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Multilevel Analysis on the Contextual Effect of Village on the Incidence of Hemorrhagic Dengue Fever in Grobogan, Central Java Ambar Sari; Setyo Sri Rahardjo; Endang Sutisna Sulaeman
Journal of Epidemiology and Public Health Vol. 4 No. 3 (2019)
Publisher : Masters Program in Public Health

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Background:

Meta-analysis on The Effects of Hypertension, Type II Diabetes Mellitus, and Smoking on the Risk of Stroke among Asian Young Adult Population Windhy Monica; Vitri Widyaningsih; Endang Sutisna Sulaeman
Journal of Epidemiology and Public Health Vol. 4 No. 4 (2019)
Publisher : Masters Program in Public Health

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Background: The incidence of stroke at a young age is reported to increase. Stroke at a young age is still often found in classic risk factors that can be changed such as hypertension, dyslipidemia, and type II diabetes mellitus (type II DM). Control of the right risk factors will affect the incidence of stroke. This study aims to analyze stroke risk factors in young populations in Asia.Subjects and Method: This study is a meta-analysis carried out using PRISMA systematic guide

Factors Associated with the Completeness of Inpatient Medical Record Filling in Dr. R Sosodoro Djatikoesoemo, Bojonegoro, East Java Tegar Wahyu Yudha Pratama; Didik Tamtomo; Endang Sutisna Sulaeman
Journal of Health Policy and Management Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Medical records are central to all patient healthcare activities. Fundamentally, they form part of a doctor

Factors Affecting Work Performance among Nurses in Delivering Health Service for the National Health Insurance Patients at Dr. Moewardi Hospital, Surakarta Nureesa Doloh; Didik Tamtomo; Endang Sutisna Sulaeman
Journal of Health Policy and Management Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: The performances of the doctors and the nurses are especially important in accomplishing health care in a continuous and effective way. It is important to examine all organizational, individual, social factors that especially affect the performances of the doctors and nurses holistically. The purpose of this study was to assess factors affecting work performance among nurses in delivering health service for the national health insurance patientsat Dr. Moewardi Hospital, Surakarta.Subjects and Method: A cross-sectional study was carried out in Dr. Moewardi Hospital, Surakarta, Central Java. A sample of 150 nurseswho provided health services to the National Health Insurance patientswas selectedfor this study by proportional random sampling. The dependent variable was work performance. The independent variables were work satisfaction, work motivation, and supervision. The data were collected by questionnaire and analyzed by path analysis run on Stata 13.Results: Work performance was affected by work satisfaction (b=0.88; 95%CI=0.05 to 1.71; p=0.037), work motivation (b=0.81; 95%CI=-0.06 to 1.68; p=0.070), and supervision (b=0.97; 95%CI=0.18 to 1.76; p=0.016). Work performance was also indirectly affected by motivation. Conclusion: Work performance is affected by work satisfaction, work motivation, and supervision. Work performance is also indirectly affected by motivation.Keywords: work performance, motivation, supervision, satisfaction, nursesCorrespondence: Nureesa Doloh. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 336 A, Surakarta 57126, Central Java.Email: nursenuris2015@gmail.com.Mobile:+62895414785888.Journal of Health Policy and Management (2018), 3(1): 20-25https://doi.org/10.26911/thejhpm.2018.03.01.03

