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                        Early Detection of High Risk Pregnancy 
                    
                    Kurniawan, Arif; 
Sistiarani, Colti; 
Hariyadi, Bambang                    
                     Jurnal Kesehatan Masyarakat  Vol 12, No 2 (2017): Jurnal KEMAS Vol.12 No.2 : January 2017 
                    
                    Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan 
                    
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                                DOI: 10.15294/kemas.v12i2.5998                            
                                            
                    
                        
                            
                            
                                
There are 30.939 pregnant women in Banyumas, with 6.206 cases referred due to high-risk pregnancies. Petahunan village in Pekuncen has the the highest incidence of high-risk pregnancies compared with other villages. The purpose of this study is to describe the implementation of early detection of high-risk pregnancies in Petahunan village, Pekuncen. This study used qualitative research methods with case study approach. Research instruments used in-depth interviews and focus group disscussion toward early detection of high-risk pregnancy issue. The informants were 7 people include pregnant women, health workers, midwives, head of village and village health forum chairman. The result showed only antenatal care implemented to detect high-risk pregnancy and no programs and community empowerment efforts in early detection of high-risk pregnancies.
                            
                         
                     
                 
                
                            
                    
                        Peran Serta Masyarakat dalam Pengelolaan Sampah Domestik sebagai Upaya Pencegahan Penyakit Berbasis Lingkungan 
                    
                    Widiyanto, Agnes Fitria; 
Kurniawan, Arif; 
Gamelia, Elviera                    
                     Kes Mas: Jurnal Fakultas Kesehatan Masyarakat  Vol 12, No 2 (2018): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat 
                    
                    Publisher : Universitas Ahmad Dahlan 
                    
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                                DOI: 10.12928/kesmas.v12i2.8013                            
                                            
                    
                        
                            
                            
                                
Background: Domestic waste remains a problem in Indonesia. The more the population who were making the volume of domestic waste increase, including in Banyumas regency. The purpose of this study is to describe the knowledge, attitude, and practice of the community in the management of domestic waste as an environmental-based disease prevention. Method: The method that was used in this research is qualitative. The research subjects were obtained by using purposive sampling technique by interviewing 7 people as the main research subject and 3 midwives, Forum Kesehatan Desa (FKD) Chairman, and Tempat Pembuangan Akhir (TPA) Manager as the supporting research subject. How to collect data with observation, in-depth interview, literature study, and documentation. This model of analysis is an interactive analysis, through the process of collected data in the form of research findings that are relevant to the writing materials, and then presented in a narrative. Results: The results showed that the community has applied the knowledge about domestic waste as an environmental-based disease prevention. Conclusion: Environmental-based disease prevention requires policies and human resources in the application.
                            
                         
                     
                 
                
                            
                    
                        Determinant of Teenage Pregnancies 
                    
                    Gamelia, Elviera; 
Kurniawan, Arif                    
                     KEMAS: Jurnal Kesehatan Masyarakat Vol 13, No 2 (2017) 
                    
                    Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang 
                    
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                                DOI: 10.15294/kemas.v13i2.7380                            
                                            
                    
                        
                            
                            
                                
The number of teenage pregnancies in Banyumas district in 1727 as a pregnant teenager  less than 20 years old and young teenagers maternity by 1382 either through premarital or marital. The research was conducted in 2016 aimed to determine the factors that affect pregnancy young age in Banyumas. This research is a quantitative research with cross sectional approach. The population was all pregnant women under 20 years of pregnancy and childbirth are recorded in the data in Puskesmas Jatilawang, Puskesmas I Cilongok, health center II Donates totaled 614 people. Calculation of the estimated proportion of the sample using the formula obtained 107 samples, taken using simple random sampling technique. The data collection is done by using a questionnaire that advance has been tested questionnaire to meet the validity and reliability of a measuring instrument. Yan data analysis used univariate analysis with descriptive statistics, bivariate analysis using chi square, and multivariate analysis by logistic regression. The results showed the level of education, marital status, knowledge, access to information, health care utilization, the role of the family has no effect on pregnancy young age. Attitudes and access to health information is the most dominant variable affecting the pregnancy young age.
                            
