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All Journal Althea Medical Journal Jurnal Pendidikan dan Pelayanan Kebidanan Indonesia (Indonesian Journal of Education and Midwifery Care) Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Jurnal Respirologi Indonesia Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)

Bony Wiem Lestari

Departemen Epidemiologi Dan Biostatistik FK Universitas Padjadjaran /RSUP Dr. Hasan Sadikin

Author-ID : 532441

Education Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

Published : 26 Documents Claim Missing Document

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Perception of Men Who Have Sex with Men about the Test and Treat Strategy of Human Immunodeficiency Virus in Bandung City Ayesha Nadiatama Saifuddin; Nita Arisanti; Bony Wiem Lestari
Althea Medical Journal Vol 4, No 4 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Human immunodeficiency virus (HIV) infection in Indonesia has shifted from injecting drug use to sexual transmission. One of the ways to prevent HIV transmission is by using early antiretroviral therapy (ART) or known as Test and Treat. Test and Treat is recommended by the World Health Organization (WHO) in 2013. This study aimed to explore the perception of men who have sex with men (MSM) about HIV Test and Treat Strategy. Methods: This quantitative observational study used a cross-sectional design. Primary data were collected from questionnaires filled in by 58 MSM diagnosed as HIV positive at Mawar Clinic, Pasundan and Ibrahim Adjie public health centers in September–December 2016. Sampling was performed using total sampling method which was bounded by time period. The questionnaire contained data of respondents’ characteristics and perceptions of HIV Test and Treat Strategy. Data analysis was presented in tables. Result: Respondents were mostly 20–24 years old (48%), 55% were Senior High School graduates, 98% were unmarried, 58% worked as employees, and 21% earned 2–2.5 million rupiahs per month. Forty eight percent of the respondents had negative perception of the test and treat strategy, and 52% of the respondents had positive perception of the strategy.Conclusions: Most of the MSM population have a negative perception of HIV test and treat strategy. It is important for the key populations especially the MSM to obtain education related to HIV treatments and strategy.

Association between Intrauterine Growth Restriction and Pregnancy Hypertension Nada Ardilla Dwiayu Febrina; Aris Primadi; Bony Wiem Lestari
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Intrauterine Growth Restriction (IUGR) certainly poses health problems that leads to increase mortality and can cause mental and physiological disturbances to the infants. Reduced organ perfusion is one of the etiologies of IUGR which is caused by placenta obstruction. This happens because of pregnancy hypertension as a risk factor. Furthermore, educational level, employment status, parity, and anemia are also its risk factors. The objective of this study was to analyze the prevalence of IUGR and association between IUGR and pregnancy hypertension.Methods: A case control design was performed using medical records from Neonatology Department of Child Health at Dr. Hasan Sadikin General Hospital Bandung in 2012. Subjects were taken from 149 medical records of the mother who had IUGR and 149 normal birth weight infant information about the characteristics of the mothers and the infants. The data were collected and analyzed by calculating the Odds ratio (OR).Results: The prevalence of IUGR at Dr. Hasan Sadikin General Hospital in 2012 was 149 cases (4.69%). There was association between pregnancy hypertension and IUGR with OR=1.72, 95% CI (1.044–2.836).Conclusions: Pregnancy hypertension is one of the risks that generates IUGR. [AMJ.2016;3(2):212–5] DOI: 10.15850/amj.v3n2.791

