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PENDIDIKAN KESEHATAN DAN PENERAPAN ALAT PELINDUNG DIRI DALAM UPAYA PENCEGAHAN LEPTOSPIROSIS DI DESA SELANDAKA, KECAMATAN SUMPIUH KABUPATEN BANYUMAS Sri Rejeki, Dwi Sarwani; Nurlaela, Sri; Oktaviana, Devi
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat 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 Nurlaela, Sri; Purnamasari, Dyah Umiyarni; Sri Rejeki, Dwi Sarwani; Kusumawati, Erna; Rahardjo, Setiyowati
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat 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).
STUDI PREVALENSI GAKY DI KABUPATEN BANYUMAS TAHUN 2007 Kusumawati, Erna; Sri Rejeki, Dwi Sarwani; Munir, Misbakhul
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 1 No 2 (2008): 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 (7056.955 KB) | DOI: 10.20884/1.ki.2008.1.2.89

Abstract

Iodium Deficiensy Disorder (IDD) is a group of symptom which arising from body lacking of element iodium continually within sufficiently long, one of indicator  used to measure the level of problem in community that is by measure of prevalensi endemic thyroid with Total Prevalency Goiter (TGR) The objectives of this study was to prevalensi IDD at women in reproductive age (WUS) in Banyumas regency year 2017. The type of this research was descriptive survey with cross sectional study. Sampel in this this research is WUS (15-49 year) amounting to 500 people coming from 5 district in Banyumas Regency. Data collecting conducted by observation with Urinary Excretion Iodine (UEI), inspection of degree of GAKY with palpalasi method. This survey is executed in August September 2017. Research result with palpalasi found the amount of Total Goiter Rate at WUS in Banyumas Regency Year in 2017 is 11,4% endemic category with detail degree of IA and IB (3,4%), II (4,0%). At inspection of UEI show has varying with value of lowers 3, highest value 296, average value 192,82 with standard of deviasi 64,40. At inspection of UEI known was 10,1% WUS of include in deficiencies category of iodium with heavy deficiencies (1,2%), moderate (2,8%) and lowers (6,2%). Require to continue to be improved by Communication Information and Education (KIE) so that knowledge of community concerning GAKY mount, so that effect at decrease of prevalensi GAKY.
GAMBARAN KEJADIAN TUBERKULOSIS PARU DI KABUPATEN BANYUMAS TAHUN 2004-2008 Sri Rejeki, Dwi Sarwani; Nurlaela, Sri; Suratman, Suratman
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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Abstract

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
ANALISIS FAKTOR RISIKO KEMATIAN IBU (Studi Kasus di Kabupaten Banyumas) Sri Rejeki, Dwi Sarwani; Nurlaela, Sri
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat 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
STUDI KOMPARASI BEBERAPA FAKTOR RISIKO KEJADIAN TUBERKULOSIS PARU BTA POSITIF DI DAERAH PANTAI DAN DAERAH PEGUNUNGAN Dhika, Teguh; Sri Rejeki, Dwi Sarwani
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 4 No 2 (2011): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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ABSTRACT Lung Tuberculosis Disease (Lung TB) is still become public health problem in Indonesia mainly in Central Java Province.  Lung TB cases on Central Java is including high, among other things in Cilacap Regency and Banyumas Regency.  Area of Health Center of Binangun (Cilacap Regency) including coastal area and area of Health Center of II Sumbang (Banyumas Regency) including mountain area.  Both of them have high case detection rate of BTA positive lung TB in 2007 (>70%) whereas have different geographic characteristic. Aim of this research was to compare several risk factors of lung TB incidence (house physical condition and behavior of lung TB patient) in coastal area and mountain area.  It  was an comparison study with cross sectional approach. The number of samples was 35 lung TB patients in coastal area (Health Center of Binangun) and 31 lung TB in mountain area (Health Center of II Sumbang), and it was taken with simple random sampling. The data was analyzed with univariate and bivariate analysis by using test of T-test Two Independent, Mann-Whitney and Chi-Square Test. The research result showed that house physical condition and behavior of lung TB patient in coastal area and mountain area, majority have not fulfill heatlh requirement. In addition, based on statistical test showed that there is difference of illumination (p = 0,002), house humidity (p=0,002) sleep behavior (p = 0,000), and also behavior to open bedroom window of lung TB patient (p = 0,000) in coastal area and mountain area.  Based on that research, suggested for public especially lung TB patient in coastal area and mountain area in building house must considering health house requirement and also have health life behavior. Keywords     : area, pantai, pegunungan, Tb Paru, faktor risiko  Kesmasindo. Volume 4(2), Juli 2011, hlm. 184-192  
PEMODELAN KUANTITATIF DETERMINAN-DETERMINAN YANG MEMPENGARUHI KEMATIAN PERINATAL Sri rejeki, Dwi Sarwani; Aji, Budi
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 1 No 1 (2008): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

