Ni’mal Baroya
Fakultas Kesehatan Masyarakat, Universitas Jember

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The Implementation of Acute Respiratory Infection (ARI) Controlling Programme and the Coverage of Pneumonia among Under-Five Children Baroya, Ni'mal; Aryani, Maulidya Puji; Ariyanto, Yunus
Unnes Journal of Public Health Vol 7 No 1 (2018): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (258.865 KB) | DOI: 10.15294/ujph.v7i1.18362

Abstract

Abstract Pneumonia is an acute infection of lung tissue (alveoli). Pneumonia is one of the main focus ARI preventing and controlling program.  One of the ARI preventing and controlling program indicators was pneumonia coverage among under five years old. The coverage of pneumonia finding among under five years old in Banyuwangi Regency since 2014-2016 years have not reached the national target. Pneumonia toddler coverage in 2014 and 2015 shows 33,7% and 71,1%, while in 2016 shows 41,99%. This research aims to analyze the association between officer characteristics, logistics availability and ARI control activities with pneumonia toddler coverage in Banyuwangi Regency. The research uses cross sectional analytic desain with 31 respondents. The result of this research has significant relationship is age, work length and capacity buailding. Nevertheless, gender, education, knowladge, availability of diagnostic tools, guideline, KIE media, recording and reporting media, advocation and socialisation, pneumonia find and management, supervision, recording and reporting, partnership and network, monitoring and evaluation has not significant relationship. Banyuwangi Health Office is hoped to do conduct periodic training every year to ARI program officer on ARI control management, management of pneumonia toddler and promotion of pneumonia control in under fives to increase human resources capacity in primary health facility.                 Abstrak Pneumonia merupakan salah satu fokus utama Program Pencegahan dan Pengendalian ISPA. Salah satu indikator program P2 ISPA adalah cakupan penemuan pneumonia balita. Cakupan pneumonia pada balita di Kabupaten Banyuwangi dari tahun 2014-2016 belum mencapai target nasional. Pada tahun 2014 dan 2015 cakupan pneumonia pada balita sebesar 33,7% dan 71,1% sedangkan tahun 2016 sebesar 41,99%. Penelitian ini bertujuan menganalisis hubungan antara karakteristik petugas, ketersediaan  logistik dan kegiatan pengendalian ISPA dengan cakupan penemuan pneumonia pada balita di Kabupaten Banyuwangi. Desain penelitian yang digunakan adalah analitik cross sectional dengan jumlah sampel 31 responden. Hasil penelitian ini yang memiliki hubungan signifikan dengan cakupan penemuan pneumonia pada balita adalah usia, lama kerja dan peningkatan kapasitas SDM dengan cakupan penemuan pneumonia pada balita. Sedangkan jenis kelamin, pendidikan, pengetahuan, ketersediaan alat diagnostik, buku pedoman, media KIE, media pencatatan dan pelaporan, advokasi dan sosialisasi, penemuan dan tata laksana pneumonia, supervisi, pencatatan dan pelaporan, kemitraan dan jejaring serta monitoring dan evaluasi tidak memiliki hubungan. Dinas Kesehatan Kabupaten banyuwangi diharapkan dapat melaksanakan pelatihan secara berkala setiap tahun kepada pemegang program P2 ISPA mengenai manajemen pengendalian ISPA, tatalaksana pneumonia pada balita serta promosi pengendalian pneumonia pada balita untuk meningkatkan kapasitas sumber daya manusia yang telah tersedia di puskesmas.  
Determinan Unmet Need KB Pada Wanita Menikah di Kecamatan Klabang Kabupaten Bondowoso (Determinants for Family Planning Among Married Women at Klabang Sub District in Bondowoso) Ratna Katulistiwa; Ni'mal Baroya; Dwi Martiana Wati
Pustaka Kesehatan Vol 2 No 2 (2014)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Unmet need for family planning is a multidimentional problem because it is influenced byvarious factors. Unmet need for family planning at East Java in 2013th was decrease from14,89% become 13,44%. But, the unmet need issue was enough higher than anotherprovince. Although, the unmet need issue in Bondowoso was high and Klabang sub districtwas higher than another distric in Bondowoso. This research aim to determine of unmetneed for family planning among married women, according to the demographiccharacteristic, social economic, and access in family planning services. This research wasanalytically, using cross sectional design. The number of samples was 219 respondentswho chosen by proportional random sampling technique. Bivariable analysis by Chi Squaretest and multivariable analysis by logistic regression (α=5%). There is a significant relationbetween the number of living children (OR=0,08), wealth status (OR=3,7), geographic orphysical accessibility (OR=0,19), psychosocial accessibility (OR=0,23), and cognitiveaccessibility (OR=3,84) with unmet need for family planning among married women.Keywords: Married women, unmet need, family planning
PREDIKTOR SIKAP STIGMA DAN DISKRIMINASI TERHADAP ORANG DENGAN HIV DAN AIDS (ODHA) DI KABUPATEN JEMBER Ni’mal Baroya
Jurnal Ilmu Kesehatan Masyarakat Vol 13 No 2 (2017)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v13i2.7032

