scholarly journals The Influence of Education, Mother’s Attitude and Cadres’ Service on Utilization of Posyandu in South Tapanuli, North Sumatera

Author(s):  
Wilda Zulihartika Nasution ◽  
Destanul Aulia ◽  
Zulhaida Lubis

Posyandu as a means of monitoring the growth of toddlers in order to detect problems with growth disorders. Child considering conducted at Posyandu is an effort by the community to monitor the growth of toddler so that community participation is needed. Sayur Matinggi Health Center has an under-targeted program of Posyandu service coverage for toddlers where the percentage of community participation only reaches 53% while the national target coverage is 80%. The type of research used with analytical survey with an sequential explanatory approach. The sample in this study is determine by taking the entire population to be subject of research, as many as 96 toddler’s mothers. This research was conducted at Sayur Matinggi community health centre from Januari to November 2018. The results of the multiple logistic regression test analyses showed that the caders’ service was the dominant factor influencing the utilization of posyandu Sayur Matinggi community health center. The researcher’s suggestion in this research is posyandu cadres should be more active in developing appropriate and interesting activities so that mothers become more active in implementing posyandu and health for their toddlers.

2020 ◽  
Vol 7 (1) ◽  
pp. 16
Author(s):  
Nita Pujianti ◽  
Lia Anggraini

ABSTRAKPneumonia merupakan penyebab banyak kematian balita di dunia. Selama tahun 2016 terdapat 568.146 (65,27%) jumlah kasus pneumonia pada balita yang ada di Indonesia. Berdasarkan data Dinas Kesehatan Provinsi Kalimantan Selatan tercatat kasus pneumonia tahun 2017 sebesar 66,52%, data tertinggi pada Puskesmas Beruntung Raya dengan angka 105 kasus (10,80%) di tahun 2017. Tujuan penelitian ini adalah untuk menganalisis faktor-faktor yang berhubungan dengan kepatuhan penggunaan antibiotika pada orang tua pasien anak yang terdiagnosa pneumonia di wilayah kerja Puskesmas Beruntung Raya serta menganalisa faktor yang paling dominan mempengaruhi. Penelitian ini menggunakan rancangan observasional analitik melalui pendekatan cross sectional. Populasi dalam penelitian ini adalah semua orang tua yang memeriksakan anaknya dalam satu tahun terakhir di Puskesmas Beruntung Raya. Sampel dalam penelitian ini berjumlah 77 responden ditentukan dengan teknik purposive sampling dan berlangsung selama 3 (tiga) bulan. Analisa data menggunakan uji chi square dan regresi logistik biner dan kuisioner sebagai Instrumen penelitian. Hasil penelitian menunjukkan bahwa terdapat hubungan antara kedisiplinan (p-value= 0,001), sugesti sembuh (p-value= 0,012), dan komunikasi (p-value= 0,025). Variabel kedisiplinan merupakan yang paling berpengaruh dominan terhadap kepatuhan penggunaan antibiotika, sehingga pasien yang disiplin lakan lebih patuh dalam meminum obat antibiotika daripada pasien yang tidak disiplin.Kata-kata kunci: Kepatuhan, pneumonia, kedisiplinan, sugesti sembuh, komunikasiABSTRACTPneumonia is the cause of many under-five deaths in the world. During 2016 there were 568,146 (65.27%) of the number of pneumonia cases in children under five in Indonesia. From the data of the South Kalimantan Provincial Health Office recorded pneumonia cases in 2017 amounted to 66.52%, the highest data in Beruntung Jaya Community Health Center with a number of 105 cases (10.80%) in 2017. The purpose of this study was to analyze the factors related by adhering to the use of antibiotics in the parents of pediatric patients with diagnosed with pneumonia in the work area of Beruntung Jaya Community Health Center and analysis the most dominant factor influencing. This study uses an observational analytic design through a cross sectional approach. The population in this study were all parents who had their children examined in the past year at Beruntung Raya Health Center. The sample in this study amounted to 77 respondents determined by purposive sampling technique and lasted for 3 (three) months. Data analysis using chi square test and binary logistic regression and questionnaires as research instruments. The results showed that there was a relationship between discipline (p-value= 0.001), recovery suggestions (p-value= 0.012), and communication (p-value= 0.025). Disciplinary variable is the most dominant influence on adherence to the use of antibiotics, so that disciplined patients are more obedient in taking antibiotic drugs than patients who are not disciplined.Key words: Compliance, pneumonia, discipline, healing suggestion, communication


