Determinants factors affecting the implementation of the COVID-19 health protocol in the community

Ema Waliyanti , Astri Sulistiyaningrum, Atika Oktariza, Syifa Hafidhni Nurrahaf, Faudyan Eka Satria

Ema Waliyanti
School of Nursing, Universitas Muhammadiyah Yogyakarta, Bantul, Daerah Istimewa Yogyakarta. Email: emawaliyanti@umy.ac.id

Astri Sulistiyaningrum
School of Nursing, Universitas Muhammadiyah Yogyakarta, Bantul, Daerah Istimewa Yogyakarta, Indonesia

Atika Oktariza
School of Nursing, Universitas Muhammadiyah Yogyakarta, Bantul, Daerah Istimewa Yogyakarta, Indonesia

Syifa Hafidhni Nurrahaf
School of Nursing, Universitas Muhammadiyah Yogyakarta, Bantul, Daerah Istimewa Yogyakarta, Indonesia

Faudyan Eka Satria
School of Nursing, Universitas Muhammadiyah Yogyakarta, Bantul, Daerah Istimewa Yogyakarta, Indonesia
Online First: December 28, 2021 | Cite this Article
Waliyanti, E., Sulistiyaningrum, A., Oktariza, A., Nurrahaf, S., Satria, F. 2021. Determinants factors affecting the implementation of the COVID-19 health protocol in the community. Bali Medical Journal 10(3): 1058-1065. DOI:10.15562/bmj.v10i3.2863

Background: The COVID-19 case is a recent problem faced by people worldwide, including in Temanggung Regency. The local government has made various efforts to reduce the spread of the COVID-19 virus, namely by enforcing public health protocols such as physical distancing, prohibition of going to hometown, quarantine system, wearing masks, implementing handwashing and temperature measurement in every place to limiting community activities. However, many people have not obeyed the rules that the COVID-19 cases in the area increase. This study aims to identify the factors that influence the implementation of health protocols in the community in the Temanggung Regency.

Method: This study used a qualitative method. Data were collected using in-depth interviews with 12 participants consisting of the community, village officials, and health workers selected using the purposive sampling technique. The instrument used was an interview guide. In addition, unstructured observations were carried out to identify the community's implementation of current health protocols. The data validity test was conducted by triangulating sources, methods, and peer debriefings. Thematic data analysis was carried out using Open code 4.02 software.

Results: The results showed that the factors that influenced the implementation of health protocols to prevent the spread of COVID-19 in the community in Temanggung Regency included awareness of implementing health protocols, limited infrastructure, limited health personnel, monitoring of officers, perceptions of COVID-19, and public attitudes towards health protocols. 

Conclusion: Based on the results of this study, it is expected that it can be used as evaluation material for the community and local government in implementing health protocols to prevent the spread of the COVID-19 virus in the region.


European Centre for Disease Prevention and Control (ECDC). COVID-19 [Internet]. 2020. Available from: https://www.ecdc.europa.eu/en/novel-coronavirus-china

World Health Organization (WHO). Coronavirus disease (COVID-19) Situation Report–145 [Internet]. 2020. Available from: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200613-COVID-19-sitrep-145.pdf?sfvrsn=bb7c1dc9_2

Setiaputra, Franciscus A. Update Virus Corona Jawa Tengah Minggu 14 Juni 2020, Kasus Positif Tembus Angka 2.174. [Internet]. 2020. Available from: https://jateng.tribunnews.com/2020/06/14/update-virus-corona-jawa-tengah-minggu-14-juni-2020-kasus-positif-tembus-angka-2174

Admin. Infografis COVID-19 Kab. Temanggung [Internet]. 2020. Available from: https://corona.temanggungkab.go.id/

Kabupaten Temanggung. Instruksi Bupati Temanggung Nomor 360/310 tahun 2020 Tentang Pedoman Pembatasan Kegiatan Masyarakat dalam rangka Percepatan Penanganan COVID-19 di Kabupaten Temanggung. 2020.

Bisri MH, Asmoro BT. Etika Pelayanan Publik di Indonesia. J Gov Innov. 2019;1(1):59–76. Available from: http://dx.doi.org/10.36636/jogiv.v1i1.298

Zain ZM, Yusoff MA. Civil Disobedience: Concept and Practice. Asian Soc Sci. 2017;13(8):129. Available from: http://dx.doi.org/10.5539/ass.v13n8p129

Bajari A, Susilawati S. Kesehatan dalam Perspektif Antropologi, Sosiologi, dan Komunikasi. In: Simposium Nasional Komunikasi Kesehatan 2015 Fikom Unpad. Sumedang: Indonesia; 2015.

