Adang Bachtiar
Departemen Administrasi Kebijakan dan Kesehatan Fakultas Kesehatan Masyarakat Universitas Indonesia

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Several Factors that Influence the Performance of Nurses in Carrying Out Nursing Policy in a District Hospital Hafizurrachman, Hafizurrachman; Trisnantoro, Laksono; Bachtiar, Adang
Journal of the Indonesian Medical Association Vol. 61 No. 10 October 2011
Publisher : Journal of the Indonesian Medical Association

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Abstract

This study aimid to look at the effect and magnitude of family health history, lifestyle,environment, and the ability of nurses on their performance and provide useful information todevelop performance-based nursing policy in a District Hospital. This is a cross-sectional study. Data were analyzed with the Structural Equation Model (SEM) approach using Smart-PLS software. In this study nurses serving in all services at a district hospital was selected as the unit of analysis, with 250 nurses were selected as the samples and multistage random sampling were used. The study was conducted from February-August 2010. Analysis showed that the nurses‘performance in a district hospital was influenced by all the variables, which means that the theoretical model proposed in this study can be used. The nurses’ ability was the variable that mostly affects the nurses’ performance (83.6%). In conclusion, the nurses’ performance is affected by many variables, such as family health history, lifestyle, environment, and the ability of nurses. Therefore all the variables offered in this study should be considered for intervention to produce excellent nurses’s performance at a district hospital. J Indon Med Assoc. 2011;61:387-93.Keywords: family health history, lifestyle, environment, ability, performance of nurses.
Performance in The Indonesian Family Planning Guidance: Guidelines for Perfomance Effectiveness Testing in The Era of Decentralization Kurniawan, Ukik Kusuma; Pratomo, Hadi; Bachtiar, Adang
Kesmas The National Journal of Public Health Vol. 5 No. 1 August 2010
Publisher : Kesmas The National Journal of Public Health

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The success of Family Planning (FP) program in controlling fertility level in Indonesia over the last three decades has been associated with the role of FP field workers. A study from Rwanda indicated that activity of the FP field workers to deliver counseling has increased contraceptive prevalence rate until 29% points. However, since decentralization policy has been adopted and implemented in Indonesia in 2004, later in 2009 it was found that the total number of FP field workers has been decreased to remain two-thirds from the previous number i.e. 35 thousands workers before desentralization took place. A reflecting impact from this dynamic situation is a stagnant level of Indonesia’s total fertility rate (TFR) based on IDHS 2007 data that has been similar to that in IDHS 2002-2003, accounted for 2.6 children per woman. A stagnant TFR trend may stimulate fear of increasing TFR after then, when the FP program performance including that the performance of FP field workers are neglected. Increasing TFR would lead to a baby booming that threatens excessive utilization of natural resources that is already limited. This also worsens BKKBN efforts to achieve a zero growth population stage or replacement fertility level by year 2015. It is recommended that an optimum working climate should be pursued to yielding a maximum performance of FP field workers within these dynamic changes since decentralization policy has been applied. The recommendation includes establishing a reward system and recording reporting system with information technology basis.Key words: Field workers, family planning, decentralization, performance
Hubungan Peran Pengawas Minum Obat oleh Keluarga dengan Petugas Kesehatan Terhadap Pengetahuan, Perilaku Pencegahan, dan Kepatuhan Klien TBC dalam Konteks Keperawatan Komunitas di Kabupaten Wonosobo Istiawan, Rochani; Sahar, Junaiti; Bachtiar, Adang
Jurnal Keperawatan Soedirman (JKS) Vol 1, No 2 (2006)
Publisher : Jurusan Keperawatan FKIK Unsoed

