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The Undernutrition Prevalence of Under-Two-Years Infant in Indonesia: Do breastfeeding Practices Ecologically Matter? Agung Dwi Laksono; Djazuly Chalidyanto; Fandaruzzahra Putri Perdani
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.16855

Undernutrition due to inappropriate feeding practices for children increases morbidity. Breastfeeding isconsidered the most important in a baby's growth and development. Breastfeeding started within one hour ofbirth and was maintained exclusively for the first six months until one year of age or more to obtain optimalbenefits. The study aims to determine the ecological relationship between undernutrition in 2-year-old infantand breastfeeding practice in Indonesia. This study is based on environmental analysis using a report of the2018 Indonesia Basic Health Survey. The dependent variable was the prevalence of undernutrition in 2-yearoldinfant. Besides, the independent variables were four optimum breastfeeding practices. The analysisused bivariate analysis with scatter plot in statistic application. The study results show . The higher theproportion of early initiation of breastfeeding in a province, the lower the levels of undernutrition in childrenaged two years in that province. The higher the ratio of starting to breastfeed less than one hour in an area,the lower the undernutrition levels in children aged two years in that area. On the other side, the higher theproportion of the mother giving all colostrum in a province, the lower the undernutrition levels in childrenaged two years in Indonesia in that province. The higher the proportion of still being breastfed 0-23 monthsin a region, the lower the undernutrition levels in children aged two years in that region. The study concludedthat optimal breastfeeding practices negatively affect the levels of undernutrition in children aged two years.

Health Risk Behavior Related to Stroke in Indonesia Rizmi Novishia Wijaya; Djazuly Chalidyanto; Agung Dwi Laksono
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.17048

Analysis of Risk Management Cycle on Capitation Mechanism at First Level Healthcare Facilities in East Java Rachmad Suhanda; Usman Hadi; Widodo J. Pudjirahardjo; Djazuly Chalidyanto
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14381

The implementation of risk management is an essential function in an organization to control risk. Basedon the preliminary research that has been carried out, only 4.2% of FLHF in East Java implemented thecomplete risk management process, starting from establishing context to evaluating risks. Modificationsof risk management cycle implementation are made by reviewing the opinion of Carroll (2001) and ISO31000:2009. This research aims to analyze the influence between the stages of implementing modified riskmanagement based at 95 FLHF in East Java. The results show that each stage of the capitation mechanismrisk management has a strong significant influence on each other. The results provide recommendation thatFLHF should improve the understanding and awareness of the risks and expected to be able to apply riskmanagement cycle as a whole.

Factors Related to the Prevalenceof Chronic Kidney Disease in Indonesia:An Ecological Study Achmad Yudi Arifiyanto; Agung Dwi Laksono; Djazuly Chalidyanto; Nungky Taniasari; Warih Kusumaningtyas
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15587

Previous research has found that the cost of chronic kidney disease is relatively high. This study aims to ecologically analyze the factors relatedto the prevalence of chronic kidney disease in Indonesia.The research conduct ecological analysis using secondary data from the Ministry of Health of the Republic of Indonesia report in 2018. The study takes all provinces as samples. Apart from chronic kidney disease, four other variables analyzed as independent variables were the adherence to taking antihypertensive drugs, dedication to taking anti-diabetic drugs/injections, a habit of drinking soft drinks > 1 time/day, a habit of drinking energy drinks> 1 time/day. Data were analyzed usinga scatter plot.The results showed that the higher the percentage of adherence to taking antihypertensive drugs in a province, the higher the prevalence of chronic kidney disease. The higher the percentage of commitment to taking anti-diabetes medications/injections in a section, the lower the prevalence of chronic kidney disease. The higher the rate of drinking soft drinks>1 timea day, the higher the prevalence of chronic kidney disease. The higher the percentage of regular drinking energy drinks>1 timea day, the higher the prevalence of chronic kidney disease.The study concluded that five independent variables analyzed were related to Indonesia’s prevalence of chronic kidney diseases.

The Prevalence of Cancer in Indonesia: An Ecological Analysis Hendrik Santoso; Djazuly Chalidyanto; Agung Dwi Laksono
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15791

Cancer is one of the catastrophic diseases with the most considerable absorption of costs in the NationalHealth Insurance-Indonesian Health Card (JKN-KIS) program. The study aimed at analyzing ecologicallythe factors related to the prevalence of cancer in Indonesia.The research carried out ecological analysis usingsecondary data from the Ministry of Health of the Republic of Indonesia in 2018. The study sampled allprovinces. Apart from cancer, five other variables analyzed as independent variables were the percentageof preserved meat/chicken/fish, the percentage of fatty/cholesterol/fried foods, the percentage of e-cigarettesmokers, the prevalence of diabetes mellitus, the prevalence of hypertension. Data were analyzed usingscatter plots.The study results found that the higher the percentage of preserved meat/chicken/fish foodconsumption habits in a province, the higher the prevalence of cancer. The higher the rate of fatty/cholesterol/fried food consumption in an area, the higher the prevalence of cancer. Likewise, the higher the percentage ofe-cigarette smokers in a province, the higher the prevalence of cancer. The higher the prevalence of diabetesmellitus in an area, the higher the prevalence of cancer. Finally, the higher the prevalence of hypertensionin a province, the higher the prevalence of cancer. The studyconcluded that the five independent variablesanalyzed are related to the majority of cancer in Indonesia.

