Produk Pengetahuan > Artikel Ilmiah
Produk pengetahuan berikut adalah karya atau kontribusi peneliti yang berkolaborasi dengan berbagai mitra dan diterbitkan bisa oleh PUI maupun mitra terkait.
2025-03-03
The World Health Organization (World Health Organization, 2020) announced the COVID-19 outbreak as a pandemic. Globally, this situation affects people in various domains including mental health. Existing theories and research findings suggest justice beliefs are associated with mental health and may help to cope with adverse life circumstances. Participants (N = 3694) in 15 Asian nations completed measures of belief in a just world (BJW), Karma, system justification, well-being indices and COVID-19 impact. The results show that BJW for the self and system justification positively predicted well-being while BJW for others provided reverse associations. Furthermore, Karma predicted both higher life satisfaction and depression. However, COVID-19 impact did not moderate the relationships between justice beliefs and well-being. The results provide various psychological functions but do not consistently indicate the buffering role of justice beliefs during COVID-19 pandemic.
2025-01-30
The goal of hospice care is to relieve patient’s physical, psychological, social, and spiritual stress who are nearing the end of life, thereby ultimately improving the quality of life because hospice care views humans from a holistic perspective. Spirituality is a dynamic and essential aspect of humanity that includes the search for highest meaning, purpose in life, transcendence and connection with oneself, family and others which is manifested in beliefs, values, traditions and practices. This has had a positive impact that includes spiritual well-being, quality of life, adaptation, physical and psychological health which ultimately meets the needs of patients and families in finding meaning and purpose in life, restoring relationships and love and being able to accept death and maintain hope and support a dignified death. Mean center and Dignitiy psychotherapy has been tested as a psychotherapy that focuses on the patient's meaning and dignity. Spirituality is a concept that is not limited to religion and is a key concept in the care of terminal illness. Therefore, spiritual care is an important element of hospice care that significantly influences the quality of all care provided. The spiritual care guidance and assessment model was developed as a care guide in the fundamental and spiritual aspects of human beings in hospice care. Spiritual Health Assessment Scale (SHAS) is a scale developed to assess spiritual health that is used for the entire community and is not based only on religion which contains 3 domains in the form of self-development, self-actualization and self-realization.
2025-01-04
Microplastic contamination in table salt has emerged as a significant environmental and public health concern, particularly in regions like Bali, Indonesia, where salt is predominantly produced through seawater crystallization This study aimed to quantify and characterize microplastics in local and non-local table salts and estimate the potential microplastic intake. A total of 20 salt brands (10 local, 10 non-local) were collected and analyzed using density separation, stereomicroscopy, and FTIR spectroscopy. The results indicated that all salt samples contained microplastics, with an average concentration of 173 ± 119 particles/kg. Non-local salts exhibited higher contamination levels (211 ± 134 particles/kg) compared to local salts (135 ± 88 particles/kg). Fragments were the most prevalent microplastic type (55%), followed by fibers (44%), and smaller particles (≤500 μm) were the most common in size. A total of 13 polymer types were identified in the microplastic samples, with chlorobutyl (33%) and ethylene propylene rubber (29%) being the most dominant. Based on salt consumption rates, it was estimated that Bali residents ingest 1 microplastic particles per day, translating to an annual intake of 316–425 particles. These findings highlight the widespread nature of microplastic contamination in consumable salt and suggest potential health risks from the ingestion of microplastics, which may carry harmful pollutants. The study emphasizes the need for improved salt production practices, stricter pollution controls, and further research into the health implications of microplastic ingestion.
2025-01-01
We examined the relationship between socioeconomic status (SES) and endorsement of honour. We studied the SES-honour link in 5 studies (N = 13,635) with participants recruited in different world regions (the Mediterranean and MENA, East Asian, South-East Asian, and Anglo-Western regions) using measures that tap into various different facets of honour. Findings from these studies revealed that individuals who subjectively perceived themselves as belonging to a higher (vs. lower) SES endorsed various facets of honour more strongly (i.e. defence of family honour values and concerns, self-promotion and retaliation values, masculine honour beliefs, emphasis on personal and family social image, the so-called street code). We discuss implications of these findings for the cultural dynamics linked to SES.
2024-12-31
Purpose: Understanding patient’s preferences is important to delivering good quality services. Patients’ feedback provides healthcare providers with valuable information about the services provided. The increasing number of international students enrolling in Hungarian Universities raises the need to ensure the quality of services meets international students’ requirements, which includes healthcare. This study aimed to assess service quality in the University Health Center (UHC) from the international student’s point of view to be used to improve the quality of services. Methods: This cross-sectional study was conducted at the university health center. We used a mixed methods approach to collect both quantitative and qualitative data. We used the importance-performance analysis (IPA) for quantitative analysis to understand expectations and perceptions in service research. The qualitative analysis was conducted from responses to reflection questions. The qualitative data were then analyzed using thematic analysis. Results: 437 international students participated in the study, but only 402 (91.99%) were analysed. The gaps between the importance and performance of service quality were negative in all dimensions (P-value < 0.001). This suggests that there is an unmet need for student expectations and university health center performance. From the Importance factor, the highest and lowest were related to safety (4.54 ± 0.56) and efficiency (4.31 ± 0.66) dimensions. The Performance factor’s highest and lowest mean scores were also related to safety (4.22 ± 0.72) and efficiency (3.91 ± 0.87), respectively. From qualitative analysis, there are two major themes several secondary themes from the thematic analysis of free-text responses were identified. Conclusion: The importance and performance analysis could provide useful information to university policymakers about university health center service quality. There is a need for improvement and obviating the importance-performance gaps, especially in the efficiency dimension. Decision-makers can use the IPA analysis results to allocate limited resources more effectively, giving special attention to possible organizational weaknesses for further direction.
2024-12-01
Data Riskesdas tahun 2018 menunjukkan prevalensi anemia remaja Indonesia sebesar 32%. Masih terdapat remaja yang kurang gizi dan gizi lebih juga obesitas. Kurangnya variasi menu dan minimnya pengetahuan gizi seimbang pada remaja santri, sehingga tidak terampil dalam menyediakan dan memilih makanan sehat menggunakan bahan pangan lokal yang ada dilingkungan sekitar. Pesantren juga belum pernah melaksanakan pengukuran berat badan dan tinggi badan, sehingga tidak mengetahui status gizi pada santri. Melaksanakan pengukuran berat badan dan tinggi badan, memberikan edukasi dan praktik gizi seimbang untuk meningkatkan status gizi dan kesehatan remaja. Terdapat 3 kegiatan yang dilaksanakan selama bulan Agustus – Oktober tahun 2023 yaitu; Pengukuran berat dan tinggi badan untuk mengetahui status gizi responden, edukasi gizi seimbang pada remaja, dan praktik menu gizi seimbang berbahan pangan lokal. Kegiatan pengukuran menunjukkan 100% santri berstatus gizi normal menurut indikator Indeks Massa Tubuh (IMT) per Umur. Adanya peningkatan pengetahuan gizi santri sebelum dan sesudah intervensi edukasi gizi (P value: 0,000). Hasil pengamatan praktik uji coba pembuatan salah satu variasi menu sate lilit tempe menunjukkan bahwa para santri sudah mampu mengolah menu secara mandiri, sehingga dapat mempraktikkan variasi menu lainnya yang terdapat di modul variasi menu gizi seimbang untuk remaja santri. Seluruh santri berstatus gizi normal, adanya peningkatan pengetahuan gizi santri setelah diintervensi, dan seluruh santri berhasil mempraktikkan kembali pembuatan menu sate lilit tempe.
2024-11-30
Penambahan madu bunga randu pada kefir susu kambing akan mempengaruhi kualitas mutu, dilihat dari perubahan viskositas dan keasamannya. Selain itu, madu bunga randu juga meningkatkan kandungan gula total yang ada di dalam kefir susu kambing. Penelitian ini bertujuan untuk mengetahui viskositas, keasaman, dan kadar gula total pada kefir susu kambing yang ditambahkan madu bunga randu. Bahan yang digunakan adalah susu kambing dan madu bunga randu. Penelitian ini menggunakan RAL,yang terdiri dari 5 perlakuan dan 3 ulangan. Analisis data menggunakan ANOVA dan uji lanjut Duncan. Perlakuan berbeda yaitu P0 (tanpa penambahan madu), P1 (10% penambahan madu), P2 (15% penambahan madu), P3 (20% penambahan madu), dan P4 (25% penambahan madu). Hasil penelitian menunjukkan penambahan madu bunga randu memberikan pengaruh nyata (P<0,05) terhadap viskositas, keasaman, dan kadar gula total pada kefir susu kambing. Semakin tinggi konsentrasi madu bunga randu yang ditambahkan, mengakibatkan viskositas yang semakin rendah. Viskositas terendah ada pada P0 yaitu 193,53 mpa.s. Penambahan madu bunga randu dapat meningkatkan keasaman kefir susu kambing, dimana keasaman tertinggi dimiliki oleh P4 dengan pH 4,28. Penambahan madu bunga randu ke dalam kefir susu kambing meningkatkan kadar gula total. Kadar gula total terendah adalah P0 yaitu 3,48%, sedangkan rataan tertinggi dimiliki oleh P4 sebesar 4,56%. Kefir susu kambing yang ditambahkan madu bunga randu memiliki pengaruh terhadap nilai viskositas, keasaman, dan gula total.
2024-11-22
Background: Polycystic Ovary Syndrome (PCOS) is an endocrine disorder affecting 5-18% of women of reproductive age, with a high prevalence in Europe and 1,8-15% in Indonesia. PCOS is often associated with chronic inflammation and vitamin D deficiency, which can exacerbate symptoms and increase the risk of cardiovascular disease due to the anti-inflammatory effects of vitamin D. Objectives: To determine the role and most effective dosage of vitamin D in reducing inflammatory markers through a literature review. Methods: The methodology employed is a Systematic Literature Review using the PRISMA method. A search in the Google Scholar, ScienceDirect, and Scopus databases yielded 1,046 articles, of which 7 RCT articles were selected for analysis. The selected articles investigate the effects of vitamin D on inflammation in PCOS, with a total population of 434 participants, published between 2019 and 2024, and were deemed suitable using The Joanna Briggs Institute (JBI) Critical Appraisal method. Results: Out of seven randomized controlled trials (RCTs), five showed that vitamin D supplementation reduced levels of inflammatory biomarkers such as hs-CRP in patients with PCOS. Results varied depending on the dosage, but two specific dosages of vitamin D supplementation 4,000 IU and 50,000 IU showed potential as adjunctive therapy for managing PCOS. Conclusion: Vitamin D supplementation is effective in reducing inflammation in PCOS and has potential as a beneficial adjunctive therapy with positive implications for the long-term health of patients. Dosages of 4,000 IU per day and 50,000 IU every two weeks have been proven effective in reducing PCOS-related inflammation. However, due to the limited number of studies reviewed, the most effective combination of micronutrients to be used alongside vitamin D has yet to be determined.
2024-11-18
Background: Cases related to the immune system, such as infections, tend to increase because human life heavily depends on the activation and supression of immune responses to combat various pathogens and disease factors. The nutritional content of tempeh is known to have the ability to regulate the immune system, either enhacing ot inhibiting immune responses. Objectives: This study aimed to determine the impact of consuming tempeh on immune system modulation specifically in increasing IgA, decreasing IgE and IL-6. Methods: The type of research is a narrative review that uitilzes articles from 2014 to 2024, sourced from Google Scholar, PubMed, and ScienceDirect. The reviewed articles were quasi-experimental and experimental studies on humans and animal models. Inclusion and exclusion criteria were guided by the PICOS framework. Data were processed and analyzed using the PRISMA approach to filter and identify relevant literature, followed by a narrative synthesis to interpret research findings. Results: Tempeh consumption induces an increase in IgA production, reduces IgE levels, and lowers IL-6 concentrations. IgA secretion increased from 2098 ng/mL to 2573 ng/mL in males and from 2376 ng/mL to 2421 ng/mL in females after 25 days of tempeh intake. Combining tempeh consumption with resistance training for 2 weeks also elevated sIgA concentrations from 70.123 ng/mL to 77.216 ng/mL. In rats, tempeh Rs reduced plasma IgE levels from 1.2 µg/mL to 0.8 µg/mL after 14 days and decreased skin severity scores from 2.5 to 1.5. Conclusion: Tempeh consumption positively influences immune modulation by increasing IgA levels, reducing IgE, and lowering IL-6 concentrations.
2024-11-15
Background: Crohn's disease patients experience dysbiosis or an imbalance in the composition of microbes in the gut, in contrast to individuals who do not have Crohn's disease. The intestinal immune system has a very important role in Crohn's disease. Pathogenesis can be understood from the immune system by knowing the gut microbiota. Short-chain fatty acids are anti-inflammatory substances produced from the breakdown of soluble fiber in the intestines by certain microbiota species. Objective: The purpose of this literature is to determine the effect of fiber on short-chain fatty acids and to form the gut microbiota of humans with Crohn's disease. Methods: Systematic searches were conducted on Google Scholar, PubMed, Science Direct and Scopus. Randomised controlled trials evaluating the role of fibre were sought between 2020-2024 to determine the application of fibre therapies and interventions to patients with Crohm's disease (age is not restricted). Results: This literature study revealed that fiber may affect the composition of gut microbiota diversity in patients with Crohn's disease. Fiber increases the gut microbiota and produces short-chain fatty acids, especially increasing Firmicutes, Bifidobacteria, and Roseburia bacteria in Crohn's disease patients. In intestinal cells, short-chain fatty acids undergo cell proliferation, cell differentiation and gene expression. Short-chain fatty acids function as ligands that pair with G-proteins (GPCRs), including GPR41, GPR43 so that they activate the anti-inflammatory signal cascade. Conclusion: A wide variety of fermented fibers are able to produce the diversity of the intestinal microbiota of Crohn's disease patients and produce short-chain fatty acid molecules that can activate anti-inflammatory signals. Therefore, fiber as a prebiotic is very beneficial in maintaining the intestinal immune system in Crohn's disease patients.
2024-10-16
Improving knowledge and skills are crucial factors in increasing the commitment of health facility staff to support exclusive breastfeeding. This study presents the steps to formulate the modules using Delphi technique and implemented those modules in the training. This study used a mix-methods method consisting of four stages, namely literature review, qualitative study, module validity and module implementation. The modules were validated by 14 lactation experts to assess reliability, feasibility, and linguistics. The study was conducted from 2020-2021 in 5 regions in East Java Province. A pre-post-test measurement with 493 health works and non-health workers was conducted to assess the effectiveness of the modules. The first round of Delphi showed agreement proportion between 80-100% on the three aspects. In the second round of Delphi, the strong consensus stated that the modules can be implemented in training was achieved with percentage of feasibility (79.4%), reliability (44.4%) and linguistics (44.4%). The results of the training using the modules showed a significant improvement in knowledge between 6-26 points in 5 areas (p-value<0.000). In conclusion, three modules have been developed and validated successfully. The modules were effectively used to improve the breastfeeding knowledge and practice among health and non-health workers.
2024-09-05
Introduction: The 2022 nurse performance target report from various community health centers (Puskesmas) in Denpasar city indicates that both individual and organizational performance were generally satisfactory. However, performance evaluations were based solely on the nurses' core duties, without assessing the responsibilities of the programs implemented by each individual. According to data from Denpasar city, there are challenges in achieving the health Minimum Service Standards (SPM). Several factors, such as workload and work motivation, are associated with the attainment of the SPM. Therefore, this study aims to describe the relationship between workload, work motivation, and nurse performance in the community health centers of Denpasar city. Methods: This study employed a cross-sectional design conducted in the community health centers of Denpasar city during March-April 2024. The sample consisted of 121 nurses who met the inclusion criteria of having worked at a Denpasar community health center for at least one year at the time of data collection. The sampling method used was total population sampling. Data on workload, motivation, and nurse performance were collected using a questionnaire instrument via Google Forms. Data analysis was conducted using the chi-square test and multiple logistic regression analysis. Results: A total of 121 nurses participated in this study, with the majority demonstrating good performance (52.9%), high workload (50.4%), and high work motivation (59.5%). High work motivation was identified as an independent factor influencing the improvement of nurse performance in Denpasar community health centers. High work motivation tends to increase nurse performance by 4.8 times compared to low work motivation (AOR = 4.829; 95% CI = 2.205-10.575; p < 0.001). Conclusion: There is a significant relationship between nurse motivation and nurse performance in the community health centers of Denpasar city.
