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Physical Activity as a “Cheapest Health Tax Payment” Toward Better Health for All Ernawati Ernawati
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 2 (2019): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (364.596 KB) | DOI: 10.22146/rpcpe.46014

Abstract

Indonesia currently faces many health-related problems, both in terms of increased morbidity and mortality due to infectious and non-communicable diseases, which stem from increasing unhealthy behaviors. The progress of science and technology is still not able to overcome this dilemma. Another problem is that actual health financing is already very good for helping communities with the existence of National Health Insurance. But over time it turned out that many obstacles appeared that could disrupt its sustainability. This becomes a serious problem that must be well thought out for the community so that people are not harmed. All of these problems arise as a result of the majority of people who have not been actively involved in prevention activities. Most of our society has behaviors that do not support health, but they engage in inactivity that is actually detrimental to health.
Fraud Issues in the National Health Insurance (Causes, Legal Impacts, Dispute Settlement and Preventive Measures) Yohanes Firmansyah; Imam Haryanto; Ernawati Ernawati
Jurnal Multidisiplin Madani Vol. 2 No. 4 (2022): April 2022
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (246.654 KB) | DOI: 10.55927/mudima.v2i4.272

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National Health Insurance which covers all financing of health services in terms of national insurance. This causes the National Health Insurance to manage a very large amount of money and has an impact on many challenges regarding overcoming fraud committed by various parties. This research is a literature search that analyzes the concept of fraud, legal impact, dispute resolution, and preventive actions in dealing with and preventing fraud. The legal basis used is very diverse, starting from the regulations governing national health insurance, as stated in Presidential Regulation no. 12 of 2013 concerning Health Insurance and the Law of the Republic of Indonesia Number 24 of 2011 concerning the Social Security Administering Body; The legal implications contained in the criminal code of law; and prevention of fraud as regulated in PERMENKES RI 269/MENKES/PER/III/2008 concerning Medical Records and Regulation of the Minister of Health of the Republic of Indonesia Number 36 of 2015 concerning Prevention of Fraud in the Health Insurance Program in the National Social Security System
KEJADIAN INSOMNIA DI MASA PEMBATASAN SOSIAL SKALA BESAR (PSBB) JAKARTA AKIBAT PANDEMIK COVID-19 Yohanes Firmansyah; Ernawati .; Hendsun Hendsun; Ivan Buntara
HEARTY Vol 8, No 2 (2020)
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v8i2.4567

Abstract

Kasus infeksi SARS-COV-2 telah menjadi Pandemik dan telah merenggut 1 juta nyawa di seluruh dunia. Selama periode epidemi diperkirakan banyak terjadi perubahan terhadap kesehatan mental dan emosi negative terutama pada kelompok populasi yang terisolasi. Salah satu bentuk gangguan tersebut adalah perubahan pola tidur (ritme sirkadian). Penelitian potong lintang (survei) yang dilaksanakan di secara online melalui google form pada Mei 2020. Kriteria inklusi meliputi semua responden usia produktif, Variabel bebas pada penelitian ini adalah kondisi pandemic yang mendorong masyarakat WFH dan PHK sedangkan variabel tergantung pada penelitian ini adalah kejadian insomnia yang diukur dengan kuesioner ISI (Insomnia Severity Index). 281 responden yang memenuhi kriteria inklusi. Didapatkan prevalensi insomnia berupa Klinis Insomnia (Parah) pada 3 (1,1%), Clinical Insomnia (Sedang) pada 28 (10,0%), Batasan Susah Tidur (Ringan) pada 79 (28,1%), serta Tidak ada insomnia yang signifikan pada171 (60,9%) responden. Analisa statistik Pearson Chi Square didapatkan tidak adanya hubungan yang bermakna antara PHK, WFH, rasa takut dan pendapatan terhadap kejadian insomnia (p-value > 0,05) Kejadian insomnia di masa PSBB akibat Pandemik COVID-19 cukup tinggi mencapai 110 (39,1%) responden disertai tidak ada hubungan yang bermakna antara PHK, WFH, rasa takut, dan pendapatan terhadap kejadian insomnia
PROGRAM INTERVENSI PENCEGAHAN PENINGKATAN KASUS HIPERTENSI DI WILAYAH KERJA PUSKESMAS SINDANG JAYA Laurensia Laurensia; Edwin Destra; Hayuningrat Odyssey Saint; Muhammad Abdu Quraisy Syihab; Ernawati Ernawati
E-Amal: Jurnal Pengabdian Kepada Masyarakat Vol 2 No 2: Mei 2022
Publisher : LP2M STP Mataram

