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ANALISIS PERILAKU MASYARAKAT TERHADAP KEPATUHAN MINUM OBAT FILARIASIS DI TIGA DESA KECAMATAN MAJALAYA KABUPATEN BANDUNG TAHUN 2013 Astuti, Endang Puji; Ipa, Mara; Wahono, Tri; Ruliansyah, Andri
Media Penelitian dan Pengembangan Kesehatan Vol 24, No 4 Des (2014)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (639.766 KB)

Abstract

AbstrakProgram eliminasi filariasis di Indonesia ditetapkan dua pilar yaitu memutuskan rantai penularan dengan pemberian obat massal pencegahan filariasis (POMP filariasis) di daerah endemis serta mencegah dan membatasi kecacatan akibat filariasis. Target program filariasis disebutkan bahwa cakupan POMP minimal yang  harus  dicapai  untuk  memutus  rantai  penularan  sebesar  85%.  Kabupaten  Bandung  merupakan wilayah  Provinsi  Jawa  Barat  yang  angka  cakupan  POMP  nya  masih  rendah  yaitu  78%  dibandingkan dengan wilayah lain yang sudah melakukan POMP. Kondisi ini yang melatarbelakangi penelitian tentang analisis perilaku masyarakat terhadap kepatuhan minum obat POMP sehingga dapat diketahui faktor apa yang dapat menjadi pengungkit agar cakupan POPM di Kab. Bandung mengalami peningkatan. Tujuan penelitian ini adalah mengetahui gambaran dan pengaruh perilaku masyarakat terhadap kepatuhan minum obat POMP. Penelitian ini merupakan cross sectional studies. Lokasi Penelitian di laksanakan di tiga desa terpilih di Kecamatan Majalaya Kab. Bandung, selama dua bulan yaitu bulan Agustus – September tahun 2013. Pengumpulan data primer dilakukan dengan wawancara. Hasil  penelitian  menggambarkan  bahwa  praktek  masyarakat  dalam  pencegahan,  pengendalian  dan pengobatan  filariasis  di  kecamatan  Majalaya  mempunyai  hubungan  yang  signifikan  (p-value  0.001) terhadap kepatuhan masyarakat untuk minum obat. Kepatuhan minum obat tidak berdiri sendiri, kondisi ini terkait erat dengan dukungan Sumber Daya Manusia (SDM) baik petugas kesehatan, kader, lintas sektor dan gencarnya promosi melalui berbagai media promosi tentunya. Kata kunci : kepatuhan minum obat, filariasis, perilaku masyarakat, pengetahuanAbstractFilariasis elimination program in Indonesia set two pillars that cut the transmission with the prevention of filariasis mass drug administration (POMP filariasis) in endemic areas and preventing and limiting disability due to filariasis. POMP minimum coverage by 85% must be achieved to break the chain of transmission. Bandung Regency POMP coverage is still low at 78% compared to other regions in West Java Province. It required an analysis of community behavior towards filariasis drug compliance so it can be known which factors may be the leverage of POPM coverage in the regency. This study is to describe and observe people’s  behavior  influence  toward  POMP  medication  adherence.  This  study  was  a  cross  sectional studies. Research location carried in three selected villages in the Majalaya district, Bandung Regency, for two months in August-September 2013. Primary data were collected by interviews using a structured questionnaire. The results showed that the practice of taking medication adherence was significantly related to the community compliance to take medication (p-value 0,001). Medication adherence is closely related to the human resources support both health care workers, cadres, cross-sector, and the promotion through a variety of promotional media.Keywords : filariasis, drug compliance, community behavior, knowledge
The Activities on Prevention of Malaria and Filariasis Vector Bites among Indonesian Society: A Nationwide Disease Prevention Survey Widawati, Mutiara; Ipa, Mara; Astuti, Endang Puji; Wahono, Tri; Yuliasih, Yuneu
Indonesian Journal of Tropical and Infectious Disease Vol. 10 No. 2 (2022)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijtid.v10i2.36053

