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PERSEPSI REMAJA TERHADAP FAKTOR PENGHAMBAT PEMANFAATAN PELAYANAN KESEHATAN REPRODUKSI DI PUSKESMAS GAMBOK KABUPATEN SIJUNJUNG Dwi Yani, Vella; Emilia, Ova; Kusnanto, Hari
JURNAL KESEHATAN REPRODUKSI Vol 1, No 1 (2014)
Publisher : IPAKESPRO

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (535.252 KB) | DOI: 10.22146/jkr.4913

Abstract

PERSEPSI REMAJA TERHADAP FAKTOR PENGHAMBATPEMANFAATAN PELAYANAN KESEHATAN REPRODUKSIDI PUSKESMAS GAMBOK KABUPATEN SIJUNJUNGVella Dwi Yani, Ova Emilia, Hari KusnantoABSTRACTBackground: Reproductive health service is an important component that has to be improved globally becauseteenagers often lack basic information about reproductive health. Despite the need for reproductive health serviceonly a few teenagers utilize the service due to several constraints in having reproductive and sexual health serviceas a result of limited access to the service and negative perception about center of reproductive health service.Data of Sijunjung District Health Office Sumatera Barat show that only 20% of teenagers utilize reproductivehealth service available. Whereas cases in teenagers indicate that 9.2% of teenagers have had premarital sexualintercourse and 40% are married at teenage period (<20 years) and 10% is caused by unwanted pregnancy.Objective: To study the perception of teenagers about physical, process, economic and psychosocial factors asobstacles in the utilization of reproductive health service.Method: The study was observational with cross sectional design and descriptive quantitative approach thatused qualitative data obtained from indepth interview. Subject of the study were students of SMU 1 and 2 of 14-16 years old around the working area of Health Centers that have health service for teenagers with as many as131 respondents.Result and Discussion: Perception of teenagers about physical, process and economic factors showed that themajority had good perception so these factors were not obstacles for teenagers in utilizing reproductive healthservice. The majority of teenagers (68%) had bad perception about psychosocial factor so this was an obstacle inthe utilization of reproductive health service.Conclusion: Obstacles in the utilization of reproductive health service at the health center were caused bypsychosocial factor because of shame and unwillingness to tell the problem to staff that was considered asstrangers. Teenagers also doubted the confidentiality of the problem they told to the staff.Keywords: perception, teenagers, reproductive health, utilizationABSTRAKLatar belakang: Pelayanan kesehatan reproduksi merupakan komponen penting yang harus diperbaiki secaraglobal. Remaja sering kali kekurangan informasi dasar tentang kesehatan reproduksi. Meskipun kebutuhanpelayanan kesehatan reproduksi tinggi namun pemanfaatannya masih rendah karena berbagai hambatanmemperoleh pelayanan dan juga adanya persepsi negatif terhadap pusat pelayanan kesehatan reproduksi. Datadari dinas Kesehatan kabupaten Sijunjung Sumatera Barat menunjukkan hanya 20% remaja yang memanfaatkanpelayanan kesehatan reproduksi. Sedangkan kasus dan masalah kesehatan reproduksi menunjukkan 9,2% sudahberhubungan seks sebelum menikah, dan 40% menikah pada usia remaja (<20 tahun) serta 10% mengakibatkankehamilan tak dikehendaki.Tujuan: Untuk mempelajari persepsi remaja terhadap faktor fisik, proses, ekonomi dan psikososial untukmemanfaatkan pelayanan kesehatan reproduksi remaja.melalui wawancara mendalam.Subyek penelitian adalah siswa SMA kelas 1 dan 2 usia 14-16 tahun di wilayahkerja puskesmas sebanyak 131 responden.Hasil dan Pembahasan: Mayoritas remaja memiliki persepsi baik terhadap faktor fisik, proses, dan ekonomi. Tigafaktor bukanmerupakan penghambatmemperoleh layanan kesehatan reproduksi. Sementara itu faktor psikososialdianggap sebagai penghambat (68%) untuk memanfaatkan pelayanan kesehatan reproduksi.Kesimpulan: Hambatan pemanfaatan layanan kesehatan reproduksi adalah faktor psikososial karena malu dantidak percaya untuk menceritakan masalah pada petugas kesehatan yang tidak dikenal. Remaja juga meragukankerahasiaan masalah yang diungkapkan.Kata kunci: persepsi, remaja, kesehatan reproduksi, pemanfaatan
STUDI GAMBARAN PELAKSANAAN PRAKTEK KERJA PROFESI APOTEKER DI APOTEK DI DAERAH ISTIMEWA YOGYAKARTA Ardiningtyas, Bondan; Marchaban, Marchaban; Kusnanto, Hari; Fudholi, Achmad
Jurnal Ilmiah Farmasi Vol 13, No 1 (2017): Jurnal Ilmiah Farmasi
Publisher : Universitas Islam Indonesia

