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All Journal International Journal of Public Health Science (IJPHS) Tropical Medicine Journal SAINS MEDIKA : JURNAL KEDOKTERAN DAN KESEHATAN snimed Jurnal Kesehatan Masyarakat Jurnal Kebijakan Kesehatan Indonesia JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Jurnal Pengabdian Kepada Masyarakat (Indonesian Journal of Community Engagement) Belitung Nursing Journal JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Majalah Farmaseutik SISFO Jurnal Ilmu Kefarmasian Indonesia Jurnal Kesehatan Indonesia Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Wellness And Healthy Magazine Jurnal Integrasi Kesehatan dan Sains Intan Husada : Jurnal Ilmiah Keperawatan Journal of Information Systems for Public Health Berita Kedokteran Masyarakat Media Informasi Jurnal Sistem Informasi Gema Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Lutfan Lazuardi
Faculty Of Medicine, Public Health And Nursing, Gadjah Mada University, Yogyakarta, Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Industrial & Manufacturing Engineering Medicine & Pharmacology Nursing Public Health Veterinary

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INTEGRASI SISTEM INFORMASI: AKSES INFORMASI SUMBER DAYA FASILITAS KESEHATAN DALAM PELAYANAN RUJUKAN Lazuardi, Lutfan; Sanjaya, Guardian Yoki; Hanifah, Nimah; Prakosa, Hendri K.
SISFO Vol 6 No 1 (2016)
Publisher : Department of Information Systems, Institut Teknologi Sepuluh Nopember

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Abstract

Di era Jaminan Kesehatan Nasional (JKN), utilisasi pelayanan kesehatan semakin tinggi melalui pelayanan rujukan berjenjang. Sayangnya ketersediaan informasi sumber daya fasilitas kesehatan menyebabkan pelayanan rujukan dan kegawat-daruratan kurang optimal. Disisi lain, teknologi informasi dan komunikasi dapat memfasilitasi pelayanan rujukan melalui penyediaan informasi sumber daya fasilitas kesehatan di suatu wilayah. Penelitian ini bertujuan untuk merancang sistem informasi terintegrasi untuk mendukung pelayanan rujukan dan kegawat-daruratan medis di DI Yogyakarta. Penelitian dilakukan secara kualitatif untuk menganalisa kebutuhan informasi sumber daya fasilitas kesehatan, merancang integrasi antar sistem informasi secara elektronik, serta penyediaan layanan informasi sumber daya fasilitas kesehatan bagi pengguna. Sebagian besar fasilitas kesehatan, baik layanan primer maupun rumah sakit sudah memiliki sistem informasi elektronik. Sistem informasi terintegrasi dikembangkan untuk mengumpulkan data sumber daya fasilitas kesehatan, dengan mengintegrasikan berbagai macam sistem yang digunakan melalui teknologi web service.
ARIMA Models of Dengue Cases in Kartamantul, Based on Area Risk Classification Rubaya, Agus Kharmayana; Kusnanto, Hari; Lazuardi, Lutfan; T. Satoto, Tri Baskoro
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 2 (2018): August
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7264

Abstract

Dengue is still one of the public health problems in Indonesia. In this study, three temporal indices (frequency, duration and intensity indices) based on serologically confirmed cases between 2010 and 2014 in Yogyakarta Municipality, Sleman Regency and Bantul Regency (acronym: Kartamantul), which are spatially analyzed, used to determine the risk level of Dengue transmission for each village in that area in 2015. Subsequently, ARIMA models with Box-Jenkins approach for those risk classification are developed to predict the number of cases in 2015. The results show that the risk categorization yielded from those Dengue data series has relatively high concordance with risk classification resulting from Dengue data in 2015 (the Kappa coefficient: 0.593; p-value < 0.001). The best ARIMA models for both the “high” and “medium” risk villages are (0, 1, 0)(1, 1, 0)12; and for “low” risk areas it is (0, 1, 0)(0, 1, 0)12; which means that both models demonstrate a seasonal pattern. The analysis shows that the ARIMA models have relatively good predictability for the upcoming number of cases. Therefore, these analyses approach is suggested to be adopted for complementing the techniques of area stratification and transmission period which are commonly used in Dengue surveillance.
Prevalence of Dengue Virus Transovarial Transmission and DHF Incidence Rate in Grogol Sub-district of Sukoharjo District Sunardi, Paul; Kusnanto, Hari; T. Satoto, Tri Baskoro; Lazuardi, Lutfan
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 2 (2018): August
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7262

