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Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Published by Universitas Indonesia
ISSN : 19077505     EISSN : 24600601     DOI : https://doi.org/10.7454/kesmas
Core Subject : Health,
Health Professions Public Health
The focus of Kesmas is on public health as discipline and practices related to preventive and promotive measures to enhance the public health through a scientific approach applying a variety of technique. This focus includes areas and scopes such as Biostatistics, Environmental Public Health, Epidemiology, Health Policy, Health Services Research, Nutrition, Occupational Health and Industrial Hygiene, Public Health, Public Health Education and Promotion, Women Health.
Arjuna Subject : Kedokteran - Epidemilogi
Articles 15 Documents
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Search results for , issue "Vol. 8, No. 8" : 15 Documents clear
Perilaku Ibu dalam Memberikan Pendidikan Seksualitas pada Remaja Awal Meilani, Niken; Shaluhiyah, Zahroh; Suryoputro, Antono
Kesmas Vol. 8, No. 8
Publisher : UI Scholars Hub

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Abstract

Akumulasi kasus HIV/AIDS di Provinsi Jawa Tengah, tahun 1993 _ 2008 adalah pada usia 20 _ 24 tahun sekitar 12,54% dan usia 25 _ 29 tahun sekitar 37,31% merupakan kategori remaja dan dewasa muda. Di kabupaten Magelang kasus HIV positif pada remaja mulai muncul tahun 2008 dan selalu muncul pada tahun berikutnya. Remaja sangat membutuhkan informasi tentang seksualitas dan peran ibu sangat penting. Tujuan penelitian ini adalah untuk mengetahui determinan perilaku ibu yang meliputi umur, pekerjaan, pendidikan, pengetahuan kesehatan reproduksi remaja, persepsi kemampuan diri dan sikap dalam pendidikan seksualitas. Jenis penelitian adalah survei dengan pendekatan potong lintang. Populasi terjangkau adalah ibu yang mempunyai anak remaja berusia 10 _ 14 tahun dan mengikuti program Bina Keluarga Remaja percontohan di Kabupaten Magelang. Pemilihan sampel menggunakan klaster sampling dan berjumlah 92 orang. Pengumpulan data menggunakan kuesioner. Analisis bivariat menggunakan uji kai kuadrat dan analisis mulitivariat menggunakan regresi logistik. Hasil penelitian menunjukkan mayoritas ibu belum memberikan pendidikan seksualitas dengan baik. Variabel yang berhubungan adalah pendidikan ibu, pengetahuan ibu tentang kesehatan reproduksi remaja, persepsi kemampuan diri ibu dan sikap ibu. Persepsi kemampuan diri ibu merupakan variabel yang paling berpengaruh terhadap perilaku ibu dalam memberikan pendidikan seksualitas. Accumulation of HIV/ AIDS cases in Central Java province in 1993 _ 2008 is at the age of 20 _ 24 years at 12.54% and aged 25 _ 29 years at 37.31% is the category of adolescent and young adults. In Magelang district HIV positive cases in adolescents began to emerge in 2008 and always appeared the following year. Adolescent need information about sexuality and the role of the mother is very important. This study aims to determine the determinant factors of mother (age, employment status, level of education, Perilaku Ibu dalam Memberikan Pendidikan Seksualitas pada Remaja Awal The Mother’s Behavior in Sexual Education for Early Adolescent Niken Meilani* Zahroh Shaluhiyah** Antono Suryoputro** level of knowledge about adolescent reproductive health, self-perception and attitude) in providing sexuality education. This study was surveyed with cross sectional model. The population is mothers of adolescents aged 10 _ 14 years and as member of Bina Keluarga Remaja program pilot in Magelang. The selection of samples using cluster sampling and numbered 92 people. Collecting data using a questionnaire. Bivariate analysis used chi squared test and multivariate used logistic regression. The results showed the majority of mother have not provided good sexuality education. There were relations between mother’s education level, mother’s level of knowledge about adolescent reproductive health, mother’s perception and mother’s attitudes with mother’s behavior in providing sexuality education. Mother’s perception is the most influential variable on mother’s behavior in providing sexuality education.
