Dharminto Dharminto
Bagian Biostatistik Dan Kependudukan Fakultas Kesehatan Masyarakat Universitas Diponegoro, Jl. Prof. H. Soedarto, S.H.,Tembalang, Semarang, Indonesia | Universitas Diponegoro

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Management of High Risk Pregnancy Early Detection on Antenatal Care at Primary Health Care in Jepara District Triana Widiastuti; Martha Irene Kartasurya; Dharminto Dharminto
Jurnal Manajemen Kesehatan Indonesia Vol 2, No 3 (2014): Desember 2014
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (339.692 KB) | DOI: 10.14710/jmki.2.3.2014.%p

Abstract

Angka Kematian Ibu di Jepara tahun 2012 menduduki peringkat ke 10 di Jawa Tengah sebesar 21 per 100.000 kelahiran hidup. Penyebab terbanyak preeklamsi berat 8 orang (30%). Data PWS KIA menunjukkan cakupan deteksi dini risiko tinggi oleh tenaga kesehatan tahun 2012 sebesar 19,01%, belum mencapai target nasional. Tujuan penelitian ini untuk mengetahui manajemen deteksi dini ibu hamil risiko tinggi pada pelayanan antenatal di tingkat puskesmas Kabupaten Jepara. Jenis penelitian ini adalah kualitatif. Variabel pada penelitian ini adalah input (SDM, dana, sarana, SOP), Proses (perencanaan, pembinaan, supervisi dan monitoring) dan Output. Informan utama adalah kepala Puskesmas dan Bidan koordinator. Informan triangulasi adalah Kasi Kesga (kepala seksi kesehatan keluarga) dari DKK (Dinas Kesehatan Kabupaten) dan 16 bidan desa. Pengumpulan data dilakukan melalui wawancara mendalam dan Focus Group Discussion. Pengolahan data dilakukan dengan metode analsis isi (content analysis). Hasil penelitian menunjukkan bahwa Puskesmas dengan cakupan rendah mempunyai rasio bidan per penduduk yang rendah, SOP belum ditempel, perencanaa dilaksanakan per tahun, pembinaan dilakukan setiap 6 bulan dan umpan balik hasil supervisi disampaikan secara lisan. Puskesmas dengan cakupan tinggi juga mempunyai rasio bidan per penduduk masih rendah, perencanaan dilaksanakan per bulan melalui lokakarya mini, pembinaan dilakukan per bulan, umpan balik supervisi disampaikan secara tertulis serta ada sangsi apabila laporan terlambat. Disimpulkan bahwa manajemen deteksi dini ibu hamil risiko tinggi dipengaruhi oleh perencanaan, pembinaan, dan supervisi/ monitoring. Disarankan kepada puskesmas untuk melakukan perencanaan dan pembinaan per bulan serta supervisi dan monitoring secara lebih intensif. Maternal Mortality Rate in Jepara District in 2012 placed the 10 th rank in Central Java, namely 21 per 100.000 live births. Severe preeclampsia was the most common cause, namely 8 persons (30%). Data of Local Area Monitoring in 2012 showed that coverage of high risk early detection by health workers was only 19.01% and had not achieved the national target yet. This research aimed to identify early detection management of a high risk pregnant woman on Antenatal Care services at health center in District of Jepara. This was qualitative research. Research variables were Input (human resources, funds, means, and Standard Operating Procedure), Process (planning, actuating, supervising, and monitoring), and Output. Main informants were head of health center and midwife coordinator. In addition, informants for triangulation purpose were head of family health section at District Health Office and 16 village midwives. Data were collected by conducting indepth interview and Focus Group Discussion. Furthermore, data were analyzed using a method of content analysis. The result of this research revealed that at health centers with low coverage, ratio between midwife and population was low, Standard Operating Procedure had not been displayed, planning was arranged annually, actuating was done every six month, and feedback of supervision results was informed verbally. In contrast, health centers with high coverage indicated that ratio between midwife and population was low, planning was arranged monthly through mini workshop, actuating was done every month, feedback of supervision results was informed in writing, and there also was any punishment if a report was late to submit. As a conclusion, early detection management of a high risk pregnant woman was influenced by planning, actuating, and supervising/monitoring. As a suggestion, head of health center needs to make a plan and actuate every month, and also supervise and monitoring intensively.
Development of Blood Stock Decision Supporting System in The Blood Transfusion Unit of PMI Banjar District Branch, South Kalimantan, to Support Blood Stock Planning Khairir Rizani; Cahya Tri Purnami; Dharminto Dharminto
Jurnal Manajemen Kesehatan Indonesia Vol 3, No 2 (2015): Agustus 2015
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (288.201 KB) | DOI: 10.14710/jmki.3.2.2015.%p

