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Karbito Karbito
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Management of Free Health Services in Hospital Siti Mardiyanti; Dewi Rahayu; Ahmad Karbito; Atikah Adyas
Indonesian Journal of Global Health Research Vol 3 No 3 (2021): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (375.276 KB) | DOI: 10.37287/ijghr.v3i3.525

Abstract

The Government of Indonesia is obliged to provide guarantees for the fulfillment of the right to a healthy life for every citizen by enforcing the Social Security Administration (BPJS) for Health. The success of hospitals in carrying out their functions is marked by an increase in the quality of hospital services. To implement the implementation of SJSN in the BPJS program, the phenomenon of existing problems where the management of free health services in hospitals has not been carried out optimally, seeing some complaints in the community, therefore it is necessary to study the management of health services in terms of input, process and output. and 5M management at Tjokrodipo Hospital, Bandar Lampung City. This study aims to determine and describe the Management of Free Health Services at Tjokrodipo Hospital, Bandar Lampung City in 2021. This research is a qualitative study with a descriptive approach. The time of the study was carried out from May to June 2021 in Tjokrodipo Hospital Bandar Lampung Research subjects were selected using purposive sampling technique, researchers used data triangulation techniques and data processing carried out in this study was source triangulation. not available for BPJS patients, so patients are advised to look for other dispensaries, medical equipment such as patient beds are still lacking because during the pandemic, the availability of health human resources (HR), such as dentists and specialists are not in accordance with class C hospital standards, patients feel that the free health services provided are not good, the average patient complains of a lack of equipment such as uncomfortable beds and rooms because there are many patients.
PENETAPAN KADAR PEWARNA TARTRAZIN PADA MIE INSTAN DENGAN METODE SPEKTROFOTOMETRI UV–VIS Eka Augesleni; Eka Trismiana; Zaenal Abidin; Karbito Karbito
Holistik Jurnal Kesehatan Vol 8, No 1 (2014)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (97.19 KB) | DOI: 10.33024/hjk.v8i1.91

Abstract

 ABJ (Angka Bebas Jentik) merupakan persentase rumah atau tempat-tempat umum yang tidak ditemukan jentik.  ABJ kota Bandar Lampung berkisar antara 81,7% sampai dengan 86,1% dan masih dibawah target yang telah ditetapkan sebesar 95%. Dan pada tahun 2011 kasus yang terjadi di Kelurahan Tanjung Seneng sebanyak 11 kasus, dengan ABJ 86,75 %. Tujuan penelitian ini diketahui hubungan karakteristik kontainer tempat penampung air dengan keberadaan jentik Aedes Aegypti di Kelurahan Tanjung Seneng.Jenis penelitian ini adalah penelitian kuantitatif dengan metode analitik, menggunakan rancangan cross sectional. Populasinya sebanyak 5550 rumah di Kelurahan Tanjung Seneng, dan besar sampelnya sebanyak 150 rumah dengan unit kontainer yang terdapat di rumah tersebut. Teknik pengambilan sampel adalah Cluster Sampling.Menggunakan analisa univariat dan bivariat.Hasil uji statistik dengan uji chi square, menunjukkan bahwa karakteristik kontainer yang berhubungan dengan dengan keberadaan jentik adalah jenis kontainer (P-value=0,023), dasar kontainer (P-value=0,007), warna kontainer (Pvalue=0,000), dan letak kontainer (P-value=0,000). Petugas kesehatan harus mengawasi pemberian abate di rumah-rumah warga. Kegiatan pengontrolan ini di lakukan harus secara rutin terutama bila sudah mendekati awal musim penghujan dan bekerja sama dengan pihak swasta untuk mendukung kegiatan rumah bersih dan sehat.
Management of Free Health Services in Hospital Siti Mardiyanti; Dewi Rahayu; Ahmad Karbito; Atikah Adyas
Indonesian Journal of Global Health Research Vol 3 No 3 (2021): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (375.276 KB) | DOI: 10.37287/ijghr.v3i3.525

