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Faktor-faktor Tuberkulosis Paru: Analisis Spasial Nadia Hasnanisa; Sabarinah Prasetyo; Yolanda Handayani
Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Vol 15 No 3 (2023): JIKM Vol. 15, Edisi 3, Agustus 2023
Publisher : Public Health Undergraduate Program, Faculty of Health Science, Universitas Pembangunan Nasional Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52022/jikm.v15i3.466

Abstract

Latar Belakang: Banyumas merupakan salah satu kabupaten dengan dengan jumlah kasus tuberkulosis (TB) paru Basil Tahan Asam Positif (BTA+) tertinggi di Jawa Tengah. Dibutuhkan identifikasi faktor risiko sebelum melakukan upaya pengendalian TB sehingga pelaksanaan program dapat disesuaikan dengan kondisi wilayah dan sumber dayanya. Tujuan penelitian ini untuk mengetahui faktor risiko yang berhubungan dengan kejadian TB paru BTA+ di Kabupaten Banyumas. Metode: Penelitian deskriptif kuantitatif dengan pendekatan studi ekologi dan unit analisis kecamatan dilakukan di Kabupaten Banyumas. Data agregat berupa data faktor risiko tahun 2019 dan 2021. Penelitian ini dilakukan sejak November-Desember 2022. Analisis yang dilakukan meliputi analisis univariat, bivariat, dan spasial. Hasil: Faktor yang berhubungan dengan kejadian TB paru BTA+ di Kabupaten Banyumas pada 2019 adalah jumlah bayi yang diimunisasi BCG (p=0,005) dan jumlah rumah sehat (p=0,006). Pada tahun 2021 faktor yang berhubungan adalah jumlah bayi yang diimunisasi BCG (p=0,000), jumlah rumah sehat (p=0,000), jumlah rumah tangga ber-PHBS (p=0,001), jumlah balita gizi buruk (p=0,011), dan jumlah kasus HIV/AIDS (p=0,050). Berdasarkan pemetaan secara spasial didapatkan hasil wilayah berisiko tinggi TB paru BTA+ pada tahun 2019 terdiri dari 5 kecamatan, jumlah ini meningkat menjadi 10 kecamatan pada 2021. Kesimpulan: Faktor yang tetap berhubungan dengan kejadian TB paru BTA+ di Kabupaten Banyumas pada tahun 2019 dan 2021 adalah jumlah bayi diimunisasi BCG dan jumlah rumah sehat. Factors of Pulmonary Tuberculosis: Spatial Analysis Background: Banyumas is one of the districts with the highest number of cases of pulmonary tuberculosis (TB) positive acid fast bacilli (AFB+) in Central Java. It is necessary to identify risk factors before carrying out TB control efforts so that program implementation can be adapted to regional conditions and resources. The purpose of this study was to determine the risk factors associated with the incidence of AFB+ pulmonary TB in Banyumas District. Methods: A quantitative descriptive study with an ecological study approach and sub-district analysis units was held in Banyumas Regency. Risk factor data for 2019 and 2021 were aggregate data. This research was conducted from November to December 2022. The analysis carried out included univariate, bivariate and spatial analysis. Result: Factors related to the incidence of AFB+ pulmonary TB in Banyumas Regency in 2019 were the number of babies immunized with BCG (p=0.005) and the number of healthy homes (p=0.006). In 2021, the related factors are the number of babies immunized with BCG (p=0.000), the number of healthy homes (p=0.000), the number of households with PHBS (p=0.001), the number of severely malnourished children under five (p=0.011) and the number cases of HIV/AIDS (p=0.050). Based on spatial mapping, the results showed that the high-risk areas for AFB+ pulmonary TB in 2019 consist of 5 sub-districts, this number increased to 10 sub-districts in 2021. Conclusion: Factors that remain associated with the incidence of AFB+ pulmonary TB in Banyumas Regency in 2019 and 2021 were the number of babies immunized with BCG and the number of healthy homes.
Effectiveness of Health Cadres Counseling in Preventing Child Sexual Abuse Among Mothers: A Quasi-Experimental Study in Bogor Asri Masitha Arsyati; Hadi Pratomo; Raden Irawati Ismail; Sabarinah
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. 2 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

