Pub Date : 2022-06-30DOI: 10.20473/jaki.v10i1.2022.60-69
S. Kurniawan, K. Putra, I. Hartawan
Background: Burnout is a health problem that may happen to nurses and may impact patient safety and organization in any situations, especially during the second wave of COVID-19 pandemic. Aims: This study aimed to identify the prevalence of burnout among nurses in charge of isolation rooms and its relationship to their demographics factor. Methods: This research design is descriptive-analytic quantitative and cross-sectional. It involved 124 nurses assigned to isolation rooms for COVID-19 patients admitted to the first referral hospital in Bali. Data were collected using a questionnaire adopted from the Maslach Burnout Inventory to identify burnout symptoms. Demographic questionnaire was administered to garner respondents' demographics. Results: High category of burnout was related to emotional exhaustion found in 66.1% of the respondents, depersonalization in 33.1%, and reduced personal accomplishment in 0.8%. Age, marital status, education, and gender were not related to burnout. Nurses who worked in non-ICU experienced higher burnout than ICU (p < 0.05). Conclusions: The prevalence of burnout symptoms in the nurses who were in charge in COVID-19 isolation rooms is in the high category. Hospital management must consider demographic factors to improve the work environment, recruit new employees, conduct routine health checks, and provide mental health treatments consistently.
{"title":"PREVALENCE OF BURNOUT SYMPTOMS IN NURSES HOSPITAL ASSIGNED TO COVID-19 ISOLATION ROOMS","authors":"S. Kurniawan, K. Putra, I. Hartawan","doi":"10.20473/jaki.v10i1.2022.60-69","DOIUrl":"https://doi.org/10.20473/jaki.v10i1.2022.60-69","url":null,"abstract":"Background: Burnout is a health problem that may happen to nurses and may impact patient safety and organization in any situations, especially during the second wave of COVID-19 pandemic.\u0000Aims: This study aimed to identify the prevalence of burnout among nurses in charge of isolation rooms and its relationship to their demographics factor.\u0000Methods: This research design is descriptive-analytic quantitative and cross-sectional. It involved 124 nurses assigned to isolation rooms for COVID-19 patients admitted to the first referral hospital in Bali. Data were collected using a questionnaire adopted from the Maslach Burnout Inventory to identify burnout symptoms. Demographic questionnaire was administered to garner respondents' demographics.\u0000Results: High category of burnout was related to emotional exhaustion found in 66.1% of the respondents, depersonalization in 33.1%, and reduced personal accomplishment in 0.8%. Age, marital status, education, and gender were not related to burnout. Nurses who worked in non-ICU experienced higher burnout than ICU (p < 0.05).\u0000Conclusions: The prevalence of burnout symptoms in the nurses who were in charge in COVID-19 isolation rooms is in the high category. Hospital management must consider demographic factors to improve the work environment, recruit new employees, conduct routine health checks, and provide mental health treatments consistently.","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47713352","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 : 2022-06-30DOI: 10.20473/jaki.v10i1.2022.70-78
Dyah Ayu Fatmaningrum, Wahyul Anis, M. A. C. Laksana
Background: The COVID-19 pandemic is a challenge for mothers to access health services in Indonesia. Patient management, referral processes, and maternal screening protocols are the reasons for this issue. Aims: This study aimed to analyze maternal mortality trends in East Java Province before and during the COVID-19 pandemic. Methods: This study was conducted using retrospective observation with a cross-sectional design, and samples were selected using a total sampling technique. The number of maternal deaths in East Java was 520 in 2019 and 565 in 2020. The independent variable in this study is the number of maternal deaths, and the dependent variables include age, gravida, place of death, rescue relay, time of death, and maternal complications. The variables of age, place of death, rescue relay, and gravida were assessed using the Chi-square test. Results: Statistical tests showed a ρ value of 0.195 for age; 0.916 for place of death; 0.646 for rescue relay; and 0.048 for gravida. Conclusion: Maternal mortality showed different trends before and after the pandemic in East Java. Significant differences in maternal mortality rate are influenced by gravida status.
