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Early Detection of High Risk Pregnancy Kurniawan, Arif; Sistiarani, Colti; Hariyadi, Bambang
Jurnal Kesehatan Masyarakat Vol 12, No 2 (2017): Jurnal KEMAS Vol.12 No.2 : January 2017
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v12i2.5998

There are 30.939 pregnant women in Banyumas, with 6.206 cases referred due to high-risk pregnancies. Petahunan village in Pekuncen has the the highest incidence of high-risk pregnancies compared with other villages. The purpose of this study is to describe the implementation of early detection of high-risk pregnancies in Petahunan village, Pekuncen. This study used qualitative research methods with case study approach. Research instruments used in-depth interviews and focus group disscussion toward early detection of high-risk pregnancy issue. The informants were 7 people include pregnant women, health workers, midwives, head of village and village health forum chairman. The result showed only antenatal care implemented to detect high-risk pregnancy and no programs and community empowerment efforts in early detection of high-risk pregnancies.

Determinant of Teenage Pregnancies Gamelia, Elviera; Kurniawan, Arif
KEMAS: Jurnal Kesehatan Masyarakat Vol 13, No 2 (2017)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v13i2.7380

The number of teenage pregnancies in Banyumas district in 1727 as a pregnant teenagerÂ less than 20 years old and young teenagers maternity by 1382 either through premarital or marital. The research was conducted in 2016 aimed to determine the factors that affect pregnancy young age in Banyumas. This research is a quantitative research with cross sectional approach. The population was all pregnant women under 20 years of pregnancy and childbirth are recorded in the data in Puskesmas Jatilawang, Puskesmas I Cilongok, health center II Donates totaled 614 people. Calculation of the estimated proportion of the sample using the formula obtained 107 samples, taken using simple random sampling technique. The data collection is done by using a questionnaire that advance has been tested questionnaire to meet the validity and reliability of a measuring instrument. Yan data analysis used univariate analysis with descriptive statistics, bivariate analysis using chi square, and multivariate analysis by logistic regression. The results showed the level of education, marital status, knowledge, access to information, health care utilization, the role of the family has no effect on pregnancy young age. Attitudes and access to health information is the most dominant variable affecting the pregnancy young age.

Early Detection of High Risk Pregnancy Kurniawan, Arif; Sistiarani, Colti; Hariyadi, Bambang
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 2 (2017)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v12i2.5998

There are 30.939 pregnant women in Banyumas, with 6.206 cases referred due to high-risk pregnancies. Petahunan village in Pekuncen has the the highest incidence of high-risk pregnancies compared with other villages. The purpose of this study is to describe the implementation of early detection of high-risk pregnancies in Petahunan village, Pekuncen. This study used qualitative research methods with case study approach. Research instruments used in-depth interviews and focus group disscussion toward early detection of high-risk pregnancy issue. The informants were 7 people include pregnant women, health workers, midwives, head of village and village health forum chairman. The result showed only antenatal care implemented to detect high-risk pregnancy and no programs and community empowerment efforts in early detection of high-risk pregnancies.

Peran Serta Masyarakat dalam Pengelolaan Sampah Domestik sebagai Upaya Pencegahan Penyakit Berbasis Lingkungan Widiyanto, Agnes Fitria; Kurniawan, Arif; Gamelia, Elviera
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 12, No 2 (2018): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Domestic waste remains a problem in Indonesia. The more the population who were making the volume of domestic waste increase, including in Banyumas regency. The purpose of this study is to describe the knowledge, attitude, and practice of the community in the management of domestic waste as an environmental-based disease prevention. Method: The method that was used in this research is qualitative. The research subjects were obtained by using purposive sampling technique by interviewing 7 people as the main research subject and 3 midwives, Forum Kesehatan Desa (FKD) Chairman, and Tempat Pembuangan Akhir (TPA) Manager as the supporting research subject. How to collect data with observation, in-depth interview, literature study, and documentation. This model of analysis is an interactive analysis, through the process of collected data in the form of research findings that are relevant to the writing materials, and then presented in a narrative. Results: The results showed that the community has applied the knowledge about domestic waste as an environmental-based disease prevention. Conclusion: Environmental-based disease prevention requires policies and human resources in the application.

