scholarly journals FAKTOR-FAKTOR INDIVIDU YANG BERHUBUNGAN DENGAN PELAKSANAAN MANAJEMEN TERPADU BALITA SAKIT DI SAMBAS

2017 ◽  
Vol 3 (2) ◽  
pp. 87
Author(s):  
Citra Trisna ◽  
Asfian Asfian

Abstract: Individual Factors Related To Implementation Of Integrated Management Of Childhood Illness (IMCI) In Sambas. Integrated Management of Childhood Illness (IMCI) is one of the government programs aimed at improving officer skills, strengthening health systems and improving care capabilities by families and communities. A public health centre is said to have implemented IMCI if it meets the criteria of carrying out IMCI at least 60% of the number of visits. Achievement of Implementation of IMCI at the public health centre in Sambas district in 2014 is still below 60%. Conducted research to determine the correlation between knowledge factor, performance and motivation toward the implementation of IMCI in public health centre Sambas District. This research was analytical descriptive with the cross-sectional design. The subjects of the study were the staff of the public health centre in Sambas district were 40 respondents. Data collection was done by using primary data through a checklist. Data were analyzed using univariate analysis with frequency distribution table and bivariate analysis using chi-square test. The result of bivariate analysis with chi-square test and significance of alpha 0,05 found no correlation between age (p-value = 0,905), knowledge (p-value = 0,064) and performance (p-value = 0,057) with IMCI implementation. Motivation factor (p-value = 0,013) had significant relation with IMCI implementation.Absrak: Faktor-Faktor Individu Yang Berhubungan Dengan Pelaksanaan Manajemen Terpadu Balita Sakit Di Sambas.Manajemen Terpadu Balita Sakit (MTBS) merupakan salah satu program pemerintah yang bertujuan untuk meningkatkan keterampilan petugas, memperkuat sistem kesehatan serta meningkatkan kemampuan perawatan oleh keluarga dan masyarakat. Puskesmas dikatakan sudah menerapkan MTBS apabila memenuhi kriteria melaksanakan MTBS minimal 60% dari jumlah kunjungan. Pencapaian Pelaksanaan MTBS pada puskesmas di wilayah Kecamatan Sambas tahun 2014 masih di bawah 60 %. Dilakukan penelitian untuk mengetahui hubungan faktor-faktor individu berupa pengetahuan, kinerja dan motivasi terhadap pelaksanaan MTBS di Puskesmas Wilayah Kecamatan Sambas. Penelitian ini bersifat deskriptif analitik dengan desain cross-sectional. Subjek penelitian adalah petugas Puskesmas wilayah kerja Puskesmas Sambas berjumlah 40 responden. Pengumpulan data dilakukan menggunakan data primer melalui cheklist. Data dianalisis menggunakan analisis univariat dengan tabel distribusi frekuensi dan analisis bivariat menggunakan uji chi-square. Hasil analisis bivariat dengan uji chi-square dan kemaknaan alpha 0,05 didapatkan tidak ada hubungan antara umur (p value = 0,905), pengetahuan (p value=0,064) dan kinerja (p value=0,057) dengan pelaksanaan MTBS. Faktor motivasi (p value= 0,013) mempunyai hubungan signifikan dengan pelaksanaan MTBS.

2021 ◽  
Vol 14 (4) ◽  
pp. 556-563
Author(s):  
Rilyani Rilyani ◽  
Lelly Sugiyati

