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Studi Intervensi Klaster Kawasan Tanpa Rokok pada Tingkat Rumah Tangga Najmah, Najmah; Etrawati, Fenny; Yeni, Yeni; Utama, Feranita
Jurnal Kesehatan Masyarakat Nasional Vol. 9 No. 4 Mei 2015
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (153.227 KB) | DOI: 10.21109/kesmas.v9i4.752

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AbstrakPerilaku merokok memberikan dampak negatif, baik bagi perokok aktifmaupun pasif, ditinjau dari sudut pandang kesehatan maupun ekonomi.Regulasi mengenai Kawasan Tanpa Rokok (KTR) yang telah diterbitkanbelum ada yang mengatur mengenai penerapan KTR di tingkat rumah tangga. Penelitian ini bertujuan untuk mengidentifikasi perubahan perilaku melalui intervensi terpadu KTR pada tingkat rumah tangga. Penelitian dilakukan pada bulan Juli - September 2014 menggunakan desain cluster trial pada empat desa di Kabupaten Ogan Ilir, Sumatera Selatan. Selanjutnya, 200 sampel kepala keluarga dipilih melalui metode cluster random sampling. Intervensi yang dilakukan meliputi konseling terpadu, pemberian permen pengganti rokok, dan tabungan sehat. Hasil penelitian menunjukkan bahwa proporsi responden yang merokok setiap hari dalam sebulan terakhir dan komitmen untuk tidak akan merokok di masa yang akan datang mencapai 71,6% dan 62% pada kelompok intervensi serta 91% dan 38% pada kelompok non-intervensi. Intervensi ini berpeluang 46% mengurangi perilaku merokok responden (RP = 0,46) setelah dikontrol oleh variabel pendidikan (RP = 0,152) dan sikap (RP = 0,216) dengan nilai p < 0,0001. Intervensi terpadu ini terbukti berhasil mengubah perilaku merokok pada kawasan rumah tangga sehingga diperlukan partisipasi masyarakat dan dinas kesehatan setempat untuk menindaklanjuti penerapan intervensi ini dalam jangka panjang.AbstractSmoking behavior has negative impacts, both for active and passive smokers, as reviewed from health and economic perspectives. Regulation concerning non-smoking area issued has not yet arranged implementation of non-smoking area at household level. This study aimed to identify any behavior change through integrated intervention of non-smoking area athousehold level. This study was conducted on July - September 2014 usingcluster trial design in four villages at Ogan Ilir District, South Sumatra.Then 200 household head samples were selected through cluster randomsampling method. The intervention included integrated counseling, distribution of candy as substitute for cigarette, and healthy saving. Results of study showed that proportion of respondents who smoked every day in a recent month and had a commitment not to smoke in the future reached 71.6% and 62% in the intervention group, then 91% and 38% in the non-intervention group respectively. This intervension had opportunity worth 46% reducing the smoking behavior of the respondents (RP= 0.46) after controlled by the variable of education (RP = 0.152) and attitude (RP = 0.216) with p value < 0.0001. This integrated intervention was profoundly successful changing smoking behavior at household level. So that, public participation and health agency need to follow up the implementation of this intervention in a long term.
SOCIAL DETERMINANTS OF MALARIA IN THE WORKING AREA OF PUPUT PUBLIC HEALTH SERVICES, WEST BANGKA Aristianti, Vini; Najmah, Najmah; Mutahar, Rini
Jurnal Ilmu Kesehatan Masyarakat Vol 5, No 2 (2014): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Faculty of Public Health Universitas Sriwijaya

