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Infodemic, Health Promotion Efforts, and Preventive Behavior During the COVID-19 Pandemic in Indonesia: A Quantitative Analysis Study Kurniati, Desak Putu Y; Indrayathi, Putu Ayu; Pradnyani, Putu Erma; Ulandari, Luh Putu S; Januraga, Pande Putu; Yuliarti, Monika Sri; Santosa, Karina Samaria
Kesmas Vol. 18, No. 5
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

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, p-value= 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.
Evaluasi Penggunaan Aplikasi Elektronik Siap Nikah dan Hamil (ELSIMIL) dengan Pendekatan Technology Acceptance Model (TAM) di Kabupaten Karangasem Tahun 2024 Putra, Gede Wirabuana; Pradnyani, Putu Erma; Dewi, Kadek Rosi Arista
JAKADIKSI: JURNAL VOKASI Vol. 4 No. 2 (2025): JAKADIKSI: JURNAL VOKASI
Publisher : LPPM Universitas Dhyana Pura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36002/jdk.v4i2.4109

Abstract

Aplikasi Elektronik Siap Nikah dan Hamil (ELSIMIL) merupakan inovasi digital Kementerian Kesehatan RI untuk meningkatkan kesehatan reproduksi dan mencegah stunting. Di Kabupaten Karangasem, implementasi ELSIMIL menjadi prioritas mengingat prevalensi stunting mencapai 21,3% pada tahun 2021, lebih tinggi dari rata-rata Provinsi Bali (14,8%). Penelitian kualitatif ini dilakukan melalui wawancara mendalam dengan 5 Tim Pendamping Keluarga (TPK) dan pejabat Dinas Kesehatan Kabupaten Karangasem. Analisis menggunakan pendekatan Technology Acceptance Model (TAM) yang meliputi lima indikator: perceived ease of use, perceived usefulness, attitude toward using, behavioral intention to use, dan actual system use. Penelitian menemukan bahwa aplikasi ELSIMIL memiliki antarmuka yang user-friendly dengan menu yang tersusun sistematis, meski terdapat kendala infrastruktur jaringan di beberapa wilayah. Terjadi peningkatan efisiensi dalam pencatatan dan monitoring kesehatan ibu hamil, dengan peningkatan kunjungan ANC sebesar 23% setelah implementasi. Terdapat variasi sikap penggunaan berdasarkan generasi, dimana TPK muda menunjukkan adaptasi lebih cepat. Muncul inovasi lokal seperti program "Satu Kader Satu Keluarga" dan integrasi informal dengan platform komunikasi lain. Dinas Kesehatan merespons dengan rencana penguatan infrastruktur dan pengembangan sistem terintegrasi. Implementasi ELSIMIL di Kabupaten Karangasem menunjukkan potensi positif dalam meningkatkan layanan kesehatan ibu dan anak, meski masih menghadapi tantangan teknis dan adaptasi pengguna.
Gambaran Implementasi Aplikasi E-Kohort sebagai Media Pencatatan dan Pelaporan di Denpasar Selatan Pradnyani, Putu Erma; Putra, Gede Wirabuana; Adiningsih, Luh Yulia; Putri, Putu Chrisdayanti Suada; Yuniati, Maria Gabriela; Punarbawa, Ida Bagus Wikrantha
Journal of Health Management Research Vol 3 No 1 (2024): Journal of Health Management Research
Publisher : Bagian Penelitian & Pengabdian Masyarakat STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/jhmr.v3i1.510

Abstract

Background: Maternal and child health is one part of the SDGs. The transformation of health technology requires the development and use of digitalization technology in the health sector. The e-KIA Cohort application was introduced in 2021 by the Ministry of Health and in 2022 it will only begin to be implemented in Denpasar City. However, until now there has been no research describing the implementation of e-Cohort in Denpasar City. Aims: : This research is to describe the implementation of the E-Cohort Application in recording and reporting in the South Denpasar. Methods: The method used in this research is descriptive qualitative. This qualitative research was carried out using an in-depth interview method adapted to the 5M theoretical approach, namely Man, Money, Method, Material and Machine. There were 5 informants for this research. Data processing was carried out using thematic analysis techniques. Results: Description of the implementation of the KIA e-Cohort from human factors. All informants have participated and received orientation regarding the E-Cohort application. The money factor shows that there is an orientation budget and an implementation budget. The method factor shows that there is an standard operational procedure created by each health facility. The machine factor shows that there are still obstacles in signal and data input infrastructure. Material factors show that the flow of using the e-cohort application is still accompanied by manual cohort filling and the use of this application is not yet used by all health workers in Denpasar so that the results of recording and reporting can be used optimally.. Conclusion: The implementation of the e-cohort application is already but there are still several obstacles. It is hoped that the development of this application can adapt to the situation and needs of users and that there will be training in using the E-Cohort application
Application of the Hot-Fit Method in Evaluation of the Use of ePuskesmas at Community Health Care I South Denpasar Adiningsih, Luh Yulia; Pradnyani, Putu Erma; Putri, Putu Chrisdayanti Suada; Bhoko, Coelestina Astri
Procedia of Engineering and Life Science Vol. 6 (2024): The 3rd International Scientific Meeting on Health Information Management (3rd ISMoHI
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v6i0.1978

