Showing papers in "KEMAS: Jurnal Kesehatan Masyarakat in 2017"
TL;DR: Multivariate analysis showed that health centers with adequate human resources availability are seven times more likely to take advantage and make a good use of the nutritional services using BOK compared to health center with the lack of human resources, after the infrastructure and head variable controlled.
Abstract: Since BOK was launched in 2010, BOK utilization rate continued to increase while the NTT provincial nutrition service coverage did not increase, until 2013. This research aimed to analyze the relationship between the availability of operational funds, the availability of human resources, officer’s knowledge, infrastructure support, heads support and the appropriateness of fund utilization using BOK in nutritional services. This was a quantitative research which supported by a qualitative, cross-sectional design in 2015. The total sample of 250 health workers in 26 health centers of North Central Timor regency was included in this study. Data analysis was done using descriptive, bivariate and multivariate analyses. The results of the bivariate analysis using chi square test showed an association of (p <0.05) the availability of human resources (p = 0.017), officer’s knowledge (p = 0.000), infrastructure support (p = 0.004), heads support (p = 0.000) and the appropriateness of BOK fund utilization (p = 0.000) with the use of BOK in nutritional services. Meanwhile, the availability of operational funds is not associated with the use of BOK in nutritional services. Multivariate analysis showed that health centers with adequate human resources availability are seven times more likely to take advantage and make a good use of the nutritional services using BOK compared to health centers with the lack of human resources, after the infrastructure and head variable controlled. The government is required to provide adequate human resources, including financial administrative personnel and operational funding for health centers to optimize nutritional services. The government also needs to monitor the use of funds regularly and tiered to improve service coverage at the health center.
12 citations
TL;DR: Wang et al. as mentioned in this paper used phytochemical test using UV-Vis Spectrophotometry, Thin Layer Chromatography, and High Performance Liquid Chromatoraphy (HPLC) method to find out chemical compounds in hay infusion and papaya leaf juice.
Abstract: Aedes aegypti mosquito population could be controlled by using lethal ovitrap The addition of hay infusions as a attractant greatly enhance Aedes aegypti eggs trapped, and papaya leaf juice may inhibit Aedes aegypti eggs evolve to larvae or a larvae to pupae stage This study was conducted to find out the chemical compounds in hay infusion and papaya leaf juice We used phytochemical test using UV-Vis Spectrophotometry, Thin Layer Chromatography, and High Performance Liquid Chromatoraphy (HPLC) method The results showed that hay infusion contains 12,75 mg/L ammonium and <1,20 ppm (µg/mL) lactic acid and papaya leaf juice contains 0,25% alkaloid, 0,14% flavonoid, 0,30% saponin, ≤68 mg/L steroid and 11,34% tannin, but negative terpenoid We concluded that hay infusion and papaya leaf juice contains chemical compounds that could be use as attractant and bioinsecticide to Aedes aegypti, respectively
11 citations
TL;DR: The result showed only antenatal care implemented to detect high-risk pregnancy and no programs and community empowerment efforts in early detection of high- risk pregnancies in Petahunan village, Pekuncen.
Abstract: There are 30.939 pregnant women in Banyumas, with 6.206 cases referred due to high-risk pregnancies. Petahunan village in Pekuncen has the the highest incidence of high-risk pregnancies compared with other villages. The purpose of this study is to describe the implementation of early detection of high-risk pregnancies in Petahunan village, Pekuncen. This study used qualitative research methods with case study approach. Research instruments used in-depth interviews and focus group disscussion toward early detection of high-risk pregnancy issue. The informants were 7 people include pregnant women, health workers, midwives, head of village and village health forum chairman. The result showed only antenatal care implemented to detect high-risk pregnancy and no programs and community empowerment efforts in early detection of high-risk pregnancies.
9 citations
TL;DR: The most obvious factor which really affects the capability of an athlete, especially in Semarang badminton, is psychological factors as discussed by the authors, such as self-confidence, self-esteem, and mental health.
