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Papers by Ajeng Tias Endarti

Proceedings of the 1st International Conference for Health Research – BRIN (ICHR 2022), 2023

Clinical pathways (CP) regarding stroke is a medical service standard necessitated ensuring quali... more Clinical pathways (CP) regarding stroke is a medical service standard necessitated ensuring quality health services at rational costs. The previous study showed that the effect of CP implication on hospitalization length has not shown conclusive results in one hospital nor considered the CP format used. Therefore, this study aims to measure the implication of ischemic stroke CP on hospitalization length. This study was conducted in public and private hospitals, type A and B, which run a stroke registry with uniformity in stroke care and CP format. A retrospective cohort design was used to measure the effectiveness of the ischemic stroke clinical pathway on the outcome of hospitalization length by controlling for confounding variables, including demographic factors, comorbidities, clinical, service procedure, and management support. The data source for the Ischemic Stroke CP group was obtained from the document in the hospital. The data of the without CP group was obtained from the Stroke Registry of the Research and Development Agency, and the medical record was traced to obtain the required variables. The population is ischemic stroke patients treated from January 2012-December 2015. The sample was selected purposively, meeting the inclusion and exclusion criteria, and the ischemic stroke diagnosis is based on medical records with ICD-X 163.9. The cutoff point for the length of hospitalization was determined by Receiver Operating Characteristic analysis, divided into 2 categories, long (>8 days) and short (≤8 days). Univariate, bivariate, stratification and multivariate analysis were performed using the Cox regression test. The results showed that 71% of the subjects were treated without CP, 65% had a short hospitalization length (<8 days), 39% were aged 18-55, and 57% were male. In men, 88% had dyslipidemia, 77% were admitted with mild severity as measured by the Glasgow Coma Scale (GCS = 15), and 35% had attack onset of admissions >24 h. The stratification test showed no interaction between the independent (CP) and the covariate variable on hospitalization length. Multivariate analysis found that CP significantly reduced the risk of hospitalization length (>8 days) by 53%, compared to patients treated without CP, after controlling for disease severity,

Kesmas: Jurnal Kesehatan Masyarakat Nasional

Occupational stress has become a major concern for both employees and employers globally. Stress ... more Occupational stress has become a major concern for both employees and employers globally. Stress leads to a loss of interest among workers as well as unproductive and valueless outputs if not managed well. The education sector is one work setting dominated by stress. This comparative cross-sectional study aimed to determine the levels of depression, anxiety, and stress among academicians as well as their work-related stressors and coping strategies between a selected public university in Malaysia and a private university in Indonesia. A total of 82 academicians from universities in Malaysia and 52 from Indonesia were recruited using convenience sampling. Data was collected using a validated self-reported questionnaire via Google Forms. The prevalence of depression, anxiety, and stress among Malaysian academicians was 19.5%, 29.5%, and 12.2%, respectively. In contrast, the prevalence of depression, anxiety, and stress among Indonesian academicians was 15.7%, 33.3%, and 9.8%. Career d...

Jurnal Ilmu Kesehatan Masyarakat : The Public Health Science Journal (e-journal), Jul 11, 2022

Faktor yang berkontribusi pada kejadian GME diantaranya disabilitas dan cedera. Tujuan penelitian... more Faktor yang berkontribusi pada kejadian GME diantaranya disabilitas dan cedera. Tujuan penelitian untuk mengetahui pengaruh disabilitas dan cedera terhadap kejadian GME di DKI Jakarta. Penelitian menggunakan data sekunder Riskesdas 2018 dengan desain cross sectional. Sampel penelitian adalah seluruh penduduk usia 18-24 tahun di DKI Jakarta yang berhasil diwawancarai dalam Riskesdas 2018 sejumlah 1503 orang. Analisis data hingga multivariat dengan analisis regresi logistik model faktor risiko. Hasil penelitian menunjukkan hubungan disabilitas (Pv = 0,000; OR = 4,037), cedera cacat permanen (Pv = 0,005; OR = 3,262), cedera tidak cacat permanen (Pv = 0,000; OR = 3,026) dengan GME. Pada karekteristik responden, hanya pendidikan (Pv = 0,003; OR = 1,724) yang memiliki hubungan dengan GME. Faktor yang paling berpengaruh terhadap GME usia muda 18-24 tahun di DKI Jakarta adalah disabilitas dan cedera tidak cacat permanen. Rekomendasi yang dapat disampaikan seperti memberikan pelatihan kesehatan mental remaja bagi dokter jiwa, petugas kesehatan program jiwa, kader dan karang taruna, membentuk Posbindu disabilitas serta kunjungan rutin ke sekolah untuk pemeriksaan kesehatan fisik dan mental.

