VISIKES: Jurnal Kesehatan Masyarakat
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    DETERMINAN YANG BERHUBUNGAN DENGAN PEMBERIAN ASI EKSKLUSIF

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    ASI eksklusif adalah pemberian ASI saja pada basyi sampai usia 6 bulan tanpa tambahan cairan ataupun makanan lain (Dewi, 2013). Berdasarkan data cakupan ASI eksklusif di BPS Rahmawati sebesar 80% hal ini menunjukkan masih 20 % bayi yang belum mendapatkan ASI eksklusif. Upaya meningkatkan pemberian ASI masih kurang. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang berhubungan dengan pemberian ASI eksklusif yang meliputi faktor pengetahuan, sikap, pekerjaan, dukungan petugas kesehatan dan dukungan suami. Jenis penelitian yang digunakan adalah survey analitik dengan pendekatan cross sectional. Responden dalam penelitian ini adalah ibu yang mempunyai bayi 7-12 bulan yang berjumlah 52 orang dan diambil dan sampel menggunakan total sampling. Pengumpulan data menggunakan kuesioner dan analisa data menggunakan Chi-Square. Hasil penelitian menunjukkan faktor-faktor yang berhubungan dengan pemberian ASI eksklusif yaitu pengetahuan (P value = 0,011), pekerjaan (P value = 0,047), dukungan petugas kesehatan (P value =0,019) dan dukungan suami (P value 0,006 sedangkan faktor yang tidak berhubungan yaitu sikap (P value = 0,067). Untuk meningkatkan pemberian ASI eksklusif puskesmas dapat meningkatkan pelayanan pendidikan kesehatan bagi ibu dan keluarganya tentang mekanisme mekanisme memompa ASI serta peranan keluarga dalam mendukung pemberian ASI esklusif dengan metode diskusi kelompok dan kunjungan kerumah

    Peningkatan Kapasitas Penghuni Pondok Pesantren dalam Pencegahan Food Borne Disease dengan Metode Peer Education

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    The outbreaks of food poisoning in 2015 occurred in several districts, namely Batang, Langkat, Kebumen, Tabanan and Kolako districts. Preliminary study on 20 female Pesantren Pondok Pesantren "Takhfidzul Quran Miftahul Ulum" Terboyo Wetan, 14% have ever had diarrhea or abdominal pain in the last 3 months. For the provision of food in this boarding school, held a cooking system, then eat together. So if the processing and storage of food less hygienic, can increase the risk of food borne disease. Therefore, efforts should be made to increase the capacity of boarding school dwellers in preventing food borne disease, so the health of the boarding school residents can be maintained. Implementation of foodborne diseases prevention training with peer education method begins with licensing and coordination with pesantren boarding school, socialization, increasing knowledge of disease hazard, prevention of foodborne diseases, healthy food, preparation of hygiene food processing and storage form, direct practice of processing And food storage in Pondok Pesantren, the process of measuring the results of dedication and data processing, and evaluation and dissemination of community service activities. The data collection instrument is a questionnaire for measuring knowledge, attitude and practice. Research subjects consist of administrators, teachers/ ustad and ustadzah and santri. Communication, information and education provided by involving the discussion of cottage and boardingers of pesantren. Test the results data with Wilcoxon.The results show the knowledge, attitude, and behavior of prevention of foodborne diseases after being given foodborne diseases prevention training with peer education method significantly increased p value <0.05. Successive, knowledge p = 0,000, attitude p = 0.005 and preventive behavior p = 0.005.The outbreaks of food poisoning in 2015 occurred in several districts, namely Batang, Langkat, Kebumen, Tabanan and Kolako districts. Preliminary study on 20 female Pesantren Pondok Pesantren "Takhfidzul Quran Miftahul Ulum" Terboyo Wetan, 14% have ever had diarrhea or abdominal pain in the last 3 months. For the provision of food in this boarding school, held a cooking system, then eat together. So if the processing and storage of food less hygienic, can increase the risk of food borne disease. Therefore, efforts should be made to increase the capacity of boarding school dwellers in preventing food borne disease, so the health of the boarding school residents can be maintained. Implementation of foodborne diseases prevention training with peer education method begins with licensing and coordination with pesantren boarding school, socialization, increasing knowledge of disease hazard, prevention of foodborne diseases, healthy food, preparation of hygiene food processing and storage form, direct practice of processing And food storage in Pondok Pesantren, the process of measuring the results of dedication and data processing, and evaluation and dissemination of community service activities. The data collection instrument is a questionnaire for measuring knowledge, attitude and practice. Research subjects consist of administrators, teachers/ ustad and ustadzah and santri. Communication, information and education provided by involving the discussion of cottage and boardingers of pesantren. Test the results data with Wilcoxon.The results show the knowledge, attitude, and behavior of prevention of foodborne diseases after being given foodborne diseases prevention training with peer education method significantly increased p value <0.05. Successive, knowledge p = 0,000, attitude p = 0.005 and preventive behavior p = 0.005

