scholarly journals UNDANG-UNDANG NOMOR 4 TAHUN 2019 TENTANG KEBIDANAN : DIPLOMA III KEBIDANAN TIDAK DAPAT MELAKUKAN PRAKTIK MANDIRI BIDAN

2020 ◽  
Vol 2 (2) ◽  
pp. 21-25
Author(s):  
Puji Hastuti Hastuti ◽  
Rusmini Rusmini Rusmini

From time to time, the regulation of midwife practice always changes according to the needs and development of the community and government policies in improving the public health status. The most recent regulation on midwifery practice is Law Number 4 of 2019 concerning MidwiferyThere are several obstacles faced in the implementation of quality services, including constraints on professionalism, competence, and authority. Different levels of education, different competencies at these levels and overlapping authorities still need to be improved in accordance with currently developing regulations.Research objectives to find out the implementation of Law Number 4 of 2019 concerning Midwifery in Banyumas RegencyAnalytical survey research. with a cross sectional approach.The research will be carried out in 2020. The population of this research is all midwives who work in the Banyumas Health Office with a total of 890 people. The sample used was 100 people with the sampling technique using random samplingThe results showed that most midwife education was 71% D3 and the lowest was S2 / S3 with a percentage of 2%. Recommendations for midwives who do not have professional education to attend this education if they want to practice independently.

2021 ◽  
Author(s):  
Hanum Nurma Azuro ◽  
Moch Yunus ◽  
Rara Warih Gayatri

Based on the Basic Health Research (Riskesdas) 2018, the incidence of periodontitis in Indonesia was reported at 74.1%, which makes it one of the most common oral health problems in the country. Overall, 2,759 patients, aged 19–64 years underwent periodontal examinations at the Public Health Centres in Malang between January and September 2019. The present study aimed to determine the description of periodontitis patients at the Public Health Centres, Malang, by conducting an early detection of periodontitis against the risk of the disease. This study used a cross-sectional design and a proportional random sampling technique. In total, 277 respondents visited the Public Health Centres in Malang during the study period. The early detection result is based on the number of questionnaire scores on signs, symptoms, and exposures to risk factors for periodontitis, which are divided into three categories: high, moderate, and low risks. The instrument used in this study is a modification of the previous research instrument by Renatus. The result showed that 58 respondents had moderate (21%), 4 (1.4%) had high, and 215 (77.6%) had low risks of periodontitis. Respondents who had a lower risk of periodontitis were more than the respondents who had high and moderate risks of periodontitis. Keywords: periodontitis, history of gingivitis, heredity (family history), oral hygiene, history of tobacco use


2021 ◽  
Vol 3 (3) ◽  
pp. 305-316
Author(s):  
Reny Marischa Putri ◽  
Bambang Setiaji ◽  
Ferizal Masra ◽  
Endang Budiati

Hypertension is dubbed the silent killer because this disease has no specific symptoms, hypertension can attack anyone, and at any time, and can cause degenerative diseases, to death. According to several studies, people with hypertension are 12 times more likely to have a stroke and 6 times more likely to have a heart attack. Hypertension is usually not realized by the public because the symptoms are not clear and resemble health complaints in general. Patients only find out that they have hypertension after checking their blood pressure, or after the onset of other diseases. Type of research is quantitative, analytical survey research design with Cross Sectional approach. The research population of all residents aged over 45 years who live in Bandar Lampung City based on data from the population and civil registration office of Bandar Lampung city in 2020 as many as 424,183 people, with the Proportional Random Sampling technique as many as 216 people. In this study, researchers used interview techniques using questionnaires. Data analysis used Chi Square statistical test and Logistics Regression. The research was carried out on March 2021. Research result there was a correlation between caffeinee (p-value = 0.022, and OR = 1.951), smoking habits (p-value = 0.017, and OR = 2.006) obesity (p-value = 0.000, and OR = 3.580), physical activity (exercise) (p-value = 0.012, and OR = 2.078) with the incidence of hypertension in Bandar Lampung City in 2021. Obesity variable is the dominant factor that is most related to the incidence of hypertension in Bandar Lampung City in 2021 (p-value = 0.000, and OR = 32,891). This can be done by holding regular counseling at the Posyandu for the elderly and holding regular exercise programs at the Public Health Center, namely doing morning exercises with the community every Friday. Furthermore, leaflets can be distributed about hypertension when exercising at the Public Health Center, as well as posting posters about the importance of maintaining a healthy diet, maintaining an ideal body weight and exercising regularly in places that are easily accessible by the community, such as at the market, at the village hall. or at the community meeting hall. 


