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Analisis Persepsi Residen Dalam Menjalani Rehabilitasi Dengan Pendekatan Health Belief Model Di BNN Provinsi Kalimantan Timur Rebbeca Christianty; Risva Risva; Siswanto Siswanto
Jurnal Kesehatan Masyarakat Mulawarman (JKMM) Vol.1 No.1 Juli (2019) : Jurnal Kesehatan Masyarakat Mulawarman (JKMM)
Publisher : Mulawarman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/jkmm.v1i1.2527

Abstract

Latar Belakang & Tujuan: Penyalahgunaan narkoba telah mencapai situasi yang mengkhawatirkan, pada tahun 2015 terdapat 63.873 kasus penyalahgunaan dan pada tahun 2017 provinsi Kalimantan Timur berada diposisi ke empat pada tingkat nasional dengan prevalensi 2,5% penyalahguna terbanyak. Narkoba memiliki dampak negatif bagi kersehatan mental, fisik, psikologis. Oleh sebab itu diadakan upaya pencegahan yaitu rehabilitasi untuk memulihkan  kemampuan fisik, mental dan sosial penyalahguna narkoba yang bersangkutan.  Penelitian ini bertujuan untuk mengetahui persepsi residen dalam menjalani rehabilitasi dengan pendekatan Health Belief Model Metode: Penelitian ini menggunakan metode penelitian kuantitatif dengan pendekatan cross sectional . Dianalisis dengan uji korelasi rank spearman. Responden penelitian ini adalah residen yang menjalani rehabilitasi sebanyak 30 responden. Hasil: Hasil penelitian menunjukkan bahwa empat komponen HBM yang berhubungan dengan perilaku patuh residen dalam menjalani rehabilitasi yaitu perceived susceptibility (p value= 0,007), perceived severity (p value=0,043), perceived benefit (p value=0,045), selfefficacy (p value=0,006). Kemudian perceived barrier tidak memiliki hubungan dengan perilaku patuh residen dalam menjalani rehabilitasi (p value= 0,218). Kesimpulan: Infromasi tentang dampak narkoba masih dibutuhkan bagi residen serta melakukan kontak ke orang terdekat residen agar memberikan dukungan emosional, pujian dan penghargaan.
Meningkatkan pengetahuan dan skill terkait TB, PTM dan gizi melalui pemberdayaan dan pelatihan kader kesehatan Siswanto Siswanto; Irfansyah Baharuddin Pakki; Muh Amri Arfandi; Muhamad Zakki Saefurrohim; Akhmad Azmiardi
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 9, No 3 (2025): May
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v9i3.30727

Abstract

Abstrak Wilayah kerja Puskesmas Palaran di Samarinda dihadapkan dengan berbagai tantangan kesehatan dalam 3 tahun terakhir, termasuk tingginya angka penyakit menular seperti tuberkulosis, serta masalah stunting dan malnutrisi pada balita yang diperparah oleh komplikasi kehamilan pada ibu dengan obesitas, hipertensi, dan diabetes. Program pengabdian masyarakat ini dirancang untuk memperkuat kapasitas kader kesehatan melalui ceramah, demonstrasi serta praktik langsung, sehingga mereka dapat berkontribusi secara efektif dalam pencegahan dan deteksi dini masalah kesehatan masyarakat. Kegiatan dilaksanakan pada tanggal 16 November 2024 bertempat di Puskesmas Palaran, Kecamatan Palaran, Kota Samarinda. Sebanyak 20 orang kader kesehatan di wilayah kerja Puskesmas Palaran, Kecamatan Palaran, Kota Samarinda menjadi sasaran dalam kegiatan ini. Pemberian edukasi dilakukan melalui presentasi materi, pembagian modul kesehatan serta praktik pemeriksaan kesehatan oleh kader, yang diawali dengan pemberian pre-test kemudian pemberian post-test pada sesi akhir. Hasil menunjukkan adanya peningkatan pengetahuan kader yang ditandai dengan peningkatan jumlah kader yang memiliki pengetahuan yang baik setelah mendapatkan edukasi dan pelatihan (TB: 5 menjadi 16 orang (220%), PTM: 13 menjadi 18 orang (38%), Antropometri: 16 menjadi 20 orang (25%)). Hasil tersebut menunjukkan adanya pengaruh positif dari pemberian edukasi terhadap tingkat pengetahuan kader kesehatan terkait TB, PTM (HT dan DM) serta Antropometri (Uji wilcoxon : p < 0.05). Kader posyandu kini lebih memahami pentingnya deteksi dini TBC, pemantauan pertumbuhan balita menggunakan antropometri, dan pencegahan serta pengelolaan penyakit tidak menular. Direkomendasikan untuk melaksanakan pelatihan kader secara rutin dengan materi terkini, didukung oleh monitoring dan evaluasi untuk memastikan penerapan di lapangan. Kata kunci: edukasi; hipertensi; kader kesehatan; pemberdayaan; tuberkulosis Abstract Palaran Public Health Center (Puskesmas Palaran) in Samarinda has faced various health challenges over the past three years, including a high incidence of infectious diseases such as tuberculosis (TB), as well as issues related to stunting and malnutrition among children under five. These conditions are further exacerbated by pregnancy complications in mothers with obesity, hypertension, and diabetes. This community service program was designed to strengthen the capacity of health cadres through lectures, demonstrations, and hands-on practice, enabling them to contribute effectively to the prevention and early detection of public health problems. The activity was conducted on November 16, 2024, at the Palaran Public Health Center, Palaran Sub-district, Samarinda City. A total of 20 health cadres in the Palaran working area participated in this initiative. The educational sessions were delivered through material presentations, distribution of health modules, and practical health check-ups conducted by the cadres. These activities were preceded by a pre-test and concluded with a post-test. The results showed an increase in cadre knowledge, as indicated by the rise in the number of cadres with good understanding following the education and training sessions (TB: from 5 to 16 cadres, a 220% increase; NCDs: from 13 to 18 cadres, a 38% increase; Anthropometry: from 16 to 20 cadres, a 25% increase). These findings indicate a positive impact of the educational intervention on cadre knowledge related to TB, non-communicable diseases (NCDs: hypertension and diabetes), and anthropometric measurement (Wilcoxon test: p < 0.05). As a result, Posyandu cadres now have a better understanding of the importance of early detection of TB, monitoring child growth using anthropometry, and the prevention and management of non-communicable diseases. It is recommended that cadre training be conducted regularly with updated materials, supported by monitoring and evaluation to ensure effective implementation in the field.. Keywords: education, empowerment, health cadres, hypertension, tuberculosis
Faktor Risiko Kejadian Demam Berdarah Dengue (DBD) pada Anak Usia 10-14 Tahun di Wilayah Kerja Puskesmas Temindung Kota Samarinda Nindy Nurhalizah; Siswanto Siswanto; Irfansyah Baharuddin Pakki; Muhamad Zakki Saefurrohim; Rina Tri Agustini
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 4 No. 3 (2025): Juli 2025
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v4i3.5950

