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All Journal Archive of Community Health Buletin Udayana Mengabdi Journal of Public Health Research and Community Health Development (JPH RECODE) Public Health and Preventive Medicine Archive
Luh Putu Lila Wulandari
Public Health Postgraduate Programme, Udayana University, Department Of Public Health, Faculty Of Medicine, Udayana University
Education Health Professions Public Health

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STATUS ANEMIA GIZI BESI DAN KONSUMSI ZAT GIZI PADA ANAK USIA SEKOLAH DI LIMA PANTI ASUHAN DI KOTA DENPASAR Melisa dewi; Ketut Sutiari; lila Wulandari
ARCHIVE OF COMMUNITY HEALTH Vol 1 No 1 (2012): Juni (2012)
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (164.736 KB) | DOI: 10.24843/ACH.2012.v01.i01.p06

Abstract

Iron de? ciency, anemia, cause a negative impact on health such as lowering levels of endurance,lowering concentration power of learning and child development disorders. This research aimsto identify iron de? ciency, anemia, status and nutrient intake in school age children at ? veorphanages in Denpasar.The design of this research was cross-sectional study conducted at ? ve orphanages in Denpasar.The 48 school age children were assigned using a systematic random sampling. Data of hemoglobin level were coollected using Cyanmethaemoglobin; nutrient intake and iron inhibitors using a SQFFQand questionnaire. Data wereanalyzed descriptivelyand presented in tablesand narrative.Fromexamination of 48 samples, results of anemia proportion in school age children at ?veorphanagesamounted to 29.16%. Most sampeles (> 80%) already got su? cientrecommendedRDA,except for vitamin Athatstill far below recommended RDA. From 48 of 28 samples (58,33%)havea habitof consuming milk and as many as 38 samples (79,16) consume tea.Theconclusion of this study is that school age children are vulnerable to iron de?ciency,anemia, andhavethe habitof consuming iron inhibitors.
FENOMENA KEMATIAN BAYI DI DUSUN MUNTIGUNUNG, KARANGASEM, BALI, 2013 Yuli Kurniati; Wayan Septarini; Sri Nopiyani; Artawan Eka Putra; Lila Wulandari
ARCHIVE OF COMMUNITY HEALTH Vol 2 No 2 (2013): Desember (2013)
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

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Abstract

The target to decrease Infant Mortality Rate (IMR) is one of the goals of the Millennium Development Goals (MDG`s) in 2015. Muntigunung`s village has a relatively high infant mortality rate (29.4 / 1,000 live births) compared by the infant mortality rate of Bali Province (8.19/1,000 live births). The area also have geographical conditions and different socio-cultural community with the surrounding area in Bali, so a more specific approach is required in handling the problems in the area. A qualitative study is needed to explore the factors underlying these conditions. The purpose of this study is to examine the behavior of mothers in Cangkeng Hamlet, Muntigunung in prenatal care practice, childbirth and puerperium. This study used the Rapid Assessment Procedure approach. The qualitative method was used in this study by interviewing 24 women participants and 10 man pasticipants. Participants were selected using purposive technique. The information gathered was analyzed using thematic analysis, and used triangulation of resources and method. The results of this study indicate that prenatal care, childbirth process and post-partum care in Cangkeng is still far from clean and safe criteria. Low education levels, lack of knowledge, negative attitudes towards health care, supernatural perception in the healthy concept of illness, difficult access, mother in-laws influence and lack of husband's role to be underlying conditions of infant morbidity and mortality in this region. This study suggests the existence of a partnership between goverment, NGOs or academic institutions in an effort to closer access to the health services such as forming “Posyandu” in this group;  increase knowledge about reproductive health (prenatal care, early sign of pregnancy, clean and save delivery, and infant care)  for  mother and husband.
PERILAKU PENYALAHGUNAAN SUBOXONE PADA KALANGAN PENGGUNA NAPZA SUNTIK DI WILAYAH KOTA DENPASAR DAN BADUNG Ni Nengah Wida Yasmari; Luh Putu Lila Wulandari; Desak Putu Yuli Kurniati; I Nyoman Gunarta; Ni Wayan Septarini
ARCHIVE OF COMMUNITY HEALTH Vol 3 No 2 (2016): Desember (2016)
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