Maternal nutritional status during pregnancy and effects on growth among infants 9-12 monthsBackground: Maternal nutritional status during pregnancy needs attention because it affects the development of the fetus they are carrying. During pregnancy are at risk of experiencing of chronic energy deficiency (CED) in adults if they have LILA <23.5 cm are at risk of maternal death, preterm delivery/low birth weight (LBW), death and impaired growth and development of infant. Base on data in Way Panji Public Health Centre reported that among maternal during pregnancy were of 43 (29.05%) who has LILA <23.5 cm.Purpose: To determine the relationship between maternal nutritional status during pregnancy and infant growth at the Way Panji Community Health Centre coverage area.Method: A quantitative by cross-sectional research, the population in this study were of 143 respondent as all maternal who had an infant aged 9-12 months in May 2020. Both of them observed such as a history of maternal nutritional status during pregnancy and infant growth when aged 9-12 months and bivariate analysis (Chi-Square).Results: Showing that the frequency distribution of maternal nutritional status during pregnancy, mostly with has sufficient in nutrition of 113 (79.0%) respondents and they have an infant with a normal growth of 107 (74.8%). There is a relationship between maternal nutritional status during pregnancy and infant growth (p-value 0.000: OR 5,314).Conclusion: There is a relationship between maternal nutritional status during pregnancy and infant growth in Way Panji Public Health Center coverage area Lampung-Indonesia. Suggestions to public health centre management to increase the promotion programme of maternal nutritional status during pregnancy and preventing poor growing of the infant by providing leaflets or posters also supplement nutritions for maternal during pregnancy.Keywords: Maternal; Nutritional status; Pregnancy; Infant; GrowthPendahuluan: Gizi ibu hamil perlu mendapat perhatian karena sangat berpengaruh pada perkembangan janin yang dikandungnya, Wanita hamil berisiko mengalami KEK jika memiliki LILA < 23,5 cm. ibu hamil dengan KEK berisiko melahirkan bayi berat lahir rendah (BBLR). BBLR akan membawa risiko kematian, dan gangguan pertumbuhan dan perkembangan anak. KEK juga dapat menjadi penyebab tidak langsung kematian ibu. Data dari Puskesmas Way Panji mengatakan bahwa terdapat 43 orang (29,05%) yang berisiko KEK dengan LILA < 23,5 cm.Tujuan: Diketahui Hubungan Status Gizi Ibu Masa Kehamilan Dengan Pertumbuhan Bayi Di Puskesmas Way Panji Kecamatan Way Panji Kabupaten Lampung Selatan Metode: Jenis penelitian kuantitatif dengan menggunakan metode penelitian crossectional , Subyek dalam penelitian ini adalah Ibu Masa Kehamilan, Variabel dependen : Pertumbuhan bayi, variabel independent : gizi ibu saat hamil,   populasinya paraibu yang telah melahirkan dan bayinya usia 9-12 bulan dengan total sampel berjumlah 143 responden/bayi, dilakukan pada bulan Juli-Agustus 2020, dengan analisa univariat dan bivariat (Chi-Square).Hasil: Didapatkan Distribusi frekuensi status gizi ibu masa kehamilan, sebagian besar dengan gizi baik yaitu sebanyak 113 (79,0%)  responden. pertumbuhan bayi kategori normal yaitu sebanyak 107 (74,8%). Ada hubungan status gizi ibu masa kehamilan dengan pertumbuhan bayi  (p-value 0.000 :  OR 5,314).Simpulan: Ada hubungan status gizi ibu masa kehamilan dengan pertumbuhan bayi di Puskesmas Way Panji, Disarankan kepadapihak manajemen Puskesmas setempat supaya dapat meningkatan upaya promosi guna penurunan kejadian pertumbuhan bayi yang abnormal dan membantu terpenuhinya kebutuhan gizi atau nutrisi pada saat ibu dalam masa kehamilan dengan cara pemberian leaflet atau poster.


2018 ◽  
Vol 5 (1) ◽  
pp. 17-24
Author(s):  
Eva Putriningrum ◽  
Nurul Khasanah

