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HUBUNGAN ANTARA PENGETAHUAN IBU TENTANG BABY BLUES, PROSES PERSALINAN, DAN PARITAS DENGAN BABY BLUES DI RSIA SRIKANDI IBI KABUPATEN JEMBER
Get PDFBaby blues are often ignore so that it is undiagnose and untreate well. This situation can be a problem, because baby blues can progress to more severe emotional disorder that is postpartum depression and even postpartum psychosis. Baby blues can interfere the mother in doing her role as mother, obstruct the producing of oxytocin hormone which is causes the producing of ASI to be reduce. This research is aimed to analyze the relationship between mothers’ knowledge about baby blues, birth process and parity with baby blues at RSIA Srikandi IBI in Jember District.The study was done on 4 October to 3 November 2016 with the type of analytic quantitative research bysectional approach. The total samples were 69 respondents.The analysis of data in this research used the chi square test with 95% significant level (α = 0.05).The analysis result showed that there was no relationship between the level of knowledge about baby and the incident of baby blues at RSIA Srikandi IBI in Jember District (p value = 0.965). The analysis also showed that there was a relationship between birth process and parity with the incident of baby blues at RSIA Srikandi IBI in Jember District (p value 0.002 <0.05) and (p value 0.005 <0.05).
Keywords: Baby blues, Knowledge, Birth process, Parit
HUBUNGAN ANTARA KONDISI KESEHATAN IBU, PELAKSANAAN IMD, DAN IKLAN SUSU FORMULA DENGAN PEMBERIAN ASI EKSKLUSIF
Get PDFExclusive breastfeeding means that the infant receives only breast milk. No other liquids or solids are given. Breastfeeding is influenced by a number of factors, such maternal health condition, early initiation of breastfeeding, and infant formula advertising. Data from Health Department of Kabupaten Sambas indicated that that the coverage of breastfeeding in Kecamatan Tangaran, in 2014, was 27,1% and it ranked the first of 19 districts with low coverage of breastfeeding. This study aimed at analyzing the correlation of maternal health condition, early initiation of breastfeeding, infant formula advertising, and exclusive breastfeeding in Kecamatan Tangaran Kabupaten Sambas.Using observational analytic design and cross sectional approach, this study employed 110 samples. Each variable was tested using chi square test.The results indicated that early initiation of breastfeeding (p value =0,047) has significant correlation with exclusive breastfeeding (p value=0,05). Meanwhile, maternal health condition (p value=0,071) doesn’t significantly correlate with infant formula advertising ( p value=0,606).From the findings, the health personnel are encouraged to inform the young mothers about exclusive breastfeeding, provide lactation clinic, and impose sanctions for birth attendants who do not perform early initiation of breastfeeding birth. Also pregnant women are encouraged to choose early initiation of breastfeeding birth. At last, further researcher need to have further discussion about the factors of exclusive breastfeeding.
Keyword keys :Early Initiation of Breastfeeding, Exclusive Breastfeeding
KAJIAN PELAKSANAAN SISTEM RUJUKAN BERJENJANG DALAM PROGRAM JAMINAN KESEHATAN NASIONAL (JKN) DI UPT. PELAYANAN KESEHATAN UNIVERSITAS JEMBER
Get PDFSetiap peserta Jaminan Kesehatan Nasional (JKN) berhak untuk memperoleh pelayanankesehatan secara menyeluruh, berjenjang, efektif, dan efisien sehingga Fasilitas KesehatanTingkat Pertama (FKTP) dan Fasilitas Kesehatan Rujukan Tingkat Lanjut (FKRTL) wajibmenerapkan sistem rujukan berjenjang. Nilai rasio rujukan pasien peserta JKN di UPT.Pelayanan Kesehatan Universitas Jember pada bulan Januari-November 2015 yaitu37,22% dan meningkat menjadi 39,2% hingga bulan Desember 2015 atau melebihi nilairasio rujukan optimal sebesar 10%. Penelitian ini bertujuan untuk mengkaji pelaksanaanSistem Rujukan Berjenjang dalam Program JKN di UPT. Pelayanan Kesehatan UniversitasJember. Jenis penelitian ini adalah deskriptif dengan pendekatan kualitatif. Hasil penelitian
menjelaskan bahwa, ketersediaan dokter belum mencukupi apabila dilihat dari statusdokter yang bukan dokter tetap karena apabila semua dokter tidak bisa hadir untukmemberikan pelayanan kesehatan maka poli umum terpaksa akan ditutup. Ketersediaanobat dan alat kesehatan kurang mencukupi karena tidak selengkap pada FormulariumNasional dan Kompendium Alat Kesehatan. Diagnosis penyakit yang banyak dirujukterutama Diabetes Melitus tanpa komplikasi maupun dengan komplikasi dan hipertensiesensial yang merupakan kompetensi FKTP. Pasien peserta JKN yang dirujuk tidaksemuanya membutuhkan pelayanan kesehatan spesialistik/subspesialistik serta masihterdapat pasien yang meminta dirujuk dengan alasan terutama sugesti pasien yang lebihmempercayai kompetensi dokter spesialis.
