Faculty of Public Health Journal Universitas Indonesia
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    Quality of Life of Hypertensive Patients Undergoing Chronic Disease Management Program during the COVID-19 Pandemic

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    The COVID-19 pandemic has restricted some common activities for hypertensive patients undergoing the Chronic Disease Management Program/Program Pengelolaan Penyakit Kronis in primary health care, decreasing the quality of life. This study aimed to measure the quality of life of hypertensive patients undergoing the Chronic Disease Management Program at primary health care of Manado City, North Sulawesi Province, Indonesia, during the COVID-19 pandemic and determine the factors influencing hypertension such as sex, age, education, employment status, monthly income and duration of hypertension. This cross-sectional study was carried out on 150 hypertensive patients randomly sampled at primary health care from June to September 2021. The data were analyzed using the Mann-Whitney test. The quality of life of non-complicated hypertensive patients was higher than those with complications. The utility value and the visual analog scale of hypertensive patients with and without complications were 0.808±0.13 and 80.2±8.16 and 0.761±0.17 and 75.1±7.56, respectively. The quality of life of hypertensive patients without complication is better than that of hypertensive patients with complication

    Webinar Training of Congenital Heart Disease Followed by Echocardiography Screening in Jember

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    Introduction:Congenital heart disease (CHD) affects approximately 0.8% to 1.2% with incidence rate of mortality was 81 cases per 100,000 live births. Generally, CHD is a structural abnormality of the heart and (or) great vessels that is present at birth. Limited knowledge among health workers for the etiologist, risk factors, and the high heterogeneity in CHD constitutes the major obstacles for prevention and early screening. The educational activities aim to increase the medical personnel's knowledge to conduct early detection and management of CHD in Jember. Method:These activities consisted of training followed by echocardiography screening. The training was implemented through webinar with health workers participants in Jember. The topics contained how to detect, diagnosis and therapy, and cases simulation of CHD. Pre and Post-test were used to evaluate knowledge level. The visitation of echocardiographic screening by Pediatric cardiologist was held a week later in Jember. Results:There were 208 participants during the webinar training. The mean score of pre-test was 10.09/15 with only 7 participants who got the perfect score. At the end of the webinar, the mean score of post-test was 14.34/15 with 127 participants who finally got the perfect score.Total 28 children were screened by echocardiography examination. There were 14 children diagnosed with acyanotic CHD, 10 children with cyanotic CHD, and 4 children were normal. Conclusion:Webinar training can improve the knowledge among health workers about early detection of CHD and there were 86% children diagnosed with CHD among screening participants in Jember.

    Aminolevulinic Acid Dehydratase Allelic Frequency and Lead Toxicity in Children Under-Five in a Former Used Lead-Acid Battery Area

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    Polymorphisms in the Aminolevulinic Acid Dehydratase (ALAD) gene responsible for the ALAD1 and ALAD2 alleles have been implicated in susceptibility to lead toxicity. This study aimed to determine the allelic frequency of ALAD2 among children living in Bogor District, Indonesia, and its association with blood lead levels (BLLs) and lead toxicity. A cross-sectional study involving 128 children was conducted during September-October 2019 in the former ULAB area in Cinangka Village. The ALAD polymorphism, BLLs, and hematological parameters were evaluated. Blood samples were taken for dried blood spotting on filter paper, blood film, and BLL measurement. The PCR amplification and sequencing of the genomic DNA revealed the presence of two forms of the ALAD2 allele: 177C and 177T with a frequency of 0.05. Analysis of the correlation between the ALAD2 allele, BLLs, and basophilic stippling revealed that ALAD2 carriers had a five times higher risk of high BLLs, (OR = 5.359, p-value = 0.155) and had a slightly higher risk of exhibiting basophilic stippling (OR = 1.09, p-value = 1.000). Although not statistically significant, these findings suggested that the ALAD genotype may modify BLLs and lead to toxicity. The ALAD2 allele(177T) is firstly reported in any population in the world

