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FAKTOR PELAYANAN KESEHATAN, DUKUNGAN KELUARGA DAN MASYARAKAT DENGAN UPAYA PENCEGAHAN KEJADIAN RABIES DI WILAYAH KERJA PUSKESMAS PANDAN KECAMATAN SUNGAI TEBELIAN KABUPATEN SINTANG Elvi Juliansyah Jamari; Febrian Nurdin
VISIKES: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2019): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (476.657 KB) | DOI: 10.33633/visikes.v18i2.2300

Abstract

Rabies is a very dangerous zoonotic disease that can cause death in animals and humans infected with the rabies virus in animal saliva. Animals such as dogs, cats and monkeys that suffer from rabies. This study aims to determine the relationship of health services, family support, and the community with efforts to prevent the incidence of rabies. The quantitative research method is cross sectional design with a population of 24,038 people. The method of sampling is using simple random sampling of 194 respondents. The results showed no significant relationship between prevention efforts with health services p value 0.064> α (0.005), there was a significant relationship between family support p value 0.027 <α (0.05), there was no significant relationship with community support p value 0.100> α (0.05). The conclusion of this study is that every family member, parent and child has a role to give each other information to remind each other with each other in preventing transmission of rabies caused by rhabdovirus.
PENGARUH PENDIDIKAN KESEHATAN DENGAN MEDIA LEMBAR BALIK TENTANG PENCEGAHAN STUNTING PADA CALON PENGANTIN Naila Fauziatin; Apoina Kartini; S. A. Nugraheni
VISIKES: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2019): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (373.013 KB) | DOI: 10.33633/visikes.v18i2.2679

Abstract

Naila Fauziatin1, Apoina Kartini2, S.A Nugraheni31Magister Promosi Kesehatan, Fakultas Kesehatan Masyarakat, Universitas Diponegoro2,3Fakultas Kesehatan Masyarakat, Universitas DiponegoroEmail : nailafauzia729@gmail.com ABTRACTEfforts to assess stunting must be done on the right candidate for the bride who will prepare for the pregnancy. Knowledge of the status of prospective mothers, the fetus to be conceived, and the quality of the baby to be improved, therefore the knowledge and attitude of the brides. can be enlarged stunting that continues to pass.The research is experimental quasy with a control group non-randomized design. The research subjects were the brides in 4 KUA in Grobogan District, 72 respondents in the intervention group and 72 respondents in the control group. This research will analyzes the differences in knowledge and attitudes of brides before and after the intervention with the media flipchart about stunting prevention. The instrument research uses a structured questionnaire. Data were analyzed by univariate and bivariate using the Wilcoxon test.Statistical test results is p=0,000 which means an increase in the knowledge and attitude of the brides. In this study, reversing media has been proven to increase the knowledge and attitudes of brides in preventing stunting. It is expected that the KUA and the health office will increase health promotion efforts in stunting prevention to brides.Keywords: Flipchart, Stunting, Bride
FAKTOR PENGHAMBAT PEMENUHAN HAK KESEHATAN REPRODUKSI PENYANDANG DISABILITAS (STUDI PADA REMAJA SMP DI SLB NEGERI BANTUL YOGYAKARTA) HERI PUSPITO; Hartuti Purnaweni; Sri Achadi Nugraheni
VISIKES: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2019): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33633/visikes.v18i2.2812

Abstract

Bantul was made Regulation No. 11 of 2015 to fulfill the rights of persons with disabilities. They are still didn’t get the justice while regional regulations come off. This study aims to obtain an overview the barrier factors of policies implementation related reproductive rights of health in youth with disabilities in Bantul Regency. This qualitative research was conducted  in Government Bantul of D.I Yogyakarta province in June-July 2019. Data collection techniques with in-depth interviews, observation and document study. The implementation regulation No.11 of 2015 in Bantul has not proceeded as expected, efforts to fulfill the rights of persons with disabilities, both promotive and preventive, have yet to be achieved. Various factors that inhibit include the communication, resources, disposition, coordination across organization, organizing and interpretation. The reproductive rights of adolescents with disabilities in Bantul district encountered various obstacles. It should be given main of purpose and fungtion from the contents of regulation No. 11 of 2015 in to the implementers, established a system of organizing and interpreting policy stakeholders and regional unit government, increasing socialization, communication, resources, relations between organizations and related stakeholders.
Simple Additive Weighting untuk Penentuan Peringkat Wilayah Penanganan Stunting Pada Balita Aries Setiawan
VISIKES: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2019): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33633/visikes.v18i2.2766

