scholarly journals RELATIONSHIP BETWEEN WORKLOAD AND MOTIVATION WITH HEALTH WORKER’S PERFORMANCE IN COMMUNICABLE DISEASE PROGRAM IN PRIMARY HEALTH CENTRE IN EAST KOLAKA DISTRICT

Author(s):  
Muhamad Said ◽  
La Ode Saafi ◽  
Sunarsih Sunarsih

Background: The incidence of infectious diseases in the world, Indonesia and provinces is still relatively high. Based on WHO data (2017), the top ten diseases that cause death are under 5 years of age, including HIV / AIDS 4%, diarrhea 18%, measles 1%, malaria 8%, pneumonia 16%, premature 12%, birth asphyxia 9%. , neonatal sepsis 6%, congenital abnormalities 4%, and accident 3%. In Indonesia, the incidence of infectious diseases is still high and some have experienced an increase in cases from the previous year. The data from the East Kolaka Health Service Profile shows that Accute Respiratory Infection (ARI) has increased by 55%, the number of sufferers is 84, while diarrheal disease has increased by 24%, the number of sufferers is 839, and TB disease has increased by 65% The number of patients 129. Methods: This type of research is a cross sectional study. The population of this study were all programmers in the working area of ??the East Kolaka Health Service as many as 48 programmers. The sampling technique was carried out by simple random sampling using the Lemeshow formula. Data were collected through a questionnaire and then analyzed using the Chi Square test. Result: The results showed that chi square of motivation = 5.773 and workload = 8,644. They chi squar etable is 3,841 at ? = 5% and df = 1. It means that chi square value> chi square table. Conclusion: There was a relationship between motivation, and workload with performance of officers in East Kolaka Regency.

2018 ◽  
Vol 6 (1) ◽  
pp. 14
Author(s):  
Harsono . ◽  
Bagoes Widjanarko ◽  
Priyadi Nugraha Prabamurti