    Public Perception and Obedience with Social Distancing Policies during the COVID-19 Pandemic in Jakarta, Indonesia

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    The Indonesian Government established a social distancing policy to prevent COVID-19 transmission. However, this implementation will be ineffective without the compliance of the people. This study aimed to analyze the relationship between public perception and obedience with social distancing in terms of the variables based on the Health Belief Model. This study used a cross-sectional design with a population of Daerah Khusus Ibukota (DKI) Jakarta’s indigenes within the productive age of 15-64 years. The sample comprised 408 participants, with the independent variables of sociodemographics (age, gender, occupation, and education) and health beliefs (perceived susceptibility, severity, benefits, barriers, and self-efficacy). Meanwhile, obedience to social distancing was the dependent variable. Data were obtained through an online questionnaire and evaluated with the bivariate and multivariate analysis using Chi-square and logistic regression tests. Gender (OR = 2.327; 95% CI = 1.404-3.857) and perceived self-efficacy (OR = 2.609; 95% CI = 1.726-3.945) were significantly related to social distancing obedience. Meanwhile, no statistical correlation (p-value>0.05) was found with sociodemographics, perceived susceptibility, severity, benefits, and barriers. The males with low self-efficacy were more likely to disobey the social distancing policies. The individual’s self-efficacy perception increased with their level of obedience to social distancing policies

    Analisa Faktor Psikosial Terhadap Gejala Distress Pada Karyawan Perusahaan Geothermal PT. X

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    Penelitian ini menyelidiki dan membandingkan berbagai faktor psikososial dan faktor lingkungan sosial yang dapat memberikan pengaruh pada satu atau berbagai gejala distress pada pekerja di perusahaan geothermal PT. X. Penelitian ini adalah penelitian semi kuantitatif dengan desain deskriptif. Penelitian menemukan 10 dari 11 indikator faktor psikososial yang dominan di persepsikan sebagian atau lebih responden, dengan 5 gejala stress kerja yang dominan adalah sakit kepala & pusing, MSDs, marah, sulit tidur, dan perubahan nafsu makan. Penelitian menyarankan kepada perusahaan untuk meninjau kembali beban kerja dan kapasitas kerja yang ada, meningkatkan proses manajemen kerja, memperbaiki komunikasi kerja dari tenaga asing, serta menciptakan lingkungan kerja yang suportif

    Gambaran Epidemiologi Hepatitis A Berdasarkan Data Kejadian Luar Biasa dan Data Kasus di Kabupaten Bogor Tahun 2019

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    Kejadian luar biasa (KLB) Hepatitis A Kabupaten Bogor terus meningkat setiap tahunnya. Pada tahun 2018 terdapat 29 kasus dan pada tahun 2019 meningkat hingga 495 kasus. Penelitian ini bertujuan untuk menggambarkan epidemiologi berdasarkan orang, tempat, waktu. Hasil penelitian ini diharapkan dapat digunakan sebagai dasar upaya intevensi yang lebih optimal dan tepat sasaran. Data penelitian diambil dari laporan KLB dan dari data kasus Hepatitis A di Dinas Kesehatan Kabupaten Bogor dari Januari-Desember 2019 dan didokumentasikan kedalam tabel observasi, pengambilan data dilakukan pada Bulan Februari 2020 dengan desain penelitian case series. Hasil penelitian ini menunjukkan dari 495 kasus yang mengalami gejala klinis, 11,3% terkonfimasi positif, sebagian besar berusia ≤14 tahun (51,92%), laki-laki (68,69%), air isi ulang sebagai sumber air minum (82,42%), dan air sumur sebagai sumber air bersih (71,92%). Kebanyakan kasus mengalami gejala mual (77,58%) dengan gejala klinis yang spesifik seperti sklera mata kuning (63,84%) dan urine yang berwarna gelap (64,24%), makanan bersumber dari rumah/sekolah (88,69%). Kasus terbanyak berasal dari Klapanunggal (36,97%) dan terbanyak di Bulan Januari (169 kasus). Dalam penelitian ini terdapat data missing, sehingga diharapkan kedepannya Dinas Kesehatan Kabupaten Bogor agar melengkapi data yang berhubungan dengan hepatitis A

