Diabetes Mellitus is one of the biggest health problems in Indonesia but the research on the dise... more Diabetes Mellitus is one of the biggest health problems in Indonesia but the research on the disease's projection is still limited. This study aimed to make a projection model of prevalence and mortality of diabetes in Indonesia based on risk factors and NCD programs. The study was a quantitative nonexperimental study through multiple linear regression models and system dynamics. The baseline projection was created by 2018 data and projections until 2045 involved the dynamization of risk factors and programs, population, and case fatality rate. The model was created from 205 districts data. This study used secondary data from Basic Health Research, BPJS Kesehatan, NCD programs, and Ministry of Health. The prevalence of diabetes in Indonesia is estimated to increase from 9.19% in 2020 (18.69 million cases) to 16.09% in 2045 (40.7 million cases). The prevalence will be lower to 15.68% (39.6 million) if interventions of programs were carried out, and to 9.22% (23.2 million) if the programs were added with prevention of risk factors. The projected number of deaths due to diabetes increases from 433,752 in 2020 to 944,468 in 2045. Deaths due to stroke among diabetes increases from 52,397 to 114,092 in the same period. Deaths from IHD among diabetes increase from 35,351 to 76,974, and deaths from chronic kidney disease among diabetes increase from 29,061 to 63,279. Diabetes prevalence and mortality in Indonesia rise significantly in Indonesia and can be reduced by intervention of several programs and risk factors. This study findings could be source of planning and evaluation of Diabetes prevention and control program at national and provincial level in the future related to risk factors control and program development.
Pengendalian penyakit kanker di Indonesia telah banyak dilakukan oleh berbagai pihak baik pemerin... more Pengendalian penyakit kanker di Indonesia telah banyak dilakukan oleh berbagai pihak baik pemerintah maupun non pemerintah, namun belum berjalan secara terpadu, komprehensif, dan berkesinambungan. Berdasarkan Keputusan Menteri Kesehatan RI Nomor 1575/Menkes/Per/XI/ 2005 Tentang Organisasi dan Tata Kerja Departemen Kesehatan, dibentuklan Direktorat Pengendalian Penyakit Tidak Menular (PPTM) yang termasuk di dalamnya Sub Direktorat Penyakit Kanker yang bertugas mengkoodinasikan upaya pengendalian penyakit kanker di Indonesia.Upaya pengendalian penyakit kanker bertujuan menurunkan angka kesakitan dan kematian akibat penyakit kanker, memperpanjang umur harapan hidup serta meningkatkan kualitas hidup penderita. Kebijakan yang diambil adalah partisipasi dan pemberdayaan masyarakat, pengembangan kemitraan & jejaring kerja, pelaksanaan secara terpadu (pencegahan primer, sekunder dan tersier), pengelolaan secara profesional, berkualitas, merata dan terjangkau oleh masyarakat, penguatan penye...
Background: Human Papilloma Virus (HPV) is the leading risk factor of cervical cancer. World Heal... more Background: Human Papilloma Virus (HPV) is the leading risk factor of cervical cancer. World Health Organization (WHO) has recommended including HPV vaccination in national immunization programs in all countries. Specifically, Jakarta Province has been implementing HPV vaccination since 2016. In this case, several factors influence vaccination coverage. However, there is limited evidence about determinants associated with HPV vaccination. Therefore, this study aimed to investigate the factors associated with HPV vaccination among elementary students in Central Jakarta.Methods: This was a cross-sectional study conducted from March until June 2020. The study population involved 167 female students of the 6th level of the elementary school in Central Jakarta. There were eight elementary schools in Kemayoran and Cempaka Putih Sub Districts selected purposively. Primary data was collected employing an online questionnaire, which was fulfilled by respondents (mothers and students). Data w...
Disaster Medicine and Public Health Preparedness, Mar 28, 2022
OBJECTIVES An earthquake followed by tsunami and liquefaction on September 28, 2018, in Central S... more OBJECTIVES An earthquake followed by tsunami and liquefaction on September 28, 2018, in Central Sulawesi caused health system disruptions. This study aimed to know health system disruption at the primary health center (PHC) level due to the disaster in 3 districts (Palu, Sigi, Donggala) of Central Sulawesi. METHODS This was a qualitative study conducted in March 2019 involving 36 PHCs. Data were collected through interview of PHC officers using a structured questionnaire. Variables included disruption of management, budget, human resources, drug supply, Early Warning Alert and Response System (EWARS) of epidemic prone disease (EPD), human resource migration, health facility damage, and health facility access. Descriptive analysis was conducted to define disruption for a 1-y projection. RESULTS Health system disruptions in Palu affected management, budget, human resources, EWARS, health facility damage, and health access; occurred within 1-2 mo; and were projected to become better after 6 mo. Problems in Sigi were management, human resources, drug supply, EPD, and EWARS for 1 mo after disaster and were projected to be better after 2 mo. The problems in Donggala were health services access, management, human resources for 1 mo after the disaster and were projected to be normal after 2 mo. CONCLUSIONS Health system disruptions occurred in Central Sulawesi Province at the PHC level within 1-2 mo and were projected to become better after 3 mo in most PHCs.