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.


2019 ◽  
Vol 8 (1) ◽  
pp. 107
Author(s):  
Arifarahmi Arifarahmi

A woman get into perimenopause at the age of 40 and will experience menopause at the age of 51.5 years. The type of menopause consists of natural menopause, perimenopause, and menopause, postmenopause. Negative impacts that occur during menopause can occur physical changes and changes in psychology. Physical changes that often occur in postmenopausal women are most commonly experienced, namely hot flush (81.3%), insomnia (65.3%), the vagina becomes dry (58.7%), joint pain (57.3%) whereas psychological changes are easily offended (81%), anxiety (64%), memory decreases (44%), stress (33.3%). This research used description method with a cross-sectional  design  of woman’s attitude about menopause complaints at the public health center Kebun Handil. This study was conducted on September 4th – 7th 2018. Samples were 40 people by using accidental sampling technique. The collecting of data used a questionnaire. Data was used analyzed as univariate. The Result showed about women have a less good attitude about menopause complaints were 22 women (55%). It is concluded that woman’s attitude toward menopause complaints are still less good. As input for health promotion efforts in the community, especially for women to provide information and education regarding complaints of menopause.


2020 ◽  
Vol 12 (2) ◽  
pp. 61
Author(s):  
Mohamed Ombada ◽  
Mulham Ombada

Hypertension is a great challenge for the public health professionals across the world, as it is a major risk factor leading to congestive heart failure, coronary heart disease, retinopathy, and renal disease. Therefore, the study aims to diagnose hypertension among the adults in Al-Riyadh district, Khartoum state of Sudan. The study investigated the prevention and management of primary and secondary hypertension. A cross sectional population-based study was conducted among 138 adult individuals aged between 16 and 75 years. The participants were selected using random sampling technique and each participant completed self-administered questionnaire to assess the prevention-management of primary and secondary hypertension. The mercury sphygmomanometer with standard cuff was used to take measurement of arterial blood pressure. The diagnosis of hypertension among the adults showed that its prevalence in the area of Riyadh was 28%. The highest proportion of hypertension (13.7%) was recorded among the patients aged from 45 and 60 years. There was significant association of age (p-value = 0.001), social status (p-value = 0.001), stress (p-value = 0.010), and diabetes (p-value = 0.050) with hypertension. The present study has highlighted the significant factors associated with hypertension that encourages the public health professionals to carry out awareness and prevention programs.


2019 ◽  
Vol 1 (1) ◽  
pp. 1-9
Author(s):  
Arista Triyanti ◽  
Leka Lutpiatina ◽  
Rifqoh Rifqoh

Dengue Hemorrhagic Fever (DHF) is one of the public health problems that is still found in Indonesia. This disease always occurs repeatedly due to failure of vector control. Indonesia is the second largest country among 30 countries endemic to DHF. This disease can cause death especially in children. In Sungai Paring Village, January-December 2017, 2 cases of DHF were found. The purpose of this study was to find out the House Index (HI), Countainer Index (CI), Breteau Index (BI), larva free numbers (LFN) , Density Figure (DF) and larvae positive container types. This research is a type of descriptive survey research with total sampling technique. The population in this study were households and containers in the Paring Sungai Martapura Sub-District. The sample in this study was all water reservoirs in 100 respondent's houses. Of the 100 houses surveyed there were 40 positive larvae (HI 40%), 60% ABJ, 41 larvae positive containers from 356 examined containers (CI 11.52%) and positive larvae containers namely, ceramic bath 3 (0.84% ), 1 cement bath (0.28%), 18 used paint buckets (5.06%), 4 large bucket buckets (1.12%), 3 ablutions (0.84%) and 6 plastic drums (1.70%). Based on this research, it is expected that respondents and the community take precautionary measures and control of dengue hemorrhagic fever (DHF) vectors by 3M. For researchers to conduct further research to determine vector density fluctuations


