Pub Date : 2023-03-01DOI: 10.33657/jurkessia.v13i2.816
Nita Maylina, Afrinia Eka Sari
One of the antioxidants that can increase the body's immunity is bitter leaf (Andrographis paniculata (Burm. f) Nees). This leaf is rarely used. Therefore, it is used with more interesting processing such as ice cream. This study was to determine antioxidant activity, overrun, melting speed, organoleptic characteristics and preference level of the ice cream of bitter leaf extract. Method is Completely Randomized Design (CRD). There were 3 treatments, namely 8%, 16% and 24% of bitter leaf extract. The results of the antioxidant activity test on the ice cream of bitter leaft extract, the three formulas have a very weak antioxidant content. The highest overrun ice cream test results, namely formula 3 50%. The results of the ice cream melting speed test on the three formulas still do not meet the standards for a good ice cream melting speed. The results of statistical test analysis on indicators of color, aroma, taste and texture showed there was a significant difference from the statistical test results obtained p-value <0.05. The most preferred level of preference for bitter leaf extract ice cream was formula 1. It could be concluded that the bitter leaf extract ice cream was acceptable to the public.
{"title":"Uji Aktivitas Antioksidan dan Daya Terima Es Krim Ekstrak Daun Sambiloto (Andrographis paniculata (Burm. f) Nees)","authors":"Nita Maylina, Afrinia Eka Sari","doi":"10.33657/jurkessia.v13i2.816","DOIUrl":"https://doi.org/10.33657/jurkessia.v13i2.816","url":null,"abstract":"One of the antioxidants that can increase the body's immunity is bitter leaf (Andrographis paniculata (Burm. f) Nees). This leaf is rarely used. Therefore, it is used with more interesting processing such as ice cream. This study was to determine antioxidant activity, overrun, melting speed, organoleptic characteristics and preference level of the ice cream of bitter leaf extract. Method is Completely Randomized Design (CRD). There were 3 treatments, namely 8%, 16% and 24% of bitter leaf extract. The results of the antioxidant activity test on the ice cream of bitter leaft extract, the three formulas have a very weak antioxidant content. The highest overrun ice cream test results, namely formula 3 50%. The results of the ice cream melting speed test on the three formulas still do not meet the standards for a good ice cream melting speed. The results of statistical test analysis on indicators of color, aroma, taste and texture showed there was a significant difference from the statistical test results obtained p-value <0.05. The most preferred level of preference for bitter leaf extract ice cream was formula 1. It could be concluded that the bitter leaf extract ice cream was acceptable to the public.","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73491774","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 : 2023-03-01DOI: 10.33657/jurkessia.v13i2.557
Ridha Hasanah, M. I. Ilmiawan, Rini Andriani
Complementary food is nutritious food and drink as a transition from breast milk to family food. The positive and negative aspects are contained in one's knowledge and will determine one's attitude. The 2015 revised Maternal and Child Health handbook contains records of maternal and child health to maintain and care for maternal and child health. The objective of this research is determine the effect of education on complementary feeding with the 2015 revised Maternal and Child Health handbook on mothers’ knowledge and attitude of complementary feeding in West Pontianak District. This is a quasi experimental research with a one group pretest-posttest design. Taking 66 samples with consecutive sampling. Knowledge and attitude questionnaires and material evaluation sheets are used as measuring tools. Data analysis use paired sample t-test with the wilcoxon signed-rank test as an alternative test. There were 12 mothers who had a moderate level of knowledge before education, then increased to 21 mothers after education. The results of the wilcoxon signed-rank test obtained the sig. value < 0.05. The mothers’ attitude in terms of complementary feeding and feeding rules are changed between before and after education. Education with the 2015 revised Maternal and Child Health handbook had a significant effect on increasing the category of mothers' knowledge of complementary food and changing mothers' attitude in feeding rules. However, it is still necessary to add material based on the latest scientific evidence in the 2015 revised Maternal and Child Health handbook.
