scholarly journals PERBEDAAN TINGKAT PENGETAHUAN DAN SIKAP IBU HAMIL TENTANG TOKSOPLASMOSIS

2020 ◽  
Vol 8 (1) ◽  
pp. 47-53
Author(s):  
Betta Kurniawan ◽  
Jhons Fatriyadi Suwandi ◽  
Dwirahmi Arniamantha

ABSTRACT Background: Toxoplasmosis is an infection caused by protozoan Toxoplasma gondii which has complex life cycle in warm-blooded organisms, including human as intermediate hosts and cats as definitive hosts. This infection transmits through orofecal, blood transfusion, organ transplantation from infected donors and vertically from mothers to the fetus per placenta. High rate of seroprevalency among pregnant women shows the importance of educating pregnant women about toxoplasmosis and the preventive behaviours. This study purpose is to determine the differences of knowledge levels and behaviours about toxoplasmosis between pregnant women in Kemiling Primary Health Care and obstetric clinic in Bandar Lampung. Methods: This is a descriptive-analytic study with cross-sectional approachment using questionairs as the instrument of the study. The number of subjects in this study is 106 pregnant women. Statistic analysis that is used is Chi Square Test. Results: The good knowledge levels and behaviours in Kemiling Primary Health Care is 22,6% while in the obstetric clinic it reached 75,5%. As the result of bivariate analysis, the p value is 0,001. Conclusions: In conclusion, there is a significant difference of knowledge levels and behaviours about toxoplasmosis between pregnant women in Kemiling Primary Health Care and obstetric clinic in Bandar Lampung. Keywords : behaviour, knowledge, pregnant women, toxoplasmosis, Toxoplasma gondii   ABSTRAK Latar Belakang: Toksoplasmosis adalah penyakit infeksi yang disebabkan oleh protozoa Toxoplasma gondii yang memiliki siklus hidup kompleks pada organisme berdarah panas, termasuk manusia sebagai hospes perantara dan kucing sebagai hospes definitif. Infeksi ini menular secara orofekal, transfusi darah, transplantasi organ dari pendonor yang positif terinfeksi atau juga terjadi pada saat kehamilan dari ibu ke janin melalui plasenta. Tingginya tingkat prevalensi toksoplasmosis pada ibu hamil menunjukkan pentingnya edukasi bagi ibu hamil untuk meningkatkan pengetahuannya tentang toksoplasmosis dan perilaku pencegahannya. Tujuan dari penelitian ini adalah mengetahui perbedaan tingkat pengetahuan dan sikap ibu hamil tentang toksoplasmosis di Puskesmas Kemiling dan klinik spesialis di Bandar Lampung. Metode: Penelitian ini bersifat deskriptif analitik dengan pendekatan cross-sectional dengan menggunakan kuesioner sebagai instrument penelitian. Jumlah subjek pada penelitian ini yaitu sejumlah 106 ibu hamil. Analisis statistik yang digunakan adalah Uji Chi Square. Hasil: Tingkat pengetahuan dan sikap yang baik sebesar 22,6% di Puskesmas Kemiling dan sebesar 75,5% di klinik spesialis kandungan di Bandar Lampung. Hasil analisis bivariat didapatkan p value sebesar 0,001. Kesimpulan: Terdapat perbedaan tingkat pengetahuan dan sikap ibu hamil tentang toksoplasmosis di Puskesmas Kemiling dan klinik spesialis kandungan di Bandar Lampung. Kata Kunci : ibu hamil, pengetahuan, sikap, toksoplasmosis, Toxoplasma gondii

Author(s):  
Sity Kunarisasi ◽  
Imran Pambudi ◽  
Asri Mutiara Putri ◽  
Nurhanifah Hamdah

