Influential Factors of Fertile Age Couples (PUS) in the Selection of Long-Term Contraception Methods (MKJP) in the Work Area of the Medan Community Health Center

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.

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FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN PENGGUNAAN ANTIBIOTIKA UNTUK TERAPI PNEUMONIA

Jurnal Publikasi Kesehatan Masyarakat Indonesia ◽

10.20527/jpkmi.v7i1.8672 ◽

2020 ◽

Vol 7 (1) ◽

pp. 16

Author(s):

Nita Pujianti ◽

Lia Anggraini

Keyword(s):

Community Health ◽

Health Center ◽

Community Health Center ◽

Sampling Technique ◽

Dominant Factor ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Purposive Sampling ◽

Under Five

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

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Sejumlah Faktor yang Berhubungan dengan Pemberian Vitamin A pada Balita

Gorontalo Journal of Public Health ◽

10.32662/gjph.v2i2.751 ◽

2019 ◽

Vol 2 (2) ◽

pp. 146

Author(s):

Sunarti Hanapi ◽

Nuryani Nuryani ◽

Rahmawaty Ahmad

Keyword(s):

Vitamin A ◽

Community Health ◽

Health Center ◽

Community Health Center ◽

Cross Sectional Study ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test

Based on Indonesian Basic Health Research 2018Vitamin A capsule coverage for children 6-59 months reached 53.1%. Based on Department of Health Gorontalo district Vitamin A capsule coverage in work area of Asparaga community health center reached 80%. The research aims at investigating association of giving vitamin A toward toddler. This research used observational analytic method with cross sectional study approach. This research was conducted in February until April with total of samples were 262 children 6-59 mount and respondents were toddler mother. The technique of collecting samples was using purposive sampling technique and the technique of data collection was using questionnaire. The technique of data analysis was chi square test. The findings reseacrh was found that the giving of vitamin A on toddler was 126 (48,1%) and not giving vitamin A was 136 (51,9%) toddlers, low mothers knowledge 63,4%, active cadre 28,2%, active participation toddlers 5,0%. Base on analysis bivariate indicated that sufficient knowledge of mothers 67,7% of the toddlers were given vitamin A and chi square test showed knowledge of p value = 0,000, the role of active cadres 82,4% of the toddlers were given vitamin A with p value = 0,000 and the activity of toddlers visiting community health center / Posyandu 100% of the toddlers were given vitamin A with p value = 0,000. It was concluded that the mothers knowledge factor, the role of cadres and the activity of toddlers visiting Community Health Center and Posyandu were related to the provision of viramin A in the toddlers. It was recommended for mothers of toddlers to explore more information regarding the importance of providing vitamin A to toddlers, and to be active partisipation in Community Health Center / Posyandu activities.Berdasarkan hasil Riskesdas 2018 cakupan kapsul vitamin A pada anak 6-59 bulan mencapai 53,1%. Berdasarkan data Dinas Kesehatan Kabupaten Gorontalo cakupan pemberian vitamin A di Wilayah Kerja Puskesmas Asparaga mencapai 80%. Tujuan dalam penelitian ini untuk mengetahui sejumlah faktor yang berhubungan dengan pemberian vitamin A pada balita. Penelitian ini menggunakan metode observasional analitik dengan rancangan cross sectional study. Penelitian ini dilakukan pada Februari sampai April dengan jumlah sampel 262 balita umur 6-59 bulan dengan ibu balita sebagai responden. Pengambilan sampel dengan tekhnik purvosive sampling dan pengumpulan data dengan menggunakan kuesioner, analisis menggunaka chi square test. Hasil penelitian didapatkan pemberian vitamin A pada balita sebanyak 126 (48,1%) dan tidak diberikan vitamin A sebanyak 136 (51,9%) balita, pengetahuan ibu kurang 63,4%, keaktifan kader 28,2%, keaktifan kunjungan balita 5,0%. Berdasarkan hasil uji bivariat menunjukkan pengetahuan ibu cukup 67,7% anak balita diberikan vitamin A chi square test menunjukkan pengetahuan p value = 0,000, peran kader aktif 82,4% balita diberikan vitamin A dengan p value = 0,000, dan keaktifan kunjungan balita ke Puskesmas / Posyandu 100% balita diberikan vitamin A dengan p value = 0,000 berhubungan dengan pemberian vitamin A pada balita. Disimpulkan bahwa faktor pengetahuan ibu, peran kader dan keaktifan kunjungan balita ke Puskesmas dan Posyandu berhubungan dengan pemberian viramin A pada balita. Disarankan kepada ibu balita agar lebih menggali informasi terkait pentingnya pemberian vitamin A pada balita, serta aktif dalam kegiatan Puskesmas / Posyandu.

