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Determinan Kematian Neonatal di Rumah Sakit Ibu dan Anak Aceh Nurhayati, Nurhayati; Abdullah, Asnawi; Maidar, Maidar; Hermansyah, Hermansyah; Zakaria, Radhiah
Jurnal Kesehatan Komunitas Vol 10 No 1 (2024): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol10.Iss1.1510

Neonatal mortality is an important issue to receive attention because neonatal death not only affects infant mortality rates but also has an impact on society. This research wants to examine the determinants of neonatal death in the Mother and Child Hospital (RSIA) Aceh. This type of research is analytic with a case-control design. The case population in this study were all babies who were born and died at the age of 0-28 days, both those born at the Aceh Mother and Child Hospital (RSIA) and those referred to the Aceh Mother and Child Hospital (RSIA) from January to October 2022. totaling 108 people. The sample in this study was 216 babies consisting of 108 case babies and 108 control babies. Data analysis used a logistic regression test. The results showed that the factors that had a significant value (P value <0.05) with neonatal mortality were low birth weight (OR= 5.5; 95% CI 2.35 – 12.23), premature (OR= 0.36; 95% CI 0.13 – 0.96), jaundice (OR= 0.20; 95% CI 0.09 – 0.43), and sepsis (OR= 9; 95% CI 4.41 – 20.89), age mother > 35 years (OR 0.43; 95% CI 0.19 – 0.94), neonatal referral (OR= 0.01; 95% CI 0.00 – 0.17) and long-distance ANC (OR= 6 .6; 95% CI 2.82 – 15.63), length of stay in the emergency room ≥ 30 minutes (OR= 0.15; 95% CI 0.73 – 0.31), length of stay 1-5 days (OR= 4.3; 95% CI 2.17 – 8.78). This study concludes that sepsis is the most associated factor with neonatal mortality in RSIA. It is recommended that related parties to improve the quality of ANC services according to standards and improve the quality of PONEK (Comprehensive Emergency Neonatal Midwifery Services).

DETERMINAN PENINGKATAN TEKANAN DARAH PADA PEKERJA KILANG PADI DI DESA MEUNASAH BLANG KECAMATAN DARUL AMAN KABUPATEN ACEH TIMUR Alkausar, Muhammad Rizha; Zakaria, Radhiah; Dilla Santi, Tahara
Jurnal Medika Malahayati Vol 7, No 4 (2023): Volume 7 Nomor 4
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jmm.v7i4.11850

Abstrak: Determinan Peningkatan Tekanan Darah Pada Pekerja Kilang Padi Di Desa Meunasah Blang Kecamatan Darul Aman Kabupaten Aceh Timur. Pajanan kebisingan yang terjadi dalam waktu lama dan terus menerus dapat menyebabkan berbagai gangguan kesehatan salah satunya bisa berupa peningkatan tekanan darah atau hipertensi. Penelitian ini bertujuan untuk mengetahui determinan peningkatan peningkatan tekanan darah pada pekerja kilang padi di Desa Meunasah Blang Kecamatan Darul Aman Kabupaten Aceh Timur tahun 2023. Desain penelitian bentuk descriptive analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah semua pekerja kilang padi di Desa Meunasah Blang Kecamatan Darul Aman Kabupaten Aceh Timur tahun 2023 yang berjumlah 35 orang. Sampel dalam penelitian adalah total populasi. Data diperoleh dengan menggunakan kuesioner dan dianalisis dengan uji Chi-Square. Hasil penelitian menunjukkan bahwa terdapat 45,7% responden yang mengalami peningkatan tekanan darah, 65,7% tingkat kebisingan normal, 57,1% pekerja yang berumur remaja, 62,9% pekerja yang masa kerjanya lama, 62,9% pekerja yang lama pajanan ≤ 8 jam/ hari, 45,7% pekerja dengan IMT kurus dan 57,1% pekerja yang perokok pasif. Uji chi-square diperoleh bahwa hubungan antara tingkat kebisingan p = 0,030, umur p = 0,007, ada masa kerja p = 0,006, lama pajanan p = 0,001, IMT p = 0,044 dan kebiasaan merokok p = 0,001 dengan tekanan darah. Kesimpulan studi ini adalah ada hubungan antara tingkat kebisingan, umur, ada masa kerja, lama pajanan, IMT dan kebiasaan merokok dengan tekanan darah.

