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KEGIATAN PENJANGKAUAN WANITA PEKERJA SEKS (WPS) DALAM RANGKA PENCEGAHAN PENULARAN HIV-AIDS DI LOKASI PROSTITUSI JAKARTA TAHUN 2015 Heryana, Ade; Hubaybah, Hubaybah; Hasnur, Hanifah; Helmi, Helmi; Salmah, Salmah; Rendang, Aden
Jurnal Pengabdian Masyarakat AbdiMas Vol 3, No 1 (2016): Jurnal Pengabdian Masyarakat AbdiMas
Publisher : Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/abd.v3i1.1669

Abstract

AbstractIt’s difficult to prevent the HIV/Aids transmision at active female sexual workers (Wanita Pekerja Seks/WPS) in Jakarta. There are some factors that influence this condition, such as knowledge, attitude, risky behaviour, mobility, and HIV/Aids stigma. Base on this situation, it’s important to conduct the public-based health prevention program or UKBM at WPS. The aims of this activity is to contribute in HIV/Aids prevention program especially at WPS that administered by government (i.e KPA). This activity was conducted in 5 stages i.e preparing, outreaching, group discussing, intervention formulating, and reporting. Outreach activity covering 5 selected prostitution areas in Jakarta (Rawa Bebek, Gang Laler, Dukuh Atas, Bongkaran, and Golden Spa), from 17 November to 31 December 2015, including campaign, VCT services, and distribution of promotion kits (KIE). According to this activity only a half WPS well-known about risk and severity of HIV/Aids; a half of WPS belief that gov’s  HIV/Aids prevention give the beneficiary for them; actually WPS have awareness and willingness to HIV/Aids test but it’s barrier with the specification of their “work hours”; the WPS have trusted with the gov’s recommendation about HIV/Aids prevention and need public’s support; condom use stil the best intervention to prevent HIV/Aids transmission at WPS. Changing toward WPS’s safety sex behavior in order to prevent the sexual transmisiable of HIV-Aids couldn’t be full delegated to WPS herself. This effort should be supported by all of stakeholder who involve in the prevention of sexual transmising of HIV-Aids.        Keywords: HIV/Aids, public health intervention, sexual workersAbstrakPenyebaran penyakit HIV/Aids di kalangan Wanita Pekerja Seks aktif di Jakarta sulit dicegah. Beberapa faktor yang merupakan penyebab kondisi tersebut, antara lain faktor pengetahuan, sikap, perilaku berisiko, mobililitas dan stigma masyarakat terhadap HIV/Aids. Untuk itu perlu dilakukan upaya pencegahan yang sifatnya berbasis masyarakat atau UKBM pada kelompok berisiko WPS. Tujuan kegiatan ini adalah memberi masukan kepada pemerintah (KPA) upaya-upaya pencegahan HIV/Aids di kalangan WPS. Kegiatan dilakukan dalam 5 tahap yaitu persiapan, pelaksanaan penjangkauan, diskusi kelompok, perumusan intervensi, dan penyusunan laporan kegiatan. Kegiatan penjangkauan dilakukan di 5 lokasi prostitusi terpilih di DKI Jakarta yakni di Rawa Bebek, Gang Laler, Dukuh Atas, Bongkaran, dan Golden Spa, pada 17 November s/d 31 Desember 2015, meliputi sosialisasi, layanan VCT, dan penyebaran media KIE. Tidak semua WPS paham risiko dan bahaya HIV/Aids, sebagian WPS percaya program pemerintah terkait penanggulangan HIV/Aids sangat bermanfaat untuk mereka, sebenarnya WPS sadar dan ingin sekali melakukan tes HIV/Aids namun terkendala waktu pemeriksaan yang disebabkan oleh “jam kerja” WPS lebih banyak dihabiskan malam hingga dini hari, WPS sangat percaya dengan saran-saran atau program penanggulangan HIIV/Aids yang dicanangkan pemerintah dan membutuhkan dukungan dari lingkungan sekitar, dan penggunaan kondom masih merupakan intervensi ampuh untuk mencegah tertularnya penyakit HIV/Aids di kalangan WPS. Perubahan perilaku seks yang aman pada WPS dalam rangka mencegah penularan HIV-Aids secara seksual tidak bisa diserahkan sepenuhnya kepada WPS itu sendiri, akan tetapi membutuhkan dukungan dari berbagai pihak.Kata Kunci: HIV/Aids, intervensi kesehatan masyarakat, pekerja seks
Study on Public Health Financing in Pidie Jaya District in 2013 Hasnur, Hanifah; Junadi, Purnawan
Journal of Indonesian Health Policy and Administration Vol. 1, No. 2
Publisher : UI Scholars Hub