Abstract

ABSTRAKABSTRAK Unit transfusi darah cabang PMI Kabupaten Banjar memberikan pelayanan bagi rumah sakit milik pemerintah dan swasta serta klinik-klinik kesehatan yang ada di daerah Kabupaten Banjar sendiri dan beberapa kabupaten/kota disekitar. Unit transfusi darah cabang PMI Kabupaten Banjar belum menggunakan sistem informasi yang berbasis komputer meliputi input data masih dilakukan dengan mengisi formulir, data yang ada ditulis dibuku register, proses pengolahan data masih dengan cara menghitung secara manual menggunakan kalkulator, penyimpanan data masih bercampur dengan data-data lain, pencarian data memerlukan waktu yang relatif lama ( > 5 menit), serta belum melakukan peramalan/prediksi dalam perencanaan kebutuhan darah. Penelitian ini bertujuan untuk mengembangkan sistem pendukung keputusan persediaan darah di unit transfusi darah cabang PMI Kabupaten Banjar untuk mendukung perencanaan persediaan darah. Pengembangan sistem berdasarkan langkah-langkah FAST (Framework for the Application of Systems Thinking). Jenis penelitian yang akan digunakan adalah penelitian kualitatif. Variabel penelitian adalah kemudahan akses, keakuratan, kelengkapan, dan kesesuaian. Objek penelitian adalah sistem pendukung keputusan persediaan darah di unit transfusi darah cabang PMI Kabupaten Banjar untuk mendukung perencanaan persediaan darah dan pengguna, . subjek penelitian adalah peneliti sendiri. Instrumen penelitian yang digunakan adalah pedoman wawancara dan lembar observasi. Analisis data pada penelitian ini dilakukan dengan cara analisis isi. Hasil penelitian yaitu ditemukannya permasalahan sistem dalam hal performance, information, economic, control, efficiency, dan service, diketahui kebutuhan pengguna akan input data, proses pengolahan data dan output, diperoleh rancangan basis data sistem, tersedia model prediksi kebutuhan darah, tersedia model SMS gateway untuk output informasi stok darah bagi pengguna eksternal, Terjadi peningkatan kualitas informasi yaitu peningkatan kemudahan dalam mendapatkan informasi, informasi yang dihasilkan lebih lengkap, lebih sesuai, dan lebih akurat. Saran untuk unit transfusi darah cabang PMI Kabupaten Banjar adalah sistem sebaiknya diaplikasikan dan melakukan sosialisasi kepada masyarakat untuk menggunakan SMS dalam mendapatkan informasi stok darah baik melalui leaflet maupun lewat media cetak dan elektronik,, serta perlu pengembangan aplikasi untuk mengelola pedonor dengan SMS Alert untuk mengingatkan jadual donor berikutnya, ucapan terimakasih dan penghargaan bagi pedonorKata kunci : Sistem Pendukung Keputusan, Persediaan Darah, Unit Transfusi Darah Cabang, Perencanaan Persediaan Darah.ABSTRACTBlood transfusion unit of Indonesian Red Cross (PMI) Banjar district branch provided service to government and private hospitals and also health clinics in the district of Banjar and several surrounding districts/cities. Transfusion unit of PMI Banjar district branch had not utilized computer base information system. Data input was still done by filling the forms, data was written in the registration books, data management process was done by counting manually using calculator, Data storage was still mixed with other data, data searching required longer time (> 5 minutes), prediction/estimation had not been done in the blood requirement planning. The objective of this study was to develop blood stock decision supporting system in the blood transfusion unit of PMI Banjar district branch, South Kalimantan, to support blood stock planning. Development of the system was based on FAST (Framework for the Application of System Thinking) steps. This study was a qualitative research. Study variables were the ease of access, validity, completeness and appropriateness. The study object was a blood stock decision supporting system in the transfusion unit of PMI Banjar district branch to support blood stock planning and users. The study subject was the researcher herself/himself. Study instrument used in this study was interview guideline and observation forms. Content analysis was used to analyze the data.The result of the study found a system problem on the performance, economic, control efficiency and service. The user needs for data input, data management process and output was known. Basic data system design was obtained, blood requirement prediction model was available, and text messaging (SMS) gateway model for output of blood stock information for external user was available. The quality of information was improving such as improvement in the ease of obtaining information; the produced information was more complete, more appropriate and more accurate. Suggestions for blood transfusion unit of PMI Banjar district branch are it is better to apply the system and conducting socialization to the community to use SMS in order to obtain information on the blood stock through both leaflet and printing or electronic media. It is important to develop an application to manage the donors via SMS alert to remind their next giving blood donation schedule, to give thank you and awards to the donors.Keywords : Decision supporting system, blood stock, blood transfusion unit, blood stock planning
Factors Associated to the work Performance of Midwives in The Implementation on Stimulation, Early Detection and Intervention to Growth and Development of Infants and Pre-School Children (A Study on Midwives Working at Sidoarjo District Primary Healthcare Hanik Machfudloh; Martha Irene Kartasurya; Dharminto Dharminto
Jurnal Manajemen Kesehatan Indonesia Vol 2, No 3 (2014): Desember 2014
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (376.276 KB) | DOI: 10.14710/jmki.2.3.2014.%p

