Ditemukan 21 dokumen yang sesuai dengan query :: Simpan CSV
ABSTRACT
Hypertension is one of the leading causes of death in Indonesia and contributes significantly to the burden of non-communicable diseases. This study aims to analyze the risk factors associated with hypertension among individuals aged ≥18 years in Indonesia using a probabilistic approach through Bayesian Network modeling. This research is a quantitative study utilizing secondary data from the fifth wave of the Indonesia Family Life Survey (IFLS-5). The sample consisted of 34,271 individuals who met the inclusion criteria after data cleaning and variable classification. The Bayesian Network structure was constructed manually based on bivariate analysis and theoretical references, then visualized using R (bnlearn) and Python (CausalNex). Conditional Probability Tables (CPTs) were generated to identify both direct and indirect risk pathways. The results indicate that smoking and abnormal BMI (imt_kat) are two primary risk factors that directly increase the probability of hypertension. The highest probability of hypertension (25.87%) was found among individuals who both smoke and have an abnormal BMI. Additionally, indirect pathways were also identified, such as income → education → stress → smoking → hypertension, as well as age, physical activity, and dietary patterns → BMI → hypertension. Behavioral and socioeconomic variables were shown to be interconnected in influencing hypertension risk cumulatively. In conclusion, this study demonstrates that the Bayesian Network approach is effective in revealing the probabilistic relationships among various risk factors. These findings highlight the importance of holistic public health interventions that consider social, behavioral, and physiological determinants as an integrated risk system.
Mental health is one of the major public health issues in Indonesia, facing significant challenges such as a shortage of professionals, insufficient funding, and a high treatment gap. In implementing mental health programs, Puskesmas utilize the Mental Health Information System (SIMKESWA) for data recording and reporting. However, SIMKESWA only covers data input specific to mental health programs and operates separately from the Puskesmas Management Information System (SIMPUS), which is used for overall healthcare service management. This study aims to identify the gaps between SIMKESWA and the SATUSEHAT interoperability standards developed by the Ministry of Health. A qualitative descriptive method was used through document analysis and in-depth interviews with relevant informants. The findings reveal data duplication between SIMKESWA and SIMPUS, which requires healthcare workers to perform double data entry, increasing their workload. Additionally, the current state of mental health data recording is not yet fully aligned with the data standards and interoperability structures outlined by SATUSEHAT. Based on these findings, the study produces an initial draft of an interoperability playbook for the mental health program, including a mapping of key data elements, relevant FHIR resource structures, and system integration recommendations. This playbook draft is expected to serve as a preliminary step toward a more integrated and efficient mental health information system.
Treatment adherence for tuberculosis (TB) remains one of the major health challenges in TB control efforts in Indonesia. The proportion of TB patients adhering to treatment decreased from 69.2% in 2018 to 62.5% in 2023. In the DOTS strategy, one of the key efforts to improve treatment adherence is the presence of a Treatment Supervisor (Pengawas Menelan Obat or PMO). However, the proportion of TB patients with a PMO also declined from 66.2% to 62.1%. This study aims to examine whether the decline in PMO presence contributed to the decrease in treatment adherence among TB patients aged ≥15 years in Indonesia, using secondary data from the 2023 Indonesia Health Survey (Survei Kesehatan Indonesia or SKI). The study design is cross-sectional, and analyses were conducted using univariate, bivariate, and multivariate methods. The results showed a significant association between the presence of a PMO and treatment adherence (OR: 4.62; 95% CI: 2.39–8.93). After controlling for age, sex, education level, economic status, comorbid diabetes mellitus, and health insurance ownership, the presence of a PMO remained positively associated with adherence (AOR: 4.41; 95% CI: 2.18–8.90). These findings indicate that the presence of a PMO is relevant and essential for improving TB treatment adherence and success in Indonesia. The efforts to enhance patient adherence should also focus on optimizing the role and quality of PMO, whether from family members or healthcare providers.
Data of good quality on Minimum Service Standard of Maternal and Child Health (MSS MCH) is required to be utilized as a basis for planning. One of the data assessment models that has been developed is the Routine Data Quality Assessment (RDQA) model, which is an adaptation of the WHO model adopted by Pusdatin. No research has been conducted in Depok City until recently. Therefore, this study aimed to assess SPM data on maternal health, specifically indicators such as the K4 and Linakes, in Depok City. The assessment was conducted by considering the indicators of completeness, timeliness, internal consistency, external consistency, and accuracy as well as the organizational factors that influence them. The results showed that data completeness in Depok City was good, timeliness could not be optimally analyzed, internal consistency was relatively good although there was some inconsistent data in some puskesmas, external consistency was good, and lastly, inaccuracy was found in one of the health centers in Depok City.. In addition, this study also found organizational issues surrounding data collection that could potentially affect data quality.
Uji kompetensi merupakan tahapan krusial dalam menjamin mutu dan standar kompetensi dokter spesialis di Indonesia. Konsil Kesehatan Indonesia (KKI) sebagai lembaga penyelenggara menghadapi tantangan dalam operasionalisasi sistem ujian, terutama terkait keterbatasan aplikasi yang digunakan saat ini, seperti antarmuka yang tidak ramah pengguna, kesalahan input data, dan ketidakkonsistenan format. Penelitian ini bertujuan mengembangkan sebuah prototype sistem informasi berbasis web yang lebih terstruktur, efisien, dan mudah digunakan, dimulai dari tahap pendaftaran hingga pencetakan sertifikat kompetensi. Metode penelitian menggunakan pendekatan kualitatif dengan teknik wawancara dan observasi terhadap pemangku kepentingan, serta menggunakan model System Development Life Cycle (SDLC) prototyping. Hasil penelitian berupa prototype sistem informasi uji kompetensi dokter spesialis yang telah diuji coba menggunakan metode blackbox menunjukkan peningkatan kemudahan penggunaan dan akurasi pengolahan data. Sistem ini diharapkan mampu meningkatkan kualitas pelaksanaan uji kompetensi dan menjadi landasan pengembangan sistem informasi KKI ke depan.