{"title":"THE IMPACT OF THE COVID-19 PANDEMIC ON MATERNAL MORTALITY ATTRIBUTES","authors":"Dyah Ayu Fatmaningrum, Wahyul Anis, M. A. C. Laksana","doi":"10.20473/jaki.v10i1.2022.70-78","DOIUrl":"https://doi.org/10.20473/jaki.v10i1.2022.70-78","url":null,"abstract":"Background: The COVID-19 pandemic is a challenge for mothers to access health services in Indonesia. Patient management, referral processes, and maternal screening protocols are the reasons for this issue.\u0000Aims: This study aimed to analyze maternal mortality trends in East Java Province before and during the COVID-19 pandemic.\u0000Methods: This study was conducted using retrospective observation with a cross-sectional design, and samples were selected using a total sampling technique. The number of maternal deaths in East Java was 520 in 2019 and 565 in 2020. The independent variable in this study is the number of maternal deaths, and the dependent variables include age, gravida, place of death, rescue relay, time of death, and maternal complications. The variables of age, place of death, rescue relay, and gravida were assessed using the Chi-square test.\u0000Results: Statistical tests showed a ρ value of 0.195 for age; 0.916 for place of death; 0.646 for rescue relay; and 0.048 for gravida.\u0000Conclusion: Maternal mortality showed different trends before and after the pandemic in East Java. Significant differences in maternal mortality rate are influenced by gravida status.","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49072376","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 : 2022-06-30DOI: 10.20473/jaki.v10i1.2022.133-142
D. H. Liyanage, Maddage Don Athula Krishanth, P.N.O. Wickramaratne, Adimalee Kankanamalage Sunil Bernard De Alwis, Pannapitiyage Wijeyala Chandrasiri Pannapitiya, Udawatta Arachchige Anura Sampath Perera, I. S. Yaddehige
Background: Shortly after the Covid-19 oxygen crisis in India, the Sri Lanka Ministry of Health started investigating and analyzing gaps in oxygen production, supplies and demands. Aims: This study aimed to evaluate the preparedness in Covid-19 cases management and recommend strategies to prevent oxygen crisis in healthcare facilities. Methods: This study used information on oxygen source redundancy and delivery methods to assess whether a healthcare facility is prepared to provide the necessary oxygen demand for patients in need and to estimate the number of patients that can be treated with the currently available oxygen supplies. The predicted oxygen supplies and demands were assessed with a panel of experts using qualitative and quantitative methods. Data were collected using the Health Information Update System. Results: Sri Lanka had 39,529 designated hospital beds including Intensive Care Unit and High Dependency Unit beds for Covid-19 patients. Even though an average number of patients were reaching 30,000, the actual oxygen demands were around 1,200 which were easily manageable with the current capacity of 80 tons per day. Conclusions: Sri Lanka has made progress to increase access to oxygen by using novel methods to procure and increase oxygen availability, storing, and carrying capacity.
{"title":"SRI LANKA OXYGEN READINESS AND STRATEGIES ADAPTED FOR COVID-19 PATIENTS’ MANAGEMENT","authors":"D. H. Liyanage, Maddage Don Athula Krishanth, P.N.O. Wickramaratne, Adimalee Kankanamalage Sunil Bernard De Alwis, Pannapitiyage Wijeyala Chandrasiri Pannapitiya, Udawatta Arachchige Anura Sampath Perera, I. S. Yaddehige","doi":"10.20473/jaki.v10i1.2022.133-142","DOIUrl":"https://doi.org/10.20473/jaki.v10i1.2022.133-142","url":null,"abstract":"Background: Shortly after the Covid-19 oxygen crisis in India, the Sri Lanka Ministry of Health started investigating and analyzing gaps in oxygen production, supplies and demands.\u0000Aims: This study aimed to evaluate the preparedness in Covid-19 cases management and recommend strategies to prevent oxygen crisis in healthcare facilities.\u0000Methods: This study used information on oxygen source redundancy and delivery methods to assess whether a healthcare facility is prepared to provide the necessary oxygen demand for patients in need and to estimate the number of patients that can be treated with the currently available oxygen supplies. The predicted oxygen supplies and demands were assessed with a panel of experts using qualitative and quantitative methods. Data were collected using the Health Information Update System.\u0000Results: Sri Lanka had 39,529 designated hospital beds including Intensive Care Unit and High Dependency Unit beds for Covid-19 patients. Even though an average number of patients were reaching 30,000, the actual oxygen demands were around 1,200 which were easily manageable with the current capacity of 80 tons per day.\u0000Conclusions: Sri Lanka has made progress to increase access to oxygen by using novel methods to procure and increase oxygen availability, storing, and carrying capacity.","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45497494","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 : 2022-06-30DOI: 10.20473/jaki.v10i1.2022.41-49
Lolita Indah Pradini, A. Sriatmi, Eka Yunila Fatmasari
Background: Measles Rubella (MR) immunization coverage for schoolers in Semarang City decreased to 92.7% in 2020 due to the COVID-19 pandemic. However, in practice, many parents still complain about MR immunization services for schoolers. Aims: This study aimed to determine parental satisfaction with MR immunization services during the COVID-19 pandemic. Methods: This quantitative study used a cross-sectional approach. Purposive and proportional sampling was used to select 102 samples. Data collection was done through questionnaire, and data were analyzed using the chi-square test and importance-performance analysis test. Results: The lowest suitability dimension level was tangibility (81.52%), followed by responsiveness (86.6%). The reliability dimension had the highest average conformity level (92.87%). The priority items for improvement were related to health workers’ compliance with the use of complete personal protective equipment (PPE), spacious immunization service rooms, registration officers’ responsiveness in giving directions, punctual immunizations distribution, polite and friendly registration services officers, as well as health workers’ initiative to remind parents about health protocols. Bivariate analysis showed there was no relationship between respondents’ characteristics and their satisfaction level. Conclusion: Parental satisfaction with MR immunization services for schoolers did not match their expectations; therefore, it is necessary to improve future immunization services.
