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Arwyn Weynand Nusawakan
Universitas Kristen Satya Wacana
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemistry Decision Sciences, Operations Research & Management Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Identifikasi Faktor Penghambat Layanan Kesehatan Maternal di Puskesmas Ohoijang Watdek Kabupaten Maluku Tenggara Gresellia Maria Talya Ngamel; Arwyn Weynand Nusawakan; Rose Rien Salusi
Jurnal Sains dan Kesehatan Vol. 2 No. 4 (2020): J. Sains Kes.
Publisher : Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25026/jsk.v2i4.179

Abstract

Abstrak Angka kematian ibu merupakan salah satu indikator dalam menentukan kesehatan ibu. Angka kematian ibu ini masih jauh dari target tujuan pembangunan milenium tahun 2015. Berbagai upaya telah dilakukan untuk mengurangi jumlahnya dan salah satu upaya yang dilakukan pemerintah adalah dengan memberdayakan puskesmas. Namun, faktor penentu untuk memaksimalkan pelayanan kesehatan di masyarakat masih rendah. Penelitian ini bertujuan untuk mengidentifikasi faktor penghambat layanan kesehatan maternal di Puskesmas Ohoijang Watdek Kabupaten Maluku Tenggara. Metode ini adalah kualitatif dengan pendekatan studi kasus tunggal. Teknik pengumpulan data menggunakan wawancara mendalam. Enam partisipan yang direkrut terdiri dari satu orang dokter, dua orang bidan, satu orang perawat dan dua orang kader. Hasil penelitian menunjukkan satu tema yaitu kurangnya bidan yang berkompeten, kerjasama lintas sektor yang belum optimal dan kurangnya jumlah tenaga kesehatan. Kurangnya kompetensi bidan ini adalah tidak berinisiatif untuk duluan melakukan kontak (telepon) pada ibu hamil, bersalin dan nifas sedangkan kerjasama lintas sektor belum optimal dikarenakan kurangnya kerjasama dan kreatifitas antar kader dalam memanfaatkan tempat pelayanan posyandu dan kurangnya jumlah tenaga kesehatan ini tidak sebanding dengan jumlah penduduk di wilayah puskesmas yang membuat wilayah yang jauh dari puskesmas sulit terpantau kesehatannya. Kesimpulannya Puskesmas telah melaksanakan pelayanan kesehatan. Namun, pelayanannya belum berjalan dengan maksimal karena ada kendala. Abstract Maternal mortality rate is an indicator in determining maternal health that is still far from the 2015 millennium development goals target. Various efforts have been made to reduce the number and one of the efforts set by the government is by empowering community health center. However, determinant factors of maximizing health services in the community is still low. This study aims to identify the inhibiting factors of maternal health services at the Ohoijang Watdek Health Center in Southeast Mollucas Regency. This is a qualitative method with a single case study approach. Data is collected by applying in-depth interviews. Six participants are recruited that consist of one doctor, two midwives, one nurse and two cadres. The results shows one theme was lack of the competent midwife, cooperation across the sectors which have not optimal and lack of the number of health workers could impede maternal health services. A lack of competence of the midwife is not initiative to first make contact (telephone) for pregnant women, conceives and touch while cooperation cross sectors not optimal triggered by the lack of cooperation between the community and creativity in making use of the service locations integrated service post and low number of health workers is not in balance with the total resident community health centers make areas far from health care was difficult. In conclusion community health centers has implemented but health services the service is not yet operating at maximum capacity because there are obstacles.
Keterkaitan Antara Kejadian ISPA, Indeks Massa Tubuh (IMT), Dan Prestasi Akademis Pada Siswa Sekolah Dasar di Manokwari: Relationship Between the Incidence of Acute Respiratory Infections (ARI), Body Mass Index (BMI), and Academic Achievement in Elementary School Students in Manokwari Florensya Gohao; Arwyn Weynand Nusawakan; Angkit Kinasih
Jurnal Sains dan Kesehatan Vol. 3 No. 4 (2021): J. Sains Kes.
Publisher : Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25026/jsk.v3i4.485

