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Need Assessment Insfrastruktur Kesehatan Masyarakat Daerah Tertinggal di Jawa Timur Martini, Santi; Devy, Shrimarti R; Sudarmaji, Sudarmaji; Nadhiroh, Siti R; Nurmala, Ira; Hargono, Rahmat; Rahmayanti, Riris; Hidayat, Sho’im; Martiana, Tri; Rahman, Firman Suryadi
IPTEK Journal of Proceedings Series No 5 (2017): Simposium I Jaringan Perguruan Tinggi untuk Pembangunan Infrastruktur Indonesia (2016)
Publisher : Institut Teknologi Sepuluh Nopember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12962/j23546026.y2017i5.3182

Abstract

Pelaksanaan kegiatan Pro-sehat Daerah Tertinggal (DT) Universitas Airlangga tahap II tahun 2015 dilaksanakan melalui beberapa kegiatan, terdiri dari koordinasi tingkat kabupaten, koordinasi tingkat kecamatan atau puskesmas, pengembangan Tim pro-sehat DT di puskesmas, identifikasi masalah tingkat desa, penentuan prioritas masalah dan strategi penyelesaian masalah.  Dalam tata kelola kegiatan di tingkat pedesaan, peran kepala desa sangat penting karena kepala desa sangat menentukan berbagai kegiatan yang akan dilakukan di desa. Untuk itu perlu dilakukan advokasi sehingga program kesehatan dapat masuk sebagai agenda pembangunan desa. Advokasi tidak hanya pada tingkat desa, namun juga sampai pada tingkat kecamatan dan kabupaten sehingga kebijakan pembangunan kesehatan masyarakat di pedesaan akan mendapat dukungan politis dari pengampu kebijakan. Koordinasi ditingkat kabupaten, kecamatan dan desa dilakukan  melalui kunjungan dan sosialisasi. Selanjutnya dilakukan kegiatan utama yaitu  need assessment  dengan perwakilan kecamatan, kepala desa, serta puskesmas. Kegiatan need assessment  dilakukan secara kualitatif dengan berbagai metode sesuai dengan kebutuhan dan kondisi di masing-masing kabupaten, yaitu : NGT (nominal grup technique),  wawancara mendalam dan Focus Group Discussion.  Hasil need assessment di empat Kabupaten tertinggal di Jawa Timur (Bangkalan, Sampang, Bondowoso dan Situbondo) menunjukkan bahwa air bersih menjadi masalah utama bagi warga yang tinggal di desa-desa terpilih.  Disamping air bersih, sanitasi dan akses ke pelayanan kesehatan (termasuk didalamnya ketersediaan, keberterimaan dan kualitas bidan) merupakan permasalahan kedua dan ketiga yang mendominasi di 4 kabupaten tersebut. Penyebab utama dari masalah air bersih adalah  dikarenakan faktor alam dan teknologi.  Faktor alam terkait dengan sumber air yang sedikit dan sulit dijangkau.  Faktor teknologi disini karena permasalahan yang sudah berlangsung lama belum juga diwujudkan solusinya dengan menggunakan teknologi tepat guna, seperti pipanisasi, penjernihan air, pendeteksian sumber air.
Perception of Roles as Peer Educators in High Schools to Prevent Drug Abuse among Adolescents Ira Nurmala1, Elisa Dwi Pertiwi1, Yuli Puspita Devi1, Muthmainnah1, Riris Diana R1
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 1 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i1.286

Abstract

Adolescence is a transition period between childhood and adulthood, adolescent tends to have high curiosity and seek identity. Adolescent is a vulnerable group as a target for drug dealer. The objective of this study was to determine the perception of students in carrying out their duties as peer educators. This study used qualitative study approach with a case study design which intended to define the perceptions of the research subjects through in-depth interviews, observations, and also document studies. The students’ perception of their roles as peer educators such as a keeper of confidential informations, motivators, sources of information, and discussion partners. The conclusion was that the students who were selected as peer educators in their school environment had a positive perception of the application of the method to prevent drug abuse among their peers. Therefore, the application of peer educator method in high schools in North Surabaya can be used as a reference for other schools to implement peer educator method to their students.
Relationship of Individual Factors, and Social Factors with Mother’s Intention to Continue Early Marriage Tradition in Indonesia Nurma Fuji Astutik1 , Ira Nurmala1
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 3 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i3.10521

