Pub Date : 2023-12-11DOI: 10.20473/jaki.v11i2.2023.183-185
Nur Atika
Indonesian Government is currently focusing on several efforts to accelerate the achievement of health goals through the implementation of health transformation initiatives. In November 2022, the Indonesian Minister of Heath announced six pillars for health transformation, which are: (1) transformation of primary service; (2) transformation of referral service; (3) health resilience system transformation; (4) transformation of health financing system; (5) health human resources transformation; (6) transformation of health technology.
{"title":"SEVERAL PILLARS OF HEALTH TRANSFORMATION IN INDONESIA: FROM RESILIENCE PHARMACEUTICAL SUPPLY, HEALTH INSURANCE, PRIMARY HEATH CARE, TO DIGITAL HEALTH","authors":"Nur Atika","doi":"10.20473/jaki.v11i2.2023.183-185","DOIUrl":"https://doi.org/10.20473/jaki.v11i2.2023.183-185","url":null,"abstract":"Indonesian Government is currently focusing on several efforts to accelerate the achievement of health goals through the implementation of health transformation initiatives. In November 2022, the Indonesian Minister of Heath announced six pillars for health transformation, which are: (1) transformation of primary service; (2) transformation of referral service; (3) health resilience system transformation; (4) transformation of health financing system; (5) health human resources transformation; (6) transformation of health technology.","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":"22 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139010623","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 : 2023-12-11DOI: 10.20473/jaki.v11i2.2023.322-332
Aidalina Mahmud, Maha Abdullah, N. Mohd Taib, Muhammad Mohd Isa, Y. Cheah, Liyana Amirah Azman
Background: Healthcare workers’ (HCWs) vaccination hesitancy during a pandemic can be problematic for the health system as these workers need to be fully vaccinated. Aims: This study aimed to determine the level of vaccine hesitancy and its associated factors among HCWs at the beginning of the COVID-19 pandemic. Methods: A cross-sectional study was conducted among randomly selected HCWs of a tertiary hospital in the state of Selangor, Malaysia, using an online questionnaire. The questions were designed to collect information on HCWs’ sociodemographic and health status and attitude towards vaccination. Higher scores for the four scales on attitude towards vaccination denote a higher level of vaccine hesitancy. Results: Of the 380 respondents (98% response rate), the overall score depicted low vaccine hesitancy despite the scores being slightly higher on worrying over unforeseen future effects and concerns about commercial profiteering. Women demonstrated a lower preference for natural immunity compared to men. Conclusion: In the context of this study, vaccine hesitancy among HCWs was low, which may indicate good acceptance. However, concerns about unforeseen future effects and commercial profiteering need to be addressed, and health education and promotion activities on the male workers in terms of preference for natural immunity need to be enhanced. Keywords: attitude, COVID-19, healthcare workers, vaccine hesitancy
{"title":"VACCINATION ATTITUDE AMONG HEALTHCARE WORKERS AT THE EARLY PHASE OF COVID-19 IN MALAYSIA","authors":"Aidalina Mahmud, Maha Abdullah, N. Mohd Taib, Muhammad Mohd Isa, Y. Cheah, Liyana Amirah Azman","doi":"10.20473/jaki.v11i2.2023.322-332","DOIUrl":"https://doi.org/10.20473/jaki.v11i2.2023.322-332","url":null,"abstract":"Background: Healthcare workers’ (HCWs) vaccination hesitancy during a pandemic can be problematic for the health system as these workers need to be fully vaccinated.\u0000Aims: This study aimed to determine the level of vaccine hesitancy and its associated factors among HCWs at the beginning of the COVID-19 pandemic.\u0000Methods: A cross-sectional study was conducted among randomly selected HCWs of a tertiary hospital in the state of Selangor, Malaysia, using an online questionnaire. The questions were designed to collect information on HCWs’ sociodemographic and health status and attitude towards vaccination. Higher scores for the four scales on attitude towards vaccination denote a higher level of vaccine hesitancy.\u0000Results: Of the 380 respondents (98% response rate), the overall score depicted low vaccine hesitancy despite the scores being slightly higher on worrying over unforeseen future effects and concerns about commercial profiteering. Women demonstrated a lower preference for natural immunity compared to men.\u0000Conclusion: In the context of this study, vaccine hesitancy among HCWs was low, which may indicate good acceptance. However, concerns about unforeseen future effects and commercial profiteering need to be addressed, and health education and promotion activities on the male workers in terms of preference for natural immunity need to be enhanced.\u0000Keywords: attitude, COVID-19, healthcare workers, vaccine hesitancy","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":"33 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138981551","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 : 2023-12-05DOI: 10.20473/jaki.v11i2.2023.311-321
