scholarly journals Sustainability of Community Based Water Projects: Dynamics of Actors’ Power Relations

2017 ◽  
Vol 10 (6) ◽  
pp. 79 ◽  
Author(s):  
Rehema Kilonzo ◽  
Victor George

Sustainability of Community Based Water Projects (CBWP) in Central Tanzania was examined. Actors’ power was hypothesized to influence sustainability of the CBWP. Power was analyzed from two aspects; power structures and power relations. A cross-sectional design was adopted, which allowed data to be collected once at a point. A multi-stage sampling technique was used to get the study sample. Stratified random sampling was employed to get 30 CBWP for the study and simple random sampling was used for obtaining 390 households. Purposive sampling was also employed to obtain the key informants for in-depth interviews and Focus Group Discussions Quantitative data obtained were processed and analyzed using Statistical Package for Social Sciences (SPSS 16v.) while qualitative data were transcribed and content analysis was employed in analyzing them. In examining the power structure the study shows that institutions and empowerment have significant correlation with sustainability status of the CBWP. The study also shows that global and national actors have high influence/power in effecting the CBWP critical activities. The local actors are perceived to be powerless; however, the study indicates importance of recognizing them because their position as powerless actors may limit their participation in the CBWP and thus jeopardizing the chances of yielding sustainable CBWP.

2021 ◽  
Author(s):  
Melash Belachew Asresie ◽  
Gizachew Worku Dagnew

Institutional delivery is the foundation for diminishing maternal mortality. Evidence showed that community-based behavioral change interventions are increasing institutional delivery in developing countries. By understanding this, the government of Ethiopia launched a community-based intervention called “pregnant women’s conferences” to improve institutional delivery. This study was conducted to assess its effectiveness on institutional delivery among 871 women who gave birth within the last 12 months (435: pregnant women’s conference attendants and 436: pregnant women’s conference non-attendants) in 2017. It was a community-based comparative cross-sectional study and participants were selected using a multistage-simple random sampling technique. A structured interviewer-administered questionnaire was used for data collection. The result showed that institutional delivery among women who attended pregnant women’s conferences was 54.3% (95%CI: 49.9–59.1), higher compared with 39.9% (95%CI: 35.3%- 44.7%) of women who did not attend the conference. Likewise, the level of well-preparedness for birth was higher among women who attended the conference (P = 38.9%, 95%CI: 33.8–43.7), compared with their counterparts (P = 25.7%, 95% CI: 22.2–29.4). Similarly, women’s knowledge of obstetric danger signs was higher among women who attended the conference. Therefore, encouraging pregnant women to attend the conference should be strengthened.


2020 ◽  
Vol 2 (2) ◽  
pp. 45-51
Author(s):  
Maghdalena Br Barus ◽  
Fithri Handayani Lubis ◽  
Taruli Nadeak

The number of Diarrhea KLB Cases in 2010 was 2,580 with77 deaths (CFR2.98%). This result was different from 2009 where there were 3,307 cases of diarrhea KLB, 21 cases of deaths (CFR0.69%). And the latrines ownership is one  of the causes. Good total sanitation decreases 94% of diarrhea. The purpose of this study is to determine the relationship between total community-based sanitation programs and the incidence of diarrhea incommunities who do not own latrines. This type of research uses Cross Sectional research. The population of this study is all communities  that reside in the working area of​Puskesmas Berohol of Tebing Tinggi City. The sample is 60 respondents using the Simple Random Sampling technique. Instrument research questionnaire and observation sheet. The results of this study state that there is a relationship between the total community-based sanitation program and the incidence of diarrhea in people who do not have latrines, wherethep-valueis 0.002 < 0.05. The conclusion is based on there search about there lationship of Community Based Total Sanitation Program (STBM) with Diarrhea Incidence in Communities that Do Not Have Latrines in the Work Area of​​ the Alcoholic Health Center of Tebing Tinggi City in 2019. The results obtained are that there is a relationship between the total community-based sanitation program (STBM) and the incidence of diarrhea. Suggestions for the community to improve the individual of total sanitation.


