scholarly journals Perilaku Pencegahan COVID-19 Pada Tenaga Kesehatan Puskesmas Dalam Masa Pandemi di Indonesia Tahun 2020

Author(s):  
Lia Meiliyana ◽  
Rita Damayanti

Latar Belakang. COVID-19 merupakan jenis penyakit menular  baru yang ditemukan pada Desember 2019 dan menjadi pandemi di tahun 2020. Tenaga kesehatan (nakes) merupakan garda terdepan melawan COVID-19. Tingkat kematian nakes di Indonesia tertinggi ketiga di dunia (per 27 Januari 2021) maka perlu menganalisis faktor penyebab dari aspek perilaku.Tujuan. menganalisis perilaku pencegahan COVID-19 pada tenaga kesehatan puskesmas, dalam masa pandemi di Indonesia tahun 2020 menggunakan teori Health Belief Model.Metode. menggunakan metode kuantitatif cross sectional. Sumber data sekunder dari hasil survei kerjasama PPPKMI dan PPK FKM UI bulan Juni 2020. Data dianalisis dengan uji regresi logistik ganda. Variabel independen faktor modifikasi, persepsi kerawanan, persepsi keseriusan, persepsi hambatan, dan isyarat bertindak.Hasil. Proporsi perilaku responden yang selalu memakai masker saat keluar rumah  sebanyak 93,7%, ditempat kerja sebanyak 96,2%, selalu mencuci tangan sebesar 90%, dan selalu menjaga jarak sebesar 86,7%. Rata-rata skor perilaku pencegahan sebesar 97,75 (skala 100). Variabel yang signifikan adalah jenis kelamin (p-value =0,003;OR=2,056), pengetahuan (p-value =0,032;OR=0,603),  dan persepsi hambatan (p-value=0,000; OR.2,080).Kesimpulan. Persepsi hambatan menjadi faktor yang paling berpengaruh terhadap perilaku pencegahan COVID-19 pada tenaga kesehatan di Puskesmas. ABSTRACTBackground. COVID-19 is a new contagious disease emerging in December 2019 and turned into a pandemic in 2020. Health workers are on the front line against COVID-19. The death rate for health workers in Indonesia is the third-highest globally (as of 27 January 2021); therefore, it is necessary to analyze the factors from a behavioral aspect. Objective. to analyze the prevention behavior of COVID-19 among health workers at health centers (puskesmas) during the pandemic in Indonesia in 2020 using the Health Belief Model.Method. used a cross-sectional approach on secondary data of collaboration PPPKMI PPKFKM UI in the June 2020 survey. Selected variables consist of modification factors, perceived threats, perceived barriers, and cues to action. Results. The proportion of respondents that always wear a mask when leaving the house was 93,7%, at work 96.2%, always wash hands 90%, and always keep a distance 86.7%. The average of practicing preventive behavior was 97,75 points (scale 100). Independent variables that have a significant relationship with COVID-19 prevention behavior are gender (p-value=0,003;OR.2,056), knowledge (p-value=0,032;OR.0,603) and perceived barriers (p-value=0,0001 OR.2,080).Conclusion. This study found that perceived barriers were the most influencing factor on COVID-19 prevention behavior among health workers at Puskesmas. 

2020 ◽  
Vol 20 (2) ◽  
pp. 670
Author(s):  
Rusdiana Rusdiana ◽  
Ahmad Fickry Faisya

The payment of capitation funds affects the motivation and performance of health workers in providing quality services at the Puskesmas. The work motivation of doctors can affect the quality of service and the performance of other health workers. The purpose of this study is to determine the effect of the distribution of capitation funds on the work motivation of doctors in Puskesmas in Indonesia. This study uses secondary data from Risnakes 2017 research results with cross-sectional design. The sample was all doctors in the puskesmas in Indonesia who were successfully interviewed and had independent variables is 4.012 sample. Data analysis was performed descriptively and statistically using chi-square test and logistic regression. From the results of the study found there is a relationship between the suitability of the distribution of capitation funds with the work motivation of doctors in urban health centers in Indonesia with a P value of 0,000 and PR 1,309 (95% CI 1,153 - 1,487). This means that the appropriate distribution and capitation have an influence of 1,309 times in increasing the work motivation of doctors in Indonesian health centers. The distribution of capitation funds must be in accordance with the workload of doctors at the puskesmas to increase motivation and performance of quality services at the puskesmas and the existing regulations must be regularly evaluated. 


