Lukman Waris
Peneliti pada Pusat Teknologi Intervensi Kesehatan Masyarakat

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Risiko Kecacingan Pada Anak Sekolah Dasar di Pedesaan Daerah Perbatasan Kabupaten Nunukan Waris, Lukman; Rahayu, Nita; Indriyati, Liestiana
Jurnal Biotek Medisiana Indonesia Vol 1, No 1 (2012)
Publisher : Central Basic Biomedical and Health Technology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (280.109 KB)

Abstract

High prevalence of worm infection in Indonesia (70-80%) partially identified as Soil Transmitted Helminthes (STH) from Nematodes, but Cestodes and Trematodes is also found in Indonesia. Worm infection named as neglected diseases because it doesn’t cause mortality although reduced the quality of human resources. It will be important to do research to get the worm infection database for the effective planning action in worm infection fighting. It was an observational research by cross sectional design; research had been done in March-December 2010 in Nunukan, one of border areas, at 9 public health center areas. Population were all students of primary school in Nunukan, samples were primary school students chosen by purposive sampling. The research had been done by explain informed consent, distribution and collection of feces pot and microscopic analysis by direct method. Data were analyzed by Chi square in SPSS-13.0 program.The microscopic analysis found 20.8% positive worm infection of 1126 samples. The highest is caused by STH that is Ascaris lumbricoides and the highest proportion is found in village areas that the environment modification and infrastructure development doesn’t work well. Students of primary school in the village areas have almost five fold risk to get worm infection than city areas. Worm infection tends to be higher in village areas compare to that of city areas because the environment modification and infrastructure development in city areas is better than village areas.Keywords: eggs worm, Nunukan, proportion AbstrakPrevalensi cacing usus di Indonesia masih tinggi (70-80%) sebagian besar diidentifikasi sebagai Soil Transmitted Helmintes (STH) dari golongan Nematoda, tetapi cacing yang berasal dari golongan Cestoda dan Trematoda juga ditemukan di Indonesia. Kecacingan disebut sebagai penyakit yang terabaikan (Neglected Disease) karena dianggap penyakit yang tidak menyebabkan kematian, meskipun mengurangi kualitas sumber daya manusia. Penelitian Ini penting dilakukan untuk memperoleh database kecacingan, untuk tindakan perencanaan yang efektif dalam pemberantasan kecacingan. Penelitian ini merupakan penelitian observasional dengan Desain Cross Sectional; Penelitian ini dilaksanakan pada bulan Maret-Desember 2010 di Nunukan, salah satu wilayah perbatasan, pada 9 wilayah puskesmas. Populasi adalah semua siswa sekolah dasar di Nunukan, sampel adalah siswa sekolah dasar yang dipilih secara purposive sampling. Penelitian ini dilakukan dengan menjelaskan informed consent, distribusi dan mengumpulkani kotoran pada pot dan analisis mikroskopis dengan metode langsung. Data dianalisis dengan Chi-Kuadrat dalam program SPSS-13.0. Pada analisis mikroskopis ditemukan positif kecacingan 20,8% dari 1126 sampel. Penyebab tertinggi adalah STH yang Ascaris lumbricoides dan proporsi tertinggi ditemukan di daerah pedesaan yang penataan lingkungan dan pembangunan infrastruktur tidak dilaksanakan dengan baik. Siswa sekolah dasar di daerah pedesaan hampir lima kali beresiko untuk mendapatkan kecacingan daripada daerah kota. Kecacingan cenderung lebih tinggi di daerah pedesaan dibandingkan dengan di daerah perkotaan, karena penataan lingkungan dan pembangunan infrastruktur di daerah kota lebih baik daripada daerah pedesaan.Kata kunci: Telur Cacing, Nunukan, Proporsi
Kampanye Aksi Bergizi pada Remaja di Kabupaten Sleman Siswati, Tri; Olfah, Yustiana; Setiyobroto, Idi; Ramayulis, Rita; Waris, Lukman; Prayogi, Agus Sarwo
JURNAL INOVASI DAN PENGABDIAN MASYARAKAT INDONESIA Vol 2 No 4 (2023): Oktober
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jipmi.v2i4.192

