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Ancah Caesarina Novi Marchianti
Dosen Fakultas Kedokteran Univeristas Jember
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Education Environmental Science Health Professions Immunology & microbiology Library & Information Science Medicine & Pharmacology Nursing Public Health Other

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Predisposing Characteristic of MSM (Men who Have Sex with Men) in Utilizing of CST (Care Support and Treatment) Services in Jember District Khamid, M Nur; Marchianti, Ancah Caesarina Novi; Rokhmah, Dewi
Health Notions Vol 2 No 4 (2018): April 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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Abstract

MSM behavior in Indonesia still become an important issue in our society and some of our society can’t accepted the MSM. The prevalence of HIV in MSM population is such a warning and need to be concerned. Data from Jember District Health Office showed that from 2004 until June 2017, the number of HIV AIDS were 3186 cases, based on homosexual risk factor were 7.6%. This research aimed to analyze predisposing characteristic of MSM with HIV positive such as: 1) Demoghraphy: sex, age, marriage status, place of live, the region, and education background, 2) The distance from home to the CST services, 3) Health belief. This study used qualitative method with case study approach. There were 8 main informants and recruited purposively. Data was collected by in depth interview and analyzed with thematic content analysis. The result showed that most of informants aged 25-30 years old, a small number of informants in 20-23 years old. The distance of home and CST services influenced the MSM with HIV positive to drink drug regularly.The effort of informants to care their health were obedient in ARV treatment, taking care to dietary habits, doing exercise regularly and avoid their self from stress. The side effect of ARV are dizzy, nausea, vomiting, fatigue or pain in some of hinge, appetite loss and mood changes. The effort to make an obedient in ARV treatment need to add the CST sevices in Center of public health and make ARV satelite Center of public health in every district, role model, optimilize the guidance to the MSM with HIV positive, to prevent the loss to follow up because the side effect and to give a support in obeidient the ARV treatment. Keywords: MSM, HIV, Care Support and Treatment
The Service Compensation of National Health Insurance and The Performance of Health Workers Daniyah, Robiatud; Marchianti, Ancah Caesarina Novi; Viphindrartin, Sebastiana
Health Notions Vol 2 No 2 (2018): February 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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Abstract

Public health center is primary facilities service which owned by a government. Complains which occurs in society, such as the procedures of National Healthcare Insurance (JKN) that more complicated, start from gradual administration, participants data validation that need much time was though more convoluted and customer services that given by health workers wasn’t done in a good standard and unsatisfied, so the patients will not willingly come back in public health center. The result data of performance measurement of public health in 2016 showed was less; under 80%. The aim of this research was to analyze the influence of service compensation of JKN on health worker performance. This research was quantitative with observational analytical approach. Sample of this research were 36 health workers in Kalisat, 32 health workers in Jelbuk, and 32 health workers in Andongsari public health center who taken by simple random sampling. Partial Least Square (PLS) using smart PLS software was used as method to analyze data. Based on the test result there was positive influence of service compensation on performance, T statistic was 7.730 (t statistic > t table significant 1.96) it meant that the higher an expected performance, it will produce optimal health care service for society. Health workers can do some efforts in improving performance, so it can improve service compensation that given for society. Government need to review about performance assessment that is currently used, such as SKP so the performance assessments were more effective in evaluating.  
The Topography and Physical Activity as Determinant Factor of Grade Hypertension in Patients with Primary Hypertension Robby, Krish Naufal Anugrah; Soesetijo, FX. Ady; Marchianti, Ancah Caesarina Novi
Health Notions Vol 2 No 3 (2018): March 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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Abstract

