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All Journal Journal of Epidemiology and Public Health Journal of Health Policy and Management Journal of Health Promotion and Behavior
Argyo Demartoto
Faculty of Social and Political Sciences, Universitas Sebelas Maret
Medicine & Pharmacology Public Health

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Perception-Driven Prevention: A Health Belief Model Implementation to Dengue Fever Control in Jepara, Central Java, Indonesia Ahmad Daffa’ Aushof; Setyo Sri Rahardjo; Bhisma Murti; Argyo Demartoto; Revi Gama Hatta Novika
Journal of Health Promotion and Behavior Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.03.09.

Abstract

Background: Dengue fever is an infectious disease caused by the dengue virus and transmitted through the bites of Aedes aegypti and Aedes albopictus mosquitoes. The disease continues to pose a major public health challenge, particularly in tropical and subtropical regions, including Indonesia. This study aims to examine the Health Belief Model in relation to dengue prevention behaviors and the incidence of dengue fever in Jepara District, Central Java. Subjects and Method: This was a cross-sectional study conducted in Jepara District, Central Java, in January 2025. A sample of 200 respondents was selected using the fixed disease sampling method, all of whom were residents of Jepara District. The dependent variable was dengue prevention behavior. Independent variables included perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. The data were collected using a questionnaire and analyzed using multiple linear analysis. Results: Dengue prevention behavior increased with higher perceived susceptibility (b = 0.21; 95% CI = 0.00 to 0.43; p = 0.049), perceived severity (b = 0.29; 95% CI = 0.01 to 0.57; p = 0.044), perceived benefits (b= 0.33; 95% CI= 0.03 to 0.63; p = 0.030), cues to action (b = 0.19; 95% CI = 0.01 to 0.37; p = 0.042), and self-efficacy (b= 0.33; 95% CI = 0.01 to 0.65; p = 0.045), while lower perceived barriers were associated with improved prevention behavior (b = –0.18; 95% CI = –0.36 to –0.01; p = 0.045). Conclusion: The results of this study show that higher levels of perceived susceptibility, perceived severity, perceived benefits, cues to action, and self-efficacy, as well as lower perceived barriers, enhance dengue prevention behaviors.  
Meta-Analysis of the Effectiveness of Teledentistry on Patients Satisfaction Wimmy Safaati Utsani; Argyo Demartoto; Bhisma Murti
Journal of Health Policy and Management Vol. 8 No. 3 (2023)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2023.08.03.02

Abstract

Background: Preventive strategies of caries prevention, such as topical fluoridation or drinking water, have been effective in inhibiting the development of carious lesions. Teledentistry is an alternative service that combines dentistry with long-distance telecommunication technology for consultation and treatment planning that can be used for dental and oral health education to increase public awareness. The purpose of this study was to analyze the effectiveness of teledentistry on patient satisfaction. Subjects and Method: This study was a meta-analysis with the following PICO, population: patients. Intervention: teledentistry. Comparison: conventional (outpatient). Outcome: patients satisfaction. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles are “teledentistry” OR “oral hygiene” AND “multimedia” OR “smartphone app” OR “online social media” AND “patient satisfaction”. The articles included are full text English with a randomized control trial study design from 2013 to 2023. The selection of articles was carried out using the PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application. Results: A total of 9 case studies from the continents of Europe (Netherlands, Germany, Italy), North America (Pennsylvania), and Asia (India, Saudi Arabia, Iran) were selected for systematic review and meta-analysis. The results showed that 1.05 units of teledentistry increased patient satisfaction compared to not being given teledentistry. Statistical results (SMD = 1.05; 95% CI= 0.64 to 1.46; p < 0.001). Conclusion: Teledentistry increased patient satisfaction   Keywords: teledentistry, oral hygiene, online social media, patients satisfaction Correspondence: Wimmy Safaati Utsani. Masters of Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: wimmysafaatiutsani@gmail.com. Mobile: +62857­25333556
Meta-Analysis: Effect of Training and Needle Recapping on Needle Stick Injury in Health Workers Shofia Andriyani; Argyo Demartoto; Bhisma Murti
Journal of Health Policy and Management Vol. 9 No. 2 (2024)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.02.01

