Perspective of Cikahuripan Villagers on Traditional Health Service Provisions in Government Regulation No. 103 Year 2014

Background: Traditional health service is one of the health services that is still currently used in Indonesia, especially in rural communities. The government has been regulating these services since 2014. Despite its long existence, there is a recent increase of potential regulation violation among traditional health service providers. This study aimed to explore the perspective of the Cikahuripan Villagers on Government Regulation on traditional health services.Methods: This was a qualitative study using in-depth interviews and direct observations on traditional health services in Cikahuripan Village. Sixteen informants consisting of 8 villagers who met the inclusion criteria and another 8 informants in the triangulation negative case analysis, member checking, peer debriefing, and observation was involved.Results: There were two different perspectives in the community on traditional health service provisions in the Government Regulation. Supporters of the regulation believed that the regulation would make traditional health services more responsive and safer, which would improve service quality and health benefits as well as imposing effective sanctions. In contrast, the opposition believed that regulations were too late, would make the costs for licensing expensive, and too complicated.Conclusion: There are two different public perspectives on the regulation of traditional health services, which are supporting and opposing the regulation. It is expected that the local government create a derivative of the regulation by making adjustment to the community’s situation

Safety climate as a risk factor of occupational accidents in a textile industry

Purpose: This study aimed to analyze several risk factors of safety climate e.g. management safety priority and commitment, management safety empowerment, management safety justice, workers’ safety commitment, workers’ safety priority, safety in learning, communication, and innovation, and worker’s trust in the efficacy of safety system with occupational accidents in a spinning.Methods: This case-control study involved 120 workers divided into two groups, the control group (80 subjects) and the case group (40 subjects). The case group consisted of spinning workers who had experienced occupational accidents in the last two years in the textile industry in Bandung. The bivariate analysis uses a chi-squared, while multivariable analysis with multiple logistic regression.Results: The results show that PPE use and management safety empowerment influenced occupational safety, becoming a risk factor for occupational accidents. Management safety empowerment was considered the primary factor of occupational accidents with an adjusted odds ratio of 5.52 (CI 95% 2.26–13.44).Conclusions: Management safety empowerment that influenced occupational safety programs can improve social exchanges and support workplace safety to encourage occupational safety behavior

Elderly Quality of Life and Its Predictors in Chronic Disease Management Program: Indonesian Version of WHOQOL-BREF and WHOQOL-OLD

Indonesia is currently experiencing increasing proportion of older population, which also increases the prevalence of chronic diseases that may decrease the quality of life (QoL). The Indonesian Social Security Agency develops a program to control chronic diseases, which is referred to as the Chronic Disease Management Program (Program Pengelolaan Penyakit Kronis, PROLANIS) for the National Health Insurance participants. Its goals is to control chronic diseases in order to improve participants’ QoL. To evaluate the QoL of the elderly, the World Health Organization (WHO) has developed two questionnaires, namely WHOQOL-BREF and WHOQOL-OLD. The objective of this study was to analyze the differences in the QoL of the elderly between PROLANIS and non-PROLANIS participants using the Indonesian-verson of WHOQOL-BREF and WHOQOL-OLD as well as the QoL predictors. A  cross-sectional study was carried out to 84 elderly  PROLANIS participants (n=42) and non-PROLANIS participants (n=42).  Respondents were sampled consecutively from 6 public health health centers (Pusat Kesehatan Masyarakat, Puskesmas) in Bangka District, Indonesia in 2018. Mann Whitney test or the unpaired T test were used to statistically analyze the difference between the two groups. A multiple linear regression test was then carried out to determine the predictors of the QoL.  This study discovered that no difference was observed in the QoL of the elderly between PROLANIS and non-PROLANIS participants. Disease status and depression were the predictors of the QoL. Therefore, PROLANIS has not been proven to be able to improve the QoL of the elderly. Kualitas Hidup Lanjut Usia dan Prediktornya pada Program Pengelolaan Penyakit Kronis: Versi Indonesia dari WHOQOL-BREF dan WHOQOL-OLD  Peningkatan proporsi penduduk lanjut usia (lansia) di Indonesia meningkatkan prevalensi penyakit kronis sehingga dapat menyebabkan penurunan kualitas hidup. Badan Penyelenggara Jaminan Sosial mengembangkan Program Pengelolaan Penyakit Kronis (PROLANIS) bagi peserta Jaminan Kesehatan Nasional dengan tujuan agar penyakit kronis tersebut terkontrol dan lansia dapat hidup berkualitas. World Health Organization (WHO) mengembangkan instrumen untuk mengukur kualitas hidup, yaitu WHOQOL-BREF dan WHOQOL-OLD. Penelitian ini bertujuan menganalisis adanya perbedaan kualitas hidup lanjut usia antara bukan peserta PROLANIS dan peserta PROLANIS menggunakan kuesioner WHOQOL-BREF dan WHOQOL-OLD versi Bahasa Indonesia dan faktor yang berpengaruh. Penelitian potong lintang dilakukan pada 84 lansia yang terbagi menjadi 2 grup masing-masing 42 responden, yaitu bukan peserta PROLANIS danpeserta PROLANIS. Responden berasal dari 6 Puskesmas di Kabupaten Bangka Provinsi Bangka Belitung Indonesia pada tahun 2018 yang dipilih sesuai kriteria inklusi dan dengan metode consecutive sampling. Data yang terkumpul dilakukan analisis menggunakan Uji Mann Whitney atau uji T tidak berpasangan. Uji regresi linier multipel dilakukan untuk menentukan prediktor dari kualitas hidup. Hasil penelitian  menunjukkan bahwa tidak ada perbedaan kualitas hidup lansia antara bukan peserta PROLANIS dan peserta PROLANIS. Status penyakit dan depresi merupakan prediktor kualitas hidup. Simpulan, PROLANIS belum terbukti dapat meningkatkan kualitas hidup lansia

