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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 319 Documents

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HOTEL AND NIGHTCLUB DEVELOPMENT: A REFLECTED PERSPECTIVE OF SMOKE-FREE ZONE (SFZ) IMPLEMENTATION IN BOGOR CITY INDONESIA Asyary, Al; Veruswati, Meita; Sulistiadi, Wahyu
Public Health of Indonesia Vol. 3 No. 4 (2017): October - December
Publisher : YCAB Publisher & IAKMI SULTRA

None

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.

IMPLEMENTATION OF POLICY ON BPJS HEALTH SERVICES: A PRELIMINARY QUALITATIVE STUDY IN OUTPATIENT UNIT OF THE GENERAL HOSPITAL OF ANUTAPURA, PALU Napirah, Muhammad Ryman; Salmawati, Lusia; Rivai, Dian Rahmayanti
Public Health of Indonesia Vol. 3 No. 1 (2017): January - March
Publisher : YCAB Publisher & IAKMI SULTRA

Backgound: BPJS Health is a National health insurance to to administer health care benefits for all Indonesian people. Understanding the implementation of the policy on BPJS health is necessary.Objective: This study aims to explore the implementation of BPJS health policy in the outpatient unit of the general hospital of Anutapura Palu.Methods: This was a preliminary qualitative study. The informants consisted of Director of Hospital Services, Clinical nurses, BPJS staffs, and BPJS patients. Content analysis was used to analyze the data. Data were collected between March and April 2015Results: Findings of this study were described in several themes, namely no local regulation on BPJS implementation, lack of communication, inadequate human resource, good disposition, and good bureucracy structure.Conclusion: There were strengths and weaknesses in the implementation of Policy on BPJS health. It is suggested that the General Hospital of Anutapura Palu needs to propose the local regulation on BPJS, manage and facilitate good communication, and develop human resource management strategy.

EVALUATION OF THE IMPLEMENTATION OF A REFERRAL SYSTEM IN THE COMMUNITY HEALTH CENTER OF ABELI, KENDARI, INDONESIA Risky, Sartini; Nofitasari, Ari
Public Health of Indonesia Vol. 3 No. 3 (2017): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Background: The referral rate in Southeast Sulawesi in the first-level health facilities was still high, which reached 17% in 2016. Ideally, the maximum referral rate in the first-level facilities should be no more 5%. Objective: This study aims to evaluate the implementation of the first-level referral system in terms of availability of health personnel, facilities and medicines, and understanding of health officers on the referral system at the Community Health Center of Abeli.Methods: In-depth interviews were conducted with a total of 5 health facility managers. All the materials were analyzed using a qualitative thematic analysis approach.Results: Three themes emerged from data; namely human resources (Lack of responsibility of midwives, Lack of communication between staffs, Lack of the number of physician, Understanding of health personnel regarding referral system), availability of facilities, and availability of drugs.Conclusion: Availability of human resources, facilities and drugs is unreliable. Effort should be made to ensure the quality of service provided. This should imply, amongst other things, that human resources, drugs and facilities are adequately available and accessible.

LIVED EXPERIENCES OF THE ABUSED ELDERLY Acob, Joel Rey U
Public Health of Indonesia Vol. 4 No. 1 (2018): January - March
Publisher : YCAB Publisher & IAKMI SULTRA

Aim: The study determined individual lived experiences of the abused elderly in the provinces of Leyte and Biliran.Methods: The study utilized qualitative phenomenology. Interviews are made and recorded, then later transcribed verbatim. Collaizi's method is used as method of analysis to obtain themes of the lived experiences of the ten abused key informants.Results: Based from results, most of the abused entities are female, widowed aging 6o to 65 years old, earning less than 2000 pesos per month and are dependently living in a nuclear family structure for 40 years. Based on their responses to the open-ended guide questions, key informants revealed emotional mistreatment being the most extensive type of abuse. Physical and sexual maltreatment are also evident amidst their old age. Family members and employers are the main identified perpetrators of the elderly. Bruises on most covered areas in their body, rope burns, torn undergarments, being touched without consent are some of the objective indicators of abuse. Themes such as family violence and workplace mistreatment are the most common form of abuse experienced.Conclusion: Based from the findings, it is recommended that the local government and concerned stakeholders to timely review existing rules protecting vulnerable adults especially its implementation.

