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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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POLA PEMBERIAN ASI DAN DIARE PADA ANAK USIA 6–24 BULAN Wijaya, Dhandi; Dhamayanti, Meita; Gondodiputro, Sharon
Majalah Kedokteran Bandung Vol 49, No 3 (2017)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (62.172 KB) | DOI: 10.15395/mkb.v49n3.1118

Abstract

Diare merupakan salah satu penyebab utama kematian anak secara global. Air susu ibu (ASI) diketahui dapat mencegah diare pada anak sehingga World Health Organization merekomendasikan pemberian ASI eksklusif untuk seluruh bayi. Namun, cakupan ASI eksklusif di Indonesia masih rendah sehingga risiko diare pada anak masih tinggi. Penelitian ini bertujuan menilai hubungan pola pemberian ASI dan  diare pada anak usia 6?24 bulan. Penelitian observasional dengan studi potong lintang ini dilakukan tanggal 20 Januari?31 Januari 2017. pada 160 ibu dengan anak usia 6?24 bulan yang mendapat ASI yang datang ke posyandu di Puskesmas Talang Ubi, Kabupaten Penukal Abab Lematang Ilir. yang buka selama penelitian dilakukan, lahir tunggal, aterm, berat badan lahir ?2.500 gram, gizi baik, tidak menderita kelainan kongenital. Data dikumpulkan menggunakan kuesioner untuk mengetahui pola pemberian ASI dan MP ASI serta prevalensi, periode, dan lama diare dalam tiga bulan terakhir. Data dianalisis dengan uji kai-kuadrat, Fisher eksak, Mann-Whitney U, Kruskal-Wallis, ANOVA, serta uji normalitas Kolmogorov Smirnov. Penelitian ini mendapatkan hubungan waktu inisiasi pemberian ASI, ASI eksklusif, lama pemberian ASI, serta frekuensi dan lamanya menyusui dengan prevalensi dan lama diare (p<0,05), tetapi tidak mendapatkan hubungan waktu inisiasi pemberian ASI, pemberian ASI eksklusif, lama pemberian ASI, frekuensi pemberian ASI, dan lama menyusui dengan frekuensi diare (p>0,05). Dapat disimpulkan bahwa pola pemberian ASI dapat menurunkan prevalensi dan mempersingkat lama diare pada anak usia 6?24 bulan. [MKB. 2017;49(3):165?71]Kata kunci: ASI, ASI eksklusif, diare, MP ASI  Breastfeeding Pattern and Diarrhea in Children Aged 6?24 MonthsDiarrhea is one of the leading causes of global childhood mortality. Breast milk was known to have a protective role against childhood diarrhea that the World Health Organization (WHO) recommendeds exclusive breastfeeding for all infants. However, the coverage of exclusive breastfeeding in Indonesia is still small, leading to a higher risk of childhood diarrhea. The aim of this study was to assess the correlation between breastfeeding pattern,  complementary feeding,  prevalence, frequency, and diarrhea duration in children aged 6?24 months. This observational cross-sectional study was conducted in the period of 20 January?31 January 2017 on 160 mothers who brestfed their child who was, at the time of the study, 6?24 months old. These were children who visited the Posyandu (Integrated Health Post) of Talang Ubi Public Health Center (Puskesmas Talang Ubi), Penukal Abab Lematang Ilir district at the time of the study, singleton, full term, birth weight ?2,500 grams, well-nourished, and did not have any congenital abnormalities. Data were obtained through questionnaires that collected  information on breastfeeding pattern, complementary feeding, and the prevalence, frequency, and diarrhea duration in the last three months . Data were statistically analyzed using chi-square, Fisher?s exact, Mann-Whitney U, Kruskal-Wallis, and ANOVA tests as well as   Kolmogorov Smirnov normality test. This study found the correlation between breastfeeding initiation, exclusive breastfeeding, breastfeeding duration, frequency and duration of lactation, with the prevalence and diarrhea duration (p<0.05), but did not find the correlation between breastfeeding initiation, exclusive breastfeeding, breastfeeding duration, frequency and duration of lactation with diarrhea frequency (p>0,05). Therefore, this study concludes that the pattern of breastfeeding reduces the prevalence of diarrhea and shortens diarrhea duration in children aged 6?24 months. [MKB. 2017;49(3):165?71]Key words: Breastfeeding, complementary feeding, diarrhea, exclusive breastfeeding
Penggunaan Genogram dalam Deteksi Dini Faktor Risiko Penyakit Degeneratif dan Keganasan di Masyarakat Arisanti, Nita; Gondodiputro, Sharon; Djuhaeni, Henni
Majalah Kedokteran Bandung Vol 48, No 2 (2016)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (440.581 KB) | DOI: 10.15395/mkb.v48n2.452