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 Abstract Pharmacy internship in pharmacies is an important stage to prepare prospective pharmacists as health workers. Knowing the process of pharmacy internship implementation is very important in improving the learning system, recognizing obstacles and providing recommendations for solutions to improve the quality of pharmacy education. This aims to know the description of the process and the obstacle of pharmacy internship in pharmacies. The implementation and constraints of the preceptors during pharmacy internship in pharmacies were collected throughFocus Group Discussion (FGD) involving 18 preceptors in Yogyakarta. The data collected were transcribed and categorised, then analysed qualitatively. The Duration, effective hours, process flow, assessment methods still vary, some weresubjective and undocumented; most do not have written procedures and procedures; and evaluation has not been done consistently also has not been acted upon. Constraints include: timing difficulties; compensation; lack of facilities support; limitations on the number and skills of pharmacists and pharmacy employees; as well as the lack of enthusiastic students. The implementation of pharmacy internship in pharmacies needs to be improved to upgrade the competencies of pharmacist graduates. Keywords: preseptors, focus group discussion, pharmacy internship, pharmacies Intisari Praktek Kerja Profesi Apoteker (PKPA) di Apotek merupakan tahap penting untuk mempersiapkan calon apoteker sebagai tenaga kesehatan. Mengetahui proses pelaksanaan PKPA sangat penting dalam memperbaiki sistem pembelajaran, mengenali kendala dan memberikan rekomendasi solusi untuk meningkatkan kualitas pendidikan farmasi. Tujuan penelitian ini adalah untuk mengetahui gambaran pelaksanaan dan kendala preseptor dalam pelaksanaan PKPA di Apotek. Focus Group Discussion (FGD) melibatkan 18 orang preceptor PKPA apotek di Daerah Istimewa Yogyakarta, dilanjutkan dengan analisa kualitatif.  Durasi, jam efektif, alur proses, metode penilaian masih bervariasi; bersifat subyektif dan belum terdokumentasi; sebagian besar belum memiliki tata tertib dan prosedur tertulis; evaluasi belum dilakukan secara konsisten dan belum ditindaklanjuti. Kendala meliputi: kesulitan pengaturan waktu; kompensasi; kurangnya dukungan fasilitas; keterbatasan jumlah dan keterampilan apoteker dan karyawan apotek; serta kurangnya antusias mahasiswa. Pelaksanaan Praktek Kerja Profesi Apoteker di Apotek perlu segera diperbaiki dan ditingkatkan untuk menghasilkan lulusan apoteker yang kompeten. Kata kunci: preseptor, focus group discussion, Praktek Kerja Profesi Apoteker, apotek 
THE ANALYSIS OF PERFORMACE MODEL TIERED ARTIFICIAL NEURAL NETWORK FOR ASSESSMENT OF CORONARY HEART DISEASE Wiharto, Wiharto; Herianto, Harianto; Kusnanto, Hari
International Journal of Electrical and Computer Engineering (IJECE) Vol 7, No 4: August 2017
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (471.623 KB) | DOI: 10.11591/ijece.v7i4.pp2183-2191

Abstract

The assessment model of coronary heart disease is so much developed in line with the development of information technology, particularly the field of artificial intelligence. Unfortunately, the assessment models developed mostly do not use such an approach made by the clinician, the tiered approach. This study aims to analyze the performance of a tiered model assessment. The method used for each level is, preprocessing, building architecture artificial neural network (ANN), conduct training using the Levenberg-Marquardt algorithm and one step secant, as well as testing the system. The study is divided into the terms of the stages in the examination procedure. The test results showed the influence of each level, both when the output level of the previous positive or negative, were tested back at the next level. The performance evaluation may indicate that the top level provides performance improvement and or reinforce the previous level. 
Functional Posts In Health Informatics ( A Case Study In Yogyakarta Special Region Province) Kusnanto, Hari
Jurnal Manajemen Pelayanan Kesehatan Vol 5, No 04 (2002)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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Abstract

