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All Journal Archive of Community Health E-Jurnal Medika Udayana Media Kesehatan Masyarakat Indonesia ODONTO Dental Journal ISM (Intisari Sains Medis) : Jurnal Kedokteran Public Health and Preventive Medicine Archive Odonto dental journal
Komang Ayu Kartika Sari
Bagian Ilmu Kedokteran Komunitas Dan Ilmu Kedokteran Pencegahan Fakultas Kedokteran Universitas Udayana
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Public Health

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Pharmacist counseling intervention to improve patient antibiotic compliance I Gusti Ayu Rai Widowati; I Made Ady Wirawan; Ni Made Sri Nopiyani; Komang Ayu Kartika Sari
Public Health and Preventive Medicine Archive Vol. 6 No. 2 (2018)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v6.i2.p10

Abstract

Background and purpose: Reported microbial resistance to antibiotics is increasing. One of the main factors is patient noncompliance in use of antibiotics. The purpose of this study was to determine the effectiveness of pharmaceutical counseling in a pharmacy setting to increase compliance with antibiotic use. Methods: A randomized controlled trial was conducted on 104 adult patients aged 18 years and over who purchased antibiotics by prescription at a pharmacy in Denpasar City, Bali Province. Subjects were divided into intervention and control groups using block randomization method. The intervention group was provided with pharmaceutical counseling by a pharmacist, while the control group was provided drug information according to the pharmacy service standard. Subject compliance was measured by telephone interview using the Morisky Medication Adherence Scale-8 questionnaire within 3-5 days after purchasing the medication. Statistical analysis with the Mann Whitney U Test was performed to determine the difference in mean rank of compliance scores. Logistic regression analysis was conducted to determine the adjusted compliance ratio. Results: The number of subjects analyzed was 98, as five subjects could not be contacted by telephone and one subject was hospitalized. The mean rank of compliance scores in the intervention group (61.05) was significantly higher (p<0.01) than the comparison group (37.95). The proportion of compliance in the intervention group was 65.3% and the control group was 18.4%, with the proportion ratio (PR) of 3.56 (95%CI: 1.90- 6.64). Logistic regression analysis showed that variables which significantly increased compliance with antibiotic use were pharmacist counseling (APR=9.33; 95%CI: 3.24 26.87), frequency of taking medication (APR=6.94; 95%CI: 2.01-23.92) and method of payment (APR=4.30; 95%CI: 1.18-15.66). Conclusion: Pharmaceutical counseling at a pharmacy setting was found to increase compliance of antibiotic use. Compliance of antibiotic use is also influenced by the frequency of taking medication and the method of payment. Pharmacist counseling when accessing medication at a pharmacy is crucial for improving patient compliance of antibiotic use.
Exclusive breastfeeding: The role of midwives at pregnancy, childbirth and postpartum Ni Kadek Neza Dwiyanti; Komang Ayu Kartika Sari; Dyah Pradnyaparamitha Duarsa
Public Health and Preventive Medicine Archive Vol. 7 No. 2 (2019)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2019.v7.i2.p09

Abstract

Background and purpose: The coverage of exclusive breastfeeding is reported to be low. The aim of this study was to explore the extent of the roles of midwives during pregnancy, childbirth and postpartum to increase exclusive breastfeeding. Methods: This study applied a qualitative approach by in-depth interviews based on interview guidelines to explore the role of midwives in increasing exclusive breastfeeding during pregnancy, childbirth and postpartum. This study was conducted in the area of Kuta I Public Health Center (PHC), Badung District, Bali Province from October 2017 to July 2018. Interviews were conducted with 12 informants chosen purposively, namely three PHC midwives, two private practice midwives, one nutrition program manager, four mothers who managed to provide exclusive breastfeeding and two who did not. Data were analyzed with a thematic approach. Results: This study shows that the roles of midwives are not optimal. The role that has been carried out during pregnancy is to provide information about breast care but not to practice breast care. During labor, the midwife facilitated the initiation of early breastfeeding except for mothers who experienced childbirth complications. During the postpartum period the midwife provides information about breastfeeding to working mothers and monitors exclusive breastfeeding at the integrated health services centers or in Indonesia called pos pelayanan terpadu (posyandu) until the infant reach the age of six months. Midwives provide information about breast care and how to overcome problems in breastfeeding, but do not facilitate the practice of both. All midwives do not conduct home visits for several reasons, such as distance to residents’ homes, high burden of tasks and lack of human resources. Midwives also provide counselling at posyandu on maternal and child nutrition but do not focus on exclusive breastfeeding. Conclusion: The roles of midwives in facilitating exclusive breastfeeding during pregnancy, childbirth and postpartum are still superficial and not in accordance with the guidelines for obstetric care. The roles of midwives need to be enhanced to increase exclusive breastfeeding.
Prostitution Legislation Reforms in Western Australia: What Indonesia Can Learn Komang Ayu Kartika Sari
Public Health and Preventive Medicine Archive Vol. 2 No. 1 (2014)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2014.v2.i1.p17

