Archive of Community Health (Arc.Com.Health)
Published by Universitas Udayana
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43
Articles
PARTISIPASI PEMILIK HPR TERHADAP PROGRAM PENCEGAHAN PENYAKIT RABIES DI DESA ABIANSEMAL DAN DESA BONGKASA PERTIWI KECAMATAN ABIANSEMAL KABUPATEN BADUNG

Sri Widiantari, Luh ( Program Studi Kesehatan Masyarakat Fakultas Kedokteran Universitas Udayana ) , Kardiwinata, Made Pasek ( Program Studi Kesehatan Masyarakat Fakultas Kedokteran Universitas Udayana )

ARCHIVE OF COMMUNITY HEALTH Vol 3, No 1 (2016)
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Abstract

Badung District, in the Province of Bali was found to have the highest HPR bite cases in 2011, with a total of 8111 cases. In  the subdistrict level, Abiansemal had the highest case with 2199 cases. The purpose of this study was to describe the HPR owner participation towards rabies prevention programme at Abiansemal Subdistrict in Badung District. This study was a descriptive study with a cross-sectional approach. Systematic random sampling was used to identify the ninety samples in this study. Data collection used structured questionnaire and observation and then analysed by descriptive analysis. The results showed that 82,2% respondents in Abiansemal Village and 84,4% respondents in Bongkasa Pertiwi Village had vaccinated their dogs with VAR. About 82,2% respondents in Abiansemal Village and 91,1% respondents in Bongkasa Pertiwi Village left their dogs untied. All respondents in Abiansemal Village and Bongkasa Pertiwi Village (100%) had not registered their dogs. There were no differences in the HPR owner participation towards rabies prevention program between the area with high HPR bite cases and low HPR bite cases. It is recommended that the government of Badung District regulate and supervise the dog owner. Future research should address the completeness of Anti-Rabies Vaccination in dogs.

FAKTOR RISIKO KEJADIAN ASMA PADA ANAK DI KOTA PADANG

Mangguang, Masrizal Dt ( Program Studi Ilmu Kesehatan Masyarakat Fakultas Kesehatan Masyarakat Universitas Andalas Padang )

ARCHIVE OF COMMUNITY HEALTH Vol 3, No 1 (2016)
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Abstract

Asthma is a chronic disease that is often found in children. Based on the National Health Survey  (RISKESDAS) in Indonesia, the prevalence of asthma in the Province of West Sumatra was 3,6%, this is relatively high compared to other provinces. The incidence of asthma among children(1-14 years old)  in the Public Health Center (PHC) of Pauh was 6% higher compared to other PHCs. This study aimed to identify risk factors associated with the incidence of asthma among children in Pauh Public Health Center. This study used a case-control study and included 1-14 year old children with asthma who visited PHC of Pauh  as case and 1-14 year old children without asthma who visited PHC of Pauh as control. The number of samples in the case group were 32 and control group were 64. Data analysis included univariate, bivariate with the chi-square test and multivariate analysis with multiple logistic regression methods. The risk factors that independently associated with asthma were male (OR=5.2; 95%CI: 1.5-17.9), not exclusive breastfeeding (OR=4.2; 95%CI: 1.2-14.7), family history of asthma (OR=10.8; 95%CI: 3.3-35.1), and contact with pets (OR=8.5; 95% CI: 1.3-54.9). Boys with a family history of asthma need more attention because of their higher risk. Prevention is advised to  start since birth through early lactation initiation and followed by exclusive breastfeeding. Family participation in the prevention of asthma is warranted since they have a big role in minimizing their child’s contact with animals.

