Faculty of Public Health Journal Universitas Indonesia
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IMPLEMENTASI LEAN DALAM STRATEGI PEMASARAN DI RUMAH SAKIT GIGI DAN MULUT: TINJAUAN LITERATUR
Rumah sakit sebagai pelayanan kesehatan harus membuat strategi dalam mengembangkan kegiatan pemasaran supaya mendapat respon yang baik oleh masyarakat. Rumah Sakit Gigi dan Mulut (RSGM) merupakan pelayanan kesehatan yang menyelenggarakan pelayanan kesehatan gigi dan mulut berupa pencegahan, pengobatan, dan pemulihan serta menyelenggarakan pelayanan gawat darurat, rawat jalan, dan rawat inap. Berkembangnya jumlah RSGM membuat manajemen pelayanan kesehatan harus membuat perencanaan strategi pemasaran yang tepat supaya dapat meningkatkan dan mempertahankan minat kunjungan pasien. Selain itu, RSGM juga harus memperhatikan kualitas pelayanan dan efisiensi biaya. Manfaat lean dalam pemasaran dapat meningkatkan kualitas pelayanan dan produktivitas dengan menentukan nilai yang bermanfaat serta menghilangkan pemborosan sehingga dapat memaksimalkan potensi yang dimiliki dan pemasaran dapat sesuai dengan target pasar. Studi ini dilakukan secara deskriptif dan hasil pencarian akan dikaitkan dengan Lean di pembahasan sebagai metode untuk membantu mengidentifikasi strategi pemasaran yang tepat berdasarkan sumber daya yang dimiliki. Maanfaat lean dalam strategi pemasaran yaitu dapat membantu mengidentifikasi bauran pemasaran yang tepat menggunakan beberapa jenis tools, contohnya adalah fishbone diagram, dan mengurangi waste yang tidak diperlukan dalam upaya pemasaran RSGM
Access to Social Media, Knowledge, and Acceptance of COVID-19 Post-Vaccination Health Protocols: A Cross-Sectional Study
The health protocols recommended by the health authorities still need to be practiced after having the COVID-19 vaccine. Education on the prevention of COVID-19 infection needs to continue to protect people from the disease. This study aimed to determine the factors associated with adhering to COVID-19post-vaccination health protocols in people aged 18 years and over in the South Denpasar Subdistrict. This cross-sectional study comprised a sample of 147 people who were selected by incidental sampling. The data were obtained using questionnaires from July to August 2022 and examined with bivariate and multivariate analysis. Most participants were female, private employees, went to senior high school, accessed social media, had high knowledge of COVID-19, and properly followed health protocols post-vaccination. However, only 34.7% of participants accepted the government’s policy for preventing COVID-19. Multivariate analysis showed that good social media access (aOR = 11.9; 95% CI = 3.6–39.8; p-value<0.001), high knowledge of COVID-19 infection (aOR= 2.6; 95% CI = 1.0–7.4; p-value = 0.044) and high acceptance of government policies (aOR = 4.1; 95% CI = 1.5–11.6; p-value = 0.006) were associated with the application of health protocols post-vaccination in people aged 18 years and over. In the studied group, having access to trusted social media, knowledge, and public acceptance of government policies led to adhering to the recommended health protocols post-vaccination
Peer Influence As The Dominant Factor In Coffee Drink Consumption Among Non-Health Major University Of Indonesia Students In 2023
Coffee drinks are sugar-sweetened beverages made from coffee powder, sugar, and water, through a heating process. High consumption of coffee drinks is associated with the sugar content, which can increase the risk of obesity. The aim of this study was to determine the differences in coffee drinks consumption levels based on individual characteristics and environmental factors among non-health undergraduate students at the University of Indonesia in 2023. This quantitative study used a cross-sectional design with a sample of 181 active undergraduate non-health students in 2023. Data were collected in June 2023 through self-administered. The results showed that 52.5% of the respondents had a high level of coffee drink consumption (≥ 3-4 times per week). Bivariate analysis revealed significant differences in coffee drinks consumption based on smoking behavior, peer influence, availability of coffee at home, and accessibility (p-value < 0.05). Multivariate analysis indicated that peer influence was the dominant factor influencing students' coffee drink consumption. The researchers suggest students increase their awareness and encourage their social circle to limit excessive coffee consumption. Additionally, relevant health institutions are advised to provide education, increase information about recommended limits of coffee consumption
