Sri Ratna Rahayu, Sri Ratna
Universitas Negeri Semarang

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Kejadian Tuberkulosis Multi Drug Resistant di RSUP dr. Kariadi Triandari, Devi; Rahayu, Sri Ratna
HIGEIA (Journal of Public Health Research and Development) Vol 2 No 2 (2018): HIGEIA
Publisher : Jurusan Ilmu Kesehatan Masyarakat, Fakultas Ilmu Keolahragaan, Universitas Negeri Semarang, Indonesia

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Abstract

Indonesia ranks 8th out of 27 countries with high priority burden of MDR TB. MDR Tuberculosis at Dr. Kariadi has increased over the last 3 years. In 2014 there were 688 cases, 2015 there were 1,183 cases, 2014 reached 1442 cases, until May 2017 reached 2,061 cases. The purpose of this study was to analyze factors related to MDR TB incidence at RSUP. Dr. Kariadi Kota Semarang. This research was analytic observational case control design. The samples were 72 cases and 72 controls by purposive sampling technique. Research Instruments used questionnaires and medical records. Data were analyzed univariate, bivariate (chi square test) and multivariate (logistic regression test) with SPSS.    The results show that the active role of PMO (OR = 2.37, 95% CI = 1.14-4.89), result of TB treatment (OR = 5.64; 95% CI = 2.23 -14,23), and medication adherence (OR = 2.49; 95% CI = 1.17-5.28 ) was associated with MDR TB incidence at the RSUP. Dr. Kariadi Kota Semarang.The most dominant factor with the incidence of MDR TB was result of TB treatment.
PENINGKATAN PENGETAHUAN IBU TENTANG IMUNISASI DASAR BALITA DI DESA PERON KECAMATAN LIMBANGAN KABUPATEN KENDAL Widowati, Evi; Rahayu, Sri Ratna
Jurnal Abdimas Vol 15, No 1 (2011)
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LP2M), Universitas Negeri Semarang

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Abstract

Balita adalah anak bangsa yang  merupakan generasi penerus bangsa yang harus disiapkan baik dari segi pengetahuan, keterampilan maupun kesehatan. Pada Indikator “Indonesia Sehat 2010” yang menginginkan mencapai darajat kesehatan yang salah satu indikatornya adalah morbiditas. Salah satu cara untuk mengurangi tingkat morbiditas adalah dengan imunisasi dasar pada Balita, sehingga pemberian pengetahuan mengenai imunisasi dasar sangat penting untuk diberikan khususnya bagi kader Posyandu dan ibu-ibu yang memiliki Balita. Seluruh peserta yang hadir pada penyuluhan terlihat sangat antusias yang secara aktif mengikuti kegiatan. Dari hasil pre test dan post test dapat diketahui adanya peningkatan pengetahuan ibu-ibu dan kader-kader kesehatan, yang ditandai dengan peningkatan nilai pada hasil post test sebanyak 100 % dari total peserta hal ini menunjukkan bahwa kegiatan pengabdian kepada masyarakat melalui peningkatan pengetahuan  ibu tentang imunisasi  dasar Balita di Desa Peron Kecamatan Limbangan Kabupaten Kendal ini dapat memberikan kontribusi yang positif dalam meningkatkan pengetahuan dan pemahaman tentang pengenalan imunisasi, jenis-jenis imunisasi, kapan pemberian imunisasi dasar, kegunaan imunisasi, penyakit yang bisa dicegah dengan imunisasi, dan efek samping imunisasi. Kata Kunci : Imunisasi, Balita, Pengetahuan Ibu
Tuberculosis Suspect in the Companies in Semarang District Indonesia; Case-Control Study Rahayu, Sri Ratna; Katsuyama, Hironobu; Katsuyama, Midori; Ota, Yoko; Djaja Semadi, Ngakan Putu
Jurnal Kesehatan Masyarakat Vol 12, No 2 (2017): Jurnal KEMAS Vol.12 No.2 : January 2017
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

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Abstract

In Semarang district, the population at the companies were 83120 workers. The number of smear positive cases in 2011 were 258 and 3898 suspected tuberculosis. Case-control study was conducted to analyze the risk of TB suspect infection among workers in the factory. We recruited 194 suspects and 197 controls who visited the factory clinic. The most common symptom was coughing with sputum (63 %) and then followed by malaise, chest pain, sweating at night, weight loss, dyspnea, anorexia, cough more than 2 weeks, sub febris and hemoptoe. Around 47 % both of the suspects and controls don’t know received Bacillus Calmette-guérin (BCG) or not. The multivariate analysis showed the dominant factors that influence the occurrence of TB suspect, “education”, “income”, “ashamed of having TB”, “TB treatment is very costly”, and “share dish”.distribution of health education booklet to teachers and parents.
Efektivitas Cepat Tensi (Cegah dan Pantau Hipertensi) terhadap Peningkatan Pengetahuan dan Sikap pada Wanita Menopause Saputri, Arlita; Rahayu, Sri Ratna
Journal of Health Education Vol 2 No 2 (2017)
Publisher : Universitas Negeri Semarang cooperate with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

