Pub Date : 2019-10-23DOI: 10.26911/the6thicph-FP.04.29
N. Maryana, D. Ayubi
Background: Measles incidence is increasing each year worldwide to reach 11,000 cases. In April 2017, there were 9 cases of measles in the Paduan river village, West Kalimantan. The cases increase to 33 cases with 10 positive measles and 2 serum damaged. This study aimed to investigate the implementation of measles immunization in Teluk Batang community health center, Kayong Utara, West Kalimantan. Subjects and Method: This was a qualitative study using the Rapid Assessment Pro-cedure (RAP). This study was conducted at the Community Health Center (Puskesmas) Teluk Batang in North Kayong, West Kalimantan, on June 2019. Five informants were selected in this study. Head of Puskesmas and main staff of immunization program in the health office were the key informants in this study, based on triangulation source. The data were collected using in-depth interview and analyzed descriptively. Results: The implementation of measles immunization in Puskesmas Teluk Batang showed that: (1) Structure: human resources (HRs) were lack of quality (never attended training for immunization), facility and infrastructure for immunization activities were incomplete, funding was adequate, policies and SOP had been implemented sub-optimal; (2) Process: the measles immunization activity plan and organization had been carried out well, the implementation of the SOP was not carried out to the maximum, monitoring had not been carried out in accordance with the guideline and the final stage i.e. evaluation had been routinely carried out every three months; and (3) Outcome had reached the target, however it was not in accordance with the field condition because the recording and reporting were not optimal. Conclusion: The structure aspects of Puskesmas Teluk Batang including HRs, facility, fund, and infrastructure are good. The policy and SOP still need to be in accordance with Ministry of Health Regulation Number 12, 2017. In the process aspects, planning, organizing, implementing, monitoring, and evaluation are not optimal enough. The outcome shows an improved performance is needed between the Puskesmas and the Health Office.
背景:全球麻疹发病率每年都在增加，达到1.1万例。2017年4月，西加里曼丹的帕多瓦河村出现了9例麻疹病例。病例增加到33例，其中10例麻疹阳性，2例血清受损。本研究的目的是调查西加里曼丹加永乌塔拉市拔鹿巴塘社区卫生中心麻疹免疫接种的实施情况。对象和方法:本研究采用快速评估程序(RAP)进行定性研究。这项研究于2019年6月在西加里曼丹北加永的Teluk Batang社区卫生中心(Puskesmas)进行。本研究选择了5名被调查者。本研究的主要信息源为卫生厅免疫规划主任和主要工作人员。采用深度访谈法收集数据，并进行描述性分析。结果:巴塘县麻疹免疫接种实施情况显示:(1)结构:人力资源质量差(未参加免疫培训)，免疫活动设施和基础设施不完善，资金充足，政策和SOP执行不理想;(2)过程:麻疹免疫活动计划和组织执行较好，SOP实施未达到最大限度，未按照指南进行监测，每三个月常规进行最后阶段即评价;(3)结果虽然达到了目标，但由于记录和报告不理想，结果与现场情况不相符。结论:Puskesmas Teluk Batang医院在人力资源、设备、资金、基础设施等方面结构良好。政策和SOP仍需符合卫生部2017年第12号法规。在过程方面，规划、组织、实施、监控、评价不够优化。结果表明，Puskesmas和卫生局之间需要改进绩效。
{"title":"The Implementation of Measles Immunization in Teluk Batang Community Health Center, Kayong Utara, West Kalimantan","authors":"N. Maryana, D. Ayubi","doi":"10.26911/the6thicph-FP.04.29","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.04.29","url":null,"abstract":"Background: Measles incidence is increasing each year worldwide to reach 11,000 cases. In April 2017, there were 9 cases of measles in the Paduan river village, West Kalimantan. The cases increase to 33 cases with 10 positive measles and 2 serum damaged. This study aimed to investigate the implementation of measles immunization in Teluk Batang community health center, Kayong Utara, West Kalimantan. Subjects and Method: This was a qualitative study using the Rapid Assessment Pro-cedure (RAP). This study was conducted at the Community Health Center (Puskesmas) Teluk Batang in North Kayong, West Kalimantan, on June 2019. Five informants were selected in this study. Head of Puskesmas and main staff of immunization program in the health office were the key informants in this study, based on triangulation source. The data were collected using in-depth interview and analyzed descriptively. Results: The implementation of measles immunization in Puskesmas Teluk Batang showed that: (1) Structure: human resources (HRs) were lack of quality (never attended training for immunization), facility and infrastructure for immunization activities were incomplete, funding was adequate, policies and SOP had been implemented sub-optimal; (2) Process: the measles immunization activity plan and organization had been carried out well, the implementation of the SOP was not carried out to the maximum, monitoring had not been carried out in accordance with the guideline and the final stage i.e. evaluation had been routinely carried out every three months; and (3) Outcome had reached the target, however it was not in accordance with the field condition because the recording and reporting were not optimal. Conclusion: The structure aspects of Puskesmas Teluk Batang including HRs, facility, fund, and infrastructure are good. The policy and SOP still need to be in accordance with Ministry of Health Regulation Number 12, 2017. In the process aspects, planning, organizing, implementing, monitoring, and evaluation are not optimal enough. The outcome shows an improved performance is needed between the Puskesmas and the Health Office.