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KEBIASAAN MAKAN PAGI, LAMA TIDUR DAN KELELAHAN KERJA (FATIGUE) PADA DOSEN Yogisutanti, Gurdani; Kusnanto, Hari; Setyawati, Lientje; Otsuka, Yasumasa
Jurnal Kesehatan Masyarakat Vol 9, No 1 (2013)
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

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Abstract

Latar belakang. Fatigue merupakan fenomena normal bagi setiap orang sehat, yang dapat dikurangidengan istirahat maupun tidur. Kurang tidur (sleepiness) telah menjadi fokus masalah dalam isukesehatan kerja. Namun, penelitian kelelahan kerja pada dosen masih sangat terbatas dan belummenjadi perhatian. Tujuan penelitian untuk mengetahui hubungan kebiasaan makan pagi, lamawaktu tidur dengan kelelahan kerja. Metode. Desain cross sectional digunakan dalam penelitian dansebanyak 77 partisipan berasal dari 2 sekolah tinggi ilmu kesehatan swasta di Jawa Barat. Makanpagi dan lama waktu tidur per hari (variabel bebas) diukur menggunakan kuesioner. Kelelahankerja (variabel terikat) diukur menggunakan reaction timer yang dilakukan selama 3 hari dalam 1minggu. Kelelahan kerja merupakan rerata waktu reaksi dari hasil pengukuran. Hasil. Rerata waktutidur 6,12±0,670 jam, sebanyak 52(67,5%) dosen mempunyai kebiasaan makan pagi. Rerata waktureaksi 233,83±46,64 milidetik. Hasil uji statistik menggunakan uji korelasi didapatkan tingkatkelelahan berkorelasi negatif dengan kebiasaan makan pagi (p=0,000; r=-0,472) dan waktu tidur(p=0.000; r=-0,459). Kesimpulan. Kelelahan kerja dosen disebabkan kurang tidur dan intake kaloriyang dibutuhkan untuk beraktivitas. Untuk mengatasi kelelahan kerja perlu peningkatan kesadarandan pengetahuan dosen tentang keselamatan dan kesehatan kerja terutama kebiasaan makan danwaktu istirahat yang baik dan sehat agar menjadi budaya kerja. Background. In a healthy person fatigue is a normal phenomenon, experienced by everyone andusually easily relieved by rest or sleep. Increased sleepiness at work is now increasingly being focusedon a safety health issue. However, research on university teacher’s fatigue is very limited and has notbeen fully addressed. Objective. Th e Objective of this study was to clarify the relationship betweensleeping duration, breakfast habits and fatigue in university teacher. Method. Cross-sectional surveywas used and 77 participants were given a questionnaire about sleeping duration, breakfast habits andfatigue symptoms. Fatigue level was measured with reaction timer in the morning when they arrivedat the workplace and before they left the workplace. Correlation analyses were used to identify therelationship between independents and dependent variables. Result. Average hour of sleep was 6.12hours per night (SD=0.67) and 67.5% participants were not having breakfast. Level of fatigue in themorning was mostly in light fatigue level (259.68±49.16 mms), which was signifi cantly correlated withsleep duration (r=0.459; p=0.000), which was signifi cantly correlated with breakfast habits (r=-0.472;p=0.000). Conclusion. Fatigue level was associated with sleep deprivation and low intake calories frombreakfast. University teachers may suff er from fatigue at their beginning of work because of the lack ofsleep duration, while in the evening, fatigue became higher because of the lack energy from breakfast.To manage the fatigue level for university teachers should be considered to improve university teacher’sknowledge about sleep and breakfast and have enough time to sleep and breakfast before working.
PERSEPSI REMAJA TERHADAP FAKTOR PENGHAMBAT PEMANFAATAN PELAYANAN KESEHATAN REPRODUKSI DI PUSKESMAS GAMBOK KABUPATEN SIJUNJUNG Dwi Yani, Vella; Emilia, Ova; Kusnanto, Hari
JURNAL KESEHATAN REPRODUKSI Vol 1, No 1 (2014)
Publisher : IPAKESPRO

