scholarly journals Hubungan Mutu Pelayanan Petugas Kesehatan Terhadap Minat Kunjungan Ulang Pasien Rawat Jalan di Puskesmas X

2020 ◽  
Vol 10 (2) ◽  
pp. 8
Author(s):  
Hairil Akbar ◽  
Heriyana Amir ◽  
Suci Rahayu Ningsih ◽  
Widya Astuti

The number of outpatient visits in the X community health center in 2016 was 32633 patients, and in 2017 the number of visits increased by 38374 patients, while in 2018 the number of visits decreased by 36604 patients. Based on data from outpatient visits at X health center that the number of patient visits decreased, where in 2017 increased and in 2018 decreased the number of patient visits. The purpose of the study was to determine the relationship between the quality of health care services and the interest of outpatient visits to the X community health center. The type of research conducted was observational analytic research using a cross sectional study approach. This research was carried out in the technical service unit of the X community health center in 2019. The population was all patients using outpatient care facilities at Cipancuh Health Center in 2019, with 36604 outpatients. The sample size is 100 people. Sampling is done by simple random sampling. Statistical test results, namely the quality of health services ( value = 0,000) are related to the interest of outpatient visits in the Technical Implementation Unit of the X community Health Center in 2019. It is expected that the staff will further improve the quality of their services in the hope that patients who use outpatient facilities.

2020 ◽  
Vol 2 (2) ◽  
pp. 15-23
Author(s):  
Rusmini Marslan Arsyad ◽  
Engelina Nabuasa ◽  
Enjelita M. Ndoen

DHF is one of the widespread  infectious diseases in Indonesia, with an increased infected number of sufferers. DHF case is closely related to environmental sanitation, wich causes the availability of breeding places for the Aedes aegypti mosquito vectors. The study was to determine the relationship between environmental sanitation behavior and the case of DHF in the working area of the Tarus Community Health Center in 2020. The study design was descriptive-analytical with a cross-sectional study approach. The sample was_99 respondents taken by simple random sampling technique. Data was collected from interviews and analyzed using the Chi-square test. The results showed that the varuabels of  knowledge (p = 0.000), attitudes (p = 0.021), and actions to environmental sanitation (p = 0.000) were related to the DHF case. The Tarus Community Health Center should increase outreach activities and family empowerment efforts related to the prevention and control of DHF.


