scholarly journals Knowledge and Implementation of Integrated Management of Childhood Illness at East Kalimantan

2018 ◽  
Vol 14 (2) ◽  
pp. 163-171
Author(s):  
Fatma Zulaikha ◽  
Rina Triasih ◽  
Purwanta Purwanta

Pneumonia is the most common cause of morbidity and mortality among young children worldwide. Integrated Management of Childhood Illness (IMCI) is a procedural form in the care of childhood illness which aims to minimize morbidity and mortality rate in children, including pneumonia. This was a cross-sectional study at Samarinda and Kutai Kartanegara community health center from July to October 2015. The health workers’ knowledge was assessed through questionnaire. The quality of IMCI implementation was evaluated through direct observation in primary health care. A total of 46 health workers were involved in this study. Observation of IMCI implementation quality was conducted in 104 children. The majority of respondents (73.9) had sufficient knowledge; however, in terms of direct implementation on the field, most of the respondents (87%) were included in incompetent category. It can be concluded that level of knowledge was related to implementation of cough IMCI in community health center, but the correlation was weak.

2020 ◽  
Vol 3 (1) ◽  
pp. 299-312
Author(s):  
Fera Natalia Sembiring ◽  
Tarsyad Nugraha ◽  
Linda Hernike Napitupulu

Immunization has proven to be one of the most important public health efforts. The report of the Kosik Putih Health Center in North Padang Lawas Regency in 2016 recorded a complete basic immunization achievement of 52 babies (63.9%) from the baby target of 76 babies and in 2017 amounted to 59 babies (73.8%) from the baby target of 80 babies. The purpose of this study was to study the determinants that influence mothers in giving immunizations to infants in the working area of ​​the Kosik Putih Health Center in Padang Lawas Utara Regency in 2019. Study design used an analytical survey with a cross sectional study approach. The population in this study were all mothers who brought their babies for basic immunization in the working area of ​​Kosik Putih Community Health Center in North Padang Lawas Regency in 2019 totaling 59 mothers. The sampling technique uses the entire population as samples (total sampling). Data analysis used univariate, bivariate and multivariate analysis with logistic regression. The results of this study indicate the sig value on the knowledge variable (p=0.003), attitudes (p=0.018), socio-cultural (p=0.271), availability of health facilities (p=0.376), affordability of health facilities (0.472), personnel support health (p=0.030) and husband's support (p=0.725). The variable with the greatest Exp (B) value is knowledge (39,565). The variables that influence behavior in providing basic immunization to infants in the working area of ​​Kosik Putih Community Health Center, North Padang Lawas Regency in 2019 are knowledge, attitudes and support of health workers and the most influential variable is knowledge.     Abstrak Imunisasi telah terbukti sebagai salah satu upaya kesehatan masyarakat yang sangat penting . Laporan Puskesmas Kosik Putih Kabupaten Padang Lawas Utara tahun 2016 tercatat capaian imunisasi dasar lengkap sebesar 52 bayi (63,9%) dari sasaran bayi sebesar 76 bayi dan tahun 2017 sebesar 59 bayi (73,8%) dari sasaran bayi sebesar 80 bayi. Tujuan dari penelitian ini untuk mengetahui faktor penentu yang memengaruhi perilaku ibu dalam pemberian imunisasi dasar pada bayi di wilayah kerja Puskesmas Kosik Putih Kabupaten Padang Lawas Utara tahun 2019. Jenis penelitian menggunakan survei analitik dengan pendekatan cross sectional study. Populasi dalam penelitian ini adalah seluruh ibu yang membawa bayinya untuk imunisasi dasar yang ada di wilayah kerja Puskesmas Kosik Putih Kabupaten Padang Lawas Utara tahun 2019 berjumlah 59 ibu. Teknik pengambilan sampel menggunakan seluruh populasi menjadi sampel (total sampling).. Analisis data menggunakan analisis univariat, bivariat dan multivariat dengan regresi logistik. Hasil penelitian ini menunjukkan nilai sig pada variable pengetahuan (p= 0,003), sikap (p=0,018), sosial budaya (p=0,271), ketersediaan fasilitas kesehatan (p=0,376), keterjangkauan fasilitas kesehatan (0,472), dukungan tenaga kesehatan (p=0,030) dan dukungan suami (p=0,725). Variabel dengan nilai Exp (B) terbesar adalah pengetahuan (39,565). Variable yang mempengaruhi perilaku dalam pemberian imunisasi dasar pada bayi di wilayah kerja Puskesmas Kosik Putih Kabupaten Padang Lawas Utara tahun 2019 adalah pengetahuan, sikap dan dukungan tenaga kesehatan dan variabel yang paling berpengaruh adalah pengetahuan.


