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Policy of the Booster Vaccination Program for Prospective Hajj Congregations Perspective on the Effectiveness of Delivery in Pandemic Times Ivan Elisabeth Purba; Parlindungan Purba; Rahmat Alyakin Dakhi
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 5, No 2 (2022): Budapest International Research and Critics Institute May
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i2.4717

The government's policy through the COVID-19 vaccination program in Indonesia which began to be implemented on January 13, 2021 can accelerate the occurrence of herd immunity which will have an impact on reducing the number of infected cases so that prospective pilgrims whose departure has been postponed since 2019 can leave. perform the pilgrimage. The World Health Organization (WHO) explained that vaccine performance can be seen from three measurements, namely through the efficacy, effectiveness, and impact of the vaccine. The booster vaccination program policy can be carried out effectively because it is a mandatory requirement for prospective Hajj pilgrims. However, the effectiveness of deferred departures does not work as well as the implementation of the vaccination program regulated by the government, so the government must continue to make educational efforts and encourage active community involvement to comply with the COVID-19 health protocol. The research was conducted using the literature study method by collecting related data throughout the pandemic period in Indonesia.

Kemampuan Biofilter Anaerob Berdasarkan Jenis Media dalam Pengolahan Air Limbah Domestik Tahun 2016 Donal Nababan; Mido Ester Juniati Sitorus; Ivan Elisabeth Purba; Netti Etalia Br. Brahmana; Evawani Martalena Silitonga
Jurnal Riset Hesti Medan Vol 4, No 2 (2019)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Domestic wastewater is used water that cannot be used anymore for its original use, either containing human waste (feces) or from kitchen, bathroom and washing activities. The more dense the population in a settlement the more waste must be controlled. One simple way to treat domestic wastewater is to use anaerobic biofilter based on the type of media. The media used were broken stones, plastic sheets, and coconut shell charcoal. The purpose of this study was to determine the ability of anaerobic biofilter based on the type of media in domestic wastewater treatment. The parameters measured are BOD, COD and PH. Anaerobic biofilter performance is determined by looking at the difference in levels before and after using the media. This research is a quasi-experimental research with one group pretest-posttest design. The sample of this study were 10 samples taken from repetition 3 times in one experiment, the process was done by a batch system. The results showed an average reduction in BOD on plastic sheet media by 84.76%, COD by 84.77%, PH by 32.3%. The average reduction in BOD in the stone medium was 80.57%, COD was 80.59%, PH was 29.66%. The average reduction in BOD in coconut shell charcoal media was 69.72%, COD was 77.84%, PH was24%.

A Case Report of Neurocysticercosis at Sanglah Hospital, Denpasar, Bali A.A Raka Sudewi; Ge Aris Geson; Ivan Elisabeth Purba; Toni Wandra
The Indonesian Journal of Infectious Diseases Vol 1, No 3 (2013): The Indonesian Journal of Infectious Diseases
Publisher : Rumah Sakit Penyakit Infeksi Prof Dr. Sulianti Saroso

We reported one neurocysticercosis (NCC) case who visited neurological outpatient clinic of Sanglah hospital, Denpasar, Bali. The patient is a 46-year-old man from Sumba, East Nusa Tenggara Province, and eastern part of Indonesia. The main symptoms of patient was headache and history of epileptic seizures, and spastic monoparesis on left lower limb. Diagnosis and follow up patient was performed clinically including CT scan and serologically. Detection of specific antibodies to Taenia solium in serum was performed by ELISA and immunoblot using native and recombinant antigens.

Factors Affecting The Coverage Of Hb0 Immunization In Primary Health Centre (Phc) Rosmawaty Irma Suryani Siagian; Ivan Elisabeth Purba; Rahmat Alyakin Dachi; Donal Nababan; Jasmen Manurung; Desideria Yosepha Ginting; Juni Mariati Simarmata
JKM (Jurnal Kebidanan Malahayati) Vol 8, No 1 (2022): Vol. 8 No. 1, Januari 2022
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v8i1.5735