Penerapan perilaku hidup bersih dan sehat pada tatanan rumah tangga di Indonesia pada tahun 2015, baru mencapai 55%. Padahal dari sisi perilaku per indikator idealnya diatas 80%. Faktor risiko timbulnya Penyakit Tidak Menular(PTM) antara lain karena gaya hidup seperti merokok, obesitas, inaktivitas, peminum alcohol dan narkoba. Lemahnya upaya preventif dan promotif dalam upaya kesehatan masyarakat (UKM) disebabkan salah satunya oleh distribusi tenaga promotif preventif di Puskesmas masih belum merata.. Keberadaan tenaga kontrak Promotor Kesehatan di Puskesmas diharapkan mampu menjawab kekurangan tenaga promotif preventif di Kabupaten Indramayu. Namun keberadaan mereka menjadi prokontra sehingga dapat berpengaruh pada kinerja dalam pelayanan promosi kesehatan di Puskesmas.Penelitian ini bertujuan untuk menganalisis faktor-faktor yang mempengaruhi kinerja tenaga kontrak promotor kesehatan dalam pelayanan promosi kesehatan Puskesmas di Kabupaten Indramayu. Jenis penelitian ini menggunakan pendekatan kuantitatif dengan rancangan studi cross sectional. Besar sampel adalah 35 orang. Analisis data secara univariat, bivariat dengan Chi square dan multivariat dengan regresi logistik. Hasil penelitian ini menunjukan bahwa kinerja tenaga kontrak promotor kesehatan dalam pelayanan promosi kesehatan Puskesmas di Kabupaten Indramayu sebagian besar responden berkinerja tinggi (51,4%). Hasil uji statistic menunjukan bahwa terdapat hubungan antara pengetahuan (p=000), kemampuan diri (p=0,000), persepsi beban kerja (p=0,011), motivasi (p=0,010), imbalan (p=0,024) dan sarana prasarana (p=0,001) dengan kinerja tenaga kontrak promotor kesehatan dalam pelayanan promosi kesehatan Puskesmas di Kabupaten Indramayu. Faktor yang memiliki pengaruh paling kuat terhadap kinerja tenaga kontrak promotor kesehatan adalah faktor pengetahuan dengan nilai Odds Ratio (OR=17,84 95% CI=1,99-149,5) dan kemampuan diri (OR=17,36 95% CI=1,4-220). Rekomendasi pada penelitian ini adalah perlu adanya pelatihan e-learning dan in-house training, pembinaan tenaga kontrak, dan penyediaan sarana prasarana promosi kesehatan. Abstract The application of clean and healthy life behavior at household order in Indonesia in 2015, had just reached 55%. From the behavior side, where every indicator should be above 80% as the ideal one. The weakness of preventive and promotion effort in accordance with the community health efforts, one of the reasons is because the distribution of the health preventive and promotion agent into the community health centre is not all totally covered yet. The presence of the out-sourcing health promoter agent in the community’s health center is expected to be able to supply the lack of health preventive and promotion agent in Indramayu. However, their presence become pros and cons, which can influence to the performance in theservice of health promotion in community’s health centre. This research aimed to analyze the elements which influence their performance to carry out health promotion service in every community’s health centre in Indramayu. Type of observational study with cross sectional design.The population in this study amounted to 105 people, consisting of 35 contract workers, 35 heads of Puskesmas, and 35 co-workers contract workers.The sampling technique is purposive sampling in total population or saturated sampling, so the same sample size is 105 people. The data are analyzed by univariat, bivariat method with Chi square and multivariate with logistic regression. The results of this study indicate that the performance of health promotion contract workers in health promotion service of Puskesmas in Indramayu Regency most of the respondents are high performers (51.4%). Based on the test of Chi-Square, it shows that the elements related to the out-sourcing health promoter in carrying out the health champagne service at community’s health centre in Indramayu are knowledge (score p=000), self ability (p=0,000), duty perception (p=0,011), motivation (p=0,010), reward (p=0,024), means and infrastructures (0,001). The most influence factors to the performance to the out-sourcing health promoter in carrying out the health champagne service at community’s health centre are knowledge factor (p=0,009) with the OR score=17,84 95% CI=1,99-149,5.Therefore, as the recommendation, the training for the candidates of health promoters, e-learning, in-house training, and also the out-sourcing coaching as well, and providing means and infrastructures of health promotion.


2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Yulianti Wulandari ◽  
Siska Afri Nofita

In health service, nurses are at the forefront of providing health care, if the nurses don’t provide the care and not accompanied by EPEEP implementation (Explain, Pain, Elimination, Environment and Plan Of Return) it will have an impact on decreasing client satisfaction. From the results of the preliminary survey the nurses have not done EPEEP implementation method (Explain, Pain, Elimination, Environment and Plan Of Return) properly. And the achievement of patient satisfaction in the pandoria room of Awal Bros Batam Hospital from the results of satisfaction survey in September 2018, very satisfied category was 46%, satisfied category was 54% and less satisfied category was 2%. Therefore , it is necessary to implement EPEEP (Explain, Pain, Elimination, Environment and Plan Of Return) in providing services to clients. This study aimed to determine the Relation between EPEEP Implementation Methods (Explain, Pain, Elimination, Environment and Plan Of Return) With Patient Satisfaction at Pandoria Inpatient Awa Bros Batam in 2019. This type of research was descriptive correlation with cross sectional approach, 129 respondents selected using purposive sampling technique. Data were obtained by observation sheets on nurses about EPEEP implementation (Explain, Pain, Elimination, Environment and Plan Of Return) and provide satisfaction questionnaires to clients. The study was conducted in February until March 2019 in the Pandoria room. Analysis of the data used Chi square. There was a relationship between EPEEP implementation method (Explain, Pain, Elimination, Environment and Plan Of Return) with patient satisfaction and with nurses inpatient at Pandoria Awal Bros Batam Hospital, and the p-value was 0.00 (p <0.05). It can be concluded that the implementation of EPEEP (Explain, Pain, Elimination, Environment and Plan Of Return) can affect client satisfaction. Suggestions for future researchers can conduct research related to how long the nurse responds if there are patients who call or press the bell (Patient Calls) and for the Home Pain as an input to perform research related to nurse daily activity, because Pandoria Room compared to other inpatient rooms was the room with the highest number of patients and the highest mobile patients.


