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All Journal Berkala Ilmu Kesehatan Kulit dan Kelamin Indonesian Journal for Health Sciences (IJHS) Jurnal Plastik Rekonstruksi jurnal syntax admiration Yumary: Jurnal Pengabdian kepada Masyarakat Cendana Medical Journal Journal of Social Research Berita Kedokteran Masyarakat Jurnal Media Tropika: Jurnal Pengabdian Kepada Masyarakat Jurnal Pengabdian Masyarakat dan Riset Pendidikan Jurnal Kedokteran Meditek
Nicholas Edwin Handoyo
Universitas Nusa Cendana
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Kesempatan Belajar Dan Melakukan Penelitian Ikut Menentukan Pilihan Lokasi Kerja Lulusan Dokter di Daerah Tertinggal Ika Febianti Buntoro; Rr. Listyawati Nurina; Prisca Deviani Pakan; Nicholas Edwin Handoyo
Berita Kedokteran Masyarakat (BKM) Vol 34, No 11 (2018): Proceedings of the 4th UGM Public Health Symposium
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (831.63 KB) | DOI: 10.22146/bkm.40131

Abstract

Objective: Memahami alasan lulusan dokter memilih daerah tertinggal sebagai lokasi kerja. Methods: Penelitian kualitatif dengan pendekatan fenomenologi. Focused group discussion (FGD) dilakukan di Kota Kupang dan 2 pulau tertinggal lain di Nusa Tenggara Timur (NTT) dengan karakteristik yang berbeda. Penelitian diikuti oleh 24 orang lulusan dokter yang direkrut secara purposive dan bekerja di enam kabupaten yang berbeda. Transkripsi hasil wawancara dianalisis secara tematik oleh dua orang peneliti dengan dibantu program OpenCode 4.03. Results: Upaya intervensi yang telah dilakukan oleh pemerintah selama ini melalui berbagai program seperti beasiswa dengan ikatan kerja, insentif dan perhitungan beban kerja, peningkatan keamanan, fasilitas, dan aksesibilitas daerah tertinggal, serta promosi daerah tertinggal sebagai lokasi wisata merupakan hal yang terbukti sangat mendukung pemilihan daerah tertinggal sebagai lokasi kerja lulusan dokter. Beberapa hal yang telah dipertimbangkan dalam perekrutan dan penempatan tenaga medis di daerah tertinggal (internship, PTT, maupun Nusantara Sehat) pun terbukti berperan besar, misalnya: rural origin (asal daerah dan adanya keluarga di daerah), adanya rekomendasi otoritas setempat yang menunjukkan adanya teman atau kolega di daerah yang dituju. Hal baru yang ditambahkan oleh penelitian ini adalah lokasi yang menyediakan kesempatan dan pendamping untuk belajar lebih lanjut, termasuk melakukan penelitian, dengan disertai adanya otonomi dan kemandirian dalam bertindak mendapatkan prioritas. Manajemen institusi yang mendukung dan mampu menciptakan suasana kerja yang menyenangkan, serta budaya dan politik setempat pun ikut memberikan warna dalam pengambilan keputusan pilihan lokasi kerja. Conclusion: Banyak faktor yang berperan dalam pilihan lokasi kerja telah diintervensi dan berhasil menarik minat lulusan dokter untuk masuk dan bekerja di daerah tertinggal. Keputusan lulusan dalam memberikan prioritas pilihan terhadap daerah yang mampu menyediakan pendamping dokter spesialis dan memberikan kesempatan dan otonomi untuk belajar serta melakukan penelitian perlu mendapatkan perhatian dan memberikan arah bagi pengembangan program intervensi pemerataan tenaga medis ke daerah tertinggal selanjutnya.
Does Facilitative Supervision Made Difference in PHC Readiness to Provide Emergency Maternal and Newborn Care: an Operational Research at Primary Health Centre of Ende District, Eastern Indonesia Sangguana Marthen Jacobus Koamesah; Idawati Trisno; Nicholas Edwin Handoyo; Rr. Listyawati Nurina
Journal of Social Research Vol. 2 No. 8 (2023): Journal of Social Research
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/josr.v2i8.878

