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All Journal International Journal of Public Health Science (IJPHS) PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Ners Jurnal Penelitian Pendidikan, Psikologi Dan Kesehatan (J-P3K) Jurnal Kesehatan Tambusai Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Journal of Social Research Makara Journal of Health Research Eduvest - Journal of Universal Studies Jurnal Farmasi Indonesia Jurnal ARSI : Administrasi Rumah Sakit Indonesia Journal of Indonesian Health Policy and Administration Jurnal Ekonomi Kesehatan Indonesia Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Purnawan Junadi
Departemen Administrasi Kebijakan Kesehatan Fakultas Kesehatan Masyarakat Universitas Indonesia
Aerospace Engineering Humanities Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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Socio-Economics of Childhood Pulmonary Tuberculosis with Adult Tuberculosis Household Contacts in Daerah Istimewa Yogyakarta Province Asyary, Al; Junadi, Purnawan; Purwantyastuti, Purwantyastuti; Eryando, Tris
Makara Journal of Health Research Vol. 21, No. 3
Publisher : UI Scholars Hub

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Abstract

Background: Since the tuberculosis (TB) disease in children constitutes a global health problem that has long been neglected, this study sought to predict socioeconomic factors as public-health determinants that could protect children who were exposed to TB in their household. Method: A case-control study of 132 children (under 14 years old) who shared their household with adults suffering from pulmonary TB was conducted in the Province of Daerah Istimewa Yogyakarta. This study consisted of an interview and anthropometry measurement for the controls screening test, while the cases were monitored by pediatricians with a scoring system childhood TB diagnosis from the secondary hospital database. A multiple logistic regression was used to analyze the results. Results: A healthy housing condition, predicted by a naturally illuminated luminary bedroom prevented the incidence of the childhood TB disease (p = 0.043) even if exposed to adult TB in their environment (p = 0.775). Conclusions: Healthy housing factors with good sunlight protected children especially at the early stage, when there were active pulmonary TB adult household contacts. Ventilation and morning sunlight facilitated air circulation, vitality and the body’s immune system towards TB protection.
Study on Public Health Financing in Pidie Jaya District in 2013 Hasnur, Hanifah; Junadi, Purnawan
Journal of Indonesian Health Policy and Administration Vol. 1, No. 2
Publisher : UI Scholars Hub

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Albeit high dependency on central government transfer (around 69% of total health expenditure), funding from local PAD has been increasing. The revenue shall support priority health programs. This study aims to analyze local health financing system and as input for health program planning. Health financing portrait how fund being spent, and identfying who the agents are as well as the beneficiaries. The study shows spending on health from local budget is Rp130,000. Expenditures on operational costs for direct activities and community-based health efforts or Upaya Kesehatan Masyarakat (UKM) are still low (41%). Puskesmas needs to do more health-related activities for babies and under-five children, and spending on under-five children activities were inexist. Performance-based budgeting at District Health Office (DHO) has not been implemented yet and poor performance of activities was due to very limited budget for conducting activities. Therefore, future planning for budgeting should consider (1) annual increase of locally derived revenue and excess fund or SILPA to improve financing of priority health programs; (2) local budget managed by DHO to be used for scaling up UKM and General Hospital uses funding managed by National Health Insurance Agency or Badan Penyelenggara Jaminan Sosial (BPJS) to provide quality personal care efforts or Upaya Kesehatan Perorangan (UKP), (3) financing of activities targeting babies and under-five children at Puskesmas should be improved; (4) one way of having performance-based budgeting at DHO is by full provision of operational costs for its direct activities.
USER PERCEPTIONS OF THE QUALITY OF THE PEDULILINDUNGI APPLICATION BASED ON THE DIMENSIONS OF ELECTRONIC SERVICE QUALITY (E-SERVICE QUALITY) DURING THE COVID-19 PANDEMIC Bianca, Gabriela; Sari, Kurnia; Junadi, Purnawan
Journal of Indonesian Health Policy and Administration Vol. 8, No. 1
Publisher : UI Scholars Hub