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2024-08-27
Memasuki era new normal pandemi COVID-19, Menteri Pendidikan dan Kebudayaan merencanakan pembukaan sekolah kembali. Kebijakan melaksanakan pembelajaran tatap muka (PTM) di tengah pandemi COVID-19 harus dipersiapkan secara maksimal. Tujuan penelitian ini adalah untuk mengetahui kesiapan warga sekolah di Kabupaten Badung Bali, yang meliputi status vaksinasi, ketersediaan sarana prasarana sanitasi, kebersihan, dan kesehatan, kepatuhan terhadap protokol kesehatan, serta kesiapan orang tua siswa dalam pembelajaran tatap muka. Desain penelitian menggunakan studi cross-sectional dengan populasi warga satuan pendidikan di Kabupaten Badung Bali. Pengambilan sampel sebanyak 120 responden menggunakan teknik multistage cluster random sampling. Pengumpulan data menggunakan kuesioner online (Google form) dan dianalisis secara univariat. Hasil penelitian menunjukkan persentase cakupan vaksinasi pada warga satuan pendidikan di Kabupaten Badung di atas 80%, sudah menerapkan perilaku protokol kesehatan dengan persentase di atas 80%. Orang tua telah memberikan izin dan telah mempersiapkan segala kebutuhan penunjang PTM anaknya dengan persentase di atas 80%. Hanya saja masih terdapat beberapa item persyaratan sarana prasarana sanitasi, kebersihan, dan kesehatan yang tidak memadai dengan persentase di bawah 100%. Saran dalam penelitian ini adalah menyediakan sarana sanitasi, kebersihan dan kesehatan secara maksimal untuk menjamin keselamatan dan kesehatan warga sekolah selama pembelajaran tatap muka berlangsung.
2024-08-09
Objective: This study aims to determine the prevalence and factors associated with the occurrence of stunting in female adolescents in the Bangli Regency, Bali Province, Indonesia. Methods:This cross-sectional study was conducted from May to July 2022 in senior and vocational high schools in Bangli Regency, Bali Province, Indonesia. Adolescent girls aged 15-18 years not experiencing any illness at the time of enrolment were included. Stunting was defined using the WHO's 2007 standards (Height-for-Age z-score <-2SD). Dietary habits were evaluated using the Dietary Diversity Score (DDS), with a score of less than 5 indicating low dietary diversity. Chronic Energy Deficiency (CED) was determined by mid upper arm circumference, with a threshold of <23 cm indicating CED. Sociodemographic factors, dietary habits, and knowledge and attitudes regarding stunting were also assessed. Results:Of total 560 females, the mean age was16.32 ±0.854 years. Stunting was observed in 66 (11.8%) adolescents. The risk of stunting was approximately 2.55 times significantly higher among adolescents with negative attitude towards stunting prevention (cOR 2.55, 95% CI 1.48 to 4.38, p-value <0.001), 2 times significantly higher among adolescents with low DDS (cOR 1.87, 95% CI 1.10 to 3.22, p-value 0.021) and experienced CED (cOR 1.76, 95% CI 1.01 to 3.04, p-value 0.042). Conclusion: This study identified a stunting prevalence of 11.8% among female adolescents in the Bangli Regency, Bali Province, Indonesia. The findings indicate that a negative attitude towards stunting prevention, poor diet, and continuous energy imbalance are significant risk factors associated with stunting.
2024-07-02
The COVID-19 pandemic has greatly affected the lives, health, and social well-being of people globally including presenting special challenges in low to middle income countries for people living with HIV. This study investigates the pandemic experiences of the four key HIV-positive populations in Indonesia: men who have sex with men, transgender women, female sex workers, and people who use drugs. In-depth interviews were conducted with a convenience sample of 22 key population members recruited through 9 nongovernment HIV agencies in Jakarta and Bali, Indonesia. Indonesia’s Large-scale Social Restrictions Policy mandating physical distancing and stay-at-home orders had been in effect for 7–10 months at the time of the interviews. The interviews were audio-recorded, transcribed, and coded using NVivo™ (R1.7) software. A grounded theory approach identified key concepts along with similarities, differences, and reoccurring patterns of COVID-19 lived experience among participants. Participants recounted the impact of both the pandemic and the Restriction Policy on their interpersonal, financial, medical, and psychosocial well-being. When in need, they turned to formal and informal sources of financial and social support plus their own resourcefulness. Along with other factors, HIV medication shortages, HIV and COVID-19 related stigma, and fear of acquiring COVID-19 negatively impacted their antiretroviral adherence and the use of health services. The results point to the latent consequences of government attempts to curb a pandemic through public health lockdowns and enforced policies of physical separation. Its findings reveal the importance of ensuring that public safety nets for HIV key populations are available to supplement more informal personal sources of needed support.
2024-04-19
DOI dan Link Akses DOI: https://doi.org/10.1038/s41598-023-30586-z
2024-04-19
DOI dan Link Akses DOI: https://doi.org/10.1016/j.tmp.2021.100883
2024-04-06
Studi ini mengevaluasi penerapan kesejahteraan hewan pada peternakan babi di dua desa di Gianyar, Bali. Permintaan daging babi yang meningkat menyebabkan beberapa peternak cenderung mengabaikan prinsip kesejahteraan hewan. Penelitian ini dilakukan melalui survei terhadap 25 peternak di setiap desa, dengan analisis data secara deskriptif dan komparatif. Hasil penelitian menunjukkan bahwa 54% peternak di Sebatu dan 46% di Taro telah menerapkan kesejahteraan hewan dengan baik. Namun, tidak ditemukan perbedaan signifikan antara kedua desa. Disarankan untuk mengurangi penggunaan kandang baterai dan menyediakan fasilitas pengayaan untuk meningkatkan kesejahteraan babi.
2024-04-06
Analisis perbandingan kesejahteraan hewan pada peternakan babi di dataran tinggi dan rendah di Gianyar, Bali. Penelitian ini dilakukan dengan wawancara kepada peternak di dua desa yang berbeda kondisi geografisnya. Hasilnya menunjukkan bahwa 30% peternakan masuk dalam kategori sangat baik, 65% baik, dan 5% cukup. Analisis statistik menunjukkan terdapat perbedaan pada tingkat kebebasan babi dalam mengekspresikan perilaku alami mereka, dengan kondisi di dataran rendah lebih terbatas dibandingkan dataran tinggi.
2024-03-24
Penelitian ini membandingkan daya tahan daging ayam broiler yang dibungkus dengan daun jati, daun pisang, dan tanpa pembungkus pada suhu ruang. Hasil penelitian menunjukkan bahwa daging ayam tanpa pembungkus mengalami penurunan pH lebih cepat dibandingkan dengan yang dibungkus. Pembungkusan dengan daun jati dan daun pisang mampu mempertahankan kualitas daging hingga 12 jam, sementara daging tanpa pembungkus mulai mengalami kerusakan dalam waktu 6 jam. Penelitian lebih lanjut diperlukan untuk memahami mekanisme perlindungan dari masing-masing jenis daun.
2024-03-06
The WHO’s Asia-Pacific framework for triple elimination recommends that countries evaluate their programs for the elimination of mother-to-child transmission of HIV, syphilis, and hepatitis B (EMTCT), including identifying gaps to improve program planning and the implementation of elimination strategies in antenatal care (ANC) services. In 2022, the Indonesian Ministry of Health reported that only 39% of pregnant women were tested for HIV, 14% for syphilis, and 28% for hepatitis B, respectively. We conducted a qualitative study involving a focus group discussion (FGD) and in-depth interviews with 25 key stakeholders in Bali and West Nusa Tenggara Provinces to identify specific challenges to testing for HIV, syphilis, and hepatitis B in ANC settings. Thematic analysis was used to identify the themes generated from the data. Health system bottlenecks experienced by stakeholders included supply chain management issues involving stock forecasting and stock monitoring, stock-outs of rapid test reagents which were particularly most frequent and for longer durations for syphilis and hepatitis B, high staff turnover, lack of staff training on how to perform the test, the complexity and time needed to record the data on women’s characteristics, risk behaviours, and testing in both paper format and into the computer-based surveillance systems, discrepancies in program coverage data from different divisions of the district health office involved in the reporting system, high levels of stigma that prevented women from being followed up, challenges in notifying partners, and inadequate reporting and referral of women from private providers to public ones for testing. Interventions addressing the above challenges are worthy of consideration to improve the health system function and integrate EMTCT into the ANC settings.
2024-03-01
Community-based tourism (CBT) in Thailand faces challenges in adapting to COVID-19 prevention measures. This study evaluates levels of knowledge, practice, and compliance of entrepreneurs in managing CBT under SHA standards. The findings reveal a gap between knowledge and practice, with financial limitations being a major barrier. Various strategies such as partnerships and resource support are recommended.
2024-02-22
Introduction: Obesity is a worldwide health problem. There are several ways to deal with obesity including surgery, pharmacotherapy, behavior modification, diet and increased physical activity. Physical activity, diet, and behavior modification can be changed through health education, either actively or passively. However, it is not yet clear what type of health education is effective for obese patients so that weight loss occurs, with the aim of dealing with obesity. Objective: This study aims to describe effective types of health education to deal with obesity. Method: This systematic review uses the Pubmed and Science direct search database with keywords: (health education model for obesity) OR (health education model for obese) OR (health education model for overweight). Result: There were 4 studies that used web-based program interventions, 3 studies that used health coaching studies as an intervention for weight loss in obesity and 3 studies that used education based on behavioral theory as an intervention. 7 studies found significant results from the treatment group on weight loss, increased physical activity, and diet. Only 3 studies had no significant results in weight loss between the treatment and control groups. All studies that used health education based on behavioral theory as an intervention have significant results compared to controls. Conclusions: health education based on behavioural theory has a positive influence on obese individuals. All studies that used this method had significant outcomes when compared to control. However, the intervention must at least 6 months. Keywords: Health Education Model, Obesity, Weight Loss, Physical Activity, Behavioral Theory
2024-02-01
Studi ini merupakan tinjauan sistematis mengenai penyakit zoonosis yang ditularkan oleh tikus dan mencakup berbagai patogen, termasuk bakteri, virus, dan parasit yang dapat menginfeksi manusia melalui kontak langsung atau tidak langsung. Beberapa penyakit utama yang dikaji dalam penelitian ini meliputi leptospirosis, hantavirus, lymphocytic choriomeningitis (LCM), rat-bite fever (RBF), salmonellosis, dan pes. Studi ini menekankan pentingnya kebersihan dan sanitasi sebagai langkah preventif dalam mengendalikan penyebaran penyakit zoonosis dari tikus.
2024-01-22
Background The proportion of individuals who know their HIV status in Indonesia (66% in 2021) still remains far below the first 95% of UNAIDS 2030 target and were much lower in certain Key Populations (KPs) particularly Female Sex Workers (FSW) and Male having Sex with Male (MSM). Indonesia has implemented Oral HIV Self-testing (oral HIVST) through Community-based screening (HIV CBS) in addition to other testing modalities aimed at hard-to-reach KPs, but the implementation cost is still not analysed. This study provides the cost and scale up cost estimation of HIV CBS in Jakarta and Bali, Indonesia. Methods We estimated the societal cost of HIV CBS that was implemented through NGOs. The HIV CBS’s total and unit cost were estimated from HIV CBS outcome, health care system cost and client costs. Cost data were presented by input, KPs and areas. Health care system cost inputs were categorized into capital and recurrent cost both in start-up and implementation phases. Client costs were categorized as direct medical, direct non-medical cost and indirect costs. Sensitivity and scenario analyses for scale up were performed. Results In total, 5350 and 1401 oral HIVST test kits were distributed for HIV CBS in Jakarta and Bali, respectively. Average total client cost for HIV CBS Self testing process ranged from US$1.9 to US$12.2 for 1 day and US$2.02 to US$33.61 for 2 days process. Average total client cost for HIV CBS confirmation test ranged from US$2.83 to US$18.01. From Societal Perspective, the cost per HIVST kit distributed were US$98.59 and US$40.37 for FSW and MSM in Jakarta andUS$35.26 and US$43.31 for FSW and MSM in Bali. Conclusions CBS using oral HIVST approach varied widely along with characteristics of HIV CBS volume and cost. HIV CBS was most costly among FSW in Jakarta, attributed to the low HIV CBS volume, high personnel salary cost and client cost. Future approaches to minimize cost and/or maximize testing coverage could include unpaid community led distribution to reach end-users, integrating HIVST into routine clinical services via direct or secondary distribution and using social media network.
2024-01-12
The aim of the present study was two-fold: Firstly, to estimate the prevalence of psychological distress among international students at a Hungarian university two years after the COVID-19 outbreak; and secondly, to identify its demographic and socioeconomic factors, with special regard to the students’ food-security status. A cross-sectional study using a self-administered questionnaire was carried out from 27 March to 3 July 2022 among international students at the University of Debrecen. The questionnaire included information on demographic and socioeconomic characteristics, food-security status (six-item United States Department of Agriculture Food Security Survey Module (USDA-FSSM)), and psychological distress (Depression, Anxiety and Stress Scale (DASS-21)). Bivariate analysis was conducted to examine the potential associations between demographic/socioeconomic factors and psychological distress. Additionally, multiple logistic regression was employed to further analyze these associations. Of 398 participants, 42.2%, 48.7%, and 29.4% reported mild to extremely severe depression, anxiety, and stress, respectively. The ages 18–24 (AOR = 2.619; 95% CI: 1.206–5.689) and 25–29 (AOR = 2.663; 95% CI: 1.159–6.119), reporting a low perception of health status (AOR = 1.726; 95% CI: 1.081–2.755), and being food insecure (AOR = 1.984; 95% CI: 1.274–3.090) were significantly associated with depressive symptoms. Being female (AOR = 1.674; 95% CI: 1.090–2.571), reporting a low perception of health status (AOR = 1.736; 95% CI: 1.098–2.744), and being food insecure (AOR = 2.047; 95% CI: 1.327–3.157) were significantly associated with anxiety symptoms. Furthermore, being female (AOR = 1.702; 95% CI: 1.026–2.824)), living with roommates (AOR = 1.977; 95% CI: 1.075–3.635), reporting a low perception of health status (AOR = 2.840; 95% CI: 1.678–4.807), and being food insecure (AOR = 2.295; 95% CI:1.398–3.767) were significantly associated with symptoms of stress. Psychosocial programs combined with strategies to alleviate food insecurity are required to enhance international students’ mental health and well-being.
2024-01-01
Development of The Monitoring and Evaluation Guidelines and Baseline Assessment in EMTCT Demonstration Sites in Indonesia
2024-01-01
Penelitian ini mengevaluasi hubungan antara pengetahuan dan sikap masyarakat terhadap rabies di Desa Denbantas, Tabanan. Menggunakan metode observasional dengan responden dari keluarga yang memiliki anjing peliharaan, penelitian ini menggunakan analisis Chi-square untuk melihat hubungan antara pengetahuan dan sikap terhadap pengendalian rabies. Hasilnya menunjukkan bahwa tidak terdapat hubungan signifikan antara tingkat pengetahuan masyarakat dengan sikap mereka terhadap rabies. Disarankan adanya edukasi berkelanjutan untuk meningkatkan kesadaran masyarakat.
2024-01-01
Studi ini meneliti tingkat kontaminasi mikroba pada produk hewan di Bali dan Nusa Tenggara berdasarkan surveilans yang dilakukan pada tahun 2017. Sebanyak 1875 sampel dari rumah pemotongan hewan, pasar tradisional, toko retail, dan perusahaan pemasok daging dianalisis menggunakan metode total plate count (TPC). Hasilnya menunjukkan bahwa 56.9% sampel mengandung jumlah mikroba yang melebihi batas yang ditetapkan dalam SNI 7388:2009, dengan E. coli sebagai kontaminan dominan (73.8%). Studi ini menggarisbawahi perlunya peningkatan pengawasan dan kebersihan dalam rantai pasok produk hewan.
2024-01-01
Aim: This study aims to investigate international students’ perspectives on service quality and analyse factors contributing to the perceived service quality of the university health centre. Background: International students are at increased risk of experiencing poor mental health, isolation from families and cultures, language barriers, financial stress and academic pressures. It is important that universities support international students to enable them to complete their degrees and reach their desired level of achievement and performance. One of the supports required by international students is the availability of healthcare services. Therefore, improving the quality of services to meet international students’ requirements, including healthcare services, is essential. Methods: A three-phase exploratory sequential mixed methods design was used. Phase 1 aims to explore international students’ perceptions of primary healthcare quality by conducting in-depth interviews and focus group discussions. Data were analysed using thematic analysis. Phase 2 is to form questionnaire items based on the results of the qualitative study. The questionnaire is subject to pilot testing to measure validity and reliability. Phase 3 analyses factors influencing international students’ perceived primary healthcare service quality. Multiple regression was used to analyse factors contributing to the perceived service quality of international students. Findings: The qualitative strand revealed five major themes representing the study participants’ thoughts about the quality of services in the university healthcare context. Perceived quality attributes identified in this study were primarily empathy, equity, effectiveness, efficiency and safety. The quantitative strand found that 35.57% of participants consider the perceived quality of the centre as good. The highest and lowest service quality attributes were related to safety and efficiency, with a score of 21.12 ± 3.58 and 19.57 ± 4.34, respectively. The multiple linear regression analyses showed that PhD students from Health Faculty and Scholarship awardees were significantly associated with the perceived quality of healthcare services. Thus, the university management needs to improve service quality considering the diversity of international students’ socio-demographic characteristics.
