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Determinants of Clinical Diphtheria After Sub National Diphtheria Immunization Days In 2012 At Bangkalan Utama, Feranita; Wahjuni, Chatarina Umbul; Martini, Santi
Jurnal Berkala Epidemiologi Vol 2, No 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Jurnal Berkala Epidemiologi

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Abstract

ABSTRACTThe government had held sub-national diphtheria immunization days in 2012 to combat an outbreak of diphtheria in East Java province. However, there werestill regencies or cities which had high incidence and Bangkalanregencywas the highest. The research aimed to analyze the determinants of diphtheria in Bangkalan after SNIDs. This research was case control study with 31 subjects as case and 124 as control spread in 25 case villages and 25 control villages. Bivariate analysis used chi-square and simple logistic regression. Multivariate analysis used logistic regression. Bivariate analysisresult showed that individual and household variables that had associate with incidence of diphtheria in the Bangkalan after SNIDs of diphtheria vaccine in 2012 were DPT immunization status, the status of SNIDs, age, and mothers education level. In this study, there were not associate between village variables with diphtheria in the Bangkalan after SNIDs. Multivariate analysis result showed that had associate with incidence of diphtheria in Bangkalan after SNIDs were no DPT immunization (p=0,012; OR=4,765), incomplete DPT immunization (p=0,001; OR=6,276), 3-7 years of age (p=0,014; OR=15,137), 7-15 years of age (p=0,001;OR=41,984), and no immunization in SNIDs (p=0,020; OR=3,553). Conclusion, the dominantfactors that affected diphtheriainBangkalanwere status of DPTimmunization, ageand the SNIDs of diphtheria. Recommendation, DPTimmunizationshould becomplete, boosterimmunization should be needed, monitoring theimplementation ofsubPIN should be strict, especially inschool, and thecoverage ofDPT3andsubPIN should be increased and its report should be improved.Keywords: diphtheria, sub-nationaldiphtheriaimmunization days, DPT                              immunization
Studi Intervensi Klaster Kawasan Tanpa Rokok pada Tingkat Rumah Tangga Najmah, Najmah; Etrawati, Fenny; Yeni, Yeni; Utama, Feranita
Jurnal Kesehatan Masyarakat Nasional Vol. 9 No. 4 Mei 2015
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (153.227 KB) | DOI: 10.21109/kesmas.v9i4.752

Abstract

AbstrakPerilaku merokok memberikan dampak negatif, baik bagi perokok aktifmaupun pasif, ditinjau dari sudut pandang kesehatan maupun ekonomi.Regulasi mengenai Kawasan Tanpa Rokok (KTR) yang telah diterbitkanbelum ada yang mengatur mengenai penerapan KTR di tingkat rumah tangga. Penelitian ini bertujuan untuk mengidentifikasi perubahan perilaku melalui intervensi terpadu KTR pada tingkat rumah tangga. Penelitian dilakukan pada bulan Juli - September 2014 menggunakan desain cluster trial pada empat desa di Kabupaten Ogan Ilir, Sumatera Selatan. Selanjutnya, 200 sampel kepala keluarga dipilih melalui metode cluster random sampling. Intervensi yang dilakukan meliputi konseling terpadu, pemberian permen pengganti rokok, dan tabungan sehat. Hasil penelitian menunjukkan bahwa proporsi responden yang merokok setiap hari dalam sebulan terakhir dan komitmen untuk tidak akan merokok di masa yang akan datang mencapai 71,6% dan 62% pada kelompok intervensi serta 91% dan 38% pada kelompok non-intervensi. Intervensi ini berpeluang 46% mengurangi perilaku merokok responden (RP = 0,46) setelah dikontrol oleh variabel pendidikan (RP = 0,152) dan sikap (RP = 0,216) dengan nilai p < 0,0001. Intervensi terpadu ini terbukti berhasil mengubah perilaku merokok pada kawasan rumah tangga sehingga diperlukan partisipasi masyarakat dan dinas kesehatan setempat untuk menindaklanjuti penerapan intervensi ini dalam jangka panjang.AbstractSmoking behavior has negative impacts, both for active and passive smokers, as reviewed from health and economic perspectives. Regulation concerning non-smoking area issued has not yet arranged implementation of non-smoking area at household level. This study aimed to identify any behavior change through integrated intervention of non-smoking area athousehold level. This study was conducted on July - September 2014 usingcluster trial design in four villages at Ogan Ilir District, South Sumatra.Then 200 household head samples were selected through cluster randomsampling method. The intervention included integrated counseling, distribution of candy as substitute for cigarette, and healthy saving. Results of study showed that proportion of respondents who smoked every day in a recent month and had a commitment not to smoke in the future reached 71.6% and 62% in the intervention group, then 91% and 38% in the non-intervention group respectively. This intervension had opportunity worth 46% reducing the smoking behavior of the respondents (RP= 0.46) after controlled by the variable of education (RP = 0.152) and attitude (RP = 0.216) with p value < 0.0001. This integrated intervention was profoundly successful changing smoking behavior at household level. So that, public participation and health agency need to follow up the implementation of this intervention in a long term.
RELATIONSHIP PERCEPTION MALE TEENAGERS OF THE DANGERS SMOKING AND WARNING ON THE CIGARETTE PACKAGES OF MALE TEENAGERS AND BEHAVIOR SMOKING IN PALEMBANG Tantri, Afria; Fajat, Nur Alam; utama, feranita
Jurnal Ilmu Kesehatan Masyarakat Vol 9, No 1 (2018): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Faculty of Public Health Universitas Sriwijaya

