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Evaluasi Program Pengendalian Tuberkulosis dengan Strategi DOTS di Eks Karesidenan Surakarta Firdaufan, ; Santoso, ; Hartanto, Rifai; Hendratno, ; Sumardiyono, ; Sutisna, Endang; Syahril, Mohammad
Jurnal Kedokteran Indonesia Vol 1, No 2 (2009)
Publisher : Jurnal Kedokteran Indonesia

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Background: Direct Observed Treatment Short Course (DOTS) strategy has been regarded as successfulto control Tuberculosis. However decreasing rates of TB prevalence and mortality were not fastenough to attain half of the prevalence and mortality in 2015 as targeted by Millenium DevelopmentGoals (MDGs). There is a need for continuity and expansion of DOTS strategy implementation. Thisstudi aimed to evaluate the attainment of TB control program with DOTS strategy and determinefactors affecting it.Methods: This was a quantitative and qualitative evaluation study using a post-hoc cross-sectionaldesign. The study was conducted in Sukoharjo and Boyolali districts, and Surakarta municipality, CentralJava, carried out from October 2009 to February 2010. The target population included TB implementingworkers, policymakers, TB health program planners, TB patients and their family, and other stakeholders.Results: There is disparity in the target attainment of TB control program at district/ municipalities aswell as subdistrict levels. Some districts and subditricts have not reached the expected quantitativeand qualitatives levels of outcome. Case finding and detection rate were subtstandard 70%, atmunicipality/ district level. This problem was due to level of compliance among doctors, spesialists,and private hospitals was still low to implement standard procedures of diagnosis, treatment, reportingand recording of TB patients. The drop-out rate and ineffective drug administration supervision affectedthe cure rate. Financial support for the TB control program from the local government and locallegislatives was lacking.Conclusion: TB control program with DOTS has been implemented but with varying level ofachievement. System strengthening and participation of all health providers are encuraged byestablishing external network.Keywords: evaluation, tuberculosis control, DOTS strategy

Hubungan Dukungan Sosial dengan Derajat Depresi Pasien Penyakit Ginjal Kronis yang Menjalani Hemodialisis di RSUD Dr.Moewardi Nugraha, Dwi Adhi; Yuliadi, Istar; Hartanto, Rifai
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Chronic kidney disease incidences are expected to rise. One of the most pshycopatological problems in hemodyalisis patient is depression. Depression will decrease compliance, immnune dysfunction, and poor nutrition. This study aimed to know prevalence of depression and to search wether there were some relationship between social support with depression in hemodyalisis at RSUD Dr.Moewardi. Methods: This was an analitic observational study. Two measurement tools were used in this study, they were Beck Depression Inventor (BDI) and modified Multidimensional Support of Perceived Social Support (MSPSS). 30 patients were involved in this study. Statistic tests used in this study were Pearson test and Spearman test. Results: Depression was found in 43.33% chronic kidney disease patient undergoing hemodyalisis, with BDI cutoff >15. Mean of BDI score was 16.3 and deviation standard score was 7.433. Depression has significant negative relationship with family support, r = -0.480 and p = 0.007 (< 0.05). No significant relationship between social support from other source outside family with degree of depression. Conclusions: Depression was found in hemodyalisis patients at RSUD Dr.Moewardi. Degree of depression could be decreased by family support. Keywords: Social support, depression, chronic kidney disease, hemodyalisisÂ

The Difference of Anxiety between Primigravida and Multigravida Patients in Third Trimester Pregnancy at Permata Bunda Hospital Purwodadi Himawan, Ichsanul Amy; Suwito, Djoko; Hartanto, Rifai
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Anxiety can be experienced by humans, characterized by the fear, unpleasant, and often accompanied by autonomic symptoms. Pregnant woman may experience anxiety, especially in the third trimester, and there may be differences in anxiety in primigravida and multigravida. This study aims to determine the difference of anxiety level between primigravida and multigravida patient in the third trimester of pregnancy. Methods: The research was descriptive analytic study with cross sectional approach was conducted to patients in obstetry and gynecology clinic Permata Bunda Hospital Purwodadi on March 2012. Sixty samples were choosen by random purposive sampling. The samples were (1) thirty primigravida patients and thirty multigravida patients, (2) third trimester pregnancy. Samples were excluded if (1) LMMPI score more than 10, (2) Family death and suddenly incident like accident in last 3 month, (3) severe physical illness. This research was analized by Mann Whitney test by Statistical Product and Service Solution (SPSS) Program 17.00 for Windows. Results: Average score of primigravida 20,1000 Â± 1,30811, and multigravida 24,2000 Â± 1,02318. The result of Mann-Whitney test was p = 0,015. ( p < 0,05) Conclusions: This research found a significant difference of anxiety level between primigravida and multigravida patients in third trimester pregnancy at Permata Bunda Hospital Purwodadi. Keywords: anxiety, pregnancy, primigravida, multigravida, third trimester.Â

