Publications of the Indonesian Scholars' Alliance
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The evaluation of early initiation breastfeeding implementation in dr. Mohammad Hoesin Hospital of Palembang, Indonesia: Complaints and barriers
Get PDFBackground: Early Initiation of Breastfeeding (EIB) is a worldwide health demand of both mother and child. EIB programme implementation is the duty and responsibility of all health care practitioners, ranging from executive staff and manager, which haven't runs well in dr. Mohammad Hoesin hospital.Aims: To identify opportunities and challenges of hospital management in running the EIB programme in Obstetric Department of dr. Mohammad Hoesin hospital.Methods: In this cross sectional study, all of birth mothers and health professionals were included. Samples were selected by purposive sampling. Data was obtained from the questionnaires which have been tested for validity and reliability.Results: Our study found disintegration of EIB implementation between the managerial and implementer staff. Most of EIB implementers (29 doctors and 14 midwives) stated that EIB was already done well but complained of low level of maternal EIB knowledge and lack of EIB practice support from hospital manager. While managerial staff (n = 12) blaming the EIB implementers worked attitude for this issue. Most patients (51,3%) performing EIB, while majority of no EIB group had abdominal delivery (p = 0,003) and complained that no EIB policy in operating room.Conclusion: At dr. Mohammad Hoesin hospital, EIB implementation faces challenges in managing the hospital, such no EIB policy in operating room, majority of patients are obstetric referral case with complication and unfit for EIB, managerial staff knowledge of EIB differ greatly, low socialization of EIB regulations and other elements of implementation, patient's level of knowledge, disintegration between the manager and executive staff causing ambiguity in the implementation of the EIB, and the lack of supervision of EIB implementation in the field.
Keywords: Early initiation breastfeeding, Implementation, Evaluation, Hospital management, Complaints, Barrier
Submitted: 17 April 2017, Accepted: 28 October 2017
The benefits of automated dispensing machine for hospital pharmacy in Indonesia: situation, implementation, and feasibility
Get PDFBackground: Pharmacy as the main core of hospital is responsible for the quality and safety of medicines. Yet the numbers of medication errors are still high. Automated Dispensing Machine (ADM) is one of the solutions to reduce the dispensing errors in pharmacy. Many countries had studied and proved that the use of ADM gives more benefit than liability. However, ADM is considered as something new, a "nice to have” product.Aims: This study will explain the benefits of ADM especially in Indonesian hospital pharmacy.Methods: Systemic Review with PRISMA method uses 5 databases as Scopus, Springerlink, Google Scholar, Science Direct and ProQuest, with keywords Automated Dispensing Machine, Automated Dispensing Device, Automated Dispensing System, Automated Drug Dispensing System, or Robotic Dispensing System. The inclusion criteria are all the studies that showed any impact in minimum of one aspect of ADM in hospital.Results: There are 13 studies that explained ADM benefits such as increase staff satisfaction for the nurse and pharmacist, reduce dispensing errors about 35% or up to reducing all dispensing errors, time saving until 50% in peak hours and cost analysis and effectiveness. The cost analysis such as inventory stock reduction, increases the cost saving.Conclusion: In Indonesia, it needs many considerations to implement ADM but it had already installed in 1 Indonesia Hospital. This hospital had proved that ADM can reduce dispensing errors and can solve some pharmacy problem such as the human resources problems and the long waiting time. With the proven benefits of ADM, it is justified for Indonesian hospital to implement ADM and information system in their pharmacy. The effectiveness will perceive the pharmacy and positively affect to all related departments in hospital.
Keywords: Automated dispensing machine, Automated dispensing system, Automated dispensing device, Robotic dispensing system, Automated drug dispensing system
Submitted: 17 April 2017, Accepted: 17 June 2017
DOI: 10.35898/ghmj-1157
The UN Sustainable Development Goals; using WHO ‘Health Promoting Schools' to create change.
No full textAccepted: 23 May 2017. Published: 22 June 2017.
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Summary: The article highlights the global epidemiological significance of the United Nations Sustainable Development Goals (SDGs), particularly in addressing poverty. It proposes an innovative approach using the World Health Organization's (WHO) Health Promoting School (HPS) model to address factors affecting children's health and well-being. The HPS approach focuses on multi-disciplinary strategies within school communities, aiming to generate lifelong awareness and positive behaviors that influence the social determinants of health. School-based programs, especially in low and middle-income countries, often include activities like planting school gardens, contributing to improved nutrition, academic achievement, and skill development. The article emphasizes the relevance of these initiatives to specific SDGs (1-6) and underscores the role of schools in reaching a large population to address social determinants of health.
