Factors Associated with Retained Placenta (Retensio Placenta)Â Case in Cempaka Putih Jakarta Islamic Hospital: A Case Control Study Introduction. Retained placenta can cause life-threatening because it relates with bleeding and infection due toretained placenta complication. Various factors such as age, paritas, history of birth complications, pregnanciesinterval, and some other factor can affect the occurrence of retained placenta. This study aimed to determine thefactors associated with the incidence of retained placenta at Rumah Sakit Islam Jakarta Cempaka Putih in 20102016.Methods.This study was a quantitative study with case-control design. It was conducted in Rumah Sakit IslamJakarta Cempaka Putih and data collection conducted in November 2016. Population in case group was all womanwho deliver with retained placenta case and population in control group was all women who deliver withoutretained placenta case during 2010 â 2016. The number of samples in this study are 84 people who qualified theinclusion criteria of this study whereas 42 respondents as a control group and 42 respondents as a case group. Datacollection conducted by viewing secondary data which is medical record. The data from medical record includespatient identity, age, education, parity, distance of pregnancy, anemia status and complication history. The dataanalysis used an univariat and bivariat analysis (Chi-square test).Results. Respondent proportion on the case group mostly aged no-risk (81%), had high education (66,7%), hadparity no-risk (92,9%), had pregnancies interval no-risk (57,1%), had anemia (59,5%) and had no history of birthcomplication (61,9%). There is correlation between the retained placenta with education (p value 0,003) andanemia status (Pvalue 0,049). Conclusions. The result showed there was a correlation between the incidence of retensia placenta with the level ofeducation (p value = 0,003) in addition, there is also a relationship between the incidence of retensia placenta withanemia status (p value = 0,049).
Relationships Characteristics and Cariogenic Food Consumption Behavior With Dental Caries Incidence at Students Aged 11ï12 Years Selected The State Elementary School In The Puskesmas Taktakan Working Area Serang City 2015Introduction. Dental caries is one of the teeth and mouth disease that many experienced particularly byprimary school children. The incidence of dental caries in children is measured through Decayed,Missing, Filled Teeth (DMFT) index. Dental cariesis closely related to elementary school children in thehabit cariogenic foods consumption. In Serang City, the number of students who suffer from dental carieshighest in the Puskesmas Taktakan working area. Objective. This study aimed to determine the relationship of students characteristics and cariogenic foodconsumption behavior with dental caries incidence. Including characteristics (gender, pocket money,salivary pH), student behavior (knowledge, attitude, cariogenic food consumption, tooth brushing habit,tooth brushing method) Methods. This research was conducted with a quantitative approach to the cross sectional design. The population of the study were students aged 11ï12 yers from the State Elementar Scholl in The PuskesmasTaktakan area, Serang City. The sample selected by cluster random sampling techniques were 140students. Results. The variable that have significant relationship with the dental caries incidence are pocketmoney, attitude, cariogenic food consumption, tooth brushing habits, tooth brushing method. Meanwhile,variables that do not have a significant relationship with the dental caries is incidence is knowledge,gender, salivary pH. The most dominant factor is cariogenic food consumption variable associated withthe dental caries incidence.Conclusion. Foods that are cariogenic can damage the students teeth, so students are not eatingcariogenic food and can bring food that is not too sweet and sticky, if students who want to eat sweet andsticky foods should find the right time to eat and immediately brushed teeth because cariogenic foods can become acidic within 20ï30 minutes.Â
