Indonesia Conference Directory

Corresponding Author
Mahendro Prasetyo Kusumo

Institutions
1Department of Health Behaviour, Environment and Social Medicine, Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada, Yogyakarta, Indonesia
2Department of Health Policy and Management Faculty of Medicine, Publich Health and Nersing Universitas Gadjah Mada, Yogyakarta, Indonesia
3Departement of Physiology Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada, Yogyakarta, Indonesia
4Department of Public Health, Universitas Muhamadiyah Yogyakarta, Indonesia
5Master of Hospital Management, Postgraduate Program, Universitas Muhammadiyah Yogyakarta, Indonesia

Abstract
Background: This study aims to explore patient-s perceptions about dietary control, including barriers in blood glucose controlling of type 2 diabetes mellitus (DM) patients in the majority of the Javanese population. Method: This study used qualitative design. The researchers conducted a Focus Group Discussion Session (FGD) in primary health care. Most participants were Javanese. The FGD was used to get answers about questions related to the participants diet in Javanese culture, including challenges and their actions to control blood glucose. Results: Fourteen DM type 2 patients- age were 18-70 years old with Javanese culture experienced dissection. Participants were mostly female (n: 9), and the distribution pattern showed all participants were Javanese (n: 14). When the researchers asked some participants from low socioeconomic status about food control, they explained that food served when visiting people-s houses could not be refused, including fried food. Some patients had a culture of having to eat all the food served. Conclusion: People with DM type 2 have the perception that to respect the host, they must eat the food served. Practical implications: This study explores patient perspectives on food control in the Javanese population. Background In 2048, the International Diabetes Federation estimates an increase in the number of DM by 48%. In 2017, Indonesia ranked in the top five of DM in the world (1). Based on the 2018 Basic Health Research report, Yogyakarta was in the 3rd rank with the highest number of DM sufferers in Indonesia (2). Indonesia is one of the countries with the highest mortality due to DM (1,3). The high number of deaths causes economic impacts due to the loss of productivity and high medical costs (4). DM is one of the four main factors of death due to non-contagious diseases (1,3). The DM management recommendation emphasizes improving the quality of life by maintaining the blood sugar level, the blood pressure, and the bodyweight within the normal limits. Controlling the diet, keeping exercise, and using the drugs routinely can help control the blood sugar level (1,5–7). The food pyramid is one method that can help patients in choosing foods based on existing food content. The food pyramid explains that people should consume processed wheat products because they have more nutrients and fiber. Fiber will help stabilize the blood sugar levels and encourage the intestinal function (8,9). Diabetes Mellitus (DM) can increase the risk of heart disease, so it is recommended to choose products that contain lots of omega-3 derived from grains (8,10). Diet control has an essential role in controlling the blood sugar level (1,5) and preventing overweight or obesity (11). DM patients should avoid sugar, sweet, and fatty foods (5,12). Yogyakarta is a region that still maintains the ancient tradition, but also embraces the new behavior due to the effects of globalization and immigration. It-s a regi

Keywords
dietary control, DM type 2, Javanese culture

Topic
Public Health Issue

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

Corresponding Author
Lukman Prayitno Prayitno

Institutions
National Institute Of Health Research and Development
Center for Research and Development of Humanities and Health Management, Ministry of Health Republic of Indonesia, Jakarta, Indonesia

Abstract
Introduction: On September 28, 2019, there was an earthquake followed by liquefaction, landslides and tsunamis in Palu City, Donggala and Sigi Regencies. Disasters cause many victims and health problems. Diarrhea and dysentery were influenced by the worsened of environment and sanitation caused by disaster. Methods: Qualitative research with indepth interviews to officer of Central Sulawesi Provincial Health Office, officer of Sigi District Health Office, Head of Puskesmas. Respondents must cite operational evidence based on direct experience. Analyze results with qualitative content. The study was conducted in February - March 2019. Results: an increase of diarrhea cases from 1.76x to 4.1x after the disaster. No cases of dysentery were reported before and after the disaster. Projections of WASH disorders and diarrhea occur up to 12 months after the disaster. Dysentery are not projected as a health problem. There were increasing of refugees in the first week after the disaster from 15000 to 93000 after 4 months. There were increasing of refugee camps from 10,000 to 90,000. The number of refugee vulnerable groups is 46,961 and 57.51% of infants and children. Conclusion: There was an increase in diarrhea and WASH disruption cases in Sigi district, but no cases of dysentery were reported before and after the disaster. This relates to the number of places of refuge that is less than the number of refugees, the high percentage of vulnerable groups of infants and children.