2021 ◽  
Vol 7 (2) ◽  
pp. 110-115
Author(s):  
Agustina Widayati

Berdasarkan Profil Kesehatan Indonesia cakupan KB implant sebesar 11,20%. Proporsi KB aktif implan di Jawa Timur sebesar 10,23%. Data dari Dinas Kesehatan Kota Probolinggo tahun 2019, di Kelurahan Sumbertaman terdapat KB Aktifnya yaitu 1.470 PUS dan Implan (146 PUS) serta yang ber KB di RW 1 sebanyak 21 orang. Tujuan menganalisis Pengaruh  Dukungan Suami Dan Kader Posyandu terhadap Minat Ibu Menggunakan KB Implan di RW 1 Kelurahan Sumbertaman  Kota Probolinggo. Desain penelitian analitik korelasional dengan metode cross sectional. Penelitian dilaksanakan Bulan Mei - Juni di kelurahan Sumbertaman Kota Probolinggo dengan 107 sampel. Data dianalisis dengan uji Spearman dan Regresi Ordinal ?: 0,05. Hasil penelitian menunjukkan dukungan suami sangat mendukung sebesar 47 responden (43,9%), dukungan kader posyandu kurang mendukung sebesar 59 responden (55,1%), minat ibu dalam menggunakan alat kontrasepsi implant dengan kategori minat tinggi sebesar 57 responden (53,5%) dengan p value : 0,000. Kesimpulan  ada Pengaruh  Dukungan Suami Dan Kader Posyandu Terhadap Minat Ibu Menggunakan KB Implan. Saran bagi  puskesmas/tenaga kesehatan meningkatkan pemberian edukasi secara berkala kepada suami dan keluarga tentang pentingnya menggunakan alat kontrasepsi dan membentuk kelompok peduli KB.   Kata kunci: Dukungan Suami, Dukungan Kader Posyandu, Minat Ibu, Alat Kontrasepsi Implan   ABSTRACT Based on the Indonesian Health Profile, the coverage of implant family planning is 11.20%. The proportion of active implant family planning in East Java is 10.23%. Data from the Probolinggo Health Office in 2019, in Sumbertaman Village there were, namely 1,470 Childbearing Age Couple and implants (146 Childbearing Age Couple ) and 21 people who had an interest in implant Contraceptive in RW 1. The purpose was to analize the influence between husband support and Posyandu cadres to maternal interest in using implant family planning in RW 1, Sumbertaman, Probolinggo. The design of this research is correlational analytic using cross sectional method. The research was conducted on May - June in Sumbertaman, Probolinggo with 107 samples. Data collection analyzed by Spearman test and Ordinal Regression ?: 0.05. The results showed husband's support in the very supportive category was 47 respondents (43.9%), the support of posyandu cadres with less supportive criteria was 59 respondents (55.1%), the mother's interest in using implant contraceptives with high interest categories was 57 respondents (53,5%) with p value: 0,000. The conclusion of the study shows there is a influence between husband support and Posyandu cadres to maternal interest in using implant family planning. Suggestions are put forward for health centers / health workers to increase the provision of regular education to husbands and families about the importance of using contraceptives and to form family planning care groups or family planning villages.   Keywords: Husband's Support, Posyandu Cadre Support, Mother's Interest, Implant Contraceptives


2021 ◽  
Vol 12 (2) ◽  
pp. 85-92
Author(s):  
Yohana Hepilita ◽  
Heribertus Handi ◽  
Fransiska Yuni Demang ◽  
Lusia Henny Mariati