Primary hypertension is a causing factor of cardiovascular disease mortality. Patient with primary hypertension having high grade hypertension will cause various dangerous diseases if it is not performed further countermeasures. Consequently, it is necessary to prevent the increase of grade hypertension or blood pressure by analyzing grade hypertension risk factor. This study was quantitative research with cross sectional design method. The samples in this study were 346 respondents taken by consecutive sampling. Partial Least Square (PLS) with SmartPLS (v. 3.2.7) application software was used as to analyze the data. Results shows that there is a physical activity effect on grade hypertension, with the value of path coefficient by -0.564 of t statistic 16.48 (t statistic > t table significance by 1.96). Based on the result of the study, there is a topography effect on grade hypertension, with the value of path coefficient by 0.412 of t statistic 8.690 (t statistic > t table significance by 1.96). Physical activity affects grade hypertension. The better the physical activity, the better the way to prevent a blood pressure increase mainly systolic blood pressure. The high topography can lead to increase grade hypertension in the primary hypertension patient, therefore, lifestyle and topographic effect should also be considered for people with primary hypertension mainly for non-native people who have not experienced acclimatization. Keywords: Primary hypertension, Topography, Physical activity, Grade hypertension
Major Risk Factors for Gestational Glucose Intolerance and Gestational Diabetes Mellitus in Urban Areas of Jember Wirapraja, Aristha Dwi; Marchianti, Ancah Caesarina Novi; Marufi, Isa
Health Notions Vol 2 No 3 (2018): March 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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Abstract

Gestational Glucose Intolerance (GGI) and Gestational Diabetes Mellitus (GDM) is condition in which someone who leads to abnormally higher blood glucose levels. High glucose level on pregnant can influence mother itself and her fetus if it doesn’t get prevention and right treatment. The purpose of this research was to know modified risk factors related with incidence of GGI and GDM in urban areas of Jember. This research was observational with cross sectional approach. Non probability sampling using purposive sampling was used in this research as sampling technique. Data were collected by interview and questionnaire that was distributed for 96 pregnant women who have been checked their blood glucose level in urban areas of Jember. The result of this research showed that over weight (p value= 0.001, OR= 16.15), less physical activities (p value = 0.000, OR=4.91) and unhealthy diet (p value = 0.000 OR=5.3) have significant correlation with GGI and GDM, while less physical activity (p value = 0.000 OR=0.176) as major risks with incidence of GGI and GDM. Pregnant women should do physical activities, like doing light exercises in accordance with their condition are offset by keeping dietary habits, so the blood glucose level during pregnancy could be controlled. Keywords: GGI, GDM, High glucose level, Overweight, Less physical activities, Unhealthy diet
The Analysis of Flood Disaster Risk at Wonoasri Village, Tempurejo District, Jember Regency Dianasari, Erni; Marchianti, Ancah Caesarina Novi; Prayitno, Hadi
Health Notions Vol 2 No 7 (2018): July 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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Abstract

A disaster is an event which causes an interference in a life and and livelihoods in a society. The flood disaster potential happened at Wonoasri village was caused by geographical location from Wonoasri village which is in the form of lowland and many formed lands that are concave. Thus almost each year, those places are experiencing flood. The flood is caused by the overflowing river at Sananrejo, Curahnongko and Mayang River which result in the occurrence of clogging due to sedimentation in some watersheds (referred as DAS in Indonesia). The aimed of this studied was to analyse the flood disaster risk at Wonoasri Village, Tempurejo Sub-District, Jember District.  To did that, this studied used quantitative method and descriptive-analysis.  The analysis of disaster risk was gained through weighing and disaster risk analysis matrix as well as interview and observations. Samples used in this present studied were 110 respondents. They were Wonoasri people consisting of Curahlele and Kraton area.  The leveled of flood disaster risk at Wonoasri Village, Tempurejo Sub-District, Jember District was in the yellow zone meaning that it was placed in the moderate risk leveled with a scale of 2 so the hypothesis statement of flood disaster risk leveled at Wonoasri Village, Tempurejo Sub-District, Jember District. To collected the data, this studied used questionnaire which measured the average score of overall respondents. Disaster risk could be overcome by decreasing the leveled of vulnerability and by increasing community capacity through educating them about disaster handling done through the socialization held periodically for the society and all organizations related to the disaster risk countermeasure. Keywords: Disaster risk analysis, Flood
The Analysis of Factors Affecting Unmet Need In Fertile Age Women In Sumberjambe District, Sumbersari and Kaliwates Hanum, Latifah; Marchianti, Ancah Caesarina; Yani, Ristya Widi Endah
Health Notions Vol 2 No 6 (2018): June 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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Abstract

