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THREE DELAY MODEL SEBAGAI SALAH SATU DETERMINAN KEMATIAN IBU DI KABUPATEN CILACAP Fibriana, Arulita Ika; Azam, Mahalul
KEMAS: Jurnal Kesehatan Masyarakat Vol 6, No 1 (2010)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v6i1.1747

Abstract

Penelitian ini bertujuan untuk mengetahui peran ketiga model keterlambatan dengan kematian ibu di Kabupaten Cilacap dengan mempertimbangkan variabel status pemeriksaan dan penolong pertama persalinan sebagai faktor pe-rancu. Rancangan penelitian menggunakan metode survei analitik dengan pendekatan studi kasus kendali. Jumlah sampel 30 kasus dan 30 kendali. Analisis data dilakukan secara univariat, bivariat dengan uji chi square dan analisis berstrata dengan uji Maentel Hanzel. Hasil penelitian menunjukkan bahwa vari-abel yang berhubungan dengan kematian ibu di Kabupaten Cilacap yaitu ke-terlambatan pertama (p<0,001, OR=16,43) dan keterlambatan kedua (p=0,038, OR=5,09). Variabel status pemeriksaan kehamilan dan penolong pertama persalinan bukan merupakan variabel perancu dalam menilai hubungan antara keterlambatan pertama dengan kematian ibu (p Mantel Haenszel <0,05). Pada keterlambatan kedua, status pemeriksaan kehamilan dan penolong pertama persalinan merupakan variabel perancu (p Mantel Haenszel ≥ 0,05). AbstractThis study aims to determine the role of the three delay model of maternal mor-tality in the District of Cilacap by considering variable of the check status and the first rescue for childbirth as confounding factor. Research design used survey me-thods of analytic control case study approach. The samples consist at 30 cases and 30 controls. Data was analyzed in univariate, bivariate with chi square test and analysis stratified by Maentel Hanzel test. The results showed that the variables related to maternal mortality in the district of Cilacap namely first delay (p <0.001, OR = 16.43) and the second delay (p = 0.038, OR = 5.09). The variable of prenatal care status and childbirth first helper are not a confounding variable in assessing the relationship between the delay of the first with maternal mortality (Mantel Haens-zel p <0.05). In the second delay, the status of prenatal care and childbirth first helper is a confounding variable (Mantel Haenszel p ≥ 0.05).Keywords: Three delay models; Maternal mortality; Childbirth
Precede-Procede Analysis of Prenatal Class Plus Model in the Optimization Education of High Risk Pregnancy Azinar, Muhammad; Fibriana, Arulita Ika; Wahyuningsih, Anik Setyo; Azam, Mahalul
KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 1 (2018)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v14i1.11532

Abstract

High-risk pregnancies are still common in rural areas. The percentage of high-risk pregnancy in Singorojo sub-district of Kendal District in the last three years has increased significantly. The highest number of cases was in Cening and Singorojo villages. In the past year, 86.88% of pregnancies in Cening village and 55.42% of pregnancies in Singorojo village were categorized as high-risk. The lack in community education limited prevention of high-risk pregnancies. Prenatal Class Plus model is an innovation that was being developed in this study. This is a research and development study with qualitative and quantitative approaches. The “Prenatal Class Plus” model was developed in Cening and Singorojo village. Research subjects were pregnant women, husbands, or families of pregnant women, health cadres, and related stakeholders. Research data were analyzed qualitatively and quantitatively. Prenatal Class Plus model can improve the knowledge, attitude and efforts of pregnant women and their husbands during parturition and prevention of pregnancy complications (P4K).
UPAYA PENINGKATAN PENGETAHUAN, SIKAP DAN KUNJUNGAN ANTENATAL CARE (ANC) IBU HAMIL MELALUI PEMBERDAYAAN KADER ANC Sakinah, Vika; Fibriana, Arulita Ika
Unnes Journal of Public Health Vol 4 No 1 (2015): Unnes Journal Of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (290.231 KB) | DOI: 10.15294/ujph.v4i1.4710