Abstract

Globally, the HIV and AIDS epidemic shows stable conditions, but statistically there is still an increase in new infections in some areas including Jember District. The main barriers to HIV prevention are stigma and discrimination against people living with HIV. This study aims to analyze the predictors of stigma and discrimination attitude toward PLHIV in Jember District. This was an observational study used cross sectional design. Research subjects were people aged 15-24 years amounted to 247 respondents. Determination of the sample using a multistage sampling technique, ie the determination of simple random cluster of villages and then determine the respondents of each cluster randomly systematic. Data were collected using structured interview technique with questionnaire then analyzed using chi-square test and logistic regression with 5% significance level. The results showed the majority of respondents (81.4%) stated not willing to buy food if the seller knew HIV +. Fifty percent more they disagree if female teachers who are HIV + keep teaching. Similarly, children with HIV + cannot be admitted to school with HIV negative children. The distribution of stigma and discrimination attitudes toward people living with HIV significantly differed by age, sex, education level, marital status and occupational status. The level of knowledge and residence does not differ significantly. A significant factor to be a predictor of stigma and discrimination against people living with HIV is age and gender. Younger age (15-19 years) and women have a greater likelihood of being stigmatized and discriminating against people living with HIV. Dissemination of information about HIV and AIDS in adolescents aged 15-19 years is still needed to increase knowledge and accelerate the acceptance of PLHIV so that stigma and discrimination attitude toward PLWHA can be reduced. Keywords: attitude, stigma, discrimination people suffering with HIV and AIDS.
PEMENUHAN KEBUTUHAN KONTRASEPSI KELUARGA MISKIN DI INDONESIA PADA MASA DESENTRALISASI (ANALISIS SDKI 2007) Ni'mal Baroya
Jurnal Ilmu Kesehatan Masyarakat Vol 7 No 1 (2011)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

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Abstract

Indonesia has experienced an increasing in contraceptive use. However, it is not in line with a decreased unmet need for family planning. The decentralization policy for family planning may lead to lower unmet need among poor women.  This research aims to analyze impacts on decentralization policy for family planning in meeting contraceptive needs for poor households. This study was a survey panel using the Indonesia Demographic Health Survey (IDHS) of 2007. The subjects were all married women aged 15-49 years old. Data analysis used a multilevel modeling technique to assess the effect of individual and community factors on the unmet need for family planning. The unmet need in Indonesia was 9.2%, 8.6% and 9.1% for the year of 1997, 2002-2003 and 2007, respectively. Poorest women had higher odds of unmet need than richest (odds ratio, 1.4). The odds were also higher among women who never attending school, lack of contraceptive knowledge, unexposed with family planning information and problems in the access. In community level, the odds of unmet need was smaller when a woman lived in a community with higher mean of family planning knowledge. The implementation of decentralization policy on family planning was reduced the odds of unmet need for poor households in which the policy is then followed by the improvement of family planning knowledge for individual and community. Key words: contraceptive need, poor households, decentralization
Service Quality and Unmet Need for Family Planning in Childbearing-Age Women at Jambesari Darus Sholah Sub-District, Bondowoso Regency Aulia, Dinda Masitha; Ramani, Andrei; Baroya, Ni'mal
Unnes Journal of Public Health Vol 9 No 2 (2020): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v0i0.28815