Students are considered to have an important role in providing health information and education to the public by compiling appropriate narratives and informative content related to the management of Covid-19 and handling hoax busters. The concept of health belief model is a health belief model with 4 (four) main concepts, namely perceived susceptibility, perceived seriousness, perceived benefits, and perceived barriers. This study aims to describe and analyze the relationship of four (4) health belief model components with the prevention behavior of Covid-19 in health students. This research method uses a descriptive-analytic design with a correlation study approach. The sample used in this study amounted to 97 students with a sampling technique that is probability sampling cluster sampling. The results of the health belief model components that have a relationship with Covid-19 prevention behavior in respondents are the perceived susceptibility component with p-value=0.000 (p<0.05), the perceived severity component with p-value=0.000 (p<0.05), and the perceived benefit component. with p-value=0.0002 (p<0.05). The component that has no relationship with the respondent's Covid-19 prevention behavior is the perceived barriers component with a p-value=0.28 (p>0.05).


2021 ◽  
Author(s):  
Demeke Andebet Alemu ◽  
Ambaye Minayehu Minayehu Zegeye ◽  
Wale Kumlachew Dessie ◽  
Liknaw Bewket Zeleke ◽  
Dawit Misganaw Belay

Abstract Background: Pregnancy risk perception affects a pregnant woman’s decision about health care services use such as prenatal care, place of birth, choices about medical interventions, adherence to medical procedures, and recommendations. Methods: An institutional-based cross-sectional study was conducted among 424 mothers attending ANC at health centers in the Jabitenhan district from April 1 to 30, 2021. Data was collected through a face-to-face interview using a structured questionnaire which was developed according to the health belief model. The logistic regression model was used using adjusted odds ratio with 95% CI and p value <0.05Result: 424 pregnant women were interviewed of which nearly half of the respondents (48%) had good pregnancy risk perception. Women who had a history of obstetric complication (AOR:95%CI = 3.44:1.73,6.83), those who know at least one pregnancy danger sign (AOR:95%CI =5.22;2.46,11.07), pregnant women who had a bad obstetric history (AOR:95%CI = 2.23:1.13,4.41) and knowing women who died due to pregnancy-related complications (AOR:95%CI =2.85:1.45,5.60) were more likely to have good perception towards pregnancy risk as compared to their counterparts.Conclusion: Obstetric complications, awareness of pregnancy danger signs, bad obstetric history, and knowing women who died due to pregnancy-related complications were found to be significantly associated with pregnancy risk perception.


2021 ◽  
Vol 5 (1) ◽  
pp. 149-159
Author(s):  
Hermanto Hermanto ◽  
Katmini Katmini

Hypertension is a non-communicable disease that can become a big and serious problem because of the high prevalence of hypertension and tends to increase. The purpose of this study is to analyzethe effect of perception, motivation and belief in the HBM Theory (Health Belief Model) on the behavior of preventing hypertension complications at the Raas Health Center, Sumenep Regency. The design of this research is an observational quantitative research with a cross sectional approach with the focus of the research being directed at analyzingthe effect of perception, motivation and belief in the HBM Theory (Health Belief Model) on the behavior of preventing hypertension complications at the Raas Health Center, Sumenep Regency. The total population is 160 respondents and a sample of 114 respondents is taken by using Simple Random Sampling technique. The findings showed that almost half of the respondents had a sufficient category perception as many as 47 respondents (41%). Almost half of the respondents have a moderate category of motivation as many as 46 respondents (40%). Almost half of the respondents have confidence in the medium category as many as 47 respondents (41%). Most of the respondents have behavior in the less category as many as 84 respondents (74%). Based on the results of the analysis Based on the results of the Multiple Linear Regression analysis showed that with a p-value of 0.000 < 0, 05, then H1 is accepted, so it can be concluded that there is a simultaneous influence of perception, motivation and belief on the behavior of preventing hypertension complications at the Raas Health Center, Sumenep Regency with a magnitude of 78.1%. It is hoped that hypertensive patients can obediently consume drugs given by health workers, which drugs should be consumed until they run out according to schedule and routinely control health facilities used previously.


