Buletin Penelitian Sistem Kesehatan最新文献

{"title":"Nilai Budaya Jawa Dalam Pengendalian Malaria Untuk Mencapai Eliminasi Malaria Di Kawasan Bukit Menoreh","authors":"Tri Isnani, Bina Ikawati, Asnan Prastawa, Zumrotus Sholichah","doi":"10.22435/hsr.v24i4.3974","DOIUrl":"https://doi.org/10.22435/hsr.v24i4.3974","url":null,"abstract":"Bukit Menoreh is a border area of three regencies and two provinces which have malaria problems. The target to achieve and maintain the predicate as being free or has eliminated malaria was carried out byvarious control methods, either as government programs or community participations. The area itself is a Javanese cultural area in which its values are stronglyheld. This affects existing malaria control efforts. The research was conducted with a qualitative approach, held in three districts in Bukit Menoreh, each with 2 villages. The data was obtained through observations, indepth interview, and focus group discussions (FGD) with 3 groups in each village. The results showed that from the various control efforts carried out there was a culture of ‘isin’ (shame), ‘pekewuh’ (feeling of reluctant), and the influence of community leaders, especially in ‘gotong royong’ or community service activities in environmental cleanliness, health educations, and migration surveillance. The conclusion of this study is that some of these values are supportive, and some are hindering the effort to control malaria. Therefore, a special approach is needed with attention to culture. Intervention to control malaria should pay local wisdom and culture so it can be accepted and implemented. \u0000Abstrak \u0000  \u0000Bukit Menoreh adalah daerah perbatasan tiga kabupaten dari dua provinsi yang merupakan daerah dengan masalah malaria.  Target mencapai dan mempertahankan predikat bebas atau eliminasi malaria dilakukan dengan berbagai cara pengendalian, baik program dari pemerintah maupun peran serta masyarakat.  Wilayah ini merupakan wilayah budaya Jawa yang di dalamnya terdapat nilai-nilai budaya yang masih kuat dipegang.  Hal ini berpengaruh terhadap usaha pengendalian malaria yang ada.  Penelitian dilakukan dengan pendekatan kualitatif, di tiga kabupaten di Bukit Menoreh masing-masing diambil dua desa.  Data diperoleh melalui observasi, wawancara mendalam, dan diskusi kelompok terarah (DKT) terhadap tiga kelompok di tiap desa.  Hasil penelitian menunjukkan dari berbagai usaha pengendalian malaria terdapat budaya rasa isin (malu), rasa ewuh (sungkan), dan panut (patuh) terhadap pengaruh tokoh dalam masyarakat terutama dalam kegiatan kerja bakti atau gotong royong kebersihan lingkungan, sosialisasi, dan surveilans migrasi.  Penelitian ini menyimpulkan bahwa nilai tersebut ada yang mendukung dan ada yang menghambat usaha pengendalian malaria sehingga diperlukan pendekatan khusus dengan memperhatikan budaya. Kebijakan pengendalian malaria sebaiknya memperhatikan budaya lokal sehingga bisa menggunakan budaya lokal dan bisa diterima dan diterapkan.","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44623261","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":"Intervensi Kinesio Taping Dan Bobath Exercises Terhadap Peningkatan Keseimbangan Berdiri Dan Penurunan Spastisitas Tungkai Pasien Cerebral Palsy Di Sekolah Luar Biasa Dan Yayasan Pendidikan Anak Cacat Makassar","authors":"Suharto Anwar, Sri Saadiyah L, Ahmad Syakib","doi":"10.22435/hsr.v24i4.3407","DOIUrl":"https://doi.org/10.22435/hsr.v24i4.3407","url":null,"abstract":"Cerebal Palsy is a non progressive neuromuscular dysfunction in the form of muscle tone abnormalities which results in postural tone disorders in the form of spasticity, especially the legs, coordination disorders, sitting and standing balance, road disturbances that cause sufferers with daily functional impairment. The purpose of this study is to determine the effect of Kinesio taping and Bobath exercises for increasing the ability to balance standing and decrease the spasticity of the patient's limbs. This type of research is a pre-experiment with one group pre-test-post test design. Held at the Special School and the Makassar Disability Children Education Foundation from July to October 2019, with a sample of 49 cerebral palsy patients. Standing balance data were obtained using a Pediatric balance scale and limb spasticity data were obtained using the Asworth scale. Paired sample T Test Results obtained p