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All Journal Archive of Community Health Kesmas: Jurnal Kesehatan Masyarakat Nasional Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Jurnal Perempuan Public Health and Preventive Medicine Archive

Dinar Lubis

Departemen KMKP, Fakultas Kedokteran, UNUD

Author-ID : 309020

Humanities Health Professions Public Health

Published : 18 Documents Claim Missing Document

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IMPLEMENTASI KEBIJAKAN INISIASI MENYUSU DINI (IMD) DI RSU BHAKTI RAHAYU DENPASAR Ni Made Rahayu Pradnyasari; Dinar Saurmauli Lubis; Ni Komang Ekawati; Komang Ayu Kartika Sari; Desak Putu Yuli Kurniati
ARCHIVE OF COMMUNITY HEALTH Vol 9 No 2 (2022): Agustus 2022
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ACH.2022.v09.i02.p01

ABSTRAK IMD adalah meletakkan bayi diatas dada atau perut ibu dan membiarkan bayi mencari puting susu ibu pada satu jam pertama kelahiran. Tujuan penelitian ini untuk menggambarkan implementasi kebijakan IMD di RSU Bhakti Rahayu. Desain penelitian adalah deskriptif kualitatif. Informan utama penelitian yaitu bidan pelaksana dan perawat Unit Bedah Sentral. Informan pendukung yaitu ibu hamil dan ibu bersalin. Pengumpulan data dengan wawancara mendalam dan observasi. Strategi keabsahan data menggunakan triangulasi sumber. Terdapat SOP sebagai petunjuk kerja unit pelaksana, monitoring dilakukan setiap persalinan dan pembagian tugas dilakukan secara situasional. Jumlah, kompetensi dan pelatihan Sumber Daya Manusia sudah terpenuhi, ketersediaan fasilitas sudah baik. SOP disampaikan saat pelatihan dan KIE mengenai IMD diberikan saat ANC. Bidan sudah memiliki sikap mendukung tetapi ditemukan kesalahpahaman tatalaksana IMD. Hambatan pelaksanaan IMD adalah tidak ada ruang observasi khusus persalinan SC, kondisi ibu dan bayi dengan tindak lanjut medis dan kurangnya dukungan suami mendampingi saat bersalin. Kesimpulannya adalah implementasi kebijakan IMD sudah berjalan sesuai SOP walaupun terdapat kesalahpahaman tatalaksana IMD dan hambatan pada pelaksanaannya. Peran rumah sakit dapat dimaksimalkan untuk mendukung implementasi IMD sesuai SOP yang berlaku, bagi peneliti selanjutnya agar memilih topik serupa terkait implementasi IMD di fasilitas kesehatan dengan metode yang berbeda. Kata kunci : Implementasi, IMD dan rumah sakit ABSTRACT EIB is placing the baby on the mother's chest or stomach and letting the baby look for the mother's nipple in the first hour of birth. The purpose of this study is to describe the implementation of the EIB policy at Bhakti Rahayu General Hospital. The research design is descriptive qualitative. The main informants of the study were midwives and nurses of the Central Surgical Unit. Supporting informants are pregnant women and mothers giving birth. Data collection by in-depth interviews and observations. The data validity strategy uses source triangulation. There are SOPs as work instructions for the implementing unit, monitoring is carried out every delivery and the division of tasks is carried out situationally. The number, competence and training of Human Resources have been met, the availability of facilities is good. The SOP was delivered during the training and information about EIB was given during the ANC. Midwives already have a supportive attitude but there are misunderstandings about the management of EIB. Barriers to the implementation of IMD are that there is no special observation room for cesarean delivery, the condition of the mother and baby with medical follow-up and the lack of husband support during delivery. The conclusion is that the implementation of the EIB policy has been running according to the SOP, although there are misunderstandings in the management of EIB and obstacles to its implementation. The role of the hospital can be maximized to support the implementation of EIB according to the applicable SOP, for further researchers to choose a similar topic related to the implementation of EIB in health facilities with different methods. Keywords : Implementation, Early Initiation of Breastfeeding (EIB), hospital

