Media Penelitian dan Pengembangan Kesehatan <p><strong>ISSN Media Cetak : <a href="">0853-9987</a></strong> <br> <strong>ISSN Media Elektronik : <a href=";1368762356&amp;1&amp;&amp;">2338-3445</a></strong></p> <p>Media Penelitian dan Pengembangan Kesehatan (Media of Health Research and Development) is one of the journals published by the Agency for Health Research and Development ( National Institute of Health Research and Development ) , Ministry of Health of the Republic of Indonesia. This journal article is a form of research results , research reports and assessments / reviews related to the efforts of health in Indonesia .<br>Media Research and Development of Health published 4 times a year and has been accredited Indonesian Institute of Sciences ( LIPI ) by Decree No. 396/AU2/P2MI/04/2012 . This journal was first published in March 1991.</p> <p>Media of Health Research and Development currently has been registered on the sites: <a href="" target="_blank" rel="nofollow noopener">Indonesian Scientific Journal Database</a>; <a href=";mod=viewjournal&amp;journal=4883" target="_blank" rel="nofollow noopener">Indonesian Publication Index</a>; <a href=";id=0" rel="nofollow">Directory of Research Journals Indexing</a>; <a href="" rel="nofollow">getCITED;</a> <a href="{%22query%22%3A{%22filtered%22%3A{%22filter%22%3A{%22bool%22%3A{%22must%22%3A[{%22term%22%3A{%22_type%22%3A%22journal%22}}]}}%2C%22query%22%3A{%22query_string%22%3A{%22query%22%3A%22media%20penelitian%20dan%20pengembangan%20kesehatan%22%2C%22default_operator%22%3A%22AND%22}}}}%2C%22from%22%3A0%2C%22size%22%3A10}#.UrPuLeIpWkw" target="_blank" rel="nofollow noopener">Directory of Open Access Journals</a>; <a href=";hl=en" rel="nofollow">Google Scholar</a>; <a href="" target="_blank" rel="nofollow noopener">Open Academic Journals Index</a>; <a href="" rel="nofollow">International Society of Universal Research in Sciences</a>; <a href=";type=all&amp;ling=1&amp;name=&amp;thes=&amp;refid=dcresen&amp;newsearch=1" rel="nofollow">Bielefeld Academic Search Engine</a> (BASE); <a href=";subAction=pub&amp;publisherID=2692&amp;journalID=28981&amp;pageb=1&amp;userQueryID=3766&amp;sort=&amp;local_page=1&amp;sorType=&amp;sorCol=1" rel="nofollow">JournalTOCs</a>; and <a href="" target="_blank" rel="nofollow noopener">Citefactor</a>. Media of Health Research and Development is being reviewed by <a href="" target="_blank" rel="nofollow noopener">Universal Impact Factor</a>.</p> <p>During 2014 Media Health Research and Development has published 28 research and review articles.</p> <p>See Google Scholar Profile for Media Health Research and Development by <a href=";hl=en">clicking here</a>.</p> <ul> <li class="show">Total Citations : 2320</li> <li class="show">h-index : 22</li> <li class="show">i10-index : 71</li> </ul> Sekretariat Badan Penelitian dan Pengembangan Kesehatan en-US Media Penelitian dan Pengembangan Kesehatan 0853-9987 Front Matter Media Vol 30 No 4 Sekretariat Media ##submission.copyrightStatement## 2021-01-14 2021-01-14 30 4 10.22435/mpk.v30i4.4278 Hubungan Dukungan Sosial dan Keterpaparan Media Sosial terhadap Perilaku Pencegahan COVID-19 pada Komunitas Wilayah Jabodetabek Tahun 2020 <p><em>Coronavirus disease 2019 (COVID-19) is an infectious disease caused by the SARS-CoV-2 virus and is able to spread rapidly in humans. Preventive behavior is important for every individual to maintain their health during the COVID-19 pandemic. This study aims to determine the relationship between social support (family, friends, health workers), perceptions of the response to COVID-19, and exposure to social media for COVID-19 prevention behavior. This cross-sectional study was conducted in the Jabodetabek area in May 2020 with a voluntary sampling technique. The participants were 424 respondents. The proportion of respondents with good COVID-19 prevention behavior was 45.2%. The results of the multivariate analysis showed family support (OR = 2.736; 95% CI = 1.654 - 4.517), peer support (OR = 2.035; 95% CI = 1.205 - 3,436), support from health professionals (OR = 1.729; 95% CI = 1.023 - 2,923); and sources of information regarding COVID-19 (OR = 1,692; 95% CI = 1,036 - 2,764) had a significant relationship with COVID-19 prevention behavior (P &lt;0.05). It can be concluded that family support has dominant influence on COVID-19 prevention behavior in Jabodetabek community. For this reason, social support from the smallest scale (family) and reliable sources of information related to COVID-19 are needed so that community can implement COVID-19 prevention behavior properly in daily life.