Titik Respati
@unisba.ac.id
Faculty of Medicine
Universitas Islam Bandung
Scopus Publications
Scholar Citations
Scholar h-index
Scholar i10-index
Scopus Publications
Yusrawati Yusrawati, Titik Respati, and Nanan Sekarwana
Institute of Advanced Engineering and Science
In tertiary hospitals, comprehensive emergency obstetric and newborn care (CEmONC) provides subspecialty care for high-risk maternal and neonatal emergency cases. Healthcare workers (HCWs) play critical roles in hospital services, and their perception affects the quality of care they provide. Hence, this study was conducted to analyze the factors influencing HCWs’ perception regarding CEmONC in a tertiary referral hospital. This cross- sectional study used an electronic questionnaire distributed to 198 CEmONC team members. The sample was selected by convenience sampling, and those who had worked for at least one year were included. The collected data were then analyzed using bivariate and multivariate analysis. Among 119 HCWs, 52.9% had a positive perception towards CEmONC implementation at the hospital. The result of logistic regression analysis found that the significant factors contributing to HCWs’ positive perceptions were good knowledge (AOR=33.484; p=0.001), good attitude (AOR=55.834; p=0.009), high motivation (AOR=12.579; p=0.005), high expectations (AOR =27.106; p=0.002), and good actual performance (AOR=45.879; p=0.003). Age, gender, professional background, and the length of work experience werenot associated with HCWs’ perceptions (p>0.05). Therefore, hospital administrators must regularly evaluate these factors to improve the quality of CEmONC services in the hospital so that maternal and infant mortality rates can be reduced.
Yusrawati Yusrawati, Titik Respati, and Nanan Sekarwana
Institute of Advanced Engineering and Science
This study aimed to explore healthcare team members’ perspectives towards the factors that can contribute to the quality improvement of comprehensive emergency obstetric and neonatal care (CEmONC) services at a tertiary hospital. This qualitative descriptive study used convenience sampling to collect the sample. The inclusion criteria were the health workers who have worked for at least one year, in which a total of 119 participants took part in this study. The data were obtained from an online questionnaire, and the collected data were then analyzed with qualitative thematic analysis. This study revealed that three key aspects affecting the success of CEmONC services: i) health human resources (high-quality healthcare workers, in adequate proportion, with excellent teamwork, and commitment to being on time); ii) facilities and infrastructure (the availability of the intensive care unit and 24-hour laboratory, and the access to the obstetric/neonatal ward), and iii) the hospital service system (well-integrated external referral system and internal consultation). As the highest referral healthcare center, hospital managers should monitor and evaluate these three factors periodically to ensure that high-risk mothers and babies can acquire appropriate subspecialty care in the hospital and further can reduce maternal and neonatal mortality rates.
Yusrawati Yusrawati, Titik Respati, Nanan Sekarwana, Joserizal Serudji, and Hardisman Dasman
Bentham Science Publishers Ltd.
Background: Health workers’ performance is essential to the effective delivery of hospital healthcare services, which can determine the quality of care and patient safety. Employees’ job performance becomes more crucial for tertiary hospitals where advanced and subspecialty care is provided to treat high-risk and critical emergency patients. Objectives: This study was conducted to develop a conceptual framework for understanding the factors that affect medical personnel's performance at the hospital, with perception as the intervening variable. Methods: This cross-sectional study used an online self-administered survey tool, in which 119 responses were collected from health workers who provide Comprehensive Emergency Obstetric and Newborn Care (CEmONC) in a tertiary hospital in Padang, Indonesia. A partial least squares structural equation model (PLS-SEM) was constructed to analyze the factors determining medical personnel performance. Results: The study showed that personal perceptions significantly correlate with health workers’ job performance, with attitudes and motivations found to have a powerful effect on the forming of perceptions. In addition, their performance is also significantly influenced by the aspects of quality, quantity, timeliness, effectiveness, teamwork, and commitment. However, the study does not support the relationship between knowledge, expectations, or actual performance with the medical employee’s job performance. Conclusion: This result suggests the hospital management team in the tertiary hospital considers these factors to improve healthcare services quality and promote a supportive work environment to improve the medical personnel’s performance.
