{"title":"HUBUNGAN PERSEPSI WORK LIFE BALANCE DENGAN KEPUASAN KERJA KARYAWAN BPJS KESEHATAN CABANG DENPASAR","authors":"Ni Luh Ari Purwantini, Ni Made Sri Nopiyani","doi":"10.24843/ach.2023.v10.i002.p02","DOIUrl":"https://doi.org/10.24843/ach.2023.v10.i002.p02","url":null,"abstract":"ABSTRAK Karyawan BPJS Kesehatan memiliki beban kerja yang cukup tinggi. Hal tersebut dapat berpengaruh terhadap kepuasan kerja karena menyebabkan ketidakseimbangan antara kehidupan pekerjaan dan kehidupan pribadi karyawan. Penelitian ini bertujuan untuk mengetahui hubungan persepsi work life balance dengan kepuasan kerja karyawan BPJS Kesehatan Cabang Denpasar. Penelitian ini merupakan penelitian observasional dengan rancangan cross sectional analitik. Sampel penelitian adalah sejumlah 57 karyawan BPJS Kesehatan Cabang Denpasar yang direkrut dengan total population sampling. Pengumpulan data dilakukan dengan survei kuesioner menggunakan kuesioner online pada bulan Maret hingga April 2023. Analisis data dilakukan dengan regresi logistik sederhana. Hasil penelitian menunjukan proporsi karyawan yang memiliki hasil kepuasan kerja baik sebesar 63,2% dan kurang baik sebesar 36,8%. Proporsi karyawan yang mempersepsikan work life balance mereka seimbang sebesar 54,4% dan kurang seimbang sebesar 45,6%. Karakteristik usia, jenis kelamin dan status pernikahan tidak berhubungan dengan kepuasan kerja karyawan. Persepsi work life balance berhubungan dengan kepuasan kerja karyawan (OR=12,75; CI=3,38-47,96; p<0.001). BPJS Kesehatan perlu melakukan upaya untuk mengoptimalkan work life balance karyawan untuk dapat meningkatkan kepuasan kerja karyawan. Kata Kunci : Work life balance, kepuasan kerja, sumber daya manusia, BPJS Kesehatan ABSTRACT BPJS Kesehatan employees have a fairly high workload. This can affect job satisfaction because it causes an imbalance between work life and employee’s personal life. This study aims to determine the association between the perception of work life balance and job satisfaction of BPJS Kesehatan Denpasar Branch employees. This study is an observational study with a cross sectional analytic design. The research sample was a total of 57 employees of BPJS Kesehatan Denpasar Branch who were recruited with total population sampling. Data collection was conducted by questionnaire survey using online questionnaire from March to April 2023. Data analysis was performed using simple logistic regression. The results showed the proportion of employees who had high job satisfaction was 63.2% and low satisfaction was 36.8%. The proportion of employees who perceived their work-life balance as balanced was 54.4% and less balanced was 45.6%. Characteristics of age, sex and marital status were not associated with employee job satisfaction. Perception of work-life balance is associated with employee’s job satisfaction (OR=12.75; CI=3.38-47.96; p<0.001). BPJS Kesehatan should develop concerted efforts to optimize employee work-life balance to improve employee’s job satisfaction. Keywords : Work life balance, job satisfaction, human resources, BPJS Kesehatan","PeriodicalId":158666,"journal":{"name":"ARCHIVE OF COMMUNITY HEALTH","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139352729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"ANALISIS KEPUASAN PASIEN PESERTA JKN TENTANG MUTU PELAYANAN KESEHATAN MENGGUNAKAN METODE SERVQUAL DAN IMPORTANCE PERFORMANCE ANALYSIS DI PUSKESMAS SUKAWATI II","authors":"Ni Putu Dinda Valentina, Rina Listyowati","doi":"10.24843/ach.2023.v10.i02.p12","DOIUrl":"https://doi.org/10.24843/ach.2023.v10.i02.p12","url":null,"abstract":"ABSTRACT Puskesmas Sukawati II is an FKTP that collaborates with BPJS in providing services to patients. However, there are still problems related to the quality of service perceived by JKN participant patients. This study aims to describe the satisfaction of JKN participants regarding the quality of health services at the Puskesmas Sukawati II in 2022. This study is a quantitative descriptive study using cross-sectional approach with a sample of 99 respondents through a systematic random sampling technique. The results of the servqual method analysis obtained negative values on all statement attributes and the IPA results obtained patient waiting times, parking lots, quick registration procedures, ease of service procedures, and the alertness of officers to handle complaints. Most of the respondents were quite satisfied with the quality of health services for the female sex (75%), age ?26 years (77.4%), higher education (68.2%), occupation (71.2%). There is a relationship between age and patient satisfaction of JKN participants. It is recommended