Rubella Outbreak in School Age Children in Kulon Progo District, Yogyakarta

2020 ◽  
Author(s):  
Siti Nurfadilah H ◽  
◽  
Riris Andono Ahmad ◽  
◽  
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Health Center ◽  
Health Centers ◽  
School Age Children ◽  
Bivariate Analysis ◽  
School Age ◽  
Public Health Center ◽  
The Public ◽  
The Village

ABSTRACT Background: On 24 November 2015, public health center Kokap 2 reported an outbreak of suspected measles in the village of Hargowilis. In Kokap District, outbreaks of suspected measles have never occurred in school-age children in the last three years. This study aims to ascertain the suspected measles outbreaks and identify risk factors, sources, and transmission routes. Subjects and Method: This was a matched case control study conducted from November 2015 to January 2016, in Hargowilis Village, Central java. A Sample of 21 who has the main clinical symptoms suspected of measles such as: fever, rash and followed by one of the symptoms of cough, flu, and red eyes (cases) and classmates who did not have case-like symptoms (control) were selected by snowball sampling. The data were analyzed using McNemar’s test and logistic regression. Results: Five out of ten sera tested were positive for rubella. There were 21 total cases. None of the pregnant women was a rubella case. Most of the patients were male (61.90%) with ages ranging from 5 to 11 years (71.43%) and were served at the public health center (80.95%). The case index is a student who travels in the District of Wates. The highest number of cases was at week 46 of 2015 (9 cases). Bivariate analysis showed that contact history (OR = 0.14; 95% CI 0.03 to 0.39; p = <0.001) and age (OR = 0.06; 95% CI 0.00 to 0.24; p = <0.001) were risk factors for this Rubella outbreak. Conclusion: There has been an outbreak of rubella in the village of Hargowilis, Yogyakarta. Public health centers are recommended to provide information to the public about rubella. Health workers need to take all blood serum cases to confirm outbreak. Public health centers are suggested to strengthen the surveillance system for measles and rubella. Keywords: Rubella, risk factors, Public health center, outbreaks Correspondence: Siti Nurfadilah H. Center for Health Policy and Management (PKM) Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta. Email: [email protected]. Mobile: 085255987009 DOI: https://doi.org/10.26911/the7thicph.01.20

scholarly journals Social economy and dietary patterns with incidence of stunting in elementary school children at working area of Lapai public health center Padang

2020 ◽  
Vol 7 (7) ◽  
pp. 2483
Author(s):  
Dasril Oktariyani ◽  
Yuni Resi Fitri ◽  
Rahmatiqa Chamy
Keyword(s):  
Public Health ◽  
Socioeconomic Status ◽  
Elementary School ◽  
Health Center ◽  
School Children ◽  
Dietary Patterns ◽  
Elementary School Children ◽  
School Age Children ◽  
School Age ◽  
Public Health Center

Background: The incidence of stunting in the Lapai Public Health Center has increased. The incidence of stunting in primary school-age children 6-12 years is a manifestation of stunting in infants, with 84 cases. Socio-Economic Level and Dietary Patterns are one of the factors that influence stunting. The aim of the study was to determine the socioeconomic and dietary patterns with the incidence of stunting in elementary school children in Lapai Public Health Center, Padang.Methods: This type of research is observational analytic with case-control study program. The study period was June 2019 with a sample of 19 cases and 19 controls. Data collection using questionnaires and univariate analysis using descriptive statistics in the form of frequency and percentage distributions while bivariate with chi-square test α 0.05.Results: From the results of the case group more than half (63.2%) of respondents have high socioeconomic status, more than half (63.2%) of respondents have good dietary patterns, there is no relationship between socioeconomic status with the stunting incidents and there is a meaningful relationship between dietary patterns and stunting incidents. From analysis, the OR value was 14 times the risk of stunting in elementary school children in Lapai Public Health Center.Conclusions: Dietary patterns in school-age children have an important role in improving nutritional status. It is recommended for families to pay attention to children's dietary patterns, adjust their diet according to schedule and accompany children when eating and to the health center to provide counselling to families to play a role in providing care for the child's eating.

scholarly journals Risk factor of pneumonia on toddler at puskesmas (public health center) I South Denpasar

2018 ◽  
Vol 6 (7) ◽  
pp. 2217
Author(s):  
Ethi Yudiastuti Kadek ◽  
Dewianti Ni Made
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Risk Factor ◽  
Health Center ◽  
Multivariate Analyses ◽  
Case Control ◽  
Research Data ◽  
Bivariate Analysis ◽  
Public Health Center ◽  
Emergency Fund

