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COVID-19 Patient Mortality with Convalescent Plasma Therapy: Meta-Analysis Firda, Fathiyyatu Assa’diy; Murti, Bhisma; Wekadigunawan, Cri Sajjana Prajna
Journal of Epidemiology and Public Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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

Background: The use of convalescent plasma was recommended as empiric treatment during the Ebolavirus outbreak in 2014, and a protocol for the treatment of Middle East Respiratory Syndrome coronavirus (MERS) with convalescent plasma was created in 2015. These findings raise the hypothesis that the use of convalescent plasma transfusion may be beneficial in SARS-infected patients. -CoV-2. The aim of this study was to estimate the mortality risk of COVID-19 patients with convalescent plasma therapy.Subjects and method: A systematic review and meta-analysis was carried out by collecting articles from the Google Scholar, PubMed, and Science Direct databases. The articles were screened using the PICO model, including: (1) Population= confirmed COVID-19 patients, (2) Intervention= conva

A Qualitative Study Exploring the Experiences of Tuberculosis Patients Who Have Successfully Recovered Wekadigunawan, Cri Sajjana Prajna; Yumaniar, Dhini; Shabrina, Farah
Journal of Epidemiology and Public Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.04.10

Background: Tuberculosis cases in Indonesia occupy the second highest position after India. TB eradication is an important program in the SDGs 2030. Recovering from Tuberculosis is a blessing. This study aimed to explore the experiences of tuberculosis sufferers who have recovered. Subjects and Method: This qualitative study was conducted in the Yosodadi Community from January to February 2023. A total of 12 patients with tuberculosis who had successfully recovered were selected for this study. The variable of this study was the experiences of tuberculosis patients who have successfully recovered. A depth interview was used to obtain the data. The data were analyzed descriptively. Results: The study showed the importance of patients knowing their disease, the support of those around them, and health workers who have good empathy towards TB patients. This research also found the importance of health providers and patient families being asked to pay attention to the mental health problems suffered by TB patients. Conclusion: Vaccine reluctance is a huge problem in the face of a pandemic that is not yet over. Even with to achieve recovery for TB patients, efforts are needed to understand the mental condition of TB patients. Policymakers must consider ongoing health education regarding TB patient assistance by family and health workers. Keywords: Empathy, family support, health provider, mental health, patient, tuberculosis. Correspondence:Cri Sajjana Prajna Wekadigunawan. Faculty of Health Sciences Esa Unggul University. Jl Terusan Arjuna, Jakarta Barat. Email: weka.gunawan@esaunggul.ac.id. Mobile: +6281299264727.

Why is Malaria still a critical issue? A systematic review in Asia particularly in Indonesia Wekadigunawan, Cri Sajjana Prajna; Rabbani, Ananda Farrell
Journal of Language and Health Vol 6 No 2 (2025): Journal of Language and Health
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jlh.v6i2.6991

Malaria continues to be an important public health concern across many Asian nations, with Indonesia remaining one of the most affected country. Despite significant advancements in diagnostics, treatment, and vector control strategies, multiple challenges hinder Indonesia's goal of malaria elimination by 2030. This systematic review describes the epidemiological burden of malaria in Asia with a focus on Indonesia, outlines key challenges such as geographical, ecological, and socio-cultural-political barriers, and discusses comprehensive strategies to overcome these obstacles. A systematic literature search was conducted through electronic databases such as PubMed and Google Scholar, as well as official reports from the World Health Organization (WHO) and the Ministry of Health of the Republic of Indonesia (Kemenkes RI), using keywords like ‘malaria’, ‘Indonesia’, ‘elimination’, ‘malaria challenges’ and ‘vector management’. The selection criteria prioritized scientific publication and official reports published between 2011 and 2025 to ensure the currency of the data. Strengthening surveillance, community empowerment, regional and cross-border cooperation, and innovation in control tools are essential to achieving malaria elimination in Indonesia and other endemic countries in Asia.

COVID-19 Patient Mortality with Convalescent Plasma Therapy: Meta-Analysis Firda, Fathiyyatu Assa’diy; Murti, Bhisma; Wekadigunawan, Cri Sajjana Prajna
Journal of Epidemiology and Public Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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

Background: The use of convalescent plasma was recommended as empiric treatment during the Ebolavirus outbreak in 2014, and a protocol for the treatment of Middle East Respiratory Syndrome coronavirus (MERS) with convalescent plasma was created in 2015. These findings raise the hypothesis that the use of convalescent plasma transfusion may be beneficial in SARS-infected patients. -CoV-2. The aim of this study was to estimate the mortality risk of COVID-19 patients with convalescent plasma therapy.Subjects and method: A systematic review and meta-analysis was carried out by collecting articles from the Google Scholar, PubMed, and Science Direct databases. The articles were screened using the PICO model, including: (1) Population= confirmed COVID-19 patients, (2) Intervention= conva

