39 research outputs found

    DETERMINAN PENGGUNAAN KONTRASEPSI PADA IBU DI PUSKESMAS MANAGAISAKI

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    ABSTRAK   Latar Belakang : Salah satu upaya yang dilakukan untuk menangani masalah kependudukan adalah dengan menggalakkan program keluarga berencana. Keluarga berencana merupakan upaya peningkatan kepedulian dan peran serta masyarakat melalui pendewasaan usia perkawinan, pengaturan kelahiran, pembinaan ketahanan keluarga, peningkatan kesejahteraan keluarga untuk mewujudkan keluarga kecil, bahagia dan sejahtera. Penggunaan alat kontrasepsi merupakan salah satu cara untuk mengatasi permasalahan yang berhubungan dengan fertilitas. Penggunaan kontrasepsi tidak hanya dipengaruhi oleh faktor individu, faktor sosial seperti pengaruh keluarga dan masyarakat juga mempengaruhi penggunaan kontrasepsi. (BKKBN, 2007) Tujuan penelitian : Diketahuinya determinan penggunaan kontrasepsi pada ibu  di Puskesmas Managaisaki. Metode Penelitian : Jenis penelitian analitik dengan rancangan cross sectional study, sampel dalam penelitian ini sebanyak 98 responden dengan tekhnik pengambilan sampel secara accidental sampling. Hasil Penelitian : hasil penelitian menunjukkan sebagian besar ibu menggunakan kontrasepsi 62 (63,27%), sebagian besar ibu memiliki pengetahuan yang baik yaitu sebesar 65 (66,33%), sebagian besar responden berpendidikan rendah yaitu berjumlah 52 (53.06%),  dan sebagian besar Ibu mempunyai status ekonomi kurang yaitu berjumlah 56 (57.14%).  hasil uji statistik variabel pengetahuan, pendidikan dan status ekonomi berhubungan dengan penggunaan kontrasepsi. Kesimpulan : Terdapat hubungan bermakna antara pengetahuan, pendidikan dan status ekonomi berhubungan dengan penggunaan kontrasepsi. Saran : Bagi Puskesmas Managaisaki, sosialisasi tentang keluarga kecil perlu ditingkatkan, untuk menjadi motivasi dalam merencanakan keluarga dimasa yang akan datang, Perlu kerjasama lintas sektor (Puskesmas dan BKKBN) untuk menyediakan subsidi biaya pembelian alat kontrasepsi dan jasa pelayanan agar memudahkan akses masyarakat terhadap penggunaan kontrasepsi.   Kata kunci : Kontrasepsi, ib

    ANALISIS FAKTOR YANG MEMPENGARUHI KINERJA PENGAWAS LAPANGAN PADA PELAKSANAAN PROYEK PENINGKATAN JALAN DI KABUPATEN MOROWALI UTARA

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    The purpose of this study is to analyze the influence of road supervisors performance on the effectiveness of roadimprovement implementation in North Morowali District. The research method used by distributing questionnairesaddressed to the People's Leadership Council, Regional Planning Board, Inspectorate, Public Works Department andHousing, Office of Transportation and Spatial Planning, Consultant, Stakeholder as user and appraiser of roadimprovement work, all of the collected questionnaires were analyzed statistically using Structural Equation Model(SEM) analysis. Data analysis technique used is statistical analysis technique with multivariate statistic model which is acombination between factor analysis and correlation regression analysis, which aims to test the relationships amongvariables that exist in a model, be it inter-indicator with the construct, or relationship between constructs. The resultsshowed that there is a strong influence between the performance of road supervisors on the effectiveness of theimplementation of road construction in North Morowali District

    The village government’s communication model: A promotion strategy for stunting prevention in Indonesia

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    Background: Stunting remains a significant social issue among the population in Indonesia. Inadequate treatment has led to numerous cases of suboptimal height in children aged 19 years. Objective: This study aimed to explore the strategy of the village government in formulating communication messages, utilizing communication methods, and employing communication media for the stunting alleviation program. Methods: A phenomenological approach was employed, with the research conducted in Pulau Harapan Village, Nine Island District, Sinjai Regency. Data were gathered from the government officials of Pulau Harapan Village through observations, interviews, and documentation. Subsequently, the collected data underwent analysis involving reduction, presentation, verification, and conclusions drawing, facilitated by Atlas TI 8 software. Results: The village government's strategy in crafting stunting alleviation program messages, from socialization to implementation in Harapan Island Village, Nine Island District, Sinjai Regency, revolves around the Two-Step Flow Communication model. The communication methods used include information repetition, channelization, persuasion to alter the target mothers' perceptions, educational methods, and coercion (coerfindings). Media employed include print media, electronic media, and human resource mobilization within Harapan Island Village. Conclusion: The findings of the study provide valuable insights to address the stunting issue in Indonesia

    Ce anomaly in I‒type granitic soil from Kuantan, Peninsular Malaysia: retention of zircon in the weathering product

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    This paper describes the Ce anomaly observed in granitic soil from the humid, tropical area of Kuantan, Pahang, Peninsular Malaysia. Three granite rock soil profiles from Kuantan, were sampled and all samples were analysed for rare earth elements. All the profiles of the granitic soil samples show prominent positive Ce anomalies, with the Ce/Ce* ratio values (Ce/Ce*= CeN/√LaN.PrN) ranging from 1.2 to 125. l. Ce4+ is compatible in zircon because it has also the same charge and a similar ionic radius as to Zr4+ (Ce4+ = 0.97 Å; Zr4+ = 0.84 Å). The retention of zircon in the weathering product of the granitic rocks will increase the Ce content in the soil. Thus it is likely that the positive Ce anomaly in the REE profile of the Kuantan Granites may also have resulted from retention of zircon in the weathering product

    Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

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    Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p<0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p<0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised

    Supplemental materials for paper: HUBUNGAN RIWAYAT PERDARAHAN DENGAN PERDARAHAN POSTPARTUM

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    HUBUNGAN RIWAYAT PERDARAHAN DENGAN PERDARAHAN POSTPARTUM

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    HUBUNGAN RIWAYAT PERDARAHAN DENGAN PERDARAHAN POSTPARTU

    RISIKO PLASENTA RINGAN TERHADAP BBLR

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    Berat badan lahir merupakan salah satu indikator kesehatan bayi baru lahir. Besar kecilnya berat badan lahir tergantung bagaimana pertumbuhan janin intrauterine selama kehamilan. Bayi yang dilahirkan aterm (37 sampai 42 minggu) memiliki berat badan normal 2.500 – 4.000 gram. Beberapa faktor dapat mempengaruhi berat badan lahir bayi yang terdiri dari faktor dari ibu, faktor janin, dan faktor plsent
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