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All Journal Journal of Asian-african Focus in Health
Rajam, Diah Ayu Lestari
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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The Role of Telemedicine in Improving Access to Healthcare in Remote Areas Rajam, Diah Ayu Lestari; Syamsih, Nur; Hasryanty, Sri
Journal of Asian-african Focus in Health Vol. 2 No. 3 (2024): Journal of Asian-african Focus in Health
Publisher : ScieClouds Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71435/595706

Abstract

The purpose of this qualitative study is to discover how telemedicine contributed to increase access to healthcare in rural regions by looking at the point of view of both the involved healthcare professionals and of the patients. For the geographic areas that are poorly endowed with medical facilities telecommunication is seen as an efficient way of overcoming geographical barriers and shortages of medical equipment. In this study, the cross-sectional quasi-experimental design utilizes semi-structured interviews, focus group discussions and observation to establish the barriers, effectiveness, and socio-cultural factors regarding the telemedicine adoption. The study shows that telemedicine improves the possibilities of getting an initial consultation regardless of geographic distance, helps to avoid delays while finding a specialist, and creates a connection to advanced treatment. However, challenges which act as barriers include; weak internet connection, low technology literacy, and resistance to change. Inequalities and cultural shifts in patient and healthcare provider’s perceptions of technology, as well as comfort with tele-communication and tele-befriending over in-person contact, also influence the readiness of patients and healthcare officials to adopt telepharmacy. Power relations also come out in the presentation, with telemedicine holding benefits, especially for women in the inaccessible regions. The study further underscores the importance of a better appreciation of context when adopting telemedicine programs for greater improvement and sustainably. In summary, this paper adds value to extant knowledge by exploring the mediated nature of technology culture and health care delivery in hard-to-reach regions and offering direction for enhancing the use of telemedicine solutions in rural regions.
Investigating the Impact of Flooding on Sanitation and Disease Outbreaks in South Sulawesi Syamsih, Nur; Hasryanty, Sri; Rajam, Diah Ayu Lestari
Journal of Asian-african Focus in Health Vol. 3 No. 1 (2025): Journal of Asian-african Focus in Health
Publisher : ScieClouds Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71435/610428

Abstract

Flooding has long been recognized as a significant public health hazard, particularly in regions with inadequate sanitation infrastructure. This study investigates the impact of flooding on sanitation and disease outbreaks in South Sulawesi, Indonesia, using a quantitative approach. A sample of 400 households from urban, peri-urban, and rural areas was selected through stratified random sampling. Data were collected using structured surveys and secondary data from health centers and meteorological agencies. The study examined sanitation conditions before, during, and after flooding events, and the prevalence of waterborne and vector-borne diseases. Descriptive statistics, correlation analysis, and regression models were employed to analyze the data. Results revealed a substantial deterioration in sanitation conditions during flooding, with significant increases in the prevalence of waterborne (60%) and vector-borne diseases (50%) compared to pre-flooding levels. The correlation analysis indicated strong relationships between flooding intensity, poor sanitation, and higher disease prevalence. Regression models confirmed that flooding intensity and sanitation conditions were the primary predictors of disease outbreaks. These findings underscore the critical role of maintaining sanitation infrastructure during flooding and highlight the increased vulnerability of lower-income households. This study contributes to the literature on flood-induced health risks, offering valuable insights for disaster management and public health policy, particularly in developing regions facing similar challenges.
Co-Authors Hasryanty, Sri Syamsih, Nur