scholarly journals FAKTOR LINGKUNGAN FISIK RUMAH DAN KEJADIAN TUBERKULOSIS PARU DI WILAYAH PESISIR

2021 ◽  
Vol 5 (1) ◽  
pp. 31-35
Author(s):  
Maryati Agustina Tatangindatu ◽  
Melanthon Juneidi Umboh

Tuberculosis (TB) merupakan penyakit infeksi bakteri menahun yang disebabkan oleh Mycobakterium Tuberculosis. TB merupakan salah satu dari sepuluh tertinggi penyebab kematian di seluruh dunia. Di Indonesia angka kematian akibat TB mencapai 140.000 orang per tahun. Di Kabupaten kepulauan Sangihe Tuberkulosis Paru masih menjadi masalah kesehatan. Pada tahun 2018 jumlah kasus TB di Wilayah Puskesmas Manenete berjumlah 21 kasus dan terjadi peningkatan kasus pada tahun 2019 menjadi 44 kasus.Tujuan dari penelitian ini untuk mengetahui hubungan antara faktor lingkungan fisik rumah dengan kejadian TB Paru di Wilayah Puskesmas Manente. Jenis penelitian ini merupakan penelitian survei analitik dengan pendekatan cross sectional. Hasil analisis bivariat menggunakan uji chi square menunjukkan variabel kepadatan hunian, ventilasi rumah serta jenis dinding rumah memiliki P value kurang dari 0.05 (<0.05). Untuk variabel jenis lantai diperoleh nilai P value lebih dari 0.05 (>0.05). Berdasarkan hasil penelitian dapat disimpulkan bahwa terdapat hubungan antara kepadatan hunian, ventilasi rumah dan jenis dinding rumah dengan kejadian TB Paru serta tidak terdapat hubungan antara jenis lantai rumah dengan kejadia TB Paru di Wilayah Puskesmas Manente. Pemerintah dan instansi terkait perlu melakukan promosi kesehatan secara rutin terkait upaya pencegahan TB Paru serta mengedukasi masyarakat untuk dapat meningkatkan daya tahan tubuh dengan menerapkan pola hidup bersih dan sehat.   Tuberculosis (TB) is a chronic bacterial infection caused by Mycobacterium tuberculosis. TB is one of the top ten causes of death worldwide. Death caused by TB amount 140,000 people in a  year. In Sangihe District, Pulmonary Tuberculosis was a health problem. In 2018 the number of TB cases in Manente Health Center area were 21 cases and increased in 2019 44 cases. The purpose of this study was to determine the relationship between house physical condition factors with the incidence of pulmonary tuberculosis in the Manente Health Center area. Those reseach were analytic survey research with a cross sectional approach. The results of bivariate analysis used the Chi Square Test showed that the variables of house density, house ventilation and type of house walls had a P value of less than 0.05 (<0.05). For the floor type variable, the P value was more than 0.05 (> 0.05). Based on the results the reaseach concluded that those was a relationship between house density, house ventilation and type of house wall with the incidence of Pulmonary Tuberculosis and there was no relationship between the type of floor of the house and the incidence of Pulmonary Tuberculosis in Manente Health Center area. The government and related officer need to carry out regular health promotions about how to prevent Pulmonary Tuberculosis and educate the public able to increase endurance by implementing a clean and healthy lifestyle.