The exclusive breast milk is feed baby only with the breast milk until the age of six months without any additional liquid or food. The scope of exclusive breast milk in Yogyakarta does not reach the expected rate amount 80%,  one of them was in Public Health Centre of Kota Gede I. Low rate success of exclusive breast milk feeding was affected by many factors, such as lack of information regarding breast milk and misunderstanding of information about breast milk.  This research aims to analyze the correlation between education and age, with knowledge of pregnant women at third trimester about exclusive breast milk in Public Health Centre of Kota Gede I, Yogyakarta. The design of this research used analytic survey with a Cross-Sectional design and 30 pregnant women at third trimester as samples, with the saturated sampling technique. The statistical test used Chi-Square Test. This research showed that there is a correlation between education and knowledge with p-value of 0,019 and odd ratio value of 9,33; there is a correlation between age and knowledge with p-value of 0,004 and odd ratio value of 20,0. It can be concluded that there is a correlation between education and age, with knowledge about exclusive breast milk.  Keywords: Education, Age, Knowledge, Exclusive Breast Milk ABSTRAK  ASI eksklusif merupakan pemberian ASI saja pada bayi sampai usia enam bulan tanpa tambahan cairan ataupun makanan lainnya. Cakupan ASI eksklusif di Kota Yogyakarta belum mencapai angka yang diharapkan yaitu 80%, salah satunya adalah di Puskesmas Kotagede I. Rendahnya cakupan keberhasilan pemberian ASI eksklusif dipengaruhi banyak hal, salah satunya adalah kurangnya informasi mengenai ASI atau salah dalam memahami informasi mengenai ASI. Tujuan penelitian ini adalah untuk menganalisis korelasi antara pendidikan dan umur, dengan pengetahuan ibu hamil trimester III tentang ASI eksklusif di Puskesmas Kota Gede I Yogyakarta. Desain penelitian ini menggunakan survey analitik dengan rancangan Cross Sectional, dengan sampel 30 ibu hamil Trimester III dan menggunakan teknik sampling jenuh. Uji statistik yang digunakan adalah Chi Square. Hasil penelitian menunjukkan terdapat korelasi antara pendidikan dengan pengetahuan dengan nilai p sebesar 0,019 dan nilai odd ratio sebesar 9,33, dan terdapat korelasi antara umur dengan pengetahuan dengan nilai p sebesar 0,004 dan nilai odd ratio sebesar 20,0. Dapat disimpulkan bahwa terdapat korelasi antara pendidikan dan umur, dengan pengetahuan tentang ASI eksklusif.  Kata Kunci : Pendidikan, Umur, Pengetahuan, ASI Eksklusif.


Author(s):  
Achmad Farich ◽  
Dewi Kusumaningsih ◽  
Sosya Mona Seprianti

Background: Integrated Service Post (Posyandu) is one form of community based health efforts which is managed and implemented by volunteer community health workers. That performance is very important to monitor the toddlers. The coverage of toddlers weighed at Ngaras at public health Service has decreased by 2014 reached of 87.0% in 2015 reached of 100.4% in 2016 reached of 64.0% but in 2017 it only reached of 68,2%.Purpose: To know the correlation of knowledge, motivation, training among volunteer community health workers at public health services West Pesisir Province of Lampung  2018.Methods: Quantitative research type with cross sectional design and population recruited  all of volunteer community health workers. Data collected by using questionnaire sheets. Analysis of data used univariate and bivariate (Chi Square).Results: The results showed that the volunteer community health workers have best performance with number of 45 volunteers (69,2%) comparing with who has a poor performance with number of 20 volunteer (30,8%). Based on bivariate analysis following in several parts of the volunteer such as knowledge with  p-value of 0,001 OR 4,889 (1,5 to 15,3 95% CI), motivation with p-value 0,034 OR 3,778 (1,2 to 11,4 95% CI), and the training with p-value 0,009 OR 5,429 (1,6 to 17,8 95% CI).Conclusion: There is a relation of knowledge, motivation and training for the performance of volunteer community health workers. It is suggested to management of public health centre on Ngaras to conduct more intensive training related to volunteer training which includes knowledge sharing which will improve on volunteer community health workers performance on task, and motivation to intensify duty of passion of volunteer community health workers


2018 ◽  
Vol 7 (2) ◽  
pp. 108
Author(s):  
Salvita Fitrianti

Pneumonia is one of the biggest health problems and the leading cause of death of children under five years old (infants). The public health center Kebun Handil is the public health center with the highest number of pneumonia infants in Jambi city as many as 222 toddlers in 2016.           This study aimed at determining the correlation of mother’s knowledge and the characteristics of the house with the incidence of pneumonia in infants at the public health center Kebun Handil Jambi city. This is a quantitative research, using Cross Sectional design, and the population of this research is all of infants at the public health center Kebun Handil year 2016 as many as 3.731. The sample was using Accidental Sampling technique, as many as 94 people. This research used Chi Square test. The research was conducted at the public health center Kebun Handil.    The findings indicated that almost respondents (56.4%) have low knowledge, and (53.2%) infants respondents with pneumonia. The result of analysis bivariateChi-Square indicated that there is the correlation between mother’s knowledge with pneumonia in infants (p-value = 0.003 < alpha 0.05). It is necessary to increase the extension to the public about pneumonia toddlers in order to improve the knowledge of the respondents. The counseling results are expected to increase public knowledge of pneumonia and its prevention.


