Leadership Style of Head Nurses against Job Satisfaction and Organizational Commitment of Staff Nurses

The leadership and motivation styleis an essential factor in supporting the performance of nurses. The study was undertaken to determine the correlation between the leadership style to the job satisfaction, and organizational commitment among the head nurses and staff nurses from the government and private hospitals in Serang, Banten, Indonesia. The study used descriptive corelational design. The samples were limited, involving 289 respondents from dr. Drajat Prawiranegara Hospital, Serang (18 head nurses and 183 staff nurses) and Sari Asih Hospital, Serang (6 head nurses and 82 staff nurses). The study found a low positive relationship of the head nurses' transformational leadership style and transactional leadership style against the staff nurses' job satisfaction, r-coefficients of 0.370 and 0.485, respectively. Also, a moderate positive correlation was found on transformational leadership style and transactional leadership style of the head nurses against the organizational commitment of the staff nurses, rcoefficient of 0.606 and 0.609, respectively. It suggested that the staff nurses should be more responsive to the duty inseparable from the rights and obligations as an employee while the head nurse needs to pay attention to physical readiness, mental and psychological of subordinates.

Factors Related to HIV AIDS Fund Expenditure 2010-2018 (NASA 2019 Data Analysis)

The prevalence rate of HIV/AIDS and various achievement targets are still challenges in HIV/AIDS intervention in Indonesia. Indonesia is required to map out the current resources and their allocation in dealing with HIV AIDS. The objective of this study is to know the distribution and the factors that related with the HIV/AIDS expenditure in the year 2010-2018. This study uses a correlation study design derived from the 2019 National AIDS Spending Assesment (NASA) report and other data sources. The results of the study show that the total expenditure on HIV/AIDS programs in 2017 was 143,053,754 USD and decreased to 107,680,959 USD in 2018. Of the total expenditure, about 60% each came from public funding, an increase of 30% over 10 years. There is a strong relationship between HIV expenditure and the variables of reported HIV cases, ARV coverage, GDP growth and health budget. Total domestic expenditure on HIV and the total health budget had the strongest relationship (R=0.885) with a contribution of 78.3% effect on the health budget (p=0.001). The availability of domestic funds is still limited and is dominated by the allocation of treatment. The high level of dependence on international funding especially on prevention means that the architecture of HIV/AIDS funding needs to be reorganized to protect the sustainability of HIV funding.

Counseling Effect on Smoking Cessation Behavior in Junior High School Students

The prevalence of smoking habits among children and adolescents has increased quantitative and qualitative, which further elevates the risk of diseases. Furthermore, the 2014 Global Youth Tobacco Survey (GYTS) (data showed the intention to quit smoking by 88.2% of students, although only 24% received assistance in affiliated programs; hence support is required from the immediate environment. Therefore, the purpose of this research, was to determine the effect of counseling in the success of smoking cessation in junior high school students. The research design used was a prospective cohort. The subjects of this research include all junior high school students with the smoking habit, of which 40 participants were selected. These respondents were provided with smoking cessation counseling for six sessions (4 months). Survival analysis was used to evaluate the data collected. After the six counseling sessions, the cessation success and failure rates were 75% and 25%, respectively. Smoking cessation was related to nicotine addiction (p<0.001; Adj.HR 25.2;95% CI 4.9-129.9) and activeness in counseling (p=0.001; Adj.HR 12.8; 95% CI 2.8-57.9). This research is expected to help students with the smoking habit terminate the practice, subsequently reducing the prevalence in Poso Regency.

Disability and Depression among Population Aged 18-59 Years in Central Sulawesi Province: Analysis of Riskesdas 2018

The prevalence of depression among the general population in CentralSulawesi was the highest in Indonesia (12.3%). Scholars revealed thatdisability was one of the main contributing factors of depression and in Central Sulawesi almost half of population was reported having disability (42.1%). This study was intended to identify the association of disability and depression in Central Sulawesi. Cross sectional design study was conducted with utilization of secondary data collection from Riskesdas 2018. Depression, as the main outcome, was assessed by the Mini International Neuropsychiatric Interview (MINI), meanwhile, disability was assessed by the WHODAS instrument. The relationship between these two variables was adjusted by several confounders, namely age, gender, marital status, educational status, and employment status. A 11,9% of 11,926 respondent aged 18-59 years old, was depressed and almost half of them reporting disability (42.1%) and among those who were disabled, one-fifth weredepressed. The risk of depression among respondents with disabilities was 3.25 times higher (p=0.000; 95% CI 2.9-3.6) compared to respondentswithout disability after controlled by confounders (gender, marital status,educational status, and employment status). It is recommended that routine mental health screening needs to be done at Posyandu, Posbindu and among patients at Primary Health Care. Besides, health promotion focused on physical activity in a community such as community gymnastics during theweekend.

