Indonesian Journal of Health Administration
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KNOWLEDGE AND ATTITUDES OF HEALTH WORKERS TOWARDS COVID-19 VACCINATION IN ACEH, INDONESIA
Full text linkIntroduction: Herd immunity through vaccination is one of the major strategies for overcoming the COVID-19 pandemic, but there are still doubts about vaccines among health workers.
Aims: This study aims to assess the relationship between knowledge of the COVID-19 vaccine and the attitudes of health workers.
Methods: This is a cross-sectional study, which involves the distribution of a validated online questionnaire through Google Forms to health workers at Zainoel Abidin General Hospital Banda Aceh. The data consist of general characteristics, 13 questions regarding knowledge, and nine inquiries related to attitudes.
Results: There were 301 respondents, of which 87.4% were females and 48.8% were nurses. Only 27.9% of the health workers have a history of COVID-19 courses, 67.8% have good knowledge about the vaccine, and 70.8% with a positive attitude. There was a significant relationship between the knowledge of the vaccine and health workers' attitudes. Furthermore, gender, age, education level, and training history did not affect the knowledge of vaccination, while profession was the main influential factor.
Conclusion: This study shows that there is a relationship between knowledge of the COVID-19 vaccine and health workers' attitudes. However, stakeholders must always focus on strategies that can increase understanding and practice of disease prevention
Keywords: attitude, COVID-19 vaccine, knowledge, health worker
PROBLEMATIC OF AUTONOMY REVIEW OF THE COVID-19 VACCINATION INFORMED CONSENT
Full text linkBackground: Not all public approval to receive COVID-19 vaccination is based on understanding the right information, which is considered insufficient motivation. It is also related to inadequate government policies.
Aims: This study was to identify the implementation of informed consent in COVID-19 vaccination, in terms of the autonomy of the vaccine recipients, so that the necessary policy could be recommended.
Methods: The research was conducted at Surabaya in June-December 2021 with descriptive qualitative methods through in-depth interviews with five vaccinators and five vaccine recipients using purposive sampling. Data were analyzed from interview transcripts by coding, making categories and themes, and then compared to relevant references.
Results: The results showed that 60% of the implementation of the COVID-19 vaccination informed consent was inadequate. It was found that incomplete information disclosure is often not even given information, and vaccinations are carried out without a signature of informed consent. These findings suggest that respect for the autonomy of COVID-19 vaccine recipients has not been made.
Conclusion: Inadequate respect for the autonomy of vaccine recipients risks causing a medical conflict in the future if there are unexpected effects. Thus, the government must make standard informed consent procedures for COVID-19 vaccination and collaborate with the local government.
Keywords: Covid-19 vaccination, informed consent, information disclosure, respect for autonom
POLICIES TO REDUCE HOME DELIVERY IN INDONESIA: WHO SHOULD BE THE TARGET?
Full text linkIntroduction: Home delivery increases the chance of maternal death.
Aims: The study examines suitable targets for developing policies to reduce home births.
Methods: This cross-sectional study analyzed 15,357 mothers through stratification and multistage random sampling, including 13 independent variables: age, education, employment, marital, parity, insurance, knowledge of pregnancy danger signs, antenatal care (ANC), residence, the autonomy of health and family finance, household head sex, and wealth. We examined the data using binary logistic regression.
Results: About 23.8% of mothers deliver at home. Older age, higher education, primiparous, insured, knowing the pregnancy danger signs, living in an urban area, and doing ANC ≥4 times were protective factors to not home delivery. Being employed, married, having a male household head, and being poor were risk factors for home delivery. Mothers without health autonomy are less likely to deliver at home than those with health autonomy. Mothers with family finance autonomy are 1.239 times more likely than those without to give home birth.
Conclusion: The target to reduce home deliveries: young, low education, employed, married or divorced/widowed, having many children, uninsured, do not know pregnancy danger signs, doing ANC <4 times, living in a rural area, have no health autonomy, have no family finance autonomy, having a male household head, and poor.