UJI PATOGENITAS Bacillus thuringiensis var. israelensis TERHADAP LARVA NYAMUK Aedes sp. SEBAGAI BIOKONTROL PENYEBAB PENYAKIT DEMAM BERDARAH DENGUE DI DENPASAR TAHUN 2014

Santi, Hari Laksmi, Purnama, Sang Gede

ARCHIVE OF COMMUNITY HEALTH Vol 3, No 1 (2016)
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Abstract

The Dengue Hemorrhagic Fever (DHF) in Indonesia increases every year. In 2008, cases of DHF in Indonesia accounted 137,469 cases (IR: 59.02 per 100,000 population, CFR 0.86%). This increased in 2009 to 154,855 DHF cases (IR: 66.48 per 100,000, CFR 0.89%). In 2010, Indonesia experienced the highest DHF case in ASEAN, namely 156,086 cases with 1,358 deaths (Kemenkes, 2011). Many preventive efforts had been carried out to eradicate Aedes sp. The bioinsecticide vector control using Bacillus thuringiensis is safe for the environment and humans compared to the synthetic insecticides. This study evaluated the pathogenicity of B. thuringiensis against larvae of Aedes sp. in Denpasar city. This study conducted Quasy Experimental Design of 6 treatments, concentrations of 50 µL, 40 µL, 30 µL, 20 µL, 10 µL and 1 control,  with 4 repetitions. The number of cells and spores of B. thuringiensis used in this study was 11.2 x 109 cfu/ml and 7.43 x 109 cfu/ml, respectively. The highest mean score difference compared to the control was the 50 µL concentration with average larvae mortality at 6 hours of 96%, increasing to 100% in 12 and 24 hours. LC50 concentration within 6 hours was 4 µl/L, and LC90 concentration was 16 µl/L. Using statistical test, average mortality of larvae Aedes sp. at all concentrations were similar (p ? 0.005). The greater concentration of B. thuringiensis and the longer exposure time leads to a greater mortality of Aedes sp. larvae.

PENGARUH KONSUMSI PROTEIN DAN SENG SERTA RIWAYAT PENYAKIT INFEKSI TERHADAP KEJADIAN STUNTING PADA ANAK BALITA UMUR 24-59 BULAN DI WILAYAH KERJA PUSKESMAS NUSA PENIDA III

Chandra Dewi, Ida Ayu Kade, Tresna Adhi, Kadek

ARCHIVE OF COMMUNITY HEALTH Vol 3, No 1 (2016)
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Abstract

Stunting is a growth retardation that is showed by short stature over -2SD deficit below the median of height. Stunting is a result of poor nutrition intake or recurrent infectious disease. The aim of this research was to know the influence of consuming energy, protein, zinc and history of infectious disease with stunting among children aged 24-59 months in the Area of Puskesmas Nusa Penida III. This research was held from January to May 2014 using a case-control design. Samples were 32 cases and 32 controls, selected by systematic random sampling. The analysis involved chi-square and logistic regression. Three variables significantly affected the occurrences of stunting namely protein consumption (p=0,0012), zinc consumption (p=0,0005) and history of infectious disease (p=0,0039). The dominant factor affecting stunting are zinc consumption (OR= 9,94) and history of the infectious disease (OR=5,41). Based on the results, the first 1000 days action program such as improved women awareness to fulfill micronutrients consumption like zinc from pregnant until the children have aged 1000 days and the prevention of infectious disease through clean and healthy living behavior to prevent stunting, is needed.

PERSEPSI PENGGUNA LAYANAN KESEHATAN PRIMER MENGENAI KUALITAS PELAYANAN PADA PUSKESMAS BADAN LAYANAN UMUM DI KABUPATEN GIANYAR

Listyowati, Rina, Indrayathi, Putu Ayu, Sri Nopiyani, Ni Made

ARCHIVE OF COMMUNITY HEALTH Vol 3, No 1 (2016)
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Abstract

