Gambaran Kematian Neonatal Berdasarkan Karakteristik Ibu di Kota Semarang

Background: The Neonatal Mortality Rate of Central Java in 2018 was 7.3 per 1000 live births and the neonatal mortality rate in Semarang City in 2018 was 4.57 per 1000 live births. The purpose of this study was to analyze neoanatal mortality based on maternal characteristics in Semarang City.Methods: This research used descriptive analysis, derived from secondary data in the Semarang City Health Office. The data was taken from Verbal Perinatal Autopsy data sampling from neonatal cases aged 0-28 days who died in Semarang City. In 2019 there were 50 cases out of 101 neonatal death cases.Results: From the analysis showed that neonatal mortality in Semarang City based on the place of delivery were 90% in hospitals with 86% birth attendants assisted by obstetrics and gynecology specialists. Mothers were aged 20-35 years (74%) and 80% have maternal parity less than 3 children, with pregnancy spacing less than 2 years (56%). Beside that, more than 74% mothers have gestational age less than 37 weeks or during the preterm period and 68% of mothers also do Antenatal Care more than 4 times during pregnancy. Most of mothers have hypertension and anemia (20%). Looking at the risk factors, there are 26% of mothers who have a history of abortion, the mother’s age is too old (16%) and childbirth by cesarian section (10%).Conclusion: Neonatal deaths in Semarang City are already numerous in hospitals and delivery assistants by obstetricians. The biggest possibility is that the quality of ANC services is inadequate and not according to ANC-10-T standards

Analisis Pelaksanaan Sistem Pengendalian Manajemen Pelayanan Kesehatan di Unit Pengobatan Penyakit Paru-Paru (Up4) Provinsi Kalimantan Barat

