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Evaluasi Pelaksanaan Si Kesi Gemes (Sistem Penguatan Kelurahan Siaga dalam rangka Gerakan Masyarakat Hidup Sehat) di Kota Yogyakarta
No full textBackground: Kelurahan siaga is a form of community empowerment. The latest data obtained from Pusdatin in 2013 showed 65.2% active desa and kelurahan siaga in Indonesia and 94.3% in DIY. The percentage of kelurahan siaga in Yogyakarta City in 2016 reached 100%, but it had experienced torpidity. The revitalization of kelurahan siaga was carried out by establishing the Si Kesi Gemes network. Purpose: This study aimed to evaluate the implementation of the Si Kesi Gemes network in the Yogyakarta Municipality. Methods: This research used a qualitative descriptive exploratory study with a single case study design. The selected informants were local officials and non-governmental organizations registered in the Si Kesi Gemes network selected by purposive sampling. Data were collected using FGDs conducted in 2 groups by undertaking in-depth interviews with 21 people and observations. The data validity was done through triangulation and peer debriefing. Results: The formation of Si KesiGemes was carried out by using a combination of top-down and participative. Top-down means that the network is initiated and formed by the Health Office, while participative means that Kesi is involved in the regional network formation. Si Kesi Gemes plays a role in activating the coordination of Kesi and extending the cooperation with private health service facilities, health colleges, and local employers. The effectiveness of Si Kesi Gemes can be seen through the accommodation of Kesi in the village fund, the liveliness of the village coordination forums, the funding from CSR, the activeness of UKBM Posbindu, and the presence of innovative activities. Public health centers still dominate UKBM coaching, and the training does not match their needs. Conclusion: The formation of Si Kesi Gemes is indispensable for binding the involvement of the networks in supporting Kelurahan Siaga. Kesi, FKKS, and FKS are expected to schedule regular coordination at the village, sub-district, and city levels. Keywords: Si Kesi Gemes, network, kelurahan siaga, effectivenessLatar belakang: Kelurahan siaga merupakan bentuk pemberdayaan masyarakat. Data terakhir yang diperoleh dari Pusdatin tahun 2013 jumlah desa dan kelurahan siaga aktif di Indonesia sebesar 65,2% dan DIY sebesar 94,3%. Jumlah kelurahan Siaga di Kota Yogyakarta tahun 2016 mencapai 100% namun mengalami mati suri. Revitalisasi kelurahan siaga dilakukan dengan menetapkan jejaring Si Kesi Gemes.Tujuan Penelitian: Mengevaluasi pelaksanaan Si Kesi Gemes di Kota Yogyakarta.Metode Penelitian: Penelitian ini merupakan penelitian kualitatif deskriptif eksploratif dengan rancangan studi kasus tunggal. Pemilihan informan dilakukan secara purposive sampling. Informan yang dipilih adalah perangkat daerah dan lembaga swadaya masyarakat yang terdaftar dalam jejaring Si Kesi Gemes. Pengambilan data dilakukan dengan FGD, wawancara mendalam dan observasi. FGD dilakukan pada 2 kelompok, wawancara mendalam pada 21 orang. Keabsahan data dilakukan dengan cara triangulasi dan peer debriefing.Hasil: Pembentukan Si Kesi Gemes dilakukan dengan kombinasi top down dan partisipatif. Top down karena jejaring diinisiasi dan dibentuk oleh Dinas Kesehatan, sedangkan partisipastif karena melibatkan Kesi dalam pembentukan jejaring wilayah. Si Kesi Gemes berperan dalam mengaktifkan koordinasi Kesi dan memperluas kerja sama dengan fasyankes swasta, perguruan tinggi kesehatan dan pengusaha lokal. Hambatan pelaksanaan peran terutama pada ketidakpahaman peran pembinaan, kompetensi petugas promkes yang tidak sama, komitmen pembinaan yang rendah dan tidak adanya sinergi program kelurahan siaga dan kota sehat. Peran jejaring dipengaruhi persepsi terhadap Si Kesi Gemes, motif keterlibatan yang berbeda dan modal sosial yang kuat. Efektivitas Si Kesi Gemes dilihat melalui akomodasi Kesi dalam dana kelurahan, aktifnya forum koordinasi kelurahan, pendanaan dari CSR, peningkatan keaktifan UKBM posbindu, serta memunculkan inovasi kegiatan. Pembinaan UKBM masih didominasi puskesmas dan pelatihan tidak sesuai kebutuhan.Kesimpulan: Pembentukan Si Kesi Gemes sangat dibutuhkan untuk mengikat keterlibatan jejaring dalam mendukung kelurahan siaga. Kesi, FKKS dan FKS diharapkan mengagendakan koordinasi jejaring secara rutin di tingkat kelurahan, kecamatan dan kota