Ji Yeon Park, Jerico Franciscus Pardosi, Md Saiful Islam, Titik Respati, Eka Nurhayati, Nadia Charania, Kamal Ibne Amin Chowdhury, and Holly Seale
Elsevier BV
Siska Nia Irasanti, Titik Respati, Ratna Januarita, Yuniarti Yuniarti, Hana Wei Jun Chen, and Roy Rillera Marzo
Frontiers Media SA
The COVID-19 outbreak demonstrates how unprepared the world is for a different type of crisis, especially non-physical calamities. Revitalizing community involvement in disaster management is essential for making a community resilient. Due to differing sociocultural contexts, the resilience perceptions of communities in different parts of the world may vary. This study aims to understand community resilience factors after the COVID-19 disaster in Indonesia and Malaysia. Data from 2034 questionnaires using 5-interrelated domains in the Communities Advancing Resilience (CART) Toolkit Survey were collected. This study was conducted across Indonesia and Malaysia from March to April 2022. A quantitative-based cross-sectional study design and convenience sampling were applied. Respondents for this study were Indonesian and Malaysian citizens above 18 years of age who met the inclusion criteria. A total of 2034 respondents, 715 from Indonesia and 1,315 from Malaysia responded to the survey. The results suggest that Indonesian and Malaysian communities’ Transformative Potential and Informative-Communication domains differ significantly. Indonesian communities demonstrated a higher mean value on Transformative Potential domains than Malaysian communities did, while Malaysian communities indicated a higher mean value on Informative-Communication domains. This study concludes that compared to Malaysian communities, Indonesian communities have a more significant potential for transformation because they can frame collective experiences, gather, and analyze pertinent data, evaluate community performance, and develop resilience-building abilities. On the other hand, Malaysian communities are more resilient in providing information and communication. We found the need to develop a community resilience model that incorporates specific cultural and local requirements. Cooperation between the two countries would open many possibilities to emphasize the capability to bounce back sooner after a catastrophe such as the COVID-19 pandemic and achieve Sustainable Development Goals.
Ji Yeon Park, Jerico Franciscus Pardosi, Titik Respati, Eka Nurhayati, Md. Saiful Islam, Kamal Ibne Amin Chowdhury, and Holly Seale
Frontiers Media SA
BackgroundPoor compliance with infection prevention and control (IPC) measures has been a longstanding issue globally. To date, healthcare workers (HCWs) have been the primary target for policy and strategy revisions. Recent studies exploring the contributing factors to the spread of COVID-19 across countries in Asia have suggested that the scope of focus should be extended to family carers who provide patient care activities. This study aimed to explore factors affecting patients' and their family carers' IPC compliance in hospitals in Bangladesh, Indonesia, and South Korea.MethodA qualitative study incorporating 57 semi-structured interviews was conducted in five tertiary-level hospitals across the three focus countries between July 2019 and February 2020. Interviews were undertaken with: (1) patients, family carers and private carers; and (2) healthcare workers, including nurses, doctors, and hospital managers. Drawing upon the principles of grounded theory, data were inductively analyzed using thematic analysis.ResultsA total of three main themes and eight subthemes are identified. Key themes focused on the assumptions made by healthcare workers regarding the family/private carers' level of understanding about IPC and training received; uncertainty and miscommunication regarding the roles of family/private carers; variations in carer knowledge toward IPC and healthcare-associated infections, and the impact of cultural values and social norms.ConclusionThis exploratory study offers novel findings regarding the factors influencing IPC compliance among patients and their family/private carers across various cultural settings, irrespective of resource availability. The role of cultural values and social norms and their impact on IPC compliance must be acknowledged when updating or revising IPC policies and guidelines.
