VISIKES: Jurnal Kesehatan Masyarakat
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FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN MEDICATION ERROR FASE DISPENSING DI INSTALASI FARMASI RS
Get PDFMedication errors can have an impact on patient safety which can result in disability and in the worse risk is the patient dies. The most frequent medication error is dispensing medication error. The objective of this research is to know the factors related to dispensing medication errors and how to prevent it. This was an observational study, a cross sectional design, study samples were 85 pharmacist and pharmacist assistant, data collected by questionnaire. Univariate, and multivariate analysis were applied in the data analysis. There is correlation between variables of gender (p = 0.025), marital status(p = 0.020) and employment status (0.021) with dispensing medication error. From multivariate analysis, the result show that there is relation between level of education (p = 0.000), employment status (p = 0.035) and workload (p = 0.006) with dispensing medication error. The occurance of medication error was lower on employee with higher education, and higher on employee that married and high work load. From this result, the hospital management need to do workload analysis and review the workload of pharmacist and pharmacist assistant to prevent dispensing medication error
GAMBARAN TATA CARA PENGELUARAN SPUTUM DAN KUALITAS SPUTUM PASIEN CURIGA TUBERCULOSIS DI PUSKESMAS GAJAH II KABUPATEN DEMAK
Get PDFAlthough the Indonesian government has conducted various efforts to prevent and deal with Tuberculosis disease, new TB cases consistently appear from time to time in this country. Accurate steps and techniques are needed to diagnose tuberculosis as early as possible, thereby reducing transmissions and curing patients as early as possible. One method to conduct early diagnosis of tuberculosis is the microscopic screening of Mycobacteriu Tuberculosa.The purpose of this journal is to get an overview of sputum removal procedures and sputum quality of TB suspects at Gajah II Public Health Centre, Demak District. The first method is spontaneous expectoration, and the second method is warm steam inhalation before sputum removal.In this study, the sputum samples were taken from 32 TB suspect patients who visited Gajah II Public Health Centre for the first time during the period of September 2019. The examination results of sputum quality were recorded into three (3) categories or groups, namely: (1) purulent, (2) mucopurulent, and (3) saliva. The study indicated as follows: using the first method, 2 (two) patients (6.25%) produced purulent quality of sputum, 8 (eight) patients (25%) with mucopurulent quality, and 13 (thirteen) patients (40.62%) with salivary quality, while 9 (nine) patients (28.13%) failed to produce sputum. Using the second method, by which patients were asked to inhale warm steam before removing sputum, the study revealed the following: 3 (three) patients (9.37%) with purulent sputum quality, 13 (thirteen) patients (40.62%) with mucopurulent quality, and 11 (eleven) patients (34.37%) with salivary quality, while 5 (five) patients (15.62%) failed to produce sputum.From the above, using the spontaneus expectoration or first method, most patients produced poor quality of sputum while using the second method, by which patients were asked to inhale warm water vapor before removing sputum, the patients produced improved quality of sputum for smear examination.Keywords: Tuberculosis, sputum quality, Mycobacterium Tuberculosis screening
ANALISIS SPASIAL FAKTOR LINGKUNGAN LEPTOSPIROSIS DI KECAMATAN BONANG KABUPATEN DEMAK TAHUN 2018
Get PDFThe number of leptospirosis cases in Demak district had a significant increase in 2018 which reached 92 cases with IR = 7.91% and the death of 24 people with CFR = 28.09%. Bonang Subdistrict is a sub-district with a case of the highest leptospirosis in Demak district. The aim of this research is to spatial analyze the environmental factors of leptospirosis in Kecamatan Bonang include flood/rob history, garbage storage, river, paddy field, fishpond, and population density. This type of research is quantitative descriptive with cross sectional design. The samples in this study numbered 24 people. This research was conducted in June 2019 in Bonang Sub-district of Demak Regency. The results showed that the pattern of the leptospirosis case in sub-district Bonang was scattered uneven. In this study can be concluded that the most influential risk factors in the distribution of leptospirosis cases in Bonang sub-district is a bad condition of individual garbage storage and the existence of paddy fields and rivers that are close to the house cases.Keywords: Spatial Analysis, GIS, Leptospirosi