value = 0.006 for spasticity and standing balance with p = 0.000 after being given Kinesio taping and bobath exercises. The conclusion of the study was that kinesio taping and bobath exercises had no significant effect on leg spasticity and there was a significant effect on the sitting balance of cerebral palsy patients. It is hoped that these two methods can be used in cerebral palsy patients who experience impaired sitting balance. \u0000Abstrak \u0000Cerebal Palsy adalah kelainan fungsi neuromuscular non progresif berupa abnormalitas tonus otot yang mengakibatkan gangguan tonus postural berupa spastisitas terutama tungkai, gangguan koordinasi, keseimbangan duduk dan berdiri, gangguan jalan yang menyebabkan penderita terganggu fungsionalnya sehari-hari. Tujuan penelitian ini mengetahui pengaruh Kinesio taping dan Bobath exercises terhadap peningkatan kemampuan keseimbangan berdiri dan penurunan spastisitas tungkai   pasien.  Jenis penelitian ini adalah pre - experiment dengan desain pretest – post test one group. Dilaksanakan di Sekolah luar Biasa dan Yayasan Pendidikan Anak Cacat Makassar mulai bulan JulisampaiOktober2019, dengan sampel penelitian sebanyak 49 pasien cerebral palsy. Data keseimbangan berdiri di peroleh menggunakan Pediatric balance scale dan data spastisitas tungkai diperoleh menggunakan skala asworth. Hasil Uji Paired sample T Test diperoleh nilai p = 0.006 untuk spastisitas dan keseimbangan berdiri dengan p = 0.000 setelah diberikan Kinesio taping dan bobath exercises. Kesimpulan penelitian bahwa kinesio taping dan bobath exercises tidak terdapat pengaruh yang signifikan pada spastititas tungkai dan terdapat pengaruh yang signifikan terhadap keseimbangan duduk pasien cerebral palsy. Dengan demikian diharapkan kedua metode ini dapat digunakan pada pasien cerebral palsy yang mengalami gangguan keseimbangan berdiri.    ","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46784323","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":"Persepsi Mahasiswa UIN Walisongo Terhadap Covid-19 Dan Perilaku Kesehatan","authors":"Shela Delfia Ramadhana, Dian Fadlilati, A. Hidayatullah, Bunga Ihda Norra, Anif Rizqianti Hariz","doi":"10.22435/hsr.v24i4.3378","DOIUrl":"https://doi.org/10.22435/hsr.v24i4.3378","url":null,"abstract":"Covid-19 is a disease caused by the coronavirus. Since the end of 2019, WHO has reported cases of pneumonia that occurred in Wuhan, Tiongkok, which then spread to several countries including Indonesia. The number of the spread of Covid-19 is increasing day by day, the government continues to try to break the chain of the spread of Covid-19. The success of efforts to break the Covid-19 chain depends on the public's knowledge and perception of Covid-19 and its prevention efforts. This study aims to determine the perceptions and behavior of UIN Walisongo students in preventing Covid-19. This study used a quantitative descriptive research method, with a data collection instrumen in the form of a questionnaire. Data collection techniques using a google form questionnaire with 10 statements and opinions from UIN Walisongo students. The study population was all students of UIN Walisongo Semarang and as a sample were 302 students from various faculties who were selected by nonprobability sampling. The results showed 86.49% of the students of UIN Walisongo have a \"very good\" perception of Covid-19. Healthy behaviors carried out by UIN Walisongo students as an effort to prevent Covid-19 include: washing hands, using masks, social distancing, taking vitamins and exercising. To increase the prevention of Covid-19, it is necessary to conduct health education directly or online through social media to communicate with the public. \u0000Abstrak \u0000 \u0000Covid-19 merupakan penyakit yang disebabkan oleh virus corona. Pada akhir tahun 2019, WHO melaporkan kasus pneumonia yang terjadi di Wuhan, Tiongkok yang kemudian menyebar di beberapa negara termasuk Indonesia. Angka penyebaran Covid-19 semakin hari kian meningkat, pemerintah terus berupaya memutus rantai penyebaran Covid-19. Keberhasilan upaya pemutusan rantai Covid-19 tergantung dari pengetahuan dan persepsi masyarakat terhadap Covid-19 serta upaya pencegahannya. Penelitian ini bertujuan untuk mengetahui persepsi dan perilaku Mahasiswa UIN Walisongo dalam pencegahan Covid-19. Penelitian ini menggunakan metode penelitian deskriptif kuantitatif, dengan instrument