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Penyebab Kekerasan Dalam Rumah Tangga (KDRT) di Kecamatan Bantul Kabupaten Bantul Yogyakarta Maria Yeny Eskawati; Yulian Endarto
VISIKES: Jurnal Kesehatan Masyarakat Vol 16, No 1 (2017): VisiKes
Publisher : Dian Nuswantoro Semarang

Increasing Gender Equality and Womenâ€™s Empowerment is one of the Millennium Development Goals (MDGs) goals that is continued in Sustainable Development Goals (SDGs). However, domestic violence has increased signiicantly every year. The domestic violance in Indonesia, 2010 reached 295 836 cases and in Bantul District increased from 6 to 12. This study aims to determine factors that lead to domestic violence in Bantul Sub-District.This was descriptive qualitative study, with purposive sampling techniques. In the beginning of the study, there were about two dozen informants, but only four people who were willing to become informants. Data was collected through in-depth interviews, semi standard way and reseracher as a key instrument. The source triangulation was used for data validation.There were many factors that lead to domestic violences: the economic situations, harmony in intimate relationships, conidence, communication, stress, and the past experiences. The education was not a cause of domestic violence.Key words: domestic violence

TINJAUAN PENGETAHUAN DAN SIKAP PETUGAS REKAM MEDIS TENTANG KODE SEBAB KEMATIAN/ UNDERLYING CAUSE of DEATH DI RUMAH SAKIT TUGUREJO SEMARANG 2016 Yanuar Dwi Madyo Hardono; Dyah Ernawati
VISIKES: Jurnal Kesehatan Masyarakat Vol 17, No 01 (2018): APRIL 2018
Publisher : Dian Nuswantoro Semarang

ABSTRACT: Determination code of underlying cause of death is one of the important functions of medical record unit that require precision. To determine the code, the officer must pay attention to the procedures or rules that set by the WHO in ICD-10. In a preliminary survey conducted by the author, in determined the underlying cause of death, coding officers only saw major diagnoses that existed at RM1 and did not see the diagnosis that written in SMPK. This caused an incorrect code.This type of research was descriptive and cross sectional approach. The method used were observation and interviews. The study population were 30 medical record officers and sample were the officers who meet the criteria for a sample of 14 people.The results based on the characteristics, 64.29% did not receive any coding training. All educated diploma of medical record and there were 3 officers who continued study on undergradute program. Most work experience of medical record officer within a period of 6-10 years (57.14%). Most age were 36-40 years old (50%). Most were female (78.57%). Knowledge of non coder officers classified as good with an average value of 94.55 while the average value of 80 for coder. The attitude of coder officer classified as good but for non coder officers there were still many doubts to answer the statement.For that officers need training about the code of underlying cause of death. ICD-10 volumes 1-3 should be used to obtain accurate code. It should be made Standard Operating Procedure and socialization on how the code of underlying cause of death and the provision tables of Mortality Medical Data System (MMDS) to assist in determining the code of underlying cause of death.Keywords: Knowledge, Attitude, Code of Underlying Cause of DeathABSTRAK: Penentuan kode penyebab dasar kematian merupakan salah satu fungsi yang penting dari unit kerja rekam medis yang membutuhkan ketelitian. Untuk menentukan kode, petugas harus memperhatikan prosedur atau aturan yang ditetapkan oleh WHO di dalam ICD-10. Dalam survey awal yang dilakukan penulis, dalam menentukan sebab dasar kematian (Underlying Cause Of Death) petugas coding hanya melihat diagnosa utama yang ada pada RM1 saja dan tidak melihat diagnosa yang tertulis dalam SMPK. Hal ini menyebabkan kode tidak tepat. Penelitian ini bertujuan mengetahui karakteristik, pengetahuan dan sikap petugas rekam medis tentang kode penyebab dasar kematian berdasarkan ICD-10 di RSUD Tugurejo Semarang Tahun 2016.Â Jenis penelitian ini adalah deskriptif dengan menggunakan pendekatan cross sectional. Metode yang digunakan adalah observasi dan wawancara. Populasi penelitian adalah 30 orang petugas rekam medis dan sampel dalam penelitian ini adalah petugas rekam medis yang memenuhi kriteria sampel sebanyak 14 orang. Hasil penelitian berdasarkan karakteristik, sebesar 64,29% tidak pernah mendapatkan pelatihan koding. Semua berpendidikan terakhir DIII-RMIK dan ada 3 petugas yang melanjutkan S1. Masa kerja petugas rekam medis paling banyak dalam jangka waktu 6-10 tahun (57,14%). Persentase umur paling banyak berumur 36-40 tahun (50%). Sebagian besar petugas berjenis kelamin perempuan (78,57%). Pengetahuan petugas non koder tergolong baik dengan rata-rata nilai 94,55 sedangkan rata-rata nilai petugas koder 80. Sikap petugas koder sudah baik namun untuk sikap petugas non koder masih ada banyak keraguan untuk menjawab pernyataan. Perlu adanya pelatihan koding khususnya tentang kode penyebab dasar kematian. Buku ICD-10 volume 1-3 tetap harus digunakan untuk mendapatkan kode yang akurat. Perlu dibuat Standar Operasional Prosedur dan sosialisasi tentang cara penentuan kode penyebab dasar kematian dan penyediaan tabel Medical Mortality Data System (MMDS) untuk membantu dalam penetapan kode penyebab dasar kematian.Kata Kunci: Pengetahuan, Sikap, Kode Penyebab Dasar Kematian

