Henry Setyawan Susanto, Henry Setyawan
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Information System Development for Web Based Routine Reporting of Pneumonia in Acute Respiratory Infection Control Program at Semarang District Health Office

Jurnal Manajemen Kesehatan Indonesia Vol 3, No 2 (2015): Agustus 2015
Publisher : S2 IKM FKM UNDIP

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Abstract

Evaluation activities for a program of Acute Respiratory Tract Infection Disease Control at SemarangDistrict Health Office were not optimal because required information from a routine report couldnot be used to support evaluation activities. Some problems existing on current information systemof pneumonia routine reporting were as follows: an officer had a difficulty to change or re-access pneumonia information, resulted information was incomplete and unclear, and submission of areport was not timely. This research aimed to develop information system of Pneumonia routinereporting based on web on the program of Acute Respiratory Tract Infection Disease Control atSemarang District Health Office.Design of this research was pre-experiment with one group pretest-posttest approach. In addition,development of the system used the methods of Framework for the Application of System Techniques(FAST). Subjects consisted of a system user at District Health Office and four pilot health centers.Data were collected using methods of observation, indepth interview, and a closed-endedquestionnaire. Furthermore, data were analyzed using content analysis and Wilcoxon test.This research resulted information system of Pneumonia routine reporting based on web on theprogram of Acute Respiratory Tract Infection Disease Control to solve problems happened in theold system. The result of Wilcoxon test revealed that there were any quality differences of informationin terms of the aspect of easiness (p=0.0001), the aspect of completeness (p=0.0001), the aspect ofclarity (p=0.0001), and the aspect of timeliness (p=0.0001) before and after developing theinformation system.As a suggestion, Semarang District Health Office needs to have commitment to optimally operatethe new system. Additionally, data reported from health centers to District Health Office must beaccurate in accordance with reality in the fields.

SURVEI BEBERAPA FAKTOR RISIKO PENYAKIT TIDAK MENULAR DI KABUPATEN REMBANG (STUDI PADA SUKARELAWAN)

Jurnal Kesehatan Masyarakat (e-Journal) Vol 3, No 1 (2015): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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The prevalence of non-communicable disease in Rembang regency was increase 2,21% (2010), 2,40% (2011), and 2,48% (2012). The prevention of non-communicable disease should be focused on its risk factors. A cross-sectional study was conducted to obtain the major risk factors of non-communicable disease in Rembang regency. Samples were taken using the technique of multi-stage similar to a previous study in 2010. A total of 384 men aged 25-64 years stratified by place (8 coastal and 40 non-coastal region) were selected. Data risk factors of non-communicable disease were adopted by using The WHO Stepwise Approach. The result showed the majority of the respondents aged 35-44 years (43,49%), completed junior high school (33,33%), with income below the minimum wage (44,71%) and unpaid work (41,67%). The prevalence of smoking was 72,40%, hypertension 15,36%, obesity 1,56%, and overweight 18,75%. While the prevalence of hyperglycemia was 20,31%. Prevalence of non-communicable disease risk factors increased with age. Based on this research high burden of non-communicable disease risk factors in Rembang regency was increased, comparable to the previous study in Rembang regency 2010. Health promotion about healthy life style was needed to be improved as a first step to prevention.

Pengaruh Pemberian Larvasida Insect Growth Regulator (IGR) Berbahan Aktif Pyriproxyfen Terhadap Perubahan Angka Bebas Jentik (ABJ) Di Kelurahan Bulusan Kota Semarang