Cervical and breast cancer were the most common cancers among women in Indonesia. Breast cancer b... more Cervical and breast cancer were the most common cancers among women in Indonesia. Breast cancer became the leading cancr among women with an incidence rate of 40.3 per 100,000 and death rate 21.5 per 100,000. Meanwhile, incidence of cervical cancer was 17.3 per 100,000 and death rate 10.3 per 100,000 (IARC, 2012). In Jakarta Province the incidence of breast cancer was 18.6 per 100,000 women and cervical cancer was 9.25 per 100,000 women (Wahidin et al., 2012). The national program of cervical and breast cancer screening was started as a pilot project in 2007 by 6
FAKTOR – FAKTOR YANG MEMPENGARUHI PEMERIKSAAN PAP SMEAR PADA WANITA USIA SUBUR DI POLIKLINIK KEBIDANAN RUMAH SAKIT UMUM DAERAH H. ABDUL MANAP KOTA JAMBI, Sep 21, 2021
Pap smear merupakan salah satu jenis pemeriksaan skrining dalam deteksi dini kanker serviks yang ... more Pap smear merupakan salah satu jenis pemeriksaan skrining dalam deteksi dini kanker serviks yang efektif, sederhana dan murah. Di Indonesia tercatat hanya 5% penduduk wanita yang melakukan pemeriksaan Pap Smear secara rutin, sementara itu RSUD. H. Abdul Manap Kota Jambi mengalami sedikit peningkatan tiap tahunnya tentang pemeriksaan Pap Smear. Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi pemeriksaan Pap Smear pada wanita usia subur di poliklinik kebidanan rumah sakit umum daerah (RSUD) H.Abdul Manap Kota Jambi. Jenis penelitian ini menggunakan penelitian Analitik dengan menggunakan metode Cross Sectional, penelitian ini dilakukan di Poliklinik RSUD H. Abdul Manap Kota Jambi Tahun 2019, Populasi dalam penelitian ini adalah 167 wanita usia subur, dengan menggunakan teknik accidental sampling didapatkan sampel 117 orang wanita usia subur, penelitian ini dilakukan dari tanggal 5-24 September Tahun 2019. Data diolah secara komputerisasi, disajikan dalam bentuk tabel distribusi frekuensi, dianalisa secara univariat dan bivariat dengan menggunakan uji Chi-Square. Hasil penelitian didapatkan 85.5% wanita usia subur dengan pengetahuan rendah, 78.6% sikap negatif dan 74.4% tidak didukung oleh keluarga. Hasil uji statistik menunjukkan ada hubungan yang bermakna antara pengetahuan dengan pemeriksaan Pap Smear yaitu p= 0.046 (p<0.05), ada hubungan bermakna antara sikap dengan pemeriksaan Pap Smear yaitu p =0.019 (p<0.05), dan ada hubungan bermakana antara dukungan keluarga dengan pemeriksaan Pap Smear yaitu p= 0.042 (p<0.05). Berdasarkan hasil penelitian, disaranan pada tenaga kesehatan mampu untuk melakukan promosi kesehatan guna untuk melakukan pemeriksaan Pap Smear. PENDAHULUAN Pap smear merupakan salah satu jenis pemeriksaan skrining dalam deteksi dini kanker serviks yang efektif, sederhana dan murah. Pap Smear dilakukan dengan merupakan suatu metode pemeriksaan sel-sel yang diambil dari leher rahim dan kemudian diperiksa di bawah
Human Papillomavirus (HPV) is the main risk factor for cervical cancer. HPV vaccination among ad... more Human Papillomavirus (HPV) is the main risk factor for cervical cancer. HPV vaccination among adolescents may prevent the disease. Jakarta Province has been implementing an HPV vaccination program since 2016. This research aimed to know the overview of the HPV vaccination program in Central Jakarta in 2020. This research was a qualitative study conducted in the City of Central Jakarta from March till June 2020. Informants of the research were 12 persons from Central Jakarta Health Office, PHCs, Central Jakarta Education Office, and teachers from elementary schools selected purposively. Primary data was collected through interview using a structured questionnaire. Secondary data was from the report of the Jakarta Provincial Health Office. Data were analyzed using content analysis for planning, organizing, implementing, monitoring, evaluation, intersectoral collaboration and coverage. The study results showed that the HPV vaccination program was conducted through planning, organizing, implementing, monitoring and evaluation, with intersectoral collaboration. The problem was vaccine availability, invalid target data, lack of teachers involved, rejection from parents and lack of PHC providers. Monitoring and evaluation were not conducted adequately in the schools, and there was an obstacle in private schools for vaccination. The vaccinaton coverage was 90.98% in 2016, 95.40% in 2017, and 94.55% in2018. In conclusion, the HPV vaccination program in Central Jakarta was running but needed strengthening. It is recommended to strengthen the coordination in vaccines supply, update target data, increase education, involve the Education office and schools in monitoring and evaluation, and collaborate with community and religious leaders. Abstrak Human PapillomaVirus (HPV) merupakan faktor risiko utama terjadinya kanker serviks. Vaksinasi HPV pada remaja dapat mencegah kanker serviks. Provinsi DKI Jakarta telah mengembangkan program vaksinasi HPV sejak tahun 2016. Penelitian ini bertujuan untuk mengetahui gambaran program vaksinasi HPV di Jakarta Pusat tahun 2020. Penelitian ini merupakan studi kualitatif yang dilaksanakan di Kota Jakarta Pusat pada Maret - Juni 2020. Informan penelitian adalah 12 orang dari Sudin Kesehatan dan Puskesmas, Sudin Pendidikan, dan guru Sekolah Dasar yang dipilih secara purposif. Data primer diperoleh melalui wawancara mendalam menggunakan kuesioner terstruktur. Data sekunder dikumpulkan dari Dinkes Provinsi DKI Jakarta. Data dianalisis dengan analisis konten untuk mengetahui perencanaan, pengorganisasian, pelaksanaan, monitoring dan evaluasi, kerja sama lintas sektor, serta cakupan program vaksinasi HPV. Hasil penelitian menunjukkan program vaksinasi HPV dilaksanakan melalui perencanaan, pengorganisasian, pelaksanaan, monitoring dan evaluasi, dengan kerja sama lintas sektor. Kendala dan hambatan yang terjadi adalah ketersediaan vaksin, ketidaksesuaian data sasaran, kurangnya guru yang terlibat, penolakan orang tua dan kurangnya petugas kesehatan. Monitoring dan evaluasi belum dilaksanakan sepenuhnya di sekolah dan masih ada hambatan vaksinasi pada sekolah swasta. Cakupan program vaksinasi HPV sebesar 90,98% pada 2016, 95,40% pada 2017 dan 94,55% pada 2018. Kesimpulan penelitian adalah program vaksinasi HPV di Jakarta Pusat dilaksanakan tetapi perlu penguatan. Saran yang diberikan adalah penguatan koordinasi dalam penyediaan vaksin HPV, pemutakhiran data sasaran, peningkatan edukasi, pelibatan Sudin Pendidikan dan sekolah dalam monitoring dan evaluasi, dan kerja sama dengan tokoh masyarakat dantokoh agama.
The use of electronic cigarette becomes a health problem among teenagers. The prevalence of this ... more The use of electronic cigarette becomes a health problem among teenagers. The prevalence of this cigarette smokers in Jakarta is higher than national prevalence. The aim of this study was to identify determinants of usage of electronic cigarette among teenagers in the City of Central Jakarta. This was an observational study using cross sectional study design. The research was conducted in April – October 2020 in Central Jakarta, Jakarta province. The sample of schools was taken by purposive sampling using criteria of representativeness to public and private schools for general and vocational school, with total of 240 respondents from 4 selected schools. Primary data was collected through online questionnaire (google form). Bivariate analysis was performed to identify relationship between independent variables with dependent variable using Chi Square test and multivariate analyses was conducted using Multiple Logistic Regression. Result of the study showed that proportion of electron...
The number of accident in the work place in Indonesia ranked two at the lowest level in the world... more The number of accident in the work place in Indonesia ranked two at the lowest level in the world when K3 implemented. Unsafe action is one of the root causes of work accidents caused by humans. Unsafe actions are influenced by various factors, both personal and work factors. This study aims to determine the factors associated with unsafe action on mechanical workers of PT. X DKI Jakarta 2020. The design used was Cross Sectional design using sample size of 36 workers (total sampling). The data collected is primary data using a questionnaire. This research was conducted in October-December 2020. Test from independent variable of age, tenure, education, knowledge and HSE training. The results of the research from the Chi-square statistical test showed that the factors that had a relationship were knowledge p-value = 0.042 with unsafe action on mechanical workers in PT. X DKI Jakarta in 2020. While the factors that have no relationship between age p-value = 0.284, tenure p-value = 0.067, education level p-value = 0.970, and HSE training p-value = 0.080 with unsafe action on mechanical workers at PT. X DKI Jakarta 2020. It is recommended for the related companies to provide the education about K3 and unsafe actions.