2020 ◽  
Vol 4 (1) ◽  
pp. 279-284
Author(s):  
Puji Lestari ◽  
Byba Melda Suhita ◽  
Katmini Katmini

CCA interest in using an IUD as an IUD (Contraception Tool in the Womb) in the work area of ​​the Sugihwaras Community Health Center is still low. This is caused by several factors. The purpose of this research is to find out the most dominant factor influencing CCA interest in using an IUD as a contraceptive device in the work area of ​​the Puskesmas Sugihwaras Bojonegoro. The design of this study used an observational method with a cross sectional approach. With a population of all couples of childbearing age who use the IUD as a contraceptive in the work area of ​​the Sugihwaras Health Center, which is 175 people. By using purposive sampling technique obtained a sample size of 122 respondents. The independent variables in this study were acceptor confidence, service quality, environmental culture, and family support. While the dependent variable is CCA interest in using an IUD as a contraceptive. The results showed that the p value for the acceptor confidence variable was 0.017 <0.05 so that the acceptor confidence variable had an influence on the acceptor's interest. P value of service quality 0,000 <0.05 so that service quality variables have an influence on the acceptor's interest. P value of environmental culture 0.035 <0.05 so that environmental culture has an influence on the acceptor's interest. P value of family support 0.001 <0.05 so that family support has an influence on the acceptor's interest. Of all the independent variables that have the strongest signification value is service quality. So the hypothesis is accepted. That means that service quality is the factor that has the most influence on CCA interest in using an IUD as a contraceptive in the work area of ​​the Sugihwaras Community Health Center.


2017 ◽  
Vol 4 (1) ◽  
pp. 16
Author(s):  
Ika Fitria Ayuningtyas ◽  
Hafifah Wijayanti

Background : Pregnant mothers’ nutritional status is partly influenced by knowledge level. Early study signaled that there were 47,25 % of pregnant mothers who suffered Chronic Energy Deficiency and the result of interviews found out that 7 out of 10 pregnant mothers had insufficient understanding about nutritional need. This fact encouraged the researcher to hold a study about the knowledge level of second term pregnant mothers about nutritional need in Sanden Community Health Center, Bantul, Yogyakarta Objective : To uncover the knowledge level of second term pregnant mothers about nutritional intake need in Sanden Community Health Center, Bantul, Yogyakarta Method : This was a quantitative descriptive study. Population in this study was Second Term pregnant mothers who underwent pregnancy examination in Sanden Community Health Center, Bantul, Yogyakarta, during June – July 2014. 30 respondents were sorted with Incidental Sampling technique. Data collecting used primary data and the instrument used was closed questionnaire. Result : This study finally categorized the knowledge level of pregnant mothers in Good category (33,3 %), Sufficient category (60,0 %), and Poor category (6,7 %). Conclusion : The knowledge level of second term pregnant mothers about nutritional need were categorized as enough so that it is recommended that pregnant mothers improve their understanding about nutritional need during pregnancy. Suggestion : Midwives in Community Health Centre are supposed  to hold dissemination about nutritional need during pregnancy so that it may prevent any Chronic Energy Deficiency.


2021 ◽  
Vol 9 (E) ◽  
pp. 530-534
Author(s):  
Dedi Mahyudin Syam ◽  
Ros Arianty ◽  
Djunaidil Syukur Sulaeman ◽  
Indro Subagyo

