Besral Besral

University of Indonesia

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Budi Anna Keliat

University of Indonesia

Budi Utomo

University of Indonesia

Milla Herdayati

University of Indonesia

Ni Made Dian Sulistiowati

Udayana University

Yati Afiyanti

University of Indonesia

Endang Achadi

University of Indonesia

Raden Irawati Ismail

Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo

Dewi Gayatri

University of Indonesia

Mardiati Nadjib

University of Indonesia

Tris Eryando

University of Indonesia

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University of Indonesia

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Ministry of Health

Badan Penelitian dan Pengembangan Kesehatan

Faculty of Public Health

Airlangga University

National Research and Innovation Agency

Politeknik Kesehatan Kementerian Kesehatan Jakarta II

Politeknik Kesehatan Kemenkes Semarang

Indonesian Orthopaedic Association

Universitas Gadjah Mada

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BARRIERS AND SUPPORT SYSTEMS FOR EXCLUSIVE BREASTFEEDING AMONG WORKING MOTHERS IN INDONESIA: A SOCIO-CULTURAL AND POLICY PERSPECTIVE

International conference on public health (2025)

NWD Ekayanthi Besral Besral

10.17501/24246735.2024.9110

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Hypertension prediction using machine learning algorithm among Indonesian adults

IAES International Journal of Artificial Intelligence (2022)

Rico Kurniawan Budi Utomo Kemal N. Siregar Kalamullah Ramli Besral Besral

<div><div><p>Early risk prediction and appropriate treatment are believed to be able to delay the occurrence of hypertension and attendant conditions. Many hypertension prediction models have been developed across the world, but they cannot be generalized directly to all populations, including for Indonesian population. This study aimed to develop and validate a hypertension risk-prediction model using machine learning (ML). The modifiable risk factors are used as the predictor, while the target variable on the algorithm is hypertension status. This study compared several machine-learning algorithms such as decision tree, random forest, gradient boosting, and logistic regression to develop a hypertension prediction model. Several parameters, including the area under the receiver operator characteristic curve (AUC), classification accuracy (CA), F1 score, precision, and recall were used to evaluate the models. Most of the predictors used in this study were significantly correlated with hypertension. Logistic regression algorithm showed better parameter values, with AUC 0.829, CA 89.6%, recall 0.896, precision 0.878, and F1 score 0.877. ML offers the ability to develop a quick prediction model for hypertension screening using non-invasive factors. From this study, we estimate that 89.6% of people with elevated blood pressure obtained on home blood pressure measurement will show clinical hypertension.</p></div></div>

Gradient boosting

Predictive modelling

Boosting

F1 score

10.11591/ijai.v12.i2.pp776-784

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Citations (7)

The Impact of Breastfeeding Duration to the Child Survival in Indonesia

Makara Journal of Health Research (2010)

Nurmiati Nurmiati Besral Besral

Normal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 Breastfeeding can decrease risk of infant death. But, it is not clear yet the effect of breastfeeding duration to the infant survival after controlled for the other determinant factors. This research is aimed to know the effect of duration of breastfeeding to infant survival in Indonesia after controlled for mother, infant, and environment factors. Data was analyzed by using multiple cox regression models. The result showed that duration of breastfeeding had a significant effect to infant survival in Indonesia. Infant who breastfeed for 6 months or more had 33.3 better survival than those who breastfeed less than 4 months. Infant who breastfeed for 4-5 months had 2.6 time better survival than those who breastfeed less than 4 months. Others determinant of infant survival in Indonesia are the number of under five year children in family and their residence. Its recommended to all party were expected to support the policy conducted by Department of Health to improve the duration of breastfeeding up to 24 months.

Child survival

10.7454/msk.v12i2.291

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The Level of Maternal Knowledge about Complications in Pregnancy toward the Increase of Low Birth Weight Cases

Disease Prevention and Public Health Journal (2020)

Aisyah Apriliciciliana Aryani Besral Besral

Background: Based on Metro City Health Office reports, there was an increase in the proportion of LBW cases from 75 cases per 1.000 live births in 2015 to 87 cases per 1.000 live births in 2016. Metro City Health Service stated that one of the causes was the low level of maternal knowledge, especially regarding the consumption of balanced nutrition during pregnancy. This study aimed to investigate the relationship between the level of maternal knowledge and Low Birth Weight (LBW). Method: The study design was case-control, where low birth weight as a case and normal weight as a control. Study sample was 102, consisting of 51 cases and 51 control. Dependent variable was low birth weight, independent variable was the level of maternal knowledge. Data was obtained by interviewing the mothers, and secondary data was collected from community health center records. Data was analysed by bivariate and multivariate analysis. Results: Bivariate analysis showed that the OR level of maternal knowledge was 2,598 (95% CI: 1,126-5,995). The results of multivariate analysis showed that OR level of maternal knowledge was 2,646 (95% CI: 1,092-6,410). Conclusion: Mother's level of knowledge is a risk factor for LBW in Metro City.