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Abstract

Introduction: Hypertension in Southeast Asia had 39.9% of incidence rate in 2020. In Indonesia, there was an increase in hypertension from 2013 to 2018. In Tangerang Regency in 2018 the number of people with hypertension was recorded as much as 274,792 residents. Objective: To reduce the incidence of hypertension in the working area of ​​the Sindang Jaya Health Center. Methods: The study used an assessment with pre-test and post-test. The intervention was carried out in the form of counseling to increase public knowledge in the Sindang Jaya Health Center Work Area. The sample in this study was selected by non-random consecutive sampling. The independent variable in this study is the intervention carried out to increase public knowledge. The dependent variable in this study is the change in knowledge of the intervention carried out. Results: 40 counseling participants experienced an increase in knowledge after the intervention in 14 selected aspects as an indication of knowledge. Conclusion: The intervention in the form of counseling succeeded in increasing public knowledge about hypertension. It is hoped that there will be changes in people's attitudes and behavior in preventing the increase in new cases of hypertension in the community.
PENGENALAN PENYAKIT MENULAR SEKSUAL HUMAN IMMUNODEFICIENCY VIRUS-ACQUIRED IMMUNODEFICIENCY SYNDROME DI BUNDA MULIA SCHOOL JAKARTA Alya Dwiana; Ernawati Ernawati; Andriana KD
Jurnal Bakti Masyarakat Indonesia Vol 3, No 1 (2020): Jurnal Bakti Masyarakat Indonesia
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat, Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1099.226 KB) | DOI: 10.24912/jbmi.v3i1.8054

