SKRINING MALARIA DENGAN RAPID DIAGNOSTIC TEST DAN PERILAKU PENGOBATAN MALARIA PADA ORANG RIMBA DI DESA BUKIT SUBAN DAN DESA SEKAMIS KABUPATEN SAROLANGUN TAHUN 2016

2018 ◽  
Vol 6 (1) ◽  
pp. 20-35
Author(s):  
Maria Estela Karolina ◽  
Oktovia Rezka Nurmaajid ◽  
Armaidi Darmawan ◽  
Solha Elfrida

Abstract Backgrounds : Rapid Diagnostic Test (RDT) is a imunologic methode to diagnose malaria. Mostly, Orang Rimba hunt nomadically. Orang Rimba have traditional medicine to cure malaria. The purposes of this research are to know the incident of malaria based on RDT and malaria treatment behaviour of Orang Rimba. Methode :  This research was descriptive study. The populations of this research were Orang Rimba in Desa Bukit Suban and Sekamis, Kabupaten Sarolangun. The number of samples in this research is 49 respondents. The sample was taken by systematic random sampling. Data were analyzed with univariat analysis. Result : The result showed that 16,7 % had malaria positive, P. vivax was the dominat species of plasmodium (62,5%). Mostly the aged of respondent was 5-11 years old (41,7%), the gender was male (58,3%), occupation was doesn’t work (56,3%), marriage status was marriage (56,3%). Most of Orang Rimba had worse knowladge level (53,6%), the mostly used term in Orang Rimba was demam kuro (50%), only (42,9%) respondents knew the trias of malaria, only 9 respondents knew that cause of malaria was mosquito’s bites, Orang Rimba mostly knew the danger of malaria (85,7%) and the complication of malaria (89,3%), and knew that malaria could be cured (82,1%). The users of modern combined with traditional medicine were as much as 57,1%, Orang Rimba mostly used ≥ 3 kinds of traditional medicine 53,6%, traditional medicine was mostly processed by boiling (24 respondents) and mostly knew one way of processing the traditional medicine  (57,1%), traditional medicine was mostly for being eaten or drunk and external medicine  (50%), the duration of using  traditional medicine was mostly  2-3 days (46,4%), Orang Rimba mostly said that traditional medicine was efficacious (92,9%). Conclusions : The incident number of malaria was 16,7% and the mostly users of modern combined with traditional medicine were as much as 57,1%. Keywords : Malaria, RDT, orang rimba, malaria treatment behaviour   Abstrak Latar Belakang : Rapid Diagnostic Test (RDT) merupakan metoda imunologik untuk mendiagnosis malaria. Lokasi berburu Orang Rimba cenderung berpindah-pindah. Orang Rimba memiliki kearifan lokal dalam mengobati malaria. Tujuan penelitian ini adalah untuk mengetahui skrining malaria berdasarkan RDT dan perilaku pengobatan malaria pada Orang Rimba. Metode : Penelitian ini merupakan penelitian deskriptif. Populasi penelitian seluruh Orang Rimba yang berada di Desa Bukit Suban dan Sekamis. Jumlah sampel pada penelitian ini adalah 48 responden. Pengambilan sampel menggunakan teknik Systematic Random Sampling. Data dianalisis dengan analisis univariat. Hasil : Dari hasil penelitian didapatkan 16,7% positif malaria, jenis plasmodium yang dominan adalah P. vivax (62,5%). Sebagian besar responden berusia 5-11 tahun (41,7%), sebagian besar berjenis kelamin laki-laki (58,3%), sebagian besar pekerjaan responden tidak bekerja (56,3%), sebagian besar berstatus kawin (56,3%). Sebagian besar Orang Rimba memiliki tingkat pengetahuan kurang baik (53,6%), sebagian besar menggunakan istilah demam kuro untuk menyebutkan malaria (50%), hanya 42,9% yang mengetahui trias malaria, hanya 9 responden yang menjawab penyebab malaria adalah gigitan nyamuk, sebagian besar mengetahui bahaya malaria 85,7%, jenis bahaya malaria 89,3%, dan mengetahui bahwa malaria dapat disembuhkan 82,1%. Pengguna pengobatan modern dikombinasi dengan pengobatan tradisional sebanyak 57,1%, sebagian besar menggunakan ≥ 3 jenis obat tradisional (53,6%), cara pengolahan yang paling banyak dengan cara direbus (24 responden) dan mengetahui 1 cara pengolahan (57,1%), cara pemakaian yang paling banyak dengan dimakan atau diminum dan obat luar (50%), lama penggunaan yang paling banyak selama 2-3 hari (46,4%), sebagian besar mengatakan obat tradisional berkhasiat (92,9%). Kesimpulan : Angka kejadian malaria sebesar 16,7% dan upaya pengobatan malaria terbanyak adalah dengan pengobatan modern dikombinasi dengan pengobatan tradisional (57,1%).   Kata Kunci :  Malaria, RDT, orang rimba, perilaku pengobatan malaria