Asian Pacific Journal of Cancer Prevention : APJCP, 2018
Objective: This study aimed to understand the effects of the use of oral contraceptive to breast ... more Objective: This study aimed to understand the effects of the use of oral contraceptive to breast cancer risk in six referral hospitals in Indonesia. Methods: The research design was hospital based case-control, conducted in 2013. Population was women patients aged 15 years and above in six cancer-referral hospitals in five provinces. Total of 762 people were included in this study consisting of 381 who are diagnosed with breast cancer as confirmed by histopathologic examination in inpatient surgery ward, and 381 people who are not diagnosed with breast cancer based on interview in outpatient surgery ward as control group. A set of data were collected including the use of oral contraceptives, age, early menarche, childbirth status, breastfeeding status, obesity, unhealthy diet, history of benign breast tumors, family history of breast cancer, and age of menopause. Result: Results showed that Odds Ratio (OR) of patients using oral contraceptive <6 years was 1.93 (95% CI 1.23 – 3.03...
Background : Pandeglang, a district in Banten province, Indonesia, was the worst affected area of... more Background : Pandeglang, a district in Banten province, Indonesia, was the worst affected area of the Sunda Strait tsunami which occurred on 22 nd December, 2018. Aside from threats of communicable disease outbreaks, the district faced the challenges of managing non-communicable diseases (NCD) in the community. Purpose : The aim of the study is to describe the post tsunami impact on cases of hypertension and diabetes mellitus and the expected one-year projections of these diseases in the district of Pandeglang, Banten. Methods : In January 2019, we collected primary data from Pandeglang District Health Office (DHO) and 15 Public Health Centres (PHCs) that were heavily affected by the tsunami. Surveillance officers were also interviewed for their subjective opinions on disease projections in both the DHO and PHCs. Aggregated data of cases presenting to the PHCs for assistance were analysed in relation to the post tsunami period. The diseases of interest included hypertension and diab...
Latar Belakang: Skrining kesehatan tertentu meliputi Inspeksi Visual dengan Asam Asetat (IVA), Pa... more Latar Belakang: Skrining kesehatan tertentu meliputi Inspeksi Visual dengan Asam Asetat (IVA), Pap Smear, krioterapi, dan pemeriksaan gula darah termasuk pogram deteksi dini penyakit tidak menular. Kota Bogor, Jawa Barat telah melaksanakan program skrining tersebut sejak 2010. Penelitian bertujuan untuk mengatahui gambaran program skinning kesehatan di Kota Bogor dari sisi sumber daya manusia, peralatan, dan capaian skrining. Metode: Desain penelitian cross sectional. Sumber data berasal dari Dinas Kesehatan dan Puskesmas di Kota Bogor, Jawa Barat. Tempat penelitian di Kota Bogor, Jawa Barat, dilaksanakan pada Februari –November 2018. Seluruh 25 Puskesmas se-Kota Bogor menjadi populasi dan sampel dalam penelitian ini. Analisis dilakukan secara deskriptif-kuantitatif dan analisis komparatif. Hasil: Hasil penelitian menunjukkan rata-rata SDM per Puskesmas untuk IVA, gula daraah, dan krioterapi adalah masing-masing 4,5 orang, 2,4 orang, dan 0,3. Belum ada SDM Pap smear. Rata-rata pera...
Since 2013, Directorate of NCD Prevention and Control has conducted web-based NCD risk factors su... more Since 2013, Directorate of NCD Prevention and Control has conducted web-based NCD risk factors surveillance with the data source from the ‘Posbindu PTM’ activity. Evaluation of the surveillance should be conducted periodically to assess achievement of objectives and target benefits. However, since the surveillance conducted nationally, there has not been a specific evaluation. This article aimed to obtain information about the utilization and problems in implementing NCD risk factors surveillance based on “Posbindu PTM” data. The research method was carried out through a systematic review of articles related to the implementation of NCD risk factor surveillance based on Posbindu PTM data in 2014 to 2020. The articles were searched using a search engine with keywords NCD surveillance, Posbindu PTM, Posbindu surveillance, in June 2020. There were 12 articles that match the keywords and five articles that meet the criteria. The results of the review showed that the data collection inst...
Articles reporting research may be full length or brief reports. These should report original res... more Articles reporting research may be full length or brief reports. These should report original research findings within the journal's scope. Papers should generally be a maximum of 4000 words in length, excluding tables, references, abstract and key points of the article, whilst references should not exceed 36. Review Papers Comprehensive, authoritative, reviews within the journal's scope. Review articles provide a review of the literature. There are two types of review papers:-systematic review papers: respond to a specific research question, accrue from criterion-based selection of sources, include a quantitative synthesis that includes a statistical method (meta-analysis) and should adhere to PRISMA guidelines. Guidelines used for abstracting data and assessing data quality and validity should be noted in methods section.-narrative reviews: the research question may be broad, and the scope of this review is to discuss a specific topic and keep the readers up-to-date about it. This type of review does not necessarily include a methodological approach and its synthesis is usually qualitative. Narrative reviews should include a "developments" section, with details regarding data sources used, keywords applied, time restrictions and study types selected. All review papers should be generally less than 6000 words, excluding abstract, tables, figures and references. References should not exceed 50 unless on a topic that has an extensive evidence base. The conclusion of the reviews must be specific and stem from the findings. Short Reports Brief reports of data from original research. Short reports are shorter versions of original articles, may include one table or figure, should not exceed 1500 words and 15 references. Short reports are suitable for the presentation of research that extends previously published research, including the reporting of additional evidence and confirmatory results in other settings, as well as negative results. Authors must clearly acknowledge any work upon which they are building, both published and unpublished. Study Protocols Articles describing a research protocol of a study. This article type can be for proposed or for ongoing research and should contain the background, research hypothesis, rationale a detailed methodology of the study. The SPIRIT 2013 Checklist guidelines ideally should be applied. Study protocols submitted for publication must have received ethics approval. Protocols of randomized trials should follow the CONSORT guidelines and must have a trial registration number, while observational studies should follow STROBE guidelines. Methodology Papers Papers that present different methodological approaches that can be used to investigate problems in a relevant scientific field and to encourage innovation. It is suggested that case studies or practical examples, which can be existing ones, are included to demonstrate the consistency and applicability of the methodology. Methodology papers should be generally less than 6000 words, excluding abstract, tables, figures and references. References should not exceed 50. Letters to the Editor A letter to the Editor is a brief report that is within the journal's scope and of particular interest to the community, but not suitable as a standard research article or as a short report. Letters to the editor may also report original research data, if the sample size is small. A maximum of ten articles may be included in the references. Letters intended for publication should be a maximum of 500 words, contain 10 references, and up to one table or figure. These rules apply both for research letters, and letters that respond to articles published in the journal. Letters to the editor are subject to editorial editing so as to streamline with the journal's style. Editorials Editorials are written by members of the Editorial Board or by invited topic experts and may reflect current articles within TID
Berdasarkan peningkatan beban kerja tenaga kesehatan lapangan Dompet dhuafa yang dianggap dapat... more Berdasarkan peningkatan beban kerja tenaga kesehatan lapangan Dompet dhuafa yang dianggap dapat meningkatkan potensi kelelahan saat bekerja, terdapat peningkatan jumlah absensi 6 bulan terakhir yaitu 45% Karyawan tidak masuk kerja karena sakit, dan 18% karyawan tidak masuk kerja karena ijin serta 3% karyawan tidak masuk kerja tanpa kabar dan berdasarkan hasil studi pendahuluan dengan menggunakan kuesioner FSS kepada 5 orang didapatkan 4 orang diantaranya menderita kelelahan. Dengan demikian peneliti perlu mengetahui apa saja fakor-faktor yang mempengaruhi kelelahan kerja Pada Tenaga Kesehatan Lapangan Dompet Dhuafa LKC Jabodetabek Pada Masa Pandemi Covid 19 Tahun 2021.
