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Faktor yang Mempengaruhi Persepsi Kemudahan dan Kemanfaatan Penggunaan Sistem Informasi Manajemen RSU Kaliwates Jember Tahun 2019 Famela Niken Arista Furi; Christiyana Sandra; Eri Witcahyo
Pustaka Kesehatan Vol 9 No 1 (2021): Volume 9 No.1, 2021
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v9i1.21025

Abstract

Kaliwates General Hospital is a privately owned public service body with full accreditation status for five services and was established by the Ministry of Health of the Republic of Indonesia on December 31, 2010, No.Y.M.01.10/III/7957/10. At the beginning of its development, Kaliwates General Hospital managed data and information using still manual systems. In 2012 Kaliwates General Hospital began using computerized management information systems and changed vendors in 2015. This research is an analytical study with an observational approach. In this study, researchers tested hypotheses on the influence of institutional factors, social factors, and individual factors independently and together influenced the perceived ease and prestige of the usefulness of information systems. Institutional factors, social factors, individual factors, and ease of use significantly affect perceived usefulness in the Kaliwates general hospital management information system.
Faktor yang Berhubungan dengan Pemanfaatan Pelayanan Antenatal oleh Ibu Hamil di Wilayah Kerja Puskesmas Tempurejo Kabupaten Jember Tahun 2013 (Correlated Factors of Antenatal Services Utilization by Pregnant Women at Community Health Center of Tempurejo, Ulul Lailatul Mardiyah; Yennike Tri Herawati; Eri Witcahyo
Pustaka Kesehatan Vol 2 No 1 (2014)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Antenatal care is a governmental program as part of efforts to reduce maternal mortality. Indicators of success for prenatal care is K4 scope. Tempurejo Health Center has the lowest coverage of K4 in Jember in 2012 with its percentage is 61.38%, less than the target (94%). The purpose of this study was to analyze correlated factors of antenatal services utilization by pregnant women at Community Health Center of Tempurejo which includes knowledge, attitudes, beliefs, availability of health care, service of 10T, affordability, worker’s service, and family support. This study is a cross sectional analytic design. Samples are 87 pregnant women who stay in the working area Tempurejo Health Center with the age of pregnancy of the 2nd and 3rd trimester. Collecting data using questionnaires and analyzed using correlation Somers'D with Confidence Interval 95%. The results showed correlation between knowledge, attitudes, service of 10T, affordability, worker’s service and family support officer with antenatal services utilization. However, there was no correlation between beliefs and availability of health care with antenatal services utilization. Keywords: pregnant women, antenatal care, utilization
KADAR TIMBAL DALAM DARAH DAN KEBIJAKAN PENCEGAHAN PADA PENGEMUDI LYN TV DI KOTA SURABAYA Eri Witcahyo
Jurnal Ilmu Kesehatan Masyarakat Vol 10 No 2 (2014)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

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Abstract

Timbal merupakan salah satu polutan udara yang memiliki dampak bagi kesehatanmanusia. Penggunaan timbal masih dapat dijumpai sebagai penambah nilai oktan padabahan bakar, meskipun dengan jumlah yang sangat terbatas. Pengemudi merupakan salahsatu kelompok yang terpapar oleh pajanan timbal dan karena sifatnya yang memilikiwaktu paruh lama, timbal dalam darah dapat terakumulasi pada tulang dan memberikandampak kesehatan yang buruk. Penelitian ini bertujuan untuk mengidentifikasi kadartimbal dalam darah responden dan mengkaji kebijakan organisasi dalam upayapencegahan terhadap paparan timbal. Jenis penelitian ini adalah deskriptif observasionaldengan rancang bangun cross sectional. Unit analisis penelitian ini adalah seluruhpengemudi lyn TV Kota Surabaya dengan sampel sejumlah 29 responden. Hasil penelitianmenunjukkan kadar Pb darah responden lebih banyak terdistribusi pada ≤ 10 µg/dldengan persentase 72,4%. Distribusi rerata nilai kadar Pb dalam darah responden (8,74 ±1,80 µg/dl) memiliki nilai minimum sebesar 5,480 µg/ dl dan 11, 784 µg/ dl pada nilaimaksimumnya atau berkisar pada nilai rata-rata 8,7428 µg/ dl. Selain itu belum adanyaupaya di organisasi untuk mengurangi paparan timbal bagi pengemudi sehingga perludiadakan tindakan pencegahan dengan pemeriksaan kesehatan minimal 6 bulan sekali. Kata Kunci: timbal, kebijakan, pencegahan, pengemudi
HUBUNGAN PERILAKU SEHAT SANTRI DENGAN KEJADIAN SCABIES DI PONDOK PESANTREN KABUPATEN LAMONGAN Isa Ma’rufi; Erdi Istiaji; Eri Witcahyo
Jurnal Ilmu Kesehatan Masyarakat Vol 8 No 2 (2012)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