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126686110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: World Health Organization (WHO) established a list of validation criteria to facilitate efforts of elimination of mother to child transmission (EMTCT) of HIV, syphilis, and hepatitis B, in 2014. However, studies into factors affecting triple elimination uptake are still scanty. The purpose of this study was to determine factors affecting triple elimination uptake among women in Sragen, Cental Java. Subjects and Method: A cross sectional study was carried out at 25 community health centers (puskesmas) in Sragen, Central Java, from June to July 2019. A total sample of 200 pregnant women was selected by stratified random sampling. The dependent variable was triple elimination uptake. The independent variables were age, employment, income, attitude, motivation, and distance to health care. The independent variables also included Health Belief Model (HBM) constructs, including perceived susceptibility, perceived seriousness, and cues to action. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Age ≥35 years old (OR= 3.41; 95% CI= 1.52 to 7.66; p= 0.003), working outside the house (OR= 3.23; 95% CI= 1.29 to 8.02; p= 0.012), income ≥Rp 1,600,000 (OR= 4.07; 95% CI= 1.68 to 9.88; p= 0.002), short distance to health care (OR= 3.74; 95% CI= 1.66 to 8.43; p= 0.001), perceived susceptibility (OR= 3.86; 95% CI= 1.72 to 8.65; p= 0.001), perceived seriousness (OR= 4.42; 95% CI= 1.86 to 7.29; p= 0.001), cues to action (OR= 3.13; 95% CI= 1.34 to 11.01; p= 0.008), positive attitude (OR= 4.46; 95% CI= 1.81 to 11.01; p= 0.001), and strong motivation (OR= 2.43; 95% CI= 0.95 to 6.18; p= 0.061) increased the likelihood of triple elimination uptake. Conclusion: Age ≥35 years old, working outside the house, income ≥Rp 1,600,000, short distance to health care, perceived susceptibility, perceived seriousness, cues to action, positive attitude, and strong motivation increase the likelihood of triple elimination uptake. Keywords: triple elimination, health belief model, theory of planned behavior
{"title":"Determinants of Triple Elimination Uptake among Women in Sragen, Central Java","authors":"Prissy Verasita, Uki Retno Budihastuti, Bhisma Murti","doi":"10.26911/the6thicph.02.36","DOIUrl":"https://doi.org/10.26911/the6thicph.02.36","url":null,"abstract":"Background: World Health Organization (WHO) established a list of validation criteria to facilitate efforts of elimination of mother to child transmission (EMTCT) of HIV, syphilis, and hepatitis B, in 2014. However, studies into factors affecting triple elimination uptake are still scanty. The purpose of this study was to determine factors affecting triple elimination uptake among women in Sragen, Cental Java.\u0000Subjects and Method: A cross sectional study was carried out at 25 community health centers (puskesmas) in Sragen, Central Java, from June to July 2019. A total sample of 200 pregnant women was selected by stratified random sampling. The dependent variable was triple elimination uptake. The independent variables were age, employment, income, attitude, motivation, and distance to health care. The independent variables also included Health Belief Model (HBM) constructs, including perceived susceptibility, perceived seriousness, and cues to action. The data were collected by questionnaire and analyzed by a multiple logistic regression.\u0000Results: Age ≥35 years old (OR= 3.41; 95% CI= 1.52 to 7.66; p= 0.003), working outside the house (OR= 3.23; 95% CI= 1.29 to 8.02; p= 0.012), income ≥Rp 1,600,000 (OR= 4.07; 95% CI= 1.68 to 9.88; p= 0.002), short distance to health care (OR= 3.74; 95% CI= 1.66 to 8.43; p= 0.001), perceived susceptibility (OR= 3.86; 95% CI= 1.72 to 8.65; p= 0.001), perceived seriousness (OR= 4.42; 95% CI= 1.86 to 7.29; p= 0.001), cues to action (OR= 3.13; 95% CI= 1.34 to 11.01; p= 0.008), positive attitude (OR= 4.46; 95% CI= 1.81 to 11.01; p= 0.001), and strong motivation (OR= 2.43; 95% CI= 0.95 to 6.18; p= 0.061) increased the likelihood of triple elimination uptake.\u0000Conclusion: Age ≥35 years old, working outside the house, income ≥Rp 1,600,000, short distance to health care, perceived susceptibility, perceived seriousness, cues to action, positive attitude, and strong motivation increase the likelihood of triple elimination uptake.\u0000\u0000Keywords: triple elimination, health belief model, theory of planned behavior","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129990935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-23DOI: 10.26911/the6thicph-FP.01.10
L. Sembiring, D. Utari
