scholarly journals Determinan Persalinan oleh Tenaga Kesehatan di Indonesia

2018 ◽  
Vol 32 (7) ◽  
pp. 231
Author(s):  
Asep Hermawan ◽  
Yayi Suryo Prabandari ◽  
Siswanto Agus Wilopo

Determinants of skilled birth attendance in IndonesiaPurposeThis study aimed to find the relationship between health worker ratio with skilled birth attendants (SBA). MethodsThis research was a cross-sectional study using data from Rifaskes 2011 (a nationwide survey of healthcare facilities), SP 2010 (population census), and Riskesdas 2013 (a nationwide survey based on community for basic health). The sample was total population of the district/city as many as 497 districts/cities. The unit of analysis of this study was the district/city in Indonesia. Statistical analysis used univariate analysis, bivariate analysis and generalized linear model (GLM).ResultsThere was no correlation between the ratio of health workers with SBA coverage. But, the GLM analyses showed positive correlation of midwives ratio in the population and SBA when regressed with physicians, nurses, accessibility to community health center (puskesmas) with OR 1.07 (95% CI: 1-1.14), status of region (remote, borderland or islands area) 1.07 (95% CI: 1.01-1.15), and administrative status (district/city) with OR 1.11 (95% CI: 1.03-1.19).ConclusionThe midwives ratio has a strong correlation with SBA after improving accessibility to primary health centers.

2017 ◽  
Vol 1 (1) ◽  
pp. 39
Author(s):  
Musdalifah Syamsul ◽  
Nurul Fatwa Abidin

<p><em>Diabetes mellitus is one of the generative disease that increase every year. Most cases of diabetes mellitus in Indonesia is type 2, the prevalence 90-95% of all cases of diabetes. About 7% of South Sulawesi's population suffer from this disease. DM is a lifelong disease that requires good management, especially in terms of blood sugar control. The aim of study is to determine factors associated blood sugar level of patients DM type 2 in RSUD Kota Makassar.This study used cross sectional study approach and sample of 149 people. This research was conducted at Internal Polyclinic of RSUD Kota Makassar, data were collected using questionnaires and patient medical records file. The results of univariate analysis showed that most respondents got adequate family support (55.1%). Most people with type 2 diabetes melitus in RSUD Kota Makassar had good diet (51.5%). Blood sugar levels of respondents in this study which were still not well controlled (77.9%). Bivariate analysis with chi square test showed that family support was not related to blood sugar levels (p = 0.26) while diet was associated with blood sugar levels (p = 0,000, = 0.523). That blood sugar levels related with dietary, not family support. <strong>:</strong> It is desirable for health workers to optimize the counseling method for patients, especially in terms of motivating patients to control disease and family should be involved in the counseling activities</em><em>.</em><em></em></p><pre><strong><em> </em></strong></pre><pre><strong><br /></strong><em></em><strong><em></em></strong></pre>


2018 ◽  
Vol 1 (2) ◽  
pp. 40
Author(s):  
Mutmainah Handayani ◽  
Tigor Abdurrahman Thomy

Gastritis occurs in people who have an irregular diet and eat foods that stimulate stomach acid production. Prevalence The WHO gastritis incidence rate (2009) in several regions in Indonesia is quite high with a prevalence of 274,396 cases of 238,452,952 inhabitants. Based on the identification of the problem above many factors that can affect the incidence of gastritis, but researchers limit the problems to be examined namely the frequency, type and portion of the meal. The purpose of this study was to look at the relationship between eating patterns and the incidence of gastritis in adolescents in Sungai Menang Community Health Center 2017 Type of quantitative research with Cross Sectional study design. the number of 60 respondents taken by the Stratified random sampling method. The data obtained were then performed chi-square statistical test. Univariate analysis results showed 55% of the majority of respondents had gastritis, which had a frequency of poor eating as much as 65%, and there were 76.7% of respondents who consumed irritated food, and 50% of the respondents eat poorly. Bivariate analysis using chi-square test, the results of the analysis there is a relationship between the type of meal and gastritis (P value = 0.023), there is a relationship between diet and gastritis (P value = 0.000), there is no correlation between eating frequency and gastritis (P value = 0.165), and there is no relationship between eating portions and gastritis (P value = 0.436). It is expected that Puskesmas can provide counseling / health promotion by distributing structured and phased educational brochures, which can increase knowledge about controlling and preventing gastritis. Keywords: Gastritis, diet


