Desak Putu Yuli Kurniati, Desak Putu Yuli
Program Studi Ilmu Kesehatan Masyarakat, Fakultas Kedokteran Universitas Udayana

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FAKTOR PENDORONG DAN PENGHAMBAT WANITA PEKERJA SEKS (WPS) DI DENPASAR UNTUK MELAKUKAN PAP SMEAR/IVA SEBAGAI UPAYA PENCEGAHAN KANKER SERVIKS TAHUN 2017 Sanatha, Gusti Ayu Ikha Adyastuty; Septarini, Ni Wayan; Kurniati, Desak Putu Yuli
ARCHIVE OF COMMUNITY HEALTH Vol 5 No 2 (2018): Desember (2018)
Publisher : Program Studi Kesehatan Masyarakat Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (656.769 KB) | DOI: 10.24843/ACH.2018.v05.i02.p01

Abstract

ABSTRAK Kanker serviks menempati urutan kedua di dunia setelah kanker payudara. Pada tahun 2016, kasus baru kanker serviks terbanyak di Bali ditemukan di Kota Denpasar sebanyak 834 kasus dan meninggal sebanyak 12 orang. Wanita Pekerja Seks berisiko untuk menderita kanker serviks karena sering berganti-ganti pasangan seksual dan berhubungan seksual pada usia dini. Tujuan dari penelitian ini adalah untuk mengetahui faktor pendorong dan penghambat Wanita Pekerja Seks (WPS) di Denpasar untuk melakukan Pap Smear/IVA sebagai upaya pencegahan kanker serviks tahun 2017. Penelitian ini merupakan penelitian deskriptif kuantitatif dengan menggunakan metode cross-sectional. Jumlah sampel pada penelitian ini sebanyak 82 wanita pekerja seks langsung dengan menggunakan teknik quota sampling. Pengumpulan data dilakukan dengan menggunakan kuesioner dan data dianalisis secara univariat dan bivariat. Dari hasil penelitian ditemukan bahwa sebagian besar wanita pekerja seks langsung di Kota Denpasar berumur < 35 tahun (74,4%), berpendidikan rendah (92,7%), dan berasal dari luar Bali (98,8%). Faktor pendorong wanita pekerja seks langsung untuk melakukan Pap Smear/IVA adalah faktor biaya Pap Smear terjangkau (64,6%) dan biaya IVA terjangkau (100%), serta akses ke fasilitas kesehatan dekat (68,3%). Faktor penghambat untuk melakukan pemeriksaan Pap Smear/IVA adalah pengetahuan kurang (79,3%), bersikap negatif (81,7%), tidak pernah mendapat sumber informasi (72%), fasilitas dan sarana kesehatan tidak tersedia (76,8%), tidak mendapat dukungan teman (85,4%) dan petugas kesehatan (73,2%). Penyebaran informasi tentang pencegahan kanker serviks yang lebih intensif dengan meningkatkan peran serta tenaga kesehatan diharapkan mampu menurunkan kejadian kanker serviks dan meningkatkan kemauan Wanita Pekerja Seks untuk melakukan pemeriksaan Pap Smear/IVA. Kata Kunci: Faktor Pendorong, Faktor Penghambat, Wanita Pekerja Seks, Pap Smear, IVA   ABSTRACT Cervical cancer is second in the world after breast cancer. In 2016, the most new cases of cervical cancer in Bali were found in Denpasar City with 834 cases and 12 people died. Female Sex Workers who are at risk for cervical cancer due to frequent changing of sex partners and having sex at an early age. The purpose of this study was to know the factors driving and inhibiting female sex workers (WPS) in Denpasar to conduct Pap Smear / IVA as an effort to prevent cervical cancer in 2017. This research is a descriptive study using cross-sectional methods. The number of samples in this study were 82 direct female sex workers using the quota sampling technique. Data collection was performed using a questionnaire and data were analyzed univariately and bivariately. From the results of the study it was found that most direct sex workers in the City of Denpasar were <35 years (74.4%), had low education (92.7%), and came from outside Bali (98.8%). The driving factors for direct female sex workers to have Pap Smear / IVA are the affordable Pap Smear cost (64.6%) and the affordable IVA cost (100%), as well as access to close health facilities (68.3%). The inhibiting factors for Pap Smear / IVA test are lack of knowledge (79.3%), negative thinking (81.7%), never getting information sources (72%), health facilities and facilities not available (76.8%), did not have the support of friends (85.4%) and health workers (73.2%). Dissemination of information about increasing cervical cancer more intensively by increasing the role and improvement of health related to increased cervical cancer and increasing the willingness of Female Sex Workers to do Pap Smear / IVA. Keywords: Encourage Factors, Inhibiting Factors, Female Sex Workers, Pap Smear, IVA
SISTEM MONITORING DETAK JANTUNG DAN LOKASI PASIEN Resika Arthana, I Ketut; Pradnyana, I Made Ardwi; Kurniati, Desak Putu Yuli
Jurnal Pendidikan Teknologi dan Kejuruan Vol 15, No 1 (2018): Edisi Januari 2018
Publisher : Universitas Pendidikan Ganesha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23887/jptk-undiksha.v15i1.13115

