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Cyanosis as Mortality Risk among Children with Severe Pneumonia Herza Fadlinda; Adi Utomo; Henni Djuhaeni
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Pneumonia is the second leading cause of infant death in Indonesia. The mortality of pneumonia in children is associated with cyanosis, malnutrition, and age less than 4 months. The aim of this study was to determine the relationship between cyanosis, malnutrition, and age less than 4 months with the mortality of infant patients with severe pneumonia at Dr Hasan Sadikin General hospital.Methods: A case-control study has been conducted using medical records of 80 patients with pneumonia at Dr. Hasan Sadikin General Hospital, period January 2007 to December 2013. The inclusion criteria were medical records consisting of information about infants with severe pneumonia, without comorbid diagnoses, who died during hospitalization. While controls were infants who have been discharged from hospital. The independent variables of this study were cyanosis, malnutrition, and age less than 4 months, while the dependent variable was the mortality. Data were analyzed by using univariate and bivariate analysis.Results: The study reported that only cyanosis was associated with mortality. Malnutrition and age less than 4 months were not associated with mortality.Conclusions: Cyanosis is known to be the only factor that has affected the mortality of infants with pneumonia who are hospitalized at Dr. Hasan Sadikin General Hospital. [AMJ.2016;3(2):186–9]DOI: 10.15850/amj.v3n2.799

Comparison of Maternal Health Service Satisfaction Level of National Health Coverage and Non National Health Coverage Patients in Bandung Mother and Child Hospital Rika Yuntiani; Eppy Darmadi Achmad; Henni Djuhaeni
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Healthcare is financially inaccessible to some people. This results in deterioration of patients’ condition or even death, which is proven by the high level of Maternal Death Rate in Indonesia. The government implemented the National Health Coverage (NHC) system to ensure the provision of quality health care for the entire community. This study aimed to examine the NHC and non-NHC patients’ perception to quality maternal healthcare services.Methods: This study was an analytic cross-sectional study conducted from August–October 2014. One hundred and twenty six respondents from Kota Bandung Mother and Child Hospital were included. The tool used in this study was a validity and reliability-tested questionnaire encompassing five dimensions of service quality: tangibles, reliability, responsiveness, assurance, and empathy. The Kolmogorov-Smirnov test was used to test the hypothesis.Results: The study showed that the majority of NHC(75%) and non-NHC patients (89%) ware unsatisfied with the maternal healthcare services. Most patients felt unsatisfied towards the reliability dimension which involved complicated referral procedures and examination time that failed to comply with what was promised.Conclusions: There is no difference between NHC and non-NHC patients’ level of satisfaction of maternal health care service in Bandung Mother and Child Hospital. [AMJ.2016;3(3):425–29]DOI: 10.15850/amj.v3n3.869

Role of Satisfaction with Health Care Services in Increasing Patient Loyalty: an Ambulatory Setting Citra Restia Yusri; Marlianti Hidayat; Henni Djuhaeni
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Health care providers must be able to provide services that can satisfy the patient. This encourages patient loyalty so that competitiveness can be preserved. This study aimed to examine the correlation of patients’ satisfaction to their loyalty towards health care facilities.Methods: An analytic cross-sectional study was conducted on 50 respondents from Anggrek Specialist Polyclinic at Dr. Hasan Sadikin General Hospital Bandung (ambulatory setting) who met the inclusion criteria during the period of September to October 2014. Questionnaires that had been validated and tested for reliability were used. Rank Spearman test was used to analyze the correlation between patient satisfaction and patient loyalty. This study used five dimensions of service quality to measure patient satisfaction, i.e. tangibles, reliability, responsiveness, assurance, and empathy.Results: The study showed that most (84%) patients felt unsatisfied and only 14% was loyal towards the health care services they received. Satisfaction and loyalty showed positive correlation with p=0.001 (p<0.05) and r=0.439, which showed a moderate correlation. Conclusions: There is significant correlation between patient satisfaction and loyalty in Anggrek Specialist Polyclinic at Dr. Hasan Sadikin Hospital. This study can be an evaluative material for health care providers to encourage improvement of service quality as to increase patient satisfaction and loyalty.