Abstract

Pada tahun 2013-2015 angka kejadian Infeksi Saluran Pernafasan Akut pada balita dan anak usia sekolah dasar (? 15 tahun) di Indonesia mencapai yang tertinggi yakni sebanyak 82%. Tujuan dari penelitian ini untuk mengetahui keterkaitan antara kejadian ISPA, Indeks Massa Tubuh, dan prestasi akademis pada siswa sekolah dasar di Manokwari. Penelitian ini menggunakan metode kuantitatif dengan jenis penelitian study cross sectional, pada siswa SD di Manokwari dengan jumlah responden sebanyak 72 anak. Identifikasi kejadian ISPA dengam cara menanyakan riwayat gejala ISPA, penilaian status gizi dengan pengukuran antropometeri IMT/U, dan prestasi akademis menggunakan nilai raport (laporan pendidikan). Data dianalisis menggunakan uji korelasi spearman. Hasil penelitian menunjukkan sebanyak 39 anak yang mengalami ISPA, 10 anak yang memiliki status gizi kurang, dan 48 anak memiliki prestasi akademis yang cukup. Berdasarakan hasil uji korelasi tidak terdapat hubungan antara ISPA dengan prestasi akdemis (p = 0,882) maupun status gizi dengan prestasi akademis (p = 0,514). Berdasarkan hasil penelitian maka dapat disimpulkan bahwa tidak terdapat keterkaitan antara kejadian ISPA dan status gizi dengan prestasi akademis pada siswa sekolah dasar di Manokwari sehingga kemungkinan terdapat factor lain diluar penelitian ini yang juga mempengaruhinya.
Tilik Wong Lara: Visiting Tradition Among Javanese and Its Dynamic During Covid-19 Pandemic Nusawakan, Arwyn Weynand; Italilpessy, Dirga Maria; Suwartiningsih, Sri
Indonesian Journal of Global Health Research Vol 6 No 1 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i1.2729

Abstract

Tilik wong lara’s tradition has become a social bond that takes place in society so it is continued to exist nowday. However, during the Covid-19 pandemic, social support for Covid-19 patients has been hampered due to isolation and physical distancing. This study aims to identify how tilik is carried out as part of a community support and how this tradition has changed in patients and the state of Covid-19. The method of this study is a qualitative method, carried out in Getasan District, Semarang Regency, Central Java on five participants, which was carried out within September 2021. Data was analyzed using thematic data analysis. The results showed that the tradition was carried out as a means of social support for the sick, now underwent adjustments as an effort to maintain cultural patterns, as well as jogo tonggo as another form of social support from tilik. It can be concluded that the tilik wong lara tradition is still maintained as a social value in society and continues to applied despite modifications during the pandemic.
MANUCU: A Case Study of Pain Experience Among Elderly as Gout Arthritis Sufferer in Tomohon City Nusawakan, Arwyn Weynand; Nugroho, Kristiawan Prasetyo Agung; Rottie, Marselina Ireine
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3702

Abstract

Gout Arthritis is a degenerative disease caused by the deposit of monosodium urate crystals in joints and triggered acute inflammation. One of the most dramatic events occurring to GA sufferers is a flare, a severe condition that rises quickly and lasts for one or two weeks. The pain's intensity and subjective experience vary between individuals and could be among groups. Therefore, identifying how the sufferer expresses pain is essential to understanding the phenomenon. Objective: This study aimed to explore the pain experience of GA Sufferers. Methods: A single case study was applied to conduct this qualitative research. This research was located in Tomohon City and occurred in September 2024. In-dept interviews were done with three adults who are GA sufferers. A narrative analysis of each participant was used to describe the result. Results: Participants are polyarticular tophaceous gout sufferers. Participant 1 (P1) expresses his pain as "ba’-nyut-nyut" or "manucu" (the pain was excruciating, like being stabbed with a needle), burns, and even makes him cannot wake up from bed due to the painful feeling and the foot tophi. Meanwhile, P2 says the Manucu experience usually happens during cold temperatures and makes him totofore (trembling). Last, the third participant says it feels like being stabbed, "ba-cucuk," and very painful. Conclusions: Pain is a subjective experience of the sufferer and has impact in his/her quality of life however, pain is also expressed in a commonality based on the sufferer cultural background like the word "manucu" exists as a characteristic of the pain in the community.
UPAYA PROMOTIF PREVENTIF DAN PENGENDALIAN HIPERTENSI OLEH PUSKESMAS TEGALREJO KOTA SALATIGA KUBA, SANLY RAMBU; NUSAWAKAN, ARWYN WEYNAND; PUTRA, KUKUH PAMBUKA
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 9, No 2 (2021): EDITION JULY 2021
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v9i2.1442

