scholarly journals Inovasi Pelaksanaan Posyandu Selama Masa Pandemi Covid-19: Studi Kualitatif di Wilayah Kerja Puskesmas Campalagian

2021 ◽  
Vol 7 (Khusus) ◽  
pp. 67
Author(s):  
Najdah Najdah ◽  
Nurbaya Nurbaya

Posyandu cadres play an important role in assisting Public Health Center in carrying out the functions of implementing health efforts and have a strategic position to prevent stunting problems, especially in time the Covid-19 pandemic. This study aimed to describe the implementation of Integrated Health Post (Posyandu) in the working area of ​​the Campalagian Health Center during the Covid-19 pandemic in 2020. This study qualitative used a phenomenology approach which was carried out in the working area of ​​the Campalagian Health Center in July - September 2020. A total of 10 Posyandu cadres were the main informants. Data were collected through in-depth interviews for 60 – 90 minutes conducted at the homes of Posyandu cadres while still paying attention to health protocols. Cadres did not carry out Posyandu in April and May 2020 following local government regulations or in certain months when there was an increase in cases of Covid-19 in the area. In implementing the Posyandu during the pandemic, cadres made several innovations such as setting up emergency handwashing facilities, arranging visit schedules, and the distance of waiting chairs at the Posyandu, requiring them to bring their own sharoong from home for weighing toddlers and disinfecting the Posyandu room. In conclusion, cadres make innovations in the implementation of Posyandu during the pandemic such as preparing emergency hand washing facilities, arranging visit schedules and waiting chair spacing at Posyandu, requiring them to bring their own gloves and disinfecting the Posyandu room. The implementation of Posyandu during the Covid-19 pandemic can prevent an increase in nutritional problems in mothers and stunting problems in toddlers. Therefore, the local government is expected to support the implementation of Posyandu routinely such as ensuring the availability of PPE for posyandu cadres, mothers and toddlers. So that Posyandu can still be implemented while still observing health protocols.

2017 ◽  
Vol 5 (2) ◽  
pp. 123
Author(s):  
Yulia Sofiatin ◽  
Rully M.A. Roesli

AbstrakPengendalian hipertensi dan penyakit tidak menular (PTM) memerlukan kerja sama pasien karena pilar utama pengendalian PTM adalah pengetahuan penderita dan kepatuhan dalam menjalankan upaya pengendaliannya. Sampai saat ini pemberian edukasi di sarana kesehatan tidak efektif sehingga diperlukan upaya lain seperti kelompok dukungan pasien dan peningkatan kemampuan masyarakat. Pos pelayanan terpadu (posyandu) PTM merupakan salah satu alternatif. Penelitian ini bertujuan menggali kesiapan kader posyandu dan pasien hipertensi mengenai kemungkinan pelaksanaan posyandu khusus PTM. Telah dilakukan diskusi kelompok terarah (DKT) terhadap dua kelompok (kader dan penderita) di Desa Cilayung dan Cipacing serta 1 (satu) sesi wawancara mendalam terhadap Kepala Puskesmas Kecamatan Jatinangor, Sumedang pada Maret–April 2017 dengan tingkat partisipasi peserta cukup baik. Keempat kelompok menyatakan kebutuhan terhadap posyandu PTM dengan aktivitas selain pemantauan tekanan darah dan berat badan yang dibutuhkan adalah penyuluhan mengenai perbaikan gaya hidup dan kepatuhan berobat. Kader Desa Cipacing siap melaksanakan penyuluhan jika telah mendapat pelatihan, tetapi kader Desa Cilayung menginginkan penyuluh dari luar lingkungan mereka. Terdapat kebutuhan kemudahan mendapatkan obat karena pengambilan obat di puskesmas dirasakan membutuhkan biaya transportasi yang cukup tinggi. Dapat disimpulkan bahwa masyarakat dan kader merasakan kebutuhan terhadap posyandu PTM, tetapi kesiapan mereka berbeda-beda.AbstractThe main pilars of non-communicable diseases (NCDs) management are patient’s awareness, knowledge and compliance. At present, education by health provider in health facilities has been proven to be not effective that other measures such as patient support group and community empowerement are needed. The options is through integrated health post (posyandu) for NCD. The aim of this research was to explore the readiness of the community to run and utilize such post. Four sessions of focus group discussions with two groups of health cadres and two groups of people with high blood pressure in Cilayung and Cipacing villages and 1 (one) session of indepth interview towards the Head of Public Health Center (Puskesmas) at Jatinangor, Sumedang, Indonesia were held on March–April 2017 with high participations. Each group expresses the needs of patient support group and community empowerement through regular integrated health post for NCDs. Schedulled screening and mass education especially for life style modification and drug used are urgent. Health cadres of urban community are ready to lead the activities, while those from rural area ask for formal educators. Drug dispensing at public health center is favourable due to expensive transportation to primary health care. In conclusion, communities in Jatinangor need integrated health post for NCD to assist them to manage their blood pressure and other NCDs although their readinesses were vary.