Prosiding Forum Ilmiah Tahunan (FIT) IAKMI, 2020

Berdasarkan data World Health Organization (WHO) diketahui bahwa 3 juta petugas kesehatan terpaj... more Berdasarkan data World Health Organization (WHO) diketahui bahwa 3 juta petugas kesehatan terpajan patogen darah (2 juta terpajan virus HBV, 0,9 juta terpajan HBC dan 170.000 terpajan virus HIV/AIDS). Hal ini salah satunya disebabkan oleh perilaku kepatuhan penggunaan Alat Pelindung Diri (APD) pada petugas kesehatan masih rendah, dari penelitian sebelumnya hanya 35,2% petugas kesehatan yang patuh dalam penggunaan APD sehingga mengakibatkan resiko yang dimiliki oleh petugas kesehatan pun akan semakin besar dan dapat mengakibatkan penyakit akibat kerja.Mengetahui kepatuhan dan faktor yang terkait penggunaan Alat Pelindung Diri (APD) pada petugas kesehatan di fasilitas pelayanan kesehatan Radjak Group.Desain penelitian ini adalah cross sectional . Penelitian dilakukan di seluruh fasilitas pelayanan kesehatan Radjak Group yang terdiri dari 10 UPK dan 3 RS (Rumah Sakit). Responden pada penelitian ini yaitu sebanyak 172 orang petugas kesehatan pada fasilitas pelayanan kesehatan Radjak G...

Journal of Public Health and Development, May 20, 2022

The COVID-19 pandemic has suddenly changed all aspects of people's lives and is also contributing... more The COVID-19 pandemic has suddenly changed all aspects of people's lives and is also contributing to the deterioration of health-related quality of life (HRQoL). Therefore, this study aims to assess the factors affecting HRQoL in East Jakarta. A cross-sectional design was used with 336 respondents, who met both the inclusion and exclusion criteria and were selected by multistage cluster sampling. The results showed that approximately 40.2% of the respondents had poor HRQoL with an average score of 2.7 (0.79), and this was significantly associated with living in RW Siaga (PR 1.529; 95%CI 1.062-2.202), having no local lockdown experience (PR 1.800; 95%CI 1.060-3.056), poor individual resilience (PR 1.794; 95%CI 1.259-2.558), and depression (PR 1.563; 95%CI 1.096-2.230). To prevent poor HRQoL in East Jakarta, it is recommended to improve the RW Siaga program by implementing it in a persuasive and humanist manner. People who are in charge of this program must understand how to communicate with the community to assure it will not be contra-productive with its initial objectives. At the same time, community leaders' involvement and empowerment are also important to increase individual resilience and prevent depression by playing the role of a 'trained community counselor' to briefly assess the individual mental health.

Hidup yang berkualitas merupakan tujuan yang ingin dicapai oleh semua manusia pada semua tingkata... more Hidup yang berkualitas merupakan tujuan yang ingin dicapai oleh semua manusia pada semua tingkatan umur. Kualitas hidup didefinisikan sebagai merupakan penilaian kesehatan fisik dan mental secara subjektif, yang sangat dipengaruhi oleh nilai-nilai dan budaya di lingkungan sekitar dan aspek sosial ekonomi pada setiap individu. Ada dua model kualitas hidup yang paling banyak digunakan, yaitu Ferans Model of Quality of Life dan WHO International Classification of Functioning, Disability and Health (WHO ICF). Kedua model ini menyebutkan bahwa kualitas hidup dipengaruhi oleh faktor indiviu dan faktor lingkungan. Kualitas hidup dimanfaatkan untuk discrimination, evaluation dan prediction. Instrumen pengukuran kualitas hidup ada yang bersifat generik dan spesifik. Untuk menentukan instrumen kualitas hidup yang akan digunakan, ada beberapa kriteria yang telah ditetapkan. Yaitu akseptabilitas (acceptability), beban (burden), reliabilitas (reliability), validitas (validity), responsif (respon...

Science Journal of Public Health, 2018

Hearing loss is one of the many health problems experienced by workers in high noise exposure are... more Hearing loss is one of the many health problems experienced by workers in high noise exposure areas. The purpose of this study was to analyze the relationship between noise intensity and hearing loss in PPSU workers in North Jakarta. This type of research is quantitative analytic using cross-sectional design involving 45 PPSU workers in North Jakarta. Hearing loss was identified by audiometric examination with air conditioning (AC), while noise intensity in the worker's area was measured using a sound level meter. The results of this study showed that 60% of respondents experienced hearing loss, and 51.1% of the areas had noise intensity ≥ 75 dB. The results of categorical analysis showed that there is a relationship between noise intensity and hearing loss with prevalence of ratio was 5.2. Logistic regression analysis showed that respondents who work in areas with noise intensity ≥ 75 dB had the opportunity 7 times to experience hearing loss after being controlled by variable smoking behavior, and hobbies towards noise. Exposure to high noise is something that cannot be avoided by PPSU workers, therefore to reduce or prevent the occurrence of hearing loss, the workers should use earplugs while working, and should reduce smoking and listening music with earphones. In addition, the workers should conduct regular audiometric examinations and attend health counseling at the workplace.