Abstract

Hypertension causes death in the population of 17.9 billion per year. Hypertension in 2013 was 28.5% and continued to increase to 34.1% in 2018 in Indonesia. The research used descriptive qualitative method. This study also uses a descriptive quantitative design as a justification for the people who live in the Tegalrejo Health Center area. The purpose of this study was to describe the promotion, prevention and control of hypertension by the Tegalrejo Health Center, Salatiga City. Determination of the sample using purposive sampling to health workers who are responsible for the promotion and prevention of hypertension at the Tegalrejo Health Center and simple random sampling technique to the people who live in the fostered area of the Tegalrejo Health Center. Qualitative data analysis using Miles and Huberman technique then quantitative data is analyzed using quantitative description. The results of this study found that promotive, preventive and controlling hypertension efforts have been implemented starting from the existence of counseling to the community related to hypertension, early detection, partnerships and also community empowerment. Quantitative data as a justification shows that 64% of the public are not aware of the existence of a hypertension prevention program by the health center, as many as 76% of the community also cannot understand the hypertension prevention program, and there are 67% of the community who do not participate in counseling, then about 65% of the people who do not receive brochures and leaflet related to hypertension. Based on the data on the behavior of people living in the Puskesmas area, it is quite good, where about 66% of the people routinely check their health, 52% do not smoke, 66% are diligent in doing physical activities, and as many as 81% are on a salt diet, 69% get adequate rest, %), and as many as 87% of the people manage stress. Conclusion: Tegalrejo Health Center has made efforts to promote, prevent and control hypertension including counseling, early detection, partnership, and community empowerment. This research can still be continued using a quantitative design by combining variables.
The Spiritual Aspect in Post-Amputation Clients Nusawakan, Arwyn Weynand; Ranimpi, Yulius Y.; Kawonal, Johanna R.
ANIMA Indonesian Psychological Journal Vol 28 No 1 (2012): ANIMA Indonesian Psychological Journal (Vol. 28, No. 1, 2012)
Publisher : Faculty of Psychology, Universitas Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24123/aipj.v28i1.4181

Abstract

One of the conditions that cause various changes in individuals is amputation, which demands individuals to adapt to their new condition physically, psychologically, socially, and spiritually. The goal of this qualitative study was to reveal the spiritual aspects of post-amputation clients, using an in-depth interview and observation on three participants who were amputees. The data were analyzed using narrative analysis. Results showed that the participants considered their lives to be meaningful and be better in the future. They were self-confident and able to continue being productive even after the amputation. Their relationships with others were reflected in their daily lives, sharing their love with their closed ones. Their relationship with God was expressed through prayers and devotion in their daily lives. It can be concluded that the amputees showed the spiritual dimensions in themselves through their life meanings and their relationship between themselves, other people, God, and their hopes. Salah satu keadaan yang mengakibatkan terjadinya berbagai perubahan bagi individu adalah ketika anggota tubuhnya harus diamputasi sehingga individu harus mampu menyesuaikan diri dengan keadaannya barunya secara fisik, psikis, sosial, dan spiritual. Tujuan penelitian ini adalah menggambarkan aspek spiritual klien pascaamputasi.Penelitian kualitatif ini menggunakan teknik pengumpulan data wawancara mendalam dan observasi terhadap tiga partisipan yang telah diamputasi. Data dianalisis menggunakan analisis naratif. Hasil menunjukkan bahwa para partisipan memaknai hidup mereka dan memiliki harapan untuk menjadi lebih baik. Mereka memiliki sikap percaya pada diri sendiri dan merasa mampu berkarya meskipun telah diamputasi. Hubungan dengan orang lain tercermin dalam keseharian mereka membagi kasih dengan orang-orang terdekat. Hubungan dengan Tuhan diekspresikan melalui doa dan pengabdian dalam kehidupan sesehari. Dari penelitian ini disimpulkan bahwa para partisipan menunjukkan dimensi spiritualitas dalam diri mereka melalui makna hidup, hubungan antara diri sendiri, orang lain dan Tuhan serta berpengharapan.
BUDAYA SIRIH PINANG DI SUMBA DAN KEJADIAN ANEMIA PADA WANITA USIA SUBUR Arwyn Weynand Nusawakan; Irene Rambu Rima; Aprilia Mauren Pariama
Jurnal Kesehatan Kusuma Husada Vol. 14 No. 1, Januari 2023
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v14i1.975

