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All Journal ASPIRATOR Disease Prevention and Public Health Journal Jurnal Kesehatan Masyarakat Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Jurnal Epidemiologi Kesehatan Komunitas Dinamika Journal : Pengabdian Masyarakat BALABA (JURNAL LITBANG PENGENDALIAN PENYAKIT BERSUMBER BINATANG BANJARNEGARA) Insights in Public Health Journal Jurnal of Community Health Development (JCHD) Jurnal Pengabdian Masyarakat Bangsa ASPIRATOR - Journal of Vector-Borne Diseases Studies Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Sri Nurlaela
Department Of Public Health, Faculty Of Health Sciences, Jenderal Soedirman University
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FAKTOR PREDIKSI HASIL UJI TUBERKULIN POSITIF ANAK SD Nurlaela, Sri; P., Dyah Umiyarni; S.R., Dwi Sarwani; Wati, Erna Kusuma; Rahardjo, Setyowati
Jurnal Kesehatan Masyarakat Vol 6, No 1 (2010)
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

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Abstract

Tuberculosis (TB) menjadi ancaman global karena hampir sepertiga penduduk dunia terinfeksi M. tuberculosis. Uji tuberkulin  merupakan diagnosis yang penting untuk mengetahui adanya infeksi M. tuberculosis pada anak. Tujuan penelitian ini untuk mengeksplorasi faktor-faktor dalam memprediksi uji tuberkulin positif. Faktor prediksinya yaitu karakteristik anak (umur, jenis kelamin), karakteristik orang tua (pendidikan, pekerjaan orang tua), dan ukuran rumah. Penelitian ini adalah studi kendali di sekolah dasar di Kabupaten Cilacap  bulan September-Desember 2008. Populasi dibagi menjadi kelompok perlakuan dan kendali. Sampel kasus adalah anak dengan uji tuberkulin ≥10 mm sedangkan kendali yang memiliki uji tuberkulin 0–9 mm yang dipilih dengan sampling acak proporsional. Hasil uji tuberkulin adalah data sekunder dari survei dan data primer didapatkan dengan pemeriksaan. Hasil penelitian ini adalah faktor-faktor yang dapat digunakan untuk memprediksi uji tuberkulin positif adalah BCG scar dan umur. AbstractTuberculosis becomes a global threat because nearly a third of world population infected with M. tuberculosis. Tuberculin test is an important diagnosis to rule out infection of M. tuberculosis in children. The purpose of this study to explore the factors in predicting a positive tuberculin test. Predictive factors of child characte-ristics (age, sex), parental characteristics (education, occupation of parents), and the size of the house. This research is the study of control in an elementary school in the district of Cilacap, September up to December 2008. The population is divided into treatment and control groups. The case samples are children with tuberculin test ≥ 10 mm while the control have a tuberculin test 0-9 mm are selected by proportional random sampling. Tuberculin test results of the survey is a secondary data and primary data obtained by the intervention. The results of this study are factors that can be used to predict a positive tuberculin test is a BCG scar and age.Keywords: Tuberculin test; Primary school kid; Tuberculosis
FAKTOR RISIKO MULTIDRUG RESISTANT TUBERCULOSIS (MDR-TB) SR, Dwi Sarwani; Nurlaela, Sri; A, Isnani Zahrotul
Jurnal Kesehatan Masyarakat Vol 8, No 1 (2012)
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