    Faktor Resiko Ergonomi dengan Quick Exposure Check pada Pekerja Batik Tulis Berkah Lestari, Bantul, Yogyakarta

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    Based on Indonesian Statistic Center, in 2012 total of textile industry (including batik) was 4,553 businesses. The process of making traditional batik is still through a manual process which are draw the pattern in fabric, cover the pattern using hot candle, coloring the fabric and removing the candle from fabric. The work attitude of batik workers is to sit in a small chairs without backrest and do batik activities for proximately 6 hours/day. This research is a quantitative study using a cross sectional research design. The method used is observation to observe the work posture of workers when doing work and using the QEC (Quick Exposure Check) quetionnaire to assess work attitudes. The study population was batik workers in Bantul, Yogyakarta with a sampling technique using simple random sampling totaling 50 workers. Based on the assessment of the level of exposure to ergonomic risk using Quick Exposure Check, work attitudes in batik workers have a very high score on the neck with a percentage of 8%. Followed by 34% and 44% with high and medium exposure levels. The working attitude on the back of the batik is also considered to have a high exposure level with a percentage of 4% and a moderate exposure rate of 68%. The work position of batik workers in around their wrist, has a moderate score with a percentage of 74%. Unlike other body parts, the work attitude of the batik does not overload the batik shoulder which has a low score of 62%. Workers who complained of difficulties in doing work were also quite high with a percentage of 66%, relatively low scores on driving work attitudes, exposure to vibration and work stress. Based on these data, it is known that the most risky work attitudes to workers in batik are on the both upper neck and bottom neck. From the results of this study can be made interventions to reduce the risk of exposure to work attitudes on the neck of batik workers, Bantul, Yogyakarta

    PERILAKU DETEKSI DINI KANKER PAYUDARA PADA WANITA DENGAN RIWAYAT KELUARGA KANKER PAYUDARA

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    ABSTRACTBased on the data from Tugurejo Hospital, in 2014, there were 52 hospitalized patients who had been diagnosed with breast cancer and 8 died cases founded. Increased in 2015, as many as 119 patients with 11 died cases and it was getting worst where 192 patients with 21 died cases founded in 2016. The aim of the research was to analyze the early detection behaviour of breast cancer in women with a family history of breast cancer in Tugurejo hospital Semarang. This study used qualitative methods with phenomenology design. The result showed that all the informants have been fully understanding about early detection of breast cancer, have a great attitude and have already been practicing their own manual inspection. Most of them gained both family and environmental support toward early detection. They could then feel the benefits of early check. Thus, they would consider to have an early check after suffering breast cancer. In conclusion, all informants have done breast self-early detection well.Keywords: Early Detection, Breast Cancer, Women with a Family History ABSTRAK Data dari RSUD Tugurejo, pada tahun 2014, tercatat pasien rawat inap yang telah terdiagnosis kanker payudara sebanyak 52 pasien dengan 8 kasus meninggal, meningkat pada tahun 2015 sebanyak 119 pasien dengan 11 kasus meninggal, dan menjadi 192 pasien dengan 21 kasus meninggal pada tahun 2016. Tujuan penelitian adalah menganalisis perilaku deteksi dini kanker payudara pada wanita dengan riwayat keluarga kanker payudara di RSUD Tugurejo Kota Semarang. Penelitian ini menggunakan metode kualitatif. Rancangan penelitiannya adalah fenomenologi. Hasil penelitian seluruh informan mempunyai pengetahuan yang cukup baik tentang deteksi dini kanker payudara, sudah mempunyai sikap yang baik, dan sudah mempraktekkan pemeriksaan dini sendiri atau manual. Sebagian besar informan memperoleh dukungan dari keluarga untuk melakukan deteksi dini. Sebagian besar informan juga memperoleh dukungan dari lingkungan sekitarnya. Seluruh informan dapat merasakan adanya manfaat melakukan pemeriksaan dini, sebagian besar informan melakuakan deteksi dini setelah ibu menderita kanker payudara. Kesimpulannya seluruh informan telah melakukan pemeriksaan payudara sendiri.Kata Kunci: Deteksi Dini, Kanker Payudara, Wanita dengan Riwayat Keluarg

