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All Journal Jurnal Kedokteran Brawijaya Jurnal Kesehatan Reproduksi Disease Prevention and Public Health Journal Jurnal Kesehatan Masyarakat Jurnal Teknologi JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Jurnal Kesehatan Masyarakat Inklusi Journal of Disability Studies Berita Kedokteran Masyarakat Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Hari Kusnanto
Universitas Gadjah Mada
Computer Science & IT Economics, Econometrics & Finance Electrical & Electronics Engineering Health Professions Industrial & Manufacturing Engineering Mechanical Engineering Medicine & Pharmacology Nursing Public Health Social Sciences

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Sistem Peresapan Elektronik pada Keselamatan Pengobatan Pasien Asyary, Al; Kusnanto, Hari; Fuad, Anis
Kesmas Vol. 8, No. 3
Publisher : UI Scholars Hub

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Abstract

Dalam banyak penerapannya, penggunaan sistem peresepan elektronik (computerized physician order entry, CPOE) dalam penulisan resep terbukti mampu menurunkan angka kesalahan peresepan obat (adverse drug event, ADE). Kesalahan pengobatan seperti kekeliruan penulisan nama obat, penentuan dosis, dan penggunaan jenis obat yang tepat untuk pasien dengan kondisi kesehatan tertentu di pelayanan kesehatan dapat ditekan. Namun, CPOE masih memiliki kelemahan seperti tambahan waktu untuk mengentri data pasien oleh para dokter ke dalam sistem. Untuk meng- evaluasi dampak persepsi pengguna tentang penerapan CPOE terhadap keselamatan pengobatan pasien, suatu penelitian kualitatif telah dilakukan di Gadjah Mada Medical Health Center yang telah mengadopsi sistem ini selama sepuluh tahun. Data dan informasi dikumpukan dengan wawancara mendalam terhadap sembilan dokter (tujuh dokter umum dan dua dokter spesialis) sebagai informen pengguna CPOE menggunakan pedoman wawancara, alat perekam suara, buku catat, dan daftar centang observasi. Hasil studi menunjukkan bahwa sepuluh tahun CPOE telah mampu meningkatkan efektivitas dan efisiensi pelayanan kesehatan, tetapi potensi ADE masih terjadi akibat gangguan komunikasi pasien-dokter karena perlunya waktu tambahan untuk entri data. Disimpulkan bahwa sistem CPOE belum mampu mendukung pengambilan keputusan untuk mencegah ADE dalam pengobatan pasien. In most of its applications, Computerized Physician Order Entry (CPOE) has been improved patient safety by reducing medication errors and subsequent adverse drug events (ADEs). Medication error such as elixir in writing, determination of dose, and correct drug type used for patient with certain health condition in health services can be reduced. But, the CPOE still has some weknesses such as additional time to entry the patient information by physician to the sistem. To evaluate the impact of end-user perception using CPOE sistem on patient safety medication, a qualitative research has been conducted at Gadjah Mada Medical Health Center which has adopted this sistem for ten years. Data and informations were collected by in-depth interviewing nine physicians (seven general docters and two specialists) as end-user informen using interview guide, tape recorder, note-book, and checklist observation tools. The results show that ten year CPOE implemention has improved the effectiveness and efficiency of medical health care, but potential adverse drug event (ADE) such as drug prescription errors still occur as a result of patient-physician communication distraction due to additional time for data entry. It is concluded that CPOE sistem has not been able to support decision to prevent the ADEs in patient medication.
Pentingnya Analisis Cluster Berbasis Spasial dalam Penanggulangan Tuberkulosis di Indonesia Wardani, Dyah Wulan Sumekar Rengganis; Lazuardi, Lutfan; Kusnanto, Hari
Kesmas Vol. 8, No. 4
Publisher : UI Scholars Hub