Jurnal Kesehatan Masyarakat (e-Journal) Vol 4, No 1 (2016): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Bulusan district is the area with endemic status of Dengue Hemorraghic Fever (DHF) for seven years and include at the big four of distrct that contribute the highest IR DHF at Semarang City. One of the vector control is the larvicide program with temephos that ap­plied since 1980, so there is a need to rotate the larvicide to prevent the resistance of lar­vae Aedes spp and one of the larvicide that recommend by WHO is Insect Growth Regu­lator (IGR) with active ingredient is Pyriproxyfen. The aim of study is to find out the change of larvae free rate (ABJ) at Bulusan District before and after the application of IGR Pyriproxyfen larvicide and describe community acceptance of IGR Pyriproxyfen larvicide. Method of this study is quasi experiment with one group pre test and post test design with cluster random sampling. Total sample is 92 respondents that willing to interviewed and 33 respondents that willing to treatment in positive larvae container. The result of analytic sta­tistic with Paired T Test is there is a significant differences of ABJ before and after applica­tion of IGR Pyriproxyfen larvicide at Bulusan District for a week (p<0,05) with the increase of ABJ is about 11,8%. All respondents have good acceptance of IGR Pyriproxyfen larvi­cide. It judged from the respondents state­ment that IGR Pyriproxyfen larvicide have good smell, attractive appearance and infomative, practical, and safe use.  IGR larvicide with ac­tive ingredient Pyriproxyfen can be use as an alternative solution to rotate the use of temephos

FAKTOR – FAKTOR INTERNAL KETIDAKPATUHAN PENGOBATAN HIPERTENSI DI PUSKESMAS KEDUNGMUNDU KOTA SEMARANG

Jurnal Kesehatan Masyarakat (e-Journal) Vol 3, No 3 (2015): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Non-compliance is cause of treatment failure. Non-compliance treatment often occurs in patients with chronic diseases for example hypertension. Hypertension is defined as raised systolic or diastolic blood pressure more than 140/90 mmHg. Adherence treatment of hypertension assessed on pharmacological and non-pharmacological treatment. Internal factors affecting adherence to treatment include age, sex, level of education, employment, knowledge, duration of sufering, duration of treatment, number of antihypertensive drugs taken, and side effects of drugs. This research aim to know internal factors related with Non-compliance in the treatment of hypertensive patients.This research was observational-analytic with cross-sectional approach. Samples were 128 samples chosed with consecutive sampling. Instrument research was questionnaire. Data was analysed with chi-square for bivariate analysis dan regression logistic for multivariat analysis with 95% CI. Bivariate analysis there were not significant association between age (p=0,811), sex (p=0,396), employment (p=0,248), duration of sufering (p=0,081), number of antihypertensive drugs taken (p=0,467) dan and side effects of drugs (p=0,182), but there were significant association between level of education (p= <0,0001), knowledge (p= < 0,0001; 95% CI=24,21-307,10; POR=86,2) and duration of treatment (p=0,003). Multivariate analysis there were significant association between knowledge (p= < 0,0001) dan duration of treatment (p=0,025; 95% CI=0,04-0,81; POR=0,2). We conclude that significant association between knowledge and duration of treatment with non-compliance in the treatment of hypertensive patients. Suggestions for the officer can increase patient knowledge and treatment of hypertension-related diseases that the patient can undergo treatment for a long period even a lifetime.

BEBERAPA FAKTOR RISIKO KEJADIAN HIPERTIROID PADA WANITA USIA SUBUR DI KABUPATEN MAGELANG “Studi Kasus di Klinik Litbang BP2GAKI Magelang”

