ABSTRACT
The COVID-19 pandemic has limited routine community health services, including screening for non-communicable diseases (NCDs). An adaptive and innovative digital approach is needed in the health technology ecosystem. A portable health clinic (PHC) is a community-based mobile health service equipped with telemonitoring and teleconsultation using portable medical devices and an Android application. The aim of this study was to assess the challenges and potential improvement in PHC implementation in Indonesia. This study was conducted in February–April 2021 in three primary health centers, Mlati II in Sleman District, Samigaluh II in Kulon Progo, and Kalikotes in Klaten. In-depth interviews were conducted with 11 health workers and community health workers. At the baseline, 268 patients were examined, and 214 patients were successfully followed-up until the third month. A proportion of 32% of the patients required teleconsultations based on automatic triage. Implementation challenges included technical constraints such as complexity of applications;unstable networks;and non-technical constraints, such as the effectivity of training, the availability of doctors, and the workload at the primary health center. PHCs were perceived as an added value in addition to existing community-based health services. The successful implementation of PHCs should not only be considered with respect to technology but also in terms of human impact, organization, and legality. © 2023 by the authors.
ABSTRACT
Background: The rapid spread of the coronavirus disease 2019 (COVID-19) has caused many fatalities in Indonesia. This condition has triggered social changes that were never imagined before. There is no research that explores the public's perception of the sociological situation. Purpose: To sociologically explore community perceptions of the COVID-19 pandemic situation in Indonesia Methods: Purposive sampling, one-on-one, in-depth with semi-structural interviews were conducted to collect data. Data saturation was achieved after interviewing ten participants. Narratives were analysed by Colaizzi’s (1978) seven-step method. Results: Six themes identified to illustrate sociologically community perceptions of the COVID-19 pandemic situation in Indonesia were: 1. COVID-19 is very dangerous;2. Threats to the social life sector;3. Threats to the economic sector;4. Threats to the education sector;5. Global conspiracy;6. Creating a new work area. Conclusion: This pandemic condition has changed many things in the social order of society and has a direct impact on various sectors such as education and the economy. Information about the impact of social phenomena that occur on society during a pandemic will be valuable information for government to determine appropriate policies about COVID-19 in Indonesia. © 2022, Iran University of Medical Sciences. All rights reserved.
ABSTRACT
BACKGROUND: Coronavirus is a health problem that is happened worldwide and impacted on many sectors. However, there is no research that provides information on health professional survivors from coronavirus disease 2019 (COVID-19) experience in self-management. AIM: The purpose of this study is to explore self-management experience among health professional survivors from COVID-19 in West Nusa Tenggara, Indonesia. METHODS: Purposive sampling, one-on-one, in-depth with semi-structural interviews was conducted to collect the data in this study. Data saturation was achieved after interviewing twelve health professional survivors from COVID-19 in West Nusa Tenggara, Indonesia. Narratives were analyzed by Colaizzi’s (1978) seven-step method. RESULTS: Four emergent themes were identified in this study including self-awareness (preventing transmission, improving immunity system, dietary adjustment and accessing appropriate treatment), social relationship (negative feeling and social support), stress management (sharing experience each other’s, reducing negative emotional, and self-introspection), focus on learning (looking for information from survival COVID-19, looking for information from YouTube and looking for information from google search). CONCLUSION: The experience among health professionals in self-management while struggling to recover quickly from COVID-19 can be used as valuable information for Indonesian society.