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Unnes Journal of Public Health
Published by Universitas Negeri Semarang
ISSN : 22526781     EISSN : 25487604     DOI : -
Core Subject : Health,
Public Health
Unnes Journal of Public Health (UJPH) is an open access and peer-reviewed journal. It publishes original papers and short reports on all aspects of the science, philosophy, and practice of public health.
Arjuna Subject : -
Articles 635 Documents
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Analyzing Utilization Of Mental Health Services for National Health Insurance Participants in Indonesia Rahmah, Rizqi Habiibah; Indrawati, Fitri
Unnes Journal of Public Health Vol 13 No 1 (2024): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v13i1.68905

Abstract

Utilization of mental health services In Indonesia is still low, while the need for mental care is relatively high. Poor mental conditions will affect individuals in deploying their abilities or potential, leading to any daily pressure that is difficult to cope with. Prior to National Health Insurance (JKN), financing for mental health services was based on fee for service (out of pocket). Currently, the government is trying to grant access to mental health services with the JKN system in primary, secondary, and tertiary services. Implementing the JKN policy is expected to escalate the community's access to mental health. Since JKN was implemented in 2014, no one has seen how JKN participants actively participate in mental health services. This study will reveal how the participants utilized JKN mental health services in 2020. This quantitative study used a nested case-control design to take secondary data on BPJS Health Sample Data for 2015-2020. The bivariate analysis results using the chi-square test point out a significant relationship between age, marital status, FLHF type, participant segmentation, and the utilization of mental health services. Meanwhile, the multivariate analysis using the logistic regression test results demonstrates that age is the most influential independent variable in utilizing JKN mental health services, specifically the unproductive age group (p-value < 0.001).
The Factors Associated with Ownership of Health Insurance Among Women of Reproductive Health in Guyana Rusmitasari, Heni; Santoso, Eko Budi; Supriatin, Supriatin; Maretalinia, Maretalinia
Unnes Journal of Public Health Vol 13 No 1 (2024): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v13i1.70196

Abstract

Women of reproductive age are one vulnerable group because of the phase of pregnancy, childbirth, and contraceptive use. Due to those reasons, they need to be covered by health insurance. However, the coverage of health insurance remains low, especially in developing countries including Guyana. This study aimed to examine the factors associated with ownership of health insurance among women of reproductive age. This study used the data from Multiple Indicators Cluster Survey Wave 6 (MICS6) Guyana in 2019-2020. Totally, 5,470 women met the criteria. The multivariate analysis was done by 2 models including the community characteristics. It was found some factors related to having or not having health insurance, including living in Damerara-Mahaica and Mahaica-Berbice regions, having Muslim, female, and from Amerindian, East Indian, and Mixed ethnic of household head, having a higher wealth index and education level, aged 30-34, and formerly marriage or never married. The health insurance scheme needs to be arranged especially at tat regional level to ensure women can access maternal services easily and effectively.
Pharmacovigilance and Adverse Drug Reaction Reporting by Nurses to Improve Patient Safety Goals at Hospital in Bekasi, West Java Eff, Aprilita Rina Yanti; Utami, Luciana Mery; Indrawati, Ratna
Unnes Journal of Public Health Vol 13 No 1 (2024): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v13i1.72297

Abstract

Nurses are frontline healthcare providers who spend much time with patients and can help avoid, mitigate, promote public health, and determine and maintain medicine safety. To ensure patient and medication safety, nurses need knowledge and experience in Pharmacovigilance. This study aims to assess Pharmacovigilance and adverse drug reaction reporting by nurses to implement Patient Safety Goals with Patient Safety Culture as intervening variables at X Hospital in Bekasi. This research is a quantitative causality study with a cross-sectional design to see the effect of pharmacovigilance knowledge on implementing patient safety goals mediated by patient safety culture. The study was conducted on 130 nurses at X Bekasi Hospital who met the inclusion and exclusion criteria. The data collection technique uses a closed questionnaire instrument; the answers to the questionnaire questions have been determined. Data were analyzed using the Smart PLS program's Structural Equation Modeling technique. The study's results found that knowledge of Pharmacovigilance and adverse drug reactions significantly affected the implementation of patient safety goals (F count is greater than F table / 64.5> 2.67; (R²) = 0.667). There is a significant influence of pharmacovigilance knowledge on improving patient safety culture (p-value = 0.000). The estimated value of the influence of pharmacovigilance knowledge on patient safety culture is 60.9%. Knowledge, attitude, and practice of Pharmacovigilance is the dominant variable in influencing patient safety culture and positively influences the implementation of patient safety goals. However, knowledge, attitude, and practice significantly impact patient safety culture, so efforts to implement consistent and continuous Pharmacovigilance can improve patient safety culture, which will continue with implementing patient safety goals.
Factors Affecting Perinatal Mental Health in Postpartum Mothers Harahap, Ana Pujianti; Sriatmi, Ayun; Purnami, Cahya Tri; Adi, Mateus Sakundarno
Unnes Journal of Public Health Vol 13 No 1 (2024): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v13i1.74497

Abstract

Perinatal Mental Health (PMH) is a mental health disorder during pregnancy and postpartum. Untreated PMH will have serious consequences for mothers, children, their families, and society as a whole. This study utilized the Systematic review method by analyzing articles from PubMed, Scopus, and Science Direct as a database with a range of publications between 2018-2023 and using postpartum keywords of risk factors and mental health. Twelve articles met the inclusion criteria. Based on these articles analyzed the findings reveal that risk factors influencing the occurrence of PMH in postpartum mothers are violent factors (physical, psychological, and sexual violence), type of childbirth, history of childhood trauma, history of PMH during pregnancy, social factors (husband, family, community support), economy, demographics (age, marital status, education, family type, number of children), breastfeeding satisfaction, obstetric history, medical illness, food insecurity, and life-threatening events. Based on these risk factors, proactive efforts are required to provide an early understanding of interventions to pregnant women related to PMH to prevent it from occurring in postpartum mothers
Implementation of Lean Hospital Intervention in Outpatient Pharmacy Depot at the National Brain Center Hospital Prof. Dr. dr. Mahar Marjono Jakarta, Indonesia Dharmaningsih, Dwi; Andriani, Helen; Bashabih, Masyitoh; Tahir, Hadijah
Unnes Journal of Public Health Vol 13 No 1 (2024): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v13i1.74992

Abstract

Waiting time for prescription services indicates the quality of hospital services. The waiting time at the National Brain Center Hospital Prof. Dr. dr. Mahar Marjono Jakarta (RSPON Jakarta) Regular Outpatient Pharmacy Depot has not yet reached the standard of ≤30 minutes for non-concoction prescription, ≤60 minutes for concoctions prescription. This research aims to reduce the waiting time for outpatient prescription services using the Lean Hospital approach, which uses operational research methods with a qualitative approach through direct observation, interviews, and document review. In current state conditions, the lead time for non-concoction prescriptions is 46.7 minutes, with the ratio of value-added activity to total service time 25%:75%, while for concoctions prescriptions is 98.9 minutes, with the ratio of 27%:73%. The highest waste is waiting and overprocessing. Causes of waste are human resources inefficiency, simultaneous doctors' practice schedules, no separate system for regular and executive outpatient staff, e-prescriptions optimation, internet instability, and patient interruptions. Lean hospital intervention was the Balancing-Heijunka through modification of shifts and 5S. Future state results showed a 28% reduction in lead time for non-concoction prescriptions (33.3 minutes), while concoction prescriptions decreased by 32% (67.1 minutes). Lean Hospital can reduce waste and lead time for prescription services.

Page 64 of 64 | Total Record : 635

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