Indonesian Journal of Health Administration
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PARENTS' SATISFACTION WITH MEASLES RUBELLA IMMUNIZATION SERVICES FOR SCHOOLERS DURING THE COVID-19 PANDEMIC
Get PDFBackground: Measles Rubella (MR) immunization coverage for schoolers in Semarang City decreased to 92.7% in 2020 due to the COVID-19 pandemic. However, in practice, many parents still complain about MR immunization services for schoolers.
Aims: This study aimed to determine parental satisfaction with MR immunization services during the COVID-19 pandemic.
Methods: This quantitative study used a cross-sectional approach. Purposive and proportional sampling was used to select 102 samples. Data collection was done through questionnaire, and data were analyzed using the chi-square test and importance-performance analysis test.
Results: The lowest suitability dimension level was tangibility (81.52%), followed by responsiveness (86.6%). The reliability dimension had the highest average conformity level (92.87%). The priority items for improvement were related to health workers' compliance with the use of complete personal protective equipment (PPE), spacious immunization service rooms, registration officers' responsiveness in giving directions, punctual immunizations distribution, polite and friendly registration services officers, as well as health workers' initiative to remind parents about health protocols. Bivariate analysis showed there was no relationship between respondents' characteristics and their satisfaction level.
Conclusion: Parental satisfaction with MR immunization services for schoolers did not match their expectations; therefore, it is necessary to improve future immunization services
Back Matter
No full textThe back matter contains subcription form, guides for author and a back cover of volume 10 issue 1 (2022
MATERNAL DEATH, QUALITY SERVICES, AND MENTAL HEALTH: A CYCLE OR REPEATED EPISODE ?
Get PDFMaternal issues are classic issues in every edition of the Indonesian Journal of Health Administration. In this issue, our authors, Fatmaningrum et al. (2022), revealed how the COVID-19 pandemic had increased the number of maternal deaths. Research conducted by Ernawaty and Sri (2022) again shows how big the risks Indonesian women must bear during pregnancy and childbirth are. Not only are they risking their lives because they have to give birth to children, but once discharged from treatment, they still have to be faced with high delivery costs. The National Health Insurance does help a lot, but who will help JKN from a deficit if there are many cases of diseases that require huge costs. A systematic review conducted by Muhlis (2022) found that the low level of participation in the JKN program was due to various multidimensional factors. This factor is not only related to the ability to pay contributions, but many are due to individual and environmental internal factors
THE IMPACT OF THE COVID-19 PANDEMIC ON MATERNAL MORTALITY ATTRIBUTES
Get PDFBackground: The COVID-19 pandemic is a challenge for mothers to access health services in Indonesia. Patient management, referral processes, and maternal screening protocols are the reasons for this issue.
Aims: This study aimed to analyze maternal mortality trends in East Java Province before and during the COVID-19 pandemic.
Methods: This study was conducted using retrospective observation with a cross-sectional design, and samples were selected using a total sampling technique. The number of maternal deaths in East Java was 520 in 2019 and 565 in 2020. The independent variable in this study is the number of maternal deaths, and the dependent variables include age, gravida, place of death, rescue relay, time of death, and maternal complications. The variables of age, place of death, rescue relay, and gravida were assessed using the Chi-square test.
Results: Statistical tests showed a Ï value of 0.195 for age; 0.916 for place of death; 0.646 for rescue relay; and 0.048 for gravida.
Conclusion: Maternal mortality showed different trends before and after the pandemic in East Java. Significant differences in maternal mortality rate are influenced by gravida status
THE ACCEPTANCE OF MEDICAL RECORD OFFICER TOWARDS MRMIS IN X HOSPITAL MATARAM
Get PDFBackground: MRMIS needs to be evaluated to know the actual conditions of implementing the system . One of the evaluations that can be done is user acceptance of MRMIS.
Aims: The study aims to determine MRMIS acceptance in X hospital Mataram City based on the variables in the UTAUT model.
Methods: This is a quantitative study with a correlational approach. The sample size was 70 medical record officers using total sampling. Data processing used Partial Least Square (PLS) methodd.
Results: The test results showed the t-statistic of effort expectancy was 2.507, facilitating conditions 3.787 behavioural intention 4.928, however the performance expectancy, social influence and moderate variables like age and gender variables had t-statistic values below 1.96.
Conclusion: The variables of effort expectancy, enabling conditions, and behavioural intentions all have a significant impact on respondent acceptance of MRMIS, whereas the variables of performance expectancy, social influence, and moderate variables of age and gender do not
ONLINE TEACHING AND LEARNING DURING THE CORONAVIRUS PANDEMIC: ADVANTAGES AND DISADVANTAGES IN HIGHER EDUCATION
Get PDFEverything is changing rapidly and the development of technology and information has changed significantly in the last few decades. Education, like other aspects of society, needs to change and adapt appropriately. Online teaching and learning is a new approach for the authors to use information technology via distance learning programs, especially the way relationships and interactions altered between students and teachers or instructors when the Coronavirus disease (COVID-19) pandemic occurred last year. Mahidol University responded to the situation rapidly and announced that academics can use online teaching of students free of charge. The authors of this paper have identified the advantages and disadvantages we have encountered while applying this method of instruction. The online program has made teaching possible but it has disadvantages which may decrease the quality of education. Nevertheless, it was used to replace traditional teaching methods by utilizing the web–based program, Webex Meetings, across the whole university. This new approach has changed and opened horizons earlier than the authors thought and far beyond our beliefs concerning traditional education methods for future generations
THE INTERNET AS A HEALTH INFORMATION IN DECISION MAKING OF PREGNANT WOMEN
Get PDFBackground: Maternal and Child Health (MCH) is still becoming a health problem in Indonesia. One of the causes of maternal mortality is the speed of decision making in the family. Decision making is influenced by knowledge, awareness, family shape and culture in the neighborhood.
