Coronavirus Disease 2019 Pandemic In Indonesia Research Articles

Mask-Wearing Behavior Among Individuals Newly Diagnosed With Type 2 Diabetes: Insights From Community Health Screenings During the COVID-19 Pandemic in Indonesia

The coronavirus disease 2019 (COVID-19) pandemic has had a severe impact on people with type 2 diabete (T2D) and their health behaviors. This study investigated the associations between T2D status and mask-wearing behaviors in public settings during the first wave of COVID-19 among community residents in Yogyakarta, Indonesia. Outreach health checkups and self-report questionnaires were cross-sectionally conducted to measure for mask-wearing behavior, T2D status, and sociodemographic characteristics. Chi-square tests, bivariate, and multivariate logistic regression were performed for data analysis. Out of 254 total participants, nearly one forth (24%) of them were newly diagnosed with T2D, while 15% of them reported that they had ever been diagnosed as T2D before. There were no statistically significant associations between mask-wearing behavior and T2D status in bivariate and multivariate logistic regression models. However, Chi-square test results showed significant differences (P=0.02) in percentages of inconsistent mask-wearing behavior among those who were newly diagnosed as T2D (19.4%), those who had known as T2D (7.9%), and those who had no T2D (7.1%). This discrepancy in the results suggests the need for further investigations using larger sample size and more representative community samples to examine the associations between mask-wearing behaviors and T2D. Early diagnostic services and the awareness education for T2D is imperative to reduce the disease severity and mortality for future pandemic particularly among undiagnosed individuals who are unaware of their T2D status,

Legal Protection of The Right to Health for People with Long-term Health Impact due to Disaster in Indonesia

Many disaster events occur in Indonesia which have an impact, especially on the health of the Indonesian people. Health impacts can occur directly and indirectly and some experience long-term impacts that affect their lives. The state cannot be absent in regulating various problems arising from disasters in Indonesia. Therefore, the legal regulation of the right to health for long-term health impact sufferers due to disaster Indonesia must be examined. The study used normative legal research, a study approach to legislation, and library research. State policy ensures that the right to health is realized through legal products (primary legal materials) reviewed and then described and analyzed in answering how to fulfill the right to health in Indonesia due to disaster. As a result, the Indonesian Government has already ensured the fulfillment of the right to health of every citizen. However, Government should issue advanced services regulations as soon as possible to regulate the handling of long-term health impact sufferers due to disaster in Indonesia.

Genomic characterization of reinfection cases in the first wave of the COVID-19 pandemic in Indonesia

Link of Video Abstract: https://youtu.be/TRnFAXBESHc Background: Coronavirus disease 2019 (COVID-19) has become a significant disease causing a pandemic worldwide. Many variants were detected within the globe and may have an important role in transmission capability or reinfection conditions. The ‘unknown’ level of immunity’s protection from previous infection and the more virulent virus could lead to reinfection. Using the whole genome sequence, we can analyze the genomic insight within the first and second infections to help understand the reinfection pattern of COVID-19. Methods: In this study, we investigated three COVID-19 cases with reinfection for primary and secondary infection each. The SARS-CoV-2 confirmation was conducted using qPCR with multiplex gene targets Orf1ab and E. Confirmation of reinfection was done by genomic analysis. Library preparation and sequencing were done using ARTIC protocol using nanopore technology. Results: There was a wide variety of mutations between two episodes of infection and different clinical manifestations in each episode. Conclusions: The result concluded that reinfection happened in worsened clinical symptoms and distinct genomic variation in each episode of infection

From Archipelago to Pandemic Battleground: Unveiling Indonesia's COVID-19 Crisis.