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Abstract

Pengendalian tuberkulosis telah meningkatkan angka kesembuhan dan menyelamatkan banyak jiwa, tetapi kurang berhasil menurunkan insiden tuberkulosis. Oleh karena itu, pengendalian tuberkulosis menekankan pada kebijakan determinan sosial karena determinan sosial secara langsung dan melalui faktor risiko tuberkulosis berpengaruh terhadap tuberkulosis. Hasil telaah literatur menunjukkan bahwa stratifikasi determinan sosial menyebabkan clustering tuberkulosis, berupa pengelompokkan penderita tuberkulosis menurut lokasi geografis yang secara statistik signifikan. Pengetahuan tentang clustering sangat bermanfaat dalam pengendalian tuberkulosis, khususnya untuk menurunkan insiden tuberkulosis karena dapat memberikan informasi tentang lokasi populasi yang berisiko. Selain itu, telaah literatur menunjukkan bahwa implementasi analisis spasial memerlukan dukungan sumber daya yang tidak sedikit. Oleh karena itu, sebelum analisis cluster berbasis spasial dapat diterapkan, perlu didukung oleh penelitian yang menunjukkan kesiapan sumber daya dan efektivitas biaya. Tuberculosis control has increased cure rate and saved million people, but has less success in reducing tuberculosis incidence. Therefore, tuberculosis control needs to put more emphasis on social determinants policy, since social determinants directly or through tuberculosis-risk factors affect tuberculosis. Literature reviews show that stratification of social determinants will cause tuberculosis clustering, a grouping of tuberculosis patients according geographical area that is statistically significant. Knowledge on the clustering is very useful to support tuberculosis-control program, especially for reducing tuberculosis incidence through highlighting the area of vulnerable population. On the other hand, literature reviews also show that implementation of spatial analysis requires adequate resources. Therefore, before tuberculosis cluster analysis can be implemented routinely, it shouldbe supported by researches that indicate resources readiness and cost effectiveness.
Analysis of diarrhea cases based on weather elements in Yogyakarta City 2017-2021 Ramadhanti, Inas Tri; Kusnanto, Hari; Ramadona, Aditya Lia
BKM Public Health and Community Medicine Vol 41 No 01 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i01.8273

Abstract

Purpose: The objective of this study is to determine the relationship between weather elements (such as rainfall, temperature, humidity, and sunshine duration) with cases of diarrhea, as well as to map the areas vulnerable to diarrhea in Yogyakarta City using data from 2017 to 2021. Methods: This study used an ecological study design with Graphical/Time Trend Analysis, correlations, non-linear analysis using the Generalized Additive Model (GAM), and spatial analysis. Results: Statistically, temperature lag of 0 - 3 months has a negative correlation (p-value < 0.05; rlag1= -0.672), and humidity lag of 0 - 3 months has a positive correlation (p-value < 0.05; rlag1= 0.414) with diarrhea. Severe cases of diarrhea, even during the COVID-19 pandemic, are still being brought to health services, suggesting a serious underlying cause, such as rotavirus infection. Further multivariate analysis showed that the most dominant weather element related to diarrhea was temperature lag for 3 months, with an R-squared value of 0.516. Diarrhea is distributed across sub-districts in Yogyakarta City, but there are six sub-districts with high vulnerability to diarrhea: Danurejan, Pakualaman, Jetis, Kotagede, Gedongtengen, and Gondomanan. Conclusions: The most dominant weather element related to diarrhea in Yogyakarta city is the temperature from the previous three months (lag 3). Danurejan, Pakualaman, Jetis, Kotagede, Gedongtengen, and Gondomanan sub-districts have high vulnerability to diarrhea.
Evaluation of the economic burden due to the measles outbreak in the household sector in West Java Province Maundeng, Agnes Caroline; Kusnanto, Hari; Ahmad, Riris Andono
BKM Public Health and Community Medicine Vol 37 No 05 (2021)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v37i05.22001

Abstract

Purpose: Measles remains a significant health issue in Indonesia, particularly in West Java, which experiences a high number and frequency of measles outbreaks. Efforts to control these outbreaks impose a substantial financial burden on households. This study aims to determine the economic burden of the measles outbreak from a household perspective in West Java Province. Methods: This descriptive study used a survey method. Data were collected through interviews with 210 households. The calculation of the economic burden included both direct and indirect costs. Results: The economic burden due to the measles outbreak in East Java Province in 2015 was Rp.92,302,499, including direct costs of Rp.42,282,500 and indirect costs of Rp.50,019,999. The highest economic burden is on households with high education levels, high incomes, and dense living conditions. As many as 39% of households experienced catastrophic financial consequences due to measles. Conclusion: The economic burden of measles in West Java has a significant impact on household economies. The Health Department and community health centers need to make efforts to control measles through increased immunization coverage and enhanced measles surveillance.
Risk of hepatitis B occurrence in pregnant women in Kulon Progo Regency, 2017-2018 Nurjanna; Kusnanto, Hari
BKM Public Health and Community Medicine Vol 37 No 06 (2021)
Publisher : Universitas Gadjah Mada