Bacteriological quality of clean water facilities, environmental hygiene sanitation, and diarrhea in Tulakan Puskesmas area, of Pacitan District
No full textHUBUNGAN KUALITAS BAKTERIOLOGIS SARANA AIR BERSIH (SAB) DAN HYGIENE SANITASI LINGKUNGAN DENGAN KEJADIAN DIARE DI WILAYAH PUSKESMAS TULAKAN KABUPATEN PACITAN Purwanto1, Sudarmadji2, Titik Nuryastuti2 AbstractBackground: Diarrhea is the leading cause of death and morbidity in the world, this is due to environmental sanitation, food and beverage sanitary hygiene is not good and contaminated clean water sources. In 2018 Tulakan Public Health Center the highest diarrhea incidence rate in Pacitan Regency, case finding of 848 patients of the target coverage of 1,506 patients with 297 (35%) of the total sufferers were toddlers. Clean water facilities that meet the requirements are among the lowest 3 out of 24 Tulakan Public Health Center in Pacitan Regency with a coverage of 53%. Purpose: To analyze the relationship between Bacteriological Quality of Clean Water Facilities (SAB) and Environmental Sanitation Hygiene is a risk factor for diarrhea in the Tulakan Public Health Center Pacitan Regency. Methods: This type of quantitative analytic study was design Cross Sectional with a sample of mothers who had children under five to seek treatment at the Tulakan Public Health Center Pacitan Regency from March to April 2020 with a total of 50 respondents. Data analysis used Chi Square test and Logistic Regression. Results and Discussion: The variables related to the incidence of diarrhea, namely 1) the bacterial quality of SAB p = 0,0018 PR 2,4 CI95% 2) healthy latrines p = 0,0002 PR value = 3.6 CI95% 3) doing CTPS p = 0,0002 PR = 2,9 CI95% 4) management of SAB p = 0,0016 PR = 2,2 CI95% 5) management of food and beverage 0,0046 PR = 2,3 CI95%. The multivariate result of the highest OR value was the behavior of doing CTPS, namely = 535 CI95% p value = 0,003. Conclusion: The incidence of diarrhea in toddlers is related to the bacteriological quality of clean water facilities and environmental sanitation hygiene, which are risk factors. The most dominant factor related to the incidence of diarrhea in toddlers is washing hands with soap (CTPS). Keywords: Bacteriological Quality of Water, Environmental Sanitation Hygiene, Diarrhea, CROSS SECTIONAL INTISARILatar Belakang : Diare adalah penyebab utama kematian dan morbiditas di dunia, ini disebabkan sanitasi lingkungan, hygiene sanitasi makananan minuman tidak baik dan sumber air bersih yang terkontaminasi. Pada tahun 2018 Puskemas Tulakan angka kejadian diare tertinggi se - Kabupaten Pacitan penemuan kasus 848 penderita dari target cakupan 1.506 penderita dengan jumlah 297 (35%) dari total penderita adalah balita. Sarana Air Bersih yang memenuhi syarat termasuk 3 besar terendah dari 24 Puskesmas di Kabupaten Pacitan dengan cakupan 53%. Tujuan Penelitian : Menganalisa hubungan Kualitas Bakteriologis Sarana Air Bersih (SAB) dan Hygiene Sanitasi Lingkungan merupakan faktor resiko kejadian diare di Wilayah Puskesmas Tulakan Kabupaten Pacitan. Metode Penelitian : Jenis penelitian kuantitatif analitik rancangan Cross Sectional dengan sampel adalah ibu yang memiliki anak balita berobat ke Puskesmas Tulakan Kabupaten Pacitan pada bulan Maret sampai April 2020 dengan jumlah 50 responden. Analisis data menggunakan uji Chi Square dan Regresi Logistik. Hasil Penelitian : Variabel yang berhubungan yang dengan kejadian diare yaitu 1) kualitas bakterilogis SAB p = 0,0018 PR 2,4 CI95% 2) jamban sehat p = 0,0002 nilai PR = 3,6 CI95% 3) melakukan CTPS p = 0,0002 PR = 2,9 CI95% 4) pengelolaan SAB p = 0,0016 PR = 2,2 CI95% 5) pengelolaan makanan minuman 0,0046 PR = 2,3 CI95%. Hasil multivariat nilai OR tertinggi adalah perilaku melakukan