Jurnal Kesehatan Komunitas
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Pengaruh Konsumsi Jantung Pisang Terhadap Peningkatan Produksi Asi Pada Ibu Menyusui di Desa Candirejo Kecamatan Biru-Biru Kabupaten Deli Serdang
Breast milk (ASI) is the best food for babies whose nutrition is complex, and contains nutrients according to the baby's needs for growth, immunity, preventing various diseases and for the baby's intelligence. However, many mothers have problems with difficulty in getting milk out. This makes the baby not get enough milk and the mother makes the decision to give formula milk. Some mothers are afraid to breastfeed, resulting in breast milk damages because it can reduce the baby's suction at the breast causing the amount of milk to be small and not sufficient for the baby's needs. The purpose of this study was to compare the production of breast milk between the intervention group (posttest) consuming Kepok banana blossom vegetables and the control group (posttest) not to consume Kepok banana blossom vegetables in breastfeeding mothers in Candirejo Village, Biru - Biru District, Deli Serdang Regency. The method used in this study was a quasi-experimental design with a two group pretest - posttest design. The sample in this study were all breastfeeding mothers in May-July totaling 20 respondents divided into 10 respondents in the intervention group and 10 respondents in the control group. Data collection were used the observation sheet. The data were analyzed using the Wilcoxon test and then to see the comparison using the Mann Whitney test. The results showed that the mean ranks of the control was 5.65 with a sum of ranks of 56.50 increased in the intervention group with a mean ranks of 15.35 and a sum of ranks of 153.50 with a P-value of (0.000 <α 0, 05) then Ho is rejected, Ha is accepted. The conclusion showed that there is an effect of banana blossom consumption on increasing milk production in breastfeeding mothers in Candirejo Village, Deli Serdang Regency.Air Susu Ibu (ASI) mengandung zat gizi sesuai dengan kebutuhan bayi untuk pertumbuhan, kekebalan, mencegah berbagai penyakit serta untuk kecerdasan bayi. Namun, banyak ibu mengalami masalah sulitnya ASI keluar. Hal ini membuat bayi tidak mendapat ASI yang cukup dan ibu mengambil keputusan memberikan susu formula. Beberapa ibu takut untuk menyusui, sehingga terjadi bendungan ASI karena dapat mengurangi isapan bayi pada payudara menyebabkan jumlah ASI sedikit dan tidak mencukupi kebutuhan bayi. Tujuan Penelitian ini untuk membandingkan produksi ASI antara kelompok intervensi (post test) mengkonsumsi sayur jantung pisang kepok dengan kelompok kontrol (post test) tidak mengkonsumsi sayur jantung pisang kepok pada Ibu Menyusui di Desa Candirejo Kecamatan Biru – biru Kabupaten Deli Serdang. Metode yang dilakukan dalam penelitian ini adalah quasi eksperimen dengan rancangan two group pretest - posttest design. Sampel dalam penelitian ini adalah seluruh ibu menyusui pada bulan Maret – Juli tahun 2020 berjumlah 20 responden dibagi menjadi 10 responden kelompok intervensi dan 10 responden kelompok kontrol. Jantung pisang diberikan sebanyak 200 gram, dua kali sehari selama 7 hari. Data dianalisis dengan Uji Wilcoxon kemudian untuk melihat perbandingannya menggunakan Uji Mann Whitney. Hasil penelitian menunjukan bahwa nilai mean ranks pada kontrol sebesar 5,65 dengan sum of ranks sebesar 56,50 meningkat pada kelompok intervensi dengan mean ranks 15,35 dan sum of ranks 153,50 dengan hasil p–value sebesar (0,000 < α 0,05).  Simpulan dari penelitian ini adalah terdapat pengaruh konsumsi jantung pisang terhadap peningkatan produksi ASI pada ibu menyusui di desa Candirejo Kabupaten Deli Serdang
Faktor-Faktor Yang Berhubungan Dengan Imunisasi Dasar Tidak Lengkap Di Puskesmas Sidomulyo Kota Pekanbaru