The coronavirus disease 2019 (COVID-19) pandemic has posed unprecedented challenges to countries worldwide, including Indonesia. With its unique archipelagic geography consisting of more than 17,000 thousand islands, Indonesia faces unique complexities in managing the spread of the virus. Based on existing literature, this review article elaborates on key issues that have shaped Indonesia's COVID-19 response. The article begins by examining the early stages of the COVID-19 pandemic in Indonesia, along with the implementation of various preventive measures and the impact of the virus on public health. This article examines how Indonesia's socio-economic factors have generally influenced its healthcare system and further delves into the COVID-19 response strategies implemented by the Indonesian government and public health authorities as well as overall crisis preparedness. It discusses the actions taken to control the spread of the virus, including testing strategies and vaccination efforts. The difficulties encountered in implementing these measures are presented. In conclusion, this review article provides a comprehensive understanding of the COVID-19 crisis in Indonesia, covering facts on multiple dimensions ranging from the timeline of the pandemic to vaccination efforts, epidemiology, socio-economic implications, testing strategies, mobility patterns, public holidays, the impact of working from home, and the utilization of complementary and alternative medicine in addition to the standard of care for COVID-19. The insights gained from this article can complement future strategies for pandemic management and response in Indonesia and other countries facing similar challenges.

Model of protective behavior during the COVID-19 pandemic in Indonesia

To prevent coronavirus disease 2019 (COVID-19) from spreading extensively and rapidly during the pandemic, protective behaviors are crucial. This study aimed to determine the influence of risk perceptions, health care, social influences, and intentions on the improvement of protective behaviors during the COVID-19 pandemic. There were 325 participants consisting of 74 men and 251 women (mean age (M)=21.47, SD=6.8). Based on previous studies, measurements were conducted using a variety of questionnaires. The hypotheses were examined by data analysis using structural equation modeling (SEM). The results show that the proposed model met the established criteria. It is interesting to note that risk perceptions influence how protective behaviors are improved through health care and intentions. The social influences on protective behaviors, meanwhile, are both directly and partially mediated by intentions. In conclusion, health care and intentions serve as mediators between risk perceptions and protective behaviors rather than being directly associated. Health care, however, is unrelated to intentions. Furthermore, social influences are the most dominant factor in improving protective behaviors during COVID-19 pandemic. Therefore, it may serve as a preliminary justification for the government to promote for a policy that addresses social influences in order to improve protective behaviors.

Infodemic, Health Promotion Efforts, and Preventive Behavior During the COVID-19 Pandemic in Indonesia: A Quantitative Analysis Study

The coronavirus disease 2019 (COVID-19) is the first pandemic in history where technologies and social media are used on a large scale to make people safe, informed, productive, and connected. At the same time, these technologies enabled the rise of the infodemic, which endangered pandemic control. This study aimed to assess COVID-19 information exposure in the community, the efforts to find related information in online media, and COVID-19 preventive behavior. A cross-sectional study was conducted with 909 participants in Indonesia using the consecutive sampling technique. Data were collected using a questionnaire distributed through social media (WhatsApp, Instagram, and Facebook) and analyzed using univariate analysis, bivariate analysis (Chi-square test), and multivariate analysis (multiple logistic regression). The results showed that about 838 (92.2%) participants said they often or always obtain information about COVID-19 online, 662 (72.8%) participants stated that information from online sources increased their knowledge of the disease, and 728 (80.1%) said that online information enabled them to make preventive efforts. Marital status (AOR: 1.81, p-value = 0.002) and perceived susceptibility (AOR: 1.42, p-value= 0.011) were the most influential factors for COVID-19 preventive behaviors. Information sources and channels frequently accessed by the community must be professionally managed by the government as valuable tools for mitigating an epidemic or pandemic.

Cleft lip and palate surgery during COVID-19 pandemic in Indonesia: a 36-month experience at the Bandung Cleft Lip and Palate Center.