J. Y. Park, J. F. Pardosi, M. S. Islam, T. Respati, K. Chowdhury, and H. Seale
Springer Science and Business Media LLC
Abstract Background Family members provide care whilst staying in the patient’s room across a range of cultural settings, irrespective of resource availability in many Asian countries. This has been reported as a contributing factor to the spread of several outbreaks, including COVID-19. Despite these reports, very little is known about the risk of healthcare-associated infection (HAI) transmission related to the involvement of family and private carers in the clinical setting. As a starting point to understanding this issue, this study aimed to provide insights regarding the patient care activities undertaken by family and private carers and the guidance provided to these carers around infection control measures in hospitals located in Bangladesh, Indonesia, and South Korea. Method A qualitative study involving 57 semi-structured interviews was undertaken in five tertiary level hospitals across the selected countries. Two groups of individuals were interviewed: (1) patients and their family carers and private carers; and (2) healthcare workers, including doctors, nurses, hospital managers and staff members. Drawing upon the principles of grounded theory, an inductive approach to data analysis using thematic analysis was adopted. Results Five main themes were generated from the analysis of the data: (1) expectation of family carers staying with a patient; (2) residing in the patient’s environment: (3) caring activities undertaken by family carers; (4) supporting and educating family carers and (5) communication around healthcare-associated infection and infection prevention and control. Conclusion Based on the types of activities being undertaken, coupled with the length of time family and private carers are residing within the clinical setting, coupled with an apparent lack of guidance being given around IPC, more needs to be done to ensure that these carers are not being inadvertently exposed to HAI’s or other occupational risks.
Roy Rillera Marzo, Waqas Sami, Md. Zakiul Alam, Swosti Acharya, Kittisak Jermsittiparsert, Karnjana Songwathana, Nhat Tan Pham, Titik Respati, Erwin Martinez Faller, Aries Moralidad Baldonado,et al.
Springer Science and Business Media LLC
Abstract Background Vaccines are effective and reliable public health interventions against viral outbreaks and pandemics. However, hesitancy regarding the Coronavirus disease (COVID-19) vaccine is evident worldwide. Therefore, understanding vaccination-related behavior is critical in expanding the vaccine coverage to flatten the infection curve. This study explores the public perception regarding COVID-19 vaccination and identifies factors associated with vaccine hesitancy among the general adult populations in six Southeast Asian countries. Methods Using a snowball sampling approach, we conducted a descriptive cross-sectional study among 5260 participants in Indonesia, Malaysia, Myanmar, Philippines, Thailand, and Vietnam between February and May 2021. Binary logistic regression analysis with a backward conditional approach was applied to identify factors associated with COVID-19 vaccine hesitancy. Results Of the total, 50.6% were female, and the median age was 30 years (range: 15–83 years). The majority of the participants believed that vaccination effectively prevents and controls COVID-19 (81.2%), and 84.0% would accept COVID-19 vaccines when they become available. They agreed that health providers’ advice (83.0%), vaccination convenience (75.6%), and vaccine costs (62.8%) are essential for people to decide whether to accept COVID-19 vaccines. About half (49.3%) expressed their hesitancy to receive the COVID-19 vaccines. After adjustment for other covariates, COVID-19 vaccine hesitancy was significantly associated with age, residential area, education levels, employment status, and family economic status. Participants from Indonesia, Myanmar, Thailand, and Vietnam were significantly more likely to express hesitancy in receiving COVID-19 vaccines than those from Philippines. Conclusions In general, participants in this multi-country study showed their optimistic perception of COVID-19 vaccines’ effectiveness and willingness to receive them. However, about half of them still expressed their hesitancy in getting vaccinated. The hesitation was associated with several socioeconomic factors and varied by country. Therefore, COVID-19 vaccination programs should consider these factors essential for increasing vaccine uptake in the populations.
Roy R. Marzo, Rajeev Shrestha, Binaya Sapkota, Swosti Acharya, Nita Shrestha, Mandip Pokharel, Absar Ahmad, Mark E. Patalinghug, Farzana Rahman, Zahir R. Salim,et al.
Frontiers Media SA
IntroductionSeveral studies exhibited varying reports of perception toward vaccine effectiveness, vaccine hesitancy, and acceptance of COVID-19 vaccines. As this fluctuated with evidence generation, this study explored the perception toward vaccine effectiveness in rural and urban communities among various countries.MethodsA cross-sectional study was conducted online from April to August 2021 using convenience sampling among people from different countries approved by the Asia Metropolitan University Medical Research and Ethics. We adapted the questionnaire from the World Health Organization's (WHO) survey tool and guidance on COVID-19. The logistic regression models were performed to show perception toward vaccine effectiveness.ResultsA total of 5,673 participants responded to the online survey. Overall, 64% of participants agreed that the vaccine effectively controlled viral spread, and 23% agreed that there was no need for vaccination if others were vaccinated. Males had 14% higher odds of believing that there was no need for vaccination. Less social media users had 39% higher odds of developing the belief that there is no need for vaccination than all other people vaccinated.ConclusionPeople's perceptions toward vaccine acceptance have fluctuated with the information flow in various social media and the severity of COVID-19 cases. Therefore, it is important that the current scenario of peoples' perception toward vaccine acceptance and determinants affecting the acceptance are explored to promote the vaccination approach against COVID-19 prevention and transmission effectively.