Abstract

Awal dari generasi penunjang kemajuan bangsa adalah generasi yang sehat dan kreatif. Generasi sehat dimulai dari pemenuhan kesehatan sejak kecil. Anak yang terlepas dari pemenuhan gizi yang cukup akan berakibat pada keadaan kurang gizi dan stunting (pendek). Menurut WHO, Indonesia masuk dalam peringkat ketiga teratas pada wilayah AsiaTenggara dengan nilai 36,4%.  Penentuan peringkat penanganan stunting pada seluruh wilayah di Indonesia merupakan. langkah awal penanganan kasus ini. Salah satu metode yang diperlukan dalam proses ini adalah simple additive weighting (SAW), dengan perhitungan bobot dari beberapa kriteria. Data alternatif yang digunakan dengan mengambil data 11 kota atau kabupaten  yang ada di wilayah Jawa Tengah. Hasil akurasi yang diperoleh dari  perhitungan dengan metode ini 0.82% sehingga dapat dijadikan alternatif untuk proses penentuan peringkat wilayah penanganan stunting 
EFEKTIFITAS PENGGUNAAN LIDAH MERTUA DALAM RUANGAN TERTUTUP UNTUK MENGURANGI KADAR COHB DAN CO LINGKUNGAN AKIBAT ASAP ROKOK rizky rahadian w; Eko Sulistiono
VISIKES: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2019): VISIKES
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (550.581 KB) | DOI: 10.33633/visikes.v18i2.2979

Abstract

Karbon monoksida (CO) adalah gas yang tidak berwarna, tidak berasa, tidak mengiritasi dan tidak berbau.Gas ini dihasilkan melalui pembakaran gas, minyak, petrol, bahan bakar padat atau kayu. Terbentuknya gas CO berasal dari kebakaran, tungku, pemanas, oven dan mesin Bahaya utama terhadap kesehatan adalah mengakibatkan gangguan pada darah. Batas pemaparan karbon monoksida yang diperbolehkan oleh OSHA (Occupational Safety and Health Administration) adalah 35 ppm untuk waktu 8 jam/hari kerja. Pada ruang tertutup , tingkat polusi berasal  dari asap rokok. Pekerja di ruang tertutup  berptensi terpapar gas CO yang terperangkapdalam ruangan selama bekerja. Gas Co dihirup akan membentuk COHb dalam darah, penelitian ini bertujuan Efektivitas lidah mertua dalam mengurangi kadar COHb dan CO lingkungan. Penelitian ini merupakan penelitian deskriptif  desain cross sectional menggunakan 7 responden yang ada diruangan tertutup tersebut. Pengukuran gas CO menunjukan dibawah baku mutu 25 PPM. Mayoritas pekerja memiliki karakteristik  jenis kelamin perempuan (57,14%), Laki-Laki( 42,86), berumur ≤ 40 Tahun (85,71 %) dan lebih dari ≥ Tahun (16,67%) dan memiliki kebiasan merokok sebanyak (42,86%). Disimpulkan bawah kadar CO dibawah baku mutu sedangkan untuk kadar COHb melebihi baku mutu 3,5% . disarankan untuk mengurangi kebiasaan merokok dan memberi ventilasi yang baik.Kata kunci : Lidah mertua, kabon monoksida, ruang tertutup
Studi Kasus di Rumah Sakit Tipe C dan Tipe B: Analisis Identifikasi dan Autentikasi Dokumen Rekam Medis Berbasis SNARS Eni Mahawati; Elyta Oviana; Nela Indah Suryan; Lulu Maftukhatul Khasanah
VISIKES: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2019): VISIKES
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (584.795 KB) | DOI: 10.33633/visikes.v18i2.2781

Abstract

Implementation of patient identification based on SNARS can support patient safety programs. Based on the initial survey of medical record quantitative analysis of 20 inpatient medical record documents have known that were 30%  incomplete identification, 40% incomplete reporting, 50% were incomplete recording and 30% incomplete authentication. The purpose study was to analyze identification and authentication incomplete medical records based on SNARS to support patient safety program. It was a descriptive study with observational collecting data method of 225 medical record documents. The results of the study identify 58.30% incomplete identification of medical record in type C hospital and 14,38% in type B hospital. Other results show there were 66.67% incomplete authentication (incomplete signature) of medical records in type C hospital and 45.75 % in type B hospital. There was 65.3% incomplete officer name of medical records in type C hospital and 9.15 % in type B hospital.  Incomplete writing place, date and time of medical records 70.8% in type C hospital and 16.34 % in type B hospital.  It was concluded that were significant differences in  medical records incomplete based on identification and authentication in type B and C hospital. Suggestions, to handle the incompleteness of medical record documents, regular meetings with all PPAs need to be held to evaluate the staff performance and increase staff awareness in completing medical record documents to support quantitative analysis medical records, especially based on SNARS standard accreditation. Keywords: SNARS, Identification, authenthicationLiterature: 9 (2008-2018)
The Effect of Specialist Performance Factors on Outpatient Satisfaction at RSUD dr. Loekmonohadi Kudus Achmat Luthfi Yakim; Antono Suryoputro; Laksmono Widagdo
VISIKES: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2019): VISIKES
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (650.254 KB) | DOI: 10.33633/visikes.v18i2.2737

