Kesmas The National Journal of Public Health最新文献

{"title":"Analisis Praktek Bidan pada Pelayanan Ibu Bersalin dan Bayi Baru Lahir","authors":"Alhafiza Putra","doi":"10.21109/KESMAS.V3I1.240","DOIUrl":"https://doi.org/10.21109/KESMAS.V3I1.240","url":null,"abstract":"In Indonesia both Maternal and Infant Mortality Rates (MMR & IMR) has been significantly reduced. However, those figures were still higher than those of other ASEAN countries. About a third of infant deaths took place in the neonatal period, while 80% of the neonatal deaths happened during the first week of life. This was partly caused by both low accessibility and quality of care. The objective of this study was to assess the midwives’ practice during the provision of services in the post partum and early neonatal period. In addition, this study at Puskesmas Alahan Panjang was also aimed to identify supporting factors in delivering the above services. The design of this study was qualitative research design. The methods of data collection were focus group discussions (FGD), in-depth interview and observation. Results of the study showed that there were many practices of the midwives during postpartum and early neonatal period which did not follow the standard midwifery care by the Ministry of Health. Health education was not properly implemented and oftenly did not even take place. Supervision from the Puskesmas chief or midwife responsible for Maternal and Child Health (MCH) services was insufficient. There were very few midwives who ever joined training in improving their midwifery skills. It is urged that both District Health Office (Dinkes) of Solok and Puskesmas Alahan Panjang improve the competency of the midwives through appropriate training, supervision and provision of equipment and facilities. In addition, strengthening midwives in conducting effective health education program is also strongly recommended. In line with this effort, socialization of recent MCH programs and support for the development of “jorong” (Desa Siaga) is also of outmost importance. Key words: Midwives’ practice, maternal and child health","PeriodicalId":367223,"journal":{"name":"Kesmas The National Journal of Public Health","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132730519","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 Perilaku Pemberantasan Sarang Nyamuk dan Kejadian Demam Berdarah Dengue di Kota Bandar Lampung","authors":"Amrul Hasan, Dian Ayubi","doi":"10.21109/KESMAS.V2I2.276","DOIUrl":"https://doi.org/10.21109/KESMAS.V2I2.276","url":null,"abstract":"Dengue hemorrhagic fever poses as the most important public health problem in Bandar Lampung today. Increasing number of cases has been occurred from 2001 to 2006, when in 2001 incidence rate was 13.56/100.000 and became 109.8/100.00 at 2006 and at the end of February 2007 it was stated that Bandar Lampung experienced local outbreak dengue hemorrhagic fever. A case-control study was conducted to explore the correlation of suspected risk factors with dengue infection in Bandar Lampung from 20 April to 30 May 2007. 230 cases and 230 controls were included for statistical analysis. After further adjusting of confounders, there are strong correlation between habitual elimination of mosquito breeding sites and use of personal protective (e.g. the use repellent, mosquito coil and use insecticide hand sprayer) with dengue case. Individual has one PSN estimated to be 2,22 (95% CI : 1,32-3,72) times as great for individual has 3 PSN and individual did not PSN estimates to be 5,85 (95% CI : 2,86 - 11,99) times as great has dengue fever for individual has 3 PSN after controlled by history neighborhood DHF, water container around house, use of mosquito prevention agent. Community health center staff should conduct epidemiology investigation to eradicate dengue fever by focusing on community empowerment. Key words : Dengue, Aedes aegypti, Personal protection","PeriodicalId":367223,"journal":{"name":"Kesmas The National Journal of Public Health","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129015516","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":"Dislipidemia dan Obesitas Sentral pada Lanjut Usia di Kota Padang","authors":"Sudijanto Kamso","doi":"10.21109/KESMAS.V2I2.274","DOIUrl":"https://doi.org/10.21109/KESMAS.V2I2.274","url":null,"abstract":"Cardiovascular disease has become the first cause of death among elderly. Many studies on the relationship between dyslipidemia, obesity and cardiovascular disease have been done, but studies investigating prevalence of dyslipidemia and central obesity among the elderly in Indonesia are lacking. Therefore, there is an urgent need to elaborate information on dyslipidemia and central obesity in the Indonesian elderly, which will allow the policy makers to provide appropriate intervention programs against cardiovascular disease. The primary purpose of this study was to observe prevalence of dyslipidemia and central obesity, and also to find independent factors of