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All Journal International Journal of Public Health Science (IJPHS) PROSIDING SEMINAR NASIONAL Jurnal Keperawatan Indonesia Media Kesehatan Masyarakat Indonesia ASPIRATOR Jurnal Kesehatan Masyarakat Jurnal Penelitian Kesehatan Suara Forikes JURNAL DIVERSITA Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan Al-sihah: The Public Health Science Journal Jurnal Kreativitas PKM Manuju : Malahayati Nursing Journal Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Surya Medika: Jurnal Ilmiah Ilmu Keperawatan dan Ilmu Kesehatan Masyarakat Health Information : Jurnal Penelitian Jurnal Ners Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Jurnal Kesmas Untika Luwuk: Public Health Journal Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences Jurnal Cahaya Mandalika Charity : Jurnal Pengabdian Masyarakat Jurnal Indonesia : Manajemen Informatika dan Komunikasi Indonesian Journal of International Law Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Indonesian Journal of Multidisciplinary Science Makara Journal of Health Research Berita Kedokteran Masyarakat Journal of Nursing Science Update Medika Respati : Jurnal Ilmiah Kesehatan Jurnal Keperawatan Merdeka Jurnal manajemen informasi kesehatan Jurnal Indonesia : Manajemen Informatika dan Komunikasi Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan Proceeding Mulawarman International Conference on Tropical Public Health Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Tris Eryando
Departemen Biostatistik Dan Ilmu Kependudukan Fakultas Kesehatan Masyarakat Universitas Indonesia
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Wanita Hamil dengan COVID-19 dan Hasil Luaran Kehamilan: Tinjauan Literatur : Pregnant Women with COVID-19 and Pregnancy Outcomes: A Literature Review Talib, Suprohaita Rusdi; Eryando, Tris; Safanta, Nurzalia
Jurnal Kesmas Untika Luwuk : Public Health Journal Vol. 14 No. 2 (2023): Jurnal Kesmas Untika Luwuk : Public Health Journal
Publisher : Fakultas Kesehatan Masyarakat Universitas Tompotika Luwuk

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51888/phj.v14i2.210

Abstract

Selama masa pandemi COVID-19 ibu hamil menjadi kelompok yang rentan terinfeksi virus COVID-19 (SARS-CoV-2). frekuensi morbiditas ibu hamil dengan diagnosis COVID-19 lebih tinggi dibandingkan ibu hamil tanpa COVID-19. Infeksi COVID-19 diyakini dapat memperburuk kondisi ibu hamil dengan penyakit penyerta yang mengakibatkan morbiditas dan mortalitas lebih tinggi dibandingkan populasi umum. Penelitian pada ibu hamil dengan penyakit penyerta seperti hipertensi kronis, diabetes, dan komplikasi spesifik kehamilan (pre-eklampsia, eklampsia, dan diabetes gestasional) menunjukkan bahwa komplikasi serius terjadi dan kemungkinan kematian meningkat ketika mereka terinfeksi Coronavirus Disease 2019 (COVID-19). Tinjauan naratif ini bertujuan untuk merangkum informasi terkait pengaruh infeksi COVID-19 pada wanita hamil. Dari 11 tinjauan literatur ditemukan hasil bahwa wanita hamil yang terinfeksi COVID-19 memperbesar risiko komplikasi kehamilan. Wanita hamil yang memiliki penyakit penyerta dan terinfeksi COVID-19 memperberat derajat infeksi. During the COVID-19 pandemic, pregnant women became a group that was vulnerable to infection with the COVID-19 virus (SARS-CoV-2). the frequency of morbidity for pregnant women diagnosed with COVID-19 is higher than for pregnant women without COVID-19. It is believed that COVID-19 infection can improve the condition of pregnant women with comorbidities that cause higher morbidity and mortality compared to the general population. Research on pregnant women with comorbidities such as chronic hypertension, diabetes, and pregnancy-specific complications (pre-eclampsia, eclampsia, and gestational diabetes) shows that serious complications occur and the possibility of death increases when they are infected with Corona Virus Disease 2019 (COVID-19). This narrative review aims to summarize information regarding the influence of COVID-19 infection on pregnant women. From the literature reviews, it was found that pregnant women infected with COVID-19 increase the risk of pregnancy complications. Pregnant women who have comorbidities and are infected with COVID-19 have an increased degree of infection.
PEMBANGUNAN SISTEM INFORMASI PENJADWALAN TINDAKAN HEMODIALISIS DI RUMAH SAKIT Trivalni, Ratih; Eryando, Tris
Jurnal Cahaya Mandalika ISSN 2721-4796 (online) Vol. 3 No. 2 (2022)
Publisher : Institut Penelitian Dan Pengambangan Mandalika Indonesia (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/jcm.v3i2.1662

