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RISK FACTOR OF GREEN TOBACCO SICKNESS (GTS) AT THE CHILDREN ON TOBACCO PLANTATION Dewi Rokhmah; Khoiron Khoiron
UNEJ e-Proceeding 2016: Proceeding The 1st International Basic Science Conference
Publisher : UPT Penerbitan Universitas Jember

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Abstract

Tobacco farmers are at risk of developing occupational diseases associated with exposure to pesticides and absoption of wet tobacco leaves nicotine through the skin that is called Green Tobacco Sickness (GTS). In 2013 the result of the research showed that 66% of tobacco farmers had GTS symptom. And the continuing research at 2014 showed that 79,2% of tobacco farmer had cotinine degree on the blood was 13,64 mg/ml (more than normal standard) means at GTS symptom. Besides that, the result of observation by researcher showed that there were a lot of children was involved in tobacco plantation in Jember Regency. This research aimed to anayze the risk factor of GTS symptom at children on tobacco plantation, consist of : individual characteristic factors (age, gender, education, connection with the owner of tobacco plantation, period being tobacco farmer) and behaviour factors (knowledge, attitudes, and actions towards GTS), and environmental factors (Humidity, rainy, geographic condition, and irrigation). This study used an analytical approach with survey method and using cross-sectional design, to analyze the dinamic corelation between risk factors with the effects, with observation approach or collecting the data in point time approach. This study was conducted at 120 tobacco farmer from 2 districts in Jember regency which is a center of tobacco production in September to December 2014. Data was Collected by interview with quitionare and observation to the children that working in tobacco plantation. Data were analyzed by descriptive statistic. The results showed that there was 2,5% of children than involved in tobacco plantation. Most of them were male. They aged was 15-18 years old, graduated from elentary, junior and senior high school. The salary was less than one million in a month, and working in fobacco plantation more than 10 years and having smoking habit. They used save protection tools (glooves, long dress, eye protection) rarely. A few of them did not higiene personal after working in tobacco plantation. Although they ever got GTS symptom (nausea, dizzy, faint, difficul to breath, sleeping disturbance). It is needed a socialization in groups of tobacco farmers about the prohibition to involve children in tobacco plantation and the the prevention of GTS symptoms in children through behavioral approach by means of a shower and change clothes after working in the tobacco plantation, and the use of waterproof clothing, gloves and boots.
IMPLIKASI MOBILITAS PENDUDUK DAN GAYA HIDUP SEKSUAL TERHADAP PENULARAN HIV/AIDS Rokhmah, Dewi
Jurnal Kesehatan Masyarakat Vol 9, No 2 (2014)
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

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Tersedianya sarana transportasi dan komunikasi modern mengakibatkan terjadinya revolusi mobilitas penduduk. Masalah penelitian adalah bagaimana implikasi dari mobilitas penduduk dan gaya hidup seksual terhadap peyebaran HIV/AIDS di Kabupaten Jember. Tujuan penelitian untuk menganalisis implikasi dari mobilitas penduduk dan gaya hidup seksual terhadap peyebaran HIV/AIDS. Metode penelitian dengan mixmethod kuantitatif dan kualitatif, menggunakan sumber data sekunder dengan telaah dokumen serta melalui indept interview pada petugas LSM yang bergerak di bidang penanggulangan HIV/AIDS di kabupaten Jember. Hasil penelitian menunjukkan bahwa saat ini banyak penduduk yang melakukan mobilitas vertikal dengan meninggalkan pekerjaan sebagai petani untuk menjadi buruh pabrik atau pekerjaan lain di daerah perkotaan. Hal ini memungkinkan penduduk laki-laki yang melakukan seks pra nikah atau di luar nikah dengan wanita penjaja seks, sedangkan dari penduduk wanita yang melakukan mobilisasi ke kota dihadapkan pada kondisi ”survival sex” karena tidak memiliki ketrampilan dan pendidikan yang memadai. Saat ini di Kabupaten Jember telah teridentifikasi lokalisasi ilegal yang berjumlah 15 titik dan jumlah penderita HIV/AIDS meningkat setiap tahun. Simpulan penelitian, mobilitas penduduk dan gaya hidup seksual berimplikasi terhadap peyebaran HIV/AIDS. The availability of modern transportation and communication caused revolution population mobility. Research problem was how the implications of population mobility and sexual lifestyles to HIV/AIDS transmission in Jember. Research purpose was to analyze the implications of population mobility and sexual lifestyles to HIV/AIDS transmission. Mixmethod research with quantitative and qualitative, using secondary data sources to examine documents and through indept interview on NGO of HIV/AIDS field personnel in Jember district. The results showed that many current residents who do vertical mobility with change from farmers to factory worker or other work in urban areas. This allows the men who have sex before marriage or have sex with female sex workers, while the women who mobilized to the town faced with “survival sex “ because they do not have adequate skills and education. Currently in Jember has identified illegal localization totaling 15 points and the number of people with HIV/AIDS is increasing every year. The conclusions, population mobility and sexual lifestyle have implications with HIV/AIDS transmission.
Pengaruh Faktor Predisposing terhadap Perilaku Ketepatan Pengisian Kode Penyakit Rawat Inap Pada Klaim JKN (Di Era Vedika (Verifikasi Di Kantor) Rumah Sakit Daerah Lumajang Nanda Prima; Al Munawir; Dewi Rokhmah
Jurnal MID-Z (MIDWIFERI ZIGOT) Vol 4 No 1 (2021): MAY
Publisher : Universitas Islam Jember

