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Determinants of Delay in Diagnosis and Treatment in Multi Drug-Resistant Tuberculosis Patients in Health Facilities Sutanto, Yusup Subagio; Murti, Paulus Wisnu Kuncoro; Reviono, Reviono; Probandari, Ari Natalia; Kurniawan, Hendra
Indonesian Journal of Medicine Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.292 KB)

Abstract

Background: Multidrug-resistant tubercu­lo­sis (MDR-TB) is a serious threat to global TB control programs. According to WHO, there are 23,000 cases of TB multidrug-/rifampicin-resistant (MDR/RR-TB) in Indonesia. In 2017, there were 442,000 of TB cases. There were 8,600 - 15,000 MDR/RR-TB cases, of which 2.4% were new cases and 13% were previously treated TB cases. This study aims to determine the factors that influence the delay in diagnosis and treatment of MDR-TB patients.Subjects and Method: This study was a cross-sectional study conducted at Dr. Moe­wardi hospital, from Sep­tem­ber to October 2017, Surakarta, Central Java. A sample of 73 MDR-TB patients with disabilities on medical records was selected for this study. The depen­dent variables were delay in diagnosis and delay in therapy of MDR-TB cases. The inde­pendent variables were age, gender, distance to health facilities, and type of health facilities. Data were collected from medical records of MDR-TB patients who were treated from March 2012 to March 2017. Data were analyzed using the chi-square model.Results: Median delay in diagnosis = 4 days. Median treatment delay = 12 days. The average patient who had delayed MDR-TB therapy (≥4 days) was 44 years old (Mean= 44.19; SD= 12.64). Delay in MDR-TB diagnosis was not significantly associated with gender (OR= 0.53; 95% CI= 0.18 to 1.57; p= 0.264), distance to health facility (OR= 1.56; 95% CI= 0.58 to 4.21; p= 0.389), and type of health facility (OR= 0.60; 95% CI= 0.26 to 1.41; p= 0.983). The average of patient who had delayed MDR-TB therapy (≥12 days) was 41 years old (Mean= 41.39; SD= 12.69). Treatment delay was not significantly related to gender (OR= 0.45; 95% CI= 0.16 to 1.26; p= 0.137), distance to health facility (OR=1.44; 95% CI= 0.55 to 3.78; p= 0.466), and type of health facility (OR= 2.31; 95% CI= 1.03 to 5.21; p= 2.967).Conclusion: There was no statistically sig­nificant relationship between gender, dis­tance from the patient's home to health facilities, and type of health facility with the delay in diag­nosis and treatment of MDR-TB patients.Keywords: diagnosis, treatment, TB-MDRCorrespondence: Yusup Subagio Sutanto. Department of Pulmo­nology and Respiratory Medicine, Faculty of Medicine Universitas Sebelas Maret/ Dr. Moe­wardi Hospital, Surakarta. Jl. Kolonel Sutarto No.132, Jebres, Surakarta, Central Java 57126. Email: dr_yusupsubagio@yahoo.com. Mobile: 0811284165.Indonesian Journal of Medicine (2021), 06(01): 14-22https://doi.org/10.26911/theijmed.2021.06.01.02
Fasting Blood Glucose Levels in Adult Women with Type 2 Diabetes Mellitus and Its Associated Factors Dewi, Dwi Hananta; Probandari, Ari Natalia; Indarto, Dono
Jurnal Keperawatan Soedirman Vol 13, No 3 (2018)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2018.13.3.817

