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Kinerja Bidan di Desa dalam Program Jaminan Pemeliharaan Kesehatan Masyarakat Miskin Husna, Arfah; Besral, Besral
Kesmas Vol. 4, No. 1
Publisher : UI Scholars Hub

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Abstract

Cakupan pelayanan kebidanan program Jaminan Pelayanan Kesehatan Masyarakat Miskin (JPKMM) di Kabupaten Aceh Selatan tahun 2006 yang belum mencapai target mengindikasikan kinerja bidan di desa dalam pelayanan kebidanan program JPKMM masih rendah. Penelitian ini bertujuan mengetahui kinerja bidan desa dan faktor-faktor yang berhubungan. Kinerja bidan desa diukur dengan melihat cakupan pelayanan kebidanan program JPKMM meliputi cakupan pemeriksaan kehamilan minimal 4 kali dan cakupan pertolongan persalinan. Disain penelitian yang digunakan adalah cross sectional dengan populasi seluruh bidan desa yang bertugas di Kabupaten Aceh Selatan tahun 2007. Sampel adalah bidan desa yang sudah bertugas minimal setahun yang berjumlah 104 orang. Disimpulkan bahwa sebagian besar kinerja bidan desa masih rendah (56%). Faktor-faktor yang berhubungan dengan kinerja bidan desa adalah: tidak adanya pesaing, adanya pembinaan, pengetahuan dan motivasi. Faktor-faktor yang tidak berhubungan dengan kinerja bidan desa adalah umur, status pernikahan, status kepegawaian (PNS/PTT), domisili, jumlah desa, sikap, imbalan, kemampuan dan pendidikan. Disarankan kepada Dinas Kesehatan untuk memberikan pembinaan yang lebih intensif kepada bidan desa dan memberikan penghargaan untuk meningkatkan motivasinya. Disarankan kepada bidan di desa untuk terus-menerus melakukan peningkatan pelayanan kepada pasien dan selalu menerapkan prinsip 3S (salam, senyum dan sopan) serta proaktif mendatangi pasien ke rumahnya untuk memberikan pelayanan kebidanan ataupun memelihara hubungan sosial yang baik. This research aimed to find out the performance of village midwife and its determinant factors. The performance of midwifery service within the Jaminan Pemeliharaan Kesehatan Masyarakat Miskin (JPKMM) program was measured by the coverage of antenatal care and coverage of trained birth attendance. The design of this study is cross sectional and data was analyzed using univariate, bivarite, and multivariate logistic regression. The population was all village midwives (137 persons) in Aceh Selatan District in the year 2007. The sample was village midwife who has at least one year work experience in a certain village and it consists of 104 persons. The result shows that the performance of village midwife is still low (56%). Multivariate logistic regression analysis confirmed that the dominant factor related to good performance were no competitor, good supervision, knowledge and motivation. Factors which not associated with performance were age, marital status, employee status, domicile, number of village to be covered, attitude, reward, and education. We recommend that the District Health Office must supervise intensively and giving more reward to improve work motivation. The village midwife should improve their quality of services and implement the 3S principle ( salam, senyum and sopan) and conducting home visit to provide maternal health services and to maintain good social relationship with the community.
Implementation of SADARI in the Early Detection of Breast Cancer in Young Women High School of West Aceh Regency Husna, Arfah; Fahlevi, Muhammad Iqbal
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 7, No 1 (2020): April 2020
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v7i1.1919

Abstract

Breast cancer (carcinoma mammae) is a condition where cells have lost control and normal mechanisms, resulting in abnormal growth, rapid and uncontrolled which occurs in breast tissue.. Early detection of breast cancer aims to find cancer in the early stage so that the treatment is better. The detection is done by doing SADARI, SADARI is an easy examination to find a lump or agility others. The case of cancer of West Aceh Regency in 2015 S/d 2017 recorded the number of cases of breast cancer at most 24.43% compared with other cancers. Women aged 50 years more who have breast cancer reaches 52%, 35% at the age of less than 40 years, 22% of women aged 30 years and the younger age exposed to breast cancer is the age of 15 and 18 years. The study aims to determine the influence of breast cancer counseling and breast-check training (SADARI) in an effort to improve the knowledge and skills of young women in the Act of SADARI for prevention and decrease in cases of breast cancer. This research uses Quasi-Experimental design. The research plan is one group before and after intervention design, or one group pre and posttest design. The population in this study is young women SMAN District ACEH Barat with samples amounting to 30 young women. The results of the study concluded that there was an effect of BSE Implementation (counseling about breast cancer and breast self-examination training) in an effort to increase the knowledge of young women about breast cancer and the skills of young women in breast self-examination.
Study of Intrinsic and Extrinsic Factors with Diabetes Mellitus Classification Novita, Anisah; Marniati, Marniati; Husna, Arfah; Iskandar, Iskandar; Putranto, Rudi Hendro; Putri, Enda Silvia; Anwar, Sufyan
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 9, No 2 (2022): October 2022
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v9i2.5982