2023-12-29
The disclosure of HIV status poses challenges, and women living with HIV often face intimate partner violence as a result of revealing their HIV status. This study aims to investigate the prevalence of intimate partner violence and HIV status disclosure among women living with HIV in Indonesia, as well as the factors associated with disclosure. A total of 283 women with HIV participated in an online survey, and descriptive and logistic regression analyses were performed. The findings revealed that women reported experiencing physical (9.54%), sexual (6.01%), mental (23.67%), and economic (14.49%) abuse. HIV status disclosure varied among different individuals, with higher rates observed for partners (71.2%), other family members (65.02%), close friends (37.10%), and lower rates for health workers (1.77%). Factors such as employment status and partner's HIV status influenced disclosure to partners, while the duration of knowing one's HIV status, experiences of intimate partner violence, and perceived barriers influenced disclosure to both family and non-family members. To mitigate the negative consequences of HIV status disclosure, targeted health promotion efforts should prioritize partners, family members, and non-family members, focusing on enhancing knowledge and awareness about HIV, including the impact of violence.
2023-12-27
This literature review examines the impact of health education on Clean and Healthy Living Behavior (PHBS) knowledge among elementary school children. It finds that education methods such as videos, peer educators, games, and illustrated storybooks significantly improve PHBS knowledge.
2023-12-25
Studi ini mengevaluasi pengaruh penambahan glutathione dalam pengencer AndroMed terhadap kualitas sperma sapi Bali selama proses pembekuan. Hasilnya menunjukkan bahwa glutathione meningkatkan motilitas progresif, integritas membran plasma, dan membran akrosom selama penyimpanan beku.
2023-12-20
Studi ini menginvestigasi aspek epidemiologi dan virologi rabies di Bali dengan mengumpulkan 24 sampel otak anjing rabies yang kemudian diuji menggunakan DFA dan PCR. Hasilnya menunjukkan bahwa rabies telah menyebar di seluruh kabupaten Bali dan virus dapat digunakan untuk pengembangan vaksin homolog.
2023-12-01
Notable challenges and accomplishments have characterized Indonesia's efforts in combating HIV AIDS. As of 2022, it is estimated that 546,573 people are living with HIV in the country, with new infections totaling 24,223 in the same year. Recent data shows a decrease in new HIV infections and AIDS-related deaths. However, there remains a concerning steady rate of new infections within the men who have sex with men(MSM) population. Although there have been improvements in Indonesia's HIV care cascade, particularly in achieving the first target of the 95-95-95 goals, challenges persist. In 2022, only 42% of people living with HIV (PLHIV) knew their status and were on HIV treatment, and a mere 15% of those on treatment achieved viral suppression. These figures highlight the necessity for strategies that are specifically tailored to meet the unique needs of different communities within the HIV AIDS landscape in Indonesia.
2023-12-01
SI-DOLIR merupakan pendaftaran online yang dimiliki Puskesmas I Denpasar Timur untuk pasien yang hendak mencari surat rujukan rutin agar pasien mendapatkan surat rujukan lebih cepat dan mudah. Akan tetapi sejak Bulan April-September 2022, target SI-DOLIR tidak pernah tercapai dan evaluasi program yang tidak sesuai. Salah satu cara untuk mengetahui seberapa besar minat penggunaan seseorang terhadap teknologi adalah dengan teori UTAUT. Tujuan penelitian ini untuk mengetahui bagaimana pengaruh faktor UTAUT dan faktor sosiodemografi terhadap minat penggunaan SI-DOLIR ke depannya pada pasien BPJS kesehatan yang belum pernah menggunakan SI-DOLIR menggunakan metode UTAUT. Penelitian ini merupakan penelitian kuantitatif dengan desain cross-sectional. Teknik pengambilan sampel dalam penelitian ini adalah consecutive sampling dengan sampel berjumlah 110 responden. Data akan dianalisis menggunakan analisis regresi logistik. Hasil analisis menunjukan jika faktor ekspektasi kinerja, ekspektasi usaha, dan tingkat pendidikan memiliki pengaruh terhadap minat penggunaan SI-DOLIR ke depannya. Sedangkan pengaruh sosial, kondisi yang memfasilitasi, usia, dan jenis kelamin tidak berpengaruh secara signifikan terhadap minat penggunaan SI-DOLIR ke depannya saat mencari surat rujukan rutin. Kesimpulan yang di dapat jika faktor UTAUT ekspektasi kinerja dan ekspektasi usaha serta faktor sosiodemografi tingkat pendidikan berpengaruh terhadap minat penggunaan SI-DOLIR pada pasien BPJS Kesehatan untuk mencari surat rujukan rutin.
2023-11-27
The COVID-19 pandemic has caused obstacles in providing PrEP services for HIV prevention. The COVID-19 pandemic has led to a decline in the use of PrEP for HIV prevention. Social restriction policies and limited services are provided for fear of being infected with COVID-19. The aim is to review the challenges and strategies for providing HIV PrEP during the pandemic. This article narrative reviews the acceptance of the PrEP program according to The Theoretical Framework of Acceptability, challenges during the COVID-19 pandemic, and strategies during the COVID-19 pandemic. Affective attitude, burden, ethics, self-efficacy, and perception of effectiveness influence acceptance of the PrEP program. During the COVID-19 pandemic, several challenges were faced, including fear of transmission of COVID-19, disruption of access to health services, disruption of PrEP supplies, and shifting of priority for health workers to COVID-19. Strategies implemented during the pandemic to increase PrEP acceptance include telemedicine and remote counseling, mobile laboratories, medication home delivery, longer PrEP stocks, and online education and information. To support the PrEP program during the COVID-19 pandemic, collaboration and integration of PrEP and COVID-19 services are required.
2023-11-14
Chronic diseases are one of the leading causes of mortality worldwide. People with chronic diseases are at high risk of experiencing psychological problems. The Indonesian government created a chronic disease management program called Prolanis (Chronic Disease Management Program). Prolanis, which is currently implemented, has not provided efforts to overcome anxiety problems in its participants. This study aimed to determine the prevalence of anxiety in the Prolanis participants. This study was a cross-sectional study involving 384 participants. The research instrument used the Zung Self-Rating Anxiety Scale questionnaire to measure the patient's anxiety level. Data collected through surveys were analysed bivariate with the chi-square test and multivariate with the ordinal logistic regression test. The study found that most elderly participants experienced mild anxiety. Based on the bivariate analysis, factors that influence the anxiety level of the participants are gender and education attainment. From multivariate analysis, education attainment was significantly associated with anxiety. Patients with chronic diseases are prone to anxiety, which impacts efforts to adopt a healthy lifestyle. Female prolanis participants and participants with low education are more likely to experience anxiety. These findings can be used as recommendations for developing mental health programs in prolanis programs.
2023-10-01
Penelitian ini mengidentifikasi prevalensi Leptospira sp. pada tikus dan ayam di permukiman padat Denpasar Selatan. Ditemukan bahwa 10% tikus dan 6,7% ayam memiliki antibodi terhadap Leptospira, yang menunjukkan adanya risiko leptospirosis di lingkungan tersebut.
2023-09-18
Penelitian ini mengidentifikasi spesies Ascaris yang menginfeksi peternak babi tradisional di Bali. Dari 239 sampel tinja yang diperiksa, ditemukan bahwa 22 peternak terinfeksi Ascaris dan tiga kasus dikonfirmasi sebagai A. suum melalui PCR. Studi ini menekankan pentingnya pengendalian penyakit zoonosis yang berkaitan dengan peternakan babi.
2023-09-15
Introduction: The 2017 Indonesian Demographic and Health Survey (IDHS) shows that male ado lescents' prevalence of condom use is relatively low during their first sexual intercourse. The present study aimed to ascertain the determinants of condom use by male adolescents in Indonesia during their first sexual intercourse. Material and methods: A quantitative analysis with a cross-sectional approach of secondary data from IDHS 2017 was used in this research. Sample used included 980 male adolescents aged 15-24 years, unmarried, and have had a sexual intercourse. Determinant analysis was conducted with multi variable binomial logistic regression analysis. Results: The results showed a greater tendency of condom use during first sexual intercourse by male adolescents with a higher education level (AOR: 2.47; 95% CI: 1.41-4.34%), age of ≥ 18 years (AOR: 1.48; 95% CI: 1.09-2.00%), with a positive attitude towards condom use (AOR: 2.08; 95% CI: 1.40-3.11%), and exposed to all mass media (AOR: 2.00; 95% CI: 1.43-2.80%). However, a reverse trend occurred if f irst sexual partner was not a sex worker, such as a friend or girlfriend (AOR: 0.29; 95% CI: 0.15-0.56%). Conclusions: Interventions in the control of STIs, including HIV/AIDS, through condom use in male adolescents, should be focused on the age group of < 18 years, with lower secondary education level, and among the most at-risk individuals. These efforts can be conducted through comprehensive, com munity-based reproductive health and sexuality education outside school, and based on the curriculum applied in these institutions.
2023-09-04
Background: The Indonesian government established a non-structural government agency, named the Indonesian National AIDS Commission (INAC) in 2006 to coordinate HIV prevention programs. However, in 2016, the INAC was dissolved by the Presidential Decree no 124-year 2016. This research aims to identify the effects and challenges faced by the AIDS commission at the provincial level after the INAC was dissolved. Methods: This research used a qualitative research approach with data collection methods through Focus Group Discussion (FGD) and in-depth interviews. The number of participants was 18 people, representing the AIDS Commission, governments as well as NGO-based HIV. The data were analyzed thematically and then presented by using a narrative approach. Results: The findings indicated that the duty and role of the Bali Provincial AIDS Commission (BPAC) to coordinate, integrate, and synergize HIV prevention in Bali remain unchanged. However, it is challenging to coordinate AIDS programs at the provincial level due to changes in parent organizations and reduced funding. Conclusion: The findings show that the duty and role of BPAC to coordinate, integrate, and synergize HIV prevention in Bali remain unchanged. However, change in the BPAC structure and funding reduction has an impact on its role as the HIV coordination agency in Bali. Therefore, to enhance its role and function as an HIV program coordinator, BPAC needs to be supported by regulation to support the bureaucratic independence of BPAC, to innovate, and to obtain other sources of financial/funding support apart from local government.
2023-09-01
Latar belakang: Salah satu pelayanan kesehatan yang kompleks adalah rumah sakit. Dalam memberikan layanan, diperlukan upaya perbaikan agar meningkatkan mutu dan kepuasan pasien. QFD menjadi upaya perbaikan yang dapat memberikan pandangan prioritas pelanggan dan teknis. Tujuan: Studi ini bertujuan untuk mengetahui aplikasi metode QFD di rumah sakit untuk meningkatkan mutu layanan. Metode: Penulis menggunakan metode Literature Review bersumber database dari PubMed, Scopus, dan SpingerLink. Pencarian dengan kata kunci didapatkan 103 artikel. Kemudian diseleksi skema PRISMA sehingga terpilih 5 artikel. Hasil: Penggunaan metode QFD memberikan manfaat signifikan dalam beberapa aspek. Hasil QFD dalam studi-studi tersebut menunjukkan bahwa prioritas pelanggan dalam hal ini adalah meningkatkan pemahaman dan pengetahuan dokter serta tenaga medis yang siap siaga. Sedangkan prioritas teknis berubah menjadi pelayanan excellent dan sarana yang mendukung. Kesimpulan: Dengan menggunakan QFD, rumah sakit dapat memahami kebutuhan pasien, meningkatkan mutu, dan kepuasan.
2023-08-01
Tingkat kegagalan telemedicine sebesar 70% dimana faktor utamanya adalah kurang siapnya penyedia layanan. Fitur Konsultasi Dokter Aplikasi Mobile JKN memiliki manfaat dan peluang besar untuk berkembang kedepannya. Meskipun begitu, penelitian terkait kesiapan penggunaan fitur ini pada FKTP Kota Denpasar khususnya Puskesmas 1 Denpasar Timur belum pernah dilakukan. Penelitian ini menggunakan desain kualitatif case study dengan metode pengambilan data wawancara mendalam dengan 9 informan. Teknik analisa data terdiri dari reduksi data, penyajian data, dan penarikan kesimpulan. Teknik validasi data yang digunakan adalah triangulasi sumber, peer debriefing, member checking, dan study literature. Penelitian ini berpedoman pada teori TOE Framework menunjukkan Puskesmas 1 Denpasar Timur cukup siap dari sisi organization dan environment namun, kurang siap dari sisi technology. Disamping itu, telah terdapat berbagai layanan konsultasi online yang ada di Puskesmas 1 Denpasar Timur dengan sasaran masyarakat yang berbeda-beda. Namun, layanan tersebut tidak menggunakan Fitur Konsultasi Dokter. Secara keseluruhan Puskesmas 1 Denpasar Timur siap menggunakan Fitur Konsultasi Dokter sebagai layanan konsultasi online. Keywords: Kesiapan, Fitur Kosultasi Dokter, Konsultasi Online, Puskesmas
2023-07-31
Background and purpose: The pandemic of COVID-19 is an unprecedented medical and economic challenge for healthcare system. The number of patients during pandemic of COVID-19 had a rapid growth which led to changes in services aspects that threaten financial viability of hospitals, including private hospitals. This study aims to determine the efforts of private hospitals in maintaining financial stability during the pandemic of COVID-19. Methods: A qualitative study with a multi-case design carried out in 7 (seven) private hospitals in Denpasar. Informants were obtained based on a purposive sampling approach. This study recruited 19 informants from 7 private hospitals in Denpasar. Data was collected through in-depth interviews conducted face-toface, using the Zoom and Whatsapp applications. The data were analysed using a content analysis approach. Results: Almost all hospitals stated that their finances disrupted. Financial mitigation efforts were difficult to do, hospital preparation and responses were dependent on the hospital's financial condition and regulations that changing, and recovery efforts were not easy either because in general the community's economy has not recovered. Conclusion: Private hospital finances were experiencing disruption. Mitigation efforts were difficult to do due to the unpredictable changing regulations and policies during the pandemic. Based on the study results, it can be recommended that the hospital management needs to develop a service strategy that is able to overcome the problem of the surge in the number of patients.
2023-07-31
The health protocols recommended by the health authorities still need to be practiced after having the COVID-19 vaccine. Education on the prevention of COVID-19 infection needs to continue to protect people from the disease. This study aimed to determine the factors associated with adhering to COVID-19 post-vaccination health protocols in people aged 18 years and over in the South Denpasar Subdistrict. This cross-sectional study comprised a sample of 147 people who were selected by incidental sampling. The data were obtained using questionnaires from July to August 2022 and examined with bivariate and multivariate analysis. Most participants were female, private employees, went to senior high school, accessed social media, had high knowledge of COVID19, and properly followed health protocols post-vaccination. However, only 34.7% of participants accepted the government’s policy for preventing COVID-19. Multivariate analysis showed that good social media access (aOR = 11.9; 95% CI = 3.6–39.8; p-value<0.001), high knowledge of COVID-19 infection (aOR = 2.6; 95% CI = 1.0–7.4; p-value = 0.044) and high acceptance of government policies (aOR = 4.1; 95% CI = 1.5–11.6; p-value = 0.006) were associated with the application of health protocols post-vaccination in people aged 18 years and over. In the studied group, having access to trusted social media, knowledge, and public acceptance of government policies led to adhering to the recommended health protocols post-vaccination.
2023-07-30
The coronavirus disease 2019 (COVID-19) is the first pandemic in history where technologies and social media are used on a large scale to make people safe, informed, productive, and connected. At the same time, these technologies enabled the rise of the infodemic, which endangered pandemic control. This study aimed to assess COVID-19 information exposure in the community, the efforts to find related information in online media, and COVID-19 preventive behavior. A cross-sectional study was conducted with 909 participants in Indonesia using the consecutive sampling technique. Data were collected using a questionnaire distributed through social media (WhatsApp, Instagram, and Facebook) and analyzed using univariate analysis, bivariate analysis (Chi-square test), and multivariate analysis (multiple logistic regression). The results showed that about 838 (92.2%) participants said they often or always obtain information about COVID-19 online, 662 (72.8%) participants stated that information from online sources increased their knowledge of the disease, and 728 (80.1%) said that online information enabled them to make preventive efforts. Marital status (AOR = 1.81, p-value = 0.002) and perceived susceptibility (AOR = 1.42, pvalue = 0.011) were the most influential factors for COVID-19 preventive behaviors. Information sources and channels frequently accessed by the community must be professionally managed by the government as valuable tools for mitigating an epidemic or pandemic. Keywords: channel of information, health promotion, mitigation, preventive behavior
2023-07-20
Penelitian ini mengeksplorasi hubungan kebiasaan menginang dengan kejadian gingivitis pada lansia di wilayah kerja Puskesmas Kintamani VI. Hasil menunjukkan bahwa individu yang memiliki kebiasaan menginang memiliki risiko 3,269 kali lebih tinggi terkena gingivitis.