pengumpulan data berupa kuesioner. Teknik pengumpulan data dengan menggunakan kuesioner google form dengan 10 pernyataan serta pendapat dari mahasiswa UIN Walisongo. Populasi penelitian adalah seluruh mahasiswa UIN Walisongo Semarang dan sebagai sampel adalah 302 mahasiswa dari berbagai fakultas yang dipilih dengan teknik nonprobability sampling. Hasil penelitian menunjukkan 86.49% mahasiswa UIN Walisongo mempunyai persepsi “sangat baik” terhadap Covid-19. Perilaku sehat yang dilakukan mahasiswa UIN Walisongo sebagai upaya pencegahan Covid-19 meliputi: cuci tangan, menggunakan masker, social distancing, mengonsumsi vitamin dan berolahraga. Untuk meningkatkan pencegahan Covid-19 perlu dilakukan penyuluhan kesehatan secara langsung atau online melalui media sosial untuk berkomunikasi dengan masyarakat.","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49064992","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":"Kinerja Pelayanan Kesehatan Ibu dan Anak di Papua Tahun 2018: Apakah input tenaga bidan dan dokter berpengaruh?","authors":"R. Wulandari, A. Laksono, Ratu Matahari, Nikmatur Rohmah, Hana Krismawati","doi":"10.22435/hsr.v24i4.4913","DOIUrl":"https://doi.org/10.22435/hsr.v24i4.4913","url":null,"abstract":" Maternal and child health is one of factors that indicate the community health status. The study  analyzes the relationship between the input of midwives and doctors on the performance of maternal and child health services. This study uses an ecological analysis approach. The population is  42 districts/cities in Papua Island . In addition ,this study analyzes K4, childbirth in health care facilities, and KN1 as the dependent variable. The analysis uses a scatter plot with a linear fit line as a determinant. The study results  a very high variation among districts/cities, both the input variable and maternal and child health performance. Spatially, the lowest input of midwives and doctors is more likely to the Central Mountain region. It showed the higher the input of midwives and doctors, the higher the K4 performance. The higher the input of midwives and doctors, the higher the delivery performance at health service facilities. In addition, The higher the input of midwives and doctors is the higher the performance of KN1. The midwife's input has a more significant effect than the doctor's input for all maternal and child health performance. The study concludes that the input range for midwives and doctors in Papua Island is very extensive. The input of midwives and doctors is positively related to the performance of maternal and child health services in Papua Island. K4 is the factor that is least carried out, both by midwives and doctors. \u0000Abstrak \u0000  \u0000Kesehatan ibu dan anak merupakan salah satu faktor yang mengindikasikan status kesehatan masyarakat di suatu wilayah. Studi ditujukan untuk menganalisis hubungan antara input tenaga bidan dan dokter pada kinerja pelayanan kesehatan ibu dan anak di Pulau Papua. Studi dilakukan dengan pendekatan analisis ekologi. Populasi studi adalah seluruh kabupaten/kota di Pulau Papua (42 kabupaten/kota). Selain input tenaga bidan dan tenaga dokter sebagai variabel independen, studi ini menganalisis K4, persalinan di fasilitas pelayanan kesehatan, dan KN1, sebagai variabel dependen. Analisis memanfaatkan scatter plot dengan garis fit linier sebagai penentu. Hasil studi menunjukkan variasi yang sangat tinggi antar kabupaten/kota, baik pada variabel input tenaga maupun pada kinerja kesehatan ibu dan anak. Secara spasial input tenaga bidan dan dokter yang paling rendah cenderung di wilayah Pegunungan Tengah. Semakin tinggi input tenaga bidan maupun tenaga dokter, semakin tinggi pula kinerja K4 di kabupaten/kota tersebut. Semakin tinggi input tenaga bidan maupun tenaga dokter, maka semakin tinggi pula kinerja persalinan di fasilitas pelayanan kesehatan di wilayah tersebut. Semakin tinggi input tenaga bidan maupun tenaga dokter, maka semakin tinggi pula kinerja KN1 di area tersebut. Lebih lanjut, input tenaga bidan memiliki efek yang lebih bermakna dibanding input tenaga dokter untuk seluruh kinerja kesehatan ibu dan anak. Studi menyimpulkan bahwa rentang input tenaga bidan dan dokter di Pulau Papua sangat lebar. I","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46653800","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":"Kualitas dan Keberlanjutan Pelayanan KB