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All Journal International Journal of Public Health Science (IJPHS) Archive of Community Health International Journal of Biosciences and Biotechnology Buletin Udayana Mengabdi Jurnal Kesehatan Masyarakat Kesmas: Jurnal Kesehatan Masyarakat Nasional Jurnal Farmasi Klinik Indonesia Jurnal Biometrika dan Kependudukan (Journal of Biometrics and Population) Jurnal Ekonomi Kesehatan Indonesia ISM (Intisari Sains Medis) : Jurnal Kedokteran Jurnal Keluarga Berencana Journal of Health Sciences and Medicine OISAA Journal of Indonesia Emas Public Health and Preventive Medicine Archive Jurnal Ilmu Kesehatan Masyarakat

Putu Ayu Indrayathi

Program Studi Kesehatan Masyarakat, Fakultas Kedokteran, Universitas Udayana, Bali

Author-ID : 2921159

Humanities Biochemistry, Genetics & Molecular Biology Education Engineering Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Public Health Social Sciences

Published : 45 Documents Claim Missing Document

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PERCEIVED QUALITY OF CARE DURING COVID-19 AT SANJIWANI HOSPITAL GIANYAR, BALI Putu Ayu Indrayathi; Putu Erma Pradnyani; Ni Luh Saptiaryati; Luh Putu Sinthya Ulandari; Laszlo Robert Kolozsvari
Jurnal PPI Dunia Vol 5 No 2 (2022)
Publisher : OISAA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52162/jie.2022.005.02.4

COVID-19 has caused a decrease in the number of visits to health care due to restrictions on public activities to reduce local transmission, but the quality of service is essential to be maintained. This study measured and examined factors related to public satisfaction with the inpatient services provided by Sanjiwani Hospital. This research is an observational study with a cross-sectional design. Of the 204 patients were taken using a consecutive sampling technique. Data collection was conducted from October-November 2020. Data collected of social demographic, 41 questions related to public satisfaction, and six aspects of the prevention of COVID-19. Data were analysed in univariate and bivariate analysis using the T-Test and Oneway Anova to determine factors related to the level of public satisfaction. The results showed general satisfaction score is a value of 4.10, meaning that it is in the satisfied category. There is a trend of increasing public satisfaction scores from 2018 to 2020. The factors related to public satisfaction are based on the type of National Health Insurance (JKN) membership the patient uses during treatment. Sanjiwani hospital should consider establishing digital service innovations to make it easier to access health care in the era of COVID-19.

Perceived quality of primary healthcare services among the National Health Insurance members and fee for service patients in the West Denpasar II Public Health Center Bali, Indonesia Nitya Nijyoti; Putu Ayu Indrayathi; I Made Ady Wirawan
Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020)
Publisher : Universitas Udayana

Background and purpose: The Government of Indonesia established the National Health Insurance or in Indonesia called Jaminan Kesehatan Nasional (JKN) in 2014 with the target of achieving universal health coverage (UHC) by 2019. However, many have not become JKN participants and still use the fee for service financing system. The purpose of this study was to determine patient’s perceptions of the quality of health services under the JKN and fee for service payment methods. Methods: A cross-sectional study was conducted at West Denpasar II Public Health Centre (PHC) with 133 outpatient respondents who were selected sequentially. Data collection was carried out in June 2019 through interviews. Patients’ perceptions of service quality were measured according to the six domains of health service quality established by the Institute of Medicine (IOM) which include effectiveness, efficiency, timeliness, patient-centered approach, safety and equity. Bivariate analysis was conducted with Mann Whitney test and multivariate analysis with Ancova. Results: Patients’ perceptions of the quality of services in the JKN and fee for service payment methods were found to be quite good with an average of 3.08 and 3.17 of the maximum value of 4.0. Bivariate analysis showed a significant difference with a mean rank of 54.28 for JKN and 79.16 for fee for service (p<0.01). Patients’ perceptions of service quality also differed significantly based on the dimensions of efficiency (p=0.001), effectiveness (p=0.005), timeliness (p=0.007) and patient-centered approach (p=0.032). Multivariate analysis showed that the variable that was significantly related to patient perceptions of service quality was the payment methods (p<0.001). Conclusion: Patients with a fee for service payment methods have a better perception of service quality than patients who use JKN. Advocacy to policy makers and service providers should be conducted in order to ensure the equal quality of service for all patients.