{"title":"Pengaruh Edukasi mengenai Makanan Pendamping Air Susu Ibu dengan Buku Kesehatan Ibu dan Anak Revisi 2015 terhadap Pengetahuan dan Sikap Ibu dalam Pemberian Makanan Pendamping Air Susu Ibu di Kecamatan Pontianak Barat","authors":"Ridha Hasanah, M. I. Ilmiawan, Rini Andriani","doi":"10.33657/jurkessia.v13i2.557","DOIUrl":"https://doi.org/10.33657/jurkessia.v13i2.557","url":null,"abstract":"Complementary food is nutritious food and drink as a transition from breast milk to family food. The positive and negative aspects are contained in one's knowledge and will determine one's attitude. The 2015 revised Maternal and Child Health handbook contains records of maternal and child health to maintain and care for maternal and child health. The objective of this research is determine the effect of education on complementary feeding with the 2015 revised Maternal and Child Health handbook on mothers’ knowledge and attitude of complementary feeding in West Pontianak District. This is a quasi experimental research with a one group pretest-posttest design. Taking 66 samples with consecutive sampling. Knowledge and attitude questionnaires and material evaluation sheets are used as measuring tools. Data analysis use paired sample t-test with the wilcoxon signed-rank test as an alternative test. There were 12 mothers who had a moderate level of knowledge before education, then increased to 21 mothers after education. The results of the wilcoxon signed-rank test obtained the sig. value < 0.05. The mothers’ attitude in terms of complementary feeding and feeding rules are changed between before and after education. Education with the 2015 revised Maternal and Child Health handbook had a significant effect on increasing the category of mothers' knowledge of complementary food and changing mothers' attitude in feeding rules. However, it is still necessary to add material based on the latest scientific evidence in the 2015 revised Maternal and Child Health handbook.","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79296196","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 : 2023-02-20DOI: 10.33657/jurkessia.v13i2.779
Fatkul Aliyah, Tri Ardianti Khasanah
Nutrition services as part of hospital services have a very important role that affecting patient confidence. The purpose of this research was to identify the association between the quality of nutrition service, food quality, and nutritional counseling toward patient satisfaction at Balaraja Hospital. This was analytical research with a cross-sectional design. The number of research samples was 122 subjects. Data were collected through questionnaires which included questions such as patient’s identity, quality of nutrition service, food quality, nutritional counseling, and patient satisfaction. The questionnaire was given in the form of questions and answers in the form of a Likert scale. Data analysis was done by using a statistical test using Chi-Square with the level of significance of ? = 0,05. The results of a statistical test to determine the relationship between the quality of service provided by officers (reliability) with patient satisfaction obtained a value of p = 0,001. The relationship between the service quality of officers (responsiveness) with patient satisfaction showed a value of p = 0,04. The relationship between the quality of service provided by officers (assurance) and patient satisfaction obtained a value of p = 0,001. Statistical test results to determine the relationship between food quality with patient satisfaction received a value of p = 0,004. The results of statistical tests were carried out to determine the relationship between nutritional consultation with patient satisfaction, obtaining a value of p = 0,007. There is a relationship between nutrition services, food quality, and nutritional counseling on patient satisfaction.