Abstract

The trend of the prevalence of cases of sexually transmitted diseases (STDs) of Human Immunodeficiency Virus-Acquired Immunodeficiency Syndrome (HIV-AIDS) in the population aged 15-49 years increased from 0.16% to 0.43% in 2013 and will continue to increase. Many doctors and scientists have stated how important comprehensive prevention efforts are, before the prevalence of HIV STDs in the Asia-Pacific region increased to 10 million sufferers by 2020. Several factors influence the occurrence of HIV-AIDS STDs among adolescents, one of which is the lack of accurate information. Therefore, health education, especially sexual education and healthy living behaviors are teachings that can help adolescents to deal with life problems that originate from sexual drive and relationships. Education about how HIV-AIDS STDs are transmitted and prevented is the main weapon against HIV-AIDS STDs, because there is no treatment or vaccine that can prevent the spread of HIV-AIDS STDs. Counseling about STD HIV-AIDS is carried out at Bunda Mulia School, which is one of the youth communities that can be used as an example of efforts to prevent STD HIV-AIDS early. Prevention is carried out by interactive counseling in the form of discussions and question and answer sessions, which aim to provide a clear understanding for teenage students as well as teachers and school staff on how to prevent transmission of HIV-AIDS STDs. Before and after counseling, pre-test and post-test are held to assess whether there is a change in understanding of STD HIV-AIDS. The activity was followed by 88 students from grade 10-12. Overall, there was an increase in the knowledge of participating students about STD HIV-AIDS with an average point of 1.34 to 1.55 after participating in counseling activities. So it can be concluded that the objectives of extension activities have been achieved.ABSTRAK:Kecenderungan prevalensi kasus Penyakit Menular Seksual (PMS) Human Immunodeficiency Virus-Acquired Immunodeficiency Syndrome (HIV-AIDS) pada penduduk usia 15-49 tahun meningkat dari 0.16% menjadi 0.43% di tahun 2013 dan akan terus semakin meningkat. Banyak dokter dan ilmuwan telah menyatakan betapa pentingnya upaya pencegahan yang menyeluruh, sebelum prevalensi PMS HIV di wilayah Asia pasifik meningkat menjadi 10 juta penderita pada tahun 2020.Beberapa faktor yang mempengaruhi terjadinya PMS HIV-AIDS di kalangan remaja salah satunya adalah kurangnya informasi yang akurat. Maka dari itu, pendidikan kesehatan terutama pendidikan seksual dan perilaku hidup sehat merupakan pengajaran yang dapat menolong remaja untuk menghadapi masalah hidup yang bersumber dari dorongan seksual dan pergaulan. Pendidikan tentang bagaimana PMS HIV-AIDS ditularkan dan dicegah adalah senjata utama melawan PMS HIV-AIDS, karena tidak ada pengobatan atau vaksin yang dapat mencegah penyebaran PMS HIV-AIDS. Penyuluhan mengenai PMS HIV-AIDS dilakukan di Sekolah Bunda Mulia yang merupakan salah satu komunitas remaja yang dapat dijadikan sebagai contoh upaya pencegahan PMS HIV-AIDS secara dini. Pencegahan dilakukan dengan penyuluhan yang interaktif berupa diskusi dan sesi tanya jawab, yang bertujuan untuk memberikan pemahaman yang jelas bagi para siswa remaja serta guru dan petugas sekolah mengenai cara mencegah penularan PMS HIV-AIDS. Sebelum dan sesudah penyuluhan, diadakan pre-test dan post-test untuk menilai apakah ada perubahan dalam pemahaman mengenai PMS HIV-AIDS. Kegiatan diikuti oleh 88 siswa/i kelas 10-12. Secara keseluruhan terjadi peningkatan pengetahuan siswa peserta mengenai PMS HIV-AIDS dengan rata-rata poin 1.34 menjadi 1.55 setelah mengikuti kegiatan penyuluhan. Sehingga dapat disimpulkan bahwa tujuan kegiatan penyuluhan telah tercapai
UPAYA PENINGKATAN KESEHATAN USIA DIATAS 15 TAHUN DAN USIA LANJUT DI POSBINDU KELURAHAN KEMBANGAN SELATAN, JAKARTA BARAT (KEGIATAN LANJUTAN) Ernawati Ernawati; Rebekah Malik; Yoanita Widjaja
Jurnal Bakti Masyarakat Indonesia Vol 3, No 1 (2020): Jurnal Bakti Masyarakat Indonesia
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat, Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (358.598 KB) | DOI: 10.24912/jbmi.v3i1.8052