HUBUNGAN PERAN KELUARGA, KONDISI FISIK LANSIA DAN PENGETAHUAN DENGAN CAKUPAN PELAYANAN KESEHATAN LANSIA DI KECAMATAN JAYA BARU BANDA ACEH Arbi, Anwar; Agustina, Agustina; Zakaria, Radhiah; Laili, Badrul
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 6, No 2 (2020): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37598/jukema.v6i2.907

Latar Belakang: Proyeksi angka harapan hidup penduduk Indonesia terus mengalami peningkatan dari 70 tahun pada periode 2010-2015 menjadi 72 tahun pada periode 2030-2035. Salah satu bentuk perhatian yang serius terhadap lanjut usia adalah terlaksananya pelayanan pada lanjut usia melalui Posyandu lansia. Penelitian ini bertujuan untuk mengetahui mengetahui hubungan peran keluarga, kondisi fisik lansia dan pengetahuan dengan cakupan pelayanan kesehtaan lansia di kecamatan Jaya BAru Banda Aceh tahun 2020. Metode: Penelitian ini adalah kuantitatif dengan desain cross-sectional. Data di analisis secara univariat, analisis bivariat dengan uji chi square. Hasil: Penelitian menunjukan bahwa dukungan keluarga (p=0.001), kondisi fisik lansia (p=0.001), pengetahuan (p=0.001) berhubungan dengan cakupan pelayanan Kesehatan lansia di wilayah kerja kecamatan Jaya Baru Banda Aceh. Sehinnga dukungan keluarga, kondisi fisik lansia dan pengetahuan berhubungan dengan cakupan pelayanan lansia. Saran: Kepada instansi terkait (Dinas Kesehatan dan Puskesmas) disarankan untuk lebih meningkatkan sosialisasi dan memaksimalakan kualitas pelayanan Posyandu lansia.

FACTORS RELATED TO PERSONAL HYGIENE IN RESTAURANT WORKERS IN THE BATOH COMMUNITY HEALTH CENTER WORKING AREA, KEC. LUENG BATA, KOTA BANDA ACEH IN 2021 Devi, Sartika; Zulkifli, Zulkifli; Mawardi, Mawardi; Zakaria, Radhiah; Arbi, Anwar
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 10, No 1 (2024): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37598/jukema.v9i2.2067

Background: Personal hygiene is an action to maintain a person's cleanliness and health for physical and psychological well-being. Cleanliness and tidiness are very important and necessary so that someone is liked and accepted in society, apart from cleanliness is being necessary therefore person can live healthily. Data from the Kota Banda Aceh Health Service in 2019 recorded that out of 542 restaurants, there were 52 (9.59%) restaurants that did not meet the requirements and data at the Batoh Community Health Center working area recorded that 12.5% did not meet the requirements. Method: This research is descriptive analytical with a cross-sectional design. The population in this study were all restaurant workers in the Batoh Community Health Center working area, totaling 55 workers. Sampling was carried out using the random sampling technique. Data collection was carried out by interviews from 18 to 22 January 2021. The statistical test used was the chi square test using the SPSS 23 computer program. Results: The results of the study showed that there was a relationship between knowledge (p value=0.011) and length of service (p value=0.003). And there is no relationship between training (p value=0.343) and personal hygiene among restaurant workers. Recommendation: It is recommended that puskesmas officers can increase counselingr and training about personal hygiene for restaurant workers and the community in the Batoh Puskesmas working area so that they can increase public’s knowledge of the importance of maintaining personal hygiene.

TREND IN MATERNAL MORTALITY IN NORTH ACEH REGENCY FOR A DECADE: INFLUENCE OF SOCIO-CULTURAL FACTORS Maidar, Maidar; Zakaria, Radhiah
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 8, No 2 (2022): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37598/jukema.v8i2.2022

