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Patient-perceived indicators as a basis for satisfaction assessment of healthcare Yohanes Kambaru Windi; Baiq Dewi Harnani; Asnani Asnani
International Journal of Public Health Science (IJPHS) Vol 11, No 2: June 2022
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v11i2.21375

Abstract

Since satisfaction is a subjective matter, assessing satisfaction should begin from the individual perception of satisfaction. This study aimed to map the satisfaction indicators perceived by the patients as a foundation to develop instruments to assess health care satisfaction. The study adopted sequential exploratory design of mixed method approach. Thirty patients participated in the interviews and 300 patients for the survey. The thematic analysis identifies 159 items of satisfaction. The items were condensed into 34 indicators and distributed into the five components of the service quality (SERVQUAL) model. A survey containing the 34 indicators were developed to measure their validity and reliability. The Product moment test of validity shows the value of correlation table (rn-2; α=r298; 0.05)=0.095. The values correlation tables are >0.095, meaning the validity is achieved. The Cronbach alpha test shows that the values of all indicators are >0.6, reflecting the reliability of the satisfaction indicators. The study concluded there is variation of satisfaction indicators of health care compared to the established instruments and the identified indicators are valid and reliable.
Dealing with the Daily Emergency Care: A Case among the Waste Pickers in Surabaya Loetfia Dwi Rahariyani; Nikmatul Fadilah; Yohanes Kambaru Windi; Nursalam Nursalam
International Journal of Public Health Science (IJPHS) Vol 5, No 4: December 2016
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (203.344 KB) | DOI: 10.11591/ijphs.v5i4.4844

Abstract

Waste pickers are those who collect, sort and sell recyclable waste for a living. Waste pickers are vulnerable to various health problems, particularly high risk of occupational health. This study intended to overview the capability of the waste picker to manage the emergency care due to their unsafe working condition. It is a descriptive study involving 48 waste pickers. The study revealed the poor knowledge and practices of the waste pickers in handling their emergency care. Therefore, it exacerbates their health and become riskier to diseases and illness. Improving the knowledge of the waste pickers regarding the emergency care and the provision of health programs accommodating the waste pickers is necessary.
The Significance of Super Depo Sutorejo: Waste Management Project in Surabaya Municipality, Indonesia Yohanes Kambaru Windi; Dyah Wijayanti; Eko Rustamaji Wiyatno; Loetfia Dwi Rahariyani
Jurnal Kesehatan Masyarakat Nasional Vol 16, No 2 (2021): Volume 16, Issue 2, May 2021
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (88.48 KB) | DOI: 10.21109/kesmas.v16i2.3808

Abstract

The Super Depo Sutorejo Surabaya (SDSS) Project was created to separate household waste into fractions, but its separation effect is unknown. This study assessed the significance of the project in sorting general waste into biodegradable, non-biodegradable, and assorted. The t-test compared the means of general and biodegradable waste (normally distributed). The non-biodegradable and assorted waste were not significantly distributed; therefore, the Wilcoxon Signed Ranks Test was used to compare their medians against general waste. The multivariate analysis compared the significance level of each waste fraction. Each statistical analysis showed that the SDSS significantly sorts the general waste. The p-values were (0.000) <0.05 for each type of waste fraction. Furthermore, the multivariate analysis showed that all variables were similar, and p-values (0.00) <0.05. The biodegradable waste was the most significant fraction (M = 176,715.9; SD = 57,990.8), followed by the assorted (M = 171,412.5; SD = 94,631.3), and non-biodegradable (M = 35,243.8; SD = 17,290.7). The results showed that the SDSS significantly segregates general waste into biodegradable, non-biodegradable, and assorted, therefore hypothesis (H1) is accepted. This study recommends the Government of Surabaya to maintain and expand this waste management project throughout the city alongside the improvement of the community participation program. 
Peningkatan Perilaku Seks Sehat Melalui Model Terapi Kelompok Pada Pekerja Seks Komersial Loetfia Dwi Rahariyani; Yohanes Kambaru Windi; Nikmatul Fadilah; Kuntoro Kuntoro
Jurnal Keperawatan Indonesia Vol 13 No 3 (2010): November
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v13i3.249

