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All Journal Archive of Community Health Jurnal Kesehatan Masyarakat Jurnal Kesehatan Masyarakat (JKM) CENDEKIA UTAMA Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Jurnal Perempuan Public Health and Preventive Medicine Archive Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Preventif : Jurnal Kesehatan Masyarakat

Dinar Lubis

Departemen KMKP, Fakultas Kedokteran, UNUD

Author-ID : 309020

Humanities Health Professions Public Health

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Determinants of anemia in women of reproductive age in Indonesia: Secondary data analysis of the 2018 Indonesia Basic Health Research Putu Sri Utami; Luh Seri Ani; Dinar Saurmauli Lubis; Dewa Nyoman Wirawan
Public Health and Preventive Medicine Archive Vol. 8 No. 2 (2020)
Publisher : Universitas Udayana

Background and purpose: Anemia in women is a public health concern that is prevalent in developing countries. Women of reproductive age (WRA) frequently suffer from anemia, which can contribute to morbidity and mortality of mothers and their infants. The purpose of this study was to determine the prevalence and factors associated with anemia among women of reproductive age (WRA) in Indonesia. Methods: This study uses secondary data from the 2018 Indonesia Basic Health Research or Riset Kesehatan Dasar (Riskesdas) which was conducted in 34 provinces in Indonesia. The number of samples analyzed was 3,677 women aged 15-49 years who had data from interviews, measurements of height, weight, results of malaria\ tests, and hemoglobin levels. Data analysis was performed using multivariate logistic regression to determine the relationship between anemia and individual characteristics, nutritional and health status as well as environmental conditions and healthservice accessibility. Results: The prevalence of anemia among WRA in Indonesia was 25.3% (95%CI: 23.9-26.7). Factors which found to be associated with the prevalence of anemia in WRA were age <20 years (AOR=3.44; 95%CI: 2.22-5.35; p<0.001), underweight (AOR=1.48;95%CI: 1.08-2.05; p=0.017), obesity (AOR=0.68; 95%CI: 0.56-0.81; p<0.001) and the use of hormonal contraception (AOR=0.53;95%CI: 0.44-0.64; p<0.001). Conclusion: Based on the prevalence, anemia among WRA inIndonesia is categorized as a moderate public health concern and the most common risk factor for anemia was WRA aged <20 years and underweight. To reduce the incidence of anemia in WRA, interventions should be targeted at WRA aged <20 years and underweight

STUDI KUALITATIF PRAKTIK PEMBERIAN MAKAN BAYI USIA 0-2 TAHUN OLEH IBU YANG MENIKAH DINI DI KABUPATEN TABANAN BALI TAHUN 2020 Luh Erlanggita Narta Santi; Dinar Saurmauli Lubis; Desak Putu Yuli Kurniati
ARCHIVE OF COMMUNITY HEALTH Vol 9 No 3 (2022): Desember 2022
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ACH.2022.v09.i03.p09

ABSTRAKStatus gizi baduta sering dikaitkan dengan praktik pemberian ASI dan MP-ASI. Ibu yang menikah dini cenderung lebih awal menghentikan pemberian ASI dibandingkan dengan ibu yang umurnya sudah terbilang cukup dewasa. Penelitian bertujuan untuk mengeskplorasi praktik pemberian makan pada baduta oleh ibu yang menikah dini di kabupaten Tabanan. Penelitian ini menggunakan pendekatan kualitatif dan melakukan wawancara 5 ibu yang menikah dini beserta keluarga ibu sejumlah 5 orang informan pendukung. Analisis data menggunakan analisis tematik yaitu mengidentifikasi tema-tema dari transkrip wawancara dan hasil observasi maupun secara deduktif yaitu menggunakan teori planned behavior. Menggunakan triangulasi sumber dan metode. Hasil dari penelitian ini adalah semua informan penelitian tidak yang melakukan IMD, ASI Eksklusif, dan memberikan MPASI dini. Ibu tidak mengetahui mengenai teknik menyusui membuat beberapa ibu berhenti memberikan ASI. Adanya persepsi ketidakcukupan ASI yang mengakibatkan terjadinya pemberian MPASI dini. Ketidakberhasilan menyusui disebabkan kurangnya informasi dari petugas kesehatan serta dorongan keluarga dalam pemberian MPASI dini. Kesimpulan dalam penelitian ini adalah terdapat hambatan dan dukungan dalam pemberian makan baduta oleh ibu menikah dini. Selain karena persepsi ibu, keluarga dan petugas kesehatan juga berperan dalam pemberian makan baduta.Kata Kunci : Ibu Yang Menikah Dini, Hambatan, Dukungan

