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Hubungan Faktor Lingkungan Fisik dengan Kejadian Demam Berdarah Dengue di Wilayah Kerja Puskesmas Baturetno I Dian setyaningsih; Titik Haryanti; Akhmad Azmiardi
Jurnal Ilmu Kesehatan Masyarakat Berkala Vol 3, No 1 (2021): Jurnal Ilmu Kesehatan Berkala (JIKeMB) - Mei 2021
Publisher : Universitas Veteran Bangun Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jikemb.v3i1.1302

Abstract

Demam Berdarah Dengue merupakan salah satu penyakit berbasis lingkungan, artinya lingkungan sangat berperan dalam terjadinya penularan penyakit tersebut diantaranya faktor lingkungan fisik. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara faktor lingkungan fisik dengan kejadian DBD di wilayah kerja Puskesmas Baturetno I.Jenis penelitian yang digunakan adalah penelitian kuantitatif Observasional analitik dengan rancangan penelitian Case Control study. Populasi kasus sebanyak 30 dan populasi kontrol sebanyak 30 dengan teknik pengambilan sampel menggunakan total sampling sehingga didapatkan sampel 60. Instrumen penelitian menggunakan kuesioner dan lembar observasi. Analisis data yang digunakan yaitu uji Chi-square dan Odds Ratio dengan tingkat kepercayaan 95% atau α=0,05.Hasil analisis univariat menunjukkan responden dengan keberadaan ventilasi berkasa sebanyak (35%) tidak ada kasa (48,3%), pencahayaan yang memenuhi syarat (43,3%), tidak memenuhi syarat (56,7%), kelembaban di dalam rumah yang memenuhi syarat (60%), tidak memenuhi syarat (40%), dan terdapat keberadaan jentik nyamuk sebanyak (48,3%), yang tidak ada keberadaan jentik nyamuk (51,7%). Sedangkan analisis bivariat menunjukan ada hubungan antara ventilasi yang tidak ada kasa dengan p-value (0,004) dan nilai (OR=4,66, CI=1,57-13,8), ada hubungan pencahayaan yang tidak memenuhi syarat (<60 lux) dengan p-value (0,009) dan nilai (OR=4,12, CI=1,38-12,2), ada hubungan antara kelembaban yang tidak memenuhi syarat (<40%->60%) dengan p-value (<0,001) dan nilai (OR=8,63, CL=2,56-29,0), ada hubungan antara keberadaan jentik dengan p-value (0,002) dan nilai (OR=0,18, CI=0,06-0,55) dengan kejadian DBD di wilayah kerja Puskesmas Baturetno I.Disarankan bagi masyarakat untuk melakukan pemberantasan sarang nyamuk sesuai informasi dari Puskesmas.
Standar Pelayanan Minimal Rehabilitasi Napza di Indonesia Akhmad Azmiardi
Jurnal Ilmu Kesehatan Masyarakat Berkala Vol 3, No 1 (2021): Jurnal Ilmu Kesehatan Berkala (JIKeMB) - Mei 2021
Publisher : Universitas Veteran Bangun Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jikemb.v3i1.1693

