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ANALISIS KEBERHASILAN PROGRAM RAWATAN LANJUTAN PASCAREHABILITASI PADA PENYALAHGUNAAN NARKOBA DI BADAN NARKOTIKA NASIONAL PROVINSI ACEH Rafsanjani, T.M.
Majalah Kesehatan Masyarakat Aceh (MaKMA) Vol 1, No 2 (2018): Majalah Kesehatan Masyarakat Aceh (MaKMA)
Publisher : Universitas Serambi Mekkah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32672/makma.v1i2.818

Abstract

Berdasarkan studi pendahuluan awal, penyalahgunaan narkoba di Provinsi Aceh yang mendapatkan pelayanan program rawatan lanjutan pasca rehabilitasi yaitu sebanyak 58 orang. Dan yang mengalami kekambuhan sebanyak 7 orang sedangkan untuk pelatihan vokasional tidak di sediakan oleh pihak BNNP Aceh karena anggaran yang tidak cukup. Serta bimbingan konseling dan psikoterapi yang diberikan oleh pihak BNNP Aceh belum menyeluruh atau belum keseluruhan residen. Tujuan penelitian ini adalah untuk mengetahui efektifitas Program Rawatan Lanjutan Pasca Rehabilitasi Pada Penyalahgunaan Narkoba Di Badan Narkotika Nasional Provinsi Aceh Tahun 2017. Penelitian ini dilaksanakan mulai tanggal 24 sampai dengan 29 Desember 2017, Jenis penelitian ini bersifat diskriptif. Populasi dalam penelitian ini adalah seluruh seluruh residen yang mengikuti program rawatan lanjutan pasca rehabilitasi yang berjumlah 58 orang, sampel dalam penelitian ini seluruh populasi yang berjumlah 58 orang, pengambilan sampel dengan menggunakan total sampling. Analisis yang digunakan adalah analisa univariat. Dari hasil penelitian didapatkan bahwa efektifitas program rawatan lanjutan pasca rehabilitasi penyalahgunaan narkoba yaitu sebanyak 60.3%. apabila ditinjau dari yang ada melakukan pencegahan kekambuhan yaitu 70.7%. Ditinjau dari yang ada melakukan pengembangan diri yaitu 41.4%. Ditinjau dari yang mengikuti pelatihan vokasional dan pelatihan kerja yaitu 31.0%. Dan ditinjau dari yang ada mendapatkan bimbingan konseling dan psikoterapi yaitu 41.4%. Diharapkan kepada pihak BNNP Aceh untuk tetap mempertahankan program rawatan lanjutan tetapi dengan lebih optimal lagi, dengan dukungan dana, fasilitas dan Sumber Daya Manusia (SDM) yang handal agar program rawat lanjut ini dapat memberikan kontribusi dalam mencegah kekambuhan bagi residen serta dapat memberikan life skill kepada residen.Kata Kunci : BNN, Narkoba, Relapse.
Mixed Methods Analysis: Traditional Medication,Stigma, and Leper’s Family Support Roles in Level II Leprosy Disability Irwan Saputra; T.M. Rafsanjani; Said Usman
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15806

Abstract

People with a level II leprosy disability have limited functions in society. In Nagan Raya District, there is a 41% leprosy endemic area with a 5% level II disability rate. The goal of this research was to prove the relationships of traditional medication, stigma, and leper’s family support to level II leprosy disability. This research used mixedmethodsand a case-control design with 84 respondents42 case respondents (level II leprosy disability) and 42 control respondents (level 0 leprosy disability)chosen by consecutive sampling under some inclusion and exclusion criteria. Data collection used the in-depth interview method. This study used bivariate data analysis with the chi-square test and multivariate data analysis with the logistic regression test and the Miles and Huberman’s model. The results of the chi-square analysis indicated that traditional medication had p value=0.014 (OR: 2.3; 95% CI: 0.2–7.7), stigma p=0.04 (OR:3.6;95% CI: 1.5–8.9), and family’s support p=0.192 (OR:2.0; 95% CI: 0.7–5.8). The results of the logistic regression analysis showed that stigma was a risk factor for leprosy level II disability with p value=0.006, (OR=4.9; 95% CI: 1.6–15.1) and probability of 99.96%. Based on the interview results, lepers were feeling uncomfortable with the society’s not acceptingthem in a good way. This was especially the case with khanduri(feast) when it came down to food in that the society assumed lepers would transmit the infectious, disgusting disease. The Nagan Raya District Health Office is expected to encourage the societyto accept lepers and provide information regarding the process of leprosy transmission so as to appease the community’s fearand to prevent further disability.
The Influence of Culture in Determining Pregnancy Care: Official Village Midwives Versus Traditional Birth Attendants in Remote Area Masyudi; Said Usman; Tika Indiraswari; TM Rafsanjani; Evi Dewi Yani; Yulidar; Husna
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15853