2018 ◽  
Vol 5 (2) ◽  
Author(s):  
Cok Dewi Widhya

ABSTRACTBackground: Menopause women will get a decrease in estrogen hormones that cause decreases of blood calcium level. If the calcium level in the blood is low then the body will take calcium from the bone to perform body functions, this causes calcium levels in the bones decreased so it caused osteoporosis.Methode: This study is a descriptive study which describes blood calcium levels in menopause women in Sinabun Village, Sawan District, Buleleng Regency. The study was conducted from February until June 2017 with a population of 186 people and sample of 30 people selected by systematic random sampling technique. Measurement of blood calcium level using NM-BAPTA method.Result: The results showed that 17% of respondents had low blood calcium levels and 83% of respondents had normal blood calcium levels with an average blood calcium level is 9.20 mg/dL.Conclusion: The decrease of blood calcium levels occurred in respondents of age ≥60 years old, the respondents with the old menopause period 10 years, the respondents who work as housewife and traders, the respondents who never consumed high calcium milk, and the respondents who didn’t have history of hypoparathyroidism and kidney disorders.Keyword: blood calcium, menopause.


Author(s):  
Rini Mayasari Rini Mayasari

ABSTRACT Breast cancer on the mark with the growth or uncontrolled growth of cells that are excessive. Factors affecting the incidence of breast cancer include maternal age, marital status, family history, hormone use, radiation, manarche, and obesity. The purpose of this study was to determine the relationship between Age and Marital Status of Mother with Breast Cancer incidence in the Installation Surgeon General Hospital Dr. Mohammad Hoesin Palembang in 2012. The study design was analytical descriptive with the approach in which the independent variables Cross Sectional Age Mother and Status Perkawianan and dependent variables in breast cancer incidence collected at the same time. The study population was all women who develop breast cancer in the Installation General Hospital Surgery Center Dr. Mohammad Hoesin Palembang in 2012 and samples taken by systematic random sampling with a sample of 130 respondents. The results of univariate analysis of data showed that respondents had breast cancer with a percentage of total 58 (44.61%) while respondents who had not had breast cancer totaled 72 by the percentage (63.39%). Respondents by Age Mothers who are at risk amounted to 34 by the percentage (26.15%) while respondents with Age Mothers who are not at risk amounted to 96 by the percentage (73.85%). Respondents by Marital Status is married and the mother who totaled 69 by the percentage (53.07%) and Marital Status with the status of unmarried women totaled 61 by the percentage (46.03%). Of Chi-Square test results found no significant relationship between Age Mothers with Breast Cancer event in which the p value = 0.007, no significant relationship between Marital Status in Breast Cancer event in which the p value = 0.030. Based on the results of the study, researchers suggest counseling efforts, medical knowledge and improve the quality of health services in order to reduce the incidence of breast cancer..   ABSTRAK Kanker payudara di tandai dengan pertumbuhan atau perkembangan tidak terkontrol dari sel-sel yang berlebihan. Faktor-faktor yang mempengaruhi kejadian kanker payudara antara lain umur ibu, status perkawinan, riwayat keluarga, penggunaan hormon, radiasi, manarche, dan obesitas. Tujuan penelitian ini adalah untuk mengetahui hubungan antara Umur Ibu dan Status Perkawinan dengan kejadian Kanker Payudara di Instalasi Bedah Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang Tahun 2012. Desain Penelitian ini adalah deskriptif analitik dengan pendekatan Cross Sectional dimana variabel independen Umur Ibu dan Status Perkawianan dan variabel dependen kejadian kanker payudara dikumpulkan dalam waktu yang bersamaan. Populasi penelitian ini adalah semua ibu yang menderita kanker payudara di Instalasi Bedah Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang Tahun 2012 dan sampel di ambil secara systematic random sampling dengan jumlah sampel 130 responden. Hasil analisis univariat data menunjukan responden yang mengalami Kanker Payudara berjumlah 58 dengan persentase sebesar (44,61%) sedangkan responden yang tidak mengalami Kanker Payudara berjumlah 72 dengan persentase (63,39%). Responden dengan Umur Ibu yang beresiko berjumlah 34 dengan persentase (26,15%) sedangkan responden dengan Umur Ibu yang tidak beresiko berjumlah 96 dengan persentase (73,85%). Responden dengan Status Perkawinan ibu yang berstatus kawin berjumlah 69 dengan persentase (53,07%) dan Status Perkawinan ibu yang berstatus tidak kawin berjumlah 61 dengan persentase (46,03%). Dari hasil uji Chi-Square didapatkan ada hubungan bermakna antara Umur Ibu dengan kejadian Kanker Payudara dimana p Value = 0,007, ada hubungan bermakna antara Status Perkawinan dengan kejadian Kanker Payudara dimana p Value = 0,030. Berdasarkan hasil penelitian, peneliti menyarankan upaya-upaya penyuluhan, pengetahuan tenaga medis dan meningkatkan mutu pelayanan kesehatan guna menurunkan angka kejadian kanker payudara.


