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Journal : PREPOTIF : Jurnal Kesehatan Masyarakat

KESIAPSIAGAAN PETUGAS KESEHATAN PUSKESMAS DALAM MANAJEMEN BENCANA DI WILAYAH KERJAPUSKESMAS SILIH NARA KABUPATEN ACEH TENGAH Adisah Adisah; Evawani Martalena Silitonga; Jasmen Manurung; Wisnu Hidayat
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 6 No. 1 (2022): April 2022
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v6i1.2937

Abstract

   Disaster management is a very important factor to reduce the impact of disaster events. This study aims to determine the preparedness of health workers in disaster management based on the characteristics, knowledge, attitudes and practices/previous experiences of health workers in disaster management. This type of research is a quantitative research with a cross sectional approach. The study was conducted in the Working Area of the Silih Nara Health Center, Central Aceh Regency in August 2021 with a population of 85 health workers and all of them were used as samples (total sampling). Data analysis used univariate, bivariate and multivariate analysis. The results of data analysis show that there is a relationship between age and knowledge and attitudes, while based on previous practice/experience there is no relationship; there is no relationship between gender and previous knowledge, attitude and practice/experience; there is a relationship between education and previous knowledge, attitudes and practices/experience; there is a long-standing relationship with knowledge but no long-standing relationship with previous attitudes and practices/experiences; there is a relationship between involvement in disaster response with previous knowledge, attitudes and practices/experiences; there is a relationship between disaster management training and previous attitudes and practices/experience, while disaster management training has no relationship with knowledge; There is a relationship between being included in the Rapid Action Team (TGC) with previous knowledge, attitudes and practices/experiences based on the preparedness of health workers in disaster management in the Work Area of the Silih Nara Health Center, Central Aceh Regency. The variable of disaster management training is the most dominant variable in the preparedness of health workers in disaster management in the Work Area of the Silih Nara Health Center, Central Aceh Regency.
STRATEGI DOTS DALAM PROGRAM PENANGGULANGAN TUBERKULOSIS DI PUSKESMAS MATITI KECAMATAN DOLOKSANGGUL KABUPATEN HUMBANG HASUNDUTAN Hertati Nababan; Wisnu Hidayat; Mido Ester J. Sitorus; Netty Brahmana
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 6 No. 3 (2022): DESEMBER 2022
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v6i3.6990

Abstract

Tuberculosis (TB) is a global public health problem caused by Mycobacterium tuberculosis and is one of the top 10 causes of death worldwide. DOTS is a very effective strategy to treat TB patients. One of the success factors for TB control is the availability of sufficient human resources, both in terms of quantity and quality. Objective to identify the implementation of the DOTS Strategy component in the TB control program at the Matiti Health Center, Doloksanggul District. This type of research is a qualitative research with analytical descriptive approach, through in-depth interviews and taking research subjects using purposive sampling method. The main foundation of this research is the phenomenology of design. There were eight informants in this study consisting of key informants, main informants and additional informants. Data analysis was carried out with three streams of activities that occurred simultaneously, namely data condensation, data display and conclusions: drawing and verifying. Result there is no political commitment in the form of local regulations. The TB program implementers at the Puskesmas have not been fully trained. Case finding has not been carried out actively, still and intensively. Case detection rate and success rate has not met the national indicators. Planning for the availability of OAT has been included with reference to the number of cases and the type of patient. PMO has contributed to the control of patient's drug ingestion. The SITB application has not been carried out optimally so that the evaluation of program implementation is not carried out properly. Conclusion Implementation TB control program at the Matiti Health Center is still not optimal and the coverage of patient findings is still low.
FAKTOR RISIKO HIPERTENSI Esther Purnama Ria Sihombing; Wisnu Hidayat; Janno Sinaga; Donal Nababan; Mido Ester J. Sitorus
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 7 No. 3 (2023): DESEMBER 2023
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v7i3.19199

Abstract

Hipertensi masih menjadi bahaya kesehatan karena merupakan penyakit yang bersifat 'silent killer' Hipertensi dapat meningkatkan tekanan didalam pembuluh darah di atas normal dan menempatkan pasien pada risiko penyakit jantung, stroke, dan gagal ginjal. Faktor risiko Riwayat keluarga/keturunan, tingkat pendidikan, stress, kebiasaan minum kopi, kebiasaan merokok berhubungan dengan peningkatan risiko hipertensi Tujuan penelitian ini untuk mengetahui faktor risiko yang paling dominan mempengaruhi kejadian Hipertensi Masyarakat Usia Produktif Diatas Umur >40 Tahun di wilayah Kecamatan Nainggolan Periode 2021-2022. Penelitian ini merupakan penelitian analitik observasional dengan desain studi kasus-kontrol (case-control study). Responden dalam penelitian ini masyarakat usia > 40 tahun di wilayah kerja Puskesmas Sirait dengan jumlah kelompok kasus sebanyak 50 responden dan kelompok kontrol sebanyak 50 responden. Adapun analisis yang digunakan dalam penelitian ini adalah analisis univariat, bivariat, dan multivariat. Penelitian ini menggunakan  uji Chi –Square dan selanjutnya  menggunakan regresi logistik untuk melihat faktor yang paling berpengaruh. Hasil Uji Chi-Square menunjukkan ada hubungan Riwayat Keluarga/ keturunan hipertensi (p=0,002 OR=4,89 95%CI=1,76 - 13,69,) dan Kebiasaan merokok (p=0.047,  OR=1,54 95%CI=1,00 - 2,37)  terhadap kejadian hipertensi dan tidak ada hubungan  tingkat pendidikan responden (p=0,294 OR=0,727 95%CI=0,40 - 1,32), Tingkat stress (p=0.500 OR=1,36 %CI=0,55 - 3,29), kebiasaan Minum kopi(0.872 OR=0,95 95%CI=0,50 - 1,78) terhadap kejadian hipertensi faktor yang paling dominan adalah faktor keluarga/ keturunan (p=0.002) OR=5,246  95%CI=1.846-14.910 yang artinya responden dengan riwayat keluarga/keturunan mempunyai risiko terkena hipertensi 5,246 kali dibanding responden yang tidak memiliki riwayat keluarga/keturunan  Disarankan agar Puskesmas dapat membuat program pencegahan dan penurunan angka kejadian hipertensi melalui kegiatan Deteksi dini/Skrining ifaktor risiko penyakit hipertensi di setiap desa secara rutin setiap bulan serta melakukan edukasi tentang penyakit hipertensi dan faktor-faktor risiko terjadinya hipertensi iterutama pada masyarakat yang memiliki riwayat keluarga/keturunan. Hipertensi dan riwayat merokok.