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INDONESIA
Jurnal Kesehatan Masyarakat Andalas (Andalas Journal of Public Health)
Published by Universitas Andalas
ISSN : 19783833     EISSN : 24426725     DOI : -
Core Subject : Health,
Public Health
JURNAL KESEHATAN MASYARAKAT ANDALAS (JKMA) menerbitkan artikel penelitian (research article), artikel telaah/studi literatur (review article/literature review), laporan kasus (case report) dan artikel konsep atau kebijakan (concept/policy article), di semua bidang ilmu kesehatan masyarakat yang meliputi: Epidemiologi Biostatistik Kesehatan Lingkungan Pendidikan Kesehatan dan Perilaku Administrasi & Kebijakan Kesehatan Gizi Masyarakat Kesehatan dan Keselamatan Kerja Kesehatan Reproduksi Sistem Informasi Kesehatan
Arjuna Subject : -
Articles 498 Documents
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CAESAREAN SECTION INCIDENTS AND COST IN WEST SUMATRA: A COMPARATIVE STUDY BETWEEN PRIVATE AND PUBLIC HOSPITALS UNDER INA CBGS SYSTEM Aladin Aladin; Martga Bella Rahimi
Jurnal Kesehatan Masyarakat Andalas Vol 15 No 2 (2021): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v15i2.659

Abstract

Since its first launched in 2014, many hospitals claimed to have financial loss due to inequality between hospital real tariff and BPJS payment. It is important to identify the characteristics and trends of caesarean deliveries in hospitals prior to measuring the efficiency level under INA-CBGs system. However, until now there is yet to be a descriptive study to understand this issue comprehensively. To fill this research gap, this study aimed to compare caesarean section incidents and costs between private and public hospitals in West Sumatra, Indonesia. This study is expected to describe real situation related to caesarean cases and explore the preference of patients in the province for caesarean deliveries. This study was retrospective and cross-sectional design of caesarean section in all West Sumatran hospitals under INA-CBGs system. The data used was taken from BPJS region West Sumatra-Riau-Jambi for period 2016 to 2018. During that period, almost 59 thousand caesarean section were performed, of which 64% in private hospitals and 36% in public hospitals. Within three years, caesarean cases in private hospitals were almost doubled while public hospitals showed a decreasing trend. In 2018, three quarter of caesarean costs was paid by BPJS to private hospitals while public hospitals only received a quarter of total costs.
THE STIGMA OF INDONESIAN SOCIETY ON COVID-19 PATIENTS AND HEALTH WORKERS BASED ON THE HEALTH BELIEF MODEL THEORY Aprianti Aprianti
Jurnal Kesehatan Masyarakat Andalas Vol 15 No 2 (2021): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v15i2.673

Abstract

The number of covid-19 cases in Indonesia has increased significantly. So, the government recommend physical distancing. As a new disease, the policy caused the public worry. This triggers the community to give social stigma to Covid-19 sufferers and health workers. This research is a quantitative study with a cross sectional method. The Indonesian population aged 15 - 44 years, have access to the internet, not health workers, not students in health schools and  willing to be respondents. The number of samples was 360 respondents. Bivariate data analysis used chi square test and multivariate using logistic regression. As many as 63.6% of respondents did not know their Covid status. Respondents gave a stigma of 50.8%. The variables related to the stigma given by the community to health workers and Covid-19 patients were perception of severity (p value = 0.037), self-efficacy (p value = 0.016) and perceived threat (p value = 0.001). The variable with the most dominant relationship is perceived threat with the value of Exp (B) = 3, 834. It is hoped that the need for education from health workers to the community about the covid-19 virus and how to overcome it so that people do not feel threatened and give stigma.
THE EFFECTIVENESS OF THE USE OF SERIAL CARD MEDIA IN IMPROVING SEXUAL KNOWLEDGE AMONG PUBLIC ELEMENTARY SCHOOL 36 GUNUNG SARIK STUDENTS Ahmad Hidayat
Jurnal Kesehatan Masyarakat Andalas Vol 15 No 2 (2021): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v15i2.675

Abstract

The high rate of violence, abuse and sexual perversion among children in Indonesia is increasingly worrying. Sexual education has not yet been included in the academic curriculum in elementary or high schools in Indonesia. Sexual education is still thematic and conducted when meeting the right moment that is not planned. The purpose of this study is to increase knowledge about sexual problem prevention behavior for children using serial card education media. This is a quasi-experimental study to increase the sexual knowledge among respondents by using serial card as education media. Study was conducted in October 2020 to 53 students of 6th grade (11-13 years old) of SDN 36 Gunung Sarik that chosen with purposive sampling. The paired data hypothesis analysis (paired t-test) results obtained from the pre-test and post-test for students showed that sexual education using serial card media was effective in increasing students' knowledge of preventive behavior from various risks of violence, harassment, and sexual perversion. 
Relationship of Smoking Risk Factors and Comorbids with Covid-19 Mortality: Systematic Review and Meta-Analysis Imraatul Hasni; Dien Gusta Anggraini Nursal; Yessy Markolinda; Masrizal Masrizal; Yusmayanti Yusmayanti
Jurnal Kesehatan Masyarakat Andalas Vol 16 No 1 (2022): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v16i1.798