KEEFEKTIFAN GAME EDUKASI GIZI SEBAGAI MEDIA PROMOSI GIZI ANAK SEKOLAH DI MI NURUL ISLAM Rinayati Rinayati; Mulyono Mulyono; Sri Wahyuning
VISIKES: Jurnal Kesehatan Masyarakat Vol 15, No 2 (2016): Visikes
Publisher : Dian Nuswantoro Semarang

Indonesia experienced a double burden in dealing with nutritional problems, under nutrition and over nutrition. Based on Riskesdas 2013, Central Java was one of 16 provinces that above the national under weight prevalence. Malnutrition and obesity in Semarang is still high. According to BPOM 2014, there were four types of most polluted snack in schools; cube ice, cold drinks, jelly, and meatballs. The foods were contaminated with microbes hazardous materials, and excessive food additives. The health promotion for student is very important to influence and motivate them to learn and understand nutrition information and it can use educational games. This Study aims to determine the effectiveness of web-based nutritional education games as a health promotional media of nutritional information for MI Nurul Islam students. This research was a pre-experimental study, with one group pre-post test design.The study populations were 30 students of MI Nurul Islam Semarang. Tha data was analyzed by Wilcoxon test. The average level of nutrition knowledge before playing the education game was 42.9, then increased to 66.3 after playing it. Educational game significantly influenced the level of studentsâ€™ nutrition knowledge (p = 0.0001). Keywords: nutrition, educational game

FAKTOR HOST, KONSUMSI LEMAK, KONSUMSI KALSIUM DAN KEJADIAN HIPERTENSI PADA KEHAMILAN Anindita Az Zahra Lutfiatunnisa; Anita Nugrahaeni; Sri Yuliawati; Dwi Sutiningsih
VISIKES: Jurnal Kesehatan Masyarakat Vol 15, No 2 (2016): Visikes
Publisher : Dian Nuswantoro Semarang

Pregnancy induced hypertension is an increase of blood pressure until â‰¥140/90mmHg after 20 weeks of gestation among women who are previously normotensive. In the region of Gatak Community Health Center, inÂ 2013 there were 47 cases of pregnancy induced hypertension which could lead to pre eclampsia and maternal and infant mortality. The objective of this study is to analyze the relationship between host factors, fat consumption and calcium consumption with pregnancy induced hypertension. This was an observational analytic with cross sectional study design. The subjects were 78Â pregnant women in the region of Gatak Community Health Center using purposive sampling technique. Bivariate analysis performed using chi square. Bivariate analysis showed association between the level of knowledge (p=0.002; POR 4.91; 95%CI 1.69-14.27), history of hypertension (p=0.023; POR 3.75; 95%CI 2.58-5.46), nutritional status before pregnancy (p=0.004; POR 6.8; 95%CI 1.79-25.74), weight gainduring pregnancy (p=0.006; POR 7.58; 95%CI 1.75-32.78), consumption of fat (p=0.003; POR 6.43; 95%CI 1.71- 24.15), and calcium intake (p=0.014; POR 3.91; 95% CI 1.38-11.05) with pregnancy induced hypertension. A pregnant women should have normal nutritional status before pregnancy, normal weight gain during pregnancy, decrease consumption of fat and increase calsium intake to prevent pregnancy induced hypertension.Keywords: Hypertension, Pregnancy

