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Media Kesehatan Masyarakat Indonesia

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Published by Universitas Hasanuddin

ISSN : 02162482 EISSN : 23564067 DOI : https://doi.org/10.30597/mkmi.v18i1

Core Subject : Health,

Public Health

Media Kesehatan Masyarakat Indonesia accepts scientific papers in the form of research reports (original research papers) with a focus on the development of public health issues problems in Indonesia, including the developments and main problems in the field of epidemiology; Health Promotion; Environmental Health, Occupational Health, and Safety, Health Administration and Policy, Biostatistics, Reproductive Health, Hospital Management, Nutrition Science, Health Information Systems in Regional of Indonesia.

Arjuna Subject : Profesi Kesehatan - Menejmen Informasi Kesehatan

Articles 12 Documents

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Search results for , issue "Vol. 16 No. 4: DESEMBER 2020" : 12 Documents clear

The Utilization of Postnatal Care in South Sulawesi (Data Analysis of the Indonesia Demographic and Health Survey 2017) Apik Indarty Moedjiono; Muhammad Rachmat; Akmal
Media Kesehatan Masyarakat Indonesia Vol. 16 No. 4: DESEMBER 2020
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

The main problem that is still faced with maternal health in Indonesia isthe high Maternal Mortality Rate (MMR). It is estimated that 60% ofmaternal deaths in Indonesia occur after postpartum, and nearly 50% ofdeaths during childbirth occur within the first 24 hours after delivery.Some causes of maternal death, such as postpartum complications andpostpartum bleeding, can be prevented through the puerperal careprogram. The study aims to determine the factors associated with apostpartum examination in South Sulawesi Province. This study usescross-sectional study design in 393 couple’s age 15-49 years by usingdata from IDHS 2017. The hypothesis was tested with a chi-square test(p<0.05). The results obtained by variables related to the utilization ofchildbirth services in South Sulawesi are education (p=0.000), birth order(p=0.026), place of childbirth (p=0.000), wealth quintiles (p=0.000),distance to health facilities (p=0.020), and complication during delivery(p=0.000). Variables not related to postpartum service use are age(p=0.507), occupation (p=0.232), and ANC visit (p=0.077). A compre-hensive effort is needed by involving various media and elements ofsociety to encourage mothers to use health care, especially after post-partum.

Antenatal Yoga and Murottal Al-Quran Therapy Decreasing Anxiety and Blood Pressure of Preeclampsia Risk Women Mamlukah Mamlukah; Isti Kumalasari; Rizky Setiadi
Media Kesehatan Masyarakat Indonesia Vol. 16 No. 4: DESEMBER 2020
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Pregnant women experience significant changes in physiological andpsychological functions. The process of adjusting to this new condition oftencauses anxiety. One of the pregnancy complications that is affected by anxiety ispreeclampsia. The purpose of this study was to identify the effects of antenatalyoga and murottal Al-Quran therapy on pregnant women at risk of preeclampsia.This study was conducted in primary health care in Majalengka, Indonesia, usingtrue experiment (pretest-posttest control group) design as many 40 respondentsdivided into 4 groups, Antenatal Yoga (AY), the Murottal Al-Qur’an Therapy(MAT), combination of yoga and murottal al-Quran, and control group.Respondents were taken by cluster and simple random sampling. The anxiety,blood pressure, sFlt-1, and PIGF levels of all respondents were measured after 12interventions. Data were analyzed with Kruskall-Wallis and One-way Anova tests.The antenatal yoga, murottal Al-Qur'an therapy, and its combination significantlydecrease anxiety (p=0.007), systole (p=0.006), and diastole (p=0.001) in pregnantwomen with the risk of preeclampsia. There were no significant differences ofsFlt-1 (p=0.286), PIGF (p=680) and ratio of sFlt-1/PIGF (p=969) among groups.The antenatal yoga, Murottal Al-Qur'an therapy, and it's combination effectdecreasing anxiety and blood pressure in pregnant women with the risk ofpreeclampsia in Majalengka.