    ASSOCIATIONS EXPOSURE PORNOGRAPHY WITH RISKY SEXUAL BEHAVIOR PREMARITAL ON STREET CHILDREN IN CIMAHI CITY

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    Sexual behavior on street children arose because of great curiosity and encouragement to try new experiences in adolescence with pornographic content that is widespread. Total of street children is growing every year,  in 2011 amounted 67.607 children, while total of street children in west java province 2014 amounted 6899 children, and in cimahi city until february 2015 reached 58 children. This study aims to determine the association of pornography exposure with risky sexual behavior pre-marry on street children. This study used analytic survey with cross sectional method, population in this study were all street children located in the Cimahi city on May 26 until June 13, 2015, while sample in this study used total population. Instrument this study in the form of questionnaires. Variable studied in this study is sexual behavior and exposure of pornography. The statistical test used is Chi-Square with CI = 95% α = 0.05 (H0 is rejected if p <α). The results showed that esposure to pornography has a association with premarital sexual behavior (p value = 0.010) Keywords : sexual behavior, street children, exposure to pornograph

    Gambaran Sanitasi Lingkungan Perumahan Y di Kabupaten Banyuwangi

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    Housing does not only function as a shelter. A good housing is housing that pays attention to all aspects such as comfort, safety and feasibility. In addition, a good home is a house that meets all the technical and health requirements. This is what then encourages to make observations on one housing in Banyuwangi. This study aims to describe or know the picture of environmental sanitation Y housing in Banyuwangi Regency. This research is included in the type of descriptive observational research with the number of samples are 10 houses. Assessment is done on two major components namely the general condition of housing and housing conditions. The general conditions of housing include waste management, distance to landfill, road access, green space, educational facilities, health, economy and security. While the condition of the house can be assessed from variable windows, ceilings, walls, sinks, storage and physical quality of clean water, mosquito larvae, ventilation in the kitchen and waste sorting. The overall scoring result of all assessment components on 10 homes is summed and divided by the maximum value. The result found that Y housing in Banyuwangi Regency included in the category enough

    HUBUNGAN FAKTOR LINGKUNGAN RUMAH DENGAN KEJADIAN TB PARU DI KOTA MAGELANG

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    ABSTRACTPrevalence of tuberculosis in Magelang reached 394,18 per 100.000 population. However, there were a decline TB case detection rate from 96,85% to 78,05%. Previous research about TB in association with environmental risk factors showed controvercial results.The objective was analyzing association between environmental house factors with TB incidence in Magelang. An observational analytic was conducted with case control study design with 120 respondents (40 confirmed cases, 40 controls with symptoms of TB and 40 controls without symptoms of TB and using purposive technique sampling.Data were analyzed using chi-square and multiple logistic regression. Bivariat analysis showed association between type of wall (p=0,005; OR=3,8; 95% CI=1 , 57-8,34) and humidity levels (p=0,022; OR=2,9; 95% CI=1,24-6,73) with incidence TB. Multivariate analysis showed that the risk factors of TB were temperature OR=4,0 (95% CI=1,22-13,37, p=0,022), type of wall OR=3,8 (95% CI=1,47-9,89, p=0,006), and humidity levels OR=2,8 (95% CI=1,12-7,20, p=0,027).There was an association between type of wall, temperature and humidity levels with TB cases in Magelang. It was expected that the window function to be optimized so that the air circulation from outside to inside of the house can occur.Keywords: pulmonary TB, house environment, MagelangABSTRAK Prevalensi tuberkulosis di Kota Magelang mencapai 394,18 per 100.000 penduduk. Namun terjadi penurunan angka penemuan kasus TB dari 96,85% menjadi 78,05%. Penelitian terdahulu tentang TB yang dikaitkan dengan faktor lingkungan rumah masih menunjukkan kontroversi. Tujuan penelitian ini untuk mengetahui hubungan faktor lingkungan rumah dengan kejadian TB paru di Kota Magelang. Metode penelitian adalah observasional analitik dengan desain case control. Jumlah sampel sebesar 120 responden yang terdiri dari 40 kasus confirm, 40 kontrol dengan gejala TB dan 40 kontrol tanpa gejala TB yang diambil dengan teknik purposive sampling. Data dianalisis menggunakan chi square dan multipel regresi logistik. Hasil uji bivariat menunjukkan terdapat hubungan jenis dinding (p=0,005; OR=3,8; 95%CI=1,57-8,34) dan tingkat kelembaban (p=0,022; OR=2,9; 95%CI=1,24-6,73) dengan kejadian TB paru. Kemudian hasil uji multivariat menunjukkan suhu OR=4,0 (95%CI=1,22-13,37, p=0,022), jenis dinding OR=3,8 (95%CI=1,47-9,89, p=0,006), dan tingkat kelembaban OR=2,8 (95%CI=1,12-7,20, p=0,027). Hasil penelitian menunjukkan ada hubungan antara suhu, jenis dinding, dan tingkat kelembaban dengan kejadian TB paru di Kota Magelang. Diharapkan fungsi jendela dapat dioptimalkan sehingga dapat terjadi sirkulasi udara dari luar ke dalam rumah dan sebaliknya.Kata Kunci : TB paru, faktor lingkungan rumah, Magelan

