Articles
Potret Kejadian Infeksi Oportunistik pada Perempuan dengan HIV/AIDS (Studi kasus di Jakarta Timur)
Rostina, Julie;
Alkaff, Raihana N.;
Purnama, Tri Bayu
ARKESMAS [Arsip Kesehatan Masyarakat] Vol 2 No 2 (2017)
Publisher : UHAMKA Press
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DOI: 10.22236/arkesmas.v2i2.2513
Infeksi Oportunistik (IO) merupakan penyebab utama morbiditas dan mortalitas orang dengan HIV/AIDS (ODHA) baik baik di negara maju maupun negara berkembang. Diperkirakan sekitar sepertigakematian ODHA dikarenakan Infeksi Oportunistik (IO).IO yang sering ditemukan di Indonesia meliputikandidiasis mulutesofagus 80,8%; tuberkulosis 40,1%; CMV 28,8%; ensefalitis toksoplasma 17,3%;pneumonia Pneumocystis carinii (Ariani & Suryana, 2014). Penelitian ini dilakukan untuk mendapatkangambaranpenyebab internal dan eksternal infeksi Oportunistikpada perempuan dengan HIV.Penelitianini menggunakan metode kualitatif dengan wawancara mendalam. Pemilihan informan ditetapkan secaralangsung dengan prinsip kesesuaian dan kecukupan. Sumber informasi meliputi:1 orang staf penanggungjawab program HIV Puskesmas, 3 orang staff LSM yang mendampingi perempuan HIV di Jakarta Timur,serta 5 orang perempuan HIV. Analisis data dilakukan dengan analisis kualitatif. Triaangulasi dilakukanuntuk menjamin validitas penelitian.Penelitian ini menunjukkanbahwa IO didominasi oleh Kandidiasisoral, TB Paru, dermatitis, diare serta sebagian kecil toksoplasma. Faktor penyebab internal kejadianInfeksi Oportunistik pada Perempuan HIV di Jakarta Timur yang berhasil diidentifkasi dalam penelitianini meliputirendahnya pengetahuan ODHAtentang IO,stress karena beban hidup, tidak menerima keadaandirinya sudah menderita HIV-AIDS, pola hidup tidak sehat dan teratur, ketidakdisiplinan berobat sertarendahnya pengetahuan odha akan HIV dan dampaknyaberupaketerlambaant mengetahui IO.Faktor luaryang berhasil diidentifkasi adalahstigma yang datang dari keluarga dekat dan lingkungan sekitar.Odhadengan pola hidup tidak sehat dan rentan stress memiliki resiko lebih besar untuk mengalami IO
Perilaku Cuci Tangan Pakai Sabun pada Santri di Pondok Pesantren Kota Medan
Purnama, Tri Bayu;
Eliandy, Sri Rezeki Hartati;
Lestari, Cindy
Jurnal Promosi Kesehatan Indonesia Volume 15, No. 2 Agustus 2020
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University
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DOI: 10.14710/jpki.15.2.70-74
Background: Islamic Boarding School is one of the domains of education to introduce the PHBS Program. One of the indicators is washing hands with soap. It is expected that the pesantren community could apply the indicators of PHBS Program and protected from various diseases. This study aimed to describe the practice of washing hands with soap among santri at Islamic Boarding Schools In Medan. Method: This research was a quantitative study using Cross-Sectional design. The sampling technique was using Simple Random Sampling. The population was all students in seven Islamic boarding school in Medan. The samples were 436 santri (students). Data was collected using a questionnaire and analyzed using the Chi-Square test. Result: The age of students who washed their hands with soap had an insignificant difference in proportions, in which the p-value was 0.204 > 0.005 with Prevalens Risk (PR) on 95% CI 1.331 (0.855 – 2.071). The sex of students who washed their hands with soap had a p-value of 0.137 > 0.005 with PR on 95% CI 0.725 (0.475 – 1.108), which means there was no significant difference in the proportion. The education level also did not have a significant difference with the behavior of washing hands with soap with a p-value of 0.210 > 0.005 with PR on 95% CI 1.375 (0.835 – 2.266). The practice of washing hands with soap among santri was poor. The highest percentage of washing hands with soap among santri was in the boarding school with a percentage of 47.9%. There was no significant difference in the proportion of age, sex, and education level with the practice of handwashing with soap among santri.