Feasibility of implementing pranic healing as a complementary service: A case study at Sanglah General Hospital, Denpasar Desak Made Megawati; Dinar Saurmauli Lubis; Ida Bagus Gede Fajar Manuaba; Cokorda Bagus Jaya Lesmana
Public Health and Preventive Medicine Archive Vol. 9 No. 1 (2021)
Publisher : Universitas Udayana

Background and purpose: WHO supports the implementation of complementary therapy services in health facilities to increase comprehensive health services coverage. Sanglah Hospital is developing the pranic healing service as part of the development of Indonesia’s medical tourism and traditional health. This study aims to determine the extent to which the feasibility, obstacles, challenges, and opportunities of the pranic healing service implemented at Sanglah Hospital. Methods: This study employed a mixed-methods design with a case study approach. The data were collected from March to April 2020 using in-depth interview with 23 informants by collecting information on acceptance, readiness, requests, and service management. Documents and archival records were also collected. The survey data were collected using a selfadministered questionnaire from 40 respondents by collecting information on patients’ requests and acceptance aspects. The qualitative data analysis was performed thematically and presented in a narrative form. The survey data were analyzed using univariate analysis. Results: The pranic healing service received support from the Ministry of Health and the hospital management, had a good acceptance from health workers and patients, was the only complementary service of its kind in health facilities throughout Indonesia and had the potential for the development of medical tourism. Obstacles and challenges found were related to workforce management, regulatory readiness, referral systems, and the development of inpatient services. Conclusion: Pranic healing service could be implemented at Sanglah Hospital because they had substantial support and because of demand and acceptance aspects. However, obstacles and challenges on the implementation and practicality aspects should be overcome for the sustainability of this service. The pranic healing has a good potency since to date, it is the only one available in Indonesia which is also potential for the development of medical tourism.

Determinants of anemia in women of reproductive age in Indonesia: Secondary data analysis of the 2018 Indonesia Basic Health Research Putu Sri Utami; Luh Seri Ani; Dinar Saurmauli Lubis; Dewa Nyoman Wirawan
Public Health and Preventive Medicine Archive Vol. 8 No. 2 (2020)
Publisher : Universitas Udayana

Background and purpose: Anemia in women is a public health concern that is prevalent in developing countries. Women of reproductive age (WRA) frequently suffer from anemia, which can contribute to morbidity and mortality of mothers and their infants. The purpose of this study was to determine the prevalence and factors associated with anemia among women of reproductive age (WRA) in Indonesia. Methods: This study uses secondary data from the 2018 Indonesia Basic Health Research or Riset Kesehatan Dasar (Riskesdas) which was conducted in 34 provinces in Indonesia. The number of samples analyzed was 3,677 women aged 15-49 years who had data from interviews, measurements of height, weight, results of malaria\ tests, and hemoglobin levels. Data analysis was performed using multivariate logistic regression to determine the relationship between anemia and individual characteristics, nutritional and health status as well as environmental conditions and healthservice accessibility. Results: The prevalence of anemia among WRA in Indonesia was 25.3% (95%CI: 23.9-26.7). Factors which found to be associated with the prevalence of anemia in WRA were age <20 years (AOR=3.44; 95%CI: 2.22-5.35; p<0.001), underweight (AOR=1.48;95%CI: 1.08-2.05; p=0.017), obesity (AOR=0.68; 95%CI: 0.56-0.81; p<0.001) and the use of hormonal contraception (AOR=0.53;95%CI: 0.44-0.64; p<0.001). Conclusion: Based on the prevalence, anemia among WRA inIndonesia is categorized as a moderate public health concern and the most common risk factor for anemia was WRA aged <20 years and underweight. To reduce the incidence of anemia in WRA, interventions should be targeted at WRA aged <20 years and underweight

