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Published By Badan Penelitian Dan Pengembangan Kesehatan

2338-3453, 0125-9695

2021 ◽  
Vol 49 (4) ◽  
pp. 215-222
Author(s):  
Rizqinda Lailatul Lestari ◽  
Tina Handayani Nasution ◽  
Ahmad Hasyim Wibisono ◽  
Miftakhul Jannah ◽  
Ulfi Nur Widiyanti ◽  
...  

Lupus is a chronic autoimmune disease that can become a bio-psycho-socio-economic-culture-spiritual burden for individuals because its complex treatment and management. Self-acceptance and adherence to medication are the keys in lupus management. Purpose of this study was to determine the relationship between self-acceptance level of lupus patients and their medication adherence level. The study was designed using a correlational study with a cross sectional approach. About 92 lupus patient respondents at Kupu Parahita Indonesia Foundation who went to the Saiful Anwar Hospital Malang were selected using purposive sampling according to inclusion and exclusion criteria. Respondents were asked to fill out a modified Acceptance of Illness questionnaire to measure patient self-acceptance level and the Morisky Medication Adherence Scale 8 (MMAS-8) to assess drug adherence level. From the 92 respondents, it was found that 37% had a high level of self-acceptance, 52.2% were moderate, and 10.8% were low. Adherence medication level in 92 respondents showed 51.1% high, 38.1% moderate, and 10.8% low. Spearman test results showed a significant relationship between self-acceptance level and medication adherence level (p=0.001, r=0.355). This value indicates the strength of the weak relationship and the direction of the positive correlation between self-acceptance and medication adherence. Conclusion, the higher of self-acceptance level of lupus patients, the higher medication adherence level.


2021 ◽  
Vol 49 (4) ◽  
pp. 205-214
Author(s):  
Chandra Rudyanto

Abstract Adequate health condition urgently required by pilgrims because pilgrimage process involves a very heavy physical activity.  Hajj pilgrims with good physical fitness  classified as pilgrims who fulfill health istiţā'ah.  Participation of  pilgrims in a fitness improvement program could be observed through physical exercise behaviour. This study aimed to describe the level of pilgrims’physical exercise in Lumajang District and analyse the relationship between the characteristics, knowledge, and attitudes of the pilgrims with physical exercise.  This research used a quantitative method with a cross sectional design. Primary data collected through a survey from 185 respondents. Data analysis was performed using a statistical test of multiple logistic regression. The results showed that most of the pilgrims (61.8%) had high knowledge of physical exercise. More than 86 % of pilgrims have a supportive attitude towards physical exercise. In conclusion, this study found there was no significant relationship between knowledge and attitudes with physical exercise (p>0.05). Participation in physical exercise of pilgrims showed that 12,9% of pilgrims have a good and very good level of physical exercise. Physical exercise behavior provides an indication of the active participation of pilgrims in hajj health improvement program before departure. It was recommended that the the measurement of the level of physical exercise that took into account the factors of frequency, duration and intensity could be part of the policy on hajj health management in Indonesia.  


2021 ◽  
Vol 49 (4) ◽  
pp. 231-246
Author(s):  
Mamenun Mamenun ◽  
Yonny Koesmaryono ◽  
Rini Hidayati ◽  
Ardhasena Sopaheluwakan ◽  
Bambang Dwi Dasanto

Since discovered firstly in 1968, number of cases and areas affected by DHF in Indonesia has been increased. In 2019, dengue cases have found in all provinces within 481 districts/cities (94%). Our research is conducted to analyze the current status and gaps of climate relationship and its modeling to DHF in Indonesia. A systematic searching of literature was carried out through the search engine PubMed and Google Scholar. The method includes determining questions, publication period, keywords, and criteria of literature. Thirty-two literatures have been selected according to the criteria. The study area has covered all provinces in Java, Bali and West Nusa Tenggara, several locations in Sumatra, Kalimantan, Sulawesi, while the eastern region has still limited study. Spatial and temporal variations were used predominantly at the city with monthly data scale. Relationship analysis between DHF cases and climate/non-climate has been used the Spearman’s and Pearson’s correlation. DHF prediction modeling involves dominant climate parameters such as rainfall, temperature, humidity and non climate parameters using linear/non-linear relationships and static/dynamic models. Climate model development needs to be improved with a narrower spatial resolution and shorter time scale, elevation, mobilization, regional climate, and climate change scenarios to get appropriate model on a specific location.


