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  • 1
    Online Resource
    Online Resource
    Attitude towards Zika among frontline physicians in a dengue-endemic country: A preliminary cross-sectional study in Indonesia
    Narra T ; 2021
    In:  Narra J Vol. 1, No. 1 ( 2021-04-01)
    Details
    In: Narra J, Narra T, Vol. 1, No. 1 ( 2021-04-01)
    Abstract: In dengue-endemic countries such as Indonesia, Zika may be misdiagnosed as dengue, leading to underestimates of Zika disease and less foreknowledge of pregnancy-related complications such as microcephaly. Objective: To assess the attitudes of frontline physicians in a dengue-endemic country toward testing for Zika infection among patients with dengue-like illnesses. Methods: A cross-sectional online survey was conducted among general practitioners (GPs) in Indonesia. The survey assessed their attitude and also collected sociodemographic data, characteristics of their medical education, professional background, and workplace, and exposure to Zika cases. A two-step logistic regression analysis was used to assess possible variables associated with these attitudes. Results: A total of 370 GPs were included in the final analysis of which 70.8% had good attitude. Unadjusted analyses suggested that GPs who were 30 years old or older and those who had medical experience five years or longer had lower odds of having a positive attitude compared to those who aged younger than 30 years and those who had medical experience less than five years, OR: 0.58; 95%CI: 0.37, 0.91 and OR: 0.55; 95%CI: 0.35, 0.86, respectively. No explanatory variable was associated with attitude in the fully adjusted model. Conclusion: Our findings point to younger GPs with a shorter medical experience being more likely to consider testing for Zika infection among their patients presenting with dengue-like illnesses. Strategic initiatives may be needed to enhance older or longer-experienced physicians' capacity in diagnosing Zika infection.
    Type of Medium: Online Resource
    ISSN: 2807-2618
    URL: Article
    DOI: 10.52225/narraj.v1i1.32
    Language: Unknown
    Publisher: Narra T
    Publication Date: 2021
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  • 2
    Online Resource
    Online Resource
    Early transmission dynamics of SARS-CoV-2 in Indonesia
    LPPM Unsyiah ; 2021
    In:  Trends in Infection and Global Health Vol. 1, No. 1 ( 2021-09-01), p. 1-6
    Details
    In: Trends in Infection and Global Health, LPPM Unsyiah, Vol. 1, No. 1 ( 2021-09-01), p. 1-6
    Abstract: The objective of this study was to determine the transmission dynamics of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and to evaluate the vigilance of the health system during the early phase of coronavirus disease 2019 (COVID-19) outbreak in Indonesia. The early epidemiology and transmission chains of COVID-19 were analyzed based on data from the Directorate General of Disease Prevention and Control of the Indonesian Ministry of Health. The results of this study shown although Indonesia is a country with a high relative importation risk of SARS-CoV-2, the first two cases of COVID-19 were identified on March 2, 2020. This relatively late date by regional standards raises the possibility of undetected cases beforehand. The first case was a foreigner citizen who visited the capital city of Jakarta and later was diagnosed COVID-19 after returning from Indonesia. One week later after the first case, 27 confirmed COVID-19 cases had been reported in Indonesia, and the majority of the cases were clustered together. Apart from the possibility of underdetection of COVID-19 cases in the country, the government has strengthened the disease surveillance system and established an outbreak preparedness system to diagnose and control COVID-19. 
    Type of Medium: Online Resource
    ISSN: 2807-646X
    URL: Article
    DOI: 10.24815/tigh.v1i1.20134
    Language: Unknown
    Publisher: LPPM Unsyiah
    Publication Date: 2021
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  • 3
    Online Resource
    Online Resource
    Physicians’ Workload and Quality Healthcare in Indonesia
    LPPM Unsyiah ; 2023
    In:  Trends in Infection and Global Health Vol. 3, No. 1 ( 2023-06-28), p. 43-55
    Details
    In: Trends in Infection and Global Health, LPPM Unsyiah, Vol. 3, No. 1 ( 2023-06-28), p. 43-55
    Abstract: Indonesian law regulates that physicians might work in maximum three places. This policy results in increased workload, which might lead to burnout, affecting the quality care. This review aimed to explore how physicians’ workload affect the quality healthcare in Indonesia. We found that most Indonesian physicians worked long hours due to the current policy allowing them to work in maximum three medical centers. Vast majority of doctors in Indonesia also had to deal with abundant administrative works, especially since the implementation of Jaminan Kesehatan Nasional (JKN). Excessive workload increased work-related stress and job dissatisfaction, which eventually increased physician’s burnout. All these results in poorer quality healthcare. One of the solutions is to regulate physicians to only work at one healthcare facility (Mono-loyalty). However, a careful consideration and thorough preparation to adopt this policy is warrant.