2018 ◽  
Vol 1 (1) ◽  
pp. 34
Author(s):  
Ni Nyoman Novita ◽  
Gusman Arsyad

Implementation of IMD in hospitals has decreased from the previous year and has not reached the target set by the government. Some IMD implementation processes have not been carried out according to applicable standards. So that babies do not get an IMD in accordance with existing SOPs. The purpose of this study was to determine the determinant factors associated with the implementation of the IMD by midwives in the Midwifery and Maternity Room Emergency Room (IGD) at the Anutapura General Hospital in Palu. This research method is analytical with cross sectional approach. The population of this study was that all midwives in the obstetrics emergency room and maternity room at Anutapura Palu Hospital were 37 respondents. The sample in this study is total sampling. The analysis used was univariate, and bivariate analysis using the chi square test with a confidence level of 95% (α = 0.05). The results of statistical tests on variable knowledge of midwives with the implementation of IMD p value: 0.018 (p value <0.05). APN training with the implementation of IMD p value: 0.697 (p value> 0.05). length of work with the implementation of IMD p value: 0.029 (p value <0.05). and peer support with the implementation of IMD p value: 0.007 (p value <0.05). Conclusions there is a relationship between knowledge, length of work, peer support with the implementation of the IMD, and training factors that have nothing to do with IMD implementation. The strongest factor in the relationship is peer support. It is recommended that the Anutarapura Palu Hospital be able to motivate midwives so that they can further enhance their role in the implementation and provide support to their colleagues so that the implementation of the IMD can be carried out in accordance with applicable standards.Keywords: Knowledge, APN Training, Duration of work, Implementation of IMD


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.


2021 ◽  
Vol 3 (2) ◽  
pp. 123-130
Author(s):  
Basyariah Lubis ◽  
Latifah Hanim ◽  
Srimelda Br Bangun ◽  
Ronny Ajartha

The incidence of hyperemesis gravidarum in Indonesia ranges from 1% to 3% of all pregnancies. Hyperemesis gravidarum can cause problems in pregnancy such as anemia, while anemia itself can result in shock due to lack of nutritional intake, all of which are eaten and drunk. This study aims to determine the relationship between adaptation and psychological factors with the incidence of hyperemesis gravidarum in pregnant women in the first trimester in the Tanjung Pasir Health Center area. This research is an analytical survey with a cross sectional approach. The study was conducted in the Tanjung Pasir 2020 Public Health Center area from March to August 2020. The population in this study were 108 pregnant women in the first trimester at the Hamidah Clinic and a sample of 52 people. Data were obtained using a questionnaire, data analysis consisted of univariate and bivariate analysis. Bivariate analysis using the Chi Square statistical test at α = 5%. The results showed that there was no relationship between adaftation factors (anemia and primigravida) with hyperemesis gravidarum, while psychological factors (unwanted pregnancy, work pressure, income and family harmony) had a relationship with hyperemesis gravidarum. The conclusion of this study is there is a relationship between psychological factors and the incidence of hyperemesis gravidarum in pregnant women in the first trimester in the Tanjung Pasir Puskesmas area. It is suggested that the respondents should increase their knowledge about how to prevent and overcome hyperemesis gravidarum.


2019 ◽  
Vol 6 (2) ◽  
pp. 129-141
Author(s):  
Sri Wahyuni ◽  
Ratna Puspita Adiyasa