Ramadan Fasting Did Not Lessen Vegetable and Fruit Consumption, Sleep Duration, and Physical Activity on Adolescents in Al-Azhar Indonesia University
AbstractMuslims do Ramadan fasting for around 12 hours (between dawn and sunset). Apart from changing meal times, Ramadan fasting also has the potential to change sleep duration due to sahoor (before the dawn) activities that must be done. The ideal amount and frequency of vegetables and fruit consumption in the national guideline were illustrated by the three main meals a day. The different conditions occurred when doing Ramadan fasting, which was predicted to have less vegetable and fruit consumption than the normal days, especially Muslim adolescents. This research analyzed the difference between the consumption of vegetables and fruit, sleep duration, and physical activity during and after Ramadan fasting among adolescents in Universitas Al-Azhar Indonesia. The research used a quasi-experimental study without a control group, with thirty-five samples. The data collection used a structured 2 x 24-hour recall questionnaire and the Wilcoxon Test to identify the differences. Results showed there were no significant differences between vegetable and fruit consumption, sleep duration, and physical activity during and after Ramadan fasting. Based on the results, the conclusion is that Ramadan fasting had no impact on reducing vegetable and fruit consumption, sleep duration, and physical activity among adolescents in Universitas Al-Azhar Indonesia. Keywords: Adolescent, Ramadan fasting, food consumption. AbstrakUmat muslim melaksanakan puasa Ramadan selama kurang lebih 12 jam (dari matahari terbit hingga tenggelam). Aktivitas puasa Ramadan selain mengubah jam makan, juga berpotensi mengubah pola tidur karena aktivitas sahur yang harus dijalani. Dalam pedoman gizi seimbang, frekuensi konsumsi sayur dan buah digambarkan melalui 3 kali waktu makan utama dalam sehari. Kondisi yang berbeda terjadi saat menjalankan ibadah puasa yang berpotensi dapat mengurangi asupan sayur dan buah dibandingkan hari biasa khususnya pada remaja. Tujuan penelitian ini untuk menganalisis perbedaan antara konsumsi sayur dan buah, durasi tidur, serta aktivitas fisik, saat dan setelah puasa Ramadan pada remaja di Universitas Al-Azhar Indonesia Metode penelitian yang digunakan yaitu metode eksperimen semu tanpa kelompok kontrol, dengan melibatkan 35 mahasiswa/i di Universitas Al-Azhar Indonesia. Pengumpulan data dilakukan dengan teknik wawancara menggunakan kuesioner recall 2 x 24 jam dan menggunakan uji beda Wilcoxon untuk menganalisis perbedaan. Hasil penelitian menunjukkan bahwa tidak terdapat perbedaan yang signifikan antara konsumsi sayur dan buah, durasi tidur, serta aktivitas fisik, saat dan setelah puasa Ramadan.Puasa Ramadan tidak berdampak terhadap penurunan konsumsi sayur dan buah, durasi tidur, serta aktivitas fisik pada remaja di Universitas Al-Azhar Indonesia. Kata Kunci: Remaja, puasa Ramadan, konsumsi makana
KNOWLEDGE, WORKLOAD, ATTITUDE, AND ELECTRONIC HEALTH RECORDS COMPLIANCE AMONG HEALTHCARE PROFESSIONALS
Electronic health record (EHR) has replaced conventional medical records in Indonesia. Until now, its utilization is still not optimal, and there are still frequent problems with incomplete filling of the EHR form due to individual factors. To examine the association between knowledge and workload with healthcare professionals' (HCPs) compliance in filling out HER, considering the mediating role of attitude. We performed a cross-sectional study on 80 HCPs who worked at the Intensive Care Unit of the National Cardiovascular Centre Harapan Kita. We observe the level of knowledge and workload as independent variables, attitudes as mediating variables, and compliance as the dependent variable. Primary data were obtained by using questionnaires. The association among observed variables was analyzed using path analysis. As a result, we found that knowledge, workload, and attitude simultaneously had a significant association with compliance in EHR filling. Attitude is the most dominant independent variable that directly affected compliance, while knowledge and workload were associated with compliance mediated by attitude. It was concluded that increasing HCPs' compliance in filling out the EHR would be directly associated with a positive attitude of HCPs. A higher level of knowledge and a lighter workload do not directly associate with better compliance, but affect attitude improvement. Thus improving knowledge levels and adjusting the workload will increase EHR filling compliance by mediating positive attitudes among HCPs.
