AN OVERVIEW OF INDONESIAN DOCTORS IN COMBATING COVID-19

Background: Indonesia's COVID-19 pandemic is damaging health systems’ ability to adapt and maintain sustainable performance. Indonesia has had more than four million cases of the disease and more than 141 thousand deaths in Indonesia. The hospital and other heal and health contributively to individual health care in outpatient, inpatient, and emergency settings. Changes in facilities for patient accommodation and acquisition of personal protective equipment (PPE) are all going through substantial changes. As doctors and health workers continue to work on this case every day while out in the field, many of their colleagues become ill, and some die as a result. The study aimed to provide an overview of the conditions faced by doctors in Indonesia in dealing with COVID-19. Methods: The researchers surveyed the situation of Indonesian doctors and specialists working during the COVID-19 pandemic. The questionnaires adapted from the WHO risk assessment tool for healthcare workers were translated into Bahasa Indonesia and distributed from April 2021 to May 2021 using a descriptive observational study. Questionnaires were distributed to selected samples using snowball sampling via online social media such as WhatsApp, Telegram, Facebook, Instagram, and Twitter. Results: A total of 270 physicians who answered the questionnaire fit into our inclusion criteria. In general characteristics, there are 166 (61.5%) female respondents, 102 (37,8%) respondents aged between 31 to 40 years, 102 (37,8%) respondents have type O blood type, 257 (95,2%) respondents have never smoked, 84 (31,1%) had normal body mass index, 167 (56,4%) respondents did not have comorbid but 37 (12,5%) respondents had comorbid hypertension, 10 (3,4%) respondents had comorbid diabetes mellitus, and 6 (2,0%) respondents have comorbid heart disease, and 234 (86,7%) respondents have received the second dose of the COVID-19 vaccine. On social characteristics, as many as 206 (76,3%) respondents were married, 222 (82,2%) respondents lived xv with their families, 86 (36,8%) respondents lived with health workers, 10 (3,7%) respondents had been exposed to cases of COVID-19 and outside the country. Working hours, and 169 (62,6%) respondents had traveled outside the city during the pandemic. On career characteristics, it was found that 139 (51,5%) respondents had a graduate degree or professional education, 105 (38,9%) respondents worked as general practitioners, and 111 (41,1 %) respondents were civil servants. On the characteristics of the respondents' workplaces, there are 128 (47,4%) respondents working in a health facility, 139 (28,7%) respondents working in type C hospitals, 181 (35,1%) respondents working in outpatient units, and 96 (35,6%) respondents have 3 to 5 years of work experience in a health facility. Behavioral characteristics of respondents during work, there are 73 (42,7%) respondents limit the number of outpatients, 67 (39,2%) respondents limit the number of medical actions to outpatients, 169 (58,9%) respondents eat at work, 65 (24,1%) respondents brought their food, and 87 (32,2%) respondents ate with their co-workers at work. A total of 256 (94,8%) respondents stated that they understood the five moments of WHO hand hygiene, and 266 (98,5%) respondents were in the high hand hygiene compliance category. A total of 183 (67,8%) respondents had received training on PPE donning and doffing, 189 (70,0%) respondents replaced the PPE they used during work within 4 to 8 hours (101 or 53,4% of respondents), 85 (31,5%) respondents reused the masks they used. He used ultraviolet C light disinfection (45 or 52,9% of respondents), and 198 (73,3%) respondents were in the category of high compliance with the use of PPE. Conclusions: Indonesian doctors who worked during the COVID19 pandemic were mainly women aged 31 to 40 years, blood type O, no comorbidities, did not smoke, had an average body mass index, and had received a second dose of the COVID-19 vaccine. Most of them are graduates of undergraduate or professional education, general practitioners, and civil servants. The majority of them work in one health facility with the most type being type C hospital, work in an outpatient unit, and have 3 to 5 years of experience. Most doctors do not limit the number of patients and xvi medical actions in outpatient units. Most doctors eat at work with their co-workers. Most doctors have high compliance in the use of PPE and hand hygiene.