Author(s):  
Zuriati Muhamad

Anemia in pregnancy is a national problem because it reflects the value of the socioeconomic welfare of the community, and its influence is very large on the quality of human resources This research was conducted at Puskesmas Limboto. The purpose of this research is to findout the correlation of knowledge and attitude of Primigravida Pregnant Women with Anemia at Limboto Puskesmas Kabuapten Gorontalo. The type of this research is Descriptive Analytic with cross sectional approach with sample number 48 respondents. The sampling technique used is purposive sampling. From result of analysis of SPSS 16 statistical test of knowledge with anemia using Chi-square formula with significance level 0,05 obtained result 0.013 <0,05 which mean there is correlation of knowledge with anemia at Puskesmas Limboto Kabupaten Gorontalo. As well as attitudes with anemia obtained results 0.000 <0.05 which means there is a correlationbetween attitude with anemia in the Work Area Puskesmas Limboto, Gorontalo District.Anemia pada kehamilan merupakan masalah nasional karena mencerminkan nilai kesejahteraan sosial ekonomi masyarakat, dan pengaruhnya sangat besar terhadap kualitas sumber daya manusia. Penelitian ini dilakukan Puskesmas Limboto.Tujuan penelitian ini untuk mengetahui hubungan pengetahuan dan sikap ibu hamil primigravida dengan kejadian anemia di wilayah Puskesmas Limboto Kabupaten Gorontalo. Desain penelitian ini ini menggunakan kuantitatif dengan pendekatan cross sectional dengan jumlah sampel 48 responden.Teknik pengambilan sampel yang digunakan adalah purposive sampling. Hasil analisis uji statistik menunjukkan hubungan antara pengetahuan dengan kejadian anemia menggunakan rumus Chi- square dengan tingkat kemaknaan 0,05 diperoleh hasil 0.013 < 0,05 yang berarti ada hubungan antara pengetahuan dengan kejadian anemia di  Wilayah  Puskesmas Limboto Kabupaten Gorontalo. Serta ada hubungan antara sikap dengan kejadian anemia diperoleh hasil 0.000 < 0,05. 


2021 ◽  
Vol 1 (3) ◽  
pp. 198-201
Author(s):  
Shinta Novelia ◽  
Rosmawati Lubis ◽  
Erma Sulistiyorini

Background: Perineum wound care is one of the factors to prevent infection during the puerperium. Because the perineum is a difficult area to keep dry and clean. Care and observation are needed during the puerperium to ensure that the perineum is healed by taking care of the perineum properly and correctly. During the Covid-19 pandemic, postpartum maternal visits to health facilities were very limited because it was to avoid transmitting infectious diseases to postpartum mothers.   Objective: To determine the knowledge of the post-partum women about the practice of perineal wounds during the Covid-19 pandemic at the Banjar Health Centre in 2021.   Methodology: this descriptive study used a cross sectional approach. The sample in this study was 102 respondents with accidental sampling technique. Data were analyzed using SPSS with Chi Square, which previously tested the validity and reliability.   Results: The practice of treating perineum wounds in the working area of the Banjar Health Centre obtained an average score of 73.5. Based on the knowledge obtained an average value of 89.2. The results of the Chi Square test showed that all independent variables had a relationship with perineum wound care practices, including knowledge (p = 0.001).   Conclusions and Suggestions: The practice of perineum wounds care in postpartum women has a relationship with the women’s level of knowledge. Postpartum women can expand their knowledge about wound care in the perineum during the puerperium through mass and electronic media and counseling provided by health personnel.       


