ANALYSIS HEALTH PROBLEMS OF DENGUE HEMORRHAGIC FEVER IN THE WORKING AREA OF THE KEDIRI CITY HEALTH SERVICE

Dengue Hemorrhagic Fever is still an endemic disease in more than 100 countries, including Indonesia. Every year Dengue Hemorrhagic Fever breaks out into outbreaks in several areas and becomes a public health problem in general in Indonesia. The incidence rate of Dengue Hemorrhagic Fever in Kediri City in 2023 exceeds the Regency/City target, namely >10 per 100,000 population. The research aims to analyze health problems in the Dengue Hemorrhagic Fever program in the Kediri City Health Service Work Area in 2023. This research is an observational descriptive study conducted in the Kediri City Health Service Work Area in July-August 2023. Problem prioritization uses the USG method (Urgency, Seriousness, Growth). Root causes of problems using Fishbone and providing alternative problem solving. The research results showed that the priority problem of the Dengue Hemorrhagic Fever program at the Kediri City Health Service in 2023 was the lack of public awareness in doing the 3M Plus Mosquito Nest Eradication (PSN 3M Plus). The root causes of the problem are a lack of public knowledge, a lack of public attention to health, a community that relies on cadres, the influence of livelihoods on mosquito breeding, an environment that is a breeding ground for mosquitoes, a lack of socialization and training for cadres and the community, no educational media; lack of facilities and infrastructure for cadres. Alternative problem solving that can be provided is socialization, community service, and holding 3M Plus application competitions in the form of implementing PSN in sub-districts/villages and public places

HUBUNGAN PENGETAHUAN DAN SIKAP DENGAN KEIKUTSERTAAN PEMERIKSAAN IVA PADA WUS DI WILAYAH KERJA PUSKESMAS BALONGSARI

Di negara Indonesia, kanker serviks menjadi penyakit kanker yang mempunyai angka kasus dan kematian terbesar kedua. Biasanya, kanker serviks tidak menimbulkan gejala saat tahap awal sehingga penting dilakukan deteksi dini seperti pemeriksaan IVA guna membantu menurunkan angka kasus dan kematian. Salah satu Puskesmas di Kota Surabaya yakni Puskesmas Balongsari menjadi yang mengalami penurunan cakupan pemeriksaan IVA sejak tahun 2019-2022. Kurangnya pengetahuan dan sikap terkait pemeriksaan IVA menjadi faktor penghambat untuk tidak melaksanakan pemeriksaan IVA. Penelitian ini mempunyai tujuan guna menganalisis hubungan serta besar risiko pengetahuan dan sikap dengan keikutsertaan WUS dalam pemeriksaan IVA di wilayah kerja Puskesmas Balongsari pada Januari-Maret 2023. Penelitian ini tergolong penelitian analitik observasional dengan desain case control. Sebanyak 46 sampel kontrol serta 46 sampel kasus diambil dari 5.820 WUS dengan simple random sampling. Data mengenai status pekerjaan, pengetahuan, tingkat pendidikan, serta sikap responden dikumpulkan menggunakan kuesioner serta dianalisis secara bivariat memakai uji chi square. Hasil pada penelitian ini menjelaskan bahwasanya kebanyakan responden mempunyai pengetahuan dan sikap yang baik (57,6%). Analisis bivariat variabel pengetahuan dengan keikutsertaan pemeriksaan IVA menghasilkan p-value = 0,000 dengan besar risiko atau OR = 16,923. Sementara analisis bivariat variabel sikap dengan keikutsertaan pemeriksaan IVA menghasilkan p-value = 0,003 dengan besar risiko atau OR = 4,026. Bisa disimpulkan bahwasanya pengetahuan dan sikap berkaitan secara relevan dengan keterlibatan pemeriksaan IVA pada wanita usia subur di wilayah kerja Puskesmas Balongsari

Maternal complications and risk factors for mortality

Background: Maternal mortality could be prevented through early detection, including the period preceding pregnancy. Women of childbearing age are faced with extreme uncertainties, hence the purpose of this study was to analyse maternal complications and the possible high-risk factors connected to maternal mortality.Design and methods: A case-control study was used to study the causes of maternal mortalities amongst pregnant, delivering, and postpartum mothers between 2017 and 2018. A total sample size of 48 samples was selected through simple random sampling. Results: The result of logistic regression analysis showed nutritional status, prominence of anemia, history of illness, age, antenatal care ANC examination, method of delivery, late referral, occupational status, as well as postpartum complications, as the most influencing risk factors. This very high significance for maternal mortality was based on the chi-square value of 109.431 (p equal to 0.000), and R square (0.897). Conclusions: In conclusion, the potential risk factors of maternal mortality include nutritional status, state of anemia, history of illness, age, ANC examination, delivery method, late referral, occupational status, and pregnancy complications, which is specifically the most dominant factor