Abstract

Antenatal Care (ANC) is a health service that health care professionals be given to pregnant women during pregnancy. ANC coverage can be monitored through K4 visits. Data in 2013, noted that Sumber health centers had the lowest K4 coverage in the Rembang district that was 71.91%. This research aims to increase the knowledge, attitudes and visit ANC through the empowerment of ANC cadres. This research was quasi experimental with nonequivalent control group design. Technique sampling used purposive sampling, that was as many as 15 experimental samples and 15 control samples. Hypothesis testing variables used Mann Whitney generate value of knowledge (p = 0,047), attitude (p = 0.003) and visits (p = 0.000). All test variables resulted in p value &lt;0,05 so there was a meaningful difference between the groups with the empowerment of the ANC cadres with the group without empowerment of the ANC cadres. It was concluded that the empowerment of the ANC cadres can increase knowledge, attitude and ANC visit. Suggestions for the cadres are expected to implement programs and continue the cadres of the ANC.
EFEKTIVITAS PEMASANGAN BERBAGAI MODEL PERANGKAP TIKUS TERHADAP KEBERHASILAN PENANGKAPAN TIKUS DI KELURAHAN BANGETAYU KULON KECAMATAN GENUK KOTA SEMARANG TAHUN 2014 Irawati, Jumini; Fibriana M.Kes (Epid), dr. Arulita Ika; Wahyono M.Kes, Drs. Bambang
Unnes Journal of Public Health Vol 4 No 3 (2015): Unnes Journal Of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (493.737 KB) | DOI: 10.15294/ujph.v4i3.6374

Abstract

Leptospirosis was a disease transmitted through rodent urine that had been infected with Leptospira bacteria with rat as primary transmission reservoir. One of controlling rat by mechanical was trapping. Different trap types had different effectiveness. The problem that arises was which trap model was most effectively applied to the success of a rat catcher in the Bangetayu Kulon Village. This type of research was quasi experimental by applying several models of rat traps. A purposive sampling was used in the research. The samples were 30 homes. From the results of the observation, there were 21 rats were caught using live trap with 14% trap success, 18 rats were caught using snap trap with 12% trap success, and 23 rats were caught using glue rat with 15.33% trap success. Based on the Kruskal-Wallis test results showed no difference between the model trap of live trap, snap traps, and glue traps to the successful model of catching rat (p-valeu=0,648 &gt; α=0.05). Trap success in this area was high about 13.78%. Researcher recommends to do control the rats in the house reutine and continually with gleu rat trap and put the trap in the place that always be through by rats.
PERBEDAAN JARAK TEMPAT TINGGAL DARI LOKASI INDUSTRI GENTENG TERHADAP PENURUNAN FUNGSI PARU PENDUDUK DI DESA KEDAWUNG KECAMATAN PEJAGOAN KABUPATEN KEBUMEN Widhiyanti, Erna; Widowati, Evi; Fibriana, Arulita Ika
Unnes Journal of Public Health Vol 4 No 3 (2015): Unnes Journal Of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (308.568 KB) | DOI: 10.15294/ujph.v4i3.6573

