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All Journal Journal of Community Empowerment for Health Jurnal Teknologi Kesehatan Berita Kedokteran Masyarakat
Puspitasari, Sepsiana
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Dentistry Education Health Professions Medicine & Pharmacology Nursing Public Health

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Dukungan Keluarga terhadap Keyakinan Sembuh Pasien Tuberkulosis Resisten Obat (TB RO) Puspitasari, Sepsiana; Winarti R, Sri Arini
Jurnal Teknologi Kesehatan (Journal of Health Technology) Vol. 20 No. 1 (2024): Maret
Publisher : POLTEKKES KEMENKES YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/jtk.v20i1.1868

Abstract

Patients with drug-resistant tuberculosis (DR-TB) must undergo a heavy and prolonged treatment, which increases the chances of them defaulting on their medication. Family support is considered to help patients boost their treatment motivation. This study aims to examine the tendency of family support towards the healing beliefs of patients with drug-resistant tuberculosis (TB RO). This is a cross-sectional study involving 50 patients with TB RO in the Special Region of Yogyakarta from 2016 to 2020, utilizing a research instrument in the form of a questionnaire. Patients with good family support tend to be confident in their recovery (84%), while 44% of patients with less family support are uncertain about their recovery. Family support may influence patients' recovery beliefs, depending on the emotional conditions they experience.
Optimalization of VAI Screening Policy: Implementation of Permenkes No. 29/2017 in Improving Early Detection of Cervical Cancer in Indonesia Desriani, Ririn; Febryanti, Indira Puspa; Puspitasari, Sepsiana
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Background: Cervical cancer remain a global health problem that causes death in 9 out of 10 women with cervical cancer in developing countries, also the second most common disease among women in Indonesia. Purpose: To provide recommendations for policy implementation programs to increase coverage of Visual Inspection of uternie cervix with Acetid acid (VIA) screening. Methods: A narrative analysis research using inductive document collection, presented in themes. Results: Rencana Aksi Nasional (RAN) Eliminasi Kanker Leher Rahim 2023-2030 specifies HPV DNA as the primary screening method for cervical cancer. This method is considered more expensive, not covered by social health insurance administration body (BPJS), and there are limited health officer who can deliver the screening. Crossline with Permenkes No. 29 Tahun 2017 article 1 paragraph 2, which stipulates the VIA method as the main one. However, there is a disparity in the national target and achievement of national VIA screening (70% target, 9.3% coverage) by 2022. This raises the urgency of developing a special program to increase cervical cancer screening through the VIA method. Conclusions: There is a necessary to adjust policy implementation through special programs to increase the coverage of screening by VIA method in Indonesia.
Unplanned pregnancy as a social predictor of COVID-19 severity among pregnant women in Yogyakarta: Study of path analysis Puspitasari, Sepsiana; Hernayanti, Munica Rita; Lamawatu, Nuril F.; Wahyuningsih, Windu Syawalina
Journal of Community Empowerment for Health Vol 8, No 3 (2025)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.98282

Abstract

Introduction: Pandemic Corona Virus Disease-19 (COVID-19) has passed, but social determinants severity of COVID-19 in pregnant women are still under report. Pregnant women have a higher risk of experiencing severe COVID-19 infection, with the potential for serious complications for maternal and fetal health. The impact of pregnancy planning towards severity of COVID-19 in pregnant women is still lack reported. Objective: this study conducted to determine social factors that predict COVID-19 with severe symptoms among pregnant women at Rumah Sakit Lapangan Khusus COVID-19 (RSLKC) in Yogyakarta Province, Indonesia.Method: through the case-control study, 99 pregnant women who had experienced COVID-19 between August 2021 and May 2022 and were treated at RSLKC self-reporting the retrospective data. Chi square test and path analysis were used for determining the relationship and the direction on the dependent variable, respectively.Results: severe symptoms of COVID-19 were experienced by pregnant who were not vaccinated (p=0.032), undergo daily physical work (p = 0.023) and undergo unplanned pregnancy (p=0.027). The three variables have a direct influence coefficient magnitude -2.62; 4.05; 2.12, respectively. Unplanned pregnancy is directly influenced by age >35 years and the number of children with coefficient magnitudes 2.81.; -1.69, respectively.Conclusion: Unplanned pregnancy is a potential social determinant of severe COVID-19 symptoms in pregnant women and other several factors such as vaccine status and physical work (as direct factors), as well as age > 35 years and number of children (as indirect factors that predict unplanned pregnancy).
Co-Authors Desriani, Ririn Febryanti, Indira Puspa Hernayanti, Munica Rita Lamawatu, Nuril F. Wahyuningsih, Windu Syawalina Winarti R, Sri Arini