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The program of TB drug observer should be increased the TB client in adherence, but the national number of the negative result of Tuberculosis diagnostic still below the national target (80%). The goal of this study was to know the correlation between TB Drug Observer by the Family and Health Worker with the Knowledge, Behavior and Adherence of TB patient. This study was used descriptive correlation design with cross sectional approach. The total sample of this study where that matches with the inclusive criteria were 72 TB patients. The instruments were self prepared by the researcher with validity test (counted r>tabled r=0.361) and the reliability test with a=0.9298 (TB drug observer role), a=0.9076 (knowledge), a=0.8067 (prevention behavior), a=0.6631 (adherence). Product Moment Pearson’s Correlation Coefficient was used to analyze the correlation between TB Drug Observer by the Family and Health Worker with the Knowledge, Behavior and the Adherence of TB patient. The result of this study showed a strong correlation between the family TB Drug Observer to the prevention Behavior (r=0.656) in positive pattern. The significant correlation family TB Drug Observer to the prevention TB behavior (p=0.0001). Another result showed a strong correlation between health workers TB Drug Observer to the knowledge of the patient (r=0.706) in positive pattern. Also the result showed a strong correlation between health workers TB Drug Observer to the prevention TB behavior (r=0.673) in positive pattern. And there was a mild correlation also between health workers TB Drug Observer to the adherence of TB medication (r=0.553) in positive pattern. There was also a significant correlation between health workers TB Drug Observer role to the knowledge, TB prevention behavior and TB medication adherence. Confounding variables were not have correlation to the family TB Drug control Adherence Observer role to the knowledge, TB prevention behavior and TB medication. The conclusion from this study showed a strong correlation between family TB drug observer and the prevention behavior, and a strong correlation between health worker TB drug observer and the knowledge, prevention behavior and adherence of the patient. This study suggested that the community nurse should keep visit the family to observe and maintain the prevention behavior and adherence to the TB medication program.  
Analisis Implementasi Kebijakan PKPS BBM Bidang Kesehatan Bachtiar, Adang; Ayuningtyas, Dumilah; Wardani, Riastuti Kusuma
Kesmas The National Journal of Public Health Vol. 3 No. 3 December 2008
Publisher : Kesmas The National Journal of Public Health

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Unavoidable raise of international fuel prices had forced Government of Indonesia under the leadership of Susilo Bambang Yudhoyono (SBY) to reduce fuel subsidies. These happened in March 2005 (fuel prices increased approximately 60 per cent), October 2005 (with 108 per cent rise in fuel prices), and May 2008 (which increased the fuel prices for around 30 per cent). The point of this policy is that the government has intention to re-allocate the funds from reduced fuel subsidies to four main programs for poor people such as direct compensation (payment of 100,000 Indonesian Rupiah, or about US$10, to 15 million families, or one quarter of the population, through the state postal and banking system), school operational assistance, free health service, and rural infrastructure program. The objective of this study is to evaluate the Fuel Subsidy Reduction Compensation Program (Program Kompensasi Pengurangan Subsidi Bahan Bakar Minyak (PKPS-BBM)) during the period 2005-2006 in general. Quantitative and qualitative approaches are used in this research through document analysis and in-depth interview. PKPS BBM program implementation in Nusa Tenggara Barat, Kalimantan Timur, and Bogor City are not yet optimal because of the dissimilarity on number of target and standard of utilisation in each region, considering differences in their geographical conditions. However, poor people are quite satisfied with free health services although the realization did not touch the target completely. Moreover, there still exists expense charged to poor people. Key words: PKPS BBM, health services, fuel subsidies, NTB, Kalimantan Timur
An analysis on the delay of cervical cancer patients in seeking medical check up in Dr. Cipto Mangunkusumo National Central General Hospital Jakarta Susanti, Ni N.; Aziz, M. F.; Bachtiar, Adang
Medical Journal of Indonesia Vol 12, No 3 (2003): July-September
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (139.721 KB) | DOI: 10.13181/mji.v12i3.105

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In Indonesia, most cervical cancer patients seek medical help after the cancer has reached advanced stage (62 %). This has caused cervical cancer to contribute to 66 % of gynecological deaths.1 The objective of this study is to find out factors related to the delay of cervical cancer patients in seeking for medical help. This research employs quantitative and qualitative methods. Samples were obtained from all of the new cervical cancer patients who came for the first time between 2000 to 2001 and returned to the Dr. Cipto Mangunkusumo National Central General Hospital Jakarta from August until October 2001. It is concluded that variables significantly correlated with the delay for medical check up are knowledge, attitude, the availability of Pap smear service and husband support. The availability of Pap smear plays as dominant variabel. (Med J Indones 2003; 12: 162-5) Keywords: Cervical cancer, knowledge, attitude, the availability of Pap smear service, husband support, late medical check up
Influence of the abilities in controlling violence behavior to the length of stay of schizophrenic clients in Bogor mental hospital, Indonesia Keliat, Budi A.; Azwar, Azrul; Bachtiar, Adang; Hamid, Achir Y.S.
Medical Journal of Indonesia Vol 18, No 1 (2009): January-March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (359.564 KB) | DOI: 10.13181/mji.v18i1.336