A Qualitative Study Exploring the Experiences of Tuberculosis Patients Who Have Successfully Recovered Wekadigunawan, Cri Sajjana Prajna; Yumaniar, Dhini; Shabrina, Farah
Journal of Epidemiology and Public Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.04.10

Background: Tuberculosis cases in Indonesia occupy the second highest position after India. TB eradication is an important program in the SDGs 2030. Recovering from Tuberculosis is a blessing. This study aimed to explore the experiences of tuberculosis sufferers who have recovered. Subjects and Method: This qualitative study was conducted in the Yosodadi Community from January to February 2023. A total of 12 patients with tuberculosis who had successfully recovered were selected for this study. The variable of this study was the experiences of tuberculosis patients who have successfully recovered. A depth interview was used to obtain the data. The data were analyzed descriptively. Results: The study showed the importance of patients knowing their disease, the support of those around them, and health workers who have good empathy towards TB patients. This research also found the importance of health providers and patient families being asked to pay attention to the mental health problems suffered by TB patients. Conclusion: Vaccine reluctance is a huge problem in the face of a pandemic that is not yet over. Even with to achieve recovery for TB patients, efforts are needed to understand the mental condition of TB patients. Policymakers must consider ongoing health education regarding TB patient assistance by family and health workers. Keywords: Empathy, family support, health provider, mental health, patient, tuberculosis. Correspondence:Cri Sajjana Prajna Wekadigunawan. Faculty of Health Sciences Esa Unggul University. Jl Terusan Arjuna, Jakarta Barat. Email: weka.gunawan@esaunggul.ac.id. Mobile: +6281299264727.

Respect, Effective Communication, Family Support and Motivation on Patient Compliance to Improve Drug-Resistant Tuberculosis Manurung, Sarah; Pamungkas, Rian Adi; Wekadigunawan, Cri Sajjana Prajna
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 6 (2025): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v8i6.898

Background: The treatment compliance of rifampicin-resistant tuberculosis (TB RO) patients in Indonesia remains suboptimal, with a therapy success rate of only 51%. Various psychosocial determinants such as perceived respect from healthcare providers, effective communication, and family support are believed to influence patients’ adherence, with motivation serving as a potential psychological mediator. Objective: This study aimed to examine the effects of respect, effective communication, and family support on treatment compliance among TB RO patients, with motivation as an intervening variable. Method: A quantitative approach using a cross-sectional design was applied. The study population comprised 116 TB RO patients treated at Tangerang City Hospital, and 90 respondents were selected using Slovin’s formula with simple random sampling. Data were collected through structured questionnaires and analyzed using SmartPLS 4. Results: Respect from healthcare providers did not significantly affect treatment compliance (T=0.533; p=0.594). Effective communication showed no direct influence on compliance, but had a significant indirect effect through motivation (T=3.349; p=0.001). Family support had a significant direct effect on compliance (T=2.058; p=0.040) and also influenced compliance indirectly via motivation. Motivation acted as a mediator between effective communication and family support with compliance, but did not mediate the effect of respect. Conclusion: Family support emerged as the most influential factor in improving treatment compliance among TB RO patients. Strengthening patients’ motivation through enhanced respect and effective communication from healthcare providers is recommended to improve adherence outcomes

Determinan Pemanfaatan Vaksinasi Influenza Pada Calon Jamaah Haji Di Fasilitas Kesehatan Abdul Karim Medika Center Kota Bekasi Susana Aka Sri Handayani; Namira Wadjir Sangadji; Dwi Nurmawaty; Cri Sajjana Prajna Wekadigunawan
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49524

Hajj pilgrimage as the world's largest mass gathering poses high risk of infectious disease transmission, particularly influenza. Influenza vaccination is an important prevention measure but coverage remains low among Indonesian hajj pilgrims. This study aims to analyze factors influencing influenza vaccine utilization among hajj pilgrims at Abdul Karim Medika Center Clinic, Bekasi City. This cross-sectional study involved 93 hajj pilgrims selected through purposive sampling. Data were collected using structured questionnaires and medical records. Data analysis used Chi-square test with significance level p<0.05. Results showed 69.9% respondents did not utilize influenza vaccine. Significant associations were found between knowledge (p=0.000; PR=1.645), attitude (p=0.000; PR=0.378), perception (p=0.000; PR=9.280), and family support (p=0.000; PR=0.378) with vaccine utilization. Respondents with low knowledge had 1.645 times higher risk of not getting vaccinated. In conclusion, knowledge, attitude, perception, and family support significantly influence influenza vaccine utilization. Comprehensive health education and promotion efforts are needed to improve influenza vaccination coverage among hajj pilgrims. Keywords: influenza vaccine, hajj pilgrims, knowledge, attitude, perception