2023-07-06
Penelitian ini bertujuan untuk meningkatkan kesadaran masyarakat Desa Carangsari terhadap rabies melalui pelatihan Kader Rabies Desa. Hasil menunjukkan peningkatan pemahaman masyarakat tentang rabies dan pentingnya vaksinasi.
2023-07-06
Studi ini menganalisis epidemiologi dan karakterisasi virus rabies di Bali untuk mengembangkan vaksin lokal. Hasil menunjukkan bahwa semua sampel otak anjing yang diuji positif rabies dan virus berhasil dikarakterisasi untuk potensi pembuatan vaksin homolog.
2023-07-06
Penelitian ini membandingkan aktivitas enzim ALT dan AST pada babi yang terinfeksi Cysticercus dengan kontrol. Hasil menunjukkan bahwa meskipun dalam batas normal, kadar ALT dan AST pada babi yang terinfeksi lebih tinggi dibandingkan dengan yang tidak terinfeksi.
2023-07-05
Invasive cervical cancer is still a public health burden in Indonesia, with increasing prevalence and mortality rate. Specifically, women living with HIV (WLHIV) have higher risk of developing dysplasia due to immunosuppression and more likely to have progression to high-grade cervical intraepithelial neoplasia compared with women without HIV. Contrastingly, only 7.34% of women aged between 30 to 50 years old in Indonesia have accessed the cervical cancer screening program until 2018, but limited information related to service utilization among WLHIV. 4 A study found that WLHIV were reluctant to access health services due to afraid of stigma and discrimination. Lack of knowledge regarding the risk of cervical cancer was associated with lower utilization of screening services among WLHIV. Recognizing that WLHIV have been most vulnerable group and limited published studies explore the service utilization of cervical cancer screening in Indonesia; therefore, this study aimed to provide understanding related to these gaps.
2023-07-01
Objective: To estimate and compare the cost of improved test and treat strategies in Indonesia under HIV Awal (Early) Testing and Treatment Indonesia (HATI) implementation trial in community-based and hospital-based clinics. Design: The cost and outcome [i.e. CD4+ cell count] and viral load (VL) at the beginning of interventions and their change overtime) analysis of Simplifying ART Initiation (SAI), Community-based Organization and community-based ART Service (CBO), Motivational Interviewing (MI), Oral Fluid-based Testing (OFT), and Short Message Service (SMS) reminder in community-based and hospital-based clinics in 2018–2019. Method: We estimated the total and unit costs per patient (under HATI implementation trial interventions) per year from societal perspective in various settings, including costs from patients’ perspective for SAI and MI. We also analyzed the outcome variables (i.e. CD4+ cell count and VL at the beginning of each intervention, the change in CD4+ cell count and VL over time, and adherence rate). Result: The unit cost per patient per year of SAI and SMS were lower at the community-based clinics, and more patients visited community-based clinics. The cost per patient visit from patient perspective for SAI and MI was mostly lower than 10% of the patients’ household monthly expenditure. Average CD4+ cell count was higher and average VL was lower at the start of interventions at the community-based clinics, while average CD4+ cell count and VL changes and adherence rate were similar between the two types of clinics. Conclusion: Community-based clinics hold the potential for scaling up the interventions as it costs less from societal perspective and showed better outcome improvement during the HATI implementation trial.
2023-07-01
Penelitian ini mendeteksi kejadian infeksi Streptococcus suis pada babi yang dipotong di Rumah Pemotongan Hewan di Denpasar. Hasil menunjukkan bahwa 2,5% dari sampel tonsil babi yang diperiksa terinfeksi S. suis, yang berpotensi menimbulkan wabah zoonosis.
2023-07-01
Background and purpose: Due to COVID-19 pandemic, demand for technology in daily interaction has rapidly grown to ease communication while maintaining physical distance. This study examines the determinants of the intention to use telemedicine using the Unified Theory of Acceptance and Use of Technology (UTAUT) Model. Methods: This cross-sectional study was an online survey using Google Form application conducted from March 11 to May 3, 2021. The inclusion criteria of samples were aged 18 years or older, residing in Bali during the data collection period and knowing telemedicine health services. Variables collected include intention to use telemedicine, demographic characteristics of respondents and UTAUT variables, namely performance expectancy, business expectancy, social influences, and facilitation conditions. The statistical test used is simple and multiple logistic regression analysis. Results: Of 458 survey respondents, 287 were included for analysis due to incomplete data. Almost half of the respondents (48.8%) was aged <25 years old, the majority were female (80.51%) and around two-thirds, were studying in university, being employed and earning income. We found most respondents (57.14%) were highly interested in telemedicine services. The logistic regression analysis showed that performance expectations, business expectations, social influence, and facilitating conditions were significantly associated with people's interest in telemedicine in Bali. Conclusion: Telemedicine is relatively popular in Bali, Indonesia. Performance expectancy, effort expectancy, and social influence are the predominant factors influencing the intention to use telemedicine. It shows the potential to employ telemedicine service to cover the inadequate distribution of health professionals and healthcare in Indonesia.
2023-07-01
An integrated primary care using a life course approach for preventing and controlling NCDs in Indonesia is the right policy decision. It strives to be holistic, addressing NCDs with a long-term vision across the critical stages where modifications can be made to minimise risks of developing NCDs. This policy direction is inherently complex mandating multi-sectoral and/or inter-sectoral approaches, as well as multi-disciplinary teams. Additionally, existing evidence suggests the intricate connections between health, social, economic, and environmental across the lifespan7. Taking a life course approach also means the governments must extend the NCD prevention and control measures beyond health sector alone. This means that effective implementation of an integrated primary care using a life course approach require long-term strategies to strengthening multi-sectoral partnerships to promote a life course approach across all government sectors and community systems.
2023-06-29
Bali has the potential for good health resources. That is why Bali has been identified as the province with the lowest prevalence of stunting. However, this success should not make stakeholders think this problem is resolved. Bali still has problems which, if not addressed, will trigger a further increase in the prevalence of stunting. Considering this, it is deemed necessary to explore the perspectives of nutrition fieldworkers and other stakeholders regarding the problem of stunting in Bali. This research aims to explore the potential and constraints to accelerating stunting reduction in Bali. This is qualitative research conducted between June and July 2022. Data was collected through in-depth interviews and focus group discussions. This study found that access to affordable health services is the main potential to support the acceleration of stunting reduction. Apart from that, there is a Balinese Traditional Village Council which always synergizes with government programs for the welfare of the community. The low quality of cadres is an obstacle to the success of the program. Many parents hesitate to take their children to posyandu because they are not satisfied with the cadre's services. Apart from that, there are other inhibiting factors, such as society's wrong understanding of stunting, teenage marriage, lack of environmental hygiene and sanitation, and inappropriate parenting patterns. This condition needs attention so that the acceleration of stunting reduction in Bali can be achieved as optimally as possible.
2023-06-27
Background: Dengue fever is still a public health issue in Indonesia, and during the coronavirus disease 2019 (COVID-19) pandemic, integrated digital technology will be required for its control. This study aims to identify critical indicators influencing attitudes towards dengue control related to the potential for implementing digital technology. Methods: This was a cross-sectional survey, with 515 people willing to fill out an online questionnaire. The analysis was conducted using Partial Least Square-Structural Equation Modelling (PLS-SEM). There were 46 indicators used to assess attitudes toward dengue control, which were organized into six variables: the need for digital information systems, perceptions of being threatened with dengue, the benefits of dengue control programs, program constraints, environmental factors and attitudes in dengue control. Results: The source of information needed for dengue control was mainly through social media. There was a positive relationship between perception of environmental factors to perception of dengue threat, perception of program constraints, perception of program benefits, and perception of digital technology needs. Perception of program benefits and threatened perception of dengue have a positive relationship with perception of digital technology needs. Conclusions: This model showed the variables perception of digital technology and perception of benefits had a positive association with attitude towards dengue control
2023-06-18
Purpose – There are insufficient health and nutrition education interventions targeting adolescent females in rural contexts in Indonesia. There is also a paucity of research evaluating the impact of implemented programs. This paper aims to develop and test the validity of a tailored education module to improve the knowledge, attitude and skills of adolescent females on health and nutrition. Design/methodology/approach – The study was conducted between 2019 and 2023 in Ban Village, Karangasem Regency. This study used an explanatory sequential mixed methods research approach consisting of three stages: formative research using mixed methods, validation and review of the module by experts using the Delphi technique and pilot testing of the module. In the formative research stage, there were 40 female adolescent respondents implicated, in the validation and module review stage, there were 14 nutrition and public health experts implicated, and in the pilot test, a new cohort of 60 female adolescents were recruited. Validity was assessed by exploring the feasibility, reliability and linguistics of the module. The Delphi score was measured by the mean score and standard deviation. Findings – The Health and Balanced Nutrition Education Module was impactful in improving the health and nutrition of female adolescents in Ban Village. The validation score of the module shows that from the total score of 4, construct reliability obtained a score of 3.18 with a 0.35 standard deviation. The construct feasibility and language revealed better scores, which were 3.31 with 0.4 standard deviations and 3.29 with 0.46 standard deviations, respectively. After dissemination of the module, participants’ mean score of knowledge on the importance of balanced nutrition significantly improved by 68.8%(p-value 50.0001). Research limitations/implications – The Health and Balance Nutrition Education Module has been proven to improve the awareness of adolescents on balanced nutrition. Nevertheless, this study also has limitations due to the small number of respondents attending the information sessions and the pilot testing. Further studies should consider using implementation research for scale-up in other parts of Bali. Practical implications – This study provides insight for health and nutrition educators for creating modules that better align with the context and information needs of the target group particularly for adolescents in rural areas, which are seldom neglected. Social implications – This study indicates that the trialed education materials can play a role in improving female adolescents’ knowledge of nutrition throughout their life cycle and their role in preventing stunting and noncommunicable diseases in later adult life. Originality/value – The health and nutrition module trialed in the study is tailored specifically to the context of rural areas of Bali and validated by public health experts, then tested with 60 adolescents.
2023-06-01
Penelitian ini mengisolasi dan mengevaluasi keamanan serta potensi isolat Avian Influenza H5N1 dari Bali sebagai kandidat vaksin baru. Hasil uji serologi dan hematologi menunjukkan bahwa kandidat vaksin ini aman dan dapat meningkatkan titer antibodi secara signifikan.
2023-06-01
Penelitian ini mengkaji faktor-faktor yang mempengaruhi penggunaan kontrasepsi pada wanita usia subur dengan disabilitas di Bali. Hasil menunjukkan bahwa usia dan tingkat pendidikan berpengaruh signifikan terhadap penggunaan kontrasepsi, sementara faktor pekerjaan tidak berpengaruh.
2023-06-01
Penelitian ini menyoroti potensi dan kendala dalam percepatan penurunan stunting di Bali. Meskipun Bali memiliki infrastruktur kesehatan yang baik, faktor seperti kualitas kader posyandu yang rendah dan pemahaman masyarakat yang keliru tentang stunting menjadi tantangan utama.
2023-06-01
Quality Family Village is a regional unit at the level of RW, sub-village, or equivalent, which has certain criteria where there is an integration of the Population and Family Planning Family Development Program (Bangga Kencana) and related sector development which is carried out systemically and systematically. The aim of establishing a Quality Family Village is to improve the quality of life of the community at the village level or equivalent through the Population and Family Planning Family Development Program (Bangga Kencana) as well as building related sectors in order to create quality small families. The purpose of this study was to find out the relationship between information exposure to knowledge and community acceptance of family planning villages in Denpasar City. This study used a quantitative descriptive design with a crosssectional approach. The research process involved collecting data for 1 month, namely June 26July 26, 2021. Respondents were selected by consecutive sampling. The number of respondents is 138 respondents. The variables in this study consisted of demographic characteristics, exposure to information, level of knowledge about KB Village, and community acceptance of the village as KB Village. Bivariate analysis to see the relationship between information exposure, knowledge, and acceptance used the Chisquare/Fisher Exact test. There was no significant relationship between information exposure and acceptance, but there was a significant relationship between information exposure and respondents' knowledge. there is a relationship between knowledge and community acceptance of quality family villages. Community participation in planning is very important for the interests of the program and the community itself. It is also important to carry out further research related to exploring the factors that influence community acceptance of the KB Village Program so that the KB Village Program can be supported by the local community.
2023-06-01
Penelitian ini mengembangkan dan menguji efektivitas modul edukasi yang disesuaikan untuk meningkatkan pengetahuan, sikap, dan keterampilan remaja putri mengenai kesehatan dan gizi di daerah pedesaan Bali. Hasil penelitian menunjukkan peningkatan signifikan dalam pemahaman remaja putri setelah mengikuti modul ini.
2023-05-30
Studi ini meneliti pengetahuan dan sikap masyarakat Desa Sibangkaja terkait rabies. Hasilnya menunjukkan bahwa meskipun sebagian besar masyarakat memiliki pemahaman yang baik, masih ada kesenjangan dalam pengenalan gejala rabies dan respons yang tepat.
2023-05-30
The COVID-19 pandemic disrupts rabies control activities in the community. A new approach is needed to control rabies during the COVID-19 pandemic through digital health interventions by conducting digital surveillance and education. This study aimed to determine key attitude indicators in controlling rabies during the COVID-19 pandemic. A cross-sectional study on 166 participants in Denpasar City with a total of 31 indicators measuring five variables: perceptions of the benefits of rabies control (6 indicators), perceptions of rabies risk (6 indicators), perceptions of obstacles to rabies control (5 indicators), perceptions of the need for technology (7 indicators), and attitudes toward rabies control (7 indicators) were analyzed using partial least square-structural equation modeling. The results revealed that 80.7% of participants owned a dog, and sources of rabies information were from social media (45%), the internet (33.7%), and rabies volunteers (33.1%). The model explained that perception of the benefits of rabies control and the need for technology had a direct effect on attitudes toward rabies control (p-value<0.001 and 0.015). In brief, perceived benefits and the need for technology influence attitudes toward rabies control during the COVID19 pandemic.
2023-05-01
Studi ini mendeteksi aktivitas antibakteri pada daging ayam, telur, air minum, pakan ternak, dan limbah peternakan di Tabanan, Bali. Dari 44 sampel yang diuji, ditemukan bahwa 6 sampel memiliki aktivitas antibakteri lemah, terutama pada limbah pembuangan dan pakan ternak.
2023-05-01
Studi ini menguji efek pemberian pakan alami dan sinbiotik terhadap pertumbuhan dan tingkat kelangsungan hidup ikan Rainbow Celebes. Hasilnya menunjukkan bahwa pakan sinbiotik dengan ekstrak Sargassum sp. secara signifikan meningkatkan pertumbuhan dan kelangsungan hidup ikan.
2023-04-21
Studi ini meneliti epidemiologi dan virologi African Swine Fever Virus (ASFV) di Bali dan Nusa Tenggara. Sebanyak 5402 sampel darah dianalisis menggunakan qPCR dan ELISA, dengan hasil menunjukkan bahwa 3.4% sampel dari Bali dan Nusa Tenggara positif ASFV, sementara tidak ditemukan kasus di Nusa Tenggara Barat. Studi ini juga berhasil mengisolasi dan mengkarakterisasi strain ASFV lokal, yang dapat berkontribusi dalam pengembangan vaksin subkultur untuk pencegahan ASF.
2023-04-01
Penelitian ini mendeteksi keberadaan antibodi maternal terhadap rabies pada anak anjing yang dijual di Pasar Beringkit Kabupaten Badung. Dari hasil uji ELISA, ditemukan bahwa 40% anak anjing memiliki antibodi protektif terhadap rabies, sedangkan 60% tidak memiliki antibodi yang cukup untuk perlindungan.
2023-04-01
Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kesiapsiagaan kebakaran pada pekerja di Bandar Udara Internasional I Gusti Ngurah Rai Bali. Hasilnya menunjukkan bahwa lebih dari separuh responden memiliki kesiapsiagaan yang baik, dan faktor yang paling berpengaruh adalah upaya pencegahan kondisi tidak aman.
2023-04-01
Background: Cases of COVID-19 patients are increasing every day. The psychological impact felt by nurses was anxiety, fear, depression and a high risk of contracting COVID-19. Recommendations for preventing the risk of transmission are the use of PPE and hand washing behavior. Although PPE as a means of preventing the virus transmission, there are still nurses who do not comply with using it. Purpose: The purpose of the study was to determine the adherence of nurses in using PPE and hand washing behavior. Methods: This study is an analytic cross-sectional study, with a sample of 100 people in the isolation ward of Karangasem General Hospital. Data were analyzed by chi square test by lookcing at value, odds ratio (OR) and adjusted odds ratio (AOR). Results: 55% nurses use PPE in the obedient category, 52% nurses' hand washing behavior in the obedient category. Conclusions: Most are compliant in using PPE and washing hands.
