scholarly journals Continuous Technical Guidance for Public Health Center Officer Based on Training Evaluation

2019 ◽  
Vol 14 (3) ◽  
pp. 383-397
Author(s):  
Tuti Surtimanah ◽  
Ejeb Ruhyat ◽  
Trisno Subekri

Health promotion services at public health center is essential to support healthy behavior but still many officers did not have the competence and quality to conduct standard health promotion. West Java implemented health promotion training to 238 officers from 10 districts. The research objective was determining changes in participants’ knowledge and its implementation after training as a basis for sustainable technical guidance. Mixed methods design explanatory sequential as results from training analysis and in-depth interviews of officers. The results showed significant change in participants’ knowledge after training by district, no significant difference between districts and education level, and no significant increase in service coverage. Continuous technical direct guidance for officers by district officials and professional organizations is needed to strengthen service management, coordination, partnerships, integration and recording-reporting. Guidance through social media can be considered for use. Further training is needed to strengthen advocacy, partnership, evaluation. Participants were grouped into four as multivariate cluster analysis result of knowledge level after training and education level.

2020 ◽  
Vol 5 (2) ◽  
pp. 42-47
Author(s):  
Ade Pryta Romanauli Simaremare

Introduction : Exclusive breastfeeding means giving baby breast milk only since born until the age of 6 months. Based on data from the Provincial Health Office of North Sumatra in 2017, the achievement of exclusive breastfeeding at Aek Raja Public Health Center was only around 50%, considered to be very low. Factors that very influential on exclusive breastfeeding were limited knowledge, attitude, age, education and increased number of working mothers. Objective : To determine the relationship between level of knowledge, attitude, age, education level and mothers’ employment status regarding exclusive breastfeeding and provision of exclusive breastfeeding in the working area of ​​the Auxiliary Public Health Center of Hutatinggi Parmonangan Subdistrict in 2019. Method : This study was an analytical study with a cross-sectional design. Samples were selected consecutively and 67 respondents were obtained. Data were gained by questionnaires and analyzed using chi-square test. Results : The results of statistical tests obtained p value = 0,000 for the level of knowledge, attitude, age, education level  and p value = 0,001 for employment status (p<0,05). This result means that there were relation between the level of knowledge, attitude, age, education level, and maternal employment status regarding exclusive breastfeeding and exclusive breastfeeding providing in the working area of ​​the Auxiliary Public Health Center of Hutatinggi Parmonangan Subdistrict in 2019. Conclusion : The exclusive breastfeeding was influenced by level of knowledge, attitude, age, education and employment status of mothers in the working area of ​​the Auxiliary Public Health Center of Hutatinggi Parmonangan Subdistrict in 2019. Keywords : Exclusive breastfeeding, knowledge and attitude, mother status.


2018 ◽  
Vol 7 (1) ◽  
pp. 85
Author(s):  
Fatihatul Hayati

Maternal mortality rate is higher in assisted childbirth rather than that of natural childbirth. The unresolved anxiety can cause childbirth to last longer and lead to assisted childbirth. Childbirth environment at the hospital can increase maternal anxiety which results in disturbing uterine contraction so that action should be taken to speed up the delivery process. The aim of this study was to determine the difference in anxiety level between mothers who give birth at the Public Health Center and those who give birth at Private Midwife Center. The study was conducted by cross-sectional design on 74 mothers in labor. They were divided into two groups: those who give birth at Public Health Center and those who give birth at Private Midwife Center with consecutive sampling technique.Data were then analyzed by conducting Independent T test. The result showed that the first group had higher average score of anxiety than the second group with p value < 0.05.The study suggested that there was significant difference between giving birth at Public Health Center and giving birth of Private Midwife Center