pada Era Jaminan Kesehatan Nasional Dalam Mencapai Universal Health Coverage Di Yogyakarta","authors":"Sri Sularsih Endartiwi, Istika Dwi Kusumaningrum","doi":"10.22435/hsr.v24i4.4122","DOIUrl":"https://doi.org/10.22435/hsr.v24i4.4122","url":null,"abstract":"The National Health Insurance managed by the BPJS Health to achieve Universal Health Coverage (UHC) also provides Family Planning (FP) services that are good at First-Level Health Facilities and Second Level Health Facility. One of the challenges in planning the service is not yet optimal availability, affordability, and quality of family planning services. Based on the results of observation in the health centers found participants NHI stated the quality of family planning services is still lacking, for example, related to the availability of drugs for injecting are depleted. This study aimed at researching the Quality and Sustainability of Family Planning Services in the era of national health insurance in achieving Universal Health Coverage in Yogyakarta. The research method is quantitative and qualitative research design case study. The subject of this research is JKN participants who have already been utilizing the services of Family Planning services at health centers, which amounted to 90 people. Data collection is done by giving questionnaires to 90 people acceptors and focus group discussions with the participants of the 2 people from National Population and Family Planning Board, 1 people of National Health Insurance, 2 people of FP service officers, and 3 people of FP acceptor. Qualitative Data were processed using software open code. The results of this study are the qualities that include aspects of tangible, reliability, responsiveness, assurance, empathy in family planning services has been done by 3 health centers consists of the health center Imogiri I, Pleret, and Banguntapan II in Bantul Regency, Yogyakarta has been good. The sustainability of family planning services should also be continued because of the passing on the financing of family planning services by BPJS Health to improve the community for the use of contraceptives to reduce the birth rate. \u0000Abstrak \u0000Jaminan Kesehatan Nasional yang dikelola oleh Badan Penyelenggara Jaminan Sosial Kesehatan guna mencapai Universal Health Coverage juga memberikan pelayanan Keluarga Berencana baik di Fasilitas Kesehatan Tingkat Pertama maupun Fasilitas Kesehatan Tingkat Lanjut. Salah satu tantangan dalam pelayanan KB adalah belum optimalnya ketersediaan, keterjangkauan dan kualitas pelayanan KB. Berdasarkan hasil observasi di puskesmas dijumpai peserta JKN menyatakan kualitas pelayanan KB masih kurang, misalnya terkait ketersediaan obat untuk suntik yang habis. Pada waktu-waktu tertentu petugas di puskesmas tidak ada karena sedang mengikuti acara atau kegiatan di luar puskesmas. Penelitian ini bertujuan untuk menganalisis kualitas dan keberlanjutan KB pada era JKN dalam Mencapai Universal Health Coverage di Yogyakarta. Metode penelitian adalah kuantitatif dan kualitatif dengan rancangan penelitian studi kasus. Subjek penelitian ini adalah peserta JKN yang sudah pernah memanfaatkan fasilitas pelayanan Keluarga Berencana di puskesmas yang berjumlah 90 orang. Pengumpulan data dilakukan d","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45702079","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 Penyebab Pernikahan Dini di Beberapa Etnis Indonesia","authors":"Sri Handayani, Syarifah Nuraini, Rozana Ika Agustiya","doi":"10.22435/hsr.v24i4.4619","DOIUrl":"https://doi.org/10.22435/hsr.v24i4.4619","url":null,"abstract":"Early marriage is still a severe problem in Indonesia. One out of nine women in Indonesia is married before eighteen.  It occurs almost in all over provinces in Indonesia. There are 23 provinces where the prevalence of early marriage is higher than the national  data. This article aims to determine factors that cause early marriage in several ethnic groups in Indonesia. This study reviews the Ethnographic Health Research book series in the Lampung, Sasak and Bugis ethnic groups. Pierre Bourdieu’s theory was used to analyze the phenomenon of early marriage. Bourdieu divides this theory of social practice into three interrelated parts: habitus, arena, and capital. The existence of customary rules, patriarchal systems, modernization and applicable formal laws, namely marriage laws, affect the habitus