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The  process  of  tile  combustion  produced  air  pollution  in  the  form  of  dust  and  smoke  which  could  influence degradation of lung function of the people around industry. There were 143 tile industries in Kedawung Village and it located near the residences. The purpose of this study was to know the difference between distance of shelter from the location of tile industry towards degradation of lung function of people in Kedawung village Pejagoan district,  Kebumen  regency.  This  research  was  using  analytic  observational  with  cross  sectional  approach. Population in this study were the people in Kedawung village. Sample amounted to 94 persons. Data analysis was carried out by univariat and bivariat (Chi Square). The results of this study was there was a difference between  distance  of  shelter  from  location  of  tile  industry  towards  decline  in  lung  function  of  the  people  in Kedawung village Pejagoan district Kebumen regency (p=0,001). Suggestion for tile entrepreneurs is expected to make a higher chimney  and reforestation around the chimney burning, for the example planting yellow palm. For those people who expected, during the day must close the window or other ventilation, make ventilation with a filter/filter type of fiberglass with price about Rp.600.000,- per meter
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU PENCEGAHAN PENYAKIT LEPTOSPIROSIS (STUDI KASUS DI KELURAHAN TANDANG KECAMATAN TEMBALANG KOTA SEMARANG) Illahi, Ayu Nur; Fibriana, Arulita Ika
Unnes Journal of Public Health Vol 4 No 4 (2015): Unnes Journal Of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (295.721 KB) | DOI: 10.15294/ujph.v4i4.9688

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Leptospirosis merupakan salah satu penyakit infeksi yang berbahaya yang disebabkan oleh bakteri leptospira. Pelaksanaan pencegahan penyakit leptospirosis masih mengalami hambatan. Penelitian ini adalah&nbsp; explanatory research dengan&nbsp; rancangan cross sectional. Sampel berjumlah 80 dengan responden ibu rumah tangga. Analisis data dilakukan secara univariat dan bivariat. Berdasarkan hasil penelitian didapatkan bahwa variabel yang berhubungan dengan perilaku pencegahan penyakit leptospirosis adalah pengetahuan&nbsp; (p value=0,023), umur (p value=0,005), pendidikan (p value=0,000), pendapatan keluarga (p value=0,014), sumber informasi (p value=0,001), dan dukungan keluarga (p value=0,017). Variabel yang tidak berhubungan dengan perilaku pencegahan penyakit leptospirosis adalah sikap, pekerjaan, akses pelayanan kesehatan, dan pengalaman. Leptospirosis is an emerging infectious diseases caused by Leptospira bacteria. Implementation for&nbsp; prevention behavior of Leptospirosis diseases is barrier. This research was an explanatory research with cross sectional design. Samples numbered 80 and the respondents were housewife. Data analysis was performed by univariate and bivariate. Based on the results of this study found that variables related with prevention behavior Leptospirosis diseases were knowledge (p value= 0.023), age (p value= 0.005), education (p value= 0.000), family income (p value= 0.014), information resources (p value= 0.001), and family support (p value= 0.017). Variables that were not related with prevention behavior Leptospirosis diseases were attitude, occupation, health service access, and experience.
ANALISIS KEBUTUHAN DAN PERANCANGAN “RONDA JENTIK” SEBAGAI MODEL PEMBERDAYAAN MASYARAKAT DALAM PEMBERANTASAN SARANG NYAMUK Azam, Mahalul; Azinar, Muhammad; Fibriana, Arulita Ika
Unnes Journal of Public Health Vol 5 No 4 (2016): Unnes Journal Of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (484.57 KB) | DOI: 10.15294/ujph.v5i4.12592

