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Public Health and Preventive Medicine Archive
Published by Universitas Udayana
ISSN : 23031816     EISSN : 25032356     DOI : https://doi.org/10.53638/
Core Subject : Health,
Public Health
ublic Health and Preventive Medicine Archive (PHPMA) is an open access, peer reviewed journal published by Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University. Issues covered in the journal are as the following: Environmental and occupational health Field and Clinical Epidemiology Global health Health policy analysis Health promotion Health systems and health care management Maternal and child health Program monitoring and evaluation Public health nutrition Reproductive health, sexually transmitted infections and HIV related issues Travel health and health tourism Population and family planning Disaster management
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 13 Documents
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Search results for , issue "Vol. 8 No. 1 (2020)" : 13 Documents clear
Analysis of Public Health Centre Financing using the District Health Account (DHA) Model in Karangasem District, Bali, Indonesia Ni Nengah Murniati; Putu Ayu Indrayathi; Pande Putu Januraga
Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (550.26 KB) | DOI: 10.53638/phpma.2020.v8.i1.p11

Abstract

Background and purpose: Health financing aspects of the public health centres (PHC) may influence the achievement of PHC’s programs and its minimum service standards (SPM). The District Health Account (DHA) is a model used to describe and evaluate health financing at the PHC level. The purpose of this study was to analyze health financing mechanism from both the government and national health insurance in the Karangasem District using the DHA Model. Methods: This study was an evaluation research with a case study approach using the DHA Model. Evaluations were carried out at two PHC, Manggis II PHC and Abang I PHC, between March and April 2018. Data were collected from the Karangasem District Health Office and the PHCs. These include PHC realization data, report on program achievements and SPM. The research instrument used for the data collection and analysis was the DHA extraction form and pivot table which includes information on cost sources, financing managers, service providers, functions, programs, types of activities, budget lines, levels of activities and beneficiaries. Results: We found the source of budget in both PHC was dominated by the district budget (APBD) and the national budget (APBN). The institutions which manage the budget and provide service were predominantly the Health Office and PHC. The most frequent financing functions was for governance and administration, while the largest types of activities covered was the indirect activities. Budget spending for operational costs was higher than for maintenance and investment. Realization of the activity for community program efforts (UKM) and prevention program (UKP) was lower than for the capacity building program. Conclusion: The DHA model was able to identify patterns of health budget allocation by health agencies. The use of the DHA model to analyze health financing should be adopted routinely in order to provide evaluation reports for health agencies at the district level.
Analysis of Public Health Centre Financing using the District Health Account (DHA) Model in Karangasem District, Bali, Indonesia Liena Sofiana; Gunadi Ardana; Suci Musvita Ayu
Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (665.364 KB) | DOI: 10.53638/phpma.2020.v8.i1.p12

Abstract

Background and purpose: Nosocomial infections can cause a significant number of deaths every day worldwide. Failure to perform good and proper hand hygiene is considered a major cause of infections related to health care. Health workers who are the most vulnerable in transmitting infections are nurses, because they are accompanying patients for 24 hours. This study aims to explore the relationship between knowledge, attitudes and motivation with the level of nurses’ compliance in hand hygiene practices in Class III inpatient wards of Pembina Kesejahteraan Umat (PKU) Muhammadiyah Hospital, Gamping, Yogyakarta. Methods: This was a cross-sectional observational analytic study. The study involved all 41 nurses working in Class III inpatient wards at PKU Muhammadiyah Gamping Hospital. The instruments for data collection was a questionnaire and an observation sheet. Data was analysed with statistical software comprised of univariate and bivariate analysis with Chi-square test and Fisher’s Exact test. Results: The results indicate the prevalence of nurses’ hand hygiene compliance was 70.7%. Factor that significantly associated with hand hygiene compliance was knowledge (p=0.001), while attitudes (p=0.577) and motivation (p=0.771) were not correlated significantly. Conclusion: Good knowledge increases the hand hygiene behavior among nurses in Class III inpatient wards of PKU Muhammadiyah Gamping Hospital. It is necessary to improve awareness through providing training on nurse compliance with the prevention and control of nosocomial infections, especially regarding proper steps and timing of hand hygiene practices.
Correlation between physical characteristics of the indoor environment toward the concentration of fungi in the inpatient rooms of dr. Soebandi Regional Hospital Jember, East Java Salsabilla Maula Zalfa El Hamzah; Astuti Setyawardani; I Nyoman Semita; Dini Agustina
Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (619.401 KB) | DOI: 10.53638/phpma.2020.v8.i1.p13

Abstract

Background and purpose: Air quality is an important determinant of a healthy life. One indicator of air pollutants in the room is fungi, which in hospital setting may cause nosocomial infection. This research aims to find out a correlation between physical characteristics of the indoor environment toward the concentration of fungi in the inpatient rooms of dr. Soebandi Regional Hospital Jember, East Java. Methods: This research uses a cross-sectional method with a total of four inpatient rooms. We measured physical room characteristicsincluding room temperature, humidity, light intensity, and room density. The concentration of fungi was measured by collecting air sample using passive air sampling method with a potato dextrose agar as the media to optimize the fungal growth. The data was processed with Saphiro-Wilk and Pearson correlation analysis using SPSS 25.0. Results: The ranges of room temperature and humidity were 29.6- 32.2°C and 41-59%, respectively; while the light intensity and roomdensity were 10-30 and 1.88-2.38 person/10 m2. The bivariate analysis showed a correlation between two components of physical characteristic of the indoor environment, room temperature and room density, with the concentration of fungi. Conclusion: There is a correlation between room temperature and room density with the concentration of fungi in the inpatient rooms of dr. Soebandi Regional Hospital Jember. The management of hospitals should take measures to improve the air quality within inpatient rooms.

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