Faculty of Public Health Journal Universitas Indonesia
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Design of Computerized Patient Registration Application System at Tanjung Pati Health Center
No full textOne of the shortcomings of manual patient registration systems is the procedures that affect the efficiency of service care to patients. Therefore, researchers are interested in designing a computerized patient registration application using Microsoft Access software. The type of research used is Research and Development (R&D). This research was conducted at Tanjung Pati Community Health Center, with in-depth interviews with two registration officers. The research results show that the data elements needed to design the patient registration application system, sourced from the Patient Registration Book, will be developed by creating an application system using UML modeling. The application system undergoes Black Box Testing with the result that all components run well. The application system is efficient, with an average comparison of manual patient registration time to system patient registration of 420:180 seconds for new patients and 360:33 seconds for existing patients. The application system is efficient according to the results of interviews with informants. Therefore, the design of the computerized patient registration application system using Microsoft Access meets the needs of the community health center and is efficient in terms of patient registration time. It is recommended that the patient registration application be used continuously in the medical records unit at Tanjung Pati Community Health Center
Faktor-Faktor yang Mempengaruhi Personal Hygiene pada Siswa Madrasah Aliyah (MA) Boarding School
Full text linkLatarbelakang. Sekolah dengan sistem asrama memungkinkan terjadinya penularan penyakit. Siswa yang tinggal di asrama lebih rentan tertular penyakit.Tujuan. Penelitian ini bertujuan untuk menganalisis faktor yang mempengaruhi personal hygiene pada siswa Madrasah Aliyah (MA) boarding school di Kota Cilegon Tahun 2023.Metode. Penelitian dilakukan pada bulan April – Juni 2023. Penelitian ini menggunakan metode deskriptif kuantitatif. Analisis data menggunakan dengan pendekatan cross-sectional dengan uji bivariat. Sampel sebanyak 170 orang yang diambil secara simple random sampling.Hasil. Hasil penelitian menunjukkan nilai rata-rata personal hygiene responden sebesar 52,7 (skala 100). Kebersihan lingkungan 68,2% kategori baik, wali boarding school berperan (56,5%) dan kategori terpapar informasi sebanyak 67,1%. Sebagian besar pekerjaan orang tua responden termasuk pekerjaan non formal dengan latar belakang pendidikan kategori tinggi. Personal hygiene siswa boarding school dipengaruhi oleh kebersihan lingkungan (pv=0,0005), peran wali boarding school (pv=0,013), pekerjaan orang tua (pv=0,003) dan pendidikan orang tua (0,003). Orang tua yang memiliki pendidikan tinggi berpeluang 5 kali lebih tinggi untuk mendorong personal hygiene siswa lebih baik dibanding dengan orang tua yang memiliki pendidikan rendah. Pihak pengelola sekolah diharapkan meningkatkan peran wali boarding school dalam pengawasan personal hygiene siswa
Determinan Perilaku Tes IVA di Puskesmas Sawangan Kota Depok Tahun 2022
Full text linkLatar Belakang. Berdasarkan WHO tahun 2020, kanker terbanyak keempat adalah kanker serviks dan GLOBOCAN tahun 2018 menyatakan kanker serviks merupakan kanker terbanyak kedua di Indonesia. IVA merupakan salah satu program pemerintah untuk mendeteksi dini kanker serviks dan telah dijalankan di Indonesia. Namun cakupan IVA di Indonesia masih tergolong rendah.Tujuan. Identifikasi determinan perilaku tes IVA pada wanita di UPTD Puskesmas Sawangan Kota Depok yang berusia 30-50 tahun.Metode. Penelitian ini merupakan observasional analitik dengan desain potong lintang. Sampel penelitian yaitu wanita 30-50 tahun di Puskesmas Sawangan. Teknik pengumpulan data yang digunakan adalah consecutive sampling. Instrumen penelitian berupa kuesioner. Analisis data dilakukan dengan uji Chi-square dan regresi logistik.Hasil. Mayoritas responden tidak bekerja, multipara, memiliki pengetahuan baik, sikap negatif, akses informasi kurang baik, tidak dapat dukungan keluarga, dan tidak tes IVA. Terdapat hubungan signifikan antara paritas (p-value = 0,005) dan akses informasi (p-value = 0,001) dengan perilaku tes IVA serta tidak ada hubungan signifikan antara pengetahuan, sikap, pekerjaan, dan dukungan keluarga dengan perilaku tes IVA (p-value > 0,05). Uji multivariat menunjukkan paritas adalah faktor yang berhubungan dominan dengan perilaku IVA (OR = 9,106).Kesimpulan. Paritas dan akses informasi berhubungan dengan perilaku IVA. Pengetahuan, sikap, pekerjaan, dan dukungan keluarga tidak berhubungan dengan perilaku IVA
