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Study of Tuberculosis (TB) Management Documentation with Directly Observed Treatment Short Strategy Course (DOTS) in Puskesmas, Hospital, and Lung Disease Treatment Unit (UP3) Slamet, R Sunarko; Josef, Hari Kusnanto; Claramita, Mora
Review of Primary Care Practice and Education Vol 7, No 2 (2024): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.98104

Abstract

Background: WHO suggests that pulmonary TB is a global emergency for humans since 1993. Where the burden of TB disease in the community is still very high, it is estimated that there are still about 9.5 million new TB cases, and about 0.5 million deaths caused by TB worldwide. WHO Global Tuberculosis Report states that TB is still a major health issue even though TB is a preventable and treatable disease. WHO Global Tuberculosis Report argues that TB has existed from the first millennium to the millennium and is still a global health problem. Objectives: Monitoring and evaluation is one of the most vital management functions to assess the success rate of TB program implementation. The presence of regular and ongoing monitoring functions to detect problems early in the implementation of planned activities so that they can be fixed as soon as possible. This evaluation also assesses the extent to which the predetermined objectives and outcomes have been achieved at the end of the period. In conducting the assessment of success, indicators, and standards. Method: The method although initially rarely considered in qualitative research methodologies, is today an important and integral part of the qualitative research methodology. This is due to the growing awareness and new understanding in the researchers, that a lot of data is stored in the form of documents and artifacts. So that the excavation of data sources through document studies becomes complementary to the qualitative research process. Even Guba as quoted by Bungin states that the use and use of existing documents determines the credibility level of a qualitative research result. Result: The results showed that all health facilities in Puskesmas, hospitals, and UP3 had followed TB management with DOTS strategy. In general, implementing the five DOTS pillars at puskesmas was better than in hospitals and UP3, but supporting documents on DOTS pillar implementation in hospitals and UP3 were more complete.  Conclusion: The achievement of the DOTS program at the health service facility conducted by the research shows that the puskesmas is better than the hospital and UP3.
Occurrence of Natural Vertical Transmission of “Zika like Virus” in Aedes aegypti Mosquito in Jambi City Satoto, Tri Baskoro; Pasca Wati, Nur Alvira; Purwaningsih, Wida; Josef, Hari Kusnanto; Purwono, Purwono; Rumbiwati, Rumbiwati; Hermanto, Hermanto; Frutos, Roger
Kesmas Vol. 13, No. 4
Publisher : UI Scholars Hub

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

Abstract

Zika virus can be transmitted through mosquitoes such as Aedes aegypti and Ae. albopictus. During the transition period of 2014–2015, an outbreak of dengue was reported in Jambi City, during which several sufferers were screened positive for Zika virus infection by the Eijkman Institute. It was interesting to note that all of those positive for Zika virus infection were indigenous residents and none of them had a history of international travel. This descriptive analytic study with a cross-sectional design study was conducted to present an overview of Aedes spp. population using ovitrap and egg colonization methods and to detect the presence of Zika virus. Samples were analyzed using reverse transcription polymerase chain reaction for detection of Zika “like” virus and the mapping results were described. The Ovitrap Index was 44.74%, and examination of egg colonization collected from 40 neighborhoods revealed the presence of Zika “like” virus in samples obtained from the fourth neighborhood in Talang Bakung village. This result indicates the occurrence of natural vertical transmission of Zika “like” virus in A. aegypti mosquito in Jambi City, which potentially resulted in an outbreak.
Primary Care-Led Health System in Indonesia Nugraha, Ryan Rachmad; Claramita, Mora; Josef, Hari Kusnanto
Review of Primary Care Practice and Education Vol 6, No 2 (2023): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.95657

Abstract

It is a general consensus that investing more in primary care will lead to better health outcomes overall, and therefore, primary care should be the focus of development for health services. A body of evidence that intervention in primary care is cost-effective and reduces health system burden and disparities (1–7). Making primary care the focus of health development is crucial for the sustainability of the health system, particularly amidst the changing demographic landscape and disease burden. Designing health service or needs to start at primary care at its heart. This is concurrent with WHO 2008 report on Primary Care (8): “… focus of reform that reorganizes health services as primary care, i.e., around people’s needs and expectations so as to make them more socially relevant and more responsive to chancing world while produced better outcomes –  service delivery reforms.” 
Peran Intelijen dalam Mendeteksi Penyakit Akibat Masuknya Pengungsi Rohingya ke Aceh Kaban, Dewi Sartika; Mado, Aloysius; Josef, Hari Kusnanto
J-CEKI : Jurnal Cendekia Ilmiah Vol. 5 No. 1: Desember 2025
Publisher : CV. ULIL ALBAB CORP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56799/jceki.v5i1.12648