{"title":"Hubungan Pelayanan Gizi, Kualitas Makanan, dan Konseling Terhadap Kepuasan Pasien di RSUD Balaraja","authors":"Fatkul Aliyah, Tri Ardianti Khasanah","doi":"10.33657/jurkessia.v13i2.779","DOIUrl":"https://doi.org/10.33657/jurkessia.v13i2.779","url":null,"abstract":"Nutrition services as part of hospital services have a very important role that affecting patient confidence. The purpose of this research was to identify the association between the quality of nutrition service, food quality, and nutritional counseling toward patient satisfaction at Balaraja Hospital. This was analytical research with a cross-sectional design. The number of research samples was 122 subjects. Data were collected through questionnaires which included questions such as patient’s identity, quality of nutrition service, food quality, nutritional counseling, and patient satisfaction. The questionnaire was given in the form of questions and answers in the form of a Likert scale. Data analysis was done by using a statistical test using Chi-Square with the level of significance of ? = 0,05. The results of a statistical test to determine the relationship between the quality of service provided by officers (reliability) with patient satisfaction obtained a value of p = 0,001. The relationship between the service quality of officers (responsiveness) with patient satisfaction showed a value of p = 0,04. The relationship between the quality of service provided by officers (assurance) and patient satisfaction obtained a value of p = 0,001. Statistical test results to determine the relationship between food quality with patient satisfaction received a value of p = 0,004. The results of statistical tests were carried out to determine the relationship between nutritional consultation with patient satisfaction, obtaining a value of p = 0,007. There is a relationship between nutrition services, food quality, and nutritional counseling on patient satisfaction.","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81379778","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 : 2022-12-10DOI: 10.20473/jaki.v10i2.2022.280-285
Cyrus Engineer, Inge Dhamanti
The COVID-19 pandemic has had an influence on patient safety and quality of care. A research undertaken in numerous countries found a deterioration in the quality of care during the pandemic. Leaders can improve patient safety in any circumstances, pandemic or not, by building a safety culture, reacting to patient and staff concerns, supporting safety activities, and tracking progress. Good leadership is essential to the success of patient safety programs and improving patient safety. Leaders must first establish strategic priorities and plans for culture and infrastructure that will aid in increasing patient safety. They must also actively inquire about patient safety situations and regularly examine patient safety data. Leaders must also collect data in order to foster a culture of patient safety. It is also critical to ensure that adequate infrastructure is available to support safety activities. Leaders have an important role in establishing the optimal methods for enhancing patient safety. Measures and improvement actions are rarely carried out in many nations; thus, leaders must ensure and encourage quality and safety development. Leadership commitment is the foundation for both pandemic and non-pandemic safety and quality improvement. Patient safety recommendations frameworks can help leaders improve patient safety in their organizations.
{"title":"FROM HOSPITAL READINESS TO PATIENT SAFETY: BUILDING LEADERSHIP CAPACITY FOR PATIENT SAFETY IN INDONESIA","authors":"Cyrus Engineer, Inge Dhamanti","doi":"10.20473/jaki.v10i2.2022.280-285","DOIUrl":"https://doi.org/10.20473/jaki.v10i2.2022.280-285","url":null,"abstract":"The COVID-19 pandemic has had an influence on patient safety and quality of care. A research undertaken in numerous countries found a deterioration in the quality of care during the pandemic. Leaders can improve patient safety in any circumstances, pandemic or not, by building a safety culture, reacting to patient and staff concerns, supporting safety activities, and tracking progress. Good leadership is essential to the success of patient safety programs and improving patient safety. Leaders must first establish strategic priorities and plans for culture and infrastructure that will aid in increasing patient safety. They must also actively inquire about patient safety situations and regularly examine patient safety data. Leaders must also collect data in order to foster a culture of patient safety. It is also critical to ensure that adequate infrastructure is available to support safety activities. Leaders have an important role in establishing the optimal methods for enhancing patient safety. Measures and improvement actions are rarely carried out in many nations; thus, leaders must ensure and encourage quality and safety development. Leadership commitment is the foundation for both pandemic and non-pandemic safety and quality improvement. Patient safety recommendations frameworks can help leaders improve patient safety in their organizations.","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43973608","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 : 2022-12-10DOI: 10.20473/jaki.v10i2.2022.261-272
J. H. Wijaya, G. Octavius, Lie Rebecca Yen Hwei
Background: Indonesia has a great potential in the development of digital health technologies. However, several challenges might also arise in hand with the development of telemedicine. Aims: We aimed to conduct a literature review of the use of telemedicine in Indonesia in order to know how the start is, the development, and future considerations of its usage. Methods: From the digital databases of PubMed, Google Scholar, and Neliti (Indonesia's Research Repository), each author completed literature searches of telemedicine in Indonesia from 1985 to 2021. Results: A total of 8 studies were included in current literature review. In 1985-1987, Indonesia undertook the first satellite-based telemedicine. During the early twenty-first century, rapid improvements in information technology have expanded to other industries, including health care through telemedicine. Covid-19 dilemma compels physicians to adopt. Through telemedicine, many is experienced the benefit during the pandemic. However, in developing telemedicine system for the future, the use of telemedicine has several challenges, namely related to human resources, infrastructure and ethical regulations. Conclusion: When telehealth is successfully implemented in Indonesia, it will benefit both the developer and the consumer. Despite the benefits, the challenge of implementing and developing a comprehensive eHealth environment in Indonesia might be seen as tremendous, given that the country is currently developing its infrastructure.