Abstract

Penggunaan napza memberi dampak yang luas, tidak hanya fisik dan jiwa, namun menimbulkan dampak bagi dirinya sendiri, lingkungan keluarga, maupun masyarakat pada umumnya. Rehabilitasi Napza diperlukan agar klien dapat melaksanakan fungsi sosialnya dengan baik. peningkatan jumlah penyalahguna napza di Indonesia perlu diimbangi dengan perluasan fasilitas terapi dan rehabilitasi ketergantungan napza baik yang dikelola oleh pemerintah dan lembaga non pemerintah yang ditunjuk. Kondisi ini menjadi tantangan tersendiri bagi upaya rehabilitasi ketergantungan napza di Indonesia ditengah-tengah banyaknya jenis program yang ditawarkan misalnya rehabilitasi medis dan social hingga terapi rehabilitasi berdasarkan agama kepercayaan. Fasilitas, sarana, prasarana, sumber daya manusia yang juga beragam berpengaruh terhadap mutu pelayanan rehabilitasi yang diberikan. Standar pelayanan minimal sangat diperlukan untuk menjamin kualitas layanan dan ouput layanan yang dihasilkan. Perbedaan standar pelayanan rehabilitasi yang terjadi di Indonesia menjadi permasalan yang nyata didalam pelaksanaanya. Penelitian ini bertujuan menjelaskan gambaran standar pelayanan minimal rehabilitasi napza di Indonesia.
Implementasi Protokol Kesehatan Covid-19 pada Petugas Kesehatan di Puskesmas Baki Sukoharjo Ester Kristian Pamurti; Iik Sartika; Akhmad Azmiardi
Jurnal Ilmu Kesehatan Masyarakat Berkala Vol 4, No 1 (2022): Jurnal Ilmu Kesehatan Berkala (JIKeMB) - Mei 2022
Publisher : Universitas Veteran Bangun Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jikemb.v4i1.2459

Abstract

Puskesmas Baki Sukoharjo diketahui mengalami peningkatan jumlah pasien positif COVID-19 per bulan Juni-Desember tahun 2020, penurunan rata-rata jumlah pasien per bulan Januari-April tahun 2021, terdapat 7 petugas kesehatan yang terkonfirmasi positif COVID-19 pada tahun 2019-2021, serta dalam pelaksanan protokol kesehatan petugas kesehatan mengalami kendala yaitu kurang tersedianya APD yang lengkap dan merata sehingga petugas kesehatan perlu membawa sendiri APD dapat mempengaruhi empat variabel dari Model Van Meters dan Van Horn. Tujuan penelitian ini adalah untuk mengetahui implementasi protokol kesehatan COVID-19 pada petugas kesehatan di Puskesmas Baki Sukoharjo.                Jenis dan rancangan penelitian menggunakan penelitian kualitatif dengan metode study kasus. Instrumen penelitian menggunakan pedoman wawancara dan pedoman observasi. Teknik analisis data menggunakan Model Miles dan Huberman (data reduksi, data display, conclusion drawing atau verification).                Hasil penelitian berdasarkan empat variabel Model Van Meters dan Van Horn didapatkan hasil bahwa standar dan sasaran kebijakan sudah baik karena terdapat SPO COVID-19 berpedoman pencegahan dan pengendalian COVID-19 revisi ke-5 dan Juknis Kemenkes; sumber daya manusia dan non manusia atau fisik belum memadai; karakteristik agen pelaksana sudah baik karena terdapat struktur organisasi dan tim gerak cepat penanganan COVID-19; serta disposisi implementor bahwa agen pelaksana SPO COVID-19 sudah dilaksanakan dengan baik. Sehingga, dapat disimpulkan implementasi protokol kesehatan COVID-19 pada petugas kesehatan di Puskesmas Baki Sukoharjo sudah baik.                Saran kepada pihak Puskesmas Baki Sukoharjo yaitu perlunya koordinasi lebih baik lagi mengenai tugas dan wewenang atau melakukan rolling kerja sehingga tidak mengalami hambatan dalam mengimplementasi protokol kesehatan COVID-19 pada petugas kesehatan di Puskesmas Baki Sukoharjo agar dapat tercapainya capaian program yang lebih baik lagi. Kata kunci: Implementasi, Petugas Kesehatan, Protokol Kesehatan COVID‑19 
Prevalence of Mask Using Behavior During Covid-19 Pandemic Titik Haryanti; Akhmad Azmiardi; Dewi Puspito Sari; Sumardiyono Sumardiyono
Jurnal Ilmu Kesehatan Masyarakat Berkala Vol 3, No 2 (2021): Jurnal Ilmu Kesehatan Berkala (JIKeMB) - November 2021
Publisher : Universitas Veteran Bangun Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jikemb.v3i2.1713