Complete basic immunization occurs if certain vaccines are given to babies; if one dose or more certain vaccines are not given, incomplete basic immunization occurs. The objective of the study is to detect the management of basic immunization, and factors affecting incomplete basic immunization at the Sidomulyo health center in Pekanbaru in 2020. This research was a mixed methodology in which one Qualitative research design confirms 3 informants namely the health center head, immunization section head, and immunization worker. The researcher conducted a deep interview, observation, and reviewing documents. Data analysis was conducted by data reduction, conclusion, and presentation. This used a quantitative case-control study design, the researcher found a population of 286 cases, and a population of 1,308 controls. Each of 205 cases and 205 controls were taken from its population by systematic random sampling. The researcher collected data through interviews using a questionnaire containing close-ended questions and analyzed data by univariate, bivariate, and logistic regression analysis. Qualitative research design found planning and implementation were running well, but monitoring has not been conducted. The case-control study found a causal relationship with each of intellectual development (CI 95%, OR=3.5-10.4), attitude (CI 95%, OR =3.6-8.5), family-supporting (CI 95%, OR= 2.3-8.5), and side effect (CI 95%, OR =1.9-4.4) and basic immunization. It concludes the management of health centers should monitor basic immunization,Â
and enhance health promotion on intervention concerning intellectual development, positive attitude, family-supporting, and side effect of vaccines to complete basic immunization. Each intervention developed to be suggestions.Imunisasi dasar lengkap bila diberikan 5 macam vaksin tertentu kepada bayi; bila  satu dosis atau lebih vaksin tertentu itu tidak diberikan kepada bayi, maka terjadi imunisasi dasar tidak lengkap. Tujuan penelitian ini untuk mengetahui manajemen pelaksanaan program imunisasi dasar dan faktor-faktor yang mempengaruhi imunisasi dasar tidak lengkap di Puskesmas Sidomulyo Kota Pekanbaru tahun 2020. Jenis penelitian ini mixed methodology yang mana desain penelitian kualitatif peneliti menentukan 3 orang informan yaitu kepala puskesmas, penanggung jawab imunisasi, dan petugas imunisasi. Peneliti melakukan wawancara mendalam, observasi dan telaah dokumen, kemudian analisis data dengan reduksi data, kesimpulan, dan penyajian. Dengan desain penelitian kuantitatif studi kasus kontrol, peneliti menemukan populasi kasus 286 orang dan populasi kontrol 1.308 orang. Masing-masing sampel 205 kasus dan 205 kontrol diambil dari populasinya dengan metode systematic random sampling. Peneliti mengumpulkan data melalui wawancara tertutup dengan kuesioner berisi pertanyaan tertutup, lalu digunakan analisis univariat, bivariat, dan multiple logistic regression. hasil penelitian kualitatif menemukan perencanaan dan pelaksanaan imunisasi berjalan dengan baik, tetapi pemantauan imunisasi dasar lengkap belum dilaksanakan. Penelitian kuantitatif menemukan hubungan sebab akibat antara perkembangan intelektual (CI 95%, OR = 3,5-10,4), sikap (CI 95%: OR =3,6-8,5), dukungan keluarga (CI 95%, OR = 2, 3-8,5), dan efek samping (CI 95%, OR=1,9-4,4) masing-masing dengan imunisasi dasar lengkap. Disimpulkan bahwa manajemen puskesmas perlu melaksanakan pemantauan program imunisasi dasar, dan menggiatkan promosi kesehatan kepada ibu-ibu berupa intervensi terutama terhadap perkembangan intelektual, sikap positif, dukungan keluarga, dan efek samping untuk kelengkapan imunisasi dasar. Peneliti mengembangkan saran-saran dari rekomendasi
Analisis Mutu Penyelenggaraan Pendidikan dan Pelatihan Kesehatan Oleh UPT Bapelkes Dinas Kesehatan Provinsi Riau
