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Knowledge and Intention to Use Personal Protective Equipment among Health Care Workers to Prevent Tuberculosis Hasanah Hasanah; Elsa Pudji Setiawati; Lika Apriani
Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Tuberculosis (TB) is one of the main world health problems. Indonesia has the fourth highest incidence in the world. Tuberculosis is very infectious, but it can be prevented in high risk group such as health care worker by using personal protective equipment (PPE). This study aimed to reveal knowledge and intention to use PPE among health care worker to prevent TB transmission in Public Health Center (Pusat Kesehatan Masyarakat, Puskesmas) in Bandung.Methods: Descriptive study was conducted from September to October 2014 in 15 Puskesmas in Bandung. Those 15 Puskesmas had been reported as having the highest incidence in TB cases. Ninety seven health care workers were assessed using questionnaire. Samples were obtained using purposive sampling method. Data were collected and analyzed for frequency and proportion.Results: Among 97 health care workers, 76 (78.4%) had good knowledge, 16 (16.5%) had sufficient knowledge, and 5 (5.2%) had poor knowledge. Based on intention of PPE usage among health care workers, it was found that 41.2% had positive intention and 58.8% had negative intention.Conclusions: Most of health care workers have good knowledge about TB transmission, however, intentions to use PPE are low. [AMJ.2016;3(1):120–5]DOI: 10.15850/amj.v3n1.713

Barriers to Smoking Cessation among Medical Students 2012–2013 Academic Year in the Faculty of Medicine, Universitas Padjadjaran Reni Yuditha Kathrine; Elsa Pudji Setiawati; Lucky Saputra
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Smoking is one of leading various diseases and even death globally. It is often difficult for smokers to stop smoking, even those who work as a medical professional because there are some barriers around them. The objective of this study was to get an overview of the barriers to smoking cessation among smoker students of Faculty of Medicine, Universitas Padjadjaran.Methods: A descriptive study was carried out to 62 medical students 2012–2013 academic year in the Faculty of Medicine, Universitas Padjadjaran. Before the respondents were selected, a survey using questionnaire was conducted to all medical students from the same academic year to determine their smoking status. A set of questions was developed, consisted of 4 components: physical or social, psychological or emotional, accessibility, and social contextual/life circumstances barriers to smoking cessation. The collected data were analyzed and presented in the form of percentages shown in the tables and figures.Results: The most frequent barriers were from physical or social barriers (friends who smoke, 85%), psychological or emotional barriers (fear of losing enjoyment, 71%), barrier to access (lack of information about the way of smoking cessation, 42%) and social contextual/life circumstances barriers (having other priorities other than to stop smoking, 71%).Conclusions: There are some barriers in medical students smokers make them difficult to stop smoking although they have more knowledge about health and the impact of smoking on health than other people. DOI: 10.15850/amj.v2n3.561

Level of Knowledge about Hypertension in Cilayung Village District Jatinangor, Sumedang Dian Qisthi; Guswan Wiwaha; Abdul Hadi Martakusumah; Elsa Pudji Setiawati
Althea Medical Journal Vol 2, No 1 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Hypertension known as a silent killer because it is often asymptomatic and causes target organ damage. Prevention of hypertension and its complications are pharmacological and non-pharmacological therapy, making holistic knowledge of hypertension is paramount to establish good behavior. This is needed by hypertensive and non-hypertensive individuals. Therefore, the study was conducted to identify any knowledge level differences between hypertensive and non-hypertensive groups. Methods: Respondents were 116 Cilayung residents equally divided in hypertensive and non-hypertensive groups. Respondent’s blood pressure was measured and they completed questionnaires during October 2012. This is an observational analytic cross-sectional study with chi-square test.Results: The respondents’ characteristics in both groups dominated by females, aged 50-59 years, housewives, with elementary school background. Most respondents in both groups had sufficient knowledge about hypertension in general, but for knowledge about risk factors, treatment, and complications were still not enough. The result of the chi-square test was not significant with P=0.676. It was due to distributed health promotion and non-matched respondents’age.Conclusion: There is no difference in level of knowledge about hypertension between both groups in Cilayung.Keywords: Differences, hypertension, level of knowledge DOI: 10.15850/amj.v2n1.449

