Claim Missing Document
Check
Articles

Analisis Faktor yang Mempengaruhi Penanggulangan HIV/AIDS di Wilayah Kerja Dinas Kesehatan Kabupaten Padang Pariaman Tahun 2018 Yani Anggina; Yuniar Lestari; Zairil Zairil
Jurnal Kesehatan Andalas Vol 8, No 2 (2019): Online Juni 2019
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v8i2.1016

Abstract

Kabupaten Padang Pariaman merupakan daerah dengan salah satu kasus HIV?AIDS tertinggi di Sumatera Barat dan mengalami peningkatan kasus setiap tahunnya. Adanya peran petugas, pemerintah, dan masyarakat dapat mengatasi masalah HIV/AIDS yang terjadi di Kabupaten Padang Pariaman. Tujuan penelitian ini adalah menganalisis faktor yang mempengaruhi penanggulangan HIV/AIDS di Kabupaten Padang Pariaman tahun 2018. Studi ini menggunakan rancangan kualitatif deskriptif, lokasi di Kawasan Dinas Kesehatan Kabupaten Padang Pariaman dengan subjek penelitian adalah Kasie Pemberantasan Penyakit Menular (P2M) Dinas Kesehatan Kabupaten Padang Pariaman, Pengelola Penyakit Menular, Pemegang program HIV/AIDS di Dinas Kesehatan dan Puskesmas, konselor VCT, Kasie promkes di Dinas Kesehatan dan Puskesmas, dan masyarakat. Instrumen penelitian adalah pedoman wawancara mendalam dan telaah dokumen mengenai laporan HIV/AIDS. Variabel penelitian adalah peran petugas kesehatan, stigma masyarakat, kesadaran ODHA, dan lingkungan. Hasil penelitian menunjukkan bahwa kinerja petugas dalam penanggulangan HIV/AIDS yang belum optimal, masih tingginya stigma masyarakat terhadap ODHA, kurangnya kesadaran ODHA untuk memeriksakan diri dan melakukan pengobatan, serta kurangnya dukungan yang diberikan kepada ODHA. Simpulan penelitian ini adalah penyuluhan dan kerjasama lintas sektor mengenai penanggulangan HIV/AIDS belum maksimal.
Analisis Pelaksanaan Program Pencegahan dan Pengendalian Infeksi Nosokomial di RSUD Pasaman Barat (Standar Akreditasi Versi 2012) Ramayanti Ramayanti; Rima Semiarty; Yuniar Lestari
Jurnal Kesehatan Andalas Vol 8, No 3 (2019): Online September 2019
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v8i3.1050

Abstract

Program pencegahan dan pengendalian infeksi {PPI} sangat penting untuk rumah sakitkarena menjadi syarat untuk akreditasi. Resiko terjadinya infeksi nosokomial dapat diminimalkan dengan melaksanakan PPI. Kejadian infeksi di RSUD Pasaman Barat besar dari 1,5%, pelaksanaan program sudah berjalan tapi belum optimal. Tujuan penelitian ini adalah menganalisis pelaksanaan program PPI melalui studi kebijakan bersifat deskriptif dengan pendekatan kualitatif. Pengumpulan data dilakukan melalui wawancara, FGD, telaah dokumen dan observasi. Komponen input yang diteliti adalah (kebijakan, pedoman, metode, tenaga, dana, sarana dan monitoring evaluasi), proses pelaksanaan program PPI dan output adalah penerapan program sesuai standar akreditasi versi 2012. Hasil penelitian menunjukkan beberapa komponen input tidak sesuai standar, pelaksanaan PPI belum optimal dan konsisten dan hasilnya penerapan program PPI belum tercapai sesuai standar. Kesimpulan dari penelitian ini adalah masih ada kendala pelaksanaan PPI di RSUD Pasaman Barat setelah dianalisa dengan pendekatan sistem. Kendala pada input adalah SDM, dana dan sarana sedangkan pada proses adalah pelaksanaan yang tidak optimal karena masih ada petugas belum menjalankan sesuai SOP. Capain program PPI sudah sesuai standarakreditasi versi 2012 hanya perlu penguatan komitmen oleh seluruh staf RS.
Analisis Waktu Tunggu Rawat Jalan di Rumah Sakit Umum Daerah Dr Achmad Darwis Suliki Tahun 2019 Suspenti Dewi; Rizanda Machmud; Yuniar Lestari
Jurnal Kesehatan Andalas Vol 8, No 4 (2019): Online December 2019
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v8i4.1137