Abstract

Early marriage is a marriage conducted by teenagers under the age of 20 who are not ready to carry out a marriage. Indonesia ranks 37th in the world and 2nd in ASEAN as a country with high rates of young marriage. Marriage at a young age affects physical, psychological and social health. The tradition of getting married at a young age is still high in Sumenep Regency. Sumenep Regency occupies the first position on the island of Madura with 2692 married women <20 years old. This happens because the tradition of young marriage still continues as a result of low individual understanding and supported by social factors. The purpose of this study was to analyze the relationship of individual factors and social factors to the mother’s intention to continue early marriage tradition in Sumenep Regency. This is a descriptive study using a qualitative approach. The method of data collection was performed qualitatively using in-depth interview and observation methods. The research instruments in this study were observation sheets and interview guidelines with a total of 32 main and key informants. Data analysis was performed using qualitative analysis including content analysis, analytical procedure, and translations. This study shows that in Sumenep, mothers with history of experiencing young age marriage had the intention to continue the tradition of early marriage. The mothers’ intention to continue the ealy marriage tradition is formed due to the existence of individual factors of past behavior and social factors including education, employment, culture, first marriage and religion. The conclusion of this study is that early marriage will continue. Therefore, cross-sector collaboration between central and regional governments, community leaders and related agencies (KUA and Health center) to reduce and prevent the occurrence of marriage of young children is required.
Revitalisasi Kader Sebagai Motivator Kesehatan Pra-Kehamilan Melalui Inovasi Media Komunikasi Nabila Khusna Amalia; Ayik Mirayanti Mandagi; Ira Nurmala; Rachmat Hargono; Desak Made Sintha Kurnia Dewi; Jayanti Dian Eka Sari; Syifa’ul Lailiyah; Diansanto Prayoga; Susy Katikana Sebayang; Septa Indra Puspikawati; Mohammad Zainal Fatah
Preventia : The Indonesian Journal of Public Health Vol 6, No 2 (2021)
Publisher : Universitas Negeri Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17977/um044v6i2p123-131

Abstract

Maternal Mortality Rate and Infant Mortality Rate is still far from the target of SDGs 2030 is an indicator depicting low society prosperity in Indonesia. One of the factors were due to Women of Fertile Age at risk of Chronic Energy Deficiency at age 15 until 19 years. This situation is exacerbated by the high age of marriage less than 20 years which certainly interfere with reproductive health. Nutrition motivationer program in Banyuwangi isn’t optimal yet because it does not cover health aspect pre pregnancy and cadre isn’t functioning as health motivationer. Therefore, it is necessary to empower the cadres to optimize the health service. The aimed to increase cadre knowledge about pregnancy and reproductive health as well as to improve cadre communication skill as health motivationer. The conducted in Segobang Village, District of Licin, Banyuwangi on September 2016. The target was Segobang Village cadres who are active in Posyandu. Then result was more than 67 percent knowledge of cadres were good and 94 percent of cadre knowledge increases. Communication skills were demonstrated by the evaluation of Women of Fertile Age that comes during simulation, almost all cadres can deliver well and clearly so understood by the woman. It was be concluded that almost all cadre increased him knowledge according to pre-test and post-test questionnaires. Communication skills of the cadres showed good results.
Strategi Kebijakan Kesehatan dan Upaya Pencegahan HIV/AIDS Pada Wanita Pekerja Seks (WPS) : Literature Review Daniar Dwi Ayu Pamela; Ira Nurmala
VISIKES: Jurnal Kesehatan Masyarakat Vol 20, No 2 (2021)
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33633/visikes.v20i2.4939