Keywords: big data, home delivery, maternal health, maternity care, population health, public health
FACTORS INFLUENCING PATIENTS' REVISIT INTENTION TO PUBLIC HEALTH CENTER DURING COVID-19 PANDEMIC
Full text linkBackground: COVID-19 was declared a community health emergency, prompting the Indonesian government to implement a large-scale social restriction policy on March 2022. As a result, the number of patient visits to the Public Health Center (PHC) decreased.
Aims: This study aimed to analyze the factors affecting the revisit intention of patients at PHC during the COVID-19 pandemic.
Methods: This observational study was conducted at PHC XYZ in West Jakarta in September and October 2022 using a cross-sectional approach. Inclusion and exclusion criteria were employed to select 244 samples. The data collected through a questionnaire with 37 questions were analyzed using PLS-SEM.
Results: Government trust and trust in healthcare facilities positively affect revisit intention, with t-statistics of 4.816 and 0.003 as well as a p-value of 0.000. Meanwhile, perceived crowding and health risk, reputation, self-confidence, familiarity, and brand image did not significantly influence revisit intention at the PHC during the COVID-19 pandemic.
Conclusion: This study showed that trust in government and healthcare facilities affects the revisit intention of patients. Patients trust that the Government can overcome COVID-19 and that PHC can be trusted during COVID-19 has a positive influence on patients' intention to revisit. It is important to identify the factors influencing revisit intention at PHC during the pandemic because PHC has a role as a primary healthcare service.
Keywords: COVID-19, government trust, Public Health Center, revisit Intention, trus
FACTORS INFLUENCING EXPECTANT MOTHERS' CONTINUED USE OF DIGITAL HEALTH INFORMATION
Full text linkBackground: Expectant women receive healthcare education at antenatal care (ANC) clinics, but it is noteworthy that expectant mothers tend to seek information from various sources beyond their primary healthcare providers.
Aims: The study aims to investigate determinants influencing expectant mothers' continuous use of digital media for pregnancy information.
Methods: The study involves participants of expectant women who attend ANC clinics in five municipal hospitals. The hypotheses were tested with 580 responses using Structural Equation Modeling (SEM) via SmartPLS version 4.
Results: The findings revealed that social media healthcare information usage, perceived severity, and emotional support on social media influence expectant mothers' decisions to continue using digital media for healthcare purposes. However, the effect of perceived vulnerability on social media healthcare information usage was insignificant.
Conclusion: This study concludes that expectant mothers will continue to adopt digital platforms to access healthcare information. The findings provide recommendations to help healthcare providers advance antenatal care.
Keywords: Emotional support, healthcare, expectant women, SMHIC, social medi
NURSE BURNOUT PREDICTORS IN HEALTHCARE UNITS DURING COVID-19 IN EAST JAVA, INDONESIA
Full text linkBackground: As frontline health service providers, nurses are important in directly caring for patients during the COVID-19 pandemic. Nurses are very vulnerable to infection, and this causes ongoing anxiety and ultimately causes burnout.
Aims: This study aims to identify factors that may lead to nurse burnout in various East Java healthcare facilities.
Methods: This research used correlational analysis with a cross-sectional approach. The approach of purposive sampling was applied to select nurses from various health units in East Java with 200 respondents. The Maslach Burnout Syndrome Inventory-Human Services Survey (MBI-HSS) questionnaire was used for burnout variables and questionnaires for efficacy, job stress, and fear variables. Data analysis used multiple logistic regression with the ENTER method.
Results: The findings indicated that the variable that had a significant relationship with burnout was work stress. The Odds Ratio (OR) analysis results for the job stress variable are 2.860, meaning that respondents who experience high job stress have a 3-fold risk of experiencing burnout compared to those who do not experience high stress.
Conclusion: Job stress is predicted to be the most dominant variable causing burnout during the COVID-19 pandemic. Respondents with high job stress are more at risk of experiencing burnout.
