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POLA PEMBERIAN ASI DAN DIARE PADA ANAK USIA 6–24 BULAN Wijaya, Dhandi; Dhamayanti, Meita; Gondodiputro, Sharon
Majalah Kedokteran Bandung Vol 49, No 3 (2017)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v49n3.1118

Abstract

Diare merupakan salah satu penyebab utama kematian anak secara global. Air susu ibu (ASI) diketahui dapat mencegah diare pada anak sehingga World Health Organization merekomendasikan pemberian ASI eksklusif untuk seluruh bayi. Namun, cakupan ASI eksklusif di Indonesia masih rendah sehingga risiko diare pada anak masih tinggi. Penelitian ini bertujuan menilai hubungan pola pemberian ASI dan  diare pada anak usia 6?24 bulan. Penelitian observasional dengan studi potong lintang ini dilakukan tanggal 20 Januari?31 Januari 2017. pada 160 ibu dengan anak usia 6?24 bulan yang mendapat ASI yang datang ke posyandu di Puskesmas Talang Ubi, Kabupaten Penukal Abab Lematang Ilir. yang buka selama penelitian dilakukan, lahir tunggal, aterm, berat badan lahir ?2.500 gram, gizi baik, tidak menderita kelainan kongenital. Data dikumpulkan menggunakan kuesioner untuk mengetahui pola pemberian ASI dan MP ASI serta prevalensi, periode, dan lama diare dalam tiga bulan terakhir. Data dianalisis dengan uji kai-kuadrat, Fisher eksak, Mann-Whitney U, Kruskal-Wallis, ANOVA, serta uji normalitas Kolmogorov Smirnov. Penelitian ini mendapatkan hubungan waktu inisiasi pemberian ASI, ASI eksklusif, lama pemberian ASI, serta frekuensi dan lamanya menyusui dengan prevalensi dan lama diare (p<0,05), tetapi tidak mendapatkan hubungan waktu inisiasi pemberian ASI, pemberian ASI eksklusif, lama pemberian ASI, frekuensi pemberian ASI, dan lama menyusui dengan frekuensi diare (p>0,05). Dapat disimpulkan bahwa pola pemberian ASI dapat menurunkan prevalensi dan mempersingkat lama diare pada anak usia 6?24 bulan. [MKB. 2017;49(3):165?71]Kata kunci: ASI, ASI eksklusif, diare, MP ASI  Breastfeeding Pattern and Diarrhea in Children Aged 6?24 MonthsDiarrhea is one of the leading causes of global childhood mortality. Breast milk was known to have a protective role against childhood diarrhea that the World Health Organization (WHO) recommendeds exclusive breastfeeding for all infants. However, the coverage of exclusive breastfeeding in Indonesia is still small, leading to a higher risk of childhood diarrhea. The aim of this study was to assess the correlation between breastfeeding pattern,  complementary feeding,  prevalence, frequency, and diarrhea duration in children aged 6?24 months. This observational cross-sectional study was conducted in the period of 20 January?31 January 2017 on 160 mothers who brestfed their child who was, at the time of the study, 6?24 months old. These were children who visited the Posyandu (Integrated Health Post) of Talang Ubi Public Health Center (Puskesmas Talang Ubi), Penukal Abab Lematang Ilir district at the time of the study, singleton, full term, birth weight ?2,500 grams, well-nourished, and did not have any congenital abnormalities. Data were obtained through questionnaires that collected  information on breastfeeding pattern, complementary feeding, and the prevalence, frequency, and diarrhea duration in the last three months . Data were statistically analyzed using chi-square, Fisher?s exact, Mann-Whitney U, Kruskal-Wallis, and ANOVA tests as well as   Kolmogorov Smirnov normality test. This study found the correlation between breastfeeding initiation, exclusive breastfeeding, breastfeeding duration, frequency and duration of lactation, with the prevalence and diarrhea duration (p<0.05), but did not find the correlation between breastfeeding initiation, exclusive breastfeeding, breastfeeding duration, frequency and duration of lactation with diarrhea frequency (p>0,05). Therefore, this study concludes that the pattern of breastfeeding reduces the prevalence of diarrhea and shortens diarrhea duration in children aged 6?24 months. [MKB. 2017;49(3):165?71]Key words: Breastfeeding, complementary feeding, diarrhea, exclusive breastfeeding
THE ELDERLY’S QUALITY OF LIFE IN THE PANTI WERDHA AND THE COMMUNITY OF BANDUNG CITY: WHOQOL-BREF AND WHOQOL-OLD INDONESIAN VERSION Nurbasari, Nadya Ayudiawati; Gondodiputro, Sharon; Dwipa, Lazuardhi
Share : Social Work Journal Vol 9, No 2 (2019): Share: Social Work Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/share.v9i2.25611

