scholarly journals FAKTOR YANG MEMPENGARUHI IMPLEMENTASI PROGRAM DETEKSI DINI KANKER SERVIKS MELALUI PEMERIKSAAN IVA (INSPEKSI VISUAL ASAM ASETAT) DI PUSKESMAS WILAYAH KOTA SURABAYA

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Fritria Dwi Anggraini

Cervical cancer detection program through an examination of the IVA has been implemented in all health centers in Surabaya since 2010. Target of this program are 80 % WUS and the target examination at least 25 people per month , but the achievement only 3-4 people permonth. The purpose of research is to analyze the factors that affect the implementation of IVA’s programs in healthcare centers in  Surabaya .Research conducted observational analytic cross sectional approach . The study population was responsible for IVA program at the health center for 52 people with a total sampling . The data was collected through interviews with  questionnaire . Analyzed using T test track with the program VPLS. The results showed IVA program by parent centers in the city of Surabaya 57.7 % poor , 51.9 % of communication is not good , the attitude of the respondents 55.8 % positive / supportive IVA program, character health centers provide less at 53.8 % support , understanding of the standard and target 51.9 % less understand . Based on the test results showed that the communication model of the structure , characteristics and health centers responsible attitude directly affects the implementation of the  program , while managing and understanding of the standard target indirectly influence the IVA program implementation through communication and attitud. Taken together these five factors influence the implementation of the IVA program with a contribution of 82.7 % which is the most influential variable is communication.

2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Fritria Dwi Anggraini

Cervical cancer detection program through an examination of the IVA has been implemented in all health centers in Surabaya since 2010. Target of this program are 80 % WUS and the target examination at least 25 people per month , but the achievement only 3-4 people permonth. The purpose of research is to analyze the factors that affect the implementation of IVA’s programs in healthcare centers in Surabaya .Research conducted observational analytic cross sectional approach . The study population was responsible for IVA program at the health center for 52 people with a total sampling . The data was collected through interviews with questionnaire . Analyzed using T test track with the program VPLS. The results showed IVA program by parent centers in the city of Surabaya 57.7 % poor , 51.9 % of communication is not good , the attitude of the respondents 55.8 % positive / supportive IVA program, character health centers provide less at 53.8 % support , understanding of the standard and target 51.9 % less understand . Based on the test results showed that the communication model of the structure , characteristics and health centers responsible attitude directly affects the implementation of the program , while managing and understanding of the standard target indirectly influence the IVA program implementation through communication and attitud. Taken together these five factors influence the implementation of the IVA program with a contribution of 82.7 % which is the most influential variable is communication.


2022 ◽  
Vol 11 (1) ◽  
pp. 100
Author(s):  
Gholamreza Moradi ◽  
Shadi Gholizade ◽  
Reyhaneh Rostami ◽  
Fateme Moghbeli

Introduction: Nurses and medical staff and health technologists as the largest segment of the health system are the main users of health information systems that understanding the perspective and how to use this system can be effective in improving the quality of community health. The aim of this study was to evaluate the performance of the Sib system of health centers in Bojnourd and Neishabour.Material and Methods: This is an applied study and was performed by descriptive cross-sectional method. The study population included all users of the Sib system in the health centers of Bojnourd and Neishabour who used the Sib system. Sampling was available and data were collected using a researcher-made questionnaire and data were analyzed using SPSS software version 21.Results: According to the findings of the study, the majority of users were 70% female and 30% male, 58% were in the age group of 30-39 years, and 40% of them had 5-9 years of work experience and also 63% of System users have a bachelor's degree. In the technical field, from the point of view of 40% of users, the ease of using the system is moderate.Conclusion: Based on the identified factors, by strengthening the advantages of the system and also trying to eliminate or reduce the shortcomings in it, it is possible to institutionalize and use the system more practically in order to solve health problems.