    Type of Medium: Online Resource
    ISSN: 2807-646X
    URL: Article
    DOI: 10.24815/tigh.v3i1.32363
    Language: Unknown
    Publisher: LPPM Unsyiah
    Publication Date: 2023
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  • 4
    Online Resource
    Online Resource
    Unregistered Traditional Bone Setting Practice in Aceh, Indonesia: A Problem that Need to be Solved?
    Budapest International Research and Critics Institute ; 2021
    In:  Budapest International Research in Exact Sciences (BirEx) Journal Vol. 3, No. 1 ( 2021-01-20), p. 82-88
    Details
    In: Budapest International Research in Exact Sciences (BirEx) Journal, Budapest International Research and Critics Institute, Vol. 3, No. 1 ( 2021-01-20), p. 82-88
    Abstract: Little is known about traditional bone setting (TBS) practise in Aceh, Indonesia despite of its common utilisation. The aim of this study was to explore the characteristics of TBS practise in Aceh, Indonesia. Thirty-nine participants from ten regencies in Aceh were interviewed from January to December 2019. Most of the participants were male (82.1%), and aged between 31-50 years old (79,5%). Half of the participants were elementary school graduates (51,3%). More than half (59%) of participants had been practicing bone setting for 5-10 years, and many of them (48.7%) used traditional massages combined with splints and herbal mixtures. None (0%) of the participant obtained legal permission to practice bone setting. More than half (71.8%) obtained the knowledge of TBS from their ancestral heritage, only one participant obtained it through apprenticeships. We concluded that TBS practices in Aceh were unregistered, and the practitioners were mostly untrained. There is a need to provide training and permits for TBS practise to ensure patients’ safety.
    Type of Medium: Online Resource
    ISSN: 2655-7827 , 2655-7835
    URL: Issue
    URL: Article
    DOI: 10.33258/birex.v3i1
    DOI: 10.33258/birex.v3i1.1623
    Language: Unknown
    Publisher: Budapest International Research and Critics Institute
    Publication Date: 2021
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  • 5
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    Acute severe hepatitis of unknown etiology in children: A mini-review
    Narra T ; 2022
    In:  Narra J Vol. 2, No. 2 ( 2022-08-01)
    Details
    In: Narra J, Narra T, Vol. 2, No. 2 ( 2022-08-01)
    Abstract: The emergence of acute, severe non hepA–E hepatitis of unknown etiology (ASHUE) has attracted global concern owing to the very young age of the patients and its unknown etiology. Although this condition has been linked to several possible causes, including viral infection, drugs and/or toxin exposure, the exact cause remains unknown; this makes treatment recommendation very difficult. In this review, we summarize recent updates on the clinical manifestations, complemented with laboratory results, case numbers with the global distribution and other epidemiological characteristics, and the possible etiologies. We also provide the proposed actions that could be undertaken to control and prevent further spread of this hepatitis. Since many etiological and pathological aspects of the acute non hepA–E hepatitis remain unclear, further research is needed to minimize the severe impact of this disease.
    Type of Medium: Online Resource
    ISSN: 2807-2618
    URL: Article
    DOI: 10.52225/narra.v2i2.83
    Language: Unknown
    Publisher: Narra T
    Publication Date: 2022
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  • 6
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    Online Resource
    Effectiveness of Tai Chi as a non-invasive intervention for mild cognitive impairment in the elderly: A comprehensive review and meta-analysis
    Narra Sains Indonesia ; 2024
    In:  Narra J Vol. 4, No. 1 ( 2024-04-24), p. e724-
    Details
    In: Narra J, Narra Sains Indonesia, Vol. 4, No. 1 ( 2024-04-24), p. e724-
    Abstract: The aging population warrants the increase of mild cognitive impairment (MCI) prevalence, a condition that could progress to dementia. Efforts have been made to improve the MCI and prevent its progression, including the introduction of Tai Chi, a Chinese traditional exercise. The aim of this systematic review and meta-analysis was to evaluate the efficacy of Tai Chi in attenuating MCI among the elderly population. Records investigating the effect of Tai Chi exercise intervention on cognitive function among elderly patients were searched systematically from PubMed, ScienceDirect, Google Scholar, and Europe PMC as of April 13, 2023. The risk of bias (RoB 2.0) quality assessment was employed in the quality appraisal of the studies included. Review Manager 5.4.1 was used for data extraction and meta-analysis, where the standard mean difference (SMD) and 95% confidence interval (95%CI) were computed. Eight randomized control trials with a total of 1379 participants were included in this meta-analysis. Six trials assessed Montreal Cognitive Assessment scores, where its pooled analysis suggested that Tai Chi was as effective as conventional exercise (SMD=0.15, 95%CI: -0.11 to 0.40, p=0.26). However, pooled analysis of the Mini-Mental Status Examination suggested that Tai Chi intervention more effectively improved cognitive function and reduced the rate of cognitive impairment in elderly patients (SMD=0.36, 95%CI: 0.18 to 0.54, p 〈 0.01) as compared to the control group. This systematic review and meta-analysis suggest that, in some extent, Tai Chi is efficacious in improving cognitive function and slowing down the rate of cognitive impairment among elderly patients.