Hospital Preparedness for COVID-19 in Indonesia: A Case Study in Three Types Hospital Kristina Dewi; Djazuly Chalidyanto; Agung Dwi Laksono
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15842

Background: The increase in COVID-19 cases demands hospitalpreparedness in handling COVID-19 toprovide quality services by prioritizing patient safety and health personnel factors. The purpose of this studyis to analyze hospital preparedness in providing COVID-19 services comprehensively.Method: The study is a cross-sectional design. The research objects are public, private, and police hospitals.The review usesthe checklist from the CDC.Observation and interviews with hospital leaders carried outdata collection. Data were analyzed descriptively.Result: From the results of filling out theinventory, the preparedness of public, private, and policehospitals in Banjarmasin was low on average. In detail, it showedaverage scores that publichospital(2.83),privatehospital(2.70), and Policehospital(2.63). Police hospital is better prepared than the private and publichospital. Public and private hospitals have the lowest scores on the written COVID-19 Development ofwritten COVID-19 Plan component. Meanwhile, the Police hospital had the lowest scores on consumableand durable medical equipment and supplies.Conclusion: It concludedthe private, public, and police hospitals have a low level of preparednessforCOVID-19 services.

Ecological Analysis of Diabetes Mellitusin Indonesia Oskar Renagalih Amarta; Djazuly Chalidyanto; Agung Dwi Laksono
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15905

Diabetes mellitus is a dangerous disease and often causes complications. The study aims to analyzeecologically the factors related to the prevalence of Diabetes Mellitus in Indonesia. The study was designedwith an ecological analysis approach, using secondary data from the 2018 Indonesia Basic Health Surveycovering all provinces as samples. The dependent variable is the prevalence of diabetes mellitus. Theindependent variable is the prevalence of obesity nutritional status according to BMI in the adult population(aged >18 years), the proportion of less physical activity in the population aged >10years, the proportion ofsweet drink consumption habits in the population >3 years old more than once per day and the percentage ofpoor people. Data were analyzed using the scatter plot.The results showed that the higher the prevalence ofobesity nutritional status according to BMI in the adult population, the higher the proportion of less physicalactivity, and the higher the proportion of sweet drink consumption habits in the population more than onceper day, the higher the prevalence of diabetes mellitus. Conversely, the higher the percentage of poor people,the lower the prevalence of diabetes mellitus. The study concluded that the four independent variables testedtend to relate to the prevalence of diabetes mellitus.

ANALISIS FAKTOR PENDORONG PELAKSANAAN STANDAR PROSEDUR OPERASIONAL (SPO) DALAM PEMBERIAN OBAT OLEH PERAWAT DI INTENSIVE CARE UNIT (ICU) RUMAH SAKIT UNIVERSITAS AIRLANGGA Ria Asti Septianti; Djazuly Chalidyanto
JURNAL PENELITIAN KESEHATAN Vol 14, No 3 (2016): Jurnal Penelitian Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (178.393 KB)

Medication errors in Intensive Care Unit (ICU) in the Airlangga University Hospital were increased 32% during 2014-2015. The objective of the study was to analyze motivating factor of the implementation of the Standard Operational Procedure (SOP) in drug delivery by nurse in ICU in the Airlangga University Hospital. This study was a descriptive with cross sectional study design. Subjects were selected by total sampling. The result that ICU nurses don’t know and understand about the type, content, and functionality of SOP in drug delivery, supervision by the hospital to the implementation of the SOP in drug delivery is good, and assessment of the ICU nurses about the creation, socialization, implementation, monitoring, and evaluation of SOP in drug delivery is not appropriate. The conclusion is ICU nurses don’t know and understand about the type, content, and functionality of SOP in drug delivery, supervision by the hospital to the implementation of the SOP in drug delivery is good, and assessment of the ICU nurses about the creation, socialization, implementation, monitoring, and evaluation of SOP in drug delivery is not appropriate. Keywords: motivating factor, SOP in drug delivery, ICU nurses

Comparing Personal Protective Equipment Practice among Health Worker’s Job Role and Hospital Unit Fandaruzzahra Putri Perdani; Djazuly Chalidyanto
Jurnal Kedokteran Brawijaya Supplement 1, 2022
Publisher : Fakultas Kedokteran Universitas Brawijaya

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Health workers have the highest risk exposure that can increase the pathogen infection risk during the COVID-19 pandemic. The use of Personal Protective Equipment (PPE) is the most significant prevention, but mistakes while using PPE may occur in the donning (putting on) and doffing (taking off) process. This study compares the practice of using PPE among groups of health providers and hospital service units. The study design was a cross-sectional study conducted on non-infectious hospital employees in one specific hospital in Surabaya, totaling 102 employees. The Infection Prevention and Control Link Nurse (IPCLN) of the hospital conducted observations and analyses of health personnel in inpatient and triage units, treatment units, and support units. Based on the job roles, the employees were divided into health providers, healthcare support workers, and other health workers. Work units were categorized into inpatient units, outpatient and triage units, treatment units, and support units (cashier and registration areas). The results of the assessment were measured using One-Way ANOVA. Based on the job role, significant errors occurred when removing masks (p=0.048) made by health workers (38%). Meanwhile, in the hospital unit category, significant errors occurred in removing masks (p=0.000) and the use of gloves (p=0.002). Most mistakes were made in the outpatient and triage units, 92% and 42%, respectively. The complexity of wearing and removing PPE requires increased awareness and updated training on the correct use of PPE for all health workers who work in hospitals based on WHO recommendations during the COVID-19 pandemic.

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