Insi Farisa Desy Arya
Center For Health System Studies; Department Of Public Health; Faculty Of Medicine; Universitas Padjadjaran; Indonesia

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Visual Inspection Test with Acetic Acid for Cervical Cancer Screening: Willingness and Acceptability among Reproductive Age and Married Women Rozaliamisah Binti Hassan; Edwin Armawan; Insi Farisa Desy Arya
Althea Medical Journal Vol 5, No 2 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (190.232 KB) | DOI: 10.15850/amj.v5n2.1419

Abstract

Background: Cervical cancer is a preventable disease, thus early screening test should be performed for early cervical cancer prevention. Previous studies showed that among all of the screening techniques, visual inspection with acetic acid is an alternative, simple safe cervical cancer prevention technique. This study aimed to identify the willingness and acceptability of visual inspection with acetic acid among reproductive age and married women as cervical cancer prevention.Methods: A descriptive cross-sectional study was conducted among 100 reproductive age and married women in Jatinangor subdistrict West Java in 2014. A validated questionnaire was used to obtain information about the respondents’s characteristics, risk factors of cervical cancer, willingness and acceptability of Visual Inspection using Acetic Acid Test (VIA). The collected data were presented using tables.Results: Out of 100 respondents, 93% ever heard of cervical cancer, however 79% were aware of cervical cancer. As high as 96% were aware of the importance of cervical cancer screening, however 36% were aware of cervical cancer screening, and 19% were aware of VIA test. While 83% never had previous education on cervical cancer, 91% reported willingness to take part on cervical cancer education and 83% willingness of cervical cancer screening. Noted 17% were non-acceptance of VIA test for future cervical cancer screening due to their busy life and afraid of the outcome result.Conclusions: The majority of reproductive age and married women  are willing and accept VIA test for cervical cancer screening. 
Health Promotion Activities in Bandung Public Health Centre (Puskesmas) Siti Fairuz Nadya; Insi Farisa Desy Arya; Anggraini Alam
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (170.496 KB)

Abstract

Background: Health promotion is one of Public Health Centre (Pusat Kesehatan Masyarakat, Puskesmas) essential health effort able to increase community health status. The purpose of this study was to describe health promotion activities in Bandung Public Health Centre (Puskesmas).Methods: This study was a cross sectional descriptive study using questionnaire as data collection instrument. The questionnaires were distributed to 24 Puskesmas in Bandung that were selected randomly using simple random sampling method. The process of questionnaire filling was performed by health promotion officer after informed consent was done. The variables were basic health promotion strategies, health promotion supports, health promotion in health facility and health promotion in community.Results: Most of the Puskesmas showed that basic health promotion strategies, health promotion in health facility and health promotion in community were already done. Support media that was mostly used was printed media while lectures was the most used method. Human resources practitioner and coordinator of health promotion were dominated by mid level health workers consists of midwife and nurse. This study showed that the majority of health promotion coordinator had underwint training and certificate related to health promotion. The availability of funds were possessed by 13 out of 24 sample. While, health promotion guideline were possessed by less than half of the sample.Conclusions: Health promotion is done in almost all sample. There is lack of health promotion support in the form of the availability of funds and guideline of health promotion method. [AMJ.2016;3(3):459–67]DOI: 10.15850/amj.v3n3.864
Knowledge, Attitude and Practice of Menstrual Hygiene among High Schools Students in Jatinangor Maryam Balqis; Insi Farisa Desy Arya; Mulya Nusa A Ritonga
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (150.718 KB)

Abstract

Background: Menstruation is a physiological process in female adolescents which usually started at age of 9–12 years. Menstrual hygiene is a hygienic practice during menstruation which can prevent women from the infection in reproductive and urinary tract. Lack of knowledge regarding menstruation and menstrual hygiene lead to poor attitude and practice. This study was conducted to assess the level of knowledge, attitude and practice of menstrual hygiene among high schools students in Jatinangor.Methods: This descriptive cross-sectional study was conducted from May until June 2013 in high schools around Jatinangor. This study population was taken from four schools selected through cluster random sampling from 17 junior and senior high schools available in Jatinangor. Total sampling from four schools was undertaken and a total of 238 female high school students’ data were established. The respondents aged between 13–19 years old.Results: The level of knowledge, attitude and practice among participants were 180 (75.63%), 186 (78.15%) and 210 (88.24%) respectively which were mostly good. Conclusions: Overall, most of the participants in this study have good knowledge, attitude and practice about menstrual hygiene, but a few of them still have poor and moderate knowledge and attitude, although there is no poor practice among them. [AMJ.2016;3(2):230–8] DOI: 10.15850/amj.v3n2.783
Destructive Effect of Calcium Hypochlorite against Pseudomonas aeruginosa Biofilm Ilma Arifani; Gita Widya Pradini; Insi Farisa Desy Arya; Adi Imam Cahyadi
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (681.179 KB) | DOI: 10.15850/amj.v4n3.1205