Abstract

Increased life expectancy is an advantage but at the same time becomes a condition that can be a source of problems in the health sector, especially non-communicable diseases. Currently non-communicable diseases that are often found are cardiovascular diseases such as high blood pressure, coronary heart disease, metabolic disorders such as diabetes, dyslipidemia, muscle and joint diseases such as arthritis, gout, osteoarthritis, nutritional disorders: obesity or malnutrition. The prevalence of various non-communicable diseases from 2013-2016 strokes increased from 7% to 10.9%; and chronic kidney disease rose from 2% to 3.8%. Based on blood sugar tests, diabetes mellitus rose from 6.9% to 8.5%; and blood pressure measurement results, hypertension rose from 25.8% to 34.1%. The increase in the prevalence of non-communicable diseases is related to lifestyle, including smoking, consumption of alcoholic beverages, physical activity, and consumption of fruits and vegetables. Problems require comprehensive handling and reach as broad as possible. One form of expansion of service coverage is posbindu. Posbindu in Kelurahan Kembangan Selatan is one of the posbindu that aims to provide comprehensive services to the age group> 15 years to make efforts to prevent non-communicable diseases and prevent complications for participants who have experienced interference so that no further complications occur. Activities are carried out routinely every month on Saturdays in the form of weighing, height, blood pressure, blood sugar levels, cholesterol and gout for every visitor of Posbindu. In addition to health checks, counseling activities are also carried out both individuals and groups and health consultations for visitors posbindu both experiencing health problems or not. This activity was carried out for 1 year from August 2018 to July 2019 (June Eid holidays) with the number of Posbindu visitors between 28-45 people with an average visitor 38. The average cases of high blood pressure were 33.45% (12), high cholesterol 27.24% (10), high blood sugar 24.74 (9), and high uric acid 19.87 (8). The results obtained for 1 year showed that the control of blood pressure, blood sugar, cholesterol and uric acid was still fluctuating even though counseling and consultation had been given based on the results of the examination. The conclusion from this activity shows that blood pressure, blood sugar, cholesterol and gout are not only influenced by regularity of control and knowledge but also diet, activity and environment. The advantage of this postbindu activity is that the health condition of visitors is monitored and health information can be conveyed on an ongoing basis. Suggestions for the future harmonious cooperation between health workers, patients and families / closest people of the patient must always be maintained through this posbindu activityABSTRAK:Peningkatan usia harapan hidup merupakan suatu keuntungan tetapi sekaligus menjadi suatu kondisi yang dapat menjadi sumber permasalahan di bidang kesehatan terutama penyakit tidak menular. Saat ini penyakit tidak menular yang banyak dijumpai adalah penyakit kardiovaskular seperti darah tinggi, jantung koroner, penyakit kelainan metabolik seperti kencing manis, dislipidemia, penyakit otot dan persendian seperti radang sendi, gout, osteoartritis, gangguan gizi: obesitas atau gizi kurang. Prevalensi berbagai penyakit tidak menular dari tahun 2013-2016 stroke naik dari 7% menjadi 10,9%; dan penyakit ginjal kronik naik dari 2% menjadi 3,8%. Berdasarkan pemeriksaan gula darah, diabetes melitus naik dari 6,9% menjadi 8,5%; dan hasil pengukuran tekanan darah, hipertensi naik dari 25,8% menjadi 34,1%. Kenaikan prevalensi penyakit tidak menular ini berhubungan dengan pola hidup, antara lain merokok, konsumsi minuman beralkohol, aktivitas fisik, serta konsumsi buah dan sayur. Permasalahan membutuhkan penanganan yang bersifat menyeluruh dan menjangkau seluas mungkin. Salah satu bentuk perluasan jangkauan pelayanan adalah posbindu. Posbindu di Kelurahan Kembangan Selatan merupakan salah satu posbindu yang bertujuan memberikan pelayanan yang secara menyeluruh pada kelompok usia > 15 tahun untuk melakukan upaya pencegahan penyakit tidak menular dan mencegah komplikasi bagi peserta yang sudah mengalami gangguan agar tidak terjadi komplikasi lebih lanjut. Kegiatan dilakukan rutin setiap bulan pada hari Sabtu berupa penimbangan berat badan, tinggi badan, tekanan darah, kadar gula darah, kolesterol dan asam urat bagi setiap pengunjung posbindu. Selain pemeriksaan kesehatan, juga dilakukan kegiatan penyuluhan baik perorangan maupun kelompok dan konsultasi kesehatan bagi pengunjung posbindu baik yang mengalami gangguan kesehatan maupun tidak. Kegiatan ini dilakukan selama 1 tahun dari Agustus 2018 sampai Juli 2019 (Juni libur lebaran) dengan jumlah pengunjung posbindu antara 28-45 orang dengan rata-rata pengunjung 38. Rata-rata kasus tekanan darah tinggi 33,45% (12), kolesterol tinggi 27.24% (10), gula darah tinggi 24,74 (9), dan asam urat tinggi 19,87 (8). Hasil yang didapat selama 1 tahun ini menunjukkan bahwa pengendalian tekanan darah, gula darah, kolesterol dan asam urat masih naik turun walaupun sudah diberikan penyuluhan maupun konsultasi berdasarkan hasil pemeriksaan. Simpulan dari kegiatan ini menunjukkan bahwa tekanan darah, gula darah, kolesterol dan asam urat tidak hanya dipengaruhi oleh keteraturan kontrol dan pengetahuan tetapi juga pola makan, aktivitas dan lingkungan. Keuntungan dari kegiatan posbindu ini adalah termonitornya kondisi kesehatan pengunjung dan informasi kesehatan dapat tersampaikan secara berkelanjutan. Saran ke depannya kerjasama yang harmonis antara petugas kesehatan, pasien dan keluarga/orang terdekat pasien harus selalu dijaga lewat kegiatan posbindu ini
Age, Body Weight, Body Mass Index, and Sleep Duration In Predicting Hypertension Incidence At Productive Age in Medan City Darren Gosal; Yohanes Firmansyah; Ernawati Ernawati
Jurnal Medika Hutama Vol. 2 No. 02 Januari (2021): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Abstract

