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Evaluasi Pelaksanaan Program Pencegahan Penyakit Demam Berdarah Dengue Ditinjau Dari Aspek Input, Proses Dan Output De Fretes, Elzina Dina; Hendrik, Heny
JURNAL KEPERAWATAN MUHAMMADIYAH BENGKULU Vol 8, No 1 (2020): JURNAL KEPERAWATAN MUHAMMADIYAH BENGKULU
Publisher : Program Studi Ilmu Keperawatan, Fakultas Ilmu Kesehatan Universitas Muhammadiyah Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36085/jkmu.v8i1.744

The incidence of DHF in Fakfak Regency has increased since the last 3 years so it needs to be evaluated. This research aims to analyze the implementation of the DHF P2P program in terms of input, process and output aspects in the working area of the Fakfak Community Health Center in the City of Fakfak Regency. This type of research is qualitative which is presented exploratively descriptively through in-depth interviews. The subjects of the study were the DHF P2P program coordinator, jumantik cadres, foging officers and the Head of the Puskesmas. Data collected by in-depth interview technique. The results of research on the implementation of the Dengue Hemorrhagic Fever disease prevention program in the Puskesmas Fakfak area were reviewed from the Input aspects: 1) Implementing staff, the knowledge possessed by officers and jumantik cadres was quite good; 2) Allocation of funds comes from BOK and JKN funds, but not sufficient; 3) Other program facilities are available, foging machines are still limited. In terms of Process; 1) Program planning, Â it has been arranged in the KAK (Terms of Reference);2) Implementation has not been maximized, mass foging cannot yet be carried out due to limited funds; 3) Standard and periodical recording and reporting has been carried out in the format provided. Output aspects of DHF morbidity rate in 2017 are still high 42 cases, the rate of larvae free coverage since 2017 has increased and in 2018 until the third trimester reached 80%. In conclusion, the implementation of the DHF P2P program at the Fakfak Health Center has not been effective, obstacles experienced due to limited personnel, limited funds and lack of active community and cross-sectoral involvement. Suggestions for DKK to continue to do promotive and preventive efforts by adding funds, refracting cadres who are not active, adding foging machines and involving the community.Â Keywords : Puskesmas DBD P2P Program, Input, Process and Output

Evaluasi Pelaksanaan Program Pencegahan Penyakit Demam Berdarah Dengue Ditinjau Dari Aspek Input, Proses Dan Output Elzina Dina De Fretes; Heny Hendrik
JURNAL KEPERAWATAN MUHAMMADIYAH BENGKULU Vol 8 No 1 (2020): JURNAL KEPERAWATAN MUHAMMADIYAH BENGKULU
Publisher : Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36085/jkmu.v8i1.744

The incidence of DHF in Fakfak Regency has increased since the last 3 years so it needs to be evaluated. This research aims to analyze the implementation of the DHF P2P program in terms of input, process and output aspects in the working area of the Fakfak Community Health Center in the City of Fakfak Regency. This type of research is qualitative which is presented exploratively descriptively through in-depth interviews. The subjects of the study were the DHF P2P program coordinator, jumantik cadres, foging officers and the Head of the Puskesmas. Data collected by in-depth interview technique. The results of research on the implementation of the Dengue Hemorrhagic Fever disease prevention program in the Puskesmas Fakfak area were reviewed from the Input aspects: 1) Implementing staff, the knowledge possessed by officers and jumantik cadres was quite good; 2) Allocation of funds comes from BOK and JKN funds, but not sufficient; 3) Other program facilities are available, foging machines are still limited. In terms of Process; 1) Program planning, Â it has been arranged in the KAK (Terms of Reference);2) Implementation has not been maximized, mass foging cannot yet be carried out due to limited funds; 3) Standard and periodical recording and reporting has been carried out in the format provided. Output aspects of DHF morbidity rate in 2017 are still high 42 cases, the rate of larvae free coverage since 2017 has increased and in 2018 until the third trimester reached 80%. In conclusion, the implementation of the DHF P2P program at the Fakfak Health Center has not been effective, obstacles experienced due to limited personnel, limited funds and lack of active community and cross-sectoral involvement. Suggestions for DKK to continue to do promotive and preventive efforts by adding funds, refracting cadres who are not active, adding foging machines and involving the community.Â Keywords : Puskesmas DBD P2P Program, Input, Process and Output

