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Article ; Online: The health status of Indonesia's provinces: the double burden of diseases and inequality gap.

Oktaria, Vicka / Mahendradhata, Yodi

2022 Volume 10, Issue 11, Page(s) e1547–e1548

MeSH term(s)	Cost of Illness ; Health Status ; Humans ; Indonesia/epidemiology
Language	English
Publishing date	2022-09-27
Publishing country	England
Document type	Journal Article ; Comment
ZDB-ID	2723488-5
ISSN	2214-109X ; 2214-109X
ISSN (online)	2214-109X
ISSN	2214-109X
DOI	10.1016/S2214-109X(22)00405-3
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Proceed with caution: Potential challenges and risks of developing healthcare tourism in Indonesia.

Mahendradhata, Yodi

Global public health

2018 Volume 14, Issue 3, Page(s) 340–350

Abstract: The Indonesian government is set to take part in the region's growing healthcare tourism industry. However, Indonesia would need to do much more than just develop world-class hospitals at major tourist destinations to provide a thriving healthcare ... ...

Abstract	The Indonesian government is set to take part in the region's growing healthcare tourism industry. However, Indonesia would need to do much more than just develop world-class hospitals at major tourist destinations to provide a thriving healthcare tourism industry that could attract patients from abroad. Moreover, the amount of resources needed to ensure the success of a healthcare tourism industry attracting foreign patients also raises the question of potential resource allocation diversion, as the country still has a long list of public health issues to address. There is also the potential of intensifying the migration of healthcare professionals from the public to the private sector or from rural to urban areas. Policymakers in Indonesia, and other resource-constrained countries, contemplating the development of healthcare tourism have an ethical obligation to weigh the evidence on potential positive and negative impacts before moving forward.
MeSH term(s)	Health Resources/supply & distribution ; Humans ; Indonesia ; Internationality ; Medical Tourism ; Policy Making ; Public Health
Language	English
Publishing date	2018-07-26
Publishing country	England
Document type	Journal Article
ZDB-ID	2234129-8
ISSN	1744-1706 ; 1744-1692
ISSN (online)	1744-1706
ISSN	1744-1692
DOI	10.1080/17441692.2018.1504224
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Family Involvement to Stop the Conversion of Prediabetes to Diabetes.

Prakoso, Denny Anggoro / Mahendradhata, Yodi / Istiono, Wahyudi

Korean journal of family medicine

2023 Volume 44, Issue 6, Page(s) 303–310

Abstract: Prediabetes is a condition associated with an increased risk of developing diabetes, in which blood glucose levels are high but not high enough to be diagnosed as diabetes. The rapid increase in the prevalence of prediabetes is a major global health ... ...

Abstract	Prediabetes is a condition associated with an increased risk of developing diabetes, in which blood glucose levels are high but not high enough to be diagnosed as diabetes. The rapid increase in the prevalence of prediabetes is a major global health challenge. The incidence of prediabetes has increased to pandemic levels and can lead to serious consequences. Unfortunately, nearly 90% of prediabetic individuals are unaware of their ailment. A quarter of prediabetic individuals develop type 2 diabetes mellitus (T2DM) within 3-5 years. Although prediabetes is a reversible condition, the prevention of diabetes has received little attention. It is essential for prediabetic individuals to implement new health-improvement techniques. Focusing on family systems is one strategy to promote health, which is determined by health patterns that are often taught, established, and adjusted within family contexts. For disease prevention, a family-based approach may be beneficial. Family support is essential for the metabolic control of the disease. This study aimed to show several strategies for involving the patient's family members in preventing the conversion of prediabetes to T2DM and to emphasize that the patient's family members are a valuable resource to reduce the incidence of diabetes.
Language	English
Publishing date	2023-08-14
Publishing country	Korea (South)
Document type	Journal Article
ZDB-ID	2674300-0
ISSN	2092-6715 ; 2005-6443
ISSN (online)	2092-6715
ISSN	2005-6443
DOI	10.4082/kjfm.23.0019
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Article ; Online: Prioritizing knowledge translation in low- and middle-income countries to support pandemic response and preparedness.

Mahendradhata, Yodi / Kalbarczyk, Anna

Health research policy and systems

2021 Volume 19, Issue 1, Page(s) 5

Abstract: The COVID-19 pandemic has created urgent demand around the world for knowledge generation about a novel coronavirus, its transmission, and control, putting academic institutions at the frontline of politics. While many academic institutions are well ... ...