Articles reporting research may be full length or brief reports. These should report original res... more Articles reporting research may be full length or brief reports. These should report original research findings within the journal's scope. Papers should generally be a maximum of 4000 words in length, excluding tables, references, abstract and key points of the article, whilst references should not exceed 36. Review Papers Comprehensive, authoritative, reviews within the journal's scope. Review articles provide a review of the literature. There are two types of review papers:-systematic review papers: respond to a specific research question, accrue from criterion-based selection of sources, include a quantitative synthesis that includes a statistical method (meta-analysis) and should adhere to PRISMA guidelines. Guidelines used for abstracting data and assessing data quality and validity should be noted in methods section.-narrative reviews: the research question may be broad, and the scope of this review is to discuss a specific topic and keep the readers up-to-date about it. This type of review does not necessarily include a methodological approach and its synthesis is usually qualitative. Narrative reviews should include a "developments" section, with details regarding data sources used, keywords applied, time restrictions and study types selected. All review papers should be generally less than 6000 words, excluding abstract, tables, figures and references. References should not exceed 50 unless on a topic that has an extensive evidence base. The conclusion of the reviews must be specific and stem from the findings. Short Reports Brief reports of data from original research. Short reports are shorter versions of original articles, may include one table or figure, should not exceed 1500 words and 15 references. Short reports are suitable for the presentation of research that extends previously published research, including the reporting of additional evidence and confirmatory results in other settings, as well as negative results. Authors must clearly acknowledge any work upon which they are building, both published and unpublished. Study Protocols Articles describing a research protocol of a study. This article type can be for proposed or for ongoing research and should contain the background, research hypothesis, rationale a detailed methodology of the study. The SPIRIT 2013 Checklist guidelines ideally should be applied. Study protocols submitted for publication must have received ethics approval. Protocols of randomized trials should follow the CONSORT guidelines and must have a trial registration number, while observational studies should follow STROBE guidelines. Methodology Papers Papers that present different methodological approaches that can be used to investigate problems in a relevant scientific field and to encourage innovation. It is suggested that case studies or practical examples, which can be existing ones, are included to demonstrate the consistency and applicability of the methodology. Methodology papers should be generally less than 6000 words, excluding abstract, tables, figures and references. References should not exceed 50. Letters to the Editor A letter to the Editor is a brief report that is within the journal's scope and of particular interest to the community, but not suitable as a standard research article or as a short report. Letters to the editor may also report original research data, if the sample size is small. A maximum of ten articles may be included in the references. Letters intended for publication should be a maximum of 500 words, contain 10 references, and up to one table or figure. These rules apply both for research letters, and letters that respond to articles published in the journal. Letters to the editor are subject to editorial editing so as to streamline with the journal's style. Editorials Editorials are written by members of the Editorial Board or by invited topic experts and may reflect current articles within TID
Hearing disorder is a disease caused by noise in the world and in Indonesia. There are many facto... more Hearing disorder is a disease caused by noise in the world and in Indonesia. There are many factors that contribute to hearing loss. This study aims to determine the factors associated with hearing loss in PT X Jakarta Timur Bearing Production workers in 2020. This study uses a Case Control design. The study population was 207 workers consisting of 42 cases and convenience sampling 42 controls. The data collection method was carried out by using a questionnaire for the variable length of service (ordinal), age (ordinal) and the use of APT (ordinal), looking at employee attendance data for the length of exposure variable (ordinal) and looking at Medical Check Up data for 42 respondents with a total sampling technique for case respondents and 42 control respondents for the variable hearing loss (ordinal). This study consisted of independent variables, namely noise intensity, length of exposure, age, years of service, and use of ear protection equipment (APT). The results of the resear...
Exclusive operations in health services remains a common practice on primary health services in I... more Exclusive operations in health services remains a common practice on primary health services in Indonesia, particularly in the First Level Health Facility. This form of services was incapable of covering the need for people with disability (PwD) towards adequate health services. Prerequisite facilities were not available nor accessible for the disabled in need of health treatment. This research was aimed at depicting friendly health services for people with disability at the Puskesmas level. This research looked at several factors, including the need for PwD, assessment of facility provision, evaluating policy support, also support from family and Disabled People Organisation (DPO) to ensure adequate services for PwD. This study is qualitative research with in-depth interviews, observations, and literature reviews, data collection methods. Research sites were three Puskesmas in Sukoharjo, Central Java. The result shows that PwD’s needs on primary health services in Puskesmas include...
Screening services for risk factors of non communicable diseases (NCD), namely, VIA, pap smear, c... more Screening services for risk factors of non communicable diseases (NCD), namely, VIA, pap smear, cryotherapy, and blood glucose were included in the services of non-capitation from BPJS Kesehatan in the City of Bogor in West Java. This research aimed at knowing implementation of non-capitation, included realization, access, attitude, policy, resources, monitoring and evaluation. Research design was qualitative study, conducted from February until September 2018. Respondents were NCD programmers of Directorate of NCD at Ministry of Health and Bogor City, Non Capitation programmers at Central BPJS Kesehatan and City of Bogor, and 6 selected chiefs of PHCs. Data analysis was performed using descriptivequantitative and qualitative approaches. The result showed that implementation of non-capitation was quite good but it was not optimum. Access to all PHCs was easy. The average of non-capitation realization in 2015 – 2017 was 1.49 billion rupiahs per year, with a trend of 29% increase. The...
