Indonesian Journal of Health Administration
Not a member yet
304 research outputs found
Sort by
FAMILY PLANNING VILLAGE PROGRAM IN RESPONSE TO THE USE OF LONG-TERM CONTRACEPTIVE METHOD
Get PDFBackground: Contraceptive use in Indonesia was still dominated by short-term contraception. Thus, Family Planning Village is created for promoting a Long-Term Contraception Method (LTCM).Aim: This study analyzed the implementation of the Family Planning Village Program for LTCM use in Dukuhsia Rambipuji, Jember.Method: This study was descriptive with a mixed-method approach. All of LTCM users in Dukuhsia amounting to 24 participated in the quantitative study. While there were five informants who were selected purposively in the qualitative research, including a Family Planning field worker, Coordinator of Women Empowerment, Child Protection and Family Planning Office, a midwife, Advocate Assistant for Village Family Planning, and a cadre under the Advocate Assistant for Village Family Planning. Qualitative data were obtained through in-depth interviews while quantitative data through structured interviews using questioner. Data were then analyzed using the Miles and Huberman Models and statistical-descriptive analysis.Results: Most aspects of the input factor were not in accordance with the technical guidelines of Family Planning Village. Whereas the implementation method complies with the guidelines. Most aspects of the process factor were relevant to the guidelines, but there were still many obstacles in the implementation. Good participation in the family planning village program is only 37.5%. Since the program launch, the prevalence of long-term contraceptive use increase from 6.07% to 6.21%. However, it does not significantly increase the use of LTCM because the prevalence was much smaller than the prevalence of LTCM at the village level.Conclusion: The implementation of the Family Planning Village in Dukuhsia could increase LTCM users. However, it could not increase the ideal proportion of LTCM users. Therefore, it is necessary to improve input and process of the Family Planning Village through the Contraceptive Technology Update (CTU) training for midwives and conduct a training of LTCM use for cadres to enhance their communicative skill in campaigning the use of LCTM.Keywords: users, contraception, family planning village, implementation
WHY HEALTH WORKFORCE MATTERS: REFLECTIONS FROM CURRENT PANDEMIC AND PAST PROGRAMS EXPERIENCES
Get PDFA well-functioning health system depends largely on the quantity and capacity of health human resources who have responsibilities for organizing and implementing health services. A proper arrangement of health workers in terms of numbers, competencies, and diversity is necessary for responding to healthcare needs and achieving health program goals. The need for adequate and skilled health professionals has become even more urgent in the time of current pandemic situation to ensure the resiliency of health systems. In responding to the COVID-19 pandemic, especially in Indonesia, attention is intensively paid to the aspect of facilities such as hospitals, as well as testing and protective equipment. However, we should not forget that the readiness of human resources including clinicians, nurses, laboratory staff, ambulance drivers, and so on are also of paramount importance
THE EFFECT OF ORGANIZATION'S STRUCTURE AND TASK CHARACTERISTICS ON TEAM EFFECTIVENESS IN TUBERCULOSIS PREVENTION PROGRAM
Get PDFBackground: A team is a vital element for an organization. An organization should put efforts to improve team performance even though they might face some obstacles. Organization's structure and task characteristics resulted in different team effectiveness of primary healthcare centres in preventing tuberculosis (TB) cases in Surabaya.Aims: This study aimed to identify the effect of organization's structure and task characteristics on team effectiveness of primary healthcare centers in TB prevention program in Surabaya.Methods: The reasearch was a quantitative study using a cross-sectional approach. Questionnaires were disseminated to 43 respondents as the samples selected with a proportional stratified random sampling technique based on the success rate. The respondents consisted of doctors, nurses, and health analysts who were directly involved in the Tuberculosis prevention program. This study used a linear multivariable regression test to confirm the most significant model for the independent variable.Results: The span of control and centralization had a significant effect on task characteristics (sig 0.00; sig 0.017). The dimensions of task characteristics that had a significant effect on team effectiveness were task variety, task identity, and task significance.Conclusion: There was a significant effect of span of control and centralization on task characteristics. The primary healthcare centers should provide access to technology to upgrade the span of control and centralization and their understanding of task characteristics. Keywords: health services, organization's structure, task characteristics, team effectiveness, tuberculosis