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Abstract

Albeit high dependency on central government transfer (around 69% of total health expenditure), funding from local PAD has been increasing. The revenue shall support priority health programs. This study aims to analyze local health financing system and as input for health program planning. Health financing portrait how fund being spent, and identfying who the agents are as well as the beneficiaries. The study shows spending on health from local budget is Rp130,000. Expenditures on operational costs for direct activities and community-based health efforts or Upaya Kesehatan Masyarakat (UKM) are still low (41%). Puskesmas needs to do more health-related activities for babies and under-five children, and spending on under-five children activities were inexist. Performance-based budgeting at District Health Office (DHO) has not been implemented yet and poor performance of activities was due to very limited budget for conducting activities. Therefore, future planning for budgeting should consider (1) annual increase of locally derived revenue and excess fund or SILPA to improve financing of priority health programs; (2) local budget managed by DHO to be used for scaling up UKM and General Hospital uses funding managed by National Health Insurance Agency or Badan Penyelenggara Jaminan Sosial (BPJS) to provide quality personal care efforts or Upaya Kesehatan Perorangan (UKP), (3) financing of activities targeting babies and under-five children at Puskesmas should be improved; (4) one way of having performance-based budgeting at DHO is by full provision of operational costs for its direct activities.
FACTORS ASSOCIATED WITH ELECTRIC CIGARETTES USE IN STUDENTS AT SMAN 1 TAKENGON IN 2021 Yana, Nada; Hasnur, Hanifah; Sepatini, Riza
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 9, No 1 (2023): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37598/jukema.v9i1.2073

Abstract

Background: Every year the percentage of teenagers who smoke increases, in 2011, 3.1% of teenagers smoked e-cigarettes and 1.7% of them were still found smoking tobacco cigarettes. In 2012, the percentage of teenagers using e-cigarettes increased quite drastically by 6.5%, with details of 4.1% using e-cigarettes and 2.6% using e-cigarettes (vapes) with tobacco cigarettes, while 2% of them used tobacco cigarettes. The research aims to determine factors that can influence the use of electronic cigarettes (vape) among students at SMAN 1 Takengon. Method: Analytical descriptive research using a cross- sectional design. The sample was taken by accidental sampling with a total of 40 male students. Data collection uses a questionnaire. Analysis uses univariate and bivariate analysis. Results: Bivariate analysis shows that there is a relationship between the affordability of e-cigarettes in accessing purchasing e-cigarettes (p= 0.004) and the use of e-cigarettes, and there is no relationship between knowledge, attitudes, perceptions, pocket money, and peers towards the use of e-cigarettes. Recommendation: It is recommended that the Central Aceh Regency Health Serviceto increase outreach and guidance activities  regarding the dangers of using e-cigarettes, the need for a firm stance from the Central Aceh Regency government in paying attention to age limits for the sale of e-cigarettes.
SURVEY OF THE IMPACT OF THE COVID-19 PANDEMIC ON SMOKING BEHAVIOR IN ACEH Septiani, Riza; Jannah, Miftahul; Laila, Nurnarita; Hasnur, Hanifah; Presilawati, Febyolla; Na’imah, Na’imah; Gusweni, Mira
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 9, No 2 (2023): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37598/jukema.v9i2.1986