2017 ◽  
Vol 6 (3) ◽  
pp. 148
Author(s):  
Hendra Eka Prabawa ◽  
Muhammad Azinar

ABSTRAK   Pneumonia merupakan pembunuh utama balita di dunia yang kurang mendapat perhatian bahkan terlupakan (“the forgotten killer”). Cakupan angka penemuan pneumonia balita di Indonesia tahun 2014 masih belum mencapai target yaitu 29,74% (target 80%). Rendahnya cakupan penemuan pneumonia balita disebabkan antara lain karena deteksi kasus oleh bidan sebagai pemberi pelayanan balita sakit di puskesmas masih rendah. Penelitian ini bertujuan untuk mengetahui faktor – faktor yang berhubungan dengan praktik penemuan pneumonia balita oleh bidan di puskesmas wilayah Kabupaten Pemalang. Metode penelitian ini berjenis explanatory research, menggunakan pendekatan cross sectional, dengan populasi penelitian adalah bidan yang bertugas di ruang rawat jalan KIA puskesmas di Kabupaten Pemalang berjumlah 242 orang. Teknik sampling secara purposive didapat 44 responden. Analisis data secara univariat dan bivariat dengan uji chi square. Hasil penelitian didapatkan faktor yang berhubungan dengan praktik penemuan pneumonia oleh bidan adalah pengetahuan (p=0,000), tugas rangkap (p=0,019), lama memegang program (p=0,007) dan dukungan kepala puskemas (p=0,000). Faktor yang tidak berhubungan adalah umur (p=1,000), sikap (p=0,773), ketersediaan fasilitas (p=0,117) dan dukungan mitra kerja (p=1,000).   ABSTRACT                  Pneumonia is the main killer of children under five in the world who received less attention even forgotten ("the forgotten killer"). Coverage under five pneumonia detection rate in Indonesia in 2014 has yet to reach the target of 29.74% (target 80%). The low coverage of infant pneumonia is caused partly because the detection of cases by midwives as the service provider sick children in health centers is still low. This study aimed to identify factors related to the practice of the invention toddler pneumonia by midwives in health centers Pemalang district. This research method was explanatory research using cross sectional approach, the study population are midwife who served in the room KIA clinics in Pemalang amounted to 242 people. Purposive sampling technique obtained 44 respondents. Data analysis of univariate and bivariate with chi square test. The result showed that factors associated with the practice of the invention of pneumonia by midwives are knowledge (p = 0.000), double duty (p = 0.019), long held the program (p = 0.007) and the head support health centers (p = 0.000). Factors unrelated are age (p = 1.000), attitude (p = 0.773), the availability of facilities (p = 0.117) and the support of partners (p = 1.000). 


Author(s):  
Mahdi Khoshgoo ◽  
Omid Eslami ◽  
Mojtaba Khadem Al-Hosseini ◽  
Farzad Shidfar

Objective: There is growing evidence suggesting that household food insecurity (HFI) is associated with adverse outcomes on mental health; however, limited evidence exists for pregnant women. This study was conducted to determine the relationship between HFI and depressive symptoms among a sample of pregnant women. Method: This cross sectional study was performed on 394 pregnant women referring to the health centers located in Qom, Iran, from October 2017 to March 2019. HFI was evaluated using an 18-item US Household Food Security Survey Module. The Beck Depression Inventory-II questionnaire was applied to determine the severity of depressive symptoms. Logistic regression analysis was used to determine the factors associated with elevated depressive symptoms in the study population. Results: The mean (± standard deviation) age of the study population was 28.59 ± 7.28 years. Almost 48% of participants were food insecure, and 37% experienced elevated levels of depressive symptoms during pregnancy. The prevalence of elevated depressive symptoms was significantly higher in food-insecure (P < 0.001) and unemployed (P = 0.02) women, while it was significantly lower in women with higher education levels (P < 0.001). In the adjusted model, it was revealed that HFI was significantly associated with the higher likelihood of having elevated depressive symptoms (OR = 3.31, 95% CI = 2.07, 5.29), while the higher level of education was negatively associated with the levels of depressive symptoms (OR = 0.40, 95% CI = 0.20, 0.79). Conclusion: HFI was positively associated with the severity of depressive symptoms in a sample of pregnant women. Further studies are needed to confirm this finding. Meanwhile, routine screening of HFI for all pregnant women in the community health centers is recommended.


1970 ◽  
Vol 5 (1) ◽  
pp. 09
Author(s):  
Shinta Kristianti

Transmission of HIV-AIDS in Indonesia is growing fast, one of the triggers are due to risky sexual behavior, including sexual behavior in FSW’s clients. This study aimed to analyze the factors that influence the behavior of condom use on the FSW’s clients in Semampir Kediri. This study used quantitative methods to the design of explanatory research with cross sectional approach. A triangulation of qualitative data used to support the results of quantitative analysis were excavated from WPS and pimps as a cross check answers FSW’s clients, the means used was to in-depth interviews and FGDs (Focus Group Discussion) on the FSW and pimps. Sample size was 66 people. Univariate data analysis, with chi-square bivariate and multivariate logistic regression. Results showed most respondents (71.2%) behave consistent in using condoms.Variables related to condom use behavior in FSW were knowledge, perception of vulnerability, severity perceived, benefits perceived, barriers perceived and perceived ability to self (self-efficacy), the availability of condoms, condom regulation, support of friends and support of FSW. Support of friend was the most influential variable on the practice of using condoms to FSW’s clients and the OR value was 19.218.; Key words: female sex workers (FSW), FSW’s clients, condom, consistent 


