Pena Medika Jurnal Kesehatan
Published by Universitas Pekalongan
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22
Articles
Analisis Diskriminan Tingkat Kecukupan Konsumsi Protein

Priharwanti, Ardiana ( Program Studi Kesehatan Masyarakat, Fakultas Ilmu Kesehatan )

Pena Medika Jurnal Kesehatan Vol 4, No 1 (2013): Pena Medika Jurnal Kesehatan, Vol.4 No.1 Desember 2013
Publisher : Fakultas Ilmu Kesehatan Universitas Pekalongan

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Background: The frequency of food consumption in poor households are generally still low as was the case in the District of Kutai, East Kalimantan. District known as a wealthy district, but many have poor people, especially rural areas that rely only by eating a day.  The low frequency of eating correlates with the incidence of malnutrition, as happened in the city of Bogor. Based on data from the Bogor City Health Department, during 2005 there were 240 children under five suffer from malnutrition, including marasmus status of 35 infants, five toddlers to marasmus kwarsiorkor and one tested positive for malnutrition. A variety of nutrition issues, as was the case-Protein Energy Malnutrition monitoring the consumption of protein has not been touched, so there is no indicator to see and determine the adequacy of protein intake. Until now there is no measurement that is easier to determine the adequacy of the level of protein consumption. Therefore, research on indicators of adequacy levels of protein consumption is still very necessary.Method: Research design was cross sectional, observational variables influence and be influenced to do well at one time. The study was conducted in April to November 2006. The study was conducted in rural and urban areas. Rural areas are represented by Sukamaju Village, District Cibungbulang Bogor and urban districts represented by the Official Village District Land Like Cereal City Bogor West Java province. Data collected includes primary data and secondary data. Discriminant analysis is used to mengkelaskan families into groups of less and consume enough protein based food consumption variables. Furthermore, to determine the adequacy of the level of protein intake according to household food consumption variables through discriminant analysis using the following method: suppose x is a vector of variables measuring household food consumption is p × 1 is spread according to the multivariate normal f1 (x) for the family enough protein consumption, which has a variance-covariance matrix equal the Σ1 = Σ2 = Σ and differ only vector average of μ1, μ2 because:f1 (x) =[(2π)1/2  I ∑I 1/2 ]-1 exp [(-1/2)(x- μ1)’ ∑-1 (x- μ1)]f2 (x) =[(2π)1/2  I ∑I 1/2 ]-1 exp [(-1/2)(x- μ2)’ ∑-1 (x- μ2)]Because the parameters Σ, μ1, and μ2 is unknown then the parameters of each alleged by S, x1, x2 with a note: S = (n1-1) S1 + (n2-1) S2Result: The prevalence of families with low levels of protein intake as much as 41.7%. Characteristics of families with low levels of protein consumption is as follows: the number of family members of 5-6 people, family head age 24-70 years, 23-60 years of maternal age, education level of head of household 0-12 years, and maternal education levels ranged between 0 up to 9 years. Ranked first single variable frequency of food consumption can be recommended as an indicator of the level of protein consumption is potatoes, with a discriminant equation,Y1 (X) = -0.02918 + 0.02026 XY2 (X) = -0.41907 + 0.07679 Xwhereas the two variables is the frequency of food consumption of potatoes and vegetables, with the discriminant equationY1 (X) = -0.73180 - 0.02342 0.01685 X1 + X2Y2 (X) = -1.46652 + 0.02346 X1 + 0.02058 X2Keyword: discriminant analysis, consumption adequacy level protein

Polimorfisme Gen Ferroportin (FPN1) Q248H dan Karakteristik Sosial Ekonomi Ibu Hamil dengan Anemia di Surakarta

Istiqomah, Nor ( Program Studi Kesehatan Masyarakat, Fakultas Ilmu Kesehatan, Universitas Pekalongan ) , Dewi, Vitria Sari ( Fakultas Kedokteran, Universitas Gadjah Mada ) , Farmawati, Arta ( Fakultas Kedokteran, Universitas Gadjah Mada ) , Sadewa, Ahmad Hamim ( Fakultas Kedokteran, Universitas Gadjah Mada ) , Soesilo, Yuliana Heri ( Fakultas Kedokteran, Universitas Sebelas Maret ) , Damayanti, Kusumadewi Eka ( Fakultas Kedokteran, Universitas Sebelas Maret ) , Indarto, Dono ( Fakultas Kedokteran, Universitas Sebelas Maret )

Pena Medika Jurnal Kesehatan Vol 4, No 1 (2013): Pena Medika Jurnal Kesehatan, Vol.4 No.1 Desember 2013
Publisher : Fakultas Ilmu Kesehatan Universitas Pekalongan

