Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer)
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.
Articles
124 Documents
<![CDATA[Benefits of Diabetes Support Group in Chronic Disease Management Program (Prolanis) in Puskesmas Jetis II, Bantul District: a Case Study ]]>
<![CDATA[Yulia Dewi Irawati]]>;
<![CDATA[Adi Heru Sutomo]]>;
<![CDATA[Mora Claramita]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 1 (2019): January ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
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DOI: 10.22146/rpcpe.44465
<![CDATA[Background: Type 2 diabetes mellitus is a chronic disease and has the potential for complications that affect the entire body so that it requires a comprehensive approach. This means that the management of DMT2 must involve various parties, both medical, paramedic, patient, family and community. One strategy for managing DMT2 is Prolanis (Chronic Disease Management Program) which is a diabetes support group at Jetis II Health Center. To find out the success of Prolanis implementation, an evaluation of the benefits of the diabetes support group is needed.Objective: To find out the benefits obtained from participating in the diabetes support group in Prolanis at the Jetis II Bantul Health Center.Method: A qualitative descriptive study with a case study approach. Data were obtained from patients with DMT2 members of Prolanis (Chronic Disease Management Program) and officers of the Jetis II health center in Bantul Regency. Retrieval of data in patients with focus group discussions on 30 resource persons divided into 3 groups. Other data is by conducting independent interviews with 6 informants of the puskesmas staff involved in the diabetes support group activities of Prolanis.Results: The benefits obtained from the diabetes support group are grouped into 3 categories namely biopsychosocial support, information, and individual empowerment. Most patients benefit from obtaining biopsychosocial support from the Prolanis group. Benefits for DMT2 patients Prolanis members get information in the second place and the last is individual empowerment at least the benefits are felt.Conclusion: The benefits of a diabetes support group for DMT2 patients in Prolanis members are to get biopsychosocial support, information, and individual empowerment.]]>
<![CDATA[Evaluation of Community Based Disaster Preparedness Training for UGM Health Study Program Students in 2016 ]]>
<![CDATA[Istianto Kuntjoro]]>;
<![CDATA[Mora Claramita]]>;
<![CDATA[Wahyudi Istiono]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 1 (2019): January ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
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DOI: 10.22146/rpcpe.44469
<![CDATA[Background: Disasters are events that destroy infrastructure, take casualties, disrupt life and systems, damage social order, health, and security, and occur on a global scale. Various places in the world began to include disaster management in their doctors' education curricula, including Indonesia, which is geologically located in areas with high potential for disasters, which have the potential to be continually harmed by disasters that always occur.Objective: To see whether the disaster management training in UGM semester 7 study program students have properly increased the students' knowledge and attitude towards disaster.Method: Quantitative research design and using Quasi-experimental method, without control, with pre-test and post-test instruments. The population of this study was students of medical education study programs, nutrition study program students, and nursing study students, with a sample of 175 students. The independent variable measured is community-based disaster management training. Collecting research data using an instrument in the form of a questionnaire after that was analyzed by a paired T-test.Results: There was an increase in the score of knowledge and attitudes about disaster after receiving training, but the achievement of the mean value of each question was still close to the median. The highest increase in scores achieved in each study program is a value of 6.Conclusion: There was an increase in knowledge about disasters and disaster preparedness attitudes in 2016 health study program students who attended Disaster Preparedness training.]]>
<![CDATA[Tuberculosis Treatment with DOTS Strategy on Mandiri Practice Doctor as Public Private Mix a Case Study in Kebumen Regency ]]>
<![CDATA[Arif Komedi]]>;
<![CDATA[Hari Kusnanto J]]>;
<![CDATA[Wahyudi Istiono]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 1 (2019): January ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
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DOI: 10.22146/rpcpe.44470
<![CDATA[Background: Tuberculosis or TB is still a public health problem that poses a global challenge. The spread of this disease through droplets of people who have been infected with tuberculosis bacilli. The incidence of TB transmission is around 5-15%. The TB Control Program in a national strategy is directed toward universal access to quality TB services, this can be achieved by involving all health-care facilities. Public-Private Mix / PPM (the collaboration between government services and private services) is the inclusion of all health service facilities in an effort to expand TB services and TB program continuity with a comprehensive approach. Uncomplicated management of pulmonary tuberculosis must be resolved by doctors who work in health centers/clinics from starting to make clinical diagnoses to managing the disease independently and thoroughly.Objectives: This research is to find out the implementation, obstacles to the implementation of DOTS strategy TB treatment at an independent practice physician in Kebumen Regency, and the form of a collaborative pattern of DOTS strategy TB treatment between independent practice doctors and health centers as a form of collaboration in Public-Private Mix.Methods: This research is a case study with a qualitative descriptive approach. Samples were taken by purposive sampling from puskesmas and health department. The total sample of 25 respondents consisted of 4 independent practice doctors, and from the puskesmas consisted of 5 puskesmas heads, 5 TB officers, 5 TB management officers, 3 Health Office officials, and 3 TB patients. Results: Most independent doctors diagnose based on clinical symptoms of TB and a small portion supported by chest X-ray. All puskesmas have implemented TB management with the DOTS strategy, but the results of TB program achievements are still low. This is because the number of suspected TBs is still low. Puskesmas need networks to find TB suspects. One solution is to form a collaboration scheme between puskesmas and independent practice doctors to improve TB management.Conclusion: The mapping of the implementation and barriers of TB DOTS and the solution to the scheme are in the form of collaboration between puskesmas and independent doctors in the form of PPM (Public Private Mix).]]>