Abstract

Penyakit tidak menular (PTM) dapat dimulai sejak usia produktif. Umumnya masyarakat baru memeriksakan diri setelah timbul gejala, padahal deteksi dini penyakit penting dilakukan. Sebagian penyakit bersifat familial atau diturunkan yang dapat dideteksi dini dengan menggali riwayat penyakit individu dan keluarga. Genogram merupakan salah satu alat untuk menggali faktor risiko dalam keluarga. Tujuan penelitian ini adalah mengetahui sejauh mana fungsi genogram dalam mendeteksi dini faktor risiko penyakit keganasan dan degeneratif. Penelitian kuantitatif dilakukan terhadap 231 pasien di puskesmas se-Kota Bandung. Kriteria inklusi adalah pengunjung puskesmas, berusia 18 tahun ke atas, kooperatif, dan bersedia diwawancara. Teknik pemilihan sampel menggunakan cluster sampling. Pengambilan data menggunakan kuesioner genogram yang mencatat faktor risiko PTM dari 3 generasi. Dilakukan analisis genogram dan disajikan dalam tabel distribusi frekuensi. Penelitian ini dilakukan pada bulan Agustus–September 2013. Hasil penelitian menunjukkan, sebanyak 183 dari 231 responden mempunyai faktor risiko penyakit degeneratif dan keganasan yang tergambar dari genogram. Dari riwayat keluarga, penyakit terbanyak adalah hipertensi dan penyakit jantung yang didapatkan dari generasi bapak. Penelitian ini memperkuat penelitian mengenai fungsi genogram yang efektif untuk mendeteksi secara cepat faktor risiko penyakit degeneratif dan keganasan pada individu dan keluarga. [MKB. 2016;48(2):118–22]Kata kunci: Degeneratif, deteksi dini, faktor risiko, genogram, keganasan Genogram as An Early Detection Method for the Risk Factors of Degenerative Diseases and Malignanciesy in the CommunityNon-communicable diseases (NCDs) can be found at young age and the people are not aware about the diseases. People seek medical care after symptoms occurred. Most of NCDs are familial or hereditaryy; hence, require family explorationin the detection that should be detected by exploring family history. Genogram is tool for describing multigenerational risks. The purpose of this study was to determine the functions of genogram in the early detection of risk factors for degenerative diseases and malignanciesy. A quantitative study was conducted on 231 patients who visited primary health centers (Puskesmas) in Bandung with the inclusion criteria were of patients at visited the selected Puskesmas, aged 18 years, and more, cooperative, and willing to be interviewed. Sampling technique used was cluster sampling. Data collecting were performed using questionnaires that recorded genogram and risk factors from three previous generations of the family. Interpretation of genogram was used to analyze the risk factors. This study was conducted from August to September 2013. The results showed that 183 of 231 respondents have risk factors for degenerative diseases and malignancies, which was reflected from the family genogram. Based on family history, most of respondents had have risk factors for hypertension and heart disease, specifically obtainedespecially from the father’s side.  from father’s generation. This research study confirms the results of previous research studystudies that the on the function of genogram that is effectiveo for in detecting the risk factors for degenerative diseases and malignancies in individuals and families in the community. [MKB. 2016;48(2):118–22]Key words: Degenerative diseases, early detection, genogram, malignancy, risk factors 
Public Health Orientation Program (PHOP): Persepsi Dokter Internship Fakultas Kedokteran Universitas Padjadjaran Gondodiputro, Sharon; Paramita, Sekar Ayu; Amalia, Indah; Djuhaeni, Henni
Majalah Kedokteran Bandung Vol 47, No 2 (2015)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (225.602 KB)