Abstract

The COVID-19 outbreak that began in December 2019 in Wuhan, China has become a pandemic. The whole world is struggling to fight against COVID-19, every effort has been made. In addition, this disease also has various risk factors in the form of characteristics and comorbidities of the disease. The study aimed to examine the relationship between smoking and comorbidities with COVID-19 mortality using a systematic review and meta-analysis. ,13-1,22). Comorbid diabetes mellitus had a significant relationship with mortality with a p-value of 0.00001 (OR 2.45 95% CI 1.55-3.88). Hypertension has a significant relationship with mortality with a p-value of 0.0001 (OR 3.88 95% CI 0.92-16.44). Cardiovascular has a significant relationship with mortality with a p-value of 0.005 (OR 3.77 95% CI 1.51-9.43). COPD has a significant relationship with mortality with a p-value of 0.00001 (OR 4.68 95% CI 3.11-7.04). Factors for mortality risk factors for smoking, diabetes mellitus, hypertension, cardiovascular and COPD have a significant relationship and can increase the risk of death in patients with COVID-19
Mortality Analysis of Covid-19 in The Province of West Sumatera Nindi Elfiza; Defriman Djafri; Ade Suzana Eka Putri
Jurnal Kesehatan Masyarakat Andalas Vol 16 No 1 (2022): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v16i1.898

Abstract

The rapid and uncontrolled transmission of COVID-19, causes the high morbidity and mortality rates of COVID-19 throughout the world, including West Sumatra (CFR 2.27%). This study aims to analyze the mortality of COVID-19 in West Sumatra and the risk factors that influence it. The research design retrospective cohort using secondary data on COVID-19 cases in West Sumatra from March 26, 2020 to June 7, 2021. The sampling technique is total sampling provided that the sample criteria are met. Data analysis used logistic regression method. 44,693 confirmed cases of COVID-19, 968 (2.17%) died and 43,725 (97.83%) did not die. Factors associated with COVID-19 mortality were age (RR 9.79; 95% CI 8.65-11.09), gender (RR 1.51; 95% CI 1.33-1.71), diabetes (RR 10.21; 95% CI 8.91-11.69), hypertension (RR 6.49; 95% CI 5.59-7.54), cardiovascular diseases (RR 9.57; 95% CI 8.17-11.21), COPD (RR 10.51; 95% CI 7.57-14.57), asthma (RR 2.03; 95% CI 1.23-3.34), and kidney diseases (RR 19.87; 95% CI 16.54-23.86). Kidney diseases are the most dominant factor associated with COVID-19 mortality (RR 16.07; 95% CI 11.34-22.78). COVID-19 patients with kidney disease have the highest risk of death. Treatment of patients with comorbidities must be prioritized and improve health promotion in at-risk groups.
Evaluation of Covid-19 Surveillance in Solok Selatan District in 2021 Yulia Astuti; Aria Gusti; Mery Ramadhani
Jurnal Kesehatan Masyarakat Andalas Vol 16 No 2 (2022): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v16i2.906

Abstract

The case of COVID-19 that occurred at the end of 2019 in Wuhan, China and finally spread in almost all countries, so that in March 2020 the world health organization (WHO) declared a global pandemic. In March 2021, Indonesia was ranked 20th with confirmed positive cases totaling 1.505775. Solok Selatan Regency until June 30, 2021, the number of positive cases is 1,615. This study aims to determine the success of surveillance in terms of input, process and output as well as indicators of COVID-19 response with mixed methods. At each stage of the input, process and output there are still unfulfilled while the COVID-19 control indicators are still not running well where from the indicators studied only 40% are met, so the Health Office needs to pay attention to improve each stage that has not been met so that implementation of good COVID-19 Surveillance from the input, process and output stages and indicators of COVID-19 prevention
Administrative Data Relationship with The Accuracy of Disease Diagnosis Codes of Inpatients in Pariaman Public Hospital Kamal Kasra; Yudi Pradipta
Jurnal Kesehatan Masyarakat Andalas Vol 16 No 2 (2022): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v16i2.911

