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Jurnal Aisyah : Jurnal Ilmu Kesehatan
Published by Universitas Aisyah Pringsewu
ISSN : 25024825     EISSN : 25029495     DOI : 10.30604/jika
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Jurnal Aisyah: Jurnal Ilmu Kesehatan (JIKA), with registered number ISSN 2502-4825 (Print) and ISSN 2502-9495 (Online), is an international peer-reviewed journal published two times a year (June and December) by Universitas Aisyah Pringsewu (UAP) Lampung. JIKA is intended to be the journal for publishing articles reporting the results of research on Health Science field especially Nursing and Midwifery, as well as with their development through interdisciplinary and multidisciplinary approach. The submission process of the manuscript is open throughout the year. All submitted manuscripts will go through the blind peer review and editorial review before being granted with acceptance for publication.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 1,302 Documents
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Providing Online Education to Improve Health and Nutrition Knowledge in Security Units during the Pandemic (Covid-19) Tsani, A. Fahmy Arif; Nugroho, Teddy Wahyu; Ayustaningwarno, Fitriyono; Dieny, Fillah Fithra; Kristiana, Ida
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 5, No 2: December 2020
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (184.371 KB) | DOI: 10.30604/jika.v5i2.355

Abstract

Security Unit (SATPAM) is a profession that demands good endurance. During a pandemic, online education is one way that can be done to provide information about health and nutrition that can improve work performance and body resistance of security guards. This study aims to determine the effectiveness of providing online education to increase knowledge of health and nutrition in a security unit during a pandemic. This research is a quantitative study with a pretest-posttest design which was carried out on 68 security guards at the Diponegoro University campus. Online educational media used via Whatsapp. This research was in the form of providing a nutritional knowledge pretest, nutritional education and nutritional knowledge posttest to see the level of knowledge of the security unit. The pretest and posttest knowledge data analysis used paired t-test if the data distribution was normal and if the data distribution was not normal will use Wilcoxon. The results of statistical analysis showed that there was a significant difference in pretest and posttest nutritional knowledge (p = 0.002), with the median and average value of the Undip security guards’ nutritional knowledge from a median of 72.5 (45-85) to 80 (50-95) with the average of 70.96 before education and after education increased to 75.88. There is an effect of providing online nutrition education on increasing security knowledge of health and nutrition.  Abstrak: Satuan Pengaman (SATPAM) adalah salah satu profesi yang menuntut daya tahan tubuh yang baik. Di masa pandemi, edukasi online merupakan salah satu cara yang dapat dilakukan untuk memberikan informasi mengenai kesehatan dan gizi yang dapat meningkatkan performa kerja dan daya tahan tubuh satpam. Penelitian ini bertujuan untuk mengetahui efektivitas pemberian edukasi online untuk meningkatkan pengetahuan kesehatan dan gizi pada satuan pengamanan (satpam) di masa pandemi. Penelitian ini merupakan penelitian kuantitatif dengan rancangan pretest posttest design yang dilakukan pada 68 satpam kampus Universitas Diponegoro. Media edukasi online yang digunakan melalui Whatsapp. Penelitian ini berupa pemberian pretest pengetahuan gizi, edukasi gizi dan posttest pengetahuan gizi untuk melihat tingkat pengetahuan satpam. Analisis data pengetahuan pre dan posttest menggunakan paired t-test apabila distribusi data normal dan wilcoxon apabila distribusi data tidak normal.  Hasil analisis statistik menunjukkan bahwa terdapat perbedaan signifikan pengetahuan gizi pre dan posttest (p=0,002), dengan nilai median dan rata-rata terdapat peningkatan pengetahuan gizi satpam Undip dari median  72,5 (45-85) menjadi 80 (50-95) dengan rata-rata 70,96 sebelum edukasi dan setelah edukasi naik menjadi 75,88. Terdapat pengaruh pemberian edukasi gizi online terhadap peningkatan pengetahuan kesehatan dan gizi satpam.
The Effect of Infant Massage on The Quality of Sleep of Infants Aged 0–12 Months Manurung, Rostinah
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 5, No 2: December 2020
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (617.545 KB) | DOI: 10.30604/jika.v5i2.594