The Study of Correlation Between Heavy Metal Levels in Environment and Autism Case in Samarinda and Bantul Andi Sofyan Hasdam; Hasim; Ahmad Sulaeman; Moh. Hasan Machfoed
Media Kesehatan Masyarakat Indonesia Vol. 16 No. 4: DESEMBER 2020
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Autism is a disorder of pervasive development in children, which until now,the exact cause is unknown. The strongest allegations are genetic andenvironmental factors, especially heavy metals. This study aims to look therelationship between the occurrence of heavy metals pollution with theautism cases in Samarinda and Bantul. This study was carried out bymeasuring the levels of heavy metals in fish, vegetables, water and soil andalso hair of 30 autistic children and 10 control children in Samarinda and 30autism 4 control in Bantul.All samples were measured their heavy metalcontent (As, Hg, Cd, Pb) at The Central Nuclear Applied Science andTechnology Laboratory in Bandung. The result compares with the standardvalue and were found that the samples was exceeding the heavy metals valuein Samarinda is Arsenic in fish, lead in fish. While in Bantul, Mercury in fish,mercury in vegetable and lead in vegetable. In the hair samples result, thelevel of arsenic, mercury and lead were higher in autism children comparedto controls in Samarinda, while in Bantul only mercury and lead levels arehigher in hair of autism children than controls. Cadmium levelswere nodifference between autistic and control hair both in Samarinda and Bantul.

The Determinants of Healthcare Cost for Glaucoma Patients in Cicendo Eye Hospital, Bandung, Indonesia Rahmah Nur Rizki; Estro Dariatno Sihaloho
Media Kesehatan Masyarakat Indonesia Vol. 16 No. 4: DESEMBER 2020
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Glaucoma is the second foremost cause of impaired vision. People whosuffered from Glaucoma face the independent expenditure for thetreatment as blind people with Glaucoma could not be cured perfectly.This study intends to analyze the effect of age, types of patient care, typesof Glaucoma, and types of payment on the total cost of care of glaucomapatients at Cicendo Eye Hospital, Bandung, Indonesia. This study uses3,358 patient medical records of Cicendo Eye Hospital, Bandung,Indonesia, in 2018. The 3,358 samples were selected from the patient’smedical record based on patients’ categories indicated or convicted ofhaving Glaucoma. Robust Linear Regression is applied in this study tomeasure the additional cost for Glaucoma treatment. The results showedthat the total cost of patient care was positively and significantly affectedby hospitalization status (p=0.000), age (p=0.000), times of treatment(p=0.000), having primary glaucoma (p=0.000), having congenitalglaucoma (p=0.000), and presence of intraocular (p=0.000). Conversely,patient care’s total cost was negatively and significantly affected usinginsurance (p=0.082). This result would be a precautionary measure forthe medical institution to consider better financial planning, servicedelivery improvement, and the patient’s payment scheme effectiveness.

Disability and Depression among Population Aged 18-59 Years in Central Sulawesi Province: Analysis of Riskesdas 2018 Ajeng Tias Endarti; Nydia Andriani; Eko Setyo Pambudi
Media Kesehatan Masyarakat Indonesia Vol. 16 No. 4: DESEMBER 2020
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

The prevalence of depression among the general population in CentralSulawesi was the highest in Indonesia (12.3%). Scholars revealed thatdisability was one of the main contributing factors of depression and in Central Sulawesi almost half of population was reported having disability (42.1%). This study was intended to identify the association of disability and depression in Central Sulawesi. Cross sectional design study was conducted with utilization of secondary data collection from Riskesdas 2018. Depression, as the main outcome, was assessed by the Mini International Neuropsychiatric Interview (MINI), meanwhile, disability was assessed by the WHODAS instrument. The relationship between these two variables was adjusted by several confounders, namely age, gender, marital status, educational status, and employment status. A 11,9% of 11,926 respondent aged 18-59 years old, was depressed and almost half of them reporting disability (42.1%) and among those who were disabled, one-fifth weredepressed. The risk of depression among respondents with disabilities was 3.25 times higher (p=0.000; 95% CI 2.9-3.6) compared to respondentswithout disability after controlled by confounders (gender, marital status,educational status, and employment status). It is recommended that routine mental health screening needs to be done at Posyandu, Posbindu and among patients at Primary Health Care. Besides, health promotion focused on physical activity in a community such as community gymnastics during theweekend.