Abstract

The inability of families to care for their elderly causes them to place the elderly in the Panti Werdhas. The elderly who move to a Panti Werdha usually have difficulties to adapt the new surroundings that can affect their quality of life. The World Health Organization (WHO) developed instruments to measure quality of life, a multidimensional and cross-cultural approach,  namely WHO Quality of Life-BREF (WHOQOL-BREF) and WHO Quality of Life-OLD (WHOQOL-OLD). Both instruments have been translated into Indonesian language. The aim of the study was to analyze the differences in quality of life between the elderly who live in the Panti Werdhas and in the community. A cross-sectional analytic quantitative study was carried out  from October to November 2019 at 5 Panti Werdhas and 6 public health centers (Puskesmas) in Bandung City, West Java, Indonesia. The total number of respondents in the Panti Werdha and at the Puskesmas as many as 42 respondents. The selection of respondents in the Panti Werdhas used purposive sampling, whereas in the puskesmas used consecutive sampling. The Chi-square or Fisher's Exact test was used to analyze the respondent's characteristics and  the Mann-Whitney test was used to analyze differences in the quality of life.  This study discovered that respondents living in the Panti Werdhas were older, not married/divorced and less educated compared to respondents in the community. The quality of life of the elderly in Panti Werdhas was lower compared to the elderly in the community for all dimensions (p=?0.05) except the dimensions of death and dying (p=0.741). It can be concluded that there are differences in the quality of life between the elderly who live in Panti Werdhas and in the community  except at the dimensions of death and dying.
SOCIAL DETERMINANT FACTORS OF ELDERLY AS AN INPUT IN ENHANCING PRIMARY HEALTH CARE IN INDONESIA Gondodiputro, Sharon; Djuhaeni, Henni
International Journal of Integrated Health Sciences Vol 7, No 1 (2019)
Publisher : International Journal of Integrated Health Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/ijihs.v7n1.1495

Abstract

Objective: To analyze the differences of social determinant factors among elderly according to gender, in urban and rural areas in Indonesia. Indonesia is one of the most populated countries in the world,  faces an increased number of elderly. This situation leads to the increase of degenerative diseases and demands of caregivers as well. The identification of social determinant factors of elderly has an important role in enhancing primary health care.Methods: A comparative study was carried out in 33 provinces in Indonesia using secondary data from Statistics Indonesia 2013. The variables included in this study were percentage of elderly according to  education, marital status, occupation, income and living arrangements, divided in gender, urban and rural areas.  The normally distributed data were analyzed using unpaired T test and not normally distributed data were analyzed using Mann-Whitney test. Results: This study showed that there were differences in education, occupation and income between urban and rural areas. In urban area, most of the elderly worked in industry and trade and in rural area they worked in agricultural, indicated huge risks of occupational haxards.  Most of them were poor, still married, lived with spouses and family of three generations.Conclusions: It can be concluded that there were differences of social determinant factors (education, occupation and income) in elderly who live in urban and rural areas that can contribute to the risks of disease in elderly and these situations must be considered as an input  to enhance the primary health care.Keywords: Elderly, gender, rural, social determinants, urban
PERAN PENYELENGGARA PELAYANAN KESEHATAN PRIMER SWASTA DALAM JAMINAN KESEHATAN DI KABUPATEN BANDUNG Gondodiputro, Sharon
Jurnal Manajemen Pelayanan Kesehatan Vol 13, No 02 (2010)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (622.176 KB)

