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Faktor Risiko Yang Berhubungan dengan Pneumonia Pada Balita di Wilayah Kerja Puskesmas Puskesmas Haji Pemanggilan Kabupaten Lampung Tengah Tahun 2023 Rosmawati, Dwi; Windari, Fitri; Anggraini, Heni; Ningsih, Tri Riwayati
Jurnal Ners Vol. 8 No. 2 (2024): OKTOBER 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v8i2.26190

Abstract

Pneumonia merupakan salah satu penyakit infeksi yang banyak menyerang bayi dan anak balita. Berdasarkan data Profil Kesehatan Propinsi Lampung 2022, 3 kabupaten penyumbang terbanyak kejadian kasus pneumonia pada balita menunjukan Lampung Tengah sebanyak 2.872 kasus, Bandar Lampung 2.468 kasus dan Lampung Timur 2.388 kasus. Tujuan penelitian ini diketahui faktor risiko yang berhubungan dengan pneumonia pada balita di wilayah kerja Puskesmas Puskesmas Haji Pemanggilan kabupaten Lampung Tengah tahun 2023. Jenis penelitian kuantitatif, desain penelitian analitik pendekatan case control. Penelitian ini telah dilakukan pada Oktober tahun 2023, sample seluruh balita yang mengalami pneumonia dan balita yang tidak mengalami pneumonia dihitung dengan rumus uji hipotesis beda Odds Ratio, dengan perbandingan 1:1. Jumlah kasus 61 dan kontrol 61 sehingga jumlah responden 122. Analisis data secara univariat, bivariat (chi square) dan multivariat (regresi logistik ganda). Hasil analisis bivariat yaitu ada hubungan pengetahuan ibu (p value < 0,001 OR: 4,128), perilaku merokok (p value 0,001 OR: 4,074), status gizi (p value 0,001 OR: 7,470), status ekonomi (p value 0,004 OR: 3,160), ventilasi (p value < 0,001 OR: 6,375), status imunisasi (p value < 0,001 OR: 4,834) dengan pneumonia pada balita. Faktor paling dominan yang berhubungan dengan pneumonia pada balita adalah status gizip-value = 0,001 OR 11.0. faktor risiko yang mempengaruhi pneumnia adalah pengetahuan ibu, perilaku merokok, status gizi, status ekonomi, ventilasi dan status imunisasi.Disarankan petugas kesehatan dapat memberikan informasi dan pemahaman bagi masyarakat khususnya ibu balita melalui penyuluhan tentang tanda gejala, penularan dan pencegahan agar balita tidak terkena pneumonia. Kata kunci : pneumonia, balita, status gizi, status imunisasi, ventilasi
Health Education for Parents with Toddlers with Pneumonia in The Working Area of Puskesmas Haji Pemanggilan, Central Lampung Regency, Year 2023 Rosmawati, Dwi; Windari, Fitri; Anggraini, Heni; Ningsih, Tri Riwayati
Journal of Community Service for Health Vol. 4 No. 2 (2023)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jcsh.v4i2.ART.p044-047

Abstract

Pneumonia is one of the infectious diseases that affects babies and young children. According to the Health Profile of Lampung Province 2022, the three districts that contributed the most cases of pneumonia in the news showed Lampung Tengah as much as 2,872 cases, Bandar Lampung 2.468 cases and Lampung East 2.388 cases. The highest number of pneumonia sufferers from 37 health centers in Central Lampung was in the Haji Pemanggilan Health Center area with a total of 444 sufferers. The purpose of this study was to provide health education to parents about pneumonia in toddlers in the working area of Puskesmas Haji Pemanggilan in Central Lampung Regency in 2023. The data analysis method chosen was a simple quantitative descriptive model (descriptive survey). The research subjects were 61 parents of toddlers with pneumonia. From the research results, it was found that there was an increase in parental knowledge by 93%. The conclusion from this research is that there is a significant increase in the knowledge of parents of toddlers to prevent recurrent pneumonia in toddlers.
Relationship between Exposure to Solid Waste and Dengue Incidence in Communities Surrounding Bakung Landfill Bandar Lampung Rosmawati, Dwi; Asrowi, Ridho Hanan; Qohar, Abdul; Windari, Fitri
Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Vol 17 No 2 (2025): JIKM Vol. 17, Issue 2, May 2025
Publisher : Public Health Undergraduate Program, Faculty of Health Science, Universitas Pembangunan Nasional Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52022/jikm.v17i2.762