Relationship of Remuneration Policy to the Performance of Specialist Doctors in the Kramat Jati Regional General Hospital in 2022
No full textThe number and types of hospitals in Jakarta are constantly increasing, causing competition for customers or patients. Hospitals owned by the DKI Jakarta provincial government face challenges in providing specialist doctor services with the best performance for the community, this is closely related to the rewards offered to specialist doctors. One of the regional government's efforts to improve the performance of specialist doctors is by issuing regulations on remuneration for hospitals. This research aims to determine the relationship between remuneration policy and the performance of specialist doctors at Kramat Jati Regional Hospital. The research was conducted using a case study method with a qualitative approach. The research was conducted on 11 specialist doctors using questionnaires and in-depth interviews with informants. The results of the study found that the implementation of the remuneration policy at Kramat Jati Regional Hospital increased the average income of specialist doctors by 42.9% of the income of specialist doctors before the implementation of remuneration. This study also found that the implementation of remuneration policies at Kramat Jati Regional Hospital was related to the quantity performance of specialist doctors
Workers’ Characteristics of Hearing Loss at Soekarno-Hatta International Airport, Indonesia
Full text linkThis study aimed to analyze the characteristics and factors of worker behavior, including age, the use of ear protection, work duration, a record of diabetes mellitus or hypertension, work rotation, and noise hazards involved in hearing loss in PT. X at Soekarno-Hatta International Airport, Indonesia. A cross-sectional study from May 2017 to June 2017 involved 73 workers in the power service area (TZ Unit) exposed to noise levels <85 dBA and ≥85 dBA, using an audiometry test for hearing loss and Sound Level Meter for noise hazards was conducted. The Chi-square test showed a significant correlation between age (OR 8.4, 95% Cl = 1.6-44.1), work duration (OR 7.6, 95% Cl = 0.9-67.2), and the use of ear protection (OR 7.8, 95% Cl = 1.4-44.2) with hearing loss in workers in the power service area. The multivariate analysis revealed that workers exposed to a noise level of 85 dBA had a 1.7 times greater risk of hearing loss than workers exposed to a noise level of <85 dBA after controlling for age, work duration, use of ear protection, medical history, and work rotation
Epidemiology of Celiac Disease in Northern Morocco in 2018–2021: A Descriptive Cross-Sectional Study
Full text linkCeliac disease is an autoimmune disease caused by gluten. This retrospective cross-sectional study with descriptive and analytical aims was conducted over three years, from 2018 to 2021. The participants were 280 patients diagnosed with celiac disease registered in the Gluten Intolerant and Allergic Association of the North in the Tangier-Tetouan-Al Hoceima region. The prevalence and incidence of celiac disease in this region were 1/135 and 1/253, respectively. The average age was 21.18 ± 1.13, and the first symptoms appeared between 10 and 25 years. The data showed a female predominance of 68% versus 32% for males, with a male/female sex ratio of 0.45. The clinical signs of celiac disease manifested more in gastrointestinal symptoms. This study obtained data on 22.6% of microcytic hypochromic anemia patients and 40.7% of Helicobacter pylori infections. In addition to celiac disease, the patients showed other pathologies with different rates: repeated spontaneous abortions (2.14%), type 1 diabetes mellitus (1.42%), autism (1.42%), dermatitis herpetiformis (0.72%), cancer(0.72%), and epilepsy (0.35%). Serologically, anti-transglutaminase antibodies were positive in 47.2% of patients. Analyses of histological data from intestinal biopsies from 141 patients were positive in 50.8% of patients. There was a minor correlation between the serological profile and the degree of atrophy
THE POTENTIAL OF ECONOMIC LOSS DUE TO STUNTING IN INDONESIA
Full text linkStunting cases continue to increase, along with the high risk of undernutrition, the increasing prevalence of malnutrition, and decreasing productivity. If this condition is not handled correctly, it can affect Indonesia's development performance, inequality, and poverty. Stunting can hinder economic growth and labor productivity, affecting 11% of GDP (gross domestic product) and reducing the income of adult workers by up to 20%. Based on this, it is necessary to make prevention and control efforts in nutrition intervention activities an economic investment. Therefore, this study estimates the economic potential lost due to stunting in children under five. This descriptive study is based on processing secondary data from various related agencies. We employed Konig's formula and correction factors from Horton's study. The results of this study show that the incidence of stunting in children under five in Indonesia in 2021 was 24.4%. Nationally, Indonesia has the potential for economic loss due to stunting in toddlers, which ranges from IDR 15,062 to IDR 67,780 billion. These are equivalent to a range of 0.89-3.99% of the total GDP in 2021 (IDR 16,970.8 trillion)