Author(s):  
Khaulah Afifah ◽  
Lala M Kolopaking ◽  
Zessy Ardinal Barlan

Head of a village election with e-voting system is a new thing for community The success level of e-voting system can be reached by fulfil several principles in order to the implementation going effective and the result of the election can be accepted by all. The objectives of this research is to analyze the relation between the success level of e-voting system with social capital of the community. This research is carried out with the quantitative approach and supported by qualitative data. This research takes 60 respondents using simple random sampling technique. The results showed that the success level of e-voting has a correlation with the level of social capital of the community. Based on the field study, the social capital of the community is classified as high. The high social capital makes the implementation of e-voting successful and the success level is also high, because in the election ten years ago occurred a conflict. The community considers e-voting easier and more practical, cost effective and time-saving, and the results of e-voting are also reliable. A practical and fast of e-voting system can be a solution especially for “rural-urban” community who are busy or work outside the village.Keywords: E-voting, the success level of the system, social capital Pemilihan kepala desa dengan sistem e-voting merupakan hal yang baru bagi masyarakat. Keberhasilan penerapan sistem e-voting dilihat dari terpenuhinya beberapa prinsip agar penerapannya berlangsung efektif dan hasilnya dapat diterima oleh seluruh masyarakat. Penelitian ini bertujuan untuk menganalisis hubungan tingkat keberhasilan sistem e-voting dalam pemilihan kepala desa dengan tingkat modal sosial masyarakat. Bentuk penelitian ini adalah penelitian kuantitatif yang didukung oleh analisis data kualitatif. Penelitian ini mengambil enam puluh responden dengan teknik simple random sampling. Hasil penelitian menunjukkan bahwa tingkat keberhasilan e-voting memiliki hubungan dengan tingkat modal sosial masyarakat. Berdasarkan kajian di lapang, modal sosial masyarakat tergolong tinggi. Tingginya modal sosial tersebut membuat pelaksanaan e-voting berhasil dan tingkat keberhasilannya juga tergolong tinggi karena pada pemilihan sepuluh tahun silam sempat terjadi konflik. Masyarakat menganggap sistem evoting lebih mudah dan praktis, hemat dalam segi biaya dan waktu, serta hasil dari pemilihan juga dapat dipertanggungjawabkan. Sistem e-voting yang praktis dan cepat dapat menjadi solusi khususnya bagi masyarakat daerah “desa-kota” yang memiliki kesibukan atau pekerjaan di luar desa.Kata Kunci: E-voting, keberhasilan sistem, modal sosial. 


2017 ◽  
Vol 3 (1) ◽  
pp. 28
Author(s):  
Selviana Selviana ◽  
Elly Trisnawati ◽  
Sitti Munawarah

Abstract: Factors Related To Occurrence Of Diarrhea In 4-6 Year Children. Diarrhea cases in 4-6-year-old children in Desa Kalimas raised annually, from 10% in 2013 to 33% in 2014, and 35% in 2015. This study aimed at factors related to diarrhea cases in 4-6-year-old children in Desa Kalimas Kecamatan Sungai Kakap. Cross Sectional approach was used forty one sample participated in this study. They were selected by using proportional random sampling technique. The data analysis using chi-square test with a 95% confidence level. The study revealed significant correlation of hand washing (p = 0,043 ; PR = 2,175), microbial quality of drinking water storage (p = 0,016 ; PR = 1,462), availability of family latrine (p = 0,003 ; PR = 3,242), and diarrhea cases. There was no significant correlation between diarrhea cases are the habit of boiling water with the microbial quality of drinking water, the source of water for washing cutlery, and microbial of drinking water, (p > 0,05). It is hoped health authorized staffs in Desa Kalimas apply community- based total sanitation, enhance clean and healthy behaviour, and socialize healthy drinking water storage based on Regulation of Minister of Healthy No. 3/2014.Abstrak: Faktor-Faktor Yang Berhubungan Dengan Kejadian Diare Pada Anak Usia 4-6 Tahun. Angka kejadian diare pada anak usia 4-6 tahun di Desa Kalimas mengalami peningkatan setiap tahunnya. Tahun 2013 kejadian diare sebesar 10%, tahun 2014 sebesar 33% dan 35% pada tahun 2015. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kejadian diare pada anak usia 4-6 tahun di Desa Kalimas Kecamatan Sungai Kakap. Penelitian ini menggunakan desain cross sectional dengan jumlah sampel  45 orang yang diambil menggunakan teknik proportional random sampling. Uji statistik yang digunakan uji chi-square dengan tingkat kepercayaan 95%. Hasil penelitian menunjukkan bahwa terdapat hubungan yang bermakna antara kebiasaan mencuci tangan dengan diare (p = 0,043; PR = 2,175), penyimpanan air minum dengan kualitas mikrobiologi air minum (p = 0,016; PR = 1,462), ketersediaan jamban keluarga dengan diare (p = 0,003; PR = 3,242). Variabel yang tidak berhubungan yaitu kebiasaan memasak air dengan kualitas mikrobiologi air minum, sumber air untuk mencuci alat makan/minum dan kualitas mikrobiologi air minum dengan diare (p ≥ 0,005). Disarankan agar di Desa Kalimas bisa diterapkan program STBM dan peningkatan penerapan PHBS pada masyarakat Desa Kalimas serta mensosialisasikan cara penyimpanan air minum yang baik sesuai dengan Permenkes No 3 tahun 2014.


