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INDONESIA
Community Health
Published by Universitas Udayana
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Jurnal Community Health terbit empat kali setahun, yaitu bulan Januari, April, Juli, dan Oktober. Jurnal CH menerbitkan hasil penelitian mahasiswa yang berhubungan dengan kesehatan masyarakat seperti kebijakan kesehatan, kesehatan ibu dan anak, kesehatan lingkungan, gizi kesehatan masayarakat, kesehatan kerja, promosi kesehatan, ekonomi kesehatan, manajemen kesehatan serta ilmu ilmu dasar yang berkaitan seperti bioteknologi kesehatan, biologi molekuler, bioinformatik dan genetik, tanaman, hewan, serta sel yang terkait dengan kesehatan masyarakat.
Articles 44 Documents
Persepsi Karyawan Hotel Tentang Hiv/Aids Di Kota Denpasar Tahun 2012 Ksamawan, Adi
Community Health Vol 1, No 1
Publisher : Community Health

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Abstract

The number of cumulative AIDS cases from 1987 to June 2012 in Indonesia, based on the type of work dominated by three groups, that is self-employed, housewives, and employees. The government is very concerned with issues of HIV / AIDS on labor so that the theme which was appointed to commemorate World AIDS Day 2011 is devoted to the protection of industrial and workers from HIV/AIDS. This theme is associated with a strategy for HIV/AIDS globally in 2011-2015 is “Getting to Zero”, which one of his vision is zero discrimination. These efforts are expected to reduce the negative stigma and discrimination against People Life With HIV/AIDS (PLWHA) in particular to workers. The purpose of this study was to get an overview of the perception of hotel employees in Denpasar about HIV/AIDS. This research is a quantitative explanatory using cross-sectional approach. The sample was 115 people were taken to the multi-stage random sampling technique. Data were collected using a questionnaire and then analyzed descriptively. The results showed that more than half of respondents had a low level of knowledge about HIV/AIDS and the level of knowledge from respondents there is no a significant difference viewed from the education, age and income. The perception of the respondents about HIV/AIDS almost equal between the “negative perception” and “positive perception” however, “negative perception” tend to be large than the “positive perception”.
Tingkat Kelangsungan Penggunaan Kontrasepsi IUD di Klinik Catur Warga PKBI Daerah Bali Tahun 2012 Astariani, Komang Deri
Community Health Vol 1, No 1
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In the 1970s until the 1990s, IUD is the primary contraceptive method of choice. However, the use of IUD has decreased from year to year. IUD is an effective contraception to be used  in a relative long term. So, it is important to know it the survival of IUD usage and  continuity and the determinants. This study is a retrospective cohort study methods. The sample of this study was 128 IUD acceptors who visit Catur Warga Clinic PKBI Bali March – April 2012. The data were extracted from the medical records and analyzed by using the survival analysis methods. The results of this study showed the IUD continuation rates were 82%, 71% and 44% at 6, 12 and 24 months respectively. The median survival was 26 months. The factor of age (p = 0.301), occupation (p = 0.932), parity (p = 0.607), side effects (p = 0.120), level of education (p = 0.810) and the demand of having a child (p = 0.245) didn’t significantly affect the continuity of IUD use. The survival analysis methods continuation rate of IUD use decrease almost twice after 18 months be used as an alternative statistics test in the analysis of the influence of independent variables with dependent variables which is associated with the time of a certain events. An appropriate method is needed to obtain the corresponding cohort. Information should be provided toward family planning acceptors about the benefit of IUD other longterm contraceptive methods.
