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PubMedDate not supplied

Estimating the annual cost of overactive bladder in Indonesia.

AIM: to estimate the annual economic cost and quality of life related to OAB in Indonesia population by taking into account the direct cost, value of lost productivity and cost consequences associated with OAB. METHODS: cross sectional study was done in Geriatric Clinic and Urogynaecology Clinic in Dr. Cipto Mangunkusumo Hospital Jakarta from July 2005 to March 2006. Primary outcome of this study was annual cost of OAB, symptom and quality of life of OAB patients. Cost data related to personal routine care of OAB and transportation expenditures were obtained by using questionnaires modified from Dowell Bryant incontinence cost index validated questioner. Data related to quality of life were obtained by OAB-q questioner. Subjects included 30 male and female OAB patients aged 18-100 years. RESULTS: most of patients were female (96.7%). Median of age was 62.5 (30-93) years old, 56.7% patients were elderly (age more than 60 years). Median of total annual cost of OAB was Rp. 2,850,000,-. Median of total personal cost which consist of routine personal care costs and treatment costs were Rp. 2,850,000. Median of total cost which is expended by government for routine personal and treatment of OAB was Rp.2,500,000,- . Median score of symptom severity was 62.5. Quality of life score was divided into coping, concern, sleep, and social item. Median of coping score was 50.0, concern score was 43.1, sleep score was 50.8, and social score was 38.8. Median of total quality of life score was 44.7. Maximum score of symptom severity and quality of life should be 98.8. The higher the score, the more severe the symptom, but the better is the quality of life. CONCLUSION: total annual cost of OAB was Rp. 2,850,000, Quality of life of OAB patient was somewhat poor.

Adolescent↗
PubMed2007

Hospital DOTS linkage in Indonesia: a model for DOTS expansion into government and private hospitals.

BACKGROUND: To accelerate DOTS expansion, the hospital sector and specialized chest clinics must be engaged. OBJECTIVE: To develop a model for public-private partnership through DOTS expansion into public and private hospitals in Indonesia. DESIGN: Model development included gaining commitment from stakeholders, stepwise training of hospital staff, and developing unified networks for case management, patient referral, laboratory quality assurance, supervision and evaluation. RESULTS: The number of notified tuberculosis (TB) cases (all forms and new smear-positive) increased dramatically from baseline. Together, hospitals and chest clinics accounted for a significant proportion of the total cases notified by the province (51% of total TB cases and 56% of new smear-positive cases in 2004). Compared to health centers and chest clinics, hospitals reported lower cure and success rates. Despite the option for referral to health centers, the majority of patients diagnosed in hospitals and chest clinics in 2002-2004 opted to be fully managed by the diagnosing facility. CONCLUSION: The roles and strengths of hospitals differ with regard to health centers, providing a rational basis for linkage of these health service components. In Yogyakarta, linkage became effective only after establishing a stakeholder-based provincial coordinating (DOTS) committee as the recognized interface between the National Tuberculosis Programme and various providers.

Antitubercular Agents↗
PubMed1991

Gender and changing generational relations: spouse choice in Indonesia.

Many Asian societies are undergoing a nuptiality transition that is not only tied integrally to other aspects of family organization, but is also often more complex than standard studies of female age at marriage can reveal. To comprehend some of this complexity, we focus on the patterns of spouse choice for both men and women in central Java. The extent of parental control over mate selection is examined for change over time, gender differences, and likely determinants, including family class, education, premarital work, and residence. It is argued that the current marriage transition in Indonesia reflects both gender and generational hierarchies in the Javanese family system. The analysis is conducted using a multinomial logit model; in general, it yields results strongly supportive of the argument that the determinants of spouse selection differ by gender. The results also show that although there is a dramatic shift towards self-choice marriages, it is occurring within the context of historical and institutional factors specific to Javanese society.

Adult↗
PubMed1975

The prevalence of entamoeba histolytica and Toxoplasma gondii antibodies in Central Java, Indonesia.

Sera collected from people living along the slopes of Mt. Merapi and Mt. Merbabu (900-1900 m) in Boyolali Regency, Central Java, Indonesia were tested by indirect hemagglutination tests for antibodies to Entamoeba histolytica and Toxoplasma gondii. A total of 695 sera from 439 males and 256 females, 2 to 75 years of age were tested for amoebiasis and 17.6% had positive antibody titers of 1:128 or greater. The prevalence of antibodies was the same for males and females and increased with age. The seropositivity rate for Toxoplasma gondii antibodies among 438 males and 255 females was 2% at titers of 1:256 or greater. The prevalence was higher in females (2.7%) than in males (1.6%), and was highest in the oldest age groups.