Abstract

HIV/AIDS is a health problem that has a global impact, one of the causes is proper prevention efforts. HIV prevention must be followed by the implementation of appropriate health policy strategies in each country. The purpose of this study is to identify and identify health policies of HIV/AIDS prevention behavior in FSW. The method of writing a literature review begins with selecting a topic, determining keywords and making journal references. The databases used include Google Scholar, Elsevier, Pubmed. The search for references was limited from 2016 to 2020. The keywords used were “Strategy, Health Policy, Prevention, HIV/AIDS, Female Sex Workers”. A total of 25 articles were included in the availability and 8 articles were included in the discussion. Factors that affect HIV/AIDS prevention in FSW are low knowledge of HIV, inability to negotiate factors, violence, commercial sex for more than 1 year with a partner of 2-3 people for a night. Health policy strategies in various countries are adapted to the needs of FSW according to guidelines, such as improving reproductive health services, VCT, condom distribution and peer support. HIV-based innovation programs such as zoning for localization areas, health promotion from a religious perspective and the DIFFER strategy. All risk factors that need to be considered in determining the HIV/AIDS strategy in FSW by considering advocacy in the region.
The impact physical distancing during the COVID-19 pandemic on mental health among adolescents: a systematic literature review Isma Faridatus Sholihah; Ira Nurmala; Muji Sulistyowati; Shrimarti Rukmini Devy
International Journal of Public Health Science (IJPHS) Vol 11, No 1: March 2022
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v11i1.21123

Abstract

The spread of the coronavirus disesase 2019 (COVID-19) virus is relatively fast and has infected hundreds of countries. The number of people suffering from COVID-19 continues to increase and is increasingly concerning. To reduce the possibility of spreading the Coronavirus, which is easily contagious, the World Health Organization (WHO) advises the public to maintain a safe distance from other people through physical distancing. This study is a systematic review using the preferred reporting item for systematic reviews and meta-analyzes (PRISMA) method using 454 articles from online journal databases. The databases used in the literature search were Pubmed, Science Direct, Sage, Emerald, and Proquest from 2020-2021. Based on the inclusion and exclusion characteristics, there were 8 of 454 articles met the inclusion criteria, and select for in-depth analysis. Physical distancing policy has an impact on adolescent mental health. Some of the mental disorders experienced by adolescents include feeling lonely, anxious, stressed, psychiatric disorders, to emotional disturbances. Boys have a higher increase in mental health problems than girls. We need a social network and social support specifically in adolescents to maintain physical distancing during the adolescent mental health policy in the COVID-19.
Improving Mental Health of Adolescents through Self-Presentation Ferina Agustia Yuarta; Ira Nurmala
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14722

Abstract

Mental health is currently the problem faced by youth especially during the pandemic of COVID-19.Adolescents use of social media is also increasing due to this coronavirus pandemic. This situation have riskof increasing the risk of lower mental health of Adolescent as the impact of posting their self-presentationthrough a social media such as Instagram. Instagram is a social media platform that has a rapid user growth.Indonesia is one of the countries with highest number of users. Instagram users recorded as of May 2020had reached 9.2 million users. Instagram as social media is a means for users to present themselves towide audience. Self-presentation can be in the form posting photos or videos on their Instagram socialmedia accounts. By posting photos, user hope to get feedback in the form of likes and comments. Thisresearch aims at the improving mental health of adolescent through self-presentation. This research usedis secondary data obtained from journal database. The sample was 35 scientific articles obtained from thebasis of screening journal that has been screened using pre determine inclusion criteria. The result found thatself-presentation on social media Instagram was related to giving or managing impression, popular, selfdisclosure, narcissistic behavior, self-image and self-esteem that in turn will result in lowering adolescentmental health if it is not manage well.
The Effects of Social Capital on the Self Reliance of Posyandu Dian Arie Sushanty; Mochammad Bagus Qomarrudin; Ira Nurmala
Health Notions Vol 2, No 3 (2018): March
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (180.827 KB) | DOI: 10.33846/hn.v2i3.157

