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EFEKTIFITAS PELATIHAN DALAM PENINGKATAN PERAN KADER SEBAGAI PENDAMPING KELUARGA IBU HAMIL DI PUSKESMAS II SUMBANG Maqfiroch, Arrum Firda Ayu
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 10 No 1 (2018): 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 | Full PDF (315.252 KB) | DOI: 10.20884/1.ki.2018.10.1.507

Abstract

The number of maternal deaths in Banyumas Regency was ranked 4th out of 35 districts in Central Java by 2015. The mortality rate of mother in Banyumas District in 2014 is 114.73 per 100,000 live births. One of the dominant factors that affect the condition is the role of the family. The family of pregnant women is one of the potential groups in a society close to pregnant women and can become a health  cadre partner. This study aimed to identify the effectiveness of training in increasing the role of cadres as a family counsellor of pregnant women in Puskesmas II Sumbang. This research used pre and post quasi experiment method with control design. The population in this study was cadres of pregnant women in the village in the area of ??Puskesmas II Sumbang. The results of this study indicated that training was not effective in improving the role of cadres ( knowledge, attitude and communication skills of cadres) as a family counsellor of pregnant women.   Keywords: Cadre, family counsellor of pregnant women, Sumbang  
STUDI KOMPARATIF PERILAKU PENCEGAHAN DEMAM BERDARAH DENGUE DI DAERAH URBAN DAN RURAL (Studi pada Wilayah Kerja Puskesmas Karanglewas) Maqfiroch, Arrum Firda Ayu
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 11 No 2 (2019): 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 | Full PDF (668.868 KB) | DOI: 10.20884/1.ki.2019.11.2.1518

Abstract

Background : Dengue Hemorrhagic Fever (DHF) is one of the public health problem that caused by Dengue virus. The preventive behavior towards DHF disease performed by rural and urban society suited to the infecting agent vector and the different characteristic of urban and rural society. This research aimed to analyse the different preventive behavior towards DHF performed by the urban and rural society. Methods : This research is a quantitative research by Cross Sectional approach. The population of the research are 15.943 households in Puskesmas Karanglewas working area with the sample taken from households in chosen 7 villages by using Cluster Random Sampling with 97 respondents in urban area and rural area. The data collection technique was carried out by using questionnaire and observation. Then the data analyses are univariate, bivariate and multivariate.  Results : the variable that has no difference were the availability of medium and infrastructure (p=0,953) and the role of health officer (p=0,088). Besides, the different variables were the level of education (p=0,001), income (p=0,000), knowledge (p=0,000), behavior (p=0,000), exposure of information (p=0,000), the role of social figure (p=0,000), and the preventive behavior (p=0,000). Conclusion : The different variables between the urban and the rural society are the level of education, income, knowledge, behavior, the exposure of information, the role of social figure, and the preventive behavior towards the DHF.     
PENGUKURAN OVITRAP INDEX (OI) SEBAGAI GAMBARAN KEPADATAN NYAMUK DI DAERAH ENDEMIS DEMAM BERDARAH DENGUE (DBD) KABUPATEN BANYUMAS Mars Wijayanti, Siwi Pramatama; Anandari, Dian; Ayu Maghfiroh, Arrum Firda
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 9 No 1 (2017): 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 | Full PDF (345.992 KB)

Abstract

Mosquito density could predict the risk of Dengue Virus (DENV) transmission in certain area. Ovitrap Index (OI) is one of the methods to measure the mosquito density beside other methods such as Stegomyia Indices and free larvae index. Ovitrap index is cheaper, more appliacable and sensitive to detect Aedes sp activity to lay their eggs on the wall of container. The aims of this research were to measure ovitrap index in endemic DENV areas, to find out the preferences of female Aedes sp to lay their eggs, and find out the correlation between OI and dengue cases in endemic DENV areas. Type of this study was decriptive with cross sectional design. The area of study was in Community Health center Purwokerto Timur II in Kranji, Sokanegara and Purwokerto Lor. Ovitrap were installed at 50 houses of each vilagges (one indoor, one outdoor), with total ovitrap 100 in each villages. After 6 days of installation, ovistrips were collected and the eggs were counted. The Ovitrap index in three villages were observed at percentage more than  50%, with the highest OI detected in Kranji Village (97.56%). Female Aedes sp were monitored to lay their eggs outdoor than indoor. The OI is not always relevant to predict the dengue cases but could inform the risk of DENV tranmission in certain area. The community should do efforts to minimize potential breeding sites, mainly unused container outdoor to reduce the mosquito density.
EFEKTIFITAS PELATIHAN MEDIA AUDIO-VISUAL TERKAIT ANEMIA IBU HAMIL DALAM PENINGKATAN KOMPETENSI PETUGAS PENYULUH KESEHATAN DI KABUPATEN BANYUMAS Masfiah, Siti; Gamelia, Elviera; Ayu Maghfiroh, Arrum Firda; Pramasatya, Adhika
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 9 No 1 (2017): 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 | Full PDF (439.103 KB)