ESTIMATION OF HYPERTENSION RISK FROM LIFESTYLE FACTORS IN COASTAL POPULATIONS
Zata Ismah;
Tri Bayu Purnama;
Reinpal Falefi;
Luthfiah Mawar;
Cindy Lestari;
Citra Cahyati Nst
Jurnal Riset Kesehatan Vol 10, No 2 (2021): NOVEMBER 2021
Publisher : Poltekkes Kemenkes Semarang
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DOI: 10.31983/jrk.v10i2.6726
The prevalence of hypertension in coastal areas was still high between 2007 and 2018 with the highest prevalence in 2007 at 53.3%. The purpose of this research was to analyze the prediction of hypertension based on the determinants of the lifestyle of the coastal population. The type of this research is using cross-sectional research design, with a total sample of 210 people in the coastal area of Medan Belawan. The data were collected using an instrument in the form of a questionnaire, body mass index measurement using a manual weight balance and a stature meter and blood pressure using an sphygmomanometer aneroid. The selection of candidates as predictive variables is carried out by chi-square test analysis, followed by multivariate analysis using binary logistic regression test and the formulation model to find predictions hypertension, namely age ≥ 45 years has a 3.040 times greater risk of suffering from hypertension than age 45 years (p = 0.001; 95% CI = 1.549-5.966) and obesity nutritional status has a large 2.284 times greater risk of suffering from hypertension than nutritional status was not obese (p = 0.028; 95% CI = 1.091-4.780). The results of the calculation of the probability from the modeling, it is found that if a person is ≥ 45 years old and has a nutritional status of obesity, the probability of suffering hypertension is 99.99%.
DENTAL HEALTH PROBLEMS AMONG SANTRI AT ISLAMIC BOARDING SCHOOLS IN MEDAN, NORTH SUMATERA
Tri Bayu Purnama;
Samsul Askhori;
Devi Juliana Pohan;
Dwichy Augie
Jurnal Riset Kesehatan Vol 10, No 1 (2021): MAY 2021
Publisher : Poltekkes Kemenkes Semarang
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DOI: 10.31983/jrk.v10i1.6630
Dental health remains a public health problem with increased the prevalence of dental problems from 2007 to 2013. The problem is highest in the early adolescent age group. A dental problem occurs due to lack of behavior on the routine toothbrush (2.8%). The purpose of this study was to describe dental problems in Islamic boarding schools in Medan. This study used a cross sectional design in seven Islamic boarding schools in Medan with a total sample of 436 students in the 5.319 total population. System random sampling was applied in this study and the questionnaire was distributed to sample. The data analysis used was descriptive frequency. The results showed that the behavior of brushing teeth based on age group was highest in the early adolescent group in the category of brushing teeth in the morning (78%) and afternoon (92%). Based on gender, both men and women showed the highest tooth brushing behavior in the morning (37.8%; 40.4%) and afternoon (45.9%; 46.6%). Dental health problems by age group were included in the category of healthy teeth (49.1%). Based on gender also showed dental problems for both men and women (25.9%; 24.1%) in the category of healthy teeth. Dental health among female students is still found to have dental health problems caused by the behavior of brushing teeth that is not in accordance with the recommendations of the Ministry of Health, namely after breakfast and before going to bed at night.