</em></p> <p><strong>Abstrak</strong></p> <p>Coronavirus disease 2019 (COVID-19) merupakan penyakit menular yang disebabkan oleh virus SARS- CoV-2 dan mampu menyebar dengan cepat pada manusia. Perilaku pencegahan penting dilakukan oleh setiap individu demi menjaga kesehatannya di masa pandemi COVID-19. Penelitian ini bertujuan untuk mengetahui hubungan dukungan sosial (keluarga, teman, dan tenaga kesehatan), persepsi penanggulangan COVID-19, dan keterpaparan terhadap media sosial terhadap perilaku pencegahan COVID-19. Penelitian cross-sectional dilakukan pada bulan Mei 2020 di wilayah Jabodetabek dengan teknik voluntary sampling. Responden berjumlah 424 responden. Proporsi responden dengan perilaku pencegahan COVID-19 yang baik sebesar 45,2%. Hasil analisis multivariat menunjukkan dukungan keluarga (OR= 2,736; CI 95%= 1,654 - 4,517), dukungan teman (OR=2,035; CI 95%= 1,205 - 3,436), dukungan tenaga kesehatan (OR=1,729; CI 95%= 1,023 - 2,923); dan sumber informasi mengenai COVID-19 (OR= 1,692; CI 95%= 1,036 - 2,764) memiliki hubungan yang signifikan terhadap perilaku pencegahan COVID-19 (P&lt;0,05). Dapat disimpulkan bahwa dukungan keluarga memiliki pengaruh dominan terhadap perilaku pencegahan COVID-19 pada masyarakat Jabodetabek. Oleh karena itu, dukungan sosial dari skala terkecil (keluarga) dan sumber informasi terpercaya sangat dibutuhkan agar masyarakat mampu menerapkan perilaku pencegahan COVID-19 dengan baik dalam kehidupan sehari-hari.</p> Nurul Fadhillah Kundari Wardah Hanifah Gita Aprilla Azzahra Nadzira Risalati Qoryatul Islam Hoirun Nisa ##submission.copyrightStatement## 2020-12-31 2020-12-31 30 4 10.22435/mpk.v30i4.3463 Gambaran Gangguan Fungsi Ginjal Kasus Baru Penderita Diabetes Melitus, Jantung Koroner, dan Strok pada Studi Kohor di Bogor Indonesia <p><em>One of the adverse effect of prolonged patients with diabetes mellitus (DM), coronary heart disease (CHD), and stroke was the emerge of chronic kidney disease (CKD) and it would be burden of the economic. The prognosis of CKD in new cases of DM, CHD, and stroke during followed up in Cohort Study Noncommunicable Disease Risk Factor in Bogor was not yet known. Aim to study was to obtain to CKD profile in DM, CHD, stroke, and comorbid incidences during Cohort Study Noncommunicable Disease Risk Factor. This article has been result of cross sectional further analysis of secondary data on 370 new cases of DM, CHD, and stroke that who were examined for blood creatinine levels and calculated eGFR on 2018 and 2019. DM was diagnosed from fasting glucose ≥126 mg/dl or post prandial glucose ≥200mg/dl. CHD was diagnosed by ECG examination and validated by cardiologist and stroke was diagnosed by anamnesis by a neurologist. The main variable is eGFR as an indicator of CKD which is the result of CKP-epi calculation based on creatinine levels in the blood. Other variables are age, sex, type of disease (DM, CHD, and stroke). Data were analyzed using chi-square test. The results showed that average age patients with CKD on new cases of DM, CHD, stroke, and comorbid in Bogor were 48.2 ± 8.6 years old. Proportions CKD on new cases of DM, CHD, strok and comorbid were 59.5%, 56.7%, 66.7% and 50.0%. CKD was higher in older woman than others. The prevalence of CKD was found very high in subjects with stroke, DM, CHD, and comorbid. So, it is necessary to prevent complications by early diagnosis of NCD with regular monitoring of kidney function by creatinine level test and avoid using drugs that caused kidney damage.