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ANALISIS KEBIJAKAN PENGELOLAAN SAMPAH PERKOTAAN DI KOTA MALANG
Get PDFSolid waste is important issue in urban area that is faced continously in line with increase number of residents and improvement of development activity. Every day 2-3 litres of solid waste is produced by everyone in urban area. Solid waste could cause environmental pollution and a threat to human health The purpose of this research is describing and analyzing policy of local government in management of municipal waste wich comprised by; organization, accomplishment of infrastructures and human resources, regulations, programs and analyze barrier factors in implementation municipal waste management policy. This research is descriptive research by using qualitative method, during four months (September – December 2007) in region Malang City. The result of this research is the organization which manage municipal solid waste has operated concordant with regulations. Limited quantity and quality of human resources, infrastructures (dust bin, transfer of depo, truck conveyor, heavy equipment and landfill area). Has not regulation about municipal solid waste management comprehensively. The main barrier factors of implementation municipal solid waste management are limited budget, limited infrastructure, low of awareness and participation of resident.  Keywords : policy analysis, municipal solid waste, managemen
PENGARUH TEKNIK RELAKSASI TERHADAP ADAPTASI NYERI PERSALINAN IBU BERSALINKALA I FASE AKTIF DI BPS WILAYAH PUSKESMAS PATRANG KABUPATEN JEMBER TAHUN 2012
Get PDFIn the first stage of labor uterine contractions that cause pain stimuli, approximately 90% of labor is accompanied by pain. Efforts to reduce or eliminate non-pharmacological pain in childbirth with hypnosis, reduce the perception of pain, cutaneous stimulus and Relaxation Techniques. Relaxation techniques are external actions that affect the internal response of the individual. This study aims to determine the effect of relaxation techniques to adaptation of the first stage of labor pain in the active phase of Public health centers in the district Patrang Jember. The research design was pre Experiment (Quasi experiment) by the method of a "One-Group Pre-test - Post test Design". Samples were 30 respondents, the selection of samples using non-probability sampling technique (Accidential sampling). Data collected by observation intensites pain before and 30 minutes after the technique of relaxation. Data analysis ststistik using Wilcoxon Mafched Pair Test, with a significance level (df 5%).The results Z count -5.203 was greater than -1.96. Thus Ho is rejected, mean relaxation techniques affect the adaptation of labor pain in the active phase of the first stage in the Public health center Patrang Jember district. Seeing the results of this study provide innovation Midwife charged with using the latest methods to perform care dear mother, one of which is the method of relaxation techniques. A mother has the right to obtain delivery of high quality care delivery so as to avoid inconvenience at the time of delivery
KEPUASAN MASYARAKAT TERHADAP PELAYANAN PUSKESMAS: KAJIAN KUALITATIF KULTUR MEDIS, STANDARISASI MUTU, KONSEP PUSKESMAS DAN RELASI DOKTER PASIEN DI KABUPATEN JEMBER
Get PDFThe public’s satisfaction ratings of the health center services can be seen from the performance or perceived outcome compared with expectations. The general objective of this study is to assess people's satisfaction of health center services. Method is a qualitative research approach. This research was conducted in all districts in Jember, by taking 25 informants as samples for indept interview. The sampling technique to informants by using purposive sampling and snowball sampling, qualitative research instrument of this study is the researchers themselves by holding on to an open questionnaire guidelines, technical analysis is descriptive. The results of the study describe that the majority of informants (80%) say the public satisfied of the services at the health center, the issue then the people donot know what standards they are supposed to get from the service. Service to customers is a service that can be justified and balanced. In this context, services in health centers should transparently explain the standard of service flow and what will be done by the medical waiter, so the patient know about what kind of service that they would be received. The issue of quality of service is the most important thing to increase confidence in the health centers, for example in terms of service time, the average time to get a queue number about three minutes. Then the waiting time to be called about ten to thirty minutes. While the time to see a doctor about five minutes. And the time to stand in line to take drugs in about thirtyminutes. With the size of this time, the average patient takes about one to one and a half hours in a health center. Keywords: The satisfaction of the public, health center services, medical culture and standardization quality
ANALISIS FAKTOR RISIKO KEJADIAN ISPA DITINJAU DARI STATUS RUMAH DI WILAYAH KERJA PUSKESMAS KOTA WILAYAH UTARA KOTA KEDIRI
