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Praktik baik kelompok balita makan bersama meningkatkan berat badan balita yang mengikuti Pos Gizi di Desa Oelnaineno dan Oebola, Kabupaten Kupang
No full textTujuan: Penelitian ini bertujuan untuk mempelajari proses dan dampak dari program Pos Gizi untuk mengatasi permasalahan gizi kurang. Metode: Penangangan gizi kurang pada 53 balita dari 2 desa dengan menggunakan program Pos Gizi. Program Pos Gizi dilakukan dengan memberikan kapasitas kepada relawan dan kader posyandu untuk mendampingi balita dengan status gizi kurang selama 3 bulan. Pada sesi Pos Gizi selama 10 hari, balita berkumpul untuk makan bersama menu padat gizi dan orang tua balita mendapatkan edukasi mengenai pengasuhan positif pada anak. Menu padat gizi untuk balita merupakan kontribusi dari masing-masing orang tua dan pengasuh balita yang berasal dari bahan pangan lokal yang ada di sekitar rumah. Berat badan balita diukur pada hari pertama, hari kesepuluh, bulan pertama dan bulan ketiga. Hasil: Dari 53 balita yang mengikuti program Pos Gizi, 7 diantaranya dicatat sebagai drop outkarena pindah dari lokasi penelitian, sehingga total peserta yang meneruskan program hingga bulan ketiga sebanyak 46 balita. Sebanyak 43 dari 46 balita (93%) mengalami kenaikan berat badan (mean = 702 gram) dan 20 balita diantaranya mengalami kenaikan berat badan lebih dari 900 gram. Selama proses implementasi program, relawan mendampingi orang tua dan pengasuh balita untuk mempraktekkan menu padat gizi dan perilaku pengasuhan positif yang dipelajari saat sesi Pos Gizi. Praktik baik yang muncul adalah orang tua dan pengasuh memiliki inisiatif untuk meneruskan kegiatan balita makan bersama dalam kelompok lebih kecil di rumah yang lebih berdekatan. Selain menu padat gizi, praktik baik ini berkontribusi signifikan meningkatkan berat badan balita peserta Pos Gizi. Simpulan: Praktik baik kelompok balita makan bersama meingkatkan dampak dari program Pos Gizi dalam meningkatkan berat badan balita.Tujuan: Penelitian ini bertujuan untuk mempelajari proses dan dampak dari program Pos Gizi untuk mengatasi permasalahan gizi kurang.Metode: Penangangan gizi kurang pada 53 balita dari 2 desa dengan menggunakan program Pos Gizi. Program Pos Gizi dilakukan dengan memberikan kapasitas kepada relawan dan kader posyandu untuk mendampingi balita dengan status gizi kurang selama 3 bulan. Pada sesi Pos Gizi selama 10 hari, balita berkumpul untuk makan bersama menu padat gizi dan orang tua balita mendapatkan edukasi mengenai pengasuhan positif pada anak. Menu padat gizi untuk balita merupakan kontribusi dari masing-masing orang tua dan pengasuh balita yang berasal dari bahan pangan lokal yang ada di sekitar rumah. Berat badan balita diukur pada hari pertama, hari kesepuluh, bulan pertama dan bulan ketiga.Hasil: Dari 53 balita yang mengikuti program Pos Gizi, 7 diantaranya dicatat sebagai drop outkarena pindah dari lokasi penelitian, sehingga total peserta yang meneruskan program hingga bulan ketiga sebanyak 46 balita. Sebanyak 43 dari 46 balita (93%) mengalami kenaikan berat badan (mean = 702 gram) dan 20 balita diantaranya mengalami kenaikan berat badan lebih dari 900 gram. Selama proses implementasi program, relawan mendampingi orang tua dan pengasuh balita untuk mempraktekkan menu padat gizi dan perilaku pengasuhan positif yang dipelajari saat sesi Pos Gizi. Praktik baik yang muncul adalah orang tua dan pengasuh memiliki inisiatif untuk meneruskan kegiatan balita makan bersama dalam kelompok lebih kecil di rumah yang lebih berdekatan. Selain menu padat gizi, praktik baik ini berkontribusi signifikan meningkatkan berat badan balita peserta Pos Gizi.Simpulan: Praktik baik kelompok balita makan bersama meingkatkan dampak dari program Pos Gizi dalam meningkatkan berat badan balita
Hambatan Akses Pelayanan Kesehatan Orang Cebol