2017 ◽  
Vol 1 (01) ◽  
pp. 61
Author(s):  
Hepi Diah Apika ◽  
Endo Dardjito ◽  
Dyah Umiyarni Purnamasari

Abstract The purpose of this study analyze the relationship between the iodine content of salt consumption and the level of consumption of iodine levels in women of childbearing age UIE. The study was observational with cross sectional design. The research location in the village of Kebumen, Baturraden subdistrict, Banyumas. Subjects were 38 selected by simple random sampling technique. The consumption level of iodine was measured by the method of Food Recall 2x24 hours. Salt iodine content was measured by iodometric titration method and UIE levels measured by acid digestion method in the laboratory BP2GAKI Magelang. Data analysis using spearman correlation. A total of 71.1% women of childbearing age using the iodine content of salt consumption of <30 ppm. The consumption level of iodine less subject category (86.8%). UIE levels by an average of 156.50 μg/L category of normal iodine intake. There was no relationship with the iodine content of salt UIE levels (p=0.671). No correlation with levels of iodine consumption levels UIE (p=0.586). Levels of UIE women of childbearing age are not affected by the iodine content of salt and iodine consumption levels.   Keywords: Iodized salt, consumption levels, UIE   Abstrak   Tujuan penelitian ini adalah menganalisis hubungan kadar yodium konsumsi garam dan tingkat konsumsi kadar yodium pada wanita usia subur UIE. Penelitian ini bersifat observasional dengan rancangan cross sectional. Lokasi penelitian di desa Kebumen, Kecamatan Baturraden, Banyumas. Subjek penelitian dipilih dengan teknik simple random sampling. Tingkat konsumsi yodium diukur dengan metode Food Recall 2x24 jam. Kandungan garam yodium diukur dengan metode titrasi iodometrik dan tingkat UIE yang diukur dengan metode pencernaan asam di laboratorium BP2GAKI Magelang. Analisis data menggunakan korelasi spearman. Sebanyak 71,1% wanita usia subur menggunakan kandungan yodium konsumsi garam <30 ppm. Tingkat konsumsi kategori subjek kurang yodium (86,8%). Tingkat UIE rata-rata 156,50 μg / L kategori asupan yodium normal. Tidak ada hubungan dengan kadar yodium kadar garam UIE (p = 0,671). Tidak ada korelasi dengan tingkat kadar konsumsi yodium UIE (p = 0,586). Tingkat wanita UIE pada usia subur tidak terpengaruh oleh kadar yodium tingkat konsumsi garam dan yodium.  Kata kunci: garam beryodium, tingkat konsumsi, UIE


2020 ◽  
Vol 14 (3) ◽  
pp. 332-337
Author(s):  
Lalu Dedy Supriatna ◽  
Indasah Indasah ◽  
Byba Melda Suhita

