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Persepsi Remaja Tentang Bahaya Merokok Ditinjau Dari Health Belief Model Siti Handam Dewi; Jasrida Yunita; Tin Gustina; Hetty Ismainar; Mitra Mitra
Jurnal Ilmu Kesehatan Masyarakat Vol 12 No 03 (2023): Jurnal Ilmu Kesehatan Masyarakat
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v12i03.1759

Abstract

Merokok dapat menimbulkan masalah kesehatan kronis, termasuk pada remaja. Tingkat perokok pada remaja usia 10-18 tahun meningkat dari tahun 7,20% tahun 2013 menjadi 9,10% tahun 2018. Penelitian ini bertujuan untuk mengetahui persepsi kerentanan, manfaat, hambatan dan aspek sosiopsikologi remaja tentang bahaya merokok ditinjau dari Health Belief Model. Jenis penelitian yang digunakan adalah kualitatif, dengan focus group discussion (FGD). Penelitian dilakukan di Kelurahan Sidomulyo Barat Kota Pekanbaru. Hasil Penelitian menunjukkan sebagian besar remaja percaya dirinya rentan terhadap bahaya akibat merokok, remaja berpersepsi baik jika tidak merokok akan memberikan manfaat kesehatan bagi tubuhnya, remaja percaya adanya hambatan jika tidak merokok, sebagian besar faktor utama yang mempengaruhi remaja merokok adalah teman dan gaya hidup. Diharapkan puskesmas membagikan poster kesehatan, modifikasi penyuluhan melalui media sosial, mengembangkan media sosial dalam kegiatan anti rokok dan diharapkan keluarga sebagai teladan untuk tidak merokok.
Prediktor Kepemimpinan Mutu dan Mutu Pelayanan Kesehatan di Rumah Sakit Komala Sari; Mitra Mitra; Jasrida Yunita; Budi Hartono; Dedi Afandi
Jurnal Kesehatan Manarang Vol 6 No 1 (2020): Juli 2020
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v6i1.131

Abstract

Law Republic Indonesia Number 44 of 2009 on Hospitals states health care institutions must improve higher quality and affordable services to highest health level. Quality leadership is continuous work method and process improve service quality, competitiveness and productivity. Health services quality is reference to the ideal level of health services. Hospitals health services quality will be good if the leadership carried out properly. In general hospital there was an absence Performance Report, disintegration and not sinergy between stakeholders in terms of health services quality. There was nothing of a Minimum Services Standards measurement, has not implemented a customer satisfaction based service pattern, service quality has not met national standards, which indicates that service quality is not optimum. Quality control activities not yet implemented, Standard Operational Procedure was also not optimal. Research objective was to know the effect of quality leadership on the quality of health services. Quantitative research type with analytic cross-sectional design. The study conducted in July 2017 in the Outpatient Installation. The population were all medical personnel and health workers with a sample of 100 people. Techniques for collected data using a questionnaire. The variables in this study were exogenous variables of quality leadership and endogenous variables of health services quality. Data analysis used Structural Equation Modeling - Partial Least Square. The results of the study obtained Values, Vision, Inspiration, Innovative, Systems View, Empowering, Customer Focus, were predictors of quality leadership. Professional standards, service standards, codes of ethics and standard operating procedures were predictors of health services quality. The value of T-Statistic 0.669 with a statistical value of 1.96 there was no significant effect of quality leadership on the health services quality.
Analysis of the Implementation of Convergence in Reducing Stunting in Meranti Islands Regency Siti Rukijah*; Mitra Mitra; Novita Rany
Riwayat: Educational Journal of History and Humanities Vol 6, No 3 (2023): Social, Political, and Economic History
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jr.v6i3.34017