Get PDFAcute Respiratory Infections (ARI) is one of the most common causes of death in children of developing countries. The cause of ARI include home building materials made of asbestos, has a floor with a thickness of less than 20cm and has a floor area of less than 10% of the floor area. The objective of this study was to determine the effect of physical condition to Acute Respiratory Infections (ARI) at public health centers in the region of the northern town of Kediri. This study was an analytic study with cross-sectional approach. There were 102 samples on society at public health centers in the region of the northern town of Kediri, and use simple random sampling. The independent variable is the building constructures, thetype of floor, and size of ventilation, while the dependent variable was the incident of Acute Respiratory Infection. Data were analyzed by logistic regression.The results showed that, p value = 0,000 <α =0,05, so there is physical condition home has affected the occurrence ARI. While the most dominant factor of the three factors is size of ventilation where the value ofExp (B) 0,014 more than the other two factors, are building contructure where the value Exp (B) 0,012 and the type of floor where the value Exp (B) 0,010.The majority of respondents suffering from ARI and most the of respondent have a home ventilation that does not qualify, therefore people should pay more attention to the ventilation of their homes so spacioushome ventilation of at least 10 % of their floor area.Keywords: Acute Respiratory Infection, Building Material, Floor, Ventilatio
INDEKS KEPUASAN MASYARAKAT PENGGUNA JASA PELAYANAN KESEHATAN UPT. UNEJ MEDICAL CENTER (UMC) UNIVERSITAS JEMBER TAHUN 2007
Get PDFUPT. UNEJ Medical Center (UMC) is one of the health service provider institutions in Jember. Patient satisfaction is one indicator of the quality of services provided by health providers. Patient satisfaction is also an investment to get more patients and have a high loyalty. Therefore UPT. UMC requires the satisfaction index to identify the extent service user satisfaction levels of services. Community satisfaction index consisting of 14 essential elements which valid and reliable as the minimum elements that must exist. The purpose of this study was to describe the user community satisfaction index of health services in UPT. UMC. Design research using observational studies because they did not give a treatment of the respondent. While time-based research using cross-sectional approach. Respondents research were patients of UPT. UMC as many as 94 people. Results obtained research data and information that the community satisfaction index of UPT. UMC was 68.72 which included in a good performance category. Keywords : Community Satisfaction Index, Health Services, UPT. UMC
STIGMA DAN PROSES SOSIALISASI WARIA SERTA DAMPAKNYA PADA PENINGKATAN RISIKO PENULARAN IMS DAN HIV/AIDS
Get PDFBeing a transvestites is assumed as deviate behaviour by our society. It is severed with negative stigmatization as bad   image, dirty, criminal, and having deviate sexual orientation, cause this group of people have more risky toward psychological and sexual impact in transmision of STD   and HIV/AIDS. Sosialization proces is needed by transvestitesgeting acceptance in social environment, because transvestites could not separate from social context. This study aims to analyze the stigmatization and sosialization process toward transvestites and its impact for the increasing of transmission risk from  STD and HIV/AIDS.It was a qualitative study involved informants aged 25-54 with purposive sampling in Semarang city. Data was collected by indepht interview and they’re analyzed by thematic content analysis. The result of this study showed that stigmatization to transvestites was derived from public society and religius community. This rejection impacts at sosialization   process in family, work place and society. Because our society assume transvestites identical with deviate behaviour from the norm, and having tranvestites as the family member means ignominy. Consequently they choose as a urbant people. It cause the increasing of transmission risk on STD and HIV/AIDS. There are no obstacle in sosialization process with other transvestites in cebongan. Cebongan is the place they can express themself without rejection from  others. So they can be received as normal individual. Society is expected accepting them as a part of their live, with involved them include transvestites with HIV/AIDS in society activity.Key words : Transvestites, stigmatization, sosialization process, STD and HIV/AID
PERILAKU HIDUP BERSIH DAN SEHAT (PHBS) PADA TATANAN RUMAH TANGGA MASYARAKAT USING (Studi Kualitatif di Desa Kemiren, Kecamatan Glagah, Kabupaten Banyuwangi)