The ability of the UPT health training center for Riau Provincial Health Office in providing education and health training was faced with several problems. The objective of the research was to analyze the implementation of health education and training by the UPT Bapelkes Riau province. The design of this research is qualitative. The tringulations that used were source tringulation, method and data. The results showed that the tangible dimensions for facilities and infrastructure were still not good enough, the human resources and staff appearance were quite good. Reliability was good enough. Responsiveness was good enough. Assurances were good and empathy was good. Suggestion for UPT Bapelkes Riau province to complete facilities and infrastructure as well as carried out quality safety and quality assurance.Kemampuan UPT Balai Pelatihan Kesehatan Dinas Kesehatan Provinsi Riau selama dalam memberikan pendidikan dan pelatihan kesehatan dihadapkan pada beberapa masalah.Tujuan penelitian untuk menganalisis mutu penyelenggaraan pendidikan dan pelatihan kesehatan oleh UPT Bapelkes Dinas Kesehatan Provinsi Riau.Jenis penelitian ini adalah kualitatif.Triangulasi yang digunakan adalah triangulasi sumber, metode dan data. Hasil penelitian dimensi tangible sarana dan prasarana masih kurang baik, SDM dan penampilan staf sudah cukup baik. Reliability sudah cukup baik.Responsiveness sudah cukup baik.Assurances sudah baik dan empathy  sudah baik. Saran bagi UPT Bapelkes Provinsi Riau untuk melengkapi sarana dan prasarana serta melakukan quality assurance dan quality safety
Analisis Survei Kepuasan Pelanggan Terhadap Mutu Pelayanan Di Rumah Sakit Jiwa Tampan Provinsi Riau
Patient satisfaction is an important and commonly used indicator for measuring the quality in health care. Riau Province, Pekanbaru were the cities with high numbers of mental disorders. This study aims to know consumer’s satisfaction with the quality service in Tampan Mental Health Hospital, Riau Province 2020. This research was a descriptive qualitative in terms of patient (family) satisfaction for health services in Mental Health Hospital Tampan, Riau Province. There were 100 samples collected by calculated the numbers of public satisfaction index using a questionnaire. The results showed that patient satisfaction of service quality in Mental Health Hospital Tampan, Riau Province classified as “A†category (very good) and 87 point average. It conclude that costumer’s satisfaction of service quality in Tampan Mental Health Hospital were very good.Kepuasan pasien merupakan hal yang penting dan umumnya digunakan sebagai indikator untuk mengukur kualitas suatu pelayanan kesehatan. Provinsi Riau khususnya Kota Pekanbaru termasuk kota dengan angka gangguan jiwa yang cukup tinggi. Studi ini bertujuan utk mengetahui gambaran Kepuasan Pelanggan Terhadap Mutu Pelayanan Di Rumah Sakit Jiwa Tampan Provinsi Riau Tahun 2020. Metode penelitian ini adalah kuantitatif deskriptif dengan melihat gambaran kepuasan keluarga pasien terhadap pelayanan kesehatan di RSJ Tampan Provinsi Riau. Sampel penelitian ini adalah 100 orang responden pada dengan menggunakan nilai indeks kepuasan masyarakat menggunakan kuesioner. Hasil penelitian yang diperoleh diketahui bahwa gambaran kepuasan pasien terhadap pelayanan kesehatan yang ada di RSJ Tampan Provinsi Riau tergolong di dalam kategori A (Sangat Baik) dengan nilai kepuasan rata-rata 87. Pada studi selanjutnya diharapkan agar indeks kepuasan pasien perlu dilakukan pada seluruh pelayanan yang ada di RSJ Tampan, dengan mempertimbangkan penggunaan metode “ServQual†(Service Quality) untuk memperoleh hasil kepuasan pasien lebih mendetai
Terapi Perilaku Kognitif Terhadap Pasien Depresi Pasca Stroke di Kota Palangka Raya
Post-stroke depression is found to be around 20-65%, this prevalence shows a high enough number. Lack of attention to post-stroke depression causes the patient's condition worsen, while appropriate intervention and treatment of depression can benefit healing and even shorten the rehabilitation process. This study aims to determine the effect of cognitive-behavioral therapy on post-stroke depression patients in the city of Palangka Raya. The method of this research is quantitative research with a type of pre-test post-test control group design research with a total sample of 50 post-stroke depression patients divided into two groups: the treatment group and the control group. Kuesinoer in this study used the Hamilton scale instrument (HDRS) consisting of 20 questions to measure the level of depression in post-stroke patients. In the treatment group, cognitive behavioral therapy intervention sessions session 1-4 were given with two meetings. Data analysis in this