cover
Contact Name
Putu Ayu Swandewi Astuti
Contact Email
editor@phpmarchive.org
Phone
+62361-4744646.
Journal Mail Official
editor@phpmarchive.org
Editorial Address
Department of Public Health and Preventive Medicine, Udayana University, Bali-Indonesia Phone: +62 361 4744646 Fax: +62 361 4744646 Email: editor@phpmarchive.org
Location
Kota denpasar,
Bali
INDONESIA
Public Health and Preventive Medicine Archive
Published by Universitas Udayana
ISSN : 23031816     EISSN : 25032356     DOI : https://doi.org/10.53638/
Core Subject : 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
Articles 12 Documents
Search results for , issue "Vol. 8 No. 2 (2020)" : 12 Documents clear
Delphi Approach to explore ways to optimize case manager services in inpatient wards of Sanglah General Hospital Sayu Kade Alit Sagitariani; Pande Putu Januraga; I Ketut Surya Negara
Public Health and Preventive Medicine Archive Vol. 8 No. 2 (2020)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (873.183 KB) | DOI: 10.53638/phpma.2020.v8.i2.p11

Abstract

Background and purpose: Case manager services in inpatientrooms have gained popularity in many hospitals in Indonesia,however there are challenges in its implementation. This study aims to explore ways to optimize the characteristics of the case manager, case management practice and outcome of the case manager in cases in inpatient wards based on the Sanglah Hospital standards. Methods: The study utilized a two-stage Delphi study design,started with a qualitative data collection and followed by aquantitative survey. Data collection was done in May-June 2020 based on the concept of case manager characteristics, practice and outcomes. The qualitative data collection through in-depth interviews involved 9 key informants. It aimed to explore case manager services based on qualifications, competencies, ethical standards, workload, hierarchy and guidelines, implementation of case management and indicators of effectiveness of case management at Sanglah General Hospital. The results of the indepth interviews with thematic analysis informed the Delphi survey instrument development. The Delphi survey aimed to generate agreement on the characteristic of the case manager, case management practice and outcome of the case manager among 21 expert panelists (case managers) in the inpatient wards of Sanglah Hospital. This Delphi survey was conducted in 3 rounds, the results were analyzed based on the median value and quartile deviation (QD). Results: The three rounds of the Delphi survey showed that there was an agreement regarding the qualifications of the case manager, competency development, mechanism for appointment and placement of case managers, case manager guidelines, organizational structure, job descriptions and authorities, information of the presence and role of case managers, screening indicators according to characteristics of inpatient cases, case management target measurement tools, case manager service evaluation indicators as well as the activity feedback loop. Conclusion: Optimization of the case manager service should focus on aspects of human resources, developing guidelines and work systems as well as evaluation indicators and feedback mechanism.
The relationship between inter-pregnancy interval and gestational age with labor complications at the Sele Be Solu Regional Public Hospital of Sorong City, West Papua Fegita Beatrix Pajala; Erfen Gustiawan Suwangto; Yunisa Astiarani; Astrid Fransisca Padang
Public Health and Preventive Medicine Archive Vol. 8 No. 2 (2020)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (541.678 KB) | DOI: 10.53638/phpma.2020.v8.i2.p12

Abstract

Background and purpose: Labor complications are conditionsduring or after labor that can threaten life of the mother and the baby to be born. Some factors have been associated with labor complications, including inter pregnancy interval and gestational age. This study was conducted to determine the relationship between inter pregnancy interval and gestational age with labor complications at the Sele Be Solu Regional Public Hospital of Sorong City. Methods: This study was an analytic observational study with a cross-sectional design. The samples of this study were pregnant women who gave birth at the Sele Be Solu Regional Public Hospitalof Sorong City in 2016-2018 and met the inclusion criteria. We used secondary data from the medical records retrieved in July to August 2019. We retrieved mothers’ identities (age, education, employment status), inter-pregnancy interval, gestational age and labor complications. A number of 261 samples (121 with labor complications and 140 without labor complications) were selected using convenience sampling technique. Descriptive analysis and Chi-Square test with SPSS 25.0 were performed. Results: Most of the mothers (85.8%) were in the non-high-risk age group, graduated from senior high school or above (82%), were not employed/housewives (68.6%), the majority (67.8%) of inter-pregnancy interval was in the non-high-risk group, more than half (52.5%) of gestational age was in the high-risk group and the most common type of complications (17.2%) was the premature rupture of membranes. There were significant relationship between age (p<0.001; OR=5.201; 95%CI: 2.275-11.889), inter-pregnancy interval (p<0.001; OR=2.955; 95%CI: 1.722 5.070) and gestational age (p<0.001; OR=4.606; 95%CI: 2.722-7.794) with labor complications. There were no relationship between education (p=0.166; OR=0.599; 95%CI: 0.312-1.151) and employment status (p=0.230; OR=1.428; 95%CI: 0.845-2.412) with labor complications. Conclusions: There are significant relationship between inter-pregnancy interval and gestational age with labor complications. Health offices and health workers have an essential role in minimizing the risk of labor complications by providing early detection of possible labor complications and active counseling to the community especially women of childbearing age.

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