Publications of the Indonesian Scholars' Alliance
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ASSESSMENT OF RESIDENCE SANITATION CONDITION AND LIFE QUALITY OF CONSTRUCTION WORKERS, CHONBURI PROVINCE, THAILAND
Background: Thailand economic has grown for last decade in all enterprise. Especially, construction is one industry composed by various important factors such as technology finance worker and etc. Workers in construction industry are the human resources that need welfare to promote life quality of workers. One of important welfare is the residence during constructing. Camps or residence need good sanitary management for supporting for supporting life quality of worker. Aim of this study was to assess sanitation condition of residence and life quality of construction workers.
Methodology: To survey residence sanitation, Questionnaire for life quality in 3 aspects, for samples of workers in 3 camps A B C of 3 construction sites, Analyze and compare data by as percentage and criteria that provided as 4 level of sanitation condition and life quality.
Results: Camp A sanitation was 78.70% indicating the residence sanitation was in good level meanwhile 3 aspects of life quality were during 67.45 - 70.53 % defining that samples lived and worked full effective. Camp B was 62.50 % indicating fair level of sanitation meanwhile life quality were during 63.83 - 66.89 %. Camp C was 66.00 % indicating same camp B, meanwhile life quality ranged during 63.83 - 66.89 % that same Camp A and B.
Conclusion: Good sanitation management of residence influence good life quality of worker. This study could be used as tool and evidence to evaluate not only sanitation condition and life quality, these also could be used to test the consistent of both.
Keywords Construction workers residence; Construction workers life quality; Outside job welfar
IS THE MULTIPLE MICRONUTRIENTS BETTER TO REDUCE ANEMIA IN PREGNANCY COMPARED TO IRON- FOLATE ACID SUPLEMENTATION? A SYSTEMATIC REVIEW
Background: Prevalence of anemia continues to increase among pregnant women in Indonesia. The micronutrients that are needed to reduce the anemia is still lacking to be accessed by pregnant women. This study aims to analyze the effectiveness of multiple micronutrients (MMN) compared to the iron-folic acid to reduce the incidence of anemia among pregnant women.
Methods: Systematic review was used in this study using the electronic databases Google Scholar, Science Direct, and PubMed. The articles included in this study were published in 2009-2018 and were written in English language.
Results: In total, 380 papers were identified and six articles were included in this study. Study found that the MMN and iron-folic acid had the same effect in influencing the anemia status among pregnant women. However, the MMN had a potential to increase the average of body weight, to reduce the incidence of low birth weight (LBW) and preterm birth among pregnant women.
Conclusions: The effectiveness of multi micronutrients in pregnant women is as good as iron-folic acid in reducing the anemia during pregnancy. Further studies need to be conducted to see the effects of MMN on pregnant women by considering other factors such as maternal nutritional status, gestational age, and duration of supplementatio
UPDATE: METABOLIC DISORDERS OF PREECLAMPSIA A REVIEW
Background: Preeclampsia is one of the contributors to the increased maternal morbidity and mortality rates in Indonesia. One of the disorders caused by the preeclampsia is metabolic disorders. The purpose of this study is to provide an overview of metabolic disorders that accompany preeclampsia.
Methods: This was a literature review using electronic databases Science Direct and PubMed. Keywords used in searching literature were ‘preeclampsia' and ‘metabolism disorder of preeclampsia' with the year limit between 2010 and 2018. Articles published in English was chosen in this study.
Results: The search found 3,823 articles, of which 14 articles were included in this study. Metabolic disorders that happened in the group of preeclampsia were higher RDW (Red blood cell distribution width), MTT (Biomarker), ADA (adenosine deaminase), CA-125 serum, triglycerides (TG), Angiotensin, cytokinin, CEC (Circulating endothelial cells), lipoprotein and cholesterol. Meanwhile, studies also found that preeclampsia caused the lower selenium serum, aromatase, and thiol-disulphide in the body.
Conclusion: Preeclampsia proved causing the disorders of metabolic, mostly in the form of inflammation, endothelial cell damage and oxidative stress. Potential targets are needed for treatment of metabolic disorders in preeclampsia group both medically and non-medically especially for the lipid levels in preeclampsia.
