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All Journal E-Jurnal Medika Udayana Jurnal Administrasi Kesehatan Indonesia Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) ISM (Intisari Sains Medis) : Jurnal Kedokteran Public Health and Preventive Medicine Archive International Journal Administration, Business & Organization Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Gede Benny Setia Wirawan
Center For Public Health Innovation, Medical Faculty, Udayana University
Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Environmental Science Health Professions Medicine & Pharmacology Public Health Social Sciences

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DETERMINAN PERILAKU SKRINING (SCREENING) DIABETES MELLITUS DI WILAYAH KERJA PUSKESMAS DENPASAR BARAT I DAN II DALAM KERANGKA HEALTH BELIEF MODEL Wirawan, Gede Benny Setia; Wisnawa, Ayu Dilia Febriani; Laksmi Dewi, Ni Luh Putu Mulia; Dharmayanti, Ni Made Sri; Kartika Sari, Ayu
E-Jurnal Medika Udayana Vol 9 No 3 (2020): Vol 9 No 03(2020): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2020.V09.i3.P17

Abstract

Penelitian ini bertujuan untuk mempelajari dan mengidentifikasi faktor-faktor yang mempengaruhi perilaku skrining diabetes mellitus pada suatu sampel populasi masyarakat Bali. Desain yang digunakan adalah model cross-sectional analitik dengan consecutive sampling. Data diambil menggunakan kuesioner yang diisi sendiri oleh responden. Variabel health belief model dipelajari dengan kuesioner berskala Likert dan meliputi persepsi risiko, persepsi keparahan, persepsi manfaat, dan persepsi hambatan. Determinan lain yang dipelajari meliputi faktor-faktor sosiodemografi, akses layanan kesehatan, dan faktor risiko. Variabel persepsi hambatan ditemukan berhubungan signifikan dengan perilaku skrining dalam analisis bivariat. Sementara faktor lain yang berhubungan signifikan meliputi umur, penghasilan, pendidikan, jarak rumah ke fasyankes, kepemilikan asuransi, riwayat hipertensi, obesitas, dan diabetes mellitus di keluarga. Pada analisis multivariat, perilaku skrining diabetes mellitus ditemukan berhubungan negatif secara independen dengan persepsi hambatan dan persepsi risiko. Faktor lain yang mempengaruhi perilaku skrining secara independen adalah usia, penghasilan, kepemilikan asuransi, dan obesitas. Kata Kunci: skrining, diabetes mellitus, health belief model. Puskesmas
DETERMINAN PERILAKU SKRINING (SCREENING) DIABETES MELLITUS DI WILAYAH KERJA PUSKESMAS DENPASAR BARAT I DAN II DALAM KERANGKA HEALTH BELIEF MODEL Wirawan, Gede Benny Setia; Wisnawa, Ayu Dilia Febriani; Laksmi Dewi, Ni Luh Putu Mulia; Dharmayanti, Ni Made Sri; Kartika Sari, Ayu
E-Jurnal Medika Udayana Vol 10 No 6 (2021): Vol 10 No 06(2021): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2021.V10.i6.P17

Abstract

Penelitian ini bertujuan untuk mempelajari dan mengidentifikasi faktor-faktor yang mempengaruhi perilaku skrining diabetes mellitus pada suatu sampel populasi masyarakat Bali. Desain yang digunakan adalah model cross-sectional analitik dengan consecutive sampling. Data diambil menggunakan kuesioner yang diisi sendiri oleh responden. Variabel health belief model dipelajari dengan kuesioner berskala Likert dan meliputi persepsi risiko, persepsi keparahan, persepsi manfaat, dan persepsi hambatan. Determinan lain yang dipelajari meliputi faktor-faktor sosiodemografi, akses layanan kesehatan, dan faktor risiko. Variabel persepsi hambatan ditemukan berhubungan signifikan dengan perilaku skrining dalam analisis bivariat. Sementara faktor lain yang berhubungan signifikan meliputi umur, penghasilan, pendidikan, jarak rumah ke fasyankes, kepemilikan asuransi, riwayat hipertensi, obesitas, dan diabetes mellitus di keluarga. Pada analisis multivariat, perilaku skrining diabetes mellitus ditemukan berhubungan negatif secara independen dengan persepsi hambatan dan persepsi risiko. Faktor lain yang mempengaruhi perilaku skrining secara independen adalah usia, penghasilan, kepemilikan asuransi, dan obesitas. Kata Kunci: skrining, diabetes mellitus, health belief model. Puskesmas
DETERMINAN PERILAKU SKRINING (SCREENING) DIABETES MELLITUS DI WILAYAH KERJA PUSKESMAS DENPASAR BARAT I DAN II DALAM KERANGKA HEALTH BELIEF MODEL Wirawan, Gede Benny Setia; Wisnawa, Ayu Dilia Febriani; Laksmi Dewi, Ni Luh Putu Mulia; Dharmayanti, Ni Made Sri; Kartika Sari Ayu
E-Jurnal Medika Udayana Vol 9 No 1 (2020): Vol 9 No 01(2020): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