Abstract: The most obvious factor which really affects the capability of an athlete, especially in Semarang badminton, is psychological factors. One technique supposed to represent all the mental techniques are yoga. A total of 20 athletes (12 men & 8 women) from the badminton club in Semarang participated in this study. Quasi-experimental was used in the study. Two groups were selected according age group and class, and both are candidates of the provincial team. We measured anxiety levels with CSAI-2R and sphygmomanometer. We analyze the data using t-test and index gain. Cognitive anxiety item on the yoga group decreased (x=-2.10; -21.21%), and so did the control group (x=-0.20; -2.19%). Somatic anxiety symptoms were similar to yoga group (x=-3.50; -26.92%), but not for the control group, which increased (x=1.70; 17.71%). Whereas self-confidence has a negative correlation to other variables, the yoga group increased (x=2.00; 12.35%) but the control group decreased (x=-0.30; -1.99%).The last was badminton performance, yoga group increased (x=2.40; 14.67%) and whereas the control group decreased (x=-3.283; -17.23%).
9 citations
TL;DR: There are poor families with income less than minimum wage in Baru Village, Sarolangun Jambi and in reality the majority of toddler in the village have a relatively good nutritional status, according to the purpose of this study.
Abstract: There are poor families with income less than minimum wage (IDR 1,900,000 / month) In Baru Village, Sarolangun Jambi. However, in reality the majority of toddler in the village have a relatively good nutritional status. The purpose of this study was to know the positive deviance of feeding practices and carring with nutritional status of toddler among poor families. This study used a cross-sectional study design. This research was conducted on April until August, 2016 in Village’s Baru, Sarolangun, Jambi. The sampling technique in this study was total sampling. The samples was 84 under five age children from poor families. Determination of nutritional status using indicators of Weight for Age, which refers to the standard Kemenkes RI. The data of positive deviance taken using a questionnaire tools. The data collected was analyzed by univariate and bivariat test(chi-square test). The results showed that the positive deviance of infant feeding practice habits (91,7%), toddler’s care (85,7%), nutritional status of toddler (90,5%) categorized was good. The conclusion, the are relationship between positive deviance of feeding practices and carring with nutritional status of toddler among poor families (p<0,05).
8 citations
TL;DR: In this article, an explanatory quantitative study using cross-section survey approach was conducted to analyze relationship between quality of human resources and organizational support with performance of HOA fund manager performance.
Abstract: Health Operational Aid Fund (HOA) is an aid to accelerate the achievement of the health-related Millennium Development Goals 2015 through improvement of primary health care performance. This study aimed to analyze relationship between quality of human resources and organizational support with performance of HOA fund manager performance. This is an explanatory quantitative study using cross section survey approach. Total sampling technique had been used to determined 48 people as the samples. Univariate analysis showed that 91.7% respondents had good performances and as many as 8.3% respondents had poor performances. Bivariate analysis showed a significant association between facilities (0.049), incentives (0.049), consulting services (0.016) and HOA fund manager performance. Multivariate analysis demonstrated a positive and significant correlation (0.043) between consultancy services and performance of HOA fund manager performance. For quality improvement, it is suggested to coordinate the public health office should better coordinate its programs via consultancy service in Plan Of of Action verification. in the consultancy service.
8 citations
TL;DR: Toddlers with stunting demonstrated the adverse effects of stunting on growth, development, and the quality of human resources through various related sectors.
Abstract: Stunting can affect the health of toddlers. The prevalence of stunting in Timor Leste in 2014 is 50.2%, whereas in Aileu District is 52.3%. Stunting can interfere intellectual growth and development. The purpose of this study was to analyze the relationship between stunting determinants. The research design was cross sectional. The population of this study was toddlers 24-59 months old, with a sample size of 102 people. Sampling technique used was simple random sampling. Data were analyzed bivariately using simple linear regression, while multivariate analysis was performed using multiple logistic regressions. Bivariate analysis revealed variables that have significant relationship with stunting: immunization (p=0.026), infectious disease (p=0.049), income (p=0.003), total family member (p=0.045). Multivariate analysis obtained two variables as determinant factor of stunting: infectious disease (p=0.025; OR=0.355; 95% CI=0.144-0.877), income (p=0.028; OR=0.332; 95% CI=0.124-0.887). The incidence of stunting in toddlers in Aileu District is very serious (54.9%). Toddlers with stunting demonstrated the adverse effects of stunting on growth, development, and the quality of human resources. Stunting is not only a health sector issue. It is necessary to have appropriate interventions with early and liable management through various related sectors.