Jurnal Kesehatan Masyarakat Perkotaan

Stres bisa mencuat pada setiap keadaan yang dirasakan manusia, terlibat didalamnya suasana serta ... more Stres bisa mencuat pada setiap keadaan yang dirasakan manusia, terlibat didalamnya suasana serta lingkungan kerja. Apabila kondisi itu berlangsung mungkin mengganggu kehidupan fisik dan mental pekerja. Tenaga pengajar adalah suatu profesi yang sensitif menghadapi stres yang tinggi. Tujuan dari penelitian ini yaitu melihat faktor-faktor yang berkaiatan bersama stres kerja pada dosen di Universitas MH Thamrin. Metide penelitian ini berupa kuantitatif menggunakan desain studi cross sectiona kepada 120 informan. Dari hasil penelitian terdapat 51,7% dosen yang mendapati stres berat. Masalah ini disebabkan menurut signifikan akibat varibel jenis kelamin (0,289), penghasilan ekonomi (0,144) dan kompensasi (2,861). Rekomendasi yang dapatd diberikan yaitu Pemimpin SDM wajib bertambah terdepan mengawasi dalam segi Penghasilan (Ekonomi), membagikan pujian terhadap karyawan terpilih demi menyemangati pekerja berbeda.Kata Kunci: Stres Kerja, Kasus Stres, Dosen, Pendapatan, pujian, jenis kelamin.

Media Kesehatan Masyarakat Indonesia

The prevalence of depression among the general population in CentralSulawesi was the highest in I... more The prevalence of depression among the general population in CentralSulawesi was the highest in Indonesia (12.3%). Scholars revealed thatdisability was one of the main contributing factors of depression and in Central Sulawesi almost half of population was reported having disability (42.1%). This study was intended to identify the association of disability and depression in Central Sulawesi. Cross sectional design study was conducted with utilization of secondary data collection from Riskesdas 2018. Depression, as the main outcome, was assessed by the Mini International Neuropsychiatric Interview (MINI), meanwhile, disability was assessed by the WHODAS instrument. The relationship between these two variables was adjusted by several confounders, namely age, gender, marital status, educational status, and employment status. A 11,9% of 11,926 respondent aged 18-59 years old, was depressed and almost half of them reporting disability (42.1%) and among those who were disabled, one-fifth ...

Jurnal Kesehatan Masyarakat

Disaster-prone population is vulnerable for suffering non-communicable diseases (NCDs) which beco... more Disaster-prone population is vulnerable for suffering non-communicable diseases (NCDs) which become risk factors for poor quality of life (QoL). The study aims at investigating the effect of history of NCDs to the QoL. QoL was measured by WHODAS. NCDs with prevalence more than 1% were involved in analysis. Those NCDs included shortness of breath, diabetes, hypertension, joint disease and stroke. Among 1,872 respondents of Riskesdas, 7.7% of them have a poor QoL, suffering hypertension (8.7%), shortness of breath (7.3%) and asthma (6.9%). Risks of poor QoL six times higher among those with a history of PTM (PORadj 5.987; 95% CI 4.210-8.514) after adjusted by age, gender, education, socioeconomic status and region of residence. Stroke gives the greatest impact with POR 25.00 (95% CI 10.406 to 60.063). We recommend that the promotion and prevention of NCDs should be integrated with both mitigation-related and community resilience activities to disasters.

Prehospital and Disaster Medicine

Introduction:On Friday, September 28, 2018, the 7.4 Richter Scale earthquake hit Central Sulawesi... more Introduction:On Friday, September 28, 2018, the 7.4 Richter Scale earthquake hit Central Sulawesi and was followed by a tsunami. Within a month after the unpredictable earthquake and tsunami, a 773 aftershock earthquake was noted. These events took a major toll on the population in the affected areas. 2,086 people died and more than four thousand people were injured. 1.373 people went missing and 206.494 were evacuated. Surveillance data from November 4, 2018, to October 24, 2018, showed that an increased number of illnesses such as diarrhea was the second leading reported cases. Data showed that the number of diarrhea cases was 3.350 with two peaks of epidemic curves on October 10 and 22, 2018.Aim:To verify the diarrhea outbreak after the tsunami in Palu, Donggala, and Sigi District.Methods:Verification of medical records at six selected primary healthcare institutions with the highest number of cases of diarrhea.Results:A pseudo-epidemic of diarrhea occurred. A high number of diar...

