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Evaluation Of Integrated Tuberculosis Program At Puskesmas Umbulharjo Yogyakarta With A System Approach Nur Syarianingsih Syam; Desi Nurfita
Kesmas Indonesia Vol 15 No 1 (2023): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ki.2023.15.1.7484

Background: Tuberculosis (TB) is a public health problem that can cause high morbidity, disability and death. TB control is a form of shared commitment. The Indonesian government has a TB elimination target in 2030, with a case detection rate (CDR) in 2020 of 80%. The Information System is one of the tools used in TB control programs. The use of SITB in Puskesmas should be evaluated as a continuous improvement and an effort to provide TB control infrastructure in Indonesia. Purpose: The aim of this study was to evaluate using a systems approach, namely evaluating the input, process and output of using SITB at Puskesmas Umbulharjo. Methods: This research is a qualitative research with a case study approach. The data collection process was carried out in September - November 2022. The informants involved in this study were 5 people selected using a purposive sampling method. The process of collecting data using in-depth interview techniques. The data analysis used in the data processing is using the Miles and Huberman method where the data obtained is reduced, the data is presented, and conclusions are drawn. .Results: The evaluation used in this study is a system approach model, where the evaluation is assessed from the input, process and output variables. In the input variable, human resources or SITB users at the Puskesmas have received SITB training and the numbers are appropriate, namely there are SITB managers or admins, from the pharmacy department and the laboratory section, in terms of facilities, data processing facilities are available in the form of computers, discussion group facilities, network facilities. From a policy point of view, there is no SOP used for inputting and reporting data using SITB, and there is no budgeting of health funds for using SITB. The process of entering patient data is in accordance with the policy on using SITB, which starts from inputting TB suspect data, then requests for laboratory tests, service data provided for positive TB patients to filling in case history data. In the reporting process, the data that has been inputted is then analyzed to make monthly and quarterly report recaps. SITB reports are collected no later than the 10th. The output of SITB is in the form of TB incidence data, both TB SO and TB RO. SITB data is used in the decision-making process at the Puskesmas level. Conclusion: The use of SITB in terms of input is not optimal in terms of the availability of SOPs. Meanwhile, process variables are still not optimal in terms of recording and reporting processes. The SITB data output is good and used for decision making

Evaluasi Penggunaan Sistem Informasi Tuberkulosis dengan HOT-FIT Framework di Puskesmas Mergangsan Yogyakarta Nur Syarainingsih Syam; Desi Nurfita
Riset Informasi Kesehatan Vol 11 No 1 (2022): Riset Informasi Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Background : The Tuberculosis Information System (SITB) is an application for recording and reporting TB cases designed by the Indonesianâ€™s Ministry of Health in electronic form. This system is used by TB surveillance programmers at the primary health care (namely : Puskesmas), but in its use there are several obstacles including the system which sometimes becomes slow during the data input process and features that are felt to be incomplete. The purpose of this study was to evaluate the use of SITT at Puskesmas Mergangsan, Yogyakarta using the HOT-Fit Framework approach. Method : This research design is a qualitative research through descriptive case studies by conducting in-depth excavations through an in-depth interview process and document review regarding the input, process and output of the integrated tuberculosis information system and its contribution to decision making. The informants in this study were the Head of the Puskesmas, SITB Programmers, laboratory and pharmacy staff who used SITT and the deputy supervisor (wasor) from the health office district of Yogyakarta city. The sample selection uses a porpusive sample, namely the selection of samples with certain criteria that are considered to be able to answer the research problem. Results : Assessment of human factors at SITB is known that system users have received training before the system is used so that the system can be easily used, users are satisfied with the system that has been provided. Assessment of Organizational Factors, it is known that officers who use SITB at Puskesmas Mergangsan are sufficient, namely there are programmers, SITB in charge of the laboratory and SITB in charge of pharmacy, there is supporting facilities from Puskesmas Mergangsan, namely the procurement of laptops. Evaluation is carried out by the Dinas Kesehatan Kota Yogyakarta every three months. Technological Factor Assessment, the quality of the information produced depends on the accuracy of the data entered by health workers, there is still incomplete or clear information. The quality of system services is supported by the provision of a communication and coordination group by the Dinas Kesehatan Kota Yogyakarta. Conclusion : The implementation of SITB at the Puskesmas is still constrained in the input section of network facilities which has an impact on the data input process which cannot be done quickly, thus requiring support from the Puskesmas. It is hoped that there will be periodic socialization carried out by the Dinas Kesehatan Kota Yogyakarta as an evaluator of SITB users at the Puskesmas so that the use of SITB is more optimal

Faktor Ibu (Inisiasi Menyusu Dini, ASI Eksklusif dan Usia Ibu Melahirkan) Yang Berhubungan Dengan Kejadian Stunting Pada Balita (Systematic Review) Desi Nurfita; Indah Sari Tanjung; Siti Kurnia Widi Hastuti; Titim Martini; Irawan, Galuh Chandra
Jurnal Ilmu Kesehatan Immanuel Vol. 17 No. 2 (2023): Jurnal Ilmu Kesehatan Immanuel
Publisher : Institut Kesehatan Immanuel