2021 ◽  
Vol 9 (3) ◽  
pp. 225-235
Author(s):  
Annisa Nida Sakina ◽  
Chriswardani Suryawati ◽  
Eka Yunila Fatmasari

Dharmarini Public Health Center has a high number of COVID-19 cases and there are COVID-19 epidemiological surveillance activities that are not in accordance with those stated in the guidelines, specifically in health monitoring and in terms of Community-Based Surveillance that vulnerable populations have not been recorded and reported. Based on a preliminary study, Dharmarini Public Health Center only has a surveillance officer and experienced obstacle in cross-sectoral coordination. This study aims to analyze the management aspects of COVID-19 epidemiological surveillance at Dharmarini Public Health Center include planning, organizing, actuating, and controlling. This is a qualitative research with analytical descriptive approach. Primary data collection was done by in-depth interviews and research subjects were selected by purposive sampling. The result shows that management aspects in COVID-19 epidemiological surveillance activities at Dharmarini Public Health Center have been carried out from planning, organizing, actuating, to controlling, but there are still shortcomings including in actuating that not all officers involved have received training, there is obstacle in cross-sectoral coordination, the implementation of health monitoring can still be improved, there are refusals in tracing, Community Based Surveillance has not been fully implemented, supervision has only been held once, and in controlling aspect that the evaluation carried out is still not comprehensive. Dharmarini Public Health Center is suggested to optimize the actuating and controlling aspects in COVID-19 epidemiological surveillance.


2020 ◽  
Vol 15 (2) ◽  
pp. 138-146
Author(s):  
Oktarianita Oktarianita ◽  
Nopia Wati ◽  
Henni Febriawati

