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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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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 â¥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 TTDÂ 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.Â

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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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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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, Â 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 wasÂ 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 trimesterÂ 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 â JUNI 2010 Wibowo, Yudhi
MANDALA of Health Vol 4, No 2 (2010): Mandala Of Health
Publisher : Jurusan Kedokteran FK Unsoed

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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.

SPATIAL MODELING OF THE SPREAD OF SCABIES AND ENVIRONMENTAL SANITATION AS A RISK FACTOR AMONG SCHOOLCHILDREN: A CASE-CONTROL STUDY Wibowo, Yudhi; Roestijawati, Nendyah; Krisnansari, Diah; Purnomo, Agoes Y
Universa Medicina Vol 39, No 1 (2020)
Publisher : Faculty of Medicine, Trisakti University

BACKGROUND Scabies is a World Health Organization neglected tropical disease common in children in low-and middle-income countries. The prevalence of scabies, especially in tropical countries, is still quite high at more than 200 million cases per year. Transmission of scabies is predominantly via skin-to-skin contact. The purpose of the study was to determine the epidemiology of clinical scabies among schoolchildren and spatial modeling using geographic information systems (GIS).METHODSA study of unmatched case-control design with a ratio of 1: 1 was performed to identify specific risk factors of scabies. Cases were patients with clinical scabies and controls were healthy people in the area. A total of 100 students were involved in the study. Simple and multiple logistic regression was used to test any association between the variables. Geographical Information Systems (GIS) modeling was used to determine the spatial distribution of clinical scabies based on 69 cases.RESULTThere was a significant association between the level of environmental sanitation and the prevalence of clinical scabies (OR = 2.53;95% C.I. 1.11-5.74). Multivariate analysis showed that the level of environmental sanitation was significant (AOR = 3.05;95% C.I. 1.19-7.81). Risk factors for developing clinical scabies increased to 3 times after considering other risk factors, namely gender, age group and respondent education level. Analysis of average nearest neighbor distance showed that the spatial distribution of clinical scabies was clustered. CONCLUSIONSThe distribution of clinical scabies was spatial clustering, and prediction of transmission in a clockwise direction with Southeast and Northwest ellipses.

Comprehensive Management of Atopic Dermatitis in Adult Patients Using a Family Medicine Approach Pratama, Radya Putra; Wibowo, Yudhi
Jurnal Ilmu Kedokteran Keluarga Vol. 3 No. 1: July 2024
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v3i1.25

Background: Atopic dermatitis is a chronic inflammatory skin disease that is multifactorial. Its management requires a comprehensive approach involving the family. Objective: To discuss the comprehensive management of atopic dermatitis in an adult using a family medicine approach. Case: A 48-year-old man presented with itchiness and dry skin on the neck and arms since 1 month ago. He was diagnosed with atopic dermatitis based on William's criteria. Topical and systemic therapies, education, and trigger modification were carried out. Conclusion: A comprehensive approach with family medicine is important to ensure optimal diagnosis and therapy in cases of atopic dermatitis, one of which is through patient family education.

Sosialisasi Peningkatan Pengetahuan dan Praktik Pencegahan dan Penanggulangan Covid-19 Di Kelurahan Rejasari, Purwokerto Barat Wibowo, Yudhi; Nendyah Roestijawati; Joko Mulyanto; Dyah Krisnansari; Siti Munfiah; M Fikri Marhadhani; Machfira Bulantrisna
The Journal of Innovation in Community Empowerment Vol 4 No 1 (2022): Journal of Innovation in Community Empowerment (JICE)
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/jice.v4i1.663

ABSTRAK Per tanggal 21 November 2020, di Kabupaten Banyumas, tercatat 1.341 kasus dan 43 kasus kematian. Di Kec. Purwokerto Barat tercatat 64 kasus dan di Rejasari tercatat 13 kasus dengan kematian 2 orang. Kelurahan Rejasari berada di Kecamatan Purwokerto Barat, terdiri dari 9 RW dan RW 3 merupakan kantong masyarakat tidak mampu yaitu 263 KK dari 391 KK termasuk keluarga pra-sejahtera. Upaya memutus rantai penularan covid-19 melalui 3M. Pengetahuan dan sikap masyarakat sangat mempengaruhi kepatuhan terhadap upaya pencegahan dan pengendalian covid-19. Tujuan kegiatan ini adalah meningkatkan pengetahun dan praktik pencegahan dan penangulangan covid-19. Metode dengan penyuluhan, simulasi dan praktik menggunakan masker dan cuci tangan menggunakan hand sanitizer yang benar sesuai ketentuan. Hasil uji Firedman dan Post Hoc Wilcoxon didapatkan peningkatan pengetahuan sebelum penyuluhan dibandingkan setelah penyuluhan, evaluasi 1 dan 2 serta berbeda signifikan secara statistik (p=0,005, p=0,032 dan p=0,043). Untuk sikap tidak berbeda signifikan secara statistik sebelum penyuluhan dengan setelah penyuluhan, evaluasi 1 dan 2 (p=0,393) dengan uji Friedman. Implikasinya bahwa penyuluhan meningkatkan pengetahuan peserta tentang covid-19. Simpulan bahwa masyarakat perlu diberi penyuluhan dan role model disiplin protokol kesehatan.