Abstract

ePuskesmas is a multi-user web-based application that allows simultaneous access by multiple users. It facilitates electronic patient recording and data management. The implementation of ePuskesmas services at UPTD Denpasar Selatan 1 has not been conducted previously, but the application aids the Health Department in monitoring public health data. Therefore, it is crucial to evaluate the readiness of personnel in adopting ePuskesmas using the HOT-FIT method. The aim of this study is to assess the Usage Evaluation of ePuskesmas at UPTD Puskesmas I Denpasar Selatan using the HOT-FIT Method. The research adopts a Cross-Sectional Study approach, with a sample comprising all 32 ePuskesmas users at Puskesmas I Denpasar Selatan selected through purposive sampling. Data analysis includes multivariate analysis using multiple linear regression. The findings reveal significant correlations between human, organizational, and technological factors and the net benefit of ePuskesmas usage. Specifically, multivariate analysis identifies organizational factors as the most significant predictor influencing ePuskesmas net benefit (p<0.001). This underscores the pivotal role of organizational readiness in ePuskesmas utilization. Hence, enhancing organizational structure in ePuskesmas management is essential, alongside fostering communication and organizational experience in utilizing ePuskesmas for patient recording and reporting purposes
STANDARDISASI ALUR PELAYANAN TUBERKULOSIS DI PUSKESMAS PEMBANTU KELURAHAN SERANGAN: Program Pengabdian Masyarakat untuk Penguatan Kapasitas Tenaga Kesehatan dalam Penanganan Terduga TB di Denpasar Wirabuana Putra, Gede; Erma Pradnyani, Putu; Wijaya Widiyanto, Wahyu
Indonesian Journal of Health Information Management Services Vol. 5 No. 2 (2025): Indonesian Journal of Health Information Management Services (IJHIMS)
Publisher : APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/ijhims.v5i2.150

Abstract

Tuberculosis (TB) remains a public health challenge in Indonesia with an incidence of 391 per 100,000 population. Kelurahan Serangan Sub-Health Center (Pustu) lacks standardized TB service flow, causing practice variations and suboptimal coordination. This activity aims to improve suspected TB case service quality through evidence-based service flow socialization and standardization. Methods included existing condition analysis, SOP development, socialization and training, guided implementation, and evaluation. Results showed 100% of health workers (6 people) participated in training with 90% satisfaction rate. SOP implementation achieved 85% adherence in daily practice. There was a 45% increase in TB service practice standardization and 35% reduction in inter-staff variations in case management. Coordination with referral facilities improved by 40% through structured communication system implementation. This activity successfully standardized TB service flow and enhanced health worker capacity in TB early detection at primary care level.
Determinan Keberhasilan Pengobatan Pasien Tuberkulosis di Kota Denpasar Tahun 2021 Putra, Gede Wirabuana; Pradnyani, Putu Erma
Indonesian of Health Information Management Journal (INOHIM) Vol 10, No 2 (2022): INOHIM
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/inohim.v10i2.429

