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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

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.

APLIKASI TEHNOLOGI SISTEM INFORMASI GEOGRAFIS UNTUK MENINGKATKAN SISTEM SURVEILANS PENYAKIT MENULAR DI KABUPATEN BANYUMAS Wijayanti, Siwi Pramatama Mars; Octaviana, Devi; Anandari, Dian
Jurnal Abdimas Vol 22, No 2 (2018): Desember 2018
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LP2M), Universitas Negeri Semarang

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Ã‚Â Ã‚Â Kemampuan analisis dan penyajian data dari petugas surveilans merupakan hal yang sangat penting untuk memaksimalkan tugasnya. Kebanyakan petugas surveilans masih menggunakan analisis data sederhana seperti excell untuk analisis data. Padahal dengan tehnologi sistem informasi geografis, petugas surveilans dapat menganalisis dan menyajikan data penyakit di lapangan dalam bentuk yang lebih menarik dan variatif seperti peta. Oleh karena itu, dalam kegiatan pengabdian ini, dilakukan pelatihan Geographic Information System (GIS) dengan software ArcGIS 10.2. Pelatihan diisi oleh trainer profesional selama 1 hari dengan 33 orang peserta yakni petugas surveilans se Kabupaten Banyumas. Materi yang diberikan seperti penggunaan software untuk membuat peta, pemanfaatan HP android untuk membuat titik koordinat. Peserta mempraktikan sendiri penggunaan software di laptop laptop masing masing denganÃ‚Â harapan segera dapat diterapkan untuk pekerjaannya sebagai petugas surveilans. Saran ke depan, petugas surveilans harus memanfaatkan tehnologi seperti GIS untuk menambah kompetensinya untuk meningkatan kualitas sistem surveilans. Ã‚Â Ã‚Â

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

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.

Impact of Health Education on Knowledge and Awareness of Multidrug-Resistant Tuberculosis in Banyumas Regency, Indonesia Octaviana, Devi; Wijayanti, Siwi; Nurlaela, Sri
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 13, No 1 (2019): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: The increased case of multidrug-resistant tuberculosis (MDR-TB) in the community required more prevention efforts to reduce the cases. Lack of knowledge and awareness in the community could be one of the causes of this problem. The study aimed are to analyse the effectiveness of health education to increase knowledge and awareness of people to MDR-TB. Methods: A quasi-experiment study with one-group pretest-and posttest design was used in this study. 32 respondents were included in this study with exclusion and inclusion criteria. Intervention carried out in the form of counselling to respondent for 1.5 hours with additional methods such as leaflets, modules and posters. Results: This study showen that health education could improve knowledge (5.45%) and awareness (3.59%) of participants about MDR-TB. Based on bivariate analysis, it is showed that there were no significant differences in knowledge of respondents pre and post-intervention however, there were significant differences in awareness of respondent. Conclusion: This study recommended the implementation of health education more intensively to the community about MDR-TB. The application of various media in health education was also important to improve transfer knowledge to the community. Improvement of knowledge and awareness of people about MDR-TB was a crucial aspect to conduct effective prevention effort of this disease. Keywords: tuberculosis; multi-drug; resistant

PERBEDAAN EFEKTIFITAS PENGGUNAAN ATRAKTAN LARUTAN FERMENTASI GULA-RAGI DAN AIR RENDAMAN CABAI MERAH (Capsicum Annum) TERHADAP JUMLAH TELUR Aedes Sp. YANG TERPERANGKAP Sari, Arvita Kumala; Octaviana, Devi; Wijayanti, Siwi Pramatama Mars
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (333.176 KB)

Oviposition trap (Ovitrap)  is one of the Aedes sp mosquito controlling method without insectide. The purpose of this study was to determine the effectiveness of the use of attractant solution of yeast- sugar and water soaking red chilii to the number of trapped eggs of Aedes sp. Type of this research was experimental study. The subject of this research were all the eggs were trapped on ovitrap, while the research unit was a group of houses, building / construction in the research area which consisted of 15 houses. The study was conducted in kelurahan Mersi,Mersi District of Purwokerto. This research applies 3 treatment, so that the object consists of 15 houses with the total number of installed ovitrap 45 indoors and 45 outdoors. Total number of eggs of Aedes sp which trapped in ovitrap were 1021 grain. Number of trapped eggs in control (water wells), water of soaking red chili attractant and solution of yeast-sugart attractant were 929 grains (91%), 60 grains (5,9%) and 32 grains (3.1%) respectively. Number of eggs which trappped in ovitrap outdoor were 639 grains (62.6%) while in ovitrap indoor wwere 382 grains (37.4%). There was significant difference in the number of eggs that trapped in each type of attractant, however there was no significant difference in the number of eggs that are trapped on the basis of location.