Prevalence of Allergic Rhinitis based on World Health Organization (ARIA-WHO) questionnaire among Batch 2010 Students of the Faculty of Medicine Universitas Padjadjaran Fauzi Fauzi; Melati Sudiro; Bony Wiem Lestari
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Allergic rhinitis (AR) is a common disease affecting 5–45% of Asian population. Although it is not a life-threatening disease, AR significantly hampers the quality of life of the sufferers. The prevalence of AR among adults in Indonesia is still unknown. This study aimed to measure the prevalence of AR among batch 2010 students of the Faculty of Medicine, Universitas Padjadjaran.Methods: A cross-sectional study was conducted during June–October 2013 involving Indonesian class batch 2010 students of the Faculty of Medicine, Universitas Padjadjaran. The sampling was performed usingtotal sampling approach. The measurement tool used in this study was the Indonesian translation of the Allergic Rhinitis and its Impact on Asthma-World Health Organization (ARIA-WHO) questionnairee. Thosewho were aware of being diagnosed with AR or had two/more AR defining symptoms in the questionnaire form were considered to have AR. The statistical analysis was conducted by calculating frequencies.Results: A total of 207 questionnaire forms were adequately filled out and returned. Based on the questionnaire, the prevalence rate of AR was 38.2%. Of the 79 AR cases, 66% cases involved females. In addition, 54% of the the AR cases have a parental history of allergic diseases. Nasal obstruction and itchy nose were the most frequent symptoms (90%), followed by rhinorrhea (89%), sneezing (82%), and eye symptoms (62%). Based on the duration, the majority fell into the intermittent group (91%); whereas basedon severity, the majority was in the moderate-severe group (71%).Conclusions: The prevalence rate of AR obtained in this study is within the estimated range of Asian population. [AMJ.2015;2(4):620–5] DOI: 10.15850/amj.v2n4.658

Knowledge, Attitude, and Practice Survey among Nurses in Dr. Hasan Sadikin General Hospital toward Tuberculosis-Human Immunodeficiency Virus Collaboration Program Helen Oktavia Sutiono; Arto Yuwono Soeroto; Bony Wiem Lestari
Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: One of the barriers on implementation of Tuberculosis-Human Immunodeficiency Virus (TB-HIV) collaboration is lack of health care workers’ knowledge to this program. This study aimed to measure level of knowledge, attitude, and practice among inpatient nurses in Dr. Hasan Sadikin General Hospital toward TB-HIV collaboration program and to measure their correlation.Methods: This was a cross-sectional study with total sampling method which started on May–October 2013 at Internal Medicine Department ward in Dr. Hasan Sadikin General Hospital. Knowledge, attitude, and practice of research subjects were measured using modified questionnaire about TB-HIV collaboration program, based on guidelines from WHO and National Ministry of Health.Results: Of 88 respondents, there were no respondent had high level, 33 respondents (38%) had moderate level, and 55 respondents (63%) had low level of knowledge toward collaboration. For attitude, 53 respondents (60%) had positive attitude and 35 respondents (40%) had negative attitude. The study also showed 48 respondents (55%) had positive practice and 40 respondents (46%) had negative practice. The correlation between knowledge and attitude, knowledge and practice, and attitude and practice were not statistically significant (p>0.05).Conclusions: The level of knowledge among inpatient nurses in Dr. Hasan Sadikin General Hospital toward TB-HIV collaboration program was low but they showed positive attitude toward the collaboration itself. There was no correlation between knowledge, attitude, and practice among inpatient nurses toward collaboration. Further efforts were needed to improve nurses’ knowledge, attitude, and practice on TB-HIV collaboration.[AMJ.2016;3(1):85–92] DOI: 10.15850/amj.v3n1.715

Knowledge toward Drugs Resistant Tuberculosis in One of the Highest Burden Drug Resistant Country Amalia Rizki Ramadhani; Bony Wiem Lestari; Hendarsyah Suryadinata
Althea Medical Journal Vol 5, No 3 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Drug resistant tuberculosis (DR-TB) is the biggest threat in TB case control worldwide. West Java Province is one of the three provinces with the most DR-TB burden in Indonesia. Knowledge level in DR-TB patients influences the perception, health search effort, and patient compliance towards DR-TB treatment. This study was aimed to identify the knowledge level about DR-TB in DR-TB patients at Hasan Sadikin General Hospital. Methods: This cross-sectional, descriptive quantitative study used consecutive sampling. In the study 96 patients were included. Primary data were collected through interview with questionnaire towards DR-TB patients at MDR-TB Clinic Hasan Sadikin General Hospital during September-November 2016. The questionnaire contained sociodemographic data and knowledge about DR-TB which consisted of definition, transmission, risk factors, resistance types, symptoms, medication, and prevention of DR-TB. The collected data were analyzed using statistical software for descripitive statistical analysis.Results: The average age of patients was 38 years (SD±11.7) and mostly ranging from 36–45 years old. Male had a higher distribution compared to female (55.2%). Analysis results showed 20% patients had “Adequate” knowledge level, 34.4% of the patients had “Sufficient” knowledge, and 39.6% of the patients had “Poor” knowledge about DR-TB.Conclusions: DR-TB patients at MDR-TB Clinic Dr. Hasan Sadikin General Hospital Bandung have “poor” knowledge regarding DR-TB.