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Abstract

PERSEPSI REMAJA TERHADAP FAKTOR PENGHAMBATPEMANFAATAN PELAYANAN KESEHATAN REPRODUKSIDI PUSKESMAS GAMBOK KABUPATEN SIJUNJUNGVella Dwi Yani, Ova Emilia, Hari KusnantoABSTRACTBackground: Reproductive health service is an important component that has to be improved globally becauseteenagers often lack basic information about reproductive health. Despite the need for reproductive health serviceonly a few teenagers utilize the service due to several constraints in having reproductive and sexual health serviceas a result of limited access to the service and negative perception about center of reproductive health service.Data of Sijunjung District Health Office Sumatera Barat show that only 20% of teenagers utilize reproductivehealth service available. Whereas cases in teenagers indicate that 9.2% of teenagers have had premarital sexualintercourse and 40% are married at teenage period (<20 years) and 10% is caused by unwanted pregnancy.Objective: To study the perception of teenagers about physical, process, economic and psychosocial factors asobstacles in the utilization of reproductive health service.Method: The study was observational with cross sectional design and descriptive quantitative approach thatused qualitative data obtained from indepth interview. Subject of the study were students of SMU 1 and 2 of 14-16 years old around the working area of Health Centers that have health service for teenagers with as many as131 respondents.Result and Discussion: Perception of teenagers about physical, process and economic factors showed that themajority had good perception so these factors were not obstacles for teenagers in utilizing reproductive healthservice. The majority of teenagers (68%) had bad perception about psychosocial factor so this was an obstacle inthe utilization of reproductive health service.Conclusion: Obstacles in the utilization of reproductive health service at the health center were caused bypsychosocial factor because of shame and unwillingness to tell the problem to staff that was considered asstrangers. Teenagers also doubted the confidentiality of the problem they told to the staff.Keywords: perception, teenagers, reproductive health, utilizationABSTRAKLatar belakang: Pelayanan kesehatan reproduksi merupakan komponen penting yang harus diperbaiki secaraglobal. Remaja sering kali kekurangan informasi dasar tentang kesehatan reproduksi. Meskipun kebutuhanpelayanan kesehatan reproduksi tinggi namun pemanfaatannya masih rendah karena berbagai hambatanmemperoleh pelayanan dan juga adanya persepsi negatif terhadap pusat pelayanan kesehatan reproduksi. Datadari dinas Kesehatan kabupaten Sijunjung Sumatera Barat menunjukkan hanya 20% remaja yang memanfaatkanpelayanan kesehatan reproduksi. Sedangkan kasus dan masalah kesehatan reproduksi menunjukkan 9,2% sudahberhubungan seks sebelum menikah, dan 40% menikah pada usia remaja (<20 tahun) serta 10% mengakibatkankehamilan tak dikehendaki.Tujuan: Untuk mempelajari persepsi remaja terhadap faktor fisik, proses, ekonomi dan psikososial untukmemanfaatkan pelayanan kesehatan reproduksi remaja.melalui wawancara mendalam.Subyek penelitian adalah siswa SMA kelas 1 dan 2 usia 14-16 tahun di wilayahkerja puskesmas sebanyak 131 responden.Hasil dan Pembahasan: Mayoritas remaja memiliki persepsi baik terhadap faktor fisik, proses, dan ekonomi. Tigafaktor bukanmerupakan penghambatmemperoleh layanan kesehatan reproduksi. Sementara itu faktor psikososialdianggap sebagai penghambat (68%) untuk memanfaatkan pelayanan kesehatan reproduksi.Kesimpulan: Hambatan pemanfaatan layanan kesehatan reproduksi adalah faktor psikososial karena malu dantidak percaya untuk menceritakan masalah pada petugas kesehatan yang tidak dikenal. Remaja juga meragukankerahasiaan masalah yang diungkapkan.Kata kunci: persepsi, remaja, kesehatan reproduksi, pemanfaatan
Factors Related To The Prevention Of Filariasis In Pasaman Barat Dt Mangguang, Masrizal; Kusnanto, Hari; Lazuardi, Luthan
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 1, No 1 (2015)
Publisher : JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE

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Abstract

The purpose of this study is to know the factors that relate to the prevention of filariasis in West Pasaman 2014.This research uses a cross sectional design. The sample size in this study is based on a minimum provision of finger blood survey study of 500 samples. Processing data using univariate, bivariate and mulivariat with statistical test Chi-Square.The factors associated with the prevention of filariasis, jobs at risk (PR = 1.280, 95% CI: 1.034 - 1.585) health education (PR = 1,545, CI 95% : 1,153-2,070) , socio-economic level (PR = 1.275, 95% CI: 1.049 - 1.550) and the factors that are not related, which is the level of education (PR = 1.107, 95% CI: 0.830 - 1.477), the level of knowledge (PR = 1.026, 95% CI: 0.048 - 1.240), attitude (PR = 0.962, 95% CI: 0.797 - 1.162), as well as the role of the community leaders (PR = 0.908, 95% CI: 0.746 - 1.105).Health education is the most dominant factor in the prevention of filariasis. That health promotion programs should be carried out regularly by health workers by improving communication, information, education and providing health education with the goal to improve disease prevention measures filariasis.
Malaria Community Health Workers in Eliminating Malaria in Banyumas Regency Rejeki, Dwi Sarwani Sri; Nurlaela, Sri; Octaviana, Devi; Kusnanto, Hari; Murhandarwati, Elsa Herdiana
Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016): JURNAL KESEHATAN MASYARAKAT (KEMAS) JULY 2016
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v12i1.4030

Abstract

Banyumas has not reached the elimination of malaria yet. One of the efforts is done by community empowerment by establishing malaria Community Health Workers (CHWs/JMD). JMD are people who conduct the discovery and medication of malaria in Active Case Detection (ACD). The research aims at describing JMDs attitude and knowledge towards the malaria elimination in Banyumas Regency in 2015. Quantitative research with cross sectional design was performed in the study. There were 15 JMDs spreading across in 7 public health centers/Puskesmas. The results show that most of JMDs were male with primary education background. They are mostly employed and do not join any training within 3 years. The average age of JMDs is 48.4 years old although there are some workers who are over 65 years old. 33.3% of JMDs are in low-medium categories, and there are 26.7% JMDs who have negative attitude to malaria. All JMDs have less skill such as not to do home visits as scheduled, not to do periodic reports, not to send blood preparations immediately and unstandardized of the blood preparation.
Inorganic Waste Management in Decreasing Maya Index and Entomology Index of Mosquito Larvae Zuhriyah, Lilik; Satoto, Tri Baskoro Tunggul; Kusnanto, Hari
Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016): JURNAL KESEHATAN MASYARAKAT (KEMAS) JULY 2016
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v12i1.3976

Abstract

Inorganic waste management through Malang Waste Bank (BSM) is expected to reduce the risk of Dengue Hemorrhagic Fever (DHF). However, the number of neighborhood groups (RT) which become BSM participant varies. The problem is whether or not this variation will result in different entomology of mosquito larvae indexes. The purpose of this study is to prove the role of inorganic waste management to the risk of DHF transmission. Longitudinal survey was conducted weekly for 4 months in 2013 in six villages with the highest dengue cases in the city of Malang. Villages were classified into 3 types of membership of Malang Waste Bank (BSM). The result shows that the number of controllable containers is more than disposable container. Kruskal Wallis test mentions that the House Index (HI), Breteau Index (BI), Container Index (CI), and Density Index (DI) of the three villages are significantly different (p <0.05), while MI is not different. MI is related to all of mosquito larvae entomological indexes except with HI. Therefore, it can be concluded that the level of cleanliness of an area (MI) can be an indicator of the high index of mosquito larvae entomological indexes.
Manajemen Pengolahan Limbah Padat Rumah Sakit Jogja Maulana, Muchsin; Kusnanto, Hari; Suwarni, Agus
Jurnal Kesehatan Masyarakat Vol 8, No 1 (2015): Jurnal Kesehatan Masyarakat Voume 08/Nomor 01/2015
Publisher : STIKES Wira Husada Yogyakarta

