Faculty of Public Health Journal Universitas Indonesia
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When will the COVID-19 Pandemic in Indonesia End?
Get PDFOn January 30, 2020, the World Health Organization(WHO) declared 2019-nCOV to be a Public Health Emergency of International Concern (PHEIC), due to the significant increase in confirmed new cases in various countries.1 In Indonesia, the first confirmed COVID-19 case was a female who had a closed contact with the 24th confirmed case in Malaysia and the second case was the mother of the first case.2 As time goes by, the number of new cases has increased significantly, reaching 160.165 confirmed cases with 6,944 deaths by August 27, 2020.3 The time when the COVID-19 pandemic in Indonesia will end is not known, although some studies are attempting to predict this such as in articles, journals, newspapers, and other media
Risk Analysis of Job Stress Among Balinese Crew of Cruise Ships
Get PDFJob stress can appear in all fields of work. Job stress not only occurs from the environment at work but also can be caused by the psychological condition of the workers. Working on a cruise ship demands higher patience to serve the guests in various activities and handle complaints. Moreover, work on cruise ships causes the workers separated from their families for a long time period, which can increase their mental pressure. The aim of this research is to describe the job stress of workers at a cruise ship. This research was conducted in January-June 2017. In an attempt to examine and understand this research, the researcher used a quantitative research method with a cross-sectional design and descriptive approach. The sample of this research was 111 participants with an affordable population are crew members who only come from Bali Province. Researchers used a convenient sampling technique and questionnaire as research instruments. The result shows that 60,36% of respondents experience job stress in moderate categories and 12.61% in the higher categories. The proportion of job stress in the higher categories was: mostly male (16.67%); at galley station (20.00%); working >5 years (14.71%); age group 11-20 years (25.00%); duration of work >11 hours (16.07%); and the level of fatigue is very tired (100%). The data, bivariate analyzed by using Kendall's tau-b correlation test with significance level is 0.05, showed a significant correlation between job stress and fatigue level (p = 0.001, r=0,41). Recommendation to solve these problems are: First, workers need to conduct stress management to minimize the impact of job stress. Second, companies need to pay attention to the workload and complaints of workers so it can develop a sustainable plan, particularly related to job stress
Differences in Levels of Prostate Specific Antigen and Insulin-like Growth Factor 1 in GSTP1 Gene Polymorphism among Workers
Get PDFCadmium (Cd) is classified as a carcinogen in humans (IA). In addition to causing lung cancer, the incidence of prostate cancer due to Cd exposure based on epidemiological research has also increased. This study aims to identify the GSTP1 genotypic frequency distribution and its correlation with PSA and IGF-1 levels in Cd exposed and unexposed workers. The research design used was cross sectional in 23 exposed groups (weld workers) and 40 unexposed groups (office employees) with a total of 63 people. The measurement of PSA and IGF-1 levels was carried out using the ELISA method and identification of the GSTP1 gene polymorphism using the PCR-RFLP method. Data analysis using Mann-Whitney and Spearman correlation test. The results showed that there was a relationship between PSA levels and IGF1 (p 0.05). There was a relationship between PSA and IGF1 (p 0.05). There was a relationship between PSA and IGF1 (p 0.05)
Efek ASI Eksklusif terhadap Stunting pada Anak Usia 6-59 bulan di Kabupaten Bogor tahun 2019
