Health Services Research Commons^™

Policy Implementation: Teachers’ Role As First Responders In Emergencies And Disasters, Shabir Hyder, Adnan Fazal Manzoor, Muhammad Amjad Iqbal

Kesmas

During the past decade, the schoolchildren faced many disasters and emergencies originating from natural and man-made sources. The safety of schoolchildren rests with school management and teachers. This study aimed to assess teachers' awareness with regard to disaster prevention and health, safety, security, and environment (HSSE) policies at primary schools in Pakistan. In addition, it explores the suitability of teachers to perform as emergency handlers in the absence of school nurses and resource officers (SROs). The study involved a qualitative study, based on open-ended interviews from a sample of 25 school teachers. Methodology triangulation was applied to reduce bias. Results …

Obesity Indicators And C-Reactive Protein In Indonesian Adults (More Than Equal To 40 Years Old): The Indonesian Family Life Survey 5, Yeni Mahwati, Dieta Nurrika

Kesmas

C-reactive protein (CRP) is the best clinical marker for systemic inflammation. Obesity is associated with increased CRP levels. Systemic inflammation is present before morbidity occurs. Research reveals that the identification of obesity indicators and CRP levels is limited among Indonesians. The present study investigated the associations between obesity indicators (body mass index [BMI], waist circumference [WC], waist-to-hip ratio [WHR], waist-to-height ratio [WHtR]) and CRP levels among Indonesian adults. This cross-sectional study based on Indonesian Family Life Survey-5 2014–2015 was conducted among 3,386 adults (≥ 40 years) living in 13 provinces in Indonesia during the study period. All data were collected …

Using The Reach, Effectiveness, Adoption, Implementation, Maintenance Framework In The Evaluation Of Community-Based Adolescent Care Pilot Program, Badra Al Aufa, Wahyu Sulistiadi, Mochamad Iqbal Nurmansyah, Agung T R Syiroj, Ibrahim Isa Koire

Kesmas

Posyandu Remaja (Posmaja) is a community-based adolescent care service in Indonesia that comprises a group of adolescents working as volunteers and healthcare workers under the guidance and responsibility of the Public Health Centre and City Health Office. The study aims to provide a formative evaluation program of Posmaja using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. This research used a qualitative approach and took place in South Tangerang City, Indonesia. The data were collected from July until December 2018. Nineteen people participated in the study. The study used in-depth interviews and focus group discussions that adopted the RE-AIM …

Association Between Social Media Exposure To Food And Beverages With Nutrient Intake Of Female Adolescents, Cholida Adiba, Siti Fatimah Pradigdo, Martha Irene Kartasurya

Kesmas

Communication technology development has influenced adolescent food choices and intakes. This study aimed to investigate the association between social media exposure to food and beverage content and nutrient intake among female adolescents. The study was conducted in a cross-sectional design. The targeted population was 104 female students aged 14–18 years old at 'XY' High School in Semarang, Central Java, Indonesia. Eighty-one subjects were chosen by clustered random sampling. Data were collected by interviews using structured questionnaires and a 3x24-hour recall method. Data analyses were conducted by chi-square, Fisher exact tests, and logistic regression. The median and standard deviations of social-media, …

Ultraviolet Exposure And Photokeratitis Complaints Among Informal Welding Workers In Depok, West Java, Indonesia, Maria K I J Yustheresani, Fajaria Nurcandra, Azizah Musliha Fitri, Annisa Ika Putri, Dyah Utari

Kesmas

One of the photokeratitis risk factors is acute reversible radiation of ultraviolet (UV) rays, which injure the cornea's epithelial tissue. Informal welding workers are susceptible populations to UV rays exposure. This study aimed to confirm the influence of UV radiation exposure on photokeratitis complaints in welding workers in Cimanggis, Depok, West Java. A cross-sectional study was conducted from February to June 2019 and used to select 100 welding workers purposively. A semi-structured questionnaire was used to determine photokeratitis complaints, age, education level, eye protection, safety knowledge, and work period; the UV radiation measured by A UV meter. Data were analyzed …

Cultural And Religious Belief Approaches Of A Tuberculosis Program For Hard-To-Reach Populations In Mentawai And Solok West Sumatera, Indonesia, Rizanda Machmud, Irvan Medison, Finny Fitry Yani