Abstract

Abstract Background: Dengue Hemorrhagic Fever (DHF) is a significant public health issue in Indonesia, including Bandar Lampung City. Environmental factors, such as poorly managed landfills, are suspected to contribute to the increase in dengue cases by creating conditions supporting the breeding of Aedes aegypti mosquitoes, particularly through stagnant water formed among unmanaged waste piles. The aim of this study was to analyze the relationship between exposure to solid waste (household waste, non-hazardous industrial waste, and construction waste) around the Bakung landfill and the incidence of dengue fever in the surrounding community. Method: Cross-sectional design was conducted in February 2024 in 200 households within a 500-meter radius of the Bakung landfill, selected through purposive sampling. Data were collected through structured questionnaires, interviews, and environmental condition observations. Statistical analysis used chi-square tests and logistic regression to determine relationships and main risk factors. Result: research results show that there was a significant relationship between solid waste exposure and the incidence of dengue fever (p=0.019), with communities exposed to solid waste (household waste, non-hazardous industrial waste, and construction waste) having a 3 times greater risk of contracting dengue fever compared to those not exposed (OR=3.01; p=0.013). In addition, the habit of maintaining environmental cleanliness was also significantly associated with the incidence of dengue fever (p=0.027). The community with good cleanliness habits has a lower risk of contracting dengue fever (OR = 0.43; p = 0.029). Conclusion: This study emphasizes that poor waste management and low environmental hygiene increase DHF cases. Therefore, efforts to improve waste management in Bakung landfill, community education related to sanitation, and government intervention in disease vector control are needed to reduce the incidence of DHF in the area.
Faktor Risiko Kejadian Ketuban Pecah Dini pada Ibu Hamil Kusuma Wardani, Frisca Desma Ayu; Windari, Fitri; Octavia, Tesya
Jurnal Dunia Kesmas Vol 13, No 2 (2024): Volume 13 Nomor 2
Publisher : Persatuan Dosen Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jdk.v13i2.15953

Abstract

Ketuban pecah dini (KPD) merupakan pecahnya selaput ketuban sebelum proses persalinan dimulai. Menurut World Health Organization (WHO) pada tahun 2017 Angka Kematian Ibu (AKI) di dunia masih tinggi dengan jumlah 289.000 jiwa. Tahun 2020 Pravalensi KPD di dunia mencapai 2-10% dan KPD mempengaruhi sekitar 5-15% dari kehamilan dengan insidensi tertinggi berada di Afrika. Komplikasi akibat KPD adalah infeksi dalam persalinan dan nifas, partus lama, meningkatnya tindakan secsio sesarea (SC). KPD juga memberi risiko pada janin yaitu prematuritas (sindrom distress pernafasan, hipotermia, masalah pemberian makan neonatal), morbiditas dan mortalitas perinatal. Penelitian ini menggunakan metode survey analitik dengan pendekatan crossectional study. Sampel dalam penelitian adalah seluruh ibu hamil yang ada di RSUD Kota Sabang. Teknik pengambilan sampel menggunakan total sampling yaitu 320 orang. Analisa data menggunakan uji Chi-Square Test pada tingkat kemaknaannya yaitu 95% (P<0,05).Hasil uji statistik menunjukkan terdapat hubungan paritas ( p-value= 0,007), usia kehamilan (p-value= 0,000), dan cairan amnion (p-value= 0,000) dengan kejadian ketuban pecah dini. Tidak terdapat hubungan kelainan letak janin dengan kejadian ketuban pecah dini dimana nilai p-value= 0,469.
Analisis Haid Dan Nifas Dalam Perspektif Tafsir Al-Kabir Mafatihul Ghaib nurhikmh, meli nurhikmah; Badi’ah, Siti; Windari, Fitri
Al-Bayan: Jurnal Ilmu al-Qur'an dan Hadist Vol 8 No 2 (2025): Juni
Publisher : LPPM Sekolah Tinggi Ilmu Al-Qur'an Wali Songo Situbondo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35132/albayan.v8i2.1276

