Articles

HUBUNGAN TINGKAT PENGETAHUAN DENGAN SIKAP IBU HAMIL TENTANG INISIASI MENYUSU DINI DI PUSKESMAS JETIS KOTA YOGYAKARTA Ernawati, Dwi; Ismail, Djauhar; Rokhanawati, Dewi
Jurnal Kebidanan Vol 5, No 2 (2016): JURNAL KEBIDANAN
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (330.407 KB) | DOI: 10.26714/jk.5.2.2016.94-102

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Inisiasi menyusu dini (IMD) memiliki berbagai manfaat selain bisa menurunkan angka kematian, resiko hipotermi, kejadian diare, kejadian ISPA pada bayi, serta menjaga stabilitas suhu dan cardiovascular pada bayi prematur. Di Kota Yogyakarta tingkat pelaksanaan IMD berdasarkan hasil survei Riskesdas 2013 yaitu 43,1%. Penelitian yang dilakukan tahun 2013 di 5 Puskesmas Kota Yogyakarta di dapatkan hasil tingkat pengetahuan ibu hamil tentang IMD adalah buruk 29,8%, kurang 48,8%, sedang 19%, dan baik 2,5%. Mengetahui hubungan tingkat pengetahuan dengan sikap ibu hamil tentang IMD di Puskesmas Jetis Kota Yogyakarta. Penelitian ini menggunakan metode observasional dengan rancangan penelitian cross sectional. Jumlah sampel pada penelitian ini sebanyak 86 responden yang diambil dengan teknik accidental sampling. Analisis data univariat dipaparkan dengan menggunakan tabel distribusi frekuensi, analisis data bivariat dengan uji statistik chi square dan analisis data multivariat dengan uji statistik regresi logistik. Ibu hamil di Puskesmas Jetis sebagian berpengetahuan tinggi sebesar 62,8% dan sebagian besar memiliki sikap positif tentang IMD sebesar 79,1%. Tingkat pengetahuan dengan sikap ibu hamil tentang IMD di Puskesmas Jetis Kota Yogyakarta memiliki hubungan yang bermakna dengan nilai p value =0,018,CI = 1,011-1,739, PR = 1,326. Sikap ibu hamil tentang IMD dipengaruhi oleh tingkat pengetahuan ibu, pendidikan ibu dan dukungan keluarga.
Pengaruh peer education dan audio-visual diskusi interaktif terhadap kemampuan kognitif penyelesaian masalah kehamilan tidak diinginkan Juwartini, Dwi; Ismail, Djauhar; Emilia, Ova
Berita Kedokteran Masyarakat (BKM) Vol 32, No 10 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (379.723 KB) | DOI: 10.22146/bkm.12415

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Effects of peer education and interactive group discussion on cognitive ability in dealing with unwanted pregnancy PurposeThis study aimed to determine the effectiveness of peer education methods and interactive discussions through audiovisual media on cognitive ability change in solving the problem of unwanted pregnancy.MethodsThis quasi-experimental study used a randomized control trial design involving 99 students. The instrument used was a questionnaire, with the module method of peer education and interactive discussions through audiovisual media, agency and facilitator.ResultsAdolescent reproductive health education after considering living with family consistently had a significant effect on increasing the average value of cognitive ability to solve the problem of unwanted pregnancy. Living with family can predict the cognitive ability of teenagers in solving the problem of unwanted pregnancy by 15%.ConclusionInteractive discussions through audiovisual media and peer education modules enhance adolescents’ cognitive ability to solve unwanted pregnancy problems, and are significantly influenced by family factors.
STUDI KASUS IMPLEMENTASI PROGRAM PENCEGAHAN DAN PENGENDALIAN INFEKSI SALURAN PERNAFASAN AKUT PNEUMONIA PADA KEGIATAN PENEMUAN KASUS PNEUMONIA BALITA DI PUSKESMAS Guswahyuni, Sri Maya; Ismail, Djauhar; Mujianto, Sri
Berita Kedokteran Masyarakat (BKM) Vol 35, No 6 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (527.328 KB) | DOI: 10.22146/bkm.45642

