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All Journal Media Penelitian dan Pengembangan Kesehatan
Lasbudi P. Ambarita
Loka Litbang Pengendalian Penyakit Bersumber Binatang, Baturaja Jl. Jend. A. Yani Km. 7 Kemelak Baturaja Sumatera Selatan 32111, Indonesia
Decision Sciences, Operations Research & Management Public Health

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AKSES PELAYANAN KESEHATAN DAN KEJADIAN MALARIA DI PROVINSI BENGKULU Sari, Rika Maya; Ambarita, Lasbudi P.; Sitorus, Hotnida
Media Penelitian dan Pengembangan Kesehatan Vol 23, No 4 Des (2013)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (91.013 KB)

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AbstrakHingga saat ini malaria masih menjadi masalah kesehatan masyarakat di Indonesia dan salah satunya adalah Provinsi Bengkulu. Penyakit ini tersebar luas di berbagai daerah, dengan derajat infeksi yang bervariasi. Terdapat banyak faktor yang berperan dalam penularan malaria. Penelitian ini bertujuan untuk mengetahui hubungan antara akses pelayanan kesehatan dengan kejadian malaria di Provinsi Bengkulu berbasis data Riset Kesehatan Dasar (Riskesdas) tahun 2007. Data Riset Kesehatan Dasar (Riskesdas) tahun 2007 diperoleh dari Badan Penelitian dan Pengembangan Kesehatan. Analisis data dilakukan secara univariat dan bivariat. Hasil analisis menunjukkan jarak rata-rata akses pusat pelayanan kesehatan A (rumah sakit, Puskesmas, praktek dokter, praktek bidan) sekitar 1.766,98 meter, sedangkan ke pusat pelayanan kesehatan B (Posyandu, Poskesdes, Polindes) sekitar 724,24 meter. Waktu tempuh rata-rata ke pusat pelayanan kesehatan A adalah 17 menit 66 detik dan 11 menit 95 detik ke pusat pelayanan kesehatan B. Terdapat hubungan antara jarak ke pusat pelayanan kesehatan A dengan kejadian malaria (p<0,05; OR=1,91), ada hubungan antara jarak ke pusat pelayanan kesehatan B dengan kejadian malaria (p<0,05; OR=1,09), ada hubungan antara waktu tempuh ke tempat pelayanan kesehatan A dan kejadian malaria (p<0,05; OR=1,48), serta tidak ada hubungan antara waktu tempuh ke pusat pelayanan kesehatan B dan kejadian malaria. Pemerintah daerah setempat perlu memprioritaskan penyediaan fasilitas kesehatan yang mudah diakses masyarakat dalam rangka meningkatkan pembangunan desa yang berkelanjutan.Kata kunci : Malaria, Akses pelayanan kesehatan , BengkuluAbstractUntil now, malaria is still a public health problem in Indonesia, and one of the endemic malaria is Bengkulu province. The disease is widespread in many regions, with varying degrees of infection. There are many factors that contribute to the malaria infection. This study aims to determine the association between malaria cases and the accessibility to health facility in Bengkulu province based on Riskesdas data 2007 obtained from National Institute of Health Research and Development. Data were analysed by univariate and bivariate methods. The results show the average distance to access health care center A (hospitals, public health center, dotor practice, midwife practice) of approximately 1766,98 meters, whereas is the health care center B (Posyandu, Poskesdes, Polindes) approximately 724,24 meters. The average travel time to a health care center A is 17,66 minutes and 11,95 minutes to health center B. There is association between the distance to health care center A and the incidence of malaria (p<0,05; OR=1,91), similarly the distance to the health center B (p<0,05; OR=1,09). There was association between travel time to the health service A and the incidence of malaria (p <0.05, OR = 1, 48), while there is no association between travel time to the health center B. Local government should prioritize to the provision of health care facility that easily accessible by the public to enhance sustainable rural development.Keywords : Malaria, Health Care Access,  Bengkulu
PERILAKU MASYARAKAT TERKAIT PENYAKIT KAKI GAJAH DAN PROGRAM PENGOBATAN MASSAL DI KECAMATAN PEMAYUNG KABUPATEN BATANGHARI, JAMBI Ambarita, Lasbudi P.; Taviv, Yulian; Sitorus, Hotnida; Pahlepi, R. Irpan; Kasnodihardjo, Kasnodihardjo
Media Penelitian dan Pengembangan Kesehatan Vol 24, No 4 Des (2014)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

