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All Journal Majalah Kedokteran Bandung Jurnal Kesehatan Masyarakat Althea Medical Journal Jurnal Sistem Kesehatan Sehat Masada
Sharon Gondodiputro
Departemen Ilmu Kesehatan Masyarakat Fakultas Kedokteran Universitas Padjadjaran
Health Professions Medicine & Pharmacology Nursing Public Health

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Gambaran Rencana Masa Depan Pemilihan Bidang Profesi Mahasiswa Fakultas Kedokteran Universitas Padjadjaran Angkatan 2007 Fedrian, Dani; Gondodiputro, Sharon; Dewi, Sari Puspa
Jurnal Sistem Kesehatan Vol 1, No 1 (2015): Volume 1 Nomor 1 September 2015
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (521.593 KB) | DOI: 10.24198/jsk.v1i1.10303

Abstract

Salah satu komponen menjalankan sistem kesehatan nasional secara optimal adalah ketersediaan sumber daya manusia antara lain adalah dokter. Dengan banyaknya pilihan lapangan pekerjaan, menyebabkan tidak semua dokter mau bekerja di sarana pelayanan kesehatan primer. Penelitian ini bertujuan mendapatkan gambaran rencana masa depan pemilihan bidang profesi mahasiswa FK Unpad Angkatan 2007 beserta faktor-faktor yang melatarbelakanginya. Suatu survey deskriptif dilakukan terhadap 182 mahasiswa Program Pendidikan Sarjana Kedokteran FK Unpad Angkatan 2007 dengan menggunakan self-administered questionnaire. Hasil penelitian menunjukkan bahwa sebagian besar (70,3%) responden berencana langsung bekerja setelah lulus dokter, untuk selanjutnya akan melanjutkan pendidikan (96,9%). Mayoritas responden memilih sarana pelayanan kesehatan primer & sekunder (praktik sendiri dan rumah sakit pemerintah) sebagai rencana kerja. Selanjutnya responden yang berencana langsung melanjutkan pendidikan setelah lulus dokter ialah sebanyak 29,7%. Setelah lulus, mayoritas responden memilih sarana pelayanan kesehatan sekunder yaitu praktik sendiri dan rumah sakit swasta. Dosen/Akademisi  menjadi rencana kerja yang paling banyak dipilih pada bidang kerja non klinisi. Karakteristik pribadi yaitu minat, antusias, dan harapan pada bidang profesi merupakan faktor dominan yang melatarbelakangi rencana masa depan dalam pemilihan bidang profesi. Simpulan penelitian ini adalah sebagian besar responden memilih bekerja di sarana pelayanan primer hanya untuk sementara, sehingga akan berdampak terhadap kesinambungan pelaksanaan sistem kesehatan nasional. Untuk itu, sosialisasi akan pentingnya bekerja di sarana pelayanan primer menjadi kewajiban FK.Kata kunci: Klinisi, non klinisi, pemilihan profesi, pendidikan dokter, SDM kesehatan
Keinginan untuk Membayar Pembiayaan Kesehatan Pemerintah Kota pada Masyarakat Mampu di Kota Bandung arisanti, nita; Djuhaeni, Henni; Gondodiputro, Sharon; Setiawati, Elsa Pudji; Wiwaha, Guswan; Arya, Insi Farisa; Rinawan, Fedri
Jurnal Sistem Kesehatan Vol 2, No 4 (2017): Volume 2 Nomor 4 Juni 2017
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (230.16 KB) | DOI: 10.24198/jsk.v2i4.12487