2020 ◽  
Vol 13 (2) ◽  
pp. 109
Author(s):  
Yuyun Sarinengsih

ABSTRAKStunting yaitu keadaan gagal tumbuh akibat dari kekurangan gizi kronis. Prevalensi stunting di Kabupaten Tasikmalaya menempati urutan keempat, dimana kecamatan Sukahening menempati urutan pertama tertinggi dengan jumlah 155 balita mengalami stunting. Faktor yang dapat mempengaruhi kejadian stunting yaitu pengasuhan anak yang kurang baik dimana tidak diberikannya ASI secara Ekslusif. Pencegahan stunting yaitu pada 1000 hari kehidupan dimana salah satunya pemberian ASI secara Ekslusif.Penelitian ini bertujuan untuk mengetahui hubungan antara pemberian ASI Ekslusif dengan kejadian stunting pada balita 1-5 tahun di Puskesmas Sukahening Kecamatan Sukahening Kabupaten Tasikmalaya.Jenis Penelitian yang digunakan adalah deskriptif korelasional dengan pendekatan cross-sectional. Populasi total sampling sebanyak 95 responden menggunakan teknik purposive sampling.Hasil Penelitian diperoleh lebih dari setengah responden 51,6% tidak diberikan ASI secara Ekslusif, dan sebagian besar 65,3% balita mengalami stunting. Hasil perhitungan chi-square diperoleh ρ.value (0,000<0,05) maka H0 ditolak sehingga terdapat hubungan antara Pemberian ASI Ekslusif dengan kejadian stunting pada balita 1-5 tahun di Puskesmas Sukahening Kecamatan Sukahening Kabupaten Tasikmalaya.Hasil penelitian ini diharapkan dapat memberi informasi yang bermanfaat dan perlu dilakukan pendidikan kesehatan ulang yang terjadwal terkait nutrisi yang terjangkau dan sehat sehingga dapat meningkatkan cakupan ASI Ekslusif dan dapat menurunkan angka stunting.Kata Kunci : ASI Ekslusif, StuntingDaftar Pustaka : 25 buku (2010-2018)9 jurnal (2013-2019)2 Website (2010-2017) ABSTRACTStunting is a condition of growth failure due to chronic malnutrition. The stunting prevalence in Tasikmalaya Regency was at the fourth place where Sukahening sub-district was at the highest with 155 stunting. Factor that can influence the occurrence of stunting is a poor parenting where exclusive breastfeeding is not given. The best prevention of stunting is on 1000 days of life where exclusive breastfeeding is given. The impact, if the baby is not given exclusive breastfeeding, they will lack of nutrition and also will have an impact on the growth or inappropriate height. This aims of the research is to determine the relationship between exclusive breastfeeding and the incidence of stunting on toddler under 5 years of at Sukahening Public Health Center, Sukahening Sub district, Tasikmalaya Regency. The type of research used is descriptive correlation with a cross-sectional approach. The total samplings were 95 respondents which used purposive sampling technique. The results of the research were obtained more than half of the respondents 51.6% were given exclusive breastfeeding, and most 65.3% of children under five had stunting. The chi-square calculation results obtained that ρ.value (0,000 <0,05) then H0 is rejected so that there is a relationship between exclusive breastfeeding and the incidence of stunting on toddlers under 5 years in Sukahening Public Health Center, Sukahening Sub district, Tasikmalaya Regency. Performed the health education related to affordable and healthy nutrition so that it can increase the coverage of exclusive breastfeeding and can reduce stunting rates. Keywords : Exclusive breastfeeding, Stunting Bibliography : 25 books (2010-2018) 9 journals (2013-2019) 2 Websites (2010-2017) 


