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All Journal IAES International Journal of Artificial Intelligence (IJ-AI) Media Kesehatan Masyarakat Indonesia Media Penelitian dan Pengembangan Kesehatan Jurnal Kesehatan Masyarakat Medical Journal of Indonesia Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Jurnal Preventia Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Jurnal Informasi Kesehatan Indonesia (JIKI) Jurnal Kesehatan Manarang Indonesian Journal of Medicine Proceedings of the International Conference on Applied Science and Health Jurnal Ilmiah Kesehatan MEDIA INFORMASI Surya Medika: Jurnal Ilmiah Ilmu Keperawatan dan Ilmu Kesehatan Masyarakat Jurnal Ilmiah Kesehatan PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Indonesia : Manajemen Informatika dan Komunikasi MAHESA : Malahayati Health Student Journal Endemis Journal Jurnal EduHealth Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Gemakes: Jurnal Pengabdian Kepada Masyarakat Berita Kedokteran Masyarakat Women Midwives and Midwifery Jurnal Indonesia : Manajemen Informatika dan Komunikasi Jurnal Ekonomi Kesehatan Indonesia Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan Jurnal Info Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Kemal N. Siregar
Departemen Biostatistik Dan Kependudukan, Fakultas Kesehatan Masyarakat, Universitas Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Library & Information Science Medicine & Pharmacology Nursing Public Health Veterinary

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Kapasitas Laboratorium dalam Deteksi Dini Preeklampsia pada Ibu Hamil (Studi Kasus di Kabupaten Pandeglang) Jumhati, Siti; Sabarinah, Sabarinah; Siregar, Kemal N.; Chairy, Abdul
Jurnal Ilmiah Kesehatan Vol 16 No 1 (2024): Jurnal Ilmiah Kesehatan
Publisher : Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jik.v16i1.2134

Abstract

Kejadian preeklampsi di Kabupaten Pandeglang meningkat dari tahun ke tahun. Pada tahun 2020 sebanyak 7 kasus dan tahun 2021 sebanyak 8 kasus (19.5%) dari 41 kasus kematian ibu. Tujuan penelitian ini adalah mengetahui kapasitas laboratorium dalam deteksi dini preeklampsi pada ibu hamil di Kabupaten Pandeglang tahun 2022. Metode yang digunakan dalam penelitian ini adalah desain penelitian kualitatif rancangan studi kasus. Total subjek penelitian adalah dua orang yang dilakukan wawancara mendalam secara langsung, namun tetap memperhatikan prokes yang ketat yaitu memakai masker dan menjaga jarak. Studi kasus ini menggunakan teknik probing untuk mendapatkan penjelasan dan kronologi mengenai kematian ibu. Proses triangulasi data menggunakan hasil wawancara mendalam dan juga data sekunder yang didapat dari puskesmas dan dinas Kesehatan Kabupaten Pandeglang. Dalam penelitian ini terdapat 2 variabel yaitu ketidaktepatan deteksi dini dan keterlambatan diagnosis dini. Hasil penelitian menunjukkan bahwa ketidaktepatan deteksi dini ini akibat gagalnya bidan puskemas dalam menjalankan prosedur sesuai dengan SOP dan standar pemeriksaan laboratorium urin pada trimester 1 sebanyak 1 kali dan trimester 2 sebanyak 2 kali. Karena pada kenyataannya, setelah kondisi ibu parah baru dilakukan pemeriksaan protein urin. Selain itu keterlambatan diagnosis dini juga terjadi dengan adanya penolakan dari ibu hamil saat dijemput ke posyandu dengan alasan dilarang oleh keluarga dan kurangnya rasa percaya masyarakat terhadap tenaga kesehatan di posyandu dan puskesmas. Pelayanan Kesehatan meliputi bidan desa dan tenaga kesehatan di puskesmas belum sepenuhnya menerapkan tata pelaksanaan diagnosa dini preeklampsia. Selain itu juga, masyakarat belum memahami tanda bahaya preeklampsia. bidan desa yang kurang sigap dalam penatalaksaan antenatal care yang sesuai SOP, kapasitas laboratorium yang kurang merata, dan jauhnya akses masyarakat ke pelayanan kesehatan. Hal ini perlu mendapatkan perhatian serius dari Dinas Kesehatan Kabupaten Pandeglang untuk menurunkan angka kematian ibu karena preeklampsia.Kata Kunci : Kapasitas Laboratorium, Deteksi Dini Preeklampsia, Ibu hamil, Studi Kasus
The role of decision makers in the use of long-acting contraceptive methods in Indonesia Diny Nahrudiani; Kemal N. Siregar
Jurnal EduHealth Vol. 15 No. 01 (2024): Jurnal eduHealt, Edition January - March, 2024
Publisher : Sean Institute