Abstract

Penelitian ini dilatarbelakangi oleh masuknya pengungsi Rohingya ke Aceh yang membawa potensi risiko penyebaran penyakit yang dapat mengancam kesehatan masyarakat setempat. Penelitian ini bertujuan untuk menginvestigasi peran intelijen dalam mendeteksi jenis penyakit akibat masuknya pengungsi Rohingya ke Aceh. Dengan menggunakan pendekatan kualitatif dan wawancara sebagai metode pengumpulan data, penelitian ini dilaksanakan di kamp pengungsi Rohingya di Aceh. Dari hasil wawancara dan studi literatur diketahui bahwa permasalahan pengungsi Rohingya di Aceh meliputi risiko penyebaran penyakit menular (seperti ISPA dan scabies) akibat kondisi kesehatan dan sanitasi yang buruk di kamp pengungsi, konflik sosial antara pengungsi dan masyarakat setempat, beban ekonomi dan sosial jangka panjang, serta risiko keamanan terkait potensi infiltrasi. Ancaman tersebut termasuk dalam ancaman serius. Untuk mengatasi ancaman dan memanfaatkan peluang, Indonesia dapat meningkatkan koordinasi antara pemerintah pusat, daerah, dan lembaga internasional. Dinas Kesehatan dapat memaksimalkan personel Medis untuk membantu dalam menstandarkan skrining kesehatan kepada pengungsi Rohingya yang tiba dan ada di Aceh sebagai upaya deteksi dini dan peringatan dini.
Analisis Ancaman Faktor Psikopatologis terhadap Potensi Radikalisme pada Siswa SMA di Kota Bandung Amanjaya, Iguh; Wulansari, Catharina Dewi; Josef, Hari Kusnanto
J-CEKI : Jurnal Cendekia Ilmiah Vol. 5 No. 1: Desember 2025
Publisher : CV. ULIL ALBAB CORP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56799/jceki.v5i1.12650

Abstract

Radikalisme di kalangan remaja merupakan ancaman serius di Indonesia yang berpotensi berkembang menjadi tindakan terorisme dan mengancam keamanan nasional1. Kerentanan emosional remaja serta tingginya akses informasi melalui internet menjadikan kelompok ini sasaran utama penyebaran ideologi radikal2. Penelitian ini bertujuan untuk menganalisis hubungan antara faktor psikopatologis dan potensi radikalisme pada siswa SMA di Kota Bandung serta mengeksplorasi peran intelijen dalam deteksi dini dan pencegahan dini terhadap ancaman tersebut3. Penelitian ini menggunakan pendekatan mixed-method dengan pengumpulan data kuantitatif melalui kuesioner berbasis SCATI (Social-Cognitive and Affective Theory Inventory) dan ARIS (Attitudes toward Radical Ideology Scale) yang telah diuji validitas dan reliabilitasnya4. Sampel kuantitatif diambil secara simple random sampling sebanyak 138 siswa SMA di Kota Bandung dan dianalisis menggunakan SPSS 26, sedangkan data kualitatif diperoleh dari wawancara mendalam dengan narasumber yang relevan dan dianalisis dengan teknik analisis tematik menggunakan NVIVO5. Hasil penelitian menunjukkan bahwa kondisi psikopatologis responden berada dalam kategori sedang 6, di mana mereka cenderung menunjukkan gejala psikopatologis yang konsisten tetapi belum mendominasi aktivitas sehari-hari7. Potensi radikalisme juga berada pada kategori sedang 8, di mana responden memiliki pandangan dan sikap yang cenderung mengarah pada radikalisme namun belum sepenuhnya terbentuk sebagai keyakinan atau tindakan radikal eksplisit9. Analisis regresi linear Spearman-rank menunjukkan bahwa faktor psikopatologis berkontribusi sebesar 45% terhadap potensi radikalisasi (p<0,01)10. Hubungan negatif signifikan ditemukan antara kedua variabel tersebut (r = -0,42; p<0,01), yang menunjukkan bahwa semakin tinggi tingkat psikopatologis, semakin rendah potensi radikalisasi11. Penelitian ini menegaskan pentingnya pemahaman terhadap faktor psikopatologis dalam pencegahan radikalisasi pada remaja12. Peran intelijen dalam deteksi dini dan pencegahan radikalisme melalui kolaborasi dengan dinas pendidikan, sekolah, dan orang tua sangat krusial untuk memitigasi risiko tersebut13. Disarankan adanya program intervensi yang terfokus pada kesehatan mental siswa dan peningkatan kesadaran tentang bahaya ideologi radikal14.