Abstract

Rata - rata cakupan SDIDTK balita dan anak prasekolah pada Dinas Kesehatan Kabupaten Sidoarjo tahun 2008, 2009 berturut-turut adalah 61,52% 46,93% dan masih dibawah SPM tahun 2009 yaitu 80%. Penelitian ini bertujuan mengetahui faktor-faktor yang mempengaruhi kinerja bidan dalam pelaksanaan SDIDTK balita dan anak prasekolah di Puskesmas Kabupaten Sidoarjo. Jenis penelitian observasional analitik dengan pendekatan cross sectional. Populasi penelitian adalah seluruh bidan di Puskesmas Kabupaten Sidoarjo berjumlah 375 bidan. Subjek penelitian sejumlah 77 bidan dipilih secara proportional random sampling berdasarkan Puskesmas. Pengumpulan data dengan angket dan observasi. Variabel bebas adalah pengetahuan, sikap, motivasi, beban kerja, peralatan dan persepsi supervisi sedangkan variabel terikat adalah kinerja bidan dalam pelaksanaan SDIDTK balita dan anak prasekolah. Uji statistik menggunakan Chi-Square test dan Regresi Logistik Ganda. Hasil penelitian menunjukkan rerata umur Bidan 35 tahun dengan simpang baku 7,2 tahun. Seluruh subjek berpendidikan D III Kebidanan, dan 90,9% mempunyai status kepegawaian PNS. Rerata masa kerja 11,7 tahun dengan simpang baku 7,6. Bidan telah mendapatkan pelatihan SDIDTK dengan rerata 5,3 ± 3,2 tahun yang lalu. Sebagian besar bidan(59,7%) memiliki pengetahuan kurang, 62,3% sikap negatif, 57,1% motivasi kurang, 58,4% berpersepsi beban kerja berat, 57,1% peralatan kurang, 54,5% berpersepsi supervisi kurang, dan 54,5% mempunyai kinerja kurang. Ada hubungan positif antara pengetahuan, sikap, motivasi, peralatan dan persepsi supervisi dengan kinerja bidan. Ada hubungan negatif antara beban kerja dengan kinerja bidan. Kelengkapan peralatan, pengetahuan dan sikap berhubungan secara bersama-sama dengan kinerja bidan. Faktor yang paling berkaitan dengan kinerja bidan dalam pelaksanaan SDIDTK balita dan anak prasekolah adalah kelengkapan peralatan. Disimpulkan bahwa kinerja bidan dalam pelaksanaan SDIDTK masih kurang. Hal ini berkaitan dengan kelengkapan peralatan, pengetahuan dan sikap bidan terhadap pelaksanaan SDIDTK.The average of SDIDTK coverage of under-five and pre-school children in the work area of Sidoarjo district health office in 2008 and 2009 respectively was 61.52% and 46.93%. It was still below 2009 SPM (80%). Objective of this study was to identify factors affecting the work performance of midwives in the implementation of SDIDTK of under-five and pre-school children in the primary healthcare centers of Sidoarjo district. This was an observational-analytical study with cross sectional approach. Study population was all 375 midwives in the primary healthcare centers (puskesmas) in Sidoarjo district. Study subjects were 77 midwives who were selected using proportional random sampling method. Data collection was done using questionnaire and by conducting observation. Independent variables were knowledge, attitude, motivation, workload, instruments, and perception on supervision. Dependent variable was work performance of midwives in the implementation of SDIDTK of under-five and pre-school children. Chi-square test and multiple logistic regressions were applied in the data analysis. Results of the study showed that the average age of midwives was 35 years old with standard deviation of 7.2 years old. All subjects’ education level was D3 in midwifery; 90.9% were government civil servants (PNS). The average working period was 11.7 years with standard deviation of 7.6 years. Midwives had received SDIDTK training with the average of 5.3 ± 3.2 years ago. The majority of midwives had insufficient knowledge (59.7%), negative attitude (62.3%), low motivation (57.1%), heavy workload perception (58.4%), inadequate instruments (57.1%), inadequate supervision (54.5%), and inadequate work performance (54.5%). There was a positive association between midwives work performance and knowledge, attitude, motivation, instrument, and perception on supervision. There was a negative association between workload and midwives work performance. Completeness of instruments, knowledge, and attitude were jointly associated with the work performance of midwives. The most related factor to the work performance of midwives in the implementation of SDIDTK of under-five and pre-school children was the completeness of instruments. In conclusion, the work performance of midwives in the implementation of SDIDTK was still inadequate. This was related to the completeness of instruments, knowledge, and midwives attitude toward the implementation of SDIDTK.
Upaya pencegahan infeksi oleh bidan praktik swasta dalam asuhan persallinan di Kabupaten Kulon Progo Munica Rita Hernayanti; Martha Irene Kartasurya; Dharminto Dharminto
Jurnal Kesehatan Ibu dan Anak Vol. 2 No. 2 (2012): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