2019 ◽  
Vol 4 (2) ◽  
pp. 359
Author(s):  
Vina Novela ◽  
Listiani Kartika

<p><em>Malnutrition in pre-school childrenstill found in Guguk Panjang Community Health Center. This data can be found from Bukittinggi Health Office in 2017 which stated that 800 under-fives children had less nutrition. In Guguk Panjang Community Health Centerin 2017, malnutrition cases were found in 162 people. This study aims to find out some factors related to malnutrition in the Guguk Panjang Community Health Center in 2018. The type of this research was descriptive analytic with a cross sectional study design.. </em><em>The population in this reseacrh as many 1.106 population and 92 samples preschool-aged mothers</em><em>. Then, the samples were taken from purposive sampling technique. The data were analyzed by univariate and bivariate by using Chi-Square statistical test. The results of this research showed that 54.3% of them had high level of knowledge. Then, 52.2% of themhad poor parenting. Next, the mothers did not provide exclusive breastfeeding were around 63.0%. Moreover, based on bivariate analysis there was a relationship between knowledge p value 0.008), parenting (p value 0.001) history of exclusive breastfeeding with malnutrition (p value 0.021). In short, it can be concluded that there were some factors related to malnutrition in preschool children. They were knowledge, parenting, and exclusive breastfeeding history. Then, it is expected that the health workers provide more information about nutrition and education about good parenting for children and also provide brochures or leaflets about nutrition.</em></p><p><em><br /></em></p><p><em><em>Kasus gizi kurang pada anak pra sekolah masih ditemukan diwilayah kerja puskemas guguk panjang. Hal ini terlihat data dari dinas kesehatan kota bukittinggi mencatat bahwa pada tahun 2017 balita dengan gizi kurang sebanyak 800 orang. Puskesmas guguk panjang pada tahun 2017 mempunyai gizi kurang sebanyak 162 orang. Tujuan penelitian, untuk mengetahui faktor-faktor yang berhubungan dengan gizi kurang pada anak prasekolah. Jenis penelitian ini adalah deskriptif analitik dengan desain cross sectional study. Populasi dalam penelitian sebanyak 1.106 orang dengan sampel 92 orang ibu anak prasekolah. Teknik pengambilan sampel porposive sampling. Pengolahan data dengan analisisunivariat dan bivariat  menggunakan uji statistik Chi - Square.Hasil penelitian menunjukkan terdapat 54,3% tingkat pengetahuan tinggi. Ibu yang pola asuh kurang baik sebanyak 52,2% . Ibu yang tidak memberikan ASI Ekslusif sebanyak 63,0%. Dari uji statistik didapatkan ada hubungan bermakna antara pengetahuan dengan gizi kurang (p value 0,008). Ada hubungan antara pola asuh dengan gizi kurang (p value 0,001) dan ada hubungan antara riwayat pemberian ASI Eksklusif dengan gizi kurang (p value,021).Disimpulkan bahwa faktor yang berhubungan dengan gizi kurang pada anak prasekolah adalah pengetahuan, pola asuh, dan riwayat pemberian ASI Eksklusif</em></em></p><p><strong> </strong></p>