Abstract

Vector Borne Diseases are diseases that cause many problems. These diseases are spread by mosquitoes as the vectors. They transmit parasites to humans through their bites. The people who live in Indonesia have several characteristics that make them vulnerable to these diseases. Therefore, it is necessary to explore these characteristics in order to gain better prevention promotional targeting strategy. This study aims to determine the factors that can influence mosquito bite prevention behaviour in Indonesian society.  The data from a nationwide survey research were used with a cross sectional design conducted once in every five years.  The Riskesdas was conducted from April to May 2018 in all districts in Indonesia. The influencing factors observed were including experience of exposure to vector borne diseases (malaria or filariasis), gender, age group, education level and area of residence. This study conducted a multivariate test using logistic regression analysis to determine the factors that influence mosquito bite prevention behaviour. The results demonstrated that the factors of experience of exposure to vector borne diseases, gender, age group, education level and area of residence could determine the mosquitoes bite prevention behaviour in Indonesian society. Respondents who have experience of being exposed to malaria or filaria, under 60 years old, women, college graduates, and rural communities are more likely to prevent mosquito bites, therefore they could be empowered in promoting public awareness towards mosquito bites prevention.
The Effectiveness of a Combination of Swallowing Exercises with Benson Relaxation and Aromatherapy on the Swallowing Ability of Stroke Patients Cahyati, Yanti; Ipa, Mara; Rosdiana, Ida
Window of Health : Jurnal Kesehatan Vol 7 No 2 (April 2024)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.vi.851

Abstract

Stroke patients with dysphagia require proper initial screening so as not to cause severe complications. More optimal efforts are needed to improve swallowing ability to avoid complications. Swallowing exercises combined with Benson Relaxation and Aromatherapy are expected to provide better results in increasing the swallowing ability score of stroke patients with dysphagia. This study aims to determine the effect of the combination of Swallowing Exercise with Benson Relaxation and Aromatherapy on the swallowing ability of stroke patients. This type of research is a quasi-experimental pre and post-test. Researchers intervened in two groups of respondents. One group intervened with a combination of swallowing exercises with Benson relaxation, and one group combined swallowing exercises with aromatherapy. The sampling technique was consecutive sampling. The number of samples was 44 people: 20 people in Intervention Group I and 25 in Intervention Group II. Statistical analysis used a dependent t-test (paired t-test) to test the difference in the average score of swallowing ability before and after the intervention and an independent t-test to test the difference in the average score after the intervention in intervention groups I and II. This research showed a significant difference in the average score of swallowing ability before and after the intervention in the intervention group I and II, and there is no difference in the average score of swallowing ability after the intervention in the intervention group I and II. Swallowing exercise combined with Benson relaxation and aromatherapy can improve the swallowing ability score of dysphagia patients due to stroke.
LYMPHATIC FILARIASIS DRUG TREATMENT POLICIES IN EASTERN INDONESIA: WHAT TARGET CHARACTERISTICS MATTER? Kesuma, Agung Puja; Ipa, Mara; Laksono, Agung Dwi; Wahono, Tri; Marina , Rina; Hakim, Lukman
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 12 No. 1 (2024): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v12i1.2024.108-119

