Faculty of Public Health Journal Universitas Indonesia
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The Difference of Ultra-Processed Food Consumption based on Individual Characteristics and Other Factors among Non-Health Undergraduate Students in Universitas Indonesia in 2023
Full text linkUltra-processed food/UPF is a product that undergoes a series of industrial techniques and processes, also has low nutritional value. Overconsumption of UPF can increase the risk of overweight and obesity. The purpose of this study is to determine the differences in the proportion of UPF consumption based on individual characteristics, environmental factors, and lifestyle factors among non-health undergraduate students in Universitas Indonesia in 2023. A cross sectional study design conducted on 149 samples. The data was collected using a self-administered online questionnaire. The data was analyzed using univariate and bivariate (chi-square) analyses. The results showed that 50,3% of the students consumed a high level of UPF. The bivariate analysis showed a significant difference in the proportion of UPF consumption based on peer influence and access to UPF
EVALUATION OF MEDICAL WASTE MANAGEMENT BEFORE AND DURING THE COVID-19 PANDEMIC AT SENTRA MEDIKA HOSPITAL CIKARANG
Full text linkOne of important things in managing Coronavirus Disease 2019 (COVID-19) pandemic is managing medical waste production. Medical waste management start from waste sort until waste manage by licensed parties, both of patients’ waste and health workers’ waste. Sentra Medika Hospital Cikarang is one of the referral hospitals that handles COVID-19. This research is a descriptive analytic study. Researchers analyze hazardous and toxic waste management before and during a pandemic by conducting interviews with the nursing unit and using secondary data. Secondary data was obtained from the hospital environmental health unit. There is no significant differences medical waste before and during pandemic. This happens because there are decreasing of patients amount which come to hospital. Besides, health services waste is patients waste such as food or drink waste and personal protective equipment such as hazmat, masks, gloves and others. The weight of waste does produce is lighter. Medical waste at Sentra Medika Hospital has been managed in accordance with regulations
EVALUATION OF TUBERCULOSIS RECORDING AND REPORTING CASE SYSTEM AT SYARIF HIDAYATULLAH HOSPITAL IN 2020
Full text linkThe national TB control program target is TB elimination at 2035 and TB eradication at 2050. Hospitals must establish a DOTS Team who have responsibility to implementing the TB control program and must be record and report any disease cases. TB case reporting uses the Integrated Tuberculosis Information System (SITT) since 2020. Integrated Tuberculosis Information System has become the Tuberculosis Information System (SITB). Syarif Hidayatullah Hospital is one of the 3 hospitals that have not completed the report. This research is a descriptive analytic study with a qualitative approach. The data collecting data include documents review, observation, and in-depth interviews with key informants. The results showed that recording and reporting did not run optimally because 1) the lack of human resources such as nurses as the spearhead of manual record, 2) there was no funding for the TB DOTS program including for recording and reporting, 3) Hospital Information System was not integrated into all service units causing difficulties in data collection TB patients, 4) the internal network did not working properly because there is no socialize about TB recording and reporting flowchart. Increased management commitment in implementing the TB DOTS program so that recording and reporting can working properly
Pemberdayaan Komunitas Herbal Medicine Class di Tangerang Selatan dalam Meningkatkan Kesehatan Keluarga
Full text linkABSTRAKLatar Belakang: Lebih dari dua tahun bencana COVID-19 berlalu menyisakan pekerjaan rumah semua bangsa di dunia, termasuk pemerintah Indonesia. Pemerintah telah berusaha semaksimal mungkin dalam mengendalikan penyebaran penyakit. Upaya kesehatan berbasis masyarakat di Indonesia sebanyak 63.6% yang aktif. Hal ini menandakan potensi yang belum tergali secara optimal dalam perlindungan kesehatan masyarakat secara menyeluruh.Tujuan: Penelitian ini bertujuan untuk menelaah partisipasi masyarakat dalam pemberdayaan dan pengelolaan kesehatan secara mandiri dalam keluarga.Metode: Menggunakan metode kualitatif berbentuk studi kasus menggunakan data yang diambil dari sumber data sekunder berasal dari pengelola komunitas Herbal Medicine Class, observasi, wawancara dengan 12 informan. Analisis data dilakukan dengan menggunakan teknik analisa konten dimana peneliti menginterpretasikan penelitian sesuai dengan masalah penelitian.Hasil: Komunitas memberikan ruang partisipasi masyarakat terhadap sasaran yang belum tercapai melalui pendekatan teknologi, kearifan lokal dan suasana kondusif di masyarakat. Hal