Abstract

Pregnant suffers anemia can lead to infection and bleeding, which is a major factor in maternal mortality. In 2013 Central Java district recorded 3rd rank of 35 dictricts, at rate 126 per 100,000 live births. Cases of anemia in pregnant women in Banyumas accounted as 68.99%, higher than the national number. Banyumas did anemia counseling in pregnant mothers using leaflets, but did not effective. Health promotion media and materials based on local context are still limited. The ability of health workers are still based on extension activities with lectures, competency to make audio-visual health promotion is still limited. This study aimed to determine the effectiveness of audio-visual media training related anemia in pregnant women to increase the competence (knowledge and skills) of health workers in Banyumas.The study was quasy-experimental design with time series method. Population were 58 health educators in Banyumas and it was selected 33 sample by purposively. Data were collected by questionnaires for knowledge, and it was used checklist for observation the skills. For analyze the data?s normality I usedShapiro Wilk, and it used Wilcoxonto analyze the data?s difference.There was a significant difference of knowledge and skills at pretest and posttest I, but there was no significant difference on the posttest 1 and posttest II. Training of audio-visual media-related anemia in pregnant mothers increased the competence of health workers in Banyumas District.
RESPONS ORANG HIDUP DENGAN HIV AIDS (OHIDHA) DALAM UPAYA PENANGGULANGAN HIV AIDS DI KABUPATEN SUKOHARJO DAN GROBOGAN Maqfiroch, Arrum Firda Ayu; Shaluhiyah, Zahroh; Margawati, ani
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 8 No 1 (2016): 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 | Full PDF (354.21 KB)

Abstract

Controlling HIV and AIDS requird involved People Living With HIV AIDS (PLWHA).  This study aims to determine the factors that determine whether the PLWHA response in control to HIV and AIDS in Sukoharjo Grobogan. This research was a quantitative study with cross sectional approach .This research was supported by qualitative research with FGD. The number of respondents was 92 PLWHA, the proportion of 50% and 95% confidence interval . Analysis of the data using univariate analysis with frequency distribution , bivariate using Chi-Square and multivariate using logistic regression . The results showed that the variables related to the PLWHA response is a relationship with people living with HIV ( p = 0,001 ) , long life with people living with HIV ( p = 0.030 ) , longer know the status of PLWHA ( 0.001 ) and attitude ( p = 0.005 ). Multivariate analysis showed that the attitude (p value = 0,006) was a variable that has the most significant effect compared to other variables .  Advice given to the government is to provide socialization on HIV AIDS comprehensively to the whole society by involving health agencies , NGOs , religious leaders and community leaders .
Respons Orang Hidup Dengan HIV AIDS (OHIDHA) Dalam Upaya Penanggulangan HIV AIDS di Kabupaten Sukoharjo dan Grobogan Maqfiroch, Arrum Firda Ayu; Shaluhiyah, Zahroh
Jurnal Promosi Kesehatan Indonesia Volume 9, No. 2, Agustus 2014
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (55.459 KB) | DOI: 10.14710/jpki.9.2.136-151