Hubungan antara Tingkat Pendidikan dengan Pengetahuan Dan Sikap Ibu Tentang Pemberian Imunisasi BCG Pada Bayi Usia 0-2 Bulan di Wilayah Kerja Puskesmas Kebakkramat I Karanganyar Wijaya, Dedy Tri; Hardjanti, Endang Sri; Hartanto, Rifai
Nexus Kedokteran Komunitas Vol 2, No 2 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Mothers role is very important in BCG immunization to their babies, because immunization is useful to prevent and break the chain of TB disease. This research aims to prove that the degree of education has a strong correlation with the knowledge and attitude of mothers in BCG immunization. Methods: This study was observational analytic conduct by cross-sectional approach. The study was conducted in July-September 20 012 health centers in the working area Kebakkramat I, Karanganyar. Sample of 45 mothers were selected by purposive quota sampling. The variables studied include degree of educational as independent variables, the knowledge and attitudes of mothers about BCG immunization as the dependent variables. This research tool used questionnaires to measure all these variables and have done test validity and reliability. Data were analyzed using kolmogorov-Smirnov models using SPSS 17 for windows. Results: This study shows that the degree of education has a significant association with increased knowledge (kolmogorov-Smirnov Z= 1,375 ; p=0,046) but did not have a significant association with maternal attitudes about BCG immunization (Kolmogorov-Smirnov Z = 1.167, p = 0.131). Conclusion: There is a significant correlation between the degree of education with knowledge of BCG immunization and there is no significant relationship between the level of maternal education and attitudes about BCG immunization. Keywords: Degree of education, Knowledge, Attitute, BCG immunization

Pengaruh Penyuluhan Kesehatan terhadap Tingkat Pengetahuan Program Jaminan Persalinan di Wilayah Kerja Puskesmas Sedayu 1 Kabupaten Bantul Putra, Vidi Aditya Pamori Wibowo; Hartanto, Rifai; Sulaeman, Endang Sutisna
Nexus Kedokteran Komunitas Vol 3, No 1 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Mass Labor Assurance (known as Jampersal) is a new program, it caused lack of knowledge in the peopleâs society from rural area. Based on data from Bantul Regency Health Department in 2011 there were 8,5 infant mortality per 1000 birth, and maternal mortality rate was 111,2 per 100.000 birth. Maternal mortality rate in Bantul Regencyincreased 29,1 per 100.000 birth compared with maternal mortality rate in 2010, while labor woman mortality rate was 82,1 per 100.000 birth (Bantul Regency Statistic Department, 2010). It was interesting, because on January 1st 2011 Mass Labor Assurance or Jampersal began to be implemented in every Indonesia region, meanwhile maternal mortality rate in Sedayu District of Bantul Regencyincreased. Methods: This research wasusing quasi experimental with pretest and posttestcontrol group design approaching study. Samplesin this researchwere mothers from Puskesmas Sedayu 1 of Bantul Regency working area. Samples were taken with rule of thumbs, divided by 2 groups consist of control group and treatment group.Total samples were 100 mothers, divided into control group and treatment group. The data was collected by quesioner test before and after the counseling Results: The knowledge difference about Jampersal in treatment and control group is count 14.94 with significant level 0.000 (p<0.05). Conclusion: Counselingwas increasing the motherâs knowledge level about Mass Labor Assurance (Jampersal) programs. Keywords: counseling, knowledge, labor assuranceÂ

Model Pemberdayaan Masyarakat Dalam Kemampuan Mengidentifikasi Masalah Kesehatan : Studi Pada Program Desa Siaga Sutisna Sulaeman, Endang; Karsid, Ravik; Murti, Bhisma; Tri Kartono, Drajat; Hartanto, Rifai
Jurnal Kedokteran YARSI Vol 20, No 3 (2012): SEPTEMBER - DESEMBER 2012
Publisher : Lembaga Penelitian Universitas YARSI