that the Puskesmas give punishment to health workers who arrive late, extend patient registration time, provide socialization related to the use of the online queue number service feature on the JKN mobile application, and make affirmative policies regarding waiting times to get drugs. Keywords: JKN Patient Satisfaction, Servqual, Importance Performance Analysis (IPA) ABSTRAK Puskesmas Sukawati II merupakan FKTP yang bekerjasama dengan BPJS dalam memberikan pelayanan kepada pasien. Namun, masih terdapatnya permasalahan terkait mutu pelayanan yang dirasakan oleh pasien peserta JKN. Penelitian ini bertujuan untuk mengetahui gambaran kepuasan pasien peserta JKN tentang mutu pelayanan kesehatan di Puskesmas Sukawati II tahun 2022. Penelitian ini merupakan penelitian deskriptif kuantitatif menggunakan pendekatan cross sectional dengan jumlah sampel 99 responden melalui teknik systematic random sampling. Hasil analisis metode servqual diperoleh nilai negatif pada seluruh atribut pernyataan dan hasil IPA diperoleh waktu tunggu pasien, tempat parkir, prosedur pendaftaran cepat, kemudahan prosedur pelayanan, dan kesigapan petugas menangani keluhan. Sebagian besar responden merasa cukup puas dengan mutu pelayanan kesehatan pada jenis kelamin perempuan (75%), umur ? 26 tahun (77,4%), pendidikan tinggi (68,2%), bekerja (71,2%). Adanya hubungan antara umur dengan kepuasan pasien peserta JKN. Disarankan pihak puskesmas memberikan punishment kepada petugas kesehatan yang datang terlambat, memperpanjang waktu pendaftaran pasien, memberikan sosialisasi terkait penggunaan fitur layanan nomor antrean online pada aplikasi mobile JKN, dan membuat kebijakan afirmatif mengenai waktu tunggu mendapatkan obat. Kata Kunci: Kepuasan Pasien JKN, Servqual, Importance Performance Analysis (IPA)","PeriodicalId":158666,"journal":{"name":"ARCHIVE OF COMMUNITY HEALTH","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139352888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Putri, Ayu Kenanga Gunawan, Ni Made, U. Dwipayanti, Nengah Sujaya
{"title":"HUBUNGAN PERILAKU HIGIENE DAN SANITASI PERORANGAN SERTA PREVALENSI KECACINGAN TERHADAP STATUS GIZI PADA SISWA SEKOLAH DASAR NEGERI DI KECAMATAN KUBU","authors":"S. Putri, Ayu Kenanga Gunawan, Ni Made, U. Dwipayanti, Nengah Sujaya","doi":"10.24843/ach.2023.v10.i02.p16","DOIUrl":"https://doi.org/10.24843/ach.2023.v10.i02.p16","url":null,"abstract":"ABSTRAK Infeksi kecacingan termasuk dalam “Neglected Tropical Diseases (NTDs)” atau penyakit tropis terabaikan yang dianggap tidak penting. Infeksi yang terjadi memiliki dampak serius bagi kesehatan manusia. Kelompok usia yang paling berisiko tinggi yaitu anak usia sekolah dasar. Penelitian ini bertujuan untuk mengetahui hubungan perilaku higiene dan sanitasi perorangan serta prevalensi kecacingan terhadap status gizi pada siswa sekolah dasar negeri di Kecamatan Kubu, Kabupaten Karangasem, Provinsi Bali. Penelitian ini bersifat kuantitatif dengan jenis penelitian deskriptif analitik dengan menggunakan desain cross sectional. Data positif kecacingan diperoleh melalui pemeriksaan laboratorium, pengukuran antropometri, dan wawancara. Teknik pengambilan sampel menggunakan proportional stratified dan simple random sampling. Metode analisis data menggunakan uji non parametrik kruskall wallis, mann whitney, dan chi square. Hasil penelitian menunjukkan bahwa secara akumulatif terdapat 63 responden (24%) berstatus gizi tidak seimbang dan 199 responden (76%) berstatus gizi baik; 4 responden (1,5%) mengalami positif kecacingan dengan prevalensi kecacingan sebesar 15,27; perilaku higiene dan sanitasi perorangan terhadap prevalensi kecacingan memiliki hubungan yang bermakna (p<0,05); perilaku higiene dan sanitasi perorangan terhadap status gizi memiliki hubungan yang tidak bermakna (p>0,05); serta hubungan antara prevalensi kecacingan terhadap status gizi memiliki hubungan yang bermakna (p<0,05). Oleh karena itu, perlu adanya pencegahan terhadap faktor-faktor yang berkaitan dengan infeksi kecacingan, mengkonsumsi obat cacing setiap 6 bulan sekali, dan mengkonsumsi makanan bergizi sehingga dapat meningkatkan derajat kesehatan pada siswa Sekolah Dasar Negeri di Kecamatan Kubu. Kata Kunci: Kecacingan, Status Gizi, Higiene, Sanitasi ABSTRACT Worm infection is a “Neglected Tropical Diseases (NTDs)” or neglected tropical diseases that are considered not important. The infection that cause has a serious impact on human health. The age group most at high risk is elementary school age children. This study aims to determine the relationship between personal hygiene and sanitation behavior and the prevalence of helminthiasis on the nutritional status