Abstract

AbstrakWaktu tunggu rawat jalan di RSUD dr. Acmad Darwis Suliki masih menjadi permasalahan, hasil survey awal didapatkan bahwa waktu tunggu rawat jalan masih melebihi SPM rawat jalan yang ada yaitu < 60 menit. Hal ini akan berdampak pada kepuasan pasien terhadap pelayanan yang diterima. Tujuan: Menganalisis waktu tunggu rawat jalan di RSUD dr. Achmad Darwis Suliki tahun 2019. Metode: Penelitian ini adalah studi kualitatif dengan melakukan wawancara semi terstruktur, Focus Group Discussion, observasi dan telaah dokumen. Pengumpulan data dilakukan dengan wawancara pada sembilan orang informan. Komponen yang diteliti yaitu komponen input (SDM, Standar Prosedur Operasional (SPO)/kebijakan dan sarana prasarana), komponen proses (pendaftaran, menyiapkan dokumen rekam medis, pemeriksaan) dan komponen output. Hasil: Jumlah SDM masih kurang dan kedisiplinan petugas khususnya tenaga medis juga masih kurang, SPO rekam medis belum terlaksana secara optimal karena kurangnya kedisiplinan petugas dalam melaksanakan SPO, sedangkan SPO untuk rawat jalan belum ada. Ketersediaan sarana prasarana masih belum mencukupi. Proses pendaftaran terkendala karena jumlah komputer yang kurang. Menyiapkan dokumen rekam medis belum sesuai dengan standar waktu yang telah ditetapkan karena kurangnya petugas dan  SPO yang belum terlaksana dengan baik. Waktu tunggu rawat jalan masih belum sesuai standar karena masih melebihi waktu 60 menit. Simpulan: Waktu tunggu rawat jalan di RSUD dr. Achmad Darwis Suliki tahun 2019 belum sesuai standar. Disarankan agar pihak rumah sakit dapat meminimalisasi waktu tunggu rawat jalan dengan penambahan petugas, menyusun SPO, melakukan monitoring dan evaluasi, melengkapi sarana prasarana. 
Hubungan Kebiasaan Merokok dengan Profil Lipid pada Laki-Laki Pegawai Negeri Sipil di Kantor Kecamatan Se-Kota Padang Kelsy Qoridisa; Yuniar Lestari; Delmi Sulastri
Jurnal Kesehatan Andalas Vol 7, No 3 (2018)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v7i3.883

Abstract

Dislipidemia dipercaya sebagai pencetus penyakit kardiovaskular yang ditandai dengan naik dan turun profil lipid dalam darah. Kebiasaan merokok salah satu faktor risiko dalam menimbulkan kondisi dislipidemia. Kandungan zat berbahaya pada rokok berkontribusi besar pada abnormalitas profil lipid. Tujuan penelitian ini adalah untuk mengetahui bagaimana hubungan antara kebiasaan merokok dan profil lipid pada laki-laki Pegawai Negeri Sipil (PNS) di kantor kecamatan yang ada di Kota Padang. Penelitian ini merupakan studi analitik dengan pendekatan cross sectional. Sebanyak 130 responden dipilih sebagai sampel penelitian menggunakan metode pengambilan total sampling, dengan memperhatikan kriteria inklusi dan eksklusi. Data kebiasaan merokok dikumpulkan dengan metode kuesioner dan pengukuran kadar profil lipid dilakukan di laboratorium klinik. Analisis data menggunakan Independent t-test dan One Way ANOVA. Hasil penelitian menunjukkan tingginya prevalensi perokok di kalangan PNS sebesar 56,8%. Rerata profil lipid diantaranya, kolesterol total 216,3 mg/dl, LDL 129,6 mg/dl, HDL 45,1 mg/dl, dan trigliserida 120,7 mg/dl. Tidak terdapat hubungan yang bermakna antara kebiasaan merokok dengan kadar kolesterol total , LDL, HDL dan trigliserida . Tidak terdapat hubungan bermakna antara derajat merokok dengan kolesterol total, LDL, HDL dan trigliserida. Tidak terdapat hubungan bermakna antara jenis rokok dengan kolesterol total, LDL, HDL dan trigliserida. Simpulan penelitian ini adalah tidak terdapat hubungan yang bermakna antara kebiasaan merokok, derajat merokok, dan jenis rokok dengan profil lipid.
Analysis Factors Related to Implementation of Complete Basic Immunization in Work Area of Pengambiran Public Health Center in Padang 2017 Ade Nurhasanah Amir; Eryati Darwin; Yuniar Lestari
Journal of Midwifery Vol 3, No 1 (2018): Published on June 2018
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (835.928 KB) | DOI: 10.25077/jom.3.1.52-61.2018