Abstract

Background: Apart from funding, the role of health careproviders on the health insurance scheme should be takeninto account, because they are one of the components ofhealth insurance scheme and could play as gate keepers.They include private and public health providers. 92.14% ofthe total primary health providers in Bandung District are privatehealth providers, consisted of 561 doctors, 392 midwives and154 private clinics. The objective of the study was to assessthe involvement, mechanism of payment and willingness toparticipate of the private health providers in the health insuranceschemeMethod: A survey with a simple random sampling wasconducted using questionnaire for 207 respondents (153doctors and 54 clinics).Result: Only 23% doctors and 21% clinics that already hadcontracts with 14-20 third payers. The mechanisms of paymentfrom the third payer to the providers were capitation (43%doctors, 50% clinics) and claims (39% doctors, 43% clinics).Among private providers who had not yet contracts with thirdpayer, only 55% doctors and 56% clinics wanted to havecontract. Factors contributed to the refusal were humanresource and facilities, finance, administration and health caredeliveryConclusion: Private health providers should be involved, aspart of the health insurance scheme in Bandung District withdeveloping efforts to gain trust between the providers andthird payers and considering a proper benefit for all.Keywords: Private Health Providers (PPK I), gate keeper,health insurance
Gambaran Rencana Masa Depan Pemilihan Bidang Profesi Mahasiswa Fakultas Kedokteran Universitas Padjadjaran Angkatan 2007 Fedrian, Dani; Gondodiputro, Sharon; Dewi, Sari Puspa
Jurnal Sistem Kesehatan Vol 1, No 1 (2015): Volume 1 Nomor 1 September 2015
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (521.593 KB) | DOI: 10.24198/jsk.v1i1.10303

Abstract

Salah satu komponen menjalankan sistem kesehatan nasional secara optimal adalah ketersediaan sumber daya manusia antara lain adalah dokter. Dengan banyaknya pilihan lapangan pekerjaan, menyebabkan tidak semua dokter mau bekerja di sarana pelayanan kesehatan primer. Penelitian ini bertujuan mendapatkan gambaran rencana masa depan pemilihan bidang profesi mahasiswa FK Unpad Angkatan 2007 beserta faktor-faktor yang melatarbelakanginya. Suatu survey deskriptif dilakukan terhadap 182 mahasiswa Program Pendidikan Sarjana Kedokteran FK Unpad Angkatan 2007 dengan menggunakan self-administered questionnaire. Hasil penelitian menunjukkan bahwa sebagian besar (70,3%) responden berencana langsung bekerja setelah lulus dokter, untuk selanjutnya akan melanjutkan pendidikan (96,9%). Mayoritas responden memilih sarana pelayanan kesehatan primer & sekunder (praktik sendiri dan rumah sakit pemerintah) sebagai rencana kerja. Selanjutnya responden yang berencana langsung melanjutkan pendidikan setelah lulus dokter ialah sebanyak 29,7%. Setelah lulus, mayoritas responden memilih sarana pelayanan kesehatan sekunder yaitu praktik sendiri dan rumah sakit swasta. Dosen/Akademisi  menjadi rencana kerja yang paling banyak dipilih pada bidang kerja non klinisi. Karakteristik pribadi yaitu minat, antusias, dan harapan pada bidang profesi merupakan faktor dominan yang melatarbelakangi rencana masa depan dalam pemilihan bidang profesi. Simpulan penelitian ini adalah sebagian besar responden memilih bekerja di sarana pelayanan primer hanya untuk sementara, sehingga akan berdampak terhadap kesinambungan pelaksanaan sistem kesehatan nasional. Untuk itu, sosialisasi akan pentingnya bekerja di sarana pelayanan primer menjadi kewajiban FK.Kata kunci: Klinisi, non klinisi, pemilihan profesi, pendidikan dokter, SDM kesehatan
IKLIM KESELAMATAN SEBAGAI FAKTOR RISIKO KECELAKAAN KERJA DI INDUSTRI TEKSTIL Wirawati, Karlina; Raksanagara, Ardini; Gondodiputro, Sharon; Sunjaya, Deni K; Sukandar, Hadyana; Irdasari, Sri Yusnita
Berita Kedokteran Masyarakat (BKM) Vol 35, No 9 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.47771