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Abstract

Penyediaan suboxone adalah salah satu upaya untuk mengobati dan mencegah dampak bahaya dari narkoba suntik di kalangan penasun,  dan juga mengurangi ketergantungan mereka pada obat-obatan. Namun, menurut data dasar dan observasi awal, ada indikasi bahwa suboxone  juga disalahgunakan. Penelitian ini bertujuan untuk mengeksplorasi penyalahgunaan suboxone kalangan penasun dan mengidentifikasi faktor penentunya. Metode kualitatif digunakan dalam penelitian ini dengan mewawancarai 11 penasun di Denpasar dan Badung. Peserta dipilih dengan menggunakan teknik purposive. Panduan wawancara digunakan selama wawancara. Data kemudian dianalisis dengan menggunakan analisis tematik. Penelitian ini mengungkapkan bahwa peserta memiliki pengetahuan sedang terkait suboxone. Ada beberapa yang bersikap positif terhadap suboxone di mana peserta menganggap bahwa suboxone efektif dalam mengurangi ketergantungan obat, terutama bila digunakan dengan benar. Sikap mereka positif  terhadap suboxone, namun bertentangan dengan perilaku mereka. Suboxone disalahgunakan dengan menyuntikkan, dan kadang-kadang digabungkan dengan obat lain. Faktor-faktor penentu penyalahgunaan suboxone,  adalah kurangnya kontrol dari penyedia layanan kesehatan dan regulasi yang kurang  pada peresepan suboxon, keamanan dan legalitas, pendekatan ekonomi, dorongan individu, kurangnya akses informasi yang akurat, dan juga konteks sosial dan lingkungan. Dukungan dan program pemberdayaan bagi penasun sangat penting  untuk mengganti keinginan mereka menyuntikkan suboxone selama terapi. Penguatan pemantauan intensif untuk mengendalikan penyalahgunaan suboxone, dengan mengkombinasikan dukungan dari pihak lain termasuk keluarga juga penting untuk keberhasilan pelaksanaan terapi suboxone.
PEMBENTUKAN KELOMPOK ANTI KEKERASAN SEKSUAL ANAK (KAKSA) PADA KOMUNITAS KADER DI DESA SANUR KAJA DENPASAR Ekawati. N. K.; N.M. Utami Dwipayanti; L.P Lila Wulandari
Buletin Udayana Mengabdi Vol 10 No 2 (2011): Volume 10 No.2 – September 2011
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat

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Abstract

This Community Service was conducted in Desa Sanur Kaja on 16-17 July 2010, in the form of training and supervision on the KAKSA group members. Before the training was done, the participants were given pre-test and at the end, they were evaluated by post-test. The result showed that there is improvement of knowledge about 11.84% . Most participants felt satisfactorily toward the aspects of knowledge, skill and condition which are improved. Improvement. The evaluation result suggested that most participants stated that the training is adequate to widen the insight of KSA, KSA prevention, raising the sensitivity and curiosity to actively participate to prevent KSA. It can be suggested that the training to form the new KAKSAs can be continually done in every sub-village.
PEMBINAAN PEDAGANG MAKANAN KAKI LIMA UNTUK MENINGKATKAN HIGIENE DAN SANITASI PENGOLAHAN DAN PENYEDIAAN MAKANAN DI DESA PENATIH, DENPASAR TIMUR I Nengah Sujaya; Ni Made Utami Dwipayanti; Ni Ketut Sutiari; L.P Lila Wulandari; Ni Kadek Tresna Adhi
Buletin Udayana Mengabdi Vol 9 No 1 (2010): Volume 9 No.1 – April 2010
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat

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Abstract

Abstract Generally street vendor has little knowledge on hygiene and sanitation of food handling. Usually they trade in a night market or on street sides. There are two markets in Penatih Village that operate night market. Both markets located in a strategic location thus they have many visitors every day. In these two markets there are some vendors that need to be counseled and assisted in order to improve their knowledge on hygiene and sanitation of food handling. The counseling and assistance was conducted every week from 25 September to 10 October 2009, with 10 vendors as target participants. The venues were located in Penatih Market and Agung Market, Penatih Village, East Denpasar. The activities were conducted in the form of counseling and assisting during trading hours towards the participants in regards of hygiene and sanitation of food handling. In order to evaluate and measure the knowledge improvement of the participants, pre test and post test were carried out. The result shows that, most of participants have less knowledge on food additives in terms of usage, types and risk of usage. The participants have good knowledge on usage of clean water for utensil and food washing as well as knowledge on personal hygiene. It is recommended to conduct a continuous and regular counseling to street vendors with the involvement of local primary health care (puskesmas).
DETERMINAN SOSIAL KERENTANAN PEREMPUAN TERHADAP PENULARAN IMS DAN HIV Desak Made Sintha Kurnia Dewi; Luh Putu Lila Wulandari; D.N. Wirawan
Journal of Public Health Research and Community Health Development Vol. 2 No. 1 (2018): Oktober
Publisher : Sekolah Ilmu Kesehatan Dan Ilmu Alam (SIKIA), Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jphrecode.v2i1.16250