Full text linkBarrier of health services access among dwarfishPurpose: Study describes how people with dwarfism seek access and the barriers of accessing healthcare services.Method: Participatory observation method with in-depth interviews among people with dwarfism, family, healthcare officers, midwives and the head village were used in this study. The location was in Sigedang Village, Kejajar District, Wonosobo Regency, Central Java for 2 months between August-September 2017.Results: The study reveals stigma surrounding dwarfism in Sigedang society that dwarfism was hereditary. According to Sigedang people, abnormality was considered natural. Access to healthcare for people with dwarfism was limited. There were no efforts that has been made by either the village government nor the sub-district government for an increased prevention program for people with dwarfism in Sigedang village. People with dwarfism had limited information about healthcare services available for them. They must travel far to the city or across the regency just to reach the standard health facilities. Therefore, an increase of an integrated health access in Sigedang village is needed, especially for people with dwarfism.In addition, the study shows that health-seeking behavior of the locals was still influenced by the ancestors, where traditional medical practitioners played an important role. The awareness of people suffering from dwarfism and their community towards risk factors should be empowered.Conclusion: The absence of access to health services influenced the poor condition among people with dwarfism. They need empowerment from the local government, public health office and community to support their health service needs.The background: Dwarfism, is health issue that is found in developing countries, including Indonesia. In contrast eventhogh dwarfism is a rare cases but still exist in some Indonesia area include at Sigedang village. The purpose: This study is describe how people with dwarfish seek access to health and the barriers of its.The methods:Participatory observation method with in-depth interviews among the dwarfish, family, cadre, midwife and head village was used in this study. The location selected for this study is Sigedang Village, Kejajar District, Wonosobo Regency, Central Java. This research was conducted for 2 months between August-September 2017.The results: Revealed that the stigma surrounding dwarfish in Sigedang society is caused by heredity, therefore according to the society the abnormality is natural. Access to health care for people with dwarfish is also very limited. Health care discrimination among them may make the marginalized. There are no efforts that has been made by either the village government nor the sub-district government for an increased prevention program for the dwarfish in Sigedang village. People with dwarfish have limited information about health care. They must travel very far to the city or across the regency just to reach standard health facilities. Therefore, an increase of integrated health access in Sigedang village is needed especially for people with dwarfism. Health seeking behavior of the locals is still influenced by their ancestors, where traditional medical personnel still play an important role. Nevertheless, the awareness of people suffering from dwarfism and their community towards risk factors should be impowered. Conclusion: The absence of health service acces is influence the poor condition among dwarfism. Need empowerment among local government, public health office and community to support their health service need
Faktor – Faktor Yang Berhubungan Dengan Kepatuhan Perawat Menggunakan (APD) Masker Respiratorik Sesuai Standar Operasional Prosedur (SOP) di Rumah Sakit Paru Respira Yogyakarta
No full textLatar belakang : Perawat seringkali terpapar lingkungan yang beresiko tertular HAIS. Data pemeriksaan GCU perawat tahun 2016, terdapat 28% perawat yang dari hasil rongten dada mengalami gangguan kesehatan paru, bila dibandingkan dengan hasil rongten dada ketika awal masuk menjadi pegawai. Sedangkan ditahun 2017, terdapat 17% perawat yang mengalami perubahan kondisi kesehatan paru baik timbulnya fibrotik, maupun gejala suspected tuberculosisTujuan : Untuk mengetahui hubungan antara faktor intrinsik (umur, jenis kelamin, pendidikan, pelatihan, masa kerja, pengetahuan, dan sikap) dan faktor ekstrinsik (kelengkapan, kenyamanan APD) dengan kepatuhan perawat menggunakan APD masker respiratorik sesuai standar operasional prosedur (SOP) di rumah sakit Paru Respira Yogyakarta .Metode Penelitian : Penelitian ini menggunakan diskriptif kuantitatif dengan pendekatan cross sectional. Populasi penelitian ini adalah perawat rumah sakit Paru Respira Yogyakarta, dengan jumlah sampel 45 orang perawat dengan menggunakan teknik purpose sampling.Hasil Penelitian: Faktor intrinsik yang berhubungan dengan kepatuhan perawat menggunakan APD masker sesuai