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All Journal Indonesia Medicus Veterinus International Journal of Integrated Health Sciences Majalah Kedokteran Bandung Althea Medical Journal Jurnal Sistem Kesehatan Universa Medicina The Southeast Asian Journal of Midwifery Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia
Elsa Pudji Setiawati
Department of Public Health Faculty of Medicine Universitas Padjadjaran
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary Other

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Gambaran Pelayanan Konseling Gizi dan Olahraga pada Pasien Diabetes Melitus Tipe 2 di Puskesmas Kota Bandung Rofi, Faizah; Setiawati, Elsa Pudji; Wiramihardja, Siska
Jurnal Sistem Kesehatan Vol 2, No 4 (2017): Volume 2 Nomor 4 Juni 2017
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (262.325 KB) | DOI: 10.24198/jsk.v2i4.12491

Abstract

Konseling gizi dan olahraga pada pasien DM Tipe 2 ( DMT2 ) diperlukan untuk mengontrol glukosa darah. Penelitian ini dilakukan untuk mengetahui gambaran keberlangsungan program pelayanan konseling gizi dan olahraga pada pasien DMT2 di Puskesmas Kota Bandung. Penelitian deskriptif kualitatif dilakukan dari bulan Agustus-November 2016 di tiga Puskesmas Kota Bandung. Responden penelitian terdiri dari 3 dokter umum, 3 ahli gizi, dan 18 pasien DMT2. Data diambil dengan wawancara mendalam dan observasi. Alur konseling meliputi pendaftaran, pemeriksaan, cek laboratorium, dan pemeriksaan kembali oleh dokter disertai konseling yang kemudian pasien disarankan untuk rujukan ke ahli gizi dan mengikuti Prolanis. Proses konseling gizi oleh ahli gizi meliputi inisiasi, pengkajian, diagnosis gizi, intervensi, dan evaluasi. Berdasarkan wawancara yang dilakukan dari 24 responden, 18 responden menyatakan konseling gizi oleh dokter dilakukan tanpa tahapan diagnosis gizi. Konseling olahraga meliputi pengkajian dan intervensi olahraga memenuhi 2 dari 7 protokol konseling olahraga. Pengetahuan dokter mengenai penyakit DM lebih lengkap dibandingkan ahli gizi. Fasilitas konseling meliputi ruangan dan food model telah tersedia. Konseling gizi dan olahraga pada pasien diabetes melitus tipe 2 oleh petugas kesehatan telah  diimplementasikan di Puskesmas Kota Bandung tetapi masih perlu ditingkatkan karena faktor-faktor berupa faktor dari pasien, petugas kesehatan, dan prosedur.Kata Kunci: Diabetes melitus tipe 2, konseling
Keinginan untuk Membayar Pembiayaan Kesehatan Pemerintah Kota pada Masyarakat Mampu di Kota Bandung arisanti, nita; Djuhaeni, Henni; Gondodiputro, Sharon; Setiawati, Elsa Pudji; Wiwaha, Guswan; Arya, Insi Farisa; Rinawan, Fedri
Jurnal Sistem Kesehatan Vol 2, No 4 (2017): Volume 2 Nomor 4 Juni 2017
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (230.16 KB) | DOI: 10.24198/jsk.v2i4.12487

Abstract

Pembiayaan kesehatan diselenggarakan dengan prinsip ekuitas, artinya penduduk yang mampu akan membayar iuran/ premi secara penuh, dan masyarakat miskin dibayarkan oleh pemerintah. Banyak faktor yang memengaruhi keinginan untuk membayar (WTP). Penelitian ini bertujuan mendapatkan gambaran keinginan masyarakat mampu membayar pembiayaan kesehatan dan faktor-faktor yang memengaruhinya. Penelitian kuantitatif dilakukan pada Agustus – September 2011 terhadap 303 kepala keluarga yang tergolong  masyarakat mampu di Kota Bandung. Mampu dalam penelitian ini adalah penduduk tinggal di perumahan elite. Kriteria inklusi yaitu kepala keluarga, memiliti KTP Kota Bandung, bersedia diwawancara. Teknik pemilihan sampel menggunakan cluster sampling, dengan klaster adalah perumahan elit di Kota Bandung. Subjek di tiap klaster ditentukan secara proporsional systematic sampling. Analisis data menggunakan distribusi frekuensi dan regresi logistik. Dari 303 responden, 54,9% yang memiliki asuransi, tidak ingin membayar dan 60% yang belum memiliki, ingin membayar pembiayaan kesehatan Pemkot Bandung. Sebagian besar masyarakat mampu hanya ingin membayar premi kurang dari Rp. 25.000 dengan berharap mendapatkan semua jenis pelayanan kesehatan. Agama dan pendidikan terakhir merupakan faktor yang menentukan secara bermakna keinginan membayar pembiayaan kesehatan. Rendahnya kesadaran responden untuk ikut serta program pembiayaan kesehatan Pemkot Bandung harus dapat diantisipasi pemerintah dengan lebih mendorong masyarakat dari semua golongan status sosial – ekonomi untuk mengikuti program pembiayaan kesehatan.Kata kunci: Keinginan, Kesehatan, Pembiayaan, Masyarakat mampu
Persepsi Dokter Puskesmas di Kota Bandung Terhadap Implementasi Sistem Jaminan Kesehatan Nasional Ramdani, Aldi Harry; Setiawati, Elsa Pudji; Herawati, Dewi Marhaeni
Jurnal Sistem Kesehatan Vol 1, No 4 (2016): Volume 1 Nomor 4 Juni 2016
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (365.694 KB) | DOI: 10.24198/jsk.v1i4.12804