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Aim In average, the length of hospital stay in mental hospitals in Indonesia is 54 days, the longest of which occur on schizophrenic clients. In Bogor Mental Hospital, the average length of stay is 115 days. Those with schizophrenic and violence behavior have 42 days length of stay. The purpose of this study was to reduce length of stay for schizophrenic clients by enhancing their abilities to control violence behavior.Methods This is a quasi experimental study with multiple series design. Study was conducted in Bogor Mental Hospital with 152 respondents (75 intervention and 77 non intervention). Training was given to the intervention group about the ways how to control violence behavior.Results The results of this study showed that the average length of stay in the hospital for the clients in intervention group was 23 days and non intervention group was 40 days. There were 86.6% of clients in intervention group that independently (without assistance) could control their behavior, whereas 13.4% still need assistant. All clients in non intervention group had no abilities to control their violence behavior. Clients who were independent in controlling violence behavior had significantly shorter length of stay compared to non independent clients (p < 0.05).Conclusion Hence, the training control violence behavior can increase the abilities of the clients in controlling their violence behavior and resulting in shorter length of stay in hospital. (Med J Indones 2009; 18: 31-5)Keywords: violence behavior, schizophrenia, training, length of stay
Healthy adults maximum oxygen uptake prediction from a six minute walking test Nusdwinuringtyas, Nury; Widjajalaksmi, Widjajalaksmi; Bachtiar, Adang
Medical Journal of Indonesia Vol 20, No 3 (2011): August
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (363.858 KB) | DOI: 10.13181/mji.v20i3.452

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Background: A parameter is needed in medical activities or services to determine functional capacity. This study is aimed to produce functional capacity parameter for Indonesian adult as maximum O2.Methods: This study used 123 Indonesian healthy adult subjects (58 males and 65 females) with a sedentary lifestyle, using a cross-sectional method.Results: Designed by using the followings: distance, body height, body weight, sex, age, maximum heart rate of six minute walking test and lung capacity (FEV and FVC), the study revealed a good correlation (except body weight) with maximum O2. Three new formulas were proposed, which consisted of eight, six, and five variable respectively. Test of the new formula gave result of maximum O2 that is relevant to the golden standard maximum O2 using Cosmed® C-Pex.Conclusion: The Nury formula is the appropriate predictor of maximum oxygen uptake for healthy Indonesians adult as it is designed using Indonesian subjects (Mongoloid) compared to the Cahalin’s formula (Caucasian). The Nury formula which consists of five variables is more applicable because it does not require any measurement tools neither specific competency. (Med J Indones 2011;20:195-200)Keywords: maximum O2, Nury’s formula, six minute walking test
Asthma prevalence among high school students in East Jakarta, 2001, based on ISAAC questionnaire Yunus, Faisal; Antaria, Ratnawati; Rasmin, Menaldi; Mangunnegoro, Hadiarto; Jusuf, Anwar; Bachtiar, Adang
Medical Journal of Indonesia Vol 12, No 3 (2003): July-September
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1017.856 KB) | DOI: 10.13181/mji.v12i3.103

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The aim of this study was to assess asthma prevalence in children between 13-14 years of age in East Jakarta. This study is a cross sectional study which surveyed 2234 high school students between the ages of 13 and 14 years in East Jakarta in 2001 using the ISAAC questionnaire. Bronchial challenge test was applied by using methacholine substance to 186 students. Reports based on the ISAAC questionnaire indicate that 7.2% of teenage have had wheezing experience, 4.1% have wheezing within the last 12 months, 1.8% have ever suffered severe asthma attack within the last 12 months, 3.3% have suffered wheezing after exercise, and 6.3% have got night cough while they were not suffering from cold. Prevalence of atopy diseases such as rhinitis and eczema were 14.2% and 3.9%, meanwhile rhinitis and eczema prevalence within the last 12 months according to this study were 10.6% and 2.9% respectively. Statistically, there is a significant correlation between wheezing symptom and atopy (p < 0.05). From indepth questionnaire, a significant value of kappa 0.84 related with wheezing within the last 12 months was found. Bronchial challenge test results indicate that sensitivity was 90%, specificity 83.58%, positive predictive value 68.12% and negative predictive value was 95.73%. Asthma prevalence in East Jakarta at 2001 based on ISAAC questionnaire was 8.9%, and cumulative prevalence 11.5%. The ISAAC questionnaire can be used to study asthma prevalence in children at multicenter in Indonesia. (Med J Indones 2003; 12: 178-86)Keywords: bronchial challenge, high school student, ISAAC questionnaire, East Jakarta, asthma prevalence
Effect of laser photocoagulation and bevacizumab intravitreal in proliferative diabetic retinopathy: review on biomarkers of oxidative stress Victor, Andi A.; Gondhowiardjo, Tjahjono D.; Waspadji, Sarwono; Wanandi, Septelia I.; Bachtiar, Adang; Suyatna, Franciscus D.; Muhiddin, Habibah
Medical Journal of Indonesia Vol 23, No 2 (2014): May
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (545.754 KB) | DOI: 10.13181/mji.v23i2.756

