Effect of Perception, Attitude, Patient Safety Policy, Stakeholder Support, and Health Promotion, on Infection Prevention

BACKGROUND: Patients who receive health service, health worker, and visitors in a hospital are at risk for nosocomial infection, ie infection acquired in hospital. The presence of patient safety policy and health promotion are needed for surgical infection prevention effort. This study aimed to analyze the effect of health worker perception, attitude, patient safety policy, stakeholder support, and health promotion, on surgical infection prevention effort. SUBJECT AND METHODS: This was a cross sectional study conducted at PKU Muhammadiyah Hospital, Yogyakarta, Indonesia. A sample of 104 health care workers from this hospital was selected at random for this study. The dependent variable was surgical infection prevention effort. The independent variables were the health worker perception on surgical infection prevention effort, attitude, presence of patient safety policy, stakeholder support, and health promotion. The data were collected using a questionnaire and in-depth interview. The data were analyzed using path analysis model. RESULTS: Health workers perception had positive effect on surgical infection prevention effort, and it was statistically significant (b =0.45; p<0.001). The effects of attitude (b=0.08; p=0.311), presence of patient safety (b=0.06; p=0.413), stakeholder support (b=0.13; p=0.134), and health promotion (b=0.04; p=0.719) on surgical infection prevention effort were nearly non-existent, and statistically non-significant. The model fit indices met the requirement for path analysis model: x2=4.48; p=0.214; GFI=0.98; AGFI=0.88; RMSEA=0.069; NFI=0.98; CFI=0.99. CONCLUSION: Health workers perception affects surgical infection prevention effort. Attitude, presence of patient safety policy, stakeholder support, and health promotion, do not affect surgical infection prevention effort. Keyword: perception, attitude, patient safety, stakeholder support, health promotion, surgical infection prevention effor

Pengembangan Metode Pemberdayaan Masyarakat Dalam Pengendalian Vektor Demam Berdarah Dengue Di Kota Semarang Provinsi Jawa Tengah (Developing Community Empowerment for Dengue Hemorrhagic Fever Vector Control in Semarang City, Central Java Province)

Background: Dengue hemorrhagic fever (DHF) prevention required active participation from community. Thus in addition, empowerment methods need to be developed for increasing the community participation for DHF vector control. Methods: The study was conducted in Semarang. The design of this study was participatory action research (PAR). The intervension of this study was empowerment methods from PRA, PLA and COMBI modification which was difined as Community Empowerment in Dengue Vector Control (PMPV-DBD). Data was collected by structured interview and observation/larvae monitoring. Results: There was a positive significantly difference (p &lt; 0.05) in knowledge and attitudes of community after the application of PMPV-DBD method in intervention area, although there was no significant difference in community practice before and after intervention. In control area, there was no difference (p &gt; 0.05) in knowledge, attitude and practice in community before and after intervention. Conclusion: Indicator of entomology (larvae free index/ABJ) showed an increasing trend, while House index (HI), Container index (CI) and Breteau Index (BI) tended to decrease. Recommendation: The PMPV-DBD method application could be adapted by health sector according to Permenkes No. 65 Tahun 2013 for sustained program and could be applicated to the larger area

Partisipasi Semu Ibu Hamil di Posyandu

Salah satu kebijakan pembangunan bidang kesehatan yang dipergunakan untuk mengatasi kesehatan ibu hamil adalah pemberdayaan masyarakat. Keberhasilan pemberdayaan dapat diketahui melalui berbagai cara, salah satunya partisipasi masyarakat. Penelitian ini bertujuan untuk mengidentifikasi kondisi sosial, budaya, dan ekonomi yang mempengaruhi partisipasi ibu hamil ke posyandu. Penelitian ini menggunakan rancangan etnografi. Teknik yang digunakan untuk pengumpulan data adalah wawancara mendalam, focus group discussion, observasi dan nominal group process. Data yang diperoleh dari pendekatan kualitatif akan diolah dengan content analysis. Hasil penelitian ini menunjukkan kondisi sosial, budaya dan ekonomi yang mempengaruhi partisipasi ibu hamil ke posyandu di Desa Rapa Laok, bermula pada faktor kemiskinan. Kondisi sosial dan budaya yang berpengaruh pada partisipasi ibu hamil, yaitu kepercayaan pada mitos dan pantangan makanan bertentangan dengan aturan medis. Kondisi ekonomi yang berpengaruh pada partisipasi ibu hamil, yaitu beban fisik dan psikis ibu hamil terhadap kesejahteraan keluarga berlebihan. Ibu hamil datang untuk memeriksakan diri ke posyandu bukan karena kesadaran untuk menjaga kesehatan tetapi untuk mendapat imbalan satu dus mi instan. Model partisipasi ibu hamil ke posyandu yang tepat adalah dengan pendekatan nondirektif (partisipatif) yang produktif.One of the development policies in health sector that is currently used to overcome maternal health issues is the community empowerment. The success of the community empowerment can be measured through the people participation. The objectives is to identify the social, cultural, and economic conditions which might influence the pregnant women participation in integrated service post. This study used a qualitative approach with an ethnographic design. Data were collected through in-depth interviews, focus group discussion, observation, and nominal group process. The data collected were analyzed using content analysis. The social, cultural, and economic conditions that strongly affected the pregnant women participation in integrated service post, because of the poverty. The social and cultural condition that affected belief in myths and food taboos which are highly contradictory to the medical rules. The economic conditions that affected is women have heavy domestic and productive workloads. Their physical and psychological burdens were excessively high that could endanger the health. The participation of pregnant women was not based on true awareness for maintaining their health but such participation was more based on their desires of getting one box of instant noodles. The participation model for the pregnant women was designed using participatory (nondirective) approach which was productive