Pemberdayaan Masyarakat dengan Pemanfaatan Buku Saku Sebagai Panduan Dalam Upaya Deteksi Dini dan Pencegahan Stunting di Distrik Wartutin Kabupaten Fakfak Elzina Dina De Fretes; Santoso Budi Rohayu
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 7 (2022): Volume 5 No 7 Juli 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i7.6272

ABSTRAK Stunting adalah kondisi gagal tumbuh pada anak balita akibat kekurangan gizi kronis terutama pada 1.000 Hari Pertama Kehidupan. Faktor yang paling berkontribusi terhadap penurunan stunting adalah pola asuh orang tua untuk mengurangi faktor resiko kejadian stunting dengan mengubah pola pikir atau paradigma yang tadinya hanya berfokus kepada bayi dan anak tetapi lebih berfokus kepada pengetahuan ibu dan dukungan dari keluarga guna meningkatkan kesehatan dan gizi dari anak sejak dari dalam kandungan sampai anak berusia 2 tahun.Tujuan pengabdian kepada masyarakat ini adalah untuk memberikan edukasi dengan pemberian buku saku dapat meningkatkan pengetahuan ibu dalam mencegah dan deteksi dini stunting. Metode pendekatan menggunakan metode pemberdayaan masyarakat khususnya kelompok sasaran melalui penyuluhan dan edukasi yang dilakukan dengan menggunakan serta membagikan buku saku pencegahan stunting pada 30 orang tua dan kader dari perwakilan 6 Posyandu bayi dan balita Distrik Wartutin. Tahap persiapan perencanaan kegiatan yang meliputi Identifikasi kebutuhan dengan mendesain dan mencari sumber-sumber mengenai buku saku stunting. Tahap kedua merupakan tahap pelaksanaan kegiatan dengan memberikan pelatihan mengenai strunting dan cara deteksi dini sesuai dengan buku saku. Pembagian buku saku kepada kelompok target dan pendampingan. Pada tahap ketiga, dilakukan monitoring dan evaluasi kegiatan Evaluasi peningkatan pengetahuan kelompok sasaran atau kelompok target tentang deteksi dini stunting dengan menggunakan angket dan melalui petugas Puskesmas. Hasil kegiatan ini menunjukkan bahwa secara garis besar, pengetahuan mengenai stunting pada kader kesehatan di Distrik Wartutin mengalami peningkatan pasca pemberian edukasi gizi dengan media Buku Saku Mandiri. Hal ini dibuktikan melalui skor jawaban kader, dimana rerata skor post-test adalah 86,29 dan lebih tinggi dibandingkan skor pre-test yaitu 72,8. Presentase peningkatan pengetahuan kader kesehatan mengenai stunting meningkat 13.49%. Hasil pegabdian kepada masyarakat dengan cara edukasi dengan pemberian buku saku dapat meningkatkan pengetahuan ibu dalam mencegah dan deteksi dini stunting Kata Kunci: Stunting, Pengetahuan, Buku Saku ABSTRACT Stunting is a condition of failure to thrive in children under five due to chronic malnutrition, especially in the first 1,000 days of life. The most contributing factor to the decline in stunting is parenting to reduce the risk factors for stunting by changing the mindset or paradigm that previously only focused on infants and children but focused more on mother's knowledge and support from families to improve the health and nutrition of children from an early age from the womb until the child is two years old. The purpose of this community service is to provide education by giving pocketbooks to increase mother's knowledge in preventing and early detection of stunting.The approach uses community empowerment methods, especially target groups through counselling and education carried out by using and distributing stunting prevention pocketbooks to 30 parents and cadres from representatives of 6 Posyandu infants and toddlers in Wartutin District. The preparatory stage of activity planning includes identifying needs by designing and searching for resources regarding the stunting pocketbook. The second stage is implementing activities by providing training on stunting and early detection methods according to the pocketbook—distribution of pocketbooks to target groups and mentors. In the third stage, monitoring and evaluation activities are carried out. Evaluation of increasing the knowledge of the target group or target group about early stunting detection using questionnaires and Puskesmas officers. The results of this activity indicate that, in general, knowledge about stunting among health cadres in Wartutin District has increased after the provision of nutrition education with the Mandiri Pocket Book media. This is evidenced by the cadres' answer scores, where the average post-test score is 86.29 and higher than the pre-test score of 72.8. The percentage increase in knowledge of health cadres about stunting increased by 13.49%. The results of community service using education by giving pocketbooks can increase mother's knowledge in preventing and early detection of stunting Keywords: Stunting, Knowledge, Pocketbook

