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PERSEPSI DAN STIGMA NEGATIF TERHADAP MASYARAKAT SERTA TENAGA KESEHATAN YANG TERKENA COVID-19, STUDI KUALITATIF DI KABUPATEN BADUNG-BALI Hesteria Friska Armynia Subratha; Indra Pratiwi
The Shine Cahaya Dunia Ners Vol 6, No 2 (2021): The Shine Cahaya Dunia Ners
Publisher : LPPM An Nuur Purwodadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35720/tscners.v6i2.304

Latar Belakang; Pada akhir tahun 2019 seluruh dunia dikejutkan dengan merebaknya virus yang belum pernah terdeteksi sebelumnya. Virus tersebut diberi nama Novel Coronavirus (SARS-CoV-2) dan penyakitnya dikenal sebagai Coronavirus disease 2019 (Covid-19). Dalam hal ini tidak sedikit masyarakat dan tenaga kesehatan yang juga terkena Covid-19 sehingga berdampak munculnya persepsi serta stigma negatif di kalangan masyarakat. Jumlah kasus Covid-19 terbanyak di Bali terdapat di kabupaten Badung. Penelitian ini bertujuan mengetahui persepsi dan stigma negatif terhadap tenaga kesehatan serta masyarakat yang terkena Covid-19 pada tahun 2021.Metode: Penelitian ini menggunakan studi deskriptif kualitatif dengan metode observasi dan wawancara mendalam terhadap tenaga kesehatan dengan kasus positif covid-19 yang berjumlah 8 orang dan 2 orang responden tidak terkonfirmasi positif. Penelitian ini dilakukan dari tanggal 1 Maret – 6 Maret 2021.Hasil: Hasil penelitian menunjukkan adanya peningkatan stigmatisasi terhadap orang-orang yang terkena Covid-19. Adanya persepsi dan stigma negatif di kalangan masyarakat menyebabkan tingkat gangguan psikologis seperti gangguan kecemasan dan tingkat stres pada pasien covid sangat tinggi. Bukan hanya penderita covid saja yang mendapatkan stigma negatif, namun keluarga yang tidak terpapar covid-19 juga mendapatkan stigma negatif. Di Bali stigma muncul dalam perilaku sosial seperti mengucilkan pasien yang telah sembuh, mengucilkan tenaga medis yang bekerja di pelayanan kesehatan, menolak jenazah karena dianggap masih terdapat virus yang menularkan.Kesimpulan: Adanya persepsi dan stigma negatif di kalangan masyarakat menyebabkan tingkat gangguan psikologis seperti gangguan kecemasan dan tingkat stres pada pasien covid sangat tinggi.Kata Kunci: Persepsi, Stigma, Negatif, Tenaga Kesehatan, Masyarakat, Covid-19

Determinan Kejadian Stunting Pada Balita Di Kabupaten Gianyar Bali Hesteria Friska Armynia Subratha; Ni Made Indra Peratiwi
Jurnal Ilmu Kesehatan MAKIA Vol 10 No 2 (2020): Jurnal Ilmu Kesehatan MAKIA
Publisher : LPPM STIKes ICsada Bojonegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37413/jmakia.v10i2.13