Geographical Factors in Diagnostic Delay among Multidrug Resistant Tuberculosis Patients Nunuy Nuraeni; Hendarsyah Suryadinata; Bony Wiem Lestari
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Diagnostic delay is a factor that can increase the high burden of multi-drug resistant tuberculosis (MDR-TB). Xpert Mycobacterium tuberculosis/Rifampicin known as Xpert is a rapid diagnostic test to detect MDR-TB. Diagnostic delay defined the duration between a positive result of Acid Fast Bacilli (AFB) smear and positive result of MDR-TB by Xpert examination. This study aimed to compare the analysis of the geographical factors in the diagnostic delay of MDR-TB patients at Dr. Hasan Sadikin General Hospital as the top referral hospital in West Java Indonesia.Methods: This study was conducted in the period July−December 2016 using cross sectional design. A total of 152 MDR-TB patient data were collected from medical records of MDR-TB patients registered in MDR-TB clinic at Dr. Hasan Sadikin General Hospital in the period 2015−2016. The socio-demographic characteristics were collected and analyzed descriptively The diagnostic delay among MDR-TB patients was analyzed by Mann Whitney test.Results: Diagnostic delay of MDR-TB patients was 15 days in median, with a minimal and maximal delay of 2−140 days. There was a significant difference of diagnostic delay between patients from Bandung with a median of 9(2-135) days and patients from outside of Bandung with a median of 18(2-140) days, with p<0.01.Conclusions: MDR-TB patients from outside Bandung have a longer diagnostic delay than patient from Bandung . A further expansion of using Xpert as a rapid diagnostic test for MDR-TB patient is needed.

Knowledge and Attitude about Multidrug-Resistant Tuberculosis among Healthcare Workers in Public Health Centres Bony Wiem Lestari; Arto Yuwono Soeroto
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Multidrug-resistant Tuberculosis (MDR-TB) is a significant public health problem and poses a threat to global tuberculosis (TB) control. In 2015, at least 504 new MDR-TB cases were identified in Indonesia. Treating MDR-TB patients is very challenging. It may take more than two years for MDR-TB treatment. Therefore, it is crucial healthcare workers (HCWs) are knowledgeable about MDR-TB. The aim of this study was to measure level of knowledge and attitude regarding MDR-TB among HCWs in public health centres.Methods: A cross-sectional study was conducted at 73 Public Health Centres in Bandung the capital of West Java Province from August until November 2015. The samples were 73 TB nurses and 32 laboratory staff. A self-administered questionnaire was given comprising 27 knowledge questions and 29 attitude questions. Correlation between knowledge and attitude scores was calculated by Pearson correlation test.Results: The majority of study participants were women (82.9%), married (92.4%), nursing staff (65.7%) with history of TB training (98.1%). Most of the participants were 40-59 years old (69.5%) with working experience in TB programme < 10 years (69.5%). Less than half (38.1%) of study participants had good knowledge. In terms of attitude, more than half (53.3%) of study participants had a positive attitude towards MDR-TB.Conclusions: The level of knowledge among HCWs about MDR-TB is still at an unacceptable level. Certain educational interventions aim to ensure prompt diagnosis, implement infection control and accurate treatment should be established among those HCWs. [AMJ.2016;3(4):509–13]DOI: 10.15850/amj.v3n4.932