背景:印度尼西亚在发展数字卫生技术方面具有巨大潜力。然而,随着远程医疗的发展,也可能出现一些挑战。目的:我们旨在对印度尼西亚远程医疗的使用进行文献综述,以了解其使用的开始、发展和未来考虑。方法:从PubMed、谷歌Scholar和Neliti (Indonesia's Research Repository)的数字数据库中检索1985 - 2021年印度尼西亚远程医疗的文献。结果:本次文献综述共纳入8项研究。1985-1987年,印度尼西亚进行了第一次基于卫星的远程医疗。21世纪初,信息技术的迅速改进已扩展到其他行业,包括通过远程医疗实现的保健。Covid-19困境迫使医生采取。通过远程医疗,许多人在大流行期间受益。然而,在开发面向未来的远程医疗系统的过程中,远程医疗的使用面临着人力资源、基础设施和伦理法规等方面的挑战。结论:当远程医疗在印度尼西亚成功实施时,它将使开发人员和消费者都受益。尽管有这些好处,但鉴于该国目前正在发展其基础设施,在印度尼西亚实施和发展全面的电子卫生环境可能被视为巨大的挑战。
{"title":"A LITERATURE REVIEW OF TELEMEDICINE IN INDONESIA: PAST, PRESENT, AND FUTURE PROSPECTIVE","authors":"J. H. Wijaya, G. Octavius, Lie Rebecca Yen Hwei","doi":"10.20473/jaki.v10i2.2022.261-272","DOIUrl":"https://doi.org/10.20473/jaki.v10i2.2022.261-272","url":null,"abstract":"Background: Indonesia has a great potential in the development of digital health technologies. However, several challenges might also arise in hand with the development of telemedicine.\u0000Aims: We aimed to conduct a literature review of the use of telemedicine in Indonesia in order to know how the start is, the development, and future considerations of its usage.\u0000Methods: From the digital databases of PubMed, Google Scholar, and Neliti (Indonesia's Research Repository), each author completed literature searches of telemedicine in Indonesia from 1985 to 2021.\u0000Results: A total of 8 studies were included in current literature review. In 1985-1987, Indonesia undertook the first satellite-based telemedicine. During the early twenty-first century, rapid improvements in information technology have expanded to other industries, including health care through telemedicine. Covid-19 dilemma compels physicians to adopt. Through telemedicine, many is experienced the benefit during the pandemic. However, in developing telemedicine system for the future, the use of telemedicine has several challenges, namely related to human resources, infrastructure and ethical regulations.\u0000Conclusion: When telehealth is successfully implemented in Indonesia, it will benefit both the developer and the consumer. Despite the benefits, the challenge of implementing and developing a comprehensive eHealth environment in Indonesia might be seen as tremendous, given that the country is currently developing its infrastructure.","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45683869","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 : 2022-12-10DOI: 10.20473/jaki.v10i2.2022.273-279
Chayaporn Saranpuetti, Piyatida Khajornchaikul, V. Pobkeeree
Everything is changing rapidly and the development of technology and information has changed significantly in the last few decades. Education, like other aspects of society, needs to change and adapt appropriately. Online teaching and learning is a new approach for the authors to use information technology via distance learning programs, especially the way relationships and interactions altered between students and teachers or instructors when the Coronavirus disease (COVID-19) pandemic occurred last year. Mahidol University responded to the situation rapidly and announced that academics can use online teaching of students free of charge. The authors of this paper have identified the advantages and disadvantages we have encountered while applying this method of instruction. The online program has made teaching possible but it has disadvantages which may decrease the quality of education. Nevertheless, it was used to replace traditional teaching methods by utilizing the web–based program, Webex Meetings, across the whole university. This new approach has changed and opened horizons earlier than the authors thought and far beyond our beliefs concerning traditional education methods for future generations.