2023-04-01
Studi ini menganalisis hubungan antara pengetahuan dan sikap masyarakat terhadap kepatuhan penerapan protokol kesehatan COVID-19 di Kabupaten Jembrana. Hasil menunjukkan bahwa pengetahuan dan sikap yang baik berhubungan signifikan dengan tingkat kepatuhan masyarakat.
2023-03-06
Background: SARS-CoV-2 was discovered in December 2019 and later become global pandemic. Preliminary studies stated that broad vaccine coverage will suppress mortality and incidence of COVID-19. Therefore, we conduct a cross-sectional study to assess the efficacy of COVID-19 vaccination. Materials and Methods: We collected secondary data from electronic medical records of 343 COVID-19 positive patients confirmed via reverse transcription polymerase chain reaction from July 2021 to December 2021. We analyzed epidemiologic data, vaccination history, baseline symptoms, comorbidity, baseline vital signs, and outcome using hypothesis testing χ 2 and logistic regression. Results: Sex had an χ 2 of 9.34 (P < 0.001) while type of vaccine had an χ of 1.49 (P = 0.22) to clinical severity. Age, pulse rate, respiration rate, body temperature, and Glasgow coma scale were found to be significant risk factors to clinical severity. Number of vaccines previously received was found to be a protective factor to clinical severity (odds ratio (OR) = 0.49, 95% CI = 0.32–0.74, P < 0.001). We also found that sex (χ = 10.42, P < 0.001) was a predictor to discharge condition. Moreover, age was also found to be a significant predictor (OR = 1.03, 95% CI = 1.03–1.05, P < 0.001), as well as number of symptoms (OR = 0.66, P < 0.001), comorbidities (OR = 1.64, P < 0.001), pulse rate (OR = 1.04, P < 0.001), respiration rate (OR = 1.17, P < 0.001), and Glasgow coma scale (OR = 0.72, P = 0.03). Conclusion: Age, sex, number of vaccines received, number of symptoms, number of comorbidities, pulse rate, and respiration rate were significant predictors of clinical severity and outcome in COVID-19 patients. In addition, body temperature was also a predictor for clinical severity, while Glasgow coma scale was a predictor for outcome.
2023-03-01
Penelitian ini menganalisis profil produksi ayam petelur tanpa penggunaan Antibiotic Growth Promoter (AGP) di Bali. Hasilnya menunjukkan adanya masalah pada dinding usus ayam, status hematologi normal, serta titer antibodi terhadap Newcastle Disease dan Avian Influenza yang seropositif.
2023-03-01
The Covid-19 pandemic has caused nurses to experience various physical and mental pressures to deal with case escalation. The workload of nurses is increasing, and they are required to quickly adapt to various changes. High self-efficacy is needed for motivation and performance as well as controlling stress. This study aims to obtain an overview of the sources of nurse self-efficacy and explore other themes related to nurses' self-efficacy in the Covid-19 Isolation Room. This research is qualitative research conducting semi-structured in-depth interviews with 12 informants. The informants were selected by purposive sampling consisting of the shift nurse, the team leader, and the head nurse. Data analysis techniques with manual thematic analysis. The stress faced by nurses in the Covid-19 Isolation Room is related to workload, job risks, and relational relationships at work and in the community. Sources of informants' self-efficacy were obtained from mastery experiences through internships, vicarious experiences from role models, and social persuasion from friends and superiors. Three themes were found that affect selfefficacy, namely personal, organizational, and external variables with several subthemes. Personal variables such as altruism, commitment, self-motivation, and spirituality are dominant and fundamental in shaping self-efficacy which is accelerated by organizational variables and supported by external variables. In order to increase nurses' self-efficacy, it is necessary to utilize self-efficacy sources, maximize personal variables and get support from family and organizations.
2023-02-28
Political affiliation has been reported as a determinant of COVID-19 vaccine acceptance in some countries, although few studies have examined the Asian context. This study aimed to fill this gap by employing an ecological study design using Indonesian regions as data points. Political affiliation was represented by incumbent President Joko “Jokowi” Widodo’s vote share in the 2019 presidential election. Potential confounders included population density, human development index, availability of hospitals and primary health care, 2019–2020 economic growth, COVID-19 mortality rate, and proportion of Muslims in the population. The final analysis included 201 out of 501 districts and cities in Indonesia. Controlling for confounders, multivariate regression found that Jokowi’s vote share was an independent predictor of vaccination rate, with standardized β and R2 values of 0.350 and 0.734 for the first dose vaccination rates and 0.251 and 0.782 for the second dose, respectively. This association may be underpinned by differences in religiosity, public trust, and vulnerability to misinformation between Jokowi’s supporters and the opposition. Improving public trust in a politically polarizing society is crucial to improving future coverage of COVID-19 and other vaccines.
2023-02-08
Background & objectives: Although the World Health Organization recommends same day or rapid (< seven days) antiretroviral therapy (ART) initiation, delays in ART initiation remain common due to waiting for laboratory test results. This study employed a simplified clinical algorithm the HATI [HIV Awal (Early) Test & Treat Indonesia]-SAI (Simple ART Initiation) aimed to increase the proportion of ART uptake and decrease the time to ART initiation that can be used in various care settings. Methods: This study compared the percentage of ART uptake and retention, viral load (VL) suppression and time to ART initiation between the observation and intervention phases among newly diagnosed HIV patients from key populations. As part of the intervention, the newly diagnosed patients underwent screening using a simple form [consisting of data on age, height and weight (for body mass index calculation), questions on the presence of symptoms of HIV stages 1 and 2, tuberculosis, history of diabetes, hypertension and kidney disease], to determine eligibility for immediate ART initiation. Those who met the pre-defined criteria immediately received a combination of tenofovir lamivudine and efavirenz for two weeks. The baseline laboratory examination due to this was moved up to two weeks post ART. Factors significantly associated with ART uptake were also determined and their odds ratios were measured using logistic regression analysis. Results: A total of 2173 people newly diagnosed with HIV were recruited, with 1579 and 594 in the observation and intervention phases, respectively. In both phases, the majority were men who have sex with men, who were young (<30 yr old) and employed, with high levels of education. The intervention phase significantly increased the proportion of ART initiation [91%, 95% confidence interval (CI): 89-93% vs. 78%, 95% CI: 76-80%] but did not have any impact on the proportion of six months retention and VL suppression. The intervention also significantly decreased the time to ART initiation from median ± interquartile range: 9±20 days to 2±10 days. Interpretation & conclusions: The findings of this study suggest that the HATI-SAI intervention increased the uptake and decreased the time for immediate ART initiation. The HATI-SAI provides a simple and safe clinical approach that can readily be adopted in different settings without a costly investment in technology.
2023-01-31
Stunting di pedesaan cenderung lebih tinggi daripada di perkotaan. Penelitian ini bertujuan untuk mengetahui faktor risiko stunting di pedesaan di Provinsi Bali. Analisis yang dilakukan merupakan analisis lanjutan dari data Riset Kesehatan Dasar (Riskesdas) 2018. Variabel bebas adalah status stunting anak yang ditentukan berdasarkan indeks Tinggi Badan menurut Umur (TB/U). Variabel bebas terdiri dari sosio-demografi ; lingkungan; dan faktor pelayanan kesehatan. Hubungan antar variabel dianalisis dengan metode regresi logistik. Estimasi proporsi stunting yang dapat dicegah menggunakan analisis Population Attributable Fraction (PAF). Data Riskesdas 2018 menunjukkan bahwa persentase stunting di pedesaan Bali 29,3% lebih tinggi dibandingkan perkotaan yang hanya 19,1%. Hasil analisis regresi logistik menunjukkan bahwa balita yang ditimbang kurang dari 8 kali selama setahun berisiko mengalami stunting sebesar 2,03 kali (95% CI: 1,00-4,13). Analisis PAF menunjukkan 3,5% kejadian stunting anak balita di pedesaan dapat dicegah dengan kegiatan penimbangan bulanan balita. Penimbangan bulanan di pedesaan Bali melalui posyandu merupakan salah satu upaya direkomendasikan untuk mencegah anak stunting dan memantau tumbuh kembangnya sejak dini. Kata kunci: stunting, penimbangan bulanan, wilayah pedesaan, Bali
2023-01-12
Stunting is a worldwide public health concern, including in Indonesia. Even when living in an urban area with urban characteristics, it is still possible for children to be at risk of stunting. The aim of this study was to determine the sociodemographic and healthcare factors associated with stunting in a province experiencing tourism growth, namely, Bali. Cross-sectional data on Bali Province from the Indonesian Basic Health Research Survey (Riskesdas, 2018) were used as the basis for the research analysis. A total of 846 respondents under five years of age were analyzed, indicating a stunting prevalence of 19.0%. Multivariate logistic regression demonstrated low maternal educational attainment (adjustedOR = 1.92; 95% Confidence Interval = 1.24–2.97), the inadequate consumption of iron tablets during pregnancy (adjustedOR = 1.56; 95% Confidence Interval = 1.08–2.24), and no extended family (adjustedOR = 1.55; 95% Confidence Interval = 1.07–2.26) as being significantly associated with stunting. According to these findings, sociodemographic and healthcare factors are associated with stunting in urban Bali. Improving women’s education, ensuring sufficient iron tablets are consumed during pregnancy, and encouraging the involvement of the extended family in childcare are recommended.
2023-01-12
Penelitian ini menganalisis faktor sosiodemografi dan layanan kesehatan yang terkait dengan stunting pada anak-anak di wilayah perkotaan Bali. Data yang digunakan berasal dari survei Riskesdas 2018 dan dianalisis dengan regresi logistik. Hasilnya menunjukkan bahwa tingkat pendidikan ibu yang rendah, konsumsi tablet besi yang tidak memadai selama kehamilan, dan tidak adanya keluarga besar sebagai pendukung merupakan faktor signifikan yang terkait dengan stunting.
2023-01-01
Penelitian ini mengkaji kualitas sperma anjing Kintamani yang diawetkan dengan pengencer air kelapa-kuning telur dengan tambahan ekstrak daun kelor dan jus wortel. Hasil menunjukkan bahwa ekstrak daun kelor lebih efektif dalam mempertahankan kualitas sperma dibandingkan dengan jus wortel.
2023-01-01
Eksperimen infeksi Streptococcus suis pada babi di Bali menunjukkan bahwa meskipun gejala klinis ringan, infeksi ini menyebabkan lesi multiorgan yang parah. Penelitian ini menyoroti perlunya vaksinasi yang tepat untuk mengurangi dampak zoonotik dan ekonomi.
2023-01-01
Penelitian ini menganalisis hubungan antara pengetahuan, keyakinan, dan efikasi diri dengan perilaku pencegahan COVID-19 di Kota Denpasar, Bali. Studi ini melibatkan lebih dari 1000 responden dan menemukan bahwa faktor-faktor tersebut berhubungan secara signifikan dengan tingkat kepatuhan masyarakat terhadap protokol kesehatan.
2023-01-01
Penelitian ini menganalisis peningkatan kasus demam berdarah di awal pandemi COVID-19 di Denpasar. Hasil menunjukkan bahwa pembatasan aktivitas masyarakat menyebabkan peningkatan tempat perkembangbiakan nyamuk Aedes aegypti, yang berdampak pada lonjakan kasus DBD.
2023-01-01
Studi ini merupakan bagian dari proyek Dog10K yang bertujuan untuk menganalisis genom 2000 anjing guna memahami variasi genetik dan evolusi anjing domestik serta spesies canid lainnya. Penelitian ini menemukan lebih dari 48 juta varian genom, termasuk variasi pada lebih dari 75% dari 239 ras anjing yang dianalisis. Data ini memberikan wawasan tentang hubungan genetik antara berbagai ras anjing, serta implikasinya dalam domestikasi, perilaku, dan penyakit bawaan anjing.
2023-01-01
Penelitian ini menguji efek ekstrak metanol dari daun Annona squamosa terhadap kanker serviks menggunakan uji sitotoksisitas terhadap sel HeLa. Hasilnya menunjukkan bahwa ekstrak ini memiliki aktivitas antikanker dengan nilai LC50 sebesar 26.30 ppm. Analisis GC-MS mengidentifikasi 15 senyawa aktif yang berkontribusi terhadap aktivitas ini, termasuk geranyl acetate, methyl-dodecanoic acid, dan 9,12-octadecadienoic acid. Studi ini menunjukkan potensi A. squamosa sebagai agen antikanker alami yang perlu diteliti lebih lanjut.
2023-01-01
Studi ini meneliti pengaruh usia dan keberadaan antibodi maternal terhadap keberhasilan vaksinasi Avian Influenza (AI) dan Newcastle Disease (ND) pada ayam broiler. Analisis menunjukkan bahwa ayam dengan antibodi maternal terhadap AI menunjukkan respons imun yang lebih baik setelah vaksinasi, sementara keberadaan antibodi maternal terhadap ND justru menghambat pembentukan antibodi akibat vaksinasi. Oleh karena itu, pemilihan waktu vaksinasi yang tepat sangat penting untuk menghindari netralisasi vaksin oleh antibodi maternal.
2023-01-01
Penelitian ini mengevaluasi pemberdayaan masyarakat dalam pengendalian rabies di Desa Carangsari melalui pelatihan kader rabies desa (KRD). Hasil menunjukkan peningkatan pengetahuan dan sikap masyarakat terhadap rabies serta peningkatan cakupan vaksinasi anjing.
2023-01-01
Studi ini mengidentifikasi rendahnya partisipasi penimbangan balita sebagai penghambat penurunan stunting di wilayah pedesaan Bali. Data dari Riskesdas 2018 menunjukkan bahwa balita yang ditimbang kurang dari 8 kali per tahun memiliki risiko stunting 2,03 kali lebih tinggi dibandingkan yang rutin ditimbang. Oleh karena itu, peningkatan partisipasi dalam program posyandu sangat direkomendasikan.
2023-01-01
This study investigates sanitation facility conditions for people with disabilities (PWDs) in Indonesia and their participation in sanitation programs. Findings indicate low knowledge and participation levels due to economic barriers and lack of policy implementation. The study emphasizes the need for inclusive policies and active involvement of PWDs in decision-making.
2022-12-31
Background and purpose: An important component of healthcare access is transportation. Lack of transportation has been cited as an important barrier to healthcare access in remote islands region. Here we conduct a feasibility study on the implementation of water ambulance service to improve healthcare access in the region of Nusa Penida and its surrounding islands in Bali Province, Indonesia. Methods: We employed a qualitative approach with interviews and focused group discussions with stakeholders. Data collection was conducted to assess the feasibility of operating water ambulance services, based on a framework that included technical, market, organizational, and financial feasibilities. Inductive coding was conducted and data was analyzed to evaluate the feasibility based on local capacity against pre-determined framework of assessment based in literature. Results: Qualitative interviews revealed perceived urgency and need for water ambulance service among stakeholders. They also perceive the need of water ambulance service was not mutually exclusive to other alternatives, such as expanding healthcare capacity on the islands. There was also readiness and adequate capacity from stakeholders which include a dedicated health emergency services under the health office that coordinate ambulance service in the region, readiness to create dedicated medical team and boat crew to operate water ambulance services, and readiness to cover the cost of initial procurement followed by operational costs which may include public-private partnerships. Conclusion: There was a strong perceived need for water ambulance service in Nusa Penida Islands. At the same time, local stakeholders revealed adequate basic capacity to feasibly operate water ambulance services according to benchmarks identified in literature review.
2022-12-22
Introduction: In assessing the nutritional status of toddlers, stunting is an indicator of nutritional problems in toddlers. The purpose of this study was to determine the binary logistic regression model of the stunting rate in Garbasari village, and the factors associated with the stunting rate. Methods: This study uses secondary data from the reporting of Community-Based Nutrition. The samples in this study were all villages in the Badung Regency area, totaling 62 villages. Results: Villages with a low percentage of the population receiving health insurance assistance tend to have a low stunting rate of 2,657 times compared to those with a high percentage. Likewise, the high percentage of clean water coverage tends to have a lower stunting rate of 3.746 times. Furthermore, the high percentage of budget realization has a tendency of 7.989 times, the high percentage of pregnant women's class attendance has a lower tendency of 7.916 times and the high percentage of mothers' class attendance tends to be 6.654 times lower than those with low percentages. Conclusion: the percentage of budget realization, the class attendance of pregnant women, and the class attendance of mothers under five have a relationship with the stunting rate in Garbasari village.
2022-12-04
DOI dan Link Akses DOI: http://dx.doi.org/10.11591/ijphs.v11i4.21926
2022-12-02
DOI dan Link Akses DOI: https://doi.org/10.20473/jbk.v11i02.2022.184-193
2022-12-01
Penelitian ini mengukur jumlah bakteri Coliform dalam limbah peternakan babi di Kabupaten Badung. Hasil menunjukkan bahwa jumlah bakteri Coliform di beberapa daerah melebihi batas standar, sehingga diperlukan pengolahan limbah sebelum dibuang ke lingkungan.
