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Jurnal Kesehatan Komunitas
Published by Universitas Hang Tuah Pekanbaru
ISSN : 20887612     EISSN : 25488538     DOI : -
Core Subject : Health,
Public Health
Journal Kesehatan Kominitas is (p-ISSN:2088-7612, e-ISSN: 2548-8538) is scientific, peer-reviewed and open access journal managed and published by LPPM STIKes Hang Tuah Pekanbaru on April, Agustus and December. Jurnal Kesehatan Komunitas publishes original research and/or library analysis on Health Community. In 2017, Jurnal Kesehatan Komunitas has registered as a CrossRef member. Therefore, all published articles will have unique Digital Object Identifier (DOI) number.
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Search results for , issue "Vol 6 No 3 (2020): Jurnal Kesehatan Komunitas" : 20 Documents clear
Pengaruh Konsumsi Jantung Pisang Terhadap Peningkatan Produksi Asi Pada Ibu Menyusui di Desa Candirejo Kecamatan Biru-Biru Kabupaten Deli Serdang Andayani Boang Manalu; Tetty Junita Purba; Nurul Aini Siagian; Mutiara Dwi Yanti
Jurnal Kesehatan Komunitas Vol 6 No 3 (2020): Jurnal Kesehatan Komunitas
Publisher : STIKes Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol6.Iss3.592

Abstract

Breast milk (ASI) is the best food for babies whose nutrition is complex, and contains nutrients according to the baby's needs for growth, immunity, preventing various diseases and for the baby's intelligence. However, many mothers have problems with difficulty in getting milk out. This makes the baby not get enough milk and the mother makes the decision to give formula milk. Some mothers are afraid to breastfeed, resulting in breast milk damages because it can reduce the baby's suction at the breast causing the amount of milk to be small and not sufficient for the baby's needs. The purpose of this study was to compare the production of breast milk between the intervention group (posttest) consuming Kepok banana blossom vegetables and the control group (posttest) not to consume Kepok banana blossom vegetables in breastfeeding mothers in Candirejo Village, Biru - Biru District, Deli Serdang Regency. The method used in this study was a quasi-experimental design with a two group pretest - posttest design. The sample in this study were all breastfeeding mothers in May-July totaling 20 respondents divided into 10 respondents in the intervention group and 10 respondents in the control group. Data collection were used the observation sheet. The data were analyzed using the Wilcoxon test and then to see the comparison using the Mann Whitney test. The results showed that the mean ranks of the control was 5.65 with a sum of ranks of 56.50 increased in the intervention group with a mean ranks of 15.35 and a sum of ranks of 153.50 with a P-value of (0.000 <α 0, 05) then Ho is rejected, Ha is accepted. The conclusion showed that there is an effect of banana blossom consumption on increasing milk production in breastfeeding mothers in Candirejo Village, Deli Serdang Regency.
Penyelenggaraan Pos Pembinaan Terpadu Penyakit Tidak Menular Di Wilayah Puskesmas Sungai Piring Kabupaten Indragiri Hilir Nurlian Nurlian; Zulfan Saam; Agus Alamsyah; Novita Rany; Emy Leonita
Jurnal Kesehatan Komunitas Vol 6 No 3 (2020): Jurnal Kesehatan Komunitas
Publisher : STIKes Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol6.Iss3.593

Abstract

The increasing prevalence of non-communicable disease is a serious threat to development, because it threatens national economic growth. Public Health Center of Sungai Piring area is one of the largest Non-Communicable Disease of  Integrated Guidance Post (Posbindu PTM) distributions out of 28 Public Healh Centers in Indragiri Hilir regency, however, health screening at Non-Communicable Disease of Integrated Guidance Post (Posbindu PTM) was only 31.1% of the program target in 2019. Through it, early detection of Non-Communicable risk factors could be detected so that the incidence of it in the community could be pressed. The purpose of knowing the trends of input, process and output in implementation of Non-Communicable Disease of Integrated Guidance Post (Posbindu PTM) at Public Health Center of Sungai Piring Area, Indragiri Hilir Regency in 2019. This type of research was qualitative research that used purposive sampling technique. Research informants were the head of Public Health Center, Headman, the village head, the person in charge of the program, officers, cadres and users of Integrated Guidance Post. The Collecting data was interview, observation and documents related with a triangulation analysis of data sources and methods. The result of the research was in terms of input, the role of officers had been optimal, but the roles of cadres and policy makers had not been optimal, limited funding of Health Operational Assistance (BOK) funds and the infrastructure Public Health Center was not optimal. From the process of planning and coaching Non-Communicable Disease of Integrated Guidance Post (Posbindu PTM) had not been optimal, the types of activities were not in accordance with the Integrated Guidance Post concept, follow up the monitoring of risk factors had been carried out by Integrated Guidance Post officers and the basic Integrated Guidance Post criteria phasing. The output of evaluation in implementation of Integrated Guidance Post of Non-Communicable Disease at Public Health Center of Sungai Piring Area in 2019 was seen from the input and process there still obstacles. It should be necessary to increase socialization and support from related sectors to increase the utilization of Non- Communicable Disease of Integrated Guidance Post (Posbindu PTM).  
Analisis Upaya Pencapaian Indikator Kapitasi Berbasis Pemenuhan Komitmen Pelayanan (KBPKP) di Puskesmas Rumbai Kota Pekanbaru widodextrosa widodextrosa; Irwan Muryanto; Novita Rany; Ahmad Hanafi; Adliana Puspasari
Jurnal Kesehatan Komunitas Vol 6 No 3 (2020): Jurnal Kesehatan Komunitas
Publisher : STIKes Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol6.Iss3.597

