JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK
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Gambaran Pelaksanaan Kewaspadaan Universal di Puskesmas Paniki Bawah Kecamatan Mapanget
Universal Precautions is simple effective ways designed to protect healthcare workers and patients from infection of various pathogens. The purpose of this study is to describe the implementation of universal precautions in health centers of Paniki Bawah, Mapanget District of Manado City. This descriptive study has been conducted in October 2012 - December 2012 and sampling by using the total population method.The study results showed that all of the respondents wash their hands with soap, 6.67% respondents do not always wash their hands before contact with patients, all of the respondents wash their hands after contact with patients, (100%) of the respondents always wash hands when exposed to blood or body fluids, (3.33%) of respondents did not use sterile gloves when contact with blood or body fluids, (3.33%) of respondents did not use gloves when cleaning medical equipment, (10% ) of respondents did not always wear a mask when treating patients with suspected TB, (100%) of respondents always perform decontamination and sterilization procedures for medical equipment, (100%) of respondents said yes to the container waterproof and resistant to punctures, (100%) respondents always discard needles / sharps in the container, (100%) respondents said there were bins of medical and non-medical (100%) of the respondents dispose of medical waste and nonmedical according to the space provided. Keywords: Universal Precaution
Pengetahuan Masyarakat tentang Demam Berdarah Dengue di Desa Maen Kecamatan Likupang Timur Kabupaten Minahasa Utara
Background:Dengue hemorrhagic fever (DHF) is an infectious disease caused by the dengue virus. As known, DHF is still one of the potentially infectious disease that can cause an outbreaks / extraordinary events (KLB). The main vector of dengue is Aedes aegypti were found both in Indonesia and other subtropical countries. One of the ways to prevent this disease is to break the chain of disease transmission by mosquito nest eradication program (PSN).This study aimed to determine the knowledge of the community in the village of Maen About Dengue Fever. Methods: In this study, the method used is the survey method with a descriptive approach. Furthermore, data collected through interviews using questionnaires and measured by using Guttman scale. Numbers of samples is determined by simple random sampling with a sample of 90 households. Results:This study found that over 50% of the responden (72,2%) answered yes. Conclusions: From this study it can be concluded that the knowledge of the people in the village Maen About Dengue Hemorrhagic fever are well-knowledge. Keywords: community, dengue fever, Knowledge, Maen village
Gambaran pengetahuan perilaku hidup bersih dan sehat siswa kelas VII di SMP Katolik Santa Theresia Manado
According to the vision that the future of the indonesian government about PHBS of indonesian who live in a healthy environment, the behavior of clean and healthy, able to reach health services, fair and equitable. The purpose of this research is to reveal the students knowledge of students of class VII at Catholic Junior High School Santa Theresia Manado about healthy behavior. This is descriptive study using a proportional approach. The sampling method used simple randam sampling with a sample of 55 people from a population of 120 people. The results obtained show that the knowledge of students of class VII at Catholic Junior High School Santa Theresia Manado is good, 100% of respondents knew how to wash their hands, and then 100% of respondents knew about healthy snacks, and by 87,3% of respondents knew about the use of latrines, then about 98,4% of respondents knew about the benefits of exercise, and approximately 96,3% of the respondents knew about the eradacation of mosquito larvae exercise, and then approximately 96,3% respondents know about the dangers of smoking and about 80% respondents know about weighing and measuring height, and 100% of respondents knew about the habit of taking out the trash. Keywords: Clean and Health Behaviour, Knowledge, Attitude and Behaviou
Hubungan Status Sosial Ekonomi Keluarga dengan Status Gizi Remaja Usia 11 – 15 Tahun di Pusat Pengembangan Anak (PPA) ID-127 Kota Manado
