Faculty of Public Health Journal Universitas Indonesia
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Dampak Asuhan Berkelanjutan pada Ibu Hamil terhadap Kematian Neonatus di Perkotaan dan Pedesaan: Analisis Demographic and Health Surveys Indonesia 2017
No full textUpaya menurunkan angka kematian neonatus (AKN) membutuhkan suatu pelayanan kesehatan yang berkesinambungan, dikenal dengan istilah asuhan berkelanjutan atau Continuum of care. Asuhan berkelanjutan pada ibu hamil di daerah perkotaan bisa saja berbeda dengan di pedesaan. Penelitian ini ingin mengetahui dampak asuhan berkelanjutan pada ibu hamil terhadap kematian neonatus, serta peran tempat tinggal ibu hamil terhadap hubungan tersebut. Studi ini merupakan studi potong lintang menggunakan set data Demographic and Health Surveys (DHS) Indonesia tahun 2017. Variabel dependen pada studi ini adalah kematian neonatus dari anak terakhir yang dilahirkan responden antara 2012 hingga 2017. Variabel independennya adalah asuhan berkelanjutan pada ibu hamil yang terdiri dari asuhan antenatal, asuhan persalinan, dan asuhan pasca persalinan yang optimal. Analisis multivariat menggunakan regresi logistik ganda. Cakupan asuhan antenatal optimal, asuhan persalinan optimal dan asuhan pasca persalinan optimal adalah 25,97%, 72,77%, dan 51,88%. Secara keseluruhan, asuhan berkelanjutan diperoleh 13,87% ibu hamil. Dari 14.862 persalinan, terdapat 153 kematian neonatus (11 kematian neonatus per 1000 kelahiran hidup). Ibu hamil yang tidak menjalani asuhan berkelanjutan memiliki risiko 10,77 kali lebih tinggi mengalami kematian neonatus (POR=10,77; IK95% 2,56-45,37). Tidak ditemukan perbedaan efek tersebut antara kelompok subjek yang tinggal di perkotaan dan pedesaan (nilai p=0,564). Asuhan berkelanjutan pada ibu hamil menurunkan angka kematian neonatus. Tidak terdapat perbedaan dampak tersebut di perkotaan maupun pedesaan
Composite Index of Anthropometric Failure and Early Childhood Cognitive Development Based on the 2018 Indonesian Basic Health Research Data
Full text linkDelays in early childhood cognitive development may have profound long-term implications on health and life expectancy. Optimal nutrition supports early life development, including a child's cognitive development. This study aimed to determine the association between the Composite Index of Anthropometric Failure and early childhood cognitive development among children aged 36-59 months in Indonesia. This cross-sectional study utilized data from the 2018 Indonesian Basic Health Research that involved 18,027 participants aged 36-59 months. This study outcome demonstrated that children who were stunted-underweight were potentially susceptible to delayed cognitive development compared to those with normal nutritional status (aOR = 1.30; 95% CI 1.12-1.51) after controlling for child’s age, sex, vitamin A supplementation, antenatal care visits, gestational age, access to drinking water and sanitation (combined risk), maternal education and mental health (combined risk), maternal occupation and number of household members (combined risk). In summary, malnourished children are vulnerable to impaired physical growth and potential delays inearly cognitive development
Work From Home (WFH) and Vaccination in Pandemic COVID-19: Literature Review
No full textAbstractCorona Virus Disease–19 (COVID-19) is a global pandemic who found the first time in Wuhan, cases are increasing and spreading rapidly including to all regions of Indonesia. (1) COVID-19 greatly impacts on all aspects of life, especially for welfare Indonesian people. Policy implementation for the prevention and control of COVID-19 has been carried out, such as implementing work from home (WFH) and vaccination. (2) The method used in this research is literature review using journals obtained from publication databases such as Google Scholar, Pubmed, and Science Direct. The researcher wrote down the appropriate keywords, namely work from home and vaccination during COVID. The journal used is a publication from 2013 to 2023. WFH and vaccination during a pandemic have an important role in controlling COVID-19, collaboration between the government, work leaders, scientists, health workers, and the community is needed so that WFH and vaccination can be adopted in the future. optimally endemic.Keywords: Work From Home, WFH, Vaccine, COVID
Faktor-Faktor yang Mempengaruhi Perempuan Melakukan Pemeriksaan Dini Kanker Serviks : A Scoping Review