Description of Treatment Outcomes among Pulmonary Tuberculosis Patients in Bandung City in 2014 Syafinaz Hamdan; Enny Rohmawaty; Bony Wiem Lestari
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Pulmonary Tuberculosis (pulmonary TB) is an infectious lung disease which is still a major health problem in the world. In Indonesia, pulmonary TB treatment outcomes are monitored and assessed in Directly Observed Treatment Short Course (DOTS) as an indicator of national TB control program performance. Therefore, the study was conducted to determine the treatment outcomes among pulmonary TB patients in Bandung City.Methods: This cross-sectional study was conducted using secondary data. The sample sizes were 1,598 pulmonary TB patients taken by total sampling with data collected from TB Registration database of Bandung city at Infectious Disease Control Unit, Bandung City Health Office (Unit Kontrol Penyakit Menular, Dinas Kesehatan Kota Bandung) from January to December 2014. The treatment outcomes were classified as successful (cured and treatment completed) and unsuccessful (failed, defaulted, and died).Results: Out of the 1,598 TB patients, most of the respondents were male, aged 15–24 years old and from Public Health Center (Pusat Kesehatan Masyarakat, Puskesmas) and hospital. A total of 1,008 treatments (63.08%) were cured, 292 (18.27%) were completed, 47 (2.94%) were failed, 211 (13.21%) were defaulted, and 40 (2.50%) were died. Total of transferred outpatients were 134 and not considered as treatment outcome.Conclusions: From the results, it can be concluded that 81.35% and 18.65% were considered as successful and unsuccessful outcome respectively, thus, did not achieve WHO target of 85%. Therefore, DOTS program implemented in Bandung City should be reviewed to improve success rate of the treatment outcome.

Perbedaan Pengetahuan dan Sikap tentang Kontrasepsi Modern pada Wanita Usia Subur setelah Dilakukan Konseling Terstruktur Herlina Simanjutak; Anita Deborah Anwar; Bony Wiem Lestari; Farid Husin; Tita Husnitawati Madjid; Indun Lestari Setiono
Jurnal Pendidikan dan Pelayanan Kebidanan Indonesia (Indonesian Journal of Education and Midwifery Care Vol 2, No 4 (2015): Desember
Publisher : Program Studi Magister Kebidanan FK UNPAD

Unmet need keluarga berencana (KB) masih tinggi di negara berkembang termasuk di Indonesia. Faktor-faktor yang berhubungan dengan unmet need adalah sosiodemografi, rendahnya pengetahuan dan sikap negatif. Konseling kontrasepsi yang dilakukan secara terstruktur dapat meningkatkan pengetahuan dan sikap positif terhadap penggunaan kontrasepsi modern.Tujuan penelitian ini adalah untuk menganalisis perbedaan peningkatan pengetahuan dan sikap pada wanita usia subur (WUS) unmet need setelah diberi konseling terstruktur.Penelitian ini menggunakan randomized pretest-posttest measurement designwith control group. Pengambilan sampel dilakukan dengan stratified random sampling pada 96 responden di kecamatan Lembang. Sampel yang terpilih dikelompokkan secara acak sederhana sehingga didapatkan 48 orang untuk kelompok perlakuan dan 48 orang untuk kelompok kontrol.Kelompok perlakuan diberi konseling secara terstruktur sedangkan kelompok kontrol diberi konseling standar.Perbedaan peningkatan pengetahuan dan sikap pada kelompok perlakuan dan kontrol diuji dengan uji Mann-Whitney.Hasil dinyatakan dalam p-value dan interval kepercayaan 95%.Hasil penelitianpada kelompok perlakukan menunjukkan adanya peningkatan pengetahuan dari 14 menjadi 17 (p<0,05). Selain itu terdapat peningkatan skor sikap dari 70 menjadi 79 (p<0,05). Perbedaanselisih persentase kenaikan pengetahuan dan sikap setelah dilakukan konseling terstruktur antara kelompok perlakuan dan kontroldengan median pengetahuan 20 dan 7,41 (<0,05) dan median sikap 11,52 dan 3,25 (p <0,05). Simpulan penelitian ini, peningkatan pengetahuan dan sikap pada kelompok konseling terstruktur lebih tinggi dibandingkan dengan kelompok konseling standar.