Universitas Diponegoro Fakultas Kesehatan Masyarakat Program Studi Magister Ilmu Kesehatan Masyarakat Konsentrasi Administrasi dan Kebijakan Kesehatan 2018 ABSTRAK Juliyanti Pasorong Analisis Pelaksanaan Sistem Pengendalian Manajemen Pelayanan Kesehatan di Unit Pengobatan Penyakit Paru-Paru (Up4) Provinsi Kalimantan Barat xiv + 129 halaman + 5 tabel + 3 gambar + 7 lampiran Kinerja UP4 Provinsi Kalimantan Barat dalam memberikan pelayanan kesehatan kepada masyarakat sangat bergantung pada keberhasilan pihak manajemen dalam menerapkan SPM sebagai alat untuk mencapai tujuan organisasi. UP4 diperhadapkan dengan permasalahan tidak maksimalnya pelayanan kesehatan yang ditunjukkan dengan belum tercapainya standar indikator nasional penanggulangan penyakit TB paru. Oleh karena itu perlu dilakukan analisis terhadap pelaksanaan SPM di UP4 dalam mendukung upaya dan kinerja UP4 untuk memberikan pelayanan kesehatan yang berkualitas trhadap masyarakat. Desain penelitian ini menggunakan pendekatan deskriptif kualitatif. Pengumpulan data dalam penelitian ini menggunakan metode wawancara, observasi, dan telaah dokumen. Informan utama dalam penelitian ini adalah pihak manajemen yang terdiri dari kepala UP4 dan para kepala bagian, sedangkan informan triangulasi pegawai pada masing-masing bagian/seksi. Pengolahan dan analisis data menggunakan teknik analisis isi. Hasil penelitian menunjukkan bahwa SPM dalam bentuk sistem perencanaan, sistem operasional, sistem pengukuran kinerja, sistem umpan balik, dan sistem evaluasi dan penghargaan yang diterapkan di UP4 belum berjalan secara baik. Pada masing-asing bentuk SPM seperti perencanaan, sistem operasional, sistem umpan balik masih ada permasalahan yang dihadapi dalam pelaksanaannya yang mengakibatkan SPM menjadi kurang efektif. Penelitian ini menemukan bahwa aspek partisipasi pegawai dan komunikasi menjadi persoalan utama dalam perencanaan. UP4 juga belum memiliki sistem pengukuran kinerja dan sistem evaluasi dan penghargaan yang terformalisasi secara baik. Disarankan agar pihak UP4 dapat meningkatkan partisipasi pegawai dalam aktivitas perencanaan, meningkatkan diskusi-diskusi formal maupun informal untuk menjembatani sering terjadinya kesalahan komunikasi (mis-communication), serta mendesain sistem pengukuran kinerja dan sistem evaluasi serta penghargaan yang baik. Kata kunci : SPM, Kinerja UP4, Kualitas Pelayanan Kesehatan. Kepustakaan : 40 (1985-2016) Diponegoro University Faculty of Public Health Master’s Study Program in Public Health Majoring in Administration and Health Policy 2018 ABSTRACT Juliyanti Pasorong Implementation Analysis of a Management Control System of Health Service at a Unit for Lung Disease Treatment in Province of West Kalimantan xiv + 129 pages + 5 tables + 3 figures + 7 appendices A performance of a unit for lung disease treatment of West Kalimantan Province in providing health services for a community depends on the success of a management in implementing a Minimum Service Standard (MSS) as a tool to reach organisation’s goals. Health service provided by the unit for lung disease treatment were not optimal. A standard of national intervention indicators of lung tuberculosis had not been achieved. Therefore, analysis of the implementation of MSS at the unit for lung disease treatment needed to be conducted to support efforts and its performance in providing high quality of health services for a community. This was a descriptive-qualitative study. Data were collected using methods of interview, observation, and a document study. Main informants consisted of head of the unit for lung disease treatment and heads of departments. Informants for triangulation purpose consisted of staffs at each department/section. Furthermore, data were analysed using a method of content analysis. The results of this research showed that MSS in the forms of a planning system, an operational system, a performance measurement system, a feedback system, an evaluation system, and a reward system had not been well implemented. These forms of MSS had problems that caused ineffective MSS. This study found that aspects of staffs participations and communication were being main problems in planning. The unit for lung disease treatment also had not had systems for measuring performance, for evaluating, and for providing rewards. As suggestions, the unit for lung disease treatment needs to increase staffs participations in a planning activity, to increase formal and informal discussions to mediate miscommunication, and to design good systems for measuring performance, evaluating, and providing rewards. Keywords : MSS, Performance Of Unit For Lung Disease Treatment, Quality Of Health Service Bibliography: 40 (1985-2016

The Impact of Mental Health on the Job Performance of Medical and Non-Medical Workers

In terms of their impact on the workforce, mental disorders in the workplace are a major concern. Poor mental health and stress can have a negative impact on worker performance and productivity, job attachment, collegial communication, physical performance, and daily functioning. The objective of this study is to investigate the relationship between mental health and job performance in medical and non-medical workers at general region hospital X. A quantitative cross-sectional study was conducted on 222 respondents, two of whom were medical and two of whom were non-medical workers, using a DASS-21 questionnaire and a job performance questionnaire. The findings show a relationship between age and job performance among medical and non-medical employees at General Region Hospital X. There is no significant relationship between mental health and job performance among medical workers. Gender, age, employment status, and work period all had a significant relationship with non-medical workers' job performance. Anxiety, gender, and age all have a significant relationship in non-medical workers. The conclusions is 44.1% reported poor job performance, 14.5% reported depression, 30.7% reported anxiety, and 11.3% reported stress. In both medical and non-medical workers, there was a significant interaction between anxiety and gender on job performance. Anxiety, gender, and age all had an impact on non-medical workers' job performance. It is critical to develop new health policies to prevent and treat mental health issues while also improving job performance. intervene and assist workers suffering from mental illnesses. Training and management on mental health, a conducive workplace, and social support can enhance productivity and decrease mental problems

Tempoyak Sebagai Faktor Risiko Kejadian Hipertensi (Studi pada Masyarakat Suku Dayak di Wilayah Puskesmas Tumbang Samba, Kabupaten Katingan, Kalimantan Tengah)

