scholarly journals Analisis pelaksanaan program indonesia sehat dengan pendekatan keluarga (PIS-PK) pada Puskesmas di Kabupaten Nagan Raya

2022 ◽  
Vol 3 (1) ◽  
pp. 85
Author(s):  
Darmansyah Darmansyah

Background: The achievement indicators of the healthy Indonesia program with a family approach (PIS-PK) at the Nagan Raya District Health Center was still low. The implementation of the PIS-PK program was only training, preparation, analysis of the initial healthy family index. In contrast, further intervention and analysis have not run optimally, so the existing data has not been used appropriately.Objective: The purpose of the study, to analyze the implementation of the healthy Indonesia program with a family approach at the Public Health Centers (PHC) in Nagan Raya Regency.Method: This research design is a cross sectional study conducted in Nagan Raya Regency in 2021. The data were collected using a questionnaire with a sample size of 70 officers. The measurement of the variables of government support, infrastructure, community support, human resources for health workers, monitoring and evaluation, was measured using a questionnaire sheet. Data analysis used Chi-Square statistical test and Binary Logistic Regression with a significance level of 95%.Results: The results was showed that there was a relationship between community support (p= 0.010, OR = 3.72), facilities and infrastructure (p= 0.019, OR= 3.2),, government support (p= 0.00, OR= 6.15), health personnel resources (p=0.008, OR= 4.8), monitoring evaluation (p= 0.007, OR= 4.52) with the implementation of the PIS-PK program. Based on the multivariate test, the dominant variable associated with the PIS-PK program was government support.Conclusion: The good government support is 6.15 times related to the success of the PIS-PK program implementation program compared to less government support.

2018 ◽  
Vol 1 (2) ◽  
pp. 33-40
Author(s):  
Joice D Taek ◽  
Kristoforus Tnomel ◽  
Sefrianus Oeleu

Background: One of the problems that is often faced today is the disability of under-five mothers in obtaining health services for children under five years old because of the lack of performance of Posyandu health workers. Purpose : The purpose of this research is to know the Effect Performance Of Posyandu Toddler Cadres Against Satisfaction Level Of Toddler Mother At Posyandu Melati 9 Health Center Liliba Kota Kupang Methods : The design of this study used an observational quantitative approach with cross sectional approach. Respondents were taken with Simple Random Sampling technique. Population studied All Mothers Under Five at Posyandu Melati 9 Puskesmas Liliba Kota Kupang with sample 39 mother. Independent Variables studied is the Performance of Posyandu Toddler and Dependent Variable is the Level of Satisfaction of Under-five Mother. The results were analyzed by using Ordinal Regression statistic test. Result : The results showed that Kader Performance is known that almost half of the respondents in the Good category is as many as 14 (36%) of respondents. Satisfaction rate of Underfive Mothers is known that most respondents in the category Very Satisfied is as much as 20 (51%) respondents. The result of data analysis shows that the significance level of 0,000 <α = 0.05 so that H0 is rejected and H1 is accepted thus There is Effect Performance Of Posyandu Toddler Cadres Against Satisfaction Level Of Toddler Mother At Posyandu Melati 9 Health Center Liliba Kota Kupang. Conclusion : Based on the result of the research, it is known that the satisfaction of mother of balita to posyandu service where cadre always do monitoring and evaluation to posyandu. Besides, it is also supported by cadre training and comparative study of posyandu cadres to other posyandu as a learning media so that they can follow the improvement effort that has been done


2021 ◽  
Vol 7 (1) ◽  
pp. 20
Author(s):  
Dwi Widiyaningsih ◽  
Rustiana Setyowati