PEMAHAMAN IBU TENTANG PERMASALAHAN GIZI SERTA PERANNYA DALAM MENGATASI PERMASALAHAN GIZI BADUTA DI DESA BAN, KECAMATAN KUBU, KABUPATEN KARANGASEM, PROVINSI BALI Sangita Pina de Canossa Belo; Dinar Saurmauli Lubis
ARCHIVE OF COMMUNITY HEALTH Vol 10 No 1 (2023): April 2023
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ACH.2023.v10.i01.p11

Children who don’t get nutritional intake according to their needs can cause malnutrition which affects their growth and development process. Children aged 0-2 years will generally be very dependent on their mothers, because in this age group they need breast milk and full attention. The purpose of this study was to find out about mother’s understanding of nutritional problems and their role in overcoming nutritional problems of children under two in the village of Ban, Sub-district of Kubu, District Karangasem, Bali Province. This research is a qualitative research with a descriptive approach. The main informant of this research were 10 moms with children under two years old that selected by the sampling technique used purposive sampling method. The research was conducted in 10 hamlets in Ban village, Karangasem from July-October 2019. Data collected through in-depth interview and observation. Data were analyzed using thematic analysis techniques. The results showed the mother's understanding of nutritional problems was seen from the physical condition of the child, and the mother's understanding about the causes of nutritional problems were caused by a lack of food intake. Mother's role in overcoming nutritional problems are trying to meet the nutritional needs of children, paying attention to food safety and child hygiene, utilizing health services, and doing house cleaning activities. Obstacles that barrier mother's behavior in preventing undernutrition of children under two years old are: economy, distance, dry season, child refuse to breastfeed, busy, mother's health condition, living environment, belief and limited water. Suggestions that can be given are: Health workers routinely increase counseling related to the importance of fulfilling child nutrition and environmental sanitation; Mothers should buy a breast pump when they cannot breastfeed their children directly; Karangasem Health Office conducts tests on the quality of the water that is accessed to ensure water safety, and then conducts counseling activities to the community regarding proper and correct drinking water treatment processes. Keywords: Nutrition, Understanding, Role, Ban village

Feasibility of implementing pranic healing as a complementary service: A case study at Sanglah General Hospital, Denpasar Megawati, Desak Made; Lubis, Dinar Saurmauli; Manuaba, Ida Bagus Gede Fajar; Lesmana, Cokorda Bagus Jaya
Public Health and Preventive Medicine Archive Vol. 9 No. 1 (2021)
Publisher : Universitas Udayana

Background and purpose: WHO supports the implementation of complementary therapy services in health facilities to increase comprehensive health services coverage. Sanglah Hospital is developing the pranic healing service as part of the development of Indonesia’s medical tourism and traditional health. This study aims to determine the extent to which the feasibility, obstacles, challenges, and opportunities of the pranic healing service implemented at Sanglah Hospital. Methods: This study employed a mixed-methods design with a case study approach. The data were collected from March to April 2020 using in-depth interview with 23 informants by collecting information on acceptance, readiness, requests, and service management. Documents and archival records were also collected. The survey data were collected using a selfadministered questionnaire from 40 respondents by collecting information on patients’ requests and acceptance aspects. The qualitative data analysis was performed thematically and presented in a narrative form. The survey data were analyzed using univariate analysis. Results: The pranic healing service received support from the Ministry of Health and the hospital management, had a good acceptance from health workers and patients, was the only complementary service of its kind in health facilities throughout Indonesia and had the potential for the development of medical tourism. Obstacles and challenges found were related to workforce management, regulatory readiness, referral systems, and the development of inpatient services. Conclusion: Pranic healing service could be implemented at Sanglah Hospital because they had substantial support and because of demand and acceptance aspects. However, obstacles and challenges on the implementation and practicality aspects should be overcome for the sustainability of this service. The pranic healing has a good potency since to date, it is the only one available in Indonesia which is also potential for the development of medical tourism.

