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Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer)
Published by Universitas Gadjah Mada
ISSN : 2613943X     EISSN : 26205572     DOI : https://doi.org/10.22146/rpcpe
Core Subject : Health, Education,
Education Health Professions Medicine & Pharmacology Public Health
The Review of Primary Care Practice and Education is a bilingual open access journal which provides scientific information on the field of ‘Primary Care’ and ‘Family Medicine’ in the form of research-based scientific articles, case reports, policy briefs and new findings from experts, civitas akademika and medical practitioners. This journal is an official journal of the College of Indonesian Primary Care Physicians in collaboration with the Department of Family and Community Medicine of the Faculty of Medicine, Universitas Gadjah Mada, with the inaugural publication in January, 2018. The limited number of scientific journals of primary care and family medicine in Indonesia encouraged the College of Indonesian Primary Care Physicians to create a journal which focuses on the primary care, family and community medical sciences, and to disseminate the information to academics, health practitioners, and the public. This journal contains scientific information on strengthening efforts of primary care, various health problems in primary care, principles of education and family medicine services, and the efforts to create a healthier and prosperous community in Indonesia and the world.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 7 Documents
 1 
Search results for , issue "Vol 7, No 2 (2024): July" : 7 Documents clear
Study of Tuberculosis (TB) Management Documentation with Directly Observed Treatment Short Strategy Course (DOTS) in Puskesmas, Hospital, and Lung Disease Treatment Unit (UP3) Slamet, R Sunarko; Josef, Hari Kusnanto; Claramita, Mora
Review of Primary Care Practice and Education Vol 7, No 2 (2024): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.98104

Abstract

Background: WHO suggests that pulmonary TB is a global emergency for humans since 1993. Where the burden of TB disease in the community is still very high, it is estimated that there are still about 9.5 million new TB cases, and about 0.5 million deaths caused by TB worldwide. WHO Global Tuberculosis Report states that TB is still a major health issue even though TB is a preventable and treatable disease. WHO Global Tuberculosis Report argues that TB has existed from the first millennium to the millennium and is still a global health problem. Objectives: Monitoring and evaluation is one of the most vital management functions to assess the success rate of TB program implementation. The presence of regular and ongoing monitoring functions to detect problems early in the implementation of planned activities so that they can be fixed as soon as possible. This evaluation also assesses the extent to which the predetermined objectives and outcomes have been achieved at the end of the period. In conducting the assessment of success, indicators, and standards. Method: The method although initially rarely considered in qualitative research methodologies, is today an important and integral part of the qualitative research methodology. This is due to the growing awareness and new understanding in the researchers, that a lot of data is stored in the form of documents and artifacts. So that the excavation of data sources through document studies becomes complementary to the qualitative research process. Even Guba as quoted by Bungin states that the use and use of existing documents determines the credibility level of a qualitative research result. Result: The results showed that all health facilities in Puskesmas, hospitals, and UP3 had followed TB management with DOTS strategy. In general, implementing the five DOTS pillars at puskesmas was better than in hospitals and UP3, but supporting documents on DOTS pillar implementation in hospitals and UP3 were more complete.  Conclusion: The achievement of the DOTS program at the health service facility conducted by the research shows that the puskesmas is better than the hospital and UP3.
Holistic Management in Adolescent Patients with Atopic Dermatitis Through Family Medicine Approach: A Case Report Anita, Anita; Moningkey, Shirley; Handoko, Marshell
Review of Primary Care Practice and Education Vol 7, No 2 (2024): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.98605

Abstract

Atopic Dermatitis (AD) is a chronic, recurrent skin inflammation accompanied by itching and occurring in specific areas of the body. AD is often associated with other atopic diseases such as allergic rhinitis and bronchial asthma. It can affect individuals of all ages but is most common in infants and children. AD that appears in adolescents and adults is also increasingly recognized. This case report aims to explore the role of family physicians in the holistic and comprehensive management of AD in adolescents through a family medicine approach to prevent relapses and reduce the severity of AD. Data were obtained through auto-anamnesis, physical examination, and home visits. LAK, a 21-year-old final-year student, reported a red rash on her upper right arm for the past month, which she found very bothersome. Internal factors aggravating her symptoms included her mother's allergic rhinitis, the patient never using skin moisturizers, and not cleaning her body immediately after sweating. External factors included having to walk to campus through busy, hot, and dusty roads and the stress from her final-year thesis. Diagnosis and management were carried out holistically through patient-centered, family-focused, and community-oriented. The family medicine approach emphasizes prevention, patient education, and long-term management to reduce the severity of AD. Through a family medicine approach, changes in behavior, particularly in prevention, will occur, allowing AD to be managed and preventing relapses
The Impact of Health Education Training on Knowledge of Prevention and Control of Hypertension among Youth Group Fitriadi, Yogi; Fajri, Imam Khoirul; Pramantara, I Dewa Putu
Review of Primary Care Practice and Education Vol 7, No 2 (2024): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.100855