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>


2018 ◽  
Vol 9 (1) ◽  
pp. 16-27 ◽  
Author(s):  
T. Sy Rafni Nahabila ◽  
Buchari Lapau ◽  
Herniwanti -

ISPA Non pneumonia is a symptom of cough that does not show symptoms of an increase in the frequency of breath and does not also show the pull of the lower chest wall towards the inside. The purpose of this study was to find out the factors associated with the incidence of ISPA non-pneumonia in children under five in the working area of Harapan Raya Community Health Center in Pekanbaru City in 2018. This research was quantitative observational analytic with the type of Analytical Cross-sectional Study design. This study was conducted from June to July 2018. Data analysis was carried out in stages which included univariate analysis, bivariate analysis and multivariate analysis. The sampling procedure was carried out by systematic random sampling with a sample of 212 toddlers. The results of the study showed that toddlers who suffered from ISPA non-pneumonia in the sample were 60.44%. And in the population is 60.44% ± 5% = 55.44% -65.44%. Variables related to cause and effect are mosquito coils, the presence of smokers and room temperature. Variables are inversely correlated, namely natural lighting variables. Counfounding variable is the variable of ventilation against natural lighting variables. Unrelated variables are humidity, ventilation, house walls, density of house occupancy, cooking fuel usage, age, and sex.


2017 ◽  
Vol 12 (1) ◽  
pp. 115
Author(s):  
Ari Murdiati ◽  
Sutopo Patria Jati

ABSTRAKData kematian maternal yang diperoleh dari Dinas Kesehatan Kota Semarang  tahun 2012 menunjukkan bahwa Puskemas Bandarharjo menempati urutan teratas sepanjang tahun 2009-2012. Salah satu upaya terobosan untuk percepatan penurunan AKI adalah Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) dengan stiker. Penelitian ini merupakan penelitian kuantitatif, jenis penelitian explanatory research, dengan rancangan cross sectional. Hasil penelitian menunjukkan ibu hamil yang memiliki perencanaan persalinan tidak baik sebanyak 62,2%, sedangkan ibu hamil yang memiliki perencanaan persalinan baik hanya 37,8%. Enam variabel yang berhubungan secara statistik  signifikan yaitu paritas, pengetahuan ibu hamil, sikap ibu hamil, ketersediaan sarana dan prasarana, dukungan suami, dan dukungan petugas kesehatan. Variabel yang paling dominan berpengaruh adalah dukungan suami (OR=7,037). Hal ini berarti bahwa dukungan suami dalam program perencanaan persalinan yang baik memungkinkan ibu hamil memiliki perencanaan persalinan yang baik 7,037 kali dibanding dengan dukungan suami yang kurang.Kata Kunci :  Perilaku, Ibu hamil, P4K Analysis of Factors Related to the Behavior of Pregnant Women in Planning Labor for Prevention of Complications in the Working Area of Puskesmas Bandarharjo Kota Semarang. Maternal mortality data from Semarang City Health Office in 2012 showed that Puskesmas Bandarharjo was the top ranks throughout 2009-2012. One ground breaking effort to accelerate the decline of AKI is Childbirth Program Planning and Prevention Complications (P4K) with stickers. This study is a quantitative study with explanatory research, with a design using cross-sectional study. the results of the univariate analysis suggests that pregnant women who have a good labor planning as much as 37,8 %. While the pregnant women, who have a birth plan not good is only is. The results of bivariate analysis using the statistical test Chi-Square shows there are six variables significantly associated: parity, maternal knowledge, maternal attitudes, availability of facilities and infrastructure, husband support, and support for health workers. The most dominant variable is the support of the husband (OR = 7,037). This means that the support of her husband in a good birth planning program allows pregnant women has good labor planning 7,037 times compared with less support husband.Keywords: Behavior, Pregnancy, P4K


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 22 (1) ◽  
pp. 1-7
Author(s):  
Floralinda García Puello ◽  
Yaneth Herazo Beltrán ◽  
Yisel Pinillos Patiño ◽  
Damaris Suárez Palacio ◽  
Egmar Longo Hull