Abstract

Posyandu (integrated health service post) refers to the activities of empowering the community in healthcare. The problem that appears recently is the low functions and the performance of Posyandu seen from the low achievements made by Posyandu Mandiri (self-reliant Posyandu). This observational study done by using cross sectional design. 45 Posyandu were taken as the samples in Bontang, East Kalimantan. The community taken as the respondents was the cadres, the public figures, and the mothers/families having babies and children under five. The statistic tests used in this study were linear regression test and logistic regression test. The results of this study showed that social capital have brought effects to the community participation, not only to the cadres, the public figures, but also the mothers/families having babies and children under five. The community participation in healthcare has affected the achievement of Posyandu to reach self reliance. The social capital has been proven to bring effects to self reliance of Posyandu through the community participation. The revitalization of Posyandu must consistently involve the community participation by reinforcing the available social capital. Keywords: Community participation, Self reliance of Posyandu, Social capital
DUKUNGAN SOSIAL TERHADAP KONSUMSI ARV IBU RUMAH TANGGA PENDERITA HIV DI SURABAYA Nurina Dewi Ayu Dewi; Ira Nurmala
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 4 No. 2 (2016): JURNAL PROMKES
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (243.628 KB) | DOI: 10.20473/jpk.V4.I2.2016.165-176

Abstract

In 2014, East Java ranks second highest HIV cases in Indonesia to 32.872 the number of HIV cases. Concern HIV disease is exposed when in 2014 based on the sequence of work housewife ranks second HIV cases in Surabaya with the number of 129 cases. The case of a housewife who has HIV is higher compared to commercial sex workers. Therapeutic treatment for patients with HIV using antiretroviral drugs. ARV consumption serves to suppress the growth of HIV. This study was conducted to determine the social support for the consumptionof ARV housewife in Surabaya. The research is a qualitative research with case study approach. Informants used are numbered 9 consisting of three housewives with HIV, three families and three close friends housewife with HIV. The study was conducted from May to December 2016. Data collection using an interview guide and study documents. The results showed that there is social support for the consumption of housewives with HIV. Their diff erences in background,control beliefs, perceived behavioral control, intention-owned and social support received informants could aff ect the consumption of ARVs do informant. The conclusion that can be drawn is that the most infl uential social support for the consumption of ARV housewife with HIV in Surabaya is emotional support and support networks. Another eff ect of ARV consumption comes from a background that was once owned by housewives with HIV.Keywords: social support, consumption of ARV, housewife, HI
THE INTENTION OF FEMALE HIGH SCHOOL STUDENTS TO PREVENT PREMARITAL SEX Citra Ahiyanasari Ervina Ahiyanasari; Ira Nurmala
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 5 No. 1 (2017): JURNAL PROMKES
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (249.449 KB) | DOI: 10.20473/jpk.V5.I1.2017.39-52

Abstract

Teenagers are susceptible to deviant sexual behavior  such as premarital sex behaviors. The number of teens who do  premarital sex tend toincrease every year. Premarital sex is at risk of causing unwanted pregnancy and transmission of sexually transmitted diseases. This research aims to understandrelated factors with the intention to prevent premarital sex among female high school students . This is a analytic study used cross sectional design. Sampling was done randomly with a total sample of 75 respondents. Results of this research were analyzed using Gamma correlation test with significance level (α= 0.05). The results of statistical tests indicate that there is a positive relationship between knowledge (p value = 0.007 < α = 0.05) with the intention of preventing premarital sex.  Other factors such as the knowledge factors, media usage, attitudes,  subjective norms, perceived control is not associated with the intention to prevent premarital sex. The results showed that respondents have a good experience  to prevent premarital sex. Efforts to increase knowledge about preventing  premarital sex and monitoring the use of media is very necessary for adolescent to have intention to prevent premarital sex.  Keyword : premarital sex, high school , prevention