Pemanfaatan Tanaman Obat Keluarga Dalam Meningkatkan Imun Di Kelurahan Fakfak Selatan Elzina Dina De Fretes; Santoso Budi Rohayu
ABDIKAN: Jurnal Pengabdian Masyarakat Bidang Sains dan Teknologi Vol. 1 No. 3 (2022): Agustus 2022
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/abdikan.v1i3.640

The Covid-19 virus can be overcome by increasing the body's resistance. One of the efforts to increase endurance is by utilizing family medicinal plants which generally grow more as wild plants in the yard and are widely used as an additional ingredient in cooking but are also widely used for healing, disease prevention, increasing endurance, and restoration of freshness which in turn improves public health. Knowledge and public response about the use of medicinal plants is still limited. Seeing the response of one group of women in the South Fakfak Village who has family medicinal plants, it is deemed necessary to do community service regarding the management of the family medicinal plants. The approach method uses community empowerment methods, especially target groups through counseling and training carried out by distributing pocket books on the use of family medicinal plants to 50 mothers and cadres in South Fakfak Village. The results of this activity show that in general, the knowledge of mothers and health cadres in South Fakfak Village has increased after providing counseling and training with pocket book media. This is evidenced by the answer scores, where the average post-test score is 86.20 and is higher than the pre-test score of 72.3. The percentage increase in knowledge increased by 14.17%. The results of community service by means of counseling and training by giving pocket books can increase the knowledge of mothers and cadres in increasing family endurance. Suggestions to the PKK Kelurahan to hold a family medicinal plant competition at the kelurahan level, form a small group of traditional herbal medicine businesses.

Factor Determinant Implementation Vaccines for the Elderly Elzina Dina De Fretes; Tri Juniarti
Science Midwifery Vol 10 No 4 (2022): October: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i4.700

The elderly are vulnerable and at-risk groups exposed to the Covid 19 virus. However, the number of achievements immunization in the elderly is still relatively low compared to group age other. Various factors cause this thing. Destination study this to know the factors that influence implementation vaccine in advanced age. This research is an analytical research observation with an approach to a cross-sectional study. This research was carried out in the working area of Fakfak City Health Centre within six months for the elderly aged more than 60 years old as many as 30 selected respondents used consecutive sampling techniques. This study used a questionnaire instrument. Data analysis used linear logistic regression analysis. The study find that the distance factor to facility health, level of obtained information, and knowledge is a factor that influences the reception of vaccine in advanced age with a p-value <0.05. we recommend that the elderly, with all the limitations in access to the Covid-19 vaccine, can be facilitated by the government, including access to facility provider vaccination and access information. Future research could focus on the proper intervention on the problem enhancement knowledge, access information nor intervention for seniors who want to get vaccine however blocked by access distance to location vaccination.