Media Kesehatan Masyarakat Indonesia

Analisis situasi TB dan biaya program TB pada tingkat kabupaten kota belum banyak dilakukan padah... more Analisis situasi TB dan biaya program TB pada tingkat kabupaten kota belum banyak dilakukan padahal hal ini s angat penting untuk perencanaan, penganggaran, pembiayaan dan evaluasi pelayanan TB. Studi dilakukan di Kabupaten Tangerang, Kabupaten Tanggamus, Kota Metro dan Kota Dumai dengan pendekatan mixed method. Pengumpulan data kuantitatif menggunakan data sekunder untuk mengetahui situasi dan biaya program TB. Pengumpulan data primer dilakukan secara kualitatif dengan melakukan round table discussion dengan para stakeholder. Hasil studi menunjukkan insiden TB dan success rate tertinggi di Kabupaten Tanggamus. Kota Metro juga memiliki insiden TB tertinggi disertai dengan notifikasi kasus tertinggi. Kabupaten Tangerang memiliki cure rate tertinggi. Biaya program TB tertinggi di Kabupaten Tangerang, yaitu Rp. 6.737.303.630. Alokasi biaya program TB terbesar di semua wilayah digunakan untuk obat. Permasalahan yang terjadi dalam pengendalian TB di empat wilayah tersebut adalah tatalak...

Jurnal Ilmiah Kesehatan

Perilaku Hidup Bersih dan Sehat (PHBS) Tatanan Rumah Tangga adalah upaya untuk memeberdayakan ang... more Perilaku Hidup Bersih dan Sehat (PHBS) Tatanan Rumah Tangga adalah upaya untuk memeberdayakan anggota rumah tangga agar sadar, mau dan mampu melakukan PHBS untuk memelihara dan meningkatkan kesehatannya, mencegah resiko terjadinya penyakit dan melindungi diri dari ancaman penyakit serta berperan aktif dalam gerakan kesehatan. Masyarakat sebagai salah satu indicator terciptanya kota sehat. Untuk mendapatkan gambaran pelaksanaan PHBS masyarakat pada tatanan rumah tangga di Pulau Lancang, Kelurahan Pulau Pari Kecamatan, Kepulauan Seribu Selatan. Metode Studi cross sectional dilaksanakan pada seluruh populasi penelitian yang tinggal di Pulau Lancang Kelurahan Pulau Pari. Populasi dalam penelitian ini adalah 923 KK dengan besar sampel 70 KK terpilih secara proposional melalui teknik random sampling. Hasil yangh didapat dari Rumah Tangga (RT) yang menerapkan PHBS sebanyak 20 responden (28,6%), dan yang tidak menerapkan PHBS sebanyak 50 responden (71,4%). Tidak adanya hubungan antara va...

Riset Informasi Kesehatan

ABSTRAK Latar Belakang : Low Back Pain (LBP) adalah salah satu gangguan muskuloskeletal akibat ... more ABSTRAK Latar Belakang : Low Back Pain (LBP) adalah salah satu gangguan muskuloskeletal akibat dari ergonomi yang salah. Angka kejadian pasti dari LBP di Indonesia bervariasi antara 7,6% sampai 37%.90% kasus LBP bukan disebabkan oleh kelainan organik, melainkan oleh kesalahan posisi tubuh dalam bekerja. Tujuan Untuk mengetahui gambaran dan hubungan posisi duduk, durasi kerja, usia, dan masa kerja dengan keluhan low back pain (LBP) pada pekerja pengrajin batik tulis di Kecamatan Pelayangan Kota Jambi Metode : Penelitian ini merupakan penelitian analitik deskriptif dengan pendekatan cross sectional yang dilakukan pada pembatik tulis di Kecamatan Pelayangan, dengan cara melakukan observasi dan wawancara. Teknik pengambilan sampel menggunakan teknik total sampling dengan jumlah sampel 36 orang yang termasuk dalam kriteria insklusi. Data dianalisis menggunakan uji chi square. Hasil : Dari penelitian ini didapatkan hasil responden yang mengalami keluhan low back pain sebesar 52,8%, 30,6...

Kesmas: Jurnal Kesehatan Masyarakat Nasional, 2006

Jumlah kasus flu burung pada manusia meningkat sangat pesat. Studi ini bertujuan untuk mengetahui... more Jumlah kasus flu burung pada manusia meningkat sangat pesat. Studi ini bertujuan untuk mengetahui gambaran epidemiologi penyakit flu burung (Avian Influenza / AI) pada kejadian luar biasa di 5 provinsi Indonesia in 2005-2006. Studi ini mengunakan sumber data sekunder data surveilens, sub direktorat Surveilens, Depkes RI, pada periode Juli 2005-2006. Dari 28 kasus konfirmasi ditemukan banyak pada pria (57.1%). Sekitar 89.3% kasus memperlihatkan gejala demam tinggi (≥ 38°C), batuk dan masalah pernapasan dan sekitar 80% diantaranya meninggal dunia. Gejala tersebut mengindikasikan kerusakan jaringan paru-paru pada tubuh penderi- ta. Berdasarkan laporan hasil pemeriksaan laboratorium, terlihat bahwa 60.7% penderita mengalami penurunan kadar leukosit (leucopenia) dan 46.4% penurunan kadar trombosit (thrombocytopenia). Laju fatalitas kasus yang telah mendapat pengobatan Tamiflu mencapai 66.7%. Sekitar 53.6% mempunyai riwayat kontak den- gan ayam dan bebek. Banyak kasus terjadi pada kelompo...

