Indonesia Conference Directory

Corresponding Author
Wayne Freeman Chong Weien

Institutions
(a) Nanyang Technological University
(b) National University of Singapore

Abstract
Background: Stroke is the leading cause of long-term physical disability in Singapore, accounting for 6.1% of Disability-Adjusted Life Years. Despite the positive outcomes associated with stroke rehabilitation, only 33.3% of eligible stroke patients in Singapore use this service when referred. Purpose: We identified caregiver profiles based on their psychosocial needs, characterized profile movements over time, and investigated if these profiles differentiated patient-users of stroke rehabilitation from non-users. Methods: The full dataset comprises 378 patients who suffered from a recent stroke and their family caregivers, who completed measures of caregiver psychosocial need (burden, depression, health status, social support, social activities and relationship quality with patient) at baseline, 3-month and 12-month post-stroke. Latent profile analyses (LPAs) were conducted at each time point. Model fit indicators, entropy and the interpretability of competing solutions were considered when selecting an optimal profile solution. A latent transition analysis (LTA) was conducted with the optimal profile solution to characterize movements of latent profiles over time. Associations between caregivers- profile membership and patients- rehabilitation use over time were examined in a structural equation, with other caregiver and patient characteristics as covariates. Results: A two-profile solution, which comprises more adaptive caregivers (80.7% at baseline, 76.7% at 3-month and 87.4% at 12-month) and less adaptive caregivers, was selected. 31% of the less adaptive caregivers at baseline remained less adaptive at 12-month post-stroke (β = 2.15, p < .05). After controlling for covariates, the patients of more adaptive caregivers had 21.67 times higher odds of using, rather than not using, stroke rehabilitation (β = 2.64, p < .01) at 12-month post-stroke. Conclusion: Caregiver psychosocial need profiles differentiated longer-term stroke rehabilitation users from non-users. To increase patients- stroke rehabilitation use, direct caregiver psychosocial intervention should be provided at or before patients- discharge from acute hospital, and continue into the longer-term.

Keywords
caregiver, psychosocial needs, stroke rehabilitation, latent profile analysis, latent transition analysis

Topic
Health Policy, Services and Economic

Link: https://ifory.id/abstract/jcv7khZB6TFC

Corresponding Author
Budi Aji

Institutions
School of Public Health, Faculty of Health Sciences, Jenderal Soedirman University, Purwokerto, Central Java, Indonesia

Abstract
Background: For nowadays the online mass media has prominent role in informing the public related to the certain issues such as public health concern to the audiences who have no direct knowledge or experience. Purpose: We conducted an online mass media analysis in Indonesia in order to explore one dimension of climate change impact issue for public health. Our focus was whether and how online mass media construct public awareness in response to the impact of climate change on human health. Methods: We developed a search strategy consisting of three progressively more delimited phases. First, we searched major publication for articles in online mass media in Indonesia published from 2009 to 2014. The list of online media was provided by the National Library of Indonesia. Second, we selected articles employing general and specific set of criteria. Lastly, we coded the selected articles to track article characteristics and identify common themes. Climate change articles with a human health focus were included. A media content analysis was applied to guide the interpretation of the data. Results: We identified that online media have limited information around the impact of climate change on human health. News reporting of climate change impact on human health has constructed uncertainty around the issue that led to disengagement in relation to possible changes in public behaviors in particular the adaptation and mitigation efforts. Moreover, the communication of climate change from scientists and policy-makers to the public via the online mass media has been a subject of major interest because of its implications for creating public awareness of a climate change impact issue on public health. Conclusion: Online mass media might help in the development of better informed public debate about climate change issue. It therefore needs efforts to create effective proactive-online media engagement strategies in making the public understand.

Keywords
Climate change, human health, online mass media, content analysis, Indonesia

Topic
Health Policy, Services and Economic

Link: https://ifory.id/abstract/6FwuCfh4mabP

Corresponding Author
DWI HARTATI

Institutions
AISYIYAH YOGYAKARTA UNIVERSITY

Abstract
ABSTRACT Background: In the current global era, a health worker is demanded to provide a good quality of health services. Good quality services can be obtained through good collaboration among medical workers such as medical doctors, nurses, and pharmacists as teamwork. One effort to realize effective collaboration among health workers is early collaboration during the learning process, namely, conduct joint training among health-majoring students using Interprofessional Education Strategy. The aim of this systematic literature review is to conclude and to examine the literature in the effectiveness model of interprofessional education (IPE). Methodology: the stages of the systematic literature review that are used namely: identifying problems, determining priority problems, determining research questions, determining framework (PEOS), critical appraisal, data extraction, and mapping. Examination for relevant literature are taken from three main databases namely (Pubmed, One Search and Science Direct) Results: A total of 17 publication journals are fulfilled to the inclusion criteria. Thematic analysis is carried out to identify the main points. The researcher classifies the main points, namely the model in interprofessional education and effectiveness in inter-professional education. Conclusion: Several models in IPE that can significantly improve interprofessional collaborative performance among the participants. Additional provision for the inclusion of initial IPE, simulations, and workshops in health professional education can generally encourage better communication and collaboration between health professional students. Interprofessional education leads to increased attitudes towards interprofessional teams and inter-professional learning, as well as abilities in interprofessional teams, and confidence, knowledge, and ability to manage people with long-term conditions. Demonstrate that the provision of interventions is proven directly and effectively contribute to the development of health professionals who are ready to collaborate with other health workers in order to improve service to the patients.