Abstract	The COVID-19 pandemic has created urgent demand around the world for knowledge generation about a novel coronavirus, its transmission, and control, putting academic institutions at the frontline of politics. While many academic institutions are well poised to conduct research, there are well-documented barriers for these institutions, particularly in low- and middle-income countries (LMICs), to further conduct strategic synthesis and dissemination to promote knowledge utilization among policy-makers. These systemic barriers to knowledge translation (KT) pose significant challenges for academic institutions seeking to take advantage of unprecedented policy windows to inform evidence-based decision-making. Global health funding organizations should prioritize the support of academic institutions' activities along the KT pathway, including both knowledge generation and strategic dissemination, to improve knowledge uptake for decision-making to improve health. Institutional capacity-building initiatives for KT have the potential to profoundly impact responses to this and future pandemics.
MeSH term(s)	COVID-19 ; Capacity Building ; Developing Countries ; Disaster Planning ; Evidence-Based Practice ; Financing, Organized ; Global Health ; Health Policy ; Humans ; Knowledge ; Pandemics ; Policy Making ; Research Support as Topic ; SARS-CoV-2 ; Schools ; Translational Research, Biomedical/economics
Language	English
Publishing date	2021-01-18
Publishing country	England
Document type	Letter
ZDB-ID	2101196-5
ISSN	1478-4505 ; 1478-4505
ISSN (online)	1478-4505
ISSN	1478-4505
DOI	10.1186/s12961-020-00670-1
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Article ; Online: Prioritizing knowledge translation in low- and middle-income countries to support pandemic response and preparedness

Yodi Mahendradhata / Anna Kalbarczyk

Health Research Policy and Systems, Vol 19, Iss 1, Pp 1-

2021 Volume 3

Abstract: Abstract The COVID-19 pandemic has created urgent demand around the world for knowledge generation about a novel coronavirus, its transmission, and control, putting academic institutions at the frontline of politics. While many academic institutions are ... ...

Abstract	Abstract The COVID-19 pandemic has created urgent demand around the world for knowledge generation about a novel coronavirus, its transmission, and control, putting academic institutions at the frontline of politics. While many academic institutions are well poised to conduct research, there are well-documented barriers for these institutions, particularly in low- and middle-income countries (LMICs), to further conduct strategic synthesis and dissemination to promote knowledge utilization among policy-makers. These systemic barriers to knowledge translation (KT) pose significant challenges for academic institutions seeking to take advantage of unprecedented policy windows to inform evidence-based decision-making. Global health funding organizations should prioritize the support of academic institutions’ activities along the KT pathway, including both knowledge generation and strategic dissemination, to improve knowledge uptake for decision-making to improve health. Institutional capacity-building initiatives for KT have the potential to profoundly impact responses to this and future pandemics.
Keywords	Knowledge translation ; Evidence-based response ; Pandemic preparedness ; Policy-making ; Public aspects of medicine ; RA1-1270
Subject code	306
Language	English
Publishing date	2021-01-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Acceptability and feasibility of tuberculosis-diabetes mellitus screening implementation in private primary care clinics in Yogyakarta, Indonesia: a qualitative study.

Prakoso, Denny Anggoro / Istiono, Wahyudi / Mahendradhata, Yodi / Arini, Merita

BMC public health

2023 Volume 23, Issue 1, Page(s) 1908

Abstract: Background: The relationship between Tuberculosis (TB) and Diabetes Mellitus (DM) is intricate and intertwined, posing significant global health challenges. In addition, the increasing prevalence of DM worldwide raises concerns regarding the potential ... ...