Pesantren Health Post (Poskestren) promotional program for Clean and Healthy Living Behavior (CHLB)  among students at Islamic boarding schoolsBackground: Clean and Healthy Living Behavior (CHLB) school environment structure is an effort to empower students, teachers, and the school community to know, want, and be able to treat CHLB. This is in line with Health Promotion in educational institutions (Health Promoting School) launched by the World Health Organization which uses a holistic model that includes the relationship between physical, mental, social and environmental aspects.Purpose: To analyze the influence of the health post promotion program for Clean and Healthy Living Behavior (CHLB)  among students at Islamic boarding schoolsMethod: An observational analytic study using a cross sectional approach. The sampling technique used simple random sampling, a sample of 271 respondents. The research instrument used a questionnaire with 20 question items. The data analysis technique used the chi-square test.Results: Obtained from 271 respondents with the Poskestren program (Promotive) in the less category, it will have an influence in the moderate category on the (CHLB)   of students (36.16%). It is necessary to plan that is directed and sustainable in improving the quality for the implementation of the poskestren program in a promotional manner so that it can get better results.Conclusion: The Pesantren Health Post program promoted a significant effect on (CHLB)  among students at Ad Diinul Qayyim Islamic Boarding School, West Lombok Regency, NTB.Keywords: Pesantren Health Post (Poskestren); Promotional program; Clean and Healthy Living Behavior (CHLB); Students; Islamic boarding schoolsPendahuluan: Perilaku Hidup Bersih dan Sehat (PHBS) tatanan lingkungan sekolah adalah upaya untuk memberdayakan siswa, guru, dan masyarakat lingkungan sekolah agar tahu, mau, dan mampu memperlakukan PHBS. Hal ini sejalan dengan Promosi Kesehatan di institusi pendidikan (Health Promoting School) yang dicanangkan oleh Organisasi Kesehatan Dunia yang menggunakan model holistik yang meliputi hubungan antar aspek fisik, mental, sosial, dan lingkungan.Tujuan: Untuk menganalisis pengaruh program promotif  poskestren terhadap PHBS Santri di Pondok PesantrenMetode: Penelitian analitik observasional dengan menggunakan pendekatan cross sectional. Teknik sampling menggunakan simple random sampling, sampel sebanyak 271 responden. Instrumen penelitian menggunakan kuisioner dengan 20 item pertanyaan. Teknik analisa data menggunakan uji chi-square.Hasil: Didapatkan dari 271 responden dengan program Poskestren (Promotif) dalam kategori kurang maka akan memberikan pengaruh dalam kategori cukup pada PHBS santri (36.16%). Perlu perencanaan yang terarah dan berkesinambungan dalam meningkatkan kualitas untuk penerapan program poskestren secara promotif sehingga mendapatkan hasil yang lebih baik.Simpulan: Program Poskestren secara promotif berpengaruh secara signifikan terhadap PHBS pada santri di Pondok Pesantren Ad Diinul Qayyim Kabupaten Lombok Barat NTB.


2020 ◽  
Vol 17 (4) ◽  
pp. 437-442
Author(s):  
Binita Dhakal

Background: Adolescence is a critical period and is associated with physical and psycho-social changes induced by puberty, which builds personality, behaviour, and future health of the adolescents. Thus, the aim of the study was to find out the knowledge and attitude regarding pubertal health of adolescence girls.Methods: A descriptive cross sectional study was conducted in Bharatpur Metropolitan City’s secondary level schools. A total of 183 adolescent girls were selected using probability simple random sampling from 5 schools out of total 43 schools which were also selected by simple random sampling technique. Data was collected by using structured self-administered questionnaire for knowledge and likert’s scale was used for attitude regarding pubertal health. Results: Study findings revealed that 61.4% of the students belonged to early adolescence (11-14) age group with the mean age 14.27±1.33 years. Majority (80.3%) had moderate level of knowledge and around half (48.6%) had positive attitude. Knowledge and attitude varied with the respondents’ level of education (p=0.001), relation to sibling (p=0.013) and source of information by elder sister (p=0.022), teachers/school (p=0.001).Moderately positive correlation was found between knowledge and attitude which was highly significant (r=0.395, p<0.001).Conclusions: Majority of respondents had moderate level of knowledge and half of the respondent had positive attitude regarding pubertal health. Findings of the study emphasizes on improvement in education of adolescent girls which can help uplift health status and minimize vulnerability to health issues of pubertal health. Keywords: Adolescents; attitude; knowledge; pubertal health; puberty.