Author(s):  
Sondang Sidabutar ◽  
Raovonauli Simbolon

Background: Hypertension is one of the health problems found in the Indonesia. There are many risk factors that can cause hypertension, including smoking, genetics, obesity, stress, salt intake, and exercise. There is a problem of smoking habits (number of cigarettes smoked, types of cigarettes smoked, length of smoking) with the incidence of smoking in men aged ≥ 40 years in Rambung Public Health Center, Tebing Tinggi City. Methods: Descriptive analytic research design with a cross sectional design, with a sample of 81 men aged ≥40 years. Data were analyzed using the Chi-square test. Results: The study found that there was a relationship between smoking habits and the incidence of hypertension in Rambung Public Health Center, Tebing Tinggi City. There was a relationship between smoking habits and the incidence of hypertension in men ≥ 40 years in the Rambung Public Health Centre, Tebing Tinggi City. Conclusion: Respondents were expected to smoke users to reduce the number of cigarettes smoked in order to avoid hypertension or at least be able to control hypertension that has already been suffered. Keywords: smoking habits; hypertension ABSTRAK Latar belakang: Hipertensi merupakan salah satu masalah kesehatan di Indonesia. Banyak sekali faktor resiko yang dapat menyebabkan terjadinya hipertensi, diantaranya adalah merokok, genetika, obesitas, stres, asupan garam, dan olah raga. Ada masalah kebiasaan merokok (jumlah rokok yang dihisap, jenis rokok yang dihisap, lama merokok) dengan kejadian merokok pada pria usia ≥ 40 tahun di Puskesmas Rambung Kota Tebing Tinggi. Metode: Desain penelitian deskriptif analitik dengan desain penelitian cross sectional dengan sampel 81 pria yang berusia ≥ 40 tahun. Data dianalisis menggunakan uji Chi square. Hasil: Penelitian mendapatkan hasil bahwa terdapat hubungan antara kebiasaan merokok dengan kejadian merokok di Puskesmas Rambung Kota Tebing Tinggi. Ada hubungan antara kebiasaan merokok dengan kejadian hipertensi pada pria ≥40 tahun di Puskesmas Rambung Kota Tebing Tinggi. Kesimpulan: Bagi responden diharapkan kepada pengguna merokok untuk menggurangi jumlah rokok yang dihisap agar dapat terhindar dari penyakit hipertensi atau setidaknya dapat mengontrol penyakit hipertensi yang sudah diderita. Kata kunci: kebiasaan merokok; hipertensi


2017 ◽  
Vol 6 (2) ◽  
pp. 103
Author(s):  
Windy Wiena Putri ◽  
Jamaluddin Sakung ◽  
Rochfika Suleiman

Nutritional problems still being main problems in countries such as Indonesia developing. Nutrition status is the one of indicators. Nutrition status of someone affected by variety of factors. The purpose to know what a correlation between the consumption level of energy and protein with nutrition status of kids under five years old in the work Public Health Centre Talise Mantikulore Palu. The method used is analytic survey that use crross sectional, with 73 respondent as sample, the analytic used in this research are univariat and bivariat analyzes by chi-square test.The results of statistical chi square test showed that is meaningful relation between the adequacy of energy and nutrition status of under five children by the P Value 0,001and there is no meaningful relation between the adequacy of protein and nutrition status ofunder five children by the P Value=0,222.Expected to health workers in Public Health CentreTalise to increase the health services for public especially nutrition program. To hold information about the importance of the consumption level of energy or protein. That decline of under five childrenexperienced lack of energy and protein so that it can be create degrees public health maximum. Keyword : Consumption Level of Energy, Protein, Nutritional Status


2020 ◽  
Vol 14 (1) ◽  
pp. 149-154
Author(s):  
Dessy Hermawan ◽  
Zaenal Abidin ◽  
Dwi Yanti