Tuberculosis is a public health issue. Prevalence of tuberculosis in 2017 is estimated 824.000 cases in which making Indonesia the third country in the world with biggest burden TB and the seventh country with biggest burden in HIV-TB. PITC in primary health care is a Health Ministry program. PITC is the only test and counseling to motivated TB patient to get HIV test. The aim of this study is to analyze relationship between age and gender with the success of PITC in TB patients to know the HIV status at Medan in 2017. Method This research is a descriptive-analytic study with cross-sectional approach. the population in this study is TB patients with age 15-49 years old wo had TB diagnosed either with bacteriologic or clinical in primary health care at Medan in 2017. Medan is chosen because Medan is one of eight cities with the highest burden of TB and HIV in Indonesia, also it has complete recording of TB patients. The sample of this study is all TB patients in primary health care at Medan in 2017 who had PITC in total 2.228 from all TB patients in total 5.039 patients. Data analysis using SPSS to search for p value and Odds Ratio (OR). Result 250 of 2.228 (11,22%) patients is positive in HIV test. Statistics analysis using chi-square test shows p value 0.000 (p<0.05) and OR = 1.905 for relationship between gender and HIV test positive. Also, p value of 0,006 (p<0,05) and OR = 1.459 for relationship between age and HIV test positive. In this study with the implementation of PITC in TB patients in primary health care at Medan there is a relationship between sex and age with HIV infection.


2021 ◽  
Vol 13 (1) ◽  
pp. 1
Author(s):  
Tiwik Suci Pratiwi ◽  
Edza Aria Wikurendra ◽  
Ririh Yudhastuti ◽  
Yudhied Agung Mirasa

Introduction: Primary health care Putat Jaya is an area with the highest number of DHF cases out of the three primary health care in Sawahan District, Surabaya City. The number of breeding sites for mosquitoes and the density of larvae can be the risk factors that affect mosquitoes’ spread. Maya Index is an indicator to measure the number of water reservoirs used as breeding grounds for mosquitoes. This study aims to analyze behavioral factors towards virtual index in dengue-endemic areas in the Primary health care Putat Jaya Surabaya. Methods: The research used observational type with a cross-sectional design. The population of this study was all houses in the highest endemic. The sample consisted of 100 houses taken randomly, with research variables including mosquito nests eradication behavior and Maya Index status. Data collection used questionnaires and direct observation. The data were presented in the form of distribution tables and statistically analyzed with the chi-square test. Results and Discussion: The results showed the Maya Index of 74 houses in the high category. There was a significant relationship between the respondent’s behavior (knowledge, attitude, action) and the Maya Index. Analysis of the relationship between respondents’ knowledge and Maya Index showed that the p-value = 0.00. Analysis of the relationship between respondents’ attitudes with the Maya Index shows that p-value = 0.02. Furthermore, there was a significant relationship between the respondent’s actions and the Maya Index with a p-value = 0.03. Conclusion: Based on the results of research, community behavior (Knowledge, Attitude, Action) has a significant relationship with the Maya Index level, and the high virtual index affects the risk level of DHF transmission. Knowledge was the most potential factor that affected the Maya Index. It is suggested that the community will often strive to eradicate mosquito nests independently and regularly as well as increase community knowledge with the help of community health center officers regarding the eradication of mosquito nets.


2018 ◽  
Vol 71 (suppl 1) ◽  
pp. 646-651 ◽  
Author(s):  
Dândara Nayara Azevêdo Dantas ◽  
Bertha Cruz Enders ◽  
Déborah Raquel Carvalho de Oliveira ◽  
Caroline Evelin Nascimento Kluczynic Vieira ◽  
Ana Angélica Rêgo de Queiroz ◽  
...  

ABSTRACT Objective: To identify social, clinical and behavioral factors of tuberculosis patients that are associated with delay in the search for primary health care. Method: This is a cross-sectional, quantitative study conducted with 56 people on treatment for pulmonary tuberculosis in the city of Natal, in the state of Rio Grande do Norte, Brazil. The data were collected through a structured instrument. The Chi-square and Fisher tests were applied to test the association between independent and dependent variables (search time). A value of p <0.05 was set as statistically significant. Results: No social or clinical variables were statistically associated with patient delays in the search for primary health care. Among the behavioral variables, self-medication and the first health service sought had a statistically significant association with the time for seeking care (p = 0.020, and p = 0.033, respectively). Conclusion: Self-medication contributes to the delay in the search for primary health care by tuberculosis patients.