central obesity among elderly in Padang, area with high prevalence of cardiovascular disease. A cross-sectional study was undertaken in Padang with total sample of 205 elderly using multistage random sampling. Data were collected through interview using structured questionnaires, anthropometric measurements, biochemical blood analysis, and blood pressure measurements. Prevalence of dyslipidemia (hypercholesterolemia and LDL-cholesterolemia) and ratio of total cholesterol to HDL cholesterol ³ 5 found in the study was quite high, more than 50% and 45% respectively, in the study population both in elderly men and women. Prevalence of central obesity was also quite high in elderly women (46.3 %). This study showed that triglyceride level more than 200 mg/dl (OR 8.5) and ratio of total/HDL cholesterol ³ 5 (OR 3.08) increase the risk of having central obesity 8.5 fold and 3.08 fold, respectively. Health education program to elderly group should emphasize the importance of regular check of plasma lipid and simple anthropometric measurement for early detection of cardiovascular disease risk factors. Key words : Dyslipidemia, central obesity, elderly","PeriodicalId":367223,"journal":{"name":"Kesmas The National Journal of Public Health","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124707448","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":"Cost Effectiveness Upaya Penanggulangan Gizi Metode Positif Deviance dan Pemberian Makanan Tambahan di Puskesmas Gekbrong Kabupaten Cianjur 2006","authors":"Suharyati","doi":"10.21109/KESMAS.V1I6.289","DOIUrl":"https://doi.org/10.21109/KESMAS.V1I6.289","url":null,"abstract":"The Province of West Java still faces serious malnutrition problem that can be seen in 18.094 cases of under 5 years old children who suffer from malnutrition particularly in districts of Cirebon (4.005), Bandung (2.991), and Cianjur (2.670). In Cianjur it was found that 2.670 (1,3%) cases of severe under-nutrition and 24.447 (11,7%) cases of under-nutrition out of 208.572 children. The objective of this study is to compare the cost effectiveness between positive deviance (PD) and food supplementation (PMT) methods. The data were observed from the provider side using Activity Based Costing (ABC) method. The study shows that the biggest cost component is the operational cost (85%), investment cost (14,5%), and maintenance cost (0,3%). The time frame for PD method (54 days) is shorter than that of PMT method (102 days). The average body weight gain in three months, the PD method (920 grams) is smaller than that of PMT method (650 grams). The monthly average gain in the first, second and third for the PD method (470, 220, and 230 grams) is higher than that of the PMT method (300, 170, and 180 grams). From growth chart (KMS) in three months, below red line (BGM) and under-weight in the PD method (54% and 17%) is lower than the PMT (78% and 22%). The CER value for PD method is Rp 446.828,-/child, lower than that of the PMT method ( Rp 768.887,-/child). It was concluded that PD method is more cost effective than PMT method. Key words: Cost-effectiveness, under-weight, positive deviance, food supplementation","PeriodicalId":367223,"journal":{"name":"Kesmas The National Journal of Public Health","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121666670","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 Status Reproduksi, Status Kesehatan, Akses Pelayanan Kesehatan dengan Komplikasi Obstetri di Banda Sakti, Lhokseumawe Tahun 2005","authors":"Lasmita Nurul Huda","doi":"10.21109/KESMAS.V1I6.288","DOIUrl":"https://doi.org/10.21109/KESMAS.V1I6.288","url":null,"abstract":"The Maternal Mortality Rate (MMR) in Indonesia is still high compared to other ASEAN countries. The cause of the maternal death is obstetrical complications which arise at the period of pregnancy, childbirth. The complications badly affect the maternal death. The rate of the obstetrical complications is still high in Indonesia. It is about 20% of the whole pregnant women, but the case of complications treated is still less than 10%. A variety of factors influence the occurrence of the complications. They are reproduction status, health seeking behavior service, and health status. Therefore, this study was conducted to know the factors related to the obstetrical complications. This study uses cross-sectional design. Data were collected by questionnaires. Samples are women delivering their babies alive or dead in 2005, the number of which are 220 at minimum. Before analyzing, the data were cleaned, then categorized according to the operational definition. The data were analyzed in three steps, namely univariate, bivariate, and multivariate.The results show that of out of 46,8% of obstetrical complications incidence, the complication mostly happened (12,27%) at the pregnancy and delivery and 2,27% of it happened at pregnancy and parturition. The last analysis without interaction results in five variables related to the complications. They are delivery