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Abstract

Multi Drug Resistant (MDR-TB) merupakan masalah terbesar dalam pencegahan dan pemberantasan TB dunia. Indonesia berada di peringkat 8 dari 27 negara dengan MDR-TB terbanyak di dunia. WHO global report 2010, memperkirakan pasien MDR-TB di Indonesia berjumlah 8.900. MDR-TB adalah penyakit yang disebabkan Mycobacterium tuberkulosis yang resisten minimal terhadap rifampisin dan isoniazid. Masalah penelitian adalah faktor risiko apa yang berhubungan dengan MDR-TB. Penelitian ini bertujuan untuk mengetahui berbagai faktor risiko MDR-TB. Metode penelitian survei dengan  kasus kontrol. Populasi kasus adalah penderita TB yang terbukti resisten positif dan sampel kontrol adalah penderita yang terbukti resisten negatif. Perbandingan kasus:kontrol= 32:32. Analisis data dengan dengan regresi logistik. Hasil penelitian menunjukkan bahwa faktor risiko yang terbukti berpengaruh terhadap kejadian Multi Drug Resistant (MDR-TB) yaitu motivasi penderita yang rendah OR =4,2 (CI=1,478-11,94) dan ketidakteraturan berobat OR=2,3 (CI=1,38–10,28). Diperlukan berbagai dukungan khususnya yang berasal dari keluarga dan lingkungan pasien agar dapat memotivasi penderita TB paru bahwa penyakitnya dapat disembuhkan dan melakukan pengobatan dengan teratur. Simpulan penelitian adalah motivasi penderita yang rendah dan ketidakteraturan berobat berpengaruh terhadap kejadian Multi Drug Resistant. Multi Drug Resistant (MDR - TB ) is the biggest problem of TB prevention and eradication in world. Indonesia is ranked 8 of 27 countries with MDR-TB in the world. WHO global report 2010, estimated MDR-TB patients in Indonesia amounted to 8.900. MDR-TB is caused by Mycobacterium tuberculosis that resistant to at least rifampicin and isoniazid. The purpose of research was to determine MDR-TB risk factors. A survey method was conducted with case-control. The population were TB case patients who positive and control who negative resistance by test. Comparison case: control = 32:32. Data analyzed by multivariate logistic regression. The results showed that the risk factors of MDR-TB were low patient motivation OR=4.2 (CI=1.478 to 11.94) and treatment irregularity OR=2.3 (CI=1.38 to 10,28). Required a variety support, especially from family and environment in order to motivate patients with pulmonary tuberculosis that their disease can be cured and do the treatment regularly. Research conclusion, low motivation and irregularity treatment had effect to Multi Drug Resistant.
Malaria Community Health Workers in Eliminating Malaria in Banyumas Regency Rejeki, Dwi Sarwani Sri; Nurlaela, Sri; Octaviana, Devi; Kusnanto, Hari; Murhandarwati, Elsa Herdiana
Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016): JURNAL KESEHATAN MASYARAKAT (KEMAS) JULY 2016
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v12i1.4030

Abstract

Banyumas has not reached the elimination of malaria yet. One of the efforts is done by community empowerment by establishing malaria Community Health Workers (CHWs/JMD). JMD are people who conduct the discovery and medication of malaria in Active Case Detection (ACD). The research aims at describing JMDs attitude and knowledge towards the malaria elimination in Banyumas Regency in 2015. Quantitative research with cross sectional design was performed in the study. There were 15 JMDs spreading across in 7 public health centers/Puskesmas. The results show that most of JMDs were male with primary education background. They are mostly employed and do not join any training within 3 years. The average age of JMDs is 48.4 years old although there are some workers who are over 65 years old. 33.3% of JMDs are in low-medium categories, and there are 26.7% JMDs who have negative attitude to malaria. All JMDs have less skill such as not to do home visits as scheduled, not to do periodic reports, not to send blood preparations immediately and unstandardized of the blood preparation.
FAKTOR RISIKO MULTIDRUG RESISTANT TUBERCULOSIS (MDR-TB) SR, Dwi Sarwani; Nurlaela, Sri; A, Isnani Zahrotul
KEMAS: Jurnal Kesehatan Masyarakat Vol 8, No 1 (2012)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v8i1.2260

