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"Pulmonary tuberculosis is a chronic lung disease which has a physical as well as psychosocial impact on the patients.Until recently, existing government programs still focus on the treatment and contamination prevention of the disease.The current existing program is not directed towards solving the patients’ psychosocial problems, although the impactthereof is very influential towards the discipline in undergoing treatment and the prognosis of Tuberculosis (TB) as adisease in patients. This research aims to analyze factors that are most influential in fulfilling the psychosocial needs ofTB patients in the city of Cirebon. This research uses a corelational descriptive method. 171 pulmonary TB patientsinvolved in this research were chosen through consecutive sampling from 10 public health centers in the City andRegion of Cirebon. The psychosocial needs of pulmonary TB patients are measured by instruments developed by theresearchers. Prior to using the instrument, a validity and reliability test has been conducted. The result indicates thatthere are three dominant factors that are closely related to the patients’ satisfaction in meeting their psychosocial needs.These factors are the psychological condition during the last week, duration of treatment and supporting services,whereas demographic factors are not related to their satisfaction in meeting their psychosocial needs. The result of thisresearch can be considered by the government to provide supporting services at Public Health Centers in order to fulfillthe psychosocial needs of pulmonary TBC patients and avoid drop out cases.Analisis Kebutuhan Psikososial Penderita Tuberkulosis Paru. Tuberkulosis paru adalah penyakit paru-paru kronisyang berdampak secara fisik dan psikososial bagi penderitanya. Hingga saat ini program-program pemerintah yang adamasih berfokus pada pengobatan dan pencegahan penularan penyakit. Program yang ada belum mengarah padapemecahan masalah psikososial penderita, padahal dampak masalah psikososial sangat besar pengaruhnya terhadapkepatuhan berobat dan prognosis penyakit penderita Tuberculosis (TB). Penelitian ini bertujuan menganalisis faktoryang paling mempengaruhi pemenuhan kebutuhan psikososial penderita TB di kota Cirebon. Penelitian inimenggunakan metode deskriptif korelasional. Sejumlah 171 orang penderita TB paru yang terlibat dalam penelitian inidipilih dengan cara consecutive sampling dari sepuluh puskesmas di Kota dan Kabupaten Cirebon. Kebutuhanpsikososial penderita TB paru diukur dengan alat ukur yang dikembangkan sendiri oleh peneliti. Sebelum digunakan,instrumen tersebut sudah diuji validitas dan reliabilitasnya. Hasil penelitian menunjukkan bahwa ada tiga faktordominan yang paling berhubungan dengan tingkat kepuasan pasien terhadap pemenuhan kebutuhan psikososial mereka.Faktor tersebut adalah kondisi psikologis dalam seminggu terakhir, lama pengobatan, dan layanan pendukung.Sementara itu, faktor demografi tidak berhubungan dengan kepuasan mereka terhadap pemenuhan kebutuhanpsikososial. Hasil penelitian ini dapat dijadikan pertimbangan bagi pemerintah untuk mengadakan layanan pendukungdi puskesmas sehingga kebutuhan psikososial penderita TB paru bisa terpenuhi dan kasus drop out bisa dicegah."

"Analisis Kebutuhan Psikososial Penderita Tuberkulosis Paru. Tuberkulosis paru adalah penyakit paru-paru kronis yang berdampak secara fisik dan psikososial bagi penderitanya. Hingga saat ini program-program pemerintah yang ada masih berfokus pada pengobatan dan pencegahan penularan penyakit. Program yang ada belum mengarah pada pemecahan masalah psikososial penderita, padahal dampak masalah psikososial sangat besar pengaruhnya terhadap kepatuhan berobat dan prognosis penyakit penderita Tuberculosis (TB). Penelitian ini bertujuan menganalisis faktor yang paling mempengaruhi pemenuhan kebutuhan psikososial penderita TB di kota Cirebon. Penelitian ini menggunakan metode deskriptif korelasional. Sejumlah 171 orang penderita TB paru yang terlibat dalam penelitian ini dipilih dengan cara consecutive sampling dari sepuluh puskesmas di Kota dan Kabupaten Cirebon. Kebutuhan psikososial penderita TB paru diukur dengan alat ukur yang dikembangkan sendiri oleh peneliti. Sebelum digunakan, instrumen tersebut sudah diuji validitas dan reliabilitasnya. Hasil penelitian menunjukkan bahwa ada tiga faktor dominan yang paling berhubungan dengan tingkat kepuasan pasien terhadap pemenuhan kebutuhan psikososial mereka. Faktor tersebut adalah kondisi psikologis dalam seminggu terakhir, lama pengobatan, dan layanan pendukung. Sementara itu, faktor demografi tidak berhubungan dengan kepuasan mereka terhadap pemenuhan kebutuhan psikososial. Hasil penelitian ini dapat dijadikan pertimbangan bagi pemerintah untuk mengadakan layanan pendukung di puskesmas sehingga kebutuhan psikososial penderita TB paru bisa terpenuhi dan kasus drop out bisa dicegah.