FAKTOR RISIKO ERGONOMI PADA KARYAWAN DI PABRIK PEMBUATAN MINUMAN KEMASAN, INDONESIA Ratih Pramitasari; Wongsa Laohasiriwong
VISIKES: Jurnal Kesehatan Masyarakat Vol 16, No 1 (2017): VisiKes
Publisher : Dian Nuswantoro Semarang

Implementation of inappropriate ergonomics in worker can cause health problems. Musculoskeletal Disorders (MSDs) is one of the health problems that often occur due to improper application of ergonomics. Every step in this beverage factory mostly has the potential for ergonomic risk. This research is a quantitative research with cross sectional study design. Thetotal sample size of 309 has been systematic randomly selected from each department with proportional to size of the population. Data collection tools using BRIEFTM Survey and analyze the data with STATA. BRIEFTM igured the risk associated with posture, force, duration and incidence frequency of nine areas of the body. The results showed the prevalence of ergonomic risk occurring on the left and right sides of the elbows (73.14%). The prevalence of middleergonomic risk on the left side and wrist is 55.99% and right side 55.02% then the left side of the shoulder is 77.02% and the right side 63.11% after being behind is 55.02%. Suggestions for the company should perform particular program about the proper ergonomic position and working order in each department at the beverage factory.

HUBUNGAN FAKTOR LINGKUNGAN RUMAH DENGAN KEJADIAN TB PARU DI KOTA MAGELANG Erlin Fitria Dewi; Hanifah Ardiani; Suhartono Suhartono; Mateus Sakundarno Adi
VISIKES: Jurnal Kesehatan Masyarakat Vol 17, No 01 (2018): APRIL 2018
Publisher : Dian Nuswantoro Semarang

ABSTRACTPrevalence of tuberculosis in Magelang reached 394,18 per 100.000 population. However, there were a decline TB case detection rate from 96,85% to 78,05%. Previous research about TB in association with environmental risk factors showed controvercial results.The objective was analyzing association between environmental house factors with TB incidence in Magelang. An observational analytic was conducted with case control study design with 120 respondents (40 confirmed cases, 40 controls with symptoms of TB and 40 controls without symptoms of TB and using purposive technique sampling.Data were analyzed using chi-square and multiple logistic regression. Bivariat analysis showed association between type of wall (p=0,005; OR=3,8; 95% CI=1 , 57-8,34) and humidity levels (p=0,022; OR=2,9; 95% CI=1,24-6,73) with incidence TB. Multivariate analysis showed that the risk factors of TB were temperature OR=4,0 (95% CI=1,22-13,37, p=0,022), type of wall OR=3,8 (95% CI=1,47-9,89, p=0,006), and humidity levels OR=2,8 (95% CI=1,12-7,20, p=0,027).There was an association between type of wall, temperature and humidity levels with TB cases in Magelang. It was expected that the window function to be optimized so that the air circulation from outside to inside of the house can occur.Keywords: pulmonary TB, house environment, MagelangABSTRAK Prevalensi tuberkulosis di Kota Magelang mencapai 394,18 per 100.000 penduduk. Namun terjadi penurunan angka penemuan kasus TB dari 96,85% menjadi 78,05%. Penelitian terdahulu tentang TB yang dikaitkan dengan faktor lingkungan rumah masih menunjukkan kontroversi. Tujuan penelitian ini untuk mengetahui hubungan faktor lingkungan rumah dengan kejadian TB paru di Kota Magelang. Metode penelitian adalah observasional analitik dengan desain case control. Jumlah sampel sebesar 120 responden yang terdiri dari 40 kasus confirm, 40 kontrol dengan gejala TB dan 40 kontrol tanpa gejala TB yang diambil dengan teknik purposive sampling. Data dianalisis menggunakan chi square dan multipel regresi logistik. Hasil uji bivariat menunjukkan terdapat hubungan jenis dinding (p=0,005; OR=3,8; 95%CI=1,57-8,34) dan tingkat kelembaban (p=0,022; OR=2,9; 95%CI=1,24-6,73) dengan kejadian TB paru. Kemudian hasil uji multivariat menunjukkan suhu OR=4,0 (95%CI=1,22-13,37, p=0,022), jenis dinding OR=3,8 (95%CI=1,47-9,89, p=0,006), dan tingkat kelembaban OR=2,8 (95%CI=1,12-7,20, p=0,027). Hasil penelitian menunjukkan ada hubungan antara suhu, jenis dinding, dan tingkat kelembaban dengan kejadian TB paru di Kota Magelang. Diharapkan fungsi jendelaÂ dapat dioptimalkan sehingga dapat terjadi sirkulasi udara dari luar ke dalam rumah dan sebaliknya.Kata Kunci : TB paru, faktor lingkungan rumah, Magelang