8 citations
TL;DR: In this paper, the authors developed a model of counseling for teenage which should have an easy procedure, complete services, opening hours accordingly, no discrimination, respect privacy, provide pro choice, and low prices.
Abstract: Teenegers who experience unwanted pregnancies are increasing. The number of client that access the Unwanted Pregnancy counseling services in IPPA Central Java in the year 2006 (94 clients), 2007 (91 clients), 2008 (95 clients), 2009 (68 clients), 2010 (157 clients), 2011 (98 clients), and 2012 (83 clients). Related to that data, 31% of clients were referred Haid Induction (HI), 3% refer shelter, and 66% continue the pregnancy and there were not identified. This research cunducted in 2014 used quantitative-qualitative approach which aimed to develop a model of counseling after mapping the case. Respondents were 5 Unwaned Prenancy counseling clients selected based on the final decision of counseling. From the research developed counseling model for teenage which should have an easy procedure, complete services, opening hours accordingly, no discrimination, respect privacy, provide pro choice, and low prices. Services consists of counseling, contraception, safe abortion, treatment of STIs, information center counseling and HIV testing, gynecological, prenatal and postnatal services, as well as the services of victims of gender based violence and sexual abuse.
8 citations
TL;DR: Analysis of early initiation of breastfeeding factor as the dominant factor for failure of exclusive breastfeeding in Bengkulu showed confidence and perception of little milk production are factor for unsuccessful earlyInitiation of breastfeeding.
Abstract: The first 1,000 days of life program is a program to improve the quality of children in the future which one of these programs is the provision of exclusive breastfeeding. The decline in infant mortality rates slowed between 2003 to 2012 from 35 to 32 per 1,000 live births, all babies need access to key interventions such as exclusive breastfeeding. The success of these programs are driven by health workers, but the researches that analyze information about exclusive breastfeeding program on health workers, especially in Bengkulu had never been examined. The research design used mixed methods (quantitative and qualitative) on health workers in Bengkulu in 2015 who have infants aged 6-24 months (66 people), which were determined by purposive sampling. The results showed that 69.7% of the mothers did not practice exclusive breastfeeding and 54.5% did not practice early initiation of breastfeeding. Analysis of early initiation of breastfeeding factor as the dominant factor for failure of exclusive breastfeeding. The qualitative analysis showed confidence and perception of little milk production are factor for unsuccessful early initiation of breastfeeding .
7 citations
TL;DR: The barriers on physician performance measurement in Private General Hospitals around Medan city are unsupportive human resources, improper Medical Committee monitoring, unwillingness of physicians to be assessed, and assessors tendency toward giving moderate and good score.
Abstract: Study results from early 2016 across 20 private general hospitals around Medan city, show there are 10 hospitals that have a physician performance measurement. However, the Medical Committee perceived some unknown barriers on measurement of physician performance. Should it be known, the hospitals can improve and enhance physician performance measurement effectively and efficiently. Therefore, this study aims to uncover the barriers on physician performance measurement in Private General Hospitals around Medan city. From the interviews with 10 Medical Committees and 6 document studies in 10 Private General Hospitals around Medan city which have a physician performance measurement, we found that the barriers on physician performance measurement are: unsupportive human resources, improper Medical Committee monitoring, unwillingness of physicians to be assessed, and assessors tendency toward giving moderate and good score. Therefore, we recommended that Medical Committee in each Private General Hospital around Medan or supervisors who will assess the performance of the physicians to attend performance measurement training to minimize biases and errors in filling out the sheet of physician performance measurement. Training should also be followed by an explanation that physicians should treat this performance measurement as a positive thing, because it can help the medical profession improve its professionalism.
7 citations
TL;DR: The recreational sport activities as an option activity for the urban community is quite representative to facilitate the needs of sport cultures, and a sense of concern for the environment which useful in maintaining health.
Abstract: According to the WHO, health is not merely the absence of disease or infirmity, but a state of complete physical, mental, and social well-being. Recreational sports activities particularly for urban communities could be used as a life style, because it may considered balance individual condition between physical, spiritual and social needs. This study aims to describe and investigate: 1) the reason why recreational sports become urban society choice as weekend activities and holiday activities, 2) the type of recreational sport activities done by urban communities, 3) the value of individual’s physical and psychosocial aspects,4) potential space for individual who do recreational sport activities. This research used ethnographic study with empirical and theoretical approaches. We conclude that the recreational sport activities as an option activity for the urban community, and is quite representative to facilitate the needs of sport cultures, and a sense of concern for the environment which useful in maintaining health.
