1,720,961 research outputs found
SK dan BA Ujian Proposal An. Rotua Sumihar Sitorus
SK dan BA Ujian Proposal An. Rotua Sumihar Sitoru
SK dan BA Ujian Prelim An. Rotua Sumihar Sitorus
SK dan BA Ujian Prelim An. Rotua Sumihar Sitoru
MODEL EDUKASI CERDAS DIGITAL RoSi BAGI KADER SEBAGAI UPAYA PENCEGAHAN DINI KEJADIAN STUNTING PADA BALITA
Tubuh pendek (stunting) merupakan masalah gizi yang dihadapi di Indonesia. Hal ini menjadi penting karena menyangkut sumber daya manusia dimasa yang akan datang. Dampak stunting tidak hanya segi kesehatan tetapi juga memengaruhi tingkat kecerdasan anak.Saat ini, pemerintah berusaha menanggulangi stunting dengan upaya intervensi gizi spesifik. Agar program tersebut dapat berjalan dengan efektif maka upaya pencegahan dini kejadian stunting pada balita penting untuk dilakukan dengan melibatkan kader melalui edukasi. Melalui penelitian ini, ditawarkan model edukasi bagi kader yaitu model edukasi cerdas digital RoSi dalam bentuk Modul dan website stunting untuk meningkatkan kemampuan kader dalam memprediksi ibu berisiko melahirkan balita stunting, dan ibu balita memiliki balita stunting. Penelitian bertujuan untuk mengetahui faktor-faktor yang memengaruhi ibu berisiko melahirkan balita stunting, mengetahui faktor yang paling dominan, mengetahui pelaksanaan tugas kader dalam gerakan 1000 HPK dalam upaya pencegahan dini kejadian stunting pada balita, mendeskripsikan penerapan model edukasi cerdas digital RoSi dan mengetahui perubahan perilaku kader setelah penerapan model edukasi cerdas digital RoSi. Penelitian ini menggunakan metode mix method, paduan pendekatan kualitatif dan kuantitatif dengan pendekatan case control survei ibu dan quasi experiment survei kader. Pengumpulan data melalui penyebaran kuesioner, wawancara dan observasi. Tahapan penelitian terdiri: tahap I survei ibu dan kader, tahap II pembangunan model RoSi, tahap III operasional model RoSi dan tahap IV evaluasi penerapan model RoSi. Sampel survei ibu adalah 30 orang kasus (balita stunting) dan 30 orang kontrol di Puskesmas Sering Kecamatan Medan Tembung. Metode analisis secara univariat, bivariat dan multivariat menggunakan uji regresi logistik berganda. Hasil penelitian: tahap I diperoleh pengetahuan ibu pada kelompok kasus kurang (60,5%) lebih banyak dibandingkan pada kelompok kontrol (39,5%). Sikap ibu pada kelompok kasus negatif (62,5%) lebih banyak dibandingkan pada kelompok kontrol (37,5%). Tindakan ibu pada kelompok kasus kurang baik (59,5%) lebih banyak dibandingkan pada kelompok kontrol (40,5%). Pendapatan keluarga ibu pada kelompok kasus di bawah nilai UMR (62,5%) lebih banyak dibandingkan pada kelompok kontrol (37,5%). Dukungan keluarga ibu pada kelompok kasus kurang mendukung (63,4%) lebih banyak dibandingkan pada kelompok kontrol (36,6%). Dukungan tenaga kesehatan pada ibu kelompok kasus kurang mendukung (60,5%) lebih banyak dibandingkan pada kelompok kontrol (39,5%). Dukungan kader posyandu pada ibu kelompok kasus kurang mendukung (62,2%) lebih banyak dibandingkan pada kelompok kontrol (37,8%). Pengetahuan, sikap, pendapatan keluarga, dukungan keluarga, dukungan kader berpengaruh terhadap ibu berisiko melahirkan balita stunting. Dukungan keluarga kurang baik berpeluang 12,644 kali ibu berisiko melahirkan balita stuntingsebagai faktor dominan. Sampel survei kader 84 orang di Puskesmas Sering dan Puskesmas Medan Deli dipilih secara berimbang. Data dianalisis secara univariat dan bivariat menggunakan uji Cohen’s Kappa. Pelaksanaan tugas kader dalam gerakan 1000 HPK sebagai upaya pencegahan dini kejadian stunting pada balita dilaksanakan sesuai deskripsi tugas pada meja 1, 2, 3 dan 4 kecuali meja 5 dikelola bidan, tetapi kasus balita stunting di daerah penelitian masih
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tinggi karena penyuluhan ke masyarakat belum merata. Hasil penelitian penerapan model edukasi cerdas digital RoSi bagi kader dilakukan melalui ceramah, diskusi dan demonstrasi. Hasil perubahan perilaku kader setelah penerapan model RoSi mengalami perubahan, dari 42,9% pengetahuan baik meningkat 65,5% setelah intervensi, 36,9% sikap postif meningkat 63,1%, 36,9% tindakan baik meningkat 64,3%. Hasil uji statistik diperoleh ada kebermaknaan antara pengetahuan (p 0,003), sikap (p 0,037) dan keterampilan kader (p 0,004) sebelum dan sesudah penerapan model edukasi cerdas digital RoSi. Hasil evaluasi model RoSi ada beberapa kelemahan yaitu butuh jaringan internet, harus memiliki smartphone dan ibu tidak rutin berkunjung. Kelebihannya mudah diakses, memudahkan tugas kader memprediksi ibu yang berisiko, model mudah dipahami karena disertai buku petunjuk operasional. Kesimpulan: bahwa model edukasi cerdas digital RoSi mampu meningkatkan perilaku kader dalam upaya pencegahan dini kejadian stunting pada balita. Disarankan kepada pemerintah dan pihak-pihak terkait semakin meningkatkan pelaksanaan dan pengawasan upaya pencegahan dini kejadian stunting pada balita semaksimal mungkin
