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Akses Puskesmas dan Kejadian Drop out Pasien Tuberkulosis Di Kabupaten Bantul Daerah Istimewa Yogyakarta Ira Deseilla Pawa; Lutfan Lazuardi
Berita Kedokteran Masyarakat (BKM) Vol 36, No 5 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.55345

Abstract

      Background: In social perspective everyone have their rights to access health facilities (1) yet it still challenging due to geographical or non-geographical barriers. Inadequate access to health facilities has made the controlling of communicable disease not overly solved, including Tuberculosis. Indonesia have been put as country with the highest burden for TB, MDR TB and also TB/HIV in 2016-2020 (2). One of challenging that faced is the incidence of drug resistant TB due to TB treatment drop out. Bantul regency is the second highest TB cases finding rate after Sleman however, the cure rate below national standard during 2016-2018.Method: This study is observational descriptive research by using primary and secondary data, sample of this study consist of 27 community health centers and 60 auxiliary health centers. ArcGIS were used to analysis the spatial data.Results: The locations of community health centers in Bantul regency is near the collector road, the farthest distance to reach community health center in Bantul is 15 Km and the maximum travel time to community health is 60 minutes, geographical berries in Bantul regency are water body such as rivers and lakes. Human resource in 12 community health centers have been exceed the amount standards and 15 others have not been exceed the amount standards. Number of TB drop out was 22 cases, and Banguntapan village has highest amount of drop out TB cases.Conclusions: Community health distribution in Bantul regency is almost cover all the administrative area in Bantul regency. TB drop out cases is need serious intention to increase cure rate.Key words: Access, community health center, drop out tuberculosis, spatial pattern
Overview of The Incidence and Risk Factors for Nosocomial Infections Using a Geographic Information System Maps Setianto, Rochady; Lazuardi, Lutfan; Dahesihdewi, Andaru
Sains Medika : Jurnal Kedokteran dan Kesehatan Vol 5, No 2 (2013): July-December 2013
Publisher : Fakultas Kedokteran; Universitas Islam Sultan Agung (UNISSULA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1071.366 KB) | DOI: 10.30659/sainsmed.v5i2.345

Abstract

Hospitalized patients have a high risk of getting nosocomial infections due to various reasons. They tend to be more susceptible to infection because oftheir underlying disease condition, and they have higher when patients undergo invasive procedures. If the patient’s immune system is impaired, thenon-pathogenic microorganism are capable of causing disease. Map is a method of illustrating an epidemiologic effectively . Maps can be used to showplace of incidence. Mapping the incidence of nosocomial infections in Sultan Agung Hospital is a method developed for the surveillance of nosocomialinfections. This type of research is a quantitative study with a cross sectional design. This study illustrates the risk factors of nosocomial infection withincidence of nosocomial infections that occur based on time point. Risk factors are extrinsic and intrinsic factors. Based on the spatial image on the map,in extrinsic incidence of nosocomial infections is Plebitis. Genesis Plebitis incidence correlates with the placement of hand washing points handrub. Whilethe intrinsic factor in the Plebitis image and ILO most inpatient distribution in patients aged 50 years with impaired skin integrity due to infusion andphysically due to decreased immunity associated with a variety of underlying diseases. Incidence of nosocomial infections in the inpatient unit is theprimary predisposing factors such as age and clinical issues related predisposing underlying disease can weaken the immune system of the patient, so thatthe procedures and even the most basic medical treatment could potentially cause nosocomial infection.
Acceptance Analysis of the Electronic Kohort Information System for Maternal and Child Health Using the Technology Acceptance Model at the Bima City Health Center Hizriansyah; Shinta Prawitasari; Lutfan Lazuardi
Jurnal Sistem Informasi Vol. 19 No. 1 (2023): Jurnal Sistem Informasi (Journal of Information System)
Publisher : Faculty of Computer Science Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (597.04 KB) | DOI: 10.21609/jsi.v19i1.1207

