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Jurnal Ilmiah Medsains
Published by Politeknik Banjarnegara
ISSN : 24422442     EISSN : 29638542     DOI : -
Core Subject :
Tujuan dari jurnal ini adalah untuk mempublikasikan artikel penelitian bidang kesehatan meliputi kesehatan lingkungan, kebidanan, kesehatan masyarakat dan keperawatan.
Arjuna Subject : -
Articles 87 Documents
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ANALISIS FAKTOR YANG MEMPENGARUHI KEJADIAN PRETERMDI PUSKESMAS KABUPATEN BANJARNEGARA Ratih Subekti; Lia Aria Ratmawati
Jurnal Ilmiah Medsains Vol 10 No 02 (2024): Jurnal Ilmiah Medsains
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Banjarnegara

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Abstract

Preterm labor is labor that occurs at a gestational age of <37 weeks or 259 days from the first day of the last menstruation. The incidence of preterm labor refers to the birth of a premature baby.  The main difficulty in premature babies is care, this is due to the immaturity of the body systems and other organs to function so that it can cause complications such as respiratory distress syndrome (RDS), intraventricular bleeding, bronchopulmonary dysplasia (BPD), ductus arteriosus patem (PDA), necrotizing entero cilitis (NEC), sepsis, apnea and retinopathy of prematurity (ROP). These complications in premature babies can further increase neonatal morbidity and mortality. The aim of this research is to determine the relationship and magnitude of the risk of preterm events at the Banjarnegara Regency Health Center. The research instrument uses an observation sheet. Type of analytical survey research with a case control approach. The independent variables in this study were maternal age, gestational spacing, parity, twin pregnancy, premature rupture of membranes, antepartum bleeding, history of abortion and previous history of preterm, the dependent variable was preterm delivery. The sampling technique used the total sampling method using secondary data from 3 Community Health Centers in Banjarnegara Regency with the highest cases of preterm birth in 2023, the number of cases was 56 respondents and controls were 112 respondents. Bivariate analysis uses the chi square test. Research results show that twin pregnancies are associated with preterm events (p-value 0.043), respondents with twin pregnancies have 8.538 times the risk of experiencing preterm events compared to respondents with non-twin pregnancies (95% CI 0.931-78.298), previous preterm history was associated with preterm pregnancies. (p-value 0.04), respondents with a previous history of preterm had a 3,857 times risk of experiencing a preterm event compared to respondents who had no previous history of preterm (95% CI 1.079-13.790). Conclusion of the research is pregnancy pregnancies and a previous history of preterm are associated with the incidence of preterm at the Banjarnegara district health center.
GAMBARAN KUALITAS FISIK AIR DAN PERILAKU PADA PENDERITA PENYAKIT SCABIES DI WILAYAH KERJA UPTD PUSKESMAS PURWANEGARA 1 TAHUN 2023 Bayu Suseno; Aulia Nur Rahma
Jurnal Ilmiah Medsains Vol 10 No 02 (2024): Jurnal Ilmiah Medsains
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Banjarnegara

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Abstract

Scabies is an environmentally based disease (EBD). Scabies is a parasitic infection caused by the Sarcoptes Scabiei variant hominis mite. Based on the results of the researcher's observations during the community health center work practice, Scabies is one of the diseases that is quite high in the Purwanegara 1 community health center. The purpose of this study was to determine the characteristics, physical quality of water and the behavior of sufferers in the work area of Purwanegara 1  community  health center  in the period  January 2022- January 2023. This study included descriptive research with a cross sectional approach. The population in this study were patients with Scabies in the Purwanegara 1 public health center area who had examined themselves and had conducted counseling with sanitarians in the period January 2022-January 2023. Research sampling using the total sampling method. The data used were primary data from observations and interviews, and secondary data obtained from the Purwanegara 1 public health center. The results of this study found that most Scabies sufferers were aged 17-25 years (19.3%) with male gender (58.1%), educated with elementary level (32.3%), The  physical  quality  of  water  owned  by sufferers is partially unqualified (67.7%) but  respondents have good behavior (90.3%). The description of the physical quality of the respondent's water most of the respondents did not meet the requirements but people with Scabies had good behavior. The suggestion in this study is that people can implement a clean and healthy lifestyle.
KARAKTERISTIK SOSIODEMOGRAFI PESERTA PROGRAM PENDIDIKAN UNTUK MENINGKATKAN KOMPETENSI KADER DI BANJARNEGARA JAWA TENGAH Dewie Sulistyorini
Jurnal Ilmiah Medsains Vol 10 No 02 (2024): Jurnal Ilmiah Medsains
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Banjarnegara