CTPS yaitu = 535 CI95% nilai p = 0,003. Kesimpulan : Kejadian diare pada balita berhubungan dengan kualitas bakteriologis sarana air bersih dan hygiene sanitasi lingkungan yang merupakan faktor resiko. Faktor paling dominant berhubungan dengan kejadian diare pada balita adalah melakukan cuci tangan pakai sabun (CTPS).Kata kunci : Kualitas Bakteriologis Air, Hygiene Sanitasi Lingkungan, Diare, CROSS SECTIONALPurwanto1, Sudarmadji2, Titik Nuryastuti2 AbstractBackground: Diarrhea is the leading cause of death and morbidity in the world. Poor environmental sanitation, food and beverage sanitary hygiene, and contaminated clean water sources are among the most crucial factors. In 2018, Tulakan Public Health Center had the highest diarrhea incidence rate in Pacitan Regency, a case finding of 848 patients of the target coverage of 1,506 patients with 297 (35%) of the total sufferers were toddlers. Clean water facilities that meet the requirements are among the lowest 3 out of 24 Tulakan Public Health Center in Pacitan Regency with 53% coverage. Purpose: To analyze the relationship between Bacteriological Quality of Clean Water Facilities (SAB) and Environmental Sanitation Hygiene is a risk factor for diarrhea in the Tulakan Public Health Center Pacitan Regency. Methods: This type of quantitative analytic study was design Cross-Sectional with a sample of mothers who had children under five to seek treatment at the Tulakan Public Health Center Pacitan Regency from March to April 2020 total of 50 respondents. Data analysis used the Chi-Square test and Logistic Regression. Results and Discussion: The variables related to the incidence of diarrhea, namely 1) the bacterial quality of SAB p = 0,0018 PR 2,4 CI95% 2) healthy latrines p = 0,0002 PR value = 3.6 CI95% 3) doing CTPS p = 0,0002 PR = 2,9 CI95% 4) management of SAB p = 0,0016 PR = 2,2 CI95% 5) management of food and beverage 0,0046 PR = 2,3 CI95%. The multivariate result of the highest OR value was the behavior of doing CTPS, namely = 535 CI95% p-value = 0,003. Conclusion: The incidence of diarrhea in toddlers is related to the bacteriological quality of clean water facilities and environmental sanitation hygiene, which are risk factors. The most dominant factor related to diarrhea incidence in toddlers is washing hands with soap (CTPS). Keywords: Bacteriological Quality of Water, Environmental Sanitation Hygiene, Diarrhea, cross-sectional study
Effect of nutrition improvement program implementation on stunting in children under two years old
Full text linkPurposeThe first thousand days of life is a critical momentum where children from the age of 2 years need the best nutrition for brain development. This study examined the effect of appropriate timing of supplementary feeding and vitamin A consumption on nutritional status of children below age of twoMethodThe design of this study is cross sectional. The sample in this study is based on data of the Nutritional Status Monitoring 2017 which is amounted to 27.208, consisting of pregnant women who took iron folate supplementation (TTD); mother gave early breastfeeding initiation, exclusive breastfeeding, and supplementary food; children who received vitamin A; and children who get height measurement by age.ResultsThe odds of mothers not providing supplementary feeding to children aged 7-23 months have a short nutritional status 1,137 times greater than mothers who provide supplementary feeding. While the Vitamin A variable has odds ratio 0,659 significantly, the odds of children not getting Vitamin A have short nutritional status 0, 659 times greater than children who received Vitamin A. Conclusion: The risk of stunting occurs in a period of 6 to 24 months due to the period for growth in height. Health workers at the primary health care should inform mothers to provide supplementary food and vitamin A at the 6-24 month of age
Pengeluaran out of pocket rumah tangga untuk upaya pencegahan kesehatan anak: analisis berbasis two part model dan Tobit