                         
                     
                 
                
                            
                    
                        Early Detection of High Risk Pregnancy 
                    
                    Kurniawan, Arif; 
Sistiarani, Colti; 
Hariyadi, Bambang                    
                     KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 2 (2017) 
                    
                    Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang 
                    
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                                DOI: 10.15294/kemas.v12i2.5998                            
                                            
                    
                        
                            
                            
                                
There are 30.939 pregnant women in Banyumas, with 6.206 cases referred due to high-risk pregnancies. Petahunan village in Pekuncen has the the highest incidence of high-risk pregnancies compared with other villages. The purpose of this study is to describe the implementation of early detection of high-risk pregnancies in Petahunan village, Pekuncen. This study used qualitative research methods with case study approach. Research instruments used in-depth interviews and focus group disscussion toward early detection of high-risk pregnancy issue. The informants were 7 people include pregnant women, health workers, midwives, head of village and village health forum chairman. The result showed only antenatal care implemented to detect high-risk pregnancy and no programs and community empowerment efforts in early detection of high-risk pregnancies.
                            
                         
                     
                 
                
                            
                    
                        Peran Serta Masyarakat dalam Pengelolaan Sampah Domestik sebagai Upaya Pencegahan Penyakit Berbasis Lingkungan 
                    
                    Widiyanto, Agnes Fitria; 
Kurniawan, Arif; 
Gamelia, Elviera                    
                     Kes Mas: Jurnal Fakultas Kesehatan Masyarakat  Vol 12, No 2 (2018): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat 
                    
                    Publisher : Universitas Ahmad Dahlan 
                    
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                                DOI: 10.12928/kesmas.v12i2.8013                            
                                            
                    
                        
                            
                            
                                
Background: Domestic waste remains a problem in Indonesia. The more the population who were making the volume of domestic waste increase, including in Banyumas regency. The purpose of this study is to describe the knowledge, attitude, and practice of the community in the management of domestic waste as an environmental-based disease prevention. Method: The method that was used in this research is qualitative. The research subjects were obtained by using purposive sampling technique by interviewing 7 people as the main research subject and 3 midwives, Forum Kesehatan Desa (FKD) Chairman, and Tempat Pembuangan Akhir (TPA) Manager as the supporting research subject. How to collect data with observation, in-depth interview, literature study, and documentation. This model of analysis is an interactive analysis, through the process of collected data in the form of research findings that are relevant to the writing materials, and then presented in a narrative. Results: The results showed that the community has applied the knowledge about domestic waste as an environmental-based disease prevention. Conclusion: Environmental-based disease prevention requires policies and human resources in the application.
                            
                         
                     
                 
                
                            
                    
                        PENGARUH FAKTOR PREDISPOSISI DAN FAKTOR PENDUKUNG TERHADAP KESINAMBUNGAN KEPESERTAAN JAMINAN PEMELIHARAAN KESEHATAN MASYARAKAT (JPKM) DI PUSKESMAS KALIGONDANG KABUPATEN PURBALINGGA 
                    
                    Kurniawan, Arif; 
Gamelia, Elviera                    
                     Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 1 No 2 (2008): Jurnal Kesmas Indonesia 
                    