Background: Hypertension is a major risk factor for cardiovascular diseases and other complications. There are several factors predisposing to hypertension. These factors vary from country to country and there is difference between urban and rural region. This study aimed to determine the prevalence and risk factors of hypertension among adolescents aged 18 to 21 years in Indonesia. Subjects and Method: This was a cross sectional study using IFLS 5 data year 2014. A total of 2,531 adolescents aged 18 to 21 years were selected for this study. The dependent variable was hypertension. The independent variables were age, sex, body mass index (BMI), psychological condition, healthy food, physical activity, smoking habit, and residential area. The data were obtained from Indonesian Family Life Survey 5 (IFLS 5) year 2014. The data were analyzed by a multiple logistic regression. Results: As many as 39.8% adolescents aged 18 to 21 years had pre-hypertension and 6.2 % had hypertension. The risk of hypertension increased with male (aOR= 2.40; 95% CI = 1.98 to 2.96; S KLJK %0, NJ%: P2BH (aOR= 3.85; 95% CI= 1.82 to 8.12; p=0.001), poor psychological condition (aOR= 1.47; 95% CI =1.47 to 2.11; p=0.030), and unhealthy food (aOR=1.34; 95% CI= 1.18 to 2.33; p=0.004). Conclusion 7KH ULVN RI KSHUWHQVLRQ LQFUHDVHV ZLWK PDOH %0, NJ%: P2BH, poor psychological condition, and unhealthy food.
{"title":"Prevalence and Risk Factors of Hypertension among Adolescents Aged 18 to 21 Years in Indonesia","authors":"L. Sembiring, D. Utari","doi":"10.26911/the6thicph-FP.01.10","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.01.10","url":null,"abstract":"Background: Hypertension is a major risk factor for cardiovascular diseases and other complications. There are several factors predisposing to hypertension. These factors vary from country to country and there is difference between urban and rural region. This study aimed to determine the prevalence and risk factors of hypertension among adolescents aged 18 to 21 years in Indonesia. Subjects and Method: This was a cross sectional study using IFLS 5 data year 2014. A total of 2,531 adolescents aged 18 to 21 years were selected for this study. The dependent variable was hypertension. The independent variables were age, sex, body mass index (BMI), psychological condition, healthy food, physical activity, smoking habit, and residential area. The data were obtained from Indonesian Family Life Survey 5 (IFLS 5) year 2014. The data were analyzed by a multiple logistic regression. Results: As many as 39.8% adolescents aged 18 to 21 years had pre-hypertension and 6.2 % had hypertension. The risk of hypertension increased with male (aOR= 2.40; 95% CI = 1.98 to 2.96; S KLJK %0, NJ%: P2BH (aOR= 3.85; 95% CI= 1.82 to 8.12; p=0.001), poor psychological condition (aOR= 1.47; 95% CI =1.47 to 2.11; p=0.030), and unhealthy food (aOR=1.34; 95% CI= 1.18 to 2.33; p=0.004). Conclusion 7KH ULVN RI KSHUWHQVLRQ LQFUHDVHV ZLWK PDOH %0, NJ%: P2BH, poor psychological condition, and unhealthy food.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"44 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134290282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-23DOI: 10.26911/the6thicph-FP.04.42
Yunita Hapsari, A. Sjaaf
Background: Hospital accreditation is carried out to improve the quality of hospital services and patient safety. This study aimed to statistically review the effect of hospital accreditation on patient safety culture and satisfaction. Subjects and Methods: A systematic review was conducted through articles search-ing. Four electronic databases namely PubMed, ProQuest, Scopus, and EBSCO were used in this study. The keywords were "hospital accreditation", "patient safety culture", "patient satisfaction", ―improving‖, and ―impact". The inclusion criteria in this study were articles in the span of ten years of publication, and using English. The articles were selected by PRISMA flow diagram. Results: Eleven journal reported that accreditation had a significant influence on patient safety culture. There was difference in patient satisfaction among accredited and non-accredited hospitals, but it was not statistically significant. Two articles mentioned that patient satisfaction was driven by hospital physical facilities. Patient safety culture after hospital accreditation was associated with commitment and support from all hospital staff and leadership. Service quality and patient satisfaction were associated with ongoing evaluation of the accreditation implementation. Conclusion: Hospital accreditation has an effect on patient safety culture and satisfaction. Improving patient safety culture after hospital accreditation requires commitment and support from al hospital staff and leadership. Ongoing evaluation of the accreditation implementation needs to be carried out to improve service quality and patient satisfaction.
