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Dukungan Informasi bagi Ibu-ibu Menyusui dalam Memberikan ASI Eksklusif di Kecamatan Gondokusuman Kota Yogyakarta wibowo, marsiana
Jurnal Kesehatan Masyarakat Vol 11, No 2 (2016): JURNAL KESEHATAN MASYARAKAT (KEMAS) JANUARY 2016
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v11i2.3694

AbstractBreast milk is the first and the best choice of food for infants in early life. Various efforts have been taken by the government of Indonesia to encourage mothers to breastfeed their children exclusively. However, exclusive breastfeeding outcomes in most areas are still low. Yogyakarta is one of those areas, especially in the Gondokusuman Subdistrict with breastfeeding outcome only 23.2%. The outcome should be 80% according to the target in the Minimum Service Standards of Health. The succes of 23.2% breastfeeding mothers to breast feed exclusevely because of the support that receive by them, one is the informational support.The purpose of this study was to determine what kind of informational support to breast feed exclusively which is received by nursing mothers in the Gondokusuman Subdistrict. The type of research is qualitative with a phenomenological approach. In depth interviews and focus group discussion (FGD) are used for data collection techniques. Depth interviews were conducted to mothers who exclusively breastfed, mothers who did not exclusively breastfeed, the husband of nursing mothers, and health care workers. Investigation of the trustworthiness of the study using triangulation of methods and sources. Thematic Content Analysis is used for data analysis. These results indicate that informational support is very important for pregnant and nursing mothers to be able to provide exclusive breastfeeding to their babies. Informational support in the form of support from health workers and significant others, the support of health care and UKBM (Community Based Health Unit), availability of health promotion media, completeness of information, easier access of information for nursing mothers. Information gleaned from significant others or people who are influential for nursing mothers have a more important role, because of the closer emotional factor. Therefore, nursing mothers need to build a positive environment in order to obtain sufficient information for the success of exclusive breastfeeding.Keyword : Exclusive breastfeeding, Informational support, Phenomenological

PELATIHAN PERANCANGAN MEDIA PROMOSI KESEHATAN KEPADA ANGKATAN MUDA MUHAMMADIYAH KOTA YOGYAKARTA Mudayana, Ahmad Ahid; Wibowo, Marsiana; Gustina, Erni
Jurnal Pemberdayaan: Publikasi Hasil Pengabdian Kepada Masyarakat Vol 1, No 2 (2017)
Publisher : Universitas Ahmad Dahlan, Yogyakarta

Perkembangan informasi sangat pesat di era digital sekarang ini. Pemanfaatan NewMedia, yaitu digital media yang berbasis internet sebagai sumber informasi sangat tinggi.Keakuratan dan kelayanan publikasi informasi terkadang dipertanyakan khalayak.Intensitas tertinggi pengakses media ini adalah remaja. Remaja merupakan masa yangdilalui individu dan pada periode tersebut keinginan untuk eksplorasi wawasan sangattinggi. Informasi kesehatan akan sangat mudah didapatkan melalui digital media. Remajabisa tidak hanya berperan sebagai komunikan dari digital media, namun juga bisa sebagaikomunikator informasi kesehatan bagi sesamanya. Tanpa meninggalkan Old Media, NewMedia merupakan media yang dipilih sekarang ini. Perancangan old media seperti artikel,poster, leaflet bisa dimasukkan ke New Media yang mereka pilih, seperti melalui Blog.

PELATIHAN PERANCANGAN MEDIA PROMOSI KESEHATAN KEPADA SISWA SMA MUHAMMADIYAH DI WILAYAH KABUPATEN KEBUMEN Mudayana, Ahmad Ahid; Wiboeo, Marsiana; Gusnita, Erni
Jurnal Pemberdayaan: Publikasi Hasil Pengabdian Kepada Masyarakat Vol 1, No 2 (2017)
Publisher : Universitas Ahmad Dahlan, Yogyakarta