Full text linkOut-of-pocket household expenditure for child health prevention services: two-part and tobit modelPurposeTo find out socio-economic determinants and the amount of out-of-pocket (OOP) for household expenditure in health prevention for children.MethodsThis study compared two approaches from several alternative assumptions including the two-part model and Tobit, which can be used when variable analysis has a problem selection. The dependent variable was household expenditure for children health prevention services in Indonesia, where the probability of dependent variable was affected by latent variables.ResultsThe two-part model and Tobit estimate that rural areas in NTT province can reduce out-of-pocket preventive health expenditures for children three times lower than the rural provinces of Papua. The higher the education of the head of the household, the greater of the possibility of preventive out-of-pocket child health is. Distribution of poverty rates based on quintiles provides a regressive picture of the poorest households based on expenditure per capita. ConclusionThis study is expected to be a comprehensive policy recommendation to suppress out-of-pocket preventive health expenditures for children. Thus, the distribution of health services is a priority for vulnerable groups (children) and the poor.Out-of-pocket household expenditure for child health prevention services: two-part and tobit modelPurposeTo find out socio-economic determinants and the amount of out-of-pocket (OOP) for household expenditure in health prevention for children.MethodsThis study compared two approaches from several alternative assumptions including the two-part model and Tobit, which can be used when variable analysis has a problem selection. The dependent variable was household expenditure for children health prevention services in Indonesia, where the probability of dependent variable was affected by latent variables.ResultsThe two-part model and Tobit estimate that rural areas in NTT province can reduce out-of-pocket preventive health expenditures for children three times lower than the rural provinces of Papua. The higher the education of the head of the household, the greater of the possibility of preventive out-of-pocket child health is. Distribution of poverty rates based on quintiles provides a regressive picture of the poorest households based on expenditure per capita. ConclusionThis study is expected to be a comprehensive policy recommendation to suppress out-of-pocket preventive health expenditures for children. Thus, the distribution of health services is a priority for vulnerable groups (children) and the poor
Analisis komitmen manajemen terhadap kesiapsiagaan menghadapi bencana gempa bumi di RSUD Dr. M. Yunus Bengkulu
Full text linkLatar Belakang : Kota Bengkulu merupakan daerah rawan terhadap bencana karena terletak pada pertemuan lempeng tektonik Samudera Hindia dan lempeng tektonik Asia yang menyebabkan rawan bencana gempa bumi dan tsunami. Rumah sakit dapat menjadi tidak berfungsi disaat keadaan darurat apabila terjadi kegagalan struktural ataupun ketidaksiapan tim pelayanan kesehatan dalam menyelamatkan nyawa orang yang menjadi korban saat bencana gempa terjadi. Komitmen manajemen rumah sakit merupakan suatu hal yang sangat penting dalam keberhasilan melaksanakan kegiatan kesiapsiagaan dalam menghadapi bencana gempa bumi di rumah sakit.Tujuan Penelitian : Mengkaji komitmen manajemen dilihat dari aspek kebijakan yang dibuat, pengalokasian pembiayaan serta sarana dan prasarana dalam pelaksanaan kesiapsiagaan menghadapi bencana gempa bumi di RSUD Dr. M. Yunus Bengkulu. Metode Penelitian : Penelitian ini merupakan penelitian kualitatif dengan rancangan penelitian studi kasus. Pelaksanaan penelitian dilakukan dengan wawancara mendalam, telaah dokumen, dan observasi lapangan. Penentuan subyek penelitian dilakukan dengan menggunakan teknik purposive sampling. Responden terdiri dari 12 responden dari RSUD Dr. M. Yunus Bengkulu, 2 orang dari BPBD dan 1 orang dari Dinas Kesehatan Provinsi Bengkulu.Hasil Penelitian: RSUD Dr. M. Yunus Bengkulu telah melaksanakan upaya kesiapsiagaan bencana internal rumah sakit sejak tahun 2016. Secara keseluruhan pelaksanaan program kesiapsiagaan