Keywords
Interprofessional Education, Model, Effective

Topic
Health Policy, Services and Economic

Link: https://ifory.id/abstract/bNQfLDBKxa6v

Corresponding Author
Carlo Bryan C. Borrico

Institutions
1System Plus College Foundation
1,2 Holy Angel University

Corresponding author: Dr. Carlo Bryan C. Borrico (borrico.Carlo[at]auf.edu.ph)

Abstract
The Philippine government tried its best to design a law for senior citizens while Filipino families took care of their senior citizen member. They designed a law that recognized the contributions of senior citizens in nation building. However, in the report of Dr. De Leon (2014), even though senior citizens have identification card as their single most important document to access their benefits and privileges, what was identified as a gap is the supply side i.e., limited availability and accessibility of health services and medicines, issues related to access of mandated senior citizen benefits. This aimed to describe the level of awareness on the rights, benefits, privileges, and health services of elderly residing in Barangay Dau. A descriptive design was used. Self-made questionnaire to capture awareness and availment of elderly rights, benefits and privileges was used. Frequency, percentage, mean, and standard deviation were used. The result revealed that all of the participants were aware of grant of twenty percent (20%) discount from all establishments and provision of express lanes for senior citizens in all commercial and government establishments and reported they availed it. However, it is noticeable that all participants are not aware of the free medical and dental services in government establishments and the monthly stipend five hundred pesos (Php500.00) for indigent senior citizens. On the other hand, out of 92.5 percent participants who were aware of the continuance of the same benefits and privileges by GSIS, SSS, PAGIBIG, only 53.3 percent availed it. Lastly, out of 98.8% participants who were aware on mandatory PhilHealth coverage, only 93.5% availed it. It is important for health administrator and health worker to strengthened their information dissemination to increase the elderly awareness and to avail their rights, benefits and privileges.

Keywords
Elderly, Aging, RA 9994

Topic
Health Policy, Services and Economic

Link: https://ifory.id/abstract/NdF7PxeACYaE

Corresponding Author
Indro Haryono

Institutions
Universitas Negeri Jakarta

Abstract
Background: This research is to evaluate the program carried out by coaching student education and training centers (PPLOP) in Central Java. Purpose: This study aimed to determine evaluation on the students- sports training and development center (PPLOP) program in Central Java Methods: Evaluation research with quantitative and qualitative approaches. The evaluation program was carried out to determine the achievement of predetermined targets and then make decision on those programs. This evaluation study used the CIPP evaluation model (context, input, process, and product). Results: The total score of the result in the context evaluation was 789 (77.35%) of the maximum score of 1020 with good interpretation. The total score of the result in the input evaluation was 1509 (61.34%) of the maximum score of 2460 with good interpretation. The total score of the result of the process evaluation was 1202 (80.13%) from the maximum score of 1500 with very good interpretation. The total score of the result in the product evaluation was 426 (88.75%) of the maximum score of 480 with very good interpretation. The recommendations for the evaluation include: 1) Continuing the PPLOP program in Central Java; 2) Improving stakeholders- coordination to support the implementation of PPLOP Central Java program; 3) Maintaining the quality standard of facilities needed in the training and competition; 4) Government should give more funding support so that the process of training in PPLOP program can run more optimally. Conclusion: This study shows that the CIPP model used in evaluating PPLOP Central Java has been going well. As for a number of criteria that have not gone well, namely in funding that has not run optimally, the exercise of pocket books for athletes is not yet available. In the competition, not all sports included in the PPLOP participate in the PPLOP championship to entered PPLOP in the agenda to be included in the PPLOP championship, in the implementation of the academic program there needs to be a policy related to the specific curriculum for athletes, in the implementation of athletes and coaches welfare programs, and an increase in the amount and process of disbursing athletes pocket money to trainers on time.