Kesmas

Tuberculosis (TB) is a leading public health concern in Indonesia. It ranks second on the list of high-burden TB countries. In West Sumatra, 47% of TB cases are undetected, late diagnosed, and received incomplete treatment because of low-level awareness and knowledge and stigma, especially among the hardest to reach populations. The study aims to identify the best communication channel to reach those who live in vulnerable and remote areas. This study was a qualitative study applying in-depth interviews to the informal leaders, health officers, cultural artists, and religious leaders across districts in Mentawai and Solok Districts, which are remote and …

A Study On Knowledge, Attitudes, And Practices On Rabies In The Philippines, Reynaldo Jr Bundalian, Monalisa Lacson, Catherine Bacani, Dinah Rose Soriano, Agnes Garing, Artemio Jr Aquino, Archie Policarpio, Joey Kyle Mallari, Remedios San Jose, Maria Fe Bulao, Neil Tanquilut, Patricia Joy Magsino

Kesmas

In 2007, the Philippine government passed the Anti-Rabies Act to address rabies in the country. However, rabies is still a major public health concern in many provinces. This study aimed to evaluate the knowledge, attitude, and practices (KAP) of residents on rabies, the Anti Rabies Act, and responsible pet ownership (RPO) in Pampanga, Philippines. A cross-sectional survey was done from October 2017 to February 2018 in 92 randomly selected barangays in the province. Questionnaires were adapted from similar studies. Logistic regression was used to identify factors associated with KAP. Results showed that most people have good knowledge of the Anti-Rabies …

Assessment Of Knowledge, Attitudes, And Behaviors Of Turkish Women On Breast And Cervical Cancer In Karabük Province, Turkey, Nergiz Sevinc, Belgin Oral, Burcu Korkut

Kesmas

Breast and cervical cancer incidence and mortality among women have been increasing worldwide. This cross-sectional study aimed to evaluate women's knowledge, attitudes, and behaviors regarding breast and cervical cancers. The sample was composed of 507 women aged 18 years and older who were admitted to a primary health care center in Karabük, Turkey, from October to December 2019. The data was obtained using a questionnaire consisting of 34 questions regarding participants’ socio demographic characteristics, knowledge, attitudes, and behaviors toward breast and cervical cancers. The mean age of the participants was 41.3±12.0 years and 68.4% of them were married. Slightly more …

Reports From The Nichd Global Network's Maternal And Newborn Health Registry: Supplement Introduction, Robert L. Goldenberg, Shivaprasad S. Goudar, Sarah Saleem, Patricia L. Hibberd, Jorge E. Tolosa, Marion Koso-Thomas, Elizabeth M. Mcclure, Global Network Investigators

Community Health Sciences

No abstract provided.

Scales To Measure Motivation Among Community Health Workers, And Trust And Empowerment Among Their Clients: A Guide, Frontline Health Project

Reproductive Health

This How-To Guide presents five multi-item scales to measure motivation among community health workers (CHWs), as well as clients' trust in CHWs, and empowerment within community health systems. The scales presented are intended for use in community health programs and in combination with other indicators in the CHW Performance Measurement Framework (published by the Frontline Health project in 2019) for routine data monitoring to improve quality and accountability in community health.

The Early Impact Of The Affordable Care Act Upon Colorectal Cancer Screening Utilization In Florida, Aldenise P. Ewing, Laura Baum, Rosalyn Roker, Marlene Joannie Bewa, Tali Schneider, Claudia F. Parvanta, Clement K. Gwede, Cathy D. Meade, Dinorah Martinez Tyson

Journal of Health Disparities Research and Practice

Background: Colorectal cancer is the second leading cause of cancer-related deaths in the United States. Although preventable and curable through screening, early detection and treatment, a lack of health insurance is a major obstacle to receiving colorectal cancer screening (CRCS). Despite the Affordable Care Act (ACA) increasing access to health insurance by mandating coverage of CRCS, disparities in utilization rates continue. Therefore, researchers sought to better understand ACA related facilitators and impediments that affect the utilization of CRCS and collect specific recommendations from healthcare professionals to increase screening utilization rates in Florida.

