Adik Wibowo
Fakultas Kesehatan Masyarakat Universitas Indonesia

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Risiko Infeksi COVID-19 pada Tenaga Kesehatan di Rumah Sakit dengan Riwayat Infeksi atau Vaksinasi COVID-19: Systematic Review: Risk of COVID-19 Infection Among Healthcare Workers in Hospitals with Previous Infection or Vaccination: A Systematic Review Kartika Qonita Putri; Adik Wibowo; Muhammad Ichsan Sulaiman Taufik
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 5 No. 1: JANUARY 2022 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (779.967 KB) | DOI: 10.56338/mppki.v5i1.1881

Abstract

Pandemi COVID-19 telah berlangsung selama lebih dari 1 tahun mengakibatkan beban signifikan kepada rumah sakit dan tenaga kesehatan yang memiliki risiko paparan virus SARS-COV-2 tertinggi. Berbagai upaya pencegahan transmisi COVID 19 sudah dilakukan, salah satunya adalah program vaksinasi. Walaupun tingkat kematian dan morbiditas akibat COVID-19 telah berkurang secara signifikan, ada semakin banyak laporan yang menyatakan adanya risiko infeksi ulang pada individu yang telah sembuh dari COVID-19 ataupun telah di vaksinasi. Penelitian ini bertujuan untuk mengevaluasi pengaruh riwayat infeksi COVID-19 atau vaksinasi terhadap angka kejadian infeksi COVID-19 pada tenaga kesehatan khususnya di rumah sakit. Pencarian literatur dilakukan secara sistematis menggunakan kata kunci dilakukan pada 4 database online selama Maret 2020 hingga Juni 2021. Setelah itu, dilakukan penilaian risiko bias dan pengambilan kesimpulan. Dari 10 studi yang didapatkan menunjukkan hasil yang konsisten bahwa infeksi atau vaksinasi COVID-19 sebelumnya dapat mengurangi risiko infeksi di masa yang akan datang. Namun beberapa studi masih menunjukkan angka infeksi COVID-19 setelah vaksinasi dosis kedua ataupun infeksi COVID-19 sebelumnya. Disimpulkan bahwa riwayat infeksi COVID-19 atau vaksinasi sebelumnya mengurangi risiko infeksi COVID-19 selanjutnya tetapi tenaga kesehatan yang sudah divaksinasi tetap berisiko tertular infeksi SARS-COV-2, sehingga perlu pertimbangan untuk revaksinasi dalam memberikan perlindungan terhadap varian baru yang mungkin akan muncul.
Health Sector Decentralization and its Implication to Health Services in Indonesia Aderia Rintani; Adik Wibowo
Jurnal Ilmu Kesehatan Masyarakat Vol. 10 No. 1 (2019): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (829.027 KB) | DOI: 10.26553/jikm.2019.10.1.1-14

Abstract

Background: After more than a decade, in what way decentralization has affected health service and population health status in Indonesia, is still partly known. This paper aims to review about to what extent the health sector decentralization has affected health services in Indonesia, especially in access and health systems management. Methods: We conducted systematic search studies using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). We search for relevant studies using keywords ‘decentralization’ OR ‘decentralisation’ AND ‘(public health)’ AND ‘effect’ OR ‘impact’ AND ‘reform’ AND ‘(health inequalities)’ AND ‘Indonesia’ on electronic sources Proquest, Science Direct, and EBSCOHost. The articles then filtered using pre determined criterias and duplication removal. Results: Database search resulting on 628 articles in Proquest, 0 articles in Science Direct, and 13 articles in EBSCOHost. The screening result were 5 eligible articles. We found equality of access in health services were jeopardized by fragmented health services and worsen health disparities among districts that occured after decentralization. This worsen gap between the most developed provinces of Java-Bali and those of other island groupings affected the community’s health status. Low local government’s capacity in planning, managing and utilizing health resources were the most reported evidence in decentralized health system. Conclusion: This study concludes that good capacity of local government, coordination and monitoring system between central and local government, partnership with private sectors and community empowerment are essential to achieve better health outcome result in decentralized Indonesia. Keywords: Decentralization, Health Services, Health Policy, Indonesia