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Evaluasi Pelaksanaan Pos Pembinaan Terpadu Penyakit Tidak Menular dalam Upaya Meningkatkan Keaktifan Masyarakat di Wilayah Kerja Puskesmas Tri Karya Mulya Tri Desiyana Sugianto; Dwi Yulia Maritasari; Febria Listina
Malahayati Nursing Journal Vol 7, No 2 (2025): Volume 7 Nomor 2 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i2.17352

Abstract

ABSTRACT Posbindu PTM is an integrated coaching activity to control PTM opportunity factors and is a form of community independence in detecting and monitoring PTM opportunity factors routinely. From the available data, it is known that the achievement of Posbindu PTM visits at the Tri Karya Mulya Health Center in 2023 was 17.5% while the indicator for both Regency or Province was 20%. Due to the lack of public interest in checking their health early, a health service approach is needed through the establishment of Posbindu PTM in villages. The purpose of this study was to evaluate the implementation of Posbindu PTM in an effort to increase community activity in the Tri Karya Mulya Health Center work area in 2024. This research is a qualitative research with a case study approach. The research location was in the Tri Karya Mulya Health Center Work Area and was carried out in June-July 2024. The research informants numbered 22 people consisting of the head of the health center, the person in charge of the Posbindu PTM program and cadres and the community. The research instrument was the researcher himself with interview guide tools, cellphones, cameras and notebooks. Data collection through in-depth interviews, FGDs and observations of related documents and triangulation of sources, techniques and time. The data analysis process in this study is data reduction, data presentation and drawing conclusions. The results of the study related to the objectives of the program have been implemented but not optimally. However, human resources are available but not sufficient, facilities are available but not complete, funds are only limited to BOK funds. The implementation of 5 tables has not been carried out comprehensively and the achievement of target targets in the utilization of posbindu which is expected to increase has not been achieved.  It is better to establish a commitment with the village regarding the procurement of BMHP in the form of blood sugar sticks, cholesterol, uric acid and the addition of IVA examinations and lung function tests. Keywords: Non-communicable Diseases, Utilization, Posbindu  ABSTRAK Posbindu PTM adalah kegiatan pembinaan terpadu untuk mengendalikan faktor peluang PTM dan merupakan bentuk kemandirian masyarakat dalam mendeteksi dan memonitor faktor peluang PTM secara rutin. Dari data yang ada diketahui bahwa capaian kunjungan Posbindu PTM di Puskesmas Tri Karya Mulya tahun 2023 sebesar 17,5% sedangkan indikator baik Kabupaten atau Provinsi sebesar 20%. Karena kurangnya minat masyarakat untuk memeriksakan kesehatan secara dini maka diperlukan adanya pendekatan layanan kesehatan melalui dibentuknya Posbindu PTM di desa-desa. Tujuan penelitian untuk mengevaluasi pelaksanaan Posbindu PTM dalam upaya meningkatkan keaktifan masyarakat di wilayah kerja Puskesmas Tri Karya Mulya Tahun 2024. Penelitian ini merupakan penelitian kualitatif dengan pendekatan studi kasus. Lokasi penelitian di Wilayah Kerja Puskesmas Tri Karya Mulya dan dilaksanakan pada Juni-Juli 2024. Informan penelitian berjumlah 22 orang yang terdiri dari kepala puskesmas, penanggung jawab program posbindu PTM dan kader serta masyarakat. Instrumen penelitian ini adalah peneliti sendiri dengan alat bantu pedoman wawancara, handphone, kamera dan buku catatan. Pengumpulan data dengan wawancara mendalam, FGD serta observasi dokumen terkait dan dilakukan triangulasi sumber, teknik dan waktu. Proses analisis data pada penelitian ini yaitu reduksi data, penyajian data dan penarikan kesimpulan. Terkait tujuan program sudah terlaksana hanya belum maksimal. Akan tetapi SDM sudah ada tetapi belum mencukupi , fasilitas sudah tersedia namun belum lengkap, dana hanya terbatas pada dana BOK. Pelaksanaan 5 meja belum dilakukan secara menyeluruh dan pencapaian target sasaran dalam pemanfaatan posbindu yang diharapkan meningkat belum tercapai. Sebaiknya menjalin komitmen dengan desa terkait pengadaan BMHP berupa stik gula darah, kolesterol, asam urat dan  penambahan pemeriksaan IVA dan uji fungsi paru. Kata Kunci: Penyakit Tidak Menular, Pemanfaatan, Posbindu
Pengaruh Edukasi Menggunakan Media Lembar Balik terhadap Pengetahuan Pasien TB di Puskesmas Kedaton Bandar Lampung Windy Alfi Aulia; Nur Sefa Arief Hermawan; Dwi Yulia Maritasari
Malahayati Nursing Journal Vol 7, No 2 (2025): Volume 7 Nomor 2 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i2.17858