PENGARUH FAKTOR PREDISPOSISI DAN FAKTOR PENDUKUNG TERHADAP KESINAMBUNGAN KEPESERTAAN JAMINAN PEMELIHARAAN KESEHATAN MASYARAKAT (JPKM) DI PUSKESMAS KALIGONDANG KABUPATEN PURBALINGGA Kurniawan, Arif; Gamelia, Elviera
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 1 No 2 (2008): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Amount of participant of JKPM in Kaligondang community health center at year 2006 - 2007 experiencing of decreasing pursuant to data of Bapel JPKM and public health center, at strata of II of participant experience of decreasing from 1738 amount of participant in year 2006, becoming 1244 participant in year 2007. objective this research was tested of theory about sustainability participant of JKPM problems in Kaligondang community health center. Place of Research in Kaligondang community health center Purbalingga Regency conducted in the August - October 2008. Type of Research of observasional with method of survey having the character of analytic descriptive approach of Research used by Cross Sectional. The Population research is participant of JKPM at Kaligondang community health center of year 2007 amounting to 1247 people with research sample is 90 woman ( 36,7% ) and men ( 63,3% ). Result of this research show there is relationship having a meaning by statistic between the reached of pay for JPKM premium with continuity participant of JPKM (p-value 0,026). There is relationship having a meaning by statistic between exploiting of service of health service provider with continuity participant of JPKM (p-value 0,036). The result of this research show there is two model of influence with the independent variable to continuity participant of JPKM. First Model is influence with the reached of pay for JPKM premium (OR = 3,369) and exploiting of service health service provider (OR = 3,163) to continuity participant of JPKM. Second model is there is influence with the payment reached for JPKM premium (OR = 3,656) and promotion about JPKM (OR = 2,773) to continuity of participant of JPKM. The payment reached reached for JPKM premium is variable of most research have an effect on to continuity participant of JPKM. Suggestion in this research is Kalogondang community health center give askein or jamkesmas to society owning the payment reached of unfavourable premium and Bapel JPKM give system od appreciation or reward capable to maintain performance of cadre JPKM.

Agnes EFEKTIVITAS PELATIHAN TENTANG PENGOLAHAN SAMPAH PADAT ORGANIK DALAM MENINGKATKAN PENGETAHUAN, SIKAP DAN KETERAMPILAN IBU DALAM MENGOLAH SAMPAH widiyanto, agnes fitria; Gamelia, Elviera; Kurniawan, Arif
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 9 No 2 (2017): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Hasil kegiatan observasi peneliti terhadap masalah PHBS pada tatanan rumah tangga di wilayah Puskesmas I dan II Baturraden diperoleh bahwa masalah pengelolaan sampah adalah masalah yang paling dominan dan paling dirasakan oleh masyarakat dibandingkan dengan indikator PHBS pada tatanan rumah tangga yang lainnya. Berdasarkan hal tersebut perlu dilakukan program pelatihan pengolahansampah padat menggunakan metode composting yaitu pengolahan sampah padat organik menjadi kompos. Jenis penelitian yang digunakan adalah penelitian eksperimen semu atau quasi eksperimen. Rancangan yang digunakan adalah ?Pre Test Post Test Design?. Sampel dalam penelitian ini adalah 41 kader kesehatan dan ibu PKK yang terdiri dari 18 orang dari Desa Karangmangu dan 23 orang dari Desa Karang Tengah. Pengambilan sampel dilakukan secara simple random sampling. Pengetahuan responden mengenai pengolahan sampah padat organik dengan media komposter setelah dilakukan pelatihan mengalami peningkatan yang signifikan sebesar 3,45% dari sebelum pelatihan. Hasil penelitian menunjukkan sikap responden mengenai pengolahan sampah padat organik dengan media komposter setelah dilakukan pelatihan mengalami peningkatan yang signifikan sebesar 4,48% dari sebelum pelatihan. Keterampilan responden mengenai pengolahan sampah padat organik dengan media komposter setelah dilakukan pelatihan mengalami peningkatan yang signifikan sebesar 4,78% dari sebelum pelatihan.Terdapat perbedaan yang signifikan antara pengetahuan (p=0,03), sikap (p=0,01) dan keterampilan (p=0,014) responden mengenai pengolahan sampah padat organik dengan media komposter sebelum dan sesudah pelatihan.

PENGARUH KONSELING TERHADAP PENINGKATAN PENGETAHUAN, SIKAP, DAN PERILAKU MASYARAKAT TENTANG KESEHATAN LINGKUNGAN Gamelia, Elviera; Kurniawan, Arif; Widiyanto, Agnes Fitria
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 7 No 3 (2015): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Rural communities in Puskesmas I dan II Baturaden have environmental health problems . Health education can be used to address environmental health problems by changing people's behavior. Health councelling given by an expert, to the individual to overcome the problem. Researchers wanted to determine the effect of health counseling on knowledge, attitudes, and behaviors in the community about environmental health Puskesmas I and II Baturaden Banyumas. This type of research is a quasi experimental study to design one group pre -test and post-test design . Sample of reseach using purposive sampling. The sample was 37 people . Analysis of the data used was the Wilcoxon test . The variables measured were knowledge , attitudes , and behavior of environmental health . The study says that health counseling can improve knowledge , attitudes and behavior about environmental health . Advice can be given that the provision of health education to the community should use counseling methods , because this method is more effective and striking the individual .

