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Journal : MANDALA of Health

SURVEI CEPAT: KARAKTERISTIK & PREVALENSI ANEMIA IBU HAMIL DI KABUPATEN SUKOHARJO TAHUN 2011 Wibowo, Yudhi; Prihatmo, Wisnuwijoyo
MANDALA of Health Vol 7, No 3 (2014): Mandala Of Health
Publisher : Jurusan Kedokteran FK Unsoed

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Abstract

In pregnant women, anemia increases the frequency of complications of pregnancy and childbirth. Maternal mortality in Sukoharjo mainly due to eclampsia 10 cases (47.62%), bleeding in 4 cases (19.05%) and others 7 (33.33%). This rapid survey aims to obtain a picture of the characteristics and prevalence of anemia in pregnant women in Sukoharjo District in 2011. Population of maternal anemia were all pregnant women registered in March 2011. If the assumption that pervalence of maternal anemia in the population of 3.92%, the maximum acceptable in the 95% confidence interval is 10% or 49% upper limit and lower limit of 30%, with a design effect of low category (2), and 1 person per eligible household with 30 clusters in the first stage and seven pregnant women in the second stage of the samples, so respondents of the Rapid Survey are 210. Characteristics of respondents are not or low educated at 45.8%. Families with incomes below the minimum wage by 42.9%, 65.4% of pregnant women did not work, 78.8% of pregnant women get TTD <90 tablets and ANC ≥4 times has only reached 65%. The prevalence of maternal anemia was 51.3% and prevalence of KEK of 24.6%. Most respondents (59.3%) receiving the number of TTD  approximately 10 tablets. To improve the health of the mother then the quantity and quality of ANC services improved. Early detection of risk factors more attention. Services are based on the provisions of SOP conformity; and the quantity and quality of TTD improved. TTD should be given a total of 30 tablets at once. 
ANALISIS MASALAH KESEHATAN DI KABUPATEN SUKOHARJO TAHUN 2010 Wibowo, Yudhi; AP, Wisnuwijoyo
MANDALA of Health Vol 7, No 3 (2014): Mandala Of Health
Publisher : Jurusan Kedokteran FK Unsoed

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Abstract

In order for any program capable of reaching targets optimally , it requires good planning . One step that must be taken is to do a Community Health Analysis (CHA). The goal of CHA is to obtain an overview status of public health in the working area of the District Health Office Sukoharjo , Central Java Province in 2010 . This study was a descriptive observational by analyzing secondary data of Sukoharjo Health Department . How to determine the priority of the problem with the Hanlon method using four criterias : 1 ) The magnitude of the problem ; 2 ) the urgency of the problem ; 3 ) Ease of countermeasures ; 4 ) PEARL factor. Identified health problems in 2010 is maternal mortality 152.28/100.00 Live Births (LB) (target 80.41/100.000 LB) , incidence rate (IR) of DHF 51.59/100,000 population (target < 20/100.000 population ) , Case Fatality Rate (CFR) of DHF 2.3 (target <1 ) , Case Detection Rate (CDR) Acid-Fast Bacilli smear (+) 25.91 % (target 85%) , diarrhea coverage which handled 94.7 % (target 100 % ) , 567 cases of chikungunya cases is still high , the UCI 92.22 % (target 100 %) , 1 leptopsirosis new cases , 1 case comfirm AI died , the number of HIV/AIDS increased from 7 cases (2009) to 12 (2010), the incidence of stroke increased from 3,417 cases (2009) to 3,481 (2010), essential hypertension is highest prevalence of NCDs group is 35 028. The order of priority of the problem is 1) IMR ; 2) DHF ; 3) Immunization ; 4) AI ; 5) TB ; 6) Type II DM and 7) Essential Hypertension . Maternal & Child Health program is a priority issue for IMR that exceeded the national target, infectious disease dengue, AI, tuberculosis and NCDs is Type II DM and essential hypertension is also a health issue. The cause of the problem related to environmental factors and behavioral and community empowerment.
ANEMIA IBU HAMIL TRIMESTER II SEBAGAI FAKTOR RISIKO BERAT BAYI LAHIR RENDAH (BBLR), LAHIR PREMATUR DAN LAHIR MATI DI KABUPATEN SUKOHARJO JANUARI-OKTOBER 2011 Wibowo, Yudhi; TB, Rahayujati; AP, Wisnuwijoyo
MANDALA of Health Vol 7, No 1 (2014): Mandala Of Health
Publisher : Jurusan Kedokteran FK Unsoed