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Pengajuan klaim pembiayaan pelayanan kesehatan oleh fasilitas kesehatan kepada BPJS Kesehatan diberikan jangka waktu paling lambat 6 bulan sejak pelayanan kesehatan selesai diberikan dan terdapat pengecualian pada beberapa hal. Mengingat pentingnya peran koder dalam melakukan ketepatan pengisian koding penyakit pada e-klaim, maka peneliti bermaksud melakukan penelitian untuk menelusuri determinan perilaku ketepatan pengisian kode penyakit yang dihasilkan koder rawat inap serta melihat faktor predisposing yang mempengaruhinya.Penelitian menggunkan desain penelitian deskriptif dengan pendekatan kualitatif. Metode pengumpulan data yang dilakukan pada penelitian ini yaitu dengan wawancara mendalam, dokumentasi dan Observasi, dengan jumlah informan sebanyak 5 informan. Informan utama pada penelitian ini adalah Koder berjumlah 2 orang dan verifikator Internal yang berjumlah 3 orang. Hasil analisis Faktor Predisposing berdasarkan segi pengetahuan, dalam hal ini koder memahami tentang klaim pending dan tidak hanya sekedar tahu terhadap klaim pending, koder dapat menyebutkan penyebab terjadinya klaim pending secara detail. Berdasarkan segi sikap, lebih ke kurang setuju dalam hal menerima klaim pending karena petugas harus meluangkan waktunya untuk mengerjakan berkas pending tersebut kembali namun petugas tetap bertanggung jawab (responsible). Dalam mengisian kode pada apliksi e-klaim tentu perlu diperhatikannya tanda pada kode penyakit. Vedika merupakan sistem yang dikembangkan oleh BPJS Kesehatan untuk mempercepat proses verifikasi klaim. Koder memahami tentang baik dalam hal klaim pending, pemberian kode icd 10 sehingga mempermudah dalam diagnosa. Adanya kode kombinasi juga akan mempengaruhi entry tata letak diagnosa utama dan sekunder pada e-klaim. Kata kunci: Perilaku; Pengisian Kode Penyakit; VEDIKA; Faktor Predisposing
URGENSI PERUBAHAN IMPLEMENTASI KEBIJAKAN DALAM MENURUNKAN IMS, HIV DAN AIDS PADA KOMUNITAS LSL DI KABUPATEN JEMBER Dewi Rokhmah; Khoiron Khoiron
Media Kesehatan Masyarakat Indonesia Vol. 11 No. 4: DESEMBER 2015
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (239.682 KB) | DOI: 10.30597/mkmi.v11i4.524

Abstract

Program penanggulangan AIDS populasi LSL selama ini telah menerapkan berbagai metode untuk merubah perilaku yang berisiko tinggi. Namun prevalensi HIV pada populasi LSL tetap saja naik. Penelitian ini bertujuan untuk menganalisis urgensi perubahan Stategi Kebijakan dalam MenurunkanIMS dan HIV dan AIDS pada Komunitas LSL Di Kabupaten Jember. Penelitian ini merupakan penelitian gabungan antara kuantitatif secara survei analitik dengan kualitatif melalui indept interview. Survei dilakukan melalui purposive sampling pada 89 LSL, kemudian data dianalisa menggunakan regeresi logistic. Data kualitatif dianalisis secara tematic content analysis. Hasil penelitian menunjukkan bahwa pendekatan Program PMTS melalui sosialisasi save sex pada komunitas LSL tidak efektif dalam menurunkan prevalensi IMS dan HIV dan AIDS. Terbukti penemuan kasus baru pada komunitas LSL cenderung naik baik dari sisi jumlah maupun usia yang semakin muda. Hal ini diperburuk dengan hasil indepth interview yang menunjukkan berbagai kendala dalam melalukan sosialisai safe sex pada komunitas LSL, yaitu alasan kenikmatan dan kenyamanan seksual, sehingga perilaku berisiko seperti bergonta ganti pasangan tanpa kondom masih banyak terjadi. Jadi pendekatan kebijakan safe sex melalui program PMTS tidak efektif menurunkan prevalensi IMS, HIV dan AIDS pada komunitas LSL di Kabupaten Jember.
PROSES SOSIALISASI LAKI-LAKI SUKA SEKS DENGAN LAKI-LAKI (LSL) PADA KALANGAN REMAJA DI KABUPATEN JEMBER Rokhmah, Dewi; Nafikadini, Iken; Luthviatin, Novia; Istiaji, Erdi
IKESMA Vol 8, No 2 (2012)
Publisher : FKM - UNEJ