Infection prevention practices by health workers was still selectively done. ln Kulon Progo district 44.4% of infant mortality was caused by sepsis, 9% by post-delivery fever complication. The majority of delivery assistance (59 %) was done by private Practice Midwife (BPS). Almost a half (47.8%) of BPS has Delima midwives predicate. They should do their work with service of excellence. A preliminary study showed that Delima midwives did not take into account infection prevention and they felt that infection prevention was annoying. The study objective was to identify infection preventive action difference between Delima and non Delima midwives in the delivery care. This was an observational analytic and comparative study with cross sectional approach. Study population was all 90 BPS in Kulon Progo district. Study subjects consist of 34 Delima midwives and 34 BPS non Delima who fulfilled inclusions and exclusion criteria. Data were collected through survey using questionnaire and observation using observation sheet. Results of study showed that Delima midwives had higher value on eight examined variables than non Delima BPS. Result of a difference test showed that there was a significant difference in the implementation of infection prevention (p = 0.003), knowledge (p = 0.037), attitude (p = 0.03), patient satisfaction perceptions (p = 0.016), perception on workload (p = 0.027), support from organization profession (p = 0.012). There was no significant difference in infection preventive training (p = 0.169) and midwives’ motivation (p = 0.325). Result of bivariate test with age stratification showed that two variables namely implementation of infection prevention and patient satisfaction perceptions were not significantly different in both elder age group and young age group. Recommendation for lBl is to establish standard procedure of infection prevention in the delivery care. All members of lBI should obey this standard procedure. lBl should develop Delima midwives’ program to improve BPS service. Recommendations for district health office are to facilitate training implementation on the management of infection prevention, to collaborate with IBI to do supervision to BPS focusing on important of infection prevention especially in the delivery care.
Hubungan Penggunaan Media Sosial dan Peran Teman Sebaya dengan Perilaku Seksual Berisiko di SMK Kota Surakarta Ivana Anggun Puspita; Farid Agusybana; Dharminto Dharminto
Jurnal Kesehatan Vol 7 No 3 (2019): Desember
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-kes.v7i3.113

