Articles
Predictors of childbirth services in Indonesia
Nuzulul Kusuma Putri;
Agung Dwi Laksono
International Journal of Public Health Science (IJPHS) Vol 11, No 2: June 2022
Publisher : Intelektual Pustaka Media Utama
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DOI: 10.11591/ijphs.v11i2.21324
The Government of Indonesian implemented maternal health service programs to minimize at-home childbirth services and increase mothers' utilization of its services. There is not enough evidence these policies are effectively decreasing the maternal mortality rate. Hence, this study aimed to analyze the predictors of each specific childbirth services in Indonesia. This study used the secondary dataset of the 2012 Indonesian demographic data survey (IDHS). The sample was 17,769 women ages 15 to 49 years old. We performed logistic regression for the multivariate case to identify the predictors of childbirth service. Geographical, education, and economic condition significantly predict childbirth services. Women who are not residents tend to use a community-based facility than institutionalized health. Women with higher parity, inadequate knowledge on pregnancy danger signs, lower antenatal care visits, and never had any discussion with their husbands about the planned place of giving birth tend to prefer giving birth at home than health facilities. Women's decision to use a safe childbirth service is hindered by demanding access to reach institutionalized healthcare. Our findings highlighted the importance of women empowerment to enable women to utilize safe labor in a health facility.
Social Media Analytics: Instagram Utilization for Delivering Health Education Messages to Young Adult in Indonesia
Odilia Firsti Wida Mukti;
Nuzulul Kusuma Putri
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 9 No. 1 (2021): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education
Publisher : Universitas Airlangga
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DOI: 10.20473/jpk.V9.I1.2021.36-43
Background: Social media marketing has become one of the most widely used forms of digital marketing in social marketing. Organizations that drive change in young people, such as the Center for Indonesia's Strategic Development Initiatives (CISDI), rely heavily on social media marketing in communicating various health issues to the public. However, only a few studies have used social media related data to understand the effectiveness of this media in the delivery of health issues. Objective: This study aims to analyze the utilization of social media marketing conducted by CISDI for delivering health messages and its impact to young adult in Indonesia using social media analytics. Methods: Real-time data were obtained through Keyhole as a social media analytics tool and audience insight of online and offline classes used for social analytic in this study. This research monitored the use of CISDI’s social media by using audience metrics and individual post metrics collected from April 2019 to April 2020. Online and offline class audience data were obtained from the CISDI engagement database which was used as a complement to audience metrics information. Analysis of metrics was used to describe the audience that had been reached by the Center for Indonesia's Strategic Development Initiatives, how health messages could engage with the groups of audience, and how social media marketing can move the audience. Results: The result of this study shows that social media utilization for delivering health messages brought impact on audience participation. Currently trending issues, such as sex education (average engagement rate = 14,43%). By promoting through social media, CISDI has engaged 10266 audience to participate in their classes. Conclusion: Social media utilization benefit CISDI in engaging audience and move them to participate in their cause.
How is The Coronavirus Outbreak Affecting The Daily Lives of University Students?
Dita Fahrun Nisa;
Nuzulul Kusuma Putri
JURNAL KESEHATAN LINGKUNGAN Vol. 12 No. 1si (2020): SPECIAL ISSUE
Publisher : Universitas Airlangga
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DOI: 10.20473/jkl.v12i1si.2020.137-144
Introduction: Covid19 disease is rapidly becoming a health problem in the world and has changed many aspects of human life. Many schools, including universities worldwide, have adjusted their way of the teaching method. While new online learning technologies have disrupted the sociocultural environment in higher education, there is a high possibility that students also faced a turbulent time. This study analyzed how the coronavirus outbreak affects the daily lives of university students. Method: This study used a cross-sectional study design which was conducted a month after the learning from home policy was implemented in Indonesia. We surveyed second and third-year university students about their experiences during this difficult time. There are 255 students of Public Health Bachelor Program responded to the survey. We asked what emotion they dominantly feel during the study at home period and how this pandemic changes their daily life. Their responses were analyzed using qualitative content analysis. Result and Discussion: The results showed that most students felt happy (41.51%) and the rest felt sad (34.38%) while studying at home. The other feelings are fear as much as 15.81%, surprise 7.91%, and anger 0.39%. We identified seven impacts of pandemic on the student's life. Four consequences related to the school closures, while three consequences related to the students development as human being. Conclusion: The study at home policy applies during the Covid19 pandemic has affected the lives of students both in their roles as students, adult and children in the family.