Aims: the study aimed to identify and analyze the relationship between the use of the internet as a health information and maternal decision-making regarding emergency help
Methods: This study used a mixed-method approach. The sample of 175 respondents. Data analysis performed in this study was frequency analysis, cross tabulation and chi-square.
Results: There were 40% of respondents used the internet as a source of pregnancy information. Pregnant women had the information about pregnancy from google, instagram and whatsApp group. There were 45.70% of them have made decisions independently regarding the emergency relief. Chi-square analysis showed a p-value = "0,000” with a contingency coefficient of 0,368 indicating the use of the internet as a health information related to decision making of pregnant women regarding emergency relief.
Conclusion: The conclusion of this study is that there were pregnant women who were using the internet for health information and the majority of pregnant women had made decisions regarding emergency relief independently
TELEMEDICINE USE IN HEALTH FACILITY DURING COVID-19 PANDEMIC: LITERATURE REVIEW
Get PDFBackground: The policy of imposing restrictions on community activities during the Covid-19 pandemic is a challenge to the accessibility of health services. Therefore, we need the best solution for safe access to health services.
Aims: This study aims to analyze telemedicine use in health facilities during the Covid-19 pandemic by looking at comparisons and similarities in use and reviewing the inhibiting and supporting factors for the success of telemedicine.
Methods: The research method is a literature review that was obtained through the Scopus database and published in 2020-2021 in English. Cleaning of articles was carried out with the inclusion and exclusion criteria so that seven articles were reviewed.
Results: The lack of multidisciplinary use, healthcare practitioners' inability to connect with patients, under-integrated systems, and lack of technological knowledge and capacity all hinder telemedicine adoption. Positive patient feedback, a well-supported telemedicine service system, and partnerships with specialists all help make telemedicine more effective.
Conclusion: During a pandemic, the use of telemedicine in healthcare settings is extremely beneficial for healthcare providers and patients during healthcare consultations, and there are supporting aspects such as WHO recognition and simplicity of operation. However, obstacles remain, such as a lack of specialized knowledge and multidisciplinary technology
THE INFLUENCE OF TEAM COHESION AND TRUST ON TEAM EFFECTIVENESS IN PREVENTING TUBERCULOSIS
Get PDFBackground: The transmission of tuberculosis (TB) is hard to stop. Surabaya city has the highest TB cases in East Java and only achieved <90% of the target in 2017-2018. The formation of preventing TB team in every primary health care (PHC) is expected to work effectively in preventing TB cases in society.
Aims: This study aimed to analyze the impact of cohesion and trust within a team on team effectiveness in preventing TB cases in Surabaya.
Methods: This study was an observational study with a cross-sectional design conducted in 43 primary healthcare centers (PHC), and it involved 319 respondents selected by proportional stratified random sampling. The data were collected through questionnaires and tested descriptively and through multivariable linear regression to confirm the most significant models of independent variables and dependent variables.
Results: The result showed that task cohesion of the cohesion variable (RR= 0.374; p= 0.014) and cooperative behaviors of the trust variable (RR= 0.558; p= 0.000) had a significant influence on team effectiveness. The others dimension of team cohesion and trust had no significant impact on team effectiveness
Conclusion: Team effectiveness is dependent on team cohesion and trust that the teamwork process component. The Surabaya City Health Office needs to collaborate with the PHC management to evaluate the teamwork of the preventing TB team through in-depth interviews or other methods to get the problem in the team
HEALTHCARE FAILURE MODE AND EFFECT ANALYSIS DESIGN FOR INDONESIA HOSPITAL LABORATORIES: A LITERATURE REVIEW
No full textBackground: Error rate in medical laboratories is very low. Only one error is identified every 330–1,000 events. The goal of laboratory services should outweigh patient safety in a well-structured manner. Healthcare Failure Mode and Effect Analysis (HFMEA) is a proactive preventive method for identifying and evaluating potential failure.Aims: This study identified factors affecting patient safety in hospital laboratories and described potential risk identification process using the HFMEA.Methods: This study was conducted between March-July 2020 and retrieved data from PubMed, Scopus, and Google Scholar. The data were generalized and extracted into Table 2 based on factors dealing with patient safety in hospital laboratories. This study performed a risk identification design based on the steps of HFMEA.Results: Out of 4,062 articles collected, only 8 articles between 2013–2020 were included for analysis. The highest error rate in laboratories occurred in the pre-analytic phase (49.2%–84.5%). The errors included clotted and inadequate specimen volume, and thus the specimens were rejected. Factors related to patient safety in laboratories were patient condition, laboratory staff performance (including training, negligence, and burnout), facilities, and accreditation.Conclusion: The HFMEA process used the result of hazard analysis with severity and probability criteria categorized into health sector. Decision tree analysis could determine the next step of the work process. The HFMEA must be adjusted to the equipment and technologies in each hospital laboratory. Leader's commitment in monitoring and evaluation is required to maintain patient safety culture. More comprehensive data from Indonesian hospital laboratories are needed to generate more representative and applicable results.Keywords: error, HFMEA, laboratory, patient safety