Smoking is the cause of nearly 90% of lung cancers, 75% of chronic obstructive pulmonary disease (COPD), and it is also the cause of 25% of heart attacks (Tobacco Atlas). Our nation has not lost its mind in controlling smoking behavior, various efforts have been made ranging from making laws, regulations and policies to even taking a comprehensive approach to the family as a long-handed health program besides being carried out by health workers in their efforts to control smoking behavior, as happened in Dieng plateau where 41% of active smokers are the elderly and what is even more astonishing 29.5% are elderly women who occupy important and respected roles in society because of their high social status and ancestral culture, not to mention the position of women as mothers in the household also becomes the key in creating the next healthy generation so that the family approach is the right strategy in implementing health programs. This study is to identify the effect of the role of health workers and family support on the control of female elderly smokers in the Dieng highlands. This type of quantitative research with cross sectional approach. The study population was 125 elderly who were all sampled (total sampling technique). Data analysis used the test (Kendall tau) and multiple linear regression, with the value of the Kendall Tau test, namely (0.001 <0.005) and (0.000 <0.005) which means that there is a significant influence significant, while the results of the F test count 38.849> F table 3.07 with a significance level of 0.000 (ρ <0.005). So it can be concluded that the better the role of health workers and family support, the better the smoking behavior control. The suggestion for future researchers is to measure the level of nicotine dependence in smokers to determine the appropriate counseling therapy.


2022 ◽  
Vol 3 (1) ◽  
pp. 95
Author(s):  
Hardiansyah Hardiansyah ◽  
Lukman Hakim ◽  
Henny Arwina Bangun

Background: World Health Organization (WHO) has declared Coronavirus Disease 2019 (COVID-19) as a pandemic. Interventions are needed not only in terms of implementing health protocols but also other effective interventions to decrease the transmission of disease through vaccination efforts which are aimed at reducing transmission/transmission of COVID-19, reducing morbidity and mortality due to COVID-19, and achieving group immunity in the community society (herd immunity).Objective: The purpose of this study was to identify the implementation of a health belief model for the implementation of vaccination in the context of overcoming the COVID-19 pandemic in health workers within the Nagan Raya District Health Office.Method: The type of research used a descriptive-analytic approach with a cross-sectional study design with a total sampling method of sampling. The sample in this study was 76 health workers from a population of 76 health workers at the Nagan Raya District Health Office. This study was conducted from March to September 2021. Data analysis used Chi-Square statistical test and Binary Logistic Regression with a significance level of 95%.Results: The results of this study indicate that there is a significant relationship between perceived susceptibility (p = 0.041), perceived benefits (p = 0.047), and cues to action (p = 0.037) with the implementation of vaccination in the context of dealing with the COVID-19 pandemic for health workers. There is no relationship between perceived severity (p = 1,000) and perceived barriers (p = 0,280) with the implementation of vaccination in the context of dealing with the COVID-19 pandemic in health workers.Conclusion: The dimension of the health belief model that is highly dominant related to the implementation of vaccination in the context of dealing with the COVID-19 pandemic in health workers is the perceived susceptibility variable with a value of p= 0.041 and Exp (B) = 5.376.


Publika ◽  
2021 ◽  
pp. 201-214
Author(s):  
Febry Mega Kumalasari ◽  
Indah Prabawati