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Background: Iron deficiency anemia in pregnancy remains an important health problem in Indonesia. Ferroportin (FPN1) is one of important gene in iron metabolism encodes ferroportin for iron absorption, release, and recycle inside the body. The polymorphism of FPN1 Q248H alters negative charge of the amino acid sequence positively, hence influenced its ubiquitination and degradation. Beside of that, the high prevalence of anemia not only caused by genetics, nutrition, physiology of each pregant women, but also demographic factor and sosio-economic burden of family. This research will study the polymorphism of ferroportin Q248H and demographic character in pregnant women in Surakarta. Methods: The study using descriptive analytic case-control approach. The data used were from questionaire and blood sampling whose counted for screening anemia in private laboratorium. Pregnant women who had intention and had 10-25 week in pregnant were selected to be research subject.  FPN1 Q248H polymorphism were determined using PCR-RFLP method. Analysis Chi-square dan Independent t-test used to conclude the relationship between each variable to anemic state of pregnant women in Surakarta. A p<0.05 was considered as significant. The study using decriptive analytic design method. Results: Prevalence of anemia in Surakarta is 25.7% with 80.7% have mild anemia. There was no varian in FPN1 Q248H. Majority of pregnant women in group of anaemia have demographic character like 20-25 old, multigravid, last education in High School, housewife, their income range from Rp 500.000,00 to Rp 1.000.000,00, and consume Fe tablet. The bivariat analysis show no statistical significancy of parity, maternal age, education, income, and comsumption of iron tablet to state of anaemia (p>0.05). Conclusions: The FPN1 Q248H polymorphism was not a risk factor for iron deficiency anemia in pregnant women, likewise socio-economic factors had no significant role to incidence of anemia in Surakarta. Keywords: Anemia in pregnancy, Ferroportin (FPN1) Q248H polymorphism, Socio-Economic

Studi Implementasi Pendampingan Pembentukan dan Revitalisasi Kelas Ibu (Mother Class) di Kabupaten Pekalongan

Latif, Rr.Vita Nur ( Program Studi Kesehatan Masyarakar, Fakultas Ilmu Kesehatan, Universitas Pekalongan ) , Purnomo, Imam ( Program Studi Kesehatan Masyarakar, Fakultas Ilmu Kesehatan, Universitas Pekalongan ) , Priharwanti, Ardiana ( Program Studi Kesehatan Masyarakar, Fakultas Ilmu Kesehatan, Universitas Pekalongan )

Pena Medika Jurnal Kesehatan Vol 4, No 1 (2013): Pena Medika Jurnal Kesehatan, Vol.4 No.1 Desember 2013
Publisher : Fakultas Ilmu Kesehatan Universitas Pekalongan

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Latar Belakang : Survey kesehatan daerah menunjukkan Kabupaten Pekalongan menduduki posisi kedua tertinggi jumlah AKI sebesar 184/100.000 kelahiran hidup (Dinkes, 2012). Kegiatan pemantauan Prong safe motherhood merupakan salah satu upaya pencegahan kematian ibu maternal, termasuk optimalisasi kelas ibu yang belum merata optimal pada semua wilayah di Kabupaten Pekalongan. Tujuan penelitian ini adalah mengkaji secara komparasi apakah ada perbedaan yang cukup signifikan dalam pelayanan ANC, dan kegiatan deteksi dini kehamilan berisiko, dan mengeksplorasi secara mendalam penyebab, persepsi manfaat, hambatan dan kendala, efektivitas sosialisasi informasi pembentukan kelas ibu, peran provider kesehatan, keaktivan kader kesehatan diantara wilayah yang sudah optimal dan belum optimal dalam penyelenggaraan kelas ibu. Metode : Penelitian ini menggunakan survey analitik berjenis exploratory research menggunakan pendekatan kuantitatif dengan pendalaman jawaban, dengan desain kasus kendali. Hasil : Pada pengujian komparasi T-Test didapatkan hasil ada perbedaan yang signifikan rata-rata antara peran provider kesehatan, keaktifan kader kesehatan, sosialisasi kelas ibu, persepsi manfaat, persepsi hambatan dan kendala dan persepsi alasan belum terbentuknya kelas ibu diwilayah kasus (Wonokerto) dan control (Tirto I). Kata kunci : implementasi, kelas ibu.