Abstract

Baby massage is one of the non-pharmacological therapies given to help improve the quality of sleep-in infants by means of baby massage. Baby massage is better done by the baby's parents. Babies who are massaged for approximately 15 minutes will feel more relaxed, sleep more soundly, their development and growth will be better. This study aims to analyze the effect of giving baby massage to the sleep quality of infants aged 0-12 months at Imelda Indonesian Workers General Hospital Medan 2020. The type of research used is a pre-experimental design with the One Group Pre-Test – Post Test approach. The population in this study were all infants in the General Hospital Imelda Indonesian Workers Medan. The sampling used is non-probability sampling with the sampling technique in this study is Accidental Sampling with a total sample of 30 infants. The independent variable is infant massage, and the dependent variable is the sleep quality of infants aged 0 -12 months. The research instrument used a questionnaire. Data processing using the Wilcoxon test. The results showed that the sleep quality of infants aged 0-12 months before the massage was mostly adequate for 17 respondents (56.7%) and after the massage, most of the respondents had good sleep quality as many as 20 respondents (66, 7%). Statistical test results show p-value is 0.000 0.05, so H1 is accepted. The conclusion of this study shows that H1 is accepted and H0 is rejected, which means that there is an effect of giving baby massage to the sleep quality of infants aged 0-12 months at the Imelda general hospital for Indonesian workers in Medan in 2020.
Determinants of Failure to Grow on Toddlers (Stunting) Aprina Aprina; Erwandi Erwandi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (684.839 KB) | DOI: 10.30604/jika.v6i3.601