EVALUASI SISTEM INFORMASI MANAJEMEN KEPERAWATAN BERDASARKAN PENERIMAAN PENGGUNA DI RUMAH SAKIT UMUM DAERAH (RSUD) BANYUMAS Nurhayati, Siti; Wahyuningsih, Eri; Octaviana, Devi; Sistiarani, Colti; Jasun, Jasun
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 2 No 2 (2009): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Banyumas District Hospital is the pioneer in the national level of a computerbased 3N (NANDA, NIC, NOC) nursing management application. Nursing management information system in Banyumas District Hospital is a sub-system of Banyumas District Hospital?s Management Information System. Hospital?s Management Information System is a computerize system processing and integrating the whole process of health providing bussines in a coordinated networking,report and administrarion procedure to get a fast,exact,and accurate information. This research?s aim was to evaluate the nursing management information system in Banyumas District Hospital using acceptance-based of PIECES and TAM methode. The research was and explanatory research using surve in Banyumas District Hospital using acceptance-based of PIECES and TAM methode. The research was and explanatory research using survey methode and cross sectional study design. The data was analised in Spearman Rank correlation test with 0,05 significance level. The research found that the category of Banyumas District Hospital?s Nursing Management Information System is good.

GAMBARAN KESIAPAN SISTEM SURVEILANS TUBERKULOSIS DALAM MENDUKUNG UPAYA PENGENDALIAN TUBERKULOSIS RESISTEN OBAT (TB-RO) DI KABUPATEN BANYUMAS Astuti, Sonia Dwi; Octaviana, Devi; Wijayanti, Siwi Pramatama Mars
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 10 No 2 (2018): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Tingginya angka insidensi kasus TB setiap tahun dan angka kematian akibat TB masih menjadi beban di Indonesia. Beban tersebut kini telah bertambah dengan adanya TB Resisten Obat (TB-RO). TB-RO adalah penyakit tuberkulosis yang mengalami resistensi terhadap dua obat paling paten pada lini pertama seperti isoniazid dan rifampisin dan umumnya terjadi akibat pengobatan TB yang tidak tuntas (Asri, 2014). Pengobatan yang tidak tuntas tersebut menyebabkan berkurangnya efektifitas obat di dalam tubuh dalam membunuh bakteri tuberkulosis akibat mutasi pada gen dan RNA yang berujung pada resistensi (Soepandi, 2010). Peningkatan beban TB-RO terjadi karena belum optimalnya pelaksanaan program pengendalian TB yang ada, kurangnya keterlibatan lintas program dan lintas sektor dan kurangnya penatalaksanaan kasus TB di fasilitas pelayanan kesehatan seperti penemuan kasus; pencatatan dan pelaporan kasus. Beban TB-RO ini akan mengakibatkan kerugian yang cukup besar jika tidak dapat ditanggulangi dengan baik, seperti meningkatnya pembiayaan TB, meningkatnya jumlah pengangguran dan meningkatkan risiko adanya kejadian TB-HIV. Upaya yang dapat dilakukan untuk menghadapi peningkatan beban TB-RO tersebut salah satunya dengan melakukan perubahan dalam penemuan kasus dan pencatatan kasus (Permenkes, 2016). Perubahan penemuan dan pencatatan kasus dari yang bersifat pasif kini menjadi aktif, intensif dan masif tanpa mengesampingkan kegiatan penemuan dan pencatatan kasus secara pasif. Penemuan dan pencatatan kasus tersebut akan dilaksanakan melalui kegiatan surveilans TB (Dinkes Banyumas, 2017).   Pada Tahun 2017 Triwulan II di Kabupaten Banyumas untuk kasus TB-RO terdapat 225 kasus terduga, 19 kasus terdiagnosis, 16 kasus diobati dan 2 kasus meninggal (Dinkes Banyumas, 2017). Berdasarkan hasil studi pendahuluan yang telah dilakukan ditemukan bahwa 37 dari 39 Puskesmas yang ada di Kabupaten Banyumas memiliki kasus TB-RO. Hal ini berarti Puskesmas di Kabupaten Banyumas harus memiliki kesiapan sistem surveilans yang baik dalam menghadapi tantangan dari munculnya beban TB-RO tersebut. Kegiatan surveilans TB yang telah matang akan dilakukan dengan sistem yang baik dan akan menghasilkan informasi yang baik pula untuk mendukung keberlangsungan upaya pengendalian TB-RO. Kesiapan yang dimaksud bukan hanya pada sistem secara menyeluruh tetapi juga harus spesifik ke dalam subsistem surveilans seperti input, process dan output. Komponen yang termasuk dalam subsistem input seperti sumber daya manusia (SDM), dana, metode pencatatan dan pelaporan serta sarana, sedangkan untuk subsistem proses yaitu frekuensi pengumpulan data, pengolahan data dan analisa data. Komponen dari subsistem output berupa pelaporan ke instansi yang lebih tinggi, diseminasi informasi serta umpan balik yang dapat dilihat dari adanya buletin kasus serta mading informasi (Ersanti dkk, 2016). Penelitian yang dilakukan oleh Kant, et al (2013) menyebutkan bahwa perbaikan sistem surveilans mulai dari pengumpulan data secara lengkap hingga pengolahan data yang tepat dapat menunjung kegiatan penanggulangan tuberkulosis dan efektif menekan peningkatan kematian akibat penyakit tersebut di India. Penelitian ini bertujuan untuk melihat dan mendekripsikan kesiapan sistem surveilans TB di Puskesmas Wilayah Kerja Kabupaten Banyumas dalam mendukung upaya pengendalian TB-RO.  