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Abstract

Latar Belakang: Prevalensi hipertensi yang tinggi di Indonesia merupakan masalah kesehatan, yaitu sebesar 25,8%. Pada usia pertengahan dan lebih tua, insiden hipertensi pada wanita akan meningkat. Penelitian ini bertujuan untuk mengetahui efektivitas buku saku CePat Tensi. Metode: Jenis penelitian ini adalah penelitian eksperimen semu dengan rancangan non equivalent control group design. Populasi penelitian ini adalah wanita menopause anggota posyandu lansia Kelurahan Tlogosari Wetan. Pada penelitian ini digunakan total sampling. Jumlah responden kelompok eksperimen adalah 22 dan kelompok kontrol 22 responden. Analisis data dilakukan secara univariat dan bivariat (uji Wilcoxon). Hasil: hasil penelitian menunjukkan post-test pada kedua variabel kelompok eksperimen dan kontrol adalah 0,0001 (p (0,0001) < 0,05), maka pemberian media buku saku cepat tensi mampu meningkatkan pengetahuan dan sikap terhadap penyakit hipertensi pada wanita menopause. Simpulan: Pemberian media buku saku cepat tensi mampu meningkatkan pengetahuan dan merubah sikap terhadap penyakit hipertensi pada wanita menopause.
Analisis Spasial Tuberkulosis Paru Ditinjau dari Faktor Demografi dan Lingkungan Nugrahany, Alfina Dewi; Rahayu, Sri Ratna; Indrawati, Fitri
HIGEIA (Journal of Public Health Research and Development) Vol 2 No 3 (2018): HIGEIA
Publisher : Jurusan Ilmu Kesehatan Masyarakat, Fakultas Ilmu Keolahragaan, Universitas Negeri Semarang, Indonesia

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Abstract

Abstrak Kecamatan Bergas merupakan kecamatan yang memiliki angka prevalensi tuberkulosis paru yang meningkat yaitu dari 38/100.000 penduduk menjadi 40,47/100.000 penduduk pada tahun 2016. Penelitian ini dilakukan pada tahun 2017 dan bertujuan untuk menganalisis kejadian TB Paru secara spasial yang ditinjau dari faktor demografi dan lingkungan di wilayah kerja Puskesmas Bergas Kabupaten Semarang. Penelitian ini merupakan penelitian explanatory research dengan menggunakan desain cross sectional. Analisis data menggunakan analisis univariat dan analisis spasial. Berdasarkan analisis spasial, faktor demografi yang mempengaruhi kejadian TB paru  di wilayah kerja Kecamatan Bergas yaitu kepadatan penduduk tinggi, kepadatan rumah yang tinggi, ketinggian wilayah, dan area buffer zone radius 2 km keberadaan industri. Simpulan penelitian ini yaitu kasus TB paru lebih banyak ditemukan di daerah dengan kepadatan penduduk tinggi, kepadatan rumah tinggi, ketinggian wilayah rendah dan buffer zone radius 2 km dari industri.  Abstract Bergas was a sub-district that had an increased prevalence of pulmonary tuberculosis, which was from 38/ 100,000 population to 40.47/ 100,000 population in 2016. This study was conducted in 2017 and aims to analyze the incidence of pulmonary TB spatially in terms of demographic factors and environment in the work area of ​​Bergas Public Health Center, Semarang Regency. This research was an explanatory research used cross sectional design. Data analysis used univariate analysis and spatial analysis. Based on spatial analysis, demographic factors that influence the incidence of pulmonary TB in the work area of ​​Bergas Subdistrict were high population density, high house density, area height, and buffer zone area of ​​2 km radius of industrial presence. The conclusions of this study were that pulmonary TB cases were more common in areas with high population density, high house density, low altitude areas and a buffer zone of 2 km radius from the industry Keyword : Spatial Analysis, Pulmonary TB, Demographic Factors, Environment
Penggunaan Job Hazard Analysis dalam Identifikasi Risiko Keselamatan Kerja pada Pengrajin Logam Azady, Al Asyhar Aahyu; Widowati, Evi; Rahayu, Sri Ratna
HIGEIA (Journal of Public Health Research and Development) Vol 2 No 4 (2018): HIGEIA
Publisher : Jurusan Ilmu Kesehatan Masyarakat, Fakultas Ilmu Keolahragaan, Universitas Negeri Semarang, Indonesia