Abstract

The proposed approach in prostitution in WA needs to be redirected to decriminalisation system with the implementation of harm reduction to achieve the effective public health efforts. Intensive health promotion efforts, including accurate information for HIV positive sex workers and health policies to reduce stigma and discrimination for all sex workers are needed to provide supportive environment for sex workers, which will enable their health and safety issues to be addressed. These approaches should be applied in the Indonesian context as well, where sex workers are still illegal and mostly criminalised. Decriminalisation system is needed even when there is no idea of legalising prostitution yet in Indonesia. In addition, as brothel-based sex workers are more organised and easier to reach, they have higher potential to participate in the health promotion efforts. The established brothels in Indonesia therefore should be well managed in terms of health and safety in the premises, without any human rights violation and criminalisation.
GAMBARAN PERILAKU BERDASARKAN SOSIODEMOGRAFI, PENGETAHUAN, PERSEPSI TERKAIT ORAL HYGIENE PADA MAHASISWA KESEHATAN DAN NON KESEHATAN UNIVERSITAS UDAYANA Made Laras Fatmala Eni; Sari Kusumadewi; Komang Ayu Kartika Sari
Odonto : Dental Journal Vol 5, No 1 (2018): July 2018
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (721.63 KB) | DOI: 10.30659/odj.5.1.18-27

Abstract

Background: The number of dental and oral diseases 24% cases occur in the age of 18 years which is the age of the college students. At this age, college students are expected to have better knowledge and behavior in maintaining oral health. This study was to describe the behaviour based on sociodemography, knowledge and perceptions related to oral hygiene in medical and non medical students of Udayana University.Method: This study use a quantitative descriptive study with cross-sectionalapproach. The total samples were 100 participants. Data were collected using questionnaire to determine the level of knowledge, perceived, behaviour, and oral hygiene.Result: The results showed that, good behaviour in maintaining dental and oral health was 47 respondents (94%) in Dentistry students and 14 respondents (28%) in English Literature’s students.Conclusion: The proportion of Dentistry students with good behavior wasgreater in those aged ≥21 years, women, high knowledge, perceived as notvulnerable, not serious, had no benefts, no barrier, feel capable and havehigh cues to action. The proportion in English literature with good behaviourwas greater in those <21 years old, women, high knowledge, perceived as not vulnerable, serious, benefcial, no barrier, feel capable and high cues to action.
PENERAPAN HEALTH BELIEF MODEL TERHADAP PENERIMAAN VAKSIN HPV DALAM UPAYA PENCEGAHAN KANKER SERVIKS PADA SISWI SMP NEGERI 1 DENPASAR Purnama Sari, I Dewa Ayu Widya; Ariastuti, Luh Putu; Kartika Sari, Komang Ayu; Sucipta Putri, Wayan Citra Wulan
E-Jurnal Medika Udayana Vol 11 No 7 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i7.P01

Abstract

Cervical cancer is a malignant disease of the cervix that is triggered by infection with the Human Papilloma Virus (HPV). An effective way to prevent cervical cancer is the HPV vaccination. The success of vaccine acceptance depends on various factors that can be categorized into, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. According to data from the Denpasar City Health Office, as many as 31 junior high schools in Denpasar have not received the HPV vaccination program, one of which is SMP Negeri 1 Denpasar. This study aims to determine how the implementation of the Health Belief Model on the acceptance of the HPV vaccine in students of SMP Negeri 1 Denpasar. This research is an analytic observational research with cross sectional method. The data was obtained from questionnaires via google forms. The data were processed using the chi-square statistical test. From the results of the study, respondents have a high perception of susceptibility (50.9%), severity (52.6%), benefits (52.6%), barriers (57.9%), cues to action (62.3%), and self-efficacy (60.5%). The correlation test results show that there is a significant relationship between the implementation of the health belief model and acceptance of the HPV vaccine. Based on the results of the study, to increase the acceptance of the HPV vaccine, health workers should look for alternatives in providing services and information related to the benefits of the HPV vaccine so as to increase good perception in health belief model.
HUBUNGAN STATUS NUTRISI DAN PENYAKIT KOMORBID DENGAN ACTIVITY DAILY LIVING PADA ORANG LANJUT USIA DI KOTA DENPASAR Yoga Yatindra, Ida Bagus Gde Tirta; Pradnyaparamita D, Dyah; Kartika Sari, Komang Ayu
E-Jurnal Medika Udayana Vol 11 No 9 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i9.P15