In Indonesia, the prevalence of cleft lip and palate increased from 0.08% to 0.12% between 2013 and 2018. Children with cleft deformities typically undergo staged surgery. However, the coronavirus disease 2019 (COVID-19) pandemic has had negative impacts on the healthcare sector, including the suspension of elective procedures; this has raised concerns about the safety of performing surgery and the functional consequences of delaying treatment, the latter of which is associated with poor prognosis. The purpose of this study was to report the characteristics of clefts treated by the Bandung Cleft Lip and Palate Center team during the pandemic period. This brief comparative study based on a chart review was conducted at the Bandung Cleft Lip and Palate Center. We statistically evaluated data from all patients treated between September 2018 and August 2021. Frequency analysis was performed to analyze the average number of each procedure by age before and during the COVID-19 pandemic. Data from 18-month periods before (n = 460) and during (n = 423) the pandemic were compared. Cheiloplasty procedures were examined (pre-pandemic, n = 230; pandemic, n = 248); before the pandemic, 86.1% were performed according to the treatment protocol (patient < 1 year old), and this proportion non-significantly dropped to 80.6% during the pandemic (p = 0.904). Palatoplasty procedures were also compared (pre-pandemic, n = 160; pandemic, n = 139); the treatment protocol (patient 0.5-2 years old) was followed for 65.5% of procedures before the pandemic and 75.5% during the pandemic (p = 0.509). Additionally, 70 (mean age, 7.94 years) revision and other procedures were performed before the pandemic and 36 (mean age, 8.52 years) during the pandemic. The cleft procedures performed at the Bandung Cleft Lip and Palate Center did not significantly change during the COVID-19 pandemic.

Mental Wellbeing among Children with Cancer during COVID-19 Pandemic in Indonesia: A Cross-sectional Study

Abstract Introduction Coronavirus disease 2019 (COVID-19) has affected both physical and mental aspect of people worldwide, especially the high-risk group such as pediatric cancer patients. Children with cancer were considered both clinically and mentally vulnerable during this pandemic. They were also affected by the self-isolation, quarantine, and social distancing policy taken as a respond to public threat. Objectives To evaluate the impact of social distancing and health protocol during COVID-19 on the mental health profile of children with cancer in Indonesia. Methods A cross-sectional study evaluating the mental health of children with cancer during COVID-19 pandemic was conducted in Cipto Mangunkusumo Hospital, Jakarta, Indonesia from June to September 2020. An online questionnaire was used to collect demographics of parents and children, children's Strength and Difficulties Questionnaire (SDQ) score, and parents' Self-Reporting Questionnaire (SRQ). SDQ score consists of five subscales, including the emotional symptoms, conduct problems, hyperactivity, peer relationships problems and prosocial behavior. Cancer types were grouped into retinoblastoma, nonretinoblastoma (other solid tumors), and leukemia. Results There were 156 valid responses, consisting of 42 patients with retinoblastoma, 34 patients with nonretinoblastoma (other solid tumors), and 80 patients with leukemia. Pandemic-related lifestyle changes did not significantly impact emotional or behavioral problems. Children with normal total SDQ (odds ratio [OR]: 473, p = 0.001) and emotional scores (OR: 3.19, p = 0.07) had parents with normal SRQ scores (&lt;6). Leukemia patients with shorter diagnosis period had worse hyperactivity score (p = 0.01). On the contrary, leukemia inpatients had better prosocial scores than outpatients (p = 0.03). More bilateral retinoblastoma patients (p = 0.04) with longer duration of cancer diagnosis (p = 0.03) faced peer problems. Conclusions Our study revealed that lifestyle changes during early COVID-19 pandemic were not major factors impacting emotional and behavioral problems in children with cancer. However, disease-related factors pose great challenges; thus, a holistic mental health support system should be available to both children and parents.

The Relationship Between Social Support, Fear, and Psychological Distress Among Frontline Nurses During the COVID-19 Pandemic in Indonesia.

The current cross-sectional study aimed to examine the relationship between social support, fear, and psychological distress among frontline nurses during the coronavirus disease 2019 (COVID-19) pandemic. Participants from 20 wards for adult patients from public and private hospitals in Indonesia were recruited. The Fear of COVID-19 Scale, Job Stress Scale, and Perceived Social Support Questionnaire were used to measure outcomes of interest. Questionnaires were completed by a total of 211 nurses. High risk working unit, higher fear score, younger age, less working experience, and less social support were significant influences on nurses' psychological distress. Social support as a modifiable factor is a potential target for intervention strategies to manage psychological issues among nurses. Findings can help policymakers and managers better understand how to support frontline nurses' psychological health and maintain well-engaged nursing staff. [Journal of Psychosocial Nursing and Mental Health Services, 61(5), 53-58.].