Incidence of Dengue Hemorrhagic Fever Related to Annual Rainfall, Population Density, Larval Free Index and Prevention Program in Bandung 2008 to 2011 Anggia Karina; Sri Yusnita Irda Sari; Uun Sumardi; Elsa Pudji Setiawati
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Dengue Hemorrhagic Fever (DHF) remains one of health problems in all provinces in Indonesia including West Java. Bandung as the capital of West Java province has dengue prevalence that is above the average prevalence of all provinces. This study aimed to describe the pattern of dengue incidence rate, annual rainfall, population density, and larval free index as well as the implementation of prevention program in sub-districts with the highest incidence rate in Bandung between 2008 and 2011.Methods: A descriptive retrospective study was conducted in September 2012 using secondary data during the period of January 2008 to December 2011. The incidence rate was calculated based on DHF patients who live in Bandung. Data were analyzed using computer and Arc View 3.3. Pattern of incidence rate was characterized with red, yellow, and green region respectively. Results: The highest incidence rate of DHF occurred in 2009. Incidence increased in January to February and declined in the end of the year. Subdistricts with highest incidence had no highest annual rainfall and the population density below the average of population density in Bandung. The highest implementation of fogging program was not only performed in high incidence subdistricts but also in area with larval free index less than 95%. Larval free index in subdistricts with highest incidence were not all below 95%.Conclusions: Incidence of DHF increases after months of highly rainfall. The pattern of incidence rate in all subdistrict is dynamic and suspected do not related to annual rainfall, population density, high larva free index, and frequency of fogging. [AMJ.2015;2(1):262–7]

Knowledge of Personal Hygiene among Food Handlers in Canteen at Faculty of Medicine, Universitas Padjadjaran, October to November 2012 Drasthya Zarisha; Budi Darmawan; Ardini S. Raksanagara; Elsa Pudji Setiawati
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Food borne diseases are caused by contamination of pathogenic microorganism and are still a major health problem throughout the world. There are 1,8 billion cases of diarrhea which mostly were caused by food contamination in 2005. Food handlers are at risk of contaminating microorganism towards food they handle. The process of transmission can be prevented by practicing good hygiene while processing and handling food. The objective of this study was assessing knowledge among food handlers regardingtheir personal and food hygiene at canteen in Faculty of Medicine, Universitas Padjadjaran.Methods: A descriptive study was conducted during the period of October to November 2012 to 14 food handlers in the Canteen at Faculty of Medicine, Universitas Padjadjaran using 26 validated questions divided into 3 major parts, 14 questions for knowledge of hand washing, 9 questions for knowledge of utilization of clean water and 3 questions for knowledge of waste management. The scores were classified as good, moderate, and poor. Data were analyzed using frquency distribution.Results: Majority of the respondents was male and common age group was 20–29 years old. Eight of the respondents were senior high school graduates. Based on working experience, majority of food handlers had been working for one and three years. None of the respondents had good knowledge. Only 12 and 2respondents had moderate and poor knowledge, respectively.Conclusion: None of the respondents had good knowledge regarding hand washing, utilization of clean water and waste management. Therefore, there is a need in providing more education about those aspects.[AMJ.2015;2(1):245–9]

Knowledge and Attitude as Factors Affecting Regularity of Antenatal Care Visits Titania Titania; Elsa Pudji Setiawati; Hadi Susiarno
Althea Medical Journal Vol 5, No 3 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Maternal mortality ratio and infant mortality rate in Indonesia are still high and far from the Millennium Development Goals target. One of the solutions is by making regular antenatal care visits. Factors affecting antenatal care are knowledge and attitude. This study aimed to analyze the influence of knowledge and attitude about antenatal care toward regularity of antenatal care visit.Methods: This analytic study was conducted by using the rapid survey through cross-sectional approach. The study population was pregnant women in Cipacing Village, Jatinangor Sub-district, with 55 samples. Questionnaires were distributed to evaluate the knowledge and attitude, and Kartu Menuju Sehat observation was conducted to investigate antenatal care visit.Results: Out of 55 respondents, 26 had good knowledge, 25 had fair knowledge, and 4 had poor knowledge. Only 13 respondents had a good attitude level, while 42 had fair attitude, and none with poor attitude. As many as 46 respondents did antenatal care visits regularly, while 9 did not. Logistic regression analysis showed that knowledge and attitude had no significant influence towards regularity of antenatal care visit, with influence only approximately 2%. Conclusions: Knowledge, attitude, and regularity of antenatal care among respondents are good enough. Knowledge and attitude are not the dominant factors that affect the regularity of antenatal care visit. Thus a further study is needed to identify the other factors.