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

Abstract

Penelitian ini bertujuan untuk mempelajari dan mengidentifikasi faktor-faktor yang mempengaruhi perilaku skrining diabetes mellitus pada suatu sampel populasi masyarakat Bali. Desain yang digunakan adalah model cross-sectional analitik dengan consecutive sampling. Data diambil menggunakan kuesioner yang diisi sendiri oleh responden. Variabel health belief model dipelajari dengan kuesioner berskala Likert dan meliputi persepsi risiko, persepsi keparahan, persepsi manfaat, dan persepsi hambatan. Determinan lain yang dipelajari meliputi faktor-faktor sosiodemografi, akses layanan kesehatan, dan faktor risiko. Variabel persepsi hambatan ditemukan berhubungan signifikan dengan perilaku skrining dalam analisis bivariat. Sementara faktor lain yang berhubungan signifikan meliputi umur, penghasilan, pendidikan, jarak rumah ke fasyankes, kepemilikan asuransi, riwayat hipertensi, obesitas, dan diabetes mellitus di keluarga. Pada analisis multivariat, perilaku skrining diabetes mellitus ditemukan berhubungan negatif secara independen dengan persepsi hambatan dan persepsi risiko. Faktor lain yang mempengaruhi perilaku skrining secara independen adalah usia, penghasilan, kepemilikan asuransi, dan obesitas. Kata Kunci: skrining, diabetes mellitus, health belief model. Puskesmas
ECONOMIC INSECURITY AND STRESS AS DETERMINANTS OF COVID-19 PREVENTIVE BEHAVIOUR IN DENPASAR Gede Benny Setia Wirawan; The Angela Prisilia Taroreh; Dewa Ayu Agung Dwita Arthaningsih; Made Ayu Devi Pita Loka; Ngakan Made Ari Mahardika; Pande Putu Januraga
Indonesian Journal of Health Administration Vol. 9 No. 2 (2021): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v9i2.2021.124-134

Abstract

Background: The COVID-19 pandemic has constituted concurrent public health and economic crises. An inter-correlation between economic and public health impacts due to the COVID-19 pandemic needs to be studied to improve mitigation measures.Aims: This study identified a correlation of the economic insecurity and perceived stress with adherence to recommended preventive behaviours Methods: This across-sectional analytic study was conducted to adults in the working areas of East Denpasar Primary Healthcare Center I. Respondents were selected using consecutive sampling and given a self-administered questionnaire. The research variables included demographic characteristics, economic insecurity indicators, perceived stress, and adherence to handwashing, mask-wearing, physical distancing, and limitation on the social gathering. Correlations, linear regressions, and path analyses were conducted using IBM SPSS 23.0.Results: As many as 161 respondents of which 34.2% males were involved had a mean age of 36.31 (± 7.16) years. Sex, job insecurity, income insecurity, and perceived stress were found as independent determinants in females. Female sex and job insecurity was associated with better preventive behaviours with an adjusted β value of 0.276 and 0.306, while income insecurity and perceived stress had the opposite association with a β value of -0.247 and -0.224.Conclusion: There are correlations between economic insecurity and preventive behavioural practices during COVID-19. It is suggested that public health policies against COVID-19 cover measures of economic safety nets to improve adherenceKeywords: behaviour, COVID-19, economic insecurity, perceived stress, prevention.
Maternal and Perinatal Outcomes of COVID-19 in Pregnant Women : Luaran Maternal dan Perinatal pada Ibu Hamil dengan COVID-19 Putu H. I. Pramana; Gede B. S. Wirawan; Made Y. D. Astiti; Kaspan
Indonesian Journal of Obstetrics and Gynecology Volume 9 No. 4 October 2021
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v9i4.1532