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Abstract

Jogja Hospital is a Government-owned Hospital run by the Government of city of Jogyakarta. In its daily activities, the hospital produces waste which, if not properly discharged or burned, may cause adverse effect on workers as well as the surrounding area. Jogja hospital has Incinerator, thus simplifying the management such waste. The waste management including the rules, procedures and policymaking need to be explored to investigate the process of waste management of Jogja hospital. Methods in this study used a qualitative descriptive case study in order to get a clear picture or description about certain situation objectively. The unit analysis was the solid waste management in the Jogja Hospital. In-depth interviews were conducted with the Head of Environmental Health Installation and Waste Management Officer. Data were obtained through observation, in-depth interviews and document studies. The results shows, the process of solid waste management at the Jogja hospital was carried out by the hospital waste management officer under the direction of the Hospital Environmental Health Installation. Waste Management Officer was a by-contract employee financed by the Hospital. The Incinerator Facility helped the hospital in processing the medical waste.
Pengelolaam data dan informasi status gizi balita dan pengambilan keputusan program gizi di puskesmas se-Kabupaten Majene Shafwan, Shafwan; Kusnanto, Hari; Fuad, Anis
Jurnal Gizi Klinik Indonesia Vol 5, No 2 (2008): November
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (212.587 KB) | DOI: 10.22146/ijcn.17555

Abstract

Background: Improved nutritional status is needed throughout the life cycle including children under five. Of age in formulating suitable policies for nutrition improvement program, decision makers require relevant information about nutritional status of the community. The implementation of health information system at District of Majene is not yet optimum. There are some problems such as inaccurate data, inconsistent or unreliable data, delay in data reporting, and processing and presentation of data are rarely made, reporting is done as routine disregarding data quality, there is no feedback from the health office and so on. Decentralization has offered an opportunity for the health center to make its own policy in optimizing nutrition improvement program. However, health centers at District of Majene have never made decisions based on evidence.Objective: The study aimed to get an overview of data and information management of nutritional status of children under five comprising availability, processing, presentation of data, and the decision making of nutrition program at the health centers of District of Majene.Method: This was a descriptive case study with qualitative method. Subjects of the study were nutrition staff of the health centers, head of health centers, and head of nutrition section of district health office with health centers and head of health office as analysis units. Data were obtained through indepth interview, focus group discussion, questionnaire, observation, and documentation.Results: Data and information on nutritional status of children under five years of age were available in all health centers; however format of reporting was unavailable. Data in LB3 accurate, in FIII/gizi and SKDN were inaccurate because there was data manipulation and cadres had limited skills. Data were not valid because there was no signature of head of the health center in the report. Data in FIII/gizi and SKDN reliable, in LB3 not reliable  because there was no coordination among staff. Data in SKDN were completed, in FIII/gizi and LB3 incomplete because some of the forms were blank. Data were not provided timely due to less commited cadres, geographical factors, and lack of pressure from the health office. Data were accessible because staff were active in maintaining records. Data were processed manually and presented in the form of narratives, tables and graphs. Decisions made were socialization, counseling, growth monitoring and comple- mentary breastfeeding distribution monitoring. However, they were not based on data so that reports were only made as routine activities.Conclusion: Data and information on nutritional status of children under five years of age were available at the health centers with quality data in every format of reporting of various kinds. Data and information were processed manually and presented in the form of narratives, tables, and graphs. Decisions made were socialization, counseling, growth monitoring, and complementary breastfeeding distribution monitoring. Decisions made were not based on data available.
PERSEPSI REMAJA TERHADAP FAKTOR PENGHAMBAT PEMANFAATAN PELAYANAN KESEHATAN REPRODUKSI DI PUSKESMAS GAMBOK KABUPATEN SIJUNJUNG Dwi Yani, Vella; Emilia, Ova; Kusnanto, Hari
JURNAL KESEHATAN REPRODUKSI Vol 1, No 1 (2014)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (535.252 KB) | DOI: 10.22146/jkr.4913

