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All Journal The Indonesian Journal of Occupational Safety and Health Narra J Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Journal of Indonesian Health Policy and Administration
Alfiyyah, Arifah
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Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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TELEMEDICINE AND ELECTRONIC HEALTH RECORD IMPLEMENTATION IN RURAL AREA: A LITERATURE REVIEW Alfiyyah, Arifah; Ayuningtyas, Dumilah; Rahmanto, Agus
Journal of Indonesian Health Policy and Administration Vol. 7, No. 2
Publisher : UI Scholars Hub

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Abstract

The Indonesian Minister of Health 2019 issued regulations regarding the implementation of telemedicine services between health service facilities. Telemedicine is aimed primarily at rural areas. This research aims to look at the quality of telemedicine-based services, which are documented in an electronic health record (EHR) with complete information. This research uses the narrative literature review method: Garuda journal channels, Google Scholar, IEEE Explorer, ProQuest, PubMed, Science Direct, and Scopus. With the input-output process approach, eight scientific articles were published on countries with telemedicine/telehealth policies in rural areas. The implementation of telemedicine has advantages and disadvantages depending on the things supported and the target users. It must have policies, infrastructure, financial resources, and human resources to use, maintain and develop telemedicine. Telemedicine will help the health service process by increasing the degree of public health in rural areas if it is used on a large scale. The completeness of the EHR seems to be lacking in terms of informed consent. Still, a quality EHR can make it easier for health workers to enforce the history, establish the diagnosis, and provide patient healthcare.
Tuberculosis treatment outcomes and associated factors: A retrospective study in West Nusa Tenggara, Indonesia Meiyanti, Meiyanti; Bachtiar, Adang; Kusumaratna, Rina K.; Alfiyyah, Arifah; Machrumnizar, Machrumnizar; Pusparini, Pusparini
Narra J Vol. 4 No. 3 (2024): December 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v4i3.1660

Abstract

Successfully treating tuberculosis (TB) could significantly help reduce its spread. The aim of this study was to identify factors associated with successful TB treatment. A retrospective study was conducted in West Nusa Tenggara, Indonesia, using data from the National TB Information System (SITB) covering patients from January 1 to December 31, 2022. Patients were classified into two groups: those with successful treatment outcomes (cured or completed treatment) and those with unsuccessful outcomes (including treatment failure, loss to follow-up, or death). Univariate and multivariate logistic regression analyses were performed to identify factors associated with treatment outcomes, providing odds ratios (OR) and adjusted odds ratios (aOR) with 95% confidence intervals (CIs). A total of 2,225 TB patients (1,382 males and 843 females) were included in the study. Of these, 2,048 (92.1%) achieved successful treatment outcomes. Univariate analysis indicated that older age (OR: 0.47; 95%CI: 0.28–0.78) and a high number of AFB in sputum smears (OR: 0.23; 95%CI: 0.09–0.66) were associated with a higher likelihood of unsuccessful TB treatment. In contrast, having no HIV infection (OR: 13.44; 95%CI: 6.22–29.08), clinical TB cases (diagnosed clinically rather than bacteriologically) (OR: 1.50; 95%CI: 1.04–2.20) and longer duration of TB treatments were associated with successful treatment outcomes. Multivariate analysis suggested that the TB treatment durations of 4–6 months (aOR: 1256.95; 95%CI: 431.89–3658.19) and 7–12 months (aOR: 575.5; 95%CI: 99.1–3342.06) were associated with a significantly higher likelihood of success compared to durations of 0–3 months. In conclusion, this study highlights that a minimum treatment duration of three months was crucial for increasing the likelihood of successful TB treatment. These findings emphasize the importance of comprehensive support programs to ensure adherence to treatment guidelines and improve outcomes.
Analysis of Instrument Development to Evaluate Employee Protection from Tuberculosis in Hospitals Lestari, Fetrina; Modjo, Robiana; Kurniawidjaja, Meily; Susanto, Agus Dwi; Alfiyyah, Arifah
The Indonesian Journal of Occupational Safety and Health Vol. 13 No. 1 (2024): The Indonesian Journal of Occupational Safety and Health
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijosh.v13i1.2024.37-43

Abstract

Introduction: Tuberculosis (TB) continues to be a major global public health threat, affecting millions of people annually. Despite efforts to control TB, the number of cases remains high. The situation is exacerbated by the COVID-19 pandemic, which has strained healthcare systems. The increased workload of hospital employees also raises the risk of TB transmission. This study aims to develop an instrument to evaluate employee protection from TB in hospitals. Methods: This study used a qualitative design with an exploratory approach. Data were collected from existing policies and through in-depth interviews with stakeholders, including academics, practitioners, regulators, infection control officers, occupational health and safety officers, and non-government organization representatives for TB. Results: The instrument developed comprised seven components, namely management commitment; program planning; coordination, communication, and education; implementation of TB and other disease management programs in the workplace; handling TB cases in the workforce; training and competence; and monitoring and evaluation. Conclusion: Instrument development is crucial for capturing the current state of TB problems and managing prevention and control programs in hospitals. The terms of reference serve as an effort to protect hospital employees
Analysis Protecting The Health Workers from the Transmission of Tuberculosis at Teaching Hospital: A Review of Policy and Practice Alfiyyah, Arifah; Modjo, Robiana; Bachtiar, Adang
Journal of Indonesian Health Policy and Administration Vol. 9, No. 3
Publisher : UI Scholars Hub