SOP dirumah sakit Paru Respira Yogyakarta adalah pengetahuan, dengan tingkat pengetahuan tinggi sebanyak 41 responden (91,1%), dengan kepatuhan menggunakan APD masker respiratorik dinyatakan patuh 34 responden (75,5%) Faktor ekstrinsik yang berhubungan dengan kepatuhan perawat menggunakan APD masker sesuai SOP dirumah sakit Paru Respira Yogyakarta adalah kenyamanan APD yang dikategorikan nyaman sebanyak 35 responden (77,8%), dengan kepatuhan menggunakan APD masker respiratorik dinyatakan patuh 29 responden (64,4%).Kesimpulan : Terdapat hubungan antara faktor intrinsik pengetahuan dengan kepatuhan perawat menggunakan APD masker sesuai SOP dirumah sakit Paru Respira Yogyakarta. Terdapat hubungan antara faktor ektrinsik kenyamanan APD masker respiratorik dengan kepatuhan perawat menggunakan APD masker sesuai SOP dirumah sakit Paru Respira Yogyakarta
Hubungan riwayat ASI eksklusif dan pola konsumsi dengan kejadian gizi buruk pada balita di daerah pesisir kota Kendari
Full text linkTujuan: Masalah gizi pada balita dapat memberi dampak terhadap kualitas sumber daya manusia. Penelitian ini bertujuan untuk mengetahui riwayat ASI eksklusif dan pola konsumsi sebagai faktor risiko yang berhubungan dengan kejadian gizi buruk pada balita di daerah pesisir Kota Kendari. Metode : Penelitian ini merupakan penelitian obrevasional dengan desain case control. Kelompok kasus balita usia 12-47 bulan berstatus gizi buruk berdasarkan laporan cakupan pelayanan gizi Puskesmas Abeli, Mata dan Benu-Benua bulan Oktober 2018. Kelompok kontrol balita usia12-47 bulan yang berstatus gizi baik. Jumlah sampel dalam penelitian ini adalah 64 sampel yang terdiri dari 16 sampel kasus dan 48 sampel control menggunakan kuesioner food recall 24 jam selama 2 hari tidak berturut-turut. Hasil: Analisis menunjukan riwayat ASI eksklusif (OR=1,000 CI 95%:0,683-1,937) bukan faktor risiko yang berhubungan dengan kejadian gizi buruk pada balita di daerah pesisir Kota Kendari, Pola konsumsi karbohidrat (OR=11,000 CI 95%:2,019-42,000), lemak (OR=6,600 CI 95%:1,825-23,873),protein (OR=11,400 CI 95%:3,091-43,052) merupakan faktor risiko yang berhubungan dengan kejadian gizi buruk pada balita di daerah pesisir Kota Kendari. Simpulan: Riwayat ASI eksklusif, bukan merupakan faktor risiko yang berhubungan dengan kejadian gizi buruk serta Pola konsumsi karbohidrat, lemak dan protein merupakan faktor risiko yang berhubungan dengan kejadian gizi buruk pada balita di daerah pesisir Kota Kendari. Adanya penyuluhan mengenai gizi seimbang kepada masyarakat pesisir, terutama ibu sehingga dapat memberikan makanan yang bervariasi kepada balitanya sehingga asupan makan cukup
Opening the policy window for sugar-sweetened beverage tax: lesson learned from Mexico
Full text linkPurpose: Worldwide, a model showed that 184000 death/year attributable to sugar-sweetened beverage (SSB) consumption. Accordingly, as the country with the largest absolute death from SSB, Mexico implements SSB tax measure which not successfully applied by several countries. Therefore, the objective of this research is to identify lesson learned from Mexican SSB tax enforcement and to analyze policy window of SSB tax implementation in Indonesia. Methods: Data collection was conducted through literature and media review with applied time window for specific topic. The author analyzes policy process with Walt and Gilson policy triangle theory and identifies policy window with multiple streams Kingdon theory. Result: Mexican SSB tax successfully reduced its consumption by 5.5 %, which shown in the decrease of 7.3% in per capita sales and increase of purchase non-taxed beverages (36mL/capita/day) in 2014. Findings show, continuous advocacy conducted by nutritional health alliance (non-governmental organization like PAHO/WHO, civil society organizations-CSO, nonprofit and grassroots organization) with financial assistance from Bloomberg philanthropy institution and scientific publication issued by academic communities, also political interest contributed to the success of SSB tax enforcement. In the context of Indonesia, the rising of obesity and overweight prevalence as well as increasing health expenditure on metabolic related diseases troubled government which resulted in political commitment in 2015-2019. SSB tax implementation can be the solution to crack down its consumption. While the executive and legislative election in 2019 can be benefited to advance passing SSB tax. A coupled of problem, policy, and politic streams will create policy window of SSB tax. Conclusion: As with Mexico, Indonesia will require broad-based advocacy, key stakeholders involvement, and political interest to success the tax enforcement utilizing today’s policy window. Further research required to explore the feasibility of SSB tax implementation in Indonesia