Abstract

AbstractIndonesia has the sixth largest number of people with diabetes in the world. This study aimed to investigate association of age of menarche, duration of diabetes, vitamin c (VC) intake and psychological stress with fasting blood glucose (FBG) levels in adult women with type 2 diabetes mellitus (T2DM). Psychological stress was measured using a STAI questionnaire, while anthropometry, duration of diabetes and age of first menarche were assessed using open questionnaires. Vitamin C intake and FBG level were measured using SQ-FFQ and the hexokinase method respectively. Data were analyzed using Spearman Rank correlation and multiple linear regression tests. A total of 188 adult women with T2DM had mean age 53±5.31 years old, Body Mass Index (BMI) 25±3.76 kg/m2, age at menarche 13.8±1.71 years old, duration of diabetes 4.4±3.38 years and VC 56.9±46.79 mg/day. Body Mass Index (r=-0.190 p=0.011) and VC intake (r=-0.153 p=0.049) were associated with FBG levels. While, age of menarche, duration of diabetes and psychological stress were not associated with FBG levels.AbstrakIndonesia menempati peringkat keenam terbesar jumlah penderita diabetes melitus (DM) di dunia. Tujuan penelitian ini adalah menganalisis hubungan usia menarche, lama menderita DM tipe 2 (DMT2), asupan vitamin c (VC) dan stres psikologis dengan kadar glukosa darah puasa (GDP) pada perempuan dengan DMT2 Stres psikologis diukur menggunakan kuesioner STAI sedangkan data antropometri, lama menderita T2DM dan usia menstruasi dikaji dengan kuisioner terbuka. Asupan vitamin C ditentukan dengan Semi Quantitative Food Frequency Questionnaire (SQ-FFQ) dan kadar GDP serum diukur dengan metode hexokinase. Data kemudian dianalisis dengan menggunakan Korelasi Spearman dan regresi linier ganda. Sebanyak 188 subjek memiliki rata-rata usia 53+5,31 tahun, IMT 25+3,76 kg/m2, lama menderita DMT2 4,4+3,38 tahun, usia mesntruasi 13,8+1,71 tahun dan asupan VC 56,9±46,79 mg/day. Indeks Massa Tubuh (r=-0.190; p=0,011) dan asupan VC (r=-0,153; p=0,049) berhubungan dengan kadar GDP. Sementara itu usia menstruasi, lama menderita DM dan stress psikologi tidak berhubungan dengan kadar GDP.
The Relationship Between Age, Education, Region, and Knowledge with Stunting Prevention Attitudes in Brides-to-Beat the Religious Affairs Office (KUA) Quraisy, Cut Cahaya Rani Saifa Alhajd; Probandari, Ari Natalia; Widyaningsih, Vitri
Nusantara Science and Technology Proceedings The 1st International Conference Muhammadiyah Yogyakarta – Hospital & Healthcare Management
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/nstp.2024.4201

Abstract

The high prevalence of stunting in West Aceh Regency can be caused by low public awareness to prevent stunting early on through various activities or programs to improve community attitudes, especially in prospective brides as a determining factor that contributes to the problem of stunting due to the age of marriage too early, the low education of prospective brides who are in rural areas, and the lack of information about the importance of stunting prevention by prospective brides. The purpose of this study was to determine the relationship between age, education, region, and knowledge with attitudes to prevent stunting in prospective brides. This research was conducted at the Religious Affairs Office (KUA) of West Aceh Regency, namely the KUA of Meureubo, Kaway XVI, Johan Pahlawan, and Samatiga Districts. This study used a cross-sectional design. The research sample was prospective brides who were selected proportionally according to each location using purposive techniques based on the results of sample calculations on unknown populations according to the Lemeshow formula with the acquisition of 108 respondents. Data collection used a questionnaire that had been validated using validity and reliability tests for the variables of knowledge and attitudes to prevent stunting. The data that has been collected is analyzed using the chi-square test to conclude the problem under study. The results of statistical analysis showed that age and education, both of which had a P.Value smaller than the alpha probability of 0.05, showed that age and education were not associated with stunting prevention attitudes in prospective brides. Meanwhile, region and knowledge obtained a P.Value value greater than the probability alpha 0.05, indicating that region and knowledge are significantly related to the attitude of stunting prevention in prospective brides at the KUA of West Aceh Regency.
Optimalisasi Kader Tim Pendamping Keluarga (TPK) dengan Peningkatan Pengetahuan terkait Stunting di Kabupaten Boyolali Putro, Wahyu Gito; Anggraheny, Hema Dewi; Anggraini, Merry Tiyas; Surani, Endang; Mulyani, Sri; Widyaningsih, Vitri; Probandari, Ari Natalia
Jurnal Surya Masyarakat Vol 7, No 1 (2024): November 2024
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jsm.7.1.2024.168-172