APPLICATION OF SPATIAL ANALYSIS OF DENGUE HEMORRHAGIC FEVER RISK FACTORS IN TAMAN DISTRICT MADIUN Riyani Dwi Rivyantanti; Nur Fitriana Arifin; Mursid Rahardjo; Yusniar Hanani Darundiati
VISIKES: Jurnal Kesehatan Masyarakat Vol 15, No 2 (2016): Visikes
Publisher : Dian Nuswantoro Semarang

DHF often causes outbreaks and closely related to the environment. Dengue incidence in the Madiun City increase continuously and the highest incidences occurred in Taman Sub District with IR reached 108.4 per 100,000 population. This research has purpose to analyze the spatial relationship between environmental and behaviors factors with the incidence of Dengue Hemorrhagic Fever (DHF) using Geographic Information System (GIS) in the Taman Sub District of Madiun City. This was an observational analytic research applying case control design. In this research, the sample groups were case sample and control sample. The total members of case and control were 40 members in every group.The case samples were DHF patients from January to May 2015 who living in Taman sub district and the case control were the neighbors who were not infected by DHF. Data were analyzed in univariate and bivariate using Chi Square and spatial analysis using ArcMap. Univariate analysis showed 76.2% risk oftemperature, 18.8% risk of humidity, 75% of high population density, 100% risk altitude, 72,5% ABJ & HI-risk, 31,2% risk CI, 31,2% poorknowledge, 31,2% poor attitude,42,5% poorpractice. This research found that there was a association between the ABJ (p=0,001), HI (p=0,001), CI (p=0,054), and practice (p=0,003) and the dengue case. There was no a relationship between temperature (p=0,599), humidity (p=1,000), population density (p=1,000), knowledge (p=0,335), attitude (p=1,000) with dengue case, while for altitude obtained homogeneous. Mapping the incidence of DHF showed the proportion of a greater dengue incidence was found in the region which was has an average risk temperature, high overcrowding, ABJ & HI-risk, as well as poor of attitudes and practices. Therefore, spatial analysis showed that ABJ & HI-risk and poor PSN practices affected the increase of dengue incidence in Taman sub districts.Keywords: DHF, environmental factors, behavioral factors, spatial analysis

Pengaruh Senam Zumba terhadap Penurunan Kadar Gula Darah Sewaktu pada Penderita DM Tipe 2 di Puskesmas Kedungmundu Kota Semarang Laurensia Juliani; Suharyo Suharyo
VISIKES: Jurnal Kesehatan Masyarakat Vol 15, No 1 (2016): Visikes
Publisher : Dian Nuswantoro Semarang