Efektifitas Metode Pembelajaran Kartu Berwarna dan Metode Pembelajaran Ceramah Terhadap Pemahaman Mahasiswa Dalam Menentukan Diagnosis, Intervensi dan Luaran Keperawatan Tri Juniarti; Asmiyati Patimbang; Elzina Dina De Fretes
Malahayati Nursing Journal Vol 5, No 3 (2023): Volume 5 Nomor 3 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i3.8152

ABSTRACT Every teacher have unique ways to deliver their learning materials, structure and certain purpose in deliver their materials. It is called learning method. Learning method consist of many thecnique, some of them are lecture method and visual method. In this research a group of sample was given a color card set and the other group was given lecture method learning. The purpose of this research was to see the effectiveness between the two learning methods in student comprehension in deciding nursing diagnosis, nursing intervention, and nursing outcome. The method of this research was quasy experiment with pre test and post test nonequivalent control group design. The population for this research was active student in 5th semester with 60 total samples. Sample was choosen using concecutive sampling method. The result of paired t-test on difference of pre and post intervention between two groups, the color card methods obtained p value of 0.038 and lecture method obtain p value 0.102. Meanwhile, the result of mann-whitney u-test showed that there was no difference of comprehension in deciding nursing diagnosis, nursing intervention, and nursing outcome between the two groups with p value = 0.240. The color card method was effective in increasing student comprehension. Meanhwile, between the two methods of color card method and lecture method showed neither group was more effective. Keywords: Learning Method, Visual, Lecture, Comprehension, Student ABSTRAK Tenaga pendidik menyampaikan materi pembelajaran dengan cara yang berbda-beda, terstruktur dan memiliki tujaun tertentu. Hal itu disebut juga dengan metode pembelajaran. Metode pembelajaran terdiri dari banyak jenis beberapa diantaranya adalah metode media visual yang dalam penelitian ini akan diberikan dalam satu set kartu berwarna pada satu kelompok dan metode ceramah pada kelompok lainnya. Tujuan dari penelitian ini adalah untuk melihat keefektifan metode pembelajaran kartu berwarna pemahaman mahasiswa, keefektifan metode pembelajaran ceramah terhadap kemampuan mahasiswa dan membandingkan keduanya. Metode penelitian yang akan digunakan adalah quasy experiment dengan desain pretest dan post test nonequivalent control group. Populasi adalah mahasiswa aktif pada semester 5 dengan total sampel 60. Sampel akan dipilih menggunakan metode consecutive sampling. Hasil uji paired t-test pada perbedaan pemahaman sebelum dan sesudah diberikan intervensi pada dua kelompok didapatkan p value 0.038 pada kelompok metode pembelajaran kartu berwarna dan p value 0.102 pada kelompok metode pembelajaran ceramah. Sedangkan untuk menunjukan metode mana yang lebih efektif pada hasil uji mann-whitney u-test didapatkan hasil p value = 0.240. Metode pembelajaran kartu berwarna efektif dalam meningkatkan pemahaman mahasiswa. Sedangkan, antara metode pembelajaran kartu berwarna dan metode pembelajaran ceramah diantara kedua metode tersebut tidak ada yang lebih efektif. Kata Kunci: Metode Pembelajaran, Visual, Ceramah, Pemahaman, Mahasiswa

UPAYA KENALI, CEGAH DAN ATASI STUNTING MELALUI EDUKASI DAN PENDAMPINGAN IBU MENYUSUI Elzina Dina De Fretes; Heny Hendrik
JMM (Jurnal Masyarakat Mandiri) Vol 7, No 5 (2023): Oktober
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v7i5.17369