Abstract

Environmental changes in physical, biological, and social aspects have enabled the occurrence of DHF cases in Sukoharjo. Such changes may affect virulence of dengue virus, shorten extrinsic periods and increase vector dengue capacity. This study aimed to determine the spread of dengue virus transovarial transmission and the incidence rate of DHF in Grogol Sub-district of Sukoharjo District. This observational analytic study used a cross-sectional approach conducted in 2016. The population was Ae. aegypti mosquitoes and DHF patients (based on laboratory diagnosis with serologic examination, i.e., IgG, IgM and/or NS1 indicating positive DHF). Data analysis used Chi-square, Multiple Linear Regression, and spatially weighted regression with GeoDa and SatScan. The study found virDEN-3 transovarial transmission in Grogol Sub-district of Sukoharjo District and the spread of virDEN-3 transovarial transmission following the high spread of Ovitrap Index. The DHF incidences (cases) tended to cluster at a radius of 100-200 m from a region found the positive virDEN-3 transovarial transmission. The statistical tests showed a relationship between the virDEN-3 transovarial transmission and the DHF incidence with a p-value of <0.05. Spatially, the incidence of DHF in this area followed a certain spatial distribution pattern, with a clustering of dengue cases centered on the coordinates of -7.588240 S, 110.809450 E with a radius of 2.00 km.
Faktor-Faktor Yang Berpengaruh Terhadap Kejadian Tuberkulosis Pada Wanita di Kabupaten Cilacap Provinsi Jawa Tengah Sumarna, Nana; Rintiswati, Ning; Lazuardi, Lutfan; Lazuardi, Lutfan
Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Vol 4 No 2 (2015): Jurnal Ilmu Kesehatan Bhakti Husada
Publisher : Sekolah Tinggi Ilmu Kesehatan Kuningan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (188.155 KB)

Abstract

Background : Tuberculosis (TB) is disease a second major cause of deaths worldwide among infectious diseases, killing nearly 2 million people each year. The variety of problems will arise if the woman was suffering TB especially who are married, pregnant, and have children. Her role as a housewife who had to carry out physical or mental care of children while taking care of her husband will be disturbed. The prevalence of smear positive pulmonary Tuberculosis (TB) in 6 region health center in Cilacap District at 2012, women higher than men.Objective : To know probability of pregnancy, marital status, parity, physical activity, level of education, level of knowledge, the kitchen smoke pollution, history contact with TB patient, residential density, ventilation against TB incidence in women.Method : The type of research was observational analytical case-control design. Sample is 102 people consisting of as many as 51 cases and 51 control. Sampling is done with proportional random sampling techniques. Data were analyzed with the univariabel, bivariabel analysis, and multivariable. Results : Pregnancy (OR 1.2 95% CI 2.4-23.7 p0.04), parity (OR 3.5, 95% CI 1.3-9.7 p 0.01), history of contacts (OR 3.8 95% CI 1.4-10.4 p 0.01) ventilation (OR 2.4 95% CI 7,5-23.7 p 0.00) as a risk factor for the occurrence of TB in women. Conclusion : The incidence of TB in women in Cilacap District a more probable or risk greater in women who were pregnant, high parity, had a history of contacts, and stay at home with the bad ventilation.
Faktor-Faktor Yang Berpengaruh Terhadap Kejadian Tuberkulosis Pada Wanita di Kabupaten Cilacap Provinsi Jawa Tengah Sumarna, Nana; Rintiswati, Ning; Lazuardi, Lutfan; Lazuardi, Lutfan
Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Vol 4 No 2 (2015): Jurnal Ilmu Kesehatan Bhakti Husada
Publisher : Sekolah Tinggi Ilmu Kesehatan Kuningan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (188.155 KB)

