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All Journal Journal of Epidemiology and Public Health Journal of Health Policy and Management Journal of Health Promotion and Behavior
Endang Sutisna Sulaeman
Faculty of Medicine, Universitas Sebelas Maret
Medicine & Pharmacology Public Health

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Contextual Effect of School and Other Determinants of Non Smoking Behavior among High School Students in Bantul, Yogyakarta: A Multilevel Analysis Roviana Nurda Agustin; Endang Sutisna Sulaeman; Hanung Prasetya
Journal of Health Promotion and Behavior Vol. 4 No. 4 (2019)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Adolescence is a period of initiation of smoking and not smoking behavior. Non-smo­king behavior in adolescents is influenced by factors of knowledge, attitudes, subjective norms, perceptions of behavioral control, intention, parental support, teacher support, peer support, and in­formation media exposure. The purpose of this study was to analyze the contextual influence of schools on non-smoking behavior in adolescents in Bantul Regency, Yogyakarta.Subjects and Method: This was a cross sectional study conducted on 13 high schools and 12 vo­ca­tional high schools in Bantul Regency, Yogyakarta, from September to October 2019. A sample of 200 male adolescents aged 15-18 years was selected by stratified random sampling. The dependent variable was non-smoking behavior in adolescents. The inde­pendent variables were knowledge, attitudes, subjective norms, behavioral control perceptions, intentions, parental support, teacher support, peer support, and information media exposure. The data collections were performed using a questionnaire and analyzed using multilevel multiple logistic regression with Stata 13.Results: Non-smoking behavior in adolescents increases with high adolescent knowledge (b= 3.09; 95% CI= 0.86 to 5.33; p= 0.007), positive attitude (b= 2.92; 95% CI= 0.79 to 5.06; p= 0.007), norm subjective supportive (b= 2.81; 95% CI= 0.72 to 4.92; p= 0.009), perception of strong beha­vioral control (b= 3.60; 95% CI= 1.22 to 5.99; p = 0.003), non-smoking intention is strong (b= 3.09; 95% CI= 0.92 to 5.27; p= 0.005), strong family support (b= 2.80; 95% CI= 0.76 to 4.85; p= 0.007), strong teacher support (b= 2.98; 95% CI= 0.75 to 5.21; p= 0.009), strong peer sup­port (b= 2.58; 95% CI= 0.04 to 5.13; p= 0.046), and exposed to information media (b= 2.27; 95% CI= 0.45 to 4.09; p= 0.014). There was contextual effect of schools non-smoking be­ha­vi­or (ICC = 20.92%).Conclusion: Non-smoking behavior in adolescents is influenced by knowledge, attitude, sub­jec­tive norm, perceived behavioral control, intention, parental support, teacher support, peer support, and information media exposure. School has a contextual influence on non-smoking behavior in adolescents.Keywords: smoking, teenage behavior, schoolCorrespondence: Roviana Nurda Agustin. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: roviananurda@gmail.com. Mobile: 085­747­082310Journal of Health Promotion and Behavior (2019), 4(4): 274-286https://doi.org/10.26911/thejhpb.2019.04.04.04
Application Theory of Planned Behavior: Determinants of Behavior to Use Personal Protective Equipment among Tobacco Farmers in Temanggung, Central Java: A Multilevel Analysis Yovita Eka Ratna Kumala; Setyo Sri Rahardjo; Endang Sutisna Sulaeman