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The use of a contact tracing application is one of the efforts made to overcome the global COVID-19 pandemic with an increasing number of cases. The contact tracing application used in Indonesia is PeduliLindungi which is one of the requirements for accessing public areas, which was initially applied to the Java-Bali region. However, in its use, there are still challenges that affect the quality of electronic services. This study aims to analyze user perceptions of the service quality of the PeduliLindungi application based on the E-Servqual dimension. The method used is observational with a quantitative approach using a cross-sectional design. The results showed that overall, the user's perception of the quality of the PeduliLindungi application was good with positive ratings on the service quality dimensions of the PeduliLindungi application. The dimensions that have a significant relationship to the user's perception of the quality of the PeduliLindungi (ESQ) application are the dimension of user experience (EXP) and user trust (TRU). The dimension of reliability (REL), responsiveness (RES), ease of use (EOU), privacy (PRI), system availability (SA), application design (WD), and information quality (IQ) do not have a significant relationship to user perceptions of the quality of the PeduliLindungi (ESQ) application. Suggestions that can be given are to improve and improve the system and technical functions and improve security for user data.
Risk factors and trends analysis of unwanted pregnancy in Indonesia supriyadi, Supriyadi; Eryando, Tris; Junadi, Purnawan
International Journal of Public Health Science (IJPHS) Vol 13, No 4: December 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i4.23702

Abstract

Unwanted pregnancy has serious and adverse health, social, and economic impacts, as well as the risk of maternal and child mortality. In Indonesia, unwanted pregnancy is one of the most troubling public health problems and a major reproductive health problem. The sample consisted of 2002 (12,612), 2007 (14,471), 2012 (14,212), and 2017 (8,838), so the total sample was 50,233 couples of childbearing age by random sample method. This study was analyzed using logistic regression analysis. Unintended pregnancies were associated with maternal age, age at first marriage, number of children, maternal education, contraceptive use, contraceptive failure, residence, and the interval between pregnancies. Unwanted pregnancies at the mother's vulnerable age have increased over the past 10 years and decreased after entering the last 5 years, tend to be stable and constant at the age of first marriage. About one and a half women in Indonesia encounter unwanted pregnancies. Unwanted pregnancies fluctuate over 20 years. Women, especially the most vulnerable should be empowered to avoid unwanted pregnancies for their awareness and independence. Programs to expand access and quality of information and counseling centers, access and quality of women's health services, and specific reproductive health services as needed.
Analisis Faktor-Faktor yang Berhubungan dengan Tingginya Rujukan Kasus Non Spesialistik Pasien Jaminan Kesehatan Nasional pada Puskesmas di Kabupaten Sukabumi Tahun 2015 Alawi, Masykur; Junadi, Purnawan; Latifah, Siti Nur
Jurnal Ekonomi Kesehatan Indonesia Vol. 2, No. 1
Publisher : UI Scholars Hub

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Public Health Center is the frontline in the basic health services that include non-specialist cases to be solved in this primary health care level. However, a report from BPJS Kesehatan in 2015 showed that there were 11.487 referral of non-specialist cases in Primary Health Cares (PHCs) in Sukabumi. This study was to determine factors associated with high referral rate of National Health Insurance’s members with non-specialist cases by PHCs in Sukabumi in 2015. The study employed cross-sectional design in 58 PHCs along with a general practitioner in each centers using a whole sampling. The result showed that there were correlation between characteristics of the region (P=0,000); adequacy of drug (P=0,040); adequacy of medical devices (P=0,024); and distance from the PHCs to the referral health care facilities (P=0,003) with non-specialist cases referral rate. It is recommended for the PHCs to meet the needs of drugs, medical devices according to the standard, monitor and evaluate the non-specialist referral cases, both from health centers and the Social Security Agency for Health of Sukabumi.
Optimalisasi Potensi Sistem Penjadwalan Janji Temu Online di Rumah Sakit Anggriasti, Eufrasia Victa Swastika; Junadi, Purnawan
JURNAL PENELITIAN PENDIDIKAN, PSIKOLOGI DAN KESEHATAN (J-P3K) Vol 5, No 3 (2024): J-P3K DESEMBER
Publisher : Yayasan Mata Pena Madani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51849/j-p3k.v5i3.428