One of the strategies for early detection and monitoring of risk factors for Non-Infection Diseases (PTM) is the implementation of Posbindu PTM. Still included in the low category regarding the achievement of the total number of patients checking the basic and primary posbindu for non infection diseases (covering all posbindu activities) which is below the 50% target of 20.2%. This study aims to determine the perceptions of posbindu participants about the implementation of Posbindu for non infection diseases. This research is a descriptive study with a qualitative approach in March-August 2020 through in-depth interviews with 5 informants and 3 triangulations using interview, observation and documentation guidelines. The research focuses on the perspectives of the Posbindu participants about the implementation of Posbindu for non infection diseases at public health center of in the Beringin Raya Bengkulu City.The results showed that the implementation of Posbindu used a 5-table system (registration, height measurement, weighing, recording by cadres then to the medical team for blood pressure, blood sugar, cholesterol and uric acid checks, consultation by Posbindu officers and cadres was carried out once a month at residents' homes. The implementation has been running according to the public health center SOP. Service quality is generally good, but the community's enthusiasm is still low in participating in Posbindu, there are participants who are still afraid to have their health checked at Posbindu, there are things that are felt to be less than optimal in service where people feel less satisfied because only examination but no medicine, insufficient examination tools and the implementation of Posbindu held during working hours A referral system has been implemented if a participant is at risk of being asked to go to the puskesmas for treatment.Salah satu strategi untuk deteksi dini dan pemantauan faktor risiko Penyakit Tidak Menular (PTM) yaitu pelaksanaan Posbindu PTM. Masih termasuk katagori rendah mengenai capaian jumlah keseluruhan pasien melakukan pengecekan pada posbindu PTM dasar dan utama (meliputi semua kegiatan posbindu) yakni dibawah target 50% sebesar 20,2%. Penelitian ini bertujuan untuk mengetahui persepsi peserta posbindu tentang pelaksanaan kegiatan Posbindu PTM di wilayah Kerja Puskesmas Beringin Raya Kota Bengkulu. Penelitian ini merupakan penelitian deskriptif dengan pendekatan kualitatif pada Maret-Agustus 2020 melalui wawancara mendalam terhadap 7 informan dan 3 triangulasi dengan menggunakan pedoman wawancara, pengamatan dan dokumentasi. Penelitian berfokus pada perspsi peserta posbindu tentang pelaksanaan kegiatan Posbindu PTM di Wilayah Kerja Puskesmas Beringin Raya Kota Bengkulu.Hasil Penelitian menunjukan Pelaksanaan Posbindu menggunakan sistem 5 meja (Pendaftaran, Tinggi badan, berat badan, pencatatan oleh kader selanjutnya pemeriksaan tekanan darah, gula darah, cek kolesterol, dan asam urat, konsultasi oleh petugas dan kader posbindu dilaksanakan satu bulan sekali di rumah warga. Pelaksanaan telah berjalan sesuai SOP Puskesmas. Kualitas pelayanan pada umumnya sudah baik, namun masih rendahnya antusias masyarakat mengikuti posbindu, ada peserta yang masih merasa takut memeriksakan kesehatannya ke posbindu, ada hal yang dirasakan masih kurang maksimal dalam pelayanan dimana masyarakat merasa kurang puas karena hanya pemeriksaan tapi tidak ada obat, alat pemeriksaan tidak cukup serta pelaksanaan posbindu diadakan pada jam kerja. Sistem rujukan telah dilakukan jika ada peserta yang berisiko akan disuruh pengobatan ke puskesmas. Diharapkan melakukan pendekatan langsung ke masyarakat dan kader sehingga mampu memberikan kesadaraan bahwa Posbindu ini adalah bagian dari pemantauan kesehatan masyarakat.


2020 ◽  
Vol 4 (1) ◽  
pp. 79-89
Author(s):  
Herawanto Herawanto ◽  
Annisa Fitri Rositadinyati ◽  
Muh. Jusman Rau ◽  
Marselina Marselina ◽  
Litha Purwanti

Diarrhea can infect victims of disasters due to the poor sanitation and the unavailability of clean water facilities caused by disaster damage. Biromaru Public Health Center is the health center with the highest diarrhea cases in earthquakes and liquefaction disasters. The purpose of this study was to determine the relationship between personal hygiene and food processing on the incidence of diarrheal diseases in post-disaster toddlers in the evacuation area of ​​Biromaru Public Health Center. This research is analytic observational. Samples in the study were 130 respondents, taken using the proportional stratified random sampling method. Data were analyzed using univariate and bivariate analysis with a chi-square test using ɑ = 5%. Chi-square test results showed hand washing with soap habits (ρ = 0,000), nail hygiene (ρ = 0,000) and food processing (ρ = 0,000). The conclusion of this study there is a relationship between hand washing with soap habits with the incidence of toddler diarrhea in the refugee working area of ​​the Biromaru Public Health Center, there is a relationship between nail hygiene with the incidence of toddler diarrhea in the refugee working area of ​​the Biromaru Public Health Center, and there is a relationship between food processing and the incidence of toddler diarrhea in the refugee working area of ​​the Biromaru Public Health Center. We expected mothers/caregivers of toddlers to take hand washing with soap actions, maintain nail hygiene, and process food properly