KOMPARASI ELASTISITAS PEMBIAYAAN PENANGGULANGAN PENYAKIT MENULAR DIREGIONAL JAWA BALI DAN PAPUA
Nuzulul Kusuma Putri;
Herti Maryani;
Thinni Nurul Rochmah;
Ernawaty Ernawaty
Buletin Penelitian Sistem Kesehatan Vol 21 No 2 (2018)
Publisher : Pusat Penelitian dan Pengembangan Humaniora dan Manajemen Kesehatan
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DOI: 10.22435/hsr.v21i2.287
The rapid growth and the various communicable diseases should be compensated with qualifi ed health programs. The programs’ budget should be able to meet the need of communicable disease intervention. In the era of decentralization, differences in the ability of each district in handling health problems could triger the disparity between districts. This research analyzes the difference of budget elasticity that existed in the communicable disease intervention between districts in Java Bali and Papua region. This is an analytical study which analyze the difference of communicable disease budget elasticity based on the geographic characteristics, fi scal capacity, and health status in each districts. The data is collected cross sectional in all districts that exist in Java Bali and Papua as the population. The difference of elasticity based on each indicator used in this study was analysed using independent t-test. The elasticity of communicable disease prevention fi nancing is different among districts with different public health index inJava Bali and Papua regional. Themajority of communicable disease budget in districts are inelastic, in both regions. It is different with the assumption that budget elasticity of communicable disease should be responsive. The budget elasticity of communicable disease in Indonesia is infl uenced by its health condition of each district. This condition is contrast to the ideal budget elasticity that should be elastic in accordance to the communicable disease problems. The use of economic assumption for further research should be concerns to the uncertainty of health characteristic. Abstrak Tingginya laju pertumbuhan dan bervariasinya jenis penyakit menular harus diimbangi dengan upaya penanggulangan yang responsif. Pembiayaan penanggulangan penyakit menular harus menyesuaikan dengan perkembangan penyakit menular. Di era desentralisasi, terdapat perbedaan kemampuan tiap daerah dalam pembiayaan kesehatan sehingga menyebabkan adanya disparitas penyakit antar daerah. Penelitian ini bertujuan untuk melakukan komparasi elastisitas pembiayaan yang telah dikeluarkan oleh pemerintah daerah dalam penanggulangan penyakit menular di regional Jawa Bali dan Papua. Komparasi ini dilakukan sebagai analisis lanjut Riset Pembiayaan Kesehatan tahun 2015 oleh Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI. Penelitian analitik ini melakukan komparasi elastisitas pembiayaan penanggulangan penyakit menular berdasarkan perbedaan karakteristik geografi , kemampuanfiskal, dan status kesehatan pada setiap kabupaten/kota yang ada di regional Jawa Bali dan Papua. Data dikumpulkan secara cross sectional pada Dinas Kesehatan kabupaten/kota yang ada di regional Jawa Bali dan Papua. Komparasi elastisitas terhadap setiap indikator yang digunakan dalam penelitian ini dianalisis menggunakan independent t-test. Elastisitas pembiayaan penanggulangan penyakit menular antar Kabupaten/Kota berbeda pada regional Jawa Bali dan Papua dengan IPKM berbeda. Kondisi pembiayaan penanggulangan penyakit menular yang seharusnya elastis, tidak terjadi pada kedua regional. Mayoritas Kabupaten/Kota cenderung inelastis dalam membiayai penanggulangan penyakit menular di masing-masing daerah. Elasitisitas pembiayaan penanggulangan penyakit menular pada Kabupaten/Kota di Indonesia dipengaruhi oleh kondisi kesehatan masing-masing daerah. Kondisi ini bertolak belakang dengan asumsipembiayaan penanggulangan penyakit menular yang harusnya responsif sesuai dengan masalah penyakit menular yang muncul. Penggunaan asumsi yang juga memperhatikan beberapa masalah kesehatan lain merupakan hal yang perlu digunakan pada penelitian selanjutnya.
