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Kajian Kebijakan Stategis Dalam Pencegahan Stunting Di Kabupaten Keerom Provinsi Papua Manangsang, Frans; Rumaseb, Ester; Purba, Ellen R.V; Swastika, I Ketut; Nuburi, Dorci
JURNAL WACANA KESEHATAN Vol 9, No 1 (2024): Juli
Publisher : AKPER Dharma Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52822/jwk.v9i1.652

Abstract

Terjadi peningkatan akses layanan kesehatan dan partisipasi masyarakat dalam pencegahan stunting di Wilayah Papua, akan tetapi tantangan signifikan terdapat pada keterbatasan infrastruktur, kekurangan tenaga kesehatan, isolasi geografis, dan hambatan budaya dalam pencegahan stunting. Tujuan penelitian yaitu mengevaluasi kebijakan strategis dalam pencegahan stunting di Kabupaten Keerom, Provinsi Papua, dengan menyoroti intervensi gizi spesifik dan sensitif, serta kampanye edukasi yang telah diimplementasikan. Metode penelitian yang digunakan yaitu studi kasus dengan mengkaji kebijakan penanganan stunting. Pengumpulan data dilakukan dengan fokus group discussion dan round table discussion. Analisis data menggunakan metode kualitatif dan kuantitatif. Hasil penelitian menunjukan bahwa kebijakan strategis dalam pencegahan stunting di Kabupaten Keerom, Provinsi Papua, telah mencakup intervensi gizi spesifik dan sensitif, serta kampanye edukasi yang efektif dalam meningkatkan kesadaran masyarakat tentang pentingnya gizi seimbang. Meskipun demikian, penelitian mengidentifikasi tantangan utama yang menghambat efektivitas kebijakan tersebut, termasuk keterbatasan infrastruktur, kekurangan tenaga kesehatan, dan isolasi geografis. Selain itu, kebiasaan budaya lokal juga memainkan peran dalam menghambat penerapan praktik gizi yang baik. Untuk meningkatkan efektivitas kebijakan ini, rekomendasi yang diberikan meliputi peningkatan infrastruktur, penambahan dan pelatihan tenaga kesehatan, serta penyesuaian pendekatan kampanye edukasi yang lebih sesuai dengan konteks budaya lokal.
ANALISIS DENGAN METODE ETHNONURSING LEININGER PREVALENSI KUSTA: SOSIAL, BUDAYA DAN PERAN TENAGA KESEHATAN Swastika, I Ketut; Bahari, Bahari; Payasan, Lalu Guntur; Abimulyani, Yumi; Susanto, Wibowo Hanafi Ari; Purba, Lilys Irianty Natalia
Media Penelitian dan Pengembangan Kesehatan Vol. 34 No. 1 (2024): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v34i1.1805

Abstract

Leprosy has not been eliminated in six provinces in Indonesia, one of which is Papua. Mappi Regency, Papua, contributed one thousand cases of leprosy in the last five years and 100 active cases in 2020. The high leprosy prevalence in Mappi Regency is still a mystery of the main cause. It is necessary to explore the causes of the high prevalence of leprosy in the region. The study aimed to explore socio-cultural factors and the role of health workers on the prevalence of leprosy in Mappi Regency, Papua, Indonesia. The study method was Qualitative ethnonursing by purposive sampling. This research was conducted in Mappi Regency. Data saturation was obtained from fourteen informants: four leprosy patients, four leprosy patients' families, three health workers, and three stakeholders in Primary Health Center Kepi, Kota 2, Senggo, and Health Office Mappi. Data retrieval and processing with Leininger's Ethnonursing analysis was assisted by Atlas.ti application. The study result showed there were seven emerging themes, including social and cultural: leprosy is considered like a common disease, changes in economic situation, affordability and geographical conditions, leprosy care by patients, families, and communities, suboptimal practices of health workers, limited role of government, budget, and logistics, and expectations for handling leprosy cases. The study concluded that social and cultural factors and the role of health workers contribute to the prevalence of leprosy in Mappi District, Papua, Indonesia. Strengthening the role of families, communities, health workers, and government policies is needed to support the recovery of leprosy patients and reduce the prevalence of leprosy.
PENERAPAN TRANSTHEORICAL MODEL BEHAVIORAL CHANGE TERHADAP KEPATUHAN BEROBAT PADA PASIEN MULTIDRUG RESISTANT TUBERCULOSIS DI PUSKESMAS KOTA DAN KABUPATEN JAYAPURA Sulistiyani, Sulistiyani; Situmeang, Lamria; Aji, Rustam; Swastika, I Ketut
Media Penelitian dan Pengembangan Kesehatan Vol. 33 No. 4 (2023): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v33i4.1874