Hygiene and Health Coaching for Community Readiness to Perform the Hajj during an Ongoing COVID-19 Pandemic.

In March 2020, WHO declared Coronavirus Disease 2019 (COVID-19) as a global pandemic, which had a major impact on all mass gatherings (MG), including the Hajj. This has an impact for the government, as the party organizing the pilgrimage can make more mature preparations for a more optimal implementation of the pilgrimage. This study aimed to evaluate hygiene and health coaching for community readiness to perform the Hajj during an ongoing COVID-19 pandemic in Indonesia. We used a mixed qualitative and quantitative method, in which the quantitative component used an analytic cross-sectional design with a questionnaire given to 2425 pilgrims, while the qualitative component was carried out through Focus Group Discussion. During the pandemic, all hygiene and health coaching, including guidance, was carried out in three types of distance learning, called "online", "offline (face-to-face)", and "combination". This study shows that face-to-face health coaching is low (50.5%), while online coaching is high (70.0%). The total fraction of pilgrims who participated in blended coaching sessions was 55.1%, and the highest frequency of coaching was under four times (38.7%). However, in its implementation, there is still no integration between programs. There is quite a lot of health information given to pilgrims, but the material still varies between regions. Information on guidelines for preventing and transmitting COVID-19 for officers and pilgrims has not been fully socialized. There exists an urgent need to establish messages that are clear, meaningful, empathetic, consistent, and in context in order to achieve health improvement of pilgrims.

Challenges on tuberculosis care in health care facilities during COVID-19 pandemic: Indonesian perspective.

Indonesia is among the top three countries globally with the highest tuberculosis burden. During the past decades, Indonesian health authorities have struggled to improve tuberculosis care quality in health care facilities by optimizing the regulation and strengthening the private sector contributions. The coronavirus disease 2019 (COVID-19) pandemic has hardly affected the Indonesian health care system, including the National Tuberculosis Control Program. While the end of the COVID-19 pandemic in Indonesia is uncertain, the measure to control tuberculosis must not be weakened. Early identification and measurement of the problem size are essential to decide the most appropriate approach to maintain the sustainability of National Tuberculosis Control Program, particularly in health care facilities during the COVID-19 pandemic. This article points out the possible threats to the sustainability of TB care in Indonesia during the COVID-19 pandemic, including some approaches to overcome those problems.

Simulation-based training using a novel Surabaya hysterectomy mannequin following video demonstration to improve abdominal hysterectomy skills of obstetrics and gynecology residents during the COVID-19 pandemic in Indonesia: a pre- and post-intervention study.

PurposeDuring the coronavirus disease 2019 (COVID-19) pandemic, the number of abdominal hysterectomy procedures decreased in Indonesia. The existing commercial abdominal hysterectomy simulation model is expensive and difficult to reuse. This study compared residents’ abdominal hysterectomy skills after simulation-based training using the Surabaya hysterectomy mannequin following a video demonstration.MethodsWe randomized 3rd- and 4th-year obstetrics and gynecology residents to a video-based group (group 1), a simulation-based group (group 2), and a combination group (group 3). Abdominal hysterectomy skills were compared between before and after the educational intervention. The pre- and post-tests were scored by blinded experts using the validated Objective Structured Assessment of Technical Skills (OSATS) and Global Rating Scale (GRS).ResultsA total of 33 residents were included in the pre- and post-tests. The OSATS and GRS mean differences after the intervention were higher in group 3 than in groups 1 and 2 (OSATS: 4.64 [95% confidence interval [CI], 2.90–6.37] vs. 2.55 [95% CI, 2.19–2.90] vs. 3.82 [95% CI, 2.41–5.22], P=0.047; GRS: 10.00 [95% CI, 7.01–12.99] vs. 5.18 [95% CI, 3.99–6.38] vs. 7.18 [95% CI, 6.11–8.26], P=0.006). The 3rd-year residents in group 3 had greater mean differences in OSATS and GRS scores than the 4th-year residents (OSATS: 5.67 [95% CI, 2.88–8.46]; GRS: 12.83 [95% CI, 8.61–17.05] vs. OSATS: 3.40 [95% CI, 0.83–5.97]; GRS: 5.67 [95% CI, 2.80–8.54]).ConclusionSimulation-based training using the Surabaya hysterectomy mannequin following video demonstration can be a bridge to learning about abdominal hysterectomy for residents who had less surgical experience during the COVID-19 pandemic.