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Background: Pseudomonas aeruginosa is the most common bacteria contaminating the hemodialysis water and has high capability to form a biofilm. The presence of biofilm is hazardous because it becomes a constant source of bacterial and toxin release toward the hemodialysis patient’s blood. Calcium hypochlorite (Ca(OCl)2) is an easily obtained disinfectant. This study was aimed to detect the destructive effect of Ca(OCl)2 against P. aeruginosa biofilm and the optimal disinfectant concentration required to achieve significant effect.Methods: This experimental study was conducted in six replicates from September to October 2015 in Microbiology Laboratory of Faculty of Medicine Universitas Padjadjaran Bandung. A modified tissue culture plate method was performed to grow P. aeruginosa biofilms which were subsequently treated with Ca(OCl)2 in various chlorine concentrations, namely 20, 30, 40, and 500 parts per million (ppm). The data was analyzed using Welch Analysis of Variance (ANOVA) and Games-Howell post-hoc tests and presented in tables.Results: Data were obtained from 36 flat-bottomed polystyrene wells. There was a statistically significant mean difference between groups [F(4, 11.92)= 91.198, p<0.001)]. All of the tested chlorine concentrations caused significant decreases in biofilm optical densities (p = 0.027 for 20 ppm and p< 0.001 for 30, 40, and 500 ppm).Conclusions: Ca(OCl)2 with chlorine concentrations of 20, 30, 40, and 500 ppm have significant destructive effect against P. aeruginosa biofilm. The mean differences among treated groups were not significant. The most optimum concentration is 30 ppm.
Vegetables contamination by Parasitic Helminth Eggs in Malaysia and Indonesia Reashnaa Loganathan; Ridad Agoes; Insi Farisa Desy Arya
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (138.97 KB)

Abstract

Background: Soil-transmitted helminth infection is known to be a serious issue in South East Asia when the farmers use night soil and contaminated water for their plants. In Indonesia, some of the farmers still use human feces and sometimes also mixed it with urine from the latrines as fertilizers. On the contrary, in Malaysia these contamination occured at a lower rate due to strict rules by the authorities.The objective of this study was to identify the helminth eggs in vegetables from traditional markets in Indonesia and Malaysia.Methods: Three traditional markets were selected by non-random sampling, namely Pasar Ampang in Malaysia and 2 traditional markets in Indonesia, i.e Pasar Tanjungsari and Jatinangor. Cabbages and lettuce were bought from 15 different vegetable sellers per market. The samples were examined at the laboratory of the Medical Faculty, Universitas Padjadjaran. The method to obtain the specimen was in accordance with Khairul Anwar and Ramachandran. This study was carried out from July to October 2014. The collected data was analyzed by percentage and frequency tabulation.Result: Most of the samples are contaminated by helminth eggs. In Pasar Ampang, 13.3% in cabbage and 6.7% in lettuce. In Pasar Tanjung Sari, 46.7% in cabbage and 40% in lettuce. Moreover, in Pasar Jatinangor, 33.3% in cabbage and 26.7% in lettuce. Most of the helmint eggs were Ascaris lumbricoides.Conclusions: The helminthes eggs contamination is higher in Indonesian traditional markets compared to in Malaysia. [AMJ.2016;3(2):190–4]DOI: 10.15850/amj.v3n2.796
Implementation of Youth Information and Counseling Centers Related to HIV/AIDS Prevention in a Junior High School in Bandung Shifa Nadya Rahma; Insi Farisa Desy Arya; Rudi Wisaksana
Althea Medical Journal Vol 8, No 3 (2021)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v8n3.2252