ini justru akan membantu proses penyembuhan, peningkatan kapasitas, perlindungan kesehatan, termasuk panutan sebagai fasilitator dan teman. Keberhasilan pemberdayaan masyarakat terletak pada model, komitmen dan pemberdayaan.Kesimpulan: Pemberdayaan komunitas dapat mencapai kedaulatan kesehatan dengan mengutamakan keluarga menciptakan suasana kondusif, selalu menghargai kualitas hidup dan kearifan lokal serta keteladanan. AbstractBackground: More than 2 years since the COVID-19 disaster has passed, it has left homework for all nations in the world, including the Indonesian government,which has made every effort to control the spread of the disease. At that time community-based health efforts in Indonesia were 63.6% active, there was potential that had not been explored optimally in protecting public health as a whole.Purpose:Observing community participation in health empowerment and processing independently within the family.Method: Using qualitative methods in the form of case studies using data taken from secondary data sources from Herbal Medicine Class community manager,observations, interviews with 12 informants.Data analysis was carried out using content analysis techniques in which the researcher interpreted the research according to the research problem.Results:The community provides space for community participation for targets that have not been reached through a technological approach, local wisdom,and a conducive atmosphere in society, in fact helping the healing process, capacity building, health protection, including role models as facilitators and companions. The success of community empowerment lies in the commitment and empowerment model.Conclusion:Community empowerment can achieve health sovereignty by prioritizing the family, creating a conducive atmosphere,always respecting the quality of life and local wisdom and role models
Efektivitas Electronic Module (E-Modul) Promosi Kesehatan untuk Meningkatkan Keterampilan Mencuci Tangan Pakai Sabun pada Anak Usia Sekolah di Panti Asuhan Abul Hasan Jambi
Full text linkLatar Belakang. Buruknya kondisi lingkungan serta belum baiknya perilaku hidup bersih dan sehat (PHBS) masyarakat diduga menjadi penyebab masih tingginya penyakit infeksi. Berbagai upaya promosi PHBS telah dicanangkan pemerintah untuk meningkatkan perilaku hidup bersih dan sehat masyarakat. Indonesia saat ini menghadapi permasalahan masih tingginya angka penyakit infeksi disebabkan perilaku yang tidak sehat, antara lain tidak mencuci tangan pakai sabun. Maka perlu adanya inovasi dalam mengenalkan dan meningkatkan keterampilan mencuci tangan pakai sabun seperti melalui e-modul promosi kesehatan.Tujuan. Penelitian ini bertujuan untuk mengetahui efektivitas e-modul promosi kesehatan untuk meningkatkan keterampilan mencuci tangan pakai sabun pada anak usia sekolah di Panti Asuhan Abul Hasan Jambi.Metode. Rancangan penelitian yang digunakan adalah menggunakan desain penelitian Quasi Experiment Design.Hasil. Penelitian ini menemukan bahwa terdapat perbedaan nilai rerata perilaku hidup bersih dan sehat sebelum dengan sesudah menggunakan e-modul promosi kesehatan dengan nilai p-value = 0,001 (< 0,05). E-Modul promosi kesehatan lebih efektif dalam meningkatkan perilaku hidup bersih dan sehat dibandingkan menggunakan poster, dikarenakan telah memenuhi aspek Audience, Behavior, Condition dan Degree.Kesimpulan. Media E-Modul promosi kesehatan lebih efektif dibandingkan dengan media poster dalam meningkatkan keterampilan mencuci tangan pakai sabun pada anak usia sekolah.ABSTRACTBakground. Poor environmental conditions and not yet good clean and healthy living behavior (PHBS) in the community are suspected to be the cause of the high number of infectious diseases. Various efforts to promote PHBS have been launched by the government to improve people's clean and healthy living behavior. Indonesia is currently facing the problem of the high number of infectious diseases caused by unhealthy behavior, including not washing hands with soap. So there is a need for innovation in introducing and improving the skills of washing hands with soap, such as through health promotion e-modules.Aim. This study aims to determine the effectiveness of health promotion e-modules to improve handwashing skills with soap in school-age children at the Abul Hasan Orphanage, Jambi.Method. The research design used was a Quasi Experiment research designResult. This study found that there was a difference in the mean value of hand washing skills with soap before and after using the health promotion e-module with a p-value = 0.001 (<0.05). The health promotion e-module is more effective in improving the skills of washing hands with soap than using posters, because it meets the Audience, Behavior, Condition and Degree aspects.Conclusion. Health promotion E-Module media is more effective than poster media in improving handwashing skills with soap in school-age children at the Abul Hasan Orphanage Jambi
Analisis Survival Pasien dengan Diabetes Tipe II, Analisis Data Sampel BPJS 2015-2021