Transformation of the Education Sector during the COVID-19 Pandemic in Indonesia

During the new coronavirus disease 2019 (COVID-19) lockdown period, the whole educational system from elementary to tertiary levels has been thrown into chaos in Indonesia and around the world. Online modes used by the College of Administration Puangrimaggalatung for learning as well as semester exams are shown in this research. It hopes that it will be able to make better academic decisions in the future when things get tough. The main goal of this study was to look at the need for an online model in education during the COVID pandemic and how educational institutions can use their existing resources to make formal education online with the help of no face-to-face class and other important things. The paper used quantitative and qualitative methods to examine how lecturers and students thought about online teaching learning modes. It also looked at how online teaching learning modes were put into practice. Moreover, the paper is aimed at providing a comprehensive picture of online teaching and learning activities during the lockdown period and demonstrates how the change management process and online teaching and learning processes were linked in the education system during the COVID-19 outbreak. This will aid in the elimination of academic disruption and ensure that instructional activities and discourses may continue as usual in the educational system.

Public Perceptions of the COVID-19 Pandemic in Indonesia: A Phenomenological Study

Objectives: The coronavirus disease 2019 (COVID-19) has caused many deaths in Indonesia. This pandemic has caused changes in social life. There is no research that explores the public perceptions of the COVID-19 pandemic in Indonesia. This phenomenological study aims to survey the public perceptions of the COVID-19 pandemic in Indonesia. Methods: Ten people living in Indonesia were selected purposively. A semi-structured in-depth interview was used to collect data. The records were analysed using Colaizzi’s (1978) seven-step phenomenological analysis method. Results: Six themes were extracted from the perceptions: “COVID-19 is very dangerous”, “threats to social life”, “threats to the economic sector”, “threats to the education sector”, “Global conspiracy”, and “ Creating new jobs”. Conclusion: The COVID-19 pandemic in Indoensia has changed the social life of people and has affected various sectors such as education and economy. Information about the public perceptions during the pandemic can help the government to determine appropriate policies about COVID-19.

Dietary Habits by Income Level during the COVID-19 Pandemic in Indonesia: Results from the IndoNutriLifeCOVID-19 Online Survey

Background: The Coronavirus Disease 2019 (COVID-19) has caused many lifestyle changes, especially in the diet. Policies such as physical distancing and quarantine orders aimed to mitigate to spread of COVID-19 have affected the economy and, therefore, the dietary habits of the people. &#x0D; Aim: The purpose of this study was to analyze the associations between income levels and dietary habits during the COVID-19 pandemic. &#x0D; Methods: This cross-sectional study included 697 Indonesian adults from various regions in Indonesia. The study was conducted from June - August 2020. Data were obtained through a self-administered online questionnaire including dietary habits, lifestyles, and quality of life data adapted from MyNutriLifeCOVID-19 Online Survey. To analyze the associations between income levels and dietary habits during the COVID-19 pandemic, a chi square test was used. Data were analyzed using SPSS version 20. &#x0D; Results: Respondents had mean age of 27.56 ± 8.58 years and the majority were women (83.6%). The percentage of people with large-scale social restrictions was 47.5%. Respondents reported that their dietary habits were healthier during the pandemic (46.2%), with the majority categorized as high and very high-income status (59.1%). From self-reported of the people in Indonesia, there was association between high-income level and self-perceived healthier dietary habits. Higher-income level was also associated with higher frequency of online food/drink delivery, consuming western diet foods, consuming dietary supplements, and probiotic consumption (p&lt;0.05). &#x0D; Conclusions: The self-reported that during the COVID-19 pandemic, the dietary habits of people with a higher income level had healthier compared to their dietary habits before the pandemic. However, it is also related to higher energy, cholesterol, and saturated fat intakes due to consuming high western diet foods. Social inequalities in dietary intake should be considered through promoting a healthy balanced diet with affordable price and healthy food processing in the community.

