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The Effect of Satisfaction, Perceived Value, Image, and Perceived Sacrifice on Public Healthcare Service Institution’s Patient Loyalty

10.11591/ijphs.v6i3.7634
Medi Yarmen
This research aims to investigate the simultaneous effect of satisfaction, perceived value, image, and perceived sacrifice on patient loyalty. This study is believed to be the first to develop and test patient loyalty model that includes satisfaction, perceived value, image, and perceived sacrifice. Quantitative research methodology was employed. We performed survey to collect the empirical data. The respondents are 162 patients of two health care service institutions in Bogor and Bekasi, Indonesia. The conceptual model and proposed hypotheses were examined using multiple regressions analysis. The findings showed that image has positive impact on patient loyalty. However, this research also found that satisfaction, perceived value, and perceived sacrifice do not have significant impact on patient loyalty. Thus, the management of public healthcare service institution should consider and manage the image of the institution proactively.
Volume: 6
Issue: 3
Page: 275-282
Publish at: 2017-09-01

Container Positivity and Larva Distribution Based on the Container Characteristics

10.11591/ijphs.v6i3.9290
Wanti Wanti , Ririh Yudhastuti , Subagyo Yotopranoto , Hari B. Notobroto , Sri Subekti , Sitti R. Umniati
Dengue Haemorrhagic Fever (DHF) prevention and control program has been conducted in Kupang City but DHF Incidence Rate (IR) is always high and exceeds the national average. Calculating the density of larvae and pupae is a good choice in calculating DHF mosquitos’ density because larvae capture is easier than mosquitoes, and pupa is the nearest stage with adult mosquitoes so can better represent actual mosquito density. This observational study used cross sectional study design was conducted in Kupang City as many 24 urban villages or 480 houses during the rainy and dry season and all containers inside and outside homes selected been observed. Larvae and pupae were collected using gamadotik then identified. Analyzed data were using multiple regression logistic test, independent t test and Anova test. This study found 781 containers with the equation model of container positivity = 2,975 lid - 0.192 material + 0.781 type - 3,706, with the most influential variable is the container lid (OR 19.5). Ae. Aegypti, Ae. Albopictus and Culex can be found in water containers both inside and outside homes. The presence of larvae can be prevented either by doing closed and drain the container regularly and bury or drying container that is not used anymore. As limitation of water supply so other solutions need to be taken such as by sprinkling temefos into container with closed tightly to reduce the container positivity 19.5 times. For greater container can be done by water draining or reuse used container outside the home into a place to plant flowers or plants or become temporary garbage.
Volume: 6
Issue: 3
Page: 237-242
Publish at: 2017-09-01

Dual Reinforcement Q Routing for Ad Hoc Networks

10.11591/ijeecs.v7.i3.pp786-794
Rahul M Desai , B P Patil
Ad Hoc Networks are infrastructure less network in which nodes are connected by Multi-hop wireless links. Each node is acting as a router as it supports distributed routing. Routing challenges occurs as there are frequent path breaks due to the mobility. Various application domains include military applications, emergency search and rescue operations and collaborative computing. The existing protocols used are divided into proactive and on demand routing protocols. The various new routing algorithms are also designed to optimize the performance of a network in terms of various performance parameters. Dual reinforcement routing is learning based approach used for routing. This paper describes the implementation, mathematical evaluation and judging the performance of a network and analyze it to find the performance of a network.
Volume: 7
Issue: 3
Page: 786-794
Publish at: 2017-09-01

Implementation of IPsec-VPN Tunneling using GNS3

10.11591/ijeecs.v7.i3.pp855-860
Fatimah A. Salman
Virtual private networks (VPN) are used by remote clients to securely connect to company networks. This paper deals with Site-to-site IPsec-VPN that connects the company intranets.  IPsec-VPN network is implemented with security protocols for key management and exchange, authentication and integrity which implemented using GNS3 Network simulator. The testing, verification analyzing of data packets of the network is done using both PING tool and Wireshark.
Volume: 7
Issue: 3
Page: 855-860
Publish at: 2017-09-01

Knowledge, Attitude and Practice of Cervical Cancer Screening through Visual Inspection with Acetic Acid