Abstract

Objective: To describe and identify risk factors of maternal and perinatal outcome of COVID-19 in pregnant women.Methods: Literature search was conducted on MEDLINE and Google Scholar databases for articles published in December 2020 to January 2021. Keywords used includes ‘COVID-19’, ‘pregnant women’, ‘maternal outcome’ and ‘fetal outcome.’ Critical appraisal and selection were conducted to identify articles that fulfill inclusion criteria. The selected articles were analyzed thematically to answer the research questions.Results: Literature search yielded 124 articles with 11 included in final analysis. The results showed low to moderate risk of maternal and perinatal adverse outcomes, including low risks for maternal and perinatal mortality coupled with moderate risk for maternal ICU admission and preterm birth with NICU admission for the newborn. Higher risk was observed for pregnant women with symptomatic COVID-19 infection, which points to the necessity for awareness of the risk and targeted early detection efforts.Conclusion: There are low risk for adverse maternal and perinatal outcomes, including mortality and ICU/NICU admission, associated with COVID-19 infection in pregnant women. Risk factors for adverse outcomes included pregnant women with symptomatic COVID-19 infection.Keywords: COVID-19, ICU, maternal mortality, NICU, perinatal mortality, preterm birth Abstrak Tujuan: Mendeskripsikan dan mengidentifikasi faktor risiko luaran maternal dan perinatal COVID-19 pada ibu hamil.Metode: Penelusuran literatur dilakukan di database MEDLINE dan Google Scholar untuk artikel yang diterbitkan pada Desember 2020 hingga Januari 2021. Kata kunci yang digunakan meliputi 'COVID-19', 'wanita hamil', 'keluaran ibu' dan 'hasil janin'. Penilaian dan seleksi kritis dilakukan untuk mengidentifikasi artikel yang memenuhi kriteria inklusi. Artikel yang dipilih dianalisis secara tematis untuk menjawab pertanyaan penelitian.Hasil: Penelusuran literatur menghasilkan 124 artikel dengan 11 termasuk dalam analisis akhir. Hasil penelitian menunjukkan risiko rendah hingga sedang untuk luaran buruk maternal dan perinatal, termasuk risiko rendah untuk kematian maternal dan perinatal ditambah dengan risiko sedang untuk masuk ICU ibu dan kelahiran prematur dengan masuk NICU untuk bayi baru lahir. Risiko yang lebih tinggi diamati untuk wanita hamil dengan infeksi COVID-19 bergejala, yang menunjukkan perlunya kesadaran akan risiko dan upaya deteksi dini yang ditargetkan.Kesimpulan: Terdapat risiko rendah untuk laran buruk maternal dan perinatal, termasuk kematian dan rawat inap di ICU/NICU, terkait dengan infeksi COVID-19 pada wanita hamil. Faktor risiko untuk luaran buruk adalah wanita hamil dengan gejala infeksi COVID-19.Kata kunci: COVID-19, ICU, kelahiran preterm, mortalitas maternal, mortalitas perinatal, NICU
Predictors of Mortality for Critically Ill COVID-19 Patients: Systematic Review Lya Lusyana; Randika Rea Ariady; Gede Benny Setia Wirawan
Intisari Sains Medis Vol. 12 No. 3 (2021): (Available online: 1 December 2021)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (393.193 KB) | DOI: 10.15562/ism.v12i3.989

