scholarly journals Implementasi Kebijakan Penanggulangan HIV/AIDS di Puskesmas Teladan

2020 ◽  
Vol 4 (2) ◽  
pp. 131 ◽  
Author(s):  
Suharto Suharto ◽  
Fitriani Pramita Gurning ◽  
Muchti Yuda Pratama ◽  
Emdat Suprayitno

One of the diseases that is now considered a problem that has received enough attention from the government is HIV and AIDS. Talking about HIV and AIDS means it discusses health issues that are currently quite sensitive to talk about. This relates to the unique nature of this disease. Besides the case which is like an iceberg phenomenon, namely the spread of HIV and AIDS cases that cannot be predicted at the initial phase and also has not found a cure to cure it. The purpose of this study is to obtain in-depth data on the implementation of HIV/AIDS policies in the Model Health Center, whether the policies made by the government run well or not in the field. This research uses a qualitative research method with descriptive research type on June 28, 2019, by interviewing informants and distributing questionnaires. As for the total overall value of the Government Policy Implementation is 235. The value of the implementation of government policies, amounting to 78.33% of the 100% expected results. The overall total value of HIV and AIDS is 83. HIV/AIDS counts in the working area of the Exemplary Health Center, which is 92.22% of the 100% expected results. Conclusions policy implementation has been going well and has been socialized to the community and health services, people at risk and sufferers of  HIV/AIDS in the work area of the Community Health Center already has its own organization where this organization is expected to help achieve the goals of this HIV/AIDS program, and to achieve this goal the Community Health Center conducts activities in the form of mobile clinics where the exemplary Community Health Center goes directly to conduct examinations to the community, and in terms of treatment for patients so far it can be said to be in good category and runs smoothly but there are obstacles where sufferers continue to do things that can trigger the development of the HIV virus although in addition patients continue to take drugs to inhibit and minimize the development of the HIV virus.

2021 ◽  
Vol 4 (3) ◽  
pp. 89-97
Author(s):  
Siti Ekfiyatil Wafah ◽  
Besar Tirto Husodo ◽  
Novia Handayani

Introduction: Semarang City has the highest number of HIV / AIDS cases in Central Java. Several attempts to control HIV / AIDS cases, such as the organization for AIDS that is named after AIDS Care Community (ACC) in every village scope. The purpose of this study is to describe the implementation of the ACC program in Poncol Community Health Center.Methods: This is a descriptive research, uses qualitative methods using in-depth interview for data collection techniques. There are 9 informants who are selected by using purposive sampling method. Data is analyzed using descriptive method. The process of data analysis begins with collecting data, and then reducing the data that has been generated. After that, the data are presented and concluded.Results: The results show that the implementation of ACC program in the work area of Poncol Community Health Center is assisted by Poncol Puskesmas. There is 1 ACC out of 9 ACC that is actively implementing the ACC program while the others are not running well. It is found that low capacity of ACC members, lack of funds, low of support from the local government (village), low community support, inadequate facilities and infrastructure that affect the implementation of ACC programs. Therefore, the output is not achieved optimally.Conclusions: The implementation of the of the ACC program in Poncol Community Health Center work area has not been running optimally. Support from all parties is needed, including from the members of the ACC, local government, AIDS commission, and the community in order to achieve the ACC goals.  


2018 ◽  
Vol 3 (1) ◽  
pp. 9
Author(s):  
Innana Mardhatillah ◽  
Yaslis Ilyas

Data and information on the health profile of Indonesia in 2016 showed only 29.5% of infants receive exclusive breastfeeding until 6 months, the low level of exclusive breastfeeding made the government issue a regulation on exclusive breastfeeding in Government Regulation Number 33 of 2012. The study aimed to analyze the policy implementation of exclusive breastfeeding at Cicalengka Community Health Center. The study used qualitative analysis with in-depth interview method, focus group discussion and literature study. The result of this study shows that breastfeeding policy implementation in health centers is not optimal, as seen from the low coverage of exclusive breastfeeding. Socialization of the policy has not been done as a whole, the time and task division is unclear and has no special budget and the standard operating procedures is not really used in carrying out the policy. Communication is the most influential factor in the implementation of the policy. There is no support and commitment from all employees in the implementation of exclusive breastfeeding policy. The suggestion is to consistently socialize to employees and the public, carry out supervision in an effort to secure the policy, run the Standard Operating Procedure (SOP), allocate budget activities in 2018, create a memorandum of understanding with other agencies, and Self-assessment and program evaluation absolutely must do continuously.