study was carried out through univariate and bivariate analysis with paired t-tests. The results showed that there were significant differences in the average value of depression rates of post-stroke patients in the treatment group before and after cognitive behavior therapy with p <0.05 and IK did not exceed zero. It is expected that nurses can become educators, motivators, and facilitators as well as family support systems in treating post-stroke depression patientsDepresi pasca stroke ditemukan sekitar 20-65 % prevalensi ini menunjukkan angka yang cukup tinggi. Kurangnya perhatian terhadap depresi pasca stroke menyebabkan kondisi pasien semakin memburuk, sementara intervensi dan pengobatan depresi yang tepat dapat memberi keuntungan dalam penyembuhan dan bahkan mempersingkat proses rehabilitasi. Penelitian ini bertujuan untuk mengetahui pengaruh terapi perilaku kognitif tehadap pasien depresi pasca stroke di kota Palangka Raya. Metode penelitian ini adalah penelitan kuantitatif dengan tipe penelitian eskperement pre- test post –test kontrol group design dengan jumlah sampel sebanyak 50 orang pasien depresi pasca stroke yang dibagi dalam dua kelompok yaitu kelompok perlakukan dan kelompok kontrol. Kuesinoer dalam penelitian ini menggunakan instrument skala Hamilton (HDRS) yang terdiri dari 20 pertanyaan untuk mengukur tingkat depresi pasien pasca stroke. Pada kelompok perlakukan diberikan intervensi Terapi perilaku kognitif sesi 1-sesi 4 dengan intervensi yang dilakukan sebanyak dua kali. Analisa data dalam penelitian ini dilakukan melalui analisis univariate dan bivariate dengan uji t berpasangan. Hasil penelitian menunjukkan ada perbedaan yang bermakna nilai rata-rata tingkat depresi pasien pasca stroke pada kelompok perlakukan sebelum dan sesudah dilakukan terapi perilaku kognitif dengan nilai p < 0.05 dan IK tidak melewati nol. Diharapkan perawat dapat menjadi edukator, motivator dan fasilitator serta support system dari keluarga dalam merawat pasien depresi pasca stroke.
Kata kunci: Terapi perilaku kognitif, depresi, pasca stroke
 
FAKCTORS RELATED WITH EXISTENCE OF MOSQUITO REPELLENT AEDES AEGYPTI IN WORK AREA HARAPAN RAYA PUBLIC HEALTH CENTER IN 2020: FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEBERADAAN JENTIK NYAMUK AEDES AEGYPTI DI WILAYAH KERJA PUSKESMAS HARAPAN RAYA TAHUN 2020
The cause of Dengue Hemorrhagic Fever is the bite of the mosquito Aedes Aegypty which enters the human blood circulation. It was found that the percentage of the House Index was 93.3% of the mosquito larvae in the houses of residents in the working area of ​​the Harapan Raya Health Center. The Objective is to determine the factors associated with the presence of mosquito larvae Aedes Aegypti. This study is quantitative analytic observational with a design cross sectional. The measuring instrument uses a questionnaire through interviews, observations, and checklists. The population is 13,750 heads of house hold (KK), the total sample is 189 house holds. Technique Purposive Sampling. Data analysis usingtest Chi square. Results showed the proportion of larvae Aedes Aegypti is 58.7%. Factors related to the presence of mosquito larvae Aedes Aegypti were knowledge (P=0.001; POR=18,494 (CI=8,796-38,881), attitude (P=0.001; POR=5,000 (CI=2,608-9.587), jumantic activity (P = 0.001; POR = 4.717 (CI = 2.519-8.834), the presence of solid waste (P = 0.001; POR = 2.996 (CI = 1.632-5.498), the practice of eradicating mosquito nests (P = 0.001; POR = 136,000 (CI = 46,363- 398,935), and water reservoirs (P=0,028; POR=0,400 (CI=0,335-0,447) The conclusion of seven factors studied were: knowledge, attitudes, jumantic activity, presence of solid waste, practice of eradicating mosquito nests, and water reservoirs. significantly related to the presence of mosquito larvae Aedes Aegypti.Keberadaan jentik Aedes Aegypti merupakan suatu indikator adanya populasi nyamuk Aedes Aegypti, yang bisa mengakibatkan terserang penyakit Demam Berdarah Dengue. Demam Berdarah Dengue adalah penyakit demam akut yang disebabkan oleh virus Dengue yang masuk keperedaran darah manusia melalui gigitan