I Nyoman Sutarsa, I Nyoman
Ilmu Kedokteran Komunitas-Ilmu Kedokteran Pencegahan, Fakultas Kedokteran Universitas Udayana

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Exercise behaviour and the determinant factors among medical students before and during the COVID-19 pandemic Griadhi, Adiartha; Sundari, Luh Putu Ratna; Sutarsa, I Nyoman
Public Health and Preventive Medicine Archive Vol. 10 No. 1 (2022)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2022.v10.i1.p06

Abstract

Background and purpose: Students’ physical activity levels decreased significantly after college enrollment. Disruption during the COVID-19 pandemic also affects the students’ exercise level. The psychological aspect and the academic situation of medical students could interact with pandemic disruption differently compared to other students. This study compares exercise behaviour and its determinant factors among medical students before and during the pandemic. Methods: This study was conducted by collecting data in August 2021 and then comparing it to our data collected in July 2011. Participants were determined by a proportional random sampling based on gender and education year. There were 127 and 205 research participants in 2011 and 2021. The exercise behaviour and determinant factors were based on the Transtheory Model of behavioural change and grouped into five stages of exercise levels and four categories of factors. The data were analyzed descriptively and comparison tested for the two years. Results: This study showed a significant increase in exercise behaviour among medical students during the pandemic (p<0.05). The number of students in the pre-contemplation, contemplation, and preparation stages has decreased, and those in action and maintenance stages doubled compared to the pre-pandemic period. The change in exercise behaviour showed that changes only occurred in female and clinical-year students (p<0.05). There was no significant change in male and pre-clinical medical students. Predisposing, enabling, and maintenance factors are determinants of exercise behaviour that increased significantly during the pandemic (p<0.05), and personal factors did not increase significantly. Conclusion: Female and clinical-year medical students’ exercise activity increased significantly during the pandemic. Predisposing, enabling, and maintenance factors also increased substantially during the pandemic, while personal factors did not change significantly. Gender-related psychological and behavioural reactions to COVID-19 pandemic disruption explain these results.
Integrated primary care using a life course approach for prevention and control of non-communicable diseases: Indonesia’s perspective Sutarsa, I Nyoman; Nopiyani, Ni Made Sri
Public Health and Preventive Medicine Archive Vol. 11 No. 1 (2023)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v11.i1.p00

Abstract

An integrated primary care using a life course approach for preventing and controlling NCDs in Indonesia is the right policy decision. It strives to be holistic, addressing NCDs with a long-term vision across the critical stages where modifications can be made to minimise risks of developing NCDs. This policy direction is inherently complex mandating multi-sectoral and/or inter-sectoral approaches, as well as multi-disciplinary teams. Additionally, existing evidence suggests the intricate connections between health, social, economic, and environmental across the lifespan7. Taking a life course approach also means the governments must extend the NCD prevention and control measures beyond health sector alone. This means that effective implementation of an integrated primary care using a life course approach require long-term strategies to strengthening multi-sectoral partnerships to promote a life course approach across all government sectors and community systems.
Acceptance strategy of HIV pre-exposure prophylaxis for female sex workers in Badung, Bali, Indonesia Putri Pratiwi, Ni Putu; Ani, Luh Sri; Sutarsa, I Nyoman
Public Health and Preventive Medicine Archive Vol. 12 No. 1 (2024)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2024.v12.i1.p06

Abstract

Background and purpose: HIV pre-exposure prophylaxis (PrEP) is aimed to prevent the transmission of HIV infection. The use of PrEP by female sex workers (FSWs) in Badung District, Bali Province was relatively low. This study explores critical strategies to increase the acceptance of HIV PrEP program by FSWs in Badung District, Bali, Indonesia.  Methods: A qualitative descriptive study was conducted in Badung District. This study involved 16 purposively selected informants consisting of 5 FSWs who had used PrEP, 5 FSWs who had not and 6 stakeholders whom involved in the PrEP implementation. Data was collected using in-depth interviews which include: strategies for strengthening self-confidence, social support, effectiveness of PrEP implementation, and accessibility of health services. Data was analyzed using a thematic approach.  Results: The research highlights several key strategies to enhance the acceptance of PrEP including strengthening self-efficacy, empowering individuals with the confidence and skills to utilize PrEP effectively, bolstering of social support networks by reducing stigma and fostering a supportive environment. The effectiveness of PrEP program implementation is crucial by ensuring well-structured, responsive, and capability to meet the population needs. Finally, improving service accessibility is crucial, as it removes barriers to obtaining PrEP. Together, these strategies form a comprehensive framework for improving PrEP acceptance.  Conclusion: To increase PrEP acceptance among FSWs, the primary strategy that needs to be implemented is strengthening the service sector. For this reason, it is suggested that the health office carry out outreach and increase access to health services and assistance.  
MENGANALISIS PENGARUH NIAT, PERSEPSI CONTROL PERILAKU DAN MEDIA INFORMASI, TERHADAP KONSUMSI PORNOGRAFI DALAM MENCEGAH PERILAKU SEK BERISIKO PADA SISWA LEMBAGA PRAKTEK KERJA PARIWISATA X DI KOTA SINGARAJA Devi Juliyantini, Ni Komang; Ani, Luh Seri; Sutarsa, I Nyoman
E-Jurnal Medika Udayana Vol 13 No 6 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i06.P13