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Abstrak &nbsp; Demam Berdarah Dengue (DBD) sering menimbulkan wabah dan kematian. Kasus DBD di Kabupaten Demak selalu meningkat dan 75% wilayah di Demak endemis DBD. Demak Kota adalah salah satu kecamatan endemis DBD dengan CFR tertinggi. Pemerintah telah melakukan berbagai upaya, namun belum optimal. Pemberdayaan masyarakat dengan mengaktifkan kembali potensi dan kearifan lokal masyarakat “Ronda Jentik” adalah bentuk inovasi pemberdayaan masyarakat dalam penanggulangan DBD. Jenis penelitian ini adalah penelitian pengembangan dengan pendekatan kuantitatif dan kualitatif. Populasi seluruh rumah di RW 04 Kelurahan Mangunjiwan Kecamatan Demak sejumlah 126 rumah. Responden penelitian adalah ibu rumah tangga yang ditentukan dengan teknik cluster sampling. Hasil menunjukkan model “Ronda Jentik”&nbsp;relevan dengan permasalahan DBD, dapat menumbuhkan kebersamaan dalam pemberantasan sarang nyamuk, mudah, sesuai dengan budaya lokal, tidak membutuhkan banyak biaya, serta semua anggota masyarakat terlibat sebagai subjek pemantauan dan pemberantasan jentik. Hasil uji coba, model “Ronda Jentik” dapat meningkatkan praktik PSN dan meningkatkan jumlah rumah bebas jentik. &nbsp; Abstract &nbsp; Dengue Hemorrhagic Fever (DHF) is a diseasethat often causes epidemic and death. Dengue cases in the Demak Regency always increases and 75% of Demak areas are endemic. Demak Kota is one of endemic sub-districts with the highest CFR. The government has made various efforts, but did not work well. Empowerment by reactivating potential and local wisdom, “Ronda Jentik” is a form of innovation community empowerment&nbsp;in dengue prevention. This is a development research with quantitative and qualitative approach. The population was all houses (146 houses) in RW 04 in Mangunjiwan Village. The respondents were housewives which were taken by cluster sampling. The study states that the "Ronda Jentik" model was relevant to dengue problem, able to foster togetherness in mosquito eradication, easy, similiar to the local cultural, and does not require a lot of costs, and all community members could involve as the subject of larvae monitoring and eradication. "Ronda Jentik" model could improve practices of mosquito eradication and increase the amount of no-larvae houses.
FAKTOR RESIKO TERJADINYA SKIZOFRENIA(Studi Kasus di Wilayah Kerja Puskesmas Pati II) Wahyudi, Agung; Fibriana, Arulita Ika
Public Health Perspective Journal Vol 1, No 1 (2016)
Publisher : Public Health Perspective Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (412.564 KB)

Abstract

Skizofrenia merupakan penyakit gangguan jiwaberat berupa hilangnya kontak dengan kenyataan dan kesulitan membedakan hal yang nyata dengan yang tidak. Tujuan dari penelitian ini adalah untuk mengetahui faktor resiko terjadinya skizofrenia di wilayah kerja Puskesmas Pati II.Desain yang digunakan dalam penelitian ini adalah metode kasus kontrol dengan perbandingan sampel dan kontrol satu banding satu. Jumlah total sampel adalah 62. Instrumen yang digunakan dalam penelitian ini adalah rekam medik dan kuesioner. Analisis data dilakukan dengan cara univariat dan bivariat menggunakan uji chi square dengan nilai ? 0,05. Hasil dari penelitian ini didapatkan faktor-faktor resiko yang berhubungan dengan skizofrenia adalah jenis kelamin (p=0,002, OR=6,038), daerah tempat tinggal (p=0,042, OR=4,263), tipe kepribadian (p=0,000, OR=14,268), status perkawinan (p=0,010, OR=4,747), status pekerjaan (p=0,040, OR=3,385), status sosio-ekonomi (p= 0,035, OR=3,675), faktor pencetus (p=0,000, OR=23,143). Sedangkan faktor yang tidak berhubungan dengan kejadian skizofrenia adalah tingkat pendidikan (p=0,705, OR=1,886), dan faktor keturunan/genetika (p=0,772, OR=23,143).Simpulan, variabel yang memiliki pengaruh paling kuatterhadap terjadinya skizofrenia adalah factor pencetus. Saran, perlu menjaga komunikasi dengan anggota keluarga yang memiliki psikologis rentan seperti anggota keluarga yang memiliki kepribadian pendiam/introvert, keluarga atau saudara yang sedang mengalami konflik, trauma atau keluarga yang sedang bekerja di luardaerah.Schizophrenia is a heavy mental illness in the form reality lost contact and difficulty for distinguish the real thing. The purpose of this research was to find the the risk factors of schizophrenia at Puskesmas Pati II works area. The methods that used in this research was case control with comparison of cases and control one by one. The total amount of sample were 62. The instrument used in this research were medical record and questionnaires. Data analysis done by means of univariat and bivariat used the chi square test with value ? 0,05. The result of this research obtained risk factors associated with schizophrenia were the sex (p=0,002, OR=6,038), region where live (p=0,042, OR=4,263), personality type (p=0,000, OR=14,268), marital status (p = 0.010 , or = 4,747), employment status (p=0,040, OR=3,385), socio-economic status (p= 0,035, OR=3,675), trigger factors (p=0,000, OR=23,143. While factors thatnot associated with the occurrence of schizophrenia were education level (p=0,705, OR=1,886), and heredity/ genetics (p=0,772, OR=23,143). Conclusion, the variable that has a strong influence on the occurrence of schizophrenia is trigger factors. Suggestion, need to keep communication with family members that have psychological vulnerable as a family member who has introvert personality, family or relatives who was experienced a conflict, trauma or family that was working outside the region.
Measles Vaccination Status is Not Related To Serology Laboratory IgM Measles in Cirebon Regency Nurfatihah, Intan; Saefurrohim, Muhamad Zakki; Budiono, Irwan; Fibriana, Arulita Ika; Azam, Mahalul
Unnes Journal of Public Health Vol 8 No 2 (2019): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v0i0.30020

