Agus Setiawan
Departemen Keperawatan Komunitas, Fakultas Ilmu Keperawatan Universitas Indonesia

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Keterlibatan Kader Kesehatan dalam Merespon Pandemi COVID-19 : Sebuah Studi Fenomenologi Syamikar Baridwan Syamsir; Agus Setiawan; Henny Permatasari; Bani Bacan Hacantya Yudanagara; Heru Supriyatno
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 14, No 4 (2023): Oktober - Desember 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v14i4.3157

Abstract

Since the establishment of COVID-19 as a global pandemic, at the same time it has had an impact on many aspects including the health system. Various efforts have been made both at the global and national levels. Active participation from the community through the involvement of health cadres has an important role in handling a pandemic. This study aims to explore the involvement of health cadres as part of community members in responding to the COVID-19 pandemic, especially in the community. This study used a descriptive phenomenological study with semi-structured in-depth interviews involving 13 health cadres in Makassar City who were selected using a purposive sampling technique. Data were analyzed using thematic analysis with the Colaizzi data analysis method. The results of this study indicate that various roles have been carried out by health cadres during the COVID-19 pandemic. There are at least three (3) main themes generated in this study, namely, (1) providing education and health promotion for COVID-19; (2) implementing community-based surveillance (SBM) as a strategy for handling the COVID-19 pandemic; (3) helping maintain essential health services during the COVID-19 pandemic. The emergence of COVID-19 as a global pandemic has brought major changes to the order of people's lives in various aspects, including aspects of the health care system. Handling this pandemic is of course not only the responsibility of the government but also the shared responsibility of all levels of society. Health cadres as part of the community members have a vital role to help accelerate the handling and control of the pandemic.
Kebutuhan Klien dan Caregiver, Kualitas Perawatan, Desain Program dan Peran Tenaga Kesehatan sebagai Penentu Keberhasilan Penerapan Total Care di Komunitas Prastyanto, FX Bobby Tyas; Wiarsih, Wiwin; Permatasari, Henny; Setiawan, Agus
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 16, No 2 (2025): April-Juni 2025 (up coming)
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf16243

Abstract

Home or community health care is increasingly popular, driven by increasing life expectancy and the rise in chronic diseases. Total care is a multidisciplinary approach that encompasses physical, psychological, social, and spiritual aspects. The success of total care implementation depends on meeting the needs of clients and their satisfaction with the services. The purpose of this study was to determine the factors that influence client and family satisfaction in the implementation of total care in the community. This systematic review followed the PRISMA guidelines, with a literature search in ProQuest, ScienceDirect, Scopus, and PubMed. The keywords used were "total care patient," "home care" and "patient satisfaction." Inclusion criteria included clients in palliative care and chronic diseases, with studies conducted in the last 10 years. The results of the analysis showed that the quality of care was influenced by client needs, satisfaction, the role of caregivers, and health workers. Good interactions between clients, families, and the health team increased satisfaction. However, challenges such as caregiver burden, ineffective communication, and limited access to resources still exist. Furthermore, it was concluded that the success of total care in the community requires a holistic and collaborative approach. Understanding the challenges faced by caregivers and improving communication and access to resources are key to improving client and family satisfaction in home-based health care.Keywords: total care; client satisfaction; caregiver; palliative care ABSTRAK Pelayanan kesehatan di rumah atau komunitas semakin populer, didorong oleh peningkatan harapan hidup dan peningkatan penyakit kronis. Total care adalah pendekatan multidisiplin yang mencakup aspek fisik, psikologis, sosial, dan spiritual. Keberhasilan penerapan total care bergantung pada pemenuhan kebutuhan klien dan kepuasan mereka terhadap layanan. Tujuan dari studi ini adalah mengetahui faktor-faktor yang mempengaruhi kepuasan klien dan keluarga dalam penerapan total care di masyarakat. Tinjauan sistematis ini mengikuti pedoman PRISMA, dengan pencarian literatur di ProQuest, ScienceDirect, Scopus, dan PubMed. Kata kunci yang digunakan adalah "total care patient," "home care" dan "patient satisfaction." Kriteria inklusi meliputi klien dalam perawatan paliatif dan penyakit kronis, dengan penelitian yang dilakukan dalam 10 tahun terakhir. Hasil analisis menunjukkan bahwa kualitas layanan dipengaruhi oleh kebutuhan klien, kepuasan, peran pengasuh, dan tenaga kesehatan. Interaksi yang baik antara klien, keluarga, dan tim kesehatan meningkatkan kepuasan. Namun, tantangan seperti beban pengasuh, komunikasi yang kurang efektif, dan akses terbatas terhadap sumber daya masih ada. Selanjutnya disimpulkan bahwa keberhasilan total care di komunitas memerlukan pendekatan holistik dan kolaboratif. Memahami tantangan yang dihadapi pengasuh dan meningkatkan komunikasi serta akses terhadap sumber daya adalah kunci untuk meningkatkan kepuasan klien dan keluarga dalam pelayanan kesehatan berbasis rumah.Kata kunci: total care; kepuasan klien; pengasuh; perawatan paliatif
The effect of peer support intervention on improving self-efficacy in adolescents with HIV: A systematic review Sri Wulan Widyawati; Etty Rekawati; Agus Setiawan; Indah Permatasari
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 6 (2025): Volume 8 Number 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i6.1170