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

Abstract

Background: Child sexual abuse (CSA) in the world are seriously problems which affect the cause of death of children addition to disease. Research on appropriate approaches to Sexual Abuse Prevention in Toddlers Remains Limited in Indonesia, especially of the ones conducted on the outskirts of the capital city Jakarta. KemenPPPA (2023) reporting more than 15,000 cases (40 cases per day). Objective: To determine the effectiveness of counseling intervention by health cadres in preventing child sexual abuse among mother. Methods: A year-long study aims at pioneering a development of the health communication pre-post intervention models in preventing the occurrence of CSA in Bogor. The models comprise of individual and group counseling, given by the Integrated Health Services Cadres (Kader Posyandu), to educate the mothers about child sexual abuse prevention. Additionally, the study used randomized sample of 240 mothers-with-toddlers who were equally distributed to the individual-counseling groups, the focused-group-counseling groups, or controlled groups, and 15 health service staff from three districts in Bogor namely East Bogor, Central Bogor, and West Bogor. Results: Moreover, the participants’ increased knowledge was assessed through structured questionnaires. After four-time assessments within month 7 to 10, the mothers receiving either individual counseling or focused-group counseling showed a higher increased knowledge than those in the control groups (p=<0,0001 score). Conclusion: The individual technique proves to be more effective than the group approach, as evidenced by the differences in the scores related to knowledge, attitude, and practice (-0.43;2;1). Local governments a strongly suggested to formulate regulations that facilitate the use of individual counseling in mother and child health services.  
The Role of the Midwife in Postpartum Family Planning Services : A Case Study on Three Different Health Facilities in South Central Java Inggar Ratna Kusuma; Rita Damayanti; Sabarinah Prasetyo
Jurnal Ilmu Kesehatan Masyarakat Vol. 13 No. 1 (2022): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2022.13.1.112-125