Consumption of dark green, leafy vegetables and maternal anemia during pregnancyBackground: The data base of the statistical bureau agency in Indonesia, the prevalence of maternal anemia during pregnancy is still relatively high and tends to increase where in 2013 in urban areas amounted to 36.4%, in rural areas 37.8% so that the average 37.1%. in 2018 it has increased significantly to an average of 48.9%. The incidence of maternal anemia during pregnancy in 12  public health centre (Puskesmas)  in North Lampung  was found a public health centre (Puskesmas)  that was classified as still high in Semuli Raya public health centre (Puskesmas) (33.6%).Purpose: Knowing of consumption of dark green, leafy vegetables and maternal anemia during pregnancyMethod: A quantitative study with an analytical survey using the cross sectional study. The samples were 60 respondents and  analysis of statistical tests used the chi-square test.Results: The consumption of dark green, leafy vegetables in 60 respondents, 29 respondents (48.3%) consumes vegetables every day, and 31 respondents (51.7%) has seldom  consumes. Hemoglobin status in 60 respondents, 28 respondents ( 46.7%) had normal range of haemoglobin  and 32 respondents (53.3%) had lower of  haemoglobin . Statistical test results using chi square obtained p-value of 0.000.Conclusion: There was correlation of consumption of dark-green leafy vegetables in prevention of maternal anemia during pregnancy.Keywords: Consumption; Dark green, Leafy vegetables; Maternal anemia; During pregnancyPendahuluan: Data dari badan pusat statistik di Indonesia, prevalensi anemia pada ibu hamil tergolong masih tinggi dan cenderung meningkat dimana di tahun 2013 di perkotaan sebesar 36.4 %, di perdesaan 37.8% sehingga rerata 37.1%. di tahun 2018 telah naik secara signifikan menjadi rerata 48.9%. Kejadian anemia pada ibu hamil di 12 Puskesmas di Kabupaten Lampung Utara didapatkan ada puskesmas yang  tergolong masih tinggi di Puskesmas Semuli Raya (33.6%).Tujuan: Diketahui hubungan konsumsi sayuran hijau dengan kejadian anemia pada ibu hamil.Metode: Jenis penelitian kuantitatif dengan rancangan survey analitik dengan menggunakan pendekatan cross sectional. Jumlah  sampel sebanyak 60 orang dan analisis uji statistik menggunakan uji chi square.Hasil : Konsumsi makanan sayuran hijau pada 60 responden sebanyak 29 responden (48,3%) mengkonsumsi sayuran hijau setiap hari, dan sebanyak 31 responden (51,7%) jarang mengkonsumsi sayuran hijau setiap hari. Status hemoglobin pada 60 responden sebanyak 28 responden (46,7%) memiliki hb normal, dan sebanyak 32 responden (53,3%) memiliki hb rendah. Hasil uji statistik menggunakan chi square didapat nilai p-value 0.000 < 0,05.Simpulan : Ada hubungan konsumsi sayuran hijau dengan kejadian anemia pada ibu hamil. 


2020 ◽  
Vol 9 (1) ◽  
pp. 7
Author(s):  
Sri Arnita ◽  
Dwi Yunita Rahmadhani ◽  
Mila Triana Sari

Stunting is a condition in which an toddler has a length and heights are less when compared with age caused by multidimensional factors, namely poor nutritional factors experienced by toddlers, lack of maternal knowledge about health and nutrition, impact on the level of intelligence, susceptibility to disease. This study aimed to determine the correlation of knowledge and mother’s attitude with stunting prevention efforts in toddlers. This is quantitative research by using cross sectional design; it was conducted at the public health center Simpang Kawat Jambi city from February until July 2019. Populations were 881 people with total samples were 87 mother. The sample used proportional random sampling, analyzed as univariate and bivariate by using chi-square test. The findings indicated that from 87 mother, most of the mother (67.8%) have good stunting prevention efforts, most of the mother (65.5%) have high knowledge, most of the mother (64.4%) have good attitude. The result of this study were obtained there is significant correlation between knowledge with stunting prevention efforts in infants where p-value = 0.373 (p>0.05). There is significant correlation between attitude with stunting prevention efforts in toddlers where p-value = 0.030 (p<0.05). It is expected to the public health center Simpang Kawat to stunting prevention efforts carried out primary prevention through health promotion in providing understanding about stunting so that a change of attitude which is expected in achieve optimal health.