Abstract

Multi Drug Resistant (MDR-TB) merupakan masalah terbesar dalam pencegahan dan pemberantasan TB dunia. Indonesia berada di peringkat 8 dari 27 negara dengan MDR-TB terbanyak di dunia. WHO global report 2010, memperkirakan pasien MDR-TB di Indonesia berjumlah 8.900. MDR-TB adalah penyakit yang disebabkan Mycobacterium tuberkulosis yang resisten minimal terhadap rifampisin dan isoniazid. Masalah penelitian adalah faktor risiko apa yang berhubungan dengan MDR-TB. Penelitian ini bertujuan untuk mengetahui berbagai faktor risiko MDR-TB. Metode penelitian survei dengan  kasus kontrol. Populasi kasus adalah penderita TB yang terbukti resisten positif dan sampel kontrol adalah penderita yang terbukti resisten negatif. Perbandingan kasus:kontrol= 32:32. Analisis data dengan dengan regresi logistik. Hasil penelitian menunjukkan bahwa faktor risiko yang terbukti berpengaruh terhadap kejadian Multi Drug Resistant (MDR-TB) yaitu motivasi penderita yang rendah OR =4,2 (CI=1,478-11,94) dan ketidakteraturan berobat OR=2,3 (CI=1,38–10,28). Diperlukan berbagai dukungan khususnya yang berasal dari keluarga dan lingkungan pasien agar dapat memotivasi penderita TB paru bahwa penyakitnya dapat disembuhkan dan melakukan pengobatan dengan teratur. Simpulan penelitian adalah motivasi penderita yang rendah dan ketidakteraturan berobat berpengaruh terhadap kejadian Multi Drug Resistant. Multi Drug Resistant (MDR - TB ) is the biggest problem of TB prevention and eradication in world. Indonesia is ranked 8 of 27 countries with MDR-TB in the world. WHO global report 2010, estimated MDR-TB patients in Indonesia amounted to 8.900. MDR-TB is caused by Mycobacterium tuberculosis that resistant to at least rifampicin and isoniazid. The purpose of research was to determine MDR-TB risk factors. A survey method was conducted with case-control. The population were TB case patients who positive and control who negative resistance by test. Comparison case: control = 32:32. Data analyzed by multivariate logistic regression. The results showed that the risk factors of MDR-TB were low patient motivation OR=4.2 (CI=1.478 to 11.94) and treatment irregularity OR=2.3 (CI=1.38 to 10,28). Required a variety support, especially from family and environment in order to motivate patients with pulmonary tuberculosis that their disease can be cured and do the treatment regularly. Research conclusion, low motivation and irregularity treatment had effect to Multi Drug Resistant.
FAKTOR PREDIKSI HASIL UJI TUBERKULIN POSITIF ANAK SD Nurlaela, Sri; P., Dyah Umiyarni; S.R., Dwi Sarwani; Wati, Erna Kusuma; Rahardjo, Setyowati
KEMAS: Jurnal Kesehatan Masyarakat Vol 6, No 1 (2010)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v6i1.1753

Abstract

Tuberculosis (TB) menjadi ancaman global karena hampir sepertiga penduduk dunia terinfeksi M. tuberculosis. Uji tuberkulin  merupakan diagnosis yang penting untuk mengetahui adanya infeksi M. tuberculosis pada anak. Tujuan penelitian ini untuk mengeksplorasi faktor-faktor dalam memprediksi uji tuberkulin positif. Faktor prediksinya yaitu karakteristik anak (umur, jenis kelamin), karakteristik orang tua (pendidikan, pekerjaan orang tua), dan ukuran rumah. Penelitian ini adalah studi kendali di sekolah dasar di Kabupaten Cilacap  bulan September-Desember 2008. Populasi dibagi menjadi kelompok perlakuan dan kendali. Sampel kasus adalah anak dengan uji tuberkulin ≥10 mm sedangkan kendali yang memiliki uji tuberkulin 0–9 mm yang dipilih dengan sampling acak proporsional. Hasil uji tuberkulin adalah data sekunder dari survei dan data primer didapatkan dengan pemeriksaan. Hasil penelitian ini adalah faktor-faktor yang dapat digunakan untuk memprediksi uji tuberkulin positif adalah BCG scar dan umur. AbstractTuberculosis becomes a global threat because nearly a third of world population infected with M. tuberculosis. Tuberculin test is an important diagnosis to rule out infection of M. tuberculosis in children. The purpose of this study to explore the factors in predicting a positive tuberculin test. Predictive factors of child characte-ristics (age, sex), parental characteristics (education, occupation of parents), and the size of the house. This research is the study of control in an elementary school in the district of Cilacap, September up to December 2008. The population is divided into treatment and control groups. The case samples are children with tuberculin test ≥ 10 mm while the control have a tuberculin test 0-9 mm are selected by proportional random sampling. Tuberculin test results of the survey is a secondary data and primary data obtained by the intervention. The results of this study are factors that can be used to predict a positive tuberculin test is a BCG scar and age.Keywords: Tuberculin test; Primary school kid; Tuberculosis
Malaria Community Health Workers in Eliminating Malaria in Banyumas Regency Rejeki, Dwi Sarwani Sri; Nurlaela, Sri; Octaviana, Devi; Kusnanto, Hari; Murhandarwati, Elsa Herdiana
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v12i1.4030