Abstract

Objective: To identify mortality predictors of critically ill COVID-19 patients in ICU based on current available literatures.Methods: Systematic literature search was conducted in open-access databases. Data extraction was conducted for publication date, methodology employed, sample size, and results of multivariate analysis. Eligibility criteria for analysis was observational analytic design, sample size of 100 or more, and availability of multivariate results. Primary measures assessed was risk ratio, presented as odds ratio or hazard ratio. Data was analyzed qualitatively for themes that emerged for mortality predictors.Results: Several mortality predictors were identified, which included demographic, clinical history, laboratory results, and oxygenation profile at ICU admission. Several of the most consistently reported mortality predictors was older age, one or more comorbidities that constitute metabolic syndrome, chronic pulmonary disorder, low lymphocyte and platelet count, elevated d-dimer, and low PaO2/FiO2 ratio.Conclusions: Mortality predictors identified in this review were similar to previously known mortality and severity predictors of COVID-19 patients in general. This consistency may point to the potential of developing a scoring system to predict COVID-19 severity and mortality for clinical practice use. 
Facial Skin Injury Related to Personal Protective Equipment Among Healthcare Workers: Single Center Cross-Sectional Study I Gusti Ayu Agung Bella Jayaningrum; Gede Benny Setia Wirawan; Anak Agung Ngurah Krisna Dwipayana; Anak Agung Ngurah Bagus Surya Darma; Lya Lusyana; Sang Nyoman Suriana
Intisari Sains Medis Vol. 12 No. 3 (2021): (Available online: 1 December 2021)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (295.485 KB) | DOI: 10.15562/ism.v12i3.990

Abstract

Objective: Our study aimed to learn the phenomenon of facial skin injuries related to PPE use, their characteristics, as well as risk and protective factors.Methods: We conducted a single-center cross-sectional study. Samples was collected consecutively by disseminating self-filled questionnaire to all departments in Sanjiwani General Hospital, Gianyar, Bali, Indonesia. Variables studied included demographic, characteristics of PPE usage, characteristics of facial skin injuries suffered, and preventive measures practiced by healthcare workers. We conducted multivariate analysis for independent determinants of more severe skin injuries and any injuries located on the nasal bridge, cheekbones, and behind the ears.Results: Final analysis included 161 respondents. Male make up 26.7% of respondents, mean age was 35.00 (± 8.91). The majority was nurses (78.3%). Prevalence of skin injury was 90.7%, 39.1% of them being partial or full thickness skin injuries. Only 27.4% respondents practiced preventive measures, including application of polyester tape layering and emollient. The most frequently reported location of skin injury was nasal bridge (77%), followed by behind the ears (57.1%), and on the cheekbones (47.2%). Multivariate analyses discovered that KN95 respirator poses less risk for more severe injuries compared to N95. Protective measures were found effective to prevent skin injuries in all locations, including for more severe injuries.Conclusions: We found high prevalence of facial skin injuries among healthcare workers accompanied by inadequate practice of preventive behaviors. These preventive behaviors have been found effective in other study as well and existing evidence support its promotion for more widespread practice. 
Water Ambulance Service Provision to Improve Healthcare Access for Community in Nusa Penida Island, Bali: A Qualitative Feasibility Study Aryani, Putu; Harjana, Ngakan Putu Anom; Januraga, Pande Putu; Kurnianingsih, Desak Ketut Dewi Satiawati; Wirawan, Gede Benny Setia; Swapatni, Ni Made Adi; Wibawa, I Komang Gede Sentanu
Public Health and Preventive Medicine Archive Vol. 10 No. 2 (2022)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2022.v10.i2.p07

Abstract

Background and purpose: An important component of healthcare access is transportation. Lack of transportation has been cited as an important barrier to healthcare access in remote islands region. Here we conduct a feasibility study on the implementation of water ambulance service to improve healthcare access in the region of Nusa Penida and its surrounding islands in Bali Province, Indonesia. Methods:  We employed a qualitative approach with interviews and focused group discussions with stakeholders. Data collection was conducted to assess the feasibility of operating water ambulance services, based on a framework that included technical, market, organizational, and financial feasibilities. Inductive coding was conducted and data was analyzed to evaluate the feasibility based on local capacity against pre-determined framework of assessment based in literature. Results: Qualitative interviews revealed perceived urgency and need for water ambulance service among stakeholders. They also perceive the need of water ambulance service was not mutually exclusive to other alternatives, such as expanding healthcare capacity on the islands. There was also readiness and adequate capacity from stakeholders which include a dedicated health emergency services under the health office that coordinate ambulance service in the region, readiness to create dedicated medical team and boat crew to operate water ambulance services, and readiness to cover the cost of initial procurement followed by operational costs which may include public-private partnerships. Conclusion: There was a strong perceived need for water ambulance service in Nusa Penida Islands. At the same time, local stakeholders revealed adequate basic capacity to feasibly operate water ambulance services according to benchmarks identified in literature review.
Human Resource Management and Employee Experience on Implementing a Novel Teleconsultation Service at a Small Private General Practice Clinic in Bali, Indonesia: A Qualitative Study Gustina, Ni Luh Zallila; Rinawati, Rinawati; Wirawan, Gede Benny Setia
International Journal Administration, Business & Organization Vol 6 No 2 (2025): IJABO
Publisher : Asosiasi Ahli Administrasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61242/ijabo.25.493