Abstract

Pelayanan hemodialisis merupakan salah satu pelayanan khusus bagi pasien yang memerlukan terapi pengganti ginjal yanag disebut dengan Hemodialisis atau cuci darah. Terapi ini menjadi modal penting bagi pasien dengan kemampuan fungsi ginjal yang sangat minimal. Meningkatnya kasus gagal ginjal stadium akhir yang memerlukan tindakan hemodialisis tidak sebanding dengan ketersediaan fasilitas layanan hemodialisis di Indonesia. Keterbatasan fasilitas hemodialisis menyebabkan terjadinya penumpukan rujukan pelayanan di berbagai daerah, sehingga diperlukan suatu sistem pengaturan jadwal layanan agar keterbatasan jumlah fasilitas tetap mampu memberikan pelayanan hemodialisis kepada pasien yang membutuhkan. Selama ini proses penjadawalan layanan hemodialisis masih bersifat manual yaitu pasien harus datang ke fasilitas layanan, membawa surat rujukan atau pengantar dan menunggu konfirmasi jadwal dari unit pemberi layanan. Kondisi seperti ini tidak efektif dan efisien bagi pasien maupun keluarga di saat aktifitas pasien dengan penyakit gagal ginjal harus membatasi aktifitas Terjadinya perubahan jadwal layanan yang tidak tersistem menyebabkan terganggunya pelayanan hemodialisis yang diberikan, sehingga akan berdampak pada kondisi perburukan kesehatan pasien bahkan beresiko kematian. Pembangunan suatu sistem informasi berbasis web saat ini sangat membantu mempermudah pasien maupun internal unit perawatan untuk memperoleh akses layanan secara online, sehingga dapat mengetahui jadwal dan informasi perubahan dan saran alternatif jadwal layanan hemodialisis. Pembangunan sistem informasi dengan menggunakan metode System Development Life Cycle - Waterfall yang dimulai dengan tahapan analisis kebutuhan , desain, perancangan sistem, uji sistem dan implementasinya
Model Spasial Faktor Risiko Tuberkulosis di Provinsi Jawa Barat Tahun 2021: Pemanfaatan Data Rutin untuk Pengambilan Keputusan Riznawati, Aldila; Eryando, Tris; Prabawa, Artha
Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Vol 16 No 1 (2024): JIKM Vol. 16, Edisi 1, Februari 2024
Publisher : Public Health Undergraduate Program, Faculty of Health Science, Universitas Pembangunan Nasional Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52022/jikm.v16i1.640

