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PENDIDIKAN KESEHATAN DAN PENERAPAN ALAT PELINDUNG DIRI DALAM UPAYA PENCEGAHAN LEPTOSPIROSIS DI DESA SELANDAKA, KECAMATAN SUMPIUH KABUPATEN BANYUMAS Dwi Sarwani Sri Rejeki; Sri Nurlaela; Devi Oktaviana
Kesmas Indonesia Vol 7 No 2 (2015): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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ABSTRACTIndonesia is an endemic country to the Leptospirosis. It is known that Banyumas regency is attacked by leptospirosis for the first time since several years ago. These two years show that the incidents are increasing and it needs an action so it can be well treated and the extraordinary case will not happen. The research shows that Leptospirosis happens in the area closed to the rice field and river. Selandaka village was the highest number of incident in 2010-2013 (38.5%) Banyumas regency. Most of the villagers are farmers or labor for the farmer (90%). These jobs have more changes to suffer from Leptospirosis. Most of the sufferers are male (76.9%) and at the age of 22 years. It is caused by their habit not to use Personal Protective Equipment (PPE). The research was aimed to improve the awareness of PPE to farmers. It was done through the counseling, training, companionship, and installation of information board. The counseling was done at 30 Mei 2014 and the training was at 4 June 2014. The research showed that the average knowledge before the counseling was 14.80 and improved to be 18.04 or 21.83%. The average score to the attitude before the treatment was 31.00 and improved to be 32.61 or 5.2%. The companionship found that the improvement of obedience level to PPE installation. In the 4 companionship, it showed that the obedience of the farmers was 100% to the use of boot shoes, 85% to the use of gloves and those farmers were sometimes used 15%. It was expected that the farmers who joined the activities could promote the information about leptospirosis as well as the prevention to other farmers.Keywords: Leptospirosis, Personal Protective Equipment, farmers Kesmasindo, Volume 7( 2) Januari 2015, Hal. 118-131

PENGARUH BCG SCAR TERHADAP HASIL UJ TUBERKULIN ANAK SEKOLAH DASAR (SD) KELAS I-IV (8-13 TAHUN) DI KABUPATEN CILACAP TAHUN 2008 Sri Nurlaela; Dyah Umiyarni Purnamasari; Dwi Sarwani Sri Rejeki; Erna Kusumawati; Setiyowati Rahardjo
Kesmas Indonesia Vol 2 No 1 (2009): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Objective research to explore the influence of BCG scar for results of tuberculin test after controlled by covariat variable e.g childrens’s characteristic (age, gender), parents’s characteristic (parents’s education, parents’s occupation) and household size. Method using a case control study held in primary school children attending class I-IV (8-13 years age) in Cilacap district from September–Desember 2008. Sample divided in two group, there are 109 case and 109 control. School children who had result of tuberculin test ≥ 10 mm, respectively, were considered as a case. Control were school children who have result of tuberculin test 0-9 mm, selected by proporsional random sampling. Informations about children’s result of tuberculin test were obtained from secondary datas of tuberculin survey which held on center of Java. Primary datas obtained by interviewing with school children. Result logistic regression demonstrated influence of BCG scar for result pf tuberculin test showed result OR = 0.432, p value = 0,409, it means childrens who had BCG scar had a risk for positive tuberculin 0.432 greater than childrens who had not BCG scar. Based on result, age was confounding variable for influence of BCG scar for results of tuberculin test (OR = 0.434, nilai p = 0.003).

GAMBARAN KEJADIAN TUBERKULOSIS PARU DI KABUPATEN BANYUMAS TAHUN 2004-2008 Dwi Sarwani Sri Rejeki; Sri Nurlaela; Suratman Suratman
Kesmas Indonesia Vol 3 No 2 (2010): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Indonesia places the third rank regarding tuberculosis cases in the world after India and China. Based on the result of a prevalence survey of Lung Tuberculosis in 2004, a national average prevalence rate of tuberculosis was 0.107%. Data of tuberculosis cases per 10.000 at Banyumas District Health Office from year 2003 until year 2005 consecutively were 1.1 in 2003, 3.7 in 2004, and 3.9 in 2005. Therefore, there needs to make a trend of a tuberculosis occurrence in order to improve the tuberclosis intervention program based on the real database. The objective of this research was to describe the occurrence of tuberculosis in Banyumas District from year until year 2008. Secondary data were obtained from Banyumas District Health Office. The result of this research showed that a number of clinical tuberculosis case in Banyumas District from year 2004 until year 2008 decreased, number of positive BTA cases increased, all cases of positive BTA had been treated, and part of cases had not been healed yet. The tuberculosis case in Banyumas District was an important health problem from year 2004 until year 2008. This condition was proved by data regarding positive BTA tuberculosis as a source of a transmission. The average of Case Detection Rate in Banyumas District was about 40-50% that was lower than the average of National Case Detection Rate (70%). Otherwise, Cure Rate was good enough (85%). As a suggestion, Head of Banyumas District Health Office and Health Centers should find a tuberculosis case both actively and passively and should increase cure rate through monitoring a behavior of drinking medicine on sufferers’ group

