Preventif: Jurnal Kesehatan Masyarakat
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Undiagnosed Diabetes Prediction With Development of Scoring System Based on Risk Factors
No full textUndiagnosed Diabetes Mellitus (UDDM) is a person condition where has never been diagnosed with diabetes, but when a blood sugar examination survey shows the criteria for diabetes. Late diagnosis is a major problem for diabetes. In some cases, 50% of patients do not know the condition of diabetes mellitus, so the complications of diabetes mellitus become very severe. This study aimed to analyze dominant risk factors and make a risk score for Undiagnosed Diabetes Mellitus (UDDM). Making a risk score was carried out in 2016 based on secondary data from 2013 Basic Health Research (Riskesdas). The study population was adults aged ≥ 18 years, diagnosed early in diabetes during the 2013 Riskesdas, did not suffer from other chronic / contagious diseases. The sample size analyzed amounted to 18,963 people. The value of β coefficient from the results of multiple logistic regression predictive models was used to develop the score. The accuracy of the diabetes predictive score was assessed by ROC (Receiver Operating Characteristic). 2 prediction models developed into risk scores. Model 1 predictions of UDDM with 8 predictors (AUC 73.13%, sensitivity 29.19%, specificity 90.33%, PPV 25.32%, NPV 91.90%, cutoff ≥30), model 2 predictions of UDDM with 5 predictors (AUC 74.22%, sensitivity of 64.91%, spessivity 67.95%, PPV 18.37%, NPV 94.60%, cutoff 21). Undiagnosed diabetes risk factors and predictors in making scores on model 1 were gender, age, hypertension, body mass index, central obesity, HDL and LDL. In model 2 were gender, age, hypertension, body mass index, central obesity
EVALUASI PROGRAM PENANGANAN GIZI KURANG MELALUI ASUHAN COMMUNITY FEEDING CENTER (CFC) PADA ANAK BALITA DI PUSKESMAS BIROBULI KECAMATAN PALU SELATAN KOTA PALU
No full textPencapaian target MDG’s menurunkan angka kematian anak di Indonesia khususnya kasus gizi kurang belum maksimal khususnya di Provinsi Sulawesi Tengah. Gizi kurang di Kota Palu mencapai 861 kasus dengan kasus tertinggi terdapat di wilayah Puskesmas Birobuli yaitu 183 kasus. Dalam menanggulangi gizi kurang di Kota Palu, pemerintah mengadakan program pemulihan rawat jalan yaitu Community Feeding Center (CFC) melalui pemberian makanan tambahan pada balita dan penyuluhan pada ibu. Penelitian ini bertujuan untuk mengevaluasi input, process, output, dan outcome program penanganan gizi kurang melalui asuhan CFC pada anak balita di Puskesmas Birobuli. Jenis penelitian yang digunakan adalah kualitatif. Hasil penelitian pada input menunjukkan bahwa petugas mendapatkan pelatihan khusus dan anggaran dana sudah cukup baik. Hasil penelitian pada process menunjukkan perencanaan program terstruktur dengan baik, dukungan positif dari masyarakat, ibu balita termotivasi memperbaiki gizi anaknya serta monitoring dan evaluasi CFC terlaksana setiap bulan. Hasil penelitian pada output menunjukkan perubahan status gizi kurang menjadi status gizi normal dan respon baik ibu balita. Hasil penelitian pada outcome setiap tahunnya mengalami penurunan angka gizi kurang dan peningkatan berat badan pada anak balita. Disarankan bagi petugas kesehatan, agar melaksanakan program dengan mengikuti perencanaan yang telah dibuat
Hbs.Ag SCREENING IN TEENAGERS IN SURABAYA BY USING RAPID TEST
No full textBackground & Objective : Hepatitis B immunization in Indonesia generally observes early age group(infant) and still rarely observed in adolescence. Teenagers become very important because they will soon bemarried and have children. The purpose of this study was to determine hepatitis based on HBsAg by usingRapid test Material and Method: Analytical observational with cross sectional approach is done at Centerfor Health Studies Pondok Pesantren Universitas Nahdlatul Ulama Surabaya. The sample size was 54adolescents using accidental sampling technique, with age between 19-20 years old. HbsAg examinationusing manual rapid test monotest. Result: The result of the research shows that the most respondents arefemale, 94.44% and male 5.56%. A manual rapid test monotest will show strips one for negative results andtwo for HbsAg positive results. Rapid test HBsAg Monotest showed negative results against 54 people.Conclusion: Based on the results of this study can be concluded that not found positive adolescent hepatitisbased on HBsAg examination
FACTORS AFFECTING OF MUSCULOSKELETAL DISORDER’S (MSDS) COMPLAINTS ON THE DRIVERS OF GAJAH MADA PUBLIC TRANSPORTATION MEDAN