    Hubungan Tingkat Pendidikan dengan Resiliensi Keluarga Penderita Stroke Iskemik Serangan Pertama di RS Otak Dr. Drs. M. Hatta (RSOMH) Bukittinggi 2022

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    Penyakit stroke menjadi salah satu penyebab kematian tertinggidan merupakan penyumbang ketiga kecacatan secara global.Jenis stroke yang paling umum terjadi di Indonesia adalah strokeiskemik. Sebagian besar penderita stroke mengalami penurunankognitif dan motorik yang menyebabkan keterbatasan padapenderitanya dalam melakukan aktivitas sehingga keluargamemegang peranan penting pada kondisi penderita stroke.Penelitian ini bertujuan untuk mengetahui hubungan tingkatpendidikan dengan resiliensi keluarga penderita stroke iskemikserangan pertama. Penelitian ini adalah studi kuantitatif dengandesain penelitian cross-sectional yang menggunakan data primerpada bulan Januari-Februari 2022 di poli rawat inap RumahSakit Otak Dr. Drs. M. Hatta Bukittinggi (RSOMH). Sampelpenelitian adalah keluarga dan penderita stroke iskemik di RSOMHyang berjumlah 229 orang berdasarkan kriteria inklusi.Pengumpulan data menggunakan instrumen resiliensi keluarga(RESILIENSI-GA). Analisis data menggunakan analisis univariat,analisis bivariat dengan uji chi-square dan analisis multivariatmenggunakan Regresi Logistik Multivariat model kausal. Hasilanalisis diperoleh bahwa 66,4% keluarga memiliki skor resiliensisedang dan tinggi. Keluarga pasien yang memiliki tingkatpendidikan tinggi memiliki asosiasi dengan resiliensi keluargayang baik yakni 1,9 kali lipat dibandingkan dengan pendidikanrendah setelah di kontrol variabel sosial ekonomi dan umur (POR1,960, CI 95%: 1,20-1,62). Ketahanan keluarga pada pasienstroke merupakan suatu hal yang penting, mengingat dampakfisik dan psikis yang ditimbulkan oleh stroke. Dalam penelitianini terdapat asosiasi antara pendidikan dengan resiliensi keluarga pasien stroke setelah di kontrol variabel sosial ekonomi dan umur

    ROLE OF ACCREDITATION TO THE PERFORMANCE OF NON COMMUNICABLE DISEASES (NCD’S) CONTROL PROGRAM AND CONTROL IN ACCREDITED AND NON ACCREDITED PRIMARY HEALTH CARE IN CIMAHI DISTRICT

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    The Non-Communicable Disease (NCD’s) Prevention and Control Program is one of the essential Community Health Efforts implemented by the Puskesmas. Puskesmas accreditation is a form of program to maintain the quality and form of standardization to Puskesmas services in order to provide quality services. This research uses qualitative method, conducted in April-May 2018, aim to see improvement of performance at puskesmas especially at NCD’s Prevention and Control Program. Result of research, in general Output of program of implementation of  NCD’s at Puskesmas accredited better than Puskesmas not yet accredited. Community-based partnership and funding activities have not been implemented, Iva test and CBE screening and DM screening are still around 5%, indicating the community and the lack of effective community empowerment. Input components of human resources, facilities, funds, screening instruction implementation are not adequated. Components of Planning Process (P1), Organizing and Moving (P2) at Accredited Puskesmas better than Puskesmas not yet accredited, P3 has been run even though not optimal in some Puskesmas. Need to improve community empowerment to support NCD’s Prevention and Control Program .. It is necessary to encourage the Puskesmas to improve the implementation of Puskesmas Management and conduct Continuous Improvement of Quality to achieve quality improvement as the main basis of Puskesmas Accreditation