Analysis of Factors Affecting The Implementation Of Health Promotion Programs For Pulmonary Tb Patients At Grandmed Hospital Lubuk Pakam In 2024
Tuberculosis (TB) is still a major health problem globally, due to serious health disorders in the community and the incidence of this disease increases every year. Currently, it is estimated that 1 in every 3 TB cases have not been detected by the Case Detection Rate (CDR) program, which is known from national data showing that CDR in Indonesia from 2012-2014 has decreased, namely case discovery in 2012 was 61%, and in 2014 the case discovery rate was 46%. The purpose of this study was to Analyze Factors Influencing the Implementation of the Pulmonary TB Patient Health Promotion Program at the Grandmed Lubuk Pakam Hospital in 2024. This study is a qualitative descriptive study. The results of this study are that the implementation of the pulmonary TB patient health promotion program in hospitals is influenced by various interrelated factors, namely individual factors, the environment, health systems, policies, and health workers. Individual factors such as knowledge, socio-economic conditions, and treatment compliance determine the extent to which patients can accept and carry out health recommendations. Environmental factors, including social stigma and family or community support, also influence patient motivation and openness to health education. From the health system side, the existence of an effective information system and guaranteed drug availability are crucial technical supports. Meanwhile, the success of the program is highly dependent on management policies and the design of a structured and sustainable promotion program. The conclusion is that the role of health workers through quality communication and education greatly determines the effectiveness of information delivery and changes in patient behavior. Therefore, optimal implementation of health promotion requires a comprehensive and collaborative approach from all of these factors to support sustainable TB control efforts in hospitals
Gambaran Pola Makan Ibu Hamil
Angka kesakitan dan kematian masa kehamilan salah satunya disebabkan pola makan kurang baik. Keluarga terutama ibu harus memahami dan mengkonsumsi berbagai jenis dan frekuensi makanan mengandung gizi baik dengan harga tidak perlu mahal dan mudah diperoleh. Penelitian bertujuan untuk mengetahui jenis dan frekuensi pola makan. Jenis penelitian deskriptif. Populasi adalah ibu hamil 40 orang (termasuk menderita Kekurangan Energi Kronis) di Desa Lama wilayah kerja Puskesmas Pancur Batu dilakukan Juli-Agustus 2019. Temuan bahwa jenis makanan pokok yang sering dikonsumsi sehari-hari adalah beras 100%. Jenis makanan hewani yang dikonsumsi adalah ikan dencis sebesar 55%, disusul ikan kembung 52,5% dan telur 47,5%. Jenis nabati, bayam 42,5% dan kacang panjang 40%. Jenis minuman teh manis 40% dan makanan ringan lainnya kerupuk 40% dan bubur 32,5%. Frekuensi makanan yang dikonsumsi 1-3 kali per hari pada makanan pokok beras adalah 92,5%, telur 40% dan ayam diikuti 27,5%. Sedangkan ikan gurame dan nila jarang dikonsumsi atau 1-3x per bulan dengan proporsi 22,5% karena harganya cukup mahal. Jenis sawi dan kacang panjang dengan proporsi 22,5% dan buah yang dikonsumsi dengan frekuensi 1-3x per minggu sebanyak 32,5% jeruk. Simpulan jenis makanan sehari-hari nasi, ikan dencis, ikan gembung dan telur, bayam, kacang panjang, teh manis dan makanan selingan kerupuk dan bubur. Frekuensi makanan 1-3 kali per hari nasi telur, ayam, sawi dan kacang panjang dan frekuensi 1-3x per minggu jeruk.</jats:p
The Influence Of Occupational Safety and Health Training On Worker Safety Behavior at the UPTD Sungai Puar Community Health Center Batang Hari Regency Jambi