nyamuk Aedes Aegypti. Hasil survei awal menunjukkan bahwa 93,3% rumah ditemukan jentik nyamuk Aedes Aegypti. Tujuan Penelitian ini untuk mengetahui faktor-faktor yang berhubungan dengan keberadaan jentik nyamuk Aedes Aegypti di Wilayah Kerja Puskesmas Harapan Raya tahun 2020. Metode penelitian kuantitatif analitik observasional dengan desain cross sectional. Alat ukur menggunakan kuesioner dan penyebaran kuesioner melalui wawancara, observasi,dan lembar ceklis. Populasi berjumlah 13.750 KK dengan sampel penelitian 189 KK. Teknik pengambilan sampel Purposive Sampling dengan uji Chi square. Hasil penelitian menunjukkan proporsi ada ditemukan keberadaan jentik nyamuk Aedes Aegypti sebanyak 58,7%, sedangkan yang tidak ditemukan keberadaan jentik nyamuk Aedes Aegypti sebanyak 41,3%. Faktor-Fakor yang berhubungan dengan keberadaan jentik nyamuk Aedes Aegypti adalah tempat penampungan air (P=0,028; POR=0,400 (CI=0,335-0,447), praktek pemberantasan sarang nyamuk (P=0,001; POR=136,000 (CI=46,363-398,935), pengetahuan (P=0,001; POR=18,494 (CI=8,796-38,881), sikap (P=0,001; POR=5,000 (CI=2,608-9,587), keaktifan jumantik (P=0,001; POR=4,717 (CI=2,519-8,834), dan keberadaan sampah padat (P=0,001; POR=2,996 (CI=1,632-5,498). Di sarankan kepada petugas Puskesmas Harapan Raya perlu adanya penyuluhan tentang praktek pemberantasan sarang nyamuk sera pelatihan juru pemantau jentik secara berkesinambungan kerjasama antara petugas pelayanan kesehatan dengan pemerintah dan masyarakat untuk memberantas keberadaan jentik nyamuk Aedes aegypti
Analysis of Factors Causing High Non-Specialized Referral Ratio of Inpatient Primary Health Centers
As part of the quality control and cost control system in health services, the provision of health services to JKN participants must be carried out in stages according to medical indications. The fact shows that the Puskesmas has not carried out its function as a gatekeeper properly due to the high number of referrals, especially for non-specialist services. The purpose of this study was to obtain an overview of the causes of the high ratio of non-specialist referrals at the Pasuruan District Health Center. This research is a quantitative descriptive study with a cross sectional research design. The research sample was 4 inpatient health centers with a non-specialist referral ratio > 2% in Pasuruan Regency. The results showed that the most frequently referred disease was insulin-dependent diabetes mellitus. All inpatient health centers with a high ratio of non-specialist referrals do not have complete facilities and infrastructure according to standards. In addition, as many as 75% of Puskesmas do not have type of health worker based on Permenkes 43 of 2019. In this case, local governments must always strive the needs of facilities, infrastructure and health workers, so that puskesmas can provide excellent health services.Sebagai bagian dari sistem kendali mutu dan kendali biaya dalam pelayanan kesehatan, pemberian layanan kesehatan kepada peserta JKN harus dilaksanakan secara berjenjang sesuai indikasi medis. Fakta menunjukkan bahwa Puskesmas belum menjalankan fungsinya sebagai gatekeeper dengan baik karena tingginya angka rujukan terutama untuk pelayanan non spesialistik. Tujuan penelitian ini adalah untuk mendapatkan gambaran terkait penyebab tingginya angka rasio rujukan non spesialistik di Puskesmas Kabupaten Pasuruan. Penelitian ini merupakan penelitian deskriptif kuantitatif dengan rancang bangun penelitian yaitu cross sectional. Sampel penelitian sebanyak 4 puskesmas yang merupakan puskesmas rawat inap dengan rasio rujukan non spesialistik > 2% di Kabupaten Pasuruan. Hasil penelitian menunjukkan bahwa penyakit yang paling banyak dirujuk adalah insulin-dependent diabetes mellitus. Seluruh puskesmas rawat inap dengan rasio rujukan non spesialistik tinggi tidak memiliki sarana dan prasarana yang lengkap sesuai dengan standar. Selain itu, sebanyak 75% Puskesmas tidak memiliki jenis tenaga kesehatan berdasarkan Permenkes 43 tahun 2019. Dalam hal ini, pemerintah daerah harus selalu berupaya untuk memenuhi kebutuhan sarana, prasarana dan tenaga kesehatan, agar puskesmas dapat memberikan pelayanan kesehatan yang prima