Pengembangan Media Pembelajaran Praktikum untuk Meningkatkan Keterampilan Asuhan Persalinan Nurul Kodiyah; Dewi Diah Herawati; Bony Wiem Lestari; Farid Husin; Firman Fuad Wirakusumah; Elsa P Setiawati
Jurnal Pendidikan dan Pelayanan Kebidanan Indonesia (Indonesian Journal of Education and Midwifery Care Vol 2, No 3 (2015): September
Publisher : Program Studi Magister Kebidanan FK UNPAD

Institusi pendidikan bidan perlu membuat suatu strategi pembelajaran yang efektif dan efisien untukmeningkatkan kompetensi lulusannya. Analisis terhadap mata kuliah asuhan persalinan dilakukan agardiketahui masalah dan rekomendasi perbaikan pembelajaran secara operasional sehinggameningkatkan keterampilan dalam menolong persalinan. Pengembangan media pembelajaran asuhanpersalinan dilakukan dengan membuat modul dan modifikasi phantom. Penelitian ini menggunakandesain penelitian operasional, data dan metode analisis adalah kualitatif dengan pendekatan studikasus yang bersifat interpretivism. Pengumpulan data menggunakan metode wawancara mendalam,diskusi kelompok dan observasi serta studi dokumentasi. Subjek penelitian adalah dosen pengampumata kuliah asuhan persalinan, mahasiswa, dosen penguji skills dan ketua prodi. Analisis datakualitatif meliputi transkripsi, reduksi, koding, kategorisasi dan interpretasi hasil penelitian. Hasilpenelitian dari analisis situasi pembelajaran asuhan persalinan, yaitu pada proses perencanaan telahdilakukan perumusan tujuan dan kegiatan serta penyusunan silabus namun rencana pelaksanaanpembelajaran dan panduan praktikum belum dibuat. Proses pelaksanaan pembelajaran praktikumbelum sesuai dengan rencana terutama berkaitan dengan metode, media, jadwal dan waktu praktikum.Proses evaluasi penilaian yang dilakukan antar lain responsi, target skill, ujian akhir semester dan ujianketerampilan. Kendala pembelajaran praktikum yaitu kehadiran dosen, keterbatasan sarana danprasarana, motivasi dan keaktifan mahasiswa serta alokasi waktu. Pengembangan perencanaan dimulaidari menentukan tujuan dari standar kompetensi, mengembangkan alat evaluasi, menetapkan kegiatanpembelajaran, pemantapan dalam program pembelajaran. Pengembangan pelaksanaan yangditawarkan antara lain menentukan pre test pelaksanaan praktik, penyampaian pembelajaran sesuaidengan perencanaan, modifikasi media praktikum dan penyusunan panduan praktikum.Pengembangan post test dilakukan pada ranah psikomotor yang dilakukan dosen melalui pengamatanmulai dari persiapan alat, proses praktikum, hasil dokumentasi, sikap kerja serta waktu yangdigunakan. Evaluasi juga dilakukan pada area kognitif dan afektif berupa pembobotan lisan atauresponsi (10%), tulis atau pilihan ganda dan essay (30%), portofolio atau makalah dan dokumentasi(20%).

Co-Authors Agustinawaty, Hervina Amalia Rizki Ramadhani Anita Deborah Anwar Anwar, Anita Debora Aris Primadi Aris Primadi, Aris Arto Yuwono Soeroto Ayesha Nadiatama Saifuddin Dewi Diah Herawati Dinka Anni Zamy Elsa P Setiawati Enny Rohmawaty Farid Husin Fauzi Fauzi Fauzi Fauzi Fauziyyah, Raden Nabilah Putri Febrina, Nada Ardilla Dwiayu Firman Fuad Wirakusumah Hamdan, Syafinaz Helen Oktavia Sutiono Helen Oktavia Sutiono, Helen Oktavia Hendarsyah Suryadinata Herlina Simanjutak Hervina Agustinawaty Iceu Dimas Kulsum Indrayani Indun Lestari Setiono Khonita Hikmala Fatma Mauli Warma Dewi, Intan Melati Sudiro Nada Ardilla Dwiayu Febrina Nita Arisanti Nita Arisanti Nunuy Nuraeni Nuraeni, Nunuy Nurul Kodiyah Ramadhani, Amalia Rizki Rovina Ruslami, Rovina Rudi Wisaksana Saifuddin, Ayesha Nadiatama Simanjuntak, Herlina Sophia Sophia Sophia Sophia Sophia, Sophia Syafinaz Hamdan Tita Husnitawati Madjid Wanda, Dananfi Yovita Hartantri

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