Media informasi dan teknologi menjadi komoditas utama dalam interaksi antar manusia, Media informasi dan teknologi ini tidak lepas dari dampak positif dan negatifnya, tergantung dari kesesuaian penggunaan masing-masing individu. Setiap orang bisa menyebarluaskan menyebarluaskan informasi yang akurat. Namun demikian, dalam menyebar luaskan informasi dengan media harus mempertimbangkan beberapa tahapan perancangan media, agar menghasilkan media yang efektif untuk kelompok sasaranRemaja adalah periode individu penuh rasa keingintahuan dalam segala hal. Permasalahan kesehatan yang dilalui individu remaja juga semakin kompleks. Keaktifan remaja dalam mengeksplorasi pengetahuan dan keterampilan ini sudah seharusnya menjadi peluang besar dalam memperdalam keterampilan remaja, terutama di era informasi dan media yang canggih sekarang ini. Remaja mempunyai daya tanggap yang cepat dalam mempelajari media, terutama media sosial dan digital. Perumusan pesan yang persuasif serta lay out media yang menarik dan seseuai dengan sasaran sangat dibutuhkan untuk mencapai media promosi kesehatan yang efektif. Pelaksanaan pengabdian menggunakan metode ceramah, diskusi dan skill development. Peningkatan pengetahuan peserta pelatihan tentang media promosi kesehatan dan peningkatan keterampilan dalam merancang media promosi kesehatan dapat dilihat dari antusiame peserta dalam mendengarkan pemaparan dan tanya jawab dan evaluasi proses dimana peserta dapat membuat pesan yang persuasif yang melalui media seperti poster, power point dan movie maker. Kata Kunci : Media, promosi kesehatan, Remaja

Dukungan Informasi bagi Ibu-ibu Menyusui dalam Memberikan ASI Eksklusif di Kecamatan Gondokusuman Kota Yogyakarta wibowo, marsiana
KEMAS: Jurnal Kesehatan Masyarakat Vol 11, No 2 (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.v11i2.3694

AbstractBreast milk is the first and the best choice of food for infants in early life. Various efforts have been taken by the government of Indonesia to encourage mothers to breastfeed their children exclusively. However, exclusive breastfeeding outcomes in most areas are still low. Yogyakarta is one of those areas, especially in the Gondokusuman Subdistrict with breastfeeding outcome only 23.2%. The outcome should be 80% according to the target in the Minimum Service Standards of Health. The succes of 23.2% breastfeeding mothers to breast feed exclusevely because of the support that receive by them, one is the informational support.The purpose of this study was to determine what kind of informational support to breast feed exclusively which is received by nursing mothers in the Gondokusuman Subdistrict. The type of research is qualitative with a phenomenological approach. In depth interviews and focus group discussion (FGD) are used for data collection techniques. Depth interviews were conducted to mothers who exclusively breastfed, mothers who did not exclusively breastfeed, the husband of nursing mothers, and health care workers. Investigation of the trustworthiness of the study using triangulation of methods and sources. Thematic Content Analysis is used for data analysis. These results indicate that informational support is very important for pregnant and nursing mothers to be able to provide exclusive breastfeeding to their babies. Informational support in the form of support from health workers and significant others, the support of health care and UKBM (Community Based Health Unit), availability of health promotion media, completeness of information, easier access of information for nursing mothers. Information gleaned from significant others or people who are influential for nursing mothers have a more important role, because of the closer emotional factor. Therefore, nursing mothers need to build a positive environment in order to obtain sufficient information for the success of exclusive breastfeeding.Keyword : Exclusive breastfeeding, Informational support, Phenomenological

PERSPEKTIF HAMBATAN TERHADAP KEMUNGKINAN REMAJA BERHENTI MEROKOK Wibowo, Marsiana
Unnes Journal of Public Health Vol 6 No 2 (2017): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Merokok adalah perilaku yang masih sulit untuk dikendalikan dalam rangka investasi kesehatan. Usia remaja adalah usia inisiasi para perokok. Lebih cepat berhenti merokok, akan lebih menekan resiko kesehatan akibat merokok. Anggapan tentang kesulitan berhenti merokok menjadi salah satu tantangan dalam menyiapkan generasi bebas rokok. Tujuan penelitian ini adalah mengetahui hubungan persepsi hambatan berhenti merokok terhadap kemungkinan berhenti merokok. Peneliti menggunakan pendekatan cross sectional, dengan uji spearman correlation. Hasil menunjukkan hubungan yang negatif namun lemah pada pola hubungan hambatan berhenti merokok dengan kemungkinan remaja perokok untuk berhenti merokok, namun secara statistik bermakna. Memperhatikan pola hubungan ini, berbagai pihak yang terkait sebaiknya lebih menggiatkan upaya dalam mengendalikan pengkonsumsian rokok di kalangan remaja, daril ingkungan keluarga, lingkungan sosial, institusional, dan pemegangan kebijakan.   Smoking is a behavior that still hard to control in health investment context. Adolescent is initiation period for smoker. Earlier smoker to stop smoking, will put more benefit to pressure on the health risks of smoking. The assumptions about the difficulty of quitting is one of the challenges in preparing free tobacco generation. The purpose of this study was to determine the relationship between perception barriers against the possibility of smoking cessation. Researchers used cross sectional approach, with the Spearman correlation test. The results showed a negative relationship but weak on the relationship patterns of barriers to stop smoking with the possibility of adolescent smokers to quit smoking, but statistically significant.Taking into account this relationship pattern, the various stakeholders should further intensify efforts in controlling cigarette consumption among adolescents, from the family environment, the social environment, institutional, and policy enforcement.