Jane Kartika Propiona
Background: Each individual, including persons with disabilities, has a guaranteed right to access healthcare services. Indonesia has ratified the United Nations Convention on the Rights of Persons with Disabilities (CRPD) through Law No. 19 of 2011. However, PWDs still experience difficulties and restrictions in accessing health services. Aims: Examine the fulfillment of inclusive health access for PWD in public health services as a form of inclusivity in health development in Jakarta. This research will finally analyze whether local regulations have accommodated the fulfillment of health rights for PWDs. Method: Using qualitative and descriptive methods by raising case studies that are used in-depth and thoroughly. This study was conducted in three public health centers in South Jakarta. The reason for choosing the location is because Jakarta is an area that has regional regulations on PWD, and the proportion of PWD is 22.1% nationally. The informants in this study were selected by purposive sampling techniques involving 15 informants who conducted in-depth interviews. Results: The mandate of local regulations has not realized inclusive health services for PWD. Marked by lack of information, the absence of health services specifically even though there has been social assistance in the form of KPDJ (Jakarta Disability Card), accessibility that is not yet disability-friendly, and commitment from local governments that are lacking because there is no evaluation, especially in the health sector so that the environment is not inclusive. Conclusion: Providing access to health services for PWD in South Jakarta public health centers is still not inclusive. Policy evaluation is needed, considering that local regulations on PWD have been revised in 2022. Data collection on the number of PWDs in the Puskesmas work area needs to be carried out to meet their health needs. Keywords: access, disability, health, inclusive, public health center
{"title":"HAS INCLUSIVE HEALTH ACCESS IN JAKARTA'S PUBLIC HEALTH CENTER BEEN FULFILLED?","authors":"Jane Kartika Propiona","doi":"10.20473/jaki.v11i2.2023.311-321","DOIUrl":"https://doi.org/10.20473/jaki.v11i2.2023.311-321","url":null,"abstract":"Background: Each individual, including persons with disabilities, has a guaranteed right to access healthcare services. Indonesia has ratified the United Nations Convention on the Rights of Persons with Disabilities (CRPD) through Law No. 19 of 2011. However, PWDs still experience difficulties and restrictions in accessing health services.\u0000Aims: Examine the fulfillment of inclusive health access for PWD in public health services as a form of inclusivity in health development in Jakarta. This research will finally analyze whether local regulations have accommodated the fulfillment of health rights for PWDs.\u0000Method: Using qualitative and descriptive methods by raising case studies that are used in-depth and thoroughly. This study was conducted in three public health centers in South Jakarta. The reason for choosing the location is because Jakarta is an area that has regional regulations on PWD, and the proportion of PWD is 22.1% nationally. The informants in this study were selected by purposive sampling techniques involving 15 informants who conducted in-depth interviews.\u0000Results: The mandate of local regulations has not realized inclusive health services for PWD. Marked by lack of information, the absence of health services specifically even though there has been social assistance in the form of KPDJ (Jakarta Disability Card), accessibility that is not yet disability-friendly, and commitment from local governments that are lacking because there is no evaluation, especially in the health sector so that the environment is not inclusive.\u0000Conclusion: Providing access to health services for PWD in South Jakarta public health centers is still not inclusive. Policy evaluation is needed, considering that local regulations on PWD have been revised in 2022. Data collection on the number of PWDs in the Puskesmas work area needs to be carried out to meet their health needs.\u0000Keywords: access, disability, health, inclusive, public health center","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":"17 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138985374","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 : 2023-12-03DOI: 10.20473/jaki.v11i2.2023.299-310
R. Wulandari, A. Laksono, Nikmatur Rohmah, Leny Latifah, Hadi Ashar