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Abstract

AbstrakPenyakit kaki gajah adalah penyakit menular bersumber binatang yang ditularkan oleh nyamuk pembawa parasit cacing filaria. Upaya yang dilakukan di tingkat global maupun nasional dalam program eliminasi filariasis,  yaitu  pengobatan  massal.  Penelitian  ini  bertujuan  untuk  mengetahui  perilaku  masyarakat terkait penyakit kaki gajah dan program pengobatan massal sebelum dilaksanakan pengobatan tahun ketiga di Kecamatan Pemayung Kabupaten Batanghari Propinsi Jambi. Metode penelitian non-intervensi dengan rancangan potong lintang. Unit sampel adalah kepala keluarga dengan total sampel 380orang yang  ditentukan  secara  stratified  sampling.  Instrumen  yang  digunakan  adalah  kuesioner  terstruktur. Hasil penelitian menunjukkan 45,5% responden sering keluar rumah pada malam hari dengan berbagai jenis aktivitas, sebagian besar (99,5%) menggunakan alat pelindung diri dari gigitan nyamuk. Sebanyak 7,5%  responden  menyatakan  pernah  diperiksa  sediaan  darah  jari  terkait  penyakit  kaki  gajah,  5,4% pernah mengalami gejala demam berulang. Sebagian besar (86,6%) tahu ada pembagian obat massal di wilayahnya, 69,1% mengetahui ada sosialisasi pengobatan massal dan 86,1% pernah mendapat obat. Dari 324 responden yang menyatakan pernah diberi obat, 76% menyatakan minum obat yang diberikan dan 41% minum obat 2 kali, 24% tidak meminum obat yang diberikan yang sepertinya dengan alasan  utama  takut  efek  samping  obat  (50,8%).  Diperoleh  hubungan  bermakna  antara  umur,  jenis kelamin, informasi pengobatan, sosialisasi dan distribusi obat terhadap kepatuhan minum obat pada program pengobatan massal penyakit kaki gajah.Kata kunci : Penyakit kaki gajah, Perilaku, Pengobatan massal, Kecamatan PemayungAbstractLymphatic filariasis (LF) is an infectious disease transmitted by mosquitoes that carries parasitic filarial worms. One of the efforts made at the national and global levels in the filariasis elimination program is the mass drug administration (MDA). This study aims to determine practice towards lymphatic filariasis and mass drug administration among population at Pemayung Subdistrict of Batanghari District, Jambi and carried out before the third MDA in 2011. This research is a non-intervention study with crosssectional design. Sample units is households and a total of 374 households had been selected randomly. A practice questionnaire was used to collect data on practice regarding LF and responses to MDA. The results showed for risky behaviour among the respondents, 45.5% said often going out at night with various kinds of activity, 99.5% using protection to avoid mosquito bites, 7.5% have follow blood test for microfilaria detection and 5.4% having experienced periodic fever. Most of respondents (86.6%) know the distribusion of LF drugs in their villages, 69.1% of them ever heard socialization of MDA and 86.1% had been given the drug. Of 324 respondents that had been given a drug, 76% ever consume drug and 41% of them consume it once time while 24% didn’t consumpt the drugs with the main reason was fear of side reaction (50.8%). There were correlation (p<0.05) between age, sex, MDA campaign, distribution of medicinewithdrinking medicine compliance.Keywords : Lymphatic filariasis, Practice, Mass Drug Administration, Pemayung Subdistrict
MALARIA PADA ANAK DI DESA PAGAR DESA (PEMUKIMAN SUKU ANAK DALAM) DI KABUPATEN MUSI BANYUASIN PROPINSI SUMATERA SELATAN Sitorus, Hotnida; Oktarina, Reni; Ambarita, Lasbudi P.
Media Penelitian dan Pengembangan Kesehatan Vol 21, No 1 Mar (2011)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/mpk.v21i1 Mar.111.

Abstract

Research on the incidence of malaria in children in Pagar Desa village of Musi Banyuasin District have aim to highlight the incidence of malaria in children. The community in this village comprises several ethnic including Suku Anak Dalam. This study use cross sectional design. The data were collected from children ages 9 year old or below. Blood sample were taken from each child and followed by examination of hemoglobin and spleen. Interview to child?s mothers were conducted to determine behaviours of the children. Out of 114 blood films collected, 17 blood samples showed positive malaria microscopically. Approximately 85,1% of children examined had hemoglobin below normal and 13,2% categorized splenomegaly. Statistically there was a significant correlation between malaria cases in children and enlarged spleen. Result suggest a critical need for improving the knowledge of the mothers about the link between malaria and its risk factors.
Co-Authors Hotnida Sitorus Kasnodihardjo Kasnodihardjo R. Irpan Pahlepi Reni Oktarina Rika Maya Sari Yulian Taviv