10.12928/dpphj.v14i2.2052

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Anxiety among nurses in caring for COVID-19 patients: a qualitative study

Healthcare in Low-resource Settings (2024)

Sri Wahyuni Budi Anna Keliat Herni Susanti Besral Besral

This study aimed to explore anxiety among nurses in caring for Coronavirus Disease 2019 (COVID-19) patients.A qualitative descriptive design was used and the number of participants was 13 nurse managers selected using the purposive sampling method. Data collection was conducted using in-depth interviews coupled with a tape recorder and camera following the consent of participants, while framework analysis was used to analyze data.The results showed that participants, comprising 12 females and one male, had work duration in the range of 1-10 years. The identified five major themes included: i) anxiety response, ii) risk factor, iii) protective factor, iv) interventions, and v) anticipated support from nurses.Nurses were found to experience anxiety when caring for COVID-19 patients, underscoring the need for mental health and psychosocial support to reduce risk factors, increase protective factors, and improve coping mechanisms, fostering resilience. The results provided data to help nurses overcome anxiety when facing cases of infection such as the COVID-19 pandemic. Furthermore, this study offered valuable insights for the government and hospitals in establishing policies regarding the importance of mental and psychological health support to maintain the well-being of nurses.

2019-20 coronavirus outbreak

10.4081/hls.2024.12850

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Health Workers Readiness for Implementation of a Mobile Pregnancy Monitoring System in Primary Health Care: A Cross-Sectional Study (Preprint)

Sandra Hakiem Afrizal Achmad Nizar Hidayanto Putu Wuri Handayani Besral Besral Adang Suhendra

BACKGROUND It is necessary to assess readiness amongst health workers as an approach to successful IT implementation. However, little attention has been paid to assess demographic and associate factors related to such readiness. OBJECTIVE The study aims to describe factors related to the readiness of health workers with respect to implementation of a mobile Pregnancy Monitoring System in Primary Health Care (PHC) sites of the South Tangerang District in Banten Province, Indonesia using a socio-technical approach. METHODS A cross-sectional survey design was used among respondents who were involved during the antenatal care process. The participants (n=210) completed the questionnaire that measured information needs regarding the socio-technical aspect of readiness and factors affecting the readiness. The data was analysed using logistic regression analysis. RESULTS The findings of this study showed that the majority of the health workers who were involved in the antenatal care process were ready to implement the mobile pregnancy monitoring system. Having social media and willingness to be involved in IT implementation are associated with IT readiness, while there is no significant association between demographic factors to the readiness of the health workers. CONCLUSIONS Since there is no connectivity between the demographic factors to readiness, thus the supportive factors such as having a social media and willingness are easier to resolve than inferring from the demographic factors CLINICALTRIAL 783/UN2.F10/PPM.00.02/2018

Cross-sectional study

Preprint

10.2196/preprints.27203

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Low birth weight was the most dominant predictor associated with stunting among children aged 12–23 months in Indonesia

BMC Nutrition (2017)

Ni Ketut Aryastami Anuraj H. Shankar Nunik Kusumawardani Besral Besral Abas Basuni Jahari

Stunting among toddlers is highly prevalent in Indonesia. As a chronic malnutrition problem, stunting is closely related to internal (maternal health) and external factors such as feeding practices, illness and socio-economics of the community. The purpose of this study was to analyze the relationship between low birth weight (LBW), child feeding practices and neonatal illness with stunting among Indonesian toddlers. For this study, we took data from the 2010 Indonesian National Basic Health Survey (RISKESDAS). Totally 3024 children aged of 12–23 months included in this analysis. Stunting was measured using standardized body length and was defined based on criteria from WHO AnthroII.PC2007. Data analysis was done through bivariate and multivariate logistic regressions. The results showed that the prevalence of stunting among Indonesian toddlers (12 23 months) was 40.4%. Early initiation of breast-feeding and exclusive breast feeding was experienced by 42.7% and 19.7% of the babies. More than half of the babies were given pre-lacteal feeds, while early complementary feeding was given to 68.5% of the subjects. Multivariate analysis showed infants born with LBW were 1.74 times more likely to be stunted (95% CI 1.38–2.19) than those born with normal weight. Boys were 1.27 times (95% CI 1.10–1.48) more likely to be stunted than girls. Infants with a history of neonatal illness, they were 1.23 times (95% CI 0.99–1.50) more susceptible to stunting. Being poor was another indirect variable that significantly associated with stunting (OR = 1.3, 95% CI 1.12–1.51). LBW, gender (boys), history of neonatal illness and poverty are factors related to stunting among children aged 12–23 months in Indonesia, with LBW being the major determinant of stunting.