Abstract

Penelitian ini bertujuan untuk mengembangkan sistem monitoring detak jantung dan lokasi pasien untuk memantau kesehatan manusia. Salah satu aspek penting dalam kesehatan manusia adalah mendeteksi detak jantung. Penderita penyakit jantung seringkali mengalami gangguan secara tiba-tiba dan perlu penanganan yang cepat. Oleh karena itu diperlukan suatu teknologi untuk bisa mendeteksi detak jantung pasien serta bisa memberikan pemberitahuan ketika terjadi permasalahan pada jantung pasien. Pemberitahuan tersebut berupa ukuran detak jantung pasien yang akan dikirimkan ke keluarga atau dokter keluarga dari pasien sehingga bisa mendapatkan penanganan yang cepat. Selain itu,  lokasi pasien  i perlu diketahui agar bisa segera mendapatkan pertolongan. Pada penelitian ini dikembangan  sistem untuk mendeteksi detak jantung dan pemberian notifikasi berupa lokasi pasien saat ini. Tahapan penelitian ini meliputi Analisa teknologi dan analisa aspek-aspek yang perlu diperhatikan pada pasien, Desain arsitektur sistem, Pengembangan aplikasi pendukung dan sensor, Implementasi aplikasi pada sensor serta Evaluasi sistem.  Pada tahap analisa dilakukan identifikasi kebutuhan teknologi baik berupa perangkat keras maupun perangkat lunak untuk mendeteksi detak jantung dan lokasi pasien yang kemudian dirancang arsitektur pada tahapan design. Pengembangan dilakukan dengan merangkai perangkat-perangkat tersebut sehingga menjadi peralatan untuk mendeteksi detak jantung dan lokasi pasien.  Uji coba dilakukan dengan membandingkan dengan perangkat sejenis. Berdasarkan hasil pengujian terhadap 5 responden, diperoleh rata-rata perbedaan antara alat yang dikembangkan dengan tensimeter manual yaitu 1.5 BPM, sedangkan rata-rata perbedaan antara alat yang dikembangkan dengan pengukuran manual sebesar 2.8 BPM. Akurasi posisi pasien sekitar 20 meter, tergantung posisi pasien saat ini apakah didalam ruangan ataupun diluar ruangan.  Sedangkan respon terhadap request ukuran detak jantung berkisar 1.5 menitKata kunci: Sensor Detak Jantung, Arduino, GPS
DETERMINAN PERILAKU SADARI PADA WANITA USIA SUBUR DI WILAYAH PUSKESMAS KUTA UTARA TAHUN 2017 Astuti, Ketut Sri; Sari, Komang Ayu Kartika; Kurniati, Desak Putu Yuli
ARCHIVE OF COMMUNITY HEALTH Vol 4 No 2 (2017): Desember (2017)
Publisher : Program Studi Kesehatan Masyarakat Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (536.993 KB) | DOI: 10.24843/ACH.2017.v04.i02.p07