Abstract

Meningkatnya angka harapan hidup seiring dengan meningkatnya jumlah penduduk usia lanjut. Orang lanjut usia akan mengalami perubahan komposisi tubuh dan lebih rentan terhadap penyakit sehingga berdampak pada berkurangnya kemampuan dalam melakukan kegiatan secara mandiri. Tingkat kemandirian dari lansia dapat dilihat melalui penghitungan skor Activity Daily Living (ADL). ADL dapat dipengaruhi oleh keadaan tubuh seperti disabilitas karena kehilangan organ tubuh, penyakit kronis, kondisi tubuh, atau kelemahan yang dapat terjadi karena penuaan. Penyakit yang dapat mempengaruhi ADL ini contohnya gagal jantung kongestif, pasca stroke, arthritis, diabetes melitus. Selain penyakit yang telah disebutkan, komposisi tubuh juga memberikan peranan penting dalam perubahan ADL. Penelitian ini bertujuan untuk mengetahui hubungan status nutrisi dan penyakit komorbid dengan ADL pada orang lanjut usia di Kota Denpasar. Penelitian ini merupakan penelitian analitik cross sectional yang dilakukan di empat banjar di Kota Denpasar. Data Responden adalah hasil instrument ADL Barthel dan tinggi badan serta berat badan terhadap 70 responden lansia. Variabel bebas adalah status nutrisi dan penyakit komorbid sedangkan variabel tergantung adalah status ADL. Data dianalisis dengan menggunakan uji chi square. Hasil penelitian tertinggi berjenis kelamin perempuan (78,5%), IMT lebih (37,5%), ADL ringan (77,15%), dan tidak memiliki penyakit komorbid (37,1%). Penelitian ini menunjukkan adanya hubungan signifikan antara status nutrisi dengan ADL (P=0,016) sedangkan tidak ada hubungan signifikan antara penyakit komorbid dengan ADL (P=0,353) pada orang lanjut usia di Kota Denpasar. Sehingga dapat disimpulkan perubahan status nutrisi pada lansia dapat mempengaruhi kemampuan lansia tersebut untuk melakukan kegiatannya sehari – hari. Kata Kunci: status nutrisi, penyakit komorbid, activity daily living, lansia
Co-Authors Adi Yulianto Ariastuti, Luh Putu Ayu Sugiantari Desak Putu Yulita Kurniati Dewa Nyoman Wirawan Dhanesh Sukumar Nair Dinar Lubis Dinar Lubis Dwi Puji Tiarah Astuti Dyah Pradnyaparmita Duarsa Eka Faizaturrahmi Ernawati Gede Aditya Ersa Krisnawan Gede Anantha Restu Permana Hermawan Hermawan I Dewa Ayu Ari Ritmawati I Gusti Agung Trisna Windiani I Gusti Ngurah Yuda Bagus Aryana I Ketut Suastika I Made Ady Wirawan I Made Sukawinaca I Nyoman Gede Budiana I Nyoman Sutarsa I Wayan Weta Indah Purnama Ketut Adi Jaya Sutana Ketut Sri Astuti Lisanne Gerstel Luh Made Hannisa Sandha Luh Pitriyanti Luh Seri Ani Made Laras Fatmala Eni Mangku Karmaya Manik Parmelia Merry S Afriani Ni Kadek Neza Dwiyanti Ni Kadek Wiwik Dwipayanti Ni Komang Ekawati Ni Luh Putu Ariastuti Ni Luh Putu Suariyani Ni Made Rahayu Pradnyasari Ni Made Rai Sintya Devi Ni Made Sri Nopiyani Ni Rai Sintarini Nicholas Prathama Limalvin Nyoman Yuni Suryani Dharmaputri Pinatih Pande Nyoman Dhandy Wirakesuma Pande Putu Januraga Patricia Stephanie Pradnyaparamita D, Dyah Purnama Sari, I Dewa Ayu Widya Putu Aryani Putu Ayu Ratna Darmayanti Putu Cintya Denny Yuliyatni Putu Eksa Bidja Yudha Putri Putu Emy Suryanti Putu Sindy Reiska Jayanti Raditya Putra Pratama Suryadhi Sari Kusumadewi Sawitri, Anak Agung Sagung Shobana Raveendran Suyasa Adryan Yunanda Thivyaroobini Ramah Wayan Citra Wulan Sucipta Putri Widowati, I Gusti Ayu Rai - Widya Aryati Willem F Scholte Yoga Yatindra, Ida Bagus Gde Tirta