Kata kunci: JKN, FKTP, Sistem Rujuka
EVALUASI PROMOSI DAN PELATIHAN HIGIENE DAN SANITASI PENJAMAH MAKANAN DI KANTIN SEKOLAH
Get PDFThe Long Term Development Plan (2005-2024) focuses on health development towards a promotive and preventive health effort with one of its programs called Gerakan Masyarakat Sehat (Germas). This program is expected to increase everyone’s knowledge, awareness, willingness and ability to live healthy. One of the activities of Malang City Health Office to succeed the program is by training and Counseling of Hygiene and Sanitation for food handlers in School Canteen. for food handlers in School Canteen. The activity requires evaluation because the result of posttest score of participants is an average of 60. The results are influenced by participants who are not present continuously. This study aims to describe 6M component (material, money, machine, methode, man, and, measure). The research method used observation which used 6M component. In this activity there are 9 problems such as no material handout, budget adjusting with Malang city budget, fast discharging microphone batteries, some participants not present continuously, exposure only with lectures, not accompanied by training practices, inappropriate targets, and lack of organizing committee And low posttest results. 5 out of 9 such problems are given alternative problem solving such as arranging the rundown of the event, the speaker practice the material that he explained, briefing the coordinator of the puskesmas that will spread the invitation, and arrange the organizing committee which involves one field.
Keywords: Training and Counseling, Food Handlers, Evaluatio
TREND ANALISIS PENINGKATAN JUMLAH KUNJUNGAN PASIEN DITINJAU DARI MARKETING MIX
Get PDFIncrease in human populations and the state of the economy more advanced, impact public awareness of increasing health.This provides a result to increase in the number of visitors in hospital.The purpose of this research is to analyze increasing trend the number of patient visits in terms of marketing mix done Hospital HVA Toeloengredjo. This research using design descriptive with research analysis using time series with a moving average model arima.Observational research method, with the subject is officer medical record and marketing officer, as well as its object was data on the number of patient visits new and old patient.Testing model results got that model ARIMA( 1,1,0 ) is a model that could be used to perform a forecast or estimate.A prediction visitors keeps increasing, where a prediction the number of visits all patients on the moon 60th(december 2016) is 10746 visits, a prediction the number of visits new patients is 1660 visits, a prediction the number of patient visits long been 9290 visits .
Keywords : Time series , Visits , ARI
Faktor Risiko Barotrauma Telinga pada Nelayan Penyelam di Dusun Watu Ulo Desa Sumberejo Kecamatan Ambulu Kabupaten Jember
Get PDFPendahuluan: Barotrauma telinga adalah kerusakan jaringan pada telinga beruparupturnya membran timpani akibat kegagalan tuba eustachius untuk menyamakantekanan antara telinga tengah dengan lingkungan saat terjadi perubahan tekanan yangekstrim. Nelayan penyelam tradisional menggunakan peralatan yang terbatas, kurangmemperhatikan aspek K3, dan sebagian besar pernah mengalami keluhan barotraumatelinga.Tujuan Penelitian: Penelitian ini bertujuan untuk mengetahui faktor risiko yangberhubungan dengan barotrauma telinga pada nelayan penyelam.Metode Penelitian: Jenis penelitian ini adalah analitik observasional dengan desain crosssectional. Analisis data menggunakan uji Cramer Coeficient C.Hasil Penelitian: Hasil penelitian menunjukkan bahwa sebanyak 20 orang (58,7%) dari34 orang nelayan penyelam yang diperiksa mengalami barotrauma telinga. Hasil ujiCramer Coeficient C menunjukkan bahwa faktor yang berhubungan dengan barotraumatelinga adalah kedalaman menyelam (nilai Cramers’V = 0,006, nilai Approx. Sig< 0,05) danlama menyelam (nilai Cramers’V = 0,008, nilai Approx. Sig< 0,05). Kesimpulan penelitian:faktor risiko yang berhubungan dengan barotrauma telinga pada nelayan penyelam WatuUlo adalah kedalaman dan lama menyelam.
Kata kunci: Barotrauma telinga, Perforasi, Membran timpani, Nelayan penyelam
STRATEGI PENCAPAIAN INDIKATOR PERILAKU KESEHATAN PADA INDEKS PEMBANGUNAN KESEHATAN MASYARAKAT (IPKM) DI KABUPATEN BONDOWOSO
Get PDFPublic Health Development Index is a composite indicator that describes the progress of the health development in an area. The purpose of this research is to examine the strategy of achievement of health behavior indicators Public Health Development Index in Bondowoso. This type of research was descriptive, with variable parameters indicators of health behavior are behavior of smoking, hand-washing behavior correctly, using toilets for defecation, physical activity sufficiently, and brushing teeth properly. The analysis used SWOT analysis and Public Health Development Index in 2013. Value index of indicators for health behavior was 0,575. The highest proportion of value behavioral health is the proportion of hand washing correctly (74,2) and lowest proportion is physical activity sufficiently (71,4), with a value of the index parameter is the proportion of hand washing correctly is 0.140 and proportion of brushing teeth properly is 0.135. Health behavior index achievement strategies with the improvement of preventive and promotive activities in accordance with BOK until the basic health access is convenient to be realized.