Abstract

ABSTRAKKinerja dokter spesialis merupakan salah satu aspek yang mempengaruhi tingkat kepuasan masyarakat terhadap pelayanan di rawat jalan RSUD dr. Loekmonohadi Kabupaten Kudus. Indeks kepuasan masyarakat di pelayanan rawat jalan masih berada di bawah standar pelayanan minimal (SPM) dan menjadi pelayanan dengan IKM terendah. Tujuan dari penelitian ini untuk mengetahui pengaruh faktor kinerja dokter spesialis terhadap kepuasan pasien rawat jalan RSUD dr. Loekmonohadi Kudus.Metode penelitian yang digunakan yaitu penelitian kuantitatif dengan jumlah responden sebanyak 100 pasien yang berkunjung ke pelayanan rawat jalan dokter spesialis di RSUD dr. Loekmonohadi Kudus.Hasil penelitian menunjukkan bahwa kemampuan dan keahlian (p-value = 0,004), kepribadian (p-value = 0,001), lingkungan kerja (p-value = 0,001), loyalitas (p-value = 0,001), komitmen (p-value = 0,001), disiplin kerja (p-value = 0,003), komunikasi (p-value = 0,001), kecepatan (p-value = 0,003) dan inisiatif  (p-value = 0,001) dokter spesialis berpengaruh terhadap kepuasan pasien di pelayanan rawat jalan RSUD dr. Loekmonohadi Kudus. Variabel lingkungan kerja dokter spesialis merupakan variabel yang pmemiliki pengaruh terbesar terhadap kepuasan pasien dengan Exp(B) 46,732.Berdasarkan hasil penelitian tersebut, RSUD dr. Loekmonohadi perlu melakukan evaluasi terhadap kinerja dokter spesialis di pelayanan rawat jalan serta melengkapi sarana dan prasarana terkait dengan pelayanan di rumah sakit.Kata kunci: kinerja, kepuasan, pasien dan rawat jalan ABSTRACTThe performance of a specialist is one aspect that affects the level of community satisfaction with outpatient services at the RSUD dr. Loekmonohadi. The community satisfaction index in outpatient services is still below the minimum service standard (SPM) and the service with the lowest IKM. The purpose of this study was to determine the effect of specialist performance factors on outpatient satisfaction at RSUD dr. Loekmonohadi Kudus.The research used quantitative method with the number of respondents as many as 100 patients who visit the outpatient services of specialists in RSUD dr. Loekmonohadi.The results showed that ability and expertise (p-value = 0.004), personality (p-value = 0.001), work environment (p-value = 0.001), loyalty (p-value = 0.001), commitment (p-value = 0.001 ), work discipline (p-value = 0.003), communication (p-value = 0.001), speed (p-value = 0.003) and initiative (p-value = 0.001) of specialists influence patient satisfaction in outpatient services at RSUD dr . Loekmonohadi. The working environment is a variable that has the greatest influence on the satisfaction of patients with Exp (B) 46,732.Based on the results, RSUD dr. Loekmonohadi needs to evaluate the performance of specialists in outpatient services and complete facilities and infrastructure related to hospital services.Keywords: performance, satisfaction, patient and outpatient
FAKTOR-FAKTOR YANG MEMPENGHARUI KUNJUNGAN IBU HAMIL PADA TRIMESTER PERTAMA DI PUSKESMAS KAIRATU KABUPATEN SERAM BAGIAN BARAT TAHUN 2013 Yonce Heumasse
VISIKES: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2019): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (536.688 KB) | DOI: 10.33633/visikes.v18i2.2815