TL;DR: The result showed that the prevalence smoking and alcohol consumption among males were higher in rural than urban population, and Hypertension was higher among rural female compared to female living in urban area.
Abstract: Cardiovascular disease is a global threat. This study aimed to obtain a description of cardiovascular disease pattern among rural and urban population in Ponorogo. Two locations were chosen to represent rural and urban area through cluster sampling. Cross sectional study design was chosen with a sample size of 350 respondents. The research instrument was adopted from WHO STEPS. Difference in prevalence between the two clusters were analyzed with ?2 test, with ?=0.05. The result showed that the prevalence smoking and alcohol consumption among males were higher in rural than urban population (p= 0.04 and p=0.012 respectively). The prevalence of unhealthy fruit consumption was higher in both sexes from rural population (p =0.025 and p=0.012). Hypertension was higher among rural female compared to female living in urban area (p=0.024).
TL;DR: This research is to construct a program model in Australia that can be substituted to be a health promotion model at School in effort to suppress child obesity.
Abstract: Obesity has been increasing as much as twice on age 6-12 years The increase is happening both in Indonesia and Australia The objective of this research is to construct a program model in Australia that can be substituted to be a health promotion model at School in effort to suppress child obesity Research was conducted in 2014 with qualitative approach Instruments used are as follow 1) Secondary data filling form 2) In depth interview guidence instrument 3) FGD (Focus Group Discussion) and BST (Brain Storming Technique) The informations were obtained by purposive and snowball technique Data analysis by Miles and Huberman model Substitution model is based on consideration that applied model has potential to be developed and other models whether internal or external ones in Indonesia The model will be substituted by considering school condition and situation School Health Unit (SKU) is a potential platform to promote health by these activities 1) Formal health education as taken place curricullum 2) Informal health education in forms of (1) health education information (2) Self health behaviour monitoring and control (3) Health promotion by doing healthy life (4) distribution of health education booklet to teachers and parents
TL;DR: The result showed that the husband's role in assisting the wife who suffered from anemia in pregnancy is lacking due to lack of husbnd knowledge about anemia, its causes and how to deal with anemic in pregnancy.
Abstract: Problem in anemia which is commonly suffered by pregnant women is iron deficiency due to unbalanced nutrition. A qualitative research with Ethnomethodology approach. Participants were pregnant women who are anemic with Hemoglobin levels (Hb) less than 11g/dl. 38 of participants consisting of 19 husbands as focus groups and 19 wives as triangulation group obtained through purposive sampling technique. Data obtained through the method of focus groups discussion and in-depth interview, analyzed using descriptive analysis techniques.The result showed that the husband’s role in assisting the wife who suffered from anemia in pregnancy is lacking due to lack of husbnd knowledge about anemia, its causes and how to deal with anemia in pregnancy. The conclusion is the role of husband in assisting wife in pregnancy should be supported with husband’s good knowledge about anemia, its causes and how to deal with anemia in pregnancy in order to prevent anemia in their wives’ pregnancies.
TL;DR: The results were formulated into nutrition improvement model for mother and children through facility identification, approach, media, and information needed and there was a significant difference in knowledge of mother before and after intervention.
Abstract: The community nutrition improvement with main focus on pregnant women and children up to the age of 2 years old need to be done by a cooperation across sectors. Multilevel promotion is a comprehensive intervention and modify the determinant factors. We used multilevel promotion with MATCH (Multilevel Approach to Community Health) to modify determinant factors in various levels i.e. mother, family, community, and policy that related to nutritional status of children. This research was conducted in Banyumas and Kembaran II Community Health Center working area because the nutritional problems in this area were complex, such as low exclusive breastfeeding coverage, low birth weight, and underweight children problems. This study used a quantitative analytic design with cross sectional approach. The population used for this research were pregnant women, toddler’s mother, and their family. The number of sample in this research was 100 people of each population. The data was analyzed by univariate analysis to determine the intervention model of children nutrition improvement in mother’s level. The effectiveness of intervention model was tested by bivariate analysis using dependent t-test. The result of this research were formulated into nutrition improvement model for mother and children through facility identification, approach, media, and information needed. There was a significant difference in knowledge of mother before and after intervention.