Intention for Hepatitis B Vaccination among Male-to-female Transgenders in Bandung Ain Izzati Khiruddin; Irvan Afriandi; Laili Aznur; Elsa Pudji Setiawati
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Hepatitis B is still an alarming global disease nowadays. The majority of transmission is by sexual activity during adulthood and male-to-female transgender is a high risk group. Despite protective vaccine is available, vaccination coverage among these high risk groups remained low. This study aimed to compare the differences in attitude, subjective norms, and perceived behavioral control between the intended group and unintended group for hepatitis B vaccination among male-to-female transgenders in Bandung.Methods: A Cross-sectional study was conducted during September–November 2012 to 100 male-to-female transgenders residing in Bandung. Thirteen Likert scales validated questionnaires were used to compare the attitude, subjective norms and perceived behavioral control by their intention of hepatitis B vaccination (Theory of Plan Behavior/TPB). the respondents were recruited by the help of Srikandi Pasundan, that actively works in the issues of transgender. The inclusion criterias were they regard themselves as waria, consistent as a transgender for at least six months, residing in Bandung, and sexually active within six months. Independent variables consist of demographic characteristics and TPB construct variables. Mann Whitney Test was used to analyze the data.Results: Among 75% of the unvaccinated respondents, majority (70.7%) have the intention to get hepatitis B vaccination. Mann Whitney analysis showed that there is a difference of attitude between the intended group and unintended group for hepatitis B vaccination, while there are no differences by their intention for subjective norms and perceived behavioral control.Conclusion: The attitude influenced vaccination intention among male-to-female transgenders in Bandung. [AMJ.2015;2(1):253–61]

Characteristic and Knowledge among Treatment Supporter of Children Patients with Tuberculosis at Lung Clinic Bandung October–November 2012 Kamelia Utami Suhada; Sri Yusnita Irda Sari; Diah Asri Wulandari; Elsa Pudji Setiawati
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Children are the most vulnerable to get TB infection and infected by adult patients. One of the components of Directly Observed Treatment Short Course (DOTS) is direct observation by treatment supporter who has important role in the success of TB’s treatment. The aim of this study was to identify the characteristics and knowledge among treatment supporter of children patients with TB at Lung Clinic Bandung.Methods: A descriptive study was conducted in October-November 2012 to 96 treatment supporters of child patients who were diagnosed with TB, either new or old cases. They were selected by consecutive sampling at Lung Clinic Bandung. Validated questionnaire with 14 questions was administered. The percentage of the correct answers was categorized as good, moderate, and poor. The Characteristic variables included age, sex, education, occupation, relation with the patients, living at the same house, presence of other TB patients, and counseling given by providers. Data was analyzed using frequency distribution.Result: Most of the respondents were 21-30 years old (42.7%), female (84.4%), elementary school graduate (33.3%), unemployed (69.8 %), mother of the child, living in the same house, had other TB patients, and had received counseling by providers at Lung Clinic. The knowledge about TB among the respondents was moderate (56.3%). The respondents who had good knowledge had underwent the counseling session.Conclusions: The knowledge of the respondents was moderate. Further study on the relationship between the level of knowledge of treatment supporter and the adherence of TB treatment should be conducted. [AMJ.2015;2(1):167–71]