Faktor Resiko yang Mempengaruhi Pemanfaatan Layanan Pengantaran Obat di RSUD Balaraja Kabupaten Tangerang Cri Sajjana Prajna Wekadigunawan; Endang Sulastri; Rini Handayani; Decy Situngkir
Malahayati Nursing Journal Vol 8, No 4 (2026): Volume 8 Nomor 4 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i4.25340

ABSTRACT Long waiting times for medication have led to long queues and increased patient complaints about pharmaceutical services. This issue has resulted in low patient satisfaction with pharmaceutical services at Balaraja Regional Hospital, as reflected in public satisfaction surveys conducted in the second half of 2024 and the first half of 2025which showed poor results.. Drug delivery services are a form of digital innovation in pharmaceutical services that aims to reduce the density of pharmacy queues and increase patient accessibility to drugs.. Balaraja Regional General Hospital, Tangerang Regency, has collaborated with JNE in providing home drug delivery services since March 2025, but the utilization rate is still low (7%) of the target of 20%. This study aims to determine the factors associated with the utilization of drug delivery services at Balaraja Regional General Hospital, Tangerang Regency in 2025. A quantitative approach was used in this study using a Cross Sectional study design. A sample of 150 respondents was selected using Purposive Sampling techniques from the entire population, namely outpatients who received prescription services, amounting to 9448. Data were collected through structured questionnaires and electronic medical records. Data analysis used Chi-Square and Prevalence Ratio (PR) statistical tests. The results of the study showed that 60.7% of respondents did not utilize the service. Variables showing significant relationships were income (p=0.029; PR=1.475), information exposure (p0.001; PR=3.017), and perception of estimated time of arrival (p=0.04; PR=1.521). Other variables, such as gender, education level, perceived cost, perceived distance, and chronic disease status, did not show significant relationships. Information exposure was the strongest factor associated with service utilization. Balaraja Regional General Hospital, Tangerang Regency, needs to improve its service socialization strategy, reduce service fees, and accelerate estimated delivery times. Keywords: Drugs Delivery Services, Healthcare Utilization, Information Exposure, Income, Perception of Estimated Time of Arrival. ABSTRAK Lamanya waktu tunggu obat menyebabkan padatnya antrian dan meningkatkan keluhan pasien akan layanan obat. Masalah ini mengakibatkan rendahnya kepuasan pasien akan layanan farmasi di RSUD Balaraja yang tergambar pada hasil survei kepuasan masyarakat pada periode semester II 2024 dan semester I tahun 2025 dengan hasil kurang baik . Layanan pengantaran obat merupakan bentuk inovasi digital dalam pelayanan kefarmasian yang bertujuan mengurangi kepadatan antrian farmasi dan meningkatkan aksesibilitas pasien terhadap obat. RSUD Balaraja Kabupaten Tangerang sejak Maret 2025 telah menjalin kerjasama dengan JNE dalam menyediakan layanan pengantaran obat ke rumah, namun tingkat pemanfaatannya masih rendah (7%) dari target 20%. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan pemanfaatan layanan pengantaran obat di RSUD Balaraja Kabupaten Tangerang tahun 2025. Pendekatan kuantitatif digunakan dalam penelitian ini dengan menggunakan desain studi Cross Sectional.Sampel berjumlah 150 responden yang dipilih menggunakan teknik Purposive Sampling dari seluruh populasi yaitu pasien rawat jalan yang mendapatkan pelayanan resep yaitu sejumlah 9448. Data dikumpulkan melalui kuesioner terstruktur dan rekam medis elektronik. Analisis data menggunakan uji statistik Chi-Square dan Prevalence Ratio (PR).Hasil penelitian mendapatkan 60,7% responden tidak memanfaatkan layanan. Variabel yang menunjukkan adanya hubungan yang signifikan adalah pendapatan (p=0,029; PR=1,475), keterpaparan informasi (p0,001; PR=3,017), serta persepsi estimasi waktu tiba (p=0,04; PR=1,521). Sedangkan variabel lain seperti jenis kelamin, tingkat pendidikan, persepsi biaya, persepsi jarak, dan status penyakit kronis tidak menunjukkan hubungan yang signifikan. Keterpaparan informasi merupakan faktor terkuat yang berhubungan dengan pemanfaatan layanan. RSUD Balaraja Kabupaten Tangerang perlu membuat strategi sosialisasi mengenai layanan, studi perbandingan mengenai tarif layanan pengantaran pada, serta kecepatan pengiriman atau estimasi waktu tiba obat untuk semua wilayah cakupan, dapat tiba di hari yang sama. Kata Kunci: Layanan Pengantaran Obat, Pemanfaatan Layanan Kesehatan, Keterpaparan Informasi, Pendapatan, Persepsi Estimasi Waktu Tiba.

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