Keywords: burnout, COVID-19 pandemic, nurs
EARLY STRESS DETECTION DURING PREGNANCY USING E-HEALTH IN THE PANDEMIC
Full text linkBackground: Women are more prone to stress during pregnancy than during the postpartum period. Stress during pregnancy is correlated with pregnancy and birth outcomes. Early detection using the e-health system is an alternative to health services during the pandemic.
Aims: The research objective was to produce innovation in early stress detection using an information system based on the e-Health system.
Methods: This study was conducted in the Ngaliyan Primary Healthcare Centre with 34 pregnant women. This study utilized both qualitative and quantitative research. Qualitative research used the System Development Life Cycle (SDLC), while quantitative research used an experimental design with a one-shot case study approach.
Results: The e-Health system could automatically identify stress during pregnancy, with the TAM questionnaire yielding a very effective result of 85.4%. The average time needed to detect pregnant women's stress was 230.94 seconds. This system can analyze 374 pregnant women within one day (24 hours), provide services, and report pregnant women's stress detection results.
Conclusions: The e-Health system effectively conserves time and can be used to record and report early stress in pregnant women.
Keywords: early detection, information system, pregnancy, smartphone, stres
STAKEHOLDERS' ROLE IN THE IMPLEMENTATION OF STUNTING MANAGEMENT POLICIES IN GARUT REGENCY
Full text linkBackground: Convergence is a comprehensive integrated and coordinated activity to accelerate stunting reduction.
Aims: This exploratory qualitative study analyzed the roles of stakeholders in stunting management.
Methods: This study was conducted in Garut District from April to July 2021. Key informants including policymakers across programs were selected from the district, sub-district, and village levels. All of them were interviewed, and the interview data were processed with content analysis techniques and presented descriptively.
Results: Stakeholders had roles in the implementation of stunting handling programs as seen in the four quadrants indicated by vertical (interest) and horizontal (influence) lines. The Head of the District and the Deputy of the Head District had the most contribution and influence on the program's success. District-level government institutions (i.e., the DHO, Regional Planning and Development Agency, DPMD, PPKBP3A and PUPR) in Quadrant II are critical. Others can be found in Quadrant III for provincial and district institutions (medium category). The sub-district, community leaders, and cadres (Quadrant IV) all significantly contributed to the program's success.
Conclusion: Policymaker participation is acknowledged as a major concern in developing health policies. It is important to clearly outline the roles of stakeholders to promote their involvement actively, especially of local stakeholders that need to be advocacy-oriented in stunting management.
Keywords: Policy, Stakeholder, Stuntin
FACTORS AFFECTING INDONESIAN PUBLIC HEALTH CENTERS' HEALTH WORKERS' INCOME ADEQUACY
Full text linkBackground: Dissatisfaction, additional work, and desired compensation are related to the needs and perceptions of civil servant health workers to increase their income. However, the probability and influencing factors regarding the income adequacy of civil servant health workers in Indonesia are still unknown.
Aims: to find out the factors related to the income adequacy of health workers.
Methods: This observational study with a cross-sectional design uses data from the Employment Research in the Health Sector (RISNAKES) 2017 in Public Health Centers in Indonesia. Probit analysis was conducted to assess the probability of income adequacy.
Results: A total of 963 respondents were analyzed. The study found that changes in each variable, including income, official residence facilities, training facilities/ seminars/ training, motivation, and job satisfaction of a unit, would increase the probability of income adequacy ranging from 2% - 81%, except for the age variable. By referring to high job satisfaction of > 75% and taking into account the probability of 80%, the presumed adequate income is no less than IDR 28,800,000.
Conclusion: The probability of the monthly income adequacy of civil servants in the health sector is influenced by job satisfaction, ability to save, official residence facilities, facilities to attend seminars, age, and income. Increasing and reformulating the amount of income must be done to optimize the performance and productivity of health workers.
Keywords: health workers, income adequacy, public health center, savin