Kesmas: National Public Health Journal
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The Essence of Telemedicine for Bridging the Gap in Health Services
Full text linkThis study aimed to review the essence of telemedicine in this modern era of technology and innovation, especially in developing countries. It also investigated the regulation aspect as the main component for healthcare services. There were five main categories of telemedicine: revenue stream and technology literacy, health facilities, human resources, data authorization and security, and health protocol. Furthermore, when combined with wearable devices, it enhanced healthcare delivery opportunities. There were two major components of global electronic health, namely telehealth and health informatics, based one-commerce and e-learning systems. The World Health Organization (WHO) has been able to describe the roles of telehealth services in developing countries.However, some related issues were needed to be well managed, such as the patient data security. It was found that the regular training and evaluation of people with poor educational background, low income, and stress were the main reasons most communities attend healthcare services despite mild sickness.Therefore, those need to be enlightened on the roles and importance of telehealth services
Integrated Model of a Family Approach and Local Support in Tuberculosis Case Finding Efforts in People with HIV/AIDS
Full text linkThe human immunodeficiency virus (HIV) remains a major global public health problem. People with HIV/acquired immune deficiency syndrome (AIDS) are more susceptible to opportunistic infections such as tuberculosis (TB). Therefore, families and community leaders need to help monitor people living with HIV/AIDS (PLWHA). This study aimed to analyze an integrated family approach and local support model to detect TB cases in PLWHA. This study used a case-control study in Kupang City, East Nusa Tenggara Province, in July 2020. The sample comprised 100 people (50 PLWHA with TB case and 50 controls) using total sampling and random sampling, respectively. The variables related to TB case finding in PLWHA were family employment status, duration of HIV/AIDS, family knowledge of TB, and family support. The data were analyzed using multiple logistic regression. The families with PLWHA with an extended illness duration (OR = 0.81, 95% CI = 0.69–0.95, p-value = 0.01), families who did not work (OR = 3.31, 95% CI = 1.16 9.41, p-value = 0.025), families who had good knowledge (OR = 4.79, 95% CI = 1.70–13.51, p-value = 0.003), and families who provided good support (OR = 3.03, 95% CI = 1.05–8.76, p-value= 0.04) were better able to detect TB in PLWHA
Epidemiological Patterns and Spatial Distribution of COVID-19 Cases in DKI Jakarta (March–December 2020)
Full text linkSevere acute respiratory syndrome coronavirus 2 (SARS-Cov-2) is the causative agent of COVID-19 that began in Wuhan, Hubei Province, China. In Indonesia, the first two cases were reported on March 2, 2020; the first major response to block transmission of the virus was the declaration of large-scale social restrictions (LSSR) or Pembatasan Sosial Berskala Besar (PSBB). This study aimed to identify the epidemiology patterns and spatial distribution of the COVID-19 pandemic in five municipalities of DKI Jakarta. The research design comprised an ecological and case-series study uncovering the epidemiological trends and distribution of COVID-19 in DKI Jakarta based on secondary surveillance data. The results from the data analyzed between March-December 2020 showed an increasing epidemiological trend due to COVID-19, and Central Jakarta was the municipality most affected due to pandemic during this period. The implementation of the first PSBB in DKI Jakarta reduced the average number of daily cases during the first month, although the decrease was not statistically significant. There was a spatial autocorrelation of COVID-19 with the neighboring urban villages. There were fifteen COVID-19 hotspots all over DKI Jakarta based on the data analyzed in December 2020
Breastfeeding Knowledge and Behavior in Lactational Amenorrhea Method (LAM) as a Natural Contraceptive
Full text linkThe lactational amenorrhea method (LAM) is a natural contraceptive that is highly effective after the three essential criteria are fulfilled. However, there is a significantly low adoption resulting from poor knowledge and correct practices. This study aimed to determine the correlation between knowledge and behavior of breastfeeding mothers on breastfeeding as a natural contraceptive. This was an analytic observational study with a cross-sectional design involving 89 breastfeeding mothers and was performed from January to March 2018. Furthermore, data were collected using a questionnaire, and the results showed knowledge of breastfeeding mothers to be good (59.6%) and not good (51.7%). However, the individual’s behavior towards the implementation of LAM was not good (48.3%) and good (40.4%). Based on the statistical test, there was a correlation between knowledge and behavior of breastfeeding mothers, with a p-value of 0.006 (OR = 3.463; 95% CI = 1.411 – 8.498). In brief, knowledge of LAM amongst the participants is good, despite the poor application in terms of behavior. Also, a relationship was also established between the knowledge and behavior of breastfeeding mothers as a natural contraceptive
Economic or Public Health? Southeast Asia’s Tackling of COVID-19 a Year Later
Full text linkThe world has been challenged by rapidly spreading COVID-19 outbreaks for a year now. Southeast Asian countries have had different strategies to deal with the pandemic. This review aimed to elaborate on Southeast Asian countries’ strategies in managing the trade-off between economic and public health, with further consideration of how such approaches were associated with the dynamics of the number of cases and the speed of economic recovery. This review evaluated the COVID-19 mitigation efforts spanning one year in the Southeast Asian (SEA) countries listed based on the Bloomberg COVID Resilience Ranking. As of May 24, 2021, three SEA countries (Thailand, Malaysia, and Indonesia) were chosen from the better (27th), moderate (35th), and worst (42nd) SEA country rankings. Peer-reviewed articles were obtained from Google Scholar and PubMed databases, and news articles were retrieved from GoogleNews. The data from government websites were also included. Sources were limited to those in the English and Indonesian languages that could be accessed between January 2020 and May 2021. Thailand, Malaysia, and Indonesia were found to have significantly prioritized consideration of the economy in handling the pandemic. Malaysia and Thailand had more stringent policies of imposing national lockdowns, while Indonesia had a partial lockdown. It was found that a weak pandemic response may result in substantial economic loss
