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Published by Humanistic Network for Science and Technology

ISSN : 25804936 EISSN : - DOI : -

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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

"Health Notions" is a media for the publication of articles on research and review of the literature. We accept articles in the areas of health science and practice such as public health, medicine, pharmaceutical, environmental health, nursing, midwifery, nutrition, health technology, clinical laboratories, health education, and health popular.

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Articles 921 Documents

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Implementation of National Health Insurance (JKN) Program in Konawe District Sulastian Manikam Sumail
Health Notions Vol 2, No 3 (2018): March
Publisher : Humanistic Network for Science and Technology (HNST)

National Health Insurance (JKN) is a part of National Social Insurance Systems (SJSN) held through social health insurance mechanism which is required (mandatory) aiming to satisfy appropriate main health need, given to those who already paid the premium or being paid by government. This study aimed to describe implementation of JKN program in Konawe district in 2014 in term of socialization, participation, health facility readiness, and referral system, using phenomenological approach through indepth interview, observation and documentation. The data were gained from 6 key informants and other 7 common informants who directly involved in implementing JKN program. The result of the study showed that implementation of JKN program socialization in Konawe district was already done by BPJS, health department, hospital, and public health center through some mass and electronic media, either directly or indirectly. In term of BPJS participation, it reached 53.31% of inhabitants already both of PBI membership and non PBI membership and will be increasing due to cooperation between central and district government in order all society will be covered by JKN program. The health facility readiness generally all health service providers, either hospital or public health centers supported by health department were ready to implement JKN, including facility, infrastructure, and human resources and keep increasing the quality of service. The referral system used in health services was already referred to health ministry regulation about gradually referral system, where society has to take medical check at primary health services firstly.Keywords: JKN, BPJS, Socialization, Participation, Health facility readiness, Referral system.

Respiratory Muscle Stretching Toward Pulmonary Vital Capacity for Asthma Patient Yunani Yunani; Amrih Widiati; M. Jamaluddin
Health Notions Vol 1, No 4 (2017): October-December
Publisher : Humanistic Network for Science and Technology (HNST)

Asthma caused dyspnea because bronchospasme. Expiration rate and inspiration volume decrease, it will reduce pulmonary vital capacity. Asthma patient need exercise to improve pulmonary vital capacity. The exercise will strengthen and endurance respiratory muscles that can increase activity tolerance. The objective of the study was to know the effect of respiratory muscle stretching toward pulmonary vital capacity of asthma patient. These study used quantitative study with quasy experiment by using randomized pretest posttest design. Intervention group used respiratory muscle stretching and control group used deep breathing exercise. The sample was 15 respondents for intervention group and 15 respondents for control group. The instruments were spirometry and observation sheet. Data analysis used T paired test where T test was 0.005 for intervention group and 0.000 for control group by hypothesis test with α 0.05. The mean difference between two groups used Mann Whitney test, where T test was 0.001.Keywords: Respiratory muscle stretching, Pulmonary vital capacity, Asthma

The Effect of Community Behavior on The Incidence of Malaria in Sungai Raya Kepulauan Dewi Pusposari
Health Notions Vol 2, No 5 (2018): May
Publisher : Humanistic Network for Science and Technology (HNST)

The spread of malaria is determined by factors called Host (host), Agent (plasmodium parasite) and Environment (Environment). The spread of malaria occurs when the three components above support each other. Basically every person can be infected by the agent or the cause of the disease and is the breeding place or the propagation agent (plasmodium parasite). Behavior of society is human behavior or activity of man itself that can support the happening of malaria disease. The purpose of this study was to analyze the effect of community behavior on the incidence of malaria in Sungai Raya Kepulauan Subdistrict, Bengkayang District in 2017. This research type was observational analytic with cross sectional research design. This study wanted to see the effect of community behavior on the incidence of malaria disease during the period of January to July 2017 where two villages (Karimunting and Sungai Keran) become sample of research location. The results obtained from this study there was the influence of behavioral use of bed nets (sometimes) to the incidence of malaria with p-value 0.048. Advice can be given is to avoid and prevent mosquito bites by improving the behavior of clean and healthy life and still use the correct mosquito net while sleeping.Keywords: Malaria, Behavior, Mosquito

Social Support and Substance Abuse Relapse Adelia Perwita Sari Perwita Sari; Chatarina Umbul Wahyuni; Arief Wibowo
Health Notions Vol 2, No 1 (2018): January
Publisher : Humanistic Network for Science and Technology (HNST)