Analysis of Public Health Centre Financing using the District Health Account (DHA) Model in Karangasem District, Bali, Indonesia Ni Nengah Murniati; Putu Ayu Indrayathi; Pande Putu Januraga
Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020)
Publisher : Universitas Udayana

Background and purpose: Health financing aspects of the public health centres (PHC) may influence the achievement of PHC’s programs and its minimum service standards (SPM). The District Health Account (DHA) is a model used to describe and evaluate health financing at the PHC level. The purpose of this study was to analyze health financing mechanism from both the government and national health insurance in the Karangasem District using the DHA Model. Methods: This study was an evaluation research with a case study approach using the DHA Model. Evaluations were carried out at two PHC, Manggis II PHC and Abang I PHC, between March and April 2018. Data were collected from the Karangasem District Health Office and the PHCs. These include PHC realization data, report on program achievements and SPM. The research instrument used for the data collection and analysis was the DHA extraction form and pivot table which includes information on cost sources, financing managers, service providers, functions, programs, types of activities, budget lines, levels of activities and beneficiaries. Results: We found the source of budget in both PHC was dominated by the district budget (APBD) and the national budget (APBN). The institutions which manage the budget and provide service were predominantly the Health Office and PHC. The most frequent financing functions was for governance and administration, while the largest types of activities covered was the indirect activities. Budget spending for operational costs was higher than for maintenance and investment. Realization of the activity for community program efforts (UKM) and prevention program (UKP) was lower than for the capacity building program. Conclusion: The DHA model was able to identify patterns of health budget allocation by health agencies. The use of the DHA model to analyze health financing should be adopted routinely in order to provide evaluation reports for health agencies at the district level.

Bukti Keefektifan Program Harm Reduction dalam Mencegah Penyebaran HIV di antara Pemakai Narkoba dengan Jarum Suntik Putu Ayu Indrayathi
Jurnal Ilmu Kesehatan Masyarakat Vol. 1 No. 3 (2010): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (42.422 KB)

Latar Belakang: Jumlah pemakai narkoba suntik (penasun) senantiasa meningkat di hampir semua belahan dunia. Penasun merupakan salah satu faktor penyebab meningkatnya penyebaran virus HIV. Oleh karena itu, stategi untuk menanggulangi penyebaran virus HIV diantara penasun harus segera dikembangkan untuk meminimalkan penyebaran virus HIV dan dampak negative lainnya. Salah satu metode yang bisa dipakai untuk meminimalkan penyebaran virus HIV adalah dengan program harm reduction.Metode: Metode yang dipakai dalam makalah ini adalah review dari literatur yang ada untuk menganalisa keefektifan program harm reduction untuk mencegah penyebaran virus HIV pada penasun.Hasil: Intisari dari program harm reduction adalah untuk meminimalkan dampak negatif dari penggunaan obatobatan terlarang melalui jarum suntik seperti penyakit yang menular melalui darah,overdosis, komplikasi medis karena menggunakan obat-obat terlarang dan dampak sosial lainnya tanpa harus menghentikan penggunaan obat secara seketika.Tujuan dari program harm reduction adalah menjaga agar penasun tetap bisa hidup sehat dan produktif sampai program ini dapat mengurangi ketergantungan penasun akan narkoba. Dalam prakteknya, ada beberapa strategi yang dipakai dalam program harm reduction yaitu needle syringe programs (NSP), drug replacement therapy, voluntary counselling and testing (VCT) and HIV Outreach Program and Education. Pendekatan harm reduction telah terbukti efektif mampu mengurangi perilaku beresiko para penasun sehingga mampu mencegah penyebaran virus HIV. Pelaksanaan program harm reduction secara menyeluruh sangat mendesak untuk dilaksanakan, terutama di Negara-negara yang menghadapi peliknya permasalahan HIV/AIDS. Kesimpulan: Harm reduction bertujuan untuk meminimalkan permasalahan yang timbul karena penggunaan obat-obatan terlarang terutama pengguna narkoba suntik. Program ini aman untuk diterapkan dan tetap menjunjung harkat,martabat dan hak asasi para penasun.Kata kunci: harm reduction, HIV, penasun, needle syringe program and VCT.