Abstract

The role of a mother in the immunization program is very important, so their understanding of immunization is necessary, the behavior of a person or society about health is determined by knowledge, attitude, belief, tradition, work etc. from the person or society concerned. In addition, the availability of health care facilities, attitudes, behavior of health workers on the provision of health information will also support and strengthen the formation of health behaviors, This study aims to determine the factors that affect the provision of complete basic immunization, This study uses a combined research method between quantitative and qualitative.Sample for this study is 107 mother mother, while informant for qualitative study is Head of PuskesmasPengambiran Padang City, Responsible, Immunization Officer of Puskesmas and Kader which is in Working Area of PengambiranPublic Health in Padang City, The result of this study shown that family support is the most important factors in the implementation Complete basic immunization (p = 0.001). The results of the analysis revealed that the coverage of the implementation of complete basic immunization has not been successful because the lack of active role of cadres and health officers in community in informing immunization in depth. so that there is still a lack of understanding from mothers and families which has no family support in the implementation of complete basic immunization, it has not reached 95% target because the system implementation of complete basic immunization services that have not been optimal. It needs various efforts to improve the achievement of complete basic immunization coverage especially through optimizing the role and function of health and cadre officers and optimizing partnerships with various parties.
Analysis of Factors Related to Midwife's Performance in Filling the "Poedji Rohyati" Score in Early Detection of High Risk Pregnancy atPublic Health Center of Lima Puluh Kota District Liza Andriani; Yuniar Lestari; Erwani Erwani
Journal of Midwifery Vol 3, No 1 (2018): Published on June 2018
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (909.127 KB) | DOI: 10.25077/jom.3.1.62-72.2018

Abstract

One indicator that determines community health status is mortality. Midwives as the spearhead of antenatal care must be able to prevent maternal mortality rates (AKI) by increasing their performance in providing antenatal services in accordance with standards. One attempt to prevent AKI is by early detection of high-risk pregnancy using the PoedjiRohyati score card (KSPR). Midwife's performance is influenced by several factors, namely individual, organizational and psychological factors. This study aims to analyze the factors related to the performance of midwives in filling the PoedjiRohyati score card on early detection of high-risk pregnancies in the Lima Puluh Kota District Health Center.       This study uses a combination of quantitative and qualitative methods. Quantitative research samples were 74 respondents, data collection was carried out from January to February 2018 with interview techniques using questionnaires and observation sheets. While the qualitative research informants were the Head of Community Health and Nutrition, the head of the puskesmas and the midwife coordinator of the Piladang, Taram, Koto BaruSimalanggang and TanjungPati health centers.       The results of the study prove that the factors associated with the performance of midwives in filling in the KSPR include the level of knowledge (p = 0.031), attitude (p = 0.004), motivation (p = 0.020) and supervision (p = 0.025). The factors that are most related to the performance of midwives in filling in KSPR are attitudes (p = 0.006).      Based on the research, it can be concluded that the midwife will have a good performance in filling in the KSPR if it is based on a high level of knowledge, a positive attitude, high motivation, periodic supervision and supported by complete facilities.
Association Between Mother Factors With Prelacteal Feeding Practice To Newborn In Working Area Of Air Dingin Primary Health Center 2017 Yunita Chairani; Yuniar Lestari
Journal of Midwifery Vol 2, No 2 (2017): Published on December 2017
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (259.376 KB) | DOI: 10.25077/jom.2.2.93-99.2017

Abstract

The maintenance of infant health can be done by early and exclusive breastfeeding. However, exclusive breastfeeding has not been achieved. This may be due to the administration of prelakteal foods. Prelacteal feeding  practice define as administration of food/drink despite of breastmilk without indication to newborn during the first three days without any medical indication. The purpose of this study is to determine the association between maternal factors with prelakteal feeding to newborns in the working area of Air Dingin Primary Health Center. This study was an analytical study with cross sectional design with a sample of mothers who have babies aged 0-12 months in the working area of Air Dingin Primary Health Center. This study was conducted from November 2016 to October 2017. Data will analyze using chi square analysis (p <0.05). A total of 63% of mothers administrated prelakteal foods. The result revealed  p-value between prelakteal feeding and maternal knowledge (p = 0,03), parity (0,037) and mother’s job status (p = 0,771). There was a significant relationship between maternal knowledge and parity with prelakteal feeding. It is necessary to provide information to the mother by health workers and to increase mother awareness to get information from KIA book. As well as a concern on primipara mothers. 
Association of Pesticides Exposure with Breast Cancer in West Sumatera Province, Indonesia Yuniar Lestari; Rima Semiarty; Wirsma Arif Harahap
Journal of Midwifery Vol 4, No 2 (2019): Published on December 2019
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (274.571 KB) | DOI: 10.25077/jom.4.2.8-14.2019