Predisposing, Enabling and Reinforcing Factors of Premarital Sex Behavior in School Adolescents Ayu, Suci Musvita; Sofiana, Liena; Wibowo, Marsiana; Gustiana, Erni; Setiawan, Arie
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 1 (2019)
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.v15i1.14226

Nowadays, 60% adolescents in Indonesia admitted that had practiced premarital sexbehavior and 50% of people living with HIV and AIDS are adolescent age group. Thenegative consequences of sex behavior which causes an Indonesian adolescent disruptedopportunities continue study at school, enter the work force, starting become a familyand become a member of society as well. Premarital intercourse makes unintendedpregnancy rates still high. Based on data obtained from the Pekanbaru City HIV-AIDSManagement Commission (KPA) in April 2017, it was found that HIV-AIDS caseshave always increased from year to year. The purpose of this study was to determinethe correlation between predisposing, enabling, and reinforcing factors with premaritalsex behavior in adolescents. The design was cross sectional study. This study was conductedAugust 2017 with multistage random cluster sampling and with 481 adolescentrespondents in 18 SMA in Yogyakarta City, which were analyzed using Chi Square test.There were a relationship of knowledge (p = 0.000, RP = 3.893), attitude (p = 0.000, RP= 7.240), self-esteem (p = 0.000, RP = 3.502), source of information (p = 0.003) and peerroles (p = 0.000, RP = 11.660) with premarital sex behavior. Meanwhile, there were norelation of family role (p = 0.436, RP = 0.823) and teacher role (p = 0.053 RP = 1.596)with premarital sex behavior. Knowledge, attitudes, self-esteem, information source andthe role of peers are related to premarital sex behavior. The role of the family and the roleof the teacher are not related to premarital sex in adolescents.

PELATIHAN DAN PENDAMPINGAN PERANCANGAN MEDIA INFORMASI DAN KONSELING KESEHATAN PADA REMAJA Wibowo, Marsiana; Gustina, Erni; Mudayana, Ahmad Ahid
GEMASSIKA: Jurnal Pengabdian Kepada Masyarakat Vol 3, No 2 (2019): NOPEMBER
Publisher : P3M STIKES Aisyiyah Surakarta

Adolescents are time of great curiosity and experimentation and complex problems such as misbehavior, premarital sex, early marriage. It is important to describe to adolescent correct information and become supporter for her peoples especially in health promotion field. Teenagers are very adaptable to various changes and are very critical in responding to various information. Internet-based media is very popular among teenagers. However, the basics of designing and composing messages of these media are still low among teenagers. The purpose of this activity is to increase the knowledge and skills of adolescents in the design of information media and health counseling in Yogyakarta City. This workshop used skill development method with the activity of lecturing and practice which last for 2 days. The result of the workshop are to increase the knowledge of adolescent about information media and health counseling, to produce a product that is in the form of poster, and by utilizing Google Plus application, formed a forum with the name of Media Information and Counseling of Adolescent. Through this forum, teenagers can share information in various ways such as uploading media, sharing information links, and discussing about adolescents issues

Violence Determinant on Teenagers in Yogyakarta Gustina, Erni; Sofiana, Liena; Ayu, Suci Musvita; Wibowo, Marsiana; Wardani, Inggrid Dwita
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 1 (2020)
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.v16i1.14323

Violence can adversely affect teenagers. Teenagers rarely report violence to their friends or family. Teens who are experienced with violent outbreaks have symptoms such as depression and anxiety, deviant behaviours such as smoking, drugs and alcohol and even attempted suicide. This Study used a cross-sectional design. The sample of the study were student aged 15-19 years who came from 18 Junior High School in Yogyakarta City. The study was conducted during August 2017. Sample size is 481 adolescents. Technique sampling used multistage random cluster sampling. The instrument used questionnaires on violence, knowledge, attitudes, self-confidence, family roles, peer roles, teacher roles and information sources. Data analysis used univariate and bivariate analysis used chi square test. Results showed that 77.5% of adolescents were violent and 68.4% were physically abused. Peers are a risk factor for adolescents to engage in violence (PR: 1.335; CI 95%:1.205-1.479) and families also play an important role for adolescents engaged in violence (PR: 1.179; CI 95%: 1.079-1.292). The existence of teen counseling services such as Youth Information and Counseling Center to increase adolescent insight about juvenile delinquency especially violence and impact on adolescents.

