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"Tesis ini berfokus pada langkah-langkah dan tindak lanjut serta Promosi keberadaan Call Center Badan Narkotika Nasional (BNN) sebagai Faktor yang Menyebabkan Rendahnya Peran Serta Masyarakat. Permasalahan ini saya angkat menjadi tesis karena dirasakan saat ini masyarakat belum banyak yang berperan serta melalui Call Center BNN yang terbuka secara penuh 24 jam. Tindak lanjut dan Promosi dilaksanakan setelah mengevaluasi laporan tahunan Badan Narkotika Nasiona, dan diharapkan dapat merubah kondisi masyarakat yang selama ini belum banyak berperan serta, menjadi lebih aktif dan mempergunakan Call Center BNN sebagai salah satu sarana untuk memecahkan permasalahan narkoba di masyarakat. Dengan langkah-langkah tersebut diharapkan dapat membantu pemerintah untuk mewujukan Indonesia Bebas Narkoba Tahun 2015. Penelitian ini menggunakan metode kualitatif dengan desain survey serta pendekatan sosiologis manajerial, yaitu sesuatu nyang dikerjakan dengan benar dan dengan cara yang benar.Hasil penelitian merekomendasikan bahwa BNN perlu menindaklanjuti dan mempromosikan keberadaan Call Center agar masyarakat berperan serta dalam penanganan narkoba melalui Call Center sebagai salah satu penunjangnya.

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The thesis is focused on the steps and follow-up in the Promotion of the BNN Call Center as the causal factor of the community?s minimum involvement (from case studies at BNN and East Jakarta Municipality). This problem becomes the topic of this thesis since it appears that there is not much community participation in utilizing the BNN Call Center. The implementation of the follow-up and promotion process is based on an evaluation of a one year progress report, with the expectation of an active community involvement in utilizing BNN Call Center as one of the means in the solving of drug problems. The purpose is to assist in the realization of a Drug-Free Indonesia by 2015, as proclaimed by the government. This study utilizes the qualitative method through the legal as well as sociologicalmanagerial approach that is based on the prevailing legislation and community social participation in utilizing BNN Call Center and SMS Center.The outcome of the study recommends BNN to take further steps in socializing the Call Center with the aim to enhance community involvement as a supportive means in overcoming drug problems."

"Latar Belakang: Pasien TB-HIV yang mengalami lost to follow-up dapat menjadi sumber penularan, resistensi obat, meningkatnya angka morbiditas dan mortalitas. Dibutuhkan data tentang proporsi lost to follow-up pasien TB-HIV, serta faktor-faktor yang memengaruhi. Tujuan : Mengetahui profil lost to follow-up pasien TB-HIV dan faktor-faktor yang memengaruhi. Metode: Desain penelitian menggunakan kohort retrospektif terhadap pasien TB-HIV rawat jalan di RSCM tahun 2015-2017. Analisis univariat untuk mendapatkan data profil pasien TB-HIV. Analisis bivariat dan multivariat untuk mengetahui besar pengaruh faktor-faktorr terkait lost to follow-up pasien TB-HIV. Analisis multivariat untuk mendapatkan Odds Ratio (OR) dari setiap faktor. Hasil: Hasil analisis univariat menunjukkan proporsi lost to follow-up pasien TB-HIV sebesar 39% dengan karakteristik sebagai berikut, laki-laki (74,4%), usia ≥30 tahun (76,9%), jumlah penghasilan dibawah upah minimum regional Jakarta (87,2%), status fungsional ambulatory-bedridden (51,3%), frekuensi ganti transportasi 2 kali (51,3%), lama menunggu pengobatan ≥ 2jam (87,2%), jumlah obat <12 (56,4%), tempat tinggal di Jakarta (92,3%), mengalami efek samping obat (56,4%) dan status imunodefisiensi berat (84,6%). Lost to follow-up TB-HIV paling banyak terjadi pada bulan ke-2 pengobatan TB. Hasil analisis multivariat menunjukkan jumlah penghasilan dibawah upah minimum regional Jakarta (OR 6,58; IK 95%(2,27-19,08); nilai p=0,001) paling berpengaruh terhadap lost to follow-up pasien TB-HIV. Kesimpulan : Proporsi lost to follow-up pasien TB-HIV sebesar 39%. Lost to follow-up TB-HIV paling banyak terjadi pada bulan ke-2 pengobatan TB. Jumlah penghasilan dibawah upah minimum regional Jakarta menjadi faktor paling memengaruhi lost to follow-up pasien TB-HIV

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Background. TB-HIV patients whose lost to follow-up can be followed up for transmission, drug resistance, patients and mortality. We required data for proportion of lost to follow up TB-HIV, factors associated within.