Abstract

Purpose: Government of Indonesia (GOI) has commitment to ensure that basic obstetric and newborn care is provided as to standard of care, through a pilot project of facilitative supervision conducted at 5 Primary Health Centre (PHC) of Ende district, in a series of combined online and onsite supervision during a period of 7 months, ended in December 2021. This operational research examined PHC’ readiness in providing emergency obstetric and newborn care, comparing intervened and control PHC. Methods: This present study used quasi experimental method, with Post-test Only Control Group design. Intervention of facilitative supervision only provided in one group, and assessment conducted in those 2 groups, comparing results between those groups. Unit analysis was PHC, 2 PHCs selected as intervened PHC, and 2 PHCs as control. Data were collected through direct observation using check list, assessment of patient’s records, and interview with several health workers. Results: In this operational study we compared the service coverage and readiness in providing emergency obstetric neonatal care, between PHC that received and not received intensive facilitative supervision in the previous 7 months. PHC in urban area handling very few obstetric complications but referred more cases to District Hospital (>90). However, intervened PHC provide obstetric complication care two times higher (8.33%) than control PHC (4.17%). Both intervened and control PHC in rural area, provide far more obstetric complication care (>60%) compared to those in urban area, with the coverage of referral case around 30-35% from total obstetric complication cases. Intervened PHC in rural area managing all neonatal complication cases, and shows the lowest percentage of neonatal death (1,2%) compare to other PHCs. Control PHC in rural area also managed 88.89% of neonatal complication cases, but has the highest percentage of neonatal death (4.17%). The significant difference between intervened and control PHC in the input side, lies in the availability of emergency team which should be minimal of 3 health workers consist of doctor, midwife and nurse; and availability of neonatal emergency kit. In the process side, the difference between intervened and control PHC is more obvious in rural area, the main difference lies in the unavailability of algorithm and SOP for post-partum bleeding, pre/eclampsia, and neonatal resuscitation at control PHC Conclusions: There is difference in the readiness of providing emergency maternal neonatal between intervened and control PHC only in rural area, indicate by higher compliance level value in the intervened PHC (77.14%) compared to control PHC (40%). The difference in the quality of care only obvious in rural area and in emergency neonatal care, indicate by 3,5x lower percentage of neonatal death in intervened PHC compared to the control PHC
PELATIHAN PUBLIC SPEAKING UNTUK MENINGKATKAN KEMAMPUAN KOMUNIKASI DAN KEPERCAYAAN DIRI Buntoro, Ika Febianti; Folamauk, Conrad Liab Hendricson; Nurina, Rr Listyawati; Tanto, Ayu Cyntia; Handoyo, Nicholas Edwin
Jurnal Media Tropika Vol 3 No 2 (2023): Jurnal Media Tropika
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/mediatropika.v3i2.12791

Abstract

Public speaking is one of the skills needed in the global era and can affect success at work. With good communication, a person will be able to convey messages appropriately, build various relationships with many people and agencies, motivate others, and also be able to influence various decisions. Without good communication skills, misunderstandings will arise, reducing opportunities for building relationships and collaboration with other parties. However, public speaking often causes anxiety, stress, and intense negative behavioral responses. An initial survey by the team found that the faculty of medicine and veterinary medicine of Universitas Nusa Cendana (FKKH Undana) leadership had never received capacity-building training on public speaking. These inadequate speaking skills can undermine the ability to convey important messages or bore the audience. A person's lack of self-confidence will also hinder his/her self-development and make him pessimistic in facing challenges. Therefore, the community service team conducted public speaking training for leaders and the Undana FKKH academic community. In this activity, the participants were trained on the basics of public speaking, namely how to master themselves, master the material, and master the audience. This training received a positive response from the participants, where the participants felt an increase in their abilities and self-confidence. Public speaking can help speakers convey messages more precisely to the audience. The training is expected to improve performance in public speaking and overcome anxiety.
THE RELATIONSHIP BETWEEN PREMENSTRUAL SYNDROME WITH INSOMNIA IN MEDICAL STUDENTS AT UNIVERSITAS NUSA CENDANA Permatasari, Gusti Ayu Angeliene; Lidia, Kartini; Handoyo, Nicholas Edwin; Kareri, Dyah Gita Rambu
Indonesian Journal for Health Sciences Vol 8, No 1 (2024): March
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/ijhs.v8i1.6715

