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Public Health Perspective Journal
ISSN : 25285998     EISSN : 25407945     DOI : -
Core Subject : Health,
Public Health Perspective Journal publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health. It is aimed at all public health practitioners and researchers and those who manage and deliver public health services and systems. It will also be of interest to anyone involved in provision of public health programmes, the care of populations or communities and those who contribute to public health systems in any way.
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PELAYANAN KESEHATAN MATERNAL DALAM AKSELERASI PENURUNAN MATERNAL MORTALITY Hidayah, Luluk; Kasmini Handayani, Oktia Woro; Indriyanti, Dyah Rini
Public Health Perspective Journal Vol 1, No 1 (2016)
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Maternal mortality merupakan indicator utama kesehatan. Maternal mortality di Indonesia masih jauh dari target MDGs tahun 2015, yaitu 102/100.000 KH. Pelayanan kesehatan berkelanjutan merupakan pendekatan penting untuk mengurangi kematian ibu. Tujuan penelitian untuk menganalisis pelayanan kesehatan maternal dalam akselerasi penurunan maternal mortality di Wilayah Kerja Puskesmas Karanganyar II. Jenis penelitian kualitatif, difokuskan pada pelayanan kehamilan, persalinan dan nifas. Informan penelitian ditentukan dengan teknikpurposive sampling dan snowball sampling. Teknik pengambilan data dengan wawancara mendalam. Analisis data dilakukan secara deskriptif dan disajikan dalam bentuk narasi. Aspek input pelayanan kesehatan maternal meliputi SDM, sumberdana, sarana prasarana, dan SOP tersediadenganbaik. Proses pelayanan kesehatan maternal sudah sesuai standar pelayanan kebidanan, namun output belum optimal karena ada kesenjangan antara cakupan K1 dan K4. Supervisi, bimbingan teknis, monitoring dan evaluasi pelayanan kesehatan maternal dilakukan secara rutin oleh bidan koordinator. Perlu optimalisasi kemitraan dengan berbagai pihak dalam upaya akselerasi penurunan maternal mortality.Maternal mortality is a key indicator of health. Maternal mortality in Indonesia is still far from the target of the Millennium Development Goals by 2015, that is 102/100.000 live birth. Sustainable health care is an important approach to reducing maternal deaths. Purpose of the research was to analyzed the maternal health services to acceleration of decline maternal mortality in Public Health Center of Karanganyar II. The research was a qualitative study, was focused on pregnancy, delivery and post-partum. Informant determined by purposive sampling and snowball sampling technique. Data collection technique was in-depth interviews. Data analysis was done descriptively and presented in narrative form. Aspects input of maternal health services include human resources, financial resources, infrastructure, and standard operating procedure have provided well. Maternal health care process has been standardized midwifery services, but the output was not optimal because there was a gap between K1 and K4 coverage. Supervision, technical guidance, monitoring and evaluation of maternal health services has been done routinely by the coordinator of the midwife. Need to optimize partnerships with various parties in an effort to accelerate a decrease in maternal mortality.