Roy Rillera Marzo, Tin Tin Su, Roshidi Ismail, Mila Nu Nu Htay, Mohammad Yasir Essar, Shekhar Chauhan, Mark E. Patalinghug, Burcu Kucuk Bicer, Titik Respati, Susan Fitriyana,et al.
Frontiers Media SA
IntroductionIt is clear that medical science has advanced much in the past few decades with the development of vaccines and this is even true for the novel coronavirus outbreak. By late 2020, COVID-19 vaccines were starting to be approved by national and global regulators, and across 2021, there was a global rollout of several vaccines. Despite rolling out vaccination programs successfully, there has been a cause of concern regarding uptake of vaccine due to vaccine hesitancy. In tackling the vaccine hesitancy and improving the overall vaccination rates, digital health literacy (DHL) could play a major role. Therefore, the aim of this study is to assess the digital health literacy and its relevance to the COVID-19 vaccination.MethodsAn internet-based cross-sectional survey was conducted from April to August 2021 using convenience sampling among people from different countries. Participants were asked about their level of intention to the COVID-19 vaccine. Participants completed the Digital Health Literacy Instrument (DHLI), which was adapted in the context of the COVID Health Literacy Network. Cross-tabulation and logistic regression were used for analysis purpose.ResultsOverall, the mean DHL score was 35.1 (SD = 6.9, Range = 12–48). The mean DHL score for those who answered “Yes” for “support for national vaccination schedule” was 36.1 (SD 6.7) compared to 32.5 (SD 6.8) for those who either answered “No” or “Don't know”. Factors including country, place of residence, education, employment, and income were associated with the intention for vaccination. Odds of vaccine intention were higher in urban respondents (OR-1.46; C.I.-1.30–1.64) than in rural respondents. Further, higher competency in assessing the relevance of online information resulted in significantly higher intention for vaccine uptake.ConclusionPriority should be given to improving DHL and vaccination awareness programs targeting rural areas, lower education level, lower income, and unemployed groups.
Wanti Wanti, Isnawati Isnawati, and Titik Respati
Universitas Negeri Semarang
Nowadays, Dengue Haemorrhagic Fever (DHF) is still a significant health problem. Including in Kupang City. The existence of transovarial infection of Dengue virus is essential to know to support the prevention to be more effective and efficient. This study aimed to determine the existence of transovarial infectious and the serotypes variability of Dengue virus in Aedes sp in Kupang City. This observational research took place in nine villages in Kupang City in 2017. Where 20 houses in each village are observed to collect Aedes sp eggs. Cluster sampling was conducted to choose houses with DHF cases and surrounding areas 100 m from the cases. Ovitrap and Ovistrip were used to collect Aedes sp eggs, then Aedes sp eggs are reared in Parasitology Laboratory UGM. Adults mosquitoes from rearing were observed the transovarial Infection and Dengue Virus Serotype by One Step RT-PCR followed by nested PCR. This research found a transovarial infection in Aedes aegypti and Aedes albopictus and for Denvir-2 and Denvir-3. This finding is a change from previous findings in the same place where only Denvir-1 was transmitted transovarially in Aedes sp.
Roy Rillera Marzo, Absar Ahmad, Md. Saiful Islam, Mohammad Yasir Essar, Petra Heidler, Isabel King, Arulmani Thiyagarajan, Kittisak Jermsittiparsert, Karnjana Songwathana, Delan Ameen Younus,et al.