Abstract

Pembiayaan kesehatan diselenggarakan dengan prinsip ekuitas, artinya penduduk yang mampu akan membayar iuran/ premi secara penuh, dan masyarakat miskin dibayarkan oleh pemerintah. Banyak faktor yang memengaruhi keinginan untuk membayar (WTP). Penelitian ini bertujuan mendapatkan gambaran keinginan masyarakat mampu membayar pembiayaan kesehatan dan faktor-faktor yang memengaruhinya. Penelitian kuantitatif dilakukan pada Agustus – September 2011 terhadap 303 kepala keluarga yang tergolong  masyarakat mampu di Kota Bandung. Mampu dalam penelitian ini adalah penduduk tinggal di perumahan elite. Kriteria inklusi yaitu kepala keluarga, memiliti KTP Kota Bandung, bersedia diwawancara. Teknik pemilihan sampel menggunakan cluster sampling, dengan klaster adalah perumahan elit di Kota Bandung. Subjek di tiap klaster ditentukan secara proporsional systematic sampling. Analisis data menggunakan distribusi frekuensi dan regresi logistik. Dari 303 responden, 54,9% yang memiliki asuransi, tidak ingin membayar dan 60% yang belum memiliki, ingin membayar pembiayaan kesehatan Pemkot Bandung. Sebagian besar masyarakat mampu hanya ingin membayar premi kurang dari Rp. 25.000 dengan berharap mendapatkan semua jenis pelayanan kesehatan. Agama dan pendidikan terakhir merupakan faktor yang menentukan secara bermakna keinginan membayar pembiayaan kesehatan. Rendahnya kesadaran responden untuk ikut serta program pembiayaan kesehatan Pemkot Bandung harus dapat diantisipasi pemerintah dengan lebih mendorong masyarakat dari semua golongan status sosial – ekonomi untuk mengikuti program pembiayaan kesehatan.Kata kunci: Keinginan, Kesehatan, Pembiayaan, Masyarakat mampu
Three Years Data of Uterine Fibroids Patient Characteristics at West Java Top Referral Hospital Azzahra, Mutiara; Gondodiputro, Sharon; Amarullah, Mulyanusa
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

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Abstract

Background: Uterine fibroids are the most common benign tumor in female reproductive system and a major cause in declining their quality of live. Patient characteristics has high prevalence in black women, 40s, nulliparous, and early menarche. These characteristics are varied in some areas and considered in treatment decisions. The objectives of this study was to describe the uterine fibroid patient characteristics at Dr. Hasan Sadikin General Hospital, Bandung from 1 January 2013 to 31 December 2015.Methods: A descriptive study was conducted to 255 medical records of patients with uterine fibroids at Dr. Hasan Sadikin General Hosiptal, Bandung from 1 January 2013 to 31 December 2015. This study was conducted from September to November 2016. The variables were the year of treatment, age, education, occupation, married status, menarche, abortion, parity, type of uterine fibroids, and treatment. The collected data were analyzed and presented using frequency tables and percentages.Results: Most cases of uterine fibroids were discovered in 2014. The most characteristics with uterine fibroids were pre-menopausal age (41.18%), high school education (55.69%), housewife (63.14%), normal menarche (54.51%), married (92.16%), nulliparous (47.45%), no abortion (76.47%), multiple uterine fibroids (46.67%), and hysterectomy (58.04%).Conclusions: The most combination of characteristics of patients with uterine fibroids is nulliparrous women in reproductive and pre-menopausal age with normal menarche. 
Handwashing among Schoolchildren in Jatinangor, West Java Faye, Cheryl May Chong Sue; Chrysanti, Chrysanti; Gondodiputro, Sharon
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: Diarrhea and pneumonia accounts for an estimated 40% of all child deaths around the world each year. Handwashing with soap could protect about 1 out of every 3 young children who get sick with diarrhea and almost 1 out of 6 young children with respiratory infections like pneumonia. Although people around the world clean their hands with water, very few use soap to wash their hands. Washing hands with soap removes germs much more effectively. This study was undertaken to determine the level of knowledge and practice regarding proper handwashing among elementary school children.Methods: A descriptive study was conducted from August to October 2014 in Jatinangor using primary data from respondents who are 5th graders from four schools. A total of 49 males and 50 females were chosen using cluster random sampling. Schoolchildren who were present, able and well were given questionnaires after written informed consent was obtained from the schoolchildren and their guardians. Then, respondents demonstrated hand-washing techniques which were evaluated using a checklist.Results: Overall, 52% of the schoolchildren had moderate level of hand washing knowledge and 66% had bad handwashing practices.Conclusions: Despite having a moderate level of handwashing knowledge, the majority still had poor handwashing practices. Handwashing programs should be carried out extensively to improve knowledge and practice.[AMJ.2016;3(2):170–4]DOI: 10.15850/amj.v3n2.795
Perception of Mothers on Adequate Nutrition Valoo, Darshini; Diana, Aly; Gondodiputro, Sharon
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Althea Medical Journal