PERBANDINGAN PROGRAM PELAYANAN KRR OLEH PUSKESMAS YANG DI WILAYAH KERJANYA TERDAPAT LOKALISASI DAN YANG TIDAK TERDAPAT LOKALISASI Falatansah, Lalan; Indarjo, Sofwan
Public Health Perspective Journal Vol 1, No 1 (2016)
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Puskesmas merupakan unit pelaksana teknis (UPT) yang bertanggung jawab menyelenggarakan pembangunan kesehatan di suatu wilayah kerja, termasuk memberikan pelayanan kesehatan reproduksi untuk para remaja. Penelitian ini menggunakan metode penelitian kualitatif dengan teknik pengambilan informan purposive sampling. Informan utama berjumlah 8 orang dan informan triangulasi berjumlah 6 orang. Teknik pengambilan data menggunakan teknik wawancara mendalam dan studi dokumentasi.Hasil penelitian ini adalah: Pertama, pelayanan kesehatan peduli remaja adalah program yang mendapat perhatian pemerintah melalui program PKPR. Kedua, pelaksanaan program pelayanan kesehatan reproduksi remaja berbeda-beda di setiap Puskesmas yang dipengaruhi oleh kendala yang dialami masing-masing Puskesmas. Ketiga, tidak ada perbedaan tanggung jawab antara Puskesmas yang di wilayah kerjanya terdapat lokalisasi dan Puskesmas yang di wilayah kerjanya tidak terdapat lokalisasi dalam hal pemberian layanan kesehatan reproduksi untuk para remaja.Health Center is a technical implementation unit (UPT) District Health Office / City held responsible for health development, including providing reproductive health services for adolescents. This study used a qualitative research method with purposive sampling technique. The main informants were 8 people and informants triangulation amounted to 6 people. Data collection techniques using in-depth interview techniques and documentation. Results of this research were: First, adolescent health care was a program that gets the attention of the government through PKPR program. Second, the implementation of the program of adolescent reproductive health services was different in every health center that was affected by the constraints experienced by each health center. Third, there was no distinction of responsibilities between health centers which in the area tehere was a localization and health centers in his region there was no localization in terms of providing reproductive health services for adolescents.
EVALUASI PELAKSANAAN KEGIATAN PREVENTIONOf MOTHER TO CHILD TRANSMISSION ( PMTCT ) PADA IBU HAMIL DI KOTA TANJUNGPINANG Yuriati, Putri; Kasmini Handayani, Oktia Woro; Rustiana, Eunike Raffy
Public Health Perspective Journal Vol 1, No 1 (2016)
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Berdasarkan data Dinas Kesehatan Tanjungpinang jumlah ibu hamil yang melakukan skrening HIV di Puskesmas se-kota Tanjungpinang tahun 2013 jumlah 6.697 orang, yang melakukan skrening HIV sebanyak 1977. Program PMTCT ini telah berjalan sejak tahun 2008, sehingga diperlukan penguatan program baikdariefisiensi, efektifitasdan lain-lain. Tujuan penelitian ini menjelaskan UntukmengevaluasiPelaksanaan Kegiatan PMTCT Pada Ibu Hamil di Puskesmas Kota Tanjungpinang.Jenis penelitian ini deskriptif dengan metode kualitatif. Pengumpulan data menggunakan wawancara mendalam pada informan utama Kepala puskesmas , Kepala KIA, Bidan, perawat, ibu hamil, dan informan triangulasi Kepala puskesmas, Bidan Pelaksana, dan Kepala P2PL Dinas Kesehatan Kota.Hasil penelitian dalam pelaksanaan kegiatan pelaksanaan PMTCT sudah baik, hal ini terlihat dari standar input ( jumlah tenaga sudah memenuhi, tenaga kesehatan sudah terampil, fasilitas memadai, peralatan terpenuhi namun belum terkalibrasi, sudah adanya kebijakan baik dalam bentuk SOP, SK ataupun protap), standar proses ( tahap persiapan sudah baik, namun dalam pengembangan staf perlu terprogram secara pasti, pengorganisasian perlu disusun, pelaksanaan sudah berjalan sesuai dengan prosedur yang ditetapkan, Standar output (cakupankunjungan ANC meningkat, serta penularan bayi dengan HIV kecil). Diharapkan Dinas Kesehatan mengalokasikan alat pemeriksaan yang telah terkalibrasi, serta dibuatkan jadwal untuk pengembangan staf, dan untuk puskesmas tersedianya struktur organisasi kegiatan.Based on the data from Public Health CenterTanjungpinang, the number of pregnant women who went through screenings for HIV in public health centers throughout Tanjungpinang in 2013 reached up to 6697 people, 1977 of them were screened for HIV. The PMTCT has been running since 2008, so it needs more reinforcement for this program in terms of efficiency, effectiveness, and so on. The purpose of this study was to evaluate the Implementation PMTCT On Pregnant Women in Public Health Centers in Tanjungpinang. This study is a descriptive study that adopts qualitative method. Data was collected using in-depth interviews on key informants; the head of the Public Health Center, the chief of KIA (Mother and Child healthcare), midwives, nurses, pregnant women, and the triangular informants; the head of the public health center, the executive midwife, and the chief of P2PL. The results showed the implementation of PMTCT activities was good, it can be seen from the input standard (the number of health workers that already met the standard, highly skilled health workers, adequate facilities, health equipments that met the standard, however, they were not well calibrated, they already had their policies in the form of either SOP or SK ), process standard (preparation was good, however, the staff development needs to be programmed more properly, the PMTCT activity organizing was already carried out, the implementation of PMTCT activities was already underway in accordance with the established procedures, while the Standard output (increasing ANC visit coverage, and the small number of infants infected with HIV). DKK needs to allocate calibrated health screening equipments and needs to program a schedule and Public Health Centers need to create a necessary organizational structure.