    Type of Medium: Online Resource
    ISSN: 2807-2618
    URL: Article
    DOI: 10.52225/narra.v4i1.724
    Language: Unknown
    Publisher: Narra Sains Indonesia
    Publication Date: 2024
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  • 7
    Online Resource
    Online Resource
    Disruption of childhood vaccination during the COVID-19 pandemic in Indonesia
    Narra T ; 2021
    In:  Narra J Vol. 1, No. 1 ( 2021-04-01)
    Details
    In: Narra J, Narra T, Vol. 1, No. 1 ( 2021-04-01)
    Abstract: The aim of this study was to assess the magnitude of childhood vaccination disruption and to determine the predictors of delaying childhood vaccinations during the coronavirus disease 2019 (COVID-19) pandemic among Indonesian parents. We conducted a nationwide, online, cross-sectional study. A set of questionnaires assessed the disruption of childhood vaccinations and possible explanatory variables, including demographic characteristics, current underlying disease, exposure to and confidence in COVID-19 information, perceived risk, attitude and practice on vaccination, and COVID-19 prevention practice. A multivariable linear regression was used to characterize the relationship between explanatory variables and delayed childhood vaccination. We included 1137 respondents for analysis, of which 52.6% were males and 58.4% participants aged between 31 and 50-years old. Disruption of childhood vaccination service in local health facilities was reported in 42.2% (480/1137) of respondents and 13.3% (193/1137) of respondents explained that their children could not be vaccinated because a healthcare facility temporary stopped the vaccination service. Of all respondents, 312 (27.4%) delayed vaccinating their children for a compulsory vaccination shot. Factors associated with higher odds of delaying compulsory vaccinations for children were employment and chronic disease status, flu vaccination status in the past year, and prior COVID-19 infection. In conclusion, there was a significant disruption of childhood vaccination practices in Indonesia during the COVID-19 pandemic. This is not only due to healthcare closures but also due to parents’ practice - delaying the compulsory childhood vaccination for their children. We urge the government to strengthen strategies to ensure childhood vaccination services are available to all children in the country during a pandemic.
    Type of Medium: Online Resource
    ISSN: 2807-2618
    URL: Article
    DOI: 10.52225/narraj.v1i1.7
    Language: Unknown
    Publisher: Narra T
    Publication Date: 2021
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  • 8
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    Online Resource
    Willingness-to-pay for COVID-19 vaccine in ten low-middle-income countries in Asia, Africa and South America: A cross-sectional study
    Narra T ; 2022
    In:  Narra J Vol. 2, No. 1 ( 2022-04-01)
    Details
    In: Narra J, Narra T, Vol. 2, No. 1 ( 2022-04-01)
    Abstract: Vaccine hesitancy is considered as one of the greatest challenges to control the ongoing coronavirus disease 2019 (COVID-19) pandemic. A related challenge is the unwillingness of the general public to pay for vaccination. The objective of this study was to determine willingness-to-pay (WTP) for COVID-19 vaccine among individuals from ten low-middle-income countries (LMICs) in Asia, Africa, and South America. Data were collected using an online questionnaire distributed during February - May 2021 in ten LMICs (Bangladesh, Brazil, Chile, Egypt, India, Iran, Nigeria, Pakistan, Sudan, and Tunisia). The major response variable of in this study was WTP for a COVID-19 vaccine. The assessment of COVID-19 vaccine hesitancy was based on items adopted from the World Health Organization (WHO) Strategic Advisory Group of Experts (SAGE) vaccine hesitancy scale constructs. In this study, 1337 respondents included in the final analysis where the highest number of respondents was from India, while the lowest number was from Egypt. A total of 88.9% (1188/1337) respondents were willing to pay for the COVID-19 vaccination, and 11.1% (149/1337) were not. The average WTP for COVID-19 vaccination was 87.9 US dollars ($), (range: $5-$200). The multivariate model analysis showed that the country, monthly household income, having a history of respiratory disease, the agreement that routine vaccines recommended by health workers are beneficial and having received the flu vaccination within the previous 12 months were strongly associated with the WTP. Based on the country of origin, the highest mean WTP for COVID-19 vaccine was reported in Chile, while the lowest mean WTP for the vaccine was seen among the respondents from Sudan. The availability of free COVID-19 vaccination services appears as a top priority in the LMICs for successful control of the ongoing pandemic. This is particularly important for individuals of a lower socio-economic status. The effects of complacency regarding COVID-19 extends beyond vaccine hesitancy to involve less willingness to pay for COVID-19 vaccine and a lower value of WTP for the vaccine.