Implementation of six patient safety goals at a public health centre with in-patient services in Bali, Indonesia: A qualitative case study I Made Abdi Gunawan; I Made Ady Wirawan; Dinar Saurmauli Lubis
Public Health and Preventive Medicine Archive Vol. 9 No. 1 (2021)
Publisher : Universitas Udayana

Background and purpose: The Indonesian government requires all health care facilities including public health centres (PHCs) to implement a patient safety program as part of the accreditation standard process. The implementation of patient safety in PHCs have faced various problems, including human resources and infrastructure issues. This study aims to explore the implementation of patient safety target procedures in an accredited inpatient PHC in Tabanan District, Bali, Indonesia.Methods: We conducted a qualitative case study that adopts four main domains in patient safety, consisting of executive officers, community or patient who received services, systems in service delivery and methods, and elements in each domain. The research location was at Penebel I PHC, an inpatient PHC with the accreditation status of “utama”. Data collection was carried out from March to April 2020. It includes observation of the patient safety implementation, review on tracking patient safety documents and in-depth interviews with 11 informants who are PHC staff, patients’ safety task force and the family of patients. The data were analysed using thematic analysis by creating a grid of themes, sub-themes and data reduction to narrative presentation. Results:The patient safety procedure in Penebel I PHC has been carried out through the standard and procedure according to the Ministry of Health (MoH) regulation which consist of patient identification; communication between staff and patients; maintain the safety of High Alert and Look Alike Sound Alike (LASA) medications. However, there is a need to improve the capacity of implementing officers to increase their communication competencies as well as to enhance cooperation between officers in health services to avoid patient safety incidents. Conclusion:The implementation of six patient safety goals in-corporate through four main domains of health care services has been running according to the MoH’s standard. There is a need to improve the competence of officers, cooperation between officers in carrying out patient safety management and improve communication between officers and patients so that the information conveyed by officers is truly understood by patients.

Community participation in the utilization of village fund for stunting prevention: Case study in two villages in Gianyar District Made Ayu Diah Prabasari; Dinar Saurmauli Lubis; Ni Ketut Sutiari
Public Health and Preventive Medicine Archive Vol. 9 No. 2 (2021)
Publisher : Universitas Udayana

Background and purpose: The Indonesian government has set a target to reduce stunting prevalence from 27.7% in 2019 to 14% in 2024. There are 10 villages in Gianyar District have been selected as stunting loci since 2018, however, the percentages of the village fund utilized for health and nutrition were low. This research aims to identify the level of community participation in the utilization of village fund for stunting prevention in two stunting loci villages in Gianyar. Methods: This was a qualitative study using a multiple case study approach conducted in two stunting loci villages in Gianyar, Bali. Data collection was conducted from May to June 2020 through in-depth interview with 12 key informants. Thematic qualitative analysis was done using the ladder of participation concept with Arnsteinand political approach by Carpentier which involves several key concepts such as process, field, actor, decision making moment and power. Results: The level of community participation in the village fund utilization for stunting prevention was still in the of pseudo participation – Placation level. The majority of proposals or recommendation for stunting prevention program came from cadres of community health post, health care workers and the village assistants. Final decision making in the planning stage was largely depending on the village government. The community plays the role as program recipient. Several challenges for optimal utilization of village fund for stunting prevention were geographical condition, paternalistic leadership as well as the lack of understanding and capacity of key actors. Conclusion:The community participation in utilization of the village fund for stunting program in the two villages was in the vague participation level. The village government should provide more rooms to empower the community in order to increase their participation level.