Keywords
Disaster, Sigi Regency, Diarrhea, Dysentery

Topic
Public Health Issue

Link: https://ifory.id/abstract/YLxZfCj9hNAX

Corresponding Author
Agung Dwi Laksono

Institutions
a. National Institute of Health Research and Development, the MOH of the Republic of Indonesia
b. Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia

Abstract
Background: Although hospital services were available, urban poor people often have limited access to hospitals when needed. This situation could occur because of their ignorance, or because they did not have health insurance. This study was conducted to analyze the determinants of childbirth in a hospital in urban poor women in Indonesia. Methods: The analysis in this study uses raw data from the 2017 IDHS. With stratification and multistage random sampling, 7891 women aged 15-49 years in urban poor communities with live births in the last 5 years were sampled. Data were analyzed using a Binary Logistic Regression test. Results: "Problems during pregnancy" was not proven as a determinant of the hospital use for delivery in urban poor women in Indonesia. Age was proven to be one of the determinants, while in the education level category, urban poor women with tertiary education were 2.506 times more likely to use hospitals for delivery than urban poor women who were not in school (OR 2.506; 95% CI 1.059-5.929). Parity was significantly proven as one of the determinants that influence the use of hospital for delivery in urban poor women in Indonesia. Urban poor women who were covered by health insurance have 1.933 times more possibility of utilizing hospital for delivery than those who do not have health insurance (OR 1.933; 95% CI 1.744-2.143). Conclusion: Variable "problem during pregnancy" was not a predictor of the hospital use for childbirth in the urban poor community in Indonesia. The determinants or variables that influence, on the hospital use for childbirth were age, education level, parity, and ownership of health insurance.

Keywords
urban poor community, pregnancy problems, wealth status, childbirth, facility-based childbirth

Topic
Public Health Issue

Link: https://ifory.id/abstract/LjZYKty3TM9R

Corresponding Author
Nindya Putri Pamungkas

Institutions
(1)Center for Public Health Innovation, Faculty of Medicine, Udayana University, (2)Global Alliance for Improved Nutrition (GAIN), Indonesia

Abstract
Background: Provision of early initiation of breastfeeding in health care facilities by applying ten steps to successful breastfeeding (STSB) is formally regulated; however, its implementation is still facing many problems. This study aimed to assess the implementation of 10 STSB in various health care facilities in East Java. Methods: Cross-sectional study with a total sample of 372 respondents consist of 242 health facility managers and 130 post-partum mothers for data validation was conducted from February until April 2019 in five districts in East Java covering Bondowoso, Jember, Probolinggo, Surabaya and Trenggalek. Data collected through questionnaire adapted from BFHI Unicef/WHO using Epicollect5 application. Results: The compliance of all steps in 10 STSB policy in the health care facilities at the five districts was below 30%. The criteria presented high compliance were step 8 (encouraging mother to breastfeed) and step 9 (breastfeeding support group) with mean compliance of 93% and 82% respectively. While the reminding implementation of other steps showed low conformity, the step 1 (written policy), step 2 (training to medical and nonmedical staff), step 4 (skin to skin contact), and step 7 (rooming-in practice) showed mean compliance of only 40.2%, 44.7%, 20.8% and 28.5% respectively. Regarding the validation result, some criteria pointed significance difference namely in step 3 (breastfeeding information), step 4 (skin to skin contact) and step 7 (rooming-in practice) where the health facility reported higher compliance compared to actual practices reported by mothers. Conclusion: Less than half of all health facilities in the five districts complied to all the 10 STSB with lowest mean compliance were regarding written policy, training, skin to skin contact and rooming-in practice. Future steps taken should be to encourage health facility manager to formulate 10 STSB policy and conduct training for staff to improve implementation of other steps.