Abstract

This research is an observational analytic study with a cross-sectional study design. This research was conducted in Sukoharjo Regency in November 2020. A total of 246 research subjects were obtained using simple random sampling. The dependent variable in this study was the use of masks. The independent variables in this study were age, education, knowledge, attitudes, and perceived threat. The data was obtained using an online questionnaire via google form. Biavariate analysis with Chi-Square. The results of this study obtained the prevalence of behavior using masks 226 people (91.87%). Factors that influence the behavior of using masks high knowledge (OR= 7.44; p<0.001), positive attitude (OR= 3.71; p= 0.005), and high threat perception. (OR= 2.68; p=0.031).
PENGELOLAAN LIMBAH PADAT MEDIS DI RUMAH SAKIT UMUM DAERAH IR SOEKARNO KABUPATEN SUKOHARJO Akhmad Azmiardi; Dara Fitri Andrian; Suryono Suryono
Jurnal Ilmu Kesehatan Masyarakat Berkala Vol 4, No 1 (2022): Jurnal Ilmu Kesehatan Berkala (JIKeMB) - Mei 2022
Publisher : Universitas Veteran Bangun Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jikemb.v4i1.2319

Abstract

Limbah medis adalah limbah yang berasal dari pelayanan medis. Pengelolaan limbah adalah cara menghancur atau memusnahkan barang atau benda medis yang sudah tidak terpakai. Tujuan penelitian ini untuk mengetahui proses pengelolaan limbah padat medis RSUD Ir. Soekarno Kabupaten Sukoharjo.            Jenis penelitian ini adalah penelitian deskriptif  kualitatif dengan pendekatan evaluatif yang berpedoman pada Permenkes No 7 Tahun 2019. Ruang lingkup penelitian berupa fasilitas pengelolaan limbah medis. Objek penelitian ini berupa unit pengelolaan limbah medis. Data yang diperoleh dengan cara wawancara, observasi dan dokumentasi. Metode analis data yang digunakan menggunakan teori metode dari milles dan Huberman yaitu reduksi data, penyajian data dan penarikan kesimpulan.            Berdasarkan hasil penelitian langsung di RSUD Ir Soekarno ditemukan bahwa rata-rata sumber limbah berasal dari rawat inap dan sumber limbah tersebut dilakukan pengelolaan di RSUD dari proses pemilahan hingga tahap TPS.Pengangkutan dilakukan oleh PT Arah Environment Indonesia.Kendala yang di alami dari RSUD adalah kurangnya jalur khusus menuju TPS dan APD yang masih belum lengkap.Kesimpulan masih ada beberapa yang belum sesuai dengan alur pengelolaan limbah padat medis yang diatur dalam Permenkes No 7 Tahun 2019 yaitu pada proses pengangkutan limbah dan APD petugas yang digunakan dan ada beberapa yang sudah sesuai mulai dari proses pemilahan,pewadahan dan TPS. Disarankan bagi pihak RSUD Ir. Soekarno untuk melakukan evaluasi dan meningkatan mutu kinerja SDM serta meningkatkan sarana dan prasarana dalam pengelolaan limbah padat medis rumah sakit.
Exploring the Nutritional Ecology of Stunting in a Village-Based Tourism: Towards Stunting-Free Tourism Industry in Lombok Siti Ruqayyah; Baiq Santi Rengganis; Akhmad Azmiardi
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 9, No 1 (2022): April 2022
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v9i1.5079