Abstract

Multi Drug Resistant Tuberculosis (MDR-TB) is still a global health problem. Indonesia is the 3rd country with an average of 5% cases per 100,000 population. For the Papua region, MDR-TB is still a major problem because the treatment success rate has not reached the WHO indicator (68.7%). The treatment of MDR-TB is complex and time-consuming, making patients non-compliant. Reports of low patient visits have made it possible to develop a promotive service program based on applying the Transtheoretical Model (TTM) of Behavioral Change. The TTM Model focuses on changing behavior with the main component of self-efficacy. The study aimed to determine the characteristics of patients, treatment compliance of MDR-TB patients, analyze the effect of applying the TTM behavioral change model with the level of treatment compliance of MDR-TB patients. The research method used a pre-experiment design with a one-group pre-test-post-test design. The study population was 35 patients at the city and district health centers of Jayapura. The instruments used were the Self-Efficacy For Appropriate Medication Use Scale (SEAMS) and TB Medication Adherence Scale (TBMAS). The effect test used a paired sample t-test with significance level p-value=0.05. This indicates an effect of changes in compliance behavior after being given health promotion by applying the Transtheoretical Model. Substantially, the level of adherence to taking medication in MDR-TB patients is also influenced by belief and motivation to recover. There is support from nurses at the puskesmas who often provide behavior change promotions, so patients have the strength and support of a good system that has a positive impact on increasing thoughts to achieve recovery. The importance of Increasing health promotion based on behavior change in MDR-TB patients can increase self-efficacy to recover so that it has an impact on adherence to taking medication.
Nurse’s Perception of Papua Province’s Ability to Run Master Program of Occupational Health Nursing Tukayo, Isak J.H.; Saljan, M.; Swastika, I Ketut; Hardy, Syaifoel
Jurnal Berita Ilmu Keperawatan Vol. 15 No. 1 (2022): January
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v15i1.16219

Abstract

Industrial development in Papua Province has not been accompanied by an increase in the specialization of Occupational Health Nursing (OHN) education, despite the demands for quality health care services. The objective is to explore the nurses’ perception on managing a master's program in Occupational Health Nursing (OHN). The study methods using descriptive cross sectional design. The variables were master program of OHN as the dependent variable and nurse perception as the independent variable. The population were nurses in Papua and the sampling technique was simple random sampling. Total sample are 184 nurses as sampling with confidence level of 95% and confidence interval of 5% from 350 total population. The study used univariate data analysis which includes demographic data and respondents' perceptions of the ability of the Papuan people in implementing the program. The data collection tool was a mixed questionnaire of Likert scale processed by the SPSS (Statistical Package for Social Sciences) 25 version application and R program for sampling processing. The results show majority respondents (76.1%) were interested in continuing the OHN Master's program, and most of them (73.3%) had the perception that the province of Papua was able to run it. The research projected an initial signal that specialist education in OHN was for the benefits of workers, industries, the public, and the nursing profession.
Penggunaan Media GESUKA “Gelas Suku Kata” untuk meningkatkan Hasil Belajar Mata Pelajaran Bahasa Indonesia Materi Suku Kata Umami, Aida Isti; Irawati, Ettik; Swastika, I Ketut
Teaching, Learning, and Development Vol. 2 No. 1 (2024)
Publisher : Education and Development Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62672/telad.v2i1.27