Lama Rawat Inap Penderita Diare Akut Pada Anak Usia Di Bawah Lima Tahun Dan Faktor Yang Berpengaruh Di Badan Rumah Sakit Umum Tabanan Tahun 2011 Widiantari, Gusti Ayu Dewi
Community Health Vol 1, No 1
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The purpose of this study was to determine the average length of stay (ALOS) of acute diarrhea among children under five years old as well as identify factors that influence it. This study uses a retrospective cohort design, where 147 acute diarrhea patients under five years old in BRSU Tabanan during January-June 2011 was defined as the cohort members and 101 out of them was selected randomly as the study samples. Secondary data was collected by reviewing medical records of a sample file. Then analyzed using  survival analysis with the Life Table method, Kaplan-Meier and Cox regression. The study results indicate that the ALOS of acute diarrhea among children under five years old was 103 (CI 95%: 94.5-112.1) hours. The ALOS among infant and patients with severe dehydration were108.2(CI 95%: 95.5-120.1) and 157.2(CI(95%:132.4-181.9) hours respectively. Infant and severe dehidration significant effect on the length of stay of acute diarrhea in children under five years old with HR = 2.02(95%CI:1.5-3.9) and 12.2(95% CI: 5.1-29.2) respectively. The ALOS of acute diarrhea  in children under five years old at Tabanan BRSU was 103 hours, it was exceed WOH standards are set for four days. Severe dehidration and age under 12 years old effect on the length of stay. It is advisable for management to improve the quality of hospital inpatient services to conform to standards established by WHO
Media Massa Yang Diminati Dan Sering Diakses Remaja Berpengaruh Terhadap Tingkat Pengetahuan Kesehatan Reproduksi Pada Remaja Sma Di Kota Denpasar Tahun 2012 Prawira, I Made Yuda
Community Health Vol 1, No 1
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Youth is the one of risk group in reproductive health. From all cases, the majority of HIVAIDS was occurred between 15-25 years old. To gain information of reproductive health, youth is prefer to choose mass media as a prior information source. This study aims to examine the influence between mass media of interest with the knowledge level of reproductive health among senior high school youth in Denpasar 2012. This study was analytical study with quantitative method and cross sectional design. Samples of 120 eleventh grade students both male and female were selected using stratified cluster sampling. Data were collected via questionnaire and analyzed statistically using chi square test. The result shows that the student’s knowledge was moderate (64.2%). Mass media of interest and frequently accessed by youth to gain reproductive health information were website (40.8%), television (24.2%), and magazine (6.7%). Among those media, the highest knowledge was gained from magazine (50%), but unfortunately youth has less interest to gain information from magazine. Mass media which is interested and frequently accessed by youth was significantly related with knowledge level of reproductive health among senior high school youth (p = 0,048). The Recommendation is The Department of Health, The National Health AIDS Commision and NGO’s which is concern to reproductive health commence to develop a recent, appropriate, and high grade reproductive health information on a website.
Status Gizi Anak Baru Masuk Sekolah di Kota Denpasar Suastiti, Ni Made Ayu
Community Health Vol 1, No 1
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The proportion of newly enrolled elementary students at age 6-9 years in city of Denpasar in 2007 that consider as stunted was 36,1%. Proportion of thin boys was 9,2% and thin girls 7,4%. Meanwhile, boys and girls who were overweight was 18,3% and 11,5%, respectively. Newly enrolled elementary students are risk of getting nutritional problem either under or overweight. The aim of this study was to analyze the nutritional status of newly enrolled elementary students in City of Denpasar in 2011 based on antropometric indexes including weight for age, height for age and BMI for age. This was an observational study that applying cross sectional desigen. There ware 300 samples in the study that were selected by cluster random samplin method. The data for determining the nutritional status of the children was obtain and analyzed from report of the newly enrolled elementary students health screening in 2011. It than was presented in either table or description. It was found that based on BMI for age index more than half of the children 59,30% had normal nutritional status, 26,70% was overweight and 14,00% was undernourishhed.newly enrolled elementary students, body weight, nutritional status
Status Gizi Anak Baru Masuk Sekolah di Kota Denpasar Suastiti, Ni Made Ayu
Community Health Vol 1, No 1
Publisher : Community Health

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Abstract

The proportion of newly enrolled elementary students at age 6-9 years in city of Denpasar in 2007 that consider as stunted was 36,1%. Proportion of thin boys was 9,2% and thin girls 7,4%. Meanwhile, boys and girls who were overweight was 18,3% and 11,5%, respectively. Newly enrolled elementary students are risk of getting nutritional problem either under or overweight. The aim of this study was to analyze the nutritional status of newly enrolled elementary students in City of Denpasar in 2011 based on antropometric indexes including weight for age, height for age and BMI for age. This was an observational study that applying cross sectional desigen. There ware 300 samples in the study that were selected by cluster random samplin method. The data for determining the nutritional status of the children was obtain and analyzed from report of the newly enrolled elementary students health screening in 2011. It than was presented in either table or description. It was found that based on BMI for age index more than half of the children 59,30% had normal nutritional status, 26,70% was overweight and 14,00% was undernourishhed.