Online Mental Health Survey for Addressing Psychosocial Condition During the COVID-19 Pandemic in Indonesia: Instrument Evaluation

BackgroundRegular monitoring of the pandemic’s psychosocial impact could be conducted among the community but is limited through online media. This study aims to evaluate the self-rating questionnaire commonly used for online monitoring of the psychosocial implications of the coronavirus disease 2019 (COVID-19) pandemic.MethodsThe data were taken from the online assessment results of two groups, with a total of 765 participants. The instruments studied were Self-Rating Questionnaire (SRQ-20), post-traumatic stress disorder (PTSD), and Center for Epidemiological Studies Depression Scale-10 (CESD-10), used in the online assessment. Data analysis used Rasch modeling and Winsteps applications. Validity and reliability were tested, and data were fit with the model, rating scale, and item fit analysis.ResultsAll the scales for outfit mean square (MnSq) were very close to the ideal value of 1.0, and the Chi-square test was significant. Item reliability was greater than 0.67, item separation was greater than 3, and Cronbach’s alpha was greater than 0.60; all the instruments were considered very good. The raw variance explained by measures for the SRQ-20, PTSD, and CESD-10 was 30.7%, 41.6%, and 47.6%, respectively. The unexplained eigenvalue variances in the first contrast were 2.3, 1.6, and 2.0 for the SRQ-20, PTSD, and CESD-10, respectively. All items had positive point-measure correlations.ConclusionThe internal consistency of all the instruments was reliable. Data were fit to the model as the items were productive for measurement and had a reasonable prediction. All the scales are functionally one-dimensional.

Perception, Frequency and Preference in Livestock-Origin Food Consumption During the COVID-19 Pandemic in Indonesia

Coronavirus disease 2019 (COVID-19) is a contagious respiratory that produces mild gastrointestinal illness. The infection rate of COVID-19 increases in individuals with low immunity. In an effort to prevent this disease transmission, the Government advocates increasing the immunity level along with consuming healthy and balanced diets. The present study discusses the consumption of livestock-origin foods with high nutrient contents that can bolster immunity and invigorate heart condition. In addition, we have discussed the perception, frequency and preference of Indonesians with respect to the consumption of livestock-origin foodstuff during the COVID-19 pandemic. The consumers’ perception was determined based on the aspects of livestock-origin food, COVID-19 and livestock-origin food consumption. This study was conducted during August to October 2020 on 305 respondents. The data were collected from online questionnaires in a Google DocTM form. Indonesian consumers demonstrated a positive perception of livestock-origin food consumption in strengthening body immunity to prevent COVID-19 infection; this result was significantly affected by the health status (p≤0.10). Health status also significantly influenced the consumers’ assessment of livestock-origin food consumption (p≤0.10). Furthermore, the income level influenced the livestock-origin food aspect, while gender and level of education influenced the COVID-19 aspect. In terms of purchase frequency, the consumers purchased eggs more frequently during the pandemic, because they were more readily accessible and affordable. Consumers also demonstrated a positive perception with respect to the consumption frequency of meat, milk and eggs (p≤0.05). Consumers’ preference suggested that eggs attained priority during the pandemic period the survey was taken. The income level affected the consumers’ preference for meat, milk and eggs (p≤0.05). Preference for meat was specifically influenced by gender (p≤0.10), for which men showed a strong preference. The consumers’ perception positively influenced the consumption frequency of all livestock-origin food items (meat, eggs and milk).