Background: The death of toddler due to pneumonia is still high because its risk factor still exist and has not been managed properly. United Nations International Children’s Emergency Fund (UNICEF) states that in 2011 there was 1.3 million deaths of children below five years old (toddler) and 14% of the number was caused by pneumonia.Methods: The design for this research was case control with 27 cases and 27 controls. The case was toddlers who were diagnosed with pneumonia by doctor of public health center (hereafter Puskesmas), aged 0-59 months and were recorded in the ill toddler register from January 1, 2016 until December 31, 2016, meanwhile control was healthy toddlers who were invited to Puskesmas during the research. Data was collected through interview, observation and measurement using questionnaire. Univariate, bivariate, multivariate analyses were performed using Stata SE 12.1.Results: Bivariate analysis showed that two years of breastfeeding and ARI frequency, as the risk factors of pneumonia on toddler. From bivariate analysis, it was found that the risk factor which was proven to be significant and increased pneumonia on toddler was OR ARI with the value of 5.67 (95% CI:1.16-27.82).Conclusions: ARI frequency as the risk factor of pneumonia on toddler at Puskesmas I South Denpasar.

scholarly journals MENINGKATKAN MUTU PELAYANAN KESEHATAN DENGAN PENERAPAN UPAYA KESELAMATAN PASIEN DI PUSKESMAS

2018 ◽  
Vol 6 (2) ◽  
pp. 149
Author(s):  
Nurul Hidayatul Ulumiyah
Keyword(s):  
Public Health ◽  
Patient Safety ◽  
Health Service ◽  
Service Quality ◽  
Health Center ◽  
Health Centers ◽  
Health Ministry ◽  
Public Health Center ◽  
The Public ◽  
Health Service Quality

Background: Patient safety is an indicator of health service quality that becomes an important issue although data of patient safety incident at primary health care are not always accurate in Indonesia. Public health center is a health service facility that implements patient safety to improve the health service quality as stated in Health Ministry Law Republic of Indonesia Number 36 Year 2009.Aim: The aim of this study was to identify the implementation of patient safety to improve the service quality.Method: Data collection techniques used were observation, interview, and literature study. The research was done at a public health center in Surabaya from January to February 2018.Results: The results showed that the implementation of patient safety at the public health center was adjusted to the accreditation standard of the public health center. However, there are still some obstacles and shortcomings in the fulfillment of patient safety standards, so it is necessary to optimize the implementation of patient safety from all stakeholders.Conclusion: It can be concluded that public health centers should provide safe and qualified services to achieve healthy disctrict. The public health centers also need to improve the patient safety according to Health Ministry Law Republic of Indonesia Number 36 Year 2009.Keywords: health service quality, patient safety, public health center

scholarly journals Evaluation of the Tuberculosis Prevention Program in the Discovery of Tuberculosis Cases in Nosara Public Health Center Palu City

2021 ◽  
Vol 9 (E) ◽  
pp. 1200-1206
Author(s):  
Muhammad Rizki Ashari ◽  
Irma Apriani ◽  
Firmansyah Firmansyah ◽  
Fitrianty Sutady Lanyumba
Keyword(s):  
Public Health ◽  
Health Center ◽  
Program Implementation ◽  
Sampling Technique ◽  
Health Centers ◽  
Public Health Center ◽  
The Public ◽  
Study Approach ◽  
Tuberculosis Prevention

BACKGROUNDS: Tuberculosis is an infectious disease caused by Mycobacterium Tuberculosis. The case in Indonesia rank third with the highest number of TB case in the world. There were 511,873 cases of tuberculosis of all types in 2018. Based on data from the Palu Health Office, the TB cases in Palu in 2018 were still high numbered 557 cases. In 2019, Nosarara Public Health Center had the lowest case finding among the 13 health centers in Palu with 17 TB case findings. The absence of a laboratory in Nosarara Public Health Center for examining sputum samples affected the output in program implementation. AIM: The aim of this study is to evaluate the Control of Tuberculosis in the Discovery of Tuberculosis Cases in Nosarara Public Health Center Palu. MATERIALS AND METHODS: This research used qualitative method with a case study approach. The research informants were 6 people selected through purposive sampling technique. RESULTS: The results summarizes the following : the input aspect in terms of human resources in quantity and quality is inadequate because TB program holders have multiple tasks so that they are not maximal in carrying out their duties and have never attended training, sufficient funds, inadequate facilities and infrastructure, and methods according to guidelines. CONCLUSION: The process of planning, organizing, implementing and supervising has not been maximal, meanwile the output of TB case detection (22%) has not yet reached the predetermined target (80%).It is expected that the Public Health Center will add more health personnel, complete facilities and infrastructure in order to maximize program implementation to achieve predetermined targets.