PELATIHAN PENGOLAHAN DATA EPIDEMIOLOGI BAGI PETUGAS SURVEILAS PENYAKIT MENULAR DI KABUPATEN BANYUMAS Dwi Sarwani Sri Rejeki; Kuswanto Kuswanto; Sri Nurlaela
Kesmas Indonesia Vol 6 No 3 (2014): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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ABSTRACT Most of Surveillance staffs were juggle for their jobs in Public Health Center (Puskesmas) on the area of Banyumas regency. However, it is the role of surveillance staffs in analyzing the data that will be used in Public Health Center or ministry of health. Regarding to the variety of education background to the Surveillance staffs in Banyumas, it effects to the different skill in analyzing the data in contagious diseases. Analyzing the data is very crucial area to be mastered by the surveillance staff since it will yield the information for taking the decision. The aim of this research was to improve the skill of surveillance staffs in analyzing and presenting the data in Public Health Center Distric Banyumas. The researcher conducted the training in a day at July 4th, 2013 in Biostatistics Laboratory, Public Health Department. 34 participants were joined in this training. Based on the training, there was an improvement 4.92% of knowledge and 136% skill in analyzing the data. Then it is suggested to the participant to implement the knowledge and skill that they obtained in the training, so it can yield accurate information and policy. Keywords: training, surveillance, staffs. Kesmasindo, Volume 6, (3) Januari 2014, Hal. 223-231

FAKTOR-FAKTOR YANG MEMPENGARUHI PERILAKU MASYARAKAT TERHADAP PENCEGAHAN COVID-19 DI DESA PARANGTRITIS KECAMATAN KRETEK KABUPATEN BANTUL YOGYAKARTA Siska Nur Aisyah Rohman; Dwi Sarwani Sri Rejeki; Sri Nurlaela
Kesmas Indonesia Vol 13 No 2 (2021): 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 | DOI: 10.20884/1.ki.2021.13.2.4112

Background: COVID-19 is highly contagious and pathogenic. Parangtritis village is a tourist village with high mobility and has fluctuating cases. Preventive behavior should be carried out by the community to reduce existing cases, because currently no specific drugs have been found to treat. The research was conducted with the aim of finding out the factors that affect the COVID-19 prevention behavior of parangtritis villagers. Method: Analytical research, cross sectional approach. The population of Parangtritis village is 5729 people. 396 samples with accidental sampling. The variables studied were gender, age, education, exposure to sources of information, knowledge and attitudes. Data collection using questionnaires through google form. Data is analyzed into univariate, bivariate, and multivariate. Result: Most of them are female (62.1%). Dominant age in the range of 15-29 years (88.1%). Secondary education level (47.7%). Covid-19 prevention resources came from social media (internet) (67.2%), with good category (71%). Good knowledge (94.4%). Good attitude (55.6%). Good behavior (72.2%). The factors that most influence COVID-19 prevention behavior are exposure to information sources (p-value= 0.000; POR= 11,622; CI= 6,755-19,994) and attitude (p-value= 0.000; POR= 2,725; CI= 1,596-4,652). Conclusion: There is sex, age, education, exposure to information sources, knowledge and attitudes towards COVID-19 prevention behavior. Exposure to sources of information and attitudes is the most influential factor. Keywords: COVID-19; Community; Preventive behavior.