Keywords: Preeclampsia, metabolic disorder
EFFECT OF MORINGA LEAVES AND VITAMIN C CAPSULE COMBINATIONS IN INCREASEING HEMOGLOBIN LEVELS OF YOUNG WOMEN WITH ANEMIA
Background: The prevalence of anemia suffered by girls aged 10-18 years according to the Household Health Survey (SKRT) is 57.1%. The highest contributor of anemia cases in Central Java is Grobogan district, especially in Tanggungharjo Community Health Center, with increasing prevalence of anemia among young women in 2017 from 5.4% to 25.7%. Based on background, researcher wants to determine the effect of Moringa leaf combination dozed 250 mg x 2 / day and vitamin C 50 mg x 2 / day on hemoglobin level changes of young women suffering anemia to decrease anemia in young women
Methodology: This quasi experimental research with pretest-posttest control group design involved young women aged 14-19 years suffering anemia. The method of sampling selection was purposive sampling with total 22 respondents assigned as intervention group and other 22 respondent assigned as intervention group. The data analysis used Mann-Whitney test.Results: The average of hemoglobin level in the intervention group increased from 9.37 to 12.10. It proved statistically that there was effect of giving Moringa leaf and vitamin C combination to increase level of hemoglobin of young women suffering anemia.
Conclusion: Moringa leaves could significantly increase hemoglobin levels in blood of young women suffering anemia. Raising awareness of anemia and its prevention and treatment among young women should be recommended.
Keywords: Anemia, young women, Moringa leaf, Vitamin C, hemoglobi
WHAT HAPPENS IF THE BROMELAIN IN Ananas comosus L. Merr. GIVEN TO PEOPLE LIVING WITH HIV/AIDS (PLWHA) ? : A REVIEW
Background: Human immunodeficiency virus /Acquired immunodeficiency syndrome (HIV/AIDS) is a global problem that requires serious treatment. Antiretroviral therapy (ART) has the potential to cause side effects and drug resistance for people living with HIV/AIDS (PLWHA). Alternative therapies using combination of bromelain and ART to maintain and improve immunity of PLWHA. The objective of the study was to describe the potential of bromelain in pineapple (Ananas comosus (L.) Merr) to increase the immune system of people living with HIV/AIDS.
Methodology: The research method used a systematic literature review. The literature that this study used was search through in the Science Direct and Google Schoolar database. The article search used the keyword Ananas comosus (L.) Merr, HIV/AIDS healing pathway or bromelain enzyme healing pathway HIV/AIDS and Pineapple "bromelain enzyme" for HIV/AIDS. Obtained 4 articles from 219 articles published between 2010 until 2019. The article used in this study written in English and Indonesian.
Results: The results showed that the bromelain enzyme in pineapple have proteolytic properties that can destroy the protein layers of the HIV viruses. The other benefit are immunomodulators that can increase the immune system of PLWHA by increasing CD4 counts or maintaining the stability of the CD4 count and reducing viral load levels even undetectable.
Conclusion: The conclusion of this study is bromelain in pineapple can be used as an alternative cure for PLWHA which do not have side effect and can destroy the HIV virus protein layer and increasing the immune system of PLWHA as well.
Keywords: bromelain against PLWHA, Ananas comosus (L.) Merr. immune system of PLWH
THE LEADERSHIP ROLE FOR A SUCCESSFUL CHANGE MANAGEMENT: A SYSTEMATIC LITERATURE REVIEW
Background: Globally there are significant concerns about the role of leadership in the disruptive era where change is inevitable. Organization needs a leader who can response those changes toward right direction to sustain. This review is to identify a more comprehensive relation between the leadership role and change management in the organization and its associated factors drawing upon systematic review of literatures published in the last ten years.
Methods: This study used systematic literature review based on the PRISMA (Preferred Reporting Items for Systematic Reviews & Meta-Analyses) protocol to identify all the published articles using relevant keywords. We searched in Emerald Insight (2010-2019), Science Direct (2010-2019), and EBSCOhost (2010-2019) to retrieve relevant articles published in English language only between January 2010 and April 2019. The review used key terms and phrases associated with Leadership, Change Management, and Disruptive. The abstracts were reviewed according to inclusion criteria and quality assessment.
