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Buletin Penelitian Sistem Kesehatan
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Core Subject : Health, Science,
Buletin Penelitian Sistem Kesehatan diterbitkan sejak 1994 dan sejak tahun 2006 terbit dengan frekuensi 4 kali setahun. Redaksi menerima naskah ilmiah tentang hasil-hasil penelitian, survei, dan tinjauan pustaka yang erat hubungannya dengan bidang sistem dan kebijakan kesehatan. Jurnal ini telah terakreditasi Lembaga Ilmu Pengetahuan Indonesia (LIPI)
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Articles 593 Documents
PENINGKATAN PENGETAHUAN ANAK-ANAK TENTANG PHBS DAN PENYAKIT MENULAR MELALUI TEKNIK KIE BERUPA PERMAINAN ELEKTRONIK Pramono, Mochamad Setyo; Paramita, Astridya
Buletin Penelitian Sistem Kesehatan Vol 14, No 4 Okt (2011)
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Background: Report on Result of National Basic Health Research (Riskesdas) 2007 by National Institute Health Research & Development Ministry of Health showed that only 38.7% prevalence Behavior of Clean and Healthy Living (PHBS). This means that most residents do not behave in a clean and healthy living. Promotion of clean and healthy lifestyle needs to start early age to become additional knowledge and further expected to be practiced in everyday life, and become part of norm of their lives. Method: This research is applied in the form of an experiment to test the Commumcation, Information and Education (KIE) technique designed in this study with aims to increase the children knowledge about PHBS and infectious disease. The first phase, the object of research is children who are chosen as samples are given a questionnaire to determine the extent of their understanding of clean and healthy lifestyle and infectious diseases. The second phase they received treatment  in the form of the game e-games that are played for at least 2 times the time span for 2 weeks. The third stage they received the same questionnaire as in the first stage. Result: Based on the different test results showed that there was a significant increase between the average value of knowledge before and after treatment.   Keywords: Behavior of Clean and Healthy Living, infectious diseases, children
FAKTOR-FAKTOR YANG BERPENGARUH TERHADAP KEJADIAN TB PARU DEWASA DI INDONESIA (ANALISIS DATA RISET KESEHATAN DASAR TAHUN 2010) Rukmini, Rukmini; W., Chatarina U.
Buletin Penelitian Sistem Kesehatan Vol 14, No 4 Okt (2011)
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Background: The statement of WHO, there were 22 countries classified as high burden of TB Pulmonary, including Indonesia. The detection of smear positive (BTA+) patients in Indonesia is still low and filtering suspect rate also decreased since 2007 until 2010. It is required to improve the detection patient of tuberculosis. Objective: This study aimed to assess the adult pulmonary TB risk factors that influence the diseases incidence in Indonesia. Methods: This observational analytic studies was conducted on March-June 2011. Data source from secondary data of basic health research 2010, that were individuals 15 years performed sputum examination. Data of cases were 183 people with smear positive and control of 366 people with negative smear. Those are household members and neighbors cases who had never been diagnosed of TB cases by health personnel. This was analyzed with logistic regression. Result: Multivariate analysis showed that risk factors associated with adult pulmonary tuberculosis were age (OR= 0.473, p = 0.018), gender (OR= 1.613, p = 0.027), lighting energy (OR= 1.804, p = 0.032), nutrition status (OR= 2.101, p = 0.009) and household contact with TB patients (OR= 4.355, p = 0.000). The TB risk factors that most influenced the diseases incidence is household contact with TB patients.  Keywords: tuberculosis of lung, BTA (+), risk factors
BEHAVIOUR HEALTH RISK AMONG ADOLESCENTS: A SCHOOL-BASED HEALTH SURVEY WITH THE FOCUS ON SMOKING IN MALE ADOLESCENTS AGED 12-15 IN DEPOK, WEST JAVA, INDONESIA Kusumawardani, Nunik; Suhardi, Suhardi
Buletin Penelitian Sistem Kesehatan Vol 14, No 4 Okt (2011)