2021 ◽  
Vol 49 (4) ◽  
pp. 223-230
Author(s):  
Heru Muryawan ◽  
Dian Yusnita ◽  
Muyassaroh Muyassaroh

Abstract Education is one of the factors that influence a person's knowledge, thereby increasing human attitudes and behavior for the better. Public knowledge about Covid-19 is very important so that prevention of Covid-19 can be done to reduce the number of incidents. The purpose of this study was to determine the relationship between education level and knowledge, attitudes and behavior of patients on the prevention of Covid-19. This study is a descriptive analytic study on patients aged 18-66 years in the outpatient installation of Merpati RSUP Dr. Kariadi in June 2020 using a validated questionnaire. The number of samples determined was 186. Sampling was carried out by consecutive sampling. Data analysis with Chi Square test. Significant results if p<0.05. There were 186 respondents, the lowest was 15 years and the highest was 66 years. It was found that the level of education was not related to knowledge (p=0.397) and attitude (p=0.148). There is a relationship between education level and behavior (p=0.003). There is a relationship between knowledge and behavior towards the prevention of transmission of Covid-19 with a value of p=0.025. Behavior is related to attitudes towards preventing the transmission of Covid-19 (p<0.001). Keywords: Covid-19 prevention, knowledge, attitude, behavior. Abstrak   Pendidikan merupakan salah satu faktor yang mempengaruhi pengetahuan seseorang sehingga meningkatkan sikap dan perilaku manusia menjadi lebih baik. Pengetahuan masyarakat mengenai covid-19 merupakan hal yang sangat penting agar pencegahan Covid-19 dapat dilakukan untuk menurunkan angka kejadian.Tujuan penelitian ini adalah mengetahui hubungan tingkat pendidikan denagn pengetahuan, sikap dan perilaku pasien terhadap pencegahan covid-19. Penelitian ini bersifat diskriptif analitik yang dilakukan pada pasien usia 18 – 66 tahun di instalasi rawat jalan merpati RSUP Dr. Kariadi bulan juni 2020 dengan menggunakan kuesioner yang sudah divalidasi. Jumlah sampel yang ditentukan sebanyak 186. Pengambilan sampel dilakukan secara consecutive sampling. Analisis data dengan uji Chi Square. Batas kemaknaan p<0,05. Hasil penelitian di dapatkan 186 responden umur terendah 15 tahun dan tertinggi 66 tahun. Didapatkan tingkat pendidikan tidak berhubungan dengan pengetahuan (p=0,397) maupun sikap(p=0,148). Terdapat hubungan antara tingkat pendidikan dengan perilaku (p=0,003). Terdapat hubungan antara pengetahuan dengan perilaku terhadap pencegahan penularan Covid–19 dengan nilai p=0,025. Perilaku berhubungan dengan sikap terhadap pencegahan penularan Covid–19 (p<0,001).    


2021 ◽  
Vol 49 (4) ◽  
pp. 247-256
Author(s):  
Rizka 'Afifatussalamah ◽  
Fariani Syahrul