Abstract

Masalah perilaku seksual berisiko pada para remaja saat ini sangat mengkhawatirkan. KPAI dan Kemenkes (2013) mencatat 62,7% remaja di Indonesia telah melakukan hubungan seksual pra nikah. Terdapat sejumlah faktor yang melatarbelakangi terjadinya perilaku seksual berisiko di kalangan remaja, salah satunya penggunaan media sosial. Paparan konten asusila di media sosial berpotensi meningkatkan hasrat seksual remaja sehingga rentan terjerumus ke dalam perilaku seksual berisiko.. Faktor lain yang juga mempengaruhi adalah peran teman sebaya. Penelitian ini merupakan penelitian kuantitatif yang menggunakan metode explanatory research dan desain studi cross sectional dengan sampel sebanyak 127 siswa di Sekolah Menengah Kejuruan Kota Surakarta. Hasil analisis Korelasi Rank Spearman dengan α sebesar 0,05 disimpulkan bahwa terdapat hubungan yang bermakna antara penggunaan media sosial (p = 0,005), peran teman sebaya (p = 0,001), dan sikap (p = 0,001) dengan perilaku seksual berisiko, serta tidak ada hubungan antara pengetahuan (p = 0,065), pemahaman agama (p = 0,728), dan harga diri (p = 0,239) dengan perilaku seksual berisiko di Sekolah Menengah Kejuruan Kota Surakarta. Analisis Regresi Linier Berganda menunjukkan variabel sikap, penggunaan media sosial dan peran teman sebaya secara bersama-sama berpengaruh sebesar 84,3% terhadap perilaku seksual berisiko di Sekolah Menengah Kejuruan Kota Surakarta.
HUBUNGAN PERAN PATUGAS DAN PENGALAMAN KB DENGAN PERGANTIAN METODE KB DI KECAMATAN TEMBALANG KOTA SEMARANG TRIWULAN II TAHUN 2016 Okta Nidya Boro Samosir; Dharminto Dharminto; Atik Mawarni
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 4 (2016): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (93.105 KB) | DOI: 10.14710/jkm.v4i4.14034

Abstract

In Jawa Tengah, 2015 there are 48.541 acceptors who have changed their FP method. Most of them subtitute to injectable FP method. In Semarang, there are 1.333 acceptors have changed their FP method, most of them substitute to injectable FP method. In District Tembalang recorded 75 acceptors have changed its method of family planning from the period 2013-2015. Preliminary study on the 10 acceptors turnover of family planning methods known that 7 of them substitute FP methods from  LTM to non-LTM with the biggest reason is because of side effects which is menstrual disordes (100%), change in body weight (80%), bleeding disorder (40%), and whitish (20%). The purpose of this study is to analyze the role of family planning officers and planning experience with the change of family planning methods in District Tembalang, Semarang. This type of research is explanatory research with cross sectional study design. The population in this study are all acceptors turnover family planning methods are recorded in primary health centers Rowosari and Kedungmundu and the sample is total population of 56 people. Analysis of the data used univariate analysis with frequency distribution and bivariate analysis using Chi Square test with significancy level (α) of 5%. The results showed that the largest percentage of the lack of family planning officer role (51.8%), there are experiences KB themselves (69.6%), and there are not experience of others (80.4%). The results of analysis of Chi Square, there is no relationship role for FP officer with the replacement of family planning methods (p value: 0.636), there is no relationship experiences FP others with the replacement of family planning methods (p value: 0,761). It is advisable for family planning officials to explain about family planning methods with more deeply.
GAMBARAN KONDISI SANITASI LINGKUNGAN RUMAH DENGAN KEJADIAN DIARE PADA BALITA DI WILAYAH KERJA PUSKESMAS BUAYAN KABUPATEN KEBUMEN Minanda Oktariza; Suhartono Suhartono; Dharminto Dharminto
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 4 (2018): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (220.849 KB) | DOI: 10.14710/jkm.v6i4.21456