Abstract

Stunting is still one of the priorities for a maternal and child health in Indonesia. The stunting prevalence rate in Boyolali Regency in 2023 reached 6,86%, relatively lower compared to the national level. However, the focus on handling stunting is still specifically for pregnant women and toddlers. There is a need to optimize the role of Family Support Team cadres to be able to supervise the prospective bride, as an effort to prevent stunting. This service was carried out in the Department of Population Control Service, Family Planning, Women’s Empowerment and Child Protection (DP2KBP3A) Boyolali Regency with a target of 20 family support team cadres’, who represent rom each sub-district in Boyolali Regency. The aim of this service was to increase cadres knowledge on stunting, including factors that cause stunting, pregnancy planning, and family assistance for prospective brides. The majority of cadres have completed high school education (70%), have been cadres for more than 10 years (60%), and have 1-3 jobs (60%). There was an increase in cadres’ knowledge before and after being given training (p<0,05). Result shows that activities carried out were the provision of training as an effort to complement the knowledge and understanding of family support team cadres, especially for prospective brides, was effective, demonstrated by an increase in cadres knowledge before and after training.
Optimalisasi Kader Tim Pendamping Keluarga (TPK) dengan Peningkatan Pengetahuan terkait Stunting di Kabupaten Boyolali Putro, Wahyu Gito; Anggraheny, Hema Dewi; Anggraini, Merry Tiyas; Surani, Endang; Mulyani, Sri; Widyaningsih, Vitri; Probandari, Ari Natalia
Jurnal Surya Masyarakat Vol 7, No 1 (2024): November 2024
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jsm.7.1.2024.168-172

Abstract

Stunting is still one of the priorities for a maternal and child health in Indonesia. The stunting prevalence rate in Boyolali Regency in 2023 reached 6,86%, relatively lower compared to the national level. However, the focus on handling stunting is still specifically for pregnant women and toddlers. There is a need to optimize the role of Family Support Team cadres to be able to supervise the prospective bride, as an effort to prevent stunting. This service was carried out in the Department of Population Control Service, Family Planning, Women’s Empowerment and Child Protection (DP2KBP3A) Boyolali Regency with a target of 20 family support team cadres’, who represent rom each sub-district in Boyolali Regency. The aim of this service was to increase cadres knowledge on stunting, including factors that cause stunting, pregnancy planning, and family assistance for prospective brides. The majority of cadres have completed high school education (70%), have been cadres for more than 10 years (60%), and have 1-3 jobs (60%). There was an increase in cadres’ knowledge before and after being given training (p<0,05). Result shows that activities carried out were the provision of training as an effort to complement the knowledge and understanding of family support team cadres, especially for prospective brides, was effective, demonstrated by an increase in cadres knowledge before and after training.
Epidemiological Investigation in Diphtheria Control in Banda Aceh, Indonesia Aini, Zahratul; Pamungkasari, Eti Poncorini; Probandari, Ari Natalia
Journal of Epidemiology and Public Health Vol. 5 No. 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Extraordinary events (KLB) diph
Effect Of Condom Utilization On Sexuall Transmitted Infection Among Female Sex Workers, In Tulungagung District, East Java, Indonesia Hanifah, Ainun; Probandari, Ari Natalia; Pamungkasari, Eti Poncorini
Kesmas Vol. 13, No. 3
Publisher : UI Scholars Hub