</em></p> <p><strong><em>Abstrak</em></strong></p> <p>Salah satu komplikasi buruk dari penderita diabetes melitus (DM), penyakit jantung koroner (PJK), dan strok yang berkepanjangan adalah munculnya gangguan fungsi ginjal dan akan membebani ekonomi bagi penderitanya. Gambaran prognosis gangguan fungsi ginjal pada insiden DM, PJK, dan strok selama pemantauan Studi Kohor Faktor Risiko PTM (FRPTM) Bogor belum diketahui. Tujuan penelitian untuk mendapatkan gambaran gangguan fungsi ginjal pada kasus baru DM, PJK, dan strok yang muncul selama pemantauan Studi Kohor FRPTM. Artikel ini merupakan hasil analisis lanjut secara potong lintang dari data sekunder kasus baru (insiden) DM, PJK, dan strok pada Studi Kohor FRPTM sebanyak 370 subjek yang diperiksa kadar kreatinin darah dan dihitung eLFG pada tahun 2018 dan 2019. DM didiagnosis dari kadar gula darah puasa ≥126 mg/dl atau post prandial ≥200mg/dl. PJK dari hasil pemeriksaan EKG dan validasi dokter spesialis jantung dan strok hasil anamnesis oleh spesialis saraf dan sudah mengalami rawat jalan. Variabel utama adalah eLFG merupakan indikator terjadinya gangguan fungsi ginjal yang merupakan hasil hitung kadar kreatinin dalam darah dengan CKD-epi. Variabel lain adalah umur, jenis kelamin, jenis penyakit (DM, PJK, dan strok). Data dianalisis dengan uji chi-square. Hasil menunjukkan temuan gangguan fungsi ginjal pada penderita DM, PJK, strok, dan komorbid di Bogor berumur 48,2 ± 8,6 tahun dan proporsi masing-masing 59,5%, 56,7%, 66,7%, dan 50%. Subjek yang mengalami gangguan fungsi ginjal menunjukkan lebih banyak pada umur lebih tua dan perempuan. Tingginya proporsi gangguan fungsi ginjal pada penderita strok, DM, PJK, dan komorbid diperlukan pencegahan komplikasi sejak awal terdiagnosis PTM dengan memantau fungsi ginjal dengan pemeriksaan kadar kreatinin secara teratur, serta menghindari penggunaan obat yang menimbulkan kerusakan ginjal.</p> Woro Riyadina Ekowati Rahajeng Srilaning Driyah ##submission.copyrightStatement## 2020-12-31 2020-12-31 30 4 10.22435/mpk.v30i4.3231 Korelasi Hemoglobin A1c dengan Hemoglobin dan Laju Filtrasi Glomerulus Penderita Diabetes dengan dan tanpa Komplikasi Gagal Ginjal Kronik di Bogor <p><em>Diabetes mellitus type 2 (T2DM) is a chronic disease and can cause complications, one of which is decreased kidney function. Anemia is a complication of T2DM, especially if it is accompanied by renal disorders. The aim of this study was to show the relationship between HbA1c and hemoglobin (Hb), hematocrit (HCT), creatinine, and glomerular filtration rate (GFR) in T2DM respondents with and without complications of chronic renal failure (CRF). This study used a subset of the Non-Communicable Diseases cohort data set by the Center for Public Health Efforts in Central Bogor sub-district, Bogor City. The research design was an analytic observational study. Respondents were all T2DM with complete data as much as 303 people. The respondents diagnosed based on the results of previous blood sugar tests. The inclusion criteria were people with T2DM who had complete data (HBA1c, Hb, HCT, and creatinine). Bivariate analysis between the dependent variable (T2DM with or without CRF) and the independent variable (HbA1c, Hb, HCT, creatinine, and LFG) used the Spearman correlation. The results showed a strong positive correlation between HbA1c and Hb (r = 0,66, p&lt;0,05) and HCT (r = 0,67, p&lt;0,05)in T2DM respondents with CRF, but there is no correlation between HbA1c and creatinine and LFG. In T2DM without CRF there is a weak positive correlation between HbA1c and Hb (r = 0,26, p&lt;0,05) and HCT (r = 0,21, p&lt;0,05), a negative correlation between HbA1c and creatinine (r = -0,29, p&lt;0,05), and there is a weak positive correlation between HbA1c and LFG (r = 0,24, p&lt;0,05 ). The conclusion is that controlling blood sugar by examining HbA1c levels shows a strong positive correlation with Hb levels and HCT in T2DM with CRF and a weak negative correlation with LFG in T2DM without CRF. This difference is not in accordance with the existing theory</em></p> <p><strong>Abstrak</strong>&nbsp;</p> <p>Diabetes melitus tipe 2 (DMT2) merupakan penyakit kronik dan dapat menimbulkan komplikasi, salah satunya adalah penurunan fungsi ginjal. Anemia merupakan komplikasi DMT2 khususnya jika disertai gangguan renal. Tujuan penelitian ini menunjukkan hubungan hemoglobin A1c (HbA1c) dengan hemoglobin (Hb), hematokrit (HCT), kreatinin, dan