Abstract

Perubahan pembayaran pelayanan kesehatan dari sistem fee for service menjadi sistem kapitasidan perubahan potensi pendapatan dokter puskesmas menimbulkan berbagai persepsi. Penelitian ini bertujuan untuk menggali persepsi dokter puskesmas tentang sistempembiayaan kapitasi dan potensi pendapatan yang diterima pada era implementasi Jaminan Kesehatan Nasional (JKN). Desain penelitian adalah kualitatif, purposive sampling. Penelitian dilakukan pada bulan September – November 2015 dengan populasi dokter puskesmas di Provinsi Jawa Barat. Kriteria inklusi adalah dokterpuskesmas yang bekerja di puskesmas dengan gawat darurat 24 jam, sudah bekerja minimal 2 tahun di puskesmas, dan bersedia diwawancara. Pengumpulan data dengan wawancara mendalam semi terstruktur. Analisis data dengan teknik content analysis. Persepsi dokter puskesmas tentang sistem JKN meliputi tiga hal, sistem JKN merupakan sistem denganmekanisme asuransi sosial, bermanfaat dalam perlindungan kesehatan masyarakat, dan sosialisasi yang masih minim. Pembayaran kapitasi yang diterima tidak mengubah pelayanan yang diberikan oleh dokter puskesmas. Semakin besar jumlah pasien yang dirujuk akan mengurangi besarnya kapitasi yang diterima. Pembayaran yang diterima oleh dokter puskesmas mengalami keterlambatan. Persepsi dokter puskesmas telah memahami tentang sistem JKN, masih terdapat keluhan, yaitu sosialisasiyang kurang dan keterlambatanpembayaran kapitasi. Permasalahan ini membutuhkanpeningkatan sosialisasi dan pengkajian ulang tentang sistem kapitasi.Kata Kunci: dokter puskesmas, persepsi, potensi pendapatan, sistem kapitasi
Incidence of Dengue Hemorrhagic Fever Related to Annual Rainfall, Population Density, Larval Free Index and Prevention Program in Bandung 2008 to 2011 Karina, Anggia; Sari, Sri Yusnita Irda; Sumardi, Uun; Setiawati, Elsa Pudji
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (649.403 KB)

Abstract

Background: Dengue Hemorrhagic Fever (DHF) remains one of health problems in all provinces in Indonesia including West Java. Bandung as the capital of West Java province has dengue prevalence that is above the average prevalence of all provinces. This study aimed to describe the pattern of dengue incidence rate, annual rainfall, population density, and larval free index as well as the implementation of prevention program in sub-districts with the highest incidence rate in Bandung between 2008 and 2011.Methods: A descriptive retrospective study was conducted in September 2012 using secondary data during the period of January 2008 to December 2011. The incidence rate was calculated based on DHF patients who live in Bandung. Data were analyzed using computer and Arc View 3.3. Pattern of incidence rate was characterized with red, yellow, and green region respectively. Results: The highest incidence rate of DHF occurred in 2009. Incidence increased in January to February and declined in the end of the year. Subdistricts with highest incidence had no highest annual rainfall and the population density below the average of population density in Bandung. The highest implementation of fogging program was not only performed in high incidence subdistricts but also in area with larval free index less than 95%. Larval free index in subdistricts with highest incidence were not all below 95%.Conclusions: Incidence of DHF increases after months of highly rainfall. The pattern of incidence rate in all subdistrict is dynamic and suspected do not related to annual rainfall, population density, high larva free index, and frequency of fogging. [AMJ.2015;2(1):262–7]
Knowledge of Personal Hygiene among Food Handlers in Canteen at Faculty of Medicine, Universitas Padjadjaran, October to November 2012 Zarisha, Drasthya; Darmawan, Budi; Raksanagara, Ardini S.; Setiawati, Elsa Pudji
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (546.608 KB)