Abstract

AbstractTuberculosis (TB) is the top 10 causes of death in the world and the success rate of TB treatment has not yet reached the 85% success target. Indonesia is one of the countries with the highest TB burden. Denpasar City is one of the cities that contributes the most TB case data in Bali Province. The purpose of this study was to determine the factors that could affect the success of treatment for TB patients in Denpasar City in 2021.This study uses secondary data from the Denpasar City Health Office in 2021 on Form TB.03. The success of treatment becomes the dependent variable and the independent variable is gender, age, ownership of health insurance (JKN), occupation, history of diabetes mellitus, and history of previous treatment. The analysis used multiple logistic regression. The results showed that there were 826 patients with pulmonary TB patients whose treatment history was recorded in Denpasar City and as many as 697 (84%) treatment was successful. The factors found to have a significant influence on the success of treatment of TB patients in Denpasar City were JKN ownership and patient age. The older the patient, the less aware of the importance of health that affects the success of TB treatment. JKN ownership shows a negative influence on the success of TB patient treatment in Denpasar City, this situation indicates the need for better coordination in the management of TB treatment flow in Denpasar City using JKN and management of recording and reporting later.Keyword: tuberculosis, JKN, success, treatment  AbstrakTuberkulosis (TB) merupakan 10 besar penyebab kematian teratas di dunia dan tingkat keberhasilan pengobatan TB belum mencapai target keberhasilan 85%. Indonesia merupakan salah satu negara dengan beban TB tertinggi. Kegagalan pengobatan TB dapat meningkatkan munculnya kasus resisten obat. Kota Denpasar adalah salah satu kota yang menyumbang data kasus TB terbanyak di Provinsi Bali. Tujuan penelitian ini adalah mengetahui faktor yang dapat mempengaruhi keberhasilan pengobatan pasien TB di Kota Denpasar Tahun 2021. Penelitian ini menggunakan data Sekunder dari Dinas Kesehatan Kota Denpasar tahun 2021 di Form TB.03. Keberhasilan pengobatan menjadi variabel terikat dan variabel bebas yaitu jenis kelamin, umur, kepemilikan jaminan Kesehatan, pekerjaan, Riwayat penyakit DM, dan Riwayat pengobatan sebelumnya. Analisis menggunakan uji regresi logistik berganda untuk melihat faktor yang mempengaruhi keberhasilan pengobatan. Hasil penelitian menunjukkan pasien TB Paru yang tercatat riwayat pengobatannya di Kota Denpasar adalah 826 pasien dan sebanyak 697 (84%) pengobatan berhasil (sembuh dan pengobatan lengkap). Faktor yang ditemukan memiliki pengaruh bermakna terhadap keberhasilan pengobatan pasien TB di Kota Denpasar yaitu kepemilikan JKN (p=0,005) dan umur pasien (p=0,005). Rata-rata umur pasien TB di Kota Denpasar yaitu 41 tahun dan sebagian besar pasien TB tidak menggunakan JKN untuk pengobatan (82,4%). Semakin bertambahnya umur pasien semakin kurang sadar akan pentingnya kesehatan yang mempengaruhi keberhasilan pengobatan TB. Kepemilikan JKN menunjukkan pengaruh negatif terhadap keberhasilan pengobatan pasien TB di Kota Denpasar, situasi ini menunjukkan perlu adanya koordinasi lebih baik dalam manajemen alur pengobatan TB di Kota Denpasar menggunakan JKN dan manajemen pencatatan dan pelaporan nantinya.Kata Kunci: tuberkulosis, JKN, keberhasilan, pengobatan 
Pengembangan SIPORSI (Sistem Pelaporan Terintegrasi) Berbasis Google Spreadsheet untuk Pencatatan dan Pelaporan Kasus Tuberkulosis di Puskesmas Pembantu Kelurahan Serangan Wirabuana Putra, Gede; Pradnyani, Putu Erma; Harjana, Ngakan Putu Anom; Sunardiana, I Wayan Agus
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 11 No. 1 (2026): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v11i1.2015

Abstract

Background: Puskesmas Pembantu (Pustu) Kelurahan Serangan lacks structured TB case recording and reporting mechanisms, relying on manual registers and informal WhatsApp reporting, causing data inconsistency and reporting delays. Objective: To design Integrated Reporting System (SIPORSI) (based on Google Spreadsheet suitable for TB case recording and reporting at Pustu Kelurahan Serangan. Methods: Research and Development approach using ADDIE model conducted from March to December 2024. Six healthcare workers were selected using purposive sampling. Data collection through semi-structured interviews, document analysis, and infrastructure identification. Qualitative analysis with thematic approach was used. Results: SIPORSI was successfully developed using ADDIE model. Analysis phase identified inadequate existing system, documentation gaps, high loss to follow up (37.5%), and low contact investigation (25%). Design and Development phases produced user-centered system with automatic validation and role-based access control integrated with national SITB. Implementation through structured training showed competency improvement of 33.3% (SIPORSI Knowledge domain: 66.7%). Evaluation demonstrated significant improvements: data quality (+31.8%), time efficiency (70.9%), SUS score (85.7/"Excellent"), loss to follow up reduction (37.5% to 8.3%), contact investigation increase (25% to 91.7%), and 100% reporting timeliness. Conclusion:  SIPORSI has proven to be an effective evidence-based solution in addressing TB recording system fragmentation in primary healthcare facilities through combination of accessible cloud-based technology, user-centered design, and structured training. The system has great potential for replication in other auxiliary health centers as a contribution to achieving Indonesia's TB elimination target by 2030.
Dominant Factors of Recurrent Tuberculosis Treatment Visits in Jakarta: Faktor Dominan Kunjungan Berulang Pengobatan Tuberkulosis di DKI Jakarta Della Dwi Ayu; Syarif Rahman Hasibuan; Putu Erma Pradnyani
Academia Open Vol. 11 No. 1 (2026): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.11.2026.12985