Abstract

ABSTRAK Antenatal health services by pregnant women in the first trimester can make it difficult for health workers to provide comprehensive and comprehensive guidance and maintenance for the health of pregnant women, including early detection of risk factors. This is one of the results of the Maternal Mortality Rate in Indonesia (Peranginangin,2010). The purpose of this study was to obtain information about the factors that influence the visit of pregnant women in the first trimester. The research method used in this research is analytic survey research by studying "Cross Sectional". The samples used in this study were all pregnant women who did not carry out antenatal examinations in the first trimester at the Kairatu Health Center. The technique used was accidental sampling, which is the technique of taking the samples used available or available. Data analysis in qualitative research is in principle an induction process, conceptualization interpretation. The results of the study were obtained from interviews about the phenomenon of pregnant women in conducting antenatal care in the first trimester of pregnant women and midwives in the Kairatu Health Center area, namely pregnant women looking for purposes and considering examinations, pregnant women need financial assistance to conduct examinations, even though mothers Pregnants are aware of the importance of funded examinations, but they still believe in traditional birth attendants because they are easier to achieve. Get help with pregnancy related to antenatal care checks, diseases and complications that can occur during low socioeconomic pregnancies that do not require health facilities by making home visits in areas that are also active in promoting posyandu. Kata Kunci             : pregnant women, Knowledge, Economy,Social Culture 
Hubungan Antara Kondisi Lingkungan Dengan Keberadaan Jentik Aedes aegypti Di Home Industry Meubel Kayu Desa Ngasem Kecamatan Batealit Kabupaten Jepara Tahun 2017UL Yogi Catur Putra*), Suharyo*)*) Yogi Catur Putra; Suharyo suharyo
VISIKES: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2019): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (310.203 KB) | DOI: 10.33633/visikes.v18i2.2545

Abstract

The district of jepara is center of wooden chair industry in indonesia, but Jepara is endemic district of hemorrhagic fever. Environmental condition influence the breeding of Aedes aegypti, foun many place as breed’s mosquito. The purposed of study was to analyze correlation of environmental condition and existence of larvae of Aedes aegypti in home industry wooden chair in Ngasem Village sub-district of Batealit, Jepara district 2017.The study was analytical observastional with cross sectional approach. Study population was home industry of wooden chair in Jepara as 213 home industries with sample was 68 home industries. Sample has chosen with simple random sampling. The Statistical analyze  with chi square and fisher exact textResult showed that 113 containers have variety made from wood and no-wood. Obtained 40% HI, 29% CI, and  48% BI, with density figure 6-9 or high density. Significant correlation between pH of container (p = 0,002)  with relation of larva Aedes aegypti. And no significant correlation of container type (p = 0,148), container temperature (p = 0,204), container volume (p = 0,175) and air humidity (p = 0,157).Needed active role of observing larvae existing routine in home industry wooden chair, especially by the owner and cadres in village Ngasem so that can reduce the breeding of Aedes aegypti.
GAMBARAN KEPATUHAN PENGGUNAAN OBAT PADA PASIEN TUBERKULOSIS TERHADAP KEBERHASILAN TERAPI DI PUSKESMAS “X” KABUPATEN KUDUS FX Sulistiyanto WS; Erna Prasetyaningrum
VISIKES: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2019): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33633/visikes.v18i2.3034

Abstract

      Penyakit Tuberculosis (TBC) merupakan penyakit yang mudah menular yang memperlihatkan peningkatan dalam jumlah kasus baru maupun jumlah angka kematian yang disebabkan oleh TBC. Tuberkulosis adalah penyakit yang disebabkan oleh infeksi Mycobacterium tuberculosis dimana menyerang paru-paru sebesar 80 %. Infeksi yang terjadi bisa bersifat silent, latent atau aktif.      Tujuan penelitian ini untuk mengetahui gambaran kepatuhan penggunaan obat tuberkolosis terhadap keberhasilan terapi. Manfaat penelitian ini dapat memberikan informasi dasar tentang pentingnya bahaya penularan penyakit tuberkolosis sehingga diperlukan kepatuhan dalam penatalaksanaan terapi.      Hasil statistika menunjukkan bahwa ada 4 (3,3 %) penderita yang menunjukkan tidak mengkonsumsi obat sesuai dengan jumlah yang ada, 3 (2,5 %) penderita yang tidak teratur dalam mengkonsumsi obat, dan tidak mengikuti aturan pakai mengkonsumsi obat dalam satu hari penuh serta tidak mengambil seluruh obat yang diresepkan. Selain itu ada 5 (4,2 %) penderita yang masih berhenti mengkonsumsi setelah kondisi membaik. Hasil kumulatif terhadap 120 responden menunjukkan masih ada 10 % penderita yang belum patuh dalam menjalani pengobatan TBC, sehingga akan berpengaruh terhadap tingkat kesembuhan penyakit TBC.      Perlunya Pendamping Minum Obat (PMO) dalam meningkatkan kepatuhan dan keberhasilan pengobatan dapat dilakukan dengan cara memberi penyuluhan dan pelatihan secara berkala dan insentif serta meningkatkan kualitas pelayanan kesehatan.

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