PASCA KEJADIAN LUAR BIASA CHIKUNGUNYA DI DESA SEMALI KECAMATAN SEMPOR KEBUMEN TAHUN 2009 Mars Wijayanti, Siwi Pramatama; Octaviana, Devi
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 3 No 2 (2010): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Chikungunya outbreak in Kebumen regency happened onDecember 2008until 2009 that infected 10 sub district including Sempor sub district. Semali village in Sempor sub districtwas one of village that had chikungunya outbreak on February 2009, and 117 people were infected. The aim of this research were to know description of knowledge, attitude and behavior of Semali community after chikungunya outbreak, and also investigation of mosquito larvae at house of respondents. Kind of this research was observational with cross sectional design. Data was obtained by questionnaire. Univariane analysis was conducted to know the description of each variable. Result of this research showed that respondent?s knowledge about chikungunya that included in good category was 57,8% whereas remainder was had category (42,2%). Respondent?s attitude to Chikungunya was good category 51,6% and 48,5% was bad category 62,5% of respondent?s behavior were good category in order to protect Chikungunya, and 31,2% were bad community of village should improve their knowledge , attitude and behavior to protect vactor bome disease such as Chikungunya and dengue hemorrhagic fever. Further research in molecular epidemiology should be done to gain better perspective about changing of primary vactor of Chikungunya from Aedes aegypti to Aedes olbopictus.

DENGUE PREVENTION PRACTICES AND ITS DETERMINANTS FACTORS IN PURWOKERTO, CENTRAL JAVA Sahida Woro Palupi; Devi Octaviana; Siwi Pramatama Mars Wijayanti
Insights in Public Health Journal Vol 1 No 1 (2020): Insights in Public Health Journal
Publisher : Public Health Department, Faculty of Health Sciences, Jenderal Soedirman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.iphj.2020.1.1.2634

Background Dengue Hemorrhagic Fever (DHF) is a disease transmitted through the bite of Aedes aegypti and Aedes albopictus that have been infected with the dengue virus. PSN DBD (DHF mosquito breeding areas elimination) is one of the most effective ways to prevent DHF. DHF is an endemic disease in Banyumas regency. This research aimed to analyze the factors that influence the behavior of PSN DHF in the East Purwokerto District, Banyumas Regency. Methods This research was quantitative research using a cross-sectional approach. The populations in this research were 17.289 households and the sample was housewives in East Purwokerto district taken by simple random sampling technique with 96 respondents. The data collection technique was carried out by using questionnaires and observation. Data analysis was conducted by univariate, bivariate, and multivariate.Results Education (p=0,129), income (p=0,170), knowledge (p=0,254), attitude (p=0,942), facilities availability (p=0,130), role of community figures (p=0,712) and role of health workers (p=0,635) showed has no significant correlation with behaviour of PSN DHF. Information media exposure (p=0,004) showed has significant correlation and the main factor of PSN DHF. Conclusions: Media exposure is the most influential variable in the behavior of PSN DHF. One of the advice given was to the health institution to should give more various ways of information related to dengue prevention in the community.

PERBEDAAN EFEKTIFITAS PENGGUNAAN ATRAKTAN LARUTAN FERMENTASI GULA-RAGI DAN AIR RENDAMAN CABAI MERAH (Capsicum Annum) TERHADAP JUMLAH TELUR Aedes Sp. YANG TERPERANGKAP Arvita Kumala Sari; Devi Octaviana; Siwi Pramatama Mars Wijayanti
Kesmas Indonesia Vol 9 No 2 (2017): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (333.176 KB)

Oviposition trap (Ovitrap) is one of the Aedes sp mosquito controlling method without insectide. The purpose of this study was to determine the effectiveness of the use of attractant solution of yeast- sugar and water soaking red chilii to the number of trapped eggs of Aedes sp. Type of this research was experimental study. The subject of this research were all the eggs were trapped on ovitrap, while the research unit was a group of houses, building / construction in the research area which consisted of 15 houses. The study was conducted in kelurahan Mersi,Mersi District of Purwokerto. This research applies 3 treatment, so that the object consists of 15 houses with the total number of installed ovitrap 45 indoors and 45 outdoors. Total number of eggs of Aedes sp which trapped in ovitrap were 1021 grain. Number of trapped eggs in control (water wells), water of soaking red chili attractant and solution of yeast-sugart attractant were 929 grains (91%), 60 grains (5,9%) and 32 grains (3.1%) respectively. Number of eggs which trappped in ovitrap outdoor were 639 grains (62.6%) while in ovitrap indoor wwere 382 grains (37.4%). There was significant difference in the number of eggs that trapped in each type of attractant, however there was no significant difference in the number of eggs that are trapped on the basis of location.

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