Kebijakan Pemerintah dalam Pengelolaan Sampah Domestik Mulasari, Surahma Asti; Husodo, Adi Heru; Muhadjir, Noeng
Kesmas Vol. 8, No. 8
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Abstract

Sampah berpotensi menciptakan masalah kesehatan lingkungan. Pemerintah mengupayakan berbagai kebijakan pengelolaan sampah seperti pelayanan sampah dan memberdayakan masyarakat untuk mengelola sampah secara mandiri. Tujuan penelitian adalah untuk mengetahui kebijakan pemerintah dalam mengelola sampah domestik di Daerah Istimewa Yogyakarta (DIY), perubahan kualitas lingkungan dan masyarakat akibat kebijakan pengelolaan sampah, dan untuk mengetahui metode pemantauan dan pengelolaan sampah yang ada di DIY. Jenis penelitian ini adalah kualitatif dengan rancangan studi kasus. Fenomena yang menjadi studi dalam penelitian ini adalah kebijakan pengelolaan sampah di DIY. Permasalahan sampah yang ada di DIY adalah cakupan pelayanan pemerintah kabupaten yang masih sangat rendah, kecuali Kota Yogyakarta (90%). Sampah terangkut ke tempat pembuangan akhir masih rendah dibandingkan volume sampah yang dihasilkan. Kebijakan untuk pengelolaan sampah adalah di seluruh kabupaten/kota DIY telah terbentuk badan/unit yang bertanggung jawab mengelola sampah. Perubahan kualitas lingkungan dan masyarakat adalah lingkungan dan jalan menjadi bersih, asri, dan nyaman. Metode pemantauan dan evaluasi kebijakan pengelolaan sampah di DIY belum dituangkan dalam prosedur baku. Permasalahan sampah sudah menjadi perhatian bagi pemerintah daerah DIY. Kebijakan telah didukung dengan program layanan, proyek, regulasi, dan insentif khusus untuk pengelolaan sampah. Waste had great potential in creating environmental health issues. The government had tried various ways of waste management policy such as waste management services and people empowerment to manage their waste independently. The objectives of this study is to observe the problem of garbage in the Daerah Istimewa Yogyakarta (DIY), the Government’s policy in managing domestic waste in DIY, the changes in environmental Kebijakan Pemerintah dalam Pengelolaan Sampah Domestik Government Policy in Domestic Waste Management Surahma Asti Mulasari* Adi Heru Husodo** Noeng Muhadjir*** quality and community impact of the waste management, and the methods of monitoring and managing waste in DIY. This research was a qualitative case study design. The phenomenon in this research was the waste management policy in DIY. Waste problem in the province DIY was the district service coverage which was still very low, except for the city of Yogyakarta (90%). The waste transported to landfill was still low compared to the volume of waste generated. The policy in DIY for waste management was that in all districts/cities in DIY there had been units formed, responsible for managing waste. The changes in the quality of environment and community were that the environment and roads are getting clean, beautiful, and comfortable. The methods for monitoring and evaluation of waste management policy in the province had not been set forth in the standard procedure. Waste problem had been a concern for local government of DIY. The policy had been supported by the service program, project, regulatory, and special incentives for waste management.