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Background: Adolescents are the population group most at risk of HIV infection due to low knowledge about HIV/AIDS. The National Population and Family Planning Board (Badan Kependudukan dan Keluarga Berencana Nasional, BKKBN) has developed the Youth Information and Counseling Center (Pusat Informasi dan Konseling Remaja, PIK-R) Program as a forum for information and counseling services, one of which is about Adolescent Reproductive Health (ARH) including HIV/AIDS. This study aimed to explore whether the implementation of the programs related to HIV/AIDS prevention in adolescents, specifically in junior high school in Bandung City.Methods: A qualitative descriptive study was carried out at a junior high school in Bandung in August 2018. This study used a purposive sampling technique and data were collected by conducting in-depth interviews with nine program administrators who were then transcribed and coded based on the PIK-R management guidelines using the NVIVO12 software, observing the program activities and documentations study which were then triangulated.Results: Several indicators in the growing stage had been implemented  according to the guidelines, consisting of mastering ARH education materials including HIV/AIDS, conducting activities in the form of providing materials and peer counseling although without a secretariat room, and establishing networks and partnerships.Conclusion: The PIK-R program can be a media for preventing HIV/AIDS among junior high school students in Bandung regardless of resource limitations. Therefore, supports from BKKBN and the school itself is needed to improve the implementation of this program.
Dental Health Education Promotion using Video Blogs (Vlog) and Treatment Methods on Teething Practices in Basic School Children in Bandung City Irwan Supriyanto; Gilang Yubiliyana; Insi Farisa Desy Arya
Jurnal Kesehatan Gigi Vol 6, No 2 (2019): Desember 2019
Publisher : Jurusan Keperawatan Gigi, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkg.v6i2.5491

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One of the ways to overcome dental and oral health problems is by brushing teeth, the optimal result of brushing teeth properly is the morning after breakfast and the night before going to bed. Tooth brushing using toothbrushes is a form of dental plaque removal and prevention of accumulation of the teeth and gingival surface because plaque is the main etiological factor of periodontal disease and is associated with dental caries, therefore in removing plaque it is very important to determine long-term success in preventing caries tooth. Through the promotion of dental health education, it is expected to increase knowledge and foster awareness of the importance of toothbrushes to maintain healthy teeth and mouth. The purpose of this study is to recognize the differences in the influence of dental health education promotion using blog videos (vlog) with lecture methods on the practice of brushing teeth. This type of research is a Quasi-experiment with the design of the Two-Group Design. Samples were taken by purposive sampling namely SD Panghegar and SD Sukarela. Univariate and bivariate analysis with Wilcoxon and Mann-Whitney tests. This study shows the promotion of dental health education using vlog and lectures has an effect on increasing the practice of brushing teeth. It can be seen that there is an increase in the practice of brushing teeth from the value of pre-test and post-test respectively with a value of p 0.05. But based on statistical tests there is no significant difference in influence by using both methods with a value of p = 0.035. This means that both methods are effective in increasing knowledge about the practice of brushing teeth, and there is no significant difference between the promotion of dental health education using vlogs and using lectures.
Maternal Mortality Risk Factors in Dr. Hasan Sadikin General Hospital, Bandung in 2009−2013 Shely Karma Astuti; Muhammad Alamsyah Aziz; Insi Farisa Desy Arya
International Journal of Integrated Health Sciences Vol 5, No 2 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Objective: To discover the factors affecting the occurrence of maternal deaths. The high maternal mortality rate (MMR) in Indonesia is still a common problem which needs urgent solution.Methods: This is an analytic observational, cross-sectional study using a case control approach Fifty two cases were selected as cases, another 52 were selected as control. The sampling was performed by simple random sampling. The instruments used in this study were the medical records of mothers who gave birth in Dr. Hasan Sadikin General Hospital Bandung from 1 January 2009–31 December 2013. Data analysis was performed using chi-square test. Results: In this study, the results showed that the risk factors contributing to maternal deaths were pregnancy complication (p<0.001), delivery complication (p<0.001), puerpural complication (p=0.022), age (p=0.030), parity (p=0.427), prior medical history (p<0.001), antenatal care (p=0.007), maternal education (p=0.527), and area of residence (p=0.049).Conclusions: The risk factors that contribute to maternal deaths include pregnancy complication, delivery complication, puerpural complication, maternal age, prior medical history, antenatal care, and area of residence. Keywords: Complication, maternal deaths, risk factors DOI: 10.15850/ijihs.v5n2.992
Asimetri Supply dan Demand dalam Pemenuhan serta Pemerataan Dokter di Puskesmas di Jawa Barat Elsa Pudji Setiawati; Nita Arisanti; Insi Farisa Desy Arya; Lukman Hilfi; Sekar Ayu Paramita
Global Medical & Health Communication (GMHC) Vol 5, No 1 (2017)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (233.846 KB) | DOI: 10.29313/gmhc.v5i1.2020

