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All Journal Media Kesehatan Masyarakat Indonesia The Indonesian Journal of Public Health Majalah Kesehatan FKUB Health Notions Jurnal Keperawatan Silampari Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Unnes Journal of Public Health JURNAL PEMBANGUNAN HUKUM INDONESIA Jurnal Keperawatan
Ernawaty Ernawaty
Departemen Administrasi Dan Kebijakan Kesehatan, Fakultas Kesehatan Masyarakat, Universitas Airlangga
Dentistry Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health

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The Impact of Social Factor on Decision Making in TB Patients: An Approach to Consumer Behavior in Health Sector Yenny Purwanti; Auli Fisty Noor Azizah; Djazuly Chalidyanto; Ernawaty Ernawaty
Health Notions Vol 2, No 11 (2018): November
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (90.28 KB) | DOI: 10.33846/hn.v2i11.359

Abstract

Tuberculosis is commonly shortened to TB is still a health problem throughout the world, including in Indonesia. Treatment loss rate (loss to follow-up) treatment of pulmonary TB nationally is estimated to be high, this is very dangerous because treatment that is done irregularly will have a worse effect than not done at all. Treatment loss (loss to follow-up) treatment TB in Pasuruan district is 3.50%, although it does not exceed the national target of > 10%, it should not be ignored, because there are several Public health centers with loss to follow-up treatment for TB treatment> 10% in two consecutive years. This study aims to analyze the social factors that influence the decision making of TB treatment which is the cause of the drop out of treatment. This study was a cross sectional study conducted in 4 Public health centers in Pasuruan, namely Bangil Health Center, Pandaan Health Center, Gempol Health Center, and Kejayan Health Center with a sample size of 66 TB patients. Data analysis using multiple logistic regression. Based on the results of the study it was found that social factors that influence decision making were only family members (p = 0.037, Exp B = 4.558). Whereas other social factors, namely the reference group and leader opinion, have no effect with p = 0.813 and p = 0.939. Therefore, the role of family members should be carried out on the grounds of being more trustworthy, in addition to the closeness of the emotional relationship that greatly affects TB patients. Keywords: TB, loss to follow up, social factors, decision making
KEMAMPUAN INSTRUMEN PENILAIAN KINERJA PUSKESMAS DALAM MENGAKOMODASI IMPLEMENTASI FUNGSI PUSKESMAS Nuzulul Putri; Ernawaty Ernawaty; Thinni Nurul R; Hario Megatsari
Media Kesehatan Masyarakat Indonesia Vol. 13 No. 4: DESEMBER 2017
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (56.771 KB) | DOI: 10.30597/mkmi.v13i4.1061

Abstract

Setelah pemberlakukan Jaminan Kesehatan Nasional, puskesmas dianggap semakin berat menjalankan fungsi kuratif daripada preventif. Implementasi fungsi puskesmas sudah seharusnya dapat dikendalikan melalui sebuah instrumen Penilaian Kinerja Puskesmas (PKP) yang mampu mengakomodasi fungsi puskesmas secara seimbang. Penelitian ini menganalisis kemampuan instrumen Penilaian Kinerja Puskesmas dalam mengakomodasi implementasi fungsi puskesmas. Implementasi fungsi puskesmas dianalisis melalui studi dokumen kebijakan yang mengatur fungsi puskesmas. Nominal Group Technique (NGT) dengan kepala puskesmas di Kota Surabaya dilakukan untuk menyimpulkan akomodasi setiap fungsi puskesmas pada setiap komponen penilaian yang digunakan dalam instrumen PKP. Ada tiga aspek yang dinilai dalam PKP, yakni aspek pelayanan kesehatan (wajib dan pengembangan), pelaksanaan manajemen puskesmas, dan mutu pelayanan kesehatan. PKP untuk program wajib dan pengembangan puskesmas lebih menilai fungsi puskesmas sebagai pelayanan kesehatan masyarakat. Komponen penilaian untuk mutu pelayanan kesehatan dan kegiatan manajemen puskesmas justru lebih banyak menilai mutu fungsi pelayanan kesehatan perorangan. Fungsi puskesmas sebagai pusat penggerak pembangunan berwawasan kesehatan merupakan fungsi yang paling jarang dinilai sebagai kinerja puskesmas. Penelitian ini menunjukkan bahwa instrumen PKP yang selama ini digunakan belum mampu mengakomodasi implementasi fungsi puskesmas secara seimbang.
ANALYSIS OF ACCEPTANCE OF E-HEALTH APPLICATION BY USERS IN PRIMARY HEALTHCARE CENTER IN SURABAYA CITY Ni Made Mira Wahyu Astani; Ni Luh Putu Arum Puspitaning Ati; Ernawaty Ernawaty
The Indonesian Journal of Public Health Vol. 16 No. 1 (2021): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (645.175 KB) | DOI: 10.20473/ijph.v16i1.2021.66-78