Accelerating the Provision of Safe Water Supply in Urban and Rural Areas of Indonesia
Full text linkOver the past 100 years, the provision of a safe water supply to drink in Indonesia has been slowly progressed with low coverage. The majority of the population does not have access to safe water. Morbidity and mortality of water-related diseases, including diarrhea, are very high. The provision of safe water is not a technological issue but good water management that comprises content, institutional, and communication layer. This paper provided information for strategic and operational decisions to accelerate the provision of safe water services in urban and rural areas. Benchmarking good water management with the characteristics of the water supply location is required to improve the health status of the population, mainly the poor urban and rural areas with limited resources, including time and cost
The Effectiveness and Safety of Favipiravir in COVID-19 Hospitalized Patients at Tertiary Referral Hospital, Bali, Indonesia
Full text linkCOVID-19 is a major public health problem, with still questionable specific cure. Favipiravir is a COVID-19 antiviral that is potentially a therapy for COVID-19. This study aimed to analyze its effectivity and safety in moderate to critical hospitalized patients. This study was a retrospective cohort in a tertiary referral hospital in Denpasar City, Bali Province, Indonesia, from August 2020 to January 2021. There was a total of 192 patients; 96 in the favipiravir group and 96in the non-favipiravir group (remdesivir/oseltamivir). Effectivity was measured by assessing the clinical condition at the end of the isolation period of 14 days. The favipiravir group showed better clinical conditions than the non-favipiravir group (79.2% vs. 56.3%; adjusted RR = 2.196; 95% CI = 1.084 – 4.451; p-value= 0.029), seen from being free of fever and respiratory problems. Stratification analysis demonstrated that the clinical improvement was significantly differentin the severe/critical group in favor of favipiravir (RR = 1.573; 95% CI = 1.139-2.172). The most common non-serious adverse events (AE) found in the use offavipiravir were gastrointestinal disturbances (12.5%). In brief, favipiravir is effective in severe/critical cases, and less serious AE were found in its use. Appropriate treatment is expected to help in reducing the public health burden
Analysis of Measles Vaccination Refusal on Social Media (Facebook) among Anti-Vaccine Communities in Indonesia
Full text linkMeasles is one of the main causes of global mortality in the under-fives. The existence of groups that reject immunization caused a decrease in immunization coverage. Anti-vaccine messages are widely delivered on social media. Identification of vaccine rejection behavior can be used as the basis to formulate effective program strategies. The design of this study used rapid assessment procedures (RAP). The informants were from two anti-vaccine communities in the Facebook group. In-depth interviews and observations were done for data collection, and data analysis was performed using the Framework Method. The results found that determinants, such as knowledge, beliefs in health behavior and disease prevention, religion, culture, and government policies play a role in shaping informants’ perceptions of vaccines and disease risks. The design factors of vaccination programs and the reliability of vaccine producing sources were found to be inhibiting factors for informants to receive vaccines. Also, experience with vaccines, health workers' role, and lobbying by anti vaccine groups strengthened informants' attitude who initially doubted vaccines, causing them to reject vaccines ultimately. It is suggested to the Ministry of Health to improve vaccination campaigns through social media, conduct vaccine development study, and increase health workers' knowledge related to vaccines and make their communication techniques more effective
Determinants of Exclusive Breastfeeding Practices of Female Healthcare Workers in Jakarta, Indonesia
Full text linkThe World Health Organization (WHO) recommended that mothers worldwide exclusively breastfeed their infants for the child's first six months to achieve optimal growth, development, and health. Indonesia had not fulfilled the global standard of breastfeeding rate so that there was low coverage of exclusive breastfeeding in East Jakarta, especially for female healthcare workers. This study aimed to determine the factors associated with exclusive breastfeeding practices of healthcare workers. This was a quantitative study using a cross-sectional design. The recruited sample consisted of 85 female public health center workers with infants aged 6-24 months. Data were collected using self-administered questionnaires. Logistic regression analysis was applied to identify factors associated with exclusive breastfeeding. The results showed that the proportion of exclusive breastfeeding was 54.1%. Variables associated with exclusive breastfeeding were knowledge, attitude, family support, co-worker support, and healthcare worker support. Multivariate analysis showed that knowledge and age were the dominant factors of exclusive breastfeeding practices with an odds ratio (OR) adjusted OR of 14 and 5, re¬spectively. Knowledge was an influential factor in the success of exclusive breastfeeding. Therefore, creating a training program related to breastfeeding would be expected to improve knowledge. Besides, a supportive policy such as providing breastfeeding facilities was needed