Publications of the Indonesian Scholars' Alliance
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THE COGNITIVE SCREENING IN CHILDREN UNDER FIVE YEARS OLD IN DEVELOPING COUNTRIES: A SYSTEMATIC LITERATURE REVIEW
Get PDFBackground: Stunting or being too short affects one-third of children under five years old in developing countries. Stunting has long-term effects on cognitive development, school performance and economic productivity in adulthood. Early detection of cognitive impairment caused by stunting offers rapid strategies for reducing stunting by examine the consequence on cognitive development. Reliable assessment tools are necessary to properly track cognitive development caused by stunting. This studyidentifies that the use of appropriate cognitive assessment tools assists in early detection of the impact of stunting in children under five years old in developing countries.
Methods: Systematic literature review using PRISMA-P guidelines were applied for this study. Studies were identified from 4 electronic sources (Scopus, Science Direct, EBSCO and Google Scholar) from 2015 to 2018 using relevant keywords. All studies were conducted on children under five years old in developing countries. The used studies for this review are limited to full-text in English and Bahasa Indonesia. Studies conducted from 19 April to 11 May 2018.
Results: From 492 studies that have been extracted, there are 10 studies reported the cognitive impairment assessment tools for under five years old children used in developing countries. The satisfying assessment tools in eligibility criteria are Bayley Scales of Infant Development (BSID III), the Indonesian child development pre-screening questionnaire (Kuesioner Pra-Skrining Perkembangan/KPSP ) and Denver Developmental Screening Test (DDST II). They appear promising to be used in identifying and monitoring cognitive development of children in developing countries.
Conclusions: In the context of stunting in children under five years old, rapid assessment of cognitive ability is feasible for routine clinical use. The BSID III, KPSP and DDST II are the most common used in developing countries and they have moderately good accuracy to detect the cognitive impairment.
 
QUALITY OF SERVICE OF OUTPATIENT UNIT IN BA HOSPITAL, INDONESIA
Get PDFBackground: The quality of healthcare services is crucial in the healthcare service organization to encourage every healthcare service organization to improve their healthcare service quality. This study aims to identify the description of the service quality of outpatient department in RSBA, East Jakarta, DKI Jakarta, Indonesia using the criteria of Malcolm Baldridge.
Method: This research was a descriptive analytical study with cross-sectional study combined with qualitative and quantitative approaches (mix method). About 110 respondents were selected as sample. The data analysis employed were univariate, bivariate and multivariate analysis of multiple logistic regression test conducted by using SPSS statistic software for Windows.
Result : There was a significatt influence of on workforce, and last focus on process and focus on the service quality of outpatient department of RSBA with p-value of < 0.05 and 9. In multiple logistic regression tests, the factors that had strong closeness were the leadership and the measurement analysis and knowledge management.
Conclusion : The Healthcare quality of the outpatient department of RSBA needed improvement, especially on the focus on the customers and the process. The commitment of all elements in the hospital was requried. The well and correct service customers, appropriate to the medical treatment according to the standard operating procedures, the excellent service and the effort to meet the completeness of the hospital infrastructure were important aspects that should be undergone by RSAB to improve the hospital's service quality
Vaccination: Considerations to acceptance and refusal
Get PDFAbstract is not required for this Editorial. Below are the summary and keywords the journal provides for insight to our reader.
Vaccination is one efficient and crucial tool for preventing and controlling disease. This short review questions what factors lead to acceptance and refusal of vaccines in society. This editorial has 4 sub-bab:
1) CULTURAL FACTORS INHIBITING IMMUNIZATION PROGRAM
2) POLITICAL PROPOGANDA INHIBITING IMMUNIZATION PROGRAM
3) IMMUNIZATION IN PROGRESS, and
4) POTENTIAL CHALLENGES.
Received: 15 January 2018; Reviewed: 23 January 2018; Received in revised form: 22 February 2018; Accepted: 28 February 2018
ANTENATAL CARE (ANC) VISIT FREQUENCY IN THE THIRD TRIMESTER AND PRETERM EVENTS IN PUSKESMAS PONDOH AND JUNTINYUAT IN INDRAMAYU REGENCY BETWEEN 2014-2016
Get PDFBackground: World Health Organization (WHO) estimates that 15 million babies are born preterm every year and this number continues to increase. Several risk factors for preterm are identified as mother's lifestyle such as smoking, malnutrition, weight gain during pregnancy, and drug use or other factors such as socioeconomic status. In 2015, WHO reported more than 300.000 women died from pregnancy-related causes and 2.6 million babies were still born worldwide with half occurring during the third trimester. Antenatal Care (ANC) in the third semester aims to identify fetal position and identify complication during pregnancy and screen for pre-eclampsia, infection of the reproductive organs and urinary tract, and plan for delivery. The ANC in the third semester is crucial in keeping pregnant mother healthy throught pregnancy and delivery.