menghadapi bencana di RSUD Dr. M. Yunus Bengkulu sudah berjalan, akan tetapi dukungan manajemen dari aspek pembiayaan masih belum maksimal. Komitmen atau dukungan manajemen dari aspek penyediaan sarana dan prasarana ditunjukkan dengan tersedianya fasilitas, SDM, sarana dan prasarana yang menunjang kesiapsiagaan rumah sakit dalam menghadapi bencana gempa bumi. Penyediaan fasilitas, SDM, dan sarana prasarana ini masih perlu ditingkatkan lagi oleh pihak manajemen RSUD Dr. M. Yunus Bengkulu.Kesimpulan: Manajemen RSUD Dr. M. Yunus Bengkulu berkomitmen dalam pelaksanaan kesiapsiagaan menghadapi bencana gempa bumi yang ditunjukkan dengan sudah ada kebijakan yang mengatur tentang kesiapsiagaan bencana di rumah sakit. Akan tetapi dukungan dari aspek pembiayaan belum maksimal sehingga menghambat setiap kegiatan, peningkatan SDM, penyediaan fasilitas serta sarana prasarana yang dibutuhkan. Jajaran manajemen perlu melakukan koordinasi dan menjalin kerjasama secara tertulis dengan Dinas Kesehatan, Dinas Sosial dan BPBD dalam menyusun kebijakan dan pembiayaan untuk kesiapsiagaan rumah sakit dalam menghadapi bencana gempa bumi di RSUD Dr. M.Yunus Bengkulu
Awareness of civil society with health on cleanlinity of Ciliwung river: study of public response on online news media in DKI Jakarta
No full textBACKGROUND : Urban hygiene and sanitation is a public health risk factor. Ciliwung river in DKI Jakarta was known full of garbage piles, and the reports about efforts made to clean the river in the online news has generated responses. This study aims to describe the voice of civil society on public health.METHODS : Case study method was used in online news media about clean Ciliwung river. With the inclusive criteria of commented newsletters with the keyword "Ciliwung bersih" published between April 1, 2015 and April 30, 2017, 57 news were obtained generated through https://news.google.co.id/. But some news with irrelevant themes and commentary were excluded, so 14 news were used. Content analysis is done and the results are described in a narrative-descriptive writing.RESULTS : The government's revitalization policy of the Ciliwung River, followed by the growth of community movements concerned with river cleanliness, has resulted settlement of the Ciliwung river cleanliness issue. From the analysis of 14 news, 3 key themes were obtained which are availability of environmental health for people, existence of health-oriented government with leadership, and active participation of the community. Responses include, happiness and appreciation for the government and society, voice of hope for the clean river and the call to make further environmental health changes.CONCLUSION : The news of clean river invites public response to care about environmental health problems, which provides lessons the ability to visualize the benefits of cleanliness and health rises community awareness
Beban ekonomi yang ditanggung pasien dan keluarga akibat penyakit stroke: studi literatur
Full text linkEconomic burden borne by patients and families due to stroke: literatur reviewPurpose: Stroke to this day is still a disease that carries a high disability, so that in the future it requires very expensive costs, and has an impact on the socio-economic consequences for patients and their families. Therefore, this study aims to estimate the causes of costs that cause economic burden due to stroke. Methods: The method used is content analysis by searching literature review from various sources, both in the form of journals and textbooks from national and international levels.Results: The literature study shows that direct medical costs in the form of rehabilitation costs and nursing care were identified as the main contributors that caused a high economic burden due to stroke.Conclusions: The high cost incurred causes families to experience catastrophic financial disasters, resulting in a decrease in the level of welfare. Social preventive measures are needed to reduce the magnitude of the prevalence of stroke to be able to reduce this cost burden in order to protect every household from the financial threat