2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Erike Yunicha Viridula

ABSTRAKGangguan pertumbuhan bayi pada usia dini menyebabkan bayi diberikan MP-ASI terlalu dini dan ibunya tidak memberikan ASI eksklusif selama 6 bulan pada awal kehidupan bayi. Dari hasil studi pendahuluan pada bayi berusia 6-11 bulan yang mendapatkan ASI eksklusif hampir sepenuhnya meragukan perkembangan. Jika ini terus berlanjut, bayi tidak dapat berkembang dengan baik di usia berikutnya. Tujuan penelitian ini untuk mengetahui perbedaan perkembangan pada bayi usia 6-11 bulan yang mendapat ASI eksklusif dan ASI non eksklusif di Puskesmas kecamatan kecamatan Durenan Trenggalek tahun 2017.Desain penelitian ini adalah studi inferensial dengan pendekatan cross sectional. Sampel yang diambil dalam penelitian ini adalah ibu dengan bayi 6-11 bulan pada bulan Oktober di Puskesmas kecamatan kecamatan Durenan Trenggalek pada tahun 2017 berjumlah 40 responden yang diambil menggunakan metode probability sampling dari jenis sistem simple random sampling. Data dianalisis dengan analisis univariat bahwa distribusi frekuensi variabel independen dan dependen dan analisis bivariat menggunakan Mann-Whitney U.Hasil penelitian menunjukkan bahwa dari 20 responden 95% yang mendapatkan ASI eksklusif memiliki perkembangan yang sesuai, 5% memiliki perkembangan yang meragukan, 0% mengalami gangguan perkembangan. Sementara 20 responden diberi 40% menyusui non eksklusif memiliki perkembangan yang sesuai, 60% memiliki perkembangan yang meragukan, dan 0% mengalami gangguan perkembangan. Hasil analisis statistik menunjukkan ada perbedaan perkembangan pada bayi usia 6-11 bulan yang mendapat ASI eksklusif dan ASI non eksklusif di Puskesmas kecamatan Durenan Trenggalek tahun 2017.Jadi dapat disimpulkan bahwa ada perbedaan perkembangan pada bayi usia 6-11 bulan yang mendapatkan ASI eksklusif dan ASI non eksklusif di Puskesmas kecamatan Durenan Trenggalek tahun 2017. Sehingga diharapkan bayi mendapat ASI eksklusif selama 6 bulan pertama dan dilanjutkan hingga 2 tahun dengan makanan pendamping (MP-ASI).Kata kunci : ASI eksklusif, ASI tidak eksklusif, pengembangan ABSTRACTDisorder of Infant growth in early life caused baby are given Complementary feeding (MP-ASI) too early and the mother didn’t give exclusive breastfeeding for 6 months in early life of baby. From the results of preliminary studies in infants aged 6-11 months who get non exclusive breastfeeding had almost entirely dubious developments. If this continues, the baby can’t develop properly in the next age. The purpose of this study to determine development differences in infants aged 6-11 months who get exclusive breastfeeding  and non- exclusive breasfeeding in community health center sub district Durenan Trenggalek district in 2017. The design of this study is inferential study with cross sectional approach.  Samples which taken in this study were mothers with infants 6-11 months in October in community health center sub district Durenan Trenggalek district in 2017 amounted to 40 respondents drawn using probability sampling method of the type system simple random sampling.  Data were analyzed by univariate analysis that the frequency distribution of independent and dependent variables and bivariate analysis using Mann-Whitney U. The results showed that of the 20 respondents 95% who get exclusive breastfeding had appropriate development, 5% had dubious developments, 0% had disorder development. While 20 respondents were given 40% non exclusive breastfeeding had appropriate development, 60% have dubious development, and 0% had disorder development. Statistical analysis showed there are differences development in infants aged 6-11 months who get exclusive breastfeeding and non-exclusive breasfeeding in community health center sub district Durenan Trenggalek in 2017. So can be concluded that there are differences development in infants aged 6-11 months who get exclusive breastfeeding and non-exclusive breasfeeding in community health center sub district Durenan Trenggalek in 2017.So expected the babies got exclusive breastfeeding for the first 6 months and continued to 2 years with complementary foods (MP-ASI).Key Words : exclusive breastfeding, non exclusive breastfeding, development


Author(s):  
Wahyuni Herda ◽  
Insan Sosiawan A Tunru ◽  
Yusnita Yusnita

Tuberculosis is a disease of global concern. By 2015 six countries contributing to 60% of the global total are India, Indonesia, China, Nigeria, Pakistan and South Africa. China, India and Indonesia alone accounted for 45% of cases in the world.The World Health Organization (WHO)has recommended the Directly Observed Treatment Shortcourse (DOTS) strategy for TB control by involving Drug Supervisors (PMO). It aims to achieve patient recovery, prevent transmission, and avoid drug resistant cases. This study aims to determine the relation between the roles of treatment observers (PMO) with the success of tuberculosis treatment at community health center of Johar Baru Central Jakarta in 2016.This research was conducted by Cross-Sectional non-experimental quantitative method. Population and sample are the patient of adult pulmonary and extrapulmonary tuberculosis at community health center of Johar Baru Central Jakarta in 2016. Samples are selected by using Simple Random Sampling. The data were collected by interview using questionnaire. Data analysis using SPSS with Chi-Square test.There were 45 respondents (80,4%) succeed in TB treatment and respondent with PMO roles category were 40 (71,4%). Result of statistical test using Chi-Square test obtained P value = 1,000 (> 0,05).There is no relation between the roles of treatment observers (PMO) with the success of tuberculosis treatment at community health center of Johar Baru Central Jakarta in 2016.