Substance abuse is the health problem that affects physical, mental and social health. Rehabilitation program is one of the strategies to reduce the number of addictive substance users but the relapse is common happen to the users that taking rehabilitation. The aim of this study was to assess social support as risk factors for substance abuse relapse. This case-control study was conducted to 39 people in each control and case group. The samples were obtained with simple random sampling. The cases were the person who relapses after completed rehabilitation program, while the controls were the person who still being abstinence after completed rehabilitation program. Data were collected with the questionnaire and analyzed with Chi-square test. The result showed that social support was related to substance abuse relapse (p=0.000). The lack of social support was related to the higher risk of substance abuse relapse (OR=6.92, 95%CI=2.51 – 19.22). The appraisal support was the dominance risk factor (OR=10.88, 95%CI=3.48 - 33.98) of substance abuse relapse compared to informational, instrumental, and emotional support. The involvement of the source of social support in rehabilitation program is important to help the users stay abstinence after released from the rehabilitation center. Keywords: Substance abuse, Social support, Relapse risks

The Analysis of Factors Affecting Unmet Need in Fertile Age Women in Sumberjambe District, Sumbersari, and Kaliwates Latifah Hanum; Ancah Caesarina Marchianti; Ristya Widi Endah Yani
Health Notions Vol 2, No 6 (2018): June
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn20617

Unmet need family planning is a need for contraception that is not met. Fertile age women are said to be unmet need family planning if they wish to delay pregnancy or to terminate pregnancy for the next two years but not to use contraceptives. The purpose of this study was to analyze the influence of predisposing factors, enabling factors, and reinforcing factors in fertile couple women in Sumberjambe, Sumbersari and Kaliwates. The research design used was observational analytic with cross sectional research design. Samples taken in this study were 382 women of fertile couples age. The sampling technique used was multistage random sampling technique. Data anaysis used logistic regression. The results showed that there was influence of predisposing factor, enabling factor and reinforcing factor to contraception that was not fulfilled in fertile age women of knowledge with value of (p = 0.000), attitude with value of (p = 0.000), access service with value of (p = 0.000), quality of service with value of (p = 0.002), husband support with value of (p = 0.000), family panning officer support with value of (p = 0.000), and IEC treatment with value of (p = 0.000). Keywords: knowledge; attitude; social culture; service access; quality of service

Comparison of MICE and Regression Imputation for Handling Missing Data Berliana Devianti Putri; Hari Basuki Notobroto; Arief Wibowo
Health Notions Vol 2, No 2 (2018): February
Publisher : Humanistic Network for Science and Technology (HNST)

Data collection activities have a higher risk of missing data. Missing data may produce biased estimates and standard errors increased, so imputation method is needed. The purpose of this study was to investigate which imputation method is the most appropriate to use for handling missing data. The strategies evaluated include complete case analysis, Multivariate Imputation by Chained Equation (MICE), and Regression Imputation. This study was non-reactive study and used raw data RPJMN 2015 Survey from BKKBN East Java Province. There were three incomplete data sets were generated from a complete raw dataset with 5%, 10%, and 15% missing data. Incomplete data sets were made missing completely at random. Based on Friedman Test, both of imputation methods produced estimates which was no different with complete raw data set. Based on Mean Square Error analysis, MICE provided MSE values less and more stable than Regression Imputation in all scenarios. Conclusion: Multivariate Imputation by Chained Equation (MICE) was the most recommended method to use for handling missing data less than 15%. Keywords: Missing data, MICE, Regression imputation

Early Stimulation, Detection and Intervention for Growth and Development of Children (ESDIGDC) for Preschooler in Balowerti Health Center, Kediri Eri Puji Kumalasari; Indasah Indasah; Byba Melda Suhita
Health Notions Vol 2, No 7 (2018): July
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn20706

Early Stimulation, Detection and Intervention for Growth and Development of Children (ESDIGDC) is an effort to monitor and collect and find early existence of irregularities and prevent the incidence of permanent disturbance through examination of growth, development and mental emotional condition of children. The objective of the study was to explore the implementation of ESDIGDC program in preschool children In Balowerti Health Center, Kediri. The study design used was qualitative research with phenomenology approach. Sampling technique in this research was purposive sampling with the sample size of 6 informants. Data were collected using indepth interview technique with semi-structured question. The result of the research shows that the implementation of ESDIGDC program influenced the development of ESDIGDC program in every year and will cause positive impact for both health worker and preschooler. The process of ESDIGDC program implementation was influenced by several factors. Based on the research, further research on the implementation of ESDIGDC program is needed. Keywords: ESDIGDC; preschooler; growth; development

The Effects of Peer Education on The Behaviors Regarding HIV/AIDS Transmission Prevention among Street Children in Bandung City Lia Meilianingsih; Ridwan Setiawan; Haris Sofyana
Health Notions Vol 1, No 2 (2017): April-June
Publisher : Humanistic Network for Science and Technology (HNST)

