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Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Published by Universitas Indonesia
ISSN : 19077505     EISSN : 24600601     DOI : https://doi.org/10.7454/kesmas
Core Subject : Health,
Health Professions Public Health
The focus of Kesmas is on public health as discipline and practices related to preventive and promotive measures to enhance the public health through a scientific approach applying a variety of technique. This focus includes areas and scopes such as Biostatistics, Environmental Public Health, Epidemiology, Health Policy, Health Services Research, Nutrition, Occupational Health and Industrial Hygiene, Public Health, Public Health Education and Promotion, Women Health.
Arjuna Subject : Kedokteran - Epidemilogi
Articles 18 Documents
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Search results for , issue "Vol. 15, No. 5" : 18 Documents clear
Hygiene and Sanitation Challenge for COVID-19 Prevention in Indonesia Purnama, Sang Gede; Susanna, Dewi
Kesmas Vol. 15, No. 5
Publisher : UI Scholars Hub

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Abstract

The case of COVID-19 in Indonesia continues to increase, transmitted directly and indirectly. Hygiene and sanitation approaches are needed for prevention. The purpose of this review is to review how the transmission COVID-19, the challenges of Indonesia, and the policy of COVID-19 prevention with hygiene and sanitation approaches. The results show Indonesia's challenges namely urban area density, air pollution, and smokers, low hand washing habits, low ac- cess to clean water and drinking water, open defecation behavior, limited personal protective equipment. COVID-19 control policy with the hygiene sanitation approach is carried out with 4 factors namely personal protect equipment, health education, personal hygiene, and sanitation.
COVID-19 Case Fatality Rate and Detection Ability in Indonesia Sipahutar, Tiopan; Eryando, Tris
Kesmas Vol. 15, No. 5
Publisher : UI Scholars Hub

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Abstract

The world is currently experiencing a COVID-19 pandemic. More than 5 million people have been infected with COVID-19 and more than 300 thousand have died from this virus worldwide. In Indonesia, the number of infected people has reached more than twenty thousand people and more than one thousand people have died from this virus. During the COVID-19 pandemic, Case Fatality Rate (CFR) was a very important measure for many people because death is very important to each person, including questions of when and how death will occur and whether there is any way to delay it. However, caution is needed in calculating and displaying CFR. This paper will present the uses and the weaknesses of CFR in the context of the COVID-19 pandemic in Indonesia.
Innovative Work Shift for Health Workers in the Health Service Providers in Handling COVID-19 Cases Iswanto, Acim Heri
Kesmas Vol. 15, No. 5
Publisher : UI Scholars Hub

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Abstract

Working on shifts has the risk of being exposed to health problems, such as obesity and susceptibility to infections and hypertension. However, shift work is unavoidable for workers in sectors that require non-stop operations, such as health workers in the Health Service Providers. This article presented opinion about an optimal shift rotation pattern in reducing the health risks of shift health workers while increasing the effectiveness of the treatment of coronavirus (COVID-19) cases. In general, today’s pattern of shift work for health workers is schemed in the eight-day cycle, in which employees work two days in the morning service for seven hours, two days in the evening service for seven hours, and another two days in the night service for ten hours, then followed by two days off. This pattern has the potential to cause burnout and decrease reaction time. The article identifies a new work shift pattern that can accommodate the risk of burnout while simultaneously assisting in the emergency of the corona outbreak. It emphasises the Morning-Evening-Night-Holiday work pattern as an innovative work model that should replace the old work pattern. There are seven advantages of the new work pattern: biological balance, availability of transportation, rapid recovery, reduced risk of COVID-19 transmission, increased patient satisfaction, increased self-control, and improved performance.
Challenges for Indonesia Zero Hunger Agenda in the Context of COVID-19 Pandemic Paramashanti, Bunga Astria
Kesmas Vol. 15, No. 5
Publisher : UI Scholars Hub