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Abstract

Background: Malnutrition in children less than 5 years old persists around the world. In West Java and one of the districts of West Java (Sumedang), the prevalence of malnutrition is about 18.5% and 15.8% respectively.  Numerous factors can lead to child malnutrition. Difficulties in availability, accessibility, acceptability and quality of food can be contributing factors. A good perception of mother on adequate nutrition can improve children’s nutritional status. This study was conducted to study the perception of mothers with children 2 to 5 years old on adequate nutrition. Methods: Most of the respondents had good perception on the aspect of adequate nutrition.  Results showed perception on availability was 83.8%, physical accessibility was 97.1%, economical accessibility was 98.6%, information accessibility was 84.8% and acceptability was 81.0%. However, perception of respondents on good quality nutrition for the main meal and additional food was still poor. Moreover, there are taboos for eating shrimp and watermelon. Additionally, children were given snacks in large amount.Results: There was a strong correlation between mid-upper arm muscle area/size and muscular strength (correlation cooefficient 0.746). Moreover, the higher the Body Mass Index, the stronger the muscle strength was to some point. If the BMI was more than 25 kg/m2, this findings did not occurred. Conclusions: This study reveals that the perception of mothers on good quality food is poor regardless the good results on availibility, accesibility and acceptability. [AMJ.2017;4(1):87–93] DOI: 10.15850/amj.v4n1.1027
Suspectable Risk Factors of Congenital Anomaly in Dr. Hasan Sadikin General Hospital Bandung, Indonesia Yudiasari, Pradistya Syifa; Pramatirta, Akhmad Yogi; Gondodiputro, Sharon
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (161.152 KB) | DOI: 10.15850/amj.v4n2.1095

Abstract

Background: Congenital anomaly is a disease of structural or functional alteration since birth. The cause of congenital anomaly is genetic, environtment, and unknown. The cause of congenital anomaly is unknown, made congenital anomaly is difficult to detect. Therefore, the objective of this study was to identify the suspectable risk factors of congenital anomaly.Methods: This was a descriptive study. About 78 samples were taken by purposive sampling from medical records of patients with congenital anomaly in pediatric surgery ambulatory unit at Dr. Hasan Sadikin General Hospital (RSHS), Bandung from September to November 2014. From the selected medical records, an interview was carried out to the parents’ patient to identify some suspectable risk factors. The collected data were analyzed and presented in tables.Results: From 78 medical records,  hirschprung disease was the highest among all type of congenital anomaly (29%). The characteristic of congenital anomaly was mothers in the age of 20–35 years (65%), fathers’ age was  more than 20 years old, family history of congenital anomaly was 1%, there was no history of previous congenital anomaly in previous pregnancy, infection history was 3%, history of medication was 11.5%, mother’s BMI was in normal term (18.5─24.9) as much as 65%, no history of radiation, there was no history of chronic alcohol. History of smoking/passive smoking was high (65%).Conclusions: Hirschprung disease is the highest rate disease in congenital anomaly and smoking is a highest suspectable risk factor contribute to congenital anomaly. DOI: 10.15850/amj.v4n2.1095
Susceptibility to Community Associated Methicillin Resistant Staphylococcus Aureus: A Preliminary Study Xian, Gan Ee; Megantara, Imam; Gondodiputro, Sharon
Althea Medical Journal Vol 5, No 2 (2018)
Publisher : Althea Medical Journal

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Abstract

Background: The Staphylococcus aureus infection is a leading cause of infection around the world. Due to the introduction of antibiotics, a strain called Methicillin-resistant S. aureus (MRSA) has emerged and occured in hospitalized patients worldwide. However around 1990, this infection had been detected among healthy people in the community without previous health care contact, known as community associated MRSA (CA-MRSA). The objectives of this study was to identify the susceptibility to CA-MRSA among people who came to Puskesmas Jatinangor, West Java, Indonesia.Methods: A descriptive study using purposive sampling was carried out from September to October 2014 with data obtained through anterior nasal swab of 65 patients from Puskesmas Jatinangor who fulfilled the exclusion and inclusion criteria. Samples were transported to the microbiology lab of Faculty of Medicine Universitas Padjadjaran and planted on blood agar for culturing, then identified through gram staining, catalase and coagulase tests. Lastly tested for antibiotic resistance and the zone of inhibition measuring ≤21mm were classified as positive MRSA. The collected data were presented using tables.Results: Out of 65 samples that were collected and tested, 17 samples (26%) were Staphylococcus aureus (S. aureus) carriers; 6 samples (9%) were positive with MRSA isolates; 6/17 of the S. aureus are MRSA.Conclusions: People who come to Puskesmas Jatinangor show a significantly high proportion of susceptibility to CA-MRS.
Elderly Profile of Quality of Life Using WHOQOL-BREF Indonesian Version: A Community-Dwelling Hidayati, Aghnia Rizki; Gondodiputro, Sharon; Rahmiati, Lina
Althea Medical Journal Vol 5, No 2 (2018)
Publisher : Althea Medical Journal