Abstract

ABSTRACT Tuberculosis is still one of the leading causes of morbidity and mortality in the world. Indonesia is ranked second in the world as the largest contributor of TB patients after India. The survey results showed that 60% of people said that they did not know the treatment program related to their TB disease. TB prevention efforts are carried out by increasing correct and comprehensive knowledge about prevention of transmission, treatment, and clean and healthy lifestyles (PHBS) so that changes in attitudes and behavior of TB program targets occur through health education efforts, one of which uses a flipchart as media. The purpose of this study was to determine the effect of education using flipchart media on the knowledge of TB patients at the Kedaton Health Center, Bandar Lampung, in 2024. This study is a quantitative study that uses the pre-experiment method with a one-group pre-post-test research design. The intervention is in the form of providing education using the flipchart media. The sample in the study were lung TB patients who performed health checks at the Kedaton Bandar Lampung Health Center, as many as 26 people using the purposive sampling technique. The research instrument was a pre-post test questionnaire with data analysis using the T-Dependent test. The results of the analysis showed that after education, poor knowledge was obtained (38.5%) and good knowledge was (61.5%). The results of this study indicate that there is an effect of education using a flipchart with the level of knowledge (p = 0.00) in TB patients at the Kedaton health center. We recommend that the flipchart media can be used as a tool in health education about tuberculosis (TB) disease, and health care workers should evaluate before and after providing health education so that it can be seen how many percent increase in knowledge of TB patients after being given health education. Keywords: Flipchart, Knowledge, Tuberculosis, TB  ABSTRAK Tuberkulosis masih merupakan salah satu penyebab utama kesakitan dan kematian di dunia. Indonesia berada diperingkat kedua dunia sebagai penyumbang penderita TB terbanyak setelah India. Hasil survey didapatkan sebanyak 60% orang mengatakan bahwa mereka belum mengetahui program pengobatan terkait penyakit TB yang dideritanya. Upaya penanggulangan TB dilakukan dengan cara meningkatkan pengetahuan yang benar dan komprehensif mengenai pencegahan penularan, pengobatan, pola hidup bersih dan sehat (PHBS) sehingga terjadi perubahan sikap dan perilaku sasaran program TB melalui upaya edukasi kesehatan yang salah satunya menggunakan media lembar balik. Tujuan penelitian ini untuk mengetahui pengaruh edukasi menggunakan media lembar balik terhadap pengetahuan pasien TB di Puskesmas Kedaton Bandar Lampung Tahun 2024. Penelitian ini merupakan penelitian kuantitatif yang menggunakan metode Pre experiment dengan desain rancangan penelitian one group pre-post test. Intervensi berupa pemberian edukasi menggunakan media lembar balik. Sampel dalam penelitian adalah pasien TB Paru yang melakukan pemeriksaan kesehatan di Puskesmas Kedaton Bandar Lampung, sebanyak 26 orang dengan menggunakan teknik purposive sampling. Instrumen penelitian berupa kuesioner pre-post test dengan analisis data menggunakan uji T-Dependent. Hasil analisis menunjukkan setelah edukasi didapatkan pengetahuan kurang baik sebesar (38.5%) dan yang berpengetahuan baik sebesar (61.5%). Hasil penelitian ini menunjukkan ada pengaruh edukasi menggunakan lembar balik dengan tingkat pengetahuan (p=0,00) pada pasien TB di puskesmas kedaton. Sebaiknya media lembar balik dapat dijadikan alat dalam edukasi kesehatan tentang penyakit tuberculosis (TB) dan tenaga pelayanan kesehatan sebaiknya melakukan evaluasi sebelum dan sesudah pemberian edukasi kesehatan agar dapat dilihat berapa persen peningkatan pengetahuan pasien TB setelah diberikan edukasi kesehatan. Kata Kunci: Lembar Balik, Pengetahuan, Tuberculosis, TB
Maternal health literacy and prevention of acute respiratory infection in toddlers Dwi Yulia Maritasari; Febria Listina; Adila Tri Ayu; Anandha Widya Putri Rahmadhina; Aniza Salzadela Pradita; Difa Masya Gantha; Dinda Mutiara Azmi; Intan Nabela Septiyana; Muhammad Zaidan Amrullah; Niken Junia Sabila; Putri Sari Ramadhani; Solvia Atika Maulana
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 10 (2026): January Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i10.2203