Keywords:
Sustainable Development Goals (SDGs)
World Health Organization (WHO)
Health Promoting School (HPS) model
Multi-disciplinary strategies
School-based health promotion
Social determinants of health
School gardens
Nutrition
Academic achievement
Skill development
Low and middle-income countries
Micronutrients
Food security
Sustainable agriculture
UNMET NEED FOR FAMILY PLANNING PROGRAM; A SITUATIONAL ANALYSIS OF BIRTH SPACING AND LIMITING AMONG REPRODUCTIVE AGE WOMEN IN PANGKALPINANG CITY, BANGKA BELITUNG PROVINCE INDONESIA
Get PDFBackground: Population growth, become one of priority problems, should be solved in almost all of eveloping countries, including Indonesia. In 2007, unmet need was 8.6%, inclined to 11.4% in 2015, which is consisted of 4.5% for spacing children and 8.6% for limiting children. Social demography, economic, access to health services, family support and perception revealed have the contribution to unmet need.
Aims: This study aimed to explore unmet need family planning due to birth spacing and limiting situation among reproductive age women in Pangkal Pinang City, Bangka Belitung Province.
Methods: It was survey research used cross-sectional design. The population was women of childbearing age who experienced unmet need of family planning in Pangkal Pinang, 2016. A total of98 women was taken by proportional random sampling to participate in this study. Data was analyzed using descriptive statistics and used to report the results in the form of frequency distribution and percentage (%) of each item.
Results: Research showed that the most of the unmet need for family planning was among 25-29 years old women. About two third (66.3%) of unmet need women occurred due to the willingness to space the childbirth and 33.7% willing to limit the childbirth. Birth spacing tended to be favored by young mothers, early marriage (1-5 years old), had low parity and had low education attainment. Whilst, limiting childbirth tended to be preferred by women with lenght of marriage experience (>15years old), had high parity, older mothers, and secondary education level (senior high school) attainment. Both of spacing and limiting have no difference according to the economic situation. All of them mostly were the household wife from low-income family. Husband support to not use contraception was found in both birth spacing and birth limiting.
Conclusion: The study suggests to provincial health office and national family planning coordination board that family planning program should not just involve the wife, but husband as well due to their high influence in family planning decision.
 
FACTORS RELATED WITH HOSPITAL INFORMATION SYSTEM (HIMS) POOR PERFORMANCE FROM USER'S EVALUATIONS THOROUGH MALCOLM BALDRIGE CONCEPT IN KERTHA USADA HOSPITAL SINGARAJA-BALI
Get PDFBackground: Hospital is developing not only as social entity also for business. As business entity the hospital must gain the profit. To have profit the hospital must increase the productivity and keep the level of patients visit. The hospital should keep the patients and employees satisfaction, with the efficiency within. Use hospital information management system (HIMS) will be helping. HIMS must have good performance to make satisfy the users, either internal or external. Factors related are: strategic planning which is involve all of the stakeholders, practice and accompaniment while implementation, benefit for business process (quality control, integration, monitoring & evaluation, with full support from the hospital management. This study wants to see the entire factor by qualitative study associated with Malcom Baldrige Concept.
Aims: This study is aimed to find out factors related with HIMS poor performance from Malcom Baldrige concept including leadership, strategic planning, focuses on patients-customer and markets, measurement-analyze and knowledge management, work-force focus, process management, and result.
Methods: This study was done by a qualitative study to find out entire factors related with Kertha Usada HIMS poor performance thorough Malcom Baldrige Concept.
Results: The key informant reveals the factors related with Kertha Usada HIMS poor performance are: difficult to operate, inadequate training and accompaniment, couldn't integrated, didn't gave benefit on works, no incentive, and less support from the management.
Conclusion: The hospital should have good hospital governance in the used of Hospital Information Management System
THE RELATIONSHIP OF FAMILY SUPPORT TO MOTIVATION (INTENTION) FOR MEDICAL TREATMENT IN PATIENTS WITH CERVICAL CANCER IN LIGAR MEDIKA CLINIC, WEST JAVA – INDONESIA
Get PDFBackground: Cervical cancer is a gynecologic disease with high malignancy rate and becomes the second leading cause of death among women worldwide after breast cancer. In the Ligar Medika Clinic, from 129 cases have been identified, 8 patients died. High mortality rate in patients with cervical cancer wascaused more by the delay in treatment due to lack of knowledge and physical side effects of treatment of patients and psychological disorders such as their rejection reactions.
Aims: The purpose of this paper is to know the relationship of family support to the motivation or intention for medical treatment in patients with cervical cancer
Methods: The research method used was an analytic study with cross-sectional design. There were 30 patients with cervical disease invited to fill the questionnaire. Data wasobtained directly using a Likert scale questionnaire further run in univariate and bivariate analysis with Chi-Square.