Abstract

General Background: Tuberculosis remains a major public health challenge in Indonesia, with DKI Jakarta designated as a priority province for tuberculosis control. Specific Background: Despite high treatment coverage, the treatment success rate in Jakarta declined from 81% in 2023 to 63.7% in 2025, far below the national target of 90%, indicating persistent problems in treatment adherence and continuity of care. Knowledge Gap: Although recurrent tuberculosis treatment visits are recognized as indicators of treatment failure and potential progression to drug-resistant tuberculosis, evidence regarding the dominant sociodemographic determinants of these visits in Jakarta remains limited. Aims: This study aims to analyze the association between sociodemographic factors—age, sex, and marital status—and recurrent tuberculosis treatment visits in DKI Jakarta. Results: A quantitative cross-sectional study using secondary BPJS Health data involving 46,064 tuberculosis patients was analyzed using logistic regression. The results show that marital status is the dominant factor associated with recurrent visits (p=0.000; OR=5.320). Age is also significantly associated, where individuals under 60 years have lower risk compared with those above 60 years, while sex shows no significant relationship (p=0.510). Novelty: This study identifies marital status as the main sociodemographic determinant of recurrent tuberculosis treatment visits using large-scale national health insurance data. Implications: The findings indicate that tuberculosis control strategies in DKI Jakarta should integrate family-based approaches by involving spouses as treatment supporters and utilizing educational tools such as the LEKAT leaflet to strengthen adherence monitoring and reduce recurrent treatment visits. Highlights • Marital status emerges as the strongest predictor of repeated tuberculosis treatment attendance.• Individuals aged under sixty years demonstrate lower probability of repeated therapy visits compared with elderly patients.• BPJS Health data analysis reveals demographic determinants supporting family-oriented tuberculosis control strategies. Keywords Tuberculosis; Recurrent Tuberculosis; Marital Status; Treatment Adherence; Public Health Surveillance
Referral Patterns from Primary Care to Referral Care by ICD-10 Codes in Indonesia: Cross-Sectional Analysis of National Claims Data (2017–2024) Ayu, Della Dwi; Hasibuan, Syarif Rahman; Pradnyani, Putu Erma; Widyasanti, Nisrina
Journal of Indonesian Health Policy and Administration Vol. 11, No. 2
Publisher : UI Scholars Hub

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Abstract

Primary health care (PHC) facilities serve as gatekeepers within Indonesia’s tiered health system. However, PHC referral patterns to hospitals still show substantial variation and remain insufficiently characterized by disease groupings based on the International Classification of Diseases, 10th Revision (ICD-10). This study aimed to identify the most frequently referred diagnoses from PHC to secondary or tertiary care facilities and to determine the participant characteristics associated with referrals. This observational study employed a cross-sectional design using secondary data from the National Health Insurance (Jaminan Kesehatan Nasional – JKN) claims database for the period 2017–2024. The unit of analysis was each patient visit to a PHC facility. The outcome variable was referral status (referred vs. not referred), with ICD-10 diagnostic codes as the main independent variable, while age and sex were covariates. Descriptive and inferential analyses, including binary logistic regression, were conducted to identify factors associated with referral likelihood. Of 1.2 billion visit episodes, 14% resulted in referrals to higher-level facilities. The most frequent diagnoses were classified under ICD-10 Code J (respiratory system diseases, 21.5%), yet referrals were most common among cases under Code C (neoplasms). Referrals were also more frequent among older adults and male patients.
The Association Between Sociodemographic Factors and The Return Visits Among Pediatric Tuberculosis Patients at Primary Health Care Facilities in DKI Jakarta Province Putu Erma Pradnyani; Syarif Rahman Hasibuan; Gede Wirabuana Putra
Jurnal Ilmu Kesehatan Masyarakat Vol. 17 No. 1 (2026): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2026.17.1.12-21