Kejadian Kanker Serviks Di Puskesmas II Denpasar Selatan Tahun 2012 Astuti, Ni Nyoman Metri
Community Health Vol 1, No 1
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Cervical cancer is a chronical disease that occurs on woman’s cervix. The mortality rate of this cancer in Indonesia is around 90 – 100 cases among 100.000 woman per year. Cases of cervical cancer can be influenced by several factors: age, age at the first sexual intercourse, multiple sex partners, number of marriage, parity, history of genital disease, and the level of knowledge.  The purpose of this research is to determine the incidence of cervical cancer among the productive-aged woman in Primary Health Care II of South Denpasar. The study design was a cross sectional descriptive study. Sampling in this study using a systematic random sampling of women in reproductive age who done a pap smear in Puskesmas II Denpasar Selatan as many as 40 WUS. Based on research conducted on WUS in the working area of the Puskesmas II Denpasar Selatan can be seen that the incidence of cervical cancer was 25%. It show the high incidence of cervical cancer, therefore early detection is needed especially women in reproductive age.
The Analysis of Ability and Willingness to Pay of Inpatients in Kapal Badung Hospital Waty, Putu Linda Astrini
Community Health Vol 1, No 1
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The Kapal Badung district hospital has become a class C hospital with a status as district public service body since late 2010.  The hospital revenue had increased during year 2009 to 2011, yet the hospital is still subsidized by the government. Therefore, in its development, the hospital is expected to be able to do tariffs improvement, which is influenced by ability and willingness to pay for health care. The aim of this research is to measure the ability and willingness to pay of inpatient services in the Kapal Badung Hospital. This research was descriptive which describes ability and willingness to pay of inpatients in the Kapal Badung Hospital. The design employed in this research was cross-sectional in which the measurement was conducted at a point in time. The number of sample in this research was 261 persons. The average of third class patients’ willingness to pay was Rp. 279.985; second class was Rp. 297.995; first class was Rp. 443.557, and VIP class was Rp. 950.796. Meanwhile, the ability to pay of the third class patients was Rp. 22.777; second class was Rp. 42.500; first class was Rp. 42.500, and VIP class was Rp. 241.667. Generally, the ability to pay of the first, second, third and VIP classes were higher than the prevailing tariffs. Community’s willingness to pay for in-patient services in the Kapal Badung Hospital for the second, third and VIP classes were lower than tariffs, nevertheless the willingness to pay of the first class patients was higher than the prevailing tariff.
