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Hamid Mukhlis
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Majalah Kesehatan Indonesia
Published by Utan Kayu Institute
ISSN : 27456498     EISSN : 27458008     DOI : https://doi.org/10.47679/makein
Core Subject : Humanities, Health,
Humanities Health Professions Medicine & Pharmacology Nursing Public Health
Majalah Kesehatan Indonesia (MAKEIN) with registered ISSN 2745-6498 (Print) and ISSN 2745-8008 (online), is an interdisciplinary journal that publishes material on all aspects of public health science. This MAKEIN provides the ideal platform for the discussion of more sophisticated public health research and practice for authors and readers worldwide. The priorities are originality and excellence. The journal welcomes high-impact articles on emerging public health science that covers (but not limited) to nursing and midwifery, epidemiology, biostatistics, nutrition, family health, infectious diseases, health services research, gerontology, child health, adolescent health, behavioral medicine, rural health, chronic diseases, health promotion, evaluation and intervention, public health policy and management, health economics, occupational health and environmental health.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 122 Documents
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Exploring Training Needs to Improve Tuberculosis Notification in the Private Healthcare Sector: A Qualitative Study Suryanti Chan; Hamzah Hamzah; Saiful Batubara; Susanti Susanti
Majalah Kesehatan Indonesia Vol. 7 No. 4 (2026)
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2026363

Abstract

Tuberculosis (TB) under-notification remains a challenge in pluralistic healthcare systems, where cases managed in private healthcare settings may not be captured in national surveillance systems. This study explored the training needs of physicians working in private healthcare settings to improve TB notification practices. A qualitative exploratory study was conducted among 10 physicians working in private clinics and independent practices in Batam, Indonesia. Participants were purposively selected based on experience managing TB cases. Semi-structured interviews were conducted between May and July 2026, audio-recorded, transcribed verbatim, and analyzed using thematic analysis. TB notification practices were shaped by interactions between provider competence, clinical workflow constraints, and the reporting environment. Although participants were aware of notification requirements, competing clinical responsibilities, limited workflow integration, and perceived reporting-system complexity constrained routine notification. Participants identified needs for practical competencies, including step-by-step guidance and hands-on practice, together with flexible educational delivery and continued implementation support. They also emphasized that system- and organizational-level barriers could not be addressed through training alone. Improving TB notification may therefore require practical, context-sensitive training integrated with ongoing support and enabling workflow and reporting conditions. Abstrak: Tuberkulosis (TB) yang tidak dilaporkan masih menjadi tantangan dalam sistem pelayanan kesehatan pluralistik, di mana kasus yang ditangani di fasilitas kesehatan swasta mungkin tidak tercatat dalam sistem surveilans nasional. Penelitian ini bertujuan mengeksplorasi kebutuhan pelatihan dokter di fasilitas kesehatan swasta untuk meningkatkan praktik notifikasi TB. Penelitian kualitatif eksploratif dilakukan terhadap 10 dokter yang bekerja di klinik swasta dan praktik mandiri di Batam, Indonesia. Peserta dipilih secara purposif berdasarkan pengalaman menangani kasus TB. Wawancara semi-terstruktur dilakukan antara Mei dan Juli 2026, direkam, ditranskripsikan secara verbatim, dan dianalisis menggunakan analisis tematik. Praktik notifikasi TB dipengaruhi oleh interaksi antara kompetensi penyedia layanan, kendala alur kerja klinis, dan lingkungan pelaporan. Meskipun peserta memahami persyaratan notifikasi, tanggung jawab klinis, keterbatasan integrasi notifikasi dalam alur kerja, dan kompleksitas sistem pelaporan yang dirasakan menjadi hambatan dalam pelaksanaan notifikasi rutin. Peserta mengidentifikasi kebutuhan akan kompetensi praktis, termasuk panduan langkah demi langkah dan praktik langsung, serta metode pelatihan fleksibel dan dukungan implementasi berkelanjutan. Peserta juga menekankan bahwa hambatan sistem dan organisasi tidak dapat diatasi melalui pelatihan saja. Peningkatan notifikasi TB memerlukan pelatihan praktis dan sesuai konteks yang terintegrasi dengan dukungan berkelanjutan serta kondisi alur kerja dan sistem pelaporan yang mendukung.
Simple Clinical and Behavioral Markers for Early Identification of Development Risk in Preschool Children in Primary Healthcare Settings Juni Sofiana; Wulan Rahmadhani; Eka Novyriana; Lutfia Uli Na'mah
Majalah Kesehatan Indonesia Vol. 7 No. 4 (2026)
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2026385