Abstract

Background: The high rate of maternal and infant mortality in Indonesia in the past year can be influenced by the habits of the community who prefer Traditional Birth Attendants (TBAs) in the childbirth. In fact, TBAs are not health profession and do not have competency standards to assist with childbirth, thus increasing the risk of maternal and infant mortality. This article aimed to determine the influence of culture on the community’s habit of choosing TBAsor official village midwives (OVMs)in childbirth process in remote areas.Methods: A cross-sectional study was used. The respondents were mothers who gave birth in the last one year in one remote sub-district in Aceh. TBAs and official village midwiveswereobserved and indepth interviews were also conducted.Resultsand Discussions:The results of this study showed community attitudes about cultural influences during pregnancy, such as TBAs-assisted delivery is a cultural belief that must be followed.Hence, factors that influence the choice of mothers in using OVMs or TBAs:cultural beliefs and norms, and the role of the cultural leaders in making decisions. Conclusions: Culture plays an important role in influencing people who live in remote areas to choose TBAs rather than the OVMs.
Pengaruh individu, dukungan keluarga dan sosial budaya terhadap konsumsi makanan ibu muda menyusui (Studi kasus di Desa Sofyan Kecamatan Simeulue Timur Kabupaten Simeulue) T. M Rafsanjani
AcTion: Aceh Nutrition Journal Vol 3, No 2 (2018): AcTion Vol 3 No 2 Tahun 2018
Publisher : Jurusan Gizi Politeknik Kesehatan Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (574.116 KB) | DOI: 10.30867/action.v3i2.112

Abstract

Food that given to the breastfeeding mother should contain sufficient calories (energy) to replace the energy released as well as the energy needed to produce breast milk. Various factors that influence the mother’s nutrient in the breastfeeding period are lack of knowledge, lack of confident/attitude, also lack family support and environment. This research used an analytical survey with a cross-sectional study approach. The respondents of this research were 34 mothers that also the total of population. Data analysis was performed in univariate and bivariate analysis with the purpose of testing the hypothesis. Then, the method used was the Chi-Square Test (x2) and used the SPSS 17th version. The result would be considered significant if p-value < 0,05. The result of this study shows that there was the influence of individual understanding toward consumption of young breastfeeding mother with p-value 0,003. There was an influence of family support toward consumption of young breastfeeding mother with p-value 0,028. Then, there was an influence of social culture toward consumption of young breastfeeding mother with p-value 0,027. It can be concluded that there was an influence between individual understanding, family support and social culture toward food consumption of young breastfeeding mothers. Midwives and the community are expected to improve the understanding of individual breastfeeding young mothers and the community about nutritional needs during breastfeeding in various ways, including counseling and mentoring.Makanan  yang  diberikan  kepada  ibu  menyusui  harus  mengandung cukup kalori (energi) guna mengganti energi yang dikeluarkan maupun yang dibutuhkan  untuk  menghasilkan  ASI. Berbagai faktor  yang  mempengaruhi  gizi  ibu  pada  masa menyusui,  adalah  kurangnya  pengetahuan  ibu,  kurangnya  rasa percaya diri ibu/sikap, serta kurangnya dukungan keluarga dan lingkungan. Penelitian  ini  bersifat  survey  analitik, pendekatan  cross sectional dengan responden penelitian 34 orang yang merupakan total dari populasi. Analisis data dilakukan dengan analisis univariat dan bivariat dengan tujuan menguji  hipotesis,  dengan menggunakan aplikasi komputer  SPSS  versi 17, dan digunakan uji  Chi-Square  Tets  (x2), dengan kategori bermakna jika p value < 0,05. Hasil  penelitian menunjukkan  bahwa  ada  pengaruh  pemahaman individu terhadap  konsumsi  makanan  ibu muda menyusui dengan p= 0,003, ada pengaruh dukungan keluarga terhadap konsumsi makanan ibu  muda menyusui  dengan nilai p= 0,028, dan ada  pengaruh  sosial budaya terhadap konsumsi  makanan  ibu muda menyusui  dengan nilai p= 0,027.  Dapat disimpulkan bahwa terdapat pengaruh antara pemahaman individu, dukungan keluarga dan sosial budaya terhadap  konsumsi makanan ibu muda menyusui. Diharapkan kepada  Puskesmas, bidan dan masyarakat agar dapat  meningkatkan pemahaman individu ibu muda menyusui dan masyarakat tentang kebutuhan nutrisi pada masa menyusui melalui.
FAKTOR YANG BERHUBUNGAN DENGAN PEMILIHAN TENAGA PENOLONG PERSALINAN DI WILAYAH KERJA PUSKESMAS JANTHO TAHUN 2019 Nadia Rizki Okdarisna; T M Rafsanjani
Majalah Kesehatan Masyarakat Aceh (MaKMA) Vol 3, No 1 (2020): Majalah Kesehatan Masyarakat Aceh (MaKMA)
Publisher : Universitas Serambi Mekkah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32672/makma.v3i1.2025