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Purpose: To describe the implementation of children under five years old pneumonia case finding activities at the puskesmas, analyze obstacles or constraints in carrying out pneumonia case finding activities among children under five years old and obtain appropriate recommendations for the activity of finding pneumonia cases in children under five years old in health centers. Method: This research was conducted at Sungai Tutung Puskesmas, Kerinci Regency, Jambi Province, using a logic model program theory with evaluation steps referring to the program evaluation framework recommended by the Center For Disease Control and Prevention using qualitative methods with a case study program implementation. Interviews were conducted on 15 informants including triangual informants. Key informants are puskesmas providers who are associated with ARI pneumonia. Results: The results of the study pneumonia cases were not actively carried out because they were not included in the Community Health Center Plans For Implementing Puskesmas Activities prepared based on program priorities set by the health center and health service, the case finding of pneumonia passively was not optimal because it did not meet the standard of cough testing and IMCI approach. Lack of knowledge, low motivation, and poor management of puskesmas are obstacles to ARI pneumonia programs in addition to limited budgets or funds and the quality of health. Conclusion: The recommendation is to allocate a budget for the Pneumonia Prevention And Control Program, facilitate the improvement of knowledge and skills for Pneumonia Prevention And Control Program in Puskesmas providers, establish cross-program and cross-sector cooperation in expanding the reach of Pneumonia Prevention And Control Program in the finding of pneumonia cases in children under five years old in health centers.
THE USE OF ANTHELMINTICS IN THE TREATMENLT OF ASCARIASIS Ismail, Djauhar; Utomo, Utomo; Yuwono, Sugeng; S., Noerhayati
Paediatrica Indonesiana Vol 16 No 9-10 (1976): September 1976
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (431.46 KB) | DOI: 10.14238/pi16.9-10.1976.391-5

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Ninety-seven children with Ascariasis were treated at randomly with Piperazine, Tetramisole, and Pyrantel pamoate in a single dose with cure rates of 59%, 62%, and 88%, respectively. In the children who were not cured, a reduction in egg count of nearly 80% was found in all three treatment groups. The results of this study showed that Pyrantel pamoate is the most effective of the three drugs.
SERUM TRANSAMINASE M DIPHTHERITIC MYOCARDITIS Ismail, Djauhar; Utomo, Utomo; Suharjanto, Suharjanto
Paediatrica Indonesiana Vol 16 No 3-4 (1976): March 1976
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (540.761 KB) | DOI: 10.14238/pi16.3-4.1976.89-93

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Ninety-one cases out of 102 diphtheritic children admitted to the University of Gadjah Mada Hospital were studied, correlating enzyme levels (SGOT and SGPT) with ECG findings. The results showed that there was a correlation between the SOOT value and the severity of the ECO abnormalities. Beside ECO, the determination of serum transaminase should be considered as an adjunct laboratory examination in evaluating the diagnosis and prognosis of diphtheritic myocarditis.
PERCEIVED PARENTAL MONITORING ON ADOLESCENCE PREMARITAL SEXUAL BEHAVIOR IN PONTIANAK CITY, INDONESIA Suwarni, Linda; Ismail, Djauhar; Prabandari, Yayi Suryo; Adiyanti, MG
International Journal of Public Health Science (IJPHS) Vol 4, No 3: September 2015
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (84.32 KB) | DOI: 10.11591/ijphs.v4i3.4736

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Inadaquate parental monitoring is widely recognized as a risk factor for the development of child and adolescent conduct problems, including early premarital sexual behavior. Previous studies examining parental monitoring have largely effect to adolescents premarital sexual behavior. Parental monitoring is the most important and effective factor to prevent early adolescents sexual activity. This paper examines the role of perceived parental monitoring in adolescent?s premarital sexual behavior (study on Adolescent?s Junior High School in Pontianak). A cross-sectional study and proportionated random sampling was conducted among 402 adolescents of junior high school at six subdistricts in Pontianak. SEM analyses was conducted using SMART-PLS. Result of path analysis revealed that parental knowledge (r = 0.389) and parental-adolescence relationship (r = 0.334) had a strong influence on parental monitoring. Then, parental monitoring had a significant indirect relationship with adolescent premarital sexual behavior through attitudes about premarital sexual (path coefficient = 0.063), and attitudes about premarital sexual and intention to sexual behaviour (path coefficient = 0.03). Parental monitoring can act as protective factor in early adolescent premarital sexual behavior. Therefore, risk reduction interventions with adolescents should include their parents to learn about monitoring skill and develop skill that will allow them to buffer negative influences.
Sanitasi, infeksi, dan status gizi anak balita di Kecamatan Tenggarong Kabupaten Kutai Kartanegara Abeng, Andi Tenri; Ismail, Djauhar; Huriyati, Emy
Jurnal Gizi Klinik Indonesia Vol 10, No 3 (2014): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, Fakultas Kedokteran UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (178.992 KB) | DOI: 10.22146/ijcn.18867