{"title":"Effect of Hospital Accreditation on Patient Safety Culture and Satisfaction: A Systematic Review","authors":"Yunita Hapsari, A. Sjaaf","doi":"10.26911/the6thicph-FP.04.42","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.04.42","url":null,"abstract":"Background: Hospital accreditation is carried out to improve the quality of hospital services and patient safety. This study aimed to statistically review the effect of hospital accreditation on patient safety culture and satisfaction. Subjects and Methods: A systematic review was conducted through articles search-ing. Four electronic databases namely PubMed, ProQuest, Scopus, and EBSCO were used in this study. The keywords were \"hospital accreditation\", \"patient safety culture\", \"patient satisfaction\", ―improving‖, and ―impact\". The inclusion criteria in this study were articles in the span of ten years of publication, and using English. The articles were selected by PRISMA flow diagram. Results: Eleven journal reported that accreditation had a significant influence on patient safety culture. There was difference in patient satisfaction among accredited and non-accredited hospitals, but it was not statistically significant. Two articles mentioned that patient satisfaction was driven by hospital physical facilities. Patient safety culture after hospital accreditation was associated with commitment and support from all hospital staff and leadership. Service quality and patient satisfaction were associated with ongoing evaluation of the accreditation implementation. Conclusion: Hospital accreditation has an effect on patient safety culture and satisfaction. Improving patient safety culture after hospital accreditation requires commitment and support from al hospital staff and leadership. Ongoing evaluation of the accreditation implementation needs to be carried out to improve service quality and patient satisfaction.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132669044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-23DOI: 10.26911/the6thicph.02.33
I. Said, Anto J Hadi, S. Manggabarani, Ida Lestari Tampubolon, Endang Maryanti
Background: Obesity in adolescents should be prevented in order to reduce the negative health consequences in later life. Education about correct lifestyle, eating healthy food, and sufficient physical activities, should be able to prevent obesity. The small group discussion (SGD) method has been hypothesized to enhance participation and promote comfort among the participants, so it should be effective to prevent obesity. This study aimed to examine the effect of nutritional education using the SGD method on weight reduction among junior high school students with obesity. Subjects and Method: A randomized controlled trial was conducted at Junior High School 4 Medan, North Sumatera. A total of 60 overweight and obese students was selected for this study and randomized into the intervention group (n1=30) and the control group (n2= 30). The dependent variables were knowledge, physical activity, and fast food consumption. The independent variable was the intervention, i.e. nutrition education using SGD method. The data were collected by questionnaire and analyzed by Wilcoxon test. Results: After the nutrition education using SGD method, mean scores of knowledge and physical activity in intervention group were higher than in the control group, and they were statistically significant. However, the mean difference in fast food consumption between the two groups was not statistically significant. Conclusion: Nutrition education program using the small group discussion method is effective to increase knowledge and physical activity among junior high school students. Its effect on fast food consumption is not statistically significant.