Sejak tahun 2009 surveilans TB di Dinas Kesehatan Kota Surabaya sudah memanfaatkan sistem informasi tuberkulosis terpadu (SITT). Evaluasi sistem informasi TB diperlukan agar dapat memberikan informasi untuk memecahkan masalah TB secara tepat di Kota Surabaya. Tujuan kajian ini adalah menggambarkan sistem informasi TB di Dinas Kesehatan Kota Surabaya berdasarkan input, proses, dan output. Informan adalah pengelola program TB di Dinas Kesehatan. Pengumpulan data dilakukan dengan wawancara dan studi dokumen. Analisis data dilakukan dengan USG (Urgency, Seriousness, and Growth) untuk menetapkan prioritas dan Fishbone untuk menentukan akar penyebab masalah. Hasil kajian menunjukkan masih adanya ketidaklengkapan pengisian pada SITT, ketersediaan tenaga dan sarana sudah sesuai,  jaringan internet yang ada masih belum stabil, pedoman yang digunakan sudah sesuai. Tercatat 63 Puskesmas yang ada di Surabaya telah melakukan pencatatan dan pelaporan TB, namun baru 42% Rumah Sakit yang sudah memiliki MoU dengan Dinas Kesehatan yang melakukan pencatatan dan pelaporan TB. Pengelola program masih mengalami kesulitan dalam analisis data TB. SITT yang digunakan saat ini belum bisa memenuhi semua kebutuhan pencatatan dan pelaporan TB terutama dalam analisis data.


2021 ◽  
Vol 49 (4) ◽  
pp. 193-204
Author(s):  
Indah Margarethy ◽  
Milana Salim ◽  
Marini Marini

The One House One Jumantik Movement Program (G1R1J) involves the family as the smallest social unit in society in controlling dengue fever. G1R1J socialization in Prabumulih City was carried out in 2019, namely in Patih Galung Village. The role of the jumantik coordinator cadre in implementing a program is very important, especially in socialization in the community. This study aims to determine the perception of the jumantik coordinator cadre on the G1R1J and DHF programs that can affect the behavior of the community in implementing the G1R1J program in their environment. Data was collected by means of in-depth interviews and focus group discussions. The informants of this research are jumantik coordinator cadres in Patih Galung Village. The data is processed based on thematic analysis with the Health Belief Model (HBM) approach. The results of this study describe the role of the jumantik coordinator in disseminating G1R1J to the community, which is strongly influenced by the presence of community leaders who also act as jumantik coordinators, coupled with the jumantik coordinator's understanding of the concepts of DHF and G1R1J and the benefits of the G1R1J program itself. Lack of response or rejection from some communities can have an impact on the motivation of cadres to carry out their roles. For this reason, external support is needed in the form of assistance either by health workers as a reference source of health information, as well as from regional stakeholders, such as the head of the RT, Lurah or Camat to the jumantik coordinator to maintain the motivation and confidence that has been formed.


2021 ◽  
Vol 49 (3) ◽  
pp. 183-192
Author(s):  
Santoso Santoso ◽  
Yahya Yahya ◽  
Yanelza Supranelfy ◽  
Tri Wurisastuti