Abstract

ABSTRACT Medical records are one of the means to support the achievement of an administrative order in the context of efforts to improve health services in hospitals. An important thing that must be considered by medical record personnel is the accuracy in providing diagnosis and procedure codes. The research problem is the accuracy of the coding of the Diagnosis & Procedure on the medical records of inpatients at the Pariaman Regional General Hospital. The research objective was to describe the general characteristics and accuracy of disease coding based on diagnosis and service procedures as well as the impact of the accuracy of disease coding with inpatient disease diagnosis on the quality of service at the Pariaman Regional General Hospital. The research method is mixed methods. A quantitative approach to the patient's medical record file and a qualitative approach were obtained through FGDs with medical record management officers. The results showed that the accuracy of the main Diagnosis coding has shown results that exceed 80% of all medical records of patients selected as the study sample. However, the accuracy of the secondary diagnosis code is only 50%. Procedure code acceleration is still very low at only 15.4%, and secondary procedure only at 1.8%. The conclusion of the study, the accuracy of the diagnosis code and procedures is closely related to the quality of service. Inaccuracy of diagnosis codes as well as procedures will affect patient satisfaction, especially in payments that are not in accordance with the services they receive.  Keywords : Encoding, Diagnosis, Procedure, Medical records
The Correlation of Education, Work, and Mother's Age with The Completeness of Basic Immunization in Toddlers at Puskesmas Kuok-Riau in Period of January-June 2013 Yanasta Yudo Pratama; Sifa Anisa Yaoma; Bambang Edi Susyanto
Jurnal Kesehatan Masyarakat Andalas Vol 16 No 1 (2022): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v16i1.920

Abstract

Immunization prevents some dangerous diseases for children. Completeness of basic immunization is influenced by several factors. This study aims to determine the relationship between education, occupation, and maternal age with the completeness of basic immunization. This type of research is descriptive quantitative analytic with cross sectional method. This research was conducted in July 2013 at the Kuok-Riau Public Health Center. The number of samples is 75 and selected by non-probability sampling. Immunization status at the age of 30, 67.3% completed basic immunization and 32.7% did not complete basic immunization. For mothers aged 30 years, 30.4% completed basic immunization and 69.68% did not complete basic immunization. For mothers with education <9 years, 37.9% did not graduate and 62.1% graduated. For mothers with 12 years of education, 67.4% graduated and 32.6% did not graduate. For working mothers, 68.3% completed and 31.7% did not. Housewives, 41.2% completed and 58.8% did not. The results of correlation analysis with Chi-Square test obtained p-value 0.005 (p<0.05), education with immunization, p-value 0.017 (p<0.05), work status with immunization, p-value 0.022 (p<0 ,05). There is a relationship between maternal educational status, maternal employment status, and maternal age with immunization status.
Modelling Disease Risk Faktors for Covid-19 on District/City in West Sumatera Vitratul Ilahi; Masrizal Masrizal; Syafrawati Syafrawati
Jurnal Kesehatan Masyarakat Andalas Vol 16 No 2 (2022): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v16i2.945

Abstract

The chain of transmission of COVID-19 cases has been increased from day to day. Based on data from the Ministry of Health, the province of West Sumatra is ranked 3rd in Indonesia. This research is aimed to find out the modelling of risk factor of COVID-19 disease in district/city in West Sumatera. This research is an observational analytic study using secondary data in 2020 and multivariate analysis includes a cluster analysis, biplot analysis and discriminant analysis. The unit of analysis in this study are all districts / cities in West Sumatra and uses 6 factors that cause COVID-19 in West Sumatra. Grouping process yielded  three  clusters  of  districts  /  cities  based  on factors  causes  COVID-19. The different variable between clusters based on the result of discriminant analysis, namely; the number of elderly, the percentage of poor people and the population density. To that end, it is advisable to  West Sumatra Provincial Health Office in the implementation of eradication programs and disease prevention COVID-19 to implement disease management based on the characteristics of each region of each district / city.
Health Promoting University Management Program in Realizing The Health Campus Society and Wellbeing in Andalas University 2022 Mesa Fadila; Roni Ekha Putera; Ria Ariany
Jurnal Kesehatan Masyarakat Andalas Vol 16 No 2 (2022): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v16i2.1003

Abstract

A Health Promotion University is one of the public programs in an effort to create a healthy campus community in a comprehensive manner. Even though it is new, this program has a strategic and systematic role in the development of the community structure of the university environment. The purpose of this study is to find out how the management of a healthy campus program at Andalas University uses the system approach method by Azrul Azwar with input, process, output, impact indicators. The approach used is descriptive qualitative with data collection through document review, observation, interviews, and FGD with purposive sampling. Data were analyzed by codification/reduction, data display, and drawing conclusions. Data validity by source triangulation.                     The results of the study indicate that the management of the Andalas Health Promotion University has not been implemented properly based on; (1) program inputs are generally sufficient, both man, money, and material. Weaknesses are found in the method that has not been specifically formulated for program implementation guidelines at Unand, (2) The process has been carried out by Andalas University as a follow-up to the cooperation agreement with the Ministry of Health, but the work program planning has not been completed as a projection in achieving program goals and has not yet been included. in the Unand Strategic Plan. Organizing the Health Promotion University Management Team has been formed since 2019, but its position in the organizational structure at Andalas University is not yet clear, resulting in less effective coordination and communication in program implementation (3) The output of the Health Promotion University program has begun to be produced, but it is still very minimal because there are no program achievement indicators that should be contained in program planning. (4) The impact of this program can not be felt/measured because it is directly related to the output which cannot be obtained optimally.

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