Aim.To find out the profile of lost to follow-up in TB-HIV patients and influencing factors.

Methods. The study design used a retrospective cohort of outpatient TB-HIV patients at the RSCM in 2015-2017. Univariate analysis to obtain profile data for TB-HIV patients. Bivariate and multivariate analysis to determine the effect of factors related to lost to follow-up of TB-HIV patients. Multivariate analysis to get Odds Ratio (OR) from each factor.

Results. The results of univariate analysis were the proportion of lost to follow-up TB-HIV patients by 39%. The basic characteristics of each patient lost to follow-up TB-HIV were: Men (74.4%), age ≥30 years (76.9%), total income under the regional minimum wage of Jakarta (87.2%), functional status of ambulatory bedridden (51.3%), frequency of change transportation twice (51.3%), long waiting for treatment ≥2 hours (87.2%), number of drugs <12 (56.4%), place of residence in Jakarta (92.3%), experiencing drug side effects (56 , 4%), severe immune status (84.6%). Most lost during the second month of TB treatment. The results of multivariate analysis of income under the minimum regional of Jakarta (OR 6.58; IK 95%(2.27-19.08)) most influence the lost to follow-up of TB-HIV patients.

Conclusion. The proportion of lost to follow-up for TB-HIV patients was 39%. Most were lost on the second month of TB treatment. Total income of under the minimum regional of Jakarta was the most influential factor in lost to follow-up of TB-HIV patients."

"Human Immunodeficiency Virus (HIV) masih menjadi masalah kesehatan masyarakat utama yang menyerang sistem kekebalan tubuh. Loss to follow-up pada pasien HIV/AIDS dapat meningkatkan kegagalan pengobatan baik klinis, imunologi, maupun virologi, meningkatkan morbiditas dan mortalitas, serta resisten terhadap terapi antiretroviral. Kejadian loss to follow-up pada pasien HIV/AIDS yang menjalani pengobatan ARV di Kota Medan sebesar 21% pada tahun 2021 dan mengalami peningkatan pada tahun 2022 menjadi 26%. Tujuan penelitian ini untuk mengetahui determinan loss to follow-up pada pasien HIV/AIDS yang menjalani pengobatan ARV di RSUD Dr. Pirngadi Medan Tahun 2018 – 2022. Desain studi penelitian ini adalah kohort retrospektif pada 383 pasien HIV/AIDS yang memulai pengobatan ARV di RSUD Dr. Pirngadi Medan tahun 2018 - 2022. Data yang digunakan adalah data sekunder meliputi SIHA, rekam medis, dan formulir ikhtisar follow-up perawatan pasien HIV dan terapi ARV. Proporsi pasien HIV/AIDS yang mengalami loss to follow-up sebesar 39,3% dan probabilitas loss to follow-up sebesar 52%. Pada analisis multivariat dengan cox proportional regression, usia > 30 tahun (aHR=1,4; 95% CI: 1,010-1,938) dan jumlah CD4 < 200 sel/mm3 (aHR=1,66; 95% CI: 1,184-2,331) secara signifikan merupakan faktor penyebab terjadinya loss to follow-up. Diperlukan peningkatan upaya pendampingan untuk menghindari terjadinya loss to follow-up terutama pada pasien usia lebih tua dan jumlah CD4 < 200 sel/mm3.