Role of Knowledge and Attitude toward Perilaku Hidup Bersih dan Sehat (PHBS) of Medical Students 2009 Universitas Padjadjaran Sufia Permatasari Syaefullah; Noorman Herryadi; Elsa Pudji Setiawati; Henni Djuhaeni
Althea Medical Journal Vol 1, No 2 (2014)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Perilaku hidup bersih dan sehat (PHBS) is one of the main pillars of preventive measures in Indonesia Sehat and also a strategy to reduce health cost caused by illness based on the desire, willingness, and ability to be able to help themselves in medical aspects. The health provider including a doctor as a community leader should behave toward PHBS which based on adequate knowledge and attitude.Methods: This study have been conducted in February–November 2012 with cross-sectional design of 152 medical students 7th semester admission 2009 Universitas Padjadjaran, using questionnaires. Data were analyzed using chi-square.Results: The number of students with good knowledge and poor knowledge were not different (50.7%vs 40.3%). Most of the respondens attitude are not in accordance with PHBS program(p=0.805).Conclusions: Knowledge of PHBS for all medical students needs to be improved and needs to investigated whether there are other factors which affect student attitudes toward PHBS.Key words: attitude, knowledge, PHBS, student Peranan Pengetahuan dan Sikap Mahasiswa Kedokteran Universitas Padjadjaran Angkatan 2009 terhadap Perilaku Hidup Bersih Dan Sehat (PHBS) AbstrakLatar Belakang: Perilaku Hidup Bersih Dan Sehat (PHBS) merupakan salah satu pilar utama pencegahan dalam program Indonesia Sehat serta strategi untuk mengurangi biaya kesehatan akibat penyakit yang berdasarkan keinginan, kemauan, dan kemampuan untuk membantu diri sendiri dalam aspek medis. Pelayanan kesehatan termasuk dokter sebagai pemimpin kesehatan di masyarakat harus mempunyai sikap dan pengetahuan yang memadai mengenai PHBS.Metode: Penelitian dilakukan pada bulan Februari-November 2012 dengan desain potong lintang terhadap 152 mahasiswa kedokteran angkatan 2009 Universitas Padjadjaran semester 7 dengan menggunakan kuesioner. Data dianalisis menggunakan chi-square.Hasil: Jumlah mahasiswa yang memiliki pengetahuan baik dan pengetahuan kurang tidak jauh berbeda (50,7% vs 40,3%). Sebagian besar responden mempunyai sikap yang tidak sesuai dengan program PHBS (p=0,805).Simpulan: Pengetahuan tentang PHBS bagi semua mahasiswa kedokteran perlu ditingkatkan dan perlu diteliti lebih lanjut mengenai faktor-faktor lain yang memengaruhi sikap mahasiswa terhadap PHBS.Kata kunci: sikap, pengetahuan, PHBS, mahasiswa DOI: 10.15850/amj.v1n2.353

Ability and Willingness to Pay Premium in the Framework of National Health Insurance System Aulia Abdillah Ramadhan; Andri Reza Rahmadi; Henni Djuhaeni
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: The National Health Insurance is one of the government’s efforts to improve community access to health services. The government has fixed the premiums to be paid by community, except for underprivileged community. The aim of the study was to identify Ability to Pay (ATP) and Willingness to Pay (WTP) of the national health insurance premium.Methods: A descriptive study which involved 210 housewives who were chosen by rapid survey method was conducted from September to November 2013 in Cipacing village, Jatinangor, Sumedang, West Java. Data collection was using questionnaire to obtain level of ability and willingness to pay the health insurance premium. The results were compared to the required premium by the government (Rp 22,000,-).Results: Most of the respondents were only housewives, but there were still respondents who were private workers. Most of them were 20–39 years old. About 57.6% of the respondents were able to pay for the required premium, but Only 17.4% of the them were willing to pay according to the required premium.Conclusions: The ATP of the respondents are higher compared to the WTP, meaning that most of the respondents are able to pay the requires premium but are not willing to pay it. [AMJ.2015;2(4):502–5] DOI: 10.15850/amj.v2n4.635