Abstract

Menstrual disorders, one of which is Premenstrual Syndrome (PMS), are still Indonesia's most common health problem. PMS symptoms appear during the luteal phase that occurs 7-14 days before menstruation. During premenstrual syndrome, there will be a hormonal imbalance that can cause insomnia. Insomnia is difficulty sleeping, difficulty maintaining sleep (frequent awakenings at night), or waking up too early accompanied by drowsiness during the day, as well as poor sleep quality that occurs at least three times a week for a month. Insomnia can interfere academic performance of students. This study aims to analyze the relationship between PMS and insomnia in Medical students of Universitas Nusa Cendana. The research design used cross-sectional, and it was attended by 137 medical students of Universitas Nusa Cendana who were selected with total sampling. Data collection online used The Shortened Premenstrual Assessment Form (SPAF) and the Pittsburgh Sleep Symptom Questionnaire-Insomnia (PSSQ_I). The data analysis used is the Chi-Square test. There was a significant relationship between PMS and insomnia in medical students of Universitas Nusa Cendana, with a p-value of 0.000.
Factors Associated with Quality of Life among People Living with HIV/AIDS in Kupang Buntoro, Ika Febianti; Arsita, Elli; Handoyo, Nicholas Edwin; Nurina, Rr. Listyawati; Folamauk, Conrad Liab Hendrixson
Jurnal Kedokteran Meditek Vol 30 No 2 (2024): MEI
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v30i2.3191

Abstract

It is known that HIV/AIDS remains a global health problem. Living with HIV/AIDS can have significant impacts on various aspects of life, including mental health, social relationships, and overall well-being. Addressing stigma and discrimination is crucial in improving the quality of life for people living with HIV/AIDS, along with providing access to proper medical care and support services. This study aims to investigate factors that impact the quality of life of people living with HIV/AIDS (PLWHA) in   Kupang City, Indonesia from April 2023 to July 2023 in hospitals and NGOs in the city. The design of this study was a cross-sectional study. The study involved 98 respondents, who were PLWHA taking ARV therapy at Prof. Dr. WZ Johannes Public Hospital Kupang and Wirasakti Army Hospital Kupang. The data was collected using the Oslo Social Support Scale (OSSS-3) Questionnaire. This study found that most respondents have moderate social support. The study identified several factors significantly impacting the quality of life for HIV/AIDS patients such as social support (p 0.001), adherence to ARV therapy (p 0.000), depression levels (p 0.007), education level (p 0.002), income level (p 0.012), and the duration of the diagnosis (p 0.044). This study contributes to add valuable information for a comprehensive understanding of the multifaceted challenges faced by individuals living with HIV/AIDS, paving the way for targeted interventions and support strategies.
Analyzing the Risk Factors of Early Neonatal Deaths in Kupang District, Rural Eastern Indonesia Sangguana Marthen Jacobus Koamesah; Idawati Trisno; Listyawati Nurina; Nicholas Edwin Handoyo; Mariana Archoon Sailana
Jurnal Syntax Admiration Vol. 5 No. 10 (2024): Jurnal Syntax Admiration
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jsa.v5i10.1706

Abstract

The neonatal mortality rate in East Nusa Tenggara (NTT) remains high, with 80% of neonatal deaths occurring in the early period. This study aims to analyze the risk factors contributing to early neonatal death in Kupang District. A retrospective case-control study was conducted, involving 31 cases of early neonatal death and 69 controls from medical records from January 2023 to June 2024. Multinomial logistic regression analysis was used to identify the influence of maternal health, birth, neonatal factors, and healthcare facility readiness. The results showed that birth weight, frequency of antenatal visits, and the completeness of medical equipment were significant predictors of early neonatal death. More frequent antenatal visits were found to reduce the risk of death by 24%, while low birth weight increased the risk by 30%. In conclusion, interventions focusing on preventing low birth weight, ensuring compliance with minimum antenatal visits, and improving the readiness of basic healthcare facilities could reduce early neonatal death in this region.
Issues and Challenges in Implementing Braden Scale to Assess Pressure Injury Risk: A Participatory Action Research in South-Eastern Indonesia Buntoro, Ika Febianti; Datusanantyo, Robertus Arian; Koamesah, Sangguana M. J.; Wijaya, R. Pasifikus Christa; Handoyo, Nicholas Edwin
Jurnal Plastik Rekonstruksi Vol. 12 No. 1 (2025): (2025): Jurnal Plastik Rekonstruksi
Publisher : The Lingkar Studi Bedah Plastik Foundation and is affiliated with the Department of Plastic Surgery, Faculty of Medicine, Universitas Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v12i1.386