scholarly journals An Overview of the Knowledge and Motivation of IMCI Staff Regarding the Implementation of IMCI at the Lubuk Buaya Public Health Center, Padang

2021 ◽  
Vol 2 (1) ◽  
pp. 12-16
Author(s):  
Eza Yuliarni ◽  
Nurhayati Siregar ◽  
Yofa Sukmawati
Keyword(s):  
Public Health ◽  
Health Center ◽  
Integrated Management ◽  
Sampling Technique ◽  
Health Centers ◽  
Hospital Level ◽  
Public Health Center ◽  
The Public ◽  
High Knowledge ◽  
High Motivation

Introduction: Indonesia is one of the developing countries with a high under-five mortality rate due to the rough handling of Integrated Management of Childhood Illness (IMCI). Diseases that cause death can generally be treated at the hospital level, but it is still difficult at the public health center level. Public Health Centers have implemented (IMCI). Suppose they meet the criteria for implementing/implementing the IMCI approach at least 60% of the number of visits by sick toddlers. This study aimed to describe the knowledge and motivation of IMCI implementers regarding the implementation of IMCI at Lubuk Buaya Public Health Center, Padang, in 2014. Method: This research is descriptive. This research was conducted at the Lubuk Buaya Health Center Padang in May 2014. The population in this study were all IMCI implementers who were actively working at the Lubuk Buaya Public Health Center, Padang, with 37 people. Sampling with total sampling technique and analyzed univariately. Results: From 37 staff implementing IMCI, it was found that 31 (83.8%) staff had implemented IMCI well, 36 (97.3%) staff had high knowledge, and 23 (62.2%) staff had high motivation. Conclusions: This study shows that the knowledge and motivation of IMCI implementers are good in implementing IMCI. It is hoped that every IMCI implementer will further increase knowledge about IMCI and its performance so that all sick toddlers get the best IMCI services to prevent death in these toddlers.

scholarly journals Perancangan Software As A Service (SAAS) untuk Sistem Pelayanan Kesehatan Ibu dan Anak (PKIA) pada Puskesmas Se-Kota Mataram Berbasis Cloud Computing

2019 ◽  
Vol 6 (5) ◽  
pp. 485
Author(s):  
Andy Hidayat Jatmika ◽  
Royana Afwani ◽  
Nadiyasari Agitha
Keyword(s):  
Public Health ◽  
Health Center ◽  
Service Oriented Architecture ◽  
Patient Data ◽  
Software As A Service ◽  
Health Centers ◽  
Use Case ◽  
Public Health Center ◽  
The Public ◽  
Service Oriented