2021 ◽  
Vol 2 (1) ◽  
pp. 85-91
Author(s):  
Khairiatu Saadah ◽  
Efendi Sianturi

The results of Basic Health Research (Riskesdas) issued by the Health Research and Development Agency (Baritbankes) of the Indonesian Ministry of Health in 2018 stated that the prevalence of anemia in pregnant women in Indonesia was 48.9%. In North Sumatra, blood tests were carried out on pregnant women from 9,377 pregnant women in three cities, namely Medan, Pematang Siantar and Kisaran. 33% of them had anemia. One of the causes of anemia in pregnancy is iron deficiency. The type of research used was pre-experiment with One Group Pretest-Posttest Design. In this study, using purposive sampling technique, namely 34 pregnant women. Adherence is the level of patients carrying out the treatment and behavior suggested by their doctor or by others. Meanwhile, the compliance with taking blood-supplemented tablets is a behavior where pregnant women support the iron supplementation program carried out by the government to prevent anemia in pregnant women. Based on the results of the research discussion entitled "Effectiveness of Extension through Audio Visual Media Using Animation Videos on Compliance with the Consumption of Iron (Fe) Tablets in Pregnant Women in the Work Area of ​​the Tanjung Morawa community Health Center in 2020, it can be concluded that the compliance of respondents before being given counseling was the majority as obedient as 22 respondents ( 35.3%) and the compliance of respondents after being given counseling was the majority obedient as many as 29 respondents (85.3%), and the effectiveness of counseling through audio-visual media using animation videos on compliance with consuming iron tablets (Fe) in pregnant women in the work area of ​​ Tanjung Morawa community health center in 2020 after being given counseling with the results of the T test paired sample T-test, it was obtained that sig 2 tailed was 0.000 (p value) <0.05. And it is hoped that the next researchers will develop this research using other media


2020 ◽  
Vol 9 (1) ◽  
pp. 143
Author(s):  
Ariyanto Ariyanto

A healthy family is condition that is prosperous in terms of physical, mental, and social which then allows a whole family to be able to socially normal life. A family is said to be healthy if it can overcome existing problems or conflicts and maintain healthy relationships between family members. Families are said to be healthy if they meet the 12 indicators established by the Ministry of Health.Method To find out the description of 12 indicators of healthy families in the Work Area of the Pall X Community Health Center in Jambi City, this type of research is descriptive with a Cross Sectional approach. The population was all family heads in the Pall X Community Health Center in Jambi City, with a sample of 203 family heads. Data analysis was performed using a univariate test.Results: 87.4% did not attend the family planning program, 77.8% stated that at birth there were those in the hospital and those in the midwife's house, 90% who had complete basic immunizations, 60% had given breast milk, 89.7% had performed monitoring the growth of children under five, 100% as patients who do not regularly treat pulmonary TB, 95.5% of patients do not treat their hypertension regularly, 97.9% do not take medication regularly, 85.6 have family members who smoke, 76.2 % of all family members have become JKN members, 100% have access to clean water and use it for daily needs and 98% of other families have and use healthy latrines. Results, it is recommended that the Puskesmas improve information dissemination regarding 12 Indicators of Healthy Families by conducting counseling in the work area. Information can be improved by empowering sub-district health centers, health cadres and village midwives.


2020 ◽  
Vol 8 (2) ◽  
pp. 90
Author(s):  
Jihan Qonitatillah ◽  
Samsriyaningsih Handayani ◽  
Ernawati Ernawati ◽  
Musofa Rusli

