Context, Input, Process, Product Analysis in the Implementation of Iron Supplementation Program in Banyumas, Central Java

Background: Iron supplementation program has been implemented in Banyumas, District, Central Java, but the prevalence of anemia in pregnant women remains as high as 55.37%. The Banyumas District Health Office has launched an ad hoc (temporary) iron supplementation program, namely Hemafort, in order to reduce anemia prevalence. This study aimed to investigate the factors that determine the effectiveness of the iron supplementation program for pregnant women in Banyumas, Central Java.Subjects and Method: This was a qualitative study with case study approach, and CIPP (context, input, process, product) framework. This study was conducted Wangon II and South Purwokerto Health Centers from October to November 2016. Informants were selected by purposive sampling including midwives, nutritional program managers, pharmacists, head of nutrition section, and pregnant women. The data were collected by in-depth interview, observation, and archival review. The data were analyzed by a multiple case study. The data were validated by data source triangulation.Results: The iron tablets coverage for pregnant women reached 94.88% and 89.26% in 2014 and 2015, respectively, in Banyumas. The minimal target of iron coverage for pregnant women was 90%. There was no local government policy or standard operating procedure (SOP) that regulated the efforts to tackle anemia problems in pregnant women. The number of health personnel in charge of nutrition and their competence were sufficient. But reliable budget to tackle anemia problem did not exist. Spending district budget was an exit strategy to take when there was deficiency in central budget allocation. The number of iron supplementation tablets was not guaranteed.Conclusion: The effectiveness of iron supplementation program for pregnant women depends on the existence of relevant policy, SOP, allocation of sufficient and reliable budget, as well as adequate supply of iron tablets.Keywords: iron supplementation tablets, pregnant women, local government, budgetCorrespondence: Purwati. Faculty of Health Sciences, Muhammadiyah University at Purwokerto, Central Java. Email: [email protected]. Mobile: +6285735145236.Journal of Health Policy and Management (2016), 1(2): 113-120https://doi.org/10.26911/thejhpm.2016.01.02.0

Uji Ketahanan Terhadap Tomato Yellow Leaf Curl Virus Pada Beberapa Galur Tomat

Infeksi virus tomato yellow leaf curl virus (TYLCV) merupakan salah satu penyebab rendahnya produksi tomat di Indonesia. TYLCV termasuk ke dalam kelompok Gemini virus yang ditularkan oleh kutukebul (whitefly = Bemisia tabaci). Pengendalian virus TYLCV yang aman dan menguntungkan ialah dengan penggunaan varietas tahan yang merupakan salah satu cara pengendalian hayati penyakit virus. Cara ini mempunyai kelebihan dibandingkan pengendalian menggunakan pestisida dan kultur teknis. Penelitian bertujuan untuk mengetahui tingkat ketahanan 30 galur tomat terhadap virus TYLCV. Penelitian dilakukan di Rumah Kasa Balai Penelitian Tanaman Sayuran di Lembang pada ketinggian 1250 m dpl.. Penelitian dilakukan dari Bulan Agustus sampai dengan Desember 2008. Penelitian menggunakan rancangan acak kelompok yang diulang tiga kali. Hasil penelitian menunjukkan bahwa tiga galur tomat termasuk ke dalam kelompok agak tahan (moderate resistance) yaitu Mirah, 5048, dan 1927 dengan intensitas serangan virus berkisar 11,85–18,98%. Delapan galur tomat termasuk ke dalam kelompok agak rentan (moderate susceptible) yaitu 1176, 823, CL-6064, 1941, 2208, 4377, 4507, dan 1184 dengan intensitas serangan virus berkisar antara 20,55–29,81%. Empat belas galur tomat termasuk ke dalam kelompok rentan (susceptible) yaitu CLN 2026 – 3, CLN – 399, LV 3644, Oval, 5016, 1450, 1923, 1426, 3075, 2204, 4574, 2245, 4968, dan 4491 dengan intensitas serangan virus berkisar 30,92–49,94%. Lima galur tomat termasuk ke dalam kelompok sangat rentan (highly susceptible) yaitu 1217, TKU, 4444, 5014, dan PETO#86 dengan intensitas serangan virus berkisar 51,85–69,14%. Virus TYLCV berpengaruh terhadap pertumbuhan tanaman dan bobot buah tomat