Abstract

Implementation of convergence in an integrated stunting prevention program is already a national policy specified in Presidential Decree Number 72 of 2021 concerning Accelerating the Reduction of Stunting. Meranti Regency as a Regency in Riau province which is the location of the focus of stunting has not implemented efforts to reduce stunting in accordance with the convergence action guidelines. The coverage of the stunting prevalence rate in Meranti Islands Regency in 2022 is 17.5%. The research objective was to obtain in-depth information about the implementation of the stunting reduction program through convergence action in Meranti Islands Regency in 2023. This type of research is qualitative with a case study approach. There were 9 informants consisting of several related stakeholders, namely the Regional Apparatus Organization (OPD) as the holder and implementer of the stunting program. The triangulation used is the triangulation of sources, methods and data. The results of the research show that support policies in an effort to reduce stunting cases refer to Presidential Regulation Number 72 of 2021 and Meranti District Regent Regulations, the quantity of human resources, facilities and infrastructure and funding is still lacking. Planning, convergence implementation, monitoring and evaluation of stunting reduction have been carried out in accordance with Presidential Regulation Number 72 of 2021 and there are still obstacles in planning and implementing activities. The implementation of stunting reduction convergence in Meranti Islands Regency was able to reduce the stunting rate in 2019-2022 from 25.10% to 17. 5% or almost 2.5% annually. Bappeda and the head of the health office should work together to carry out ongoing advocacy to the local government and DPRD to obtain policy and financial support in efforts to prevent stunting in Meranti District
Analysis of the Implementation of Convergence in Reducing Stunting in Meranti Islands Regency Siti Rukijah*; Mitra Mitra; Novita Rany
Riwayat: Educational Journal of History and Humanities Vol 6, No 3 (2023): Social, Political, and Economic History
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jr.v6i3.34017

Abstract

Implementation of convergence in an integrated stunting prevention program is already a national policy specified in Presidential Decree Number 72 of 2021 concerning Accelerating the Reduction of Stunting. Meranti Regency as a Regency in Riau province which is the location of the focus of stunting has not implemented efforts to reduce stunting in accordance with the convergence action guidelines. The coverage of the stunting prevalence rate in Meranti Islands Regency in 2022 is 17.5%. The research objective was to obtain in-depth information about the implementation of the stunting reduction program through convergence action in Meranti Islands Regency in 2023. This type of research is qualitative with a case study approach. There were 9 informants consisting of several related stakeholders, namely the Regional Apparatus Organization (OPD) as the holder and implementer of the stunting program. The triangulation used is the triangulation of sources, methods and data. The results of the research show that support policies in an effort to reduce stunting cases refer to Presidential Regulation Number 72 of 2021 and Meranti District Regent Regulations, the quantity of human resources, facilities and infrastructure and funding is still lacking. Planning, convergence implementation, monitoring and evaluation of stunting reduction have been carried out in accordance with Presidential Regulation Number 72 of 2021 and there are still obstacles in planning and implementing activities. The implementation of stunting reduction convergence in Meranti Islands Regency was able to reduce the stunting rate in 2019-2022 from 25.10% to 17. 5% or almost 2.5% annually. Bappeda and the head of the health office should work together to carry out ongoing advocacy to the local government and DPRD to obtain policy and financial support in efforts to prevent stunting in Meranti District
Ketidaklengkapan Imunisasi Dasar pada Bayi Selama Pandemi Covid-19 di Wilayah Kerja Puskemas Bandar Petalangan Kabupaten Pelalawan Ilhamdsyah Harahap; Oktavia Dewi; Mitra Mitra
Jurnal Kesehatan Komunitas Vol 9 No 1 (2023): Jurnal Kesehatan Komunitas (Inpress)
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol9.Iss1.923

Abstract

Achievement of complete basic immunization at Puskesmas bandar Petalangan was only 77.7%. There are various causes for the low achievement of Complete Basic Immunization such as remote and difficult to reach immunization service locations, irregular service schedules and incompatible with community activities, unavailability of immunization cards (MCH handbook), low public awareness and knowledge of benefits. The research objective was to know the timeliness of the implementation of basic immunization in infants during the Covid-19 pandemic in the work area of the Bandar Petalangan Community Health Center, Pelalawan Regency in 2020. The research method used a cross sectional design with a population of mothers who had babies aged 3-12 months, totaling 257 people with a sample. totaled 161 people. The sampling technique used accidental sampling. Data analysis was performed using univariate, bivariate and multivariate multiple logistic regression. The results showed that there were 54 mothers (33.5%) who were not on time in basic immunization, variables related to the timeliness of basic immunizations were maternal education (POR = 2.9), affordability of immunization sites (POR = 3.6) and family support (POR = 3.3). It is recommended that BLUD Puskesmas bandar Petalangan be able to increase and equalize posyandu service facilities, increase information and education communication (KIE) efforts to mothers and families about the importance of basic immunization in infants and increase the role of volunteer health.
The Effect of the Covid-19 Pandemic on Community Behavior in the Implementation of an Indonesian Healthy Program with a Family Approach (PIS-PK) in the Work Health Center Pekanbaru Dhea Adellina Riyadi Dhea Adellina Riyadi; Novita Rany; Ahmad Hanafi; Mitra Mitra; Dedi Afandi
Jurnal Kesehatan Komunitas Vol 9 No 1 (2023): Jurnal Kesehatan Komunitas (Inpress)
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol9.Iss1.1246