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CORRELATION BETWEEN MOTHER’S KNOWLEDGE AND HUSBAND’S SUPPORT WITH THE USE OF IUD IN BOAWAE COMMUNITY HEALTH CENTER

Indonesian Midwifery and Health Sciences Journal ◽

10.20473/imhsj.v4i4.2020.344-353 ◽

2021 ◽

Vol 4 (4) ◽

pp. 344

Author(s):

Irmina Tulle ◽

Atika Atika ◽

Baksono Winardi

Keyword(s):

Community Health ◽

Health Center ◽

Intrauterine Device ◽

Community Health Center ◽

Sampling Technique ◽

Simple Random Sampling ◽

Dominant Factor ◽

P Value ◽

Cross Sectional ◽

Contraceptive Usage

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.

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Deteminan Kejadian Stunting Pada Balita Di Wilayah 3T (Tertinggal, Terdepan, dan Terluar) (Studi Kasus di Wilayah Kerja Puskesmas Darajuanti Kabupaten Sintang)

Jurnal Publikasi Kesehatan Masyarakat Indonesia ◽

10.20527/jpkmi.v6i2.7456 ◽

2019 ◽

Vol 6 (2) ◽

Author(s):

Dian Indahwati Hapsari ◽

Ria Risti Komala Dewi ◽

Selviana Selviana

Keyword(s):

Community Health ◽

Health Center ◽

Random Sampling ◽

Community Health Center ◽

Personal Hygiene ◽

Dominant Factor ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

History Of

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

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FAKTOR-FAKTOR YANG MEMPENGARUHI KEPATUHAN KUNJUNGANULANG PASIEN HIPERTENSI STADIUM II DI PUSKESMAS NGOMBOL KABUPATEN PURWOREJO

Jurnal Ilmiah Kesehatan Keperawatan ◽

10.26753/jikk.v11i2.108 ◽

2015 ◽

Vol 11 (2) ◽

Author(s):

E Ernawati ◽

Radina Kolasari

Keyword(s):

Community Health ◽

Health Center ◽

Antihypertensive Drugs ◽

Community Health Center ◽

Lifestyle Changes ◽

Dominant Factor ◽

Bivariate Analysis ◽

Cross Sectional ◽

Hypertensive Patients ◽

Factors Influencing

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

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HUBUNGAN ANTARA PENDIDIKAN, PENGETAHUAN, DUKUNGAN KELUARGA DAN PERAN TENAGA KESEHATAN DENGAN KEPATUHAN IBU DALAM MELAKUKAN IMUNISASI DASAR PADA BAYI USIA 0-12 BULAN DI DESA AWEH KABUPATEN LEBAK PROVINSI BANTEN

Jurnal Kesehatan Kusuma Husada ◽

10.34035/jk.v9i2.281 ◽

2018 ◽

pp. 202-212

Author(s):

Sri Dinengsih ◽

Heni Hendriyani

Keyword(s):