Abstract

This study used the observational quantitative method to analyze the acceptance of information technology  in the form of thee-Health. The theory of acceptance was further analyzed using the Unified Theory of Acceptance and Use of Technology (UTAUT) model. UTAUT model is the latest unified model that is an appropriate to explain the acceptance and use of information systems. The research objective was to analyze perceptions of the use of e-Health applications in the Surabaya City Health Center. The research design method used was cross-sectional design. The selected samples of 100 people were determined by multistage sampling in primary healthcare centers in every area of Surabaya. The independent variables in this study were performance expectancy, effort expectancy, social influence and behavioral intention while the dependent variable was the use of e-Health applications. Data were collected through questionnaires delivered via interviews. The results showed that the lowest indicator of acceptance by the users  was the time needed to input data category to the e-Health application. This study concludes that the acceptance of e-Health by users primary healthcare centers in Surabaya is low. This study suggests a more widespread dissemination of information regarding the benefits of the use of e-Health along with technical assistance and guidance on the use of e-Health applications.Keywords: UTAUT Model, e-Health application, primary healthcare center, acceptance
Differences in Help-Seeking Behavior in Adolescents with Anxiety Disorder During the COVID-19 Pandemic Erlian Indah Mustikawati; Ernawaty Ernawaty
Media Kesehatan Masyarakat Indonesia Vol. 17 No. 3: SEPTEMBER 2021
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (292.458 KB) | DOI: 10.30597/mkmi.v17i3.13827

Abstract

Adolescents represent one of the vulnerable groups that could suffer from mental and psychosocial health during the COVID-19 pandemic. This study aims to analyze behavioral differences in adolescents who have experienced anxiety disorders during the COVID-19 pandemic. The study used a cross-sectional design on 122 adolescents in East Java during the pandemic. Data was collected through a questionnaire via Google Forms in May 2021. Data analysis in this study used the Mann–Whitney test on SPSS Statistics 26. The current study found that male respondents (80%) show a higher tendency to have anxiety disorders compared with female respondents (74%). Meanwhile, there was no difference in the help-seeking behavior based on the gender of adolescent respondents’ who experienced anxiety disorders during the COVID-19 pandemic (p=0.291). The current study also found that there is no difference in help-seeking behavior between adolescents who experience anxiety disorders or those who do not experience anxiety disorder (p=0.449). Most adolescents with anxiety disorders tend to discuss their issues with friends and family to relieve anxiety, whereas some do not seek help because they can cope with anxiety disorders on their own, they think they do not really need help, they feel that no one cares about their problems, and there is a lack of supporting health facilities in the youth environment. Teenagers in East Java are advised to consult their mental health problems with experts to find relevant solutions.
Cesarean delivery Characteristics during JKN Implementation : Karakteristik persalinan sesar selama Implementasi JKN Sofia Al Farizi; Ernawati Ernawati; Erna W. Ernawaty
Indonesian Journal of Obstetrics and Gynecology Volume 10 No. 3 July 2022
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v10i3.1593