Abstract

Abstract: The poor learning results in syllables as an Indonesian language topic prompted this investigation. The goal of this research was to examine class I learning via the lens of syllable glass analysis. The researchers followed the four steps of the Kemmis and Mc Taggart model of class action research, which included developing an action plan, carrying it out, observing its results, and reflecting on the study's methodology. Two iterations of the implementation were used in this study. Research is carried out in these four phases throughout each cycle. The subjects of this study were 28 pupils of grade I at SDN Bandulan 4 Malang. Research tests and observations rely on data collecting, which is done by researchers. Researchers often use a multiple-choice format for their assessments. The collected data was examined using descriptive statistics. The research found that when Gesuka media was introduced, students' average learning outcomes rose from 60 in the pre-cycle to 74.3 in the first cycle. The second cycle had a similarly impressive improvement, reaching an overall average of 89.3. The improvement may be attributed to both learning outcomes and the conduciveness of the learning environment. This research shows that first-year students of Indonesian at SDN Bandulan 4 Malang may benefit from using syllable glass media in their classrooms. Abstrak: Buruknya hasil belajar suku kata sebagai topik bahasa Indonesia mendorong penyelidikan ini. Tujuan penelitian ini adalah mengkaji pembelajaran kelas I melalui kacamata analisis suku kata kaca. Para peneliti mengikuti empat langkah penelitian tindakan kelas model Kemmis dan Mc Taggart, yang meliputi mengembangkan rencana tindakan, melaksanakannya, mengamati hasilnya, dan merefleksikan metodologi penelitian. Dua iterasi implementasi digunakan dalam penelitian ini. Penelitian dilakukan dalam empat fase tersebut sepanjang setiap siklusnya. Subyek penelitian ini adalah siswa kelas I SDN Bandulan 4 Malang yang berjumlah 28 orang. Tes penelitian dan observasi bergantung pada pengumpulan data yang dilakukan oleh peneliti. Peneliti sering menggunakan format pilihan ganda untuk penilaian mereka. Data yang terkumpul diperiksa dengan menggunakan statistik deskriptif. Penelitian menemukan bahwa ketika media Gesuka diperkenalkan, rata-rata hasil belajar siswa meningkat dari 60 pada prasiklus menjadi 74,3 pada siklus I. Siklus kedua mengalami peningkatan yang sama mengesankannya, mencapai rata-rata keseluruhan sebesar 89,3. Peningkatan tersebut mungkin disebabkan oleh hasil pembelajaran dan kondusifnya lingkungan belajar. Penelitian ini menunjukkan bahwa siswa tahun pertama Bahasa Indonesia di SDN Bandulan 4 Malang dapat memperoleh manfaat dari penggunaan media kaca suku kata di kelas mereka.
Manfaat Senam Ergonomik Dalam Penurunan Tekanan Darah (Hipertensi) Pada Lansia : Scoping Review Tondok, Santalia Banne; Swastika, I Ketut; Simanjuntak, Roganda
Barongko: Jurnal Ilmu Kesehatan Vol. 3 No. 3 (2025): Barongko : Jurnal Ilmu Kesehatan (Juli)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/bajik.v3i3.727