Abstract

The Government of Indonesia is obliged to provide guarantees for the fulfillment of the right to a healthy life for every citizen by enforcing the Social Security Administration (BPJS) for Health. The success of hospitals in carrying out their functions is marked by an increase in the quality of hospital services. To implement the implementation of SJSN in the BPJS program, the phenomenon of existing problems where the management of free health services in hospitals has not been carried out optimally, seeing some complaints in the community, therefore it is necessary to study the management of health services in terms of input, process and output. and 5M management at Tjokrodipo Hospital, Bandar Lampung City. This study aims to determine and describe the Management of Free Health Services at Tjokrodipo Hospital, Bandar Lampung City in 2021. This research is a qualitative study with a descriptive approach. The time of the study was carried out from May to June 2021 in Tjokrodipo Hospital Bandar Lampung Research subjects were selected using purposive sampling technique, researchers used data triangulation techniques and data processing carried out in this study was source triangulation. not available for BPJS patients, so patients are advised to look for other dispensaries, medical equipment such as patient beds are still lacking because during the pandemic, the availability of health human resources (HR), such as dentists and specialists are not in accordance with class C hospital standards, patients feel that the free health services provided are not good, the average patient complains of a lack of equipment such as uncomfortable beds and rooms because there are many patients.
Analisis faktor yang berhubungan dengan status gizi dengan kejadian anemia pada ibu hamil Yusuf Firmansyah; Wayan Aryawati; Dhiny Easter Yanti; Dessy Hermawan; Karbito Karbito
Holistik Jurnal Kesehatan Vol 17, No 1 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v17i1.9893

Abstract

Background: Nutritional status was one of the determinants of the health development, WHO predicts 40% of pregnant women worldwide suffer from anemia, the proportion of anemia in pregnant women in Indonesia is 48.9%, in Lampung Province is 37.1%, in West Coast District is 21 % and in Bengkunat Health Center by 18%. the proportion of anemia in pregnant women in Indonesia increased from 37.1% in 2013 to 48.9% in 2018.Purpose: To analyze factors related to the nutritional status of pregnant women based on measurements of Hb levels in the working area of Bengkunat Primary Health Care in Pesisir Barat District year 2022.Method: This type of research was quantitative with a cross-sectional design, a population of 515 pregnant women in the 1st and 2nd trimesters and a sample of 225 pregnant women using quota sampling technique, then analyzed by chi square and logistic regression.Results: The study found a varied and nutritionally balanced diet (p value=0.000 and OR=4.4), intake of foods rich in iron sources (p value=0.015 and OR=2.4), repeated pregnancies in a short time (p-value = 0.004 and OR = 3.1), education (p-value = 0.013), adherence to taking iron tablets (p-value = 0.000 and OR = 3.2) with the nutritional status of pregnant women. The variable most related to the nutritional status of pregnant women was adherence to taking iron tablets (OR 3.0), followed by a varied and nutritionally balanced diet (OR 2.7), repeated pregnancies in a short time (OR 2.2), and education with (OR 2.1) influence on the nutritional status of pregnant women.Conclusion: There is a relationship between the nutritional status of pregnant women based on the measurement of Hb levels. Pregnant women who do not adhere to taking iron tablets have a risk of experiencing anemia 3 times higher than pregnant women who adhere to taking iron tablets.Suggestion: to the UPTD head of the Bengkunat Health Center to create a nutritional literacy program for pregnant women, especially adherence to taking blood-boosting tablets, empowering husbands and families as supervisors for taking blood-boosting tablets and using reminders on personal cellphones to increase medication adherence, launching a fish-eating movement for pregnant women and competitions for counseling for cadres to deliver health nutrition messages on medication adherence in an effort to prevent anemia in pregnancy.Keywords: Nutritional Status; Anemia; Pregnant womenPendahuluan: Status gizi adalah salah satu faktor penentu keberhasilan pembangunan kesehatan,  WHO memprediksi 40% wanita hamil di seluruh dunia menderita Anemia, proporsi anemia di Indonesia sebesar 48,9%, di Propinsi Lampung 29,1%, di Kabupaten Pesisir Barat sebesar 21%  di UPTD Puskesmas Bengkunat sebesar 18%. Proporsi anemia pada ibu hamil di Indonesia meningkat dari 37,1% pada tahun 2013 menjadi 48,9% pada tahun 2018.Tujuan: Dianalisisnya faktor yang berhubungan dengan  status gizi ibu hamil berdasarkan pengukuran kadar Hb di wilayah kerja UPTD Puskesmas  Bengkunat  Kabupaten Pesisir Barat Tahun 2022.Metode: Jenis penelitian kuantatif dengan rancangan potong lintang, populasi 515 ibu hamil pada trimester 1 dan 2 dan sampel 225 ibu hamil dengan kriteria inklusi dan ekslusi. Sampel diambil dengan teknik kuota sampling, lalu dianalisis dengan analisis bivariate dengan chi square dan multivariate dengan regresi logistik.Hasil: Didapatkan pola makan beragam dan bergizi seimbang (p value=0,000 dan OR=4,4), asupan makanan kaya sumber zat besi (p value=0,015 dan OR=2,4), kehamilan yang berulang dalam waktu singkat (p value=0,004 dan OR=3,1), pendidikan (p value=0,013), kepatuhan minum tablet tambah darah (p value=0,000 dan OR=3,2) dengan status gizi ibu hamil.  Variabel yang paling berhubungan dengan status gizi ibu hamil adalah kepatuhan minum tablet tambah darah  (OR 3,0), disusul oleh pola makan beragam dan bergizi seimbang (OR 2,7),  Kehamilan yang berulang dalam waktu singkat (OR 2,2) dan pendidikan dengan (OR 2,1) berpengaruh pada status gizi ibu hamil. Simpulan: Terdapat hubungan status gizi ibu hamil berdasarkan pengukuran kadar Hb. Ibu hamil yang tidak patuh minum tablet tambah darah memiliki risiko mengalami anemia 3 kali lebih tinggi dibandingkan ibu hamil yang patuh minum obat tablet tambah darah.Saran: kepada kepala UPTD Puskesmas Bengkunat untuk membuat program literasi gizi ibu hamil khususnya kepatuhan minum tablet tambah darah, memberdayakan suami dan keluarga sebagai pengawas minum tablet tambah darah dan menggunakan alat bantu pengingat di ponsel pribadi untuk meningkatkan kepatuhan minum obat, mencanangkan gerakan makan ikan bagi ibu hamil dan lomba bagi penyuluhan bagi kader untuk menyampaikan pesan gizi kesehatan kepatuhan minum obat dalam upaya pencegahan anemia kehamilan. 
Peningkatan Pengetahuan Phbs Penghuni Panti Asuhan Melalui Penyuluhan Kesehatan Dengan Metode Pemutaran Video Karbito Karbito; Helina Helmy
SINAR SANG SURYA Vol 7, No 2 (2023): Agustus 2023
Publisher : UM Metro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24127/sss.v7i2.2801