Abstract

The Maternal and Child Health (MCH) Program in Indonesia is faced with a diversity of achievements between regions caused by disparities in the capacity of the health system and exacerbated by the Covid-19 pandemic which has caused a decrease in service activities and reporting quality so that digitalization of services is needed. This type of research is qualitative research with the design of phenomenological studies using thematic analysis with the help of the Nvivo 12 application. Primary data collection was carried out by means of observation and in-depth interviews with research informants by purposive sampling. To increase the credibility of the data use source triangulation. The research informants consisted of the head of the family health services section, the head of the health centers and the midwife as the user of the e-cohort. Thirteen informants (11 women and 2 men) participated in the study. Most informants can use the core functions of the e-cohort app navigation menu. The study proposes that the perceived perception of ease of use may not be in line with the perceived expediency of explaining variations in the successful acceptance of MCH e-cohort applications. The study also found that there were differences in outcomes between user perceptions at the operational level and policy makers at the managerial level. In general, the analysis collects several types of obstacles and potentially problems that negatively affect the usefulness of the e-cohort application : not being able to make the work of midwives easier and faster, ineffective and not so much to increase the productivity of performance. With regard to ease of use, users feel that the e-cohort can be easily learned and used. The e-cohort is considered to have value as a system that makes the work of midwives more difficult and hinders the work, however, the appearance, elements, features and design are perceived to be quite easy to use. In addition, users also highlight the need to consider how the system can be implemented in order to minimize the impact and optimize usability
PENGARUH PENGGUNAAN MEDIA BERBASIS ANDROID TERHADAP PENGETAHUAN BANTUAN HIDUP DASAR PADA MAHASISWA KEPERAWATAN Bekti Sukoco; Widyandana Widyandana; Lutfan Lazuardi; Aris Setyawan
GEMA KESEHATAN Vol. 12 No. 2 (2020): Desember 2020
Publisher : POLTEKKES KEMENKES JAYAPURA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.v12i2.139

Abstract

One of the student learning achievements in the emergency course is being able to carry out basic life support (BLS) procedures. With the development of mobile technology, mobile learning / m-learning is a potential for BLS learning. The purpose of this study was to determine the increase in student knowledge about BLS after using an android based application. Respondents in this study were 49 second year Bachelor of Nursing Students, STIKES Surya Global through simple random sampling. The method used to see student knowledge regarding the impact of using Android-based applications, using the onegroup pretest-posttest design pre-experimental approach. The result of this research is that there is an increase in BLS knowledge after using the AndroLifes application, because the benefits of smartphones are for learning and can strengthen knowledge, and smartphones are also proven to increase knowledge, so that it is widely used by students for learning because it contains complete content such as text, images, and audio-videos. It can be concluded that android-based applications can increase knowledge of BLS
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

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.
System Usability Scale Aplikasi PharmD: Prototype Dasboard Pengelolaan Persediaan Obat Di Puskesmas Kabupaten Bengkulu Selatan Astutiany, Denny; Satibi, Satibi; Lazuardi, Lutfan
Majalah Farmaseutik Vol 19, No 4 (2023)
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/farmaseutik.v19i4.85301

Abstract

PharmD adalah dasboard pengelolaan persediaan obat di puskesmas berbasis web online yang telah didesain dan dikembangkan berdasarkan 26 (dua puluh enam) indikator pengelolaan obat di puskesmas pada penelitian sebelumnya di beberapa puskesmas wilayah Yogyakarta. PharmD berfungsi sebagai dasboard kinerja pengelolaan obat untuk apoteker dipuskesmas dalam pengelolaan obat yang menjadi  salah satu faktor pendukung  didalam manajemen data, mempermudah dan mempercepat dalam pengelolaan obat sehingga meningkatkan mutu pelayanan kefarmasian dan pengambilan keputusan serta kebijakan yang strategis di puskesmas. Namun sebelum aplikasi ini diluncurkan atau digunakan perlu dilakukan usability yang berkelanjutan dan harus melihat kondisi existing diberbagai wilayah di Indonesia. Peneliti tertarik untuk melakukan ujicoba aplikasi PharmD dan mengukur tingkat usability di puskesmas wilayah Kabupaten Bengkulu Selatan sehingga dapat melihat apakah aplikasi sudah dapat diterapkan disana. Penelitian ini dilakukan dengan metode kuantitatif deskriptif dengan 16 responden yang telah dilakukan kriteria inklusi dan ekslusi pada 14 puskesmas yang dilakukan secara observasi terkait kesiapan ujicoba di wilayah Kabupaten Bengkulu Selatan. Metode pengukuran usability menggunakan instrumen System Usability Scale (SUS)  suatu uji yang dilakukan untuk meningkatkan kemudahan dalam pemakaian aplikasi secara menyeluruh dengan pengumpulan data menggunakan google form. Hasil penelitian ini menunjukan bahwa skor SUS yang diperoleh sebesar 64,8 dengan grade masuk dalam kategori C-, nilai adjective masuk kedalam “OK” (Netral) yaitu dapat berjalan dengan pengembangan, acceptable berada pada area marginal artinya cukup memuaskan, dan net promoter score masuk area passive. Hasil yang diperoleh menempatkan Aplikasi PharmD sebagai dasboard kinerja apoteker dalam pengelolaan obat masih bisa diterima oleh end user atau apoteker tetapi perbaikan masih tetap diperlukan untuk meningkatkan kepuasan pengguna sedangkan untuk kondisi existing kefarmasian diwilayah Kabupaten Bengkulu Selatan menunjukan hanya 42,8 % siap secara infrastruktur untuk menerapkan aplikasi PharmD berbasis web online dengan kendala akses internet, instalasi listrik dan ketersediaan perangkat sistem yang belum memadai. 
Analisis Kebutuhan Sistem Informasi Manajemen Inventory Instalasi Farmasi Pemerintah Provinsi Kalimantan Tengah Filirida, Meidina; Lazuardi, Lutfan; Satibi, Satibi
Majalah Farmaseutik Vol 20, No 1 (2024)
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/farmaseutik.v20i1.86822