Author(s):  
Dhika Prabu

Objective: To know the main factor affecting the knowledge of obstetric outpatients about intra uterine device (IUD). Method: This is across sectional study involving 106 subjects who were selected by a consecutive random sampling in obstetric outpatients clinic, Kramat Jati Public Health Center, Jakarta. Data were obtained from guided questionnaire. There are several dependent variables, including the knowledge level of respondents toward IUD. Meanwhile, there are also independent variables, including education level, job, number of children, history of contraception use, and sources of information. The knowledge score >60% is considered good. Afterwards, the data was evaluated with multivariate analysis with binary logistic regression. Result: The study found association between the rate of knowledge with the level of education (p=0.015) and history of contraceptive usage (p=0.022). In multivariate analysis, it appeared that education level was the determinant factor, with the rate of low knowledge 2.6 times higher in the low education group. Conclusion: Level of education are the determinant factor of obstetric outpatients’ knowledge about intra uterine device in Kramat Jati Public Health Center. [Indones J Obstet Gynecol 2012; 36-1:43-7] Keywords: IUD, knowledge, level of education


2017 ◽  
Vol 24 (2) ◽  
pp. 51-60
Author(s):  
Santoso Ujang Effendi ◽  
Yusran Fauzi ◽  
Yusran Fauzi ◽  
Winda Agustina ◽  
Winda Agustina

Education  Level,  Mother’s Work,  and  Immunization  Completeness  of Babies  in  Working  Area  of  Basuki  Rahmad  Public  Health  Center  BengkuluABSTRAKPenelitian ini dilatarbelakangi oleh masih adanya cakupan imunisasi yang tidak lengkap di wilayah kerja Puskesmas Basuki Rahmad Kota Bengkulu. Dampak apabila bayi tidak melalukan imunisasi adalah daya tahan tubuh rendah, mudah terserang virus penyakit. Penelitian ini bertujuan untuk mempelajari hubungan pendidikan dan pekerjaan ibu dengan kelengkapan imunisasi pada bayi                             di Wilayah Kerja Puskesmas Kota Bengkulu. Penelitian ini menggunakan jenis penelitian Survey Analitik dengan desain Cross Sectional. Populasi dari penelitian ini adalah seluruh ibu yang mempunyai bayi 9 bulan sampai 18 bulan yang berjumlah 651 bayi. Teknik pengambilan sampel menggunakan teknik Simple Random Sampling yang berjumlah 87 bayi. Pengumpulan data dalam penelitian ini menggunakan data primer dan sekunder dengan teknik analisis data dilakukan dengan analisis univariat dan bivariat dengan menggunakan  uji statistik  Chi-Square (c²) melalui program SPSS. Hasil penelitian ini didapatkan : diketahui bahwa dari 87 orang ibu yang memiliki bayi, terdapat  66 orang ibu (75,9%) berpendidikan menengah, 67 orang ibu (77,0%) yang tidak bekerja, dan  69 orang ibu (79,3%) yang mempunyai bayi dengan imunisasi lengkap, dan ada hubungan yang signifikan antara tingkat pendidikan dan pekerjaan ibu dengan kelengkapan imunisasi pada bayi di wilayah kerja Puskesmas Basuki Rahmad Kota Bengkulu dengan kategori hubungan sedang.  Diharapkan petugas kesehatan untuk melakukan penyuluhan tentang imunisasi dan  meningkatkan pelayanan imunisasi pada bayi. Kata Kunci : bayi, kelengkapan imunisasi, pendidikan, pekerjaanABSTRACTThe background of  this study was the incomplete coverage of immunization in  working area of Basuki Rahmad  Public Health Center Bengkulu. Impacts if   baby did not pass immunization were low body resistance and  susceptible to viral diseases. This study aimed to study the relationship between education level and maternal work with the completeness of  immunization in babies in  working area of Basuki Rahmad  Public Health Center Bengkulu. This study used Analytical Survey research type with Cross Sectional design. The population of this study were all mothers who had babies 9 months to 18 months, amounting to 651 babies. The sampling technique used Simple Random Sampling technique which amounts to 87 babies. Data collection in this research used primary and secondary data with data analysis technique done by univariate and bivariat analysis with Chi-Square statistical test (c²) through SPSS program. The results of  this study were obtained : it was known that of 87 mothers who had babies, there were 66 mothers (75.9%) had medium education, 67 mothers (77.0%) who did not work, and 69 mothers (79.3% ) who had babies with complete immunization, and there was a significant relationship between the level of education and the mother's work with the completeness of immunization in babies in working area of Basuki Rahmad Public Health Center Bengkulu with medium relations category. It was expected that health workers to conduct counseling about immunization and improve immunization services in babies. Keywords : baby, completeness of  immunization, education, occupation