背景:应预防青少年肥胖，以减少其对以后生活的负面健康影响。教育正确的生活方式，吃健康的食物，充分的体育活动，应该能够预防肥胖。小组讨论(small group discussion, SGD)方法被假设可以提高参与者的参与度，促进参与者之间的舒适度，因此它应该是有效的预防肥胖。本研究旨在探讨采用SGD方法进行营养教育对初中生肥胖的减肥效果。对象与方法:在北苏门答腊棉兰市第4初中进行随机对照试验。本研究选取60名超重和肥胖学生，随机分为干预组(n1=30)和对照组(n2= 30)。因变量为知识、体力活动和快餐消费。自变量为干预措施，即采用SGD方法进行营养教育。采用问卷调查法收集资料，采用Wilcoxon检验进行分析。结果:采用SGD方法进行营养教育后，干预组儿童的知识和体力活动平均得分均高于对照组，差异有统计学意义。然而，两组人在快餐消费上的平均差异没有统计学意义。结论:采用小组讨论的方式开展营养教育，能有效提高初中生的知识水平和身体活动量。它对快餐消费的影响在统计上并不显著。
{"title":"Effect of Nutritional Education Program Using the Small Group Discussion Method on Weight Reduction among Junior High School Students with Obesity, Medan, North Sumatera","authors":"I. Said, Anto J Hadi, S. Manggabarani, Ida Lestari Tampubolon, Endang Maryanti","doi":"10.26911/the6thicph.02.33","DOIUrl":"https://doi.org/10.26911/the6thicph.02.33","url":null,"abstract":"Background: Obesity in adolescents should be prevented in order to reduce the negative health consequences in later life. Education about correct lifestyle, eating healthy food, and sufficient physical activities, should be able to prevent obesity. The small group discussion (SGD) method has been hypothesized to enhance participation and promote comfort among the participants, so it should be effective to prevent obesity. This study aimed to examine the effect of nutritional education using the SGD method on weight reduction among junior high school students with obesity. Subjects and Method: A randomized controlled trial was conducted at Junior High School 4 Medan, North Sumatera. A total of 60 overweight and obese students was selected for this study and randomized into the intervention group (n1=30) and the control group (n2= 30). The dependent variables were knowledge, physical activity, and fast food consumption. The independent variable was the intervention, i.e. nutrition education using SGD method. The data were collected by questionnaire and analyzed by Wilcoxon test. Results: After the nutrition education using SGD method, mean scores of knowledge and physical activity in intervention group were higher than in the control group, and they were statistically significant. However, the mean difference in fast food consumption between the two groups was not statistically significant. Conclusion: Nutrition education program using the small group discussion method is effective to increase knowledge and physical activity among junior high school students. Its effect on fast food consumption is not statistically significant.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128648400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-23DOI: 10.26911/the6thicph.02.37
Yuliana Rachmawati
Background: Emotional eating may be part of a psychological disorder as a way of coping with emotions or stresses in life. In the adolescent phase, immature cognitive development causes vulnerability to stress and anxiety due to social interaction. These negative emotions may impact on their eating behavior. This study aimed to determine associations between sex, body mass index (BMI), anxiety, and emotional eating among adolescents in Surakarta. Subjects and Method: A cross sectional study was carried out at senior high schools in Surakarta, in July 2019. A sample of 104 high school students aged 15-17 years old was selected by cluster random sampling. The dependent variable was emotional eating. The independent variables were gender, body mass index (BMI), and anxiety. Emotional eating was measured by Emotional Eater Questionnaire (EEQ). Body weight was measured by weight scale. Body height was measured by microtoise. Anxiety was measured by Hamilton Anxiety Rating Scale (HARS). The data were analyzed by a multiple logistic regression. Results: Prevalence of emotional eating in adolescents was 42.3% (53.7% female and 21.6% male). 57.6% adolescents experienced anxiety and 80.8% categorized as overweight/obese. The risk of emotional eating increased with female sex (OR= 0.14; 95% CI= 0.04 to 0.45; p= 0.001), overweight/obesity (OR= 14.32; 95% CI= 3.69 to 55.46; p<0.001), and anxiety (OR= 9.97; 95% CI= 2.93 to 33.91; p<0.001). Conclusion: The risk of emotional eating increased with female sex, overweight/ obesity, and anxiety.