Adolescent↗
PubMed1991

Beliefs of leprosy patients about their illness. A study in the province of South Sulawesi, Indonesia.

In Bone district, Province of South Sulawesi, Indonesia, a total of 50 randomly selected leprosy patients were interviewed about their beliefs about their illness with the help of a questionnaire. It became evident, that their knowledge about leprosy was generally satisfactory, but only few patients adopted the bacterial theory as cause of their disease. Besides it was found that leprosy patients tend to discriminate themselves, while more tolerance was found in their healthy contacts. Traditional beliefs and religious ideas played an important role. To overcome the stigma, more health education, based on a multidisciplinary approach is required. Beside the modern medical theory, cultural beliefs and religious views have to be taken into consideration.

Adult↗
PubMed1991

Impact of a tetanus toxoid immunization mass campaign on neonatal tetanus mortality in Aceh Province, Indonesia.

Neonatal tetanus mortality declined dramatically in Pidie district (Aceh Province) Indonesia between 1984 and 1987. Baseline and follow-up survey results demonstrated an 85% reduction in neonatal tetanus mortality during this period, from 32.1/1000 live births to 4.9/1000 live births. During 1985 a tetanus toxoid mass campaign was conducted in Pidie district which resulted in 84% of women 10-45 years of age receiving two tetanus toxoid injections. Analysis of the results of the two surveys provides very strong evidence of the impact of the tetanus toxoid mass campaign on neonatal tetanus mortality.

Adolescent↗
PubMed1991

Taeniasis in Indonesia with special reference to Samosir Island, north Sumatra.

In Indonesia, taeniasis is endemic on the islands of Bali, Irian Jaya and Sumatra. The Balinese eat pork or beef raw in a dish called "lawar". Natives of Irian Jaya also have a custom of preparing and consuming raw pork. On Samosir Island in North Sumatra, undercooked pork is consumed in traditional ceremonies. In Bali, the local people defecate into cages (called "teba") of domestic animals. In Irian Jaya, pigs are allowed to feed on human feces inside houses at night. The natives of Samosir Island defecate in their gardens and their feces are easily consumed by freely roaming pigs. Since 1972, studies have been carried out on the epidemiology of taeniasis in North Sumatra. The Taenia sp. found on Samosir Island is morphologically identical to Taenia saginata. However, the local people seldom or never consume beef because it is very expensive, while pork is commonly consumed. The species and the natural intermediate hosts of Taenia sp. on Samosir Island are still under investigation.

Animals↗
PubMedDate not supplied

Community perceptions on diarrheal diseases: a case study in swampy lowland area of south Sumatra, Indonesia. The Diarrheal Diseases Research and Training Study Group.

Four investigators conducted participative observation at 4 hamlets, representing 4 typical topography in the area, wet or dry near the river and wet or dry far from the river, in District Rambutan, South Sumatera Province, Indonesia from July 1988 up until February 1989 to study the community perception and practices on diarrheal diseases (DD). The observation was supported by focus group discussions and informal interviews. It was found that the causes of DD can be grouped into: dirty water; wrong (cold, hot, sting) food; part of the growth process; physical condition (extreme heat, cold wind and inner abnormality, inner heat, muscle strain), and supernatural. The type of DD can be grouped into: mild without vomiting named ngadi, negenteng-ngentengi, nambah kepacakan, etc which was linked to the growth process; more severe diarrhea, might be with fever (mising-mising, murus, mencret, etc); more severe diarrhea with severe vomiting (muntager, kolera); bloody/mucoid stool (disentri, mising tai angin, mising umbal). The community had also the concept of prolonged diarrhea named as menerus (literally meaning prolonged) Muntaber was more associated with bad water while the prolonged one was more associated with inner abnormality. The danger of diarrhea perceived was susut = shrinkage, lisut = emaciation. Pale and red hair with lisut were recognized as the dangers of prolonged diarrhea. The community did not associate these conditions with fluid loss. The management started by self medication using tapel (pasta of herb applied) to the stomach), decoct (daun jambu, akar teratai etc), solid oral preparation (cassava with raw sugar, rast rice, etc).(ABSTRACT TRUNCATED AT 250 WORDS)

Diarrhea, Infantile↗
PubMed1991

Reinfection and infection rates of soil-transmitted-helminths in Kemiri Sewu, Yogyakarta, Indonesia.