Background: Tempoyak is a traditional food of Dayak tribe that is processed from durian fruit meat. Some studies show that at a certain amount of tempoyak consumption can increase blood pressure. Nutritional content in durian fruit that can affect blood pressure, namely, potassium, calcium, sodium, and alcohol. The purpose of this study is to prove that consuming tempoyak is a risk factor for hypertension.Methods: This research is an observational research with cross sectional design that is done in Dayak tribal communities in the area of Tumbang Samba health center. The study population in this study is the population in the area of Puskesmas Tumbang Samba Katingan Regency. The sample number was 180 respondents who met the inclusion and exclusion criteria.Result: The results showed that the proven factors for the incidence of hypertension are coffee consumption (PR=5,280; p-value=0.022), tempoyak consumption frequency (PR=3,935; p=value=0.047).Conclusion : Tempoyak consumption is proven to be a risk factor for the incidence of hypertension

Gambaran Perilaku Masyarakat Terhadap Risiko Penyakit Pes Pada Dusun Fokus Dan Dusun Terancam Pes

Plague is a zoonotic disease caused by Yersinia pestis from rat flea bites. According to the results of trapping mice were successfully carried out in the region hamlet threatened Tlogosari and hamlets focus Taman year 2014-2015 has increased. Increasing the density of the rat is influenced by the behavior of people who are less clean and the lack of public knowledge about the plague and rats. The purpose of this study was to describe the density of rodents and social behavior at the focus hamlet and threatened hamlet. This study was a descriptive study by using quantitative methods and cross sectional study design. The population was rat gots caught up in the hamlet of focus and hamlets threatened and existing community mousetrap in his home in the hamlet of focus and Tlogosari threatened hamlets. The sample that was whole rat gets caught using live traps and all households mousetrap in that home at the hamlet of focus Taman and Tlogosari threatened hamlet with an age range 15-64 years. The results of this study showed that rats found in the hamlet focus was Rattus tanezumi while hamlet threatened were Rattus tanezumi and Rattus tiomaticus. The highest density of rats was at the hamlet threatened (6.8%). Flea infestations were found in the focus hamlet and threatened hamlet were X.cheopis and St.cognatus. Society in hamlets focus had less good behavior among other behaviors seed storage and trash management. While hamlet threatened, people who had less good behavior was the behavior of the use of personal protective equipment and trash management behavior

Optimasi Kualitas Citra Radiografi Abdomen Berdasarkan Body Mass Index dan Tegangan Tabung pada Computed Radiography

Background: Computed Radiography is a modality of radiographic processing that has wide-exposure latitude. So that in radiographic examination with CR modality is less concerned with the accuracy of the exposure factor especially in the use of tube voltage that can affect the image quality. Image quality determines the accuracy of diagnosis of an illness. Abdominal examination is often done in the radiological installation of Hospital, with different patient conditions especially in Body Mass Index the use of tube voltages tends to vary so as to affect the quality of radiograph and received dose PatientsMethods: This type of research is analytical observational research with cross sectional research draft. Samples in research amounted to 108 distributed in each group of Body mass Index (underweight, normal, overweight) respectively 36 samples. Each body mass index group sample is taken from the use of tube voltages that are often used in RS 75 kV, 80kV, 85 kV and 90 kV respectively as much as 9. Assessments include the value of the exposure index, Noise and anatomical information. Statistical data analysis with Spearman test and univariat.Result: There is a significant connection between the use of cylinder voltage with an index exposure, noise and anatomical imageryConclusion : Optimised tube voltage for Body Mass index Under 75 kV, normal BMI 80 kV and BMI over 85 k

Rhino-Orbito-Cerebral Mucormycosis (ROCM): An Observational Case Report of Covid-19 Positive Patients Admitted in Intensive Care Unit of Community Hospital in South India