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Human Immunodeficiency Virus (HIV) is still a major public health problem that attacks the immune system. Loss of follow-up in HIV/AIDS patients can increase clinical, immunological and virological treatment failure, increase morbidity and mortality, and become resistant to antiretroviral therapy. The incidence of loss to follow-up in HIV/AIDS patients undergoing ARV treatment in Medan City was 21% in 2021 and will increase in 2022 to 26%. The aim of this study was to determinants of loss to follow-up in HIV/AIDS patients on antiretroviral treatment at RSUD Dr. Pirngadi Medan 2018 – 2022. The study design of this research was a retrospective cohort of 383 HIV/AIDS patients who started ARV treatment at RSUD Dr. Pirngadi Medan 2018 - 2022. The data used is secondary data including SIHA, medical records, and an overview form of follow-up care for HIV patients and ARV therapy. The proportion of HIV/AIDS patients of loss to follow-up was 39.3% and the probability of loss to follow-up was 52%. In multivariable cox proportional regression analysis, age > 30 years (aHR=1,4; 95% CI: 1,010-1,938) and a low CD4 count (aHR=1,66; 95% CI: 1,184-2,331) were found to be a significant predictors of loss to follow-up. Increased assistance efforts are needed to avoid loss to follow-up, especially in patients who are older and have a CD4 count < 200 sel/mm3."

"PURPOSE: To identify the possible roles of carcinoembryonic antigen (CEA) testing after liver resection for synchronous colorectal liver metastasis (CLM).METHODS: The subjects of this retrospective study were patients who underwent complete resection of primary tumors and synchronous CLM between 1997 and 2007 at 20 institutions in Japan. We studied the associations between perioperative CEA levels and the characteristics of recurrence.RESULTS: Recurrence was detected during the median follow-up time of 52 months in 445 (73.7%) of the total 604 patients analyzed. A postoperative CEA level >5 ng/ml was an independent predictor, with the highest hazard ratio (2.25, 95% confidence interval 1.29-3.91, P = 0.004). A postoperative CEA level >5 ng/ml had a specificity of 86.2% and a positive predictive value of 84.2% for recurrence. Patients with a high postoperative CEA level had a significantly higher recurrence rate, with a shorter time until recurrence and a higher frequency of multiple metastatic sites than those with a low postoperative CEA level. Among the patients with recurrence, 173 (52.7%) had an elevated CEA level (>5 ng/ml) when recurrence was detected.CONCLUSIONS: A postoperative CEA level >5 ng/ml was an independent predictor of recurrence; however, CEA testing was not a reliable surveillance tool to identity recurrence after liver resection."

"ABSTRAKPenelitian ini dilakukan dengan menganalisis hasil audit pada KemeterianKoordinator Bidang Kesejahteraan Rakyat selama periode Tahun 2008 sampaidengan Tahun 2012 guna menemukan jenis temuan yang sering muncul, penyebab temuan- temuan tersebut belum ditindaklanjuti, kendala dalam melaksanakan tindak lanjut temuan hasil pengawasan dan merumuskan rekomendasi yang tepat agar permasalahan- permasalahan yang ditemukan tidak terulang lagi. Hasil penelitian menunjukkan seluruh permasalahan disebabkan karena lemahnya Sistem Pengendalian Intern. Hasil penelitian menyarankan agar Kementerian melaksanakan PP 60/2008 tentang Sistem Pengendalian Internal Pemerintah secara efektif dan meningkatkan kapasitas dan peran Inspektorat sebagai Pemantau Pengendalian Intern, menjalankan fungsi konsultasi dan penjamin kualitas di Kementerian Koordinator bidang Kesra.

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ABSTRACTThis research was conducted by analyzing audit result on CoordinatingMinistry for People Welfare during the period 2008 to 2012 in order to find thekinds of findings that often show up, the cause of such findings has not benected upon, a constraint in carrying out follow-up findings the results of supervision and formulate appropriate recommendations sothat problems are found not reoccur The results showed all the problems caused by weak internal control Systems. Results of suggest that the Ministry implement PP 60/2008 about the Internal Control System the Government effectively and enchance the capacity and the role of Inspectorate as internal control monitoring, perform quality assurance, consulting on Coordinating Ministry for People Welfare."