Abstract

Salah satu penyebab utama ketidakpuasan pasien dalam penjadwalan layanan rawat jalan adalah waktu tunggu yang terlalu lama, sehingga diperlukan penjadwalan yang adil berdasarkan kompetensi klinis. Penelitian ini bertujuan untuk menganalisis jurnal-jurnal terkait dengan optimalisasi penjadwalan janji temu dalam konteks rawat jalan. Dengan melakukan tinjauan komprehensif terhadap artikel-artikel yang diterbitkan antara 20s hingga 2024. Metode penelitian yang digunakan adalah dengan melakukan pencarian sistematis dan terarah menggunakan basis data akademik yang relevan, seperti Science Direct. Sebanyak 100 artikel diidentifikasi awalnya, namun hanya 14 yang paling relevan yang dipilih untuk analisis mendalam. Jurnal-jurnal tersebut dievaluasi untuk menilai berbagai metode optimalisasi yang digunakan, termasuk algoritma pembelajaran mesin, simulasi, dan teknologi IoT. Hasil analisis menunjukkan bahwa berbagai metode tersebut telah berhasil meningkatkan efisiensi penjadwalan dan kepuasan pasien. Penelitian literatur yang di temukan menekankan pentingnya penggunaan berbagai pendekatan optimalisasi untuk meningkatkan efisiensi dan kepuasan pasien dalam layanan kesehatan. Temuan ini menunjukkan potensi besar teknologi seperti pembelajaran mesin, simulasi, dan IoT dalam memperbaiki kualitas layanan kesehatan. Dapat disimpulkan bahwa temuan ini menegaskan pentingnya terus mengembangkan dan menerapkan strategi optimalisasi yang sesuai dengan kebutuhan spesifik dari masing-masing konteks layanan kesehatan untuk meningkatkan kualitas, aksesibilitas, dan kepuasan pasien.
AN ANALYSIS ON THE PREPAREDNESS FOR IMPLEMENTING THE MINIMAL STANDARDS FOR SERVICE IN THE HEALTH FIELD AT DEPOK CITY IN 2017 Zakiah, Zakiah; Junadi, Purnawan
Journal of Indonesian Health Policy and Administration Vol. 4, No. 1
Publisher : UI Scholars Hub

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Health is one of the fundamental rights for every person, therefore it must be provided by the government. To guarantee the quality and type of health services, the Minimal Standards for Services (SPM) must be established. This includes the SPM for the productive age healthcare services (SPM BKUP). This type of healthcare is important since it covers about 60-70% of the current population. In this research, we analyzed the discrepancy between the reality and the ideal in the implementation of the SPM BKUP qualitatively through in-depth interviews, focus group discusions, and studying the related documents. We discovered that in Depok City 10 of the 13 indicators for implementation were incomplete. These were the Noncommunicable diseases (NCDs) risk factor conseling, technical trainings for the screening officer and web-based surveillance, NCDs integrated services, recording and reporting, monitoring and evaluation, communication, the attitude of the implementer, manpower, facilities, and funding. And that the other three indicators, incentives for the implementers that reached the target, standard operational procedures for the implementation of the SPM BKUP, and a specialized team for the implementation. Therefore, Depok City was only minimally prepared to implement the SPM.
AN EVALUATION ON THE POLICIES ON PUBLIC HEALTH WORKERS AS HEALTH PROFESSIONALS Muswandar, Muswandar; Junadi, Purnawan
Journal of Indonesian Health Policy and Administration Vol. 3, No. 2
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Law No. 36 of 2014 is a comprehensive law for health professionals. In that regulation, all health graduates that wish to practice their trade must have a letter of registration (STR). That policy also separated environmental health from public health. This was the reason why we decided to evaluate the policy that is related to public health professionals. This evaluation was a retrospective analysis that used in-depth interviews and literary research, respectively as primary and secondary data. From this research we discovered that public health graduates is has their own profession. And to obtain the right to practice their trade, they must pass the competence standard test. However, according to other regulations, only vocational or professional education graduates can participate in the test. Since there currently are no professional education institutions available for public health professionals, Minister of Health Regulation No. 41/2013 takes over. According to this law, all public health graduates will be provided an STR until there is a professional education institution. We also discovered that environmental health should NOT be separated from public health, since it is a large part of it. And therefore, the law must be amended.
Effectiveness of Failure Modes Effect Analysis (FMEA) to Reduce Medical Error Setiasih, Putri Ingen; Junadi, Purnawan
Journal of Indonesian Health Policy and Administration Vol. 2, No. 2
Publisher : UI Scholars Hub

