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All Journal Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management)
Hari Kusnanto Josef
Departemen Kebijakan Dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan, Universitas Gadjah Mada
Education Health Professions Medicine & Pharmacology Public Health

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Prolanis Influence on Decreasing Blood Pressure of Hypertension Patients in Puskesmas Pandak II Bantul 2017 Florentina Sita Murti; Hari Kusnanto Josef; Wahyudi Istiono
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 2 (2019): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (618.853 KB) | DOI: 10.22146/rpcpe.46016

Abstract

Background: People with hypertension over age 25 years reached 40% in 2008 according to the World Health Organization and 75% occurred in developing countries. Hypertension management must be focused on first-rate health care which could reduce death-risk, disabilities, and the cost burden. Badan Pengelola Jaminan Social obliges every first-rate health care to have to apply Program Pengelolaan Penyakit Kronis (Prolanis).Objectives: This study aims to determine the difference of decreased blood pressure in Prolanis and Non-Prolanis groups in Puskesmas Pandak II.Methods: This quantitative research with cohort retrospective design used secondary data of hypertension patients who are following Prolanis compared with those who are not in Puskesmas Pandak II. Data covered characteristics of patients, blood pressure, and Body-Mass Index (BMI) over one year. The analysis used repeated measures ANOVA. Results: The comparison with the treatment group showed significant differences in blood pressure variable, diastolic pressure variable, and BMI, interaction and measureable differences during the study period in all three variables. There was an uptrend in the Non-Prolanis group and a downtrend in the Prolanis group.Conclusions: Decreased blood pressure of patients with hypertension is better in Prolanis than Non-Prolanis groups.
Scientific Prediction of the Covid-19 Pandemic and What Should Society Do? Iche Andriyani Liberty; Mariatul Fadilah; Hari Kusnanto Josef
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 3, No 3 (2020): September
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.57577

Abstract

What is the scientific prediction for the Covid-19 pandemic? Currently, as of April 8, the world’s confirmed cases have over 1.2 million, the death of more than 72 thousand. For Indonesia,  today  2,738  confirmed cases,  221  deaths,  and those who recovered 204.1-3. The update on April 8 today, WHO itself estimates that the Covid-19 Contagion Rate is 1.4 to 2.5. This will form the basis of predictive modeling. Several studies conducted show that currently the basic reproduction number or  R0  of  Covid-19  is higher than SARS.  Initially in the range of  2-3  or an average of  2.5, currently R0 is 1.4 - 6.9. This is what will form the basis of modeling. R0 or the basic reproduction number shows how many people a person can become infected with.  If the R0 is more than 1, we are in an epidemic status as it is today, R0 = 1 endemic, and our R0 is less than 1 we have eradicated. R0 itself consists of three components, namely p: transmission, c: number of contact, and D which is the duration of the infection itself. These calculations are the main points in modeling.
Impact of Foot Care Education Program Using WhatsApp Group on Knowledge and Foot Care Practice in Diabetic Patients Yogi Fitriadi; Hari Kusnanto Josef; Cornelia Wahyu Danawati
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 4, No 2 (2021): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.65439

Abstract

Background: Diabetic ulcers are still one of the complications of diabetes that cause high costs for treatment and cause disability in diabetic patients due to leg amputation. Diabetic ulcers can be prevented by properly controlling blood sugar levels and foot care practice. Primary care doctors can provide knowledge about foot care practice to the community through Whatsapp Group. Whatsapp Group as one of the social media that is easily accessible via mobile phone can be used to carry out health education to the community continuously.Objectives: Determine the impact of foot care education through Whatsapp Group on knowledge and foot care practice of diabetic patients.Methods: Quasi experimental one group pretest and posttest design was be utilized in this study. Samples were obtained by purposive sampling from diabetic patients who visited and participated in Program Penanggulangan Penyakit Kronis activity in a primary healthcare clinic in Semarang at December 2020 until January 2021. Data were analyzed using the Friedman test and post Hoc Wilcoxon test.Results: Thirty six diabetic patients met the inclusion criteria. The median, minimum, and maximum score of the foot care knowledge before education through Whatsapp Group was 10 (4-13) and the score of foot care practice was 40 (21-56). Immediately after education, the score of knowledge was 12 (9-14) and foot care practice was 49.5 (23-69). One month after education, the knowledge score was 13 (9-14) and the foot care practice score was 50 (26-73). From the Friedman test, it was obtained p value = 0.00 (<0.05) and the Wilcoxon post hoc test p value = 0.00 (<0.05) for the knowledge and foot care practice before and immediately-one month after education. The post hoc Wilcoxon test results p value = 0.24 and p value = 0.79 for the score of knowledge and foot care practice immediately and one month after education.Conclusion: Foot care education through Whatsapp Group has an impact on knowledge and foot care practice for diabetic patients. There is an increase in knowledge and foot care practice after providing education through Whatsapp Group.Keywords: Foot Care Education, Whatsapp Group, Knowledge, Foot Care Practice, Diabetes
Webinar Panelist RPCPE Serial Response to Pandemic Covid-19 Hari Kusnanto Josef; Dhanasari Vidiawati; Elsa Pudji Setiawati; Mariatul Fadilah; Armyn Nurdin; Syarhan Syarhan; Sintak Gunawan; Mora Claramita
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 5, No 2 (2022): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.74818

