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All Journal JURNAL PROMOSI KESEHATAN INDONESIA Jurnal Manajemen Kesehatan Indonesia
Laksmono Widagdo
Fakultas Kesehatan Masyarakat, Universitas Diponegoro
Decision Sciences, Operations Research & Management Health Professions Public Health

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Faktor-Faktor yang Berhubungan dengan Implementasi Program Pengendalian Tuberkulosis di Puskesmas Wilayah Kabupaten Magelang Ita Puji Lestari; Laksmono Widagdo; Mateus Sakundarno Adi
Jurnal Manajemen Kesehatan Indonesia Vol 6, No 2 (2018): Agustus 2018
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.6.2.2018.114-120

Abstract

Prevalensi TB di Provinsi Jawa Tengah pada tahun 2012 adalah sebesar 106,42 per 100.000 penduduk. Penemuan kasus dan Case Detection Ratedi bawah standar 70%, pada level kota/ kabupaten maupun level puskesmas dan untuk CDR terendah di Kabupaten Magelang yaitu 21,82%. Kabupaten Magelang pada tahun 2013 perkiraan kasus baru TB Paru BTA positif sebanyak 1285 orang dengan cakupan penemuan kasus TB Paru BTA positif pada tahun 2013 mencapai 17,98%. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan implementasi program pengendalian TB di Puskesmas Kabupaten Magelang.Jenis penelitian adalah observasional analitik  dengan pendekatan Cross Sectional. Responden dalam penelitian ini adalah seluruh petugas pelaksana yang terdiri satu perawat koordinator program, seorang tenaga laboratorium, dan serang dokter sebanyak 87 orang. Analisis data dilakukan secara multivariat.Hasil penelitian dengan uji statistik menunjukkan  ada hubungan antara faktor komunikasi dengan implementasi (p=0,001), ada hubungan antara faktor disposisi dengan implementasi (p=0,001),ada hubungan antara faktor karakteristik badan pelaksana dengan implementasi (p=0,001), ada hubungan antara pemahaman standar dengan implementasi (p=0013),tidak ada hubungan antara faktor sumber daya dengan implementasi (p=0,240), dan tidak ada hubungan yang bermakna antara faktor lingkungan dengan implementasi program TB (p=0,057).Disarankan Puskesmas untuk menyusun instrumen yang mengukur efektifitas koordinasi dalam program,membuat kegiatan pendidikan dan pelatihan kaderisasi penyakit TB secara berkala. Puskesmas menjalin jejaring kerja sama dengan stakeholder dan masyarakat, menyusun pengembangan sistem reward bagi petugas maupun kader TB yang memiliki peran yang aktif ,menyusun suatu  task force khusus untuk program pengendalian TB yang dilegalkan dengan Surat Keputusan dari Kepala Puskesmas.  
Intervensi Ceramah Video dan Ceramah Diskusi terhadap Pengetahuan dan Sikap Remaja dalam Kesehatan Reproduksi Arip Ambulan Panjaitan; Laksmono Widagdo; Priyadi Nugraha Prabamurti
Jurnal Promosi Kesehatan Indonesia Volume 14, No. 1 Januari 2019
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1796.485 KB) | DOI: 10.14710/jpki.14.1.40-52

Abstract

Background: Adolescents are one of the high risk groups to face the cases of Unwanted Pregnancies, abortion, Sexually Transmitted Infections (STIs) including HIV and AIDS. Reproductive health education as an effort to prevent risky sexual behavior that is important to be delivered to adolescents. This study aims to determine the effect of reproductive health education models through lectures followed by videos and lectures with case discussions and roleplaying on increasing adolescent knowledge and attitudes in preventing risky sexual behavior.Method: This study is a quasy experiment with a pretest-posttest design with a control group. Data obtained using a structured questionnaire that has been tested for validity and reliability. The research subjects were class X students (ten) of SMAN 2 Sintang and SMAN 4 Sintang who were selected purposively as many as 120 people. The selection of samples using purposive sampling which recruited 40 people for each group, there were two treatment groups and one group for the control. Data were analysed using paired sample t-test and independent t-test.Results: The results of the study showed that there were no differences in the characteristics of the respondents from the two treatment groups and the control group, so that it was beneficial for this study. Likewise the level of knowledge and attitudes of respondent before intervention had no differences / homogeneous condition. Statistical results of paired sample t-test revealed that there were differences in the average score of knowledge and attitudes after intervention with p value 0,001. Intervention with lectures and discussions including role playing has increased the knowledge and attitudes scores of respondents higher than the lecture and video methods. It was concluded that intervention using lectures with case discussions including roleplaying has improved understanding of adolescents about reproductive health and sexuality so that this method was suggested to be used as an alternative for better reproductive health education for adolescents. 
Co-Authors Arip Ambulan Panjaitan Ita Puji Lestari Mateus Sakundarno Adi, Mateus Sakundarno Priyadi Nugraha Prabamurti