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Jurnal Aisyah : Jurnal Ilmu Kesehatan

jika
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Published by Universitas Aisyah Pringsewu

ISSN : 25024825 EISSN : 25029495 DOI : 10.30604/jika

Core Subject : Health,

Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

Jurnal Aisyah: Jurnal Ilmu Kesehatan (JIKA), with registered number ISSN 2502-4825 (Print) and ISSN 2502-9495 (Online), is an international peer-reviewed journal published two times a year (June and December) by Universitas Aisyah Pringsewu (UAP) Lampung. JIKA is intended to be the journal for publishing articles reporting the results of research on Health Science field especially Nursing and Midwifery, as well as with their development through interdisciplinary and multidisciplinary approach. The submission process of the manuscript is open throughout the year. All submitted manuscripts will go through the blind peer review and editorial review before being granted with acceptance for publication.

Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)

Articles 81 Documents

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Search results for , issue "Vol 8, No 1: March 2023" : 81 Documents clear

The Voice of The Heart of Community Mental Health Lay educators: Between Honesty and Challenge Kusumawaty, Ira; Suzanna, Suzanna; Yunike, Yunike; Majid, Yudi Abdul
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

Mental health lay educators in the community as extensions of health workers in community health centers play an essential role in mental health programs because of the ease of reaching, close access, and understanding of the socio-cultural values of the community. However, the complexity of the problem of the performance of mental health lay educators who are shrouded in stigma has not been explored in depth, even though this fact has a tremendous impact on the recovery of the condition of people with mental disorders undergoing treatment at home. It is vital to conduct a study by exploring the experience of mental health lay educators while assisting the community in caring to increase the productivity of people with mental disorders. The purpose of this study was to identify the experiences of mental health lay educators while carrying out their duties in the community. This research is a qualitative study by applying a phenomenological empirical approach as well as direct interviews based on time agreements between researchers and informants and observing the activities of the cadres. Through the use of a purposive sampling technique, informants were gathered. The saturation of the study was obtained after conducting interviews with 6 participants. The data analysis process was carried out using the Haase adaptation of the Colaizzi method to analyze the transcripts. The data analysis revealed four themes: various sad stories on duty, beautiful and fun stories, strands of hope as mental health lay educators, and descriptions of reasons for lay educators to persist. It is hoped that this experience will become input for community mental health program holders to pay special attention to the holistic needs of health lay educators to display their optimal performance. Abstrak: Kader kesehatan jiwa di masyarakat sebagai perpanjangan tangan tenaga kesehatan di pusat kesehatan masyarakat berperan penting dalam program kesehatan jiwa, karena kemudahan menjangkau, akses kedekatan serta pemahaman nilai sosial budaya masyarakat. Namun demikian kompleksitas permasalahan kinerja kader kesehatan jiwa yang diselimuti stigma masih belum tereksplorasi secara mendalam, padahal fakta tersebut berdampak luar biasa bagi pemulihan kondisi orang dengan gangguan jiwa yang menjalani perawatan di rumah. Penting untuk dilakukan kajian dengan mengeksplorasi pengalaman kader kesehatan jiwa selama mendampingi komunitas dalam merawat sehingga dapat meningkatkan produktivitas orang dengan gangguan jiwa. Tujuan penelitian ini utuk mengidentifikasi pengalaman kader kesehatan jiwa selama melaksanakan tugas di masyarakat. Penelitian ini merupakan studi kualitatif dengan mengamplikasikan pendekatan fenomenologi empiris serta mewawancarai langsung berdasarkan kesepakatan waktu antara peneliti dengan informan serta mengobservasi aktivitas para kader. Informan direkrut melalui teknik purposive sampling. Satusasi penelitian diperoleh setelah melakukan wawancara terhadap 6 partisipan. Proses analisis data dilakukan menggunakan adaptasi Haase dari metode Colaizzi digunakan untuk menganalisis transkrip. Berdasarkan analisis data diperoleh empat tema yaitu berbagai cerita menyedihkan dalam bertugas, kisah indah dan menyenangkan, untaian harapan sebagai kader kesehatan jiwa, uraian alasan kader tetap bertahan. Diharapkan pengalaman ini menjadi masukan bagi pemegang program penanganan kesehatan jiwa komunitas untuk memperhatikan secara khusus terhadap kebutuhan holistik kader kesehatan agar dapat menampilkan kinerja optimalnya.