Abstract

Background: The preschool period is a critical window for child growth and development, yet in Indonesia early detection of developmental disturbance in primary care remains suboptimal and tends to focus narrowly on physical growth parameters, while behavioral dimensions of development receive comparatively little attention. Purpose: This study aimed to examine simple clinical and behavioral indicators as combined markers for the early identification of developmental risk among preschool children in a primary healthcare setting. Method: An analytical observational study with a cross-sectional design was conducted among 110 preschool children aged 3–5 years, recruited through purposive sampling from the catchment area of a primary health care facility. Developmental risk was assessed using the Pre-Screening Developmental Questionnaire (KPSP). Clinical indicators (weight-for-age, height-for-age, mid-upper arm circumference) and behavioral indicators (dietary pattern, physical activity, parental stimulation, and social interaction) were measured and analyzed using chi-square tests and multiple logistic regression. Result: Of the 110 children studied, 42 (38.2%) were classified as at risk of developmental disturbance. Bivariate analysis showed that all three clinical indicators and dietary pattern were significantly associated with developmental risk (p<0.001), whereas physical activity, parental stimulation, and social interaction were not (p>0.05). Multivariate analysis confirmed four independent predictors: height-for-age (AOR=4.15), weight-for-age (AOR=3.98), dietary pattern (AOR=3.94), and mid-upper arm circumference (AOR=3.90), together explaining 25% of the variance in developmental risk (Nagelkerke R²=0.25). Conclusion: Simple anthropometric measurement combined with a basic dietary-pattern assessment can meaningfully identify preschool children at higher risk of developmental disturbance, supporting the integration of nutritional and developmental screening into a single, low-cost framework for routine use in Posyandu and Puskesmas. Abstrak: Latar Belakang Masa prasekolah merupakan periode kritis bagi pertumbuhan dan perkembangan anak. Namun, di Indonesia, deteksi dini gangguan perkembangan di pelayanan kesehatan primer masih belum optimal dan cenderung berfokus pada parameter pertumbuhan fisik, sementara dimensi perilaku dalam perkembangan anak relatif kurang mendapatkan perhatian. Tujuan Penelitian ini bertujuan untuk menganalisis indikator klinis dan perilaku sederhana sebagai penanda gabungan untuk mengidentifikasi secara dini risiko gangguan perkembangan pada anak usia prasekolah di pelayanan kesehatan primer. Metode: Penelitian observasional analitik dengan desain cross-sectional dilakukan pada 110 anak usia prasekolah berusia 3–5 tahun yang direkrut menggunakan teknik purposive sampling dari wilayah kerja suatu fasilitas pelayanan kesehatan primer. Risiko gangguan perkembangan dinilai menggunakan Kuesioner Pra-Skrining Perkembangan (KPSP). Indikator klinis yang meliputi berat badan menurut umur, tinggi badan menurut umur, dan lingkar lengan atas, serta indikator perilaku yang meliputi pola makan, aktivitas fisik, stimulasi orang tua, dan interaksi sosial diukur dan dianalisis menggunakan uji chi-square dan regresi logistik berganda. Hasil: Dari 110 anak yang diteliti, sebanyak 42 anak (38,2%) diklasifikasikan berisiko mengalami gangguan perkembangan. Analisis bivariat menunjukkan bahwa ketiga indikator klinis dan pola makan memiliki hubungan yang signifikan dengan risiko gangguan perkembangan (p<0,001), sedangkan aktivitas fisik, stimulasi orang tua, dan interaksi sosial tidak menunjukkan hubungan yang signifikan (p>0,05). Analisis multivariat mengonfirmasi empat prediktor independen, yaitu tinggi badan menurut umur (AOR=4,15), berat badan menurut umur (AOR=3,98), pola makan (AOR=3,94), dan lingkar lengan atas (AOR=3,90). Keempat variabel tersebut secara bersama-sama menjelaskan 25% variasi risiko gangguan perkembangan (Nagelkerke R²=0,25). Kesimpulan: Pengukuran antropometri sederhana yang dikombinasikan dengan penilaian dasar pola makan dapat secara bermakna mengidentifikasi anak usia prasekolah yang memiliki risiko lebih tinggi mengalami gangguan perkembangan. Temuan ini mendukung integrasi skrining status gizi dan perkembangan ke dalam satu kerangka yang sederhana dan berbiaya rendah untuk digunakan secara rutin di Posyandu dan Puskesmas.

Page 13 of 13 | Total Record : 122

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