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Faktor yang Berhubungan dengan Pemanfaatan Pelayanan Antenatal oleh Ibu Hamil di Wilayah Kerja Puskesmas Tempurejo Kabupaten Jember Tahun 2013 (Correlated Factors of Antenatal Services Utilization by Pregnant Women at Community Health Center of Tempurejo, Mardiyah, Ulul Lailatul; Herawati, Yennike Tri; Witcahyo, Eri
Pustaka Kesehatan Vol 2, No 1 (2014)
Publisher : Pustaka Kesehatan

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Abstract

Antenatal care is a governmental program as part of efforts to reduce maternal mortality. Indicators of success for prenatal care is K4 scope. Tempurejo Health Center has the lowest coverage of K4 in Jember in 2012 with its percentage is 61.38%, less than the target (94%). The purpose of this study was to analyze correlated factors of antenatal services utilization by pregnant women at Community Health Center of Tempurejo which includes knowledge, attitudes, beliefs, availability of health care, service of 10T, affordability, worker’s service, and family support. This study is a cross sectional analytic design. Samples are 87 pregnant women who stay in the working area Tempurejo Health Center with the age of pregnancy of the 2nd and 3rd trimester. Collecting data using questionnaires and analyzed using correlation SomersD with Confidence Interval 95%. The results showed correlation between knowledge, attitudes, service of 10T, affordability, worker’s service and family support officer with antenatal services utilization. However, there was no correlation between beliefs and availability of health care with antenatal services utilization. Keywords: pregnant women, antenatal care, utilization
HUBUNGAN PERILAKU SEHAT SANTRI DENGAN KEJADIAN SCABIES DI PONDOK PESANTREN KABUPATEN LAMONGAN Ma’rufi, Isa; Istiaji, Erdi; Witcahyo, Eri
IKESMA Vol 8, No 2 (2012)
Publisher : FKM - UNEJ

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Scabies is a common skin disease among the students ofthe boarding school. Scabies is caused by mite infestation as called as Sarcoptes scabiei that can spread easily from human to human, animal to animal or humans to animal sinstead. The purpose of this studyis to measure the prevalence of scabies in students, and to analyzethe relationship between the incidences of scabies by healthy behaviors in students of boarding school at Lamongan, East Java. The type of research is observational and cross-sectional study. Total populationis 59.650 students with a sample ofthe studywere 338 students. The sampling technique on this research was multistage random sampling method. The results showed that 217 students (64.2%) suffered from scabies, and 121 students (35.8%) did not suffer from scabiesor healthy. Based on the statistical test by Chi-square, there is a relationship between the incidence ofscabies by healthy behaviors (p<0.05). It is suggested need for counseling and training on a regular basis about healthy behavior and clean forthe students. Need for cooperation with other agencies, such as Communities Health Center (Puskesmas) in order to prevent and control the incidence of scabiesin students of boarding school.
GAMBARAN PELAKSANAAN KEGIATAN KIA DI KABUPATEN SERANG Witcahyo, Eri; Ma’rufi, Isa
IKESMA Vol 9, No 1 (2013)
Publisher : FKM - UNEJ

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Abstract

Serang is ones of district of Banten Province which has problem at maternal, neonatal, child health. Maternal and child mortality rate shows increase trend each years. The purpose of this study was to describe Maternal & Child Health activities implementation at communities. Type of research is descriptive by interview technique. Informants on the study are midwife coordinator and manager line at each Community Health Center (Sub District Pamarayan, Kramat Watu and Tirtayasa). The results showed that according to the informant are partnership between midwives and TBA has to improve, reward system is also give to community to increase their participate at all of Maternal & Child Health activities which held by government. Social activities at community are also the meaning part to improve Maternal & Child Health activities. According to the result, it is suggested to create innovative program for communities. It needs to use effective methods and media so that communities impress to join the activity. Participatory approach is also important to improve community participative.
PERSEPSI MASYARAKAT DALAM PENGELOLAAN SAMPAH BERBASIS PARTISIPASI MASYARAKAT DI KOTA SURABAYA Witcahyo, Eri
IKESMA Vol 7, No 2 (2011)
Publisher : FKM - UNEJ