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36051/jiki.v17i2.244

Stunting is a growth and development disorder experienced by children if their height is below the median length based on height for age to exceed -2 SD of WHO standards. The impact of stunting is not only felt by individuals who experience it but also has an impact on the economy and nation-building. This study aims to examine maternal factors associated with stunting, namely early initiation of breastfeeding, exclusive breastfeeding, and maternal age in children under five in Indonesia. The method used in this systematic review is meta synthesis with a meta aggregation. There is a significant relationship between initiation early breastfeeding and the incidence of stunting in children under five (p = 0.043, p = 0.006, p = 0.000, p = 0.014, p = 0.000, p = 0.033, p = 0.000), there was no relationship between BMI and the incidence of stunting (p = 0.053, p = 0.930). There is a relationship between exclusive breastfeeding and the incidence of stunting (p = 0.000, p = 0.028, p = 0.003, p = 0.001, p = 0.002, p = 0.011, p = 0.033, p = 0.021), there is no significant relationship between exclusive breastfeeding and the incidence of stunting in children under five (p = 0.985, p = 0.327, p = 0.17). There is a relationship between maternal age and the incidence of underfive stunting (p = 0.001). There was no relationship between maternal age and the incidence of stunting among children under five (p = 0.304, p = 0.438). Journals showed a relationship between early initiation of breastfeeding and the incidence of stunting in children under five in Indonesia, 15 journals showed that there was a relationship between exclusive breastfeeding and the incidence of stunting in children under five and only 1 journal showed a relationship between maternal age and the incidence of stunting in children under five.

Faktor Karakteristik Individu yang Berhubungan dengan Perilaku Pencegahan Covid-19 pada Konsumen Apotek di Kota Yogyakarta: Faktor Karakteristik Individu yang Berhubungan dengan Perilaku Pencegahan Covid-19 pada Konsumen Apotek di Kota Yogyakarta Desi Nurfita; Irawan, Galuh Chandra; Mulyani, Rizka Yuli; Syam, Nur Syarianingsih
Jurnal Ilmu Kesehatan Immanuel Vol. 18 No. 2 (2024): Jurnal Ilmu Kesehatan Immanuel
Publisher : Institut Kesehatan Immanuel

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36051/jiki.v18i2.279

COVID-19 merupakan masalah kesehatan yang sampai saat ini masih menjadi perhatian masyarakat. Penyebaran COVID-19 Indonesia sampai saat ini belum berakhir. Hal ini dapat menimbulkan dampak psikologi bagi masyarakat dikarenakan masyarakat diharuskan untuk melakukan aktivitas yang berbeda dari biasanya, dengan peraturan yang telah ditetapkan oleh pemerintah. Namun sampai saat ini masih banyak masyarakat yang kurang sadar akan protokol kesehatan dalam upaya pencegahan COVID-19. Salah satu upaya preventif yang dapat dilakukan adalah mengedukasi masyarakat tentang protokol kesehatan. Menurut beberapa penelitian tentang pencegahan COVID-19 terdapat hubungan antara status demografi dengan perilaku pencegahan COVID-19. Maka, perlu adanya upaya pencegahan COVID-19 yang dilakukan di setiap fasilitas kesehatan termasuk Apotek guna untuk membantu memutuskan rantai penularan COVID-19. Jenis penelitian adalah penelitian kuantitatif dengan metode analitik observasional dengan pendekatan cross sectional. Teknik pengambilan sampel menggunakan teknik Non probability sampling dengan metode Accidental sampling. Analisis yang digunakan dalam penelitian ini menggunakan Uji chi square. Hasil analisis menunjukan variable yang terbukti secara statistik berhubungan dengan perilaku pencegahan covid-19 pada konsumen apotek adalah variabel usia (nilai p-value=0,010 nila RP = 10,059 dan nilai (CI) = 2,198-46,024)) dan status pendidikan (nilai p-value=0,001, RP = 29,333, (CI) = (5,962-144,343)). Sedangkan variable lain tidak terbukti secara statistic berhubungan dengan perilaku pencegahan covid-19 pada konsumen apotek di Kota Yogyakarta. Jenis kelamin mempunyai nilai p-value sebesar 0,235, RP = 2,821, nilai (CI) = (0,530-15,019). Karakteristik status pekerjaan nilai p-value yang diperoleh sebesar 1,000, nilai RP tidak muncul. Karakteristik posisi dalam keluarga nilai p-value yang diperoleh sebesar 0,142 RP = 3,273, (CI) = ( 0,685-15,641). Faktor individu yang berhubungan dengan perilaku pencegahan covid-19 pada konsumen apotek di Kota Yogyakarta adalah usia dan status pendidikan.

DETERMINAN STUNTING : BERAT BADAN BAYI RENDAH, PENDAPATAN KELUARGA, DAN ASUPAN SENG: DETERMINAN STUNTING : BERAT BADAN BAYI RENDAH, PENDAPATAN KELUARGA, DAN ASUPAN SENG Desi Nurfita; Safira Intan Cahyani
Jurnal Ilmu Kesehatan Immanuel Vol. 19 No. 2 (2025): Jurnal Ilmu Kesehatan Immanuel
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36051/jiki.v19i2.412

Background: Stunting is chronic malnutrition in children under five by measuring height based on age category <-2 standard deviation (SD). Indonesia has entered into multiple nutritional problems such as malnutrition and stunting. Stunting cases in Indonesia fall into the high category above the global average, which is more than 30%. This study aims to determine the relationship of low birth weight, family income, and zinc intake with the incidence of stunting in children under five in Indonesia. Methods: The research design used a systematic research meta-synthesis meta aggregation approach. Research subjects used search engines on Google Scholar and Elsevier with keywords: stunting factors, toddlers, Indonesia. The data collection used a systematic review protocol with screening stages, eligibility, and included. Results: The overall research data were found to be diverse, some stated that there was a relationship and there was no relationship seen from the p-value. Based on the proportion, the results showed that there was a relationship between LBW (87.5%), family income (75%), and zinc intake (75%) with the incidence of stunting. It is known that there is no correlation between LBW (12.5%), family income (12.5%), and zinc intake (25%) with the incidence of stunting. Conclusion: Most of the research results stated that there was a correlation between LBW, family income, and zinc intake with the incidence of stunting in children under five in Indonesia.

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