Methods: Researchers conducted in-depth interviews with …

Effect Of An Intervention To Improve Smoking Cessation Treatment In A Federally Qualified Healthcare Clinic, Shirley A. Camp

The Corinthian

Abstract

Significant progress has been made in the reduction of tobacco use in the United States, but the smoking prevalence among the socially and economically disadvantaged populations (i.e. individuals who are homeless, uninsured, LGBT, and living with HIV) is significantly higher than the general population (CDC, 2018b). As a result, these vulnerable populations carry a disproportionate burden of tobacco-related mortality and morbidity (CDC, 2018b). There is a cost-effective and evidence-based treatment for tobacco use dependence (Fiore et al, 2008), but the delivery by primary care providers to this population is inconsistent (Tyman, Bonevski, Paul, & Bryant, 2014). This study focused …

Leveraging Electronic Health Records Data For Enhanced Colorectal Cancer Screening Efforts, Adam D. Baus, Lauren E. Wright, Stephenie Kennedy-Rea, Mary E. Conn, Susan Eason, Dannell Boatman, Cecil Pollard, Andrea Calkins, Divya Gadde

Journal of Appalachian Health

Introduction: Colorectal cancer is the third most common type of cancer in the United States for men and women combined. While the current threat of disease nationally is significant, the majority of colorectal cancer cases and deaths could be prevented through established screening tests and guidelines. Within the Appalachian region and West Virginia in particular, colorectal cancer is a significant public health problem. A more systematic, comprehensive approach to preventing and controlling cancer is essential.

Methods: Through the West Virginia Program to Increase Colorectal Cancer Screening, primary care systems across the state received data-informed practice facilitation designed to increase screening …

Qualitative Analysis Of Maternal Barriers And Perceptions To Participation In A Federal Supplemental Nutrition Program In Rural Appalachian North Carolina, Sydeena E. Isaacs, Lenka H. Shriver, Lauren Haldeman

Journal of Appalachian Health

Background: Little is known about barriers to and perceptions of participation in the in Women, Infants, and Children (WIC) program in rural Appalachia.

Purpose: To gain a deeper understanding of maternal barriers and perceptions related to WIC participation in rural Appalachia

Methods: Pregnant women and mothers were recruited in-person and via flyers from WIC offices in three counties in Appalachian North Carolina. Four semi-structured focus groups were conducted between May to July 2018. Each focus group was approximately 60 minutes long and included open-ended questions about the overall WIC experience in rural Appalachia. Focus groups were audio-recorded, transcribed verbatim, and …

Pengembangan Sistem Informasi Monitoring Dokumen Rekam Medis Rawat Inap Di Rsup Fatmawati Tahun 2020, Grahyta Dhamayanti, Martya Rahmaniati

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Di era digital saat ini rumah sakit dituntut untuk memanfaatkan teknologi informasi yang bertujuan untuk meningkatkan pelayanan kesehatan. Teknologi informasi juga digunakan untuk memperbaiki mutu rekam medis rawat inap yang sering menghasilkan informasi yang tidak efektif bagi rumah sakit. Informasi yang tidak efektif sering disebabkan oleh adanya rekam medis rawat inap yang tidak lengkap dan terlambat dikembalikan. Di RSUP Fatmawati Jakarta terdapat peningkatan prosentase keterlambatan pengembalian dan ketidaklengkapan dokumen rekam medis rawat inap. Penelitian ini bertujuan untuk mengetahui dan mengidentifikasi alur, kebutuhan sistem informasi yang akan dikembangkan, serta merancang sistem informasi monitoring dokumen rekam medis rawat inap di RSUP Fatmawati. …

Hubungan Seksual Usia Dini Dapat Meningkatkan Risiko Kanker Serviks, Anggraini Ramadhaningtyas, Besral Besral

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Kanker serviks menempati urutan kedua kanker terbanyak pada perempuan setelah kanker payudara, baik di dunia maupun Indonesia. Kanker serviks disebabkan oleh Human Papilloma Virus (HPV) yang biasa ditularkan melalui hubungan seksual. Penelitian ini bertujuan untuk mengetahui pengaruh hubungan seksual usia muda terhadap kejadian kanker serviks. Metode penelitian ini adalah telaah pustaka. Dari 16 jurnal yang menilai pengaruh hubungan seksual usia dini terhadap kejadian kanker serviks, terpilih 12 jurnal (nasional dan internasional) yang sesuai dengan kriteria. Hasilnya, 10 dari 12 jurnal menyimpulkan bahwa risiko kanker serviks meningkat seiring dengan mudanya usia melakukan hubungan seksual pertama kali. Besarnya risiko yang ditimbulkan bervariasi …