FACILITY ASSESSMENT FOR MATERNAL AND CHILD HEALTH SERVICES IN BANGLADESH USING SERVICE AVAILABILITY AND READINESS ASSESSMENT (SARA) TOOL: A CROSS-SECTIONAL PILOT STUDY Aftab, Afzal; Hasan, Mehedi; Bari, Rahmatul; Hossain, Mohammad Didar; Hasan, Mehadi; Azad, Abul Kalam; Islam, Bulbul; Sarker, Malabika
Public Health of Indonesia Vol. 3 No. 3 (2017): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Background: To initiate journey towards the Universal Health Coverage (UHC) it is essential to assess the health facilities. Unfortunately, no health facility assessment has been conducted in Bangladesh so far using "Service Availability and Readiness Assessment (SARA)” tool. Therefore, we aimed to conduct a pilot study to assess health facilities for maternal and child health services using SARA tool so that we can scale-up this assessment throughout the country later.Aim: We aimed to assess the health facilities for maternal and child health services in Tangail, Bangladesh using service availability and readiness assessment (SARA) tool.Methods: A cross-sectional pilot study was conducted in Bashail and Shokhipur Upazilla of Tangail district. A sample of 14 health facilities was assessed purposefully for data collection using a modified version of the SARA tool. Data was collected from November 01 to November 15, 2013, using paper-based questionnaire. Finally, following data collection, data were documented into Microsoft Excel by data collectors. Data were analyzed using Microsoft Excel, version 2010.Results: General service readiness has been segregated into five domains and their readiness scores were basic amenities (53.06%), basic equipment (83.33%), standard precautions for infection prevention (55.56%), and basic equipment (58.93%) for included health facilities. Similarly, specific service readiness includes family planning (48.15%), child immunization (67.71%), preventive and curative care (71.43%), and basic surgery (93.33%).Conclusion: Since we are moving towards UHC, it is essential to know the current scenario of health facilities. This pilot study reveals the strength and weakness of the health facilities in providing the maternal and child health services. These findings will help us to resolve all the identified gaps through proper planning and action.

THE CORRELATIONS AMONG CONSTRUCTS IN THE HEALTH BELIEF MODEL AND SELF-EFFICACY IN APPLYING THE NEWLY DEVELOPED INDONESIAN MODEL OF ASSERTIVE COMMUNICATION (CERDAS) Puspitawati, Theresia; Prabandari, Yayi Suryo; Sastrowijoto, Soenarto; Paramastri, Ira; Claramita, Mora
Public Health of Indonesia Vol. 4 No. 1 (2018): January - March
Publisher : YCAB Publisher & IAKMI SULTRA

Background: One of the most important factors in providing health services is communication. Effective communication between patient-physician will have an impact on health outcomes. Nevertheless, a gap still occurs in patient-physician communication.Objective: This study aimed to determine the correlation between the core concepts of the well-established Health Belief Model: perceived susceptibility, perceived severity, perceived benefits, perceived barriers and cues to action with the concept of self-efficacy in applying the newly developed Indonesian Model of Assertive Communication called "CERDAS”.Methods: A cross sectional study was conducted with 202 eligible women of the Family Welfare Programme in Yogyakarta, Indonesia. The samples were selected using quota sampling. Data were analyzed using Pearson correlation test.Results: Results of the Pearson correlation tests between self efficacy and perceived susceptibiliy showed r: 0.191, perceived severity r: 0.239, perceived benefits r: 0.256, perceived barriers r: 0.272, and cues to action r: 229; with all values p<0.05.Conclusion: There was a significant correlation between perceived vulnerability, perceived severity, perceived benefits and perceived barriers, as well as cues to action with self-efficacy in applying the new Model of Assertive Patient-Physician Communication, "CERDAS”.

FACTORS RELATED TO KNOWLEDGE ON NEWBORN DANGER SIGNS AMONG THE RECENTLY DELIVERED WOMEN IN SUB-DISTRICT HOSPITALS OF BANGLADESH Zaman, Sojib Bin; Hossain, Naznin; Hussain, Muhammed Awlad; Abimanue, Vidhuna; Jahan, Nushrat; Zaman, Rafid Bin; Ratan, Zubair Ahmed; Khan, Raihan Kabir; Sharmin, Shuchita
Public Health of Indonesia Vol. 3 No. 2 (2017): April - June
Publisher : YCAB Publisher & IAKMI SULTRA

Background: Bangladesh continues to be one of the top ten countries with the highest burden of neonatal mortality. While, most of the neonatal deaths are preventable; health system delays, delayed identification of newborn danger signs, late diagnosis and initiation of treatment are claimed to be the main challenges.Objective: 1) to determine the level of knowledge among the recently delivered women (RDW) about newborn danger signs and 2) to distinguish the factors associated with ability of identifying the danger signs.Methods: A facility based cross-sectional study was conducted in three sub-district hospitals of Bangladesh among 135 RDW between 1 January 2015 and 30 April 2015. Seven key danger signs were identified, and responses were categorized accordingly. Bivariable logistic regression was conducted to determine the likelihood of the association of factors with danger signs identification.Results: About 51% of RDW could identify one key danger sign. Knowledge on "fever'' was the most commonly known danger sign (65%). Middle age (OR 1.67, 95% CI: 1.09 - 2.18), high education (OR 2.37, 95% CI: 1.46 - 2.77), increased parity (OR 1.91, 95% CI: 1.17 - 2.89), and previous hospital delivery (OR 1.79, 95% CI: 1.14 - 2.68) were found associated with the knowledge of the danger signs.Conclusion: The findings indicate the immediate need to enhance health education among the RDW about newborn danger signs before their hospital discharge. Community based health education programs can be a cost effective intervention to increase awareness and early recognition of neonatal danger signs.

A HYBRID MODEL: THE FUTURE OF HEALTH EDUCATION IN INDONESIA Gunawan, Joko
Public Health of Indonesia Vol. 3 No. 4 (2017): October - December
Publisher : YCAB Publisher & IAKMI SULTRA

None

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.

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