Abstract

Latar Belakang: Pemanfaatan data rutin di bidang kesehatan salah satunya untuk mengestimasi beban suatu penyakit termasuk determinannya. Tuberculosis (TB) masih menjadi masalah kesehatan global yang menginfeksi 10,6 juta orang di seluruh dunia pada tahun 2021, dimana Indonesia menjadi penyumbang beban kasus tertinggi kedua. Jawa Barat merupakan provinsi dengan jumlah temuan kasus TB terbanyak di Indonesia dalam 5 tahun terakhir Metode: Data bersumber dari Badan Pusat Statistik (BPS) Provinsi Jawa Barat tahun 2022 dan Statistik Perumahan Provinsi Jawa Barat 2021. Analisis deskriptif, autokorelasi spasial, dan analisis Geographically Weighted Regression (GWR) dilakukan menggunakan perangkat lunak pengolahan data, GeoDa dan GWR4. Hasil disajikan dalam bentuk peta menggunakan aplikasi QGIS. Analisis spasial dilakukan untuk melihat persentase kasus TB dengan faktor-faktor risiko TB.Hasil: Hasil dari penelitian ini menunjukkan adanya autokorelasi spasial positif yang berpengaruh signifikan terhadap jumlah kasus TB di Provinsi Jawa Barat yang artinya sebaran kasus membentuk pola mengelompok. Adapun kabupaten/kota yang menjadi hotspot dan merupakan wilayah prioritas intervensi penanganan kasus TB di Provinsi Jawa Barat adalah Kabupaten Bekasi, Kabupaten Bogor, Kabupaten Karawang, Kabupaten Purwakarta, Kabupaten Sukabumi, Kota Bekasi, Kota Bogor dan Kota Depok. Model GWR menemukan faktor risiko yang memiliki pengaruh berbeda di tiap wilayah kabupaten/kota yaitu penduduk miskin, suhu dan ketinggian wilayah, sehingga bentuk intervensi kesehatan yang dilakukan juga berbeda. Kesimpulan: Pemanfaatan data rutin dengan pendekatan spasial ini diharapkan dapat menjadi pendukung pengambilan keputusan (decision making support) terkait program dan kebijakan intervensi kesehatan yang spesifik wilayah sehingga tepat sasaran dan mampu menurunkan jumlah kasus TB.Kata kunci: Analisis spasial, Faktor risiko, GWR, Pemanfaatan data rutin, Tuberkulosis Background: One of the uses of routine data in the health sector is to estimate the burden of a disease including its determinants. TB remains a global health problem that infected 10.6 million people worldwide in 2021, and Indonesia has the second highest TB caseload globally. West Java is the province with the highest number of TB case findings in Indonesia in the last five years. Method: Data sourced from 2022 West Java Province Central Statistics Agency and 2021 West Java Province Housing Statistics. Descriptive analysis, spatial autocorrelation, and GWR analysis were carried out using SPSS, GeoDa, and GWR4. Results were presented in map form using QGIS application. Spatial analysis was carried out to know the percentage of TB cases with TB risk factors.Result: The results of this study indicate a positive spatial autocorrelation that has a significant effect on the number of TB cases in West Java, which means that the distribution of cases forms a clustered pattern. The regencies/cities that have become hotspots and priority areas for intervention in handling TB cases in West Java were Bekasi Regency, Bogor Regency, Karawang Regency, Purwakarta Regency, Sukabumi Regency, Bekasi City, Bogor City and Depok City. The GWR model found risk factors that have different effects in each regency/city area, specifically the poor population, temperature, and altitude so the forms of health interventions carried out were also different.Conclusion: The utilization of routine data with a spatial approach is expected to be decision-making support related to region-specific health intervention programs and policies so that they are targeted and able to reduce the number of TB cases. Keywords: GWR, Risk factor, Routine data utilization, Spatial analysis, Tuberculosis
Analysis of the Implications of the Water Convention and Protocols for Water and Health Jusuf, Ester Indahyani; Allagan, Tiurma Mangihut Pitta; Eryando, Tris
Indonesian Journal of International Law
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Many international conventions contain positive values for humanity, which are in line with the human rights values guaranteed by our country’s constitution. The Indonesian state constitutionally guarantees the right of every Indonesian citizen to live a healthy and prosperous life, including providing water for every Indonesian citizen. However, it turns out that the Indonesian State has so far chosen not to ratify or access the Water Convention and the Water and Health Protocol, the contents of which are the good intentions of the countries participating in the convention to maintain the availability and quality of world water. This article provides a