Factors Affecting the Quality of Microscopic Tuberculosis Examination in Madiun, East Java: A Multilevel Analysis Sri Hartini; Endang Sutisna Sulaeman; Bhisma Murti
Journal of Health Policy and Management Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Tuberculosis (TB) remains major cause of morbidity and mortality due to any one of infectious agent worldwide. In low income countries, Ziehl-Neelsen sputum smear microscopy is the only cost-effective tool for diagnosis and monitoring of patients on treatment. Refresher training for laboratory professionals involved in Acid Fast Bacilli (AFB) microscopy at peripheral health facilities is important. This study aimed to assess factors affecting the quality of microscopic tuberculosis examination in Madiun, East Java, using a multilevel analysis model.Subjects and Method: A cross-sectional study conducted at 23 puskesmas (community health centers) in Madiun, East Java, from March to April 2018. A sample of 230 preparations was selected by simple random sampling. The dependent variable was quality of microscopic TB examination. The independent variables were tenure, refresher training, and accreditation status of puskesmas. The data were collected by questionnaire and analyzed by a multilevel logistic regression.Results: Quality of microscopic TB examination was positively associated with tenure ?3 years (b= 2.77; 95% CI= 0.81 to 4.73; p= 0.006) and accredited community health center (b= 3.06; 95% CI= 0.81 to 4.62; p<0.001). The association between refresher training and quality of microscopic TB examination was not statistically significant (b= -0.51; 95% CI= -2.33 to 1.32; p= 0.580). Puskesmas had a contextual effect on quality of microscopic TB examination with ICC= 22.01%.Conclusion: Quality of microscopic TB examination is positively associated with tenure and accredited puskesmas. Refresher training for laboratory technicians was not effective in improving the quality of microscopic TB examination Puskesmas has a considerable contextual effect on quality of microscopic TB examination.Keywords: microscopic TB examination, quality, tenure, community health center, accreditation, multilevel analysisCorrespondence:

Motivation, Competence, Workload, and Their Association with Nurse Performance in Dr. Arif Zaenudin Hospital, Surakarta Tia Martha Pundati; Didik Tamtomo; Endang Sutisna Sulaeman
Journal of Health Policy and Management Vol. 3 No. 2 (2018)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Nurses performance remains long standing determinates of quality service rendered for patients admitted to hospitals. Improvements in quality health service can be achieved by improving nurse performance. This study aimed to analyze the relationship of competence, motivation, and workload on the nurse performance in Surakarta.Subjects and Method: This was a cross sectional study conducted at Dr. Arif Zaenudin Mental Hospital, Surakarta, Central Java, from November 24 to December 24, 2017. A sample of 200 study subjects was selected by total sampling. The dependent variable is the nurse's performance, while the independent variables are competence, motivation, workload, employment status, education and the distance between the nurse's residence and the hospital. The dependent and independent variables were measured using a questionnaire. The data analysis was done using path analysis with the STATA 13 program.Results: The performance is influenced by competence (b= 1.08; 95% CI= 0.32 to 1.74; p= 0.005), motivation (b= 0.91; 95% CI= 0.15 to 1.68; p= 0.019), workload (b= 2.65; 95% CI= 1.91 to 3.40, p<0.001), there are 2 variables that have an indirect relationship with the nurse's performance, namely education (b= 0.67; 95% CI= -1.24 to -0.11; p = 0.019) and the distance of residence (b= -0.61; 95% CI= -1.20 to -0.20; p= 0.043).Conclusion: There is a direct relationship between competence, motivation, workload and work period with nurse performance. There is an indirect relationship between education and home distance with performance.Keywords: pathway analysis, competence, motivation, workload, performanceCorrespondence:

Multilevel Analysis on the Effect of Marketing Mix Strategy toward Patient Satisfaction in Magelang, Central Java Luâ€™luatul Fuad; Didik Tamtomo; Endang Sutisna Sulaeman
Journal of Health Policy and Management Vol. 4 No. 1 (2019)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Hospital marketing is becoming increasingly competitive all over the world. The marketing mix strategy is considered one of the core concepts of marketing theory. This study aimed to examine the effect of marketing mix strategy toward patient satisfaction in Magelang, Central Java.Subjects and Method: A cross sectional study was conducted at Magelang Hospital, Central Java, in December 2018. A sample of 200 patients was selected by simple random sampling. The dependent variable was patient satisfaction. The independent variables were product, price, place, promotion, process, people, physical appearance, and ward. The data were collected by questionnaire and analyzed by multilevel multiple logistic regression.Results: Patient satisfaction increased with good product (b= 3.42; 95% CI= 0.76 to 2.81; p<0.001), low price (b= 1.92; 95% CI= -0.05 to 1.70; p= 0.054), right place (b= 2.41; 95% CI= 0.19 to 1.92; p= 0.016), attractive promotion (b= 2.92; 95% CI= 0.43 to 2.19; p= 0.004), people (b= 1.91; 95% CI= -0.24 to 1.75; p= 0.057), good physical appearance (b= 2.42; 95% CI= 0.20 to 1.97; p= 0.015), and sound process (b= 2.07; 95% CI= 0.45 to 1.72; p= 0.039). Ward had a considerable contextual effect on patient satisfaction with ICC= 14.65%.Conclusion: Patient satisfaction increases with good product, low price, right place, attractive promotion, people, good physical appearance, and sound process. Ward has a considerable contextual effect on patient satisfaction.Keywords: marketing mix, patient satisfaction, hospital, multilevel analysisCorrespondence: Lu’luatul Fuad. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: afuadlulu@gmail.com. Mobile: +6285643702066.Journal of Health Policy and Management (2019), 4(1): 39-46https://doi.org/10.26911/thejhpm.2019.04.01.05