Abstract

Diabetes mellitus is a group of metabolic diseases characterized by chronic hyperglycemia due to defects in insulin secretion, insulin action or both. The purpose of this study was to determine the relationship between intrinsic and extrinsic factors with the classification of diabetes mellitus. This research method is an analytic survey, with a cross sectional approach. The population is the entire number of outpatient diabetes mellitus patients as many as 4,365 people in 2019 and the sample in this study was 98 respondents, the sampling technique used a random sampling technique, analyzed univariate and bivariate using the chi-square test. The results showed that there was a significant relationship between social environmental factors (P-value: 0.000<0.05), cultural and religious environmental factors (P-value: 0.012<0.05), economic environmental factors (P-value: 0.037<0 0.05), emotional association factor (P-value: 0.000 < 0.05), physical and psychological state factors (P-value: 0.021<0.05), more assessment factor on food quality (P-value: 0.021<0.05) with the classification of diabetes mellitus. We are recommended for patients to take treatment as directed by health workers by using the 3J technique, namely paying attention to the type of food, amount of food and meal schedule to control blood sugar levels to avoid complications due to diabetes mellitus.
The Effectiveness of Application of Lectures and Audiovisual Methods on Increasing Conscious Behavior in Cancer Early Detection Efforts Breasts of Housewives in Alue on District Kaway XVI Annisa, Suci; Husna, Arfah
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 9, No 2 (2022): October 2022
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v9i2.5317

Abstract

Breast cancer is the type of cancer that causes the biggest cause of death among women as well as the highest number of cases in the world. The number of breast cancer patients in West Aceh in 2017 was 22 people, then decreased to 10 people in 2018, and increased from 10 people to 17 people in 2019. Breast cancer cases increased due to lack of knowledge about BSE behavior, early symptoms caused by breast cancer and breast cancer risk factors. One way to prevent breast cancer is easy, inexpensive, and can be done yourself at home is to use the BSE (Breast Self-Examination) method. The purpose of this study was to determine the effectiveness of the application of the lecture and audiovisual methods before and after the intervention was given regarding the early detection of breast cancer in housewives in Alue on Village, Kaway XVI District. This type of research is a quasi-experimental with a two-group pre-test-post-test approach. The sample is 24 respondents with purposive sampling technique. The analysis used is univariate and bivariate. The results of the Wilcoxon test showed an increase in BSE behavior (p = 0.002) in housewives in Alue On village. The results of the t test show that the t-count value is 2.980 > ttable 2.074, meaning that there is a difference in the average results of BSE behavior using the lecture and audiovisual methods where the group using the audiovisual method is more effective at increasing BSE behavior in early detection of breast cancer in housewives. Alue On village, Kaway XVI sub-district. It is recommended to mothers who have a good understanding of early detection of breast cancer to provide information to mothers whose understanding is still lacking.
Old, New, and Future Food Policy Before and After the Covid-19 Pandemic in Indonesia Yunianto, Andi Eka; Martianto, Djarat; Husna, Arfah; Putri, Widya Ayu Kurnia; Puspitasari, Ikha Deviyanthi; Susilowati, Erna; Ardhian, David
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 10, No 2 (2023): October 2023
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v10i2.7749

Abstract

This article aimed to identify aspects of Old, New, and Future Food Policy before and after the Covid-19 pandemic. before and after the COVID-19 pandemic.  The method used was a Narrative review using a comprehensive and descriptive approach through a literature search. Data searches were conducted through online instruments using Pubmed, ScienceDirect and Google Scholar published from 2003-2023. The search was conducted using keywords related to factors driving changes in the nature of food and nutrition policies based on Maxwell's theory. The COVID-19 pandemic has affected food insecurity supported by restrictions on economic activity and mobility imposed by the government which have led to economic contraction and job losses, which in turn can affect household access to food. Policies after the COVID-19 pandemic regarding food related to aspects of food availability, aspects of food access, and aspects of food utilization as well as the importance of stakeholders in the success of food policy programs in Indonesia.
Association Consume Sweet Food with Overweight Adolescents Siregar, Siti Maisyaroh Fitri; Lubis, Adelina Irmayani; Husna, Arfah; Fera, Dian; Rinawati, Rinawati; Muhsin, Sri Wahyuni; Harahap, Laila Apriani; Nursia, Lily Eki
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 11, No 1 (2024): April 2024
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v11i1.10110