Abstract

Objective: To compare the characteristics of cesarean before and during JKN, also analyzes the factors that influence these differences. Methods: This was a quantitative study with a longitudinal retrospective design and qualitative research used design case studies. The population were delivery women at the Banyuwangi referral hospital before and during JKN. The quantitative data were analyzed firstly by univariable and then bivariable. The bivariable analysis was performed by comparing the prevalence ratio (PR) between two variables. Results: The proportion of cesarean delivery had increased significantly during the implementation of JKN. 50% of maternal deaths before JKN gave birth using cesarean delivery, this proportion increased significantly to 60% during JKN. Indications of fraud committed by health workers to be a factor in increasing the proportion of cesarean delivery. Other contributing factors were repeated cesarean delivery, delayed referral, and the number of obstetric complications. Conclusion: There was an increase in the proportion of cesarean deliveries during the implementation of JKN. BPJS Kesehatan needed to re-evaluate the system they had created so far. The quality of service must be emphasized so that the negative impact on women could be minimized. Keywords: cesarean section, health insurance, maternal mortality. Abstrak Tujuan: Membandingkan karakteristik persalinan sesar sebelum dan selama implementasi JKN, selain itu juga menganalisis faktor-faktor yang berpengaruh. Metode: Studi kuantitatif dengan desain longitudinal retrospective dan studi kualitatif dengan desain case studies. Populasi adalah ibu bersalin di rumah sakit rujukan Kabupaten Banyuwangi sebelum dan selama JKN. Data kuantitatif dianalisis secara univariabel dan bivariabel. Analisis bivariabel dengan membandingkan prevalensi rasio (PR) diantara dua variabel. Hasil: Proporsi persalinan sesar meningkat secara signifikan selama implementasi JKN. 50% ibu yang meninggal bersalin dengan metode sesar, proporsi ini meningkat selama JKN menjadi 60%. Indikasi kecurangan oleh tenaga kesehatan menjadi salah satu faktor yang menyebabkan peningkatan ini. Faktor lain yang berkontribusi adalah persalinan sesar yang berulang, keterlambatan rujukan dan banyakanya komplikasi obstetrik. Kesimpulan: Terdapat peningkatan proporsi persalinan sesar selama implementasi JKN. BPJS Kesehatan perlu mengkaji ulang sistem yang dibuat selama ini. Kualitas pelayanan harus tetap dipertahankan, agar tidak berdampak pada kesehatan ibu. Kata kunci: jaminan kesehatan, kematian ibu, persalinan sesar.
Legalitas Penjualan Obat Psikotropika Secara Online Di Indonesia Ernawaty Ernawaty; Dyas Witri Murtiningsih; Edwin Triwidianto; Gede Sanjaya; Mokhamad Khoirul Huda
Jurnal Pembangunan Hukum Indonesia Volume 5, Nomor 1, Tahun 2023
Publisher : PROGRAM STUDI MAGISTER ILMU HUKUM FAKULTAS HUKUM UNIVERSITAS DIPONEGORO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphi.v5i1.120-135

Abstract

Saat ini, perdagangan online menjadi familiar bagi usaha bisnis masyarakat karena dapat memperluas cakupan bisnisnya. Di sisi lain, perdagangan online juga dimanfaatkan oleh beberapa orang sebagai platform untuk menjual obat-obat psikotropika. Penelitian ini legal normatif dengan pendekatan legal (pendekatan statuta) dan pendekatan kasus. Penelitian ini menjelaskan fakta perdagangan obat-obatan psikotropika yang tidak sejalan dengan hukum dan membahas aspek legalitas penjualan obat psikotropika secara online. Hasil penelitian bahwa peraturan perundang undang tentang psikotropika masih belum memenuhi kebutuhan hukum yang muncul akibat dari perkembangan transaksi online terutama terkait penjualan psikotropika secara online. Perlu melakukan pembaharuan hukum dengan cara melanjutkan amandemen dan mengesahkan RUU tentang Pengawasan Obat dan Makanan yang prosesnya terhenti di tahun 2019, dalam rangka pengendalian secara hukum penggunaan pasar online (marketplace) secara illegal untuk menjual obat-obatan psikotropika
ANALISIS KESIAPAN RUMAH SAKIT RUJUKAN COVID-19 DALAM MENGHADAPI PANDEMI COVID-19 DI JAWA TIMUR Oktaretha Veleneka Binendra; Ayu Fitriansyah; Ernawaty
Majalah Kesehatan Vol. 10 No. 1 (2023): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/majalahkesehatan.2022.010.01.4