Gadjah Mada University: promoting health where and when it matters
Full text linkThe epidemiological transition of disease in Indonesia puts non-communicable diseases (NCDs) responsible for an estimated 71% of total deaths. Reflecting that horrifying statistic, 143 Gadjah Mada University students from the Faculty of Engineering were screened by medical students from the Faculty of Medicine, Nursing and Public Health to find 37,6% overweight and 59,4% having high blood pressure. Is it safe to conclude that the best educated youth in Indonesia are unaware that their present lifestyle choices will cause potentially morbid consequences to their health in the future? This revelation came from a collaboration between the two faculties to promote health among a population where it is very possible to make significant changes. As part of their clinical rotations, medical students had trained staff from the engineering faculty to pioneer a monthly health screening program for students. The training involved a demonstration of the set up which consisted of five posts; registration, assessment of risk factors, measurement of body mass index (BMI), physical examination and counselling. This program taught us that multiple training sessions are required to equip non-medical staff with necessary information to counsel students on practical steps needed in mitigating lifestyle changes. Standardized information and commitment among trainers is essential to enable a uniform understanding among trainees. However, despite the staggering health status of students, this allows for innovative solutions. Perhaps an inter-faculty buddy system can be implemented which bases science instead of trendy fads to maintain and promote health. If a healthy status is a prerequisite for admission to tertiary institutions, then could it be mandated upon graduation too? We can respond to this epidemiological transition with one of our own; empowering people to change their health behaviors before it changes them.
Keinginan bekerja di daerah pedesaan dan terpencil pada mahasiswa kedokteran tahun ke 4 Universitas Gadjah Mada
No full textTujuan: Maldistribusi dari dokter yang bekerja di kota dan desa, termasuk daerah terpencil dapat diprediksi dari faktor individual calon dokter. Jika ketika mahasiswa mereka sudah tidak berkeinginan, besar kemungkinan hal itu tidak berubah. Karena itu pemerintah tetap penting memikirkan sistem yang mendorong mahasiswa berkeinginan bekerja di daerah terpencil dan sulit. Faktor individu mahasiswa akan besar sekali tertarik bekerja di kota di tempat pasar bagi layanan kedokteran sangat tinggi.Metode: Sejumlah 205 mahasiswa kedokteran tahun keempat. 181 (dari 209) mahasiswa reguler dan 24 (dari 94) mahasiswa internasional). Self reported questionnaire melalui google form. Pertanyaan ya atau tidak untuk keinginan bekerja di daerah pedesaan dan daerah terpencil. Variabel prediktor mencakup jenis kelamin, besar di desa dan di kota, karir sebagai pekerja di puskesmas, dan suka mengelola program.Hasil: Penelitian ini membutikan temuan yang sejalan dengan prinsip pasar. Mahasiswa lebih tertarik bekerja di kota daripada di daerah pinggiran. Meski demikian, laki-laki lebih besar kemungkinan berkeinginan pergi ke daerah dibanding perempuan (57% versus 45%). Mahasiswa bermobil pribadi jauh lebih kecil berkeinginan pergi ke daerah dibanding mahasiswa pengendara motor (37% versus 56%). Di antara mereka yang ingin menjadi spesialis, yang belum bisa memutuskan karir ke depan, dan yang memiliki karir yang non spesialis, pilihan ke daerah konsisten lebih rendah daripada pilihan ke kota (kurang dari 45%). Hanya untuk yang berkeinginan memiliki karir di puskesmas, mereka lebih besar persentase yang ingin ke daerah (56% versus rata-rata 45%)Kesimpulan: Motivasi mahasiswa kedokteran berkarir mengikuti pola pasar. Agar distribusi dokter terpenuhi di daerah terpencil, pemerintah harus membangun kebijakan khusus agar mahasiswa tertarik bekerja di daerah terpencil