The stigma of people living with HIV-AIDS (PLWHA) by health workers may have a broad impact, so it is necessary to identify the factors that influence the occurrence of stigma. Identification of factors that cause a decrease in stigmatization by health workers will have an impact on improving the quality of life of people with HIV, increasing compliance with medication, and ultimately reducing the incidence of HIV infection itself. The purpose of this study was to analyze factors related to PLWHA’s perception of stigma among health workers in the community health center.  This research applied a cross-sectional design using interviews. Ninety-four patients from the Infectious Disease Intermediate Care of Dr. Soetomo Hospital Surabaya, a tertiary level hospital, were interviewed. The stigma perception was assessed using a questionnaire modified from the Standardized Brief Questionnaire by Health Policy Project with Cronbach’s Alpha of 0.786. The data were simultaneously analyzed with binary multiple regressions on IBM SPSS Statistics 22.0 for Windows software. There were 30 out of 94 patients with key population backgrounds, and most population was injecting drug users (IDUs) and female sex workers (FSWs). PLWHA perceived most stigmatized community health workers when they drew blood, provided care, and considered they were involved in irresponsible behavior. There were relationships between age(p=0.008), marital status(p=0.013), and the history of key population (p=0.006)to people living with HIV-AIDS (PLWHA)’s perception of stigma among health workers in East Java community health center. Future research on factors influencing HIV-related stigma is needed to improve patients’ quality of life.


2020 ◽  
Vol 7 (3) ◽  
pp. 161
Author(s):  
Dintya Ivantarina ◽  
Lina Ratnawati

<p><em>The utilization of postpartum maternal services in a complete manner in several regions still has not reached the target that has set by the government. Some factors that affect the coverage of comprehensive postpartum service is mother characteristics. The purpose of this research is to determine the characteristics of mothers who affect the low coverage of comprehensive postpartum service in the working area of Community Health Center of Kayen Kidul in Kediri Regency from January to August year 2019. This research was conducted in September 2019 in the working area of Kayen Kidul Community Health Center of in Kediri Regency. The design of the research used is analytical observational with a case control approach. The sampling techniques used are random sampling clusters. The samples in this study were mothers who had finished their postpartum period (more than 6 weeks to 9 months after giving birth). Independent variables are characteristic of mothers while dependent variables are coverage of the comprehensive postpartum service. Collection of data using data collection sheets with structured interview techniques and medical records in the form of maternal and child health books. Then the data is processed and analyzed univariate, bivariate and multivariate. Statistical results of bivariate statistics showed that the work (P = 0.023), pregnancy complications (P = 0.026), labor complications (P = 0.03) and the type of childbirth (P = 0.01) have an influence on the low coverage of comprehensive postpartum service. Multivariate statistical test results using binomial logistic regression obtained results in the omnibus table having P = 0.006 (P&lt;0.05) which means the model is worth analysed. The significance value in the Hosmer and Lemeshow Test table of 0.074 (p&gt;0.05) has the meaning of acceptable models and hypothesis testing can be performed. The value of Nagelkerke R Square 0.278 means the characteristic mother of age (P = 0.047) and the type of childbirth (P = 0.037) has an effect of 27.8% on the low coverage of the comprehensive postpartum service. The public health policy program should aim to improve the coverage of the comprehensive postpartum service by observing the characteristics of mothers in the region, namely the characteristics of maternal age and type of delivery</em></p><p> </p>