Objective To identify the influence of functional impairments and limitations activities for persons with disabilities to participate in family and community activities. Methods This is a cross-sectional study with 4044 persons with disabilities, selected using probabilistic sampling and a door-to-door active search model in 5 towns in the District of Barranquilla. The data were processed with univariate analysis and bivariate analysis to determine the relationship between the study variables. Results 55.9% of the population were males, 41.6% were between 15 and 44 years of age, and 92.9% belonged to the lower socioeconomic stratum. 82.9% reported mobility limitations and 99% reported barriers to access non-formal learning activities, 98.6% to access public activities, and 97.5% to access productive activities. Individuals with that a lower limitation in exercising the power of reason, particularly thinking, can increase participation in activities with family and friends (OR, 0.8; 95% CI, 0.6–0.9), with the community (OR, 0.7; 95% CI, 0.6–0.9), religious or spiritual activities (OR, 0.8; 95% CI, 0.7–0.9). Conclusions There is a directly proportional relationship between structural impairment with the development of dependency and limited family, social, and work participation in the persons with disabilities.


2021 ◽  
Vol 5 (2) ◽  
pp. 73
Author(s):  
Desi Nuraini ◽  
Doni Hikmat Ramdhan

Background: PT. X implements a daily trip method that takes ±1,5 hours to arrive at the offshore platforms. Travel time that’s too long can cause fatigue. Purpose: Analyzing the effect of a daily trip system on PT. X contractor worker fatigue at offshore site. Method: This research was conducted at one of PT. X’s offshore Gresik Sites in June 2021 used Fatigue Assessment Scale (FAS) questionnaire with observational analytics method and cross-sectional study design. Research samples were taken from the population of 153 construction workers PT. X at offshore site. The data obtained were analyzed using quantitative approach, data analysis used univariate analysis and bivariate analysis, chi-square statistical test with significance value or confidence interval was 95% and error interval was 5%  (CI = 95% and α = 0.05). Result: PT. X Contractor workers at the offshore site had 85 workers (55.56%) that get fatigue. Statistical analysis test showed there was no significant relationship between a daily trip system with fatigue on PT. X Contractor workers at the offshore site (p-value = 0.140). Factors that affect fatigue on PT. X Contractor workers at the offshore site were age, body mass index, and workload (p-value successive were 0.047, 0.014, and 0.001). Conclusion: A daily trip system has no effect with fatigue on PT. X contractor worker at the offshore site, recommended for the contractor to improve the BMI and manage the workload so that its more evenly distributed.


2017 ◽  
Vol 12 (2) ◽  
pp. 277-285
Author(s):  
Erna Kusumawati ◽  
Setiyowati Rahardjo ◽  
Colti Sistiarani

The community nutrition improvement with main focus on pregnant women and children up to the age of 2 years old need to be done by a cooperation across sectors. Multilevel promotion is a comprehensive intervention and modify the determinant factors. We used multilevel promotion with MATCH (Multilevel Approach to Community Health) to modify determinant factors in various levels i.e. mother, family, community, and policy that related to nutritional status of children. This research was conducted in Banyumas and Kembaran II Community Health Center working area because the nutritional problems in this area were complex, such as low exclusive breastfeeding coverage, low birth weight, and underweight children problems. This study used a quantitative analytic design with cross sectional approach. The population used for this research were pregnant women, toddlers mother, and their family. The number of sample in this research was 100 people of each population. The data was analyzed by univariate analysis to determine the intervention model of children nutrition improvement in mothers level. The effectiveness of intervention model was tested by bivariate analysis using dependent t-test. The result of this research were formulated into nutrition improvement model for mother and children through facility identification, approach, media, and information needed. There was a significant difference in knowledge of mother before and after intervention.


2020 ◽  
Vol 8 (2) ◽  
pp. 112-118
Author(s):  
Yulaeka Yulaeka

Anemia is a condition when the levels of hemoglobin and erythrocytes are lower than normal. The normal value of hemoglobin in women is 12 -16 g / dl with erythrocytes from 3.5 to 4.5 jt / mm3. This study aimed to determine the relationship between nutritional status and Anemia of teenage girl. This research is analytic with cross sectional study design. The samples taken are 66 teenage girls, chosen by quote sampling. The data of this research used primary data obtained through checking up of body mass index and hemoglobin level. The data analysis used univariate analysis and bivariate analysis used Chi-square test. The results of this study indicate that there is a relationship between nutritional status and Anemia (p value 0.001).


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