2020 ◽  
Vol 5 (2) ◽  
pp. 105
Author(s):  
Junaidar Junaidar ◽  
Melania Hidayat ◽  
Hafnidar A Rani ◽  
Milza Oka Yussar

The quality of health services is measured by 3 components, namely input (HR, Infrastructure,) process (reliability), and output (product results). If the program's achievements do not reach the target, the quality of primary health care services can be doubted. The research objective is to determine the achievements of the program with the level of accreditation of health centers. The study uses a descriptive-analytic method with a cross-sectional design, using secondary data essential nutrition programs. The population and sample are all primary health care in Aceh Province that are accredited or not accredited, data collection is carried out in the program and data section of the Aceh Health Office and the statistical tests used are chi-square and odds ratio using STATA 13 software. The results of the study indicate, that malnutrition that receives care with low performance, children under five are weighed with low performance and low LBW cases have a relationship with the level of accreditation (p-value <0,05). In conclusion, several nutrition programs related to primary health care accreditation are malnourished children receiving treatment, LBW, and weighing under five. While the achievements of other nutrition programs do not show a relationship with the accreditation of primary health care. Suggestions, to create excellently and quality service, the health center must be able to improve program achievements according to the Government's target either in accordance with one of the indicators namely the strategic plan and health indicators.


2019 ◽  
Vol 14 (2) ◽  
Author(s):  
Niken Meilani ◽  
Nanik Setiyawati ◽  
Sammy Onyapidi Barasa

Curing and eradicating Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (AIDS) are to the core principles of the United Nations’ Sustainable Development Goals (SDGs). The incidence of HIV in the world remains high. Although midwives play a pivotal role in PMTCT implementation, the factors associated with midwives’ role in its implementation are not well understood. The aim of this study was to determine factors associated with midwives’ role in implementation of PMTCT. This study used a cross-sectional design. The subjects were 80 midwives at 14 primary health care in Yogyakarta City, Indonesia. The study was conducted from April to August 2017. Data were analyzed through univariate, bivariate with chi-square and Fisher’s exact test, multivariate with logistic regression. The results showed that 47.5% of midwives were in the poor category regarding implementation of PMTCT. Information availability through socialization (p-value = 0.047) and knowledge level (p-value = 0.016) were found to be related to PMTCT implementation. There was no relationship between age, length of work, education level, marital status, availability of information, midwife’s attitude, perception of the availability of facilities and institutional support with midwife behavior in PMTCT implementation. Multivariate analysis showed that level of knowledge was the most dominant factor affecting PMTCT implementation (OR:6.2; CI 95% = 1.8-21.4). We recommend that efforts should be made to continuously improve the knowledge of midwives on PMTCT implementation through peer support and training in order to achieve sustainable development goals.


2021 ◽  
Vol 5 (1) ◽  
pp. 271-281
Author(s):  
Ayulia Fardila Sari ZA ◽  
Syafrawati Syafrawati ◽  
Laa Tania Fizikriy

Introduction: Health workers are groups that are vulnerable to contracting COVID-19. There are 20 health workers in West Sumatra test positive for COVID-19 until April 30th 2020, while six of them are Padang primary health care officers. Using Personal Protective Equipment (PPE) is important to prevent and reduce COVID-19 transmission risk of health workers. This study aimed to measure factors of using PPE for Padang primary health care officers. Methods: Research used a quantitative method with cross sectional design in 12 Padang primary health care from March to July 2020. Independent variables were age, PPE availability, leadership support, knowledge, and attitudes. Dependent variable was PPE usage behavior. Research population was health care officers who directly contacted with people in Padang primary health care area with 100 samples. Primary data collection used questionnaire with accidental sampling technique and analyzed using bivariate analysis. Results:There was a significant relationship between age and PPE usage behavior for health care officers, p value=0.037 (p