Abstract

The Indonesian Healthy Program with a Family Approach (IHP-FA) is a program that aims to know real problems in the community, improve quality comprehensive services, and increase people to become members of the National Health Insurance. Based on the profile of the Health Center in 2020, there was a decrease in the implementation from 83.4% to 77.01%. The purpose of this study was to find out the effect of the COVID-19 pandemic on people's behavior in the implementation of the Indonesian Healthy Program with a family approach at the Health Center. This research method used a qualitative type with a phenomenology. Informants to 12 people. Data was collected by means of in-depth interviews, observation and document review. Data analysis used content analysis and triangulation to see the validity of the data. The results  the role of health workers here was very necessary in order to achieve the goals and achievements, but due to the pandemic, health workers were more focused on handling and stopping the COVID-19 spread. Can be concluded that pandemics COVID-19 effect the behavior of the people in the implementation. Suggested officers health more and promotion to and related to the implementation of pandemic the protocol COVID-19 according to health.
The Pengaruh Modifikasi Buah dan Sayur Terhadap Konsumsi Buah dan Sayur Pada Anak Sekolah Dasar Pangkalan Kerinci Nurwahidah Nurwahidah; Tri Krianto Karjoso; Yesica Devis; Meriwati Mahyuddin; Mitra Mitra
Jurnal Kesehatan Komunitas Vol 9 No 2 (2023): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol9.Iss2.1363

Abstract

Efforts to increase fruit and vegetable consumption in school-age children are carried out by providing training to parents and providing video tutorials on fruit and vegetable modification on social media (WA Group) through the intermediary of teachers. The low coverage of Clean and Healthy Lifestyle Behavior (PHBS) on fruit and vegetable consumption indicators in Pelalawan Regency and the results of the initial survey which showed the low frequency of bringing fruit and vegetable supplies to school children were the reasons behind this research. This study aims to determine the effect of the amount of fruit and vegetable consumption in elementary school children in Pangkalan Kerinci. This study uses a quasi-experimental research design with pre test-post test non-equivalent control group design. The study was conducted in July – August 2022 with a sample of 100 students (50 in the treatment group and 50 in the control group). Data analysis was carried out univariate and bivariate using the Wilcoxon test and 1 sample T-test. The results found the highest significant average of fruit and vegetable consumption after the intervention was 63.1 grams and 134.1 grams in the treatment group and 63.9 grams and 128.8 grams in the control group. The conclusion of this study shows that there is a difference between the frequency of consumption of fruits and vegetables before and after the intervention. Suggestions in this study is that it is recommended for schools to make an appeal letter related to the fruit and vegetable consumption program once a week and expected to the Health office for increasing teachers education related to fruit and vegetable consumption in primary school children. Keywords : Fruits and Vegetabels, Elementary School, Modification.
ANALYSIS OF CLINICAL RISK SURGICAL SERVICES TO SUPPORT SERVICES QUALITY AT ARIFIN ACHMAD RIAU HOSPITAL Tubagus Odih R Wahid; Dedi Affandi; Zainal Abidin; Mitra Mitra; Abdur Rahman Hamid
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 11 No. 1 (2022): April 2022
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v11i1.11038

Abstract

Introduction: The quality of hospital services is one of the indicators. Its function as a health care provider by creating satisfaction through health services with the best quality, in its implementation will synergize with clinical risk management one of the surgical services. Purpose and Method: The purpose of research is to analyze the implementation of clinical risk management surgery in supporting the quality of hospital services, This research was conducted at Arifin Achmad Riau, with a qualitative approach to rapid assessment procedure research design through observation, in-depth interview and triangulation analysis. The number of informants as many as 8 people following the rules purposively. Results: Informed consent has been understood and filled in according to regulations, although there are sometimes unreadable and incomplete writings, but generally good with the marked lack of prosecution. Surgical Safety Checklist is good. Preoperative and postoperative diagnosis discrepancy recording and reporting sourced from the operating report sheet has been done well and understands what is meant in accordance with regulations. For the formation of the operations team is still dominated in the superior services and the implementation of consultation during operations has been well underway, although there are still constraints namely the limited availability of operating rooms and evaluation of operations team activities that have not been regularly carried out. Conclusion: Implementation of good clinical risk management implementation of surgery is proven to support the quality of service in Arifin Achmad Hospital, implementation of operations team and consultation during surgery in order to be maximized.
STANDAR KUANTITAS ANTENATAL CARE DAN SOSIAL BUDAYA DENGAN RISIKO ANEMIA PADA KEHAMILAN Mitra Mitra; Novita Yanti; Nurlisis Nurlisis; Oktavia Dewi; Hastuti Marllina
JURNAL KESEHATAN REPRODUKSI Vol 12 No 1 (2021): JURNAL KESEHATAN REPRODUKSI VOLUME 12 NOMOR 1 TAHUN 2021
Publisher : IAKMI South Tangerang Branch

