Articles 129 Documents
PENGARUH MOTIVASI TERHADAP KINERJA BIDAN DALAM PENCAPAIAN CAKUPAN PERSALINAN DI PUSKESMAS KABUPATEN KONAWE SELATAN PROVINSI SULAWESI TENGGARA

Adriansyah, Agus Aan, Sjarif, Susman

IKESMA Vol 12 No 2 (2016)
Publisher : FKM - UNEJ

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Abstract

Pendahuluan: Upaya kesehatan masyarakat khususnya pada program kesehatan ibu dananak belum berjalan dengan baik sehingga cakupan pertolongan persalinan di PuskesmasKabupaten Konawe Selatan Propinsi Sulawesi Tenggara masih belum mencapai target.Cakupan pertolongan persalinan oleh tenaga kesehatan tahun 2013 sebesar 68,18% danmasih belum mencapai target 90%. Tujuan penelitian ini adalah menganalisis pengaruh  motivasi kerja yang meliputi need for power, need for affiliation dan need for achievement,terhadap kinerja bidan dalam pencapaian cakupan pertolongan persalinan.Metode: Jenis penelitian ini adalah observasional analitik dengan menggunakanpendekatan cross sectional. Lokasi penelitian di Puskesmas wilayah Kabupaten KonaweSelatan. Sampel penelitian sebanyak 70 bidan yang diambil dari 22 Puskesmas denganmenggunakan teknik multistage stratified random sampling. Data dianalisis dengan teknikRegresi Logistik Binary.Hasil: Motivasi bidan pada aspek need for achievement berpengaruh signifikan terhadapkinerja bidan dengan nilai p sebesar 0,044 (<0,05).Kesimpulan: Motivasi kerja khususnya aspek need for achievement harus semakinditingkatkan karena berpengaruh terhadap kinerja bidan. Oleh sebab itu, Puskesmas perlumenyusun kebijakan terkait pemberian penghargaan kepada petugas bidan yang mampuberprestasi dan memberikan kinerja terbaik bagi Puskesmas. Kata Kunci: Motivasi, Bidan, Kinerja

PROFIL LIPID DAN RESIKO KEJADIAN PENYAKIT JANTUNG KORONER (PJK) PADA WANITA MENOPOUSE DI KOTA MALANG

Aswin, AAG Anom ( Jurusan Gizi Piliteknik Kesehatan Kemenkes Malang ) , Kholidah, Diniyah ( Jurusan Gizi Piliteknik Kesehatan Kemenkes Malang ) , Basuki, Rinawati ( Jurusan Gizi Piliteknik Kesehatan Kemenkes Malang )

IKESMA Vol 8, No 2 (2012)
Publisher : FKM - UNEJ

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Abstract

Coronary heart disease is characterized by a high content in addition to blood cholesterol levels, also triggered by the composition of fat in the abdominal cavity. Waist-to-hip ratio (waist to hip ratio / WHR) is one of the anthropometric measurements were used to show a pattern of obesity (central obesity) and increased risk of cardiovascular disease in women.  Cross-sectional study involving 39 women the gym in the morning in the working area of ​​Malang Health Center Arjuno present at the time of the data and are willing to be the subject of research. Waist-to-hip ratio (RLPP) determined by national standards, where the standard ratio of ≤ 0.8 for women is a safe ratio thresholds of risk factors for coronary heart disease.  Characteristics of total cholesterol was found that there was no significant difference in mean total cholesterol, LDL cholesterol and HDL cholesterol among subjects without the risk of CHD and CHD risk in subjects with significance 5%, respectively (p = 0.083, p = 0.629, p = 0.549). The results showed no significant relationship (p> 0.05) between the frequency of consumption of staple foods and vegetable side dish with RLPP on RR 0.907 (a staple food) and RR 0.194 (vegetable side dishes) (95% CI: 0.212 to 3.875 and 0.039 - 0.974). Thus, consumption of staple foods and vegetable side dishes that fat is a protective factor against the occurrence of CHD. But there is a significant correlation (p> 0.05) between the frequency of fruit and vegetable consumption with RLPP on RR 1.17 (vegetable) and RR 01,89 (fruit) (95% confidence level: 0.49 to 2.81 and 0.82 to 4.38). Thus, consumption of vegetables and fruits is a strong protective factor against the occurrence of CHD. There is a significant correlation between the levels of total cholesterol RLPP (p = 0.006) with a value of RR = 0.84 (95% CI: 0.35 to 2.04). It could be argued that individuals with normal RLPP protected category of developing CHD compared with individuals with RLPP high category. The bigger RLPP higher risk of CHD.