Abstract

The prevalence of overweight in adolescents is increasing rapidly due to the high production and consumption of sweet foods favored by adolescents. Being overweight during adolescence is correlated with the risk of obesity in adulthood if there is no further prevention. More than one-third of adults and 17% of adolescents are obese, and the prevalence remains stable in America. In Indonesia, the prevalence of excessive nutrition has also reached 16%. This study to determine which types of food consumption are at risk of overweight in adolescents. This research used a cross-sectional design. The study sample consisted of high school students and was selected using random sampling methods. The dependent variable was overweight, and the independent variables included consumption aims of fatty foods, sweet foods, sweet pastries, junk food, and sweet beverages. The gathered data were analyzed using univariate analysis and bivariate analysis with a chi-square test at α = 0.05. This research found that 28% of adolescents are overweight. The results of the bivariate analysis showed that the variables significantly influencing overweight we the consumption of sweet foods (p = 0.02; OR = 2.965, 95% CI = 0.978-8.988) and sweet pastries (p = 0.01; OR = 6.829, 95% CI = 0.987-47.231). In conclusion, the consumption of sweet foods, which implies high sugar intake, is correlated with overweight in adolescents. It is recommended that adolescents limit their consumption of sweet foods containing high sugar levels and increase their nutritional literacy because there is no recommended dietary allowance for sugar
Fish consumption rate, fish processing method and stunting prevelance in Kuta Blang Village, Samadua Sub-District, South Aceh Asrari, Suharni; Husna, Arfah; Khairi, Ikhsanul
Acta Aquatica: Aquatic Sciences Journal Acta Aquatica: Jurnal Ilmu Perairan, Vol. 9: No. 2 (August, 2022)
Publisher : Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29103/aa.v9i2.6580

Abstract

Stunting is the nutritional status based on the index of PB/U or TB/U where in anthropometric standards of research on the nutritional status of children, the measurement results are in the Threshold of (z-scrore) <-2 SD to -3 SD (short/stunted). Indonesian has a fairly high prevelance of Stunting. One of the causes is inadequate nutrition during the growth period. Rating fish can provide protein and micronutrient nutrition to supportchildern's growth and development. The purpose of this study was to determine the relationship between fish consumption Rates, processing methods and Stunting prevalence. This research is a type of case control study. With research subjects 117 families (78 non-stunted families and 39 stunted families). The research was conducted in the village of Kuta Blang, Samadua district, South Aceh district in September-October. Statistical analysisi using Chi-square test. From this study, it was found that there was no relationship between the number of fish consumption (p=309) and theprvalence of Stunting and there was a significant relationship between how to process (cook) fish and the prevelance of Stunting (p=0,002).Keywords: fish consumption; how to process; stuntingKeywords: fish consumption; how to process; stunting
IMPLEMENTASI MODEL POLA MAKAN DAN OLAHRAGA PADA KELOMPOK PREDIABETES DALAM UPAYA PENCEGAHAN KASUS DIABETES MELLITUS DI ACEH BARAT Putri, Enda Silvia; Husna, Arfah
Abdi Dosen : Jurnal Pengabdian Pada Masyarakat Vol. 3 No. 4 (2019): DESEMBER
Publisher : LPPM Univ. Ibn Khaldun Bogor

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Abstract

Prediabetes merupakan kondisi seseorang dengan kadar gula darah berisiko diabetes mellitus, namun belum dikategorikan diabetes mellitus. Berdasarkan data dari setiap Puskesmas di Aceh Barat Tahun 2018 yaitu Puskesmas Johan Pahlawan, Suak Ribe, Meureubo, PeureumeuArongan Lambalek, Kaway XVI DM selalu menempati 10 penyakit PTM terbanyak, dan terutama yang menyumbang adalah daerah perkotaan. Gampong Kampung Belakang merupakan salah satu kampung yang menjadi wilayah kerja puskesmas johan pahlawan yang terletak di daerah perkotaan yang merupakan penyumbang salah satu kasus DM terbanyak. Berdasarkan hasil survey awal (Putri, dan Is, 2017) Gampoeng Kampung Belakang (40%) penduduknya berada pada kelompok prediabetes disebabkan oleh gaya hidup (pola makandan olahraga yang tidak sehat). Tujuan pengabdian ini adalah implementasi model pola makan dan olahraga pada kelompok prediabetes dalam upaya pencegahan kasus diabetes mellitus di Aceh Barat. Metode pengabdian adalah dengan melakukan pemicuan pola makandan olahraga pada kelompok prediabetes dalam bentuk demo masak, olahraga, dan pemberian menu makanan anti diabetes yang diimplementasikan dalam tiga bulan. Hasil pengabdian mampu membentuk pola makan dan olahraga pada kelompok prediabetes, sehingga mampu mencegah diabetes. Kesimpulan pengabdian dalam bentuk pemicuan dan pengontrolan selama tiga bulan mampu membentuk perilaku pencegahan diabetes mellitus pada kelompok prediabetes. Saran kepada aparatur gampong, warga, dan petugas kesehatan untuk dapatmelakukan pengabdian serupa secara simultan pada kelompok prediabetes untuk membentuk dan menjaga pola perilaku pencegahan diabetes mellitus
IMPLEMENTASI MODEL POLA MAKAN DAN OLAHRAGA PADA KELOMPOK PREDIABETES DALAM UPAYA PENCEGAHAN KASUS DIABETES MELLITUS DI ACEH BARAT Silvia Putri, Enda; Husna, Arfah
Abdi Dosen : Jurnal Pengabdian Pada Masyarakat Vol. 3 No. 4 (2019): DESEMBER
Publisher : LPPM Univ. Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/abdidos.v3i4.678