Abstract

Background: Food borne diseases are caused by contamination of pathogenic microorganism and are still a major health problem throughout the world. There are 1,8 billion cases of diarrhea which mostly were caused by food contamination in 2005. Food handlers are at risk of contaminating microorganism towards food they handle. The process of transmission can be prevented by practicing good hygiene while processing and handling food. The objective of this study was assessing knowledge among food handlers regardingtheir personal and food hygiene at canteen in Faculty of Medicine, Universitas Padjadjaran.Methods: A descriptive study was conducted during the period of October to November 2012 to 14 food handlers in the Canteen at Faculty of Medicine, Universitas Padjadjaran using 26 validated questions divided into 3 major parts, 14 questions for knowledge of hand washing, 9 questions for knowledge of utilization of clean water and 3 questions for knowledge of waste management. The scores were classified as good, moderate, and poor. Data were analyzed using frquency distribution.Results: Majority of the respondents was male and common age group was 20–29 years old. Eight of the respondents were senior high school graduates. Based on working experience, majority of food handlers had been working for one and three years. None of the respondents had good knowledge. Only 12 and 2respondents had moderate and poor knowledge, respectively.Conclusion: None of the respondents had good knowledge regarding hand washing, utilization of clean water and waste management. Therefore, there is a need in providing more education about those aspects.[AMJ.2015;2(1):245–9]
Intention for Hepatitis B Vaccination among Male-to-female Transgenders in Bandung Khiruddin, Ain Izzati; Afriandi, Irvan; Aznur, Laili; Setiawati, Elsa Pudji
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (765.438 KB)

Abstract

Background: Hepatitis B is still an alarming global disease nowadays. The majority of transmission is by sexual activity during adulthood and male-to-female transgender is a high risk group. Despite protective vaccine is available, vaccination coverage among these high risk groups remained low. This study aimed to compare the differences in attitude, subjective norms, and perceived behavioral control between the intended group and unintended group for hepatitis B vaccination among male-to-female transgenders in Bandung.Methods: A Cross-sectional study was conducted during September–November 2012 to 100 male-to-female transgenders residing in Bandung. Thirteen Likert scales validated questionnaires were used to compare the attitude, subjective norms and perceived behavioral control by their intention of hepatitis B vaccination (Theory of Plan Behavior/TPB). the respondents were recruited by the help of Srikandi Pasundan, that actively works in the issues of transgender. The inclusion criterias were they regard themselves as waria, consistent as a transgender for at least six months, residing in Bandung, and sexually active within six months. Independent variables consist of demographic characteristics and TPB construct variables. Mann Whitney Test was used to analyze the data.Results: Among 75% of the unvaccinated respondents, majority (70.7%) have the intention to get hepatitis B vaccination. Mann Whitney analysis showed that there is a difference of attitude between the intended group and unintended group for hepatitis B vaccination, while there are no differences by their intention for subjective norms and perceived behavioral control.Conclusion: The attitude influenced vaccination intention among male-to-female transgenders in Bandung. [AMJ.2015;2(1):253–61]
Characteristic and Knowledge among Treatment Supporter of Children Patients with Tuberculosis at Lung Clinic Bandung October–November 2012 Suhada, Kamelia Utami; Sari, Sri Yusnita Irda; Wulandari, Diah Asri; Setiawati, Elsa Pudji
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (638.041 KB)

Abstract

Background: Children are the most vulnerable to get TB infection and infected by adult patients. One of the components of Directly Observed Treatment Short Course (DOTS) is direct observation by treatment supporter who has important role in the success of TB’s treatment. The aim of this study was to identify the characteristics and knowledge among treatment supporter of children patients with TB at Lung Clinic Bandung.Methods: A descriptive study was conducted in October-November 2012 to 96 treatment supporters of child patients who were diagnosed with TB, either new or old cases. They were selected by consecutive sampling at Lung Clinic Bandung. Validated questionnaire with 14 questions was administered. The percentage of the correct answers was categorized as good, moderate, and poor. The Characteristic variables included age, sex, education, occupation, relation with the patients, living at the same house, presence of other TB patients, and counseling given by providers. Data was analyzed using frequency distribution.Result: Most of the respondents were 21-30 years old (42.7%), female (84.4%), elementary school graduate (33.3%), unemployed (69.8 %), mother of the child, living in the same house, had other TB patients, and had received counseling by providers at Lung Clinic. The knowledge about TB among the respondents was moderate (56.3%). The respondents who had good knowledge had underwent the counseling session.Conclusions: The knowledge of the respondents was moderate. Further study on the relationship between the level of knowledge of treatment supporter and the adherence of TB treatment should be conducted. [AMJ.2015;2(1):167–71]
Role of Knowledge and Attitude toward Perilaku Hidup Bersih dan Sehat (PHBS) of Medical Students 2009 Universitas Padjadjaran Syaefullah, Sufia Permatasari; Herryadi, Noorman; Setiawati, Elsa Pudji; Djuhaeni, Henni
Althea Medical Journal Vol 1, No 2 (2014)
Publisher : Althea Medical Journal