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Pada implementasi Jaminan Kesehatan Nasional (JKN), masyarakat yang membutuhkan pelayanan kesehatan harus ditangani di pelayanan kesehatan primer terlebih dahulu. Puskesmas merupakan bentuk pelayanan kesehatan primer yang dituntut memberikan pelayanan kesehatan berkualitas dan prima. Sumber daya manusia (SDM)adalah faktor penting dalam pencapaian kinerja. Manajemen SDM membahas ketersediaan SDM sesuai dengan kualifikasi, kompetensi, dan motivasi. Tujuan penelitian ini menganalisis kesenjangan antara kebutuhan dan ketersediaan dokter di pelayanan kesehatan primer. Penelitian menggunakan metode deskriptif untuk menjelaskan kesenjangan kebutuhan dokter ditinjau dari standar dokter dengan jumlah penduduk, ketersediaan dokter dan puskesmas terhadap jumlah penduduk, serta minat dokter bekerja di puskesmas pada era implementasi JKN. Penelitian dilakukan di Kota Bandung pada April−Mei 2015. Hasil kajian menyatakan terdapat kesenjangan antara kebutuhan dokter di puskesmas dan dokter yang berminat bekerja di puskesmas. Penyebab minat dokter yang bekerja di layanan primer rendah disebabkan oleh ketidakjelasan pengembangan profesionalisme; ketidakpuasan pembayaran sistem kapitasi; lingkungan kerja kurang menyenangkan; beban kerja yang tinggi; pendapatan berdasar atas jasa medis yang diterima rendah; dan proses pendidikan yang kurang membangun minat untuk bekerja di layanan primer. Simpulan, terdapat kesenjangan kebutuhan dokter di puskesmas dengan dokter yang berminat bekerja di puskesmas. Disarankan memperbanyak program pada masa pendidikan kedokteran yang dapat membangun minat bekerja di layanan primer.ASYMETRI OF SUPPLY AND DEMAND FOR DISTRIBUTION OF MEDICAL DOCTOR IN PRIMARY HEALTH CARE IN WEST JAVAThe implementation of the National Health Insurance required people who need health services to be treated first in primary health care (PHC). PHC required quality health services and one of the important factor was human resources. Human resources management was needed to ensure the adequacy of human resources both in quantity and quality, the availability of appropriate qualification, competence and motivation to work in an organizational unit. The objective of this study was to analyze the gap between supply and demand of the doctors working in PHC. This study was a case report using descriptive methods, to explain the gap between supply and demand of the doctors in term of the standard for population, availability the doctors and PHC. The study was conducted in Bandung City during April−May 2015. The study found that there was a gap between the supply and demand of doctors who were interested to work in PHC. The reason of low interest doctors working in PHC among others were, uncertain professional development; dissatisfaction on capitation payment system; less convenient work environment; the high workload and too many government programs; low income based on medical services cost; and the process of education in medical school were delivered to make less interest to work in PHC. In conclusion, there is gap between supply and demand of doctor to work in PHC. The recommendation is encouraging interaction between the medical students with the primary care services to build the medical student’s motivation.
Evaluation on the Implementation of Rural-Based Program for Undergraduate Medical Student Nita Arisanti; Insi Farisa Desy Arya; Indah Amelia; Kuswandewi Mutyara; Elsa Pudji Setiawati
Global Medical & Health Communication (GMHC) Vol 6, No 2 (2018)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (616.175 KB) | DOI: 10.29313/gmhc.v6i2.2986