Abstract

Capitation Based on Service Commitment Fulfillment (KBPKP) is an adjustment to the capitation rate based on the results of an agreed assessment of individual health service indicators in the form of a commitment to First Level Health Facilities (FKTP) services in order to increase the efficiency and effectiveness of health service delivery in FKTPs. The achievement of the target indicators for the Capitation Based on Service Commitment Fulfillment (KBPKP) at Puskesmas Rumbai Pekanbaru has not been satisfactory. Throughout 2019, most of the KBPKP indicators were in unsafe conditions with a capitation payment range ranging from 90% - 95%. The research objective was to analyze the efforts to achieve the Capitation indicator based on Service Commitment Fulfillment (KBPKP) at the Rumbai Public Health Center in Pekanbaru City in 2019. The method of selecting informants used snowball sampling. Data source qualified and able to present opinions well. The informants in this study were flexible according to the adequacy and suitability of the study. The results showed that the efforts to achieve the Capitation indicators based on the Service Commitment Fulfillment (KBPKP) at Puskesmas Rumbai, Pekanbaru City were not optimal. Commitment to achieve indicator numbers is still lacking. The strategy that has been made is not clear, therefore there is no effort to formulate a clear, structured and systematic strategy. Organizational structure is not followed by a description of the main tasks and functions so that supervision becomes weak, program holder officers do not focus on realizing the plan for achieving the service commitment based capitation indicator (KBPKP) that has been determined as a result efforts to achieve the KBPKP indicator are difficult to realize. It is recommended that efforts be made to make SOPs, a comprehensive, measurable, systematic plan, formulate the main tasks and functions for officers assigned as personnel to realize the target indicators that have been set so that coordination and control of actions in realizing the KBPKP indicators can be carried out properly.
Pengaruh Pemberian Rebusan Daun Sirih Merah (Piper Crocatum) Terhadap Penyembuhan Luka Perineum pada Ibu Postpartum di Desa Tanjung Jati Kecamatan Binjai Kabupaten Langkat Nurul Aini Siagian; Eka Sri Wahyuni; Peny Ariani; Andayani Boang Manalu
Jurnal Kesehatan Komunitas Vol 6 No 3 (2020): Jurnal Kesehatan Komunitas
Publisher : STIKes Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol6.Iss3.599

Abstract

Nearly 90% of labor experienced perineal tears, either with or without episiotomy. The incidence of perineal tears occurred almost 90% in normal labor. Red betel leaf or Piper crocatum is known to have chemical properties that have antiseptic and antibacterial effects. The aim of this study was to assess the duration of healing of postpartum mothers' perineal wounds using red betel leaf decoction and anti-septic drugs. The research method was quasi experimental, the population of postpartum mothers with perineal wounds. The sample of the experimental group was given red betel leaf stew as much as 4-5 pieces for 7 days 18 people and the control group 18 people. Samples were taken by consecutive sampling which was conducted in the village of Tanjung Jati Kec. Binjai Kab. Langkat in April-July 2020. The results of this study were the average healing time in the control group was 5.28 ± 0.958 with a Min-Max 3-6 days, while in the intervention group the average healing time was 3.00 ± 1.372 with a Min-Max 2 -5. There was a significant difference (p-value = 0.001) in the length of days of healing between the control and intervention groups. The conclusion of this study is the effect of giving red betel leaf stew (piper crocatum) on the healing of perineal wounds in postpartum mothers.
Analisis Kesiapan Unit Pelaksana Teknis (UPT) Laboratorium Kesehatan Kota Pekanbaru Dalam Penerapan Kebijakan Badan Umum Layanan Daerah (BLUD) Di Kota Pekanbaru Tahun 2020 heriyadi heriyadi; Irwan Muryanto; Arnawilis Arnawilis; Mitra Mitra; Mishbahuddin Mishbahuddin
Jurnal Kesehatan Komunitas Vol 6 No 3 (2020): Jurnal Kesehatan Komunitas
Publisher : STIKes Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol6.Iss3.615

