scholarly journals Determinan Pemilihan Implan Pada Pasangan Usia Subur Di Kecamatan Medan Petisah

Author(s):  
Ayu Amalia Rahmi ◽  
Ella Nurlaella Hadi

ABSTRAKLatar belakang. Penduduk Indonesia mengalami peningkatan dari 265.015.300 orang pada tahun 2018 menjadi 268.074.600 orang pada tahun 2019. Pemerintah membuat program untuk mengintervensi masalah pertumbuhan penduduk yang tidak terkendali yaitu program keluarga berencana (KB). Metode Kontrasepsi Jangka Panjang (MKJP) dengan implan menjadi salah satu alat kontrasepsi unggulan dari BKKBN.Tujuan. Penelitian ini bertujuan untuk melihat gambaran perilaku pemilihan implan dan determinannya.Metode. Penelitian ini menggunakan metode kuantitatif dengan survei analitik cross sectional. Sampel 85 akseptor dari 560 dipilih dengan menggunakan simple random sampling. Pengumpulan data dilakukan melalui wawancara dengan menggunakan kuesioner. Data dianalisis secara univariat dan bivariat menggunakan uji chi-square.Hasil. Sebanyak 11.8% responden menggunakan metode implan. 71.8% responden memiliki pengetahuan kurang, 65.9% responden bersikap negatif, 83.5% responden menilai peran petugas kesehatan masih kurang dan 67.1% responden yang tidak mendapatkan dukungan suami. Hasil analisis bivariat menunjukkan bahwa terdapat hubungan antara pengetahuan, peran petugas kesehatan, dan dukungan suami dengan pemilihan kontrasepsi implan, sedangkan sikap menunjukkan tidak ada hubungan dengan pemilihan konstrasepsi implan.Kesimpulan. Ada hubungan antara variabel pengetahuan, peran tenaga kesehatan, dan dukungan suami dengan pemilihan Implan pada responden. ABSTRACTBackground. Indonesia's population has increased from 265,015.3 million in 2018 to 268,074.6 million in 2019. The government has created a program to intervene in the problem of uncontrolled population growth, namely the family planning (KB) program which is promoted and effective is the Long-Term Contraception Method (MKJP) with implants is one of the superior contraceptives of the BKKBN. Objective. This study aimed to to see the selection of implants and their determinations. Method. This study used a quantitative study with cross sectional analytic survey method. Sample of 85 acceptors from 560 were selected using simple random sampling. Data collection was carried out through interviews using a questionnaire. Data were analyzed by univariate and bivariate using chi-square test. Results. Study found 11.8% of respondents used the implant method. 71.8% respondents have less knowledge, 65.9% of respondents have a negative attitude, 83.5% of respondents think that the role of health workers is still lacking, and 67.1% of respondents did not get support from their husbands. The results of the bivariate analysis showed that there was a relationship between knowledge, the role of health workers, and husband's support with the choice of implant contraception, while attitudes showed no relationship with the choice of implant contraception.Conclusion. Knowledge variables, the role of health workers, and husband's support was related with the choice of implants in respondents.

2019 ◽  
Vol 2 (1) ◽  
pp. 17-25
Author(s):  
Pinta Alfiani Telaumbanua ◽  
Rapael Ginting

Discipline is a matter that becomes a benchmark to find out whether the overall role of the leader can be carried out properly or not. Discipline must be upheld in an organization, without the support of the discipline of health workers it is difficult to realize its goals, so discipline is the key to the success of an organization in achieving its goals. This type of research uses analytic survey method with cross sectional design, to explain the relationship between the role of leadership and work discipline at UPT Puskesmas Padang Bulan. With a total of 48 respondents, the total sampling technique is to make the entire population into the study sample. The results of bivariate analysis using the Chi-Square Test obtained p value = 0.004 (p value <0.05), meaning Ha was accepted and Ho was rejected, which means there was a significant relationship between communication with the workforce health discipline at the Padang Bulan Health Center UPT 2019. The results of bivariate analysis using the Chi-Square Test obtained p value = 0.001 (p value <0.05), meaning that Ha is accepted and Ho is rejected, which means there is a significant relationship between Direction and Guidance with the discipline of health workforce at UPT Padang Bulan Health Center in 2019. It is hoped that leaders will improve communication, direction and guidance for health workers to create a condition of good work discipline.


