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.  
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.
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
Kadar protein, zat besi dan uji kesukaan sosis tempe dengan penambahan tepung daun kelor (Moringa oleifera) Elok Anisa Rahmayanti; Farida Wahyu Ningtyias; Ni'mal Baroya
Ilmu Gizi Indonesia Vol 4, No 1 (2020): Agustus
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/ilgi.v4i1.153

Abstract

Latar Belakang: Anemia pada remaja putri umumnya disebabkan kebiasaan konsumsi makanan yang rendah gizi salah satunya fast food. Sosis merupakan fast food yang cukup digemari masyarakat Indonesia. Modifikasi pengolahan sosis menggunakan bahan baku utama yang berbeda yaitu tempe dan penambahan tepung daun kelor merupakan bentuk diversifikasi pangan (protein dan zat besi) untuk pencegahan anemia khususnya bagi remaja putri. Tujuan: Menganalisis pengaruh penambahan tepung daun kelor terhadap kadar protein, zat besi dan uji kesukaan sosis tempe. Metode: Quasi experimental dengan 12 unit perobaan dengan empat perlakuan: sosis tempe tanpa penambahan tepung daun kelor/kontrol (X0), dengan penambahan tepung daun kelor lima gram (X1), 10 gram (X2), dan 15 gram (X3). Kadar protein sampel dianalisis dengan metode Kjeldahl, zat besi dengan metode Spektofometri Serapan Atom (AAS) dan uji kesukaan menggunakan Hedonic Scale Test. Data hasil uji kadar protein dan zat besi dianalisis menggunakan uji Kruskall Wallis dan Mann Whitney U-Test, sedangkan hasil uji kesukaan dianalisis menggunakan uji Friedman dan Wilcoxon Signed Ranks Test dengan tingkat signifikasi 5%. Hasil: Semakin banyak penambahan tepung daun kelor, kadar protein, dan zat besi sosis tempe semakin meningkat. Penambahan tepung daun kelor berpengaruh terhadap kadar protein, zat besi dan uji kesukaan (warna, aroma, rasa, tekstur) sosis tempe (0,002≥α). Kesimpulan: Sosis tempe dengan penambahan tepung daun kelor 15 gram (X3) memiliki kadar protein dan zat besi tertinggi. Sosis tempe yang direkomendasikan yaitu penambahan tepung daun kelor lima gram (X1) karena paling disukai panelis dan telah memenuhi standar persyaratan mutu sosis daging. Kata kunci: protein; zat besi; sosis tempe; tepung daun kelor
SOCIO-DEMOGRAPHIC FACTORS, ACCESS TO THE MASS MEDIA AND THE AGE OF FIRST SEXUAL INTERCOURSE ON YOUNG WOMEN IN INDONESIA (ANALYSIS OF IDHS 2012) Nurul Fadilah; Andrei Ramani; Ni'mal Baroya; Iswari Hariastuti
Jurnal Kesehatan Masyarakat Andalas Vol 13, No 1 (2018): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v13i1.398

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Premarital sex is one of young women high-risk reproductive health problem in Indonesia. These problems followed by negative impacts such as unwanted pregnancy, sexually transmitted diseases, and HIV/AIDS. The purpose of this study is to analyze the relationship of socio-demographic factors, mass media access, and the first age of sexual intercourse in young women in Indonesia. Analytic research with cross sectional design was used in this research using secondary data of Indonesia Demographic Health Survey (IDHS) in 2012. Sample size of this research are 8,902 unmarried young women aged 15-24 years, which excluded consecutively to 8,780 samples. Data analysis techniques using chi square and logistic regression with 5% significance level. The results indicated young women who had premarital sex as much as 1,8%, major social-demographic factors with the first age of sexual intercourse are: age, education, family economic status, and employment status. Mass media access significant factor to the first age of sexual intercourse, such as variety access of mass media, type of mass media, and the mass media access intensity. Improvement of PIK-R services is required in giving information about maturing marital age, UPKS program improvement, and role of peer-counselors and peer educators in young women reproductive health. Keywords: sexual intercourse, young women, IDHS 2012
Evaluasi Implementasi JKN pada Studi Kasus Layanan Operasi Caesar Di Provinsi Jawa Timur (Evaluation of the JKN program implementation: a case study of sectio caesarean in East Java Province, Indonesia) Edit Oktavia Manuama; Puguh Priyo Widodo; Yennike Tri Herawati; Ni’mal Baroya; Muhammad Faozi Kurniawan
Jurnal Kebijakan Kesehatan Indonesia Vol 10, No 3 (2021): Special Issues
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.67088