Get PDFStunting, atau perawakan pendek, berhubungan erat dengan hambatankemampuan kognitif dan kualitas hidup. Prevalensi stunting di Indonesiamencapai 30,8% tahun 2018. Stunting dipengaruhi pemenuhan nutrisi diawal kehidupan, salah satunya melalui ASI eksklusif. Meskipun cakupan ASIeksklusif di Indonesia sudah 74,5%, hubungan stunting dengan ASI eksklusifseringkali tidak konsisten akibat keberagaman kuantitas dan kualitas ASI.Penelitian ini ingin mengetahui efek ASI eksklusif terhadap stunting diKabupaten Bogor, sebagai salah satu daerah tinggi stunting di Indonesia.Penelitian dengan desain potong lintang ini dilaksanakan di PuskesmasKecamatan Ciampea, Kabupaten Bogor, pada Februari sampai April 2019.Kriteria inklusi adalah balita usia 6-59 bulan yang berkunjung ke poliklinik.Informasi pemberian ASI eksklusif diperoleh dari wawancara terstruktur,sementara stunting ditetapkan dengan antropometri terstandar. Dari 162balita, 117 (72,22%) mendapat ASI eksklusif dan 64 subjek (39,51%)mengalami stunting. Pada analisis multivariat, ditemukan interaksi padastrata usia ibu saat hamil > 30 tahun dan 30 tahun.Selain meningkatkan cakupan, diperlukan upaya meningkatkan kualitasASI eksklusif untuk mengoptimalkan upaya pencegahan stuntin
Hubungan Smoking Media Literacy dengan Status Merokok Siswa Menengah Atas
Get PDFABSTRAKLatar Belakang. Paparan media dapat mempengaruhi inisiasi remaja untuk merokok. Konsep literasi media (smoking media literacy [SML]) dikembangkan sebagai strategi dalam pengendalian tembakau berbasis sekolah.Tujuan. Untuk mengetahui hubungan SML dengan status merokok siswa SMA negeri di wilayah Kecamatan Purwakarta Kabupaten Purwakarta.Metode. Penelitian ini merupakan penelitian kuantitatif dengan desain cross-sectional yang dilaksanakan pada April-Mei 2018 di Kecamatan Purwakarta Kabupaten Purwakarta. Data dikumpulkan dengan kuesioner yang diisi sendiri oleh responden yang berjumlah 310 siswa-siswi SMA negeri. Analisis multivariat dilakukan dengan uji regresi logistik ganda. Variabel yang dikontrol dalam analisis adalah jenis kelamin, pendidikan orang tua, parenting, orang terdekat yang merokok (orang tua, saudara kandung, dan teman sebaya), capaian prestasi di sekolah, depresi, self-esteem, sifat memberontak, dan sifat mencari sensasi.Hasil. Hasil penelitian menunjukkan bahwa terdapat 14,2% responden yang berstatus merokok. Nilai rata-rata skor SML responden adalah 68,94 (dalam skala 100). Hasil regresi logistik ganda menunjukkan bahwa ada hubungan bermakna antara SML dengan status merokok setelah jenis kelamin, saudara yang merokok, teman sebaya yang merokok, capaian prestasi di sekolah, dan sifat memberontak dikendalikan (nilai p=0,048; CI=1,008-7,085).Kesimpulan. Pemahaman siswa SMA tentang literasi media masih rendah, dan SML berhubungan dengan status merokok siswa. ABSTRACTBackground. Media exposure is a very influential factor in the initiation of adolescents to smoke. Therefore, media literacy (smoking media literacy [SML]) was developed as a school-based tobacco control strategy. Objective. The purpose of this research was to examine the relation of SML with the smoking status of high school students in Purwakarta Regency Method. This research used quantitative research with a cross-sectional design conducted in April-May 2018 in Purwakarta Regency. Data were collected by self-administered questionnaires from 310 students of public senior high school. Data were analyzed using logistic regression test. Statistical adjustments were made for gender, parental education, parenting, smoking status of parents, siblings, and peers, school performance, depression, self-esteem, rebellion, and sensation seeking character.Results. There were 14.2% smokers among respondents. The mean of SML score was 68.94 (on a scale of 100). The result of logistic regression showed that there was a significant correlation between SML and smoking status with adjustment by sex, the sibling who smokes, peers who smoke, school achievement, and rebelliousness (p-value=0.048; CI=1.008-7.085).Conclusions. High school students' understanding of media literacy was still low, and SML was related to students' smoking status
Analisis Kinerja Dokter Verifikator Internal dalam Menurunkan Angka Klaim Pending di RSUD Koja Tahun 2018