TERSEDIA DALAM FILE
MANAJEMEN PELAYANAN KESEHATAN DALAM KOMPLEKSITAS DAN CHAOS Kusnanto, Hari
Jurnal Manajemen Pelayanan Kesehatan Vol 1, No 02 (1998)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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KEBIJAKAN KESEHATAN MASYARAKAT BERBASIS BUKTI Kusnanto, Hari
Jurnal Manajemen Pelayanan Kesehatan Vol 11, No 01 (2008)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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Evidence-based public health policy is not a linear extrapolationof evidence-based medicine to the public health arena. Relevanttypologies,  rather  than  hierarchies,  of  evidence,  should  beapplied  to  support  public  health  policy.  There  are  multipledimensions of evidence used for health policy formulation in aspecific  political,  social  and  cultural  context. Typologies  ofevidence  for  public  health  policy  are  broader  than  clinicalpractices.  Methods  for  evidence  production,  appraisal  andsystematic  reviews  for  public  health  policy  need  to  bedeveloped  and  applied  to  solve  major  public  health  issues,such as tobacco use and exposure to environmental tobaccosmoke.Keywords: evidence, public health, policy
DAMPAK KRISIS EKONOMI TERHADAP UTILISASI RAWAT INAP DI RS PANTI RINI YOGYAKARTA Kusnanto, Hari
Jurnal Manajemen Pelayanan Kesehatan Vol 2, No 01 (1999)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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KEBIASAAN MAKAN PAGI, LAMA TIDUR DAN KELELAHAN KERJA (FATIGUE) PADA DOSEN Yogisutanti, Gurdani; Kusnanto, Hari; Setyawati, Lientje; Otsuka, Yasumasa
Jurnal Kesehatan Masyarakat Vol 9, No 1 (2013)
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

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Latar belakang. Fatigue merupakan fenomena normal bagi setiap orang sehat, yang dapat dikurangidengan istirahat maupun tidur. Kurang tidur (sleepiness) telah menjadi fokus masalah dalam isukesehatan kerja. Namun, penelitian kelelahan kerja pada dosen masih sangat terbatas dan belummenjadi perhatian. Tujuan penelitian untuk mengetahui hubungan kebiasaan makan pagi, lamawaktu tidur dengan kelelahan kerja. Metode. Desain cross sectional digunakan dalam penelitian dansebanyak 77 partisipan berasal dari 2 sekolah tinggi ilmu kesehatan swasta di Jawa Barat. Makanpagi dan lama waktu tidur per hari (variabel bebas) diukur menggunakan kuesioner. Kelelahankerja (variabel terikat) diukur menggunakan reaction timer yang dilakukan selama 3 hari dalam 1minggu. Kelelahan kerja merupakan rerata waktu reaksi dari hasil pengukuran. Hasil. Rerata waktutidur 6,12±0,670 jam, sebanyak 52(67,5%) dosen mempunyai kebiasaan makan pagi. Rerata waktureaksi 233,83±46,64 milidetik. Hasil uji statistik menggunakan uji korelasi didapatkan tingkatkelelahan berkorelasi negatif dengan kebiasaan makan pagi (p=0,000; r=-0,472) dan waktu tidur(p=0.000; r=-0,459). Kesimpulan. Kelelahan kerja dosen disebabkan kurang tidur dan intake kaloriyang dibutuhkan untuk beraktivitas. Untuk mengatasi kelelahan kerja perlu peningkatan kesadarandan pengetahuan dosen tentang keselamatan dan kesehatan kerja terutama kebiasaan makan danwaktu istirahat yang baik dan sehat agar menjadi budaya kerja. Background. In a healthy person fatigue is a normal phenomenon, experienced by everyone andusually easily relieved by rest or sleep. Increased sleepiness at work is now increasingly being focusedon a safety health issue. However, research on university teacher’s fatigue is very limited and has notbeen fully addressed. Objective. Th e Objective of this study was to clarify the relationship betweensleeping duration, breakfast habits and fatigue in university teacher. Method. Cross-sectional surveywas used and 77 participants were given a questionnaire about sleeping duration, breakfast habits andfatigue symptoms. Fatigue level was measured with reaction timer in the morning when they arrivedat the workplace and before they left the workplace. Correlation analyses were used to identify therelationship between independents and dependent variables. Result. Average hour of sleep was 6.12hours per night (SD=0.67) and 67.5% participants were not having breakfast. Level of fatigue in themorning was mostly in light fatigue level (259.68±49.16 mms), which was signifi cantly correlated withsleep duration (r=0.459; p=0.000), which was signifi cantly correlated with breakfast habits (r=-0.472;p=0.000). Conclusion. Fatigue level was associated with sleep deprivation and low intake calories frombreakfast. University teachers may suff er from fatigue at their beginning of work because of the lack ofsleep duration, while in the evening, fatigue became higher because of the lack energy from breakfast.To manage the fatigue level for university teachers should be considered to improve university teacher’sknowledge about sleep and breakfast and have enough time to sleep and breakfast before working.
ANALISIS TEMPORAL EFEK CUACA TERHADAP LEPTOSPIROSIS DI KABUPATEN BANTUL, YOGYAKARTA TAHUN 2010-2018 Syakbanah, Nur Lathifah; Fuad, Anis; Kusnanto, Hari
Berita Kedokteran Masyarakat (BKM) Vol 35, No 4 (2019): Proceedings the 5th UGM Public Health Symposium
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.45186