Abstract

Safety climate as a risk factor of occupational accidents in a textile industryPurpose: This study aimed to analyze several risk factors of safety climate e.g. management safety priority and commitment, management safety empowerment, management safety justice, workers? safety commitment, workers? safety priority, safety in learning, communication, and innovation, and worker?s trust in the efficacy of safety system with occupational accidents in a spinning.Methods: Design used in the study was case control. Bivariate analysis was performed by using chi squared test and multivariate analysis was carried out by using multiple logistic regression.Results: Based on multivariate analysis, the results determined that use of Personal Protective Equipment (PPE) and management safety empowerment influenced occupational safety which became risk factors of occupational accidences. Management safety empowerment was considered as the major factor of occupational accidents with odds ratio Adj 5.52 (CI 95% 2.26?13.44).Conclusions: Management safety empowerment which influenced occupational safety program can improve social exchanges and support workplace safety as an encouragement of occupational safety behavior. 
EFEK OLIVE OIL DAN VIRGIN COCONUT OIL TERHADAP STRIAE GRAVIDARUM Pratami, Evi; Permadi, Wiryawan; Gondodiputro, Sharon
Majalah Kedokteran Bandung Vol 46, No 1 (2014)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.%v46n1.%220

Abstract

Prevalensi striae gravidarum (SG) pada ibu hamil berkisar 50% sampai 90%. Efek SG menyebabkan rasa gatal, panas, dan kering serta gangguan emosional sehingga menimbulkan masalah kosmetik pada sebagian besar ibu. Saat ini banyak ibu hamil menggunakan olive oil untuk mencegah SG, namun minyak ini relatif sukar didapat dan harganya mahal. Di Indonesia dikenal minyak lain yaitu virgin coconut oil (VCO) yang memiliki kandungan efektif untuk menjaga elastisitas kulit, minyak ini mudah didapat dan murah. Penelitian ini bertujuan menganalisis perbedaan dan korelasi efek olive oil dan VCO terhadap SG. Penelitian ini dilaksanakan pada bulan Maret?Juli 2012. Rancangan penelitian ini merupakan penelitian klinis melalui pendekatan eksperimental. Subjek penelitian adalah 80 ibu hamil di wilayah Dinas Kesehatan Kota Surabaya dan dikelompokkan menjadi 2 kelompok dengan menggunakan random permuted blocks. Hasil penelitian menunjukkan tidak terdapat perbedaan SG berdasarkan jumlah garis dan tingkat eritema antara kelompok yang menggunakan olive oil dan VCO (p=0,156 dan 1,00). Selanjutnya terdapat korelasi kuat antara kelompok olive oil dan VCO dengan jumlah garis (r=-0,576 dan -0,560) dan tingkat eritema (r=-0,699 dan -0,586). Simpulan, tidak ada perbedaan efek olive oil dengan VCO terhadap SG. [MKB. 2014;46(1):1?5]Kata kunci: Olive oil, striae gravidarum, virgin coconut oilEffects of Olive Oil and Virgin Coconut Oil against Striae GravidarumThe prevalence of striae gravidarum (SG) in pregnant women ranges from 50% to 90%. Effects of SG include itchy and hot feeling as well as dry skin. This situation also causes emotional disturbances that poses a cosmetic problem for most pregnant women. Nowadays, many pregnant women use olive oil to prevent SG, but it is relatively difficult to find and costly. In Indonesia, a similar oil, virgin coconut oil (VCO), has been used by many pregnant women for the same reason. The aim of this study was to analyze the differences and correlation between effects of olive oil and VCO against SG. The study was conducted in March?July 2012. An experimental study was performed on 80 pregnant women in Surabaya Municipality and they were divided into 2 groups using random permuted blocks. The results of this study showed that there was no difference in SG appearance based on the number of lines and levels of erythema between groups (p=0.156 and 1.00). Furthermore, there was a strong negative correlation between the effect of olive oil or VCO on the number of lines (r=-0.576 and -0.560) and the level of erythema (r=-0.699 and -0.586). In conclusion, there is no difference in the effect of olive oil and VCO against SG. [MKB. 2014;46(1):1?5]Key words: Olive oil, striae gravidarum, virgin coconut oil DOI: 10.15395/mkb.v46n1.220
ANALISIS KARAKTERISTIK RESPONDEN DALAM MENUNJANG PENGGALIAN POTENSI BERSUMBERDAYA MASYARAKAT DALAM PENDANAAN KESEHATAN MELALUI ASURANSI KESEHATAN DI KOTA BANDUNG Gondodiputro, Sharon
Sosiohumaniora Vol 9, No 3 (2007): SOSIOHUMANIORA, NOPEMBER 2007
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/sosiohumaniora.v9i3.5573