Abstrak: Kegagalan tumbuh dan kembang pada anak diakibatkan karena kekurangan gizi yang lama pada saat usia 1000 hari pertama sehingga anak menjadi stunting. Stunting di Kabupaten Fakfak tahun 202219 menurut data dari Dinas Kesehatan adalah 23,4%. Kampung Lusiferi merupakan wilayah pelayanan Puskesmas Fakfak yang juga memiliki balita stunting lebih dari 10 anak, salah satu sebabnya adalah cakupan ASI eksklusif yang masih rendah. Tujuan pengabdian masyarakat ini adalah meningkatkan pengetahuan, keterampilan serta menumbuhkan kesadaran tentang pentingnya pemberian ASI eksklusif untuk mencegah balita stunting. Metode pendekatan dalam menyelesaikan masalah yaitu dengan penyuluhan dan pelatihan pada 408 orang mitra terdiri dari ibu hamil dan ibu menyusui, remaja putri dan kader posyandu. Evaluasi diberikan sebelum kegiatan denganberupa pre-test dan evaluasi setelah kegiatan dengan post-test terdiri dari 15 soal untuk menilai pengetahuan.. Hasil kegiatan ini menunjukkan, pengetahuan kelompok sasaran di Kampung Lusiferi Kabupaten Fakfak mengalami peningkatan setelah pemberian penyuluhan, pelatihan dan pendampingan. Hal ini dibuktikan melalui skor jawaban, dimana rerata skor post-test adalah 87,20 lebih tinggi dibanding skor pre-test yaitu 68,30. Presentase peningkatan pengetahuan meningkat 21.9 %. Hasil pengabdian kepada masyarakat dapat diterima oleh kelompok sasaran dengan baik.Abstract: Failure to grow and develop in children is caused by prolonged malnutrition during the first 1000 days of age so that children become stunted. Stunting in Fakfak Regency in 202219 according to data from the Health Service was 23.4%. Lusiferi Village is a service area for the Fakfak Health Center which also has more than 10 stunted children under five, one of the reasons is the low coverage of exclusive breastfeeding. The purpose of this community service is to increase knowledge, skills and raise awareness about the importance of exclusive breastfeeding to prevent stunting under five. The approach method in solving the problem is by counseling and training for 48 partners consisting of pregnant women and breastfeeding mothers, young women and posyandu cadres. Evaluation in the form of a pre-test and post-test consists of 15 questions to assess knowledge. Evaluation is given before the activity with a pre test and evaluation after the activity with a post test. The results of this activity show that the knowledge of the target group in Lusiferi Village, Fakfak Regency, has increased after providing counseling, training and mentoring. This is evidenced by the answer score, where the mean post-test score is 87.20 which is higher than the pre-test score which is 68.30. The percentage increase in knowledge increased by 21.9 %. The results of community service can be well received by the target group.

Pengalaman Penyintas Covid-19 dengan Sindrom Long Covid Elzina Dina De Fretes; Isra Nur Utari S. Potabuga
Jurnal Keperawatan Vol 8 No 2 (2023): November
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v8i2.1350

This research aims to explore the experiences of patients experiencing long covid syndrome. Qualitative research method using thematic analysis techniques. The results of this study showed that 5 Partisipants experienced changes in health with general symptoms of fatigue, loss of smell and taste, difficulty breathing, fast heartbeat, hormonal disorders and high anxiety, namely 2 people experienced mild symptoms, two people experienced moderate symptoms and 1 person experienced symptoms which is heavy, with a long Covid period of 1 month to 1 year 6 months. Partisipants with comorbid asthma and hypertension experienced a longer recovery. Further initiation at home by community health center officers, one of whom received a referral from outside the area. Recommendations and implications of the results require health monitoring and rehabilitation for complete recovery.