Challenges and Solutions in Implementing a Healthy Indonesia Program with a Family Approach Eva Sulistiowati; Andy Leny Susyanty; Tetra Fajarwati; Aprildah Nur Sapardin; Made Dewi Susilawati; Rossa Avrina; Mujiati; Siti Nur Hasanah; Nova Sri Hartati; Agus Dwi Harso; Tince Jovina; Makassari Dewi; Andre Yunianto
Media Kesehatan Masyarakat Indonesia Vol. 16 No. 4: DESEMBER 2020
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

The Healthy Indonesia Program with a Family Approach (PISPK) is conducted bypuskesmas by integrating existing resources, with the family’s target. All familieswill get access to comprehensive health services. The implementation of PISPKsince 2016 has not been optimal because it has many obstacles. The analysis aimsto identify the obstacles, and to find solutions to implemented PISPK optimally.Implementation research was carried out using Participatory Action Research(PAR). The team (researcher and subject) implemented PISPK together based onstages that integrated into puskesmas management, at 4 puskesmas in SouthLampung. Researchers assisted and recorded data collected qualitatively (self-assessment, in-depth interviews, Focus Group Discussion), and quantitatively.There are any obstacles occurred in the implementation of PISPK such as theabsence of regulations and cross-sectoral supports; lack of knowledge andsupport from village officials, community leaders, and the public; limitedresources; lack of understanding of the substantive; application; lack of dataanalysis capabilities. These obstac-les can be minimized by making somebreakthroughs, such as advocacy and issuance of local government regulations onPISPK involving cross-sectors; increase socialization; periodic coordination,monitoring, and evaluation; making innovations (On Job Training, collaborationwith universities and health volunteer, Healthy Family Coverage Pocket Book,developing data analysis methods). The implementation of PISPK has manyobstacles that can be minimized by optimizing existing potentials and supportfrom stakeholders. Puskesmas need to increase socialization; team organizing;data analysis; coordination, and routine monitoring evaluation. Pusdatin needs toimprove KS applications to be more user-friendly.

Community Responses toward COVID-19 Pandemic: An Online Survey Study Abd. Gani Baeda; Muhdar Muhdar; Grace Tedy Tulak; Rosani Naim; Rosmiati Rosmiati; Heriviyatno Julika Siagian
Media Kesehatan Masyarakat Indonesia Vol. 16 No. 4: DESEMBER 2020
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

COVID-19 has become a frightening pandemic and has spread throughout theworld with an unprecedentedly high death rate. Community compliance withgovernment appeals must be accompanied by knowledge, attitudes, and practicesin dealing with this epidemic. This study aims to investigate the Knowledge,Attitude, and Practice of Kolaka residents against the COVID-19 outbreak. Thisresearch is descriptive-analytic with a Cross-Sectional approach. The sample usedin this study were 1,010 respondents aged 17 to 65 years, having gmail and y-mail accounts, mastering the internet became the criteria for respondentinclusion in this study. The questionnaire used was the adoption of previousstudies and modified according to conditions. Data were analyzed bivariate usingthe Chi-Square test with standard p-value<0.05. The results obtained showed thatthe Kolaka community had good knowledge (49.6%), a confident attitude ofcontrolling the plague (70.4%), and had a high level of vigilance (79.6%) towardsCOVID-19. There is a relationship between knowledge with practice p-value=0.000, while attitude has no relationship with practice with p-value=0.862.The massive dissemination of information through existing media has greatlyhelped the community increase their knowledge of COVID-19, which will furthersupport the formation of a confident attitude to control this disease and increasevigilance in their daily life practices during this pandemic.

Outpatient Care Utilization among Elderly in South Sumatra Based on National Social-Economic Survey Data Misnaniarti Misnaniarti; Fenny Etrawati
Media Kesehatan Masyarakat Indonesia Vol. 16 No. 4: DESEMBER 2020
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Implementation of National Health Insurance is thought to be the cause ofincreasing number of visits to health facilities, especially in elderly peoplewho tend to be in sick. This study aims to analyze the outpatient utilizationby elderly in South Sumatera region. Study design was cross-sectional.Samples was elderly in South Sumatra (n = 2,833 people). Study done on2016, using data from Survei Sosial Ekonomi Nasional (Susenas) at 2015. Dataanalysis used chi-square test and multiple logistic regression. Based on thestudy known that outpatient utilization of elderly in all health facilitiesduring the past month amounted to 29.2%. Providers selected when elderlyneeded of outpatient treatment, most often visited to the doctor'spractice/midwife's practice (46.2%), and puskesmas (24.2%). Elderly whohas private health insurance have a tendency was 1.9 times greater (OR=1.9)to utilize outpatient compared to elderly who do not have insurance. Itsconcluded that variables associated with outpatient care utilization are:health insurance membership (OR=1.9) and work activity (OR=1.5). It isrecommended for elderly to remain active in their activities so that they canrealize the healthy and active aging and reduce the sick visits to healthfacilities.