Multivariate Analysis ◽

Community Health ◽

Health Center ◽

Family Support ◽

Health Workers ◽

Community Health Center ◽

Immunization Coverage ◽

Poor Health ◽

Cross Sectional

ABSTRAK Dari 194 negara anggota WHO, 65 di antaranya memiliki cakupan Imunisasi Difteri, Pertusis dan Tetanus (DPT) di bawah target global 90%. Badan Kesehatan Dunia menganjurkan negara-negara untuk bekerja lebih intensif bersama mencapai target cakupan imunisasi, program imunisasi bertujuan untuk menurunkan angka kesakitan dan kematian dari penyakit yang dapat dicegah dengan imunisasi. Tujuan penelitian adalah untuk mengetahui hubungan pendidikan, pengetahuan, dukungan keluarga, dan peran tenaga kesehatan dengan kepatuhan ibu dalam melakukan imunisasi dasar pada bayi usia 0 sampai 12 bulan di desa aweh kabupaten lebak banten tahun 2017. Metode penelitian ini merupakan cross sectional , populasinya adalah ibu yang memiliki anak usia 1 sampai 5 tahun yang berada di desa aweh tahun 2017 sebanyak 515 orang dengan metode sampling mengunakan accidental sampling sejumlah 84 orang. Analisis data menggunakan univariat, bivariat, dan analisis multivariat analisis bivariat dengan korelasi product moment dan analisis multivariat dengan regresi linier berganda, analisis univariat kepatuhan imunisasi dasar yang tidak patuh (53,6%), pendidikan rendah (36,9%), pengetahuan kurang baik (48,8%), keluarga yang tidak mendukung (70,2%), yang memberi pernyataan peran tenaga kesehatan kurang baik (34,5%). Berdasarkan hasil penelitian disimpulkan ada hubungan pendidikan, pengetahuan, dukungan keluarga dan peran tenaga kesehatan dengan kepatuhan ibu dalam melakukan imunisasi dasar pada bayi usia 0 sampai 12 bulan. Yang paling signifikan adalah peran tenaga kesehatan dengan nilai Odds Ratio (OR) sebesar 27,750. Saran peneliti diharapkan peran tenaga kesehatan berpartisipasi aktif dan berkesinambungan untuk lebih memperhatikan ibu agar mau melakukan imunisasi pada bayinya. Kata Kunci: Kepatuhan, Imunisasi Dasar, pengetahuan,dukungan keluarga Of the 194 WHO member countries, 65 have diphtheria, pertussis and tetanus (DPT) immunization coverage under the global target of 90%. The World Health Organization (WHO) invites countries to work more intensively together to achieve immunization coverage targets, immunization programs aim to reduce morbidity and mortality from preventable diseases by immunization. The purpose of this research is to know the correlation between education, knowledge, family support, and the role of health workers with maternal obedience in conducting basic immunization at infants aged 0 to 12 months in the working area of puskesmas community in the regency of Lebak Banten in 2017. This research is Cross-sectional approach, the population of mothers who have children aged 1 to 5 years who are in the working area of the community health center in 2017 as many as 515 people and a sample of 48 people. Analysis of the data using univariate, bivariate, and multivariate analysis bivariate analysis with product moment correlation and multivariate analysis with multiple linear regression univariate obedience immunization (53,6%), low education (36,9%), poor knowledge (48,8%), unsupportive family (70,2%), giving role statement Poor health workers (34.5%). While the results of bivariate research indicate that there is a relationship between education, knowledge, family support, and the role of health personnel with maternal obedience in performing basic immunization in infants aged 0 to 12 months in the working area of the community health center of the district lebak banten (p <0.05 ), of the variables studied by the greatest OR value is the role of health manpower (27,750) meaning that the role of the poor health worker is at risk 27,750 times bigger to not adhere to basic immunization. Therefore, active and sustained participation is needed by the personnel Health to the local community, so that people believe and believe so that they will know and realize that basic immunization is very important given to the baby. Keywords: Obedience, Basic Immunization, knawleange, family support

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KEPATUHAN PENGGUNAAN ANTIBIOTIKA UNTUK TERAPI PNEUMONIA

Jurnal Publikasi Kesehatan Masyarakat Indonesia ◽

10.20527/jpkmi.v7i1.8788 ◽

2020 ◽

Vol 7 (1) ◽

pp. 16

Author(s):

Nita Pujianti ◽

Lia Anggraini

Keyword(s):

Community Health ◽

Health Center ◽

Community Health Center ◽

Sampling Technique ◽

Dominant Factor ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Purposive Sampling ◽

Under Five

ABSTRAK Pneumonia merupakan salah satu penyebab banyaknya 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 untuk menganalisis 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 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 akan lebih patuh dalam meminum obat antibiotika daripada pasien yang tidak disiplin. Kata-kata kunci: Kepatuhan, pneumonia, kedisiplinan, sugesti, sembuh, komunikasi ABSTRACT Pneumonia 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. Keywords: Compliance, pneumonia, discipline, healing, suggestion, communication

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The role of a community health center in dental education

Journal of Dental Education ◽

10.1002/j.0022-0337.1972.36.3.tb00510.x ◽

1972 ◽

Vol 36 (3) ◽

pp. 36-39

Author(s):