Abstract

ABSTRAKPenanggulangan HIV AIDS membutuhkan keterlibatan dari berbagai pihak. Salah satu pihak yang terlibat adalah OHIDHA. OHIDHA merupakan anggota keluarga yang hidup bersama ODHA dan memberikan dukungan kepada ODHA. Stigma di Kabupaten Sukoharjo dan Grobogan masih tinggi. Penelitian ini bertujuan untuk mengetahui faktor-faktor apakah yang menentukan respons OHIDHA dalam upaya penanggulangan HIV AIDS di Kabupaten Sukoharjo dan Grobogan. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Teknik pengambilan data kuantitatif melalui wawancara dengan kuesioner. Penelitian ini didukung dengan penelitian kualitatif dengan teknik pengambilan data FGD. Jumlah responden adalah 92 OHIDHA, proporsi 50% dan selang kepercayaan 95%. Analisis data menggunakan analisis univariat dengan distribusi frekuensi, bivariat menggunakan Chi-Square dan multivariat menggunakan regresi logistik. Hasil penelitian menunjukkan bahwa variabel yang berhubungan dengan respons OHIDHA adalah hubungan dengan ODHA (p value = 0,001), lama hidup dengan ODHA (p value = 0,030), lama mengetahui status ODHA (p value = 0,001) dan sikap (p value = 0,005). Hasil analisis multivariat menunjukkan bahwa sikap (p value = 0,006) merupakan variabel yang mempunyai pengaruh paling signifikan dibanding variabel lainnya.Kata Kunci : OHIDHA, respons, Grobogan, SukoharjoABSTRACTRespons Of People Living With Hiv Aids To Control Hiv And Aids In Sukoharjo And Grobogan District; Controlling HIV and AIDS requird the involvement of various sector. One of the sector involved is People Living With HIV AIDS (PLWHA). PLWHA is a family member who lives with people living with HIV and provide support to people living with HIV. Stigma in Sukoharjo and Grobogan still high. This study aims to determine the factors that determine whether the PLWHA response in control to HIV and AIDS in Sukoharjo Grobogan . This research was a quantitative study with cross sectional approach. Quantitative data collection techniques through interviews with questionnaires . This research was supported by qualitative research with FGD. The number of respondents was 92 PLWHA, the proportion of 50% and 95% confidence interval . Analysis of the data using univariate analysis with frequency distribution, bivariate using Chi-Square and multivariate using logistic regression. The results showed that the variables related to the PLWHA response is a relationship with people living with HIV ( p =0,001 ) , long life with people living with HIV ( p = 0.030 ) , longer know the status of PLWHA ( 0.001) and attitude ( p = 0.005 ). Multivariate analysis showed that the attitude (p value = 0,006) was a variable that has the most significant effect compared to other variables. Advice given to the government is to provide socialization on HIV AIDS comprehensively to the whole society in order to increase knowledge and attitude by involving health agencies , NGOs , religious leaders and community leaders. Socialization of comprehensive HIV and AIDS can reduce stigma in society . Given the stigma in society is still very high . If in each family have a knowledge on HIV AIDS comprehensively, then it will not happen stigma in society .Keywords : AIDS , response , Grobogan , Sukoharjo
Perilaku Pencarian Pengobatan dan Perawatan Mandiri pada Penderita Filariasis di Kabupaten Wonosobo Dheo, Ruth Puspita; Masfiah, Siti; Maghfiroh, Arrum Firda Ayu
Jurnal Promosi Kesehatan Indonesia Volume 14, No. 2 Agustus 2019
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (348.312 KB) | DOI: 10.14710/jpki.14.2.122-135

Abstract

Background: Promptly treatment is essential for filariasis patients to reduce permanent disability. Preliminary study of several filariasis patients with swollen leg in Wonosobo regency indicated as delay access to promt treatment which increase the risks of transmision as well as worsen patient’s condition. The purpose of this study was to explore health-seeking behaviour and self-care of patient in Wonosobo regency.Method: This study employs qualitative research using phenomenology approach. Five informants were selected by using criteria as patients with clinically symptomatic swelling leg and willing to participate to this study. The supporting informants were selected to family members and health workers who handle filariasis treatment. All data were analyzed by using content analysis.Results: Most filariasis patients were categorized as low income and having limited knowledge of the disease. They believed that the disease caused by curse so that medical treatment will not cure it and they have desperate with the illness. Psychosocial burden caused them feel anxiety even afraid to be outcasted. Their current condition mostly swollen legs with or without complications and the disease interferes their activity as very painful disease. Although the treatment will reduce pain, but it was only temporary, so that the patients felt that the treatment will be useless. The health seeking behaviour indicated that all patients experienced delay in accessing medical treatment, they tried to find other alternative treatment such as traditional treatment. Most patients have not yet performed good self-care as recommended by health workers. In addition, information and socialization about filariasis to patients, families and communities are limited because it has not been as priority program of health center. Health education program should be conducted to improve positive behavior of community regarding the prevention, early detection, prompt treatment and self-care of the disease.
Analisis Faktor Risiko Kejadian Diabetes Mellitus Tipe II di Wilayah Pedesaan Wijayanti, Siwi Pramatama Mars; Nurbaiti, Tias Tri; Maqfiroch, Arrum Firda Ayu
Jurnal Promosi Kesehatan Indonesia Volume 15, No. 1 Januari 2020
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.15.1.16-21