The successful development of a nation is determined by the availability of qualified human resources and it depends on good nutritional status. The good nutritional status of adolescent was specify by family socioeconomic status, if the condition of the socioeconomic status are good, the better nutritional status. A family’s socioeconomic status is based on parental education, parental occupation and family income. This research has been doing to know the association between family socioeconomic status with nutritional status of adolescents age’s 11 – 15 years old at Child Development Centre (CDC) ID-127 Manado City. The design research is an analytic research with cross sectional approach. There are 90 samples taken from 92 people of total population who are willing to be sampled. Data obtained from direct measurement and interview questionnaire. The anthropometric measurements calculated using z-score and spearman rho for statistical test to prove the hypothesis of this research.The result showed there was no association between family socioeconomic status and nutritional status of adolescents age’s 11 – 15 years old with the value of Ï = 0,083; Ï = 1,00; Ï = 0,455 (Ï > 0,005) are indicated there was no association between parental education, parental occupation and family income with nutritional status of adolescents age’s 11 – 15 years old at Child Development Centre (CDC) ID-127 Manado city. Keywords: socioeconomic status, nutritional statu
Gambaran Pengetahuan Masyarakat tentang Pencegahan Penyakit Malaria di Desa Tatelu Kecamatan Dimembe
Background: Malaria is a contagious disease which caused by Plasmodium sp. that attack red blood cells. Indonesiahad five species of the malaria parasites. Method: The study is a descriptive study with survey method. This studytook place in Tatelu Village and was done during November to December 2012 with respondents of 120 families.Sampling is by using the simple random sampling. Result: There was 75% for the respondents who know about malaria.The respondents who did not know that Plasmodiums cause malaria was 70,8% and the respondents who didnot know about the symptomps of malaria was 65,8%. Up to 73,4% respondents did not know anything how to protectthemselves from malaria. Conclusion: The villagers of Tatelu did not have a sufficient knowledge about malariaeradication. This was most likely caused by the lower study level and low socioeconomy level. However, the villagerrealised the dangerous of this disease, so they wanted that malaria will not be a threat for their health.Keywords: Spesies, Malaria, parasite, Plasmodiu
Perilaku Masyarakat terhadap Pencegahan Penyakit Rabies di Desa Pahaleten Kecamatan Kakas Kabupaten Minahasa
Latar Belakang : Rabies adalah penyakit infeksi akut susunan saraf pusat pada manusia dan mamalia yang berakibat fatal karena akan selalu berakhir dengan kematian. Berdasarkan penelitan WHO 55.000 orang meninggal tiap tahun, 95% kematian terjadi di benua Asia dan Afrika. Mengingat bahaya keganasannya terhadap kesehatan dan ketentraman hidup masyarakat, maka usaha pencegahan dan pemberantasan penyakit perlu dilaksanakan secara intensif. Penelitian ini bertujuan untuk mengetahui pengetahuan, sikap, dan tindakan masyarakat terhadap pencegahan penyakit rabies. Metode : Desain penelitian ini adalah penelitian deskriptif dengan metode survey. Populasi penelitian ialah seluruh Kepala Keluarga (KK) yang berjumlah 226 KK yang tersebar di 3 jaga/lingkungan, dengan jumlah sampel sebanyak 77 KK yang diambil dengan cara proportional random sampling. Data diperoleh dengan menggunakan kuesioner yang diisi oleh responden. Selanjutnya data disajikan menggunakan tabel distribusi lalu dianalisis secara kuantitatif. Hasil : Didapatkan bahwa responden dengan pengetahuan baik sebesar 71,4%, dan yang memiliki pengetahuan kurang sebesar 28,6%. Selain itu didapatkan sikap baik sebesar 57,1%, dan sikap kurang 42,9%. Pada kategori tindakan, didapatkan tindakan baik sebesar 35,1%, dan tindakan kurang sebesar 64,9%. Simpulan: Didapatkan pengetahuan dan sikap masyarakat baik, serta tindakan yang kurang terhadap pencegahan penyakit rabies. Kata Kunci: Perilaku, Pencegahan, Rabies
Hubungan Karakteristik dan Pengetahuan Ibu Hamil dengan Minat Ibu Hamil untuk Memberikan ASI Eksklusif di Puskesmas Tareran
Abstrak Latar Belakang: Berbagai upaya promotif dilakukan pemerintah untuk meningkatkan kualitas kesehatan bayi, salah satunya upaya meningkatkan presentase bayi dengan status ASI eksklusif. Berdasarkan Profil Puskesmas Kabupaten Minahasa Selatan tahun 2011, pemberian ASI eksklusif di kecamatan Tareran dinyatakan nihil. Penelitian ini bertujuan untuk mengetahui hubungan karakteristik dan pengetahuan dengan minat ibu hamil untuk memberikan ASI eksklusif. Metode: Penelitian dengan pendekatan cross-sectional ini dilakukan pada periode waktu bulan November-Desember 2012. Data dikumpulkan dengan wawancara dan pengisian kuesioner tertutup. Hasil: Dari 60 sampel, didapatkan 54 ibu (90%) yang tidak memiliki pekerjaan dan 6 ibu (10%) memiliki pekerjaan. 48 ibu tergolong berpendidikan tinggi (80%) dan 12 ibu berpendidikan rendah (20%). 34 ibu (56.67%) memiliki pengetahuan tinggi tentang ASI, dan 26 ibu (43.33%) memiliki pengetahuan rendah. Ibu hamil dengan minat tinggi berjumlah 26 orang (56.7%) dan yang memiliki minat rendah berjumlah 34 orang (56.7%). Dari uji chi-square didapatkan variabel status bekerja (p=0,728) dan tingkat pendidikan (p=0,241) tidak bermakna. Variabel pengetahuan ibu hamil (p=0,025) ditemukan bermakna. Simpulan: Tidak ditemukan hubungan antara variabel status bekerja dan tingkat pendidikan dengan minat ibu hamil, serta didapatkan hubungan antara pengetahuan dengan minat ibu hamil. Kata kunci: ASI eksklusif, status bekerja, tingkat pendidikan, tingkat pengetahuan, minat ibu hami