Abstract

Introduction: Hypertension is a serious issue that can lead to various complications if not prevented and managed, starting from adolescence and young adulthood. Education on non-communicable diseases related to hypertension has been limited in schools, with little focus on community settings. This study aims to examine the impact of health education for adolescents and young adults on changes in knowledge and behavioral practices for the prevention and control of hypertension. Methods: This study employs a quasi-experimental design with pretest and posttest without a control group. Subjects were obtained through purposive sampling, resulting in a total of 32 respondents. Demographic characteristics and Kirkpatrick Level I evaluations were analyzed univariately. The comparison of knowledge scores before and after the intervention was analyzed bivariate, taking data normality into account. Results: After receiving health education for adolescents and young adults, there was a significant increase in knowledge scores regarding hypertension prevention and control before and after the intervention (p<0.001). The evaluation of the training program yielded very good scores, with the highest percentage from the facilitator evaluations. Conclusion: There was an increase in knowledge scores related to hypertension prevention and control among adolescents and young adults after receiving health education interventions from health professionals.
The Influence of Patient Attendance for 5 Years in Prolanis (Chronic Disease Management Program) on Body Mass Index and Chronic Disease Parameters Fadillah, Reza Arif; Afriandi, Irvan; Arya, Insi Farisa Desy
Review of Primary Care Practice and Education Vol 7, No 2 (2024): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.102827

Abstract

Background: Chronic diseases such as diabetes and hypertension are one of the biggest causes of death in the world and in Indonesia. Social Insurance Administration Organization or Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan, a health insurance in Indonesia, has a chronic disease management program or prolanis Patients who follow the prolanis program follow the prolanis program process for years. Objective: This study looks at whether patients who have followed the prolanis program for 5 years from 2019 to 2023 get good output results of health parameters such as blood pressure, HbA1c, Total Cholesterol, LDL, HDL, Ureum, Creatinine, and eGFR. Methods: This research method is a quantitative analytic retrospective on 151 patients who participated in the prolanis program during the period 2019 to 2023 with a pre-post retrospective research design. Normality tests were performed on all variables to determine the distribution of data distribution and bivariate analysis.  The parameters assessed were Body Mass Index, HbA1c, Total Cholesterol, LDL, HDL, Triglycerides, Ureum, Creatinine, eGFR and Blood Pressure. Results: The results showed that significant differences occurred in the values of HbA1c, ureum, creatinine, and eGFR parameters in the group of patients with attendance ≥40 months. The Δ value from 2023 to 2019 has a significant difference (p-value <0.05) based on the HbA1c variable which increased in value in the ≥40 months attendance group, and decreased in value in the <40 months attendance group, then there was no significant difference in the value of other parameters in all attendance groups. For hypertension, the highest incidence of hypertension occurred in attendance <40 months less than attendance ≥40 months so that there was no relationship between attendance and blood pressure values in the last year (year 2023). Conclusions: It was concluded that attendance for 5 years with attendance ≥ 40 months was beneficial in maintaining eGFR function compared to attendance < 40 months. However, it has not been proven to be beneficial in maintaining the stability of HbA1c in the attendance group ≥ 40 compared to the attendance group < 40 months. Although there was an increase in ureum and creatinine, attendance ≥ 40 months proved to be able to maintain the stability of ureum and creatinine in normal numbers. From the results of the study, the highest incidence of hypertension occurred in attendance ≥40 months compared to attendance <40 months, so there is no relationship between the number of attendance with blood pressure values.
Improving Community Health Outcomes through Integrated Services at Dewi Sartika Posyandu Perkasa, Brama Syukri; Fajri, Imam Khoirul; Wandhana, Nana
Review of Primary Care Practice and Education Vol 7, No 2 (2024): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.103246

Abstract

Background: Posyandu Dewi Sartika plays a vital role in delivering integrated primary healthcare services (ILP) to the community. However, challenges such as low community participation, inadequate training for health cadres, and limited infrastructure hinder its effectiveness.Methods A community diagnosis approach was employed, integrating qualitative and quantitative methods. Data were collected through focus group discussions, observations, and document reviews. Challenges were identified and prioritized using the USG (Urgency, Seriousness, Growth) method, while solutions were developed and evaluated using the McNamara screening technique.Results: The study identified 12 key challenges, including low community participation, limited service coverage, inadequate documentation systems, and high resource demands. Priority issues were low community participation and insufficient cadre training, both scoring highest on the USG scale. Proposed solutions include innovative cadre training, the "Sehat Bersama Warga" community engagement program, and strengthened stakeholder collaboration to address these issues effectively. Conclusions: This study underscores the importance of participatory approaches, capacity-building initiatives, and cross-sector partnerships in addressing systemic challenges in integrated primary healthcare. The proposed solutions are scalable and have the potential to improve health outcomes and community engagement sustainably.
Empowerment of the Disability Community through the Formation of Disability Cadres Lisa, Harti Rahmi Aunurul; Arininta, Nungki; Ekawati, Fitriana Muriya
Review of Primary Care Practice and Education Vol 7, No 2 (2024): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.103642