Abstract

Background: Diabetes mellitus (DM) is a non-communicable disease that remains a significant health concern in Indonesia. The disease is more prevalent in urban areas due to lifestyles, socioeconomics level and lack of physical activity. Currently, DM has begun occured also in rural areas. The purpose of this study is to identify the risk factors associated with Type II DM incidence in rural areas.Method: This is analytical study with a case-control design, located in Community Health Centre 1, Wangon, Banyumas Regency. There are 65 people in case group and 65 people in control group involved in this study. Variables included personal characteristics, dietary habit, physical activity and exposure to cigarette smoke. Data was obtained by structured questionnaire and analyze using univariate, bivariate (chi-square test) and multivariate analysis (logistic regression test).Results: The results showed that the dietary habit (OR = 11,824; 95% CI = 4,988-28,032) and physical activity (OR = 2,608; 95% CI = 1,116–6,095) had influenced on the incidence of DM type II. Whilst the exposure of cigarette smoking did not influenced the incidence of DM type II. It is suggested that consume foods with balanced nutrition and doing physical activities should be conducted routinely in accordance with WHO recommendations.
PENGUKURAN OVITRAP INDEX (OI) SEBAGAI GAMBARAN KEPADATAN NYAMUK DI DAERAH ENDEMIS DEMAM BERDARAH DENGUE (DBD) KABUPATEN BANYUMAS Siwi Pramatama Mars Wijayanti; Dian Anandari; Arrum Firda Ayu Maghfiroh
Kesmas Indonesia Vol 9 No 1 (2017): 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 | Full PDF (345.992 KB)

Abstract

Mosquito density could predict the risk of Dengue Virus (DENV) transmission in certain area. Ovitrap Index (OI) is one of the methods to measure the mosquito density beside other methods such as Stegomyia Indices and free larvae index. Ovitrap index is cheaper, more appliacable and sensitive to detect Aedes sp activity to lay their eggs on the wall of container. The aims of this research were to measure ovitrap index in endemic DENV areas, to find out the preferences of female Aedes sp to lay their eggs, and find out the correlation between OI and dengue cases in endemic DENV areas. Type of this study was decriptive with cross sectional design. The area of study was in Community Health center Purwokerto Timur II in Kranji, Sokanegara and Purwokerto Lor. Ovitrap were installed at 50 houses of each vilagges (one indoor, one outdoor), with total ovitrap 100 in each villages. After 6 days of installation, ovistrips were collected and the eggs were counted. The Ovitrap index in three villages were observed at percentage more than 50%, with the highest OI detected in Kranji Village (97.56%). Female Aedes sp were monitored to lay their eggs outdoor than indoor. The OI is not always relevant to predict the dengue cases but could inform the risk of DENV tranmission in certain area. The community should do efforts to minimize potential breeding sites, mainly unused container outdoor to reduce the mosquito density.
EFEKTIVITAS PELATIHAN OPTIMALISASI PERAN TOKOH MASYARAKAT TERHADAP PENGETAHUAN TENTANG DIABETES MELITUS DAN PERANNYA DI DESA BABAKAN KECAMATAN KARANGLEWAS Arif Kurniawan; Dian Anandari; Windri Lesmana Rubai; Arrum Firda Ayu Machfiroh
Kesmas Indonesia Vol 12 No 1 (2020): 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 | Full PDF (526.811 KB) | DOI: 10.20884/1.ki.2020.12.1.1888

Abstract

Tokoh agama dan tokoh masyarakat yang berada di perdesaan mempunyai dukungan lebih rendah dalam mencegah Diabetes Melitus. Survey pendahuluan menunjukkan pengetahuan tokoh agama dan tokoh masyarakat di Desa Babakan masih rendah, dan belum optimalnya peran tokoh masyarakat sebagai penyuluh, peran tokoh masyarakat sebagai penggerak, peran tokoh masyarakat sebagai motivator, peran tokoh masyarakat sebagai katalisator, dan peran tokoh masyarakat sebagai teladan dalam mencegah diabetes mellitus di Desa Babakan. Penelitian ini bertujuan mengetahui efektifitas pelatihan dengan metode ceramah, diskusi dan praktek dalam peningkatan pengetahuan tentang diabetes melitus, dan pengetahuan tentang peran tokoh masyarakat dalam mencegah diabetes melitus. Penelitian ini menggunakan metode quasi experiment one group pre test-post test design pre dan post without control. Populasi dalam penelitian ini adalah tokoh masyarakat dan tokoh agama di desa Babakan. Sampel penelitian ini adalah total populasi sejumlah 32 orang. Hasil penelitian menunjukkan pelatihan tidak efektif meningkatkan pengetahuan tentang diabetes melitus, namun efektif meningkatkan pengetahuan tentang peran tokoh masyarakat dan tokoh agama dalam mencegah diabetes melitus di desa Babakan.