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Pulmonary tuberculosis is a chronic lung disease which has a physical as well as psychosocial impact on the patients. Until recently, existing government programs still focus on the treatment and contamination prevention of the disease. The current existing program is not directed towards solving the patients? psychosocial problems, although the impact thereof is very influential towards the discipline in undergoing treatment and the prognosis of Tuberculosis (TB) as a disease in patients. This research aims to analyze factors that are most influential in fulfilling the psychosocial needs of TB patients in the city of Cirebon. This research uses a corelational descriptive method. 171 pulmonary TB patients involved in this research were chosen through consecutive sampling from 10 public health centers in the City and Region of Cirebon. The psychosocial needs of pulmonary TB patients are measured by instruments developed by the researchers. Prior to using the instrument, a validity and reliability test has been conducted. The result indicates that there are three dominant factors that are closely related to the patients? satisfaction in meeting their psychosocial needs. These factors are the psychological condition during the last week, duration of treatment and supporting services, whereas demographic factors are not related to their satisfaction in meeting their psychosocial needs. The result of this research can be considered by the government to provide supporting services at Public Health Centers in order to fulfill the psychosocial needs of pulmonary TBC patients and avoid drop out cases."

"ABSTRAKBackground: obesity and osteoarthritis have strong inter-relationship with multi-factorial mechanism thatcaused pain and leads to decreased quality of life. Exercise has been identified as prevention and managementagainst obesity and joint pain. This systematic review aims to assess the effect between exercises compared to dietgroup for chronic pain management, physical and mental function in obese patients with chronic musculoskeletalproblem. Methods: we performed a systematic search of Randomized Control Trial studies from Cochrane CentralRegister of Controlled Trials (CENTRAL); MEDLINE; EBSCO; SCIENCEDIRECT (Elsevier); SCOPUS, greyliterature, trial registry, ongoing study for published studies, and from the ClinicalTrial.gov, thesis of rehabilitationmedicine in RSCM, and proceeding books for unpublished studies that was last updated on November 2016. Riskof bias was assessed using Cochrane risk-of-bias tool and data were analyzed using Review Manager 2014.Results: one study showed no difference in pain reduction (assessed using VAS) between two groups. Two studiesshowed improvement in physical function measured using 6MWT in exercise group at 6 and 18 months with meandifference 28.12 [11.20, 45.04] and 26.21 [9.01, 43.41]. There was no significant effects observed for Mental andPhysical Function based on SF-36 after 6 months (1 study) and 18 months (2 studies) observation, with meandifference 1.10 [-0.79, 2.99] and 0.08 [-1.53, 1.70] respectively for Mental Function score and -0.30 [-2.54, 1.94]and -0.36 [-2.30, 1.57] respectively for Physical Function score. Conclusion: exercise can improve physicalfunction objectively, but could not reduce pain in obese patients with chronic musculoskeletal problem subjectively.Keywords: exercises intervention, chronic pain management, functional score, quality of life, systematic review."

"ABSTRAKSurgery is one of medical procedures that can be a stressor causing anxiety in patient. In Mamuju district hospital, informed consent is considered as medical procedure.This study was aimed to determine the influence of informed consent provision towards the level of anxiety in pre-operative patients at Mamuju District Public Hospital. The population in this study was pre-operative patients. Accidental sampling approach was applied to obtain a total of 32 samples. This quantitative study used quasi experimental design with a non-equivalent time sample design which was analysed using the Wilcoxon statistical test. The results showed that there was the effect of provision of informed consent on the level of anxiety in pre-operative patients at Mamuju District Public Hospital. Informed consent can reduce anxiety in pre-operative patient at Mamuju District Public Hospital."