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Background: Malnutrition is a public health problem commonly encountered in developing countries. Almost 50% of 10-11 millions of mortality among children under-fives caused by malnutrition that is preventable. District of Kutai Kartanegara is known as the most wealth of district in Indonesia, yet the wealth cannot automatically solve the problem of its people. Numerous efforts have been made to solve malnutrition problem yet the morbidity rate is still relatively high.Objective: The study aimed to identify an association between sanitation with infection and nutritional status of under five at Subdistrict of Tenggarong, District of Kutai Kartanegara.Method: The study was observational with cross sectional design. Samples consisted of 187 under fives of 7-60 months taken using proportional random sampling technique. Variable of sanitation was obtained from the interview with subjects using questionnaire and direct observation. Variable of infection was obtained from an interview with subjects and cross check at health centers. The dependent variable of nutritional status was based on anthropometric assessment using weight/height index. The bivariate analysis used Chi-Square and multivariate analysis used logistic regression.Results: The result of the statistical test showed there was a significant association between sanitation and infection (acute respiratory tract infection/ARI, diarrhea) of under fives (p<0.05). There was an association between ARI and diarrhea with wasted children (p<0.05).Conclusion: There was the significant association between sanitation, infection and nutritional status of under five at Subdistrict of Tenggarong District of Kutai Kartanegara.
Pendidikan Kesehatan Reproduksi Formal dan Hubungan Seksual Pranikah Remaja Indonesia Pinandari, Aggriyani Wahyu; Wilopo, Siswanto Agus; Ismail, Djauhar
Jurnal Kesehatan Masyarakat Nasional Vol. 10 No. 1 Agustus 2015
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (990.162 KB) | DOI: 10.21109/kesmas.v10i1.817