Latar Belakang Menurut Organisasi Kesehatan Dunia (WHO), hepatitis B adalah masalah kesehatan global, mempengaruhi 257 juta orang di seluruh dunia. Bersadarkan Riskesdas tahun 2018 angka kematian sebesar 887.000 orang meningggal yang penyebabnya adalah hepatitis B. Berdasarkan hasil Survei Kesehatan Dasar (Riskesdas) 2018 proporsi imunisasi HB0 di Indonesia sebesar 83,1% (Riskesdas, 2018). Berdasarkan hasil cakupan imunisasi HB0 Indonesia yang dilansir Riskesdas tahun 2018, pencapaian target cakupan imunisasi HB0 masih di bawah target UCI kecamatan yang ditetapkan Kementerian Kesehatan RI. Sedikitnya 94,4% jumlah bayi di desa (0-7 hari) yang diimunisasi HB0 (Kemenkes RI, 2015).Tujuan dari penelitian yaitu untuk mengetahui pengaruh cakupan imunitas HB0 di Puskesmas KotaMedan.Metode kuantitatif analitik pendekatan desain penelitian cross sectional study. Seluruh populasi adalah seluruh tenaga kesehatan di Puskesmas Kota Medan yang memberikan pelayanan imun dengan teknik pengambilan sampel menggunakan random sampling yang diminati dengan jumlah 55 responden. Data dalam penelitian adalah primer dan sekunder. Analisis data menggunakan pendekatan bivariat dan multivariat.Hasil penelitian ini menunjukkan bahwa cakupan imunisasi HB0 p = 0,030 berpengaruh terhadap motivasi, cakupan imunisasi HB0 p = 0,001 memiliki pengaruh pemantauan, dan cakupan imunisasi HB0 p berpengaruh terhadap lama masa pelayanan. = 0,041. Nilai prediksi dari probabilitas atau persamaan adalah 0,884 (> 0,05).Kesimpulan Ada pengaruh motivasi, supervisi, lama bekerja, terhadap cakupan imunisasi HB0 di Puskesmas Kota Medantahun 2020.Saran Untuk pengawan dan masa kerja mempengaruhi cakupan imunisasi HB0 dengan nilai 88.4%.Pimpinan didorong untuk meningkatkan dan meningkatkan kualitas pengawasan dan menambah insentif, terutama untuk meningkatkan kinerja juru bahasa dan kemudian mempengaruhi perluasan jangkauan kekebalan. Kata Kunci : Imunisasi HB0, Juru Imunisasi,Lama Bekerja, Motivasi, Supervisi ABSTRACT Background: according to the World Health Organization (WHO) Hepatitis B is a world health problem that affects 257 million people worldwide. Based on Riskesdas in 2018, the death rate showed that 887,000 people died because of hepatitis B. Based on the results of the 2018 Riset Kesehatan Dasar (Riskesdas), the percentage who had received HB0 immunization in Indonesia was 83.1% (Riskesdas, 2018). Based on the results of the HB0 immunization coverage in Indonesia reported by Riskesdas 2018 above, it can be seen that the achievement of the HB0 immunization coverage target is still below the UCI sub-district target set by the Indonesian Ministry of Health, which is at least 94.4% of the total number of babies (0-7 days). villages have received HB0 immunization (Kemenkes RI, 2015).Purpose: to know the factors that influence the coverage of HB0 immunization in Health Centers in Medan.Methods: a quantitative analytic survey using a cross sectional study design was used. The population were all health workers who provide immunization services at the Health Centers in Medan with the sampling technique using purposive random sampling with a total of 55 respondents. The data used included primary data and secondary data. Data analysis used bivariate and multivariate approaches.Results of this study indicated that there was an effect of motivation on HB0 immunization coverage with p =0.030, meaning that there was an effect of supervision on HB0 immunization coverage with p = 0.001, and there was an effect of length of service on HB0 immunization coverage with p = 0.041. Supervision was the most dominant variable affecting HB0 immunization coverage with an Exp (B) 10,000 value (95% CI: 2,580-38,756).Conclusion: there was an influence of motivation, supervision, length of work, on the coverage of HB0 immunization at the Medan City Health Center in 2020.Suggestion It is recommended that the leadership improve and improve the quality of supervision, and add incentives, so that health workers can improve their performance, especially immunization officers, so that later it will have an impact on increasing immunization coverage. Keywords: HB0 Immunization, Immunizers ,Motivation, Length of Working, Supervision

PERBEDAAN BEBAN, LINGKUNGAN DAN TINGKAT STRES KERJA ANTARA PERAWAT DI RUANG RAWAT INAP UMUM DAN RUANG RAWAT INAP COVID-19 DI RSUD DELI SERDANG TAHUN 2020 Miftahussak Inah Rizani; Ivan Elisabeth Purba; Janno Sinaga; Toni Wandra; Mindo Tua Siagian
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 6 No. 1 (2022): April 2022
Publisher : PREPOTIF : JURNAL KESEHATAN MASYARAKAT

