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Search results for , issue "Vol 19, No 01 (2020)" : 26 Documents clear

FAKTOR RISIKO KEJADIAN STUNTING PADA ANAK USIA 12-36 BULAN DI PUSKESMAS WOHA KABUPATEN BIMA Jasman - -; Apoina Kartini; Martini - -
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

Woha Subdistrict Is one of the sub-districts in the district of Bima which has a stunting prevalence rate of (39.65%) higher than the national prevalence (30.8%). Most people in Woha Subdistrict do farming activities to make ends meet. To get a better harvest, the community uses pesticides as the most effective drug for controlling pests. The effect of pesticide exposure is not yet known as a risk factor for stunting in Bima Regency. The objective of this study was to determine whether the history of pesticide exposure as a risk factor for the incidence of stunting in children aged 12-36 months in the working area of Woha Health Center Bima Regency. The study design was a case-control using a retrospective approach in 48 cases (stunting) and 48 controls (normal). Data analysis was carried out in stages including univariate, bivariate and multivariate analyses. The analysis showed three variables that had a significant relationship with the incidence of stunting, namely a history of exposure to pesticides (OR = 3,35; CI = 1,44-7,78; p = 0,008), history of infectious diseases (OR = 3,97; CI = 1,64-9.58; p = 0,003), maternal height (OR = 3,76; CI = 1,60-8,88; p = 0,004. Conclusion low maternal height is the most dominant factor influence the incidence of stuntingKeywords: Stunting, exposure to pesticides, infectious diseases, maternal height.

PENGARUH WORKPLACE STRETCHING ACTIVE DYNAMIC BACK EXERCISE TERHADAP PENINGKATAN AKTIVITAS FUNGSIONAL LOW BACK PAIN MYOGENIC PADA PENJAHIT Hesti Sufreshtri; Nurwahida Puspitasari
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

Background: Myogenic low back pain a syndrome that has a broad impact not only for sufferers but also has an impact on the work environment and social so that it can result in disruption of work and decreased work productivity. As many as 30% people aged 30-35 years, 30% people aged 41-45 years, 25% people 36-40 years and 15% people aged 46-50 years old experience low back pain myogenic which can affect the ability of functional activity. One of the treatments of myogenic low back pain is workplace stretching active dynamic back exercise. Objective: The study aims to determine the effect of stretching active dynamic back exercise workplace on increasing functional activity of myogenic low back pain in tailors. Method: The research employed quasi experimental design with pre and posttest one group design. The sampling techniques was purposive sampling. The research samples were tailors aged 30-55 years with a total sample of 20 people consisting of 1 group. The intervention was carried out for 2 weeks. The measurement of functional activities ability used Oswestry disability index (ODI). The data analysis used paired sample t-test. Result: The paired sample t-test obtained p-value = 0.000 (p <0.05), meaning that there was an effect of workplace stretching active dynamic back exercise on increasing functional activity of myogenic low back pain in tailors. Conclusion: There is an effect of workplace stretching active dynamic back exercise on increasing the functional activity of myogenic low back pain in tailors. Suggestion: Further researchers are expected to be able to control the work attitude of the respondents to get more significant result of functional activity changes.Keywords: Workplace Stretching Active Dynamic Back Exercise, Low Back Pain Myogenic, Tailor, Oswestry Disability Index.

ANALISIS IMPLEMENTASI KEBIJAKAN PEMERINTAH DAERAH TENTANG PELAYANAN KESEHATAN DI PUSKESMAS DAERAH TERPENCIL PERBATASAN DAN KEPULAUAN (DTPK) KABUPATEN SAMBAS KALIMANTAN BARAT Noby Winarsa; Antono Suryoputro; Y Warella
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

Sambas District formulated a policy for the equality of health service in Primary Healthcare Centers of Remote And Underdeveloped Areas, Borderland, and Outlying Islands (CRUABOI) which are in the border between Indonesia and Sarawak-Malaysia. This study aimed to analyze the implementation of health service policy in the Primary Healthcare CRUABOI. This quantitative study was conducted in Primary Healthcare CRUABOI, Sambas District from June to July 2019. Data were taken through observation, document review, and in-depth interviews. Local government’s policy on health service delivery in Primary Healthcare CRUABOI, Sambas District did not run well. Some hindering factors of these conditions include communication among organizations, organizations’ human resources, disposition of implementors and bureaucratic structure. Community’s Rights to health service in Primary Healthcare CRUABOI, Sambas District have not been achieved. The central government shall predominantly fulfill health service needs in Primary Healthcare CRUABOI, Sambas District. The local government is expected to formulate more complex policy on health services in Primary Healthcare CRUABOI, Sambas District, such as conducting more socialization, allocating specific funds for CRUABOI, Sambas District, formulating SOP (Standard Operating Procedures) for CRUABOI, Sambas District, and improving coordination across sectors.Keywords: Policy, Goverment, CRUABOI, Sambas