SIDIK SIAMA: An instrument for Risk Detection of Stunting Since Pregnancy Madiuw, Devita; Manuhutu, Feby; Sainafat, Adriana; Rehena, Zasendy; Leutualy, Vanny; Tasijawa, Fandro Armando; Tomasoa, Valensya Yeslin; Sopacua, Dian Thiofany; Herwawan, Joan Herly; Huwae, Arthur
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

Stunting problems need to be detected early so that the interventions given can reduce long-term effects. One of the reasonable periods to detect the risk of stunting is pregnancy. Ironically, there has not been an instrument to detect the risk of stunting since pregnancy. This study aims to develop and test the validity of an instrument for early detection of stunting risk since pregnancy (SIDIK SIAMA). Instrument development uses the seven stages of development from Roberth DeVellis (2017). A total of 20 women were involved in pre-testing, and 100 pregnant women were involved in instrument testing. Based on a literature search, 28 articles were used to construct the item pool and produce 10 items to be tested for validity and reliability. Content validity uses the content validity index (CVI) and construct validity used principal component analysis (PCA). Alpha Cronbach is used to test the reliability of the instrument. The validity test results showed that there were 9 valid and reliable items, with a CVI of 1 and a Measure of Sampling Adequacy (MSA) value of less than 0.5, and a Cronbach Alpha value of 0.682. Thus, the SIAMA SIDIK instrument has achieved good validity and reliability so that it can be used to detect the risk of stunting since pregnancy. Abstrak: Permasalahan stunting perlu dideteksi sejak dini, sehingga intervensi yang diberikan dapat mengurangi efek jangka panjang. Salah satu periode tepat untuk mendeteksi risiko stunting yaitu sejak kehamilan, ironisnya belum teridentifikasi instrumen untuk mendeteksi risiko stunting sejak masa kehamilan. Penelitian ini bertujuan untuk mengembangkan dan menguji validitas instrumen deteksi dini risiko stunting sejak kehamilan (SIDIK SIAMA). Pengembangan instrumen menggunakan tujuh tahapan pengembangan dari Roberth DeVellis (2017). Sebanyak 20 wanita terlibat dalam pre-testing dan 100 wanita hamil terlibat dalam pengujian instrumen. Berdasarkan pencarian literatur, 28 artikel digunakan untuk menyusun item pool dan menghasilkan 10 item untuk diuji validitas dan reliabilitas. Validitas isi menggunakan content validity index (CVI) dan validitas konstruk menggunakan principal component analysis (PCA). Alpha Cronbach digunakan untuk menguji reliabilitas instrumen. Hasil uji validitas menunjukan sebanyak 9 item valid dan reliabel, dengan CVI adalah 1 dan nilai Measure of Sampling Adequacy (MSA) kurang dari 0.5, serta nilai Cronbach Alpha adalah 0.682. Dengan demikian, instrumen SIDIK SIAMA telah mencapai validitas dan reliabilitas yang baik, sehingga dapat dipakai untuk mendeteksi risiko stunting sejak kehamilan.

The Effect of Foot Massage with Oil Aromatherapy on Hemodialysis Patients' Sleep Quality Siburian, Christine Handayani; Silaban, Nataria Yanti
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