Abstract

Indonesia is the second-largest contributor to global tuberculosis (TB) casesin 2023. Tuberculosis in children can significantly affect a child's nutritional status and growth and development. This study aimed to examine the association between sociodemographic factors and return visits among pediatric TB patients to primary health care facilities in DKI Jakarta Province. This study utilized secondary data obtained from the Indonesian Health Insurance Agency (BPJS Kesehatan) for the years 2021-2022. The sample consisted of BPJS Kesehatan participants aged ≤18 years who had been diagnosed with TB (ICD-10 A15, A16, A17, A18, and A19), had active BPJS Kesehatan membership status, and had visited an primary health care in 2021. After weighting, the sample size was 6,729 participants. The independent variables were age group, place of residence, gender, participant segmentation, and BPJS Kesehatan class. The primary outcome variable was return to visit (identifying whether patients who visited a primary healthcare facility in 2021 returned to the primary care in 2022 for a follow-up or control visit). Analysis using logistic regression. The results showed that of the 6,729 pediatric patients, 5,648 (83.9%) still had TB in 2022. Statistical analysis revealed that sociodemographic factors age category, gender, place of residence, and BPJS care class significantly correlate with return visit childhood TB in Jakarta. The results of this study are expected to serve as a basis for developing policies for the prevention and early detection of TB in children within families and communities.
Co-Authors Afifa Radhina Agustina, Karang Anastasia Septya Titisari Assyafiya Salwa Astiti, Ni Luh Eka Purni Aulia Chairani Benny Tjahjono Bhoko, Coelestina Astri Bunga Anggreini Sari Coelestina Astri Bhoko Dela Riadi Della Dwi Ayu Desak Putu Y Kurniati Desak Putu Yulita Kurniati Deva Eddy Romansyah Dewi, Kadek Rosi Arista Dwi Arwandi Yogi Saputra Dwi Arwandi Yogi Saputra Gede Wirabuana Putra Gede Wirabuana Putra Gita Aprilicia Gita Aprilicia Harjana, Ngakan Putu Anom Hendra Irawan I Gusti Ngurah Edi Putra I Gusti Ngurah Edi Putra I Gusti Ngurah Edi Putra I Made Subrata I Made Subrata I Wayan Septa Malan Vergantana IBN Swacita Ichwan Baihaki Ida Ayu Putu Feby Paramita Ida Bagus Ngurah Swacita Ida Bagus Putra Mahardika Ima Maria Indrayathi, Ayu Istiana Marfianti Janice Girardi Julyari, Dewa Ayu Vera Kadek Karang Agustina Karang Agustina Karina Samaria Santosa Kate Druhan Kurniati, Desak Putu Y Landang, Yorisno Supardi Laszlo Robert Koloszvari Laszlo Robert Kolozsvari Luh Kadek Ratih Swandewi Luh Kadek Ratih Swandewi Luh Putu S Ulandari Luh Putu Sinthya Ulandari Luh Yulia Adiningsih Luh Yulia Adiningsih Made Subrata Melly Kristanti Monika Sri Yuliarti Monika Sri Yuliarti Ngakan Putu Anom Harjana Ni Ketut Juliantari Ni Luh Eka Purni Astiti Ni Luh Eka Purni Astiti Ni Luh Eka Purni Astiti Ni Luh Saptiaryati Ni Nyoman Astri Artini Ni Wayan Arya Utami Ni Wayan Arya Utami Ni Wayan Arya Utami, Ni Wayan Arya Niken Rahmah Ghanny Nurul Mawaddah Syafitri Pande Putu Januraga Pande Putu Januraga Punarbawa, Ida Bagus Wikrantha Putra, I Gusti Ngurah Edi Putri, Putu Chrisdayanti Suada Putu Ayu Indrayathi Putu Ayu Indrayathi Putu Chrisdayanti Suada Putri Putu Chrisdayanti Suada Putri Rahajeng, Herera Sang Gede Purnama sang gede purnama Sang Gede Purnama Santosa, Karina Samaria Soukaina Hilal Sri Wahyuningsih Sri Wahyuningsih Sunardiana, I Wayan Agus Swacita, IBN Syarif Rahman Hasibuan Ulandari, Luh Putu S Widiyanto, Wahyu Wijaya Widyasanti, Nisrina Wirabuana Putra, Gede Yanti Harjono Yanti Harjono Hadiwiardjo Yanti Harjono Hadiwiardjo Yorisno Supardi Landang Yuniati, Maria Gabriela