ANALISIS PENERAPAN SISTEM PENCATATAN DAN PELAPORAN TERPADU PUSKESMAS (SP2TP) PUSKESMAS SUKAMERINDU KOTA BENGKULU
Get PDFThe Integrated System for Recording and Reporting (ISRR) Sukamerindu Public Health Center of Bengkulu there are several problems, namely the provision of inaccurate data / information, reporting that is often not timely and there is no standard mechanism. This study aims to analyze the application of ISRR from the aspect of input (human resources, funding, equipment), process (recording, reporting), and output (presentation of data & information, dissemination, utilization). The research method is qualitative research with a phenomenological approach through in-depth interviews with 3 key informants and 6 ordinary informants. Data processed by the Content analysis method and SWOT analysis to determine the formulation of strategies for the problems found. The results showed that ISRR Sukamerindu Public Health Center had not run optimally, this was due to lack of human resources, lack of coordination between data managers and program holders, lack of equipment, manual recording and recapitulation with personal laptops, there were still delays in sending reports and data became less accurate. The data presentation is more complete, the distribution is only to the Bengkulu Department of Health, and the data is used for evaluation for health policy stakeholders. To improve the performance of the implementation of ISRR Sukamerindu Public Health Center researchers suggested that the Bengkulu Department of Health further enhance its collaboration with Public Health Centers by optimizing communication and conducting planned and continuous training to get skilled and professional human resources in ISRR management.Keywords: Analysis, Public Health Center, Recording, Reporting, Syst
PENGETAHUAN, PRAKTIK PENCEGAHAN DAN KONDISI RUMAH PADA KONTAK SERUMAH DENGAN PENDERITA TB PARU DI KABUPATEN DEMAK
No full textTuberculosis (TB) is a highly contagious disease. Home contact is an individualwho is susceptible to contracting TB. The purpose of this study was to find outthe knowledge, prevention practices and condition of the house in a householdcontact with tuberculosis patients in Demak Regency.This type of research is observational with a cross sectional design. Thepopulation in the study were all family members of TB patients in July toDecember 2015 who were recorded in three health centers which had the top 3TB cases in Demak District Service. The number of samples is 34 which is one ofthe family members of TB patients who were selected in a simple random. Datawere analyzed using descriptive analysis.The results showed that household contacts with knowledge of good categoriesamounted to 64.7% and respondents with less knowledge categories were35.3%. Household contacts with a good prevention practice category of 52.9%and household contact with the prevention category is less than 47.1%.Household contacts with a healthy home category was 64.7% while householdcontact with unhealthy house category was 35.3%.Keywords: Tuberculosis, knowledge, prevention practices, condition home,house contact, dema
Hubungan Antara Kondisi Lingkungan Dengan Keberadaan Jentik Aedes aegypti Di Home Industry Meubel Kayu Desa Ngasem Kecamatan Batealit Kabupaten Jepara Tahun 2017UL Yogi Catur Putra*), Suharyo*)*)