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Abstract

Background Indonesia still has a high maternal mortality rate compared to other Southeast Asian countries. In Banjarnegara Regency, the ratio of pregnant women to midwives falls far behind short of than the target set by the Indonesian Ministry of Health for 2025. Therefore, the need for health cadres, who assist midwives within the health system, is imperative to support pregnant women. To accomplish health cadre’s role efficiently, it is needed to enhance their competency in identifying risk factors and referring high-risk pregnant women to midwives. Purpose This study aimed to improve the competency of health cadres through the educational program. Methods A cluster non-randomized controlled trial was conducted, from November 2023 to February 2024. Results The age was significantly younger in the CG (p=0.017). Moreover, their work experience was significantly longer in the IG (p=0.044). In both groups, more than 50% of participants had education levels in senior high school, and most of them were married (96.9%) and had children (96.2%) Conclusion The age of health cadre affects to their competencies. We recommend recruiting health cadres who are young to maintain their competence in monitoring high-risk pregnant women.
GAMBARAN PENGELOLAAN LIMBAH MEDIS PADAT DI UPTD PUSKESMAS PAGEDONGAN TAHUN 2024 Dwi Atin Faidah; Nabila Fatima Tuzzahro
Jurnal Ilmiah Medsains Vol 10 No 02 (2024): Jurnal Ilmiah Medsains
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Banjarnegara

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Abstract

Limbah yang dihasilkan dalam rangkaian kegiatan layanan kesehatan berpotensi tinggi menimbulkan infeksi dan cedera dibandingkan limbah jenis lain.Puskesmas merupakan fasilitas pelayanan kesehatan yang menyelenggarakan upaya kesehatan masyarakat dan upaya kesehatan perseorangan tingkat pertama, dengan lebih mengutamakan upaya promotif dan preventif di wilayah kerjanya. Puskesmas dari kegiatannya menghasilkan limbah medis padat dan limbah non medis. Tujuan dari penelitian ini untuk mengetahui gambaran pengelolaan limbah medis padat di UPTD Puskesmas Pagedongan.Jenis penelitian ini bersifat deskriptif, menggunakan pendekatan observasional dengan melakukan pengamatan dan wawancara. Instrumen yang digunakan berupa kuesioner dan check list. Objek penelitian ini adalah pengelolaan limbah medis padat di UPTD Puskesmas Pagedongan. Hasil penelitian pengelolaan limbah medis padat di UPTD Puskesmas Pagedongan memenuhi syarat dalam kegiatan pemilahan atau pewadahan, pengumpulan, pengangkutan, penyimpanan sementara dan pemusnahan. Simpulan penelitian ini adalah pelaksanaan pengelolaan limbah medis padat di UPTD Puskesmas Pagedongan telah memenuhi syarat sesuai dengan persyaratan di Peraturan Menteri Kesehatan Republik Indonesia Nomor 2 Tahun 2023. Diharapkan kepada pihak puskesma smelakukan sosialisasi kepada pasien tentang pemisahan tempat sampat medis dan non medis yang dilakukan di puskesmas.
GAMBARAN SANITASI DAN PERSONAL HYGIENE KANTIN SEKOLAH DI WILAYAH KERJA PUSKESMAS BANJARNEGARA I TAHUN 2024 Anis Supriyatin; Joko Malis Sunarno
Jurnal Ilmiah Medsains Vol 10 No 02 (2024): Jurnal Ilmiah Medsains
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Banjarnegara

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Abstract

Food is a basic human need for survival, therefore it must be healthy, and free from bacterial contamination and toxic substances. Food can be a source of disease transmission if hygiene is not maintained properly during food handling and food hygiene is not observed during food processing. Food sanitation is important for canteen managers to pay attention to, especially school canteens which provide large quantities of food and have a high level of consumers. The aim of this research is to find out the description of sanitation and personal hygiene of school canteens in the working area of Banjarnegara Health Center 1.             This research is descriptive with a cross sectional method. The population includes school canteen food handlers in the work area of Puskesmas Banjarnegara 1 who sell their food in school canteens in June 2024, namely 20 school canteens with sampling using the random sampling method. The data used in this research are primary data obtained from interviews and field observations as well as secondary data from Puskesmas Banjarnegara 1.             The results of this study show that the majority of food handlers are female (95%), aged 15-40 at most (60%), have at least junior high school education (50%), canteen sanitation is in the good category (55%), personal hygiene in the good category (100%) and existing regulations (25%).             This research shows that sanitation is mostly good and overall personal hygiene is good. Food handlers are expected to pay more attention to food sanitation, especially by providing hand washing facilities with soap and providing rubbish bin facilities.
GAMBARAN PENGGUNAAN ALAT PELINDUNG DIRI (APD) PADA PEKERJA UD CIPTA GUNA KREASI TAHUN 2024 Mila Marwati; Joko Malis Sunarno
Jurnal Ilmiah Medsains Vol 10 No 02 (2024): Jurnal Ilmiah Medsains
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Banjarnegara