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Evaluation of a program is needed to determine whether the program could be implemented and generate inputs to improve the program. The objective of this study was to evaluate the implementation of community-based programs for medical clerkship students in rural areas. This research was a qualitative study using interpretivism paradigm and case study approach. Data collection method was focus group discussions with the head of publichealth center (puskesmas) and preceptor. Data were analyzed through transcription, coding, categorization, and generating theme. The study was conducted from August 2015 to November 2016 in Sukabumi and Cianjur, West Java. Triangulation method and member check were conducted to elicit valid and reliable data. Two focus group discussions were conducted with 11 informants comprises 5 heads of puskesmas and 6 preceptors. There were 7 themes generated from the discussion. The themes were socialized and disseminate the information; collaboration and local government involvement; integration of education and service; encourage lifelong learning; encourage the improvement of performance; skill enhancement; and sustainability. Implementation of community-based medical education curriculum in rural areas has been implemented. Sustainability of the curriculum is needed to contribute to the improvement of community health status.EVALUASI IMPLEMENTASI PROGRAM ILMU KESEHATAN MASYARAKAT DI DAERAH PEDESAAN UNTUK PROGRAM PROFESI DOKTER Evaluasi sebuah program dibutuhkan untuk mengetahui apakah program tersebut dapat dilaksanakan dan mendapatkan masukan yang akan digunakan dalam rangka memperbaiki program. Tujuan penelitian ini adalah melakukan evaluasi pelaksanaan program pendidikan kedokteran berbasis daerah pedesaan untuk mahasiswa profesi dokter. Penelitian ini merupakan penelitian kualitatif dengan paradigma interpretivism dan pendekatan studi kasus. Pengumpulan data dilakukan dengan diskusi kelompok terarah kepada kepala puskesmas dan preseptor lapangan. Pengambilan data dilakukan pada bulan Agustus 2015 sampai November 2016 di Sukabumi dan Cianjur, Jawa Barat. Analisis data hasil wawancara dilakukan melalui proses transkripsi, koding, kategorisasi, dan penyusunan tema. Triangulasi dan member check dilakukan untuk mendapatkan data yang valid dan reliabel. Dua diskusi kelompok terarah dilakukan kepada 11 informan yang terdiri atas 5 orang kepala puskesmas dan 6 orang preseptor. Berdasar atas hasil diskusi didapatkan 7 tema dalam evaluasi kurikulum pendidikan, yaitu sosialisasi dan diseminasi informasi; kolaborasi dan keterlibatan pemerintah setempat; integrasi pendidikan dan pelayanan; mendorong pembelajaran sepanjang hayat; mendorong peningkatan kinerja staf; pemahiran keterampilan; serta keberlanjutan. Pelaksanaan kurikulum pendidikan kedokteran berbasis komunitas di daerah pedesaan telah dilakukan dengan baik, hal ini terlihat dari beberapa manfaat yang dikemukakan oleh informan. Agar implementasi kurikulum ini memberikan hasil yang lebih baik untuk masyarakat dibutuhkan keberlanjutan program.
Co-Authors Adi Imam Cahyadi Agoes, Ridad Amelia, Indah Anggraini Alam Anggraini Alam, Anggraini Ari indra Susanti Arifani, Ilma Ariyati Mandiri Aziz, Muhammad Alamsyah Balqis, Maryam Dadang Hudaya Somasetia Dadang Hudaya Somasetia Dewi Marhaeni Diah Herawati Dida Akhmad Gurnida Dodi Suardi Edwin Armawan Efendi, Jusuf S. Elsa Pudji Setiawati Elsa Pudji Setiawati Elsa Pudji Setiawati Elsa Pudji Setiawati Elsa Pudji Setiawati Fadillah, Reza Arif Gilang Yubiliyana Ginna Megawati Gita Widya Pradini Guswan Wiwaha Hassan, Rozaliamisah Binti Helni Mariani Ilma Arifani Indah Amelia Irvan Afriandi Irwan Supriyanto Iwan Setiawan Kusumawati, Maya Kuswandewi Mutyara Kuswandewi Mutyara, Kuswandewi Lay Johan Gautama Listriyati, Linda Loganathan, Reashnaa Lukman Hilfi M Syafril Firdaus M Syafril Firdaus, M Syafril Madjid, Tita Husnitawati Margarita, Susan Maria Damayanti Gufra Putri Say Mariani, Helni Maryam Balqis Metha Solihati Rayuna Mulya Nusa A Ritonga Nadya, Siti Fairuz Nanan Sekarwana Nita Arisanti Nita Arisanti Nita Arisanti Oki Suwarsa Priyo Sulistiyono Qorinah Estiningtyas Sakilah Adnani Rahmani, Shofiatunisa Firdhausy Reashnaa Loganathan Ridad Agoes Ritonga, Mulya Nusa A Ritonga, Mulyanusa Amarullah Rozaliamisah Binti Hassan Rudi Wisaksana Ruswana Anwar Sasongko, Elsa Pudji Setiawati Say, Yosefina Dwikurnia Gufra Putri Sekar Ayu Paramita Shely Karma Astuti Shifa Nadya Rahma Sihotang, Hetty Maria Siti Aisyah Siti Fairuz Nadya Siti Nur Fatimah Siti Nur Fatimah Sri Mulyati Sri Yusnita Irda Sari Sulistiyono, Priyo Susiarno, Hadi Susilo, Artha Falentin Putri Utomo, Suhendro Rahmat Wijaya, Aqsha