ABSTRAK Penurunan prevalensi stunting balita merupakan tujuan yang pertama dari enam tujuan dalam Target Nutrisi Global untuk tahun 2025. Program pemerintah dalam penanggulangan masalah gizi pada balita sudah cukup banyak dan terstruktur. Namun, pada kenyataannya kasus kejadian balita stunting masih banyak dijumpai. Pada Kabupaten Gianyar terdapat 22,2% balita stunting, dan merupakan salah satu kabupaten yang menjadi pilot project penanganan stunting di Indonesia. Penelitian ini bertujuan untuk mengetahui secara mendalam determinan kejadian stunting pada balita di Kabupaten Gianyar, Bali ditinjau dari faktor presdiposisi, faktor pemungkin dan faktor penguat. Penelitian deskriptif kualitatif ini menggunakan metode pengumpulan data observasi dan wawancara mendalam. Pengumpulan data dilaksanakan pada Bulan Mei-Juni 2020. Subyek penelitian ini adalah 8 pengasuh balita (usia 6-60 bulan) dan balita (usia 6-60 bulan) yang memiliki z-score TB/U di bawah -2SD di Kabupaten Gianyar. Proses analisis data menggunakan analisis data tematik. Hasil penelitian menunjukkan bahwa faktor yang berhubungan dengan kejadian stunting adalah adalah faktor pendorong (pengetahuan ibu, pemberian ASI Eksklusif), faktor pemungkin (ketersediaan dana, ketersediaan pangan keluarga), faktor penguat (dukungan keluarga). Semua petugas kesehatan agar memberikan informasi yang memadai mengenai pentingnya gizi pada balita sedini mungkin. Pemberian informasi dapat diberikan melalui penyuluhan kepada remaja, ibu-ibu selama hamil, nifas dan saat menyusui sewaktu ibu kunjungan ANC, mengikuti kelas ibu hamil, datang ke pusling, dan pada waktu ibu berkunjung ke posyandu. Kata Kunci : Determinan, Stunting, Gianyar

Dampak dan Upaya Pencegahan Stigmatisasi Masyarakat terhadap Pasien Covid-19 di Badung-Bali Hesteria Friska Armynia Subratha; Indra Peratiwi
Jurnal Ilmu Kesehatan MAKIA Vol 12 No 1 (2022): Jurnal Ilmu Kesehatan MAKIA
Publisher : LPPM STIKes ICsada Bojonegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37413/jmakia.v12i1.189

The pandemic is one of the most serious public health problems globally. This is like what happened in early 2020 when the COVID-19 outbreak first occurred in Wuhan. The threat of this pandemic is getting bigger when various cases show that transmission can occur between humans (human to human transmission). However, in this case, many Covid-19 sufferers are stigmatized. This study aims to determine the impact and efforts to prevent community stigmatization of Covid-19 patients in 2021. This study uses a qualitative descriptive study with observation methods and in-depth interviews with health workers with 8 positive cases of COVID-19 and 2 respondents who were not confirmed positive. . This research was conducted from March 1 – March 6, 2021. The results of this study indicate that the emergence of stigmatization during the COVID-19 pandemic was based on the lack of public knowledge, supported by unverified information or uncontrolled fake news which caused concern and fear. people who are excessive so that they have incorrect perceptions and carry out discriminatory treatment. Effective prevention that can be done to minimize stigma is the provision of education or education in the form of health campaigns and promotions to the community as well as screening of hoax news so that the public gets information from credible official sources.

Studi Kualitatif Stigma Negatif terhadap Tenaga Kesehatan yang Terkena Covid-19 di Kabupaten Badung Bali Indra Peratiwi; Hesteria Friska Armynia Subratha
JI-KES (Jurnal Ilmu Kesehatan) Vol 5, No 1 (2021): JI-KES (Jurnal Ilmu Kesehatan)
Publisher : STIKes Hafshawaty Pesantren Zainul Hasan Probolinggo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33006/ji-kes.v5i1.232