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Abstract

One effective strategy for preventing sexually transmitted infection (STI) incidence and providing protection for female sex workers (FSWs) from their sexual partners is correct and consistent condom use behavior. This study examined the effect of condom use on STI among FSWs in Tulungagung District, East Java. This analytic and observational study using a cohort prospective design was conducted at Ngujang ex- prostitution area and Gunung Bolo prostitution area, Tulungagung District, from November to January 2017. The total sample selected was 90 FSWs. Data was collected through a set of questionnaires and tracking condom use in a diary. Data were analyzed by using Pearson’s chi-square, t-test and logistic regression models at a significance of 0.05. Bivariate analysis with chi-square test showed that STI was affected by period of condom use, ratio of number of condom used to number of times the FSW had sex, condom use, age, number of customers, skill in using condoms, tarifts for sexual services, and length of working as an FSW. Results of multivariate logistic regression showed an influence in ratio of condom use to having sex, number of condoms, and number of customers. In conclusion, the incidence of STI is influenced by the ratio of condom use to having sex, number of condoms used, and number of customers in Tulungagung District.
Early Breastfeeding Practices, Energy and Protein Intake, Risk of Stunting in Coastal Areas of Sampang Regency, East Java Province: A Cross-Sectional Study Khomisah, Nuril Alfiatul; Hikmayani, Nur Hafidha; Probandari, Ari Natalia
Journal of Health and Nutrition Research Vol. 4 No. 3 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i3.550

Abstract

Stunting remains a significant public health issue in Indonesia, particularly in coastal areas with limited access to nutrition and healthcare services. This study aims to identify early risk factors for stunting in children aged 12–59 months in the coastal areas of Sampang Regency, East Java. The study design employed a cross-sectional approach with a sample size of 250 children, selected randomly in proportion to the population. Data were collected through anthropometric measurements, structured questionnaires, and 24-hour food recalls. Analysis was performed using the chi-square test and simple logistic regression. The results showed a prevalence of stunting of 25,2%. Not getting breast milk in the first two days postpartum (OR=2,447), not getting exclusive breastfeeding for <6 months (OR=2,766), insufficient energy intake (OR=27,695), and insufficient protein intake, which showed the highest risk (OR=192,85), were associated with stunting (p<0,05). In contrast, early initiation of breastfeeding and continued breastfeeding at 12–23 months of age were not significantly associated with stunting. These findings underscore the importance of early nutritional practices and adequate intake of macronutrients, particularly protein, in efforts to prevent stunting. Focused nutritional interventions during the first 1,000 days of life need to be prioritized, including improving maternal education and the quality of children’s food intake.
Knowledge, Attitudes, Condom Use among HIV-Positive Men Who Have Sex with Men in Surakarta Wulansari, Galuh; Juanda Dewi Bambang Bangun Wibowo, Shaviera; Ayu Setyani, Rizka; Ristaning Belawati, Yeny; Natalia Probandari, Ari; Subronto, Yanri Wijayanti; Sitorus, Rico Januar; Widyaningsih, Vitri
International Journal of Health Literacy and Science Vol. 3 No. 2 (2025): International Journal of Health Literacy and Science
Publisher : Health Science UDINUS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60074/ihelis.v3i2.97

Abstract

The prevalence of Human Immunodeficiency Virus (HIV) in Indonesia continues to increase, particularly among men who have sex with men (MSM). Condom use remains a key strategy to prevent HIV transmission in this population. This study aimed to analyze factors associated with consistent condom use among HIV-positive MSM in Surakarta, Indonesia. A cross-sectional design was applied using purposive sampling, involving 34 HIV-positive MSM recruited from the community. Data were collected through a structured questionnaire assessing condom knowledge, attitudes, and use, and analyzed using univariate and bivariate analyses. The mean age was 33 years, with most participants being single (82.3%) and having completed high school to university (94.1%). While 97.1% acknowledged the importance of condoms, 67.6% had misconceptions about correct use, 29.4% perceived condoms as reducing sexual pleasure, and 35.3% reported inconvenience in purchasing or carrying condoms. Only 44.1% reported consistent condom use, and 50.0% had engaged in unprotected sex in the past six months. Bivariate analysis showed no significant association between age, education, marital status, and employment and consistent condom use. These findings highlight the important role of cognitive and attitudinal factors in shaping condom use behavior among HIV-positive MSM, suggesting that targeted behavior change interventions that address misconceptions and sociocultural barriers are crucial for strengthening HIV prevention efforts in Indonesia.
Acceptability and adoption of community-based primary care for non-communicable diseases among Indonesian healthcare workers Ardesa, Yopi Harwinanda; Pamungkasari, Eti Poncoini; Mahendradhata, Yodi; Nawi, Nawi; Probandari, Ari Natalia
Jurnal Ners Vol. 21 No. 1 (2026): VOLUME 21 ISSUE 1 (FEBRUARY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i1.70823