2019 ◽  
Vol 14 (2) ◽  
pp. 252
Author(s):  
Dita Rahmatika

Hypertension is a condition where a person's blood pressure reaches 140/90 mmHg. Hypertension is the silent disease that causes death in Indonesia. Elderly people mostly suffer from hypertension. This study aims to investigate the correlationof emotional support and dietary compliance of elderly patients with hypertension around the area of Sukomulyo Community Health Center, Manyar subdistrict, Gresik. This study was an observational analytical research, based on the data collection.This research employed a cross sectional method. The samples used simple random sampling with a sample size of 37 respondents who were elderly patients with hypertension. The respondents’ characteristicswere mostly female with the age criteria of 60- 70 years old, and working as housewives. Meanwhile, the characteristics based on education level suggested that more than half of the respondents were high school graduates. Almost all respondents got emotional support with good category (83.8%), and most respondents were quite obedient in doing diet reaching 67.6%. The result of statistical test of the correlation between emotional support andthe adherence of elderly diet of hypertension show a p-value of 0.552.There is no correlation between family emotional support and the compliance of elderly diet in hypertensive patients in the integrated health postof elderly in the working area of Sukomulyo Community Health Center. The elderly’s family is expected to provide more attention to the elderly to be obedient in having the hypretensive diet.


Author(s):  
Putri Mufrida Rahmah

Tuberculosis (TB), infection disease caused by M. tuberculosis, is a global challenge in health. TB can damage socially by causing stigma and isolation society also inflict financial loss. About 75% TB patients is productive ages economically (15-50 years old) and is estimated would lose working times 3-4 months and thus would lose their incomes about 20-30%. This study aims to determine the relation between incomes with the success of tuberculosis in treatment at Community Health Center of Johar Baru Central Jakarta in 2016. This study was done by analytical survey with cross sectional design. Population and sample are adult patients at Community Health Center of Johar Baru in 2016. Samples are selected using Simple Random Sampling. The data were collected by using questionnaires and crosschecked by looking at TB03 Card. Data was analyzed by using Chi Square test. There were 45 patients (80,4%) succeed in TB treatment and 32 patients (78%) have low incomes (<Regional minimum wage).  Results from statistical tests using Chi Square test obtained P value = 0.115 (>0.05). There is no relation between incomes with the success of Tuberculosis treatment on Tuberculosis patients in Community Health Center of Johar Baru Central Jakarta in 2016.


2018 ◽  
Vol 14 (2) ◽  
pp. 163-171
Author(s):  
Fatma Zulaikha ◽  
Rina Triasih ◽  
Purwanta Purwanta

Pneumonia is the most common cause of morbidity and mortality among young children worldwide. Integrated Management of Childhood Illness (IMCI) is a procedural form in the care of childhood illness which aims to minimize morbidity and mortality rate in children, including pneumonia. This was a cross-sectional study at Samarinda and Kutai Kartanegara community health center from July to October 2015. The health workers’ knowledge was assessed through questionnaire. The quality of IMCI implementation was evaluated through direct observation in primary health care. A total of 46 health workers were involved in this study. Observation of IMCI implementation quality was conducted in 104 children. The majority of respondents (73.9) had sufficient knowledge; however, in terms of direct implementation on the field, most of the respondents (87%) were included in incompetent category. It can be concluded that level of knowledge was related to implementation of cough IMCI in community health center, but the correlation was weak.


2020 ◽  
Vol 3 (1) ◽  
pp. 299-312
Author(s):  
Fera Natalia Sembiring ◽  
Tarsyad Nugraha ◽  
Linda Hernike Napitupulu