Implementation of six patient safety goals at a public health centre with in-patient services in Bali, Indonesia: A qualitative case study Gunawan, I Made Abdi; Wirawan, I Made Ady; Lubis, Dinar Saurmauli
Public Health and Preventive Medicine Archive Vol. 9 No. 1 (2021)
Publisher : Universitas Udayana

Background and purpose: The Indonesian government requires all health care facilities including public health centres (PHCs) to implement a patient safety program as part of the accreditation standard process. The implementation of patient safety in PHCs have faced various problems, including human resources and infrastructure issues. This study aims to explore the implementation of patient safety target procedures in an accredited inpatient PHC in Tabanan District, Bali, Indonesia.Methods: We conducted a qualitative case study that adopts four main domains in patient safety, consisting of executive officers, community or patient who received services, systems in service delivery and methods, and elements in each domain. The research location was at Penebel I PHC, an inpatient PHC with the accreditation status of “utama”. Data collection was carried out from March to April 2020. It includes observation of the patient safety implementation, review on tracking patient safety documents and in-depth interviews with 11 informants who are PHC staff, patients’ safety task force and the family of patients. The data were analysed using thematic analysis by creating a grid of themes, sub-themes and data reduction to narrative presentation. Results:The patient safety procedure in Penebel I PHC has been carried out through the standard and procedure according to the Ministry of Health (MoH) regulation which consist of patient identification; communication between staff and patients; maintain the safety of High Alert and Look Alike Sound Alike (LASA) medications. However, there is a need to improve the capacity of implementing officers to increase their communication competencies as well as to enhance cooperation between officers in health services to avoid patient safety incidents. Conclusion:The implementation of six patient safety goals in-corporate through four main domains of health care services has been running according to the MoH’s standard. There is a need to improve the competence of officers, cooperation between officers in carrying out patient safety management and improve communication between officers and patients so that the information conveyed by officers is truly understood by patients.

Community participation in the utilization of village fund for stunting prevention: Case study in two villages in Gianyar District Prabasari, Made Ayu Diah; Lubis, Dinar Saurmauli; Sutiari, Ni Ketut
Public Health and Preventive Medicine Archive Vol. 9 No. 2 (2021)
Publisher : Universitas Udayana

Background and purpose: The Indonesian government has set a target to reduce stunting prevalence from 27.7% in 2019 to 14% in 2024. There are 10 villages in Gianyar District have been selected as stunting loci since 2018, however, the percentages of the village fund utilized for health and nutrition were low. This research aims to identify the level of community participation in the utilization of village fund for stunting prevention in two stunting loci villages in Gianyar. Methods: This was a qualitative study using a multiple case study approach conducted in two stunting loci villages in Gianyar, Bali. Data collection was conducted from May to June 2020 through in-depth interview with 12 key informants. Thematic qualitative analysis was done using the ladder of participation concept with Arnsteinand political approach by Carpentier which involves several key concepts such as process, field, actor, decision making moment and power. Results: The level of community participation in the village fund utilization for stunting prevention was still in the of pseudo participation – Placation level. The majority of proposals or recommendation for stunting prevention program came from cadres of community health post, health care workers and the village assistants. Final decision making in the planning stage was largely depending on the village government. The community plays the role as program recipient. Several challenges for optimal utilization of village fund for stunting prevention were geographical condition, paternalistic leadership as well as the lack of understanding and capacity of key actors. Conclusion:The community participation in utilization of the village fund for stunting program in the two villages was in the vague participation level. The village government should provide more rooms to empower the community in order to increase their participation level.

The resilience of nurses in the emergency department of Sanglah Hospital during the pandemic of COVID-19 in Bali, Indonesia Kumalasari, Heni; Lubis, Dinar Saurmauli; Kurniati, Desak Putu Yuli
Public Health and Preventive Medicine Archive Vol. 12 No. 1 (2024)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v12.i1.p05