Background: Primary health care (PHC) is the closest institution known to people in disadvantaged areas. Aims: The study determines the policy target based on the demographic characteristics to increase PHC utilization in a disadvantaged area. Methods: The cross-sectional research explored 42,644 respondents. In addition to PHC utilization, the study examined eight independent variables: residence, gender, marital, age, wealth, insurance, education, and travel time. We employed a binary logistic regression in the last stage. Results: Live in urban areas had 1.967 more likely to utilize the PHC (95%CI 1.942-1.992). Males could be 1.412 higher than females (95%CI 1.402-1.421). All marital types had more chances than never married. All education was more likely than no education. The employed had 0.972 less likely than the unemployed (95%CI 0.965-0.980). All wealth groups had less possibility than the poorest. Those with government-run insurance were likelier than other types. The ≤10 minutes travel time was more likely than the >10 minutes. Conclusion: There were seven policy target characteristics to increase PHC use in disadvantaged areas in Indonesia: live in a rural area, female, never married, have no education, employed, not the poorest, don't have government-run insurance, and have a travel time of more than ten minutes. Keywords: disadvantaged area, healthcare evaluation, primary health care, public health
{"title":"DETERMINE THE TARGET TO INCREASE PRIMARY HEALTHCARE UTILIZATION IN INDONESIA'S DISADVANTAGED AREAS","authors":"R. Wulandari, A. Laksono, Nikmatur Rohmah, Leny Latifah, Hadi Ashar","doi":"10.20473/jaki.v11i2.2023.299-310","DOIUrl":"https://doi.org/10.20473/jaki.v11i2.2023.299-310","url":null,"abstract":"Background: Primary health care (PHC) is the closest institution known to people in disadvantaged areas.\u0000Aims: The study determines the policy target based on the demographic characteristics to increase PHC utilization in a disadvantaged area.\u0000Methods: The cross-sectional research explored 42,644 respondents. In addition to PHC utilization, the study examined eight independent variables: residence, gender, marital, age, wealth, insurance, education, and travel time. We employed a binary logistic regression in the last stage.\u0000Results: Live in urban areas had 1.967 more likely to utilize the PHC (95%CI 1.942-1.992). Males could be 1.412 higher than females (95%CI 1.402-1.421). All marital types had more chances than never married. All education was more likely than no education. The employed had 0.972 less likely than the unemployed (95%CI 0.965-0.980). All wealth groups had less possibility than the poorest. Those with government-run insurance were likelier than other types. The ≤10 minutes travel time was more likely than the >10 minutes.\u0000Conclusion: There were seven policy target characteristics to increase PHC use in disadvantaged areas in Indonesia: live in a rural area, female, never married, have no education, employed, not the poorest, don't have government-run insurance, and have a travel time of more than ten minutes.\u0000Keywords: disadvantaged area, healthcare evaluation, primary health care, public health","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":"40 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139012649","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 : 2023-12-02DOI: 10.20473/jaki.v11i2.2023.288-298
Runjati Runjati, Sri Rahayu
Background: Women are more prone to stress during pregnancy than during the postpartum period. Stress during pregnancy is correlated with pregnancy and birth outcomes. Early detection using the e-health system is an alternative to health services during the pandemic. Aims: The research objective was to produce innovation in early stress detection using an information system based on the e-Health system. Methods: This study was conducted in the Ngaliyan Primary Healthcare Centre with 34 pregnant women. This study utilized both qualitative and quantitative research. Qualitative research used the System Development Life Cycle (SDLC), while quantitative research used an experimental design with a one-shot case study approach. Results: The e-Health system could automatically identify stress during pregnancy, with the TAM questionnaire yielding a very effective result of 85.4%. The average time needed to detect pregnant women’s stress was 230.94 seconds. This system can analyze 374 pregnant women within one day (24 hours), provide services, and report pregnant women’s stress detection results. Conclusions: The e-Health system effectively conserves time and can be used to record and report early stress in pregnant women. Keywords: early detection, information system, pregnancy, smartphone, stress