Journal of Health Promotion and Behavior Vol. 5 No. 1 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Tobacco farmers has the risk of being exposed by wet nicotine during har­vest­ing tobacco leaves or is often called as Green Tobacco Sick­ness (GTS). GTS preven­tion can be conduc­t­ed by using Personal Pro­tec­tive Equipment (PPE) before farmers har­ves­t­ing tobacco leaves. Beha­vior in using PPE among farmers is affected by sex types, education, attitude, subjective norm, in­ten­tion, and perceived behavioral control. The stu­dy aims to analyze the determinant of beha­vior to use PPE among tobacco farmers in Te­man­g­gung Regency, Central Java.Subjects and Method: It was a cross sectional study, conducted in 25 villages in Temanggung Regency, August – October 2019.  The sample was a total of 200 tobacco farmers. The sampling technique used was simple ran­dom sampling. Dependent variable of the study was behavior to use PPE among tobacco farmers. Independent va­riables of the study were sex types, education, attitude, subjective norm, intention, and per­ce­i­v­e­d behavioral control. The data collection used was question­nai­res and processed by using mul­tilevel multiple logistic regression with Stata 13.Results: The use of PPE among tobacco farmers during harvesting tobacco leaves was increased by male (b= 2.52;  95% CI= 1.39 up to 3.66; p<0.001), education ≥ High School (b= 2.15;  95% CI= 1.10 up to 3.19; p<0.001), strong famers’ intention (b= 1.82;  95% CI= 0.13 up to 2.22; p= 0.027), positive farmers’ attitude (b= 1.63;  95% CI= 0.58 up to 2.68; p= 0.002), supporting subjective norm (b= 1.74;  95% CI= 0.67 up to 2.81; p= 0.001), and strong per­ceived behavioral control (b= 1.53;  95% CI= 0.52 up to 2.54; p= 0.003).Conclusion: Behavior to use PPE among tobac­co farmers is affected by sex types, edu­cation, at­ti­tude, subjective norm, and perceived behavioral control.Keywords: behavior to use PPE, farmers, theory of planned behaviorCorrespondence: Yovita Eka Ratna Kumala. Master Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta, Central Java, Indo­nesia, 57126. Email: yovitakuma­la­19@gmail­.­com­. Mo­bile: 083867630850Journal of Health Promotion and Behavior (2020), 5(1): 50-58https://doi.org/10.26911/thejhpb.2020.05.01.07
Determinants of the Difference between Actual Cost and Indonesian Case Based Groups (INA-CBGs) Reimbursement for Birth Delivery at Hospitals in Mataram, West Nusa Tenggara Baiq Holisatul Ismiana; Didik Tamtomo; Endang Sutisna Sulaeman
Journal of Health Policy and Management Vol. 4 No. 3 (2019)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Background: Health is the part of the economic and social development of the state. The application of the BPJS Health national social security system in Indonesia is one of the government's efforts to provide health financing protection for all citizens and prevent catastrophic health expenditures. Hospitals as providers of secondary or tertiary health services often suffer losses because the payment system from BPJS Kesehatan uses a case-based payment method or INA-CBGs. This study aimed to examine the factors that influence the difference in rates between INA-CBGs rates and real hospital rates in labor cases.Subjects and Method: This was an analytic observational study with a cross-sectional design.  The study was carried out in Mataram and Siti Hajar Mataram Islamic hospitals, Mataram, West Nusa Tenggara, in May 2019. A sample of 200 postpartum women was selected by stratified random sampling. The dependent variable was the difference between real cost and INA-CBGs reimbursement. The independent variables were the type of hospital, class of treatment, type of birth delivery, length of stay, and severity disease. The data were collected from the medical record and analyzed by a multiple linear regression run on Stata 13.Results: Difference between real cost and INA-CBGs tariff of birth delivery reimbursement was negatively affected by type III of class treatment (b = -390,725; 95% CI= -790,082 to 8,631; p= 0,055), section caesarean (b= -1,429,648; 95% CI= -1,811,275 to -1,048,022; p <0.001), length of stay (b= -211,912; CI (95%) = -427,786 to 3,960; p = 0.054), moderate severity (b= -114,028; 95% CIi= -507,057 to 279,000; p = 0.568), and the high level of severity (b = -1,735,612; CI (95%) = -3,482,347 to 11,123; p = 0.051). The INA-CBGs rate difference and RS real rates of labor cases decreased due to the classification of private hospitals (b = 281,021; CI (95%) = -73,054 to 635,097; p = 0,119), treatment