ANALISIS FAKTOR â€“ FAKTOR YANG MEMPENGARUHI KEMAUAN MEMBAYAR PELAYANAN RAWAT JALAN PUSKESMAS DI KABUPATEN BANYUMAS Kurniawan, Arif; Intiasari, Arih Diyaning
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 4 No 2 (2011): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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ABSTRACT The cost of outpatient care unit of the organization's first level health centers in Banyumas higher than the tariffs imposed at this time. The result is still needed government subsidies to cover operational costs shortage of health service delivery level of the first outpatient clinic. The results Kurniawan and Intiasari (2010) shows the average willingness to pay the community is still low. This prompted research to find out what factors affecting willingness to pay outpatient services at Puskesmas in Banyumas district. This study was survey research with explanatory research. The approach in this study using cross-sectional. The study population was people who visit the Puskesmas in 2009. The sample of this study some 105 people, with a minimum sample size formula.The result of this research shows ATP has a diverse community with an average of Rp. 21908.63 ATP and WTP are varied with an average WTP of  Rp. 3770.00. There is a relationship of age, ATP, and food expenditure by the public willingness to pay tariffs outpatient clinic services. There is no relationship between level of education, gender, occupation, non-food expenditure by the public willingness to pay tariffs outpatient clinic services. There are the influence of age together and ATP on the willingness of society to pay tariffs at Puskesmas. As suggestion for Puskesmas can prioritize community with the productive age group and a high ATP as outpatient service utilization. Puskesmas should consider the community that has a low ATP but has a higher WTP in order to take advantage of outpatient clinic services. Keywords: Kemauan membayar , Puskesmas Kesmasindo. Volume 4(2), Juli 2011, hlm. 105-118  

FAKTOR-FAKTOR YANG MEMPENGARUHI PARTISIPASI MASYARAKAT DALAM MUSYAWARAH MASYARAKAT DESA DI PUSKESMAS KALIGONDANG KABUPATEN PURBALINGGA Heryanto, Heryanto; Kurniawan, Arif; Gamelia, Elviera; Intiasari, Arih Diyaning
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 4 No 1 (2011): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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ABSTRACT Purbalingga District was a pilot project of Desa Siaga Programme in Central Java Province.One of Indicator Desa Siaga Programme was Musyawarah Masyarakat Desa (MMD). The goals of MMD was to find out the helth problem solving and to provide Poliklinik Kesehatan Desa (PKD) with all of potential resources of the village. The Aim of these research was to know the potensialy factor influence MMD in Purbalingga District. Cross sectional survey on village community were conducted in 2008 with a quistionaire. Simple Random Sampling was used to get 96 respondent.There have been three (3) factors that influence positively through MMD Programme : Income, Social Status and Perception to MMD. The suggestion from this research was to held problem solving cycle training for village community and other activity that could be increasing community participation in Purbalingga District. Kata Kunci: rural, participation, community Kesmasindo. Volume 4,(1) Januari 2011, hlm. 1-10

ANALISIS PERBEDAAN PERSEPSI TENTANG MUTU PELAYANAN ANTARA PASIEN RUJUKAN PETUGAS DENGAN PASIEN KEMAUAN SENDIRI DI PELAYANAN RAWAT INAP GERIATRI RUMAH SAKIT dr. KARIADI SEMARANG Widayati, Sri; Kurniawan, Arif
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 1 No 1 (2008): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Based to visit data year 2005 known that from amount of 238 patient there are amount of referred patient from health officer more that is 171 patient (71,85%) compared to patient who taken care with their willingness counted 67 patient (28,15%). Therefore, it requires to know patient's preception especially about the take care service of to lodge in Division of Geriatri both of reffered and chosening their room with theirselves as base of posisioning or marketing promotion next. The purpose of this research is to know the difference perception about the take care service of to lodge in Division of Geriattri both of referred and chosening theur room with theirselves as base of posisioning or marketing promotion next. The purpose of this reseaech is to know the difference perception about the  take care service of to lodge to old age between reference patient from health officer and patient who taken care with their willingness in division of Geriatri Hospital of dr Kariadi Semarang. This research used observation with method of survey, to explain the relation between variable independent and variabke dependent. This research not only quantitative approach, but also with qualitative approach by using indepth interview to get input about take care service of to lodge and promotion which have been done.the time approach of data collecting use study of crosssectional.this research not only quantitative approach, but also with qualitative approach by using indepth interview to get input about takecare service of to lodge and promotion which have been done. The time approach of data collecting use study of crossectional. This research population is all patient who take care of to lodge in two month range of time in take care room of to lodge division of Geriatri Hosputal of dr Kariyadi Semarang. This research sample amount to 62 people, consist of31 reference patient from health officer group ND 31 Patient with their willingness group. Analyse bivariate in this research is analysis of mann whitney. Analysis Multivariant usesanalysis of Mannova. Resukt of biavariate analysis shiws, there is not diferennce perception between patient take care of lodge who is reffered by healt officer and patien who choicening with their selves about reability service (p=0,207), perception about responsiveness service (p=0,598) , perception about assurance service (p=0,425), perception about tangible service (p=0,121), and perception about emphaty service (p=0,797). Result of analysis of multivariate indicate that there was not different together perception about reability service (p-0,292), perception about responsiveness service (p=0,292)and perception aboutassurance service (p=0,292), perception about tangible service (P=0,393) and perception about empathy service (p=0,292) between reference patient from health officer and willingness patient?s self. The conclusion of this researchis reference patient from health officer and willingness patiens self had the same perception about service quality. There is not difference together perception perception about reliability service, responsiveness service, assurance service, tangible service and empathy service from health officer and willingness patient self. Suggestion for the management of Geriatri division dr Kariadi Senarang have to upgrades service and improve service promotion to old age society.

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