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Abstract

Background: Inclusion of the dangers smoking and warning on the cigarette packages generate multiple views in society, especially among teenagers, because teenagers are easily affected by something new, unique, and interesting. The aim of study to know the perception of the dangers smoking and warning on the cigarette packages of male teenagers about behavior smoking in Palembang. Method: The method of this study is quantitative with cross sectional study. The population of this study is male teenagers in Palembang are selected as the samples by using multistage random sampling. The data collection was done through interview method by using questionnaire. The data analysis technique with multiple logistic regression test. Result: Statistics test showed that the variables associated with the smoking behavior was  perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and cues to actio), while the variable that was not associated with the smoking behavior is variable self efficacy (p=0,734). The result multivariate analysis showed that the variable that most influence on smoking behavior was length of perceived susceptibility. Conclusion: The study concluded perceived susceptibility, perceived benefits, and perceived barriers are risks factors for male teenagers about behavior smoking in Palembang. Attention from the family is needed to reduce smoking behavior, especially among teenagers. Keywords: Perception, smoking behavior, cigarette packagesDOI: https://doi.org/10.26553/jikm.2018.9.1.74-82
DETERMINANTS PREECLAMPSIA IN PREGNANCY AT RSUP DR. MOHAMMAD HOESIN PALEMBANG Gustri, Yudia; Sitorus, Rico Januar; Utama, Feranita
Jurnal Ilmu Kesehatan Masyarakat Vol 7, No 3 (2016): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Faculty of Public Health Universitas Sriwijaya

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Background: Preeclampsia is pregnancy hypertension disorder that significantly affect morbidity and maternal mortality word-wide. Preeclampsia occurs in 5-7% of all pregnancies and is the leading cause of maternal death in the developing world. The purpose of this research was to identify risk factors associated with the incidence of preeclampsia in pregnant women at the Hospital Dr. Mohammad Hoesin Palembang Methods: This research used a case-control study design. The data used are secondary data from mothers medical record with preeclampsia and without preeclampsia in the period 1 January 2015-31 December 2015. The number of samples is 85 cases and controls. Analysis of  data used univariate, bivariat analysis used chi square test, and multivariate used multiple logistic regression prediction model. Results: Multivariate analysis showed that factors associated with preeclampsia were age> 35 years (OR: 4.120; 95% CI: 1.715 to 9.897) obesity (OR: 2.134; 95% CI: 1.093 to 4.167) and a history of hypertension (OR: 12.143; 95% CI: 1.368 to 107.792). Conclusion: The most dominant factor related to the incidence of preeclampsia in pregnant women is a history of hypertension. The Advice can be given that the relevant agencies to improve promotive and preventive efforts by providing socialization of the factors which may be a risk of preeclampsia so that cases of preeclampsia can be prevented at an early stage. Keyword: preeclampsia, maternal, age, obesity, hypertension DOI: https://doi.org/10.26553/jikm.2016.7.3.209-217
DETERMINANTS OF UTILIZATION OF ANTENATAL CARE SERVICES IN INDONESIA (DATA ANALYSIS IDHS 2012) Jusniany, Marsanelah; Mutahar, Rini; Utama, Feranita
Jurnal Ilmu Kesehatan Masyarakat Vol 7, No 3 (2016): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Faculty of Public Health Universitas Sriwijaya