2018 ◽  
Vol 25 (2) ◽  
pp. 10-19
Author(s):  
Santoso Ujang Effendi ◽  
Nurul Khairani ◽  
Susi Hartina

The basis for the establishment of integrated health service post for elderly (elderly Posyandu)  was to improve the welfare of the community, especially the elderly. This study aimed to determine the factors that were related to the utilization of  elderly Posyandu in the working area of  Penurunan Public Health Center Bengkulu. This research was conducted in elderly Posyandu in the working area of  Public Health Center Bengkulu in August 2017. This type of research was an analytical survey using a cross sectional design. The population in this study were elderly working area of Penurunan Public Health Center Bengkulu. The sampling technique in this study used proportional random sampling and obtained a sample of 88 elderly people. Data collection in this study used primary data obtained from direct interviews with respondents. Data analysis techniques were carried out by univariate and bivariate analysis with Chi-Square test through the SPSS program. The results were obtained : there were 51 people (58.0%) who did not utilize the elderly posyandu. There were 43 people (48.9%) elderly with good knowledge. There were 45 people (51.1%) elderly who had a Favorable attitude and there were 49 people (55.7%) elderly who received family support. This study showed that there was a significant relationship between knowledge, attitudes, and family support with the utilization of elderly Posyandu in working area of Penurunan Public Health Center Bengkulu. It is expected that the elderly can play an active role in following                  the elderly posyandu activities so that the elderly are more independent and productive and the health status of the elderly can be monitored. Keywords: attitude, elderly posyandu, family support, knowledge,


2020 ◽  
Vol 17 (2) ◽  
pp. 159
Author(s):  
WISNU TRI PAMUNGKAS ◽  
INDIRA RA ◽  
IRMA ANDRIANI PASARIBU

<p><strong>Abstrak</strong></p><p><strong>Latar Belakang : </strong>Prevalensi Hipertensi di Indonesia semakin meningkat mencapai 25,8% pada penduduk berusia 18 tahun keatas.  Amlodipin merupakan salah satu pilihan obat untuk terapi Hipertensi yang termasuk golongan Calsium Channel Blocker (CCB). Penggunaan obat antihipertensi sendiri merupakan salah satu faktor risiko yang menyebabkan sindroma mata kering.</p><p><strong>Tujuan : </strong>Penelitian ini bertujuan untuk mengetahui pengaruh penggunaan obat antihipertensi terhadap sindroma mata kering pada penderita Hipertensi di wilayah kerja Puskesmas Jagir kota Surabaya.</p><p><strong>Metode penelitian : </strong>Penelitian ini adalah penelitian observasional analitik dengan metode cross-sectional. Subyek pada penelitian ini adalah 48 responden yang didapatkan dibagi kedalam 2 kelompok yakni, kelompok minum obat antihipertensi &gt;6 bulan dan tidak minum obat. Dilakukan pengisian kuesioner DEQ-5 dan pemeriksaan schirmer I.</p><p><strong>Hasil penelitian : </strong>Analisa deskriptif dari tes schirmer I frekuensi sindroma mata kering lebih tinggi pada responden yang mengkonsumsi obat antihipertensi dari pada responden yang tidak minum obat antihipertensi. Hasil analisa statistik menggunakan uji chi-square signifikansinya yaitu sebesar &lt;0,001 atau dapat dikatakan bahwa p&lt;α (0,05), menunjukkan ada pengaruh pemberian obat antihipertensi terhadap sindroma mata kering yang berdasarkan tes Schirmer pada pasien Hipertensi di wilayah kerja puskesmas Jagir  kota Surabaya.</p><p><strong>Simpulan : </strong>Penggunaan obat antihipertensi berpengaruh terhadap sindroma mata kering pada penderita hipertensi di wilayah kerja Puskesmas Jagir kota Surabaya</p><p><strong>Kata Kunci : </strong>Sindroma mata kering, obat antihipertensi, hipertensi</p><p><strong> </strong></p><p><strong>Abstract</strong></p><p><strong>Background: </strong>Hypertension prevalence in Indonesia is increasing to reach 25.8% in the population aged 18 years and over. Amlodipine is one of the drugs for hypertension therapy which is included in the Calcium Channel Blocker (CCB) class. The use of antihypertensive medication itself is one of the risk factors that cause dry eye syndrome.</p><p><strong>Purpose</strong>: This study aims to determine the effect of the use of antihypertensive drugs on dry eye syndrome in patients with hypertension at Jagir Public Health Center in Surabaya working area.</p><p><strong>Methods:</strong> This study was an observational analytic study with a cross-sectional method. The subjects in this study were 48 respondents found divided into 2 groups namely, the group taking antihypertensive drugs&gt; 6 months and not taking medication. The DEQ-5 questionnaire was completed and Schirmer I was examined.</p><p><strong>Results:</strong> Descriptive analysis of the Schirmer I test for the frequency of dry eye syndrome was higher in respondents who took antihypertensive drugs than those who did not take antihypertensive drugs. The results of statistical analysis using the chi-square test of significance that is equal to &lt;0.001 or it can be said that p &lt;α (0.05), indicates there is an effect of antihypertensive drug administration on dry eye syndrome based on the Schirmer test in hypertension patients at Jagir Public Health Center in Surabaya..</p><p><strong>Conclusion:</strong> The use of antihypertensive drugs has an effect on dry eye syndrome in patients with hypertension at the Jagir Public Health Center in Surabaya</p><strong>Keywords:</strong> Dry eye syndrome, antihypertensive drugs, hypertension