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58185/jkr.v12i1.8

Abstract

Abstract Background: There was an increase of anemia in pregnant women and maternal death due to obstetric hemorrhage with hemoglobin (Hb) levels during pregnancy < 10 gr/dl in Indragiri Hilir District, Riau Province. Objective: This study aimed to analyze the association between standard of antenatal care (ANC) and socio-cultural factors and the risk of anemia during pregnancy. Methods: A cross-sectional design was used in this study. This study included 172 pregnant women in the 2nd and 3rd trimesters from the Sungai Piring Public Health Center's working area. Data of Hb level of pregnant women was obtained from the maternal register and the MCH book. Data on the quantity of ANC, socio-cultural, adherence to iron-folic acid tablet consumption, and characteristics of pregnant women were collected through questionnaire interviews. Bivariate and multivariate analyses were conducted by using chi-square test and multiple logistic regressions respectively. Results: As many as 71.5% of pregnant women experienced anemia. Anemia in pregnant women was significantly associated with standard of ANC quantity, sociocultural status, and economic status (p < 0.05). Inadequate ANC, poor socio-cultural, and low economic status increased the risk of anemia in pregnant women by 6.6 times, 11.4 times, and 3 times respectively. Conclusion: Standard of ANC quantity, socio-cultural, and economic status were dominant factors for anemia in pregnancy. Home visits or counseling through messaging applications can be carried out by health workers for pregnant mothers who do not attend ANC visits.   Keywords: Anemia, antenatal care, pregnancy, socio-culture   Abstrak Latar belakang: Terjadi peningkatan kasus anemia ibu hamil dan adanya kasus kematian ibu akibat perdarahan dengan kadar haemoglobin (Hb) darah saat hamil di bawah 10 gr/dl di Kabupaten Indragiri Hilir Provinsi Riau. Tujuan: Menganalisis hubungan antara standar antenatal care (ANC) dan sosial budaya dengan risiko anemia pada kehamilan. Metode: Studi ini menggunakan desain cross sectional. Sampel studi yaitu 172 ibu hamil trimester dua dan tiga di wilayah kerja Puskesmas Sungai Piring. Data kadar hemoglobin (Hb) darah ibu hamil diperoleh dari register ibu dan Buku KIA. Data kuantitas ANC, sosial budaya, kepatuhan konsumsi tablet tambah darah, dan karakteristik ibu hamil dikumpulkan melalui wawancara kuesioner. Analisis bivariat dilakukan dengan uji chi square dan multivariat dengan uji regresi logistik ganda. Hasil: Sebanyak 71,5% ibu hamil mengalamani anemia. Kuantitas ANC, sosial budaya, dan status ekonomi berhubungan signifikan dengan anemia pada ibu hamil (p < 0,05). Ibu hamil dengan kuantitas ANC tidak sesuai standar, sosial budaya tidak baik, dan status ekonomi rendah berpeluang berturut-turut sebesar 6,6 kali, 11,4 kali, dan 3 kali untuk mengalami anemia. Kesimpulan: Standar kuantitas ANC, sosial budaya, dan status ekonomi merupakan variabel yang dominan terhadap anemia pada kehamilan. Kunjungan rumah atau konseling melalui aplikasi perpesanan dapat dilakukan oleh petugas kesehatan bagi ibu yang tidak melakukan ANC.   Kata kunci: Anemia, antenatal care, kehamilan, sosial budaya
Evaluasi Pelaksanaan Program PMT-P pada Balita Wasting Yuanita Ayu Anugrahini; Mitra Mitra; Agus Alamsyah; Kiswanto Kiswanto; Zulfayeni Zulfayeni
Jurnal Ilmu Kesehatan Masyarakat Vol 10 No 01 (2021): Jurnal Ilmu Kesehatan Masyarakat
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v10i01.807