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Abstract

Background: Indonesia as one of the developing countries is facing a demographic transition. The proportion of under-five children is decreasing while the proportion of elderly is rising. This situation is followed by the increase of noncommunicable/degenerative diseases. However, this situation is not a constraint for the elderly to have a better life. The WHOQOL Group had developed a questionnaire to measure the elderly’s quality of life. The aim of this study was to describe the quality of life (QoL) of a community-dwelling elderly by using the WHOQOL-BREF questionnaire Indonesian version.Methods: Eighty eight elderly from 6 villages in Jatinangor, West Java, Indonesia were involved in a descriptive study relating to QoL by using the WHOQOL-BREF questionnaire Indonesian version.  The inclusion criteria were men and women, aged ≥60 years, could communicate effectively, and had Mini Mental State Examination score ≥>23. The variables in the study were physical, psychological, social and environmental domains and facets in the QoL questionnaire. The collected data in the study were analyzed using the central tendency items.Results: Most respondents had low QoL scores (≤60). This study discovered that some facets of every domain in the WHOQOL-BREF had low scores, namely adequate energy, ability to perform daily living activities, satisfaction with work capacity, ability to concentrate, acceptance of physical appearance, satisfaction of sex life, financial fulfillment, availibility of information, opportunity for leisure activities and transport.Conclusions: Most of the elderly have low QoL scores in some facets of every domain in the WHOQOL-BREF questionnaire.  
EFEK OLIVE OIL DAN VIRGIN COCONUT OIL TERHADAP STRIAE GRAVIDARUM Pratami, Evi; Permadi, Wiryawan; Gondodiputro, Sharon
Majalah Kedokteran Bandung Vol 46, No 1 (2014)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1278.362 KB) | DOI: 10.15395/mkb.%v46n1.%220

Abstract

Prevalensi striae gravidarum (SG) pada ibu hamil berkisar 50% sampai 90%. Efek SG menyebabkan rasa gatal, panas, dan kering serta gangguan emosional sehingga menimbulkan masalah kosmetik pada sebagian besar ibu. Saat ini banyak ibu hamil menggunakan olive oil untuk mencegah SG, namun minyak ini relatif sukar didapat dan harganya mahal. Di Indonesia dikenal minyak lain yaitu virgin coconut oil (VCO) yang memiliki kandungan efektif untuk menjaga elastisitas kulit, minyak ini mudah didapat dan murah. Penelitian ini bertujuan menganalisis perbedaan dan korelasi efek olive oil dan VCO terhadap SG. Penelitian ini dilaksanakan pada bulan Maret?Juli 2012. Rancangan penelitian ini merupakan penelitian klinis melalui pendekatan eksperimental. Subjek penelitian adalah 80 ibu hamil di wilayah Dinas Kesehatan Kota Surabaya dan dikelompokkan menjadi 2 kelompok dengan menggunakan random permuted blocks. Hasil penelitian menunjukkan tidak terdapat perbedaan SG berdasarkan jumlah garis dan tingkat eritema antara kelompok yang menggunakan olive oil dan VCO (p=0,156 dan 1,00). Selanjutnya terdapat korelasi kuat antara kelompok olive oil dan VCO dengan jumlah garis (r=-0,576 dan -0,560) dan tingkat eritema (r=-0,699 dan -0,586). Simpulan, tidak ada perbedaan efek olive oil dengan VCO terhadap SG. [MKB. 2014;46(1):1?5]Kata kunci: Olive oil, striae gravidarum, virgin coconut oilEffects of Olive Oil and Virgin Coconut Oil against Striae GravidarumThe prevalence of striae gravidarum (SG) in pregnant women ranges from 50% to 90%. Effects of SG include itchy and hot feeling as well as dry skin. This situation also causes emotional disturbances that poses a cosmetic problem for most pregnant women. Nowadays, many pregnant women use olive oil to prevent SG, but it is relatively difficult to find and costly. In Indonesia, a similar oil, virgin coconut oil (VCO), has been used by many pregnant women for the same reason. The aim of this study was to analyze the differences and correlation between effects of olive oil and VCO against SG. The study was conducted in March?July 2012. An experimental study was performed on 80 pregnant women in Surabaya Municipality and they were divided into 2 groups using random permuted blocks. The results of this study showed that there was no difference in SG appearance based on the number of lines and levels of erythema between groups (p=0.156 and 1.00). Furthermore, there was a strong negative correlation between the effect of olive oil or VCO on the number of lines (r=-0.576 and -0.560) and the level of erythema (r=-0.699 and -0.586). In conclusion, there is no difference in the effect of olive oil and VCO against SG. [MKB. 2014;46(1):1?5]Key words: Olive oil, striae gravidarum, virgin coconut oil DOI: 10.15395/mkb.v46n1.220
Motivasi Kader Meningkatkan Keberhasilan Kegiatan Posyandu Djuhaeni, Henni; Gondodiputro, Sharon; Suparman, Rossi
Majalah Kedokteran Bandung Vol 42, No 4
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Abstract