Knowledge Improvement of Posyandu Cadres in Lactation Management Through Lecture Method in Rangkapan Jaya Village, Pancoran Mas Sub-district, Depok City Introduction : Mothers Milk is the first food for babies and provides energy and nutrients not only forthe first six months of life but also up to two years of age. Breastfeeding is one of the most effective waysto ensure the health and survival of the child. Indonesia Demographic and Health Survey 2012 states thatthe exclusive breastfeeding rate was 42% in Indonesia, 33.7% in West Java, and 61.36% in Depok City.This numbers need to be improved. One way is through health cadres in Posyandu as the front guard toimprove public health status. This study aims to determine the effectiveness of lecture methods with suchtools in improving knowledge about lactation management.Methods : The subjects of this study were 24 health cadres at four posyandu in Rangkapan Jaya VillagePancoran Mas Sub-district Depok City. This type of research is quasi experimental with pre-test andpost-test design.Results : The results showed that 87.5% of respondents had improved knowledge after training withlecture and demonstration methods with props and emo-demo techniques. The average pre-test score was85.88 and post-test score was 91.08. Respondents who had a range of knowledge score 90-100 werehigher on post-test result (62.5%) than pre-test result (29.2%). The results of statistical tests showed thatthere was difference of cadres knowledge between before and after being given lactation managementtraining through lecture and demonstration methods with props and emo-demo techniques (p = 0.004).Conclusions : The results showed that 87.5% of respondents had improved knowledge after training withlecture and demonstration methods with props and emo-demo techniques. The results of statistical testsindicate that the methods performed effectively increase the knowledge of health cadres. Continuingeducation for posyandu health cadres through lecture and demontration methods with props and emodemotechniques can bean option.Â Â
ABSTRACTPrevalence of drug abuse among students globally and in Indonesia is quite high One type of commonly abused drug is marijuana. Various studies have shown a strong correlation betweenmarijuana with cigarettes smoking. In fact , the rate of cigarettes smoking in Indonesia is quitehigh. In theory the relationship between smoking and illicit drug, marijuana, showed that from three existing theory: first, the gateway theory (GW); second, the common liability theory (CL),dan route of administration theory (ROA); two theories, GW theory dan ROA theory, suggested alink between smoking and marijuana. From these conditions, it is expected that the various parties,as government, NGOs , community, schools and colleges should move to do a variety of preventionand control of smoking , particularly among school children/students .Keywords: Smoking, drug abuse, marijuanaABSTRAKPrevalensi penyalahgunaan narkobadi kalangan pelajar secara global maupun di Indonesia cukup tinggi. Salah satu jenis narkoba yang biasa disalahgunakan adalah ganja. Berbagaipenelitian menunjukkan ada hubungan yang kuat antara penyalahgunaan narkoba jenis ganjadengan kebiasaan merokok. Padahal, angka merokok pada masyarakat, termasuk pelajar/mahasiswa di Indonesia cukup tinggi. Secara teori hubungan antara kebiasaan merokok dengannarkoba jenis ganja menunjukkan bahwa dari tiga teori yang ada, yaitu teori the gateway(GW), teori the common liability (CL), dan teori route of administration (ROA), dua teori, yaituteori GW dan ROA, menyatakan adanya hubungan kuat antara kebiasaan merokok dengan menyalahgunakan narkoba jenis ganja. Dari kondisi tersebut, diharapkan berbagai pihak dari pemerintah, LSM, masyarakat umum, sampai pihak sekolah dan perguruan tinggi selayaknyabergerak untuk melakukan berbagai upaya pencegahan dan penanggulangan merokok,khususnya di kalangan pelajar/mahasiswa.Kata kunci: merokok, narkoba, ganja