Pelaksanaan Pengawasan Lingkungan Hidup oleh Badan Lingkungan Hidup Kota Pekanbaru (Studi Kasus Usaha Atau Kegiatan Rumah Sakit di Kota Pekanbaru)

As the capital of Riau province, Pekanbaru city is the central of economy. Trading and service are the main sectors. As the economic grows, environment becomes a big issue. Mishandling of environment will create a big impact.One of the instruments in managing the effects of environment is efforts of environmental management and environmental monitoring efforts (UKL-UPL), every hospital has to have this unit. Unfortunately, it has not beem applied properly. It can be seen from the data belongs to Environment Agency Pekanbaru. It said that there are only few that give routines report about the program. This study is aimed to find out the supervision done by Environment Agency to the unit of the hospital in managing and supervising the environment.This is a qualitative descriptive research. Data collecting technique are observation, interview, and documents collected from the informants based on snowball sampling. Writer used supervising theory by Manullang. There are three stage of the supervision, which are; deciding measurement tool (standard) in doing the supervision of the hospital unit, assessing management activity, and monitoring the management activity. Result shows that the supervision by Environment Agency Pekanbaru city to the business unit of hospitals is not maximal yet. The biggest obstacle is internal factor, that there is lack number of officer in Environment Agency, While the external factor is that the doer of the activity only pay a little attention to the activity. Key Word: The Implementation, Supervision, Environmen

The Influence of Innovation Attributes and Level of Trust on Mobile Banking Adoption

The rapid progress and development of information technology has affected the banking industry. The main priority of the Bank is not only about banking but also about services supported by large investments in the field of Information Technology. And Mobile banking is one manifestation of the progress of these technological developments. This research is about two points, first point is attribute innovation that customers need to adopt mobile banking and the second points is trust factors desired by customers from mobile banking providers in order to adopt the service. This research also study about how these two things affect the attitude of the customer and the value of customer to adopt mobile banking. So that research can be a reference for mobile banking provider to develop their services for customer. Because there are various advances in technology that exists today, customer desired not only easy of use but also compatibility Because some telecommunication companies and online sales agencies offer similar functionality to mobile banking. proven in this research is what consumers wanted by the customer is the relative advantage that can be offered by the bank and also the integrity confidence of the bank itself against customer. Thus it is expected that banks can continue to innovate to provide the best service desired by customers, by developing the field of information technolog

Effect of the Levels of the Virgin Coconut Oil Processing Waste (Blondo) on Productive Performance and Egg Quality of Laying Hens

Blondo, a by-product of virgin coconut oil processing, contains a large quantity protein and lactic acid bacteria. The objective of this study was to compare the substituting of Commercial Diet (CD) by Blondo on the performance productions, egg weight as well as yolk cholesterol in laying hens. Completely randomized design was used to analyze the data, one hundred and sixty Isa Brown (19 weeks old) laying hens were observed in this study. Groups were randomly assigned to 4 treatments with 5 replications. Treatment diets were prepared by substituting 0, 7, 14 and 21% with Blondo to commercial layer feed. The results showed that the use of Blondo in CD was significantly (P<0.01) improved feed intake, protein intake and yolk cholesterol as well as to hen day, egg mass, feed conversion ratio and egg weight. The diet containing 7% Blondo resulted the best performance in which hen day production 88.92±1.15%, egg mass production 44.47±1.73 g/d, egg weight, 49.71±0.95 g, feed conversion ratio 2.20±0.07 and provided income over feed cost IDR 12, 822±290/head/period, respectively. The higher the blondo use in CD, the lower the yolk cholesterol. The use blondo up to 21% in a commercial diet decreased yolk cholesterol content until 34.50±7.33 mg/dl. We concluded that Blondo could be used as an alternative ingredient for commercial diet of laying hens. Key words: Blondo level, laying hen, performance production, income over feed cost, cholestero