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Abstract

The rapid spread of COVID-19 has not only threatened the lives of the infected people but also socially and economically affected a broader community. The pandemic has also challenged the second goal of the 17 Sustainable Development Goals (SDGs) to eliminate all the forms of hunger by 2030. The most disadvantaged people may have a greater risk of having malnutrition and poor health as they cannot access a diet that is safe, nutritious, affordable, and sustainable. At this moment, saving lives by focusing on the health-care system should not be the only priority; the emphasis should be made in other essential aspects, including agri-food sector, in order not to cause any additional burden of hunger, malnutrition, and overall health.
Acceleration of Telemedicine Use for Chronic Neurological Disease Patients during COVID-19 Pandemic in Yogyakarta, Indonesia: A Case Series Study Pinzon, Rizaldy; Paramitha, Dessy; Wijaya, Vincent Ongko
Kesmas Vol. 15, No. 5
Publisher : UI Scholars Hub

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Abstract

COVID-19 preventions have cut access to routine medical care, especially for many chronic neurological disease patients. This condition has especially promoted telemedicine use in providing healthcare. This study aimed to review telemedicine use catalyzed by several regulations of the Indonesian Government and review 20 cases from Bethesda Hospital in Yogyakarta providing online consultation services. Perceptions of experience on telemedicine were collected from neurological patients at the hospital who were asked about their impressions of consultations and pharmacy medication services, and their suggestions about the new system in outpatient consultations. The regulations for telemedicine use are relevant because of these patients’ risks related to comorbidities and treatments. Of the 20 respondents involved in this study, 15 (75%) were satisfied with the service, 3 (15%) very satisfied, and 2 (10%) others neutral. Most respondents suggest improvement of reimbursement (80%) and others suggest improvement on medications (10%) and services (10%). System and hospital requirements for telemedicine services for neurological cases have been accelerated due to the pandemic. Telemedicine is a way to provide healthcare needed by patients at high risks for COVID-19 fatality related to comorbidities and treatments. Payment regulations, regulatory structures, state licensing, and credentialing across hospitals for better telemedicine experience need to be enhanced.
The Use of Cloth Face Mask during the Pandemic Period in Indonesian People Yudhastuti, Ririh
Kesmas Vol. 15, No. 5
Publisher : UI Scholars Hub

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Abstract

The use of masks protects individuals from the spread of COVID-19 and control the source of transmission through droplets, but with limited medical masks, a cloth face mask can be used as an alternative personal protection from COVID-19. This study aimed to describe the use of cloth face mask as an alternative personal protection during the pandemic. WHO recommends the use of non-medical masks both at home and in public places. The use of face masks is a WHO’s recommendation on April 6, 2020. Medical masks are categorized as medical waste, then the disposal must be appropriate to prevent COVID-19 transmission in community. Cloth face mask can be used repeatedly and washed, its use can be adjusted to face. However, using a face mask alone is not enough to provide an adequate protection level. Other steps must be taken, such as washing hands with hand soap in running water, keeping a physical distance of minimum one meter from people, especially from those showing respiratory tract symptoms (coughing, sneezing), cleaning items touched by hands of people such as door handles and handles stairs. Therefore, the use of cloth face mask must be carried out together with clean and healthy living behaviors.
A Holistic-Comprehensive Approach: Best Practices to Improve Health Policy for COVID-19 Pandemic Setyawan, Febri Endra Budi; Lestari, Retno
Kesmas Vol. 15, No. 5
Publisher : UI Scholars Hub

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Abstract

The COVID-19 pandemic affects entire communities and causes a huge impact on all life aspects which include biological, psychological, social, and spiritual well-being. Health systems and health policies are promising developments and opportunities to review progress and accelerate interventions in COVID-19 control. Studies devoted to core holistic-comprehensive issues surrounding this pandemic are limited. Therefore, this article aimed to review several best practice studies that reflect holistic-comprehensive approaches to COVID-19. A comprehensive literature review was written based on 15 articles from the data sources which are Google Scholar, Science Direct, ProQuest Health, and Medical Complete, and ProQuest Science Journals from 2010 to 2020, searched terms related to holistic, comprehensive, outbreak, pandemic, epidemics, and COVID-19. There are many evidence-based practices on safe and effective strategies to improve all aspects of well-being before, during, and after the COVID-19 pandemic. Among these promising strategies, a holistic-comprehensive approach could also be considered as a necessary action to improve health policy during the pandemic. A holistic-comprehensive approach involved providing bio-psycho-socio-spiritual care and offered a continuum of healthcare that provides promotive, preventive, curative, and rehabilitative services. A holistic-comprehensive approach to the COVID-19 pandemic requires a sustained commitment from entire communities, stakeholders, and policymakers to achieve better health outcomes for all.
Efficacy of Cloth Face Mask in Reducing COVID-19 Transmission: A Literature Review Rizki, Saraswati Anindita; Kurniawan, Andree
Kesmas Vol. 15, No. 5
Publisher : UI Scholars Hub