Abstract

Background people with disabilities are a vulnerable group in society and often face various obstacles in accessing basic services. Physical barriers, lack of information and lack of comprehensive services are the main obstacles that hinder access to adequate health services. The implementation of Posbindu has not included people with disabilities so far so there is no health data from people with disabilities. This problem shows that there is a significant gap in health services for people with disabilities.  Objective to fill the gap in health services for the disabled community. Method Parcipatory Action Research (PAR) with data collection by interview and Focus Group Discussion (FGD). The data was analyzed using a qualitative method using a thematic analysis approach. Results The six main factors faced by people with disabilities in accessing health services in the Kapanewon Kretek area are technical obstacles in accessing health services, limited physical access to health facilities, lack of proactive services, lack of program socialization, limited infrastructure and lack of family motivation. Intervention actions with a participatory approach involving people with disabilities as cadres in the implementation of disability-inclusive Posbindu. Discussion Community empowerment with a participatory community approach is an important step to overcome the gap in access to health services for people with disabilities in the Kapanewon Kretek area. The results of the evaluation of the implementation of cadre training showed a significant increase in cadre knowledge and skills, although practical implementation challenges remained. Recommendations for empowerment development are increasing the duration of training content, continuous assistance, the existence of special modules for cadres with disabilities, periodic evaluation and monitoring, increased family participation, cross-sector collaboration and the development of inclusive policies
The Use of Personal Protective Equipment (PPE) in Maternal Care During the COVID-19 Pandemic Mawarni, Devina Bunga; Ekawati, Fitriana Murriya; Putri, Likke Prawidya; Bismantara, Haryo
Review of Primary Care Practice and Education Vol 7, No 2 (2024): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.105109

Abstract

Introduction: The COVID-19 pandemic has driven rapid changes in healthcare delivery worldwide, including maternal care. In Indonesia, there has been an increase in maternal and infant mortality during the COVID-19 pandemic. Hospitals and health centers are high-risk locations for the transmission of this disease. Controlling potential hazards in healthcare facilities can be achieved by using Personal Protective Equipment (PPE). However, there has been an increased demand for PPE during the pandemic, leading to a shortage of availability. Nevertheless, PPE is a crucial component for protecting both healthcare staff and patients from COVID-19 transmission. Research related to the evaluation of PPE usage among healthcare workers during the COVID-19 pandemic, especially in maternal healthcare, is limited. Therefore, this study aims to evaluate the use of Personal Protective Equipment (PPE) by healthcare workers when providing maternal care in healthcare facilities in the city of Banjar, West Java. Methods: This research is a quantitative study in the form of a descriptive cross-sectional study. The minimum sample size consisted of 96 individuals, including general practitioners, midwives, nurses, and obstetricians who are currently actively providing maternal care services in healthcare facilities in the City of Banjar. Data collection was conducted using the snowball sampling method in February – March 2022, with the El-Sokkary questionnaire from 2021 as the modified instrument distributed online. Result: The research results showed that the majority of respondents were female (96,3%), worked as midwives (95,4%), were aged 25-34 years (40,3%), had 6-10 years of work experience (29,3%), and in the past two weeks, the majority worked in primary care settings (40,3%). Exposure to training and guidelines, as well as exposure to COVID-19 patients, were both considered high (grand mean 2,7 and 2,2). Healthcare facility policies indicated that the majority did not impose sanctions (75,2%) if personal protective equipment (PPE) was not used according to guidelines, and the compliance rate ranged from 65-80% (43,1%). The frequency of PPE usage was categorized as high (grand mean 3,6), with only 58,7% feeling that the availability of PPE was sufficient, with N95 masks and similar items experiencing the most shortages (73,3%). Healthcare workers' negligence was relatively low (grand mean 2,9), but the compliance with PPE usage guidelines varied from 0 to 42,8%, depending on the type of service provided.  Conclusion: The types of personal protective equipment (PPE) frequently used by healthcare professionals (midwives, nurses, general practitioners, and obstetricians) include surgical masks/N95 masks, waterproof surgical gowns, face shields, goggles, headgear, protective shoes, aprons, and gloves. The overall compliance rate for the use of PPE is approximately 65-80% according to local healthcare facility regulations. The evaluation of PPE usage indicates that the compliance with PPE usage among maternal healthcare providers varies depending on the type of service provided, with the highest compliance observed in the case of delivery services for suspected/confirmed COVID-19 patients. The results of this research are expected to be considered by healthcare facilities and relevant stakeholders in documenting and providing the necessary types of PPE required by healthcare professionals in their daily practice.

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