AbstrakCovid-19 merupakan suatu wabah penyakit yang bersifat pandemi dan dialami oleh seluruh dunia. Penanggulangan dan pengobatan Covid-19 merupakan target yang harus dicapai selama pandemi ini berlangsung. Namun dalam hal ini, tidak sedikit tenaga kesehatan yang juga terkena Covid-19 sehingga berdampak munculnya stigma negatif di kalangan masyarakat. Jumlah kasus Covid-19 terbanyak di Bali terdapat di kabupaten Badung. Penelitian ini bertujuan mengetahui stigma negatif terhadap tenaga kesehatan yang terkena Covid-19 pada tahun 2021. Penelitian ini menggunakan studi deskriptif kualitatif dengan metode observasi dan wawancara mendalam terhadap tenaga kesehatan dengan kasus positif Covid-19 yang berjumlah 8 orang dan 2 orang responden tidak terkonfirmasi positif. Penelitian ini dilakukan dari tanggal 1 Maret-6 Maret 2021. Hasil penelitian menunjukkan tenaga kesehatan yang terkena Covid-19 cenderung mendapatkan stigma negatif dari masyarakat di sekitarnya. Stigma negatif menyebabkan tingkat gangguan psikologis seperti gangguan kecemasan dan tingkat stres pada tenaga kesehatan menjadi sangat tinggi. Bukan hanya tenaga kesehatan saja yang mendapatkan stigma negatif, namun keluarga yang tidak terpapar Covid-19 juga mendapatkan stigma negatif. Diharapkan pemerintah dapat mengedukasi masyarakat mengenai cara pencegahan dan penularan Covid-19 sehingga tidak memunculkan stigma negatif.Kata kunci: stigma, negatif, tenaga kesehatan, Covid-19 AbstractCovid-19 is a nature epidemic experienced by all countries all over the world. The prevention and treatment of Covid-19 are the target that must be achieved during this pandemic. However, in this case, there are not a few health workers were also affected by Covid-19, and give negative stigma among the community. The highest number of Covid-19 cases in Bali is in Badung district. This study aims to determine the negative stigma of health workers affected by Covid-19 in 2021. This research used qualitative descriptive study using observation methods and in-depth interviews with 8 health workers with positive cases of Covid-19 and 2 respondents who are not confirmed positive. This research was conducted from March 1 to March 6, 2021. The results showed that health workers who affected by Covid-19 tended to get negative stigma from the surrounding community. The negative stigma increases the level of psychological disorders such as anxiety disorders and stress levels for health worker. Not only health workers but also families who are not exposed to Covid-19 get a negative stigma. It is hoped the government can educate the community about prevention and transmission of Covid-19 with the result that it does not create a negative stigma.Keyword: stigma, negative, health workers, Covid-19

SOCIAL SEMIOTIC IN COVID-19 PUBLIC SERVICES ADVERTISEMENT Tri Sutrisna Agustia Km; Hesteria Friska Armynia Subratha
KULTURISTIK: Jurnal Bahasa dan Budaya Vol. 5 No. 2 (2021): Juli 2021
Publisher : Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/kulturistik.5.2.3395

The role of an advertisement in influencing people's perceptions and understanding has its own competence in the world of marketing. Advertising can be used as one of the most appropriate promotional tools in the introduction and understanding of a concept or an invitation to do something. The persuasive matter in this research regarding the importance of the role of the community in the Covid-19 pandemic conditions. Advertising products taken in this study are several public servicess about Covid-19 from several commercial and non-commercial institutions in Bali. The phenomenon of miss-interpretation and the mismatch of the desired meaning in an advertisement has a significant impact on the development of the Covid-19 case in Bali. The purpose of this research is to align the problem of conveying a meaning in advertisements for public servicess about Covid-19 which are often not understood by the public so that there is a misunderstanding between the wishes of the appellers and the understanding of the public's target. This study aims to: (1) describe the shape of the parts of the advertisement in the form of the title, text, and slogan contained in the public services advertisement regarding Covid-19, (2) describe the form of the relationship between signs and references in the form of markers and signs in the services advertisement. the public regarding Covid-19, (3) describe and provide an overview of suggestions regarding the role of the proper meaning in public servicess about Covid-19. The research design used a qualitative design collected from research subjects in the form of public services advertisements about Covid-19 collected from websites and print media in the form of visual media. The objects in this study are in the form of words, phrases, sentences, images, and colors in these advertisements. The research stage begins with the collection of public services data about Covid-19, then a picture of the correct meaning of the advertisement for public services regarding Covid-19 will be drawn up based on semiotics. The results achieved in this study were the addition of semiotic science variables in the design of public services advertisements regarding Covid-19 so as to provide an overview of the suitability between the application of semiotics and the practice of giving advice and servicess as outlined in advertisements. The exact match between the desires and the meaning to be conveyed can be well developed to avoid misunderstandings between the advocate and the target public. Another target to be achieved in this research is the development of language knowledge in a broader realm both in the world of non-profit advertising. Keywords: semiotics, advertising, covid-19, public, services

PENYULUHAN IMUNISASI DASAR ANAK PADA MASA ADAPTASI KEBIASAAN BARU Hesteria Friska Armynia Subratha
Shihatuna : Jurnal Pengabdian Kesehatan Masyarakat Vol 1, No 2 (2021): DESEMBER
Publisher : FKM UIN Sumatera Utara Medan

