The Type of Leprosy Based on the Characteristics of Lepers in West Papua Province and North Maluku Province; Comparative Studies

The prevalence of leprosy cases has increased every years, the government program has been on going until now, but leprosy cases are still a national problem. The purpose of this study is to describe the type of leprosy based on the characteristics of lepers. The study used a community-based cross-sectional design. The results obtained that West Papua Province and North Maluku Province have leprosy burden with the same classification type, namely Multybaciller (MB) type. Male gender has more MB type of leprosy. West Papua and North Maluku. Based on the age of MB leprosy type in West Papua, the highest age range is 15-26 years and Paucybaciller (PB) at age > 14 years, North Maluku is most at age 27-44 years and PB at age>14 years. Conclution. The type of leprosy in general is the type of multibasilarry (MB), this means that leprosy is still a major threat to a comunnities, leprosy cases are also found in male gender with MB type and many cases of leprosy occurs in patients with young adult and adult age.

The Relationship of Compliance to Follow Prolanis with the Stability of Blood Sugar Levels of Patients with Type 2 Diabetes Mellitus at the Lumpue Health Center in Pare-Pare City

Diabetes Mellitus is a disease that can cause complications to prevent complications can be done by maintaining the stability of blood sugar in people with diabetes. One of the efforts of patientss of Diabetes mellitus (DM) in maintaining the stability of blood sugar levels is to adhere to one of the Corneal Disease Management Programs (PROLANIS). The prevalence of diabetes mellitus in Indonesia in 2018 will reach 10.9%. The purpose of this study was to determine the relationship of compliance to follow prolanis with the stability of blood sugar levels of patientss with type 2 diabetes mellitus. This type of research is analytic research with cross sectional study design. The sample in this study were all patientss of diabetes mellitus who participated in the prolanis activities of 40 respondents at the Lumpue Health Center in Parepare City in September 2018 - January 2019 which were selected by total sampling technique. Data were analyzed by Chi-Square test. The results showed that most of the respondents included in the category of obediently followed prolanis, as many as 31 (77.5%) people and the majority with stable blood sugar, as many as 31 (77.5%) people. Relationship test results obtained p value (0,000) <α (0.05), which means there is an relationship compliance to follow Prolanis with the stability of blood sugar in patientss with diabetes mellitus in the Lumpue Health Center in Parepare City. The conclusion of this research is that there is an relationship compliance to follow Prolanis with the stability of blood sugar. Patientss with diabetes mellitus are expected to routinely participate in prolanis activities held at each puskesmas to stabilize blood sugar levels.

The Determinants of Traditional Health Care Use in The Era Health Insurance In Indonesia

Background: The use of traditional medicine has increased significantly over the past few years. The main reasons for the increasing use of traditional medicine is a growing trend for patients to take a more proactive approach to their own health and to seek out different forms of self-care. This study aimed to identify the dominant risk factors that related to use of traditional health care in the era health insurance in Indonesia Methods: The study used household data from 2018 National Health Survey Indonesia. Using cox regression, we then could present dominant risk factors that related to use of traditional health care among Indonesian in the era health insurance. Results: Total subjects had been analyzed were 764,996 subjects. The proportion of those who used of traditional health care were 31.4% (337,471/764,996). Dominant risk factors related to used of traditional health care were gender, age group, employment status, knowing about the availability of health care, and Affordability of transportation costs to health care. Compared with those who were male, those were female had 1.09 more likely to used of traditional health care [odds ratio adjusted (ORa)=1.09; 95% CI= 1.04 to 1.14]. Household who had low education level had 1.10 more likely to used of traditional health care (ORa=1.10; 95% CI=1.03 to 1.18). Household who were privat employees had 1.33 more likely to used of traditional health care (ORa=1.33; 95% CI=1.25 to 1.41). Household who had high economic level had 1.31 more likely to used of traditional health care (ORa=1,31; 95% CI=1,23 to 1,41). Furthermore, household who knowed about the availability of health care had 1.44 more likely to used of traditional health care (ORa=1,44; 95% CI=1,29 to 1,60). Conclusion: Household subjects who were female, aged 46-65 years old, self-employed workers, aware of the availability of health services, affordable for transportation costs to health facilities were more likely to use traditional health care.