Background and purpose: COVID-19 pandemic has a major impact on the health care system, including nurses. The rapid increase in the number of patients, lack of knowledge of the disease, and the high risk of being exposed to the virus, are some challenges faced by nurses in hospitals. During this situation, nurses need to build resilience to provide good services for patients as well as to protect themselves from COVID-19 infection. This study aims to explore resilience of the emergency room (ER) nurses at Sanglah Hospital Denpasar during the early stage of COVID-19 pandemic. Methods: A qualitative study with a phenomenological approach was conducted in the ER of Sanglah Hospital Denpasar, from October to November 2020. Data were collected through in-depth interviews that involved six nurses. The information collected include nurses' experiences in dealing with pandemics, nurses' knowledge about COVID-19, challenges and obstacles to nursing services during the COVID-19 outbreak, efforts to protect themselves, family and closest relatives, as well as management responses regarding the protection of health workers, especially among nurses. Data were analyzed by Interpretive Phenomenological Analysis (IPA) and presented narratively. Results: Nurses have the internal strength to deal with increased workloads and working conditions that were considered difficult during the pandemic situation. Nurses’ resilience is also formed by external supports such as from co-working partners, family, and organizations. The challenges and obstacles faced in maintaining resilience are the implementation of services, amidst the uncertainty of the status of COVID-19 patients and the stigma among health workers, as they were suspected as virus carriers. Efforts to strengthen resilience are conducted by increasing capacity, taking care of oneself, and setting work schedules. Conclusion: The resilience of nurses consists of the resilience to face increased workloads and difficult working conditions during a pandemic. This resilience comes from internal and external strengths such as friends and organizations. In difficult situations, nurses are still able to think of concrete steps to protect themselves and their families. However, challenges and obstacles need to be overcome to improve the quality of patient care during a pandemic.

Self-Efficacy of nurses in COVID-19 isolation room of Sanglah Hospital, Denpasar: A mixed-method study Pande, Rai Dewi Damayanthi; Lubis, Dinar Saurmauli; Lesmana, Cokorda Bagus Jaya
Public Health and Preventive Medicine Archive Vol. 10 No. 1 (2022)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2022.v10.i1.p02

Background and purpose: Nurses' self-efficacy during the pandemic is different from their self-efficacy before the pandemic. Managing self-efficacy is one way to support nurses' mental well-being and resilience. This study aims to describe and determine factors related to nurses' self-efficacy in the COVID-19 Isolation Room of Sanglah Hospital, Denpasar, Bali Province. Methods: This is a mixed-methods study with a sequential explanatory design. In the first stage, a cross-sectional survey was conducted with a questionnaire in 132 nurses selected with total sampling. Statistical analysis was carried out using Chi-Square Test and Fisher's Exact Test at a 95% confidence level, to identify a relationship between nurses’ characteristics and sources of self-efficacy with their self-efficacy levels. Subsequently, qualitative in-depth interviews were conducted with 12 informants selected by purposive sampling. Qualitative data were analyzed using thematic analysis. Results: In the quantitative study, it was found that there was no relationship between the characteristics of nurses (age, gender, education level, years of service and training) and the level of self-efficacy (p>0.05). Meanwhile, the sources of efficacy (mastery experience, vicarious experience, social persuasion, physiological and emotional conditions) were found significantly associated with the level of self-efficacy (p<0.05). The qualitative study found that matters in line with these results, and other variables related to self-efficacy were personal, organizational, and external variables. Conclusion: Sources of self-efficacy that nurses can utilize, as well as opportunities and support provided by nurse leaders, developed self-efficacy in treating COVID-19 patients. It is necessary to increase the significance of sources of self-efficacy, personal variables, and organizational support to increase self-efficacy.

Leveraging Delphi Technique to Develop Breastfeeding Support Modules in East Java, Indonesia Kowara, Mellysa; Lubis, Dinar Saurmauli; Crosita, Yessi; Octaviana, Betty; Kurnianingsih, I Desak Ketut Dewi Satiawati; Januraga, Pande Putu
Jurnal Kesehatan Masyarakat Vol 20, No 1 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i1.42775

Improving knowledge and skills are crucial factors in increasing the commitment of health facility staff to support exclusive breastfeeding. This study presents the steps to formulate the modules using Delphi technique and implemented those modules in the training. This study used a mix-methods method consisting of four stages, namely literature review, qualitative study, module validity and module implementation. The modules were validated by 14 lactation experts to assess reliability, feasibility, and linguistics. The study was conducted from 2020-2021 in 5 regions in East Java Province. A pre-post-test measurement with 493 health works and non-health workers was conducted to assess the effectiveness of the modules. The first round of Delphi showed agreement proportion between 80-100% on the three aspects. In the second round of Delphi, the strong consensus stated that the modules can be implemented in training was achieved with percentage of feasibility (79.4%), reliability (44.4%) and linguistics (44.4%). The results of the training using the modules showed a significant improvement in knowledge between 6-26 points in 5 areas (p-value0.000). In conclusion, three modules have been developed and validated successfully. The modules were effectively used to improve the breastfeeding knowledge and practice among health and non-health workers.

