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All Journal Media Gizi Mikro Indonesia Jurnal Kebijakan Kesehatan Indonesia Jurnal Kesehatan Masyarakat Andalas (Andalas Journal of Public Health) Jurnal Populasi Journal of Tropical Biodiversity and Biotechnology JIMKesmas (Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat) Public Health of Indonesia Indonesian Journal of Cardiology Jurnal Entomologi Indonesia The Journal of Hospital Accreditation (JHA) Narra J Berita Kedokteran Masyarakat Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Adi Utarini
Departemen Kebijakan Dan Manajemen Kesehatan Fakultas Kedokteran, Kesehatan Masyarakat Dan Keperawatan Universitas Gadjah Mada
Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Journal : Berita Kedokteran Masyarakat

 1 
National health coverage programs and quality of referral obstetrics and gynaecology clinic in Dr Cipto Mangunkusumo Hospital Jakarta Eka Rusdianto Gunardi; Arresta Vitasatria Suastika; Hanevi Djasri; Adi Utarini
Berita Kedokteran Masyarakat (BKM) Vol 34, No 8 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (388.748 KB) | DOI: 10.22146/bkm.38067

Abstract

Purpose: Implementation of national health coverage contributes to the increasing number of outpatient visits in Obstetrics and Gynecology Department, Dr. Cipto Mangunkusumo Hospital. It may be caused by improper referral system or number of government insurance patients called as BPJS patients. Therefore, this study aims to analyse the pattern and quality of referral system in the implementation of national health coverage.Method: The quasi experimental study was conducted using pre and post analysis of the cases pattern and referral quality. It included accuracy of referred case diagnosis, accuracy of referring health facility, and consistency of referred case diagnosis.Results: There was an increasing number of referral visits in the early implementation of  national health program; however, it declined overtime. There was reduction of general obstetrics and gynaecology cases and increase of sub-specialistic cases. It was in appropriate to the role of centre referral hospital in Indonesia. Around 98% referral diagnosis was correct to be referred, 82% cases came from correct health facility, and 98% referral diagnosis was consistent to Dr. Cipto Mangunkusumo hospital.Conclusion: The quality referral cases improves with the implementation of national health coverage program.
Evaluation of the dengue surveillance system during the COVID-19 pandemic in Gunungkidul Regency in 2021 Kamilia, Nadiyah; Utarini, Adi; Indriani, Citra
BKM Public Health and Community Medicine Vol 38 No 08 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i8.5006

Abstract

Purpose: The purpose of this study is to pinpoint the gaps in the Gunungkidul Regency's dengue monitoring system's implementation. Methods: Using the descriptive design. In the Gunungkidul Regency, questionnaires were used to collect primary data from the Health Office, 30 Public Health Centers, 3 Hospitals, and 1 Clinic. The d engue surveillance system assessment standard integrates the surveillance system system concept from the 2001 CDC guidelines with the attributes (Simplicity, Data Quality, Data Stability, Representation, System Acceptance, and Timeliness) and d engue surveillance system standards by directives from the Director General of Desease control of the Ministry of Health of the Republic of Indonesia in 2017. Results: Clinical criteria are used in Gunungkidul Regency to define dengue cases, whereas serological tests, such as NS-1, are rarely used there. Up to 4 (14%) of the health facilities had trouble accurately collecting reports of hospital suspicions, such as when the patient's residence was unclear and when they received treatment. According to 21 (70%) of the health centers, suspect reports were frequently collected from patients who had been admitted to hospitals outside the area. Notification letters were given to patients who had completed their treatment. The distribution of cases and the projection of an increase in instances cannot be accurately described using data from data management, as the data is not updated on a daily basis. Up to 15 health centers (50%) reported that hospital reports were frequently delayed. Conclusion: Weaknesses in the dengue surveillance system, particularly in the characteristics of simplicity, quality, data stability, and timeliness, contributed to an increase in the number of dengue cases from 2018 to 2020 in Gunungkidul Regency.
Yes, but Impossible: Implementation Research on the Acceptability of self-care practices among people affected by l eprosy in Rupandehi district, Nepal Aryal, Pramila; Ahmad, Riris Andono; Utarini, Adi
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Abstract

Purpose: To explore the acceptability of self-care practices among people affected by leprosy and stakeholders in the Rupandehi district of Nepal. Methods: This qualitative study is based on in-depth interviews, key-informant interviews, and focus group discussions with the people affected by leprosy and stakeholders in Rupandehi district which is known to be a leprosy-endemic district in Nepal. Qualitative data was used to explore the acceptability of self-care practices and identify facilitators' barriers to accepting self-care practices. A total of 28 respondents were interviewed. Thematic analysis was used to interpret the data based on a TFA framework. Results: Leprosy-affected people have accepted the self-care practices and have a positive attitude towards it. However, due to poverty, lack of resources, and availability of time they find it impossible to practice self-care. To make it worse, less priority was given by the government sector to support self-care practices. Improving perception, minimizing stigma and taboos regarding self-care practices as well as improving service providers' attitudes and support from nongovernmental organizations were identified as facilitators. Conclusion: Despite the awareness and acceptance, self-care is not yet practiced. The program implementor should focus on the availability of resources and policy for poverty reduction
Co-Authors A Fahmy Arif Tsani Ahmad, Riris A. Alan Chandrasaputra Anna Marie Wattie Annisa Nurrachmawati Arisanti, Risalia R. Armiatin Armiatin Arresta Vitasatria Suastika Aryal, Pramila Ayu Rahayu Budi Arianto, Budi Budi Wikeko Chusnaifah, Defriana Lutfi Citra Indriani Czeresna Heriawan Soejono Daniwijaya, Edwin Widyanto Dewanggi, Bunga DIAN ARUNI KUMALAWATI Dibyo Pramono Dibyo Pramono Djoko Agus Purwanto Eggi Arguni Eka Rusdianto Gunardi Fitriana, Iva Fridawaty Rivai Hakimi, Moh. Hanevi Djasri Hanevi Djasri Haryo Bismantara Ida Tjahajati Indah Nurhayati Isman Firdaus Juzar, Dafsah Arifa Kamilia, Nadiyah Kurniasari, Irianti Lukluk Purbaningrum M. Muska Nataliansyah Mohammad Hakimi Monica GK Tambajong Mubasysyir Hasanbasri Muhammad Hardhantyo Ni Komang Yuni Rahyani Ni Luh Putu Eka Putri Andayani Nurfitri, Syafira Padmawati, Retna S Pramuko, Nida Budiwati Purwaningrum, Nabhela Ayu Retno Esti Respati Wirandari Rio Hermantara Riris Andono Ahmad Rovik, Anwar Sa'adah, Nur Raudatus Sandy Febriyanto Saputri, Grace ND. Saraswati, Utari Siswanto Agus Wilopo Supriyati, Endah Susetyowati Tabita Rionica Ayu Wijayani, Tabita Rionica Ayu Tita Meitia Dianingsih Tjahjono Koentjoro Toto Sudargo Trisasi Lestari Utami, Indira Diah Wa Ode Siti Orianti Wardana, Dwi Satria Warsito Tantowijoyo, Warsito Wiratri, Arum Yayuk Hartriyanti Yohana Denyka Kurniawati Yohana Denyka Kurniawati Yundari, Yundari