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Abstract

An effective contraceptive method for preventing pregnancy is the long-term contraceptive method (MKJP), but more women of childbearing age choose short-term contraceptive methods. The aim of this research is to analyze multiple logistic regression in analyzing the role of decision makers in the use of MKJP in Indonesia in 2017. This research uses secondary data which is the result of the 2017 SDKI with a total of 18661 respondents. The results of this study show that the variables that influence the use of MKJP are the decision maker (p = 0.000), age (p = 0.000), education (p = 0.000), place of residence (p = 0.001), visits by family planning field officers (p = 0.665), explanation family planning officers (p = 0.141). The conclusion of this research is that decision makers, age, education, and place of residence influence the use of MKJP in Indonesia. Meanwhile, visits by family planning officers and officers' explanations about contraception do not influence the use of MKJP in Indonesia.
Machine Learning-based Prediction Model for Adverse Pregnancy Outcomes: A Systematic Literature Review Abdurrahman, Eka Santy; Siregar, Kemal N.; Rikawarastuti; Sutedja, Indrajani; Nasir, Narila Mutia
JURNAL INFO KESEHATAN Vol 22 No 3 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss3.1486

Abstract

Most of Adverse Pregnancy Outcomes (APO) are preventable particularly if the health personnel can early detect the risk.  This study aimed to review articles on how the machine learning model can predict APO for early detection to prevent neonatal mortality. We conducted a systematic literature review by analyzing seven articles which published between 1 January 2013 and 31 October 2022. The search strategy was the populations are pregnant women, intervention using machine learning for APO prediction, and the outcomes of APO are Low Birth Weight, preterm birth, and stillbirth. We found that the predictors of LBW were demographic, maternal, environmental, fetus characteristics, and obstetric factors. The predictors of preterm birth were demographics and lifestyle. Meanwhile, the predictors of stillbirth were demographic, lifestyle, maternal, obstetric, and fetus characteristics. It was indicated that Random Forest (Accuracy: 91.60; AUC-ROC: 96.80), Extreme Gradient Boosting (Accuracy: 90.80; AUC-ROC: 95.90), logistic regression (accuracy 90.24% and precision 87.6%) can be used to predict the risk of APO. By using a machine learning algorithm, the best APO prediction models that can be used are logistic regression, random forest, and extreme gradient boosting with sensitivity values and AUC of almost 100%. Demographic factors are the main risk factors for APO.              
Support Group for Patients with Cardiovascular Diseases and How to Build Intimation Within Them: A Literature Review Cahyati, Ai; Nurachmah, Elly; Masfuri, Masfuri; Siregar, Kemal N.
MAHESA : Malahayati Health Student Journal Vol 5, No 1 (2025): Volume 5 Nomor 1 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i1.17277