The government has designated Coronavirus Disease 2019 (COVID-19) as a non-natural disaster in the form of an outbreak/pandemic, this determination is followed by efforts to prevent the spread of the corona virus through social restrictions, including restrictions on crowds, travel restrictions, implementation of isolation, delays and cancellations. events, as well as the closure of facilities and public service arrangements. This condition also affects the schedule and procedures for immunization services both at posyandu, puskesmas and other health facilities, including private ones). Nationally, Regency/City Immunization Coverage which reaches 80% of complete basic immunization is 37.2% of the target of 79.3% or the percentage of performance achievement is 46.9%. Universal Child Immunization (UCI) Villages are villages where 80% of the total number of infants in the village have received complete basic immunization within one year. The coverage of UCI Villages/Urbans in Buleleng Regency, Bali Province in 2020 is 99.3%, a decrease from 2019 which reached 100%. Through this health education activity, it is expected to increase public knowledge about basic immunization for children during the adaptation period of new habits at the Posyandu, Kekeran Village, Busungbiu District, Buleleng Regency, Bali with various efforts in joint activities with all parties.

ANEMIA DALAM KEHAMILAN DENGAN KEJADIAN PERDARAHAN POST PARTUM Hesteria Friska Armynia Subratha
Jurnal BIMTAS: Jurnal Kebidanan Umtas Vol. 5 No. 1 (2021): Jurnal Bimtas: Jurnal Kebidanan UMTAS
Publisher : LPPM Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/bimtas.v5i1.1793

Beberapa penelitian menunjukkan bahwa anemia pada ibu hamil dapat menyebabkan terjadinya perdarahan post partum. Perdarahan post partum merupakan salah satu penyebab kematian ibu. Tujuan : Tujuan dari literature review adalah untuk mereview faktor hubungan anemia dalam kehamilan dengan kejadian perdarahan post partum. Metode : Literatur review dilakukan berdasarkan issue , metodologi, persamaan dan proposal penelitian lanjutan. Dari 5 penelitian yang digunakan menggunakan metode penelitian kuantitatif. Populasinya adalah ibu hamil. Hasil : Berdasarkan 5 penelitian didapatkan bahwa ada hubungan antara anemia pada kehamilan dengan perdarahan post partum. Kesimpulan : Disarankan kepada ibu hamil untuk melakukan pemeriksaan kehamilan sesuai standar pemeriksaan kehamilan dan melakukan pemeriksaan Hb serta mengkonsumsi tablet Fe sebagai deteksi dini anemia dalam kehamilan dan pencegahan perdarahan post partum.

STUDI KUALITATIF GAMBARAN POLA PEMBERIAN MAKAN TERHADAPKEJADIAN STUNTING PADA BALITA DI KABUPATEN GIANYAR-BALI Hesteria friska Armynia Subratha; Indra Peratiwi
Hospital Majapahit (JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MAJAPAHIT MOJOKERTO) Vol 12 No 2 (2020): HOSPITAL MAJAPAHIT
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

The toddler age group is most often suffering from malnutrition such as stunting. The directcause of stunting is malnutrition due to lack of nutritional intake and the illness of the toddler.This study aims to find out in depth the pattern of parenting against the incidence of stuntingin infants. This research was conducted in Gianyar-Bali where the place is one of the districtswith a high incidence of stunting in Bali and became a pilot project handling stunting inIndonesia. Research methods using a qualitative descriptive approach by conducting in-depthinterviews with 8 informants, consisting of 4 housewives, 2 families, 1 cadre and 1 healthworker. Data analysis using thematic analysis. The results of the study: There are 5 principlesof the success of parenting care for toddlers such as: feeding directly or helping children feedthemselves, feeding slowly and patiently can encourage children to want to eat, a goodresponse to food rejection, providing food in a safe environment, time eating is a time to learnand love. In addition, there are determinants of behavioral influences that are supportive suchas knowledge, perception and availability of mother's time. And there are also inhibitingfactors that can be positive or negative such as the presence or absence of support fromvarious parties. Providing quality food to children is needed to prevent early stunting.