Abstract

Banyumas has not reached the elimination of malaria yet. One of the efforts is done by community empowerment by establishing malaria Community Health Workers (CHWs/JMD). JMD are people who conduct the discovery and medication of malaria in Active Case Detection (ACD). The research aims at describing JMDs attitude and knowledge towards the malaria elimination in Banyumas Regency in 2015. Quantitative research with cross sectional design was performed in the study. There were 15 JMDs spreading across in 7 public health centers/Puskesmas. The results show that most of JMDs were male with primary education background. They are mostly employed and do not join any training within 3 years. The average age of JMDs is 48.4 years old although there are some workers who are over 65 years old. 33.3% of JMDs are in low-medium categories, and there are 26.7% JMDs who have negative attitude to malaria. All JMDs have less skill such as not to do home visits as scheduled, not to do periodic reports, not to send blood preparations immediately and unstandardized of the blood preparation.
Impact of Health Education on Knowledge and Awareness of Multidrug-Resistant Tuberculosis in Banyumas Regency, Indonesia Octaviana, Devi; Wijayanti, Siwi; Nurlaela, Sri
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 13, No 1 (2019): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (407.354 KB) | DOI: 10.12928/kesmas.v13i1.12717

Abstract

Background: The increased case of multidrug-resistant tuberculosis (MDR-TB) in the community required more prevention efforts to reduce the cases. Lack of knowledge and awareness in the community could be one of the causes of this problem. The study aimed  are to analyse the effectiveness of health education to increase knowledge and awareness of people to MDR-TB. Methods: A quasi-experiment study with one-group pretest-and posttest design was used in this study. 32 respondents were included in this study with exclusion and inclusion criteria. Intervention carried out in the form of counselling to respondent for 1.5 hours with additional methods such as leaflets, modules and posters. Results: This study showen that health education could improve knowledge (5.45%) and awareness (3.59%) of participants about MDR-TB. Based on bivariate analysis, it is showed that there were no significant differences in knowledge of respondents pre and post-intervention however, there were significant differences in awareness of respondent. Conclusion: This study recommended the implementation of health education more intensively to the community about MDR-TB. The application of various media in health education was also important to improve transfer knowledge to the community. Improvement of knowledge and awareness of people about MDR-TB was a crucial aspect to conduct effective prevention effort of this disease. Keywords: tuberculosis; multi-drug; resistant
FAKTOR PREDIKSI HASIL UJI TUBERKULIN POSITIF ANAK SD DI KABUPATEN CILACAP TAHUN 2008 Nurlaela, Sri; Purnamasari, Dyah Umiyarni; Kusumawati, Erna; Sri Rejeki, Dwi Sarwani; Rahardjo, Setiyowati
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 3 No 2 (2010): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

TB of children in community show of TB case's proportion which will occur in the future.Besides, TB of children 's distribution could be  the indicator of the ongoing transmission of TB in the community. This study conducted to explore the prediction factor of positive tuberculin tedt which were children's characteristic (age, gender), parent's characteristic (parent's education ,parent's occupation) and household size. A case control study held in primary school children attending class I-IV (8-13 years age) in Kabupaten Cilacap from September - Desember  2008. Sample divided in two group, there are 109 case 109 control. School children two had result of tuberculin test ? 10 mm, respectively, were considered as a case. Control were school children who have result of tuberculin test 0-9 mm, selected by proportional random sampling. Informations about children's  results of tuberculin test were obtained from secondary data of tuberculin data survey which held on center Java. Primary data obtained by interviewing of school children. Logistic regression demonsrtated prediction factors of positive tuberculin test were BCG scar (p value = 0,049, OR= 0,432, 95% CI = 0,250-0,753) and age (p value= 0,003, OR= 0,434, 95% CI= 0,187 - 0,996).
BEBERAPA FAKTOR YANG MEMPENGARUHI KEJADIAN KANKER SERVIK DI RSUD PROF. DR. MARGONO SOEKARJO PURWOKERTO Aulia, Nurwathon; Nurlaela, Sri; Basuki, Dyah Retnani
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 2 No 2 (2009): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