Data Dinas kesehatan Kabupaten Mojokerto, jumlah penderita TBC positif sepanjang tahun 2018 mencapai 1.436 orang, dari jumlah itu 177 penderita dinyatakan sembuh dan 4 orang meninggal dunia. Puskesmas Bangsal melaksanakan kebijakan Directly Observed Treatment Short-course (DOTS) untuk penanggulangan penyakit TB berdasarkan Peraturan Menteri Kesehatan No. 67 Tahun 2016 tentang penanggulangan tuberkulosis. Penelitian ini bertujuan untuk menganalisis implementasi kebijakan penanggulangan tuberkulosis dengan strategi DOTS di Puskesmas Bangsal. Metode penelitian yang digunakan adalah kualitatif deskriptif menggunakan studi kepustakaan dan wawancara menggunakan teknik analisis Miles dan Huberman. Hasil penelitian pada implementasi kebijakan DOTS pada puskesmas Bangsal dalam lima ketepatan yaitu. Ketepatan Kebijakan sudah tepat, namun dalam pemecahan masalah masih kurang optimal pada kesadaran masyarakat dalam penghentian pengobatan sepihak jika sudah merasa sembuh oleh masyarakat dan ketakutan masyarakat terhadap ancaman virus COVID-19. Ketepatan pelaksanaan, pencapaian target strategi DOTS yang belum mencapai target karena dukungan pemerintah pada pendanaan untuk sosialisasi, penyuluhan dan promosi kesehatan terbatas. Ketepatan target belum optimal karena pada tahun 2020 Puskesmas Bangsal mendapatkan 43 kasus dan 250 orang yang diperiksa atausekitar 53% dari target yang telah ditetapkan. Ketepatan Lingkungan, komunikasi dengan Dinas Kesehatan belum optimal dalam monitoring dan evaluasi, pelaporan STIB. Ketepatan Proses, Puskesmas Bangsal mulai dari penemuan kasus, pengobatan hingga ke pelaporan sudah sesuai dengan SOP pelaksanaan kebijakan DOTS. Permasalahan yang terjadi adalah tenaga kesehatan kesulitan dalam melakukan pelaporan online (STIB). Saran yang dapat diberikan yaitu melakukan sosialisasi secara intensif. Dukungan pemerintah dalam menambah pendanaan untuk sosialisasi, penyuluhan dan promosi kesehatan. Meningkatkan koordinasi lintas sektoral dan memberikan pelatihan tentang tata cara pengisian SITB. Kata Kunci: Implementasi, Tuberculosis, Directly Observed Treatment Short-course (DOTS).   Mojokerto District Health Office data, the number of positive TBC patients throughout 2018 reached 1,436 people, of which 177 patients were declared cured and 4 people died. Puskesmas Bangsal implements a Policy of Directly Observed Treatment Short-course (DOTS) for TB disease management based on Regulation of the Minister of Health No. 67 of 2016 on tuberculosis prevention. This study aims to analyze the implementation of tuberculosis control policies with the DOTS strategy at Puskesmas Bangsal, Mojokerto Regency. The research method used  descriptive qualitative using literature study and interview with the analysis technique of Miles and Huberman. The results of research on the implementation of the DOTS policy at the Bangsal puskesmas were in five accuracy.The accuracy of the policy is right, but in managing the problemis not optimal in public awareness of treatment and the community's fear of the COVID-19. Accuracy of implementation, the DOTS target strategy has not yet reached the target due to the limited political commitment to budget funds for cadres, outreach, health education and promotion. The accuracy of the target is not optimal in 2020 the Puskesmas Bangsal received 43 cases and250 people were checked or about 53% of the target. Environmental accuracy, communication with the Dinas Kesehatan is not optimal in monitoring and evaluation, STIB reporting. Accuracy of Process, Puskesmas Bangsal starting from case finding, treatment to reporting are in accordance with the DOTS Policy. The problem is health workers have difficulty in conducting online reporting (STIB). The advice that can be given is to conduct intensive socialization. Government support in increasing funding for socialization, counseling, and health promotion. Improve cross-sectoral coordination and provide training on procedures for filling SITB application. Keywords: Implementation, Tuberculosis, Directly Observed Treatment Short-course (DOTS).


2021 ◽  
Vol 62 (6) ◽  
Author(s):  
Luu Thi Phuong Thao ◽  
Nguyen Thi Dao

Objectives: To determine the rate of physical activity and some associated factors between adequate physical activity and understanding, barriers, and support from family and friends in diabetic patients at the Long Ho district Health Center in Vinh Long province in 2021. Subjects and research methods: A cross-sectional descriptive study with analysis. The toolkit is based on the GPAQ (Global Physical Activity Questionnaire) questionnaire and related research [9]. Results and discussions: Patients with incorrect knowledge about diabetes accounted for 53%, with sufficient physical activity 43.6%. The results of multivariable logistic regression analysis showed that there were relationship between sufficient physical activity and age (p<0.05), barriers including exercise taking a long time, remote locations, and a lack of facilities (p<0.05) and the patient was still confident in futures activities even when the weather was bad (OR = 0.486, p<0.05). The family and friends had not supported (OR= 0.317, p<0.05). Conclusions and recommendations: Patients need to sufficient physical activity as recommended with an average intensity of 150 minutes/week. It is necessary to update the knowledge of diabetes as well as the knowledge of sufficient physical activity from health workers, family and friends. Local governments should construct cultural houses and playgrounds to make it easier for patients to participate in activities.