Abstract

ABSTRACT Cardiovascular disease (CVD) is a deadly disease and patients need to adhere to a self-care management program for the rest of their lives. Many patients fail to maintain their condition and require re-hospitalization which is assumed due to lack of support. Support groups are a continuity of care effort for patients with cardiovascular disease that are useful as a place for sharing, education, and recreation. This paper aims to gather information and analyze evidence-based information regarding the role of support groups for cardiovascular patients and how to build intimacy in these support groups. The method is based on a literature review of relevant databases surrounding intimacy in support groups for patients with cardiovascular disease. The results of the study showed that support group activities can be organized by peer groups or professional groups which are carried out online or offline. The success of a support group as a medium for changing patient behavior depends on the intimacy/closeness that is formed within the group itself. The intimacy that can be seen from members feeling the need for a support group is the potential for support group activities to last a long time. A support group with a climate of intimacy has been formed to provide continuity of care for cardiovascular disease patients. Support groups that have established intimacy between group members are very necessary for patients with CVD to increase compliance and prevent readmission. Keywords: Support Group; Intimacy; Cardiovascular Disease
Determinants of Teenage Pregnancy in Tanzania Ayoub, Harun Yussuf; Siregar, Kemal Nazaruddin
Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan Vol. 5, No. 3
Publisher : UI Scholars Hub

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Abstract

Teenage pregnancies are among the leading public health problems in Tanzania. This was linked to limited education, socioeconomic disparities, cultural barriers, and inadequate access to healthcare centers. Thus, this study aims to explore the prevalence and predictors of teenage pregnancy among adolescent women using data from the 2022-2023 Tanzanian Demographic Health Survey (TDHS). The research design employed a cross-sectional approach and utilized TDHS data. The population for this study was female adolescents, while the sample was 7,545 adolescent women aged 15-24 years. Predictor variables were education level, socioeconomic status, place of residence, employment status, and lifestyle factors, including alcohol consumption and smoking status. Logistic regression analyses were performed. The results of this study found that alcohol consumption was the highest risk factor that contributed to teen pregnancy, as teenage drinkers were found to have significantly higher odds of becoming pregnant (aOR=2.21). Also, economic status was found to further elevate the risk of teen pregnancy in that adolescents from families of lower socioeconomic status were more susceptible to the harmful effects of alcohol consumption (aOR=1.64). Rural residence was also significantly associated with odds for adolescent pregnancy, indicating the need for strengthened interventions among rural youth. The significance of pluralistic policies to reduce alcohol consumption, improve education and reproductive health care, and resolve the socio-economic problems among adolescents, particularly in disadvantaged and rural areas.
Visualisasi Data dalam Pencegahan dan Pengendalian Infeksi: Otomasi Data Komite PPI Rumah Sakit Universitas Indonesia Tahun 2024 Firjatullah, Clarissa T; Siregar, Kemal N; Wardhani, Dara A
Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan Vol. 5, No. 3
Publisher : UI Scholars Hub

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Abstract

Health Care Associated Infections (HAIs), salah satu masalah kesehatan yang dapat meningkatkan morbiditas dan mortalitas pasien yang dirawat. Di Asia Tenggara, prevalensi HAIs mencapai 21,6% dengan Indonesia sebagai negara dengan prevalensi tertinggi, yaitu 30,4%. Pencegahan dilakukan melalui surveilans HAIs oleh Komite Pencegahan dan Pengendalian Infeksi (PPI). Tujuan dari studi ini adalah menghasilkan analisis sederhana secara grafis dengan visualisasi data melalui dashboard data infeksi HAIs, NSI, dan audit penerapan PPI di RS UI tahun 2024. Data yang digunakan dari database Komite PPI RS UI adalah kasus Phlebitis, CLABSI, CAUTI, VAP, HAP, SSI, NSI, audit hand hygiene dan penggunaan APD, audit bundles, dan peta kuman periode Januari-Oktober 2024. Data diolah menggunakan Google Sheets. Dashboard didesain menggunakan Looker Studio. Kebutuhan pengguna dashboard diidentifikasi sebelum memulai proses desain. Hasil dari utilisasi Looker Studio sebagai dashboard visualisasi data adalah penyederhanaan penyampaian informasi dan analisis data PPI. Ringkasan data infeksi HAIs, audit, dan kasus NSI lebih mudah dilihat dan tren lebih mudah diperhatikan. Dashboard menunjukkan kasus HAIs di RS UI berada di bawah ambang batas, kecuali untuk VAP dan HAP. Penggunaan dashboard lebih efektif dalam membandingkan bangsal/unit asal kasus HAIs dibandingkan sistem sebelumnya. Evaluasi, feedback, dan adaptasi penggunaan dashboard terhadap efektifitas upaya pencegahan dan pengendalian infeksi di RS UI perlu dilakukan berkelanjutan.
Faktor Pemicu dan Penghambat Fraud dalam Program Jaminan Kesehatan Nasional dan Strategi Pencegahannya: Sebuah Scoping Review Sam Tito, Julius; Siregar, Kemal Nazaruddin
Jurnal Ekonomi Kesehatan Indonesia Vol. 9, No. 2
Publisher : UI Scholars Hub