of public elementary school students in Kubu District, Karangasem Regency, Bali Province. This research is quantitative with the type of descriptive analytic research using a cross sectional design. Data worm infection positive were obtained through laboratory examinations, anthropometric measurements, and interviews. The sampling technique used proportional stratified and simple random sampling. The data analysis method used the non-parametric Kruskall Wallis, Mann Whitney, and Chi Square tests. The results showed that accumulatively there were 63 respondents (24%) with unbalanced nutritional status and 199 respondents (76%) with good nutritional status; 4 respondents (1.5%) experienced positive helminthiasis ","PeriodicalId":158666,"journal":{"name":"ARCHIVE OF COMMUNITY HEALTH","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139352923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"IMPLEMENTASI KOMUNIKASI PERUBAHAN PERILAKU PASCA PELATIHAN OLEH PETUGAS PROMOSI KESEHATAN DI PUSKESMAS","authors":"Sinta Javani","doi":"10.24843/ach.2023.v10.i01.p06","DOIUrl":"https://doi.org/10.24843/ach.2023.v10.i01.p06","url":null,"abstract":"A reliable human resource apparatus is a valuable investment for an organization. So that a need for training to increase knowledge and behavior to realize professional health workers. UPTD Bapelkesmas has conducted behavior change communication training for health promoters. The targets of this evaluation are 30 participants of behavior change communication training (KPP). Data collection techniques are primary data in the form of questionnaires and secondary data by observation of individuals, groups and communities in the work areas of the participating health centers. This evaluation will be analyzed quantitatively by transforming to the Kirkpatrick model and describing the study at each level. The results are at a level I reaction alumni attended KPP training with a motivation of 87.7%, level II learning as a form of self-learning efforts of trainees of 94%, for level III behavior training alumni have behavior that affects peers and work performance of the puskesmas of 69.7%, level IV results alumni have performance that contributes to real performance in their institution of 76%. Based on a combined assessment (triangulation) between peers and direct supervisors, there was an increase in alumni performance of 92.6%. The results of this evaluation can be studied further as best practices or innovations in the health development sector. \u0000Keywords: Behavior Change Communication, Health Promotion, Evaluation","PeriodicalId":158666,"journal":{"name":"ARCHIVE OF COMMUNITY HEALTH","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129519697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"FAKTOR YANG BERHUBUNGAN DENGAN KESIAPSIAGAAN KEBAKARAN PADA PEKERJA DI BANDAR UDARA INTERNASIONAL I GUSTI NGURAH RAI BALI","authors":"Ni Kadek Lilis Erismawati, K. T. Adhi","doi":"10.24843/ach.2023.v10.i01.p04","DOIUrl":"https://doi.org/10.24843/ach.2023.v10.i01.p04","url":null,"abstract":"Airport is a workplace that has a potential to cause fires. Even though, protection facility provided, it has still been reported many fires happened recently,because influenced by preparednes workers. Fire preparedness is disaster management activities to anticipating fires through organizing to help the risky community. This research aims to determine the factors related to the fire preparedness of workers at I Gusti Ngurah Rai International Airport I in Bali. The research design used was quantitative research analytic with cross-sectional study. The samples were 147 workers of PT. Angkasa Pura 1 involved who were selected using accidental sampling technique. It was conducted during May to June on 2020. Data research instrument used was questionnaire which was analyzed in univariate, bivariate and multivariate ways. The results revealed that 51.70% of respondents had good preparedness. There was a significant relationship among all variables of individual factors and management factors on fire preparedness (p<0.05). Multivariate analysis showed that the variable of unsafe condition prevention effort was a variable that had the strongest influence. As an effort to improve preparedness, it is expected to provide socialization of SOP and workers training of facing fires. \u0000Keywords: Preparedness, Fire, Airport, Worker","PeriodicalId":158666,"journal":{"name":"ARCHIVE OF COMMUNITY HEALTH","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132972915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"HUBUNGAN PAPARAN INFODEMIC COVID-19 TERHADAP KEPATUHAN PENERAPAN