Confidence in managing human monkeypox cases in Asia: A cross-sectional survey among general practitioners in Indonesia, Acta Tropica (2020),

Objective: The aim of this study was to assess the stigma against coronavirus disease 2019 (COVID-19) among health care workers (HCWs) in Indonesia during the early phase of pandemic. Methods: A cross-sectional study was conducted in twelve hospitals across the country on March 2020. A logistic regression was employed to assess the association between stigma and explanatory variables. Results: In total, 288 HCWs were surveyed in which 93.4% of them had never experienced any outbreaks. Approximately 21.9% of the respondents had stigma against COVID-19. HCWs who were doctor, had not participating in trainings related to COVID-19, working at the capital of the province, working at private hospitals, and working at the hospital with COVID-19 triage protocol were likely to have no stigma against COVID-19. Conclusions: The stigma against COVID-19 is relatively high among HCWs in the early phase of COVID-19 pandemic in Indonesia. Adequate knowledge dissemination and adequate protection are necessary to reduce the stigma among HCWs.

Background: The aim of this study was to assess the knowledge and attitudes towards pregnancy-related issues of Zika virus (ZIKV) infection among general practitioners (GPs), a frontline healthcare worker group, in Indonesia. Methods: A cross-sectional, online survey assessing knowledge and attitudes towards ZIKV infection on multiple-item scales was sent to GPs in the Sumatra and Java islands of Indonesia. The associations between independent factors and either knowledge or attitude were assessed with logistic regressions. The correlation and association between knowledge and attitude were estimated. Results: We included 457 (53.7%) out of 850 responses in the analysis. Among these, 304 (66.5%) and 111 (24.2%) respondents had a good knowledge and attitude, respectively. No demographic, workplace, professional development, or experiential characteristics related to ZIKV infection were associated with knowledge. In the multivariate analysis, only contact experience was associated with attitude. There was a significant, positive correlation between knowledge and attitude scores. Conclusions: Although knowledge of pregnancy-related complications of ZIKV infection is relatively high among GPs in Indonesia, more than 75% of them had a poor attitude towards pregnancy-related issues of Zika. Strategies for enhancing the capacity of GPs to develop positive attitudes and respond to ZIKV infection are needed.

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Background: The aim of this study was to assess the level of knowledge towards Zika among medical students, medical interns and general practitioners (GPs) in Indonesia. Methods: A cross-sectional study was conducted in Aceh province of Indonesia in 2016. A set of validated questionnaire, consisting 24 questions, was used to assess the knowledge. Logistic regression was used to estimate the differences in knowledge between groups. Results: A total of 1031 participants were included in the final analysis in which most of them were medical student (39.7%), followed by GPs (37.7%) and medical intern (22.6%). Approximately 17%, 19%, and 64% of the medical students, interns and GPs had good knowledge, respectively. The knowledge level of medical student and medical interns was roughly equivalent. Medical students and medical interns had significantly lower odds of having a good knowledge compared to GPs, OR: 0.12 (95%CI: 0.08-0.16) and OR: 0.13 (95%CI: 0.09-0.20), respectively. Conclusion: General practitioners have greater knowledge of Zika than medical students or interns, possibly as a result of clinical experiences or exposure to learning. Inclusion of Zika learning materials in the national medical curriculum could improve knowledge of Zika and the ability of the health care workforce to respond to future outbreaks.

Background: Indonesia medical education recruitment system recruits students directly from high school who had been influenced by mostly teacher centered learning. As part of pedagogical approach in higher education, those students will be obligatory to learn independently and effectively. Self-directed learning (SDL) is an important aspect in latest medical educational evidence which would determine students’ successfulness in learning. Self-directed learning readiness (SDLRS) is influenced by several factors including motivation, age, culture, and previous education experience. Today, the admission process in Indonesia is based on knowledge-test based only. This study aims to reveal correlation between several factors which influence students’ Self Directed Learning Readiness (SDLRS).Methods: This study used SDLRS questionnaire as a valid and reliable toll to measure the students’ self directed learning readiness and correlate with those several factors.Result: From 540 distributed questionnaires, 412 questionnaires returned back. The Spearman correlation showed significant ratio between students SDLRS score and students’ motivation. While, the analysis on age showed that age of 20 has significant ratio with students’ SDLRS score.Conclusion: among age, previous education experience, and culture; students’ internal motivation  should be considered as important factor for students’ SDLRS which will determine their successfulness in learning in medical education. These factors should be regarded as one requirement of students’ admission in medical education.

Background: Learning media do have an important role in facilitating learning for medical students, especially in Problem Based Learning (PBL) curriculum. TV-LEDs, LCDs and whiteboards are currently popular to be used as the learning media for PBL tutorial discussions. TV-LEDs and LCDs are digital technologies which are considered more sophisticated when compared to whiteboards. Undergraduate medical students in Faculty of Medicine, Universitas Gadjah Mada (FM UGM), Yogyakarta-Indonesia attend PBL tutorials every week and use those learning media to facilitate their tutorial discussions. This study aimed to compare the effectiveness of TV-LEDs/LCDs and whiteboards as learning media in PBL tutorial discussion.Methods: A cross-sectional study using both qualitative and quantitative (mixed method) survey approaches. A total of 398 third and fourth year undergraduate medical students of FM UGM participated the survey. Data were collected using a questionnaire that incorporated close-ended questions using likert-scale (quantitative) and open-ended questions (qualitative). Quantitative data were analysed based in ARCS (Attention, Relevance, Confidence, Satisfaction) grouping method and qualitative data were analysed using deductive qualitative analysis.Results: The survey found based on ARCS groups that A = 3,68; R = 3,63; C = 3,69; S = 3,71. These results indicate that students are eager and enthusiastic in using the technology of TV-LEDs/LCDs as learning media. The qualitative responses describe the benefits and limitations of both TV-LEDs/LCDs and whiteboards as learning media in PBL tutorial. Students also provide some suggestions to optimise the benefits of both learning medias in facilitating learning in PBL tutorial.Conclusion: The use of TV-LEDs/LCDs as learning media in PBL tutorial received a positive response overall. TV-LEDs/LCDs are considered more effective and interactive rather than whiteboard. Students suggested that TV-LEDs/LCDs should be used side-by-side with whiteboard.Keywords: TV-LED/LCD, whiteboard, tutorial, learning media, effectiveness, medical student

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