Abstract

Perubahan paradigma sakit menjadi sehat, kuratif menjadi preventif dan berbasis komunitas menempatkan ilmu kesehatan masyarakat yang dikemas dalam Public Health Oriented Program (PHOP) sebagai materi yang sangat penting di Fakultas Kedokteran Unpad. Persepsi mahasiswa mengenai materi dalam kurikulum pendidikan dapat menggambarkan bagaimana efektivitas kurikulum tersebut. Atas dasar tersebut maka dilakukan penelitian tentang persepsi dokter internship FK Unpad mengenai manfaat PHOP pada saat mereka menjalankan internship. Penelitian deskriptif dilakukan terhadap 97 dokter Fakultas Kedokteran Unpad kelas reguler Angkatan 2007 dan 2008 (respons rate 74,2%), telah atau sedang melakukan program internship periode Juli–November 2014. Kuesioner yang telah diuji coba dan divalidasi, berisi 52 pertanyaan skala Likert, dikelompokkan menjadi 4 kelompok serta, disebarkan kepada responden menggunakan Research Electronic Data Capture (REDCap). Pengambilan sampel menggunakan consecutive sampling. Data diolah menggunakan distribusi frekuensi dan narasi. Hasil penelitian menunjukkan sebagian besar responden menyatakan bahwa materi-materi yang terdapat di PHOP bermanfaat pada waktu internship, namun  beberapa topik kurang aplikatif, peranan mereka sebagai dokter fungsional, tidak diberi kesempatan untuk melakukan fungsi manajemen, preventif dan promotif di masyarakat. Dari hasil ini dapat disimpulkan, perlu ada penyesuaian materi lebih aplikatif, laboratorium khusus untuk PHOP, mendatangkan expert dari lapangan dan  wahana intership melibatkan dokter dalam bidang manajemen, preventif dan promotif di masyarakat. [MKB. 2015;47(2):115–23] Kata kunci: Internship, persepsi, Public Health Oriented Program (PHOP)Public Health Orientation Program (PHOP): Perception of Medical Doctor Internship Program Participants at the Faculty of Medicine, Universitas PadjadjaranAbstractThe shift  from disease paradigm to healthy paradigm, from curative to preventive and community-based medical education has positioned the Public Health Oriented Program (PHOP) as a very important program of the Faculty of Medicine, Universitas Padjadjaran. Students’ perception of  the educational curriculum materials can describe the effectiveness of the curriculum. Based on this situation, the aim of this study was to describe the perception of doctors who participated in the internship program of the Faculty of Medicine, Universitas Padjadjaran on the benefits of PHOP. A descriptive study was carried out on 97 doctors of the Faculty of Medicine class 2007 and 2008 (response rate 74.2%) who had been and was involved in the internship program as participants. A validated questionnaire was used, containing 52 questions in Likert scale, divided into 4 groups of questions that was distributed to the respondents using Redcap (Research Electronic Data Capture). A consecutive sampling was used. The data was analyzed using frequency distribution and narratives.The results showed that most of the respondents stated that the materials in PHOP were very useful  during internship but some topics were  less applicable because the main role they played during internship was the role of a clinician and they were not given the opportunity to perform management, preventive and promotive functions in the community. From these results it can be concluded that there are needs for material adjustment towards more applicable, special laboratory activities for PHOP, inviting public health practitioners/experts to give lecture, and creating opportunities for the students to apply management, preventive and promotive actions during internship. [MKB. 2015;47(2):115–23]Key words: Internship, perception, Public Health Oriented Program (PHOP) DOI: 10.15395/mkb.v47n2.570
Insomnia and Quality of Life in The Elderly: WHOQOL-BREF and WHOQOL-OLD Indonesian Version Bangun, Binar Cinta Kristialzy; Gondodiputro, Sharon; Andayani, Santi
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 2 (2020)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v16i2.22895

Abstract

In Indonesia, the elderly are someone who has reached the age of 60 years old and over. Along with the aging, there will be changes in sleep pattern and awakening process so that insomnia will appear. Insomnia can cause decrease in quality of life. The aim of this study was to analyze the relationship between insomnia and quality of life in elderly which measured by WHOQOL-BREF and WHOQOL-OLD Indonesian version. The quantitative analytical cross-sectional study had been carried out to 60 elderly from 6 public health centers (puskesmas) in Bandung City, West Java, Indonesia. This study was conducted from August to November 2019. Insomnia was measured by Insomnia Severity Index and quality of life was measured by WHOQOL-BREF and WHOQOL-OLD Indonesian version. The Spearman correlation test was used for data analysis. This study discovered that the proportion of insomnia in the elderly  was 36,7%(95%ci:24.5%-48.9%).the correlation coefficient between insomnia and quality of life was -0,386 (WHOQOL-BREF) and -0,302 (WHOQOL-OLD). It can be concluded that the proportion of insomnia in the elderly is high and  there is a correlation between insomnia and quality of life even though the correlation is weak.
Analisis Waktu Tunggu Dan Waktu Pelayanan Pendaftaran Di Rumah Sakit Umum Daerah Kota Bandung Tursini, Weni; Pudji Setiawati, Elsa; Ferdian, Dani; Gondodiputro, Sharon; Wiwaha, Guswan; K. Sunjaya, Deni
Sehat MasadaJurnal Vol 16 No 1 (2022): Sehat Masada Journal
Publisher : stikes dharma husada bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38037/jsm.v16i1.287