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Abstract

PPE (Personal Protective Equipment) is a piece of equipment that must be used when working according to occupational hazards and risks to maintain the safety of the worker himself and the people around him. The risks from work in cutting and drilling are exposure to dust and exposure to the machine. The purpose of this study is to find out the overview of knowledge, compliance and existence of PPE at UD Cipta Guna Kreasi. This study is a descriptive research using the cross sectional method. The respondents in this study were 30 employees in part of cutting, drilling, sorting, weaving and packaging  at UD Cipta Guna Kreasi. The observed variables are employee characteristics, knowledge and compliance in using PPE. The data used in this study are primary data obtained from observations, interviews, questionnaires, checklists and secondary data. The results of the study were the availability of PPE only (14.3%), Employees' knowledge about PPE was mostly in the good category, namely (50.0%). The level of compliance is in the section of the compliance level (12.5%), for the compliant drilling part (22.2%), in the sorting section (25.0%) and in the weaving and packaging section (20.0%). The conclusion in this study is that compliance with the use of PPE is still low due to the low level of education, which is the most elementary school graduates (40.0%), and the availability of PPE also affects the absence of complete and standard PPE. Suggestions for UD Cipta Guna Kreasi must provide complete PPE that meets SNI standards.
GAMBARAN FAKTOR RISIKO LINGKUNGAN DAN PENGETAHUAN PADA PENDERITA SKABIES DI WILAYAH KERJAPUSKESMAS MANDIRAJA 1 TAHUN 2024 Barni; Revi Anggraningsih
Jurnal Ilmiah Medsains Vol 10 No 02 (2024): Jurnal Ilmiah Medsains
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Banjarnegara

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Abstract

Skabies merupakan salah satu penyakit berbasis lingkungan yang masih banyak terjadi di Indonesia dengan prevalensi 3,9%-6% di tahun 2020. Tujuan penelitian ini untuk mengetahui dan mendeskripsikan gambaran faktor risiko lingkungan dan pengetahuan pada penderita skabies di Wilayah Kerja Puskesmas Mandiraja 1 tahun 2024. Penelitian ini termasuk penelitian deskriptif dengan pendekatan cross sectional. Populasi penelitian adalah penderita skabies di Wilayah Kerja Puskesmas Mandiraja 1 yang pernah memeriksakan diri ke Puskesmas dalam periode bulan Januari hingga Maret 2024. Teknik pengambilan sampel dengan sampel random sampling. Data yang digunakan dalam penelitian ini yaitu data primer yang diperoleh dari kuesioner dan observasi lapangan serta data sekunder dari Puskesmas Mandiraja 1. Analisis data dilakukan dengan cara univariat. Hasil penelitian menunjukkan bahwa penyediaan air bersih seluruhnya memenuhi syarat (100%), sarana kamar mandi memenuhi syarat (58,5%), sarana pembuangan tinja memenuhi syarat (53,7%), sarana pembuangan air limbah sebagian besar memenuhi syarat (75,6%), sarana pembuangan sampah sebagian besar tidak memenuhi syarat (85,4%), sarana tempat cuci tangan pakai sabun sebagian besar tidak memenuhi syarat (87,8%), luas ventilasi sebagian besar memenuhi syarat (80,5%), dan pengetahuan responden sebagian besar baik (92,7%). Kesimpulan dari penelitian adalah masih ada beberapa faktor risiko lingkugan yang belum memenuhi syarat meskipun pengetahuan responden sebagian besar sudah masuk kategori baik. Pihak layanan kesehatan diharapkan meningkatkan pengawasan lingkungan secara lebih intensif agar faktor risiko tersebut terkendali.
GAMBARAN FAKTOR RISIKO KEJADIAN PENYAKIT INFEKSI SALURAN PERNAPASAN AKUT (ISPA) PADA BALITA DI WILAYAH KERJA UPTD PUSKESMAS BATUR 2 TAHUN 2024 Bayu Suseno; Febriana Dwi Harjuneti
Jurnal Ilmiah Medsains Vol 11 No 01 (2025): Jurnal Ilmiah Medsains
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Banjarnegara