Job Satisfaction Model of Primary Health Care Midwives Based on Indonesian Workforce Research in the Health Sector
Promotive, preventive, curative, and rehabilitative efforts that are comprehensive, integrated, and sustainable are employed to enhance the health state of the global population. Within this context, however, the quality of primary health care depends on job satisfaction, which leads to the happiness of human resources in the health sector. Therefore, this study aimed to analyze and formulate a job satisfaction model among primary health care midwives in Indonesia. This study was an advanced secondary data analysis of a cross-sectional study conducted in 2017 by the National Institute of Health Research and Development, Ministry of Health of the Republic of Indonesia. A total of 87,341 midwives from all 9,669 primary health cares in Indonesia participated in this study. Data were collected by distributing the Minnesota Satisfaction Questionnaire, elaborating on the satisfaction level and relevant contributing factors. The prefilled Likert scale questionnaire was analyzed using logistic regression. The findings suggested a model indicating that motivation, work area (region), history of salary delay, and training received were important for their job satisfaction, whereas the motivation aspect contributed the most. Therefore, the local and central governments must consider these factors in the human resource policymaking process
Developing a New Tool for Early Detection of the Nutritional and Health Risk Factors of Urban Workers’ Productivity
Nutrition and health play vital roles in work productivity. This study aimed to develop a risk self-assessment tool called Early Detection of the Nutritional and Health Risk Factors on the productivity of urban workers. This study was conducted in two stages: 1) the development of the tool to determine the nutritional and health risk factors that affect productivity based on literature reviews and scoring systems and 2) the testing of validity and reliability. Finally, the tool contained 63 items, including 28 items on nutritional risk factors and 35 on health risk factors. The validity of the tool was assessed using the content validity index (CVI): item-level CVI (I-CVI) and scale-level CVI (S-CVI), and face validity index (FVI) and reliability using Cronbach’s alpha coefficient. Preliminary versions of this tool showed a high content validity (I-CVI = 1.00; S-CVI based on the average method = 1). The face validity index among urban workers was at least 0.90, and the overall Cronbach’s alpha coefficient was 0.70. The tool developed is acceptable, but revisions are still needed, and sample sizes must be increased
The Determinants of Stunting in the Under-five in Three Municipalities in the Special Capital Region of Jakarta
The COVID-19 pandemic has impacted the global decline in public health status. This study aimed to analyze the determinants of stunting in the under-five in three municipalities in the Special Capital Region of Jakarta, Indonesia. A cross-sectional study was conducted in August-December 2020 with 460 pairs of mothers and children selected by simple random sampling. Stunting was measured using a conventional anthropometric index (length/height-for-age), and anthropometric failure was measured using the Composite Index of Anthropometric Failure. The prevalence of stunting, underweight, and wasting was 41.5%,35%, and 19.8%, respectively, and 62% of the under-five experienced anthropometric failure. The dominant factor associated with stunting was immunization record (p-value = 0.011; AOR = 2.360; 95%CI = 1.218–4.573). Children who did not receive complete basic immunization were at a 2.4 times greater risk of stunting than children who received complete basic immunization. The dominant factors associated with underweight, wasting, and anthropometric failure were the father's educational level, mother's occupation, and balanced nutrition practice. Increasing coverage of complete basic immunization, improving balanced nutrition practices and socioeconomic conditions is necessary to prevent undernutrition, especially stunting
POLICY CONSIDERATIONS FOR THE UTILIZATION AND RATIONALIZATION OF PPE IN MATERNAL CARE DURING COVID-19 PANDEMIC – LITERATURE REVIEW
Policies regarding utilizing and rationalizing Personal Protective Equipment (PPE) during the COVID-19 pandemic challenge every healthcare service provider. Within the maternal health sector, it is suspected that the negative perception of patients and the lack of implementation and compliance with infection prevention and control policies disrupt the quality of care provided. This research is a narrative review highlighting all proper considerations for using and rationalizing PPE within the maternal health sector. Articles are gathered and filtered from well-known scientific publishing sites, and ten articles became the main discussion of this research. The utilization of PPE impacts all levels of maternal health service, from prenatal care to postnatal and neonatal care. Standardized PPE utilization and rationalization are needed to maintain the quality of care and reduce any negative impacts that PPE use might bring. Policies regarding the use of PPE must be well thought out to ensure that it will benefit its user without the risks of its side effects
Analisis Spasial Autokorelasi Tuberkulosis di Pulau Jawa Tahun 2021
Tuberkulosis (TB) adalah salah satu penyakit menular yang masih menjadi masalah kesehatan masyarakat di Indonesia. Terlebih, adanya pandemi COVID-19 berimbas kepada berkurangnya progress dan penanganan TB di tahun 2021, maka dari itu dilakukan penelitian untuk mengetahui situasi TB dan melihat hubungan spasial pada kasus TB dengan faktor-faktor risikonya di salah satu wilayah dengan jumlah kasus tertinggi di Indonesia; Pulau Jawa, di tingkat kabupaten/kota. Faktor risiko dibagi menjadi dua kelompok, yaitu faktor geografis seperti rata-rata ketinggian, suhu tahunan, dan kelembaban tahunan; serta faktor sosiodemografi yang mencakup kepadatan penduduk/densitas, jumlah fasilitas kesehatan, dan rata-rata usia diagnosis. Hasil penelitian menunjukkan adanya pola mengelompok di seluruh variabel; proporsi TB, jumlah fasilitas kesehatan, rata-rata umur diagnosis, kepadatan penduduk, ketinggian rata-rata, suhu, dan kelembaban tahunan. Hasil uji signifikansi menemukan adanya hubungan spasial pada rata-rata umur diagnosis, kepadatan penduduk, ketinggian rata-rata, suhu, dan kelembaban tahunan, sedangkan jumlah fasilitas kesehatan dengan proporsi TB tidak ditemukan adanya hubungan spasial. Hasil penelitian ini dapat dijadikan sebagai rekomendasi dalam alokasi sumber daya penanganan TB dan sebagai kesempatan bagi penelitian selanjutnya untuk menggali lebih jauh mengenai hubungan kompleks antara TB dengan faktor-faktor risikonya