A Jong ◽

H Field

Keyword(s):

Community Health ◽

Health Center ◽

Dental Education ◽

Community Health Center

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Perbedaan Perkembangan Bayi Usia 6 – 11 Bulan Yang Diberikan Asi Eksklusif Dan Non Asi Eksklusif Di Wilayah Kerja Puskesmas Durenan Kabupaten Trenggalek Tahun 2017

Jurnal Ilmu Kesehatan MAKIA ◽

10.37413/jmakia.v6i1.14 ◽

2018 ◽

Vol 6 (1) ◽

Author(s):

Erike Yunicha Viridula

Keyword(s):

Community Health ◽

Health Center ◽

Exclusive Breastfeeding ◽

Random Sampling ◽

Early Life ◽

Univariate Analysis ◽

Community Health Center ◽

Simple Random Sampling ◽

Cross Sectional ◽

Probability Sampling

ABSTRAKGangguan pertumbuhan bayi pada usia dini menyebabkan bayi diberikan MP-ASI terlalu dini dan ibunya tidak memberikan ASI eksklusif selama 6 bulan pada awal kehidupan bayi. Dari hasil studi pendahuluan pada bayi berusia 6-11 bulan yang mendapatkan ASI eksklusif hampir sepenuhnya meragukan perkembangan. Jika ini terus berlanjut, bayi tidak dapat berkembang dengan baik di usia berikutnya. Tujuan penelitian ini untuk mengetahui perbedaan perkembangan pada bayi usia 6-11 bulan yang mendapat ASI eksklusif dan ASI non eksklusif di Puskesmas kecamatan kecamatan Durenan Trenggalek tahun 2017.Desain penelitian ini adalah studi inferensial dengan pendekatan cross sectional. Sampel yang diambil dalam penelitian ini adalah ibu dengan bayi 6-11 bulan pada bulan Oktober di Puskesmas kecamatan kecamatan Durenan Trenggalek pada tahun 2017 berjumlah 40 responden yang diambil menggunakan metode probability sampling dari jenis sistem simple random sampling. Data dianalisis dengan analisis univariat bahwa distribusi frekuensi variabel independen dan dependen dan analisis bivariat menggunakan Mann-Whitney U.Hasil penelitian menunjukkan bahwa dari 20 responden 95% yang mendapatkan ASI eksklusif memiliki perkembangan yang sesuai, 5% memiliki perkembangan yang meragukan, 0% mengalami gangguan perkembangan. Sementara 20 responden diberi 40% menyusui non eksklusif memiliki perkembangan yang sesuai, 60% memiliki perkembangan yang meragukan, dan 0% mengalami gangguan perkembangan. Hasil analisis statistik menunjukkan ada perbedaan perkembangan pada bayi usia 6-11 bulan yang mendapat ASI eksklusif dan ASI non eksklusif di Puskesmas kecamatan Durenan Trenggalek tahun 2017.Jadi dapat disimpulkan bahwa ada perbedaan perkembangan pada bayi usia 6-11 bulan yang mendapatkan ASI eksklusif dan ASI non eksklusif di Puskesmas kecamatan Durenan Trenggalek tahun 2017. Sehingga diharapkan bayi mendapat ASI eksklusif selama 6 bulan pertama dan dilanjutkan hingga 2 tahun dengan makanan pendamping (MP-ASI).Kata kunci : ASI eksklusif, ASI tidak eksklusif, pengembangan ABSTRACTDisorder of Infant growth in early life caused baby are given Complementary feeding (MP-ASI) too early and the mother didn’t give exclusive breastfeeding for 6 months in early life of baby. From the results of preliminary studies in infants aged 6-11 months who get non exclusive breastfeeding had almost entirely dubious developments. If this continues, the baby can’t develop properly in the next age. The purpose of this study to determine development differences in infants aged 6-11 months who get exclusive breastfeeding and non- exclusive breasfeeding in community health center sub district Durenan Trenggalek district in 2017. The design of this study is inferential study with cross sectional approach. Samples which taken in this study were mothers with infants 6-11 months in October in community health center sub district Durenan Trenggalek district in 2017 amounted to 40 respondents drawn using probability sampling method of the type system simple random sampling. Data were analyzed by univariate analysis that the frequency distribution of independent and dependent variables and bivariate analysis using Mann-Whitney U. The results showed that of the 20 respondents 95% who get exclusive breastfeding had appropriate development, 5% had dubious developments, 0% had disorder development. While 20 respondents were given 40% non exclusive breastfeeding had appropriate development, 60% have dubious development, and 0% had disorder development. Statistical analysis showed there are differences development in infants aged 6-11 months who get exclusive breastfeeding and non-exclusive breasfeeding in community health center sub district Durenan Trenggalek in 2017. So can be concluded that there are differences development in infants aged 6-11 months who get exclusive breastfeeding and non-exclusive breasfeeding in community health center sub district Durenan Trenggalek in 2017.So expected the babies got exclusive breastfeeding for the first 6 months and continued to 2 years with complementary foods (MP-ASI).Key Words : exclusive breastfeding, non exclusive breastfeding, development