2020 ◽  
Author(s):  
Kareem Fattah Aziz ◽  
Yousif Bahadin ◽  
Moslih Saber kareem

Abstract Background and objectives: The term 'professionalism' refers to the conduct, qualities, and goals that characterize a profession and usually describes behaviors that are expected of the members of the profession. Healthcare suppliers demonstrate expertise by attitudes, knowledge, and behaviors that reflect a multi-faceted approach to the regulations, principles, and standards underlying successful clinical practices . The objective of this study is to identify knowledge, practices and attitudes of nurses regarding professionalism and to identify association between variables and (knowledge, practices, attitudes) of nurses regarding professionalism. Methods: Research design: it is a descriptive cross sectional design. The study conducted in main primary health care centers and hospitals in Erbil city. The study was conducted from 1-6-2018 to 1-10-2018. Non- probability sampling technique was done for data collection, the estimated sample size included (100) nurses out of 400 nurses who work in health care centers and hospitals. Data were collected with interview technique with nurses, using the standardized questionnaire. The questionnaire consists of four main parts. The data was analyzed through the application of SPSS program version 23. (Statistical Package for social Science), Results: The results of this study revealed that majority of nurses have (44%) fair knowledge (50%) fair practices and (87%) fair attitudes regarding professionalism and also there was significant association between their level of education and professionalism about (knowledge, practices and attitudes) which represented (P-Value= 0.001) while there was not significant association between other variables and professionalism as for knowledge, practice and attitude (P-value <0.05). Conclusion: The outcomes of this study revealed that majority of nurses have fair knowledge, practices and attitudes regarding professionalism and also there was significant association between their level of education and professionalism while there was not significant association between other variables and professionalism.


2020 ◽  
Vol 4 (3) ◽  
pp. 343-350
Author(s):  
HOSEA YAYOCK ◽  
N. O. Osageide ◽  
H. Mande ◽  
H. Habib ◽  
I. Zamani

A cross sectional study designed to assess the difference in level of Awareness, Access and Use of Long Lasting Insecticidal Nets (LLINs) from consenting pregnant women aged between 15 to 40 years attending routine ante-natal clinic sessions at Kaduna State University (Barau Dikko) Teaching Hospital, General Hospital Kawo, Primary Health Care Badarawa, Primary Health Care Angwan Romi and General Hospital Sabon Tasha. A total of 360 questionnaires were distributed, but only 308 returned completed. Also, mosquito samples were collected in 30 randomly selected households of the consenting pregnant women that were within three kilometer radius range of the antenatal clinic for 12 weeks’ period. A one-way ANOVA was conducted using SPSS statistical package version 22. The result revealed that there was no significant difference (P> 0.05) in level of Awareness (92.53%), Access (75.32%) and Use (67.86%) of Long Lasting Insecticidal Nets (LLINs) among the pregnant women attending the various ante-natal hospitals/primary health care facilities. A total of 344 larvae samples were encountered and identified as Culex species 259(75.29%) and Aedes species 85(24.71%). Awareness, Access and Use of LLINs is relatively similar; while the mosquito species are vectors of Filariasis, Yellow fever, Dengue fever and can be prevented by the use of LLINs. ______________________________________________________________________________ Key word: Kaduna Metropolis, LLINs Awareness, Access and Use, Mosquito Preventive


2018 ◽  
Vol 21 (2) ◽  
pp. 92-89
Author(s):  
Dina Dewi Anggraini ◽  
Windhu Purnomo ◽  
Bambang Trijanto