{"title":"ONLINE TEACHING AND LEARNING DURING THE CORONAVIRUS PANDEMIC: ADVANTAGES AND DISADVANTAGES IN HIGHER EDUCATION","authors":"Chayaporn Saranpuetti, Piyatida Khajornchaikul, V. Pobkeeree","doi":"10.20473/jaki.v10i2.2022.273-279","DOIUrl":"https://doi.org/10.20473/jaki.v10i2.2022.273-279","url":null,"abstract":"Everything is changing rapidly and the development of technology and information has changed significantly in the last few decades. Education, like other aspects of society, needs to change and adapt appropriately. Online teaching and learning is a new approach for the authors to use information technology via distance learning programs, especially the way relationships and interactions altered between students and teachers or instructors when the Coronavirus disease (COVID-19) pandemic occurred last year. Mahidol University responded to the situation rapidly and announced that academics can use online teaching of students free of charge. The authors of this paper have identified the advantages and disadvantages we have encountered while applying this method of instruction. The online program has made teaching possible but it has disadvantages which may decrease the quality of education. Nevertheless, it was used to replace traditional teaching methods by utilizing the web–based program, Webex Meetings, across the whole university. This new approach has changed and opened horizons earlier than the authors thought and far beyond our beliefs concerning traditional education methods for future generations.","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46306524","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 : 2022-12-10DOI: 10.20473/jaki.v10i2.2022.152-154
Haerawati Idris
The December 2022 edition of the Indonesian health administration journal has been published. This time raised several topics about health system. Generally, the manuscripts submitted raise topics related to the issue of Covid-19. Other topics include access to health services, management programs, health insurance, and patient safety. Another topic of this edition also raises the issue of access to health services. Ainy (2022) The issue of Covid-19 is still a concern for researchers at this time. Covid-19 inspection services are still a necessity at this time. However, not all districts can prepare for this need. Imaniar (2022) reports that the availability of RT-PCR in Covid-19 tests is still limited at the district level. Since Covid-19, the use of online-based systems has increased. Murima reported (2022) that the use of telemedicine in health facilities during a pandemic greatly helped health service providers, but there were obstacles such as not being multidisciplinary and lack of knowledge in using technology.
{"title":"FROM COVID-19 TO PATIENT SAFETY: PRACTICE IN INDONESIA","authors":"Haerawati Idris","doi":"10.20473/jaki.v10i2.2022.152-154","DOIUrl":"https://doi.org/10.20473/jaki.v10i2.2022.152-154","url":null,"abstract":"The December 2022 edition of the Indonesian health administration journal has been published. This time raised several topics about health system. Generally, the manuscripts submitted raise topics related to the issue of Covid-19. Other topics include access to health services, management programs, health insurance, and patient safety. Another topic of this edition also raises the issue of access to health services. Ainy (2022) The issue of Covid-19 is still a concern for researchers at this time. Covid-19 inspection services are still a necessity at this time. However, not all districts can prepare for this need. Imaniar (2022) reports that the availability of RT-PCR in Covid-19 tests is still limited at the district level. Since Covid-19, the use of online-based systems has increased. Murima reported (2022) that the use of telemedicine in health facilities during a pandemic greatly helped health service providers, but there were obstacles such as not being multidisciplinary and lack of knowledge in using technology.","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45008541","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 : 2022-12-10DOI: 10.20473/jaki.v10i2.2022.241-250
D. Puspitaningrum, M. Z. Rahfiludin, Z. Shaluhiyah, S. Winarni
Background: Primary infertility is a problem, one of which is psychological in infertile women. Based on the Indonesian In Vitro Fertilization Association (Perfitri), the total cycle of IVF programs in Indonesia in 2021 reached 10,000, the most significant number in handling fertility problems. Problems appear because there are no psychological services. Aims: To explore the role of health workers and counselors in the support system at the central hospital in Semarang for women with primary infertility Methods: This is descriptive research with qualitative exploratory design at the Central Hospital in Semarang City with five health workers and two counselors. The researcher used semi-structured, one-on-one interviews for one week. The data was then analyzed using inductive thematic analysis Results: The results found that the support system for women with primary infertility, from the opinion of health workers, will focus on clinical care and counseling according to the diagnosis from the counselors that women with primary infertility need psychological support to assist the success of clinical care Conclusion: Health workers and counselors need an integrated support system service for women with primary infertility.
