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Pemberdayaan Kader Dan Petani Dalam Pengendalian Hipertensi Pada Petani di Desa Linggasari Kecamatan Kembaran Kabupaten Banyumas Rejeki, Dwi Sarwani Sri; Wijayanti, Siwi Pramatama M; Nurlaela, Sri
Jurnal Pengabdian Masyarakat Bangsa Vol. 2 No. 8 (2024): Oktober
Publisher : Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/jpmba.v2i8.1346

Abstract

Penyakit hipertensi dikenal sebagai silent killer dan dapat menimbukkan beberapa komplikasi. Kejadian hipertensi pada petani di Kabupaten Banyumas terutama di Desa Linggasari masuk kategori tinggi. Data penelitian menunjukkan 63% responden mengalami hipertensi. Kegiatan pengabdian masyarakat yang sudah dilakukan pada tahun sebelumnya berupa 1) Sosialisasi program 2) Peningkatan pengetahun petani mengenai hipertensi dan faktor risikonya 3) Peningkatkan ketrampilan petani mengenai manajemen diri hipertensi 4) Penyediakan media informasi berupa buku pencegahan hipertensi bagi petani 5) Penyediaan sarana pengukuran tekanan darah bagi petani 6) Pendampingan. Kegiatan dilakukan di Desa Linggasari Kecamatan Kembaran Kabupaten Banyumas. Kegiatan yang dilaksanakan tahun ke-2 yaitu penguatan jejaring kemitraan, edukasi kesehatan tentang pentingnya aktivitas fisik, menyusunan menu sehat untuk penderita hipertensi dan pendampingan berhenti merokok, revitalisasi Posyandu Lansia. Hasil kegiatan terbukti terdapat peningkatan pengetahuan peserta terkiat pengendalian hipertensi dengan edukasi. Terjadi perubahan rata-rata skor nilai pengetahun yang signifikan pada responden penelitian dari 19.5 menjadi 21.8. Selain itu, hasil uji statistik menunjukkan nilai p-value 0.000 artinya terjadi perubahan tingkat pengetahuan responden akan upaya pencegahan hipertensi sesudah diberikan penyuluhan dan role play. Pada tahun ke-2 dibuat media edukasi berupa leaflet dan poster tentang hipertensi dan pencegahannya. Poster edukasi yang dibuat sudah didaftarkan HKI.
Mapping and Clustering COVID-19 Cases in Kudus District Safitri, Dyah Retno; Rejeki, Dwi Sarwani Sri; Nurlaela, Sri; Jayanti, Rosita Dwi
Disease Prevention and Public Health Journal Vol. 19 No. 1 (2025): Disease Prevention and Public Health Journal
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/dpphj.v19i1.11392

Abstract

Background: Kudus District contributed the high case fatality rate (10%) of Coronavirus Disease at the end of 2020 in Central Java Province, one of the provinces which was the center of Coronavirus Disease transmission in Indonesia. Spatial analysis is useful for identifying areas of grouping or clusters of cases that indicate high risk areas so that prevention measures can be developed specifically in those areas. This study aimed to map and identify clusters of Coronavirus Disease cases in Kudus District. Method: An observational method with a case study design was conducted involving all confirmed cases of Coronavirus Disease from January to April 2021 in Kota Subdistrict, totaling 257 cases. Spatial analysis included overlay and buffering processed using ArcGIS, and clustering processed using SaTScan. Results: The study results showed that cases tended to be spread evenly across all villages, with the highest number of cases (8.2%) observed in Mlati Norowito Village. Spatial analysis revealed that the majority of cases were concentrated in villages with a population density of 8,001-12,000 people/km2 (51.7%) and villages with a number of social assistance recipients of 801-1,200 (36.6%), residing less than 250 meters from health care facilities (50.5%) and less than 250 meters from public facilities (59.14%), and four secondary clusters of Coronavirus Disease cases were identified. Conclusion: A higher cases of Coronavirus Disease were identified in villages with a high population density, a large number of social assistance recipients, close proximity to health care and public facilities, and four secondary clusters were identified.
Analisis Kondisi Lingkungan pada Kejadian Leptospirosis di Kabupaten Banyumas dengan Pendekatan Spasial: Environmental Conditions Analysis of Leptospirosis Incidence in Banyumas Regency with a Spatial Approach Janah, Miftakhul; Rejeki, Dwi Sarwani Sri; Nurlaela, Sri
Aspirator Vol 13 No 2 (2021): Jurnal Aspirator Volume 13 Nomor 2 2021
Publisher : Perkumpulan Entomologi Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/asp.v13i2.4837