2022-12-01
Status gizi baduta sering dikaitkan dengan praktik pemberian ASI dan MP-ASI. Ibu yang menikah dini cenderung lebih awal menghentikan pemberian ASI dibandingkan dengan ibu yang umurnya sudah terbilang cukup dewasa. Penelitian bertujuan untuk mengeskplorasi praktik pemberian makan pada baduta oleh ibu yang menikah dini di kabupaten Tabanan. Penelitian ini menggunakan pendekatan kualitatif dan melakukan wawancara 5 ibu yang menikah dini beserta keluarga ibu sejumlah 5 orang informan pendukung. Analisis data menggunakan analisis tematik yaitu mengidentifikasi tema-tema dari transkrip wawancara dan hasil observasi maupun secara deduktif yaitu menggunakan teori planned behavior. Menggunakan triangulasi sumber dan metode. Hasil dari penelitian ini adalah semua informan penelitian tidak yang melakukan IMD, ASI Eksklusif, dan memberikan MPASI dini. Ibu tidak mengetahui mengenai teknik menyusui membuat beberapa ibu berhenti memberikan ASI. Adanya persepsi ketidakcukupan ASI yang mengakibatkan terjadinya pemberian MPASI dini. Ketidakberhasilan menyusui disebabkan kurangnya informasi dari petugas kesehatan serta dorongan keluarga dalam pemberian MPASI dini. Kesimpulan dalam penelitian ini adalah terdapat hambatan dan dukungan dalam pemberian makan baduta oleh ibu menikah dini. Selain karena persepsi ibu, keluarga dan petugas kesehatan juga berperan dalam pemberian makan baduta.
2022-12-01
This study explores zero waste behavior among university students using the Theory of Planned Behavior. Findings indicate that access to information, moral values, and positive attitudes influence zero waste adoption. Promotion efforts should target young generations to encourage sustainable practices.
2022-12-01
Background and purpose: The incidence of dengue hemorrhagic fever (DHF) in Bali continues to increase. A new strategy is required to control dengue in Bali. The purpose of the study is to conduct spatial mapping with a geographic information system to help determine the distribution pattern and areas at risk of DHF and to predict increasing vector density and dengue cases. Methods: A cross-sectional study was conducted in the South Denpasar Public Health Center service area from January to June 2020. It was conducted in 3 villages, including Kelurahan Sesetan (3,446 households), Sidakarya Village (2,859 households), and Kelurahan Panjer (2,907 households). A total of 191 cases of DHF were recorded during the study period. Results: Calculation of the spatial analysis of the Average Nearest Neighbor (AAN) with the value of Z score=-8.03 show a spatial pattern of the distribution of DHF cases. AAN value of 0.69 (<1) means that the pattern of spread of DHF incidence is clustered. Time series forecasting by modeling using the Autoregressive Moving Average (ARIMA) and Double Exponential Smoothing Method Routine shows that larva control efforts are predicted to affect the number of dengue cases. The pattern of the spatial distribution of cases occurs in clusters. Conclusion: There is a spatial relationship with population density. It is predicted that routine larvae control will reduce dengue cases.
2022-11-01
Penelitian ini menguji pengaruh penggunaan laktosa-astaxanthin dalam pengencer semen ayam hutan hijau untuk mempertahankan kualitas semen beku. Hasilnya menunjukkan bahwa kombinasi 0.6% laktosa dan 0.004% astaxanthin pada DMSO 6% meningkatkan kualitas semen setelah pembekuan.
2022-11-01
Studi ini mengukur aktivitas enzim ALT dan AST pada babi yang terdeteksi sistiserkosis secara serologi. Hasilnya menunjukkan bahwa meskipun masih dalam batas normal, nilai ALT dan AST pada babi yang terinfeksi lebih tinggi dibandingkan dengan yang tidak terinfeksi.
2022-10-16
Background: Adolescents are a group of people with a fairly high vulnerability to reproductive health problems in Indonesia. To reduce vulnerability to reproductive health problems, the Youth Counseling Information Center Program (PIK-R) program was introduced, one of which was at Bali Mandara senior high school, but its utilization was still low. The purpose of this study was to determine the relationship between completeness of facilities and teacher support on the knowledge, attitudes, and behavior of using youth counseling information center. Subjects and Method: The cross-sectional survey research was conducted on all students in Bali Mandara senior high school from October 2017 to March 2018. A total of 118 students were selected by total sampling. The dependent variables were know­ledge, attitude, and behavior. The independent variables were youth counseling infor­mation center facilities and teacher support. Data were collected using a questionnaire and analyzed by a multiple logistic regression. Results: Factors related to student knowledge were completeness of facilities (aOR= 3.14; 95%CI= 1.25 to 7.85; p= 0.014) and teacher support (aOR= 3.22; 95% CI= 1.27 to 8.15; p= 0.013). Completeness of facilities (aOR= 9.26; 95% CI= 3.30 to 25.97; p= 0.001) and teacher support (aOR= 6.27; 95% CI= 2.23 to 17.59; p= 0.001) were associated with student attitude. While the factors related to the behavior of using youth counseling information center were the completeness of the facilities (aOR= 11.56; 95% CI= 3.96 to 33.70; p= 0.001) and teacher support (aOR= 4.59; 95% CI= 1.60 to 13.17; p= 0.005). Conclusion: The completeness of facilities and teacher support for the youth counseling information center program is related to the knowledge, attitudes, and behavior of using youth counseling information center.
2022-10-01
Penelitian ini mengevaluasi ketahanan daging kambing yang disimpan pada suhu ruang. Hasil menunjukkan bahwa pada jam ke-16, daging mengalami perubahan warna, bau, serta peningkatan kadar air yang menandakan proses pembusukan.
2022-10-01
Studi ini menentukan waktu vaksinasi Hog Cholera yang optimal dengan mengukur titer antibodi maternal pada anak babi. Hasil penelitian menunjukkan bahwa pada umur 42 hari, titer antibodi maternal cukup rendah untuk dilakukan vaksinasi secara efektif.
2022-10-01
This study assesses micronutrient deficiencies (zinc, iodine, and iron) among children aged 12-59 months in Gianyar, Bali. Findings indicate high prevalence of deficiencies, emphasizing the need for improved nutritional interventions and public health strategies.
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2022-10-01
People with disabilities are around 15% of the total world population. People with disabilities have various obstacles in accessing reproductive health services, including information, behavior, environment and economy. Women with disabilities are at high risk for reproductive health problems. Aim: The purpose of this research is to determine the level of knowledge, attitudes behavior and proportion about reproductive health of childbearing age women with physical disabilities in Denpasar City. This research was observational study with crosssectional design. This research was conducted on April - June 2020. The population in this study was women of childbearing age with physical disabilities who already had marriage. The sampling technique was purposive sampling with 66 women. This study used an online questionnaire to reduce direct contact because this research conducted during COVID-19 pandemic. This study analyzed by statistical package software.The result showed that majority of respondents with hearing impaired (36.36%), blind (31.82%), physical disability (28.79%), and speech impaired (3.03%). The level of reproductive health knowledge of respondents in this study who had good knowledge (39.39%), had positive attitudes (69.70%) and had bad behavior (68.18%). There is a significance relation between knowledge (p = 0.0003) and attitude (p = 0.002) towards reproductive health behavior. That can be conclude that most respondents have good knowledge and positive attitudes, but have poor reproductive health behaviors. To have good reproductive health behavior need to have good knowledge and positive attitude in reproductive health. Therefore, it is suggested regular socialization of reproductive health among women with disability using proper media that accessible for them
2022-09-28
Background Chikungunya virus (CHIKV) has expanded its geographical reach in recent decades and is an emerging global health threat. CHIKV can cause significant morbidity and lead to chronic, debilitating arthritis/arthralgia in up to 40% of infected individuals. Prevention, early identification, and clinical management are key for improving outcomes. The aim of this review is to evaluate the quality, availability, inclusivity, and scope of evidence-based clinical management guidelines (CMG) for CHIKV globally. Methods We conducted a systematic review. Six databases were searched from Jan 1, 1989, to 14 Oct 2021 and grey literature until Sept 16, 2021, for CHIKV guidelines providing supportive care and treatment recommendations. Quality was assessed using the appraisal of Guidelines for Research and Evaluation tool. Findings are presented in a narrative synthesis. PROSPERO registration: CRD42020167361. Findings 28 CMGs were included; 54% (15/28) were produced more than 5 years ago, and most were of low-quality (median score 2 out of 7 (range 1–7)). There were variations in the CMGs’ guidance on the management of different at-risk populations, long-term sequelae, and the prevention of disease transmission. While 54% (15/28) of CMGs recommended hospitalisation for severe cases, only 39% (11/28) provided guidance for severe disease management. Further, 46% (13/28) advocated for steroids in the chronic phase, but 18% (5/28) advised against its use. Interpretation There was a lack of high-quality CMGs that provided supportive care and treatment guidance, which may impact patient care and outcomes. It is essential that existing guidelines are updated and adapted to provide detailed evidence-based treatment guidelines for different at-risk populations. This study also highlights a need for more research into the management of the acute and chronic phases of CHIKV infection to inform evidence-based care.
2022-08-22
Objective: Syphilis infection remains a significant health issue among marginalised populations in Indonesia, in particular among men who have sex with men (MSM), in whom there are limited studies from Indonesia exploring risk factors associated with STI acquisition.Our study aimed to identify risk factors of syphilis infection among MSM attending large sexual health clinic in Jakarta. Methods: We conducted a retrospective cohort analysis using patient records (MSM aged 18 years or older) period Jan 2018-Dec 2019. We used Cox regression to identify risk factors associated with syphilis incidence. Results: Study population were 2912 MSM tested for syphilis, 473 (16.2%) were diagnosed with syphilis on their first visit; early syphilis (415; 14%) and latent syphilis (58, 2%). Among the cohort of 2439 MSM who tested negative at baseline, 40 MSM were identified with a new positive syphilis result during 2 years follow up. Risk factors remaining significantly associated with syphilis incidence included having STI symptom at 1st visit (aHR, 2.8; 95% CI, 1.38–5.65), and HIV-infection (aHR 4.53; 95% CI 2.24 – 9.17).Syphilis incidence rate was 8.19 (95% CI 6.01-11.16) per 100 PYFU. Conclusions: Syphilis infection at baseline and incidence was high among MSM attending this large clinic in Jakarta. Integrated and accessible syphilis prevention and detection coupled with HIV services are needed, with a special focus on high-risk individuals.
2022-08-19
BACKGROUND: There is increasing awareness of the need to develop innovative and relevant methodologies to best capture the voices of young men who have sex with men (YMSM), which will inform HIV prevention. AIM: This article discusses the process of researching with YMSM in Bali, the solution to methodological gaps in research for internet-based HIV prevention. METHODS: This research endorsed the Habermas Communicative Action Theory which was then translated to participatory action research (PAR) methodology. Nine YMSM aged 18–24 years old participated in this research through multiple research activities for four months. Data collection included structured group meetings, group workshops, informal participant observations, and after-hour conversations over afternoon tea and shared meals. Participants used a range of visual and digital media to share their collective ideas and different trial strategies. RESULTS: Our findings confirm the unique contribution of Habermas’ theory and PAR research methodology CONCLUSION: We argue for the opportunity for PAR to strengthen the roles of YMSM in HIV prevention.
2022-08-01
DOI dan Link Akses DOI: https://doi.org/10.15562/ism.v13i2.1408
2022-08-01
Laporan kasus ini mendokumentasikan ablasi kulit pada anjing lokal akibat sayatan benda tajam. Penanganan dilakukan dengan teknik cangkok kulit dan perawatan antibiotik, yang berhasil mempercepat proses penyembuhan luka.
2022-08-01
IMD adalah meletakkan bayi diatas dada atau perut ibu dan membiarkan bayi mencari puting susu ibu pada satu jam pertama kelahiran. Tujuan penelitian ini untuk menggambarkan implementasi kebijakan IMD di RSU Bhakti Rahayu. Desain penelitian adalah deskriptif kualitatif. Informan utama penelitian yaitu bidan pelaksana dan perawat Unit Bedah Sentral. Informan pendukung yaitu ibu hamil dan ibu bersalin. Pengumpulan data dengan wawancara mendalam dan observasi. Strategi keabsahan data menggunakan triangulasi sumber. Terdapat SOP sebagai petunjuk kerja unit pelaksana, monitoring dilakukan setiap persalinan dan pembagian tugas dilakukan secara situasional. Jumlah, kompetensi dan pelatihan Sumber Daya Manusia sudah terpenuhi, ketersediaan fasilitas sudah baik. SOP disampaikan saat pelatihan dan KIE mengenai IMD diberikan saat ANC. Bidan sudah memiliki sikap mendukung tetapi ditemukan kesalahpahaman tatalaksana IMD. Hambatan pelaksanaan IMD adalah tidak ada ruang observasi khusus persalinan SC, kondisi ibu dan bayi dengan tindak lanjut medis dan kurangnya dukungan suami mendampingi saat bersalin. Kesimpulannya adalah implementasi kebijakan IMD sudah berjalan sesuai SOP walaupun terdapat kesalahpahaman tatalaksana IMD dan hambatan pada pelaksanaannya. Peran rumah sakit dapat dimaksimalkan untuk mendukung implementasi IMD sesuai SOP yang berlaku, bagi peneliti selanjutnya agar memilih topik serupa terkait implementasi IMD di fasilitas kesehatan dengan metode yang berbeda.
2022-08-01
Pelayanan Antenatal (ANC) adalah salah satu bentuk pelayanan kesehatan ibu yang bertujuan untuk menjaga kesehatan ibu hamil selama periode kehamilan. Kekhawatiran terhadap penularan Covid-19 menyebabkan penurunan akses ibu hamil terhadap ANC. Namun di Puskesmas Karangasem I, cakupan ANC pada masa pandemi justru dapat meningkat dibanding sebelum pandemi. Berdasarkan Teori Health Belief Model (HBM), perilaku seseorang dalam mengakses pelayanan kesehatan dipengaruhi oleh persepsi ancaman terhadap penyakit dan persepsi bahwa perilaku tertentu dapat mengatasi penyakit. Tujuan dari penelitian ini adalah mendeskripsikan persepsi ibu hamil dalam mengakses ANC di Puskesmas Karangasem I pada masa pandemi Covid-19. Penelitian ini merupakan penelitian kualitatif deskriptif dengan pendekatan fenomenologi. Informan penelitian dipilih secara purposive sampling terdiri dari ibu hamil, suami ibu hamil, dan bidan Puskesmas Karangasem I. Data dikumpulkan dengan metode wawancara mendalam dan observasi. Validasi data melalui triangulasi sumber dan triangulasi metode.Hasil penelitian menunjukkan meskipun merasa rentan dan menganggap Covid-19 sebagai penyakit yang serius, kekhawatiran ibu hamil dengan kondisi janinnya mendorong ibu untuk tetap melakukan ANC selama pandemi dengan menerapkan protokol kesehatan. Ibu hamil juga menganggap manfaat yang diperoleh dari ANC lebih besar dari hambatan untuk ANC, serta disaat bersamaan ada kesadaran dari dirinya sendiri serta dukungan bidan yang memicu kunjungan antenatal pada masa pandemi.
2022-07-31
Background and purpose: Nurses' self-efficacy during the pandemic is different from their self-efficacy before the pandemic. Managing self-efficacy is one way to support nurses' mental well-being and resilience. This study aims to describe and determine factors related to nurses' self-efficacy in the COVID-19 Isolation Room of Sanglah Hospital, Denpasar, Bali Province. Methods: This is a mixed-methods study with a sequential explanatory design. In the first stage, a cross-sectional survey was conducted with a questionnaire in 132 nurses selected with total sampling. Statistical analysis was carried out using ChiSquare Test and Fisher's Exact Test at a 95% confidence level, to identify a relationship between nurses’ characteristics and sources of self-efficacy with their self-efficacy levels. Subsequently, qualitative in-depth interviews were conducted with 12 informants selected by purposive sampling. Qualitative data were analyzed using thematic analysis. Results: In the quantitative study, it was found that there was no relationship between the characteristics of nurses (age, gender, education level, years of service and training) and the level of self-efficacy (p>0.05). Meanwhile, the sources of efficacy (mastery experience, vicarious experience, social persuasion, physiological and emotional conditions) were found significantly associated with the level of self-efficacy (p<0.05). The qualitative study found that matters in line with these results, and other variables related to self-efficacy were personal, organizational, and external variables. Conclusion: Sources of self-efficacy that nurses can utilize, as well as opportunities and support provided by nurse leaders, developed self-efficacy in treating COVID-19 patients. It is necessary to increase the significance of sources of self-efficacy, personal variables, and organizational support to increase self-efficacy.