class II (b = 8,736; CI (95 %) = -392,068 to 409,541; p = 0.966).Conclusion: The difference in rates between INA-CBGs rates and hospital real rates in childbirth cases would increase if it serves treatment class III, type of cesarean delivery, care days which are longer, and moderate or severe severity. The difference in rates between INA-CBGs rates and hospital real rates in childbirth cases can decrease in services at private hospitals and serve treatment classes II.Keywords: INA-CBGs rates, hospital real rates, labor costs.                                                                            Correspondence: Baiq Holisatul Ismiana. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36 A, Surakarta 57126, Jawa Tengah, Indonesia. Email: baiqholis26@gmail.com. Mobile: +6287739031046.Journal of Health Policy and Management (2019), 4(3): 161-169https://doi.org/10.26911/thejhpm.2019.04.03.03
Are the Leadership Style and Motivation Influence the Work Performance of Health Center Personnel? Latty Indriastuti; Endang Sutisna Sulaeman; Eti Poncorini Pamungkasari
Journal of Health Policy and Management Vol. 6 No. 3 (2021)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: The performance of an orga­nization is largely determined by the human resources in it. If the human resources are highly motivated, creative and innovative and are led by leaders who are responsible and have good leadership skills, their performance will be good. This study aims to analyze the influ­ence of the leadership style of the head of the puskesmas and the work motivation of the em­ployees on the performance of the employees of the Puskesmas Ciamis District.Subjects and Method: This study was con­ducted using a cross sectional research design. The study was conducted in Ciamis Regency in November – December 2020. Sampling was carried out using random sampling with a total of 200 puskesmas employees in Ciamis Regen­cy. The dependent variable is employee per­form­ance. The independent variables include leadership style, work motivation, job satisfac­tion, education, treatment status, employee status, length of work. Data were collected by questionnaire and analyzed using a multi­level multiple logistic regression.Results: Good leadership style (b=3.58; 95% CI= 1.11 to 3.80; p= 0.000), high work moti­va­tion (b=3.12; 95% CI= 0.83 to 3.65; p= 0.002), have job satisfaction (b= 2.89; 95% CI= 0.67 to 3.53; p= 0.004), higher education (b= 2.89; 95% CI= 0.60 to 3.13; p= 0.004), inpatient care status (b= 2.66; 95% CI= 0.47 to 3.12; p= 0.008), health personnel status (b=3.68; 95% CI= 1.46 to 4.80; p= 0.000), and length of ser­vice 3 years (b=2.07; 95% CI= 0.78 to 2.76; p= 0.038) increase the possibility of the perform­ance of puskesmas employees. Variations at the puskesmas level show that there is a contextual effect on employee performance (ICC= 11.75%).  Conclusion: There is a positive and statis­tically significant effect on leadership style, work motivation, job satisfaction, educa­tion, treatment status, employee status, length of work on the performance of puskesmas employees. Variations at the puskesmas level show that there is a contextual effect on employee performance.Keywords: employee performance, leadership style, health center, Correspondence: Latty Indriastuti.Masters Program in Public Health, Universitas Sebelas Maret, Surakarta, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: lattyindria.drg@gmail.com. Mobile: +628999976544.Journal of Health Policy and Management (2021), 06(03): 168-181https://doi.org/10.26911/thejhpm.2021.06.03.02  
Co-Authors Ambar Sari Angga Ferdianto Baiq Holisatul Ismiana Bhisma Murti Didik Gunawan Tamtomo Didik Tamtomo Eka Siti Chasanah Eti Poncorini Pamungkasari Hanung Prasetya Latty Indriastuti Lu’luatul Fuad Nureesa Doloh Roviana Nurda Agustin Setyo Sri Rahardjo Siti Shafridha Hidayah Sri Hartini Tegar Wahyu Yudha Pratama Tia Martha Pundati Vitri Widyaningsih Windhy Monica Yovita Eka Ratna Kumala