Results: The result indicates most of the respondents were lack of family support. This present study found a significant correlation between family's supports to the motivation (intention) medical treatment of cervical cancer patients (p value < 0.001)
Conclusion: The findings alarm a need to encourage family of patients to provide support to them during medication. It is to provide complete information about cervical cancer that can induce the family's attention in ongoing treatment in patients and provide the patients the motivation.
 
RISK FACTORS OFBIRTH ASPHYXIA IN PKU MUHAMMADIYAH HOSPITAL, BANTUL
Get PDFBackground: Infant mortality rate particularly in the perinatal period, is significantly high and become a health problem both globally and nationally. The first thousand days of life are the golden periods for a child's growth. Health surveillance before and during pregnancy as well as in the birth process largely determines the quality of the child that will be born. Among four regionsin Yogyakarta, Bantul region has the second highest number of infant mortality with 126 cases. The leading cause of infant death in this region is asphyxia which reaching 29 cases. In PKU Muhammadiyah Hospital, Bantul there were 264 (23%) infants from 1131 live births who suffered from asphyxia in 2014.
Aims: To determine the risk factors of birth asphyxia in PKU Muhammadiyah, Hospital Bantul in 2014.
Methods: This was an analytical observasional study, with case control study design. The study was conducted in PKU Muhammadiyah Hospital, Bantul. Samples were newborns in PKU Muhammadiyah Hospital, Bantul from January to December 2014. There were 167 respondents in case group and 167 respondents in control group.Data were analyzed using univariate, bivariate with chi-square test and multivariate with conditional logistic regression analysis.
Results: From the results of multivariate analysis, four factors related to asphyxia were abnormal labor (OR=2.304;95%CI=1.402 to 3.787;p-value=0.001), premature rupture of membranes (OR=2.040;95%CI=1.019 to 4.083;p-value=0.044), anemia (OR=1.426;95%CI=1.182 to 1.720;p-value=0.000) and pregnancy spacing <2 years (OR=2.458;95%CI=1.060 to 5.698;pvalue= 0.036).
Conclusion: Abnormal labor, premature rupture of membranes, anemia and pregnancy spacing <2 years were the risk factors of birth asphyxia in PKU Muhammadiyah Hospital, Bantul in 2014.
 
THE RELATIONSHIP BETWEEN KNOWLEDGE OF HEPATITIS B- 0 IMMUNIZATION AND HEPATITIS B-0 IMMUNIZATION TIMING IN JETIS PRIMARY HEALTH CENTRE, YOGYAKARTA, INDONESI
Get PDFBackground: Hepatitis B, one of dangerous communicable diseases, causes outbreak and death. Jetis Public Health Center, moreover, had lowest immunization scope compared to other public health centers in Yogyakarta, that only at 89.46%.
Aims: This is to determine the relationship between the level of mother's knowledge on Hepatitis B0 immunization and time of Hepatitis B0 immunization in Jetis Public Health Center Yogyakarta.
Methods: A semi-qualitative research was employed with an analytical survey and cross-sectional time design. A total of 69 mothers who immunized their infants in Jetis Public Health Center,Yogyakarta, was selected by accidental sampling technique. The data was then analysed by Chi- Square statistical test.
Results: The research result showed a relation between the level of mother's knowledge on hepatitis B0 immunization and time of hepatitis B0 immunization in Jetis Public Health Center, Yogyakarta.
Conclusion: The findings highlight the importance of knowledge improvement among the mothers to Hepatitis B0 immunization. The local health providers may need to conduct socialization to encourage mothers to visit health center for infant Hepatitis B0 immunization
 
THE EFFECT OF HEALTH EDUCATION ON THE ATTITUDE TOWARDS EXCLUSIVE BREASTFEEDING: A STUDY AMONG PRIMIGRAVIDA WORKING WOMEN IN SEMARANG, INDONESIA
Get PDFBackground: Exclusive breastfeeding is breast milk was given to infants until the age of 6 months without any food additives. Based on a preliminary study by interviews conducted by researchers on December 12 to 26, 2014 in Bulu Lor Public health center there are 7 out of 10 working primigravida women who don't know about exclusive breastfeeding.
Aims: This study aimed to determine the effect of health education on the attitude of working primigravida women in second-trimester toward exclusive breastfeeding.
Methods: This research uses a quantitative research with a quasi-experimental method with preexperimental research design using one group pretest-posttest design. The population in this study were all primigravida second-trimester who worked as many as 58 people with of all working primigravida second-trimester who met the inclusion criteria. Using total sampling technique. By bivariate analysis test of difference mean dependent (paired t-test).
Results: Based on the results of research on the effect of health education on the attitude of working primigravida women in second-trimester toward exclusive breastfeeding, There is a significant difference in the attitude toward exclusive breastfeeding of working primigravida women before and after providing health education. With the p-value of 0.000 < 0.05.
Conclusion: There is an influence of health education on the attitude of working primigravida women in second-trimester toward exclusive breastfeeding