Unmet need family planning  is a need for contraception that is not met. Fertile age women are said to be unmet need family planning if they wish to delay pregnancy or to terminate pregnancy for the next two years but not to use contraceptives. The purpose of this study was to analyze the influence of predisposing factors, enabling factors, and reinforcing factors in fertile couple women in Sumberjambe, Sumbersari and Kaliwates. The research design used was observational analytic with cross sectional research design. Samples taken in this study were 382 women of fertile couples age. The sampling technique used was multistage random sampling technique. Data anaysis used logistic regression. The results showed that there was influence of predisposing factor, enabling factor and reinforcing factor to contraception that was not fulfilled in fertile age women of knowledge with value of (p = 0.000), attitude with value of (p = 0.000), access service with value of (p = 0.000 ), quality of service with value of (p = 0.002), husband support with value of (p = 0.000), family panning officer support with value of (p = 0.000), and IEC treatment with value of (p = 0.000).
ANALYSIS OF DIFFERENCES DEGREE OF SEVERITY AND QUALITY OF LIFE OF BPH DIABETES WITH BPH NON-DIABETES PATIENTS Kurnia Putra, Prayoga Triyadi; Wahyudi, Septa Surya; Novi M, Ancah Caesarina
Indonesian Journal of Urology Vol 26 No 2 (2019)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v26i2.446

Abstract

Objective: Benign Prostatic Hyperplasia (BPH) is a benign tumor located in prostate caused by prostate cell that will continuously grows which covalent with the aging process and the dihidrotestosteron level (DHT) increase. Prostate Hyperplasia can stop the urethra pars prostatics and causesa clogging in the urine’s flow excretes from bladder. Lower Urinary Tract Symptomps (LUTS) is a bladder muscle compensation mechanism to excrete urine. Diabetes Mellitus (DM) is one of the risk factors of BPH. This research aimed to find the differences on the degree of severity and quality of life BPH DM with BPH non-DM. Material & Methods: This research was observational analytic with cross sectional design which done to 32 subjects that consist of 16 BPH-DM subjects and 16 BPH non-DM in Bina Sehat Hospital Jember, Paru Hospital Jember, and Bhayangkara Hospital Bondowoso which meet to the inclusion and exclusion criteria. Data acquired from lead interview result using International Prostate Symptoms Score (IPSS) questionnaire to evaluate the degree of severity and World Health Organization Quality of Life (WHOQOL-BREF) questionnaire to evaluate the quality of life. The data processing using Mann Whitney’s comparative test. Results: IPSS and physic domain, psychology and social had p value in a row 0.001; 0.000; 0.001; and 0.001. Conclusion: It showed that there was a meaningful difference between BPH DM with BPH non-DM. Environment domain had p value of 0.373. It showed the non-meaningful difference between BPH DM with BPH non-DM.
Perbedaan Efek Paparan Pestisida Kimia dan Organik terhadap Kadar Glutation (GSH) Plasma pada Petani Padi Insani, Ain Yuanita; Novi Marchianti, Ancah Caesarina; Wahyudi, Septa Surya
Jurnal Kesehatan Lingkungan Indonesia Vol 17, No 2 (2018): Oktober 2018
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.17.2.63-67