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Abstract

Sukoharjo, in 2010, the Infant Mortality Rate (IMR) 66.7 % occurred in the neonatal period with the largest direct cause of LBW was 26% , others 22 % , 17 % asphyxia , 12% congenital anomalies and pneumonia 9% . In 2010,  prevalence of maternal anemia was 3.92 %, but the number of Low Birth Weight (LBW) and infant mortality actually increased . This research is to prove that maternal anemia in the second trimester as risk factors of LBW , premature birth and stillbirth . Analytic observational study with a retrospective cohort study design . Subjects were all pregnant women who have given birth in the month of January to October 2011 and had no history of anemia in Trimester I. The chi-square test to examine the association of maternal anemia in the second trimester with outcomes . Binary logistic regression was used to control potential confounding variables . There are 236 women giving birth who meet the inclusion and exclusion criteria , 72 (30.5 %) were exposed group (anemic trimester 2) and 164 (69.5 %) including the unexposed group (non-anemic trimester 2). Maternal anemia in the second trimester who delivered LBW (61.9 %) , premature birth (91.2 %) and stillbirths (75 %) . Maternal anemia in the second trimester was  3.7 times increased risk for LBW (p < 0.01 , RR = 3.7 ( 2.73 to 4.99 ) , increased the risk more than 23 times for the incidence of preterm birth (p < 0,01 , RR = 23.5 (7.44 to 74.50) , but not statistically significant (p=0.08 ) and RR = 6.83 (0.72 to 64.58) for the incidence of stillbirth . After controlling for potential variable modifier is a history of LBW , preterm birth and history of the ANC , maternal anemia in the second trimester  increase more than 4 times the risk for LBW with Adjusted RR = 4.43 (2.73 to 7.18) and p < 0.01 . LBW and preterm birth is more common in pregnant women with anemia TM2 so important to have checks Haemoglobine in pregnant women according to gestational age and follow-up.
SURVEI CEPAT: STRATA PERILAKU HIDUP BERSIH DAN SEHAT (PHBS) SERTA FUNGSI FISIOLOGIS KELUARGA DI DESA TAMBAKSARI KIDUL KECAMATAN KEMBARAN MEI – JUNI 2010 Wibowo, Yudhi
MANDALA of Health Vol 4, No 2 (2010): Mandala Of Health
Publisher : Jurusan Kedokteran FK Unsoed

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Abstract

In order to improve the Healthy and Clean Life Behavior (PHBS), the Community Health Center(Puskesmas) I Kembaran, Kembaran Sub-District, Banyumas District has tried to apply the healthpromotion strategy. But the survey of PHBS on community have not done yet by Puskesmas I Kembaran,specifically for Tambaksari Kidul village. The purpose of this rapid survey study is to know the level ofPHBS and APGAR family in the households in Tambaksari Kidul, Kembaran Sub-District, BanyumasDistrict. The population of this study is all of the 3.960 people lived in Tambaksari Kidul, Kembaran Sub-District, Kembaran District. Through the simple random sampling on the second staged, 210 heads ofhouseholds of each cluster/village were selected to be the samples for this study. The data were analyzed bystatistics descriptive. This study showed that the level of PHBS in Tambaksari Kidul, Kembaran Subdistrictwere Pratama (0,50%), Madya (21,80%), Utama (73,70%), Paripurna (3,60%) respectively. Thetarget of PHBS by 2010 was achieved beyond 65%. The value of APGAR family were the healthy family(82,25%), enough healthy family (13,82%) and unhealthy family (0,92%) respectively. The policymakers are suggested to guarantee and to keep the availability and continuity of population-based surveyfor the availability data of PHBS and APGAR family. Puskesmas must be able to manage the potential ofcommunity and the available word business in its work area and to analyze the situation as the basic of thePHBS health strategy program planning and development. Puskesmas should improve the quality of intersectoralcooperation between the unit of government organization and that of community organization.