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INDONESIA
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat
Published by Universitas Jenderal Soedirman
ISSN : 20859929     EISSN : 25795414     DOI : -
Core Subject : Health,
Public Health
Arjuna Subject : -
Articles 514 Documents
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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

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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.
FAKTOR – FAKTOR YANG MEMPENGARUHI PEMANFAATAN PELAYANAN PENGOBATAN INFEKSI MENULAR SEKSUAL (IMS) DI PUSKESMAS PURWOKERTO SELATAN KABUPATEN BANYUMAS. Kurniawan, Arif; Intiasari, Arih Diyaning
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 5 No 1 (2012): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

ABSTRACT South Purwokerto is a region that also has high risk of Sexual Transmitted Infection (IMS) because there are wild prostitution areas which located in ex terminal and Rajawali Cinema. Based on data, curative service exploiting in Puskesmas Baturaden II have been good enough that equals to 83,93%, while in Puskesmas Purwokerto Selatan shows number of patients exploiting therapy service of IMS still be low that equals to 37,5%. This research aims to know service exploiting of Sexual Transmitted Infection ( IMS) therapy  at IMS patient and factors influencing service exploiting of IMS therapy. The type of this research is survey with form of explanatory research. Population of this research is society in the job region of Puskesmas Purwokerto Selatan who have high risk of IMS. The sample number of this research is 40, obtained from formula of minimum sample size. Result of research shows that there is correlation between knowledge about therapy service of IMS, promotion of therapy service of IMS, and quality of therapy service of IMS with service exploiting of therapy IMS. While there is no correlation between service reachability of IMS therapy and service need of IMS therapy with service exploiting of IMS therapy. There is simultanous influence between promotion of IMS therapy service and quality of IMS  therapy service with service exploiting of IMS therapy. Suggestion in this research is puskesmas must increase promotion of therapy service of IMS to the society in puskesmas region  and increase quality of therapy service of IMS to the patient of IMS therapy. Kata Kunci : Pemanfaatan,Pengobatan, Infeksi Menular Seksual Kesmasindo Volume 5( 1)Januari 2012, hlm. 33-43
EFEKTIFITAS PELATIHAN PENCEGAHAN GIZI BURUK BALITA PADA PEER EDUCATOR UNTUK MENINGKATAN PENGETAHUAN KELOMPOK DASAWISMA DI PUSKESMAS BATURRADEN I. Kurniawan, Arif; Gamelia, Elviera
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 7 No 2 (2015): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

ABSTRACTResult of monitoring from Baturaden I Public Health Centers known that malnutrition and poor nutrition by 49 children ( 2.89% ). The results of this monitoring have not been able to portray the true condition of the status of children under five malnutrition in the community. One of the factors that influence malnutrition status is of knowledge about malnutrition . Efforts to increase community knowledge about malnutrition can be done with various models of health promotion. This study aims to determine the effectiveness of training peer educators malnutrition in dasa wisma group house at Baturaden I public health centers, Distric of Banyumas to increasing knowledge of prevention of malnutrition. This type of research was a quasi experimental study with one group pre -test and post-test design . The samples were in a group of housewives in the dasa wisma group in Baturraden I Public Health Centers many as 14 people. Analysis of the data used was a paired t ? test. The variables measured were knowledge about peer education techniques, and knowledge about prevention of malnutrition. The result showed that the training was done by using the method of lecture, discussion and practice of malnutrition health promotion could increased knowledge about malnutrition prevention before training and after training. Training also effectively increased the knowledge about the peeer education techniques. Advice gived was increased efforts to combat malnutrition with more active health promotion about malnutrition through peer educator in the community. Keyword : Peer Educator, Malnutrition, Dasa Wisma Group Kesmasindo, Volume 7( 2), Januari 2015, Hal. 82-87
GAMBARAN KESIAPAN SISTEM SURVEILANS TUBERKULOSIS DALAM MENDUKUNG UPAYA PENGENDALIAN TUBERKULOSIS RESISTEN OBAT (TB-RO) DI KABUPATEN BANYUMAS Astuti, Sonia Dwi; Octaviana, Devi; Wijayanti, Siwi Pramatama Mars
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 10 No 2 (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 (84.196 KB) | DOI: 10.20884/1.ki.2018.10.2.1297