    Type of Medium: Online Resource
    ISSN: 2807-2618
    URL: Article
    DOI: 10.52225/narra.v2i1.74
    Language: Unknown
    Publisher: Narra T
    Publication Date: 2022
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  • 9
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    Online Resource
    Acceptance of COVID-19 vaccination at different hypothetical efficacy and safety levels in ten countries in Asia, Africa, and South America
    Narra T ; 2021
    In:  Narra J Vol. 1, No. 3 ( 2021-12-01)
    Details
    In: Narra J, Narra T, Vol. 1, No. 3 ( 2021-12-01)
    Abstract: Vaccine hesitancy, defined as the reluctance or rejection in receiving a vaccine despite its availability, represents a major challenge to global health efforts aiming to control the ongoing COVID-19 pandemic. Understanding the possible factors correlated with COVID-19 vaccine hesitancy using a refined well-informed approach can be helpful to address the phenomenon. The current study aimed to evaluate COVID-19 vaccine acceptance rates using four hypothetical scenarios of varying levels of vaccine efficacy and safety profiles in ten Asian, African and South American countries. These scenarios included: 95% efficacy and 20% side effects (Vaccine A), 75% efficacy and 5% side effects (Vaccine B); 75% efficacy and 20% side effects (Vaccine C) and 50% efficacy and 5% side effects (Vaccine D). This study used a self-administered online survey that was distributed during February–May 2021. The total number of study respondents was 1337 with countries of residence as follows: India (21.1%), Pakistan (12.9%), Sudan (11.2%), Nigeria (9.3%), Iran (8.2%), Bangladesh and Brazil (7.9%), Chile (7.7%), Tunisia (7.6%), and Egypt (6.2%). The overall acceptance rates for COVID-19 vaccination were variable based on varying degrees of safety and efficacy as follows: 55.6% for Vaccine C, 58.3% for Vaccine D, 74.0% for Vaccine A and 80.1% for Vaccine B. The highest levels of COVID-19 vaccine acceptance were observed in Brazil followed by Chile across the four different safety and efficacy scenarios. The lowest COVID-19 vaccine acceptance rates were reported in Egypt and Tunisia for the low safety scenarios (20% side effects), and the low efficacy scenario (50% efficacy). The study revealed the potential effect of vaccine safety and efficacy on the intention to get COVID-19 vaccination. At the same efficacy level, higher possibility of side effects caused a large drop in COVID-19 vaccine acceptance rate. This indicates the importance of accurate communication regarding vaccine safety and efficacy on attitude towards the vaccine and intentions to get vaccinated. Regional differences in COVID-19 vaccine acceptance were observed with the Middle East/North African countries showing the lowest rates and the South American countries displaying the highest vaccine acceptance rates.
    Type of Medium: Online Resource
    ISSN: 2807-2618
    URL: Article
    DOI: 10.52225/narra.v1i3.55
    Language: Unknown
    Publisher: Narra T
    Publication Date: 2021
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  • 10
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    Online Resource
    Acceptance of a COVID-19 Vaccine in Southeast Asia: A Cross-Sectional Study in Indonesia
    Frontiers Media SA ; 2020
    In:  Frontiers in Public Health Vol. 8 ( 2020-7-14)
    Details
    In: Frontiers in Public Health, Frontiers Media SA, Vol. 8 ( 2020-7-14)
    Type of Medium: Online Resource
    ISSN: 2296-2565
    URL: Article
    DOI: 10.3389/fpubh.2020.00381
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2020
    detail.hit.zdb_id: 2711781-9
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