HUBUNGAN FAKTOR SOSIAL EKONOMI DENGAN KETERLAMBATAN DIAGNOSIS PENDERITA KANKER LEHER RAHIM DI RSUD KOTA SEMARANG Mukharomah, Kunthi Isti; Cahyati, Widya Hary
Public Health Perspective Journal Vol 1, No 1 (2016)
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Penderita kanker leher rahim di RSUD Kota Semarang terus meningkat. Peningkatan kasus diikuti dengan banyaknya pasien yang didiagnosis stadium lanjut. Faktor keterlambatan diagnosis kanker leher Rahim dipengaruhi factor social ekonomi. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara status pekerjaan dan tingkat penghasilan dengan keterlambatan diagnosis kanker leher rahim. Jenis penelitian ini adalah analitik observasional dengan pendekatan kasus kontrol. Total sampel 62, terdiridari 32 kasusdan 32 kontrol yang diperoleh dengan teknik acak sederhana. Analisis data dilakukan melalui 2 tahap yaitu analis isunivariat dengan deskriptif dan analisis bivariate dengan ujichi-square (?=0,05) dan menghitung nilai Odds Ratio (OR). Hasil penelitian menunjukkan bahwa factor tingkat penghasilan (p=0,001; OR=6,818) berhubungan dengan keterlambatan diagnosis kanker leher rahim. Saran bagi RSUD Kota Semarang adalah memberi dorongan kepada wanita usia subur untuk mendaftarkan diri dalam jaminan kesehatan agar dapat menggunakan pelayanan kesehatan dengan lebih murah atau tanpa biaya.Cervical cancer patients in SemarangCityHospital increased. That increased case was followed by most patient diagnosed with advanced stage of cervical cancer. Late diagnosis of cervical cancer was influenced by socio economic factor. The purpose of this research was to identify association between occupation and income level with late diagnosis of cervical cancer patient. This research was observational analytic with case control approach. Total sample was 64, consisted of 32 cases and 32 controls that were taken using simple random sampling technique. Data analysis used univariate analysis by descriptive and bivariate analysis by chi-square test (?=0,05) and calculated the Odds Ratio value (OR). Study result showed that income (p=0,001; OR=6,818) related with late diagnosis of cervical cancer patient. Recommendation for SemarangCityHospital was to advocate childbearing woman for registered at health insurance to order used the cheaper or free health care.