Abstract

Perilaku seksual berisiko pada remaja merupakan salah satu dampak negatif dari konsumsi pornografi. Sementara itu, pengaruh faktor perilaku seperti niat, persepsi kontrol perilaku dan media informasi terhadap konsumsi pornografi pada remaja masih bervariasi. Penelitian ini ditujukan untuk menganalisis pengaruh faktor niat, persepsi control perilaku dan media informasi terhadap konsumsi pornografi dalam mencegah perilaku seks berisiko pada remaja. Studi cross-sectional dilakukan pada siswa LPK Pariwisata di Kota Singaraja. Sebanyak 188 siswa berpartisipasi dalam penelitian ini yang dipilih dengan metode total sampling. Data dikumpulkan dengan metode angket. Semua siswa yang memenuhi kriteria inklusi dan ekslusi diminta untuk mengisi form persetujuan menjadi responden, sebelum mengisi lembar kuisioner penelitian. Perilaku konsumsi pornografi diukur dengan pertanyaan tentang pengalaman responden dalam mendengar atau melihat atau membaca atau menonton tentang pornografi. Data hasil penelitian dianalisis secara univariat, bivariat dan multivariat. Uji regresi logistic dilakukan untuk menguji factor-faktor yang berpengaruh terhadap konsumsi pornografi pada remaja. Proporsi remaja yang pernah mengkonsumi pornografi sebesar 60.1%. konsumsi pornografi pada remaja dipengaruhi oleh niat, persepsi kontrol perilaku, akses media informasi. Beberapa factor lain juga dijumpai berpengaruh terhadap konsumsi pornografi pada remaja seperti norma subyektif , sikap, teman sebaya, dan pola asuh orang tua. Akses media informasi memiliki pengaruh yang dominan dibandingkan dengan factor lainnya. Penelitian ini memberikan pemahaman tentang peranan niat, persepsi control perilaku dan akses media informasi konsumsi pornografi. Oleh karena itu disarankan untuk melibatkan orangtua dalam pendidikan dan pengawasan penggunaan internet dalam mengakses pornografi untuk mencegah perilaku sek berisiko pada remaja.
PERSEPSI RISIKO PADA PEKERJA KONSTRUKSI PENATAAN KAWASAN PURA BESAKIH PADA MASA PANDEMI COVID-19 TAHUN 2022 Sutarsa, I Nyoman; Pratama, I Putu Eka Yayang
ARCHIVE OF COMMUNITY HEALTH Vol 11 No 1 (2024): April 2024
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ACH.2024.v11.i01.p13

Abstract

Sektor konstruksi merupakan salah satu sektor yang memiliki risiko kecelakaan dan penyakit akibat kerja yang cukup tinggi. Kejadian kecelakaan kerja di sektor konstruksi salah satunya disebabkan karena rendahnya penggunaan alat pelindung diri yang sangat ditentukan oleh persepsi risiko kecelakaan kerja oleh pekerja di tempat kerja. Tujuan dari penelitian ini adalah untuk mengetahui persepsi risiko pada pekerja konstruksi di proyek penataan Kawasan Pura Besakih pada masa pandemi COVID-19. Penelitian ini menggunakan desain penelitian kualitatif dengan pendekatan fenomenologi yang dilaksanakan di proyek konstruksi penataan Kawasan Pura Besakih, Rendang, Karangasem, Bali. Informan penelitian ditentukan dengan purposive sampling sebanyak 13 informan. Selain itu dilakukannya triangulasi sumber data untuk keabsahan data penelitian. Hasil menunjukan bahwa persepsi risiko yang terdapat di lingkungan kerja ialah risiko kecelakaan fisik, risiko finansial, dan risiko COVID-19. Sumber risiko yang berhasil diidentifikasi bersumber dari individu, lingkungan, dan keadaan tak terduga. Alasan utama penggunaan APD karena kewajiban dan kesadara pekerja, sedangkan alasan tidak menggunakan APD ialah merasa aman, lupa, tidak nyaman, belum mendapat informasi, dan kebiasaan di proyek sebelumnya. Penelitian ini menemukan bahwa risk literacy pada pekerja konstruksi masih terbatas. Saran yang dapat diberikan berupa pemberian pelatihan dan kegiatan briefing morning yang lebih inovatif dan meningkatkan keterlihatan pihak manajemen dalam mitigasi risiko. Kata Kunci: Persepsi Risiko, Alat Pelindung Diri, Konstruksi
Mengenal Golongan Darah: Pengabdian Edukasi dan Pemeriksaan di Sekolah Menengah Pertama Negeri 12 Denpasar Yuliyatni, Putu Cintya Denny; Putri, Pande Putu Ayu Rissa Cempaka; Wisnawa, I Nyoman Dharma; Ariawan, I Made Dwi; Sutarsa, I Nyoman; Sawitri, Anak Agung Sagung
Jurnal Pengabdian kepada Masyarakat Wahana Usada Vol. 7 No. 1 (2025): Juni: Jurnal Pengabdian kepada Masyarakat Wahana Usada
Publisher : Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47859/wuj.v7i1.623

Abstract

Background: The Ministry of Home Affairs of the Republic of Indonesia stated that only 14% of the population have reported their blood type in their civil identification, while the rest have either not reported it or are not unaware of their blood type. The majority of the population does not yet understand the importance of knowing their blood type, particularly in the context of healthcare. Purpose: This community service activity aimed to enhance the knowledge and awareness of junior high school (SMP) students in Denpasar regarding the importance of knowing their blood type as part of personal identity and preparedness in medical situations. Method: The activity was carried out through interactive education about the blood type system and its significance in healthcare, as well as direct blood type screening by a medical team. Participants included 7th-grade students, school organization members, and teachers who had not previously known their blood type. Result:The results showed that the majority of students had blood type O (48.69%) and were Rhesus positive (99.48%). The activity also demonstrated high enthusiasm among students and an increased understanding of the blood type system, reflected in the improvement of the average pre-test and post-test scores from 3.49 to 4.04. Conclussion:Through this activity, it is expected that students can become health literacy agents in their schools and communities.