{"title":"EARLY STRESS DETECTION DURING PREGNANCY USING E-HEALTH IN THE PANDEMIC","authors":"Runjati Runjati, Sri Rahayu","doi":"10.20473/jaki.v11i2.2023.288-298","DOIUrl":"https://doi.org/10.20473/jaki.v11i2.2023.288-298","url":null,"abstract":"Background: Women are more prone to stress during pregnancy than during the postpartum period. Stress during pregnancy is correlated with pregnancy and birth outcomes. Early detection using the e-health system is an alternative to health services during the pandemic.\u0000Aims: The research objective was to produce innovation in early stress detection using an information system based on the e-Health system.\u0000Methods: This study was conducted in the Ngaliyan Primary Healthcare Centre with 34 pregnant women. This study utilized both qualitative and quantitative research. Qualitative research used the System Development Life Cycle (SDLC), while quantitative research used an experimental design with a one-shot case study approach.\u0000Results: The e-Health system could automatically identify stress during pregnancy, with the TAM questionnaire yielding a very effective result of 85.4%. The average time needed to detect pregnant women’s stress was 230.94 seconds. This system can analyze 374 pregnant women within one day (24 hours), provide services, and report pregnant women’s stress detection results.\u0000Conclusions: The e-Health system effectively conserves time and can be used to record and report early stress in pregnant women.\u0000Keywords: early detection, information system, pregnancy, smartphone, stress","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":"349 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138985747","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 : 2023-11-30DOI: 10.20473/jaki.v11i2.2023.276-287
Ervin Dyah Ayu Masita Dewi, Hwian Christianto
Background: Not all public approval to receive COVID-19 vaccination is based on understanding the right information, which is considered insufficient motivation. It is also related to inadequate government policies. Aims: This study was to identify the implementation of informed consent in COVID-19 vaccination, in terms of the autonomy of the vaccine recipients, so that the necessary policy could be recommended. Methods: The research was conducted at Surabaya in June-December 2021 with descriptive qualitative methods through in-depth interviews with five vaccinators and five vaccine recipients using purposive sampling. Data were analyzed from interview transcripts by coding, making categories and themes, and then compared to relevant references. Results: The results showed that 60% of the implementation of the COVID-19 vaccination informed consent was inadequate. It was found that incomplete information disclosure is often not even given information, and vaccinations are carried out without a signature of informed consent. These findings suggest that respect for the autonomy of COVID-19 vaccine recipients has not been made. Conclusion: Inadequate respect for the autonomy of vaccine recipients risks causing a medical conflict in the future if there are unexpected effects. Thus, the government must make standard informed consent procedures for COVID-19 vaccination and collaborate with the local government. Keywords: Covid-19 vaccination, informed consent, information disclosure, respect for autonomy
{"title":"PROBLEMATIC OF AUTONOMY REVIEW OF THE COVID-19 VACCINATION INFORMED CONSENT","authors":"Ervin Dyah Ayu Masita Dewi, Hwian Christianto","doi":"10.20473/jaki.v11i2.2023.276-287","DOIUrl":"https://doi.org/10.20473/jaki.v11i2.2023.276-287","url":null,"abstract":"Background: Not all public approval to receive COVID-19 vaccination is based on understanding the right information, which is considered insufficient motivation. It is also related to inadequate government policies. Aims: This study was to identify the implementation of informed consent in COVID-19 vaccination, in terms of the autonomy of the vaccine recipients, so that the necessary policy could be recommended. Methods: The research was conducted at Surabaya in June-December 2021 with descriptive qualitative methods through in-depth interviews with five vaccinators and five vaccine recipients using purposive sampling. Data were analyzed from interview transcripts by coding, making categories and themes, and then compared to relevant references. Results: The results showed that 60% of the implementation of the COVID-19 vaccination informed consent was inadequate. It was found that incomplete information disclosure is often not even given information, and vaccinations are carried out without a signature of informed consent. These findings suggest that respect for the autonomy of COVID-19 vaccine recipients has not been made. Conclusion: Inadequate respect for the autonomy of vaccine recipients risks causing a medical conflict in the future if there are unexpected effects. Thus, the government must make standard informed consent procedures for COVID-19 vaccination and collaborate with the local government. Keywords: Covid-19 vaccination, informed consent, information disclosure, respect for autonomy","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139207737","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 : 2023-11-30DOI: 10.20473/jaki.v11i2.2023.264-275