Get PDFABSTRAK Dokter verifikator internal memiliki tugas yang penting didalam menurunkan angka klaim pending terutama untuk mengontrol kesesuaian koding dengan diagnosa pada resume medis. Penelitian ini membahas tentang kinerja dokter verifikator internal didalam menurunkan angka klaim pending di RSUD Koja pada tahun 2018 dengan melakukan telaah berkas klaim dan observasi pada data klaim dari tahun 2017 hingga tahun 2019. Penelitian ini menggunakan desain studi evaluasi intervensi dengan menganalisa data kuantitatif dan kualitatif. Metode yang digunakan adalah dengan membandingkan data kesalahan koding pada klaim pending rawat inap Pra Intervensi dan Pasca Intervensi dokter verifikator internal baik secara jumlah klaim maupun nominal klaim. Kemudian melakukan wawancara mendalam untuk mengetahui penyebab terjadinya kesalahan koding hingga menyebabkan klaim pending. Hasil penelitian ini adalah bahwa terbukti dokter verifikator internal dapat menurunkan angka klaim pending rawat inap karena kesalahan koding dan didapatkan penyebab terjadinya kesalahan koding yaitu ketidaklengkapan resume medis, kurang telitinya koder, kurangnya pengetahuan koder, ketidakseragaman informasi terkait koding dan overload berkas klaim yang tidak diiringi dengan kesesuaian jumlah koder. Hal tersebut dapat diminimalisir dengan penggunaan rekam medis elektronik, pelatihan tenaga koder, team building dan penambahan tenaga koder. ABSTRACT The doctor's internal verifier has an important task in reducing the number of pending claims especially for controlling the suitability of coding with diagnoses on medical resumes. This research explain that the performance of internal verifier doctors in reducing the number of pending claims in Koja Hospital in 2018 by reviewing claims files and observations on claim data from 2017 to 2019. This study uses an intervention evaluation study design by analyzing quantitative and qualitative data. The method used is to compare data coding errors on pending hospitalization claims Pre-intervention and Post-Intervention doctor internal verifiers both in number of claims and nominal claims. Then conduct in-depth interviews to find out the cause of coding errors to cause pending claims. The results of this study are that the proven internal verifier can reduce the number of pending hospitalization claims due to coding errors and obtained the causes of coding errors, namely incomplete medical resumes, lack of coder accuracy, lack of coder knowledge, lack of uniformity of information related to claim file coding and overload not accompanied by suitability of the number of coders. This can be minimized by the use of electronic medical records, training of coder personnel, team building and the addition of coder personnel
PM10 Dalam Udara Ruang Kelas dengan Kejadian ISPA Pada Siswa SD/MI di Wilayah Kerja Puskesmas Cilebut, Kecamatan Sukaraja, Kabupaten Bogor Tahun 2018
Get PDFLatar Belakang. ISPA merupakan penyakit penyebab kematian yang paling umum pada anak-anak di Negara berkembang. Penelitian ini merupakan penelitian dengan desain studi cross-sectional yang bertujuan untuk mengetahui hubungan PM10 dalam udara ruang kelas dengan kejadian ISPA pada siswa SD/MI di wilayah kerja Puskesmas Cilebut, Kecamatan Sukaraja, Kabupaten Bogor tahun 2018. Metode. Sampel sebanyak 184 siswa kelas 4 dan 5 sekolah dasar yang berada di tiga sekolah terpilih. Selain PM10, variabel lainnya yang diteliti yang diduga berhubungan dengan kejadian ISPA pada siswa sekolah dasar yaitu suhu, kelembaban, pencahayaan, ventilasi dan kepadatan hunian ruang kelas, serta status gizi siswa. Hasil. Hasil penelitian menunjukan bahwa variabel yang berhubungan dengan kejadian ISPA pada siswa SD/MI yaitu PM10 (p=0,0001;OR=3,862), pencahayaan (p=0,006;OR=3,111), dan kepadatan hunian kelas (p=0,002;OR=2,952). Setelah dikontrol dengan variabel konfonding, didapatkan bahwa siswa yang berada dalam ruang kelas dengan konsentrasi PM10 di atas median dan kepadatan hunian yang tidak memenuhi syarat berisiko 4,5 kali untuk mengalami kejadian ISPA dibandingkan dengan siswa yang berada di ruang kelas dengan konsentrasi di bawah me-dian dan kepadatan hunian yang memenuhi syarat. Simpulan. Upaya yang perlu dilakukan diantaranya menjaga kebersihan ruang kelas; menambahkan ventilasi dan sumber pencahayaan dalam ruang kelas; menambahkan pepohonan di sekitar lingkungan sekolah; serta membatasi jumlah siswa dalam satu kelas.Kata Kunci: ISPA, konsentrasi PM10, siswa S
Family Planning Communication between Wives and Husbands: Insights from the 2017 Indonesia Demographic and Health Survey