Abstract

AbstrakKeberhasilan pencegahan penularan penyakit menular seksual (PMS) tidak hanya tergantung pada pemerintah/tenaga kesehatan dan lembaga swadaya masyarakat (LSM) yang peduli dengan kasus ini saja, tetapi partisipasi aktif dari kelompok yang mempunyai resiko tinggi tertular (Pekerja Seks Komersial) sangat memegang peran penting. Oleh karena itu mengikut sertakan kelompok resiko tinggi dalam kegiatan pencegahan PSM perlu dilakukan. Tujuan penelitian ini adalah untuk mengetahui efektifitas model terapi kelompok (intensive problem solving group) dalam meningkatkan perilaku seks yang sehat. Desain penelitian ini adalah Pra Eksperimental, jenis pretest-postest design. Sampel penelitian sebanyak 20 orang PSK yang terbagi menjadi dua group, masing - masing group terdiri dari 10 orang. Setiap group mendapat intervensi tiga kali terapi kelompok pada subyek yang sama. Setelah dilakukan penelitian dan dianalisis dengan menggunakan uji statistik paired t - test, hipotesis penelitian diterima ada perbedaan pengetahuan, sikap dan prilaku sebelum dan sesudah dilakukan terapi kelompok pada pekerja seks komersial. Model terapi kelompok sangat diperlukan untuk mencegah penularan PMS pada kelompok beresiko. AbstractThe success of preventing sexually transmitted diseases (STDs) not only depends on a well-organised collaboration among government, health professionals and NGOs but also active participation of group with high risk, including commercial sex workers (CSWs), on the transfer of STDs. Involving this high risk group is crucial on preventing STDs transmission. Determining the effectiveness of Group Therapy Model (GTM) through an intensive problem solving group on promoting healthy sexual behavior was the intention of this study. The variables are knowledge, attitude and practice STDs. It is a pre-experimental study using Pretest-Post test type design. The samples involving 20 CSWs devided into two groups of 10 CSWs for each. Each group was intervened three times with GTM on the same subject. Statistical analysis using paired t-test, conclusion of accepting the research hypothesis. There is significant difference of knowledge, attitude and practices on STDs before and after the implementation of GTM among the CSWs. It is, therefore, adviced to consider GTM on preventing the transmission of STDs among high-risk groups.
The ways urban marginalized group conceptualizes health and wellbeing: The case of the waste pickers in Surabaya, Indonesia Yohanes Kambaru Windi; Dyah Wijayanti; Eko Rustamaji Wiyatno
Public Health and Preventive Medicine Archive Vol. 8 No. 2 (2020)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (850.723 KB) | DOI: 10.53638/phpma.2020.v8.i2.p05

Abstract

Background and purpose: Health and wellbeing have a different meaning for an individual, institution, ethnicity and organization. The study aims to overview the ways waste pickers conceptualize health and wellbeing. Methods: A qualitative procedure deployed to identify the predictors of health and wellbeing according to the waste pickers and how they perceive them. Forty waste pickers were involved as participants. Semi-structured in-depth interviews, natural group discussion (NGD) and casual conversation are the main methods for collecting information. The information was analysed using a thematic and inductive approach. Results: The waste pickers identify health as free from diseasesand illness, being able to work, a peaceful mind, positive relation within the family and social life, being grateful for life, surrender to God, and being happy. They relate wellbeing with gratefulness with achievements, sense of enough, being satisfied with life, submission to God, sense of “enough”, frugality and some assets back hometown. Conclusion: The study concludes that waste pickers provide apractical understanding of health and wellbeing. It recommendsthat understanding and measuring health and wellbeing should on the context of the target population.
Misperception of the benefits and working mechanism of the National Health Protection in the District of Sumba Timur, Indonesia Asnani; Windi, Yohanes Kambaru; Harnani, Baiq Dewi
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 1 (2024): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i1.838

Abstract

The National Health Insurance (NHI) of Indonesia covers the health care of nearly the whole population of Indonesia. However, misunderstandings of the benefits and the healthcare access mechanism are still evident. The study aims to identify misperceptions regarding the benefits and working mechanisms of the NHI in Waingapu, Sumba Timur District, Indonesia. A qualitative inquiry identifies the misperception about NHI's benefits and working mechanism. Thirty residents were recruited using the consecutive procedure to participate in the study. The data collections are semi-structured interviews, casual conversations, and inductively analyzed. The qualitative analysis identifies that people perceive that the administrative procedure of health care under NHI is complicated, has unlimited drugs and health care coverage, and the premium contribution is claimable. People perceive the management of NHI to treat them as debtors when they delay paying their contributions. People feel they are being treated unfairly because NHI does not provide all health services, but they ask for a guarantee if NHI does not cover health services. It is concluded that the people are underinformed about NHI's benefits and working mechanism. The management of NHI and associated stakeholders should implement ongoing educational programs and promotional efforts to increase awareness and understanding of the NHI system.
Contributory Factors to the Inability of the Poor to Access National Health Protection: A Case Study in Waingapu, Sumba Timur District, Indonesia Windi, Yohanes Kambaru; Harnani, Baiq Dewi; Asnani
Journal of Community Medicine and Public Health Research Vol. 5 No. 2 (2024): Journal Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jcmphr.v5i2.57065