Proceedings of the 1st International Conference for Health Research – BRIN (ICHR 2022), 2023

Clinical pathways (CP) regarding stroke is a medical service standard necessitated ensuring quali... more Clinical pathways (CP) regarding stroke is a medical service standard necessitated ensuring quality health services at rational costs. The previous study showed that the effect of CP implication on hospitalization length has not shown conclusive results in one hospital nor considered the CP format used. Therefore, this study aims to measure the implication of ischemic stroke CP on hospitalization length. This study was conducted in public and private hospitals, type A and B, which run a stroke registry with uniformity in stroke care and CP format. A retrospective cohort design was used to measure the effectiveness of the ischemic stroke clinical pathway on the outcome of hospitalization length by controlling for confounding variables, including demographic factors, comorbidities, clinical, service procedure, and management support. The data source for the Ischemic Stroke CP group was obtained from the document in the hospital. The data of the without CP group was obtained from the Stroke Registry of the Research and Development Agency, and the medical record was traced to obtain the required variables. The population is ischemic stroke patients treated from January 2012-December 2015. The sample was selected purposively, meeting the inclusion and exclusion criteria, and the ischemic stroke diagnosis is based on medical records with ICD-X 163.9. The cutoff point for the length of hospitalization was determined by Receiver Operating Characteristic analysis, divided into 2 categories, long (>8 days) and short (≤8 days). Univariate, bivariate, stratification and multivariate analysis were performed using the Cox regression test. The results showed that 71% of the subjects were treated without CP, 65% had a short hospitalization length (<8 days), 39% were aged 18-55, and 57% were male. In men, 88% had dyslipidemia, 77% were admitted with mild severity as measured by the Glasgow Coma Scale (GCS = 15), and 35% had attack onset of admissions >24 h. The stratification test showed no interaction between the independent (CP) and the covariate variable on hospitalization length. Multivariate analysis found that CP significantly reduced the risk of hospitalization length (>8 days) by 53%, compared to patients treated without CP, after controlling for disease severity,

Kesmas: Jurnal Kesehatan Masyarakat Nasional

Occupational stress has become a major concern for both employees and employers globally. Stress ... more Occupational stress has become a major concern for both employees and employers globally. Stress leads to a loss of interest among workers as well as unproductive and valueless outputs if not managed well. The education sector is one work setting dominated by stress. This comparative cross-sectional study aimed to determine the levels of depression, anxiety, and stress among academicians as well as their work-related stressors and coping strategies between a selected public university in Malaysia and a private university in Indonesia. A total of 82 academicians from universities in Malaysia and 52 from Indonesia were recruited using convenience sampling. Data was collected using a validated self-reported questionnaire via Google Forms. The prevalence of depression, anxiety, and stress among Malaysian academicians was 19.5%, 29.5%, and 12.2%, respectively. In contrast, the prevalence of depression, anxiety, and stress among Indonesian academicians was 15.7%, 33.3%, and 9.8%. Career d...

Jurnal Ilmu Kesehatan Masyarakat : The Public Health Science Journal (e-journal), Jul 11, 2022

Faktor yang berkontribusi pada kejadian GME diantaranya disabilitas dan cedera. Tujuan penelitian... more Faktor yang berkontribusi pada kejadian GME diantaranya disabilitas dan cedera. Tujuan penelitian untuk mengetahui pengaruh disabilitas dan cedera terhadap kejadian GME di DKI Jakarta. Penelitian menggunakan data sekunder Riskesdas 2018 dengan desain cross sectional. Sampel penelitian adalah seluruh penduduk usia 18-24 tahun di DKI Jakarta yang berhasil diwawancarai dalam Riskesdas 2018 sejumlah 1503 orang. Analisis data hingga multivariat dengan analisis regresi logistik model faktor risiko. Hasil penelitian menunjukkan hubungan disabilitas (Pv = 0,000; OR = 4,037), cedera cacat permanen (Pv = 0,005; OR = 3,262), cedera tidak cacat permanen (Pv = 0,000; OR = 3,026) dengan GME. Pada karekteristik responden, hanya pendidikan (Pv = 0,003; OR = 1,724) yang memiliki hubungan dengan GME. Faktor yang paling berpengaruh terhadap GME usia muda 18-24 tahun di DKI Jakarta adalah disabilitas dan cedera tidak cacat permanen. Rekomendasi yang dapat disampaikan seperti memberikan pelatihan kesehatan mental remaja bagi dokter jiwa, petugas kesehatan program jiwa, kader dan karang taruna, membentuk Posbindu disabilitas serta kunjungan rutin ke sekolah untuk pemeriksaan kesehatan fisik dan mental.