Diabetes mellitus is chronic disease caused by the pancreas is unable to produce enough insulin and the body can not effectively use the insulin. International Diabetes Federation mentioned that cases of diabetes mellitus in the world, 2012 reached 23.41milion people and will increase to 366 milion people in 2030. Based on data from the city health office Semarang years 2012-2014, cases of type 2 diabetes mellitus in the Kedungmundu primary health center is the highest among all primary health centers in Semarang, as many as 2,147 cases in 2012, 1,713 cases in 2013 and 3,073 cases in 2014. There are four ways to control diabetes, one of them is doing excercise. The exercise, at least 30 minutes, can control blood sugar level. Exercises are recommended for diabetics are aerobic exercises such as jogging, walking, and gymnastic in group. In 2012 zumba became famous and it is gymnastic group that combines elements of aerobic and dance. The purpose of this study was to determine the effect of gymnastic zumba to decrease blood sugar on people with type 2 diabetes mellitus in the Kedungmundu Primary Health Center Semarang.This research was pre-experiment method, using one group pre and post-test design. Sampel for this research were 38 participants, aged 15-44 years old. Data was analyzed by paired sample T-test and wilcoxon test.Result showed the difference between blood sugar level before and after first until fourth zumba (p-value 0,0001 < Î± 0,05), so there was effect of zumba excercise with blood sugar level since blood sugar level decrease significantly in the four time of zumba exercises.Zumba as one of alternative solutionÂ to control blood sugar level, so diabetes mellitus patient was recommended to practice it.Keywords :diabetes mellitus, gymnastic zumba, blood sugar level

Penerapan Aspek Keselamatan Perkeretaapian pada PT.KAI (Persero) Daop IV Semarang Tiarma Lubis; Evi Widowati
VISIKES: Jurnal Kesehatan Masyarakat Vol 16, No 1 (2017): VisiKes
Publisher : Dian Nuswantoro Semarang

Railways is everything related to facility, infrastructure, human resource and train supporting facility for the operation of railway transport. The production of passenger trains during the years 2010-2014 in the Java island has increased by 8.29% annually. The railway accidents frequency are inluenced by: human factors, infrastructure factors, facility factors, operational factors, and external factors. This research aims to know the description of the aspects of railwaysafety application at PT. KAI (Persero) DAOP IV Semarang. This was evaluative research.The result showed that of the 253 points of the aspects of railways safety, as much as 235 (93%) points were accordance to standard, 13 (5%) points were not accordance tostandard, and 5(2%) did not conform to standard.The recommendation are fulillments of the safety railway aspects such as: increase the crossing-guard offifcer who have a competency certiicate, provide training and education for certiication of compentence for pcrossing-guard oicer that have not been certiied, facilitating the station with ire protection system, awarding and recoloring of secure border from railways on the station platform, and marking the installation of portable ire extinguisher.Keywods : railway, safety

Perbedaan Persepsi pada Pengguna Kondom dan MOP (Metode Operasi Pria) di Wilayah Puskesmas Kedungmundu Semarang Elia Rakhmawati; Kismi Mubarokah
VISIKES: Jurnal Kesehatan Masyarakat Vol 15, No 1 (2016): Visikes
Publisher : Dian Nuswantoro Semarang

The application of the family planning program in the community have been success, but contraceptive usage in female (93,66%) higher than male (6,34%). The male participation was needed to the family planning program especially in using contraceptives. The purpose of the study was to know differences of perceptions about the engagement of male in the family planning program particularly condom and vasectomy use.This is quantitative research with cross sectional approach. The samples were collected by purposive sampling and quota sampling methods; sample was 30 condom users and 30 vasectomy participants. Data has been analyzed by independent t-test.The result of the study showed no difference of perception about the male engagement in the family planning program in condom users and vasectomy participants (p-value 0.11<0.05); both groups hadÂ good perception in contraception. Only 10% of condom users who have the low perceptin and 6.7% of vasectomy participants had the low perception. These respondents had perception that the involvement of men in family planning by using male contraceptives was embarrassing and unimportant.The sugestion was increasing theÂ existence of family planning information to increase male perception in family planning participation.Keywords: Perception, Vasectomy, condoms

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