Hemodialysis is a process of cleaning the blood outside the body that involves taking blood from a blood vessel with a dialyzer. Patients undergoing hemodialysis often experience a decrease in the quality of their sleep. Sleep quality can be improved by taking non-pharmacological measures, namely foot massage. Foot massage can be felt better with aromatherapy oil. This study aims to identify the effect of foot massage with aromatherapy oil on sleep quality in patients undergoing hemodialysis. This study is a quasi-experimental design with an equivalent control group. The sample is 64 selected using consecutive sampling. Data was collected using The Pittsburgh Sleep Quality Index. Data were analyzed by pair t-test and independent t-test. The results showed that there were differences in sleep quality in the intervention group after the action (t=4.34, p=0.000) and in the control group (t=3.31, p=0.002). The results also showed that there was a difference in sleep quality between the treatment group and the control group of patients undergoing hemodialysis (t=2.096, p=0.04). The conclusion is that there is an effect of foot massage with aromatherapy oil on sleep quality in patients undergoing hemodialysis. Suggestions for a foot massage with aromatherapy can be one of the non-pharmacological measures to help improve sleep quality in patients undergoing hemodialysis. Abstrak: Hemodialisis adalah proses pembersihan darah di luar tubuh yang melibatkan pengambilan darah dari pembuluh darah dengan dialyzer. Pasien yang menjalani hemodialisa sering mengalami penurunan pada kualitas tidurnya. Kualitas tidur dapat mengalami peningkatan dengan dilakukan tindakan non farmakologi yaitu foot massage. Foot massage dapat lebih dirasakan dengan adanya aromatherapy oil. Penelitian bertujuan untuk mengidentifikasi pengaruh foot massage dengan aromatherapy oil terhadap kualitas tidur pada pasien yang menjalani hemodialisa. Penelitian ini adalah kuasi eksperimen dengan desain equivalent control group. Sample adalah 64 dipilih dengan menggunakan consecutive sampling. Data dikumpulkan dengan The Pittsburgh SleepQuality Index. Data dianalisis dengan pair t-test dan independent t-test. Hasil didapatkan ada perbedaan kualitas tidur pada kelompok intervensi setelah dilakukan tindakan (t=4,34, p=0,000) dan pada kelompok kontrol (t=3,31, p=0,002). Hasil juga menunjukkan bahwa ada perbedaan kualitas tidur antara kelompok tindakan dan kelompok kontrol pasien yang menjalani hemodialisa (t= 2,096, p=0,04). Kesimpulan ada pengaruh foot massage dengan aromatherapy oil terhadap kualitas tidur pada pasien yang menjalani hemodialisa. Saran tindakan foot massage dengan aromatherapy dapat menjadi salah satu tindakan non-farmakologi untuk membantu meningkatkan kualitas tidur pada pasien yang menjalani hemodialisa.

Career anxiety and covid-19 phobia in students of the faculty of nursing of Universitas Padjadjaran Lumban Raja, Ofni Stephany; Mediawati, Ati Surya; Eriyani, Theresia; Komariah, Maria; Shalahuddin, Iwan
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

Covid-19 is a global pandemic that is still happening today, the spread of the virus affects aspects of education that are closely related to students. Nursing students are one of the individuals affected by Covid-19, especially professional students who are undergoing clinical practice education. Professional students can experience problems such as career anxiety and phobia of Covid-19 which can trigger career anxiety. This study aimed to discover the description of career anxiety and Covid-19 Phobia among professional students of class 41 and 42 of the Faculty of Nursing, Universitas Padjadjaran during the Covid-19 pandemic era. The design of this study is quantitative descriptive using hypothetical statistical data analysis and sampling technique using the total sampling (n=176). The instruments used in this study were Career Anxiety Scale (CAS) and Covid-19 Phobia Scale (C19P-S). The results showed that the description of career anxiety and Covid-19 Phobia among professional students of class 41 and 42 of the Faculty of Nursing, Universitas Padjadjaran during the Covid-19 pandemic era was in the moderate category (49.4%) and (55.1%). The conclusion in this study is professional students of class 41 and 42, experience career anxiety and Covid-19 Phobia in the moderate category. Therefore the results of this study may be used as advice for educational institutions to pay attention to students who experience career anxiety and Covid-19 Phobia and support students to reduce anxiety disorders by designing special programs such as counseling and career guidance.