The Use of Borax on Meatball Samples by Meatballs Traders in Kebayoran Baru Sub Distrik, South Jakarta Introduction. Borax is not an additional food category. Therefore, meatballs containing borax are notsafe for consumption. This study aims to determine borax content in meatballs by meatball traders whosell in the district of Kebayoran Baru, South Jakarta. The study also identified variables related to boraxuse.Methods. The type of this research is quantitative analysis with cross sectional approach. Samples takenin the form of meatballs and traders who make and sell their own meatballs permanently in the DistrictKebayoran Baru. Total samples are 56 people. Data collection was conducted from February to August2015. The results of the measurement of borax content were analyzed in a laboratory. Bivariate analysisuse Chi Square test.Results. The results showed that the positive traders used the borax of 28.6%, low education level(73.2%), knowledgeable (55.4%), long trading had more than 17 years (91.1%), had a positive attitudetoward Borax (62.5%), have good motivation (57.1%), have positive perception on regulation (58,9%),have easy to get borax (53,6%), have influence of weak friend including good (58, 9%). The result of chisquaretest showed that the variables that have statistical correlation with borax usage are education,knowledge, motivation, traders perception on the regulation, ease of obtaining materials, and guidanceand supervision.Conclusion. This research concludes that knowledge and low education become one of the causes oftraders still use borax in their meatballs. It also was influenced by low coaching and supervision.Â Â
ABSTRACTAdolescence pregnancy has a fairly high medical risk, because the reproductive adolescent has not mature enough to perform its function yet. Some of the factors that associated to adolescent pregnancy. Comunity Care Services Adolescent Program (PKPR) is a health care program foradolescents. Ciputat Community Health Center is one of the organizers of the program PKPRlocated in South Tangerang. The number of cases of teenage pregnancy showed an upward trendevery year, so it is necessary to investigate the factors.This study used a cross-sectional design with quantitative and qualitative approaches. Datacollection was conducted using a questionnaire for respondents with open and closed questions.The population in this study were teenagers who visit the PKPR clinic. Samples were teenagers whoutilized the PKPR program at Ciputat Community Health Center as many as 100 people. Statisticalanalysis used were univariate to determine the frequency and percentage distribution of eachvariable, bivariate analysis to see the relationship between each independent and dependentvariable, and multivariate analysis to find the the most significantly associated factors.Thevariables in this study were age, education, employment status, marital status, parental roles, sexeducation, reproductive health knowledge, access to information technology, and PKPR programservices.The results showed that from 100 respondents were mostly adolescents of â¤ 18 years (73.0%),high school graduation (59.0%), unemployed (72.0%), unmarried (57.0%), having parentalinfluence (58.0%), good sex education (55.0%), reproductive health knowledge of the respondentswas approximately 66.0%, access to information was 79.0%, PKPR program services were 57.0%.Statistical analysis of this study found that there were significant relationship (p <0.05) between age, marital status, knowledge of sex, reproductive health knowledge, access to information, and PKPR program with teenage pregnancy at Ciputat Community Health Center. Whereas, there wereno significant of relationship variables: employment, education and parental influence. Multivariate analysis showed that the associated factors with teenage pregnancy was thePKPR Program with OR 5.840, which means that the respondents who understood PKPR tendednot to be pregnant as many as 5.840 times of those who did not. It was suggested that the CiputatCommunity Health Center improve socialization of PKPR Program for teens, increasing thefrequency of service to more than 3 times a week. Counseling room of PKPR was to be separatedfrom any other service and made as comfortable as possible, so that privacy of the clients wasmaintained. Improving collaboration across sectors were needed to have more schools joined theprogram.ABSTRAKKehamilan pada masa usia remaja mempunyai risiko medis yang cukup tinggi karena pada masa remaja alat reproduksi belum cukup matang untuk melakukan fungsinya. Ada beberapafaktor yang menyebabkan kehamilan pada usia remaja. PKPR (Pelayanan Kesehatan PeduliRemaja) merupakan program layanan kesehatan bagi remaja. Puskesmas Ciputat