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All Journal Jurnal Kesehatan Reproduksi Proceeding Muhammadiyah International Public Health and Medicine Conference
Felly Philipus Senewe
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Humanities Education Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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SITUASI HUMAN IMMUNODEFICIENCY VIRUS-TUBERKULOSIS DI KABUPATEN MERAUKE 2018: ANCAMAN PADA UMUR PRODUKTIF Dina Bisara; Oster Suriani Simarmata; Novianti Novianti; Felly Philipus Senewe
Jurnal Kesehatan Reproduksi Vol 10 No 1 (2019): JURNAL KESEHATAN REPRODUKSI VOLUME 10 NO. 1 TAHUN 2019
Publisher : Puslitbang Upaya Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (280.524 KB) | DOI: 10.22435/kespro.v10i1.1711

Abstract

Abstract Background: Pulmonary tuberculosis is the most serious opportunistic infection in HIV/AIDS subjects and is a major cause of mortality and morbidity in developing countries. Objective: To describe the results of HIV / TB examination in Merauke District Hospital Method: Study design is cross-sectional using data from “Studi evaluasi deteksi kasus TBC dengan alat tes cepat molekuler di Indonesia tahun 2018”. Descriptive data analysis is applied based on secondary data of PLWHA patients who visited Merauke District Hospital to examine Mycobacterium tuberculosis (MTB). Results: The proportion of PLWHA was almost three times higher (8.5%) compared to other 43 health facilities (3,0%). The highest proportion of PLWHA is productive age of 15-54 years (94.9%) and male (54.5%). The proportion of children (aged <15 years) with HIV is six times higher (3%) compared to other 43 health facilities (0,5%). The results of MTB with molecular rapid tests in 43 health facilities is higher in PLWHA compared to non-PLWHA (34.4%:32.0%), and the opposite is true for Merauke District Hospital (22.2%:29.4%). Conclussion: HIV epidemic in Merauke has been on the general population particularly in productive and children category. This high level of HIV has an impact on increasing transmission to children and HIV-TB co-infection. Keywords: HIV, HIV-TB co-infection, reproductive age, children, RSUD Merauke Abstrak Latar belakang: Tuberkulosis paru adalah salah satu infeksi oportunistik yang paling serius pada HIV/AIDS dan merupakan penyebab utama kematian dan morbiditas di negara-negara berkembang. Tujuan: Diperoleh gambaran hasil pemeriksaan HIV-TB di RSUD Merauke. Metode: Disain studi adalah potong lintang menggunakan data “Studi evaluasi deteksi kasus TB dengan alat tes cepat molekuler (TCM) di Indonesia tahun 2018”. Analisis deskriptif data sekunder pasien HIV yang berkunjung ke RSUD Merauke yang diperiksa MTB. Hasil: Proporsi ODHA di RSUD Merauke hampir tiga kali lebih tinggi (8,5%) dibandingkan dengan 43 fasilitas kesehatan lainnya (3,0%). Persentase tertinggi adalah pada umur produktif 15-54 tahun (94,9%) dan laki-laki (54,5%). Proporsi anak (<15 tahun) dengan HIV enam kali lebih tinggi (3,0%) dibandingkan dengan 43 fasilitas kesehatan lainnya (0,5%). Hasil pemeriksaan konfirmasi bakteriologi MTB dengan TCM pada 43 fasilitas kesehatan tinggi pada ODHA dibanding non ODHA (34,4%:32,0%), dan situasi sebaliknya pada RSUD Merauke (22,2%:29,4%). Kesimpulan: Epidemi HIV di Merauke sudah mencapai tingkat populasi umum, terutama pada kelompok produktif dan anak. Tingginya angka HIV akan berdampak pada tingginya penularan pada anak dan koinfeksi HIV-TB. Kata kunci: HIV, HIV koinfeksi TB, umur produktif, anak, RSUD Merauke
AKSES INTERNET DALAM KELUARGA HUBUNGANNYA DENGAN STATUS IMUNISASI DASAR LENGKAP ANAK BADUTA (ANALISIS DATA SDKI 2017) Olwin Nainggolan; Felly Philipus Senewe
Jurnal Kesehatan Reproduksi Vol 11 No 2 (2020): JURNAL KESEHATAN REPRODUKSI VOLUME 11 NOMOR 2 TAHUN 2020
Publisher : Puslitbang Upaya Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/kespro.v11i2.3554