Abstract

Background: The COVID-19 pandemic has significantly impacted the decline in human quality of life across various aspects. The direct impact of the COVID-19 pandemic is evident in the health aspect, such as the high number of positive cases and deaths due to COVID-19. One of the groups considered vulnerable to Coronavirus infection is smokers.  This research aims to understand the impact of the COVID-19 pandemic on smoking habits and changes in smoking patterns, as well as smoking behavior (cigarette consumption, smoking areas, access, and ease of purchasing cigarettes) during the COVID-19 pandemic in Aceh. Method: This research employs descriptive analytics using a Cross-sectional approach. The sampling technique used in this study is Convenience/Accidental sampling with a sample of 255 respondents. The instrument used was an online survey in Google Form format distributed through WhatsApp, and the data were analyzed using Univariate analysis. Results: The survey indicates that concerning the intention to quit smoking, 22% of respondents stated that during the COVID-19 period, they had already tried to quit smoking, and another 48% of respondents intended to quit, although they had not succeeded yet. Based on the  number of cigarettes consumed, 54% of respondents had reduced smoking, and 26% of respondents intended to reduce but found it challenging. Regarding respondents' knowledge about cigarettes and COVID-19, 90% of respondents had good to fairly good knowledge about preventing the spread of COVID-19, 69% of respondents had received information from various media, with the majority receiving information from social media and print media. Concerning access to purchasing cigarettes, 77% of respondents directly purchased from stalls, shops, or local stores, and the majority bought cigarettes every day or every 2-3 days. In terms of respondents' perceptions of cigarettes and COVID-19, 22% of respondents stated that cigarettes were a risk factor for COVID-19, 1% considered cigarettes to be a protective factor, and 77% were undecided. Conclusion: The survey indicates a change in the  number of cigarettes consumed by respondents before and after the COVID-19 pandemic. Therefore, there is a need to  maximize of health promotion related to cigarettes and COVID-19, as well as strengthened the implementation of smoke-free areas (KTR - Kawasan Tanpa Rokok) and smoke-free homes. Consistent implementation of smoke-free areas is expected to improve public health, especially in controlling the risk factors for diseases and deaths caused by smoking and enhancing a healthy and clean living culture within society.
Faktor Yang Berhubungan Dengan Kepuasan Pasien Di Poli Rawat Jalan Puskesmas Babahrot Nurlina, Nurlina; Lastri, Surna; Hasnur, Hanifah
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 9, No 2 (2023): Oktober 2023
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v9i2.3395