Masalah pemberdayaan masyarakat adalah lemahnya kemampuan mengidentifikasi masalahkesehatan. Tujuan penelitianadalahmengkaji dan menganalisis faktor-faktor yang berhubungan dengan pemberdayaan masyarakat dalamkemampuan mengidentifikasi masalah kesehatan, dan merumuskan model pemberdayaan masyarakat dalamkemampuan mengidentifikasi masalah kesehatan.Penelitianinimenggunakan metode gabungan antara kuantitatif dan kualitatif. Penelitian kuantitatif berupapenelitian survei dengan analisis jalur,sedangkan penelitian kualitatif menggunakanstudi kasus. Sasaran penelitian adalah Bidan Pos Kesehatan Desa danForum Kesehatan Desa di 30Desa Siaga. Hasil penelitian: (1) Faktor-faktor yang berhubungan denganpemberdayaan masyarakat dalamkemampuan mengidentifikasi masalah kesehatan meliputi: tingkat pendidikan, pengetahuan, kesadaran, kepedulian, kebiasaan, kepemimpinan, modal sosial, Survei Mawas Diri, akses informasi kesehatan,peran petugas kesehatan,danperan fasilitator kesehatan; (2)Model pemberdayaan masyarakat dalam kemampuan mengidentifikasi masalah kesehatanterdiri dari unsur-unsurmasukan, proses, dan keluaran. Unsur masukan terdiri dari faktor internal dan faktor eksternal komunitas. Faktor internal meliputi: tingkat pendidikan, pengetahuan, kesadaran,kepedulian, kebiasaan, kepemimpinan, modal sosial, serta Survei Mawas Diri. Sedangkan faktor ekternal meliputi: akses informasi kesehatan,peran petugas kesehatan, dan peran fasilitator. Sementara itu proses pemberdayaanmasyarakat meliputi proses pendayagunaan dan pemanfaatan sumber daya di dalam masyarakat serta proses fasilitasi dan dukungan sumber daya dari luar masyarakat. Keluaran pemberdayaanmasyarakat berupakeberdayaanmasyarakatdalamkemampuan mengidentifikasi masalah kesehatan.Masalah pemberdayaan masyarakat adalah lemahnya kemampuan mengidentifikasimasalahkesehatan.Tujuan penelitianadalahmengkaji dan menganalisisfaktor-faktor yang berhubungan dengan pemberdayaan masyarakatdalamkemampuan mengidentifikasi masalah kesehatan, dan merumuskan modelpemberdayaan masyarakat dalamkemampuan mengidentifikasi masalah kesehatan.Penelitianinimenggunakanmetodegabunganantarakuantitatifdankualitatif.Penelitian kuantitatif berupapenelitian survei dengan analisis jalur,sedangkan penelitian kualitatif menggunakanstudi kasus. Sasaran penelitianadalah Bidan Pos Kesehatan Desa danForum Kesehatan Desa di 30Desa Siaga.Hasil penelitian: (1) Faktor-faktor yang berhubungan denganpemberdayaanmasyarakat dalamkemampuan mengidentifikasi masalah kesehatan meliputi:tingkat pendidikan, pengetahuan, kesadaran, kepedulian, kebiasaan, kepemimpinan,modalsosial,Survei Mawas Diri, akses informasi kesehatan,peran petugaskesehatan,danperan fasilitator kesehatan; (2)Modelpemberdayaan masyarakatdalamkemampuan mengidentifikasi masalah kesehatanterdiri dariunsur-unsurmasukan, proses, dan keluaran. Unsur masukan terdiri dari faktor internal danfaktor eksternal komunitas. Faktor internal meliputi: tingkat pendidikan, pengetahuan,kesadaran,kepedulian,kebiasaan,kepemimpinan,modalsosial,sertaSurveiMawasDiri.Sedangkan faktor ekternal meliputi: akses informasi kesehatan,peranpetugaskesehatan,danperanfasilitator.Sementaraituprosespemberdayaanmasyarakatmeliputi proses pendayagunaan dan pemanfaatansumber daya di dalam masyarakat serta proses fasilitasi dan dukungan sumberdaya dari luar masyarakat. Keluaran pemberdayaanmasyarakat berupakeberdayaanmasyarakatdalamkemampuanmengidentifikasimasalahkesehatan.

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