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Kesmas Indonesia
Published by Universitas Jenderal Soedirman
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Articles 392 Documents
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BEBERAPA FAKTOR YANG MEMPENGARUHI KEJADIAN KANKER SERVIK DI RSUD PROF. DR. MARGONO SOEKARJO PURWOKERTO Aulia, Nurwathon; Nurlaela, Sri; Basuki, Dyah Retnani
Kesmas Indonesia Vol 2 No 2 (2009): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

Cerviks cancer is a cancer that attack cerviks of the uterus, an area in woman reproduction organ that is an entrance through the uterus, place between uterus and vagina. Data from RSUD Prof. Dr.Margono Soekarjo, Purwokerto showed that there was an increasing number in cerviks cancer case. The purpose of this research was to know the risk factors that influence cerviks cancer case in RSUD Prof. Dr. Margono Soekarjo, Purwokerto. This research used of observational with case control study approach. Case group was all patients diagnosed cerviks cancer from June until November 2008 in RSUD Prof, Dr. Margono Soekarjo, Purwokerto and the control group was the patient who did pap smear check up from June until November 2008 in RSUD Prof. Dr. Margono Soekarjo, Purwokerto but the result wasn’t cerviks cancer. The number of populations were 64 people with 32 cases and 32 control. Variable researched consisted of education, marriage age, parity and oral contraception. Data analysis used was univarial, bivariat with chi square and multivariat with double logistic regression. The result of this research showed factors related with cerviks cancer case were education (p=0,00; OR=7,89; CI 95%=2,40-25,85), marriage age (p=0,00; OR=6,33; CI 95%=2,03-19,68) and parity (p=0,00; OR=11,66; CI 95%=2,37-57,36). The most influence factor in cerviks cancer case was parity. According to that result, it is suggested to the people to control the number of kids (less than 4 children) by using family planning programme that’s proper to each individual and delay the marriage age.
HUBUNGAN PENGETAHUAN, FATALISME KANKER DAN KESADARAN WANITA USIA SUBUR (WUS) DALAM PENAPISAN TES IVA Suryandari, Artathi Eka
Kesmas Indonesia Vol 6 No 3 (2014): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

ABSTRAK Death of cervical cancer can be prevented by doing an early detection and the only cost-effective way is screening test of Visual Inspection with Acetic Acid (IVA). The purpose of this study was to analyze the correlation of knowledge, cancer fatalism, level of awareness and the participation of Reproductive Aged Women (RAW) in IVA. The research sample consist of 224 RAW as cases and controls in Purwokerto Timur using proportional random sampling techniques. The measurement of cancer fatalism using Powe Fatalism Inventory and the level of awareness measured by the Self Regulation Questionnair. The analysis result was conducted by chi-square and logistic regression. The analysis showed that the correlate factors of RAW’s participation in IVA was cancer fatalism (p=0.024) with OR 2.305 and level of awareness (p=0.009) with OR 2.806, while the level of awareness was the most dominant factor. It is concluded that in order to increase RAW’s participation in IVA is needed to increase the RAW’s awareness toward the benefits of screening test of IVA and fatal consequences of cervical cancer and to decrease cancer fatalism by providing the right knowledge about cervical cancer through religious sermons that are often followed by RAW. Key words: knowledge, fatalism, awareness,IVA Kesmasindo, Volume 6(3) Januari 2014, Hal. 208-222
PENGARUH ELEVASI POSISI KEPALA PADA KLIEN STROKE HEMORAGIK TERHADAD TEKANAN RATA-RATA ARTERIAL, TEKANAN DARAH DAN TEKANAN INTRA KRANIAL DI RUMAH SAKIT MARGONO SOEKARJO PURWOKERTO TAHUN 2011 Supadi, Supadi
Kesmas Indonesia Vol 5 No 2 (2012): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

Abstract Stroke result in mortality cases in the developing countries such as Indonesia. Indonesia Healthcare Ministry reported that stroke was the first rank of death fatality among hospitalized patients. The disease also has been founded in many countries. Annual published statistics at The Margono Soekarjo Hospital Purwokerto indicated that stroke revealed top ten cases in neurologic department. The incidence of stroke showed steadily increased since 2007. The aim of the study was to investigate the effect of head elevation on mean arterial pressure, blood pressure, and intracranial pressure among hemorrhagic stroke at the Margono Soekarjo Hospital Purwokerto on 2011.The study was employed quasi experimental design pre and post test with control group. This research used analytical descriptive. And, the data was analyzed by t test dependent