Hadi Pratomo
Departemen Pendidikan Kesehatan Ilmu Perilaku Fakultas Kesehatan Masyarakat Universitas Indonesia

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Analysis of Measles Vaccination Refusal on Social Media (Facebook) among Anti-Vaccine Communities in Indonesia Meilani, Dwi; Martha, Evi; Pratomo, Hadi; Hasanah, Indah Jamiatun; Rungreangkulkij, Somporn
Kesmas Vol. 16, No. 1
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Measles is one of the main causes of global mortality in the under-fives. The existence of groups that reject immunization caused a decrease in immunization coverage. Anti-vaccine messages are widely delivered on social media. Identification of vaccine rejection behavior can be used as the basis to formulate effective program strategies. The design of this study used rapid assessment procedures (RAP). The informants were from two anti-vaccine communities in the Facebook group. In-depth interviews and observations were done for data collection, and data analysis was performed using the Framework Method. The results found that determinants, such as knowledge, beliefs in health behavior and disease prevention, religion, culture, and government policies play a role in shaping informants’ perceptions of vaccines and disease risks. The design factors of vaccination programs and the reliability of vaccine producing sources were found to be inhibiting factors for informants to receive vaccines. Also, experience with vaccines, health workers' role, and lobbying by anti vaccine groups strengthened informants' attitude who initially doubted vaccines, causing them to reject vaccines ultimately. It is suggested to the Ministry of Health to improve vaccination campaigns through social media, conduct vaccine development study, and increase health workers' knowledge related to vaccines and make their communication techniques more effective.
Family Planning Communication between Wives and Husbands: Insights from the 2017 Indonesia Demographic and Health Survey Irawaty, Dian Kristiani; Yasin, Suziana Mat; Pratomo, Hadi
Kesmas Vol. 15, No. 3
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Frequent inter-spousal communication is regarded as an indicator of safe family planning practice. Nevertheless, communication about family planning within couples in Indonesia is still largely unexplored. This study assessed the levels of inter-spousal communication about family planning and its associated determinants, using cross-sectional and nationally representative data from the 2017 Indonesia Demographic and Health Survey (IDHS), from a randomly selected cohort of 8,925 currently-married couples. Data on sociodemographic characteristics, inter-spousal communication behaviors, and attitudes regarding family planning were collected. The dependent variable in this study is how frequently couples discuss family planning, based on wives’ responses. The analyses were stratified based on the frequency of inter-spousal communication: never, once or twice, or more often. The results of the study were greater husband approval of family planning and communication with family planning field workers, and that those encouraged inter-spousal communication in Indonesia.
Husband’s Support for Their Wives in Antenatal Care Visit Hanifah, Awalia; Pratomo, Hadi; Hoang, Giang
Kesmas Vol. 13, No. 1
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Di wilayah Puskesmas Cimanggis, Kota Depok, cakupan kunjungan antenatal pertama (K1) dan kunjungan ke-4 (K4) sebesar 99,4% (2013) dan 91% (2014). Dukungan suami ibu hamil merupakan salah satu faktor yang berperan penting dalam kunjungan antenatal pada ibu hamil. Penelitian ini bertujuan menilai faktor predisposisi, pemungkin dan penguat dari dukungan suami terhadap ANC istrinya dengan menggunakan pendekatan kualitatif dengan desain Rapid Assessment Procedure. Lima suami dan istrinya yang sedang hamil dipilih sebagai informan serta dua bidan puskesmas sebagai informan kunci. Analisis data menggunakan matriks data kualitatif dan teknik analisis tematik. Hasil penelitian menunjukkan bahwa faktor predisposisi, pemungkin dan penguat dari suami sangat penting dalam mendorong ibu hamil melakukan kunjungan antenatal pada saat kehamilan. In Cimanggis Primary Health Care, Depok City, the coverage of both the first antenatal care visit (ANC) and the fourth ANC was 99.4% (2013) and 91% (2014). The husband support is one of the factors that plays an important role in mothers’ ANC visit. This study aimed to assess predisposing, enabling, and reinforcing factors of the husband support towards their wives’ ANC visit. This was a qualitative study using a Rapid Assessment Procedure. Five husbands of pregnant women and their wives were recruited as informants. Two midwives from the primary health care were the key informants. Data were analysed using matrix of qualitative data and thematic analysis technique. Results showed that those three factors, meaning that predisposing, enabling and reinforcing factors of the husband were very important in motivating their pregnant wives to do ANC during pregnancy.