Abstract

ABSTRAK  Penghuni panti asuhan merupakan salah satu kelompok masyarakat yang perlu mendapat perhatian lebih untuk mencapai derajat kesehatan baik secara individu maupun kelompok melalui pembelajaran agar terjadi peningkatan pengetahuan, sikap, dan perilaku positif bidang kesehatan. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan perilaku hidup bersih dan sehat para penghuni Panti Asuhan As-Salam yang pada akhirnya berdampak pada sikap dan perilaku positif dalam kehidupan sehari-hari. Pelaksanaan kegiatan ini dilakukan melalui penyuluhan kesehatan dengan metode pemutaran video perilaku hidup bersih dan sehat, diselingki tanya jawab, demonstrasi, dan praktik melakukan perilaku hidup bersih dan sehat. Keberhasilan kegiatan ini dengan mengukur perubahan tingkat pengetahuan saat sebelum dan sesudah diberikan penyuluhan kesehatan menggunakan metode pemutaran video. Berdasarkan hasil analisis data diketahui bahwa ada peningkatan rata-rata skor pengetahuan sebelum dan sesudah dilakukan penyuluhan kesehatan sebesar 12,63 dari 82,11 menjadi 94,74 dan secara statistik peningkatan tersebut signifikan (p-value=0,021). Simpulkan bahwa kegiatan pengabdian kepada masyarakat di Panti As-Salam melalui penyuluhan kesehatan dengan metode pemutaran video berhasil meningkatan pengetahuan PHBS penghuni panti asuhan. Untuk memantau dan membina PHBS para penghuni panti asuhan diperlukan kegiatan sejenis dengan topik dan materi berbeda yang dilakukan secara berkala dan terus menerus. Kata kunci: PHBS, Penyuluhan Kesehatan, Panti AsuhanABSTRACT Orphanage residents are a group of people who require additional care in order to obtain health degrees both individually and in groups through learning, resulting in a growth in knowledge, attitudes, and positive conduct in the health sector. This community service project intends to strengthen the residents of the As-Salam Orphanage's awareness of clean and healthy living behaviors, which will have an impact on positive attitudes and conduct in everyday life. This activity is implemented through health counseling, which includes watching films of clean and healthy living activities interspersed with questions and answers, demonstrations, and practicing clean and healthy living behaviors. The success of this exercise was determined by comparing changes in knowledge before and after receiving health education via video playback. According to the data analysis results, there was a 12.63 rise in the average knowledge score before and after health education, from 82.11 to 94.74, and the increase was statistically significant (p-value = 0.021). Conclude that community service activities at the As-Salam Orphanage through health education utilizing the video playback approach were successful in enhancing orphanage residents' PHBS awareness. Similar activities with varied subjects and materials that are carried out on a regular and ongoing basis are required to monitor and foster PHBS for orphanage inhabitants.Keywords: PHBS, Health Counseling, Orphanage
Prevalensi dan Faktor Risiko Infeksi TB Laten pada Anggota Keluarga Kontak Serumah dengan Pasien TB Aktif Karbito Karbito; Siti Maisaroh
Jurnal Kesehatan Lingkungan Indonesia Vol 22, No 3 (2023): Oktober 2023
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.22.3.351-358

