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All Journal Media Ilmu Keolahragaan Indonesia Makara Journal of Health Research Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Budiharsana, Meiwita
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Health Professions Public Health

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Neuroma of the Hand in Basketball Player: A Case Report Jonathan, Harry; Budiharsana, Meiwita
Media Ilmu Keolahragaan Indonesia Vol 11, No 2 (2021): December 2021
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/miki.v11i2.34227

Abstract

Traumatic neuroma is a non-neoplastic overgrowth of axons and Schwann cells at the proximal site of nerve disruption as a form of thwarted axonal regeneration. It is growing from a severed, partially resected, or injured nerve as a result of trauma or surgery. Traumatic neuroma of the hand is a rare disorder; it was first reported in the medical literature as early as 1811 when Odier described “nerve tumors” which develop at the site of nerve transaction. We reported a twenty-two-year old male patient suffered from a traumatic neuroma of the hand due to basketball injury, who diagnosed by clinical examination and plain X-ray. The patient was treated by surgical excision of the neuroma, and patients could return to competitive sport on the fourth months after surgical treatment.
Contraceptive Services Available to Unmarried Sexually Active Adolescents Budiharsana, Meiwita
Makara Journal of Health Research
Publisher : UI Scholars Hub

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Abstract

Background: Low contraceptive use amongst unmarried sexually active young men and women presents an ethical dilemma in Indonesia, particularly in realising reproductive rights as a fundamental human right. This study aims to address the difficulties in extending access to family planning for unmarried sexually active youths. Methods: A review of the laws relating to the provision of family planning was combined with a secondary data analysis of the 2012 Indonesian Demographic Health Survey throughout 6 provinces on the island of Java. The sample population included 5,150 unmarried adolescents, aged 15 to 24 years. The 2012 Indonesian Demographic Health Survey was the first and only survey that included unmarried young women in Indonesia. The association between subjects who had 'ever had sex' and three groups of predictors (demographic characteristics, peer influences, and knowledge of contraceptive methods) were examined using multivariate logistic regressions. Results: Results of the study found that subjects who were unmarried but had engaged in sexual activity were more likely to be those aged 19 to 21 years (OR = 2.36) and 22 to 24 years (OR = 6.81), of low education status (OR = 2.1), with a boyfriend or girlfriend (OR = 2.38), and those who approved of pre-marital sex (OR = 8.5). Conclusions: Results from this research suggest that new interpretations of the Law 52/2009 regarding family planning and Law 36/2009 that prohibits health services to unmarried sexually active youths are required in order to address the issues faced by Indonesia's youth
Spatial Analysis of Seven Islands in Indonesia to Determine Stunting Hotspots Sipahutar, Tiopan; Eryando, Tris; Budiharsana, Meiwita
Kesmas Vol. 17, No. 3
Publisher : UI Scholars Hub

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Abstract

Indonesia is a vast country struggling to reduce its stunting prevalence. Hence, identifying priority areas is urgent. In determining areas to prioritize, one needs to consider geographical issues, particularly correlations among areas. This study aimed to discover whether stunting prevalence in Indonesia occurs randomly or in clusters; and, if it occurs in clusters, which areas are the hotspots. This ecological study used aggregate data from the 2018 National Basic Health Research and Poverty Data and Information Report from the Statistics Indonesia. This study analyzed 514 districts/cities across 34 provinces on seven main islands in Indonesia. The method used was the Euclidean distance to define the spatial weight. Moran's index test was used to identify autocorrelation, while a Moran scatter plot was applied to identify stunting hotspots. Autocorrelation was found among districts/cities in Sumatra, Java, Sulawesi, and Bali East Nusa Tenggara West Nusa Tenggara Islands, resulting in 133 districts/cities identified as stunting hotspots on four major islands. Autocorrelation proves that stunting in Indonesia does not occur randomly.
Identifying the Weak Foundation of Public Health Resilience forNational Disaster Policy in Indonesia’s Mid-term DevelopmentAgenda 2015–2019: A Policy Content Analysis Warsito, Gita Miranda; Budiharsana, Meiwita; Burns, Sharyn
Kesmas Vol. 15, No. 2
Publisher : UI Scholars Hub