Pendidikan Ibu dan Durasi Pemberian Air Susu Ibu dalam Peningkatan Kecerdasan Siswa Usia Sekolah Dasar Said, Maryam; Pratomo, Hadi
Kesmas Vol. 8, No. 4
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Riwayat pemberian Air Susu Ibu (ASI), karakteristik ibu dan anak serta pola asuh berpengaruh terhadap kecerdasan anak. Penelitian ini bertujuan untuk mengetahui proporsi tingkat kecerdasan anak, riwayat pemberian ASI, karakteristik ibu dan anak, serta faktor dominan yang berhubungan dengan tingkat kecerdasan anak pada siswa SDSN Pekayon Jaya VI Kota Bekasi. Penelitian kuantitatif dengan desain potong lintang dengan metode systematic random sampling dengan jumlah sampel sebesar 166 responden (siswa/i yang berumur 7 - 9 tahun) beserta ibunya. Penelitian ini dilaksanakan pada bulan Mei 2013. Pada siswa dilakukan tes kecerdasan menggunakan tes Raven sedangkan ibunya mengisi kuesioner. Hasil penelitian menunjukkan tingkat kecerdasan rendah 6%, rata-rata 36,7%, dan tinggi 57,2%. Variabel yang berhubungan dengan kecerdasan adalah durasi pemberian ASI dan pendidikan ibu. Pendidikan ibu adalah faktor dominan terhadap kecerdasan, bahwa ibu yang berpendidikan tinggi berpeluang mempunyai anak dengan kecerdasan tinggi yaitu 3,556 kali lebih besar dibandingkan ibu berpendidikan rendah setelah dikontrol variabel durasi ASI. Untuk Dinas Pendidikan Kota Bekasi agar menyelenggarakan berbagai aktivitas seperti seminar/pelatihan/konseling bagi orang tua murid tentang pentingnya peran orangtua terhadap tumbuh kembang anak. Breastfeeding history, mother and children characteristics, and child care are considered influential on child intellegence. This study aimed to determine the proportion of exclusive breastfeeding, the level of childrens intellegence, mother and children characteristics, the relationship between duration of breastfeeding with the level of students intellegence. This research used a cross-sectional design and through systematic random sampling with a sample size of 166 respondents (students aged 7 - 9 years old) and their mothers. The intellegence was tested using the Raven test while their mothers were interviewed. The results showed that the level of childrens intellegence was high (57.2%), average (36.7%), and low (6%). Those variables which related to the intellegence level were duration of breastfeeding and the level of mothers education. The mothers education level is one of the factors which has higher effect, againts the childrens intellegence. Those mothers who have high level education will have probability 3,556 to have their children with high level intellegence (after controlling the duration breastfeeding). Suggestion; The Department of Education Bekasi city to organize activities relevant to the improving of parents in growth and development of their children through seminars/training/counseling.
Pajanan Kebisingan dan Hipertensi di Kalangan Pekerja Pelabuhan Harianto, Eddy; Pratomo, Hadi
Kesmas Vol. 8, No. 5
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Penyakit kardiovaskular menempati urutan ke-4 atau 15% dari penyebab kematian yang berhubungan dengan pekerjaan. Hipertensi yang merupakan salah satu penyakit pembuluh darah, dikenal sebagai silent killer karena sering tidak menimbulkan gejala. Sebagian besar penderita hipertensi di Indonesia tidak terdeteksi, sementara mereka yang terdeteksi umumnya tidak menyadari kondisi penyakitnya dan hanya sebagian kecil yang berobat secara teratur. Tujuan penelitian ini untuk mengetahui prevalensi hipertensi pada pekerja pelabuhan di wilayah kerja Kantor Kesehatan Pelabuhan Kelas II Tarakan serta faktor-faktor risiko yang berpengaruh. Desain penelitian yang digunakan adalah potong lintang; subjek diperoleh dari hasil survei penyakit tidak menular tahun 2011 oleh Kantor Kesehatan Pelabuhan Tarakan. Subjek yang terkumpul adalah 361 pekerja. Nilai pengukuran tekanan darah menggunakan nilai baku dari JNC VII tahun 2003. Prevalensi hipertensi ditemukan lebih rendah daripada angka nasional dan provinsi, yaitu 21,88%. Pajanan kebisingan dikaitkan dengan usia, riwayat keluarga hipertensi, stres, indeks massa tubuh dan berhubungan dengan hipertensi. Cardiovascular disease range ranks fourth or 15 % of the causes of death related to job. Hipertension is one of cardiovascular disease thet is known as silent killer because of lack of simptom. Most of hypertension patients in Indonesia are not detected, while they are whose detected do not conscious their disease condition and only little who get the treatment regularly. The objective of this study was to know the prevalence and risk factors of hypertension among harbor worker at Port Health Office Class II of Tarakan with it’s associated risk factors. The study design used was crosssectional. The study used secondary data source of noncommunicable disease survey, 2011 at Port Health Office of Tarakan. The subjects were 361 workers. Value of blood pressure measurement using the raw value of the JNC VII IN 2003. The prevalence of hypertension were found lower than national and province indicator score, 21,88%. Noise exposure is associated with hypertension together with age, family hypertension history, stress, body mass index.