Analysis of Individual Characteristics of Employee’s Performance at Regional Hospital dr. Soebandi Jember on the Case of BPJS Inpatient Pending Claim Putro Mudiono, Demiawan Rachmatta; Deharja, Atma; Selviyanti, Erna; Alamanda, Widha
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

JKN program is mandatory social health insurance for all Indonesian citizens. JKN claims are submitted every month by the hospital to reimburse the service fee that has been provided to its participants. Pending claims occur because the submitted claims still get confirmation from the Social Security Administrator for Health. In March–May 2021, 234 pending claims were found out of 1934 total submitted inpatient claims by RSD dr. Soebandi Jember. This incident cannot be separated from the performance of claim officers. According to Gibson's theory, performance could be influenced by individual variables. The purpose of this study is to analyze the determinants of inpatient pending claims based on individual characteristics. This research a qualitative using depth interviews, observation, and documentation. The result shows pending claims caused by an unmatched ability of coders and physicians in charge of the patients, the implementation of internal verification has not been maximized and different perceptions regarding claims regulation between coders and BPJS verifiers. To solve the problem, an in-charge officer for the completeness of medical records in each inpatient room is needed, implement one-stop administration system, increase the understanding and accuracy of coder, and communicating with BPJS to equalize claims regulation perceptions. Abstrak: Program JKN merupakan asuransi kesehatan sosial yang bersifat wajib bagi seluruh penduduk Indonesia. Klaim JKN ditagihkan setiap bulan oleh rumah sakit untuk mendapatkan pergantian biaya atas pelayanan yang telah diberikan kepada pesertanya. Pending klaim terjadi akibat klaim yang telah diajukan masih mendapat konfirmasi dari BPJS Kesehatan. Jumlah pending klaim rawat inap RSD dr. Soebandi Jember pada bulan Maret-Mei 2021 ditemukan sebanyak 234 klaim (12,23%) dari total pengajuan 1914 berkas. Kejadian pending tidak terlepas dari kinerja pegawai yang terlibat dalam pengajuan klaim. Kinerja menurut teori Gibson dapat dipengaruhi oleh variabel individu. Penelitian ini bertujuan untuk menganalisis determinan kejadian pending klaim BPJS rawat inap berdasarkan variabel karakteristik individu. Jenis penelitian yaitu kualitatif dengan teknik pengumpulan data wawancara mendalam, observasi, dan dokumentasi. Hasil penelitian determinan pending klaim rawat inap disebabkan adanya ketidaksesuaian kemampuan dan keterampilan petugas koding dan DPJP, pelaksanaan verifikasi internal belum maksimal, dan terdapat perbedaan persepsi terkait regulasi klaim antara koder dengan verifikator BPJS. Upaya perbaikan masalah tersebut yaitu perlunya penanggung jawab kelengkapan kuantitas pengisian rekam medis di setiap ruang rawat inap, penerapan sistem one stop administration, peningkatan pemahaman dan ketelitian petugas koding, melakukan komunikasi dengan BPJS untuk menyamakan persepsi regulasi klaim.

The Effectiveness of Giving Cognitive Behavior Therapy (CBT) and Mindfulness Therapy on Adolescents' Social Anxiety Levels Sukmawati, Yulia; Lestari, Retno; Wardhani, Viera
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