Abstract

Diarrhea is still the leading cause of death among toodler in Indonesia. Puskesmas Buayan is the working area with the discovery of the highest case of diarrhea in Kebumen regency in 2016, and in 2017 with 729 cases for diarrhea in toodler. Low environmental sanitation conditions become one of the dominant factors causing diarrhea. The purpose of this research is to know the relation of environmental sanitation condition of house with diarrhea occurrence at toddler in working area of Puskesmas Buayan Kebumen. This research use cross sectional approach with 68 samples. The results showed that there were 39.7% of underfives suffering from diarrhea with unsafe drinking water source 52,9%, clean water supply did not fulfill requirement 33,8%, latrine condition did not fulfill requirement 23,5%, condition of garbage dump not qualified 47.1% and SPAL conditions did not meet the requirements 57.4%. The result of bivariate analysis shows that drinking water source has p-value=0,919, clean water supply p-value =0,037, latrine condition p-value=0,015, garbage dump condition p-value=0,060, and SPAL condition p-value=0,012. It can be concluded that there is a significant correlation between clean water supply, latrine condition and SPAL condition with diarrhea occurrence in toddler in Puskesmas Buayan Kebumen.
HUBUNGAN MASA KERJA, TINGKAT KECEMASAN, PENGGUNAAN MASKER DAN PAPARAN BAHAN ROKOK TERHADAP GANGGUAN SIKLUS MENSTRUASI KARYAWAN WANITA PABRIK ROKOK DI LAMONGAN Indartik Mamnuah; Sri Winarni; Dharminto Dharminto; Farid Agusyahbana
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 1 (2018): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (100.403 KB) | DOI: 10.14710/jkm.v6i1.19850

Abstract

Irregular menstruation is an unbalanced process of hormones in the female reproductive system in which between the hormones estrogen and progesterone. Based on preliminary study 80% female employees of cigarette factory suffered from menstrual problems with 37.5% Amenorrhea, 37.5% oligomenorrhoea and 25.0% polimenorea.Objectives: This study aims to determine the relationship of Work Period, Level of Anxiety, The Use of Masks and Exposure of Cigarettes Against Menstrual Cycle Disorders of Women Employees of Lamongan Cigarette Factory. Method: This research type is explanatory research with cross sectional study design. The study population was 500 female employees and the sample used was 84 female employees with Simple Random Sampling technique. Data analysis included univariate analysis, descriptive bivariate analysis (crosstab), analytic bivariate using chi square Yates Correction and Point Biserial Correlation. Result: The analysis of the study showed that there was no significant relationship between work period (P-value = 0.334), anxiety level (P-value = 0.469), Mask use (P-value = 0.567), cigarette exposure (P-value = 0.280) with menstrual cycle disorders. Conclusions: The conclusion of this study is that there is no relationshipbetween work period, anxiety level, mask use and cigarette exposure with menstrual cycle disorders. Suggestions that can be given is the need for regular health checks to check the health status of employees.
HUBUNGAN SOSIAL BUDAYA, PERSEPSI EFEK SAMPING DAN GANGGUAN HUBUNGAN SEKSUAL DENGAN PEMILIHAN IUD DI KECAMATAN BANYUBIRU KABUPATEN SEMARANG TAHUN 2018 Duhita Wikalaili Enzimatia; Dharminto Dharminto; R. Djoko Nugroho; Sri Winarni
Jurnal Kesehatan Masyarakat Vol 7, No 4 (2019): OKTOBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (29.682 KB) | DOI: 10.14710/jkm.v7i4.24710

Abstract

IUD is one of the contraceptive methods that sugested by BKKBN and PB-POGI with 98%  program effectiveness but IUD users in Indonesia are still relatively low (5%). Banyubiru sub-district has the lowest MKJP user in Semarang Regency with 4.77% IUD user in 2018. This study aims to analyze socio-cultural relations, perception of side effects and sexual disfunction with election of IUD. This research uses explanatory research methods and case control study design. The population of this research is 64 IUD user and 1237 non-IUD users. Tthe sample used is 33 IUD users and 66 non-IUD controls (simple random sampling). The result of univariate analysis showed that didn’t hamper social culture (58,6%), proper perseption of side effects (53,5%), minor perception of sexual disfunction (59,6%). Chi-Square analysis result with α of 0,05, election of IUD have relation with perception of side effects (p-value =0,001;OR=12,688) and perception of sexual disfunction p-value=0,001;OR=46,222), socio-cultural haven’t relation with election of IUD (p-value= 0,614;OR=0,729). Logistic regression analysis shows that independent variable to have influence on proper side effects of 5 times and perception of minor sexual disfunction of 23 times, social culture haven’t influence with election of IUD. Suggestions are given by giving IEC and interpersonal communication to the IUD acceptor about side effect and sexual disorders with IUD.Keywords        : election of IUD, social culture, perception of side effects, perception of sexual disfunction
PAPARAN ROKOK, STATUS GIZI, BEBAN KERJA DAN INFEKSI ORGAN REPRODUKSI PADA WANITA DENGAN MASALAH FERTILITAS RSI SULTAN AGUNG SEMARANG Anis Nur Halimah; Sri Winarni; Dharminto Dharminto
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 5 (2018): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (204.618 KB) | DOI: 10.14710/jkm.v6i5.22009