Abstract

Abstract. Leptospirosis is still becoming a public health problem in Indonesia. Banyumas was one of the highest cases in Central Java by 2019 so it could be potentially endemic. GIS (Geographic Information System) is used to determine spatial patterns related to the environment. This research aimed to know the distribution and spatial grouping of leptospirosis in Banyumas 2019. The type of this research is an observational study with a cross-sectional spatial analysis design to observe the spreading and grouping pattern. The subjects of this study were 140 leptospirosis cases in Banyumas 2019. House coordinate was collected by using GPS (Global Positioning System). The data collection is done for a month. Data Analyzes was performed through ArcGIS 10.2, and SaTScan 9.7. The distribution of leptospirosis in Banyumas was spread over 14 districts, 45% cases in Cilongok, 25,71% cases were >56 years old, 62,1% cases were male, 40% cases were farmers. The results of the spatial analysis showed 77.14% cases in residential land use areas, 70% cases with moderate population density (5.00-1.249 people/km²), 62.85% cases in 0-199 altitude, 63.57% cases with low rainfall 500 meters, and significant grouping pattern with p-value = 0.009 primary which is located in Cilongok and Ajibarang. Leptospirosis spread over in residential land use areas, moderate population density, low altitude, low rainfall, no history of flooding, a radius of river 500 meters, and occurs clustering in Cilongok and Ajibarang. The location intervention of leptospirosis prevention and control can be prioritized in these areas. Abstrak. Leptospirosis masih menjadi masalah kesehatan masyarakat di Indonesia. Banyumas merupakan salah satu wilayah yang memiliki kasus tertinggi di Jawa Tengah pada tahun 2019 sehingga berpotensi terjadinya endemis. GIS (Geographic Information System) berguna untuk mengetahui pola spasial penyakit yang berkaitan dengan lingkungan. Penelitian ini bertujuan mengetahui distribusi dan pengelompokkan leptospirosis secara spasial di Banyumas Tahun 2019. Jenis penelitian ini adalah studi observasional dengan desain analisis spasial cross-sectional untuk mengamati pola penyebaran dan pengelompokkan kasus. Sampel yang dikumpulkan adalah 140 kasus leptospirosis di Banyumas tahun 2019. Pengumpulan data koordinat rumah menggunakan Global Positioning System (GPS). Pengambilan data dilakukan selama 1 bulan. Analisis data dilakukan melalui ArcGIS 10.2, dan SaTScan 9.7. Hasil penelitian menunjukkan distribusi leptospirosis di Banyumas tersebar di 14 kecamatan, 45% kasus berada di Cilongok, 25,71% mayoritas penderita berumur >56 tahun, 62,1% laki-laki, dan 40% bekerja sebagai petani. Hasil analisis spasial menunjukkan 77,14% mayoritas penderita berada pada lahan pemukiman, 70% kepadatan penduduk sedang (5.00-1.249 jiwa/km²), 62,85% ketinggian 0–199 mdpl, 63,57% curah hujan rendah 500 meter, dan pola cluster terindentifikasi signifikan secara statistik dengan nilai p-value = 0,009 cluster primer berlokasi di Cilongok dan Ajibarang. Kejadian leptospirosis cenderung menyebar di tata guna lahan pemukiman, kepadatan penduduk sedang, ketinggian tempat rendah, curah hujan rendah, tidak ada banjir, radius sungai 500 meter, dan terjadi kluster di Cilongok dan Ajibarang. Lokasi intervensi pencegahan dan pengendalian leptospirosis dapat diprioritaskan daerah tersebut.
Pemetaan dan Analisis Faktor Risiko Leptospirosis Rejeki, Dwi Sarwani Sri; Nurlaela, Sri; Octaviana, Devi
Kesmas Vol. 8, No. 4
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Sampai dengan tahun 2013 dilaporkan ada 13 kasus leptospirosis di Kabupaten Banyumas.Terjadinya peningkatan kasus selama dua tahun terakhir perlu mendapat perhatian dari berbagai pihak agar kasus leptospirosis bisa segera ditangani. Tujuan penelitian ini adalah memetakan kasus leptospirosis dan menganalisis faktor risiko lingkungan dan perilaku yang memengaruhi leptospirosis. Penelitian ini menggunakan desain studi observasional kasus kontrol. Pengumpulan data dilakukan dengan wawancara, observasi, dan pengukuran. Analisis data menggunakan analisis spasial, analisis univariat, dan bivariat. Kasus adalah penderita leptospirosis berjumlah 13 orang dan kontrol adalah tetangga kasus yang tidak menderita leptospirosis berjumlah 52 orang. Hasil pemetaan menunjukkan kasus leptospirosis di Kabupaten Banyumas termasuk daerah aliran sungai dengan radius 600 meter ke sungai; seluruh kasus dekat dengan sawah (jarak < 1 km); sebagian besar memiliki vegetasi ³ 3 jenis dan berada di daerah dengan curah hujan tinggi. Faktor lingkungan yang terbukti berhubungan dengan leptospirosis adalah kondisi jalan yang buruk sekitar rumah (OR = 4,90; CI 95% = 1,35 - 17,10). Faktor perilaku yang berhubungan dengan leptospirosis adalah kebiasaan mandi/mencuci di sungai (OR = 4,35; 95% CI = 1,21 - 15,60), riwayat peran serta dalam kegiatan sosial yang beresiko (OR = 12,00; 95% CI = 1,45 - 99,09) dan penggunaan alat pelindung diri (OR = 7,50; 95% CI = 1,00 - 62,18). There were 13 Leptospirosis cases in Banyumas in 2013. The increasing incidents in last 2 years should get an attention from all institutions. The study conducted was to map incidence of leptospirosis and analyze the environmental and behavior risk factors which associated leptospirosis case. This research was observational by case-control approach. The data was collected through interviews, observation and test. For analyzing the data, the researcher applied spatial analysis, univariate, and bivariate analysis. It was 13 leptospirosis cases and 52 people as the controls; they are the neighbors who are free from leptospirosis.The mapping showed that leptospirosis cases in Banyumas were along the riverin 600 meters radius, all cases with the distance of 0 - 1 km into the rice field, had vegetation 3 species and those were in areas with high rainfall intensity. Environmental risk factor associated with leptospirosis was a bad road conditions around the house (OR = 4,90; CI 95% = 1,35 - 17,10). Behavior risk factors werethe bathing/washing habit in the river (OR = 4,35; 95% CI = 1,21 - 15,60, a history of participation in social activities (OR = 12,00; 95% CI = 1,45 - 99,09)and the use of personal protective equipment (OR = 7,50; 95% CI = 1,00 - 62,18).
Peningkatan Kapasitas Kader dalam Pendampingan Penderita Tuberkulosis Paru Di Desa Linggasari Kecamatan Kembaran Kabupaten Banyumas Rejeki, Dwi Sarwani Sri; Rahadjo, Setiyowati; Nurlaela, Sri
Jurnal ABDINUS : Jurnal Pengabdian Nusantara Vol 4 No 2 (2021): Volume 4 Nomor 2 Tahun 2021
Publisher : Universitas Nusantara PGRI Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29407/ja.v4i2.14947