Contextual Effect of the Integrated Non-Communicable Disease Health Post on the Performance of Community Health Workers: A Multilevel Analysis Evidence from Karanganyar, Central Java Eka Siti Chasanah; Endang Sutisna Sulaeman; Setyo Sri Rahardjo
Journal of Health Policy and Management Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Epidemiological transition is causing a shift from Communicable to NonCommunicable Diseases (NCD). NCD is a serious threat because it impacts decreasing productivity and increasing economic and social burdens for the community. The control of NCD risk factors in Indonesia is carried out by empowering the community through the Integrated Non-Communicable Diseases Health Post (Posbindu NCD). One of the important factors determining the success of implementing Posbindu is the role of cadres. This study aims to analyze the factors that affect the performance of Posbindu cadres.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted in 25 posbindus in Karanganyar, Central Java, from February to April 2020. A sample of 200 cadres from 25 cadres was selected by stratified random sampling. The dependent variable was the performance of the Posbindu cadres. The independent variables were training, ability, length of employment, motivation, the leadership of the Posbindu chairman, social network support and appreciation. Data were analyzed using multilevel logistic regression with Stata 13.Results: Job performance increased with training (b= 1.75; 95% CI= 0.28 to 3.22; p= 0.019), good ability (b= 2.50; 95% CI= 0.95 to 4.04; p= 0.002), tenure ≥1 year (b= 1.99; 95% CI= 0.05 to 3.92; p= 0.044), strong motivation (b= 2.57; 95% CI= 1.25 to 3.89; p <0.001), good leadership of Posbindu chairman (b= 1.73; 95% CI= 0.44 to 3.03; p= 0.009), and strong social network support (b= 1.24; 95% CI= 0.14 to 2.34; p= 0.028). Incentive increased job performance, but it was statistically non-significant (b= 1.19; 95% CI= -0.35 to 2.73; p= 0.132). Posbindu had a strong contextual effect on job performance with an ICC of 62.73%.Conclusion: Job performance increases with training, good abilities, tenure ≥1 year, strong motivation, good leadership of Posbindu chairman, strong social network support, and appropriate incentives. Posbindu has a strong contextual effect on job performance.Keywords: performance, cadre, non-communicable diseaseCorrespondence: Eka Siti Chasanah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ekasc12@gmail.com. Mobile: +6281329017587.Journal of Health Policy and Management (2020), 05(03): 204-214https://doi.org/10.26911/thejhpm.2020.05.03.06