of a stroke.Objective: Stroke to this day is still a disease that carries a high disability, so that in the future it requires very expensive costs, and has an impact on the socio-economic consequences for patients and their families. Therefore, this study aims to estimate the causes of costs that cause economic burden due to stroke. Method: The method used is content analysis by searching literature review from various sources, both in the form of journals and textbooks from national and international levels. Results: The literature study shows that direct medical costs in the form of rehabilitation costs and nursing care were identified as the main contributors that caused a high economic burden due to stroke. Conclusion: The high cost incurred causes families to experience catastrophic financial disasters, resulting in a decrease in the level of welfare. Social preventive measures are needed to reduce the magnitude of the prevalence of stroke to be able to reduce this cost burden in order to protect every household from the financial threat of a stroke
PENYAKIT ZOONOSIS DENGAN PERHATIAN KHUSUS PADA SCHISTOSOMIASIS JAPONICUM : SEBUAH TINJAUAN
Full text linkZoonotic disease with special attention to Schistosomiasis japonicum: an overview Schistosomiasis is a zoonotic parasitic disease with a very complex transmission cycle. Its transmission concerns freshwater snails and 40 species of mammals that act as reservoir hosts. Research and treatment of schistosomiasis in animals, both domestic and wild animals is still very little. There are three species of Schistosoma which are zoonotic diseases of S. mansoni, S japonicum and S mekongi. Schistosoma is found in China, Japan, the Philippines, Indonesia, Africa, the Middle East, South America, the Caribbean islands and countries along the Mekong River. In China the contribution of humans to the transmission of schistosomiasis has been greatly reduced after several decades of elimination of schistosomiasis. In Indonesia, schistosomiasis is only found in the Lindu plateau in Sigi, Napu and Bada districts in Poso District, Central Sulawesi. Schistosoma infects mammals, namely: cattle, buffalo, horses, dogs, pigs, ferrets, deer and various types of mice. Schistosomiasis eradication program in Central Sulawesi involving all sectors including the livestock sector. As long as there is an intermediate animal reservoir and snail, reinfection will occur continuously. Because of its complex zoonotic schistososmiasis transmission becomes a major barrier problem for the elimination of schistosomiasis. Community empowerment is very important, because without public awareness of parasitic diseases that threaten them, the parasitic disease eradication program will not work well.Schistosomiasis merupakan penyakit parasitik yang bersifat zoonosis dengan siklus penularan yang sangat kompleks. Penularannya menyangkut keong air tawar dan 40 spesies mamalia yang bertindak sebagai hospes reservoir. Penelitian dan penanganan schistosomiasis pada hewan, baik hewan domestik maupun hewan liar masih sangat sedikit. Terdapat tiga spesies Schistosoma yang menjadi penyakit zoonotik S. mansoni, S japonicum dan S mekongi. Schistosoma ditemukan di Cina, Jepang, Filipina, Indonesia, Africa, Timur Tengah, Amerika Selatan, kepulauan Karibia dan negara-negara disepanjang aliran sungai Mekong. Di Cina kontribusi manusia untuk penularan schistosomiasis sudah sangat berkurang setelah beberpa dekade dilakukan eliminasi schistosomiasis. Di Indonesia, schistosomiasis hanya ditemukan di dataran tinggi Lindu di kabupaten Sigi, Napu dan Bada di Kabupaten Poso, Sulawesi Tengah. Schistosoma menginfeksi hewan mamalia yaitu: sapi, kerbau, kuda, anjing, babi, musang, rusa dan berbagai jenis tikus. Program eradikasi schistosomiasis di Sulawesi Tengah yang melibatkan semua sektor termasuk sektor peternakan. Selama masih ada hewan reservoir dan keong perantara maka reinfection akan terjadi terus menerus. Karena kompleks nya schistososmiasis zoonotik penularan menjadi masalah penghalang utama untuk eliminasi schistosomiasis. Pemberdayaan masyarakat sangat penting, karena tanpa kesadaran masyarakat akan adanya penyakit parasitik yang mengancam mereka maka program pemberantasan penyakit parasitik tidak akan berhasil dengan baik