Abstract

ABSTRAKPuskesmas Kuta Utara merupakan salah satu puskesmas perkotaan di Kabupaten Badung yang memiliki proporsi tertinggi (18,8%) wanita usia subur positif tumor atau benjolan pada payudara. Hasil studi pendahuluan menunjukkan bahwa perilaku Periksa Payudara Sendiri (SADARI) pada wanita usia subur masih rendah. Tujuan penelitian untuk mengetahui determinan perilaku SADARI pada wanita usia subur di wilayah Puskesmas Kuta Utara. Penelitian analitik ini menggunakan pendekatan cross sectional yang dilakukan pada 62 sampel wanita usia subur melalui wawancara menggunakan kuesioner. Analisis data dilakukan secara univariat, bivariat (uji chi-square) dan multivariat (regresi logistik). Hasil penelitian menunjukkan bahwa sebagian besar (54,8%) wanita usia subur melakukan perilaku SADARI dengan baik. Hasil uji chi square menunjukkan bahwa pendidikan (RP= 2,563; p=0,003; 95%CI: 1,174-5,594), tingkat pengetahuan (RP=2,143; p=0,003; 95%CI: 1,208-3,801), dan dukungan sosial (RP= 1,812; p=0,033; 95%CI: 1,266-2,594) memiliki hubungan yang signifikan dengan perilaku SADARI pada wanita usia subur. Hasil analisis multivariat menunjukkan bahwa faktor yang berpengaruh terhadap perilaku SADARI adalah tingkat pengetahuan (AOR=6,107; p=0,003; 95%CI: 1,879-19,851) dan dukungan sosial (AOR=11,807; p=0,033; 95%CI: 1,216-114,683). Simpulan dari penelitian ini yaitu tingkat pengetahuan dan dukungan sosial merupakan faktor yang berpengaruh terhadap perilaku SADARI. Petugas kesehatan diharapkan dapat meningkatkan pemberian komunikasi, informasi, edukasi (KIE) dan dukungan peer group, khususnya bagi kelompok wanita usia subur yang memiliki perilaku SADARI yang masih rendah. Penelitian selanjutnya diharapkan dapat memperdalam penelitian ini dengan menggunakan berbagai variabel yang belum diteliti.Kata kunci: SADARI, Wanita Usia Subur, Kualitatif ABSTRACTKuta Utara Health Center is one of the health centers in urban areas of Badung Regency that has the highest proportion (18,8%) of women of childbearing age who have positive breast tumors or lumps. The results of a preliminary study showed that the behavior of Breast Self-Examination (BSE) in women of childbearing age is still poor. The purpose of this study was to determine the determinants of BSE behavior in women of childbearing age in the North Kuta Health Center area. This analytic study used a cross sectional approach which was conducted on 62 samples of women of childbearing age through interviews using a questionnaire. Data was analysed using univariate, bivariate (chi-square test) and multivariate (logistic regression) analysis. The results showed that the majority (54,8%) of women of childbearing age performed BSE behavior well. Chi-square test results showed that education (PR = 2,563; p = 0,003; 95% CI: 1,174-5,594), level of knowledge (PR = 2,143; p = 0,003; 95% CI: 1,208-3,801), and social support (PR = 1,812; p = 0,033; 95% CI: 1,266-2,594) have a significant relationship with BSE behavior in women of childbearing age. Results of multivariate analysis showed that level of knowledge (AOR = 6,107; p = 0,003; 95% CI: 1,879-19,851) and social support (AOR = 11,807; p = 0,033; 95% CI: 1,216- 114,683) were the determinants of BSE behavior. The conclusion of this research is level of knowledge and social support are factors that influence BSE behavior. Health workers are expected to improve the provision of information, education and communication (IEC) and also peer groups support, especially for groups of women of childbearing age who have poor BSE behavior. Further researcher is expected to deepen this research by using various variables that have not been studied.Keywords: BSE, Women of childbearing age, Qualitative
PERILAKU PENYALAHGUNAAN SUBOXONE PADA KALANGAN PENGGUNA NAPZA SUNTIK DI WILAYAH KOTA DENPASAR DAN BADUNG Yasmari, Ni Nengah Wida; Wulandari, Luh Putu Lila; Kurniati, Desak Putu Yuli; Gunarta, I Nyoman; Septarini, Ni Wayan
ARCHIVE OF COMMUNITY HEALTH Vol 3 No 2 (2016)
Publisher : Program Studi Kesehatan Masyarakat Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (516.406 KB)

Abstract

Penyediaan suboxone adalah salah satu upaya untuk mengobati dan mencegah dampak bahaya dari narkoba suntik di kalangan penasun,  dan juga mengurangi ketergantungan mereka pada obat-obatan. Namun, menurut data dasar dan observasi awal, ada indikasi bahwa suboxone  juga disalahgunakan. Penelitian ini bertujuan untuk mengeksplorasi penyalahgunaan suboxone kalangan penasun dan mengidentifikasi faktor penentunya. Metode kualitatif digunakan dalam penelitian ini dengan mewawancarai 11 penasun di Denpasar dan Badung. Peserta dipilih dengan menggunakan teknik purposive. Panduan wawancara digunakan selama wawancara. Data kemudian dianalisis dengan menggunakan analisis tematik. Penelitian ini mengungkapkan bahwa peserta memiliki pengetahuan sedang terkait suboxone. Ada beberapa yang bersikap positif terhadap suboxone di mana peserta menganggap bahwa suboxone efektif dalam mengurangi ketergantungan obat, terutama bila digunakan dengan benar. Sikap mereka positif  terhadap suboxone, namun bertentangan dengan perilaku mereka. Suboxone disalahgunakan dengan menyuntikkan, dan kadang-kadang digabungkan dengan obat lain. Faktor-faktor penentu penyalahgunaan suboxone,  adalah kurangnya kontrol dari penyedia layanan kesehatan dan regulasi yang kurang  pada peresepan suboxon, keamanan dan legalitas, pendekatan ekonomi, dorongan individu, kurangnya akses informasi yang akurat, dan juga konteks sosial dan lingkungan. Dukungan dan program pemberdayaan bagi penasun sangat penting  untuk mengganti keinginan mereka menyuntikkan suboxone selama terapi. Penguatan pemantauan intensif untuk mengendalikan penyalahgunaan suboxone, dengan mengkombinasikan dukungan dari pihak lain termasuk keluarga juga penting untuk keberhasilan pelaksanaan terapi suboxone.
AKSEPTABILITAS, UTILISASI DAN ADOPSI UPAYA PENANGGULANGAN HIV MELALUI KADER DESA PEDULI AIDS DARI PERSPEKTIF MASYARAKAT DI KOTA DENPASAR Nopiyani, Ni Made Sri; Kurniati, Desak Putu Yuli; Indrayathi, Putu Ayu; Listryowati, Rina
ARCHIVE OF COMMUNITY HEALTH Vol 2 No 2 (2013)
Publisher : Program Studi Kesehatan Masyarakat Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2988.501 KB)