{"title":"PARENTS’ SATISFACTION WITH MEASLES RUBELLA IMMUNIZATION SERVICES FOR SCHOOLERS DURING THE COVID-19 PANDEMIC","authors":"Lolita Indah Pradini, A. Sriatmi, Eka Yunila Fatmasari","doi":"10.20473/jaki.v10i1.2022.41-49","DOIUrl":"https://doi.org/10.20473/jaki.v10i1.2022.41-49","url":null,"abstract":"Background: Measles Rubella (MR) immunization coverage for schoolers in Semarang City decreased to 92.7% in 2020 due to the COVID-19 pandemic. However, in practice, many parents still complain about MR immunization services for schoolers.\u0000Aims: This study aimed to determine parental satisfaction with MR immunization services during the COVID-19 pandemic.\u0000Methods: This quantitative study used a cross-sectional approach. Purposive and proportional sampling was used to select 102 samples. Data collection was done through questionnaire, and data were analyzed using the chi-square test and importance-performance analysis test.\u0000Results: The lowest suitability dimension level was tangibility (81.52%), followed by responsiveness (86.6%). The reliability dimension had the highest average conformity level (92.87%). The priority items for improvement were related to health workers’ compliance with the use of complete personal protective equipment (PPE), spacious immunization service rooms, registration officers’ responsiveness in giving directions, punctual immunizations distribution, polite and friendly registration services officers, as well as health workers’ initiative to remind parents about health protocols. Bivariate analysis showed there was no relationship between respondents’ characteristics and their satisfaction level.\u0000Conclusion: Parental satisfaction with MR immunization services for schoolers did not match their expectations; therefore, it is necessary to improve future immunization services.","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49278446","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 : 2022-06-30DOI: 10.20473/jaki.v10i1.2022.1-2
Nuzulul Kusuma Putri, S.KM., M.Kes.
Maternal issues are classic issues in every edition of the Indonesian Journal of Health Administration. In this issue, our authors, Fatmaningrum et al. (2022), revealed how the COVID-19 pandemic had increased the number of maternal deaths. Research conducted by Ernawaty and Sri (2022) again shows how big the risks Indonesian women must bear during pregnancy and childbirth are. Not only are they risking their lives because they have to give birth to children, but once discharged from treatment, they still have to be faced with high delivery costs. The National Health Insurance does help a lot, but who will help JKN from a deficit if there are many cases of diseases that require huge costs. A systematic review conducted by (Muhlis, 2022) found that the low level of participation in the JKN program was due to various multidimensional factors. This factor is not only related to the ability to pay contributions, but many are due to individual and environmental internal factors.