Latar Belakang: Indonesia merupakan salah satu negara berkembang di Asia Tenggara yang  menghadapi tantangan bahaya kejadian kanker serviks. kanker serviks memiliki prevalensi tertinggi, yaitu sebesar 0,8%. Salah satu cara deteksi dini kanker seviks adalah dengan pemeriksaan Visual Inspeksi Asam Asetat (VIA). Suami merupakan orang terdekat bagi seorang isteri. Dukungan suami memiliki pengaruh yang signifikan dalam pengambilan keputusan istri, terutama yang berkaitan dengan pencegahan penyakit maupun upaya peningkatan derajat kesehatan. Tujuan: Mengetahui hubungan dukungan suami dengan partisipasi mengikuti pemeriksaan VIA pada wanita usia subur di RW 04 Kelurahan Terban Gondokusuman Yogyakarta. Metode: Desain penelitian menggunakan Analitik Deskriptif Correlation dengan pendekatan cross sectional dengan populasi semua wanita usia subur di RW 04 Kelurahan Terban Gondokusuman Yogyakarta berjumlah 72 orang. Teknik pengambilan sampel menggunakan terknik sampel proporsi sejumlah 61 orang. Pengumpulan data menggunakan kuesioner dan analisis hubungan dengan uji Chi Square dilanjutkan Coefisien Contigensi. Hasil: Analisa bivariate menunjukkan nilai p-value: 0,000 < α: 0,004, dengan keeratan 0,393 (rendah). Kesimpulan: Ada hubungan antara dukungan suami dengan partisipasi mengikuti pemeriksaan IVA di RW 04 Kelurahan Terban Gondokusuman Yogyakarta. Saran: Diharapkan bagi pemerintah untuk melibatkan suami saat melakukan pendidikan kesehatan tentang pemeriksaan IVA. Kata Kunci: Dukungan suami – Pemeriksaan IVA – Kanker Seviks   ABSTRACT Background: Indonesia is facing the challenges of the danger of cervical cancer. This disease has the highest prevalence which equals to 0,8%. Cervical cancer can be early detected by IVA test. Husband’s support has a significant influence in childbearing age woman’s decision, especially with regard to disease prevention and efforts to improve health status. Objective: To know the relationship between husband’s support with Visual Inspection with Acetic Acid (VIA) test participation of childbearing age woman in RW 04 Kelurahan Terban Gondokusuman Yogyakarta. Method: The study design was Descriptive Correlation Analysis with cross sectional approach. The population was 72 people, and the sample was 61 respondents. Data collecting used questionnaires and Chi Square tes for analysis. Results: Bivariate analysis shows p-value: 0.000 <α: 0.004, with the closeness degree of 0,393 (low correlation). Conclusion: There is a relationship between husband’s support with Visual Inspection with Acetic Acid (VIA) test participation of childbearing age woman in RW 04 Kelurahan Terban Gondokusuman Yogyakarta. Suggestion: It is expected that the government will involve husbands when conducting health education regarding VIA test. Key words : husbands support – VIA test – cervical cancer


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 6 (2) ◽  
pp. 87-91
Author(s):  
Haspita Rizki Syurya Handini ◽  
Yussie Ater Merry ◽  
Dhina Khairina

Measles rubella (MR) immunization is to provide immunity against measles and rubella. To reduce measles and rubella, the government carried out the MR immunization campaign. The target of MR immunization achievement is at 95%; however, in West Sumatra Province it is still at 38,98% and Padang City is at 47%. The purpose of this study was to determine the determinant factor as participation in MR immunization for toddlers. This analytic survey used a cross sectional study design. The population was mothers who had toddlers with a sample of 86 respondents taken by proportional random sampling technique. The instrument used was a questionnaire. Data processing was analyzed by bivariate and multivariate using chi square test and logistic regression. The results of the bivariate analysis showed factors related to MR immunization, namely knowledge (p = 0.003), level of education (p = 0.006), and attitude (p = 0.006), while employment (p = 0,222) and number of children (p = 0,160) were not related to MR immunization and the most influential variable was the level of knowledge with p value 0.009 and OR 0.28. It can be concluded that knowledge, education and attitude are related to maternal participation in MR immunization with the most influential variable being knowledge. Therefore, there needs to be innovation in providing counseling to mothers and families about the importance of MR immunization.


2018 ◽  
Vol 6 (11) ◽  
pp. 246-253
Author(s):  
Nurhikmah ◽  
Onny Setiani ◽  
Yusniar H Darundiati