{"title":"Associations between Sex, Body Mass Index, Anxiety, and Emotional Eating among High School Students in Surakarta, Central Java","authors":"Yuliana Rachmawati","doi":"10.26911/the6thicph.02.37","DOIUrl":"https://doi.org/10.26911/the6thicph.02.37","url":null,"abstract":"Background: Emotional eating may be part of a psychological disorder as a way of coping with emotions or stresses in life. In the adolescent phase, immature cognitive development causes vulnerability to stress and anxiety due to social interaction. These negative emotions may impact on their eating behavior. This study aimed to determine associations between sex, body mass index (BMI), anxiety, and emotional eating among adolescents in Surakarta. Subjects and Method: A cross sectional study was carried out at senior high schools in Surakarta, in July 2019. A sample of 104 high school students aged 15-17 years old was selected by cluster random sampling. The dependent variable was emotional eating. The independent variables were gender, body mass index (BMI), and anxiety. Emotional eating was measured by Emotional Eater Questionnaire (EEQ). Body weight was measured by weight scale. Body height was measured by microtoise. Anxiety was measured by Hamilton Anxiety Rating Scale (HARS). The data were analyzed by a multiple logistic regression. Results: Prevalence of emotional eating in adolescents was 42.3% (53.7% female and 21.6% male). 57.6% adolescents experienced anxiety and 80.8% categorized as overweight/obese. The risk of emotional eating increased with female sex (OR= 0.14; 95% CI= 0.04 to 0.45; p= 0.001), overweight/obesity (OR= 14.32; 95% CI= 3.69 to 55.46; p<0.001), and anxiety (OR= 9.97; 95% CI= 2.93 to 33.91; p<0.001). Conclusion: The risk of emotional eating increased with female sex, overweight/ obesity, and anxiety.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"48 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128267399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-23DOI: 10.26911/the6thicph.02.15
Pasionista Vianitati, I. Manurung, Sabina Gero
,
，
{"title":"The Effect of Motivational Interviewing Intervention on Motivation and Adherence to Antiretrovirus Therapy in People Living with HIV/AIDS in Maumere, East Nusa Tenggara","authors":"Pasionista Vianitati, I. Manurung, Sabina Gero","doi":"10.26911/the6thicph.02.15","DOIUrl":"https://doi.org/10.26911/the6thicph.02.15","url":null,"abstract":",","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117253768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-23DOI: 10.26911/the6thicph.02.16
Frederych Dhaki, I. Manurung, Apris A. Adu
Background: Indirect sex workers are men or women for whom sex work is not the primary source of income. They do not self-identify as sex workers, and often work outside of known venues for sex work. Indirect female sex worker (FSW) is also categorized as a key population at risk to HIV transmission and other sexual transmission disease. However, there are still many barriers for indirect FSW to utilize VCT service. This study aimed to investigate factors affecting the use of voluntary and counselling test service by the indirect sex workers group in Kupang, East Nusa Tenggara. Subjects and Method: A cross sectional study was carried out in Kupang, east Nusa Tenggara. A sample of 50 indirect female sex workers was selected for this study. The dependent variable was VCT uptake. The dependent variables were knowledge, intention, perceived threat, perceived benefit, information exposure, and social support. The data were collected by questionnaire and analyzed by Chi square. Results: Knowledge (OR= 35.42; 95% CI= 6.38 to 196.76; p<0.001), intention (OR= 20.22; 95% CI= 4.36 to 93.77; p<0.001), perceived threat (OR= 6.23; 95% CI= 1.77 to 21.92; p= 0.003), perceived benefit (OR= 6.84; 95% CI= 1.90 to 24.67; p= 0.002), information exposure (OR= 9.60; 95% CI= 2.56 to 36.06; p<0.001), and social support (OR= 27.73; 95% CI= 5.82 to 132.11; p<0.001) increased VCT uptake in indirect female sex workers. Conclusion: Knowledge, intention, perceived threat, perceived benefit, information exposure, and social support, increase VCT uptake in indirect female sex workers.
{"title":"Factors Affecting the Use of Voluntary and Counselling Test Service by the Indirect Sex Workers in Kupang, East Nusa Tenggara","authors":"Frederych Dhaki, I. Manurung, Apris A. Adu","doi":"10.26911/the6thicph.02.16","DOIUrl":"https://doi.org/10.26911/the6thicph.02.16","url":null,"abstract":"Background: Indirect sex workers are men or women for whom sex work is not the primary source of income. They do not self-identify as sex workers, and often work outside of known venues for sex work. Indirect female sex worker (FSW) is also categorized as a key population at risk to HIV transmission and other sexual transmission disease. However, there are still many barriers for indirect FSW to utilize VCT service. This study aimed to investigate factors affecting the use of voluntary and counselling test service by the indirect sex workers group in Kupang, East Nusa Tenggara. Subjects and Method: A cross sectional study was carried out in Kupang, east Nusa Tenggara. A sample of 50 indirect female sex workers was selected for this study. The dependent variable was VCT uptake. The dependent variables were knowledge, intention, perceived threat, perceived benefit, information exposure, and social support. The data were collected by questionnaire and analyzed by Chi square. Results: Knowledge (OR= 35.42; 95% CI= 6.38 to 196.76; p<0.001), intention (OR= 20.22; 95% CI= 4.36 to 93.77; p<0.001), perceived threat (OR= 6.23; 95% CI= 1.77 to 21.92; p= 0.003), perceived benefit (OR= 6.84; 95% CI= 1.90 to 24.67; p= 0.002), information exposure (OR= 9.60; 95% CI= 2.56 to 36.06; p<0.001), and social support (OR= 27.73; 95% CI= 5.82 to 132.11; p<0.001) increased VCT uptake in indirect female sex workers. Conclusion: Knowledge, intention, perceived threat, perceived benefit, information exposure, and social support, increase VCT uptake in indirect female sex workers.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115174633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-23DOI: 10.26911/the6thicph-FP.04.11