Abstract

The health laboratory is a public service institution that has an important role in improving public health status. With the increasing demands for health laboratories in improving services, many problems have arisen related to the lack of human resources, budgeting, long bureaucratic flows of disbursement of funds, long process of procuring facilities and infrastructure, and financial management regulations that hinder the smooth running of services. Through the Regional Public Service Agency (BLUD), the technical unit (UPT) health laboratory of Pekanbaru city is expected to have flexibility in managing finances independently, increasing professionalism, entrepreneurship, transparency, and accountability that can improve services to the community. The purpose of this study was to analyze the readiness of UPT health laboratory of Pekanbaru city in the Implementation of BLUD policy in Pekanbaru city in 2020. The study was qualitative. 6 informants were consisting of 5 main informants and 1 supporting informant. The triangulation used were the source, method, and data triangulation. The results showed that readiness in terms of input was still lacking in human resources in finance and administration. From a process point of view, the UPT health laboratory of Pekanbaru city has completed all the substantive, technical, and administrative requirements. And in terms of output, the UPT health laboratory of Pekanbaru city is ready to implement the BLUD policy. It is hoped that the UPT health laboratory of Pekanbaru city will immediately submit an assessment of the implementation of BLUD policies. Becoming a BLUD can fulfill their needs independently with a faster process.
Determinan Pemanfaatan Pelayanan Voluntary Counselling and Testing (VCT) pada Ibu Hamil di Wilayah Kerja Puskesmas Langsat Kota Pekanbaru Tahun 2020 Irmawati Irmawati; Christine Vita G.P; Zulmeliza Rasyid
Jurnal Kesehatan Komunitas Vol 6 No 3 (2020): Jurnal Kesehatan Komunitas
Publisher : STIKes Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol6.Iss3.616

Abstract

Voluntary Counselling and Testing (VCT) is voluntary counseling and HIV testing which aims to help prevention, caret, and treatment of HIV and AIDS. According to Permenkes No.42 in 2017 about triple elimination explain every pregnant woman must be checked for HIV, Hepatitis B, and Sifilis as early as possible Mother to Child HIV Transmission (MTCT) In 2018, in Indonesia the target of HIV testing in pregnant women is that 60% of pregnant women are tested for HIV. However, only 34% of pregnant women conduct examinations, and the Langsat Health Center is the health center with the lowest VCT rate in pregnant women in Pekanbaru City at 12,7% of pregnant women not to check. The purpose of this study was to determine the determinants of the use of Voluntary Counselling and Testing (VCT) services of pregnant women in the work area of Langsat Health Center Pekanbaru City in 2020. This was an analytical quantitative type with a cross-sectional design. The sampling technique was accidental sampling totaling 101 respondents. Variable of the research were knowledge, attitude, stigma, discrimination, support of family, and support from health workers to the utilization of VCT. Analysis of the data used in univariate and bivariate analysis with chi-square test with α = 0,05. The result showed a variable knowledge (p = 0,010. POR = 3,357), stigma and discrimination (p = 0,042. POR = 2,619), family support (p = 0,002. POR = 4,357), and support of health workers (p = 0,004. POR = 3,843) are related to the use of VCT. Suggestion for the health center to actively socialize about VCT and invite cross-sectoral to collaborate in VCT examination in pregnant women can be easily affordable. 
Peran Pengawas Menelan Obat dalam Penanggulangan Tuberkulosis di Wilayah Kerja Dinas Kesehatan Kota Pekanbaru Dwi Sapta Aryantiningsih; Ambiyar Ambiyar; Dedy Irfan
Jurnal Kesehatan Komunitas Vol 6 No 3 (2020): Jurnal Kesehatan Komunitas
Publisher : STIKes Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol6.Iss3.634

Abstract

Tuberculosis (TB) is one of the 10 infectious diseases that can cause mortality worldwide. Geographically, the highest TB cases occurred in Southeast Asia (44%). Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis. Indonesia is among the 3 countries that account for two-thirds of TB cases in the world is 8%. The case finding rate in Riau Province was only 39% and in Pekanbaru City it was only 37.5%. The cure rate for TB patients in Indonesia reaches 73.2% and in Pekanbaru it is only 59.9%, which is still below the Ministry of Health's target of 85%. Family support is very important to observe patient reports for regular medication during the treatment period until it recovers. This study aims to see the role of family support in TB control efforts. Type of qualitative research. The research subjects were 1 holder of the TB Health Office program, 1 staff, 2 Puskesmas program holders, 2 family. Data collection was carried out by interview and document search. The results showed that the family support involved was the patient's family. Health workers provide health information to family related to modes of transmission, how to take TB drugs, schedule patient re-visits. The role of family support is still needed to be improved to support TB treatment. It is recommended to use information systems such as SMS, Web or YouTube to increase the role of family support and patient compliance to follow TB treatment procedures. Keywords: Family support, drug, Tuberculosis
Evaluasi Implementasi Manajemen Puskesmas Terakreditasi Utama di Kabupaten Kampar Tahun 2020 Zulfahman; Syafrani Syafrani; Yanwir Kamal; Jasrida Yunita; Dedi Sambudi
Jurnal Kesehatan Komunitas Vol 6 No 3 (2020): Jurnal Kesehatan Komunitas
Publisher : STIKes Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol6.Iss3.636