Immunization has proven to be one of the most important public health efforts. The report of the Kosik Putih Health Center in North Padang Lawas Regency in 2016 recorded a complete basic immunization achievement of 52 babies (63.9%) from the baby target of 76 babies and in 2017 amounted to 59 babies (73.8%) from the baby target of 80 babies. The purpose of this study was to study the determinants that influence mothers in giving immunizations to infants in the working area of ​​the Kosik Putih Health Center in Padang Lawas Utara Regency in 2019. Study design used an analytical survey with a cross sectional study approach. The population in this study were all mothers who brought their babies for basic immunization in the working area of ​​Kosik Putih Community Health Center in North Padang Lawas Regency in 2019 totaling 59 mothers. The sampling technique uses the entire population as samples (total sampling). Data analysis used univariate, bivariate and multivariate analysis with logistic regression. The results of this study indicate the sig value on the knowledge variable (p=0.003), attitudes (p=0.018), socio-cultural (p=0.271), availability of health facilities (p=0.376), affordability of health facilities (0.472), personnel support health (p=0.030) and husband's support (p=0.725). The variable with the greatest Exp (B) value is knowledge (39,565). The variables that influence behavior in providing basic immunization to infants in the working area of ​​Kosik Putih Community Health Center, North Padang Lawas Regency in 2019 are knowledge, attitudes and support of health workers and the most influential variable is knowledge.     Abstrak Imunisasi telah terbukti sebagai salah satu upaya kesehatan masyarakat yang sangat penting . Laporan Puskesmas Kosik Putih Kabupaten Padang Lawas Utara tahun 2016 tercatat capaian imunisasi dasar lengkap sebesar 52 bayi (63,9%) dari sasaran bayi sebesar 76 bayi dan tahun 2017 sebesar 59 bayi (73,8%) dari sasaran bayi sebesar 80 bayi. Tujuan dari penelitian ini untuk mengetahui faktor penentu yang memengaruhi perilaku ibu dalam pemberian imunisasi dasar pada bayi di wilayah kerja Puskesmas Kosik Putih Kabupaten Padang Lawas Utara tahun 2019. Jenis penelitian menggunakan survei analitik dengan pendekatan cross sectional study. Populasi dalam penelitian ini adalah seluruh ibu yang membawa bayinya untuk imunisasi dasar yang ada di wilayah kerja Puskesmas Kosik Putih Kabupaten Padang Lawas Utara tahun 2019 berjumlah 59 ibu. Teknik pengambilan sampel menggunakan seluruh populasi menjadi sampel (total sampling).. Analisis data menggunakan analisis univariat, bivariat dan multivariat dengan regresi logistik. Hasil penelitian ini menunjukkan nilai sig pada variable pengetahuan (p= 0,003), sikap (p=0,018), sosial budaya (p=0,271), ketersediaan fasilitas kesehatan (p=0,376), keterjangkauan fasilitas kesehatan (0,472), dukungan tenaga kesehatan (p=0,030) dan dukungan suami (p=0,725). Variabel dengan nilai Exp (B) terbesar adalah pengetahuan (39,565). Variable yang mempengaruhi perilaku dalam pemberian imunisasi dasar pada bayi di wilayah kerja Puskesmas Kosik Putih Kabupaten Padang Lawas Utara tahun 2019 adalah pengetahuan, sikap dan dukungan tenaga kesehatan dan variabel yang paling berpengaruh adalah pengetahuan.


2019 ◽  
Vol 2 (2) ◽  
pp. 146
Author(s):  
Sunarti Hanapi ◽  
Nuryani Nuryani ◽  
Rahmawaty Ahmad

Based on Indonesian Basic Health Research 2018Vitamin A capsule coverage for children 6-59 months reached 53.1%. Based on Department of Health Gorontalo district Vitamin A capsule coverage in work area of Asparaga community health center reached 80%. The research aims at investigating association of giving vitamin A toward toddler. This research used observational analytic method with cross sectional study approach. This research was conducted in February until April with total of samples were 262 children  6-59 mount and respondents were toddler mother. The technique of collecting samples was using purposive sampling technique and the technique of data collection was using questionnaire. The technique of data analysis was chi square test. The findings reseacrh was found that the giving of vitamin A on toddler was 126 (48,1%) and not giving vitamin A was 136 (51,9%) toddlers, low mothers knowledge 63,4%, active cadre 28,2%, active participation toddlers 5,0%. Base on analysis bivariate indicated that sufficient knowledge of mothers 67,7% of the toddlers were given vitamin A and chi square test showed knowledge of p value = 0,000, the role of active cadres 82,4% of the toddlers were given vitamin A with p value = 0,000 and the activity of toddlers visiting community health center / Posyandu 100% of the toddlers were given vitamin A with p value = 0,000. It was concluded that the mothers knowledge factor, the role of cadres and the activity of toddlers visiting Community Health Center and Posyandu were related to the provision of viramin A in the toddlers. It was recommended for mothers of toddlers to explore more information regarding the importance of providing vitamin A to toddlers, and to be active partisipation in Community Health Center / Posyandu activities.Berdasarkan hasil Riskesdas 2018 cakupan kapsul vitamin A pada anak 6-59 bulan mencapai 53,1%. Berdasarkan data Dinas Kesehatan Kabupaten Gorontalo cakupan pemberian vitamin A di Wilayah Kerja Puskesmas Asparaga mencapai 80%. Tujuan dalam penelitian ini untuk mengetahui sejumlah faktor yang berhubungan dengan pemberian vitamin A pada balita. Penelitian ini menggunakan metode observasional analitik dengan rancangan cross sectional study. Penelitian ini dilakukan pada Februari sampai April dengan jumlah sampel 262 balita umur 6-59 bulan dengan ibu balita sebagai responden. Pengambilan sampel dengan tekhnik purvosive sampling dan pengumpulan data dengan menggunakan kuesioner, analisis menggunaka chi square test. Hasil penelitian didapatkan pemberian vitamin A pada balita sebanyak 126 (48,1%) dan tidak diberikan vitamin A sebanyak 136 (51,9%) balita, pengetahuan ibu kurang 63,4%, keaktifan kader 28,2%, keaktifan kunjungan balita 5,0%. Berdasarkan hasil uji bivariat menunjukkan pengetahuan ibu cukup 67,7% anak balita diberikan vitamin A chi square  test menunjukkan pengetahuan  p value = 0,000, peran kader aktif 82,4% balita diberikan vitamin A dengan p value = 0,000, dan keaktifan kunjungan balita ke Puskesmas / Posyandu 100% balita diberikan vitamin A dengan p value = 0,000 berhubungan dengan pemberian vitamin A pada balita. Disimpulkan bahwa faktor pengetahuan ibu, peran kader dan keaktifan kunjungan balita ke Puskesmas dan Posyandu berhubungan dengan pemberian viramin A pada balita. Disarankan kepada ibu balita agar lebih menggali informasi terkait pentingnya pemberian vitamin A pada balita, serta aktif dalam kegiatan Puskesmas / Posyandu.