Background: The District of Paal Merah, Jambi City, is a center for vegetable production for the Jambi City area and its surroundings. The aspect of excessive use of pesticides by farmers in the District of Paal Merah, Jambi City is a problem that needs attention, especially the practice of spraying which ignores aspects of safety and health of farmers that can lead to health problems both directly and indirectly for farmers. One of the long-term effects caused by exposure to pesticides is a decrease in hemoglobin levels and the amount of erythrocytes in the blood. Based on the report of the Payo Selincah Health Center in Jambi City, it was explained that in the District of Paal Merah, Jambi City in 2016 showed anemia sufferers reached 30% of the number of public health center visits. Objective: The purpose of this study was to describe and analyze the relationship of exposure to pesticides with hemoglobin levels and the number of erythrocytes in horticultural farmers in the District of Paal Merah, Jambi City. Method: This type of research is observational analytic with cross sectional study design conducted in the District of Red Paal with 80 respondents selected by purposive sampling. Data collection through interviews, observation, measurement of cholinesterase levels, measurement of hemoglobin levels and measurement of the amount of erythrocytes in the blood. Data analysis using chi-square test and logistic regression. Results: Based on the results of bivariate analysis, it was found that there were 3 independent variables related to hemoglobin levels, namely work period (p value = 0.005), frequency of spraying (p value = 0.007), pesticide dose (p value = 0.003, and no independent variables related to the number of erythrocytes. Conclusion: Based on research from 80 farmers who examined hemoglobin levels in the blood there were 73.8% of farmers who experienced abnormal hemoglobin levels, and 26.3% of farmers who experienced normal hemoglobin levels, and from 80 farmers who examined the amount of erythrocytes in blood is 22.5% of farmers who have an abnormal number of erythrocytes, and 77.5% of farmers have normal erythrocyte counts.


2020 ◽  
Vol 1 (1) ◽  
pp. 34-43
Author(s):  
Ni Nyoman Novita ◽  
Gusman Arsyad

mplementation of IMD in hospitals has decreased from the previous year and has not reached the target set by the government. Some IMD implementation processes have not been carried out according to applicable standards. So that babies do not get an IMD in accordance with existing SOPs. The purpose of this study was to determine the determinant factors associated with the implementation of the IMD by midwives in the Midwifery and Maternity Room Emergency Room (IGD) at the Anutapura General Hospital in Palu. This research method is analytical with cross sectional approach. The population of this study was that all midwives in the obstetrics emergency room and maternity room at Anutapura Palu Hospital were 37 respondents. The sample in this study is total sampling. The analysis used was univariate, and bivariate analysis using the chi square test with a confidence level of 95% (α = 0.05). The results of statistical tests on variable knowledge of midwives with the implementation of IMD p value: 0.018 (p value <0.05). APN training with the implementation of IMD p value: 0.697 (p value> 0.05). length of work with the implementation of IMD p value: 0.029 (p value <0.05). and peer support with the implementation of IMD p value: 0.007 (p value <0.05). Conclusions there is a relationship between knowledge, length of work, peer support with the implementation of the IMD, and training factors that have nothing to do with IMD implementation. The strongest factor in the relationship is peer support. It is recommended that the Anutarapura Palu Hospital be able to motivate midwives so that they can further enhance their role in the implementation and provide support to their colleagues so that the implementation of the IMD can be carried out in accordance with applicable standards.


2020 ◽  
Vol 3 (1) ◽  
pp. 22-28
Author(s):  
Ilfa Hasibuan ◽  
Putri Yunita Pane ◽  
Pahala Maringan J. Simangunsong

Measles is a highly contagious disease that is caused by a virus and is transmitted through coughing and sneezing. The effects of Measles are high fever, reddish patches on the skin (rashes) heal with coughs or colds and red eyes (conjunctivitis). This disease is very dangerous if treated with complications of pneumonia, diarrhea, meningitis, and can even cause death. Rubella disease is a disease similar to Measles that is transmitted through the respiratory tract when coughing or sneezing. MR vaccine (Measles Rubella) in the Mandala Puskesmas Area in 2019. This research is a quantitative study using cross sectional. The population in this study is mothers who have children and children. Based on monthly patient visits, 385 patients in Mandala Medan Health Center in 2019 The technique of collecting data is by observation and questionnaire. Analysis of the data used in this study was the Chi-Square test (95% CI). The results of the study stated that there was a significant relationship between maternal knowledge in the implementation of the MR (Measles Rubella) Vaccine in the Mandala Health Center Area Medan with a p value of 0,000 (<α = 0.05). There is a significant relationship between the attitude of mothers in the implementation of MR (Measles Rubella) Vaccine in Mandala Medan Puskesmas with a p value of 0.000 (<α = 0.05) MR (Measles Rubella) in the Mandala Puskesmas Region in Medan