Abstract

Background: Acute Respiratory Infection (ARI) is one of the leading causes of infant mortality worldwide, especially in developing countries. Lack of health literacy among mothers of toddlers is one factor that worsens the early treatment of ARI. Purpose: To determine the effectiveness of leaflet-based communicative counseling in improving the health literacy of mothers of toddlers to prevent ARI. Method: The research design was a quantitative pre-experimental study with a one-group pretest-posttest design. The sample in this study was all mothers of 31 toddlers detected with ARI, selected using a total sampling technique. The research instrument was a valid and reliable questionnaire used to measure maternal knowledge before and after the intervention. Result: The results showed a significant increase in maternal knowledge after counseling (p = 0.000). Conclusion: This indicates that leaflet-based communicative counseling is efficacious in improving the health literacy of mothers of toddlers. It is recommended that health workers at community health centers routinely provide similar counseling.  
H Hubungan Pengetahuan dan Personal Hygiene Dengan Kejadian Diare Pada Balita Septi Adi Ningsih; Dian Utama Pratiwi Putri; Dwi Yulia Maritasari
An Idea Health Journal Vol 4 No 02 (2024)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v4i02.219

Abstract

Diarrhea is an endemic disease that has the potential to cause Extraordinary Events and is still a contributor to the death rate in Indonesia, especially among children under five. This research aimed to determine the relationship between knowledge and personal hygiene with the incidence of diarrhea in toddlers in the working area of the Labuhan Ratu Health Center. This type of research is quantitative, using a cross-sectional research design. The sample in this study was 100 mothers with toddlers who were obtained from sample calculations using proportion estimation. Data was collected using a questionnaire, the data collection technique used purposive sampling, and the data was then analyzed using the chi-square test. The research showed that 50 toddlers had diarrhea in the last month. Most respondents' knowledge was not good 64 (64.0%), and most personal hygiene was not good 74 (74.0%). Based on the results of the chisquare test carried out on the knowledge variable, a p-value of 0.532 was obtained (< 0.05), then the results of the chi-square test carried out on the personal hygiene variable obtained a p-value of 0.043 (< 0.05). In conclusion, a significant relationship exists between personal hygiene and the incidence of diarrhea. Advice for mothers to actively attend or participate if there are outreach activities organized by health workers from the Community Health Center, especially education about preventing diarrhea.
Kegiatan demonstrasi masak sehat sebagai media edukasi gizi dalam pencegahan gastritis di masyarakat Dwi Yulia Maritasari; Annisa Agata; Sujiah Sujiah; Ari Sukmanela; Dinda Monika; Miranda Oktamevia
JOURNAL of Public Health Concerns Vol. 6 No. 4 (2026): JOURNAL of Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v6i4.3413