Abstract

Stunting has still been a primary target of the worldwide health agenda—external determinants such as economic, demographic, and environmental factors are the major causes. From now on, both external and internal factors are referred to as "nutritional ecologies". This research aims to examine the nutritional ecologies of stunting in a village-based tourist destination, namely Sigerongan Village of West Lombok, through several steps – (1) identifying factors leading to stunting in the village, (2) formulating the primary drive of the prevalence of stunting, (3) developing a model of free-stunting village-based tourism, and (4) proposing social and cultural interventions to tackle the stunting issue. This longitudinal study employs several methods, especially prototypical research and reflective analysis. The data analyses were chi-square and fisher test exact test to examine the relationships among variables. The intervention model is generated and named "Dewi Santi," which is the acronym for "Desa Wisata Tahan Stunting" or "Stunting-Free Village-based Tourism" model. The complex nature of stunting requires an ecological approach that includes nutritional ecologies so that it is translatable into practice and can be rooted in a particular culture whereby the prevalence is high. However, this study's limitation lies in its design, which was only tried to examine the nutritional problem, and research design can be broadened and varied for future studies.    
THE DIFFERENCES IN METABOLIC SYNDROME PARAMETERS BETWEEN INDIVIDUALS WITH MENTAL HEALTH DISORDERS AND HEALTHY INDIVIDUALS: A COMMUNITY BASED COMPARATIVE STUDY Saefurrohim , Muhamad Zakki; Azmiardi, Akhmad; Zainafree , Intan; Suci Susilastuti , Mustika
Quality : Jurnal Kesehatan Vol. 18 No. 2 (2024): Quality : Jurnal Kesehatan
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/qjk.v18i2.1849

Abstract

Objectives: This study aimed to analyze the differences in metabolic health parameter values with mental health disorders (MHD). Methods: a total of 3725 respondents were included in this study. This study used secondary data from the Cohort Study of Non-Communicable Disease Risk Factors collected by interview method on permanent residents in Bogor City, Indonesia in 2018. Respondents with MHD if they experienced at least 6 symptoms out of 20 symptoms in the Self Reporting Questionnaire (SRQ) instrument. Independent variables included fasting blood sugar, post-loading blood sugar, total cholesterol, LDL, HDL, triglycerides, systolic blood pressure, diastolic blood pressure, and body mass index (BMI). Data were analyzed by Mann-Whitney test. Results: Significant differences between individuals with and without mental health disorders were observed in age (p-value=0.037), total cholesterol level (p-value=0.003), triglyceride level (p-value=0.000), LDL level (p-value=0.001), HDL level (p-value=0. 003), body weight (p-value=0.000), height (p-value=0.000), and BMI (p-value=0.050), however, there were no significant differences in fasting blood sugar levels, post-loading blood sugar levels, systolic blood pressure, and diastolic blood pressure. Conclusions: This study found significant differences in several metabolic health parameters between individuals with and without mental health disorders (MDD). Parameters that showed significant differences included age, total cholesterol, triglycerides, LDL, HDL, weight, height, and body mass index (BMI). In contrast, no significant differences were found in fasting blood sugar levels, post-load blood sugar levels, systolic blood pressure, and diastolic blood pressure
Analysis of Cancer Control Policies in Surakarta Prasetya, Hanung; Setyawan, Dodiet Aditya; Sudiro, Sudiro; Utomo, Budi; Mirshanti, Farahdila; Azmiardi, Akhmad
Journal of Health Policy and Management Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.02.10

Abstract

Background:Cancer is the main cause of death throughout the world. Cervical cancer causes 7.5% of women's deaths, 85% of which occur in developing countries. According to the latest data fromGlobocan for 2020, there were 141.1 new cancer cases per 100,000 people in Indonesia, and there were 85.1 cancer deaths per 100,000 people. Cancer is the largest cause of death from non-communicable diseases, second only to cardiovascular disease (heart and blood vessels). Subjects and Methods:This research uses a qualitative descriptive method. Analysis is carried out using data that comes from various sources, not just one source, through interviews and documentation. The location chosen was Surakarta City. This research is public policy research. Policy research is research relating to the formulation and formulation of policies, policy implementation, policy performance and the policy environment. Results:In general, there are policies that regulate the control of cancer. In general, everyone has implemented cancer control through promotive, preventive and curative efforts. There needs to be support from multi-sectors in controlling cancer. Conclusion:There is a need for policy outreach and the role of multisectors/multiactors in cancer control policies in Surakarta, assistance to the community and the role of universities in controlling cancer, the importance of creating an institution that specifically handles cancer control and the importance of advocacy and education about cancer control to the community and psychoeducation for families who have a family member with cancer. Keywords:Policy Analysis, Control, Cancer
Threat Perception with COVID-19 Prevention Behavior in Community in Sukoharjo Haryanti, Titik -; Azmiardi, Akhmad -; -, Ardyasih -
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 10 No. 1 (2022): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V10.I1.2022.30-35