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Pendanaan kesehatan dari Gross Domestic Product tahun 2003 di Indonesia kecil yaitu 3,1%, 64,1% berasal dari masyarakat (74,3% bermekanisme out of pockets payment) dan 35,9% berasal dari pemerintah. Hanya 23,33% penduduk Kota Bandung yang melakukan pendanaan kesehatannya melalui pihak ketiga,sehingga potensi penggalian dana untuk kesehatan masih cukup tinggi. Tujuan penelitian ini mengidentifikasi karakteristik penduduk yang dapat mendukung pendanaan kesehatan melalui asuransi kesehatan. Penelitian ini merupakan penelitian survey cross-sectional, analisis deskriptif dengan sampel 700 responden, yaitu masyarakat Kota dan belum menjadi peserta asuransi kesehatan. Hasil dan rekomendasi penelitian adalah wanita dapat dijadikan sasaran sosialisasi asuransi kesehatan,sasaran utama pengembangan asuransi kesehatan adalah usia produktif, penyampaian informasi tentang pendanaan kesehatan dilaksanakan dengan cara maupun bahasa yang disesuaikan dengan tingkat pendidikan SMA ke bawah, penghasilan responden sangat fluktuatif dan tidak menetap sehingga pelaksanaan pengambilan iuran asuransi kesehatan akan menjadi kendala, sebagian besar responden mempunyai tanggungan ? 4 orang, semakin banyak jumlah tanggungan sebuah keluarga semakin besar total premi yang harus dibayar, 51,9% responden memiliki rumah sendiri, sehingga dengan terpenuhinya kebutuhan dasar tersebut, maka diasumsikan bahwa seseorang dapat mengalihkan pengeluarannya untuk kebutuhan yang lain termasuk membayar iuran/premi asuransi kesehatan serta 54,6% responden tidak mempunyai kendaraan, sehingga perlu dipikirkan lokasi fasilitas pelayanan kesehatan yang dikontrak oleh badan asuransi serta perhitungan biaya transportasi. Kata Kunci : Pendanaan kesehatan, Asuransi kesehatan, Karakteristik responden
Keinginan untuk Membayar Pembiayaan Kesehatan Pemerintah Kota pada Masyarakat Mampu di Kota Bandung arisanti, nita; Djuhaeni, Henni; Gondodiputro, Sharon; Setiawati, Elsa Pudji; Wiwaha, Guswan; Arya, Insi Farisa; Rinawan, Fedri
Jurnal Sistem Kesehatan Vol 2, No 4 (2017): Volume 2 Nomor 4 Juni 2017
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (230.16 KB) | DOI: 10.24198/jsk.v2i4.12487