Abstract

Aging is a natural part of human life. Aging is one of the factors that cause hypertension, as with increasing age, bodily functions decline, marked by a decrease in the elasticity of arterial blood vessels and increased stiffness of blood vessels, making them more susceptible to elevated blood pressure in the elderly. Blood pressure is one of the vital signs, along with respiratory rate, heart rate, oxygen saturation, and body temperature. One of the common issues related to blood pressure is hypertension, which contributes to premature mortality worldwide. A person is considered to have hypertension if their systolic blood pressure is > 140 mmHg and diastolic blood pressure is > 90 mmHg. From a health perspective, as we age, we become more vulnerable to various physical, mental, social, and economic issues. High blood pressure not only affects your quality of life but can also be life-threatening. Lack of attention to lifestyle factors, such as poor dietary habits or insufficient physical activity, can contribute to the development of high blood pressure in the elderly. To prevent the risk of more severe complications, blood pressure can be controlled by changing lifestyle habits and engaging in regular physical activity, one of which is ergonomic exercise, which is very practical, efficient, and easy to perform. This literature review aims to analyze the application of ergonomic exercise in lowering blood pressure in hypertensive patients. Based on several reviews of various articles, it is evident that the application of ergonomic exercise has proven effective in lowering blood pressure in hypertensive patients.
Upaya Peningkatan Lansia Sehat dan Sejahtera Di Panti Werdha Tat Twam Asi Jayapura: Indonesia Purba, Elen; Apay, Frengky; Swastika, I Ketut; Felle, Zeth Roberth; Rumaseb, Ester; Manangsang, Frans; Suriyani, Suriyani; Gentidatu, Sofietje; Suweni, Korinus; Sulistyani, Sulistyani; Mebri, Elisabeth; Rophi, Kristiyani Herda; Muspitha, Fitri Diah; Mandowen, Rospuana; Marjuanah, Marjuanah; Pongtiku, Sri Rejeki L.
Jurnal Masyarakat Madani Indonesia Vol. 2 No. 4 (2023): November
Publisher : Alesha Media Digital

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59025/js.v2i4.171

Abstract

Periode lansia sangat rentan terhadap penyakit degeneratif dan penurunan kualitas hidup yang ditandai dengan menurunnnya kemampuan untuk melakukan aktifitas secara mandiri. Pemenuhan nutrisi dan edukasi hidup sehat menjadi salah satu upaya yang dapat dilakukan untuk meningkatkan kualitas hidup lansia sehingga tercapainnya lansia sehat dan sejahtera. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan kesejahteraan lansia melalui penyuluhan hidup bersih dan sehat, pemeriksaaan kesehatan dan pemberian makanan tambahan. Pelaksanaan kegiatan dilakukan dengan metode edukasi tentang penyakit yang beresiko menyerang lansia, obat herbal, dan penanganan dini pada penyakit diabetes, asam urat, dan kolesterol. Kegiatan diikuti oleh 34 lansia, 78 mahasiswa dan 15 tenaga pengajar sebagai narasumber dan praktisi kesehatan di Panti Tresna Werdha Tat Twam Asi Pos 7 Sentani Jayapura. Hasil yang di capai pada kegiatan ini barupa peningkatan pemahaman lanasia melalui sesi tanya jawab dan terpenuhinnya nutrisi yang di butuhkan lansia melalui pemberian makanan tambahan. Kegiatan tersebut diharapkan dapat meningkatkan kesejahteraan lansia melalui hidup sehat dan bahagia.
Stress with the Incidence of Hypertension in the Internal Care Room of the Jayapura Regional General Hospital Tondok, Santalia Banne; Ruben, Sethiana Dewi; Hidayati, Laili Nur; Halitopo, Yoel; Swastika, I Ketut; Suabey, Suningsih
International Journal of Health Sciences Vol. 1 No. 2 (2023): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (589.046 KB) | DOI: 10.59585/ijhs.v1i2.83