East Tanjung Jabung Regency, Jambi did not pass in the Pre-Transmission Assessment Survey (Pre-TAS) in 2017, while Belitung, Bangka Belitung has a microfilaria rate (Mf rate) >1% even though it has passed TAS 1,2, and 3. The purpose of this study is to identify the program implementation control of lymphatic filariasis in East Tanjung Jabung Regency and Belitung Regency. The research was conducted in four villages, namely of Rantau Rasau 2, Nibung Putih (East Tanjung Jabung), Lasar, and Suak Gual (Belitung). Blood sampling was conducted on 1,919 people aged 5-70 years, while interviews were conducted on 900 people aged >16 years. The results of blood tests in East Tanjung Jabung were not found positive for mf, while in Belitung, 33 people were found positive for mf. The results of the risk estimate analysis of the respondent's knowledge, attitude and behavior factors indicate that respondents who live in East Tanjung Jabung Regency have a better level of knowledge, attitudes, and behaviour towards lymphatic filariasis t han respondents who live in Belitung Regency. Keywords: lymphatic filariasis, elimination, risk factor Abstrak Kabupaten Tanjung Jabung Timur, Jambi tidak lulus dalam Survei Penilaian Pra Transmisi (Pre-TAS) tahun 2017, sedangkan Belitung, Bangka Belitung memiliki angka mikrofilaria (Mf rate) >1% padahal sudah lolos TAS 1,2, dan 3. Tujuan penelitian ini adalah untuk mengidentifikasi pelaksanaan program pengendalian penyakit filariasis limfatik di Kabupaten Tanjung Jabung Timur dan Kabupaten Belitung. Penelitian dilakukan di empat desa, yaitu Rantau Rasau, Nibung Putih (Tanjung Jabung Timur), Lasar dan Suak Gual (Belitung). Pengambilan sampel darah dilakukan pada 1.919 orang berusia 5-70 tahun, sedangkan wawancara dilakukan pada 900 orang berusia >16 tahun. Hasil tes darah di Tanjung Jabung Timur tidak ditemukan positif mf, sedangkan di Belitung, 33 orang ditemukan positif mf. Hasil analisis estimasi risiko faktor pengetahuan, sikap dan perilaku responden menunjukkan bahwa responden yang berdomisili di Kabupaten Tanjung Jabung Timur memiliki tingkat pengetahuan, sikap, dan perilaku yang lebih baik terhadap filariasis limfatik dibandingkan responden yang berdomisili di Kabupaten Belitung. Kata kunci: filariasis limfatik, eliminasi, faktor risiko


2021 ◽  
Vol 49 (3) ◽  
pp. 175-182
Author(s):  
Arief Nugroho ◽  
Esti Rahardianingtyas ◽  
Rendro Wianto ◽  
Nurhidayati Nurhidayati ◽  
Farida Dwi Handayani

Leptospirosis is still a health problem in the word. Leptospirosis can be transmitted to humans trough contact with environment infected with pathogenic Leptospira. Efforts to control pathogenic Leptospira in the environment can be done one of them by disinfecting. Effective desinfectants for the control of pathogenic Leptospira include the active ingredients Calcium hypochlorite 60% and Sodium hypochlorite 5,25%. This study aims to determine the effectiveness of Calcium hypochlorite 60% and Sodium hypochlorite 5,25% against the life power of pathogenic Leptospira. This research is a laboratory study with pure experimental design. Serovar of pathogenic Leptospira used is Leptospira icterohaemorrhagiae. Leptospira icterohaemorrhagiae desnsity used as much as 5.7 x 106 Leptospira/ml. The concentrations of desinfectans and bacteria are: 5 ppm, 50 ppm, 500 ppm, 1000 ppm, 2000 ppm, 5000 ppm, 10.000 ppm, and 25.000 ppm. Observations are made every ten minutes and twenty minutes with three repeats. The results showed that Leptospira icterohaemorrhagiae could not survive when tested on 60% calcium hypochlorite and 5.25% sodium hypochlorite, respectively, at a concentration of 2000 ppm and a concentration of 1000 ppm. Statistical results showed there was a significant difference in the concentration of each disinfectant active ingredient. Thus, a disinfectans of chlorine with the active ingredient Calcium hypochlorite 60% and Sodium hypochlorite 5,25% effectively affects the viability of the Leptospira icterohaemorrhagiae. Keywords : Sodium Hypochlorite, Calcium Hypochlorite, Leptospira, Disinfectant Abstrak Leptospirosis masih menjadi masalah kesehatan di dunia. Leptospirosis dapat menular ke manusia lewat kontak dengan lingkungan yang mengandung Leptospira patogenik. Upaya pengendalian Leptospira patogenik di lingkungan dapat dilakukan salah satunya dengan pemberian disinfektan. Disinfektan yang efektif untuk pengendalian Leptospira patogenik diantaranya adalah bahan aktif kalsium hipoklorit 60% dan sodium hipoklorit 5,25%. Penelitian ini bertujuan mengetahui efektivitas bahan aktif kalsium hipoklorit 60% dan sodium hipoklorit 5,25% terhadap daya hidup Leptospira patogenik. Penelitian ini merupakan penelitian skala laboratorium dengan rancangan eksperimental murni. Serovar Leptospira patogenik yang digunakan adalah Leptospira icterohaemorrhagiae. Kepadatan Leptospira icterohaemorrhagiae yang digunakan sebanyak 5,7 x 106 Leptospira/ml. Konsentrasi campuran disinfektan dan bakteri yaitu: 5 ppm, 50 ppm, 500 ppm, 1000 ppm, 2000 ppm, 5000 ppm, 10.000 ppm, dan 25.000 ppm. Pengamatan dilakukan tiap 10 menit dan 20 menit dengan tiga kali ulangan. Hasil penelitian menunjukkan Leptospira icterohaemorrhagiae tidak dapat hidup saat diujikan ke kalsium hipoklorit 60% dan sodium hipoklorit 5,25% berturut-turut pada konsentrasi 2000 ppm dan konsentrasi 1000 ppm. Hasil statistik menunjukkan ada perbedaan signifikan dari besaran konsentrasi masing-masing bahan aktif disinfektan. Dengan demikian, disinfektan klorin dengan bahan aktif calcium hypochlorite 60% dan sodium hypochlorite 5,25% efektif memengaruhi daya hidup Leptospira icterohaemorrhagiae. Kata kunci: Sodium hipoklorit, Kalsium hipoklorit, Leptospira, Disinfektan


