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Alun-alun Pagaden merupakan salah satu aset ruang terbuka publik di Kabupaten Subang. Peranan Alun-alun sebagai tempat masyarakat beraktivitas tentunya harus memiliki kualitas aset yang baik. Akan tetapi, berdasarkan observasi pendahuluan yang dilakukan ditemukan beberapa indikasi masalah yaitu pengunjung memarkirkan kendaraannya di bahu jalan dan pintu masuk alun-alun, pengunjung kesulitan untuk mendapatkan fasilitas sesuai dengan penggunanya terutama bagi penyandang disabilitas, terdapat penumpukan sampah di area tertentu, dan fasilitas yang tersedia terbatas. Penelitian ini dilakukan untuk mengetahui kualitas aset Alun-alun Pagaden berdasarkan key attributes of successful places. Metode penelitian yang digunakan adalah metode deskriptif kualitatif dan kuantitatif dengan teknik pengumpulan data dengan cara observasi, wawancara, kuesioner, dan studi dokumentasi. Hasil dari penelitian menunjukkan kualitas aset Alun-alun Pagaden dinilai cukup baik. Belum tersedia jalur pejalan kaki beserta area parkir sebagai kriteria kemudahan tempat untuk didatangi dan dilihat dengan interpretasi 41,6%. Selain itu pada Alun-alun Pagaden belum tersedia area tempat duduk beserta penerangan yang cukup sebagai kriteria kenyamanan dan citra positif dengan interpretasi 12,5%. Pada kriteria kegunaan dan keterikatan masyarakat terhadap ruang terbuka dinilai cukup baik dengan interpretasi 75%, yakni pengguna alun-alun dari berbagai generasi dapat memenuhi aktivitas sosial, ekologis, ekonomi, arsitektural, serta fungsi darurat.

This study aims to determine the effect of the quality of tourism infrastructure assets on tourist satisfaction on forest tourism in Tasikmalaya Regency including the quality of accommodation, quality of accessibility and quality of amenities. The research population is tourists who have visited the Batu Hanoman Waterfall, Batu Blek Waterfall, Candung Waterfall, and Ciparay Waterfall in Tasikmalaya Regency with a sample size of 336 respondents, applying a purposive sample. The data is processed using the Structural Equation Model (SEM). The results of this study indicate that the quality of accommodation, the quality of accessibility and the quality of amenities have a positive effect on tourist satisfaction. This means that tourism infrastructure assets, both quality of accommodation, quality of accessibility and quality of amenities can increase satisfaction for tourists. In total, the quality of amenities has the greatest influence on tourist satisfaction, followed by the quality of accessibility and quality of accommodation. Studies prove that efforts to increase tourist satisfaction can be done by improving the quality of accommodation, quality of accessibility, and quality of amenities.

Background: Although there is no licensed vaccine for monkeypox, smallpox vaccine has been shown to be 85% effective in preventing the monkeypox. This study was conducted to assess the willingness of frontline healthcare providers to be vaccinated with smallpox vaccine to prevent monkeypox., Methods: A cross-sectional study was conducted in Indonesia. The willingness was assessed under two scenarios: fully subsidized and non-subsidized vaccine. Explanatory variables such as sociodemographic profile, workplace and professional characteristics, and knowledge of monkeypox were collected. A logistic regression assessed the influence of these explanatory variables on participants' willingness., Results: Out of 510 received participants' responses, 407 (79.8%) were analyzed. With a fully subsidized vaccine scenario, 381 (93.6%) of the participants were willing to be vaccinated and in an unadjusted analysis, gender, education, monthly income, and type of workplace were associated with willingness. With a non-subsidized vaccine (i.e. the vaccine price was US$ 17.9), the proportion who were willing to be vaccinated decreased to 71.9%. In adjusted analyses for both scenarios, gender was the only independent predictor for willingness; men were less willing to be vaccinated than women, adjusted odds ratio (aOR): 0.37; 95% confidence interval (CI): 0.16, 0.87 and aOR: 0.42; 95%CI: 0.27, 0.67, respectively for subsidized and non-subsidized scenario., Conclusion: Vaccine price and gender are important factors for physicians' willingness to be vaccinated for smallpox vaccine prevent monkeypox in Indonesia. These findings indicate that achieving high vaccine converge may require partially or fully subsidized vaccines, along with a clear guideline and recommendation from authorities., Competing Interests: The authors declare that they have no competing interests., (© 2020 INDIACLEN. Published by Elsevier, a division of RELX India, Pvt. Ltd. All rights reserved.)

