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In East Jakarta in 2021, 10.46% of PUS were found to have unmet need FP. Factors influence it, age, education, number of children, knowledge, attitudes, views, history of contraception, provi-sion of FP services, husband's support, and the role of health workers. This study aims to deter-minants of the incidence unmet need FP in fertile couple during COVID-19 pandemic in the Ma-kasar District, East Jakarta, in 2022. This study used a quantitative method with a cross-sectional design. The sample study is 150 WUS using a multistage random sampling technique. Sample processing with univariate, bivariate and multivariate analysis logistic regression. Data collection by filling out a questionnaire has been tested validity and reliability on 30 fertile age couples live in Makassar District, East Jakarta. The results showed that the incidence of unmet need for fami-ly planning during the COVID-19 increased by 40% compared to before the COVID-19 pan-demic. There is a relationship between predisposing factors (age, education, knowledge, atti-tudes, perceptions, history of family planning), enabling factors (accessibility of information on contraceptive service management) and reinforcing factors (husband's support and the role of health workers) with p-value <0.05. The most dominant factor influencing the incidence of Un-met Need FP in married fertile age couples during the COVID-19 pandemic was FP History. It?s hoped that the BKKBN will increase guidance and coordination of FP program holders on suc-cess of the family planning program and PKB want to achieve more preventively in terms of FP promotion to the community by adhering to the COVID-19 virus prevention protocol and con-ducting periodic interventions for 3 months so that people unmet need FP become FP acceptors.
Indonesia teritory geographically is a disaster-prone area. In the event of a disasterthere will usually be certain infectious diseases that arise and have increasedbeyond normal limits in communities affected by the disaster. In the end it can becategorized as a public health emergency. Community is the first to directly dealwith the threat and disaster. Preparedness in community will determines the sizeof the impact of disasters on communities. Indonesia as a developing country haveurban and rural areas that different from the aspect of development, governmentand geography. The potential difference aspects certainly affect the possibility ofdifferences also in terms of community preparedness in the face of public healthemergencies and disasters. The purpose of this study was to determine aboutcommunity preparedness in urban and rural communities in Indonesia, which inthis study took a sample in Kampung Makasar-East Jakarta and Desa Campaka-Cianjur that were selected based on the consideration that the two regions areequally harmful for any problems public health emergencies both in terms ofdisaster as well as an increase in cases of the disease. This study uses acombination of quantitative methods (descriptive analysis data based on anassessment of the preparedness of community that combines elements of DesaSiaga Aktif and Desa Tangguh Bencana) and qualitative methods (in-depthinterviews, review of documents). The results of this study reveal that there areany differences in preparedness in rural and urban communities. In urban areas,the percentage of community preparedness is 62.3%, while in rural areas is 41.3%.Almost all of 20 indicators meet in existence and also vary between rural andurban areas. Points are still lacking is the implementation and performanceindicators were not as expected as it should be. The cause of the most strikingdifference between the results of the structural differences in rural and urbanareas, accessibility, funding and knowledge society. It is necessary for thesupervise of the stakeholders (in this research are health centers, the governmentin rural and urban)Keywords: community preparedness, public health emergency, rural, urban.
The world is being hit by the COVID-19 pandemic. Governments in various countries set protocols for the spread of the COVID-19 virus. The protocol limits access to health services, the face-to-face service system is minimized. This has an impact on children with autism. According to Kaplan, children with autism symptoms cannot be treated with medical drugs, but with education and behavioral interventions. However, before the pandemic, education and intervention were generally carried out face-to-face. The solution to this problem is the use of remote health services or telehealth. This study is a study that discusses how telehealth is used for intervention in cases of children with autism during the COVID-19 pandemic. This study uses a literature review method using the Pubmed, Proquest, Sage Journal, and Garuda Portal databases which produces 9 included articles. Inclusive research was carried out during the time period that COVID-19 was declared a pandemic, namely March 11, 2020 to May 1, 2022. The results showed that the intervention had an impact on children with autism in the form of a reduction in targeted behavior and skills. In addition to the carrier, increased satisfaction and perception of telehealth services. For telehealth service providers, article explain the perception of the telehealth service. Based on the findings obtained, telehealth services are recommended for children with autism, caregivers, whether parents or not. Service providers are also recommended if they want to provide telehealth services based on the findings about the level of satisfaction and development that appears after the intervention. Meanwhile, the government is expected to develop policies and programs related to telehealth, especially during the pandemic, so that people in need can still receive the services they need.