Hypertension defines as elevated blood pressure with systolic blood pressure above 140mmHg and/or diastolic blood pressure above 90mmHg. Hypertension affects 1,13 billion worldwide, mainly in low and middle-income countries. Generally, the classification of hypertension is divided into optimal, normal, high normal, grade 1, grade 2, and grade 3. Age, body weight, body mass index, and sleep duration can increase the risk of hypertension incidence. This study aimed to determine the cut off value of each variable to predict the hypertension incidence in Medan city. 352 respondents assessed with subjective questionnaire, blood pressure measurement, body weight, height and analyzed with Mann Whitney, ROC curve, and last Chi-Square with Yates correction. All variables were significantly associated (p-value<0,001) with hypertension incidence with cut off values: 45 years old, lower than 5,5 hours per night, greater than 65 kg for the body weight, and greater than 25 kg/m2. Age, body weight, body mass index, and sleep duration were associated and can be a good predictor for hypertension incidence.
COMPARISON OF GLOMERULAR FILTRATION RATE IN DIABETIC NEPHROPATHY PATIENT WITH COMORBID HYPERTENSION AND MEDICATION ADHERENCE Jimmy Chua; Yohanes Firmansyah; Joshua Kurniawan; Ernawati Ernawati
Jurnal Medika Hutama Vol. 2 No. 03 April (2021): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Abstract

Background: Chronic Kidney Disease (CKD) is a global health problem with increasing prevalence and incidence of kidney failure, bad prognosis, and high treatment cost. The prevalence of CKD increases with the increasing number of elderly population and the incidence of diabetes mellitus and hypertension. Comorbidities of patient with CKD, according to Indonesian Renal Registry in 2018, are hypertension or uncontrolled blood pressure (51%) and type 2 diabetes mellitus (21%). Methods: Cross-sectional studies of patients in “RT” Hospital Jakarta between 2018-2019. The independent variable in this research is hypertension comorbidities and medication adherence, whereas glomerulus filtration rate as the dependent variable. the correlation of cause and effect is tested with Independent T-Test and Mann Whitney Test as an alternative. Findings: The research includes 26 respondents, with prevalence of hypertension in diabetic nephropathy patient of 17 (65,4%). Population of patient with diabetic nephropathy with hypertension comorbidities has lower glomerular filtration rate (GFR) compared with group of diabetic nephropathy patients without comorbid hypertension (14.4% vs 28.6%). Hypertensive patients with no routine treatment have average GFR of 8.5%, and hypertensive patients with routine treatment have GFR of 16.15%. Statistical test results with Mann Whitney shows that there are no meaningful difference in average GFR between the two groups (p-value: 0.130).Conclusion: Blood pressure control and medication adherence can slow down the decline in renal function caused by complication of diabetic nephropathy, although there are no meaningful relation found in this research because of lacking in samples.
Hubungan Pengetahuan dan Keteraturan Kunjungan Ibu Hamil Melakukan Antenatal Care Saat Pandemi COVID- 19 di Klinik Bersalin Kecamatan Curup Tahun 2022 Ririn Utami Hably; Ernawati Ernawati
Jurnal Pendidikan dan Konseling (JPDK) Vol. 4 No. 4 (2022): Jurnal Pendidikan dan Konseling
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (231.343 KB) | DOI: 10.31004/jpdk.v4i4.6397

