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Ethnographic Study of Tuberculosis Treatment Seeker Behavior on the Island of Buru, Maluku, Indonesia Firda Yanuar Pradani; Rohmansyah Wahyu Nurindra; Usman Usman
Insights in Public Health Journal Vol 1 No 2 (2020): Insights in Public Health Journal
Publisher : Public Health Department, Faculty of Health Sciences, Jenderal Soedirman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.iphj.2020.1.2.3779

Abstract

Background: Tuberculosis (TB) is reported as a world health problem, especially in developing countries. It is estimated that one third of the world's population has been infected by Mycobacterium tuberculosis. WHO has stated that tuberculosis has now become a global threat. Indonesia is one of the 27 countries in the world with MDR-TB cases. Methods: A qualitative study with an ethnography design was conducted to determine and reveal the meaning of treatment-seeking behavior in “Batu Balender” or TB patients in Buru Island, Maluku, Indonesia. The research data was collected through interviews with 15 informants from all risk groups that are directly related to TB. Observations were made to ensure the validity of the data. Results: This study revealed that from generation to generation, the Alifuru tribe believes that diseases are grouped into three categories: natural diseases, sick submissions, and ancestral curse. Indigenous people have believed that TB is an incurable ancestral curse disease. They know the "Kaygosa" who is believed to be the holder of natural medicinal plants to treat TB, such as leaves and bark. Conclusions: Alifuru tribal people who access health services to obtain Directly Observed Treatment Short-Course (DOTS) have experienced failure in treatment due to local customary rules that prohibit taking medicine if a tribal community has died and believes that a community health center or hospital is "house died". This study suggest that education and counseling for TB treatment should be optimized in efforts to improve the health of local tribal communities.
GAMBARAN UPAYA PENCARIAN PENGOBATAN PENDERITA DBD DI KOTA SUKABUMI TAHUN 2012 Rohmansyah Wahyu Nurindra; Roy Nusa Rahagus Edo Santya; Heni Prasetyowati
BALABA: JURNAL LITBANG PENGENDALIAN PENYAKIT BERSUMBER BINATANG BANJARNEGARA Volume 11 Nomor 1 Juni 2015
Publisher : Balai Penelitian dan Pengembangan Kesehatan Banjarnegara Badan Litbangkes Kemenkes RI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (371.744 KB) | DOI: 10.22435/blb.v11i1.865

Abstract

Upaya dan kecepatan pencarian pengobatan akan mempengaruhi proses penularan virus Dengue. Individu yang mengalamiviremia akan menjadi sumber virus bagi Aedes spp. Lama waktu ketidaktahuan individu dalam kondisi viremia memperbesarpeluang menjadi sumber infeksi bagi lingkungannya. Penelitian ini bertujuan untuk mengidentifikasi upaya pencarian pengobatan penderita infeksi virus Dengue di Kota Sukabumi. Penelitian observasional dengan desain cross sectional.Sampel penelitian sebanyak 125 penderita yang didiagnosa Demam Dengue (DD), Demam Berdarah Dengue (DBD), danDengue Shock Syndrome (DSS). Wawancara dilakukan kepada penderita di rumah sakit untuk memperoleh data upayapengobatan dan dukungan lingkungan terhadap upaya pengobatan. Hasil penelitian menunjukkan sebanyak 83,2% penderitalangsung berobat ke RS, 9,7% berobat ke dokter praktek, 1,2% berobat ke puskesmas dan 5,3 % melakukan swamedikasi.Upaya lain yang dilakukan responden untuk mempercepat kesembuhan dengan mengkonsumsi jus (46,74%). Kesimpulandari penelitian ini, sebagian besar (94,1%) upaya pencarian pengobatan pada penderita infeksi virus Dengue di KotaSukabumi sudah tepat. Sementara upaya swamedikasi sebaiknya tetap disertai dengan upaya pengobatan ke fasilitaspengobatan modern milik pemerintah ataupun swasta.
Faktor-faktor Determinan Perilaku Mencuci Tangan Setelah Masa ‘Adaptasi Kebiasaan Baru’ Mutiara Widawati; Firda Yanuar Pradani; M. Ezza Azmi Fuadiyah; Hubullah Fuadzy; Rohmansyah Wahyu Nurindra
Buletin Penelitian Sistem Kesehatan Vol 25 No 1 (2022): Buletin Penelitian Sistem Kesehatan
Publisher : Pusat Penelitian dan Pengembangan Humaniora dan Manajemen Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/hsr.v25i1.4786