Abstract

Background: Currently, almost all countries in the world are experiencing cases of the COVID-19 pandemic. The COVID-19 disease has been declared as a pandemic by the World Health Organization (WHO) after almost most of the countries in the world were infected with COVID-19. One of the ways to prevent COVID-19 is determined by perception of threat to COVID-19 that occurs in the community. Objectives: This study aims to determine the relationship between threat perception and COVID-19 prevention behavior in Sukoharjo Regency. Methods: The type of research used was analytical observational with a cross-sectional approach. The population was all residents aged 15-65 years in Sukoharjo Regency of 618,992 in 2018 with a total sample of 246 people from simple random sampling technique. The research was conducted in October-December 2020. The research instrument used was questionnaires which were filled out directly by the respondents through google form. The research variables were threat perception and COVID-19 prevention behavior. Bivariate statistical test using chi square test. Results: The results showed that respondent's perception of the threat of COVID-19, the perception was high (67.1%) with high COVID-19 prevention behavior as well (58.8%). Threat perception influenced mask wearing behavior (OR= 2.68; P value<0.031), hand washing behavior (OR= 3.39; P value<0.001), and social distancing behavior (OR= 3.39; P value<0.001). There was a relationship between threat perception and COVID-19 prevention behavior in Sukoharjo Regency (P value<0.000). Conclusion: The study concluded that threat perception was related to COVID-19 prevention behavior, both the behavior of using masks, washing hands and social distancing. There is a need for regional government policies to maintain the behavior of preventing COVID-19 in order to reduce the number of COVID-19 cases in Indonesia
Hypertension Self-Care Behavior and Its Associated Factors among Patients with Hypertension Azmiardi, Akhmad; widiyanto, Aris; Atmojo, Joko Tri; Anasulfalah, Hakim; Mubarok, Ahmad Syauqi; Iswahyuni, Sri
Indonesian Journal of Medicine Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.08.03.02