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AbstrakTransisi demografi kedua akan terjadi di Indonesia dan ditandai denganrevolusi seksual dan reproduksi. Masalah potensial di masa ini adalah peningkatan perilaku seksual pranikah, kehamilan yang tidak diinginkan,infeksi menular seksual dan penyalahgunaan obat. Penelitian ini bertujuan untuk menguji pengaruh pendidikan kesehatan reproduksi formal terhadap penundaan hubungan seksual pranikah pada remaja dan dewasa muda Indonesia. Penelitian potong lintang yang dianalisis sebagai kohort retrospektif menggunakan data Survei Kesehatan Reproduksi Remaja Indonesia tahun 2012 (10.980 laki-laki dan 8.902 perempuan). Efek pendidikan kesehatan reproduksi formal terhadap penundaan perilaku hubungan seksual dianalisis menggunakan kurva kaplan meier, uji log-rank, dan uji chi square, sedangkan analisis multivariabel menggunakan regresi logistik. Semua tes menggunakan tingkat kepercayaan 95% dan nilai p = 0,05. Hasil analisis keberlangsungan berpantang melakukan hubungan seksual pranikah menunjukkan bahwa remaja yang tidak menerima atau hanya menerima salah satu dari materi pendidikan kesehatan reproduksi memiliki hazard ratio yang lebih besar (berturut-turut 1,55 ( CI= 1,32 – 1,82); 0,99 (CI=0,86 – 1,15) dan 2,26 (CI=1,43 – 3,56). Menerima informasi secara lengkap memberikan waktu berpantang yang lebih lama. Penyalahgunaan obat, merokok, minum alkohol, laki-laki, berusia 20 - 24 tahun dan miskin berpeluang lebih besar untuk melakukan hubungan seksual pranikah. Penerimaan informasi kesehatan reproduksi pada jenjang pendidikan formal dapat menunda terjadinya hubungan seksual pranikah.Formal Reproductive Health Education and Premarital Sexual Intercourseamong Indonesian TeenagersAbstractThe second demographic transition will occur in Indonesia and be markedby sexual and reproductive revolution. Potential problems in this era are the increase of premarital sexual behavior, unwanted pregnancy, sexual transmitted infection and drug abuse. This study aimed to examine the influence of formal reproductive health education to delay premarital sexual intercourse among Indonesian teenagers and young adults. Cross sectional study analyzed as retrospective cohort used data of Indonesian Teenage Reproductive Health Survey in 2012 (10,980 men and 8,902 women). Effects of formal reproductive health education to delay sexual intercourse behavior was analyzed using kaplan meier curve, log-rank test, and chi square test, meanwhile multivariat analysis used logistic regression. All tests used confidence interval 95% and p value = 0.05. Results of survival analysis of abstinence committing sexual intercourse showed that teenagers who didn’t receive or only receive one of reproductive health education materials had bigger hazard ratio (respectively 1.55 (CI=1.32 – 1.82); 0.99 (CI=0.86 – 1.15) and 2.26 (CI=1.43 – 3.56)). Receiving complete information gave longer abstinence time. Drug abuse, smoking, alcohol, men, aged between 20 – 24 years old and poor were more likely to commit premarital sexual intercourse. Receipt of reproductive health information at formal education level may delay the occurrence of premarital sexual intercourse.
HUBUNGAN STATUS ASI EKSKLUSIF DAN PEMBERIAN KOLOSTRUM DENGAN KEJADIAN AUTISME PADA ANAK DI BAWAH 10 TAHUN Khaerina, Umi; Herini, Siti; Ismail, Djauhar
JURNAL KESEHATAN REPRODUKSI Vol 6, No 3 (2019)
Publisher : IPAKESPRO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.42832

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Background: The cause of autism until now is still not exactly known. One of the efforts in preventing the occurrence of autism is intervention early with giving colostrum and exclusive breastfeeding. The number of autism in Indonesia according to data released by the Central Bureau of Statistics in 2010 was estimated at 2.4 million people. Based on data from autism special school Bina Anggita Yogyakarta, recorded increase in the number of students from the beginning of the school in 2001 were 15 students, in 2009 the number increased to 32 students and in 2013 were 45 students.Objective: To determine the relationship between the status of exclusive breastfeeding and giving colostrum to the incidence of autism in children under 10 years.Methods: This research is a quantitative study with a matched case control study design. Subjects were children aged under 10 years who consisted of children with autism were 19 cases and 19 controls for normal children in Yogyakarta. The independent variable in this study in the provision of colostrum and exclusive breastfeeding, and dependent variable was autism. The counfounding variables are gastrointestinal infections, low birth weight and maternal age. Retrieval of data collected using a questionnaire. Univariable data analysis using frequency distribution, bivariate statistics using the McNemar test, multivariable analysis was not performed because the bivariate analysis, all variables are not significantly.Results: Of the five variables that were related to the occurrence of autism, five variables are not statistically significant and two variables that increase the risk of autism gastrointestinal infection (p=0,09 OR 3,5 CI 95%; 0,66-34,53) and low birth weight (p=0,17 OR 4 CI 95%; 0,39-196,9).Conclusions: There was no significant relationship between the giving of colostrum, exclusive breastfeeding and maternal age, but clinical gastrointestinal infection and low birth weight were risk factor  of autism. Keywords: Colostrum, exclusive breastfeeding, autism.
Hubungan kejadian asfiksia neonatorum dengan perkembangan anak usia 6 – 24 bulan di RSUD Luwuk Kabupaten Banggai Sulawesi Tengah Taha, Inaya Dg; Herini, Elizabeth; Ismail, Djauhar
Berita Kedokteran Masyarakat (BKM) Vol 33, No 5 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (529.717 KB) | DOI: 10.22146/bkm.17051

