One of the crucial steps during trials for Zika and other vaccines is to recruit participants and to understand how participants’ attitudes and sociodemographic characteristics affect willingness to participate (WTP). This study was conducted to assess WTP, its explanatory variables, and the impact of financial compensation on WTP in Indonesia. A health facility-based cross-sectional study was conducted in eleven regencies in the Aceh and West Sumatra provinces of Indonesia. Participants were recruited via a convenience sampling method and were interviewed. The associations between explanatory variables and WTP were assessed using a two-step logistic regression analysis. A total of 1,102 parents were approached, and of these 956 (86.8%) completed the interview and were included in analysis. Of those, 144 (15.1%) were willing to participate in a Zika vaccine trial without a financial compensation. In the multivariate analysis, WTP was tied to an age of more than 50 years old, compared to 20–29 years (odds ratio (OR): 5.0; 95% confidence interval (CI): 2.37–10.53), to being female (OR: 2.20; 95% CI: 1.11–4.37), and to having heard about Zika (OR: 2.41; 95% CI: 1.59–3.65). Participants’ WTP increased gradually with higher financial compensation. The rate of WTP increased to 62.3% at the highest offer (US$ 350.4), and those who were still unwilling to participate (37.7%) had a poorer attitude towards childhood vaccination. This study highlights that pre-existing knowledge about Zika and attitudes towards childhood vaccination are important in determining community members being willing to participate in a vaccine trial. Financial incentives are still an important factor to enhance participant recruitment during a vaccine trial.
Kecelakaan lalu lintas menjadi penyebab utama kematian akibat cedera baik di negara berkembang ataupun negara maju. Angka kejadian kecelakaan lalu lintas terus meningkat setiap tahunnya seiring dengan meningkatnya pengguna kenderaan bermotor terutama di negara berkembang dengan pendapatan rendah dan menengah. Tulisan ini bertujuan untuk memberikan gambaran terkait kecelakan lalu lintas yang terjadi di kawasan Asia Tenggara terutama di Negara Indonesia. Metode yang digunakan adalah dengan menganilisa laporan yang berkaitan dengan kecelakaan lalu lintas secara global, regional dan lokal khususnya kasus yang terjadi di Indonesia. Dari laporan yang ada,, kasus kecelakaan lalu lintas di hampir semua negara mengalami peningkatan yang diikuti oleh dampak berupa penignkatan angka kematian (mortality rate) dan kecacatan lama (Disability-Adjusted Life Years). Kondisi ini menjadi permasalahan yang besar dibidang kesehatan masyarakat. Oleh karena itu, perhatian dari seluruh pihak sangat diharapkan agar penurunan angka ke matian dan kecacatan akibat kecelakaan lalu lintas bisa dicapai sesuai dengan tujuan pembangunan berkelanjutan (SDGs) 2030.
Introduction: Basic life Support (BLS) is a series of initial attempts to restore respiratory and/or circulatory functions in a person whose breathing and/or circulation stopped (cardiac or respiratory arrest). This study aimed to determine the impact of Basic Life Support (BLS) Training on the knowledge and skills amongst medical students of the Faculty of Medicine, Universitas Malikussaleh.Methods: An institution-based pre-experimental study with no control of extraneous variables in the form of a one-group pre-test-post-test design. Three steps of the study, administering a pre-test measuring the dependent variables, applying the training to the respondents, and administering a post-test. The differences attributed to the application of the BLS training were then evaluated by comparing the pre-test and post-test scores using the Wilcoxon test, and the differences were considered significant at p<0.05.Results: A total of 82 medical students were involved in this study. The overall knowledge of BLS before the training was categorized as good, adequate, and poor with 1 (1.2%), 57 (69.5%) and 24 (29.3%), respectively. While the level of BLS skills of all respondents, 82 (100%), was poor. However, the level of knowledge and skills amongst respondents after participating in BLS training categorized as adequate increased significantly to 77 (93.9%) and 48 (58.5%), respectively, and none of the respondents categorized as a poor level of knowledge even though there were 34 (41.5%) respondents still had poor level of skills. Bivariate statistical analysis using the Wilcoxon test found that the BLS training impacts knowledge and skills with a p-value of 0.000 (p< 0.05). Conclusion: This study showed that the implementation of BLS training for medical students greatly impacts knowledge and skills. The routine non-academic BLS training should be considered to increase both knowledge and skills amongst medical students.
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