Abstract

Kasus HIV - AIDS meningkat pada perempuan dan menjadikannya salah satu kelompok rentan. Perempuan memiliki kemungkinan tertular IMS - HIV dua kali lebih besar dibandingkan laki-laki dan berdampak pada meningkatnya jumlah infeksi pada anak. Tujuan penelitian ini untuk menggali determinan sosial yang mempengaruhi kerentanan perempuan tertular IMS - HIV. Penelitian ini menggunakan design studi kualitatif pada 21 informan yang dipilih secara purposive yaitu terdiri dari klien, provider, konselor. Informan yang terpilih adalah pernah atau saat ini mengalami IMS atau HIV (klien), memiliki pengalaman menangani klien IMS atau HIV (provider/konselor). Proses rekrutmen dilakukan dengan melibatkan petugas layanan. Penelitian dilaksanakan pada April – Juni 2012 di tiga tempat layanan di Denpasar. Pengumpulan data dilakukan melalui wawancara mendalam menggunakan pedoman wawancara semi terstruktur, kemudian direkam dan ditranskrip. Analisis dilakukan secara tematik dan triangulasi melalui member checking dan peer debriefing. Hasil penelitian menunjukkan bahwa determinan sosial yang mempengaruhi kerentanan perempuan terhadap penularan IMS -HIV antara lain kurangnya pengetahuan, perilaku seksual berisiko perempuan dan pasangan, tekanan ekonomi mendorong perempuan terlibat dalam pelacuran, ketergantungan ekonomi membatasi akses ke layanan, stigma terhadap kondom dan HIV, pengaruh ketimpangan gender, nilai perempuan di masyarakat menempatkan perempuan sebagai pihak yang dipersalahkan, posisi tawar rendah dalam menegosiasikan hubungan seksual, motivasi, dan perilaku petugas yang kurang mempengaruhi kualitas layanan dan menimbulkan ketidakpercayaan klien. Determinan sosial tersebut mempengaruhi kerentanan perempuan terhadap penularan IMS - HIV secara holistik, dapat dilihat dari faktor individu perempuan dan di luar individu seperti lingkungan keluarga, masyarakat dan budaya. Diperlukan upaya komprehensif berbagai pihak untuk meningkatkan pengetahuan, pemberdayaan perempuan, pelatihan komunikasi dan konseling pasangan bagi petugas kesehatan.
Engaging the private sector to improve antimicrobial use in the community Luh Putu Lila Wulandari; Virginia Wiseman
Public Health and Preventive Medicine Archive Vol. 6 No. 2 (2018)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v6.i2.p01

Abstract

The private sector has been an overlooked but major source of AMR in many LMICs, including Indonesia. Private drug sellers such as community pharmacies and drug stores therefore have a major part to play in educating patients, rationalising antibiotic use, and stopping antibiotic sales without a prescription. Drafting new laws and regulations to govern the private sector is, however, unlikely to provide a comprehensive solution to the problem of AMR. AMR research must be broadened to include the evaluation of multi-faceted interventions that better reflect the complex incentives and preferences of private drug sellers and their clients. This evidence is urgently needed as countries like Indonesia finalise their National Action Plans and begin rolling out AMR related activities.
Workload Analysis of Doctors at Puskesmas Using Workload Indicators of Staffing Need in Denpasar Anak Agung Ngurah Gede Dharmayuda; Luh Putu Lila Wulandari; Dewa Nyoman Wirawan
Public Health and Preventive Medicine Archive Vol. 3 No. 1 (2015)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2015.v3.i1.p04

Abstract

Background and purpose: Ratio of health staff instead of workload have been used to determine quota of staff at primary health centers. There is no study assessing workload of functional medical doctors (general practitioners) at primary health centers in Bali. The objectives of this study were to describe functional medical doctors workload, the number and distribution which is needed in primary health centers in Denpasar. Methods: Descriptive cross-sectional study was conducted among functional medical doctors at 11 primary health centers across Denpasar. Data were collected by interview and participatory observation to the study participants. Data was analyzed using WISN English Version 1.1.132.0 software. Results: Among 34 study participants, majority were female (73.5%), aged 35-44 years (61.8%), working as a government employee (97.1%), with tenure of 6-10 years (55.9%) and almost all of them (95.6%) had additional duties besides providing medical care to patients. Results indicated that workload of functional medical doctors at primary health centers was high with WISN ratio 0.5-0.9 compared to the ideal ratio=1. Based on workload analysis, shortages of functional medical doctors was found in all primary health centers in Denpasar. Conclusion: When using the ratio of functional medical doctors per population, the number was sufficient. However, when using workload analysis indicated shortage.
Women’s vulnerability to STIs and HIV transmission: high risk sexual behaviour in Denpasar City Desak Made Sintha Kurnia Dewi; Luh Putu Lila Wulandari; I Nyoman Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 1 No. 1 (2013)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2013.v1.i1.p04

