Tuberculosis is international health problem, which is classified in Global Emergency disease since 1992. The objective of the study is to determine the effect of Channa striata extract toward the acceleration of tuberculosis treatment. The study used true experiment, in which the intervention of the study was Channa striata supplementation to respondent. In addition, Chi-square was used to analyze the data with SPSS version 22. The result is the proportion of respondent classified in negative category in intervention group within week 0, week 1, week 2, week 3, and week 4 being 10.7%, 35.9%, 56.3%, 70.9%, and 90.3%, respectively. Besides, the proportion of respondent classified in negative category in control group within week 0, week 1, week 2, week 3, and week 4 was 13.4%, 23.7%, 37.1%, 49.5%, and 68%, respectively. Based on Chi-square test, the P value of Channa striata supplementation toward the acceleration of tuberculosis treatment week 1, week 3, and week 4 is 0.045, 0.019, and 0.005 (P< α; α=0.05), respectively. It means that there were differences between Channa striata supplementation and acceleration of tuberculosis treatment among respondent. Therefore, Channa striata treatment was significantly related to the acceleration of tuberculosis recovery.
Background: The Indonesian government initiated National Health Insurance (NHI) to reduce health service barriers. The study aimed to analyze specific targets for expanding the NHI’s membership in Indonesia. Methods: The study population was all populations in Indonesia. Meanwhile, the study involved a 47 644 weighted sample. The analyzed variables included NHI’s membership, residence, age, gender, education, employment, marital status, and wealth. The study employed binary logistic regression in the final step. Results: The urban population was 0.608 times less likely than the rural population to become a non-member of NHI. Aging younger was one of the barriers to becoming an NHI member, and the male gender is one of the barriers to becoming an NHI member. Meanwhile, the lower the education level, the greater the obstacles to becoming an NHI member in Indonesia. Besides, the unemployed population was 1.002 more likely than the employed population to become a non-member of NHI. The result shows that never married or married have a higher chance of becoming a non-member of NHI. Finally, all wealth status categories are more likely to become barriers to the most prosperous population becoming an NHI member. Conclusions: The study concluded that 7 population characteristics become specific targets for expanding NHI membership in Indonesia. The 7 characteristics are the population who live in rural areas, are young, male, poor education, unemployed, never married or married, and poor.
A public health center is at the forefront of breaking the COVID-19 chain. Limiting the number of patients accessing care during the pandemic is thought to affect patient satisfaction with the quality of service at the public health center during the COVID-19 pandemic. This study aims to know the level of satisfaction of patients visiting a health center based on gender, age, education level, and profession criteria during the COVID-19 pandemic in Sumbersari District, Indonesia. This study used an analytical observational study method for visitors of the Sumbersari Public Health Center in February-March 2021. The population was 126,279 people visiting Sumbersari Public Health Center, meaning a purposive sampling requires 100 people to participate. The research variables were gender, age, education level, occupation, and the patient's satisfaction. The measuring instrument used was a questionnaire. The data were analyzed descriptively using logistic regression test. There is no effect of gender and age on patient satisfaction (p> 0.05). There is an effect of the level of education on patient satisfaction (p <0.05) with OR = 3.32. There is an effect of work on patient satisfaction (p <0.05) with OR = 0.054, meaning that respondents who work, the chance to feel dissatisfied is 18.5 times greater than respondents who do not work.
The COVID-19 pandemic condition presents its own difficulties in achieving this competency for students. Learning from home has several limitations so that the Government of Indonesia through the Indonesian Ministry of Education allows the school learning process offline or face-to-face. This requires readiness from schools in implementing health protocols in a disciplined manner to reduce the risk of transmission of covid 19. Supervision of the enforcement of health protocols will be very difficult if you only rely on health workers. The Hope Integrated Islamic Elementary School (SDIT Harum) Jember will now start limited face-to-face learning in order to fulfill the competence of students. The Faculty of Medicine and the Faculty of Public Health, University of Jember have a moral responsibility to provide education and health promotion activities to the surrounding community, one of which is basic education institutions. One solution that can be done is to form cadres who are tasked with enforcing the implementation of health protocols in a disciplined manner. The hope of this program is that this health protocol discipline enforcer cadre can become an extension of health workers in promoting the importance of health protocol discipline as the main pillar of preventing COVID 19 in limited face-to-face learning.
Context: Online health consultation services are developing, both website-based and application-based, better known as telemedicine or telehealth. Over 50% of the population can access health information easily. Telemedicine can expand healthcare services, increase accessibility, provide clinical support, save time and costs, and be efficient because it overcomes geographic barriers, offers a wide variety of communication tools, and improves patient care. Telemedicine is used to bring specialist, anti-discriminatory and effective health services closer to the interests and safety of patients to expand the quality services in healthcare centers, especially in rural areas in Indonesia. Material and Methods: The study design used in this article is a narrative literature review or formal review by reading the references carefully, then making a summary, drawing conclusions, and finding gaps in the manuscript adapted to the topic to be discussed. Results: The significant number of problems and challenges in public health services in Indonesia can provide exciting opportunities to develop an e-health system that can help solve problems. To put a stop, the Indonesian government is advising the public and medical professionals to use telemedicine as an online public health service application between hospitals and patients. Conclusions: Telemedicine significantly correlates with government and start-up calls and can be employed as a health service option during the COVID-19 pandemic. In this pandemic, telemedicine can improve services in terms of monitoring, evaluating, and educating patients and medical staff.
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