All adolescents are vulnerable to HIV/AIDS, including street children. The behaviors of street children are much influenced by their peers. Peer education can enhance knowledge, attitudes, beliefs, and skills and empower children to be responsible for protecting the health of themselves and their peers (Wahyuni, 2012). This study aims to determine the effects of peer health education on the HIV/AIDS Preventive Behaviors of Street Children in Bandung City in 2015. The research employed a quasi-experimental method with the pre-post-test control group design. The sample was 26 people for the treatment group and 26 people for the control group, respectively, taken with purposive sampling technique. Interventions began with peer educator training and then the peer educators provided health education on HIV/AIDS transmission prevention through small group discussions for 2 days. The data in this study were not normally distributed. The paired or dependent data were analyzed using the Wilcoxon test, while the unpaired or independent data using Mann-Whitney test. The results of the research show that peer health education had effects on the knowledge and attitudes of the street children (p values 0.00 and 0.00, respectively); however, there was no effect of peer health education on the actions regarding HIV/AIDS transmission prevention among the street children (p value 0.09). Hence, it is advisable to conduct health promotion with peer health education method in an effort of increasing knowledge and attitudes regarding HIV/AIDS transmission prevention among street children that is sustainable and integrated with the existing programs at puskesmas (Community Health Center). Keywords: Street children, HIV/AIDS, peer health education

Health Care Access of Mentally-Ill Persons: An Integrative Literature Review Iril I. Panes
Health Notions Vol 2, No 3 (2018): March
Publisher : Humanistic Network for Science and Technology (HNST)

This integrative literature review explores the health care access of mentally-ill persons. Using different databases and search engines, an exhaustive web-based search was conducted. From the initial search, one hundred fiftyseven (157) articles published between the years 2010-2017, in English, and focused on the health care access of mentally-ill were extracted. After removal of duplicates, 42 articles were obtained, of which 23 were included in the final synthesis. Results reveal that personal factors of health-seeking behaviors, awareness, financial problems and cultural influence, as well as environmental factors that includes human and institutional resource, fragmented health care system and governmental policies serve as barriers to mental health care access. Improving community awareness, strengthening the interconnected relationships of mental health policy and health workforce management are components that could provide a useful approach to address the problem in accessibility. Future researches and other scholarly pursuit should give emphasis on the concepts of family, mental illness, and quality of life; as well health system strengthening and policy-making. Furthermore, issues on political, economic and cultural barriers have so long impeded global mental health care and resulted in treatment gaps should be future priorities within the context of research, education, and policy. Keywords: Mental illness, Mental health, Access to care, Mental health care access

The Engineering of Chlorinating Device to Disinfect The Conventional Well Beny Suyanto; Sujangi Sujangi; Sigit Gunawan
Health Notions Vol 1, No 3 (2017): July-September
Publisher : Humanistic Network for Science and Technology (HNST)

Well water is one of the main resource of drinking water for the large people, especially for those who do not abonnement of PDAM (The regional corporation which suplies water need). To determine whether the well water physically polluted or not, it can be done by testing the smell, colour and taste. Whereas, to know the level of pollution both chemically and biologically, laboratory test is performed. To purify water from pathogen bacteria, the cause of waterborne deseases, it is necessary to conduct disinfecting activity to make well water safe to drink by the people. This study was experimental research. The purpose of the research was to design a chlorine injection device applied in a conventional well water, to make it safe to consume by the people. The research design was one group pre and post-test design. Then the effectiveness of the function of the device was analyzed by identifying the difference of concentration of the disinfectant (chlorine) to produce chlorine residue, smell, taste and the decrease of colifom bacteria from well water, in line with the standard of Ministry of Health No. 492 /Reg.IV/2010 about the qualification of the quality of drinking water. The result of the research on the dimension of device chlorine injection, in the form of PVC pipe 2 dm³ and 50 cm in length, completed by silicate sand (3 kg). PVC Ø ¾ , cap, doublé screw sock, disinfectant chlorine and the wieght of device is 3,6 kg. Working principle of this device was the putting of chlorine diffusely in the well wáter. The chlorine injection device type A with the chlorine concentration 10.39 g was sable to desinfect well wáter for 6 days with the average chlorine residue 0.212 ppm. While, chlorine injection device type B was able to desinfect well wáter for 16 days by using 20.97 g of chlorine. The capacity of the device was for 1000 L and the device will make the well wáter inodorous, tasteless, and free from coliform bacteria, this is in line with the standard of Ministry of Health No. 492 /Reg.IV/2010 about the qualification of the quality of drinking water. To increase the capacity of function of chlorine injection device, it is important to conduct a testing on well water in rainy season , the volume of water more than 1000 L, the content of chlor in the chlorine, the endurance of the divice, and the different level of pollution. Keywords: Conventional well water, Chlorine residue, Chlorinating

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