Abstract

Introduction: Public health is confronted with the formidable problem of increased morbidity and mortality rates due to non-communicable diseases (NCDs). Primary healthcare is vital for delivering fundamental healthcare services and improving health outcomes, especially in countries with limited resources. However, studies on the evaluation and adoption of community-based primary health care are limited. This study aimed to assess the extent to which NCD management parameters were accepted and implemented by health care workers. Methods: This cross-sectional study was conducted in Klaten Regency, Indonesia. Healthcare workers involved in implementing NCD prevention and management programs, including doctors, nurses, and midwives, were recruited using convenience sampling. The independent variables included knowledge, beliefs, health worker perceptions, patient needs and resources, and readiness for implementation. Acceptability and adoption of NCD management among primary healthcare workers were the outcome variables. Data were collected using questionnaires and analyzed using multiple linear regression with a significance level of 0.05. Results: Multiple linear regression analysis indicated that readiness for implementation was the only significant predictor of acceptability (p = 0.001). Adoption was significantly predicted by patient need and resources (p = 0.003) and readiness for implementation (p = 0.001). Other variables in the model were not significant. Conclusions: This study found a moderate level of acceptability of NCD prevention and management among healthcare workers in primary care. Readiness was the only factor related to the acceptance and adoption of NCD prevention and management.
Co-Authors ., Maryani Afifah, Zulaika Nur Aini, Zahratul Aisyah Nurkhopipah, Aisyah Anika Candrasari Antonius Setyo Wibowo Apriliananda, Alifa Rizka Ardian, Junendri Argyo Demartoto, Argyo Arsita Eka Prasetyawati Ayu Setyani, Rizka BESMAYA, BENAZIER MARCELLA Bhisma Murti Budiani, Dyah Ratna Budiyanti Wiboworini Damayanti, Sintia Dewi Martha Indria Dewi, Dwi Hananta Dewi, Putu Ayu Apriliani Trisna Didik Tamtomo, Didik Diffah Hanim Dwi Ariono Endang Surani, Endang Eti Poncorini Pamungkasari Fawzia, Farha Naily Fika Khulma Sofia Fitria Rahma Nurharyani Hanifa, Ainun Hanifah, Ainun Hema Dewi Anggraheny Ida Srisurani Wiji Astuti Indarto, Dono Indrawati, Fika Lilik Juanda Dewi Bambang Bangun Wibowo, Shaviera Khomisah, Nuril Alfiatul Kusmadewi Eka Damayanti Kusnandar, K Kusprasetyo, Wahyu Tri Larasati, Meirina Dwi Mahanani, Melani Ratih Meirina Sulastri Loaloka Merry Tiyas Anggraini Moelyo, Annang Giri Mohammad Fanani Muchammad Syamsulhadi Murti, Paulus Wisnu Kuncoro MUTHMAINAH . Nawi, Nawi Novarianto, Justinus Kurniabudhi Nur Hafidha Hikmayani Pamungkasari, Eti Poncoini Pratama, Henry Aldezzia Purbayanto, Yassin Oki Purwaningtyas, Niniek Quraisy, Cut Cahaya Rani Saifa Alhajd Randita, Amandha Boy Timor Randita, Amandha Boy Timor Reviono Reviono Rico Januar Sitorus Ristaning Belawati, Yeny ROCHIMA RIDHA HIDAYAH Sapja Anantanyu, Sapja Sariwulan, Dewi Retno Setyani, Rizka Ayu Sogen, Maria Dolorosa P. Sohan, Verry Gunawan Sri Mulyani Sri Sulistyowati Sumardiyono Sumardiyono Suminah Suminah, Suminah Suprapromo, R.Th Suroto Suroto Suyatmi, . Timor Randita, Amandha Boy Toman, Kevin Pieter Vitri Widyaningsih Wahyu Gito Putro Wulansari, Galuh Yanri Wijayanti Subronto Yodi Mahendradhata Yopi Harwinanda Ardesa Yundari, Yundari Yusup Subagio Sutanto