Abstract

Hypertension is a condition where a person experiences an increase in blood pressure above normal which results in morbidity (mordibility) and mortality/mortality. Blood pressure 140/90 mmHg is based on two phases in each heartbeat, namely the systolic phase of 140 mmHg indicating the phase of blood being pumped by the heart and the diastolic phase of 90 mmHg indicating the phase of blood returning to the heart. The purpose of this study was to determine the relationship between stress and the incidence of hypertension. The research method used in this study is a surveyanalytic study using a cross-sectional design, namely each respondent is only observed once and the measurement of the respondent's variables is carried out at the time of the examination. The population in this study were all patients with hypertension who were hospitalized in the Internal Medicine room, totaling 54 people. From the results of research on the relationship between stress and the incidence of hypertension in the Interna Treatment Room of Jayapura Regional General Hospital, it can be concluded that there is a relationship between stress and the incidence of hypertension in the Interna Treatment Room of Jayapura Regional General Hospital with a significant value obtained ρ < α (0.036 < 0.05).
Peningkatan Derajat Kesehatan Masyarakat di Kampung Ifar Besar Papua Melalui Penyuluhan Malaria, Stunting, Scabies, Asam Urat, dan TB Apay, Frengky; Manangsang, Frans; Purba, Ellen Rosawita Veronica; Gentidatu, Sofietje; Swastika, I Ketut; Rophi, Kristiyani Herda; Rumaseb, Ester; Muspitha, Fitri Diah; Rahayu, Gemi; Mebri, Elisabeth
Jurnal Masyarakat Madani Indonesia Vol. 3 No. 3 (2024): Agustus
Publisher : Alesha Media Digital

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59025/js.v3i3.227

Abstract

Malaria dan Tuberkulosis merupakan penyakit menular yang masih menjadi tantangan besar, sementara stunting dan asam urat berhubungan dengan gizi dan pola hidup yang perlu diperbaiki. Scabies sebagai penyakit kulit akibat kebersihan yang kurang optimal dan membutuhkan perhatian khusus. Pemberdayaan masyarakat melalui penyuluhan merupakan strategi dalam meningkatkan derajat kesehatan masyarakat di Kampung Ifar Besar, Papua. kegiatan ini bertujuan untuk memberikan pemahaman yang komprehensif kepada warga mengenai gejala, penyebab, dan pencegahan berbagai penyakit didaerah Kampung Ifar Besar, Papua. Pelaksanaan kegiatan dilakukan dengan metode pemberdayaan masyarakat melalui penyuluhan yang dilakukan dengan pendekatan partisipatif dan terstruktur. Kegiatan ini dimulai dengan melakukan survei awal untuk mengidentifikasi tingkat pengetahuan dan kebutuhan kesehatan masyarakat setempat. Selanjutnya, diadakan sesi penyuluhan melalui ceramah, diskusi kelompok, dan demonstrasi praktik hidup bersih dan sehat yang melibatkan tenaga kesehatan, kader desa, dan tokoh masyarakat. Kegiatan di ikuti oleh 34 kepala keluarga di Kampung Ifar Besar. Evaluasi dan pemantauan dilakukan secara berkala untuk menilai efektivitas kegiatan yang dilakukan oleh mahasiswa PKL Poltekes Kemenkes Jayapura. Setelah serangkaian sesi penyuluhan, masyarakat menjadi lebih memahami gejala, penyebab, dan cara pencegahan berbagai penyakit tersebut. Terjadi peningkatan dalam praktik hidup bersih dan sehat, seperti kebiasaan mencuci tangan dan penerapan pola makan seimbang untuk mencegah stunting dan asam urat
Pencegahan stroke dengan intervensi edukasi dan screening resiko stroke pada lansia di Kampung Skow Sae Distrik Muara Tami Jayapura Papua Rophi, Kristiyani Herda; Swastika, I Ketut; Purba, Ellen R. V.; Apay, Frengky; Manangsang, Frans; Marjuannah, Marjuannah
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 9, No 6 (2025): November (In Progress)
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v9i6.35392