"ABSTRAKMakalah ini membahas tentang perencanaan audit dari WOW Electrical Ltd untuk tanggal neraca 30 Juni 2017. Adapun dokumen-dokumen pendukung yang diberikan kepada saya sebagai seorang auditor senior antara lain: memo dari mitra tertanggal 17 Mei 2017, ekstrak terbitan dari Business Review bulan April 2017, dan ekstrak dari kertas kerja audit untuk audit periode tahun sebelumnya. Dari dokumen-dokumen tersebut saya diminta untuk menilai risiko audit yang dapat diterima oleh WOW Electrical Ltd dengan melakukan analisis menggunakan fakta-fakta yang tertera pada kasus, menilai risiko turunan yang ada, menilai risiko pengendalian, melakukan identifikasi apakah rasio-rasio pada neraca telah meningkat atau menurun, dan memberikan rekomendasi terhadap prosedur audit tindak lanjut apa yang harus dilakukan jika terjadi salah saji potensial dalam informasi keuangan WOW Electrical Ltd. Kata Kunci:Audit, Risiko Turunan, Risiko Pengendalian, Prosedur Lanjutan Audit

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ABSTRACTThis paper discusses the audit planning of WOW Electrical Ltd for the June 30th, 2017 balance sheet date. The supporting documents provided to me as a senior auditor are memos from partners dated May 17th, 2017, extracts from Business Review April 2017, and extracts from audit work papers for the previous year period. From these documents I was asked to assess the acceptable audit risks of WOW Electrical Ltd using the facts provided in the case, assessing the inherent risks, assessing the control risks, identifying the whether the ratios on the balance sheet had increased or decreased, and provide recommendations on what follow up audit procedures to undertake in case of the occurrence of potential misstatements. Key Words Audit, Inherent Risks, Control Risks, Follow up Audit Procedures"

"ASBTRACTPurpose: The late postoperative complications of choledochal cyst (CC) surgery are serious and include intrahepatic stones and biliary carcinoma; therefore, long-term follow-up is crucial.Methods: The subjects of this retrospective study were patients who underwent surgery for CC at Kagoshima University Hospital between April, 1984 and December, 2016. We analyzed the operative results, early and late postoperative complications, and postoperative follow-up rate.Results: The study population comprised 110 CC patients (male/female: 33/77) ith a median age at surgery of 4 years, 3 months (range 12 days-17 years). The patients underwent hepaticoduodenostomy (n = 1; 0.9%) or hepaticojejunostomy (n = 109; 99.1%). Late complications included intrahepatic bile duct (IHBD) dilatation (n = 1; 0.9%), IHBD stones (n = 3; 2.7%), and adhesive ileus (n = 4; 3.6%). There was no incidence of biliary carcinoma in this series. The rates of follow-up at our institute within 10 years of surgery and more than 20 years after surgery were 69.2% (18 of 26) and 14.5% (8 of 55), respectively.Conclusions: The follow-up rate after definitive surgery declined with time. Late complications were observed within 20 years, but biliary carcinoma was not observed. The follow-up rate should be increased to detect late complications. Moreover, patient education on long-term follow up is essential to prevent life-threatening events after definitive surgery for CC."

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Latar Belakang :  Penyakit akibat infeksi HIV memiliki pola penyebaran yang luas dan dapat menimbulkan kematian, oleh karena itu perlu mendapatkan akses pendampingan, pengobatan dan perawatan yang efektif dan efisien. Namun saat ini angka putus obat ARV di Indonesia masih tinggi dan 22% diantaranya loss follow up. Provinsi DKI Jakarta adalah salah satu provinsi yang memiliki jumlah penderita HIV terbanyak di Indonesia yaitu sebesar 65.578 orang dengan jumlah kasus Odha yang mengalami loss follow up yaitu 10.851 orang atau sekitar 17 % dari jumlah penderita HIV. Disisi lain Provinsi DKI Jakarta adalah salah satu provinsi dengan jumlah layanan KT, jumlah layanan rujukan PDP dan jumlah layanan satelit PDP terbanyak di Indonesia. Pada tahun 2019 Kota Administrasi Jakarta Barat merupakan wilayah dengan jumlah kasus LFU tertinggi kedua setelah Kota Administrasi Jakarta Pusat dengan peningkatan jumlah kasus Odha loss follow up setiap tahunnya. Jakarta Barat memiliki kasus Odha loss follow up pada tahun 2019 dengan total 2210 kasus dan 4950 Odha on ART. Maka diperlukan perencanaan strategi, salah satunya dengan cara melihat sebaran dan kecenderungan penyebaran kasus Odha loss follow up melalui pemanfaatan sistem informasi geografi sebagai salah satu bahan untuk malakukan pemantauan dan evuasi program sehingga diharapkan dapat meminimalisir dan mencegah meningkatnya angka kasus Odha loss follow up di wilayah Kota Administrasi Jakarta Barat.