Keyword: health behavior, Public Health Development Index, the strategy of achievemen
ANALISIS RISIKO KESELAMATAN KERJA PADA PROYEK PENGEMBANGAN BANDARA INTERNASIONAL JUANDA TERMINAL 2 SURABAYA
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The construction sector played an important role in development and was the biggest contributor of work accident rate in Indonesia. The aim of the research were to analyze human, methods, machines, materials, and environment element as cause of occupational accidents. This was a cross-sectional observational research conducted in October 2012 to March 2013. This research was carried out with several integrates stages which include risk identification, risk assessment and priorities formulation, root cause analysis, and ended by recommendations for controlling risk and hazard. Risk identificationshowed that there were 100 risks that couldthreaten the workers. The following categories were: 4% low risk categories, 48% moderate risk, 39% high risk, and 9% extreme risk. Through the Q sort technique obtained five priority safety issues: workers falling from height, electric shock, workers stung by material lifted, fires or explosions, and the scaffolding collapsed. Based on root cause analysis, it showed that the most likely root cause of the problems was dominated by the human factor such as: fatigue due to overtime work, lack of experience and understanding of the procedure, lack of awareness of the importance of the ocupational safety and health.
Keywords: construstion,risk assessment, root cause
Health Risk Management Pada Unit Insektisida Padatan
Get PDFPendahuluan: Kegiatan produksi pada unit insektisida padatan PT Petrosida Gresikmasih menggunakan proses manual secara keseluruhan sangat rentan terhadap risikobahaya bagi pekerja. Bahaya tersebut sangat berpotensi mempengaruhi kesehatan pekerjayang pada akhirnya akan mempengaruhi performa kerja dan produktifitas pekerja.Penggunaan manajemen risiko kesehatan diperlukan dalam upaya preventif terjadinyapenyakit akibat kerja dan kecelakaan akibat kerja.Tujuan Penelitian: melakukan health risk management di unit insektisida PT. PetrosidaGresik..Metode Penelitian : Kegiatan health risk management meliputi mengidentifikasi bahayakesehatan, melakukan analisis penilaian bahaya dan pengendalian risiko bahaya yangtepat di tempat kerja unit insektisida PT. Petrosida GresikMetode observasi partisipatifdigunakan sebagai bahan identifikasi, analisis dan pengendalian health risk management.Perhitungan risiko dan pengolahan data dilakukan menggunakan Quantitative RiskAnalysis Matrix-Level Of Risk The Australia Standards / New Zealand Standards 4360, 2004.Hasil Penelitian: Hasil penelitian menunjukkan terdapat 63 faktor risiko dengan tingkatrisiko Tinggi berasal sejumlah 26 sumber bahaya, risiko sedang berasal sejumlah 35sumber bahaya, dan risiko rendah berasal sejumlah 2 sumber bahaya dengan metodepengendalian menggunakan pengendalian berjenjeng sesuai hirarki pengendalian.
Kata Kunci : health risk management, faktor risiko, PT. Petrosida Gresik
 
HUBUNGAN LINGKAR KEPALA BAYI BARU LAHIR DAN KENAIKAN BERAT BADAN IBU SELAMA HAMIL DENGAN KEJADIANRUPTUR PERINEUM DI BPM “Z†BENGKULUTAHUN 2014
Get PDFThe incidence of ruptur in Indonesia which is only about 5% of all deliveries in Indonesia. The most important cause of maternal mortality in Indonesia is 40-60% of bleeding, including bleeding because of the birth canal laceration 4-5%. Objective of this study was to determine the relationship head circumference of newborns and maternal weight gain during pregnancy with rupture of the perineum in BPM Z.type of research is analytic with case control study design. The population in this study all mothers who gave birth in BPM "Z" in 2013 which amounted to 160 people, with 32 people taken in the case of total sampling and control as many as 32 people and taken by systematic random sampling. Data collected were analyzed by chi-square test. The results showed, obtained 64 respondents, birth mothers with rupturperineum 32 (50%) occur in mothers who gave birth to the size of head circumference> 34cm (71.9%), and pregnant women who experience weight gain> 12.5 ( 75.0%). Results of analysis for head circumference obtained by the P value 0.003 OR 5.622. The results of the analysis of maternal weight gain obtained P 0.003 OR 5.727. This means that there is a significant relationship between head circumference of newborns and maternal weight gain during pregnancy with ruptur of the perineum. Advised pregnant women need to do a routine check of at least four times during pregnancy, in order to be pursued maternal weight gain is within the normal enhancement.
Keywords : Head circumference of newborn, maternal weight gain during pregnancy, Ruptur of the perineu