NSC Nursing ◽  
2021 ◽  
pp. 20-33
Author(s):  
Lia Artika Sari ◽  
Yuli Suryanti ◽  
Enny Susilawati

Introduction: The low number of deliveries assisted by midwives or health workers is an indicator of the low utilization of health facilities by mothers in labor. This study analyzes the factors related to the utilization of childbirth in health facilities in the Sungai Lokan Community Health Center Work Area, Tanjung Jabung Timur Regency. Materials and Methods: This research is an analytic observational using a cross-sectional approach involving 74 participants. The research was conducted from January to July 2019 in the Sungai Lokan Health Center Work Area, Tanjung Jabung Timur Regency. Results: The results showed that the factor of the utilization of childbirth in health facilities was related to family culture (p = 0.0001) and family support (p = 0.003), while the service access factor was not related (p = 0.364). Conclusion: The role of health workers in socializing the importance of utilizing health facilities as a place of delivery is significant in reducing maternal mortality Keywords: Health Facilities; Family Culture; Family Support; Access To Services


2020 ◽  
Vol 2 (2) ◽  
pp. 15-23
Author(s):  
Rusmini Marslan Arsyad ◽  
Engelina Nabuasa ◽  
Enjelita M. Ndoen

DHF is one of the widespread  infectious diseases in Indonesia, with an increased infected number of sufferers. DHF case is closely related to environmental sanitation, wich causes the availability of breeding places for the Aedes aegypti mosquito vectors. The study was to determine the relationship between environmental sanitation behavior and the case of DHF in the working area of the Tarus Community Health Center in 2020. The study design was descriptive-analytical with a cross-sectional study approach. The sample was_99 respondents taken by simple random sampling technique. Data was collected from interviews and analyzed using the Chi-square test. The results showed that the varuabels of  knowledge (p = 0.000), attitudes (p = 0.021), and actions to environmental sanitation (p = 0.000) were related to the DHF case. The Tarus Community Health Center should increase outreach activities and family empowerment efforts related to the prevention and control of DHF.


2019 ◽  
Vol 2 (2) ◽  
pp. 146
Author(s):  
Sunarti Hanapi ◽  
Nuryani Nuryani ◽  
Rahmawaty Ahmad

Based on Indonesian Basic Health Research 2018Vitamin A capsule coverage for children 6-59 months reached 53.1%. Based on Department of Health Gorontalo district Vitamin A capsule coverage in work area of Asparaga community health center reached 80%. The research aims at investigating association of giving vitamin A toward toddler. This research used observational analytic method with cross sectional study approach. This research was conducted in February until April with total of samples were 262 children  6-59 mount and respondents were