Tujuan : Bahan perencanaan dalam menentukan strategi yang efektif dan efisien untuk meminimalisir dan mencegah meningkatnya angka kasus loss follow up pada Odha yang di Kota Administrasi Jakarta Barat

Metode Penelitian : Penelitian ini menggunakan data sekunder yang terkait dengan determinan kasus loss follow up pada Odha tahun 2017-2019 yang diperoleh dari Suku Dinas Kesehatan Kota Administrasi Jakarta Barat. Dalam penelitian ini digunakan metode analisis statistik serta analisis spasial dengan  overlay.

Hasil : Jumlah kasus Odha yang mengalami loss follow up di Kota Administrasi Jakarta Barat terus menunjukan peningkatan jumlah dari tahun 2017 hingga 2019. Jenis kelamin dan kelompok umur Odha memiliki korelasi kuat dan signifikan terhadap kejadian kasus loss follow up pada Odha. Tidak ada korelasi yang signifikan antara Odha dengan perilaku seks berisiko Odha dengan kejadian loss follow up. Kecamatan di Kota Administrasi Jakarta Barat yang terus mengalami peningkatan jumlah kasus loss follow up yang sangat signifikan dari tahun 2017 hingga 2019 adalah Kecamatan Palmerah. Hasil overlay dan skoring menunjukan bahwa Kecamatan Palmerah dan Tambora merupakan wilayah paling berisiko dan rawan untuk terjadinya peningkatan angka kasus loss follow up pada Odha. 

Kata Kunci : HIV, AIDS, Sistem Informasi Geografis, Loss Follow Up, overlay. 

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Background : Disease caused by HIV infection has a widespread pattern and can cause death, therefore it is necessary to get access to assistance, treatment, and care that is effective and efficient. However, currently, the rate of dropping out of ARV drugs in Indonesia is still high and 22% of them are losing follow-up. Province of the Special Capital Region of Jakarta is one of the provinces that has the highest number of HIV sufferers in Indonesia, amounting to 65,578 people with the number of HIVpositive cases experiencing loss follow-up to 10,851 people or around 17% of the total number of HIV sufferers. On the other hand, the Special Capital Province of Jakarta is one of the provinces with the highest number of counseling and testing services, the number of care referral, support and treatment services and the largest number of HIV satellite services in Indonesia. In 2019 the West Jakarta Administration City was the region with the second-highest number of loss follow-up cases after the Central Jakarta Administration City with an increase in the number of cases of loss-follow-up for people with HIV every year. West Jakarta has cases of people with HIV loss followup in 2019 with a total of 2210 cases and 4950 people. So strategic planning is needed, one of them is by looking at the distribution and trends in the spread of cases of people with HIV loss follow-up through the use of geographic information systems as one of the ingredients for monitoring and evaluation of the program so that it is expected to minimize and prevent the increase in the number of cases of loss-follow-up in people in West Jakarta Administration City. 

Objective : As planning material in determining effective and efficient strategies to minimize and prevent the increase number cases of loss follow-up in people living with HIV in West Jakarta Administration City. 

Research Method : This study uses secondary data related to the determinants of loss follow-up cases in people with HIV in 2017-2019 obtained from the West Jakarta Administrative Office of Health. This research uses statistical analysis methods and spatial analysis with overlays. 

Results : The number of people with HIV who experienced a loss of follow-up in the City Administration of West Jakarta continued to show an increase in the number from 2017 to 2019. Gender and age groups of people with HIV have a strong and significant correlation to the incidence of loss follow-up cases in people with HIV. There is no significant correlation between the special population of people with HIV and the loss follow-up. Subdistricts in West Jakarta Administrative City that continue to experience a significant increase in the number of loss follow-up cases from 2017 to 2019 are the Palmerah Districts. The overlay and scoring results show that Palmerah and Tambora Subdistricts are the areas most at risk and vulnerable to lose follow-up in people with HIV. 

Keywords : HIV, AIDS, Geographic Information Systems, Loss Follow Up, overlays

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