Abstract

Conceptual gaps in public understanding of Sharia provisions regarding menstruation and postpartum bleeding (nifas) remain a crucial issue affecting aspects of worship and women's reproductive health. Previous studies have tended to separate fiqh analysis and linguistic studies, so the integration between classical interpretations and contemporary medical perspectives has not been optimal. This condition demands a multidisciplinary approach that can produce a more applicable and contextual understanding of Islamic law in relation to the development of modern health science. This research uses a qualitative method with a literature study approach to examine in depth the concepts of menstruation and postpartum bleeding in Tafsir al-Kabir Mafatihul Ghaib by Fakhruddin Ar-Razi. An integrative approach that harmonizes classical interpretation with cutting-edge medical science becomes the main analytical framework in this research. The results of the study reveal that Ar-Razi views menstruation and postpartum bleeding not only as biological phenomena, but also as having complex dimensions of Sharia law. In his interpretation of QS. Al-Baqarah verse 222, the term “adza” is interpreted as “dirt” (impurity) which includes the meaning of najis syar’i (legal impurity) as well as biological disturbances. This interpretation is the basis for prohibiting sexual relations during menstruation, which is not only oriented towards ritual aspects, but also as an effort to protect women's reproductive health from medical risks. This approach reflects a unique synthesis between medical and fiqh perspectives, enriching the dimensions of Islamic law interpretation related to reproductive health. This research affirms the urgency of a multidisciplinary approach in contemporary fiqh studies, especially in the context of women's health and worship, in order to broaden the horizons of Islamic law and offer relevant solutions to the challenges of the times.
DAMPAK KEBIJAKAN BPJS TERHADAP DISTRIBUSI PERSALINAN DI BIDAN MANDIRI DAN RUMAH SAKIT KOTA BANDAR LAMPUNG Rosmawati, Dwi; Windari, Fitri; Anggraini, Heni; Anggraini, Silvia; Ningsih, Tri Riwayati
Jurnal Administrasi Rumah Sakit Indonesia Vol 4 No 2 (2025): Jurnal Administrasi Rumah Sakit Indonesia
Publisher : STIKES RS Baptis Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32660/jarsi.v4i2.945

Abstract

Implementasi Jaminan Kesehatan Nasional (JKN) oleh BPJS Kesehatan telah meningkatkan akses layanan kesehatan, termasuk persalinan. Namun, kebijakan ini juga memicu pergeseran pola pelayanan, di mana jumlah persalinan di Bidan Praktik Mandiri (BPM) menurun, sementara di Rumah Sakit (RS) meningkat secara signifikan. Penelitian ini bertujuan untuk menganalisis dampak kebijakan BPJS terhadap distribusi layanan persalinan di Kota Bandar Lampung. Metode yang digunakan adalah kuantitatif deskriptif-komparatif, dengan sampel 30 BPM dan 10 RS mitra BPJS periode 2019–2024. Hasil menunjukkan penurunan jumlah persalinan di BPM sebesar 45% dan peningkatan di RS sebesar 61%. Sebanyak 58% persalinan di RS dilakukan melalui operasi caesar, sedangkan BPM hanya melayani persalinan normal. Perbedaan keberhasilan klaim dan persepsi terhadap sistem BPJS menjadi faktor utama. BPM menghadapi hambatan administratif, klaim yang sering tertunda, serta tarif klaim yang tidak memadai. Sementara itu, RS lebih mampu mengakses dan mengelola sistem klaim secara efisien. Uji beda menunjukkan pergeseran ini signifikan secara statistik. Temuan ini menegaskan perlunya reformasi sistem insentif dan penyederhanaan prosedur klaim agar BPM tetap berfungsi sebagai ujung tombak layanan maternal dalam sistem rujukan berjenjang JKN.
The Value of Mutual Assistance (Ta'awun) in the Qur'an and Its Relevance to the Sakai Sambayan Tradition of the Lampung Community Syafira, Klara; Ghozali, Abdul Malik; Windari, Fitri; Yanuri, Rohmat
QiST: Journal of Quran and Tafseer Studies Vol. 4 No. 2 (2025): August
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/qist.v4i2.13219

Abstract

This study aims to examine the value of mutual assistance (ta'awun) in the Qur'an and explore its relevance to the Sakai Sambayan tradition of the Lampung community. Employing a qualitative approach through library research, the study draws upon Qur'anic verses, both classical and contemporary exegeses, and anthropological literature on Lampung culture. The findings reveal a significant convergence between the universal Islamic principle of ta'awun and Sakai Sambayan as a form of local wisdom. Both emphasize solidarity, compassion, and communal togetherness, although they differ in origin: ta'awun is derived from divine revelation, while Sakai Sambayan is rooted in cultural tradition. The integration of these values offers substantial implications for strengthening social cohesion, developing character education grounded in spiritual and cultural values, and fostering religious moderation in the face of modern challenges such as globalization and individualism. Therefore, this study highlights that the synergy between Qur'anic teachings and local traditions can serve as strategic socio-religious capital for building a harmonious, caring, and empowered society within the broader framework of Indonesia's socio-religious development.