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Abstract

Background : Malaria is a preventable and curable disease and yet more than one million people die from it each year. It is a disease that significantly affects the poor who have economic, social and educational deprivation. Malaria is also a disease that flourishes in conditions of crisis and population displacement (Oxfam, 2008). The Working Area of Puput Public Health Services is an ​​high malaria-endemic area with API 43.92 ‰ in 2011 and was the highest in the west Bangka district. The purpose of this study was to determine the major social determinants of health as risk factors of malaria occurance in the working area of puput Public Health Services at west Bangka district in 2012. Methods: The design of this study was the unmatched case control with population based case-control and purposive sampling, respondents consisted of 58 cases and 58 controls selected from the reported malaria positive patients based on laboratory test results in puput Public Health Services in 2012. Data processed with SPSS 19 program. The statistical analysis was carried out by the chi-square test and logistic regression: a p-value of less than 0.05 was considered to be statistically significant. Result : Variable that were associated with incidence of malaria is housing conditions (p=<0,001), Environmental conditions (p=<0,001), working conditions (p=0,001), habits going out at night (p=<0,001), malaria prevention behaviors (p=<0,001), health services (p=0,007) and migration (p= 0,004). There was no association between socioeconomic (p=0,266) with incidence of malaria. Logistic regression analysis showed that the variables that are risk factors for malaria is the habit of going out at night (adjusted OR: 6,7; 95% CI: 1,6-28,4), environmental conditions (adjusted OR: 5,6; 95% CI: 1,2-25,5) and malaria prevention behaviors (adjusted OR: 4,1; 95% CI: 1,4-11,9). Conclusion : Improve malaria control with increase education, use of insecticidal nets by people at risk, indoor residual spraying (IRS) with insecticide to control the vector mosquitoes, and policy on the provision of malaria drug to prevention in immigrant population. health insurance that covers immigrants. Keyword: malaria, social determinants of health, social determinants of malaria, Puput west Bangka
Uji Toksisitas Bagian Akar, Batang, dan Daun Tanaman Sereh Wangi Nurcholis, Waras; Weni, Mustika; Fitria, Rizki; Najmah, Najmah; M, Kornelia Rosvita; Habibi, B Y
Current Biochemistry Vol 4, No 2 (2017)
Publisher : Bogor Agricultural University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29244/87-97

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GENERALISIBILITY ISSUE IN QUALITATIVE RESEARCH, A COMMON CRITICISM OF QUALITATIVE RESEARCH IN SOCIAL AND HEALTH SCIENCES Najmah, Najmah
Jurnal Ilmu Kesehatan Masyarakat Vol 1, No 3 (2010): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Faculty of Public Health Universitas Sriwijaya

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Abstract

Penelitan umumnya dilakukan untuk memperoleh hasil untuk diaplikasikan pada populasi luas. Ada dua metode penelitan; metode kuantitatif dan kualitatif. Pada metode kuantitatif, metode sampling dibutuhkan untuk mendapatkan responden penelitan secara random. Sehingga, hasil penelitan bisa diaplikasikan di populasi luas. Sedangkan, pada metode kualitatif, sample dipilih dalam jumlah yang kecil dengan kriteria tertentu. Sehingga,jika konsep generalisasi pada metode kuantitatif diterapkan pada metode kualitatif, hasil dari penelitan kualitatif tidak bisa diaplikasikan pada populasi luas. Pada tinjauan pustaka ini membahas bahwa generalisasi bukan merupakan target utama dalam penelitan kualitatif. Tujuan utama penelitan kualitatif adalah untuk mendapatkan informasi yang mendalam dan untuk medapatkan pemahaman yang lebih baik pada isu penelitan. Kemudian,beberapa bidang juga lebih sesuai jika diinvestigasi dengan metode kualitatif seperti, persepsi terhadap penyakitkronis, efektivitas program kesehatan, etnografi dan antropologi, dan persektif sosial. Pendapat lain menyatakan bahwa penelitan kualitatif bisa digeneralisasikan jika menggunakan desain penelitan yang komprehensif.Kesimpulan review ini bahwa generalisasi bukanlah isu utama pada penelitian kuallitatif ataupun kuantitatif.Metodologi yang akurat haruslah dipilih sesuai dengan pertanyaan penelitan sehingga validitas internal daneksternal penelitan bisa menghasilkan penelitan yang bermanfaat pada populasi.Kata kunci: Kualitatif, kuantitatif, generalisasi, jumlah sampel, populasi
CORRELATION BETWEEN MARKETING MIX AND THE UTILIZATION OF INPATIENT UNIT AT PELABUHAN HOSPITAL PALEMBANG Rahma, Nyayu; Budi, Iwan Stia; Najmah, Najmah
Jurnal Ilmu Kesehatan Masyarakat Vol 5, No 1 (2014): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Faculty of Public Health Universitas Sriwijaya