Abstract

PERSEPSI REMAJA TERHADAP FAKTOR PENGHAMBATPEMANFAATAN PELAYANAN KESEHATAN REPRODUKSIDI PUSKESMAS GAMBOK KABUPATEN SIJUNJUNGVella Dwi Yani, Ova Emilia, Hari KusnantoABSTRACTBackground: Reproductive health service is an important component that has to be improved globally becauseteenagers often lack basic information about reproductive health. Despite the need for reproductive health serviceonly a few teenagers utilize the service due to several constraints in having reproductive and sexual health serviceas a result of limited access to the service and negative perception about center of reproductive health service.Data of Sijunjung District Health Office Sumatera Barat show that only 20% of teenagers utilize reproductivehealth service available. Whereas cases in teenagers indicate that 9.2% of teenagers have had premarital sexualintercourse and 40% are married at teenage period (<20 years) and 10% is caused by unwanted pregnancy.Objective: To study the perception of teenagers about physical, process, economic and psychosocial factors asobstacles in the utilization of reproductive health service.Method: The study was observational with cross sectional design and descriptive quantitative approach thatused qualitative data obtained from indepth interview. Subject of the study were students of SMU 1 and 2 of 14-16 years old around the working area of Health Centers that have health service for teenagers with as many as131 respondents.Result and Discussion: Perception of teenagers about physical, process and economic factors showed that themajority had good perception so these factors were not obstacles for teenagers in utilizing reproductive healthservice. The majority of teenagers (68%) had bad perception about psychosocial factor so this was an obstacle inthe utilization of reproductive health service.Conclusion: Obstacles in the utilization of reproductive health service at the health center were caused bypsychosocial factor because of shame and unwillingness to tell the problem to staff that was considered asstrangers. Teenagers also doubted the confidentiality of the problem they told to the staff.Keywords: perception, teenagers, reproductive health, utilizationABSTRAKLatar belakang: Pelayanan kesehatan reproduksi merupakan komponen penting yang harus diperbaiki secaraglobal. Remaja sering kali kekurangan informasi dasar tentang kesehatan reproduksi. Meskipun kebutuhanpelayanan kesehatan reproduksi tinggi namun pemanfaatannya masih rendah karena berbagai hambatanmemperoleh pelayanan dan juga adanya persepsi negatif terhadap pusat pelayanan kesehatan reproduksi. Datadari dinas Kesehatan kabupaten Sijunjung Sumatera Barat menunjukkan hanya 20% remaja yang memanfaatkanpelayanan kesehatan reproduksi. Sedangkan kasus dan masalah kesehatan reproduksi menunjukkan 9,2% sudahberhubungan seks sebelum menikah, dan 40% menikah pada usia remaja (<20 tahun) serta 10% mengakibatkankehamilan tak dikehendaki.Tujuan: Untuk mempelajari persepsi remaja terhadap faktor fisik, proses, ekonomi dan psikososial untukmemanfaatkan pelayanan kesehatan reproduksi remaja.melalui wawancara mendalam.Subyek penelitian adalah siswa SMA kelas 1 dan 2 usia 14-16 tahun di wilayahkerja puskesmas sebanyak 131 responden.Hasil dan Pembahasan: Mayoritas remaja memiliki persepsi baik terhadap faktor fisik, proses, dan ekonomi. Tigafaktor bukanmerupakan penghambatmemperoleh layanan kesehatan reproduksi. Sementara itu faktor psikososialdianggap sebagai penghambat (68%) untuk memanfaatkan pelayanan kesehatan reproduksi.Kesimpulan: Hambatan pemanfaatan layanan kesehatan reproduksi adalah faktor psikososial karena malu dantidak percaya untuk menceritakan masalah pada petugas kesehatan yang tidak dikenal. Remaja juga meragukankerahasiaan masalah yang diungkapkan.Kata kunci: persepsi, remaja, kesehatan reproduksi, pemanfaatan
Kinerja Bidan Desa dalam Deteksi Dini Kasus Malaria pada Kehamilan di Kabupaten Bengkulu Tengah Mizawati, Afrina; Hakimi, Moh; Kusnanto, Hari
JURNAL KESEHATAN REPRODUKSI Vol 3, No 1 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (294.004 KB) | DOI: 10.22146/jkr.13878