and chi square analysis approach. There was significant effect of head elevation positioning on mean arterial pressure, blood pressure, and intracranial pressure among hemorrhagic stroke patients after the treatment (p value 0, 00) of intervention group in the Margono Soekarjo Hospital Purwokerto. Meanwhile, there was no significant change of control group on mean arterial pressure, systolic and diastolic blood pressure, and intracranial pressure (p values were 0,206, 0,761 and 0,092, and 0,058 respectively). The study showed that there was significant effect of head elevation positioning on mean arterial pressure, blood pressure, and intracranial pressure among hemorrhagic stroke patients after the treatment (p value 0, 00). Keywords: head elevation, intracranial pressure, blood pressure, MAP, hemorrhagic stroke Kesmasindo. Volume 5, Nomor 2, Juli 2012, hlm. 154- 168
``````````````````````````````` ulfah, nur; Aji, Budi; Harwanti, Siti
Kesmas Indonesia Vol 12 No 2 (2020): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ki.2020.12.2.1311

Abstract

Abstrak Banyumas merupakan salah satu sentra industri gula kepala. Sekitar 27 ribu kepala keluarga (KK) menggantungkan hidupnya mengolah air nira menjadi gula kelapa. Angka kecelakaan kerja, para penderes nira di Banyumas sangat tinggi. Risiko sebagai penderes nira, tidak hanya kematian namun juga cacat permanen. Tahun 2016 tercatat ada 126 penderes jatuh, 52 orang diantaranya meninggal dan 74 orang mengalami cacat. Tahun 2017, data sampai Oktober sudah ada 138 penderes terjatuh, 53 meninggal dan 85 cacat (Setda Kabupaten Banyumas dalam http//newsdetik.com, agustus 2018) Tujuan penelitian ini adalah untuk meningkatkan pengetahuan, sikap dan keterampilan penderes kelapa tentang manajemen resiko kecelakaan kerja. Metode yang digunakan dalam penelitian ini yaitu metode eksperimen, pengambilan sampel menggunakan metode purposive sampling dengan kriteria tingkat pendidikan minimal SMP dan usia produktif. Data dikumpulkan dengan menggunakan lembar kuesioner dan lembar observasi. Berdasarkan analisis data yang dilakukan menunjukkan bahwa terdapat perbedaan pengetahuan responden sebelum dan sesudah pelatihan dengan peningkatan pengetahuan sebesar 15,91%, ada perbedaan sikap responden sebelum dan sesudah pelatihan dengan peningkatan sikap sebesar 4,89%,dan terdapat perbedaan ketrampilan responden sebelum dan sesudah pendampingan dengan peningkatan keterampilan sebesar 50%. Proses kegiatan pelatihan dan pendampingan sebaiknya bisa di follow up lebih lanjut oleh pihak desa dengan tujuan untuk merubah perilaku penderes kepada perilaku yang aman membutuhkan waktu yang tidak singkat, serta perlu adanya sebuah penelitian terkait dengan faktor kondisi tidak aman dan perilaku tidak aman yang menyebabkan kejadian kecelakaan kerja dengan pendekatan kualitatif.
Agnes EFEKTIVITAS PELATIHAN TENTANG PENGOLAHAN SAMPAH PADAT ORGANIK DALAM MENINGKATKAN PENGETAHUAN, SIKAP DAN KETERAMPILAN IBU DALAM MENGOLAH SAMPAH widiyanto, agnes fitria; Gamelia, Elviera; Kurniawan, Arif
Kesmas Indonesia Vol 9 No 2 (2017): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

Hasil kegiatan observasi peneliti terhadap masalah PHBS pada tatanan rumah tangga di wilayah Puskesmas I dan II Baturraden diperoleh bahwa masalah pengelolaan sampah adalah masalah yang paling dominan dan paling dirasakan oleh masyarakat dibandingkan dengan indikator PHBS pada tatanan rumah tangga yang lainnya. Berdasarkan hal tersebut perlu dilakukan program pelatihan pengolahansampah padat menggunakan metode composting yaitu pengolahan sampah padat organik menjadi kompos. Jenis penelitian yang digunakan adalah penelitian eksperimen semu atau quasi eksperimen. Rancangan yang digunakan adalah “Pre Test Post Test Design”. Sampel dalam penelitian ini adalah 41 kader kesehatan dan ibu PKK yang terdiri dari 18 orang dari Desa Karangmangu dan 23 orang dari Desa Karang Tengah. Pengambilan sampel dilakukan secara simple random sampling. Pengetahuan responden mengenai pengolahan sampah padat organik dengan media komposter setelah dilakukan pelatihan mengalami peningkatan yang signifikan sebesar 3,45% dari sebelum pelatihan. Hasil penelitian menunjukkan sikap responden mengenai pengolahan sampah padat organik dengan media komposter setelah dilakukan pelatihan mengalami peningkatan yang signifikan sebesar 4,48% dari sebelum pelatihan. Keterampilan responden mengenai pengolahan sampah padat organik dengan media komposter setelah dilakukan pelatihan mengalami peningkatan yang signifikan sebesar 4,78% dari sebelum pelatihan.Terdapat perbedaan yang signifikan antara pengetahuan (p=0,03), sikap (p=0,01) dan keterampilan (p=0,014) responden mengenai pengolahan sampah padat organik dengan media komposter sebelum dan sesudah pelatihan.