    KELENGKAPAN IMUNISASI DASAR PADA BAYI USIA 9-12 BULAN DAN FAKTOR DETERMINAN DI KELURAHAN RANDUSARI KOTA SEMARANG TAHUN 2017

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    ABSTRACT: Immunization is an attempt to boost immunity against a disease that may cause disability or death due to diseases that can be prevented by immunization, namely Hepatitis B, Diphtheria, Pertussis, Tetanus, Polio, Tuberculosis and Measles. This study aims to determine the factors associated with the completeness of immunization in infants aged 9-12 months in the Village Randusari Puskesmas Pandanaran Semarang.This research use quantitative research methods with cross sectional design. The samples were mothers with babies aged 9-12 months in the village health center Randusari Pandanaran Semarang as many as 30 people. Collecting data using questionnaires. Data analysis using Chi Square test with a limit value of α used is alpha 5% or p value 0,05.Statistical test results showed there was no relationship between mother knowledge (p-value = 0.360), maternal attitude (p-value = 0.378), concierge services (p-value = 0.641) and family support (p-value = 1.000) with the completeness of immunization.To the sub-district health officer Pandanaran should conduct outreach to the community on a regular basis. Mother to her baby in order to immunize on time. To the volunteers to monitor and disseminate information on immunization in the whole society.Keywords: Immunization, Knowledge, Attitude, Service OfficerABSTRAK: Imunisasi adalah upaya untuk meningkatkan kekebalan tubuh terhadap suatu penyakit yang bisa saja menimbulkan kecacatan atau kematian akibat penyakit yang dapat dicegah dengan imunisasi, yaitu Hepatitis B, Difteri, Pertusis, Tetanus, Polio, Tuberkulosis dan Campak. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kelengkapan imunisasi pada bayi usia 9-12 bulan di Kelurahan Randusari Wilayah Kerja Puskesmas Pandanaran Semarang. Penelitian ini menggunakan metode penelitian kuantitatif dengan desain cross sectional. Sampel penelitian adalah ibu yang memiliki bayi usia 9-12 bulan di Kelurahan Randusari Puskesmas Pandanaran Semarang sebanyak 30 orang. Pengumpulan data menggunakan kuesioner. Analisis data menggunakan uji Chi Square dengan batas nilai α yang digunakan adalah alpha 5% atau p value 0,05. Hasil uji statistik menunjukan bahwa tidak ada hubungan antara pengetahuan ibu (p-value=0,360), sikap ibu (p-value=0,378), pelayanan petugas (p-value=0,641) dan dukungan keluarga (p-value=1,000) dengan kelengkapan imunisasi. Kepada petugas kesehatan Puskesmas Pandanaran sebaiknya melakukan kegiatan penyuluhan kepada masyarakat secara rutin. Kepada ibu bayi agar mengimunisasikan anaknya tepat waktu. Kepada kader agar memantau dan menyebarluaskan informasi tentang imunisasi pada seluruh masyarakat.Kata Kunci: Imunisasi, Pengetahuan, Sikap, Pelayanan Petugas

    EFFECT OF NONI LEAF (Morinda Citrifolia Lignosae) EXTRACT LARVACIDE TO THE MORTALITY OF Aedes sp. INSTAR III-IV LARVAE