Abstract

The incidence of stunting in infants illustrates the problems felt in each country in 2017 of 22.2% (World Health Organization, 2018), the prevalence of stunting infants in Indonesia in 2017, the prevalence of stunting has differed to 29.6% (Ministry of Health RI, 2018), Lampung is located in the 10th place as a province with a very large type of stunting (40%) and Central Lampung district. Lampung is currently getting information on stunting babies which were found to be 40 babies (16.2%). The purpose of this study was to identify the Determinants of Developmental Failure (Edit) in Children in Tanjung Rejo Village, Central Lampung Regency in 2021. This type of quantitative research with a Case-control approach, The size of the illustration can be determined by the Lemeshow formula so that the sample size is 40 toddlers for the case group and 40 toddlers for the control group. The sampling technique is simple random sampling. The bivariate analysis uses the Chi-Square test. and Multivariate Analysis with Logistic Regression Test. The results of the research obtained a p-value of 0.000 which means that there is an effect of birth length with Stunting Events. p-value 0.210 with OR OR 444 (95% CI0, 122-1.617) if birth weight is present with Stunting Events, p-value 0, 000. There is an effect of exclusive breastfeeding with Stunting Events. p-value 0.000, there is an effect of Breastfeeding up to 2 years with Stunting Events, p-value 0.001, there is an effect of Immunization Status with Stunting Events, p-value 0.001, there is an influence between birth spacing and Stunting Events, p-value 0.001, there is an effect of the number of children with stunting events, p-value 0.000, there is an influence of economic status with stunting events and the aspect with a very large risk of stunting is economic (95% CI 0.852-70. 346), it should be attention in terms of economic access and meeting the needs that are moderate or less for families with babies which will affect the quality of food consumption for family members. Abstrak: Kejadian stunting pada balita merupakan masalah yang dialami hampir di setiap negara Tahun 2017 sebesar 22,2% (World Health Organization, 2018), Prevalensi balita stunting di Indonesia tahun 2017, prevalensi stunting telah mengalami penurunan menjadi 29,6% (Kemenkes RI, 2018), Lampung berada pada urutan ke-10 sebagai provinsi dengan kategori stunting sangat tinggi (40%) dan kabupaten Lampung Tengah Berdasarkan hasil survei pendahuluan yang penulis lakukan di Desa Tanjung Rejo Kab.Lampung tengah diperoleh data balita stunting berjumlah 40 balita (16,2%),Tujuan penelitian adalah untuk mengetahui Determinan Gagal Tumbuh (Sunting) Pada Anak di Desa Tanjung Rejo Kabupaten Lampung Tengah Tahun 2021. Jenis penelitian kuantitatif dengan menggunakan pendekatan Case control, Besarnya sampel dapat ditentukan dengan rumus Lemeshow, maka jumlah sampelnya 40 Balita untuk kelompok kasus dan 40 balita untuk kelompok Teknik sampling secara simpel random sampling, Analisa Bivariat menggunakan uji Chi Square. dan Analisis Multivariat dengan Uji Regeresi Logistik, Hasil penelitian dikeperoleh hasil p-value 0,000  berarti ada pengaruh Panjang badan lahir dengan Kejadian Stunting.p -value 0,210 dengan OR 0,444 (95% CI 0,122-1.617)   bahwa bahwa berat badan lahir ada hubungan dengan Kejadian Stunting, p-value 0,000  ada pengaruh Pemberian Asi Eksklusif dengan Kejadian Stunting. p-value 0,000  ada pengaruh Pemberian Asi sampai 2 tahun dengan Kejadian Stunting, p-value 0,001  ada pengaruh Status Imunisasi dengan Kejadian Stunting, p-value 0,001  ada pengaruh antara jarak kelahiran dengan Kejadian Stunting, p-value 0,001  ada pengaruh jumlah anak dengan Kejadian Stunting, p-value 0,000  ada pengaruh status ekonomi dengan Kejadian Stunting dan Faktor dengan besar risiko paling besar terhadap kejadian stunting adalah Ekonomi (95% CI 0.852-70.346), Sebaiknya menjadi perhatian dari segi akses ekonomi dan pemenuhan kebutuhan yang cukup maupun kurang bagi keluarga yang memiliki balita yang nantinya akan berpengaruh terhadap meningkatknya kualitas konsumsi pangan anggota keluarga.
Resistance Status of Dengue Virus Serotype in Aedes Aegypti on The Exposure of Insecticide Temefos and Cypermethrin Arimaswati, Arimaswati; Alifariki, La Ode; Siagian, Heriviyatno Julika; Tukatman, Tukatman; Rangki, La
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 5, No 2: December 2020
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (213.344 KB) | DOI: 10.30604/jika.v5i2.374