{"title":"THE ROLE OF HEALTH WORKERS AND SUPPORT SYSTEM COUNSELORS FOR WOMEN WITH PRIMARY INFERTILITY","authors":"D. Puspitaningrum, M. Z. Rahfiludin, Z. Shaluhiyah, S. Winarni","doi":"10.20473/jaki.v10i2.2022.241-250","DOIUrl":"https://doi.org/10.20473/jaki.v10i2.2022.241-250","url":null,"abstract":"Background: Primary infertility is a problem, one of which is psychological in infertile women. Based on the Indonesian In Vitro Fertilization Association (Perfitri), the total cycle of IVF programs in Indonesia in 2021 reached 10,000, the most significant number in handling fertility problems. Problems appear because there are no psychological services.\u0000Aims: To explore the role of health workers and counselors in the support system at the central hospital in Semarang for women with primary infertility\u0000Methods: This is descriptive research with qualitative exploratory design at the Central Hospital in Semarang City with five health workers and two counselors. The researcher used semi-structured, one-on-one interviews for one week. The data was then analyzed using inductive thematic analysis\u0000Results: The results found that the support system for women with primary infertility, from the opinion of health workers, will focus on clinical care and counseling according to the diagnosis from the counselors that women with primary infertility need psychological support to assist the success of clinical care\u0000Conclusion: Health workers and counselors need an integrated support system service for women with primary infertility.","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41534219","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 : 2022-12-09DOI: 10.20473/jaki.v10i2.2022.286-292
Komang Triyani Kartinawati, L. Pradnyawati, D. Campos-Outcalt, G. Barker
The universal health coverage in Indonesia is organized by Badan Penyelenggara Jaminan Kesehatan (BPJS) which gives a health protection to population as in medical insurances. This health coverage is essential to protect and maintain the quality of health in Indonesian population. However, there were some burden for universal health coverage, including the accessible to National Health Insurance (JKN). Therefore, we may learn on improving health coverage from the United States which is well known for the Medicare and Medicaid, —the center of the US medical insurances. There are at least three main lessons to learn from the medical insurance in the US, such as enrollment for medical insurance, sliding fee discount program, and cost analysis for fee-for-service in a health care. Despite the difference of health system and population between the United States and Indonesia, these lessons could be tailored for reducing burden to the universal health coverage in Indonesia.
