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ANALISIS IMPLEMENTASI KEBIJAKAN PENANGGULANGAN TB DALAM MENINGKATKAN KUALITAS HIDUP PENDERITA TB PARU DI PUSKESMAS TIGABARU KABUPATEN DAIRI TAHUN 2018 ELFIDA PURBA; WISNU HIDAYAT; EVAWANI SILITONGA
JURNAL ILMIAH SIMANTEK Vol 3 No 3 (2019): JURNAL ILMIAH SIMANTEK
Publisher : LP2MTBM MAKARIOZ

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Abstract

Tuberculosis (TB) is a transmitted disease which becomes public health problem. It can cause high rate in morbidity, mortality, and physical disability so that it is necessary to do effective and efficient prevention, control, and eradication (Kemenkes RI, No. 82/2014). Dairi Regency ranks the tenth in tuberculosis in North Sumatera 2018 in the target of 1,207 people with the achievement of 595 people (49 %) while in the working area of Tigabaru Puskesmas in 2018 in the target of 69 people with the achievement of 52 people (75 %). This indicates that the implementation of applying the policy on handling Tuberculosis does not run well. The research used descriptive qualitative method with case study which was aimed to deeply explore the implementation of the policy on handling tuberculosis in order to increase the quality of TB Paru (Pulmonary tuberculosis) patients at Tigabaru Puskesmas. The data were gathered by conducting in-depth interviews and observation on 8 (eight) informants: the Head of the Health Agency of Dairi Regency, the Head of P2P Department, the Head of P2PM Section, District TB Wasor, The Vice Head of the Puskesmas Quality Management, the Manager of TB Pusekesmas, and two TB patients. The gathered data were analyzed by using Miles and Huberman test. The result of the research showed that the policy on handling TB Paru at Tigabaru Puskesmas was not maximal because imparting PHBS and promoting coughing ethics were not implemented well so that providing PMT milk should be increased. The plan of regional action has been established since 2018, but it is not embodied in the Regional Regulation, not all people actively participated in empowering people, and there was no tuberculosis surveillance at Tigabaru Puskesmas. The conclusion was that applying the policy on handling tuberculosis to increase the quality of life of TB Paru patients would be successful when they recovered, they get welfare, and the increase in their quality of life.
PENGARUH PENGETAHUAN, SIKAP, RIWAYAT KONTAK DAN KONDISI RUMAH TERHADAP KEJADIAN TB PARU DI WILAYAH KERJA UPTD PUSKESMAS HUTARAKYAT KABUPATEN DAIRI TAHUN 2019 INTAN NOBERTA SIGALINGGING; WISNU HIDAYAT; FRIDA LINA TARIGAN
JURNAL ILMIAH SIMANTEK Vol 3 No 3 (2019): JURNAL ILMIAH SIMANTEK
Publisher : LP2MTBM MAKARIOZ

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Abstract

Tuberculosis is an infectious disease caused by TB germs where most TB attacks the lungs but can also attack other parts.The purpose of this study was to analyze the effect of knowledge, attitudes, contact history and home conditions on the incidence of pulmonary TB in the work area of the Hutarakyat District Health Center UPTD in 2019.Tuberculosis is an infectious disease caused by TB bacteria (Mycobacterium Tuberculosis) where most TB attacks the lungs but can also attack other parts.The type of this research is analytic correlation research with cross sectional method. The population in this study was 150 people suspected of suspected / suspected pulmonary tuberculosis and 60 pulmonary TB patients, bringing a total population of 210 and a sample of 68 respondents. Analysis of the data used in this study consisted of univariate, bivariate and multivariate analysis. The results of the study were obtained:there is influence of knowledge(p=0,000; OR = 8,631), attitudes(p=0,000; OR = 12,444), contact history (p=0,000; OR = 26,400)and home conditions (p=0,000; OR = 8,861)on the incidence of pulmonary TB, the dominant factor influencing the incidence of pulmonary TB is attitude(p=0,007; OR = 26,400).From the results of the research obtained it is recommended to sufferers and suspected lung TB to maintain health through a healthy lifestyle and avoid various contacts with the surrounding environment so as not to transmit pulmonary TB and adhere to doctor's recommendations.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN TINDAKAN MEMBUANG SAMPAH DI LINGKUNGAN IV KELURAHAN HELVETIA KECAMATAN MEDAN HELVETIA TAHUN 2017 Napis Alfikri; Wisnu Hidayat; Vierto Irennius Girsang
Jurnal Riset Hesti Medan Vol 3, No 1 (2018)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (367.967 KB) | DOI: 10.34008/jurhesti.v3i1.17

