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All Journal Journal of Health Policy and Management Journal of Health Promotion and Behavior PREPOTIF : Jurnal Kesehatan Masyarakat Narra J JKMP (Jurnal Kebijakan dan Manajemen Publik) Cerdika: Jurnal Ilmiah Indonesia Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Candi, Cicilya
Unknown Affiliation
Humanities Biochemistry, Genetics & Molecular Biology Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Public Health Social Sciences

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THE ASSOCIATION BETWEEN SELF ESTEEM AND SELF-EFFICACY WITH MENTAL ILLNESS IN PREGNANT WOMEN Bachtiar, Adang; Candi, Cicilya; Lail, Nurul Husnul
Journal of Health Promotion and Behavior Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: A study in Indonesia conducted in the DKI Jakarta area in 2002 showed that 15% experienced depression during pregnancy and 20% depression after childbirth. Self esteem and self efficacy are things that affect mental condition. This study aims to determine the relationship of self-esteem and self-efficacy on health conditions in pregnant women.Subjects and Method:This study is a quantitative study with cross-sectional design involving a sample of 182 respondents from midwife independent practice in East Jakarta in January-June 2019. Univariate analysis was used to determine the description of the characteristics of respon­dents. SEM analysis was used to determine the relationship between variables of self-esteem, self-efficacy and mental health.Results:The interaction of self esteem and self efficacy shows a strong relationship of 0.9. The path coefficient from self esteem to mental health of -0.55, from self efficacy to mental health of -0.04.Conclusion:Self esteem for mental illness has a negative effect with a moderate effect. Self efficacy also has a negative direction and is very weak.Keywords: mental health, maternal mental health, postpartum blues/depressionCoresspondence: Cicilya Candi. Faculty of Public Health, Universitas Indonesia, Depok, West Java, Indonesia. Email: cicilya.ui2014@gmail.com.Journal of Health Promotion and Behavior (2019), 4(4): 267-273https://doi.org/10.26911/thejhpb.2019.04.04.03
A Comprehensive School-Based Nutrition Intervention to Improve the Implementation of Healthy School Canteen Policy: A Systematic Review Tauhidah, Sarah At; Candi, Cicilya; Bachtiar, Adang
Journal of Health Policy and Management Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: School-based nutrition intervent­ion is recommended as one of the public health strategies in supporting the development of healthy diet behaviour for school-age children. It is in line with Global Action Plan 2013-2020 of World Health Organization (WHO) in preventing and controlling double burden of disease as a consequence of non-communicable disease in the future. This study aims to identify the kind of comprehensive school-based nutrition inter­vention and analyze effectiveness of every study in improving policy implementation of healthy school canteen.Subjects and Method: This systematic review study was conducted from two electronic data­bases, namely Scopus and ProQuest with keywords of "school nutritional policy", "compre­hensive intervention", and "healthy canteen" to search relevant publication in English and have open access published from 2015 to 2020.Results: From total 1.367 of publications, 9 arti­cles meet inclusion criteria. Based on evaluation of those studies with comprehensive or multi-component intervention to healthy school canteen policy, the common elements show that regular monitoring and feedback with executive and community support can show improvement of school adherence to policy implementation.Conclusion: This study found that a compre­hensive school-based nutrition intervention was effective in improving the implementation of healthy school canteen policy.Keywords: nutrition intervention, healthy canteen, policy implementationCorrespondence: Sarah At Tauhidah. Health Policy and Adminis­tration Department, Faculty of Public Health, Universitas Indonesia. F Building 1st Floor, Kampus Baru UI Depok 16424, Indonesia. Email: Sarah.at@ui.ac.id.Journal of Health Policy and Management (2021), 06(01): 57-66https://doi.org/10.26911/thejhpm.2021.06.01.06 
HUBUNGAN KUALITAS PELAYANAN DENGAN KEPUASAN PASIEN DI RUMAH SAKIT : SYSTEMATIC REVIEW Hidayah, Nikmatul; Bachtiar, Adang; Candi, Cicilya
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 3 (2024): DESEMBER 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i3.37178