Prosiding Forum Ilmiah Tahunan (FIT) IAKMI, 2020

Berdasarkan data World Health Organization (WHO) diketahui bahwa 3 juta petugas kesehatan terpaj... more Berdasarkan data World Health Organization (WHO) diketahui bahwa 3 juta petugas kesehatan terpajan patogen darah (2 juta terpajan virus HBV, 0,9 juta terpajan HBC dan 170.000 terpajan virus HIV/AIDS). Hal ini salah satunya disebabkan oleh perilaku kepatuhan penggunaan Alat Pelindung Diri (APD) pada petugas kesehatan masih rendah, dari penelitian sebelumnya hanya 35,2% petugas kesehatan yang patuh dalam penggunaan APD sehingga mengakibatkan resiko yang dimiliki oleh petugas kesehatan pun akan semakin besar dan dapat mengakibatkan penyakit akibat kerja.Mengetahui kepatuhan dan faktor yang terkait penggunaan Alat Pelindung Diri (APD) pada petugas kesehatan di fasilitas pelayanan kesehatan Radjak Group.Desain penelitian ini adalah cross sectional . Penelitian dilakukan di seluruh fasilitas pelayanan kesehatan Radjak Group yang terdiri dari 10 UPK dan 3 RS (Rumah Sakit). Responden pada penelitian ini yaitu sebanyak 172 orang petugas kesehatan pada fasilitas pelayanan kesehatan Radjak G...

Journal of Public Health and Development, May 20, 2022

The COVID-19 pandemic has suddenly changed all aspects of people's lives and is also contributing... more The COVID-19 pandemic has suddenly changed all aspects of people's lives and is also contributing to the deterioration of health-related quality of life (HRQoL). Therefore, this study aims to assess the factors affecting HRQoL in East Jakarta. A cross-sectional design was used with 336 respondents, who met both the inclusion and exclusion criteria and were selected by multistage cluster sampling. The results showed that approximately 40.2% of the respondents had poor HRQoL with an average score of 2.7 (0.79), and this was significantly associated with living in RW Siaga (PR 1.529; 95%CI 1.062-2.202), having no local lockdown experience (PR 1.800; 95%CI 1.060-3.056), poor individual resilience (PR 1.794; 95%CI 1.259-2.558), and depression (PR 1.563; 95%CI 1.096-2.230). To prevent poor HRQoL in East Jakarta, it is recommended to improve the RW Siaga program by implementing it in a persuasive and humanist manner. People who are in charge of this program must understand how to communicate with the community to assure it will not be contra-productive with its initial objectives. At the same time, community leaders' involvement and empowerment are also important to increase individual resilience and prevent depression by playing the role of a 'trained community counselor' to briefly assess the individual mental health.

Hidup yang berkualitas merupakan tujuan yang ingin dicapai oleh semua manusia pada semua tingkata... more Hidup yang berkualitas merupakan tujuan yang ingin dicapai oleh semua manusia pada semua tingkatan umur. Kualitas hidup didefinisikan sebagai merupakan penilaian kesehatan fisik dan mental secara subjektif, yang sangat dipengaruhi oleh nilai-nilai dan budaya di lingkungan sekitar dan aspek sosial ekonomi pada setiap individu. Ada dua model kualitas hidup yang paling banyak digunakan, yaitu Ferans Model of Quality of Life dan WHO International Classification of Functioning, Disability and Health (WHO ICF). Kedua model ini menyebutkan bahwa kualitas hidup dipengaruhi oleh faktor indiviu dan faktor lingkungan. Kualitas hidup dimanfaatkan untuk discrimination, evaluation dan prediction. Instrumen pengukuran kualitas hidup ada yang bersifat generik dan spesifik. Untuk menentukan instrumen kualitas hidup yang akan digunakan, ada beberapa kriteria yang telah ditetapkan. Yaitu akseptabilitas (acceptability), beban (burden), reliabilitas (reliability), validitas (validity), responsif (respon...

Science Journal of Public Health, 2018

Hearing loss is one of the many health problems experienced by workers in high noise exposure are... more Hearing loss is one of the many health problems experienced by workers in high noise exposure areas. The purpose of this study was to analyze the relationship between noise intensity and hearing loss in PPSU workers in North Jakarta. This type of research is quantitative analytic using cross-sectional design involving 45 PPSU workers in North Jakarta. Hearing loss was identified by audiometric examination with air conditioning (AC), while noise intensity in the worker's area was measured using a sound level meter. The results of this study showed that 60% of respondents experienced hearing loss, and 51.1% of the areas had noise intensity ≥ 75 dB. The results of categorical analysis showed that there is a relationship between noise intensity and hearing loss with prevalence of ratio was 5.2. Logistic regression analysis showed that respondents who work in areas with noise intensity ≥ 75 dB had the opportunity 7 times to experience hearing loss after being controlled by variable smoking behavior, and hobbies towards noise. Exposure to high noise is something that cannot be avoided by PPSU workers, therefore to reduce or prevent the occurrence of hearing loss, the workers should use earplugs while working, and should reduce smoking and listening music with earphones. In addition, the workers should conduct regular audiometric examinations and attend health counseling at the workplace.