2020 ◽  
Vol 18 (2) ◽  
pp. 149
Author(s):  
Mohammed Mustapha Namadi

Corruption is pervasive in Nigeria at all levels. Thus, despite recent gains in healthcare provision, the health sector faces numerous corruption related challenges. This study aims at examining areas of corruption in the health sector with specific focus on its types and nature. A sample size of 480 respondents aged 18 years and above was drawn from the eight Metropolitan Local Government Areas of Kano State, using the multistage sampling technique. The results revealed evidence of corrupt practices including those related to unnecessary-absenteeism, diversion of patients from the public health facilities to the private sector, diverting money meant for the purchase of equipment, fuel and diesel, bribery, stealing of medications, fraud, misappropriation of medications and unjustifiable reimbursement claims. In order to resolve the problem of corrupt practices in the healthcare sector, the study recommended the need for enforcement of appropriate code of ethics guiding the conduct of the health professionals, adoption of anti-corruption strategies, and strengthening the government monitoring system to check corruption in public health sector in order to ensure equitable access to healthcare services among the under-privileged people in the society.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jinghua Li ◽  
Jingdong Xu ◽  
Huan Zhou ◽  
Hua You ◽  
Xiaohui Wang ◽  
...  

ABSTRACT Background Public health workers at the Chinese Centre for Disease Control and Prevention (China CDC) and primary health care institutes (PHIs) were among the main workers who implemented prevention, control, and containment measures. However, their efforts and health status have not been well documented. We aimed to investigate the working conditions and health status of front line public health workers in China during the COVID-19 epidemic. Methods Between 18 February and 1 March 2020, we conducted an online cross-sectional survey of 2,313 CDC workers and 4,004 PHI workers in five provinces across China experiencing different scales of COVID-19 epidemic. We surveyed all participants about their work conditions, roles, burdens, perceptions, mental health, and self-rated health using a self-constructed questionnaire and standardised measurements (i.e., Patient Health Questionnaire and General Anxiety Disorder scale). To examine the independent associations between working conditions and health outcomes, we used multivariate regression models controlling for potential confounders. Results The prevalence of depression, anxiety, and poor self-rated health was 21.3, 19.0, and 9.8%, respectively, among public health workers (27.1, 20.6, and 15.0% among CDC workers and 17.5, 17.9, and 6.8% among PHI workers). The majority (71.6%) made immense efforts in both field and non-field work. Nearly 20.0% have worked all night for more than 3 days, and 45.3% had worked throughout the Chinese New Year holiday. Three risk factors and two protective factors were found to be independently associated with all three health outcomes in our final multivariate models: working all night for >3 days (multivariate odds ratio [ORm]=1.67~1.75, p<0.001), concerns about infection at work (ORm=1.46~1.89, p<0.001), perceived troubles at work (ORm=1.10~1.28, p<0.001), initiating COVID-19 prevention work after January 23 (ORm=0.78~0.82, p=0.002~0.008), and ability to persist for > 1 month at the current work intensity (ORm=0.44~0.55, p<0.001). Conclusions Chinese public health workers made immense efforts and personal sacrifices to control the COVID-19 epidemic and faced the risk of mental health problems. Efforts are needed to improve the working conditions and health status of public health workers and thus maintain their morale and effectiveness during the fight against COVID-19.


Author(s):  
Ximena Alvial ◽  
Alejandra Rojas ◽  
Raúl Carrasco ◽  
Claudia Durán ◽  
Christian Fernández-Campusano

The Public Health Service in Chile consists of different levels of complexity and coverage depending on the severity and degree of specialization of the pathology to be treated. From primary to tertiary care, tertiary care is highly complex and has low coverage. This work focuses on an analysis of the public health system with emphasis on the healthcare network and tertiary care, whose objectives are designed to respond to the needs of each patient. A review of the literature and a field study of the problem of studying the perception of internal and external users is presented. This study intends to be a contribution in the detection of opportunities for the relevant actors and the processes involved through the performance of Triage. The main causes and limitations of the excessive use of emergency services in Chile are analyzed and concrete proposals are generated aiming to benefit clinical care in emergency services. Finally, improvements related to management are proposed and the main aspects are determined to improve decision-making in hospitals, which could be a contribution to public health policies.


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