Abstract

Background: Pressure injury (PI) is chronic wound over bony prominence that should be managed to avoid morbidity and increased costs. Braden scale (BS) has been used worldwide for almost forty years as PI's standard risk assessment tool. This study aimed to identify issues among nurses regarding the implementation of the PI risk assessment tool in a referral hospital in rural Indonesia.Methods: We performed two cycles of participatory action research (PAR) to initiate the BS implementation and to establish follow-ups accordingly in inpatient units. The PAR ensured the active roles of the 12 nurses and midwives who initially implemented the tool. The transcribed focused-group discussion (FGD) recordings were analysed following six steps of thematic analysis.Results: There were three main themes emerged. The themes were the nurses' understanding of the need for PI risk assessment, the increasing workload when implementing PI risk assessment, and the importance of the primary nurse role. The themes reflects the need for nurse practitioners to further implement the tool by seeking confirmation from the primary nurse's group. The ease and trialability of the BS enhanced the nurses' compliance with the new tool. The nurse manager and leader needed to concentrate on perceived innovation attributes to implement the PI risk assessment tool further.Conclusion: The PAR cycles have recruited early adopters and suggested implementing BS to assess PI risk. The role of hospital managers and leaders in ensuring continuity of implementation is crucial.
Stigmatization of Leprosy Patients at the Primary Hospital in North Central Timor: a Qualitative Study Rusnah, Fauziyah Nadira Riani; Ika Febianti Buntoro; Nicholas Edwin Handoyo; Herjuni Oematan
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 37 No. 1 (2025): APRIL
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V37.1.2025.34-40

Abstract

Background: Leprosy is a chronic bacterial infection that affects the peripheral nervous system, skin, nosend eyes and can cause disability. Clinical symptoms and disabilities can give leprosy patients a negative impression, known as stigma, which can affect their self-acceptance. Purpose: This study aims to analyze the perceptions of leprosy patients at the a primary hospital in North Central Timor regarding the stigma they experience. Methods: The study was a qualitative research, utilizing the in-depth interview method. The sampling technique used purposive sampling, applied maximum variation sampling, and involved 20 patients in the study.The interview results were transcribed and analyzed using the Open Code 4.03 program. The coding results were grouped into themes and subthemes that emerged. Result: This study found that internal and social stigma affected 80% of the 20 leprosy patients at a primary hospital. Misperceptions primarily cause internal stigma, which in turn triggers fear of infection and isolation from the community. Social stigma, also triggered by misperceptions, leprosy symptoms, and disability, leads to discrimination, and ostracism, even in family circles and places of worship. Patients experience negative impacts on their self-esteem, social life, and economy. Conclusion: Leprosy patients experience internal and social stigma, with 16 out of 20 patients affected. Misperceptions, symptoms, and disability due to leprosy are the leading causes. This stigma has far-reaching social, economic, and educational impacts. Support, education, and preventive measures are needed to overcome the stigma that worsens the condition of leprosy patients.
PKM Edukasi dan PHBS Pencegahan Cacingan Anak Usia Sekolah sebagai Upaya Menanggulangi Stunting di Kualin NTT Buntoro, Ika Febianti; Handoyo, Nicholas Edwin; Koamesah, Sangguana Marthen Jacobus; Folamauk, Conrad L. H.; Nurina, Rr.Listyawati; Muntasir, Muntasir
Yumary: Jurnal Pengabdian kepada Masyarakat Vol. 5 No. 3 (2025): Maret
Publisher : Penerbit Goodwood