Abstract

The success of vector control is influenced by the resistance of Ae. aegypti against insecticides. The continued use of insecticides will leave a resistant population. The study aims to determine the resistance status of dengue virus serotype in Aedes Aegypti on the exposure of Insecticide Temefos and cypermethrin. Mosquitoes are taken directly from the tub and the home environment using the GAMA DOTIK. To determine the status of resistance to organophosphate insecticides in larvae and synthetic pyrethroids in adult mosquitoes, a biological test was carried out using the WHO 1992 method at a diagnostic dose (temefos 0.02 ppm and 0.05% cypermethrin), while the serotype of the dengue virus was determined by the Reverse Transcriptase method. -Polymerase Chain Reaction (RT-PCR) using Lanciotti-specific primers. Endemic areas (Gadingan, Wonosidi Lor and Dipan) are all still susceptible to temefos with 100% larval mortality. Sporadic areas such as Driyan were in a vulnerable status with Mortality Rate (AK) = 100%, Durungan and Kriyanan were in a tolerant status (AK = 88% and 97%). Potential areas such as Kauman and Janten were vulnerable (AK = 100% and 98%), Panjatan was intolerant status (AK = 84%). Endemic, sporadic and potential areas were all resistant with AK = less than 80% to the insecticide cypermethrin. Dengue virus serotypes in endemic areas are dengue 2 and dengue 3. In potential areas, dengue serotype 3 is found, while in sporadic areas there are no virus serotypes. Conclusion: The resistance status of Aedes aegypti in endemic, sporadic and potential areas to organophosphate insecticides (temefos) is in the susceptible to the tolerant range, while all areas status to synthetic pyrethroids (cypermethrin) are resistant. Abstrak: Keberhasilan pengendalian vektor dipengaruhi oleh hambatan Ae. aegypti melawan insektisida. Penggunaan insektisida secara terus menerus akan meninggalkan populasi yang resisten. Penelitian ini bertujuan untuk mengetahui status resistensi serotipe virus dengue Aedes Aegypti terhadap paparan Insektisida Temefos dan cypermethrin. Nyamuk diambil langsung dari bak mandi dan lingkungan rumah menggunakan GAMA DOTIK. Untuk mengetahui status resistensi insektisida organofosfat pada larva dan piretroid sintetik pada nyamuk dewasa, dilakukan uji biologis dengan metode WHO 1992 dengan dosis diagnostik (temefos 0,02 ppm dan 0,05% cypermethrin), sedangkan serotipe virus dengue ditentukan dengan metode Reverse Transcriptase. -Polymerase Chain Reaction (RT-PCR) menggunakan primer khusus Lanciotti. Daerah endemik (Gadingan, Wonosidi Lor dan Dipan) semuanya masih rentan terhadap temefos dengan kematian larva 100%. Daerah sporadis seperti Driyan berada dalam status rawan dengan Angka Kematian (AK) = 100%, Durungan dan Kriyanan dalam status toleran (AK = 88% dan 97%). Wilayah potensial seperti Kauman dan Janten termasuk kategori rawan (AK = 100% dan 98%), Panjatan dalam status toleran (AK = 84%). Daerah endemik, sporadis dan potensial semuanya resisten dengan AK = kurang dari 80% terhadap insektisida cypermethrin. Serotipe virus Dengue di daerah endemis adalah Dengue 2 dan Dengue 3. Di daerah potensial ditemukan Dengue Serotipe 3, sedangkan di daerah sporadis tidak terdapat serotipe virus. Status resistensi nyamuk Aedes aegypti di daerah endemik, sporadis dan potensial terhadap insektisida organofosfat (temefos) berada pada rentang toleran, sedangkan semua status daerah terhadap piretroid sintetis (cypermethrin) resisten.
Karakteristik Ibu dan Anak Sebagai Prediktor Stunting Palupi, Rini; Kusuma, Anggi; Puspitarini, Zenni
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6 (2021): Special Issue GINC
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (606.111 KB) | DOI: 10.30604/jika.v6iS1.791

Abstract

Stunting is a physical growth disorder in children with its characteristic that is short stature. Besides being characterized by short or stunted stature, stunting is also characterized by impaired brain development. Stunting cases in Indonesia are still high even though they have decreased. To reduce the genesis of stunting, it is necessary to know the factors that cause stunting. This research objective was to determine the factors causing stunting from the characteristics of the mother and child. This type of research is quantitative with a case-control research design. The population in this research were all mothers who had toddlers aged 12-59 months at the Public Health Center of Kedaton in Bandar Lampung City. The sample in this research was 43 mothers with toddlers aged 12-59 months. The results of this research found that only the factor of exclusive breastfeeding was associated with stunting. This research expected that the government, health care workers, and the community will collaborate to reduce stunting rates. One way is to increase exclusive breastfeeding.Stunting yang merupakan ganggungan pertumbuhan fisik pada anak dengan cirinya yaitu bertubuh pendek.Selain ditandai dengan bertubuh pendek atau kerdil, stunting juga ditandai dengan terganggunya perkembangan otak. Kasus stunting di Indonesia masih tinggi meskipun sudah mengalami penurunan.Demi menurunkan angka kejadian stunting perlunya mengetahui faktor penyebab stunting.  Penelitian ini ditujukan untuk mengetahui faktor penyebab stunting dilhat dari karakteristik ibu dan anak.  Jenis penelitian ini adalah kuantitatif dengan desain penelitian case control. Populasi dalam penelitian ini adalah semua ibu yang memiliki balita usia 12 – 59 bulan di Puskesmas Kedaton Kota Bandar Lampung . Sampel dalam penelitian ini berjumah 43 ibu dengan anak balita usia 12-59 bulan.  Hasil penelitian ini didapatkan bahwa hanya faktor pemberian asi ekslusif yang berhubungan dengan stunting. Penelitian ini mengaharapkan pemerintah, tenaga kesehatan dan masyarakat berkolaborasimenurunkan angka stunting. Salah satu caranya dengan meningkatkan pemberian ASI ekslusif.
Pelaksanaan Pelayanan Komplementer pada Masa Nifas di Praktik Mandiri Bidan Kabupaten Pringsewu Putri, Nopi Anggista; Komalasari, Komalasari; Fauziah, Nur Alfi; Fitriana, Fitriana; Isnaini, Maulia; Sulistiawati, Yuni
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6 (2021): Special Issue GINC
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (602.591 KB) | DOI: 10.30604/jika.v6iS1.782