descriptive overview and comparison between the standards of the Water Convention and the Protocol on Water and Health of WHO (the Water Convention), alongside relevant Indonesian laws, namely Presidential Regulation of the Republic Indonesia Number 37 of 2023. Despite the participation of 52 states to the Water Convention 1992, Indonesia has yet to do so. The government of Indonesia has made numerous efforts that are in line with the objectives and contents of the Water Convention. However, it is undeniable that Indonesia will encounter problems and challenges if it pursues the process of accession. The problems might emerge from the perspectives of legal, public health, as well as social and economic. Considering the potential logical consequences, this article suggests Indonesia is currently adhering to the stipulation outlined in the Water Convention despite the absence of willingness to accede to it. The research employs a doctrinal approach, concurrently examining the norms and regulations inherent in the Water Convention and the newly Indonesian regulation on water management and the standards of water. Research question: Is the attitude of the Indonesian State not to ratify or access the Water Convention and the Water and Health Protocol contrary to the constitution and the principles given to Indonesian Human Rights, namely the right to life?This question was born by considering sociological rules or legal policies that one of the requirements for humans to be able to live is health. One way for human swimmers to be healthy is the availability of water in good quantity and quality throughout their lives. This research uses a public policy analysis approach, especially the theory of George C. Edwards III, with observations of state financial administration in the process of implementing human rights. The novelty of this article predicts the impact of the ratification of the Water Convention and the Water and Health Protocol for the Indonesian people; The contestation includes human rights in the field of clean water by including human rights in other fields as well as Indonesia’s political economic interests.
The Role of Parents in Reducing the Risk of Mental Health Disorders in Adolescents: A Scoping Review Putri, Anggela Pradiva; Eryando, Tris
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background : Adolescent mental health has become a global issue, especially with the rising cases of depression and anxiety following the COVID-19 pandemic. According to WHO data (2023), approximately 20% of adolescents worldwide experience mental health disorders, with the prevalence of mental disorders in Asia reaching 28% in 2022. In Indonesia, the 2023 Indonesian Health Survey (SKI) reported that 2% of adolescents aged 15-24 suffer from depression. Social and economic factors, along with the significant role of the family, greatly influence adolescent mental health, especially in reducing the risk of mental health disorders. Objective : This study aims to conduct a scoping review of adolescent mental health disorders and explore the role of parents in reducing the risk of these disorders. The primary focus is on how parenting practices influence adolescent mental health. Research Methods/ Implementation Methods : A scoping review method was employed to map relevant literature on adolescent mental health disorders globally. Literature searches were conducted through databases such as ProQuest, Sage Journal, PubMed, Scopus, and Science Direct, selecting articles published between 2014 and 2024. Results : The findings indicate that strong emotional attachment with parents and positive parenting practices can help reduce anxiety and enhance adolescents' emotional well-being. Parenting that involves open communication, emotional support, and acceptance of the child's feelings has proven effective in reducing the risk of mental health disorders in adolescents. Conclusion/Lesson Learned : The role of parents in providing consistent emotional support is crucial for adolescent mental health. Parental involvement in fostering a strong emotional connection can reduce anxiety, enhance emotional well-being, and play a significant role in preventing mental health disorders.
The Effectiveness of Massage Therapy as Pain Management During the First Stage of Labor: A Literature Review Meilan, Nessi; Eryando, Tris