Lenhard J. A Critical Account of Durkheim’s Concept of Organic Solidarity. [Internet]. 2011. Available from: https://www.grin.com/document/182786

Marzali A. Pendidikan Antropologi dan Pembangunan Indonesia. Antropol Indones. 2014;0(62). Available from: http://dx.doi.org/10.7454/ai.v0i62.3396

Kuipers N, Mujani S, Pepinsky T. Encouraging Indonesians to Pray From Home During the COVID-19 Pandemic. J Exp Polit Sci. 2020;8(3):211–22. Available from: http://dx.doi.org/10.1017/xps.2020.26

Shah SGS. Doctors in Pakistan denounce opening of mosques for congregational prayers during Ramadan amid the COVID-19 pandemic: Correspondence. Int J Surg. 2020/05/15. 2020;79:40–1. Available from: https://pubmed.ncbi.nlm.nih.gov/32422382

Paakkari L, Okan O. COVID-19: health literacy is an underestimated problem. Lancet Public Heal. 2020/04/14. 2020;5(5):e249–50. Available from: https://pubmed.ncbi.nlm.nih.gov/32302535

Chan DKC, Zhang C-Q, Weman-Josefsson K. Why people failed to adhere to COVID-19 preventive behaviors? Perspectives from an integrated behavior change model. Infect Control Hosp Epidemiol. 2020/05/15. 2021;42(3):375–6. Available from: https://pubmed.ncbi.nlm.nih.gov/32408917

Teovanovic P, Lukic P, Zupan Z, Lazi? A, Ninkovi? M, Zezelj I. Irrational beliefs differentially predict adherence to guidelines and pseudoscientific practices during the COVID-19 pandemic [Internet]. Center for Open Science; 2020. Available from: http://dx.doi.org/10.31234/osf.io/gefhn

Husni H, Bisri H, Tantowie T, et. al. Religious Community Responses to COVID-19: Case Study on Muslim Small Community. Int J Psychosoc Rehabil. 2020;24(8):10439–46.

?avojová V, Šrol J, Ballová Mikušková E. How scientific reasoning correlates with health-related beliefs and behaviors during the COVID-19 pandemic? J Health Psychol. 2020;135910532096226. Available from: http://dx.doi.org/10.1177/1359105320962266

Kartono DT, Soemanto RB, Zuber A, Akbar RD, Suryadinata TA. Global civil Disobedience Trend against Anti Covid-19 Policy [Internet]. Proceedings of the 6th International Conference on Social and Political Sciences (ICOSAPS 2020). Atlantis Press; 2020. Available from: http://dx.doi.org/10.2991/assehr.k.201219.092

Garg S, Basu S, Rustagi R, Borle A. Primary Health Care Facility Preparedness for Outpatient Service Provision During the COVID-19 Pandemic in India: Cross-Sectional Study. JMIR public Heal Surveill. 2020;6(2):e19927–e19927. Available from: https://pubmed.ncbi.nlm.nih.gov/32452819

Sharma A, Borah SB, Moses AC. Responses to COVID-19: The role of governance, healthcare infrastructure, and learning from past pandemics. J Bus Res. 2020/09/10. 2021;122:597–607. Available from: https://pubmed.ncbi.nlm.nih.gov/33518844

Adler HM. The sociophysiology of caring in the doctor-patient relationship. J Gen Intern Med. 2002;17(11):874–81. Available from: https://pubmed.ncbi.nlm.nih.gov/12406360

Krot K, Rudawska I. The Role of Trust in Doctor-Patient Relationship: Qualitative Evaluation of Online Feedback from Polish Patients. Econ Sociol. 2016;9(3):76–88. Available from: http://dx.doi.org/10.14254/2071-789x.2016/9-3/7

Saqlain M, Munir MM, Rehman SU, Gulzar A, Naz S, Ahmed Z, et al. Knowledge, attitude, practice and perceived barriers among healthcare workers regarding COVID-19: a cross-sectional survey from Pakistan. J Hosp Infect. 2020/05/11. 2020;105(3):419–23. Available from: https://pubmed.ncbi.nlm.nih.gov/32437822

Suleiman A, Bsisu I, Guzu H, Santarisi A, Alsatari M, Abbad A, et al. Preparedness of Frontline Doctors in Jordan Healthcare Facilities to COVID-19 Outbreak. Int J Environ Res Public Health. 2020;17(9):3181. Available from: https://pubmed.ncbi.nlm.nih.gov/32370275

Al-Ashwal FY, Kubas M, Zawiah M, Bitar AN, Mukred Saeed R, Sulaiman SAS, et al. Healthcare workers’ knowledge, preparedness, counselling practices, and perceived barriers to confront COVID-19: A cross-sectional study from a war-torn country, Yemen. PLoS One. 2020;15(12):e0243962–e0243962. Available from: https://pubmed.ncbi.nlm.nih.gov/33306750

Article Views      : 0
PDF Downloads : 0