<![CDATA[The Effect of Lecture and Small Group Discussion Method in Health Education Towards Dengue Haemorrhagic Fever Vector Larva Free Proportion in Gunungkidul Regency ]]>
<![CDATA[Sumitro Sumitro]]>;
<![CDATA[Hari Kusnanto J]]>;
<![CDATA[Wahyudi Istiono]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 1 (2019): January ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
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DOI: 10.22146/rpcpe.44471
<![CDATA[Background:Dengue Haemorrhagic Fever is community health problem in Gunungkidul Regency, Yogyakarta. In the last five years the case and its spread have been increasing. Many efforts have been conducted to overcome case increasing, the most important is community participation in Mosquito nest eradication (PSN). Health education through radio broadcast, leaflet, dan lecture are still failing in changing community behavior to conduct PSN continuously, because the number of larva free is still low and the spread keeps increasing. Previous studies said that Small Group Discussion (SGD) was more effective in changing community behavior. Therefore, further study is needed to be done to find out the effectiveness of small group discussion (SGD) method and lecture method towards community behavior in PSN, that was measured using larva free proportion in household.Objective: The objective of the study is to find out the effect of health education using Small Group Discussion (SGD) method and lecture method towards DHF vector larva free proportion in household.Method: The study was quasi experiment with control time series design. It was conducted in Wonosari district, Karangmojo district, and Playen district in Gunungkidul Regency. The subject of the study was 412 households divided into three groups, i.e. lecture intervension group, SGD intervention group and control group. Data analysis used paired sample t-test and Mann-Whitney test.Result:There was an effect in health education using SGD method towards DHF vector larva free proportion with p-value < α (0.05). There was a difference in DHF vector larva free proportion using lecture method but it was not statistically significant, p-value > α (0.05). There were differences between SGD with lecture method and control group in increasing DHF vector larva free proportion with p-value < α (0.05).Conclusion: There was an effect in health education using SGD method and lecture method towards DHF vector larva free proportion in household. Health education using SGD method is more effective than lecture method to increase DHF vector larva free proportion in household.]]>
<![CDATA[The Consumption of Traditional Medicine by Type 2 Diabetes Mellitus Patients at the Public Health Center of Panjatan in the Regency of Kulon Progo as a Case Study ]]>
<![CDATA[Enuk Endah Sunarto]]>;
<![CDATA[Mora Claramita]]>;
<![CDATA[M Robikhul Ikhsan]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 1 (2019): January ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
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DOI: 10.22146/rpcpe.44472
<![CDATA[Background: The consumption of traditional medicine is very much done in the society including by type 2 diabetes mellitus patients.Purpose: This study is purposed to understand the reasons of type 2 diabetes mellitus patients at the Public Health Center of Panjatan in the Regency of Kulon Progo in consuming traditional medicine and their knowledge about type 2 diabetes mellitus.Method: This study is a qualitative research with case study approach. The data is obtained through focus group discussion involved 56 type 2 diabetes mellitus patients. The data is analyzed by qualitative analysis techniques from Miles and Huberman.Results: The reasons of type 2 diabetes mellitus patients in consuming traditional medicine, i.e. (1) they are following friends or relatives who has consumed traditional medicine that is considered successful, or (2) they are not believing in the medical doctor's treatment. The economic and distance factors are not their consideration. The type 2 diabetes mellitus patients who have consumed traditional medicine but have now stopped have the following reasons: (1) they are asked to stop in consuming traditional medicine by medical doctors; (2) they said that it is not practical how to mix traditional medicine so that they become lazy to consume traditional medicine; or (3) the mixing of traditional medicine is easily depleted. In addition, from this study also known that some type 2 diabetes mellitus patients understand very well about type 2 diabetes mellitus disease suffered, some others do not have enough knowledge about type 2 diabetes mellitus.Conclusion: The type 2 diabetes mellitus patients in consuming traditional medicine are due to various factors, i.e. the trust of medical doctors, following friends or relatives as well as sufficient knowledge about the effects of traditional medicine. This study also founded that generally all type 2 diabetes mellitus patients understand the disease they suffered well.]]>
<![CDATA[Case Report: Poor Nutrition on the Patient's Cerebral Palsy ]]>
<![CDATA[Putu Aryani]]>;
<![CDATA[I Nengah Gandi Karyadi]]>;
<![CDATA[Dyah Kanyawati]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 1 (2019): January ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
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DOI: 10.22146/rpcpe.44473