From Social Distancing to Physical Distancing: A Challenge for Evaluating Public Health Intervention against COVID-19 Pratomo, Hadi
Kesmas Vol. 15, No. 5
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The coronavirus disease 2019 (COVID-19) pandemic has affected every country. Currently, no suitable vaccine or treatment has been identified; therefore, each country has attempted to issue appropriate policies, designed to reduce and prevent increases in the numbers of extreme cases. Transmission can be prevented by implementing social restrictions, also known as social distancing. The World Health Organization (WHO) has issued several methods for the prevention of transmission, including social distancing, washing hands with soap (or using hand sanitizer containing at least 70% alcohol), and using masks. Over time, the term social distance has changed to physical distance. Evaluating the impacts of different types of non-pharmacological interventions has been challenging.
Pre-testing of the WHO’s Educational Video: “How to Protect Yourself Against COVID-19” Fadliyah, Hilyatul; Muhtar, Manendra; Munih, Munih; Risgiantini, Sylviasari; Wulandary, Weny; Pratomo, Hadi
Kesmas Vol. 15, No. 5
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The coronavirus disease 2019 (COVID-19) pandemic, caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was declared a public health emergency in many countries, including Indonesia. The World Health Organization (WHO) released an educational video, entitled "How to Protect Yourself Against COVID-19", which explained how to prevent the spread of COVID-19. This study is a qualitative study that aims to pre-test this video, based on the Information, Education, Communication (IEC) theory, by analyzing teenagers’ perceptions of the video. The design used was a Rapid Assessment Procedure (RAP), and the data were collected by conducting in-depth interviews with participants, through virtual meetings. The data were analyzed using a qualitative data matrix and thematic analysis. The results showed that all participants found the video regarding the prevention of COVID-19 spread to be attractive and comprehensible. In addition, the participants felt that the contents of the video were not contradictory to their personal values and that the message was targeted to everyone, including themselves. The video was also perceived to be persuasive. Overall, the participants held a generally positive perception of the video.
Co-Authors Adang Bachtiar Ade Iva Murty Ahmad Syafiq ANGGUN RACHMAWATI, ANGGUN Arriawan, Iwan Arsyi, Miftahul Asri Masitha Arsyati Azraliani, Tasyafiki Bandur, Paskalinda Besral . Budisusilowati, Bernadeth Novita Dara, Pundra Darmawan, Roy Dwijayani, Lidya Eddy Harianto eka rahmawati Elfiyani, Nur Khotimah Elisabet, Belinda Meliana Evi Martha Fadliyah, Hilyatul Fitria, Febby Zuriani Fitrianingrum, Nisaatul Maharanita Friadita, Karina Giang Hoang Ginting, Ina Rahayu Ginting, Jessica Goenawan, Goalbertus Gustanela, Oktrina Hanifah, Awalia Harianja, Ristina Rosaulli Hasanah, Indah Jamiatun Hermawan, Lukas C Hilda Amalia Indriyani, Sri Ingan Ukur Tarigan Irawati Ismail, Irawati Irawaty, Dian Kristiani Karina Samaria Labetubun, Julia Christy Latipatul Ashor, Fitri Maharanita, Nisaatul Maman Saputra, Maman Maryam Said Maulida, Fathia Maya Lova, Shelly Meilani, Dwi Mona Lisa Mudiyah, Siti Muhtar, Manendra Mukaromah, Yayu Mukti, Ghifari Andini Mulyana, Ela Munih, Munih Mustikawati, Intan Silviana Novianita, Shelvi Nurhanifah Nurhanifah Octavia, Syally Nadya Paradillah, Indri Pratiwi, Riri Amanda Puspitasari, Dewi Ayu Putri, Safitri Widayanti Rachmadiah, Yudith Ramdani, Famelasari Fitria Riadi, Dela Risgiantini, Sylviasari Rita Damayanti Ronaldo, Ronaldo Rungreangkulkij, Somporn Rusman, Kharisma Nurul Fazrianti Sabarinah Prasetyo Sabarinah Sabarinah, Sabarinah Sakti, Dea Allan Karunia Selvianita, Devi Setiadi, Muhammad David Siti Jumhati Sri Utami Sulastri, Nur Eulis Trini Sudiarti Ukik Kusuma Kurniawan Ulfah, Ita Ainy Wahyuni, Rizki Dhahifa Wahyuni, Rizky Dhahifa Wati, Risa Laras Winny Kirana Hasanah Wulandary, Weny Yasin, Suziana Mat Yulia, Rizki