TL;DR: Ginger aromatherapy can be used as alternative medication to reduce post-chemotherapy nausea and vomiting and no significant difference was observed in nausea, and vomiting on control group.
Abstract: Chemotherapy is an effective treatment for cancer. However, it causes some side effects which include nausea and vomiting. More than 70% of patients experience nausea and vomiting after chemotherapy. The purpose of this study was to determine the effect of ginger aromatherapy in nausea, and vomiting patients on post cervical cancer chemotherapy. We used a pretest-posttest control group design, using purposive sampling of 60 respondents. We used anti-emetics measurement tool according to Multinational Association of Supportive Care in Cancer (MASCC) to assessed patient's complaints. The result showed significant difference in nausea and vomiting group before and after given aromatherapy (p = 0.000); nausea score (p = 0.005) and vomiting score (p= 0.013) from intervention and control group. No significant difference was observed in nausea (p = 0.279), and vomiting (p = 0.276) on control group. Ginger aromatherapy can be used as alternative medication to reduce post-chemotherapy nausea and vomiting.
TL;DR: There was a strong correlatiom between salivary glucose level and periodontal condition and there were no significant differences between DM and non DM groups.
Abstract: Saliva can be used for early detection of Diabetes Mellitus (DM). The purpose of the study was to determine the relationship between salivary glucose level of patients with type 2 DM on periodontal tissue and to compare it with non DM condition. Observational analysis with cross sectional study was the design used with 40 patients in each group as samples. Periodontal conditions were examined using a dental probe and salivary glucose levels with Eppendorf Ecom 6125 Photometer. The data was analysed statistically with Spearman test to find the relationship between salivary glucose level and periodontal condition and Mann Whitney U Test to compare DM and non DM groups. Cofficient value of Spearman was 0.86, there was a strong correlatiom between salivary glucose level and periodontal condition. Salivary glucose level of DM patients was 8.55 and the control group’s was 1.85 (p=0.02). Higher salivary glucose level would increase severity of periodontal tissue status.
TL;DR: Poor lifestyle found in coastal areas of Surabaya was due to lacking of physical exercise and ignorance of diet pattern, while elderly living in urban areas and in nursing homes having moderate lifestyle showed that family as a major support system should provide assistance and attention.
Abstract: The elderly lifestyle may affect their health condition Based on SUSENAS 2014, the number of elderly in Indonesia reached 2024 million, with 2505% morbidity rates, it shows that one in four elderly people have experienced some illness This study aimed to identifying the lifestyle profile of the elderly in Surabaya The research design used descriptive method with variable of lifestyle of 210 elderly in Surabaya This study was conducted from June until July, 2016 The results showed that the elderly living in coastal areas having poor lifestyle (53,256 + 11,6719), while elderly living in urban areas and in nursing homes having moderate lifestyle (66,680 + 9,3923) and (62,347 + 7,8814), respectively Poor lifestyle found in coastal areas of Surabaya was due to lacking of physical exercise and ignorance of diet pattern Family as a major support system should provide assistance and attention
TL;DR: Declined in nutritional status of hospitalized Chronic Renal Failure (CRF) patients were due to nutrient intake inadequate which required special attention from the Hospital Nutrition Service Team, and the nutritional services technology aspects especially nutritional care using PAGT has not been entirely done.
Abstract: Declined in nutritional status of hospitalized Chronic Renal Failure (CRF) patients were due to nutrient intake inadequate which required special attention from the Hospital Nutrition Service Team. This study analyzed the nutritional service on hospitalized CRF patients in Dr. Hasan Sadikin Hospital, Bandung using Health Technology Assessment. The study was conducted in 2014. The study design mixed method with concurrent embedded strategies. The hospital management, nutritionist and hospitalized CRF patients were qualitative subjects, selected using purposive sampling. Quantitative subjects selected using total sampling were 25 patients. Food weighing were used to measure food waste. The nutritional services technology aspects especially nutritional care using PAGT has not been entirely done. Nutritional monitoring and evaluation have not been well programmed and scheduled. The collaboration of nutritional care team have not been optimal. The food service mechanism are quite good while its portions are standardized yet. According to patient’s point of view towards food service quality, the food have less variety and taste. Total of cost damage from food waste are Rp.18.099,00 in a year. The lack of technological and organizational aspects can reduce the food service quality. According to the patient, the lack of food service quality will increase the food waste and total cost damage.
