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Archive of Community Health (Arc.Com.Health)
Published by Universitas Udayana
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Articles 57 Documents
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

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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

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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.
UNLINKED ANONYMOUS SEROPREVALEN SURVEY HIV PADA IBU HAMIL DAN PERILAKU BERISIKO TERKAIT DI KABUPATEN KLUNGKUNG, BALI TAHUN 2011 Widarini, putu; Swandewi Astuti, Putu Ayu; Lubis, Dinar; Suariyani, Putu
ARCHIVE OF COMMUNITY HEALTH Vol 1 No 2 (2012)
Publisher : Program Studi Kesehatan Masyarakat Universitas Udayana

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HIV dan AIDS di Provinsi Bali menduduki prevalensi kedua di Indonesia. Pekerja seks perempuan (PSP) merupakan kelompok berisiko dengan prevalensi HIV yang cukup tinggi dan sangat berpotensi menularkan HIV ke pelanggannya, yang selanjutnya berisiko terjadi penularan dari pelanggan ke pasangannya. Hasil studi yang melibatkan bidan praktek swasta di Denpasar menunjukkan persentase HIV pada ibu hamil sebesar 1,2%. Di Kabupaten Klungkung cukup banyak dijumpai café serta lokasi yang memungkinkan sebagai tempat transaksi seksual antara PSP dan pelanggan, dan belum pernah dilakukan eksplorasi terhadap  prevalensi HIV pada ibu hamil. Oleh karena itu penting untuk mengetahui kejadian HIV/AIDS pada ibu hamil di Kabupaten Klungkung. Penelitian ini merupakan penelitian survei potong lintang yang bersifat anonymous (unlinked anonymous survey) dengan populasi penelitian adalah semua ibu hamil di Kabupaten Klungkung, dan populasi terjangkau adalah ibu hamil yang melakukan ANC ke puskesmas. Jumlah sampel minimal pada penelitian 230 orang, yang dihitung berdasarkan asumsi prevalensi HIV pada ibu hamil (p=1,2%), tingkat kepercayaan 95% (?=5%), dan margin of error =1%. Data yang dikumpulkan meliputi karakteristik, riwayat kehamilan dan riwayat perilaku berisiko dan status HIV. Status HIV ditentukan berdasarkan  hasil pemeriksaan dari di Balai Lab Kesehatan Provinsi Bali. Data dianalisis secara deskriptif menggunakan perangkat statistik. Ibu hamil rata-rata berusia 28 tahun, dengan pendidikan terbanyak adalah SMP dan SMA, sebanyak 58,7% merupakan kehamilan I dan II. Tidak ada ibu hamil yang HIV+, sehingga prevalensi HIV pada ibu hamil ditemukan sebesar 0%. Riwayat paparan terhadap risiko penularan IMS termasuk HIV&AIDS ditemukan pada 23,3% ibu hamil, yang terbanyak adalah riwayat keluhan infeksi menular seksual dan riwayat suami bekerja di luar kota. Dari penelitian dapat dilihat prevalensi HIV pada ibu hamil sebesar 0%, namun cukup banyak yang memiliki riwayat perilaku/paparan risiko. Rekomendasi untuk pihak terkait agar bisa melakukan pemantauan prevalensi HIV pada ibu hamil dengan mengembangkan program pencegahan penularan dari ibu ke anak (PMTCT).
HUBUNGAN LAMA PENGGUNAAN OBAT ANTI TUBERKULOSIS DENGAN EFEK SAMPING PADA PASIEN TB MDR RAWAT JALAN DI RSUP SANGLAH DENPASAR Pratiwi, Ni Kadek Ari Cipta; Yowani, Sagung Chandra; Sajinadiyasa, I Gede Ketut
ARCHIVE OF COMMUNITY HEALTH Vol 3 No 2 (2016)
Publisher : Program Studi Kesehatan Masyarakat Universitas Udayana

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Kasus tuberkulosis resisten obat ganda telah menjadi masalah kesehatan yang serius. Penatalaksanaan klinis TB MDR menggunakan OAT (obat anti tuberkulosis) lini I yang masih sensitif dan lini II, sehingga risiko efek samping lebih berat dan waktu pengobatan lebih lama. Tujuan penelitian ini adalah untuk mengetahui hubungan lama terapi penggunaan obat anti tuberkulosis dengan efek samping obat pada pasien tuberkulosis resisten obat ganda (TB MDR). Penelitian ini dilakukan di RSUP Sanglah Kota Denpasar pada periode Desember 2015 sampai Pebruari 2016 dengan menggunakan metode penelitian deskriptif dengan rancangan retrospektif. Subjek pada penelitian ini adalah pasien TB MDR rawat jalan di RSUP Sanglah Kota Denpasar. Data rekam medis pasien digunakan untuk mengetahui lama terapi serta efek samping yang dikeluhkan pasien kemudian data tersebut diolah dengan menggunakan analisis uji Fisher Exact. Pada penelitian ini diperoleh 15 pasien TB MDR yang memenuhi kriteria sebagai sampel. Terdapat sebanyak 10 pasien (66,67%) dengan efek samping ringan dan sebanyak 2 pasien (13,33%) yang mengalami efek samping berat. Tiga pasien TB MDR (20%) sebaliknya tidak mengalami keluhan atau efek samping sama sekali. Hasil analisis dengan uji Fisher Exact menunjukkan tidak terdapat hubungan antara lama terapi dengan efek samping obat (p=0,515).
