Andi Zulkifli

The Analysis Service Quality Based on Patient Expectation and Assessment at Mamuju Regecy Local Public Hospital 2016

This study was aimed to analyze service quality at inpatient unit of Mamuju Regency Local Public Hospital based on the gap between the real service and patients expectation. The study was conducted using the cross-sectional design from May to July 2016 at the inpatient unit of Mamuju Regency Local Public Hospital. The primary data were collected in interviews with selected patients by a questionnaire; while secondary data were obtained from the hospital profile. The population included all inpatients (5795) who were had treatment at Mamuju Regency Local Public Hospital in 2016; and study samples were 162 patients. They were selected using proportional estimation technique. The sampling was conducted with stratified random sampling technique. The data were analyzed by using statistical analysis (SPSS program) with gap analysis, analysis of degree of conformity and IPA (importance Performance Analysis). The results had revealed that there was a significant gap between expected service and real service received by patients at the inpatient unit of Mamuju Regency Local Public Hospital in terms of interaction quality (p=0.000), physical environment quality (p=0.000), outcome quality (p=0.000), and service quality (p=0.000). Furthermore, results of IPA with Cartesian diagram showed that ambient condition sub variable was in the quadrant I (main priority), and physical evidence condition was in the quadrant II (retained). Meanwhile, valence, attitude, and room design were in the quadrant III (low priority), and behavior, skill and waiting time were in the quadrant IV (redundant). The IPA and analysis of the degree of conformity revealed that patients in the inpatient unit of Mamuju regency Local Public Hospital were satisfied in terms of skill and waiting time dimensions.

Influence Factors on Blood Glucose Level of Diabetes Mellitus Patients in Makassar

The aim of the research was to analyze the effect of glycemic control, method of treatment, duration of diabetes mellitus (DM), complication and predisposing factors on blood glucose level of DM patients in Makassar. The study was an observational analytic research with cross sectional method. The population were DM patients in Makassar. The sample consisted of 301 DM patients from 21 primary care center in 14 districts in Makassar selected using proportional random sampling. The data were analyzed using chi square test and multivariate analysis with the logistic regression test. The result of the research indicated regular exercise (p=0.000) and drugs adherence (p=0.025) have correlation to controlled blood glucose level. Logistic regression indicated that regular exercise is the most dominant factor affecting controlled blood glucose level (OR=52.387, 95%CI= 17.950 - 152,894).

Survival of Lung Cancer Patients in Dr Wahidin Sudirohusodo Hospital Makassar 2012-2016

This study aimed to found out the proportion of the determinant of survival in lung cancer patients who come for treatment in the DR Wahidin Sudirohusodo Hospital Makassar period 2012-2016. The study was conducted at Dr. Wahidin Sudirohusodo Hospital Makassar. The study design was observational analytic with Retrospective Cohort. Sampling was done by exhaustive sampling method with total sample of 144 patients who diagnosed with lung cancer and recorded in the medical records of DR Wahidin Sudirohusodo Hospital period 2012-2016. The results of the study reveals that a 1-year survival rate of lung cancer patients was 24%, 2-year survival rate was 16%, and 3-year survival rate was 14%. The survival proportion of lung cancer with a BMI <18,5 was 6% and BMI ≥ 18,5 was 50% with HR 3,163 (95% CI = 1,802--5,551); severe comorbidities was 7% and mild comorbidities was 20% with HR 1,599 (95% CI = 1,110--2,302); advanced stage was 2% and early stage was 60% with HR 12,635 (95% CI = 6,222--25,660); bad performance status was 11% and good performance status was 21% with HR 1,987(95% CI = 1,335--2,960); and patients who underwent palliative treatment was 5% and patients who underwent curative treatment was 27% with HR 3,177 (95% CI = 2,123--4,754). Multivariate analysis showed that the most associated factors with survival of patients with lung cancer is stage (HR = 10,010; 95% CI=4,851--21,893), the type of treatment (HR = 1,659; 95% CI=1,095--2,514) and the interaction between gender and performance status (HR = 1,472; 95% CI=1,014--2,136).

Risk Factors of Neonatal Mortality Incidence in Muna Regency in 2014

The aim of this study to understand risk factors of maternal education, maternal employment status, family income, maternal age, parity status, hypothermia status, asphyxia status, newborn weight status, congenital disorder and Antenatal care (ANC) toward neonatal mortality in Muna Regency. The study was conducted in Muna regency. This study was an observational analytic through a case control design. The sampling is done by using quota sampling with a total sample of 135 people consisting of 45 cases and 90 controls. The study found socioeconomic and proximate factors had influenced neonatal death in Muna Regency based on logistic regression analysis result had showed the newborn weight status was most influential factor on neonatal death in Muna Regency with Odds Ratio (OR) 22.548 (95% CI:6.515-78.036). The awareness in the communities can reduce neonatal mortality cases involved pregnancy women. Besides, the upgrading healthcare facilities and special attention to pregnancy women in rural area also can help in reduce neonatal mortality cases in Muna regency.