Abstract

Berdasarkan hasil survei awal pada bulan September 2018, dengan mewawancara 10 orang ibu, yang pernah ditolong dukun saat persalinan, ditemukan informasi bahwa secara umum ibu-ibu tersebut masih kurangnya pengetahuan dan  tingkat pendidikan tergolong rendah, disamping itu kondisi fasilitas dan tempat pelayanan kesehatan yang jauh dari rumah. Tujuan penelitian adalahuntuk mengetahui faktor-faktor yang mempengaruhi ibu dalam pemilihan tenaga penolong persalinan di Wilayah Kerja Puskesmas Jantho tahun 2019. Penelitian ini menggunakan metode deskriptif analitik dengan pendekatan “Cross Sectional” dimana data yang menyangkut variabel bebas dan variabel terikat dikumpulkan dalam waktu yang bersama untuk mengetahui secara jelas dan sistimatis. Populasi peneliti adalah seluruh ibu bersalin dalam satu tahun terakhir sebanyak 54 reponden, dan sampel yang digunakan adalah total populasi dengan. Berdasarkan hasil penelitian, diperoleh bahwa ada hubungan pengetahuan  P.Value 0.002 α (0,05), ada  hubungan pendidikan  (P.Value 0.002 α (0,05), ada hubungan fasilitas (P.Value 0.001 α (0,05) dengan Pemilihan Tenaga Penolong Persalinan Di Wilayah Kerja Puskesmas Jantho Tahun 2019. Diharapkan kepada pemberi pelayanan kesehatan untuk diadakan pelaksanaan kelas ibu hamil dengan melibatkan pendamping/suami yang merupakan pengambil keputusan dalam keluarga sehingga dapat memberikan dukungan yang positif terhadap ibu selama kehamilan dan persalinan.
Analysis of Hygiene and Sanitation in Junior High School Canteens in Banda Aceh Masyudi Masyudi; Ilhamuddin Ilhamuddin; Tika Indiraswari; Husna Husna; Yulidar Yulidar; Anita Noviyanti; Evi Dewi Yani; T M Rafsanjani
International Conference on Multidisciplinary Research Vol 3, No 2 (2020): ICMR
Publisher : Universitas Serambi Mekkah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32672/pic-mr.v3i2.2692

Abstract

This study aims to see the effect of coaching, supervision and actions given by Banda Aceh junior high school canteen managers on the hygiene and sanitation of the school canteen. A canteen with a low hygiene standard in its physical condition, its raw material for food, food processing and food presentation, can give negative impacts on a child’s health, growth, cognitive development, and nutritional status, which will eventually affect their academic achievement. This research, conducted from 2 to 5th of August 2017, is an analytical survey research with a cross-sectional design. Based on the results of statistical tests using chi-square technique, a positive and significant correlation was found between the canteen manager’s coaching and the canteen’s hygiene and sanitation (p-value = 0.001 0.05), particularly between the supervision, hygiene and sanitation variables (p-value = 0.001 0.05). There is also a strong and significant relationship between the level of canteen maintenance and the canteen’s hygiene and sanitation (p-value = 0.002 0.05). The canteen staff are reported to have complied with the applicable regulations and applied the knowledge they have about the standard hygiene and sanitation. They reported that they regularly maintain personal hygiene when processing the food by washing their hands and keep their work equipment clean. Besides, they maintain the cleanliness of the canteens by throwing waste into the dumping area when the bin is full, and by keeping food and kitchen wares clean. Keywords: Hygiene, Sanitation, Canteen 
Indentification of Causes of Scabies on Santri of Popular Dayah Educational Institutions in Aceh Province Evi Dewi Yani; Husna Husna; Masyudi Masyudi; T. M. Rafsanjani
JURNAL SERAMBI ILMU Vol 23, No 2 (2022): Jurnal Serambi Ilmu
Publisher : UNIVERSITAS SERAMBI MEKKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32672/si.v24i2.4254