2020 ◽  
Vol 70 (6) ◽  
pp. 1681-85
Author(s):  
Kanwal Jehanzeb ◽  
Zia Ul Haq ◽  
Saeed Zaman Khattak ◽  
Sajid Ali Shah ◽  
Munir Akmal Lodhi ◽  
...  

Objective: To assess the occurrence and intensity of Giardia and Ascaris infestations in children of both genders reporting with diarrhea. Study Design: Comparative cross sectional study. Place and Duration of Study: Paediatrics department, Combined Military Hospital, Gilgit, from Jul 2016 to Jul2018. Methodology: Patients of either gender with worm infestation were included in the study. Patients more than13 years old were excluded. The sampling technique used was non probability consecutive sampling. The stoolexamination (R/E) for the diagnosis of worm infestation was done. Stratification was done with regards to age,mother education, gender, type of water used and post stratification chi square test was applied. p-value was0.613 when calculated for the manifestation between both genders. p-value ≤0.05 was considered significant. Results: Total number of patients in our study was 100. Among them, males were 65 (65%) and females were 35(35%). Mean age of patients in our study was 4.20 ± 2.61 years (Mean ± SD). Abdominal pain being most common symptom in 43 (43%) of patients. Majority of the patients were from 2 to 10 years of age, 79 (79%). Helminthic infestation was the most common observed in 52 (52%) whereas Protozoal infestation was observed in 48 (48%) patients. The most common parasite isolated was Giardia 41 (41%) followed by Ascaris 36 (36%). p-value of 0.613 was found between both gender. Conclusion: In our study Helminthic infestation was more common. The most common parasite isolated wasGiardia followed by Ascaris.


2021 ◽  
Vol 10 (2) ◽  
pp. 282
Author(s):  
Filius Chandra ◽  
Iswanto Iswanto ◽  
Aisah Aisah

Hypertension is a non-communicable disease (PTM) which is a very serious health problem both in the world and in Indonesia. One sign of hypertension is an increase in blood pressure. Hypertension is called the silent killer, because people with hypertension often show no symptoms. The research objective was to determine the relationship between diet and obesity with the incidence of hypertension at the Rawasari Public Health Center in Jambi City in 2019.This study used a cross sectional design, which was carried out in August 2019, 64 hypertension respondents at the Rawasari Health Center were taken using purposive sampling technique. The research variables were diet and obesity  which were analyzed using the chi-square test.This study showed that most respondents had hypertension (92.2%). most of the diet frequently (51.6%). and  nutritional status (50%). Chi-square analysis showed  that there was a relationship between diet and hypertension (p= 0.016) and chi-square analysis showed that there was no relationship between obesity  and hypertension (p= 0.0162). There is no significant relationship between diet and hypertension, and there is no significant relationship between nutritional status and hypertension


2021 ◽  
Vol 7 (1) ◽  
pp. 131-138
Author(s):  
Syarifa Amalia Alhamid ◽  
Bunga Tiara Carolin ◽  
Rosmawaty Lubis

