMS
Get PDFBackground: Burnout is a health problem that may happen to nurses and may impact patient safety and organization in any situations, especially during the second wave of COVID-19 pandemic.
Aims: This study aimed to identify the prevalence of burnout among nurses in charge of isolation rooms and its relationship to their demographics factor.
Methods: This research design is descriptive-analytic quantitative and cross-sectional. It involved 124 nurses assigned to isolation rooms for COVID-19 patients admitted to the first referral hospital in Bali. Data were collected using a questionnaire adopted from the Maslach Burnout Inventory to identify burnout symptoms. Demographic questionnaire was administered to garner respondents' demographics.
Results: High category of burnout was related to emotional exhaustion found in 66.1% of the respondents, depersonalization in 33.1%, and reduced personal accomplishment in 0.8%. Age, marital status, education, and gender were not related to burnout. Nurses who worked in non-ICU experienced higher burnout than ICU (p < 0.05).
Conclusions: The prevalence of burnout symptoms in the nurses who were in charge in COVID-19 isolation rooms is in the high category. Hospital management must consider demographic factors to improve the work environment, recruit new employees, conduct routine health checks, and provide mental health treatments consistently
HUSBAND'S SUPPORT IN WIFE'S ANC IN EASTERN INDONESIA: DO REGIONAL DISPARITIES EXIST?
Get PDFBackground: Previous research has found that husband support can increase the participation of the wife's antenatal care (ANC) to prevent an increase in maternal mortality. Meanwhile, in the eastern region, the effort to provide pregnant women's health services tends to be lower than in Indonesia's other areas.
Aims: The study analyzed regional disparities of husbands' support in wives' ANC in eastern Indonesia.
Methods: Secondary data from the 2017 Indonesian Demographic and Health Survey were used in the study. In eastern Indonesia, the analytic units were wives aged 15 to 49, married, and pregnant in the previous five years. The study analyzed 2,005 respondents as a sample. In addition to the husband's support, the study examined region (province), residence, age, education, occupation, wealth, and parity as the independent variable. In the final stage, the study used a binary logistic regression test.
Results: A husband in East Nusa Tenggara has 1.556 times the probability of a husband in Papua for a support wife's ANC (95% CI 1.082-2.237). Maluku husbands are 0.528 times less likely to support their wife's ANC than Papua husbands (95% CI 0.363-0.768). North Maluku husbands are 0.476 times less likely than Papua husbands to support their wife's ANC (95% CI 0.320-0.709). Meanwhile, there was no significant difference in the husband's support between West Papua and Papua.
Conclusion: Regional disparities of husband's support in wife's ANC existed in eastern Indonesia
THE ROLE OF HEALTH WORKERS AND SUPPORT SYSTEM COUNSELORS FOR WOMEN WITH PRIMARY INFERTILITY
Get PDFBackground: Primary infertility is a problem, one of which is psychological in infertile women. Based on the Indonesian In Vitro Fertilization Association (Perfitri), the total cycle of IVF programs in Indonesia in 2021 reached 10,000, the most significant number in handling fertility problems. Problems appear because there are no psychological services.
Aims: To explore the role of health workers and counselors in the support system at the central hospital in Semarang for women with primary infertility
Methods: This is descriptive research with qualitative exploratory design at the Central Hospital in Semarang City with five health workers and two counselors. The researcher used semi-structured, one-on-one interviews for one week. The data was then analyzed using inductive thematic analysis
Results: The results found that the support system for women with primary infertility, from the opinion of health workers, will focus on clinical care and counseling according to the diagnosis from the counselors that women with primary infertility need psychological support to assist the success of clinical care
Conclusion: Health workers and counselors need an integrated support system service for women with primary infertility
REDUCING INFANT AND UNDER-5 MORTALITY RATE THROUGH GOVERNMENT HEALTH EXPENDITURE: A SYSTEMATIC REVIEW
Get PDFBackground: Although it has been globally reported that IMR and U5MR continue to decline every year, the rate disparities between urban and rural areas are still evident in various countries. The government is presumed to carry out efforts to reduce this disparity, such as by allocating the government's health expenditure.