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Background: Pelabuhan Hospital Palembang is type C Hospital with a capacity of 58 beds. The utilization of inpatient unit in this hospital is still lacking. It can be seen from the total of Bed Occupational Rate (BOR) in 2010-2011 is only 48.52% -51.65% which is  below the standard of Health Department that is 60-85%. Method: This study is a analytical observational study with cross sectional approach. The Population are inpatients of Pelabuhan Hospital Palembang. The number of samples is 80. The research data were analyzed quantitatively by the method of univariate, bivariate with chi square analysis, and multivariate with logistic regression analysis using SPSS program. Result: The result of analysis tests of the relationship between marketing mix and the utilization of inpatient installation of Pelabuhan Hospital Palembang, from 7 variables of marketing mix, there are six variables that have a relationship to the utilization of inpatient installation, that are variable product (OR=6, p-value=<0,0001), price (OR=10, p-value=<0,0001), place (OR =5, p-value=0,001), people (OR=5, p-value=0,002), processes (OR=7, p-value=<0,0001), and physical evidence (OR=8, p-value=<0,0001). Based on the results of multivariate logistic regression analysis, there are four variables of marketing mix which are most influential, namely product (OR=7, p-value=0,008), price (OR=15, p-value= <0,0001), process(OR=8, p-value=0,007) and physical evidence (OR=18, p-value= <0,0001). Conclution: Pelabuhan Hospital Palembang needs to improve the its marketing by noticing the marketing mix variables affecting the utilization of inpatient installations, especially those still considered not good enough by the in-patients,that are person and physical evidence. The goal is to increase BOR of Pelabuhan Hospital Palembang due to Health Department standards. Keywords: Marketing Mix, Utilization of inpatient installation
KNOWLEDGE AND HISTORY OF NON COMMUNICABLE DISEASES AMONG HOUSEWIVES IN THE YEAR 2013 OGAN ILIR-SOUTH SUMATERA-INDONESIA Najmah, Najmah; Mutahar, Rini; Yeni, Yeni
Jurnal Ilmu Kesehatan Masyarakat Vol 6, No 1 (2015): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Faculty of Public Health Universitas Sriwijaya

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Background: Indonesia as a developing country experiencing epidemiologic transition in which communicable diseases are still main concern in Indonesia, while non-communicable diseases (degenerative) is starting to increase and to be major cause of death. Degenerative diseases are caused by many risk factors including lifestyle, eating habits, smoking, physical inactivity, genetics and other causes. Basic Health Research in 2007 showed the prevalence of the disease in Indonesia among other degenerative joint disease (30.3%), hypertension (29.8%), stroke (0.8%), heart (7.2%), diabetes mellitus (1,1%), and cancer (0.4%).Methods: This research is a descriptive study with a quantitative approach. The study design used was a cross sectional study. The samples in this study were 99 housewives in Ogan Ilir. Sampling technique in this study is a cluster random sampling to select four villages as clusters. The analyses conducted in this study are univariate analysis and correlation tests.Results: The results of this study were 29 (29.3%) of respondents had received counseling on non-communicable diseases, 40.4% of respondents considered overweight (obesity) can reduce the risk of non-communicable diseases, 79.8% knew that reducing caffeine consumption may decrease the risk of non-communicable diseases, and 77% know that reducing smoking can reduce the risk of non-communicable diseases. The disease is the most common rheumatic respondents (20.2%), traffic accidents (19.2), and hypertension (17.2%). Non-communicable diseases most suffered by the elderly respondents were hypertension (42.4%), arthritis (38.4%), and heart (19.2%). Correlation test results demonstrate a positive correlation between the respondent and the history of disease in the elderly (r = 0.172).Conclusion: Health promotion in order to improve the knowledge of the risk factors of non-communicable diseases in the housewife needs to be done both through education and the mass media. This encourages housewives to avoid the risk factors of non-communicable diseases which mainly caused by unhealthy eating patterns.Keywords: Non communicable diseases, knowledge, disease history, risk factors, prevention, housewives.
MOTHER DETERMINANT AT CHOOSING DELIVERY ASSISTANT IN MUARA SALING PUBLIC HEALTH CENTRE, EMPAT LAWANG REGENCY IN 2010 Indriyani, Fanny; Najmah, Najmah; Mutahar, Rini
Jurnal Ilmu Kesehatan Masyarakat Vol 3, No 3 (2012): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Faculty of Public Health Universitas Sriwijaya