helper OR = 4,32 (95% CI: 0,49-37,98), parity OR = 1,86 (95% CI: 0,83-4,16), attitude OR = 1,66 (0,94-2,94), pregnant complication history OR = 1,79 (95% CI: 0,83-3,83). The dominant factor is place of delivery OR = 1,18 (95% CI: 1,01-3,26). Based on the study, the incident of obstetrical complication in Banda Bakti Sub district can be decreased by training the midwives so that they have knowledge, motivation, and skill in dealing with obstetrical complications, developing PONED and PONEK, providing family planning service soon after the delivery to the women who are at risk of parity and pregnant complication history, and building partnership with midwives (helping the delivery traditionally). Key words: Reproductive status, health seeking behavior service, health status with obstetric complication","PeriodicalId":367223,"journal":{"name":"Kesmas The National Journal of Public Health","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128139774","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":"Blood-Lead Monitoring Exposure to Leaded-Gasoline among School Children in Jakarta, Indonesia 2005","authors":"R. Haryanto","doi":"10.21109/KESMAS.V1I5.293","DOIUrl":"https://doi.org/10.21109/KESMAS.V1I5.293","url":null,"abstract":"Leaded-gasoline has been used as major octane booster of motor vehicles’ gasoline in Indonesia since decades ago, except in Jakarta, Batam, and Bali where it had not been used from 2001, 2003, and 2004 respectively. Negative effects of lead, such as decreasing of IQ, hearing, growth, and hemoglobin level, then will still be threatening and may continue in the future. Meanwhile, the prolonged lead exposure occurs in the may have more dangerous human health effects to children. The Jakarta blood-lead study in 2001 showed that 35% elementary school children have blood lead levels (BLLs) more than 10 µg/dl and 2,4% had BLL more than 20 µg/dl (CDC-USAEP 2001). The objective of this study is to assess the blood lead level of elementary school children in Jakarta urban area in 2005 by evaluating the mean blood lead level of 3rd and 4th grade elementary school children in Jakarta urban area. A cross-sectional survey was implemented to achieve the above objective. The study was conducted in January-February 2005. Portable Lead Care and Hemocue were used to analyze blood-lead and blood hemoglobin (Hb) respectively from children finger blood on site. All of the 20 selected elementary schools agreed to participate in the test. A total of 203 students were allowed by their parents to participate in the test. The overall average for Hb-blood level is 12,6 g/dl and for Pb-blood level is 4,2 µg/dl. Percentage of those children with Pb-blood equal and more than 10 µg/dl is 1,3%. The declining Pb-blood prevalence from 2001 study obviously reflects the success of Leaded-gasoline phase-out program in Jakarta. It means that the program is successful in preventing people exposed to leadedgasoline in Jakarta, especially children from the risk of lead toxicity and its impacts. Thus, the program of phasing-out of leaded-gasoline should be expanded and implemented to all Indonesian provinces and cities in order to avoid lead exposure to people. Key words: Air quality, blood-lead levels, children health effects","PeriodicalId":367223,"journal":{"name":"Kesmas The National Journal of Public Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130856762","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":"Tantangan Pencapaian Millenium Development Goals (MDGs) Bidang Kesehatan di Indonesia","authors":"B. Utomo","doi":"10.21109/KESMAS.V1I5.296","DOIUrl":"https://doi.org/10.21109/KESMAS.V1I5.296","url":null,"abstract":"Government’s report on achievement of MDGs in Indonesia until 2002 reflects commitment towards people’s welfare. Health area as explained in indicators of goals 4, 5, and 6 were reported as improved. This review examines achievement status, elucidates background explanation about those achievement status, and assesses prospect of MDG achievement, particularly in health area. The review shows that most of MDG’s health indicators improved but in a slow manner. Funding is still posed as the main constraint of health care of those who needed it. Eradication program of infectious and contagious diseases, including HIV/AIDS, malaria, and TB faces many hurdles. Malaria and TB prevalences are still high while HIV/AIDS epidemic in several areas has shown infiltration and spread among low socio-economic population groups. This situation reflects a not very good prognostic of MDG achievement in Indonesia. The main challenge of MDG achievement in health area in Indonesia is related to question on how the government could translate commitment and effective intervention policy into routine health care program that directly touch the people, especially those who need most, the poor. Key words: MDG achievement, health area, the poor","PeriodicalId":367223,"journal":{"name":"Kesmas The National Journal of Public