Outpatient Care Utilization among Elderly in South Sumatra Based on National Social-Economic Survey Data

Implementation of National Health Insurance is thought to be the cause ofincreasing number of visits to health facilities, especially in elderly peoplewho tend to be in sick. This study aims to analyze the outpatient utilizationby elderly in South Sumatera region. Study design was cross-sectional.Samples was elderly in South Sumatra (n = 2,833 people). Study done on2016, using data from Survei Sosial Ekonomi Nasional (Susenas) at 2015. Dataanalysis used chi-square test and multiple logistic regression. Based on thestudy known that outpatient utilization of elderly in all health facilitiesduring the past month amounted to 29.2%. Providers selected when elderlyneeded of outpatient treatment, most often visited to the doctor&#39;spractice/midwife&#39;s practice (46.2%), and puskesmas (24.2%). Elderly whohas private health insurance have a tendency was 1.9 times greater (OR=1.9)to utilize outpatient compared to elderly who do not have insurance. Itsconcluded that variables associated with outpatient care utilization are:health insurance membership (OR=1.9) and work activity (OR=1.5). It isrecommended for elderly to remain active in their activities so that they canrealize the healthy and active aging and reduce the sick visits to healthfacilities.

Anthropometry as Indicator of the Family Economic Condition

The prevalence of Indonesian population experiencing hunger reaches 20.1%.Anthropometry is considered capable to measure socio-economic conditionsbecause it is directly related to the financial purchasing power of food that affectsintake patterns. The aim of this study is to test the reliability of the familyanthropometry using Height for Age Z Score (HAZ) index and Body Mass Index ZScore (BMIZ) as indicator of the family economic condition. This cross-sectionalstudy design located in Astanajapura (Rural) and Kesambi (Urban) Subdistrict,Cirebon, West Java. The stratification sampling method was held to obtainsamples from all main family members of the selected households (1,999persons) from 405 families. Data analysis used ROC method to obtain the cut-offpoints of anthropometry index, validity test for sensitivity and specificity, andKappa test for the reliability test. The findings indicate that the family HAZanthropometry index could represent the family economic condition better thanthe BMIZ and it is reliable to become an indicator for the economic condition bothin rural and urban areas. There is a positive correlation between consumption percapita and the HAZ index where the higher the family HAZ z score is, the higherthe family consumption per capita. The method can be used to measure the poorprevalence in macro level and select the target of poor families in the micro levelusing the family HAZ anthropometry index. It is recommended to use HAZ indexto estimate prevalence of poor families within the micro level, but the processmust not include children under two years old due to the technical obstacleduring measurement and other substance factors. Further research is needed toproduce a more accurate method in using the family anthropometry as anindicator of family economic condition.

Community Responses toward COVID-19 Pandemic: An Online Survey Study

COVID-19 has become a frightening pandemic and has spread throughout theworld with an unprecedentedly high death rate. Community compliance withgovernment appeals must be accompanied by knowledge, attitudes, and practicesin dealing with this epidemic. This study aims to investigate the Knowledge,Attitude, and Practice of Kolaka residents against the COVID-19 outbreak. Thisresearch is descriptive-analytic with a Cross-Sectional approach. The sample usedin this study were 1,010 respondents aged 17 to 65 years, having gmail and y-mail accounts, mastering the internet became the criteria for respondentinclusion in this study. The questionnaire used was the adoption of previousstudies and modified according to conditions. Data were analyzed bivariate usingthe Chi-Square test with standard p-value&lt;0.05. The results obtained showed thatthe Kolaka community had good knowledge (49.6%), a confident attitude ofcontrolling the plague (70.4%), and had a high level of vigilance (79.6%) towardsCOVID-19. There is a relationship between knowledge with practice p-value=0.000, while attitude has no relationship with practice with p-value=0.862.The massive dissemination of information through existing media has greatlyhelped the community increase their knowledge of COVID-19, which will furthersupport the formation of a confident attitude to control this disease and increasevigilance in their daily life practices during this pandemic.