Penilaian mutu asuhan keperawatan sebelum dan sesudah penerapan clinical pathway di Rumah Sakit Umum Pusat (RSUP) Sanglah, Bali, Indonesia I Made Artana; Putu Ayu Indrayathi; I Made Ady Wirawan
Intisari Sains Medis Vol. 11 No. 2 (2020): (Available online: 1 August 2020)
Publisher : DiscoverSys Inc.

Background: Hospitals implement clinical pathways in an effort to improve the quality of health services, especially the quality of nursing care. This study aims to determine whether the quality of nursing care after the application of the clinical pathway is better than the quality of nursing care prior to the clinical pathway application.Methods: This study used 180 inpatient medical records in January 2017-May 2019 with five priority medical diagnoses namely cerebral concussion and epidural hematoma (conservative therapy), conservative treatment of preterm premature rupture of membranes, ablation of atrioventricular nodal reentrant tachycardia (AVNRT) , atrioventricular reentrant tachycardia (AVRT), atrial tachycardia, atrial fibrillation, premature ventricular contractions (PVC), ventricular tachycardia (VT), junctional tachycardia and intracerebral haemorrhage (hemorrhagic stroke) as well as post-Lapastomy frozen section in the selected cystic ovary with a selective curative cyst . The variables studied were the application of clinical pathway, quality of nursing care, quality of assessment, diagnosis, planning, implementation and evaluation of nursing. Data were analyzed with the Pearson Chi-Square Test on SPSS version 17 for Windows.Results: The quality of good nursing care before and after the application of clinical pathway was 15.2% versus 50.9% (p = 0.00); good quality of nursing assessment before and after clinical pathway application of 6.7% versus 64.9% (p = 0.00); good quality of diagnosis before and after clinical pathway application of 72.7% versus 73.7% (p = 0.889); the quality of the nursing plan which consisted of good quality of goal formulation before and after the application of clinical pathway was 75.8% versus 73.7% (p = 0.759); good quality determination of interventions before and after clinical pathway application of 75.8% versus 79.8% (p = 0.523), good quality of implementation before and after clinical pathway application of 100% versus 100% and good quality of nursing evaluation before and after the application of clinical pathway is 100% versus 100%.Conclusion: The quality of nursing care and nursing assessment after the implementation of clinical pathway is significantly better than before the implementation of clinical pathway, while no significant difference was found in the quality of diagnosis, planning, implementation and evaluation of nursing.Â Latar Belakang: Rumah sakit menerapkan clinical pathway dalam upaya meningkatkan mutu pelayanan kesehatan khususnya mutu asuhan keperawatan. Penelitian ini bertujuan untuk mengetahui apakah mutu asuhan keperawatan sesudah penerapan clinical pathway lebih baik daripada mutu asuhan keperawatan sebelum penerapan clinical pathwayMetode: Penelitian ini menggunakan 180 rekam medis pasien rawat inap pada bulan Januari 2017-Mei 2019 dengan lima diagnosis medis prioritas yaitu cerebral concussion dan epidural hematoma (terapi konservatif), penanganan konservatif ketuban pecah dini preterm, ablasi padaÂ atrioventricularÂ nodal reentrant tachycardia (AVNRT), atrioventricular reentrant tachycardia (AVRT), atrial takikardi, atrial fibrilasi, premature ventricular contractions (PVC), ventricular tachycardia (VT), junctional takikardi dan intracerebral haemorrhage (stroke hemoragik) serta post laparatomi frozen section pada kista ovarii curiga ganasyang dipilih dengan purposive sampling. Variabel yang diteliti adalah penerapan clinical pathway, mutu asuhan keperawatan, mutu pengkajian, penegakan diagnosis, rencana, implementasi dan evaluasi keperawatan. Data dianalisis dengan Uji Pearson Chi-Square pada SPSS versi 17 untuk Windows.Hasil: Mutu asuhan keperawatan yang baik sebelum dan sesudah penerapan clinical pathway sebesar 15,2% versus 50,9% (p=0,00); mutu pengkajian keperawatan yang baik sebelum dan sesudah penerapan clinical pathway sebesar 6,7% versus 64,9% (p=0,00); mutu penegakan diagnosis yang baik sebelum dan sesudah penerapan clinical pathway sebesar 72,7% versus 73,7% (p=0,889);Â mutu rencana keperawatan yang terdiri mutuÂ perumusan tujuan yang baik sebelum dan sesudah penerapan clinical pathway sebesar 75,8% versus 73,7% (p=0,759); mutu penentuan intervensi yang baik sebelum dan sesudah penerapan clinical pathway sebesar 75,8% versus 79,8% (p=0.523), mutu implementasi yang baik sebelum dan sesudah penerapan clinical pathway sebesar 100% versus 100% dan mutu evaluasi keperawatan yang baik sebelum dan sesudah penerapan clinical pathway sebesar 100% versus 100%.Simpulan: Mutu asuhan keperawatan dan pengkajian keperawatan sesudah penerapan clinical pathway secara signifikan lebih baik daripada sebelum penerapan clinical pathway, sedangkan mutu penegakan diagnosis, rencana, implementasi dan evaluasi keperawatan tidak terdapat perbedaan yang signifikan.