BACKGROUND: The prevalence of tuberculosis (TB) globally is still very high, TB is an infectious disease that causes many deaths in Indonesia, in 2016 there were 274 cases of death per day in Indonesia and reached 1,020,000 people. The proportion of TB in Puskesmas Sabang in 2014 there were 13 cases, 29 cases in 2015, 23 cases in 2016, 27 cases in 2017, and in 2018 as many as 30 cases, TB was caused by several risk factors such as smoking, Housing conditions, and education. AIM: Research aims to know the risk factors incidence of TB disease in Sabang Regional Public Health Center, District Dampelas, Donggala. MATERIALS AND METHODS: Study case-control using a document of TB as well as structured interviews using a questionnaire, the case was a patient who suffered from TB in Puskesmas Sabang in 2017, and control is one that has the same sex that is at the Community Health Centre (Puskesmas) Sabang, comparison cases and controls were 1:1, 30 cases and 30 controls. RESULTS: Smoking habit with p = 0.020 (odds ratio [OR] = 7.120, confidence interval [CI] = 1.358–37.337) and house humidity with p = 0.000 (OR = 26.318, CI = 4.399–157.474) were the most dominant risk factors for TB incidence, while the type of gender, education and knowledge are protective against the incidence of TB. CONCLUSION: Smoking habits and house humidity are the most dominant risk factors for the incidence of TB in the work area of the Sabang Health Center, Dampelas District, Donggala Regency. Health workers should increase education to the public about the dangers of smoking and the requirements of healthy housing.


2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Jamaluddin Kamil ◽  
Tito Gunantara ◽  
Yani Dewi Suryani

Talasemia merupakan penyakit genetik dan kronis yang dapat menyebabkan anemia berat sehingga mengganggu kualitas hidup. Penelitian ini bertujuan untuk mengetahui gambaran dan faktor apa saja yang memengaruhi kualitas hidup penderita talasemia anak di RSUD Al- Ihsan Kabupaten Bandung tahun 2019. Subjek penelitian adalah pasien talasemia anak di RSUD Al-Ihsan Kabupaten Bandung yang memenuhi kriteria inklusi. Data diambil menggunakan teknik total sampling dengan jumlah subjek 65 orang. Desain penelitian bersifat analitik dengan rancangan potong lintang. Penelitian menggunakan alat berupa kuesioner pediatric quality of life (PedsQL) yang berisi 23 pertanyaan. Hasil analisis univariat didapatkan kualitas hidup total subjek penelitian adalah buruk dengan rerata skor 68,9. Fungsi fisik, emosi, dan sekolah buruk dengan nilai rerata skor <80. Analisis bivariat dengan chi square test didapatkan hubungan bermakna antara faktor-faktor dengan kualitas hidup dengan nilai p≤0,05. Analisis multivariat dengan multiple logistic regression test didapatkan faktor yang paling dominan memengaruhi kualitas hidup yaitu fungsi sosial dengan koefisien beta 1,823 dan nilai p=0,039. Simpulan, rerata kualitas hidup penderita talasemia anak di RSUD Al-Ihsan Kabupaten Bandung adalah buruk. Fungsi yang terganggu yaitu fungsi fisik, emosi, dan sekolah. Faktor yang paling dominan memengaruhi kualitas hidup dengan nilai tertinggi yaitu fungsi sosial. ANALYSIS OF FACTORS THAT INFLUENCE THE QUALITY OF LIFE OF CHILDREN WITH THALASSEMIA IN RSUD AL-IHSAN BANDUNG IN 2019Thalassemia is a genetic and chronic disease that can cause severe anemia that disrupts the quality of life. The purpose of this study was to determine the description and factors that influence the quality of life of children with thalassemia in RSUD Al-Ihsan Bandung in 2019. The subjects were pediatric thalassemia patients in RSUD Al-Ihsan Bandung who met the inclusion criteria. Data were taken using a total sampling technique with a total 65 subjects. This study design was analytic with cross sectional design. This study used a tool of a Pediatric Quality of Life (PedsQL) questionnaire containing 23 questions. Univariate analysis results found that the total quality of life of the study subjects was poor with a mean score of 68.9. Physical, emotional, and school functions were poor with an average score of <80. Bivariate analysis with chi square test found a significant relationship between factors with quality of life with a p value ≤0.05. Multivariate analysis with multiple logistic regression test found that the most dominant factor affecting the quality of life was social function with a beta coefficient of 1.823 (p=0.039). Conclusions, the average quality of life of children with thalassemia in RSUD Al-Ihsan in Bandung is poor. Functions that are disrupted are physical, emotional, and school functions. The most dominant factor influencing the quality of life with the highest value is social function.