Abstract

Background: Adolescents with HIV who have low self-efficacy are less likely to adhere to their treatment plans, experience psychological issues, become socially isolated, and make poor treatment management decisions. Peer support therapy is therefore required to raise these teenagers' self-efficacy. Evaluating self-efficacy is crucial for determining how peer support interventions affect adolescents living with HIV. Purpose: Assessing the impact of peer support interventions on HIV-positive adolescents' self-efficacy is essential. Method: A systematic review with article selection guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The systematic review process begins with the formulation of clinical questions relevant to the topic. Before this, the authors establish PICOS criteria, which stand for: P (problem, patient, or population), I (intervention, prognostic factor, or exposure), C (comparison or control), O (outcome), and S (study design). For this article, P: Adolescents with HIV, I: Peer support intervention, C: Individual counseling, standard education, or regular therapy, O: Improving self-efficacy, S: Randomized controlled trials. The article search was conducted systematically using the keywords: “Peer Support,” AND “Self-efficacy,” AND “Adolescents” AND “HIV.” Results: Among adolescents with HIV, the peer support intervention demonstrated an increase in self-efficacy. Participants reported feeling more confident in managing their treatment and navigating daily challenges related to their condition. The supportive peer environment helped reduce feelings of isolation and encouraged adherence to antiretroviral therapy (ART). Conclusion: Peer support interventions effectively enhance self-efficacy in adolescents living with HIV by improving confidence in treatment management, stigma coping, and ART adherence. Their empathetic, equal, and communicative approach makes them more acceptable to adolescents who may be reluctant to share with professionals.
Pemberdayaan Masyarakat Menuju Kota Sehat dan Layak Anak Berbasis Kearifan Lokal Yeni Rustina; Agus Setiawan; Enie Novieastari; Dessie Wanda; Ella Nurlela Hadi; Jajang Gunawijaya; Annida Falahaini
Journal of Community Engagement in Health Vol. 4 No. 1 (2021): Maret
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jceh.v4i1.127

Abstract

Tumbuh kembang anak yang optimal merupakan kebutuhan dasar dalam pengembangan sumber daya manusia di masa yang akan datang. Hal tersebut dapat tercapai apabila terdapat sistem pendukung yang memadai dan tepat dari lingkungan yang sehat, dengan melibatkan kearifan lokal masyarakat. Cisaga merupakan salah satu kecamatan di Jawa Barat, Indonesia yang mengedepankan pengembangan sumber daya manusia sebagai prioritas utama dalam pembangunan daerah. Tujuan dari program pemberdayaan masyarakat ini adalah untuk membangun kota sehat dan ramah anak yang dimulai dari Kabupaten Cisaga. Program pemberdayaan masyarakat meliputi skrining tumbuh kembang anak; meningkatkan pengetahuan dan keterampilan kader kesehatan dalam mendorong tumbuh kembang anak, memotivasi masyarakat dalam menumbuhkan perilaku hidup bersih dan sehat; mengembangkan ruang baca anak; dan mengembangkan desain ruang terbuka hijau yang ramah anak. Setelah dilakukan evaluasi program, muncul respon positif dari masyarakat terhadap program tersebut. Para kader kesehatan mengaku memiliki kemampuan untuk mengajari para ibu bagaimana cara menstimulasi anaknya. Dengan menggunakan kearifan lokal melalui pelibatan masyarakat dalam program-program tersebut, maka perubahan dalam masyarakat lebih dapat diandalkan untuk dilaksanakan