Abstract

Village AIDS Cadres (KDPA) Program has been conducted in Denpasar district since 2010. Despite the importance of community participation for a successful community based program, no research has been conducted to explore community perception regarding KDPA program.This research is aimed to explore community perceptions regarding acceptability, utilization, and adoption of the KDPA program from community perspective.The design used in this research is descriptive with qualitative data collection method through six focus group discussions in six villages in Denpasar. Data was analysed using thematic analysis.KDPA is well-accepted as it is perceived as an important issue to be tackled in the community. However, many opinions arise concerning who should be given the role "cadre". Lack of program introduction to the community, also high stigma and discrimination resulted in low utilization of the program. Villages with active KDPA have conducted a variety of HIV-related activities rarely carried out by the less active villages. There is Lack of community participation on HIV-related activities. Inequity of access to HIV information exists between adults and teenagers, between men and women, and between the member of traditional and non-traditional hamlets. Program adoption is hampered by the lack of commitment of village authorities and limited resources of KDPA program.The utilization and adoption of KDPA program are sub-optimal. Introduction of KDPA program to the community and provision of program resources should be improved.
Needs for Reproductive Health Education for Deaf Students in Singaraja District, Bali Province Ariantini, Nyoman Sri; Kurniati, Desak Putu Yuli; Duarsa, Dyah Pradnyaparamita
Indonesian Journal of Health Research Vol 2 No 2 (2019): August 2019
Publisher : Sekolah Tinggi Ilmu Kesehatan Jembrana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32805/ijhr.2019.2.2.51

Abstract

Introduction. Adolescents with hearing impairment face a number of exclusion due to their limitation, including lack of access to information on reproductive health. This study was aimed to explore needs for sexual and reproductive health education for students with hearing impairment at SLB B Negeri Singaraja. Methods. A qualitative study was conducted at Singaraja District. Data were collected at through in-depth interviews to 19 informants. Informants were purposively selected based on their specific roles. Our informants included ten students with hearing impairment, one head of school, five teachers, and three parents or carers. Data were analysed using a thematic approach. Results. The majority of students with hearing impairment were having low level of knowledge associated to sexual and reproductive health. However, sexual and reproductive health practices between adolescents with and without hearing impairment were generally comparable. Needs for sexual and reproductive health education must cover several elements: (1) education material must be tailored based on age, (2) learning methods should be tailored based on their intellectual ability, and (3) learning methods must use contextual and real model approach to allow better transfer of information. Teachers faced difficulty to provide sexual and reproductive health education for students with hearing impairment even though some modules are already available. Conclusion. Students with hearing impairment at SLB B Singaraja State need more simple learning pictures and videos that are accompanied by written texts and sign language movements so that it is easier to understand the material delivered by the teacher, where the reproductive health education material needed is age-appropriate material and the development of each individual, while the reproductive health learning methods needed by deaf students are simpler learning methods while still using sign language.
PERSEPSI PESERTA BPJS KESEHATAN TERHADAP PROGLAM PENGELOLAAN PENYAKIT KRONIS DI PUSKESMAS I DENPASAR BARAT DAN PUSKESMAS II DENPASAR TIMUR Puspaeni, Putu Inok; Kurniati, Desak Putu Yuli; Indrayathi, Putu Ayu
ARCHIVE OF COMMUNITY HEALTH Vol 6 No 1 (2019): Juni 2019
Publisher : Program Studi Kesehatan Masyarakat Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (651.855 KB) | DOI: 10.24843/ACH.2019.v06.i01.p04