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Scabies is a common skin disease among the students ofthe boarding school. Scabies is caused by mite infestation as called as Sarcoptes scabiei that can spread easily from human to human, animal to animal or humans to animal sinstead. The purpose of this studyis to measure the prevalence of scabies in students, and to analyzethe relationship between the incidences of scabies by healthy behaviors in students of boarding school at Lamongan, East Java. The type of research is observational and cross-sectional study. Total populationis 59.650 students with a sample ofthe studywere 338 students. The sampling technique on this research was multistage random sampling method. The results showed that 217 students (64.2%) suffered from scabies, and 121 students (35.8%) did not suffer from scabiesor healthy. Based on the statistical test by Chi-square, there is a relationship between the incidence ofscabies by healthy behaviors (p<0.05). It is suggested need for counseling and training on a regular basis about healthy behavior and clean forthe students. Need for cooperation with other agencies, such as Communities Health Center (Puskesmas) in order to prevent and control the incidence of scabiesin students of boarding school.
PERSEPSI MASYARAKAT DALAM PENGELOLAAN SAMPAH BERBASIS PARTISIPASI MASYARAKAT DI KOTA SURABAYA Eri Witcahyo; Isa Ma'rufi
Jurnal Ilmu Kesehatan Masyarakat Vol 7 No 2 (2011)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

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By increasing human population, the problem of waste is become a serious problem in urban communities. Surabaya is the second largest city produce waste as much as 8,700 m3/day. Alternative solutions in dealing with municipal waste are waste management based on community’s participation. The purpose of this study was to determine the public perception in community-based waste management. Type of research is an observational by comparing between assisted and unassisted areas. Sample on research is 1000 people. Analyze technique used are descriptive and analytical. The results showed that respondents in assisted areas who have perception suggest in a way to handling municipal waste is sorting and processing at point of source (household/ neighborhood) are 72.6% (range 52.9 – 89.0%). The amount is higher than in the control/ unassisted areas, which only 43.9% respondents (34.8 – 76.2%) who have the same perception. Chi-square test result demonstrated the value of P = 0,000 which is smaller than α = 0.05. According to the result, it is suggested to assisting enhancement at communities by intensive and integrated surveillance monitoring supported. Establishment of natural leader from the communities is the effective’s way to optimizing the participation communities program.   Keywords : perception, waste management, community’s participation
ASPEK KOGNITIF DAN AFEKTIF MASYARAKAT TERHADAP MANAJEMEN PELAYANAN KIA DI KABUPATEN JEMBER Eri Witcahyo
Jurnal Ilmu Kesehatan Masyarakat Vol 11 No 2 (2015)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

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Abstract

Jember is one of the districts with high MMR (102/100.000 live births) and IMR (23/1000 live births) at 2015 in East Java. This indicates that the service utilization Antenatal Care (ANC) in the existing health care facilities in Jember still not optimal. Most of the causes of health care utilization that occurred in the community affected by the behavior of the model of society in choosing and utilizing the health service. Identify the distribution of respondents' knowledge and attitudes about the MCH services. The study is a descriptive observational study with cross sectional design. The unit of analysis of this study is the entire women who have earned MCH services, with a sample of 29 respondents. Respondents assess the health services provided are good (96.6%), whereas the components of MCH services, materials and medicine, counseling, care of infants and toddlers and the availability of staff each got a good assessment of 96.6%, laboratory services and physical facilities laboratory respectively 65.5% and 69%. In the knowledge about the treatment of infants, children and infants, respondents is low include the treatment itself against infant diarrhea (69%) and supplementary feeding after 6 months (72.4%).Keywords: cognitive, affective, management, MCH services
GAMBARAN PELAKSANAAN KEGIATAN KIA DI KABUPATEN SERANG Eri Witcahyo; Isa Ma’rufi
Jurnal Ilmu Kesehatan Masyarakat Vol 9 No 1 (2013)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