Abstract	Background: The relationship between Tuberculosis (TB) and Diabetes Mellitus (DM) is intricate and intertwined, posing significant global health challenges. In addition, the increasing prevalence of DM worldwide raises concerns regarding the potential resurgence of tuberculosis. The implementation of tuberculosis prevention strategies is of the utmost importance, especially in countries like Indonesia that encounter a dual burden of TB and DM. The significance of TB screening in private primary care settings for patients with diabetes cannot be overstated. Implementing TB screening protocols in private primary care settings can assist in identifying diabetic patients with tuberculosis. Therefore, this study aims to explore the acceptability and feasibility of tuberculosis-diabetes mellitus screening implementation in private primary care clinics. Methods: We conducted implementation research with an exploratory qualitative design. Fifteen healthcare professionals from five private primary health care clinics in Yogyakarta, Indonesia, participated in five focus groups. The discussions were audio recorded, transcribed verbatim, and thematically analyzed. As part of the feasibility assessment, surveys were conducted in each clinic. We conducted a thematic analysis in accordance with the theoretical framework of acceptability and the feasibility assessment. Results: We identified that most private primary care clinics deemed the implementation of TB screening in DM patients acceptable and practicable. We revealed that the majority of diabetes patients enthusiastically accepted TB-DM screening services. In addition, we found that the healthcare professionals at the clinic are aware of the nature of the intervention and demonstrates a positive attitude despite a subtle burden. The stigma associated with COVID-19 has emerged as a new implementation barrier, joining TB stigma, lack of resources, and regulatory issues. We identify concealed and tiered screening as a potential method for enhancing the implementation of TB-DM screening. Conclusions: The implementation of TB screening in DM patients in private primary care clinics had the potential to be acceptable and feasible. To achieve a successful implementation, consideration should be given to supporting factors, hindering factors, and strategies to improve TB screening in DM patients.
MeSH term(s)	Humans ; Tuberculosis/epidemiology ; Indonesia/epidemiology ; Feasibility Studies ; Diabetes Mellitus/diagnosis ; Diabetes Mellitus/epidemiology ; Mass Screening/methods ; Primary Health Care
Language	English
Publishing date	2023-10-03
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2041338-5
ISSN	1471-2458 ; 1471-2458
ISSN (online)	1471-2458
ISSN	1471-2458
DOI	10.1186/s12889-023-16840-z
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Article ; Online: Acceptability and feasibility of tuberculosis-diabetes mellitus screening implementation in private primary care clinics in Yogyakarta, Indonesia

Denny Anggoro Prakoso / Wahyudi Istiono / Yodi Mahendradhata / Merita Arini

BMC Public Health, Vol 23, Iss 1, Pp 1-

a qualitative study

2023 Volume 14

Abstract: Abstract Background The relationship between Tuberculosis (TB) and Diabetes Mellitus (DM) is intricate and intertwined, posing significant global health challenges. In addition, the increasing prevalence of DM worldwide raises concerns regarding the ... ...

Abstract	Abstract Background The relationship between Tuberculosis (TB) and Diabetes Mellitus (DM) is intricate and intertwined, posing significant global health challenges. In addition, the increasing prevalence of DM worldwide raises concerns regarding the potential resurgence of tuberculosis. The implementation of tuberculosis prevention strategies is of the utmost importance, especially in countries like Indonesia that encounter a dual burden of TB and DM. The significance of TB screening in private primary care settings for patients with diabetes cannot be overstated. Implementing TB screening protocols in private primary care settings can assist in identifying diabetic patients with tuberculosis. Therefore, this study aims to explore the acceptability and feasibility of tuberculosis-diabetes mellitus screening implementation in private primary care clinics. Methods We conducted implementation research with an exploratory qualitative design. Fifteen healthcare professionals from five private primary health care clinics in Yogyakarta, Indonesia, participated in five focus groups. The discussions were audio recorded, transcribed verbatim, and thematically analyzed. As part of the feasibility assessment, surveys were conducted in each clinic. We conducted a thematic analysis in accordance with the theoretical framework of acceptability and the feasibility assessment. Results We identified that most private primary care clinics deemed the implementation of TB screening in DM patients acceptable and practicable. We revealed that the majority of diabetes patients enthusiastically accepted TB-DM screening services. In addition, we found that the healthcare professionals at the clinic are aware of the nature of the intervention and demonstrates a positive attitude despite a subtle burden. The stigma associated with COVID-19 has emerged as a new implementation barrier, joining TB stigma, lack of resources, and regulatory issues. We identify concealed and tiered screening as a potential method for enhancing the implementation ...
Keywords	Acceptability ; Feasibility ; Tuberculosis ; Diabetes Mellitus ; Screening ; Primary care ; Public aspects of medicine ; RA1-1270
Subject code	380
Language	English
Publishing date	2023-10-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Strengthening government's response to COVID-19 in Indonesia: A modified Delphi study of medical and health academics.