Abstract

Kematian ibu dan anak masih menjadi tantangan utama, terutama di masa pandemi COVID-19 saat ini. Kematian ibu dan bayi dapat dilakukan pencegahan dengan melakukan antenatal care secara teratur dan sesuai standar. Antenatal care (ANC) adalah pemeriksaan yang dilakukan untuk mengawasi pertumbuhan dan perkembangan janin sebelum persalinan. Penelitian ini dilakukan untuk mengetahui hubungan antara pengetahuan dan keteraturan kunjungan ibu hamil melakukan antenatal care saat pandemi COVID-19 di Klinik Bersalin Kecamatan Curup Tahun 2022. Penelitian ini adalah penelitian analitik observasional dengan desain studi potong lintang (cross sectional) dan analisis data dilakukan dengan pearson chi square. Penelitian ini menggunakan 60 responden yang memiliki pengetahuan baik 36 orang (60%) dan melakukan kunjungan teratur 36 orang (60%) dan terdapat hubungan yang signifikan antara pengetahuan dengan keteraturan kunjungan ibu hamil melakukan antenatal care saat pandemi COVID-19 di Klinik Bersalin Kecamatan Curup Tahun 2022 (p=0,000). Penghitungan prevalence ratio didapatkan nilai 3,45 berarti ibu hamil yang memiliki pengetahuan kurang memiliki risiko 3,45 kali tidak melakukan keteraturan kunjungan melakukan antenatal care saat pandemi COVID-19.
Hubungan susu formula dan MP-ASI terhadap kejadian diare pada anak usia 6 bulan sampai 2 tahun di Puskesmas Kelurahan Tanjung Duren Selatan periode 1 Juli – 31 Agustus 2014 Inggerit Inggerit; Ernawati Ernawati
Tarumanagara Medical Journal Vol. 1 No. 1 (2018): TARUMANAGARA MEDICAL JOURNAL
Publisher : Fakultas Kedokteran Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/tmj.v1i1.2522

Abstract

Di Puskesmas Kelurahan Tanjung Duren Selatan pada periode Januari – Desember 2012, jumlah balita yang datang berobat ke puskesmas dan didiagnosa diare sebanyak 1.843. Berdasarkan hasil mini survei yang dilakukan pada 65 responden, didapatkan adanya variasi pemberian asupan yang berbeda yaitu pemberian ASI atau susu formula dan MP-ASI di antara anak usia 6 bulan hingga 2 tahun. Tujuan penelitian ini untuk mengetahui adakah pengaruh susu formula dan MP-ASI dengan terjadinya diare pada anak usia 6 bulan sampai 2 tahun. Dimana variabel tergantung (dependent) adalah diare dan sebagai variabel bebas (independent) adalah susu formula dan MP-ASI. Desain penelitian yang digunakan dalam penelitian ini adalah cross-sectional survei untuk mengetahui faktor risiko susu formula dan MP-ASI terhadap diare. Pemilihan sampel menggunakan Consecutive Non-random Sampling dan didapatkan subjek sebanyak 208 responden. Penelitian dilakukan dengan menggunakan wawancara kuesioner. Pada penelitian ini didapatkan adanya hubungan antara susu formula dan MP-ASI terhadap terjadinya diare pada anak usia 6 bulan sampai 2 tahun dengan nilai p-value = 0,001 dan pemberian susu formula dan MP-ASI memiliki risiko PR = 2,299 kali lebih besar terkena diare.