Jurnal Kesehatan Masyarakat (e-Journal) Vol 3, No 3 (2015): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Hyperthyroidism is the condition that occurs due to excessive production of thyroid hormone by thyroid gland which increased the levels of fT4, T4, fT3, and decreased TSH. The results of RISKESDAS showed that the proportion of household iodine suplementation increased to 5% in 2013. This can eventually leads to hyperthyroidism. Last screening by Magelang District Health Department showed that there is 16,67 % cases of Hyperthyroidism in 2013. The purpose of this research is to analyze some risk factors of hyperthyroidism in fertile age women in Magelang District. This research use analytical observation with cross sectional comparative design with 100 sample in endemic area and 54 in non endemic area of GAKI (Iodine deficiency disorders). Logistic Regression was used to analyze data with significance level of 5 %. The results of multivariate analysis showed in endemic GAKI areas, the consumption of iodine capsule (pOR=10,6 p=0,001), stress level (pOR = 8,4 p=0,001), high iodine food (pOR=5,8 p=0,007), iodine salt > 30 ppm (pOR=6,9 p=0,002) and smoke exposure (pOR=4,1 p=0,030) were risk factors of hyperthyroidism. Despite, hormonal contraception (pOR=8,0 p=0,007) was not a risk factor of hyperthyroidism. The results of multivariate analysis showed in non endemic GAKI areas, stress level ( pOR = 11.2 p = 0.002 ) and high iodine food  (pOR = 8.0 , p = 0.007 ) were risk factors of hyperthyroidism. Despite, iodine salt > 30 ppm , hormonal contraception , the consumption of iodine capsule, and smoke exposure have P value ≥ 0.05 so it was not a risk factors of hyperthyroidism in Magelang District. The results of multivariate analysis showed in Magelang Distric, stress level ( pOR = 41,1  p ≤ 0,0001 ), high iodine food  (pOR = 11,2 p ≤ 0.0001), smoke exposure (pOR=3,5 p=0,037) and  the consumption of iodine capsule(pOR =4,97 p=0,016) were risk factors of hyperthyroidism. Despite, iodine salt > 30 ppm and hormonal contraception have P value ≥ 0.05 so it was not a risk factors of hyperthyroidism in Magelang District.

FAKTOR LINGKUNGAN SOSIAL YANG BERHUBUNGAN DENGAN TINGKAT KEPATUHAN TERAPI PENDERITA HIPERTENSI PRIMER DI PUSKESMAS KEDUNGMUNDU KOTA SEMARANG (Social Environment Factors Associated with The Level of Compliance Therapy in Patients with Primary Hypertension

Jurnal Kesehatan Masyarakat (e-Journal) Vol 3, No 3 (2015): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Compliance is the level of patient behavior against instruction given by health workers. According WHO reports in 2003, medication adherence to long-term therapy patients with chronic disease in developed countries by 50% and in developing countries was expected to lower. In the Semarang, Kedungmundu was the areas with the highest incidence of hypertension (5,83%), 62,7% of 75 patients did not routine check. The purpose of this research was to know the factors associated with the compliance therapy of patients with primary hypertension. A kind of study was observational analytic with cross sectional design. Subject of study was 148 patients with primary hypertension. The sampling method used was consecutive sampling. The univariate analysis show that 45,3% patients compliance and 54,7% patients non compliance. The bivariate analysis used chi square test with 5% level of significance shows that therapeutic communication (POR=36,8; p=<0,001), family support (POR=32,7; p=<0,001), health worker support (POR=20,7; p=<0,001), income (POR=6,5; p=<0,001), and other treatment (POR=7,3; p=<0,001) associated with level of compliance. The multivariate analysis show that therapeutic communication (p=<0,001), family support (p=0,001) and income (p=0,002) impact on the compliance level therapy. From the result was concluded that therapeutic communication, the family support and income influence to the compliance level therapy of patients with primary hypertension in Kedungmundu. Advice was given to family to increase the role of patients therapy, health workers to modify the information and next researchers to choose other sampling method and measuring instrument.

GAMBARAN BEBERAPA FAKTOR KEJADIAN KARIES GIGI PADA SISWA TUNAGRAHITA DI SLB C, KOTA SEMARANG

Jurnal Kesehatan Masyarakat (e-Journal) Vol 4, No 4 (2016): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Caries is a disease of dental hard tissue, email, dentin and cementum, which is caused by the activity of a microorganism in a carbohydrate that can be fermented. Children with intellectual development disorders have a below average intellegence. The prevalence of caries in Indonesian children aged 12 years is 98%. The purpose of this study is to describe factor of dental caries in caries in students with intellectual development disorder in SLB C, Semarang. The population of this study are 123 students.The samples are part of the population who have the inclusion criteria. This research uses descriptive method with cross-sectional design. The results showed 66.3% of respondents are male, 83.2% of children with intellectual development disorders have dental caries, Average DMF-T index is 3.94 which according to WHO criteria in middle category, 44.6% of respondents have a relatively acidic pH of saliva, 52.5% higher cariogenic consumption, 16.8% of respondents oral hygiene medium category, 80.2% income parents than average, 53.5% of women respondents have good knowledge, 4% of respondents have a bad plaque, and 61.4% practice toothbrush is a good category.