Keywords
Breastfeeding, BFHI, 10 STSB

Topic
Public Health Issue

Link: https://ifory.id/abstract/m3WJgNMkrFvz

Corresponding Author
Haerawati Idris

Institutions
a), b) Department of Health Policy and Administration, Faculty of Public Health, Sriwijaya University, South Sumatera
*haera[at]fkm.unsri.ac.id

Abstract
Malnutrition is a fairly high nutritional problem. It is related to the future generation of a smart and healthy nation. The impact caused by malnutrition can affect to the intelligence and productivity during adulthood. The government released an additional feeding program to address nutritional problems in Indonesia. The study was aim to analyze the supplementary feeding program for under-five children under five at Payakabung Health Center, Ogan Ilir Regency. This research is a qualitative research. The sampling technique was purposive sampling. Data were analyzed using content analysis. The research informants were the Head of the Payakabung Health Center, the nutrition head of the Payakabung Health Center, the village midwife, the Posyandu cadre and the mother of toddlers. Based on the four components of the evaluation of supplementary feeding programs, five variables are still a problem in program implementation. The unavailability of a special building for PMT product storage, monitoring has not been carried out properly, so the target has not been obedient in consuming PMT products because some targets do not like the product or the target family also consumes the product. The implementation of the supplementary feeding program is generally good, but several things must be corrected. Recommendations are that monitoring activities in the implementation of the program must be further enhanced and should use the latest supplementary feeding guidelines and use special product storage buildings.

Keywords
Evaluation, supplementary feeding, malnutrition, toddlers

Topic
Public Health Issue

Link: https://ifory.id/abstract/6LkzK8p9ZEVj

Corresponding Author
Eha Sumantri

Institutions
aPublic Health Study Program, Tamalatea College of Health Sciences, Makassar
bNutrition Study Program, Public Health Faculty, Universitas Hasanuddin, Makassar

Abstract
ABSTRACT Objective The study aimed to analyze relationship between food pattern, mothers- knowledge, family income and nutritional status among children aged 12 to 59 months in Tamalanrea Public Health Center, Makassar City, Indonesia Methods The study used cross sectional study which involved 70 children through purposive sampling method. Food pattern was defined as nutrient intake of energy, carbohydrate, protein and fat. It was collected using food recall 24-hours questionnaire. Mothers- knowledge and family income were collected using developed questionnaire. Children body weight was assessed using standardized and validated weight scale. Nutritional status was defined as body weight for age and categorized based on WHO Anthro plus software. Chi-square test was performed to analyze all variables through SPSS software. Results There were significant relationship between energy, carbohydrate, protein, fat intake and nutritional status among children aged 12 to 59 months (P-value < 0,005). The similar result was showed between mothers- knowledge and nutritional status (P-value < 0,005). In contrast, there were not significant relationship between family income and nutritional status. Conclusion In order to maintain good nutritional status among under-five children, recommended nutrient intake is very important as well as mothers- knowledge in prepare and produce nutritious food for their children.

Keywords
KEYWORDS: Food pattern, nutritional status, under-five children

Topic
Public Health Issue

Link: https://ifory.id/abstract/X7z4Ce9TLBbD

Corresponding Author
Sri Sundari

Institutions
1.2 Magister of Hospital Management, Universitas Muhammadiyah Yogyakarta
3. Department of Obstetrics and Gynaecology, Universitas Muhammadiyah Yogyakarta.
4. Nordakademie University of Applied Sciences, Hamburg/Elmshorn, Germany
5. School of Nursing, Universitas Muhammadiyah Yogyakarta