Public Library of Science (PLoS)
Background Mass vaccination campaigns have significantly reduced the COVID-19 burden. However, vaccine hesitancy has posed significant global concerns. The purpose of this study was to determine the characteristics that influence perceptions of COVID-19 vaccine efficacy, acceptability, hesitancy and decision making to take vaccine among general adult populations in a variety of socioeconomic and cultural contexts. Methods Using a snowball sampling approach, we conducted an online cross-sectional study in 20 countries across four continents from February to May 2021. Results A total of 10,477 participants were included in the analyses with a mean age of 36±14.3 years. The findings revealed the prevalence of perceptions towards COVID-19 vaccine’s effectiveness (78.8%), acceptance (81.8%), hesitancy (47.2%), and drivers of vaccination decision-making (convenience [73.3%], health providers’ advice [81.8%], and costs [57.0%]). The county-wise distribution included effectiveness (67.8–95.9%; 67.8% in Egypt to 95.9% in Malaysia), acceptance (64.7–96.0%; 64.7% in Australia to 96.0% in Malaysia), hesitancy (31.5–86.0%; 31.5% in Egypt to 86.0% in Vietnam), convenience (49.7–95.7%; 49.7% in Austria to 95.7% in Malaysia), advice (66.1–97.3%; 66.1% in Austria to 97.3% in Malaysia), and costs (16.0–91.3%; 16.0% in Vietnam to 91.3% in Malaysia). In multivariable regression analysis, several socio-demographic characteristics were identified as associated factors of outcome variables including, i) vaccine effectiveness: younger age, male, urban residence, higher education, and higher income; ii) acceptance: younger age, male, urban residence, higher education, married, and higher income; and iii) hesitancy: male, higher education, employed, unmarried, and lower income. Likewise, the factors associated with vaccination decision-making including i) convenience: younger age, urban residence, higher education, married, and lower income; ii) advice: younger age, urban residence, higher education, unemployed/student, married, and medium income; and iii) costs: younger age, higher education, unemployed/student, and lower income. Conclusions Most participants believed that vaccination would effectively control and prevent COVID-19, and they would take vaccinations upon availability. Determinant factors found in this study are critical and should be considered as essential elements in developing COVID-19 vaccination campaigns to boost vaccination uptake in the populations.
Roy Rillera Marzo, Zaliha Ismail, Mila Nu Nu Htay, Rafidah Bahari, Roshidi Ismail, Emilio Quilatan Villanueva, Akansha Singh, Masoud Lotfizadeh, Titik Respati, Siska Nia Irasanti,et al.
Elsevier BV
The COVID-19 pandemics caused an unprecedented mortality, distress, and globally poses a challenge to mental resilience. To our knowledge, this is the first study that aimed to investigate the psychological distress among the adult general population across 13 countries. This cross-sectional study was conducted through online survey by recruiting 7091 respondents. Psychological distress was evaluated with COVID-19 Peritraumatic Distress Index (CPDI). The crude prevalence of psychological distress due to COVID-19 is highest in Vietnam, followed by Egypt, and Bangladesh. Through Multivariate Logistic Regression Analysis, the respondents from Vietnam holds the highest level of distress, while the respondents from Sri Lanka holds the lowest level of distress with reference to Nepal.Female respondents had higher odds of having reported psychological distress, and those with tertiary education were less likely to report psychological distress compared to those with lower level of education. The findings indicate that psychological distress is varies across different countries. Therefore, different countries should continue the surveillance on psychological consequences through the COVID-19 pandemic to monitor the burden and to prepare for the targeted mental health support interventions according to the need. The coping strategies and social support should be provided especially to the lower educational attainment group.
T. Respati, Siska Nia Irasanti, D. Sartika, Ieva Baniyah Akbar and R. Marzo
The Corona Virus (COVID-19) disease has become a public health emergency. The speed at which COVID-19 become pandemic and spread all over the world is alarming. A critical aspect of this type of pandemic is on the mental health of the community. This survey aimed to describe psychological distress in Indonesia's general population during the COVID-19 pandemic. Data collection began on 1st April 2020 to 30th April 2020. An online survey using Google Form with snowball sampling method used in this study. A modified version of the Covid-19 peri-traumatic distress index (CPDI) with 24 items used. The survey questionnaire included socio-economic and demographic variables. The study's total responses were 1,287, with 33 excluded from the analysis because of incomplete responses or not meeting inclusion criteria. Results showed that 63,5% of respondents reported having normal or no distress, 34 % were having mild to moderate levels of distress, and 2.8 % having severe distress. Age is the only variable that correlates with the level of distress. Healthcare workers and the general population showed no significant differences in the level of distress. During the early break of the COVID-19 pandemic, around 40% of respondents rated their psychological state having moderate to severe distress. These findings can be used to develop better psychological intervention measures and prevention of mental health during the pandemic.