Background: Rhino-orbito-cerebral mucormycosis (ROCM) increasing incidence in the setting of COVID-19 in India and elsewhere has become a matter of immediate concern. In this observational case report we have observed the signs and symptoms of ROCM among coronavirus positive patients with reference to “Mucor code “as reported by Honavar SG 2021, we have reported cases been admitted to ICU for <2weeks in a community hospital in South India. Method: Patient informed consent was taken, Patient’s data (Medical record, medication charts, daily report) were collected using a designed data collection form, observed warning signs and symptoms, and predisposed factors was noted and ROCM is characterized with reference to the “Mucor code”.Results: Nasal stuffiness, Foul smell and Facial pain and among others were the most coherent warning signs and symptoms observed among the patients in <2weeks of admission in ICU. Other observed predisposing risk factors were regular administration of corticosteroids, antibiotics, Diabetes Mellitus, Hypertension, and Kidney Stone.Conclusion: All the cases on preliminary examination on the basis of observed warning signs and symptoms were “Possible” ROCM a sub-type of Covid-19 associated mucormycosis (CAM), as this was the first reported case of the hospital. Our study gave basis for further diagnosis and monitoring of Covid-19 positive patient admitted in the intensive care units

Psikoedukasi Caregiver Terhadap Peningkatan Perawatan Pasien Diabetes Mellitus Tipe II

Salah satu penyakit kronik yang memerlukan perawatan dalam waktu cukup lama adalah Diabetes Mellitus. Caregiver sebagai orang terdekat dengan penderita dituntut memiliki kemampuan yang mumpuni dalam manajemen Diabetes Mellitus. Tujuan penelitian untuk menganalisis psikoedukasi caregiver terhadap peningkatan perawatan penderita Diabetes Mellitus. Desain penelitian dengan pendekatan quasi experiment prepost with control group. Jumlah responden sebanyak 46 caregiver dan penderita Diabetes Mellitus yang sesuai dengan kriteria inklusi dan eksklusi serta terbagi menjadi 2 kelompok. Persepsi penderita Diabetes Mellitus merupakan variabel dalam penelitian ini. Uji statistik yang digunakan dengan uji t dengan tingkat signifikan p 0.05. Hasil penelitian menunjukkan nilai p 0.001&lt; 0.05 maka dapat disimpulkan ada perbedaan persepsi perawatan yang diterima oleh penderita Diabetes Mellitus antara kelompok dan intervensi setelah diberi psikoedukasi pada caregiver. Psikoedukasi caregiver merupakan salah satu upaya untuk meningkatkan manajemen pengelolaan pada penderita Diabetes Mellitus

The Prevalence of Lymphatic Filariasis in Elementary School Childre in Endemic Areas : a Baseline Survey Prior to Mass Drug Administration in Pekalongan District – Indonesia

Backgound : WHO initiated lymphatic filariasis (LF) elimination globally. Pekalongan District, as LF endemic area, started a program of mass drug administration (MDA) to combat LF in 2015. This study aimed to determine prevalence of Wucheria Bancroft infection prior to the MDA. Methods : LF infection was detected by the existence of circulating filarial antigen (CFA) W.bancroft using immunochromatographic card test (ICT). The study population consisted of 1404 elementary school (ES) students living in Pekalongan District. Overall, 1033 were selected as study subjects. Prevalence survey was also conducted on 436 general population in areas where infected students were found. Results : The subjects ranged from 7-17 yr old (mean 9.85±1.296) and equally distributed between both sexes. Prevalence of W.bancrofti infection was 1.98% in children. Infection was mostly found in older students (12 yr old), male, in 6th grade, but did not differ significantly different by school (P=0.009) and sub-district (P=0000). Most of children with LF infection were found in Tirto Sub District. In general population, the prevalence of W.bancroft infection in Tirto was 4.4%. Proportion of infection in males (12.2%) was greater than female (3.8%), with 78.9 pf positive cases were in adult over 20yr old. Conclusion : Cases of W. Bancroft infection exist in Pekalongan District, both in children and adults. Implementation of MDA must be carefully monitored in order to achieve elimination target