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Abstract

Fraud in the National Health Insurance program (JKN) has become one of the challenges faced by the government because it can harm the state finances and negatively impact the decline in the quality of health services. This research aims to identify triggering factors, inhibiting factors, and also strategies in preventing fraud in the JKN program. The study was conducted using the scoping review method according to the Arksey & O'Malley guidelines by searching 5 electronic databases and finding 2,622 articles. The literature search results were performed according to PRISMA-Scr, and 20 articles were analyzed in this study. The study results identified the triggering factors for fraud in the JKN program, namely the lack of understanding of the diagnosis system established by BPJS Kesehatan, dissatisfaction with the INA-CBGs system, insufficient internal supervision and control, limited resources and training for coding, financial factors, and behavioral and social factors. Meanwhile, the inhibiting factors for fraud in the JKN program include internal control, education and socialization, the implementation of SOPs and clinical pathways, as well as work culture and code of ethics. Fraud prevention strategies that can be implemented include strengthening internal controls, enhancing competencies and resources, formulating fraud prevention policies and guidelines, optimizing information technology in detecting fraud through the use of AI and machine learning, as well as reinforcing organizational culture and ethics.
Faktor-faktor Risiko Stunting pada Balita di Indonesia: Suatu Scoping Review: Stunting Risk Factors in Children Under Five in Indonesia: A Scoping Review Sagita, Silvia; Kemal N. Siregar
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 5 No. 6 (2022): June 2022
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (382.962 KB) | DOI: 10.56338/mppki.v5i6.2289