2020 ◽  
Vol 11 (1) ◽  
pp. 57-67
Author(s):  
Artika Dewi Amri ◽  
Ni Luh Putu Suariyani

Abstract Background: The further examination after breast ultrasound is needed because the ultrasound examination is not merely recommended for early detection of breast cancer; however by the combination of ultrasound and mammography, the disorder in the breast could be determined more accurately. Mammography method is a method that could detect breast cancer with an accuracy up to 90 percent. Objective: This study is aimed to identify the determinant of women to conduct further examination after breast ultrasound in Badung. Method: The study’s design used a descriptive observational study with cross-sectional design. The sampling technique used was simple random sampling with a sample of 100 people. The bivariate analysis used chi-square with α = 0.05. Result: The results of this study showed that, among the 100 respondents, there were 43 percent have done further examination. The proportion of women taking a further examination was 41 percent with high education, 38 percent with good knowledge, 18 percent stated the distance of health services were far, 43 percent were able to pay the further examination, 38 percent had ever received the information about breast cancer, 43 percent gained the support of health workers and 41 percent received good support from family. The results showed that there were four factors that had a relationship with the further examination after breast ultrasound, including the level of knowledge (OR = 8,65; 95% CI 3,19-23,86), affordability (p-value <0,0001), the support of health workers (p-value <0,0001) and the support of family (OR = 30,3; 95% CI 6,52-273,73). Conclusion: The conclusion of this study is that the determinant of women to undertake the further examination after breast ultrasound depends on the level of knowledge, affordability, the support of health workers and the support of family. There is a need of an increase in socialization about breast cancer to women and husband/family. In addition, to increase further examination there is a need of socialization regarding the utilization of BPJS. Keywords: breast cancer, advanced examination, breast ultrasound Abstrak Latar belakang: Pemeriksaan lanjutan setelah USG payudara perlu dilakukan karena pemeriksaan USG saja tidak direkomendasikan untuk deteksi dini kanker payudara, tetapi dengan kombinasi USG dan mammografi kelainan pada payudara dapat ditentukan lebih akurat. Metode mammografi merupakan metode yang dapat mendeteksi kanker payudara dengan akurasi sampai 90 persen. Tujuan: Penelitian ini bertujuan untuk mengetahui determinan wanita untuk melakukan pemeriksaan lanjutan setelah USG payudara di Kabupaten Badung. Metode: Desain penelitian menggunakan studi observasional deskriptif dengan desain potong lintang. Teknik pengambilan sampel yang digunakan simple random sampling  dengan jumlah sampel 100 orang. Analisis bivariat menggunakan chi-square dengan α=0,05. Hasil: Hasil penelitian ini menggambarkan dari 100 responden sebanyak 43 persen sudah melakukan pemeriksaan lanjutan. Proporsi wanita yang melakukan pemeriksaan lanjutan sebanyak 41 persen orang berpendidikan tinggi, 38 persen orang berpengetahuan baik, 18 persen orang menyatakan jarak pelayanan kesehatan jauh, 43 persen orang mampu untuk membiayai pemeriksaan lanjutan, 38 persen pernah memperoleh informasi tentang kanker payudara, 43 persen orang memperoleh dukungan petugas kesehatan, dan 41 persen memperoleh dukungan baik dari keluarga. Hasil penelitian menunjukkan terdapat empat faktor yang memiliki hubungan terhadap pemeriksaan lanjutan setelah USG payudara yaitu tingkat pengetahuan (OR = 8,65; 95% CI 3,19-23,86), keterjangkauan biaya (p-value <0,0001), dukungan petugas kesehatan (p-value <0,0001) dan dukungan keluarga (OR = 30,3; 95% CI 6,52-273,73). Kesimpulan: Simpulan penelitian adalah determinan wanita untuk melakukan pemeriksaan lanjutan setelah USG payudara adalah tingkat pengetahuan, keterjangkauan biaya, dukungan petugas kesehatan, dan dukungan keluarga. Perlu adanya peningkatan sosialiasasi mengenai kanker payudara kepada wanita dan suami/keluarga. Selain itu untuk meningkatkan pemeriksaan lanjutan perlu adanya sosialisasi mengenai pemanfaatan BPJS Kesehatan. Kata kunci: kanker payudara, pemeriksaan lanjutan, USG Payudara  