Diabetes Mellitus is one of the biggest health problems in Indonesia but the research on the dise... more Diabetes Mellitus is one of the biggest health problems in Indonesia but the research on the disease's projection is still limited. This study aimed to make a projection model of prevalence and mortality of diabetes in Indonesia based on risk factors and NCD programs. The study was a quantitative nonexperimental study through multiple linear regression models and system dynamics. The baseline projection was created by 2018 data and projections until 2045 involved the dynamization of risk factors and programs, population, and case fatality rate. The model was created from 205 districts data. This study used secondary data from Basic Health Research, BPJS Kesehatan, NCD programs, and Ministry of Health. The prevalence of diabetes in Indonesia is estimated to increase from 9.19% in 2020 (18.69 million cases) to 16.09% in 2045 (40.7 million cases). The prevalence will be lower to 15.68% (39.6 million) if interventions of programs were carried out, and to 9.22% (23.2 million) if the programs were added with prevention of risk factors. The projected number of deaths due to diabetes increases from 433,752 in 2020 to 944,468 in 2045. Deaths due to stroke among diabetes increases from 52,397 to 114,092 in the same period. Deaths from IHD among diabetes increase from 35,351 to 76,974, and deaths from chronic kidney disease among diabetes increase from 29,061 to 63,279. Diabetes prevalence and mortality in Indonesia rise significantly in Indonesia and can be reduced by intervention of several programs and risk factors. This study findings could be source of planning and evaluation of Diabetes prevention and control program at national and provincial level in the future related to risk factors control and program development.
Pengendalian penyakit kanker di Indonesia telah banyak dilakukan oleh berbagai pihak baik pemerin... more Pengendalian penyakit kanker di Indonesia telah banyak dilakukan oleh berbagai pihak baik pemerintah maupun non pemerintah, namun belum berjalan secara terpadu, komprehensif, dan berkesinambungan. Berdasarkan Keputusan Menteri Kesehatan RI Nomor 1575/Menkes/Per/XI/ 2005 Tentang Organisasi dan Tata Kerja Departemen Kesehatan, dibentuklan Direktorat Pengendalian Penyakit Tidak Menular (PPTM) yang termasuk di dalamnya Sub Direktorat Penyakit Kanker yang bertugas mengkoodinasikan upaya pengendalian penyakit kanker di Indonesia.Upaya pengendalian penyakit kanker bertujuan menurunkan angka kesakitan dan kematian akibat penyakit kanker, memperpanjang umur harapan hidup serta meningkatkan kualitas hidup penderita. Kebijakan yang diambil adalah partisipasi dan pemberdayaan masyarakat, pengembangan kemitraan & jejaring kerja, pelaksanaan secara terpadu (pencegahan primer, sekunder dan tersier), pengelolaan secara profesional, berkualitas, merata dan terjangkau oleh masyarakat, penguatan penye...
Background: Human Papilloma Virus (HPV) is the leading risk factor of cervical cancer. World Heal... more Background: Human Papilloma Virus (HPV) is the leading risk factor of cervical cancer. World Health Organization (WHO) has recommended including HPV vaccination in national immunization programs in all countries. Specifically, Jakarta Province has been implementing HPV vaccination since 2016. In this case, several factors influence vaccination coverage. However, there is limited evidence about determinants associated with HPV vaccination. Therefore, this study aimed to investigate the factors associated with HPV vaccination among elementary students in Central Jakarta.Methods: This was a cross-sectional study conducted from March until June 2020. The study population involved 167 female students of the 6th level of the elementary school in Central Jakarta. There were eight elementary schools in Kemayoran and Cempaka Putih Sub Districts selected purposively. Primary data was collected employing an online questionnaire, which was fulfilled by respondents (mothers and students). Data w...
Disaster Medicine and Public Health Preparedness, Mar 28, 2022
OBJECTIVES An earthquake followed by tsunami and liquefaction on September 28, 2018, in Central S... more OBJECTIVES An earthquake followed by tsunami and liquefaction on September 28, 2018, in Central Sulawesi caused health system disruptions. This study aimed to know health system disruption at the primary health center (PHC) level due to the disaster in 3 districts (Palu, Sigi, Donggala) of Central Sulawesi. METHODS This was a qualitative study conducted in March 2019 involving 36 PHCs. Data were collected through interview of PHC officers using a structured questionnaire. Variables included disruption of management, budget, human resources, drug supply, Early Warning Alert and Response System (EWARS) of epidemic prone disease (EPD), human resource migration, health facility damage, and health facility access. Descriptive analysis was conducted to define disruption for a 1-y projection. RESULTS Health system disruptions in Palu affected management, budget, human resources, EWARS, health facility damage, and health access; occurred within 1-2 mo; and were projected to become better after 6 mo. Problems in Sigi were management, human resources, drug supply, EPD, and EWARS for 1 mo after disaster and were projected to be better after 2 mo. The problems in Donggala were health services access, management, human resources for 1 mo after the disaster and were projected to be normal after 2 mo. CONCLUSIONS Health system disruptions occurred in Central Sulawesi Province at the PHC level within 1-2 mo and were projected to become better after 3 mo in most PHCs.