Analisis Spasial Penyakit Tuberkulosis Paru Di Kalimantan Tengah Tahun 2017, Grahyta Dhamayanti, Ari Rahma Yanti, Hanifah Nurdani, Rijkianias Suningsih

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Pada Tahun 2017 ditemukan jumlah kasus baru TB Paru di Kalimantan Tenggah sebanyak 2033 kasus, lebih banyak bila dibandingkan dengan jumlah penemuan kasus pada tahun 2016 sebanyak 1580 kasus. Tujuan penelitian ini yaitu diketahuinya analisis spasial TB Paru di Kalimantan Tengah. Penelitian ini menggunakan desain studi ekologi dan pendekatan deskriptif kuantitatif dengan model analisis spasial. Data kasus TB Paru di Provinsi Kalimantan Tengah diperoleh dari BPS Kalimantan Tengah. Jumlah kasus TB Paru tertinggi ada di Kota Palangka Raya, diikuti Kotawaringin Timur dan Kotawaringin Barat. Kepadatan penduduk, rumah tangga pra sejahtera, rumah sehat ber PHBS, sanitasi rumah tangga dan fasilitas pelayanan …

Pengaruh Kehamilan Tidak Diinginkan Dengan Berat Bayi Lahir Rendah Di Perdesaan (Analisis Data Survei Demografi Kesehatan Indonesia 2017), Desya Mulyaningrum, Martya Rahmaniati

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

BBLR adalah berat bayi lahir kurang dari 2500 gram (sampai dengan 2499 gram). Proporsi BBLR di Indonesia dari periode SDKI 2007, 2012, 2017 cenderung stabil dan tidak ada penurunan dari tahun 2007 dengan tahun 2017. Kehamilan tidak diinginkan menjadi salah satu faktor risiko BBLR. Kehamilan tidak diinginkan (unwanted pregnancy) adalah suatu kehamilan yang terjadi di luar perencanaan. Karena pasangan suami atau istri tidak mau menggunakan kontrasepsi, tidak ada akses ke pelayanan KB sehingga menyebabkan kehamilan, dimana sceara fisik atau psikologis pasangan tidak siap dan menolak kejadian kehamilan (unwanted pregnancy). Proporsi kehamilan tidak diinginkan berdasarkan periode SDKI …

Penggunaan Mhealth Mampu Memperbaiki Perilaku Kesehatan Pasien Penyakit Tidak Menular, Nur Ighwana Sari, Besral Besral

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Penggunaan internet dan aplikasi kesehatan seluler semakin meningkat. Banyak aplikasi kesehatan seluler sekarang menargetkan penderita penyakit kronis dan penyakit tidak menular sebagai sarana yang efektif untuk perubahan perilaku. Tujuan penelitian ini adalah untuk mengetahui pengaruh penggunaan mHealth terhadap perubahan perilaku kesehatan pada penderita penyakit kronis dan penyakit tidak menular. Metode telaah sistematis terhadap jurnal yang terbit dalam 10 tahun terakhir di database IEEE Explorer, Elsevier, dan ScienceDirect, dengan kriteri disain eksperimen randomise control design (RCT). Hasil penelitian memperlihatkan bahwa dari 4 jurnal yang memenuhi kriteria inklusi, 3 jurnal menyimpulkan bahwa penggunaan mHealth yang mengimplementasikan teori perubahan perilaku kesehatan, secara …

Model Spasial Faktor Risiko Kejadian Berat Bayi Lahir Rendah Di Provinsi Jawa Barat: Analisis Data Sdki Tahun 2012, Helmi Safitri, Ika Suswanti

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Berat badan lahir rendah merupakan salah satu penyebab meningkatnya kematian neonatus di beberapa negara berkembang. Selain itu, dapat memengaruhi perkembangan anak di masa dewasa. Tujuan dari penelitian ini adalah mengetahui faktor risiko kejadian BBLR melalui pendekatan spasial di Provinsi Jawa Barat. Penelitian ini dilakukan melalui pendekatan kuantitatif dengan desain studi cross sectional dan menggunakan data SDKI 2012. Sampel penelitian ini berjumlah 753 individu dari 24 kabupaten/kota di Provinsi Jawa Barat. Variabel dependen adalah berat badan lahir rendah (kondisi bayi saat lahir g). Faktor risiko kejadian berat lahir rendah yang diteliti adalah kunjungan antenatal care, status merokok pada ibu, pendidikan ibu, …