Abstract

Infertility is the inability of a married couple to achieve a clinical pregnancy after having sexual intercourse 2-3 times a week within 12 months or more without using contraception. The cause of infertility originating from the female factor is around 65%, while the cause of male factors is around 20%, other conditions and the unknown is around 15%. This study aims to determine the relationship of cigarette exposure, nutritional status, workload and reproductive organ infection with the incidence of infertility in women in the fertility clinic of RSI Sultan Agung Semarang in 2018. This type of research is explanatory research using a case control study design with a retrospective study approach. The population of this study were women pus who visited the fertility clinic of RSI Sultan Agung Semarang. Number of sample cases of 15 infertile women and total control of 30 fertile women. Case samples are selected using the total population, the control sample is selected using convenience sampling. The results showed that the percentage of women in the fertility clinic at Sultan Agung Hospital was more exposed to cigarette smoke (53.3%), had normal nutritional status (42.2%), had underload workload (48.9%), and did not have reproductive organ infection (62.2%).
Co-Authors Aditya Imam Efendi Ali Djamhuri Angga Dwi Sulistya Anis Nur Halimah Anna Himmatin Nisa Annisa' Arifatul Hikmah Ardiana Nur Aini Atik Mawarni Audina, Alfin Billy Suyatman Cahya Tri Purnami Catharina Suharti Celline Oktiani Corry Wahyuni Hidayat Damai Santosa Daru Lestantyo Dianita Desti Kartikasari Djoko Nugroho Djoko Nugroho Duhita Wikalaili Enzimatia Erni Yuliastuti Farid Agushybana Farid Agusyahbana Farid Agusyahbana, Farid Farid Agusybana Farid Farid Agushybana Fitria Agustina Frida Cahyaningrum, Frida Hanik Machfudloh Hendrawati, Anindita Rosenda Eka Hernayanti, Munica Rita Imani Lia Purnandias Imaroh, Istiana Islahul Imelsa Ika Wulandari Indartik Mamnuah Isnaini Avia Nita ita rahmaningtyas Ivana Anggun Puspita Jessie Novriani Lentho Kadina Alifianur Khairir Rizani Kurnianingsih Kurnianingsih M Adam, T.Ria Marriagewati Martha Irene Kartasurya Menik Samiyati Meuthika Noor Fitriyana, Meuthika Mia Afritia Minanda Oktariza Mohammad Zen Rahfiludin Mufidatul Khasanah Muhaamad Luqman Anshori Munica Rita Hernayanti Naomi Batmomolin Nery Ermaya Nisa Novaeni Nivia Cemerlang Rinjani Novita Haloho Novita Triani Nur Afifah Azhari Nur Endah Wahyuningsih Nuridzin, Dion Zein Okta Nidya Boro Samosir Okvita Sari Paska Aprina Br Purba Pratama, Thoriq Rizqy Putri Setyo Wulandari Putri Tiara Rosha, Putri R. Djoko Nugroho Rade Roro Yuke Rahma Febriani Raden Djoko Nugroho Rahayu Norma Cahyani Rahmadani, Ike Rianasari Rianasari Rida Pertiwi Ritmasari Ritmasari Riza Nurul Husna Rosyida, Lintang Mela Ryan Adiputra S.Pd. M Kes I Ketut Sudiana . Safira Fatichaturrachma Sarah Ayu Tifana Shofia Fadhila Ulfa, Shofia Sinti Nurkholifah SINTI NURKHOLIFAH Siti Fatimah Pradigdo Sri Achadi Nugraheni Sri Winarni Suhartono Suhartono Suhartono Suhartono, Suhartono Suyatno Suyatno Theresia Evelyn Triana Widiastuti Widya Gian Argintha Wiwi Wulan Ndari Yudhy Dharmawan Yudhy Nugroho Yulia Nur Azizah