{"title":"MATERNAL DEATH, QUALITY SERVICES, AND MENTAL HEALTH: A CYCLE OR REPEATED EPISODE ?","authors":"Nuzulul Kusuma Putri, S.KM., M.Kes.","doi":"10.20473/jaki.v10i1.2022.1-2","DOIUrl":"https://doi.org/10.20473/jaki.v10i1.2022.1-2","url":null,"abstract":"Maternal issues are classic issues in every edition of the Indonesian Journal of Health Administration. In this issue, our authors, Fatmaningrum et al. (2022), revealed how the COVID-19 pandemic had increased the number of maternal deaths. Research conducted by Ernawaty and Sri (2022) again shows how big the risks Indonesian women must bear during pregnancy and childbirth are. Not only are they risking their lives because they have to give birth to children, but once discharged from treatment, they still have to be faced with high delivery costs. The National Health Insurance does help a lot, but who will help JKN from a deficit if there are many cases of diseases that require huge costs. A systematic review conducted by (Muhlis, 2022) found that the low level of participation in the JKN program was due to various multidimensional factors. This factor is not only related to the ability to pay contributions, but many are due to individual and environmental internal factors.","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42637386","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 : 2022-06-30DOI: 10.20473/jaki.v10i1.2022.14-22
Agustina Arundina Triharja Tejoyuwono
Background: Health workers are considered to be credible people in health in the health field; they are often deemed as role models in healthy behavior. Primary healthcare centers (PHCs) and professional health organizations (PHOs) have to support health workers (HWs) in order that they perform their duty according to codes of work ethics. Aims: This study aimed to investigate the support from PHCs and PHOs for HWs as health role models in the community. Methods: This study is an exploratory qualitative study conducted in 2017. It involved three heads of PHCs, six clinical practitioners, three PHOs, and three community members from Pontianak. Results: The health workers had responsibility, awareness, and commitment towards health workers themselves, the community, and colleagues, and thus they became health role models. Although the community never reprimanded HWs directly, they continued having a healthy lifestyle since they had acquired health education that impacts their behavior. Health institutions provided rules for mandatory daily physical activities and healthy diet; also, they established no-smoking areas, but many constraints were found during the execution. Conclusion: The code of work ethics should be used as standards to support health workers’ role.
{"title":"HEALTH INSTITUTIONAL SUPPORT FOR HEALTH WORKERS AS ROLE MODELS FOR A HEALTHY LIFE","authors":"Agustina Arundina Triharja Tejoyuwono","doi":"10.20473/jaki.v10i1.2022.14-22","DOIUrl":"https://doi.org/10.20473/jaki.v10i1.2022.14-22","url":null,"abstract":"Background: Health workers are considered to be credible people in health in the health field; they are often deemed as role models in healthy behavior. Primary healthcare centers (PHCs) and professional health organizations (PHOs) have to support health workers (HWs) in order that they perform their duty according to codes of work ethics.\u0000Aims: This study aimed to investigate the support from PHCs and PHOs for HWs as health role models in the community.\u0000Methods: This study is an exploratory qualitative study conducted in 2017. It involved three heads of PHCs, six clinical practitioners, three PHOs, and three community members from Pontianak.\u0000Results: The health workers had responsibility, awareness, and commitment towards health workers themselves, the community, and colleagues, and thus they became health role models. Although the community never reprimanded HWs directly, they continued having a healthy lifestyle since they had acquired health education that impacts their behavior. Health institutions provided rules for mandatory daily physical activities and healthy diet; also, they established no-smoking areas, but many constraints were found during the execution.\u0000Conclusion: The code of work ethics should be used as standards to support health workers’ role.","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45439814","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 : 2022-06-30DOI: 10.20473/jaki.v10i1.2022.50-59
Lia Kurnia Hartanti, Ferdi Antonio
Background: Chronic kidney disease is a catastrophic disease ranked second in Indonesia for high health costs. The number of renal units in Indonesia has rapidly increased since the launch of the National Health Insurance program in 2014. Its increase was accompanied by the increased number of patients. Aim: This study analyzed the effect of service quality dimensions on patient satisfaction with hemodialysis care. Methods: This study used a cross-sectional design and a quantitative method. It retrieved data from respondents who had undergone hemodialysis care at hospitals and clinics in Jakarta and surroundings. The PLS-SEM approach was used to analyze the data. Results: Eight service dimensions were proven to influence the overall service quality and directly impact patient satisfaction. The influential dimensions included facilities and organization of the service, care by attending nurses and assistants, attention to psychological and administrative issues, medical attention and care, nutrition attention and care, medication supply and quality, features and administration process, attention and care given by the head nurse. All of these dimensions affected patient satisfaction as a dependent variable. This study has strong predictive accuracy, and thus it can be replicable in future research with different populations. Conclusion: This study demonstrated eight service quality dimensions that affect service quality and directly impact satisfaction of hemodialysis patients both with hospital and clinic services.