Get PDFFrequent inter-spousal communication is regarded as an indicator of safe family planning practice. Nevertheless, communication about family planning within couples in Indonesia is still largely unexplored. This study assessed the levels of inter-spousal communication about family planning and its associated determinants, using cross-sectional and nationally representative data from the 2017 Indonesia Demographic and Health Survey (IDHS), from a randomly selected cohort of 8,925 currently-married couples. Data on sociodemographic characteristics, inter-spousal communication behaviors, and attitudes regarding family planning were collected. The dependent variable in this study is how frequently couples discuss family planning, based on wives’ responses. The analyses were stratified based on the frequency of inter-spousal communication: never, once or twice, or more often. The results of the study were greater husband approval of family planning and communication with family planning field workers, and that those encouraged inter-spousal communication in Indonesia
Innovative Work Shift for Health Workers in the Health Service Providers in Handling COVID-19 Cases
Get PDFWorking on shifts has the risk of being exposed to health problems, such as obesity and susceptibility to infections and hypertension. However, shift work is unavoidable for workers in sectors that require non-stop operations, such as health workers in the Health Service Providers. This article presented opinion about an optimal shift rotation pattern in reducing the health risks of shift health workers while increasing the effectiveness of the treatment of coronavirus (COVID-19) cases. In general, today’s pattern of shift work for health workers is schemed in the eight-day cycle, in which employees work two days in the morning service for seven hours, two days in the evening service for seven hours, and another two days in the night service for ten hours, then followed by two days off. This pattern has the potential to cause burnout and decrease reaction time. The article identifies a new work shift pattern that can accommodate the risk of burnout while simultaneously assisting in the emergency of the corona outbreak. It emphasises the Morning-Evening-Night-Holiday work pattern as an innovative work model that should replace the old work pattern. There are seven advantages of the new work pattern: biological balance, availability of transportation, rapid recovery, reduced risk of COVID-19 transmission, increased patient satisfaction, increased self-control, and improved performance
Stres Kerja Perawat Meningkatkan Gejala Sindrom Pramenstruasi di Rumah Sakit X Bekasi
Get PDFProfesi perawat berisiko terhadap stres kerja yang dapat mencetuskan sindrom pramenstruasi. Sindrom pramenstruasi yang terjadi ketika perawat bekerja akan berdampak pada penurunan produktivitas dan risiko terjadinya kecelakaan kerja, maka kondisi tersebut akan membahayakan pasien. Tujuan penelitian ini adalah untuk mengetahui tingkat stres kerja perawat, sindrom pramenstruasi, dan hubungan stres kerja perawat dengan sindrom pramenstruasi. Penelitian ini menggunakan studi potong lintang. Sampel penelitian terdiri dari 160 perawat dalam usia subur di Rumah Sakit (RS) X Bekasi dan sebanyak 12 perawat termasuk ke dalam kriteria ekslusi penelitian yakni mengonsumsi kontrasespi oral atau menderita sindrom polikistik ovarium. Stres kerja perawat dibagi dalam 8 subskala yaitu beban kerja, konflik, kurangnya dukungan, ketidakpastian mengenai pengobatan pasien, berurusan dengan kematian dan sekarat, keputusan organisasi, persiapan yang tidak memadai, dan pelecehan seksual. Analisa univariat meliputi skor numerik dan persentase masing-masing skor subskala stres kerja perawat dan sindrom pramenstruasi. Hubungan antara skor stres kerja perawat dan 8 subskala stres kerja dengan sindrom pramenstruasi menggunakan uji korelasi Spearman. Hasil penelitian didapatkan nilai stres kerja perawat sebesar 42,55 dan sebanyak 133 (89,9%) perawat mengalami stres kerja ringan. Nilai rata-rata sindrom pramenstruasi sebesar 38,6 dan sebanyak 113 perawat (76,4%) megalami gejala ringan. Subskala beban kerja, konflik, kurangnya dukungan, keputusan organisasi dan pelecehan seksual menunjukkan hubungan bermakna dan positif dengan sindrom pramenstruasi. Terdapat hubungan yang signifikan antara stres kerja perawat dan sindrom pramenstruasi (p=0,002 ; r=0,250). Hasil penelitian menunjukkan semakin meningkatnya skor stres kerja maka semakin tinggi skor sindrom pramenstruasi. Perawat diharapkan mampu untuk mengendalikan stres di tempat kerja sehingga dapat mencegah terjadinya sindrom pramenstruasi yang berefek pada keselamatan pasien