laju filtrasi glomerulus (LFG) pada responden DMT2 dengan dan tanpa komplikasi gagal ginjal kronik (GGK). Penelitian ini menggunakan subset data kohor penyakit tidak menular (PTM) yang dilakukan oleh Puslitbang Upaya Kesehatan Masyarakat di Kecamatan Bogor Tengah, Kota Bogor. Desain penelitian adalah studi observasional analitik. Responden adalah semua penderita DMT2 dengan data lengkap sebanyak 303 orang yang didiagnosis berdasarkan hasil pemeriksaan gula darah sebelumnya. Kriteria inklusi adalah penderita DMT2 yang memiliki data lengkap (HbA1c, Hb, HCT, dan kreatinin). Analisis bivariat antara variabel dependen (DMT2 dengan atau tanpa GGK) dengan variabel independen (HbA1c, Hb, HCT, kreatinin dan LFG) mengunakan korelasi Spearman. Hasil penelitian menunjukkan pada responden DMT2 dengan GGK terdapat korelasi positif yang kuat antara HbA1c dengan Hb (r = 0,66, p&lt;0,05) dan HCT (r = 0,67, p&lt;.0,05). Sedangkan HbA1c dengan kreatin dan LFG tidak terdapat korelasi. Pada DMT2 tanpa GGK terdapat korelasi positif lemah antara HbA1c dengan Hb (r = 0,26, p&lt;0,05 ) dan HCT (r = 0,21, p&lt;0,05), terjadi korelasi negatif antara HbA1c dengan kreatinin sebesar (r = -0,29, p&lt;0,05), dan terdapat korelasi positif lemah antara HbA1c dengan LFG ( r = 0,24, p&lt;0,05 ). Simpulan yang dapat diambil adalah pengontrolan gula darah dengan pemeriksaan kadar HbA1c menunjukkan korelasi positif yang kuat dengan kadar Hb dan HCT pada DMT2 dengan GGK dan korelasi negatif lemah dengan LFG pada DMT2 tanpa GGK. Perbedaan tersebut belum sesuai teori yang ada.</p> Srilaning Driyah Julianty Pradono ##submission.copyrightStatement## 2020-12-31 2020-12-31 30 4 10.22435/mpk.v30i4.3174 Tantangan Implementasi Konvergensi pada Program Pencegahan Stunting di Kabupaten Prioritas <p><em>Stunting is one of the nutritional problems faced in the world, including Indonesia. To overcome this problem, the government conducted a program to accelerate stunting prevention in 100 priority districts / cities through specific and sensitive nutrition interventions including health and non-health stakeholders. Interventions are carried out in a convergent manner by aligning various resources to achieve the goal of preventing stunting.The convergence is carried out from the planning, budgeting, implementation, to monitoring stages. The purpose of this study is to analyse the challenges of implementing the convergence of stunting prevention programs that have been running since 2018 by local governments in priority districts / cities based on content, context, process, and actors. The research method is operational research with a research design using a qualitative approach design with in-depth interviews in 13 priority districts/cities. The health policy triangle framework is used as an approach in analyzing the results of this study which consists of content, context, process, and actors. In-depth interview sources are policy makers and program managers to accelerate stunting reduction from province to sub-district and village. The results showed that the challenge in implementing convergence was the existence of sectoral egos in each OPD (stakeholders) because of the socialization was not yet optimal so that many stakeholders did not fully understand the stunting prevention program. Information that was late in being obtained, information cut off from socialization, and difficult demographic conditions in the area where one of the causes in certain areas of the obstruction of socialization. The implementation of convergence that has not been optimal is also due to the ansence operational and technical guidelines for implementing program when the research was conducted so that the regions do not know the steps to carry out these activities.