Devi Anisiska, A. Wibowo
Background: Pneumonia is the major cause of mortality of under five children in the world, also in Indonesia. Considering high burden of the disease and good performance of immunization program in Lombok island, Ministry of Health introduced Pneumococcal Conjugated Vaccine (PCV) immunization in West and East Lombok districts since October 2017. This study aimed to evaluate and assess the implementation of PCV demonstration program in West Lombok and East Lombok. The aim of this article is to analyze the results of Post Launch Assessment of PCV demonstration program in East Lombok and West Lombok districts, West Nusa Tenggara province. Subjects and Methods: Post Launch Assessment (PLA) was conducted using PLA tools which was developed together between Ministry of Health and CHAI. It was adapted from the instruments of Supportive Supervision, Post Introduction Evaluation WHO dan Effective Vaccine Management UNICEF. The assessment was carried out in all community health centre ( Puskesmas ) which implementing PCV demostration program, 32 Puskesmas at East Lombok Districts and 19 Puskesmas at West Lombok Districts. The datas were collected through interview to immunization officer, Head of Puskesmas and vaccinators and through observed immunization services at Pos-yandus , facilities and infrastructure at Puskesmas also register and logistic books. Ministry of Health assisted by Clinton Health Access Initiative (CHAI) conducted this activities in May - September 2018. Results: Several components of assessment that need special attention were: (1) Cold chain, (2) Recording and reporting system, (3) Management of vaccine and logistics, (4) Monitoring and analysis of the program, and (5) Adverse Event Following Immunization (AEFI) surveillance. Conclusion: PCV demonstration program in West Lombok and East Lombok are well implemented. But for better implementation in the future, the recommendations are: (1) Supplementary vaccine distribution system to cover limited vaccine storage capacity or alternative provision of vaccines with smaller volumes preparation, (2)Printing Immunization Recording and Reporting Books with additional columns for PCV especially for districts who conduct PCV demonstration program, (3) Strengthening management of vaccine and logistics, especially for vaccine requirements calculation, vaccine stock recording and temperature monitoring, and (4) Strengthening data analysis capa-bility of immunization officer at Puskesmas level to do immediate follow up of the problem.
{"title":"Analysis of Post Launch Assessment of Pneumococcal Conjugated Vaccine Demonstration Program in West Lombok and East Lombok, West Nusa Tenggara, 2018","authors":"Devi Anisiska, A. Wibowo","doi":"10.26911/the6thicph-FP.04.11","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.04.11","url":null,"abstract":"Background: Pneumonia is the major cause of mortality of under five children in the world, also in Indonesia. Considering high burden of the disease and good performance of immunization program in Lombok island, Ministry of Health introduced Pneumococcal Conjugated Vaccine (PCV) immunization in West and East Lombok districts since October 2017. This study aimed to evaluate and assess the implementation of PCV demonstration program in West Lombok and East Lombok. The aim of this article is to analyze the results of Post Launch Assessment of PCV demonstration program in East Lombok and West Lombok districts, West Nusa Tenggara province. Subjects and Methods: Post Launch Assessment (PLA) was conducted using PLA tools which was developed together between Ministry of Health and CHAI. It was adapted from the instruments of Supportive Supervision, Post Introduction Evaluation WHO dan Effective Vaccine Management UNICEF. The assessment was carried out in all community health centre ( Puskesmas ) which implementing PCV demostration program, 32 Puskesmas at East Lombok Districts and 19 Puskesmas at West Lombok Districts. The datas were collected through interview to immunization officer, Head of Puskesmas and vaccinators and through observed immunization services at Pos-yandus , facilities and infrastructure at Puskesmas also register and logistic books. Ministry of Health assisted by Clinton Health Access Initiative (CHAI) conducted this activities in May - September 2018. Results: Several components of assessment that need special attention were: (1) Cold chain, (2) Recording and reporting system, (3) Management of vaccine and logistics, (4) Monitoring and analysis of the program, and (5) Adverse Event Following Immunization (AEFI) surveillance. Conclusion: PCV demonstration program in West Lombok and East Lombok are well implemented. But for better implementation in the future, the recommendations are: (1) Supplementary vaccine distribution system to cover limited vaccine storage capacity or alternative provision of vaccines with smaller volumes preparation, (2)Printing Immunization Recording and Reporting Books with additional columns for PCV especially for districts who conduct PCV demonstration program, (3) Strengthening management of vaccine and logistics, especially for vaccine requirements calculation, vaccine stock recording and temperature monitoring, and (4) Strengthening data analysis capa-bility of immunization officer at Puskesmas level to do immediate follow up of the problem.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115428679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-23DOI: 10.26911/the6thicph-FP.04.33