No full textTahun 2021 Indonesia menempati peringkat ke-6 di dunia dengan kasus kematian akibat diabetes terbanyak. Tingginya angka kematian diabetes disebabkan oleh banyak hal, salah satunya adalah komorbiditas. Tujuan penelitian ini adalah untuk melihat pengaruh komorbid terhadap tingkat survival penderita diabetes tipe II di Indonesia. Penelitian ini menggunakan data sampel kontekstual diabetes melitus BPJS tahun 2015-2021 dengan desain kohort retrospektif dan didapatkan jumlah sampel 96.379 terbobot. Dilakukan analisis statistik univariat, bivariat dengan kurva Kaplan-Meier dan Uji Log-Rank, dan multivariat dengan uji cox proportional hazard. Hasil penelitian menunjukan bahwa penderita diabetes tipe II yang memiliki komorbid mempunyai cumulative survival probability (CSP) yang lebih rendah dan memiliki risiko kematian yang lebih tinggi dibandingkan dengan yang tidak memiliki komorbid, terutama pada penderita yang memiliki komorbid tidak sesuai (CSP=85,6%; 95% CI=84,4-86,7%; aHR=1,64; 95%; CI=1,150–1,390). Maka dari itu, penting untuk memperhatikan perawatan yang diberikan kepada penderita diabetes tipe II yang memiliki komorbid tidak sesuai agar perawatan yang diberikan tidak memperburuk kondisi salah satu penyakit
AN OVERVIEW OF ACTIVE SMOKERS’ PERCEPTIONS OF THE POLICY OF INCLUSION OF PICTORIAL WARNINGS OF THE DANGERS OF SMOKING ONCIGARETTE PACKS IN PONDOK GEDE SUB-DISTRICT, BEKASI CITY
Full text linkBackground: The prevalence of smoking in Indonesia is so high in all walks of life that the government has made several policies to control it. One of them is the inclusion of health warnings and health information on tobacco product packaging which aims to prevent novice smokers from starting smoking, as well as guaranteeing the public's right to clear, correct and honest information, as well as choosing based on clearer (visual) information that they understand (informed decision). The purpose of this study was to determine the extent of active smokers' perceptions of pictorial warnings of the dangers of smoking on cigarette packs. Subjects and Methods: This study uses a qualitative approach and the Extended Parallel Process Model (EPPM) method. The research subjects consisted of active smokers who were found in Pondok Gede District, Bekasi City. Data collection techniques in this study were in-depth interviews. The research instrument used was the researcher himself who was directly involved in the research. Then the technique of checking the validity of the data uses source triangulation. Results: The results showed that the informants' perceptions of the pictorial warnings of the dangers of smoking on cigarette packs varied quite a lot. Not all informants feel afraid and horrified by the scary pictures on cigarette packs. These results affect their beliefs to be able to reduce or quit smoking. Those who feel afraid and spooky of the pictures on cigarette packs have more confidence to be able to stop smoking than those who don't feel scared or spooky. Conclusion: Based on the results of the analysis it can be concluded that the pictorial warnings on cigarette packs has not been able to reduce the desire to quit smoking among informants
Health Care Spending for Cardiovascular Disease under National Health Insurance Scheme in Indonesia Before and During COVID-19: Descriptive Analysis and Policy Recommendations
Full text linkThe Cardiovascular disease (CVD) prevalence continues to increase. This study aims to identify the CVD spending and utilization in the Indonesia National Health Insurance (JKN) scheme 2017-2021 using the JKN claims classified by Disease Accounts analyzed descriptively. The CVD spending increased by $125,4 million in 2019 compared to 2017 and mostly for the hospital (91% in 2019) with the highest spending occurring in the age above 60 years. Moreover, the hospital inpatient spending was dominated during these five years. The highest portion of spending by severity level was at mild level, followed by moderate and severe levels. Health facilities’ capacities across the regions remain the issue in providing health services, especially for the CVD that require further treatment using advanced technology. The CVD cost continues to increase annually; fortunately, the JKN plays a key role as financial protection for participants. But, there was a decrease in the number of visits and spending on CVD during the COVID-19 pandemic because of lockdown policies and health systems shifting to provide capacity to overcome COVID-19. The decrease in the number of visits to health facilities raises the potential of being diagnosed later with more severe. As policy recommendations, strengthening primary care screening and hospital capacity across regions through implementing the Health System Transformation are expected to reduce the impact of these problems
Factors Related to the Incidence of Diarrhea of Children Aged 24-59 Months in Karangkamulyan Village, Cihara District, Lebak Regency in 2020
