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All Journal TROPHICO: Tropical Public Health Journal Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia)
Abdul Rahman Bin Ramdzan
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Health Professions Medicine & Pharmacology Nursing Public Health

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Determinants of tuberculosis health service utilization in primary healthcare facilities in Perbaungan, North Sumatra, Indonesia Ismail, Aniza; Fitra, Nurcholisah; M Zulfakhar Zubir; Abdul Rahman Bin Ramdzan; Mohd Ihsanuddin bin Abas
TROPHICO Vol. 5 No. 2 (2025): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v5i2.22912

Abstract

Indonesia ranks third worldwide in terms of Tuberculosis (TB) cases, after China and India. In 2016, North Sumatera recorded 23,097 TB cases with 5,714 deaths. One of the regencies in this province, Serdang Bedagai particularly in Perbaungan district reported that TB patients with positive smear results did not fully utilize healthcare services or follow the standard treatment protocols provided by primary healthcare centers, according to TB center data from 2016–2017. This study aimed to assess the prevalence and identify factors associated with the utilization of TB health services in primary care. A cross-sectional design was employed with proportionate stratified random sampling among TB patients in Perbaungan. Associations were analyzed using the chi-square test. Inclusion criteria required respondents to be permanent residents aged 20–70 years, both male and female, who agreed to complete the questionnaires. Among 184 respondents, 41.8% showed low utilization of services, while 58.2% demonstrated high utilization. Most respondents had only primary education and were unemployed. The study found significant associations between service utilization and education level, employment status, knowledge, attitudes, and accessibility. In conclusion, nearly half of respondents had low utilization of TB health services in primary health care in Perbaungan, North Sumatera Indonesia.
THE EFFECT PF A DIGITAL DISCHARGE EDUACATION PROGRAM ON SELF-CARE ABILITIES : A RANDOMIZED CONTROLLED TRIAL Lia Idealistiana; Mohammad Yusof Ibrahim; Abdul Rahman Bin Ramdzan
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 11, No 1 (2026): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v11i1.1120

Abstract

Bakcground: Post-section cesarean patients require discharge education to follow self-care instructions, regain independence, and improve recovery. Communication methods like verbal instructions, videos, phone calls, email correspondence, websites, and mobile/tablet applications can effectively manage self-care and prevent postoperative complications.Objective: This study aimed to determine the effect of a digital discharge education program on self-care ability in women post section cesarean in Indonesia.Methods: This study was a prospective, two-arm, single-blinded randomized controlled trial at six secondary level hospitals in West Java. The study included women post section cesarean on the first day. A randomization tool was used to allocate patients in a 1:1 ratio to either interevntion or control group. Each group consisted of 120 recruited women. Therapeutic Self-Care (TSC) was used to evaluate self-care abilities. The general estimating equation is use to investigate the simple main impact of various time points within each group.Results: The repeated ANOVA test revealed that the severity of self-care ability scores increased significantly in the intervention group after  intervention (p-value= 0.001). With the effect size was 0.35, indicating moderate effect size. However, control group did not show a significant improvement. The GEE analysis showed a significant effect over time on self-care ability (p=.001) and  regarding the difference between the groups, the results showed significant effects on self-care ability (p=.001). The results also showed significant effects in the interaction between time and group for self-care ability.Conslusion: This study found that web-based discharge education program on self-care abilities among post C-section women in Indonesia. Future research should focus on developing innovative information technology treatments that involve healthcare consumers and practitioners to improve the delivery of prompt discharge education to general surgery patients.
Co-Authors Fitra, Nurcholisah Ismail, Aniza Lia Idealistiana M Zulfakhar Zubir Mohammad Yusof Ibrahim Mohd Ihsanuddin bin Abas