PENGARUH TINGKAT PENGETAHUAN TERHADAP KINERJA TENAGA KONTRAK PROMOTOR KESEHATAN DALAM PELAYANAN PROMOSI KESEHATAN PUSKESMAS DI KABUPATEN INDRAMAYU

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.

2021 ◽  
Vol 5 (1) ◽  
pp. 263-270
Author(s):  
Pandu Sandika ◽  
Nur Afrinis ◽  
Emdas Yahya

Complementary feeding of breastmilk to infants aged less than 6 months can cause health problems such as constipation, diarrhea and allergies. It will have an impact on the nutritional status of the infant. The purpose of this study was to determine the relationship between motivation and mother occupation with complementary feeding of breastmilk to infants under the age of 6 months in Naga Beralih village the work area of Community Health centre Kampar Utara in 2020. This type of research was analytic with cross sectional design. The population of this research was mothers who have infants aged 0-6 months in Naga Beralih village, the working area of Community Health centre Kampar Utara, totaling 41 people. Data collection tools in this study used a questionnaire. Data analysis in this study used univariate and bivariate analysis with chi square. The results showed that most of the respondents have high motivation in giving complementary breastfeeding, most of the respondents work, most of the respondents give complementary foods to infant under the age of 6 months. There was a relationship of motivation with complementary feeding with p value of 0.001. There was a work relationship with the provision of complementary feeding under the age of 6 months in Naga Beralih village the work area of Community Health centre Kampar Utara in 2020 with a p value of 0.002. For health workers, in order to increase education about the importance of complementary breastfeeding by forming classes for infants and toddlers to provide information and demonstrations, especially regarding the amount of complementary breastfeeding, types of food and timing of complementary feeding.


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. 


2020 ◽  
Vol 2 (2) ◽  
pp. 15-23
Author(s):  
Rusmini Marslan Arsyad ◽  
Engelina Nabuasa ◽  
Enjelita M. Ndoen

DHF is one of the widespread  infectious diseases in Indonesia, with an increased infected number of sufferers. DHF case is closely related to environmental sanitation, wich causes the availability of breeding places for the Aedes aegypti mosquito vectors. The study was to determine the relationship between environmental sanitation behavior and the case of DHF in the working area of the Tarus Community Health Center in 2020. The study design was descriptive-analytical with a cross-sectional study approach. The sample was_99 respondents taken by simple random sampling technique. Data was collected from interviews and analyzed using the Chi-square test. The results showed that the varuabels of  knowledge (p = 0.000), attitudes (p = 0.021), and actions to environmental sanitation (p = 0.000) were related to the DHF case. The Tarus Community Health Center should increase outreach activities and family empowerment efforts related to the prevention and control of DHF.


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 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


2017 ◽  
Vol 7 (3) ◽  
pp. 35-41
Author(s):  
Kopila Shrestha ◽  
Shanti Awale

Background: Adolescent reproductive health is one of the component of the reproductive health. It is most important issue in the world. Reproductive capability is taking place at an earlier age and adolescents are indulging in risk taking behaviors day by day. The objective of this study is to assess knowledge regarding sexual and reproductive health among adolescents. Methods: A descriptive cross-sectional study was conducted in Kathmandu valley to assess the knowledge regarding sexual and reproductive health among adolescents. Total of 200 respondents were selected through non-probability purposive sampling technique. Self-administered written questionnaire was used for data collection. The collected data were analyzed by using descriptive statistics such as frequency, percentage, mean, standard deviation and inferential statistics such as Chi-square test. Results: The findings revealed that most of the respondents had knowledge regarding transmission and protection of HIV/AIDS and STIs but still some respondents had misconception regarding it. The statistical analysis revealed that the total mean knowledge score with standard deviation was 45.02±8.674. Nearly half of the respondents (49.5%) had moderate level of knowledge, followed by inadequate level of knowledge 29.5% and adequate level of knowledge 21.0% regarding sexual and reproductive health. There was statistically significant association of level of knowledge with area of residence (p-value 0.002). Conclusion: Nearly half of the respondents possess some knowledge about sexual and reproductive health but still effective educational intervention is required to increase their knowledge.