Respon Kenaikan Iuran Jaminan Kesehatan Nasional dan Utilitas Puskesmas Oleh Peserta JKN di Medan
Rapotan Hasibuan;
Tri Bayu Purnama;
Nofi Susanti
Jurnal Kebijakan Kesehatan Indonesia Vol 9, No 4 (2020)
Publisher : Center for Health Policy and Management
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DOI: 10.22146/jkki.59237
Terjadi pro dan kontra begitu besar di kalangan peserta jaminan kesehatan nasional (JKN) setelah pemerintah mengeluarkan Peraturan Presiden Nomor 75 Tahun 2019 tentang Kenaikan Besaran Iuran JKN yang kemudian dibatalkan dengan keputusan Mahkamah Agung Nomor 7 P/HUM/2020. Pemerintah lalu mengeluarkan kembali Perpres No 64 Tahun 2020 tentang penyesuaian besaran iuran yaitu kenaikan 37,25% pada kelas III, 96,07% pada kelas II dan 87,5% pada kelas I. Tujuan penelitian ini adalah untuk mengetahui respon masyarakat terhadap kenaikan iuran JKN dan pengaruhnya terhadap pemanfaatan Puskesmas oleh masyarakat. Penelitian ini merupakan penelitian observasional dengan pendekatan cross sectional. Lokasi penelitian di tiga Puskesmas dengan responden 150 orang yang dipilih secara convenience sampling. Analisis data menggunakan uji chi-square dan uji regresi logistik. Hasil penelitian menunjukkan sebagian besar responden merupakan peserta JKN aktif (97,3%) dan mayoritas menolak kenaikan iuran (78,1%). Ditemukan faktor yang berhubungan dengan utilitas Puskesmas yaitu tingkat penghasilan responden (p=0,043) dan respon kenaikan iuran JKN (p=0,014), sementara faktor yang dominan berpengaruh adalah respon kenaikan iuran JKN (p=0,009 ; OR=2,381). Penelitian menyimpulkan penghasilan keluarga dan respon masyarakat berhubungan dengan utilitas Puskesmas. Temuan ini berkontribusi dalam pengembangan intervensi cakupan jaminan kesehatan nasional yang menargetkan seluruh warga. Pihak BPJS Kesehatan dan pemerintah disarankan melakukan sosialisasi intensif agar publik tercerahkan mengenai keuntungan dan kerugian kenaikan iuran. Selain itu, kenaikan iuran dipandang perlu diikuti pengoptimalan pelayanan kesehatan yang bisa dirasakan masyarakat.
The Relationship between Sex Education and Sexual Behaviour in Adolescents
Nofi Susanti;
Reinpal Falefi;
Tri Bayu Purnama
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 21, No 2 (2021): July
Publisher : Universitas Muhammadiyah Yogyakarta
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DOI: 10.18196/mmjkk.v21i2.11744
Adolescent sexual behavior remains a global problem with high reports of cases of adolescents behaving freely. The lack of knowledge about sexuality is caused by limited information, services, and advocacy. There has not been a reproductive health curriculum for adolescents in schools. Therefore, this study aims to determine the relationship between sex education and sexual behavior in adolescents. This research is a quantitative study with a cross-sectional design. The sampling was taken using a total sampling technique. The sample included all students of class X and XI, with a total of 102 people. The research instrument used a questionnaire. Data were analyzed using chi-square and multiple logistic regression. Bivariate analysis results showed that there was a relationship between sex education by parents, teachers, peers, and social media and sexual behavior. The results of multivariate analysis with logistic regression tests showed that sex education provided by parents was the most substantial relationship with sexual behavior. The study concluded that parents, teachers, and social media were associated with sex education. Extensive sex education from other trusted information could reduce pre-marital sexual activity among adolescents. Elaborating on external factors would implicate a good attitude and behavior in students.
