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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.
Relationship Between Knowledge, Attitudes, and Behavior of Mothers with Nutritional Status in Toddler Children at the Nutrition Recovery Post in Randugunting Village, Tegal City, 2018 Dewi Sulistyoningrum; Tuti Hadiyanti
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 (476.373 KB) | DOI: 10.33633/visikes.v18i2.2592

Abstract

Background: Nutrition problems are one of the public health problems that have never been completely overcome in the world. Based on the fact that the discovery of toddlers with malnutrition is still a problem that cannot be dealt with properly, so researchers are interested in analyzing the relationship between knowledge, attitudes and behavior of mothers with nutritional status in children under five at the nutrition recovery post in Randugunting Village, Tegal City.Method: This study used an observational analytic study design with a cross sectional approach. The population of all mothers who have children under five with poor nutritional status in the Nutrition Recovery Post in Randugunting Village, Tegal City. The research sample was obtained as many as 15 samples using the purposive sampling method.Results: The results of the statistical test showed that there was a relationship between knowledge and nutritional status in children under five with p = 0.044. While maternal attitudes p = 0.119 and maternal behavior p = 1,000 did not have a significant relationship with nutritional status in children under five.Conclusion: From the results of the analysis that has been done it can be concluded that the knowledge variable has a significant relationship to nutritional status in children under five, while the attitude and behavior variables do not have a significant relationship to nutritional status in children under five. Suggestions for public health centers to improve programs that can restore good nutritional status for toddlers, especially mother's knowledge on improving toddler nutrition. Keywords: Nutrition, Knowledge, Attitude, Behavior
ANALISIS PERSEPSI PETANI BAWANG MERAH DALAM PENGGUNAAN PESTISIDA SEBAGAI DASAR PENYUSUNAN POLICY BRIEF DI KABUPATEN BREBES SRI LESTARI; Hanifa Maher Denny; Yuliani Setyaningsih
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 (634.953 KB) | DOI: 10.33633/visikes.v18i2.2722

Abstract

The improper use of pesticides that are not completely on target causes residues and adversely affects both health and the environment. The lack of knowledge of the dangers of pesticides causes farmers to ignore the risk in excessive use of pesticides. Preventive efforts are needed to reduce the impact of pesticide use. One of them is by organizing policy brief to provide input for the Regional Government regarding the use of pesticides to union farmers.This study uses descriptive analysis with a qualitative approach. Determination of the sample in this study uses purposive sampling technique so that the number of samples obtained by 3 informants. The research sample consisted of onion farmers, cadres of Pos UKK, and Secretary of farmer group.Farmers' perceptions regarding the use of pesticides are influenced by knowledge factors, personal factors, work environment factors, behavioral factors on risks and cultural safety and health factors at work. Many farmers do not pay attention to the risk factors for pesticide exposure, from mixing pesticides that are not in accordance with the dosage, storing pesticides in the open space, eating and drinking immediately after spraying pesticides, not washing hands and bathing after spraying and not using personal protective equipment when doing spraying pesticides. These behaviors can increase the risk of exposure to pesticides which will affect the health of farmers. Farmers' perceptions of the use of pesticides are still not optimal because even though farmers know the impact of inappropriate pesticide use, they still ignore it in its implementation.Keywords : Policy brief, Farmer perceptions, Pesticides 
ANALISIS PENGARUH CLINICAL AUTONOMY TERHADAP KEPUASAN KERJA DOKTER ERA JKN DI RSUD KOTA MAKASSAR Andi Awaliya Anwar; Suci Rahmadani; Mega Marindrawati Rochka
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 (485.415 KB) | DOI: 10.33633/visikes.v18i2.2811