Aims: This study systematically identifies the effectiveness, best practices, and positive impacts of government health expenditure allocation for IMR and U5MR, specifically in rural areas.
Methods: This systematic review study was conducted using the PICOS method to analyse data that were obtained from 3 online databases.
Results: The government health expenditure could reduce the gap in mortality rate indicators between urban and rural areas. Programs specifically proposed for rural communities can help decrease the gap between urban-rural IMR and U5MR. The effectiveness of government health expenditure to reduce mortality rates was strongly influenced by various factors, including supporting policies, field implementation in regions, and the collaboration between the central and local governments.
Conclusion: The local government plays a definitely crucial role in the implementation of the health program to ensure that the central government executes the program effectively in order to reduce IMR and U5MR in rural areas
DETERMINANTS OF THE NATIONAL HEALTH INSURANCE UPTAKE IN INDONESIA
Get PDFBackground: Indonesia introduced a national health insurance program, the so-called Jaminan Kesehatan National (JKN), in 2014 to enhance health access for its citizens. However, unattained universal health coverage (UHC) such as participation target becomes a concern.
Aims: This study aimed to examine the factors influencing JKN participation and propose a possible policy improvement to enhance UHC implementation
Methods: A systematic review was performed based on PRISMA guidelines, and literature was collected from PubMed, Scopus, Web of Science, Cochrane Library, and Google Search.
Results: 21 articles in English and Indonesian language are included in the study after being reviewed using the PRISMA flowchart and quality assessment. The main factors that emerged from the found literature affecting the low enrolment of the NHIS include socio-demographic factors: younger people, low education level, rural location, unstable incomes, and larger family members. Also, health-related, and other factors: lack of health insurance literacy, insufficient healthcare accessibility and services availability, inadequate healthcare service quality, complicated administrative procedure, negative stigma, membership data inaccuracy, and low health status.
Conclusion: Twelve factors have been identified as the most influential determinants for the national health insurance program. Some proposed policies derived from the current results might contribute to the attainment of UHC
DESIGN OF MARKETING PLAN FOR DENTAL HOSPITALS IN THE DIGITAL ERA
Get PDFBackground: The development of the digital world has snowballed since the 2000s and has accelerated since the 2010s. Social media is a part of everyday life, and the COVID-19 pandemic has been a significant catalyst for digital life. Despite this, the healthcare industry is lagging compared to other industries in terms of digital marketing.
Aims: The output of this research is a design of a digital marketing plan for a dental hospital based on a robust theoretical foundation and ongoing practical research in dental hospitals.
Methods: This study utilized a qualitative approach and descriptive method to describe the existing condition related to the challenges and the use of digital marketing in dental hospitals. The focus of this study was the development of a digital marketing plan for a dental hospital.
Results: The study obtained several data related to digital marketing activities that have been carried out, challenges in digital marketing, and the preparation of digital marketing development plans at dental hospitals.
Conclusion: The proposed model includes situation analysis, goal analysis, strategy planning, action, and control based on the existing marketing plan. A novelty in this model emphasizes technology components including technoware, hardware, software, infoware, humanware, and organiware
EXPLORATION OF DISTRICT-LEVEL INNOVATIONS TO ADDRESS MATERNAL AND NEONATAL MORTALITY IN INDONESIA
Get PDFBackground: The Indonesian maternal and neonatal mortality rates remain some of the highest in Southeast Asia.
Aims: This study aims to assess and compare district-level innovations that address maternal and neonatal mortality.
Methods: This was a qualitative study conducted via four focus group discussions in eight selected districts in November 2021. Data obtained were analyzed using the WHO health system building blocks framework.