Get PDFThe district of jepara is center of wooden chair industry in indonesia, but Jepara is endemic district of hemorrhagic fever. Environmental condition influence the breeding of Aedes aegypti, foun many place as breed’s mosquito. The purposed of study was to analyze correlation of environmental condition and existence of larvae of Aedes aegypti in home industry wooden chair in Ngasem Village sub-district of Batealit, Jepara district 2017.The study was analytical observastional with cross sectional approach. Study population was home industry of wooden chair in Jepara as 213 home industries with sample was 68 home industries. Sample has chosen with simple random sampling. The Statistical analyze with chi square and fisher exact textResult showed that 113 containers have variety made from wood and no-wood. Obtained 40% HI, 29% CI, and 48% BI, with density figure 6-9 or high density. Significant correlation between pH of container (p = 0,002) with relation of larva Aedes aegypti. And no significant correlation of container type (p = 0,148), container temperature (p = 0,204), container volume (p = 0,175) and air humidity (p = 0,157).Needed active role of observing larvae existing routine in home industry wooden chair, especially by the owner and cadres in village Ngasem so that can reduce the breeding of Aedes aegypti
Factors Affecting Team Effectiveness in Semarang Community Health Center Working Group After Accreditation
Get PDFAbstrakAkreditasi puskesmas merupakan pengakuan yang diterbitkan Lembaga indipenden penyelenggara akreditasi yang ditetapkan oleh Menteri Kesehatan setelah memenuhi standar. Tujuan dilakukannya akreditasi puskesmas adalah untuk pembinaan peningkatan mutu. Studi ini bertujuan untuk menganalisis Pengaruh Konteks organisasi, Komposisi dan Proses Terhadap Efektivitas Kelompok Kerja Puskesmas Kota Semarang Pasca Akreditasi. Metode penelitian kuantitatif dengan desain potong lintang. Data dikumpulkan pada semua kelompok Kerja Puskesmas Kota Semarang. Pengumpulan data melalui pengisian kuesioner dan wawancara. Hasil penelitian menunjukkan bahwa kelompok kerja Puskesmas 45,9 % tidak efektif, sedangkan 54,1 % efektif. Hasil uji chi-square utk variabel konteks organisasi menunjukkan nilai p-value = 0,001 dan Prevalence Ratio = 2,911, 95% CI = 3,7480-3,8758. Uji chi-square terhadap variabel komposisi tim, uji menunjukkan nilai p-value = 0,001 dan Prevalence Ratio = 2,871, 95% CI = 3,8856 - 4,049. Analisis terhadap variabel proses menunjukkan hasil nilai p-value = 0,001 dan Prevalence Ratio = 4,636, 95% CI = 3,7008 – 3,8696. Hasil tersebut menunjukkan ada pengaruh yang bermakna faktor konteks organisasi , komposisi tim dan proses terhadap efektifitas kelompok kerja Puskesmas di Kota Semarang. Kesimpulannya untuk membangun kelompok kerja puskesmas yang efektif di Kota Semarang perlu memperhatikan hal hal yang terkait dengan konteks organisasi, komposisi tim serta proses di dalam kelompok kerja. Kata kunci: kelompok kerja, efektivitas tim, akreditasi AbstractPuskesmas accreditation is acknowledgment issued by independent institution organizes accreditation determined by the Minister of Health after meeting the standards. The purpose of conducting puskesmas accreditation is to foster quality improvement. This study aimed to analyze the effect of organizational context, composition and process on the effectiveness of puskesmas working group after Accreditation. This research is quantitative method with cross-sectional design. Data was collected in all the Puskesmas working groups in Semarang city. The result of the study shows that the Puskesmas working group were 45.9% ineffective, while 54.1% were effective. The chi-square test for organizational context variables show p-value = 0.001, PR = 2.911, 95% CI = 3.7480-3.8758. Chi-square test on the variable team composition shows the p-value = 0.001 and PR = 2.871, 95% CI = 3.8856 - 4.049. Analysis of process variables shows tAhat the p-value = 0.001 and PR = 4.636, 95% CI = 3.7008 - 3.8696. The results showed that there was a significant effect of organizational context, team composition and process on the effectiveness of Puskesmas working group. The conclusion is puskesmas working group needs to pay attention to matters relating to the organizational context, the composition of the team and the process. Keywords: work group, team effectiveness, accreditatio
Dukungan, Kepercayaan Keluarga dan Peran Suami terhadap Keputusan Pemilihan Penolong Persalinan pada Masyarakat Suku Madura