Social anxiety is a serious problem occurring in early adolescence characterized by a high level of worry, negative evaluation, and avoidance behavior in various social situations. The existence of fear, worry, and unconsciousness in recognizing negative thoughts that cause avoidance in adolescents with social anxiety problems can be overcome by providing CBT and Mindfulness therapy. This study aims to identify the effectiveness of Cognitive Behavior Therapy (CBT) and mindfulness therapy on adolescent social anxiety problems. this research is a research quasi-experimental pre-test post-test control group design. There were 40 participants in this study, namely 20 students in the control group and 20 students in the treatment group. The results obtained from this study were that there were differences in the effectiveness of giving CBT with a combination of CBT and mindfulness in adolescent social anxiety with a p-value of 0.002 (0.002 less than 0.05) which was marked by a decrease in the average score of social anxiety in the group given the CBT combination intervention and mindfulness were greater compared to adolescents who were only given CBT. So it can be concluded that the effectiveness of giving a combination of CBT and mindfulness is better than giving CBT to adolescents who experience social anxiety problems. Abstrak: Kecemasan sosial merupakan masalah serius terjadi pada usia remaja awal ditandai dengan tingkat kekhawatiran tinggi evaluasi negatif dan perilaku penghindaran dalam berbagai situasi sosial. Adanya ketakutan, kekhawatiran serta ketidak sadaran dalam mengenali pikiran negatif yang menyebabkan penghindaran pada remaja dengan masalah kecemasan sosial dapat diatasi dengan pemberian terapi CBT dan Mindfulness. Penelitian ini bertujuan untuk mengidentifikasi efektifitas pemberian Cognitive Behaviour Therapy (CBT) dan terapi mindfullness pada masalah kecemasan sosial remaja. Penelitian ini adalah penelitian quasi eksperimental pre-test post-test control group design. Terdapat 40 peserta dalam penelitian ini yaitu 20 siswa dalam kelompok kontrol dan 20 siswa dalam kelompok perlakuan. Hasil yang didapatkan dari penelitian ini adalah bahwa ada perbedaan efektifitas pemberian CBT dengan kombinasi CBT dan mindfulness terhadap kecemasan sosial remaja dengan nilai p-value 0.002 (0.002 kurang dari 0.05) yang ditandai dengan penurunan skor rata-rata kecemasan sosial pada kelompok yang diberikan intervensi kombinasi CBT dan mindfulness lebih besar dibandingkan dengan remaja yang hanya diberikan CBT saja. Sehingga dapat disimpulkan bahwa efektifitas pemberian kombinasi CBT dan mindfulness lebih baik dibandingkan dengan pemberian CBT pada remaja yang mengalami masalah kecemasan sosial.

Self-Efficacy For Quality of Life For Ischemic Heart Disease Patients: A Systematic Review Kristinawati, Beti; Rosyid, Fahrun Nur; Rizkiawan, Ardhu; Handika, Bintang Viga; Mardana, Nyofan Wahyu
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

Self-Efficacy is a variable that can influence Quality of Life (QoL). Individuals with high self-efficacy will be self-motivated and confident in their ability to engage in healthy lifestyle habits that lower potential risks for ischemic heart disease. This systematic review proposed to assess the research results on how self-efficacy impacts patients' ischemic heart disease (IHD) quality of life. This Systematic Review was conducted on seven articles found in databases online from PubMed, ScienceDirect, Proquest, Scopus, Crossref, Springer, and Google Scholar. Good self-efficacy shows better healthy behavior when compared to respondents with low self-efficacy. Patients with high self-efficacy will adopt healthy behavior patterns, and their quality of life will also be satisfactory. Self-efficacy preservation increases the quality of life of heart disease patients, especially those with conditions that require lengthy therapy, such as ischemic heart disease. The findings contribute to a thorough understanding of the influences of self-efficacy and have implications for enhancing elderly cardiac patients' quality of life.Abstrak: Efikasi Diri merupakan variabel yang dapat mempengaruhi Quality of Life (QoL). Individu dengan efikasi diri yang tinggi akan memiliki motivasi diri dan percaya diri dalam kemampuannya untuk melakukan kebiasaan gaya hidup sehat yang menurunkan potensi risiko penyakit jantung iskemik. Tinjauan sistematis ini diusulkan untuk menilai hasil penelitian tentang bagaimana efikasi diri berdampak pada kualitas hidup pasien penyakit jantung iskemik. Tinjauan Sistematis ini dilakukan pada tujuh artikel yang ditemukan di database online dari PubMed, ScienceDirect, Proquest, Scopus, Crossref, Springer, dan Google Scholar. Self-efficacy yang baik menunjukkan perilaku sehat yang lebih baik jika dibandingkan dengan responden dengan self-efficacy yang rendah. Pasien dengan efikasi diri yang tinggi akan mengadopsi pola perilaku yang sehat, dan kualitas hidupnya juga akan memuaskan. Pelestarian efikasi diri meningkatkan kualitas hidup pasien penyakit jantung, terutama yang memiliki kondisi yang memerlukan terapi jangka panjang, seperti penyakit jantung iskemik. Temuan ini berkontribusi pada pemahaman menyeluruh tentang pengaruh efikasi diri dan memiliki implikasi untuk meningkatkan kualitas hidup pasien jantung lanjut usia.