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    ABSTRACTThe eradication of DHF is through the control of Aedes sp. Vector using larvacide. However, the use of synthetic larvacide causes new problems, such as an environmental pollution and toxicity to human beings therefore safe botanical larvacide should be used compound originated from such as mengkudu leaves extract which contains active compunds, i.e. flavonoida, alkaloida, saponin causing mortality to larva. However the research of mengkudu leaves extract effect to larva isn’t yet examined with Aedes sp larva sample in Indonesia specially larva sample in west village Krapyak.To proof that noni leaf extract 50% (LC50) and 90% (LC90) could lethal Aedes sp. Instar III-IV larva.Mortality of Aedes sp. larva at noni leaf extract 100 ppm was (0%), 200 ppm (1%), 300 ppm (4%), 400 ppm (6%), 500 ppm (11%) and the result of correlation test showed p=0.006 < α = 0.05, thus there was correlation between concentrate of noni leaf extract to with percentage of death of percentage Aedes sp. Instar III-IV larva with linear regression γ = -3.7 + 0.027 used as estimation LC50 and LC90.Concentrate of noni leaf extract could not lethal Aedes sp. instar III-IV larva as much as 50% (LC50) and 90% (LC90) but based on linear regression equivalent it was estimated LC50 was 2.000 ppm and LC90 was 3.475 ppm.Keywords: Larvacide, noni leaf extract, Aedes sp.ABSTRAKPengendalian DBD menggunakan larvasida sintetik menimbulkan masalah baru, diantaranya adalah pencemaran lingkungan dan keracunan pada manusia sehingga perlu larvasida botanis yang lebih aman seperti senyawa yang berasal dari daun mengkudu seperti flavonoida, alkaloida, saponin yang dapat mengakibatkan kematian larva. Namun penelitian terkait efek larvasida ekstrak daun mengkudu terhadap larva ini belum dilakukan uji menggunakan sampel larva nyamuk Aedes sp. di Indonesia terutama sampel larva di Dusun Krapyak Kulon.Tujuan penelitian untuk membuktikan ekstrak daun mengkudu dapat mematikan larva instar III-IV Aedes sp. sebesar 50% (LC50) dan 90% (LC90).Metode penelitian menggunakan Penelitian eksperimental dengan rancangan posttest-only control group design. Analisis data menggunakan korelasi dan regresi linier.Hasil penelitian yaitu jumlah kematian larva Aedes sp. pada pemaparan ekstrak daun mengkudu kosentrasi 100 ppm (0%), 200 ppm (1%), 300 ppm (4%), 400 ppm (6%), 500 ppm (11%) dan hasil uji korelasi menunjukkan p=0,006 < α = 0,05, sehingga dinyatakan ada hubungan antara konsentrasi ekstrak daun mengkudu terhadap persentase kematian larva instar III-IV Aedes sp. dengan persamaan regresi linier γ = -3,7 + 0,027 yang digunakan sebagai prediksi LC50 dan LC90.Konsentrasi ekstrak daun mengkudu yang digunakan tidak dapat mematikan larva instar III-IV Aedes sp. sebesar 50% (LC50) dan 90% (LC90) namun berdasarkan persamaan regresi linier didapatkan bahwa prediksi LC50 sebesar 2.000 ppm dan LC90 sebesar 3.475 ppm.Kata Kunci : Larvasida, ekstrak daun mengkudu, Aedes sp

    Pengaruh Pendidikan Kesehatan Terhadap Pengetahuan dan Sikap Siswa Tentang Penyakit Menular Seksual di SMA Nusantara Indah Sintang

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    Adolescence is a time of self-discovery that encourages him to have a high curiosity and have complex problems. One is a sexually transmitted disease. Factors that cause the occurrence of sexually transmitted diseases in adolescents is the lack of information and knowledge about sexually transmitted diseases. Research To determine the effect of health education on the knowledge and attitude of students about sexually transmitted diseases in senior high school Nusantara Indah Sintang District in 2018. Quantitative research with Pre Experimental approach, the planning used is One Group Pre test and Post test.Rresearch shows T-test paired sample with P value = 0,000 <0,05 this indicates that there are differences before and after health education on students' knowledge and attitudes about sexually transmitted diseases. Health education influences students' knowledge and attitude about sexually transmitted diseases in senior high school  Nusantara Indah Sintang 2018. Health education on sexually transmitted diseases should be continued to improve knowledge and change the attitude of students in adolescence

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    VISIKES: Jurnal Kesehatan Masyarakat
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