of early marriage actors. Weak economic, cultural and social capital also encourages individuals to marry earlier. In conclusion, the relationship between habits, The involvement of the capital owned by adolescent  or their families influences the decision to have an early marriage. The prevention of early marriage needs mutual interactions by both  structural and cultural conditions of the community. The role of traditional and religious leaders also needs to be optimized in preventing early marriage. It is also necessary to strengthen the implementation of the law that regulates the minimum age for marriage. \u0000Abstrak \u0000Pernikahan dini masih menjadi masalah yang serius dihadapi oleh Indonesia. Satu dari sembilan perempuan di Indonesia menikah sebelum usia 18 tahun. Pernikahan dini hampir terjadi di seluruh wilayah Indonesia. Terdapat 23 provinsi dengan prevalensi pernikahan dini lebih tinggi dari angka nasional. Artikel ini bertujuan untuk mengetahui faktor-faktor penyebab pernikahan dini pada beberapa etnis di Indonesia. Kajian literatur dari buku seri Riset Etnografi Kesehatan pada etnis Lampung, Sasak dan Bugis dipilih menjadi metode pada artikel ini. Untuk menganalisis fenomena pernikahan dini digunakan teori praktik sosial oleh Pierre Bourdieu. Bourdieu membagi teori praktek sosial ini menjadi tiga bagian yang saling berkaitan, yaitu: habitus, arena dan modal. Adanya aturan adat, sistem patriarki, modernisasi dan hukum formal yang berlaku yaitu undang-undang perkawinan mempengaruhi habitus pelaku pernikahan dini. Lemahnya modal ekonomi, kultural dan sosial juga turut mendorong individu melakukan pernikahan dini. Kesimpulan dari analisis tersebut adalah relasi antara habitus, arena dengan melibatkan modal yang dimiliki oleh remaja atau keluarganya mempengaruhi keputusan  untuk melakukan pernikahan dini. Upaya pencegahan pernikahan dini perlu dilakukan dengan memperhatikan kondisi struktur dan budaya masyarakat. Peran tokoh adat dan tokoh agama juga perlu dioptimalkan dalam mencegah pernikahan dini. Penguatan implementasi undang-undang yang mengatur batas minimum usia menikah juga perlu dilakukan.","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45271806","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 Pendukung Perilaku Seksual Remaja Di Provinsi Maluku","authors":"E. Asmin, Sari Kistiana","doi":"10.22435/HSR.V24I3.4281","DOIUrl":"https://doi.org/10.22435/HSR.V24I3.4281","url":null,"abstract":"Premarital sexual behavior among adolescents of Maluku Province is four percent, which was higher than the national figure, making it the fifth-highest in adolescents’ premarital sexual behavior, after West Papua (10%), Papua (5%), North Sulawesi (5%) and North Maluku (4%). This study is based on the 2019 Adolescents’ Performance and Accountability Survey of Population, Family Planning, and Family Development to analyze the relationship between enabling factors and adolescents’ sexual behavior. This research is a quantitative study, which is correlative analytic with a cross-sectional study approach. The total sample was 241 adolescents age 10-24 years and not married. The analysis found significant factors related to adolescents’ sexual behavior were exposure to family planning information (p = 0.011), exposure to“genre” information (p = 0.015), exposure to STIs information (p <0.001), exposure to HIV / AIDS information (p = 0.001), exposure to drugs information (p = 0.026) and discussion of menstruation / wet dreams (p <0.001). This study suggests a breakthrough innovation in providing information which is not only through mass media but also social media such as Instagram, Facebook, Twitter, YouTube, or reproductive health applications. \u0000Abstrak \u0000Maluku merupakan provinsi yang berada pada urutan kelima dengan persentase hubungan seksual pranikah di kalangan remaja tertinggi, setelah Papua Barat (10%), Papua (5%), Sulawesi Utara (5%) dan Maluku Utara (4%). Angka hubungan seksual pranikah di Provinsi Maluku pada tahun 2019 tiga persen lebih tinggi dari angka nasional, yaitu empat persen. Penelitian ini bertujuan untuk menganalisis faktor pendukung perilaku seksual remaja di Provinsi Maluku berdasarkan data Survei Kinerja dan Akuntabilitas Program Kependudukan, Keluarga Berencana dan Pembangunan Keluarga (SKAP) Remaja Tahun 2019. Penelitian ini merupakan penelitian kuantitatif yang bersifat analitik korelatif