KESEHATAN PARIWISATA: ASPEK KESEHATAN MASYARAKAT DI DAERAH TUJUAN WISATA Ady Wirawan, I Made
ARCHIVE OF COMMUNITY HEALTH Vol 3 No 1 (2016)
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SISTEM PEMELIHARAAN ANJING SEBAGAI SALAH SATU HEWAN PENULAR RABIES PADA PENDERITA RABIES DI PROVINSI BALI TAHUN 2011 kardiwinata, pasek; Sutarga, Made; subrata, made; Suariyani, Putu
ARCHIVE OF COMMUNITY HEALTH Vol 1 No 1 (2012)
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The number of cases of dog bites in the province of Bali has been a rise high enough. 2009, thenumber of dog bites 21 806 bite, the amount of gain VAR as many as 18 825 people, as many as27 people died. October 16, 2010 the number of bites as much as 44 629 bites, which get the VARas many as 38 982 people, as many as 62 people died. According Disnak (2010) maintance systemof dog conducted by the Balinese tend to be untied so the dogs are freely to enter and out of thehouse. An objective to be achieved in this study was to determine the system of dog maintancewhich is one of the animals transmi! ing rabies (HPR) in patients with rabies in Bali.The study design used was descriptive cross-sectional. The population in this study were all patients who die from the bite of HPR in Bali in 2010-2011, the sample was part of the patientpopulation rabies recorded in Bali Provincial Health O?  ce in 2010-2011 with a porpusivesampling techniquePeople with rabies who had HPR were 35.4%, HPR which were not given VAR about 63.6%, andmostly were detachable cages. The reason of  had dogs were to guard the house and hobbyists.Dogs that bite the sample were not known who were the owner / wild, so a$ er the bite were notknown its existence, it is di?  cult to observe, there were also death but were killed only a smallpart due to illnessIt showed that the mantaince system of dog were not good. The results of this study can be usedas a reference to  the stakeholders in order to prevent disease, especially rabies in dogs and themaintenance system. Future studies on rabies vaccination coverage in dogs and the preventionmodel in order to reduce the incidence of rabies in the Bali.
EFEK KONSUMSI BIO-YOGHURT DARI LACTOBACILLUS RHAMNOSUS SKG34 TERHADAP LIPID PROFILE PADA MANUSIA Pratiwi, I Desak Putu Kartika; Nocianitri, Komang Ayu; Aryanta, Wayan Redi; Ramona, Yan; Sukrama, I Dewa Made; Sujaya, I Nengah
ARCHIVE OF COMMUNITY HEALTH Vol 2 No 1 (2013)
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This research was carried out to elucidate the eff ect of consumption bio-yoghurt produced byLactobacillus rhamnosus SKG34 on plasma lipid profi les in human. The study was performed usingpre and post analysis. Eleven healthy volunteers aged between 30-48 yeras old were participatedin this study. Each volunteers consumed 100g of bio-yoghurt containing L.rhamnosus SKG34 for 21 days. Blood samples were taken before the start of experiment and after 21 days of comsumption. Total cholesterol was measured using CHOP-POD method, while triglyceride determinedusing glycerol method, LDL and HD determined using homogenous method. Results of thestudy revealed that consumption of the bio-yoghurt lower values of plasma lipid concentrationsin hypercholesterolemia subjects. Total cholesterol, triglyceride and LDL was reduced within4.91%, 13.84%, and 8.24%, respectively, when compare to its concentrations before treatment.However, the plasma lipid concentrations in normal subjects were almost stable during thetreatment periods. Consumption of bio-yoghurt for 21 days had no eff ect on HDL-cholesterollevel. These results indicate that consumption of bio-yoghurt containing L.rhamnosus SKG34specifi cally lowered the concentrations of serum total cholesterol, LDL, and triglyceride onhypercholesterolemia subjects.