THE EFFECTIVENESS OF FORMING BREASTFEEDING SUPPORT GROUP PROGRAM TO IMPROVE EXCLUSIVE BREASTFEEDING
Dewi Roudhotul Hasanah;
Nuzulul Kusuma Putri;
Andini Yulina Pramono
Indonesian Journal of Health Administration Vol. 8 No. 1 (2020): June
Publisher : Universitas Airlangga
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DOI: 10.20473/jaki.v8i1.2020.5-19
Background: Exclusive breastfeeding is a problem of maternal and child health in Indonesia. With Breastfeeding Support Group, exclusive breastfeeding is expected to improve. Sugihwaras Village and Sumbergede Village have been initiating Breastfeeding Support Group program. However, the framework of Breastfeeding Support Group program and intervention methods for pregnant and breastfeeding mothers in both villages were different.Aim: It analyzed the effectiveness of forming Breastfeeding Support Group program and intervention programs for pregnant and breastfeeding mothers to improve exclusive breastfeeding in Sugihwaras Village and Sumbergede Village.Methods: This study used a case study approach to the formation of Breastfeeding Support Group program. Comparative analysis was done descriptively by selecting samples from the Fieldwork Report of Group 14 and 15 in the period of 2017/2018, Faculty of Public Health, Universitas Airlangga. This study applied total sampling technique and descriptive analysis by comparing community’s characteristics (as input), a form of intervention and program management (as a process), and results of evaluating the formation of Breastfeeding Support Group (as an output).Results: Community’s characteristics in both villages tend to be similar, and the average duration of each program was the same. Sumbergede Village focused on the readiness of forming cadres for Breastfeeding Support Group program, while Sugihwaras Village focused on breastfeeding mothers and their husbands. Indicator analysis of the program showed that Sumbergede Village (80.00% achieved) had a 5.71% higher percentage of attainment compared to Sugihwaras Village (85.71% achieved). Analysis of the program’s strengths and weaknesses pointed out that Sumbergede Village had more values and power in resources in its region.Conclusion: The intervention program in Sumbergede Village tends to be more effective. It has greater potential to be a sustainable program in the following year to improve 100% exclusive breastfeeding. Keywords: Breastfeeding Support Group, exclusive breastfeeding, intervention, effectiveness.
REDESIGNING THE ROLES OF TUBERCULOSIS TREATMENT SUPPORTER IN INDONESIA
Khoiriningtyas Ayu Puspita;
Zeni Yanti;
Nuzulul Kusuma Putri;
Stefanus Supriyanto;
Nurul Atiqah
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 7 No. 2 (2019)
Publisher : Universitas Airlangga
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DOI: 10.20473/jaki.v7i2.2019.170-177
Background: Indonesia is the third-highest rank country for tuberculosis. Many studies already compared the effectiveness of the Directly Observed Treatment-Short (DOTS) course with self-administered therapy (SAT) in tuberculosis treatment and pointed out that DOTS did not improve the succession rate (SR) significantly. The participation of a tuberculosis treatment supporter that has an important rule in the DOTS strategy to improve the patients’ adherence in taking treatment should be reviewed.Aims: The study aims to analyze the determination of environmental factors in the effectiveness of tuberculosis treatment which can lead to the program improvement issue.Method: This research was a cross-sectional study conducted by involving 55 of 121 tuberculosis patients. The sampling frame was tuberculosis patients who were reported under the first and third quarters in Primary Healthcare Center of Tanah Kalikedinding as it had failed to reach the succession rate during 2012-2015.Results: These findings indicated that the social environment of tuberculosis patients significantly contributed to their adherence to taking medicine. It showed that tuberculosis treatment supporters had an essential role in maintaining the patients’ adherence. Tuberculosis treatment supporters who lived in one roof with the patient tended to get 2.265 times risk to be contagious. This study also pointed out that the physical environment had the highest determination in the success rate of treatment.Conclusion: Modifying the physical environment of tuberculosis patients can be the greater alternative program to fight tuberculosis rather than the tuberculosis treatment supporters. Tuberculosis treatment supporters must be provided with universal protection due to their high-risk position to be contagious.Keywords: treatment adherence, DOTS, patient environment, treatment effectiveness.
EDITORIAL: FROM REPRODUCTIVE HEALTH TO UNPREPARED HEALTH SYSTEM STRUCTURE: REMEMBERING WHY WE START THE DIGITAL HEALTH
Nuzulul Kusuma Putri
Indonesian Journal of Health Administration Vol. 8 No. 1 (2020): June
Publisher : Universitas Airlangga
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DOI: 10.20473/jaki.v8i1.2020.1-4
The COVID-19 pandemic brought blessings in disguise to how we should run the new era of digital health. As the developing country with unsolved health problems, Indonesia needs some “forces” to reach the new era of health digitalization. This era is the time to enter the new order of healthcare services. The Volume 8 Number 1 was prepared before the pandemic started, but the articles were totally related to the ongoing disruption. We published our current edition by underlining the prospective of digital health on their respect of old-fashioned health problems in Indonesia. Three main topics were covered in this edition; how we start the digital health, what should be prepared, and what health problems should be addressed.