Abstract

Kepuasan pasien dapat diartikan sebagai perasaan puas, rasa senang dan kelegaan seseorang dikarenakan mengkonsumsi suatu produk atau jasa untuk mendapatkan suatu pelayanan kesehatan. Agar kualitas pelayanan tidak menurun, maka puskesmas harus meningkatkan mutu layanannya yang ditujukan untuk memenuhi harapan dan kepuasan masyarakat di wilayah kerja puskesmas tersebut. Penelitian ini bertujuan untuk menjelaskan faktor – faktor yang memepengaruhi kepuasan pasien di poli rawat jalan UPTD Puskesmas Babahrot Kecamatan Babahrot Kabupaten Aceh Barat Daya tahun 2023. Jenis penelitian ini bersifat deskriptif analitik dengan menggunakan desain cross sectional dan menggunakan uji statistik chi-square. Populasi dalam penelitian ini semua pasien rawat jalan yang berkunjung sebanyak 100 pasien, dengan teknik pengambilan sampling yaitu total sampling berjumlah 100 orang. Pengumpulan data dilakukan tanggal 6 s/d 13 Januari 2023 dengan cara menyebar kuesioner dan wawancara. Dari hasil penelitian diperoleh persentase pasien yang merasa kurang puas terhadap pelayanan kesehatan (44%), responden yang menyatakan kehandalan (reliability) sangat baik (63%), responden yang menyatakan ketanggapan (responsiveness) baik (43%), responden yang menyatakan ketanggapan (assurance) sangat baik (41%), responden yang menyatakan empati (emphaty) sangat baik (59%) dan responden yang menyatakan bukti fisik/langsung (tangible) sangat baik (62%). Hasil uji statistik diperoleh tidak ada hubungan yang signifikan antara empati (p value=0,96) dengan kepuasan pasien. Sebaliknya ada hubungan yang signifikan antara kehandalan (p value=0,002), ketanggapan (p value=0,028), jaminan (p value=0,022) dan bukti fisik (p value=0,002) dengan kepuasan pasien. Kata Kunci : kepuasan, kualitas, pelayanan kesehatan Patient satisfaction can be interpreted as a feeling of satisfaction, pleasure and relief for someone due to consuming a product or service to get a health service. So that the quality of service does not decrease, the puskesmas must improve the quality of its services aimed at meeting the expectations and satisfaction of the community in the working area of the puskesmas. This study aims to explain the factors influencing patient satisfaction at the outpatient polyclinic of UPTD Puskesmas Babahrot, Babahrot District, Aceh Barat Daya District in 2023. This type of research is descriptive analytic using a cross sectional design and using the chi-square statistical test. The population in this study were all outpatients visiting in 2022 with a sample of 100 people. Data collection was carried out from 6 to 13 January 2023 by distributing questionnaires and interviews. From the results of the study, it was found that the percentage of patients who were dissatisfied with health services (44%), respondents who stated reliability was very good (63%), respondents who stated good responsiveness (43%), respondents who stated responsiveness ( assurance) is very good (41%), respondents who say empathy is very good (59%) and respondents who say tangible evidence is very good (62%). The results of statistical tests showed that there was no significant relationship between empathy (p value = 0.96) and patient satisfaction. Conversely, there is a significant relationship between reliability (p value=0.002), responsiveness (p value=0.028), assurance (p value=0.022) and physical evidence (p value=0.002) with patient satisfaction. Keywords: patient satisfaction, quality of health services
Estimasi Biaya dan Evaluasi Program Intervensi Pemberian Pangan Olahan untuk Keperluan Medis Khusus (PKMK) untuk Perbaikan Status Gizi di Banyumas, Jawa Tengah Hasnur, Hanifah; Presilawati, Febyolla
Jurnal Ekonomi Kesehatan Indonesia Vol. 6, No. 2
Publisher : UI Scholars Hub

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Abstract

The Government of Banyumas has implemented an intervention in the Provision of Processed Food for Special Medical Purposes (FSMP) with nutritional supplementation of 1.5 kcal/mL in 2019. However, there is no evaluation has been carried out, both of outcome and the cost of the intervention. So that, it is necessary to provide an initial picture of the resources needed for the formulation of future intervention plans. This study aims to determine the estimated cost required for FSMP intervention and to determine the outcome of the intervention. The economic evaluation was carried out partially by calculating costs from the perspective of the program implementing institution and the outcome of the intervention in the form of increasing weight and height. The research sample was 40 toddlers who had been selected based on nutritional screening of toddlers who were unable to consume existing foods and had inadequate nutritional intake. The results of the study showed that the total intervention cost was Rp.219.817.000 for 40 children (Rp.5.495.438 per child) where for nutritional supplementation of 1.5 kcal/mL per child was Rp.1.395.850. There was an increase in the average weight and height of children by 0.64-kilogram and 0.47-centimeter in 28 days after the program was completed. The estimated cost from the results of this study could be lower in subsequent interventions if the equipment is reused. This study can be used as a reference for FSMP interventions with the same subject coverage/criteria or on a wider scale.
Peran Organisasi Civil Society dan Belanja Program Penanggulangan TB (Tuberkulosis) di Indonesia: Studi Kasus PW (Persatuan Wilayah) Aisyiyah Aceh Hasnur, Hanifah; Baharuddin, Dharina; Abdullah, Asnawi
Jurnal Ekonomi Kesehatan Indonesia Vol. 5, No. 2
Publisher : UI Scholars Hub