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Background: Indonesia is a developing country with maternal mortality is still a major issue in the amount of 126 per 100,000 live births. Antenatal care has been proven to be effective in reducing maternal mortality. IDHS 2012 has been reported  that 95.7% of pregnant womens had received antenatal care, but only 74% meet the recommended schedule of government. In addition, 95,7% of pregnant women who visit antenatal are not all get the components of services of antenatal care that has been recommended. The aim study is analyze determinants of utilization of antenatal care service Method: This study is a quantitative study using cross sectional study design with the population of women who ever married and ever pregnancy/childbirth at the time of IDHS. Data analysis in this study consisting of three phases, namely univariate, bivariate with chi square test and multivariate logistic regression with predictive models. Results: The results showed based on data from Demographic and Health Survey 2012 that the variables significantly associated with the utilization of adequate antenatal care are economic status (PRadjusted=1,310,CI 95%;1,310-1,943),education (PRadjusted=1,595,CI 95%;1,285-1,876), complications of pregnancy (PR= 1,32,CI 95%;1,066-1,637), and place of antenatal care (PRadjusted=1,816,CI 95%;1,510-2,185). Variables that are not significantly associated with  the utilization of utilization antenatal care are age, exposed to general media, paritas and residence. The most dominant variable that significantly associated with the utilization of antenatal care after controlling for other variables are variables place of antenatal care (PRadjusted=1.816,CI 95%;1,510-2,185). Conclusion: Economic status, woman education, complications during pregnancy and place of antenatal care are significantly associated with the utilization of adequate antenatal care in Indonesia. Health promotion to pregnant women and families with low economic and education of the importance of adequate antenatal care is needed to improve the utilization of appropriate antenatal care in reducing morbidity and mortality of mothers and children during and after pregnancy in Indonesia.Keywords: Antenatal Care, Utilization, Factors. DOI: https://doi.org/10.26553/jikm.2016.7.3.174-181 
PERCEPTION EFFECT TO CHILDBEARING WOMAN PARTICIPATION IN CERVICAL CANCER SCREENING BY VISUAL INSPECTION WITH ACETIC ACID (VIA) METHOD IN TALANG AUR VILLAGE OGAN ILIR REGENCY Warta, Nike; Fajar, Nur Alam; Utama, Feranita
Jurnal Ilmu Kesehatan Masyarakat Vol 6, No 3 (2015): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Faculty of Public Health Universitas Sriwijaya

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Background: Cervical cancer is diseases with the highest number of deaths in women worldwide, including Indonesia. There are 16 per 100,000 cases in Indonesia and 797 cases in South Sumatera the province in 2014. Screening methods Visual Inspection with Acetic Acid (VIA) is one way to prevent cervical cancer. Talang Aur is a village that had participated in screening VIA with 17.5% coverage, however the coverage required is 80%. This study aims to determined the effect of the perception of women about screening VIA in Talang Aur. Method: The study was cross sectional with a random sample were 84 people child bering women (WUS) at age of 30-50 years. Result: The analysis showed 88.1% of women who did not participate in screening VIA and 54.8% had unfavorable perception toward screening VIA. There WUS influenced perceptions of participation in screening methods VIA (p value=0.038; PR 5.8: 95% CI 1.164 to 29.57). However, there is no influence perceptions of WUS participation screening VIA (p value=0.427) after controlled by age, occupation, knowledge, and a history of visiting health workers. Conclusion: There was influence of perception, knowledge, and a history of noting health worker to was participation screening. Keywords: Perception, cervical cancer screening
THE EFFECT OF INTERNAL AND EXTERNAL FACTORS TO BEHAVIOR TO DO DEFECATION ON LATRINE AFTER THE TRIGGERING IN WORKING AREA OF TANJUNG BATU PRIMARY HEALTH CARE Yulda, Apri; Fajar, Nur Alam; Utama, Feranita
Jurnal Ilmu Kesehatan Masyarakat Vol 8, No 2 (2017): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Faculty of Public Health Universitas Sriwijaya