The Extent of Knowledge, Preparedness and Perception of Telemedicine among Family Medicine Residents in Cebu City during COVID-19
Full text linkTelemedicine is providing healthcare services using electronic means at a distance including the diagnosis, treatment, and prevention of diseases as well as the research and evaluation, and education of healthcare providers. Its role in the time of the pandemic is vital, especially to the practice of medicine. This study is a descriptive, cross-sectional, survey research study conducted in four hospital training institutions in Cebu City. A total of 41 respondents gave their consent and were given the online survey questionnaire about the extent of knowledge, preparedness and perceptions of telemedicine. Out of the 41 respondents, 56.10% were young adults (26-30 years old), mostly females (70.73%), single (68.29%), first-year residents (43.90%), employed at a government hospital (70.73%) and are in the traditional residency pathway (82.93%). On relevant experience, 82.93% experienced telemedicine during residency, with 100% on follow-up consultations, and 95% were consulted due to infections. Respondents’ extent of knowledge was average while the extent of preparedness and perception were high. Problems with low connectivity (80.48%) were noted by most of the respondents. Resident physicians moderately understood the information about telemedicine but with a high extent of preparedness and perception. Challenges to low connectivity and handling patients’ data privacy were the major concerns met by the resident physicians in the use of telemedicine
Evaluasi Kegiatan UKS di Sekolah Dasar X dalam Penerapan Program Sekolah Sehat Tahun 2022
Full text linkPada tahun 2022, pemerintah mengkampanyekan ‘Sekolah Sehat’ yang bertemakan revitalisasi Usaha Kesehatan Sekolah (UKS) dengan salah satu targetnya adalah Sekolah Dasar (SD), yang didasari oleh kekhawatiran terkait masalah kesehatan anak Indonesia. Berangkat dari hal tersebut, penelitian ini bertujuan untuk mengevaluasi kegiatan UKS di SD X. Penelitian ini menggunakan metode kualitatif melalui observasi dengan form ceklis dan wawancara mendalam terhadap kegiatan yang terkait dengan tujuan dari Sekolah Sehat, yakni penjaringan kesehatan dan pemeriksaan kesehatan berkala, pendidikan gizi, aktivitas fisik, dan imunisasi. Hasil penelitian menunjukkan bahwa pelaksanaan kegiatan UKS dalam penerapan program Sekolah Sehat tahun 2022 di SD X secara keseluruhan telah terlaksana dengan baik tetapi masih terdapat ketidaksesuaian dengan modul implementasi UKS di Satuan Pendidikan Sekolah Dasar dan Penerapan Trias UKS dalam Pembelajaran Tatap Muka Terbatas di masa pandemi. Belum terbaruinya pedoman UKS dan keterbatasan sarana menyebabkan tidak optimalnya pelaksanaan beberapa kegiatan. Saran untuk SD X adalah untuk memperbaharui pedoman UKS agar pelaksanaan kegiatan dalam perwujudan Sekolah Sehat dapat terlaksana dengan optimal
Analysis of Energy Balance in Obese Healthcare Workers
Full text linkObesity is a global health challenge that seriously affects developing countries, including Indonesia. Although the determining factors of obesity are complex, energy balance and lifestyle play a very important role. Unbalanced dietary patterns and sedentary behavior are still the most important factors in the occurrence of obesity. Therefore, it is important to discover the energy balance calculated from energy intake and energy expenditure in obese patients. This study aimed to analyze the balance of energy intake and expenditure, body composition, and physical activity level in obese patients at Exercise Center IMERI FKUI. A cross-sectional study was held at Exercise Center IMERI FKUI. Study participants (patients) were screened by measuring body composition and obesity status was determined based on BMI data (≥25 kg/m2). The selected subjects were then administered to data collection on body composition using the MF-BIA instrument, energy intake using the MyFitnessPal (MFP) application, as well as energy expenditure and physical activity level using the IPAQ-SF tool. From a total of 12 patients with obesity at the Exercise Center, 11 (91.67%) patients had a negative energy balance and 1 (8.33%) patient had a positive energy balance during a 7-day period of data collection. A majority of the obese patients at the Exercise Center reported a negative energy balance