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Routine data of the COVID-19 situation can provide a lot of important information that can be used as material for evaluating pandemic control. Unfortunately, limited manpower is often the reason for the lack of further analysis. This study used routine data from the Ministry of Health to analyze the spatial effect of close contact tracing on COVID-19 transmission in Java. The aim is to help the government evaluate close contact tracing efforts. The analysis was carried out by creating the distribution map of contact tracing and case transmission using QGIS 2.8.1 software and Moran Index values using Geoda software. This study used cross-sectional data with an ecological study design. The unit of analysis was the municipality, and the observation time was 15 March - 11 January 2022. The results showed that the transmission of COVID-19 cases tends to be high in the central part of Java Island, the peak of transmission occurred in July 2021, close contact tracing capacity tends to be higher in municipalities with higher cases. The spread of COVID-19 cases in Java has a spatial effect (I=0.234, E(I)=-0.0085). There is a weak negative autocorrelation between contact tracing and COVID-19 cases in Java (I=-0.133, E(I)=-0.0085). When case transmission was high, the contact tracing ratio was lower than when case transmission was low. Contact tracing should be done when disease transmission is low so that case explosions can be prevented
Early initiation of breastfeeding (EIBF) is placing the baby on the mother's chest as soon as the baby is born and clean to make sure skin-to-skin contact between the mother's chest and the baby, letting the baby find the mother's nipple. The proportion of EIBF in the world was 42%; East ASIA 32%; South ASIA 40%; and in Indonesia 56.5%. Delayed of initiation of breastfeeding was usually caused by the baby was born by cesarean section (CS) because prolonged postoperative care, delaying mother-infant contact, making EIBF less likely. This study was conducted to determine the effect of the CS delivery on the implementation of early initiation of breastfeeding using the 2017 Indonesian Demographic and Health Survey (IDHS) data with a cross-sectional design. The sample of this study were grouped into two groups, baby-mothers who did EIBF (n=8418) and babymothers who did not EIBF (n=4238). Data were categorical and analyzed by multiple logistic regression tests. Delivery with c-section had a 2.7 times risk of not getting EIBF after being controlled by the parity variable; ANC visit; birth weight; the interaction between the type of delivery and the work of the husband; the interaction between the type of delivery and the mother's education; and the interaction between the type of delivery and the ANC visit. It is hoped that a strict screening will be carried out so that deliveries without indications will not be performed by c-section, thereby reducing the number of CS deliveries. The drafting of a law regarding the implementation of EIBF immediately after the baby is born, either babies born with vaginal or CS
ABSTRAK Nama : Ingrid Masithoh Program Studi : Ilmu Kesehatan Masyarakat Judul : Retensi Dokter dan Dokter Gigi Pegawai Tidak Tetap Ketersediaan tenaga kesehatan yang berkesinambungan sangat vital dalam mendukung pemberian layanan kesehatan yang berkesinambungan pula. Di daerah yang kekurangan tenaga kesehatan, mengoptimalkan retensi menjadi sangat penting. Penelitian ini bertujuan untuk mengetahui gambaran retensi dokter dan dokter gigi Pegawai Tidak Tetap di daerah terpencil dan sangat terpencil serta faktor yang mempengaruhi retensi. Penelitian ini menggunakan desain cohort retrospective dengan analisis survival dan cox regresi. Sampel penelitian 10.361 dokter dan 3.496 dokter gigi yang berasal dari data pengangkatan Pegawai Tidak Tetap tahun 2008 – 2015 milik Biro Kepegawaian Kementerian Kesehatan. Hasil penelitian menunjukkan bahwa semakin lama masa penugasan minimum yang diwajibkan kepada dokter/dokter gigi PTT maka semakin banyak faktor yang mempengaruhi retensinya. Seiring peningkatan minimal masa tugas, pada 2 tahun pertama retensinya semakin meningkat, akan tetapi PTT yang berhenti sesudah penugasan pertamanyapun semakin meningkat. Tidak terdapat perbedaan retensi antar jenis kelamin, dan fasilitas kesehatan dengan kriteria sangat terpencil memiliki retensi yang lebih tinggi dibandingkan dengan yang terpencil. Kata kunci : retensi PTT, faktor retensi, dokter/dokter gigi PTT
ABSTRACT Name : Ingrid Masithoh Program : Public Health Study Title : Retention of Doctors and Dentists in Non-Permanent Personnel : Appointment Program The availability of sustainable health workers is vital in supporting the delivery of sustainable health services as well. In areas that are short of health personnel, optimizing retention is critical. This study aims to determine the retention of doctors and dentists in Non-Permanent Personnel Appointment Program in remote and rural areas, and factors that affect their retention. This study used a retrospective cohort design with survival and cox regression analysis. The sample was 10,361 doctors and 3,496 dentists in Non-Permanent Personnel Appointment Program, from 2008 until 2015 that belong to the Bureau of Personnel Ministry of Health. The results showed that the longer the required minimum assignment period to the doctor / dentist, the more factors will affect the retention, and the longer minimum assignment the retention increase until the first 2 years, There is no difference in retention between the types of marital status. Doctors/dentists who are assigned to very remote criteria have higher retention than in remote criteria. Keywords : retention of Non-Permanent Personnel Appointment Program, retention factors, doctors/dentists of Non-Permanent Personnel Appointment Program