The Determinants of Healthcare Cost for Glaucoma Patients in Cicendo Eye Hospital, Bandung, Indonesia

Glaucoma is the second foremost cause of impaired vision. People whosuffered from Glaucoma face the independent expenditure for thetreatment as blind people with Glaucoma could not be cured perfectly.This study intends to analyze the effect of age, types of patient care, typesof Glaucoma, and types of payment on the total cost of care of glaucomapatients at Cicendo Eye Hospital, Bandung, Indonesia. This study uses3,358 patient medical records of Cicendo Eye Hospital, Bandung,Indonesia, in 2018. The 3,358 samples were selected from the patient’smedical record based on patients’ categories indicated or convicted ofhaving Glaucoma. Robust Linear Regression is applied in this study tomeasure the additional cost for Glaucoma treatment. The results showedthat the total cost of patient care was positively and significantly affectedby hospitalization status (p=0.000), age (p=0.000), times of treatment(p=0.000), having primary glaucoma (p=0.000), having congenitalglaucoma (p=0.000), and presence of intraocular (p=0.000). Conversely,patient care’s total cost was negatively and significantly affected usinginsurance (p=0.082). This result would be a precautionary measure forthe medical institution to consider better financial planning, servicedelivery improvement, and the patient’s payment scheme effectiveness.

Antenatal Yoga and Murottal Al-Quran Therapy Decreasing Anxiety and Blood Pressure of Preeclampsia Risk Women

Pregnant women experience significant changes in physiological andpsychological functions. The process of adjusting to this new condition oftencauses anxiety. One of the pregnancy complications that is affected by anxiety ispreeclampsia. The purpose of this study was to identify the effects of antenatalyoga and murottal Al-Quran therapy on pregnant women at risk of preeclampsia.This study was conducted in primary health care in Majalengka, Indonesia, usingtrue experiment (pretest-posttest control group) design as many 40 respondentsdivided into 4 groups, Antenatal Yoga (AY), the Murottal Al-Qur’an Therapy(MAT), combination of yoga and murottal al-Quran, and control group.Respondents were taken by cluster and simple random sampling. The anxiety,blood pressure, sFlt-1, and PIGF levels of all respondents were measured after 12interventions. Data were analyzed with Kruskall-Wallis and One-way Anova tests.The antenatal yoga, murottal Al-Qur'an therapy, and its combination significantlydecrease anxiety (p=0.007), systole (p=0.006), and diastole (p=0.001) in pregnantwomen with the risk of preeclampsia. There were no significant differences ofsFlt-1 (p=0.286), PIGF (p=680) and ratio of sFlt-1/PIGF (p=969) among groups.The antenatal yoga, Murottal Al-Qur'an therapy, and it's combination effectdecreasing anxiety and blood pressure in pregnant women with the risk ofpreeclampsia in Majalengka.

Penyelidikan KLB Keracunan Makanan di Desa Banjaroyo Kabupaten Kulon Progo

Berdasarkan hasil laporan, sebanyak tujuh orang warga berobat ke puskesmas secara bersamaan dengan keluhan/gejala yang sama, mengalami diare, perut sakit, pusing, mulas, lemas setelah mengonsumsi makanan. Tujuan penelitian untuk menelusuri gejala dan penyebab dugaan keracunan setelah mengonsumsi makanan yang dihidangkan pada acara peresmian Microhidro 16 Mei 2014 di Desa Banjaroyo. Penelitian ini menggunakan rancangan kasus-kontrol. Kasus adalah orang yang mengonsumsi hidangan yang mengalami gejala diare, nyeri perut, dan mual. Kontrol adalah orang yang tidak mengalami gejala seperti kasus setelah mengonsumsi hidangan dengan matching umur dan jenis kelamin. Subjek adalah responden yang mengonsumsi makanan dan diwawancarai. Sampel makanan dikirim ke laboratorium untuk dilakukan pemeriksaan. Jumlah kasus awal 170 orang. Gejala yang paling banyak dirasakan penderita adalah diare (73,16%), nyeri perut (67,10%). Tipe kurva epid adalah common source. Penularan penyakit secara common source dan masa inkubasi adalah 1 sampai 16 jam. Hasil pemasangan untuk uji analitik didapatkan 60 pasang kasus dan kontrol. Jenis makanan yang diduga menjadi penyebab keracunan makanan adalah sambal krecek (OR=18,5;95% CI=1,42-230,25), dan ayam bacem (OR=22,03; 95% CI= 2,32-208,42). Hal ini diduga positif Staphylococcus yang mengkontaminasi makanan sehingga orang yang makan mengalami keracunan. Keracunan makanan yang telah terjadi penyebabnya diduga bakteri Staphylococcus. Kemungkinan selama pemanasan ulang dan penyimpanan menjadi dugaan bahwa makanan terkontaminasi.