Anemia is a major cause of bleeding. And iron defi ciency is a major cause of anemia. Pregnant women have a high risk of iron defi ciency anemia. The prevention of iron defi ciency anemia is done through an iron supplementation program with a daily dosing of 1 consecutive tablet for at least 90 days during pregnancy. Fe1 and Fe3 coverage at Primary Health Care of Kediri City South Region is 69.81% and 66.29%. This coverage is still below the target program 95% of 2014. This study to analyze the infl uence of interaction of pregnant mother with health worker on compliance to consume iron tablet (Fe) and anemia in pregnant mother at Primary health Care of Kediri City South Region. Analytical observation with cross sectional design. The population consists of 63 trimester pregnant women III. With a simple random sampling technique, a sample of 34 trimester pregnant women III who have received 90 iron tablets (Fe). Data were obtained from questionnaires, Maternal and Child Health books, and in-depth interviews. Data analysis using ordinal regression and binarylogistic regression. Hypothesis of research that there is infl uence of interaction of pregnant woman with health worker to compliance consume iron tablet (Fe) at pregnant mother at Primary Health Care of Kediri City South Region. There was an effect of interaction of pregnant women with health workers with good category and suffi cient compared to the less category of compliance of pregnant women consuming iron tablet (Fe) (p = 0.000 < 0.05), and there was considerable compliance effect compared with non compliance iron tablet (Fe) to anemia in pregnant mother (p = 0.012 < 0.05). The better the interaction of pregnant women with health workers, the more likely the pregnant women to obediently consume iron tablets (Fe) to prevent anemia during pregnancy. Abstrak Anemia merupakan penyebab utama terjadinya perdarahan. Dan kekurangan zat besi merupakan penyebab utama terjadinya anemia. Ibu hamil mempunyai risiko yang tinggi untuk mengalami anemia defi siensi besi. Penanggulangan anemia defi siensi besi dilakukan melalui program pemberian suplemen zat besi dengan dosis pemberian sehari sebanyak 1 tablet berturut-turut minimal selama 90 hari selama kehamilan. Cakupan Fe1 dan Fe3 di Puskesmas Kota Wilayah Selatan Kota Kediri yaitu sebesar 69,81% dan 66,29%. Cakupan ini masih berada di bawah target program tahun 2014 yaitu sebesar 95%. Penelitian ini untuk menganalisis pengaruh interaksi ibu hamil dengan tenaga kesehatan terhadap kepatuhan mengonsumsi tablet besi (Fe) dananemia pada ibu hamil di Puskesmas Kota Wilayah Selatan Kota Kediri. Observasi analitik dengan rancang bangun cross sectional. Populasi terdiri dari 63 ibu hamil trimester III. Dengan teknik simpel random sampling, sampel sebanyak 34 ibu hamil trimester III yang telah mendapatkan 90 tablet besi (Fe). Data diperoleh dari kuesioner, buku Kesehatan Ibu dan Anak, dan wawancara yang mendalam. Analisis data dengan menggunakan regresi ordinal dan regresi logistik biner. Hipotesis penelitian yaitu ada pengaruh interaksi ibu hamil dengantenaga kesehatan terhadap kepatuhan mengonsumsi tablet besi (Fe) pada ibu hamil di Puskesmas Kota Wilayah Selatan Kota Kediri. Hasil penelitian ini ada pengaruh interaksi ibu hamil dengan tenaga kesehatan dengan kategori baik dan cukup dibandingkan dengan kategori kurang terhadap kepatuhan ibu hamil mengonsumsi tablet besi (Fe) (p = 0,000 < 0,05),dan ada pengaruh kepatuhan yang cukup dibandingkan dengan tidak patuh mengonsumsi tablet besi (Fe) terhadap anemia pada ibu hamil (p = 0,012 < 0,05). Semakin baik interaksi ibu hamil dengan tenaga kesehatan, maka semakin cenderung ibu hamil untuk patuh mengonsumsi tablet besi (Fe) untuk mencegah anemia pada masa kehamilan.


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