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Abstract

The Men who like Sex with Men (MSM) is a minority in heterosexual society. The Young MSM community always close their identity in the society becuse they need self actuality as homosexual in the heterosexuaal society. This will have an impact on their lack of information and knowledge about reproductive health. The purpose of this study was to analyze the process of socialization among young MSM and its effects on adolescent reproductive health, which includes socialization in the family, at school (college), in the MSM community and the general public. This research used qualitative methode with phenomenological approach. Data was collected by means of indepth interviews to the youth MSM attain the age of 17-23 old years in Jember District. Based on the results of research indicate that most of the MSM is difficult to communicate and interact socially in the family, school (college) and in the society. Therefore they were not being themself. When they did socialization in heterosexual society, they would follow the norms and rules that exist in society. Howefer when they did socialization in MSM community, they feel comfortable and could be himself. Because MSM always got isolated from society, they make community in order toreceive emotional support and getting acceptance (cohesive) from society. Howefer this condition can not solve their isolated feelings.Therefore the difficult problems getting proper information about reproductive health.Therefore, they become vulnerable to infection of Sexual Transmited Diseases and HIV/AIDS.
HUBUNGAN ANTARA SIKAP REMAJA DAN PERAN GURU BIMBINGAN KONSELING DENGAN UPAYA TINDAKAN PREVENTIF HIV/AIDS PADA REMAJA Luthviatin, Novia; Rokhmah, Dewi; Septyanarindri, Syahvira
IKESMA Vol 8, No 1 (2012)
Publisher : FKM - UNEJ

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This research objectives are to identify and analyze the relationship between attitudes and the role of guidance counseling teacher with effort of preventing HIV/AIDS in adolescents. The research design is analytical and based on the time of the survey used a cross sectional approach. The number of samples used is 88 samples taken by proportional stratified  random sampling technique. Sampling  of this research with questionnaires and documentation techniques. Data were analyzed by using Spearman Rank test statistics with 5% signification level. The results showed that there was a significant relationship between the attitude of HIV/AIDS prevention efforts in adolescents with HIV/AIDS in adolescents with p value = 0.029. There was also a significant relationship between the counseling  teachers role with the preventive efforts of HIV/AIDS in adolescents with p value = 0.042. Based on these results, it is expected that the guidance and counseling teachers to enhance their roles in guiding the teenagers in particular to form a social behavior of adolescents in order to avoid various problems that may result in the association teens today. Keywords  : Attitude, Counseling Teacher’s Role, Effort of Preventing HIV/AIDS in Adolescents
STIGMA DAN PROSES SOSIALISASI WARIA SERTA DAMPAKNYA PADA PENINGKATAN RISIKO PENULARAN IMS DAN HIV/AIDS Gani, Husni Abdul; Rokhmah, Dewi
IKESMA Vol 7, No 2 (2011)
Publisher : FKM - UNEJ

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Being a transvestites  is assumed  as deviate behaviour by our society. It is severed with negative stigmatization  as bad    image, dirty, criminal, and having  deviate  sexual orientation, cause this group of people have more risky toward psychological and sexual impact in transmision of STD    and HIV/AIDS. Sosialization proces is needed by transvestitesgeting acceptance in social environment, because transvestites  could not separate from social context. This study aims to analyze the stigmatization  and sosialization process toward transvestites and its impact for the increasing of transmission risk from   STD and HIV/AIDS.It was a qualitative study involved informants aged 25-54  with purposive sampling  in Semarang city. Data  was collected by indepht interview and they’re analyzed by thematic content analysis. The result of this study showed that stigmatization to transvestites was derived from public  society and religius community.  This  rejection  impacts at sosialization    process in family, work place  and society.  Because  our society  assume transvestites identical with deviate behaviour from the norm, and having tranvestites as the family member means ignominy. Consequently they choose as a urbant people.  It cause the increasing of transmission risk on STD and HIV/AIDS.  There are no obstacle in sosialization process with other transvestites  in cebongan. Cebongan is the place they can express themself without rejection from   others. So they can be received as normal individual.  Society is expected accepting  them as a part of their live, with involved them include transvestites with HIV/AIDS in society activity.Key words : Transvestites, stigmatization, sosialization process, STD and HIV/AIDS
GAYA HIDUP SEKSUAL WARIA NON PEKERJA SEKS KOMERSIAL KOTA SEMARANG Rokhmah, Dewi; Herawati, Yennike Tri
IKESMA Vol 6, No 2 (2010)
Publisher : FKM - UNEJ