Abstract

Postpartum family planning coverage in Central Java is below the national standard, or it only reached 26.8%. Postpartum mothers are at risk of getting pregnant if they do not use contraception. Modern contraceptives prevent 3.2 million of 5.6 million under-five deaths and 109,000 of 155,000 (70%) maternal deaths. Continuity of Midwifery Care during the extended postpartum period encourages mothers to use modern contraception to manage the pregnancy gap. This study aimed to explore midwifery services for Family Planning Postpartum from the perspective of providers and clients in three health facilities: hospitals (RS), Public Health Centers, and Independent Midwifery Practice (PMB). The research was implemented through a qualitative descriptive, a case study approach design in 2021. informants were ten postpartum mothers, nine midwives, two heads of Puskesmas, head division of Family Planning, Women and Children Empowerment (KBPPA) conducted an in-depth interview. The interviews were digitally recorded, transcribed, and analyzed using the Miles and Huberman method. Providers and clients identified several benefits of Postpartum Family Planning (KBPP). Midwives stated several obstacles in providing services, such as limited counseling time during labor and lack of support from hospital management. The competence of midwives constrained KBPP services at the Puskesmas. There were still few midwives at the Puskesmas certified to provide Long Term Contraception Method services. Midwives were also overloaded with work during the pandemic. Obstacles in the Independent Midwifery Practice were the lack of IMP with clinical networks and the limited authority of the midwife. Meanwhile, postpartum mothers' barriers included lack of knowledge about fertility and KBPP, worry about side effects, and the husband's lack of support. Therefore, optimizing the referral mechanism for long-term contraception in advanced health facilities is necessary. Continuity of care midwives and integration of services will increase coverage of postpartum contraception.
Co-Authors Abdul Chairy, Abdul Adang Bachtiar Agustin Kusumayati Agustin Putri Rahayu Ahmad, Rima Sumayyah Akmal Taher Alida R. Harahap Amelia Dyah Kartika Sari Amran Julianto Tanesib Andi Tenri Kawareng Anita Ratnawati Apriantini, Inna Arif Burhanudin Arwin A.P. Akip, Arwin A.P. Asri Masitha Arsyati Asri Masitha Arsyati Ayoub, Harun Yussuf Bonardo Prayogo Hasiholan Budi Utomo Burhanudin, Arif Chudahman Manan Chudahman Manan Dadan Erwandi Darmawati, Annisa Destrikasari, Charisma Dharmika Djojoningrat Diah Safitri Dieta Nurrika Dini Kurniawati Dion Zein Nuridzin Dwi Octa Amalia E. Mudjaddid A. Siswanto Deddy N.W.Achadiono Hamzah Shatri Ede Surya Darmawan Ekananda, Rizki Ela Mulyana Arofah Elly Nurachmah Erna Herawati Erri Larene Safika Eva Suryani Evi Martha Felicia Kurniawan, Felicia Fitra Yelda Fitra Yelda Fitri Latipatul Anshor Fitrianingrum, Nisaatul Maharanita Gondhowiardjo, Soehartati A Good, Byron J Hadi Pratomo Hadi Pratomo Hamidah Indrihapsari Hasnanisa, Nadia Hatma, Ratna Djuwita Henik Saefulmilah Hilmi Friska Huang, Ficky Imam Subekti Indri Hapsari Susilowati Indrihapsari, Hamidah Inggar Ratna Kusuma Irawati Ismail, Irawati Irwanto Irwanto Iwan Ariawan Iwan Iwan Jamal Abd. Kadir Jamil Anshory Johan Talesu Junaiti Sahar Karl Peltzer Kemal N. Siregar Khairunnisa, Prila Kristiana Siste Kurniawidjaja, Meily Laurentius Aswin Pramono Leila Ramadhani Leny Eka Tyas Wahyuni Lia Kurniasari Listya Tresnanti Mirtha Loli J Simanjuntak Lolita Lay dos Santos Loveria Sekarini Luh Nyoman Alit Aryani Marcellus Simandibrata Mardiana Mardiana Margarana Deos Saputra Martya Rahmaniati Muhammad Amin Muthmainnah Muthmainnah Nadia Hasnanisa Nadia Hasnanisa Najah, Miftahun Nanang Sukmana Nanang Sukmana Nanda Maretta Vitria Nastitie Cinintya Nurzihan Novitria Dwinanda Nurizin, Dion Zein Nurkhaira Manel Nurul Akbar Nurul Akbar Nury Nusdwinuringtyas Pijaryani, Indria Pixelyne, Irene Prihartono, Nurhayati Adnan Prila Khairunnisa Purwantyastuti Purwantyastuti R Irawati Ismail, R Irawati Raden Irawati Ismail Rahastiwi Fadilah Utami Rahmah Yani Rahmiyati Rahmiyati Regita Septiani Regita Septiani Rini Sekartini Rino A Gani Riska Mayang Saputri G Risna Dewi Yanti Rita Damayanti Sari Laila Wahyuni Sigit Mulyono Siregar, Rohana Uly Pradita Siti Fatimah Siti Jumhati Sudarto Ronoatmodjo Sudijanto Kamso Supa Pengpid Suprohaita Rusdi Talib Surilena Hasan Susiana Nugraha Syarif Hidayat Syarif Hidayat Syarif Rahman Hasibuan Syarif Rohimi Syarifah Syarifah Syifa Nurhakiki Teti Tejayanti Teti Tejayanti Theresa F Napitupulu Tjhin Wiguna Ummi Khuzaimah Utami, Rahastiwi Fadilah Vera Yuwono Waloya, Waloya Winda Azwani Yolanda Handayani Yosef Muhamad Rachman Baniaz Muliawan Yuli Puspita Devi Yunanda, Rista Yunita Amraeni Yusuf, Nova R Zubairi Djoerban