ANALISIS FAKTOR RISIKO KEMATIAN IBU (Studi Kasus di Kabupaten Banyumas) Dwi Sarwani Sri Rejeki; Sri Nurlaela
Kesmas Indonesia Vol 6 No 1 (2013): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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ABSTRACT Maternal Mortality Rate (MMR) is an indicator used to measure health developmen index, people’s prosperity or quality of life. Morbidity and mortality in women’s pregnancy and gavebirth was serious problem in developing country include Indonesia. MMR in Banyumas district was still high, in 2008 was 98,03 per 100.000 live births.The objective of this study was to indentify risk factors which influence with MMR.The type of this research was observational research with case-control design approach. There were 51 cases and 51 control sampling. As case group were maternal death in Banyumas district and control group was all mother live in pregnancy, gavebirth and postpartum and neigbour with case group. There are some significant risk factors that prove related with maternal death based on bivariat analysis: obstetrics complication, preexisting of disease, preexisting givebirth, mother ages, parity, interval time between childbirth, antenatal care, birth helper, mother’s education, mother’s work and family income. The result of multivariate analysis was complication obstetrics (OR= 31,9; 95% CI= 4,4 – 188,9; p= 0,000), preexiting of disease (OR= 25,4; 95% CI=3,2 – 176,1; p=0,001) and preexiting givebirth (OR=13,1; 95% CI=3,8 – 147,2 p=0,001). Mother who are in pregnancy should do antenal care if they get obstetric complication and the disease can be detected as soon as posible, therefore it can be overcomed by medical threatment and counseling if theirs complain. Key word : risk factors, maternal death Kesmasindo, Volume 6, ( 1 ) Januari 2013, Hal. 1-11

FAKTOR PREDIKSI HASIL UJI TUBERKULIN POSITIF ANAK SD DI KABUPATEN CILACAP TAHUN 2008 Sri Nurlaela; Dyah Umiyarni Purnamasari; Erna Kusumawati; Dwi Sarwani Sri Rejeki; Setiyowati Rahardjo
Kesmas Indonesia Vol 3 No 2 (2010): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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TB of children in community show of TB case's proportion which will occur in the future.Besides, TB of children 's distribution could be the indicator of the ongoing transmission of TB in the community. This study conducted to explore the prediction factor of positive tuberculin tedt which were children's characteristic (age, gender), parent's characteristic (parent's education ,parent's occupation) and household size. A case control study held in primary school children attending class I-IV (8-13 years age) in Kabupaten Cilacap from September - Desember 2008. Sample divided in two group, there are 109 case 109 control. School children two had result of tuberculin test ≥ 10 mm, respectively, were considered as a case. Control were school children who have result of tuberculin test 0-9 mm, selected by proportional random sampling. Informations about children's results of tuberculin test were obtained from secondary data of tuberculin data survey which held on center Java. Primary data obtained by interviewing of school children. Logistic regression demonsrtated prediction factors of positive tuberculin test were BCG scar (p value = 0,049, OR= 0,432, 95% CI = 0,250-0,753) and age (p value= 0,003, OR= 0,434, 95% CI= 0,187 - 0,996).

BEBERAPA FAKTOR YANG MEMPENGARUHI KEJADIAN KANKER SERVIK DI RSUD PROF. DR. MARGONO SOEKARJO PURWOKERTO Nurwathon Aulia; Sri Nurlaela; Dyah Retnani Basuki
Kesmas Indonesia Vol 2 No 2 (2009): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Cerviks cancer is a cancer that attack cerviks of the uterus, an area in woman reproduction organ that is an entrance through the uterus, place between uterus and vagina. Data from RSUD Prof. Dr.Margono Soekarjo, Purwokerto showed that there was an increasing number in cerviks cancer case. The purpose of this research was to know the risk factors that influence cerviks cancer case in RSUD Prof. Dr. Margono Soekarjo, Purwokerto. This research used of observational with case control study approach. Case group was all patients diagnosed cerviks cancer from June until November 2008 in RSUD Prof, Dr. Margono Soekarjo, Purwokerto and the control group was the patient who did pap smear check up from June until November 2008 in RSUD Prof. Dr. Margono Soekarjo, Purwokerto but the result wasn’t cerviks cancer. The number of populations were 64 people with 32 cases and 32 control. Variable researched consisted of education, marriage age, parity and oral contraception. Data analysis used was univarial, bivariat with chi square and multivariat with double logistic regression. The result of this research showed factors related with cerviks cancer case were education (p=0,00; OR=7,89; CI 95%=2,40-25,85), marriage age (p=0,00; OR=6,33; CI 95%=2,03-19,68) and parity (p=0,00; OR=11,66; CI 95%=2,37-57,36). The most influence factor in cerviks cancer case was parity. According to that result, it is suggested to the people to control the number of kids (less than 4 children) by using family planning programme that’s proper to each individual and delay the marriage age.