PERILAKU PETERNAK SAPI PERAH DALAM MENANGANI LIMBAH TERNAK

Khoiron, K ( FKM Universitas Jember )

IKESMA Vol 8, No 2 (2012)
Publisher : FKM - UNEJ

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Abstract

Dairy farming has an important role in daily life of small holders, namelyto provide job opportunity and support the fullfillment of animal protein consumption. However, the waste of such farming could cause environmental pollution and a threat to human health. The study was conducted to analyze the relationship between the behavior of dairy farmers in Junrejo to handle the farm waste and their knowledge, attitude, and infrastructure availability. The study used cross sectional design. The data supporting the study were collected by means of a structured questionnaire, an observation sheet, and an indepth interview instruction.The Results showed that correlation exists between the variables studied and farmers behavior to handle farm waste, namely knowledge (correlation coefficient of 0,762), attitude (0,756), and infrastructure availability (0,727).

KONDISI LINGKUNGAN FISIK RUMAH PENDUDUK DENGAN KEJADIAN KUSTA DI KECAMATAN JENGGAWAH KABUPATEN JEMBER

Ellyke, E ( FKM Universitas Jember )

IKESMA Vol 8, No 2 (2012)
Publisher : FKM - UNEJ

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Abstract

Leprosy is a chronic infectious disease caused by Mycobacterium leprae. The prevalence rate of leprosy in Jenggawah subdistrict is the highest among others in Jember District (6,71/10.000). Several studies conducted showed a significant association between the risk of leprosy with the condition of the house. Good housing conditions are associated with reduced risk of leprosy. The aim of this research was to analyze the relationship between the physical environment of houses with the incidence of leprosy in Jenggawah, Jember District. The design of the research used in this study was case control. The independent variable in this study is the physical environment of the house, while the dependent variable was the incidence of leprosy. The number of cases in the study as many as 12 people and control as many as 24 people. Data analysis using Fishers Exact test to determine the relationship of independent variables with the incidence of leprosy. The results using Fishers Exact Test also showed that there was no relationship between ventilation, lighting, residential density, temperature, humidity, excreta disposal facilities, waste water disposal facilities, and garbage disposal facilities with the incidence of leprosy both the case and control groups (p>0.05). This is probably due to socio-economic conditions of both groups were homogeneous. In addition, the increase in public knowledge about leprosy and the concept of healthy homes also needs to be done.

SURVEI SURVEILANS PERILAKUBERISIKO TERTULAR HIVPADA REMAJA JALANAN TAHUN 2011

Wahjudi, Pudjo ( Bagian Epidemiologi dan Biostatistika – Kependudukan Fakultas Kesehatan Masyarakat Universitas Jember ) , Prasetyowati, Irma ( Bagian Epidemiologi dan Biostatistika – Kependudukan Fakultas Kesehatan Masyarakat Universitas Jember ) , Ariyanto, Yunus ( Bagian Epidemiologi dan Biostatistika – Kependudukan Fakultas Kesehatan Masyarakat Universitas Jember )

IKESMA Vol 8, No 2 (2012)
Publisher : FKM - UNEJ

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Abstract

At present, the world have a pandemikHIV. No one country in the world free from this infection, including Indonesia. In Indonesia, the infection has been alarming stage. If nothings done to prevent and control the spread of HIV, the next ten years, HIV infection such as sub sahara-africa, where there will be 3 of 10 people infected HIV. The Human Immunodeficiency Virus (HIV) is a type of virus called a retrovirus and it is spreading  throughout the world include sexual contact, sharing needles, and by transmission from infected mothers to their newborns during pregnancy, labor, or breastfeeding. Purpose of this study was determine HIV risk behaviors in youth on the street in Jember district. Behavioral surveillance survey aims to monitor changes in sexual behavior and injecting risk from time to time. Target Population of Behavioral surveillance stratified by contributing to the HIV epidemic, one of which is youth aged 15 -24 years old, men and women, educated or not. This is descriptive approach with survey methods to 50 youths. The result were contained two behavioral surveillance of key indicators that have high percentage. There were heard HIV and AIDS(87,8%) and knowing to prevent HIV and AIDS using condom(98%). The recommendation is that the youth should have healthy behavior, alert to the HIV and AIDS, no sex before marriage and avoid other risky behaviors.