Dimensi Mutu Pelayanan Kebidanan terhadap Kepuasan Pasien Program Jampersal Susmaneli, Herlina; Triana, Ani
Kesmas Vol. 8, No. 8
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Dalam rangka menurunkan angka kematian ibu dan angka kematian bayi untuk pencapaian Millennium Development Goals, ditetapkan kebijakan bahwa setiap ibu yang melahirkan, biaya persalinannya ditanggung oleh pemerintah melalui Program Jampersal, namun dalam pelaksanaannya masih ditemukan ketidakpuasan pasien terhadap pelayanan kebidanan. Penelitian ini bertujuan untuk menganalisis pengaruh dimensi mutu pelayanan kebidanan terhadap kepuasan pasien program Jampersal meliputi keandalan bidan, ketanggapan bidan, jaminan bidan, empati dan bukti langsung. Penelitian ini dilakukan di RSUD Rokan Hulu dengan populasi semua pengguna Jampersal yaitu sebanyak 92 orang dan pada penelitian ini seluruh populasi dijadikan sampel. Penelitian ini menggunakan desain potong lintang. Pengumpulan data dilakukan dengan data primer dan data sekunder. Dilakukan analisis data yaitu analisis univariat, analisis bivariat (kai kuadrat) dan analisis multivariat (regresi logistik ganda). Proporsi pasien program Jampersal yang memiliki kepuasan terhadap mutu pelayanan kebidanan sebanyak 67 orang (72,8%) dari 92 sampel. Variabel independen dengan hubungan yang signifikan dengan kepuasan pasien program Jampersal adalah variabel bukti langsung dengan nilai p < 0,05 (0,003). In order to reduce maternal mortality rate and infant mortality rate, in achieving the Millennium Development Goals set policy, that every mother who gave birth, her labor costs borne by the government through assurance of delivery program, but in practice still found dissatisfaction of patients to obstetric care. This study aimed to analyze the influence of the quality dimensions of midwifery care on patient satisfaction assurance of delivery program include reliability midwife, responsiveness midwife, assurance midwife, and direct tangible. This study was conducted in Rokan Hulu District General Hospital with a population assurance of delivery all users and as Dimensi Mutu Pelayanan Kebidanan terhadap Kepuasan Pasien Program Jampersal Quality Dimensions of Midwifery Care on Patient Satisfaction Jampersal (Delivery Assurance) Program Herlina Susmaneli, Ani Triana many as 92 people on the entire study population sampled. This study used a cross sectional design. The data was collected primary data and secondary data. Data analysis is performed univariate, bivariate analysis (chisquare) and multivariate analysis (Multiple Logistic Regression). The proportion of patients who had an assurance of delivery program satisfaction with the quality of obstetric care by 72.8%. Independent variables with significant association with patient satisfaction assurance of delivery is a concrete manifestation of variables with p value < 0.05 (0.003).
Gangguan Pendengaran dan Keseimbangan pada Penderita Tuberkulosis yang Mendapat Pengobatan Antituberkulosis Kategori 1 dan 2 Adriztina, Indri; Adnan, Adlin; Haryuna, Siti Hajar; Siagian, Parluhutan; Sarumpaet, Sorimuda
Kesmas Vol. 8, No. 8
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Tuberkulosis merupakan masalah yang serius di masyarakat. Pada tahun 2010, World Health Organization mencatat jumlah penderita tuberkulosis di Indonesia menurun ke posisi empat dengan meningkatnya keberhasilan pengobatan obat antituberkulosis (OAT). Namun, pemberian OAT jangka panjang dapat menyebabkan efek samping ototoksik berupa gangguan pendengaran dan keseimbangan. Penelitian ini dilakukan untuk mengetahui efek ototoksik pada penderita tuberkulosis paru dengan pemberian OAT di RSUP H. Adam Malik Medan. Penelitian ini bersifat deskriptif dengan pendekatan potong lintang. Analisis univariat dilakukan dengan tabel frekuensi distribusi sedangkan analisis bivariat dilakukan dengan menggunakan uji t dan Fisher’s exact test. Didapatkan 35 penderita tuberkulosis yang memenuhi kriteria inklusi, 22 orang dengan pengobatan tuberkulosis kategori 1 dan 13 orang tuberkulosis kategori 2. Dilakukan pemeriksaan audiometri nada murni dan tes keseimbangan. Tiga orang (33,3%) penderita tuberkulosis kategori 1 dan 6 orang (66,7%) penderita tuberkulosis kategori 2 mengalami gangguan pendengaran (p < 0,05). Hasil tes keseimbangan menunjukkan perbedaan yang signifikan yaitu 7 orang (100%) tuberkulosis kategori 2 dengan positif tes Romberg dan 11 orang (100%) tuberkulosis kategori 2 positif tes tandem Romberg. Gangguan pendengaran dan keseimbangan pada penderita tuberkulosis paru dengan OAT ditemukan lebih tinggi pada