Spasial Analysis of Pulmonary Tuberculosis Transmission Based on Social, Economic, Cultural Interactions in the Slum Areas the City of Makassar Andi Rizki Amelia; Haeruddin; Andi Surahman Batara; Idhar Darlis
Media Kesehatan Masyarakat Indonesia Vol. 16 No. 4: DESEMBER 2020
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

The highest number of Tuberculosis (TB) cases was in Southeast Asia with a percentage of 45%, followed by Africa 25%, West Pacific 17%, Middle East 7%, Europe 3% and American Countries 3%, while for the 5th rank, the highest Tuberculosis sufferers (56% world TB cases) are India, Indonesia, China, the Philippines and Pakistan. The purpose of this study was to observe the spread ofpulmonary tuberculosis through spatial analysis by observing the aspects of social, economic and cultural interactions in the slum areas of Makassar City. Currently, the analysis of the distribution of tuberculosis cases in Makassar City isstill in the form of aggregation, not in the form of mapping. This requiresidentification in the form of spatial analysis. This type of research is qualitative research with the in-depth interview method. The informants in the study were tuberculosis patients and were determined by Snowball Sampling. The results showed that pulmonary tuberculosis transmission based on spatial analysis in slum settlements showed that houses that were close to each other and hadsettlements that tended to be clustered had a greater risk of case transmission. Based on spatial analysis, there is diffusion of pulmonary TB cases in these residential areas. The diffusion pattern that occurs explains the addition of new cases over time. The diffusion pattern that occurs is a contagious diffusion type. Contagious Diffusion is an infection that spreads through direct contact of an individual infected with an infectious disease. Distance greatly affects the process of infectious disease transmission, so that if a person is close to the source of the infection, he will have a much greater probability of being infected when compared to individuals or areas far from the source of the disease.

Analysis of Real Costs and INA-CBG of Hyperthyroidism in Hasanuddin University Hospital Siti Saharah Abdullah; Amelia Lorensia; Suyanto
Media Kesehatan Masyarakat Indonesia Vol. 16 No. 4: DESEMBER 2020
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Hyperthyroid disease requires continuous treatment with not cheap medicalcosts. For JKN participants, the cost of treating hyperthyroidism has been fullycovered by BPJS through the INA-CBG package. However, there is often amismatch between the INA-CBG package and the real hospital costs thus causinglosses for the hospital. This research is a comparative study with a hospitalperspective and the purpose of this study is analyze difference between directmedical cost of hospitals and INA-CBG package for the treatment of JKNoutpatient hyperthyroidism patient in Hasanuddin University Hospital (RSUH)Makassar using data from January 2017 to December 2018. Data collection wascarried out by retrospective observational and data analysis using statistical non-parametric tests. The results showed that INA-CBG package cannot cover allcomponents of the costs of treating hyperthyroid disease. The laboratory cost hasa proportion of 83% of the total medical cost, which is an average of IDR465.683,70 every patient. Meanwhile, the INA-CBG rate with code Q-5-44-0 onlycovers medical expenses of IDR 185.500 every patient. The conclusion of thisstudy shows that there is a negative difference (-) between the real cost of thehospital and the INA-CBG rate, which is IDR 34.406.900,00 and an average of IDR373.988.04 every patient. The recommendation is related to adjustment of theINA-CBG rate to cover the riil costs.

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Ida Leida Maria

Contact Email
jurnal.mkmi@gmail.com

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+628114440454

Journal Mail Official
journal.mkmi@unhas.ac.id

Editorial Address
Jl. Perintis Kemerdekaan Km.10, Fakultas Kesehatan Masyarakat, Universitas Hasanuddin, Tamalanrea, Makassar, Sulawesi Selatan

Location
Kota makassar,

Sulawesi selatan

INDONESIA

Abstract

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Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Ida Leida Maria

Contact Email jurnal.mkmi@gmail.com

Phone +628114440454

Journal Mail Official journal.mkmi@unhas.ac.id

Editorial Address Jl. Perintis Kemerdekaan Km.10, Fakultas Kesehatan Masyarakat, Universitas Hasanuddin, Tamalanrea, Makassar, Sulawesi Selatan

Location Kota makassar, Sulawesi selatan INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Ida Leida Maria

Contact Email
jurnal.mkmi@gmail.com

Phone
+628114440454

Journal Mail Official
journal.mkmi@unhas.ac.id

Editorial Address
Jl. Perintis Kemerdekaan Km.10, Fakultas Kesehatan Masyarakat, Universitas Hasanuddin, Tamalanrea, Makassar, Sulawesi Selatan

Location
Kota makassar,

Sulawesi selatan

INDONESIA