Abstract

Background: Health Personnel are at risk of contracting diseases from blood/body fluids (bloodborne pathogens) in various ways, one of which is through needle stick injuries or what is known as needle stick injury. Recapping of needles and lack of training are factors in unsafe actions that can risk work accidents. This study aims to analyze the effect of training and recapping of needles on the incidence of needle stick injuries in Health personnal using meta analysis. Subjects and Methode: This study is a systematic review and meta-analysis study using the PRISMA diagram. Article searches were carried out based on eligibility criteria using the PICO Model. Population: Health personnal, Intervention: training and not recapping of needles, Comparison: no training and recapping of needles, Outcome: Occurrence of needle stick injury work accidents. The articles used came from Google Scholar, PubMed, Science Direct and ProQuest published from 2013 – 2023. The keywords used in the search were “Training OR Safety Training OR Infection Prevention Training AND Recapping of Needle AND Needle Stick Injury OR Needle Stick Injuries OR Needle Stick and Sharp Injury OR Percutaneous injuries AND Healthcare Workers OR Health Professionals”. The inclusion criteria for this study were full paper articles with cross-sectional studies. The analysis used was multivariate with adjusted Odds Ratio. Eligible articles were analyzed using the Revman 5.3 application. Results: Meta-analysis was carried out on 13 articles originating from the African and Asian continents with a cross-sectional study design. The results of the analysis show that Health personnal who receive training have a risk of experiencing NSI 0.56 times compared to those without training. Although this relationship was not statistically significant (aOR = 0.56; Cl 95% = 0.26 to 1.17; p = 0.120). Recapping of needles has an effect on increasing the incidence of needle stick injuries in health personnel by 2.04 compared to not recapping of needles and this result is statistically significant (aOR=2.04; 95% CI = 1.50 to 2.78; p<0.001) Conclusion: Training and recapping of needles influence the incidence of needle stick injuries in health worker.
Meta-Analysis: Effectiveness of mHealth Utilization on Antenatal Care Nuryuliana Nuryuliana; Argyo Demartoto; Rita Benya Adriani
Journal of Health Policy and Management Vol. 9 No. 3 (2024)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.03.10

Abstract

Background: An antenatal visit is the presence of pregnant women at health facilities to check their pregnancy and get information about their pregnancy. The use of mobile health interventions (mHealth) such as SMS, voice messages, videos, and interactive mobile phones can provide behavioral support and health education needs of pregnant women. This study aims to determine the effectiveness of the use of mHealth on the improvement of antenatal visits. Subject and Method: Systematic reviews and meta-analyses were conducted using PRISMA guidelines and PICO models which included Population = pregnant women; Intervention= mHealth, Comparison= does not use mHealth; Outcome= antenatal visit. Articles are collected through databases such as Google Scholar, PubMed, BMJ, Plos One, Plos Digital Health, JMIR, JPHIA, HSPRJ, JIO, Journal of Midwifery and Traditional Health. Keywords used: mHealth or Telemedicine or Phone or Mobile Phones or Mobile Telephone or Short Message Service or Whatsapp Group, Antenatal Visite or Antenatal Care or Pregnancy or Pregnant or Prenatal or Mother Health. A total of 13 articles that met the inclusion criteria were meta-analyzed and assessed using RevMan 5.3. Results: Meta-analyses from Tanzania, Kenya, India, Brazil, Peru, Bangladesh, Nigeria, Uganda, and Indonesia showed that pregnant women who used mHealth services were 2.94 times more likely to have antenatal visits compared to not using mHealth and the effect was statistically significant (OR= 2.94; CI95%= 2.19 to 3.94; p <0.001). Conclusion: The use of mHealth may increase antenatal visits.
Adapting to Transformations in Hospital Structure: A Case Study at Manguharjo Lung Specialist Hospital, Madiun Ajeng Christiana Putri Pratiwi; Argyo Demartoto; Bhisma Murti
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.01.06