Abstract

Penyediaan dan penguatan sistem pelayanan kesehatan yang optimal dalam mengatasi COVID-19 harus mengutamakan mutu melalui kesiapan rumah sakit dalam menghadapi pandemi COVID-19. Tujuan  penelitian ini yaitu mengetahui kesiapan rumah sakit rujukan COVID-19 dalam menghadapi pandemi COVID-19 di Jawa Timur. Penelitian menggunakan metode penelitian deskriptif dengan pendekatan kuantitatif. Sasaran pada penelitian ini yaitu sebanyak 164 Rumah Sakit Rujukan COVID-19  di Jawa Timur dengan menggunakan instrumen Daftar Tilik Kesiapan Rumah Sakit dalam Menghadapi Pandemi COVID-19 yang diadopsi dari WHO. Hasil penelitian menunjukkan bahwa nilai capaian tertinggi kesiapan RS rujukan COVID-19 pada masa pandemi COVID-19 pada tahun 2022 dicapai oleh RS Rujukan COVID-19 Kelas A sebesar 98% dan capaian paling rendah yaitu RS Rujukan COVID-19 Kelas C sebesar 92%. Hasil penelitian didapatkan bahwa komponen dengan persentase terendah yaitu kesehatan kerja, kesehatan jiwa, dan dukungan psikososial. Capaian upaya kesehatan jiwa dan dukungan psikososial lebih rendah dibandingkan upaya kesehatan kerja. Oleh karena itu kesiapan rumah sakit dalam memperhatikan kesehatan jiwa dan dukungan psikososial di masa pandemi terutama untuk pasien, keluarga, dan tenaga kesehatan rumah sakit menjadi poin penting pada masa pandemi COVID-19.
Kebijakan Penanggulangan Pasung pada Orang Dengan Gangguan Jiwa (ODGJ) Nur’Aini Nur’Aini; Ernawaty Ernawaty; Muh. Ryman Napirah
Jurnal Keperawatan Vol 15 No 3 (2023): Jurnal Keperawatan: September 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

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

Abstract

Berdasarkan Data dari Dinas Kesehatan Provinsi Sulawesi Tengah angka pemasungan mengalami peningkatan pada tahun 2018 tercatat 233 orang dimana pada tahun sebelumnya tercatat 127 orang. Adapun data pemasungan dari Dinas Kesehatan Kabupaten Donggala tercatat 12 orang pada 2018 dan 11 orang pada 2019 yang mana jumlah tersebut menyebar pada empat wilayah puskesmas dengan rincian pada Puskesmas Balukang terdapat dua orang, pada Puskesmas Delatope terdapat 2 orang, pada Puskesmas Tambu terdapat tiga orang, serta jumlah tertinggi pada Puskesmas Lembasada sebanyak empat orang. Tujuannya adalah mencari tahu dimensi komunikasi, sumber daya, disposisi dan struktur birokrasi dalam Penerapan Permenkes Nomor 54 Tahun 2017 Tentang Penanggulangan Pemasungan pada ODGJ. Jenis penelitian ini kualitiatif dengan pendekatan studi kasus. Adapun teknik yang dipilih dalam penentuan informan yaitu purposive sampling. Pada penelitian ini informannya berjumlah enam orang. Data dikumpulkan menggunakan triangulasi teknik yaitu observasi, dokumentasi, dan wawancara mendala. menunjukkan Dimensi Komunikasi masih terkendala, karena kurangnya melakukan advokasi dan sosialisasi, dan dalam penyampaian informasi sasarannya belum merata. Dimensi Sumber daya berdasarkan kuantitas dan kualitas belum terpenuhi dengan baik. Dimensi Disposisi dalam kategori baik, namun belum terdapat intensif. Dimensi Struktur Birokrasi dalam kategori cukup baik, namun masih diperlukan peningkatan peran dari antar lintas sektor. Adapun saran bagi setiap puskesmas untuk melakukan perbaikan dalam hal manajemen dan standard operasionalnya sebagaimana peraturan dalam Permenkes Nomor 54 Tahun 2017 Tentang Penanggulangan Pemasungan pada Orang dengan Gangguan Jiwa (ODGJ).
IMPLEMENTATION OF AN EXCLUSIVE BREASTFEEDING POLICY IN WONOGIRI REGENCY Dewi Nur Pratiwi; Ernawaty
The Indonesian Journal of Public Health Vol. 18 No. 1 (2023): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v18i1.2023.21-33