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Abstract

Background: Perilaku hidup bersih dan sehat (PHBS) is one of the main pillars of preventive measures in Indonesia Sehat and also a strategy to reduce health cost caused by illness based on the desire, willingness, and ability to be able to help themselves in medical aspects. The health provider including a doctor as a community leader should behave toward PHBS which based on adequate knowledge and attitude.Methods: This study have been conducted in February–November 2012 with cross-sectional design of 152 medical students 7th semester admission 2009 Universitas Padjadjaran, using questionnaires. Data were analyzed using chi-square.Results: The number of students with good knowledge and poor knowledge were not different (50.7%vs 40.3%). Most of the respondens attitude are not in accordance with PHBS program(p=0.805).Conclusions: Knowledge of PHBS  for all medical students needs to be improved and needs to investigated whether there are other factors which affect student attitudes toward  PHBS.Key words: attitude, knowledge, PHBS, student   Peranan Pengetahuan dan Sikap Mahasiswa Kedokteran Universitas Padjadjaran Angkatan 2009 terhadap Perilaku Hidup Bersih Dan Sehat (PHBS)  AbstrakLatar Belakang: Perilaku Hidup Bersih Dan Sehat (PHBS) merupakan salah satu pilar utama pencegahan dalam program Indonesia Sehat serta strategi untuk mengurangi biaya kesehatan akibat penyakit yang berdasarkan keinginan, kemauan, dan kemampuan untuk membantu diri sendiri dalam aspek medis. Pelayanan kesehatan termasuk dokter sebagai pemimpin kesehatan di masyarakat harus mempunyai sikap dan pengetahuan yang memadai mengenai PHBS.Metode: Penelitian dilakukan pada bulan Februari-November 2012 dengan desain potong lintang terhadap 152 mahasiswa kedokteran angkatan 2009 Universitas Padjadjaran semester 7 dengan menggunakan kuesioner. Data dianalisis menggunakan chi-square.Hasil: Jumlah mahasiswa yang memiliki pengetahuan baik dan pengetahuan kurang tidak jauh berbeda (50,7% vs 40,3%). Sebagian besar responden mempunyai sikap yang tidak sesuai dengan program PHBS (p=0,805).Simpulan: Pengetahuan tentang PHBS bagi semua mahasiswa kedokteran perlu ditingkatkan dan perlu diteliti lebih lanjut mengenai faktor-faktor lain yang memengaruhi sikap mahasiswa terhadap PHBS.Kata kunci: sikap, pengetahuan, PHBS, mahasiswa DOI: 10.15850/amj.v1n2.353
The Role of Socioeconomic Factors Contributed to The Prevalence of Children under Five Years Old with Small Stature in Jatinangor Indari, Anggie; Setiawati, Elsa Pudji; Tarigan, Rodman
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Indonesia  is on the fifth in world population for children with small stature. It could affect to their future, so growth disorders should be detected as early as possible. The influence of growth disorders is inseparable from the socioeconomic condition of the family.  This study aims to analyze the influence of socioeconomic based on education, occupation and family income towards small stature children under five years old in Jatinangor.Methods: This was a study of analytic cross sectional with multi-stage proportionate consecutive sampling. 110 samples of children under five years of age (12–59months) from 12 villages (6087 children) in Jatinangor sub district were taken on October and November 2012. Their height was measured using a microtoise based on WHO Growth Chart and the socioeconomic status was measured using questionnaire completed by their motherResults: There were 32 children (29,1%) with small stature. The relationship between maternal education with short stature (p=0.310), father’s education with small stature (p=0.368), mother’s occupation with small stature (p=0.774), father’s occupation with small stature (p=0.524) and family income with small stature (p=0.890) after it was examined using chi-squre test were not significant (p>0.05).Conclusion: In Jatinangor, there are still many children with small stature under five years old and the socioeconomic factors do not have any relationship with this condition. [AMJ.2015;2(1):298–303]