Self-Efficacy of nurses in COVID-19 isolation room of Sanglah Hospital, Denpasar: A mixed-method study Rai Dewi Damayanthi Pande; Dinar Saurmauli Lubis; Cokorda Bagus Jaya Lesmana
Public Health and Preventive Medicine Archive Vol. 10 No. 1 (2022)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2022.v10.i1.p02

Background and purpose: Nurses' self-efficacy during the pandemic is different from their self-efficacy before the pandemic. Managing self-efficacy is one way to support nurses' mental well-being and resilience. This study aims to describe and determine factors related to nurses' self-efficacy in the COVID-19 Isolation Room of Sanglah Hospital, Denpasar, Bali Province. Methods: This is a mixed-methods study with a sequential explanatory design. In the first stage, a cross-sectional survey was conducted with a questionnaire in 132 nurses selected with total sampling. Statistical analysis was carried out using Chi-Square Test and Fisher's Exact Test at a 95% confidence level, to identify a relationship between nurses’ characteristics and sources of self-efficacy with their self-efficacy levels. Subsequently, qualitative in-depth interviews were conducted with 12 informants selected by purposive sampling. Qualitative data were analyzed using thematic analysis. Results: In the quantitative study, it was found that there was no relationship between the characteristics of nurses (age, gender, education level, years of service and training) and the level of self-efficacy (p>0.05). Meanwhile, the sources of efficacy (mastery experience, vicarious experience, social persuasion, physiological and emotional conditions) were found significantly associated with the level of self-efficacy (p<0.05). The qualitative study found that matters in line with these results, and other variables related to self-efficacy were personal, organizational, and external variables. Conclusion: Sources of self-efficacy that nurses can utilize, as well as opportunities and support provided by nurse leaders, developed self-efficacy in treating COVID-19 patients. It is necessary to increase the significance of sources of self-efficacy, personal variables, and organizational support to increase self-efficacy.

STUDI KUALITATIF PRAKTIK PEMBERIAN MAKAN BAYI USIA 0-2 TAHUN OLEH IBU YANG MENIKAH DINI DI KABUPATEN TABANAN BALI TAHUN 2020 Luh Erlanggita Narta Santi; Dinar Saurmauli Lubis; Desak Putu Yuli Kurniati
ARCHIVE OF COMMUNITY HEALTH Vol 9 No 3 (2022): Desember 2022
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ACH.2022.v09.i03.p09

ABSTRAKStatus gizi baduta sering dikaitkan dengan praktik pemberian ASI dan MP-ASI. Ibu yang menikah dini cenderung lebih awal menghentikan pemberian ASI dibandingkan dengan ibu yang umurnya sudah terbilang cukup dewasa. Penelitian bertujuan untuk mengeskplorasi praktik pemberian makan pada baduta oleh ibu yang menikah dini di kabupaten Tabanan. Penelitian ini menggunakan pendekatan kualitatif dan melakukan wawancara 5 ibu yang menikah dini beserta keluarga ibu sejumlah 5 orang informan pendukung. Analisis data menggunakan analisis tematik yaitu mengidentifikasi tema-tema dari transkrip wawancara dan hasil observasi maupun secara deduktif yaitu menggunakan teori planned behavior. Menggunakan triangulasi sumber dan metode. Hasil dari penelitian ini adalah semua informan penelitian tidak yang melakukan IMD, ASI Eksklusif, dan memberikan MPASI dini. Ibu tidak mengetahui mengenai teknik menyusui membuat beberapa ibu berhenti memberikan ASI. Adanya persepsi ketidakcukupan ASI yang mengakibatkan terjadinya pemberian MPASI dini. Ketidakberhasilan menyusui disebabkan kurangnya informasi dari petugas kesehatan serta dorongan keluarga dalam pemberian MPASI dini. Kesimpulan dalam penelitian ini adalah terdapat hambatan dan dukungan dalam pemberian makan baduta oleh ibu menikah dini. Selain karena persepsi ibu, keluarga dan petugas kesehatan juga berperan dalam pemberian makan baduta.Kata Kunci : Ibu Yang Menikah Dini, Hambatan, Dukungan