2019 ◽  
Vol 4 (2) ◽  
pp. 235
Author(s):  
Dian Sari

<p><em>Pulmonary Tuberculosis is one of the infectious diseases that become the main problem of Indonesian society. Based on a survey conducted at Andalas Public Health Centre obtained PMO (supervisor taking medicine) TB Lungless provide support to the patient of Pulmonary TB.. This study aims to determine the relationship of knowledge and attitude with the support of family as the PMO of Pulmonary TB patients. The study was conducted at the Andalas Public Health Centre Padang in 2017. The type of descriptive analytic research using a cross-sectional approach with a sample of 59 people taken from a population of 145 people PMO using simple random sampling systematic techniques. The results showed that 27.1% of PMO was not good at providing support, 32.2% knowledge was low, and 37.3% had a negative attitude. Chi-square test concluded that there is a significant correlation between knowledge (p = 0,036), and attitude (p = 0,000), with family support as PMO in Public health centre working area Andalas Padang of the year 2017. The result of this research can be used as a reference in improving TB program Lung so it can reduce the incidence of Pulmonary TB in Public health centre working area Andalas Padang.</em><em></em></p><p> </p><p><em>Tuberkulosis Paru merupakan salah satu penyakit menular yang menjadi masalah utama masyarakat Indonesia. Berdasarkan survei yang dilakukan di Puskesmas Andalas Kota Padang didapatkan sebahagian PMO (pengawas minum obat) TB Paru kurang memberikan dukungan kepada penderita TB Paru. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan dan sikap dengan dukungan keluarga sebagai PMO penderita TB Paru.Penelitian dilakukan di Wilayah Kerja Puskesmas Andalas Padang Tahun 2017. Jenis penelitian deskriptif analitik dengan menggunakan pendekatan cross sectionaldengan sampel sebanyak 59 orang yang diambil dari populasi 145 orang PMO menggunakan teknik sistematik simple random sampling. Hasil penelitian menunjukkan 27,1% PMO kurang baik dalam memberikan dukungan, 32,2% pengetahuan rendah, dan 37,3% mempunyai sikap negatif. Uji chi-square disimpulkan bahwa terdapat hubungan yang signifikan antara pengetahuan (p= 0,036), dan sikap (p=0,000), dengan dukungan keluarga sebagai PMO di Wilayah kerja Puskesmas Andalas Padang Tahun 2017. Hasil penelitian ini dapat dijadikan referensi dalam meningkatkan program TB Paru sehingga dapat menurunkan angka kejadian TB Paru di Wilayah Kerja Puskesmas Andalas Padang</em></p>


2020 ◽  
Vol 2 (2) ◽  
pp. 138-147
Author(s):  
Maria A.L Dawe ◽  
Petrus Romeo ◽  
Enjelita Ndoen

Dengue Hemorrhagic Fever (DHF) is an endemic disease commonly found in tropical and subtropical regions. Community behavior and the role of health workers in DHF prevention significantly influence DHF incidence. This study purposed to determine the relationship between community knowledge and attitude and the role of health workers with DHF prevention in the working area of the Bakunase Public Health Center in 2020. The study design was descriptive-analytic with a cross-sectional study approach. The research sample was 99 respondents, taken by simple random sampling technique. Analysis of research data used the chi-square test. The results showed that knowledge (p = 0.003), attitude (p = 0.000), and the role of health workers (p = 0.004) were related to DHF prevention. Most respondents had poor knowledge but showed a positive attitude towards DHF prevention. Intensive counseling on DHF prevention is essential to ensure active community participation in DHF prevention activities.