Factors Related with Knowledge of Basic Life Support among Members of Student Body Volunteer Organizations at Universitas Padjadjaran Fadilla, Nur; Afriandi, Irvan; Sitanggang, Rudi Herman; Setiawati, Elsa Pudji
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Mortality caused by accidents remains a public health challenge. Prompt response during first aid accident may prevent disability or death. At Universitas Padjadjaran three student body volunteer organizations provide training in Basic Life Support as the component of first aid. They are Korps Sukarela Palang Merah Indonesia (KSR PMI), Perhimpunan Mahasiswa Pecinta Alam (PMPA) Palawa, and Unit Search and Rescue (SAR). This study aims to assess the level of Basic Life Support knowledge of the members inthree organizations and the factors related with their knowledge.Methods: The method used was a descriptive study carried out on subjects diagnosed with PSS at the National EThis was a cross sectional study that included 59 members of three student body volunteer organizations of Universitas Padjadjaran that have received training in Basic Life Support. A questionnaireabout respondent’s characteristics, Basic Life Support-related experiences, and Basic Life Support’s knowledge was administered to the participants during October 2012Results: The total mean for the three student body volunteer organizations on questionnaire was 64.12±19.40 with minimum score was 25 and maximum score was 100. The interval of last period of training and Basic Life Support-related experiences did not show statistically significant (p=0.647) and(p=0.357) however educational background related to Basic Life Support knowledge showed statistically significant (p<0.01).Conclusions: The level of Basic Life Support knowledge in three student body volunteer organizations was moderate and that educational background has relation with the knowledge. The increase in number of effective training and application in the field may increase the knowledge on Basic Life Support. [AMJ.2015;2(1):186–90]
Co-Authors Abdul Hadi Martakusumah Abdurrahman, Muniroh Ain Izzati Khiruddin, Ain Izzati Aldi Harry Ramdani, Aldi Harry Anggia Karina, Anggia Anggie Indari, Anggie Ardini S. Raksanagara, Ardini S. Arto Yuwono Soeroto Benny Hasan Purwara Budi Darmawan Dadang Hudaya Somasetia Dadi Argadiredja, Dadi Dany Hilmanto Deni Kurniadi S, Deni Deni Kurniadi Sunjaya Deni Sunjaya, Deni Dewi Hawani, Dewi Dewi Marhaeni Diah Herawati Diah Asri Wulandari Dian Qisthi, Dian Drasthya Zarisha, Drasthya Dwi Utari Rahmiati Edhyana Sahiratmadja Eliza Techa Fattima, Eliza Techa Ernawati Ernawati Faizah Rofi, Faizah Fedri Rinawan, Fedri Ferina, Ferina Guswan Wiwaha Hadiyati, Ida Hadyana Sukandar Hazairina, Suzy Eka Henni Djuhaeni Hidayat, Dodi Indah Amelia Insi Farisa Arya, Insi Farisa Insi Farisa Desy Arya Insi Farisa Desy, Insi Farisa Irvan Afriandi Kamelia Utami Suhada, Kamelia Utami Khairani, Alya Putri Kitriawaty, Depera Kusumawati, Maya Kuswandewi Mutyara, Kuswandewi Laili Aznur, Laili Lisbeth Maria Laurentia, Lisbeth Maria Lucky Saputra, Lucky Lukman Hilfi Margarita, Susan Mariani, Helni Mugia Bayu Rahardja Mugia Bayu Raharja Mulyani, Gita Nanan Sekarwana nastiti yusrin husnati, nastiti yusrin Nina Triana Nita Arisanti Noorman Herryadi Nur Fadilla, Nur Oktowaty, Susi Prayudi Santoso Ramdan Panigoro Ratna Komara, Ratna Reni Yuditha Kathrine, Reni Yuditha Rodman Tarigan Rudi Herman Sitanggang, Rudi Herman Santi Suarsih, Santi Sekar Ayu Paramita, Sekar Ayu Sharon Gondodiputro Siska Wiramihardja, Siska Sri Yusnita Irda Sari, Sri Yusnita Irda Sufia Permatasari Syaefullah Surbakti, Indra Murty Suryana Sumantri Susiarno, Hadi Tajul Al Adib, Tajul Al Titania, Titania Titis Kurniawan Tris Sutriso, Tris Uun Sumardi, Uun Winarto, Muhammad Ananta Windi Elsanita, Windi Yudith Setiati Ermaya