Keywords
evaluation, training, and development

Topic
Health Policy, Services and Economic

Link: https://ifory.id/abstract/Q9YVpcv2F6JU

Corresponding Author
Arih Diyaning Intiasari

Institutions
1Public Health Program, Faculty of Health, Universitas Jenderal Soedirman
2Public Health Department, Faculty of Medicine, Universitas Gadjah Mada

Abstract
The participants expansion of BPJS Kesehatan, especially for participants of the informal sector (PBPU) are faced with several problems, one of the problem was late payments of contribution payments per month by participants who have already registered. Data from BPJS Kesehatan Purwokerto showed if approximately 57.84% of the participants had experienced late payments in contribution in 2015. The purpose of this study was to find out the factors which have effect of late payments in paying the contribution of BPJS Kesehatan to the participants PBPU in Banyumas. This study was a quantitative research by case control approach. Based on the result of multivariate analysis of twelve independent variables were only four variables that had effect of late payments in paying the contributions of BPJS Kesehatan with values of CI 95%, which are variable age <35 years (p- value = 0.000), the economic status (quintile 1) (p-value = 0.000), number of family members ≥ 5 person (p-value = 0.011), and the value of CI 90% are married status (p-value = 0.059). Improving socialization of regulations and consequences of late payments of BPJS Kesehatan, increasing participants awareness of the importance have healthcare insurance continuously and give priority to the basic health needs at the household expenses are efforts that could be done to reduce the number of late payments in the premium payments of BPJS Kesehatan to the participants of informal sector community

Keywords
Participants of PBPU, late payments, premium payments of BPJS Kesehatan

Topic
Health Policy, Services and Economic

Link: https://ifory.id/abstract/p8vRVnKZ67Ct

Corresponding Author
Ayun Sriatmi

Institutions
Faculty of Public Health, Universitas Diponegoro

Abstract
Background: Antenatal classes orientation to increase knowledge, attitudes and practices of pregnant women in prevention of complications and antenatal visits. It-s performance was measured through input-process-output indicators. Process indicators are important because measuring its implementation which leads to meeting the needs and satisfaction of mothers. The low participation in antenatal classes was the effect of not optimizing process, both from dimensions of facilitators, participants and implementation. Purpose: The study purpose was explaining antenatal classes performance based on the success indicators of process from mothers perspective. Methods: A qualitative research exploring performance of antenatal classes from the success indicators of process. The main informants as many as 8 pregnant women participants of antenatal class were selected by snow-ball sampling from 5 PHC in Semarang city. Testing of validity and reliability with source triangulation. Data was collected by indepth-interviews and analyzed by content analysis. Results: The implementation of antenatal classes did not meet mothers expectation who are participants. In facilitator dimensions, conventional learning with face-to-face methods were felt to be ancient, monotonous, less interesting and boring. Communication and interactions were one-way and some information received even frightening some mothers. The tools used were simple and inattractive. In participant dimension, frequency of attendance was lacking because busy with housework and generally classes take place in the morning. Intensity of discussion was lacking because all materials already exists in MCH Handbook and could be read at home. Barriers to implementation dimension especially at the timing of activities that were not in accordance with time availability of mothers. Conclusion: Implementation time, perceptions and methods were obstacles to performance process. Continuous socialization, improving the ability of positive communication techniques and strengthening networks become the solving strategies. Need to development of comprehensive and creative health education model.

Keywords
Indicator Process, Performance, Antenatal Class.

Topic
Health Policy, Services and Economic

Link: https://ifory.id/abstract/yrkzLg2ZQnRT

Corresponding Author
Alamsyah Alamsyah

Institutions
Department of Public Administration, Sriwijaya University, Palembang, Indonesia

Abstract

Keywords
NPF, e-health, ICT, internet, SDGs, Indonesia

Topic
Health Policy, Services and Economic

Link: https://ifory.id/abstract/Nrtwq2H9xEKX

Corresponding Author
Nikie Astorina Yunita Dewanti

Institutions
Faculty of Public Health, Universitas Diponegoro

Abstract
Background: Immunization is the basic right for children to provide immunity to babies and children avoiding certain diseases. Immunization was optimally beneficial when given complete within the specified time period. The facts showed many parents do not immunize their children on schedule and tend delayed. The indicators of immunization program also only emphasize completeness rather than on timeliness immunization. Purpose: The study objectives was analysing the timeliness of complete basic immunization for children aged 12 to 23 months. Methods: An observational study with mix-method design and cross-sectional approach. Population are all children aged 12-23 months in Semarang City, and sample of 689 children randomly determined from all PHC. Information about reasoning for incomplete and inaccurate immunization was carried out by in-depth interviews with six mothers as key informants. Immunization status was obtained from MCH Handbook. Result: As many as 98.25% children have received basic immunization, although not all complete. Measles immunization was the most immunization that has not been received by children (13.35%), followed Polio-4 (8.27%) and DPT / HB / HiB-3 (7.4%). Immunization of HB-0 was a most timely immunization given (96.28%), followed by DPT / HB / HiB-3 (90.13%) and Polio-4 (85.44%). Measles immunization was the least timely (56.96%), followed by BCG (38.50%). Parents consider late immunization was no matter compared to not immunization. The source of information about immunization was generally obtained from health workers and cadres. Conclusion: Factors of understanding and socio-cultural were related to practicing of children immunization.

Keywords
timeliness, complete immunization, children aged<2 years old

Topic
Health Policy, Services and Economic

Link: https://ifory.id/abstract/mNZB3arHucwM