Aim: To find out the relationship between third trimester Antenatal Care (ANC) visit frequency and preterm birth event at Puskesmas Pondoh and Juntinyuat in Indramayu regency between 2014-2016.
Methods: This was observational analytic study with cross-sectional approach. The sampling technique in this research was done by total sampling with 100 respondens. Data were collected from maternal cohort book and control card of pregnant women. The data were analyzed using Chi-square test and Prevalence Ratio.
Results: This study found that the proportion of pregnant mothers with insufficient third trimester ANC was 38% and the number of mothers delivering preterm baby was 32%. Statistical analysis showed that there was a statistical significance between third trimester ANC visit frequency and preterm labor with p=0,000 (p<0,05) and women with insufficient ANC visit have 40 times higher risk of preterm baby compared to mothers who has sufficient ANC visit (PR=40,60; CI95%=11.699-140.8862) in Puskesmas Pondoh and Juntinyuat Indramayu District 2014-2016.
Conclusion: Having less than 4 ANC visit in the third trimester may increase the risk of delivering preterm babies. Pregnant women are advised to do ante natal care monthly of a minimum 4 times during the third trimester.
 
DELAY OF ELECTIVE OPERATIONS IN AWAL BROS PANAM PEKANBARU HOSPITAL JANUARI-APRIL 2018
Get PDFBackground: Competition between hospitals is increasing, for thathospital should maintain the quality of service and patient satisfaction. Hospitals should have innovation targets for cost effectiveness and productivity without compromising patient safety and quality of care. Operation delays are one barrier to optimal patient flow, increasing patient anxiety, affecting interprofessional teamwork across the medical discipline and ultimately putting patients at risk of safety.
Methods: This research is descriptive research with a quantitative approach, data obtained from the surgery room register and interview which then grouped and analyzed.
Results: There was an elective delay in surgery of 38%, with the highest cause being the staffing factor of 81%, the highest percentage of delays was plastic surgery 61% of total surgery performed, The highest number of delays occurred in Urology that is 213 cases.
Conclusions: To reduce the delay required clear rules in the event of delays and rules of payment based on performance services, which is timeliness of attendance elective operation schedule is one of the assessment tools, and scheduling operations outside the time outpatient service
ANALYSIS IMPLEMENTATION OF BACK REFERRAL PROGRAM DIABETES MELLITUS AND HYPERTENSION IN HOSPITAL X, JAKARTA
Get PDFBackground: Since morbidity rate of Diabetes Mellitus and Hypertension in Indonesia increased, the number of referral in hospital automatically high. National Health Insurance and hospital burden also increase if the Back- Referral Program (BRP) has not been implemented yet. The impact of the ineffectiveness of Back-Referral Program also felt by Hospital "X" in Jakarta. This study aimsto analyze the effectiveness implementation of Back-Referral Program (BRP) Diabetes Mellitus and Hypertension in Hospital "X".
Methods: This research was conducted in Hospital "X" of East Jakarta by using Qualitative Method. The informant are considered influential with Back-Referral Program (BRP) in Hospital "X" , consisting of Head of Medical Service Section, Internist Doctors, Nurses in internist station, Diabetes mellitus and Hypertension patients in Hospital "X”, Doctor's in first health facility (FKTP) , BPJS pharmacy partner and Head of Health Services Primary Management Unit (MPKP) BPJS East Jakarta.
Results: This study found an indication of medicine shortage in first health facility (FKTP). Lack of communication and coordination between BPJS, Hospitals, FKTP and BPJS pharmacy partner, and also less of monitoring and evaluation of Back-Referral Program (BRP) in hospital.
Conclusions: Since Back-Referral Program (BRP) has not been implemented yet in Hospital "X” will induce long queue in internist station and caused the internist cannot examine and verify patients with properly.
 
FEMALE STUDENTS' PERCEPTION ON BREAST CANCER DETECTION USING BREAST SELF-EXAMINANTION (SADARI) METHOD
Get PDFBackground: In Indonesia, breast cancer takes second place after cervical cancer with estimated 61,682 cases. According to International Agency for Research on Cancer (IARC) data in 2012, breast cancer was found to be the highest percentage of new cases, amounting approximately 43.3% and the death percentage caused by breast cancer reached 12.9%. Based on Basic Health Research data of 2013, the prevalence of breast cancer in Indonesia reaches 0.5 per 1,000 women. The objective of this research was to find out about teenage female students' perception about early detection of breast cancer with SADARI method (Breast Self-Examination).
Methods: This research employed qualitative research method with the phenomenological approach by using.