A study on the reinfection and infection rates of soil-transmitted helminths was conducted in Kemiri Sewu, Godean District, Sleman Regency, Yogyakarta Special Province, Indonesia, from August 1988 to June 1990. A total 61 individuals rendered Ascaris lumbricoides egg-negative by drug treatment were used in the reinfection study and 412 individuals found negative for Ascaris eggs in the pretreatment stool examination were used for the infection rate study. In both groups, children had higher and faster reinfection and infection rates than adults. The start of reinfection was 4 months after treatment, and the start of infection was at the 1st month. At 20 months after treatment, the reinfection rate of ascariasis was 14.8% and the infection rate was 11.4% among both children and adults. There were 140 subjects rendered Trichuris trichiura egg-negative by drug treatment, and 317 Trichuris egg-negative at the pretreatment stool examination which were used in the reinfection and infection rates studies. In general, the reinfection rates of T. trichiura among adults were higher than those among children. The start of reinfection was 4 months after treatment, and the infection was at the 1st month. At the end of 20 months, the reinfection rate was 36.4% and the infection rate was 21.8% among both children and adults. A total 83 subjects rendered Necator americanus egg-negative by drug treatment and 365 N. americanus egg-negative at pretreatment stool examination were used in the reinfection and infection rate studies. Throughout the study, adults had always higher reinfection and infection rates than children, while adults males had higher reinfection rates than adults females. The start of reinfection was 4 months after treatment, and the start of infection was at the 1st month; they were 25.3% and 9.3% respectively. At the end of 20 months, the reinfection rate was 65.1%, and the infection rate was 47.9% among both children and adults.

Adolescent↗
PubMed1990

Serum antibodies to human enteric coronavirus-like particles in Australia, South Africa, Indonesia, Niue, and Papua New Guinea.

Relatively high levels of antibody to human enteric coronavirus-like particles were detected in the sera from rural Aborigines in Australia. Levels were generally much lower in the sera from urban Aborigines, and extremely low to not detectable in the sera from Europeans. Antibody to coronavirus-like particles was also detected in the sera from rural blacks from South Africa, in the sera from Indonesia and Niue, and also possibly in the sera from rural villagers from Papua New Guinea, but in the latter case at only very low level.

Adolescent↗
PubMedDate not supplied

Efficacy of three variations of periodic abstinence for family planning in Indonesia.

A prospective study to determine the efficacy of three alternative guidelines for the practice of periodic abstinence (PA) for family planning was conducted in Indonesia. The three methods studied were the Billings ovulation method, the Dorairaj modified mucus method, and a local version of the mucus method. For each method, the study encompassed a three-month learning phase and an additional 12-month effectiveness phase. Data from a total of 850 acceptors showed that, despite some variations in the sociodemographic characteristics of the acceptors, the Billings ovulation method had the lowest (10.4 per 100 women) and the local mucus method had the highest (26.5 per 100 women) overall life-table discontinuation rates in the effectiveness phase. One-year life-table unplanned pregnancy rates ranged from 2.5 per 100 women for the Billings method to a high of 11.5 per 100 women for the local method acceptors. Unplanned pregnancy was the main reason for termination.

Adult↗
PubMed1977

Biomedical survey in Irian Jaya (West Irian), Indonesia.

A biomedical survey was conducted in several areas of Irian Jaya, Indonesia in July 1972 in association with an investigation of reports of a cholera outbreak. Stool specimens, blood smears and sera were collected and examined for evidence of parasitic as well as other infectious diseases. A total of 114 stools were examined and the most commonly found intestinal parasites were Trichuris trichiura (94%), Ascaris lumbricoides (74%), hookworm (58%), Entamoeba coli (15%), Endolimax nana (8%), Entamoeba histolytica (7), Entamoeba hartmanni (4%), Giardia lamblia (3%) and Chilomastix mesnili (3%). A total of 513 blood smears were examined and Wucheria bancrofti microfilariae were detected in 4% and malaria in 4% (Plasmodium falciparum 3%, Plasmodium vivax 2%). The malaria and filarial positive individuals lived in Beeuw, Waigeo and Arar, Sorong. These parasitic infections were not detected in people from Biak City and Sburia, Biak. Sera were collected from 357 persons and significant antibody titers were found for Entamoeba histolytica (4%) Toxoplasma gondii (7%), Influenza A2 Hong Kong 68 (65%), Influenza B Taiwan 68 (78%), Japanese encephalitis virus (87%) and Dengue 1 virus (79%).