Author(s):  
Ulfa Farrah Lisa ◽  
Mutia Putri

Abstrak Demontrasi perawatan payudara akan  membuat keterampilan ibu hamil semakin meningkat dan demonstrasi akan berpengaruhterhadap keterampilan perawatan payudara pada ibu hamil. Perawatan payudara bertujuan untuk melancarkan sirkulasi darah dan mencegah tersumbatnya aliran susu sehingga mempelancar pengeluaran ASI. Target pemberian ASI ekslusif adalah sebesar 80% sedangkan pencapaian di Kota Banda Aceh masih rendah yaitu  55,17%. Dari survei data awal yang dilakukan di Puskesmas Jeulingke Kecamatan Syiah Kuala Banda Aceh didapatkan bahwa jumlah ibu hamil sebanyak 31 orang dari lima desa dan mayoritas tidak bisa melakukan perawatan payudara. Artikel ini bertujuan untuk mengetahui pengaruh demonstrasi terhadap keterampilan perawatan payudara pada ibu hamil trimester ketiga diwilayah kerja Puskesmas Jeulingke Kecamatan Syiah Kuala Banda Aceh. Penelitian ini bersifat eksperimen semu (quasi experiment) dengan pre-test post-test desain. Dilakukan di wilayah kerja Puskesmas Jeulingke Kecamatan Syiah Kuala Banda Aceh, pada tanggal 25 Juni sampai dengan 2 Juli 2018. Jumlah sampel dalam penelitian inisebanyak 31 orang dengan teknik total sampling. Pengumpulan data menggunakan lembaran observasi dan uji statistic menggunakan uji wilcoxon dengan taraf signifikasi α=0,05 (C1=95%). Hasil analisis menunjukkan dari 31 responden sebelum diberikan demonstrasi(pre-test) keterampilan responden mayoritas perlu perbaikan sebanyak 28 orang (90,3%) dan responden yang mampu sebanyak 3 orang (9,7%), sedangkan setelah diberikan demonstrasi (post-test) keterampilan responden mayoritas mampu sebanyak 16 orang (51,6%), mahir sebanyak 9 orang (29,1%) dan perlu perbaikan sebanyak 6 orang (19,3 %). Setelah dilakukan uji statistik, didapat nilai p-value 0,000. Kata Kunci      : Demonstrasi, Perawatan Payudara, Keterampilan Abstract Demonstration of breast care will make the skills of pregnant women is increasing and the demonstration will affect the skill of breast care in pregnant women. Breast care aims to improve blood circulation and prevent blockage of milk flow so that it smoothes out breast milk. The target of  the exclusive breastfeeding is 80% while the achievement in Banda Aceh is still low (55.17%).From the initial survey data conducted at the Community Health Center of Jeulingke, Syiah Kuala Banda Aceh, and the number of pregnant women is 31 people from five villages and the majority cannot breast care. This article aims to  know the effect of demonstration on breast care skill in third trimester pregnant woman in work area at Community Health Center (Puskesmas) of Jeulingke, Syiah Kuala Banda Aceh. This research has aQuasi Experiment with pre-test post-test design. This research was Conducted in the work area at Puskesmas Jeulingke, District Syiah Kuala Banda Aceh, from 25 June to 2 July 2018. The samples in this research there were 31 people with total sampling technique. And the Data collection is used observation sheet and statistic by wilcoxon testwith a significance level α=0,05 (C1=95%). The results of the analysis show from 31 respondents before being given a demonstration (pre-test) the majority of respondents' skills were categorized as needing improvement as many as 28 people (90.3%) and respondents who were in the category of capable were 3 people (9.7%), while after being given a demonstration ( post-test) the skills of the majority of respondents are in the category of capable as many as 16 people (51.6%), proficient categories as many as 9 people (29.1%) and categories need improvement as much as 6 people (19.3%). After a statistical test, the p-value is 0,000.  Keywords: Demonstration, Breast Care, Skills.


Author(s):  
Dewi Kartika Sari ◽  
◽  
Putri Wahyu Wigati ◽  

ABSTRACT Background: Anemia is a pathologic condition produced by a decrease in red blood cell mass or a decrease in the amount of hemoglobin. The initial survey carried out in the Tiron Puskesmas work area in the June-July 2019 period was still a high incidence of anemia in the Tiron Puskesmas Kediri Regency work area (60%). This study aimed to analyze factors affecting anemia in pregnant women with second and third trimester of pregnancy at tiron community health center, Kediri district, East Java. Subjects and Method: A cross sectional study was carried out at Tiron community health center, Kediri, East java, from June to July 2020. A sample of 49 2nd and 3rd trimesters of pregnant women was selected by purposive sampling. The dependent variable was anemia. The independent variables were age, iron tablet intake, ANC visit. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Anemia in pregnant women decreased with older age (OR= 0.08; 95% CI = 0.01 to 1.20; p = 0.068). Anemia in pregnant women increased with irregular iron tablet intake (OR= 18.45; 95% CI = 2.77 to 123.10; p = 0.003) and irregular ANC visit (OR = 1.85; 95% CI = 1.05 to 38.18; p = 1.87). Conclusion: Anemia in pregnant women decreases with older age. Anemia in pregnant women increases with irregular iron tablet intake and irregular ANC visit. Keywords: anemia, hemoglobin levels, pregnant women Correspondence: Dewi Kartika Sari. Faculty of Health Sciences Universitas Kadiri. Jl. Selomangleng No 1, Kediri. Email: [email protected] DOI: https://doi.org/10.26911/the7thicph.03.50


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