TL;DR: It is concluded that the mosquitoes trapped which contained of sugar-yeast solution was effective for trapping the mosquitoes especially outdoor.
Abstract: Environmentally friendly mosquitoes trap using common daily materials used by community may give hopes in reducing mosquitoes density. This study aims to determine the effectiveness of environmentally friendly mosquitoes trap made from bottle contained sugar yeast solution for reducing the number of trapped mosquitoes. This study consist of two phases and quasi experimental design was used. Mann Whitney test was used to determine the differences the number of trapped mosquitoes indoor and outdoor. The result showed p value 0,000 which was lower than α value (0,05), so there was significant difference between the number of indoor and outdoor trapped mosquitoes. The average Rank score of outdoor mosquitoes trap (42,75) was more than indoor mosquitoes trap (18,25). We concluded that the mosquitoes trapped which contained of sugar-yeast solution was effective for trapping the mosquitoes especially outdoor .
TL;DR: The essence of an HIV-infected housewife who has internalized the stigma can be illustrated as an Indonesian proverb which is “Hidup Segan Mati Tak Mau” or in English can be interpreted as ‘having lost the will to live, but not wanting to die’.
Abstract: In connection with the transmission of the HIV virus, housewives may have experienced internal stigma, which can have an effect on HIV prevention and the treatment of AIDS. Twenty-three HIV-infected housewives were interviewed in a qualitative study conducted in North Jakarta. The data were analyzed using a phenomenological approach. Seven themes emerged to explore internal stigma housewives and to compose the essence of the internal stigma. The essence of an HIV-infected housewife who has internalized the stigma can be illustrated as an Indonesian proverb which is “Hidup Segan Mati Tak Mau” or in English can be interpreted as ‘having lost the will to live, but not wanting to die’. This could explain that AIDS forces them to live in anxiety in all aspects of life but as housewives, they must keep thinking about continuing life especially with regard to the future of their beloved children.
TL;DR: Lecture or discussion methods, which are more effective to improve knowledge, attitude and skill of nursing home staff to increase elderly's dental hygiene, are concluded.
Abstract: Stomatitis often occurs in elderly at nursing home. They need nursing home staff assistance to maintain their dental and oral health. Therefore, nursing home staff need dental health education. Lecture or discussion methods, which are more effective to improve knowledge, attitude and skill of nursing home staff was the purpose of this research. The research design was quasi-experiment research and pretest-posttest with control group. The sample was 42 nursing home staffs and 74 elderlies, divided into two groups, consisted of 18 nursing home staffs and 33 elderlies using lecture method. Another group consisted of 24 nursing home staffs and 41 elderlies using discussion method. Validity was tested with product moment. Questionnaire of knowledge, attitude and skill correlation was 0.4725 – 0.6853; 0.4772–0.6962 and 0.3100–0.4916. Reliability test with Alpha Cronbach was 0.9292; 0.9273; 0.792. Research result was lecture and discussion methods were effective to improve knowledge, attitude and skill of nursing home staff to increase elderly’s dental hygiene. The research concludes that discussion method is effective to improve knowledge while lecture is more effective to improve attitude and skill of nursing home staff.
TL;DR: The findings showed that half of adolescent aged 15 to 19 years in Ngesrep village have low level of knowledge, nearly half have permissive sexual attitudes, 15% have engaged in sexual intercourse.
Abstract: Reproductive health information including STIs and HIV/AIDS has been provided in community health center. In fact, the level of adolescent knowledge in terms of sexual health and its risks is still low. This study aims to identify adolescent needs of information services on sexual and reproductive health including STIs and HIV/AIDS. All adolescent aged 15 to 19 years in Ngesrep village were recruited as a sample. There were 237 adolescents participated in this cross sectional study. The findings showed that half of them have low level of knowledge, nearly half have permissive sexual attitudes, 15% have engaged in sexual intercourse. Adolescents need comprehensive information including pregnancy, sexual diseases and HIV/AIDS which provided by health workers at school health programs.
TL;DR: Results showed that there was a correlation between hypnobirthing and decreased level of pain during labor, and was suggested to be included in the pain management subject in the normal delivery care course and as an alternative method to reducePain during labor.