GAMBARAN KARIES GIGI PADA ANAK TUNAGRAHITA DI SLB C KOTA SEMARANG

Jurnal Kesehatan Masyarakat (e-Journal) Vol 4, No 4 (2016): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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A intellectual development disorder child is more comprehensively defined as individuals who have significant intelligence below average and are accompanied by the inability of the behavior adaptation, which appear in the developmental period. Dental caries and gingivitis occurs more frequently in children with special needs compared to a normal child. The prevalence of caries in Indonesia reaches 60-80% of the entire population, while one of the dental caries on mentally disabled children reaches 82,6%. This research was observational analytic with cross sectional study design. The population in this research is whole intelectual development disorder children aged 6-12 years. The cariesdata collection was obtained from the children’s DMF-T examination. Out of the 101 respondents, this study found 83,2% in caries.

FAKTOR FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU DETEKSI DINI KANKER LEHER RAHIM METODE INSPEKSI VISUAL ASAM ASETAT DI PUSKESMAS CANDIROTO KABUPATEN TEMANGGUNG

Jurnal Kesehatan Masyarakat (e-Journal) Vol 4, No 4 (2016): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Early detection of cervical cancer by using an Visual Inspection Acetic Acid  is a measures for early detection of cervical cancer with the methods of VIA. Indonesian womens awareness  for the early detection of cervical cancer is still poor. This is evident from the low coverage of early detection of cervical cancer with Visual Inspection Acetic Acid . The coverage ini Central Java  only 1.08% of women aged 30-50 years, Candiroto health centers about 5%. This study aims to analyze relating factors  to the early detection Cervical cancer methods Visual Inspection Acetic Acid in  Candiroto health centre Temanggung. This study is a cross-sectional approach. Analyzed by chi-square test with 95% significance level. This research subject are 100 woman of childbearing age in Candiroto health centre with simple random sampling. The results showed there is a significant association between information (p = 0.01), husband’s support (p = 0.026) friend’s support(p <0.0001) in the  early detection of cervical cancer VIA method  and there is no significant association between age (p = 0.07), education (p = 0.17 ), job (p = 0.51), knowledge (p = 0.36), attitude (p = 0.097), distance (p = 0.1), health worker’s support (0.1) in the  early detection of cervical cancer VIA method, and.  And the result is factors that have significant association in early detection cervical with VIA methods in Candiroto health centre Temanggung is information exposure, husbands support, and friend’s support.

GAMBARAN FAKTOR RISIKO PENYAKIT PERIODONTAL PADA ANAK JALANAN DENGAN EKS ANAK JALANAN DI KOTA SEMARANG (STUDI PADA ANAK JALANAN LEPAS, ANAK PENDAMPINGAN RPSA X, DAN ANAK PGOTBALAI REHABILITASI SOSIAL Y KOTA SEMARANG)

Jurnal Kesehatan Masyarakat (e-Journal) Vol 4, No 4 (2016): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Semarang City Health Office in 2015 found as many as 681 new cases of gum and periodontal diseases that occur in children aged 5-14 years. Periodontal disease in children by its age certainly does not recognize social status like street children or ex street children. Street children generally have poor dental hygiene degree who are influenced by maintenance of oral hygiene. The purpose of this study is to identify and describe the risk factors of periodontal disease between street children and ex street children in Semarang. This research is descriptive quantitative-qualitative method with cross-sectional design study. The results show that are proportion frequencies of risk factors in respondents. From 60 respondents are known that 23,3% of 14 years old, 51,7% students of elementary school, 71,7% have job,100% have parents with low income, 50% have good plaque status, 56,7% have moderate OHI-S status, and 40% have moderate CPITN status. Respondents are advised to brushing their teeth or using mouthwash regularly also take control for intake consumption, do not smoke, do not using drugs-psychotropic substances and drinking alcohol.