kategori 2 dibandingkan dengan kategori 1 dengan perbedaan yang signifikan. Tuberculosis remains a serious problem in the community. In 2010, World Health Organization report that Indonesia’s ranking decrease to fourth position due to success of antituberculosis treatment. But the long term administration of antituberculosis treatment may cause ototoxic effect like hearing and balance impairment. The aim of this study was to describe ototoxic effect of subjects who were given tuberculosis treatment in H. Adam Artikel Penelitian Gangguan Pendengaran dan Keseimbangan pada Penderita Tuberkulosis yang Mendapat Pengobatan Antituberkulosis Kategori 1 dan 2 Hearing and Balance Impairment in Tuberculosis Patient with Category 1st and 2nd Antituberculosis Treatment Indri Adriztina* Adlin Adnan* Siti Hajar Haryuna* Parluhutan Siagian** Sorimuda Sarumpaet*** 430 Malik General Hospital. This is a descriptive study with cross sectional approach. Univariat analysis was done by frequency distribution table, meanwhile bivariat analysis was done by t-test and Fisher’s exact test. Thirty five pulmonary tuberculosis patients met the inclusion criteria. Twenty two patients with 1st category, and 13 patients with 2nd category tuberculosis treatment. Pure tone audiometric and balance examination was evaluated. Three patients (33.3%) of 1st category tuberculosis and 6 (66.7%) patients of 2nd category tuberculosis have hearing loss with significant difference (p<0.05). Balance test showed 7 people (100%) of 2nd category tuberculosis having positive Romberg test and 11 people (100%) of 2nd category tuberculosis having positive tandem Romberg test. Hearing and balance impairment found higher in patients with 2nd category antituberculosis treatment with significantly different.
Surveilans Aedes aegypti di Daerah Endemis Demam Berdarah Dengue Sunaryo, Sunaryo; Pramestuti, Nova
Kesmas Vol. 8, No. 8
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Demam Berdarah Dengue (DBD) perlu mendapat perhatian serius karena masih menjadi masalah kesehatan di Indonesia dan di beberapa daerah masih sering terjadi kejadian luar biasa. Di Jawa Tengah, kasus DBD cenderung meningkat setiap tahunnya terutama pada tahun 2012. Penelitian ini bertujuan menganalisis parameter entomologi dan menggambarkan jenis tempat penampungan air. Penelitian dilakukan di Kabupaten Grobogan, Purbalingga, Kendal dan Kota Semarang pada bulan Juni _ Oktober 2013 dengan desain potong lintang. Survei jentik dilakukan untuk melihat keberadaan tempat penampungan air pada 100 rumah. Masing-masing kabupaten dipilih tiga lokasi desa endemis DBD. Hasil survei digunakan untuk menghitung nilai parameter entomologi. Hasil penelitian menunjukkan bahwa meningkatnya kasus DBD di empat kabupaten/kota terkait dengan keberadaan vektor A. aegypti. Hal ini dibuktikan dengan masih tingginya persentase jumlah rumah yang ditemukan jentik A. aegypti (House Index > 10%) serta tingginya jumlah kontainer ditemukan jentik A. aegypti pada rumah yang dilakukan survei (Breteau Index). Nilai ovitrap index paling tinggi di Desa Kalikabong Kabupaten Purbalingga seesar 40%. Proporsi controllable site lebih banyak daripada disposable site, berarti rumah tersebut berisiko tinggi sebagai tempat perkembangbiakan nyamuk. Dengue Haemorrhagic Fever (DHF) needs serious attention because it is still a health problem in Indonesia and in recent area DHF caused outbreak. In Central Java, incidence of DHF high every years, especially in 2012. This study aimed to analyze the parameters of entomology and describe types of containers. The study was conducted in Grobogan, Purbalingga, Kendal District and Semarang City in June _ October 2013 with cross-sectional design. Larvae survey had been done in 100 houses in three villages that endemic DHF at every district/city. The survey results are used to calculate parameter entomology. The results showed that existance of DHF cases in Surveilans Aedes aegypti di Daerah Endemis Demam Berdarah Dengue Aedes aegypti Surveillance in Endemic Area of Dengue Haemorrhagic Fever Sunaryo, Nova Pramestuti four district/city connected with the population of A. aegypti. This matter proved with high percentage of houses that found A. aegypti (House Index > 10%) and the high of container that containing A. aegypti in every houses (Breteau Index). The high of ovitrap index (OI) was 40% in Kalikabong village, Purbalingga district. The proportion of controllable sites more than disposable sites, meaning the house as the high risk of mosquito breeding sites.

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