Abstract

Garbage is the consequence human activity in the form of disposal or waste. There are 2000 tons of garbage per day in Medan, and most of the garbage which comes from people’s homes and is produced by housewives reaches to 1,500 to 1,600 tons per day.  which is caused by several factors that are predisposition, enabler and amplifier. The objective of the research was to find out some factors which were correlated with the behavior of action throwing garbage at Lingkungan IV, Kelurahan Helvetia, Medan Helvetia, in 2017. The population was178 people, and 123 of them were used as the samples. The research used observational analytic method with cross sectional design. The data were analyzed by using univariate anaslysis, bivariate analysis, and multivariate analysis. The result of the research showed that there was the correlation of knowledge (p-value = <0.001), attitude (p-value = 0.004), education (p-value = <0.001), availability of facility (p-value = <0.001), socialization of health care providers (p-value = <0.001), and knowledge about perda no 6 year 2015 (p-value = <0.004) of throwing garbage. The variable which had the most dominant correlation with of throwing garbage was knowledge which 8.6 times of the possibility to be a good behavior in throwing garbage compared with those who had bad knowledge. It is recommended that the Government do regular evaluation and promote environmental health by making public figures participate in good behavior of throwing garbage.Keywords: Predisposition, Enabling, Enforcing, Action   Throwing Garbage  
STRATEGI DOTS DALAM PROGRAM PENANGGULANGAN TUBERKULOSIS DI PUSKESMAS MATITI KECAMATAN DOLOKSANGGUL KABUPATEN HUMBANG HASUNDUTAN Hertati Nababan; Wisnu Hidayat; Mido Ester J. Sitorus; Netty Brahmana
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 6 No. 3 (2022): DESEMBER 2022
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v6i3.6990

Abstract

Tuberculosis (TB) is a global public health problem caused by Mycobacterium tuberculosis and is one of the top 10 causes of death worldwide. DOTS is a very effective strategy to treat TB patients. One of the success factors for TB control is the availability of sufficient human resources, both in terms of quantity and quality. Objective to identify the implementation of the DOTS Strategy component in the TB control program at the Matiti Health Center, Doloksanggul District. This type of research is a qualitative research with analytical descriptive approach, through in-depth interviews and taking research subjects using purposive sampling method. The main foundation of this research is the phenomenology of design. There were eight informants in this study consisting of key informants, main informants and additional informants. Data analysis was carried out with three streams of activities that occurred simultaneously, namely data condensation, data display and conclusions: drawing and verifying. Result there is no political commitment in the form of local regulations. The TB program implementers at the Puskesmas have not been fully trained. Case finding has not been carried out actively, still and intensively. Case detection rate and success rate has not met the national indicators. Planning for the availability of OAT has been included with reference to the number of cases and the type of patient. PMO has contributed to the control of patient's drug ingestion. The SITB application has not been carried out optimally so that the evaluation of program implementation is not carried out properly. Conclusion Implementation TB control program at the Matiti Health Center is still not optimal and the coverage of patient findings is still low.
PENGARUH PENGETAHUAN KEBENCANAAN, SIKAP MASYARAKAT, DAN SOSIALISASI TANAH LONGSOR TERHADAP KESIAPSIAGAAN MENGHADAPI BENCANA TANAH LONGSOR DI DESA BAH, KECAMATAN KETOL KABUPATEN ACEH TENGAH Agustina Rizki; Wisnu Hidayat; Mido Ester Sitorus
Jurnal Ilmiah Kesehatan Keperawatan Vol 18, No 1 (2022): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM UNIVERSITAS MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/jikk.v18i1.652

Abstract

Tujuan penelitian ini adalah untuk menganalisis pengaruh pengetahuan kebencanaan, sikap masyarakat dan sosialisasi tanah longsor terhadap kesiapsiagaan menghadapi bencana tanah longsor. Jenis penelitian ini adalah penelitian kuantitatif dengan pendekatan cross sectional. Penelitian ini dilaksanakan di Desa Bah, Kecamatan Ketol Kabupaten Aceh Tengah. Populasi dalam penelitian ini sebanyak 490 responden, dengan menggunakan teknik random sampling dengan menggunakan rumus slovin diperoleh sampel sebanyak 83 responden. Analisis data menggunakan analisis univariat dan bivariate dengan menggunakan uji chi-square. Hasil penelitian menunjukkan ada pengaruh pengetahuan kebencanaan, sikap masyarakat dan sosialisasi tanah longsor terhadap kesiapsiagaan menghadapi bencana tanah longsor Studi Desa Bah, Kecamatan Ketol Kabupaten Aceh Tengah. Bencana tanah longsor dapat dicegah dengan cara tidak membuka lahan untuk persawahan dan daerah yang sudah teridentifikasi rawan tanah longsor tidak boleh ditinggali kembali, karena diketahui sebagian besar pekerjaan masyarakat Desa Bah adalah bertani. Oleh karena itu perlunya peran pemerintah dalam memberikan peluang usaha bagi masyarakat yang tinggal di daerah rawan longsor agar masyarakat dapat memenuhi kebutuhan hidup keluarganya.