Clinical nutrition

Under-five

10.1186/s40795-017-0130-x

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Citations (227)

Factors Affecting Non-Compliance with Drug Abuse Rehabilitation Program at The Clinic of The National Narcotics Board

Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes (2019)

Nurhotimah Nurhotimah Besral Besral

Background: Based on the National Drug Abuse Survey, as many as 1.77% or 3,367,154 current drug users are aged 10 to 59 years.Sustainable rehabilitation program is one of strategies to reduce the prevalence of drug users.However, there was limited number of studies examining factors affecting non-compliance with sustainable drug abuse rehabilitation program.This study aimed to investigate the factors affecting non-compliance with drug abuse rehabilitation program at the clinic of the national narcotics board.Subjects and Method: This was a qualitative study conducted at the Compulsory Clinic of National Narcotics Board from July to August 2019.A sample of 10 drug users was selected for this study.The theme of this study was factors affecting non-compliance with the sustainable drug abuse rehabilitation program among drug users at the Compulsory Clinic of National Narcotics Board.The data were obtained by direct in-depth interview and observation.The data analyzed by content analysis.Results: Factors affecting non-compliance with the sustainable drug abuse rehabilitation program among drug users including (1) There was no rehabilitation monitoring system focusing on clients; ( 2) No community and environmental empowerment supports the recovery clients; (3) Poor rapport between clients and officers; and (4) Lack of family psychoeducation on the drug abuse rehabilitation program.Conclusion: Factors affecting non-compliance with the sustainable drug abuse rehabilitation program among drug users including (1) No rehabilitation monitoring system focusing on clients; (2) No community and environmental empowerment supports; (3) poor rapport between clients and officers; and (4) lack of family psychoeducation.

10.26911/the6thicph-fp.02.04

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Family Experiences in Caring for People with Schizophrenia: A Qualitative Study

The Malaysian Journal of Nursing (2024)

Dewi Wulandari Budi Anna Keliat Herni Susanti Besral Besral

Background: Schizophrenia is a chronic mental disorder that leads to significant suffering and the inability to maintain relationships with family members. Families have had meaningful experiences during their care, as this mental disorder requires long-term care and increases the burden on the family. This family's role is crucial to the healing process for people with schizophrenia. The purpose of this study is to describe family experiences with schizophrenia treatment. Methods: This study is qualitative descriptive research. Participants were divided into three family groups, each consisting of 4 to 8 people, with a total of 16 families participating. The participant-taking technique used is purposive sampling. Researchers collect data through focus group discussions (FGD). Researchers employ framework analysis as a data analysis technique. Results: The research found five themes: negative emotions, positive emotions, family burdens, stigma, and coping strategies. Families can experience negative emotions of anger, frustration, and fear when treating people with schizophrenia. The family also feels positive emotions of hope, patience, and gratitude. Long-term care and high dependence increase the burden on the family. There's still family stigma and public stigma. As time passed, the family developed a coping strategy to adapt to the existing stressors. Conclusion: The family has valuable experience in providing care to people with schizophrenia. Nurses need to provide family intervention to deal with the stress and stigma perceived by the family.

10.31674/mjn.2024.v16i01.013

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Effect of Retelling Technique to Students' EFL Learning in Narrating Past Events

Jurnal Ilmiah Pendidikan Scholastic (2019)

Besral Besral Luli Sari Yustina Laura Renalsi

Lack of students’ mastery of grammar and limited number of vocabulary have been identified assources of their low competence in EFL Learning to speak in West Sumatra Senior High Schools.Therefore, a constant effort to develop these two essential elements needs to be conducted especiallyin rural areas where advance technology of information is almost inaccessible. To deal with the issue,we have implemented Retelling technique to Grade X at Senior High School 1 Hiliran Gumanti. Agroup of science class (N=48) have been chosen to be the experimental and control groups. A typicaltreatment for the experimental class began with scaffolding the text. Discussion was focused onelements of text and in groups of four or five students, teacher encouraged the students to retellanother story. After 15 minutes discussions, each group was encouraged to retell the story startingfrom the first member (story-teller) and continued to the other members till the end of the story. Someextra pictures were accompanied the students to help them of the events. After several meetings, bothclasses were tested to retell another story. Post test scores of the groups were compared toinvestigate the difference. The finding showed that mean score of post test of experimental class was73.25, higher than control class (66.58). Meanwhile, standard deviation of experimental class washigher than control class (sd= 6.79>66.58). While t-calculated was 3.71 and t-table 1.678 witha=0.05 and degree of freedom 46 greater than t-table (3.71>1.678) meaning that students’ betterspeaking skills were mainly due to the application or effects of Retelling technique.

10.36057/jips.v3i2.355

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Citations (1)