Abstract

Background : Tuberculosis (TB) is disease a second major cause of deaths worldwide among infectious diseases, killing nearly 2 million people each year. The variety of problems will arise if the woman was suffering TB especially who are married, pregnant, and have children. Her role as a housewife who had to carry out physical or mental care of children while taking care of her husband will be disturbed. The prevalence of smear positive pulmonary Tuberculosis (TB) in 6 region health center in Cilacap District at 2012, women higher than men.Objective : To know probability of pregnancy, marital status, parity, physical activity, level of education, level of knowledge, the kitchen smoke pollution, history contact with TB patient, residential density, ventilation against TB incidence in women.Method : The type of research was observational analytical case-control design. Sample is 102 people consisting of as many as 51 cases and 51 control. Sampling is done with proportional random sampling techniques. Data were analyzed with the univariabel, bivariabel analysis, and multivariable. Results : Pregnancy (OR 1.2 95% CI 2.4-23.7 p0.04), parity (OR 3.5, 95% CI 1.3-9.7 p 0.01), history of contacts (OR 3.8 95% CI 1.4-10.4 p 0.01) ventilation (OR 2.4 95% CI 7,5-23.7 p 0.00) as a risk factor for the occurrence of TB in women. Conclusion : The incidence of TB in women in Cilacap District a more probable or risk greater in women who were pregnant, high parity, had a history of contacts, and stay at home with the bad ventilation.
DATAMINING PERESEPAN ELEKTRONIK DI PELAYANAN KESEHATAN PRIMER: POTENSI PENGEMBANGAN SISTEM PENDUKUKUNG KEPUTUSAN KLINIS Sanjaya, Guardian Y.; Harry, Sunandar; Lazuardi, Lutfan; Faizah, Noor
Seminar Nasional Informatika Medis (SNIMed) 2012
Publisher : Magister Teknik Informatika, Universitas Islam Indonesia

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Abstract

Salah satu aspek monitoring dan evaluasi pelayanan kesehatan terkait persepan obat. Peresepan obat tidak rasional seperti polifarmasi, penggunaan antibiatik yang berlebih serta pemberian suplemen obat telah lama diketahui sebagai salah satu permasalahan kualitas pelayanan kesehatan. Sebagai badan kesehatan dunia, WHO sendiri telah memBerikan guidance terhadap mekanisme evaluasi ini sejak tahun 1993, mengingat dampak negatif baik secara klinis maupun sosio-ekonomi yang ditimbulkan. Sistem persepan elektronik yang akhir-akhir ini banyak diimplementasikan di beberapa fasilitas kesehatan berpotensi dalam memudahkan proses evaluasi ini. Bahkan, jika dikembangkan lebih lanjut, peresepan obat elektronik dapat ditingkatkan dengan mengkombinasikan sistem pendukung keputusan seperti peringatan terhadap alergi, penyesuaian dosis obat, peringatan interaksi obat dan atau kesesuaian jenis obat dengan formularium. Salah satu pendekatannya adalah kecerdasan buatan melalui konsep knowledge discovery from database (KDD). Untuk melihat potensi tersebut, paper ini menilai pola peresepan obat dengan bantuan aplikasi datamining Alphaminer dari E-business Technology Institute, the University of Hongkong. Terdapat 52.572 kunjungan pasien yang teridentifikasi pada 3 fasilitas kesehatan primer dalam kurun waktu 2010 sampai 2012. Sebanyak 8.580 (16,3%) kunjungan tidak diresepkan obat. Selebihnya, diberikan resep dengan variasi jumlah obat antara 1 sampai 18 obat dengan nilai median 4. Walaupun dibatasi pada 10 besar penyakit (karena keterbatasan aplikasi datamining yang digunakan), dapat dilihat pola pemberian obat pada diagnosis yang dimaksud. Banyaknya warna pada tiap-tiap bar menunjukkan jenis obat yang sering diresepkan, sedangkan lebar/tebal warna menunjukan seringnya obat tersebut diresepkan pada kasus diagnosis yang sama. Dengan pola tersebut, decision support system untuk peresepan obat dapat dikembangkan, namun terbatas pada fungsi suggestion. Fungsi lain seperti pengecekan dosis obat, interaksi antar obat, interaksi antar obat dan kondisi fisik umpamanya belum dapat dilakukan dan lebih tepat jika menggunakan pendekatan role-based (knowledge-based). Selain itu, nonknowledge-based ini juga terkendala validitas peresepan obat yang dilakukan di fasilitas kesehatan primer. Namun demikian, evaluasi terkait pola persepan obat tetap dapat dilakukan dan bahkan diperluas dengan variabel-variabel lainnya seperti kelompok umur, jenis jaminan kesehatan pasien dan dokter yang memberikan resep. Konsep datamining memiliki potensi dalam mengembangkan sistem pendukung keputusan klinis pada peresepan elektronik. Namun demikian, potensi ini harus diimbangi dengan pengetahuan peresepan obat yang rasional, dalam upaya peningkatan validitas sistem.
Pengembangan e-learning untuk persiapan uji kompetensi ners indonesia (UKNI) Nugroho, Tri Adi; Haryanti, Fitri; Lazuardi, Lutfan
Wellness And Healthy Magazine Vol 1, No 2 (2019): August
Publisher : Universitas Aisyah Pringsewu (UAP) Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/well.46122019