toddler mother. The technique of collecting samples was using purposive sampling technique and the technique of data collection was using questionnaire. The technique of data analysis was chi square test. The findings reseacrh was found that the giving of vitamin A on toddler was 126 (48,1%) and not giving vitamin A was 136 (51,9%) toddlers, low mothers knowledge 63,4%, active cadre 28,2%, active participation toddlers 5,0%. Base on analysis bivariate indicated that sufficient knowledge of mothers 67,7% of the toddlers were given vitamin A and chi square test showed knowledge of p value = 0,000, the role of active cadres 82,4% of the toddlers were given vitamin A with p value = 0,000 and the activity of toddlers visiting community health center / Posyandu 100% of the toddlers were given vitamin A with p value = 0,000. It was concluded that the mothers knowledge factor, the role of cadres and the activity of toddlers visiting Community Health Center and Posyandu were related to the provision of viramin A in the toddlers. It was recommended for mothers of toddlers to explore more information regarding the importance of providing vitamin A to toddlers, and to be active partisipation in Community Health Center / Posyandu activities.Berdasarkan hasil Riskesdas 2018 cakupan kapsul vitamin A pada anak 6-59 bulan mencapai 53,1%. Berdasarkan data Dinas Kesehatan Kabupaten Gorontalo cakupan pemberian vitamin A di Wilayah Kerja Puskesmas Asparaga mencapai 80%. Tujuan dalam penelitian ini untuk mengetahui sejumlah faktor yang berhubungan dengan pemberian vitamin A pada balita. Penelitian ini menggunakan metode observasional analitik dengan rancangan cross sectional study. Penelitian ini dilakukan pada Februari sampai April dengan jumlah sampel 262 balita umur 6-59 bulan dengan ibu balita sebagai responden. Pengambilan sampel dengan tekhnik purvosive sampling dan pengumpulan data dengan menggunakan kuesioner, analisis menggunaka chi square test. Hasil penelitian didapatkan pemberian vitamin A pada balita sebanyak 126 (48,1%) dan tidak diberikan vitamin A sebanyak 136 (51,9%) balita, pengetahuan ibu kurang 63,4%, keaktifan kader 28,2%, keaktifan kunjungan balita 5,0%. Berdasarkan hasil uji bivariat menunjukkan pengetahuan ibu cukup 67,7% anak balita diberikan vitamin A chi square  test menunjukkan pengetahuan  p value = 0,000, peran kader aktif 82,4% balita diberikan vitamin A dengan p value = 0,000, dan keaktifan kunjungan balita ke Puskesmas / Posyandu 100% balita diberikan vitamin A dengan p value = 0,000 berhubungan dengan pemberian vitamin A pada balita. Disimpulkan bahwa faktor pengetahuan ibu, peran kader dan keaktifan kunjungan balita ke Puskesmas dan Posyandu berhubungan dengan pemberian viramin A pada balita. Disarankan kepada ibu balita agar lebih menggali informasi terkait pentingnya pemberian vitamin A pada balita, serta aktif dalam kegiatan Puskesmas / Posyandu.