Role of Knowledge and Attitude toward Perilaku Hidup Bersih dan Sehat (PHBS) of Medical Students 2009 Universitas Padjadjaran Sufia Permatasari Syaefullah; Noorman Herryadi; Elsa Pudji Setiawati; Henni Djuhaeni
Althea Medical Journal Vol 1, No 2 (2014)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Perilaku hidup bersih dan sehat (PHBS) is one of the main pillars of preventive measures in Indonesia Sehat and also a strategy to reduce health cost caused by illness based on the desire, willingness, and ability to be able to help themselves in medical aspects. The health provider including a doctor as a community leader should behave toward PHBS which based on adequate knowledge and attitude.Methods: This study have been conducted in February–November 2012 with cross-sectional design of 152 medical students 7th semester admission 2009 Universitas Padjadjaran, using questionnaires. Data were analyzed using chi-square.Results: The number of students with good knowledge and poor knowledge were not different (50.7%vs 40.3%). Most of the respondens attitude are not in accordance with PHBS program(p=0.805).Conclusions: Knowledge of PHBS for all medical students needs to be improved and needs to investigated whether there are other factors which affect student attitudes toward PHBS.Key words: attitude, knowledge, PHBS, student Peranan Pengetahuan dan Sikap Mahasiswa Kedokteran Universitas Padjadjaran Angkatan 2009 terhadap Perilaku Hidup Bersih Dan Sehat (PHBS) AbstrakLatar Belakang: Perilaku Hidup Bersih Dan Sehat (PHBS) merupakan salah satu pilar utama pencegahan dalam program Indonesia Sehat serta strategi untuk mengurangi biaya kesehatan akibat penyakit yang berdasarkan keinginan, kemauan, dan kemampuan untuk membantu diri sendiri dalam aspek medis. Pelayanan kesehatan termasuk dokter sebagai pemimpin kesehatan di masyarakat harus mempunyai sikap dan pengetahuan yang memadai mengenai PHBS.Metode: Penelitian dilakukan pada bulan Februari-November 2012 dengan desain potong lintang terhadap 152 mahasiswa kedokteran angkatan 2009 Universitas Padjadjaran semester 7 dengan menggunakan kuesioner. Data dianalisis menggunakan chi-square.Hasil: Jumlah mahasiswa yang memiliki pengetahuan baik dan pengetahuan kurang tidak jauh berbeda (50,7% vs 40,3%). Sebagian besar responden mempunyai sikap yang tidak sesuai dengan program PHBS (p=0,805).Simpulan: Pengetahuan tentang PHBS bagi semua mahasiswa kedokteran perlu ditingkatkan dan perlu diteliti lebih lanjut mengenai faktor-faktor lain yang memengaruhi sikap mahasiswa terhadap PHBS.Kata kunci: sikap, pengetahuan, PHBS, mahasiswa DOI: 10.15850/amj.v1n2.353

The Role of Socioeconomic Factors Contributed to The Prevalence of Children under Five Years Old with Small Stature in Jatinangor Anggie Indari; Elsa Pudji Setiawati; Rodman Tarigan
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Indonesia is on the fifth in world population for children with small stature. It could affect to their future, so growth disorders should be detected as early as possible. The influence of growth disorders is inseparable from the socioeconomic condition of the family. This study aims to analyze the influence of socioeconomic based on education, occupation and family income towards small stature children under five years old in Jatinangor.Methods: This was a study of analytic cross sectional with multi-stage proportionate consecutive sampling. 110 samples of children under five years of age (12–59months) from 12 villages (6087 children) in Jatinangor sub district were taken on October and November 2012. Their height was measured using a microtoise based on WHO Growth Chart and the socioeconomic status was measured using questionnaire completed by their motherResults: There were 32 children (29,1%) with small stature. The relationship between maternal education with short stature (p=0.310), father’s education with small stature (p=0.368), mother’s occupation with small stature (p=0.774), father’s occupation with small stature (p=0.524) and family income with small stature (p=0.890) after it was examined using chi-squre test were not significant (p>0.05).Conclusion: In Jatinangor, there are still many children with small stature under five years old and the socioeconomic factors do not have any relationship with this condition. [AMJ.2015;2(1):298–303]

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