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Tingginya pembiayaan untuk prosedur layanan kesehatan tertentu termasuk operasi seksio menjadi ditengarai menjadi penyebab defisit anggaran JKN pada periode 2015 - 2020. Selain itu, berbagai studi menemukan bahwa adanya pemanfaatan layanan operasi caesar yang tidak perlu pada kelompok tertentu, sekaligus tidak tersedianya akses ke pelayanan operasi caesar pada kelompok masyarakat lainnya. Dengan menggunakan studi kasus layanan operasi seksio di Jawa Timur, penelitian ini mengkaji aspek ekuitas dari implementasi JKN. Penelitian ini menggunakan pendekatan kuantitatif dengan menganalisis data survei Pemerintah (SUSENAS dan RISKESDAS) serta data sampel BPJS 2015 – 2018. Data dianalisis secara deskriptif dan disajikan dalam bentuk proporsi dan absolut. Studi ini memberikan gambaran bahwa telah terjadi ketimpangan utilisasi layanan operasi caesar berdasarkan segmen kepesertaan di mana 86% pelayanan operasi caesar dinikmati oleh segmen kepesertaan PPU dan PBPU dibandingkan dengan segmen sasaran utama program JKN yaitu segmen PBI. Selain itu, layanan dokter spesialis kebidanan dan kandungan hanya terkonsentasi di wilayah kotamadya di Provinsi Jawa Timur. Sistem single pool dan belum optimalnya tanggung jawab pemerintah dan pemerintah daerah dalam pemerataan fasilitas kesehatan di Jawa Timur telah menjadikan masyarakat miskin Jawa Timur justru mensuplai golongan yang mungkin tidak perlu mendapatkan bantuan akses ke layanan kesehatan, termasuk layanan operasi caesar. The increasing trend in section caesarean procedure has been associated with the deficit of health insurance program in Indonesia. Previous studies highlighted that both underutilisation and overutilisation of SC procedure are present.  Using SC as a case study, this research analyzes the equity of the implementation of the Indonesia Health Insurance Program, namely JKN. This study used a quantitative approach to analyse the government survey ( SUSENAS and RISKESDAS) and the data sample of BPJS. This study provides an inequity in SC services where 86% of the SC procedure were used by the secondary target of the NHI program, PPU and PBPU group compared to the targeted group, the PBI. Besides, there is a gap in the distribution of the obstetric gynaecologists, where most of the doctors are in the city. To conclude, the existing single pool system and suboptimal role of national and local government to provide more equitable access to health facility have widen the inequality as currently the poor is supplying the wealthier groups, including access to SC procedure.
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
Hubungan antara Kekerasan Seksual dengan Fungsi Seksual Perempuan Di Kabupaten Jember (Association Between Sexual Violence with Female Sexual Function in Jember Regency) Zuhratul Rofidah; Ni’mal Baroya; Dwi Martiana Wati
Pustaka Kesehatan Vol 5 No 2 (2017)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Sexual violence affects women's sexual health. Sexual violence not only affects the reproductive organs physically, but also have an impact on psychological or mental condition of the victim. The goal of research to analyze the association between sexual violence with female sexual function in Jember regency through approach cross sectional research subjects are married women aged 25-40 years and living with a partner were 107 people with a sampling technique pusing method multistage random sampling. Data obtained are presented in tables and analyzed using chi-square test and logistic regression test with significance level of 95% (α = 0,05). The results showed that most women experience sexual coercion, so most women experience problems with sexual function. Women with age ≥ 30 years, low education level, did not work, low income, marital 0-9 years old, and has 2 children are more likely to experience sexual violence. Women with age ≥ 30 years, low education level, did not work, low income, marital 10-20 years old, and has 2 children are more likely to experience sexual dysfunction. The experience of sexual violence and the level of education is the most dominant factor for women to experience sexual dysfunction. It was necessary socialization and understanding of violence against women and female sexual function to improve the reproductive health of women. Keywords: Sexual Violence, Female Sexual Function, Sexual Dysfunction
Perbedaan Kualitas Hidup Lansia yang Tinggal di Komunitas dengan di Pelayanan Sosial Lanjut Usia (The Different of Quality of Life Among the Elderly who Living at Community and Social Services) Amalia Yuliati; Ni'mal Baroya; Mury Ririanty
Pustaka Kesehatan Vol 2 No 1 (2014)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Quality of life is a very board concept that was affected by individual physical condition, psychological, level of independence, and individual's relationship with the environment. This research aimed to determine differences in the quality of life of the elderly who living at community and Social Services, according to the physical, psychological, social, and environmental domain. This research was analytically studies using cross sectional design. The number of sample was 210 respondent. Mann Whitney and Kruskal Wallis test (alpha 0,05) was applied to analyze the data. There were not significant difference between quality of life of the elderly living at community and at Social Services in Jember (p=1.000). Based on domain quality of life, the were significant difference between physical, psychological, social, and environmental domain of the elderly living at community and Social Services in Jember.   Keywords: elderly people, quality of life, community, Social Services  
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