Abstract

Latar belakang:Serangan hama dan penyakit tanaman semakin meluas, sehingga para petani tidak dapat menghindari penggunaan pestisida kimia. Pestisida kimia bersifat polutan dan mengakibatkan terbentuknya radikal bebas yang dapat menyebabkan kerusakan organ. WHO memperkirakan ada 1,5 juta kasus keracunan pestisida terjadi pada pekerja di sektor pertanian. Tubuh membutuhkan antioksidan untuk menanggulangi radikal bebas akibat pestisida kimia. Salah satu antioksidan yang sering diukur untuk melihat dampak peningkatan radikal bebas adalah glutation(GSH). Penelitian ini bertujuan untuk mengetahui perbedaan efek paparan pestisida kimia dan organik terhadap kadar GSH plasma pada petani padi. Metode:Jenis penelitian yang digunakan adalah analitik observasional dengan rancangan penelitiancross sectional. Penelitian ini menggunakan sampel 30 orang, 15 orang petani organik di Desa Lombok Kulon Kecamatan Wonosari Kabupaten Bondowoso dan 15 orang petani anorganik di Desa Dawuhan Kecamatan Tenggarang Kabupaten Bondowoso.  Pengambilan sampel darah dilakukan di vena mediana cubiti, selanjutnya dilakukan pengukuran kadar GSH plasma menggunakan metode Elman. Uji statistika dilakukan dengan menggunakan uji Unpaired T-test.Hasil:Hasil penelitian ini menunjukkan bahwa terdapat perbedaan yang signifikan antara kadar GSH plasma petani anorganik dan organik p<0.05. Petani anorganik memiliki rata-rata kadar GSH plasma lebih rendah dibandingkan dengan rata-rata kadar GSH plasma petani organik. Hal tersebut terjadi karena para petani anorganik mendapatkan paparan polutan berlebih dari zat-zat kimia dalam pestisida kimia sedangkan petani organik menggunakan bahan alami sehingga tidak menimbulkan residu dalam tubuh.Simpulan: Terdapat perbedaan yang signifikan antara kadar GSH plasma pada kelompok petani anorganik dan kelompok petani organik. Kadar GSH plasma petani anorganik lebih rendah dibandingkan dengan kadar GSH plasma petani organik. ABSTRACTTitle: The Difference Effect of Chemical and Organic Pesticides Exposure to Plasma Glutathione (GSH) on Rice FarmersBackground: Pests and plant diseases are widespread in agriculture so the use of chemical pesticides can not avoid. Pesticides are pollutants which forming free radicals and cause organ damage. WHO estimates that 1.5 million cases of pesticide poisoning occur in agricultural workers. The body needs antioxidant to cope free radicals due to chemical pesticides. GSH is one of antioxidants often measured to see the effects of increased free radicals in the body.This study aims to determine the differences effect of chemical and organic pesticide exposure on plasma glutathione (GSH) levels in rice farmers.Methods: The type of this research is observational analytics with cross sectional design. This study used 30 people as sample, 15 people organic farmers in the Desa Lombok Kulon, Kecamatan Wonosari, Bondowoso and 15 people inorganic farmers in Desa Dawuhan, Kecamatan Tenggarang, Bondowoso. Blood sampling was done in mediana cubiti vein, then measured of  plasma GSH using Elman method. The statistical test was done by using Unpaired T-test.Results: The resulf of this research showed that there is a significant difference between plasma GSH level of inorganic farmer and organic farmer p <0.05. The average plasma GSH level of inorganic farmersare lower than average plasma GSH levels of organic farmers. This result is caused by excessive pollutants of chemicals contained in the pesticide exposed inorganic farmers while the group of organic farmers used natural ingredients in the pesticide so it did not makes residues in the body of farmers.Conclusion: Based on this, it is advisable for farmers to be more wise to use chemical pesticides in accordance with established rules and better recommended to replace the use of chemical pesticides with organic pesticides.
The Analysis of Factors Affecting Unmet Need in Fertile Age Women in Sumberjambe District, Sumbersari, and Kaliwates Latifah Hanum; Ancah Caesarina Marchianti; Ristya Widi Endah Yani
Health Notions Vol 2, No 6 (2018): June
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn20617

Abstract

Unmet need family planning is a need for contraception that is not met. Fertile age women are said to be unmet need family planning if they wish to delay pregnancy or to terminate pregnancy for the next two years but not to use contraceptives. The purpose of this study was to analyze the influence of predisposing factors, enabling factors, and reinforcing factors in fertile couple women in Sumberjambe, Sumbersari and Kaliwates. The research design used was observational analytic with cross sectional research design. Samples taken in this study were 382 women of fertile couples age. The sampling technique used was multistage random sampling technique. Data anaysis used logistic regression. The results showed that there was influence of predisposing factor, enabling factor and reinforcing factor to contraception that was not fulfilled in fertile age women of knowledge with value of (p = 0.000), attitude with value of (p = 0.000), access service with value of (p = 0.000), quality of service with value of (p = 0.002), husband support with value of (p = 0.000), family panning officer support with value of (p = 0.000), and IEC treatment with value of (p = 0.000). Keywords: knowledge; attitude; social culture; service access; quality of service
The Topography and Physical Activity as Determinant Factor of Grade Hypertension in Patients with Primary Hypertension Krish Naufal Anugrah Robby; Ady Soesetijo; Ancah Caesarina Novi Marchianti
Health Notions Vol 2, No 3 (2018): March
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (219.836 KB) | DOI: 10.33846/hn.v2i3.142