Jurnal Kesehatan Masyarakat Perkotaan

Stres bisa mencuat pada setiap keadaan yang dirasakan manusia, terlibat didalamnya suasana serta ... more Stres bisa mencuat pada setiap keadaan yang dirasakan manusia, terlibat didalamnya suasana serta lingkungan kerja. Apabila kondisi itu berlangsung mungkin mengganggu kehidupan fisik dan mental pekerja. Tenaga pengajar adalah suatu profesi yang sensitif menghadapi stres yang tinggi. Tujuan dari penelitian ini yaitu melihat faktor-faktor yang berkaiatan bersama stres kerja pada dosen di Universitas MH Thamrin. Metide penelitian ini berupa kuantitatif menggunakan desain studi cross sectiona kepada 120 informan. Dari hasil penelitian terdapat 51,7% dosen yang mendapati stres berat. Masalah ini disebabkan menurut signifikan akibat varibel jenis kelamin (0,289), penghasilan ekonomi (0,144) dan kompensasi (2,861). Rekomendasi yang dapatd diberikan yaitu Pemimpin SDM wajib bertambah terdepan mengawasi dalam segi Penghasilan (Ekonomi), membagikan pujian terhadap karyawan terpilih demi menyemangati pekerja berbeda.Kata Kunci: Stres Kerja, Kasus Stres, Dosen, Pendapatan, pujian, jenis kelamin.

Media Kesehatan Masyarakat Indonesia

The prevalence of depression among the general population in CentralSulawesi was the highest in I... more The prevalence of depression among the general population in CentralSulawesi was the highest in Indonesia (12.3%). Scholars revealed thatdisability was one of the main contributing factors of depression and in Central Sulawesi almost half of population was reported having disability (42.1%). This study was intended to identify the association of disability and depression in Central Sulawesi. Cross sectional design study was conducted with utilization of secondary data collection from Riskesdas 2018. Depression, as the main outcome, was assessed by the Mini International Neuropsychiatric Interview (MINI), meanwhile, disability was assessed by the WHODAS instrument. The relationship between these two variables was adjusted by several confounders, namely age, gender, marital status, educational status, and employment status. A 11,9% of 11,926 respondent aged 18-59 years old, was depressed and almost half of them reporting disability (42.1%) and among those who were disabled, one-fifth ...

Jurnal Kesehatan Masyarakat

Disaster-prone population is vulnerable for suffering non-communicable diseases (NCDs) which beco... more Disaster-prone population is vulnerable for suffering non-communicable diseases (NCDs) which become risk factors for poor quality of life (QoL). The study aims at investigating the effect of history of NCDs to the QoL. QoL was measured by WHODAS. NCDs with prevalence more than 1% were involved in analysis. Those NCDs included shortness of breath, diabetes, hypertension, joint disease and stroke. Among 1,872 respondents of Riskesdas, 7.7% of them have a poor QoL, suffering hypertension (8.7%), shortness of breath (7.3%) and asthma (6.9%). Risks of poor QoL six times higher among those with a history of PTM (PORadj 5.987; 95% CI 4.210-8.514) after adjusted by age, gender, education, socioeconomic status and region of residence. Stroke gives the greatest impact with POR 25.00 (95% CI 10.406 to 60.063). We recommend that the promotion and prevention of NCDs should be integrated with both mitigation-related and community resilience activities to disasters.

Prehospital and Disaster Medicine

Introduction:On Friday, September 28, 2018, the 7.4 Richter Scale earthquake hit Central Sulawesi... more Introduction:On Friday, September 28, 2018, the 7.4 Richter Scale earthquake hit Central Sulawesi and was followed by a tsunami. Within a month after the unpredictable earthquake and tsunami, a 773 aftershock earthquake was noted. These events took a major toll on the population in the affected areas. 2,086 people died and more than four thousand people were injured. 1.373 people went missing and 206.494 were evacuated. Surveillance data from November 4, 2018, to October 24, 2018, showed that an increased number of illnesses such as diarrhea was the second leading reported cases. Data showed that the number of diarrhea cases was 3.350 with two peaks of epidemic curves on October 10 and 22, 2018.Aim:To verify the diarrhea outbreak after the tsunami in Palu, Donggala, and Sigi District.Methods:Verification of medical records at six selected primary healthcare institutions with the highest number of cases of diarrhea.Results:A pseudo-epidemic of diarrhea occurred. A high number of diar...