Abstract

Prediabetes merupakan kondisi seseorang dengan kadar gula darah berisiko diabetes mellitus, namun belum dikategorikan diabetes mellitus. Berdasarkan data dari setiap Puskesmas di Aceh Barat Tahun 2018 yaitu Puskesmas Johan Pahlawan, Suak Ribe, Meureubo, Peureumeu Arongan Lambalek, Kaway XVI DM selalu menempati 10 penyakit PTM terbanyak, dan terutama yang menyumbang adalah daerah perkotaan. Gampong Kampung Belakang merupakan salah satu kampung yang menjadi wilayah kerja puskesmas johan pahlawan yang terletak di daerah perkotaan yang merupakan penyumbang salah satu kasus DM terbanyak. Berdasarkan hasil survey awal (Putri, dan Is, 2017) Gampoeng Kampung Belakang (40%) penduduknya berada pada kelompok prediabetes disebabkan oleh gaya hidup (pola makan dan olahraga yang tidak sehat). Tujuan pengabdian ini adalah implementasi model pola makan dan olahraga pada kelompok prediabetes dalam upaya pencegahan kasus diabetes mellitus di Aceh Barat. Metode pengabdian adalah dengan melakukan pemicuan pola makan dan olahraga pada kelompok prediabetes dalam bentuk demo masak, olahraga, dan pemberian menu makanan anti diabetes yang diimplementasikan dalam tiga bulan. Hasil pengabdian mampu membentuk pola makan dan olahraga pada kelompok prediabetes, sehingga mampu mencegah diabetes. Kesimpulan pengabdian dalam bentuk pemicuan dan pengontrolan selama tiga bulan mampu membentuk perilaku pencegahan diabetes mellitus pada kelompok prediabetes. Saran kepada aparatur gampong, warga, dan petugas kesehatan untuk dapat melakukan pengabdian serupa secara simultan pada kelompok prediabetes untuk membentuk dan menjaga pola perilaku pencegahan diabetes mellitus.
THE EFFECTIVENESS OF SURVEILLANCE TRAINING ON IMPROVING KADER SKILLS Kasim, Abu; Husna, Arfah
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 2 No. 1 (2022): April (April-June)
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/morfai.v2i1.194

Abstract

Stunting is a chronic malnutrition problem caused by inadequate nutritional intake for a long time due to feeding that is not in accordance with nutritional needs. Aceh is the third highest prevalence of stunting in children under five in Indonesia, which is 37.3%. Compared to the national average, only 30.8%. The prevalence of stunting in Aceh is much higher than the provinces of Papua, Maluku and other regional provinces in Indonesia. The purpose of this study was to determine the understanding of cadres in carrying out the tasks carried out as Integrated Health Center cadres in dealing with stunting problems in Kaway XVI sub-district. The research method is a quasi-experimental method. The data were collected using a cross-sectional design method, with pretest and posttest questionnaires on a total population of 18 Integrated Health Center cadres and 18 samples of Integrated Health Center cadres observations, with purposive technique and then tested using the dependent t test. The understanding of Integrated Health Center cadres increased from the initial understanding of the average value from 58.61 to 67.50. And the obtained p value of 0.004 means that there is a relationship between providing education and increasing knowledge of Integrated Health Center cadres. The conclusion of the intervention is that it is able to increase the knowledge of Integrated Health Center cadres especially West Aceh, especially Kaway XVI. Suggestions for Integrated Health Center cadres that are necessary to do a full-down so that understanding is increased in dealing with stunting rates in Kaway XVI.