Cervical and breast cancer were the most common cancers among women in Indonesia. Breast cancer b... more Cervical and breast cancer were the most common cancers among women in Indonesia. Breast cancer became the leading cancr among women with an incidence rate of 40.3 per 100,000 and death rate 21.5 per 100,000. Meanwhile, incidence of cervical cancer was 17.3 per 100,000 and death rate 10.3 per 100,000 (IARC, 2012). In Jakarta Province the incidence of breast cancer was 18.6 per 100,000 women and cervical cancer was 9.25 per 100,000 women (Wahidin et al., 2012). The national program of cervical and breast cancer screening was started as a pilot project in 2007 by 6
FAKTOR – FAKTOR YANG MEMPENGARUHI PEMERIKSAAN PAP SMEAR PADA WANITA USIA SUBUR DI POLIKLINIK KEBIDANAN RUMAH SAKIT UMUM DAERAH H. ABDUL MANAP KOTA JAMBI, Sep 21, 2021
Pap smear merupakan salah satu jenis pemeriksaan skrining dalam deteksi dini kanker serviks yang ... more Pap smear merupakan salah satu jenis pemeriksaan skrining dalam deteksi dini kanker serviks yang efektif, sederhana dan murah. Di Indonesia tercatat hanya 5% penduduk wanita yang melakukan pemeriksaan Pap Smear secara rutin, sementara itu RSUD. H. Abdul Manap Kota Jambi mengalami sedikit peningkatan tiap tahunnya tentang pemeriksaan Pap Smear. Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi pemeriksaan Pap Smear pada wanita usia subur di poliklinik kebidanan rumah sakit umum daerah (RSUD) H.Abdul Manap Kota Jambi. Jenis penelitian ini menggunakan penelitian Analitik dengan menggunakan metode Cross Sectional, penelitian ini dilakukan di Poliklinik RSUD H. Abdul Manap Kota Jambi Tahun 2019, Populasi dalam penelitian ini adalah 167 wanita usia subur, dengan menggunakan teknik accidental sampling didapatkan sampel 117 orang wanita usia subur, penelitian ini dilakukan dari tanggal 5-24 September Tahun 2019. Data diolah secara komputerisasi, disajikan dalam bentuk tabel distribusi frekuensi, dianalisa secara univariat dan bivariat dengan menggunakan uji Chi-Square. Hasil penelitian didapatkan 85.5% wanita usia subur dengan pengetahuan rendah, 78.6% sikap negatif dan 74.4% tidak didukung oleh keluarga. Hasil uji statistik menunjukkan ada hubungan yang bermakna antara pengetahuan dengan pemeriksaan Pap Smear yaitu p= 0.046 (p<0.05), ada hubungan bermakna antara sikap dengan pemeriksaan Pap Smear yaitu p =0.019 (p<0.05), dan ada hubungan bermakana antara dukungan keluarga dengan pemeriksaan Pap Smear yaitu p= 0.042 (p<0.05). Berdasarkan hasil penelitian, disaranan pada tenaga kesehatan mampu untuk melakukan promosi kesehatan guna untuk melakukan pemeriksaan Pap Smear. PENDAHULUAN Pap smear merupakan salah satu jenis pemeriksaan skrining dalam deteksi dini kanker serviks yang efektif, sederhana dan murah. Pap Smear dilakukan dengan merupakan suatu metode pemeriksaan sel-sel yang diambil dari leher rahim dan kemudian diperiksa di bawah
Human Papillomavirus (HPV) is the main risk factor for cervical cancer. HPV vaccination among ad... more Human Papillomavirus (HPV) is the main risk factor for cervical cancer. HPV vaccination among adolescents may prevent the disease. Jakarta Province has been implementing an HPV vaccination program since 2016. This research aimed to know the overview of the HPV vaccination program in Central Jakarta in 2020. This research was a qualitative study conducted in the City of Central Jakarta from March till June 2020. Informants of the research were 12 persons from Central Jakarta Health Office, PHCs, Central Jakarta Education Office, and teachers from elementary schools selected purposively. Primary data was collected through interview using a structured questionnaire. Secondary data was from the report of the Jakarta Provincial Health Office. Data were analyzed using content analysis for planning, organizing, implementing, monitoring, evaluation, intersectoral collaboration and coverage. The study results showed that the HPV vaccination program was conducted through planning, organizing, implementing, monitoring and evaluation, with intersectoral collaboration. The problem was vaccine availability, invalid target data, lack of teachers involved, rejection from parents and lack of PHC providers. Monitoring and evaluation were not conducted adequately in the schools, and there was an obstacle in private schools for vaccination. The vaccinaton coverage was 90.98% in 2016, 95.40% in 2017, and 94.55% in2018. In conclusion, the HPV vaccination program in Central Jakarta was running but needed strengthening. It is recommended to strengthen the coordination in vaccines supply, update target data, increase education, involve the Education office and schools in monitoring and evaluation, and collaborate with community and religious leaders. Abstrak Human PapillomaVirus (HPV) merupakan faktor risiko utama terjadinya kanker serviks. Vaksinasi HPV pada remaja dapat mencegah kanker serviks. Provinsi DKI Jakarta telah mengembangkan program vaksinasi HPV sejak tahun 2016. Penelitian ini bertujuan untuk mengetahui gambaran program vaksinasi HPV di Jakarta Pusat tahun 2020. Penelitian ini merupakan studi kualitatif yang dilaksanakan di Kota Jakarta Pusat pada Maret - Juni 2020. Informan penelitian adalah 12 orang dari Sudin Kesehatan dan Puskesmas, Sudin Pendidikan, dan guru Sekolah Dasar yang dipilih secara purposif. Data primer diperoleh melalui wawancara mendalam menggunakan kuesioner terstruktur. Data sekunder dikumpulkan dari Dinkes Provinsi DKI Jakarta. Data dianalisis dengan analisis konten untuk mengetahui perencanaan, pengorganisasian, pelaksanaan, monitoring dan evaluasi, kerja sama lintas sektor, serta cakupan program vaksinasi HPV. Hasil penelitian menunjukkan program vaksinasi HPV dilaksanakan melalui perencanaan, pengorganisasian, pelaksanaan, monitoring dan evaluasi, dengan kerja sama lintas sektor. Kendala dan hambatan yang terjadi adalah ketersediaan vaksin, ketidaksesuaian data sasaran, kurangnya guru yang terlibat, penolakan orang tua dan kurangnya petugas kesehatan. Monitoring dan evaluasi belum dilaksanakan sepenuhnya di sekolah dan masih ada hambatan vaksinasi pada sekolah swasta. Cakupan program vaksinasi HPV sebesar 90,98% pada 2016, 95,40% pada 2017 dan 94,55% pada 2018. Kesimpulan penelitian adalah program vaksinasi HPV di Jakarta Pusat dilaksanakan tetapi perlu penguatan. Saran yang diberikan adalah penguatan koordinasi dalam penyediaan vaksin HPV, pemutakhiran data sasaran, peningkatan edukasi, pelibatan Sudin Pendidikan dan sekolah dalam monitoring dan evaluasi, dan kerja sama dengan tokoh masyarakat dantokoh agama.
The use of electronic cigarette becomes a health problem among teenagers. The prevalence of this ... more The use of electronic cigarette becomes a health problem among teenagers. The prevalence of this cigarette smokers in Jakarta is higher than national prevalence. The aim of this study was to identify determinants of usage of electronic cigarette among teenagers in the City of Central Jakarta. This was an observational study using cross sectional study design. The research was conducted in April – October 2020 in Central Jakarta, Jakarta province. The sample of schools was taken by purposive sampling using criteria of representativeness to public and private schools for general and vocational school, with total of 240 respondents from 4 selected schools. Primary data was collected through online questionnaire (google form). Bivariate analysis was performed to identify relationship between independent variables with dependent variable using Chi Square test and multivariate analyses was conducted using Multiple Logistic Regression. Result of the study showed that proportion of electron...
The number of accident in the work place in Indonesia ranked two at the lowest level in the world... more The number of accident in the work place in Indonesia ranked two at the lowest level in the world when K3 implemented. Unsafe action is one of the root causes of work accidents caused by humans. Unsafe actions are influenced by various factors, both personal and work factors. This study aims to determine the factors associated with unsafe action on mechanical workers of PT. X DKI Jakarta 2020. The design used was Cross Sectional design using sample size of 36 workers (total sampling). The data collected is primary data using a questionnaire. This research was conducted in October-December 2020. Test from independent variable of age, tenure, education, knowledge and HSE training. The results of the research from the Chi-square statistical test showed that the factors that had a relationship were knowledge p-value = 0.042 with unsafe action on mechanical workers in PT. X DKI Jakarta in 2020. While the factors that have no relationship between age p-value = 0.284, tenure p-value = 0.067, education level p-value = 0.970, and HSE training p-value = 0.080 with unsafe action on mechanical workers at PT. X DKI Jakarta 2020. It is recommended for the related companies to provide the education about K3 and unsafe actions.