10.11591/ijphs.v6i3.7547
Susmita Kar , Md. Kapil Ahmed
Detection of the cervical cancer requires practice of screening that will increase survival rates from the disease. Visual Inspection with Acetic Acid (VIA) is an alternative to screening for cervical cancer.This study aims to assess the knowledge, attitude, and practice towards VIA screening among adult women. We used a cross-sectional study in urban areas of Bangladesh with a sample of 285 respondents those were interviewed through semi-structured questionnaire. Analyses have done by targeting the objectives and considering the indicators with appropriate test statsitsics.About 56.1% respondents aged between 18 and 35 years with majority had at least secondary education including 29.5% were from affluent group. Though the highest majority of women had the knowledge of cervical cancer but only quarter was aware of VIA. A few of the respondents adopted any screening test for detecting cervical cancer and this lower coverage could be due to, among other reasons, lack of knowledge, accessibility, and service availability. The results also indicated that higher educational level of respondents is the predictor of improving knowledge on the disease and early adoption of available test procedure.An awareness building program should be designed for women of early detection of cervical cancer using VIA procedure.
Volume: 6
Issue: 3
Page: 221-230
Publish at: 2017-09-01

Developing Primary Liaison Psychiatric Services for HIV/AIDS Patients in Community

10.11591/ijphs.v6i3.9292
Ahsan Ahsan , Retno Lestari
In Indonesia, the number of HIV/AIDS patients has grown at significant level. HIV can be a source of major stress which can lead to changes in mental health, such as persistent sadness, feeling empty and anxiety. The ability of liaison officer could help patients reduce their psychiatric problems and at the same time it can greatly affect patients' risks for transmission of HIV to others. This study aimed to analyze the effect of developing primary liaison psychiatric services for HIV/AIDS patients on the abilities of health care workers to provide treatments. This study used a quasi experimental design with one group pretest-posttest which included 64 health care workers aged between 20 and 50 years from the Community-Integrated Health Care in East Java. The inclusion criteria were nurses and physician in Community-Integrated Health Care. The respondents were assessed using the Abilities of Health Care Workers Checklist pre-treatment and post-treatment. The outcomes were analyzed using the Wilcoxon signed rank test. There was a significant increased in the abilities of health care workers to provide psychiatric services after treatment (p<0.05). The liaison psychiatric services were considered to be effective in increasing the abilities of health care workers in improving the treatment of HIV/AIDS.
Volume: 6
Issue: 3
Page: 251-256
Publish at: 2017-09-01

Indicators of Husband's Role in Pregnancy and Maternity Care

10.11591/ijphs.v6i2.6181
Apik Indarty Moedjiono , Kuntoro Kuntoro , Hari Basuki Notobroto
The maternal mortality rate (MMR) in developing countries is still a major health problem, including in Indonesia. Antenatal Care (ANC), delivery with skilled birth attendance (SBA) at the time of delivery and delivery in institutional are universally considered important for reducing maternal mortality. Husbands can play a crucial role in pregnancy and childbirth. Therefore, the aim of this study was analyze the indicators of husband's role in pregnancy and maternity care which were suspected as one of the determinants of   ANC and SBA use in Polewali Mandar Regency. The population of this prospective cohort study was all married and pregnant woman, before using contraceptives and contraceptive failure or not using contraception and pregnancy is planned, unplanned pregnancy or mistimed pregnancy in Polewali Mandar 2015 (Size of sample = 100). Samples were randomly selected from participants of screening in 12 sub-districts in Polewali Mandar. Data about husband's role in pregnancy and maternity care was obtained through interviews using a structured questionnaire data processing by using SMART-PLS.  The result of data analysis suggested that the coefficient value that has been standardized from each indicator were as follows: accessibility = 0.944 and engagement = 0.954, dan responsibility = 0.968. Indicators of organizational support in implementing Maternal and Child Health Information System at Polewali Mandar Regency, respectively from the most important are: responsibility, engagement, and accessibility.
Volume: 6
Issue: 2
Page: 192-196
Publish at: 2017-09-01

The Effectiveness of Counseling through Vasectomy Module in North Kolaka, Indonesia

10.11591/ijphs.v6i3.7614
Askrening Askrening , Hendra Yulita
The main problem faced nowadays is the low participation of men in terms of implementation of the Family Planning Program. The figures for family planning in Indonesia only demonstrate a high rate on contraception use in women not in men. The Strategy to improve knowledge by promotion activities of family planning of men with a variety of media and forms are expected to increase knowledge. This study aimed to analyze the effectiveness of media modules to improve knowledge and attitudes and also analyze the factors that lead to low participation of family planning in North Kolaka. This study used Mixed Method design which combines qualitative and quantitative method. The research was conducted in North Kolaka in July and August 2016. The population of this study was all of husbands who classified as a couple reproductive ages in North Kolaka with the total of 19,819 people. Samples were divided into two groups: the experimental group given counseling through modules about vasectomy were 124 people and the control group given counseling without a module were 126 people.The module is more effective to improving knowledge and attitudes than counseling without module. The most reason for rejection vasectomy was they want to have children, fear of surgery and religious issues. Health promotion through modules must be expanded and improved by the district government of North Kolaka. Implementing promotion programs shouldnt involve religious leaders.
Volume: 6
Issue: 3
Page: 231-236
Publish at: 2017-09-01