Get PDFThe research was proposed by Gani, et al (2013:12) about “Desain Kawasan Sehat untuk Wisata Budaya Using di Kabupaten Banyuwangi†was calculated the use of health toilet is 54%, the use of quite health toilet is 37%, and the use of not-health toilet is 9%. Furthermore, this research also calculated the behavior of using clean water is 94% and 63% not usingtrash can. The purpose of this study was to analyze PHBS Using community includes predisposing, enabling, reinforcing based on three indicators of PHBs that apply to defecate in latrines, using clean water, and dispose of waste in place. This research is a qualitative descriptive study. Some techniques of data collection are applied in this research; in-depth interview, documentation, and observation. Determination of the informants in this research used purposive technique. The results showed that people still have the habit Using defecate in the river, people using clean water sourced from mountain springs, the habit of not sorting garbage and dispose of garbage in the river. The village head required that every homeshould have latrines to reduce the habit of people to defecate in the river. Mother village heads who were members of the PKK had been doing counseling about recycling but the response was still not appropriate. There is a tradition in Kemiren rabo wekasan. This tradition bequeathed 1 cultural values that spring must be maintained by cleaning.Keywords : Healthy and Clean Lifestyles, Defecate, Clean Water, Tras
PERILAKU MASYARAKAT DALAM PENGELOLAAN SAMPAH ANTARA DAERAH BINAAN DAN DAERAH TIDAK BINAAN DI KOTA SURABAYA
Get PDFThe main problem at Surabaya city is waste problem. By 2.160 ton/ day, pile of waste was produced at Surabaya, so that an effort of community based waste management are needs to be done. Type of research is an observational by comparing between assisted and unassisted areas. Sample on research is 1000 people. Analyze technique used are descriptive and analytical. The results showed that respondents in assisted areas who have committed on waste management are 66.6% (range 5.1 – 91.5%). The amount is higher than in the control/ unassisted areas, which only 4.6% respondents who did the same things (range 1.7 – 6.4%). Chi-square test result demonstrated the value of P = 0,000 which is smaller than α = 0.05. According to the result of study, it is suggested to increasing motivation about the importance of sorting and processing waste at waste point source by continuity assistance to communities about periodically waste reducing program at neighborhood, village, sub district and city levels.  Keywords: behavior, waste management
GAMBARAN PELAKSANAAN KEGIATAN KIA DI KABUPATEN SERANG
Get PDFSerang is ones of district of Banten Province which has problem at maternal, neonatal, child health. Maternal and child mortality rate shows increase trend each years. The purpose of this study was to describe Maternal & Child Health activities implementation at communities. Type of research is descriptive by interview technique. Informants on the study are midwife coordinator and manager line at each Community Health Center (Sub District Pamarayan, Kramat Watu and Tirtayasa). The results showed that according to the informant are partnership between midwives and TBA has to improve, reward system is also give to community to increase their participate at all of Maternal & Child Health activities which held by government. Social activities at community are also the meaning part to improve Maternal & Child Health activities. According to the result, it is suggested to create innovative program for communities. It needs to use effective methods and media so that communities impress to join the activity. Participatory approach is also important to improve community participative
PENGARUH PEMBERIAN MINYAK BUAH MERAH (Pandanus conoideus oil) TERHADAP KADAR KOLESTEROL TOTAL TIKUS (Rattus norvegicus strain wistar) DENGAN DIET ATEROGENIK
Get PDFCardiovascular Disease (CVD) serves as the main cause of death in the world. The controllable main risk factor in Coronary Heart Disease (CHD) is LDL cholesterol content, triglyserida, and HDL cholesterol content in blood. The attempt to control coronary heart disease is by using antioxidant. Antioxidant can obstruct oxidation process and neutralize free radical to prevent various degenerative disease. This study was intended to find out the effect of red fruit oil (Pandanus conoideus oil) toward total cholesterol content of rat (Rattus novergicus strain wistar) with Aterogenic diet. This study was an experimental study. The design applied was complete randomized design with 3 repetitions and 8 treatment levels, namely P0 (diet standard), P1 (Aterogenic diet), P2 (S + MBM 0,12 ml/day), P3 (S + MBM 0,24 ml/day), P4 (S + MBM 0,36 ml/day), P5 (A + MBM 0,12 ml/day), P6 (A + MBM 0,24 ml/day), P7 (A + MBM 0,36 ml/day). The parameter was total cholesterol content. The process and data analysis applied Oneway Anova statistical test and followed with DMRT (Duncan Multiple Range Test). The result of Oneway Anova statistical test in confidence level 99% indicated that there was variance of significant total cholesterol content (p=0,000) among every treatment levels. The effect of using red fruit oil (Pandanus conoideus oil) toward total cholesterol content of rat (Rattus novergicus strain wistar) with aterogenic diet effective in 0,12 ml/day. The conclusion inferred from this study indicated that using red fruit oil (Pandanus conoideus oil) has significant effect toward reduction of total cholesterol content of rat (Rattus novergicus strain wistar) with aterogenic diet. Â Key Words : Red fruit oil, total cholesterol content, aterogenic die