Sedentary Lifestyle As A Risk Factor For Obesity In Stunted Adolescents At SMPN 1 And 2 Pasar Kemis, Tangerang

Short stunted stature is a condition where z-score for height per age is less than -2 SD. Stunted children have a risk of 3,4 times being obese adolescents. In stunted adolescents, there is a disruption of the fat oxidation process that can cause obesity. In addition, stunted adolescents are less active than non-stunted. The purpose of this study was to determine whether a sedentary lifestyle is a factor that increases the risk of obesity in stunted adolescents. This study is an analytical study with a cross sectional research design. The participants are 63 adolescent selected by purposive sampling. Measurement include z-score height per age and BMI per age. Sedentary lifestyle is determined using modified Adolescent Sedentary Activity Questionnaire (ASAQ) and it categorize high if ≥5 hours per day. Data was analyzed by Chi-square. Proportion of stunted obesity in SMPN 1 and 2 Pasar Kemis in Tangerang Distric is 44,4%. There was significant relationship between sedentary lifestyle and obesity in stunted adolescent (p=0,001). Sedentary lifestyle are factors that increase the risk of stunted obesity in adolescents of SMPN 1 and 2 Pasar Kemis in Tangerang Distric. From the results of this study, it is hoped that institutions will continue to provide guidance and outreach to students so that obesity does not occur stunted.

An impact of simulated interprofessional workshop on healthcare professionals’ and patients’ values recognition

Values-based practice is a new practice framework that promotes discussion focusing on the patient’s and healthcare professionals’ values for better clinical decision making. Our workshop was developed along with the framework of values-based practice. This workshop aimed to internalize diversity of values of both patients and health professionals and to rank interprofessional discussion as valuable to reach acceptable decision for both sides. The workshop involved healthcare professionals who worked in a public hospital in Bali. They were 6 medical doctors, 6 nurses, 4 nutritionist, 3 pharmacists, and 3 physiotherapists involved. The participants attended 1.5-hour lectures on comprehensive geriatric management and on interprofessional care for the elderly. In the next 1.5 hours the participants had simulated interprofessional conference for an elderly patient case. In the first half of the conference, participants formed groups of 5-6 people and played the roles of different healthcare members and a patient. The participants discussed the care management decision for the patient. In the latter half the participants started simulated discharge conference. After the conference, participants were asked to complete an evaluation questionnaire for this workshop. Twenty participants completed the questionnaire. Seven participants responded perfectly for the question “the workshop had internalized diversity of values of patients/healthcare professionals’ sides” and the remaining responded fairly. Meanwhile 40% of participants ranked the interprofessional discussion as perfectly valuable to negotiate recognition between patient and healthcare side. Open-ended questions revealed that the discussion enhanced healthcare professionals’ understanding of values of patients in delivering care for elderly patients. Interprofessional discussion allows internalization of values for both of patient and healthcare professionals’ sides.

Religious Leader’s Knowledge, Stigma, and Support for People Living With HIV and AIDS (PLHIV) in Kupang

Indonesia is ranked the third country with the fastest growth rate of HIV cases in Asia Pacific. HIV cases in Indonesia are mostly found in housewives. Therefore, religious leaders are involved to participate in addressing HIV issue in the community. Religious leader (RL) is one of the figures frequently visited by PLHIV in Kupang. This study aims to find out RLs’ knowledge, stigma and support for PLHIV. This study is a quantitative descriptive study. The population of the study is RLs who have the gift of healing the sick in Kupang. The number of the sample is 51. This study used questionnaire as research instrument. Data were analyzed descriptively and presented in a frequency table. 45 (85.2%) RLs had poor knowledge, 46 (96.2%) RLs had stigma against PLHIV and 44 (86.3%) RLs provided support for PLHIV. It is necessary to improve RLs knowledge and eliminate stigma against PLHIV so that RLs can provide information and support for PLHIV treatment.

The Relationship among Age and Parity with the Incidence of Hypertension in Pregnant Women in Grinting Village, Bulakamba Sub-District, Brebes Regency

Pregnant women are classified into groups that have a high risk during pregnancy until postpartum. One of the causes is hypertension in pregnancy. Factors of hypertension in pregnancy are age and parity. The purpose of the study was to determine the relationship among age and parity with the incidence of hypertension in pregnant women. This study used observational analytic method with cross-sectional approach. The number of samples taken by purposive sampling that were 49 pregnant women,. The results of this study were relationship among age with p value = 0,0002 (PR = 2,440, 95% CI = 1,004-6,559) and parity with p value = 0,0001 (PR = 2,335 95% CI = 1,0033, -5,446) with incidence of hypertension. The pregnant women with age >35 years and parity 1 times have a 2,880 chance of experiencing hypertension, compared with age <35 years and parity 1. Base on the results of multivariate analysis Age is the most dominant determinant (p value = 0,000 CI = 1,224-22,432, 95%) with the incidence of hypertension. Intensive counselling regarding pregnant women is needed, especially for wife and husband to increase knowledge them.