One of the reasons for establishing Public Service Agency (BLU) policy at Community Health Care Centers is the number of complaints for poor quality services. This policy was implemented in January 2010 by the Gianyar Government in every Community Health Care Center in Gianyar.  This is the realization of the Gianyar Governments attention in improving the quality of the Community Health Care Center Services.  This study aims to determine the public perception of the quality of services provided by the Community Health Care Center in Gianyar District. This study was a cross-sectional analytic study and conducted at four Community Health Care Centers with BLUD’s status in Gianyar District with 105 respondents selected by multistage random sampling method. The data collection included survey questionnaires and analyzed descriptively by chi square test. The results showed that overall the respondents had a "good" perception towards the elements of Community Health Care Center services with BLU status in Gianyar District. However, there are three elements that were "perceived as poor" comprising responsiveness (14.3%), accuracy (11.4%) and environmental comfort (12.4%). The results of the chi square test showed that there were significant differences between the age factors with the respondent perceptions of service quality in Community Health Care Center with BLU status (p = 0.004), but gender, education level and occupation did not have a meaningful relationship. This research suggests that the Health Office should increase the intensity of coaching and facilitation of procedures related to the Community Health Care Center so that the expected performance of attendant care becomes more patterned.

PEMETAAN BERDASARKAN LOKASI DAN JUMLAH PESAING PUSKESMAS PERAWATAN DI KABUPATEN GIANYAR YANG BERSTATUS BLUD SEBAGAI DASAR PENYUSUNAN STRATEGI BISNIS

Indrayathi, Putu Ayu, Hari Mulyawan, Ketut, Novi Trisna Dewi, Putu

ARCHIVE OF COMMUNITY HEALTH Vol 3, No 1 (2016)
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Abstract

Community health care center (Puskesmas) as gate keeper is the first level of health care that is closest to the people. Since January 2010, several puskesmas which provide inpatient care in Kabupaten Gianyar has become public service agencies (BLUD) to improve quality and access to health care services for community During the implementation of such policy, it is important to review its effectiveness especially with so many competitors in the community. This study was a cross-sectional descriptive study. Research carried out in existing health facilities competitors in the work area BLUD community health care centers in Gianyar.  Mapping was conducted using GIS and processed by the Epi Info system. The results showed that the four community health care centers in Gianyar treatments have different levels of competition. Puskesmas Ubud I has a very high density of competition, while Puskesmas Tegallalang II has very little of competition. The implementation of such policy in Puskesmas Payangan and Puskesmas Tegallalang II is considered very effective because far from city and rarely finding a competitor health facilities. This research recommend the community health care center to improve the promotion about existence of health care centers and quality of health care services so that communities in the solid area of competitor can switch utilize community health care center services.

GAMBARAN FISIK DAN PSIKOLOGIS PENDERITA KANKER PAYUDARA POST MASTEKTOMI DI RSUP SANGLAH DENPASAR TAHUN 2014

Sri Guntari, Gusti Agung, Suariyani, Ni Luh Putu

ARCHIVE OF COMMUNITY HEALTH Vol 3, No 1 (2016)
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Abstract

Cancer is a non-communicable disease and remains a public health problem in the world. The type of cancer commonly found in women is breast cancer. Advancements in medical technology have led to new treatments for breast cancer, one of them is the mastectomy. This treatment can affect the physical and/or psychological aspect of the patient. The purpose of this study was to know patients condition with breast cancer at the Sanglah Hospital Denpasar from physical and psychological aspects post-mastectomy. This research was a cross-sectional descriptive study. This study involved 41 respondent with breast cancer post-mastectomy with consecutive sampling. Results showed that 34.1% of respondents were below 40 years old and 51.2% had low education level. In physical aspects, the result showed that most breast cancer post-mastectomy patients had a good physical condition (48.8%) and about 53.7% were unproductive. In psychological aspects, 56.1% patients had minimal depression level, and 90.2% patients had positive body image. Among patients with the bad physical condition, 91.7% were unproductive. Meanwhile, 50% of patients with depression were unproductive and 50% of patients with negative body image were also unproductive. Most of the patients were still unable to do formal work. Therefore, it is advised that patients participate in light physical activities to increase productivity with the possibility of producing something with economic value. Those efforts are part of tertiary prevention, especially rehabilitation process.