Timing and Determinants of Tuberculosis Treatment Interruption in Nairobi County, Kenya

10.11591/ijphs.v6i3.8475
Violet Jepchumba , Simon Karanja , Evans Amukoye , Lawrence Muthami , Hillary Kipruto
Tuberculosis (TB) treatment is a key pillar in the management and control of TB. Service delivery within the treatment facilities plays an important role in ensuring treatment adherence by TB patients. A prospective cohort study involving 25 health facilities, 25 facility in-charge officers and 291 patients diagnosed as new sputum smear positive (SM+) between December 2014 and July 2015 was undertaken. The aim of the study was to estimate the median time to treatment interruption, associated factors and overall predictors of non-adherence to TB treatment. A total of 19 (6.5%) treatment interruptions were observed. The median time to default was 56 [95% CI, 36-105] days. Treatment in a non-public facility [AOR=0.210, 95% CI (0.046-0.952)] and facilities perceived to have adequate number of health care workers to offer Directly Observed Therapy (DOT) [AOR=0.195, 95% CI (0.068-0.56)] showed a lower odds of treatment interruption whereas attainment of secondary level education [AOR=5.28, 95% CI (1.18-23.59)] indicated a higher odds of treatment interruption. Non-clinical aspects of health care service delivery influence patient adherence to TB treatment. Health seeking behavior of groups considered to be high risk for treatment interruption should be incorporated into the design and delivery of TB treatment.
Volume: 6
Issue: 3
Page: 203-212
Publish at: 2017-09-01

Firefly Algorithm Solution to Improving Threshold Distributed Energy Efficient Clustering Algorithm for Heterogeneous Wireless Sensor Networks

10.11591/ijai.v6.i3.pp91-99
Baghouri Mostafa , Chakkor Saad , Hajraoui Abderrahmane
The improvement of the lifetime of heterogeneous wireless sensor networks is a challenge for many researches. One of the most important protocols to achieve this goal is to divide the network into clusters that run by a single node called cluster head and the others have attached. However, all nodes must form the cluster including the nearest nodes to the base station which should be excluded from the clustering process. Furthermore these nodes consume more energy since each member node communicates directly with their cluster head and not with the base station. To eliminate these notes from cluster process, we need to formulate a new energy total of the network which depends on the number of these nodes. In this paper we propose a new technic to optimize this energy which basing on the firefly algorithm. The developed approach allows the boundary of the excluded nodes efficiently. Computer simulation in MATLAB proves the superiority of this method concerning the increase of the lifetime and the number of the received packet messages compared to the others protocols.
Volume: 6
Issue: 3
Page: 91-99
Publish at: 2017-09-01

Prevalence and Determinants of Anemia in Pregnancy, Sana’a, Yemen

10.11591/ijphs.v6i3.7931
Yousef M. Alflah , Iman H. Wahdan , Ali A. Hasab , Dalia I. Tayel
Anemia is a global public health problem in both developing and developed countries, especially among pregnant women. The aim of the study was to estimate the prevalence of anemia among pregnant women in Sana'a governorate, Yemen, and to identify the determinants contributing to it, and to assess knowledge regarding it. The study was conducted using a cross-sectional approach. It included 360 pregnant women attending the maternity clinics of maternity hospitals. A predesigned structured interviewing questionnaire was used to collect data from the pregnant women. Laboratory investigations were done. The prevalence of anemia was found to be 40.3%, and was higher among females aged 35 to less than 45 years, those with poor income and poor nutritional level. The risk of anemia increased with the gestational age, gravidity, decreased birth spacing, drinking tea and coffee after meals, decreased intake of proteins and low level of knowledge and income. The binary logistic regression model indicated a significant impact of the education and occupation on the level of knowledge of pregnant women. Anemia was found out to be a severe public health problem among pregnant women in Yemen. Identified risk factors should be considered for its prevention and control.
Volume: 6
Issue: 3
Page: 213-220
Publish at: 2017-09-01

