ABSTRACT
WHO recommends washing hands frequently, staying away from crowds, maintaining a safe distance, wearing masks, applying cough and sneeze ethics, as well as keeping the sick isolated and quarantining those in close contact to prevent Covid-19 transmission. The efforts to prevent the transmission of new cases during the adaptation to the new habits with the implementation of strict health protocols need massive enforcement. It was an analytic observational study with a cross-sectional approach. The study was conducted in East Java with 1,564 participants involved by simple random sampling technique. The dependent variable was preventive behavior against Covid-19 transmission. The independent variables included attitudes, knowledge, family support, and health worker support. The data were collected by using a questionnaire and analyzed with multiple linear regression. The study demonstrated that attitudes (B= 0.07, SE= 0.04, p= 0.034), knowledge (B= 0.08, SE= 0.04, p= 0.050), family support (B= 0.12, SE= 0.05, p= 0.012), and health workers support (B= 0.37, SE= 0.03, p<0.001) increase the preventive behavior against Covid-19 transmission. The value of R2 = 0.388, marked that the variables of knowledge, family support, and health worker support simultaneously pose an influence of 38.8% on preventive behavior against Covid-19 transmission. While the remaining 61.2% was influenced by other variables not examined. © 2023, Mahidol University - ASEAN Institute for Health Development. All rights reserved.
ABSTRACT
Introduction: The COVID-19 pandemic has caused disruptions in educational institutions across the country, prompting medical schools to adopt online learning systems. This study aims to determine impact on medical education and the medical student’s attitude, practice, mental health after 1 year of the Covid-19 pandemic in Indonesia. Methods: This study utilized a cross-sectional design. An online questionnaire was distributed digitally to 49 medical schools in Indonesia from February–May 2021. A total of 7,949 medical students participated in this study. Sampling was carried out based on a purposive technique whose inclusion criteria were active college students. This research used questionnaires distributed in online version among 49 medical faculties that belong to The Association of Indonesian Private Medical Faculty. Instruments included demographic database, medical education status, experience with medical tele-education, ownership types of electronic devices, availability of technologies, programs of education methods, career plans, attitudes toward pandemic, and the mental health of respondents. Univariate and bivariate statistical analysis was conducted to determine the association of variables. All statistical analyses using (IBM) SPSS version 22.0. Results: Most of the respondents were female (69.4%), the mean age was 20.9 ± 2.1 years. More than half of the respondents (58.7%) reported that they have adequate skills in using digital devices. Most of them (74%) agreed that e-learning can be implemented in Indonesia. The infrastructure aspects that require attention are Internet access and the type of supporting devices. The pandemic also has an impact on the sustainability of the education program. It was found that 28.1% were experiencing financial problems, 2.1% postponed their education due to this problems. The delay of the education process was 32.6% and 47.5% delays in the clinical education phase. Around 4% student being sick, self-isolation and taking care sick family. the pandemic was found to affect students’ interests and future career plans (34%). The majority of students (52.2%) are concerned that the pandemic will limit their opportunities to become specialists. Nearly 40% of respondents expressed anxiety symptoms about a variety of issues for several days. About a third of respondents feel sad, depressed, and hopeless for a few days. Conclusion: The infrastructure and competency of its users are required for E-learning to be successful. The majority of medical students believe that e-learning can be adopted in Indonesia and that their capacity to use electronic devices is good. However, access to the internet remains a problem. On the other side, the pandemic has disrupted the education process and mental health, with fears of being infected with SARS-CoV-2, the loss of opportunities to apply for specialty training, and the potential for increased financial difficulties among medical students. Our findings can be used to assess the current educational process in medical schools and maximize e-learning as an alternative means of preparing doctors for the future. Copyright © 2022 Turana, Primatanti, Sukarya, Wiyanto, Duarsa, Wratsangka, Adriani, Sasmita, Budiyanti, Anditiarina, Ainin, Sari, Darwata, Astri, Prameswarie, Tursina, Purbaningsih, Kurniawan, Widysanto, Setiawan, Ma’roef, Yuliyanti, Rahayu, Sahadewa, Raharjo, Lestari, Pinilih, Dewi, Dinata, Permatasari, Rahayu, Mahardhika, Herlinawati, Hayati, Setyonugroho, Diarsvitri, Purwaningsari, Chiuman, Latief, Triliana, Tubarad, Triastuti, Sompa, Angreni, Lubis, Tadjudin, Pandhita, Pramuningtyas, Anas, Ayuningtiyas, Ivone, Yunita, Handayani, Puspitasari, Tendean, Suswanti and Kurniawan.
ABSTRACT
Background: The case fatality rate (CFR) of Covid-19 deaths in Indonesia on June 16, 2020 was 5.52% and 4.19% in West Nusa Tenggara. One of the causes of this high percentage of deaths is the lack of preventive behavior against Covid-19. This study aims to analyze factors associated with Covid-19 preventive behavior among people in West Nusa Tenggara, Indonesia. Subjects and Method: A cross-sectional study was conducted in 10 cities/districts in West Nusa Tenggara from May-June 2020. A total of 385 people were enrolled in this study. Data were collected using a questionnaire distributed in the form of Google form and analyzed using multiple linear regressions with Stata 13.
ABSTRACT
Background and Aim: Effective prevention of coronavirus disease (COVID-19) requires public health focus on challenges at the community level. This study aimed to identify the determinants of COVID-19 preventive behavior among people in West Nusa Tenggara, Indonesia, using the health belief model. Materials and Methods: This was a cross-sectional study conducted in West Nusa Tenggara Province, Indonesia. The study sample included 385 randomly selected individuals. The dependent variable was COVID-19 preventive behavior. The data were collected by a questionnaire and analyzed by path analysis using Stata Statistical Software version 13 for Windows 64 bit.