1970 ◽  
Vol 7 (1) ◽  
pp. 62-65
Author(s):  
Muhammad Faisal Qureshi ◽  
Aneeta Rathore ◽  
Nandlal Seerani ◽  
Sumera Qureshi ◽  
Bisharat Faisal ◽  
...  

Background: Children's health is very important for their better learning and timely nourishment everywhere in the world. Malnutrition among school going children has remained a big challenge in under developed countries. Methods: Cross-sectional study was conducted among 422 children of four Government Primary schools of Qasimabad, district Hyderabad after taking the proper consent and administration approval from the head of school. Multi stage simple random sampling technique was adopted. Study was approved from Institutional review board of Health Services Academy Islamabad. Results: Out of total, 217 (51.4%) were boys and 205 (48.6%) were girls. Mean Height of boys and girls were 128.09 cm (±SD 12.90) and 130.36 cm (±SD 12.50) respectively. Mean Weight of boys was 25.27 Kgs (±SD 6.17) while in girls mean Weight was 26.83 Kgs (±SD 7.03). 17.57 cm (±SD 2.34) was mean MUAC for all participants and mean BMI was 15.42 (±SD 2.02). Prevalent of stunting and wasting were 24.4% and 18.3% respectively. While in 13.7% thinness (BMI for age) was seen. Stunting was statistically significant in girls 9-10 year (p value=.015, CI: .118-.823, OR=.311) and 11-≥12 years (p value=.018, CI: .215-.874, OR=.434). Pallor was more in girls (17%) and Dental caries were higher in boys (20.8%). Insufficient breakfast was done by 347 (82.2%), whereas 75 (17.8%) were doing sufficient breakfast. 341 (80.8%) students became ill during last year, out of that 80 (19%) were having history of hospitalization. Conclusion: Poor polices and lack of food aid interventions regarding health of primary school going children was assessed during this study.


1970 ◽  
Vol 3 (1) ◽  
Author(s):  
Dian Palupi Kusuma ◽  
Sheizi Prista Sari ◽  
Ikeu Nurhidayah

Posyandu merupakan pusat pemantauan tumbuh kembang balita berbasis masyarakat, namun masih banyak ibu yang tidak membawa anak berkunjung teratur ke posyandu. Di Kabupaten Bandung, Posyandu Desa Cimekar memiliki angka kunjungan balita yang terendah yaitu 70,3% pada Bulan Oktober– Desember 2013. Tujuan penelitian ini untuk mengetahui hubungan antara persepsi ibu dengan perilaku membawa balita ke posyandu dengan pendekatan teori Health Belief Model. Penelitian ini menggunakan metode deskriptif kuantitatif dengan pendekatan cross sectional. Sampel penelitian berjumlah 94 ibu balita yang diambil dengan menggunakan teknik simple random sampling di 10 Posyandu Desa Cimekar. Analisis menggunakan chi-square. Hasil penelitian menunjukkan bahwa 52,12% memiliki persepsi positif tentang posyandu dan 59,57% responden memiliki perilaku rutin membawa balita ke posyandu. Hasil analisis bivariat menunjukkan terdapat hubungan antara persepsi dengan perilaku ibu membawa balita ke posyandu (nilai p=0,000; α=0,05). Simpulan dari penelitian ini menunjukkan bahwa persepsi ibu tentang posyandu belum merata dengan baik. Hasil penelitian ini merekomendasikan agar puskesmas memberikan pembinaan terhadap para ibu balita bukan hanya penyuluhan, namun diberikan pengarahan dan bimbingan tentang pentingnya membawa balita ke posyandu. Kata kunci: Balita, Health Belief Model, perilaku, persepsi, posyandu The Relationship between Mother’s Perception and Behavior on Attending Posyandu Abstract Community health post as well known as posyandu provide as center to monitor growth in children under five years old. Data showed that the number of mother’s attendance behavior to Posyandu in Cimekar’s Village was very low, only 70.5% from October to December 2013. The aimed of this study was to identify the relationship between mother’s perception and parents behavior on taking their children to posyandu based on Health Belief Model Theory. The method of this study was descriptive with cross sectional study. Simple random sampling was used as sampling technique with 97 mothers who has child under five years old among 10 Posyandu in Cimekar was taken in this study. Data was analyzed by chi-square. The result of this study showed that there was significant relationship between mother’s perception and mother’s behavior to attend Posyandu (p=0.000; α=0.05). Data showed that 52.25% respondents had a positive perception about posyandu and 59.5% respondents had positive behavior to take their child to posyandu. The recommendation for Puskesmas is to give further information and motivation to mother to attend posyandu frequently.Key words: Behavior, child under five years old, Health Belief Model, perception, posyandu.