Community Consumption of Traditional Medicine and Health Supplements During the Coronavirus Disease-2019 Pandemic

Coronavirus disease-2019 (COVID-19) encourages the community to prioritize basic and personal health needs. This study aimed to explore the consumer behaviour of traditional medicine and health supplements during the COVID-19 pandemic in Indonesia using the Consumer Decision Model approach. A quick online cross-sectional survey involving 215 respondents was carried out from December 23, 2020, until January 2, 2021. This study revealed that the majority of respondents consume the products as forced by the pandemic situation, and their use has increased than before the pandemic. The primary reason for consuming the product is to increase their immunity during a pandemic, and they felt more healthy after consuming it. Social media and television are the primary sources of product information. Furthermore, we found that the majority of respondents were branded product consumers. Respondents were more likely to have good behaviour based on knowledge of the products' legality, dosage, indication, instructions for use, and expiration date. This study sets appropriate consumer behaviour and performs the statistical tests only for branded product consumers. It is concluded that consumer behaviour in this study is related to product advertisement exposure and acceptance, environmental influence, and individual difference.

Changes in Pediatric Fracture Cases during the Coronavirus Disease 2019 Pandemic: Data from a National Referral Orthopedic Hospital in Indonesia

AIM: This study aims to compare the impact of coronavirus disease 2019 (COVID-19) on pediatric fracture services in a national referral orthopedic hospital in Indonesia to understand the service provisions that may be required during the pandemic. METHODS: The study compared the population group during 1 year of the COVID-19 pandemic in Indonesia to the same period 1 year before. This cross-sectional study was performed in Prof. Dr. R Soeharso Orthopedic Hospital, Surakarta, Indonesia, from March 2019 to February 2021. The subjects were pediatric fracture patients aged 0–18 years. Patients recorded on other orthopedic service support installations such as radiology, laboratory, or physiotherapy and diagnosed with any other orthopedic sub-specialty were excluded. RESULTS: A total of 1787 patients were recorded in this study, with the mean of pediatric fracture patients during the pre-COVID-19 period was 90.75 (standard deviation [SD]: 28.5) and during the COVID-19 period was 58.16 (SD: 19.17) monthly. In the 1st year of the pandemic, there was a significant reduction in clinical visits compared to the same period in 2019 (p &lt; 0.005). CONCLUSION: There were significant differences in pediatric fracture cases clinic visits and patients’ length of stay in the COVID-19 period than before the COVID-19 occurred.

Large-Scale Social Restriction (LSSR) Policy and Dengue Hemorrhagic Fever Cases during COVID-19 Pandemic in Indonesia (Case Studies: Five Cities/Districts in East Java Province)

The first positive case of coronavirus disease 2019 (COVID-19) in Indonesia was announced in March 2020. Since then, the positive cases have continued to increase. This condition prompted the government to adopt the Large-Scale Social Restriction (LSSR)/Pembatasan Sosial Berskala Besar (PSBB). Some areas included in endemic regions for dengue face two problems: overcoming COVID-19 and Dengue Hemorrhagic Fever (DHF) simultaneously. Five economic growth center cities/districts in East Java Province (Gresik, Bangkalan, Surabaya, Sidoarjo, and Lamongan) were affected by the COVID-19 pandemic and dengue fever. This was a quantitative research with a comparative design study using the Wilcoxon test to compare the cases of DHF pre-COVID-19 and during the COVID-19 pandemic. The Wilcoxon test result showed no significant difference with a p-value of 0.319 (p-value&gt;0.05). It can be concluded that DHF still becomes a problem in five cities/districts in East Java Province even though LSRR was applied. Extra attention is needed to overcome DHF. One of the efforts to prevent and control DHF during the COVID-19 pandemic is to build community independence through the one house one health cadres’ movement.