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Abstract

Background: One of the  maternal mortality rate factor was considered high in Indonesia because the coverage of health birth attendant still lower than necessary. The coverage of delivery by health provider in Muara Saling Public Health Centre was about 78,09 percents, so there was about 21,91 percents delivery by traditional birth attendant. The coverage number has not achieved Regency Target in 2010 especially in health birth attendant that was 95 percents. The research objective was to identify the determinant that influenced mother in choosing delivery assistant  in Muara Saling Public Health Centre, Empat Lawang Regency at 2010. Methods: This research was observational analytic with cross sectional approach. Respondents were all of mother who have ever delivery and took from the last child delivery in life or death condition and registered in Muara Saling Public Health Centre coverage at 2010. There were 84 samples (non respon factor 10 percents) and it was taken by Simple Random Sampling. Univariat and bivariat analyzed were employed in analyzing the data. Result: The result of this research showed that the family sosial economic (p=<0,001), knowledge (p=0,020), illness health perception (p=0,049), family role (p=0,012) and cost of delivery before in mother with more than once birth (p=0,01) has influenced In choosing delivery assistance. Conclusion: In conclusion, the choosing of delivery assistant in Muara Saling Public Health Centre was influence by family sosial economic), knowledge, illness health perception, family role and cost of delivery before. Keywords: delivery assistant, delivery
FACTORS RELATED TO OCCURRENCE OF CHIKUNGUNYA FEVER IN KUTARAYA PUBLIC HEALTH CENTER OGAN KOMERING ILIR Mahani, Nuryasari; misnaniarti, misnaniarti; Najmah, Najmah
Jurnal Ilmu Kesehatan Masyarakat Vol 1, No 3 (2010): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Faculty of Public Health Universitas Sriwijaya

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Abstract

Background : Chikungunya fever is caused by a virus family Togaviridae, genus alfavirus which is transmitted by Aedes aegypti mosquitoes. On September 2009, Ogan Ilir Komering occured outbreaks 11.598 cases of Chikungunya fever. Based on the data Kutaraya Public Health Center, Chikungunya fever always occur from September to December 2009 were 45 cases. Therefore, the research on the factors related to occurrence of Chikungunya fever in Kutaraya Public Health Center Ogan Komering Ilir 2010 is needed to be done. Method : Analytical research using a case control study is included in this research. Sampel required as 43 case and 129 control with the comparison 1:3. After that, data processed and analysed by univariat and bivariate by using Chi-Square test and α= 0,05. Result : The results showed that there was a significant association between education (ρ-value = 0,017 ; OR = 2,499 (CI 95% : 1,227-5,090)), the use of anti-mosquito drugs (ρ-value = 0,021 ; OR = 2,416 (CI 95% : 1,192-4,898)), and density of residential homes (ρ-value = <0,0001 ; OR = 4,961 (CI 95% : 2,363-10,415)) with the occurrence of Chikungunya fever. Conclusion : It is recommended to improve personal hygiene and maintaining good environmental sanitation to reduce and prevent the occurrence of Chikungunya fever. Keywords : Chikungunya Fever, Socioeconomic, Behavior, Environment 
COMPARATIVE STUDIES DEFECATE BEHAVIOR IN COMMUNITY THAT HAVE AND HAVE NOT IMPLEMENTED THE COMMUNITY LEAD TOTAL SANITATION PROGRAMME (CLTS) AT INDERALAYA Irmalasari, Resti; Najmah, Najmah; Fajar, Nur Alam
Jurnal Ilmu Kesehatan Masyarakat Vol 2, No 3 (2011): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Faculty of Public Health Universitas Sriwijaya