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Abstract

By increasing human population, the problem of waste is become a serious problem in urban communities. Surabaya is the second largest city produce waste as much as 8,700 m3/day. Alternative solutions in dealing with municipal waste are waste management based on community’s participation. The purpose of this study was to determine the public perception in community-based waste management. Type of research is an observational by comparing between assisted and unassisted areas. Sample on research is 1000 people. Analyze technique used are descriptive and analytical. The results showed that respondents in assisted areas who have perception suggest in a way to handling municipal waste is sorting and processing at point of source (household/ neighborhood) are 72.6% (range 52.9 – 89.0%). The amount is higher than in the control/ unassisted areas, which only 43.9% respondents (34.8 – 76.2%) who have the same perception. Chi-square test result demonstrated the value of P = 0,000 which is smaller than α = 0.05. According to the result, it is suggested to assisting enhancement at communities by intensive and integrated surveillance monitoring supported. Establishment of natural leader from the communities is the effective’s way to optimizing the participation communities program.   Keywords : perception, waste management, community’s participation
Hubungan Antara Profil Budaya Organisasi (Menggunakan Pendekatan Competing Values Framework) dengan Kinerja Organisasi Puskesmas di Kabupaten Jember Tahun 2012 (The Relationship between Organizational Culture Profile (using Competing Values Framework Appr Wijayani, Tabita Rionica Ayu; Utami, Sri; Witcahyo, Eri
Pustaka Kesehatan Vol 2, No 2 (2014)
Publisher : Pustaka Kesehatan

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Abstract

Community Health Center (CHC) is a technical execution unit of District Health Office which isvery important in society. Organizational performance of CHC in Jember Regency 2012 wasvery low. One of the factors that affects the organizational performance is organizationalculture. The study aims to analyze the relationship between organizational culture profile(using Competing Values Framework approach) with organizational performance of CHC inJember Regency 2012. The study is an analytical research with cross sectional approach.The determination of sample using proportionate stratified random sampling technique, withthe amount of sample is 33 CHC (723 respondents). Analysis of data in this study useLambda correlation statistic test (α=0,05). The result of the study showed that the dominantorganizational culture type of CHC located in hierarchy culture 78,79%, clan 12,12%, market9,09%, and adhocracy 0%. The result of Lambda correlation statistic test showed that thereis a relationship between organizational culture with organizational performance of CHC inJember regency (0,045 < α) and the rate of lowering error is 62,50%.Keywords: organizational culture, organizational performance, Community Health Center,Competing Values Framework.
Hubungan Kepemimpinan dan Motivasi Kerja Pegawai dengan Kinerja Puskesmas di Kabupaten Jember (The Correlation between Leadership and Employee’s Work Motivation with Working Performance of Public Health Center in Jember) Chairunnisah, Reni; Nuryadi, Nuryadi; Witcahyo, Eri
Pustaka Kesehatan Vol 2, No 3 (2014)
Publisher : Pustaka Kesehatan

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Abstract

The working performance of Public Health Center (PHC) is very essential in health development efforts. The working performances of PHC in 2012 is recorded from 89,7 to 144,20 and in 2013 is from 110,02 to 156,14. These values are far below the standard of 199. This shows that there is a problem of low working performance of PHC in Jember. This study aims to analyze the correlation between leadership and employee motivation to the working performance of PHC in Jember. The study is an analytical research with quantitative design. The number of sample was 316 respondent. The data were analyzed by using the Spearman rank correlation test. The result of the study showed that the leadership is in the category of good and very good leadership (89,9%), employees work motivation is in the medium category (63%) and it also showed that the performance of PHC in Jember is in the medium category. The analysis results indicate that there is a correlation between leadership and the working performance of PHC (0,049
Peran Dukun dalam Implementasi Kemitraan Bidan dan Dukun di Wilayah Kerja Puskesmas Bangsalsari Kabupaten Jember (The Role of Traditional Birth Attendance in the Implementation of Partnership between Midwife and Traditional Birth Attendance at Bangsalsari Sofyan, Devy Aristin S.; Khoiri, Abu; Witcahyo, Eri
Pustaka Kesehatan Vol 3, No 2 (2015)
Publisher : Pustaka Kesehatan