Asian Pacific Journal of Cancer Prevention : APJCP, 2018
Objective: This study aimed to understand the effects of the use of oral contraceptive to breast ... more Objective: This study aimed to understand the effects of the use of oral contraceptive to breast cancer risk in six referral hospitals in Indonesia. Methods: The research design was hospital based case-control, conducted in 2013. Population was women patients aged 15 years and above in six cancer-referral hospitals in five provinces. Total of 762 people were included in this study consisting of 381 who are diagnosed with breast cancer as confirmed by histopathologic examination in inpatient surgery ward, and 381 people who are not diagnosed with breast cancer based on interview in outpatient surgery ward as control group. A set of data were collected including the use of oral contraceptives, age, early menarche, childbirth status, breastfeeding status, obesity, unhealthy diet, history of benign breast tumors, family history of breast cancer, and age of menopause. Result: Results showed that Odds Ratio (OR) of patients using oral contraceptive <6 years was 1.93 (95% CI 1.23 – 3.03...
Background : Pandeglang, a district in Banten province, Indonesia, was the worst affected area of... more Background : Pandeglang, a district in Banten province, Indonesia, was the worst affected area of the Sunda Strait tsunami which occurred on 22 nd December, 2018. Aside from threats of communicable disease outbreaks, the district faced the challenges of managing non-communicable diseases (NCD) in the community. Purpose : The aim of the study is to describe the post tsunami impact on cases of hypertension and diabetes mellitus and the expected one-year projections of these diseases in the district of Pandeglang, Banten. Methods : In January 2019, we collected primary data from Pandeglang District Health Office (DHO) and 15 Public Health Centres (PHCs) that were heavily affected by the tsunami. Surveillance officers were also interviewed for their subjective opinions on disease projections in both the DHO and PHCs. Aggregated data of cases presenting to the PHCs for assistance were analysed in relation to the post tsunami period. The diseases of interest included hypertension and diab...
Latar Belakang: Skrining kesehatan tertentu meliputi Inspeksi Visual dengan Asam Asetat (IVA), Pa... more Latar Belakang: Skrining kesehatan tertentu meliputi Inspeksi Visual dengan Asam Asetat (IVA), Pap Smear, krioterapi, dan pemeriksaan gula darah termasuk pogram deteksi dini penyakit tidak menular. Kota Bogor, Jawa Barat telah melaksanakan program skrining tersebut sejak 2010. Penelitian bertujuan untuk mengatahui gambaran program skinning kesehatan di Kota Bogor dari sisi sumber daya manusia, peralatan, dan capaian skrining. Metode: Desain penelitian cross sectional. Sumber data berasal dari Dinas Kesehatan dan Puskesmas di Kota Bogor, Jawa Barat. Tempat penelitian di Kota Bogor, Jawa Barat, dilaksanakan pada Februari –November 2018. Seluruh 25 Puskesmas se-Kota Bogor menjadi populasi dan sampel dalam penelitian ini. Analisis dilakukan secara deskriptif-kuantitatif dan analisis komparatif. Hasil: Hasil penelitian menunjukkan rata-rata SDM per Puskesmas untuk IVA, gula daraah, dan krioterapi adalah masing-masing 4,5 orang, 2,4 orang, dan 0,3. Belum ada SDM Pap smear. Rata-rata pera...
Since 2013, Directorate of NCD Prevention and Control has conducted web-based NCD risk factors su... more Since 2013, Directorate of NCD Prevention and Control has conducted web-based NCD risk factors surveillance with the data source from the ‘Posbindu PTM’ activity. Evaluation of the surveillance should be conducted periodically to assess achievement of objectives and target benefits. However, since the surveillance conducted nationally, there has not been a specific evaluation. This article aimed to obtain information about the utilization and problems in implementing NCD risk factors surveillance based on “Posbindu PTM” data. The research method was carried out through a systematic review of articles related to the implementation of NCD risk factor surveillance based on Posbindu PTM data in 2014 to 2020. The articles were searched using a search engine with keywords NCD surveillance, Posbindu PTM, Posbindu surveillance, in June 2020. There were 12 articles that match the keywords and five articles that meet the criteria. The results of the review showed that the data collection inst...
Articles reporting research may be full length or brief reports. These should report original res... more Articles reporting research may be full length or brief reports. These should report original research findings within the journal's scope. Papers should generally be a maximum of 4000 words in length, excluding tables, references, abstract and key points of the article, whilst references should not exceed 36. Review Papers Comprehensive, authoritative, reviews within the journal's scope. Review articles provide a review of the literature. There are two types of review papers:-systematic review papers: respond to a specific research question, accrue from criterion-based selection of sources, include a quantitative synthesis that includes a statistical method (meta-analysis) and should adhere to PRISMA guidelines. Guidelines used for abstracting data and assessing data quality and validity should be noted in methods section.-narrative reviews: the research question may be broad, and the scope of this review is to discuss a specific topic and keep the readers up-to-date about it. This type of review does not necessarily include a methodological approach and its synthesis is usually qualitative. Narrative reviews should include a "developments" section, with details regarding data sources used, keywords applied, time restrictions and study types selected. All review papers should be generally less than 6000 words, excluding abstract, tables, figures and references. References should not exceed 50 unless on a topic that has an extensive evidence base. The conclusion of the reviews must be specific and stem from the findings. Short Reports Brief reports of data from original research. Short reports are shorter versions of original articles, may include one table or figure, should not exceed 1500 words and 15 references. Short reports are suitable for the presentation of research that extends previously published research, including the reporting of additional evidence and confirmatory results in other settings, as well as negative results. Authors must clearly acknowledge any work upon which they are building, both published and unpublished. Study Protocols Articles describing a research protocol of a study. This article type can be for proposed or for ongoing research and should contain the background, research hypothesis, rationale a detailed methodology of the study. The SPIRIT 2013 Checklist guidelines ideally should be applied. Study protocols submitted for publication must have received ethics approval. Protocols of randomized trials should follow the CONSORT guidelines and must have a trial registration number, while observational studies should follow STROBE guidelines. Methodology Papers Papers that present different methodological approaches that can be used to investigate problems in a relevant scientific field and to encourage innovation. It is suggested that case studies or practical examples, which can be existing ones, are included to demonstrate the consistency and applicability of the methodology. Methodology papers should be generally less than 6000 words, excluding abstract, tables, figures and references. References should not exceed 50. Letters to the Editor A letter to the Editor is a brief report that is within the journal's scope and of particular interest to the community, but not suitable as a standard research article or as a short report. Letters to the editor may also report original research data, if the sample size is small. A maximum of ten articles may be included in the references. Letters intended for publication should be a maximum of 500 words, contain 10 references, and up to one table or figure. These rules apply both for research letters, and letters that respond to articles published in the journal. Letters to the editor are subject to editorial editing so as to streamline with the journal's style. Editorials Editorials are written by members of the Editorial Board or by invited topic experts and may reflect current articles within TID
Berdasarkan peningkatan beban kerja tenaga kesehatan lapangan Dompet dhuafa yang dianggap dapat... more Berdasarkan peningkatan beban kerja tenaga kesehatan lapangan Dompet dhuafa yang dianggap dapat meningkatkan potensi kelelahan saat bekerja, terdapat peningkatan jumlah absensi 6 bulan terakhir yaitu 45% Karyawan tidak masuk kerja karena sakit, dan 18% karyawan tidak masuk kerja karena ijin serta 3% karyawan tidak masuk kerja tanpa kabar dan berdasarkan hasil studi pendahuluan dengan menggunakan kuesioner FSS kepada 5 orang didapatkan 4 orang diantaranya menderita kelelahan. Dengan demikian peneliti perlu mengetahui apa saja fakor-faktor yang mempengaruhi kelelahan kerja Pada Tenaga Kesehatan Lapangan Dompet Dhuafa LKC Jabodetabek Pada Masa Pandemi Covid 19 Tahun 2021.