Background: The Global Millennium Development Goals (MDGs) commitment targets reducing the Maternal Mortality Rate (MMR) to 102 per 100,000 live births by 2015, followe by the Sustainable Development Goals (SDGs) setting a new target of 70 per 100,000 live births in 2030. For a decade or ten years of observations of maternal mortality trends in North Aceh Regency still show fluctuations. Method: This study examines the relationship between socio-cultural factors and cases of maternal death. Qualitative research by conducting (1) in-depth interviews with 10 key informants, namely midwives who provide services; (2) Focus Group Discussion with Puskesmas Management and Program Responsible Persons on maternal death case audit activities; (3) Documentation study of the track record of maternal deaths in the decade period 2013-2022. Result: The results shows that there is a downward trend although fluctuations of increase and decrease still occur within a decade of observation. The main immediate causes are due to bleeding and hypertension in pregnancy, the predominant place of death is in the hospital. The characteristics of multiparity mothers, ‘4 too’ pregnancies and delays in recognizing problems and making decisions indicate that socio-cultural factors are very influential on maternal mortality in North Aceh. Recommendation: Innovation is needed to reconstruct socio-cultural disadvantages such as late decisions making and the ideal number of children in a family.

ANALYSIS OF OINTMENT FORMULATION FROM BILIMBI LEAVES (Averrhoa bilimbi) Santi, Tahara Dilla; Zakaria, Radhiah; Nauval, Muhammad Dharma
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 8, No 1 (2022): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37598/jukema.v8i1.1562

Averrhoa bilimbi/Bilimbi leaf extract has anti-inflammatory activity in several studies. Development of bilimbi leaf extracts ointment can maximize anti-inflammatory therapy. The purpose of this study was to determine the phytochemical compounds and evaluate bilimbi leaf extract ointment. Method: The leaf compounds examined by phytochemical screening and ointment tests were for their physical properties including pH, organoleptic, and dispersive tests. The organoleptic test and pH test were analyzed descriptively. Spreadability data were analyzed using Kruskal Wallis. Results: Qualitative analysis of bilimbi leaf extract showed a positive reactions of alkaloids to Mayer, Wagner, and Dragendorff, steroids, flavonoids, phenols, terpenoids, and saponins.Meanwhile leaf do not contain tannins. Organoleptic test showed the green ointment with a distinctive aroma of leaves. The pH of the leaves is classified as weakly acidic, close to neutral, which is 5-6. The spreadability of the ointment was not significantly different based on the Kruskal Wallis test. Conclusion: The resulting ointment is predominantly green in color and the ointment formulation has no different in dispersion.

DETERMINANT OF THE BEHAVIOR OF KADARZI (NUTRITION AWARE FAMILIES) IN TODDLER MOTHERS AT WORK AREA OF THE REUBEE HEALTH CENTERS, DELIMA DISTRICT, PIDIE REGENCY Arbi, Anwar; Ariska, Tasya; Liana, Intan; Zakaria, Radhiah; Agustina, Agustina
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 8, No 1 (2022): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37598/jukema.v8i1.1568

Background: Kadarzi (Nutrition Aware Families are families with balanced nutritional behavior that who are able to recognize, prevent and overcome nutritional problems in every member of their family. Families are said to have good Kadarzi behavior if they have implemented the five Kadarzi indicators, weigh themselves regularly, give exclusive breastfeeding, eat a variety of foods, use iodized salt and consume nutritional supplement. The national target for nutrition-conscious families is 80%. Reubee Community Health Center, of the five indicators of Kadarzi, two indicators that have not reached the target are exclusive breastfeeding (75%) and the indicator of using iodized salt is only 12%. Methods: This research is descriptive analytic with a cross sectional design. Univariate and bivariate data analysis with Chi Square test. Results: Research showed that there was a relationship between knowledge (p value=0.001), family income (p value=0.004), with levels of Kadarzi behavior of mothers with toddlers and there was no relationship between husband's support (p value=0.288) and the behavior of Kadarzi of toddlers mothers. Recomendation: To the Reubee Health Centers staffs to be able to increase counseling activities about the importance of implementing the Nutrition Awareness-Family for mothers of toddlers in the working area of Community Health Centers, in order to increase their knowledge of toddlers nutritional healt.

SCREENING OF METABOLITE COMPOUNDS OF Chromolaena odorata LEAVES Santi, Tahara Dilla; Candra, Aditya; Zakaria, Radhiah
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 8, No 2 (2022): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37598/jukema.v8i2.2024

Background: Chromolaena odorata leaves have been used by the people of Aceh Besar as traditional medicine. The chemical compounds from the leaves of this plant act as antioxidants, anti-inflammatory, antibacterial, and wound healers. The aim of the research was to determine the phytochemical content of C. odorata leaves using qualitative methods. Methods: The extraction method used is maceration and testing of bioactive compounds using a color test. The results showed that the yield percentage is 6.05%. Result: The results of the analysis of phytochemical compounds obtained seven phytochemical compounds contained in C. odorata, namely flavonoids, phenolics, alkaloids, terpenoids, saponins, steroids, and tannins. Recommendation: It is recommended to identify chemical compounds using the GC-MS test to obtain specific compounds that play an active anti-inflammatory, antioxidant, and antibacterial role.