Penerimaan Vaksinasi Kanker Serviks Pada Siswi SMA Di Kabupaten Badung Tahun 2012 Christine, Ary
Community Health Vol 1, No 2
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Vaksinasi kanker serviks merupakan suatu upaya pencegahan primer dalam mencegah penyakit kanker serviks yang diperkenalkan pada tahun 2006. Kesuksesan program vaksinasi kanker serviks ini tergantung dari level penerimaan masyarakat terhadap program tersebut. Kabupaten Badung merupakan kabupaten pertama di Indonesia yang memiliki kebijakan pemberian vaksinasi kanker serviks gratis pada siswi SMA. Saat ini belum diketahui respon siswi SMA terhadap program tersebut. Penelitian ini bertujuan untuk mengetahui penerimaan vaksinasi kanker serviks pada siswi SMA di Kabupaten Badung. Penelitian ini merupakan penelitian dengan rancangan observasional deskriptif. Sampel penelitian ini adalah 96 siswi SMA pada seluruh SMA Negeri di Kabupaten Badung yang dipilih secara cluster random sampling. Sebagian besar tingkat pendidikan orang tua sampel adalah SMA dan bekerja sebagai pegawai swasta. Data dikumpulkan melalui wawancara dengan kuesioner kemudian dianalisis secara deskriptif dan uji chi quare dengan tingkat kemaknaan 5%. Penerimaan vaksinasi kanker serviks pada siswi SMA di Kabupaten Badung sangat baik. Sebesar 75% siswi SMA melakukan vaksinasi kanker serviks dengan sukarela. Sebesar 80,2% siswi SMA memiliki sikap positif dan 51% memiliki kepercayaan yang tinggi terhadap vaksinasi kanker serviks. Tidak terdapat perbedaan yang signifikan tingkat kepercayaan berdasarkan tingkat pendidikan orang tuanya ( p = 0,289). Dari seluruh siswi yang memiliki tingkat kepercayaan tinggi, 93,9% memiliki sikap positif terhadap vaksinasi kanker serviks (p = 0,001 CI 95% = 2,126- 29,464). Selain itu, dari seluruh siswi SMA yang memiliki sikap postif terhadap vaksinasi,  90,9% bersedia melakukan vaksinasi secara sukarela (p = 0,000 CI 95% = 16,187- 446,335). Motivasi siswi SMA dalam vaksinasi bervariasi, antara lain: 59,4% karena biaya gratis, 92,7% terdorong informasi saat penyuluhan, 93,8% terdorong oleh orang tua, 90,6% terdorong anjuran guru, 91,7% dipengaruhi rekomendasi dokter, dan 70,8% pengaruh dari teman sebaya. 
Faktor-Faktor Manajerial Yang Melatarbelakangi Tingginya Kejadian Jumlah Pasien Dengan Dekubitus (Indikator Patient Safety) Pada Pasien Rawat Inap Di Rumah Sakit Umum Puri Raharja Tahun 2012 Sanjaya, I Dewa Gede Windu
Community Health Vol 1, No 2
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Patient Safety di rumah sakit adalah suatu sistem dimana rumah sakit membuat asuhan pasien lebih aman. Dalam konsep Patient Safety ada beberapa Indikator dalam menentukan kondisi keselamatan pasien saat menerima perawatan di instalasi rawat inap rumah sakit, salah satunya adalah jumlah penderita dengan dekubitus. Data tahun 2010 menunjukkan kejadian dekubitus di RSU Puri Raharja mencapai 45% dari target maksimal yang ditetapkan yaitu <25%. Hal ini menunjukan kejadian dekubitus sangat tinggi. Sehingga penelitian ini dilakukan untuk mengetahui faktor-faktor manajerial yang melatarbelakangi tingginya kejadian pasien dengan dekubitus pada penerapan konsep patient safety di instalasi rawat inap RSU Puri Raharja. Penelitian ini merupakan penelitian observasional deskriptif menggunakan  pendekatan cross-sectional dengan 9 orang responden perawat dan staf manajemen yang dipilih menggunakan metode purposive sampling. Data dikumpulkan menggunakan pedoman wawancara dengan melakukan in-depth interview dan dianalisis secara kualitatif. Kesimpulan dari penelitian adalah faktor-faktor manajerial yang melatarbelakangi tingginya kejadian pasien dengan dekubitus adalah Fungsi Controlling yaitu Supervisi dan Monitoring, Sistem Pencatatan dan Pelaporan, Evaluasi, Audit Medis, dan Alur Penyampaian Informasi kepada keluarga. Tidak semua fungsi manajemen (planning, organizing, actuating) diterapkan dalam program ini. Saran yang diberikan untuk unit pelayanan medik dan penunjang, agar lebih intensif melakukan supervisi dan monitoring. Memperbaiki metode pendokumentasian parameter didalam patient safety khususnya pasien dengan dekubitus. Dan  memperbaiki proses desiminasi hasil evaluasi, sehingga diketahui oleh seluruh perawat.