Abstract

The unmet need for family planning in Bondowoso Regency is the third highest in East Java. Jambesari Darus Sholah Subdistrict is the sub-district with the highest number of unmet needs in Bondowoso Regency. This study aims to analyze the relationship of service quality with unmet need for family planning in Jambesari Darus Sholah District, Bondowoso Regency. This was an analytic study with cross sectional design. The sample of this research was 149 married women who were selected by simple random sampling technique. Collecting data of this study through structured interview methods using a questionnaire. Data analysis used chi-square test and logistic regression test with backward method with a significance level of 95%. The results showed that respondents who experienced unmet need for family planning were 20.1%. If reviewed based on the type of unmet need for family planning, 83.3% do not want more children and 16.7% want children to be postponed. Women who are older, have children > 2 and have low education are at greater risk of unmet need for family planning. The quality of family planning services was related to unmet need for family planning. Women who receive poor quality family planning services are at risk of unmet need for family planning 3.3 times greater than good quality family planning services. Thus, increasing the quality of family planning services becomes important to reduce the number of unmet needs for family planning.
Peramalan Jumlah Akseptor Baru Metode Kontrasepsi Jangka Panjang (MKJP) Kabupaten Jember Menggunakan Analisis Time Series Rike Andriyani; Ni'mal Baroya; Andrei Ramani
BIOGRAPH-I: Journal of Biostatistics and Demographic Dynamic Vol 1 No 1 (2021): May
Publisher : Fakultas Kesehatan Masyarakat Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (526.929 KB) | DOI: 10.19184/biograph-i.v1i1.22208

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Penggunaan Metode Kontrasepsi Jangka Panjang (MKJP) sebagai kontrasepsi efektif untuk menurunkan angka TFR masih jauh di bawah angka penggunaan non-MKJP. Perkiraan jumlah akseptor baru yang memungkinkan perlu dilakukan untuk menetapkan langkah yang harus dilakukan sesuai dengan kondisi di masyarakat untuk meningkatkan penggunaan MKJP. Penelitian ini dilakukan dengan tujuan untuk menentukan model peramalan penggunaan kontrasepsi jangka panjang oleh akseptor baru KB sehingga hasilnya dapat digunakan sebagai bahan pertimbangan untuk peningkatan program KB di Kabupaten Jember. Jenis penelitian ini yaitu penelitian deskriptif dengan pendekatan kuantitatif. Penelitian dilakukan pada tahun 2020 dengan subjek penelitian akseptor baru MKJP pada tahun 2012-2019 di Kabupaten Jember. Peramalan dilakukan dengan metode ARIMA yang diolah melalui aplikasi Rstudio. Hasil menunjukkan bahwa faktor sosial ekonomi yang berhubungan dengan banyaknya akseptor baru MKJP adalah persentase penduduk perkotaan (r= -0,712), persentase wanita menikah usia >30 tahun (r= 0,916), dan pendapatan per kapita (r= -0,734). Model peramalan terbaik untuk menentukan banyaknya akseptor baru metode IUD adalah ARIMA (11,1,2). Model peramalah terbaik untuk menentukan banyaknya akseptor baru metode implan adalah ARIMA (0,0,8). Model peramalan terbaik untuk menentukan banyaknya akseptor baru MOW adalah ARIMA (0,0,12). Perlu adanya peningkatan pengetahuan mengenai MKJP terutama IUD dan implan khususnya pada wanita yang telah berusia >30 tahun, perlunya pemerataan distribusi pemberi layanan kontrasepsi, sosialisasi mengenai pentingnya pembatasan kehamilan pada masyarakat dengan ekonomi tinggi, dan perlu adanya kesiapan tenaga medis dan finansial sebagai langkah mempersiapkan akseptor MOW yang kemungkinan akan meningkat.
Pengaruh Konseling KB Pada Ibu Hamil Trimester III terhadap Keikutsertaan KB Pasca Persalinan di Kecamatan Sukowono Kabupaten Jember (The Effects of Family Planning's Counseling Among Third Trimester Pregnancy Women to Participation of Postpartum Family P Vita Khusnul Khotimah; Ni'mal Baroya; Pudjo Wahjudi
Pustaka Kesehatan Vol 4 No 2 (2016)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Posttpartum family planning was very important to prevent unintended pregnancy. Based onthese data, Sukowono Subdistrict has lowest postpartum FP participant that was any 1 personthan another subdistrict. The low service caused by the lack of FP counseling treatmenttherefore it will impact to the increasing of unmet need. This research aims to know effects offamily planning's counseling among third trimester pregnancy women to participation ofpostpartum family planning in sukowono subdistrict, Jember District. This type of research wasquasi-experimental research with the type of Community Trial. The study was conducted inNovember 2014 until July 2015, in Sukowono Subdistrict. The total respondents were 45 peopleand the randomization ratio was 1:2 for the control and intervention groups. Result showed thatgroup that was given counseling have knowledge and attitude higher than group that was notgiven counseling The analysis results of FP counseling effect to postpartum FP participationshow experimental group percentage of respondents who participate to postpartum FP washigher than control group, and there was significant relationship between counseling treatmentand postpartum FP participation. The analysis results also showed there was no differencebetween planning and realization of postpartum FP participation in group that was given FPcounseling.Keywords: Family Planning's Counseling, Postpartum Family Planning
PERBEDAAN KUNJUNGAN ANTENATAL CARE ANTARA IBU HAMIL PESERTA PROGAM KELUARGA HARAPAN (PKH) DAN BUKAN PESERTA PKH DI KECAMATAN KALISAT KABUPATEN JEMBER Nika Nur Indah Sari; Andrei Ramani; Ni’mal Baroya
Jurnal Ilmu Kesehatan Masyarakat Vol 14 No 1 (2018)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v14i1.10405