Abstract

Dengue Hemorrhagic Fever (DHF) remains a major public health issue in Indonesia. In 2023, a total of 114,720 DHF cases were reported nationwide, with an incidence rate (IR) of 41.4 per 100,000 population—still far above the national target. East Kalimantan is one of the provinces with the highest IR (147.33/100,000). Samarinda City is among the top three areas with the highest number of cases. One of the affected areas in Samarinda is Temindung Public Health Center, which recorded 83 DHF cases, with 52% occurring in children aged 10–14 years, indicating that this age group is the most vulnerable to DHF. This study aimed to analyze the risk factors associated with DHF incidence among children aged 10–14 years in the working area of Temindung Public Health Center. A quantitative approach was used with a case-control study design and total sampling of 81 respondents, consisting of 27 cases and 54 controls. Data analysis was conducted using the Chi-Square test and Odds Ratio (OR) calculation. The results showed significant associations maternal knowledge (p= 0.001; OR= 11.440), PSN behavior (p= 0.001; OR= 7.231), cadre support (p= 0.022; OR= 3.571), and health facilities availability (p= 0.034; OR= 9.100). Therefore, it’s recommended to involve students as mosquito larvae monitors, conduct thematic health education with PSN practice demonstrations, and optimize the distribution of facilities through Musrenbang and CSR-based partnerships.
Faktor- Faktor yang Berhubungan dengan Penyakit Demam Berdarah Dengue (DBD) di Wilayah Kerja Puskesmas Temindung Kota Samarinda Desy Hajizah; Irfansyah Baharuddin Pakki; Ayudhia Rachmawati; Siswanto Siswanto; Muh Amri Arfandi
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 4 No. 4 (2025): Oktober 2025
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v4i4.6089

Abstract

Dengue Hemorrhagic Fever (DHF) remains a major public health concern, particularly in tropical regions such as Indonesia, where it has persisted for over five decades. In 2023, Samarinda ranked third among ten regencies or cities in East Kalimantan with the highest number of DHF cases. One of the primary health centers consistently ranking among the top three with the highest DHF cases in Samarinda from 2021 to 2023 is Temindung Public Health Center. Environmental conditions and community behavior are believed to play significant roles in the transmission of this disease. This study aimed to identify factors associated with DHF incidence, including the condition of water storage containers (TPA), lighting, the presence of mosquito larvae, and Mosquito Nest Eradication (PSN) behavior. A cross-sectional design with a quantitative approach was used, involving 138 respondents selected through purposive sampling within the working area of Temindung Public Health Center. Data were collected using questionnaires, direct observation, and lighting measurements, and analyzed using the Chi-square test. The results showed significant associations between the availability of TPA covers (p = 0.037), household lighting (p = 0.017), PSN behavior (p = 0.000), and the presence of mosquito larvae (p = 0.000) with DHF incidence. These factors are interrelated in increasing the risk of DHF transmission in residential areas. Proper management of water storage, adequate household lighting, mosquito larvae control, and improved PSN behavior are crucial in reducing DHF cases. Active involvement of both the community and public health centers is essential in implementing continuous and sustainable preventive measures.