dengan pendekatan cross sectional study. Besar sampel dalam analisis 241 remaja yang berusia 10-24 tahun dan belum menikah. Hasil regresi logistik menunjukkan lima variabel keterpaparan informasi yang signifikan berhubungan dengan perilaku seksual remaja, antara lain keterpaparan informasi tentang KB (p=0,011), keterpaparan informasi tentang generasi berencana (p=0,015), keterpaparan informasi tentang IMS (p<0,001), keterpaparan informasi tentang HIV/AIDS (p=0,001), keterpaparan informasi tentang NAPZA (p=0,026) dan diskusi haid/mimpi basah (p<0,001). Disarankan perlunya inovasi dalam saluran pemberian informasi, tidak hanya media massa tetapi juga melalui media sosial seperti Instagram, facebook, twitter, melalui youtube ataupun juga melalui aplikasi khusus mengenai kesehatan reproduksi.","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49163415","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":"Religiositas Dan Kelengkapan Imunisasi Dasar Pada Anak","authors":"Asep Kusnali, Teguh Dartanto","doi":"10.22435/HSR.V24I3.4181","DOIUrl":"https://doi.org/10.22435/HSR.V24I3.4181","url":null,"abstract":"Information on the absence of basic immunization due to religious reasons and the general overview of immunization coverage among religious believers in Indonesia is still limited. This study aims to examine the relationship between parental religiosity and basic immunization status on children because there are still many children who are not fully immunized in Indonesia. This study used cross-sectional data of the Indonesia Family Life Survey (IFLS) 2007 and 2014 with the unit of analysis for families having children aged 1-5 years. Our estimations using ordered logistic regression confirm that there is a relationship between religiosity on the parents' decision to perform basic immunization on their children. The differences in religiosity patterns in 2007 and 2014 illustrate changes in individual religious behavior towards the basic immunization program. These changes occur through religious social support. \u0000Abstrak \u0000Informasi tidak dilakukannya imunisasi dasar karena alasan agama masih terbatas dan gambaran cakupan imunisasi di antara pemeluk agama di Indonesia secara aktual belum dapat diketahui. Penelitian ini bertujuan untuk menjelaskan hubungan antara religiositas orang tua dengan status imunisasi dasar pada anak dikarenakan masih banyaknya anak yang tidak diberikan imunisasi secara lengkap di Indonesia. Penelitian ini menggunakan desain cross sectional dengan sumber data Indonesia Family Life Survey (IFLS) Tahun 2007 dan 2014 dengan unit analisis keluarga yang memiliki anak usia 1-5 tahun dan dianalisis menggunakan regresi ordered logistic. Hasil analisis menunjukkan adanya hubungan antara religiositas terhadap keputusan orang tua untuk melakukan imunisasi dasar pada anaknya. Perbedaan pola religiositas tahun 2007 dan 2014 menggambarkan adanya perubahan perilaku beragama individu terhadap program imunisasi dasar. Perubahan tersebut dapat terjadi melalui dukungan sosial keagamaan.","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41988595","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 Risiko Masalah Mental Emosional Pada Anak Prasekolah Di Kota Sukabumi","authors":"Shinta Utami, Dewi Hanifah","doi":"10.22435/hsr.v24i3.4066","DOIUrl":"https://doi.org/10.22435/hsr.v24i3.4066","url":null,"abstract":"Impairment of mental and emotional development in children can be an early sign of crime at a young age. Risk factors for mental and emotional disorders in children are influenced by external and internal factors. This study aims to determine the prevalence and factors influencing mental-emotional problems in pre-school children in Sukabumi City in 2020. The study design was cross-sectional. The number of samples of pre-school children is 385 children. The data was collected with the help of a checklist and a questionnaire on psychological emotional problems (KMME). Logistic regression was used in the data analysis. The result of the prevalence of mental emotional disorders is 25.7% (99 children). The results of the multivariate analysis showed that emotional psychological problems in children caused by authoritarian upbringing [OR = 5.88 (95% CI; 3.45-10.02)], birth complications [OR = 3.36 (95% CI); 1.95-5.81)] is affected. , divorced parents [OR = 3.00 (95% CI; 1.09–8.23)], working mother [OR = 1.77 (95% CI; 