Abstract

ABSTRAK Pada era Jaminan Kesehatan Nasional salah satu upaya yang dilaksanakan untuk menanggulangi penyakit kronis adalah Prolanis. Puskesmas se-Kota Denpasar telah melaksanakan program prolanis tetapi terdapat perbedaan rasio kunjungan peserta prolanis tertinggi dan terendah. Tujuan penelitian ini untuk mengetahui gambaran persepsi peserta BPJS Kesehatan terhadap program pengelolaan penyakit kronis di Puskesmas I Denpasar Barat dan Puskesmas II Denpasar Timur. Penelitian ini merupakan penelitian deskriptif kualitatif dengan purposive sampling menggunakan metode wawancara mendalam dan focus group discusion. Penelitian ini dilaksanakan di Puskesmas I Denpasar Barat dan Puskesmas II Denpasar Timur dari bulan Mei-Juni 2017. Informan penelitian berjumlah sembilan belas orang yang terdiri dari kepala puskesmas, pemegang program prolanis dan peserta BPJS Kesehatan yang tergabung dalam kelompok prolanis. Hasil penelitian menunjukkan peserta prolanis di Puskesmas I Denpasar Barat merasa rentan terkena penyakit diabetes/ hipertensi dan dampak penyakit tersebut menimbulkan ketakutan dan kecemasan pada peserta karena efek keseriusan penyakit sudah dilihat/ dirasakan. Besarnya manfaat yang dirasakan mampu menutupi hambatan yang dialami, selain itu dukungan teman dan rasa kekeluargaan meningkatkan partisipasi peserta prolanis. Maka dari itu puskesmas yang rasio kunjungan prolanis rendah perlu mengundang keluarga yang menderita diabetes/ hipertensi untuk memberikan testimoni. Kata Kunci : Prolanis, Persepsi, Puskesmas   ABSTRACT In the era of National Health Insurance, one of the efforts undertaken to tackle chronic illness is Prolanis. Health centers throughout Denpasar have implemented prolanis programs but there are differences in the ratio of visits of the highest and lowest prolanis participants. The purpose of this study was to determine the description of BPJS Health participants' perceptions of chronic disease management programs in Puskesmas I Denpasar Barat and Puskesmas II Denpasar Timur. This research is a qualitative descriptive study with purposive sampling using in-depth interviews and focus group discussion methods. The research was conducted at the Health Center I of West Denpasar and Health Center II of East Denpasar from May-June 2017. The informants of the study consisted of nineteen people consisting of the head of the puskesmas, the prolanist program holder and BPJS Health participants who were members of the prolanist group. The results showed prolanis participants in Puskesmas I Denpasar Barat felt vulnerable to diabetes / hypertension and the impact of the disease caused fear and anxiety in participants because the seriousness of the disease had been seen / felt. The amount of benefits felt is able to cover the obstacles experienced, in addition to the support of friends and a sense of family to increase participation of prolanist participants. Therefore a puskesmas with a low prolanis visit ratio needs to invite families suffering from diabetes / hypertension to provide testimonials. Keywords: Prolanis, Perception, Puskesmas
DETERMINAN PERILAKU IBU DALAM MEMBERIKAN PENDIDIKAN SEKS PADA ANAK USIA DINI DI DESA KUTAMPI KALER TAHUN 2019 Putri, Putu Candra Semara; Kurniati, Desak Putu Yuli
ARCHIVE OF COMMUNITY HEALTH Vol 6 No 2 (2019): Desember 2019
Publisher : Program Studi Kesehatan Masyarakat Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (511.451 KB) | DOI: 10.24843/ACH.2019.v06.i02.p09

Abstract

  ABSTRACT The increase of cases of sexual violence in children shows the importance of a preventive measure. This prevention aims to reduce the risk of children experiencing acts of sexual violence, one of these preventive measures is to provide sex education from an early age. The purpose of this study was to find out the determinants of mother?s behavior in providing sex education to early childhood at Kutampi Kaler village in 2019. This research was conducted in May 2019 in Kutampi Kaler village. This study used an observational analytic method with a cross sectional approach where the samples used were mothers who had 3-5 years old children in the village of Kutampi Kaler with primary data by questionnaires. The results showed that there was a correlation between mother?s behavior in providing sex education in early childhood with knowledge, perceptions and levels of education. There is no correlation between mother?s behavior in providing sex education to early childhood with socio-economic, exposure to information sources and mother?s experiences of sex education. Key words : sex education, mother?s role, early childhood