Abstract

Millions of poor Indonesians still need access to Indonesia's National Health Protection (NHP). The study investigated barriers making NHP inaccessible for the poor in Waingapu, Sumba Timur, Indonesia.  We used a qualitative approach to identify the contributing factors to why NHP was inaccessible for some populations. A total of 30 residents of Waingapu who attended healthcare in two hospitals and five Community Health Centers were recruited using convenience technic. Twenty residents participated in the semi-structured interview, while ten engaged in casual conversations. We also interviewed three heads of community groups and three health cadres for comparative information. Questions have been developed to guide the interviews and casual conversation. The interviews were audio-taped and transcribed while intensive note-taking was performed during the informal discussion or the conversation was narrated immediately after the talks ended. The information was inductive, analyzed, and coded to produce common information among the participants. The data analysis revealed the factors that contributed to the failure of the resident to enroll in the NHP, such as lack of information about the registration, poor socialization of the program, the ignorance of village officers, unaffordability, and confusion about the parties responsible for the registration. The study concluded that poor people were still vulnerable to access free coverage and healthcare from the NHP. The stakeholders of the NHP, especially the local management of NHP and local government, need to urgently and effectively educate the commoners about the mechanism, benefits, and contribution to the NHP to ensure equity and equality in accessing quality healthcare.
AKSI KOMPETENSI BERSAMA DI PANTI ASUHAN YAYASAN PEMELIHARAAN ANAK DAN BAYI PERMATA HATI SURAKARTA Pratiwi Hermiyanti; Wisnu, Nurwening Tyas; Ginarsih, Yuni; Mujayanto; Intiyati, Ani; Yunariyah, Binti; Widyastuti, Dwi Utari; Pratami, Evi; Maharrani, Titi; Mamik; Rokhmalia, Fitri; Husni, Ervi; Windi, Yohanes Kambaru; Sari, Ira Rahayu Tiyar; Istanto, Wisnu; Widarti, Luluk; Sumaningsih, Rahayu; Sulistyowati, Dwi Wahyu Wulan; Kusumaningtyas, Kharisma; Kasiati, Klanting; Setiawan; Sukesi; Rijanto; Triana, Wahyuningsih
Jurnal Ilmiah Tatengkorang Vol 7 No 1 (2023): Jurnal Ilmia Tatengkorang
Publisher : Pusat Penelitian dan Pengabdian Kepada Masyarakat, Politeknik Negeri Nusa Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54484/tkrg.v7i1.558

Abstract

Panti Asuhan merupakan tempat pemeliharaan bagi anak dan bayi yang sengaja diserahkan dikarenakan orang tua mengalami kesulitan ekonomi atau bahkan tanpa orang tua. Yayasan Pemeliharaan Anak dan Bayi (YPAB) Permata Hati adalah salah satu Panti Asuhan yang memelihara anak dan bayi yang membutuhkan perlindungan dan pendidikan di Kota Surakarta. Pada masa pandemic covid-19, layanan kesehatan bagi anak dan bayi di YPAB Permata Hati jarang mendapatkan kunjungan dan pemeriksaan. Tujuan pengabdian masyarakat ini untuk membantu pelayanan kesehatan bagi anak dan bayi di YPAB Permata Hati Kota Surakarta dalam memantau pertumbuhan dan perkembangan serta status gizi. Metode pelaksanaan yang dilakukan berupa pemeriksaan tumbuh kembang anak dan status gizi, penyuluhan Perilaku Hidup Bersih dan Sehat, serta penyuluhan cara menyikat gigi yang benar. Hasil pemeriksaan status gizi dan tumbuh kembang anak dan bayi di YPAB Permata Hati Kota Surakarta terdapat 30 persen termasuk kurus dan 1 orang anak termasuk suspek perkembangan Denver II (lingkar kepala termasuk mikro). Penyuluhan Perilaku Hidup Bersih dan Sehat dan cara sikat gigi yang benar diikuti secara antusias oleh anak-anak YPAB Permata Hati Kota Surakarta Orphanages are places of care for children and babies who are handed over due to parents who are experiencing economic difficulties or even without parents. The Permata Hati Child and Infant Care Foundation (YPAB) is one of the orphanages that care for children and babies who need protection and education in the city of Surakarta. During the Covid-19 pandemic, health services for children and infants at YPAB Permata Hati rarely received visits and checks. The purpose of this community service is to help provide health services for children and infants at YPAB Permata Hati Surakarta City in monitoring growth and development as well as nutritional status. The implementation method used is in the form of examining children's growth and development and nutritional status, counseling on Clean and Healthy Behavior, as well as counseling on how to brush their teeth properly. The results of examinations on the nutritional status and development of children and infants at YPAB Permata Hati, Surakarta, found that 30 percent were underweight and 1 person was suspected of developing Denver II (head circumference including micro). Counseling on Clean and Healthy Behavior and how to brush your teeth was enthusiastically followed by YPAB Permata Hati Surakarta children