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Latar Belakang: asfiksia neonatorum merupakan keadaan dimana bayi baru lahir tidak segera bernapas secara spontan dan teratur. Salah satu dampak jangka panjang yang mungkin disebabkan oleh asfiksia adalah gangguan perkembangan.Tujuan Penelitian: Untuk mengetahui adanya hubungan antara kejadian asfiksia neonatorum dengan perkembangan anak usia 6-24 bulan di Rumah Sakit Umum Daerah Luwuk Kabupaten Banggai Sulawesi Tengah.Metode: Jenis penelitian analitik observasional dengan pendekatan cross sectional (potong lintang). Variabel bebas asfiksia neonatorum, variabel terikat perkembangan anak. Sampel penelitian adalah anak usia 6-24 bulan di Rumah Sakit Umum Daerah Luwuk Kabupaten Banggai Sulawesi Tengah. Alat yang digunakan untuk mengumpulkan data perkembangan bayi dengan menggunakan lembar DDST II. Analisis data meliputi univariat yang menyajikan data gambaran frekuensi, bivariat menggunakan uji Chi-square, untuk mengetahui kekuatan hubungan antara variabel bebas dan variabel terikat menggunakan Ratio Pravelence (RP) dengan confidence interval (CI) 95%, dan multivariat dengan uji regresi logistik.Hasil: Kejadian asfiksia neonatorum berhubungan dengan perkembangan anak usia 6-24 bulan dengan nilai p sebesar 0,000 (<0,05). Anak yang mengalami asfiksia berisiko 2,11 kali mengalami perkembangan suspect dibandingkan dengan anak yang tidak mengalami asfiksia.Kesimpulan: Ada hubungan kejadian asfiksia neonatorum dengan perkembangan anak usia 6 -24 bulan di Rumah Sakit Umum Daerah Luwuk Kabupaten Banggai Sulawesi Tengah.  
Co-Authors Abdul Wahab Abeng, Andi Tenri Abeng, Andi Tenri Aggriyani Wahyu Pinandari, Aggriyani Wahyu Albayani, Melati Inayati Alnur, Rony Darmawansyah Antari, Anak Agung Ayu Windi Arief Priambodo, Arief Aries Suparmiati, Aries Asri Yuniastuti, Asri Damayanti, Dina Sulviana Dewi Rokhanawati, Dewi Djaswadi Dasuki Dwi Andayani, Dwi Dwi Ernawati E. S. Herini, E. S. Ekawaty Lutfia Haksari, Ekawaty Lutfia Elsa Maimon, Elsa Emy Huriyati, Emy Endy Paryanto, Endy Eva Yuniritha, Eva Faisal Husien, Faisal Ferry Andian Sumirat, Ferry Andian Fx. Wikan Indrarto, Fx. Wikan Guswahyuni, Sri Maya Hagung, Pudjo Herini, Elizabeth Herini, Elizabeth Siti Herini, Siti Hikmah Hikmah I Gusti Ayu Trisna Windiani, I Gusti Ayu Trisna Irwansyah Irwansyah Juwartini, Dwi Kalis Joko Purwanto, Kalis Joko Khaerina, Umi Kora, Firmina Th Kusumaningrum, Ratna Dewi Linda Suwarni Madarina Julia Mariati, Titik Mei Neni Sitaresmi MG Adiyanti Mohammad Hakimi Mohammad Juffrie, Mohammad Muhammad Hakimi Mujianto, Sri Mukminah, Mukminah Neti Nurani Ova Emilia Pinandari, Anggriyani Wahyu Probosiwi, Hardiana Retna Siwi Padmawati, Retna Siwi Rihul Husnul Juliyatmi Rina Triasih, Rina Rokhanawaty, Dewi Rosmita Nuzuliana, Rosmita S., Noerhayati Siswanto Agus Wilopo Siti Muthoharoh, Siti Siwi P, Retna Soetrisno, Rachmat Suharjanto Suharjanto Sumarni Sumarni Supiati Supiati Sutaryo Sutaryo SUWIJIYO PRAMONO Taha, Inaya Dg Tanjung, Fajar Sri Taufan Bramantoro, Taufan Tonny Sadjimin Toto Sudargo Tunjung Wibowo Udijanto Tedjosasongko, Udijanto Utomo Utomo Wanufika, Isna Warsiti Warsiti Yayi Suryo Prabandari Yulinar Wusanani, Yulinar Yulinawati, Catur Yuwono, Sugeng