Abstract

Manajemen inventaris Instalasi Farmasi Pemerintah (IFP) Provinsi Kalimantan Tengah masih dilakukan secara semi konvensional yang menyebabkan selisih stok obat; selisih stok kartu; pelaporan lama; data tidak real time ; kehilangan dokumen . Hal ini membuat pengelolaan informasi dalam proses tersebut menjadi sangat vital sehingga perlu dilakukan analisis kebutuhan untuk pengembangan Sistem Informasi Manajemen (SIM) Inventory di IFP. Penelitian ini bertujuan menganalisis kebutuhan pengguna untuk pengembangan SIM Inventory IFP. Penelitian ini merupakan studi kualitatif deskriptif kasus yaitu analisis kebutuhan SIM Inventory menggunakan metode wawancara mendalam,Focus Group Discussion , dan telaah dokumen dengan pendekatan U ser-Centered Design . Subyek penelitian terdiri dari Kepala Dinas Kesehatan; Sekretaris Dinas Kesahatan; Kepala Bidang Sumber Daya Kesehatan; Kepala Seksi Farmasi, Alat Kesehatan, dan Perbekalan Kesehatan Rumah Tangga; Apoteker Penanggung Jawab IFP Provinsi; 3 orang apoteker IFP Provinsi; 1 orang Tenaga Teknis Kefarmasian IFP Provinsi; 6 orang apoteker IFP kabupaten/kota di Kalimantan Tengah; 1 orang anggota tim Teknologi Informasi Kementerian Kesehatan Republik Indonesia. Hasil penelitian menunjukkan kebutuhan manajemen data inventoryIFP terdiri dari data penerimaan sediaan farmasi, data distribusi sediaan farmasi, data stok opname sediaan farmasi, data pemusnahan sediaan farmasi, dan pengembalian sediaan farmasi. Kebutuhan data menyusut ke dalam kebutuhan penerimaan data, distribusi, dan pelaporan yang terdiri dari 6 jenis laporan. Kesimpulan  penelitian ini adalah analisis kebutuhan pengguna dalam pengelolaan inventaris IFP menghasilkan kebutuhan data yang mendukung proses penerimaan, distribusi, dan pelaporan.
Perancangan Desain Model Management Inventory System Apotek Doko, Karmelia Intany; Kristina, Susi Ari; Lazuardi, Lutfan
Majalah Farmaseutik Vol 20, No 2 (2024)
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/farmaseutik.v20i2.89120