Abstract

This qualitative study explores the perceptions of clinic staff regarding their experiences with teleconsultation services and the human resource management (HRM) aspects involved in implementing such services in a small general practice (GP) clinic in Bali, Indonesia. The clinic operates a unique model where nurses manage patient care during morning shifts with remote physician support via teleconsultation. Data were collected through an online long-form survey completed by nine current and former staff members, including nurses and physicians. Thematic analysis revealed that teleconsultation was widely perceived as improving efficiency and accessibility of care. However, participants also reported challenges such as communication gaps, technical limitations, and diagnostic constraints. All respondents emphasized the need for structured training, adequate infrastructure, and clear communication protocols. While most participants expressed satisfaction with the service, this was closely linked to the availability of support and the nature of patient interaction. The findings underscore the importance of comprehensive HRM strategies that address both technical and interpersonal dimensions to ensure the sustainability and effectiveness of teleconsultation services in small clinical settings
Presidential Vote Share and COVID-19 Vaccination Rate in Indonesia: A District-level Cross-Sectional Ecological Study Wirawan, Gede Benny Setia; Gustina, Ni Luh Zallila; Valerie, Ivy Cerelia; Pradnyani RS, I Gusti Ayu Indah; Arifin, Muchamad Zaenal; Januraga, Pande Putu
Kesmas Vol. 18, No. 1
Publisher : UI Scholars Hub

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

Abstract

Political affiliation has been reported as a determinant of COVID-19 vaccine acceptance in some countries, although few studies have examined the Asian context. This study aims to fill this gap by employing an ecological study design using Indonesian regions as data points. Political affiliation was represented by incumbent President Jokowi’s vote share in the 2019 presidential election. Potential confounders included population density, human development index, availability of hospitals and primary health care, 2019–2020 economic growth, COVID-19 mortality rate, and proportion of Muslims in the population. The final analysis included 201 out of 501 districts and cities in Indonesia. Controlling for confounders, multivariate regression found that Jokowi’s vote share was an independent predictor of vaccination rate, with standardized β and R2 values of 0.350 and 0.734 for the first dose vaccination rates and 0.251 and 0.782 for the second dose, respectively. This association may be underpinned by differences in religiosity, public trust, and vulnerability to misinformation between Jokowi’s supporters and the opposition. Improving public trust in a politically polarizing society is crucial to improving future coverage of COVID-19 and other vaccines.
Co-Authors Anak Agung Ngurah Bagus Surya Darma Anak Agung Ngurah Krisna Dwipayana Dewa Ayu Agung Dwita Arthaningsih Dharmayanti, Ni Made Sri Gustina, Ni Luh Zallila Harjana, Ngakan Putu Anom I Desak Ketut Dewi Satiawati I Gusti Ayu Agung Bella Jayaningrum I Gusti Ayu Indah Pradnyani RS Ivy Cerelia Valerie Kartika Sari Ayu Kartika Sari, Ayu Kaspan Laksmi Dewi, Ni Luh Putu Mulia Lya Lusyana Lya Lusyana Made Ayu Devi Pita Loka Made Y. D. Astiti Muchamad Zaenal Arifin Muchamad Zaenal Arifin, Muchamad Zaenal Ngakan Made Ari Mahardika Ni Luh Zallila Gustina Pande Putu Januraga Pande Putu Januraga Pradnyani RS, I Gusti Ayu Indah Putu Aryani Putu H. I. Pramana Randika Rea Ariady Rinawati Rinawati Sang Nyoman Suriana Swapatni, Ni Made Adi The Angela Prisilia Taroreh Valerie, Ivy Cerelia Wibawa, I Komang Gede Sentanu Wisnawa, Ayu Dilia Febriani