KESEHATAN PARIWISATA: ASPEK KESEHATAN MASYARAKAT DI DAERAH TUJUAN WISATA

Ady Wirawan, I Made

ARCHIVE OF COMMUNITY HEALTH Vol 3, No 1 (2016)
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Abstract

PEMANFAATAN LIMBAH CAIR INDUSTRI PENGOLAHAN TAHU UNTUK MEMPRODUKSI SPORA BACILLUS THURINGIENSIS PENDAHULUAN P SEROVAR ISRAELENSIS DAN APLIKASINYA SEBAGAI BIOKONTROL LARVA NYAMUK

purnama, sang gede ( PS. Ilmu Kesehatan Masyarakat, Fak. Kedokteran Universitas Udayana ) , Pandy, Deny SIlvina, Sudiana, I Gede

ARCHIVE OF COMMUNITY HEALTH Vol 1, No 1 (2012)
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Abstract

Dengue Hemorrhagic Fever (DHF) in Indonesia, was a public health problem that could not behandled properly until this. This ma! er was proven by always ? nding the number of denguecases continued to increase each year and o$ en cause death.Based on some study found that the use of the bacterium Bacillus thuringiensis serovar israeliensis(BTI) as bioinsektisida that was proven to be more safe, e? ective and selective in kill mosquitolarvae of Ae. aegypti. Barrier of the use of this bioinsektisida was its price that was expensive,because of being produced by synthesis media. Therefore, researchers was interested to be able to produce Bti with soybean liquid waste knew that during this o$ en coused water pollution. It isexpected produced BTI with a relatively cheaper price compare than produced by BTI synthesismedia.To be able to prove the liquid soybean waste could be used as a medium BTI than conductedtrials with Bti 4Q1 inoculated in wastewater soybean and Nutrient Broth (synthetic media), andthen compare the number of spores produced from both media. This study was conducted in theBioscience and Biotechnology laboratory, Udayana University, for two months.The results of this study show the liquid soybean waste proved to be able to produce sporesin greater numbers than NB. Apart from the pathogenicity test conducted BTI obtained resultsthat was produced by the liquid soybean waste to have the power to kill a higher than NB. Theadvantages of this study include: media materials was cheap, reduce water pollution, and easyto get it.

GAMBARAN FAKTOR YANG BERHUBUNGAN DENGAN PENDERITA KUSTA DI KECAMATAN TAMALATE KOTA MAKASSAR

Manyullei, Syamsuar ( Bagian Kesehatan Lingkungan FKM Universitas Hasanudin, Makasar ) , Utama, Deddy Alif, Birawida, Agus Bintara ( FKM Universitas Hasanudin )

ARCHIVE OF COMMUNITY HEALTH Vol 1, No 1 (2012)
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Abstract

Leprosy is an infectious disease caused by Mycobacterium leprae. Based on data from PemerintahKota Makassar (2007), Tamalate sub district is an area in which new cases detection are quitehigh every year (Makassar as many as 15 cases per year). This research aims to explore the factorsassociated with lepers in the Tamalate District of Makassar. Determinants of lepers are knowledge,age, gender, physical contact and personal hygiene.This research is driven by observational study with descriptive approach. Study populationincludes all lepers living in Tamalate District and registered since January 2008 - December2011 from four health centers in the district. The sample is lepers currently on treatment or have completed treatment (RFT) aged ? 15 years. Thus, sampling method uses exhaustive samplingwith a sample size of 51 people and the data are analysed with univariate dan bivariate analysis.These results indicate that, 66.7% lepers have su?  cient knowledge about leprosy, 78.4% leperswere 15 years old or older when they began to be diagnosed as lepers, 60.8% lepers are male,84.3% lepers are at high risk of infected leprosy regarding to physical contact, and 49% lepershave good personal hygiene.Lepers have su?  cient of knowledge about leprosy, lepers were 15 years old or older when theybegan to be diagnosed as lepers. Most of lepers are male, lepers have good personal hygiene.Thus, this research recommends to increase health promotion on leprosy, minimize physicalcontact with lepers, and improve personal hygiene such as maintaining to wash hands.