Analisis Kualitatif Peran Ibu Terhadap Pencegahan COVID-19 Dan Pemberian Gizi Pada Masa Pandemi
Tri Bayu Purnama;
Rahayu Sakinah Pasaribu;
Kaaf Wajiah Siregar;
Eka Githa Roszaliya
Buletin Penelitian Sistem Kesehatan Vol 24 No 4 (2021): Buletin Penelitian Sistem Kesehatan
Publisher : Pusat Penelitian dan Pengembangan Humaniora dan Manajemen Kesehatan
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DOI: 10.22435/hsr.v24i4.4553
More than two million children suffer from malnutrition and more than 7 million children under the age of 5 suffer from stunted growth. Nutritional status is important as it is a risk factor for morbidity and mortality. The role of mothers is required to monitor the nutritional status of young children during the COVID-19 pandemic. This study aims to determine the role of mothers in monitoring the nutritional status of young children during the COVID-19 pandemic. In this study, a qualitative approach was used to describe maternal activities in monitoring infant nutritional status during the pandemic. Data collection was carried out through in-depth interviews using a questionnaire as an interview guide. The whistleblower research was conducted in Medan City with up to 4 people as an area with a high COVID-19 prevalence rate and with Sibolga City with up to 6 whistleblowers as a comparison city with a low COVID-19 prevalence in North Sumatra province. This study found that the whistleblowers still had not implemented the COVID-19 prevention protocol, e.g. B. by not cleaning items frequently touched with disinfectants because they did not have disinfectant, did not feel the need to be cleaned regularly and lacked knowledge. Most of the whistleblowers had given their young children balanced diets during the COVID-19 pandemic, but some of the whistleblowers found restrictions on eating vegetables and fruits. Abstrak Lebih dari dua juta anak menderita gizi buruk dan lebih dari 7 juta anak di bawah usia 5 tahun mengalami stunting. Status gizi penting karena merupakan salah satu faktor risiko terjadinya kesakitan dan kematian. Peran ibu dibutuhkan untuk memantau status gizi pada balita selama pandemi COVID-19. Penelitian ini bertujuan untuk mengetahui peran ibu terhadap pemantauan status gizi balita pada masa pandemi COVID-19. Pendekatan kualitatif digunakan pada penelitian ini untuk mendeskripsikan kegiatan yang dilakukan oleh ibu dalam pemantauan status gizi bayi pada masa pandemi. Pengumpulan data dilakukan dengan wawancara mendalam dengan menggunakan kuesioner sebagai panduan wawancara. Informan penelitian dilakukan pada Kota Medan sebanyak 4 orang sebagai daerah dengan tingkat penyebaran COVID-19 yang tinggi dan Kota Sibolga sebanyak 6 informan sebagai kota pembanding dengan penyebaran COVID-19 rendah di Provinsi Sumatera Utara. Penelitian ini menemukan bahwa informan masih belum menerapkan protokol pencegahan COVID-19 seperti tidak membersihkan barang-barang yang sering disentuh dengan disinfektan dikarenakan tidak punya disinfektan, tidak merasa perlu untuk dibersihkan secara berkala, dan kurangnya pengetahuan. Sebagian besar informan sudah memberi balita makanan gizi seimbang di masa pandemi COVID-19 tetapi ditemukan keterbatasan dalam konsumsi sayur dan buah pada beberapa informan.
Faktor Risiko Demam Berdarah di Negara Tropis
Zata Ismah;
Tri Bayu Purnama;
Dyah Retno Wulandari;
Ema Rizka Sazkiah;
Yulia Khairina Ashar
ASPIRATOR - Journal of Vector-borne Disease Studies Vol 13 No 2 (2021): Jurnal Aspirator Volume 13 Nomor 2 2021
Publisher : Loka Litbang Kesehatan Pangandaran
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DOI: 10.22435/asp.v13i2.4629
Tropical countries are the largest contributor to the incidence of Dengue HemorrhagicFever (DHF), but research on risk factors is still independent in various countries, it cannot beconcluded holistically. Through the research design, a systematic review is able to summarize andanswer the causes of DHF in this tropical country. This research method is a systematic review withguidelines following the 2009 PRISMA Checklist. In the initial search, 1,680 articles were foundusing the keyword “risk factors for Dengue Hemorrhagic Fever”, reduced to 274 article titles afteradding the keyword “tropical country”. Furthermore, the relevant abstracts were fi ltered and found37 selected article items. Through critical appraisal of the full text of the article, it was found that 17articles met the selection criteria for further review in this study. The results showed that there were5 major groups of risk factors that were widely studied, namely sociodemography, climatology, placeof dwelling, environment, and behavior. The sociodemographic factor associated with the incidenceof DHF in tropical countries is age. In terms of climatology, temperature and rainfall are importantfactors in the vector breeding process. Rural areas (rural areas) are the place of dwelling with the mostcases of DHF found. The environmental aspect that has been widely studied is mosquito breeding. Themost signifi cant risk behavior factor in transmission was the behavior of hanging clothes. Of the 17articles, it was found that 77.8% of the articles examined environmental variables.