Abstract

Department of Health of Bali Province reported an increase of reported HIV cases among pregnant women. A sero-survey among pregnant women in 2010 has found 1% of pregnant women are HIV positive. This fact might indicate the possibility of women’s vulnerability to HIV in Bali, mainly due to the high risk behavior of their sexual partner. There has been limited study exploring this vulnerability, and how this vulnerability might affect their risk in contracting HIV. This study aimed at exploring women’s vulnerability to HIV by looking at the individual, households and their community high risk behaviors which might consequently affect the women risk to HIV transmission. Qualitative study was employed by using indepth semi structured interview with 21 informants. The informants were chosen to ensure the variations of the risk behaviors as such might reveal different risk which might affect women. The informants consisted of men, women, HIV counselor and health providers in three different health services in Denpasar. Data was analysed using thematic analysis. To improve data validity, member checking and peer debriefing techniques were used. The study found that there has been variation in the factors which affects women’s vulnerability within individual, household, and community levels. These included the multisexual partners of women and or their sexual partners, buying sex, drug injecting behaviours of their partners and inconsistent condom use which due mainly to the low bargaining position of women in condom negotiation.
Knowledge as determinant in deciding expectant mother’s birth assistance at Taliwang Public Health Centre, West Nusa Tenggara, 2013 M. Karjono; Luh Putu Lila Wulandari; Nyoman Tigeh Suryadhi
Public Health and Preventive Medicine Archive Vol. 1 No. 1 (2013)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2013.v1.i1.p10

Abstract

Regional government directives push for 90% of all expectant mothers to utilise birthing assistance from trained health care providers, however recent data from Taliwang Public Health Center indicates this falls well below the target only 56.8%. The choice of alternative forms of birthing assistance can often result in risky and dangerous birthing methods, thereby increasing the possibility of infant/maternal mortality. In order to explore this, a study to explore factors influencing the birth assistance choice at Taliwang Public Health Center was conducted. A cross sectional design was adopted in the study. Total sample of 160 pregnant mothers was selected from a total of 1068 population using systematic random sampling. Each respondent was interviewed using a questionnaire. Data were analysed using univariate, bivariate (chi square) and multivariate analysis (logistic regression). The results of bivariate analysis indicate that factors influencing a choice of birth assistance were: knowledge levels [X2=20.79; p=0.003]; access to the health service [X2=10.34; p=0.006], access to reliable information [X2=6.15; p=0.011), parent’s role [X2=10.64; p=0.002] and influence of authority/religious figures [X2=10.21; p=0.006). The multivariate analysis revealed that knowledge levels of mothers was the most significant and influential factor in birthing assistance choice [OR=2.02; p=0.013; 95%CI 1.16-3.51; R2=0.13]. It is evident that there is a need to upscale efforts in improving the knowledge levels of expectant mothers regarding risky birthing practices, through health promotion programs, and to increase the frequency of the current antenatal classes. Furthermore, studies regarding other factors which might influence expectant mothers birthing assistance choice, such as socio-cultural factors, the role of healthcare providers, traditional birthing mythologies could be explored.
Co-Authors Anak Agung Ngurah Gede Dharmayuda Desak Made Sintha Kurnia Dewi Desak Putu Yulita Kurniati Dewa Nyoman Wirawan Dewi, Desak Made Sintha Kurnia Dyah Pradnyaparmita Duarsa Haryani Honoria D.F.P. Carvalho I Nengah Sujaya I Nyoman Gunarta I Nyoman Mangku Karmaya I Nyoman Mangku Karmaya I Nyoman Mangku Karmaya I Nyoman Mangku Karmaya I Wayan Gede Artawan Eka Putra Jacinta dos Santos Guterres Kadek Tresna Adhi M. Karjono Martini Melisa dewi Musrifa Nara Adriana Ni Ketut Sutiari Ni Komang Ekawati Ni Made Sri Nopiyani Ni Made Utami Dwipayanti Ni Nengah Wida Yasmari Ni Nyoman Aryaniti Ni Wayan Septarini Nida Gustikawati Nyoman Tigeh Suryadhi Nyoman Tigeh Suryadhi Virginia Wiseman