Titik Respati, Susan Fitriyana, Nurul Romadhona, Ganang Ibnusantosa, Rio Frederrico, Fajar Awalia Yulianto, Aughya Shandriasti, and Eko Nugroho
F1000 Research Ltd
Background: Eating habits are formed from childhood and develop into adulthood. Unhealthy eating habits will persist into adulthood and can lead to various diseases. Healthy eating and behaviour should be taught using engaging tools. The study aims to pilot nutrition education using the game-based learning approach, implementing a specially designed learning board game entitled "Gastronot". Methods: A mixed-method study was used in two stages. The first stage was an FGD with 14 informants and in-depth interviews with six informants to develop the game. The second stage was the game's development, and a pre and post-test were conducted on 88 children to evaluate the game—the study was conducted from August 2019 to July 2020. Results: Results showed almost half the children (49%) never heard about Balanced Nutrition Diet Pyramid. There was a significant difference between respondents' knowledge before and after playing the game with a p-value of 0.021. The game was able to engage participants in the active learning process. Conclusions: We concluded that the game-based learning utilizing the Gastronot board game demonstrated good results as a method for teaching primary school students about food and healthy eating habits.
I M Ayu, R Titik, and S Yuli
IOP Publishing
T Respati and Y Feriandi
IOP Publishing
M Tejasari, T Respati, S A D Trusda, E Hendryanny, and L Yuniarti
IOP Publishing
Y Kharisma, M Rachmawati, R A Indriyanti, and T Respati
IOP Publishing
W Purbaningsih, T Respati, D Setiabudi, H Sastramihardja, and I Parwati
IOP Publishing
T Respati, A Raksanagara, H Djuhaeni, A Sofyan, and A Shandriasti
IOP Publishing
Dengue is still one of major health problem in Indonesia. Dengue transmission is influenced by dengue prevention and eradication program, community participation, housing environment and climate. The complexity of the disease coupled with limited resources necessitates different approach for prevention methods that include factors contribute to the transmission. One way to prevent the dengue transmission is by reducing the mosquito's breeding sites. Four factors suspected to influence breeding sites are dengue prevention and eradication program, community participation, housing environment, and weather condition. In order to have an effective program in reducing the breeding site it is needed to have a model which can predict existence of the breeding sites while the four factors under study are controlled. The objective of this study is to develop an Ecohealth model using system dynamic as a planning tool for the reduction of breeding sites to prevent dengue transmission with regard to dengue prevention and eradication program, community participation, housing environment, and weather condition. The methodology is a mixed method study using sequential exploratory design. The study comprised of 3 stages: first a qualitative study to 14 respondents using in-depth interview and 6 respondents for focus group discussion. The results from the first stage was used to develop entomology and household survey questionnaires for second stage conducted in 2036 households across 12 sub districts in Bandung City. Ecohealth system dynamic model was developed using data from first and second stages. Analyses used are thematic analysis for qualitative data; spatial, generalized estimating equation (GEE) and structural equation modeling for quantitative data; also average mean error (AME) and average variance error (AVE) for dynamic system model validation. System dynamic model showed that the most effective approach to eliminate breeding places was by ensuring the availability of basic sanitation for all houses. Weather factors such as precipitation can be compensated with the eradication of breeding sites activities which is conducted as scheduled and at the same time for the whole areas. Conclusion of this study is that dengue prevention and eradication program, community participation, and housing environment contributed to breeding places elimination influenced the existence of the breeding sites. The availability of basic sanitation and breeding places eradication program done timely and collectively are the most effective approach to eradicate breeding sites. Ecohealth dynamic system model can be used as a tool for the planning of breeding sites eradication program to prevent disease transmissions at city level.