Abstract

Kepuasan pasien merupakan sarana penting untuk mengukur kualitas pelayanan kesehatan suatu penyedia pelayanan kesehatan. Waktu menunggu untuk sebuah pelayanan dianggap sebagai masalah serius dalam banyak sistem perawatan kesehatan karena merupakan hambatan untuk menciptakan pelayanan kepada pasien secara efektif dan efisien. Waktu pelayanan merupakan salah satu komponen yang potensial menyebabkan ketidakpuasan pada pasien di rumah sakit.. Tujuan penelitian yaitu untuk mengetahui gambaran waktu pelayanan dan waktu tunggu pendaftaran dan mengeksplorasi pelayanan pendaftaran di RSUD Kota Bandung melalui pendekatan aspek input dan aspek proses menggunakan teori Donabedian dan untuk mengetahui waktu mana yang berpotensi menyebabkan ketidakpuasan pada pasien serta menganalisis faktor penyebab ketidakpuasan terhadap waktu tunggu dan waktu pelayanan di pendaftaran di RSUD Kota Bandung. Penelitian ini menggunakan desain penelitian mixed methode dengan stategi embedded concurrent. Hasil penelitian menunjukkan waktu yang berpotensi menyebabkan ketidakpuasan pasien adalah waktu tunggu. Faktor penyebab lamanya waktu tunggu pelayanan adalah sosialisasi yang belum menyeluruh. Dari segi SDM untuk petugas masih kurang, baik di loket pendaftaran ataupun petugas SIM RS, sikap petugas masih kurang komunikatif, pemanfaatan teknologi berupa koneksi internet masih belum optimal.
Relationship between Clean, Healthy Living Behaviour, and COVID-19 Infection at the Parigi Public Health Center, West Java, Indonesia Wa Indhillah, Putri Asyri; Raksanagara, Ardini Saptaningsih; Gondodiputro, Sharon
Althea Medical Journal Vol 10, No 2 (2023)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v10n2.2715

Abstract

Background: Coronavirus Disease 2019 (COVID-19) is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). One form of prevention is implementing Clean and Healthy Living Behaviour (Perilaku Hidup Bersih dan Sehat, PHBS) at the household level. This study aimed to analyze the association between PHBS at the household level and COVID-19 cases at the Parigi Public Health Center, West Java, Indonesia.Methods: This was an unmatched case control study carried out in September–October 2021 with respondents from Parigi Public Health Center, Pangandaran Regency, involving 63 people for each case and control group. Sampling was conducted by the non-probability method. Data were collected using a checklist to measure the implementation of PHBS at the household level. Data were analyzed by statistical analysis, using the Chi-square or Fisher Exact test and Odds Ratio.Results: There was no statistically significant difference between the implementation of PHBS at the household level and the incidence of COVID-19 (p=0.668).Conclusions: The implementation of PHBS at the household level is not related to the incidence of COVID-19. Further studies are needed with  larger population, looking for causal relationship, and controlling for confounding variables.
Patient Satisfaction with National Health Insurance and Public Health Center Accreditation: Lessons Learnt from Majalengka Regency, Indonesia Ruhiyat, Yayat; Sunjaya, Deni Kurniadi; Gondodiputro, Sharon; Mutyara, Kuswandewi; Sujatmiko, Budi; Arisanti, Nita
Althea Medical Journal Vol 10, No 4 (2023)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v10n4.2743