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Abstract

Purpose: This study aimed to identify risk factors related to the incidence of hepatitis B among pregnant women in Kulon Progo District. Methods: This study used a case-control design with a ratio of 1: 1. The sample size was 132 respondents with 66 cases and 66 controls. Data collected through interviews with mothers was recorded in the hepatitis B screening surveillance report of pregnant women in Kulon Progo District 2017 to 2018. The data were analyzed using Fisher’s exact test, chi-square test, and multiple logistic regression. Results: The results showed that the average age of respondents was 30.75±6.07, 71.2% were housewives and 64.4% had high school education. Bivariate analysis showed that age, parity, history of miscarriage, surgical history, family history of hepatitis and shared personal hygiene items had relationships with the incidence of hepatitis B. The results of multivariate analysis in the final model showed parity (OR=4.41) and family history of hepatitis (OR = 20.23) as significant risk factors for the incidence of Hepatitis B among pregnant women. Conclusion: High parity and a family history of hepatitis were found to increase the risk of hepatitis B among pregnant women. Efforts to prevent household transmission of hepatitis B should include increasing knowledge through education and counseling, as well as screening family members or other individuals living in the same household as mothers with hepatitis B.
Physical activity, fruit and vegetable intake, and incidence of type 2 diabetes mellitus: a case-control study Gebang, Antonius Adolf; Kusnanto, Hari; Huriyati, Emy
BKM Public Health and Community Medicine Vol 37 No 07 (2021)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v37i07.22190

Abstract

Purpose: This study aims to analyze the relationship between factors of physical activity and fruit and vegetable intake with the incidence of type 2 diabetes mellitus in Temanggung District. Methods: This study employed an observational analytic design using an incidence density case-control study, with a 1:1 comparison of cases and controls, without matching. Research data retrieval is based on the health center surveillance report and direct interviews with respondents. This research was conducted in 10 health centers located in the Temanggung Regency area of ​​Central Java Province, which had a higher incidence of cases. The sample in this study consisted of 150 respondents, divided into 75 case respondents and 75 control respondents. Results: The results of bivariate analysis showed that there was a relationship between age factors, family history (OR: 2.13; 95% CI: 1.05-4.31; p-value=0.02), obesity (OR: 2.15; 95% CI: 0.99-4.69; p-value=0.03), physical activity and eating fruit vegetables (OR: 5.02; 95% CI: 2.35-10.84; p-value=0.00) with the incidence of type 2 diabetes mellitus while the sex and occupational factors had no association with the incidence of type 2 diabetes mellitus. The multivariate analysis revealed a relationship between family history, physical activity, and fruit and vegetable intake, as well as the incidence of type 2 diabetes mellitus, in the final model. Conclusion: Low physical activity and a diet low in vegetables can increase the risk of developing type 2 diabetes mellitus. Intensive and routine counseling is necessary to increase community knowledge and establish more health services, such as Posbindu, in each village to maximize the early detection of diabetes mellitus.
Risk factors associated with the severity of traffic accident victims in Magelang District Sabono, Julianti Jeanette; Kusnanto, Hari
BKM Public Health and Community Medicine Vol 37 No 08 (2021)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v37i08.22398

Abstract

Purpose: This study aimed to analyze risk factors affecting the severity of traffic accident victims in Magelang District and identify accident locations within the Magelang District Police Department's work area. Methods: This observational study employed a cross-sectional design using secondary data. The subjects included all individuals involved in road traffic accidents as recorded in the 2018 Accident Report of the Magelang District Police Department. The independent variables were age, sex, time of occurrence, day of occurrence, road type, natural conditions, type of collision, and type of vehicle. Data analysis was conducted using logistic regression and Quantum GIS 2.18. Results: Age over 56 years was significantly associated with the severity of traffic accident victims (95% CI: 1.275–5.215). Additionally, single motorbike collisions were also found to influence injury severity (95% CI: 1.438–1167.166). Spatial analysis revealed clusters of accident locations along several major roads, including the Yogyakarta–Magelang Road, Babak Mungkid Road, Soekarno Hatta Road, Semarang–Magelang Road, Secang Road, and Salam–Bener Road. Conclusion: There was a statistically significant relationship between age and the type of collision, as well as the severity of the accident victims. Multisectoral cooperation is expected to enhance the socialization of driving behavior within the community, provide adequate road facilities, and regulate traffic flows effectively to reduce the incidence and fatalities from traffic accidents.
Toothbrushing Behavior and Handgrip Strength among Children with Intellectual Disabilities: a Cross-Sectional Study Sabilillah, Muhammad Fiqih; Kusnanto, Hari; Hanindriyo, Lisdrianto; Kuswandari, Sri
INKLUSI Vol. 12 No. 2 (2025)
Publisher : PLD UIN Sunan Kalijaga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14421/ijds.120209

