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KAJIAN LOKASI TERCEMAR LEPTOSPIRA Sp PADA KASUS FOKUS DI RW 02 KELURAHAN BANDARHARJO KOTA SEMARANG TAHUN 2019 Reyininda Agustyafi Martyarini; Suharyo - -; Mada Gautama; Wiwik Dwi Lestari
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

Data in RW 02 Bandarharjo Semarang regency shows that every year since 2017-2019 there are always deaths due to leptospirosis. The purpose of this study is to mapping of leptospirosis and the mount of Rattus sp infected with Leptospira sp, describe the environmental conditions and hygiene behavior. A cross sectional method was used in this study. The study population included Rattus sp. and all houses in RW 02 Bandarharjo. Rattus sp. samples were all captured at the study site, while home samples totaled 48 houses around the house of leptospirosis patients within a radius of 150 meters. Data collection is done through environmental observations, interviews, collecting coordinate points, trapping, and laboratory tests. Examination of rat kidney blood samples was done by gram negative staining. A total of 13 rats were caught Rattus sp, 15.4% of them were indicated to be strongly positive containing Leptospira sp. All conditions of landfills are in an open condition, 89.6% of them are in front of the house, 45.8% of sewers are flooded with water that does not flow. There are 20.8% of respondents do not have the habit of washing hands / feet with soap, more than 50% of respondents ignore the use of protective equipment when cleaning sewers, warehouses, and rat droppings. There are 2 Rattus sp which are indicated to be strongly positive containing Leptospira sp. so that the mobility of Rattus sp can spread leptospirosis at the location in the buffer region.Keywords: leptospirosis, mapping, environment, health behaviour

FAKTOR-FAKTOR FUNGSI FISIK KUALITAS HIDUP PENDERITA DIABETES MELITUS TIPE 2 DI KABUPATEN SLEMAN, YOGYAKARTA: ANALISIS DATA HDSS SLEMAN TAHUN 2015-2017 Febri Indah Widhowati; Arta Farmawati; Fatwa Sari Tetra Dewi
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

Degenerative diseases such ac diabetes mellitus affect many aspects and the prevalence increas in the word. The aims of this study was to determine the relationship of demographic factors, lifestyle, disease complications, and therapy with physical quality of life in patients with type 2 DM (T2DM). A double cross sectional study using data from the HDSS (Demographic Health and Monitoring System) panel of the 2015-2017 Sleman wave with inclusion criteria for T2DM patients aged 25 years or more who were recruited using total sampling. The SF-12v2 questionnaire items 2a and 2b were used to measure physical function of quality of life. Univariate analysis uses t test and Z test while multivariate analysis uses logistic regression test. From this study the results of the factors of young age, which did not have hypertension complications and a history of therapy in the last 12 months had a positive effect on physical function (OR = 5.5), (OR = 5) and (OR = 2.5). It can be concluded that young age, which does not have hypertension complications, and underwent therapy in the past 12 months has a positive effect on physical function in people with T2DM.Keywords: Age, treatment compliance, hypertension complications

GANGGUAN KESEHATAN KERJA DAN KECELAKAAN PADA PETUGAS UNIT REKAM MEDIS DI BAGIAN FILING RUMAH SAKIT ROEMANI MUHAMMADIYAH SEMARANG TAHUN 2019 Dita Anggita Sari; Fitria Wulandari
VISIKES: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2020): VISIKES (SUPLEMENT)
Publisher : Dian Nuswantoro Semarang

The officer has the potential to fall while taking documents and experience respiratory problems due to the amount of dust. The purpose of this study was to determine the risk of health problems and workplace accidents that can occur in the medical records filing unit officer Roemani Muhammadiyah Hospital Semarang uses descriptive research type. Research methods by interview and observation. The research subjects were 2 filing officers and the object of research was the filing room From the results of the research conducted obtained lighting 56.8 lux filing space. filing room with an area of 4.80 X 16 m2, 1 AC with 1.5 PK, temperature around 23.9 ° C. Expose a little dust. Officers rarely use masks and almost never wear gloves. Health disorders which include low risk: eye pain, low back pain, shortness of breath, back pain, fatigue, dizzy, overheating, falling / slipping. Moderate risks include: Aches, Tingling, slashed documents and high risks include: Coughing colds, sneezing, sneezing, falling over objects / documents are not organized To reduce the risk factors for workplace accidents and increase staff knowledge on Occupational Health Safety it is recommended to provide a brochure containing the importance of Occupational Health Safety Keywords: Medical Record, Health Problems, Occupational Health Safety

THE UTILIZATION BEHAVIOUR OF DENTAL HEALTH SERVICES AMONG PREGNANT WOMEN IN SEMARANG CITY Nafisah - -; Sri Achadi Nugraheni; Farid Agushybana
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