Studi Explorasi Permasalahan Kesehatan di Desa Pesaren Kecamatan Warungasem Kabupaten Batang Tahun 2014 Melalui Pendekatan Community Needs Diagnosis

Latif, Rr.Vita Nur ( Program Studi Kesehatan Masyarakat, Fakultas Ilmu Kesehatan, Universitas Pekalongan ) , Istiqomah, Nor ( Program Studi Kesehatan Masyarakat, Fakultas Ilmu Kesehatan, Universitas Pekalongan )

Pena Medika Jurnal Kesehatan Vol 4, No 1 (2013): Pena Medika Jurnal Kesehatan, Vol.4 No.1 Desember 2013
Publisher : Fakultas Ilmu Kesehatan Universitas Pekalongan

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Background : Community empowerment requires the independence efforts of society, and sensitizing the community itself is expected to recognize and identify the problems that exist in the community, especially health problems. The essence of community empowerment through community needs diagnosis effort is able to independently identify, exemine issues, prioritize problems, make a plan of intervention based on  issues as resolving disputes. This is what underlies the implementation of this research entitled Explorations of Health Problems in Pesaren, Kecamatan Warungasem, District of Batang 2014 through Community Needs diagnosis approach. Methods : The study using a qualitative case study approach. The collection of data through observation, in-depth interviews and FGD (Focus Group Discussion) to explore health issues through community needs diagnosis. Informants of this study consisted of elements of community leaders, head of the health center and village midwives related. Results : Based on the results of the study identified several health problems in Pesaren subdistrict Warungasem Batang is scabies, Acute respiratory tract infections (ISPA), dermatitis, cephalgia, Diarrhea. Based on Hanlon mathematical calculation,  scabies is a priority issue that must be resolved, by  a score of 600. This calculation is based on severity of problems (severity), the number of people affected (prevalence), the increase in disease rate (rate of increase), community desire (degree of unmeet needs), social advantages if the problem is resolved (social benefits), community concerns about the issue (public concern), the availability of technology (technical feasibility), the resources (resources availability), and political support (political climate). Keywords : health issues, community needs diagnosis

Menakar Peran Strategis Kesehatan Reproduksi Remaja dan Pendewasaan Usia Perkawinan dalam Mencapai Bonus Demografi

Yuniarti, Yuniarti ( Program Studi Kesehatan Masyarakat Unikal )

Pena Medika Jurnal Kesehatan Vol 4, No 1 (2013): Pena Medika Jurnal Kesehatan, Vol.4 No.1 Desember 2013
Publisher : Fakultas Ilmu Kesehatan Universitas Pekalongan

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Background : Indonesia entering a new phase of population development by achieving demography bonus by the year 2015. Demography bonus refers to ratio between productive population (age 16-65 years old) and unproductive population is under 50 percent. A term of achieving demographic bonus is when Total Fertility Rate (TFR) at 2,1. But now Indonesia’s TFR at 2,6. There are two problems contributing to higher TFR, those unwanted pregnancies and early marriage. Methods : Thera are two main strategies overcome unwanted pregnancies and early marriage. First strategy: advance adolescent reproductive health. The campaigns of adolescent reproductive health implemented in real actions increasing awareness and motivating adolescent be able fulfilling of reproductive rights safely and healthy appropriate age development. The campaigns of adolescent reproductive health involving them to be role models. Second strategy : maturating marriage age upto 20 years old whenever its safely reproductive. Results : These study concluded the campaign of adolescent reproductive health implemented in youth friendly atmosphere according with the characterstics of adolescent. Information about adolescent health reproductive focuses on negative impacts of unwanted pregnancies, drugs and hiv aids. Maturating of marriage age able to decline maternal mortality lower and decreasing TFR onto ideal number. The higher TFR refers to higher early marriage age, lower education and economics level. Adolescent health reproductive and maturating marriage age have strategic roles to lower TFR by number of 2,1.  This study suggests :  delaying pregnancy until reaching age 20 years old for early marriage that had been accoured.  Adolescent health reproductive implemented in inclusion and integrated with education institution (school and university/higher education) such as adolescent red cross, scout, information and counseling center for students. Other suggestion is building adolescent’s self esteem positively by involving them for driving forces promotion of adolescent health reproductive. Key words : Strategic Roles, Adolescent Reproductive Health, Marriage Age Maturation, Demography Bonus

Pengaruh Perilaku dan Status Gizi terhadap Kejadian TB Paru Di Kota Pekalongan

Supriyo, Supriyo ( Prodi Keperawatan Pekalongan, Politeknik Kesehatan Kemenkes Semarang ) , Baequny, Ahmad ( Prodi Keperawatan Pekalongan, Politeknik Kesehatan Kemenkes Semarang ) , Hidayati, Sri ( Prodi Keperawatan Pekalongan, Politeknik Kesehatan Kemenkes Semarang ) , Hartono, Mardi ( Prodi Keperawatan Pekalongan, Politeknik Kesehatan Kemenkes Semarang ) , Harnany, Afiyah Sri ( Prodi Keperawatan Pekalongan, Politeknik Kesehatan Kemenkes Semarang )