Abstract

Background: Gastritis remains a common health issue in the community, closely linked to unhealthy dietary habits, irregular meal schedules, and limited knowledge regarding the selection and preparation of stomach-friendly foods. A Community Self-Assessment Survey in Hamlet 5 revealed a significant number of residents suffering from gastritis symptoms, alongside habits of consuming fatty, spicy, and irritating foods. These conditions highlight the need for practical, easily applicable health promotion and prevention efforts in daily life. Purpose: To enhance community knowledge and skills regarding gastritis prevention through health education and live healthy cooking demonstrations. Method: This community service activity was conducted in December 2025 in Hamlet 5, Purworejo Village, Pesawaran Regency. The target audience consisted of Hamlet 5 residents selected based on the Community Self-Assessment Survey results. The methods employed included health education on gastritis, healthy cooking demonstrations using stomach-friendly ingredients, interactive discussions, and the distribution of healthy recipe leaflets. Evaluation was conducted descriptively by observing community participation and understanding throughout the activity. Results: The activity proceeded successfully and received a positive response from the community. Participants demonstrated high enthusiasm and an improved understanding of gastritis risk factors, the selection of stomach-friendly foods, and healthy food preparation methods. The community also grasped the importance of adopting a healthy diet to prevent gastritis recurrence. Conclusion: Healthy cooking demonstrations combined with health education are effective promotional and preventive measures for increasing community knowledge and awareness regarding gastritis prevention. Active community participation was a key factor in the success of this activity. Suggestion: It is hoped that similar activities will be conducted on an ongoing basis with the support of health professionals and community volunteers to reinforce healthy lifestyle changes and reduce the incidence of gastritis. Keywords: Gastritis prevention; Healthy cooking demonstration; Health education; Healthy lifestyle Pendahuluan: Gastritis masih menjadi salah satu masalah kesehatan yang sering ditemukan di masyarakat dan berkaitan erat dengan pola makan yang tidak sehat, jadwal makan tidak teratur, serta rendahnya pengetahuan tentang pemilihan dan pengolahan makanan yang aman bagi lambung. Hasil Survei Mawas Diri (SMD) di Dusun 5 menunjukkan adanya proporsi masyarakat yang mengalami keluhan gastritis, disertai kebiasaan konsumsi makanan berlemak, pedas, dan iritatif. Kondisi ini menunjukkan perlunya upaya promotif dan preventif yang bersifat praktis dan mudah diterapkan dalam kehidupan sehari-hari. Tujuan: Untuk meningkatkan pengetahuan dan keterampilan masyarakat dalam upaya pencegahan gastritis melalui edukasi kesehatan dan demonstrasi memasak sehat secara langsung. Metode: Kegiatan pengabdian kepada masyarakat ini dilaksanakan pada bulan Desember 2025 di Dusun 5, Desa Purworejo, Kabupaten Pesawaran. Sasaran kegiatan adalah masyarakat Dusun 5 yang dipilih berdasarkan hasil Survei Mawas Diri. Metode yang digunakan meliputi penyuluhan kesehatan tentang gastritis, demonstrasi memasak sehat dengan bahan makanan yang ramah lambung, diskusi interaktif, serta pembagian leaflet resep sehat. Evaluasi dilakukan secara deskriptif melalui pengamatan partisipasi dan pemahaman masyarakat selama kegiatan berlangsung. Hasil: Kegiatan berjalan dengan baik dan mendapat respons positif dari masyarakat. Peserta menunjukkan antusiasme tinggi serta peningkatan pemahaman mengenai faktor risiko gastritis, pemilihan bahan makanan yang aman bagi lambung, dan cara pengolahan makanan sehat. Masyarakat juga mampu memahami pentingnya penerapan pola makan sehat sebagai upaya pencegahan kekambuhan gastritis. Simpulan: Demonstrasi memasak sehat yang disertai edukasi kesehatan efektif sebagai upaya promotif dan preventif dalam meningkatkan pengetahuan dan kesadaran masyarakat terhadap pencegahan gastritis. Keterlibatan aktif masyarakat menjadi faktor penting dalam keberhasilan kegiatan ini. Saran: Kegiatan serupa diharapkan dapat dilakukan secara berkelanjutan dengan dukungan tenaga kesehatan dan kader masyarakat guna memperkuat perubahan perilaku hidup sehat serta menurunkan angka kejadian gastritis.
Pengaruh Promosi Kesehatan Menggunakan Roda Kecerdasan (Roked) Terhadap Perilaku Pencegahan Gastritis di SMP N 1 Liwa Nuri Marantika; Dwi Yulia Maritasari; Rustika Rustika
ARTERI : Jurnal Ilmu Kesehatan Vol 7 No 1 (2025): November
Publisher : Puslitbang Sinergis Asa Professional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/arteri.v7i1.499

Abstract

One of the most common gastrointestinal health problems among students is gastritis. Gastritis can become a peptic ulcer, which eventually causes impacts such as bleeding, peritonitis, or even death. The survey results at SMP N 1 Liwa found that 61% of students did not know a good diet to prevent gastritis. Prevention efforts are carried out by increasing a person's knowledge, attitude, and diet through health promotion efforts, one of which uses intelligence wheel media (Roked). The purpose of this study was to determine the effect of health promotion using the wheel of intelligence (Roked) on knowledge, attitudes, and diet to prevent gastritis at SMP N 1 Liwa. This study is a quantitative study that uses the Quasy experiment method with a one group pretest-postest research design with control group. Intervention in the form of providing health promotion using intelligence wheel media (Roked). The sample in the study were students with a history of gastritis symptoms at SMP N 1 Liwa, as many as 36 people in the intervention group and 36 people in the control group using purposive sampling technique. The research instrument was a pretest and posttest questionnaire with data analysis using Paired sample T-test and Independent sample T-test. The results of the analysis showed there was a difference in the mean score of knowledge (p=0.000), attitude (p=0.000), diet (p=0.000) before and after given health promotion using the wheel of intelligence media (Roked). The results of this study indicate the influence of health promotion using the wheel of intelligence media (Roked) on knowledge p=0.024, attitude p=0.012, diet p=0.036 for the for the prevention of gastritis in SMP N 1 Liwa. We recommend that the wheel of intelligence (Roked) media can be used as an alternative in health promotion that is routinely carried out in convey information about gastritis prevention.
Evaluasi Program Inovasi “Ngasi Kuy” dalam Upaya Peningkatan Capaian Pemberian ASI Eksklusif Mutiara Rizka Pradini; Dwi Yulia Maritasari; Tubagus Erwin Nurdiansyah
Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Vol 16 No 2 (2024): JIKM Vol. 16, Edisi 2, Mei 2024
Publisher : Public Health Undergraduate Program, Faculty of Health Science, Universitas Pembangunan Nasional Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52022/jikm.v16i2.601