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v6i1.3445

Berdasarkan survey yang dilakukan Persatuan Perawat Indonesia menyatakan bahwa terdapat 50,9% perawat Indonesia diketahui mengalami stres kerja dikarenakan adanya beban kerja yang tinggi dan penghasilan yang diangggap tidak memadai, serta keadaan lingkungan kerja. Penelitian ini bertujuan untuk melihat perbedaan beban, lingkungan dan tingkat stres kerja antara perawat di ruang rawat inap umum dan di ruang rawat inap Covid-19 di Rumah Sakit Deli Serdang (RSUD) Tahun 2020. Jenis penelitian ini adalah penelitian komparatif dengan pendekatan cross-sectional. Populasi dalam penelitian ini adalah seluruh perawat yang bekerja di RSUD Deli Serdang yang berjumlah 296 orang, besar sampel adalah 82 orang yang terdiri dari 41 orang perawat rawat inap dan 41 orang perawat Covid-19 dengan tehnik pengambilan sampel purposive sampling. Metode pengumpulan data dengan menggunakan data primer yang diperoleh langsung dari subjek penelitian berupa kuesioner. Analisis data menggunakan univariat dan bivariat dengan menggunakan uji chi square. Hasil penelitian menunjukkan bahwa terdapat perbedaan beban kerja yang tidak signifikan antara perawat di ruang rawat inap umum dan di ruang rawat inap Covid-19 secara statistik (p=1,00), perbedaan lingkungan kerja yang tidak signifikan antara perawat di ruang rawat inap umum dan di ruang rawat inap Covid-19 secara statistik (p=0,679) dan perbedaan tingkat stres kerja yang tidak signifikan antara perawat di ruang rawat inap umum dan di ruang rawat inap Covid-19 secara statistik (p=0,533). Berdasarkan hasil diatas dapat disimpulkan bahwa tidak ada perbedaan yang signifikan antara beban kerja, lingkungan kerja dan tingkat stres kerja pada perawat di ruang rawat inap umum dan di ruang rawat inap Covid-19. Perlu dilakukannya peninjauan kembali mengenai rasio perawat dan pasien yang ada serta edukasi kepada masyarakat mengenai Covid-19 dan penularannya.

Knowledge, Prevention, and Handling Sexually Transmitted Diseases among Transvestite Commercial Sex Worker Jasmen Manurung; Ivan Elisabeth Purba; Hana Ike Dameria Purba; Jek Amidos Pardede
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 11 No 2 (2021): April 2021
Publisher : LPPM STIKES KENDAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v11i2.1315

Laut Dendang Village has experienced the phenomenon of increasing the number of Transvestites who work as a commercial sex worker around Titi Laut Dendang. Preliminary surveys show an increase in sexually transmitted disease screening for transvestite in a clinic and indicate a high incidence of sexually transmitted disease among Transvestite-CSWs. This study uses phenomenological studies that aim to explore the causes of the high incidence of STI disease among Transvestite-CSWs in the open area of Percut Sei Tuan District. The informants in this study were three Transvestite-CSWs who sold themselves around the bridge of Laut Dendang and were triangulated on their sexual partners. Information was collected by in-depth interviews. The results showed that informants were only able to associate STIs with HIV/AIDS, didn’t know about STIs, and didn’t want to use condoms. The Transvestite-CSWs who is infected performs treatment by inserting toothpaste into the anus, taking antibiotics that are not according to the dosage used, and a few of them carried out HIV/AIDS and genital tested and counseling in the Community Health Movement (GSM). It causes the knowledge, prevention and management of sexually transmitted diseases to Transvestite-CSWs is still low.

FAKTOR-FAKTOR YANG MEMPENGARUHI CAKUPAN IMUNISASI HB0 DI PUSKESMAS KOTA MEDAN Rosmawaty Irma Suryani Siagian; Ivan Elisabeth Purba; Rahmat Alyakin Dachi; Donal Nababan; Jasmen Manurung
Jurnal Doppler Vol. 5 No. 2 (2021)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar

Menurut World Health Organization (WHO) Hepatitis B merupakan masalah kesehatan dunia yang menjangkiti 257 juta penduduk di seluruh dunia. Pada tahun 2015, diperkirakan sebanyak 887.000 orang meninggal akibat komplikasi hepatitis B. Berdasarkan hasil Riset Kesehatan Dasar (Riskesdas) tahun 2018, persentase yang sudah mendapatkan imunisasi HB0 di Indonesia sebesar 83.1% (Riskesdas, 2018). Berdasarkan hasil cakupan imunisasi HB0 di Indonesia yang di laporkan Riskesdas tahun 2018 di atas, terlihat bahwa pencapaian target cakupan imunisasi HB0 masih di bawah target kelurahan UCI yang ditetapkan oleh Kementerian Kesehatan RI yaitu minimal 94.4 % dari jumlah bayi (0-7 hari) yang ada di kelurahan tersebut sudah mendapat imunisasi HB0 (Kemenkes RI, 2015). Tujuan Penelitan ini adalah untuk mengetahui faktor-faktor yang mempengaruhi cakupan imunisasi HB0 di Puskesmas Kota Medan. Jenis penelitian adalah survei analitik kuantitatif dengan menggunakan desain cross sectional study. Populasi adalah seluruh petugas kesehatan yang memberikan pelayanan imunisasi di Puskesmas Kota Medan dengan teknik pengambilan sampel menggunakan purposive random sampling dengan jumlah 55 responden. Data yang digunakan meliputi data primer dan data sekunder. Analisa data menggunakan pendekatan bivariat dan multivariat. Hasil penelitian ini menunjukkan bahwa ada pengaruh motivasi terhadap cakupan imunisasi HB0 p= 0,030, ada pengaruh supervisi tehadap cakupan imunisasi HB0 p= 0,001, dan ada pengaruh lama masa kerja terhadap cakupan imunisasi HB0 p= 0,041. Diperoleh nilai Probabilitas atau Predicted dari persamaan adalah 0,884 (>0,05) , dengan kata lain variabel supervisi dan lama bekerja mempengaruhi cakupan imunisasi HB0 di Puskesmas Kota Medan sebesar 88,4%. Disarankan kepada pimpinan agar memperbaiki dan meningkatkan kualitas supervisi, dan menambah insentif, agar tercapai peningkatan kinerja khususnya bagi juru imunisasi sehingga nantinya akan berdampak pada peningkatan cakupan imunisasi.

FAKTOR-FAKTOR YANG MEMPENGARUHI CAKUPAN IMUNISASI HB0 DI PUSKESMAS KOTA MEDAN Rosmawaty Irma Suryani Siagian; Ivan Elisabeth Purba; Rahmat Alyakin Dachi; Donal Nababan; Jasmen Manurung
Jurnal Doppler Vol. 5 No. 2 (2021)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar

Menurut World Health Organization (WHO) Hepatitis B merupakan masalah kesehatan dunia yang menjangkiti 257 juta penduduk di seluruh dunia. Pada tahun 2015, diperkirakan sebanyak 887.000 orang meninggal akibat komplikasi hepatitis B. Berdasarkan hasil Riset Kesehatan Dasar (Riskesdas) tahun 2018, persentase yang sudah mendapatkan imunisasi HB0 di Indonesia sebesar 83.1% (Riskesdas, 2018). Berdasarkan hasil cakupan imunisasi HB0 di Indonesia yang di laporkan Riskesdas tahun 2018 di atas, terlihat bahwa pencapaian target cakupan imunisasi HB0 masih di bawah target kelurahan UCI yang ditetapkan oleh Kementerian Kesehatan RI yaitu minimal 94.4 % dari jumlah bayi (0-7 hari) yang ada di kelurahan tersebut sudah mendapat imunisasi HB0 (Kemenkes RI, 2015). Tujuan Penelitan ini adalah untuk mengetahui faktor-faktor yang mempengaruhi cakupan imunisasi HB0 di Puskesmas Kota Medan. Jenis penelitian adalah survei analitik kuantitatif dengan menggunakan desain cross sectional study. Populasi adalah seluruh petugas kesehatan yang memberikan pelayanan imunisasi di Puskesmas Kota Medan dengan teknik pengambilan sampel menggunakan purposive random sampling dengan jumlah 55 responden. Data yang digunakan meliputi data primer dan data sekunder. Analisa data menggunakan pendekatan bivariat dan multivariat. Hasil penelitian ini menunjukkan bahwa ada pengaruh motivasi terhadap cakupan imunisasi HB0 p= 0,030, ada pengaruh supervisi tehadap cakupan imunisasi HB0 p= 0,001, dan ada pengaruh lama masa kerja terhadap cakupan imunisasi HB0 p= 0,041. Diperoleh nilai Probabilitas atau Predicted dari persamaan adalah 0,884 (>0,05) , dengan kata lain variabel supervisi dan lama bekerja mempengaruhi cakupan imunisasi HB0 di Puskesmas Kota Medan sebesar 88,4%. Disarankan kepada pimpinan agar memperbaiki dan meningkatkan kualitas supervisi, dan menambah insentif, agar tercapai peningkatan kinerja khususnya bagi juru imunisasi sehingga nantinya akan berdampak pada peningkatan cakupan imunisasi.