Cerviks cancer is a cancer that attack cerviks of the uterus, an area in woman reproduction organ that is an entrance through the uterus, place between uterus and vagina. Data from RSUD Prof. Dr.Margono Soekarjo, Purwokerto showed that there was an increasing number in cerviks cancer case. The purpose of this research was to know the risk factors that influence cerviks cancer case in RSUD Prof. Dr. Margono Soekarjo, Purwokerto. This research used of observational with case control study approach. Case group was all patients diagnosed cerviks cancer from June until November 2008 in RSUD Prof, Dr. Margono Soekarjo, Purwokerto and the control group was the patient who did pap smear check up from June until November 2008 in RSUD Prof. Dr. Margono Soekarjo, Purwokerto but the result wasn?t cerviks cancer. The number of populations were 64 people with 32 cases and 32 control. Variable researched consisted of education, marriage age, parity and oral contraception. Data analysis used was univarial, bivariat with chi square and multivariat with double logistic regression. The result of this research showed factors related with cerviks cancer case were education (p=0,00; OR=7,89; CI 95%=2,40-25,85), marriage age (p=0,00; OR=6,33; CI 95%=2,03-19,68) and parity (p=0,00; OR=11,66; CI 95%=2,37-57,36). The most influence factor in cerviks cancer case was parity. According to that result, it is suggested to the people to control the number of kids (less than 4 children) by using family planning programme that?s proper to each individual and delay the marriage age.
PENDIDIKAN KESEHATAN DAN PENERAPAN ALAT PELINDUNG DIRI DALAM UPAYA PENCEGAHAN LEPTOSPIROSIS DI DESA SELANDAKA, KECAMATAN SUMPIUH KABUPATEN BANYUMAS Sri Rejeki, Dwi Sarwani; Nurlaela, Sri; Oktaviana, Devi
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 7 No 2 (2015): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

ABSTRACTIndonesia is an endemic country to the Leptospirosis. It is known that Banyumas regency is attacked by leptospirosis for the first time since several years ago. These two years show that the incidents are increasing and it needs an action so it can be well treated and the extraordinary case will not happen. The research shows that Leptospirosis happens in the area closed to the rice field and river. Selandaka village was the highest number of incident in 2010-2013 (38.5%) Banyumas regency. Most of the villagers are farmers or labor for the farmer (90%). These jobs have more changes to suffer from Leptospirosis. Most of the sufferers are male (76.9%) and at the age of 22 years. It is caused by their habit not to use Personal Protective Equipment (PPE). The research was aimed to improve the awareness of PPE to farmers. It was done through the counseling, training, companionship, and installation of information board. The counseling was done at 30 Mei 2014 and the training was at 4 June 2014. The research showed that the average knowledge before the counseling was 14.80 and improved to be 18.04 or 21.83%. The average score to the attitude before the treatment was 31.00 and improved to be 32.61 or 5.2%. The companionship found that the improvement of obedience level to PPE installation. In the 4 companionship, it showed that the obedience of the farmers was 100% to the use of boot shoes, 85% to the use of gloves and those farmers were sometimes used 15%. It was expected that the farmers who joined the activities could promote the information about leptospirosis as well as the prevention to other farmers.Keywords: Leptospirosis, Personal Protective Equipment, farmers Kesmasindo, Volume 7( 2) Januari 2015, Hal. 118-131  
Co-Authors Anandari, Dian Devi Octaviana Devi Octaviana Devi Octaviana Devi Oktaviana, Devi Dwi Sarwani S.R. Dwi Sarwani SR Dwi Sarwani Sri Rejeki Dyah Retnani Basuki, Dyah Retnani Dyah Umiyarni P. Dyah Umiyarni Purnamasari E. Elsa Herdiana Murhandarwati Hari Kusnanto Isnani Zahrotul A Jayanti, Rosita Dwi Kuswanto Kuswanto Miftakhul Janah Miftakhul Janah Nurwathon Aulia, Nurwathon Rahayu, Febianti Safitri, Dyah Retno Setiyowati Rahadjo Setiyowati Rahardjo Setyowati Rahardjo Siwi Pramatama Mars Wijayanti Suratman Suratman Wijayanti, Siwi Wijayanti, Siwi Pramatama M Yuni Nurul Izah