SIDE EFFECTS FACTORS AFFECT THE COMPLIANCE OF ANTIRETROVIRAL TREATMENT IN PLWHS: STUDY OF UNDATA DISTRICT GENERAL HOSPITAL, PALU Defi - -; Suharyo Hadisaputro; Muchlis Achsan U.Sofro
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

Background : Antiretroviral treatment currently starts in all people with HIV / AIDS, namely children, adolescents, and adults regardless of clinical stage or CD4 cell count. This is an effort to reduce the time needed to start ARV therapy after being diagnosed with HIV but taking into account the readiness of people with HIV / AIDS. Objective: To prove the age, sex, occupation, and history of side effects to adherence to ARV treatment in PLWHA.Method: Quantitative approach using the type of Case-Control research. The sample in this study was 35 cases and 35 controls. The sampling technique in this study was done by consecutive sampling, collecting data obtained from interviews using research instruments namely questionnaires and patient medical record reports. Statistical analysis using SPSS 25 with a chi-square test. Results: Proven to influence the adherence of ARV treatment in PLWHA were a history of side effects (p = 0.002). those not proven to affect the adherence of ARV treatment in PLWHA were Age (p = 0.189) Gender (p = 1.00) Occupation (p = 0.297). Conclusion: A history of side effects has been shown to influence ARV treatment.Keywords: HIV/AIDS, ARVs, Compliance

STATUS MUTU AIR SUNGAI GEDE KABUPATEN JEPARA Lu’lu’ Farah Zulfa Nisrina; Eko Hartini
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

Gede River used by people in Karangrandu Village, Jepara for farming, animal husbandry, and source for clean water. Since 2015, river with 3 km long already been polluted. The river condition are black, smell, and can cause itching. This pollution caused by industry development in Jepara. The aim of this study are determining status of Gede River water quality also identifying polluted source which affect to status of water quality. Sampling taken on three locations, observation and measurement done in three days, where each day take two times on 08.00 AM and 04.00 PM. Analysis of river water measured by Physics Parameter (temperature and TSS), Chemical Parameter (pH, COD, and DO) and Microbiology Parameter (Total of Fecal Coliform). Status definition of water quality on this research based on Pollution Index method according to Decree of Enviroment Minister No. 115 Year of 2003. Status of Gede River water quality is light polluted with the most pollution on upstream that come from textile industry waste, tofu and tempe industry waste, and domestic waste. Unsuitable parameter with quality standard are temperature, COD, DO, and Total of Fecal Coliform.Keywords : River Water, Status of Water Quality, Enviromental Quality Standard, Pollution, Parameter

PENYEBAB PERBEDAAN TARIF INA-CBGs PADA KASUS SECTIO CAESAREAN DENGAN INDIKASI MALPRESENTASI DI RSUD TUGUREJO KOTA SEMARANG TAHUN 2018 Faik Agiwahyuanto; Indriati - -
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

Caesarean sectio action was a surgical activity carried out through the slicing of the abdominal wall which will later be used to remove the fetus. Based on the results of the initial survey, it shows that the percentage rate in one year in caesarean sectio at Tugurejo Regional Hospital Semarang is 29%, it shows that the percentage of caesarean sectio measures has not met the WHO standard of 5-15% in one year. Caesarean sectio was performed based on medical indications, in Semarang Tugurejo Regional Hospital there were 39 indications of malpresentations that were carried out by sectional caesarean actions 2018. The research design wass descriptive study with an observation method on the DRM and the patient claim result sheet for Caesarean section. Data collection techniques using documentation. Data sources use secondary data. Data samples were 39 cases of caesarean sectio with indication of malpresentation. Data analysis uses univariate or percentage techniques. The results of the study were the rates of INA-CBGs in caesarean sectio patients affected by primary diagnoses, secondary diagnoses, and actions that can affect the INA-CBGs code on severity level or severity of patients, and the class of patient care while supporting examinations do not affect INA-CBGs rates in a manner live.Keywords: Causing, difference, tariffs INA-CBGs, Sectio Caesarean,Malpresentations

ANALISIS PENERAPAN SISTEM PENCATATAN DAN PELAPORAN TERPADU PUSKESMAS (SP2TP) PUSKESMAS SUKAMERINDU KOTA BENGKULU Rahman Ade Ghaniy; S. Efendi; Susilo Wulan; Deni Triyanto
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