Abstract

Tujuan: Menganalisis efek suhu udara, kelembapan udara dan curah hujan terhadap kejadian leptospirosis secara temporal di Kabupaten Bantul tahun 2010-2018. Metode: Desain penelitian menggunakan studi ekologi berbasis time-series, antara faktor cuaca (suhu udara, kelembapan udara dan curah hujan) dari stasiun cuaca Badan Meteorologi, Klimatologi, dan Geofisika (BMKG) DIY dan kejadian bulanan leptospirosis di Kabupaten Bantul selama periode 9 tahun, 2010-2018. Pearson?s correlation dan time-lag correlation dilakukan dengan STATA 13 guna mengamati asosiasi secara temporal, selanjutnya disajikan dalam grafik time-series dengan Microsoft Excel. Hasil: Karakteristik cuaca di Kabupaten Bantul untuk suhu udara, kelembapan udara, dan curah hujan masing-masing sebesar 27.2°C, 84%, dan 171 mm. Kejadian leptospirosis selama 2010-2018 sejumlah 779 kasus, tertinggi 120 kasus di bulan Mei dan 154 kasus pada tahun 2011. Suhu udara 3 bulan sebelumya (lag 3) berhubungan positif dan lemah terhadap kejadian leptospirosis (r=0.2493). Pola fluktuasi grafik time-series suhu udara tidak diikuti kejadian leptospirosis pada 2 tahun awal dan akhir periode. Kelembapan udara 1 bulan sebelumya (lag 1) berhubungan positif dan lemah terhadap kejadian leptospirosis (r=0.2921). Pola fluktuasi grafik time-series kelembapan udara tidak diikuti kejadian leptospirosis pada 2 tahun awal periode. Curah hujan 3 bulan sebelumya (lag 3) berhubungan positif dan sedang terhadap kejadian leptospirosis (r=0.5297). Pola fluktuasi grafik time-series curah hujan diikuti kejadian leptospirosis selama periode. Simpulan: Kejadian leptospirosis berhubungan dengan efek time-lag suhu udara, kelembapan udara dan curah hujan yang terjadi beberapa bulan sebelumnya. Diperlukan sistem kewaspadaan dini pemerintah dan masyarakat di daerah endemis menghadapi ancaman leptospirosis selama musim hujan.
SCOPING REVIEW KEJADIAN LUAR BIASA HEPATITTIS A DI INDONESIA TAHUN 1998-2018 Lalu, Rilla Venia; Kusnanto, Hari
Berita Kedokteran Masyarakat (BKM) Vol 35, No 10 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.47173