Abstract

The postpartum period is a transitional period where many changes occur, both physically and mentally, which are different for each woman. Efforts to deal with complaints such as perineal injuries, breast problems and even postpatum depression at this time by utilizing complementary therapies using the use of herbs, massage and aromatherapy. Midwives provide complementary services to address these complaints because women tend to believe more in complementary therapies because they feel more natural and safer. This study used a descriptive type of research conducted at the Pringsewu District Midwife's Independent Practice in December 2020 - January 2021. The sample in this study was probably 21 midwives using accidental sampling technique. Data analysis using univariate analysis. The results of the research obtained from people 36 - 45 years of age were 47.6%, with a third diploma education of 52.4%, 42.9% from 11 - 20 years of age and participation in complementary service training partly said that they had attended training a number of trainings 52.4%. As many as 19 (90.5%) midwives have provided complementary services to patients, namely the types of complementary services provided are massage as much as 15 (71.4%), as well as the implementation of complementary services to assist patients in accelerating milk production during the puerperium as many as 18 (85.7%).Masa nifas merupakan masa transisi dimana banyak terjadi perubahan baik fisik maupun mental  yang berbeda pada setiap wanita. Upaya untuk mengatasi keluhan seperti luka perineum, masalah payudara bahkan depresi postpatum pada saat ini dengan memanfaatkan terapi komplementer yaitu penggunaan herbal, pemijatan dan aromaterapi.Bidan melakukan pelayanan komplementer untuk mengatasi keluhan tersebut dikarenakan para wanita cenderung lebih percaya pada terapi komplementer karena dirasakan lebih alami dan aman. Jenis penelitian deskriptif, dilakukan di Praktik Mandiri Bidan wilayah Kabupaten Pringsewu pada bulan Desember 2020 - Januari 2021.Sampel dalam penelitian ini berjumlah 21 bidan dengan teknik accidental sampling. Analisis data yang digunakan adalah analisis univariat.Hasil penelitian ini didapatkan mayoritas Bidan berusia 36 - 45 tahun sejumlah 47,6%, berpendidikan Diploma tiga sejumlah 52,4%, lamanya praktik 11–20 tahun sejumlah 42,9% dan keikutsertaan dalam pelatihan pelayanan komplementer sebagian bersar mengatakan pernah mengikuti pelatihan sejumlah 52,4%. Sebanyak 19 (90,5%) bidan sudah memberikan pelayanan komplementer kepada pasien, yakni jenis pelayanan komplementer yang diberikan adalah pijat sebanyak  15 (71,4%), serta penerapan pelayanan komplementer untuk membantu pasien dalam memperlancar produksi ASI pada masa nifas sebanyak 18 (85.7%).
Factors that influence the participation among women in Inspection Visual Acetic acid (IVA) test Adyani, Kartika; Realita, Friska
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 5, No 2: December 2020
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (176.286 KB) | DOI: 10.30604/jika.v5i2.289

