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Hanung Prasetya
Study Program in Acupuncture, Health Polytechnics, Ministry of Health Surakarta
Medicine & Pharmacology Public Health

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Meta-Analysis: Drug Side Effect, Smoking, Alcohol Consumptions and Their Relationships with Drug Taking Adherence in Tuberkulosis Patients Aem Ismail; Hanung Prasetya; Burhannudin Ichsan
Journal of Epidemiology and Public Health Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.03.09

Abstract

Background: Inappropriate tuberculosis treatment is a major determinant of multidrug-resistant tuberculosis (MDR) TB, which is related to patient adherence to treatment. There are several factors that affect MDR-TB such as drug side effects, smoking and alcohol consumption. The aim is to estimate the magnitude of the effect of drug side effects on tuberculosis treatment adherence, based on the results of a number of similar primary studies.Subjects and Method: This study is a systematic review and meta-analysis research. Article search was carried out based on the eligibility criteria of the PICO model including: P= Tuberculosis patient; I= drug side effects, smoking and alcohol consumption; C= no drug side effects, no smoking and no alcohol consumption; O= Tuberculosis treatment adherence. Articles were collected from Google scholar, PubMed, Science Direct, and Springerlink. Keywords using “drug side effects” OR “tobacco smoking” OR “alcohol consumption” OR “tuberculosis” AND “medication adherence” AND “cross sectional” AND “adjusted odds ratio”. Inclusion criteria in this study included articles with a cross-sectional study design, the relationship size used was the adjusted Odds Ratio (aOR), articles published in the 2009 to 2022 range. Selected articles were tested for eligibility using CEBM and analyzed using the PRISMA diagram and the Review Manager 5.3 application.Results: 14 Cross-sectional studies were selected for the meta-analysis of 8 studies with 2,045 TB patients showed that drug side effects reduced TB treatment adherence by 0.26 times than no drug side effects (aOR= 0.26; 95% CI= 0.14 to 0.49; p< 0.001). 7 studies with 2,966 TB patients showed that alcohol consumption decreased TB treatment adherence by 0.61 times than not consuming alcohol (aOR= 0.61; 95% CI= 0.32 to 1.16; p= 0.130). Study 6 with 1,748 TB patients showed that smoking decreased TB treatment adherence by 0.86 times than non-smokers (aOR= 0.86; 95% CI= 0.17 to 4.37; p= 0.850).Conclusion: Side effects of drugs, alcohol, and smoking reduce treatment adherence in tuberculosis patients. Keywords: drug side effects, alcohol consumption, smoking, treatment adherence Correspondence: Aem Ismail. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java, Indonesia. Email: aem.ismail80@gmail.com. Mobile: +6282133114822.
Meta-Analysis: Effects of Exposure to Tobacco Smoke and Malnutrition on the Risk of Pneumonia in Children Atika Dwi Minawati; Bhisma Murti; Hanung Prasetya
Journal of Epidemiology and Public Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.04.04

Abstract

Background: Exposure to tobacco smoke (ETS) and poor nutritional status affect the risk of pneumonia in children. The purpose of this study was to analyze and estimate the effect of exposure to tobacco smoke and nutritional status in children on the risk of pneumonia. Subjects and Method: The meta-analysis was carried out using the PRISMA flowchart and the PICO model. Population: children under five. Intervention: exposure to tobacco smoke and poor nutritional status. Comparison: no exposure to tobacco smoke and no malnutrition status. Outcome: Pneumonia. The online databases used are Google Scholar, PubMed, and Scient Direct with the keywords “Pneumonia” AND “Exposure to tobacco smoke” AND “Poor nutritional status” AND “Children under five years” AND “Multivariate” AND “Cross-sectional”. The inclusion criteria were full-text, cross-sectional study, and published in English. The data were analyzed by RevMan 5.3. Results: A meta-analysis included 14 cross-sectional studies from Hong Kong, Nepal, Mongolia, Morocco, Uganda, Cameroon, Ethiopia, Nigeria, Egypt, and China. The total sample was 52,863 children under five. The results of the meta-analysis showed that exposure to tobacco smoke was 2.08 times more at risk of developing pneumonia than children under five who were not exposed (aOR=2.08; Cl 95%=1.30 to 3.32; p= 0.002). The presence of poor nutritional status is 2.00 times more at risk of experiencing pneumonia than children under five with no malnutrition status. (aOR=2.00; 95% Cl=1.31 to 3.06; p= 0.001). Conclusion: Exposure to tobacco smoke and poor nutritional status in toddlers can increase the risk of pneumonia. Keywords: exposure to tobacco smoke, poor nutritional status, children under five years pneumonia. Correspondence:Atika Dwi Minawati. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: dwiminawatiatika@gmail.com. Mobile: +625212613303.
Effect of Exercise on Quality of Sleep in COVID-19 Patients: A Meta-Analysis Septyandi Ramadhan; Bhisma Murti; Hanung Prasetya
Journal of Epidemiology and Public Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.-08.04.08