HOW CRUCIAL IS THE WORKING ENVIRONMENT IN SUPPORTING THE PERFORMANCE OF HEALTH WORKERS?
Nuzulul Kusuma Putri
Indonesian Journal of Health Administration Vol. 9 No. 2 (2021): December
Publisher : Universitas Airlangga
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DOI: 10.20473/jaki.v9i2.2021.107-109
In the last semester of the second year of the COVID-19 pandemic, our journal emphasizes its current issue on the life of health workers as humans. We choose to underline the working environment condition as one of the super significant predictors of health workers’ performance, leading to a stronger health system in the future.
Empowerment of The Roadside Communities in Samirplapan Gresik Through Garbage Bank
Khuliyah Candraning Diyanah;
Nuzulul Kusuma Putri;
Aditya Sukma Pawitra
Darmabakti Cendekia: Journal of Community Service and Engagements Vol. 1 No. 2 (2019): December 2019
Publisher : Faculty of Vocational Studies, Universitas Airlangga
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DOI: 10.20473/dc.V1.I2.2019.39-44
Background: The partnership program with the community was held by establishing a garbage bank and a waste management center in Samirplapan Village, Duduk Sampeyan District, Gresik. Starting with the problem of partners, the large amount of waste generated due to being on the edge of the inter-city connecting road of Gresik- Lamongan that is often passed by many vehicles. The community still has not the knowledge to manage waste becomes more economic value. Purpose: this activity aimed to help the community in utilizing inorganic waste to be more economically valuable through the garbage bank system. While organic waste will be processed in each household into compost using the Takakura method. Methods: This activity ran for 6 months, beginning with the socialization of garbage banks to village communities, technical training, implementation of the garbage bank system, monitoring and evaluation, and development. The targets of this partnership program are PKK (community that focused on woman welfare) and community in Samirplapan village, which are mostly housewives. Results: A Garbage bank in Samirplapan village has been formed with 35 members, participants actively participate in garbage bank activities, and the knowledge of participants has also increased. In addition, participants were given training in handicrafts made from inorganic waste and how to make compost with Takakura. Conclusion: Garbage bank is one form of solution in handling waste problems by applying the principle of 3R (Reduce, Reuse, Recycle) based on community.
STUDENT-COMMUNITY PARTNERSHIP IN IMPROVING HEALTH LITERACY TOWARD NATIONAL HEALTH INSURANCE
Nuzulul Kusuma Putri;
Diansanto Prayoga;
Syifaul Lailiyah;
Ernawaty Ernawaty
Darmabakti Cendekia: Journal of Community Service and Engagements Vol. 2 No. 2 (2020): DECEMBER 2020
Publisher : Faculty of Vocational Studies, Universitas Airlangga
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DOI: 10.20473/dc.V2.I2.2020.70-75
Background: As of December 2018, BPJS Kesehatan has received application from 4,909 people to be registered as non-contribution assistance beneficiary (PBPU) through Gandrung JKN. Number of people to be registered to BPJS as non-contribution assistance beneficiary (PBPU) tends to fluctuate every month and tends to be stagnant in several districts, including in Licin Subdistrict. Most of people in Licin Subdistrict also not familiar with Gandrung JKN program. Objective: This student-community partnership is carried out to minimize the gap in community knowledge about what JKN is and the procedure to be registered in JKN scheme. Method: The role of students in the effort to introduce and register the community in JKN was designed by bringing the community closer to the Banyuwangi Gandrung Program. This community service consists of three stages, including activities in provisioning the students and health cadres about JKN and Gandrung JKN, direct socialization by students in the Licin subdistrict community, and efforts to provide closer access of community to BPJS Kesehatan. Results: The debriefing in the first stage was given directly by the Banyuwangi Branch BPJS Kesehatan to increase students' knowledge of JKN. Students then successfully carried out direct socialization to the Licin subdistrict community. Three villages were successfully accompanied and performed a high level of participation in the socialization session. Community service has also succeeded in bringing people closer to BPJS Kesehatan. Conclusion: The information conveyed in this activity was well received by the community because it was tailor-made according to the information needed by each family. Student assistance sharpens students' ability to communicate and understand JKN. Although the assistance succeeded in increasing the community's knowledge, in the short term it did not significantly increase the desire to register to become a JKN participant.