CONTRIBUTIONS OF SPACE TECHNOLOGY TO GLOBAL HEALTH IN THE CONTEXT OF COVID-19
Get PDFBackground: Space technologies have been used in each aspect of mankind's life, including health. The United Nations Committee on the Peaceful Uses of Outer Space (UNCOPUOS) has instigated several programs to address how space technologies can contribute to global health.Aims: This article deepened the understanding of how space technology contributes to global health and identified how it may be used in the context of COVID-19.Results: This research identified four different domains of space technology that can or may contribute to global health, which are remote sensing, global navigation satellite system, satellite communication, and human space flight. Generally, these four domains can track disease outbreaks and help mitigate its spread such as by minimizing patient contact with medical personnel. They also keep daily activities such as communication and work afloat. Future developments in space technologies may prove to have an even bigger role to minimize spread.Conclusion: Space technologies are invaluable in helping healthcare personnel and governments track the disease's sources and spread. Also, they can identify locations with the most damage, and thus immediate actions can be taken. Keywords: geographic information system, infectious disease, outbreak, remote sensing, space technology
THE PREPAREDNESS FOR THE COVID-19 PANDEMIC MANAGEMENT IN INDONESIA
Get PDFBackground: The increase in disaster events requires preparedness from health workers as the frontline to provide medical services in handling victims when a disaster occurs. Many of medical workers infected with COVID-19 where at least 47 nurses in Indonesia have tested positive with the number of nurses having ODP and PDP status totaling 546 people and 44 people cause additional problem in handling COVID-19.Aims: This article aims to determine the readiness of health workers in handling pandemic disasters in suppressing the potential risks due to the COVID-19 outbreak through medical services provided.Methods: The research method used is descriptive qualitative with a literature study approach. Secondary data collection techniques from previous references and public documents related to COVID-19 disaster management in Indonesia. Data analysis using NVivo12 Plus software with a query analysis approach.Results: The results showed the ratio of health workers in Indonesia for medical services in handling the COVID-19 pandemic disaster was not ideal were for doctors 0.4 and nurses 2.1 were still far behind from developed countries where the ratio of health workers was above 2.5 doctors and 5.5 for nurses. Then, infrastructure aspects in general for referral hospitals handling COVID-19 almost in every province that has supported through the distribution of medical material equipment to various regions, provinces and districts, as well as hospitals that need it in all areas of Indonesia in the form of surgical masks (1,997,684 pieces), PPE of 1,659,955 units, coupled with Rapid Test equipment of 1,011,130 units.Conclusion: The readiness of health workers in providing medical services for the handling of a pandemic disaster influenced by the number of human resources, operational standards, and facilities for health facilities.Keywords: health workers, medical services, pandemic disaster management, COVID-1
COMMUNITY KNOWLEDGE, ATTITUDES, AND BEHAVIOR TOWARDS SOCIAL DISTANCING POLICY AS PREVENTION TRANSMISSION OF COVID-19 IN INDONESIA
No full textBackground: Coronavirus Disease 2019 (COVID-19) caused by SARS-CoV2 recently became a pandemic worldwide, such as in Indonesia. Social distancing is one of the recommended mitigations to reduce the risk of disasters, such as morbidity and mortality caused by COVID-19. Community compliance with social distancing is a part of the pandemic control.Aims: This study identified knowledge, attitudes, and behavior towards the prevention of SARS-CoV-2 transmission through social distancing during COVID-19 pandemic among Indonesian community.Methods: This descriptive study applied a cross-sectional design and distributed closed questions with online questionnaire randomly to 34 provinces in Indonesia on social media networks and e-mail. This study successfully collected 1,102 respondents from 29 provinces in Indonesia. The data were analyzed descriptively by calculating frequency, percentage, and cross-tabulation.Results: This study had successfully identified 99%, 59%, and 93% of respondents with good knowledge, positive attitudes, and good behavior respectively towards social distancing. Among the respondents who had good knowledge showed positive attitudes (58.85%) and good behavior (93.3%). The respondents who had positive attitudes showed good behavior (96.7%).Conclusion: Indonesian community had good knowledge, attitude and behavior towards social distancing as a way to prevent the virus transmission. This strongly supports disaster mitigation in controlling the COVID-19 pandemic in Indonesia. Keywords: attitudes, behavior, COVID-19, knowledge, social distancing