Abstract

Introduction: Breastfeeding is the best intake to fulfill nutrition of babies aged 0-6 months. In Wonogiri Regency, exclusive breastfeeding achievement in 2017 is 53.62% and 25 out of 34 public health centers haven’t reached the target yet. Method:  This research was descriptive research type with observational approach and cross-sectional design. Sample was 34 public health centers in Wonogiri Regency, with nutritionist, midwives and health cadres from each public health centers as respondents. The data were collected using interview and questionnaire techniques, and   correlation analysis performed  using the contingent coefficient method. Result: show that   communication factors showed good result for respondent’s knowledge, consistency in obtaining socialization and transmission to carry out further socialization. Resource factors show  that availability of nutrition staff isn’t sufficient and funds lack for activities related to exclusive breastfeeding. On disposition factors, respondents disagree with the gift provided from the formula milk distributor because it can inhibit achievement of exclusive breastfeeding purpose. And   many public health centers still don’t have exclusive breastfeeding SOP. Conclusion: It can be concluded that training, availability of facilities and infrastructures in lactation room and number of staff    positively affect   target achievement of exclusive breastfeeding. The effort that can be done is by giving counselling of breastfeeding to workers and healthcare staff, fulfillment of facilities and infrastructure of lactation room to support exclusive breastfeeding, making SOP related to breastfeeding for public health centers.
Factors Affecting the Work Engagement of Healthcare Workers during the COVID-19 Pandemic Erlian Indah Mustikawati; Ernawaty Ernawaty
Unnes Journal of Public Health Vol 12 No 2 (2023): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v12i2.67079

Abstract

The COVID-19 Pandemic is a challenge for the world and, foremost, the healthcare system. The high intensity of work, the high risk of exposure, and the mental burden due to COVID-19 can affect the work engagement of healthcare workers. Healthcare worker engagement tends to be low. This research aimed to identify the factors that affect the work engagement of healthcare workers during the COVID-19 Pandemic. This research was a scoping review study conducted in December 2022. The keywords used were "work engagement," "healthcare worker," "healthcare," and "COVID-19" in the PubMed, Science Direct, and ProQuest databases. The criteria used were original articles written in English and published during 2020-2022. Outcome mapping based on PRISMA-ScR. A number of 19 articles were classified into job resources, personal resources, job demands, and demographic factors. Most of the articles were published in 2022 (52%), conducted in China (32%), had a cross-sectional research design (79%), and stated that healthcare workers are tied to work during the COVID-19 Pandemic (37%). The most common factors affecting workforce engagement found in the selected articles were job resources and job demands (47%). Healthcare workers' engagement level during the COVID-19 Pandemic was classified as moderate and high. The research found four factors affecting healthcare workers' work engagement during the COVID-19 Pandemic: job resources, personal resources, job demands, and demographic factors. Future research is expected to examine how to keep healthcare workers engaged in extreme situations such as the COVID-19 Pandemic.
Co-Authors Anggun Wulandari Auli Fisty Noor Azizah Ayu Fitriansyah Binti Maratus Sholikhah Desi Fani Rahmawaty Dewi Nur Pratiwi Djazuly Chalidyanto Dyas Witri Murtiningsih Edwin Triwidianto Erlian Indah Mustikawati Erlian Indah Mustikawati Ernawati Ernawati Farah Yasmine Ainun Nisa Gede Sanjaya Hario Megatsari Ismatut Thobibah Martha Ariana Wijayanti Maya Sari Dewi Mokhamad Khoirul Huda Muh. Ryman Napirah Ni Luh Putu Arum Puspitaning Ati Ni Made Mira Wahyu Astani Nur’Aini Nur’Aini Nuzulul Putri Nyoman Anita Damayanti Oktaretha Veleneka Binendra Rahmafika Cinthya Afro Ririn Widyowati Supangat Sofia Al Farizi Thinni Nurul R Thinni Nurul Rochmah Wahyu Setyaningsih Yenny Purwanti