2017 ◽  
Vol 2 (3) ◽  
Author(s):  
Febriyeni Febriyeni

<pre>Chronic Energy Deficiency is a situation where the nutritional status someone is on the Less Good Condition. Among the 22 health centers in the district of Lima Puluh Kota, CED highest coverage at the health center are Banja Laweh Namely Case 17 (16.50%) of 103 pregnant mothers. Preliminary Survey of 10 pregnant women at health centers Banja Laweh, note 4 people (40%) of them suffered CED. Based on the findings of interviews stating Not pregnant women know the importance of the size upper arm circumference on Against her pregnancy, in addition to pregnant women consume no food Diversified, because lust Eating Less and Economics not sufficient. Objectives for review determine factors related to the occurrence of Chronic energy deficiency on pregnant women. Methods descriptive analytic with cross sectional approach. Data collection is done on Date in January-February 2017. CASE is a whole population of pregnant women in the region are working Health Center Banja Laweh Year 2017, amounted to 55 people, with sampling total sampling. Operating data analysis using univariate and bivariate statistical test Chi Square. Results of univariate analysis 87,3% of respondents experienced Genesis not CED, (60,0%) High Knowledge, (56,4%) Economy High, and 61,8% of Eating Well. Bivariate analysis known Relationship of Knowledge (p = 0.013 and OR = 12,000, Economics (p = 0.035 and OR = 10,000), and Diet (p = 0.019 and OR = 13,200) with the Genesis CED pregnant women. Can be concluded that the factors related to the occurrence of CED pregnant women is Science, Economics and the Diet. Expected to conduct monitoring of the health center and Supervision of pregnant women at risk Against The Genesis CED, so the negative impact of the CED can be addressed early on.</pre>


2019 ◽  
Vol 17 (1) ◽  
pp. 17-23
Author(s):  
B.B. Subba ◽  
N. Rimal ◽  
B.M. Shrestha

Introduction: TB is considered one of the opportunistic infection among PLHIV. The increasing burden of HIV/TB co-infection among key population cause problem to maintain adherence to ART and DOTS services. The emergence of MDR-TB is one of the greatest challenge to control and management of both diseases. However, having knowledge and information of both diseases are important role to access the available HIV/TB services. Methods: A cross-sectional survey was conducted among key population who had HIV/TB co-infection in two-epidemic zone of Nepal. A pretested semi-structured questionnaire was used to collect data. ANOVA test was done to analyze the collected data by using SPSS version 20.0. Results: A total of 343 HIV/TB co-infected individuals were enrolled to the study. Most of participants were from ART and DOTS clients. Therefore, the study found that there was significance difference found between knowledge about TB (F=4.400, p= 0.005), causative agent of TB (F=3.160, p=0.025), risk of TB illness among PLHIV (F=8.491, p=0.001) and among key affected population. Moreover, there was significance difference found between access to OI treatment (F=5.113, p=0.002) and access to viral load (F=4.642, p=0.003) among key study population. In gender perspective, there was no significance difference to use and access to available HIV/TB services. Conclusion: The general knowledge on HIV/TB co-infection was significant association with key population. The knowledge on HIV/TB and access to NGOs’ help can significant effect to access the available HIV and TB services.