Abstract

Background: Perceptions of patient satisfaction influence the quality of the public health center (Pusat Kesehatan Masyarakat, Puskesmas) services. This study aimed to determine the differences in the level of patient satisfaction with national health insurance and the accreditation status of Puskesmas.Methods: This quantitative analytical study using a cross-sectional method was conducted at four Puskesmas in Majalengka Regency from October to November 2021 using a purposive sampling technique. The instrument used was the community satisfaction instrument (IKM-29) questionnaire , with the variable measured being the level of satisfaction. Data was transformed into numerical form using Rasch modelling and analyzed using the Chi-Square, independent-t, and one-way ANOVA tests.Results: A total of 273 respondents consisted of insured (Jaminan Kesehatan Nasional, JKN) and non-insured (non-JKN) respondents, resulting in the satisfaction mean value between JKN and non-JKN patients of 2.50 and 2.51 (p-value= 0.926). Satisfaction at Puskesmas levels 1 (Dasar), 2 (Madya), 3 (Utama), and 4 (Paripurna) was 2.15, 2.23, 2.56, 3.03, respectively (p-value = 0.002), indicating an increase in the level of satisfaction at the Puskesmas accreditation level.Conclusion: There is no difference in satisfaction between respondents using JKN and non-JKN. However, there is an increase in satisfaction related to the Puskesmas accreditation level. It is recommended for each Puskesmas to maintain the same service to all patients and improve the quality of service, especially in service dimensions that are considered inferior. Additionally, it is necessary to review the minimum standard value for accreditation programs.
Patients Satisfaction with the Chronic Disease Management Program in Indonesia Using the Importance-Performance Matrix Kusumawardana, Ramza Aurum; Sunjaya, Deni Kurniadi; Gondodiputro, Sharon; Raksanagara, Ardini Saptaningsih; Ardisasmita, Mulya Nurmansyah; Widjajakusuma, Anggraini
Althea Medical Journal Vol 11, No 1 (2024)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v11n1.2780

Abstract

Background: Indonesia still has a high prevalence of hypertension and diabetes mellitus. On the other hand, essential health services were disrupted during the COVID-19 pandemic. Hence, the quality of service still needs to be prioritized. The government also obliges the government-owned primary healthcare facilities (Pusat Kesehatan Masyarakat, Puskesmas) to conduct customer satisfaction surveys to evaluate service quality. This study was conducted to analyze patients’ satisfaction with the chronic disease management program (Program Pengelolaan Penyakit Kronis, Prolanis) provided by Puskesmas in Bogor City.Methods: Quantitative research with a survey approach using the CSI-29 questionnaire was conducted from October to November 2021 on 104 Prolanis participants from 6 Puskesmas in Bogor City, West Java, Indonesia. The variables were 9 dimensions of satisfaction based on the CSI-29 questionnaire. Data was transformed using the Rasch model and analyzed using the Importance-Performance Matrix (IPM).Results: Of the 104 participants, there were 78 (75%) were satisfied with the Prolanis services provided by the Puskesmas. The IPM analysis showed that the dimensions of requirements, procedures, costs, type of service products, and attitudes of health workers had low expectations and perceived performance level.Conclusions: Most of the Prolanis participants were satisfied with the Prolanis services provided by the Puskesmas in Bogor City.
Home Environmental Hazard as Extrinsic Factors For Falls Among Community-Dwelling Elderly Gondodiputro, Sharon; Safnul, Farhan Bariq; Amelia, Indah
Majalah Kedokteran Bandung Vol 57, No 3 (2025)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v57.4361

Abstract

Falls among the elderly are a major concern in both clinical practice and public health. Studies have shown that falls occur more frequently at home than outside home.This study aimed to identify the areas and types of home environmental hazards present in the residences elderly individuals. A quantitative descriptive study was conducted from April to May 2024 accross six primary healthcare centers in Bandung, West Java, Indonesia, selected from having the highest number of elderly patients. A total of 100 elderly respondents were recruited using a multistage purposive convenience sampling method. Data collection was carried out using an instrument consisting of two parts: the first part focused on respondent characteristics and the second part on home environmental hazards.The study variables were respondent characteristics and environmental hazards in the terrace, living room, stairs, bedroom, bathroom, kitchen, and garage. Data were analyzed using Microsoft Excel software and presented in tabular form. Results showed that all areas of the home posed potential hazards, with the presence of scattered items on the floor as the commonly identified risk. In specific areas such as the kitchen, high shelves were found, and in the bathroom, there were slippery floors, squat toilets, absence of handrails, and inward-opening bathroom door. Home can be a source of environmental hazards that increase the fall risk among the elderly. It is essential to provide the elderly with adequate information on these risk to encourage preventive actions and, where necessary, home modifications that improve safety and reduce the risk of falls.
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