PEMODELAN KUANTITATIF DETERMINAN-DETERMINAN YANG MEMPENGARUHI KEMATIAN PERINATAL Sri rejeki, Dwi Sarwani; Aji, Budi
Kesmas Indonesia Vol 1 No 1 (2008): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

Martenal Mortality Rate (MMR) and Perinatal Death Rate (PFR) were indicators to measure performance of antenatal carte for all countries. Every year about eight million perinatal death rates or die in the first month of delifery. Perinatal Death Rate (PFR) in Banyumas Regency was 2,96/100 or 62 cases in 2005. High Perinatal Death Rate in Banyumas Regebcy caused researched interested to identify causal factors related PDR. Quantitative modeling to analyze causal factors of perinatal Death Rate. The study observational research with case control design approach, there were 58cases and 58 sampling. As case group was all PDR in BAnyumas Regency and control groupwas all survive baby borne in the same block (1RT) and the same brith day with case group. There are some significantly effect toward perinatal death rate, asphyxia (OR=93,13 95% CI=12,06 – 917,31); Low income (OR = 76,70 95% CI=4,56 – 1289,08 ; Infection ((OR=46,06 95% C1=3,64 – 582,68) ; and lowbirth weight (OR 7,55 95% C1 =1,71 – 33, 25). Quantitative model as following Y = 1 1+ e –(constans + B asphyxia + B infection+B low birth weight Continuum antenatal care and seeking for health treatment if there are any co morbiduity with the baby such as asphyxia , infectuoinn an low birth weight.
FAKTOR – FAKTOR YANG MEMPENGARUHI PEMANFAATAN PELAYANAN PENGOBATAN INFEKSI MENULAR SEKSUAL (IMS) DI PUSKESMAS PURWOKERTO SELATAN KABUPATEN BANYUMAS. Kurniawan, Arif; Intiasari, Arih Diyaning
Kesmas Indonesia Vol 5 No 1 (2012): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

ABSTRACT South Purwokerto is a region that also has high risk of Sexual Transmitted Infection (IMS) because there are wild prostitution areas which located in ex terminal and Rajawali Cinema. Based on data, curative service exploiting in Puskesmas Baturaden II have been good enough that equals to 83,93%, while in Puskesmas Purwokerto Selatan shows number of patients exploiting therapy service of IMS still be low that equals to 37,5%. This research aims to know service exploiting of Sexual Transmitted Infection ( IMS) therapy at IMS patient and factors influencing service exploiting of IMS therapy. The type of this research is survey with form of explanatory research. Population of this research is society in the job region of Puskesmas Purwokerto Selatan who have high risk of IMS. The sample number of this research is 40, obtained from formula of minimum sample size. Result of research shows that there is correlation between knowledge about therapy service of IMS, promotion of therapy service of IMS, and quality of therapy service of IMS with service exploiting of therapy IMS. While there is no correlation between service reachability of IMS therapy and service need of IMS therapy with service exploiting of IMS therapy. There is simultanous influence between promotion of IMS therapy service and quality of IMS therapy service with service exploiting of IMS therapy. Suggestion in this research is puskesmas must increase promotion of therapy service of IMS to the society in puskesmas region and increase quality of therapy service of IMS to the patient of IMS therapy. Kata Kunci : Pemanfaatan,Pengobatan, Infeksi Menular Seksual Kesmasindo Volume 5( 1)Januari 2012, hlm. 33-43
HUBUNGAN BEBAN KERJA DENGAN KINERJA BIDAN KONSELOR ASI DI PROVINSI DAERAH ISTIMEWA YOGYAKARTA Santi, Mina Yumei; Djanah, Nur; Margono, Margono
Kesmas Indonesia Vol 8 No 2 (2016): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

Coverage of exclusive breastfeeding in Yogyakarta province has reached 67.9% in 2013 but is still did not reach the scope of the national target (80%). One of the factors that influence the success of exclusive breastfeeding is the support of health professionals and breastfeeding counselor which is already available in many areas of health care. It is estimated that high workload caused the performance of midwife counselor of breastfeeding performance becomes low. The aim of this research was to determine the relationship of workload with the performance of midwife breastfeeding counselor in Yogyakarta. This method is quantitative analytical research with cross sectional approach from August-November 2014. This research was made using NASA-TLX (Task Load Index) questionnaire. Sample was determined total population of 45 midwive counselor of breastfeeding. The independent variables is workload and the dependent variable is midwife counselor’s performance. Data analysis using univariate, bivariate analysis with significance level of 5%. The average age of midwife counselor of breastfeeding is 38.71 years, 84.4% educated Diploma-III of Midwifery. The average length of time working as breastfeeding counselor’s is is 43.20 months. Pearson correlation test results showed there was no relationship between workload with the performance of midwife counselor of breastfeeding (p=0.144>0.05)