Abstract

Tingginya angka insidensi kasus TB setiap tahun dan angka kematian akibat TB masih menjadi beban di Indonesia. Beban tersebut kini telah bertambah dengan adanya TB Resisten Obat (TB-RO). TB-RO adalah penyakit tuberkulosis yang mengalami resistensi terhadap dua obat paling paten pada lini pertama seperti isoniazid dan rifampisin dan umumnya terjadi akibat pengobatan TB yang tidak tuntas (Asri, 2014). Pengobatan yang tidak tuntas tersebut menyebabkan berkurangnya efektifitas obat di dalam tubuh dalam membunuh bakteri tuberkulosis akibat mutasi pada gen dan RNA yang berujung pada resistensi (Soepandi, 2010). Peningkatan beban TB-RO terjadi karena belum optimalnya pelaksanaan program pengendalian TB yang ada, kurangnya keterlibatan lintas program dan lintas sektor dan kurangnya penatalaksanaan kasus TB di fasilitas pelayanan kesehatan seperti penemuan kasus; pencatatan dan pelaporan kasus. Beban TB-RO ini akan mengakibatkan kerugian yang cukup besar jika tidak dapat ditanggulangi dengan baik, seperti meningkatnya pembiayaan TB, meningkatnya jumlah pengangguran dan meningkatkan risiko adanya kejadian TB-HIV. Upaya yang dapat dilakukan untuk menghadapi peningkatan beban TB-RO tersebut salah satunya dengan melakukan perubahan dalam penemuan kasus dan pencatatan kasus (Permenkes, 2016). Perubahan penemuan dan pencatatan kasus dari yang bersifat pasif kini menjadi aktif, intensif dan masif tanpa mengesampingkan kegiatan penemuan dan pencatatan kasus secara pasif. Penemuan dan pencatatan kasus tersebut akan dilaksanakan melalui kegiatan surveilans TB (Dinkes Banyumas, 2017).   Pada Tahun 2017 Triwulan II di Kabupaten Banyumas untuk kasus TB-RO terdapat 225 kasus terduga, 19 kasus terdiagnosis, 16 kasus diobati dan 2 kasus meninggal (Dinkes Banyumas, 2017). Berdasarkan hasil studi pendahuluan yang telah dilakukan ditemukan bahwa 37 dari 39 Puskesmas yang ada di Kabupaten Banyumas memiliki kasus TB-RO. Hal ini berarti Puskesmas di Kabupaten Banyumas harus memiliki kesiapan sistem surveilans yang baik dalam menghadapi tantangan dari munculnya beban TB-RO tersebut. Kegiatan surveilans TB yang telah matang akan dilakukan dengan sistem yang baik dan akan menghasilkan informasi yang baik pula untuk mendukung keberlangsungan upaya pengendalian TB-RO. Kesiapan yang dimaksud bukan hanya pada sistem secara menyeluruh tetapi juga harus spesifik ke dalam subsistem surveilans seperti input, process dan output. Komponen yang termasuk dalam subsistem input seperti sumber daya manusia (SDM), dana, metode pencatatan dan pelaporan serta sarana, sedangkan untuk subsistem proses yaitu frekuensi pengumpulan data, pengolahan data dan analisa data. Komponen dari subsistem output berupa pelaporan ke instansi yang lebih tinggi, diseminasi informasi serta umpan balik yang dapat dilihat dari adanya buletin kasus serta mading informasi (Ersanti dkk, 2016). Penelitian yang dilakukan oleh Kant, et al (2013) menyebutkan bahwa perbaikan sistem surveilans mulai dari pengumpulan data secara lengkap hingga pengolahan data yang tepat dapat menunjung kegiatan penanggulangan tuberkulosis dan efektif menekan peningkatan kematian akibat penyakit tersebut di India. Penelitian ini bertujuan untuk melihat dan mendekripsikan kesiapan sistem surveilans TB di Puskesmas Wilayah Kerja Kabupaten Banyumas dalam mendukung upaya pengendalian TB-RO.  
DETERMINAN YANG BERHUBUNGAN DENGAN KELUHAN MUSCULOSKELETAL DISORDERS (MSDs) PADA PEKERJA INDUSTRI GENTENG DI KECAMATAN PETANAHAN KABUPATEN KEBUMEN Anas, Azhar; Ulfah, Nur; Harwanti, Siti
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 6 No 2 (2013): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