Media Kesehatan Masyarakat Indonesia

Analisis situasi TB dan biaya program TB pada tingkat kabupaten kota belum banyak dilakukan padah... more Analisis situasi TB dan biaya program TB pada tingkat kabupaten kota belum banyak dilakukan padahal hal ini s angat penting untuk perencanaan, penganggaran, pembiayaan dan evaluasi pelayanan TB. Studi dilakukan di Kabupaten Tangerang, Kabupaten Tanggamus, Kota Metro dan Kota Dumai dengan pendekatan mixed method. Pengumpulan data kuantitatif menggunakan data sekunder untuk mengetahui situasi dan biaya program TB. Pengumpulan data primer dilakukan secara kualitatif dengan melakukan round table discussion dengan para stakeholder. Hasil studi menunjukkan insiden TB dan success rate tertinggi di Kabupaten Tanggamus. Kota Metro juga memiliki insiden TB tertinggi disertai dengan notifikasi kasus tertinggi. Kabupaten Tangerang memiliki cure rate tertinggi. Biaya program TB tertinggi di Kabupaten Tangerang, yaitu Rp. 6.737.303.630. Alokasi biaya program TB terbesar di semua wilayah digunakan untuk obat. Permasalahan yang terjadi dalam pengendalian TB di empat wilayah tersebut adalah tatalak...

Jurnal Ilmiah Kesehatan

Perilaku Hidup Bersih dan Sehat (PHBS) Tatanan Rumah Tangga adalah upaya untuk memeberdayakan ang... more Perilaku Hidup Bersih dan Sehat (PHBS) Tatanan Rumah Tangga adalah upaya untuk memeberdayakan anggota rumah tangga agar sadar, mau dan mampu melakukan PHBS untuk memelihara dan meningkatkan kesehatannya, mencegah resiko terjadinya penyakit dan melindungi diri dari ancaman penyakit serta berperan aktif dalam gerakan kesehatan. Masyarakat sebagai salah satu indicator terciptanya kota sehat. Untuk mendapatkan gambaran pelaksanaan PHBS masyarakat pada tatanan rumah tangga di Pulau Lancang, Kelurahan Pulau Pari Kecamatan, Kepulauan Seribu Selatan. Metode Studi cross sectional dilaksanakan pada seluruh populasi penelitian yang tinggal di Pulau Lancang Kelurahan Pulau Pari. Populasi dalam penelitian ini adalah 923 KK dengan besar sampel 70 KK terpilih secara proposional melalui teknik random sampling. Hasil yangh didapat dari Rumah Tangga (RT) yang menerapkan PHBS sebanyak 20 responden (28,6%), dan yang tidak menerapkan PHBS sebanyak 50 responden (71,4%). Tidak adanya hubungan antara va...

Riset Informasi Kesehatan

ABSTRAK Latar Belakang : Low Back Pain (LBP) adalah salah satu gangguan muskuloskeletal akibat ... more ABSTRAK Latar Belakang : Low Back Pain (LBP) adalah salah satu gangguan muskuloskeletal akibat dari ergonomi yang salah. Angka kejadian pasti dari LBP di Indonesia bervariasi antara 7,6% sampai 37%.90% kasus LBP bukan disebabkan oleh kelainan organik, melainkan oleh kesalahan posisi tubuh dalam bekerja. Tujuan Untuk mengetahui gambaran dan hubungan posisi duduk, durasi kerja, usia, dan masa kerja dengan keluhan low back pain (LBP) pada pekerja pengrajin batik tulis di Kecamatan Pelayangan Kota Jambi Metode : Penelitian ini merupakan penelitian analitik deskriptif dengan pendekatan cross sectional yang dilakukan pada pembatik tulis di Kecamatan Pelayangan, dengan cara melakukan observasi dan wawancara. Teknik pengambilan sampel menggunakan teknik total sampling dengan jumlah sampel 36 orang yang termasuk dalam kriteria insklusi. Data dianalisis menggunakan uji chi square. Hasil : Dari penelitian ini didapatkan hasil responden yang mengalami keluhan low back pain sebesar 52,8%, 30,6...

Kesmas: Jurnal Kesehatan Masyarakat Nasional, 2006

Jumlah kasus flu burung pada manusia meningkat sangat pesat. Studi ini bertujuan untuk mengetahui... more Jumlah kasus flu burung pada manusia meningkat sangat pesat. Studi ini bertujuan untuk mengetahui gambaran epidemiologi penyakit flu burung (Avian Influenza / AI) pada kejadian luar biasa di 5 provinsi Indonesia in 2005-2006. Studi ini mengunakan sumber data sekunder data surveilens, sub direktorat Surveilens, Depkes RI, pada periode Juli 2005-2006. Dari 28 kasus konfirmasi ditemukan banyak pada pria (57.1%). Sekitar 89.3% kasus memperlihatkan gejala demam tinggi (≥ 38°C), batuk dan masalah pernapasan dan sekitar 80% diantaranya meninggal dunia. Gejala tersebut mengindikasikan kerusakan jaringan paru-paru pada tubuh penderi- ta. Berdasarkan laporan hasil pemeriksaan laboratorium, terlihat bahwa 60.7% penderita mengalami penurunan kadar leukosit (leucopenia) dan 46.4% penurunan kadar trombosit (thrombocytopenia). Laju fatalitas kasus yang telah mendapat pengobatan Tamiflu mencapai 66.7%. Sekitar 53.6% mempunyai riwayat kontak den- gan ayam dan bebek. Banyak kasus terjadi pada kelompo...