Abstract

Background: The era of globalization bring nursing education institutions in Indonesia run nursing education process varies with the quality control system education that goes well, but not optimal so that the quality of graduates is very diverse. One of the efforts to realize the improvement of the quality and equity of health workers is to improve the quality control of graduates through the competency test. Meanwhile, the utilization of information and communication technology (ICT) -based e-learning is a new paradigm in health education. The need for nurses prepares for a competency test into an opportunity for universities to take advantage of ICT-based e-learning for nurse competency test preparation. Methods: This study is action research. Stages of research begin with needs analysis through interviews, observation and focus group discussion involving three lecturers and 14 participants UKNI. The results of the needs analysis are used as a reference in designing the prototype e-learning. E-learning prototype evaluation was performed using the theory of the Technology Acceptance Model (TAM). Results: The prototype eLearning developed in accordance with the needs analysis include: the accessibility of e-learning, quality of information, human resources and management content.   The results of the evaluation of the prototype e-learning on perceived usefulness, 51.8% of respondents strongly agree and 47% agree, while the perceived ease of use, 42.9% of respondents strongly agree and 56% of respondents agreed. Conclusions: The need for the development of e-learning for UKNI preparation is the substitution, meaning that learning is done through the internet entirely. The evaluation results usefulness respondents perceived the prototype e-learning was helpful. The results of the evaluation of perceived ease of use of respondents feel the ease operate prototype e-learning.
ARIMA Models of Dengue Cases in Kartamantul, Based on Area Risk Classification Rubaya, Agus Kharmayana; Kusnanto, Hari; Lazuardi, Lutfan; T. Satoto, Tri Baskoro
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 2 (2018): August
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7264

Abstract

Dengue is still one of the public health problems in Indonesia. In this study, three temporal indices (frequency, duration and intensity indices) based on serologically confirmed cases between 2010 and 2014 in Yogyakarta Municipality, Sleman Regency and Bantul Regency (acronym: Kartamantul), which are spatially analyzed, used to determine the risk level of Dengue transmission for each village in that area in 2015. Subsequently, ARIMA models with Box-Jenkins approach for those risk classification are developed to predict the number of cases in 2015. The results show that the risk categorization yielded from those Dengue data series has relatively high concordance with risk classification resulting from Dengue data in 2015 (the Kappa coefficient: 0.593; p-value 0.001). The best ARIMA models for both the “high” and “medium” risk villages are (0, 1, 0)(1, 1, 0)12; and for “low” risk areas it is (0, 1, 0)(0, 1, 0)12; which means that both models demonstrate a seasonal pattern. The analysis shows that the ARIMA models have relatively good predictability for the upcoming number of cases. Therefore, these analyses approach is suggested to be adopted for complementing the techniques of area stratification and transmission period which are commonly used in Dengue surveillance.
Hubungan Kondisi Lingkungan Fisik Rumah Dengan Kejadian Tuberkulosis Paru Di Jawa Barat (Analisis Data Riskesdas 2013) Ahmad Zacky Anwary; Lutfan Lazuardi; Mubasysyir Hasanbasri; Faisal Mansur; Bagian Prodi Kesehatan Masyarakat, FKM UNISKA; Bagian Prodi S2 Ilmu Kesehatan Masyarakat, Fakultas Kedokteran UGM; Bagian PKMK, Fakultas Kedokteran UGM
Jurnal Kesehatan Indonesia Vol 6 No 3 (2016): Juli
Publisher : HB PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (357.471 KB)

Abstract

Tuberculosis (TB) is one of the pulmonary infectious diseases become a global threat, given the number of occurrences of cases, especially in Indonesia as one of the countries included in the 22 countries with major problems of tuberculosis disease (high-burden countries). Besides being the source of transmitting, one of the factors that can also affect the occurrence of pulmonary TB disease is the house physical environment (such as ventilation, natural lighting, flooring, and density of residential house) that does not qualify as a healthy home. Including the type of observational research with cross sectional study design. The target population is the population in West Java and the household members aged 15 years and above who became suspected pulmonary TB patients were successfully recorded/interviewed in Riskesdas 2013. There are some physical house environment variables significantly associated with the incidence of pulmonary TB in West Java that is the kitchen ventilation variable with an Odds Ratio (OR) of 1160, family room ventilation variable with OR 1.122, badroom natural lighting variable with OR 1148, and kitchen natural lighting variable with OR 1124. By knowing the variables that have a significant relationship to the occurrence of pulmonary tuberculosis so that people can pay more attention the efforts to improve the house physical environment into a better house.
DEVELOPMENT OF A PROTOTYPE OF MALARIA CLINICAL DIAGNOSTIC DECISION SUPPORT SYSTEM Sudarta Yabesman Harefa; Lutfan Lazuardi; Anis Fuad
Tropical Medicine Journal Vol 1, No 2 (2011): Tropical Medicine Journal
Publisher : Pusat Kedokteran Tropis