2020 ◽  
Vol 10 (2) ◽  
pp. 8
Author(s):  
Hairil Akbar ◽  
Heriyana Amir ◽  
Suci Rahayu Ningsih ◽  
Widya Astuti

The number of outpatient visits in the X community health center in 2016 was 32633 patients, and in 2017 the number of visits increased by 38374 patients, while in 2018 the number of visits decreased by 36604 patients. Based on data from outpatient visits at X health center that the number of patient visits decreased, where in 2017 increased and in 2018 decreased the number of patient visits. The purpose of the study was to determine the relationship between the quality of health care services and the interest of outpatient visits to the X community health center. The type of research conducted was observational analytic research using a cross sectional study approach. This research was carried out in the technical service unit of the X community health center in 2019. The population was all patients using outpatient care facilities at Cipancuh Health Center in 2019, with 36604 outpatients. The sample size is 100 people. Sampling is done by simple random sampling. Statistical test results, namely the quality of health services ( value = 0,000) are related to the interest of outpatient visits in the Technical Implementation Unit of the X community Health Center in 2019. It is expected that the staff will further improve the quality of their services in the hope that patients who use outpatient facilities.


2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Mohammad R. S. Utomo ◽  
Herlina Wungouw ◽  
Sylvia Marunduh

Abstract: Diabetes mellitus (DM) is a chronic disease characterized by blood glucose levels that exceed normal values. Riskesdas in 2013 showed that North Sulawesi is one of the provinces with the highest prevalence of diabetes in Indonesia. HbA1c measurement is the most accurate way to determine blood sugar levels over the past two to three months. HbA1c is also the best single examination to assess risks to the tissue damage caused by high blood sugar levels. This study aims to determine the levels of HbA1c in patients with type 2 diabetes mellitus in Bahu Community Health Center Manado. This study is a descriptive cross sectional study. Primary data were collected through interviews, physical examination and laboratory tests. Respondents were all patients with type 2 diabetes mellitus who came in Bahu Community Health Center and willing to become respondents. The sample size is 22 people. The results of this study prove that more than half of the respondents have not controlled HbA1c levels (> 7%) of 17 respondents. Of the 17 respondents were 9 respondents have overweight body mass index, 13 respondents not take the medicine as directed by doctor and 9 respondents did not exercise regularly. It can be concluded that the blood glucose levels of patients in Bahu Community Health Center is still not controlled, by HbA1c values above 7%.Keywords: HbA1c, Diabetes Mellitus Type 2Abstrak: Diabetes mellitus (DM) merupakan penyakit menahun yang ditandai oleh kadar glukosa darah yang melebihi nilai normal. Laporan Riskesdas tahun 2013 menunjukkan bahwa Sulawesi Utara merupakan salah satu provinsi dengan angka prevalensi DM yang tertinggi di Indonesia. Pengukuran HbA1c adalah cara yang paling akurat untuk menentukan tingginya kadar gula darah selama dua sampai tiga bulan terakhir. HbA1c juga merupakan pemeriksaan tunggal terbaik untuk menilai risiko terhadap kerusakan jaringan yang disebabkan oleh tingginya kadar gula darah. Penelitian ini bertujuan untuk mengetahui kadar HbA1c pada pasien diabetes melitus tipe 2 di Puskesmas Bahu Kota Manado. Penelitian ini bersifat deskriptif dengan rancangan cross sectional study. Data primer dikumpulkan melalui wawancara, pemeriksaan fisik dan pemeriksaan laboratorium. Responden adalah semua pasien diabetes melitus tipe 2 yang datang di Puskesmas Bahu dan bersedia menjadi responden. Besar sampel penelitian adalah 22 orang. Hasil penelitian ini membuktikan bahwa lebih dari setengah jumlah responden memiliki kadar HbA1c tidak terkontrol (> 7%) sebanyak 17 responden. Dari 17 responden tersebut 9 responden memiliki indeks massa tubuh overweight, 13 responden tidak mengkonsumsi obat sesuai anjuran dokter dan 9 responden tidak rutin berolahraga. Dapat disimpulkan bahwa kadar gula darah pasien di Puskesmas Bahu masih belum terkontrol berdasarkan nilai HbA1c di atas 7%.Kata kunci: HbA1c, Diabetes Melitus tipe 2


2020 ◽  
Vol 6 (1) ◽  
pp. 35
Author(s):  
Kartika Fatmawati ◽  
Yuni Sufyanti Arief ◽  
Iqlima Dwi Kurnia

Introduction: Toilet training for children is an attempt to train children to control bowel movements and urination. Besides, children are encouraged to be able to defecate and urinate in the specified place. The success of toilet training depends on the readiness of the child and family. This study aims to determine the factors that affect toilet training readiness for toddlers.Methods: The research design used is descriptive analysis, with a cross-sectional approach. The population at Kenjeran Community Health Center is 2.755 toddlers, and the sample used in this study is 25 toddlers with purposive sampling. The instrument used in this study was a children's toilet training questionnaire. Data were analyzed using the crosstab and chi-square analysis.Results: This study showed a relationship between the child's age and the child's sex with the readiness of the child's toilet training with p = 0.00 (α = 0.05).Conclusion: Nurses as health workers are expected to be educators to parents about the importance of toilet training in children by taking into account both physical, psychological, and environmental aspects in supporting the process of toilet training. 


2021 ◽  
Vol 7 (1) ◽  
pp. 11-16
Author(s):  
Asrianti Safitri Muchtar ◽  
A Ulfa Fatmasanti ◽  
Musni Musni ◽  
Ita Novianti