Parenting Education Intervention on the Growth and Development of Stunted Toddlers in the Puskesmas Fakfak Area, West Papua Province Elzina Dina De Fretes; Yosina Atanai
Science Midwifery Vol 12 No 2 (2024): June: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i2.1573

Background: Stunting remains a critical public health issue in Indonesia, particularly in remote areas such as the Puskesmas Fakfak area, West Papua Province. Stunting, which results from chronic malnutrition, affects the physical and cognitive development of children. Effective strategies to combat stunting are needed, focusing on improving parental knowledge, attitudes, and behaviors regarding child nutrition and care practices. Objectives: This study aims to evaluate the effectiveness of educational interventions in improving the knowledge, attitudes, and behaviors of parents in supporting the growth and development of stunted toddlers in the Puskesmas Fakfak area, West Papua Province. Methods: The research method employed was quasi-experimental with a pre-test and post-test design. The educational intervention consisted of counseling sessions and focused group discussions covering topics such as nutrition, the importance of exclusive breastfeeding, and proper parenting practices. Results: The results of the study indicated a significant increase in parental knowledge, with the average score rising from 3.5 before the intervention to 4.8 after the intervention (t = 7.89, p < 0.001). Parents also demonstrated a positive change in attitudes, as evidenced by an increase in the average score from 3.6 to 4.9 (t = 8.12, p < 0.001). Furthermore, parental behaviors showed a significant improvement, with the average score increasing from 3.4 to 4.8 (t = 7.65, p < 0.001). Conclusion: This research highlights the effectiveness of educational interventions in enhancing parental knowledge, attitudes, and behaviors, which, in turn, can contribute to the mitigation of stunting. It is recommended that similar programs be implemented in other areas facing stunting issues and that longitudinal studies be conducted to assess the sustainability of the interventions' impact.

Penguatan Resilensi Ibu dalam Optimalisasi Tumbuh Kembang Balita dan Pencegahan Stunting Elzina Dina De Fretes; Asmiyati Patimbang
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 12 (2024): Volume 7 No 12 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i12.17429

ABSTRAK Stunting merupakan kondisi gagal tumbuh dan kembang balita yang disebabkan oleh kekurangan gizi dalam jangka waktu lama (Soliman et al., 2021). Dalam jangka panjang stunting mengakibatkan kerugian ekonomi akibat penurunan produktifitas. Pengabdian masyarakat dilakukan dalam bentuk penguatan resilensi ibu yang memiliki balita stunting yang berjumlah 25 orang. Tujuan: pengabdian ini adalah untuk memberikan pengetahuan dan penguatan kepada ibu yang memiliki anak stunting dalam optimalisasi kejar tumbuh dan kembang balita. Dari hasil evaluasi diperoleh pengetahuan ibu sebelum edukasii mayoritas cukup sebanyak 60 % dan setelah dilakukan edukasi dan pendampingan mayoritas baik dengan presentase 80 %. Dengan adanya kegiatan pengabdian masyarakat ini mampu meningkatkan pengetahuan ibu yang memiliki balita stunting serta meningkatkan resilensi ibu, karena dengan memiliki pengetahuan yang cukup tentang stunting, ibu dapat lebih mudah mengatasi kesulitan dalam merawat anak yang stunting guna optimalisasi tumbuh dan kembang anak. Kata Kunci: Penguatan, Resilensi Ibu, Pencegahan, Stunting ABSTRACT Stunting is a condition where toddlers fail to grow and develop due to long-term malnutrition (Soliman et al., 2021). In the long term, stunting results in economic losses due to reduced productivity. Community service is carried out in the form of strengthening the resilience of mothers who have 25 stunted toddlers. The aim of this service is to provide knowledge and strengthening to mothers who have stunted children in optimizing the growth and development of toddlers. From the evaluation results, it was found that the majority of mothers' knowledge before education was sufficient at 60% and after education and mentoring the majority was good with a percentage of 80%. This community service activity is able to increase the knowledge of mothers who have stunted toddlers and increase maternal resilience, because by having sufficient knowledge about stunting, mothers can more easily overcome difficulties in caring for stunted children in order to optimize the child's growth and development. Keywords: Strengthening, Maternal Resilience, Prevention, Stunting

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