Abstract

Background: Coronavirus occurs because the virus lowers the body immune, which can lead to several things such as decreased sleep quality. Gymnastics is one exercise that can improve sleep quality, gymnastics can also reduce stress levels and anxiety. This study aims to discover the effect of gymnastics on sleep quality in COVID-19 patients. Subjects and Method: It was a systematic review and meta-analysis of primary studies. Article searches were conducted based on PICO model eligibility criteria. Population: COVID-19 patients. Intervention: administration of gymnastic intervention. Comparison: no gymnastics intervention. Outcome: improved sleep quality. Article search was conducted through journal databases including Google Scholar, MEDLINE/PubMed, Science Direct, Hindawi, BMC, Europe PMC, and Springer Link using search keywords: "gymnastic", "sleep quality", "gymnastic effect", "exercise", "exercise effect", "COVID-19", "randomized controlled trial", "gymnastic randomized controlled trial", "sleep quality -randomized controlled trial", AND "sleep quality on covid 19". The inclusion criteria used in this study were full paper articles with a Randomized Controlled Trial (RCT), with Odds Ratio (OR) for the effect size. The screened eligible articles were analyzed using RevMan 5.3. Results: This meta-analysis included 9 articles from China, India, South Korea, South America, North America, and Brazil. Good sleep quality increased with gymnastics in COVID-19 patients (aOR= 1.19; 95% CI= 1.14 to 1.24; p<0.001). There was an overestimate publication bias. Conclusion: The administration of gymnastics interventions to COVID-19 patients has a statisti-cally significant effect on improving sleep quality. Keywords: COVID-19, gymnastics, meta-analysis, sleep quality. Correspondence:Septyandi Ramadhan. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: septyandiramadhan@gmail.com. Mobile: +6281936553398.
Effect of Tertiary Preventive Behavior on HbA1c Level, Quality of Life, and Complication Risk in Diabetes Mellitus Patients Wardhatul Livia; Bhisma Murti; Didik Gunawan Tamtomo; Hanung Prasetya
Journal of Epidemiology and Public Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.01.10

Abstract

Background: Type 2 diabetes mellitus (DM) is a non-communicable disease which is a source of additional severity for other diseases. This study aims to determine the effect of tertiary preventive behavior on hba1c level, quality of life (QoL), and complication risk in diabetes mellitus patients.Subjects and Method: This was a cross-sectional study conducted in Sukoharjo, Central Java, Indonesia, from October to November 2023. A total sample of 200 patients with type 2 diabetes mellitus (DM), registered in the Prolanis program, was selected through multistage random sampling. The independent variables were HbA1c levels, risk of complications, and QoL. The inde-pendent variable was tertiary preventive behavior. HbA1c levels were measured using spectrophotometer. QoL was measured using the WHOQOL questionnaire, and risk of complications using a questionnaire. Data were analyzed using the SEM model.Results: Tertiary prevention behavior significantly increased HbA1c level (b= 0.31; CI 95%= -0.45 to 0.15; p<0.001) and quality of life (b= 0.15; 95% CI= -0.15 to 0.38; p<0.001). Tertiary prevention behavior significantly reduced the risk of complications (b= -0.22; CI 95%= -0.42 to 0.02; p= 0.026). The goodness-of-fit values suggest that the structural equation model (SEM) is acceptable (p= 0.188; RMSEA=0.04; CFI=0.97, TLI=0.95; SRMR=0.05; CD= 0.07).Conclusion: Tertiary prevention behavior significantly increased HbA1c level and quality of life. Tertiary prevention behavior reduces the risk of complications in type 2 DM patients. Keywords: Diabetes mellitus, HbA1c, complications, quality of life
Path Analysis on Factors Affecting Job Performance of Midwives at Community Health Centers in Mojokerto, East Java Veterina Rizki Amalia; Hanung Prasetya; Bhisma Murti
Journal of Health Policy and Management Vol. 6 No. 1 (2021)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.959 KB)