Results: From 16,658 authors finally include 6 papers in this review. By the review, we noted that it is almost impossible to avoid change although resistance to change is real. There is a positive relation between leadership role and successful change management. The most significant subject and contributor for the successful change are the culture of change within the organization and the effective communication between leaders and their subordinates. The hindrances of change are lack of authority, uncertainly of role and lack of time and focus from the leaders. The findings of the study can be relevant for variety of settings as the study was conducted across cultures and sectors.
Conclusions: Leaders need to understand and spread the ambience with their employee of 4 points; the clarity about the needs of change in their organization, the key alignments, complementary development strategies and critical enablement. The recommendation for future research is to review more leadership studies on disruptive era in health care sector only in order to get deeper understanding in homogeneity setting. For policy makers, it is suggested to design policy that enforces leaders to improve their leadership skill and updating knowledge.
Keywords: Leadership Role, Change Management, Disruptiv
PATIENT SATISFACTION ON NATIONAL HEALTH INSURANCE (JKN) SERVICES
Background: The National Health Insurance (JKN) is an insurance system that guarantee all of Indonesian people can access the health services. By registered as a JKN member, people can access and get treatment in health facilities that collaborate with JKN. Measuring the quality of JKN services can be done by measure the patient's satisfaction on JKN. This study aims to determine the factor of patient's satisfaction with JKN services.
Methods: This study was a systematic review used PRISMA guidelines. Data obtained from electronic database of Google Scholar that published in 2019 and used Indonesia language. The keywords that been used was satisfaction with JKN services to find the relevant articles.
Results: The search found 968 articles from Google Scholar database. Articles that did not fulfil the inclusion criteria must be excluded. Totally, 7 articles that contained patient satisfaction with JKN services in hospital had been chosen to analyzed in this study. These articles showed that patient satisfaction with JKN services influenced by some factors such as tangible, reliability, responsiveness, assurance, and empathy.
Conclusion: Factors influenced the patient's satisfaction with JKN services in hospital were tangible, reliability, responsiveness, assurance, and empathy. These factors influenced by the quality of the hospital services. To increase the patient's satisfaction, hospital must improve and develop facilities and quality of the hospital services.
Keywords: Patient satisfaction, National Health Insurance, JKN, health service
THE INFLUENCE OF MARKETING MIX TO PATIENT SATISFACTION IN HOSPITALS: NARRATIVE REVIEW
Background: Hospitals, as service providers, have a large role in meeting people's needs regarding their health. The increasing growth of hospitals adds to the menu of choices for people to utilize health services according to their needs. This competition has changed the mechanism by which customers are not only users of health services but as determinants of the future and the continuity of a hospital. Marketing activities can help hospitals improve and win the competition. Marketing managers must be able to combine the marketing mix variables appropriately so that all variables can increase consumer's decision and patient satisfaction.
Aims. The purpose of this study was to determine the effect of mix marketing on patient satisfaction at the hospital.
Method: This study was conducted in a literature review by searching for articles and journals related to hospital mix marketing. Search journal articles are done through Google Scholar database with the search year 2010 until 2018. The keywords used are "marketing mix and "hospital." So that six articles will be reviewed.
Results: In the six studies reviewed there was one study that showed that all the mix marketing variables namely product, price, people, place, promotion, process, and the physical evidence had a significant influence on patient satisfaction and the hospital for medical treatment. The significant results are known from the results of statistical tests showing that p-value <0.05. In several other studies, it shows that there are significant variables and some that are not significant for consumer decision and patient satisfaction.
Conclusion: The Marketing mix has an important cost for the decision to choose a hospital. The mix marketing has varied significant influence on consumers' decision and satisfaction to choose the hospital for medical treatment. By knowing the mix marketing variable that affects customer satisfaction, hospital management, namely the marketing department, can optimize and develop marketing types that can increase public interest so that the target profit of the hospital is achieved.