Abstract

Kualitas pelayanan kesehatan di rumah sakit merupakan faktor krusial yang mempengaruhi tingkat kepuasan dan loyalitas pasien terhadap institusi tersebut. Penelitian ini bertujuan untuk menganalisis elemen-elemen yang mempengaruhi kepuasan pasien di rumah sakit dengan mengaplikasikan pendekatan SERVQUAL, yang digunakan untuk mengidentifikasi perbedaan antara harapan dan pengalaman pasien dalam lima dimensi: tangible, reliability, responsiveness, assurance, dan empathy. Metode yang diterapkan dalam penelitian ini adalah systematic review, mengacu pada pedoman PRISMA, dengan melakukan pencarian literatur di berbagai database seperti ProQuest, ScienceDirect, Scopus, dan Google Scholar yang mencakup periode 2014 hingga 2024. Temuan dari tinjauan literatur menunjukkan bahwa dimensi responsiveness dan empathy memiliki pengaruh yang paling signifikan terhadap kepuasan pasien, diikuti oleh dimensi tangible, reliability, dan assurance. Layanan yang konsisten, cepat tanggap, aman, dan memperhatikan kebutuhan individu pasien terbukti meningkatkan kepercayaan serta loyalitas mereka, sekaligus memperkuat reputasi rumah sakit. Penelitian ini menekankan pentingnya evaluasi layanan secara terus-menerus untuk memenuhi harapan pasien dan meningkatkan daya saing rumah sakit. Hasil temuan ini diharapkan dapat memberikan kontribusi dalam pengembangan kebijakan yang lebih tepat dalam meningkatkan kualitas pelayanan kesehatan di rumah sakit.
Urban Health for the Development of Healthy Cities in Indonesia Christian, Deyo Alfa; Bachtiar, Adang; Candi, Cicilya
JKMP (Jurnal Kebijakan dan Manajemen Publik) Vol 11 No 2 (2023): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/jkmp.v11i2.1759

Abstract

Sustainable urban development, healthy cities and rapid urban growth have become a major focus in Indonesia. This research aims to identify the key factors needed to achieve optimal Urban Health in Indonesia. Currently, DKI Jakarta Province is the largest metropolitan city in Indonesia, but in 2022 DKI Jakarta will be ranked 238th in the world and 48th in Asia regarding the Quality of Life Index. A symbol of success and progress in the country of Indonesia, there are 98 cities spread across all provinces, but only 8 cities are included in the metropolitan category. This research uses the PRISMA extension for Scoping Review (PRISMA-ScR) guidelines, 93 articles published between 2000 and 2022 meet the inclusion criteria that look at Urban Health for city development. In an effort to build a healthy city, Urban Health needs to be implemented using several key factors that encourage good urban health. The policy approach in Indonesia must be to improve the quality and accessibility of health services which are important factors in the effectiveness of urban health services, so as to achieve good urban health. well in Indonesia requires a holistic approach that includes green energy, a clean environment, high levels of physical activity and good stress management, adequate health services, good nutrition and equitable health.
Navigating the aftermath: Risk factors of recurrence following coronary bypass surgery in Indonesia Bachtiar, Adang; Candi, Cicilya; Hasibuan, Syarif R.; Widyasanti, Nisrina; Kusuma, Dian
Narra J Vol. 4 No. 3 (2024): December 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v4i3.969