ABSTRACT MOM'S SELF EFFICIENCY TOWARDS THE EFFECTIVENESS OF POST PARTUM BREASTFEEDING  Background: Breastfeeding self-efficacy is the mother's confidence in perceiving breastfeeding ability. Breastfeeding self-efficacy will determine individual responses in the form of choices for breastfeeding behavior, efforts and abilities to face breastfeeding challenges, patterns of thought and actions, mother's emotional reactions. These consequences determine the performance of breastfeeding initiation, and the duration of breastfeeding.Purpose: to determine the effect of mother's self-efficacy on the effectiveness of breastfeeding in the Bajoe Community Health Center, Bone Regency in 2020.Method: This study used a cross sectional study approach. The data obtained from the results of this study are quantitative data. The sample in this study were all postpartum mothers from June to September in the Bajoe Community Health Center with a total sample size of 46 people. The sampling technique used total sampling. The data analysis used was univariate and bivariate analysis presented in the frequency distribution table. For statistical tests, the level of significance used was p <0.05. The analysis used to determine the effect of self-efficacy of breastfeeding mothers on the effectiveness of breastfeeding was by using the chi square test and presented in the form of a frequency distribution table.Results: Based on the results of statistical tests using chi square, it was found that there was an effect of mother's self-efficacy on the effectiveness of breastfeeding with a value of p = 0.000, namely p value <0.005 so that there was an effect of mother's self-efficacy on the effectiveness of breastfeeding in the Bajoe Community Health Center, Bone Regency.Conclusion: There is a significant influence between mother's self-efficacy on breastfeeding effectiveness in the Bajoe Community Health Center, Bone Regency.Suggestion: It is hoped that mothers will increasa their breastfeeding self-efficacy by always increasing their knowledge about breast milk and breastfeeding so that they are able to breastfeed their babies effectively. For research sites, it is hoped that health education about breast milk and breastfeeding since the prenatal period can be routinely increased so as to increase the self-efficacy of mothers in the process of breastfeeding their babies. Keywords: Breastfeeding, Efficacy, Effective ABSTRAK Latar Belakang: Breastfeeding self-eficacy adalah kepercayaan diri ibu dalam mempersepsikan kemampuan menyusui. Breastfeeding self efficacy akan menentukan respon individu berupa pilihan atas perilaku menyusui, upaya dan kesanggupan menghadapi tantangan menyusui, pola pemikiran dan tindakan, reaksi emosional ibu. Konsekuensi ini menentukan performa inisiasi menyusui, dan durasi menyusui.Tujuan: untuk mengetahui pengaruh efikasi diri ibu terhadap efektifitas menyusui di wilayah kerja Puskesmas Bajoe Kabupaten Bone tahun 2020.Metode penelitian: Penelitian ini menggunakan pendekatan cross sectional study. Data yang diperoleh dari hasil penelitian ini berupa data kuantitatif. Sampel dalam penelitian ini adalah semua ibu postpartum pada bulan Juni – September di wilayah kerja puskesmas Bajoe dengan jumlah sampel sebesar 46 orang. Teknik pengambilan sampel menggunakan total sampling.Analisis data yang digunakan adalah analisis univariat dan bivariat disajikan dalam tabel distribusi frekuensi. Untuk uji statistik, tingkat kemaknaan yang digunakan p < 0,05. Analisis yang digunakan untuk mengetahui pengaruh efikasi diri ibu menyusui terhadap efektifitas menyusui adalahdengan uji chi squareserta disajikan dalam bentuk tabel distribusi frekuensi.Hasil: Berdasarkan hasil uji statistic menggunakan chi square didapatkan ada pengaruh efikasi diri ibu terhadapa efektifitas menyususi dengan nilai p= 0,000 yaitu p value < 0,005 sehingga ada pengaruh efikasi diri ibu terhadap efektifitas menyusui di wilayah kerja Puskesmas Bajoe Kabupaten Bone.Kesimpulan: Terdapat pengaruh yang signifikan antara efikasi diri ibu terhadap efektifitas menyusui di wilayah kerja Puskesmas Bajoe Kabupaten Bone.Saran: Diharapkan ibu lebih meningkatkan kepercayaan diri dalam proses pemberian ASI dengan selalu meningkatkan pengetahuan tentang ASI dan menyusui sehingga ibu mampu menyusui bayinya secara efektif. Bagi tempat penelitian diharapkan memberikan pendidikan kesehatan tentang ASI dan menyusui sejak masa prenatal secara rutin sehingga mampu meningkatkan kepercayaan diri ibu dalam proses menyusui bayinya. Kata Kunci: Menyusui, Efikasi, Efektifitas


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