Background: A clinical trial is ongoing to evaluate the safety and efficacy of a monkeypox vaccine among healthcare workers (HCWs). The critical question that needs to be addressed is whether HCWs are willing to accept and purchase this vaccine. The objective of this study was to evaluate the acceptance and willingness to pay (WTP) for the vaccine among HCWs., Methods: From May to July 2019, a cross-sectional study was conducted among registered general practitioners (GPs) in Indonesia. A contingent valuation method was employed to evaluate the WTP. Besides acceptance and WTP, various explanatory variables were also collected and assessed. A logistic regression and a multivariable linear regression were used to explore the explanatory variables influencing acceptance and WTP, respectively., Results: Among 407 respondents, 391 (96.0%) expressed acceptance of a free vaccination. The mean and median WTP was US$ 37.0(95%CI:US$ 32.76-US$ 41.23) and US$ 17.90(95%CI:US$ 17.90-US$ 17.90), respectively. In an unadjusted analysis, those 30 years old or younger had 2.94 times greater odds of vaccine acceptance compared to those who were older (95%CI: 1.07-8.08). Location of alma mater, type of workplace, length of individual medical experience, and monthly income of GPs were all significantly associated with WTP., Conclusion: Although the vast majority of GPs would accept a freely provided vaccine, they were also somewhat price sensitive. This finding indicates that partial subsidy maybe required to achieve high vaccine coverage, particularly among GPs at community health centres or those with a shorter duration of medical practice., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2020 Elsevier Ltd. All rights reserved.)

The current re-emergence of human monkeypox (HMPX) is a global concern for endemic and non-endemic countries, but healthcare workers in some regions, like Asia, have less experience with identifying and treating HMPX cases. This study aimed to assess the confidence and its predictors in HMPX case management among general practitioners (GPs), the frontline doctors in Indonesia, and to explore their perspectives on HMPX. Between May and July 2019, GPs in Indonesia completed an online-based survey. The questionnaire collected information on GPs' confidence, perspective, sociodemographic, workplace and professional characteristics, exposure to HMPX information and knowledge on HMPX. A logistic regression analysis was employed to explore the explanatory variables influencing the confidence and the perspective. We included 395 GPs in our analysis (77.4% out of 510 responses received) of which 10.1% and 34.9% were classified having good confidence using an 80% and 70% cut-off for confidence score, respectively. In the adjusted analysis, receiving information about HMPX during medical training was the only variable significantly associated with good confidence (adjusted odds ratio 2.74, 95% confidence interval 1.57 to 4.78 and p < 0.001). Approximately 73.6% and 77.9% of GPs agreed that HMPX is an important infectious disease and it has potential to detrimentally impact the Indonesian economy, respectively. In addition, 88.8% of GPs suggested that the disease should be incorporated into the National Medical Curriculum of Indonesia. In conclusion, in case of HMPX outbreak, majority of the GPs in Indonesia seem to be less confident in diagnosing and treating cases, using their current knowledge, skills and their workplace facilities. Therefore, a systematic strategy to improve their confidence in managing HMPX is required., Competing Interests: Declaration of Competing Interest The authors declare that they have no competing interests., (Copyright © 2020 Elsevier B.V. All rights reserved.)

After the first, imported, laboratory-confirmed case of monkeypox in human was reported in Singapore on May 2019, countries in Asia started to strengthen disease surveillance systems. One challenge in preventing monkeypox is a lack of knowledge, particularly among healthcare workers. The aim of this study was to assess the knowledge of monkeypox among general practitioners (GPs) in Indonesia. A cross-sectional online survey was conducted. The survey collected participants' knowledge on a 21-item scale and explanatory variables. A two-step logistic regression analysis was employed to assess the predictors of knowledge of monkeypox. A total of 432 GPs were included; 10.0% and 36.5% of them had a good knowledge using an 80% and 70% cutoff point for knowledge domain, respectively. No explanatory variables were associated with knowledge when using 80% cutoff point. Using the lower cutoff, there was lower knowledge among GPs who graduated from universities located in Sumatra or other islands versus Java (adjusted odds ratio (aOR): 0.53; 95%CI: 0.28-0.97, p = 0.041) and among those were older than 30 years compared to younger GPs (aOR: 0.61; 95%CI: 0.39-0.96, p = 0.033). GPs working in private clinics had less knowledge compared to GPs in community health centers (aOR: 0.55; 95%CI: 0.31-0.99, p = 0.047). In conclusion, knowledge of monkeypox among GPs in Indonesia is relatively low in all groups. Increasing knowledge of monkeypox will be key to improving the capacity of GPs to respond to human monkeypox cases and to report into a disease surveillance system.