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Abstract

Being transvestites is not merely bringing a biological problems, but also psychological and sociological. Most transvestites were having a low self concept due to their confusion on their sexual identity. The ambiguity place them isolated from community. Social pressure forms stigmatization and discrimination toward thisgroup of people, which lead them to have more risky sexual practice. This study aims to analize the sexual life style of non-commercial transvestites in Semarang. It was a qualitative study involved informants aged 25-54. Most of them reconstruct their face and body in order to maximize their sexual appeal as a female. Most of respondents were having steady single or married partner. However, the status was not limiting them to have sexual relationship with others. Less respondent found their partner from chatting, hang-out in a hot spot (cebongan), and using gigolos services. All the respondents only needed a few of time to finally engage in sexual intercourse with their partner. First sight, first date and sexual intercourse were occurred in a quick encounter. The reasons of having sexual intercourse (anal and or oral sex) were to show their love to their partner and just for fun. They were mostly prefer anal or oral sex, however, some of them also practicing petting with “es gosrok” style of commonly called clamping style. Although most of them negotiate with their partner to use condom, there were some of them were not because they did not practicing penetration anal sex. Keywords : transvestites, non-commercial, sexual lifestyle, sexual script
PENGETAHUAN DAN SIKAP ODHA (ORANG DENGAN HIV DAN AIDS) TENTANG HIV DAN AIDS DAN PENCEGAHANNYA Rokhmah, Dewi; Khoiron, Khoiron
IKESMA Vol 9, No 2 (2013)
Publisher : FKM - UNEJ

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AIDS is spreading both in numbers and geographic area, it is revewed as a major public health threat and stategies are underway to increase AIDS awareness and knowledge among general public include from PLHA.In Indonesia, HIV/AIDS programmes still less in PLHA included, because of stigma and discrimination in society.Included PLHA in intervention planning, is the efective strategy in reducing stigma and discrimination and increasing commitment to change policy and supporting environment in HIV/AIDS programmes. The aims of this research is analizing knowledge and attitudes of PLHA about HIV/AIDS and its prevention.Thisresearch used descriptivemethod. The population is PLHA in Banyuwangi Regency, and affordable target is PLHA who visit and get service in VCT of Genteng Hospital in Juni-July 2012. Sample is collected with consecuttve sampling to all subject compleded collection criteria. Collected data was analyzed descriptively with table and naration.This research showed  that the amount of respondents was men, aged more than 30years, have married, and graduated from senior and junior high shcool, and as PLHA  since 1-5 years, with risk factors from heterosex without condom, IDU, infant from the mother and homosex (gay/lesbian).All of respondents have high knowledge about HIV/AIDS and its prevention efforts, consist of meaning, causes, transmission, prevention and terapy of HIV/AIDS. The numbers of respondents have positive attitudes towards HIV/AIDS and its prevention efforts, showed by statement supported to prevention behaviour of HIV/AIDS, specifically: faith to one partner, use condoms in sexual intercourse, check to health provider, and HIV/AIDS can spread and cause death.The increasing of knowledge and attitudes about HIV/AIDS of PLHA and society is needed as involvement at HIV/AIDS prevention programme by behaviour change from risk to healthy behaviour in order to reduce stigma and discrimination in PLHA. Keywords : Attitudes, Knowledge, PLHA, HIV & AIDS
Outlining Gay's Right to Health in Jember, Indonesia: Challenges and Opportunities Dewi Rokhmah; Khoiron Khoiron; Ristya Widi Endah Yani
Lentera Hukum Vol 7 No 2 (2020): LENTERA HUKUM
Publisher : University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ejlh.v7i2.17361

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Increased HIV prevalence in gay populations is a warning that needs to get government attention. AIDS prevention programs in gay populations have been implementing various methods to change high-risk behavior. However, HIV prevalence in gay populations continues to rise. The Indonesian Constitution affirms human rights, including the right to life, the right against discrimination, and other fundamental rights protected by the state. The research results showed that the fulfillment of the right to health in gay is not going well or less effective. It was evidenced by the percentage of gay that reaches out to health services was still limited. Gays were reluctant to access health services because of the lack of confidentiality and privacy of the services of health workers, the general public, and the limited facilities. Besides, stigma and discrimination are still often received both from health workers and families and communities. They worried other gays would know the result of the test of VCT. There is a need for standardization of services at all subdistrict health centers and hospitals providing VCT services for gay in Jember. KEYWORDS: Constitutional Rights, Human Rights, the Right to Health.