EFEKTIVITAS SMS BUNDA DIBANDING KELAS IBU BALITA TERHADAP PENINGKATAN PENGETAHUAN, SIKAP, PERILAKU Chikmah, Adevia Maulidya; Laksono, Budi; Yuniastuti, Ari
Public Health Perspective Journal Vol 1, No 1 (2016)
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Beberapa program dari pemerintah telah dilaksanakan namun Angka Kematian Balita masih tinggi. Kelas Ibu Balita (KIB) adalah program pemerintah sejak Tahun 2010, Namun pelaksanaan KIB di Kabupaten Tegal belum maksimal. Layanan pesan singkat (SMS) dinilai memiliki potensi untuk mempengaruhi perubahan perilaku seseorang dikarenakan efisiensi, biaya rendah, dan kemampuan untuk menyebarluaskan informasi kesehatan kepada populasi yang sulit dicapai sekalipun. Tujuan dari penelitian ini adalah Menganalisis Efektifitas SMS Bunda dibanding Kelas Ibu Balita Terhadap Pengetahuan, Sikap, dan Perilaku Ibu dalam Melakukan Parenting. Metode penelitian yang digunakan adalah Quasi Experiment pretest and posttest. Jumlah responden sebanyak 30 orang (15 orang kelompok SMS Bunda dan 15 Orang kelompok KIB). Analisis yang digunakan untuk membedakan pre dan post test pada masing-masing program adalah wilcoxon sedangkan untuk membandingkan kedua program menggunakan Man Whitney. Hasil penelitian menunjukkan bahwa peningkatan pengetahuan, sikap, dan perilaku ibu lebih efektif pada Program SMS Bunda di banding pada program Kelas Ibu Balita.Government programs have been implemented but still high. Parenting class is a government program since the year 2010, however the implementation of the Parenting Class in Tegal is not maximized. Short Message Service (SMS) is considered to have the potential to affect a person's behavior changes due to efficiency, low cost, and the ability to disseminate health information to the population inaccessible. The purpose of this study was to analyze SMS Program Effectiveness Mother SMS than Parenting Class Program to Knowledge, Attitudes, and Behavior Parenting. Researcher using experimental research methods research design Quasi Experiment prepost and posttest. Total respondents 30 people (15 people at SMS Mother and 15 People at Parenting Class). The analysis used by researchers to distinguish between pre and post test on each program is Wilcoxon while to compare the two programs using Man Whitney. The results showed that Mother SMS is more effective than Parenting Classes.
PENERAPAN HAK CUTI HAID PADA TENAGA KERJA PEREMPUAN DI PT. SINAR PANTJA DJAJA SEMARANG Nampira, Elyana Kartikawati; Wahyuningsih, Anik Setyo
Public Health Perspective Journal Vol 1, No 1 (2016)
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PT. Sinar Pantja Djaja Semarang adalah perusahaan nasional yang bergerak di bidang pemintalan benang, dengan jumlah tenaga kerja perempuan unit spinning I-V 1.422 orang. Penelitian ini bertujuan untuk mengetahui penerapan hak cuti haid pada tenaga kerja perempuan di PT. Sinar Pantja Djaja. Menggunakan jenis penelitian deskriptif kualitatif dengan rancangan studi kasus. Informan dalam penelitian ini berjumlah 7 orang. Hasil penelitian menunjukkan bahwa penerapan hak cuti haid di PT. Sinar Pantja Djaja Semarang sudah sesuai dengan Undang-Undang Ketenaga kerjaan No.13 Tahun 2003 Pasal 81 ayat 1 dan 2. Data dari poliklinik PT. Sinar Pantja Djaja pada bulan April 2014-Maret 2015, menunjukkan 82 orang nyeri saat haid atau dismenore. Dari 82 orang tersebut, 1 orang mengambil cuti haid, 2 orang dipulangkan atau izin sakit karenahaid, dan 79 orang diberi obat lalu bekerja kembali. Tenaga kerja perempuan mendapatkan uang premi haid sebesarRp. 