The Integrated System for Recording and Reporting (ISRR) Sukamerindu Public Health Center of Bengkulu there are several problems, namely the provision of inaccurate data / information, reporting that is often not timely and there is no standard mechanism. This study aims to analyze the application of ISRR from the aspect of input (human resources, funding, equipment), process (recording, reporting), and output (presentation of data & information, dissemination, utilization). The research method is qualitative research with a phenomenological approach through in-depth interviews with 3 key informants and 6 ordinary informants. Data processed by the Content analysis method and SWOT analysis to determine the formulation of strategies for the problems found. The results showed that ISRR Sukamerindu Public Health Center had not run optimally, this was due to lack of human resources, lack of coordination between data managers and program holders, lack of equipment, manual recording and recapitulation with personal laptops, there were still delays in sending reports and data became less accurate. The data presentation is more complete, the distribution is only to the Bengkulu Department of Health, and the data is used for evaluation for health policy stakeholders. To improve the performance of the implementation of ISRR Sukamerindu Public Health Center researchers suggested that the Bengkulu Department of Health further enhance its collaboration with Public Health Centers by optimizing communication and conducting planned and continuous training to get skilled and professional human resources in ISRR management.Keywords: Analysis, Public Health Center, Recording, Reporting, Syste

PERBEDAAN KADAR HEMOGLOBIN PADA IBU MENYUSUI DI DAERAH PEGUNUNGAN (SUMOWONO) DAN PESISIR PANTAI (BANDARHARJO) SEMARANG Dewi Sulistyoningrum; Suhartono - -; M. Sakundarno Adi
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

Background: Breastfeeding mothers are prone to anemia due to a decrease in maternal iron during breastfeeding and blood loss during labor. Hemoglobin is a protein that contains iron in red blood and functions to carry oxygen from the lungs to all body tissues. The plateau has an influence on hemoglobin levels which can cause hypoxia due to reduced oxygen partial pressure. The purpose of this study was to determine the differences of hemoglobin levels in breastfeeding mothers in mountainous areas (Sumowono) and coastal areas (Bandarharjo). Samples was found 33 breastfeeding mothers in mountains areas and 22 breastfeeding mothers in the coastal. Method of this research used design analytic observational was cross sectional design, selection of sample with purposive sampling. This study uses statistical analysis of Mann Whitney with ?=0.05. The result of this study get p value 0.278 where p > ? = 0.05, then Ho was accepted and can concluded that there were no differences hemoglobin levels of breastfeeding mothers in mountains and coastal areas. The conclusion of this study is average level of hemoglobin levels in breastfeeding mothers in mountains areas and coastel are no different.Keywords: Hemoglobin, Anemia, Breastfeeding Mothers, Mountains Areas, Coastal

PENGARUH PENYULUHAN HIV/AIDS TERHADAP PENGETAHUAN DAN SIKAP SISWA SMA NEGERI 1 SEPAUK KABUPATEN SINTANG Elvi Juliansyah; Maretalinia - -; Suyitno - -
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

HIV (Human Immunodeficiency Virus) was a virus that attacks the human immune system that can cause AIDS (Acquired Immuno Deficiency Syndrome). AIDS was a collection of symptoms that arise from a decrease in the immune system. The aim of this study was to determine differences between knowledge and attitudes of Senior High School Number 1 Sepauk students before and after HIV / AIDS counselling. The research’s method used was a quantitative method with the design of One Group Pre-test Post-test conducted the first observation (pre-test) that allows testing the changes that occur after the experiment (program). The research sample was taken using a convenience sample technique of 40 students. The results showed that HIV / AIDS counselling could improve students' knowledge of 2.9, namely from 90.28 (before HIV / AIDS counselling was conducted) changed to 93.18. T-test results obtained p value = 0.022 meaning that statistically there were significant differences in knowledge before and after HIV / AIDS counselling. HIV / AIDS counselling can improve students' attitudes 1.57, from 92.25 (before HIV / AIDS counselling) changes to 93.82 (after HIV / AIDS counselling). It could be concluded that counselling need to be conducted continuously to students to improve knowledge and change the attitudes of high school students 1 Sepauk Sintang Regency.Keywords: Counselling, HIV / AIDS, Knowledge, Attitudes, and Students.

GAMBARAN BAURAN PROMOSI UNIT PEMASARAN RUMAH SAKIT ISLAM SURABAYA Prasasti Nur Rachmi
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

In this globalization era, such activity of marketing for health service is highly needed to be undertaken. Supported by the advanced health technology, it is getting clearer that the business in this field has grown rapidly, so that each hospital is suggested to improve their utilization for the better service. There is one method that can be done by any hospitals to inform and communicate the offered health service which is promotion mix. This study purposes to know the conception of promotion mix that is done by an Islamic Hospital in Surabaya. Moreover, this study employs qualitative method along with observation and interview as the method of data sampling. This study was performed from August until October 2017. The data analysis used in this study is descriptive. Furthermore, the result of the study indicated that the practice of promotion mix in the Islamic Hospital in Surabaya had proceeded properly.Keywords: promotion mix, hospital, health promotion

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