Health","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121408560","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":"Relapse Opiat di Rumah Sakit Ketergantungan Obat Jakarta Tahun 2003-2005","authors":"Akhmad Muttaqin","doi":"10.21109/kesmas.v1i5.291","DOIUrl":"https://doi.org/10.21109/kesmas.v1i5.291","url":null,"abstract":"Drug abuse is a chronic condition that can relapse several times. Generally, the relapse rates of narcotic, psychotropic, and other additive material are not differed from that of opiate. The objective of this study is to know factors related to the occurrence of opiate relapse in Jakarta Drug Abuse Hospital in 2003-2005. The study design used in this study is case control design using medical record as secondary source of data. The study variables include individual variables (sex, education eve, age, marital status, job, and status of hepatitis), the drug factors including pattern of abuse, duration, method, frequency, and dose. The sample consists of 72 cases and 84 control. The cases are opiate abuse patient who visited the Jakarta Drug Abuse for 6 months without relapse and revisited with opiate relapse. The controls are opiate abuse patient who visited the Jakarta Drug Abuse for 6 months without relapse and still not relapse in the next visit. The analysis method used in this study is multiple logistic regression method. Variables related to opiate relapse include education, marriage status, hepatitis status, method, and duration of abuse. Key words: Relapse, opiate abuse, logistic regression","PeriodicalId":367223,"journal":{"name":"Kesmas The National Journal of Public Health","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130210772","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":"Frekuensi Keteraturan Senam dan Penurunan Tekanan Darah Anggota Klub Jantung Sehat Pondalisa, Jakarta Tahun 2000 - 2005","authors":"Retno Asti Werdhani","doi":"10.21109/KESMAS.V1I5.292","DOIUrl":"https://doi.org/10.21109/KESMAS.V1I5.292","url":null,"abstract":"The prevalence of hypertension in Indonesia increases with age. Health promotion is needed to prevent hypertension and its complications among those who have not yet reached old age. Sport especially aerobic type has been known to control blood pressure. The objective of the study is to evaluate the association among frequency and regularity of exercise with blood pressure reduction. A retrospective cohort study and Cox Regression analysis was conducted using secondary data of members of KJS Pondalisa during the first year of membership. The result of study showed that there were no member doing exercise three times weekly as programmed. The maximum exercise’s regularity was 15 weeks. There is no statistically significant effect of two times weekly exersices on reduction of blood presure compared to frequency of less than two times weekly. Reduction of blood presure will be occured if the exercise is conducted for more than 8 weeks continuously. Key words: Frequency, regular, exercise, blood pressure reduction","PeriodicalId":367223,"journal":{"name":"Kesmas The National Journal of Public Health","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132127912","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":"Determinan Pemilihan Tempat Persalinan di Kabupaten Cirebon Tahun 2004","authors":"Deti Adipriati","doi":"10.21109/KESMAS.V1I4.302","DOIUrl":"https://doi.org/10.21109/KESMAS.V1I4.302","url":null,"abstract":"More than 90% of maternal death is caused by obstetric complications, which are often unpredictable during pregnancy. In general, maternal death and newborn morbidity are caused by failure to overcome delivery complication. Most of the complication happened at the moment or around delivery. SDKI 2003 reported that 9% birth were delivered in public facilities, 31% were delivered in private health facilities and 59% were still delivered at home. Birth delivery at home with not well-developed referral system has great influence on mother and newborn lives. The objective of this study is to identify factors that influence selection of delivery place in Cirebon district in 2004 using cross-sectional design among 447 respondents living in 29 villages in Cirebon District. The analysis used is logistic regression using prediction modeling. The results indicate that mother with low education has chance to opt for delivery at home 2,94 times higher than mother with high education level (OR = 2,94 95 % CI 1,764-4,890) after controlled by mother’s knowledge on health problem at birth and economic status. The study concludes that delivery place selection is influenced by mother’s education, mother’s knowledge on health problem at birth and economic status. Key words: Delivery place selection, mother’s knowledge on health problem, economic status","PeriodicalId":367223,"journal":{"name":"Kesmas The National Journal of Public Health","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115349736","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}