Physical activity is associated with lower blood glucose level in high school teachers in Palu, Indonesia

Physical activity refers to the body movements produced by skeletal muscles that generate energy above the resting level. Physical activity is commonly done repeatedly over a long period of time which is essential for maintaining physical and mental health, as well as quality of life to stay healthy and fit throughout the day. Engaging in exercise program indeed has been recommended as a costrategy to prevent various chronic diseases. A prospective study indicated that various types of physical activity may prevent diabetes. It was stated that physical activity equal to 20 MET-hours/week may reduce the risk of diabetes by 15%. Thus, doing physical activity in spare time may prevent and delay the progression of pre-diabetes to diabetes mellitus (DM). Exercises promotes reduction in blood glucose concentration through increased glucose uptake by body tissues. Meanwhile, in overweight or obese individuals, lack in exercise will result in increased level of blood sugar. High blood lipid which was often experienced by ABSTRACT

Knowledge, ARV Access and Compliance of PlhIV before and after Providing Health Education Based on Community ARV and Adherence Support Group (Caasg) in Bulukumba Regency

HIV and AIDS is a global and very complex disease which in handling the need for active health education involving People living with HIV (PLHIV). Knowledge, access to ARVs and adherence are very important factor in maintaining the quality of PLHIV. This study aimed to analyze differences in knowledge, access to ARVs and adherence before and after the provision of health education interventions based on ARV and adherence Support Group (CAASG) in existing PLHIV in Bulukumba.

The Effect of Moringa Leaf Extract and Powder to Haemoglobin Concentration among Pregnant Women in Jeneponto Regency

Based on the initial study, the prevalence of anaemia in pregnant women reached 39.0%. This study aims to see the effect Moringa leaf (extract and powder) to haemoglobin concentration among pregnant women. This study is true experimental by using double-blind randomized control trial design (DB-RCT). The study conducted in six sub-districts located in Jeneponto District. Total 616 samples have been selected purposively and pregnant women with diseases were excluded. Samples were divided into three groups, Moringa leave powder (PG), Moringa leave extract (EG), and folic-iron (IG) and have been administered for 12-weeks. Samples dropped out were 92 with several reasons. Therefore, only 524 samples could be analysed at Endline study. There were no characteristic variables have statistically significant, the current study shows that the majority of household do not have trash can (81.9%). Overall, after intervention, haemoglobin concentration declined significantly from 11.36 to 10.71 (p<0.001). The highest decrease of haemoglobin concentration was in EG and followed by PG then IG (−0.83, -0.72, -0.41, respectively). Analysis of variance shows differences among groups particularly between EG and IG group (p=0.027). Furthermore, stratified analysis has been done as well to show changes in both anaemic (p=0.028) and nonanaemic group (0.276). Multivariate analysis conducted reveals there are four variables which contribute to Hb changes with the R2 value= 0.231 (p<0.001). This study conclude that Moringa leaves powder can be an alternative supplementation for the anaemia prevention among pregnant women.

PERFORMANCE OF HEALTH OFFICE MAMBERAMO CENTRAL DISTRICT IN THE MOTHER AND CHILD HEALTH PROGRAM

The coverage of maternal and child health programs in the district health offices of Central Mamberamo is still low based on indicator of minimum service standard that has been determined from the Ministry of Health of the Republic of Indonesia. This study aims to analyze the performance of Central Mamberamo District Health Office on Maternal and Child Health Program (KIA). The research method is qualitative with case study approach. The informants were 12 people who were the leaders and implementers of maternal and child health programs in the health offices and puskesmas. Data collection through observation, document review and in-depth interviews. Data analysis using content analysis. The result of the research shows that there are still some midwives of health center as an officer in health service program of mother and child have not been able and skilled in running the program and some officer do not have registration letter of midwife as health care quality assurance. The availability of funds is still lacking for some puskesmas and its use is not right on target. The allocation of funds is mostly for facilities and infrastructure and personnel expenditure. In addition there is a delay in the realization of the budget. Program supervision has not been run regularly and there is no integrated supervision team established by the health department. The process of planning of maternal and child health programs has not been maximized because the annual work plan has not been prepared by maternal and child health sectors and bottom up planning by puskesmas has not been done yet. It was concluded that the implementation of maternal and child health programs in the district health offices of Central Mamberamo has not run as expected.

DETERMINANT OF OSTEOPOROSIS OCCURRENCE ON PATIENTS IN REGIONAL GENERAL HOSPITAL, WAHIDIN SUDIROHUSODO IN MAKASSAR CITY

Osteoporosis is a disease characterized by low bone mass and worsening of microstructural bone tissue.The research aimed at analyzing the osteoporosis risk factors on the osteoporosis patients in the Regional General Hospital, Wahidin Sudirohusodo. This was the analytic research with the control case study design. The research population was all osteoporosis patients in the Regional General Hospital, Wahidin Sudirohusodo with as many as 122 samples comprising 61 osteoporosis patients as the case group and 61 non-osteoporosis patients as the control group. The samples were taken using the purposive sampling technique. Data were collected using the observation sheet. The data were analyzed using the risk analysis (Odds Ratio) and Pearson Chi-Square for the bivariate analysis, and logistic regression for the multivariate analysis. The research result indicates that the variables having the risk of the osteoporosis are: family history (OR:2,052; 95%CI:1,70-2,46; p:0,079), physical activity (OR:6,71; 95%CI:3,04-14,8; p:0,000), consumption of calcium source food (OR:5,497; 95%CI:2,44-12,35; p:0,000), and consumption of soft drink (OR:2,997; 95%CI:1,194-7,520; p:0,016). The multivariate analysis result indicates that the physical activity (OR:4,370; 95%CI:1,856-10,288; p:0,001), consumption of calcium source food (OR:3,150; 95%CI:1,283-7,736; p:0,012), and consumption of soft drink (OR:2,371; 95%CI:0,851-6,606; p:0,099)represent the risk factors having the most significant contribution on the osteoporosis.