2018 ◽  
Vol 2 (3) ◽  
pp. 265 ◽  
Author(s):  
Diah Ayu Pitaloka ◽  
Rumaidhil Abrory ◽  
Ayu Deni Pramita

Background:Exclusive breastfeeding is a breastfeeding exclusively without any food or other additional beverages starting from newborns to 6 months old baby. Data from Indonesia Health Profile of 2014 states that infants receiving Exclusive Breast Milk in Indonesia only reach 41.67%. Objectives: To analyze the relationship between maternal knowledge, education, and exclusive breastfeeding among mothers in the village of Kedung Rejo, Waru Sub-district, Sidoarjo District.Methods: This research was descriptive analytic study using cross sectional design. The population of this study was mothers who has infants aged 6-12 months in Kedungrejo Village Waru Sub-district Sidoarjo District. Sample was selected using simple random sampling technique involving 31 people. Data analysis was tested using Fisher's exact test.Results:The results showed that the prevalence of exclusive breastfeeding in Kedungrejo Village, Waru Sub-district was 29%. The results of tests using Fisher's Exact showed that mother's knowledge and education were not related to exclusive breastfeeding in infants aged 6-12 months.Conclusion: There was no significant association between maternal knowledge, education and exclusive breastfeeding practices among mothers.ABSTRAKLatar Belakang:ASI Eksklusif adalah memberi Air Susu Ibu secara Ekslusif tanpa ada makanan atau minuman tambahan lainnya yang mulai dilakukan saat bayi baru lahir sampai bayi berumur 6 bulan. Data dari Profil Kesehatan Indonesia tahun 2014 menyatakan bahwa bayi yang menerima ASI Eksklusif di Indonesia hanya sebesar 41,67%.Tujuan: Mengetahui pengetahuan ibu dan pendidikan ibu hubungannya dengan pemberian ASI Eksklusif di desa Kedung rejo, Kecamatan Waru, Kabupaten Sidoarjo.Metode: Penelitian ini adalah penelitian deskriptif analitik menggunakan desain cross sectional. Populasi penelitian ini merupakan ibu yang memiliki bayi usia 6-12 bulan di Desa Kedungrejo Kecamatan Waru Kabupaten Sidoarjo  yang dipilih secara simple random sampling  sebanyak  31 orang. Data kemudian dikumpulkan dan diuji dengan menggunakan uji Fisher’s Excact.Hasil: Hasil menunjukkan bahwa prevalensi pemberian ASI Ekslusif di Desa Kedungrejo Kecamatan Waru Kabupaten  yaitu hanya 29%. Hasil uji dengan menggunakan Fisher’s Exact menunjukkan bahwa pengetahuan dan pendidikan ibu tidak berhubungan terhadap pemberian ASI Ekslusif pada bayi usia 6-12 bulan.Kesimpulan:Tidak ada hubungan yang signifikan antara pengetahuan ibu, pendidikan dan praktik pemberian ASI eksklusif di kalangan ibu. 


Sign in / Sign up

Export Citation Format

Share Document