Abstract

Background: Manguharjo Lung Specialist Hospital is a type C hospital in Madiun. Along with global health trends, health needs are increasing and varying. So the Management of Manguharjo Lung Hospital innovated to improve more diverse services by changing the form to a general hospital with a Man, Money, Method, Material, Market approach. The aim of this study was to examine the preparation of a non-pulmonary disease treatment program at the Manguharjo Lung Specialist Hospital, East Java, Indonesia.Subjects and Method: This qualitative study uses a case study approach, involving 4 hospital staff, 3 patients, 3 East Java Health Office officials, and 3 local community leaders. Data sources include interviews and a review of the hospital's strategic development plans and supporting documents.Results: Five themes emerged: (1) Opportunities for conversion, supported by strategic location, adequate resources, and community demand for non-pulmonary services; (2) Supporting factors, including skilled human resources and the potential for increased hospital income; (3) Public perception, where the hospital is still viewed primarily as a lung service facility, deterring broader usage; (4) Obstacles, particularly lack of approval from the East Java Health Office; (5) Efforts, such as opening non-lung services and preparing human resources and facilities.Conclusion: Manguharjo Lung Specialist Hospital has significant potential to transition into a general hospital due to strong supporting factors like skilled personnel. However, challenges like public perception and institutional approval must be addressed.
Determinants of Health Worker Performance in Health Care Facilities: Meta-Analysis Mashaf Fahrur Murdo Furqon; Didik Gunawan Tamtomo; Bhisma Murti; Argyo Demartoto; Hanung Prasetya
Journal of Health Policy and Management Vol. 10 No. 2 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.02.02

Abstract

Background: Performance is the result of a certain process carried out by all components of the organization on certain resources used. In addition, performance affects organizational goals. This study aims to analyze the influence of training, education level, and gender on performance in health workers. Subject and Method: This study is a systematic study and meta-analysis, with the following PICO : Population = Health workers, Intervention = Training, Higher education level, Female, Comparison = No training, Low education level, Male, Outcome = Performance. The articles used in this study were obtained from several databases, including Google Scholar, PubMed, and ScienceDirect which were published from 2014 to 2024. These articles were collected over a period of 4 weeks. The keywords used by the researcher in searching the database include Community Health Workers OR CHW AND Job Performance OR Work Performance AND Training AND Education Level AND Gender OR Sex. The articles included in this study are full-text articles with a cross sectional study design. Articles are collected using PRISMA flow diagrams. Articles are analyzed using the Review Manager 5.3 application. Results: A total of 14 articles were reviewed in this meta-analysis study from Malaysia, China, India, Ethiopia, Uganda, Cameroon and Ghana. Studies show that healthcare workers with training (aOR=2.94; CI 95%= 1.33 to 6.46; p= 0.007), higher education level (aOR=2.16; CI 95%= 1.62 to 2.88; p<0.001) had a significant influence on performance. Meanwhile, women (aOR=0.92; CI 95%= 0.57 to 1.49; p=0.75) had an insignificant effect on performance.Conclusion: Training and higher education levels can significantly improve performance in health workers, and statistically insignificant performance differences between men and women, women have the possibility of performing well.
Path Analysis: Characteristics of Health Service Providers on the Quality of Dental and Oral Health Services Rosalia Indri Dewanti; Didik Gunawan Tamtomo; Bhisma Murti; Setyo Sri Rahardjo; Argyo Demartoto
Journal of Health Policy and Management Vol. 10 No. 2 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.02.12