2019 ◽  
Vol 53 (5) ◽  
Author(s):  
Titiek Berniyanti ◽  
R. Darmawan Setijanto ◽  
Ninuk Hariani ◽  
Sarah Fitria Romadhoni

Background. In 2017, there were sixty people who identified themselves as lesbian, gay, bisexual and transgender/ transsexual (LGBT) people in Sememi Public Health Center, and seven of them were known to be people living with HIV/AIDS (PLWHA). People who are at high risk for HIV infection, especially the LGBT people and Female Sex Workers, are at even greater risk of developing a number of severe periodontal diseases. Periodontal problems, such as periodontitis, in HIV patients, are more severe and occur more frequently than uninfected patients. However, data on dental visit in Sememi Public Health Center as the primary health center in Sememi district is still limited, and there is still no data regarding periodontal health status among HIV patients. Objective. The aim of this study is to investigate the relationship between HIV/AIDS and periodontal health status among the population who are at high risk of HIV/AIDS in Sememi Public Health Center area. Method. This study was conducted with a cross-sectional design. The sample size was determined using a total sampling technique and came up with 30 participants. Conclusion. Population with a high risk of HIV/AIDS in Sememi Health Center area in Surabaya City has poor periodontal status, due to a large number of bleeding on probing (BOP), periodontal pocket depth, and loss of attachment (LOA). There is no significant difference between BOP results and pocket depth between the HIV and non-HIV groups. But a significant difference was found between LOA in the HIV and non-HIV groups. On the contrary, we found that there is no significant relationship between HIV/AIDS and xerostomia in this study.


Author(s):  
Renny Aditya ◽  
Samuel Tobing ◽  
Mitfahul Jannah

Abstract Objective: to investigate the relationship between education level and occupation of pregnant women with MCH handbook utilization at the Pekauman Public Health Center of Banjarmasin in July–August 2018. Methods: the method that was used is analytical observational research with cross-sectional design. The number of research sample is 50 people with systematic random sampling techniques, and data were analyzed by chi-square statistical tests. Results: the majority of respondents were34 pregnant women (68%) with low education level, and36 pregnant women (72%) were unemployed. There were 36 pregnant women (72%) with ineffective MCH handbook utilization. The statistical result between education level of pregnant women with MCH handbook utilization is p-value = 0.005 (p < 0.05) and between occupation of pregnant woman with MCHhandbook utilization is  p-value =  0.001 (p <0.05). Conclusion: there a significant relationship of education leveland occupation of pregnant women with MCH handbook utilization at the Pekauman Public Health Center of Banjarmasin in July-August 2018. Keywords: level ofeducation, occupation, MCH handbook   Abstrak Tujuan: untuk mengetahui hubungan tingkat pendidikan dan pekerjaan Ibu hamil dengan pemanfaatan buku KIA di Puskesmas Pekauman Banjarmasin Periode Juli–Agustus 2018 Metode: metode yang digunakan adalah observasional analitik dengan desain cross sectional. Besar sampel penelitian adalah 50 orang dengan teknik pengambilan systematic random sampling dan datadianalisis dengan uji statistik chi square Hasil: sebagian besar responden adalah 34 ibu hamil (68%) dengan tingkat pendidikan rendah dan 36 ibu hamil (72%) yang tidak bekerja. Terdapat 36 ibu hamil (72%) dengan pemanfaatan buku KIA yang tidak efektif. Hasil uji statistik antara tingkat pendidikan ibu hamil dengan penggunaan buku KIA adalah p value = 0.005 (p < 0.05) dan antara pekerjaan ibu hamil dengan pemanfaatan buku KIA adalah p value = 0.001 (p < 0.05). Kesimpulan: terdapat hubungan yang bermakana tingkat pendidikan dan pekerjaan ibu hamil dengan pemanfaatan buku KIA di Puskesmas Pekauman Banjarmasin periode Juli–Agustus 2018 Kata kunci: tingkatpendidikan, pekerjaan, buku KIA