Factors Associated with Active Aging at Payung Sekaki Health Center Pekanbaru City
Quality healthy elderly refers to the active aging concept, namely the aging process that remains physically, socially and mentally healthy so that they remain prosperous throughout life. Many factors are related to the activity of the elderly such as: sports, income and gender with education as a confounding variable because it has two unique relationships, namely it is positively related to the exposure variable and positively related to the exposed variable (active aging). The purpose of the study was to determine the health factors associated with active aging. This type of quantitative analytic research, using a cross sectional design. The study population was the elderly group registered in each Posyandu in the Payung Sekaki Community Health Center. The sample is 121 respondents. Data was collected by distributing questionnaires. Data analysis used Chi Square test and multiple logistic regression. The results of the analysis show that there is a significant relationship between exercise, income, gender and education with active aging. It is better for the government to consistently carry out efforts to improve social welfare for the elderly, so as to support healthy aging and active aging
FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN STUNTING DIWILAYAH KERJA UPTD PUSKESMAS KAMPAR KABUPATEN KAMPAR
Stunting is a chronic condition that describes growth retardation due to long-term malnutrition with a threshold (z-score) between -3 elementary school to <-2 elementary school. Based on the results of the 2013 Riskesdas UPTD Kampar Health Center is a Puskesmas that has two villages which are designated as stage II stunting loci, with the prevalence of stunting occurrence 29.4%. The purpose of this study was to determine the factors associated with stunting in the work area of ​​the Kampar UPTD Public Health Center, Kampar district in 2018. This type of research was observational through a quantitative analytic approach with case control design with a sample of 59 stunting mothers and control samples. 59 mother respondents of children under five were not stunting. The data analysis was performed by a computerized system using Univariate and Bivariate analysis with Chi-Square Test. The results showed a relationship between knowledge (P value = 0,000 CI = 5,408-32,065), Parenting Style (P value = 0,039 CI = 1,109-5,005) history of ANC (P value = 0,034 CI = 1,099-4,861) Birth Weight (P value = 0.034 CI = 1,137-5,390), Exclusive breastfeeding (P value = 0,027 CI = 1,169-5,134), immunization history (P value = 0,025 CI = 1,187-5,359), Revenue (P value = 0,002 CI = 1,674-7,753) and family support (P value = 0.020 CI = 1.264-7.458) for the incidence of stunting and no association between history of infectious disease (P value = 1,000 CI = 0.311-2.439) for the incidence of stunting. It is recommended for puskesmas to be able to prepare facilities and infrastructure as a medium in providing counseling and counseling on stunting to the community through posyandu as a place for integrated activities from various sectors.Stunting merupakan kondisi kronis yang menggambarkan terhambatnya pertumbuhan karena malnutrisi jangka panjang dengan ambang batas (z-score) antara -3 SD sampai dengan < -2 SD. Berdasarkan hasil Riskesdas tahun 2013 UPTD Puskesmas Kampar adalah Puskesmas yang memiliki dua desa yang ditetapkan sebagai lokus stunting tahap II, dengan prevalensi kejadian stunting 29,4%. Tujuan dari penelitian ini adalah untuk mengetahui faktor yang berhubungan dengan kejadian stunting diwilayah kerja UPTD Puskesmas Kampar, kabupaten kampar tahun 2018. Jenis penelitian ini adalah observasional melalui pendekatan kuantitatif analitik dengan desain case control dengan jumlah sampel kasus 59 responden ibu balita stunting dan jumlah sampel kontrol 59 responden ibu balita tidak stunting. Analisis data dilakukan dengan analisis Univariat dan Bivariat dengan Uji Chi-Square. Hasil penelitian menunjukan adanya hubungan antara pengetahuan (P value=0,000), Pola Asuh (P value=0,039) riwayat ANC (P value=0,034) Berat Badan Lahir (P value=0,034), ASI Eksklusif (P value=0,027), riwayat imunisasi (P value=0,025), Pendapatan (P value=0,002) dan dukungan keluarga (P value=0,020) terhadap kejadian stunting. Disarankan bagi puskesmas agar dapat mempersiapkan sarana dan prasarana sebagai media dalam memberikan penyuluhan dan konseling tentang stunting kepada masyarakat melalui posyandu sebagai wadah kegiatan terintegritas dari berbagai sekto