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.  


2021 ◽  
Vol 2 (1) ◽  
pp. 1-12
Author(s):  
Nelly Mariati ◽  
Sarma Lumban Raja ◽  
Rina Hanum

Efforts to reduce population growth are carried out by controlling births through family planning. The contraceptive method recommended by the government is the Long Term Contraception Method (MKJP) because it is more efficient, safe, and effective. Data at the state, provincial, district / city level, as well as data from the Community Health Center, the use of non-MKJP (73.4%) is more desirable than the Long-Term Contraception Method (MKJP) (26.6%). Many factors cause someone to choose to use MKJP based on Green's theory. The purpose of this study was to analyze the factors that influence EFA in the selection of the Long-Term Contraception Method (MKJP). This type of research is an analytic survey with a cross sectional design. The research was conducted in the working area of ​​the Medan Teladan Community Health Center. The population of PUS mothers was 2,897 people, and the sample was obtained 110 people. Data analysis was univariate, bivariate using chi-square and multivariate using multiple logistic regression at the 95% confidence level ( = 0.05). The results showed that the variables that had an effect on the selection of MKJP in the Medan Teladan Community Health Center were knowledge (p = 0.002), family / husband support (p = 0.038), and the role of cadres (p = 0.001). The variables that had no effect were attitude (p = 0.153), accessibility (p = 0.061), and peer support (p = 0.098). The most dominant factor was the role of the cadre variable with a value of Exp (B) / OR = 8.819, which means that respondents who stated that the role of cadres was supportive had the opportunity to choose MKJP by 8.8 times higher than stating that the role of cadres was not supportive. The conclusion of this study is that the selection of MKJP by Fertile Age Couples (PUS) is influenced by knowledge, family / husband support, and the role of cadres. It is recommended that KB cadres increase counseling to husbands and wives about MKJP by offline (face to face, leaflets, brochures, etc.) and online (internet) during the Covid-19 period.  


Author(s):  
Dian Indahwati Hapsari ◽  
Ria Risti Komala Dewi ◽  
Selviana Selviana

ABSTRAKStunting merupakan salah satu permasalahan kesehatan yang menyumbang angka cukup besar di Kabupaten Sintang Provinsi Kalimantan Barat dengan prevalensi mencapai 44,1% pada Tahun 2017. Puskesmas Darajuanti merupakan Puskesmas di wilayah 3T ( Tertinggal, Terdepan, dan Terluar) yang menduduki peringkat pertama kejadian stunting khususnya di Kecamatan Sintang dengan prevalensi sebesar 27,02% pada Tahun 2017. Tujuan penelitian adalah untuk mendapatkan faktor determinan kejadian stunting pada balita di Wilayah Kerja Puskesmas Darajuanti Kabupaten Sintang. Desain penelitian menggunakan observasional analitik dengan pendekatan cross sectional. Populasi adalah seluruh balita usia 24 – 59 bulan di wilayah kerja Puskesmas Darajuanti. Sampel diambil dengan metode proportional random sampling dengan jumlah sampel 72 responden. Instrumen penelitian ini menggunakan kuisioner dengan teknik wawancara, observasi dan pengukuran dengan menggunakan microtoice. Analisis data bivariate menggunakan uji chi square dan multivariat menggunakan uji regresi logistik ganda. Hasil penelitian menunjukkan terdapat hubungan antara KEK dengan kejadian stunting (p value = 0.029), riwayat ASI eksklusif dengan kejadian stunting ( p value = 0,002), pola asuh dengan kejadian stunting (p value = 0,021 personal hygiene dengan kejadian stunting ( p value = 0,011), sedangkan tidak terdapat hubungan antara pengetahuan dengan kejadian stunting (p value = 0,593) dan riwayat imunisasi dasar dengan kejadian stunting (p value = 1,000). Hasil analisis multivariat menunjukkan variabel yang paling dominan adalah personal hygiene (OR: 12,027) dan (p value = 0.003). Kesimpulan penelitian ini adalah faktor yang paling dominan mempengaruhi kejadian stunting adalah personal hygiene.Kata-kata Kunci: Stunting, balita, Puskesmas DarajuantiABSTRACTStunting is one of the health problems that contributes to a large number in West Kalimantan. Especially in Sintang District, the prevalence reached 44.1% in 2017. Darajuanti Community Health Center is a health center that was ranked first in the stunting incidence in Sintang Subdistrict with a prevalence of 27.02% in 2017. The purpose of this study was to obtain the determinants of stunting occurrence in toddlers in the Darajuanti Community Health Center Working Area in Sintang District. The study design used observational analytics with a cross sectional approach. The population is all toddlers aged 24 - 59 months in the Dara Juanti Community Health Center work area. Samples were taken by proportional random sampling method with a sample of 72 respondents. The instrument of this study used a questionnaire with interview techniques, observation and measurement. Data analysis using chi square test. The results showed there was a relationship between KEK and the incidence of stunting (p value = 0.029), history of exclusive breastfeeding with the incidence of stunting (p value = 0.002), parenting with the incidence of stunting (p value = 0.021 personal hygiene with the incidence of stunting (p value = 0.011 ), whereas there is no relationship between knowledge with the incidence of stunting (p value = 0.593) and history of basic immunization with the incidence of stunting (p value = 1,000) The results of multivariate analysis showed that the most dominant variable was personal hygiene (OR: 12,027) .The conclusion of this study was that the most dominant factor affecting the incidence of stunting was personal hygiene.Keywords: Stunting, toddlers, Puskesmas Darajuanti