ABSTRAK Musculoskeletal disorders (MSDs) are the complaints on the parts of skeletal muscle is felt by anyone ranging from very mild to very sick complaints. MSDs case data is still high, as many as 141,000 in United Kingdom in the year 2011/2012. The purpose of this study is to determine the determinant related to the complaint Musculoskeletal disorders (MSDs) in the tile industry workers in the District Petanahan Kebumen in 2013. Type and method of this study is observational with cross sectional approach. The total sample of 50 respondents the data obtained through interviews using questionnaires and direct observation. Data analysis is performed using univariate and bivariate (chi square). Results of this study showed that the variables significantly associated with MSDs complaints is workplace risk (p = 0.000), age (p = 0.000), gender (p = 0.000), years (p = 0.000). While the variables are not significantly associated smoking habits (p = 0.392). Suggested workers should do rest for 5 minutes when start to fatigue or stiffness in the muscles of the body.   Keywords: Complaints MSDs Kesmasindo, Volume 6, Nomor 2, Juli 2013, Hal 110-115  
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

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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 .
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEMAMPUAN PASIEN DIABETES MELLITUS DALAM MENDETEKSI EPISODE HIPOGLIKEMI DI RSUD MARGONO SOEKARJO PURWOKERTO Supadi, Supadi
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 4 No 2 (2011): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

ABSTRACT Diabetes mellitus is a silent killer disease associated with hyperglycemia and insulin secretion falls below a critical amount or due to deficient action of insulin on metabolism. Hyperglycemia on diabetic patients is an acute complication of diabetes mellitus which may occur many times and deteriorate the disease and risk of death. This research was conducted to explore the effect of some factors that influenced the abilities of diabetic clients to detect hypoglycaemia episodic. This research used analytical descriptive with cross sectional study approach. The data was analyzed by Chi square. The result of study showed that there were no relationship between gender and the abilities of diabetic clients to detect hypoglycaemia (p:1,00), age (p:1.00), level of education (p:0.59), duration of diabetic (p:1.00), knowledge retention (p:0.32), and the availability of glucometer (p:1.00). In conclusion, there were no significant relationship between gender, level of education, duration of diabetic, knowledge retention, and the availability of glucometer and the abilities of diabetic clients to detect hypoglycaemia episodic. Keywords : hypoglicaemia,  diabetic  Kesmasindo. Volume 4,  Nomor 2, Juli 2011, hlm. 119-136  
MOTIVASI KERJA DAN KEPUASAN KERJA DENGAN KINERJA PERAWAT DI RS. PKU MUHAMADIYAH GOMBONG Suryanto, Suryanto; Dewi, Arimbi
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 3 No 2 (2010): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

Job motivation and high job satisfaction in hospitals will improve the nurse performance. This occurs when the nurses perceive intrinsic rewards and extrinsic rewards which have been received were fair and reasonable. The job satisfaction in nurses will raise motivation in the workplace so that the numbers of absence will be decreased. The job satisfaction can also improve physical and mental health status that has impact on physical fitness, high work morale and motivation so that nurse performance will be increased. How relationship between job motivation and job satisfaction with the nurse performance in PKU Muhammadiyah. This research is explanatory quantitative methods with survey and cross-sectional approach. Data analysis was performed with linear regression test. The independent variables were job motivation and job satisfaction. The dependent variable was the nurse performance. Samples were 95 nurses who worked in PKU Muhammadiyah Hospital Gombong. The research instruments use modified Likert?s scale, questionnaires and interview guides. The data sources nurses, patients and hospital manager. Nurses and hospital supported this research until research process no problems. The analysis result of ANOVA test was found F count 26.54, significance level of 0.000. with relationship value of 0.458. There was a significant positive relationship between job motivation and job satisfaction with the nurse performance of post certification ISO 9001/2008 in PKU Muhammadiyah Hospital Gombong. The closeness of relationship is moderate category. The job motivation and job satisfaction are jointly affect the nurse performance about 38.5%. The other factors were influenced, examples environment, style of leadership, job relationship and hospital?s infrastructures. The job motivation and job satisfaction were two factors that influenced the nurse performance of post certification ISO 9001/2008 in PKU Muhammadiyah Hospital Gombong. These two factors to be fluctuated so that will be increased. The job relationship managers with nurses in hospital should improved job creativity. Nurses are formal worker in hospital will be increased job creativities and competences.
Pengaruh Pendidikan Kesehatan Insufficient Milk Supply dan Teknik Menyusui terhadap Pengetahuan Kader Kesehatan Latifah, Lutfatul
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 (217.934 KB) | DOI: 10.20884/1.ki.2018.10.1.418