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Abstract

One of factors that affected maternal death are skill and ability of delivery. According tothe data of Health Department of Jember District , the numbers of childbirth helped bytraditional birth attendance at the subdistrict area of Bangsalsari Community HealthCenter were 165 in 2012 and 102 childbirth in 2013. The goal of study was to describethe role of traditional birth attendance in the implementation of Midwife and TraditionalBirth Attendance Partnership in pregnancy and delivery period in BangsalsariCommunity Health Center, Jember District. The study was a qualitative study with haveinvolving 11 informants by Purposive technique. The result showed that traditional birthattendance have did some of their roles in pregnancy and delivery period. Pregnantmother have motivate traditional birth attendance to do check pregnancy and deliveryprocess to midwife but some of them did not have go to midwife to check pregnancy andpreferred to choose traditional birth attendance as their delivery. Unfortunately traditionalbirth attendances still help delivery process because there were some of people ask andforce them to assist delivery process.Keyword: Traditional birth attendance role, Partnership, Pregnancy, Delivery.
Kesiapan dan Persepsi Masyarakat Kabupaten Bondowoso terhadap Kebijakan Jaminan Kesehatan Nasional (JKN) (Preparedness and Perception of Bondowoso Community for National Health Insurance) Witcahyo, Eri
Pustaka Kesehatan Vol 4, No 1 (2016)
Publisher : Pustaka Kesehatan

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Abstract

Bondowoso is districts in East Java with the third lowest HDI, which amounted to 65.39 with a lifeexpectancy of 63.95 years. It shows that access to health is still limited. According to theseconditions, it needs for a review the implementation of the National Health Insurance policy. Theobjective of this study was to analyze the preparedness and perception of Bondowosocommunity for the National Health Insurance (NHI) policy. This type of research is observationaldescriptive with quantitative approach. The sample was 192 respondents with multistage randomsampling technique. Data was obtained through interviews using a questionnaire, and thenanalyzed using univariate and presented descriptively. Research shows that respondents aged40-49 years (39.1%), male sex (68.8%) with a high school education level / equivalent (55.2%).Resources owned television (97.4%). However, respondents get information NHI fromneighbors / friends (54.1%), respondents felt the need to have health insurance for families(65.6%). There were 58.3% of respondents who were not participants NHI the groundscomplexity procedures (46.4%). Income and expenditure of respondents in the range of1,000,000 to 2,000,000 rupiah. NHI amounts of fees that could be accepted by the response was5,000 rupiah (31.8%).Keywords: preparedness, perception, national health insurance
RISK MANAGEMENT OF DUE TO EXPOSURE TO PESTICIDE POISONING FOR TOBACCO FARMERS IN THE JEMBER DISTRICT Witcahyo, Eri; Ma’rufi, Isa
UNEJ e-Proceeding 2016: Proceeding of 1st International Conference on Medicine and Health Sciences (ICMHS)
Publisher : UNEJ e-Proceeding