No full textBackground & Objective: Musculoskeletal disorders complaints are complaints in the joints, ligaments andtendons which are caused because the muscles receive static loads repeatedly and continuously for a longtime. This study to determine the influencing factors nd musculoskeletal disorder\u27s (MSDs) complaints onthe drivers of Gajah Mada public transportation Medan. Material and Method: The research design wasanalytical survey research method using cross sectional approach. The samples in this study were 30 peoplewho were the total population of public transport drivers. The data analysis using regression linear test.Result: The majority of the drivers are in the majority aged 52-59 years old at 30.0%. The 1-6 year workperiod is 30.0%. Work attitude in the medium category is 90%. Conclusion: There is an influence of age,years of service and work attitude towards musculoskeletal disorder’s complaints on Gajah Mada publictransport drivers Medan. It is also hoped that the driver will use the rest time to relax the muscles that aim tostretch the muscles so as not to cause muscle tension when working
MOTIVATION, JOB SATISFACTION AND ORGANIZATIONAL COMMITMENT OF PROGRAM MANAGERS WITH HEALTH CARE COVERAGE AT PUBLIC HEALTH CARE IN BONDOWOSO
No full textBackground & Objective: Based on Bondowoso’s Performance Assessment of Public Health Care in 2014through 2016, there is one aspect of the Performance Assessment of Public Health Care that always belongsto the low performance, it is the aspect of health care coverage. The level of health care coveragesignificantly affect life expectancy. Life expectancy is one indicator in determining backward region. Basedon Presidential Decree No. 131 in 2015 Bondowoso established as a backward region in East Java at the firstplace. This study aimed to analyze the correlation between motivation, job satisfaction and organizationalcommitment of program managers with health care coverage at Public Health Care in Bondowoso 2017.Material and Method: This study used analytic research with cross–sectional approach. Population of thisresearch were 101 program managers with total sample were 81 respondent. Result: An association betweenmotivation (p value = 0.000 <0.05), job satisfaction (p value = 0.000 <0.05) and organizational commitment(p value = 0.007 <0.05) with health care coverage. Conclusion: There is a correlation between Motivation,Job satisfaction and Organizational Commitment with Health Care Coverage
SYSTEMATIC REVIEWS: BALIA LOCAL WISDOM AS A HEALTHY SOLUTION TO KAILI
No full textBackground and Objetive: A community which still performs a traditional ceremony called “Balia” can befound in Balaora Village, In South Sulawesi, Indonesia. Although modern health services already exist, theBalia is a tradition of To Kaili community in solving their health problem. Material and Method: Themethod used is a systematic review of literature, a procedure performed by collect of information fromseveral related sources to study the topic, then cataloging and documentation. Results: As an example ofsocial behavior, when they suffer a disease, they prefer to visit a shaman rather than a medical doctor oreducated health professionals. Another fact is when the folks fail in curing their health problems by modernhealth services, they will back to the traditional method such as a shaman or traditional herbs. Baliaceremony had existed long time ago and it is believed to be beneficial to To Kaili. According to their belief,the Balia ceremony is able to cast out evils in the human body. In a performance of the Balia Dance, all thedancers and participants need to involve their soul and felling; the attention must be concentrated into theceremony.. Conclusion: The tradition of Balia as ancestral belief is believed to avoid all kinds of calamitiesand healing media. Therefore, the community thinks that there is no harm to perform it. Therefore, thetradition of Balia must be preserved and kept as an alternative for health problem of To Kaili in this modernera
Behavior In Preventing Children With Pneumonia In Kamonji Community Health Center, Subdistrict West Palu, Palu City