R. Kamaluddin, W. Adisasmito
Background: Antimicrobial resistance is a big problem in the world. Inappropriate use of antibiotics increases up to 36-54% in hospitals worldwide. One of the factors that trigger antimicrobial resistance is the prescription of irrational antibiotics. In the age of increasingly developing technology, a variety of medical equipment and support also developed, including electronic medical record (EMR). This study aimed to systemati-cally review the role of the electronic medical record in enhancing rational antibiotics prescription. Subjects and Methods: This was a systematic review using articles obtained from 4 electronic databases, namely Proquest, EBSCO, PubMed, and Scopus. The keywords used in this study were "electronic medical record" OR "electronic health record" OR "electronic patient data" AND "hospital" AND "rational antibiotic prescribing" OR "ra-tional antimicrobial prescribing" OR "improve antibiotic prescribing" OR "antibiotic resistance ―OR "antimicrobial resistance". The data were obtained from publication in 2014 to 2019, observational study, conducted in hospital, and related to EMR. The main outcome was the change in prescription from irrational to rational use of antibiotics. The data were reviewed based on the PRISMA flow diagram. Results: Eight of 5549 articles met the inclusion criteria and were reviewed. Four of 8 articles discussed additional information technology (IT) tools that were technological-ly linked to EMR. One article discussed government regulation. Two articles discussed hospital system. One articles discussed collaboration between EMR data and educa-tional promotion. EMR provided complete information about the patient's condition, history of the disease, the pattern of therapy administration, and the cost of treatment in the hospital. However, EMR itself was not enough. Program support, additional IT system, and regulation, were needed to change the behavior of rational antibiotic prescription. Conclusion: EMR can provide an overview of the medical record data, including pat-terns of antibiotics drug use. It helps the doctors to provide rational therapy easier by increase regulation, hospital system, or additional tools that support EMR in the case to reduce antimicrobial resistance.
{"title":"The Role of Electronic Medical Record in Enhancing Rational Antibiotics Prescription: A Systematic Review","authors":"R. Kamaluddin, W. Adisasmito","doi":"10.26911/the6thicph-FP.04.33","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.04.33","url":null,"abstract":"Background: Antimicrobial resistance is a big problem in the world. Inappropriate use of antibiotics increases up to 36-54% in hospitals worldwide. One of the factors that trigger antimicrobial resistance is the prescription of irrational antibiotics. In the age of increasingly developing technology, a variety of medical equipment and support also developed, including electronic medical record (EMR). This study aimed to systemati-cally review the role of the electronic medical record in enhancing rational antibiotics prescription. Subjects and Methods: This was a systematic review using articles obtained from 4 electronic databases, namely Proquest, EBSCO, PubMed, and Scopus. The keywords used in this study were \"electronic medical record\" OR \"electronic health record\" OR \"electronic patient data\" AND \"hospital\" AND \"rational antibiotic prescribing\" OR \"ra-tional antimicrobial prescribing\" OR \"improve antibiotic prescribing\" OR \"antibiotic resistance ―OR \"antimicrobial resistance\". The data were obtained from publication in 2014 to 2019, observational study, conducted in hospital, and related to EMR. The main outcome was the change in prescription from irrational to rational use of antibiotics. The data were reviewed based on the PRISMA flow diagram. Results: Eight of 5549 articles met the inclusion criteria and were reviewed. Four of 8 articles discussed additional information technology (IT) tools that were technological-ly linked to EMR. One article discussed government regulation. Two articles discussed hospital system. One articles discussed collaboration between EMR data and educa-tional promotion. EMR provided complete information about the patient's condition, history of the disease, the pattern of therapy administration, and the cost of treatment in the hospital. However, EMR itself was not enough. Program support, additional IT system, and regulation, were needed to change the behavior of rational antibiotic prescription. Conclusion: EMR can provide an overview of the medical record data, including pat-terns of antibiotics drug use. It helps the doctors to provide rational therapy easier by increase regulation, hospital system, or additional tools that support EMR in the case to reduce antimicrobial resistance.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121341395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：