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (773.9 KB) | DOI: 10.22146/tmj.4574

Abstract

Introduction : Malaria is a public health problem that still causes mortality, particularly in high risk population. Kabupaten Nias is one of the malaria endemic areas. Malaria diagnosis is mainly determined according to physical examination, despite the fact that laboratory examination is the gold standard of malaria diagnosis. To help health workers in diagnosing malaria accurately, it is necessary to develop a decision support system for malaria diagnosis.Objectives: To develop a prototype of malaria diagnostic decision support system.Methods: It was a descriptive study with action research design to explore each phase in the development of a prototype of malaria diagnostic decision support system. Participants of the study consisted of 5 general practitioners in RSU Gunungsitoli and 2 nurses in Puskesmas Gunungsitoli.Results: The study created an application model of computer-based malaria diagnostic decision support system designed using PHP programming language and MySQL database. This system worked by entering malaria clinical symptoms into the expert system, and data of symptoms were processed by the expert system to determine diagnosis and medical advice that was useful to assist health staff in making decision.Conclusion: Malaria diagnostic decision support system that had been developed attracted the interest of health workers and help them in diagnosing malaria clinically.Keywords: diagnostic decision support system, prototype, malaria, computer application, Gunungsitoli
Co-Authors A.A. Ketut Agung Cahyawan W Abdul Wahab Agus Kharmayana Rubaya Agustina, Luthfi Ahmad Zacky Anwary Ahmed, Ashir Anai, Akane Andaru Dahesihdewi Andri Gustiadi Anis Fuad ARIEF KURNIAWAN NUR PRASETYO Aris Setyawan Astutiany, Denny Auliyah, Fitratun Bagian PKMK, Fakultas Kedokteran UGM Bagian Prodi Kesehatan Masyarakat, FKM UNISKA Bagian Prodi S2 Ilmu Kesehatan Masyarakat, Fakultas Kedokteran UGM Bekti Sukoco Buti Azfiani Azhali Citra Indriani Doko, Karmelia Intany Dyah Wulan Sumekar Rengganis Wardani Dyah Wulan Sumekar Rengganis Wardani Edy Purwanto Eni Susanti Faisal Mansur Faizah, Noor Faradiba Faradiba Filirida, Meidina Fitri Haryanti Guardian Y. Sanjaya Guardian Yoki Sanjaya Hanifah, Nimah Hari Kusnanto Hari Kusnanto Harry, Sunandar Hartono Hartono Heri Priyatmoko Heryawan, Lukman Hidayah . Hidayati, Ani Hizriansyah Ignasius Luti Ikeda, Subaru Ira Deseilla Pawa Iswarno Iswarno Ivanawati, Anselma Katrina Feby Lestari Khudazi Aulawi Kikuchi, Kimiyo Kusnanto, Hari Kusnanto, Hari Lucia Kris Dinarti Maruf, Rafiqul Islam Mubasysyir Hasanbasri Muhammad Thesa Ghozali Muhammad Zaini Nakashima, Naoki Nastiti Anggraini Ni'mah Ning Rintiswati Ning Rintiswati Nishikitani, Mariko Nugroho, Tri Adi Nurholis Majid, Nurholis Oktaviani, Zakiyah Prakosa, Hendri K. Prasetyawati, Dini Pratama, Rio Aditya Raharjo, Untoro Dwi Rahmadewi, Pama Ratmasari, Dewi Resna, Riksa Wibawa Rochady Setianto Rosady, Dony Septriana Satibi Satibi Satibi Satibi Sato, Yoko Satrisno, Hary Shinta Prawitasari Siswanto Sastrowijoto Sri Werdati, Sri Sudarta Yabesman Harefa Sumarni Sumarni Sunardi, Paul Supriati, Titi Susi Ari Kristina Sutaryana, Beni Mulyadi Sutriana, Vivi Ninda T. Satoto, Tri Baskoro T. Satoto, Tri Baskoro T. Satoto, Tri Baskoro Tita Bariah Siddiq Tri Baskoro Tunggul Satoto Tyas, Reni Trianing Wasilah Rochmah Widyandana Widyandana Widyastuti, Chatarina Setya Wiwin Lismidiati Wulandari, Hanifah Yodi Mahendradhata Yokota, Fumihiko Zhu, Ningxin