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Abstract

Serang is ones of district of Banten Province which has problem at maternal, neonatal, child health. Maternal and child mortality rate shows increase trend each years. The purpose of this study was to describe Maternal & Child Health activities implementation at communities. Type of research is descriptive by interview technique. Informants on the study are midwife coordinator and manager line at each Community Health Center (Sub District Pamarayan, Kramat Watu and Tirtayasa). The results showed that according to the informant are partnership between midwives and TBA has to improve, reward system is also give to community to increase their participate at all of Maternal & Child Health activities which held by government. Social activities at community are also the meaning part to improve Maternal & Child Health activities. According to the result, it is suggested to create innovative program for communities. It needs to use effective methods and media so that communities impress to join the activity. Participatory approach is also important to improve community participative.
MAPPING AND CRITICAL LAND MANAGEMENT AS EFFORTS TO CONTROL CLIMATE CHANGE IN LAMONGAN Isa Ma'rufi; Eri Witcahyo
UNEJ e-Proceeding International Conference on Agribusiness Marketing (ICAM) 2012, Faculty of Agriculture, University o
Publisher : UPT Penerbitan Universitas Jember

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Abstract

Development of agricultural sector should be able to develop the potential ofnatural resources, particularly optimization of land and environmentally sounding. Inaddition to the program intensification, extensification and agriculture diversification,rehabilitation of land is also an effort that can be taken to scale up the productivity of land.The purpose of study was to analyze the potential and critical level of land which ispresented in the form of maps and recommended management actions as efforts to controlclimate change in Lamongan. Sample of this study was two groups; there are soilcomponents and communities. Soil components which studied were physical environment,morphology and chemical of land, topography, land closures and nature of erosion.Communities variable which studied were perceptions of soil fertility, plant speciescommonly planted, plan habit at certain seasons, agricultural issues that commonly arise orencountered, strategies and expectations of development of the land. Laboratory results ofsoil texture in six districts showed that the majority districts were having clay loam, claydust, and dusty clay loam textured. From the results of the laboratory, soil textures at thedistricts are less than ideal for agriculture but still potential. The average of land potentiallevel at six districts was adequate, although there are some areas and villages were stillmoderate moreover very critical. Each district showed their average land potential, thereare moderate at Sukorame District, Bluluk District, Modo District, Ngimbang District andSambeng District, while Mantup District has the potential land. It is recommended for themanagement of critical land of rice fields in six districts was studied by conservationfarming which combine mechanical and vegetative conservation techniques in anintegrated farming patterns. The goals are to increase farm productivities and farmerincomes, reducing the rate of erosion, and increase farmer participation in conservation ofsoil and water resources.
RISK MANAGEMENT OF DUE TO EXPOSURE TO PESTICIDE POISONING FOR TOBACCO FARMERS IN THE JEMBER DISTRICT Eri Witcahyo; Isa Ma’rufi
UNEJ e-Proceeding Proceeding of 1st International Conference on Medicine and Health Sciences (ICMHS)
Publisher : UPT Penerbitan Universitas Jember