Abstract: Pain during labor can cause anxiety, panic and reduced ability of the uterus to contract, thereby extending time of delivery and threaten the safety of the baby. Hypnobirthing is a non-pharmacological pain management which does not have adverse effects for mother and fetus. Hypnobirthing can increase comfort, relax, reduce stress and fear during labor without loss of consciousness. The aim of this research was to determine effect of hypnobirthing on the level of pain in labor. Research was conducted in Bidan Praktik Kota Bandung. Design used was quasi experimental with One group pre and post test technique. The number of samples was 55 respondents who was given hypnosis in labor. Sampling method used was quota sampling. Data was analyzed with Mc Nemar. Result showed that there was a correlation between hypnobirthing and decreased level of pain during labor. We suggested hypnobirthing to be included in the pain management subject in the normal delivery care course and as an alternative method to reduce pain during labor.
TL;DR: In this article, the authors used simple random samping technique using univariate and bivariate analysis with Chi-square test with 95% confidence level to determine correlation between health workers support and culture of breastfeeding with status of exclusive breastfeeding.
Abstract: Exclusive breastfeeding is the most important nutrition for baby until 6 months old without any food or drinks addition. Based on Basic Health Research (Riskesdas) 2013, in Indonesia mother who exclusively breastfeeding her baby was still low only 38% while the government policy is targeting 80% in 2010. Furthermore, there was only 13,46% breastfeeding coverage in Sungai Ulin community health center in August 2015. The main factors that cause low exclusive breastfeeding coverage such as health worker support and culture of breastfeeding provision. The objective of this research is to determine correlation between health workers support and culture of breastfeeding with status of exclusive breastfeeding in the area of Sungai Ulin Community Health Center. This research used observational analytic method with case-control design, conducted in 2016. The sample in this study were mothers who have baby aged 6-12 months with 23 as cases (non-exclusive breastfeeding) and 46 as controls (exclusive breastfeeding) or the ratio of 1:2 was determined using the hypothesis test 2 proportion formula. The research used simple random samping technique using univariate and bivariate analysis with Chi-square test with 95% confidence level. The results showed there was correlation between health workers support (p-value = 0,013, OR = 6,271) and culture of exclusive breastfeeding provision (p-value = 0,0001, OR = 8,906) with status of exclusive breastfeeding.
TL;DR: In this paper, the authors formulated and characterized analogue rice made from of sorghum, mocaf and other additional material, including cornstarch and arenga starch.
Abstract: Analogue rice is artificial rice product made from non-rice raw material by extrusion technique, which can be the vehicle of public nutrition diversity. The objectives of this research were to formulate and characterize analogue rice made from of sorghum, mocaf and other additional material. The method of analogue rice production is by twin screw extruder hot extrusion done in 2013. The research steps were the formulation of analogue rice, sensory evaluation to choose the best formula, and physico-chemical characterization of the best formula. The best two samples that were chosen are analogue rice made from 30% sorghum flour, 15% cornstarch, and 15% arenga starch (analogue rice B) and analogue rice made from 30% mocaf and 30% cornstarch (analogue rice F). Analogue rice B has 21.72% of amylose (medium) with 4% of dietary fiber while analogue rice F has low amylose which is 14.49%, make it more sticky, with 4.21% of dietary fiber.
TL;DR: To identify rats as the main reservoir of leptospirosis, calculate the catching rate of rats and to detect the presence of pathogenic Leptospira in rats, a cross-sectional survey was conducted in Pabelan village Kartasura Sukoharjo on May 2015.
Abstract: Leptospirosis in Sukoharjo was discovered in 2014. Examination with RDT (Rapid Diagnostic Test) leptotek supported by clinical symptoms showed 6 positive cases of Leptospira, and until March 2015 one person was found to be Leptospira positive. The aim of this study was to identify rats as the main reservoir of leptospirosis, calculate the catching rate of rats and to detect the presence of pathogenic Leptospira in rats. This study was a cross-sectional survey, and was conducted in Pabelan village Kartasura Sukoharjo on May 2015. Polymerase Chain Reaction (PCR) assay was conducted in Bacteriology Laboratory Balai Litbang P2B2 Banjarnegara to detect leptospira in the kidney of the rats. Data were analyzed descriptively. Results of rats and shrew catching obtained Rattus tanezumi, Rattus norvegicus and Suncus murinus. The species most commonly found was balanced between R. tanezumi and S.murinus (46%). The trap success rate inside and outside the house are 1.50% and 5%, respectively. Result of laboratory test showed from 13 rats kidneys, two kidneys were found to be Leptospira positive and was from R.tanezumi and R.norvegicus.