HUBUNGAN PERAN POS KESEHATAN PESANTREN DENGAN PENERAPAN PERSONAL HYGIENE SANTRI Yuniasih, Lilis; Wibowo, Marsiana
Jurnal Cakrawala Promkes Vol 2, No 1 (2020): February
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/promkes.v2i1.1776

Personal hygiene is one's effort to maintain cleanliness and health to obtain physical and psychological well-being. As many as 50% of students in Islamic boarding schools experience diseases related to personal hygiene including scabies and pediculosis capitis. Poskestren is a manifestation of community-based health efforts within the boarding school environment, with principles from, by and for pesantren residents, which prioritizes promotive and preventive services without neglecting the curative and rehabilitative arrangements with the development of local puskesmas. Thus the poskestren is one of the references in health development in Islamic boarding schools which should be able to overcome health problems. However, with the presence of the boarding school health post, diseases related to personal hygiene in Islamic Boarding School X, Bantul Regency have yet to be completely resolved. The purpose of this study was to determine the relationship between students' perceptions of the role of the boarding school health post with the personal hygiene of students in Islamic Boarding School X, Bantul Regency. This study uses an observational analytic method with a cross-sectional approach. The population of this study were all 56 students living in Islamic Boarding Schools X and the sampling technique used was total sampling. Respondents who met the criteria totalled 51 people. Data were analyzed by the Chi-square test. Statistical test results showÂ that there was a relationship between promotive efforts with the application of students personal hygiene (Ï = 0,000) and there is no relationship between preventive efforts (Ï = 1,000), curative (Ï = 1,000), and rehabilitative (0.840) with the application of santri personal hygiene. There was a relationship between perception about the role of poskestren promotive efforts with the implementation of personal hygiene of students and there was no relationship between perception of the role of health post boarding school with the application of personal hygiene of students in Boarding school Â X, Bantul Regency

Penerapan Siklus Promosi Kesehatan Untuk Meningkatkan Phbs Dan Kadarzi Di Rw 40, Dusun Jaranan, Desa Banguntapan, Kecamatan Banguntapan, Kabupaten Bantul Wibowo, Marsiana; Apriyanti, Nurmala; Awuni, Nur Syamsiah; Triana, Alda; Devisca, Meicy; Khafilah, Fini; Utami, Berlian Febri
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Publisher : Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Jakarta

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

Program promotif gaya hidup sehat telah banyak digencarkan pemerintah diantaranya Perilaku Hidup Bersih dan Sehat (PHBS) serta Keluarga Sadar Gizi (Kadarzi). Namun demikian, cakupan penerapan indikatornya seringkali tidak dapat terpenuhi, hanya beberapa atau sebagian keluarga yang menerapkan secara utuh. Dusun Jaranan menjadi salah satu yang belum menerapkan secara utuh. Data terakhir menunjukkan 53,35% untuk PHBS tahun 2018 sedangkan kadarzi sudah 95,44%. Penerapan ini selalu mengalami perubahan naik maupun turun. Oleh karena itu diperlukan penilaian kesehatan dan upaya promotif yang berkesinambungan. Studi ini bertujuan untuk melakukan seluruh tahapan siklus promosi kesehatan di RW 40 Dusun Jaranan. Metodenya penilaian kesehatan menggunakan metode kuantitatif dengan survey. Data yang dihasilkan berupa permasalahan yang prioritas yaitu masih adanya yang merokok di dalam rumah. Oleh karena itu, program yang disepakati bersama masyarakat adalah peningkatan pengetahuan tentang bahaya rook bagi perokok aktif dan pasif dengan metode ceramah dan alat bantu berupa poster, leaflet, dan video. Intervensi ini dapat berjalan sesuai rencana dan memberikan dampak berupa peningkatan pengetahuan sasaran. Upaya ini harus terus ditindaklanjuti oleh puskesmas setempat agar tidak berhenti pada peningkatan pengetahuan saja, namun juga sikap dan perilaku.---The healthy lifestyle promotion program has been intensified by the government including Clean and Healthy Behavior (PHBS) and Nutrition Conscious Families (Kadarzi). However, the scope of the application of the indicators can often not be fulfilled, only a few or some families who apply in full. Jaranan Hamlet is one that has not been implemented in full. The latest data shows 53.35% for PHBS in 2018 while the levels of have been 95.44%. This application always changes up and down. Therefore it is necessary to have an ongoing health assessment and promotive effort. This study aims to conduct all stages of the health promotion cycle in RW 40 of Jaranan Hamlet. The method of health assessment uses quantitative methods with surveys. The data generated in the form of a priority problem that is still the existence of smoking in the house. Therefore, the program agreed with the community is to increase knowledge about the dangers of rooks for active and passive smokers with lecture methods and assistive devices in the form of posters, leaflets, and videos. This intervention can go according to plan and have the effect of increasing target knowledge. This effort must continue to be followed up by local health centres so as not to stop at increasing knowledge, but also attitudes and behavior.

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