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Abstract

Coronavirus disease 2019 (COVID-19) has become a public health concern. Preventive measures, such as wearing personal protective equipment, must be done. On April 2020, the Center for Disease Control stated cloth face mask was recommended to be used by the public. This systematic review aimed to eva - luate the efficacy of cloth face masks in reducing COVID-19 transmission and to compare the fabric material that suits best for a cloth face mask. Journals included were from databases such as Google Scholar, PubMed, search engines, and references from other studies. The MeSH keywords, such as "cloth mask efficiency", "surgical mask", "COVID-19" and "filtration performance of common fabrics cloth mask" were used. Studies that used particle microorganisms sized ≤ 0.072 μm were included in this study. Studies showed that cloth face mask still can filter to a certain extent, however, it is inferior compared to surgical mask. Results show that the efficacy of cloth face mask depends on its fabric, and that polyester provides the best filtration efficiency. However, the pressure drop of polyester is unknown and more studies should be done.
The Impact of Large-scale Social Restrictions on the Incidence of COVID-19: A Case Study of Four Provinces in Indonesia Suraya, Izza; Nurmansyah, Mochamad Iqbal; Rachmawati, Emma; Al Aufa, Badra; Koire, Ibrahim Isa
Kesmas Vol. 15, No. 5
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Abstract

The Indonesian government has chosen to implement large-scale social restrictions (Pembatasan Sosial Berskala Besar/PSBB) to minimize the spread of COVID-19. Large-scale social restrictions is a government policy aimed at restricting the internal movement of people in a bid to reduce the spreading of SARS-CoV-2. This study aims at assessing the impact of large-scale social restriction measures on the incidence of COVID-19 cases in the four provinces of Indonesia. Time series analysis was used to describe the trends of COVID-19 case by using surveillance data from the Ministry of Health of Indonesia. Quasi- Poisson regression with an interaction model was used to estimate the incidence rate ratio (IRR). IRR was calculated to compare an incidence rate before and during PSBB implementation. The trend of COVID-19 cases in the provinces of West Java, East Java, Banten, and Jakarta continued to fluctuate. These four provinces continue to experience a significant increase in COVID-19 incidence rate ratio after the first and second PSBB period implementation compared to the time of before PSBB implementation. Lack of proper implementation of the large-scale social restriction led to the PSBB’s ineffectiveness in reducing the number of COVID19 cases in each of the provinces.
Analysis of Government Budgeting for Health: Case Study of COVID-19 in East Java Province, Indonesia Rokhmah, Dewi; Ridzkyanto, Ricko Pratama; Khoiron, Khoiron
Kesmas Vol. 15, No. 5
Publisher : UI Scholars Hub

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Abstract

The COVID-19 in Indonesia was first reported in March 2, 2020 with two cases, and the number has increased each day until April 23, 2020 and reached 7,775 positive cases of COVID-19. East Java Province ranks the third in Indonesia with 662 cases. COVID-19 requires a health financing system aimed for COVID-19 patients and hospital services. The study aimed to describe the amount of COVID-19 and the use of funds for COVID-19 in East Java Province. This study applied descriptive analytic method. Secondary data analysis used the COVID-19 fund data of 31 districts/cities in East Java Province from the Regional Development Agency of East Java Province in period of March 23 - April 23, 2020. The results showed that the total budget for COVID-19 in the province was worth IDR 2,102,600,000,000 divided for Curative IDR 727,654,880,535, Promotive Preventive IDR 97,134,092,873, Social Safety Net IDR 877,301,513,766 and Recovery IDR 400,50,512,826. The total fund for COVID-19 per capita in the province was IDR1,997,139 divided for Curative IDR 691,158, Promotive Preventive IDR 92,262, Social Safety Net IDR 833,299 and Recovery IDR 380,421. According to districts, the highest budgeting is Jember District, Surabaya City, and Gresik District. The highest per-capita funds, according to districts/cities, are Batu City, Jember District, and Trenggalek District.

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