Author(s):  
Hairil Akbar

Infants are a nation's investment because they are the next generation for a nation. The quality of a nation can be determined by the quality of its infants at this time. Health problems during infancy can affect growth, especially disorders in the digestive tract such as diarrhea. Diarrhea affects the absorption of nutrients for the growth of children under five and diarrhea is the leading cause of infant mortality globally. The purpose of this study was to determine the factors associated with the incidence of diarrhea in children infants in Public Health Center Juntinyuat. This was an observational analytic study using a cross-sectional study design. The population under study was entire children aged 12-59 months in Public Health Center Juntinyuat with the total population of 1882 infants. The sample consisted of 94 selected children aged 12-59 months using Simple Random Sampling. According to the result of a simple logistic regression test, there was a relationship of nutritional status with p-value 0.002 (p <0,05), the existence of the trash with p-value 0.039 (p <0,05), and the presence of wastewater disposal facilities with p-value 0,008 (p <0,05) to diarrhea occurrence in infants Keywords: Diarrhea, Nutritional Status, The Existence of The Trash, The Presence of wastewater Disposal Facilities


2021 ◽  
Vol 4 (4) ◽  
pp. 344
Author(s):  
Irmina Tulle ◽  
Atika Atika ◽  
Baksono Winardi

AbstractBackground: The intrauterine device (IUD) is an effective and efficient long-term method of contraception which has effect of delaying and spacing more than three years of birth. NTT is one of the province with the most dominant short-acting contraception methods usage and IUD contraceptive usage is lowest in Boawae Community Health Center. The low use of IUD can be influenced by two factors such as mother’s knowledge and husband’s support. This study aims to analyse relationship between mother’s knowledge and husband’s support. with the use of IUD. Method: This study was observational analytic study with cross sectional approach. There were 104 mothers consisted of 52 IUDs and 52 non IUDs, were selected by simple random sampling technique and assessed with questionnaire. The independent variable are mother's knowledge and husband's support, while the dependent variable is the use of IUD.  Data analysis was achieved by chi square and multiple regression logistic test. Results: The results showed that most of mothers with IUD had good knowledge as much as 67.3% and most of non-IUDs’s mothers had less knowledge of 40,4%. Husband’s support of mother’s with IUDs was 67,3% and in non-IUD’s mothers was only 15,4%. There were significant association between mother’s knowledge (p value =0,000) and husband’s support (p value = 0,000) with the use of IUD. Multiple logistic regression test showed that husband support was the most dominant factor with p value = 0,000 (p <0.05). Conclusion: There were relationship between knowledge and husband’s support with the use of IUD. Husband's support is the most dominant factor in the use of IUD.  


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