Debri Rizki Faisal, Tati Suryati
Background: The prevalence of adolescent smoking in Indonesia increased from 2013 to 2018. Aims: This study examines the influence of pro and anti-cigarette advertising on students' smoking cessation. Methods: The study uses the Global Youth Tobacco Survey Indonesia 2019 data. The sample was students aged 13-15 years who had smoked. The dependent variable is quitting smoking, and the independent variables are pro-cigarette and anti-smoking ads: chi-square and logistic regression tests with a 95% confidence interval and a p-value of 0.05. Results: The total sample was 1023 students, and 79.32% wanted to quit smoking. In the anti-smoking ads variables: anti-smoking messages in various media (OR=1.63, 95% CI=1.14-2.34); pictorial health warnings (PHW) on cigarette packs (OR=3.46, 95% CI=2.40-4.97); feeling afraid when seeing health warnings on packaged cigarettes (OR=3.03, 95% CI=2.16-4.26); education about harmful of cigarette consumption (OR=1.40, 95% CI=1.00 – 1.96) had a significant association to quit smoking. The most dominant factor in multivariate analysis was pictorial health warnings on cigarette packs (OR=2.53, 95% CI=1.67-3.81). Conclusion: Most student smokers express a desire to quit smoking. Pictorial health warnings are significantly associated with quitting smoking among students. Keywords: cigarette ads, GYTS, pictorial health warning, students
{"title":"DO ANTI-SMOKING ADVERTISEMENTS INFLUENCE STUDENTS TO QUIT SMOKING?","authors":"Debri Rizki Faisal, Tati Suryati","doi":"10.20473/jaki.v11i2.2023.264-275","DOIUrl":"https://doi.org/10.20473/jaki.v11i2.2023.264-275","url":null,"abstract":"Background: The prevalence of adolescent smoking in Indonesia increased from 2013 to 2018. Aims: This study examines the influence of pro and anti-cigarette advertising on students' smoking cessation. Methods: The study uses the Global Youth Tobacco Survey Indonesia 2019 data. The sample was students aged 13-15 years who had smoked. The dependent variable is quitting smoking, and the independent variables are pro-cigarette and anti-smoking ads: chi-square and logistic regression tests with a 95% confidence interval and a p-value of 0.05. Results: The total sample was 1023 students, and 79.32% wanted to quit smoking. In the anti-smoking ads variables: anti-smoking messages in various media (OR=1.63, 95% CI=1.14-2.34); pictorial health warnings (PHW) on cigarette packs (OR=3.46, 95% CI=2.40-4.97); feeling afraid when seeing health warnings on packaged cigarettes (OR=3.03, 95% CI=2.16-4.26); education about harmful of cigarette consumption (OR=1.40, 95% CI=1.00 – 1.96) had a significant association to quit smoking. The most dominant factor in multivariate analysis was pictorial health warnings on cigarette packs (OR=2.53, 95% CI=1.67-3.81). Conclusion: Most student smokers express a desire to quit smoking. Pictorial health warnings are significantly associated with quitting smoking among students. Keywords: cigarette ads, GYTS, pictorial health warning, students","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":"174 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139208751","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 : 2023-11-28DOI: 10.20473/jaki.v11i2.2023.252-263
Windu Santoso, Sri Sudarsih
Background: As frontline health service providers, nurses are important in directly caring for patients during the COVID-19 pandemic. Nurses are very vulnerable to infection, and this causes ongoing anxiety and ultimately causes burnout. Aims: This study aims to identify factors that may lead to nurse burnout in various East Java healthcare facilities. Methods: This research used correlational analysis with a cross-sectional approach. The approach of purposive sampling was applied to select nurses from various health units in East Java with 200 respondents. The Maslach Burnout Syndrome Inventory-Human Services Survey (MBI-HSS) questionnaire was used for burnout variables and questionnaires for efficacy, job stress, and fear variables. Data analysis used multiple logistic regression with the ENTER method. Results: The findings indicated that the variable that had a significant relationship with burnout was work stress. The Odds Ratio (OR) analysis results for the job stress variable are 2.860, meaning that respondents who experience high job stress have a 3-fold risk of experiencing burnout compared to those who do not experience high stress. Conclusion: Job stress is predicted to be the most dominant variable causing burnout during the COVID-19 pandemic. Respondents with high job stress are more at risk of experiencing burnout. Keywords: burnout, COVID-19 pandemic, nurse