Religious Leader’s Support toward Individual at Risk ofHIV/AIDS to Attend Voluntary Counselling and Testing Service

Religious leader is a figure who is believed to have the gift of healing. A person with illness will follow any advice the religious leader gives for his/her recovery.Based on the phenomenon, religious leader is a potential local figure to give support for individuals at risk of human immunodeficiency virus (HIV) andacquired immune deficiency syndrome (AIDS). This study aimed to determine factors related to religious leader’s support toward individuals at risk of HIV andAIDS to attend voluntary counselling and testing (VCT) service. This study was an observational analytical with cross-sectional design. The population of thisstudy was religious leader in Kupang City. The sample size was 70 people selected through random sampling technique. The data were collected using questionnaire and analyzed using chi-square and multiple logistic regression test. Factors significantly related to the religious leaders supports’ for individuals atrisk of HIV and AIDS to get VCT were knowledge (OR = 9.01; 95% CI = 1.73 - 47.07), servant leadership (OR = 11.67; 95% CI = 2.44 - 55.84, trust (OR =11.55; 95% CI = 2.35 - 56.70) and perception (OR = 6.12; 95% CI = 1.26 - 29.71). Social capital had no significant effect on the religious leader support’s (OR= 1.06; 95% CI = 0.22 - 5.12). It is necessary to improve religious leader’s knowledge of HIV and AIDS

Narrative stories of high risk sexual behaviors among adolescents in Makassar City

Background: Dating behavior by some Indonesian adolescents is against the social norms of the society, showing moral gaps and psychosocial unconventionality. Several challenges emanate from this issue, including risk behavior-sexual intercourse. This research aims to describe the adolescents’ risk behavior-sexual intercourse in Makassar City. Design and Methods: The study uses a narrative qualitative approach with a criterion sampling technique. Three adolescents who participated in this research: two males and one female, between 17 and 19 years of age. The data are obtained through an in-depth interview based on the guideline from to Adolescent Health and Development Questionnaire by Jessor. Results: The result shows that risk behavior such as premature sexual intercourse is caused by high risk factors, including behavior, opportunity, models, and vulnerability risks. The moderator effect of protection form protective factors, such as behavior, controls, models protection and supports protections toward risk factors, play less significant roles in minimizing the possibility of indulging in risk behavior in sexual intercourse and in dating. Conclusions: The risk of sexual intercourse starts from dating, which leads to sexual intercourse. Additionally, this issue is also attributed to the risk and protective factors, affecting preparation for adulthood, personal development, and healt

ANALISIS DETERMINAN KEMATIAN MATERNAL PADA MASA NIFAS DI KABUPATEN SIDOARJO TAHUN 2012

Angka Kematian Ibu (AKI) di Indonesia cukup tinggi, yaitu 359 per 100.000 kelahiran hidup (SDKI 2012). AKI merupakan indikator kesehatan ibu, terutama risiko kematian bagi ibu saat hamil dan melahirkan. Sebagian besar kematian maternal terjadi pada dua hari pertama setelah melahirkan dan pelayanan pasca persalinan diperlukan untuk menangani komplikasi setelah persalinan. Kabupaten Sidoarjo memiliki kasus kematian maternal pada masa nifas masih tinggi, sehingga diperlukan studi untuk mengetahui determinan yang mempengaruhi kematian maternal pada masa nifas di Kabupaten Sidoarjo. Penelitian bertujuan untuk menganalisis determinan yang berpengaruh terhadap kematian maternal pada masa nifas. Penelitian ini merupakan penelitian observasional dengan studi kasus kontrol. Jumlah sampel 21 kasus dan 42 kontrol. Analisis data dilakukan secara univariat, bivariat dengan chi square test, dan multivariat dengan regresi logistik ganda. Hasil penelitian menunjukkan bahwa determinan yang mempengaruhi kematian maternal pada masa nifas berdasarkan analisis multivariat adalah pre-eklamsia/eklamsia (OR = 20,98; 95%CI : 2,250 – 323,416; p = 0,008) dan komplikasi persalinan (OR = 5,47; 95%CI : 1,356 – 22,022; p = 0,017). Probabilitas ibu untuk mengalami kematian maternal pada masa nifas dengan memiliki faktor risiko tersebut di atas adalah 92,9%. Penelitian ini merekomendasikan perlunya pengenalan dini tanda – tanda komplikasi dalam kehamilan, persalinan, dan nifas, terutama tanda bahaya pre-eklamsia/eklamsia, persiapan rujukan, dan perencanaan kehamila