2021 ◽  
Vol 49 (3) ◽  
pp. 145-154
Author(s):  
Ni Nyoman Veridiana ◽  
Octaviani Octaviani ◽  
Made Agus Nurjana

Pneumonia is an infectious disease that can cause death in children. The prevalence of this disease has increased and is mostly found in the 12-23 month age group. This paper aims to examine the internal and external factors associated with the incidence of pneumonia in children under two years of age in Indonesia. The data analyzed comes from secondary data from Riskesdas 2018. The Riskesdas design was cross-sectional. The research sample was all children under two years of age who were collected at the Riskesdas 2018 as many as 36,248 children. Bivariate data analysis using schi-square test and multivariate data analysis using logistic regression test. The results of the analysis showed that the risk factors for pneumonia in children under two years were the child's weight at birth (OR: 1,393; CI 95%: 1,009-1,923), the habit of opening a kitchen window (OR: 1,434; CI 95%: 1,097-1,874) and the smoking habit of other household members in the house (OR: 1,311; CI 95%: 1,088-1,580). These factors together can influence the incidence of pneumonia at under two years of age in Indonesia. Therefore, it is necessary to make efforts to change people's behavior to pay more attention to the health of LBW children, change smoking habits and get used to opening the kitchen window. These efforts can be carried out through outreach activities using various media, both formal and informal, and increasing community participation through the healthy living movement. Keywords: Internal, External, Children under two years of age, Pneumonia, Indonesia Abstrak Pneumonia merupakan penyakit infeksi yang dapat menyebabkan kematian pada anak. Prevalensi penyakit ini mengalami peningkatan dan paling banyak ditemukan pada kelompok umur 12-23 bulan. Tujuan dari tulisan ini adalah mengkaji faktor internal dan eksternal yang berhubungan dengan kejadian pneumonia pada anak bawah dua tahun di Indonesia. Data yang dianalisis bersumber dari data sekunder Riskesdas 2018. Desain Riskesdas adalah cross sectional. Sampel penelitian adalah seluruh anak berusia di bawah dua tahun yang terkumpul pada Riskesdas 2018 sebanyak 36.248 anak. Analisis data bivariat menggunakan uji chi-square dan analisis data multivariat menggunakan uji regresi logistik. Hasil analisis menunjukkan bahwa yang menjadi faktor risiko pneumonia pada anak baduta yaitu berat badan anak pada waktu lahir (OR: 1,393; CI 95%: 1,009-1,923), kebiasaan membuka jendela dapur (OR: 1,434; CI 95%: 1,097-1,874) dan kebiasaan merokok anggota rumah tangga lainnya di dalam rumah (OR: 1,311; CI 95%: 1,088-1,580). Faktor tersebut secara bersama-sama dapat mempengaruhi kejadian pneumonia pada baduta di Indonesia. Oleh karena itu, perlu dilakukan upaya merubah perilaku masyarakat untuk lebih memperhatikan kesehatan bayi BBLR, merubah kebiasaan merokok dan membiasakan diri membuka jendela dapur. Upaya tersebut dapat dilakukan melalui kegiatan penyuluhan dengan menggunakan berbagai media baik formal maupun informal dan meningkatkan peran serta masyarakat melalui gerakan hidup sehat. Kata kunci: Internal, External, Baduta, Pneumonia, Indonesia