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Labor pain is a subjective experience caused by uterine muscle ischemia, stretching and traction of the uterine ligaments, traction of the ovaries, fallopian tubes, and lower uterine distension, pelvic floor muscles, and perineum. The labor pain that occurs can lead to anxiety and stress in the mother, excessive worry, prolonged first stage of labor, and traumatic experiences during childbirth. Endorphin massage is a non-pharmacological therapy, a modification of Indonesia's cultural heritage, used to reduce the intensity of labor pain in the first stage. Objective: To determine the effectiveness of endorphin massage on pain levels during labor, in order to provide scientific evidence for the management of labor pain during the first stage, and to support safe, effective, and evidence-based midwifery practices. Methodology: A literature review with a study design of Randomized Controlled Trials (RCT) and Quasi-Experimental studies. Literature searches were conducted using Google Scholar, PubMed (Medline), ProQuest, ScienceDirect, and Scopus, covering publications from 2018 to 2025 in both Indonesian and English. Study selection was based on inclusion criteria derived from titles, abstracts, and full texts, and on the studies' feasibility assessment, which were then analyzed based on their findings. Results: Ten journals met the criteria, and after analysis, eight studies were deemed suitable. Pain measurement was conducted using the Numeric Rating Scale (NRS) or Visual Analog Scale (VAS). Endorphin massage was performed for 10 minutes on the back and waist of laboring mothers during the first stage, three times. The results showed that the pain intensity before the endorphin massage was 7.27, and after the massage, it decreased to 4.93. This demonstrates that endorphin massage significantly reduces the intensity of labor pain. Conclusion: Endorphin massage is a complementary therapy that can be used as part of the management of labor pain during the first stage.
Family Empowerment Intervention Model through Family Class in Decision-Making during Maternal Emergencies: A Scoping Review Juariah, Juariah; Eryando, Tris
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background : Maternal mortality remains a persistent global health challenge, reflecting inequalities in access to and quality of obstetric care. Most maternal deaths occur due to delays in decision making during obstetric emergencies at the household level. Family members, particularly husbands and close relatives, play a central role in determining referral actions. Empowering families through the family class approach has the potential to enhance their preparedness in recognizing danger signs and making timely decisions during critical maternal conditions. Objective : This scoping review aims to map existing literature on factors influencing decision making during maternal emergencies and to identify family empowerment intervention models— particularly through the family class approach—that contribute to improving maternal outcomes and reducing the risk of maternal mortality Research Methods/ Implementation Methods : This study employed a scoping review design based on the Arksey and O’Malley framework and followed the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines. Literature searches were conducted in PubMed, Scopus, and Google Scholar databases using the keywords maternal mortality, family empowerment, decision-making, emergency obstetric care, and family class, covering studies published between 2010 and 2025. Eligible articles were thematically analyzed to identify determinants and forms of family empowerment interventions in maternal emergency decision-making. Results : A total of 27 articles met the inclusion criteria. The findings indicate that family class interventions improve knowledge, early danger sign detection, and communication between families and healthcare providers. These interventions accelerate decision-making and reduce delays in seeking care. However, most studies were short-term and lacked evaluation of their long-term effectiveness in reducing maternal mortality rates. Conclusion/Lesson Learned : he family class model represents a promising family empowerment strategy to strengthen decision-making capacity during maternal emergencies. Integration of this approach into community-based maternal and child health programs, supported by cross-sector policies, is strongly recommended. Further longitudinal studies are needed to assess its long-term impact and applicability across diverse cultural settings.
Pengaruh Sistem Keperawatan Satu Pintu terhadap Kepuasan Pasien Rawat Jalan RS TNI AL dr. Mintoharjo Kamim, Suroso; Novieastari, Ennie; Hariyati, Tutik Sri; eryando, Tris
Health Information : Jurnal Penelitian Vol 18 No 1 (2026): Januari - April
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/hijp.v18i1.1743