Abstract

Scabies is an infection with mites (Sarchoptes scabies) that cause small red bumps on the skin. Scabies is caused by poor personal hygiene. Scabies or scabies disorders always start from itching on the skin caused by the scabies mite (Coptes scabei), transmission of scabies lice can occur due to direct transmission, for example in contact with sufferers or indirectly, such as through clothing, blankets, and towels. This study aims to analyze the factors that influence the incidence of scabies in traditional dayah santri in Aceh Besar district. The research was conducted using a qualitative method with the respondents of traditional dayah students in Aceh Besar. data on sanitation, bathrooms, toilets, room area, room humidity were carried out by ethnographic observations and direct interviews. The results of the qualitative research and direct observation in the dayah showed that the sanitation facilities were still inadequate in the dayah. Such as the number of occupants in one room which reaches more than 8 people in a room measuring 4 x 4 meters. Poor sanitation also seems to play a major role in the incidence of scabies in students. In addition, the personal hygiene behavior of students such as changing towels and bathing facilities which are less in number when compared to the number of students also accelerates the spread of scabies.
PENGARUH PEMBERIAN EDUKASI DAN SIMULASI DAGUSIBU TERHADAP PENGETAHUAN MASYARAKAT TENTANG PENGELOLAAN OBAT RASIONAL DI TINGKAT KELUARGA Diza Fathamira Hamzah; Teuku Muhammad Rafsanjani
JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Vol 7, No 3 (2022)
Publisher : Prodi Kesehatan Masyarakat Fakultas Kesehatan Masyarakat UIN Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/jumantik.v7i3.11640

Abstract

The irrational use of drugs at the family level indirectly contributes to increase morbidity and mortality rates, which in turn reflects the community health status. Therefore, it is important to conduct interventions in the form of education and simulations on how to obtain, use, store, and dispose of drugs in order to make proper self-medication efforts successfull so as to minimize the risk of ineffective treatment and inefficiency in treatment costs.This study aims to examine the effect of providing education and simulation on public knowledge about rational drug use at the family level. This research is a quasi-experimental research with one group pre and post test design. The sample was drawn using a total sampling technique where all the mothers of the family were drawn as sample in this study totaling 30 people. Data was collected using a questionnaire. Knowledge measurement was carried out before and 2x24 after the education and simulation were given. Data analysis was performed by using paired T-test with 95% confidence interval.The results showed that there was an increase in  average score of knowledge before and after the provision of education and simulation by 5.34%. The provision of education and simulation has a significant effect of public knowledge about rational drug use (p-value 0.000).Keywords: Health Promotion, Health Status, Knowledge, Rational Use of Drugs, Self-Medication
Analisis Faktor Host terhadap Kecacatan Kusta Tingkat II Di Kabupaten Nagan Raya Provinsi Aceh T.M. Rafsanjani; Djoko Trihadi Lukmono; Henry Setyawan; Anies Anies; Sakundarno Adi
Jurnal Vokasi Kesehatan Vol 4, No 1 (2018): Januari 2018
Publisher : Poltekkes Kemenkes Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (243.538 KB) | DOI: 10.30602/jvk.v4i1.128