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Background: Sanitation development challenge is one of social-culture and people’s behavioral matter who usually do open defecation. Indonesia is the most second country which is most found people with a habit to do open defecation. Behavior to defecate on latrine uneven in each area, another thing shown in each area have been experienced different problems to change their behavior. Various efforts has been done to overcome this problem. The objective of this study is analyze the effect of internal and external factors to behavior to do defecation on latrine after triggering Method: The design of this study is cross sectional with sampling of total population with a size of 137 people. Result: The result of analysis shown 84 people (61.3%) had experienced the change of behavior to do defecation on latrine after triggering. There is income effect (p value = <0,0001), self efficacy (p value = <0,0001), expectation (p value = <0,0001), perception of moral transgression (p value = <0.0001), people’s urge (p value = <0,0001), health workers is urge (p value = <0,0001), family roles (p value = <0,0001) to change of behavior to do defecation on latrine after triggering. Income is the most influences factor to change of behavior to do defecation on latrine after triggering. Conclusion: This study expected people to perform latrine regular social gathering, then community leaders and health workers are together with stakeholder conduct the mutual cooperation in case of building the communal toilets and increasing the number of home industry in working area of the primary health care, to make people change their behavior about defecation on latrine also to adding the income so people could set aside of money to build a proper latrine.Keyword: Behavior, Defecate, Trigger DOI: https://doi.org/10.26553/jikm.2016.8.2.109-116
PREVALENCE STUDY OF HYPERTENSION AT THE INTEGRATED GUIDED POSTIN BTKLPP’S WORKING AREA CLASS I PALEMBANG Sari, Eni Puspita; Sitorus, Rico Januar; Utama, Feranita
Jurnal Ilmu Kesehatan Masyarakat Vol 8, No 2 (2017): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Faculty of Public Health Universitas Sriwijaya

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Background: The non-communicable disease is the main caused death globally. One of non-communicable disease is hypertension that still be the public health problem that influence increasing mortality and morbidity rate in Palembang. This research purposed to analyze the risk factors of hypertension in BTKLLP’s working area Class I Palembang. Method: This study used cross sectional design with all of population aged >18 years old who residency in BTKLLP’s working area Class I Palembang with total samples 101 respondents. Data analysis conducted were univariate analysis, bivariate analysis used chi square test, and multivariate analysis used logistic regression prediction model. Results: This result showed that variable related with hypertension are age, family history, physical activity and stress and variables are not related such as gender, family history, smoking, alcohol and habit of drink coffee. The most dominant variable with hypertension case is age (OR Adjusted=4,262;95%CI=1,378-13,182) controlled by family history, physical activity, and stress). Conclusion: Age, family history, physical activity and stress are significantly associated with hypertension. Improving health education effort related with risk factor of hypertension case, adding total integrated guided post, organizing counseling activity and specific activity that support increasing healthy lifestyle for members of integrated guided post are very important to decreasing hypertension cases.Keywords: Hypertension, The Integrated Guided Post, The Non-Communicable Disease https://doi.org/10.26553/jikm.2016.8.2.117-124 
Studi Intervensi Klaster Kawasan Tanpa Rokok pada Tingkat Rumah Tangga Najmah, Najmah; Etrawati, Fenny; Yeni, Yeni; Utama, Feranita
Jurnal Kesehatan Masyarakat Nasional Vol. 9 No. 4 Mei 2015
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (153.227 KB) | DOI: 10.21109/kesmas.v9i4.752