Abstract

Coronary heart disease (CHD) remains a leading cause of mortality in Indonesia, and coronary artery bypass graft (CABG) surgery is frequently employed to manage arterial blockages. Despite its efficacy, the recurrence of heart disease post-surgery is a significant concern, highlighting the need for a deeper understanding of its influencing factors. The aim of this study was to examine the factors associated with the incidence of heart disease recurrence after coronary bypass surgery. This study employed a prospective observational design, analyzing hospital claim data from Indonesia's Social Security Agency for Health, known as Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan, from 2017 to 2022. The analysis included 5,947 patients who survived CABG surgery. Multivariable logistic regression was utilized to assess the relationship between patient demographics, comorbidities, socioeconomic status, and compliance with follow-up visits, as well as their impact on the recurrence of cardiovascular disease. The study found that 24.1% of patients experienced hospitalization recurrence. Patients with irregular follow-ups were less likely to experience recurrence (adjusted odds ratio (AOR): 0.63; 95%CI: 0.51–0.78). Other significant risk factors for recurrence included being self-employed (AOR: 2.09; 95%CI: 1.72–2.55), having comorbid conditions such as disorders of fluid, electrolyte, and acid-base balance (AOR: 3.55; 95%CI: 2.97–4.24), and experiencing cerebral infarction or stroke (AOR: 10.85; 95%CI: 8.24–14.29). In contrast, older age (AOR: 0.89; 95%CI: 0.88–0.91) and the presence of non-insulin-dependent diabetes mellitus (AOR: 0.35; 95%CI: 0.29–0.42) were associated with a lower risk of recurrence. Sex did not significantly influence the risk of recurrence (AOR: 1.18; 95%CI: 0.86–1.62). In conclusion, the study indicates a considerable rate of cardiovascular disease recurrence post-CABG in Indonesia, highlighting several key risk factors. Tailored postoperative management and strict adherence to follow-up protocols are essential for mitigating recurrence. These findings offer crucial insights for improving post-CABG health management strategies in Indonesia.
Analisis Perbaikan Respond Time Door to Needle R-TPA Pada Pasien Code Stroke di IGD RSPON Prof. Dr. Mahar Mardjono Jakarta Tahun 2022 - 2023 Trisetiawati, Lami; Modjo, Robiana; Bachtiar, Adang; Candi, Cicilya
Cerdika: Jurnal Ilmiah Indonesia Vol. 5 No. 7 (2025): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v5i7.2651

Abstract

Stroke merupakan penyebab kematian tertinggi di Indonesia, dengan angka kejadian 131,8 per 100.000 penduduk (WHO, 2023). Penanganan stroke iskemik akut yang optimal harus dilakukan dalam waktu ? 4,5 jam sejak onset, dengan pemberian terapi trombolitik (rtPA) idealnya dalam waktu ? 60 menit sejak pasien tiba di instalasi gawat darurat (door-to-needle time/DTN). Namun, di IGD RS Pusat Otak Nasional Prof. Dr. dr. Mahar Mardjono Jakarta, waktu DTN tahun 2021 masih mencapai 91 menit. Tujuan penelitian ini adalah untuk menganalisis dan memperbaiki alur penanganan pasien code stroke guna mempercepat waktu pemberian rtPA. Metode penelitian menggunakan pendekatan kuantitatif deskriptif berbasis Six Sigma melalui tahapan DMAIC (Define, Measure, Analyze, Improve, Control). Data dikumpulkan melalui observasi, wawancara tenaga medis, dan telaah rekam medis tahun 2022. Hasil penelitian menunjukkan bahwa intervensi terhadap sembilan titik proses pada lima fase utama—triase, pendaftaran, pemeriksaan penunjang, konsultasi DPJP, dan keputusan rtPA—berhasil menurunkan waktu DTN menjadi 40 menit pada triwulan IV tahun 2023. Penurunan ini melampaui standar pelayanan yang ditetapkan (<60 menit), menandakan keberhasilan reformasi alur penanganan stroke. Implikasi penelitian menunjukkan bahwa penerapan sistem code stroke terstruktur dan berbasis monitoring waktu efektif dalam meningkatkan kecepatan dan kualitas layanan stroke akut serta menurunkan risiko kecacatan.
The Structural Equation Modelling of First Level Health Facilities’ Performance-Based Capitation Payment in National Health Service Aryani, Ari Dwi; Bachtiar, Adang; Candi, Cicilya
Kesmas Vol. 19, No. 1
Publisher : UI Scholars Hub

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Abstract

The BPJS Healthcare Security implemented performance-based capitation/Kapitasi Berbasis Kinerja(KBK) payments to conduct structured and ongoingmonitoring of the First Level Health Facilities/Fasilitas Kesehatan Tingkat Pertama(FKTP)'s performance throughout Indonesia. This study aimed to examinethe direct and indirect effects of FKTP capacity on KBK and FKTP performance. This study was conducted in February 2023, and Structural EquationModelling analysis was performed with secondary data from the BPJS Healthcare Security system database in 2021. Human resources were defined as theavailability of doctors in FKTP, infrastructure as credentialing value, ownership and type of FKTP, and KBK, and performance as first contact, non-specialistoutpatient referral ratios, and Chronic Disease Management Program/Program Pengelolaan Penyakit Kronis(Prolanis) participant ratio. The analytical resultsrevealed that human resources directly and positively affected the KBK. The indirect effect analysis results suggested that only human resources impactedFKTP performance. In conclusion, human resources are critical in achieving the KBK and FKTP performance.
The Potential of Private Health Insurance Ownership Based on the 2018-2020 National Socioeconomic Survey Data Hasan, Arief Rosyid; Bachtiar, Adang; Candi, Cicilya
Kesmas Vol. 17, No. 4
Publisher : UI Scholars Hub