GAMBARAN PROGRAM PENGENDALIAN MALARIA DI KOTA LUBUK LINGGAU
Tri Bayu Purnama
Jurnal Manajemen Informasi dan Administrasi Kesehatan Vol 2, No 2 (2019): JMIAK
Publisher : Program Studi Perekam Medis & Informasi Kesehatan
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DOI: 10.32585/jmiak.v2i02.451
Indonesia is one of the countries that are endemic to malaria with the prevalence of malaria cases in 2010 at 22.9 per 1000 population. A solution to reduce malaria cases in Indonesia is to develop a malaria elimination program. So based on this issue, the aim of this study was to find out an overview of malaria control programs in LubukLinggau City. The malaria control program in LubukLinggau City had not yet a specific goal in the malaria control program but the program has a technical strategy and activities in the malaria control program. The malaria control program activities carried out are treatment using chloroquine, distribution of insecticide, larvacide bed nets, spraying and laboratory tests. The malaria control program had not yet reached the target that can be seen from AMI and API in 2013 but also had not yet reached the target for LubukLinggau City. Then the problems in the malaria control program are the absence of malaria control programs, no malaria cases treated with ACT, as many as 4.2% of malaria cases were laboratory confirmed and program evaluation only referred to outcome indicators.
Persepsi Kecemasan Ibu Terhadap Keterlambatan Imunisasi Bayi Di Pelayanan Kesehatan Pada Masa Pandemi Covid-19 Di Kota Medan
Tri Bayu Purnama;
Fauziah Ramadhani;
Fatimah Zahro Harahap;
Ridha Roihan Lubis
Jurnal Kesehatan Vol 15 No 1 (2022): Jurnal Kesehatan
Publisher : UPPM Poltekkes Kemenkes Ternate
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DOI: 10.32763/juke.v15i1.365
Pandemi COVID-19 berdampak pada kondisi pelaksanaan pelayanan imunisasi di posyandu, puskesmas, serta di beberapa faskes lainnya termasuk swasta. Banyak dari petugas kesehatan yang masih ragu-ragu untuk melakukan penyelenggara a n maupun sosialisasi pelayanan imunisasi pada masa COVID-19 dikarenakan adanya ketidaktahuan serta tidak adanya pedoman pelaksanaan imunisasi yang ada. Penelitian ini menggunakan pendekatan kualitatif untuk menggali persepsi dan respon ibu yang memiliki anak terhadap kecemasan pelayanan imunisasi di fasilitas pelayanan kesehatan. Terdapat 10 orang ibu (responden) yang diwawancara dengan kuesioner penelitian beserta pendalaman persepsi dan respon ditiap pertanyaan. Sebanyak 5 informan berusia 27 dan 28 tahun dengan 6 bayi tidak mengalami keterlambatan imunisasi dan 4 bayi lagi mengalami keterlambatan imunisasi. Alasan bayi terlambat imunisasi diantaranya karena bayi sakit ketika akan diimunisasi dan juga karena adanya pandemi COVID-19 yang membuat tempat pelayanan imunisasi seperti klinik, praktek bidan hingga rumah sakit tidak melayani imunisasi. Penerapan protokol kesehatan yang baik dalam pencegahan COVID-19 menjadi penting dalam akselerasi imunisasi pada masa pandemi