Abstract

Latar belakang : Menurut WHO, seperempat penduduk dunia telah terinfeksi Mycobacterium tuberculosis (M.tb), 10% akan berkembang menjadi TB aktif, dan 90% dalam bentuk infeksi TB laten. Sekitar 5-10% infeksi TB laten akan berkembang menjadi TB aktif. Anggota keluarga kontak serumah mempunyai risiko tinggi terjadi infeksi TB laten. Penelitian ini bertujuan mengetahui prevalensi dan menganalisis faktor risiko infeksi TB laten pada anggota keluarga kontak serumah pasien TB aktif.Metode : Menggunakan desain cross sectional melalui pelacakan anggota keluarga kontak serumah pasien TB aktif. Sebanyak 138 dari 241 anggota keluarga kontak serumah 112 indeks kasus TB aktif yang tercatat di Puskesmas Kedungmundu mengikuti Tuberculin Skin Test (TST) menggunakan 2 Tuberculin Unit (TU) Purified Protein Derivative (PPD) 0,1 ml. Faktor risiko infeksi TB laten dikumpulkan saat melakukan kunjungan rumah. Data dianalisis menggunakan uji chi-square dan regresi logistik ganda. Hasil : Sebanyak 63,8% anggota keluarga kontak serumah mengalami infeksi TB laten. Secara simultan, variabel yang signifikan terkait dengan infeksi TB laten yaitu jenis pekerjaan (p=0,024) - buruh/petani/nelayan (p=0,007; aOR=7,04; 95%CI=1,70–29,02), pedagang/wirausaha (p=0,021; aOR=4,29; 95%CI=1,25–14,76), karyawan/ASN/TNI/POLRI (p=0,009; aOR=4,55; 95%CI=1,46–14,15), pelajar/mahasiswa (p=0,014; aOR=5,27; 95%CI=1,40–19,83) dibandingkan ibu rumah tangga (IRT)/tidak bekerja, lama kontak (p=0,016; aOR=4,70; 95%CI=1,33–16,66) dan kepadatan kamar tidur (p<0,001; aOR=5,33; 95%CI=2,24–12,71).Simpulan : Prevalensi infeksi TB laten pada anggota keluarga kontak serumah pasien TB aktif cukup tinggi. Jenis pekerjaan merupakan variabel paling dominan secara signifikan terkait risiko terjadinya infeksi TB laten pada anggota keluarga kontak serumah pasien TB aktif setelah dikontrol variabel kepadatan kamar tidur dan lama kontak. ABSTRACTTitle: Prevalence and Risk Factors for Latent TB Infection in Family Members Who Live in Contact With Active TB PatientsBackground: According to WHO, a quarter of the world's population has been infected with Mycobacterium tuberculosis (M.tb), 10% will develop into active TB, and 90% in the form of latent TB infection. Approximately 5-10% of latent TB infections will develop into active TB. Household contact family members have a high risk of developing latent TB infection. This study aims to determine the prevalence and analyze the risk factors for latent TB infection in family members who live in contact with active TB patients.Methods: Using a cross-sectional design through tracing family members of active TB patients' household contacts. As many as 138 out of 241 family members who lived with 112 index active TB cases recorded at the Kedungmundu Health Center took the Tuberculin Skin Test (TST) using 2 Tuberculin Units (TU) Purified Protein Derivative (PPD) 0.1 ml. Risk factors for latent TB infection were collected during home visits. Data were analyzed using the chi-square test and multiple logistic regression.Results: As many as 63.8% of household contact family members had latent TB infection. Simultaneously, significant variables related to latent TB infection were occupation (p=0.024) - labourers/farmers/fishermen (p=0.007; aOR=7.04; 95% CI=1.70–29.02), traders / entrepreneur (p=0.021; aOR=4.29; 95%CI=1.25–14.76), employee/ASN/TNI/POLRI (p=0.009; aOR=4.55; 95%CI=1, 46–14.15), student/student (p=0.014; aOR=5.27; 95% CI=1.40–19.83) compared to housewives (IRT)/not working, length of contact (p=0.016 ; aOR=4.70; 95%CI=1.33–16.66) and bedroom density (p<0.001; aOR=5.33; 95%CI=2.24–12.71).Conclusion: The prevalence of latent TB infection in family members of household contacts of active TB patients is quite high. Type of work is the most dominant variable that is significantly related to the risk of latent TB infection in family members who live in contact with active TB patients after controlling for bedroom density and length of contact.
Co-Authors Atikah Adyas Dewi Rahayu Dhiny Easter Yanti Eka Augesleni Eka Trismiana Helina Helmy Hermawan, Dessy Siti Maisaroh Siti Mardiyanti Wayan Aryawati Yusuf Firmansyah Zaenal Abidin