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Abstract

The number of TB cases in Aceh has reached 8471 cases in 2018; 240 (2.8%) cases occurred among children. The real cases in the community were estimated higher than this figure. The success of TB control was influenced by many factors, including the roles of civil society organizations. This research was conducted to analyze the roles of civil society organizations in controlling TB cases in the community. A case study was conducted at PW Aisyiyah Aceh using an economic evaluation methodology for tracking expenditures for TB program activities (2011-2013) compared to the targets. The study showed that PW Aisyiyah has played significant roles in controlling cases of TB in Aceh through many community engagement activities included the TB Care Group; the TB Community activities, High-Risk Group Outreach activities; direct TB and MDR-TB patients monitoring; assisted and providing TB care information and networking to the community. PW Aisyiyah Aceh has spent budgets Rp. 844 million per year for TB program activities with 22.3% spent on promotive/preventive activities, 77.5% spent on indirect activities. To maximize and sustain the roles of PW Aisyiyah Aceh as a civil society organization in controlling the TB program, it is strongly suggested to explore other sources of budgets, including exploring the potential of collaborating Public-Private mix funding mechanism. PW Peran Organisasi Civil Society dan Belanja Program 62 Hasnur, Dharina, Abdullah Aisyiyah is also suggested to increase budget spending on promotive and preventive public health activities in addition to curative activities which have been the main mission of Aisyiyah community organizations in Indonesia.
ANALISIS KINERJA FKTP PEMERINTAH DI ERA JKN DENGAN METODE BALANCED SCORECARD: STUDI KASUS DI PUSKESMAS BANDAR BARU TAHUN 2022 Hasnur, Hanifah
Jurnal Ekonomi Kesehatan Indonesia Vol. 8, No. 1
Publisher : UI Scholars Hub

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Abstract

The health efforts at health facilities have entered a new phase in the current era of Indonesian National Health Insurance (NHI). The Bandar Baru Health Center (Puskesmas), one of the largest Puskesmas in Pidie Regency with the most significant income from the NHI, is required to have quality health services, which at the same time also needs to be efficient in using its resources. This study uses the Balanced Scorecard method to determine the performance of the government's FKTP, in this case, the Bandar Baru Health Center, in the current NHI era. This quantitative descriptive research collects primary and secondary data to analyze the financial, customer, internal business, and development perspectives. The results of the study show that the Bandar Baru Health Center, from a financial perspective, is still lacking in growth due to the expansion of the sub-health center below it, however; the Puskesmas has made savings, which can be seen from the Balanced Economic Level Value is economical (Tec < 100%; 2019-2020) and less economical in 2021 (Tec=100%), the value of the Effectiveness Level is not effective (Tev < 100%; 2019-2021), and the value of the Efficient level is not efficient (Tef =100%; 2019-2020) and efficient in 2021 (Tef < 100%). From the customer's perspective, the lowest satisfaction index is on the facilities and infrastructure of the Bandar Baru Puskesmas. Meanwhile, from an internal business perspective, employee turnover is low even though employee training still needs to be improved. Efforts are needed to increase innovative health programs that can improve the performance of the Puskesmas and increase the number of patients registered to increase the financial growth of the Bandar Baru Health Center.
Evaluasi Pelaksanaan Program Imunisasi Dasar Lengkap pada Bayi Raihani, Fitri; Santi, Tahara Dilla; Hasnur, Hanifah
Jurnal Peduli Masyarakat Vol 6 No 4 (2024): Jurnal Peduli Masyarakat: Desember 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v6i4.5320