Modeling, Analysis and Comparative of Down Sampling based Clamping SV PWM for Cascaded and Diode Clamped Multilevel Inverter fed Induction Motor Drive

10.11591/ijeecs.v7.i3.pp698-707
Ravikumar Bhukya , P. Satish Kumar
This paper presents investigation and performance analysis of novel down sampling based  clamping SV PWM technique for diode and cascaded Multi-level Invereter fed to Induction motor drive. A novel down sampling based clamping SVPWM has developed by adding triangular off set to sinusoidal fundamental waveform is modified by down sampling the reference wave by order of 10 so this technique is called clamping space vector pulse width modulation techniques such as PD, POD and APOD. so as to shift the lower order harmonics to higher order side. This novel carrier is compared with the offset injected space vector reference waveform to generate the required PWM pulses to the inverter. To analyze the performance of the proposed PWM technique it is implemented on  seven level diode and cascaded Multi-level Inverter using Matlab/Simulink software tool for output line, phase voltage, currents, speed, torque and Total harmonic distortion analysis.
Volume: 7
Issue: 3
Page: 698-707
Publish at: 2017-09-01

Routing Protocols for Mobile Ad Hoc Network - A Survey and Analysis

10.11591/ijeecs.v7.i3.pp795-801
Rahul M Desai , B P Patil , Davinder Pal Sharma
Ad hoc networks are mobile wireless networks where each node is acting as a router. The existing routing protocols such as Destination sequences distance vector, Optimized list state routing protocols, Ad hoc on demand routing protocol, Ad hoc on demand multipath routing protocol, Dynamic source routing are optimized versions of distance vector or link state routing protocols.  In this paper, existing protocols such as DSDV, AODV, AOMDV, OLSR and DSR are analyzed on 50 nodes Mobile Ad Hoc network with random mobility. Packet delivery ratio, delay, control overhead and throughput parameters are used for performance analysis.
Volume: 7
Issue: 3
Page: 795-801
Publish at: 2017-09-01

Incidence and Predictors of Tuberculosis among Adult PLWHA at Public Health Facilities of Hawassa City

10.11591/ijphs.v6i3.9294
Henok Bekele , Mesfin Kote , Aman Yesuf , Tadele Girum
Tuberculosis (TB) is the most frequently diagnosed opportunistic infection (OI) and disease in people living with HIV/AIDS (PLWHA), world-wide. This study aimed at determining the incidence and predictors of tuberculosis among people living with HIV.A Six year retrospective follow up study was conducted among adult PLHIV. The Cox proportional hazards model was used to identify predictors.A total of 554 patients were followed and produced 1830.3 person year of observation. One hundred sixty one new TB cases occurred during the follow up period. The overall incidence density of TB was 8.79 per 100 person-year (PY). It was high (148.71/100 PY) in the first year of enrolment. The cumulative proportion of TB free survival was 79% and 67% at the end of first and sixth years, respectively. Not having formal education(AHR=2.68, 95%CI: 1.41, 5.11 ), base line WHO clinical stage IV (AHR = 3.22, 95% CI=1.91-5.41), CD4 count <50 cell/ul  (AHR=2.41, 95%CI=1.31, 4.42), Being bed redden (AHR= 2.89, 95%CI=1.72, 3.78), past TB history (AHR=1.65, 95% CI = 1.06,2.39), substance use (AHR=1.46, 95% CI=1.03,2.06) and being on pre ART (AHR=1.62, 95%CI:1.03-2.54 ) were independently predicted tuberculosis occurrence. Advanced WHO clinical stage, limited functional status, past TB history, addiction and low CD4 (<50cell/ul) count at enrollment were found to be the independent predictor of tuberculosis occurrence. Therefore early initiation of treatment and intensive follow up is important.
Volume: 6
Issue: 3
Page: 266-274
Publish at: 2017-09-01

Performance of Parallel Computing in Bubble Sort Algorithm

10.11591/ijeecs.v7.i3.pp861-866
Rihartanto Rihartanto , Arief Susanto , Ansar Rizal
The performance of an algorithm can be improved by using a parallel computing programming approach. In this study, the performance of bubble sort algorithm on various computer specifications has been applied. Experimental results have shown that parallel computing programming can save significant time performance by 61%-65% compared to serial computing programming.
Volume: 7
Issue: 3
Page: 861-866
Publish at: 2017-09-01
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