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Background: Health intervention for adolescents is very crucial as the investment in building healthy life style and quality of learning process. Studies on health risk issues on adolescents in school setting and its relationship to academic score is limited. This study aims to describe behaviour risk factors among adolescents aged 12 to 15 years, and in particular studying smoking behaviour among male students. Method: This is a cross sectional study in the school setting. Samples are adolescents aged 12 to 15 years. This cross sectional study used pre-constructed self administered questionnaire adapted from Global School-based Health Survey (GSHS) WHO and was conducted during July-August 2006. Total sample in this study was 1,651 students of 29 junior high schools in Depok, West Java, Indonesia. Descriptive data analysis was used to describe the proportion distribution of health risk issues and smoking behaviour. Results: The major behaviour health risk issues includes smoking, diet related risk behavior, unhygienic behavior, injury, physical activity and mental health related behaviour. The proportions were significantly different between male and female. The proportion of smoking 39.2% among males and 3.7% among females. In comparison with the male students who never smoked, those who smoke had significantly lower mean of academic score (mean: 6.90 (95%CI: 6.79-7.01) vs 7.13 (95% CI: 7.06-7.20) p-value: 0.001) and higher school absenteeism (6.4 vs 3.5, p-value: 0.001). Conclusion: Males and females adolescents had significantly different health risk issues. Involuntary smoking shows the highest proportion of health risk behaviour among both male and female adolescents. Smoking behaviour has significant relationship with the academic score among male adolescents.   Keywords: smoking, adolescent, behaviour risk factors, school-based health survey
INEQUITY: RISK OR IMPACT OF MENTAL HEALTH? ANALYSIS OF 2007 INDONESIAN BASIC HEALTH SURVEY Isfandari, Siti
Buletin Penelitian Sistem Kesehatan Vol 14, No 4 Okt (2011)
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Background: It is well received that poor mental health can lead to social disparity and mequity indicated by unemployment and low education. However, the association between emotional distress with social disparity and in equity in population-based studies has not been well characterized. Using 2007 Riskesdas data, this analysis intend to examme reciprocal association between emotional distress with education and employment. Method: There were 659,672 respondents age above 14 in the survey which was carried out in the 33 provinces across Indonesia using probability proportion to size sample representing population until sub district level. First emotional distress is treated as risk for low education and employment. Then, emotional distress is treated as impact of unemployment and low education Four hypotheses are tested. Result: All the hypotheses confirmed reciprocal relationship between emotional distress and social disparity. Integrative intervention among ministries is necessary to improve mental health status and alleviating disparity and in equity for Indonesian.   Keywords: emotional distress, disparity and in equity, low education, unemployment, Indonesia
HUBUNGAN KARAKTERISTIK REMAJA TERKAIT RISIKO PENULARAN HIV-AIDS DAN PERILAKU SEKS TIDAK AMAN DIINDONESIA Pratiwi, Niniek Lely; Basuki, Hari
Buletin Penelitian Sistem Kesehatan Vol 14, No 4 Okt (2011)
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Backgrounds: One of the phases that have a high vulnerability to HIV-AIDS is adolescence, a period which has the highest social mobility than at any other age. In recent years there is a trend of increased cases of HIV-AIDS, especially in groups of teenagers who are of reproductive age. Social penalties for people with HIV-AIDS, are generally more severe when compared with patients with other deadly diseases. Sometimes the social punishment is also tertimpakan to health workers or volunteers, are involved in canng for people living with HIV-AIDS. This study aims to analyze the characteristics of adolescent relationships in the risk of vulnerability in HIV-AIDS with Sexual Behaviour adolescents aged 15-24 years. Methods: Analysis method based on the type of data adolescent characteristics as independent variables and adolescent sexual behavior, prevention of HIV-AIDS as the dependent variable IS nominal, then the test through two stages of analysis analysis, univariate, bivariate analysis of the relationship  between two variables for wh1ch is followed by phase analysis into two binomial Regression analysis. Results: The analysis showed that the knowledge of adolescents about preventing HIV-AIDS with only with one partner who is not at risk percentage is still 86.0%, while the knowledge of prevention with adolescents  that do not use a new syringe with 78.9% adolescents. Regression test results found a significant association between residence significantly with unsafe sexual behavior with p = 0.000 At Alfa 0.05 which means that adolescents who lived in villages at higher risk unsafe sexual behavior than adolescents who live in the city. The increase in group counseling adolescents  through peer group in the village has priority access to the information  given HIV-AIDS prevention efforts m the village which is less than the city.  Keywords: HIV-AIDS, Sexual Behavior of Youth, VCT