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Abstract

The main problem is the use of pesticides at thistime when farmers use pesticides and not on thebasis of necessity be indicative, but carried out"blanket cover system", it means there is not a plantpest or noxious poison that is constantly sprayed toplant. Besides spraying technique is sometimesdownwind, causing farmers unknowingly inhalepesticides. Excessive pesticide use behavior as itactually causes new problems that their pesticideresidues in agricultural products, and ultimatelyharm the farmers and the wider community both hissafety and health (MOH, 2006).The issue of pesticide use also occurs in tobaccofarmers in Jember district, most of the farmers donot pay attention to the rules of the use of pesticidesand the use of PPE is not standardized so it is veryrisky to poisoning by pesticides. Jember is one of themajor tobacco-producing areas in Indonesia. Typesof tobacco grown in this region are the na-OogstBesuki tobacco. Besides to its rich aroma, this type oftobacco were famous because of its elastic so it isfitting to be a cigar wrapper. Thats what makes thistobacco known in international marketPesticides are chemical substances that are used formaterial used to control, reject, lure, or eradicatepests. Pesticides have a major role in increasingagricultural production. Based on the experience inLatin America with the use of pesticides can increaseproduction up to 40% on cocoa. In Pakistan,pesticides help increase sugarcane production by33%, and based on the record FAO pesticide use cansave 50% on the results of the cotton plant (Sudomo,1992; Mahyuni, 2015)In agriculture, use of pesticides has been perceivedbenefits to increase production. The presence ofpesticides benefits and advantages such as rapidreduce the population of pests of plants with alonger period of control, easy and practical to use it,easily manufactured on a large scale and easilytransported and stored. It was economical beneficialin use of pesticides. However, that does not meanthe use of pesticides does not cause adverse effects.Pesticides enter the body through the skin,absorption through the skin continue for pesticidesstill in the skin, through the mouth (ingestion) due toaccident, negligence or intentional (suicide) wouldresult in severe poisoning and death, throughbreathing can be a powder, droplets or steam cancause serious damage to the nose, through thethroat if inhaled quite a lot. Then through bloodcirculation can finally get into the organssystematically. Organs are usually exposed to toxinsare the lungs, liver (hepatic), central nervous system(brain and spinal cord), bone marrow, kidneys, skin,nervous edge, and blood. The toxic effects on thebody also will give local effects such as irritation,allergic reactions, dermatitis, ulcers, acne and othersymptoms (Ekti, 2007).Manifestations class organophosphate pesticidepoisoning occurs in various organs in the body. Mildsymptoms that often arises is dizziness, blurredvision, hyper saliva, nausea, vomiting, diarrhea, andeven can cause severe bronchospasm andrespiratory muscle paralysis with manifestations ofshortness of breath, as well as abnormalities in theheart, namely the occurrence of cardiac arrhythmias.On acute exposure, class of organophosphatepesticides can cause respiratory problems.Disruption of the respiratory center will cause asymptom that leads to the progressive bradipneubreathing. Health problems occur due to the doseand frequency that do not fit. As an example, a doseof 1 ml of pesticides with high value activeingredients used for 1 ha of crops, farmers usepesticides in their application for theorganophosphate class of ½ ha with a reason topests or plant pests (OPT) that attack die soon. Thefrequency of spraying more than 3 times a month isnot good for health and the standard pesticidespraying (Arifiyanto, 2008).Risk analysis is a process consisting of the steps thathave been formulated, having the sequence (steps)and assist in making better decisions by looking atthe risks and impacts that may occur. Riskmanagement is a systematic method that consists ofProceeding ICMHS 2016 ISBN 978-602-60569-3-1205establishing the context, identifying, researching,evaluating, treatment, monitoring andcommunicating risks associated with any activity,process or function so as to minimize losses of thecompany (AS / NZS 4360; 2004).The process of risk analysis as contained in the RiskManagement Standard AS / NZS 4360, which include(1) Communication and consultation, risk analysisneeds to be communicated to all parties.Communication used may be circular, practicalguidance, communication forums, handbooks orguidelines; (2) define the context (purpose), thisprocess takes place within the framework of theorganizations strategic, organizational and riskmanagement context; (3) Risk identification, thisstep seeks to identify risks to be managed, should beusing a good system. Risk identification shouldinclude either exists or does not exist in theorganization; (4) Risk analysis, aiming to separatesmall and large risks and provide the data evaluationand improvement; (5) Risk evaluation, is to evaluatethe risks if those risks are acceptable or not, (6) Riskmanagement is the realization of a risk managementefforts workplace.The objective of this study was to analyze the risk ofpesticide poisoning in the tobacco farmers inJember.
COMPLIANCE ANALYSIS OF MEDICAL RECORD FILLING AT KALISAT HOSPITAL JEMBER Tandy, Dinnya Yesica; Witcahyo, Eri; Utami, Sri
Preventif: Jurnal Kesehatan Masyarakat Vol 9, No 1 (2018): Juni (2018)
Publisher : akultas Kesehatan Masyarakat, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/j25283375.2018.v9.i1.10379

Abstract

Background & Objective : Hospital quality services is not only from medical services but also the support services, one of them is the completeness of medical records. The medical record filling issues are incompleteness and non-spesific diagnostic writing from the doctor. In 2016, the completeness of medical records in Kalisat Hospital reaches 61,43%. Less motivation and performance may be the cause of doctors and nurses compliance in medical records filling. This study aims to analyze determinants that relate to the compliance of medical records filling in Kalisat Hospital. Material and Method: This study uses descriptive research with a sample size of 47 people. The data is also presented in Scatter diagram to find the correlation of two variables. Result: The result showed that the majority of respondents had good knowledge of medical records, more respondents worked for 5 – 10 years, and majority worked in early adult age 25 - ≥ 40 years old. The majority of respondents had a good attitude and motivation. The majority of respondents had a good response about the filling medical records leadership, a good rewards, but a less response about work design in Kalisat Hospital. The scatter diagram showed that there were a positive correlation between knowledge, attitude, motivation, leadership, and rewards variables for the compliance of medical record files. Conclusion: Based on the study, it can be concluded that there is a positive correlation between knowledge, attitude, motivation, leadership, and reward with compliance of medical records file in Kalisat Hospital Jember