Abstract

The incidence rate of measles cases in Indonesia is still high at 3.20/1000 population in 2016 while the national target is 0/1000 population. The purpose of this study was to investigate the relationship between vaccination status and laboratory serology test results of IgM measles. The research design used case control, data obtained from secondary data from C1 sheet 2016 Cirebon regency. Samples in this study were 60 positive IgM cases and 34 negative IgM controls that had met inclusion and exclusion criteria. The research instrument uses a document sheet of secondary data of individual measles cases with documentation techniques in data collection. Data analysis using chi square test. Measles vaccination status was not related to serological laboratory test results of IgM (p value = 0.161, OR = 2.124; 95% CI = 0.849-5.315). There was no association between measles vaccination status and serologic laboratory serology test result.
PEMBERDAYAAN KADER DALAM PENINGKATAN PENGETAHUAN, SIKAP, PRAKTIK IBU TENTANG PENCEGAHAN KANKER PAYUDARA Mahmudah, Mahmudah; Fibriana, Arulita Ika
Journal of Health Education Vol 3 No 2 (2018)
Publisher : Universitas Negeri Semarang cooperate with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jhe.v3i2.14068

Abstract

Breast cancer now still as a big problem in world or Indonesia. Morbidity rate and mortality rate are increase. Breast cancer incidence in Pemalang city in 2014 was 247 cases increased&nbsp; 273 in 2015, in Mulyoharjo health center own well acquired cases of cancer by as much as 61 cases.&nbsp; The purpose of this study was to determinane differences in knowledge, attitudes and practice among mother about breast cancer prevention before and after health volunteers empowerment. &nbsp;This research is quasy eksperiment. With delightful pretest-posttest control group design. The technique of using purposive sampling. Samples consisting 0f 30 people group of 30 people group of experimentation and 30 people the control group. Instrument research using a questionnaire knowledge, attitude and practice about breast cancer prevention. The independent variable was health volunteers empowerment, the dependent variable was knowledge, attitude and practice about breast cancer prevention. The analysis used in this research were Mc Nemar and chi square. The result showed knowledge about breast cancer prevention of each group was different significantly (p=0,024), attitude about breast cancer prevention of each group was no difference (p=1,000), and practice about breast cancer prevention of each group was different significantly (p=0,041). &nbsp;The conclusion of this research is health volunteers empowerment influential in increasing the konowledge and practice in the prevention of breast cancercompared with those who do not health volunteers empowerment. &nbsp; Keywords : Breast Cancer, Knowledge, Attitude, Practice, Health volunteers empowerment. Literature : 41 (2001-2015).