Results: Based on the research results, there were different perceptions on the importance of conducting SADARI for teens. There were some obstacles to do SADARI such as feeling embarrassed, not having enough time to do SADARI, being forgetful, lacking information about SADARI and lacking support from family and closest people around them.
Conclusions: Teenager perceptions about SADARI affect behavior to do breast self-examination. The solution to overcoming those obstacles included collecting information about early detection of breast cancer using SADARI method, learning about it, and visiting the nearest health facility to do SADARI. In addition, there must be external support from family or other closest relatives.
 
ANTIMICROBIAL RESISTANCE CONTROL PROGRAM ON THE RATIONAL USE OF ANTIBIOTICS IN EKA HOSPITAL PEKANBARU, INDONESIA
No full textBackground: Antimicrobial resistance (AMR) threatens the effective prevention and treatment of an ever-increasing range of infections caused by bacteria, parasites, viruses and fungi. Rational use of antibiotics can reduce the emergence of antimicrobial resistance, cost of treatment, length of stay in hospitals, and improve health outcomes. This study aims to analyse the output of AMR control program implementation on the rational use of antibiotics in hospitals.
Method: This research is a retrospective study, using descriptive analysis with Gyssens' algorithm. Data were assessed from the medical records of patients treated at Eka hospital in 2017. The number of samples 877, in the ICU wards amounted to 307 and Hopea B 570. The analysis was performed by assessing the suitability of antibiotic therapy. The results are presented in therapeutic terms: the antibiotics used and the percentage of use based on the Gyssens algorithm.
Result:The results of data analysis found there is an increase in the rationality of the use of antibiotics on the unit ICU (67.77%), Hopea B (67.36%). There is a decrease in Patients Length of Stay (LOS) in ICU (26%), in Hopea B (58%). The level of antibiotic use without indication in ICU (8.82%). in the Hopea B ward (5.34%.). Attitude of non-compliance of doctors against hospital guidelines and inadequate monitoring of antibiotic therapy. In the case of prophylactic antibiotics remain unobserved because of the lack of pharmacists who can monitor their use.
Conclusion: Eka Hospital has established an AMR Control program, but it has not been implemented properly. Continuous evaluation, awareness raising and understanding of doctors, the addition of monitoring officers (pharmacists), patient screenings and hospital staff on an ongoing basis, are worthy of consideration in order to improve the implementation of the program
Vaccination: Considerations to acceptance and refusal
Get PDFAbstract is not required for this Editorial. Below are the summary and keywords the journal provides for insight to our reader.
Vaccination is one efficient and crucial tool for preventing and controlling disease. This short review questions what factors lead to acceptance and refusal of vaccines in society. This editorial has 4 sub-bab:
1) CULTURAL FACTORS INHIBITING IMMUNIZATION PROGRAM
2) POLITICAL PROPOGANDA INHIBITING IMMUNIZATION PROGRAM
3) IMMUNIZATION IN PROGRESS, and
4) POTENTIAL CHALLENGES.
Received: 15 January 2018; Reviewed: 23 January 2018; Received in revised form: 22 February 2018; Accepted: 28 February 2018.
DOI: https://doi.org/10.35898/ghmj-2118
The relationship between levels of knowledge and interest in using the partial dentures: A case at Yogyakarta's private dental clinic, Indonesia
Get PDFBackground: Missing or lost teeth after tooth extraction may lead to tooth decay and infection. Many cases of tooth loss will not be followed with prosthodontics or rehabilitative treatments. Patients might be aware of partial denture, however no concern to replace the missing teeth.Aims: This study was to determine the relationship between the levels of knowledge and interest in using the partial dentures.Methods: This study was an observational analytic survey with cross sectional design, conducted in October - November 2017. The work involved 60 patients who had pulled teeth at Kanina Dental Clinic, Yogyakarta, Indonesia, who had been selected using purposive sampling technique. Levels of knowledge and interest among the participants were assessed by a set of questionnaire. The data obtained was then analysed using Kendall's Tau test.Results: From the study, we found that 35 respondents had good knowledge and high interest to use partial dentures (58.3%), while the other 22 patients (40%) had been noted with less knowledge and poor maintenance. From Kendall's Tau test, we found a significant relationship between the patient's knowledge and partial removal denture maintenance of p value = 0.003. This study also highlights the role of patients' peer to their decision to use the removable partial dentures.Conclusion: Respondents may consider loosing teeth affected to their physical aesthetics, masticatory system, and speaking comfort. Data shows the higher knowledge to the benefits of partial dentures the higher their interest in using removable partial dentures after tooth extraction.
Keywords: Knowledge, Interest, Use of partial dentures
Received: 27 January 2018, Reviewed: 06 February 2018, Received in revised form: 24 February 2018, Accepted: 28 February 2018.
DOI: https://doi.org/10.35898/ghmj-2119