Mobile Phone Text Messaging Cross Platform Intervention for Cervical Cancer Screening: Changes in Knowledge and Attitude in Rural Areas Pre-Post Intervention

The key to the success of cervical cancer control programs is screening followed by adequate treatment. The socio-economic status gap and the low level of education lead to limited awareness and understanding of women of childbearing age. Increasing the capacity of knowledge of women of childbearing age through health education either directly or indirectly is important. Therefore, there is need to develop health education by utilizing the rapidly growing media today such as through the application of cross platform messages on smartphones. This study aims to analyze the effect of the application of health education on detection of cervical cancer through the application of cross-platform messages to increase knowledge and attitude of Women in Childbearing Age. A quasi-experimental research of pre-posttest design with control groups conducted consisting of 72 subjects of Women in Childbearing Age. Fogg's Behavior Model was the conceptual framework that guided the development of the cross-platform messaging intervention. A series of checklist from expert panel conducted to inform the development of the cross-platform messaging intervention. The messages are delivered for a 7-day period in the morning. Data collection using a checklist instrument. Univariable analysis through Rasch and bivariable modeling using numerical categorical comparative test, difference using T test. Findings revealed a significant increase in participants’ knowledge and attitude of cervical cancer screening. Women of Childbearing Age whose health education through cross-platform application has a 3.5 times probability of knowledge and good attitude compared to women of childbearing age who are not getting health education through cross-platform applications. Health education through cross-platform messaging services can be a cheap and effective method to improve the knowledge and attitude of women of childbearing age, as well as reaching individuals who have never done early detection of cervical cancer

Hubungan Persepsi tentang Penularan HIV/AIDS dari Ibu ke Anak terhadap Praktik Penggunaan Kontrasepsi pada Wanita Usia Subur Penerima Obat Antiretroviral di Kota Bandung