Association between transformational leadership, organizational commitments, and application of Total Quality Management (TQM) to employee performance in Sanglah General Hospital, Bali, Indonesia Fery Dwiyanto; I Putu Ganda Wijaya; Putu Ayu Indrayathi
Intisari Sains Medis Vol. 11 No. 3 (2020): (Available online: 1 December 2020)
Publisher : DiscoverSys Inc.

Background: Employee performance results from work achieved by an employee in quality and quantity in carrying out tasks in accordance with the responsibilities given. Good employee performance increases hospital customer satisfaction. This study aims to determine the relationship between transformational leadership, organizational commitment, and the application of Total Quality Management (TQM) with employee performance at Sanglah Central General Hospital.Methods: A cross-sectional study was conducted among 87 samples. Samples in each installation/unit that fulfilled inclusion criteria were selected using proportional random sampling. Data were analyzed using univariate, bivariate (chi-square), and multivariate (logistic regression) by SPSS version 20 for Windows.Results: Most employees perceived good in transformational leadership (67.8%), good organization commitment (55.2%), good application of TQM (75.9%), and good employee's performance (65.5%). The bivariate analysis shows a significant association between transformational leadership (p=0.001), organization commitment (p=0.001), and application of TQM (p=0.010) with employees' performance in Sanglah General Hospital. However, according to the multivariate analysis, a statistically significant association variable is organizational commitment (OR=547.96; 95% CI=4.922-613.673; p=0.001).Conclusion: Factors associated with the employee's performance in Sanglah Hospital are transformational leadership, organizational commitment, and TQM. Therefore, stakeholders in the hospital should consider the loyalty of employees in determining policies to improve service quality continuously.

DETERMINANT FACTORS COUPLES TO AVOID HAVING MORE CHILDREN IN BALI PROVINCE Putu Ayu Indrayathi; Istiana Marfianti; Putu Erma Pradnyani; Luh Putu Sinthya Ulandari; Anastasia Septya Titisari; Luh Kadek Ratih Swandewi
Jurnal Biometrika dan Kependudukan (Journal of Biometrics and Population) Vol. 11 No. 02 (2022): JURNAL BIOMETRIKA DAN KEPENDUDUKAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbk.v11i02.2022.184-193

The number of married women and men who no longer want children in Bali Province is consistent with a relatively high contraceptive prevalence rate (CPR) of 67%, higher than the national average of 64%. The large proportion of couples of reproductive age (CRA) who no longer want children either at the national or provincial level in Bali is an interesting thing to be analyzed further to see the factors that influence it. This study investigated secondary data of the 2017 Indonesia Demography and Health Survey (IDHS) in Bali Province. The variables studied included socio-demographics and desire to have children. The sample size was 271 married women (15-49 years). We found that the age of women of reproductive age (WRA), occupation of WRA, number of children alive, and ideal number of children are the four significant factors that influence the desire to have no more children in married couples. Based on these findings, a better family planning program can hopefully be made in the Bali province.