Occupational Safety and Health (OSH) training is designed to enhance employees' understanding and awareness of potential hazards in the workplace, as well as to impart knowledge regarding safety standards, operational procedures, and the proper use of Personal Protective Equipment (PPE). This training plays a vital role in influencing behaviors related to occupational safety and health. The objective of this research was to investigate the impact of various factors—such as knowledge, educational background, disciplinary measures, regulations, support from supervisors, peer encouragement, availability of safety equipment, and duration of employment—on the safety practices of workers at the UPTD Sungai Puar Community Health Center in Batang Hari Regency, Jambi. Utilizing qualitative research methods, the study involved observations and interviews with 12 participants both prior to and following the training. The findings indicated that knowledge, education, disciplinary actions, regulations, support from superiors, peer motivation, availability of safety equipment, and tenure significantly affected the safety behaviors of the workers at the health center. Ultimately, the study concluded that education and support from supervisors emerged as the most significant determinants of Occupational Safety and Health behaviors
The Role Of Health Promotion in Achieving Household Clean And Healthy Living Behavior (Phbs) With Polling Mothers At UPT Puskesmas Balige
Background: The postpartum period is the period that every woman goes through after giving birth. This period lasts from the time the placenta is born until 6 weeks after birth or 42 days after birth. Household Clean and Healthy Living Behavior (PHBS) is carried out to achieve a healthy household. In the household, the primary target must be practicing behavior that can create a PHBS household, which includes giving birth assisted by health workers, giving babies exclusive breast milk, weighing toddlers every month, using clean water, washing hands with clean water and soap, using a toilet. Objectives: to determine the role of health promotion in the achievement of household PHBS with postpartum mothers at the UPT Puskesmas Balige in 2024.Research method: This type of research uses descriptive qualitative.Results: the Clean and Healthy Living Behavior Program (PHBS) for households at the Balige Community Health Center seen from the activity coverage figures. The PHBS program in 2024 has a coverage of (64%) and has not yet reached the target of (70%). In the PHBS program, the household system will be implemented well if all the activity service systems are implemented well and there is a link between the system and the activity implementers and the activity facilities, namely Cadres, Village Midwives and the Community in the household system as well as activity support facilities such as leaflets, posters, flip sheets, booklets and so on provided by the community health center. Apart from that, indicators of the success of the household PHBS program can be seen by the active role of community leaders and community organizations in assessing household PHBS, which can increase the percentage of households implementing PHBS.Conclusion: household PHBS program will be implemented well if all activity service systems are implemented well and there is a link between the system and the activity implementers and activity facilities, namely Cadres, Village Midwives and the Community. It is recommended to enhance coordination and active participation among program managers, village midwives, and the community to ensure the optimal implementation of the PHBS Family Arrangement Program
Analysis Of Healthcare-Associated Infections (HAIs) Surveillance System At RSUD Drs. H. Amri Tambunan Regional Hospital Deli serdang Regency: Analysis Of Healthcare-Associated Infections (HAIs) Surveillance System At Drs. H. Amri Tambunan Regional Hospital Deli serdang Regency
Surveillance of Health Care Associated Infections (HAIs) is a dynamic and continuous process of collecting, identifying, analyzing, and interpreting health data. This study aims to analyze the HAIs surveillance system based on input, process, and output components using a mixed-method approach. Phase I (quantitative) assessed input (human resources and infrastructure) and output (epidemiological data and HAIs incidence rates) using secondary data analyzed univariately. Phase II (qualitative) explored input and process components through interviews and FGDs with the IPC team (IPCN and IPCLN), analyzed using thematic analysis. Results from Phase I showed the highest HAIs cases in patients over 41 years, with VAP incidence in February (32.5 ‰) exceeding the standard. Other peaks included non-SC IDO in February (1.58 ‰), SC IDO in April (5 ‰), and phlebitis in March (1.11 ‰). Phase II revealed issues in HR quality, incomplete SOPs, limited infrastructure, and lack of indicators to assess data completeness and accurac
Going Beyond Counting First Authors in Author Co-citation Analysis
The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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