{"title":"THE EFFECT OF SERVICE QUALITY DIMENSIONS ON HEMODIALYSIS PATIENT SATISFACTION IN INDONESIA","authors":"Lia Kurnia Hartanti, Ferdi Antonio","doi":"10.20473/jaki.v10i1.2022.50-59","DOIUrl":"https://doi.org/10.20473/jaki.v10i1.2022.50-59","url":null,"abstract":"Background: Chronic kidney disease is a catastrophic disease ranked second in Indonesia for high health costs. The number of renal units in Indonesia has rapidly increased since the launch of the National Health Insurance program in 2014. Its increase was accompanied by the increased number of patients.\u0000Aim: This study analyzed the effect of service quality dimensions on patient satisfaction with hemodialysis care.\u0000Methods: This study used a cross-sectional design and a quantitative method. It retrieved data from respondents who had undergone hemodialysis care at hospitals and clinics in Jakarta and surroundings. The PLS-SEM approach was used to analyze the data.\u0000Results: Eight service dimensions were proven to influence the overall service quality and directly impact patient satisfaction. The influential dimensions included facilities and organization of the service, care by attending nurses and assistants, attention to psychological and administrative issues, medical attention and care, nutrition attention and care, medication supply and quality, features and administration process, attention and care given by the head nurse. All of these dimensions affected patient satisfaction as a dependent variable. This study has strong predictive accuracy, and thus it can be replicable in future research with different populations.\u0000Conclusion: This study demonstrated eight service quality dimensions that affect service quality and directly impact satisfaction of hemodialysis patients both with hospital and clinic services.","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44593938","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 : 2022-06-30DOI: 10.20473/jaki.v10i1.2022.79-88
N. Damayanti, R. Wulandari, I. Ridlo, Nadhif Alfia Charista Kusniar, Asrining Pangastuti
Background: Maternal and Child Health (MCH) is still becoming a health problem in Indonesia. One of the causes of maternal mortality is the speed of decision making in the family. Decision making is influenced by knowledge, awareness, family shape and culture in the neighborhood. Aims: the study aimed to identify and analyze the relationship between the use of the internet as a health information and maternal decision-making regarding emergency help Methods: This study used a mixed-method approach. The sample of 175 respondents. Data analysis performed in this study was frequency analysis, cross tabulation and chi-square. Results: There were 40% of respondents used the internet as a source of pregnancy information. Pregnant women had the information about pregnancy from google, instagram and whatsApp group. There were 45.70% of them have made decisions independently regarding the emergency relief. Chi-square analysis showed a p-value = “0,000” with a contingency coefficient of 0,368 indicating the use of the internet as a health information related to decision making of pregnant women regarding emergency relief. Conclusion: The conclusion of this study is that there were pregnant women who were using the internet for health information and the majority of pregnant women had made decisions regarding emergency relief independently.
{"title":"THE INTERNET AS A HEALTH INFORMATION IN DECISION MAKING OF PREGNANT WOMEN","authors":"N. Damayanti, R. Wulandari, I. Ridlo, Nadhif Alfia Charista Kusniar, Asrining Pangastuti","doi":"10.20473/jaki.v10i1.2022.79-88","DOIUrl":"https://doi.org/10.20473/jaki.v10i1.2022.79-88","url":null,"abstract":"Background: Maternal and Child Health (MCH) is still becoming a health problem in Indonesia. One of the causes of maternal mortality is the speed of decision making in the family. Decision making is influenced by knowledge, awareness, family shape and culture in the neighborhood.\u0000Aims: the study aimed to identify and analyze the relationship between the use of the internet as a health information and maternal decision-making regarding emergency help\u0000Methods: This study used a mixed-method approach. The sample of 175 respondents. Data analysis performed in this study was frequency analysis, cross tabulation and chi-square.\u0000Results: There were 40% of respondents used the internet as a source of pregnancy information. Pregnant women had the information about pregnancy from google, instagram and whatsApp group. There were 45.70% of them have made decisions independently regarding the emergency relief. Chi-square analysis showed a p-value = “0,000” with a contingency coefficient of 0,368 indicating the use of the internet as a health information related to decision making of pregnant women regarding emergency relief.\u0000Conclusion: The conclusion of this study is that there were pregnant women who were using the internet for health information and the majority of pregnant women had made decisions regarding emergency relief independently.","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46199630","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 : 2022-06-30DOI: 10.20473/jaki.v10i1.2022.23-30
Y. Arifin, Jan Melia, Fushen Fushen
Background: The development of the digital world has snowballed since the 2000s and has accelerated since the 2010s. Social media is a part of everyday life, and the COVID-19 pandemic has been a significant catalyst for digital life. Despite this, the healthcare industry is lagging compared to other industries in terms of digital marketing. Aims: The output of this research is a design of a digital marketing plan for a dental hospital based on a robust theoretical foundation and ongoing practical research in dental hospitals. Methods: This study utilized a qualitative approach and descriptive method to describe the existing condition related to the challenges and the use of digital marketing in dental hospitals. The focus of this study was the development of a digital marketing plan for a dental hospital. Results: The study obtained several data related to digital marketing activities that have been carried out, challenges in digital marketing, and the preparation of digital marketing development plans at dental hospitals. Conclusion: The proposed model includes situation analysis, goal analysis, strategy planning, action, and control based on the existing marketing plan. A novelty in this model emphasizes technology components including technoware, hardware, software, infoware, humanware, and organiware.