Abstract

Latar Belakang: Layanan kesehatan rawat jalan di Indonesia menghadapi tantangan efisiensi dan kepuasan pasien. RS TNI AL dr. Mintoharjo mencatat skor kepuasan awal hanya 2,38 (skala 1–4) dengan keluhan dominan pada administrasi dan koordinasi antarpetugas. Tujuan: Mengevaluasi pengaruh sistem pelayanan satu pintu terhadap kepuasan pasien pada lima dimensi SERVQUAL (tangibles, reliability, responsiveness, assurance, empathy). Metode: Desain kuasi-eksperimental one-group pretest-posttest (n = 120) di Unit Rawat Jalan RS TNI AL dr. Mintoharjo, periode Januari–Maret 2024. Pengumpulan data menggunakan kuesioner SERVQUAL termodifikasi (22 item, skala Likert 1–5). Analisis data menggunakan uji Wilcoxon signed-rank test (? = 0,05). Hasil: Sistem satu pintu meningkatkan kepuasan pasien signifikan pada semua dimensi (p < 0,001; r = 0,70–0,90). Responsiveness menunjukkan peningkatan tertinggi (median +0,43; r = 0,90), diikuti empathy (r = 0,89) dan assurance (r = 0,82), sejalan dengan penurunan waktu tunggu dari 42 menit menjadi 16 menit. Simpulan: Penerapan Sistem Pelayanan Satu Pintu secara signifikan meningkatkan kepuasan pasien rawat jalan, membuktikan efektivitas reformasi alur layanan patient-centered dalam mengatasi hambatan birokrasi rumah sakit militer. Saran: Adopsi luas melalui pelatihan perawat intensif (minimal 2 hari) fokus pada integrasi tugas administratif dan komunikasi terapeutik.
Analisis Temuan Inspeksi Cara Pembuatan Obat Yang Baik (CPOB) Terhadap Sarana Produksi Obat di Indonesia: Tinjauan Data 2020-2024 Nani Handayani; Tris Eryando
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.50790

Abstract

Industri farmasi memiliki peran strategis dalam sistem Kesehatan nasional dalam menjamin ketersediaan obat yang aman, bermutu dan berkhasiat. Cara Pembuatan Obat yang Baik (CPOB) merupakan standar yang wajib diterapkan di industri farmasi yang melakukan kegiatan pembuatan obat dan bertujuan memastikan mutu Obat yang dihasilkan sesuai persyaratan dan tujuan penggunannya. Badan POM memiliki tugas melakukan pengawasan terhadap pemenuhan CPOB. Data temuan inspeksi CPOB mencerminkan tingkat kepatuhan industri farmasi terhadap standar mutu pembuatan obat. Penelitian ini bertujuan untuk memberikan gambaran menyeluruh mengenai data kepatuhan CPOB industri farmasi berdasarkan jumlah temuan dari tahun ke tahun, kelompok temuan aspek CPOB yang paling sering muncul dan kategori temuan (kritikal, mayor, minor). Metode penelitian menggunakan studi kuantitatif deskriptif dengan sumber data hasil inspeksi Badan POM Tahun 2020-2024. Hasil penelitian menunjukkan bahwa jumlah temuan terbanyak dan konsisten selama 5 tahun terkait dengan kondisi bangunan dan peralatan. Temuan kritis terbanyak mencakup ketidaksesuaian pelaksanaan produksi dan sistem mutu. Temuan mayor terbanyak terkait kualifikasi, validasi, dan kalibrasi, sementara temuan minor didominasi kondisi bangunan dan peralatan. Jumlah temuan kritis dan mayor meningkat dan temuan minor menurun, selaras dengan tindak lanjut inspeksi dimana pembinaan teknis cenderung menurun sementara sanksi peringatan keras dan penghentian sementara kegiatan terus meningkat.
Barriers to Tuberculosis Case Detection in Private Clinics in Indonesia : A Thematic Analysis Ritonga, Imelda Liana; Handiyani, Hanny; Nursasi, Astuti Yuni; Eryando, Tris
Journal of Nursing Science Update (JNSU) Vol. 13 No. 2 (2025): November
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2025.013.02.02