PROTOKOL KESEHATAN PADA MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA","authors":"Ni Made Artini, Desak Putu Yuli Kurniati","doi":"10.24843/ach.2023.v10.i01.p09","DOIUrl":"https://doi.org/10.24843/ach.2023.v10.i01.p09","url":null,"abstract":"The outbreak of the coronavirus has had an impact on people's lives. COVID-19 not only has an impact on health but also on the economy, education, social and security. A lot of COVID-19 hoax information circulating on social media can confuse the public (infodemic). Infodemic leads to excessive information related to COVID-19 that can interfere with finding solutions and not necessarily valid information content. This study aims to determine the relationship between exposure to COVID-19 infodemic and compliance with the application of health protocols in Udayana University Medical Faculty students. This research is a quantitative analytic study with a cross sectional study approach which obtained 236 respondents. Based on the results of the study, most of the women (70.34%), reside in Denpasar (33.90%), the PSSKPD study program (38.56%) and the 2019 batch (53.81%). In addition, respondents also access information well through social media (94.07%), have a positive attitude in receiving COVID-19 information (69.92%), have a positive perception of COVID-19 information (67.37%) so that respondents were not exposed to COVID-19 hoaxes (58.47%) and respondents were obedient in implementing health procedures (75%). In this study, gender characteristics had a relationship with health care adherence (p=0.002). Likewise, access to information (p=0.026) and perception of COVID-19 information (p=0.045) had a relationship with health care compliance. Therefore, it is expected to use FK's social media to provide positive information, especially regarding COVID-19 and urge students to follow all FK's social media. \u0000Keyword : Coronavirus, Infodemic, Health Protocol \u0000 ","PeriodicalId":158666,"journal":{"name":"ARCHIVE OF COMMUNITY HEALTH","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122664392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"HUBUNGAN PENGETAHUAN DAN SIKAP MASYARAKAT TERHADAP KEPATUHAN PENERAPAN PROTOKOL KESEHATAN PADA MASA PANDEMI COVID-19 DI KABUPATEN JEMBRANA","authors":"Ni Kade Sari Cihnawati, I. Subrata","doi":"10.24843/ach.2023.v10.i01.p08","DOIUrl":"https://doi.org/10.24843/ach.2023.v10.i01.p08","url":null,"abstract":"Coronavirus Disease 2019 (COVID-19) is an infectious disease caused by the Acute Respiratory Syndrome Coronavirus 2 (SARS Cov-2). The community has a role in breaking the chain of transmission of COVID-19 and does not create a source of transmission as a result of interactions between individuals and groups at a point in the location. The purpose of the study was to determine the relationship between individual characteristics knowledge and attitudes towards compliance with the application of health protocols during the COVID-19 pandemic in Jembrana Regency. The design of this study was observational, with adesign cross sectional. The number of samples is 117 people. The sampling technique in this study used non probability sampling, which is a combination of snowballing and voluntary sampling which was conducted in Jembrana Regency in April-June 2021. The results showed that 77.78% complied with the application of health protocols and 22.22% did not comply. Variables of age, gender, income, last education and attitude have no relationship, age group 18-25 (p = 0.8941; OR = 1.14; 95%CI = 0.42-3.11), age group 26-45 (p= 0.8941;OR= 0.90; 95%CI=0.42-3.11), gender (p=0.2496,OR=1.68;95%CI:0.69-4.03 ), income (p=0.1574;OR=2.2;95%CI :0.69-4.03), last education (p= 0.6508; OR=1.26; 95%CI: 0.45- 3.50). The related variables were knowledge and public attitudes, knowledge (p=0.0032; OR=4.4;95% CI: 1.66-11.66), attitudes (p=<0.001; OR=7, 27; 95%CI: 2.69-19.65). It can be concluded that there is a relationship between knowledge and attitudes towards compliance with the implementation of COVID-19 health protocols. It is recommended to mobilize cadres in each of the Neighborhood Associations to maximize IEC, information communication and education to the public regarding COVID-19 and the implementation of the COVID-19 health protocol which is carried out online. \u0000Keywords: Knowledge, Attitude, COVID-19, Health Protocol \u0000","PeriodicalId":158666,"journal":{"name":"ARCHIVE OF COMMUNITY HEALTH","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125286097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"FAKTOR-FAKTOR YANG MEMENGARUHI KEJADIAN BAYI BERAT BADAN LAHIR RENDAH (BBLR) DI KOTA DENPASAR (ANALISIS