 
Protected sex with paid sexual partner among married men in Indonesia
Background: Married men who are male clients of sex workers play an important role as "bridge population" of HIV infection from the concentrated epidemic population to the general population. This study aimed to investigate the protected sex with last paid sexual partner among currently married men in Indonesia.Methods: A nationally representative population-based survey, 2012 Indonesia Demographic and Health Survey (IDHS) which covered 33 provinces in Indonesia was applied in this study. Out of 9,306 currently married men, 510 records of married men who reported for ever paying someone for having sex were eligible for this study. A dependent variable was protected sex (i.e. condom use) at last sex with a paid sexual partner whilst independent variables consisted of socio-demographic factors, spousal communication on HIV prevention, knowledge of HIV prevention, and attitude of condom use. Binary logistic regression was applied for bivariate and multivariate analysis.Results: Prevalence of condom use with a paid sexual partner at last sex among currently married men was 27.86% [95%CI=23.89-32.20]. Based on multivariate analysis, married men were less likely to use a condom with a paid sexual partner if they aged 40 years old (OR=0.48; 95%CI=0.30-0.76) versus those aged < 40 years old and worked in some sectors: clerical (OR=0.22; 95%CI=0.08-0.61), sales (OR=0.40; 95%CI=0.17-0.95), agricultural/selfemployed (0.32; 95%CI=0.13-0.75), skilled manual (OR=0.38; 95%CI=0.18-0.79) compared to those working in professional/technical/engineering sectors. However, those who were from poorer (OR=2.28; 95%CI=1.08-4.82) and richest household (OR=3.08; 95%CI=1.32-7.20) were more likely to perform protected sex compared to the poorest ones. In addition, the likelihood of protected sex also increased when married men had spousal communication on HIV prevention (OR=1.84;95%CI=1.17-2.90), knew that using condoms can reduce HIV infection (OR=2.15; 95%CI=1.14-4.08) and had a positive attitude of using condoms can protect against diseases (OR=3.05; 95%CI=1.14-8.16).Conclusion: Since condom use with a paid sexual partner was low, interventional approach by providing HIV-related information targetting married men who are clients of sex workers is essential. The intervention can be integrated with the current existing programme on key affected population (KAP), such as FSWs as the potential sexual partner of married men.
Keywords: Married men, clients, condom use, paid partners, protected sex, HIV, IndonesiaReceived: 1 January 2019; Reviewed: 29 April 2019; Revised: 1 May 2019; Accepted: 22 June 2019
DOI: 10.35898/ghmj-32541
Effect of red fruit oil soap (Pandanus conoideus LAM) as wound cleansing on wound healing and the number of bacterial colonies among Grade II Diabetic Ulcer Patients at Griya Qound Care Clinic Kudus, Indonesia
Background: Diabetic ulcer is an open wound on the skin layer to the dermis due to hyperglycemia and neuropathy. This condition often causes infection and becomes an inhibitor in the wound healing process. Red fruit oil soap can be used as an alternative cleansing to reduce the number of bacterial colonies and accelerate the wound healing process. This present study aimed to observe the effect of red fruit oil soap in the cleansing process to reduce the number of bacterial colonies and the wound healing process in grade II Diabetic ulcer patientsMethods: This is a quasi-experimental study with the pre-test post-test non-equivalent control group design. Wound cleansing in the intervention group used 0.9% NaCl solution and red fruit oil soap with a pH of 5.74, while the wound cleansing in the control group used 0.9% NaCl solution. Bacterial colonies were assessed and the type of bacteria was observed by the swab method. The wound healing was assessed with Bates-Jensen Wound Assessment Tool (BWAT) instrument for 14 days with observations every 3 days. Analysis test used Mann Whitney and Repeated Measure ANOVA.Results: There was no difference in the mean of the number of bacterial colonies between the wounds that were cleansed with 0.9% NaCl solution and red fruit oil soap and the wounds which were cleansed by using 0.9% NaCl solution (p> 0.05). The mean of the number of colonies in the intervention group until the 14th day reduced by 3.14x106 and in the control group was reduced h 1.40x106. There was a significant decrease in the wound healing scores in each group, in each assessment for 14 days.Conclusion: This study found that the wound cleansing using red fruit oil soap and 0.9% NaCl solution could reduce the number of bacterial colonies on the wound surface and accelerate the wound healing process among patients with grade II diabetic ulcer.
Keywords: Red fruit oil soap, Wound cleansing, Wound healing, Diabetic ulcerReceived: 25 August 2018; Reviewed: 4 September 2018; Revised: 24 June 2019; Accepted: 28 June 2019
DOI: 10.35898/ghmj-3254