5.000,- per bulan. Penerapan hak cuti haid berlaku untuk seluruh tenaga kerja perempuan tetap mau pun tidak tetap.PT. SinarPantjaDjaja Semarang was anationalcompanythat runs the business of yarn spinning, with the amount of spinning unit I-V female workers are about 1.422 people. The purpose of this research was to know the application of menstruation furlough right for female workers at PT. Sinar Pantja Djaja. Used the type of this research descriptive qualitative with the case study planning. The informants in this research are about 7 people. The result of research showed that the application of menstruation furlough right at PT. Sinar Pantja Djaja Semarang has fit the Employment Act 13 of 2003 Article 81 Verse 1 and 2. Data from the PT. Sinar Pantja Djaja polyclinic on April 2014 until March 2015, showed 82 people who felt pain when they got period or dysmenorrhea. From those 82 people, 1 worker took menstruation furlough, 2 workers were sent home or asked an excuse for being sick of getting period, and 79 workers were given medicines so that they could work again. The female workers got menstruation premihaid fund about Rp. 5.000,-/month. The application of menstruation furlough right was valid for all of full time and non-full time female workers.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN HIPERTENSI TIDAK TERKENDALI PADA PENDERITA YANG MELAKUKAN PEMERIKSAAN RUTIN Artiyaningrum, Budi; Azam, Mahalul
Public Health Perspective Journal Vol 1, No 1 (2016)
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Hipertensi tidak terkendali merupakan penyakit degenerative yang dapat menyebabkan kerusakan pembuluh darah, jantung, ginjal, otak dan mata. Tujuan penelitian ini untuk mengetahui faktor-faktor yang berhubungan dengan kejadian hipertensi tidak terkendali pada penderita yang melakukan pemeriksaan rutin di Puskesmas Kedung mundu Kota Semarang. Penelitian ini merupakan surveian alitik dengan pendekatan kasus kontrol, dan dilakukan kajian kualitatif dengan wawancara mendalam. Sampel berjumlah 88 responden, 44 kasusdan 44 kontrol diambil dengan car apurposive sampling. Analisis data dilakukan secara univariat danbivariat menggunakan ujichi square. Hasil penelitian didapatkan faktor yang berhubungan dengan kejadian hipertensi tidak terkendali yaitu umur (p=0,022;OR=2,956), status pasangan (p=0,001;OR=4,610), konsumsi garam (p=0,001;OR=4,173), konsumsi kopi (p=0,033;OR=2,528), stres (p=0,0001;OR=6,333), dan konsumsi obat anti hipertensi (p=0,010;OR=3,095). Faktor yang tidak berhubungan yaitu obesitas (p=0,280;OR=1,598), konsumsi alkohol (p=0,502;OR=1,579), merokok (p=0,265;OR=1,651), dan aktivitas olahraga (p=0,509;OR=1,338). Saran bagi masyarakat yaitu melakukan modifikasi gaya hidup dan menghindari factor risiko hipertensi tidak terkendali.Uncontrolled hypertension was a degenerative disease that can caused damage to blood vessels, heart, kidneys, brain and eyes. The purpose of this study was to identify factors that related with uncontrolled hypertention on check up patient in Kedungmundu health care center, Semarang. This study was an analytic survey with case-control approach, and conducted a qualitative study with in-depth interviews. Samples 88 respondents, 44 cases and 44 controls were taken by purposive sampling. Data analysis was performed using univariate and bivariate by chi square test. The result from this study showed that factors related with uncontrolled hypertension were age (p=0,022;OR=2,956), partner status (p=0 ,001;OR=4,610), consume of salt (p=0,001;OR=4,173), consume of coffee (p=0,033;OR=2,528), stress (p=0,0001;OR=6,333), and consume of antihypertension drug (p=0,010;OR=3,095). There were not significant related between obesity (p=0,280;OR=1,598), consume of alcohol (p=0,502;OR=1,579), smoking (p=0,265;OR=1,651), and exercise activity (p=0,509;OR=1,338). Recommendation for public to modify lifestyle and avoid risk factors of uncontrolled hypertension.
ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN TINGKAT KEPUASAN PASIEN RAWAT JALAN DI PUSKESMAS LAMPER TENGAH KECAMATAN SEMARANG SELATAN KOTA SEMARANG Mernawati, Defi; Zainafree, Intan
Public Health Perspective Journal Vol 1, No 1 (2016)
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Faktor utama penentu kepuasan pasien adalah persepsi pelanggan terhadap kualitas layanan kesehatan.Pendekatan kualitas jasa yang sering digunakan adalah model ServQual (Service Quality). Jenis penelitian adalah survey eksplanatory dengan pendekatan cross sectional. Teknik pengambilan sampela dalah accidental sampling, dan jumlah sampel 96. Hasil peneltian ini menunjukkan ada hubungan antara factor reliability (0,017<0,05), assurance (0,001<0,05), tangible (0,006<0,05), empathy (0,003<0,05) dan responsiveness (0,021<0,05) dengankepuasanpasien. Kesimpulan penelitian ini adalah adanya hubungan antara faktor (reliability, assurance, tangible, empathy, responsiveness) dengan kepuasan pasien rawat jalan Puskesmas Lamper Tengah Kota Semarang. Saran yang diberikan yaitu menambah fasilitas ruang tunggu dan media informasi, melakukan survey kepuasan pasien berkala.The determining factor for patients satisfaction was customer's perception of the quality of health services.Approach to service quality that is often used is the model ServQual (Service Quality).The type of this research was an explanatory survey with cross sectional approach. The techniques used in taking the sample was an accidental sampling, the number of sample was. The results of this research show that there was relation between the reliability factor (0.017 <0.05), assurance (0.001 <0.05), tangible (0.006 <0.05), empathy (0,003 <0.05) and responsiveness (0.021 <0.05) with patients satisfaction. The conclusion of this study was there was relationship between factors (reliability, assurance, tangible, empathy, responsiveness) and the satisfaction of outpatients of Lamper clinic. Advice given to adding the lounge facilities and media information, periodic survey of patients satisfaction should be conducted to maintain continous improvement.
FAKTOR RESIKO TERJADINYA SKIZOFRENIA(Studi Kasus di Wilayah Kerja Puskesmas Pati II) Wahyudi, Agung; Fibriana, Arulita Ika
Public Health Perspective Journal Vol 1, No 1 (2016)
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Skizofrenia merupakan penyakit gangguan jiwaberat berupa hilangnya kontak dengan kenyataan dan kesulitan membedakan hal yang nyata dengan yang tidak. Tujuan dari penelitian ini adalah untuk mengetahui faktor resiko terjadinya skizofrenia di wilayah kerja Puskesmas Pati II.Desain yang digunakan dalam penelitian ini adalah metode kasus kontrol dengan perbandingan sampel dan kontrol satu banding satu. Jumlah total sampel adalah 62. Instrumen yang digunakan dalam penelitian ini adalah rekam medik dan kuesioner. Analisis data dilakukan dengan cara univariat dan bivariat menggunakan uji chi square dengan nilai ? 0,05. Hasil dari penelitian ini didapatkan faktor-faktor resiko yang berhubungan dengan skizofrenia adalah jenis kelamin (p=0,002, OR=6,038), daerah tempat tinggal (p=0,042, OR=4,263), tipe kepribadian (p=0,000, OR=14,268), status perkawinan (p=0,010, OR=4,747), status pekerjaan (p=0,040, OR=3,385), status sosio-ekonomi (p= 0,035, OR=3,675), faktor pencetus (p=0,000, OR=23,143). Sedangkan faktor yang tidak berhubungan dengan kejadian skizofrenia adalah tingkat pendidikan (p=0,705, OR=1,886), dan faktor keturunan/genetika (p=0,772, OR=23,143).Simpulan, variabel yang memiliki pengaruh paling kuatterhadap terjadinya skizofrenia adalah factor pencetus. Saran, perlu menjaga komunikasi dengan anggota keluarga yang memiliki psikologis rentan seperti anggota keluarga yang memiliki kepribadian pendiam/introvert, keluarga atau saudara yang sedang mengalami konflik, trauma atau keluarga yang sedang bekerja di luardaerah.Schizophrenia is a heavy mental illness in the form reality lost contact and difficulty for distinguish the real thing. The purpose of this research was to find the the risk factors of schizophrenia at Puskesmas Pati II works area. The methods that used in this research was case control with comparison of cases and control one by one. The total amount of sample were 62. The instrument used in this research were medical record and questionnaires. Data analysis done by means of univariat and bivariat used the chi square test with value ? 0,05. The result of this research obtained risk factors associated with schizophrenia were the sex (p=0,002, OR=6,038), region where live (p=0,042, OR=4,263), personality type (p=0,000, OR=14,268), marital status (p = 0.010 , or = 4,747), employment status (p=0,040, OR=3,385), socio-economic status (p= 0,035, OR=3,675), trigger factors (p=0,000, OR=23,143. While factors thatnot associated with the occurrence of schizophrenia were education level (p=0,705, OR=1,886), and heredity/ genetics (p=0,772, OR=23,143). Conclusion, the variable that has a strong influence on the occurrence of schizophrenia is trigger factors. Suggestion, need to keep communication with family members that have psychological vulnerable as a family member who has introvert personality, family or relatives who was experienced a conflict, trauma or family that was working outside the region.