HUBUNGAN PERILAKU SEHAT SANTRI DENGAN KEJADIAN SCABIES DI PONDOK PESANTREN KABUPATEN LAMONGAN

Ma’rufi, Isa ( Bagian Kesehatan Lingkungan dan Kesehatan Keselamatan Kerja Fakultas Kesehatan Masyarakat Universitas Jember ) , Istiaji, Erdi ( Bagian Promosi Kesehatan dan Ilmu Perilaku Fakultas Kesehatan Masyarakat Universitas Jember ) , Witcahyo, Eri ( Bagian Administrasi dan Kebijakan Kesehatan Fakultas Kesehatan Masyarakat Universitas Jember )

IKESMA Vol 8, No 2 (2012)
Publisher : FKM - UNEJ

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Abstract

Scabies is a common skin disease among the students ofthe boarding school. Scabies is caused by mite infestation as called as Sarcoptes scabiei that can spread easily from human to human, animal to animal or humans to animal sinstead. The purpose of this studyis to measure the prevalence of scabies in students, and to analyzethe relationship between the incidences of scabies by healthy behaviors in students of boarding school at Lamongan, East Java. The type of research is observational and cross-sectional study. Total populationis 59.650 students with a sample ofthe studywere 338 students. The sampling technique on this research was multistage random sampling method. The results showed that 217 students (64.2%) suffered from scabies, and 121 students (35.8%) did not suffer from scabiesor healthy. Based on the statistical test by Chi-square, there is a relationship between the incidence ofscabies by healthy behaviors (p<0.05). It is suggested need for counseling and training on a regular basis about healthy behavior and clean forthe students. Need for cooperation with other agencies, such as Communities Health Center (Puskesmas) in order to prevent and control the incidence of scabiesin students of boarding school.

IMPLEMENTASI CUSTOMER-BASED BRAND EQUITY MODEL DALAM MENINGKATKAN PEMANFAATAN PELAYANAN KESEHATAN DI PUSKESMAS SUNGAI RAMBUTAN, KABUPATEN OGAN ILIR, 2011

Budi, Iwan Stia ( Bagian Administrasi Fakultas Kesehatan Masyarakat Universitas Sriwijaya ) , Faisya, A. Fickry ( Bagian Kesehatan Lingkungan Fakultas Kesehatan Masyarakat Universitas Sriwijaya )

IKESMA Vol 8, No 2 (2012)
Publisher : FKM - UNEJ

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Abstract

Purpose of study was formulate recommendation to improving the utilization of Sungai Rambutan Public Health Center through Customer-Based Brand Equity Model. This study used descriptive study. Result : Brand awareness about sungai rambutan: Sungai Rambutan public health center as free health services, health services  no reliable, no guarantee of healing, infrastructure incomplete ,the discipline of work  less and not had willingness to visit sungai rambutan public health center if they were sick.

PROSES SOSIALISASI LAKI-LAKI SUKA SEKS DENGAN LAKI-LAKI (LSL) PADA KALANGAN REMAJA DI KABUPATEN JEMBER

Rokhmah, Dewi ( Bagian Promosi Kesehatan dan Ilmu Perilaku Fakultas Kesehatan Masyarakat Universitas Jember ) , Nafikadini, Iken ( Bagian Promosi Kesehatan dan Ilmu Perilaku Fakultas Kesehatan Masyarakat Universitas Jember ) , Luthviatin, Novia ( Bagian Promosi Kesehatan dan Ilmu Perilaku Fakultas Kesehatan Masyarakat Universitas Jember ) , Istiaji, Erdi ( Bagian Promosi Kesehatan dan Ilmu Perilaku Fakultas Kesehatan Masyarakat Universitas Jember )