2016 ◽  
Vol 1 (2) ◽  
pp. 61-70
Author(s):  
R.Oktaviance Simorangkir ◽  
Lilis Sumardiani

In the Working Area of Pancur Batu Puskesmas class, pregnant women begin to be implemented in 2016, but still found the low knowledge of pregnant women about the ideal pregnancy examination and there are pregnant women who show unimportant attitude checking pregnancy to health workers. Goals : The purpose of this research is to know the influence of maternal class on pregnant mother's knowledge and attitude about pregnancy examination and treatment. Methods : The study used a quantitative method with cross sectional design. The population of 151 pregnant women in Pancur Batu Community Health Center and 132 of them (63 pregnant women who had attended pregnant mother class and 69 pregnant women who never attended maternal class) were used as samples. Data analysis using independent t test at significance level α = 0,05. Result : The results showed the total range of knowledge scores of mothers who had followed the class of pregnant women is 7-13 with an average value of 10.08 ± 1.82, while the total range of scores of mothers who never follow the pregnant women's class is 1-9 with an average value 4,97,1,94. There is a maternal class effect on maternal knowledge of examination and treatment of pregnancy (p <3,82. There is a maternal class effect on maternal attitudes about examination and treatment of pregnancy (p3.13, while the total range of maternal scores that never follow the class of pregnant women is 27-47 with an average value of 35 , 410.001). The total score of attitudes of mothers who have attended the class of pregnant women is 41-56 with an average score of 48.24 <0.001). Conclution : It is expected that the Health Office to schedule Pancur Batu Puskesmas to carry out pregnant women's classes regularly and carried out 2 periods a year. Pancur Batu Puskesmas is expected to maintain the quality of pregnant women's classes and counseling invites all pregnant women to follow the class of pregnant women.


2021 ◽  
pp. 205343452110616
Author(s):  
Budi Yanti ◽  
Nurdarlila Armita ◽  
Iskandar Zakaria

Introduction Health workers are at high risk of contracting the disease because they are at the forefront of assisting COVID19 patients. Globally, Indonesia has the worst death toll of health workers. Many previous studies have shown the differences in knowledge, attitudes, and behavior of health workers in handling with the COVID19 pandemic. This study aims to asses the role of knowledge, attitudes, and health workers' preparedness during the COVID-19 pandemic in Aceh Pidie Jaya District. Methods A cross-sectional study and the data were collected by distributing online questionnaires about knowledge, attitudes, behavior, and preparedness related to the COVID-19 at 12 Pidie Jaya District health centers. The knowledge, behavior, and preparedness parameters used Guttman and Likert scales to measure the workers' attitudes. Chi-square test was used to evaluate the relationship between knowledge, attitudes, behavior, and preparedness. Results In this study, 377 health workers were selected, the majority of respondents' education level was diploma, level 3 (257, 76.3%), and one-third of the respondents did not attend training. There are 197 (58.5%) respondents who had good knowledge, 177 (52.5%) positive attitudes, 283 (84%) good behavior, and 173 (51, 3%) well prepared. Furthermore, good knowledge, positive attitude, and good behavior had a significant correlation statistically with well prepared during the pandemic (p < 0.05). Discussion Most of the health workers in Aceh Pidie Jaya have good knowledge, positive attitudes, and good behavior that create adequate preparedness. Even though training is still very limited, educational attainment would remain the cornerstone for preparedness to encounter COVID-19.