Abstract

AbstrakPerilaku merokok memberikan dampak negatif, baik bagi perokok aktif maupun pasif, ditinjau dari sudut pandang kesehatan maupun ekonomi. Regulasi mengenai Kawasan Tanpa Rokok (KTR) yang telah diterbitkan belum ada yang mengatur mengenai penerapan KTR di tingkat rumah tangga. Penelitian ini bertujuan untuk mengidentifikasi perubahan perilaku melalui intervensi terpadu KTR pada tingkat rumah tangga. Penelitian dilakukan pada bulan Juli - September 2014 menggunakan desain cluster trial pada empat desa di Kabupaten Ogan Ilir, Sumatera Selatan. Selanjutnya, 200 sampel kepala keluarga dipilih melalui metode cluster random sampling. Intervensi yang dilakukan meliputi konseling terpadu, pemberian permen pengganti rokok, dan tabungan sehat. Hasil penelitian menunjukkan bahwa proporsi responden yang merokok setiap hari dalam sebulan terakhir dan komitmen untuk tidak akan merokok di masa yang akan datang mencapai 71,6% dan 62% pada kelompok intervensi serta 91% dan 38% pada kelompok non-intervensi. Intervensi ini berpeluang 46% mengurangi perilaku merokok responden (RP = 0,46) setelah dikontrol oleh variabel pendidikan (RP = 0,152) dan sikap (RP = 0,216) dengan nilai p < 0,0001. Intervensi terpadu ini terbukti berhasil mengubah perilaku merokok pada kawasan rumah tangga sehingga diperlukan partisipasi masyarakat dan dinas kesehatan setempat untuk menindaklanjuti penerapan intervensi ini dalam jangka panjang.AbstractSmoking behavior has negative impacts, both for active and passive smokers, as reviewed from health and economic perspectives. Regulation concerning non-smoking area issued has not yet arranged implementation of non-smoking area at household level. This study aimed to identify any behavior change through integrated intervention of non-smoking area at household level. This study was conducted on July - September 2014 using cluster trial design in four villages at Ogan Ilir District, South Sumatra. Then 200 household head samples were selected through cluster random sampling method. The intervention included integrated counseling, distribution of candy as substitute for cigarette, and healthy saving. Results of study showed that proportion of respondents who smoked every day in a recent month and had a commitment not to smoke in the future reached 71.6% and 62% in the intervention group, then 91% and 38% in the non-intervention group respectively. This intervension had opportunity worth 46% reducing the smoking behavior of the respondents (RP= 0.46) after controlled by the variable of education (RP = 0.152) and attitude (RP = 0.216) with p value < 0.0001. This integrated intervention was profoundly successful changing smoking behavior at household level. So that, public participation and health agency need to follow up the implementation of this intervention in a long term.
MODEL PREDIKSI PENGENDALIAN KOMPLIKASI PENYAKIT PENYERTA PADA PENGGUNA NARKOTIKA DI PALEMBANG Sitorus, Rico Januar; Utama, Feranita; Purba, Imelda G.; Melvina, Bina
Media Kesehatan Masyarakat Indonesia Vol 13, No 4: DESEMBER 2017
Publisher : Faculty Of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (260.844 KB) | DOI: 10.30597/mkmi.v13i4.3161

Abstract

Penyalahgunaan narkotika dapat mengakibatkan komplikasi fisik, psikologis dan beban ekonomi keluarga. Semakin lama menggunakan narkotika dan tidak menjalani rehabilitasi akan membuat kecanduan yang berat. Pengguna narkotika dengan adiksi berat akan berdampak juga terhadap beratnya penyakit yang dialami dan lamanya menjalani rehabilitasi. Beban penyakit yang diakibatkan ketergantungan narkotika akan berdampak terhadap kondisi sosial ekonomi sendiri dan keluarga. Penelitian ini bertujuan untuk menghasilkan suatu model prediksi terhadap pengendalian komplikasi penyakit penyerta pengguna narkotika. Desain penelitian ini adalah cross sectional study dengan populasi penelitian adalah semua pengguna narkotika baik pengguna narkotika suntik dan narkotika bukan suntik. Sampel dalam penelitian ini adalah pecandu narkotika yang menggunakan jenis narkotika dengan total sampel 211 orang. Hasil penelitian ini menunjukan bahwa tidak melakukan hubungan seksual yang berisiko akan mencegah pengguna narkotika mengalami komplikasi penyakit penyerta dengan p=0,04, OR Adj=0,47 dengan interval kepercayaan 0,22 – 0,99 setelah dikontrol jenis kelamin dan status perkawinan. Temuan ini memberikan informasi bahwa hubungan seksual berisiko harus dihindari. Untuk itu diharapkan dukungan keluarga untuk lebih perduli, aktif merekomendasikan untuk mengikuti rehabilitasi dan dukungan pemerintah untuk melakukan penjangkauan dengan memberi informasi yang tepat bahwa mereka yang secara sadar melapor tidak akan ditangkap untuk masuk penjara, tetapi direkomendasikan untuk direhabilitasi.