Rethinking the Role of Local AIDS Commission in HIV Prevention After the National AIDS Commission Dissolved Lubis, Dinar Saurmauli; Ardrini, DA Mirah; Nijyoti, Nitya; Mantara, Adi
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 11 No. 2 (2023): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V11.I2.2023.218-228

Background: The Indonesian government established a non-structural government agency, named the Indonesian National AIDS Commission (INAC) in 2006 to coordinate HIV prevention programs. However, in 2016, the INAC was dissolved by the Presidential Decree no 124-year 2016. Aims: This research aims to identify the effects and challenges faced by the AIDS commission at the provincial level after the INAC was dissolved. Methods: This research used a qualitative research approach with data collection methods through Focus Group Discussion (FGD) and in-depth interviews. The number of participants was 18 people, representing the AIDS Commission, governments as well and NGO-based HIV. The data were analyzed thematically and then presented by using a narrative approach. Results: The findings indicated that the duty and role of the Bali Provincial AIDS Commission (BPAC) to coordinate, integrate, and synergize HIV prevention in Bali remain unchanged. However, it is challenging to coordinate AIDS programs at the provincial level due to changes in parent organizations and reduced funding. Conclusion: The findings show that the duty and role of BPAC to coordinate, integrate, and synergize HIV prevention in Bali remain unchanged. However, change in the BPAC structure and funding reduction has an impact on its role as the HIV coordination agency in Bali. Therefore, to enhance its role and function as an HIV program coordinator, BPAC needs to be supported by regulation to support the bureaucratic independence of BPAC, to innovate, and to obtain other sources of financial/funding support apart from local government.

Co-Authors Anak Agung Sagung Ratu Putri Saraswati Andira, Ratih Ayu Ardrini, DA Mirah Ardrini, Dewa Ayu Mirah Armini, Ni Luh Gde Astiti Muliantari Ayu Kartika Sari Cokorda Bagus Jaya Lesmana, Cokorda Bagus Jaya Crosita, Yessi Desak Putu Yulita Kurniati dewa ayu dian krisna dewi Dewa Nyoman Wirawan Dewa Nyoman Wirawan, Dewa Nyoman Dyah Pradnyaparmita Duarsa Gunawan, I Made Abdi Gunawan, I Wayan Agus I Desak Ketut Dewi Satiawati I Made Ady Wirawan I Nyoman Mangku Karmaya I.A. Kharisma Dyah Intan Maharani Ida Ayu Sri Puspita Wati Kadek Tresna Adhi Komang Ayu Kartika Sari Kowara, Mellysa Kumalasari, Heni LPL Wulandari Luh Erlanggita Narta Santi Luh Seri Ani Mantara, Adi Manuaba, Ida Bagus Gede Fajar Megawati, Desak Made Ni Ketut Sutiari Ni Komang Ekawati Ni Luh Putu Suariyani Ni Made Ari Febriyanti Ni Made Rahayu Pradnyasari Ni Made Utami Dwipayanti Ni Putu Widarini Ni Wayan Arya Utami, Ni Wayan Arya Nijyoti, Nitya Nur Saadah Octaviana, Betty Pande Putu Januraga Pande, Rai Dewi Damayanthi Prabasari, Made Ayu Diah Putra, I Gusti Ngurah Edi Putu Ayu Indrayathi Putu Ayu swandewi astuti Putu Sri Utami sang gede purnama Sangita Pina de Canossa Belo Sari Andajani Sari Andajani Sari Andajani, Sari Sari, Komang Ayu Kartika Seriani, Luh Sharyn Graham-Davies Sharyn Graham-Davies, Sharyn Sri Idayani, Sri Suryanti, Putu Emy Utami, Putu Sri Wulandari, LPL

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