Analisis Perceived Need Factor Terhadap Pemanfaatan Pelayanan Kesehatan Lansia di Puskesmas Dan Posyandu
The need factor-based to the theory of Andersen and Newman (2005) is seen from 2 aspects, which include the individual assessment aspect (perceived need factor) and the clinical aspect (evaluated need). There is still no publication of review research that discusses specific analyzes of subjective assessment of the needs of the elderly on the use of services in health facilities at Puskesmas and Posyandu. The purpose of this study was to identify the relationship between the influence of perceived need factors on the utilization of health services for the elderly at the Puskesmas and Posyandu. This study is a qualitative study with a literature review using quantitative and mixed methods analysis which are published from 2016 to 2021. The collection of literature using the Scopus, Science Direct, PubMed, and Google Scholar databases. The search results obtained 60 articles that matched the keywords and then the overall identification was carried out using inclusion and exclusion criteria in the content of the article so that 12 articles were reviewed. The results showed which variable of perceived need factor that most commonly found to be related to the utilization of elderly health care services at Puskesmas and Posyandu was the chronic condition variable (n = 4 articles), followed by the self-rated health, subjective health complaint, perception for benefit matter and limitation in daily activities variable, each of them are (n=2 articles). Further studies are needed to develop an appropriate instrument in assessing the factors of the needs of the elderly in full, namely the factors of the needs of the elderly which are seen from the clinical aspect of the utilization of health services at the Puskesmas and Posyandu.The need factor-based to the theory of Andersen and Newman (2005) is seen from 2 aspects, which include the individual assessment aspect (perceived need factor) and the clinical aspect (evaluated need). There is still no publication of review research that discusses specific analyzes of subjective assessment of the needs of the elderly on the use of services in health facilities at Puskesmas and Posyandu. The purpose of this study was to identify the relationship between the influence of perceived need factors on the utilization of health services for the elderly at the Puskesmas and Posyandu. This study is a qualitative study with a literature review using quantitative and mixed methods analysis which are published from 2016 to 2021. The collection of literature using the Scopus, Science Direct, PubMed, and Google Scholar databases. The search results obtained 60 articles that matched the keywords and then the overall identification was carried out using inclusion and exclusion criteria in the content of the article so that 12 articles were reviewed. The results showed which variable of perceived need factor that most commonly found to be related to the utilization of elderly health care services at Puskesmas and Posyandu was the chronic condition variable (n = 4 articles), followed by the self-rated health, subjective health complaint, perception for benefit matter and limitation in daily activities variable, each of them are (n=2 articles). Further studies are needed to develop an appropriate instrument in assessing the factors of the needs of the elderly in full, namely the factors of the needs of the elderly which are seen from the clinical aspect of the utilization of health services at the Puskesmas and Posyandu