2021 ◽  
Vol 1 (2) ◽  
Author(s):  
Madinah Munawaroh ◽  
Pinna PN Situmorang

Introduction: Anemia is one of the most common nutritional disorders during pregnancy, this anemia can be achieved with iron supplementation. Pregnant women who suffer from severe anemia can increase the risk of maternal and infant morbidity and mortality, the possibility of giving birth to babies with low birth weight. Objectives: The purpose of the study was to determine the relationship between health promotion, the role of health workers, and family support with the prevention of anemia in pregnant women in the working area of ​​the Bondongan Health Center, Bogor City in 2019. Method: This type of research, quantitative and analytical descriptive approach using the cross-sectional method. The study population was all pregnant women as many as 128 people and a sample of 56 respondents. The sampling technique is purposive sampling. The measuring instrument uses a questionnaire. Data analysis using chi-square with 0.05. Result: The results showed that the prevention of anemia in pregnant women was in the poor category (57%), the role of health workers was not good (55%), health promotion was not good (63%), low family support (54%) in preventing anemia in pregnant women working area of ​​Bondongan Health Center, Bogor City in 2019. Conclution: There is a significant relationship between the role of health workers (P-value 0.04), Health Promotion (P-value 0.012), and Family Support (P-value 0.02) on the prevention of anemia in pregnant mothers.


Author(s):  
Winda Novita ◽  
Destanul Aulia Aulia ◽  
Juanita Juanita

Every pregnancy and childbirth is a risky event, therefore every pregnant and childbirth woman must be as close as possible to basic emergency obstetric services. Health service units that are close and affordable to the community Community Health Centreare expected to be able to provide basic emergency neonatal obstetric services. Deli Serdang Regency has a high number of maternal mortality rates (AKI) and there are still cases of maternal deaths due to delays in handling due to geographical factors which is one of the causes of the low utilization of PONED (Pelayanan Obstetri Neonatal Emergency Dasar) Community Health Centre. The study aims to analyze the relationship between geographic access and the use of PONED in Hamparan Perak Health Center, Deli Serdang Regency.This type of research is an explanatory survey with cross sectional approach. The study was conducted in the working area of the Hamparan Perak Health Center with a sample of 100 pregnant, childbirth and postpartum women obtained using the proportional random sampling method. The independent variable in the study is geographic access. The dependent variable in research is the use of PONED. Data obtained using a questionnaire. Data analysis was performed using the chi-square test. The results showed a significant relationship between geographic access and the use of PONED (OR = 9,615; 95% CI = 2,974 to 31,088; p = 0.001). Pregnant, childbirth and childbirth mothers who have an assessment of good geographical access will use the PONED Community Health Centre.


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.


2018 ◽  
Vol 11 (1) ◽  
pp. 093-101
Author(s):  
Kiki Andriana

Unwanted teenage pregnancies are very embarrassing and can damage theirfuture, therefore some teenagers have an abortion to abort their pregnancy. This researchis an analytical research using Cross Sectional approach. The study population was allpregnant women from July to September as many as 370 pregnant women. The sample inthis study were 82 respondents. The sampling technique was carried out by means ofquata sampling. Data collection was carried out by filling out the questionnaire carriedout on October 23 to November 2, 2017. Data analysis was used chi-square with p-value0.005. The results showed that most respondents did not experience pregnancy at a youngage, lacked knowledge and had negative family support. Based on the results of theanalysis there is a significant relationship between knowledge and family support with theincidence of pregnancy at a young age with p-value, namely p = 0.033 and p = 0.030.Respondents' knowledge can be improved by conducting counseling, disseminatingfanplet, health promotion, and activeness of respondents seeking information aboutpregnancy at a young age, attending formal or non-formal health education namelyconsulting with health workers and respondents can seek information through print andelectronic media.


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