TL;DR: Curriculum of Health Insurance Diploma Program STIKIM 2010 academic year is still relevant to the to the needs of graduates users, so for now it is no needs to update the curriculum of Health insurance Diploma programs, according to graduates users needs.
Abstract: Good quality curriculum is very important to create highly competitive graduates, thereby it require curriculum review regularly to adjust recent health insurance institutions needs based on graduates users needs particularly at the Diploma Program of Health Insurance STIKIM. The research aims to understand the implementation and relevance of the diploma program curriculum in health insurance at the health insurance education institutions. We used a qualitative method by interviewing 5 informants who consists of the Head of Health Insurance Diploma Program STIKIM, 1 lecturer, 1 alumni, 1 student, and 1 graduate user, and then the data were analyzed using Bogdan and Biklen model. The result showed curriculum implementation of Health Insurance Diploma Degree STIKIM 2010 academix year still relevant to the expected measure, this reflected from alumni is easier getting a job in their respective field. However, there are still weakness in the implementation of the curriculum such as internship program for final year student is still limited due to lack of cooperation with government and private sectors. This study concluded that curriculum of Health Insurance Diploma Program STIKIM 2010 academic year is still relevant to the to the needs of graduates users, so for now it is no needs to update the curriculum of Health Insurance Diploma Program STIKIM 2010 academic year.
TL;DR: Most of malnutrition children under 5 years meal pattern is improper and children under5 years feeding is not proper to it’s nutrition requirement.
Abstract: Malnutrition prevalence in Indonesia has increased from 2007 to 2013. Research was conducted on Kabupaten Brebes which rank 29 of 35 Kabupaten/City on Jawa Tengah province in malnutrition case and meal pattern is found as related factor. The research objective is to obtain malnutrition children under 5 years meal pattern and others related factors. Reseach was conducted in 2016 by quantitative approach and supported with qualitative datas. Sampling method by total sampling from 32 mother and children under 5 years with malnutrition status. Research instrument consist of questionnaire and food recall instrument accompanied with observation guide. The quantitative datas are analysed by descriptive method and chi square statistic test. Result shown most of malnutrition children under 5 years meal pattern is improper (75%) and children under 5 years feeding is not proper to it’s nutrition requirement. Whether the nutrition, quantity and frequention of the feeding. This is relation between level of knowledge, education, family income with meal pattern (p value < 0.005) and no relation between numbers of family member with meal factor of malnutrition children under 5 years (p value = 1.00) at work region of Puskesmas Brebes. Respondent does not know proper food for children under 5 years, proper food for each children under 5 years age yet aware that the food must be cooked to produce soft texture.
TL;DR: It is concluded that there is no relation between knowledge and attitude of society about DBD to behavior of PSN DBD.
Abstract: The city of Semarang as the capital of Central Java province is a DHF endemic city and has a high risk of dengue fever. Based on data from Central Java Provincial Health Office in 2015, DBD IR from 2012 to 2015 has increased. Dengue Hemorrhagic Fever (DHF) in the work area of Puskesmas Sekaran, Gunungpati in 2013 there are 7 cases of DHF patients, the highest number of Dengue fever is in Sukorejo Village with 6 patients then followed by Kelurahan Sekaran with 1 patient. The purpose of this study is to determine the relationship Knowledge and Public Attitudes about DHF with the Behavior Eradication Mosquito Nest (PSN) in the Village Sekaran Gunungpati District Semarang City. This type of research is observational analytics with cross sectional approach. The sample of this research is the community of Village Saving as many as 52 people. The research instrument used questionnaires and observation sheets. Data analysis using chi square test. The result of this research is that there is no correlation between knowledge about dengue behavior toward PSN behavior (p = 0,477) and there is no correlation between public attitudes about DBD on PSN behavior (p = 1,96). Conclusion from this research that there is no relation between knowledge and attitude of society about DBD to behavior of PSN DBD.