Pena Medika Jurnal Kesehatan Vol 4, No 1 (2013): Pena Medika Jurnal Kesehatan, Vol.4 No.1 Desember 2013
Publisher : Fakultas Ilmu Kesehatan Universitas Pekalongan

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Background : Burden countries toward Pulmonary TBC, one of them is Indonesia. Data of WHO shows that Indonesia, every years is found 580.000 the new sufferers of Pulmonary TBC and the number of death because of Pulmonary TBC reaches 140.000 per year. The large number of sickness placed Indonesia as a country that has the most Third Pulmonary TBC sufferers in the world, after China and India, the prevalence reaches up to 225/100.000 inhabitant. In Pekalongan, according to the Puskesmas report shows there is an increase Pulmonary TBC case year by year, we can find it in a range of sufferers BTA tuberculosis positive findings or Case Detection Rate (CDR) in 2009 registered 88,7% in prevalence is 81,43%, in 2010 is 97,81% in prevalence is 78,73%, in 2011 there is 132, 78% in prevalence 92,79%. This case shows that in Pekalongan, the Pulmonary TBC disease case is still high. Some BTA pulmonary tuberculosis positive cases that be found and cured in Pekalongan in 2011 is 229 sufferers. This number is categorized as high, and the majority sufferers are from the incapable socioeconomic family, so that they have malnutrition tendency. The aim of this research is to know the influence of behavior and nutrient status toward the case of Pulmonary TBC in Pekalongan. This research is a kind of case control research. The independent variable that being researched are behavior and nutrient status, and the sufferers’ contact are as confounding variable. Methods : This research wad done to 70 respondents’ sufferers of TBC with BTA (+) as case and 70 respondents not sufferers as a control to the same characteristics. Results : The result of the finding is that there is no influence between behavior influence toward Pulmonary TBC and the percentage is p= 0,285. Then, there is an influence of nutrient status toward case of Pulmonary TBC and the percentage is p= 0,000 and OR= 7.583 and also there is an influence of sufferers’ contact toward the case of Pulmonary TBC and the percentage is p= 0,049 and OR= 4,387. The researcher suggests doing the effort to increase the crawl of sufferers Pulmonary TBC to increase the new case of finding, increase the hygienic and healthy behavior and increase the citizens’ nutrient status. Key words: behavior, nutrient status, Pulmonary TBC.

Perilaku Wanita Pekerja Seksual tidak Langsung (Pendamping Lagu) dalam Pencegahan AIDS di Kabupaten Pekalongan

Elsye RumemperNur Hilal,, Bayu Agung Pribadi, Rr. Vita Nur Latif

Pena Medika Jurnal Kesehatan Vol 3, No 1 (2011): Jurnal Kesehatan Pena Medika, Volume 3, Nomor 1, Desember 2011
Publisher : Fakultas Ilmu Kesehatan Universitas Pekalongan

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Background & Methode : Indirect female sexual workers who is operate as such as camouflaged as sex commercial, usually she works on special work and the side jobs is sexual workers. The subject research is a singer or back sound in song room (karaoke). They are kind of group who have high risk to influence HIV & AIDS case. The Purpose of this research is to describe the attitude of indirect sex worker, especiallywho have main profession as a back sound to preventions AIDS in Pekalongan Regency.This Research is designed exploratory research with cross sectional approach, research of qualitative method. The informan include five indirect female sexual workers  in several research locations. Result : Result for this research showed part of indirect sex worker done know how to prevented HIV & AIDS used condoms, their practice to AIDS’s prevention effort still less. Although they agree to use condom as a good preventions systems. In their perceptions, condoms just only to avoid pregnancy, not for avoid PMS or HIV/AIDS transmitions. Recommendation for health department, more increase collaboration with sectoral link especially academic sector to decrease HIV/AIDS especially in this community. Keywords : Indirect female sexual workers, behavior to prevented HIV/AIDS.