<p> </p><p>Saat ini sistem pengolahan data pasien layanan KIA di semua puskesmas di kota Mataram masih dikerjakan dengan  cara  konvensional  atau  belum  memanfaatkan teknologi sistem informasi. Permasalahan yang muncul dari pihak puskesmas adalah lambatnya proses pelayanan pasien yaitu dalam hal pendataan pasien dan pencarian data pasien, serta tingginya  tingkat  kesalahan  dalam  pengolahan  data  pasien  misalnya data  pendaftaran,  data  pemeriksaan,  dan data rujukan. Permasalahan dari sisi pasien adalah pasien harus datang ke puskesmas jika ingin mendaftar, pasien harus mendaftar sebagai pasien baru lagi jika ke puskesmas yang berbeda, pasien masih menggunakan buku KIA untuk mendapatkan informasi dan melihat catatan hasil konseling yang memiliki resiko rusak atau hilang, serta pasien kesulitan untuk melakukan monitoring terhadap perawatan kesehatannya. Keberadaan teknologi <em>cloud</em> <em>computing</em> dengan layanan <em>Software as a Service (SaaS)</em> dapat memberikan solusi untuk permasalahan tersebut. <em>SaaS</em> merupakan model bisnis untuk menyampaikan aplikasi dalam bentuk layanan. <em>SaaS</em> untuk sistem PKIA akan sangat berguna bagi puskesmas dalam mengelola data pasien, sedangkan bagi pasien akan mempermudah mendapatkan informasi dan mempercepat proses layanan. Tujuan penelitian ini adalah membuat rancangan <em>SaaS</em>  untuk sistem PKIA dimana nantinya seluruh Puskesmas di Kota Mataram yang telah tergabung dalam <em>community</em> <em>cloud</em> <em>computing</em> memiliki keseragaman sistem dalam mengelola data pasien dan dapat diakses dari puskesmas mana saja. Terdapat dua metode yang digunakan pada penelitian ini yaitu (1) analisis layanan bisnis, (2) analisis kebutuhan sistem, dan (3) analisis <em>service oriented architecture</em>. Data yang digunakan dalam penelitian ini diambil saat dilakukan observasi langsung dan pengumpulan data di puskesmas wilayah Mataram. Hasil akhir penelitian ini berupa (1) <em>prototype</em> model layanan bisnis PKIA puskesmas yang digambarkan dalam bentuk <em>use case diagram</em> sebagai bagian dari<em> </em>layanan <em>SaaS</em> serta (2) <em>prototype</em> <em>web service.</em> Berdasarkan hasil wawancara dengan pihak Puskesmas yang terdiri dari bidan dan petugas, hasil rancangan ini telah sesuai dengan apa yang diharapkan.  Perancangan ini diharapkan dapat dijadikan dasar dalam implementasi perangkat lunak sistem PKIA puskesmas se-Kota Mataram berbasis <em>cloud</em> SaaS.</p><p> </p><p><em><strong>Abstract</strong></em></p><p class="Abstract"><em>Currently, patient data processing system of PKIA services in public health centers in Mataram city is still doing conventional way that is not yet utilize information technology. The problems that arise from public health centers are: a long service process which includes patient data collection and patient data retrieval, and the number of errors in the processing of patient data, such as registration data, examination data, and referral data. Problems from the patient that the patient must come if will do the registration, must register as new patient if to the different public health centers, still use the manual book to get information and see the record of counseling results that have the risk of damaged or lost, and difficulty in monitoring health care. The existence of cloud computing technology with Software as a Service (SaaS) can provide solutions to these problem. SaaS is a business model for delivering applications in the form of services. SaaS for PKIA will be very useful for public health center to manage patient data, patient will be more efficient easier to get service and get information. The purpose of this research is to design the SaaS for PKIA system where the public health center in Mataram City which is incorporated in community cloud  has uniform system in managing data.. This research uses three methods: (1) business service analysis, (2) system requirement analysis, and (3) service oriented architecture analysis. The data used in this research was taken when doing observation and data collection at public health center of Mataram city. The results of this research are (1) prototype of PKIA business service model which is described in the form of use case diagram as part of SaaS service and (2) prototype of  web service. Based on the results of interviews conducted with the Public Health Center, the results of this design were as expected. This design can be used as a basis in the implementation of software on the system of PKIA based on cloud SaaS.</em></p><p><em><strong><br /></strong></em></p>

scholarly journals ANALYSIS OF THE NEEDS OF GENERAL PRACTITIONERS IN PUBLIC HEALTH CENTERS USING HEALTH WORKLOAD METHOD

2020 ◽  
Vol 6 (2) ◽  
pp. 63-69
Author(s):  
Muhammad Ikhsan Akbar ◽  
La Ode Ali Imran Ahmad
Keyword(s):  
Public Health ◽  
Health Center ◽  
General Practitioners ◽  
Health Centers ◽  
Work Time ◽  
Public Health Center ◽  
The Public ◽  
Optimal Service ◽  
Descriptive Approach ◽  
Method Analysis

Background: The availability of general practitioners in the public health center is still an important spotlight regarding the uneven distribution.Objective: The purpose of this study is to find out the total needs of general practitioners at public health centers, specifically at the Public Health Center of Tampo and Wapunto in Muna District.Methods: This study used a descriptive approach using health workload method analysis. Observation sheets were used for collecting data. Workload burden analysis was used by establishing health facilities and types of health human resources, setting available work time, setting workload components and time norms, calculating workload standards, supporting task standards and supporting task factors, and also calculating the needs of general practitioners.Results: The Public Health Center of Tampo lacked two general practitioners, and the Public Health Center of Wapunto lacked one general practitioner.Conclusion: The Public Health Centers of Tampo and Wapunto in Muna district need additional general practitioners in the efforts of providing optimal service particularly in preventive, promotive, curative and rehabilitative to the community. 

scholarly journals PELAKSANAAN PROGRAM PERKESMAS DI PUSKESMAS KOTA BENGKULU

2018 ◽  
Vol 10 (2) ◽  
pp. 195-204
Author(s):  
Hermansyah Hermansyah
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Center ◽  
Nurse Managers ◽  
Health Centers ◽  
Public Health Care ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Public Health Center ◽  
And Control