2018 ◽  
Vol 7 (09) ◽  
pp. 1-14
Author(s):  
Andi Kasrida Dahlan ◽  
Andi St. Umrah

Leadership This study aims to determine the factors associated with maternal knowledge primigravid in recognition of pregnancy danger signs in Palopo City Health Center Mungkajang 2016.Design research is a quantitative research with cross sectional. The population is all pregnant women primigravida at health centers Mungkajang Palopo City in 2015. The sample this study were primigravida in health centers Mungkajang Palopo 2015 the number of 35 people with a total sampling sampling techniques. Data retrieval via primary (questionnaires) and secondary. The data is processed using the Statistics Programme For Social Science (SPSS) version 19.0 and analyzed by univariate and bivariate with Chi-square test (X2) and are presented in tabular form distribution and analysis.Bivariate analysis results showed that there was correlation between age, education, and exposure information with knowledge of pregnant women in the introduction primigravid danger signs of pregnancy (P value 0.000 <value α: 0:05), conclusion of this research is that there is correlation between age, education and exposure information to knowledge primigravida pregnant women in recognition of pregnancy danger signs in Health Center Mungkajang Palopo City in 2015, so for health workers, especially midwives further improve and maximize class program of pregnant women each month so that pregnant women can share important information that should be known and understood by pregnant women as danger signs of pregnancy Keywords: Knowledge of, Age, Education, and Information Exposure


2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Maryanah, Sri Sukamti ◽  
Juli Oktalia ◽  
Novita Rina Antarsih ◽  
Indra Supradewi, Aticeh

Kangaroo Care Method is a treatment given to babies with Low Birth Weight (LBW) as an alternative to an incubator. This method uses direct contact between the mother's skin and baby's skin or skin to skin contact. The kangaroo method not only replaces the care of the incubator but also provides benefits that cannot be provided by the incubator. Increasing the baby's body temperature, stabilizing heart rate and breathing, and increasing milk production, decreases the incidence of infection in infants. The purpose of this study was to determine the effectiveness of the use of the kangaroo method on LBW in Karawang Hospital. The cross-sectional research method uses secondary data through treatment records in the medical record. The study sample was 106 LBW infants treated at Karawang Hospital in the 2018 period. Analysts used average difference test data to see the effectiveness of using the kangaroo method in increasing infant weight. Results: There is an effect of the use of the kangaroo method to increase the baby's weight P-value 0,0001. Recommendation: It is expected that the use of the kangaroo method on LBW can be made into policy at the hospital with the support of health workers and facilities so that families can implement kangaroo mother care (KMC) in full.


2017 ◽  
Vol 2 (1) ◽  
pp. 6-20
Author(s):  
Lilis Novitarum ◽  
Siti Meilan Simbolon

Knowledge and attitudes are the result of out through a specific sensing of objects and social interaction so that the formation of a person's actions. Basic Life Support was given an early intervention in the treatment of patients in cardiac arrest (cardiac arrest). Goal : This study aimed to analyze the relationship between knowledge with attitude of health workers on basic life support in Puskemas Pancur Stone Deli Serdang. Methods: The method used is descriptive analytic research with cross sectional approach. Samples numbered 32 with a sampling technique is total sampling. Measuring instrument used in this study a questionnaire. Result : The results of statistical tests chi-square test, p value = 0.014 was obtained. P value <0.05, it indicates there is a relationship of knowledge with the attitude of health workers in health centers BLS Pancur Stone. Conclusion : Expected to health workers in health centers Pancur stone to further improve and understand basic life support and can take action BLS in the treatment of patients who suffered sudden cardiac arrest, so handled quickly and accurately, as well as a training / seminar on basic life support on a regular basis.