Gambaran Perilaku Hidup Bersih dan Sehat Warga Lingkungan 6 Kelurahan Mahawu Kecamatan Tuminting Kota Manado
Clean and Health Behaviour is one of the health promotion program’s priorities made by the government through clinic and become a target of the health management. Tuminting includes of nine sub districts in Manado City. Because no reports are discovered about the description of Clean and Health Behavior on Residents in Region 6 Tuminting Sub-District, the writer is interested to research about this issue. This research is aimed to discover the description of CnHB of Residents on Residents in Region 6 Mahawu District, Tuminting Sub-District including: Medical Team’s involve on childbirth, exclusive breastfeeding, availability of clean water, usage of clean water and soap on hand washing, availability of health latrine, larvae’s eradication in houses, fruits and vegetables’ daily consume, daily physical activity and not smoking inside the house. This research is a descriptive research with 81 respondents. The data are collected by interview based on questionnaire and presented by using tabulation and percentage. The research shows a great result of CnHB on Residents in Region 6 Mahawu District, Tuminting Sub-District. Around 67% represents good knowledge and 33% for bad knowledge, 75% represents good attitude and 25% for bad attitude, 54% represents good behavior and 46% for bad behavior.Keywords: socioeconomic status, nutritional status. Keywords: Clean and Health Behaviour, Knowledge, Attitude and Behaviou
Gambaran Penggunaan Sumber Air Minum dan Sanitasi Jamban pada Anak-anak di Pusat Pengembangan Anak ID-127 Kelurahan Ranomuut Kota Manado
Abstract: Universal Precautions are prevention acts that must be done by all of the health workers to prevent the infection spreading from the patients or vice versa. The purpose of this research is to measure the overview of the implementation of universal precaution in Kolongan Community Health Center. The research method is surveillance descriptive research with Total Sampling method as the sample collecting method.There are (13.33%) of the respondents do not wash their hands appropriately with soap, (17.78%) do not wash their hands before doing medical examination to patients, (4.44%) do not wash their hands after doing medical examinations to patients, (2.22%) do not wash their hands if skin is contaminated with blood or body fluids, (6.67%) do not wear gloves anytime they may come in contact with blood or body fluids. There were (6.67%) do not always wear gloves when cleaning up blood and body fluids soiled objects and (17.78%) do not always use masks when doing medical examination to tuberculosis or other droplet diseases patients. We found out that (6.67%) and (8.89%) do not always disinfect the medical instruments before and after using and do not always clean up the medical instruments with flowing water and soap before and after using, (24.44%) do not always clean up the medical instruments that may not contaminated with pathogens, such as linen, wheel chairs, infuse pumps before and after using. Nevertheless, all of the respondents agreed that there are proper needles and sharps disposals, and all of the respondents always dispose all needles and other sharps promptly to each of their disposals, all of the respondents agreed that there are separated disposals for medical and non medical wastes, and all of the respondents always dispose the wastes properly to the separately disposals. Conclusion: in Kolongan Community Health Center, the overview of the implementation of universal precautions is good. Keywords: Universal Precautions, Infection, Kolongan Community Health Center
Gambaran Pengetahuan dan Tindakan Pencegahan Penyakit Malaria di Desa Tateli I Jaga I Kecamatan Mandolang Kabupaten Minahasa
Malaria is one of the disease that gives quite high morbidity and mortality in this wolrd. Malaria is a disease with the 3rd amount of death. In Indonesia, Malaria is still main healthy problem because it influences rate of illness in baby, give birth mother and caused extraordinary event ( KejadianLuarBiasa – KLB ). Based on RISKESDA 2009/2010 Ma-laria case in Sulawesi Utara is 61, 7 %. The goal of this research is to figure out the knowledge and preventing action has been done by Tateli citizen over Malaria disease. This research is a descriptive and survey method. The sampling of this research has been taken at Jaga I, that is one of the area where the mosquito grow. The result of this research shows that the knowledge of Tateli I Jaga I citizen is good, shown by caused and signed of Malaria that has been known for 90 % and the preventing action over Malaria disease is not really good, because we can find 76 % that didn’t use wire, and 89 % didn’t use mosquito net in their house