Abstract

Primary hypertension is a causing factor of cardiovascular disease mortality. Patient with primary hypertension having high grade hypertension will cause various dangerous diseases if it is not performed further countermeasures. Consequently, it is necessary to prevent the increase of grade hypertension or blood pressure by analyzing grade hypertension risk factor. This study was quantitative research with cross sectional design method. The samples in this study were 346 respondents taken by consecutive sampling. Partial Least Square (PLS) with SmartPLS (v. 3.2.7) application software was used as to analyze the data. Results shows that there is a physical activity effect on grade hypertension, with the value of path coefficient by -0.564 of t statistic 16.48 (t statistic > t table significance by 1.96). Based on the result of the study, there is a topography effect on grade hypertension, with the value of path coefficient by 0.412 of t statistic 8.690 (t statistic > t table significance by 1.96). Physical activity affects grade hypertension. The better the physical activity, the better the way to prevent a blood pressure increase mainly systolic blood pressure. The high topography can lead to increase grade hypertension in the primary hypertension patient, therefore, lifestyle and topographic effect should also be considered for people with primary hypertension mainly for non-native people who have not experienced acclimatization. Keywords: Primary hypertension, Topography, Physical activity, Grade hypertension
Co-Authors ACHMAD JAELANI RUSDI Adistha Eka Noveyani Ady Soesetijo Aini Hidayati Al Munawir Ali Santosa Angga Mardro Raharjo Anita Margaret Wibisono Annisa Citra Herrastri Hertanto Arini Farihatul Hanesya Aristha Dwi Wirapraja Bambang Piluharto Candra Bumi Daniyah, Robiatud Deltaningtyas Tri Cahyaningrum Dewi Rokhmah Dianasari, Erni Dina Faizatur Rahmah Dion Krismashogi Dharmawan Dwita Aryadina Rachmawati Elly Nurus Sakinah, Elly Nurus Endang Sri Purwanti Wulandari Erma Sulistyaningsih Erni Dianasari Fihris Maulidiah Suhma FX Ady Soesetijo, FX Ady Fx.Ady Soesetyo Gema Akbar Wakhidana Hadi Prayitno Hadi Prayitno, Hadi Harwiyandi Ningsih Heni Fatmawati Ida Srisurani Wiji Astuti Imam Adi Nugroho Insani, Ain Yuanita Isa Marufi Isa Ma’rufi Iswahyono Iswahyono Khamid, M Nur Khrisna Agung Cendekiawan Krish Naufal Anugrah Robby Krish Naufal Anugrah Robby Kurnia Putra, Prayoga Triyadi Latifah Hanum Luh Putu Ratna Sundari M. Nur Khamid Marufi, Isa Mayang Sari Eka Sriwahyuningsih Mohammad Henri Wahyono Muhammad Hasan Naning Retnowati Nurud Diniyah Pipiet Wulandari R. Abdoel Djamali R. Sapto Hendri Boedi Soesatyo Rini Riyanti Riska Rian Fauziah Ristya Widi Endah Yani Robby, Krish Naufal Anugrah Robiatud Daniyah Rony Prasetyo Rudi Wibowo Rudi Wibowo Saiful Bukhori Sebastiana Viphindrartin Selma Naf’an Sabila septa surya wahyudi, septa surya Sri Hernawati Sugeng Winarso Viphindrartin, Sebastiana Wildanny Nur Maulinda Wildanny Nur Maulinda Wirapraja, Aristha Dwi Wulandari Wulandari Wuri Ayu Wirdhani Wydi Ulfa Pradini Y A Triana Ohoiwutun Yuli Hermansyah Yulistiana Yulistiana