Abstract

Pregnant woman has a risk of mortality; therefore, it is necessary to prevent the maternal mortality by pregnancy test. PKH (Program Keluarga Harapan) is a program that supporta pregnancy test. This study aims to determine the different of antenatal care visits between pregnant women PKH participants and non PKH participants in Kalisat, Jember. This study was analytic with cross sectional approach. The data was analyzed by using chi-square test. The sample of this study were 36 pregnant women in each group randomized in 2016.The results showed that there was a significant difference between occupation status and accessibility to the antenatal care visit (completeness) between pregnant women PKH participants and non PKH participants where pregnant woman PKH participant who unemployed and have easy access are visit antenatal completely compared to pregnant woman non PKH participants. There is a difference between occupation status, husband support and accessibility to antenatal visit (accuracy) between pregnant women PKH participants and non PKH participants where pregnant woman PKH participants who unemployed have more visit antenatal care completely, and pregnant woman non-PKH participants with high husband support and easy accsess will be more appropriate visit compared with pregnant woman PKH participants. There were no differences in age, parity, education, family income, and medical history with antenatal care visit between pregnant women of PKH participants and non PKH participants.
Hubungan Status Berpacaran, Paparan Media, Teman Sebaya Dan Peran Orang Tua dengan Perilaku Seksual Pranikah pada Remaja Pria di Indonesia (Analisis Lanjut Data SDKI 2017) Rachmadya Wira Shakti; Andrei Ramani; Ni'mal Baroya
BIOGRAPH-I: Journal of Biostatistics and Demographic Dynamic Vol 2 No 1 (2022): May
Publisher : Fakultas Kesehatan Masyarakat Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/biograph-i.v2i1.29460