{"title":"LESSON LEARNED FROM THE UNITES STATES: IMPROVING HEALTH COVERAGE IN A PRIMARY CARE","authors":"Komang Triyani Kartinawati, L. Pradnyawati, D. Campos-Outcalt, G. Barker","doi":"10.20473/jaki.v10i2.2022.286-292","DOIUrl":"https://doi.org/10.20473/jaki.v10i2.2022.286-292","url":null,"abstract":"The universal health coverage in Indonesia is organized by Badan Penyelenggara Jaminan Kesehatan (BPJS) which gives a health protection to population as in medical insurances. This health coverage is essential to protect and maintain the quality of health in Indonesian population. However, there were some burden for universal health coverage, including the accessible to National Health Insurance (JKN). Therefore, we may learn on improving health coverage from the United States which is well known for the Medicare and Medicaid, —the center of the US medical insurances. There are at least three main lessons to learn from the medical insurance in the US, such as enrollment for medical insurance, sliding fee discount program, and cost analysis for fee-for-service in a health care. Despite the difference of health system and population between the United States and Indonesia, these lessons could be tailored for reducing burden to the universal health coverage in Indonesia.","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46758804","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 : 2022-12-05DOI: 10.20473/jaki.v10i2.2022.206-218
H. Halimah, Edward Sutanto, S. Suparmi, Ario Baskoro, Nirwan Maulana, Nadhila Adani, Wahyu Puji Nugraheni, D. Djunaedi, F. Aryani, Melyana Lumbantoruan, Trihono Trihono
Background: The Indonesian maternal and neonatal mortality rates remain some of the highest in Southeast Asia. Aims: This study aims to assess and compare district-level innovations that address maternal and neonatal mortality. Methods: This was a qualitative study conducted via four focus group discussions in eight selected districts in November 2021. Data obtained were analyzed using the WHO health system building blocks framework. Results: The study found high variation in districts’ innovations ranging from expansion of service for maternity waiting homes to periodical obstetrician visits at Puskesmas. A majority of districts use a local approach as the basis for innovation. Some innovations are modifications of the national program or initiated purely by District Health Offices, Puskesmas, and the community. Many interventions are based on multisectoral commitment, community participation, and targeting to strengthen health service delivery. Leadership and health financing also have an influence on the implementation of these innovations. Conclusion: The multitude of innovations reflects a high variation in barriers to reducing maternal and neonatal mortality that need to be addressed at the district level. A routine forum to share districts’ best practices is warranted. Additionally, family-based surveillance for neonatal danger signs, monitoring for pregnant women and neonates via WhatsApp, and zoning systems for referrals to healthcare facilities in larger districts are innovations identified in this study that have potential to be replicated in other districts or expanded nationally.
{"title":"EXPLORATION OF DISTRICT-LEVEL INNOVATIONS TO ADDRESS MATERNAL AND NEONATAL MORTALITY IN INDONESIA","authors":"H. Halimah, Edward Sutanto, S. Suparmi, Ario Baskoro, Nirwan Maulana, Nadhila Adani, Wahyu Puji Nugraheni, D. Djunaedi, F. Aryani, Melyana Lumbantoruan, Trihono Trihono","doi":"10.20473/jaki.v10i2.2022.206-218","DOIUrl":"https://doi.org/10.20473/jaki.v10i2.2022.206-218","url":null,"abstract":"Background: The Indonesian maternal and neonatal mortality rates remain some of the highest in Southeast Asia.\u0000Aims: This study aims to assess and compare district-level innovations that address maternal and neonatal mortality.\u0000Methods: This was a qualitative study conducted via four focus group discussions in eight selected districts in November 2021. Data obtained were analyzed using the WHO health system building blocks framework.\u0000Results: The study found high variation in districts’ innovations ranging from expansion of service for maternity waiting homes to periodical obstetrician visits at Puskesmas. A majority of districts use a local approach as the basis for innovation. Some innovations are modifications of the national program or initiated purely by District Health Offices, Puskesmas, and the community. Many interventions are based on multisectoral commitment, community participation, and targeting to strengthen health service delivery. Leadership and health financing also have an influence on the implementation of these innovations.\u0000Conclusion: The multitude of innovations reflects a high variation in barriers to reducing maternal and neonatal mortality that need to be addressed at the district level. A routine forum to share districts’ best practices is warranted. Additionally, family-based surveillance for neonatal danger signs, monitoring for pregnant women and neonates via WhatsApp, and zoning systems for referrals to healthcare facilities in larger districts are innovations identified in this study that have potential to be replicated in other districts or expanded nationally.","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45441273","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}