Author(s):  
Putu Ayu Mega Agnihortry ◽  
I Made Dwie Pradnya Susila ◽  
A.A. Ngurah Nara Kusuma

Patient safety has now become a global issue and a critical component of hospital quality management. One of the components in patient safety that must be carried out in the operating room is the application of the surgical safety checklist. Adherence in implementing the surgical safety checklist is influenced by several factors such as the knowledge of patient safety that nurses have. This study aims to determine the relationship between the level of patient safety knowledge and the compliance of nurses in implementing the surgical safety checklist in the Pre-Operation Room, the Operation Room, RSD Mangusada Badung. This study used a quantitative observational method with a cross sectional design. The sample was all nurses in the operating room installation room RSD Mangusada Badung who were selected by a total sampling of 41 people. The research was conducted from 01-31 October 2020. The results of data analysis using the rho Spearman nonparametric statistical test at a significance level of ? 0.05, the p value was 0.000 <0.05. This shows that there is a significant relationship between the level of patient safety knowledge on nurses' compliance in implementing the surgical safety checklist in the Pre-Operation Room for the Operation Room, RSD Mangusada Badung. It is hoped that health workers, especially nurses in the operating room, can increase knowledge about patient safety and be more obedient in implementing the surgical safety checklist.


2019 ◽  
Vol 11 (2) ◽  
pp. 17-28
Author(s):  
Eka Ratna Sari ◽  
Lusi Andriani ◽  
PS. Kurniawati

Anemia in pregnancy is a condition of pregnant woman with hemoglobin (Hb) <11 gr% in the first and third trimesters while in the second trimester hemoglobin level <10,5 gr%. World Health Organization (WHO) in 2012, reported that the prevalence of anemia in pregnant women in the world ranges an average of 14%, in industrialized countries 56% and in developing countries between 35% -75%. This study aims to determined the factors of the occurrence of anemia in third trimester pregnant women in Kampung Melayu sub-district Bengkulu City 2017. This research uses Analytical Survey design with Cross Sectional Approach. Population in this research is third trimester pregnant woman in Kampung Melayu sub-district as many as 106 people, using sample total sampling technique. The analysis used Chi square test with significance level p <0,05.The results of this study indicate that there is a relationship between adherence of Fe (p = 0,000) and knowledge (p = 0,000) with anemia occurrence in third trimester pregnant women, no relationship between age (p = 0,346), parity (p = 0,949) , Education (p = 0.198), occupation (p = 1,000) with anemia and the most dominant factor with anemia was the consumption of Fe tablet (OR = 78,803). Health workers are expected to provide routine counseling on the causes, symptoms, and effects of anemia for pregnant women and screening anemia by checking Hb at least twice during pregnancy.


2017 ◽  
Vol 11 (1) ◽  
pp. 89
Author(s):  
Ponco Indah Arista Sari ◽  
Agus Sulistyono ◽  
Hari Basuki Notobroto

HIV AIDS is considered as global threat due to the adverse impacts it brings to all sectors. The number of person with HIV-AIDS increases both in men and women. For pregnant women, HIV is not just a threat to the mother but also for the infant, therefore as to prevent the transmission and complication during pregnancy, screening should be made through an HIV test. The purpose of this study was to analyze the relationship between the number ofantenatal care and stigmatization on participation of pregnant women for HIV testing after counseling by Health Workers in the working area of Turi Public Health Center, Lamongan. This study applied cross sectional study. The population in this study consisted of 80 pregnant women. Simple random sampling was chosen for Sampling Technique and it was obtained as many as 42 respondents. Data collection was done using a questionnaire and interviews. Data were analyzed using frequency distribution tables and chi square test with significance level of 5% (p = 0.05). The results revealed that from as many as 42 pregnant women who made antenatal visit > 4 times, 100% of these pregnant women did not take HIV test while pregnant women who made only 2–4 times antenatal visit was as many as 16 individuals (64%) took the test, and only one pregnant woman who took the test on the first visit. Pregnant women who did not have the stigmatization, 100% took the HIV test. Statistical analysis showed no correlation between the number of antenatal visits (p = 0.000) and stigmastization (p = 0.000) of pregnant women for HIV testing after counseling by Health Workers. It is necessary to increase the provision of information and education for the pregnant women through health promotion concerning the importance of HIV testing and antenatal visits to the Health Care.Keywords: HIV test, Number of antenatal care, Stigmatization 


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