2022-07-31
Background and purpose: National Insurance Mobile Application (JKN Mobile) developed by Health Insurance Institution (BPJS Kesehatan) to facilitate the administrative activities of the National Health Insurance (JKN) participants. However, in practice, it has yet to be widely used by JKN participants. This study aims to explore factors determine participants' intention to use the JKN Mobile application based on the Technology Acceptance Model (TAM) Framework. Methods: This cross-sectional study was conducted in April-May 2021. The minimum required sample size was 99. Inclusion criteria were people 18 years of age or older, residing in Badung District, Bali Province and at least having used the JKN Mobile once. Data were collected through a self-administered questionnaire. A multivariable analysis was then conducted to determine the factors of intention to use the JKN Mobile application. Results: The proportion of JKN participants interested in using the JKN Mobile was 50%. Perceived usefulness, ease of use, credibility, and amount of information were correlated with the intention to use the JKN Mobile. The linear regression analysis showed that perceived usefulness is significantly associated with the intention to use JKN Mobile (aOR=9.68; 95%CI: 3.33-28.14; p=0.001). Conclusion: Participants' acceptability to use JKN Mobile is associated with the benefits of using such an application. It is thus imperative for BPJS Kesehatan to simultaneously update the design and features to be readily accepted and used by the public, which will later affect interest in using the application.
2022-07-29
Background The implementation of the Ten Steps to Successful Breastfeeding (TSSB) of the Baby-Friendly Hospital Initiative (BFHI) has been shown to be associated with improved breastfeeding outcomes. Indonesia still lags other countries in promoting breastfeeding in the first hour and 6 months of exclusive breastfeeding. This study aimed to assess health facilities’ compliance with the TSSB in Indonesia. Methods A cross-sectional survey of 242 health facility managers and 130 postpartum mothers across hospitals, community health centers (puskesmas), and private clinics at 5 sites in the East Java province was conducted between January and June, 2019. The health facility managers and mothers were interviewed using questionnaires consisting of questions adopted from the TSSB. The data were analyzed using the descriptive method to present the level of compliance with each step, the overall steps, comparing self-appraisal and validating methods, and comparing results by study site and type of health facility. Results The assessment data showed various levels of compliance with the TSSB, with scores ranging from 65.47 to 98.09 (mean score 77.5 on a scale from 0 to 100). The highest compliance was found in step 8 (breastfeeding on demand) and the lowest in step 7 (rooming-in). The validation results showed a significantly lower compliance with steps 3, 4, 8, and 9 compared with the self-appraisal. The assessment of compliance with the TSSB also showed certain variations between the site and the type of health facility. Conclusion We recommend that policy makers and managers of health facilities formulate effective and appropriate policies to increase institutional compliance with the TSSB. Greater efforts are needed to facilitate puskesmas and private clinics in implementing the TSSB for better breastfeeding outcomes.
2022-07-06
DOI dan Link Akses DOI: https://doi.org/10.52162/jie.2022.005.02.4
2022-07-01
DOI dan Link Akses DOI: https://doi.org/10.20473/jbk.v11i1.2022.36-44
2022-06-21
Pharmacy counseling, which provides quality drug information, improves patient safety. However, this service is not optimally provided in Indonesia. A new model, modified pharmacy counseling (MPC), was developed to make it easier for service providers. We aimed to measure MPC effectiveness in improving short-term antibiotic compliance. This community trial (ISRCTN82062391) involved patients (age, ≥18 years) recruited from selected pharmacies between December 2020 and February 2021 in two Bali Province districts. At baseline, data regarding sociodemographic characteristics, knowledge levels, and attitudes toward antibiotic use were collected. MPC effectiveness was assessed using Morisky medication adherence scale-8. Of 300 recruited patients, 290 participated (response rate, 96.67%). The baseline study revealed that knowledge regarding short-term antibiotic use is lacking; however, awareness regarding antimicrobial resistance is high. MPC significantly improved short-term antibiotic compliance (risk ratio, 2.849; 95% confidence interval, 1.904-6.640; p<0.001). The mean rank significantly differed between the intervention (61.05) and control groups (37.95). The proportions of compliant patients in the intervention and control groups were 35.6% and 12.5%, respectively. The main reason for low compliance was forgetting and not being made aware by pharmacy workers in the intervention (46.8%) and control (55.6%) groups, respectively. These findings provide insights for improving pharmaceutical care.
2022-06-13
DOI dan Link Akses DOI: https://doi.org/10.3961/jpmph.21.581
2022-06-07
COVID-19 adalah penyakit menular baru yang disebabkan oleh novel coronavirus SARS-CoV-2 dan memiliki spektrum manifestasi yang luas mulai dari infeksi tanpa gejala hingga pneumonia berat dan gagal napas. Lansia (usia ) menjadi kelompok yang paling berisiko tinggi mengalami kematian jika terinfeksi COVID-19. Oleh karena itu, penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi kematian pasien COVID-19 pada kelompok lansia di Provinsi Bali Tahun 2020. Penelitian dengan desain kohort retrospektif ini melibatkan 720 pasien terkonfirmasi COVID-19 pada kelompok lansia yang dipilih dengan metode simple random sampling. Analisis multivariable dengan Regresi Poisson. Data dikumpulkan dengan mengakses sistem pendataan terintegrasi COVID-19 di Provinsi Bali. Hasil penelitian menunjukkan bahwa komorbid hipertensi (IRR=2,8; p-value = <0,001; 95%CI= 1,642 – 4,818), diabetes mellitus (IRR=2,36; p-value = 0,001; 95%CI= 1,432 – 3,810), gangguan jantung (IRR=3,07; p-value = 0,001; 95%CI= 1,592 – 5,932), gangguan ginjal (IRR=3,31; p-value = <0,001; 95%CI= 1,788 – 6,134), gejala sulit bernafas (IRR=1,73; p-value = 0,022; 95%CI= 1,082–2,775), dan tempat perawatan (IRR=4,56; p-value = 0,001, 95%CI=1,901 – 10,967) merupakan variable yang paling berpengaruh terhadap kematian pasien COVID-19 pada kelompok lansia di Provinsi Bali Tahun 2020. Pasien usia lanjut, dengan faktor risiko tersebut harus dipertimbangkan lebih serius dalam penangannya. Pemantauan ketat dan pengobatan tepat waktu menjadi solusi dalam meningkatkan pemulihan pasien.
2022-06-01
Studi ini mengevaluasi pengaruh waktu peletakan daging sapi Bali pada suhu ruang terhadap pH dan jumlah bakteri. Hasilnya menunjukkan bahwa semakin lama daging disimpan, jumlah bakteri meningkat secara signifikan meskipun pH tetap stabil.
2022-05-23
Background: Tourists are at risk of experiencing health problems during their travel. However, even though tour guides have the potential to become travel health promoters, their participation has not been optimal. Objective: This study aims to develop a comprehensive travel health education model to help tour guides improve health information delivery to tourists. Methods: This is an exploratory sequential mixed methods research. The first phase consisted of a qualitative study with an informed grounded theory design. In-depth interviews were carried out with tour guides from all language divisions and policymakers of the Indonesian Tour Guide Association Bali Branch or Himpunan Pramuwisata Indonesia Daerah Bali (HPI Bali). The interview guidelines were developed based on the theory of planned behavior and identity theory. Qualitative data were analyzed thematically. In the interim phase, a travel health education model and questionnaire were developed based on the qualitative findings. The initial model and its instruments were finetuned after consultation with travel medicine and health promotion experts. Furthermore, the validity and reliability of the questionnaire were tested on 30 tour guides. The second phase consisted of a quantitative study with a randomized pretest-posttest control group design. A total of 76 tour guides in the intervention group received comprehensive travel health education, while 76 in the control group received no specific intervention. Outcome variables (ie, attitudes, subjective norms, perceived behavioral control, actual behavioral control, role identity, and behavioral intention) were measured at baseline (T0), after the online training (T1), before information sharing via WhatsApp (T2), a month after the start of the WhatsApp intervention (T3), and at the end of the WhatsApp intervention (T4). The mean difference of each outcome variable before and after the intervention will be compared between the intervention and control groups. Thereafter, the quantitative and qualitative findings will be integrated into a joint display. Results: The qualitative phase was conducted through in-depth interviews with 21 informants who included tour guides and policymakers from HPI Bali from May to June 2021. The education model, educational materials, and questionnaire were developed based on the qualitative findings and consultation with experts. The education model consists of online training and information sharing through WhatsApp and was trialed with tour guides from November 2021 to February 2022. As of April 2022, this study is in the quantitative data analysis stage. Conclusions: A travel health education model was developed based on qualitative findings and consultation with experts. The model was tested with tour guides, and a series of self-administered questionnaires were completed. This study is in the quantitative data analysis stage and will continue by integrating qualitative and quantitative findings into a joint display.
2022-05-21
DOI dan Link Akses DOI: https://doi.org/10.14202/vetworld.2022.1237-1245
2022-05-09
Editorial: COVID-19-Social Science Research During a Pandemic Keywords: COVID-19, sociology, public health, social theory, coronavirus
2022-05-05
DOI dan Link Akses DOI: https://doi.org/10.3390/vaccines10050724
2022-05-02
DOI dan Link Akses DOI: https://doi.org/10.2166/washdev.2022.222
2022-05-01
Penelitian ini mengembangkan aplikasi mobile untuk pengawasan rabies berbasis masyarakat selama pandemi COVID-19 di Bali. Aplikasi ini mencakup fitur kepemilikan hewan, laporan kasus, radar wabah, serta panggilan darurat untuk mendukung pengawasan rabies berbasis komunitas.
2022-04-30
Program pengentasan stunting merupakan prioritas nasional yang digencarkan ditengah pandemi COVID-19. Pengentasan stunting yang semakin sulit di masa pandemi COVID-19 mendorong puskesmas untuk beradaptasi dengan perubahan lingkungan. Oleh karena itu, perlu dilakukan penelitian untuk mengetahui implementasi budaya adaptif Puskesmas Tegallalang II Kabupaten Gianyar dalam program pengentasan stunting pada masa pandemi COVID-19 melalui dimensi creating change, customer focus, dan organizational learning. Desain penelitian ini ialah deskriptif dengan metode kualitatif. Informan penelitian berjumlah 16 orang yang berasal dari tenaga kesehatan di wilayah kerja Puskesmas Tegallalang II yang dipilih melalui teknik purposive sampling. Instrumen pengumpulan data menggunakan pedoman wawancara mendalam. Hasil penelitian menunjukkan Puskesmas Tegallalang II memiliki beberapa kualitas utama dari budaya adaptif. Secara khusus, hasil menyoroti budaya yang berpusat pada pelanggan. Perubahan sangat bergantung pada dukungan organisasi serta inisiasi individu sendiri. Ketidaksiapan SDM kesehatan menjadi faktor utama banyaknya hambatan dalam melakukan perubahan. Kurangnya kegiatan berbagi wawasan, pelatihan, dan pengembangan menyebabkan aspek pembelajaran tingkat organisasi menjadi kurang aktif. Diperlukan dukungan baik dari pihak internal dan eksternal puskesmas untuk meningkatkan kuantitas SDM dan memaksimalkan pertemuan untuk meningkatkan pembelajaran organisasi.
2022-04-18
Prevalence of depression in Indonesia was 6.1% in 2018, while disability was doubled from 11% in 2013 to 22% in 2018. Pre-elderlies are susceptible to experience both disability and depression. We conducted secondary data analysis of nationally representative data to measure the association between disability and depression among pre-elderlies, age 45 to 59 years old. This analysis involved 70,301 pre-elderlies with normal body mass index, and 70,090 with complete data for further analysis with multilevel logistic regression. We found 1.6% pre-elderlies experience depression, 19.1% have disability, while 3.3% of those with disability were depressed. We found likelihood of depression almost three time among pre-elderly with disability (AOR = 2.81). Other variables with independent association are residential area, sex, history of chronic illness, socio-economic, and education level. Preventive measures are needed to improve awareness and to screen for both disability and depression among these age-group, as well as rehabilitative programs to improve their wellbeing.
2022-04-01
Balita termasuk kelompok rentan tertular COVID-19. Pemantauan status gizi balita melalui Posyandu Balita sangat penting dilakukan untuk memastikan pertumbuhan dan perkembangan balita tidak terganggu. Pada masa pandemi COVID-19, pemantauan status gizi balita tidak berjalan dengan maksimal karena pelaksanaan Posyandu Balita yang tertunda. Penelitian ini bertujuan mengetahui strategi Puskesmas Tabanan I dalam pelaksanaan Posyandu Balita sebagai upaya pemantauan status gizi balita pada masa pandemi COVID-19. Desain penelitian yang digunakan yaitu penelitian deskriptif kualitatif. Informan penelitian terdiri dari Petugas Puskesmas Tabanan I, Bidan Desa, Kader Posyandu, Kepala Dusun dan Ibu Balita. Teknik pengumpulan data dengan wawancara mendalam dan observasi. Penelitian ini dilaksanakan selama bulan April sampai bulan Mei 2021. Analisis data menggunakan analisis tematik dan strategi validasi data menggunakan triangulasi sumber, triangulasi metode dan diskusi peer debriefing. Hasil penelitian menunjukkan bahwa Posyandu Balita dilaksanakan dengan protokol kesehatan pencegahan COVID-19 yang ketat serta disesuaikan dengan kebijakan dan situasi zona penyebaran COVID-19. Strategi pelaksanaan Posyandu Balita di wilayah kerja Puskesmas Tabanan I dilakukan melalui kunjungan rumah untuk memantau tumbuh kembang balita serta pemanfaatan media online sebagai media penyebaran informasi terkait kesehatan balita dan penerapan protokol kesehatan pencegahan COVID-19. Pelatihan untuk meningkatan keterampilan sangat diperlukan dalam pengembangan strategi pelaksanaan Posyandu Balita pada masa pandemi COVID-19.
2022-04-01
Survei kepuasan Humas RS Prima Medika (RSPM) menyebutkan bahwa seorang pasien rawat inap merasakan perbedaan keramahan petugas rumah sakit saat dirinya datang berobat dengan menggunakan Jaminan Kesehatan Nasional (JKN). Penelitian ini bertujuan untuk mengetahui perbedaan kepuasan pasien terhadap pelayanan rawat inap pasien JKN dan Non JKN di RSPM dengan menggunakan metode penelitian kuantitatif dan metode pengumpulan data survei kasus. Survei sampel dilakukan secara cross sectional dengan jumlah responden 96 pasien yang terdiri dari 48 responden JKN dan 48 responden Non JKN. Data kuesioner kepuasan mencakup dimensi reliability, tanggap, kompetensi, accessibility, komunikasi, etika, kredibilitas, keamanan dan kelengkapan. Data dianalisis secara univariat dan bivariat pada kemudian dilakukan uji hipotesis dengan Mann Whitney U. Nilai rata-rata kepuasan pasien JKN adalah 3,29 (cukup puas) dan pasien Non JKN 3,73 (cukup puas). Pada hasil tes statistik Mann-Whitney menunjukkan adanya perbedaan kepuasan (p=5.0704E-10) yang bermakna antara responden JKN dan non JKN. Perbedaan bermakna ditemukan pada unsur layanan visite dokter (p = 2.3144E-7), Kesesuaian obat dengan resep (p = 7.0098E-11), kemudahan mendapat kamar rawat inap (p = 9.5274E-15) dan informasi ketersediaan kamar (p = 4.3919E-13). Secara umum terdapat perbedaan kepuasan, dimana rata -rata kepuasan pasien JKN lebih rendah dibanding pasien non JKN.
2022-03-23
Communities is an area unit at the village level with criteria in which there is an integration of the Family Planning Population and Family Development program and related sectors to improve the quality of family and community life. The formulation of the research problem is how the village community is engaged in the family planning communities program in Pemogan Village Denpasar. Objective: The objective of this research is to find out the involvement of the village community in the family planning communities program. Methods: This study used a qualitative descriptive research design and was conducted from April to May 2021. This research applied the World Health Organization (2012) framework on community engagement by identifying the level in involvement of inform, consult, involve, collaborate, and shared leadership. There were 9 informants which consisted of the head of Pemogan Village Denpasar, educators of family planning, cadres of family planning communities, and community groups with inclusion criteria. Data collection methods used focus group discussion, in-depth interviews, and document analysis. Data were analyzed with thematic data reduction, data presentation, and conclusion. Data validation used triangulation of sources and methods, peer debriefing, and member checking. Results: This study found that the community has been a part of the family planning communities program. Community engagement level in the family planning communities program is at the involve level and less in informing the program and leadership. Conclusion: Community engagement in the family planning communities program in Pemogan Village includes the level of inform, consult, involve, collaborate, and shared leadership. This research suggests the village government increase space for the community to be engaged as a partner in implementing activities and shared leadership through cadre empowerment and socialization.