The Prevalence of Intestinal Bacteria due to Hand Washing Habit and Snacking among Elementary School in Surabaya

Elementary school age is the age which child really loved to play and to buy snacks at school. Therefor, there are so many health problems could treaten the elementary school aged children. The objectives of this study are to calculate the prevalence of intestinal bacteria on the elementary school aged children and to descriptive the intestinal bacteria whereabout duo on children’s hand washing and snacking habit at school. A descriptive observational with cross sectional design was used. Samples are 58 students at Elementary school in Wonokromo District,Surabaya. Data were collected using uestionnaire and by examining the feces which taken and brought at the morning as requested. Laboratory testing was done to identify instestinal bacteria in feces.The results showed that prevalence of the intestinal bacteria in the elementary school aged children is 6.89%. The types of bacteria which found are Escherichia coli O157:H7 and Shigella flexeneri. The prevalence of intestinal bacteria on children who always wash their hand is 4.2% and 13.6% founded in them who do it occasionally. The prevalence of intestinal bacteria on children who loved to buy snack at school is 6.9%. The result showed that there are only 3 children who didn’t buy any snack at school

FAKTOR RISIKO KEJADIAN DIFTERI DI KABUPATEN BLITAR TAHUN 2015

Latar belakang: Difteri merupakan penyakit yang masih menjadi kejadian luar biasa (KLB) dan menyebabkan kematian. Tujuan: Menganalisis faktor risiko kejadian difteri di Kabupaten Blitar Tahun 2015. Metode: Penelitian observasional-analitik dengan desain case control. Sampel pada kelompok kasus adalah penderita difteri (42 orang) dan pada kelompok control adalah bukan penderita difteri (84 orang). Variabel independen yaitu usia, status imunisasi, kelembaban ruangan, pencahayaan, ventilasi, keberadaan hunian, dan keberadaan sarana pelayanan kesehatan. Analisis data dilakukan dengan uji regresi logistik. Hasil: Hasil penelitian menunjukkan usia OR = 3.94, kelembaban ruangan OR = 60.00, pencahayaan OR = 16.59, ventilasi OR = 22.42, keberadaan sarana pelayanan kesehatan OR = 8.87 berhubungan dengan kejadian difteri. Faktor risiko terhadap kejadian difteri yaitu kelembaban ruangan (OR=29.983) dan pencahayaan (OR=5.115) Simpulan dan saran: Faktor risiko terhadap kejadian difteri yaitu kelembaban ruangan dan pencahayaan. Penelitian selanjutnya dapat menggunakan cakupan wilayah yang lebih sempit agar diketahui pengaruh faktor lingkungan yang spesifik terhadap kejadian difteri

A cross-sectional study: a hypertension screening model using digital tensimeter as the gold standard at public health centre in Gianyar Regency, Bali Province, Indonesia

The number of patients with hypertension in Gianyar Regency tent to increase in recent years. Hypertension is the first among the tenth rank from the most common diseases, with 23% cases according to the priority scale. Hypertension treatment and management include prevention, early diagnosis, diagnosis with therapy, and screening to detect early hypertension disease. This screening includes elderly >40 years old who come to Public Health Centre in September 2021. The screening uses a questionnaire to uphold the diagnosis of hypertension disease by using a digital tensimeter as the gold standard. Based on World Health Organisation in 2018, which said it would be confirmed as hypertension if systolic ≥140 mmHg or diastolic ≥90 mmHg. 86% of 255 respondents were diagnosed with hypertension, that’s 40% were >65 years old, 75% were female, and 31% worked as housewives. The screening tool with a question list of dizziness has a sensitivity value of 99%, a specificity value of 73% with a Positive Predictive Value (PPV), and each value of Negative Predictive Value (NPV) is 96% and 89%, respectively. Headache contains a sensitivity value of 90%, a specificity of 100%, with PPV value of 100% and NPV value of 61%. The combination of symptoms of dizziness and headache has a sensitivity value of 76%, and a specificity value of 82%, with PPV of 96% and NPV of 36%. Clinical symptoms are considered an early diagnosis of hypertension. If people who experience complaints of dizziness, headaches, or a combination of the two should immediately check their blood pressure as early as possible