Abstract

Services provided by medical personnel or doctors are an integral part of health services in hospitals, which have a very strategic position in efforts to improve the quality of service and satisfaction of consumers or patients who come to the hospital, which results in the satisfaction of the organization or the hospital itself . In connection with the age of BPJS implementation in Indonesia, the researchers are interested in exploring clinical autonomy (clinical autonomy) for the work satisfaction of doctors in the JKN era based on the transformation of fee for services into the INA CBGs package in hospitals. The purpose of this study was to determine the effect of clinical autonomy on doctors job satisfaction of JKN Era at Makassar City Hospital. This type of research is quantitative research with cross sectional research design. The population is all doctors in Makassar City Hospital as many as 35 people. Data analysis techniques using Spearman correlation analysis. The results showed that Control over work and Prerogative obtain need services affect job satisfaction in Makassar City Hospital (p = 0.012 and p = 0.035). From the results of the study concluded that clinical autonomy consisting of Control over work and Prerogative obtain need services affect the job satisfaction of doctors in Makassar City Hospital.It is recommended to the leadership of Makassar City Hospital to create better Control Over Work in terms of communication between doctors and management, so as to increase job satisfaction.
PENGETAHUAN, SIKAP DAN PENGALAMAN CARETAKER TENTANG PENDIDIKAN KESEHATAN REPRODUKSI TUNAGRHITA DI SLB DHARMA WANITA KABUPATEN GRESIK Qurrota Ayun; Zahroh Shaluhiyah; Ani Margawati
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 (626.818 KB) | DOI: 10.33633/visikes.v18i2.2776

Abstract

ABSTRACTBackground: Mental Retardation are those who have general intelligence below average, have limitations in terms of taking care of themselves and particularly vulnerable to sexual abuse because lack of reproductive health education. This study wants to describe the knowledge, attitudes and experience of the caretaker about mental retardation reproductive health education at SLB Dharma Wanita Gresik Regency. Method: This is a qualitative research. The data collection method uses Focus Group Discussion. Data were validated by triangulation of informan sources, crosscheck with teachers. Data analysis was performed by content analysis method. Results: Caretaker knowledge about mental retardation reproductive health education is a skill of self-development which includes the topic of toilet training, menstruation, and how to avoid danger. Caretaker agrees to provide mentally retarded reproductive health education from an early age adjusted to the child's ability to be independent. Obstacles experienced by caretakers related to child care, especially self-development, such as bathing, toilet training and difficulty in controlling children's emotions. Caretaker's experience in providing mentally retarded reproductive health education is to apply mentally retarded self-development materials (toilet training), and instilling shame in children by wearing towels from the bathroom. Conclusion: Mental retardation reproductive health education media needed as a guide caretaker.Keywords: Mental retardation, reproductive health education, caretaker
TINJAUAN PROSEDUR PEMILAHAN DOKUMEN REKAM MEDIS NON AKTIF DI FILING RSUD KELET JEPARA TAHUN 2019 Jaka Susilo; Sylvia Anjani
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 (406.438 KB) | DOI: 10.33633/visikes.v18i2.2773

Abstract

dokumen rekam medis merupakan sumber informasi yang harus dipertanggungjawabkan keasliannya. Salah satu tugas bagian filing adalah memilah dokumen rekam medis aktif dan non aktif, supaya tidak terjadi penumpukan dokumen rekam medis di rak filing. Penelitian ini adalah penelitian deskriptif dengan pendekatan cross sectional. Data diperoleh dari hasil observasi dan wawancara. Subjek penelitian adalah 4 petugas filing dan kepala rekam medis. Objek penelitian adalah fungsi petugas filing. RSUD Kelet Jepara mempunyai kebijakan pengelolaan dokumen rekam medis, namun belum menyatakan kewajiban petugas filing untuk melakukan pemilahan dokumen rekam medis non aktif. RS sudah mempunyai SOP pengelolaan dokumen rekam medis non aktif, Pelaksaanaan jadwal retensi arsip belum sepenuhnya dilakukan, pemilahan dokumen rekam medis berdasar kelompok penyakit tidak disebutkan dalam jadwal tersebut. Proses pemilahan dokumen rekam medis inaktif hanya berpedoman pada tanggal terakhir berobat pasien (5 tahun terakhir), tata cara pemilahan dokumen rekam medis inaktif belum sesuai dengan kebijakan yang telah ditetapkan, penyimpanan dokumen rekam medis menggunakan sistem sentralisasi. Saran, RSUD Kelet Jepara sebaiknya membuat jadwal retensi arsip berdasarkan jenis penyakit, melaksanakan jadwal pemilahan secara berkala agar tidak terjadi penumpukan dokumen.
Factors Affecting Team Effectiveness in Semarang Community Health Center Working Group After Accreditation Indah Widiastuti; Sutopo Patria Jati; Hartuti Purnaweni
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 (586.115 KB) | DOI: 10.33633/visikes.v18i2.2738