                    Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman 
                    
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Amount of participant of JKPM in Kaligondang community health center at year 2006 - 2007 experiencing of decreasing pursuant to data of Bapel JPKM and public health center, at strata of II of participant experience of decreasing from 1738 amount of participant in year 2006, becoming 1244 participant in year 2007. objective this research was tested of theory about sustainability participant of JKPM problems in Kaligondang community health center. Place of Research in Kaligondang community health center Purbalingga Regency conducted in the August - October 2008. Type of Research of observasional with method of survey having the character of analytic descriptive approach of Research used by Cross Sectional. The Population research is participant of JKPM at Kaligondang community health center of year 2007 amounting to 1247 people with research sample is 90 woman ( 36,7% ) and men ( 63,3% ). Result of this research show there is relationship having a meaning by statistic between the reached of pay for JPKM premium with continuity participant of JPKM (p-value 0,026). There is relationship having a meaning by statistic between exploiting of service of health service provider with continuity participant of JPKM (p-value 0,036). The result of this research show there is two model of influence with the independent variable to continuity participant of JPKM. First Model is influence with the reached of pay for JPKM premium (OR = 3,369) and exploiting of service health service provider (OR = 3,163) to continuity participant of JPKM. Second model is there is influence with the payment reached for JPKM premium (OR = 3,656) and promotion about JPKM (OR = 2,773) to continuity of participant of JPKM. The payment reached reached for JPKM premium is variable of most research have an effect on to continuity participant of JPKM. Suggestion in this research is Kalogondang community health center give askein or jamkesmas to society owning the payment reached of unfavourable premium and Bapel JPKM give system od appreciation or reward capable to maintain performance of cadre JPKM.
                            
                         
                     
                 
                
                            
                    
                        Agnes EFEKTIVITAS PELATIHAN TENTANG PENGOLAHAN SAMPAH PADAT ORGANIK DALAM MENINGKATKAN PENGETAHUAN, SIKAP DAN KETERAMPILAN IBU DALAM MENGOLAH SAMPAH 
                    
                    widiyanto, agnes fitria; 
Gamelia, Elviera; 
Kurniawan, Arif                    
                     Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 9 No 2 (2017): Jurnal Kesmas Indonesia 
                    
                    Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman 
                    
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Hasil kegiatan observasi peneliti terhadap masalah PHBS pada tatanan rumah tangga di wilayah Puskesmas I dan II Baturraden diperoleh bahwa masalah pengelolaan sampah adalah masalah yang paling dominan dan paling dirasakan oleh masyarakat dibandingkan dengan indikator PHBS pada tatanan rumah tangga yang lainnya. Berdasarkan hal tersebut perlu dilakukan program pelatihan pengolahansampah padat menggunakan metode composting yaitu pengolahan sampah padat organik menjadi kompos. Jenis penelitian yang digunakan adalah penelitian eksperimen semu atau quasi eksperimen. Rancangan yang digunakan adalah ?Pre Test Post Test Design?. Sampel dalam penelitian ini adalah 41 kader kesehatan dan ibu PKK yang terdiri dari 18 orang dari Desa Karangmangu dan 23 orang dari Desa Karang Tengah. Pengambilan sampel dilakukan secara simple random sampling. Pengetahuan responden mengenai pengolahan sampah padat organik dengan media komposter setelah dilakukan pelatihan mengalami peningkatan yang signifikan sebesar 3,45% dari sebelum pelatihan. Hasil penelitian menunjukkan sikap responden mengenai pengolahan sampah padat organik dengan media komposter setelah dilakukan pelatihan mengalami peningkatan yang signifikan sebesar 4,48% dari sebelum pelatihan. Keterampilan responden mengenai pengolahan sampah padat organik dengan media komposter setelah dilakukan pelatihan mengalami peningkatan yang signifikan sebesar 4,78% dari sebelum pelatihan.Terdapat perbedaan yang signifikan antara pengetahuan (p=0,03), sikap (p=0,01) dan keterampilan (p=0,014) responden mengenai pengolahan sampah padat organik dengan media komposter sebelum dan sesudah pelatihan.
                            