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Purpose: The purpose of this study was to determine the distribution of cases and risk factors of outbreaks of hepatitis A in Indonesia during 1998-2018.  Methods: Scoping review conducted on electronic data from journal articles as well as published and unpublished reports (grey literature) from 1998-2018. Online databases such as Google Scholar and Pubmed. Grey literature is obtained from the library and from the unpublished report document results obtained from the University of Indonesia (UI) and University of Gadjah Mada (UGM). In the process of select and data extraction aided by 2 reviewers. Result: Outbreaks of hepatitis A were reported to occur in 47 incidents during 1998-2018 with the outbreak area mostly occurring in East Java, West Java and Central Java. Men are more at risk (63.4%) of hepatitis A than women and 15-34 years is the age most at risk of hepatitis A. The hepatitis A outbreak area is the most at school / campus with proportion (41.5%), cottage boarding schools (31.7%) and in residential or community environments (24.4%) The risk factors that most contribute to outbreaks of hepatitis A at school / campus and in the community are the habit of not washing hands with soap before eating and consuming foods that are not hygienic. While in boarding schools is the use of shared eating / drinking tools. Conclusion: School age and young adults are the age groups most at risk for hepatitis A. Unhygienic individual behavior (not washing hands before eating) is a major contributing factor to transmission of hepatitis A.
Co-Authors Abdi, Rifqi Amrillah Achmad Fudholi Achmad, Bayu Fandhi Agung Nugroho agus maryono Agus Suwarni Al Asyary Al Supartinah Santoso, Al Supartinah Ali Ghufron Mukti Andarwatolanrain, Ana Nurjanah Andriani, Rika Anis Fuad Apris, Bai Ardiningtyas, Bondan Ardiningtyas, Bondan Ari Probandari Arifin Santoso Aroni, Hasan Arsyad, Agus Salim Arsyad, Agus Salim Arum Pratiwi Awaliyah, Nuratul Ayu, Rosa Devitha Bagus Riyono Bambang Priyono Bambang Riyanto Carla Raymondalexas Marchira, Carla Raymondalexas Chrisniati, Elina Citra Indriani, Citra Danawati, Cornelia Wahyu Depo, Meliana Devi Octaviana Dewi, Syamsumin Kurnia Diah Ayu Puspandari, Diah Ayu Diah Indriani Dibyo Pramono Dwi Sarwani Sri Rejeki Dwi Sarwani Sri Rejeki Dyah Wulan Sumekar Rengganis Wardani Eggi Arguni, Eggi Elsa Herdiana Murhandarwati Fatma Nuraisyah, Fatma Fitri Haryanti Fitria Agustina Gurdani Yogisutanti Hakimi, Moh Hamim, Sadewa Ahmad Herianto Herianto Herianto, Harianto Heru Pradjatmo Hilman, Oryzati HM, Rusdiana Hutagalung, Jontari I Dewa Putu Pramantara Ida, Darojatun Immanuel, Bansai Indwiani Astuti Istiono, Wahyudi Istiono, Wahyudi Jogiyanto ., Jogiyanto Jogiyanto, Jogiyanto Kau, Akmal Dwiyana Kuntoro Kuntoro Kurniawan, Jati Laksono Trisnantoro Lalu, Rilla Venia Lazuardi, M. Lutfan Lientje Setyawati Lientje Setyawati Maurits Lilik Zuhriyah Linawati, Hananta Lingga Ikaditya, Lingga Lutfan Lazuardi Luthan Lazuardi, Luthan Maftuhah Nurbeti, Maftuhah Marchaban Marchaban, Marchaban Maryen, Yehud Masrizal Dt Mangguang, Masrizal Mizawati, Afrina Mohammad Hakimi Mora Claramita, Mora Mubasysyir Hasanbasri Muchsin Maulana, Muchsin Muhammad Syaukani Muhardison Muhardison Mukhibin, Akhmad mukhibin, akhmad Mularum, Seta Nurhayati Munthe, Alfian R Mutmainah, Annafsul Nasir Ahmad, Nasir Nenny Sri Mulyani Oktaviani, Zakiyah Ova Emilia P. Purwono, P. Pandiangan, Jonri Maringan Prasetyorini, Diah Prihatin, Mega Tyas Radiono, Sunardi Radja, Isak Iskandar Rahayujati, Theodola Baning Retna Siwi Padmawati, Retna Siwi Rina Hudayani Rintis, Novijanti Riris Andono Ahmad Riswaka Sudjaswadi Rizka Humardewayanti Sadarang, Rimawati Aulia Insani Saekhol Bakri, Saekhol Saleh, Yusrizal Djam’an Samuel, Kik Hao Sangadji, Namira Wadjir Sangadji, Namira Wadjir Sasongko, Mohammad Bayu Satibi ., Satibi Satibi Satibi Shafwan, Shafwan Sri Nurlaela Sri Yatmi Mei Kristiani, Sri Yatmi Mei Supargiyono, S. Sutjipto Sutjipto Sutono Sutono Syahirul Alim Syakbanah, Nur Lathifah Tri Baskoro Tunggul Satoto Tri Murti Andayani Tri Wahyudi Trisno Agung Wibowo Triwibowo A. Garjito Tunjung Wibowo Ulfah, Nor Anita Umi Solikhah Utami Utami Vella Dwi Yani Wakano, Fitria Widagdo Sri Nugroho Wiendyasari, RR Anugrah Wiharto Wiharto Winasti, Satyagraha Ari Wulansari, Dyah Ayu Yasumasa Otsuka Yayi Suryo Prabandari Yodi Mahendradhata