Public Health Care activities in Bengkulu city were only well implemented in Ratu Agung Public Health Center, Padang Serai Public Health Center, Beringin Raya Public Health Center, and Betungan Public Health Center. Public Health Center is regularly sent statements. There are 8751 households vulnerable in the city of Bengkulu, and 500 families who have fostered (5.71%). The purpose of this research was to determine the factors associated with the implementation of public health care in Bengkulu City. The type of this research was analytic cross-sectional design. The research population were public health care’s nurse managers in 20 public health centers in Bengkulu city, amounting 24 people. Samples were taken with a total sampling technique. Data were collected by using questionnaires and observation guidelines. The data were analyzed using univariate, bivariate analysis using Pearson product moment correlation test and chi-square. The results showed that almost half (45.8%) of respondents stated public health care implementation in public health centers were less category. The bivariate analysis showed that the independent variables associated with the implementation of public health center activities in Bengkulu city were variables of planning (p = 0.025) and control variables (p = 0.014), whereas the variables of training, knowledge, attitude, skill, organization, and mobilization/implementation were not connected. To improve the implementation of public health care activities in public health centers in Bengkulu city, Health Office should requires all public health center leaders implementing the good planning functions and control the human resource of nurse managers.

scholarly journals Factors Associated with Antenatal Care Visits at District Of Sungayang Health Center, Tanah Datar Regency In 2017

2017 ◽  
Vol 2 (1) ◽  
pp. 26
Author(s):  
Elsa Gebri Utami ◽  
Abdiana Abdiana ◽  
Ayu Nurdiyan
Keyword(s):  
Public Health ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Health Center ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Public Health Center ◽  
The Public ◽  
Expectant Mothers ◽  
Cross Sectional Design

Antenatal care visits is a behavioral form in the utilization of health services to monitor pregnancy in purpose of improving maternal and fetal health. At public health center of Sungayang, the visit for K1 and K4 did not reach the target for the past three years. In 2016 the coverage for K1 was 70,6% dan K4 47,8% meanwhile the public health center target coverage  for K1 is 97% and K4 95%. This demonstrate the lack of expectant mothers who make antenatal care visits in accordance with the standardsThis study was a quantitative study with cross sectional design conducted at district of Sungayang health center from November 2016 – September 2017. Population and sample of this research is all of the third trimester pregnant women which amounted to 41 women. Data collected by observation and questionnaire. Data analysis was performed using univariate and bivariate.          The results showed 68.3% of pregnant women do antenatal care visits according to the standard. The result of bivariate analysis shows that there is no correlation between age (p = 1,000) and job (p = 0,077), there is correlation between education (p = 0,017), attitude (p = 0,014), and support of husband (p = 0,034) with antenatal care visits at district of Sungayang health center in 2017.There is an association between education, attitude, and support of the husband with antenatal care visits and there is a tendency correlation between knowledge with antenatal care visits.

scholarly journals RISK FACTORS OF STUNTING EVENTS IN TODDLERS AGED 24-59 MONTHS

2021 ◽  
Vol 4 (4) ◽  
pp. 374
Author(s):  
Mufidah Binti Eka ◽  
Ilya Krisnana ◽  
Dominicus Husada
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Birth Weight ◽  
Health Center ◽  
Significant Risk ◽  
Birth Length ◽  
Bivariate Analysis ◽  
Maternal Height ◽  
Maternal Weight ◽  
Public Health Center

AbstractBackground: Stunting is one priority problem in Indonesia. The incidence of stunting in toddlers at the Tambak Wedi Public Health Center Surabaya in 2015 and 2016 were 31.3% and 33%, respectively. This study aims to analyze the risk factors for stunting in toddlers aged 24-59 months in  Tambak Wedi Health Center Surabaya. Method: This observational analytic research used cross sectional approach. The population in this study was 220 and the sample size was 110 mothers and toddlers. Samples were selected by proportional cluster random sampling from the population of 220 pairs mothers and toddlers. Independent variables of the  mothers include height, upper arm circumference, frequency of ANC visits, weight gain during pregnancy, meanwhile of the toddlers included birth length and birth weight. The dependent variable was stunting. Statistical analysis used chi-square  and multiple logistic regression tests. Results: There were 100 pairs of mother and toddlers in the study. Bivariate analysis showed a significant relationship between maternal height (p = 0.025, RR = 0.406), frequency of ANC visits (p = 0.017, RR = 0.382), increase in maternal weight during pregnancy (p = 0.017, RR = 0.328), the baby’s birth length (p = <0.001, RR = 0.256), and the baby's birth weight (p = <0.001, RR = 0.208) with stunting. Multivariate analysis showed maternal height and ANC visit as the significant risk factors of stunting. Conclusion: Maternal height and the frequency of ANC visits were the risk factors for stunting among toddlers aged 24-59 months in Tambak Wedi Public Health Center in Surabaya.

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