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EFEKTIVITAS KOMUNIKASI TERAPEUTIK TERHADAP PENINGKATAN PERILAKU HIDUP SEHAT ORANGTUA BALITA DI DEMAK Widya Ratna Wulan; Evina Widianawati
VISIKES: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2020): VISIKES (SUPLEMENT)
Publisher : Dian Nuswantoro Semarang

Healthy life behavior is closely related to the stunting impact on toddlers making the government to establish an impact prevention intervention program to toddler’s parents by Posyandu personnel. The intervention by using therapeutic communications are assessed as effective in delivering such information interventions. This study aimed to analyze the effectiveness of therapeutic communication towards healthy life behavior improvement of toddler parents in Demak. Study used descriptive design with a quantitative approach. Study's population were all parents (mother or father) of toddlers in Demak District, Dempet subdistrict, Kedungori village from December 2019 to February 2020, amounting to 78 people. Samples were equal to the number of population taken using the saturated sample technique amounted to 32 respondents. The structured questionnaire instrument is used to obtain the healthy life behaviour change data of the toddler's parents by using therapeutic communication through Pre Test (X) and Post Test (Y) results. The result of using the Wilcoxon Signed Rank Test is known as ? < 0.05, which means there was a difference in the results of Pre Test value with Post Test. So, there is an increase in healthy living behavior towards the toddler's parents by using therapeutic communication". Keywords: healthy living behavior, therapeutic communication, toodler's parents

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

TINJAUAN KEAKURATAN KODE TOPOGRAFI KASUS NEOPLASMA DI RUMAH SAKIT BHAYANGKARA SEMARANG Anita Maharani; Kriswiharsi Kun Saptorini
VISIKES: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2020): VISIKES (SUPLEMENT)
Publisher : Dian Nuswantoro Semarang

Coding is an activity to determine the diagnosis code and action based on the diagnosis and action given by the doctor to the patient carried out by the coder. Determination of neoplasm codes will produce topographic codes that contain the location of neoplasm and morphological codes that show the nature and behavior of neoplasms. Bhayangkara Hospital in Semarang has not implemented a morphological codes so that the code for neoplasm currently only uses topographic codes. This study aims to describe the accuracy of the topographic code of the main diagnosis of neoplasms in Bhayangkara Hospital Semarang. This study was conducted in March 2019 at Bhayangkara Hospital Semarang by observing medical record documents of neoplasm cases and interviews with coding officers. Data processing is done by editing, tabulating, cross check and analizing data. The research shows that there are 50% of topographical code is accurate and 50% topographical code is inaccurate. Inaccuracy of topographical code occurred because there is no policy the implementation of morphological code, because the morphological code does not affect the rates of health services and because the writing of the diagnosis is unreadable. Keyword : Coding neoplasms, topographic codes, accuracy

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

ANALISIS DESAIN FORMULIR KARTU PENGOBATAN PENCEGAHAN TB (TB 01 P) UNTUK KELENGKAPAN DATA DI PUSKESMAS TAHUN 2019 Suyoko suyoko; Retno Astuti Setijaningsih; Wahyu Setiyowati
VISIKES: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2020): VISIKES (SUPLEMENT)
Publisher : Dian Nuswantoro Semarang

Tuberculosis is an infectious disease which becomes a global problem. The increase in TB case is caused by inadequate monitoring of treatment, unavailability of standardized recording and reporting system. This research was conducted to evaluate the completeness TB form design in providing more complete information. This research was administered in the form of a case study. Interviews were done to 3 nurses and 1 doctor and TB Form (TB.01P) was observed at Miroto Health Center. The completeness of 33 TB form filling (TB.01P) at the Malmahera Health Center was also evaluated. The obtained data were descriptively analyzed. The results showed the completeness of identification review reached 96%, recording review of 90%, reporting review of 64%,and 0% for authentication review. Incomplete information led to inaccurate TB control information. This incompleteness was associated toimproper design of the form, especially the unavailability of form filling instructions, names and signatures of officersin the anatomic aspect. In the aspect of content, lack of clinical data was also found. Regarding to the results of this research, revision in the design of TB Treatment and Prevention Card is needed in order to accommodate the data completeness of TB patients. This research also proposed a better design of TB Treatment and Prevention Card Keywords : Quantitative Completeness, Tuberculosis, Form Design, TB Treatment Card (TB.01P)

HUBUNGAN PERILAKU BERESIKO DENGAN KEJADIAN HIV PADA LSL Di KOTA TEGAL Patriawati Narendra
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

Background : HIV prevention activities in MSM in Tegal City state that there are around 100 MSM in Tegal City who carry out HIV screening. The number of HIV / AIDS cases in MSM each year increases every year giving information illustrates that MSM behavior needs to get serious attention so that cases of HIV / AIDS in MSM can be suppressed. Method: This study was conducted to analyze the relationship between risk behaviors and the incidence of HIV in MSM (Male Sex Men) in Tegal City in 2019. Results: This study is a qualitative study, the design used is the Mix Method, to get a broader picture of risky behavior, a qualitative respondents of 10 LSL (Male Sexual Abuse) sexually active to fellow LSL (Male Sex Male). Data collection techniques using in-depth interviews.Conclusion: The ease of technology makes it easy for MSM to get clients, self-defense is weak, does not feel slang makes it difficult for MSM to refuse anal sex invitations which causes an increased risk of HIV incidence among MSM in Tegal City. The need for promotion and education to prevent risky behavior and reduce the incidence of HIV among MSM.Keywords: Risk behaviors, MSM, HIV incidence

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