</em></p> <p><strong>Abstrak</strong></p> <p>Masalah anak pendek (stunting) merupakan salah satu permasalahan gizi yang dihadapi di dunia, termasuk Indonesia. Untuk mengatasi permasalahan stunting, pemerintah melakukan program percepatan penanggulangan stunting di 100 kabupaten kota prioritas yang melibatkan sektor kesehatan dan non kesehatan melalui intervensi gizi spesifik dan sensitif. Penyelenggaraan intervensi dilakukan secara konvergen dengan menyelaraskan berbagai sumber daya untuk mencapai tujuan pencegahan stunting. Konvergensi dilakukan mulai dari tahap perencanaan, penganggaran, pelaksanaan, sampai monitoring. Tujuan penelitian ini adalah menganalisis tantangan implementasi konvergensi program pencegahan stunting yang telah berjalan sejak tahun 2018 oleh pemerintah daerah pada Kabupaten prioritas berdasarkan konten, konteks, proses, dan aktor. Metode penelitian merupakan operational research dengan desain penelitian menggunakan pendekatan kualitatif dengan metode wawancara mendalam di 13 kabupaten prioritas. Kerangka segitiga kebijakan kesehatan digunakan sebagai pendekatan dalam menganalisis hasil penelitian ini yang terdiri dari konten, konteks, proses, dan aktor. Informan wawancara mendalam ialah para pengambil kebijakan dan pengelola program percepatan penurunan stunting dari mulai provinsi sampai kecamatan dan desa. Hasil penelitian menunjukkan bahwa tantangan dalam implementasi konvergensi ialah masih adanya ego sektoral pada masingmasing OPD karena masih belum optimalnya sosialisasi sehingga banyak yang belum memahami secara menyeluruh mengenai program pencegahan stunting. Informasi yang terlambat diperoleh, terputusnya informasi dari sosialisasi, serta kondisi demografi wilayah yang sulit menjadi salah satu penyebab pada beberapa daerah tertentu tehadap terhambatnya sosialisasi. Implementasi konvergensi yang belum optimal juga dikarenakan belum diperolehnya juklak dan juknis dalam melaksanakan program saat penelitian dilakukan sehingga daerah belum tahu langkah untuk melakukan kegiatan tersebut.</p> Yurista Permanasari Meda Permana Joko Pambudi Bunga Christitha Rosha Made Dewi Susilawati Ekowati Rahajeng Agus Triwinarto Rachmalina S. Prasodjo ##submission.copyrightStatement## 2020-12-31 2020-12-31 30 4 10.22435/mpk.v30i4.3586 Faktor yang Memengaruhi Dukungan Suami terhadap Pemberian ASI Eksklusif Berdasarkan Theory of Planned Behavior (TPB) <p><em>The coverage of exclusive breastfeeding has not yet reached the target both in Indonesia and other countries. One of the factors that influence husband’s support. Husband’s support for exclusive breastfeeding will be influenced by his intention. A person’s planned behavior or intentions can be predicted through their attitudes as described in Theory of Planned Behavior (TPB), which states that a person’s intention is influenced by behavior belief, outcome evaluation and perceived power. The research aims was to analyze which factors most influenced husband’s support for exclusive breastfeeding based on TPB. The study is a quantitative research using survey method. The sampling technique used multistage sampling to get respondents as many as 90 husbands who have babies aged 0-6 months in Bandung. The instrument used the Partner Breastfeeding Influence Scale (PBIS) and the TPB questionnaire, while the statistical analysis used the Multiple Linear Regression Test. The results of the analysis showed that the husband’s support for exclusive breastfeeding can be categorized as sufficient. Whereas the factors that most influenced the husband’s support for exclusive breastfeeding based on TPB were behavior beliefs (β = 1.8; p = 0.01). These results provide information that a health promotion program design is needed to improve attitudes and support for husband in exclusive breastfeeding.</em></p> <p><strong>Abstrak</strong></p> <p>Cakupan pemberian Air Susu Ibu (ASI) eksklusif masih belum mencapai target baik di Indonesia maupun di negara lain. Salah satu faktor yang memengaruhinya adalah dukungan suami. Dukungan suami terhadap pemberian ASI eksklusif akan dipengaruhi oleh intensinya. Perilaku terencana atau intensi seseorang dapat diprediksi melalui sikap yang dimilikinya seperti yang dijelaskan dalam Theory of Planned Behavior (TPB) bahwa intensi seseorang dipengaruhi oleh behavior belief, outcome evaluation dan perceive power. Tujuan penelitian yaitu untuk menganalisis faktor mana yang paling memengaruhi dukungan suami terhadap pemberian ASI eksklusif berdasarkan TPB. Penelitian ini merupakan penelitian kuantitatif dengan metode survei. Teknis pengambilan sampel menggunakan