{"title":"DESIGN OF MARKETING PLAN FOR DENTAL HOSPITALS IN THE DIGITAL ERA","authors":"Y. Arifin, Jan Melia, Fushen Fushen","doi":"10.20473/jaki.v10i1.2022.23-30","DOIUrl":"https://doi.org/10.20473/jaki.v10i1.2022.23-30","url":null,"abstract":"Background: The development of the digital world has snowballed since the 2000s and has accelerated since the 2010s. Social media is a part of everyday life, and the COVID-19 pandemic has been a significant catalyst for digital life. Despite this, the healthcare industry is lagging compared to other industries in terms of digital marketing.\u0000Aims: The output of this research is a design of a digital marketing plan for a dental hospital based on a robust theoretical foundation and ongoing practical research in dental hospitals.\u0000Methods: This study utilized a qualitative approach and descriptive method to describe the existing condition related to the challenges and the use of digital marketing in dental hospitals. The focus of this study was the development of a digital marketing plan for a dental hospital.\u0000Results: The study obtained several data related to digital marketing activities that have been carried out, challenges in digital marketing, and the preparation of digital marketing development plans at dental hospitals.\u0000Conclusion: The proposed model includes situation analysis, goal analysis, strategy planning, action, and control based on the existing marketing plan. A novelty in this model emphasizes technology components including technoware, hardware, software, infoware, humanware, and organiware.","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46246609","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 : 2022-06-30DOI: 10.20473/jaki.v10i1.2022.111-121
A. Muhlis
Background: Indonesia introduced a national health insurance program, the so-called Jaminan Kesehatan National (JKN), in 2014 to enhance health access for its citizens. However, unattained universal health coverage (UHC) such as participation target becomes a concern. Aims: This study aimed to examine the factors influencing JKN participation and propose a possible policy improvement to enhance UHC implementation Methods: A systematic review was performed based on PRISMA guidelines, and literature was collected from PubMed, Scopus, Web of Science, Cochrane Library, and Google Search. Results: 21 articles in English and Indonesian language are included in the study after being reviewed using the PRISMA flowchart and quality assessment. The main factors that emerged from the found literature affecting the low enrolment of the NHIS include socio-demographic factors: younger people, low education level, rural location, unstable incomes, and larger family members. Also, health-related, and other factors: lack of health insurance literacy, insufficient healthcare accessibility and services availability, inadequate healthcare service quality, complicated administrative procedure, negative stigma, membership data inaccuracy, and low health status. Conclusion: Twelve factors have been identified as the most influential determinants for the national health insurance program. Some proposed policies derived from the current results might contribute to the attainment of UHC.
背景：印度尼西亚于2014年推出了一项国家医疗保险计划，即所谓的Jaminan Kesehatan national（JKN），以提高其公民的医疗服务。然而，参与目标等未实现的全民健康覆盖（UHC）成为一个令人担忧的问题。目的：本研究旨在检验影响JKN参与的因素，并提出可能的政策改进，以加强UHC的实施。方法：根据PRISMA指南进行系统综述，文献收集自PubMed、Scopus、Web of Science、Cochrane Library，结果：使用PRISMA流程图和质量评估对21篇英语和印尼语文章进行审查后，纳入研究。从所发现的文献中出现的影响NHIS低入学率的主要因素包括社会人口因素：年轻人、低教育水平、农村地区、收入不稳定和家庭成员较多。此外，健康相关因素和其他因素：缺乏医疗保险知识，医疗保健可及性和服务可用性不足，医疗保健服务质量不足，行政程序复杂，负面污名化，会员数据不准确，健康状况低下。结论：12个因素已被确定为国家医疗保险计划最具影响力的决定因素。根据目前的结果提出的一些拟议政策可能有助于实现全民健康覆盖。
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