2016 ◽  
Vol 4 (1) ◽  
pp. 13
Author(s):  
Kiki Agustin Fatmala

Leprosy elimination in several areas in Indonesia still late. It caused by knowledge, social and economic factor of Multi Drug Therapy (MDT) treatment. Leprosy treatment is very important to eliminate cases of leprosy because leprosy can be cured by taking medication regularly. If patient of leprosy take medication irregularly, leprosy bacteria can become resistant, so the symptoms will be persisted and even worse. This study was aimed to analyze the factors related with compliance of taking medicine by patient of leprosy in Disctrict Pragaan Sumenep. This study used cross sectional approach. The number of sample in this study were 40 patients who were taken with simple random sampling. Chi-square test in Statcalc of epi-info was used to know the relation between independent variables and dependent variable with (α = 0,05). Based on study result, there was asscociation between knowledge about leprosy with compliance of taking medicineby patient of leprosy (p = 0,012)). There was association between family support with compliance of taking medicineby patient of leprosy (p = 0,003).There was association between stigma with compliance of taking medicineby patient of leprosy (p = 0,000). There was association between the role of health workers with compliance of taking medicineby patient of leprosy (p = 0,014). There was asscociation between availabiliy of MDT with compliance of taking medicineby patient of leprosy (p = 0,006). The conclusion of this study was knowledge about leprosy, family support, stigma, availability of MDT were factors that related with compliance of taking medicineby patient of leprosy. Effective socialization will give patient motivations to be obedient of taking medicine. Keywords: compliance, leprosy, multi drug therapy.


2017 ◽  
Vol 1 (01) ◽  
pp. 105
Author(s):  
Iken Rahma ◽  
Indah Nuraeni ◽  
Hidayah Dwiyanti

ABSTRACT   This research aims to know the difference between snacking habit and nutritional status of catering and non-catering food consumer in SD-UMP Purwokerto and SDN 2 Dukuhwaluh as well as knowing the corelation between snacking habit and nutritional status in SD UMP Purwokerto and SDN 2 Dukuhwaluh. This research used cross sectional design with thirty eight respondents were collected by Simple Random Sampling method. Snacking habit was obtained by using FFQ. The data were analyzed by using Chi-Square and Mann Whitney analysis. Univariate analysis showed that the snacking habit on catering food consumers was 28.5%, whereas on non-catering food consumers was 76.5%. Bivariate analysis result showed the difference between snacking (p= 0.004) and nutritional status ( p= 0.044) on catering and non-catering food consumers in SD UMP Purwokerto and SDN 2 Dukuhwaluh. There was no corelation between snacking habit and the nutritional status in SD UMP Purwokerto and SDN 2 Dukuhwaluh (p= 0,117) and ( p=0,142). There was difference in snacking habit and nutritional status on students who were catering and non-catering consumers in SD UMP Purwokerto and SDN 2 Dukuhwaluh and there was no corelation between snacking habit and nutritional status in SD UMP Purwokerto and SDN 2 Dukuhwaluh.  Key words: Snacking habit, Nutritional status, catering food, non-catering food.  ABSTRAK Kebiasaan mengonsumsi jajan dapat mempengaruhi status gizi. Penelitian ini bertujuan untuk mengetahui perbedaan kebiasaan jajan dan status gizi anak sekolah pengguna katering dan non-katering serta mengetahui hubungan kebiasaan jajan terhadap status gizi di SD UMP Purwokerto dan SDN 2 Dukuhwaluh. Desain penelitian ini menggunakan cross sectional dengan 38 responden dengan metode Simple Random Sampling. Kebiasaan konsumsi jajan diperoleh menggunakan FFQ. Data di analisis menggunakan uji Chi-Square dan uji Mann Whitney. Hasil uji univariat menunjukkan bahwa pada anak sekolah pengguna katering kebiasaan jajan yaitu sebesar 28,5% sedangkan anak sekolah yang non-katering sebesar 76,5%. Hasil uji bivariat menunjukkan terdapat perbedaan kebiasaan jajan ( p = 0,004) dan status gizi ( p= 0,044) pada anak sekolah pengguna katering dan non-katering di SD UMP Purwokerto dan SDN 2 Dukuhwaluh serta tidak terdapat hubungan antara kebiasaan jajan terhadap status gizi di SD UMP Purwokerto dan SDN 2 Dukuhwaluh (p= 0,117) dan (p= 0,142). Terdapat perbedaan kebiasaan konsumsi jajan dan status gizi pada anak sekolah pengguna katering dan non-katering di SD UMP Purwokerto dan SDN 2 Dukuhwaluh serta tidak terdapat hubungan antara kebiasaan mengonsumsi jajan terhadap status gizi di SD UMP Purwokerto dan di SDN 2 Dukuhwaluh.  Kata Kunci: Kebiasaan jajan, Status Gizi, katering, non-katering.  