{"title":"NURSE BURNOUT PREDICTORS IN HEALTHCARE UNITS DURING COVID-19 IN EAST JAVA, INDONESIA","authors":"Windu Santoso, Sri Sudarsih","doi":"10.20473/jaki.v11i2.2023.252-263","DOIUrl":"https://doi.org/10.20473/jaki.v11i2.2023.252-263","url":null,"abstract":"Background: As frontline health service providers, nurses are important in directly caring for patients during the COVID-19 pandemic. Nurses are very vulnerable to infection, and this causes ongoing anxiety and ultimately causes burnout. Aims: This study aims to identify factors that may lead to nurse burnout in various East Java healthcare facilities. Methods: This research used correlational analysis with a cross-sectional approach. The approach of purposive sampling was applied to select nurses from various health units in East Java with 200 respondents. The Maslach Burnout Syndrome Inventory-Human Services Survey (MBI-HSS) questionnaire was used for burnout variables and questionnaires for efficacy, job stress, and fear variables. Data analysis used multiple logistic regression with the ENTER method. Results: The findings indicated that the variable that had a significant relationship with burnout was work stress. The Odds Ratio (OR) analysis results for the job stress variable are 2.860, meaning that respondents who experience high job stress have a 3-fold risk of experiencing burnout compared to those who do not experience high stress. Conclusion: Job stress is predicted to be the most dominant variable causing burnout during the COVID-19 pandemic. Respondents with high job stress are more at risk of experiencing burnout. Keywords: burnout, COVID-19 pandemic, nurse","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":"70 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139217759","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 : 2023-11-27DOI: 10.20473/jaki.v11i2.2023.242-251
Novia Handayani, B. Widjanarko, Kusyogo Cahyo, A. Ahsan, Dian Kusuma
Background: The Tobacco-Free Areas (TFA) policy is an effective way to control the negative effects of smoking on the community, especially passive smokers. Semarang has had a TFA policy since 2013. However, some people still smoke freely in some areas, such as workplaces, kindergartens, and other public places. Aims: Identifying the implementation of Semarang City Local Government Regulation Number 3 of 2013 concerning Tobacco-Free Areas. Methods: This was qualitative research using the case study method. Data were collected using in-depth interviews with some key informants according to the inclusion criteria. Triangulation was conducted through observation and in-depth interviews with some informants. Data were analyzed using content analysis. Results: Some violations still occurred, mostly at the workplace and educational places, including government offices and schools. Violations happened due to inadequate support of the office’s heads, insufficient workers and the society’s awareness, policy rejection, inadequate financial support, lack of media exposure, and obscurity of the regulation articles, which led to misinterpretation. For example, Article 7, verse 3 states that the TFA regulation will be regulated by the mayor's decree. This statement weakens the regulation itself since the mayor's decree is not as strong as the local regulation. Conclusion: The implementation of Semarang City Local Government Regulation Number 3 of 2013 concerning Tobacco-Free Areas has not been carried out properly in all of the TFA areas. Violations were still found in many areas. Keywords: regulation, secondhand smokers, smoking, tobacco-free areas
{"title":"A LONG AND WINDING ROAD OF THE TOBACCO-FREE AREAS IMPLEMENTATION IN SEMARANG","authors":"Novia Handayani, B. Widjanarko, Kusyogo Cahyo, A. Ahsan, Dian Kusuma","doi":"10.20473/jaki.v11i2.2023.242-251","DOIUrl":"https://doi.org/10.20473/jaki.v11i2.2023.242-251","url":null,"abstract":"Background: The Tobacco-Free Areas (TFA) policy is an effective way to control the negative effects of smoking on the community, especially passive smokers. Semarang has had a TFA policy since 2013. However, some people still smoke freely in some areas, such as workplaces, kindergartens, and other public places. Aims: Identifying the implementation of Semarang City Local Government Regulation Number 3 of 2013 concerning Tobacco-Free Areas. Methods: This was qualitative research using the case study method. Data were collected using in-depth interviews with some key informants according to the inclusion criteria. Triangulation was conducted through observation and in-depth interviews with some informants. Data were analyzed using content analysis. Results: Some violations still occurred, mostly at the workplace and educational places, including government offices and schools. Violations happened due to inadequate support of the office’s heads, insufficient workers and the society’s awareness, policy rejection, inadequate financial support, lack of media exposure, and obscurity of the