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35912/yumary.v5i3.3306

Abstract

Purpose: This community service aims to provide educational interventions and knowledge about the importance of preventing worms, instilling good and correct PHBS behavior of washing hands in school-age children, checking the health of nails, hands, skin, and body weight, providing posters for preventing worms and air storage facilities for washing hands. Methodology: The activity consisted of three stages: preparation, implementation, and evaluation. The preparation stage involved site observation, communication with Taus Elementary School, obtaining permits, and providing initial information. Results: The results of this service showed positive results, as many as 52 Taus Elementary School children knew and carried out worm prevention by applying good information using the worm prevention pocketbook, the students were able to carry out demonstrations and practice active participation in carrying out PHBS washing their hands, had carried out health checks. Conclusions: Educational interventions such as lectures and PHBS practices can have a positive impact in increasing health awareness among students. A total of 52 students have the security and knowledge to prevent helminthiasis as one of the causes of stunting with the application of helminthiasis prevention pocket book. Limitations: This activity only reaches 1 Taos elementary school, Oni village, Kualin TTS sub-district, NTT. Contribution: This service is beneficial for schools and the community, maintaining health will endanger worms and increase PHBS hand washing for students and schools to become pilot centers for personal and community hygiene.
Pengaruh Metode Peer Assisted Learning Dalam Pelatihan Protection Of Sexual, Exploitation And Abuse (Psea) Terhadap Perubahan Aspek Attitude Toward The Behavior & Subjective Norm Untuk Menerapkan Psea Kabosu, Aereldio Anchel; Handoyo, Nicholas Edwin; Folamauk, Conrad Liab Hendricson; Wijaya, R. Pasifikus Christa
Cendana Medical Journal Vol 12 No 1 (2024): Cendana Medical Journal
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/cmj.v12i1.15556

Abstract

The increase in sexual violence, especially among teenagers in Indonesia, which occurs in various environments such as homes, schools and communities is an important problem to pay attention to. Sexual violence can take various forms of action, including physical and psychological abuse. Surveys show that many teenagers experience sexual violence, especially during dating, with negative impacts such as loss of self-confidence and self-esteem. This research is to measure the impact of peer assisted learning methods on changes in attitudes and subjective norms in implementing PSEA in the educational environment. The Theory of Planned Behavior is used as a theoretical framework to examine the influence of the PAL method on changes in attitudes and subjective norms of Nusa Cendana University students regarding PSEA.Objective To determine the influence of the peer assisted learning method in protection of sexual exploitation and abuse training on changes in the attitude towards the behavior & subjective norms of the UNDANA academic community in implementing PSEA. This research was conducted at Nusa Cendana University using non-proportional cluster sampling techniques. The sample consisted of 30 tutors (members of the PPKS Task Force, HPU team, and Laskar Sehat) as well as the academic community (students and staff) from various units at UNDANA. The research used a quasi experimental two-group design with pretest-posttest design, involving two treatment groups. Each group took part in training on PSEA, measured through three stages of measurement: pretest before training, posttest 1 after tutor training, and posttest 2 after tutee training by the tutor. Data were analyzed using normality and homogeneity tests, as well as repeated measure ANOVA and Paired Samples T-Test. Coordination steps, preparation of questionnaires, and data analysis were carried out carefully, resulting in new insights regarding protection against sexual exploitation and violence on the UNDANA campus environment. Training on protection against sexual exploitation and violence using the PAL method has proven to be effective in improving the Attitude Toward the Behavior and Subjective Norms of the UNDANA academic community regarding PSEA. The statistical test results showed significance in the tutor group (p 0.001) and the tutee group (p 0.001). Improvements in attitudes and subjective norms were seen in both groups, confirming that the PAL method was effective in influencing UNDANA's perception of PSEA.
Co-Authors Damanik, Efrisca M. Br. Datusanantyo, Robertus Arian Elli Arsita Folamauk, Conrad Liab Hendricson Halena Meldy Asa Herjuni Oematan Idawati Trisno Idawati Trisno Idawati Trisno Ika Febianti Buntoro Kabosu, Aereldio Anchel Kareri, Dyah Gita Rambu Koamesah, Sangguana M. J. Koamesah, Sangguana Marthen Jacobus Lidia, Kartini Listyawati Nurina Mariana Archoon Sailana Muhajirin Dean Muntasir, Muntasir Nurina, Rr. Listyawati Permatasari, Gusti Ayu Angeliene PRISCA DEVIANI PAKAN Rusnah, Fauziyah Nadira Riani Sangguana Marthen Jacobus Koamesah Sangguana Marthen Jacobus Koamesah Sare, Maria Claudya Nere Sari, Dewi Fadhilah Saudale, Sarah Grace Neljti Wilhelmina Emmanuela Tanto, Ayu Cyntia Wijaya, R. Pasifikus Christa