2021 ◽  
Vol 49 (3) ◽  
pp. 155-166
Author(s):  
Ratna Dwi Wulandari ◽  
Agung Dwi Laksono

Unintended pregnancy can cause pregnancy termination, which leads to safety risks. This study analyzed factors affecting unintended pregnancy in Indonesia. The analysis units were women aged 15-49 who gave birth in the past five years. The sample size was 36,472 women. The research variable was unintended pregnancy, residence, age, education, husbands/partners, employment, wealth, parity, pregnancy termination, decision-maker in woman's access to health care, access to family planning information on radio, television, and newspapers/magazines. The final stage analysis used binary logistic regression. Women in urban were 1.834 times more likely to experience an unintended pregnancy than women in rural. The 20-24 age group was 0.202 times more likely to experience an unintended pregnancy than the 15-19 age group. Women with secondary education were 1.447 times more likely to experience an unintended pregnancy than no education women. The poorer were 1.190 times more likely to experience an unintended pregnancy than the poorest. Multiparity was a strong determinant of unintended pregnancy. History of pregnancy, a decision by husbands, and access to family planning information on radio and television in the last few months were risk factors for unintended pregnancies. The study concluded that eight variables affected unintended pregnancies. Keywords: unintended pregnancy, women of childbearing age, contraceptive use, family planning, maternal health. Abstrak Kehamilan yang tidak diinginkan dapat menyebabkan terminasi kehamilan, yang berujung pada risiko. Studi menganalisis faktor yang mempengaruhi kehamilan tidak diinginkan di Indonesia. Unit analisis wanita usia 15-49 tahun yang melahirkan dalam lima tahun terakhir. Besar sampel 36.472 responden. Variabel penelitian adalah kehamilan tidak diinginkan, tempat tinggal, usia, pendidikan, pasangan, pekerjaan, kekayaan, paritas, terminasi kehamilan, pengambil keputusan akses perempuan terhadap pelayanan kesehatan, akses informasi KB di radio, televisi, dan surat kabar/majalah. Analisis tahap akhir menggunakan regresi logistik biner. Hasil penelitian menunjukkan bahwa perempuan di perkotaan 1,834 kali lebih mungkin mengalami kehamilan yang tidak diinginkan dibandingkan perempuan di perdesaan. Usia 20-24 tahun 0,202 kali lebih mungkin mengalami kehamilan yang tidak diinginkan dibandingkan kelompok 15-19 tahun. Wanita dengan pendidikan menengah 1,447 kali lebih mungkin mengalami kehamilan yang tidak diinginkan daripada yang tidak berpendidikan. Kelompok yang lebih miskin 1,190 kali lebih mungkin mengalami kehamilan yang tidak diinginkan daripada yang paling miskin. Multiparitas adalah determinan kuat dari kehamilan yang tidak diinginkan. Riwayat kehamilan, keputusan suami, dan akses informasi KB di radio/televisi merupakan faktor risiko terjadinya kehamilan yang tidak diinginkan. Studi menyimpulkan delapan variabel yang mempengaruhi kehamilan yang tidak diinginkan. Kata kunci: kehamilan tidak diinginkan, wanita usia subur, penggunaan kontrasepsi, keluarga berencana, kesehatan ibu


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