2015 ◽  
Vol 11 (2) ◽  
Author(s):  
E Ernawati ◽  
Radina Kolasari

Non-compliance in on the treatment programs is a major problem of patients with hypertension. Success in controlling high blood pressure is a joint effort between the patient and the doctor in charge. Compliance of a patient suffering from hypertension can not simply be based on compliance in taking antihypertensive drugs but also it requires the active role of patients and willingness to check their health to the doctor according to a specified schedule and recommended lifestyle changes. Some factors influencing the compliance of hypertensive patients that affect complience among hypertensive patients re-visit are age, education, economy, knowledge, and attitude.The aim of this study is to determine the factors influencing the compliance of stadium II hypertensive patients to re-visit Ngombol Community Health Center Purworejo.This study used an analytical method with cross sectional correlation. Analysis of data used frequency distributions and bivariate analysis using chi square statistic test followed by logistic regression analysis.Age factor influenced the compliance of stadium II hypertensive patients to re-visit Ngombol Community Health Center with p: 0.102. Education influenced the compliance of stadium II hypertensive patients to re-visit Ngombol Community Health Center with p: 0.010. Knowledge influenced the influencing the compliance of stadium II hypertensive patients to re-visit Ngombol Community Health Center with p: 0.000. Attitudes influenced the compliance of stadium II hypertensive patients to re-visit Ngombol Community Health Center with p: 0.000. Attitudes about hypertension is the most dominant factor influencing the compliance of stadium II hypertensive patients to re-visit Ngombol Community Health Center p: 0.034. Keywords: age, education, economy, knowledge, attitude, complience to re-visit, hypertensive patients


2021 ◽  
Vol 3 (1) ◽  
pp. 47-56
Author(s):  
Connie Sianipar

Diarrhea is the second leading death cause in toddlers after pneumonia. It is a disease that often occurs in seemingly healthy toddlers. In Indonesia, every child has 1.6-2 times diarrhea episodes per year. This study aims to find out how thoroughly the mother's knowledge of diarrhea in toddlers at Sangkunur Community Health Center in 2019. This research was conducted by collecting data through a research questionnaire. The sample is 33 mothers who brought their toddlers to the community health centre. The result is most mothers have poor knowledge of diarrhea in their toddlers. Twenty-two respondents (66.67%) had a good understanding of the diarrhea definition. Twenty-three respondents (67.70%) had a poor understanding of diarrhea causes. Twenty-five respondents (75.76%) had a poor understanding of diarrhea signs and symptoms. Twenty-two respondents (66.67%) had a poor understanding of diarrhea prevention, and 29 respondents (87.88%) had a poor understanding of diarrhea management. The conclusion is community health centres should be more active in providing counselling about diarrhea and visit people's houses to give further information regarding diarrhea.  


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