HUBUNGAN ANTARA FAKTOR PENJAMU (HOST) DANFAKTOR LINGKUNGAN (ENVIRONMENT) DENGAN KEJADIAN TUBERKULOSIS PARU KAMBUH (RELAPS)DI PUSKESMAS SE-KOTA SEMARANG Nurwanti, Nurwanti; Wahyono, Bambang
Public Health Perspective Journal Vol 1, No 1 (2016)
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Abstract

Tuberkulosis merupakan penyebab kematian nomor tiga terbesar setelah penyakit kardiovaskuler dan ISPA pada semua golongan umur. Data Dinas Kesehatan Kota Semarang menunjukkan puskesmas-puskesmas di wilayah Kota Semarang berturut-turut tahun 2012 (35 orang) dan 2013 (31 orang) selalu masuk peringkat tiga besar daerah dengan kasus kekambuhan tb paru tertinggi se-Jawa Tengah. Tujuan penelitian ini adalah untuk mengetahui faktor penjamu (host) dan faktor lingkungan (environment) yang berhubungan dengan kejadian tuberkulosis paru relaps di puskesmas se-Kota Semarang. Penelitian ini menggunakan pendekatan case control. Responden dalam penelitian ini adalah 16 orang penderita tb paru kambuh dan 16 orang penderita tb paru yang telah sembuh yang diperoleh dengan menggunakan teknik purposivesampling. Analisis data dilakukan secara analisis univariat dan bivariat dengan menggunakan uji chi square. Dari hasil penelitian dapat disimpulkan bahwa faktor penjamu dan faktor lingkungan yang berhubungan dengan tb paru kambuh yaitu ketaatan pengobatan sebelumnya (p=0,005; OR=13,00), jenis lantai (p=0,011; OR=11,667), dan jenis dinding (p=0,005; OR=13,00). Saran kepada masyarakat Kota Semarang untuk menambah informasi mengenai hal-hal yang berhubungan dengan tuberkulosis paru (penyebab, bahaya, dan cara pencegahan) sehingga dapat meminimalisir kemungkinan terjadi tuberkulosis paru, baik kasus kambuh maupun kasus baru.Tuberculosis is the third largest cause of death after cardiovascular and respiratory disease in all groups of age. The data of Semarang Health Department shows that health centers in Semarang territory from 2012 (35 people) until 2013 (31 people) has become the top three regions with the highest cases of pulmonary tuberculosis recurrence of Central Java. The purpose of this study was investigated the host and environmental factors associated with the incidence of pulmonary tuberculosis relapse in health centers of Semarang.This study used a case control approach. The Respondents were 16 patients with pulmonary tuberculosis recurrence and 16 patients who had been cured of pulmonary tuberculosis obtained bysimple purposive sampling technique.The data was analyzed using univariate and bivariate analysis based on chi square test. The results of this study could be concluded that host factors and environmental factors associated with pulmonary TB relapse that is obedience previous treatment (p = 0,005; OR = 13,00), type of floor (p = 0,011; OR = 11,667), and type of wall (p = 0,005; OR = 13,00).The suggestion of this study was Semarang societylearned more any information related to pulmonary tuberculosis (the cause, danger, and ways of prevention) to minimize the possibility of pulmonary tuberculosis, both cases of recurrence or new case.

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