DETERMINANT FACTORS FOR UNINTENDED PREGNANCY IN BALI PROVINCE Putu Ayu Indrayathi; Putu Erma Pradnyani; Ngakan Putu Anom Harjana; Luh Putu Sinthya Ulandari; Anastasia Septya Titisari; Luh Kadek Ratih Swandewi
Jurnal Biometrika dan Kependudukan (Journal of Biometrics and Population) Vol. 11 No. 1 (2022): JURNAL BIOMETRIKA DAN KEPENDUDUKAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbk.v11i1.2022.36-44

Bali Province has the lowest unmet need achievement, namely 8.1%, meaning that it has a low-value gap between the availability of contraceptive services and the needs of the community. This study analyzed the factors that influence the incidence of unintended pregnancy among childbearing-age women in Bali. This research is a secondary data analysis from the Program Performance and Accountability Survey (PPAS) of the National Population and Family Planning Board in 2019. The variables studied were selected from the PPAS’s Women data, with 1,214 samples of married fertile women aged 15-59 years in Bali. Multivariate analysis in the form of a logistic regression test is carried out to estimate factors that affect unintended pregnancy incidence in childbearing-age women in Bali. Factors influencing unintended pregnancy are age and having heard of family planning, understanding birth control, understanding population issues, and having listened to adolescent reproductive health. The multivariate analysis shown that age and having heard of family planning are two factors that significantly influence unintended pregnancy. Two factors that influence unintended pregnancy in Bali are age and having heard about family planning. Therefore, cross-sector engagement is required to provide a family planning program to the targeted fertile women's age found in this research to improve women's exposure to the program.

Perceived importance of structural factors are associated with the selection of primary care by national health insurance participants Putu Nitya Nirmala; Pande Putu Januraga; Putu Ayu Indrayathi
Public Health and Preventive Medicine Archive Vol. 7 No. 2 (2019)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2019.v7.i2.p05

Background and purpose: Primary care are the entry point for health services in an insurance-based health financing system, including the National Health Insurance Program or Jaminan Kesehatan Nasional (JKN) in Indonesia. This study aims to understand the association between structural factors in health service management with primary care selection among JKN participants. Methods: The study used a cross sectional analytic design, conducted with 273 self-paid JKN participants in Denpasar as respondents. The samples were selected using multistage random sampling. Data was collected from April to May 2018 with interviews using a questionnaire covering the characteristics of respondents and perceptions on the importance of health care facilities, the capabilities of health providers, service distance, operational time, availability of drugs and medical equipment. Data analysis was carried out with multinomial logistic regression to determine the structural factors of health service management associated with the selection of primary care. Results: Most respondents (65.9%) chose private clinics, 21.3% chose public health centres (PHCs) and 12.8% chose individual practicing physicians. Multivariate analysis showed that the variables which significantly associated with the selection of primary care among JKN participants were the perceived importance of the health care facilities at PHCs and private clinics, each with AOR=7.83 (95%CI: 2.72–22.54) and AOR=7.18 (95%CI: 2.76–18.68), the perceived importance of the capability of health workers in private clinics with AOR=0.29 (95%CI: 0.12–0.77), the perceived importance of health service time in private clinics with AOR=2.67 (95%CI: 1.05–6.74) and history of health services utilization at private clinics with AOR=4.51 (95%CI: 1.86–10.96). Conclusion: Structural factors are associated with the selection of primary care among JKN participants. Attention to the quality and quantity of structural factors in the management of health services is important to improve the equitable distribution of JKN membership in the registered primary care.