Hubungan Sanitasi Dasar Dengan Kejadian Penyakit Diare Pada Balita Di Wilayah Kerja Puskesmas Seunuddon Kabupaten Aceh Utara Tahun 2023 Falita, Cut Mela; Zakaria, Radhiah; Zahara, Meutia
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 9, No 2 (2023): Oktober 2023
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v9i2.3422

Sanitasi dasar merupakan praktek untuk menjaga kebersihan dan kesehatan lingkungan di sekitar kita dari penyebaran penyakit salah satunya adalah penyakit diare. Balita merupakan kelompok umur yang rawan gizi dan rawan penyakit, utamanya penyakit diare. Tujuan penelitian untuk mengetahui hubungan sanitasi dasar dengan kejadian penyakit diare pada balita di wilayah kerja Puskesmas Seunuddon Kabupaten Aceh Utara tahun 2023. Desain penelitian ini adalah case control. Populasi dalam penelitian ini semua balita diare di wilayah kerja Puskesmas Seunuddon sebanyak 87 balita, dengan sampel sebanyak 36 balita diare dan 36 balita yang tidak diare. Pengumpulan data dilakukan dari tanggal 11-20 Februari 2023. Analisis data menggunakan uji Chi-Square. Hasil penelitian secara univariat menunjukan bahwa balita diare (50%), sarana air bersih yang memenuhi syarat (47.2%), jamban sehat yang memenuhi syarat (47.2%), sarana pembuangan air limbah yang memenuhi syarat (48.6%), sarana pembuangan sampah yang memenuhi syarat (51.4%) dan personal hygiene baik (45.8%0. Hasil analisa bivariat menunjukkan bahwa ada hubungan antara sarana air bersih (p = 0,005), jamban sehat (p = 0,018), sarana pembuangan air limbah (p = 0,034), sarana pembuangan sampah (p =0,009), dan personal hygiene (p = 0,002) dengan kejadian diare pada balita di Puskesmas Seunuddon tahun 2023. Kesimpulan dalam penelitian bahwa air bersih, sarana pembuangan sampah, jamban, personal hygiene, dan SPAL menjadi faktor yang mempengaruhi diare pada balita di Puskesmas Seunuddon tahun 2023. Diharapkan petugas kesehatan dapat meningkatkan upaya promosi kesehatan, penyuluhan dan pembagian brosur kepada responden mengenai penyebab diare serta cara menangani agar ibu balita dapat memahami cara pencegahan dan penanganan diare balita. Kata Kunci : Balita, Diare, Jamban, Personal Hygiene, SPAL Basic sanitation is a practice to maintain the cleanliness and health of the environment around us from the spread of disease, one of which is diarrhea. Toddlers are an age group that is vulnerable to nutrition and is prone to disease, especially diarrhea. The aim of the research is to determine the relationship between basic sanitation and the incidence of diarrheal disease in toddlers in the Seunuddon Community Health Center working area, North Aceh Regency in 2023. The design of this research is case control. The population in this study in toddlers in the Seunuddon Community Health Center working area is 87 toddlers with diarrhea. The sampel were 36 toddlers with diarrhea and 36 toddlers without diarrhea. Data collection was carried out from 11-20 February 2023. Data analysis used the Chi-Square test. Univariate research results show that 50% of toddlers have diarrhea, 47.2% have clean water facilities, 47.2% have healthy latrines, 48.6% wastewater disposal facilities, 51.4% waste disposal facilities, and personal hygiene good 45.8%. The results of bivariate analysis show that there are relationships between clean water facilities (p = 0.005), healthy latrines (p = 0.018), waste water disposal facilities (p = 0.034), waste disposal facilities (p = 0.009), and personal hygiene (p = 0.002) with the incidence of diarrhea in toddlers at the Seunuddon Community Health Center in 2023. The conclusion of the research that clean water, waste disposal facilities, latrines, personal hygiene, and SPAL are factors that influence diarrhea in toddlers at the Seunuddon Community Health Center in 2023. It is hoped that health workers can increase health promotion efforts, education and distribution brochures to respondents regarding causes and methods dealing with diarrhea so that mothers of toddlers can understand how to prevent and treat diarrhea in toddler. Keywords: Toddlers, Diarrhea, Latrines, Personal Hygiene, SPAL