Abstract

Background:  Hypertension is a chronic medical condition that affects millions of people worldwide and can lead to severe health complications. Hypertension self-care behavior is important in managing their condition and reducing their risk of complication. This study aimed to to determine factors that associated with self-care behavior among patients with hypertension. Subjects and Method:  This was cross-sectional study, conducted at Boyolali Regency, Central Java. A total of 122 participant are included in this study. The Independent variables were including age, sex, education level, income, and duration of hypertension. The dependent variable was Hypertension self-care behavior. The data of Hypertension self-care behavior were collected by Hypertension self-care behavior questionnaire (HSCBQ). Knowledge about hypertension was measured using a modified questionnaire of hypertension evaluation of lifestyle and management (HELM). The data were analyzed by multiple logistic regression. Results:  Age ≥ 50 years (aOR=3.76; 95%CI=1.30 to 10.50; p=0.014), higher level of education (aOR=6.06; 95%CI=1.91 to 22.85; p=0.003) higher income (aOR=2.89; 95%CI=1.07 to 7.80; p=0.035), longer duration of hypertension (aOR=3.35; 95%CI=1.13 to 9.93; p=0.029) and good knowledge of hypertension (aOR=10.56; 95%CI=3.51 to 31.71; p<0.001) were associated and statistically significant with Hypertension self-care behavior. Conclusion:  Older age, higher level of education, higher income, longer duration of hypertension and good knowledge had statistically significant association with good Hypertension self-care behavior. Keywords:  age, duration of hypertension, hypertension self-care behavior, income, knowledge, level of education. Correspondence: Akhmad Azmiardi. School of Health Science Mamba’ul ‘Ulum Surakarta. Jln. Ringroad, Mojosongo, Jebres, Surakarta, Central Java, Indonesia. Email: aazmiardi@gmail.com. Mobile: +6285245412021.  
Co-Authors -, Ardyasih - Abrori, Abrori Adi Saputro, Endri Adrianto, Ratno Agustina, Elvi Ahmad Zamani, Ahmad Al-Ayubi, Moch Thoriq Assegaf Anasulfalah, Hakim Anjani, Aiko Nurrahma Anom Dwi Prakoso Arfandi, Muh Amri Arifah Chofsoh, Salma Atmojo, Joko Tri Ayu Anulus Baiq Santi Rengganis Bakhtiar, Rahmat Basrowi, Ray Wagiu Bekti Sayekti , Muna Bhisma Murti Budi Rahardjo Budi Utomo Cahyana, Yudi Jaya Dara Fitri Andrian Daryanto Daryanto Dewi Lieskusumastuti, Anita Dewi Puspito Sari Dewi Puspito Sari Dewi Puspito Sari, Dewi Puspito Dian setyaningsih Didik Tamtomo, Didik Dina Irawati Dodiet Aditya Setyawan Dwi Lestari Ernawati, Heni Ester Kristian Pamurti Febri Susanti, Rinandita Gabriela Advitri Febriani Hanif, Ihsan Hanifah Dina Aulia Hanifah, Lilik Haryanti, Titik - Henda Ardiani, Intan Hidayati, Anisa Ihdina Fityatal Hasanah, Yesi Iik Sartika Indah Wulandari, Dwi Indarto Indarto Irfansyah Baharuddin Pakki Iswahyuni, Sri Joko Triwibowo, Joko Joko Yulianto, Dwi Karmadi, Karmadi Khansa Azizah, Fara Kuntari, Saras Lestari, Ida Ayu Indira Dwika M Taufik Maratul Munawar, Siti Miranda Juandrina, Shella Mirsanti, Faradilla Mirshanti, Farahdila Mochamad Makin, Mochamad Mubarok, Ahmad Syauqi Muh. Amri Arfandi Noerlita Ningrum, Andriani Novitasari, Meliana Nur Fauziah, Ani Nur Rokhmatun, Puji Nurhayati, Isnani Nurrochim, Nurrochim Pamowa, Agustina Simanangi Permata Fitrianisa, Salsayabila Pradana Putri, Anggie Prasetya, Hanung Puspitasary, Kiki Rahma Widyaningrum, Nova Rasyid Ridha, Achmad Ratih Puspita Febrinasari Ratih Wirapuspita Wisnuwardani Rejo, Rejo Rohmi, Rohmi Ruqayyah, Siti S Siswanto Sabngatun, Sabngatun Saefurrohim, Muhamad Zakki Sayekti Heni Sunaryanti, Sri Sekar Wijayanti , Nia Setyorini, Catur Siswanto Siti Maesaroh SITI MARIA ULFA Solly Aryza Suci Susilastuti , Mustika Suciyati Suciyati, Suciyati Sudiro Sudiro Sumardiyono Sumardiyono Suryono Suryono Syauqi Mubarok, Ahmad Titik Haryanti Tri Atmojo, Joko Tri Darmayanti, Aquartuti Tri Handayani, Rina Tri Yuniarti, Tri Verasita, Prissy Widiyanto, Aris Wirapuspita Wisnuwardani, Ratih Yadi, Yadi Yuliana, Roma Zainafree , Intan Zakki Saefurrohim, Muhamad