Gangguan tidur dan risiko obesitas sentral pada laki-laki dewasa di Indonesia: suatu kajian analisis data Indonesian family life survey 5
Full text linkSleep disturbances and risk of central obesity for male adults in Indonesia (analysis data Indonesian Family Life Survey/IFLS 5)Purpose: This study aimed to analyze the role of sleep disturbances for central obesity in Indonesia.Methods: This type of research is observational with a cross-sectional design. The study used secondary data from the Indonesia Family Life Survey (IFLS) 5 in 2014-2015. Bivariate, multivariate logistic regression, and chi-square were used for statistical analysis. Results: At the end of the study, the results showed no association between sleep disturbances and the risk of central obesity (p=0.54). The significant relationship of central obesity was found in physical activity and smoking habits, but not significant in the consumption of fast food.Conclusions: Sleep disturbance does not have a significant relationship with the risk of central obesity. Although not showing a significant relationship, have a good sleep quality may protect against obesity risk.Latar belakang: Saat ini obesitas telah menjadi masalah bagi negara maju dan berkembang. Di Indonesia, prevalensi obesitas umum berdasarkan Indeks Massa Tubuh (IMT) dan obesitas sentral pada orang dewasa diketahui terus mengalami peningkatan tiap tahunnya. Obesitas sentral yang diukur menggunakan lingkar pinggang merupakan obesitas yang diketahui memiliki risiko lebih besar dibandingkan pada obesitas pada umumnya.Banyak faktor yang dapat menimbulkan obesitas diantaranya adalah adanya gangguan tidur.Penelitian ini dilakukan untuk menganalisis peran faktor gangguan tidur terhadap obesitas sentral di Indonesia. Metode: Penelitian yang dilakukan merupakan penelitian kuantitatif dengan rancangan studi desain crossectional. Penelitian memanfaatkan data sekunder dari hasil survei Indonesian Family Life Survey (IFLS) 5 tahun 2014-2015. Analisis hasil penelitian secara bivariat menggunakan chi square dan multivariat menggunakan regresi logistik. Hasil: Hasil penelitian menunjukkan tidak ada hubungan antara gangguan tidur dengan risiko obesitas (p=0.54). Hubungan bermakna faktor obesitas sentral ditemukan pada aktivitas fisik dan kebiasaan merokok dan tidak signifikan pada konsumsi makanan cepat saji. Simpulan: Gangguan tidur tidak memiliki hubungan yang signifikan terhadap risiko obesitas sentral.Namun, kualitas tidur yang baik mungkin melindungi terhadap risiko obesitas
EVALUATION OF LEPTOSPIROSIS CONTROL MANAGEMENT BASED ON ONE HEALTH IN BOYOLALI DISTRICT
Full text linkEvaluation of leptospirosis control management based on one health in Boyolali DistrictPurpose: The study aims to evaluate the control of leptospirosis in Boyolali Regency. Method: This study was a descriptive observational. Samples were conducted with purposive sampling techniques for Boyolali District Health Office, Boyolali District Animal Husbandry Office, Boyolali District Agricultural Service, and 9 health centers with findings of leptospirosis cases in 2017-2018. Variables that evaluated included inputs, planning, implementation, output. Data were collected through Observational and interviews. Results: Seventy percent of health workers have received training. Rapid diagnosis tests (RDTs) are not available at the primary health care but available in the Health Office. Data collection is reported passively. Examination of leptospirosis cases in livestock if there are findings in humans. However, the main reservoir (rat) was not inspected by the Agriculture Office. Every case that found was reported to the Boyolali District Health Office and received treatment.Conclusion: Leptospirosis control in Boyolali Regency has not successful. It was depicted by cases of death a year after the adoption of the one health concept. Improving both quality of human resources on a regular basis and increasing collaboration between various sectors such as community leaders, religious leaders, the Livestock Service Office, the Agriculture Service, and other relevant agencies were needed.Background: Leptospirosis is serious problem in various countries. Boyolali Regency have implemented one health concept for leptospirosis control program since 2017. Leptospirosis cases increased every years. It had reported 34 cases and 9 deaths in 2017. The study aims to evaluate