Costs and Impacts of Utilizing National Health Insurance Reducing the Economic Burden of Hypertension Patients Solida, Adila; Noerjoedianto, Dwi; Mekarisce, Arnild Augina; Subandi, Andi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

The prevalence of hypertension ranks as the highest incidence of disease in Jambi Province in the last 5 years. The cost of treatment and management of hypertension that must be borne by the community is relatively high. The existence of a cost reduction from the National Health Insurance (JKN) program is expected to reduce the economic burden caused. This study aims to analyze the difference in the average costs due to hypertension between patients who use JKN and patients who pay out of pocket in Jambi City. A Study based on economic evaluation with a quantitative approach, was conducted in Jambi City in 2022. There were 165 respondents selected by purposive sampling technique. The study instrument was in the form of a questionnaire. Data processing using statistical software with descriptive statistical analysis stage and bivariate T-test analysis. The results of the study showed that there were differences in the average direct medical costs (p = 0.000), direct non-medical costs (p = 0.034), and the total costs due to hypertension (p = 0.018) between patients who used JKN and patients who pay out of pocket. The conclusion of the study is that the difference in the average costs incurred by hypertension sufferers who utilize JKN has an impact on reducing the family's economic burden, especially in the direct medical cost component. Abstrak: Prevalensi hipertensi menempati urutan teratas sebagai kejadian penyakit paling banyak di Provinsi Jambi dalam 5 tahun terakhir. Biaya pengobatan dan penanganan hipertensi yang harus ditanggung masyarakat relatif tinggi. Adanya penekanan biaya dari program Jaminan Kesehatan Nasional (JKN) diharapkan mengurangi beban ekonomi yang ditimbulkan. Studi ini bertujuan menganalisis perbedaan rerata biaya akibat penyakit hipertensi antara penderita yang memanfaatkan JKN dengan penderita yang mengeluarkan biaya dari kantong sendiri di Kota Jambi. Studi berbasis evaluasi ekonomi dengan pendekatan kuantitatif, dilakukan di Kota Jambi tahun 2022. Responden berjumlah 165 orang yang dipilih dengan teknik purposive sampling. Instrumen studi berupa angket. Pengolahan data menggunakan software statistik dengan tahap analisis statistik deskriptif dan analisis bivariat uji-T. Hasil studi bahwa terdapat perbedaan rerata biaya langsung medis (p=0,000), biaya langsung non medis (p=0,034), dan total biaya akibat penyakit hipertensi (p=0,018) antara penderita yang memanfaatkan JKN dengan penderita yang mengeluarkan biaya dari kantong sendiri. Kesimpulan studi bahwa perbedaan rerata biaya yang dikeluarkan penderita hipertensi yang memanfaatkan JKN berdampak pada penurunan beban ekonomi keluarga terutama pada komponen biaya langsung medis.

Fishbone Diagram Analysis in the Implementation of Integrated Management of Childhood Illness (IMCI) in Indonesia Amalia, Dwi Octa; Sabarinah, Sabarinah
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