TINGKAT KEPUASAN PENGGUNA LAYANAN MANGUPURA WOMAN SERVICES DI KABUPATEN BADUNG TAHUN 2016 Dewi, Anak Agung Istri Ratna Maadnyani; Nopiyani, Ni Made Sri
ARCHIVE OF COMMUNITY HEALTH Vol 4 No 1 (2017): Juni (2017)
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A mobile early detection of breast cancer named ?Mangupura Woman Services? (MAWAS) has been conducted by Badung District Health office, Bali Province. Evaluation of users? satisfaction towards MAWAS has not been conducted. This study aimed to measure users? satisfaction levels towards MAWAS. A cross-sectional study was conducted in Badung to 90 respondent who recruited purposively based on the criteria of women in reproductive age who have utilized MAWAS. Users? satisfaction was explored from five dimensions of healthcare quality including tangible, reliability, responsiveness, assurance and empathy. Data was analyzed using Importance Performance Analysis and Cartesius Diagram.  The highest importance score was in dimension of assurance (333,67) and the lowest was in responsiveness (323). The highest performance score was in dimension of empathy (310,25) and the lowest was in reliability (293,6). Empathy was the dimension with the highest level of satisfaction (94,66%) and reliability was the lowest (87,90%). Components of MAWAS that should be the main priorities for improvement were the comfort of service area, skill and ability of providers, information about service procedures and examination results. This study showed that tangible and reliability dimensions were perceived as unsatisfactory. Meanwhile, responsiveness, assurance and empathy dimensions were considered as satisfactory. Therefore, the managers of MAWAS should conduct training to improve the skill of service providers in providing quality services for the community.   Keywords: User?s satisfaction, mobile screening, breast cancer, Badung
PERILAKU BEROLAHRAGA DALAM UPAYA PENCEGAHAN HIPERTENSI PADA WANITA USIA PRODUKTIF DI PANCORAN MAS, DEPOK, JAWA BARAT Kurniati, Yuli; Inayah, Giri; Samaria, Karina
ARCHIVE OF COMMUNITY HEALTH Vol 1 No 2 (2012)
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Hipertensi adalah salah satu penyakit tidak menular yang dapat dicegah. Prevalensinya saatini semakin meningkat, begitu juga di wilayah RW 8 Pancoran Mas, Depok. Kasus hipertensipada wanita meningkat setiap bulannya dan mulai banyak terjadi pada usia produktif. Prevalenhipertensi di Kota Depok sebesar 22,6%. Salah satu upaya untuk mencegah hipertensi yaituolahraga, yang selama ini sudah dilakukan pada usia lanjut oleh Posbindu, namun kasushipertensinya terus meningkat. Sebuah studi kualitatif diperlukan untuk mengetahui faktor apayang mendasari kondisi tersebut. Tujuan dari penelitian ini adalah untuk mengkaji lebih dalamperilaku berolahraga pada wanita dalam mencegah hipertensi. Penelitian ini menggunakanpendekatan Rapid Assesment Procedure.Hasil studi mendapatkan bahwa hanya sedikit informan yang melakukan olahraga dalammencegah hipertensi. Pengetahuan yang kurang; kurangnya informasi, sarana prasarana dansedikitnya dukungan dari keluarga, tetangga dan petugas kesehatan merupakan faktor yangberkaitan dengan rendahnya perilaku berolahraga di daerah ini. Olahraga belum menjadi budayadi wilayah ini.Penelitian ini menyarankan adanya peningkatan pengetahuan, informasi, fasilitas dan dukungansosial untuk meningkatkan perilaku berolahraga.
KONDISI LINGKUNGAN DI DAERAH YANG PERNAH MENGALAMI KEJADIAN LUAR BIASA JAPANESE ENCEPHALITIS Nurhidayah, Nurhidayah; Sutarga, Made; Kardiwinata, Made Pasek
ARCHIVE OF COMMUNITY HEALTH Vol 4 No 1 (2017): Juni (2017)
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ABSTRACTCanggu Village is an area that has experienced outbreaks of Japanese encephalitis (JE) in 2015 by JE clinical cases as many as 18 cases. This study aims to determine the environmental conditions, of JE prevention in the village of Canggu. This research is a descriptive cross-sectional design. The sampling technique using quota sampling, from 7 hamlets in the village of Canggu taken each 22 respondents to be sampled in the study to meet the minimum required quota sample. The sampling of this research are respondent that live in radius 100 meters from pig stable. The number of respondents in the interview are as many as 151 people consisting of 17 patients and 134 non JE. The results showed that 82.84% of respondents have a risky environment, whereas respondents that stay near rice terraces 14,28% get JE and respondent that around their house there is a dirty puddle 28,57% get JE. The conclusion from this study is most respondents have a risk of environmental conditions. Where the most part of them is stay close to the field. It is recommended that the government to provide education or counseling equitably to community, not only who have experienced clinical symptoms of JE but also high-risk society.Keywords: Japanese encephalitis, Environmental Conditions, Outbreak