Meningkatkan literasi mengurangi stigma tuberkulosis
No full textPurpose: Indonesia sebagai negara peringkat ke dua tertinggi tuberkulosis di dunia menjadikan masyarakat rentan terserang penyakit menular. Kurangnya pemahaman mengenai tanda dan gejala, serta pengobatan tuberkulosis membuat peningkatan stigma di masyarakat semakin meluas. Indonesia dengan budaya sosial yang tinggi beresiko membentuk stigma yang mampu menigkatkan penundaan diagnostik dan ketidakpatuhan pengobatan. Hal ini dapat mempengaruhi status mental pasien TB untuk mengalami ketakutan sehingga dapat memunculkan gangguan psikosomatik, depresi hingga berujung pada kematian karena tidak adanya pengobatan. Tujuan penelitian ini adalah memberikan pengetahuan kepada masyarakat tentang gejala dan penanganan untuk deteksi dini, serta membantu pasien TB mendapat dukungan dalam pengobatan lewat supportive system dalam masyarakat.Content: Intervensi komunitas diberikan lewat pelatihan kepada kader kesehatan pada tiap dusun dalam wilayah kecamatan untuk memberikan penyuluhan kepada masyarakat mengenai gejala, penularan, pengobatan dan pencegahan, serta materi tentang stigma tuberkulosis dan penanggulangan lewat gerakan budaya 5S (senyum, salam, sapa, sopan dan santun) kepada penderita TB. Pemberian materi dapat menggunakan psikodrama agar pesan yang tersampaikan lebih mengena.Lesson learnt: Setiap masyarakat Indonesia berhak mendapat penanganan kesehatan yang layak. Stigma dapat menurunkan tingkat kesehatan lewat penundaan diagnosis dan penanganan. Penyuluhan kepada masyarakat lewat kader mampu mengurangi perluasan risiko penularan penyakit TB. Indonesia berbudaya lewat gerakan 5S menguatkan budaya gotong royong yang selama ini tertanam. Psikodrama sebagai salah satu terapi jiwa mampu mengetuk hati masyarakat untuk menurunkan stigma
Pengaruh pendidikan kesehatan melalui fasilitator guru terhadap pengetahuan, sikap dan praktilk dalam upaya pencegahan merokok (studi pada siswa SD kelas V di Kabupaten Kendal)
Full text linkTrend usia merokok meningkat pada kelompok umur 10 sampai 14 tahun. Proporsi penduduk mulai usia 10 tahun yang mengkonsumsi rokok di Kendal 25,3%, lebih tinggi dibandingkan rata-rata provinsi Jawa Tengah. Faktor dominan yang mempengaruhi kebiasaan merokok pada remaja adalah pengetahuan. Maka perlu dilakukan upaya pencegahan merokok sejak dini salah satunya dengan pendidikan kesehatan melalui fasilitator guru agar pendidikan kesehatan dilakukan secara berkelanjutan. Tujuan penelitian ini untuk mengetahui pengaruh pendidikan kesehatan melalui fasilitator guru terhadap pengetahuan, sikap dan praktik dalam upaya pencegahan merokok pada siswa SD kelas V di Kendal.Jenis penelitian quasy experimental dengan metode pretest – posttes with control group design. Sampel berjumlah 92 siswa pada masing-masing kelompok intervensi dan kontrol dipilih menggunakan teknik purposive sampling. Pretest dan posttest dilakukan sebelum dan sesudah intervensi. Intervensi dilakukan bulan Agustus – September 2018 melaui fasilitator guru yang terlatih sebanyak tiga kali pertemuan. Minggu pertama diberikan booklet dan menonton video, minggu kedua diberikan ceramah dengan media power poin, minggu ketiga tanya jawab terkait bahaya merokok. Metode pengumpulan data menggunakan kuesioner terstruktur. Analisis data menggunakan uji mann whitney.Hasil penelitian sebelum diberikan intervensi karakteristik responden, pengetahuan, sikap dan praktik memiliki varian yang sama antara kelompok intervensi dan kontrol. Setelah diberikan intervensi terdapat perbedaan pengetahuan, sikap dan praktik (p=0,001). Ada perbedaan perubahan pengetahuan dengan nilai delta mean rank 69,52, sikap 51,3 dan praktik 43,28, yang menunjukan bahwa pendidikan kesehatan melalui fasilitator guru mampu meningkatkan pengetahuan, sikap dan praktik dalam upaya pencegahan merokok. Diharapkan metode ini dapat diterapkan dalam pengembangan kurikulum pendidikan kesehatan sebagai upaya pencegahan merokok