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Abstract

The Tuberculosis (TB) remains a significant threat, especially to healthcare workers exposed by the infected patients in hospitals. Hospital staff with latent TB are at risk of developing active TB. To mitigate this risk, enhancing hospitals through infection prevention and control (IPC) measures is essential. This study aimed to identify policies and practices related to TB prevention, particularly in a teaching hospital where healthcare workers, including medical students, need protection. The research was conducted at a teaching hospital in Depok, West Java, from January to February 2024. The research took place at a teaching hospital in Depok, West Java, from January to February 2024. A qualitative method was used, including in-depth interviews with hospital committee members, nurses, and administrative staff to gather insights, along with policy analysis regarding TB. In the Indonesian hospital TB health services, the regulation of occupational health regarding TB protection for hospital workers state from constitution law, presidential regulation, ministry of health and ministry of Manpower. However, the findings revealed that there are no policies specifically addressing TB to protect the workers in the hospital. Challenges such as financing TB screenings and raising healthcare workers' awareness of TB were highlighted as crucial factors. The study emphasizes the importance of improving risk management strategies and IPC to safeguard healthcare workers, recommending specific regulations for hospitals with national policy. These results highlight the urgent need for specific TB prevention policies, particularly from the government, to ensure implementation across all hospitals.
Evaluating Safety Culture Maturity in Indonesian Petrochemical Industry to Strengthen Occupational Health Systems Astuti, Putu Nadi; Zulkifli Djunaidi; Alfiyyah, Arifah
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 8: AUGUST 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i8.7393

Abstract

Introduction: This study aimed to assess the maturity of safety culture implementation across petrochemical companies in Indonesia. By using a mixed-methods to provide a comprehensive understanding of occupational health and safety risks in high-hazard industries. The petrochemical sector being prone to workplace accidents and process related to incidents. The objective was to identify the maturity level of safety practices and highlight priority areas for improvement, addressing gaps in existing literature on safety culture measurement in industrial settings. Methods: This cross-sectional mixed-methods study involved surveys and observations conducted across 10 petrochemical companies in 2024. A total of 513 participants were enrolled, and data were collected through validated questionnaires, plant visits, and document reviews. Ethical approval was obtained from the Faculty of Public Health Universitas Indonesia and participants provided informed consent. Results: The primary outcome of the study was the maturity level of safety culture, which most respondents rated as “Generative.” Based on company type significant differences (p < 0.05) were found in commitment. While other variables such as information, organizational learning, employee participation, and communication showed no significant differences. There were no significant differences based on industry type and role type for each variable. The findings from qualitative method indicate that most companies have implemented both national safety standards namely SMK3 (Occupational Health and Safety Management System) and international systems (including ISO 45001, OSHA PSM, ILO PSM, and Responsible Care). Conclusion: In conclusion, the importance of a mature safety culture in supporting occupational health and safety practices and highlights the need for continuous improvement in workplace safety systems. Future studies should explore interventions that strengthen these dimensions, helping reduce occupational risks in the petrochemical industry.
Assessing Safety Culture Maturity in Indonesia's Petrochemical Producer Astuti, Putu Nadi; Djunaidi, Zulkifli; Alfiyyah, Arifah
The Indonesian Journal of Occupational Safety and Health Vol. 14 No. 2 (2025): The Indonesian Journal of Occupational Safety and Health
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijosh.v14i2.2025.145-154

Abstract

Introduction: Safety culture maturity is essential in high-risk industries, including the petrochemical sector, where maintaining workplace safety helps prevent accidents and improve operational efficiency. This study explores the maturity level of safety culture at the petrochemical company in Indonesia using Hudson’s five stage maturity model as a framework for evaluation. The research aims to identify the correlation between safety culture maturity and five aspects of organizational factors. Methods: The questionnaire was completed using online survey-based research by the employees in a petrochemical company of 86 respondents selected through purposive sampling. Safety culture maturity served as the dependent variable, while the independent variables included five organizational factors: information, organizational learning, employee participation, communication, and commitment. The study considers safety culture maturity as the dependent variable, while the five organizational factors serve as independent variables. Data were analyzed using regression analysis Spearman’s correlation to assess between these factors and the maturity level of safety culture. Results: The results from the framework demonstrating the safety culture maturity at the level of generative. The strongest correlations were found in commitment (r = 0.712, p < 0.01), followed by information, organizational learning, employee participation, and communication. Meanwhile, gender and education level did not significantly influence safety culture maturity. Conclusion: These findings highlight the importance of organizational commitment, effective communication, and continuous learning make the safety culture become the habit. The study recommended the petrochemical industries using the framework and revised the questionnaire align with the regulation for continuous improvement in safety culture.
Co-Authors Adang Bachtiar Agus Dwi Susanto Astuti, Putu Nadi Dumilah Ayuningtyas Kurniawidjaja, Meily Lestari, Fetrina Machrumnizar, Machrumnizar Meiyanti Meiyanti, Meiyanti Pusparini Pusparini Rahmanto, Agus Rina K. Kusumaratna, Rina K. Robiana Modjo Zulkifli Djunaidi Zulkifli Djunaidi, Zulkifli