Results: The study found high variation in districts' innovations ranging from expansion of service for maternity waiting homes to periodical obstetrician visits at Puskesmas. A majority of districts use a local approach as the basis for innovation. Some innovations are modifications of the national program or initiated purely by District Health Offices, Puskesmas, and the community. Many interventions are based on multisectoral commitment, community participation, and targeting to strengthen health service delivery. Leadership and health financing also have an influence on the implementation of these innovations.
Conclusion: The multitude of innovations reflects a high variation in barriers to reducing maternal and neonatal mortality that need to be addressed at the district level. A routine forum to share districts' best practices is warranted. Additionally, family-based surveillance for neonatal danger signs, monitoring for pregnant women and neonates via WhatsApp, and zoning systems for referrals to healthcare facilities in larger districts are innovations identified in this study that have potential to be replicated in other districts or expanded nationally
LESSON LEARNED FROM THE UNITED STATES: IMPROVING HEALTH COVERAGE IN A PRIMARY CARE
Get PDFThe universal health coverage in Indonesia is organized by Badan Penyelenggara Jaminan Kesehatan (BPJS) which gives a health protection to population as in medical insurances. This health coverage is essential to protect and maintain the quality of health in Indonesian population. However, there were some burden for universal health coverage, including the accessible to National Health Insurance (JKN). Therefore, we may learn on improving health coverage from the United States which is well known for the Medicare and Medicaid, ”the center of the US medical insurances. There are at least three main lessons to learn from the medical insurance in the US, such as enrollment for medical insurance, sliding fee discount program, and cost analysis for fee-for-service in a health care. Despite the difference of health system and population between the United States and Indonesia, these lessons could be tailored for reducing burden to the universal health coverage in Indonesia
PERCEPTIONS, ATTITUDES, AND PRACTICES OF MIDWIVES TOWARDS THE USE OF TELEHEALTH
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Background: The COVID-19 pandemic has led to the closure of health facilities and a decrease in the usage of contraceptives. Therefore, the government and professional organizations initiated telehealth services to improve the quality of health services and minimize the risk of COVID-19 transmission.
Aims: This study explored the perceptions, attitudes, and usage of telehealth by independent midwives during the COVID-19 pandemic in Surabaya.
Methods: This qualitative phenomenology study was conducted from March to April 2021, and it involved independent midwives in Surabaya. The purposive sampling technique was used to select informants, and it obtained seven informants that met the inclusion criteria. Primary data were retrieved through semi-structured in-depth interviews.
Results: This is due to the influence of their age, knowledge, the intensity of previous telehealth use, gaps in technology use, availability of facilities and infrastructure, self-motivation, social support, and efforts to find solutions through telehealth.
Conclusion: Five out of the seven midwives decided to continue using telehealth in their services after the pandemic because of its benefits and impacts. Midwives, professional organizations, and policymakers need to consider the use of telehealth to improve the future services
THE ADVOCACY AND COMMUNICATION OF SMOKE-FREE AREA REGULATION IN EAST JAVA, INDONESIA
Get PDFBackground: The negative impact of tobacco, especially second-hand smokers, requires imperative actions. Introducing tobacco control measures helps protect the public health. Data suggest that there were approximately 44 million daily smokers in Indonesia comprising 49.8 million males and 3.9 million females over ten years of age. East Java Province had the biggest number of smokers in Indonesia. To reduce trends in smoking behavior, we need to advocate local government to release and implement smoke-free regulations.
Aims: The study aims to do action research through advocacy and communication for the regulation of smoke-free areas in East Java Province.
Methods: The action research involved 12 districts of East Java Province, Indonesia. The method used in this study was Focus Group Discussion (FGD), one-on-one meeting, in-depth interviews, public speaking, press conference, and press release.
Results: Intensive advocacy and communication worked successfully. Eight districts of East Java Province implemented local regulations of smoke-free areas. The advocacy and communication of the regulations made it possible to be implemented.
Conclusion: Intensive advocacy and communication improve the awareness of executive and legislative government about the importance of smoke-free area regulations. It will be successful if regular meetings, discussions, press conferences, public speaking, and team work are conducted with many stakeholders