Pemetaan dan Analisis Faktor Risiko Leptospirosis Dwi Sarwani Sri Rejeki; Sri Nurlaela; Devi Octaviana
Jurnal Kesehatan Masyarakat Nasional Vol. 8 No. 4 November 2013
Publisher : Faculty of Public Health Universitas Indonesia

Sampai dengan tahun 2013 dilaporkan ada 13 kasus leptospirosis di Kabupaten Banyumas.Terjadinya peningkatan kasus selama dua tahun terakhir perlu mendapat perhatian dari berbagai pihak agar kasus leptospirosis bisa segera ditangani. Tujuan penelitian ini adalah memetakan kasus leptospirosis dan menganalisis faktor risiko lingkungan dan perilaku yang memengaruhi leptospirosis. Penelitian ini menggunakan desain studi observasional kasus kontrol. Pengumpulan data dilakukan dengan wawancara, observasi, dan pengukuran. Analisis data menggunakan analisis spasial, analisis univariat, dan bivariat. Kasus adalah penderita leptospirosis berjumlah 13 orang dan kontrol adalah tetangga kasus yang tidak menderita leptospirosis berjumlah 52 orang. Hasil pemetaan menunjukkan kasus leptospirosis di Kabupaten Banyumas termasuk daerah aliran sungai dengan radius 600 meter ke sungai; seluruh kasus dekat dengan sawah (jarak < 1 km); sebagian besar memiliki vegetasi ³ 3 jenis dan berada di daerah dengan curah hujan tinggi. Faktor lingkungan yang terbukti berhubungan dengan leptospirosis adalah kondisi jalan yang buruk sekitar rumah (OR = 4,90; CI 95% = 1,35 - 17,10). Faktor perilaku yang berhubungan dengan leptospirosis adalah kebiasaan mandi/mencuci di sungai (OR = 4,35; 95% CI = 1,21 - 15,60), riwayat peran serta dalam kegiatan sosial yang beresiko (OR = 12,00; 95% CI = 1,45 - 99,09) dan penggunaan alat pelindung diri (OR = 7,50; 95% CI = 1,00 - 62,18).There were 13 Leptospirosis cases in Banyumas in 2013. The increasing incidents in last 2 years should get an attention from all institutions. The study conducted was to map incidence of leptospirosis and analyze the environmental and behavior risk factors which associated leptospirosis case. This research was observational by case-control approach. The data was collected through interviews, observation and test. For analyzing the data, the researcher applied spatial analysis, univariate, and bivariate analysis. It was 13 leptospirosis cases and 52 people as the controls; they are the neighbors who are free from leptospirosis.The mapping showed that leptospirosis cases in Banyumas were along the riverin 600 meters radius, all cases with the distance of 0 - 1 km into the rice field, had vegetation 3 species and those were in areas with high rainfall intensity. Environmental risk factor associated with leptospirosis was a bad road conditions around the house (OR = 4,90; CI 95% = 1,35 - 17,10). Behavior risk factors werethe bathing/washing habit in the river (OR = 4,35; 95% CI = 1,21 - 15,60, a history of participation in social activities (OR = 12,00; 95% CI = 1,45 - 99,09)and the use of personal protective equipment (OR = 7,50; 95% CI = 1,00 - 62,18).

FAKTOR-FAKTOR YANG MEMPENGARUHI PERILAKU MASYARAKAT TERHADAP PENCEGAHAN COVID-19 DI DESA PARANGTRITIS KECAMATAN KRETEK KABUPATEN BANTUL YOGYAKARTA Siska Nur Aisyah Rohman; Dwi Sarwani Sri Rejeki; Sri Nurlaela
Kesmas Indonesia Vol 13 No 2 (2021): 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 | DOI: 10.20884/1.ki.2021.13.2.4112

Background: COVID-19 is highly contagious and pathogenic. Parangtritis village is a tourist village with high mobility and has fluctuating cases. Preventive behavior should be carried out by the community to reduce existing cases, because currently no specific drugs have been found to treat. The research was conducted with the aim of finding out the factors that affect the COVID-19 prevention behavior of parangtritis villagers. Method: Analytical research, cross sectional approach. The population of Parangtritis village is 5729 people. 396 samples with accidental sampling. The variables studied were gender, age, education, exposure to sources of information, knowledge and attitudes. Data collection using questionnaires through google form. Data is analyzed into univariate, bivariate, and multivariate. Result: Most of them are female (62.1%). Dominant age in the range of 15-29 years (88.1%). Secondary education level (47.7%). Covid-19 prevention resources came from social media (internet) (67.2%), with good category (71%). Good knowledge (94.4%). Good attitude (55.6%). Good behavior (72.2%). The factors that most influence COVID-19 prevention behavior are exposure to information sources (p-value= 0.000; POR= 11,622; CI= 6,755-19,994) and attitude (p-value= 0.000; POR= 2,725; CI= 1,596-4,652). Conclusion: There is sex, age, education, exposure to information sources, knowledge and attitudes towards COVID-19 prevention behavior. Exposure to sources of information and attitudes is the most influential factor. Keywords: COVID-19; Community; Preventive behavior.

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