The increase in the incidence of Covid-19 disease cases in hospitals has led to the increase in the unit-level workload for nurses in the Isolation Ward. A high workload can lead to low job satisfaction and high turnover rates. The purpose of this study is to study the relationship between unit-level workload and job satisfaction. The study was conducted with a cross-sectional design using an instrument in the form of an online questionnaire to nurses who had served in the Isolation Room of RSAU dr. Esnawan Antariksa during the Covid-19 pandemic. Analysis of workload perceptions showed that 91.9% of respondents felt a heavy workload, while the 87.1% of respondents felt high job satisfaction without a significant relationship between the two variables (p value = 0.0591). The relationship between workload and job satisfaction which is not proven in this study shows the latest findings which show that age and work experience variables have a significant relationship to workload and job satisfaction. Factors that determine the occurrence of these findings include harmonious passion, self-reported bias, and research limitations. Policies that can be applied related to these findings include establishing eligibility criteria for nurses who will serve in the Isolation Ward and conducting periodic assessments of workload and job satisfaction for nurses serving in the Isolation Ward.
Positive confirmed cases of COVID-19 in Lampung continue to increase. The Handayani General Hospital (RSU) is one of the private COVID-19 referral hospitals in Lampung. There was a decrease in outpatient visits at Handayani Hospital during the Covid-19 Pandemic. This study discusses the stigma of patients on health workers and other factors on the behavior of outpatient visits during the pandemic at Handayani Hospital, North Lampung. This research method is sequential explanatory which is a combination of quantitative and qualitative. Quantitative research was conducted by distributing questionnaires to outpatients, while qualitative research was conducted by in-depth interviews. The results showed that there was a significant relationship between patient stigma on health workers, knowledge and attitudes towards outpatient visiting behavior. The cause of the stigma, among others, is because patients think that the high mobilization of health workers in the hospital is at risk of spreading Covid-19. Most of the vulnerable patients have a stigma. The study also found that several respondents did not comply with visiting for treatment during the Covid-19 pandemic. It is necessary to make various efforts by related parties to improve health services for the community, especially during the Covid-19 Pandemic.
Abstrak
Cakupan persalinan dengan tenaga kesehatan di wilayah kerja Puskesmas Lambur Kabupaten Tanjung Jabung Timur baru mencapai 68,75 %. Angka ini masih jauh dari target nasional yaitu 90%. Lima desa dalam wilayah kerja Puskesmas Lambur telah ditempatkan masing-masing satu orang bidan, sementara jumlah dukun bayi yang masih aktif sebanyak 13 orang. Penelitian ini bertujuan untuk mengetahui determinan penolong persalinan oleh ibu bersalin dalam rentang Januari 2012 sampai dengan April 2013. Desain penelitian ini adalah cross sectional dengan jumlah responden 94 orang dan data dianalisis secara univariat, bivariat dengan pendekatan chi square, dan multivariat dengan regresi logistik. Hasil penelitian didapatkan lima variabel yang ada hubungan signifikan dengan pemilihan penolong persalinan yaitu kepercayaan (p=0,021), pengetahuan (p=0,02), sikap (0,003), ketersediaan tenaga (0,03), dan dukungan keluarga (0,000). Faktor yang paling dominan adalah dukungan keluarga dengan Odds Ratio 8,253 dan CI 2,623-25,961. Diharapkan kepada dinas kesehatan dan puskesmas untuk meningkatkan advokasi kepada masyarakat tentang pentingnya pertolongan persalinan dengan tenaga kesehatan serta menerapkan reward and punishment kepada bidan yang melaksanakan pelayanan kesehatan ibu dan anak di desa.