the control of leptospirosis in Boyolali Regency.Method: This study was descriptive observational. Samples were conducted with purposive sampling technics for Boyolali District Health Office, Boyolali District Animal Husbandry Office, Boyolali District Agricultural Service, and 9 health centers with findings of leptospirosis cases in 2017-2018. Variables that evaluated included inputs (human resources, funds, facilities, and tools), planning, implementation, output (number of cases, the scope of management, reported, of accuracy. Data were collected throught Observational and interviews.Results: Seventy percent of health workers have received training. Rapid diagnosis tests (RDTs) are not available at the primary health care, case were diagnosed with RDTs in Health Office. Data collection is reported passively. Animal husbandary office did not have objective finding cases livestock. Examination of leptospirosis cases in livestock if there are findings in humans. However, the main reservoir (rat) was not inspected by the Agriculture Office. Rats control were implemented through killed, burned, arrested and given drugs. Every case that found was reported to the Boyolali District Health Office and received treatment.Conclusion: Leptospirosis control in Boyolali Regency has not successful. It was depicted by cases of death in a year after the adoption of the one health concept. Improving both quality of human resources on a regular basis and increasing collaboration between various sectors such as community leaders, religious leaders, the Livestock Service Office, the Agriculture Service, and other relevant agencies were needed
Pengalaman terkait kompetensi manajemen pada dokter yang bertugas di daerah tertinggal di Indonesia: studi kualitatif
Full text linkExperiences related to management competency of doctors in disadvantaged areas in Indonesia: a qualitative studyPurpose: Working in disadvantaged areas is challenging. Geographical barriers, lack of health facilities and accessibility has been impacted to health services delivery which is provided by doctors. This study explored the experiences related to management competency when doctors on duty in disadvantaged areas. Method: We conducted a qualitative study with phenomenological approach in Aceh Singkil Regency (an area in Province of Aceh which is still categorized as disadvantaged areas regarding to Presidential Regulation Number 131 year of 2015). Twelve doctors who work in three different characteristic areas (archipelago, watershed and land areas) underwent in-depth and structured interview. Doctors were recruited purposively. Data were analyzed using thematic analysis. Results: This study reveals that experiences related to management competency is induced by three situations, namely: a) Cultural diversity in community; b) Dealing with difficult situations; and c) Need to survive in difficult areas. Conclusion: Challenges and obstacles which is experienced by doctors when working in disadvantaged areas generate valuable experiences which related to management competencies, as communication skills, cultural competence, creativity, and leadership skills.Purpose: Working in disadvantaged areas is challenging. Geographical barriers, lack of health facilities and accessibility impacted to health services delivery which provided by doctors. This study explored the experiences related to management competency when doctors on duty in disadvantaged areas. Method: We conducted a qualitative study with phenomenological approach in Aceh Singkil Regency (an area in Province of Aceh which still categorized as disadvantaged areas regarding to Presidential Regulation Number 131 year of 2015). Twelve doctors who work in three different characteristic areas (archipelago, watershed and land areas) underwent in-depth and structured interview. Doctors were recruited purposively. Data were analyzed using thematic analysis. Results: This study reveals that experiences related to management competency is induced by three situations, namely: a) Cultural diversity in community; b) Dealing with difficult situations; and c) Need to survive in difficult areas. Conclusion: Challenges and obstacles which toward by doctors when working in disadvantaged areas generate valuable experiences which related to management competencies, as communication skills, cultural competence, creativity, and leadership skills