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Abstract

In 2014, the Indonesian Government introduced a social security program in the health sector. However, Indonesia’s out-of-pocket expenses remain high due to a lack of public interest in National Health Insurance services. Financing expensive health services with high out-of-pocket expenses has the potential to cause poverty. Private health insurance is considered a solution to this problem. This study aimed to determine the socioeconomic factors of private health insurance ownership and its potential in Indonesia. This study used secondary data from the 2018, 2019, and 2020 National Socioeconomic Surveys. Logistic regression analysis showed that the variables related to private health insurance ownership were age, sex, education, economic status, employment status, marital status, household status, and location of residence. The most dominant variable in 2018 was per capita expenditure (economic status), while education was the most dominant variable in 2019 and 2020. The result of this study can be used to formulate a strategy for increasing participation in private health insurance. The socioeconomic health sector should use this information to target specific markets for private health insurance.
Information-Motivation-Behavioral Skill in Diabetes Self-management Using Structural Equation Modeling Analysis Kurtanty, Dien; Bachtiar, Adang; Candi, Cicilya; Pramesti, Alya; Rahmasari, Almira Fanny
Kesmas Vol. 18, No. 1
Publisher : UI Scholars Hub

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Abstract

Diabetes is the “mother” of various diseases increasing the risk of morbidity and mortality. Diabetes self-management, an effort made by patients to control blood sugar levels, is an important part of the management strategy. Therefore, this study analyzed information, motivation, and behavioral skills associated with diabetes self-management. Data were collected in the Special Capital Region of Jakarta, with 277 diabetic patients selected using a questionnaire by a systematic random sampling method. The analyzed variables were information (with indicator variables of information on physical activity, nutritional intake, drug consumption, and blood sugar monitoring); sociodemographic (age, sex, occupation, education level, and duration of diabetes); motivation (barrier, benefit, self-efficacy, severity, and susceptibility); and behavioral skills (new motor, self-regulatory, and social skills), which were analyzed to identify their influence on diabetes self-management using structural equation modeling. The results indicated that information and motivation significantly and positively affected behavioral skills; while, sociodemographic did not. Behavioral skills had a significant and positive effect on diabetes self-management. Accordingly, people with diabetes information, motivation, and behavioral skills need to be improved to increase the success of diabetes self-management.
Data Mining Analysis with Orange in the Development of Tuberculosis Among Diabetes Mellitus Patients Bintang, Malahayati Rusli; Bachtiar, Adang; Candi, Cicilya
Kesmas Vol. 19, No. 5
Publisher : UI Scholars Hub

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Prevention and treatment of diabetes will have a positive influence on tuberculosis (TB) since people may get TB because they have diabetes mellitus (DM). Recording and reporting through the TB Information System are not run optimally because of many factors. The information system must be strengthened to be used by private health facilities. This study used secondary data from the 2013 and 2018 Indonesian Basic Health Research (IBHR). The data was analyzed univariately and analyzed further using Orange Data Mining Tools to test the screening tool model used to predict TB in diabetic individuals. The total sample in this study from each data was 38,136 people. The 2013 IBHR stated that 749 people (2%) were diagnosed with pulmonary TB, while the 2018 IBHR stated that 97 people (0.3%) were diagnosed in the previous six months. The results of the Orange analysis showed that precision and recall calculations in this study were quite good, at 0.9. Therefore, the model would likely predict the occurrence of TB in diabetic individuals. According to Orange, the TB-DM electronic screening tool model tends to estimate the incidence of TB in diabetic individuals.
Co-Authors Adang Bachtiar Adila Ramadhian, Elsa Aryani, Ari Dwi Christian, Deyo Alfa Dian Kusuma Hasan, Arief Rosyid Hasibuan, Syarif R. Kurtanty, Dien lail, nurul husnul Malahayati Rusli Bintang Nikmatul Hidayah Pramesti, Alya Puput Oktamianti Rahmasari, Almira Fanny Robiana Modjo Tauhidah, Sarah At Trisetiawati, Lami Widyasanti, Nisrina