ANALYSIS OF ESTRADIOL AND PROGESTERONE HORMONE LEVELS AGAINST VARIOUS CELL CULTURE IN TCM- 199 MEDIUMFOR CATTLE IN VITRO

Abstract This research was aimed to obtained data base reproductive hormonal profile of the hormones estradiol and progesterone levels in various cell cultures. Culture cells used are cells fallopian tubes, ampulla, isthmus and follicle cells, whereas the culture period used were 0, 2 and 4 days. Analysis of the hormones estradiol and progesterone levels in various cell culture used ELISA method. Data results obtained are the estradiol hormone levels in various cell cultures and periods of different cultures in TCM-199 medium ie cell treatment Fallopian tubes in culture period 0, 2 and 4 days (9.07; 13.14; 9.00 pg/ml), cell culture period ampulla at 0, 2 and 4 days (9.00; 9.29; 14.39 pg/ml), cell isthmus (9.00; 12.08; 9.00  pg/ml) whereas follicular cells in culture period 0, 2 and 4 days (415.04; 476.67; 376.93 pg/ml). The highest levels of the hormone estradiol on cell cultures, namely follicle cells on the second day culture period (476.67 pg/ml), whereas the lowest in cell cultures, namely follicle cells on the fourth day culture period (376.93 pg/ml). Progesterone levels obtained in the treatment of Fallopian tube cells in culture period 0. 2 and 4 days (24.107; 24.644; 24.474 ng/ml), cell culture period ampulla at 0, 2 and 4 days (24.187; 23.753; 24.254  ng/ml ), cell isthmus (24.071; 24.083; 24.034 ng/ml) whereas follicular cells in culture period 0, 2 and 4 days (26.671; 27.610; 24.034 ng/ml). For progesterone levels in various cell culture and the culture that the treatment period follicle cell culture high on the second day culture period (27.610  ng/ml) and low progesterone levels in cell culture ampulla on the second day culture period (23.753 ng/ml). Keywords: Hormones, Cell Culture and Medium TCM-199  Â

Analisis Perbandingan Fluktuasi Perubahan Volume Waduk Penjalin Dengan Metode Pemeruman Dan Pengukuran Elevasi Muka Air

Waduk Penjalin terletak di wilayah Kabupaten Brebes, Provinsi Jawa Tengah, dibangun sekitar tahun 1930 – 1934. Waduk Penjalin hanya dipergunakan untuk memenuhi kebutuhan air irigasi seluas 29.000 Ha. Sumber airnya selain dari Kali Pemali juga berasal dari air hujan yang jatuh di Daerah Aliran Sungai (DAS) Waduk Penjalin dan yang jatuh langsung ke waduk. Curah hujan tahunan rata-rata di daerah ini berkisar antara 2.750 mm. Pemeliharaan Waduk Penjalin belum dilaksanakan secara serius oleh pengelola. Sejak dibangun tahun 1934 hingga sekarang, baru dilakukan dua kali pemeruman untuk mengontrol Perubahan Waduk Penjalin, sehingga Perubahan secara perodik tidak bisa dideteksi. Dengan kata lain, apabila terjadi Perubahan tidak bisa dilakukan tindak lanjut secara berkala. Volume efektif waduk pada awal mula beroperasi sebesar 9,5 juta. Setelah beroperasi selama 76 tahun diperkirakan volume Waduk Penjalin kurang dari 50%, terbukti dari volumenya sudah tidak dapat lagi mengairi irigasi seluas 29.000Ha