DATA SEKUNDER MENGGUNAKAN UJI REGRESI LOGISTIK)","authors":"Luh Made Parayuni Dewanti, Desak Nym Widyanthini","doi":"10.24843/ach.2023.v10.i01.p10","DOIUrl":"https://doi.org/10.24843/ach.2023.v10.i01.p10","url":null,"abstract":"Indonesia listed by WHO as occupying the ninth position in the world with percentage of LBW more than 15,5% each year. In 2021 Province of Bali have 2,123 LBW babies and Denpasar City is the first rank of LBW with total 367. This study uses analytical research type with design case control. Sample amounted 267 samples at Wangaya Hospital and Bali Mandara Hospital from January 2020 to October 2022. Sample case are LBW babies with total 89 samples based on method total sampling, while sample control are NBW babies with total 178 samples based on method simple random sampling. Data were analyzed descriptively and relationship between variables used logistic regression test. The results showed three significant variables with LBW, gestational age (OR=17.8;p<0.001), bad obstetric history (OR=0.07;p=0.009), and ANC examination (OR=54.9;p<0.001). However, four variables no significant with LBW, mother's age, parity, disease history, and pregnancy complications. From the study results, expected that the study is able to routinely carry out pregnancy checks, as input for related institution to actively convey factors and risks of LBW, as well as input for the need for further research with different methods and varied research. \u0000Keywords: maternal factors, individual disease control factors, LBW, NBW","PeriodicalId":158666,"journal":{"name":"ARCHIVE OF COMMUNITY HEALTH","volume":"258 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116025356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"ARTIKEL REVIEW : SISTEM IMUNITAS DALAM KEHAMILAN","authors":"Made Tangkas","doi":"10.24843/ach.2023.v10.i01.p07","DOIUrl":"https://doi.org/10.24843/ach.2023.v10.i01.p07","url":null,"abstract":"Pregnancy is the process of continuing the existence of an organism, and preventing its extinction. During pregnancy, there is a fundamental human adaptation process that increases the body's resistance to the risk of external attack. Regardless of the role of the immune system in early pregnancy, an increase in the human immune system, which is the most important system for dealing with infections to protect the mother and the fetus, is one of the important adaptation responses to protect the mother as well as the fetus. Various physiological changes are interrelated, especially to ensure the growth of the baby in the uterus can take place properly. Anatomical, physiological and biochemical adaptations in pregnancy are profound. Many significant changes occur immediately after fertilization and continue throughout pregnancy and most occur in response to physiological stimulation by the baby and placenta. This article discusses the changes in immune system function involved in pregnancy. \u0000Keywords: immune system, pregnancy adaptation, pro-inflammatory and anti-inflammatory responses","PeriodicalId":158666,"journal":{"name":"ARCHIVE OF COMMUNITY HEALTH","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133643558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"KARAKTERISTIK ORANG DENGAN HIV/AIDS DI KOTA MANADO","authors":"Hasdalia Rahmadhani, W. J. Kaunang","doi":"10.24843/ach.2023.v10.i01.p01","DOIUrl":"https://doi.org/10.24843/ach.2023.v10.i01.p01","url":null,"abstract":"HIV/AIDS continues to be a major global health problem that gradually attacks and weakens the immune system, making it easier for diseases to enter the patient's body. This is called an opportunistic infection which eventually causes death. The age, sex, CD4 count, profession, and other characteristics of people with HIV/AIDS vary. This study aims to identify the characteristics of people with HIV/AIDS in Manado City. The research was conducted using descriptive observational methods at the Batamang Plus Manado Foundation with 1044 data as samples. The variables used were age, sex, risk factors, and duration of HIV. The results found that most people with HIV/AIDS are between 26-35 years old, male, the most dominant risk factor was transmission was MSM/Homo, and the longest duration was 10 years. HIV/AIDS prevention plans and programs must focus on the right target, and educational institutions must provide sex education early to prevent HIV/AIDS transmission. \u0000Keywords : Characteristic, HIV, AIDS","PeriodicalId":158666,"journal":{"name":"ARCHIVE OF COMMUNITY HEALTH","volume":"121 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123705551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}