Abstract

Breast cancer cause multifactorial, one of the risk factors is exposure of pesticides. The aim of this study was to determine association of pesticides exposure with breast cancer in West Sumatera Province, Indonesia. In this cross sectional study, the data were collected from Dr. M Djamil General Hospital Padang. Sampling technique with convenience sampling. We selected 234 patients with breast cancer diagnosed. The variables of this study included independent variable is exposure pesticides and dependent variable is breast cancer. Pesticides exposure were collected from the questionnaire of pesticides exposure that have been validated. The association was analyzed by using chi-square test and cut off point analyzed using receiver operating characteristics (ROC). A two-tailed P-value of <0.05 was considered statistically significant. Data  were  analyzed  using  the SPSS version 22.0. The results of study found that more than half of respondents (53.8%) were exposed of pesticides while less than half of respondents (46.2%) were not exposed. This study confirmed no association of pesticides exposure with breast cancer in West Sumatera Province, Indonesia
The Relation Between Husband Support with Exclusive Breastfeeding in Baby Age 6-12 Months in Air Dingin Health Center Nurul Fitri; Yuniar Lestari; Lisma Evareny
Journal of Midwifery Vol 2, No 2 (2017): Published on December 2017
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (334.971 KB) | DOI: 10.25077/jom.2.2.74-81.2017

Abstract

Exclusive breastfeeding is one of ways to maintain a good growth and development for the baby. Exclusive breastfeeding in Indonesia is the right for every baby which is regulated in government regulations, but the coverage of exclusive breastfeeding is still low in some areas. The lowest exclusive breastfeeding coverage in Padang is in the working area of Air Dingin health center. The aims of this study is to determine the relationship between husbands support with exclusive breastfeeding in Air Dingin public health center.This study was a quantitative study with cross sectional design conducted at Air Dingin health centerfrom Marchto December 2017. Subject of this studywere mothers who had 6-12 month babies whichwere106 people. Data was collected by using questionnaires and guided interviews. Data analysis was performed using univariate and bivariate using chi square test with  p-value ≤  0,05.The results showed 76,4% of mothers did not provide exclusive breastfeeding for their babies and 59,4% of mothers did not get support from their husbands.Bivariate analysis showed  that there was a relationship between husband support with exclusive breastfeeding with p-value=0.000.There was a relationship between husband support with providing exclusive breastfeeding for the babies. Because of the importance of husbands role, husbands must be the target for exclusive breastfeeding counseling.Therefore, husbands can also be active to find the information and participate in the success of exclusive breastfeeding for the babies.
Analisis faktor yang berhubungan dengan pelaksanaan standar APN oleh bidan puskesmas PONED Padang Pariaman Merisa Riski; Yuniar Lestari; Ulvi Mariati
Majalah Kedokteran Andalas Vol 42, No 3S (2019): Published in November 2019
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (310.539 KB) | DOI: 10.25077/mka.v42.i3S.p30-37.2019