Determinants of Fruits and Vegetables Consumption among Primary School Students: A Path Analysis Evidence Siti Shafridha Hidayah; Eti Poncorini Pamungkasari; Endang Sutisna Sulaeman
Journal of Health Promotion and Behavior Vol. 4 No. 1 (2019)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Around 3.9 million deaths worldwide in 2017 were caused by a lack of fruit and vegetable consumption. Consumption of fruits and vegetables in Indonesia is still less than recommended by World Health Organization. This study aimed to examine determinants of fruits and vegetables consumption among primary school children.Subjects and Method: This was an analytic observational study with a cross sectional design. The study was conducted at 25 elementary schools in Tegal, Central Java, from April to May 2019. A sample of 200 primary schools was selected by simple random sampling. The dependent variable was fruits and vegetables consumption. The independent variables were gender, knowledge, economic status, fruits and vegetables availability, sources of information, food preference, food selection, and parental role. The data were collected by food frequency questioner (FFQ) and questionnaire. The data were analyzed by path analysis. Results: Fruit consumption was directly influenced by male gender (b=-0.99; 95% CI= -1.86 to -0.12; p=0.025), knowledge (b= 0.92; 95% CI= 0.04 to 1.79; p=0.039), economic status (b=1.96; 95% CI= 1.09 to 2.83; p<0.001), fruits and vegetables availability (b= 0.92; 95% CI= 0.07 to 1.76; p= 0.034), source of information (b= 0.92; 95% CI= 0.01 to 1.82; p= 0.047), food selection (b= 1.77; 95% CI= 0.01 to 3.54; p= 0.049), and parental role (b= 1.19; 95% CI= 0.27 to 2.13; p=0.012). Vegetables consumption was directly influenced by male gender (b= -0.71; 95% CI= -1.37 to -0.05; p= 0.035), economic status (b= 0.81; 95% CI= 0.05 to 1.56; p=0.036), fruits and vegetables availability (b=0.98; 95% CI= 0.33 to 1.64; p=0.003), and parental role (b= 0.95; 95% CI= 0.19 to 1.69; p= 0.013). Fruit and vegetable consumption was indirectly influenced by gender, food preference, and economic status.Conclusion: Fruit consumption is directly influenced by male gender, knowledge, economic status, fruits and vegetables availability, source of information, food selection, and parental role. Vegetables consumption is directly influenced by male gender, economic status, fruits and vegetables availability, and parental role. Fruit and vegetable consumption is indirectly influenced by gender, food preference, and economic status.Keywords: consumption, fruits and vegetables, path analysisCorrespondence: Siti Shafridha Hidayah. Masters Program Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: shafridhahidayah@yahoo.com. Mobile: +6287737376507.Journal of Health Promotion and Behavior (2019), 4(1): 64-75https://doi.org/10.26911/thejhpb.2019.04.01.07

Does the Integrated Health Post have Contextual Effect on Tertiary Preventive Behavior among Hypertensive Patients? A Multilevel Analysis Evidence from Surakarta Angga Ferdianto; Didik Gunawan Tamtomo; Endang Sutisna Sulaeman
Journal of Health Promotion and Behavior Vol. 4 No. 3 (2019)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: The Indonesian Ministry of Health has launched a community-based non-communicable disease (PTM) control program through the non-communicable disease Integrated Development Post (Posbindu PTM). One of the non-communicable disease which is a very serious health problem is hypertension which is called the silent killer. The purpose of this study was to analyze the contextual effect of integrated development posts on the tertiary prevention behavior of patients with hypertension using Theory of Planned Behavior.Subjects and Method: A cross sectional study was conducted at 25 integrated health post in Surakarta, from September to October 2019. A sample of 200 hipertensive patients was selected by stratified random sampling. The dependent variable was tertiary prevention behavior. The independent variables were education, attitude, subjective norm, perceived behavior control, intention, cadre support, and peer support. The data were collected by questionnaire and analyzed by multiple logistic regression run on Stata 13.Results: Tertiary prevention behavior in patients with hypertention increased with education level ≥Senior high school (b= 1.22; 95% CI= 0.37 to 2.08; p= 0.005), positive attitude (b= 1.51; 95% CI= 0.54 to 2.48; p= 0.002), supportive subjective norm (b= 1.38; 95% CI= 0.46 to 2.29; p= 0.003), strong perceived behavioral control (b= 1.10; 95% CI= 0.17 to 2.03; p= 0.020), strong intention (b= 0.97; 95% CI= 0.13 to 1.82; p= 0.023), strong integrated development post cadre support (b= 1.57; 95% CI= 0.69 to 2.46; p<0.001), and strong peer support (b= 1.46; CI 95% = 0.57 to 2.35; p = 0.001). Integrated development post had a contextual effect on tertiary prevention behavior of hypertension with intra-class correlation (ICC)= 16.03%Conclusion: Education, attitude, subjective norm, perceived behavior control, intention, cadre support, and peer support increased tertiary prevention behavior of hypertension.Keywords: Tertiary prevention of hypertension, Theory of Planned BehaviorCorrespondence: Angga Ferdianto, Institute of Health Science Ngudia Husada Madura, Jl. RE. Martadinata No. 45 Mlajah, Bangkalan 69116. East Java, Indonesia. Email: angga.rmd@gmail.com. Mobile: +6285746555354Journal of Health Promotion and Behavior (2019), 4(3): 224-234https://doi.org/10.26911/thejhpb.2019.04.03.07

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