Author(s):  
Niswa Salamung ◽  
Joni Haryanto ◽  
Florentina Sustini

Stunting is the height according to age below -2 the median standard of the child's growth curve due to chronic malnutrition problems since the first 1,000 days of a child's life. One of the risks of stunting in children is the lack of nutritional intake during pregnancy. This study aims to identify factors related to the preventive behavior of stunting children during pregnancy. This study used a cross-sectional design. Samples in the study were 74 first-trimester pregnant women in the work area of Grujugan, Tenggarang, and Maesan health centers in Bondowoso Regency obtained using simple random sampling. The results of the analysis had a family support relationship (p-value 0.057), environmental support (p-value 0.010) but there is no relationship between stunting prevention behavior with age (p-value 0.361), education (p-value 0.230) and income (p-value 0.240). Recommendations from this study for health workers provide health education to pregnant women and families to provide an understanding of the prevention of stunting from early pregnancy. Keywords: Behavior; Prevention; stunting; pregnant women ABSTRAK Stunting merupakan tinggi badan menurut usia di bawah -2 standar median kurva pertumbuhan anak disebabkan masalah kurang gizi kronis sejak 1.000 Hari Pertama Kehidupan anak. Salah satu resiko terjadinya stunting pada anak adalah kurang asupan gizi pada masa ibu hamil. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang berhubungan dengan perilaku pencegahan anak stunting pada saat ibu hamil. Penelitian ini menggunakan rancangan cross sectional. Sampel pada penelitian sebanyak 74 ibu hamil trimester 1 diwilayah kerja puskesmas Grujugan, Tenggarang, dan Maesan Kabupaten Bondowoso yang diperoleh menggunakan simple random sampling. Hasil analisis ada hubungan dukungan keluarga (p-value 0,057), dukungan lingkungan (p-value 0,010) namun tidak ada hubungan antara perilaku pencegahan stunting dengan usia (p-value 0,361), pendidikan (p-value 0,230) dan pendapatan (p-value 0,240). Rekomendasi dari penelitian ini bagi tenaga kesehatan memberikan pendidikan kesehatan pada ibu hamil dan keluarga untuk memberikan pemahaman tentang pencegahan stunting sejak usia kehamilan dini Kata kunci: Perilaku, Pencegahan, stunting, ibu hamil


2020 ◽  
Vol 5 (1) ◽  
pp. 23
Author(s):  
Usman Usman ◽  
Muhammad Badiran ◽  
Iman Muhammad

<p><em>Today leadership is at the core of economic development in the Asian region including Indonesia. There are two dominant leadership styles, namely American (western) leadership style, and Asian (eastern) leadership style. Based on the preliminary survey conducted, it was seen that the style used by the leaders was the interaction of the leader with his subordinates, but the style was not used well so that it was seen in 10 health workers in West Peureulak Health Center, 6 of whom had low performance. The purpose of this study was to determine the effect of the leadership style of the puskesmas head on the performance of health workers at the Peureulak Barat Health Center in East Aceh Regency in 2018.</em></p><p><em>The research design used in this study was Cross Sectional. The population in this study were 52 health workers and samples taken by total sampling were as many as 51 health workers. Methods of data collection are primary data and secondary data. Data analysis used is binary logistic regression test.</em></p><p><em>The results showed that transactional leadership style had a sig-p value of 0.016 &lt;0.05, transformational sig-p</em><em> </em><em>.005 &lt;</em><em> </em><em>.05 and situational leadership style had a sig-p value of</em><em> </em><em>.003 &lt;</em><em> </em><em>.05, which means that all leadership styles have an influence on quality health services, while caring does not have an influence on the performance of health workers.</em></p><p><em>The conclusion in this study is the influence of transactional, transformational and situational leadership styles on the performance of health workers. It is hoped that it can become a reference for the community and for cadres in the Puskesmas to better understand the importance of appropriate leadership styles to maximize the performance of health workers to the fullest.</em></p><p><strong><em>Keywords</em></strong><strong><em> </em></strong><strong><em>:</em></strong><strong><em> </em></strong><strong><em>leadership style, performance, transactional, transformational, situational</em></strong><strong><em></em></strong></p>


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