The spread of COVID-19 in Indonesia has prompted the government to urge health agencies to develop telemedicine and direct people to minimize activities outside the home, including visiting health services. In its implementation, the use of telemedicine has increased rapidly even though it is still in the development stage and there is no specific regulation. Java Island as a region with a high number of COVID-19 cases has the potential to utilize telemedicine. The purpose of this study was to analyze the factors that influence the use of telemedicine during the COVID-19 pandemic on the island of Java. This research is a quantitative study with a cross-sectional approach. Respondents of the study were 269 people using the incidental sampling method. The results of this study indicate factors related to the use of telemedicine services during the Covid-19 period in Java, namely knowledge (p = 0.000), attitude (p = 0.000), trust (p = 0.000), accessibility (p = 0.000), role environment (p = 0.000), individual health assessment (p = 0.000), and perceived benefits (p = 0.006). Meanwhile, the unrelated factor was the perception of obstacles (p = 0.090). It is recommended that the government formulate telemedicine regulations related to patient protection guarantees, medical record safety, information and communication technology standards, and quality assurance. The health office conducts telemedicine education to the public and supervises telemedicine providers to ensure that services remain integrated with the health facilities.

Layanan konsultasi kesehatan online atau sering dikenal dengan telekonsultasi merupakan bagian dari telemedisin. Teknologi tersebut mulai berkembang di Indonesia sejalan dengan perkembangan teknologi informasi di bidang kesehatan. Fleksibilitas waktu, biaya konsultasi yang lebih rendah, jangkauan yang luas, serta peningkatan  layanan kesehatan merupakan keuntungan yang diperoleh dari implementasi teknologi tersebut. Meskipun demikian, implementasi layanan konsultasi dokter online berpotensi menimbulkan permasalahan etika dan hukum di Indonesia seperti permasalahan legalitas tempat praktik, legalitas izin praktik, transaksi terapeutik, serta permasalahan kerahasiaan dan keamanan data pasien. Indonesia belum memiliki regulasi khusus mengenai implementasi konsultasi kesehatan online. Regulasi spesifik diperlukan agar implementasi teknologi tersebut tidak bertentangan dengan etika dan  hukum. Selain itu, medical device standard sebaiknya terus dikembangkan untuk mendukung implementasi layanan konsultasi dokter online.

<p><strong>Latar Belakang : </strong>Pandemi <em>Coronavirus Disease </em>-19 (COVID-19) memberikan dampak pada berbagai sektor kehidupan termasuk diantaranya adalah sektor pendidikan. Himbauan mengenai <em>physical distancing </em>selama masa pandemi dan era <em>new normal</em> membuat ranah pendidikan mengoptimalisasikan pembelajaran melalui daring (<em>online</em>). Terdapat berbagai media pembelajaran yang dapat digunakan dalam pembelajaran <em>online</em>, salah satunya dengan memanfaatkan <em>instan messaging </em>seperti <em>WhatsApp Grup. </em>Penelitian ini bertujuan untuk mengetahui efektivitas penggunaan <em>WhatsApp Grup </em>sebagai media pembelajaran selama pandemic COVID-19.</p><p><strong>Metode : </strong>Penelitian bersifat deskriptif analitik dengan pengumpulan data melalui survei <em>online </em>menggunakan <em>google form. </em>Jumlah responden sebanyak 398 mahasiswa yang telah mendapatkan 3 sesi perkuliahan dengan menggunakan <em>WhatsApp Grup. </em>Waktu penelitian berlangsung pada bulan April hingga Mei 2020.</p><p><strong>Hasil : </strong>Berdasarkan penelitian, sebanyak 269 responden (67,6%) menyebutkan <em>WhatsApp Grup </em>efektif sebagai media pembelajaran, dengan 350 responden (87,9%) memiliki nilai post test ≥70. <em>WhatsApp Grup </em>memiliki beberapa keuntungan seperti hemat kuota dan dapat dikombinasikan dengan berbagai fitur pembelajaran. Sedangkan kekurangan dalam media ini adalah mahasiswa mudah terdistraksi dengan <em>chat </em>lain dan sukar diterapkan pada pembelajaran yang melibatkan presentasi mahasiswa.</p><p><strong>Kesimpulan : </strong><em>WhatsApp Grup </em>dapat digunakan sebagai alternatif media pembelajaran daring di masa pandemi COVID-19. Meskipun demikian, kombinasi penggunaan teks, gambar, video, dan games perlu dilakukan sehingga dapat memfasilitasi berbagai gaya belajar mahasiswa baik audio maupun visual.</p>

Indonesia targeting that at least 70% of the population vaccinated and formed the herd immunity. However, there are several challenges in reaching that target, such as the anti-vaccine movements, disinformation or hoaxes, fear of the Adverse Event Following Immunization (AEFI), and fear of needles. Based on the preliminary study, the area of Bandarharjo Public Health Centre was in the lowest 3rd place related to the COVID-19 vaccination coverage in Semarang. This was due to lack of education to the community regarding the vaccination, the high resistance to vaccination due to concerns about AEFI, and so on. Health cadres are one of the main actors in the supporting the health programs in PHC, therefore the role of health cadres need to be optimized in education and management of AEFI related to COVID-19 vaccination. This community service program was carried out offline in 30 health cadres in the working area of Bandarharjo PHC. The activity began with a pre-test, continued with the presentation of the topic, discussion session, and ends with post-test. The results of the pre-test and post-test showed that there was an increase in the knowledge of cadres between before the presentation and after the presentation session. Health cadres also received booklets containing general information about COVID-18 vaccination and also related to AEFI. Booklets given to cadres not only to increase their knowledge but also can be used to educate the community. Hopefully, with the increase in knowledge and understanding of cadres, the community will be easily get the right information. The health cadres commitment to educate the community regarding COVID-19 vaccination also hoped to increase the community knowledge related to the vaccination and also the willingness of community to receive the COVID-19 vaccination, especially in the working area of Bandarharjo PHC, Semarang City, Central Java Province.

Coronavirus Disease-2019 (COVID-19) is a pandemic disease in all over the world caused by SARS-COV-2 virus. This disease also spread all over Indonesia. The cost of treating People Under Surveillance and Patient under Monitoring, also confirmed patient of COVID-19 will be financed by the Indonesian Government. This research aimed to identify the estimated cost for treating the Covid-19 patients in Indonesia. The calculation method used top up costs and INA CBGs based on the number of hospitalized positive patients. The data source was COVID-19 data in Central Java and national data. Case growth calculated by doubling time positive cases of COVID-19 in Central Java were 1.7 (range 1.73 – 2.73). Range of days was between 6-8 days. The amount of top up cost for one day treatment refers to Health Ministry of Indonesia Decree Number HK.01.07/MENKES/238/2020 and cost estimation of INACBGs with the severity level II and III. This calculation did not include donations, outpatients and other costs. The result of this study, estimation if patients were treated in ICU for 8 days and non ICU for 7 days, and the rest of inpatients according to INACBs, so the cost of COVID-19 treatment for 14 – 28 days estimated at 75.7-77.3 million rupiah/patient. Whereas if the patient treated in ICU for 14 days and non ICU for 14 days, the rest of inpatient according to INACBs, the cost for COVID-19 treatment estimated at 130.4- 133.2 million rupiah/patient. The COVID-19 treatment is quite expensive and can be a burden for the Government of Indonesia’s budget. In addition, the limited access and health facilities also become an obstacle. Strengthening promotive and preventive efforts are needed to prevent the surge of COVID-19 case. Policies which support strict social and physical distancing are needed so that the interventions become more effective.