Abstract

Background: Midwives play an important role in reducing maternal and neonatal mor­bidity and mortality. The performance of mid­wives is an important indicator to improve the quality of maternal and child health services. The purpose of this study was to analyze the factors that affect the performance of midwives.Subjects and Method: This cross-sectional study was conducted at a community health cen­ter in Mojokerto, East Java, from February to April 2020. A sample of 200 midwives was selec­ted by random sampling. The dependent va­riable was the performance of the midwife. The independent variables were age, income, workload, work motivation, perceived financial compensation, education, employment status, social support, and marital status. The perfor­man­ce of midwives was measured by the 6-DSNP. Other data were collected using a ques­tion­naire. Data were analyzed by path analysis using the Stata 13 application.Results:The performance of midwives increa­s­ed with age ≥ 42 years (b= 3.19; 95% CI= 1.62 to 4.75; p <0.001), family income ≥ 7 million (b= 3.03; 95% CI= 1.50 to 4.56; p <0.001 ), light workload (b= 2.66; 95% CI= 1.19 to 4.13; p <0.001), strong work motivation (b = 3.32; 95% CI= 1.60 to 5.04; p <0.001), sufficient per­ceived financial compensation (b = 3.96; 95% CI= 1.68 to 4.99; p <0.001). The performance of mid­wi­ves was indirectly affected by edu­ca­tion, em­ploy­­ment status, social support and marital sta­tus.Conclusion: Age, family income, workload, work motivation, and perceived financial com­pen­sation affect the performance of midwives.Keywords: performance, midwives, path analy­sisCorrespondence: Veterina Rizki Amalia. Masters Program in Public Health, Universitas Sebelas Maret.Jl. Ir. Su­tami 36A, Surakarta 57126, Central Java. Email: veterinarizki1@gmail.com. Mobile: +6281359016501.Journal of Health Policy and Management (2021), 06(01): 21-34https://doi.org/10.26911/thejhpm.2021.06.01.03 
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.
Effect of Marketing Mix (Product, Place, Promotion, and Price) on Outpatient Patient Satisfaction at Nur Hidayah Hospital, Bantul Salsabilla Luthfiana Ayu Hafida; Didik Gunawan Tamtomo; Hanung Prasetya; Bhisma Murti; Sumardiyono
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.2025.10.02.11

Abstract

Background: Patient satisfaction is an indicator of how well a patient is treated in medical practice, from the point of view of service quality and from how happy the patient is with the services provided. One of the marketing strategies that can be used is  the 4P marketing mix that includes a combination of variables or core activities in the marketing system, such as products, distribution, promotions, and prices. This study aimed to analyze the effect of 4P marketing mix strategy on patient satisfaction. Subjects and Method: A cross-sectional study was conducted at Nur Hidayah Hospital, Bantul, Yogyakarta, Indonesia. A sample of 203 patients selected using a simple random sampling. The dependent variable was patient satisfaction. The independent variables were product, place, promotion, and price. Data collection was carried out using a questionnaire and analyzed by path analysis using the STATA 13 application. Results: Marketing mix strategy directly increased patient satisfaction (b= 0.92; 95% CI= 0.87 to 0.98; p<0.001). Product (b= 0.63; 95% CI= 0.54 to 0.72; p <0.001), place (b = 0.52; 95% CI = 0.41 to 0.63; p<0.001), promotion (b = 0.65; 95% CI = 0.55 to 0.74; p<0.001), and price (b= 0.76; 95% CI= 0.68 to 0.83; p<0.001) showed positive and significant loadings, indicating that all four components are strong constructs representing the marketing mix strategy. Conclusion: Marketing mix strategy directly increases patient satisfaction.
The Impact of Motivation, Stress, and Fatigue on the Performance of Primary Health Care Employees in Surakarta Gilang Pamungkas Ardi Putra; Hanung Prasetya; Bhisma Murti; Sumardiyono
Journal of Health Policy and Management Vol. 11 No. 1 (2026)
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: The performance of health personel is one of the biggest reasons for the good and bad health services. There are various factors that can affect employee performance such as motivation, stress, and work fatigue. This study aims to see if there is an effect of motivation, stress, and fatigue on the performance of Puskesmas employees. Subjects and Method: This study is a quantitative study using a cross-sectional design. This study was conducted on 17 health centers in the city of Surakarta, Central Java, Indonesia starting from August to September 2024.  With a sample of 202 health center employees who were randomly selected or using a simple random sampling.   The dependent variable in this study is the performance of health center employees. The independent variables in this study were motivation, stress, and fatigue.   Data collection was carried out using a questionnaire and analyzed with path analysis. Results: Motivation has an influence on improving performance and is statistically significant. Motivation (b= 1.14; CI 95% = 1.06 to 1.06; p<0.001), stress (b= 0.83; CI 95% = 0.70 to 0.95; p<0.001), has a statistically significant effect on performance degradation, and fatigue (b=0.06; CI 95% = 0.02 to 0.12; p=0.041), had a degrading effect and was statistically significant. Conclusion: The performance of health center employees is influenced by motivation, stress, and fatigue.
Co-Authors Aem Ismail Argyo Demartoto Atika Dwi Minawati Bhisma Murti Bhisma Murti Burhannudin Ichsan Didik Gunawan Tamtomo Didik Gunawan Tamtomo Gilang Pamungkas Ardi Putra Mashaf Fahrur Murdo Furqon Salsabilla Luthfiana Ayu Hafida Septyandi Ramadhan Sumardiyono Veterina Rizki Amalia Wardhatul Livia