Author(s):  
Evi Rosita ◽  
Siti Nurnaningrum

There are about 2.8 million incident of perineal rupture in maternal physiological labor. In 2050,it is estimated that the incidence of perineal rupture can be 6.3 million if it is not accompanied by a good midwifery care. In 2016, in Trawas, there was (89%) perineal rupture in primiparas and (57%) perineal rupture in multiparas. Perineal rupture incidences due to parity were still very high. This study aims to analyze the relationship between parity and the incidence of perineal rupture . It is quantitative studyusing a cross sectional approach, by using analysis of physiological maternity women  medical record data from January to April 2017 of 130 peoplein Trawas Public Health Center, Mojokerto Regency.The dataanalysis used was Chi - Square , indicated by p value = 0,000 with ɑ = 0,05. It means that the value of p <ɑ, so H1 is accepted. It can be concluded that there is a relationship between parity and the incidence of perineal rupture on physiological maternity women in Trawas Public Health Center,Mojokerto Regency. Midwives can apply collaboration with patients and their families to have physical and psychologicalpreparation with an alternative of hypnobirthing methods.


2020 ◽  
Author(s):  
Ashar Prima ◽  
Hani fauziah ◽  
achmad Ramadhan

Hipertensi adalah salah satu penyakit kardiovaskuler yang paling umum terjadi di dunia. Tujuan studi kasus adalah memperoleh pengalaman atau gambaran secara nyata dalam pemberian terapi Slow Stroke Back Massage terhadap penurunan tekanan darah pada pasien hipertensi di wilayah kerja Puskesmas Bekasi Jaya tahun 2019. Studi kasus dengan rancangan deskriptif, jumlah subyek yaitu 2 orang dengan kriteria laki- laki, berusia 46-65 tahun, dan tidak ada gangguan seperti fraktur tulang rusuk, luka bakar, kemerahan pada kulit dan luka terbuka. Pengukuran tekanan darah dengan menggunakan sphygmomanometer digital dan diobservasi. Hasil studi kasus menunjukan tekanan darah mengalami penurunan dan kenaikan pada subyek 1 dan 2. Kesimpulan dari studi kasus ini, slow stroke back massage mampu menurunkan tekanan darah jika subyek dalam keadaan rileks.


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