Abstract

Background: Malaria has become the health problem that cause mortality especially in high risk group such as infants, children below 5 years old and pregnant women. The incidence of malaria in Central Bengkulu, Bengkulu Province is quite high, the last three years there is an increase compared to year 2011 – 2013. Annual Malaria Incidence in 2011 was 75.68/00, where the incidence in 2012 was 66.13/00. The Annual Parasite Incidence in 2013 was 52.34/00. In 2013, the amount of pregnant women who underwent malaria screening during 1st antenatal care (K1) only 784 from 2016 pregnant women(39%).Objective: To understand the malaria screening achievement among pregnant women by village midwives in Central Bengkulu District.Method: The study was observational with cross sectional design. The subjects was all of the village midwives in Central Bengkulu District. The dependent variable in this study was midwives achievement in malaria screening during pregnancy. The independent variables were training for malaria screening during pregnancy and the availability of rapid diagnostic test (RDT). The disturbing variables were age, level of education, and the duration of work. The study’s instrument was questionnare and observational sheet. The data analysis was done with t test, correlation method, chi square and linear regression.Result and Discussion: The achievement in malaria’s screening during pregnancy by village midwives was better in the group who received training compared with the group who didn’t (RR 2.2 ; 95% CI 1.71 – 2.51). The achievement also was better in the group of midwives who had good supply of RDT compared with the group who didn’t (RR 1.5; 95% CI 1.01 – 1.94).Conclusion: The achievement of malaria’s screening during pregnancy among village midwives who received training was better compared to midwives who didn’t. The achievement was also better among midwives who had good supply of RDT compared with midwives who didn’t. There is relation between level of midwivery education and the achievement in screening b ut there was no relation between age and duration of work and achievement during screening.Keywords: Achievement of Village Midwives, Screening, Training and Availability of RDT
Malaria Community Health Workers in Eliminating Malaria in Banyumas Regency Rejeki, Dwi Sarwani Sri; Nurlaela, Sri; Octaviana, Devi; Kusnanto, Hari; Murhandarwati, Elsa Herdiana
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016)
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.v12i1.4030

Abstract

Banyumas has not reached the elimination of malaria yet. One of the efforts is done by community empowerment by establishing malaria Community Health Workers (CHWs/JMD). JMD are people who conduct the discovery and medication of malaria in Active Case Detection (ACD). The research aims at describing JMDs attitude and knowledge towards the malaria elimination in Banyumas Regency in 2015. Quantitative research with cross sectional design was performed in the study. There were 15 JMDs spreading across in 7 public health centers/Puskesmas. The results show that most of JMDs were male with primary education background. They are mostly employed and do not join any training within 3 years. The average age of JMDs is 48.4 years old although there are some workers who are over 65 years old. 33.3% of JMDs are in low-medium categories, and there are 26.7% JMDs who have negative attitude to malaria. All JMDs have less skill such as not to do home visits as scheduled, not to do periodic reports, not to send blood preparations immediately and unstandardized of the blood preparation.