Abstract

Background: Lymphatic filariasis (LF) drug treatment compliance remains a challenge in Eastern Indonesia. Aims: The study sought to determine which aspects of Eastern Indonesia's LF drug treatment compliance policies were most pertinent. Methods: The 2018 Indonesian Basic Health Survey data was employed. The analysis units were adults (≥ 15 years) who had received LF drug treatment. LF drug treatment compliance was analyzed based on respondent characteristics (age, gender, marital status, education, occupation, wealth and comorbidities) using binary logistic regression. Results: The proportion of adherence to LF treatment in Eastern Indonesia was 73.1%. Respondent characteristics that influenced LF treatment compliance were age group > 24 (aOR = 1.374, 95% CI: 1.305-1.447), female (aOR = 1.307, 95% CI: 1.263-1.353), all educated respondent status (aOR = 2.152, 95% CI: 2.043-2.268), and all employed respondents (aOR = 1.437, 95% CI: 1.365 - 1.512). Married respondents and those with all levels of wealth status were less likely to take LF drug treatment. Conclusion: Policy focus on improving LF treatment compliance among the younger male, the less educated, the unemployed, and those with lower social economic status. Keywords: compliance, Eastern Indonesia, lymphatic filariasis, public health
Studi Kualitatif Implementasi Kebijakan Eliminasi Malaria di Wilayah Endemis Rendah Kabupaten Pangandaran dan Pandeglang: A Qualitative Study on the Implementation of Malaria Elimination Policies in Low Endemic Areas of Pangandaran and Pandeglang Wahono, Tri; Astuti, Endang Puji; Ruliansyah, Andri; Ipa, Mara; Riandi, Muhammad Umar
Aspirator Vol 13 No 1 (2021): Jurnal Aspirator Volume 13 Nomor 1 2021
Publisher : Perkumpulan Entomologi Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/asp.v13i1.4683

Abstract

The government targets malaria elimination in Java and Bali by 2023. But until 2020, Pangandaran and Pandeglang Regency haven’t received malaria-free certification. This qualitative study was conducted to provide an overview of Pangandaran and Pandeglang malaria control implementation by comparing it to Activity Indicators based on the Indonesian Minister of Health Decree on malariaelimination. In-depth interviews, using thematically interview guidelines, were conducted to 48 key informants such as policyholders and people in charge of health programs and cross-sectoral at the provincial, district, sub-district, and village levels. Thematic analysis was used in the theme of policy implementation, budget, facilities and infrastructures, human resources, and cross-sector cooperation.The result shows that malaria control is implemented according to the decree, but some activities haven’t been done. The analysis on policy implementation theme shows that both districts have carried out according to the guidelines, with innovation in the form of establishing Posmaldes (village malaria post) in Ujung Kulon National Park in Pandeglang. APBD, APBN, and Global Fund are used asbudget sources. Both districts stated that facilities and infrastructures are sufficiently available, but there is a lack in human resources’ quantity and varying degrees of competencies. There is also a lack of cross-sector cooperation because malaria control hasn’t become a priority in those sectors and they are only acting as supports to the health sector. Efforts to control malaria are considered less optimal due to the absence of malaria elimination regulations, varied human resource capabilities, and the limitation in the duties and functions of cross-sectors.
Stunting predictors among children aged 6-23 months in the urban area of Garut Kota Subdistrict, Indonesia Yuliasih, Yuneu; Setyaningtyas, Dian Eka; Ipa, Mara
BKM Public Health and Community Medicine Vol 40 No 10 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i10.14675

Abstract

Purpose: Stunting remains a public health and nutrition problem in Indonesia. Stunting is widespread in rural areas, but information on stunting in urban areas is limited. This study aims to determine the risk factors for stunting in children aged 6–23 months in Garut Kota Subdistrict, Garut Regency, West Java, Indonesia. Method: A cross-sectional study was conducted between April and July 2021 on 93 children aged 6–23 months in Garut Kota Subdistrict. Child, parental, and household variables were analyzed, and logistic regression was conducted to assess the predictors of stunting. Results: Of the 93 children examined, 40 (43%) were classified as stunted. The studies revealed predictors of stunting in the Garut Kota Subdistrict urban region among children under two years old. Stunted children were 0.065 times less likely to have fathers with middle-to-upper-class education (AOR = 0.065; 95% CI: 0.005-0.932). Stunting is less common in children whose homes have access to better drinking water (AOR = 0.268, 95% CI: 0.078–0.915). Furthermore, children from smokers' households were 0.012 times more likely to be stunted (AOR = 0.012; 95% CI: 0.001-0.238). Conclusion: Father's education level, access to adequate drinking water, and the presence of family members who smoke are factors that influence the prevalence of stunting in children aged 6-23 months in Garut Kota Subdistrict. A comprehensive, multisectoral program needs to boost family income, provide clean, safe drinking water that is easily accessible, and reduce household smoking to decrease the prevalence of stunting in children.