Abstract

Kementrian Kesehatan RI menetapkan Program Pemberian Makanan Tambahan Pemulihan (PMT-P) untuk mengatasi masalah gizi kurang pada balita. Masih rendahnya presentase balita yang naik status gizinya setelah mendapatkan makanan tambahan selama tahun 2019 menunjukkan adanya masalah dalam pelaksanaan program PMT-P di Puskesmas Sebangar. Tujuan penelitian ini untuk mengevaluasi pelaksanaan PMT-P pada balita wasting di wilayah kerja Puskesmas Sebangar berdasarkan komponen input, proses dan output. Penelitian menggunakan metode kualitatif dengan desain penelitian Rapid Assesment Procedur (RAP). Data primer dikumpulkan melalui wawancara mendalam dan observasi. Informan adalah petugas gizi, kepala puskesmas, bidan desa, kader posyandu dan ibu balita wasting. Hasil menunjukkan petugas gizi kurang berpengalaman dalam tugasnya menjadi penanggung jawab program PMT-P balita di Puskesmas Sebangar. Rendahnya pemahaman petugas mengenai pedoman program PMT-P balita disebabkan sosialisasi oleh petugas gizi belum maksimal. Tempat penyimpanan makanan tambahan baik di puskesmas maupun di desa tidak memenuhi syarat. Pemantauan oleh petugas tidak dilaksanakan sesuai pedoman atau petunjuk teknis PMT-P balita wasting. Output yang dihasilkan masih rendah hanya 1 balita dari 5 balita sasaran yang status gizinya menjadi normal. Pelaksanaan program pemberian makanan tambahan pemulihan pada balita wasting di wilayah kerja Puskesmas Sebangar tahun 2020 belum optimal karena masih ada beberapa komponen yang tidak sesuai pedoman Program PMT-P balita.
Co-Authors Abdur Rahman Hamid Afni Handayani Agus Alamsyah Ahmad Hanafi Aldiga R. Abidin Aldiga Rienarti Abidin Aldiga Rienarti Abidin Arman Arman Arnawilis Arnawilis Ary Setyaningsih Buchari Lapau Budi Hartono Budi Hartono chaliza bebby ewys Christine Vita Gloria Purba Christine Vita Gloria Purba Danil Sahputra Dedi Afandi Dedi Affandi Devis, Yesica Dhea Adellina Riyadi Dhea Adellina Riyadi Dince Safrina Erna Marni Ernawati Ernawati Ervira Dwiaprini As Syifa Fitri Ariani Hafiko Andresni Hastuti Marllina Hendri heriyadi heriyadi Herlina Susmaneli Herniwanti Herniwanti Hery Widijanto Heryudarini Harahap Hetty Ismainar Igha Viorela Br Karo Sekali Ika Putri Damayanti Ikhtiyaruddin Ilhamdsyah Harahap Indah Setia Ningsih Indah Indah Zuriati Ramadhani Intan Sari Irwan Muryanto Juli Selvi juli selvi yanti Kamali Zaman Karjoso, Tri Krianto Kiswanto Kiswanto Kiswanto Kiswanto Komala Sari Leonita, Emy Lita Maimun, Nur MARINI ARIESTA Marlina, Hastuti Matwimiyadi Matwimiyadi Maya Zulya Melda Syafitri Meriwati Mahyudin Merry Syafitri Mishbahuddin Mishbahuddin Mita Puspitasari Muhammad Ade Setiawan Muhammadiyah Muhammadiyah Novita Rani Novita rani Novita Yanti Novita Yanti Nurhapipa Nurlisis Nurlisis Nurlisis, Nurlisis Nurvi Susanti Nurwahidah Nurwahidah Nyimas Elsa Octa Aditia Oktavia Dewi Oktavia Dewi Priwahyuni, Yuyun Priwahyuni Rahayu, Endang Purnawati Rahma Putry Rahmalisa, Uci Rani Khairunisa Rany, Novita Reka Familia Renaldi, Reno Riri Maharani Rustam, Musfardi Said Mardani Salmiyenti yenti Siti Handam Dewi Siti Rukijah* Sri Desfita, Sri Suci Fanesa Febrilia Surya Mulya Fadli Syamsul Bahri Rivai TB Odih Rhomdani Wahid Tien Mastina Tin Gustina Tin Gustina Tin Gustina Tri Krianto Karjoso Tursini Tursini Yessi Harnani Yuanita Ayu Anugrahini Yuliani Putri Pratiwi Yunita, Jasrida Yuyun Priwahyuni Zahtamal Zahtamal Zainal Abidin Zainal Abidin Zulfan Saam Zulfan Sa’am Zulfayeni Zulfayeni