multistage sampling untuk mendapatkan responden sebanyak 90 orang suami yang memiliki bayi usia 0-6 bulan di Kota Bandung. Instrumen penelitian menggunakan Partner Breastfeeding Influence Scale (PBIS) dan kuesioner TPB sedangkan analisis statistik menggunakan uji regresi linear berganda. Hasil analisis diperoleh besar dukungan suami terhadap pemberian ASI eksklusif dapat dikategorikan cukup, sedangkan faktor yang paling memengaruhi dukungan suami terhadap pemberian ASI eksklusif berdasarkan TPB adalah behavior beliefs (β=1,8; p=0,01). Hasil ini memberikan informasi bahwa diperlukan suatu rancangan program promosi kesehatan untuk meningkatkan sikap serta dukungan suami dalam pemberian ASI eksklusif.</p> <p>&nbsp;</p> Fenti Yulianti Fedri Ruluwedrata Rinawan Panji Fortuna Hadisoemarto ##submission.copyrightStatement## 2020-12-31 2020-12-31 30 4 10.22435/mpk.v30i4.3393 Kesehatan Mental di Era Digital: Peluang Pengembangan Layanan Profesional Psikolog <p><em>Indonesia needs mental health service methods that are able to reach a wider community with challenging geographical conditions and a large population. The need is even more urgent with the current situation of physical restrictions in the current pandemic. The increasing number of mental health cases and the limited availability of professional resources that are insufficient to meet the needs, causing mental health disparities. The increasing need for psychological assistance in particular situations is now a challenge for service providers. This paper aims to obtain a scientific basis from several evidencebased studies that show the effectiveness of services using telemental health (TMH) or better known as telepsychology in several community groups and countries. This article is a literature review from various sources through the Google scholar search engine, Google, and PubMed with the keywords telemental health, telepsychology, and telecounseling. The rapid development of information technology in the digital age has become a promising opportunity. With the optimal integration of mental health services and technology, the results obtained can be one of the alternative solutions in reaching the wider community and minimizing existing gaps. The use of two-way long-distance telecommunications media, utilizing telephone and video conferencing with due regard to procedures and professional ethics telepsychology implementation in Indonesia needs to consider several things, including procedures and professional service ethics; infrastructure availability; community readiness and culture; and also, the ability of psychologists as providers of this service.</em></p> <p><strong>Abstrak</strong></p> <p>Indonesia membutuhkan metode layanan kesehatan mental yang mampu menjangkau masyarakat luas dengan kondisi geografis yang menantang dan populasi penduduk yang besar. Kebutuhan tersebut menjadi semakin mendesak dengan adanya situasi pembatasan fisik di masa pandemi yang dihadapi saat ini. Meningkatnya jumlah kasus kesehatan mental dan keterbatasan ketersediaan sumber daya profesional yang ada tidak cukup memenuhi kebutuhan pelayanan, sehingga menimbulkan kesenjangan kesehatan mental. Meningkatnya kebutuhan pendampingan psikologis pada situasi khusus saat ini menjadi tantangan bagi penyedia layanan. Makalah ini bertujuan untuk memperoleh dasar ilmiah dari beberapa studi berbasis bukti yang menunjukkan efektivitas layanan menggunakan telemental health (TMH) atau lebih dikenal telepsikologi di beberapa kelompok masyarakat dan negara. Artikel ini merupakan reviu literatur dari berbagai sumber, melalui mesin pencari Google Scholar, Google, dan Pubmed dengan kata kunci telemental health, telepsychology, dan telecounseling. Perkembangan teknologi informasi yang pesat di era digital ini menjadi peluang yang menjanjikan. Hasil yang didapatkan, dengan adanya integrasi pelayanan kesehatan mental dan teknologi secara optimal, dapat menjadi salah satu solusi alternatif dalam menjangkau masyarakat yang lebih luas dan meminimalisir kesenjangan yang ada. Penggunaan media telekomunikasi jarak jauh dua arah, memanfaatkan telepon, dan konferensi video dengan memperhatikan prosedur serta etika professional. Implementasi telepsikologi di Indonesia perlu mempertimbangkan beberapa hal, meliputi prosedur dan etika layanan professional; ketersediaan infrastruktur; kesiapan dan budaya masyarakat; serta juga kemampuan psikolog sebagai penyedia layanan ini.