Full text linkBerdasarkan laporan dari The Global Cancer Observatory (GLOBOCAN) 2020, kasus terbaru kanker serviks di Indonesia sebanyak 36.633 jiwa (17,2%) menempati posisi kedua setelah kanker payudara dan menempati posisi ketiga penyebab kematian akibat kanker. Secara nasional hanya sebanyak 8,3% perempuan usia 30-50 tahun yang melakukan pemeriksaan dini kanker serviks melalui metode Inspeksi Visual Asam Asetat (IVA test) dan kanker payudara dengan Periksa Payudara Sendiri (SADARI). Tujuan dari artikel ini adalah untuk mengkaji dan menemukan bukti berdasarkan faktor-faktor yang mempengaruhi pencegahan dini kanker serviks pada perempuan di Indonesia. Scoping Review digunakan untuk menafsirkan hasil sesuai dengan evidence based dengan menerapkan kriteria inklusi dan eksklusi, kemudian menggali dan menganalisis data serta memaparkan hasil dari review artikel. Dari beberapa databased yang digunakan pada penelitian ini seperti Science Direct (42) dan PubMed (68) diperoleh 2 tema yaitu skrining kanker serviks, hambatan dalam skrining dan vaksinasi HPV. Berdasarkan hasil penelitian ini terdapat hambatan dalam pemeriksaan dini kanker serviks dengan metode IVA test, Pap Smear dan pencegahan dini kanker serviks dengan vaksinasi HPV yang diantaranya disebabkan oleh kurangnya pengetahuan, dukungan suami serta khawatir akan efek samping dan biaya yang tinggi
Extremely Hot Ambient Temperature and Injury-related Mortality
Full text linkThis pilot study aimed to evaluate the effects of extremely hot ambient temperatures on the total number of fatal injuries. Data were collected from a population-based mortality registry of Thanh Hoa, a province in the North Central region of Vietnam. This study qualified the distributed lag non-linear model and calculated the RR and 95% CI adjusted for long-term trend and absolute humidity. For the entire study population with 3,949 registered deaths due to injuries collected during 2005-2007, after the onset of extremely hot ambient temperatures, an increased risk of death was observed on the 9th day RR (95% CI) = 1.44 (1.06–1.97) and reached the peak on the 12th day RR (95% CI) = 1.58 (1.14–2.17), and at the 15th day RR (95% CI) = 1.49 (1.08–2.06). Men and old adults were identified as the most vulnerable groups. This study confirmed a positive association between hot temperatures and injury-related deaths in the province of 3.6 million people. The findings motivated further investigation into the effect of warm climate changes and the risk of deaths related to other specific causes such as road traffic, work-related injury, and etc
Analisis Faktor Risiko Kejadian Stunted, Underweight, dan Wasted Pada Balita di Wilayah Kerja Puskesmas Rangkapan Jaya, Kota Depok, Jawa Barat Tahun 2022
Full text linkMenurut UNICEF, status gizi pada anak secara langsung dipengaruhi oleh asupan makanan dan infeksi penyakit. Namun, banyak faktor secara tidak langsung yang mempengaruhi tumbuh kembang anak, diantaranya berat lahir, panjang lahir, jenis kelamin, usia dan status kenaikan berat badan. Maka dari itu penelitian ini bertujuan untuk menganalisis hubungan antara faktor risiko tersebut dengan kejadian stunted, underweight dan wasted. Metode yang digunakan adalah cross sectional dengan menggunakan data sekunder dari website Elektronik Pencatatan dan Pelaporan Gizi Berbasis Masyarakat (E PPGBM). Hasil dari penelitian ini adalah adanya hubungan berat lahir, panjang lahir, jenis kelamin, usia dan status kenaikan berat badan dengan stunted, underweight dan wasted. Maka disimpulkan bahwa perlu adanya perhatian lebih terhadap balita dengan riwayat berat bayi lahir rendah, panjang bayi lahir rendah, berusia 23-59 bulan, dan berjenis kelamin laki-laki agar dapat terhindar dari masalah kekurangan gizi
Clinical and Functional Outcomes of COVID-19 Survivors After Hospitalization
Full text linkCoronavirus disease 2019 (COVID-19) causes various clinical manifestations during acute infection and at the post-acute phase with persistent symptoms called long COVID. It occurs in mild and moderate to severe cases which require hospitalization. In patients needing hospitalization, especially intensive care unit admission, the risk of long COVID increases. Many hospitalized patients exhibited more symptoms in 60 days after the illness than non-hospitalized patients. This review aimed to identify the clinical and functional outcomes in COVID-19 survivors after hospitalization. The articles in the PubMed database published in 2019-2021 were reviewed and found 20 be eligible. The clinical outcomes were the appearance or persistence of general and multi-organ symptoms, nutritional disorders, and decreased lung function. The functional outcomes found were decreased muscle strength, physical, psychological, and cognitive functions, increased disability and dependencies, as well as decreased vocational status and quality of life. The incidence of each outcome could not be determined due to the variety of methods used to examine and present outcomes. To conclude, COVID-19 causes long-term clinical and functional outcomes that need to be identified to prevent and manage long-term physical and functional disorders