Background: Pregnancy had an impact on oral health that cause pregnant women susceptible to dental caries and periodontal disease. Poor oral health conditions of pregnant women could had an impact on the mother herself and also the fetus.Objective: The purpose of this study was to determine the utilization of oral health services among pregnant women in Semarang city, and the factors that associated with it. Method: This study was an analytic observational with case controlled design using a questionnaire involving 96 pregnant women. The questions including respondent characteristics, knowledge, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action and self-efficacy regarding the used of oral health services. Results: The results showed that more than half of respondents (54.2%) already used oral health services during pregnancy. The variables which together had an effect on the utilization of oral health services are knowledge (p value=0.000, OR=17.343) perceived severity (p value=0.001, OR=10.416) and cues to action (p value=0.007, OR=7.403). Conclusion: This studied concluded that the knowledge, perceived severity and cues to action affect significantly affect to utilization of oral health services among pregnant women.Keywords: Pregnant women, dental health, utilization

PENGARUH DIMENSI KUALITAS PELAYANAN TERHADAP KEPUASAN MASYARAKAT DI POSYANDU BALITA SAMBILOTO A MANTRIJERON YOGYAKARTA Susyana Candra Santi Dewi
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

Posyandu is a basic activity of, by and for the community assisted by health workers and cadres. In this era of service quality is seen as one of the tools to achieve competitive advantage, because service quality is one of the factors that determine community satisfaction. Quality of service is a level of excellence that is expected to meet the wishes of the community.Research Objectives: To determine the effect of the dimensions of service quality on community satisfaction in toddlers' posyandu at the Sambiloto A Posyandu in the village of Minggiran Suryodiningratan Mantrijeron Yogyakarta.This type of research with quantitative methods that use a specific population and sample, this research was carried out in the Posyandu Sambiloto A village in the village there were 8 active cadres. sampling technique using simple random sampling and a total population of 19 people consisting of 18 women (mothers) and 1 man (father), correlation analysis used independent variables and dependent variables.The results of the analysis of the T test, the reliability variable t value of 3.092 and significant 0.09 can be interpreted that the significant value of 0.009 is smaller than 0.05 and the value of t is 3.092 greater than t (table) 2.145.Conclusion: That there is an influence between the reliability dimension with community satisfactionKeywords: Competitive, Quantitative, Correlated

EFEKTIVITAS RADIO SPOT TERHADAP PENINGKATAN PENGETAHUAN TENTANG PERAWATAN KESEHATAN ORGAN REPRODUKSI PADA SISWA SMP 2 SUBAH KABUPATEN BATANG JAWA TENGAH TAHUN 2016 Rizka Fauza; Kismi Mubarokah
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

Background: Adolescent reproductive health problems partly because of the lack of information on reproductive health care. Information about reproductive health care should be given to adolescents through various media such radio spot.Objective: The aims to analyze the effectiveness of radio spots media for 2nd grade students of Senior High School, Subah.Methods: This study used a combination study with sequential exploratory design. Then used approach on quantitative research phase was the pre-experimental design one group pretest-posttest design. The first step of the research was an interview for requirements analysis; second, wrote radio script spot; third, a feasibility test spot radio script; fourth, radio spots production; fifth, cognitive pretest; Sixth, radio spot exposure to students; and last cognitive post-test. The sample size was 276 respondents then bivariate analyzed by used Wilcoxon test.Result: The results of this study was an average of study subjects stated reproductive health care can be done only by cleaning the reproductive organs after urination. More of respondents used local language to speak reproductive health term. There were differences in knowledge prior to exposure to radio spots on reproductive health care knowledge after exposure to radio spots on reproductive health care (p = 0.0001). Increase of knowledge was 29.17% as a result of exposure to radio spots.Conclusions: Schools are advised to sustain playing the radio spot about reproductive health care periodically and continuously as well as the need for the development of reproductive health materials according to the development situation of students.Keywords: Radio Spot, Media, Reproductive, Subah.

PERSEPSI PASIEN DI PUSKESMAS KOTA SEMARANG TERHADAP PENDAFTARAN ONLINE SEBAGAI IMPLIKASI SMART CITY Enny Rachmani
VISIKES: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2020): VISIKES (SUPLEMENT)
Publisher : Dian Nuswantoro Semarang

Semarang has implemented Smart City for public service. One of the programs was also registration online in primary health care. This study had objectives to describe the perception of primary health care patients about online registration. This research distributed a questionnaire to 800 respondents from 8 of 37 primary health care centers (PHC) consist of 3 PHCs with online registration and 5 PHCs without online registration. The results revealed that 24.6% of patients do not have an internet connection on the mobile phone, and 33.6% never used computers. The computer and internet skills also not so well. Patients choose platform for online registration as SMS (72.4%), internet (62.6%) dan android 41.3 (52.4%). Patients had a positive perception about registration online, 69.9% of patients need online registration and 64.2% will use online registration. Socialization should be done intensively to disseminate the online registration to the patients. Keywords: eHealth, online registration, primary health care

PENGARUH CAPACITY BUILDING GAMES TERHADAP PENGETAHUAN DAN SIKAP ANAK PANTI ASUHAN TENTANG KESEHATAN REPRODUKSI Niken Agus Tianingrum; Lia Kurniasari; Nida Amalia
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