Abstract

AbstrakLatar Belakang: Salah satu program peningkatan capaian ASI Eksklusif adalah program inovasi “Ngasi Kuy” yang sudah berjalan sejak 2018 sampai dengan sekarang. Berdasarkan data Puskesmas Kota Karang, capaian ASI eksklusif masih rendah yaitu 67% dari target 100% pada tahun 2022. Penelitian ini memiliki tujuan guna mencari tahu secara mendalam evaluasi program inovasi “Ngasi Kuy” dalam upaya peningkatan capaian pemberian ASI eksklusif di Puskesmas Kota Karang.Metode: Penelitian ini menerapkan metode kualitatif melalui pendekatan studi kasus. Informan pada penelitian ini sejumlah 12 orang yang terdiri dari kepala Puskesmas, pemegang program ASI Eksklusif, petugas KIA, petugas promkes, 3 kader pendamping ASI, dan 5 ibu menyusui. Instrumen penelitian ini ialah pedoman wawancara, lembar checklist, perekam suara, dan kamera. Pengumpulan data mempergunakan teknik wawancara mendalam, FGD, serta observasi. Penelitian ini menggunakan triangulasi sumber data, metode, dan waktu. Hasil: Hasil penelitian menunjukkan bahwa belum tercapainya angka capaian pemberian ASI eksklusif dikarenakan kurangnya tenaga konselor ASI, sarana dan prasarana yang belum memenuhi standar, kurangnya kesadaran masyarakat, dan kurangnya partisipasi ibu untuk mengikuti penyuluhan.Kesimpulan: Tujuan program “Ngasi Kuy” adalah untuk meningkatkan capaian pemberian ASI eksklusif di Puskesmas Kota Karang. Program ini sudah berjalan sesuai SOP, monitoring program sudah berjalan dengan baik. Masih kurangnya tenaga konselor ASI, sarana dan prasarana yang belum sesuai standar serta belum adanya kegiatan khusus penyuluhan ASI eksklusif menjadi kendala dalam pelaksanaan program. Hambatan dalam kegiatan program adalah kurangnya kesadaran masyarakat, kurangnya dukungan keluarga, pekerjaan ibu, dan kurangnya partisipasi ibu untuk mengikuti penyuluhan menjadi penyebab capaian pemberian ASI eksklusif masih belum mencapai target.Kata Kunci: ASI Eksklusif, Evaluasi Program, Inovasi AbstractBackground: One of the programs to increase the achievement of exclusive breastfeeding is the "Ngasi Kuy" innovation program which has been running since 2018 until now. Based on data from Kota Karang Health Center, the achievement of exclusive breastfeeding is still low, with 67% of the target 100% in 2022. This study aimed to investigate the "Ngasi Kuy" innovation program's evaluation in-depth in an attempt to raise Kota Karang Health Center's exclusive breastfeeding achievement rate.Methods: This study was a case study approach combined with a qualitative method. There were 12 informants in this study. The instruments in this research were an interview guide, checklist sheet, voice recorder, and camera. Data was obtained by using in-depth interviews, FGD, and observation techniques. This research used data source, method, and time triangulation.Result: The results of the research showed that the achievement rate for exclusive breastfeeding had not been achieved due to a lack of breastfeeding counselors, facilities, and infrastructure that were not fulfilled, a lack of public awareness, and a lack of maternal participation in taking part in counseling.Conclusion: The "Ngasi Kuy" program aimed to increase exclusive breastfeeding outcomes in Kota Karang Health Center. There was still a lack of ASI counselors, facilities, and infrastructure that were not up to standard and there were no special exclusive breastfeeding counseling activities so that became an obstacle in this program implementation. The obstacles that occur in this program activities were lack of public awareness, lack of family support, mother's job, and lack of mother's participation in attending counseling so that exclusive breastfeeding achievements had not reached the target yet.Keywords: Exclusive Breastfeeding, Innovation, Program Evaluation