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Abstract

Background : Sanitation is one of the challenges for developing countries. According, the MDG report 2007, about 70 million people are still doing open defecation. Based on result of  ISSDP, 47 % of community have bad habit is defecating into the open places. This is certainly contributing to increasing rates of diseases based on sanitation such as diarrhea. As a form of government intervention has done is a program of Community Lead Total Sanitation (CLTS). The purpose of this research is to identify differences in defecate behavior, among people who have and have not implemented yet the CLTS program at Inderalaya year of 2010. Method : This is quantitative research with cross sectional approach. The method used by distributing questionnaires to the community. Data collected and processed using SPSS program and performed univariate analisys and bivariate analysis and multivariate analysis. Samples are Ulak Segelung village (CLTS) which amounts to 74 people and the village of Tanjung Agung (Non CLTS), which numbered 72 people. Result : The results showed that there are significant differences of knowledge, (p value < 0.0001), attitude (p value < 0.0001), availability of latrines (p value < 0.0001) and behavior (p value = 0.0001), between the village of Ulak Segelung (CLTS) and the village of Tanjung Agung (Non CLTS). Conclusion: Results of logistic regression analysis showed that the knowledge variable (p value < 0.0001) is the dominant variables that influence peoples behavior Keywords : STBM, knowledge, attitudes, behavior defecate, the Availability of Latrine 
FACTOR ASSOCIATED WITH ADOLESCENT MASTURBATION BEHAVIOR IN SENIOR HIGH SCHOOL AT THE DISTRICT OF NORTH INDRALAYA 2010 Eliyanti, Indah; Fajar, Nur Alam; Najmah, Najmah
Jurnal Ilmu Kesehatan Masyarakat Vol 3, No 1 (2012): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Faculty of Public Health Universitas Sriwijaya

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Background : Adolescent is a period of transition between child and adult stage known as puberty. Developments in adolescents include physical, psychological and sexual maturation function. Changes due to biological sexual maturity experienced by adolescents is one of the things that can lead to confusion in the face of adolescent sex drive. One of the ways in which young people to channel their sexual impulse is to masturbate. Therefore, this study aimed to analyze the factors associated with adolescent masturbatory behavior in high school in the District of North Indralaya in 2010. Method : This study used a cross sectional study. Sampling in this study conducted by proportional random sampling technique that high school students who will be sampled in each school selected proportionally based on the total desired sample as many as 84 students. Factors studied were variable attitudes, the role of parents, the perception of control behavior and masturbatory behavior in adolescents. The data is processed using a computerized system and then analyzed using univariate and bivariate statistical test Chi-Square. Result : The results showed that 57,1% of respondents have a negative attitude, 44,0% of respondents have parents who do not participate, 29,8% of respondents have a perception of bad behavior control and 27,4% of respondents having masturbation abnormal behavior. From the results of Chi-Square test showed that there was a significant correlation between attitude (p-value = 0,031, RP = 3,7; CI 95%: 1,2-11,3)), the roles of parents (p-value = 0,031, RP = 3,3; CI 95%: 1,2-9,1)), and perception of behavioral control (p-value = 0,013, RP = 4,0; CI 95%: 1,4-11,2)) with the behavior of masturbation in adolescents. Conclusion : These three independent variables (attitudes, the role of parents, and perceptions of behavioral control) were significantly associated with the dependent variable (the behavior of adolescent masturbation). Keywords : behavioral masturbation, teen