Health reproductive become an attractive issue among adolescent, but not all of them have the right access of information because of different condition, such as an orphans, who live under foster parents and have limited access on health information. It needs an activity that can increase their capacity to overcome the fluctuation of adolescent world, especially to take control over their reproductive health. This research is a pre experimental with 40 participants of adolescent aged 12-18 years old, conducted in orphanage in Samarinda City. The interventions include play snake and ladder, flash card and role play. Data were collected by validated questionnaire to measure knowledge and attitude, then analyzed by paired t test. Results show that there is significant influence of snake and ladder and flash card toward knowledge (p=0.017; r = 0,724; CI 95% = 0,115-1,084; SD = 1,515) and also significant influence of role play toward (p =0,049; r = 0,604; CI 95% = 0,003-1,097; SD = 1,709). It is hoped that orphanage can facilitate their foster child with interactive media to increase their capacity of life, especially reproductive health.Keywords: Snake and ladder, Flash Card, Role Play, knowledge, attitude

EFEKTIVITAS EKSTRAK BUAH MENGKUDU (Morinda citrifolia) TERHADAP KADAR MDA SEBAGAI PEMICU ATEROSKLEROSIS Iin Desmiany Duri; Ari Suwondo; Suhartono - -
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

Morinda cirifolia (Noni) has been used widely as a complementary and alternative therapy in many countries owing to ita potent. There were so many study concluded that oxidative stress increased in atherosclerosis. Oxidative stress can be defined as an imbalance between prooxidants and antioxidants, because antioxidants could not quench over production of prooxidants. This study investigated the effect of mengkudu extract (Morinda citrifolia linn) as antioxidant on malondialdehyde (MDA) level (prooxidant marker) in egg yolk induced rats. This experimental study had been carried out to 25 rats with 150-200 gram weight which divided into three group of four rats each, i.e. negative control, positive control egg yolk induced, and the group was treated by egg yolk induced which followed by dosis variai mengkudu extract oral (26mg, 52 mg and 104 mg/WB/day) for 28 days. The result was analyzed by using one way Anova with confidence interval 95%. There were significantly different in groups (p<0,05). The conclusion is mengkudu extract has capability to quench MDA level in rats Rattus norvegicus strain wistar.Keywords: mengkudu extract , MDA level

ANALISIS IMPLEMENTASI VERIFIKASI DIGITAL KLAIM (VEDIKA) DENGAN KEJADIAN TERTUNDANYA KLAIM BPJS KESEHATAN PADA BULAN JANUARI, FEBRUARI DAN MARET 2019 DI RS PANTI RAHAYU PURWODADI Yatmi Wahyuni; Suharyo Suharyo
VISIKES: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2020): VISIKES (SUPLEMENT)
Publisher : Dian Nuswantoro Semarang

Kecepatan verifikasi klaim merupakan hal penting dalam layanan kesehatan yang efektif dan efisien. BPJS Kesehatan mengambil kebijakan untuk mengganti sistem verifikasi klaim manual menjadi sistem elektronik. Perubahan tersebut dibutuhkan sistem verifikasi klaim transisi untuk memfasilitasi penyedia layanan kesehatan yang disebut vedika BPJS Kesehatan. 2 dari 6 rumah sakit di Purwodadi Grobogan telah menerapkan sistem vedika pada akhir tahun 2018, dan Rumah Sakit Panti Rahayu Purwodadi telah menerapkan sistem vedika pada bulan Oktober 2018. Penelitian ini bertujuan untuk menganalisis penerapan sistem vedika dengan kejadian tertundanya klaim BPJS Kesehatan pada bulan Januari, februari dan Maret tahun 2019. Metode kualitatif melalui wawancara mendalam digunakan pada penelitian ini. Informan kunci adalah pemegang kebijakan di Rumah Sakit Panti Rahayu dan sebagai triangulasi adalah informan karyawan casemix dengan berdasarkan petunjuk teknis verifikasi klaim dari Ditjen Pelayanan BPJS Nomor 18 Tahun 2017. Hasil penelitian ini menunjukkan bahwa penerapan sistem vedika belum efektif karena masih terdapat pengembalian berkas klaim serta keterlambatan pembayaran klaim. Hal tersebut disebabkan tulisan dokter tidak jelas, kelengkapan persyaratan klaim yang kurang, perawatan satu episode rawat jalan dan rawat inap, severity level 3, jumlah petugas casemix yang terbatas, pemahaman DPJP tentang koding dan diagnose masih kurang, serta tidak ada pemantauan dan evaluasi implementasi sistem vedika. Jumlah kasus klaim yang bertambah banyak setiap bulan menyebabkan pengajuan klaim terlambat yang menyebabkan keterlambatan pembayaran klaim. Kesalahan yang sama masih terulang karena tidak adanya pemantauan dan evaluasi. Klaim dikatakan berhasil jika dibayar tepat https://publikasi.dinus.ac.id/index.php/visikes 76 VISIKES Vol. 18 No.2 Februari 2020 (Edisi Supplement) waktu 100%. Oleh karena itu perlu diadakan pelatihan tentang pengembangan kapasitas petugas. Kata kunci : BPJS Kesehatan, Vedika, pembayaran klaim

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