Abstract    More than 90% of cases of Human Immunodeficiency Virus (HIV) / Acquired Immune Deficiency Syndrom (AIDS) in children, occur due to transmission from mother to child. Prevention of unwanted pregnancies with contraception in HIV positive women is important strategy to reduce the rate of mother to child HIV/AIDS transmission. The practice of contraceptive use in HIV positive women is strongly influenced by individual beliefs regarding the benefits and effectiveness of contraception for the prevention of mother to child HIV/AIDS transmission. This study aims to determine the relationship of perceptions based on the construct of the Health Belief Model (HBM) wich consists of perceived susceptibility, perceived severity, perceived benefit, perceived barrier, self efficacy, and cues to action and based on pluralistic ignorance on the practice of contraceptive use among woman of childbearing age recipients of antiretroviral in Bandung. The design of this study was quantitative non-experimental with survey methods. Data were collected for one month, using questionnaire from 188 women of childbearing age  receiving  antiretroviral drughs taken by consecutive sampling (non-probability) technique. Data were analyzed by logistic regression. The results revealed perceived susceptibility is an HBM construct that affects contraceptive use (Adjusted Odds Ratio (AOR):4.5). While knowledge (AOR:7.3) and age (AOR:0.801), emerged as other factors that influence contraceptive use among WUS recipients of antiretroviral in Bandung. The HBM is used to predict contraceptive behavior in women. HIV positive women who believe themselves to be at high risk of infecting HIV/AIDS from mother to child will tend to use contraception, besides that knowledge is the basis for HIV positive women taking action to use contraception. Abstrak Lebih dari 90% kasus Human Immunodeficiency Virus (HIV)/Acquired Immune Deficiency Syndrom (AIDS) pada anak, terjadi akibat penularan dari ibu ke anak. Pencegahan kehamilan yang tidak direncanakan dengan kontrasepsi pada wanita HIV positif merupakan strategi penting untuk menurunkan angka penularan HIV/AIDS dari ibu ke anak. Praktik penggunaan kontrasepsi oleh wanita HIV positif sangat dipengaruhi oleh keyakinan individu terkait manfaat dan efektivitas kontrasepsi terhadap pencegahan penularan HIV/AIDS dari ibu ke anak. Penelitian ini bertujuan untuk mengetahui hubungan persepsi berdasarkan konstruk Health Belief Model (HBM) yang terdiri dari perceived susceptibility, perceived severity, perceived benefit, perceived barrier, self efficacy, dan cues to action serta berdasarkan ketidaktahuan majemuk terhadap praktik penggunaan kontrasepsi pada Wanita Usia Subur (WUS) penerima obat antiretroviral di Kota Bandung. Desain penelitian ini adalah kuantitatif non-experimental dengan metode survei. Data dikumpulkan selama satu bulan, menggunakan kuesioner dari 188 WUS penerima obat antiretroviral yang diambil dengan teknik consecutive sampling (non-probability). Data dianalisis dengan regresi logistik. Hasil penelitian mengungkapkan perceived susceptibility adalah konstruk HBM yang berpengaruh terhadap penggunaan kontrasepsi (Adjusted Odds Ratio (AOR):4,5). Sementara pengetahuan (AOR:7,3) dan usia (AOR:0,801) muncul sebagai faktor-faktor lain yang berpengaruh terhadap praktik penggunaan kontrasepsi pada WUS penerima obat antiretroviral di Kota Bandung. HBM digunakan untuk memprediksi perilaku kontrasepsi pada wanita. Wanita HIV positif yang meyakini dirinya berisiko tinggi dapat menularkan HIV/AIDS ke anak, akan cenderung menggunakan kontrasepsi, disamping itu pengetahuan menjadi dasar bagi wanita HIV positif dalam mengambil tindakan untuk menggunakan kontrasepsi

THE EFFECTIVENESS OF HEALTH EDUCATION THROUGH SMARTPHONE AND BOOKLET ON KNOWLEDGE AND ATTITUDE OF ADOLESENCE REPRODUCTIVE HEALTH

Adolescent related to reproductive health problems. The problem occurs because of adolescent had a lack of knowledge and attitudes about reproductive health. Smartphones was effective tools of education and it can improve knowledge and attitudes of teenagers, so the problem on adolescent reproductive health can be solved. This research analyze the differences and effect of health education through a smartphone and a booklet on the knowledge and attitudes of adolescents about reproductive health, also to analyze the factors that change knowledge and attitudes of adolescent after receiving health education from smartphone. This research was a mix method research that combines quantitative and qualitative research with concurent embedded design. Quantitative research used quasi-experiment design, conducted on 84 adolescent, divided in to two groups. Qualitative research conducted in 8 adolescents who received health education through the smartphone as an informant. Differences in knowledge and attitudes before and after health education through smartphones and booklets were analyzed with the Wilcoxon test. There was the differences between health education through smartphone and booklet on changed knowledge and attitudes of adolescents about reproductive health. The infleunces of health education through smartphone on knowledge and attitudes of adolescents about reproductive health is better than booklet (p <0.05). The factors that cause the adolescent knowledge and attitude changed after getting health education through smartphones are good content, simple language, the content is interesting, easy to understand, being a trend, easy to read, effective, easy to carry, easy to store, more privacy, easily stored, simple, easily accessible and the content was complete. Smartphone as effective tools of health education, it can improve knowledge and attitudes of adolescents about reproductive health. Keywords: Health Education, Smartphones, Booklets, Adolescent Reproductive Healt