ABSTRACT: A STUDY OF THE NUTRITIONAL STATUS OF TODDLERS  Background: Nutrition is a very important part of the growth and development of toddlers which is related to health and intelligence. In 2019, the prevalence of malnutrition in Bula District Seram was 10.2%, malnutrition was 4.3% and over nutrition was 5.1%, where the incidence rate was increased from the previous year.Objective: To determine the factors related to the nutritional status of toddlers in the Bula Health Center, East Seram District, Maluku Province.Methodology: This study is a cross sectional correlation study. The samples in the study were all women who had children aged 1-5 years who visited the Bula Health Center, East Seram Regency, Maluku Province in 2020 which consisted 76 toddlers. The research instrument was a questionnaire, data analysis using the chi square test.Results: the results showed that malnourished toddlers were 59.2%, women with poor knowledge were 76.3%, women who had low level education were 63.2%, women with low family income were 72.4%, women who did not work were 55.3%, women who did not provide breast feeding was 71.1% and toddlers who had the history of infectious diseases were 71.1%. The bivariate results obtained knowledge (p=0,022), education (p=0,048), income (p=0,002), occupation (p=0,088), history of breastfeeding (p=0,001) and a history of infectious diseases (p=0,020).Conclusions: There is a relationship between knowledge, education, family income, history of breastfeeding, and a history of infectious diseases with the nutritional status of toddlers.Suggestions: It is hoped that health workers can provide education about nutrition to mothers, so that they could pay more attention to the nutritional status of their toddlers.Keywords: Toddler, Bula Health Centre, Nutritional Status ABSTRAK Latar belakang: Gizi menjadi bagian sangat penting dalam pertumbuhan dan perkembangan balita yang didalamnya memiliki keterkaitan yang erat hubungannya dengan kesehatan dan kecerdasan. Pada tahun 2019 di Puskesmas Bula Kabupaten Seram prevelnsi gizi  kurang sebesar 10,2%, Gizi Buruk 4,3% dan gizi lebih 5,1% dimana angka kejadian ini menigkat dari tahun sebelumnya.Tujuan: Mengetahui faktor yang berhubungan dengan status gizi balita di Wilayah Puskesmas Bula Kabupaten Seram Bagian Timur Provinsi Maluku.Metodologi: Penelitian ini adalah penelitian korelasi dengan cross sectional. Sampel dalam penelitian adalah semua ibu yang mempunyai balita usia 1-5 tahun yang berkunjung ke Puskesmas Bula Kabupaten Seram Bagian Timur Provinsi Maluku tahun 2020 berjumlah 76 balita. Instrumen penelitian adalah kuesioner, analisis data menggunakan uji chi square.Hasil penelitian: Pada hasil didapatkan balita gizi kurang (59,2%), ibu berpengetahuan kurang baik (76,3%), ibu berpendidikan rendah (63,2%). pendapatan keluarga rendah (72,4%), ibu yang tidak berkerja (55,3%), ibu yang tidak memberikan ASI (71,1%) dan balita yang memiliki riwayat penyakit infeksi (71,1%). Hasil bivariat didapatkan pengetahuan (p=0,022), pendidikan (p=0,048), pendapatan (p=0,002), pekerjaan (p=0,088), riwayat ASI (p=0,001) dan riwayat penyakit infeksi (p=0,020).Kesimpulan: Terdapat hubungan antara pengetahuan, pendidikan, pendapatan keluarga, riwayat ASI, dan riwayat penyakit infeksi dengan status gizi balita.Saran: Diharapkan kepada petugas kesehatan dapat memberikan edukasi mengenai gizi kepada ibu agar lebih memperhatikan status gizi balitanya. Kata Kunci: Balita, Puskesmas Bula, Status gizi


2018 ◽  
Vol 5 (1) ◽  
pp. 17-24
Author(s):  
Eva Putriningrum ◽  
Nurul Khasanah