Abstract

Abstract: An Analysis Of Host Factors Toward The Level Ii Leprosy Disability In Nagan Raya Regency, Aceh Province. The leprosy disabilities level II is often experiencing the limitations in function among societies. In Nagan Raya Regency, there are 41% endemic areas with the number of level II disability for 5%. This research aims to prove some host and environment factors that become the risk factors for disability for level II leprosy. Case-control methods and interview methods were chosen as the design of control case in this research. 84 respondents were involved in conducting case-control design, and 42 cases of leprosy disabilities level II and 42 control of leprosy without disabilities, selected with consecutive sampling by considering the criteria of inclusion and exclusion. The results of this research were analyzed with bivariate by using chi-square test and the multivariate data were analyzed by using logistic regression test. Four variables that had the risk towards leprosy level II disability were at the age of the diagnosis time > 15 p=0,039 and OR=8,4 (CI 95%; 1,1-63,3), level of education p=0,038 and OR=3.4 (CI 95%; 1,1-10,9), too late to do early diagnosed p=0,011 and OR=5,4 (CI 95%; 1,5-19,6), types of leprosy MB p=0,015 and OR=3,9, (CI 95%; 1,3-12,1). Some host factors were proven to have risk towards leprosy disability of level II are the age at the time of diagnosis > 15 years, too late to do early diagnosis and leprosy types MB with the probability of 99.96 %. It is expected for the team of Public Health Office to conduct prevention in a productive age population, early case detection to prevent disability, and socialized the patient about the dangers of leprosy.Abstrak: Analisis Faktor Host Terhadap Kecacatan Kusta Tingkat II Di Kabupaten Nagan Raya Provinsi Aceh. Kecacatan kusta tingkat II mengalami keterbatasan pada fungsinya dalam masyarakat. Kabupaten Nagan Raya terdapat 41% daerah endemis, dengan kecacatan tingkat II sebanyak 5%. Penelitian ini bertujuan untuk membuktikan beberapa faktor host merupakan faktor risiko kecacatan tingkat II. Penelitian ini menggunakan desain kasus kontrol terhadap 84 responden,  dari 42 kasus (cacat kusta tingkat II) dan 42 kontrol (kusta tanpa cacat),  yang dipilih secara consecutive sampling dengan memperhatikan kriteria inklusi dan eksklusi. Pengumpulan data dilakukan dengan metode wawancara. Analisis data secara bivariat dengan uji Chi-Square dan multivariat dengan uji regresi logistik. Empat variabel merupakan faktor risiko terhadap kecacatan kusta tingkat II, yaitu umur saat diagnosis > 15 tahun p=0,039, OR=8,4 (CI 95%; 1,1-63,3), tingkat pendidikan p= 0,038, OR=3,4 (CI 95%; 1.1-10.9) diagnosis dini lambat p=0,011, OR=5,4 (CI 95%; 1,5-19,6), tipe kusta MB p=0,015, OR=3,9, (CI 95%; 1,3-12,1). Beberapa faktor host terbukti berisiko terhadap kecacatan kusta tingkat II adalah umur saat diagnosis > 15 tahun, tingkat pendidikan, diagnosis dini lambat, dan tipe kusta MB dengan probabilitas sebesar 99,96%. Diharapkan kepada dinas kesehatan melakukan pencegahan kelompok usia produktif, penemuan kasus secara dini untuk mencegah kecacatan dan memberikan pemahaman terhadap penderita tentang bahaya kusta
BERBAGAI FAKTOR RISIKO TERHADAP KEJADIAN PREEKLAMPSIA PADA IBU HAMIL DI WILAYAH KERJA PUSKESMAS BANDA RAYA KOTA BANDA ACEH Evi Dewi Yani; T.M Rafsanjani
VISIKES: Jurnal Kesehatan Masyarakat Vol 22, No 1 (2023): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33633/visikes.v22i1Supp.8172

Abstract

The incidence of preeclampsia has increased, in 2020 there were 29 cases and increased to 32 cases in 2021, this is influenced by the mother with labor first ( primipara ), lack knowledge Mother about pre- eclampsia , age Mother pregnant at risk , ANC visits are not complete , and tiring work. This study aims to determine the various risk factors with the incident  preeclampsia on Mother Pregnant in the Work Area Banda Raya Health Center. This research is descriptive analytic with case-control design. Data collection is done by interview. The population in this study were 60 mothers pregnant third trimester and the sample is determined by the total sample technique with a ratio of 1:1, namely 30 respondents who had preeclampsia and 30 who did not have preeclampsia. The statistical test used is the chi-square test. The results showed that parity was at risk 6.5 times (OR=6.571. p=0.001), ANC visits were at risk 5.5 times (OR=5.500. p = 0.002) and mother's work was at risk 4 times (OR=4.030. p=0.010) ) to events preeclampsia. The conclusion of this study is that parity, ANC visits, and work are risk factors for events preeclampsia on Mother Pregnant in the Work Area Banda Raya Health Center in 2021. Suggested to health workers is necessary more improved Again visit And counseling to Mother pregnant in order to knowledge Mother increase Good in prevent preeclampsia.Keywords: ANC Visit, Parity, Preeclampsia, Occupation.