Utilization of the smoking cessation clinic at Public Health Centre 1 North Denpasar: A qualitative study Sri Idayani; Putu Ayu Indrayathi; Dyah Pradnyaparamita Duarsa; Dinar Lubis
Public Health and Preventive Medicine Archive Vol. 6 No. 2 (2018)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v6.i2.p13

Background and purpose: The incidence of morbidity and mortality due to tobacco use is very high. There are several strategies to help smokers quit, one of which is counseling to stop smoking in a clinic setting. The purpose of this study was to explore in depth the utilization of smoking cessation clinics at a Public Health Centre (PHC). Methods: A qualitative study through in-depth interviews was conducted with 14 informants who had been provided with a counseling at a smoking cessation clinic, consisting of five informants who had quit smoking and nine informants who were still smoking. Triangulation of data was carried out by conducting in-depth interviews with the head of PHC and one counselor on duty at the smoking cessation clinic. The information collected includes the utilization of the clinic, strategy of PHC in recruiting patients, knowledge about smoking cessation and the benefits of attending counseling. Data collection was carried out at the home of each informant during March-April 2018. The results of the interviews were analyzed thematically after a verbatim transcription being conducted. The data presented in a narrative to provide an in-depth description of the utilization of smoking cessation clinics in a PHC. Results: The results of interviews with PHC staff showed that in order to increase the utilization of the smoking cessation clinic, the services are integrated into the general polyclinic. Interviews with informants who have not stopped smoking indicate that to improve the utilization of the clinic, promotion and service variations are needed and not only focus on counseling. Interviews with informants who have stopped smoking show that counseling at the clinic can increase their willingness to stop smoking. Conclusion: To improve the utilization of smoking cessation clinics, in addition to integrating services into the general polyclinic, promotion and variations in services are also required.

Co-Authors Anak Agung Sagung Istri Maradi Suryaningrat Anastasia Septya Titisari Benny Tjahjono Budiastri Coratry Shovariah Premilga Desak Putu Yulita Kurniati Dinar Lubis Dinar Lubis Dyah Pradnyaparmita Duarsa Fery Dwiyanto HARI MULYAWAN Hendrayani, Ni Wayan Ani I Gusti Ayu Agung Putri Krismayanthi I Ketut Suwiyoga I Ketut Tunas I Made Ady Wirawan I Made Artana I Nyoman Gede Budiana I Putu Ganda Wijaya I Putu Ganda Wijaya I Putu Ganda Wijaya Istiana Marfianti Istiana Marfianti Ketut Suarjana Laszlo Robert Koloszvari Laszlo Robert Kolozsvari Laszlo Robert Kolozsvari Luh Kadek Ratih Swandewi Luh Kadek Ratih Swandewi Luh Putu Sinthya Ulandari Luh Putu Sinthya Ulandari Made Nopy Diah Sundari Monika Sri Yuliarti Murniati, Ni Nengah Ngakan Putu Anom Harjana Ni Ketut Sutiari Ni Luh Komang Megayanti Ni Luh Saptiaryati Ni Made Ari Listiani Ni Made Mas Dwi Purwaningrat Ni Made Sri Nopiyani Ni Nengah Murniati Ni Nyoman Intan Widya Sari Ni Wayan Ani Hendrayani Ni Wayan Arya Utami, Ni Wayan Arya Nijyoti, Nitya Nirmala, Putu Nitya Nitya Nijyoti Pande Made Sri Rahayu Pande Putu Januraga Putu Dwiki Damadita Putu Erma Pradnyani Putu Inok Puspaeni Putu Nitya Nirmala Putu Novi Trisna Dewi R. A.T. Kuswardhani Rasmaya Niruri Rasmaya Niruri Rasmaya Niruri Rina Listryowati Rina Listyowati Rina Listyowati Rini Noviyani Sagun Chandra Yowani Sri Idayani Sri Idayani, Sri Suandana, Iwan Abdi Sundari, Made Nopy Diah WIDARSA WIDARSA Wijaya, I Putu Ganda Yaslis Ilyas

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