Analisis Pengelolaan Linen di Instalasi Laundry Rumah Sakit Islam Ibnu Sina Pekanbaru Tahun 2018: Analisis Pengelolaan Linen di Instalasi Laundry Rumah Sakit Islam Ibnu Sina Pekanbaru Tahun 2018 Hidayati Mukhtar; Nurmaimun Nurmaimun; Jasrida Yunita; Asfeni Asfeni; Henni Djuhaeni
Jurnal Kesehatan Komunitas Vol 4 No 3 (2018): Jurnal Kesehatan Komunitas
Publisher : STIKes Hang Tuah Pekanbaru

Installation laundry became one of the most important in supporting medical services at the hospital. Preliminary survey conducted at Ibnu Sina Islamic Hospital Pekanbaru, at process linen management dirty not performed the stage weighing. This resulted in the laundry just estimate how comparison between heavy linen dirty with amount of water and measure of down. Research purposes to see how linen management at Ibnu Sina Islamic Hospital Pekanbaru. The data collected in interviews, observation and review of documentation. Data processing done to technique qualitative analysis by approach explorative. This research using data validity of triangulation. Informants to research this is officer laundry, head of laundry, chief medical facilities and director at Ibnu Sina Islamic Hospital Pekanbaru which consisted of the 7. The research results show that there are themes that appear as the findings of the study this linen management .As for themes in the area are obstacles in the management of exertion or in the form of a lack of linen is , less he did training to officers and the length of the handling of if there are defective machine , the provision of facilities and infrastructure in the form of the absence of an instrument those who weighed dirty linen , and she has not done on a regular service , and the implementation of the house in the form of discharging sop apd , she has not done the process of weighing dirty linen , discharging washer that equal and there is no color sorting linen .By because it was necessary attention on the management of the linen in installation Ibnu Sina Islamic Hospital Pekanbaru conforming with established standards.

Analysis of Management Systems in Wastewater Processing at Regional Public Hospital in Teluk Kuantan 2018: Analisis Sistem Manajemen Dalam Pengolahan Air Limbah di Rumah Sakit Umum Daerah Teluk Kuantan Tahun 2018 Marian Tonis; Henni Djuhaeni; Arnawilis Arnawilis
Jurnal Kesehatan Komunitas Vol 6 No 1 (2020): Jurnal Kesehatan Komunitas
Publisher : STIKes Hang Tuah Pekanbaru

Instalasi Pengolahan Air Limbah (IPAL) adalah bangunan air yang berfungsi untuk mengolah air buangan yang berasal dari kegiatan yang ada di fasilitas pelayanan kesehatan. Di Rumah Sakit Umum Daerah (RSUD) Teluk Kuantan pengolahan air limbah sempat tidak berjalan sesuai dengan prosedur yang ada, karena adanya suatu kebocoran pada perpipaan IPAL. Tujuan penelitian yaitu diperolehnya informasi yang mendalam tentang analisis unsur manajemen dan fungsi manajemen dalam Pengolahan Air Limbah di RSUD Teluk Kuantan Tahun 2018. Penelitian ini menggunakan jenis penelitian kualitatif dengan pendekatan eksploratif, dilaksanakan di RSUD Teluk Kuantan dengan jumlah informan sebanyak 5 orang yaitu, Kepala Seksi Sarana Prasarana, Karu IPSRS, Staf manajemen dan Staf IPAL 2 orang. Penelitian ini dilaksanakan dengan metode wawancara mendalam, observasi dan telaah dokumen. Pengolahan data dilakukan dengan melakukan reduksi data, penyajian data dan penarikan kesimpulan. Untuk validitasi data digunakan triangulasi sumber, triangulasi metode dan triangulasi data. Hasil penelitian diperoleh tema-tema penting yaitu : Sumber Daya Manusia yang belum mencukupi (kekurangan 2 tenaga khusus) dan belum sesuai dengan basic ilmu (tidak adanya tenaga sanitasi dan kesehatan lingkungan, perencanaan dari manajemen terhadap unsur manajemen dan fungsi manajemen dalam IPAL belum terlaksana keseluruhannya, serta pengorganisasian di Instalasi Pengolahan Air limbah belum dilaksanakan, sehingga terjadi kerja rangkap yang menyebabkan kerugian kurang optimalnya pekerjaan yang dilakukan. Disarankan dalam pengelolaan air limbah agar dilakukan penataan manajemen terhadap unsur manajemen dan fungsi manajemen yang ada. Supaya pengelolaan terhadap air limbah dapat tertata dan berjalan dengan lebih baik.

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