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All Journal International Journal of Integrated Health Sciences Majalah Kedokteran Bandung
Sharon Gondodiputro
Department of Public Health, Faculty of Medicine Universitas Padjadjaran Bandung, Indonesia
Health Professions Medicine & Pharmacology

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Social Determinant Factors of Elderly as an Input in Enhancing Primary Health Care in Indonesia Sharon Gondodiputro; Henni Djuhaeni
International Journal of Integrated Health Sciences Vol 7, No 1 (2019)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (269.947 KB) | DOI: 10.15850/ijihs.v7n1.1495

Abstract

Objective: To analyze the differences of social determinant factors among elderly according to gender, in urban and rural areas in Indonesia. Indonesia is one of the most populated countries in the world,  faces an increased number of elderly. This situation leads to the increase of degenerative diseases and demands of caregivers as well. The identification of social determinant factors of elderly has an important role in enhancing primary health care.Methods: A comparative study was carried out in 33 provinces in Indonesia using secondary data from Statistics Indonesia 2013. The variables included in this study were percentage of elderly according to  education, marital status, occupation, income and living arrangements, divided in gender, urban and rural areas.  The normally distributed data were analyzed using unpaired T test and not normally distributed data were analyzed using Mann-Whitney test. Results: This study showed that there were differences in education, occupation and income between urban and rural areas. In urban area, most of the elderly worked in industry and trade and in rural area they worked in agricultural, indicated huge risks of occupational haxards.  Most of them were poor, still married, lived with spouses and family of three generations.Conclusions: It can be concluded that there were differences of social determinant factors (education, occupation and income) in elderly who live in urban and rural areas that can contribute to the risks of disease in elderly and these situations must be considered as an input  to enhance the primary health care.Keywords: Elderly, gender, rural, social determinants, urban
Elderly’s Expectations of Services in Integrated Health Post (Posbindu): A Qualitative Study Destyana Wulandari Azana; Sharon Gondodiputro; Didah Didah
Majalah Kedokteran Bandung Vol 51, No 4 (2019)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v51n4.1786

Abstract

Many factors influence the compliance of the elderly to visit the Integrated Health Post (Posbindu). One factor that needs to be explored is the expectation of the elderly on the services in this post. Expectations that are met with performance will create satisfaction, leading to a regular visit to the Posbindu. This study aimed to explore the expectations of the elderly towards services provided in the Posbindu. A qualitative phenomenology study using a in-depth interview was conducted to 8 elderly informants from 7 Posbindu from 7 public health centers (Pusat Kesehatan Masyarakat, Puskesmas) who were selected by purposive sampling in Bandung City. Posbindu and Puskesmas was selected in a simple random manner. The study was conducted from July to October 2018. Explored concepts were structure, process, and output of expectations. The collected data was processed by coding and categorization.This study discovered that the structural expectation covered three subthemes, namely accessibility, human resources, and facilities. The process expectation was formed by three subthemes: behavior and communication skills of the cadres; behavior and communication skills of the health providers; consultation and treatment. The output expectation was formed by three categories, including information about their illness, controlled disease, and the desire to stay healthy. This study discovered 3 new categories from several subthemes of the health care provided in the Posbindu, i.e. free services, attendance of a doctor, and medicine prescription. In conclusion, the expectation of the elderly towards the health services at the Posbindu has been identified. Ekspektasi Lansia terhadap Pelayanan di PosbinduBanyak faktor yang mempengaruhi kepatuhan lansia untuk datang ke Pos Pembinaan Terpadu (Posbindu). Salah satu faktor yang perlu digali adalah harapan para lansia. Harapan sesuai dengan kenyataan akan menciptakan kepuasan, yang mengarah ke kunjungan rutin ke Posbindu. Tujuan dari penelitian ini adalah mengeksplorasi harapan para lansia terhadap layanan di Posbindu. Penelitian fenomenologis kualitatif dilakukan dengan menggunakan wawancara mendalam kepada 8 informan lansia dari 7 Posbindu (dari 7 Puskesmas) yang dipilih secara purposive sampling di Kota Bandung. Pemilihan Posbindu dan Puskesmas dilakukan secara acak sederhana. Studi ini dilakukan dari Juli hingga Oktober 2018. Konsep yang dieksplorasi adalah struktur, proses, dan output dari harapan. Data yang dikumpulkan, diproses dengan pengkodean dan kategorisasi. Penelitian ini menemukan harapan struktural dicakup oleh tiga sub-tema, yaitu aksesibilitas, sumber daya manusia, dan fasilitas. Harapan proses dibentuk oleh tiga sub-tema, yaitu perilaku dan komunikasi kader; perilaku dan komunikasi tenaga kesehatan; konsultasi dan perawatan. Harapan masukan dibentuk oleh tiga kategori, termasuk informasi tentang penyakit mereka, penyakit terkendali, dan keinginan untuk tetap sehat. Studi ini menemukan 3 kategori baru dari beberapa subtema yaitu tidak perlu membayar , kehadiran dokter, dan pemberian obat. Simpulan, harapan lansia terhadap layanan kesehatan di Posbindu telah diidentifikasi.
Co-Authors Destyana Wulandari Azana Didah Didah Henni Djuhaeni