    THE INFLUENCE OF MARKETING MIX IN MEDICAL TOURISM

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    The growth of medical tourism globally with the annual growth rate of 17,9% in 2013-2019, drives countries to develop medical tourism service in their hospitals. One of effective marketing concept is marketing mix. This study’s aim is to know the influence of marketing mix in medical tourism. This article was using systematic review, by gathering article with PRISMA Protocol using ProQuest and Google Shcolar, with article limitation criteria are full text scholarly journal in the last ten years using quantitative study and English language. The keyword used to search the article are marketing mix, 7P marketing, 7P, marketing 7P, mix marketing, medical tourism, and health tourism. There are 5 full text articles resulted by searching and screening process. After that the significant variables on medical tourism are being analized. The five article reviewed, was held in Thailand, Shiraz and Iran. All the 7Ps variable was used in the 4 articles, although there is one article used different term such as service, location, facilities, accommodation, activities, time worthiness, service providers, public relation and advertising, safety, and management. All of the article showing that marketing mix influence medical tourism. 7Ps marketing mix can give influence on medical tourism. Four articles found that People was the factor that gives the most influence of all marketing mix element. Three article found that physical evidence was the factor that gives the lowest influence of all marketing mix element. this study suggests to build marketing strategies with marketing mix approach, especially for people element

    PENGARUH BAURAN PEMASARAN SUMBER DAYA MANUSIA (SDM) TERHADAP LOYALITAS PASIEN RUMAH SAKIT: SYSTEMATIC REVIEW

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    Latar Belakang: Di era sekarang ini yang serba cepat arus informasi dan teknologi, menuntut pula adanya kemajuan di bidang pelayanan kesehatan, salah satunya rumah sakit. Saat ini semakin banyak Rumah Sakit (RS) berdiri di Indonesia sehingga persaingan antar RS pun semakin meningkat. Dengan demikian Rumah sakit harus melakukan inovasi dengan mendayagunakan bauran pemasaran terutama fator SDM agar dapat mempertahankan loyalitas pasiennya. Artikel ini bertujuan untuk mengetahui pengaruh bauran pemasaran SDM terhadap loyalitas pasien Rumah SakitMetode : Penelitian ini meggunakan desain Systematic Review Pencarian dengan kata kunci “Bauran Pemasan SDM” AND “Loyalitas Pasien” AND “Pengaruh” AND “Hospital”. Pencarian artikel diakses dari internet database yaitu Proquest dan Google.  Identifikasi awal ditemukan 49  artikel di Proquest, 45 di Google Scholar. Kemudian kami melakukan skrining terkait relevansinya, setelah diskrining sesuai kriteria inklusi yang masuk hanya 6. Kemudian setelah melalui proses skrining full artikelnya dan eliglibility dari 6 artikel tersebut terdapat 5 artikel yang sesuai  dengan pembahasan pengaruh bauran pemasaran SDM terhadap loyalitas pasienHasil:. Dari lima  artikel yang direview  selanjutnya didapatkan  empat  artikel yang menyebutkan bahwa  bauran pemasaran SDM  memberikan pengaruh yang signifikan terhadap  loyalitas pasien terhadap rumah sakit. Hanya satu artikel saja yang menyebutkan bahwa  petugas / SDM tidak berpengaruh signifikan terhadap  loyalitas pasien rumah sakit.Kesimpulan: Faktor bauran pemasaran SDM berpengaruh terhadap  loyalitas pasien. SDM merupakan faktor kunci keberhasilan pemasaran jasa rumah sakit. Perilaku SDM yang baik, berkarakter, berintegritas, profesional merupakan aset utama  dalam rangka   mempertahankan loyalitas pasie

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