Mahendradhata, Yodi / Lestari, Trisasi / Djalante, Riyanti

PloS one

2022 Volume 17, Issue 9, Page(s) e0275153

Abstract: The Indonesian government has issued various policies to control COVID-19. However, COVID-19 new cases continued to increase, and there remain uncertainties as to the future trajectory. We aimed to investigate how medical and health academics view the ... ...

Abstract	The Indonesian government has issued various policies to control COVID-19. However, COVID-19 new cases continued to increase, and there remain uncertainties as to the future trajectory. We aimed to investigate how medical and health academics view the Indonesian government's handling of COVID-19 and which areas of health systems need to be prioritized to improve the government's response to COVID-19. We conducted a modified Delphi study adapting the COVID-19 assessment scorecard (COVID-SCORE) as the measurement criteria. We invited medical and health academics from ten universities across Indonesia to take part in the two-round Delphi study. In the first round, participants were presented with 20 statements of COVID-SCORE and asked to rate their agreement with each statement using a five-point Likert scale. All participants who completed the first cycle were invited to participate in the second cycle. They had the opportunity to revise their answers based on the previous cycle's results and ranked a list of actions to improve government response. We achieved a moderate consensus level for five statements, a low consensus level for 13 statements and no consensus for two statements. The prioritization suggested that top priorities for improving the government's response to COVID-19 in Indonesia encompass: (1) strengthening capacity to ensure consistent, credible and targeted communication while adopting a more inclusive and empathic communication style to address public concerns; (2) ensuring universal access to reliable COVID-19 testing by expanding lab infrastructure, facilitating operational readiness, and scaling up implementation of proven alternative/complementary tests to RT-PCR; and (3) boosting contact tracing implementation capacity and facilitating contact tracing for all positive cases, involving key stakeholders in further development of the existing contact tracing system (i.e. PeduliLindungi) as well as its evaluation and quality assurance. Ultimately, our study highlights the importance of strengthening health system functions during the pandemic and improving health system resilience for dealing with future public health emergencies.
MeSH term(s)	COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19 Testing ; Delphi Technique ; Government ; Humans ; Indonesia/epidemiology
Language	English
Publishing date	2022-09-29
Publishing country	United States
Document type	Journal Article
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0275153
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Article ; Online: The case for stronger regulation of private practitioners to control tuberculosis in low- and middle-income countries.

Mahendradhata, Yodi

BMC research notes

2015 Volume 8, Page(s) 600

Abstract: Tuberculosis case management practices of private practitioners in low- and middle-income countries are commonly not in compliance with treatment guidelines, thus increasing the risk of drug resistance. National Tuberculosis control programs have long ... ...

Abstract	Tuberculosis case management practices of private practitioners in low- and middle-income countries are commonly not in compliance with treatment guidelines, thus increasing the risk of drug resistance. National Tuberculosis control programs have long been encouraged to collaborate with private providers to improve compliance, but there is no example yet of a sustained, large scale collaborations with private practitioners in these settings. Regulations have long been realized as a potential response to poor quality care, however there has been a lack of interest from the international actors to invest in stronger regulation of private providers in these countries due to limited evidence and many implementation challenges. Regulatory strategies have now evolved beyond the costly conventional form of command and control. These new strategies need to be tested for addressing the challenge of poor quality care among private providers. Multilateral and bilateral funding agencies committed to tuberculosis control need to invest in facilitating strengthening government's capacity to effectively regulate private providers.
MeSH term(s)	Case Management ; Developing Countries ; Guideline Adherence ; Humans ; Income ; Private Practice ; Tuberculosis/prevention & control
Language	English
Publishing date	2015-10-23
Publishing country	England
Document type	Comparative Study ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2413336-X
ISSN	1756-0500 ; 1756-0500
ISSN (online)	1756-0500
ISSN	1756-0500
DOI	10.1186/s13104-015-1586-x
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Article ; Online: Unfinished first-line tuberculosis treatment in primary care in Indonesia

Al Asyary / Yodi Mahendradhata

Family Medicine & Primary Care Review, Vol 21, Iss 2, Pp 185-

2019 Volume 188

Keywords	tuberculosis ; drug resistance ; indonesia ; developing countries ; primary care ; Medicine ; R
Language	English
Publishing date	2019-06-01T00:00:00Z
Publisher	Continuo
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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