Abstract

Every public health center in Indonesia has an accreditation level as a determinant of quality. Public health management is an effort to improve the quality and quality of health services. Accreditation of public health in Kampar District only 5 (five) public health have been utama accredited, while the others are accredited middle and basic. This shows that it is necessary to evaluate the implementation of public health management as a reference for other public health. This research aims to analyze how the management of the main accredited public health in Kampar District is implemented in 2020. This research used a qualitative method with the Positive Defiance (PD). The number of informants was 14 people consisting of the Head of the public health, the Head of the Administration of the public health and the Head of the Kampar District Health Office. Data collection methods by means of in-depth interviews and document review. In terms of quantity, the main accredited Primary Health Care in Kampar Regency has implemented health center management well, but in terms of quality it still needs to be improved both from human resource management, availability of funds, methods / policies, materials, movement planning and implementation as well as supervision and control so that service quality can be improved. The support from the Kampar District Office greatly affects the performance of the public health in the Kampar district. Public health management is one of the main references in the operation of a public health. the implementation of good public health management in the Kampar district public health also gave good scores to the 5 main accredited public health in the Kampar district.
Analisis Faktor Yang Berhubungan Dengan Usia Menopause di Puskesmas Wua-Wua Kota Kendari La Rangki La Rangki; Heriviyatno J Siagian; La Ode Alifariki
Jurnal Kesehatan Komunitas Vol 6 No 3 (2020): Jurnal Kesehatan Komunitas
Publisher : STIKes Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol6.Iss3.738

Abstract

Menopause period were decreased of estrogen hormone which causes women to experience complaints and can even interfere with activity. The purpose of this study is to determine analysis factors to menopause age in menopausal women at Wua-wua Public Health Center, Kendari City.This cross sectional study located in the Wua-Wua Health Center, Kendari City with population is all of the menopausal women who visited Puskesmas Wua-Wua Kendari City. 74 respondents are taken using a total sampling technique. Data collection using a questionnaire and analyzed using chi square statistical test at a value of α = 0.05.The results of this study indicate that the age of the respondents, normal category is 41.9%, fast category 17.6%, slow category 40.5%. The results of bivariate analysis using the Chi Square test showed a relationship between history of use of contraception with menopausal age (p 0.013 <α 0.05), BMI with menopausal age (p 0.005 <α 0.05), age and menopause (p 0,000 < α 0,05) and parity with menopausal age (p 0.000 <α 0.05).Contraception, Body Mass Index (BMI), age, parity related to age at menopause, while variables of employment status and educational status were not related to menopausal age. So that mothers, if they want to slow down the menopause, use hormonal contraception, regulate births or the number of children, and do physical activity so that they maintain ideal body weight.
Peran Institusi Pendidikan dalam Pengelolaan Obesitas pada Remaja Zahtamal zahtamal; Tuti Restuastuti; Fifia Chandra; Hamidah Batubara
Jurnal Kesehatan Komunitas Vol 6 No 3 (2020): Jurnal Kesehatan Komunitas
Publisher : STIKes Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol6.Iss3.774

Abstract

Obesity concern is a global issue due to the prevalence is increasing in all age groups, including adolescence group. The objective of the study was to reveal the role of educational institutions in assisting the management of obesity in adolescents. A qualitative descriptive study design was adopted, which was conducted at the Department of Education and Culture and three senior high schools (SMA) in Pekanbaru City which was determined by purposive sampling. The research informants were the head of the Pekanbaru city education and culture office, the principal, teachers, and youth (students). The determination of the number of informants is based on the principles of adequacy and representation. Data were collected by means of in-depth interviews, focus group discussions and observations. Data analysis in the form of qualitative analysis, describe the role of educational institutions in helping the management of obesity in adolescents (students). The results showed that the components that support the management of obesity in adolescents include a strong commitment from the education office, the availability of infrastructure and financial support. Some things that are not yet optimal include; there is no written policy (regulations, decrees, circular letters) specifically aimed at helping adolescent obesity treatment in schools, curriculum in subjects does not support students to be physically active nor does it support the provision of balanced nutrition, and there is still a lack of involvement of various parties comprehensively and across sectors. Overall, it is concluded that the role of educational institutions in managing obesity in adolescents has not been optimal.

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