Abstract

Latar Belakang: Stunting merupakan tantangan fundamental dalam perkembangan manusia. Identifikasi faktor-faktor risiko yang tepat dapat menurunkan prevalensi stunting pada balita dan mencegah konsekuensi berkepanjangan terkait stunting pada masa balita hingga dewasa. Tujuan: Penelitian ini bertujuan untuk meneliti publikasi artikel ilmiah terkait faktor-faktor risiko yang mempengaruhi kejadian stunting pada balita di Indonesia. Metode: Scoping Review dengan kriteria kelayakan antara lain a) artikel akademis dari database online ProQuest, ScienceDirect, PubMed dan Scopus, b) artikel terbit dalam 10 tahun, yaitu tahun 2011 hingga tahun 2021, c) menggunakan Bahasa Inggris, d) populasi penelitian yaitu anak usia dibawah lima tahun (balita) di Indonesia, e) dampak yang diukur yaitu stunting. Pengelolaan artikel menggunakan Mendeley dengan 4 tahap proses seleksi artikel: identifikasi, skrining, kelayakan dan inklusi. Hasil: Dalam 10 tahun terakhir terdapat 12 artikel terkait faktor-faktor risiko stunting pada balita di Indonesia dengan 9 variabel yang paling banyak diidentifikasi sebagai faktor risiko stunting yaitu status ekonomi rumah tangga, jenis kelamin anak, BBLR, pendidikan orang tua/ pengasuh, tinggi badan orang tua, usia anak, ASI eksklusif, riwayat infeksi, dan MPASI. Kesimpulan: Dari 9 variabel hanya 4 variabel yaitu BBLR, ASI eksklusif, MPASI serta riwayat infeksi sebagai variabel yang dapat diintervensi dan paling banyak diidentifikasi sebagai faktor risiko stunting. Penelitian longitudinal dapat dilakukan sebagai penelitian lanjutan untuk memastikan hubungan kausa antara BBLR, praktik pemberian ASI eksklusif dan MPASI serta Riwayat infeksi terhadap kejadian stunting pada balita di Indonesia.
Co-Authors Abdul Chairy, Abdul Abdurrahman, Eka Santy Adrian, Verry Aenaya Delavera Agustin Kusumayati Amanda Widlanisia Amelia, Dwirani Anggi Anitia Antarsih, Novita Rina Aria Kekalih Artha Prabawa Asri C. Adisasmita Atmiroseva, Atmiroseva Ayoub, Harun Yussuf Bagus, Nurzahara Bahar, Ryza Jazid Besral . Budi Utomo Cahyati, Ai Caroline Endah Wuryaningsih, Caroline Endah Delavera, Aenaya Delmaifanis, Delmaifanis Detty Siti Nurdiati Dewi Nirmala Sari Dian Kistiani Irawaty Diana Diana Diny Nahrudiani Dodi Angga Kusuma Dumilah Ayuningtyas Dwiraswati, Oke Elfiyani, Nur Khotimah Elly Nurachmah Enny Yuliana Falupi, Lilik Aryani Fatmawati, Lady Farah Firjatullah, Clarissa T Hadi Pratomo Hamidah Indrihapsari Hanafi, Nurrachda Hanny Nilasari Hardya Gustada Hikmahrachim Hartono Gunardi Hasnia Jondu Haswinzky, Rose Amalia Helmi Safitri Hikmahrachim, Hardya Gustada Ilyas, Arief Azhari Indra Supradewi Indriany, Finna Intan Rachmita Sari Intan Rachmita Sari Irawaty, Dian Kristiani Jondu, Hasnia Kalamullah Ramli Kayika, I Putu Gede Kurniawan, Kristian Kusuma, Dodi Angga Laily Hanifah Lamria Pangaribuan Lesmana, Elvira Martya Rahmaniati Masfuri - Milla Herdayati, Milla Misana, Fatima Nur Muhammad Sapoan Hadi Nasir, Narila Mutia Ni Komang Novi Suryani Ning Sulistiyowati Nopianto Ricaesar Novianti Novianti Nurillah Amaliah Nurizin, Dion Zein Nurrahma Fitria Ramadhani Nurul Fadhilah Nurul Fadhilah Nurul Fadhilah Oke Dwiraswati Okky Assetya Pratiwi Oon Fatonah Akbarini Pamadi, Nayaka Nayottama Pohan, Tiur Febrina Popy Yuniar Popy Yuniar Purwowiyoto, Budhi Setianto Rahmadewi Rahmadewi Ramadhani, Nurrahma Fitria Retnowati Retnowati Retnowati Retnowati Ricaesar, Nopianto Rikawarastuti Rikawarastuti Rikawarastuti Ruddy J Suhatril Ryza Jazid Sabarinah Prasetyo Sabarinah Sabarinah, Sabarinah Safitri, Helmi Sagita, Silvia Saini, Izzatul Mardiah Sam Tito, Julius Shifa, Naili Siregar, Rohana Uly Pradita Siti Aisah SITI AISAH Siti Aisah Siti Jumhati Solly Aryza Srimayarti, Berly Nisa Suparmi Suparmi Supriyanti Supriyanti Sutanto Priyo Hastono Sutedja, Indrajani Suwandono, MPH, DR. PH, Dr. Agus Tambunan, Regina Tiasari, Anisa Tin Afifah Tiopan Sipahutar Titis Risti Yulianti Titis Risti Yulianti Tris Eryando Verry Adrian Violila, Vallery Wardhani, Dara A Widlanisia, Amanda Wresti Indriatmi B. Makes Yuliana, Enny Yulianti, Titis Risti Yuni Sari Romadhona