Pengaruh Karakteristik Demografi, Persepsi Gaya Kepemimpinan Kepala Ruang Keperawatan dan Motivasi dengan Kinerja Perawat Pelaksana di Ruang Rawat Inap RSUD Kabupaten Batang

Ta`adi, Projo Angkasa, Mardi Hartono,

Pena Medika Jurnal Kesehatan Vol 3, No 1 (2011): Jurnal Kesehatan Pena Medika, Volume 3, Nomor 1, Desember 2011
Publisher : Fakultas Ilmu Kesehatan Universitas Pekalongan

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Background & Methode : This is explanatory research, with cross-sectional approach and the survey method. This study population was all the nurses at Inpatient Room of Batang Hospital, amount 199 people, and samples are nurses who had worked for at least 1 year, amount 133 respondents. Analysis of the correlation between the variables of age, working years, gender, marital status, perception of leadership style, and motivation with nurse’s performance using the chi-square test, whereas correlation between education and nurse’s performance using the Fisher Exact Test. To see the influence of demographic characteristics, perceptions of leadership, motivation of the nurse to performance logistic regression test. Result : The results of statistical tests showed that there were no correlation between age, working years, sex, education, marital status and perceptions of leadership style with performance of nursing room employers. Recommendations for nurses: a need to increase performance, especially by implementing standards of nursing care, for the management need of attention towards the motivation of the nurses, with a consistent application of rules, career development, incentives and infrastructure. Keywords : demographic characteristics, work motivation, leadership style.

Hubungan Kualitas Pelayanan dengan Minat Menggunakan Ulang Jasa Pelayanan Kesehatan Rawat Jalan di RSUD Bendan Kota Pekalongan

Supriyo, Niyarni, Ristiawati, Imam Purnomo,

Pena Medika Jurnal Kesehatan Vol 3, No 1 (2011): Jurnal Kesehatan Pena Medika, Volume 3, Nomor 1, Desember 2011
Publisher : Fakultas Ilmu Kesehatan Universitas Pekalongan

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Abstract

Metode : Penelitian ini merupakan jenis penelitian explanatory research dengan pendekata cross sectional. Populasi dalam penelitian ini adalah semua pasien yang menggunakan pelayanan rawat jalan yaitu poliklinik anak, bedah, gigi, jiwa, kebidaan/kandungan, mata, penyakit dalam,syarf, THT, dan kulit kelamin di RSUD Bendan Kota Pekalongan. Cara ukurnya adalah wawacara dengan kuesioner. Analisis datanya menggunakan Chi Square sedangkan untuk mengetahui tingkat hubungannya menggunakan koefisien kontingensi. Hasil : dari analisis korelasi menunjukan bahwa ada hubungan yang signifikan antara kualitas pelayanaa dengan minat menggunakan ulang pelayanan rawat jalan dengan tingkat hubungan yang rendah. Kesimpulan: Ada hubungan yang signifikan antaran kualitas pelayanan dengan minat menggunakan ulang pelayanan rawat jalan dengan tingkat hubungan yang rendah, ada hubungan yang signifikan antara kualitas pelayanan loket pendaftaran dengan minat menggunakan ulang pelayanan rawat jalan dengan tingkat hubungan yang rendah, ada hubungan yang signifikan antara kualitas pelayanan pembayaran dengan minat menggunakan ulang pelayanan rawat jalan dengan tingkat hubungan yang rendah, ada hubungan yang signifikan antara kualitas pelayanan pemeriksaan poliklinik dengan minat menggunakan ulang pelayanan rawat jalan dengan tingkat hubungan yang rendah, ada hubungan yang signifikan antara sarana dengan minat menggunakan ulang pelayana rawat jalan dengan tingkat hubungan yang rendah.   Kata Kunci : Kualitas Pelayanan, Minat Menggunakan Ulang

Hubungan Faktor Predisposing Kader (Pengetahuan dan Sikap Kader terhadap Posyandu) dengan Praktik Kader dalam Pelaksanaan Posyandu di Wilayah Kerja Puskesmas Wonokerto

Nur Latif, Rr Vita

Pena Medika Jurnal Kesehatan Vol 3, No 1 (2011): Jurnal Kesehatan Pena Medika, Volume 3, Nomor 1, Desember 2011
Publisher : Fakultas Ilmu Kesehatan Universitas Pekalongan

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Background & Methode : Related  Knowledge and attitude of cadre with the Cadres Practice in Posyandu in Job distric of “Puskesmas Wonokerto” Pekalongan Regency; based on The number of Mother Mortality Rate (MMR) in Pekalongan district had 161/100.000 birth live, one of  the aim “Posyandu” was to decrees MMR by the cadres practicing “posyandu”. The aim of this study was to analizy and identify the related knowledge and attitude of cadre with the cadres practice in posyandu in job distric of “Puskesmas Wonokerto” Pekalongan Regency.This study was an explanatory research using cross sectional approach, using 70 partisipant. Result : The result was showed Knowledge had related with cadres practice    ( p value 0.003) and attitude had related with cadres practice (p value 0.006). Keywords : Knowledge, attitude of cadre, Cadres Practice in Posyandu