Abstract

Cervical cancer is one of the main causes of death for women in the world, so an IVA examination is needed as an early detection to reduce the incidence. Low participation in IVA examinations is one of the causes of cervical cancer development and hinders early treatment. The purpose of this study is to analyze the factors that influence the participation of women of childbearing age in the IVA examination. This research is quantitative research with a cross-sectional design conducted in the working area of Puskesmas Cepiring Kendal (Public Health Center of Cepiring Kendal ). The subjects of this study are 236 women of childbearing age who were married for more than five years. The research instrument used is a questionnaire. The factors that were significantly associated with the exclusion of fertile women in the IVA examination were access to information (0.007), family support (0.001), support from medical officers (0.007), and support from relatives (0.066). The multivariable analysis shows that family support is a significant factor. Women of childbearing age who do not get family support have a 46.9 times risk of not taking IVA examinations. Abstrak: Kanker serviks merupakan salah satu penyebab utama kematian wanita di dunia sehingga diperlukan pemeriksaan IVA sebagai deteksi dini untuk menurunkan angka kejadian kanker serviks pada wanita. Rendahnya keikutsertaan dalam pemeriksaan IVA menjadi salah satu penyebab berkembangnya kanker serviks dan menghambat pengobatan sejak dini. Tujuan dari penelitian ini adalah menganalisis faktor yang mempengaruhi keikutsertaan wanita usia subur dalam pemeriksaan IVA. Penelitian ini merupakan penelitian kuantitafif dengan desain cross-sectional yang dilakukan di wilayah kerja Puskesmas Cepiring Kendal. Subyek penelitian ini adalah 236 wanita usia subur yang sudah menikah lebih dari 5 tahun. Instrumen penelitian menggunakan kuesioner. Faktor yang berhubungan secara signifikan dengan ketidakikutsertaan Wanita Usia Subur dalam pemeriksaan IVA adalah akses informasi (0,007), dukungan keluarga (0,001), dukungan petugas (0,007), dan dukungan teman (0,066). Analisis multivariabel menunjukkan dukungan keluarga merupakan faktor yang berpengaruh signifikan. Wanita usia subur yang tidak mendapatkan dukungan keluarga memiliki risiko 46,9 kali untuk tidak ikut pemeriksaan IVA.
Community Perception of Cigarette Consumption Control Policy: A Case Study of Bogor Municipality, West Java Hakim, Heikal Muhammad Zakaria; Fadilla, Arif
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 1: March 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (174.063 KB) | DOI: 10.30604/jika.v6i1.445

Abstract

The implementation of cigarette consumption policies that have been provided out by the Bogor Municipality Government for a long time has not significantly decreased the smoking prevalence of the community. Hence, an evaluation of the policy's implementation is needed, one of which is through understanding related to public perceptions. The research purpose was to examine the factors that affect the perception of the community of Bogor Municipality in the implementation of cigarette control policies. The research methods used the logistic regression model in the form of a logit model, with the sampling method had the shape of quota sampling and snowball sampling distributed through six subdistricts. The results showed that the variables of years’ school and gender were factors that significantly affect the community perception of the Bogor Municipality in the policy implementation. Among other items, the Bogor Municipality Government must introduce law enforcement consistently, sufficient budgets and human resources, as well as strong representative and intense socialization.  Abstrak: Penerapan kebijakan konsumsi rokok yang telah lama dicanangkan oleh Pemerintah Kota Bogor ternyata tidak menurunkan angka kejadian merokok di masyarakat secara signifikan. Oleh karena itu, diperlukan evaluasi atas implementasi kebijakan tersebut, salah satunya melalui pemahaman terkait persepsi masyarakat. Tujuan penelitian untuk mengetahui faktor-faktor yang mempengaruhi persepsi masyarakat Kota Bogor dalam pelaksanaan kebijakan pengendalian rokok. Metode penelitian yang digunakan adalah model regresi logistik berupa model logit, dengan metode pengambilan sampel berupa quota sampling dan snowball sampling yang tersebar di enam kecamatan. Hasil penelitian menunjukkan bahwa variabel lama sekolah dan jenis kelamin merupakan faktor yang berpengaruh secara signifikan terhadap persepsi masyarakat Kota Bogor dalam implementasi kebijakan. Antara lain, Pemerintah Kota Bogor harus memperkenalkan penegakan hukum secara konsisten, anggaran dan sumber daya manusia yang memadai, serta keterwakilan yang kuat dan sosialisasi yang intens.
Exploring Factors Behind Women Do Not Give Birth at Health Facilities in Nias Barat Zebua, Sawato; Girsang, Ermi; Nasution, Sri Lestari Ramadhani; Ginting, Chrismis Novalinda
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 4: December 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (623.791 KB) | DOI: 10.30604/jika.v6i4.689