2018 ◽  
Vol 1 (1) ◽  
pp. 34
Author(s):  
Ni Nyoman Novita ◽  
Gusman Arsyad

Implementation of IMD in hospitals has decreased from the previous year and has not reached the target set by the government. Some IMD implementation processes have not been carried out according to applicable standards. So that babies do not get an IMD in accordance with existing SOPs. The purpose of this study was to determine the determinant factors associated with the implementation of the IMD by midwives in the Midwifery and Maternity Room Emergency Room (IGD) at the Anutapura General Hospital in Palu. This research method is analytical with cross sectional approach. The population of this study was that all midwives in the obstetrics emergency room and maternity room at Anutapura Palu Hospital were 37 respondents. The sample in this study is total sampling. The analysis used was univariate, and bivariate analysis using the chi square test with a confidence level of 95% (α = 0.05). The results of statistical tests on variable knowledge of midwives with the implementation of IMD p value: 0.018 (p value <0.05). APN training with the implementation of IMD p value: 0.697 (p value> 0.05). length of work with the implementation of IMD p value: 0.029 (p value <0.05). and peer support with the implementation of IMD p value: 0.007 (p value <0.05). Conclusions there is a relationship between knowledge, length of work, peer support with the implementation of the IMD, and training factors that have nothing to do with IMD implementation. The strongest factor in the relationship is peer support. It is recommended that the Anutarapura Palu Hospital be able to motivate midwives so that they can further enhance their role in the implementation and provide support to their colleagues so that the implementation of the IMD can be carried out in accordance with applicable standards.Keywords: Knowledge, APN Training, Duration of work, Implementation of IMD


2019 ◽  
Vol 4 (2) ◽  
pp. 235
Author(s):  
Dian Sari

<p><em>Pulmonary Tuberculosis is one of the infectious diseases that become the main problem of Indonesian society. Based on a survey conducted at Andalas Public Health Centre obtained PMO (supervisor taking medicine) TB Lungless provide support to the patient of Pulmonary TB.. This study aims to determine the relationship of knowledge and attitude with the support of family as the PMO of Pulmonary TB patients. The study was conducted at the Andalas Public Health Centre Padang in 2017. The type of descriptive analytic research using a cross-sectional approach with a sample of 59 people taken from a population of 145 people PMO using simple random sampling systematic techniques. The results showed that 27.1% of PMO was not good at providing support, 32.2% knowledge was low, and 37.3% had a negative attitude. Chi-square test concluded that there is a significant correlation between knowledge (p = 0,036), and attitude (p = 0,000), with family support as PMO in Public health centre working area Andalas Padang of the year 2017. The result of this research can be used as a reference in improving TB program Lung so it can reduce the incidence of Pulmonary TB in Public health centre working area Andalas Padang.</em><em></em></p><p> </p><p><em>Tuberkulosis Paru merupakan salah satu penyakit menular yang menjadi masalah utama masyarakat Indonesia. Berdasarkan survei yang dilakukan di Puskesmas Andalas Kota Padang didapatkan sebahagian PMO (pengawas minum obat) TB Paru kurang memberikan dukungan kepada penderita TB Paru. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan dan sikap dengan dukungan keluarga sebagai PMO penderita TB Paru.Penelitian dilakukan di Wilayah Kerja Puskesmas Andalas Padang Tahun 2017. Jenis penelitian deskriptif analitik dengan menggunakan pendekatan cross sectionaldengan sampel sebanyak 59 orang yang diambil dari populasi 145 orang PMO menggunakan teknik sistematik simple random sampling. Hasil penelitian menunjukkan 27,1% PMO kurang baik dalam memberikan dukungan, 32,2% pengetahuan rendah, dan 37,3% mempunyai sikap negatif. Uji chi-square disimpulkan bahwa terdapat hubungan yang signifikan antara pengetahuan (p= 0,036), dan sikap (p=0,000), dengan dukungan keluarga sebagai PMO di Wilayah kerja Puskesmas Andalas Padang Tahun 2017. Hasil penelitian ini dapat dijadikan referensi dalam meningkatkan program TB Paru sehingga dapat menurunkan angka kejadian TB Paru di Wilayah Kerja Puskesmas Andalas Padang</em></p>


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