Abstract

Children with intellectual disabilities have cognitive limitations, fine motor impairments and low conceptual understanding, which hinder their ability to perform self-care activities independently, including brushing their teeth. Limited fine motor skills can affect their ability to grip and control a toothbrush, making hand grip strength a relevant variable in efforts to enhance the independence of children with intellectual disabilities in brushing their teeth. The aim of this study is to analyze the relationship between toothbrushing behavior and hand grip strength in children with intellectual disabilities. This study employs an observational analytic design with a cross-sectional approach. The sample selection was conducted using purposive sampling, resulting in 38 respondents. Toothbrushing behavior has a significant relationship with hand grip strength in children with intellectual disabilities. Variables such as frequency, duration and brushing time (morning and night) consistently influence grip type, strength control, independence, grip duration, stability and grip precision. Repeated toothbrushing with a specific pattern can improve fine motor strength and support children's independence and quality of life. Anak disabilitas intelektual memiliki keterbatasan kognitif, ketidakmampuan motorik halus dan rendahnya pemahaman konseptual sehingga menghambat melaksanakan kegiatan kebersihan diri secara mandiri, termasuk menyikat gigi. Kemampuan motorik halus yang terbatas, dapat mempengaruhi kemampuan anak menggenggam dan mengontrol sikat gigi maka kekuatan genggaman tangan menjadi variabel yang relevan dalam upaya meningkatkan kemandirian anak disabilitas intelektual menyikat gigi. Tujuan penelitian ini adalah untuk menganalisis hubungan perilaku menyikat gigi dengan kekuatan genggaman tangan pada anak disabilitas intelektual. Desain penelitian ini menggunakan pendekatan observasional analitik dengan metode cross-sectional. Pemilihan sampel dilakukan dengan metode purposive sampling dan didapatkan 38 responden. Perilaku menyikat gigi memiliki hubungan signifikan dengan kekuatan genggaman tangan anak disabilitas intelektual. Variabel frekuensi, durasi dan waktu menyikat gigi (pagi dan malam) secara konsisten mempengaruhi jenis genggaman, kontrol kekuatan, kemampuan mandiri, durasi genggaman, stabilitas dan presisi genggaman. Pengulangan menyikat gigi dengan pola tertentu akan meningkatkan kekuatan motorik halus anak dan mendukung kemandirian dan kualitas hidup.
Co-Authors Achmad Fudholi Aditya Lia Ramadona Agus Kharmayana Rubaya Agus Suwarni Al Asyary Ali Ghufron Mukti Andriani, Rika Anis Fuad Ardiningtyas, Bondan Arief Tarmansyah Iman Arifin Santoso Arum Pratiwi Devi Octaviana Diah Indriani Dwi Sarwani Sri Rejeki Dyah Wulan Sumekar Rengganis Wardani E. Elsa Herdiana Murhandarwati Emy Huriyati Gebang, Antonius Adolf Gurdani Yogisutanti Hakimi, Moh Heni Pujiastuti I Dewa Putu Pramantara Istiono, Wahyudi Kuntoro Kuntoro Lazuardi, M. Lutfan Lientje Setyawati Lilik Zuhriyah Lingga Ikaditya, Lingga Lisdrianto Hanindriyo Lutfan Lazuardi Luthan Lazuardi, Luthan Maftuhah Nurbeti, Maftuhah Marchaban Marchaban, Marchaban Masrizal Masrizal Maundeng, Agnes Caroline Mizawati, Afrina Mohammad Hakimi Mubasysyir Hasanbasri Muchsin Maulana, Muchsin mukhibin, akhmad Nurjanna Oktaviani, Zakiyah Ova Emilia Pertiwi, Ariani Arista Putri Rahayujati, Theodola Baning Ramadhanti, Inas Tri Riris Andono Ahmad Riswaka Sudjaswadi Sabilillah, Muhammad Fiqih Sabono, Julianti Jeanette Sangadji, Namira Wadjir Shafwan, Shafwan Sri Kuswandari, Sri Sri Nurlaela Sri Wiyanti Syamsumin Kurnia Dewi T. Satoto, Tri Baskoro Tri Baskoro Tunggul Satoto Tri Murti Andayani Tri Wahyudi Vella Dwi Yani Widagdo Sri Nugroho Yasumasa Otsuka