Salah satu komponen sistem kesehatan di Indonesia adalah pemberdayaan masyarakat, khususnya posyandu yang keberhasilan kegiatannya bergantung pada peran serta kader dan masyarakat. Peran serta kader dan masyarakat sangat dipengaruhi oleh faktor motivasi yang mereka miliki. Penelitian ini bertujuan untuk menganalisis pengaruh serta faktor motivasi yang paling berpengaruh terhadap peran serta kader dan masyarakat dalam kegiatan posyandu di Kabupaten Kuningan selama tahun 2009. Metode penelitian cross sectional explanatory survey dengan menggunakan kuesioner. Total sampel sebanyak 300 responden, terdiri dari masing-masing 100 orang untuk kader aktif dan tidak aktif yang diambil secara multistage sampling serta 100 orang masyarakat sebagai kontrol diambil secara purposive sampling. Motivasi internal dan eksternal sebagai variabel independen dan partisipasi kader/masyarakat sebagai variabel dependen, kemudian dianalisis menggunakan teknik structural equation modeling (SEM). Hasil penelitian memperlihatkan bahwa faktor motivasi berpengaruh terhadap peran serta kader dan masyarakat dalam posyandu. Meskipun demikian terdapat berbagai variasi pengaruh, pada kader aktif motivasi eksternal lebih berpengaruh (p=0,97) dibandingkan dengan motivasi internal (p=-0,41). Pada kader tidak aktif terjadi hal sebaliknya, sedangkan pada masyarakat, kedua faktor motivasi menunjukkan pengaruh yang tidak bermakna. Simpulan, pengaruh dan perbedaan pengaruh motivasi terhadap peran serta kader dan masyarakat menentukan keberhasilan kegiatan posyandu. [MKB. 2010;42(4):140–8].Cadres Motivation as the Drive for the Success of PosyanduOne of the most important component of the health system in Indonesia is community empowerment, especially posyandu, which depends on their cadres and the community. It was hypothetically assumed that motivation will increase the participation for both cadres and community in the posyandu. The study aims were to analyze the effect of motivation and also determine which motivation factors that had the most influence towards participation in Kuningan district during 2009. The method adapted cross sectional explanatory survey using questionnaire. A total of 300 respondents were carried out, consisting 100 respondents each taken from active and inactive cadres (multistage sampling) and other 100 taken from the community (purposive sampling). Independent variables (internal and external motivation) and dependent variables (community participation) were mentioned and analyzed using structural equation modeling (SEM) technique. The results showed that motivation were actually had influence towards participations for both cadres and community in posyandu. However, the effect varies between groups. On active cadres, external motivation had more influence (p=0.97) compared to internal motivation (p=-0.41). The exact opposite happened in inactive cadres (internal more than external) and community. It can be concluded that cadres motivation is important as the drive for the success of posyandu. [MKB. 2010;42(4):140–8]. DOI: http://dx.doi.org/10.15395/mkb.v42n4.26
Co-Authors Akhmad Yogi Pramatirta, Akhmad Yogi Aly Diana Amarullah, Mulyanusa Amelia, Indah Anggraini Widjajakusuma, Anggraini Ardini Saptaningsih Raksanagara, Ardini Saptaningsih Azzahra, Mutiara Bangun, Binar Cinta Kristialzy Budi Sujatmiko Chrysanti Chrysanti Dani Fedrian, Dani Deni Kurniadi Sunjaya Elsa Pudji Setiawati Elsa Pudji Setiawati, Elsa Evi Pratami Faye, Cheryl May Chong Sue Fedri Rinawan, Fedri Ferdian, Dani Guswan Wiwaha Henni Djuhaeni Hidayati, Aghnia Rizki Imam Megantara Indah Amalia, Indah Insi Farisa Arya, Insi Farisa K. Sunjaya, Deni Kusumawardana, Ramza Aurum Kuswandewi Mutyara, Kuswandewi Meita Dhamayanti Mulya Nurmansyah Ardisasmita Nita Arisanti Rahmiati, Lina Rossi Suparman Ruhiyat, Yayat Safnul, Farhan Bariq Santi Andayani Sari Puspa Dewi Sekar Ayu Paramita, Sekar Ayu Tursini, Weni Valoo, Darshini Wa Indhillah, Putri Asyri Wijaya, Dhandi Wiryawan Permadi Xian, Gan Ee Yudiasari, Pradistya Syifa