Abstract

Penggunaan sirih pinang masih menjadi perdebatan terkait dampaknya bagi tubuh khususnya bagi Wanita Usia Subur (WUS) di Sumba Nusa Tenggara Timur. Tujuan penelitian ini untuk mengidentifikasi kemaknaan sosiokultural dalam mengkonsumsi sirih pinang dan kaitanny dengan kadar hemoglobin (Hb) dan frekuensi makan Wanita Usia Subur. Metode penelitian ini adalah mix method dengan pendekatan studi kasus (single case study with two embedded unit). Teknik pengumpulan data menggunakan wawancara mendalam, pengukuruan Hb perifer dan pengukuran frekuensi makan dan food recall 3x24 jam. Hasil penelitian kualitatif menunjukan tema sirih pinang sebagai material budaya orang sumba, persepsi orang sumba tentang manfaat sirih pinang baik fisik maupun psikis. Kurangnya konsumsi zat besi dan protein, serta hasil pengukuran Hb menunjukan sebanyak 24 dari 50 WUS mengalami anemia. Kesimpulan dalam penelitian ini adalah makan sirih pinang masih dipertahankan karena memiliki peranan penting bagi pelestarian budaya dan menjadi gaya hidup sehari-hari masyarakat Sumba.Wanita Usia Subur yang memiliki kebiasaan mengkonsumsi sirih pinang sebagian besar mengalami anemia, hal ini kemungkinan dapat dipengaruhi oleh tingkat konsumsi zat besi dan protein kurang dari AKG maupun sebagai dampak dari mengkonsumsi sirih pinang yang berlebihan. Betel nut consumption is still debatable regarding its impact on the body, especially for Women of Reproductive Age (WUS) in Sumba, East Nusa Tenggara. This study aimed to identify the sociocultural significance of consuming betel nut and its relation to hemoglobin (Hb) level and eating frequency of WUS. This is mixed-method research with a case study approach (single case study with two embedded units). Data collection techniques used in-depth interviews, measuring peripheral Hb, and measuring food frequency and food recall 3x24 hours. The results of the qualitative research showed that the themes such as betel nut is a cultural material of the Sumbanese and the perception of Sumbanese about the benefits of betel nut, both physical and psychological. Lack of consumption of Zink and protein, the results of Hb measurements show that 24 out of 50 WUS have anemia. This study concludes that eating betel nut is still maintained because it has an essential role for cultural preservation and has become the daily lifestyle of Sumbanese. WUS who have the habit of consuming betel nut mainly experience anemia that may be influenced by the low level of consumption of Zink and protein than the RDA or might be a result of consuming excessive betel nut.
Co-Authors Angkit Kinasih Aprilia Mauren Pariama Beathrix Finelya Budi Hartono Christy Jacobs Dhanang Puspita Elsa Desiyanti Simatupang Febriani Robeka Wanma Florensya Gohao Gloria Ndoen Gracia Marceilina Pattinasarany Gresellia Maria Talya Ngamel Hapsari Probowowati Irene Rambu Rima Italilpessy, Dirga Maria Jambormias, Sevnat Jambormias Kanako Shinkawa Kawonal, Johanna R. Kristiani Desimina Tauho Kristiawan Prasetyo Agung Nugroho KUBA, SANLY RAMBU Kukuh Pambuka Putra Letelay, Pieter Bleriof Likumahua, Khara Christy Margaretha Margie Grace Kelly Tarehy Natijati, Arum Novita Natasya Makahity Priska V.G. Suratman R. Rr Maria Dyah Kurniasari Rambu L.N.K. Retno Triandhini Rifatolistia Tampubolon Rose Rien Salusi Rose Rien Salusi Rose Rien Sanusi Rottie, Marselina Ireine Rut Martavina Jambormias Sanfia Tesabela Messakh Sarah Melati Davidson Setyaningrum, Fitria Simon Pieter Soegijono Sri Suwartiningsih Theresia Pratiwi Treesia Sujana Trisnarizki, Leonardo Venti Agustina Yayi Suryo Prabandari Yulius Yusak Ranimpi