HUMAN IMMUNODEFICIENCY VIRUS (HIV) PREVENTION PROGRAM AMONG MEN WHO HAVE SEX WITH MEN (MSM) IN SEMARANG CITY
Get PDFBackground: The prevalence of Human Immunodeficiency Virus (HIV) among Men who have Sex with Men (MSM) in Indonesia continues to increase. The HIV cases among MSM in Semarang increased by 43 cases in 2013 to 147 cases in 2017. The prevalence of syphilis among MSM increased by 5.20% in 2011 to 11.38% in 2015. The use of condoms among MSM does not reach 50%. The Prevention of Sexual Transmission of HIV Program or Pencegahan HIV melalui Transmisi Seksual (PMTS) that focuses on sexual transmission risk factors did not provide optimal results.Aim: This study aimed to analyze aspects affecting the PMTS Program on MSM in Semarang City, including standard and objectives, resources, inter-organizational communication and enforcement activities, characteristics of the implementing agencies, economic, social, and political conditions, and the disposition of implementors.Method: This study was a descriptive study using a qualitative approach. Primary data were obtained through in-depth interviews with 14 informants, while secondary data were obtained from observation and document analysis. The data were analyzed using content analysis. The research was conducted from July to October 2019 in Semarang City.Results: The implemetation of the PMTS Program among MSM has some gaps. For example, these included (1) unclear standards of PMTS Program, (2) limited funding and infrastructures, (3) lack of communication, (4) stigma and discrimination at the stakeholder level, implementing agencies level, and community level.Conclusion: The implementation of PMTS Program among MSM has not worked appropriately. Eliminating stigma and discrimination against MSM needs to be taken into account. All health workers in primary healthcare centers must be introduced to the diminish of stigma and discrimination against MSM. Communication and coordination as well as resources among the program implementers have to be more well-established. Keywords: Human Immunodeficiency Virus, Men who have Sex with Men, prevention program
CHALLENGES OF STAY-AT-HOME POLICY IMPLEMENTATION DURING THE CORONAVIRUS (COVID-19) PANDEMIC IN INDONESIA
Get PDFThe coronavirus disease 2019 (COVID-19) has been labelled as a global pandemic disease by the World Health Organization. The number of infections in Indonesia rose significantly to 8211 cases, and 689 coronavirus deaths were reported on April 24th, 2020. We knew that the Indonesian Government has made numerous strategies to control the spread of infection in our community, but implementation plans were limited in addressing the challenges of stay-at-home policy. These challenges may include economic impact due to COVID-19, struggles for work-from-home, and leaders' ability to influence the society
THE EFFECT OF CLINICAL PATHWAY COMPLIANCE IN REDUCING LENGTH OF STAY
No full textBackground: Clinical pathway is multidisciplinary care plan based on the best clinical practice for a group of patients with a particular diagnosis, designed to minimize care delay as well as maximize the quality of care and clinical outcomes. In 2017, average length of stay for pediatric patient with acute gastroenteritis was prolonged even clinical pathways had been implemented.Aim: Thid study determined the diagnostic examination and therapy compliance of clinical pathway related to the length of stay.Method: This study was cross sectional research through simple random sampling. Researchers analyzed pediatric patients whose clinical pathway were filled completely by doctors. The inclusion criteria were pediatric patients, admitted to hospitals during January to December 2018 as acute gastroenteritis patients. The data were analyzed using multiple classification analysis.Results: There were 197 patients with clinical pathway filled completely. As much as 60.91% of cases were compiled for diagnostic examination and 88.32% for therapy. There was no statistically significant correlation between diagnostic examination compliance (p > 0.05) and therapy compliance (p > 0.05) of clinical pathway with patients' length of stay (combined = p > 0.05).Conclusion: Many factors could be related with the length of stay especially patients' condition itself. In this study, clinical pathway compliance has no impact in reducing length of stay. Keywords: clinical pathway, compliance, length of stay, pediatric.