</p> <p>&nbsp;</p> Osi Kusuma Sari Neila Ramdhani Subandi Subandi ##submission.copyrightStatement## 2020-12-31 2020-12-31 30 4 10.22435/mpk.v30i4.3311 Analisis Kesiapsiagaan Kasus Kecelakaan Lalu Lintas di Sekolah, Puskesmas, dan Kepolisian Kota Surabaya <p><em>Traffic accidents include non-natural disasters (Law of the Republic of Indonesia Number 24 of 2007 concering Disaster Management) that must be addressed immediately so as not to cause negative impacts and can affect the degree of public health. Surabaya city one of the metropolitan cities that is used as a pilot in East Java, although the traffic conditions in Surabaya are still classified as accidentsprone and traffic accidents often occur. The purpose of this study was to analyze the preparedness of traffic accident cases in Schools, Health Centers, and Surabaya City Police. This research is an observasional descriptive study with a cross sectional design. The time of this research was conduted in Desember 2018. The unit of analysis in this study was 91 students of State Senior High School 9 Surabaya, 6 health workers (doctors and nurses) at the Ketabang Health Center and 8 Policemen Section Dikyasa Surabaya Police Traffic Unit. Sampling in this study using non probability sampling with purposive sampling. The data collected is primary data in the form of interviews by giving questionnaires and secondary data. The results showed the level of preparedness of State Senior High School 9 Surabaya to traffic accidents was not ready (20%), whereas the level of preparedness of State Senior High School 9 Surabaya students was almost ready (60%). The level of preparedness of Ketabang Health Center health personnel and the Surabaya City Police showed a good level of preparedness (100%) while the preparedness level of Ketabang Health Center (87.5%) and Surabaya City Police (82%) was also good. To reduce the number of traffic accidents in the city of Surabaya, it requires strong coordination between schools, health centers and the police related to traffic accident preparedness to the distribution or financial assistance in the Save Our Student (SOS) program launched by the Surabaya City Police.</em></p> <p><strong>Abstrak</strong></p> <p>Kecelakaan lalu lintas termasuk bencana non alam (UU RI No. 24 Tahun 2007 tentang Penanggulangan Bencana) yang harus segera ditanggulangi agar tidak menimbulkan dampak negatif dan dapat memengaruhi derajat kesehatan masyarakat. Kota Surabaya merupakan salah satu kota metropolitan yang dijadikan percontohan di Jawa Timur meskipun kondisi lalu lintas di Kota Surabaya masih tergolong rawan kecelakaan dan sering terjadi kecelakaan lalu lintas. Tujuan penelitian ini adalah untuk menganalisis kesiapsiagaan kasus kecelakaan lalu lintas di sekolah, puskesmas dan kepolisian Kota Surabaya. Penelitian ini merupakan penelitian observasional deskriptif dengan rancangan cross sectional. Waktu penelitian ini dilakukan pada bulan Desember 2018. Unit analisis dalam penelitian ini adalah 91 siswa/siswi Sekolah Menengah Atas Negeri (SMAN) 9 Surabaya, 6 tenaga kesehatan (dokter dan perawat) Puskesmas Ketabang, dan 8 polisi bagian Dikyasa Unit Satlantas Polrestabes Surabaya. Pengambilan sampel dalam penelitian ini menggunakan non probablity sampling dengan purposive sampling. Data yang dikumpulkan merupakan data primer berupa wawancara dengan menggunakan kuesioner dan data sekunder. Hasil penelitian menunjukkan tingkat kesiapsiagaan SMAN 9 Surabaya terhadap kecelakaan lalu lintas belum siap (20%), sedangkan tingkat kesiapsiagaan sebagian besar siswa/siswi SMAN 9 Surabaya adalah hampir siap (60%). Tingkat kesiapsiagaan dari tenaga kesehatan Puskesmas Ketabang dan polisi Polrestabes Surabaya menunjukkan tingkat kesiapsiagaan yang baik (100%) sedangkan tingkat kesiapsiagaan Puskesmas Ketabang (87,5%) dan Polrestabes Surabaya (82%) juga baik. Untuk menurunkan angka kecelakaan lalu lintas di Kota