Abstract

Abstract Background:Internet access penetration in Indonesia is growing, all information can be obtained very easily, including how the child's immune system can be obtained against diseases that can be prevented by immunization. However, the internet can also have a bad impact, because it is very easy to use to spread false news or hoaxes. Objective: An analysis will be conducted to find the relationship between internet access in the family and the status of completeness of basic immunization for children under two years Method: The study will use data from the Indonesian Health Demographic Survey (IDHS) conducted in 2017. The unit of analysis is children under two years. The analysis of the relationship between internet access in the family and the completeness status of basic immunization for children under two years used logistic regression analysis with a complex sample mode. Result: The analysis shows that families in Indonesia who have internet access based on the 2017 IDHS data are 46.0 percent, and children under two years with complete basic immunization status is 65.3 percent. It can be seen that there is a relationship between internet access and the completeness status of basic immunization for children with OR 1.37 (1.14-1.66). Conclusion: The internet is like a double-edged sword, one side can be used to find various information that is beneficial to health, but can also be used to spread false information. Therefore it is important to educate all Indonesians to use internet access positively. Keywords: immunization, vaccine, IDHS, Indonesia. Abstrak Latar belakang: Penetrasi akses internet di Indonesia semakin berkembang, semua informasi dapat diperoleh dengan sangat mudah, termasuk bagaimana diperolehnya kekebalan tubuh anak terhadap penyakit-penyakit yang dapat dicegah dengan imunisasi. Akan tetapi, internet juga bisa memberikan dampak yang tidak baik karena sangat mudah dimanfaatkan untuk menyebarkan berita yang tidak benar atau hoax. Tujuan: Akan dilakukan analisis untuk mencari hubungan antara akses internet dalam keluarga terhadap status kelengkapan imunisasi dasar anak bawah dua tahun. Metode: Penelitian akan menggunakan data Survei Demografi Kesehatan Indonesia (SDKI) yang dilakukan tahun 2017. Unit analisis adalah anak bawah dua tahun (baduta). Analisis hubungan antara akses internet dalam keluarga dengan status kelengkapan imunisasi dasar anak bawah dua tahun menggunakan analisis regresi logistik dengan mode kompleks sampel. Hasil: Analisis memperlihatkan bahwa keluarga di Indonesia yang memiliki akses internet berdasarkan data SDKI 2017 adalah sebesar 46,0 persen, dan baduta dengan status imunisasi dasar lengkap adalah sebesar 65,3 persen. Terlihat adanya hubungan antara akses internet dengan status kelengkapan imunisasi dasar anak dengan OR 1,37 (1,14-1,66). Kesimpulan: Internet bagai pedang bermata dua, satu sisi dapat digunakan untuk mencari berbagai informasi yang bermanfaat bagi kesehatan, akan tetapi bisa juga dapat digunakan untuk menyebarkan informasi yang tidak benar. Oleh sebab itu, edukasi penting bagi seluruh penduduk Indonesia untuk menggunakan akses internet dengan positif. Kata kunci: imunisasi, vaksin, internet, SDKI, Indonesia
A STUDY OF MATERNAL HEALTH SERVICES BY PRIVATE MIDWIVES IN SURABAYA CITY, INDONESIA Betty Roosihermiatie; Arief Priyo Nugroho; Felly Philipus Senewe
Muhammadiyah International Public Health and Medicine Proceeding Vol. 3 No. 1 (2023): PROCEEDING MUHAMMADIYAH INTERNATIONAL PUBLIC HEALTH AND MEDICINE CONFERENCE - T
Publisher : Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61811/miphmp.v3i1.392

Abstract

Maternal mortality in Indonesia increased but the coverage of antenatal care and birth attendants by health workers is high. The majority of antenatal care was by private midwives and the majority of birth attendants was by midwives. The study aims to determine the maternal health services by private midwives in maternal health services. It was a mixed study, carried out in Surabaya City because of the highest maternal deaths in East Java Province in 2016. The secondary data of maternal health services were collected from Surabaya City Health Office and Indonesian Midwives Association of Branch Surabaya City. The qualitative data were domain on internal and external problems of private practice midwives. There were 10 informants whom selected purposively. The data were collected by round table discussion. The secondary data were analyzed univariately and the qualitative data were analyzed descriptively. From about 250 private midwives in Surabaya City, 133 were ‘Delima’ midwives in which a program of the Indonesia Midwives Association. Maternal health services by private midwives enhance access. The ‘Delima’ midwives have requirements of knowledge, enhancing skill, reporting, infrastructure standards, and development. So, the quality of maternal health services by ‘Delima’ midwives was relatively better. However, private midwives’ services, including the ‘Delima’ midwives in Surabaya city had not analyzed ANC results, pregnant women visiting private midwives should visit health centers for integrated ANC, midwives’ duties beyond educational competencies, and lack of mentoring for apprentice midwives because of many midwives’ duties. It suggests improving the knowledge and skill of private midwives.
Co-Authors Arief Priyo Nugroho Betty Roosihermiatie Dina Bisara Novianti Novianti Olwin Nainggolan Oster Suriani Simarmata