No full textPneumonia is an acute infection that attacks lung tissue (alveoli) caused by bacteria, virus and fungi. According to WHO, in 2015 pneumonia accounted for 16% of all children deaths under-five years and killed 920.136 toddlers. The number of cases of under-five pneumonia in Indonesia in 2012 was 549.708 cases. While, in 2013 there was 571.547 cases. Kamonji Health Center is the health center which has the highest incidence of pneumonia in Palu, amounted to 536 cases of patients from 2,508 cases. The aim of the study is to find out the knowledge and attitudes of mothers, facilities and health services, family and health workers support for mothers who have pneumonia at Kamonji Health Center. The research used was qualitative using indepth interview as data collection techniques. The subject of the study were 9 informants who were determined by purposive sampling technique. The results show that maternal knowledge is still lack due to the less of information which mother gets about pneumonia. Mother\u27s attitude regarding the incidence of pneumonia shows a positive attitude. Health facilities and health workers at the Kamonji Health Center are already good. Likewise with family support that is already good enough. Suggestions for the Kamonji Health Center are expected to provide counseling to the toddlers\u27 mothers and families as informants in preventing pneumonia
TREND AND PREVALENCE OF STUNTING IN CHILDREN UNDER TWO YEARS FROM 2007- 2016 IN CENTRAL SULAWESI
No full textBackground & Objective: Trend and prevalence of stunting are required to see the success of communityhealth nutrition outcomes over time. The purpose of this research is to know the trend and stuntingprevalence in baduta year 2007, 2011 and year 2016 in Central Sulawesi. Material and Method : Thisresearch used a retrospective cohort design. This research is conducted on June 7, 2017 until October 3, 2017in Palu City and Donggala Regency Central Sulawesi. The population in this study was the data sets of PSGin 2007, 2011 and 2016 as much as 16,105. Samples were 6391 sets of data baduta. Results: Prevalence ofstunting in 2007, 2011 and 2016 was 32.3%, 31.5% and 26.0%, respectively. In the last 9 years there was a6.2% decline or an average of 0.6% per year. Conclusion: The prevalence of Baduta in 2007, 2011 and2016 consecutively was 32.3%, 31.5% and 26.0%. Prior programs that have been undertaken by the healthdepartment are continued by improving cross-sectoral cooperation in sensitive programs the first 1000 daysof life. The highest stunting problem in the 12-23 month age group means stunting prevention focuses onstrengthening the complementary feeding program
HUBUNGAN KOMUNIKASI DOKTER DENGAN KEPUASAN PASIEN DI RUANG RAWAT INAP RUMAH SAKIT UMUM (RSU) ANUTAPURA PALU
No full textKomunikasi kesehatan antara dokter dan pasien adalah proses komunikasi yangmelibatkan pesan kesehatan, unsur-unsur atau peserta komunikasi yang menunjangkepuasan pasien. Tujuan penelitian ini untuk mengetahui hubungan komunikasi dokterdengan kepuasan pasien di ruang rawat inap Rumah Sakit Umum (RSU) AnutapuraPalu. Jenis penelitian yang digunakan adalah survey analitik dengan pendekatan crosssectional studi. Jumlah sampel yaitu 97 responden dengan teknik pengambilan sampelmenggunakan Proportional Stratified Random Sampling. Analisis yang digunakan padapenelitian ini adalah analisis univariat dan bivariat. Hasil penelitian bahwa adahubungan antara komunikasi verbal dokter dengan kepuasan pasien (ρ = 0,004), dantidak ada hubungan antara komunikasi nonverbal dokter dengan kepuasan pasien (ρ =0,365). Sebaiknya dokter dapat memperhatikan ucapan yang jelas, intonasi suara, danperbendaharaan kata agar dapat dipahami oleh pasien
The Relationship of Marketing Mix With Patient Loyalty At Inpatient Unit Of Undata General Hospital
No full textHospital is an individual health care institution plenary, bused on continuous improvement in service quality and active marketing management. The marketing mix consists of 7P namely product, price, place, promotion, people, process, and physical evidence. The (RSUD) Undata Central Sulawesi Province is a referral hospital where the number of general patient visits in the inpatient unit has decreased over the past 3 years, indicating a decrease in patient loyalty. This study aims to determine the relationship of marketing mix with patient loyalty in the inpatient unit of the regional general hospital (RSUD) Undata Central Sulawesi Province. The research method used is quantitative with a cross sectional approach. The population is all inpatients of the undata general hospital which number 1.255 sampling technique was proportional stratified sampling. Data analysis used in this study is univariate and bivariate analysis with a value of p≤0,05. The results show that there is a marketing mix relationship product (p=0,000), price (p=0,002), place (p=0,001), promotion (p=0,000), people (p=0,000), process (p=0,000), and physical evidence (p=0,018) with patient loyalty in the inpatient unit of the regional general hospital undata in palu. It is expected that the (RSUD) Undata Palu will further improve the quality of its marketing mix in SDM professionalisme, service speed, physical quality, and hospital equipment