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Abstract

Abstrak Setiap tempat kerja selalu mempunyai risiko kemungkinan terjadinya kecelakaan dan penyakit akibat kerja. Pada tahun 2013 telah terjadi 406 kasus kecelakaan kerja di Kabupaten Boyolali, 372 pekerja (91,6%) berhasil sembuh, 25 pekerja (6,1%) sementara tidak mampu bekerja, 4 pekerja (0,9%) mengalami cacat, dan 5 pekerja (1,2%) meninggal dunia. Insiden kecelakaan dan cedera di tempat kerja dapat dikurangi dengan penggunaan Job Hazard Analysis. Penelitian ini dilaksanakan pada tahun 2018. Tujuan dari penelitian ini adalah untuk mengetahui potensi bahaya serta pengendalian yang tepat pada industri logam UD. A&D dengan metode Job Hazard Analysis. Jenis penelitian ini adalah deskriptif kualitatif dengan pendekatan observasional. Hasil penelitian menunjukkan terdapat 46 bahaya dan 82 risiko yang teridentifikasi. Hasil penilaian risiko terdapat 24 (29,6%) risiko rendah, 27 (32,9%) risiko sedang dan risiko tinggi berjumlah 31 (37,8%). Hasil penilaian dan pengendalian risiko dirancang dalam bentuk form Job Hazard Analysis. Kesimpulan penelitian ini adalah potensi bahaya yang ada belum dilakukan pengendalian secara optimal.   Abstract Each workplace always has a risk of possible accidents and occupational diseases. In 2013 there were 406 work accident cases in Boyolali District, 372 workers (91.6%) recovered, 25 workers (6.1%) were unable to work, 4 workers (0.9%) were disabled, and 5 workers (1.2%) died. Incidents of accidents and workplace injuries can be reduced by the use of Job Hazard Analysis. This research was conducted in 2018. The purpose of this research is to know the potential danger and proper control on UD metal industry. A & D with Job Hazard Analysis method. The type of this research is descriptive qualitative with observational approach.The results showed 46 hazards and 82 identified risks. Risk assessment results were 24 (29.6%) low risk, 27 (32.9%) medium and high risk 31 (37.8%). The results of risk assessment and control are designed in the form of Job Hazard Analysis form. The conclusion of this research is the potential hazard that has not been done optimally.  
Anthropometric-Parameters and Total-Cholesterol to HDL-Cholesterol Ratio are Better in Long-Distance Cyclists (Indonesia North Coast and Tour de Borobudur 2017 Study) Azam, Mahalul; Rahayu, Sri Ratna; Fibriana, Arulita Ika; Susanto, Hardhono; Kartasurya, Martha Irene; Bahrudin, Udin
Jurnal Kesehatan Masyarakat Vol 14, No 2 (2018): Jurnal KEMAS Vol.14 No.2 : November 2018
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

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Abstract

Total-Cholesterol (TC) to HDL-Cholesterol (HDL-C) ratio in athletes is well-known to be better than sedentary people. However, information about comparison of TC/HDL-C in different groups of cyclists based on cycling touring characteristics and anthropometry parameters is lacking. This study aimed to compare TC/HDL-C ratio between groups based on the type of tour in cyclists population. Eighty-eight participants were recruited in this cross-sectional study. Mean differences of parameters between groups was analyzed by One-Way Anova and independent t-test, whereas multivariate analyses was conducted by binary logistic-regression. P value <0.05 was considered statistically significant. TC/HDL-C ratio in all groups were less than 4.5. There is no differences of TC-levels (NC240K: 216.6±55.04, TdB140K: 208.1±27.13, TdB100K: 203.1±31.95; p=0.427). But there is significantly different level of HDL-C (NC240K: 68.9±19.09, TdB140K: 52.1±13.9, TdB100K: 53.6±12.45; p=0.0001) and TC/HDL-C ratio (NC240K: 3.3±1.12, TdB140K: 4.2±1.07, TdB100K: 4.0±1.06; p=0.007). Between TC/HDL ratio groups (≥4 or <4), there were differences of weight, BMI, waist-circumference, hip-circumference and type of tour (p<0.05). Finally, BMI and type of tour were the most influential factor. Long-distance cyclists have a synergistic effect of lipid profile and anthropometry measurements, and heavier cycling tour participant, that represent cycling training habits, tend to have lower TC/HDL ratio(< 4).
Tuberculosis Suspect in the Companies in Semarang District Indonesia; Case-Control Study Rahayu, Sri Ratna; Katsuyama, Hironobu; Katsuyama, Midori; Ota, Yoko; Djaja Semadi, Ngakan Putu
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 2 (2017)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