Abstract

To ensure the regularity of treatment for pulmonary TB patients, Drug Supervisor (PMO) is necessary. One of the villages in the area of Puskesmas Kembaran I which still encountered pulmonary tuberculosis was Linggasari Village. The problems in this village were the increasing number of TB patients and TB cases with drug resistance (TB-RO), irregularity in the treatment and some even stop to have treatment. The factor affecting these situations was the ineffective role of PMO in the family. The cadres in Linggasari Village were posyandu cadres for toddlers and the elderly. To suppress the increasing number of TB and TB-RO cases, cadres could increase its role as PMO. Recently, cadres still obtained limited knowledge and skills on TB disease and its treatment. They were also lack of communication and negotiation skills to convince TB sufferers to get regular treatment. This activity aimed to increase the knowledge and skills of cadres in working as PMO cadres for pulmonary TB disease. To increase the knowledge and skills of cadres as PMO, it was necessary to provide cadres guidance on PMO and other supporting facilities. These activities included 1) Writing cadres’ manuals 2) Health education for cadres 3) Effective communication training for cadres 4) Mentoring, 5) Procurement of supporting facilities. The results of the activities indicated that there was an increase in the knowledge and skills of the cadres before and after the activities. The manual book for cadres is very useful in assisting pulmonary TB sufferers.