Abstract

Abstrak Kemunduran fungsi organ pada lansia dapat meningkatkan faktor resiko terhadap beberapa masalah kesehatan salah satunya adalah stroke. Data Puskesmas Skow menunjukkan bahwa di Kampung Skow Sae terdapat 1 kasus stroke pada lansia, 25 kasus hipertensi, 10 kasus diabetes melitus, dan 20 kasus kolesterol tinggi pada kelompok usia lanjut. Selain itu, sekitar 38% lansia di Kampung Skow Sae tidak rutin menghadiri kegiatan Posyandu Lansia, sehingga pemantauan faktor risiko dan edukasi kesehatan tidak berlangsung optimal. Kader lansia juga melaporkan bahwa informasi mengenai stroke serta pemeriksaan risiko stroke belum pernah dilakukan di Posyandu Lansia. Pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan lansia tentang penyakit stroke dan melakukan screening resiko stroke pada lansia. Metode kegiatan mencakup 2 kegiatan yakni: (1) Pemberian edukasi berupa penyuluhan interaktif; dan (2) Melakukan screening risiko stroke dengan menggunakan The Stroke Risk Score Card (SRSC) yakni instrument hasil pengembangan model deteksi risiko stroke oleh National Stroke Association. Kegiatan dilaksanakanpada tanggayl 21 Maret 2025 dan melibatkan 28 lansia sebagai peserta. Evaluasi dilakukan dengan menggunakan kuasioner untuk menilai perubahan pengetahuan dan The Stroke Risk Score Card (SRSC) untuk menilai tingkat risiko stroke pada peserta. Hasil kegaiatan menunjukan peningkatan pengetahuan lansia dengan hasil  mean pengetahuan sebelum dan sesudah edukasi/penyuluhan  (23,93 dan 56,43) dengan peningkatan 136%.  Hasil screening 10,8% lansia dengan risiko tinggi stroke, 32,1% risiko sedang stroke dan 57,1% dengan risiko rendah stroke. Kegiatan ini dapat dilakukan berkelanjutan untuk menurunkan faktor risiko stroke, sehingga kejadian stroke bisa dicegah dan menurunkan disabilitas serta mortalitas akibat stroke. Implikasinya, diperlukan penguatan edukasi kesehatan, pemantauan rutin faktor risiko, serta rujukan dan tata laksana cepat bagi lansia berisiko tinggi melalui kolaborasi antara PKM, kader, dan keluarga. Kata kunci: pengabdian; lansia; resiko stroke; Stroke Risk Score Card (SRSC)   Abstract Declining organ function in older adults increases the risk of various health problems, one of which is stroke. Data from the Skow Community Health Center (Puskesmas Skow) show that in Skow Sae Village there is 1 case of stroke in an older adult, 25 cases of hypertension, 10 cases of diabetes mellitus, and 20 cases of hypercholesterolemia in the elderly population. In addition, about 38% of older adults in Skow Sae Village do not regularly attend the Posyandu Lansia (integrated health post for the elderly), resulting in suboptimal monitoring of risk factors and health education. Elderly cadres also reported that information regarding stroke and stroke risk assessment has never been provided at the Posyandu Lansia. This community service activity aimed to increase older adults’ knowledge about stroke and to conduct stroke risk screening among them. The methods consisted of two activities: (1) providing education through interactive health counseling, and (2) conducting stroke risk screening using the Stroke Risk Score Card (SRSC), an instrument developed by the National Stroke Association for stroke risk detection. The activity was carried out on March 21, 2025 and involved 28 older adults as participants. Evaluation was conducted using a questionnaire to assess changes in knowledge and the SRSC to determine the level of stroke risk among participants. The results showed an increase in knowledge, with mean scores before and after education/counseling of 23.93 and 56.43, respectively, representing a 136% improvement. Screening results showed that 10.8% of older adults had a high risk of stroke, 32.1% had a moderate risk, and 57.1% had a low risk of stroke. This activity can be continued sustainably to reduce stroke risk factors, thereby preventing stroke events and reducing disability and mortality due to stroke. The implications highlight the need to strengthen health education, routinely monitor risk factors, and ensure prompt referral and management for high-risk older adults through collaboration between the health center, community health cadres, and families. Keywords: devotion; elderly; stroke risk; Stroke Risk Score Card (SRSC).