1.04–3.00)] and mother with a low level of education [OR = 1.74 (95% CI; 1.02–2.95.))], authoritarian upbringing is the dominant factor in emotional psychological problems in children. Routine detection by health workers is required so that mental emotional problems in children can be detected as early as possible. \u0000Abstrak \u0000Perkembangan mental emosional anak yang terganggu dapat menjadi tanda awal kejahatan pada usia remaja. Faktor risiko masalah mental dan emosional pada anak dipengaruhi faktor eksternal dan internal. Studi ini bertujuan untuk mengetahui prevalensi dan faktor-faktor yang mempengaruhi masalah mental emosional pada anak prasekolah di Kota Sukabumi pada tahun 2020. Disain studi potong lintang. Jumlah sampel anak prasekolah adalah 385 anak. Pengambilan data dilakukan dengan menggunakan daftar ceklist dan juga kuesienor masalah mental emosional (KMME). Analisis data menggunakan regresi logistik. Hasil prevalensi masalah mental emosional sebesar 25,7% (99 anak). Hasil analisis multivariat menunjukkan bahwa masalah mental emosional terdapat pada anak dipengaruhi oleh pola asuh otoriter [OR =5,88 (CI 95%;3,45-10,02)], komplikasi saat lahir [OR=3,36 (CI 95%;1,95-5,81)], orangtua bercerai [OR=3,00 (CI 95%; 1,09-8,23)], ibu bekerja [OR= 1,77 (CI 95%;1,04-3,00)], dan pendidikan ibu rendah [OR=1,74 (CI 95%; 1,02-2,95)], Faktor yang paling dominan terhadap masalah mental emosional anak adalah pola asuh otoriter. Perlu dilakukan deteksi secara rutin oleh tenaga kesehatan agar masalah mental emosional pada anak dapat terdeteksi sedini mungkin.","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45740524","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":"Orang dengan Disabilitas: Situasi Tantangan dan Layanan di Indonesia","authors":"N. C. Apsari, S. T. Raharjo","doi":"10.22435/hsr.v24i3.3069","DOIUrl":"https://doi.org/10.22435/hsr.v24i3.3069","url":null,"abstract":"People with disabilities experience discrimination for their rights. This discrimination makes them experiencing difficulties in their lives. This article explores the challenges facing people with disabilities and what services are available to the disability population in Indonesia. A literature study used to capture the phenomenon of challenges and services for the disability population in Indonesia. This study indicated that people with disabilities still experience social injustice and discrimination. These challenges demonstrate the public perception to the disability population that those were not independent or depends on the other compassion. The services are centralized in some cities so that the challenge appeared for those living in the countryside. Social workers may actively provide excellent services by considering local wisdom and commitment to social justice by fulfilling the rights of people with disabilities. In addition, they also promote the participation of the beneficiaries at all levels to fulfilment of needs. \u0000Abstrak \u0000Orang dengan disabilitas mengalami diskriminasi dalam keterpenuhan haknya. Diskriminasi dalam pemenuhan hak tersebut membuat orang dengan disabilitas kesulitan dalam kehidupannya. Artikel ini bertujuan untuk mengeksplorasi tantangan yang dihadapi orang dengan disabilitas dan layanan apa yang tersedia bagi populasi disabilitas di Indonesia. Metode yang digunakan adalah studi kepustakaan tentang fenomena tantangan dan layanan bagi populasi disabilitas di Indonesia. Hasil penelitian menemukan bahwa di Indonesia, populasi disabilitas masih mengalami ketidakadilan sosial dan diskriminasi. Tantangan tersebut menunjukkan cara pandang orang umum terhadap populasi disabilitas sebagai populasi yang tidak mandiri dan tergantung pada bantuan orang lain yang berdasar pada belas kasihan. Layanan yang tersedia bagi populasi disabilitas di Indonesia terpusat di kota-kota besar Indonesia, sehingga menjadi tantangan tambahan bagi populasi disabilitas terutama yang tinggal di pedesaan. Profesi pekerjaan sosial memberikan layanan kompeten dengan mempertimbangkan budaya yang berkembang di masyarakat, kemudian berkomitmen untuk mengusung keadilan sosial dengan mengupayakan pemenuhan hak orang dengan disabilitas, serta mempromosikan partisipasi penerima layanan di semua level usaha pemenuhan kebutuhan. \u0000.","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48967654","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}