Adolescent↗
PubMed1990

Plasmodium ovale in Indonesia.

We report 34 infections by Plasmodium ovale found among 15,806 blood film examinations taken between 1973 and 1989 from several sites in Indonesia. Twenty five of the P. ovale infections occurred in a single sample of 514 people living in Owi, Irian Jaya. We detected five additional infections at 3 other sites in Irian Jaya. Other infections by P. ovale occurred at two sites in West Flores. Another infection has already been reported from East Timor. Despite relatively frequent sampling of populations on Sumatra, Kalimantan, Java and Sulawesi, P. ovale has not been found on those islands. It appears that this parasite occurs only on the easternmost islands of the Indonesian archipelago where it is nonetheless a rare finding.

Animals↗
PubMed1989

Basic issues related to quantity and quality of health care, and quality assurance in Indonesia.

Issues and problems related to the needs for quantity and quality in health care have been presented. The need for quantity has been quite successfully addressed in the last 20 years. Better quality of health care is very much in the minds of policy makers, providers and the informed public. Quality assessment and assurance as a programmed and on-going process in individual hospitals is systematically promoted and developed. An accreditation system for hospitals is planned for the future. This paper has not been able to contribute anything of value to the current practice of quality assurance. The industrialized world has passed the stages Indonesia is now going through. To some Australian colleagues, this presentation perhaps has revealed that one of their closest neighbours is struggling hard to improve the quality of life of its people, despite the tremendous problems and constraints with which it is confronted. Australia has always provided a helping hand in this struggle.

Delivery of Health Care↗
PubMed1989

The costs of public primary health care services in rural Indonesia.

Described are the results of a cost study of national rural health services carried out in Indonesia between November 1986 and March 1987. Detailed costings of government inputs to all public health services below the district hospital level were made for 41 subdistricts in five provinces that were representative of the different regions of the country. The total costs of services as well as the average costs for specific service functions were estimated for the whole country as well as for the different provinces. The results indicate a low overall level of government spending on rural primary health care. Regional differences in this respect were not significant, suggesting that the government policy of encouraging regional balance in allocations has been successful. The average costs for most services were much greater than the charges made to patients, and this provided information on the current level of government subsidies. There was a large variability in the average costs, indicating that the existing system is inefficient, that some districts were able to attain much higher levels of efficiency than others within the existing constraints, and that improvements in this respect are possible.

Community Health Services↗
PubMed1989

Suppression of larval Aedes aegypti populations in household water storage containers in Jakarta, Indonesia, through releases of first-instar Toxorhynchites splendens larvae.

Weekly releases of first-instar Toxorhynchites splendens larvae were made in household water storage containers in a neighborhood in Jakarta, Indonesia, between April 1987 and April 1988. A single larva was placed in each container surveyed. Forty-one percent of all containers in the treatment area were treated each week and the average container was treated once every 2.4 weeks. Aedes aegypti populations were suppressed but not controlled by treatment. It is hypothesized that first-instar Toxorhynchites larvae were poor control agents due to their inability to withstand periods of starvation and to their accidental removal from containers during the act of water consumption.

Aedes↗
PubMed1989

Studies on Japanese encephalitis vectors in Indonesia.

Entomologic surveys indicated that JE vectors in Indonesia are Cx. tritaeniorhyncus and Cx. gelidus. In most study areas, the former were predominant among all the culicine mosquitoes. The seasonal abundance of the two JE vector species was correlated significantly with the rainfall. The virus activity was parallel to the seasonal fluctuation of the vectors suggesting that the transmission of the disease would depend on the population dynamics of the vectors.

Animals↗
PubMed1989

In rural Indonesia social marketing of oral rehydration salts the mothers' perspective.

The Indonesia Health Department has been intensifying efforts to increase mothers' access to and use of oral rehydration salts (ORS) for the last several years. The approach utilizes a social marketing perspective to persuade the parents. This report describes the results of two consecutive field interventions using this approach. The first utilized a combination of public sector and commercial sector resources. The second used the public sector alone.

Child↗