                         
                     
                 
                
                            
                    
                        PENGARUH KONSELING TERHADAP PENINGKATAN PENGETAHUAN, SIKAP, DAN PERILAKU MASYARAKAT TENTANG KESEHATAN LINGKUNGAN 
                    
                    Gamelia, Elviera; 
Kurniawan, Arif; 
Widiyanto, Agnes Fitria                    
                     Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 7 No 3 (2015): Jurnal Kesmas Indonesia 
                    
                    Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman 
                    
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Rural communities in Puskesmas I dan II Baturaden have environmental health problems . Health education can be used to address environmental health problems by changing people's behavior. Health councelling given by an expert, to the individual to overcome the problem. Researchers wanted to determine the effect of health counseling on knowledge, attitudes, and behaviors in the community about environmental health Puskesmas I and II Baturaden Banyumas. This type of research is a quasi experimental study to design one group pre -test and post-test design . Sample of reseach using purposive sampling. The sample was 37 people . Analysis of the data used was the Wilcoxon test . The variables measured were knowledge , attitudes , and behavior of environmental health . The study says that health counseling can improve knowledge , attitudes and behavior about environmental health . Advice can be given that the provision of health education to the community should use counseling methods , because this method is more effective and striking the individual .
                            
                         
                     
                 
                
                            
                    
                        ANALISIS FAKTOR – FAKTOR YANG MEMPENGARUHI KEMAUAN MEMBAYAR PELAYANAN RAWAT JALAN PUSKESMAS DI KABUPATEN BANYUMAS 
                    
                    Kurniawan, Arif; 
Intiasari, Arih Diyaning                    
                     Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 4 No 2 (2011): Jurnal Kesmas Indonesia 
                    
                    Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman 
                    
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ABSTRACT The cost of outpatient care unit of the organization's first level health centers in Banyumas higher than the tariffs imposed at this time. The result is still needed government subsidies to cover operational costs shortage of health service delivery level of the first outpatient clinic. The results Kurniawan and Intiasari (2010) shows the average willingness to pay the community is still low. This prompted research to find out what factors affecting willingness to pay outpatient services at Puskesmas in Banyumas district. This study was survey research with explanatory research. The approach in this study using cross-sectional. The study population was people who visit the Puskesmas in 2009. The sample of this study some 105 people, with a minimum sample size formula.The result of this research shows ATP has a diverse community with an average of Rp. 21908.63 ATP and WTP are varied with an average WTP of  Rp. 3770.00. There is a relationship of age, ATP, and food expenditure by the public willingness to pay tariffs outpatient clinic services. There is no relationship between level of education, gender, occupation, non-food expenditure by the public willingness to pay tariffs outpatient clinic services. There are the influence of age together and ATP on the willingness of society to pay tariffs at Puskesmas. As suggestion for Puskesmas can prioritize community with the productive age group and a high ATP as outpatient service utilization. Puskesmas should consider the community that has a low ATP but has a higher WTP in order to take advantage of outpatient clinic services. Keywords: Kemauan membayar , Puskesmas Kesmasindo. Volume 4(2), Juli 2011, hlm. 105-118  
                            
                         
                     
                 
                
                            
                    
                        FAKTOR-FAKTOR YANG MEMPENGARUHI PARTISIPASI MASYARAKAT DALAM MUSYAWARAH MASYARAKAT DESA DI PUSKESMAS KALIGONDANG KABUPATEN PURBALINGGA 
                    
                    Heryanto, Heryanto; 
Kurniawan, Arif; 
Gamelia, Elviera; 
Intiasari, Arih Diyaning                    
                     Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 4 No 1 (2011): Jurnal Kesmas Indonesia 
                    
                    Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman 
                    
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ABSTRACT Purbalingga District was a pilot project of Desa Siaga Programme in Central Java Province.One of Indicator Desa Siaga Programme was Musyawarah Masyarakat Desa (MMD). The goals of MMD was to find out the helth problem solving and to provide Poliklinik Kesehatan Desa (PKD) with all of potential resources of the village. The Aim of these research was to know the potensialy factor influence MMD in Purbalingga District. Cross sectional survey on village community were conducted in 2008 with a quistionaire. Simple Random Sampling was used to get 96 respondent.There have been three (3) factors that influence positively through MMD Programme : Income, Social Status and Perception to MMD. The suggestion from this research was to held problem solving cycle training for village community and other activity that could be increasing community participation in Purbalingga District. Kata Kunci: rural, participation, community Kesmasindo. Volume 4,(1) Januari 2011, hlm. 1-10