ABSTRACT
The world is still facing the Coronavirus Disease 2019 (COVID-19) pandemic, and the current challenge is the epidemic, which was thought to have become endemic, but it seems far from that. This article describe the recent progress of the COVID-19 globally, including in Indonesia, and what should be done towards building community health resilience. Each day, more than 500,000 new cases are being detected worldwide. This condition shows that the present pandemic is not over and still requires global vigilance. The challenge faced by the world, and Indonesia, is to develop resilient communities as a prerequisite to controlling any future epidemic. This can be achieved by adopting five strategies: strengthen and promote access to public health and social services, pro-mote health and wellness and disaster preparedness, expand communication and collaboration, engage at-risk individuals and activate programs to protect their health, and build social connectedness.
ABSTRACT
BACKGROUND: Cancer patients may be susceptible to COVID-19 infection due to decreased immune status. Breast cancer is the most common cancer in Indonesia, still has high admission, which increasing the risk of exposure to COVID-19. AIM: Thus, this study aimed to identify hospitalized breast cancer patients diagnosed with COVID-19 infection 1 year after the pandemic. METHODS: This is a cross-sectional study that was conducted in the Adam Malik General Hospital in Medan, Sumatera Utara, Indonesia. The enrolled subjects were those who previously histopathologically confirmed with breast cancer and having laboratory-confirmed COVID-19 infection The sources of baseline, clinical, and laboratory data were retrieved from the electronic medical records. Statistical analysis was performed using the SPSS 16.0 software (SPSS Inc., Chicago, IL, USA). RESULTS: A total of 17 female breast cancer subjects with COVID-19 infection were enrolled in this study. Mostly subjects were multiparity, highest education was junior high school, housewife, menopause, diagnosed in Stage IV, had metastasis in lung, and categorized luminal B with invasive cancer of non-special type. Most subjects showed mild clinical and radiological severity of COVID-19 infection. Low leukocyte, high neutrophil-to-lymphocyte, and high platelet-to-lymphocyte counts were significantly differed between alive and death outcome in the subjects. CONCLUSION: The baseline and clinical characteristics of female breast cancer subjects with COVID-19 infection were similar to general characteristics in the population. The parameters of leukocyte, neutrophil-to-lymphocyte, and platelet-to-lymphocyte counts could be a valuable predictive parameters of mortality outcomes.
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BACKGROUND: Pregnant women are vulnerable to depression. We hypothesized that the COVID-19 pandemic would increase depression in pregnancy leading to complications to both mother and fetus. AIM: This study is aimed to identify antenatal depression symptoms during the second wave COVID-19 pandemic. METHODS: This was a community-based, cross-sectional study conducted from 10 to 21 June 2021. A number of 130 pregnant women were recruited through both convenience and snowball sampling. An online survey with self-administered Whooley questions was used to assess antenatal depression symptoms. RESULTS: We found elevated antenatal depression symptoms similar to other countries during the COVID-19 pandemic. The prevalence of pregnant women with depression symptoms was 42.3%. The majority of pregnant women who had antenatal depression symptoms had the following characteristics: About 44.75% lived outside Jakarta, 60% had low education (Junior high school and below), 42.9% aged 20–35 years, and 44.8% of them were housewives. CONCLUSION: In Indonesia, the second wave of COVID-19 pandemic affected increasing symptoms of depression among pregnant women. Positive protective factors should be taken to prevent negative impacts of both unidentified and untreated antenatal depression among the pregnant women for the sake of maternal and child health.
ABSTRACT
BACKGROUND: COVID-19 has been pandemic and causes death worldwide. 905 people died in the capital of North Sumatra, Medan City, Indonesia until November 2021. Medan city was once a red zone including Medan Denai District, the first dose of vaccination coverage was still 60% (1,476,248 people) and the second dose was still 45.8% (1,116,271 people) in November 2021. Public awareness of the importance of COVID-19 vaccination is needed to succeed in vaccination programs and reduce the rate of COVID-19 cases. Nevertheless, research related to public awareness about COVID-19 vaccination was still little done in Medan city. AIM: In this study, we analyzed the factors that influence the knowledge, attitudes, and behavior of community abouCOVID-19 vaccine in Medan Denai District of Medan City. METHODS: This study was a cross-sectional study with a validated questionnaire approach in 100 respondents. Data collection were conducted from September to November 2021. The questionnaire consisted of 36 questions to assess the level of knowledge, attitudes, and behavior. Statistical analysis was done using IBM Statistical Package for the Social Sciences v.26, p < 0.05 was statistically significant. RESULTS: Knowledge level is sufficient by 50%, good attitude by 99%, good behavior by 82%, the majority of respondents were in the age range of 17–25 years (75%), women (58%), high school education level (63%), jobless (42%), low income (62%), and had a religion (100%). More than 80% of respondents knew the benefits of the vaccine, how the vaccine worked, vaccine brands available in Indonesia, 76% had been vaccinated and 97% agreed to be vaccinated. We found a relation between knowledge with community behavior, education level, and vaccination history with knowledge, religion with community attitudes, and COVID-19 vaccination history with community behavior (p < 0.05). CONCLUSIONS: Respondents had sufficient knowledge, good attitudes and good behavior related to the COVID-1vaccine. The level of education, religion, and COVID-19 vaccination history affected the knowledge, attitudes, anbehavior of people about the COVID-19 vaccine in Medan Denai District, Medan city, Indonesia.
ABSTRACT
BACKGROUND: In Indonesia, the maternal mortality rate is still high and far from the Sustainable Development Goals target of 305 compared to 70 per 100,000 live births. AIM: This study aims to design the mHealth concept to improve the quality of antenatal care (ANC) with features that support service workers during the coronavirus disease 2019 (COVID-19) pandemic. METHODS: The method used was literature study and conceptual design of the mHealth model with Rapid Application Development approach. RESULTS: The result showed that several factors influence the quality of ANC and the potential for improvement with mHealth. There are nine features of pregnancy services designed to improve the quality of ANC, such as standard operating procedure compliance, maternal health records, clinical decision aids, referral links, teleconsultation, health promotion improvement, alerts, and reminders, real-time reports, and distribution maps for pregnant women. The depicted context diagram consists of four external entities such as pregnant women, midwives, maternal and child health coordinators at Health centers and Health offices in Indonesia as well as the flow of data or information to and from mHealth, and the interface design understands users’ role and is executed accordingly. CONCLUSION: The problems of pregnant women during the COVID-19 pandemic or the new normal were partially resolved with mHealth innovations, teleconsultation features, and improving health promotion. Therefore, all the mHealth features this helps in improving the quality of ANC.