Abstract

Background: Dental and oral health play a crucial role in improving people’s quality of life. Optimal efforts from dental and oral health workers are essential to achieve better health outcomes. This study aimed to analyze the influence of service provider determinants on the quality of dental and oral health services in hospitals. Subjects and Method: A cross-sectional study was conducted in Semarang City from March to April 2024. A total of 200 patients aged 20–59 years were selected using systematic random sampling. The dependent variable was the quality of dental and oral health services, while the independent variables were motivation, performance, and payment method. Data were analyzed using path analysis. Results: Motivation positively affected the performance of health workers (b=0.99; 95% CI=0.98–1.00; p<0.001). Performance had a significant positive effect on service quality (b=0.44; 95% CI=0.06–0.83; p=0.023). Motivation also directly influenced service quality (b=0.47; 95% CI=0.08–0.85; p=0.017). However, the difference in payment method between patients paying directly and those using BPJS did not significantly affect service quality (b=0.03; 95% CI=–0.03 to 0.09; p=0.415). Conclusion: The quality of dental and oral health services at Diponegoro National Hospital Semarang is significantly influenced by the motivation and performance of health workers, with performance mediating the effect of motivation. Payment method does not significantly influence perceived service quality.
Factors Influencing the Health Workers Performance in Community Health Center in Metro, Lampung Alifia Nadhimah Putri; Didik Gunawan Tamtomo; Bhisma Murti; Sumardiyono Sumardiyono; Argyo Demartoto
Journal of Health Policy and Management Vol. 10 No. 2 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.02.03

Abstract

Background: Performance is the result of a person's ability to complete tasks and responsibilities competitively. There are many factors that affect a person's performance, each of which affects their own performance. This study aims to analyze the variables that affect the performance of health center employees. Subjects and Method: This study is an observational analytical study with a cross-sectional design. This research was conducted on 11 health centers in Metro City, Lampung in March-April 2024. A sample of 200 health center employees was selected by simple random sampling. The dependent variable in this study is the performance of health center employees. The independent variables in the study were age, training, incentives, motivation, leadership perceptions, and the strata of the health center. Data collection was carried out using a questionnaire and analyzed by multiple linear regression. Results: Employee performance in service at the health center was influenced by age (b= -0.01; CI 95%= -0.01 to -0.02; p= 0.008), training (b=1.08; CI 95%= 1.03 to 1.13; p< 0.001), incentives (b= 1.02; CI 95%= 0.98 to 1.05; p< 0.001), motivation (b= 1.16; CI 95%= 1.08 to 1.22; p<0.001), leadership perception (b= 0.98; CI 95%= 0.93 to 1.03; p<0.001), and the strata of the health center (b= 0.33; CI 95%= 0.10 to 0.54; p=0.003). Conclusion: The performance of health center employees is positively influenced by age, training, incentives, motivation, leadership perception, and strata of the health center.
Key Factors Affecting Job Satisfaction of Inpatient Nurses at Sukoharjo Regional Hospital Regita Azzahra Prasetyowati; Argyo Demartoto; Bhisma Murti
Journal of Health Policy and Management Vol. 10 No. 3 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/

Abstract

Background: Quality health services are the result of cooperation between patients and health care providers in a supportive environment. Nurses as professionals are responsible for providing high-quality nursing care for better patient outcomes. The Human Resources (HR) department plays a crucial role in managing the workforce and ensuring that hospitals have qualified and competent staff of healthcare professionals. The purpose of this study is to find out the factors that affect nurses' job satisfaction. Subjects and Method: The cross-sectional study was conducted at the Sukoharjo Regency Hospital from June to July 2024. A total sample of 200 inpatient nurses was selected by simple random sampling. The dependent variable is job satisfaction. The independent variables were salary perception, work environment, autonomy, supervision, relationships between colleagues, work rewards, and work attitudes. Data collection was carried out by questionnaire. Data were analyzed using path analysis. Results: The results of the pathway analysis that has been carried out in this study stated that the job satisfaction of inpatient nurses at Sukoharjo Hospital was directly influenced by supervision (b=0.14; CI 95%= 0.01 to 0.26; p= 0.040), salary perception (b= 0.23; CI 95%= 0.10 to 0.36; p <0.001), autonomy (b = 0.18; CI 95%= 0.06 to 0.31; p= 0.005), work environment (b= 0.18; CI 95%= 0.05 to 0.31; p= 0.006). Job satisfaction through salary perception is indirectly influenced by income and work rewards in the work environment. Conclusion: The job satisfaction of inpatient nurses at Sukoharjo Hospital is directly influenced by supervision, salary perception, autonomy, and work environment. Job satisfaction through salary perception is indirectly influenced by income, work rewards in the work environment.
Evaluation of Anesthesia Management Care in the Central Surgical Installation Annes Rindy Permana; Argyo Demartoto; Bhisma Murti
Journal of Health Policy and Management Vol. 10 No. 3 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.03.03.a