Comparison of Prevalence and Associated Factors of Multisystem Health Symptoms Among Workers in the Gas Station Area, Thailand
Full text linkThis cross-sectional study aimed to compare the prevalence of multisystem health symptoms (MHS) of workers in gas station areas before and after their employment and examine the factors affecting the MHS of workers. Data were collected by an interview questionnaire from 200 workers inside and outside refueling areas at eight gas stations in Rayong Province, Thailand. This study found that employees had a statistically significant increase in the prevalence of current MHS in comparison to before starting work (p-value<0.05), with 31.5%. Working overtime for more than 6 hours per week led to respiratory symptoms (OR = 2.63, 95% CI = 1.14–6.07) and psychological symptoms (OR = 2.69, 95% CI = 1.12–6.49). Wearing respiratory protective equipment for less than three hours affected ear/throat/nose systems (OR = 4.26, 95% CI = 1.43–12.65). Petrol refueling resulted in liver (OR = 2.32, 95% CI = 1.4–12.65) and eye symptoms (OR = 2.57, 95% CI = 1.10–5.39). Therefore, gas station owners should set up enclosed rooms to reduce the duration of fuel exposure, and workers should wear personal protective equipment when refueling or near the dispenser
Hubungan Status Ekonomi dengan Jumlah Anak Lahir Hidup pada Wanita Kelompok Usia Kurang dari 45 Tahun dan Kelompok Usia 45-49 Tahun Kawin (Analisis Data SDKI 2017)
Full text linkPermasalahan kependudukan masih sangat kompleks. Salah satu hal nyata yang dihadapi adalah pertumbuhan penduduk yang relatif masih tinggi. Salah satu bagian dari pertumbuhan penduduk tidak terlepas dari jumlah anak lahir hidup. Salah satu faktor yang diduga berhubungan dengan jumlah anak lahir hidup adalah status ekonomi. Penelitian ini dilakukan untuk melihat besar hubungan antara status ekonomi dengan jumlah anak lahir hidup pada wanita usia kurang dari 45 tahun berstatus kawin yang masa reproduksinya masih berjalan dan usia 45-49 tahun berstatus kawin yang sudah masuk ke akhir masa reproduksi. Penelitian ini dilakukan menggunakan desain studi potong lintang menggunakan data Survei Demografi Kesehatan Indonesia (SDKI) tahun 2017. Penelitian ini menemukan bahwa pada kedua kelompok umur diketahui bahwa terdapat hubungan signifikan antara status ekonomi dengan jumlah anak lahir hidup. Ditemukan pula bahwa odds lebih besar ditemukan pada status ekonomi sangat miskin, miskin, menengah, dan kaya dibanding dengan wanita yang status ekonominya sangat kaya. Selanjutnya ditemukan bahwa pada wanita usia kurang dari 45 tahun, didapati hasil bahwa variabel pendidikan, status pekerjaan, usia pertama menikah, penggunaan kontrasepsi, dan preferensi jumlah anak menjadi perancu antara status ekonomi dengan jumlah anak lahir hidup. Sedangkan pada wanita usia 45-49 tahun, variabel wilayah tempat tinggal, statuspekerjaan usia pertama menikah, penggunaan kontrasepsi, dan preferensi jumlah anak menjadi perancu antara status ekonomi dengan jumlah anak lahir hidup
Government or Donor: The Budget for HIV/AIDS Control and Financial Commitment in Bandung City, Indonesia
Full text linkThe number of HIV/AIDS cases in Indonesia has steadily increased since 1987. West Java Province, especially Bandung City, had the highest HIV/AIDS cases among other districts/cities in 2016. Some stakeholders' interventions overlap with others, leading to inefficient use of the limited government budget and flattening international donor funding. This study aimed to estimate the HIV/AIDS budget in Bandung City and then segregate the share of the budget by funding source and objectives. This study was a part of the Priority Setting Involving Stakeholder Using Multiple Criteria (PRISMA) project in 2017 to prioritize HIV/AIDS interventions knowing that Bandung City had the highest HIV/AIDS cases. Data from several institutions and relevant budget allocations were obtained before (2016) and after (2018-2019) the PRISMA project. HIV/AIDS control programs in Bandung City largely depend on international funding: 49% in 2016 (~USD208,898), 85% in 2018 (~USD386,132), and 71% in 2019 (~USD389,943) for a total of ~USD1,433,216. The largest budget was allocated to core interventions, with prevention dominating the budget since 2018. The budget allocated for prevention increased significantly from 2016-2019, most likely under the influence of the PRISMA project