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Pembiayaan kesehatan diselenggarakan dengan prinsip ekuitas, artinya penduduk yang mampu akan membayar iuran/ premi secara penuh, dan masyarakat miskin dibayarkan oleh pemerintah. Banyak faktor yang memengaruhi keinginan untuk membayar (WTP). Penelitian ini bertujuan mendapatkan gambaran keinginan masyarakat mampu membayar pembiayaan kesehatan dan faktor-faktor yang memengaruhinya. Penelitian kuantitatif dilakukan pada Agustus – September 2011 terhadap 303 kepala keluarga yang tergolong  masyarakat mampu di Kota Bandung. Mampu dalam penelitian ini adalah penduduk tinggal di perumahan elite. Kriteria inklusi yaitu kepala keluarga, memiliti KTP Kota Bandung, bersedia diwawancara. Teknik pemilihan sampel menggunakan cluster sampling, dengan klaster adalah perumahan elit di Kota Bandung. Subjek di tiap klaster ditentukan secara proporsional systematic sampling. Analisis data menggunakan distribusi frekuensi dan regresi logistik. Dari 303 responden, 54,9% yang memiliki asuransi, tidak ingin membayar dan 60% yang belum memiliki, ingin membayar pembiayaan kesehatan Pemkot Bandung. Sebagian besar masyarakat mampu hanya ingin membayar premi kurang dari Rp. 25.000 dengan berharap mendapatkan semua jenis pelayanan kesehatan. Agama dan pendidikan terakhir merupakan faktor yang menentukan secara bermakna keinginan membayar pembiayaan kesehatan. Rendahnya kesadaran responden untuk ikut serta program pembiayaan kesehatan Pemkot Bandung harus dapat diantisipasi pemerintah dengan lebih mendorong masyarakat dari semua golongan status sosial – ekonomi untuk mengikuti program pembiayaan kesehatan.Kata kunci: Keinginan, Kesehatan, Pembiayaan, Masyarakat mampu
Three Years Data of Uterine Fibroids Patient Characteristics at West Java Top Referral Hospital Azzahra, Mutiara; Gondodiputro, Sharon; Amarullah, Mulyanusa
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (584.749 KB)

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Background: Uterine fibroids are the most common benign tumor in female reproductive system and a major cause in declining their quality of live. Patient characteristics has high prevalence in black women, 40s, nulliparous, and early menarche. These characteristics are varied in some areas and considered in treatment decisions. The objectives of this study was to describe the uterine fibroid patient characteristics at Dr. Hasan Sadikin General Hospital, Bandung from 1 January 2013 to 31 December 2015.Methods: A descriptive study was conducted to 255 medical records of patients with uterine fibroids at Dr. Hasan Sadikin General Hosiptal, Bandung from 1 January 2013 to 31 December 2015. This study was conducted from September to November 2016. The variables were the year of treatment, age, education, occupation, married status, menarche, abortion, parity, type of uterine fibroids, and treatment. The collected data were analyzed and presented using frequency tables and percentages.Results: Most cases of uterine fibroids were discovered in 2014. The most characteristics with uterine fibroids were pre-menopausal age (41.18%), high school education (55.69%), housewife (63.14%), normal menarche (54.51%), married (92.16%), nulliparous (47.45%), no abortion (76.47%), multiple uterine fibroids (46.67%), and hysterectomy (58.04%).Conclusions: The most combination of characteristics of patients with uterine fibroids is nulliparrous women in reproductive and pre-menopausal age with normal menarche.