ANALISIS POTENSI PENYEBARAN INFORMASI KESEHATAN MELALUI JEJARING SOSIAL (STUDI KASUS PADA FORUM JEJARING PEDULI AIDS) Laksono, Agung Dwi; Wulandari, Ratna Dwi
Buletin Penelitian Sistem Kesehatan Vol 14, No 4 Okt (2011)
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Background: Predicted in 2015 there was an increase of 924.000 cases with a prevalence of 0.49%, and rose sharply to 2.117 million cases in 2025 with a prevalence of 1.00%. This surge can be prevented to less than half that when the target of universal access can be achieved  by 2014. For prevention, FJPA using Facebook as a medium of information delivery. This effort shows remarkable progress. This development becomes interesting  to study, how the effectiveness of Facebook Social Media Networking in a process of diffusion of information related to HIV/AIDS. Methods: The method used in this analysis is content analysis. Observations conducted in 2010, March 18, 2010 until December 31, 2010. Result: The results showed a sharp increase in membership FJPA on Facebook that reach 2821 members by 2010. Membership has exceeded the limits of the country, including men and women almost equally, dominated age. FJPA page on Facebook last ten months has been accessed 4278 times, the interaction peak in the first month (March 2010) 430 interactions, and six months subsequent interaction 77-132 per month, and peaked back in December of 309. Posting an entry consisting of 126 wall posts, links 31, and 35 notes. It can be concluded that the Social Networking Media through the Internet very effectively as a medium of diffusion of information which transcends geographical and administrative regions. Social Networking is also an effective medium for dissemination of information to target youth and age. The recommendation is: Social Media Networks need more intensive process of diffusion health information, specially productive age as a target; The review also needs to be continued to look at the effectiveness of other social networking media. Such as Twiter, Koprol, Blogs, and so on.   Keywords: social network, information, information diffussion
PENGEMBANGAN METODE SKREENING USG DI PUSKESMAS PONED KABUPATEN JOMBANG PROVINSI JAWA TIMUR (STUDI KASUS HTA) Sugiharto, Mugeni; Oktarina, Oktarina
Buletin Penelitian Sistem Kesehatan Vol 14, No 4 Okt (2011)
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Background: Healthcare services for pregnant women through ultrasonography screening are very important to do, so that it can be early detected normal and abnormal pregnancy without endangering safety of mother and the baby. Validity and accuracy of ultrasonography screening results can be pointed in Government Jombang District obtaining the policy to fulfill six public health centers with PONED that have ultrasonography facility. The aims this research was to developed a screening method using ultrasonography devices at health centers with Basic Emergency Neonatal Obstetric  Services Jombang District. Methods: Type of descriptive research with retrospective design, data was taken from secondary data three years past whereas samples were total sample of public health centers with PONED that have ultrasonography facility. Results: The utilization of ultrasonography as a screening method was not yet maximized (underutility), due to limitation of the obstetrician that has been worked. According to the primary data can be obtained that there are only two people of six public health centers. All ultrasonography were still functioned properly and appropriate to the security aspects of HTA function, therefore ultrasonography was still safe and accurate to use and increasing accountability and be able to enhance the patients visit of pregnant women. Conclusion: According to the HTA policy, hence the utilization of ultrasonography at Public Health Centers with Basic Emergency Neonatal Obstetric Services (PONED) Jombang District was appropriate, because it has been be able to provide the benefits to communities. However ultrasonography specialists and support were still lack. Suggestions: Utilization of ultrasonography to early detection for pregnancy and completely through availability of competent experts using ultrasonography. Keywords: Ultrasonography, Public Health Center with Basic Emergency Neonatal Obstetric Services (PONED).
