Background: Breast and cervical cancer remain a major cause of morbidity and mortality for women in Indonesia. Although this cancer can be detected early, women are still less active in selfdetecting breast and cervical cancer, so both cancers are found at an advanced stage. This study aimed to explore how women's knowledge, barriers, and motivations are related to early detection of breast and cervical cancer. Subjects and Method: This was a qualitative study, with focus group discussions (FGDs) and interviews with key informants. Discussions and interviews were conducted in the community within Ledok Kulon village, Bojonegoro Regency, East Java, Indonesia. Participants: FGD participants involved 20 women, 10 women underwent FDG about cervical cancer and 10 other women conducted FGD about breast cancer. Three key informants interviewed with health worker and administrator that allow triangulation of responses thereby increasing the validity of the findings. Participants were aged 20 to ≥60 years, with no history of symptoms or previous diagnosis of breast or cervical cancer. The women were interviewed in October-November 2019. The transcribed data were analyzed using content analysis. Results: Participants' knowledge about understanding, risk factors, signs and symptoms of breast and cervical cancer was still lacking. Participants attributed the cause of cervical cancer to the vaginal wound resulting in cervical cancer and signs of symptoms such as heartburn. Whereas for breast cancer participants were not know the signs and symptoms, they only said there was a lump in the breast. Barriers to screening were ashamed to be examined by health workers, afraid of testing procedures, feeling healthy and there were no signs of cancer. Screening motivation were experiencing signs and symptoms of cancer, family history of the disease and awareness of the disease/screening service. Conclusion:The study participants' knowledge of breast and cervical cancer was still lacking. To improve breast and cervical cancer screening, efforts must focus on reducing identified barriers and increasing motivation.
Background: Medical records are central to all patient healthcare activities. Fundamentally, they form part of a doctor's ethical and statutory duty in providing good patient care.Good quality medical records, including completeness of record filling, are essential to proper ongoing care of the patient and are paramount for effective communication between healthcare professionals and their patients. However, studies in Indonesia examining factors associated with the completeness of inpatient medical record filling is scanty. The purpose of this study was to examine factors associated with the completeness of inpatient medical record filling in a district hospital. Subjects and Method: This was a quantitative study using a cross-sectional design, conducted at Dr. R. Sosodoro Djatikoesomo Bojonegoro hospital, East Java, in April 2018. A total of 213 nurses working at the inpatient service ward was selected for this study by proportional random sampling, composing of 115 nurses with graduate degree and 35 nurses with diploma degree. The dependent variable was completeness of inpatient medical record filling. The independent variables were education level, employment status, tenure, responsibility, and organization support. The data were collected by questionnaire and document review. The data were analyzed by a multiple logistic regression. Results: Completeness of inpatient medical record fillingwas positively associated with higher education (OR= 2.94; CI 95%= 1.08 to 8.00; p= 0.034), civil servant status of employment (OR= 4.01; CI 95%= 1.71 to 9.40; p=0.001), ≥3 year tenure (OR= 8.84; CI 95%= 2.78 to 28.16; p<0.001), higher knowledge (OR= 5.37; CI 95%= 1.40 to 20.55; p=0.014), stronger responsibility (OR= 3.13; CI 95%= 1.35 to 7.28; p=0.008), and stronger organizational support (OR= 4.08; CI 95%= 1.72 to 9.67; p=0.001). Conclusion:Completeness of inpatient medical record fillingis positively associated with higher education, civil servant status of employment, ≥3 year tenure, higher knowledge, stronger responsibility, and stronger organizational support.
Puskesmas padangan memiliki jumlah kunjungan 80 sampai 100 pasien rawat jalan per harinya. Sistem pendaftaran dan pelayanan di poliklinik masih menggunakan sistem manual. Sehingga dalam pendaftaran pasien dan ketika petugas membutuhkan informasi data pasien ataupun laporan kunjungan pasien membutuhkan waktu yang lama. Maka dari itu, Perlu adanya sistem informasi yang dapat membantu petugas dalam mempercepat pelayanan kepada pasien. Metode pengembangan sistem yang digunakan dalam penelitian ini yaitu System Development Life Cycle. Populasi dan Sample dalam penelitian ada 6 orang yang akan dilakukan wawancara, dengan munggunakan total sampling. Hasil penelitian ini adalah aplikasi sistem informasi pendaftaran dan pelayanan poliklinik pasien rawat jalan di puskesmas padangan yang terdiri dari fitur diantaranya tampilan form login, form menu utama, form user, form poliklinik, form pasien, form kunjungan pasien, form dokter, form periksa pasien dan form laporan kunjungan pasien.
Background: Maintaining genital cleanliness is very important for women because intimate organ problems can cause female tract infections. This study aimed to find out the factors associated with genital hygiene behavior in women. Methods: A case-control study was carried out in female underwent treatment at Dr. Moewardi Hospital Surakarta, Indonesia, from December 2017 to February 2018. A structured questionnaire was used to collect data from 178 participants, who consisted of 56 cases and 122 controls. The dependent variable was genital hygiene behavior. The independent variables were stress, exposure to social media regarding genital hygiene, environmental sanitation, husband’s education, and support. Logistic regression was employed for data analysis. Results: Genital hygiene behavior increased with exposure to social media related to genital hygiene (OR= 9.20; 95% CI= 3.87 to 21.87, p<0.001), good environmental sanitation (OR= 5.16; 95% CI= 2.19 to 12.14, p<0.001), high husband’s education (OR= 6.49; 95% CI= 2.23 to 18.91, p=0.001) and support (OR= 2.88; 95% CI= 1.24 to 6.67, p=0.013). While women who experienced psychological problems such as stress decreased genital hygiene behavior (OR= 0.25; 95% CI= 0.94 to 0.71, p=0.009). Conclusions: Genital hygiene behavior in women increases with exposure to social media related to genital hygiene, adequate environmental sanitation, high husbands’ income, and support. In contrast, stress decreases women’s behavior in practicing genital hygiene. Keywords: Genital hygiene behavior, social media, environmental sanitation, stress, husband’s education, and support. Corresponding author: Afriza Umami, MPH. Department of Public Health, Faculty of Medicine, University of Szeged, Szeged, Dóm tér 10 H-6720, Hungary. E-mail: umami.afriza@med.u-szeged.hu DOI: https://doi.org/10.26911/the7thicph.05.27
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