Abstract

Latar belakang: Remaja merupakan salah satu kelompok rentan gizi.  Untuk meningkatkan derajat kesehatan remaja, perlu dilakukan upaya edukasi, salah satunya melalui kampanye aksi bergizi. Tujuan: Kegiatan ini bertujuan untuk meningkatkan pengetahuan remaja tentang anemia dan gizi seimbang serta meningkatkan cakupan konsumsi tablet Fe. Metode: Kegiatan pengabdian masyarakat ini dilakukan di SMPN Gamping, Sleman pada bulan Juli 2023. Jumlah partisipan adalah semua siswa baru sebanyak 192 orang. Aksi bergizi dilakukan melalui kampanye dengan memberikan edukasi tentang gizi seimbang dan anemia, minum tablet Fe, penandatanganan deklarasi aksi bergizi dan komitmen untuk hidup sehat. Hasil: Sebagian besar partisipan adalah perempuan (53,1%), umur 13 tahun (57,3%). Berkaitan dengan kebiasaan hidup sehat, sebagian besar kadang-kadang sarapan (40,6%) dan pergi ke sekolah dengan moda transportasi pasif berupa kendaraan bermotor (motor/mobil).  Setelah mengikuti edukasi pengetahuan remaja tentang gizi seimbang dan anemia mengalami peningkatan masing masing 21% dan 19% dengan kategori nilai baik (>76). Kesimpulan: Kampanye aksi bergizi efektif untuk meningkatkan pengetahuan remaja tentang anemia dan gizi seimbang, sehingga kampanye aksi bergizi merupakan salah satu alternatif upaya meningkatkan derajat kesehatan remaja. Kata kunci:  aksi bergizi, anemia, hidup sehat, kampanye, remaja ________________________________________________________________________________ Abstract Background: Nutritionally, adolescents are one of the most vulnerable populations.  To enhance adolescent health, it is necessary to engage in educational efforts, one of which is the implementation of nutritious action campaigns. Objective: This activity aims to increase adolescent knowledge about anemia and balanced nutrition and increase the coverage of Fe tablet consumption. Method: his community service activity will be carried out at SMPN Gamping, Sleman, in July 2023. The number of participants was all new students—as many as 192 people. Nutritious action is carried out through campaigns by providing education on balanced nutrition and anemia, taking Fe tablets, and signing a declaration of nutritious action and commitment to healthy living. Result: Most of the participants were women (53.1%) and 13 years old (57.3%). With regard to healthy living habits, most people sometimes eat breakfast (40.6%) and go to school with passive transportation modes in the form of motor vehicles (motorbikes or cars). After participating in education, adolescents' knowledge about balanced nutrition and anemia increased by 21% and 19%, respectively, with good value categories (>76). Conclusion: Nutritious action campaigns are effective in increasing adolescent knowledge about anemia and balanced nutrition, so nutritious action campaigns are one alternative effort to improve adolescent health. Keywords: aksi bergizi, anemia, healty life tyle, campaign, adolescent
Pengaruh Stres terhadap Kadar Glukosa Darah pada Penderita Hiperglikemia Yohana, Ida; Waris, Lukman; Ikhlasiah, Marthia
Faletehan Health Journal Vol 11 No 01 (2024): Faletehan Health Journal, Maret 2024
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v11i01.651

Abstract

DM sufferers must change their lifestyle to remain blood glucose in their body balanced. The changes can make them vulnerable to stress. The purpose of this study was to determine the effects of stress on blood glucose levels of hyperglycemic patients at Kunciran Baru Health Center area, Tangerang City in 2023. The research method used was quantitative with a nested case control research design. The samples used were 89 respondents who were selected by simple random sampling technique. Stress was measured using the Stress Self-Rating Questionnaire-20. The data were analyzed by T-test. The results showed an increase in the average of blood glucose levels from 2022 (mean 197.97; SD 87.96) to 2023 (mean 232.55; SD 93.04). Most respondents were not stressed (57.3%), the average blood glucose level of the stress group respondents was 274.26 (SD: 97.02), while the average blood glucose level of the non-stressed group was 201.47 (SD: 77.22). The results of the analysis showed a significant difference in blood glucose levels of the two groups of respondents (p value<0.001). The results of this study corroborated previous studies that showed stress as a factor that can affect blood glucose levels of DM sufferers and the stress management ability is important to have in order to maintain normal blood glucose levels.
Effect of mHealth based intervention on Maternal Knowledge and Practices of Child Care: A quasi-experimental study Siswati, Tri Siswati; Sitasari, Almira; Paramashanti, Bunga Astria; Tjaronosari, Tjaronosari; Nurhidayat, Nurhidayat; Wijanarka, Agus; Waris, Lukman
Public Health of Indonesia Vol. 10 No. 1 (2024): January - March
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i1.756