Risk Factors for Anxiety in Housewives during the COVID-19 Pandemic Khasana, Sifa Latif; Wibowo, Yudhi; Wulansari, Rahmawati
Journal of Epidemiology and Public Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2022.07.02.02

Background: The COVID-19 pandemic has a psychological impact on society, namely anxiety. Factors that influence anxiety during the COVID-19 pandemic are age, education level, occupation, and history of being diagnosed with COVID-19. This study aims to determine the risk factors for anxiety in housewives during the COVID-19 pandemic.Subjects dan Method: An observational analytic study with a cross-sectional approach was conducted in South Purwokerto, Central Java. The sample is 70 housewives selected by simple random sampling. The dependent variable is anxiety. independent variables were age, education, occupation, and COVID-19 infection. Anxiety was measured by the Hamilton Rating Scale for Anxiety (HRS-A) questionnaire. Other variables were collected by questionnaire. Data were analyzed using Chi-square.Results: Age 40 years (OR= 1.55; 95%CI= 0.76 to 3.14; p= 0.330), higher education level (OR= 1.96; 95%CI= 1.03 to 3.71; p= 0.070), informal occupation (OR= 1.24; 95%CI= 0.44 to 3.48; p= 1,000), and a history of COVID-19 infection (OR= 31.10; 95%CI= 4.44 to 217.91; p<0.001) increased anxiety among housewives.Conclusion: Age 40 years, higher education level, informal occupation, and history of COVID-19 infection increase anxiety among housewives during the COVID-19 pandemic. Keywords: COVID-19, housewife, anxiety Correspondence:Sifa Latif Khasana. Faculty of Medicine, Universitas Jenderal Soedirman. Jl. Dr. Gumbreg 1, Mersi, Purwokerto Kidul, Purwokerto 53147, Banyumas, Central Java. Email: sifalatifkhasana@gmail.com. Mobile: 085826669720.

Relationship between Social Support and COVID-Related Common Mental Disorders Incidence in Pregnant Women in Banyumas, Central Java Rahman, Fadel; Wibowo, Yudhi; Riana, Purwa
Indonesian Journal of Medicine Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.08.02.03

Background: Social restriction and distancing were enforced, to contain the viral transmission of Coronavirus Disease-19 (COVID-19). Therefore, normal social activities are stagnant and give rise to common mental disorders (CMDs) in pregnant women, especially in the first trimester of pregnancy. The purpose of this study was to analyze the relationship of social support with COVID-related common mental disorders (CMDs) in pregnant women in Banyumas Regional General Hospital.Subjects and Method: A observational analytic study using a Cross-sectional study approach targeting pregnant women in the Banyumas Regency Central Java, from May to December 2022. The independent variable is social support. The dependent variable is common mental disorders (CMDs). The sampling technique used snowball sampling of approximately 1543 respondents. This study employed the WHO-SSQ-6 and WHO-SRQ-20 questionnaires. The data analysis technique made use of the Chi-Square test.Results: Pregnant women who have low social support have a risk of Common Mental Disorders (CMDs) and are statistically significant (PR= 1.74; 95% CI = 1.83 to 1.87; p<0.001).Conclusion: Social support has a significant correlation with COVID-related CMDs.Keywords: COVID-19, COVID-related CMDs, Pregnant women, first trimesterCorrespondence: Yudhi Wibowo, Department of Public Health and Community Medicine, Faculty of Medicine, Jenderal Soedirman University. Jl. Dr. Gumbreg No.1, South of Purwokerto, Banyumas Regency, Central Java. Email: dryudhiwibowo2005@gmail.com. Mobile: +62 811-2621-904.Indonesian Journal of Medicine (2022), 08(02): 142-149https://doi.org/10.26911/theijmed.2023.08.02.03

Study of Knowledge, Attitude, Anxiety and Perception of Mental Health Service Needs Related to the COVID-19 Pandemic in Banyumas Regency, Central Java, Indonesia: A Cross-sectional Study Wibowo, Yudhi; Mulyanto, Joko; Siswandari, VM Wahyu; Munfiah, Siti
Journal of Health Promotion and Behavior Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: In Banyumas, as of 27 June 2021, there were 15,809 confirmed cases and 669 deaths. Social restrictions with forced quarantine to fight the spread of diseases that have psychosocial impacts such as acute panic, anxiety, obsessive behavior, buildup, paranoia, depression and post-traumatic stress disorder. Community knowledge and attitudes affect compliance with the prevention and control of COVID-19. This study aimed to examine Knowledge, Attitudes, Anxiety & Perception of Mental Health Service Needs during the Covid-19 Pandemic.Subjects and Method: This was a cross-sectional study, conducted in Banyumas, Central Java, from July to August 2021. A total of 687 subjects was selected by snowball sampling. The dependent variable was anxiety. The independent variables were demographic data (initials, age, gender, home location, occupation, education level), marital status, pregnancy status, history of COVID-19, knowledge, attitudes, and perceptions of mental health service needs. The data were collected by questionnaire and analyzed using a multiple logistic regression. Results: The anxiety level increased wit age >60 years (OR= 0.60; 95% CI= 0.29 to 1.27; p= 0.001), not working (OR= 0.65; 95% CI= 0.29 to 1.46; p= 0.004), low level of education (OR= 2.07; 95% CI= 0.88 to 4.84; p=0.021), unmarried status (OR= 2.51; 95% CI= 1.67 to 3.78; p<0.001), COVID-19 survivors (OR= 1.96; 95% CI= 1.27 to 3.02; p= 0.003).Conclusion: Age, occupation, education level, unmarried status, COVID-19 survivors had a correlation with anxiety level. Keywords: knowledge, attitudes, anxiety, mental health service needs, COVID-19Correspondence: Yudhi Wibowo. Department of Public Health and Community Medicine, Medical Faculty, Jenderal Soedirman University. Jl. Dr. Gumbreg No.1, Mersi, Purwokerto, Banyumas, Central Java, Indonesia. Email: yudhi.wibowo@unsoed.ac.id. Mobile: +628112621904Journal of Health Promotion and Behavior (2022), 07(02): 142-151DOI: https://doi.org/10.26911/thejhpb.2021.07.02.06

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