HUBUNGAN PELAYANAN ANTENATAL CARE (ANC) TERPADU DENGAN PEMERIKSAAN PENCEGAHAN PENULARAN DARI IBU KE ANAK (PPIA) DI PUSKESMAS SLEMAN TAHUN 2018 Rizqi, Ana Amalia; Ayu, Suci Musvita
Kesmas Indonesia Vol 11 No 2 (2019): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (379.903 KB) | DOI: 10.20884/1.ki.2019.11.2.1495

Abstract

Abstrak Latar belakang: Angka Kematian Ibu (AKI) di Kabupaten Sleman pada tahun 2017 sebesar 42,78 per 100.000 kelahiran hidup, AKI menurun dibanding tahun 2016 yaitu sebesar 56,59 per 100.000 kelahiran hidup. Sedangkan Angka Kematian Bayi (AKB) sebesar 4,20 per 1.000 kelahiran hidup, AKB meningkat dibandingkan tahun 2016 yaitu sebesar 3,11 per 1.000 kelahiran hidup. Upaya untuk menurunkan angka kematian ibu dan bayi salah satunya melalui program pelayanan antenatal care terpadu. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara pelayanan Antenatal Care (ANC) terpadu dengan pemeriksaan Pencegahan Penularan dari Ibu ke Anak (PPIA) pada Ibu Hamil di Puskesmas Sleman Tahun 2018. Metode Penelitian: Rancangan penelitian ini analitik observational dengan rancangan cross-sectional. Subyek penelitian adalah ibu hamil yang ada di wilayah Puskesmas Sleman. Sampel penelitian 104 orang dengan teknik pengambilan sampel purposive sampling. Alat penelitian ini kuesioner. Analisis data adalah univariate dan bivariate. Hasil Penelitian: Menunjukkan nilai signifikan 0,001 (p<0,05), maka dapat diketahui terdapat hubungan antara pelayanan Antenatal Care (ANC) terpadu dengan pemeriksaan Pencegahan Penularan dari Ibu ke Anak (PPIA) pada Ibu Hamil di Puskesmas Sleman 2018, nilai Prevalensi Risk 25,714 (>1) dan nilai CI antara 3,094 dengan 213,742 sehingga tidak melewati angka satu, artinya varibel tersebut merupakan faktor risiko. Kesimpulan: Ada hubungan antara pelayanan Antenatal Care (ANC terpadu dengan pemeriksaan Pencegahan Penularan dari Ibu ke Anak (PPIA) pada Ibu Hamil di Puskesmas Sleman.
STUDI DESKRIPTIF PENINGKATAN KUALITAS PENGGUNAAN BUKU KIA PADA IBU BALITA DI DESA KALIBAGOR Nurhayati, Siti; Sistiarani, Colti; Dardjito, Endo
Kesmas Indonesia Vol 7 No 1 (2014): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

ABSTRACTMaternal and Child Health ( MCH ) as a means of recording maternal and child health services since pregnant women, childbirth and during the postpartum infants born to 5 years old, including service family planning, immunization, nutrition and child development. Some issues related to the use of the MCH book are: completeness of data entry in the MCH book, the quality of the data recorded in the book of MCH, and the level of compliance of the mother carrying the MCH book . The purpose of this activity is to improve maternal compliance in carrying the book when visiting post integrated community.This study is to monitor compliance with the mother in bringing continuous MCH book every month for about 2 months . This indicator is observed / checked to the mother during a visit to a neighborhood health center before the intervention and after implementation of the intervention on each posyandu organizing activities that serve as research sites / partners . From the observation of no increased adherence posyandu Puspitasari toddler 's mother after giving intervention IEC, from 56.6 % to 60 % ( increase of 3.4 % ). Increased compliance posyandu watugede toddler 's mother after giving IEC intervention is of 33.3 % to 50 % ( an increase of 16.7 % ) . Suggested to always deliver IEC moms toddlers in posyandu so bring a book MCH compliance is maintained. IEC can be given by health professionals or by a health worker.Keyword: Mathernal and Child Health (MCH) book, Information, Education and Communication (IEC). Kesmasindo, Volume 7( 1) Juli 2014, Hal 54-62

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