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Background: This study was aimed to compare the effect of laser photocoagulation (LF), intravitreal bevacizumab (IVB) and combined treatments on biomarkers of oxidative stress such as aldehhyde dehidrogenase (ALDH), malondialdehyde (MDA) level, superoxide dismutase (SOD) activities, and vitreal vascular endothelial growth factor (VEGF) on proliferative diabetic retinopathy (DR) patients.Methods: In this single blind randomized clinical trial, 72 eyes from 69 cases of proliferative DR in Cipto Mangunkusumo Hospital between February 2011 - June 2013 were randomized into 4 groups : 1) control (n = 18); 2) LF pre-vitrectomy (n = 18); 3) IVB pre-vitrectomy (n = 18); and 4) combined IVB and LF pre-vitrectomy (n = 18). One-way ANOVA was used to compare oxidative stress parameters in the four groups.Results: There were no statistically significant differences in the average plasma ALDH activity (0.034 ± 0.02; 0.027 ± 0.02; 0.025 ± 0.02; 0.031 ± 0.11 IU/mg protein; p = 0.66), vitreal MDA level (1.661 ± 1.21; 1.557 ± 1.32; 1.717 ± 1.54; 1.501 ± 1.09 nmol/mL; p = 0.96) and SOD activity) (0.403 ± 0.50; 0.210 ± 0.18; 0.399 ± 0.49; 0.273 ± 0.32 U/mL; p = 0.38) among these four groups, respectively. However, the VEGF vitreal level (pg/mL) showed a statistically significant difference (0.356 ± 0.60; 0.393 ± 0.45; 0.150 ± 0.24; 0.069 ± 0.13; p = 0.05). The VEGF level in combination group was five times lower than the control group (p = 0.05).Conclusion: Combined treatments of DR by IVB and LF were correlated with lower vitreal MDA and plasma VEGF level, but did not have any effect on plasma ALDH and vitreal SOD in proliferative DR. Combined treatments with IVB and LF are recommended for the management of proliferative DR patients.  
Clinical Scoring of Positive Histophatology Findings for Inflammatory Bowel Disease at Four Hospital in Jakarta Nizam, Dasril; Simadibrata, Marcellus; Manan, Chudahman; Makmun, Dadang; Abdullah, Murdani; Bachtiar, Adang
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy VOLUME 11, NUMBER 2, August 2010
Publisher : The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy

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Background: Inflammatory bowel disease (IBD) in the form of Crohn’s disease (CD) or ulcerative colitis (UC) is chronic IBD which still difficult to diagnose and clinically characterized by exacerbation and spontaneous remission. A precise diagnosis is needed and essential for appropriate treatment. Most of internists in Indonesia have to cope with a condition of poorly equipped endoscopic facilities - especially colonoscopy and subsequently refer their patients to endoscopic centers with colonoscopy facilities as well as sending biopsy specimens for histopathology examination. They also should be concerned that it would be expensive, time- consuming, and patients may suffer from considerable distress while waiting for the results of diagnostic confirmation. Therefore, we were interested in studying the clinical scoring for IBD to determine the diagnosis of possible IBD by assessing the combination of clinical reporting aspects, identification of probable IBD and histopathology examination Method: The study design was cross-sectional. We collected data pertinent to this study from medical records of patients with IBD clinical features at the endoscopic units of four hospitals in Jakarta between 1999 and 2009. Student t-test and logistic regression analysis were used for the statistic examination. Results: Based on colonoscopy examination, there were 213 patients with positive IBD and 173 patients with negative results. Histopathology results were considered as the gold standard in diagnosis of IBD. The mean clinical score was 9 (nine) points. Subjects with positive histopathology findings were significantly had higher average score than those with negative histopathology findings. Using ROC curves, we found cut-off score of 10 points with a sensitivity and specificity of 73% and 88% consecutively; while by applying logistic regression analysis, we found odds ratio (OR) of 20 (9.9-40.0 Conclusion: The clinical scoring for IBD is a valuable diagnostic tool in determining definitive diagnostic of IBD based on histopathology findings Keywords: clinical scoring, histopathology findings, definitive IBD