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

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Abstract

Background: Mass Labor Assurance (known as Jampersal) is a new program, it caused lack of knowledge in the peoples 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 mothers knowledge level about Mass Labor Assurance (Jampersal) programs. Keywords: counseling, knowledge, labor assurance
The Association between Clean and Healthy Behavior in a Household and the Incidence of Diarrhea in Children Under Five-Years Old in the Territories of Puskesmas Ngoresan I Kadek Ludi Junapati; Rifai Hartanto; Bhisma Murti
Nexus Kedokteran Komunitas Vol 3, No 2 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Backgrounds: Diarrhea is one of the highest cause of mortality and morbidity in children, especially under five-years old. Outbreak of diarrhea also often happen with high Case Fatality Rate (CFR). Diarrhea can be prevented if the community can apply clean and health behavior. The purpose of this research is to analyze the correlation of clean and health behavior in a household with the incidence of diarrhea in children under five-years old. Methods: This research was an observational epidemiology research with the case control approach. It was held in May-June 2014 in the territories of Puskesmas Ngoresan Jebres. Sampling had been done by fixed-disease sampling, and the selection was done by checking the inclusion and exclusion criteria of the study sample. Data was collected using questioner and independent interview to the respondent. Data obtained by 60 subjects and analyzed by Chi Square Test. Results: Based on the result of Chi Square test, there was a significant difference between the group of people with clean and health behavior in a household with the incidence of diarrhea, whereas the value of p (<0,001) < 0,05. Out of eight indicators, there are four indicators which have a significant correlation with the incidence of diarrhea, those are the use of clean water (p value <0,001), waste management (p value <0,001), use of floor (p value <0,001) and use of latrines (p value 0,042). Conclusions: Based on this research, there is a significant difference between clean and health behavior in a household with the incidence of diarrhea in children under five-years old.Keywords: Diarrhea, Children Under Five-Years Old, Clean and Healthy Behavior in a Household.Backgrounds: Diarrhea is one of the highest cause of mortality and morbidity in children, especially under five-years old. Outbreak of diarrhea often happen with high Case Fatality Rate (CFR). Diarrhea can be prevented if the community can apply clean and healthy behavior. The purpose of this research is to analyze the correlation associationof between clean and healthy behavior in a household with and the incidence of diarrhea in children under five-years old. Methods: This research was an observational epidemiology research with the case control approach. It was held in May-June 2014 in the territories of Puskesmas Ngoresan Jebres. Sampling has been done by fixed-disease sampling, and the selection was done by checking the inclusion and exclusion criteria of the study sample. Eight criteria were used to assess clean and healthy behaviour. Those are: use of clean water, waste management, use of floor, use of latrines, nutritional status, teeth and mouth hygiene, exclusive breastfeeding, and hand hygiene. Data were collected using questionnaire and independent interview to the respondents. Data obtained from 60 subjects and were analyzed by chi-square test. Results: Based on chi-square test, out of eight indicators, there are four indicators that were have significant correlation associated with the incidence of diarrhea, those are the use of clean water (p value <0,001), waste management (p value <0,001), use of floor (p value <0,001) and use of latrines (p value: 0,042). Whereas other four indicators have no significant correlation were not associated with the incidence of diarrhea, those are nutritional status (p value: 0,154), teeth and mouth hygiene (p value: 0,326), exclusive breastfeeding (p value: 0,443), and hand hygiene (p value: 1,000). Conclusions: Based on this research, among eight indicators there are were four indicators of clean and healthy behaviour in a household that that have significant associated with the incidence of diarrhea in children under five-years old, those are the use of clean water, waste management, use of floor and use of latrines. Keywords: Diarrhea, Children Under Five-Years Old, Clean and Healthy Behavior in a Household.
Relationships between level of Knowledge and Perception with Motivation for Conducting HPV Cervical Cancer Vaccination in Female Senior High School Students with HPV Cervical Cancer Vaccination Program and Non Program in Badung Regency 2014 Ida Ayu Sinthia Pradnya Swari; Rifai Hartanto; Dyah Ratna Budiani
Nexus Kedokteran Komunitas Vol 3, No 2 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Backgrounds : Cervical cancer is a cancer that occurred at cervical region of female reproduction organs and occupies the top level for causing women mortality in the world compared to other type of cancer. Cervical cancer is caused by Human Papilloma Virus (HPV) infection. HPV cervical cancer vaccination is one method to decrease cervical cancer occurrence. Good knowledge and perception are supposed to arise high motivation in conducting HPV cervical cancer vaccination. This research aims to know the relationships between level of knowledge and perception with motivation to conduct HPV cervical cancer vaccination in female senior high school students with HPV cervical cancer vaccination program and non program in Badung regency 2014. Methods : This research is an analytical observation. Sample of this research are 100 female Senior High School students in Badung regency which are chosen by simple random sampling. The data are collected by questionnaire related with knowledge, perception, and motivation, then analyzed with Double Logistic Regression. Results : This research results show that knowledge has significant positive relationship with motivation to conduct HPV cervical cancer vaccination (p = 0.001 CI 95% = 2.123-22.412). Perception also has significant positive relationship with motivation to conduct HPV cervical cancer vaccination (p = 0.011 CI 95% = 1.404-13.733). Knowledge and perception relationships with motivation to conduct HPV cervical cancer vaccination are 28.80% (Negelkerkel Rsquare = 0.288). Conclusions : There are positive relationships between level of knowledge and perception concerning motivation to conduct HPV cervical cancer vaccination in female senior high school students with HPV cervical cancer vaccination program and non program in Badung regency 2014, higher level of knowledge and better perception are related with higher motivation to conduct HPV cervical cancer vaccination in female senior high school students with HPV cervical cancer vaccination program and non program in Badung regency 2014. Keywords : Cervical Cancer, HPV Cervical Cancer Vaccination, Knowledge, Perception, Motivation.
Hubungan Dukungan Sosial dengan Derajat Depresi Pasien Penyakit Ginjal Kronis yang Menjalani Hemodialisis di RSUD Dr.Moewardi Dwi Adhi Nugraha; Istar Yuliadi; Rifai Hartanto
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

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

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Abstract

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 1,30811, and multigravida 24,2000 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.