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Abstract

In Semarang district, the population at the companies were 83120 workers. The number of smear positive cases in 2011 were 258 and 3898 suspected tuberculosis. Case-control study was conducted to analyze the risk of TB suspect infection among workers in the factory. We recruited 194 suspects and 197 controls who visited the factory clinic. The most common symptom was coughing with sputum (63 %) and then followed by malaise, chest pain, sweating at night, weight loss, dyspnea, anorexia, cough more than 2 weeks, sub febris and hemoptoe. Around 47 % both of the suspects and controls dont know received Bacillus Calmette-gurin (BCG) or not. The multivariate analysis showed the dominant factors that influence the occurrence of TB suspect, education, income, ashamed of having TB, TB treatment is very costly, and share dish.distribution of health education booklet to teachers and parents.
Effectiveness Leadership and Optimalization of Local Potential in Nutrition Status Improvement Effort Handayani, Oktia Woro Kasmini; Rahayu, Sri Ratna; Nugroho, Efa; Hermawati, Bertakalswa; Vu, Nguyen Thi; Loc, Nguyen Huu
KEMAS: Jurnal Kesehatan Masyarakat Vol 13, No 3 (2018)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

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Abstract

Indonesia which is a developed country, has community health issue, as nowadays face a double concern of nutrition problem. Based on the data in 2007 to 2010, over nutrition prevalence on children under five years was 14.0%, increase from condition in 2007 which was 12.2%, aligned with poor and malnutrition prevalence. Programs applied has not resulted nutrition status improvement as expected. The problem in this research is how does the effectiveness of community empowerment optimalization model in the effort to improve nutrition status. Qualitative approach is used to evaluate model implementation, with focus of the research is model implementation based on the input, process and output. Respondents are determined by purposive technique. While the instruments are observation guide, interview guide, and FGD guide. Analysing Technique by Miles and Huberman model. The quantitative approach, to assess model effectiveness, with data-fill form intrument. The calculation is viewed from number increase and effectiveness criteria from Sugiyono. Local potential optimalization in the effort to improve nutrition status indicate effectiveness criteria (60%), This activity could not result maximum effectiveness level due to the leadership style tends to paternalistic which is dominated by otoritarism, causing community empowerment by cadre members and Family Welfare Program which are the potential that will be utilized can play maximum role.
Correlated Factors on Performance of Tuberculosis Program Officers at Community Health Clinic in Increasing the Finding of New AFB Smear-Positive Cases Latifah, Meliana; Rahayu, Sri Ratna; Indrawati, Fitri
Unnes Journal of Public Health Vol 7 No 1 (2018): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

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Abstract

ABSTRACT Semarang regency had CDR issues under the national target. The activity of new cases finding determine the success of the tuberculosis eradication programs, so the process of find new AFB smear-positive cases by officers is crucial. The purpose of this study was to determine factors related to the performance of tuberculosis officers at the community health clinic in increasing the findingof AFB smear-positive new cases (case study in Semarang regency). This type of research is observational analytic, with the cross-sectional design involving 45 saturated samples. Data analysis used was chi-square test.&nbsp; The results showed that factors related to the performance of tuberculosis programs officers were knowledge (p = 0.022), training (p = 0.001), double duty (p = 0.014), screening for active TB suspect (p = 0.038), motivation (0.040) and attitude (p = 0.011). While there was no correlation between years of service (p = 0.152), facilities (p = 0.154), and incentive (p = 0.121). &nbsp; &nbsp; ABSTRAK Kabupaten Semarang memiliki permasalahan CDR di bawah target nasional. Kegiatan penemuan kasus baru menentukan keberhasilan program pemberantasan tuberkulosis, sehingga proses penemuan kasus baru BTA positif oleh petugas sangat menentukan. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan kinerja petugas tuberkulosis puskesmas dalam meningkatkan penemuan kasus baru BTA positif (studi kasus di Kabupaten Semarang). Jenis penelitian ini adalah analitik observasional, dengan desain cross sectional yang melibatkan 45 sampel jenuh. Analisis data menggunakan uji chi square. Hasil penelitian menunjukkan faktor yang berhubungan dengan kinerja petugas program tuberkulosis puskesmas adalah pengetahuan (p = 0,022), pelatihan (p = 0,001), tugas rangkap (p = 0,014), penjaringan suspek TB aktif (p = 0,038), motivasi (0,040), dan sikap (p = 0,011). Sementara tidak ada hubungan antara faktor masa kerja (p = 0,152), sarana (p = 0,154), dan insentif (p = 0,121). &nbsp;