PEMAHAMAN IBU TENTANG PERMASALAHAN GIZI SERTA PERANNYA DALAM MENGATASI PERMASALAHAN GIZI BADUTA DI DESA BAN, KECAMATAN KUBU, KABUPATEN KARANGASEM, PROVINSI BALI Sangita Pina de Canossa Belo; Dinar Saurmauli Lubis
ARCHIVE OF COMMUNITY HEALTH Vol 10 No 1 (2023): April 2023
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ACH.2023.v10.i01.p11

Children who don’t get nutritional intake according to their needs can cause malnutrition which affects their growth and development process. Children aged 0-2 years will generally be very dependent on their mothers, because in this age group they need breast milk and full attention. The purpose of this study was to find out about mother’s understanding of nutritional problems and their role in overcoming nutritional problems of children under two in the village of Ban, Sub-district of Kubu, District Karangasem, Bali Province. This research is a qualitative research with a descriptive approach. The main informant of this research were 10 moms with children under two years old that selected by the sampling technique used purposive sampling method. The research was conducted in 10 hamlets in Ban village, Karangasem from July-October 2019. Data collected through in-depth interview and observation. Data were analyzed using thematic analysis techniques. The results showed the mother's understanding of nutritional problems was seen from the physical condition of the child, and the mother's understanding about the causes of nutritional problems were caused by a lack of food intake. Mother's role in overcoming nutritional problems are trying to meet the nutritional needs of children, paying attention to food safety and child hygiene, utilizing health services, and doing house cleaning activities. Obstacles that barrier mother's behavior in preventing undernutrition of children under two years old are: economy, distance, dry season, child refuse to breastfeed, busy, mother's health condition, living environment, belief and limited water. Suggestions that can be given are: Health workers routinely increase counseling related to the importance of fulfilling child nutrition and environmental sanitation; Mothers should buy a breast pump when they cannot breastfeed their children directly; Karangasem Health Office conducts tests on the quality of the water that is accessed to ensure water safety, and then conducts counseling activities to the community regarding proper and correct drinking water treatment processes. Keywords: Nutrition, Understanding, Role, Ban village

Co-Authors Anak Agung Sagung Ratu Putri Saraswati Ardrini, Dewa Ayu Mirah Astiti Muliantari Ayu Kartika Sari Cokorda Bagus Jaya Lesmana Cokorda Bagus Jaya Lesmana, Cokorda Bagus Jaya Desak Made Megawati Desak Putu Yulita Kurniati dewa ayu dian krisna dewi Dewa Nyoman Wirawan Dewa Nyoman Wirawan, Dewa Nyoman Dyah Pradnyaparmita Duarsa Gunawan, I Made Abdi I Made Abdi Gunawan I Made Ady Wirawan I Nyoman Mangku Karmaya I.A. Kharisma Dyah Intan Maharani Ida Ayu Sri Puspita Wati Ida Bagus Gde Fajar Manuaba Kadek Tresna Adhi Komang Ayu Kartika Sari LPL Wulandari Luh Erlanggita Narta Santi Luh Seri Ani Made Ayu Diah Prabasari Manuaba, Ida Bagus Gede Fajar Megawati, Desak Made Ni Ketut Sutiari Ni Komang Ekawati Ni Luh Putu Suariyani Ni Made Ari Febriyanti Ni Made Rahayu Pradnyasari Ni Putu Widarini Ni Wayan Arya Utami, Ni Wayan Arya Nur Saadah Pande Putu Januraga Prabasari, Made Ayu Diah Putra, I Gusti Ngurah Edi Putu Ayu Indrayathi Putu Ayu swandewi astuti Putu Sri Utami Rai Dewi Damayanthi Pande sang gede purnama Sangita Pina de Canossa Belo Sari Andajani Sari Andajani Sari Andajani, Sari Sari, Komang Ayu Kartika Sharyn Graham-Davies Sharyn Graham-Davies, Sharyn Sri Idayani, Sri Suryanti, Putu Emy Utami, Putu Sri

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