"ABSTRAKThe accreditation of health centers is an endeavor by the Ministry of Health to improve the quality and performance of health centers regulated by Permenkes No. 4/2015. Of the 38 health centers in Brebes, only 10 has been accredited. We wish to discover how prepared are the health centers to be accredited based on the resources available and pre-accreditation survey. Data was obtained through in-depth interviews and documentary research. Results indicated that there was sufficient funds, facilities and equipment for the accreditation. However, the assessment scores for human resources sufficiency and documentary completeness was low.ABSTRAKAkreditasi Puskesmas merupakan upaya peningkatan mutu dan kinerja pelayanan puskesmas yang diatur oleh Permenkes Nomor 46 Tahun 2015. Dari 38 puskesmas di Kabupaten Brebes, hanya 10 puskesmas yang sudah terakreditasi. Penelitian ini bertujuan untuk mengetahui seberapa siapkah Puskesmas di Kabupaten Brebes untuk menghadapi akreditasi berdasarkan variabel sumber daya dan tahapan kesiapan survei pra-akreditasi. Data dikumpulkan melalui wawancara mendalam dan telaah dokumen. Hasil penelitian menunjukkan bahwa ketersediaan dana, sarana dan prasarana dinilai cukup siap untuk mendukung penilaian akreditasi puskesmas, namun hasil skoring assessment pada keterpemenuhan kompetensi SDM dan kelengkapan dokumen masih rendah."

"There are many challenges women face to be able to give birth in health facilities in many parts ofIndonesia. This study explores the roles and observations of close-to-community maternal health providers and othercommunity members on potential barriers faced by women to deliver in health facilities in two districts within TheArchipelago. Methods: Employing an explorative qualitative approach, 110 semi-structured interviews and 7 focusgroup discussions were conducted in 8 villages in Southwest Sumba, in the East Nusa Tenggara province, and in 8 villagesin Cianjur, in the West Java province. The participants included village midwives, Posyandu volunteer (village healthvolunteers), traditional birth attendants (TBAs), mothers, men, village heads and district health officials. Results: Themain findings were mostly similar in the two study areas. However, there were some key differences. Preference forTBA care, traditional beliefs, a lack of responsiveness of health providers to local traditions, distance, cost of travel andindirect costs of accompanying family members were all barriers to patients attending health facilities for the birth oftheir child. TBAs were the preferred health providers in most cases due to their close proximity at the time of childbirthand their adherence to traditional practices during pregnancy and delivery. Conclusions: Improving collaborationsbetween midwives and TBAs, and responsiveness to traditional practices within health facilities and effective healthpromotion campaigns about the benefits of giving birth in health facilities may increase the use of health facilities inboth study areas."

"ABSTRAKWest Pasaman District and Agam District are filariasis endemic areas in West Sumatra with prevalence of 12.40 per 100,000 cases and 11.27 per 100,000 cases respectively. This study aimed to determine risk factors associated with the prevalence of filariasis and mapping the vulnerability of the area in West Sumatra. A case control study design was conducted in the West Pasaman District and Agam District. The study used a sample of 74 cases and 74 controls taken by simple random sampling for the case and purposive random sampling for control. Data analysis used univariate, bivariate, multivariate and spatial. The results in Agam District showed that variables associated relation with filariasis (p value < 0.05) were the level of knowledge, plantations, the paddy, the ceiling of the house. The most dominant risk factor was knowledge. Type of vector that was found was Culex. While in West Pasaman District, the variable associated with filariasis (p value < 0.05) was the use of mosquito nets, the habit of dressing, marshes, and ceiling. The most dominant risk factor was the ceiling of the house."

"ABSTRAKWest Pasaman District and Agam District are filariasis endemic areas in West Sumatra with prevalence of 12.40 per 100,000 cases and 11.27 per 100,000 cases respectively. This study aimed to determine risk factors associated with the prevalence of filariasis and mapping the vulnerability of the area in West Sumatra. A case control study design was conducted in the West Pasaman District and Agam District. The study used a sample of 74 cases and 74 controls taken by simple random sampling for the case and purposive random sampling for control. Data analysis used univariate, bivariate, multivariate and spatial. The results in Agam District showed that variables associated relation with filariasis (p value < 0.05) were the level of knowledge, plantations, the paddy, the ceiling of the house. The most dominant risk factor was knowledge. Type of vector that was found was Culex. While in West Pasaman District, the variable associated with filariasis (p value < 0.05) was the use of mosquito nets, the habit of dressing, marshes, and ceiling. The most dominant risk factor was the ceiling of the house."