Abstract

Perilaku seksual pranikah merupakan salah satu permasalahan yang penuh risiko dan sangat rawan terjadi pada proses perkembangan seorang remaja. Transisi antara sosial dan budaya dapat mengakibatkan remaja rentan terpengaruh dampak negatif. Menurut data SDKI 2017 menyatakan bahwa perilaku seksual pranikah terjadi pada 8% remaja pria dan 2% remaja wanita. Tujuan penelitian menganalisis hubungan antara faktor predisposing (meliputi usia, tingkat pendidikan, pengetahuan, dan status berpacaran), faktor enabling (meliputi paparan media), dan faktor reinforcing (meliputi pengaruh teman sebaya dan peran orang tua) dengan perilaku seksual pranikah pada remaja pria di Indonesia. Penelitian ini menggunakan data SDKI tahun 2017 dengan desain Cross Sectional. Populasi penelitian yang digunakan adalah remaja pria usia 15-24 tahun di Indonesia. Jumlah sampel sebanyak 12.935 remaja pria. Analisis Bivariat menggunakan Chi-Square dan analisis multivariat menggunakan regresi logistik. Perilaku seksual pranikah pada remaja pria sebanyak 51,1%. Faktor yang berhubungan dengan perilaku seksual pranikah pada remaja pria yaitu usia (OR 4,0; CI 3,68-4,30), tingkat pendidikan (OR 1,8; CI 1,11-2,94), status pernah berpacaran (OR 494,6; CI 235,26-1039,70), dan pengetahuan (OR 3,0; CI 2,76-3,34). Selain itu, kepemilikan smartphone (OR 2,1; CI 1,92-2,31), akses terhadap internet (OR 2,3; CI 2,11-2,60), teman sebaya yang berpengaruh negatif (OR 7,6; CI 6,84-8,46), dan peran orang tua juga berpengaruh terhadap perilaku seksual pranikah pada remaja (OR 1,1; CI 1,01-1,17). Faktor yang paling kuat dalam mempengaruhi perilaku seksual pranikah remaja pria adalah status berpacaran (OR 362,5; CI 171,73-756,34) dapat diartikan remaja pria dengan status sedang atau pernah berpacaran berisiko 362 kali untuk berperilaku seksual pranikah. Untuk itu perlu adanya peningkatan ilmu pengetahuan mengenai kesehatan reproduksi remaja serta dampak buruk perilaku seksual pranikah.
Tantangan Proses Impelementasi Program Penurunan Angka Kematian Ibu di Wilayah Kerja Puskesmas Panti Kabupaten Jember Elok Permatasari; Ni’mal Baroya; Andrei Ramani; Dimas Bagus Cahyaningrat Wicaksono; N. Ulya Luthfiyana; Devi Arine Kusumawardani; Dwi Martiana Wati
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 12, No 1 (2021): Januari
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf12106

Abstract

Jember Regency is one of the areas with a high maternal mortality rate (MMR). This study aims to describe the implementation of the maternal mortality reduction program in Panti health center, Jember Regency. This type of research was qualitative, which revealed the processes and aspects that affect, as well as obstacles and challenges, in the implementation of the MMR reduction program in health center. The research subjects were individuals who were directly involved in the accelerated program to decrease MMR. The results showed that there were various challenges in program implementation in the aspects of planning, involvement and leader's opinion. An important finding in this study is the very low cross-sectoral active role which causes delays in service delivery to the community. Keywords: maternal mortality rate; puskesmas; decrease ABSTRAK Kabupaten Jember merupakan salah satu daerah dengan angka kematian ibu (AKI) yang tinggi. Penelitian ini bertujuan menggambarkan implementasi program penurunan kematian ibu di Puskesmas Panti, Kabupaten Jember. Jenis penelitian ini adalah kualitatif yang mengungkap proses dan aspek yang mempengaruhi, serta hambatan dan tantangan, dalam pelaksanaan program penurunan AKI di puskesmas. Subjek penelitian adalah individu yang terlibat langsung dalam program akselerasi penurunan AKI. Hasil penelitian menunjukkan adanya berbagai tantangan dalam implementasi program pada aspek perencanaan, keterlibatan dan opini pemimpin. Temuan penting dalam kajian ini adalah sangat rendahnya peran aktif lintas sektor yang menyebabkan terhambatnya pemberian pelayanan bagi masyarakat. Kata kunci: angka kematian ibu; puskesmas; penurunan