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Public Health of Indonesia

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Published by Ikatan Ahli Kesehatan Masyarakat Indonesia

ISSN : 24771570 EISSN : 24771570 DOI : -

Core Subject : Health,

Public Health

Public Health of Indonesia is an International, peer-reviewed, and open access journal emphasizing on original research findings that are relevant for developing country perspectives including Indonesia. The journal considers publication of articles as original article, review article, short communication / brief reports, Education forum, letters to editor, case reports, etc. The journal covers population based studies, impact assessment, monitoring and evaluation, systematic review, meta-analysis, clinic-social studies etc., related to any domain and discipline of public health, specially relevant to national priorities, including ethical and social issues. Articles aligned with national health issues and policy implications are preferred.

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Articles 5 Documents

Search results for , issue "Vol. 4 No. 2 (2018): April - June" : 5 Documents clear

DO WOMEN IN RURAL AREAS STILL PREFER HOMEBIRTH WITH TRADITIONAL BIRTH ATTENDANTS? A QUALITATIVE STUDY OF WOMEN IN RURAL AREA OF KUTAI KERTANEGARA EAST KALIMANTAN Nurrachmawati, Annisa; Hakimi, Moh.; Utarini, Adi
Public Health of Indonesia Vol. 4 No. 2 (2018): April - June
Publisher : YCAB Publisher & IAKMI SULTRA

Background: There continues to be a gap between facility-based delivery and homebirth. This condition is influenced by various social and cultural factors, which in rural areas could affect childbirth in health facilities.Objective: This study aimed to explore whether there has been a shift from homebirth to facility-based delivery and what factors are associated with the phenomenon.Method: A qualitative longitudinal research with ethnographic study design was conducted in the working area of Muara Kaman Health Center in Kutai Kertanegara District, East Kalimantan. The data were collected using in-depth interviews of 17 pregnant women as informants who were followed from the first or second trimester of pregnancy until delivery, and interviews with four midwives. Data were analyzed with thematic analysis.Results: Nine of the 17 women gave birth at the health facility, while there were still three who had homebirth assisted by traditional birth attendants. The number of women who performed deliveries at health facilities was increased from five in the previous pregnancy to nine in the current pregnancy during study. Women's autonomy and risk awareness were considered as enablers for delivery at health facilities, while perception of homebirth as appropriate for normal labor, unnecessary planning of place and birth attendants, and less optimum partnership between midwife and traditional birth attendants hindered facility-based delivery.Conclusion: Our findings suggest that the shift from homebirth to facility-based delivery has been slow. Efforts to minimize the barriers and improve supportive environment for women to deliver at health facilities should be strengthened.

THE EFFECT OF ACCEPTANCE AND COMMITMENT THERAPY (ACT) ON ANXIETY LEVELS IN ELDERLY LIVING AT PANTI SOSIAL TRESNA WERDHA (PSTW) BALI Wicaksana, I Gusti Agung Tresna; Wahju S, Teguh; Eko K, Rinik; Yudara S, Putu
Public Health of Indonesia Vol. 4 No. 2 (2018): April - June
Publisher : YCAB Publisher & IAKMI SULTRA

Background: Panti werdha in Indonesia is considered as a nursing home for elderly. However, there are still psychosocial problems occur such as loneliness, sadness, and anxiety disorders. Acceptance and Commitment Therapy (ACT) may be able to solve psychosocial problems especially for anxiety.Objective: To analyze the extent of ACT's influence on the level of anxiety of the elderly living in the PSTW Bali.Methods: This study was a quasi-experimental study with pretest posttest with control group. Sixty elderly were recruited and divided into control and treatment groups with 30 samples of each group. Paired and Independent T-test were used for data analysis.Results: The paired T-test results in the control group showed significant differences of anxiety score between pretest and posttest after given generalist therapy (p <0.05). The result of paired T-test in the treatment group showed that there was a significant difference of anxiety score between pretest and posttest after given general and ACT therapy (p <0.05). The independent T-test showed that there was a significant difference of anxiety score between control group and treatment group (p <0.05).Conclusion: ACT psychotherapy is effective in decreasing anxiety in elderly who are living in PSTW Bali.

SYSTEM FOR DETECTION OF NATIONAL HEALTHCARE INSURANCE FRAUD BASED ON COMPUTER APPLICATION Santoso, Budi; Hendrartini, Julita; Djoko Rianto, Bambang Udji; Trisnantoro, Laksono
Public Health of Indonesia Vol. 4 No. 2 (2018): April - June
Publisher : YCAB Publisher & IAKMI SULTRA

Background: The national healthcare insurance (JKN) has been in deficit since 2014-2016; one of the causes is fraud inpatient hospital service. Objective: This study aimed to analyze the validity, reliability and effectiveness of detection system of national healthcare insurance fraud based on computer application in hospital.Methods: Cross-sectional method was used. Fraud data were collected at one episode in the inpatient JKN participant service.Results: Validity was assessed by Fischer exact test. The interpretation was done by hospital internal verification officer and BPJS Kesehatan verification officer. There were only 2 out of 1.106 services claims were different, resulted in p-value < 0.01. Reliability was assessed using Human Organization Technology Benefit questionnaire filled by admission administrator officer, BPJS Kesehatan officer and hospital internal verification officer; and then analyzed using Stata® software resulting in Cronbach's alpha value of > 0.8. Effectiveness was assessed by reducing potential fraud, conducted by RSUP dr. Soeradji Tirtonegoro from May until July 2017, which on May 2018 there were 8 findings, June 1 finding, and on July 2018 had no finding.Conclusion: System for detection of national healthcare insurance fraud based on computer application is valid, reliable and effective to be implemented in inpatient service in hospital.