Masker Medika ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 75-81
Author(s):  
Yeviza Puspitasari

Penduhuluan: Upaya penurunan AKI harus difokuskan pada penyebab langsung kematian ibu, yang terjadi 90% pada saat persalinan dan segera setelah persalinan, yaitu perdarahan (28%), eklamsia (24%), infeksi (11%), komplikasi pueperium 8%, partus macet 5%, abortus 5%, trauma obstetrik 5%, emboli 3%, dan lain-lain 11%. Robekan jalan lahir merupakan penyebab kedua setelah atonia uteri. Rupture perineum dipengaruhi oleh beberapa faktor yaitu faktor maternal, faktor janin dan faktor penolong. Tujuan penelitian: Untuk mengetahui Hubungan Faktor-Faktor Yang Mempengaruhi Terjadinya Rupture Perineum Di Kamar Bersalin RSUD Dr. H. Ibnu Sutowo Baturaja Kabupaten Ogan Komering Ulu Tahun 2016. Metode penelitian: menggunakan metode survey analitik dengan pendekatan cross sectional . Populasi dalam penelitian ini adalah seluruh ibu yang melahirkan dikamar bersalin RSUD Dr. Ibnu Soetowo periode Januari - Februari 2016. Sampel penelitian menggunakan metode Simple Random sampling dan didapatkan 76 orang. Penelitian dilaksanakan di RSUD Dr. Ibnu Sutowo Baturaja Kabupaten Ogan Komering Ulu. Pengumpulan data melalui check list. Pengolahan data secara analisa univariat dan bivariat. Hasil penelitian: didapatkan hasil ada hubungan antara berat badan lahir dengan kejadian rupture perineum (p value 0,000), Jarak Kelahiran dengan kejadian rupture perineum (p value 0,000) dan Paritas dengan kejadian Rupture Perineum (p value 0,002).   Introduction: Efforts to reduce MMR should be focused on the direct cause of maternal death, which occurs 90% during labor and immediately after delivery, namely bleeding (28%), eclampsia (24%), infection (11%), complications of 8% pueperium, parturition traffic jam 5%, abortion 5%, obstetric trauma 5%, embolism 3%, etc. 11%. Tearing of the birth canal is the second cause after uterine atony. Perineal rupture is influenced by several factors, namely maternal factors, fetal factors and helping factors. The purpose of this study: To determine the relationship of factors that influence the occurrence of rupture of the perineum in the delivery room of RSUD Dr. H. Ibnu Sutowo Baturaja Ogan Komering Ulu Regency in 2016. The research method: using analytic survey method with cross sectionalapproach. The population in this study were all mothers giving birth in the maternity hospital Dr. Ibnu Soetowo for the period January - February 2016. The research sample used the Simple Random Sampling method and found 76 people. The study was conducted at Dr. Ibnu Sutowo Baturaja Ogan Komering Ulu Regency. Data collection through check list. Univariate and bivariate analysis of data processing. Results: The results showed that there was a relationship between birth weight and the incidence of perineal rupture (p value 0,000), birth distance with perineal rupture event (p value 0,000) and parity with perineumrupture (p value 0.002).