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The main problem is the use of pesticides at thistime when farmers use pesticides and not on thebasis of necessity be indicative, but carried out"blanket cover system", it means there is not a plantpest or noxious poison that is constantly sprayed toplant. Besides spraying technique is sometimesdownwind, causing farmers unknowingly inhalepesticides. Excessive pesticide use behavior as itactually causes new problems that their pesticideresidues in agricultural products, and ultimatelyharm the farmers and the wider community both hissafety and health (MOH, 2006).The issue of pesticide use also occurs in tobaccofarmers in Jember district, most of the farmers donot pay attention to the rules of the use of pesticidesand the use of PPE is not standardized so it is veryrisky to poisoning by pesticides. Jember is one of themajor tobacco-producing areas in Indonesia. Typesof tobacco grown in this region are the na-OogstBesuki tobacco. Besides to its rich aroma, this type oftobacco were famous because of its elastic so it isfitting to be a cigar wrapper. That's what makes thistobacco known in international marketPesticides are chemical substances that are used formaterial used to control, reject, lure, or eradicatepests. Pesticides have a major role in increasingagricultural production. Based on the experience inLatin America with the use of pesticides can increaseproduction up to 40% on cocoa. In Pakistan,pesticides help increase sugarcane production by33%, and based on the record FAO pesticide use cansave 50% on the results of the cotton plant (Sudomo,1992; Mahyuni, 2015)In agriculture, use of pesticides has been perceivedbenefits to increase production. The presence ofpesticides benefits and advantages such as rapidreduce the population of pests of plants with alonger period of control, easy and practical to use it,easily manufactured on a large scale and easilytransported and stored. It was economical beneficialin use of pesticides. However, that does not meanthe use of pesticides does not cause adverse effects.Pesticides enter the body through the skin,absorption through the skin continue for pesticidesstill in the skin, through the mouth (ingestion) due toaccident, negligence or intentional (suicide) wouldresult in severe poisoning and death, throughbreathing can be a powder, droplets or steam cancause serious damage to the nose, through thethroat if inhaled quite a lot. Then through bloodcirculation can finally get into the organssystematically. Organs are usually exposed to toxinsare the lungs, liver (hepatic), central nervous system(brain and spinal cord), bone marrow, kidneys, skin,nervous edge, and blood. The toxic effects on thebody also will give local effects such as irritation,allergic reactions, dermatitis, ulcers, acne and othersymptoms (Ekti, 2007).Manifestations class organophosphate pesticidepoisoning occurs in various organs in the body. Mildsymptoms that often arises is dizziness, blurredvision, hyper saliva, nausea, vomiting, diarrhea, andeven can cause severe bronchospasm andrespiratory muscle paralysis with manifestations ofshortness of breath, as well as abnormalities in theheart, namely the occurrence of cardiac arrhythmias.On acute exposure, class of organophosphatepesticides can cause respiratory problems.Disruption of the respiratory center will cause asymptom that leads to the progressive bradipneubreathing. Health problems occur due to the doseand frequency that do not fit. As an example, a doseof 1 ml of pesticides with high value activeingredients used for 1 ha of crops, farmers usepesticides in their application for theorganophosphate class of ½ ha with a reason topests or plant pests (OPT) that attack die soon. Thefrequency of spraying more than 3 times a month isnot good for health and the standard pesticidespraying (Arifiyanto, 2008).Risk analysis is a process consisting of the steps thathave been formulated, having the sequence (steps)and assist in making better decisions by looking atthe risks and impacts that may occur. Riskmanagement is a systematic method that consists ofProceeding ICMHS 2016 ISBN 978-602-60569-3-1205establishing the context, identifying, researching,evaluating, treatment, monitoring andcommunicating risks associated with any activity,process or function so as to minimize losses of thecompany (AS / NZS 4360; 2004).The process of risk analysis as contained in the RiskManagement Standard AS / NZS 4360, which include(1) Communication and consultation, risk analysisneeds to be communicated to all parties.Communication used may be circular, practicalguidance, communication forums, handbooks orguidelines; (2) define the context (purpose), thisprocess takes place within the framework of theorganization's strategic, organizational and riskmanagement context; (3) Risk identification, thisstep seeks to identify risks to be managed, should beusing a good system. Risk identification shouldinclude either exists or does not exist in theorganization; (4) Risk analysis, aiming to separatesmall and large risks and provide the data evaluationand improvement; (5) Risk evaluation, is to evaluatethe risks if those risks are acceptable or not, (6) Riskmanagement is the realization of a risk managementefforts workplace.The objective of this study was to analyze the risk ofpesticide poisoning in the tobacco farmers inJember.
RESOURCES REQUIRED IN CLINICAL PATHWAY FOR TYPHOID FEVER TREATMENT AT KALIWATES GENERAL HOSPITAL IN 2017 Pratiti Swesti Komala Dewi; Christyana Sandra; Eri Witcahyo
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 7 No. 2 (2019)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (615.433 KB) | DOI: 10.20473/jaki.v7i2.2019.155-161

Abstract

Background: A clinical pathway is a concept of an integrated service which describes the stages of healthcare services from the admission until the return of  patients based on the medical service standards and evidence-based nursing care with measurable results. Kaliwates General Hospital is an accredited hospital with a clinical pathway. Typhoid case was the highest disease in 2017 at Kaliwates General Hospital.Aims: This study aims to describe the resources at Kaliwates General Hospital in the implementation of clinical pathways, especially typhoid fever treatment.Method: This study was a descriptive and qualitative study. Nine respondents were selected using purposive sampling, including one internist and the quality team at Kaliwates General Hospital. The variables studied include human resource factors, budget factors, method factors, and time factors.Results: The results suggested that the human resources at Kaliwates General Hospital had high commitment, motivation, and moderate knowledge in the implementation of clinical pathways. All equipment and documents were considered adequate. The communication among the implementers was good, but compliance and training for staffs were considered less prominent. The task division of each staff was fairly distributed even though the pharmacy unit perceived that the division was quite unfair.Conclusion: The implementation of the clinical pathway for typhoid fever treatment at Kaliwates General Hospital runs quite well. The hospital must identify and plan staff training regularly, prepare the job description appropriately, and perform performance appraisal based on the job description that has been developed.Keywords: clinical pathway, typhoid fever, resource.