Author(s):  
Wahyu Ida Muliana Wahyu Ida Muliana

ABSTRACT Hyperemesis Gravidarum marked excessive nausea and vomiting in pregnant women at a young age. WHO estimates that 536,000 women died from direct complications of pregnancy and childbirth. One complication of pregnancy is Hyperemesis Gravidarum. Hyperemesis Gravidarum in the world has been estimated to occur in 1-2% of pregnant. According to data from the Medical Record of Dr. Mohammad Hoesin Palembang Hospital, the incidence of Hyperemesis Gravidarum in 2011 there were 72 people of 661 pregnant women. The purpose of this reseach was to determine the relationship between maternal age and parity with Hyperemesis Gravidarum in Dr. Mohammad Hoesin Palembang Hospital 2011. The Design of this reseach used Cross Sectional by analytic approach survey. The population of this reseach are all of mother who gestational ≤ 16 weeks (four months) in the Installation of Obstetrics and Gynecology, Dr. Mohammad Hoesin Palembang Hospital in January to December of 2011 with the sample of 661 people which taken by systematic random sampling and the reseach was conducted from 17 April to 24 April 2012.  Each variable that was observed in tests using Chi-Square test with a (0.05).  The results of this study showed that 5.9% of mothers with hyperemesis gravidarum, 21.8% of mothers with high risk age, and 30.0% primigravida. Chi-Square test showed no significant relationship between age (p value = 0.000) and parity (p value = 0.000) with the incidence of hyperemesis gravidarum. Expected to the Hospital to be implemented properly instructed how to provide counseling to pregnant women about pregnancy and childbirth, as well as provide confidence that the nausea and vomiting is a symptom of physiology in pregnancy.   ABSTRAK Hiperemesis Gravidarum ditandai mual dan muntah yang berlebihan terjadi pada ibu hamil di usia muda. WHO memperkirakan 536.000 perempuan meninggal dunia akibat langsung dari komplikasi kehamilan dan persalinan. Salah satu komplikasi kehamilan adalah Hiperemesis Gravidarum. Insiden Hiperemesis Gravidarum di dunia telah diperkirakan terjadi pada 1-2% wanita hamil. Menurut data dari Medical Record Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang, angka kejadian Hiperemesis Gravidarum pada tahun 2011 terdapat 72 orang dari 661 ibu hamil. Tujuan penelitian ini adalah untuk mengetahui hubungan antara umur dan paritas ibu dengan kejadian Hiperemesis Gravidarum pada ibu di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang tahun 2011. Desain Penelitian ini menggunakan survei analitik dengan pendekatan Cross Sectional. Populasi penelitian ini adalah dengan umur kehamilan ≤ 16 minggu (4 bulan) yang pernah dirawat inap di Instalasi Kebidanan dan Penyakit Kandungan Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang pada bulan Januari-Desember tahun 2011 dengan jumlah sample 661 orang yang diambil secara systematic Random Sampling (secara acak sistematis) dan penelitian ini dilakukan dari tanggal 17 April sampai dengan 24 April 2012. Masing-masing variabel yang diteliti di uji dengan menggunakan uji Chi-Square dengan a (0,05). Hasil penelitian ini menunjukkan bahwa 5,9% ibu mengalami hiperemesis gravidarum, 21,8% ibu dengan umur resiko tinggi, dan 30,0% ibu primigravida. Uji Chi-Square menunjukkan ada hubungan yang bermakna antara umur (p value = 0,000) dan paritas (p value = 0,000) dengan kejadian hiperemesis gravidarum. Diharapkan dapat menjadi masukan bagi pihak Rumah Sakit agar dilaksanakan penyuluhan dengan cara memberikan konseling terhadap ibu hamil tentang kehamilan dan persalinan, serta memberikan keyakinan bahwa mual muntah merupakan gejala fisiologi pada kehamilan.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Nlandu Roger Ngatu ◽  
Basilua Andre Muzembo ◽  
Nattadech Choomplang ◽  
Sakiko Kanbara ◽  
Roger Wumba ◽  
...  