2017 ◽  
Vol 4 (2) ◽  
pp. 104-107
Author(s):  
Lailatul Khusnul Rizki

Constipation is one of the problems during the initial parturition intimately connected with the early ambulation. In the village of Tanah Kalikedinding still turned out a lot of postpartum mothers who cannot yet CHAPTER more than three days. The purpose of this research is to know the influence of early ambulation with the incidence of constipation in the mother post, in the village of Tanah KalikedindingSurabaya.This type of analytical research with cross sectional approach, its population is the entire mother childbirth > 3 days in the village of Tanah Kalikedinding as much as 28 people. A large sample of 26 respondents taken in “simple random sampling”. random sampling source this research obtained from the questionnaire. The independent variable is the dependent variable, while the early ambulation is the incidence of constipation. Analysis using Fisher Test with α = 0,05.The results showed that out of the 26 respondents obtained most of the 15 (57,7%) of respondents experiencing constipation. Test statistic chi-square obtained with 2 cells (50%) EF < 5. Therefore do exact test values obtained by exact fisherand P = 1 and a = 0,05 it means P >athe table then H0 is accepted means there's no intercourse means there is no influence of early ambulation with the incidence of constipation in the mother post.Summary of the research is there is no influenceof early ambulation with the incidence of constipation on postpartum mothers. We recommend that health workers should provide counseling for prevent constipation


2019 ◽  
Vol 1 (1) ◽  
pp. 1-7
Author(s):  
Maria T. E. Koba ◽  
Frans G. Mado ◽  
Yoseph Kenjam

Family planning aims at reducing maternal mortality rates and reducing population growth rate with the main target of couples of childbearing age. One of the family planning options offered is long-term reversible contraceptive method (MKJP). The purpose of this study was to determine the factors associated with interest in using MKJP in the work area of Camplong health center, Fatuleu sub-district, Kupang regency in 2018. The research was quantitive study with cross-sectional approach. The sample of 77 people was selected using simple random sampling. The instrument uses was a questionnaire. Data analysis techniques consisted of descriptive and bivariate analysis (chi-square test) with α= 0,05. The study indicated that knowledge (p-value= 0,09) and the role of health workers (p-value =0,001) were associated with the use of the MKJP while attitude (p-value = 0,765) and husband support (p-value = 0,131) had no relationship with MKJP. Health center needs to regularly provide information to the community about the advantages of MKJP especially for couples of childbearing age who have already had more than three children.


Author(s):  
Vitri yuli afni Amran

The American College of Obstetricians and Gynecologists (ACOG) recommends exercise as a preventive measure for mothers so that the process of pregnancy and childbirth runs naturally and reduces the crisis caused by childbirth. This study aims to determine the analysis of the success rate of the implementation of pregnant exercise on the delivery process at the Puskesmas Lubuk Buaya Padang in 2018. This type of research is an analytical study with a cross-sectional approach that has been carried out in the Work Area of ??the Lubuk Buaya Puskesmas in Padang in October 2017 - June. 2018. The population of all mothers who have experienced childbirth in the Lubuk Buaya Padang Public Health Center is 2,042 people. Samples were taken by simple random sampling with a total sample of 48 people. Data collection using a questionnaire. Then the data were analyzed by univariate and bivariate with the chi-square statistical test. The results showed that 31.3% of mothers did not carry out pregnancy exercise correctly. As much as 37.5% of mothers gave birth with action and based on bivariate analysis there was a significant relationship between the success rate of implementing pregnancy exercise and the delivery process (p = 0.000). The results of the study, it can be concluded that there is a relationship between the success rate of implementing pregnancy exercise with the delivery process, it is hoped that health workers will continue to provide health education and counseling and disseminate information about pregnancy exercise and empower other health workers to conduct pregnancy exercise counseling for pregnant women. how to demonstrate every pregnancy exercise movement in various pregnancy class activities so that mothers can understand it. Key words: pregnancy exercise, childbirth process, class of pregnant women


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