Factors Associated with Exclusive Breastfeeding among Mothers who Work at Home at Tabanan Regency Hesteria Friska Armynia Subratha; I Wayan Gede Artawan Eka Putra; Dyah Pradnyaparamita Duarsa
Public Health and Preventive Medicine Archive Vol. 4 No. 2 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i2.p10

Background and purpose: Working mothers and mothers who leave their babies in their home for more than 8 hours a day almost do not exclusively breastfeed their babies. The aim of this study was to determine the proportion of exclusive breastfeeding among mothers who work at home and factors associated with it. Methods: Cross-sectional survey was conducted by convenience sampling of 132 mothers with 6-12 months babies at Puskesmas Marga I Tabanan Regency from March-April 2016. The data was collected by interview about social-demographic characteristic,knowledge, perception, pregnancy and maternity counseling, early breastfeeding initiation, families support, medical assistant and exclusive breastfeeding. The data analyzed by univariate, bivariate, multivariate using STATA 12.1. Chi square applied in bivariate analysis and poison regression applied in multivariate analysis. Results: Proportion of respondents who exclusively breastfeed their babies for 6 months was 66.67%. Reasons for not exclusively breastfeed were not enough breastmilk (32.58%), no breastmilk (13.64%), families suggestion (8.33%), babies refused breastmilk (6.06%), health provider suggestion (2.27%) and to avoid the shape change of the breast (1.52%). Multivariate analysis found that variables associated with the exclusive breastfeeding were parity (APR=1.50; 95%CI: 1.01-2.15), early breasfeeding initiation (APR=1.80; 95%CI: 1.13-2.90) and families support (APR=1.4; 95%CI: 1.10-1.76). Conclusion: Factors significantly associated with exclusive breastfeeding were parities less than 3, early breasfeeding initiation and families support.

Determinan Kejadian Stunting Pada Balita Di Kabupaten Gianyar Bali Hesteria Friska Armynia Subratha; Ni Made Indra Peratiwi
Jurnal Ilmu Kesehatan MAKIA Vol 10 No 2 (2020): Jurnal Ilmu Kesehatan MAKIA
Publisher : LPPM ISTeK ICsada Bojonegoro

ABSTRAK Penurunan prevalensi stunting balita merupakan tujuan yang pertama dari enam tujuan dalam Target Nutrisi Global untuk tahun 2025. Program pemerintah dalam penanggulangan masalah gizi pada balita sudah cukup banyak dan terstruktur. Namun, pada kenyataannya kasus kejadian balita stunting masih banyak dijumpai. Pada Kabupaten Gianyar terdapat 22,2% balita stunting, dan merupakan salah satu kabupaten yang menjadi pilot project penanganan stunting di Indonesia. Penelitian ini bertujuan untuk mengetahui secara mendalam determinan kejadian stunting pada balita di Kabupaten Gianyar, Bali ditinjau dari faktor presdiposisi, faktor pemungkin dan faktor penguat. Penelitian deskriptif kualitatif ini menggunakan metode pengumpulan data observasi dan wawancara mendalam. Pengumpulan data dilaksanakan pada Bulan Mei-Juni 2020. Subyek penelitian ini adalah 8 pengasuh balita (usia 6-60 bulan) dan balita (usia 6-60 bulan) yang memiliki z-score TB/U di bawah -2SD di Kabupaten Gianyar. Proses analisis data menggunakan analisis data tematik. Hasil penelitian menunjukkan bahwa faktor yang berhubungan dengan kejadian stunting adalah adalah faktor pendorong (pengetahuan ibu, pemberian ASI Eksklusif), faktor pemungkin (ketersediaan dana, ketersediaan pangan keluarga), faktor penguat (dukungan keluarga). Semua petugas kesehatan agar memberikan informasi yang memadai mengenai pentingnya gizi pada balita sedini mungkin. Pemberian informasi dapat diberikan melalui penyuluhan kepada remaja, ibu-ibu selama hamil, nifas dan saat menyusui sewaktu ibu kunjungan ANC, mengikuti kelas ibu hamil, datang ke pusling, dan pada waktu ibu berkunjung ke posyandu. Kata Kunci : Determinan, Stunting, Gianyar

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