Abstract

AbstrakAkreditasi puskesmas merupakan pengakuan yang diterbitkan Lembaga indipenden penyelenggara akreditasi yang ditetapkan oleh Menteri Kesehatan setelah memenuhi standar. Tujuan dilakukannya akreditasi puskesmas adalah untuk pembinaan peningkatan mutu. Studi ini bertujuan untuk menganalisis Pengaruh Konteks organisasi, Komposisi dan Proses Terhadap Efektivitas Kelompok Kerja Puskesmas Kota Semarang Pasca Akreditasi. Metode penelitian kuantitatif dengan desain potong lintang. Data dikumpulkan pada semua kelompok Kerja Puskesmas Kota Semarang. Pengumpulan data melalui pengisian kuesioner dan wawancara. Hasil penelitian menunjukkan bahwa kelompok kerja Puskesmas 45,9 % tidak efektif, sedangkan 54,1 % efektif. Hasil uji chi-square utk variabel konteks organisasi menunjukkan nilai p-value = 0,001 dan Prevalence Ratio = 2,911, 95% CI = 3,7480-3,8758.  Uji chi-square terhadap variabel komposisi tim, uji menunjukkan nilai p-value = 0,001 dan Prevalence Ratio = 2,871, 95% CI = 3,8856 - 4,049. Analisis terhadap variabel proses menunjukkan hasil nilai p-value = 0,001 dan Prevalence Ratio = 4,636, 95% CI = 3,7008 – 3,8696. Hasil tersebut menunjukkan ada pengaruh yang bermakna faktor konteks organisasi , komposisi tim dan proses terhadap efektifitas kelompok kerja Puskesmas di Kota Semarang. Kesimpulannya untuk membangun kelompok kerja puskesmas yang efektif di Kota Semarang perlu memperhatikan hal hal yang terkait dengan konteks organisasi, komposisi tim serta proses di dalam kelompok kerja. Kata kunci: kelompok kerja, efektivitas tim, akreditasi AbstractPuskesmas accreditation is acknowledgment issued by independent institution organizes accreditation determined by the Minister of Health after meeting the standards. The purpose of conducting puskesmas accreditation is to foster quality improvement. This study aimed to analyze the effect of organizational context, composition and process on the effectiveness of puskesmas working group after Accreditation. This research is quantitative method with cross-sectional design. Data was collected in all the Puskesmas working groups in Semarang city. The result of the study shows that the Puskesmas working group were 45.9% ineffective, while 54.1% were effective. The chi-square test for organizational context variables show p-value = 0.001, PR = 2.911, 95% CI = 3.7480-3.8758. Chi-square test on the variable team composition shows the p-value = 0.001 and PR = 2.871, 95% CI = 3.8856 - 4.049. Analysis of process variables shows tAhat the p-value = 0.001 and PR = 4.636, 95% CI = 3.7008 - 3.8696. The results showed that there was a significant effect of organizational context, team composition and process on the effectiveness of Puskesmas working group. The conclusion is puskesmas working group needs to pay attention to matters relating to the organizational context, the composition of the team and the process. Keywords: work group, team effectiveness, accreditation
ANALISIS DETERMINAN KEPATUHAN PEGAWAI TERHADAP KAWASAN TANPA ROKOK DI DINAS PENDIDIKAN PROVINSI SULAWESI SELATAN Mega Marindrawati Rochka; Suci Rahmadani; Andi Awaliya Anwar
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 (455.1 KB) | DOI: 10.33633/visikes.v18i2.2813

Abstract

The policy to implement a Smoking Area (KTR) has been agreed as the main intervention strategy to control non-communicable diseases. Regulations in the form of Non-Smoking Regional Law (KTR) have also been approved in various countries as an embodiment of tobacco regulation in the world. Implementation of issued regional policies must be carried out by all Local Governments in Indonesia. This study discusses the determinants associated with employees in the Non-Smoking Area in the Education Office of South Sulawesi Province. This research is a type of quantitative research using Cross-Sectional Studies. The population in this study was 183 people. Sampling was done using the Total Sampling method so that a total sample of 183 people were obtained. Data processing and analysis using the SPSS program. Data analysis is based on the Chi-Square Test statistical test. The results showed there was a relationship between smoking relationships (p = 0,000), there was a relationship between attitudes (p 0,000), there was a relationship between social support (p = 0,000) and employee associations regarding smoking area regulations in the South Sulawesi Provincial Education Office and none the relationship between knowledge (p = 0.288) and employee associations regarding regional regulations in the South Sulawesi Provincial Education Office.