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Abstract

UPTD Batur 2 Health Center is one of the health centers in Banjarnegara Regency which still has ARI problems. Based on observations from January to March2024, the prevalence of ARI is still quite high. The purpose of this study was to identify and describe the risk factors for acute respiratory infections (ARI) in children under five in the working area of UPTD Batur 2 Health Center. This research is included in desvcriptive research with cross sectional method. The population in this study were toddlers with ARI in the working area of UPTD Batur 2 Health Center who had checked themselves to the Health Center in the period January-March 2024, namely 88 toddlers with a random sampling technique. The data used in this study are primary data obtained from questionnaires and field observations and secondary data from the UPTD of Batur 2 Health Center. The results showed that most of the patiens with ARI were male (55,7%). The highest toddler age is 0-2 years (51,1%). The highest BBL is normal BBL (81,8%). Nutritional status in the good category (100%). Most of the immunization status is complete (86,4%). Good ventilation is eligible (93,2%). The density of non-dense occupancy meets the requirements (84,1%). Humadity is not good (98,8%). Mother’s level of knowledge is correct (81,8%). Good family behavior (73,9%). The conclusion from the study of patiens with ARI in infants who did not meet the requirements, namely the variables of humadity. It is hoped that the community, especially caregives, of toddlers will pay more attention to the health conditions and the surronding enviroment
PENERAPAN PRINSIP ECO-FISHING PORT DI PELABUHAN PERIKANAN SAMUDERA CILACAP TAHUN 2025 Annisa Nurul Amalia; Joko Malis Sunarno; Dwi Atin Faidah
Jurnal Ilmiah Medsains Vol 11 No 01 (2025): Jurnal Ilmiah Medsains
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Banjarnegara

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Abstract

Eco-fishing port is the port management being planned and implemented at several fishing ports in Indonesia. PPS Cilacap is designated by the Ministry of Maritime Affairs and Fisheries to implement this principle, however, there are environmental issues faced by PPS Cilacap, such as sedimentation and waste accumulation in fishing port basin. Therefore, this study was conducted to examine the implementation of the eco-fishing port principle at PPS Cilacap in 2025. This research is a descriptive study with a cross-sectional approach. The sample in this study consisted of 3 people who are part of the eco-fishing port implementation team, the Facilities and Infrastructure Management Team, and the manager of the fish auction site that selected using purposive sampling to gather information regarding waste management, supporting facilities, and hygiene-sanitation of the Fish Auction Place at PPS Cilacap. The result of this study indicate that the variables with the highest score was the environmental management system, waste management system, supporting facilities conditions, and environmental management. The variable with the least score is the sanitation and hygiene condition of the fish auction site. Four assessed parameters were found in good condition, while one parameter still requires improvement. The suggested recommendation includes implementing personal hygiene regulations and providing access cards for TPI visitors, replacing uncovered trash bins with covered ones, and increasing the toilets at fish auction site with separate facilities for men and women to enhance accessibility.
DISTRIBUSI SPASIAL KASUS DAN TEMPAT PERKEMBANGBIAKAN NYAMUK DEMAM BERDARAH DENGUE DI WILAYAH KERJA PUSKESMAS BANJARMANGU 1 TAHUN 2025 Dwi Atin Faidah; Setiya Aisyawa Galuh Megandalu; Bayu Suseno
Jurnal Ilmiah Medsains Vol 11 No 01 (2025): Jurnal Ilmiah Medsains
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Banjarnegara

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Abstract

Dengue Hemorrhagic Fever (DHF) remains a major public health concern in Indonesia, with a high number of reported cases. In 2024, there were 210,644 DHF cases with 1,239 deaths. Central Java Province contributed 12,994 cases, while Banjarnegara Regency reported 889 cases with an incidence rate (IR) of 83.8 per 100,000 population. The high number of cases in the working area of Banjarmangu 1 Health Center, along with the suboptimal use of spatial approaches, forms the basis of this research. The aim of this study is to describe the spatial distribution of DHF cases and mosquito breeding sites, as well as the characteristics of patients and related environmental factors. This research is a descriptive observational study with a cross-sectional approach. The study was conducted in the working area of UPTD Puskesmas Banjarmangu 1, Banjarnegara Regency, in May-June 2025. Data were obtained through observations and secondary data from the health center, the Meteorology, Climatology, and Geophysical Agency (BMKG), and other related institutions. Spatial analysis was conducted using ArcGIS 10.8.2 software and presented in thematic maps and descriptive tables.The results showed that adults were the most affected age group (73.7%), with a higher proportion of female patients (63.2%), and the most common education levels were elementary and senior high school. The highest number of cases was found in Jenggawur Village. Furthermore, a total of 187 mosquito breeding sites were identified, 57 of which were found to be positive for larvae. The study produced spatial distribution maps of DHF cases and mosquito breeding site locations in the study area. These findings indicate that DHF transmission is closely related to environmental factors and the presence of breeding sites around residential areas. Spatial-based control strategies, integrated larval source management, and increased community education need to be optimized to reduce the risk of sustained DHF transmission.

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