Full text linkAbstractDiarrhea remains a major issue in developing countries, including Indonesia, and is a leading cause of malnutrition and death. Banten is one of the provinces with a high incidence of diarrhea. In 2019, the district with the highest number of diarrhea cases for all ages in Banten was Lebak with a total of 50,270 cases. The age group with the greatest number of diarrhea cases was toddlers with over 14,000 cases. This study aimed to investigate the relationship between the incidence of diarrhea and the characteristics of toddlers and their parents, personal hygiene, and environmental sanitation. The study used secondary data with a cross-sectional design and a sample size of 209 toddlers aged 24-59 months. The dependent variable was the incidence of diarrhea, while the independent variables were the child's age, gender, mother's education, mother's occupation, family income, hand washing habits, snacking habits, footwear habits when playing outside the home, nail cleanliness, and toilet habits, drinking water source, storage of clean water after cooking, and toilet ownership. The results of the bivariate analysis in this study showed that there was a relationship between the child's age (p-value = 0.001; OR = 2.990), the mother's education (p-value = 0.027; OR = 0.404), the mother's habit of washing hands with running water (p-value = 0.001; OR = 0.335), and the source of drinking water (p-value = 0.005; OR = 0.329) with the incidence of diarrhea in toddlers aged 24-59 months in Karangkamulyan Village, Cihara Sub-district, Lebak District, Banten Province in 2020. Keywords: Toddler, diarrhea, hand washing, drinking water source AbstrakPenyakit diare menjadi permasalahan utama di negara-negara berkembang termasuk di Indonesia, diare juga menjadi penyebab utama gizi kurang yang bisa menimbulkan kematian. Banten merupakan salah satu provinsi dengan angka kejadian diare yang tinggi. Sedangkan daerah Kabupaten / Kota di Provinsi Banten dengan kasus diare tertinggi untuk semua umur pada tahun 2019 adalah Kabupaten Lebak dengan total 50.270 kasus. Kelompok umur dengan jumlah kasus diare terbanyak adalah usia balita dengan total lebih dari 14.000 kasus. Penelitian bertujuan untuk mengetahui hubungan antara kejadian diare terhadap karakteristik anak balita dan orang tua, personal hygine, dan sanitasi lingkungan. Penelitian ini menggunakan data sekunder dengan desain cross-sectional dengan jumlah sampel sebanyak 209 anak balita usia 24-59 bulan. Dengan variabel dependen yaitu kejadian diare dan variabel independen yaitu usia anak, jenis kelamin anak, pendidikan ibu, pekerjaan ibu, penghasilan keluarga, kebiasaan mencuci tangan, kebiasaan jajan, Kebiasaan Pemakaian Alas Kaki saat bermain di luar rumah, kebersihan kuku, dan kebiasaan BABS, sumber air minum, penyimpanan air bersih setelah dimasak, dan kepemilikan jamban. Hasil analisis bivariat pada penelitian ini menunjukkan bahwa adanya hubungan antara usia anak (p- value = 0,001; OR = 2,990), pendidikan ibu dengan (p- value = 0,027; OR = 0,404), kebiasaan ibu mencuci tangan dengan air mengalir (p- value = 0,001; OR = 0,335), dan sumber air minum (p- value = 0,005; OR = 0,329) dengan kejadian diare pada balita usia 24-59 bulan di Desa Karangkamulyan, Kecamatan Cihara, Kabupaten Lebak, Provinsi Banten tahun 2020. Kata kunci: Balita, diare, cuci tangan, sumber air minu
Dietary Determinants of Stunting and Underweight in Under-Five Years Children in Pengasinan Health Center's (Puskesmas) Working Area, Depok, West Java
Full text linkStunting and underweight are public health problems especially in under-five children. This study aims to explore the dietary determinants of stunting and underweight. Participants were 52 under-five children who visited Posyandu in Pengasinan and Bedahan, Depok. Body weight for age z-score (WAZ) and height for age z-score (HAZ) were measured with standardized measurement tools by trained operators. Questionnaires were administered to determine sociodemographic, maternal and child health history, sanitation, disease history, and exclusive breastfeeding history. Data on food intake was obtained through the semi-quantitative Food Frequency Questionnaire and 24-hour recall. There was significant correlation between mother’s income with underweight (P=0.01) and milk consumption’s frequency with protein adecuacy (P=0.01 r=0.44) and calcium adequacy (P=0.00 r=0.74). There was a tendency of correlation between children’s zinc intake (P=0.06) and fat intake (P=0.06) with underweight, and milk consumption’s frequency with HAZ (P=0.05 r=0.28) and WAZ (P=0.07 r=0.25). The frequency of sweetened condensed milk consumption was inversely correlated with HAZ (P=0.01 r=-0.34) and WAZ (P=0.01 r=-0.38). Dietary intake and complimentary beverages affect the nutritional status of a child. Sweetened condensed milk consumption did not support child’s growth. Education about children's nutritional status and complimentary beverage consumption is necessary for mothers, mothers’ support system, and cadres