Abstract

Salah satu standar pelayanan kefarmasian di apotek adalah pengelolaan obat dan dapat dijadikan indikator mutu pelayanan kefarmasian di apotek. Sistem informasi merupakan salah satu faktor pendukung kefektifan dan efisiensi pengelolaan obat. Sistem informasi manajemen (SIM) saat ini terbatas pada pencatatan dan pelaporan proses operasional yang ada di apotek dan belum ada fitur tambahan dalam pengelolaan obat di apotek. Penelitian ini bertujuan untuk membuat model sistem informasi manajemen pengendalian persediaan obat melalui pendekatan user centered design (UCD). Penelitian ini merupakan deskriprif yaitu analisis kebutuhan pengguna menggunakan metode focus group discussion (FGD) dan observasi. Prototype didesain dapat berinteraksi langsung ke pengguna untuk dapat dilakukan perancangan lanjutan. Subyek penelitian ini berjumlah 10 orang yang terdiri dari 5 orang pemilik sarana apotek (PSA) dan 5 orang apoteker. Kebutuhan data dalam pengelolaan obat di apotek meliputi data barang, data satuan, data supplier, data penerimaan dan penjualan, data inkaso, data barang rusak dan kadaluarsa, data usulab obat baru, data pengadaan dan data stock opname. Desain sistem pengelolaan obat yang dibuat merupakan desain dalam bentuk data flow diagram (DFD). Kesimpulan penelitian ini adalah perlu dibuat desain model lanjutan pengelolaan obat yaitu entity relationship diagram (ERD), data dictionary, dan data dummy sehingga akan menghasilkan prototype sistem informasi yang bisa berjalan tanpa adanya error pada sistem.
Mask-Wearing Behavior Among Individuals Newly Diagnosed With Type 2 Diabetes: Insights From Community Health Screenings During the COVID-19 Pandemic in Indonesia Yokota, Fumihiko; Anai, Akane; Lazuardi, Lutfan; Majid, Nurholis; Wulandari, Hanifah; Nishikitani, Mariko; Kikuchi, Kimiyo; Sato, Yoko; Ikeda, Subaru; Ahmed, Ashir; Maruf, Rafiqul Islam; Nakashima, Naoki
Jurnal Pengabdian kepada Masyarakat (Indonesian Journal of Community Engagement) Vol 10, No 1 (2024): March
Publisher : Direktorat Pengabdian kepada Masyarakat Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpkm.89347

Abstract

The coronavirus disease 2019 (COVID-19) pandemic has had a severe impact on people with type 2 diabetes (T2D) and their health behaviors. This study investigated the associations between T2D status and mask- wearing behaviors in public settings during the first wave of COVID-19 among community residents in Yogyakarta, Indonesia. Outreach health checkups and self-report questionnaires were cross-sectionally conducted to measure mask- wearing behavior, T2D status, and sociodemographic characteristics. Chi- square tests and bivariate and multivariate logistic regression were performed for data analysis. Out of 254 participants, nearly one-fourth (24%) were newly diagnosed with T2D, while 15% reported that they had never been diagnosed with T2D before. Bivariate and multivariate logistic regression models had no statistically significant associations between mask-wearing behavior and T2D status. However, Chi-square test results showed significant differences (P=0.02) in percentages of inconsistent mask-wearing behavior among those who were newly diagnosed with T2D (19%), those who had known as T2D (8%), and those who had no T2D (7%). Early diagnostic services and awareness education for T2D are imperative to reduce the disease severity and mortality for future pandemics, particularly among undiagnosed individuals who are unaware of their T2D status.
Evaluating the impact of AsmaDroid® on knowledge, attitude, and behavior of relapse prevention among asthmatic patients Ghozali, Muhammad Thesa; Ikawati, Zullies; Lazuardi, Lutfan
International Journal of Public Health Science (IJPHS) Vol 13, No 1: March 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i1.23371

Abstract

The success of asthma self-management is determined by three essential factors: healthcare professionals, patients, and drugs. Regarding patient factors, the level of knowledge plays a role and leads to a positive attitude and behavior to prevent future attack relapse. This quasi-experimental study aimed to determine the effectiveness of a mobile phone app-assisted educational intervention in improving the quality of knowledge, attitude, and behavior among patients with asthma. The study included 140 participants who were divided into two groups, i.e., control and treatment. The treatment group received and installed the app into their smartphone and then was asked to study all the educational materials in the app for four weeks. A test was carried out before and after the intervention period to examine the effectiveness of the intervention. This study used the statistical program IBM® SPSS® Version 22.0 to analyze data, and a parametric statistical test was utilized to test the statistical hypothesis in this investigation. The study found improvement, as many as 87.14% for knowledge, 77.14% for attitude, and 67.15% for behavior, with a p-value each of 0.01. It could be concluded that digital-based patient education using a mobile app improves the patients' knowledge, attitude, and behavior.
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