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One of the prevention efforts of medical errors that occur in health services is by identifying the potential failure of the service before the failure occurs. FMEA is one way to identify the risks of failure. Therefore, the authors wanted to find out whether FMEA was effective for reducing medical error based on previous studies. This article was a literature review using references in an online database such as EBSCOhost. The author found 280 articles while searching by using the keyword “FMEA”. After filtered by publication period from 2012 to 2017, full text and language, finally got 7 articles. Finally, the author used the three most relevant literature. FMEA was proven to decrease the potential failure rate after follow-up to failure was done in service process, so medical error can be prevented. In the application of FMEA, bias can occur during the determination of potential failure and determination of scoring on RPN. Therefore, it is expected that the team involved in making FMEA experts in the process of service to be designed. FMEA could prevent medical errors by determining potential failures before failure occurs
Analisis Peran Case Manager dalam Kendali Mutu dan Kendali Biaya Pelayanan Rawat Inap Bedah di Rumah Sakit Universitas Indonesia Tahun 2022 Viano, Natasya C; Junadi, Purnawan
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 11, No. 1
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Patient Service Management is carried out by the case manager to create quality services with efficient cost. This study aims to evaluate the role of case managers in quality and cost control of surgical inpatients with JKN assurance at the UI Hospital in 2022. This study uses the concept of Donabedian and KARS guidelines. Quality control is seen from Length of Stay (LOS), patient satisfaction, compliance with clinical pathway, compliance with doctor visits, and delays in elective surgery. Cost control is seen from the difference between INA-CBG's claims and hospital bills and cost formulations. Secondary data were collected from medical records and document reviews. The data were processed with Microsoft Excel. The three common procedures were conducted with Focus Group Discussion (FGD) and interviews to find out the role of case managers. It was found that the role of the case manager at UI Hospital had improved compared to 2021. The case manager's performance is good based on the difference in overall surgical patient claims, LOS control, the level of patient satisfaction, the level of compliance with doctor visits, and the level of compliance with the clinical pathway. Only the level of delay in elective surgery at UI Hospital has not reached the target.
Co-Authors Adang Bachtiar Al Asyary Alawi, Masykur Anggriasti, Eufrasia Victa Swastika Anwar Jusuf Arman A. Abdullah Bianca, Gabriela Chairil Hamdani Cholid Badril Clark, Carol Daniel, Rizki Dumilah Ayuningtyas Ede Surya Darmawan Fathi, Gemia Clarisa Gusnita, Endah Hasnur, Hanifah Jito, Anggar Khasanah, Usfahtul Kurnia Sari Latifah, Siti Nur Mardiati Najib Mizan, Syaiful Muswandar, Muswandar Nurlela Bujang Prakoso, Ilham Pramudita, Gustian Yondi Purwaningsih, Aditya Dwi Purwantyastuti Purwantyastuti Rahmiati Rahmiati Rusadi, Rosmala Atina Sarwono Waspadji Satibi Satibi Setiasih, Putri Ingen Sitepu, Eme Stepani Sjahrial, Fennie Sonoyati, Elisa Supriyadi Supriyadi Teijlingen, Edwin van Trijayati, Yuli Tris Eryando Tsany Saadi, Muhammad Viano, Natasya C Zakiah Zakiah