Abstract

Tujuan: Untuk menganalisis faktor yang berhubungan dengan pelaksanaan penerapan standar asuhan persalinan normal oleh bidan puskesmas PONED Padang Pariaman. Metode: Penelitian ini menggabungkan 2 jenis penelitian (mixed method) yang didahului oleh penelitian kuantitatif dengan desain cross sectional, sampel 74 bidan puskesmas PONED. Analisis data menggunakan uji Chi-Square dan uji regresi logistik. Kemudian dilanjutkan dengan penelitian kualitatif. Hasil: Hasil penelitian menunjukkan sebagian besar bidan puskesmas pelaksanaan penerapan standar asuhan persalinan normal yang baik. Faktor yang memiliki hubungan bermakna dengan pelaksanaan penerapan standar asuhan persalinan normal adalah pengetahuan, sikap, persepsi kepemimpinan, motivasi, persepsi supervisi kepala puskesmas, dan persepsi organisasi profesi/IBI. Hasil penelitian juga menunjukkan persepsi supervisi kepala puskesmas sebagai faktor dominan yang mempengaruhi pelaksanaan penerapan standar asuhan persalinan normal secara baik 7,649 kali dibandingkan dengan komitmen variabel lainnya. Simpulan: Persepsi supervisi kepala puskesmas sebagai faktor dominan yang berhubungan pelaksanaan penerapan standar APN oleh bidan puskesmas PONED. Disarankan agar mempertahankan keterampilan bidan terutama dalam melaksanakan penerapan standar asuhan persalinan normal.
Co-Authors Abdi Setya Putra Abdiana Abdiana, Abdiana Ade Asyari Ade Nurhasanah Amir Adiiba Turfha Zahira Adrial Adrial, Adrial Afdal Afdal, Afdal Afriwardi Afriwardi Afrizal Afrizal Ahmad Adi Trianto Amel Yanis Anak Agung Gede Sugianthara Anggrainy, Fenty Anita Yulistiani Ariadi Ariadi Ariesko Gunanda Rangkuti Arni Amir Asterina Asterina Astiena, Adila Kasni Aswad, Fitria Asyari, Dian Paramitha Audrey Faiza Rosa Aurelia Agantha Salim Bobby Indra Utama Burhan, Ida Rahmah Dasman, Hardisman Dedy Almasdy Delmi Sulastri Delmi Sulastri Desia, Maya Desmawati Desmawati Despariyenita, Despariyenita Dessy Arisanty Dharma, Fitri Yeni Dita Maharani Dolly Irfandy Donal Ortega Edison Edison Edison Edison Edison, Edison Enda Gusnita Endang Suriani Erlinengsih Erlinengsih Ernawati, CH. Tuti Erwani Erwani Eryati Darwin Fadrian, Fadrian Fathiyyatul Khaira Fathiyyatul Khaira, Fathiyyatul Fathma Mardhotilla Fenty Anggrainy Fika Tri Anggraini Finny Fitry Yani finy marsyah Firdawati Firdawati Fitri Yanti Fitria Susanti Fortuna, Fory Friska Eka Fitria Furqan, Muhammad Afif Hafni Bachtiar Hanum, Fathiya Juwita Hardisman Hasmiwati Husna Yetti Huvaid, Sevilla Ukhtil Ice Yolanda Puri Ida Rahmah Burhan Ihsan, Indra Ilmiawati, Ilmiawati Intan KumalaSari Irwanto, Engga Lift Ismed, Gabila Heira Muthia Jamsari Jamsari Juniwati Juniwati Juniwati Juniwati Kamal Kasra Kelsy Qoridisa Laila Isrona Lisma Evareny Liza Andriani Masrul Basyar Menkher Manjas MERISA RISKI Mira Eka Putri Muthia Afdhelia Putri Anbiar Narulita, Jaesica Salsabila Dwi Nelmi Silvia Netti Suharti Netti Suharti, Netti Nizwardi Azkha Nur Afrainin Syah Nur Indrawaty Lipoeto Nurdin, Aguswan Nursyirwan Effendi, Nursyirwan Nurul Fitri Nuzulia Irawati Oktalina, Dyanti Oktavenra, Ari Putra, Syandrea Prima Putri, Azhara Dhiya Yosse Rahmi Hafianti Ramayanti Ramayanti Ranny Shabrina Reno Afriza Neri Restu Susanti Rezi Fatrima Surya Rima Semiarty Rizanda Machmud Rosa Juliasari Santioso Roslaili Rasyid Rudy Afriant Rumaisha, Rumaisha Sabani Sabani, Sabani Saputri, Winda Dwi Selfi Renita Rusjdi Selvia Emilya Semiarty, Rima Yunita Silvia Nengcy Silvia, Nelmi Surika Martalina Susanti, Yenila Suspenti Dewi Syahnur, Citra Septiyenri Syaiful Indra Taufik Akbar Trianto, Ahmad Adi Ulfa Farrah Lisa, Ulfa Farrah Ulvi Mariati Ulya Uti Fasrini Utami Mayfa Rahmania Vicky Warian Triwibowo Virna Zufti Pratiwi Vivi Triana Wanra, Fadhlan Agusma Wartisa, Feny Widya Handayani Wirsma Arif Harahap Yanasta Moendanoe Yani Anggina Yenila Susanti Yessi Pertiwi Yolanda Syahdia Yulia Kurniawati Yulitasari, Yulitasari Yunita Chairani Yusrawati Yusrawati Yusri, Elfira Yusti Siana Yusticia Katar Yusticia Katar, Yusticia Zahira, Adiiba Turfha Zairil Zairil