Get PDFSafe delivery is the delivery process performed by the skilled birth attendant who provides basic and emergency health care services to women and their newborns during pregnancy, childbirth and the postpartum period. During the delivery process, the women who gives birth requires emotional support, this support is important to minimize the intervention and to help have a succesful delivery. Culturally, Madurese are well known of their obedience to parents. This obedience is considered absolute and inviolable. This study aimed at finding out the correlation of family support and trust, husband’s role, and the decision in choosing the birth attendant among Madurese community This was quantitative study with cross sectional approach. The data were collected by conducting interview and questionnaire to 94 mothers, then analyzed by chi square test.The study indicated that the the mothers who had support from family was 74,5%, the family belief was 43,6, and support from husband was 64,9%. The motherprefered to choose the traditional birth attendant was 70,2%. The results of bivariate analysis revealed that there were significant correlation of family support (p value=0,001, PR=1,560), family belief (p value=0,009, PR=1,459), husband’s support (p value=0,000, PR=1,740) and the decision in choosing the birth attendant. From the findings, the health center of Kuala Mandor B is encouraged to routinely conduct maternal visit and early detection on the maternal health status.Keywords: birth attendant, family support, family belief, husband’s rol
Awareness of the development site of Aedes aegypti larvae
Get PDFBackground: dengue fever Dengue (DENGUE HEMORRHAGIC FEVER (DHF) )is a communicable disease that often give rise to Extraordinary Events (of theOutbreak) and a cause of death. The disease is caused by dengue virus carriedby Aedes aegypti mosquitoes as vectors. However, not to know thecharacteristics of the container with the presence of Aedes aegypti larva. Thisresearch would like to compare if there was any relationship between thecharacteristics of the container with the presence of Aedes aegypti larva.Methods: this research is a type of observational analytic study with pieces oflatitude. The population in this research is the whole House which is located inthe city of Semarang. Cluster sampling techniques are used to choose the Housethat there is a case of Dengue Hemorrhagic Fever(DHF), One home index focuscase Dengue Hemorrhagic Fever(DHF) and five houses that are located nearby.The variables examined include the types of containers, container base material,the basic condition of the containers, color containers, container and cover theexistence of the existence of Aedes aegypti larva. Statistical analysis using SPSS16 with the chi square test.Result: there is a relationship between the type of container (p = 0.001<0,05),material container (p=0,001<0,05), basic condition of container (p=0,001<0,05),the color of the container (p=0,004<0,05) with the existence of larva. There is norelationship between the presence of a cover with the existence of larva(p=0,083>0.05).Conclusions: this type of container the most positive Aedes aegypti larva is abath for that community is advised to use this type of container the water onceused up, such as buckets, tubs. If you want to hold the water should be to put asealed water tandon. The selection of base material container should choosebasic materials that are easy to clean. The basic condition for the container mustalways be clean. For the color of the container should select a color other thanblack or dark. In addition it is hoped the community always close the container.Keywords: types, materials, Basic Conditions, Color And Cover Container
Simple Additive Weighting untuk Penentuan Peringkat Wilayah Penanganan Stunting Pada Balita
Get PDFAwal dari generasi penunjang kemajuan bangsa adalah generasi yang sehat dan kreatif. Generasi sehat dimulai dari pemenuhan kesehatan sejak kecil. Anak yang terlepas dari pemenuhan gizi yang cukup akan berakibat pada keadaan kurang gizi dan stunting (pendek). Menurut WHO, Indonesia masuk dalam peringkat ketiga teratas pada wilayah AsiaTenggara dengan nilai 36,4%. Penentuan peringkat penanganan stunting pada seluruh wilayah di Indonesia merupakan. langkah awal penanganan kasus ini. Salah satu metode yang diperlukan dalam proses ini adalah simple additive weighting (SAW), dengan perhitungan bobot dari beberapa kriteria. Data alternatif yang digunakan dengan mengambil data 11 kota atau kabupaten yang ada di wilayah Jawa Tengah. Hasil akurasi yang diperoleh dari perhitungan dengan metode ini 0.82% sehingga dapat dijadikan alternatif untuk proses penentuan peringkat wilayah penanganan stuntingÂ