Pelaksanaan Pilar 2 Sanitasi Total Berbasis Masyarakat Di Lingkungan II Huta Tonga Tonga Kecamatan Sibolga Utara pada Ibu Rumah Tangga: Pelaksanaan Pilar 2 Sanitasi Total Berbasis Masyarakat Di Lingkungan II Huta Tonga Tonga Kecamatan Sibolga Utara pada Ibu Rumah Tangga Yenni Gustiani Tarigan; Ivan Elisabeth Purba
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 1 No. 1 (2021): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Washing hands with soap (CTPS) is one of the clean and healthy lifestyle behaviors that is currently becoming the world's attention given the outbreak of the COVID-19 virus that occurred at the end of December 2019 and had a very fatal impact on all corners of the world because it caused many deaths. The purpose of this community outreach is to increase the knowledge of the community in Huta Tonga Tonga Lingkungan II about the correct behavior of washing hands with soap. This activity was carried out in Lingkungan II Huta Tonga Tonga, North Sibolga District by visiting as many as 30 houses on January 12, 2021 with the target being housewives. This activity is carried out by providing individual education and attaching stickers in front of people's homes. After providing education to the participants, then the practice of washing hands using soap with running water was carried out where participants also practiced hand washing with soap according to the directions. It is hoped that this activity can have an impact on the residents of the house and other people who read the stickers can be encouraged to apply hand washing with soap in daily life, especially during the current pandemic. Cuci tangan pakai sabun (CTPS) merupakan salah satu perilaku hidup bersih dan sehat yang saat ini menjadi perhatian dunia mengingat merebaknya virus covid-19 yang terjadi dari akhir Desember 2019 dan berdampak sangat fatal ke seluruh penjuru dunia karena menyebabkan banyak kematian. Tujuan pengabdian ini adalah untuk meningkatkan pengetahuan masyarakat di Lingkungan II Huta Tonga Tonga tentang perilaku cuci tangan pakai sabun yang benar. Kegiatan ini dilaksanakan di Lingkungan II Huta Tonga Tonga, Kecamatan Sibolga Utara dengan mengunjungi sebanyak 30 rumah pada tanggal 12 Januari 2021 dengan sasaran adalah ibu rumah tangga. Kegiatan ini dilaksanakan dengan memberikan edukasi secara individu dan menempelkan stiker di depan rumah masyarakat. Setelah pemberian edukasi kepada peserta kemudian dilakukan kegiatan praktek cuci tangan menggunakan sabun dengan air mengalir dimana peserta juga melakukan praktek cuci tangan pakai sabun sesuai arahan. Diharapakan dengan kegiatan ini dapat berdampak kepada penghuni rumah maupun orang lain yang membaca stiker tersebut dapat terpacu untuk menerapkan cuci tangan pakai sabun dalam kehidupan sehari-hari terutama pada saat pandemi sekarang ini.

PERBEDAAN PENGETAHUAN DAN SIKAP IBU TENTANG ASI EKSKLUSIF SEBELUM DAN SESUDAH PENYULUHAN Vierto Irennius Girsang; Tasiah Tasiah; Ivan Elisabeth Purba
Jurnal Reproductive Health Vol 7 No 1 (2022): Jurnal Health Reproductive
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jrh.v7i1.3017

Basic health research (Riskesdas) in the year 2013 found 30.2% 0-6 month baby gets BREAST MILK alone in the last 24 hours. The numbers are still relatively low, whereas BREAST MILK and breastfeeding is very beneficial for the mother and her baby. The constraints of the mother in breast-feeding there are 2 factors i.e. internal factors and external factors. Internal factors namely the mother's lack of knowledge about lactation management and external factors i.e. BREAST MILK has not come out on the first day so that mothers think need to add milk formula. The mother did not know the benefits of BREAST MILK for mothers and babies and not knowing that it is the Exclusive breast feeding BREAST MILK only up to the age of 6 months baby. For it is done the research that aims to analyse the comparison of the knowledge and attitudes of mothers before and after illumination of diDesa Siatas Exclusive BREAST MILK and fold in Kajang. This research is a research quasi experimental design study one group pretest-posttest. This research population is mothers who have babies age 6 months at the time of data retrieval is performed in the village and the village of Kajang Siatas Folding with the amount of 45 people and is entirely made of samples and data were analyzed with paired t-test test. The results of the research there is a difference in the average Maternal Knowledge before and after the Extension Of Exclusive breast milk (0-6) in the village of Folding And Siatas Kajang with p value = 0.001 (p < 0.05), and there is a difference Score the attitude of mothers before and after Extension About Exclusive breast milk (0-6) in the village of Folding And Siatas Kajang with p value = 0.001 (p < 0.05). Expected for the respondents to increase knowledge about BREAST MILK by following the guidance in the ASI counseling posyandu and lactation classes.

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