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Abstract

Indonesia is one of the most susceptible nations toward natural disasters in the world. Since 1992, approximately 37 tsunami incidents have occurred inIndonesia, with at least 1,244 cases of natural disasters during 2018. Despite the overwhelming impact of disasters on Indonesia, Public Health Resilience,as an approach to disaster countermeasures, has been poorly elaborated in Indonesia’s development agenda (National Mid-term Development Plan (NMDP),or Rencana Pembangunan Jangka Menengah Nasional (RPJMN), 2015 - 2019). By utilizing the method of policy content analysis, this study aimed to analyzethe policy background of Public Health Resilience against disasters in the NMDP 2015 - 2019 and National Disaster Management Authority (NDMA)’s, orBadan Nasional Penanggulangan Bencana (BNPB),Strategic Plan 2015 - 2019. The results showed that the NMDP 2015 - 2019 and NDMA‘s Strategic Plan2015 - 2019 lack the scientific background for Public Health Resilience building in Indonesia. Enhancing the scientific background in these plans will enhancefocus on evidence-based Public Health Resilience establishment.
Risk Differences between Elderly Men and Women toward Doctor-Diagnosed Diabetes Mellitus in Urban Areas in Indonesia: 2013 National Basic Health Research Data Budiharsana, Meiwita
Kesmas Vol. 12, No. 1
Publisher : UI Scholars Hub

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Abstract

Diabetes melitus (DM) adalah salah satu penyakit tidak menular yang paling umum di Indonesia. DM disebabkan berbagai faktor risiko. Peningkatan prevalensi DM salah satunya disebabkan oleh perubahan gaya hidup di perkotaan. Penelitian ini bertujuan untuk menguji perbedaan prevalensi DM yang didiagnosis dokter pada laki-laki dan perempuan usia 15 tahun keatas yang tinggal di daerah perkotaan di Indonesia. Analisis menggunakan data sekunder Riset Kesehatan Dasar (Riskesdas) 2013 dengan desain studi potong lintang. Total sampel sebanyak 333.731 responden. Metode analisis menggunakan regresi logistik ganda. Hasil menunjukkan bahwa DM yang didiagnosis dokter pada laki-laki dan perempuan usia 15-39 tahun di perkotaan tidak berbeda. Meski demikan, memasuki kurun usia 50-64 tahun, responden perempuan menunjukkan risiko terdiagnosis DM 30 kali lebih tinggi dibandingkan perempuan berusia 15-39 tahun, sementara laki-laki berusia 50-64 tahun berisiko 21 kali lebih tinggi dari laki-laki berusia 15-39 tahun (nilai p < 0,001). Penelitian ini menyimpulkan perempuan dan laki-laki berusia lanjut jauh lebih berisiko didiagnosa DM dibandingkan berusia lebih muda. Diabetes mellitus (DM) is one of the most common non-communicable diseases (NCDs) in Indonesia. Reportedly that DM is associated with various risk factors. Notably, it seems that the rising prevalence rates reflect changes in urban lifestyle. This study aimed to examine risk differences in the prevalence of DM among men and women aged 15 years and older that lived in urban areas in Indonesia. Analysis used secondary data of 2013 National Basic Health Research, which applied a cross-sectional study design. The total of sample was 333,731 respondents. Data processing and analysis used multiple logistic regression method. In general, findings showed that doctor-diagnosed diabetes mellitus (DDDM) among urban men and women aged 15-39 years did not differ. However, the odds ratio of DDDM among older women aged 50-64 years was 30 times higher than women aged 15-39 years, while among the same age men was 21 times higher than younger men aged 15-39 years (p value < 0.001). In conclusion, entering the age of 50 years, women show a much higher risk of contracting DDDM than women with younger age, also much higher than older men towards younger men.
Increasing Use of Research Findings in Improving Evidence-Based Health Policy at the National Level Budiharsana, Meiwita
Kesmas Vol. 12, No. 2
Publisher : UI Scholars Hub

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Abstract

In February 2016, the Minister of Health decided to increase the use of research findings in improving the quality of the national health policy and planning. The Ministry of Health has instructed the National Institute of Health Research and Development or NIHRD to play a stronger role of monitoring and evaluating all health programs, because “their opinion and research findings should be the basis for changes in national health policies and planning”. Compared to the past, the Ministry of Health has increased the research budget for evidence-based research tremendously. However, there is a gap between the information needs of program and policy-makers and the information offered by researchers. A close dialogue is needed between the users (program managers, policy makers and planners) and the suppliers (researchers and evaluators) to ensure that the evidence-based supplied by research is useful for programs, planning and health policy.
Co-Authors Burns, Sharyn Jonathan, Harry Sipahutar, Tiopan Tris Eryando Warsito, Gita Miranda