Abstract

Relaxation of PSBB Policy from the Perspective of Community Medicine and Epidemiology in IndonesiaWhen the government will do something meaningful and full of uncertainty, such as relaxation of the PSBB, it needs to be done based on a plan with uncertainty, namely scenario planning. In scenario development, four stages must be carried out, namely identifying the driving forces and critical uncertainties. Some scenarios then create a path for how a plan will travel.
Health Family Indicators in North Lombok Regency Yogi Fitriadi; Noor Afif Mahmudah; Mumtihana muchlis; Cornelia Wahyu danawati; Wahyudi Istiono; Mora Claramita; Adi Heru Sutomo; Hari Kusnanto Josef
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 6, No 1 (2023): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.74538

Abstract

Background: Health family indicators are twelve indicators used to assess family health status. The increase in the health family indicator is one of the parameters of The Indonesia Health Program with a Family Approach (PIS-PK) success. This health family indicator can increase if there is an increase in public awareness of family health and the right policies from the health service or government in an area related to health. To make an appropriate policy, accurate health family indicator survey data is needed that can be used as a guideline to make health-related policies and implement health policies in accordance with problems in the community based on the results of the health family indicator survey, especially for family with vulnerable groups in the context of post disaster/crisis phase. Objectives: This study aims to assess the achievement of health family indicator in North Lombok Regency. This study is the first to be conducted with the aim of describing the health family indicator achievement of families who have family members with vulnerable groups in post disaster/crisis phase. Method: This study is a descriptive study that assesses the health status of families in the North Lombok Regency area. The subject of the study was a family that had family members with vulnerable groups selected by purposive sampling. Data retrieval was conducted by interviewing participants who met the criteria for inclusion and exclusion with the guidance of healthy family indicator questionnaires by trained cadres. The data obtained was analyzed using Microsoft Excel and STATA 16 programs. Result: 292 families in six village met the criteria for inclusion and exclusion. The results of this study showed that 6.51% of family respondents belonged to the category of unhealthy families, 57.53% were pre-healthy families and 35.96% were healthy families. The highest percentage of healthy families is in Santong village (44.93%, n = 69) while the highest percentage of unhealthy families is in Santong Mulia village (19.23%, n = 26). The average percentage of healthy families in six villages is 34.02% while the average percentage of unhealthy families is 8.53%. Conclusion: Most families with vulnerable groups in the North Lombok Regency are pre-healthy families.
KAJIAN PENGELOLAAN LIMBAH MEDIS COVID-19 DI RUMAH SAKIT Valentina NFK; Hari Kusnanto Josef; Agus Surono
Journal of Health Service Management Vol 26 No 1 (2023)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v26i1.6880

Abstract

Background: Hospitals are one of the largest producers of medical waste. If the medical waste is not managed properly in accordance with applicable standards, it can be dangerous and cause health problems, especially for officers who handle waste, patients, visitors and the community around the hospital.Objective: This study aims to explore the management of COVID-19 medical waste in hospitals, both from input, process and output.Methods: This research is qualitative research with a descriptive case study design. The informants in this study consisted of 15 people who were selected using the purposive sampling method from the internal UGM academic hospital and the surrounding community. Research conducted in May 2022.Results: In the input evaluation it was found that the UGM RSA already had an SOP for handling COVID-19 medical waste, there was already an adequate allocation of funds for the management of COVID-19 medical waste, and human resources had also met the standards. Most of the facilities and infrastructure owned are adequate for processing COVID-19 medical waste. RSA UGM has provided PPE for COVID-19 medical waste collectors but it has not been used optimally. As for process evaluation, sorting and storage have been carried out according to standards. The transportation of COVID-19 medical waste has met the standards but the B3 medical waste TPS has not met the standards. In the output evaluation, none of the respondents experienced health problems related to the management of COVID-19 medical waste.Conclusion: There needs to be improvement in the management of COVID-19 medical waste, especially in the input and process sections.
Co-Authors Adi Heru Sutomo Agus Surono Armyn Nurdin Cornelia Wahyu Danawati Dhanasari Vidiawati Elsa Pudji Setiawati Florentina Sita Murti Hermanto Hermanto Iche Andriyani Liberty, Iche Andriyani Mariatul Fadilah Mariatul Fadilah Mora Claramita Mumtihana muchlis Noor Afif Mahmudah Pascawati, Nur Alvira Purwono Purwono Roger Frutos Rumbiwati Rumbiwati Sintak Gunawan Syarhan Syarhan Tri Baskoro Satoto Valentina NFK Wahyudi Istiono Wida Purwaningsih Yogi Fitriadi