Abstract

Choosing a location for delivery by pregnant women and deliveries assisted by skilled health workers are important keys in reducing MMR and IMR. The low birth rate at health facilities in Mandrehe Utara Subdistrict, Nias Barat Regency is a serious challenge to achieve the success of the maternal and child health service program. This study analyzes the factors that influence pregnant women who do not give birth in health facilities. This study uses a quantitative method with a cross-sectional approach. The samples were 180 people. The data were collected using a questionnaire and then tested using the Chi-Square test and logistic regression test. The results showed that the reason why mothers did not choose to give birth in health facilities was influenced by knowledge (p=0.022), attitude toward birth attendants (p=0.002), perception of distance (p=0.004), husband and family support (p=0.000), and access to health information (p=0.007). The role of health workers had no significant effect in this study (p=0.756). The results of the logistic regression test showed that husband and family support was the most dominant variable affecting mothers who did not give birth in health facilities. Mothers who perceive the lack of support from their husbands and families are 5,668 times more to choose to give birth outside a health facility. Education and socialization by health workers to mothers and their husbands and families are suggested to increase knowledge, awareness and change attitudes. No less important are the government's efforts to provide health facilities and infrastructure development to reduce access difficulties.Pemilihan lokasi persalinan oleh ibu hamil dan persalinan yang ditolong tenaga kesehatan terampil menjadi kunci penting dalam menurunkan AKI dan AKB. Rendahnya angka persalinan di fasiltas kesehatan di Kecamatan Mandrehe Utara Kabupaten Nias Barat menjadi tantangan berat untuk mencapai keberhasilan program pelayanan kesehatan ibu dan anak. Studi ini bertujuan menganalisis faktor-faktor yang mempengaruhi ibu hamil tidak bersalin di fasilitas kesehatan. Studi ini menggunakan metode kuantitatif dengan pendekatan cross-sectional. Sampel yang terlibat sebanyak 180 orang. Pengumpulan data menggunakan kuesioner dan kemudian diuji dengan menggunakan uji Chi-Square dan uji regresi logistik. Hasil penelitian menujukkan penyebab ibu tidak memilih bersalin di fasilitas kesehatan dipengaruhi oleh pengetahuan (p=0,022), sikap terhadap penolong persalinan (p=0,002), persepsi tentang jarak (p=0,004), dukungan suami dan keluarga (p=0,000), dan akses terhadap informasi kesehatan (p=0,007). Peran petugas kesehatan tidak berpengaruh signifikan dalam studi ini (p=0,756). Hasil uji regresi logistik menunjukkan dukungan suami dan keluarga merupakan variabel yang paling dominan mempengaruhi ibu tidak melahirkan di fasilitas kesehatan. Ibu yang menganggap kurangnya dukungan suami dan keluarga berpeluang 5,668 kali memilih melahirkan di luar fasilitas kesehatan. Edukasi dan sosialisasi oleh tenaga kesehatan terhadap ibu beserta suami dan keluarga disarankan untuk peningkatan pengetahuan, kesadaran dan perubahan sikap. Tidak kalah penting upaya dari pemerintah untuk penyediaan fasilitas kesehatan dan pembangunan infrastruktur guna memangkas kesulitas akses.
The Satisfaction Analysis of National Health Insurance (JKN) Patient Using the Hospital Consumer Assessment Healthcare Providers and Systems (HCAHPS) Survey Between Public Hospital and Private Hospital in D.I. Yogyakarta Mukhlis Mukhlis; Sari Arlinda
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (667.971 KB) | DOI: 10.30604/jika.v6i3.819