Abstract

Changes in policies implemented in Indonesia before and after the New Normal policy affect the prevention habits that have been implemented by the community. Therefore, a study to determine factors affecting washing hands behavior after the implementation of the new normal policy during the COVID-19 period has been conducted in order to address this issue. This study uses two analyzes, the paired T-test which aims to determine whether there are differences in handwashing behavior among respondents before and after the new normal period, and a multivariate test using logistic regression analysis which aims to determine the factors that influence the lack of hand washing behavior. The results of this study's data analysis showed that there was a decrease in the number of respondents who had washed their hands well before and after new normal policy (73.75% to 67.75%). The results of the analysis also show that the lack of hand washing habits is related to factors such as education, intensity of seeking information related to COVID-19, have had positive for COVID-19, and anxiety due to information received. Meanwhile, age, gender, and income have no effect on this behavior. Hopefully, these results can be used as a foundation for the making of policies to improve health promotion and education on proper handwashing to targeted communities, such as people with low education level, rarely seek information, or are not anxious about COVID-19 disease. Image media can also be used to increase the interest of these targeted people towards information related to COVID-19. Abstrak Perubahan kebijakan yang diterapkan di Indonesia sebelum dan setelah kebijakan “New normal”/Adaptasi kebiasaan baru (AKB) dapat mempengaruhi upaya pencegahan penyakit di masyarakat. Informasi terkait perubahan perilaku masyarakat setelah diberlakukannya suatu kebijakan pemerintah sangat penting diketahui. Oleh karena itu, studi tentang faktor-faktor penentu kebiasaan mencuci tangan setelah diterapkannya kebijakan Adaptasi Kebiasaan Baru (“New normal”) AKB pada masa COVID-19 telah dilakukan untuk menjawab persoalan tersebut. Studi ini melakukan dua analisis yaitu uji beda dengan menggunakan uji T berpasangan yang bertujuan untuk menentukan apakah terdapat perbedaan perilaku mencuci tangan pada responden sebelum dan setelah masa adaptasi kebiasaan baru dan uji multivariat menggunakan analisis regresi logistik yang bertujuan untuk menentukan faktor yang berpengaruh pada kurangnya perilaku mencuci tangan pada responden. Hasil analisis data studi ini menunjukkan bahwa terjadi penurunan jumlah responden yang tadinya mencuci tangan dengan baik pada masa sebelum adaptasi kebiasaan baru (73,75%) menjadi kurang baik di masa setelah adaptasi kebiasaan baru (67,75%). Hasil analisis juga menunjukkan bahwa kurangnya kebiasaan mencuci tangan berhubungan dengan faktor-faktor seperti pendidikan, intensitas pencarian informasi terkait COVID-19, pernah positif COVID-19, dan kecemasan akibat informasi yang diterima. Sedangkan umur, gender, dan pendapatan tidak berpengaruh terhadap perilaku ini. Diharapkan hasil studi ini dapat digunakan sebagai dasar untuk pengembangan kebijakan promosi dan edukasi kesehatan terkait kebiasaan cuci tangan yang benar terhadap orang-orang yang ditargetkan, seperti orang-orang dengan tingkat pendidikan rendah, jarang mencari informasi, atau orang-orang yang tidak khawatir terhadap penyakit COVID-19. Media gambar juga dapat digunakkan untuk meningkatkan ketertarikan masyarakat yang ditargetkan ini terhadap informasi terkait COVID-19.
Ethnographic Study of Tuberculosis Treatment Seeker Behavior on the Island of Buru, Maluku, Indonesia Firda Yanuar Pradani; Rohmansyah Wahyu Nurindra; Usman Usman
Insights in Public Health Journal Vol 1 No 2 (2020): Insights in Public Health Journal
Publisher : Public Health Department, Faculty of Health Sciences, Jenderal Soedirman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.iphj.2020.1.2.3779

Abstract

Background: Tuberculosis (TB) is reported as a world health problem, especially in developing countries. It is estimated that one third of the world's population has been infected by Mycobacterium tuberculosis. WHO has stated that tuberculosis has now become a global threat. Indonesia is one of the 27 countries in the world with MDR-TB cases. Methods: A qualitative study with an ethnography design was conducted to determine and reveal the meaning of treatment-seeking behavior in “Batu Balender” or TB patients in Buru Island, Maluku, Indonesia. The research data was collected through interviews with 15 informants from all risk groups that are directly related to TB. Observations were made to ensure the validity of the data. Results: This study revealed that from generation to generation, the Alifuru tribe believes that diseases are grouped into three categories: natural diseases, sick submissions, and ancestral curse. Indigenous people have believed that TB is an incurable ancestral curse disease. They know the "Kaygosa" who is believed to be the holder of natural medicinal plants to treat TB, such as leaves and bark. Conclusions: Alifuru tribal people who access health services to obtain Directly Observed Treatment Short-Course (DOTS) have experienced failure in treatment due to local customary rules that prohibit taking medicine if a tribal community has died and believes that a community health center or hospital is "house died". This study suggest that education and counseling for TB treatment should be optimized in efforts to improve the health of local tribal communities.