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All Journal Berita Kedokteran Masyarakat Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Salama, Ngabila
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Health Professions Nursing Public Health

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Diabetes Mellitus and Mortality among COVID-19 Patients in Jakarta, March-August 2020 Wulandari, Endang Widuri; Rotnoatmodjo, Sudarto; Salama, Ngabila
Kesmas Vol. 17, No. 2
Publisher : UI Scholars Hub

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Abstract

Diabetes mellitus (DM) comorbidity is one of the risk factors for coronavirus disease 2019 (COVID-19) mortality. This study aimed to determine the association of comorbid DM and mortality among COVID-19 confirmed cases in DKI Jakarta Province, controlled with confounding variables from March to August 2020. The study design was a retrospective cohort using cox proportional hazard regression, with a total sample of 1,480. The data consisted of 740 COVID-19 cases with and 740 without comorbid DM. The inclusion criteria were COVID-19 confirmed cases with polymerase chain reaction (PCR) laboratory testing reported to the DKI Jakarta Provincial Department of Health, and the exclusion criteria were pregnant women. The study result indicated that the Crude Hazard Ratio (CHR) of DM and mortality among COVID-19 confirmed cases was 7.4 (95% CI = 4.5-12.3, p-value50 years).
Medical personnels’ well-being and policy adaptations in hospitals during COVID-19 pandemic Kristian, Kevin; Santi, Bryany Titi; Astiarani, Yunisa; Kurniawan, Felicia; Salama, Ngabila
BKM Public Health and Community Medicine Vol 38 No 08 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i8.4996

Abstract

Purpose: To explore many forms of adaptations and alterations that occur in the COVID-19 referral hospitals in Jakarta during the COVID-19 pandemic as a preparation to deal with another pandemic in the future. Method: A qualitative study through focus group discussions (FGD) of seven hospitals in Jakarta, including five public and two private hospitals, with the participation of each structural and medical personnel separately. The discussion identifies four main topics that cover the aim of the study: (a) Medical personnel workload; (b) Occupational health and comfort; (c) Relationships; (d) Hospital policy during the COVID-19 pandemic. Results: This study was participated by 40 informants from the medical personnel group and 37 responders from the structural group from various positions in the hospital. Researchers estimated several factors to contribute to medical personnel’s well-being in providing health services during the pandemic of COVID-19. Rising workloads, an increased number of patients and types of procedures, and the unavailability and discomforts from suitable PPE with a lack of IPC socialization influence a decline in their well-being and increase the risk of counterproductive work behavior. Moreover, conflicts among personnel and poor communication also deteriorate well-being. Nevertheless, several hospital policy adaptations, namely incentives provision, regular mental-health check-ups, no salary reduction for COVID-19-positive workers, and supportive attitudes towards each other in the workplace, may enhance their well-being. Conclusion: Increased workloads, problems in PPE availability, and conflict among personnel are the main contributing factors that need to be addressed to increase the medical personnel's well-being during the pandemic, while several hospital policy adaptations support their well-being.
Co-Authors Felicia Kurniawan, Felicia Kristian, Kevin Rotnoatmodjo, Sudarto Santi, Bryany Titi Wulandari, Endang Widuri Yunisa Astiarani