2018 ◽  
Vol 9 (11) ◽  
pp. 21127-21137
Author(s):  
Ni Putu Cempaka Dharmadewi Atmaja ◽  
Ni Made Satya Utami

This study aims to find out the critical factors in delivering the quality of services at the Public Health Center (Puskesmas) in Sukawati District. Determination of critical factors based on Servqual Gap is a comparison between expectations and perceptions of the quality of service perceived by patients/ public health visitors. The research method is using qualitative descriptive analysis. The critical factor is determined by making a Cartesian diagram which is sourced from Serqual GAP. Data was obtained from the distribution of questionnaires to 200 respondents. The results of the data analysis concluded that there were 10 indicators in the Puskesmas Sukawati I that were categorized as critical factors that had to be corrected immediately. While Puskesmas Sukawati II there are 2 indicators that must immediately be improved. The comparative analysis shows that there is a significant difference between patient expectations and perceptions of perceived service quality. This result is certainly a consideration for the management of the Puskesmas to be able to assess the accuracy of the services provided to the community so that it can improve the quality of services in the future.


2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Maretha Antya Tamimi ◽  
Yusri Dianne Jurnalis ◽  
Delmi Sulastri

AbstrakDiare merupakan salah satu penyebab mortalitas pada bayi di negara berkembang. Tingginya kejadian diare dipengaruhi berbagai faktor, salah satunya adalah tidak dilakukannya pemberian ASI. Efek proteksi ASI lebih optimal jika diberikan secara eksklusif. Tujuan penelitian ini adalah menentukan hubungan antara pemberian ASI eksklusif dengan kejadian diare pada bayi di wilayah kerja Puskesmas Nanggalo Kota padang. Penelitian ini menggunakan rancangan cross sectional. Sampel berjumlah 82 ibu dan bayi yang dipilih dengan teknik Purposive Sampling. Data dikumpulkan melalui wawancara kepada responden dengan menggunakan kuesioner. Hasil penelitian menunjukkan bahwa distribusi kejadian diare pada bayi di wilayah kerja Puskesmas Nanggalo Kota Padang adalah 19.5% dan distribusi pemberian ASI eksklusif adalah 46.3%. Hasil uji statistik t independen menunjukkan bahwa tidak terdapat perbedaan yang bermakna antara usia kejadian diare pertama kali antara bayi dengan ASI eksklusif dan tidak ASI eksklusif (p= 0.593). Hasil uji statistik chi-square menunjukkan bahwa terdapat hubungan antara pemberian ASI eksklusif dengan kejadian diare pada bayi (p=0.014). Tidak terdapat perbedaan yang bermakna antara usia kejadian diare pertama kali pada bayi dengan ASI eksklusif dan tidak ASI eksklusif dan terdapat hubungan bermakna antara pemberian ASI eksklusif dengan kejadian diare pada bayi.Kata kuncl: ASI eksklusif, diare, bayi AbstractDiarrhea is one of the causes of mortality in infants at developing countries. The high incidence of diarrhea is influenced by various factors, one of them is not breastfeed infants. Protective effect of breast milk is better when it gives exclusive breastfeeding. The objective of this study was to determine whether there is a relationship between exclusive breastfeeding with diarrhea incidence in infants in region of Nanggalo Public Health Center Padang. This study used a cross sectional design. The sample in this study was 82 pairs of mothers and infants had been selected with purposive sampling technique. Data were collected by interviewing respondents with questionnaire. The results show that the distribution of diarrhea incidence in infants in region of Nanggalo Public Health Center is 19.5% and the distribution of exclusive breastfeeding is 46.3%. The result of Independent t-test shows that there’s no significant difference between the age of first time diarrhea in  exclusive breastfeeding infants and no exclusive breastfeeding infants (p=0.593). The result of chi-square statistical test shows that there’s relationship between exclusive breastfeeding and diarrhea incident (p = 0.014). There is no significant difference between the age of first time diarrhea in exclusive breastfeeding infants and no exclusive breastfeeding infants and there is a significant relationship between exclusive breastfeeding with diarrhea incidence in infants.Keywords: exclusive breastfeeding, diarrhea, infant


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