Articles reporting research may be full length or brief reports. These should report original res... more Articles reporting research may be full length or brief reports. These should report original research findings within the journal's scope. Papers should generally be a maximum of 4000 words in length, excluding tables, references, abstract and key points of the article, whilst references should not exceed 36. Review Papers Comprehensive, authoritative, reviews within the journal's scope. Review articles provide a review of the literature. There are two types of review papers:-systematic review papers: respond to a specific research question, accrue from criterion-based selection of sources, include a quantitative synthesis that includes a statistical method (meta-analysis) and should adhere to PRISMA guidelines. Guidelines used for abstracting data and assessing data quality and validity should be noted in methods section.-narrative reviews: the research question may be broad, and the scope of this review is to discuss a specific topic and keep the readers up-to-date about it. This type of review does not necessarily include a methodological approach and its synthesis is usually qualitative. Narrative reviews should include a "developments" section, with details regarding data sources used, keywords applied, time restrictions and study types selected. All review papers should be generally less than 6000 words, excluding abstract, tables, figures and references. References should not exceed 50 unless on a topic that has an extensive evidence base. The conclusion of the reviews must be specific and stem from the findings. Short Reports Brief reports of data from original research. Short reports are shorter versions of original articles, may include one table or figure, should not exceed 1500 words and 15 references. Short reports are suitable for the presentation of research that extends previously published research, including the reporting of additional evidence and confirmatory results in other settings, as well as negative results. Authors must clearly acknowledge any work upon which they are building, both published and unpublished. Study Protocols Articles describing a research protocol of a study. This article type can be for proposed or for ongoing research and should contain the background, research hypothesis, rationale a detailed methodology of the study. The SPIRIT 2013 Checklist guidelines ideally should be applied. Study protocols submitted for publication must have received ethics approval. Protocols of randomized trials should follow the CONSORT guidelines and must have a trial registration number, while observational studies should follow STROBE guidelines. Methodology Papers Papers that present different methodological approaches that can be used to investigate problems in a relevant scientific field and to encourage innovation. It is suggested that case studies or practical examples, which can be existing ones, are included to demonstrate the consistency and applicability of the methodology. Methodology papers should be generally less than 6000 words, excluding abstract, tables, figures and references. References should not exceed 50. Letters to the Editor A letter to the Editor is a brief report that is within the journal's scope and of particular interest to the community, but not suitable as a standard research article or as a short report. Letters to the editor may also report original research data, if the sample size is small. A maximum of ten articles may be included in the references. Letters intended for publication should be a maximum of 500 words, contain 10 references, and up to one table or figure. These rules apply both for research letters, and letters that respond to articles published in the journal. Letters to the editor are subject to editorial editing so as to streamline with the journal's style. Editorials Editorials are written by members of the Editorial Board or by invited topic experts and may reflect current articles within TID
Hearing disorder is a disease caused by noise in the world and in Indonesia. There are many facto... more Hearing disorder is a disease caused by noise in the world and in Indonesia. There are many factors that contribute to hearing loss. This study aims to determine the factors associated with hearing loss in PT X Jakarta Timur Bearing Production workers in 2020. This study uses a Case Control design. The study population was 207 workers consisting of 42 cases and convenience sampling 42 controls. The data collection method was carried out by using a questionnaire for the variable length of service (ordinal), age (ordinal) and the use of APT (ordinal), looking at employee attendance data for the length of exposure variable (ordinal) and looking at Medical Check Up data for 42 respondents with a total sampling technique for case respondents and 42 control respondents for the variable hearing loss (ordinal). This study consisted of independent variables, namely noise intensity, length of exposure, age, years of service, and use of ear protection equipment (APT). The results of the resear...
Exclusive operations in health services remains a common practice on primary health services in I... more Exclusive operations in health services remains a common practice on primary health services in Indonesia, particularly in the First Level Health Facility. This form of services was incapable of covering the need for people with disability (PwD) towards adequate health services. Prerequisite facilities were not available nor accessible for the disabled in need of health treatment. This research was aimed at depicting friendly health services for people with disability at the Puskesmas level. This research looked at several factors, including the need for PwD, assessment of facility provision, evaluating policy support, also support from family and Disabled People Organisation (DPO) to ensure adequate services for PwD. This study is qualitative research with in-depth interviews, observations, and literature reviews, data collection methods. Research sites were three Puskesmas in Sukoharjo, Central Java. The result shows that PwD’s needs on primary health services in Puskesmas include...
Screening services for risk factors of non communicable diseases (NCD), namely, VIA, pap smear, c... more Screening services for risk factors of non communicable diseases (NCD), namely, VIA, pap smear, cryotherapy, and blood glucose were included in the services of non-capitation from BPJS Kesehatan in the City of Bogor in West Java. This research aimed at knowing implementation of non-capitation, included realization, access, attitude, policy, resources, monitoring and evaluation. Research design was qualitative study, conducted from February until September 2018. Respondents were NCD programmers of Directorate of NCD at Ministry of Health and Bogor City, Non Capitation programmers at Central BPJS Kesehatan and City of Bogor, and 6 selected chiefs of PHCs. Data analysis was performed using descriptivequantitative and qualitative approaches. The result showed that implementation of non-capitation was quite good but it was not optimum. Access to all PHCs was easy. The average of non-capitation realization in 2015 – 2017 was 1.49 billion rupiahs per year, with a trend of 29% increase. The...
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Papers by Mugi Wahidin