Abstract

In Indonesia, private clinics have emerged as an alternative healthcare option, even for individuals enrolled in the National Health Insurance program. According to the National Tuberculosis Program, these clinics are also responsible for detecting tuberculosis (TB). However, the ability of these clinics to manage TB patients has not been extensively studied. This study explores the factors that facilitate or hinder healthcare workers (HCWs) at these clinics from detecting TB early on. A qualitative descriptive-interpretative approach was employed. Thirteen HCWs from three clinics, one HCW from a district public healthcare center, and a local TB program supervisor (Wasor TB—deputy supervisor of the Tuberculosis Program) were selected via purposive sampling, resulting in a total of 15 participants. Data were collected through in-depth interviews conducted from April to July 2023 and analyzed using thematic analysis. Three main themes with eight sub-themes emerged: (1) inadequate support from clinic managers for TB services, (2) substandard early TB detection competency among clinical staff, and (3) insufficient support from the external TB network for clinics’ early detection efforts. Improving TB services in private clinics, especially early detection, is essential to achieving the Indonesian government’s goal of eliminating TB by 2030. This can be achieved by reassessing roles and establishing effective collaborative partnerships between clinic leaders and staff and the external TB network.
Co-Authors Aenaya Delavera Aenaya Delavera Afriansyah, Eddy Agung Waluyo Al Asyary Al Asyary Aldila Riznawati Aldila Riznawati Allagan, Tiurma Mangihut Pitta Allenidekania Allenidekania Anggela Pradiva Putri Apriningrum, Nelly Aria Kusuma Aria Kusuma Arief Kurniawan Nur Prasetyo Arman Harahap Artha Prabawa Astuti Yuni Nursasi Bagus, Nurzahara Bahar, Ryza Jazid Budi Anna Keliat Budiharsana, Meiwita Carol Clark Clark, Carol Daniah Daniah Delavera, Aenaya Delfiyanti, Rani Deny Yudhistira Deny Yudhistira Dera Alfiyanti Dewi Susanna Dia Wulandari Dian Kistiani Irawaty Dian Pratiwi Dian Pratiwi Dian Pratiwi Dian Pratiwi Doni Lasut Doria, Magda Dwi Prihatin Era Edi Utomo Putro Edwin van Teijlingen Efi Trimuryani Elly Nurachmah Elysabeth Sinulingga Fajar Nugraha Falupi, Lilik Aryani Gerke, Solvay Gustina, Ira Hanny Handiyani Helmi Safitri Hermansyah, Hendra Indah Sri Wahyuni Intansari Irawaty, Dian Kristiani Jesa Nuhgroho Juariah Juariah Jusuf, Ester Indahyani Kamim, Suroso Kemal N. Siregar Makful, Martya Rahmaniati Martya Rahmaniati Martya Rahmaniati Martya Rahmaniati Martya Rahmaniati Martya Rahmaniati Meiwita Budiharsana Miftakul Fira Maulidia Milla Herdayati, Milla Nani Handayani Nani Nurhaeni Negari, Nurfatia Nessi Meilan Novieastari, Ennie Nuhgroho, Jesa Nur Asniati Djaali Nurfatia Negari Nurhidayah, Nurhidayah Nuridzin, Dion Zein Prasetyo, Arief Kurniawan Nur Purnawan Junadi Purnawan Junadi Purnawan Junadi Purwantyastuti Purwantyastuti Purwantyastuti Purwantyastuti Purwantyastuti Purwantyastuti Rahmadewi Rahmadewi Ratna Sitorus Resti Sintya Ervina Restu Apriena Putri Restu Apriena Putri Retnowati Retnowati Riris Dian Hardiani Ristina Rosauli Harianja Ritonga, Imelda Liana Riznawati, Aldila Roma Tao Toba MR Ryza Jazid Safanta, Nurzalia Safitri, Helmi Saini, Izzatul Mardiah Sipahutar, Tiopan Solly Aryza Solvay Gerke Sri Yona Sulastri Sulastri Supriyadi Supriyadi Talib, Suprohaita Rusdi Teijlingen, Edwin van Tiopan Sipahutar Tiopan Sipahutar Tri Agustini Trivalni, Ratih Tutik Sri Hariyati Violila, Vallery Warendi Warendi Winarni Naweng Triwulandari Winnie Tunggal Mutika Yati Afiyanti Yudhistira, Deny Yulia Herawati Yvonne M. Indrawani