Author(s):  
Wulan Citra Sari, Ana Safitri Wulan Citra Sari, Ana Safitri

ABSTRAK   Pneumonia masih merupakan masalah kesehatan yang penting karena menyebabkan kematian bayi dan balita yang cukup tinggi yaitu kira-kira satu dari empat kematian yang terjadi. Tujuan penelitian ini adalah diketahuinya hubungan antara umur balita dan pengetahuan ibu dengan kejadian pneumonia pada balita di Puskesmas Cambai tahun 2016. Penelitian ini menggunakan metode Survey Analitik dengan pendekatan Cross Sectional. Populasi pada penelitian ini adalah semua ibu yang membawa atau memeriksakan balitanya yang umur < 5 tahun di Puskesmas Cambai tahun 2016, pada saat penelitian. Pengambilan sampel tersebut secara Non Random dengan teknik Accidental Sampling. Analisa data dilakukan secara univariat dan bivariat dengan uji statistik Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian menunjukkan ada hubungan antara umur balita dan pengetahuan ibu dengan kejadian pneumonia pada balita di Puskesmas Cambai tahun 2016. Dari hasil penelitian ini, peneliti berharap petugas pelayanan kesehatan dapat meningkatkan pelayanan kesehatan bayi dan balita di Puskesmas Cambai , serta lebih sering melaksanakan penyuluhan tentang pneumonia dan penyuluhan mengenai makanan 4 sehat 5 sempurna, agar terciptanya balita sehat.     ABSTRACT Pneumonia is an important health problem because it causes the death of infants and toddlers are quite high, roughly one in four deaths. The purpose of this study is known huubungan between toddler age and maternal knowledge with pneumonia incidence in infants in health centers Cambai 2016. This study used a survey method with the Analytical cross-sectional approach. The population in this study were all mothers who carry their babies or check the age < 5 years at Health Center Cambai in 2016, at the time of the study. The sampling is non- random with accidental sampling technique. Data analysis was done using univariate and bivariate statistical test Chi - Square with significance level α = 0.05. The results of this study showed association between maternal age and knowledge toddlers with pneumonia incidence in infants in Health Center Cambai in 2016. From these results, researchers expect health care workers to improve health services in health centers babies and toddlers Cambai, and more frequently to conduct information about pneumonia and counseling about 4 healthy 5 perfect food , in order to create a healthy toddler.


2020 ◽  
Vol 15 (2) ◽  
pp. 105-110
Author(s):  
Haile Kassahun ◽  
Dugessa Tesfaye

Background: Disposal of pharmaceutical waste among patients is a global challenge especially in developing countries like Ethiopia. Improper medication disposal can lead to health problems and environmental contaminations. Therefore, the present study aimed to assess disposal practices of unused medications among patients in public health centers of Dessie town, Northeast Ethiopia. Methods: A descriptive cross-sectional study was conducted among 263 patients in four public health centers of Dessie town, Ethiopia from March to June, 2019. Face-to-face interviews using structured questionnaires were used to collect data from each study subject. Results: The majority of the respondents, 224 (85.17%) had unused medications at their home during the study period. The most commonly reported disposal method in the present study was flushing down into a toilet 66 (25.09%). None of the respondents practiced returning unused medications to Pharmacy. Moreover, 85 (32.31%) of the respondents reported never disposing their medications and believed that it is acceptable to store medications at home for future use. Conclusion: In the present study, there was a high practice of keeping medications at home and most of the disposal practices were not recommended methods. In addition, most of the respondents did not get advice from pharmacists and other health care professionals on how to dispose off unused medications. Hence, there is a need for proper education and guidance of patients regarding disposal practices of unused medications.


2017 ◽  
Vol 56 (6) ◽  
pp. 325
Author(s):  
Surya Jayanti Kadek ◽  
Dewi Kumara Wati Ketut ◽  
Karyana Putu Gede

Background About 60% of individuals with atopic dermatitis (AD) develop their first manifestation during infancy. Cow’s milk (CM) exposure is considered to be a risk factor for AD.Objective To evaluate for an association between cow’s milk exposure and atopic dermatitis in infants > 6 months of age.  Methods This cross-sectional study consisted of subjects from a previous study and new subjects recruited in order to meet the minimum required number of subjects. Our study population comprised 120 infants, born between 1 February and 30 November, 2012 in Sanglah Hospital, Denpasar. Subjects were divided into CM and non-CM groups and analyzed for their risk of AD. Subjects were included to CM group if they were fed with cow’s milk/formula  and included to non-CM group if they were breastfeed exclusively in the first six months of life. Other possible risk factors were assessed by multivariate analysis. Results One hundred twenty subjects were enrolled and analyzed (59 in the CM and 61 in the non-CM groups). The prevalence of AD was 30%. Multiple logistic regression analysis revealed a significant association between CM exposure and AD, with odds ratio (OR) 2.37 (95%CI 1.036 to 5.420; P=0.04). In addition, maternal diet including eggs and/or cow’s milk during the breastfeeding period was significantly associated with AD in infants (OR 3.18; 95%CI 1.073 to 9.427; P=0.04).Conclusion Cow’s milk exposure is significantly associated with atopic dermatitis in infants  > six months of age. 


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