Abstract

Patient satisfaction is an essential indicator of the effectiveness and success of health care providers. HCAHPS is a survey instrument with 29 questions and is a data collection methodology to measure patients' perceptions of hospitalization experiences while in hospital. This study aims to analyze the level of patient satisfaction of Jaminan Kesehatan Nasional (JKN) using the Hospital Consumer Assessment Healthcare Providers and Systems (HCAHPS) between Public Hospital and Private Hospital in D. I Yogyakarta. This research is a quantitative research using cross-sectional methods. The population of this research is all inpatients with JKN insurance. The number of samples in public hospitals is as many as 208 people and private hospitals as many as 191 people—data analysis using Mann Whitney and Chi-Square. This study showed no difference in the level of patient satisfaction of national health insurance in public and private hospitals with a significance value of 0.21. The results of crosstabulation testing relationship between BPJS categoric class of patients with patient satisfaction in public hospital and private hospital both obtained results of significance values of 0.846 and 0.7999 so that there is no relationship between BPJS categoric class with patient satisfaction levels using HCAHPS between public hospital and private hospital.Kepuasan pasien merupakan indikator penting dari efektifitas dan keberhasilan pelayanan kesehatan. HCAHPS adalah instrumen survei yang didalamnya terdapat 29 item pertanyaan dan merupakan metodologi pengumpulan data untuk mengukur persepsi pasien tentang pengalaman rawat inap ketika di rumah sakit. Penelitian ini bertujuan untuk menganalisis tingkat kepuasan pasien Jaminan Kesehatan Nasional (JKN) menggunakan metode Hospital Consumer Assessment Healtcare Providers and Systems (HCAHPS) antara Rumah Sakit Umum Daerah dengan Rumah Sakit Swasta di Provinsi D.I Yogyakarta. Penelitian ini merupakan penelitian kuantitatif menggunakan metode cross sectional study. Populasi dalam penelitian ini adalah pasien rawat inap menggunakan asuransi JKN. Jumlah sampel di PUBLIC HOSPITALS sebanyak 208 orang dan RS Swasta sebanyak 191 orang. Analisis data menggunakan Mann Whitney dan Chi-Square. Hasil penelitian ini menunjukkan tidak terdapat perbedaan tingkat kepuasan pasien jaminan kesehatan nasional di PUBLIC HOSPITALS dan RS Swasta Provinsi D.I Yogyakarta dengan nilai signifikansi 0,215. Hasil pengujian crosstabulation hubungan antara kelas BPJS pasien dengan tingkat kepuasan pasien JKN di PUBLIC HOSPITALS dan di PRIVATE HOSPITALS keduanya didapatkan hasil nilai signifikansi masing-masing sebesar 0,846 dan 0,7999 sehingga tidak terdapat hubungan antara kelas BPJS pasien dengan tingkat kepuasan pasien JKN di PUBLIC HOSPITALS maupun di RS Swasta. Sehingga didapatkan kesimpulan tidak terdapat perbedaan tingkat kepuasan pasien JKN menggunakan metode HCAHPS di PUBLIC HOSPITALS dan RS Swasta serta tidak ada hubungan yang signifikan antara kelas BPJS dengan tingkat kepuasan pasien JKN di PUBLIC HOSPITALS dan di RS Swasta di Provinsi D. I. Yogyakarta.

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