Abstract
Background: One of the objectives in Millennium Development Goals (MDGs) is the decreasing of maternal mortality rate (MMR). Currently, by the end of MDGs in 2015, MMR in Indonesia is recorded at 359, out of the target that should be decreased to 102. To overcome this problem, in South Sulawesi has established maternity waiting home (shelter) but its utilization is not yet optimal. Method: This is a research to find constraints faced in the utilization of shelter at East Sulawesi. The qualitative study will be designed as a need assessment tool. The methods of data collecting use were FGD and in-depth interview. Research respondents were consisting of provincial policy maker, head of the health department district and midwives from Bulukumba, Bantaeng, and Makasar. Result: The results of the study found that the shelter is a residential house with facilities of beds and household appliances. Rental fees for housing and meals were provided free of charge. All fees are covered by Government insurance for pregnant women using Jampersal scheme. A pregnant woman did not have any activities and without any companion from health personnel when living in a shelter. Besides, pregnant women felt more comfortable living near their family. As a conclusion of the research, there are some limitations in the utilization of shelter such as human resources, cost, the psychological condition, education, and facilities. Therefore, it is necessary to find the effective solution to optimize the use of the shelter.

Keywords
maternal mortality rate, decrease, shelter, mid-level providers

Topic
Public Health Issue

Link: https://ifory.id/abstract/mHx9MkjQVEq7

Corresponding Author
Sukri Palutturi

Institutions
1 Department of Health Policy and Administration, Faculty of Public Health Hasanuddin University, Makassar Indonesia
2 Department of Hospital Management, Faculty of Public Health Hasanuddin University, Makassar Indonesia
3 Faculty of Law Hasanuddin University, Makassar Indonesia

Abstract
Abstract Objective: Hospitals are quite complex workplaces. Health workers, patients and families of patients interact with various backgrounds and often ignore health and environmental aspects, including smoking behavior. This paper aimed to discuss effective strategies for implementing non-smoking areas in hospitals, Indonesia. Method: This research used a systematic literature review. Various references were gathered from online databases including ProQuest and journals. 5,598 dokumen yang berkaitan dengan non semoking area di rumah sakit dalam lima tahun terakhir. Jika difilter terdapat 459 artikel terutama yang berkaitan dengan scholarly journals. The articles were screened according to research objectives. Some relevant articles published by using Indonesia were added. The keywords used are non smoking area, hospital, Indonesia. Results: This study found that creating healthy behavior in the hospital is important, besides the hospital functions as a health care provider. The application of Ottawa Charter strategies consistently and sustainably is an effective way to control how the hospital community does not smoke in the hospital. Strengthening the strategy is on building Healthy Public Policy; Createing Supportive Environments; Strengthening Community Actions; Developing Personal Skills; and Reorienting Health Services. Conclusion: This paper suggests that some global strategy indicators can be adapted to local needs in hospitals in Indonesia. The evidence-based research on the challenges of applying non-smoking areas in hospitals needs to be examined further.

Keywords
Stop Smoking, Hospitals, Systematic Review, Indonesia

Topic
Public Health Issue

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

Corresponding Author
Kusbaryanto Kusbaryanto

Institutions
Department of Public Health an Family Medicine, Faculty of Medicine and Health Sciences, Muhammadiyah University of Yogyakarta

*Corresponding author
E-mail address: koesbary[at]yahoo.co.id

Abstract
Abstract Objective: The insidence rate of microbial exposure remains high among nurses. Paramedics play a vital role in transmitting the nosocomial infection in the hospital. This research aims to analyze the education effectivity of MRSA IPC with directive discourse to improve handwashing compliance among nurses. Methods: This is a quasi-experimental research using pretest-posttest non-control design and has obtained an ethical approval certificate issued by the hospital ethical committee. The research subject is a group of 25 nurses. Results: The data test uses Wilxocon test to determine the measuring result of handwashing compliance before and after the treatment. The value of p = 0.018 (p < 0.05) means there is a difference before and after the treatment. As the handwashing awareness increases, so does the compliance. Conclusions: The education of MRSA IPC with directive discourse is effective to improve the handwashing compliance among nurses in the hospitals.