Abstract

Pemberian imunisasi adalah untuk meningkatkan kekebalan tubuh anak dan sebagai upaya pencegahan penyakit. Permasalahan yang terjadi di Puskesmas Montasik cakupan imunisasi pada balita hanya sebesar 9%. Maka dari itu perlu melakukan evaluasi pelaksanaan program imunisasi dasar lengkap. Tujuan penelitian ini untuk mengetahui Evaluasi Pelaksanaan Program Imunisasi Dasar Lengkap Pada Bayi Di Wilayah Kerja Puskesmas Montasik Kabupaten Aceh Besar Tahun 2024. Jenis penelitian kualitatif, dengan metoda wawancara mendalam, telaah dokumen dan observasi. Informan pada penelitian ini orang tua bayi dan pegawai puskesmas berjumlah 8 orang. Pengumpulan data dilakukan pada tanggal 1-10 Juli 2024. Hasil penelitian diketahui bahwa ketenagaan untuk pelaksanaan imunisasi sudah memadai, dana untuk pelaksanaan program sudah memadai, sarana dan prasarana sudah mencukupi, SOP pelaksanaan imunisasi sudah tersedia. Perencanaan imunisasi dari dinas kesehatan, pelayanan imunisasi dilakukan di dalam dan di luar gedung, masih ada petugas imunisasi yang belum melaksanakan SOP. Pencatatan dan pelaporan dimulai dari pembina wilayah ke puskesmas kemudian dilanjutkan ke dinas kesehatan. Supervisi dan bimbingan teknis sudah terlaksana dari dinas ke puskesmas, pimpinan puskesmas hanya supervisi secara berkala ke klinik/BPS. Cakupan imunisasi masih belum mencapai target karena faktor pemahaman masyarakat, dan teknis pelaksanaan program. Disarankan untuk melakukan pengawasan dan evaluasi berkala terhadap kepatuhan petugas dalam menjalankan SOP imunisasi.
Faktor-faktor Yang Berhubungan Dengan Pemberian Imunisasi Dasar Lengkap Pada Balita Di Wilayah Kerja Puskesmas Mutiara Barat Kecamatan Mutiara Kabupaten Pidie Maijora, Cut Tiara; Aramico, Basri; Hasnur, Hanifah
JURNAL KESEHATAN INDRA HUSADA Vol 11 No 2 (2023): Volume 11 Nomor 2 (Desember 2023)
Publisher : SEKOLAH TINGGI ILMU KESEHATAN (STIKes) INDRAMAYU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36973/jkih.v11i2.526

Abstract

Immunization is one of the essential public health efforts that is effective in providing specific immunity against diseases that can be prevented by immunization. Mothers have a very important role in providing immunizations to children. The aim of this research is to determine the factors related to Complete Basic Immunization Coverage for Toddlers in the Working Area of Mutiara Barat Health Center, Pidie Regency in 2023. Method: this research is descriptive analytical with a cross-sectional approach. The population in this study was mothers who had toddlers aged (12-23 months). The sample was taken as many as 67 respondents using proportional random sampling technique. Data collection was carried out on January 16-26 2023 by means of interviews using a questionnaire. Data were analyzed univariately and bivariately using the chi-square test via SPSS. Results: univariate analysis showed that 92.5% of immunizations were incomplete, 56.7% knowledge was poor, 50.7% had side effects, 46.3% families did not support, 50.7% the role of health workers was poor, 41 .8% access to health facilities is unaffordable. Bivariate analysis showed that there was a relationship between knowledge (p-value 0.008), side effects (p-value=0.018), family support (p-value=0.031), role of health workers (p-value=0.018) and provision of complete basic immunization. Conclusion: Knowledge, side effects, family support, the role of health workers are related to immunization. It is recommended that community health centers provide more health program guidance and training to health workers to increase housewives' knowledge about the importance of complete basic immunization for toddlers.