IKESMA Vol 8, No 2 (2012)
Publisher : FKM - UNEJ

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Abstract

The Men who like Sex with Men (MSM) is a minority in heterosexual society. The Young MSM community always close their identity in the society becuse they need self actuality as homosexual in the heterosexuaal society. This will have an impact on their lack of information and knowledge about reproductive health. The purpose of this study was to analyze the process of socialization among young MSM and its effects on adolescent reproductive health, which includes socialization in the family, at school (college), in the MSM community and the general public. This research used qualitative methode with phenomenological approach. Data was collected by means of indepth interviews to the youth MSM attain the age of 17-23 old years in Jember District. Based on the results of research indicate that most of the MSM is difficult to communicate and interact socially in the family, school (college) and in the society. Therefore they were not being themself. When they did socialization in heterosexual society, they would follow the norms and rules that exist in society. Howefer when they did socialization in MSM community, they feel comfortable and could be himself. Because MSM always got isolated from society, they make community in order toreceive emotional support and getting acceptance (cohesive) from society. Howefer this condition can not solve their isolated feelings.Therefore the difficult problems getting proper information about reproductive health.Therefore, they become vulnerable to infection of Sexual Transmited Diseases and HIV/AIDS.

FORMULASI INDIKATOR DAN TARGET ANGKA PENJARINGAN SUSPEKTB BTA+ UNTUK PUSKESMAS DI KABUPATEN JEMBER

Ariyanto, Yunus ( Bagian Epidemiologi dan Biostatistika-Kependudukan Fakultas Kesehatan Masyarakat Universitas Jember ) , Ramani, Andrei ( Bagian Epidemiologi dan Biostatistika-Kependudukan Fakultas Kesehatan Masyarakat Universitas Jember )

IKESMA Vol 8, No 2 (2012)
Publisher : FKM - UNEJ

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Abstract

Even though for two last years the national target of rate of cases that succeed to be found from suspects; that represented as Case Detection Rate (CDR) has been fulfilled, performances of each forty-nine Community Health Center in Jember, Indonesia was fluctuated. Two primary factors, that contributing to CDR are Error Rate and Suspect Rate. Suspect rate never been evaluated by TB+ program. This research was aimed to produce Suspect Rate indicator and target, that applicable for Community Health Center in Jember.This study was a part of Research and Development (R&D), towards to four years data of forty-nine Community Health Center in Jember.From this study concluded that applicable Suspect Rate indicator definites as “Amount of checked suspects (its phlegm) among 10.000 residents at one particular Community Health Center region in one year“ and the target that realistic is minimum 75 checked suspects among 10.000 residents.

PENGARUH PENURUNAN KUALITAS UDARA TERHADAP FUNGSI PARU DAN KELUHAN PERNAFASAN PADA POLISI LALU LINTAS POLWILTABES SURABAYA

Sandra, Christyana ( Bagian Administrasi dan Kebijakan Kesehatan Fakultas Kesehatan Masyarakat Universitas Jember )

IKESMA Vol 9, No 1 (2013)
Publisher : FKM - UNEJ

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Abstract

Some of the air pollutants that may result in respiratory complaints are NO2, SO2, and dust particles. These pollutants may irritate respiratory tract, leading to lung function impairment and respiratory complaints. The objective of this study was to analyze the concentration of NO2, SO2, and dust in Surabaya. This was an observational analytic study conducted cross-sectionally among traffic policemen and staff policemen in Polwiltabes Surabaya. This study was conducted within the working area of Polwiltabes Surabaya from December 2007 to July 2008. Population of study group was the members of traffic policemen and control group was staff policemen who had met the given criteria. Sample size was 42 persons, 21 persons each from study group and control group. Data analysis used independent two sample t test and multiple logistic regression test. Mean of NO2 and dust levels had exceeded the established standard, while mean of SO2 level was still below its established standard. Mean of indoor NO2, SO2 and dust levels were still below the established standard. Lung function test revealed that 13 (61.9%) of study group had normal lung function and 8 (38.1%) had mild restrictive impairment. In control group, 19 (76.2%) had normal lung function and 2 (23.8%) had mild restrictive impairment. Study group had restrictive impairment 4 time higher risk and 1,4 time higher risk having obstruction impairment than control group. Study group had respiratory complaints 2 time higher risk than control group. Method of data analysis using multiple logistic regression test revealed that age and SO2 concentration had significantly affected lung function and respiratory complaints in study group. It must be consider that poor air quality have causative factor into lung function. It is recommended that local government increased public transportation service, provide additional air quality monitoring, transportation arrangement system, and motor exhaust gas should periodically be checked.

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