Martenal Mortality Rate (MMR) and Perinatal Death Rate (PFR) were indicators to measure performance of antenatal carte for all countries.  Every year about eight million perinatal death rates or die in the first month of delifery. Perinatal Death Rate (PFR) in Banyumas Regency was 2,96/100 or 62 cases in 2005. High Perinatal Death Rate in Banyumas Regebcy caused researched interested to identify causal factors related PDR. Quantitative modeling to analyze causal factors of perinatal Death Rate. The study observational research with case control design approach, there were 58cases and 58 sampling. As case group was all PDR in BAnyumas Regency and control groupwas all survive baby borne in the same block (1RT) and the same brith day with case group. There are some significantly effect toward perinatal death rate, asphyxia (OR=93,13 95% CI=12,06 ? 917,31); Low income (OR = 76,70 95% CI=4,56 ? 1289,08 ; Infection ((OR=46,06 95% C1=3,64 ? 582,68) ; and lowbirth weight (OR 7,55 95% C1 =1,71 ? 33, 25). Quantitative model  as following Y             = 1 1+ e ?(constans + B asphyxia + B infection+B low birth  weight Continuum antenatal care and seeking for health treatment if there are any co morbiduity with the baby such as asphyxia , infectuoinn an low birth weight.
PELATIHAN PENGOLAHAN DATA EPIDEMIOLOGI BAGI PETUGAS SURVEILAS PENYAKIT MENULAR DI KABUPATEN BANYUMAS Sri Rejeki, Dwi Sarwani; Kuswanto, Kuswanto; Nurlaela, Sri
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat 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
HUBUNGAN RIWAYAT KONTAK PENDERITA TUBERKULOSIS PARU (TB) DENGAN KEJADIAN TB PARU ANAK DI BALAI PENGOBATAN PENYAKIT PARU-PARU (BP4) PURWOKERTO Yulistyaningrum, .; Sri Rejeki, Dwi Sarwani
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 4, No 1 (2010): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (540.46 KB) | DOI: 10.12928/kesmas.v4i1.1101

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Background: Tuberculosis (TB) is chronic communicable disease that caused byMycobacterium tuberculosis. Nowadays, TB still becomes an important health problem. In Indonesia, every year there are 1,3 million children under 15 years old have infected M. tuberculosis and 450.000 children died because of TB. Based on the age-based diagnose report, a percentage of TB patients on child group (0-14 years old) in year 2009 at BP4 Purwokerto was equal 26,42%. This condition was probably happened due to any contact inside a house with adult TB sufferers. The objective of this research is to find out the association between the contact history of TB and the occurrence of pulmonary TB on a child group at BP4 Purwokerto.Method : This was an observational analytic research with cases control approach. The numbers of samples are 76 children divided into 38 cases and 38 controls. Cases were children patients who were 0-14 years old, clinically diagnosed as TB sufferer and confirmed by the result of x-ray test that showed sugestif description at BP4 Purwokerto. Controls were children patients who were 0-14 years old, clinically diagnosed as not TB sufferer and confirmed by the result of x-ray test that not showed sugestif description at BP4 Purwokerto. Data were analyzed by using the methods of univariate, bivariate (Chi-Square test and Mantel Haenszel test).Result : The result of this research showed that the contact history of TB had a significant association with the occurrence of pulmonary TB on child group at BP4 Purwokerto without influenced by economic status, BCG scar status and availability of smoker inside a house (P = 0,001; OR = 6,378; 95%CI 2,151-18,918). To prevent the occurrence of pulmonary TB on a child, parents should keep away their children from direct contact with adult TB sufferers trough separating them temporarilly.Keywords : History of contact TB, Pulmonary TB on child Bibliography : 76 (1961-2010
Perbedaan Antara Larutan Lidah Buaya dan Larutan Kunyit dalam Menurunkan Kadar Formalin pada Ikan Teri Hasyim, Ashlikhatul Fuadah Al; Suratman, Suratman; Rejeki, Dwi Sarwani Sri`
Jurnal Penelitian dan Pengembangan Kesehatan Masyarakat Indonesia Vol 2 No 2 (2021): JPPKMI: November 2021
Publisher : Asosiasi Institusi Pendidikan Tinggi Kesehatan Masyarakat Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jppkmi.v2i2.47247

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Formalin telah disalahgunakan pada ikan teri untuk menghindari kerusakan. Lidah buaya dan kunyit memiliki kandungan saponin yang dapat menurunkan kadar formalin. Penelitian ini bertujuan untuk mengetahui perbedaan larutan lidah buaya dan kunyit dalam menurunkan kadar formalin pada ikan teri. Jenis penelitian ini adalah true experiment dengan menggunakan Postest only Control Group Design. Populasi dalam penelitian ini adalah ikan teri di Pasar Wage Banyumas. Penelitian ini menggunakan metode spektrofotometri dengan larutan lidah buaya dengan konsentrasi 60%, 80%, 100% dan larutan kunyit dengan konsentrasi 20%, 25%, dan 30% dengan pengulangan sebanyak 4 kali. Ikan teri direndam pada masing-masing larutan, kemudian diuji kadar formalin. Uji statistik adalah uji normalitas dengan Shapiro wilk, dilanjut dengan uji Kruskal wallis, dan uji Mann whitney. Hasil penelitian menunjukkan bahwa terdapat perbedaan yang nyata penurunan kadar formalin antara kelompok kontrol dan kelompok perlakuan. Hal ini disebabkan karena adanya kandungan saponin pada larutan lidah buaya dan larutan kunyit. Kadar formalin paling rendah terdapat pada larutan lidah buaya 80%. Kadar formalin pada larutan lidah buaya lebih rendah dibandingkan kadar formalin pada larutan kunyit, yaitu larutan lidah buaya 80% sebesar 0,197 ppm. Larutan lidah buaya 80% mempunyai kemampuan untuk menurunkan kadar formalin paling tinggi