Abstract

Background: Effective anesthesia management is essential to ensure patient safety, minimize perioperative complications, and promote optimal recovery. Comprehensive planning across the pre-, intra-, and postoperative phases allows anesthesiologists to deliver systematic and high-quality care. Evaluating each component of anesthesia services context, input, process, product, and outcome is crucial for maintaining professional standards and improving patient satisfaction. Therefore, this study aimed to evaluate anesthesia care arrangements (pre-, intra-, and postoperative) at the Central Surgical Installation of dr. Soepraoen Kesdam V/Brawijaya Malang Hospital using the CIPP evaluation model. Subjects and Method: This qualitative evaluative study was conducted from June 1 to July 1, 2024, employing the Context, Input, Process, and Product (CIPP) framework. Five anesthesiologists were selected through probability sampling. Data were collected through in-depth interviews, direct observations, document reviews, and Focus Group Discussions, and analyzed through data reduction, classifica­tion, and interpretation. Results: Evaluation of the context and input components showed that anesthesia services complied with professional standards and ASKAN guidelines, supported by adequate human resources, infrastructure, and standard operating procedures. The process component including assessment, diagnosis, intervention, implementation, evaluation, and documentation was implemented adequately but not fully aligned with the ASKAN guidelines. Product evaluation indicated satisfactory documentation quality with partial conformity to the 2023 ASKAN edition. The outcome showed stable patient hemodynamics and high satisfaction levels. Conclusion: Context and input components were well-implemented, while process and product evaluations were adequate but require improved documentation to align with the latest ASKAN standards.
Co-Authors Achmad Arman Subijanto Ahmad Daffa’ Aushof Ahmad Syauqi Mubarok Ajeng Christiana Putri Pratiwi Alifia Nadhimah Putri Anggie Rahmatul Azizah Annes Rindy Permana Ari Natalia Probandari Aulia Putri Nugraheni Ayu Saidah Bhisma Murti Bhisma Murti Bhisma Murti Bhisma Murti C.S.P Wekadigunawan Deviana Tristian Didik Gunawan Tamtomo Didik Gunawan Tamtomo Eti Poncorini Pamungkasari Fatimah Hasna Karima Fenita Indriani Fika Lilik Indrawati Hanung Prasetya Indri Nur Utami Lily Nabillah Maecelina Hestin Ambarsari Mashaf Fahrur Murdo Furqon Mentary Febryant Putry Mulya Tarmidi Nathanael Aditya Santoso Nila Widya Keswara Nindita Arum Veibiani Nuryuliana Nuryuliana Okid Parama Astirin Ratih Puspita Febrinasari Regita Azzahra Prasetyowati Rela Hastuti Revi Gama Hatta Novika Revi Gamma Hatta Novika Rita Benya Adriani Rosalia Indri Dewanti Ruben Dharmawan Setyo Sri Rahardjo Shofia Andriyani Sumardiyono Syarifah Syarifah Syefira Ayudia Johar Tri Subaeti Wimmy Safaati Utsani Yuli Lutfatul Fajriyah