merupakansalah satu penyelenggara program PKPR yang terletak di Kota Tangerang Selatan. Jumlah kasuskehamilan pada usia remaja menunjukkan kecenderungan yang meningkat setiap tahunnyasehingga perlu dilakukan penelitian untuk mengetahui faktor-faktor penyebabnya.Penelitian ini menggunakan desain cross sectional dengan pendekatan kuantitatif dankualitatif. Pengumpulan data dilakukan menggunakan kuesioner dengan pertanyaan terbukadan tertutup. Populasi pada penelitian ini adalah seluruh remaja yang berkunjung di klinikPKPR.Sampel adalah remaja yang memanfaatkan program PKPR di Puskesmas Ciputatsejumlah 100 orang. Uji statistik dilakukan dengan analisis univariat untuk mengetahuidistribusi frekuensi dan persentase dari tiap variabel, analisis bivariat untuk melihat hubunganantara masing-masing variabel independen dan dependen, analisis multivariat untuk mencarifaktor-faktor yang paling berhubungan secara signifikan. Variabel pada penelitian ini adalahumur, pendidikan, status pekerjaan, status perkawinan, peran orang tua, pengetahuan seks,pengetahuan kesehatan reproduksi, akses terhadap media informasi, dan program PKPR.Hasil penelitian menunjukkan bahwa dari 100 orang responden kebanyakan adalah remajausia <18 tahun (73,0 %), pendidikan SMA (59,0%), tidak bekerja (72,0%), tidak menikah (57,0%),pengaruh orang tua kurang (58,0%), pengetahuan seks baik (55,0%), pengetahuan kesehatanreproduksi kurang (66,0%), akses terhadap informasi baik (79,0%), serta pelayanan programPKPR kurang (57,0%). Setelah dilakukan analisis statistik diketahui bahwa ada hubungan yangsignifikan (p<0,05) antara umur, status pernikahan, pengetahuan terhadap seks, pengetahuankesehatan reproduksi, akses informasi, dan pengetahuan PKPR dengan kehamilan pada usiaremaja di Puskesmas Ciputat. Adapun variabel yang tidak ada hubungan adalah pekerjaan,pendidikan, dan pengaruh orang tua.Hasil analisis multivariat menunjukkan bahwa faktor yang paling berhubungan dengankehamilan pada usia remaja adalah Program PKPR dengan nilai OR 5,840 yang berarti bahwaresponden yang memahami PKPR cenderung untuk tidak hamil 5,840 kali. Disarankan kepadapuskesmas untuk meningkatkan sosialisasi program PKPR kepada remaja, meningkatkanfrekuensi layanan, ruangan konseling PKPR dibuat terpisah dari layanan lainnya dan dibuatsenyaman mungkin agar privasi remaja tetap terjaga, meningkatkan kerjasama lintas sektorkarena hingga saat penelitian ini dibuat masih sangat terbatas sekolah yang sudah bekerja sama.Â
Washing Hand Behavior Using Soap Among Mothersâ of Underfive Children at Kampung Nelayan Muara Angke, Jakarta Utara. A Qualitative Study Introduction. The result of Joint Monitoring Program (JMP) showed the low prevalence of washing handusing soap at five critical important times.Objective. This study was aimed at gathering indepth information regarding the behavior as well as itssupporting factors and obstacles among mothers of underfive years old children living at a fishing villageMuara Angke, North Jakarta.Methods. The study employed qualitative approached and used purposive technique to got 5 informantsmothers of underfive years old childern, one informant from fishermen group and one puskesmasâ staff. Stepsin analyzing data consist of reducing data, presenting data, dan setting a conclusion. Results. Household mother informants aged 25-35 tahun, have highschool level of education. Family withmonthly income above Rp 3.000.000,00 installed pipewater fasilities. There is no public water fascilitiescould be used for washing hand, The Puskesmas had not conducted a PHBS campaign and public training.Most household informants comprehended what is and benefit of washing hand with soap, diseases could beprovoke by washing hand without soap; some mothers could state the critical important time to wash hand with soap; yet most of them could not state the steps and proper technique of healthy washing hand. Theattitude of informants toward washing hand was positive. Most informants report that they did not alwayswashing hand with soap at 5 critical times recommended and that their acts of washing hand were improper. Conclutions. With positive knowledge on and attitude toward washing hand with soap, the habit of proper washing of mothers could be improve through training and reduce the obstacle.