2018 ◽  
Vol 5 (2) ◽  
pp. 79-85
Author(s):  
Silvia Ari Agustina ◽  
Muftiyatur Rohmah

Breast milk is very beneficial for babies, mothers, families, countries and the earth, so every mother is encouraged to do breastfeeding to their babies. The lowest coverage of exclusive breastfeeding in Gunungkidul District is Girisubo Health Center as much as 32.8%. Many factors influence the low coverage of exclusive breastfeeding, one of them is the support of the family especially the husband. Support from the nearest person (husband) is important in the success of exclusive breastfeeding. Objective this study to Know Relationship between Husband’s Support and woman’s attitude in their third trimester towards Exclusive Breastfeeding at Public Health Center of Girisubo Gunung Kidul. This study types was correlational analytic research with cross sectional study design. Sampling technique used purposive sampling with a large sample of 86 trimester pregnant women 3 who had a husband and live together. Data collection used closed questionnaires with Likert scale. Data analysis used chi square test. This research showed that Husband’s support in exclusive breastfeeding majority in less than 46 respondents (53,5%). Likewise with the attitude of pregnant women in giving the majority of the milk is also negative by 57%. The result of cross tabulation of husband support is negative, mother's attitude in giving ASI 32 fall in negative category, whereas the husband/s support is positive, negative pregnant woman attitude only 17. Result bivariate analysis is known that p value = 0,011, there is relationship between husband support with attitude of pregnant mother with OR value as much as 3,092. It can be concluded that there is a statistically significant relationship between the husband’s support and the attitude of the expectant mother. The husband's positive support to the wife, raises 3 positive attitudes of TM III pregnant women in exclusive breastfeeding.  Keywords: Attitude, Support, Exclusive Breast Milk ABSTRAK ASI sangat bermanfaat baik bagi bayi, ibu, keluarga, negara serta bumi, sehingga setiap ibu dianjurkan untuk memberikan ASI. Puskesmas Girisubo mempunyai cakupan pemberian ASI eksklusif terendah di wilayah Kabupaten Gunungkidul yaitu sebanyak 32,8%. Rendahnya cakupan dapat dipengaruhi banyak faktor, salah satunya adalah dukungan dari keluarga khususnya suami. Dukungan dari suami atau keluarga sangat berperan dalam keberhasilan pemberian ASI eksklusif. Tujuan dari peneitian ini adalah mengetahui korelasi dukungan suami dengan sikap Ibu Hamil Trimester III dalam Pemberian ASI Eksklusif di Puskesmas Girisubo Gunung Kidul. Jenis penelitian analitik korelasi dengan desain penelitian cross sectional. Teknik sampling menggunakan purposive sampling. Besar sampel yang digunakan sebanyak 86 ibu hamil trimester 3 yang memiliki suami dan tinggal bersama. Pengumpulan data menggunakan kuesioner tertutup dengan skala Likert. Analisis data menggunakan uji chi square. Hasil penelitian ini adalah Dukungan suami kepada istri dalam memberikan ASI eksklusif mayoritas negatif sebanyak 46 responden (53,5%). Begitu pula dengan sikap ibu hamil dalam memberikan ASI mayoritas juga negatif sebesar 57%. Hasil tabulasi silang dukungan suami yang negatif, sikap ibu hamil TM III dalam memberikan ASI 32 masuk dalam kategori negatif, sedangkan jika dukungan suami yang positif, sikap ibu hamil yang negatif hanya 17. Hasil analisis bivariat menunjukkan nilai p = 0,011, ada korelasi yang signifikan antara dukungan suami dengan sikap ibu hamil dengan nilai OR diketahui 3,092. Dapat disimpulkan bahwa terdapat korelasi yang signifikan secara statistik antara dukungan suami dengan sikap ibu hamil. Dukungan positif suami kepada istri, meningkatkan 3 kali sikap positif ibu hamil TM III dalam pemberian ASI Eksklusif.  Kata kunci: Sikap, Dukungan, ASI Eksklusif


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