Abstract Background Malaria is one of the most prevalent and deadliest illnesses in sub-Saharan Africa. Despite recent gains made towards its control, many African countries still have endemic malaria transmission. This study aimed to assess malaria burden at household level in Kongo central province, Democratic Republic of Congo (DRC), and the impact of community participatory Water, Sanitation and Hygiene (WASH) Action programme. Methods Mixed method research was conducted in two semi-rural towns, Mbanza-Ngungu (a WASH action site) and Kasangulu (a WASH control site) in DRC between 1 January 2017 through March 2018, involving 625 households (3,712 household members). Baseline and post-intervention malaria surveys were conducted with the use of World Bank/WHO Malaria Indicator Questionnaire. An action research consisting of a six-month study was carried out which comprised two interventions: a community participatory WASH action programme aiming at eliminating mosquito breeding areas in the residential environment and a community anti-malaria education campaign. The latter was implemented at both study sites. In addition, baseline and post-intervention malaria rapid diagnostic test (RDT) was performed among the respondents. Furthermore, a six-month hospital-based epidemiological study was conducted at selected referral hospitals at each site from 1 January through June 2017 to determine malaria trend. Results Long-lasting insecticide-treated net (LLIN) was the most commonly used preventive measure (55%); 24% of households did not use any measures. Baseline malaria survey showed that 96% of respondents (heads of households) reported at least one episode occurring in the previous six months; of them only 66.5% received malaria care at a health setting. In the Action Research, mean incident household malaria cases decreased significantly at WASH action site (2.3 ± 2.2 cases vs. 1.2 ± 0.7 cases, respectively; p < 0.05), whereas it remained unchanged at the Control site. Similar findings were observed with RDT results. Data collected from referral hospitals showed high malaria incidence rate, 67.4%. Low household income (ORa = 2.37; 95%CI: 1.05–3.12; p < 0.05), proximity to high risk area for malaria (ORa = 5.13; 95%CI: 2–29-8.07; p < 0.001), poor WASH (ORa = 4.10; 95%CI: 2.11–7.08; p < 0.001) were predictors of household malaria. Conclusion This research showed high prevalence of positive malaria RDT among the responders and high household malaria incidence, which were reduced by a 6-month WASH intervention. DRC government should scale up malaria control strategy by integrating efficient indoor and outdoor preventive measures and improve malaria care accessibility.


2011 ◽  
Vol 58 (2) ◽  
pp. 163-164 ◽  
Author(s):  
I. T. Runsewe-Abiodun ◽  
M. Efunsile ◽  
B. Ghebremedhin ◽  
A. S. Sotimehin ◽  
J. Ajewole ◽  
...  

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