Determinan Perilaku Warga Dalam Pemenuhan Komponen Rumah Sehat di Gampong Krueng Raya Kota Sabang, Aceh Aimiran, Ziyadita; Zakaria, Radhiah; Mawardi, Mawardi
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 9, No 2 (2023): Oktober 2023
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v9i2.3426

Rumah sehat ialah rumah yang memiliki kriteria minimal akses air minum, jamban sehat, lantai, pencahayaan, dan ventilasi. Keadaan rumah dan lingkungan di Gampong Krueng Raya Kota Sabang masih dibawah batas persyaratan rumah sehat, yang mana masih terdapat rumah dalam kategori tidak layak huni sebanyak (17,4%), dan diperparah lagi dengan perilaku masyarakatnya yang belum memenuhi syarat kesehatan, yang akan berakibat meningkatkan resiko penyakit bagi penghuni rumah. Sehingga penelitian ini perlu dilakukan yang bertujuan untuk mengetahui determinan perilaku warga dalam pemenuhan komponen rumah sehat.Penelitian ini dilakukan dengan metode deskriptif analitik dengan Desain Cross Sectional. Populasi dalam penelitian ini adalah Kepala Keluarga di Gampong Krueng Raya Kota Sabang berjumlah 571 KK. Teknik pengambilan sampel menggunakan teknik Propotional random sampling dan diperoleh sampel sebanyak 85 responden. Penelitian ini telah dilakukan pada tanggal 17-25 Februari 2022. Pengumpulan data dilakukan dengan wawancara dengan menggunakan kuesioner sebagai instrumen penelitian, uji statistik dengan uji chi-square. Hasil penelitian menunjukkan bahwa warga dalam pemenuhan komponen rumah sehat dengan perilaku baik (78,8%), dan perilaku kurang (21,2%). Analisis bivariat menunjukkan bahwa ada hubungan antara sarana dan prasarana (p-value= 0,049) dengan perilaku warga dalam pemenuhan komponen rumah sehat di Kota Sabang Tahun 2022, artinya jika sarana dan prasarana mendukung maka akan membuat warga berperilaku baik. Disarankan kepada petugas kesehatan agar dapat memberi penyuluhan kepada masyarakat secara berkala terkait manfaat rumah sehat dan dampak dari rumah yang tidak sehat serta meninjau kembali kondisi rumah di wilayah Gampong Krueng Raya Kota Sabang.Kata Kunci: Perilaku, Rumah SehatA healthy house is a house that has the minimum criteria for access to drinking water, access to healthy latrines, floors, lighting and ventilation. The condition of the houses and the environment in Gampong Krueng Raya is still below the requirements for healthy housing, in which there are still houses in the uninhabitable category (17.4%), and it is made worse by the behavior of the people who do not meet health requirements, which will result in increased risk. illness for the occupants of the house. So it is necessary to do this research which aims to find out the determinants of residents' behavior in fulfilling the components of a healthy home.This research was conducted using descriptive analytic method with Cross Sectional Design. The population in this study were the heads of families in Gampong Krueng Raya, Sabang City, totaling 571 families. The sampling technique used proportional random sampling technique and obtained a sample of 85 respondents. This research was conducted on February 17-25 2022. Data collection was carried out by interview using a questionnaire as a research instrument, then statistical tests were carried out using the chi-square test.The results showed that residents in fulfilling the components of a healthy home with good behavior (78.8%) and poor behavior (21.2%). Bivariate analysis shows that there is a relationship between facilities and infrastructure (p-value= 0.049) and residents' behavior in fulfilling healthy home components in Gampong Krueng Raya, Sabang City in 2022, meaning that if facilities and infrastructure support it will make residents behave well.It is recommended that health workers be able to provide counseling to the community on a regular basis regarding the benefits and dangers and review the condition of houses in the Gampong Krueng Raya area, Sabang City.Keywords: Behavior, Healthy Home

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