DIFFERENT EFFECT OF SHIFT WORK ON FATIGUE AND WORK RELATED STRESS IN EMERGENCY ROOM NURSES AT THE HOSPITALS IN BADUNG AND DENPASAR REGENCY, BALI, INDONESIA Juniartha, I Gusti Ngurah; Sardjono, Teguh Wahju; Kartikawatiningsih, Dewi
Public Health of Indonesia Vol. 4 No. 2 (2018): April - June
Publisher : YCAB Publisher & IAKMI SULTRA

Background: Shift work is a way to maintain proper health care daily at hospital. Shift work may affect fatigue level of nurse and work related stress in Emergency Room (ER) nurses. Generally there are two types of shift work, such as two and three division time a day. The three-division time shift includes 6-6-12 shift and 7-7-10 hours shift, and two-division time includes 12-12 hours shift. Lack of studies discusses about shift work on fatigue and work related stress in ER nurses.Objective: The aim of this study was to identify the differences of the effects between 6-6-12 shift, 7-7-10 shift, and 12-12 shift on fatigue and work related stress, and determine the dominant indicator influencing fatigue and work related stress in emergency nurses at the hospitals in Badung and Denpasar regency, Bali Indonesia.Methods: This was an observational analytic study with cross sectional approach. Purposive sampling was done to recruit 102 nurses from eight emergency departments at Badung and Denpasar regency. Occupational Fatigue Exhaustion Recovery (OFER) questionnaire was used to measure fatigue, and Expanded Nursing Stress Scale (ENSS) questionnaire was used to measure work related stress. Univariate analysis was used to analyze demographic characteristics of each ER. Kruskall-Wallis test with post hoc Mann Whitney were used to determine the different score of fatigue and work related stress between each group, and Structural Equation Modeling (SEM) was used to identify contribution of fatigue toward work related stress of ER nurses. Results: There were significant difference of the effect of shift work on fatigue, between 6-6-12 shift and 12-12 shift with p = 0.037, and between 7-7-10 shift and 12-12 shift with p = 0.003; and significant difference of the effect of shift work on work related stress, between 6-6-12 shift and 12-12 shift with p = 0.474, and between 7-7-10 shift and 12-12 shift with p = 0.128. SEM results show that fatigue contributed about 61% to increase work related stress in ER nurses.Conclusion: There was significant difference of the effects on fatigue between two and three-division time of shifts, and there was no difference of the effect on work related stress for each group. Fatigue statistically increased work related stress in ER nurses.

THE REDUCTION OF ANXIETY AND PAIN DURING VENOUS BLOOD SAMPLING USING HYPNO-EFT (EMOTIONAL FREEDOM TECHNIQUES) METHOD Navianti, Diah; Garini, Ardiya; Karneli, Karneli
Public Health of Indonesia Vol. 4 No. 2 (2018): April - June
Publisher : YCAB Publisher & IAKMI SULTRA

Background: Venous blood sampling has several risks of complication, the basic cause was emotional factor, such as anxiety and pain, which remain important to be solved. Objective: The aim of this study was to determine the effect of hypno–EFT to reduce the anxiety and pain during venous blood sampling. Methods: The design of the study was quasi experimental, with pretest posttest with control group design. The sampling technique was simple random sampling to select 52 respondents. Anxiety was measured using a Hamilton anxiety rating scale (HARS) modification and pain was measured using the Visual analogue scale (VAS) method. Wilcoxon and Manova multivariate test were used for data analysis.Results: Before hypno-EFT there was 1 person (2.9%) did not experience anxiety, 9 people (25.7%) with mild anxiety, 20 people (57.1%) with moderate anxiety and 5 people (14.3%) with severe anxiety. After hypno-EFT therapy, there were 23 people (65.7%) did not get anxiety, mild anxiety were 11 people (31.4%) and severe anxiety was found in 1 person (2.9%). For the average pain of respondent in venipuncture before hypno-EFT was 3.20 with a median 3.00 and a standard deviation was 1.91. The minimum value of pain was 0 and 9 in maximum. After therapy Hypno-EFT, the average pain was 1.54 and the minimum value of pain was 0 and 6 at maximum. Statistical result showed that the p-value of anxiety and pain was 0.000 (<0.05)Conclusion: There was a significant effect of hypno-EFT therapy to decrease the anxiety and pain during venous blood sampling. This method is recommended as an alternative procedure in venous blood sampling with complicating factors.

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