PENGGUNAAN JAMU BUATAN SENDIRI DI INDONESIA (ANALISIS DATA RISET KESEHATAN DASAR TAHUN 2010) Supardi, Sudibyo; Herman, Max Joseph; Yuniar, Yuyun
Buletin Penelitian Sistem Kesehatan Vol 14, No 4 Okt (2011)
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Background: A study to analyze data of Basic Health Research 2010 (Riskesdas 2010) was done to describe the profile of household using self-made herbal medicines and to identify the characteristics of household members that related to use of self-made herbal medicines. Methods: The sampel was individuals aged fifteen years old or more and who use self-made herbal medicine i.e. 177,927 people from selected household in 33 Indonesian provinces. Data was collected by interviewing the respondent that use structured questionnaire, including age, sex, marital status, education, job, household monthly expenditure, residence, province and self-made herbal medicines usage. The data were analyzed by proportion and Chi square test and multiple logistic regression method. Results: Results of data analysis shows that nearly ten percents of household that ever used herbal medicines are those using self-made herbal medicines. A greater proportion of them used either Kaemferia sp. and or Zingiber sp. as raw material in liquid formulation and got the benefit of using it as well as living in North Maluku, Bali and East Nusa Tenggara. About seventeen percents of household members who ever used herbal medicines are those using self-made herbal medicines. Conclusion: Factors related to self-made herbal medicines are married/divorce (OR= 1.76; CI = 1.63-1.90), urban residence (OR= 1.45; CI = 1.38-1.53), female (OR= 1.43; CI = 1.363-1.50) dan higher economic group (OR= 1.34; CI = 1.27-1.40).   Keywords: self-made herbal medicines, traditional medicine, household
PERILAKU HIDUP BERSIH DAN SEHAT (PHBS) DALAM RUMAH TANGGA IBU HAMIL DAN IBU PERNAH HAMIL DI INDONESIA Astuti, Wahyu Dwi; Khaqiqi, Zainul; Lestari, Dewi
Buletin Penelitian Sistem Kesehatan Vol 14, No 4 Okt (2011)
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Background: The maternal mortality rate (MMR) in Indonesia is still high at about 307 per 100,000 live births and Indonesia were lower target of 75% of maternal deaths in the period 1990-2015 with indicators: MMR per 100,000 live births from 390 to 102, the proportion of deliveries by skilled health 40.7% to 100%. One indicator is the PHBs delivery by health workers and health behaviors that are performed on the awareness that a family member or family can help themselves in the field of health. Pregnant mothers who are in households that do PHBs will reduce the incidence of diseases that worsen the maternal mortality. The general objective of this study was to determine the picture PHBs Household pregnant women based on socioeconomic factors, demographic and geographical environment in Indonesia. Methods: The data on secondary data analysis is that in getting from Riskesdas 2007 and 2010 the data collection are questionnaires and structured interviews. Result: The results suggest that PHBs in the household ever been pregnant and pregnant women are reviewed by province, economic level, and level of education is still very low. Recommendation: Thus suggested the need for promotion of PHBs in Families of pregnant women and mothers have become pregnant on an ongoing basis.   Keywords: Household PHBs, Maternal Behavior
PROFIL KEMATIAN NEONATAL BERDASARKAN SOSIO DEMOGRAFI DAN KONDISI IBU SAAT HAMIL DI INDONESIA Raharni, Raharni; Isakh, Bryan Mario; Diana, Ida
Buletin Penelitian Sistem Kesehatan Vol 14, No 4 Okt (2011)
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Background: Neonatal mortality is the death of an infant who is born alive within 7 days after birth (early neonatal mortality/perinatal), and the death of a baby born alive more than 7 days until approximately 29 days (advanced neonatal mortality). Neonatal deaths (infants aged 28 days) is two thirds of infant mortality, whereas early neonatal mortality/perinatal (infant age of 7) days is two thirds of neonatal deaths. The purpose of this study was to determine neonatal mortality profiles based on socio demografic and the mother condition during pregnancy, and the data based on Riskesdas 2010. Methods: This study used cross sectional design, using data Riskesdas 2010. Result: From the analysis obtained the following results, 144 out of 163 neonatal deaths (88,6%) were the early neonatal deaths (7 days of birth), the remain at 11.45% were advanced neonatal mortality. Most of neonatal deaths occur in fertil maternal age at delivery was mature enough that age group 18-34 years, but mostly with low and medium level of education that is 53% and 43% respectively. Mostly neonatal deaths occur when 2 continous birth delivery happens less than 12 months, total number is 100 (61 3%). Percentage of neonatal mortality is equal between working mothers and non working mothers. From the babys weight with weight < 2500 grams and > 2500 grams, the percentage is nearly equal at 27-29%. Conclusion: The body weight most neonatal deaths were unknown was no significant difference between early neonatal and late neonatal. There demographic information according to both maternal, infant characteristics, or economic status. It is expected the results of this reseach can be used as reference related neonatal mortality profile and as an input in policy to improve the mother health during maternity and birth delivery and also to reduce the risk of neonatal death.   Keywords: early neonatal mortality/perinatal, neonatal mortality, pregnancy

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