Integrated Management of Childhood Illness (IMCI) is an integrated and comprehensive approach to health service that focuses on reducing morbidity and mortality under-five children. This study aims to get an overview of IMCI implementation in Indonesia. The research uses a literature review method using a qualitative approach analysis, through a fishbone diagram that includes man, method, machine, material, and money. Articles were searched through databases like Google Scholar, Proquest, Scopus, Science Direct, Biomed Central, and Pubmed, with publication years 2016-2022. The challenges in implementing IMCI reported from the 8 articles were lack of training for IMCI officers; low compliance in both IMCI management and form filling; lack of support including supervision from the health office, financial, facilities, and infrastructure. The percentage coverage of puskesmas that implemented IMCI is quite good. However, there are still many under-five children whom IMCI has not served and its implementation has not been under IMCI guidelines. To improve the IMCI quality, it is necessary to conduct training and regular orientation as well as on-the-job training, supervision, monitoring and evaluation both internally and from the local health office periodically, provision of a support system includes facilities and infrastructure, medicine, and medical consumables. Abstrak: Manajemen Terpadu Balita Sakit (MTBS) merupakan pendekatan komprehensif dan terintegrasi dalam pelayanan balita sakit yang berfokus untuk menurunkan kesakitan dan kematian pada balita. Tujuan penelitian adalah untuk mendapatkan gambaran implementasi MTBS di puskesmas di Indonesia. Penelitian menggunakan metode literature review melalui pendekatan kualitatif fishbone diagram dengan menganalisis komponen man, methode, machine, materials, and money. Penelusuran artikel melalui database Google Scholar, Proquest, Scopus, Science Direct, Biomed Central, and Pubmed yang terbit tahun 2016-2022. Dari 8 artikel yang direview menunjukkan masih kurangnya petugas MTBS terlatih; rendahnya kepatuhan petugas dalam tata laksana dan kelengkapan pengisian formulir MTBS; kuranganya dukungan dalam hal supervisi dari dinas kesehatan, dukungan dana, sarana dan prasarana. Pelayanan MTBS belum dilaksanakan secara optimal, meskipun cakupan puskesmas MTBS yang melaksanakan MTBS sudah cukup baik. Namun masih banyak balita sakit yang belum dilayani MTBS dan pelayanan belum sesuai dengan standar pedoman MTBS. Untuk meningkatkan kualitas pelayanan MTBS, perlu dilakukan pelatihan dan orientasi bagi petugas MTBS termasuk on-the-job training (kalakarya MTBS) di puskesmas, peningkatan supervisi fasilitatif, monitoring dan evaluasi secara berkala baik di internal puskesmas ataupun dari dinas kesehatan, penyediaan sarana dan prasarana penunjang, serta obat-obatan dan bahan medis habis pakai.

The Effectiveness of Android-Based Pre-Marriage Class Applications Against the Knowledge of the Prospective Bride Sumardilah, Dewi; Astuti, Retno Puji; Murhan, Aprina
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

In 2021 a training model has been successfully developed in a classical form for prospective brides, namely the Pre-Marriage Class. And in 2022 an Android-based Pre-Marriage Class application will be developed as a learning medium. This is to answer the problem of the limited time that the bride and groom have to participate in class activities and also considering the current pandemic situation which still limits the gathering of people in one room. The research objective was to determine the effectiveness of the pre-marital class application in increasing the understanding of prospective brides and grooms about maternal and child health in the context of preventing stunting toddlers. This research is research and development in nature which is intended to produce products in the form of mobile apps (applications) for Pre-Marriage Classes. As the study population were prospective brides in Kemiling District, and the sample was determined by accident, namely prospective brides who had registered at the KUA Kemiling District until March 2022. Data collection was carried out by means of interviews, questionnaires, and pretest posttest. The analysis was carried out descriptively and analytically using the N-gain test. The results showed that the pre-marital class application was appropriate for use as a learning medium (media expert score = 87.5%, material expert score = 78.6%, health worker score = 80.4%, and the bride and groom's score = 85.3 %). The application of pre-marital classes is also effective in increasing the understanding of the bride and groom in maternal and child health (N-gain value 0.59).

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name
Hamid Mukhlis

Contact Email
me@hamidmukhlis.id

Phone
+6281325790254

Journal Mail Official
me@hamidmukhlis.id

Editorial Address
Jalan A. Yani 1A Tambahrejo Gadingrejo Kab. Pringsewu Kode Pos: 35372, Phone: 0729 7081587

Location
Kab. pringsewu,

Lampung

INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Hamid Mukhlis

Contact Email me@hamidmukhlis.id

Phone +6281325790254

Journal Mail Official me@hamidmukhlis.id

Editorial Address Jalan A. Yani 1A Tambahrejo Gadingrejo Kab. Pringsewu Kode Pos: 35372, Phone: 0729 7081587

Location Kab. pringsewu, Lampung INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Hamid Mukhlis

Contact Email
me@hamidmukhlis.id

Phone
+6281325790254

Journal Mail Official
me@hamidmukhlis.id

Editorial Address
Jalan A. Yani 1A Tambahrejo Gadingrejo Kab. Pringsewu Kode Pos: 35372, Phone: 0729 7081587

Location
Kab. pringsewu,

Lampung

INDONESIA