The exclusive breast milk is feed baby only with the breast milk until the age of six months without any additional liquid or food. The scope of exclusive breast milk in Yogyakarta does not reach the expected rate amount 80%,  one of them was in Public Health Centre of Kota Gede I. Low rate success of exclusive breast milk feeding was affected by many factors, such as lack of information regarding breast milk and misunderstanding of information about breast milk.  This research aims to analyze the correlation between education and age, with knowledge of pregnant women at third trimester about exclusive breast milk in Public Health Centre of Kota Gede I, Yogyakarta. The design of this research used analytic survey with a Cross-Sectional design and 30 pregnant women at third trimester as samples, with the saturated sampling technique. The statistical test used Chi-Square Test. This research showed that there is a correlation between education and knowledge with p-value of 0,019 and odd ratio value of 9,33; there is a correlation between age and knowledge with p-value of 0,004 and odd ratio value of 20,0. It can be concluded that there is a correlation between education and age, with knowledge about exclusive breast milk.  Keywords: Education, Age, Knowledge, Exclusive Breast Milk ABSTRAK  ASI eksklusif merupakan pemberian ASI saja pada bayi sampai usia enam bulan tanpa tambahan cairan ataupun makanan lainnya. Cakupan ASI eksklusif di Kota Yogyakarta belum mencapai angka yang diharapkan yaitu 80%, salah satunya adalah di Puskesmas Kotagede I. Rendahnya cakupan keberhasilan pemberian ASI eksklusif dipengaruhi banyak hal, salah satunya adalah kurangnya informasi mengenai ASI atau salah dalam memahami informasi mengenai ASI. Tujuan penelitian ini adalah untuk menganalisis korelasi antara pendidikan dan umur, dengan pengetahuan ibu hamil trimester III tentang ASI eksklusif di Puskesmas Kota Gede I Yogyakarta. Desain penelitian ini menggunakan survey analitik dengan rancangan Cross Sectional, dengan sampel 30 ibu hamil Trimester III dan menggunakan teknik sampling jenuh. Uji statistik yang digunakan adalah Chi Square. Hasil penelitian menunjukkan terdapat korelasi antara pendidikan dengan pengetahuan dengan nilai p sebesar 0,019 dan nilai odd ratio sebesar 9,33, dan terdapat korelasi antara umur dengan pengetahuan dengan nilai p sebesar 0,004 dan nilai odd ratio sebesar 20,0. Dapat disimpulkan bahwa terdapat korelasi antara pendidikan dan umur, dengan pengetahuan tentang ASI eksklusif.  Kata Kunci : Pendidikan, Umur, Pengetahuan, ASI Eksklusif.


2019 ◽  
Vol 2 (1) ◽  
pp. 33-39
Author(s):  
Nena Riski Hariyati ◽  
Abkar Raden ◽  
Retno Mawarti ◽  
Mula Tarigan

Pregnant women’s anxiety, if not well-treated, may influence both the physical and psychological conditions of mother and fetus. This study aimed to analyze the correlation between integrated antenatal services and anxiety on facing facing childbirth among primigravida women. This was an observational analytic study used Cross Sectional design. The sample in this study was 55 primigravida women in their third trimester, whom were selected by using a total sampling technique. The study was conducted in a Public Health Centre within Yogyakarta Province. The analysis employed bivariate analysis technique with Chi-Square. The results showed that non-integrated antenatal care had correlation with anxiety about facing labor with p=0.033 and OR=5.417, which explained that non integrated antenatal care significantly increases anxiety among primigravida women. Therefore there is a need tailored services which could improve the quality of Integrated Antenatal Care to reduce pregnant women’s anxiety on facing childbirth.


JKEP ◽  
2020 ◽  
Vol 5 (1) ◽  
pp. 61-73
Author(s):  
Ni Luh Putu Ekarini ◽  
Jathu Dwi Wahyuni ◽  
Dita Sulistyowati

Hypertension is a non-communicable disease with an increasing number of events every year. There are two risk factors for hypertension, namely risk factors that cannot be modified, such as age, sex and genetics, and modifiable risk factors such as obesity, smoking, lack of physical activity, excessive salt consumption, dyslipidemia, alcohol consumption and psychososis and stress. This study aims to obtain an overview of the factors associated with hypertension in adulthood. The research design used was descriptive analytic research with cross-sectional studies. The number of samples is 70 people with simple random sampling technique. Data analysis used univariate, bivariate (chi square) and multivariate (multiple logistic regression) component analyzes. Multivariate analysis showed that the variable that was significantly related to the occurrence of hypertension was the age variable (pvalue = 0.009). Variable overweight and physical activity as confounding variables. The analysis results obtained OR from the age variable is 2.9, meaning that patients in middle to upper adult age will experience hypertension 2.9 times higher than young adult patients after being controlled by obesity and physical activity variables. Recommendations from the results of this study are expected to be able to provide health care institutions that emphasize the promotive and preventive aspects of patients who have a history of hypertension.


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