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Perbedaan Kadar Brain Derived Neurotropic Factor Neonatus Dari Ibu Hamil Normal Dan Anemia Defisiensi Besi

Jurnal Endurance ◽

10.22216/jen.v3i3.3706 ◽

2018 ◽

Vol 3 (3) ◽

pp. 568

Author(s):

Ainal Mardiah ◽

Arni Amir ◽

Andi Friadi ◽

Ellyza Nasrul

Keyword(s):

Iron Deficiency ◽

Pregnant Women ◽

Community Health ◽

Health Center ◽

Iron Deficiency Anemia ◽

Community Health Center ◽

Deficiency Anemia ◽

Cross Sectional ◽

Consecutive Sampling ◽

Neurotropic Factor

Iron deficiency anemia is anemia caused by iron deficiency in the blood. Maternal iron deficiency affects the low iron reserves in neonates and it also influences on Brain Derived Neurotropic Factor (BDNF) which affects cognitive function. The purpose of this study was to determine the difference mean of BDNF in neonates from normal pregnant women and pregnant women with iron deficiency. The design of this research was Cross Sectional design. This research was conducted in Community Health Center of Lubuk Buaya, Ambacang Community Health Center, Community Health Center of Ikur Koto Health Center and Biomedical Laboratory of Andalas University on February 2017 to April 2018. There were 42 pregnant women was selected as sample e of this research. The samples were chosen by Consecutive Sampling. Then, the sample is divided into two groups: normal pregnant women and pregnant women with iron deficiency anemia. BDNF are examined by the ELISA. Next, the data were analyzed by using T test. The levels of BDNF neonates in normal pregnant group was 3.65(ng/ml) and the anemia pregnant group was 1.74(ng/ml) (p <0.05). There was significant difference of BDNF levels in neonates from normal pregnant women and pregnant women with iron deficiency anemia. The conclusion of this study is there is a difference of average BDNF in neonates from normal pregnant women and pregnant women with iron deficiency. Anemia defisiensi besi adalah anemia yang disebabkan karena kekurangan zat besi dalam darah. Defisiensi besi maternal berdampak pada rendahnya cadangan besi pada neonatus dan berdampak terhadap ekspresi Brain Derived Neurotropic Factor (BDNF) yang berpengaruh pada fungsi kognitif. Tujuan penelitian ini adalah untuk mengetahui perbedaan rerata kadar BDNF pada neonatus dari ibu hamil normal dan ibu hamil defisiensi besi. Desain penelitian ini adalah Cross Sectional. Penelitian dilakukan di Puskesmas Lubuk Buaya, Puskesmas Ambacang, Puskesmas Ikur Koto dan Laboratorium Biomedik Universitas Andalas pada bulan Februari 2017 – Juli 2018. Sampel Penelitian adalah ibu hamil sebanyak 42 orang yang dipilih secara Consecutive Sampling, sampel dibagi menjadi dua kelompok yaitu ibu hamil normal dan ibu hamil anemia defisiensi besi. BDNF diperiksa dengan metode ELISA. Data dianalisa menggunakan uji T test. Kadar BDNF neonatus pada ibu kelompok normal adalah 3,65(ng/ml) dan kelompok ibu anemia adalah 1,74(ng/ml) (p<0,05). Terdapat perbedaan bermakna kadar BDNF pada neonatus dari ibu hamil normal dan ibu anemia defisiensi besi.

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