Abstract

Latar Belakang: Angka cakupan ASI eksklusif di Kabupaten Banyumas lebih rendah 11,17% dibandingkan dengan cakupan provinsi Jawa Tengah. Faktor yang mempengaruhi ibu untuk menghentikan menyusui eksklusif adalah persepsi produksi ASI kurang dan kesulitan dengan teknik menyusui. Kader kesehatan mempunyai peranan yang penting dalam memperbaiki persepsi produksi ASI kurang dan teknik menyusui sehingga diperlukan pendidikan kesehatan untuk meningkatkan pemahaman tentang produksi ASI kurang dan teknik menyusui yang benar. Tujuan: Tujuan dari penelitian ini adalah untuk mengetahui pengaruh pendidikan kesehatan Insufficient Milk Supply dan teknik menyusui terhadap pengetahuan kader kesehatan tentang produksi ASI kurang dan teknik menyusui yang benar. Metode: Penelitian ini menggunakan rancangan pre-experimental one group only. Penelitian dilaksanakan di Kecamatan Baturraden, Kabupaten Banyumas, Provinsi Jawa Tengah pada Mei 2017. Populasi penelitian ini adalah ibu-ibu kader kesehatan, dengan jumlah sampel 38 responden. Pengambilan data menggunakan kuesioner dan analisis data  dengan Wilcoxon karena data tidak terdistribusi normal.   Hasil: Karakteristik responden mayoritas berusia 20-35 tahun (47,4%), multipara(68.4%), dan tingkat pendidikan SMA (36,8%).  Uji normalitas data menggunakan Shapiro-Wilk. Skor pre test terdistribusi normal (p < 0.05), sementara skor post test terdistribusi tidak normal (p > 0.05). Perbedaan skor pre test dan post test diuji menggunakan Wilcoxon. Terdapat perbedaan yang signifikan antara skor pre test dan post test (Z = -5.192, p < 0.001). Kesimpulan: Pendidikan kesehatan dapat meningkatkan pengetahuan ibu-ibu kader kesehatan tentang produksi ASI kurang dan teknik menyusui yang benar di Kecamatan Baturraden, Kabupaten Banyumas.
IDENTIFIKASI SIKAP KERJA DAN KELUHAN GEJALA CUMULATIVE TRAUMA DISORDER (CTD) PADA PEKERJA PEMECAH BATU DI KECAMATAN PATIKRAJA KABUPATEN BANYUMAS Ngadiman, Ngadiman; Yuniarno, Saudin; Harwanti, Siti
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 1 No 2 (2008): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

Works as stone breaker is more work worked in posture of body that is not experienced causing can generate un-comfort to work and the end generates fatigue and sigh of feeling pain. The sigh indicates that the workers to experince damage symptom cumulative trauma (Cumulative Trauma Disorder/CTD), as recuring trauma effect during old causing feeling pain. The symptoms usually emerges at kind of work which monotone, position of job that is not natural, usage or conscription of muscle exceeding is ability. Effort for best prevention must be based on result of identification of posture of work and symptoms incidence experienced. Therefore, research need to be done to identify posture of job and case of CTD at stone crusher worker in subdistrict of Patikraja Banyumas regency. This kind of research is descriptive research with approach of observasional and sampletaken 60 respondens. The result of research is known by posture of job, the stone crusher workers works by using pallet to sit which is not ergonomic (100%), position sits not natural (85%), knee dint bends (85%), without synchronized of self protective decive (95%), and work environment that is not balmy (90%). While specific symptom of  Cummulative Trauma Disorder (CTD) at stone crusher worker subdistrict of Patikraja Banyumas regency is feel back ache sigh (95%), ill at leg (91%), and sigh of symptomp Carpal Tunnel Sindrome/CTS (90%). Therefor required levying of supporting facilities for job which ergonomic to prevent incidence the symptom.

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