Abstract

Background:Child malnutrition contributes to elevated rates of mortality and morbidity, profoundly affecting child welfare. Maternal childcare knowledge and practices play a pivotal role in addressing this issue. Objective:This study aims to evaluate the impact of the mHealth App on maternal knowledge and practices in child care. Method:A randomized controlled trial was conducted in Yogyakarta, Indonesia, from May to August 2022. Mother-child pairs were assigned to either the intervention (n=100) or control (n=100) groups. Data on maternal knowledge and practices were collected at baseline, follow-up 1, and follow-up 2. Maternal knowledge was assessed using a structured questionnaire covering child growth and development, while feeding practices were evaluated using a yes-no checklist. The analysis of maternal knowledge and practices involved mean difference, t-test, and general estimating equations in STATA-15. Result:The results revealed a consistent increase in knowledge and practice scores between follow-ups 1 and 2. The mHealth application significantly enhanced maternal knowledge about child growth, development, and feeding at follow-up 2 compared to baseline, with improvements of 1.42 (CI 95% 1.34-1.89), 1.32 (CI 95% 1.22-1.72), and 1.45 (CI 95% 1.34-2.42), respectively. Additionally, growth and development monitoring practices increased by 0.80 (CI 95% 0.08-0.99) and 0.98 (CI 95% 0.21-0.99). Conclusion:The mHealth application significantly enhances maternal knowledge and practices related to child growth, development, and feeding. Key words: mHealth; maternal; knowledge; practices; children
Evaluation of the Sustainability of the Essential Public Health Effort Program at the Team-based Nusantara Sehat Assignment Health Center, Ministry of Health, Republic of Indonesia waris, lukman; Arifiati, Nurce; Hendarwan, Harimat; Siswati , Tri
Muhammadiyah International Public Health and Medicine Proceeding Vol. 3 No. 1 (2023): PROCEEDING MUHAMMADIYAH INTERNATIONAL PUBLIC HEALTH AND MEDICINE CONFERENCE - T
Publisher : Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61811/miphmp.v3i1.460

Abstract

Background: The Nusantara Sehat Team-based Program (NST) is a program that places health workers with 9 categories of health professionals in remote border areas and islands (DTPK) for 2 years every batch. NST aims to fill the shortage of health workers at the DTPK puskesmas so that the main tasks of the puskesmas can continue. This study aims to evaluate the sustainability of the essential public health program at the NST placement center between 2016 and 2018. Method: Quantitative research method with cross-sectional design. The population is the NST batch 1-2 community health center (2016) as post-placement and NST batch 6-8 health center (2018) as placed in 28 provinces, 43 districts, and 39 health centers. The sample is the community at the placement and post-placement health centers. Data collection was carried out by interviewing the people who were selected as samples using a questionnaire by trained enumerators. A statistical test was conducted to assess the average coverage index of the essential public health program at the puskesmas by comparing the average coverage index of the program during placement and after placement with an independent t-test. The result: The results of the study showed that the NST essential public health program experienced sustainability, as seen from the results of statistical analysis, it was found that p = 0.26 95% CI (0.11-0.41) at the NST placement health center and p = 0.76 95% CI (0.36-0.49) at post-placement health centers. Sustainable programs are health promotion, empowerment, environmental health, MCH, and Nutrition. Programs that are not sustainable are disease prevention
ASSESSING POSYANDU CADRES’ READINESS IN IMPLEMENTING INTEGRATED PRIMARY HEALTH SERVICES IN YOGYAKARTA, INDONESIA Siswati, Tri; Olfah, Yustiana; Attawet, Jutharat; Nurhidayat, Nurhidayat; Waris, Lukman
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 13 No. 1 (2025): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v13i1.2025.44-57

Abstract

Background: The readiness of Posyandu (a community-based health service) cadres’ to implement the Integrated Primary Health Services (Integrasi Layanan Primer/ILP) is vital to advancing preventive and promotive care. Aims: This study aims to evaluate the cadres’ readiness, identify challenges, and propose effective strategies for sustainable implementation. Methods: A mixed-method design from April to June 2024. 113 cadres from Kulon Progo, Sleman, and Yogyakarta City participated in a cross-sectional study. Cadres' readiness was evaluated based on the posyandu cadres’ basic skills training curriculum. Ten informants were interviewed to explore the opportunities, needs, and limitations of the ILP implementation. Descriptive statistics were used for data analysis. Results: Most cadres (63.7%) were aged 41–50 years, 60.2% had completed senior high school, and 72.6% were housewives. The cadres demonstrated high readiness for ILP implementation, with the main needs in the form of improving logistics, funding, training, and community participation. In addition, there was a need to improve the literacy and skills of cadres in providing health services across the life stages, such as immunization, growth and development monitoring, and infant and child feeding. Conclusion: Posyandu cadres are ready to implement the ILP; however, strengthening cadres’ capacity and fostering community collaboration are key strategies for ensuring the sustainability of the program and achieving health transformation. Keywords: cadres, health transformation, integrated primary service, posyandu