<![CDATA[A 3-year-old boy was taken to a health center in the Karangasem regency, Bali, by his parents with complaints from the previous two weeks that the child could not sleep well, grew fussy because of the relapse of the seizure. Parents also complain that their children don't want to eat so him get thinner. Patient have been recorded since a year before suffering from malnutrition associated with their disability, namely cerebral palsy (CP). The patient has been diagnosed with CP since birth, where the patient was born twin, with very low birth weight (under 2500 grams), but his twin brother died when birth. Since the birth, the patient has been monitored by the puskesmas Nutrition Program Holder with weight has never increased.........]]>
<![CDATA[Effects of Social and Self Stigma on Adolescent Tuberculosis Patients ]]>
<![CDATA[Nungki Arininta]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 1 (2019): January ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
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DOI: 10.22146/rpcpe.44474
<![CDATA[Patient N is 12 years old, suffering from positive AFB pulmonary TB/Tuberculosis (there are 3 microbes in 100 fields of view). This patient has the potential to transmit the disease to others because N does not want to use masks during the intensive phase of TB treatment. This is because the patient is embarrassed and afraid to be excluded fromherfriends. At present, the patient is a freshman in junior high school.The patient lives with both her parents and brother. Her parents worked at odd jobs. Her younger brother is 10 years old. The last education of N's parents were junior high school graduates. This family lives in a house about 100 m2 in size. Some of the cement floors are partly ceramic and brick walls. The condition of the home environment is very windy, so some windows are covered with boards. N sleep in rooms that do not have windows and no glass tiles, so sunlight cannot enter the N's room. The condition of the house is quite clean, but in some rooms, it seems dark, windowless and not exposed to sunlight.]]>
<![CDATA[Advanced Life Support in Obstetrics ]]>
<![CDATA[Lisa Soldat]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 2 (2019): May ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
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DOI: 10.22146/rpcpe.46011
<![CDATA[Multiple barriers to high quality maternity care have been identified in Indonesia. One barrier is the shortage of well-trained maternity care providers, particularly in remote and rural areas. Maternity care training programs do not consistently prepare their graduates to provide high quality care. Poor pre-service training may then be compounded by a lack of post-service supervision and inadequate multispecialty teamwork. Maternity care continuing education is an important means to reinforce and improve the skills needed to provide high quality maternity care. Programs that have been developed for low- to middle-income countries focus on providing culturally appropriate information to improve competency, communication and teamwork. Improvement in quality of care has been documented, showing a decrease in maternal morbidity and mortality. This trend is reflected in improvements in patient satisfaction and trust, and ultimately supports the tenets of patient-centered care.]]>
<![CDATA[Physical Activity as a “Cheapest Health Tax Payment” Toward Better Health for All ]]>
<![CDATA[Ernawati Ernawati]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 2 (2019): May ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
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DOI: 10.22146/rpcpe.46014
<![CDATA[Indonesia currently faces many health-related problems, both in terms of increased morbidity and mortality due to infectious and non-communicable diseases, which stem from increasing unhealthy behaviors. The progress of science and technology is still not able to overcome this dilemma. Another problem is that actual health financing is already very good for helping communities with the existence of National Health Insurance. But over time it turned out that many obstacles appeared that could disrupt its sustainability. This becomes a serious problem that must be well thought out for the community so that people are not harmed. All of these problems arise as a result of the majority of people who have not been actively involved in prevention activities. Most of our society has behaviors that do not support health, but they engage in inactivity that is actually detrimental to health.]]>
<![CDATA[Prolanis Influence on Decreasing Blood Pressure of Hypertension Patients in Puskesmas Pandak II Bantul 2017 ]]>
<![CDATA[Florentina Sita Murti]]>;
<![CDATA[Hari Kusnanto Josef]]>;
<![CDATA[Wahyudi Istiono]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 2 (2019): May ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
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DOI: 10.22146/rpcpe.46016
<![CDATA[Background: People with hypertension over age 25 years reached 40% in 2008 according to the World Health Organization and 75% occurred in developing countries. Hypertension management must be focused on first-rate health care which could reduce death-risk, disabilities, and the cost burden. Badan Pengelola Jaminan Social obliges every first-rate health care to have to apply Program Pengelolaan Penyakit Kronis (Prolanis).Objectives: This study aims to determine the difference of decreased blood pressure in Prolanis and Non-Prolanis groups in Puskesmas Pandak II.Methods: This quantitative research with cohort retrospective design used secondary data of hypertension patients who are following Prolanis compared with those who are not in Puskesmas Pandak II. Data covered characteristics of patients, blood pressure, and Body-Mass Index (BMI) over one year. The analysis used repeated measures ANOVA. Results: The comparison with the treatment group showed significant differences in blood pressure variable, diastolic pressure variable, and BMI, interaction and measureable differences during the study period in all three variables. There was an uptrend in the Non-Prolanis group and a downtrend in the Prolanis group.Conclusions: Decreased blood pressure of patients with hypertension is better in Prolanis than Non-Prolanis groups.]]>