regulation articles, which led to misinterpretation. For example, Article 7, verse 3 states that the TFA regulation will be regulated by the mayor's decree. This statement weakens the regulation itself since the mayor's decree is not as strong as the local regulation. Conclusion: The implementation of Semarang City Local Government Regulation Number 3 of 2013 concerning Tobacco-Free Areas has not been carried out properly in all of the TFA areas. Violations were still found in many areas. Keywords: regulation, secondhand smokers, smoking, tobacco-free areas","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":"73 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139227992","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 : 2023-11-23DOI: 10.20473/jaki.v11i2.2023.212-220
Margaretha Inadyas Verganza, A. Sriatmi, Nurhasmadiar Nandini
Background: The coverage of COVID-19 vaccination for children in Pati Regency was still low at 37% in February 2022 compared to the 75% target. Some preliminary studies in Kudus showed that parents who received socialization about children’s COVID-19 vaccination experienced concerns affecting their responses negatively to the program. Aims: This study aims to analyze differences in parental acceptance of the COVID-19 vaccination for children in Pati Regency. Methods: This study was quantitative research with a cross-sectional approach. The variables consisted of 7Cs components (Confidence, Complacency, Constraints, Calculation, Collective Responsibility, Compliance, Conspiracy) and acceptance of COVID-19 vaccination. The total sample of respondents was 372 parents divided into two independent groups obtained by cluster and proportional sampling. Data were collected using a questionnaire via Google Forms and analyzed using the Mann-Whitney test. Results: The results showed differences in parental acceptance of COVID-19 vaccination (sig = 0.006) regarding constraints (sig = 0.000), collective responsibility (sig = 0.012), compliance (sig = 0.012), confidence (sig = 0.019), complacency (sig = 0.020), calculation (sig = 0.027), and conspiracy (sig = 0.037). Conclusion: Some differences were found between parents whose children received the vaccine and those whose children did not receive the COVID-19 vaccine. Parents whose children received the COVID-19 vaccine were likely to have a good perception of the COVID-19 vaccination. Meanwhile, parents whose children did not get vaccinated would likely have a bad perception. Educational and consulting services possibly increase vaccination coverage. Keywords: COVID-19 vaccination for children; different acceptance; 7Cs components
{"title":"DIFFERENCES IN PARENTS’ READINESS TO ACCEPT CHILDREN’S COVID-19 VACCINATION IN PATI REGENCY","authors":"Margaretha Inadyas Verganza, A. Sriatmi, Nurhasmadiar Nandini","doi":"10.20473/jaki.v11i2.2023.212-220","DOIUrl":"https://doi.org/10.20473/jaki.v11i2.2023.212-220","url":null,"abstract":"Background: The coverage of COVID-19 vaccination for children in Pati Regency was still low at 37% in February 2022 compared to the 75% target. Some preliminary studies in Kudus showed that parents who received socialization about children’s COVID-19 vaccination experienced concerns affecting their responses negatively to the program. Aims: This study aims to analyze differences in parental acceptance of the COVID-19 vaccination for children in Pati Regency. Methods: This study was quantitative research with a cross-sectional approach. The variables consisted of 7Cs components (Confidence, Complacency, Constraints, Calculation, Collective Responsibility, Compliance, Conspiracy) and acceptance of COVID-19 vaccination. The total sample of respondents was 372 parents divided into two independent groups obtained by cluster and proportional sampling. Data were collected using a questionnaire via Google Forms and analyzed using the Mann-Whitney test. Results: The results showed differences in parental acceptance of COVID-19 vaccination (sig = 0.006) regarding constraints (sig = 0.000), collective responsibility (sig = 0.012), compliance (sig = 0.012), confidence (sig = 0.019), complacency (sig = 0.020), calculation (sig = 0.027), and conspiracy (sig = 0.037). Conclusion: Some differences were found between parents whose children received the vaccine and those whose children did not receive the COVID-19 vaccine. Parents whose children received the COVID-19 vaccine were likely to have a good perception of the COVID-19 vaccination. Meanwhile, parents whose children did not get vaccinated would likely have a bad perception. Educational and consulting services possibly increase vaccination coverage. Keywords: COVID-19 vaccination for children; different acceptance; 7Cs components","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139245858","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}
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