2022-02-05
Introduction: People living with HIV/AIDS (PLWHA) have higher risk to acquire complications from oral manifestation and oral-sistemic opportunistic infection compared to healthy individuals. Data regarding knowledge, attitude, and behaviour on oral health is of great importance in effort to design a specific programme for PLWHA so as to ensure the well-being and quality of life of PLWHA. Objective of this study is to obtain the description of the knowledge, attitude, and behaviour on oral health among PLWHA in Bali Peduli Foundation. Method: A non-experimental, descriptive observational study was performed on 75 PLWHA samples in Bali Peduli Foundation using questionnaire to evaluate the knowledge, attitude, and behaviour on oral health. Data obtained was then analysed in a descriptive manner and presented in cross-tabulation tables and narrations. Result: It was found in this study that most of PLWHA in Bali Peduli Foundation has an excellent score of knowledge (64%), attitude (79%), and behaviour (52%) on oral health. Despite further analysis and interpretation of responses from the samples of the overall quantitative score were excellent, PLWHA in Bali Peduli Foundation still have several tendencies such as: a) inadequate awareness towards risk of diseases and actual health condition of themselves, b) lack of attention and priority towards oral health, and c) procrastinating treatment or check-up. Conclusion: Regardless of the overall excellent result from the quantitative score, it is still necessary to enforce promotion and education to PLWHA regarding ill-well perception, low-risk behaviour, and the importance of prompt treatment to prevent further complications and bacteremia.
2022-02-05
Introduction: Dental caries occurs due to the demineralization process from the interaction of microorganisms. The demineralization process can be inhibited by regular administration of fluoride to the teeth. Fluoride is important to increase remineralization which it can stimulates, repair, and protect dentinal enamel. This mechanisms can against acid to avoids dental caries. Fluoride levels in drinking water can affect fluorine intake received by individuals. Geographically, there are various of fluoride levels in drinking water sources. This affects the frequency of dental caries until fluorosis can occur. This study aims to determine the correlation between levels of fluoride consentration in drinking water sources (PDAM water, village piped water and well water) with caries index of the community of Bugbug Village, Karangasem District. Method: This study used an observational analytic design with a cross sectional approach. The location of PDAM water sampling, village piped water and well water is in one of the houses of the Bugbug Village and the location of dental caries examination in the respondent, namely in the Head Office of the Bugbug Village Karangasem Sub-District Karangasem Regency. The observation of dental conditions was carried out on 96 men of 26-65 years old. Result: Based on the results of the research, the level of fluoride in PDAM water is relatively low, village piped water and well water are classified as moderate. The respondent’s average DMF-T index is 2.15 which is low in the caries level. The Chi-Square test results obtained a value of p=0.04 (p<0.05). Conclusion: The conclusions of this study, there is a significant correlation between levels of fluoride consentration based on water sources with the caries index.
2022-02-05
Introduction: The development of dental tourism has grown globally. Dental tourism is a search for dental and oral health care in other countries. Bali has the potential to develop the dental tourism industry. The purpose of this study was to determine the knowledge and attitudes of foreign tourists in Bali towards dental tourism. Method: A cross-sectional descriptive study has been carried out with a sample of 98 foreign tourists at International Departure Terminal I Gusti Ngurah Rai Airport. Respondents were given questionnaires with closed questions to evaluate their knowledge and attitudes towards dental tourism. The data were obtained then analyzed descriptively and displayed in the form of a frequency distribution table. Results: As many as 46.9% of respondents had heard of dental tourism, while only 15% knew of dental tourism services in Bali. The dominant source of information is by word of mouth. Most respondents only knew two factors driving dental tourism. Respondents knew all the treatment options available in the questionnaire. Respondent’s attitude towards dental tourism shows uncertainty. As many as 68.4% of respondents said they were not interested in dental tourism, of which 76.2% said they were satisfied with care in their home countries. Conclusion: In general, foreign tourist’s knowledge of dental tourism was low. The general attitude of tourists to dental tourism shows uncertainty and interest in low dental tourism. It is recommended to increase promotion effectively and creatively by utilizing internet to support the potential of dental tourism.
2022-01-26
DOI dan Link Akses DOI: https://doi.org/10.3390/ijerph19031361
2022-01-26
Background The COVID-19 pandemic has raised concerns as to its impact on other health programs. One program that appears particularly vulnerable is HIV and AIDS. We undertook an assessment of COVID-19 impact on HIV control efforts in Indonesia for a sub-population that has received little attention in the global literature—female sex workers (FSW). Methods The study was undertaken in 23 National AIDS program priority districts. Four sources of monthly data during January–July 2020 were considered. COVID-19 infection data were extracted from national and district surveillance systems. Combination prevention program outputs were reported by civil society organizations (CSOs) providing community support services to FSW. These organizations also undertook monthly scans of levels of commercial sex activity and HIV testing availability. We also considered data from an ongoing HIV community screening trial. The primary mode of analysis entailed comparisons of levels and trends of indicators from the four data series. Results Commercial sex activity was severely curtailed in April–May in many districts. While recovering to pre-COVID-19 levels in “Localization” areas, the number of active FSW in July was one-third below that in February. HIV testing service availability declined by 50% at health facilities before recovering slowly, while mobile clinic services largely ceased during April–June. Numbers of FSW reached, condoms distributed, FSW tested for HIV, HIV cases detected, and FSW starting treatment all declined precipitously in April/May but had largely recovered to pre-COVID-19 levels by July. We found only a temporary dip in treatment initiation rates among HIV positive FSW and no discernible impact on treatment retention. The HIV community screening trial data revealed significant demand for HIV testing among FSW that was not being met even before the onset of COVID-19. Conclusions COVID-19 has had at least short-run economic effects on FSW and the national response to HIV and AIDS targeting FSW. However, the effects appear to have been cushioned by community-based services and support in study districts. The findings make a compelling case for the expansion of community-based services irrespective of the future trajectory of COVID-19. As COVID-19 has not yet been contained, the trajectory of economic activity and service delivery is uncertain.
2022-01-01
Penelitian ini menguji aktivitas antikanker dari ekstrak daun Annona squamosa Linn. terhadap sel kanker serviks HeLa. Hasil menunjukkan bahwa isolat dengan LC50 100.00 ppm memiliki potensi sebagai agen antikanker dengan IC50 sebesar 70.90 ppm.
2022-01-01
Studi ini meneliti status gizi, kepadatan zat gizi, dan keragaman pangan anak balita selama pandemi COVID-19. Ditemukan bahwa meskipun status gizi sebagian besar anak dalam kondisi baik, terdapat kekurangan dalam konsumsi vitamin dan mineral esensial.
2022-01-01
Penelitian ini menemukan bahwa dukungan dari tempat persalinan dan ibu mertua berperan penting dalam keberhasilan pemberian ASI eksklusif. Ibu yang mendapat dukungan baik memiliki kemungkinan lebih tinggi untuk memberikan ASI eksklusif secara sukses.
2022-01-01
Penelitian ini mengembangkan protokol pendidikan gizi berbasis webinar untuk mencegah obesitas pada orang dewasa muda di Indonesia. Program ini bertujuan meningkatkan kesadaran tentang pola makan sehat dan aktivitas fisik melalui pendekatan berbasis teknologi.
2022-01-01
Penelitian ini menganalisis hubungan karakteristik sosiodemografi dan klinis dengan lama perawatan pasien COVID-19 di RS Dr. R. Soedjono, Lombok Timur. Hasil menunjukkan bahwa pasien laki-laki dan dengan tingkat pendidikan rendah memiliki durasi rawat inap yang lebih lama.
2022-01-01
This study explores the state of inclusive water, sanitation, and hygiene (WASH) in Labuan Bajo’s tourism sector. It highlights inequitable water access and suggests governance improvements and private sector engagement to ensure sustainable and inclusive WASH solutions.
2022-01-01
Using the Theory of Planned Behavior, this study analyzes factors influencing waste management behavior in South Denpasar. Knowledge, attitude, and perceived behavioral control were found to significantly affect waste management practices. Recommendations include education programs and improved waste facilities.
2022-01-01
This study explores factors influencing mothers' acceptance of the Breastfeeding Support Group (BSG) program in Badung, Bali. Findings indicate positive perception, strong motivation, and social support as key facilitators, while myths and cultural constraints act as barriers.
2022-01-01
This study evaluates the feasibility of implementing water ambulance services in Nusa Penida, Bali, to improve healthcare access. Using qualitative methods, the study finds strong stakeholder support and organizational capacity, but highlights challenges in regulation and funding sustainability.
2022-01-01
Kanker serviks adalah suatu penyakit keganasan pada serviks yang dipicu oleh infeksi Human Papilloma Virus (HPV). Cara efektif untuk mencegah penyakit kanker serviks adalah dengan vaksinasi HPV. Suksesnya penerimaan vaksin bergantung pada berbagai faktor yang dapat dikategorikan menjadi, persepsi kerentanan, persepsi keseriusan, persepsi manfaat, persepsi hambatan, pendorong dan persepsi keyakinan. Menurut data dari Dinas Kesehatan Kota Denpasar, sebanyak 31 SMP di Denpasar sudah tidak mendapatkan program vaksinasi HPV, salah satunya adalah SMP Negeri 1 Denpasar. Penelitian ini bertujuan untuk mengetahui bagaimana penerapan Health Belief Model terhadap penerimaan vaksin HPV dalam upaya pencegahan kanker serviks pada siswi SMP Negeri 1 Denpasar. Penelitian ini merupakan jenis penelitian observasional analitik dengan metode cross sectional. Data didapatkan dari pengisian kuisioner secara daring melalui google form. Data diolah secara secara komputerisasi menggunakan uji statistik chi-square. Dari hasil penelitian, responden memiliki health belief model yang tergolong tinggi meliputi persepsi kerentanan (50,9%), persepsi keseriusan (52,6%), persepsi manfaat (52,6%), persepsi hambatan (57,9%), isyarat untuk bertindak (62,3%), serta persepsi keyakinan (60,5%). Dari hasil uji korelasi menunjukkan terdapat hubungan yang signifikan antara penerapan health belief model dengan penerimaan vaksin HPV. Berdasarkan hasil penelitian, untuk meningkatkan penerimaan vaksin HPV tenaga kesehatan hendaknya mencari alternatif dalam memberikan pelayanan serta pemberian informasi terkait manfaat vaksin HPV sehingga dapat meningkatkan persepsi baik dalam health belief model.
2021-12-03
Background: The development of digital environmental technology can be conducted to implement reports, surveillance, and manage dengue control. Therefore, this study aims to determine the barriers to the use of paper-based and the potential development of digital environmental technology in dengue control. Methods: In-depth qualitative interviews were conducted using 14 key informants and four focus group discussions (FGD) from May-August 2021 in Denpasar City, Bali. The interviews were consistent with the flow of the epidemiological and entomological surveillance system, the obstacles to the dengue control program, the potential for the application of digital technology, and the challenges in the application of digital surveillance technology. Furthermore, open-ended questions and content analysis by qualitative study procedures were adopted. The results were transcribed verbatim and triangulation of sources was conducted for data validation. Results: The reporting system that used paper-based was not optimally implemented due to repetition of reporting, speed of information, data bias, performance measurement as well as case surveillance and reporting system constraints. An integrated digital environmental surveillance system (SILIRA) was also developed for dengue control. In the current Covid-19 pandemic, the need for digital applications is high due to the policy of not accepting guests and keeping a distance. Epidemiological surveillance for case data collection, entomological surveillance for larva density, case reporting, and educational videos are the required data in the application. Conclusion: The development of an integrated application for an environmental monitoring system can be created for the continuous reporting of case information and larval density for dengue hemorrhagic fever control.
2021-11-27
DOI dan Link Akses DOI: https://doi.org/10.20473/amnt.v5i2SP.2021.10-18
2021-11-04
DOI dan Link Akses DOI: http://dx.doi.org/10.21109/kesmas.v16i4.4954
2021-10-01
Program ‘Ayo Siapkan Bekal Sekolah’ bertujuan untuk meningkatkan pengetahuan ibu mengenai pemenuhan gizi anak sekolah. Hasil menunjukkan bahwa pendekatan learning by doing secara signifikan meningkatkan kesadaran ibu dalam menyiapkan bekal sehat bagi anak mereka.
2021-08-28
DOI dan Link Akses DOI: https://doi.org/10.37268/mjphm/vol.21/no.2/art.1073
2021-05-14
DOI dan Link Akses DOI: https://doi.org/10.1016/j.paid.2021.110995
2021-05-13
DOI dan Link Akses DOI: https://doi.org/10.3389/fpubh.2021.621800
2021-05-05
DOI dan Link Akses DOI: https://doi.org/10.3389/fpubh.2021.630295
2021-04-30
DOI dan Link Akses DOI: https://doi.org/10.3389/fpubh.2021.646764
2021-02-01
DOI dan Link Akses DOI: https://doi.org/10.3389/fpubh.2021.605290
2021-01-30
DOI dan Link Akses DOI: https://doi.org/10.1186/s12889-021-10332-8
2021-01-01
Kesehatan reproduksi dan seksualitas merupakan topik yang dianggap tabu untuk dibicarakan di Indonesia, sehingga remaja mencari alternatif untuk mendapatkan informasi mengenai topik tersebut. Media sosial secara langsung ataupun tidak langsung menjadi media pembelajaran dan memberikan pengaruh bagi remaja, salah satunya tentang kesehatan reproduksi dan perilaku seksual. Studi ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan perilaku seksual remaja, terutama seks pranikah dari segi sosiodemografi dan peran media sosial. Penelitian ini dilaksanakan dengan rancangan online survey cross-sectional terhadap 418 responden remaja berumur 20-24 tahun dari 9 kabupaten/kota di Bali dari Maret hingga April 2021. Meski remaja cukup aktif menggunakan media sosial, sebagian besar remaja (58.85%) jarang mengakses informasi kesehatan reproduksi melalui platform tersebut. Hasil penelitian ini juga menunjukan bahwa penggunaan media sosial dalam perannya sebagai media pembelajaran kesehatan reproduksi tidak memberikan pengaruh preventif secara langung terhadap perilaku seksual pra-nikah remaja. Namun variabel lain seperti status bekerja, jenis kelamin, umur dan pengalaman berpacaran memiliki pengaruh terhadap perilaku seksual pranikah pada remaja Bali usia 20-24 tahun.
2020-12-31
DOI dan Link Akses DOI : http://jurnal.iakmi.id/index.php/IJKMI/article/view/116
2020-12-13
DOI dan Link Akses DOI : https://myjurnal.mohe.gov.my/public/article-view.php?id=160667
2020-11-24
DOI dan Link Akses DOI: https://doi.org/10.3389/fpubh.2020.563150
2020-10-10
DOI dan Link Akses DOI: https://doi.org/10.3390/tropicalmed5040158
2020-09-10
DOI dan Link Akses DOI: https://doi.org/10.1017/S1368980020002992
2020-07-15
DOI dan Link Akses DOI: https://doi.org/10.25182/jgp.2020.15.2.71-80
2020-05-07
DOI dan Link Akses DOI: https://doi.org/10.1017/S1368980020001299
2020-03-01
DOI dan Link Akses DOI : https://journal.ugm.ac.id/jkki/article/view/54246
2019-07-09
DOI dan Link Akses DOI: https://doi.org/10.3389/fvets.2019.00193
2019-01-01
Formative Research Findings to Inform Targeted Communication Strategy in Promoting School-Based Weekly Iron and Folic Acid Supplementation
2018-09-01
Background: Providing additional nutriment represents one strategy for overcoming moderate-acute malnutrition (MAM) in children younger than 5 years. However, it is important to examine how well received such Supplemental Nutrition Assistance Programs (SNAP) are by caregivers in order to ensure optimal results. Objective: This study explores SNAP's reception by caregivers of MAM children younger than 5 years. Methods: Qualitative research was conducted through semi-structured, in-depth interviews with 16 selected caregivers and 5 Nutritional Executives from October to November, 2016 at 4 health centers in Denpasar, Bali, Indonesia. The results are presented to highlight the underlying patterns of SNAP's acceptance. Results: Overall, the informants responded negatively to SNAP, reporting that it was of limited usefulness. The results show 4 main themes relating to the receipt of SNAP. The first relates to the caregiver's preferences in terms of the types of supplementary food on offer. Second, caregiver's perceptions that the child was not, in fact, in a state of illness or disease due to a medical issue. Third, that the caregiver does not require supplementary food as they maintain that they are able to buy it independently. Fourth, factors related to the lack of support for health-care workers working with malnourished children. Conclusion: The study finds that strengthening the role of health workers in terms of enabling them to effectively communicate the benefits of supplementary food to caregivers as well as adjusting the range of foods available according to the recipient's preferences is critical in overcoming malnutrition in children younger than 5 years.
2018-07-05
DOI dan Link Akses DOI: https://doi.org/10.3390/ani8070112
2002-01-01
This editorial highlights the importance of integrating water, sanitation, and hygiene (WASH) interventions with nutrition programs to prevent childhood stunting. The authors advocate for stronger collaboration between health and sanitation sectors to address environmental factors affecting malnutrition.