Surabaya diperlukan koordinasi yang baik antara sekolah, puskesmas, dan kepolisian terkait kesiapsiagaan kecelakaan lalu lintas sampai dengan hal penyaluran atau bantuan dana pada program Save Our Student (SOS) yang dicanangkan oleh Polrestabes Surabaya</p> Choirun Nisa Setya Haksama ##submission.copyrightStatement## 2020-12-31 2020-12-31 30 4 10.22435/mpk.v30i4.3233 Validasi Proses Produksi Dektrosa Monohidrat (DMH) Farmasi pada Skala Pilot <p><strong><em>A</em></strong><em>rmaceutical dextrose monohydrate (DMH) as one of the raw materials for drugs which is widely used in the manufacture of infusions and drug preparations, including BBO, which is entirely still imported. To achieve the independence of national pharmaceutical raw materials, it is important to study and develop the DMH pharmaceutical production process technology in Indonesia. In this research, the validation of the DMH pharmaceutical production process using food quality liquid glucose raw materials on a pilot-scale of 5 - 6 kg/product was carried out. The validation process has been carried out three times in all stages of the process, namely saccharification, carbon purification, resin purification, evaporation, crystallization, centrifugation, and drying. Several test parameters have been established at each stage of the process so that the repeatability of the production process and the quality of pharmaceutical DMH can be achieved. The results showed that each stage of the process played a role in improving the quality of dextrose. Product yield and weight loss of dextrose in the whole process were 50–52% and 9–10%, respectively. The results of testing the levels of dextrose (dextrose equivalent/DE), endotoxin content, pyrogen-free tests, and other parameters that have been carried out on pharmaceutical DMH products have met the quality requirements according to the Indonesian Pharmacopoeia Edition V. In conclusion, the validation results show that the bench-scale pharmaceutical DMH production process technology is developed to produce pharmaceutical DMH products with process repeatability and good quality. </em></p> <p><strong>Abstrak</strong></p> <p>Dekstrosa Monohidrat (DMH) farmasi merupakan bahan baku obat (BBO) yang banyak digunakan pada pembuatan infus dan sediaan obat serta termasuk salah satu BBO yang seluruhnya masih dimpor. Untuk mencapai kemandirian bahan baku farmasi nasional, maka pengkajian dan pengembangan teknologi proses produksi DMH farmasi menjadi penting untuk dilakukan di Indonesia. Dalam penelitian ini telah dilakukan validasi proses produksi DMH farmasi menggunakan bahan baku glukosa cair kualitas pangan pada skala pilot 5–6 kg produk/bets. Proses validasi telah dilakukan sebanyak tiga kali ulangan pada seluruh tahapan proses yaitu sakarifikasi, pemurnian dengan karbon, pemurnian dengan resin, evaporasi, kristalisasi, sentrifugasi, dan pengeringan. Beberapa parameter uji telah ditetapkan pada setiap tahapan proses agar keterulangan proses produksi dan kualitas DMH farmasi dapat tercapai. Hasil penelitian menunjukkan bahwa setiap tahapan proses berperan dalam peningkatan kualitas dekstrosa. Rendemen produk dan kehilangan berat dekstrosa pada keseluruhan proses masing-masing adalah 50–52% dan 9–10%. Hasil pengujian kadar dekstrosa (dekstrosa ekivalen/DE), kandungan endotoksin, uji bebas pirogen, dan parameter lain yang telah dilakukan terhadap produk DMH farmasi adalah sudah memenuhi persyaratan kualitas sesuai Farmakope Indonesia Edisi VI. Disimpulkan, hasil validasi menunjukkan bahwa teknologi proses produksi DMH farmasi skala pilot yang dikembangkan dapat menghasilkan produk DMH farmasi dengan keterulangan proses dan kualitas yang baik.</p> Sri Mulyani Suharno Didik Sudarsono Eriawan Rismana Indrawati Dian Utami Lely Khojayanti Bambang Srijanto Ayustian Futu Wijaya ##submission.copyrightStatement## 2020-12-31 2020-12-31 30 4 10.22435/mpk.v30i4.3076 Back Matter Vol 30 No 4 Sekretariat Media ##submission.copyrightStatement## 2021-01-14 2021-01-14 30 4 10.22435/mpk.v30i4.4279 Fullpages Media Litbangkes Vol 30 No 4 Tahun 2020 Sekretariat Media ##submission.copyrightStatement## 2021-01-14 2021-01-14 30 4 10.22435/mpk.v30i4.4280