Keywords
KEYWORDS: Effectiveness of education, Infection control, Directive discourse, Handwashing, Compliance

Topic
Public Health Issue

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

Corresponding Author
Kusbaryanto Kusbaryanto

Institutions
Medical and health science faculty of Muhammadiyah University of Yogyakarta

Abstract
Background: The rate of the microbial exposure incidence among nurses through a variety of ways remains high. Paramedics play a vital role as a medium of nosocomial infection transmission in hospitals, especially the spread through direct contact. The purpose of this research was to analize of the effectiveness of education of MRSA infection prevention and control using directive discourse with improve compliance hand washing among nurses in hospitals. Methods: This was quasi-experimental research using a pretest-posttest non-control design. The research subject consisted of a group of 25 nurses. This research has obtained the certificate of ethical approval issued by the Hospital Ethical Committee. Results: To determine the results of measuring hand washing before and after the treatment, Wilcoxon test was undertaken to these data and the value of p = 0.018 (p < 0.05), meaning that there is a difference in the compliance with hand washing before and after the treatment. The increased compliance was also resulted from the increased awareness relating to the importance of hand washing. Conclusions: The auditing guidelines for MRSA infection prevention and control using directive discourse were effective for improving compliance with hand washing among nurses in hospitals.

Keywords
: Effectiveness of Education, Infection Control, Directive Discourse, hand washing, compliance

Topic
Public Health Issue

Link: https://ifory.id/abstract/AbrR3MgUfWeD

Corresponding Author
septa katmawanti

Institutions
UNIVERSITAS NEGERI MALANG,EAST JAVA

Abstract
Abstract: The incidence of Dengue Hemorrhagic Fever (DHF) is still a health problem in Indonesia. In Malang City the number of dengue cases in the last 3 years has increased. The study aims to determine the sociodemographic and environmental relationship with the incidence of dengue hemorrhagic fever in the city of Malang This study uses a correlational method with chi-square statistical test (X2). The test was used to determine the relationship between sociodemography and the environment with Dengue Fever in Malang. This type of research uses a Case control design. Research subjects were 188 respondents. Research instruments in the form of questionnaires, observation and interview techniques. The results showed variables that were significantly associated with the incidence of DHF were mobilization (x2 count 48.77), the presence of DHF patients in the environment (x2 count 6.90), the distance between houses (x2 count 11.78) and water container (x2 count 6.22). While DHF are variables (x2 count 0.77), gender (x2 count 0.02), education (x2 count 2.14), work (x2 count 1.23), presence of larvae (x2 count 0.19), ornamental plants (x2 count 0.44) and behavior (x2 count 1.57). The conclusion in this study is there is a relationship between mobilization, the presence of DHF patients in the environment, the distance between houses, and water container with the incidence of Dengue Hemorrhagic Fever (DHF) in Malang. Meanwhile, variables that have no relationship are age, gender, education, occupation, the presence of larvae, ornamental plants and behavior. Keywords: sociodemography, environment, Dengue Hemorrhagic Fever

Keywords
sociodemography, environment, Dengue Hemorrhagic Fever

Topic
Public Health Issue

Link: https://ifory.id/abstract/cMTD6jf2mGFJ

Corresponding Author
Merita Arini

Institutions
aDepartment of Family Medicine and Public Health, School of Medicine, Faculty of Medicine and Health Science, Universitas Muhammadiyah Yogyakarta, Indonesia
bDepartment of Biostatistics, Epidemiology and Population Public Health, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
cDepartment of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia

Abstract
Objective: This study aims to explore experiences of TB-DM patients for the service barriers encountered in achieving the expected outcomes. Method: A qualitative study was conducted between June-August 2019. TB-DM patients were identified from community health centers and hospital TB registers in Yogyakarta City, Indonesia. Fourteen adult TB-DM patients were purposively selected using criterion sampling, i.e. those who had been cured or already completed the intensive phase of TB treatment within the period of 2018-2019. In-depth interviews were carried out using interview guide and tape-recorded. Thematic analysis was used to analyze the verbatim transcripts. Results: Four themes were identified: health services-related barriers, patients-related barriers, health provider-patients interaction-related barriers, and strategies to resolve the barriers. Conclusion: TB-DM patients faced cascade of barriers to access healthcare and supports. Re-orienting health care system for more integrated chronic care readiness and improving patients- capacity are critical to improve quality of care.

Keywords
KEYWORDS: integrative chronic care, comorbidity

Topic
Public Health Issue

Link: https://ifory.id/abstract/B4gG9VDQcJCY