ABSTRACTPeople with HIV need support of people in the vicinity. The purpose of this study is to prove the existence of a relationship of knowledge and confidence in people with hiv / aids (PLHIV) with theparticipation of periodic training peer support groups.This study is an observational study witha cross sectional approach. Cluster Sampling method was used in this research. Sampling wasbegun with randomly selecting 10 provinces and then randomly selecting the districts. Provinceswere randomly selected in this study are North Sumatera, West Java, DKI Jakarta, East Java, WestKalimantan, South Sulawesi, Bali, NTB, NTT, and Papua. The number of samples of this study were2015 people with HIV. Questionnaire used as an instrument Quantitative data were analyzed byunivariate and bivariate comparison of proportions for analysis. The results of quatitative studyshowed that people with HIV received training had 3,2 times more confidence than people withHIV did not get training (95% CI 2,723 to 3,935). People with HIV who received training had 9,4times more likely to have better knowledge than people with HIV who did not get training (95%CI 6,430 to 13,869).Keywords : PLWHA, peer group, HIVABSTRAKOdha membutuhkan dukungan orang-orang di sekitarnya. Tujuan penelitian ini adalah membuktikan adanya hubungan pengetahuan dan percaya diri pada orang dengan hiv/aids(odha) dengan keikutsertaan pelatihan berkala kelompok dukungan sebaya. Studi ini adalahstudi observasional dengn pendekatan potong lintang. Metode sampling kluster diterapkan padastudi ini. Pengambilan sampel dimulai dengan melakukan seleksi secara random 10 provinsi di Indonesia dan kemudian dilakukan seleksi random pada kabupaten. Provinsi terpilih adalah Sumatera Utara, Jawa barat, DKI Jakarta, Jawa Timur, Kalimantan Barat, Sulawesi Selatan, Bali,NTB, NTT, dan Papua. Sampel pada penelitian ini adalah 2015 orang dengan HIV. Kuesionerdigunakan sebagai instrumen pada studi yang dianalisis baik secara univariat maupun bivariatdengan membandingkan proporsi pada saat analisis. Hasil studi ini menunjukkan bahwa orangdengan HIV yang menerima pelatihan 3,2 kali lebih percaya diri daripada orang dengan HIVyang tidak mendapatkan training (CI 95% 2,273 â 3,935). Selain itu, orang dengan HIV yangmenerima pelatihan 9,4 kali lebih baik pengetahuannya daripada orang dengan HIV yang tidakmenerima pelatihan (95% CI 6,430 â 13,869).Kata kunci: Odha, KDS, HIV
Description of Measles Trend on Tangerang City Between 2013 and 2015Introduction. A Case Based Measles Surveillance (CBMS) has been implemented since 2007 atthe Puskesmas level and in 2011 at the provincial level. The purpose of this study is to find out thedescription of measles trends in 30 health centers coverage Dinas Kesehatan Kota Tangerang(Tangerang City Health Service) period 2013 to 2015 after CBMS applied. Methods. This research uses descriptive method. The analysis used is univariate analysis withsecondary data source. Based on the inclusion criteria, people who suspect measles and visited the30 primary health care that Dinas Kesehatan Kota Tangerang area, the sample in 2013 is 810respondents, in 2014 is 561 respondents, and in 2015 is 486 respondents. Data was collected bycollecting C-1 Individual Measles Case reports was reported by each rimary Health Care.Results. In 2013, there were 43 cases of measles from 810 people (41.7%). In 2014, a number of17 cases from 561 (13,65) was found.. In the last period, there were 14 cases from 486 people(8,2%). Conclusion. Thus, there were declining on measles incidence in the Tangerang City HealthService between 2013 and 2015.Trend, Campak, CBMSÂ
Infant mortality rate is one of indicator to evaluate health care in one country. Based on Indonesian Demographic and Health Survey in 2007, a number of 93 % pregnant woman had gotAnte Natal Care during their pregnancy and 73 % of them had helped with skilled birth attedancewhen their delivery time. However, early neonatal mortality rate has been decreased in Indonesia.Therefore, this study purpose to analyze the relationship between access to health care and earlyneonatal mortality rate through Indonesia Demographic and Health Survey in year 2007. It isuse cross sectional as its design of the study. With logistic reggresion as an analytical method,this study control its confounding such as gender of babies, birth weight, motherâs age, motherâsoccupation status, abortion history, parity, complication during pregancy, place of delivery, wealthindex, and place of living. The result showed thatthere was no significant relationship betweenaccess to health care and early neonatal mortality, the adjusted odds ratio was 0.42 (95 % CI;0.11 â 1.64). However, early neonatal mortality can be reduced through adequate antenatal careand increasing health facilities during delivery.Â