Background: According to the Ministry of Health, 91% of active tuberculosis (TB) cases in Indonesia occur in crowded and slum areas. The Healthy Homes Program under the Healthy Indonesia Indicators (2010) aims to improve housing conditions in such areas to meet health standards. Malang District, with the second-highest housing density in East Java, ranks fifth in TB cases, suggesting residential exposure as a contributing factor. Objectives: This study aims to map trends and examine the correlation between healthy home coverage and TB incidence in the Malang District Health Center Working Area 2019-2021. Methods: The study was conducted in January-April 2023 at the Malang District Health Office with a unit of analysis of 39 health centers. The variables of this study were the coverage of healthy homes and the incidence of BTA-positive pulmonary TB. The study used a mixed ecological study and Pearson correlation test with secondary data from the Malang District Health Office and BPS. Results: TB incidence showed a decreasing trend alongside increasing healthy home coverage. Nine health centers remained in high-incidence zones, and five exhibited poor housing coverage. Correlation analysis revealed a weak, negative relationship (r = -0.084). High TB incidence was still found in areas meeting healthy home criteria. Conclusions: The incidence rate of BTA-positive pulmonary TB in the working area of the Malang District Health Center showed a downward trend for 3 years. Future research using individual data and other specific risk factors that may influence TB incidence is recommended.
Peran epidemiolog di masa covid-19 menjadi krusial sebab tidak hanya dituntut untuk membantu penanganan covid-19, namun juga harus tetap melayani permasalahan PTM. Tujuan pengabdian ini adalah untuk meningkatkan pengetahuan alumni prodi ilmu kesehatan masyarakat Fakultas Ilmu Keolahragaan (FIK) Universitas Negeri Malang (UM) tentang manajemen PTM pada masa covid-19. Metode pelaksanaan pengabdian ini adalah webinar online yang dilaksanakan dalam beberapa sesi menggunakan Zoom video conferencing platform. Jumlah peserta yang terlibat yaitu 24 alumni S1 IKM FIK UM. Penilaian tingkat pengetahuan tentang manajemen PTM dilakukan dengan pretest-posttest. Data yang diperoleh kemudian dianalisis secara deskriptif dalam bentuk persentase. Hasil pengabdian ini ditemukan adanya peningkatan skor terendah pada pretest peserta dari yang semula 25 menjadi 37,5. Kesimpulan pengetahuan peserta webinar after sales mengalami peningkatan setelah diberikan penyuluhan tentang manajemen penyakit tidak menular pada masa covid-19. Terjadi penurunan persentase peserta pada kategori pengetahuan kurang dan sedang, diiringi dengan peningkatan persentase peserta secara signifikan pada kategori baik dari 18 pada pretest menjadi 39 pada posttest.
Background: Indonesia is the second country with the highest TB burden in the world. The government continues to strive for TB prevention and control to reduce TB rates. One of the efforts that can help in the TB program is by utilizing a Geographic Information System (GIS)Methods: The study is an ecological study; GIS as an approach. Data was obtained from the Health Service in Malang Raya and the Central Bureau of Statistics’ websiteResult: Study results are the pattern of distribution of TB incidence that tends to be high occurs in areas that have low coverage of healthy houses, low coverage of houses with healthy lifestyle, high population density, low air temperature, high air humidity, and high rainfall.Conclusion : The pattern of distribution of TB incidence that tends to be high occurs in areas that have low coverage of healthy houses, low coverage of houses with PHBS, high population density, high air temperature, high air humidity, and high rainfall.
Background: Booster vaccinations are a way to keep the body protected against COVID-19. Mojolangu Health Center is one of the densely populated areas which is part of the Lowokwaru sub-district and borders the Belimbing sub-district; the two sub-districts are ranked 2nd and 1st with the highest CFR (Case Fatality Rate) in Malang City. Therefore, examining public perceptions of vaccination to evaluate immunization programs and raise performance goals is essential. Purpose: To determine the relationship between the Health Belief Model components (perceived susceptibility, severity, benefits, barrier, and cues to action) and the participation of COVID-19 booster vaccination in survivors of COVID-19 aged ≥45 years. Conducted from April to November 2022, this research was located in the working area of Mojolangu Health Center (Mojolangu, Tunjungsekar, Tunggulwulung, and Tasikmadu village). Methods: This quantitative research used a case-control design study. This research sample comprised 82 people, selected using the purposive sampling technique with a 1:1 ratio for case and control. Data analysis was done using the Chi-Square test and Binary Logistics Regression tests. Results: The respondents were dominated by the middle age group (45-59 years), primarily entrepreneurs with a monthly income of more than IDR 3.5 million and domiciled in Mojolangu village. The perceived benefits variable showed p=0.04 (aOR=2.67; 95% CI=1.03-6.91) and perceived barriers p=0.01 (aOR=3.60; 95% CI=1.39-9.28), while perceived vulnerability p=1.00 (cOR=1.00; 95% CI= 0.32 – 3.16), perception of cues to act p= 0.18 (cOR= 1.82; 95% CI= 0.75 - 4.40). Conclusion: Factors related to booster vaccination participation are perceived benefits and barriers.
People living with HIV/AIDS (PLWHA) can have better health outcomes with early identification of the AIDS phase. In the first three years, PLWHA may progress to the AIDS stage. This cross-sectional study aimed to determine the relationship between multimorbidity, nutritional status and duration of Antiretroviral (ARV) treatment on major signs of PLWHA. This study was conducted in the Intermediate and Infectious Disease Treatment Unit (UPIPI) at regional public hospital (RSUD) Dr. Soetomo Surabaya from January to February 2023. As many as 52 PLWHA who started HIV treatment at RSUD Dr. Soetomo in 2020 to 2021 were sampled in this study, which was obtained from medical records. The dependent variable in this study was the major sign of HIV. Independent variables in this study were multimorbidity, nutritional status, and the duration of ARV treatment. This study found that 76.9% of PLWHA experienced major signs. Multimorbidity and duration of ARV treatment did not have an association with major signs of HIV (p-value > 0.05). Nutritional status has a significant association with major clinical symptoms of HIV (p-value < 0.05). PLWHA with underweight had higher odds of having a major sign (p-value = 0.017; PR = 1.507; 95% CI 1.131-2.008) than PLWHA with normal nutritional status. Thereby, it is hoped that the hospital will be assisted in determining health promotion needs such as screening and evaluation of nutritional status to monitor the nutritional status of patients, which will improve their health outcomes.
Abstract: Breast cancer is a health burden in the world where breast cancer cases are the main determinant of morbidity and mortality in women. Most breast cancer patients are late for examination and are already in an advanced stage. Although there has been a screening program, one of which is breast self-examination (BSE), the practice of BSE in the community is still low. In fact, the majority of breast cancer cases are discovered by the sufferer himself. This study was conducted to determine the relationship between family history of breast cancer, knowledge and attitudes towards BSE behavior. This is a quantitative study with a cross-sectional study design approach. The population in this study are women aged 20-29 years who live in the working area of the Kendalsari Health Center. The sample size is 115 people, based on purposive sampling technique. Primary data were then analyzed univariately through the frequency distribution table, bivariate using chi-square test and multivariate using multiple logistic regression test. The results of statistical tests stated that a family history of breast cancer had no relationship with BSE behavior (p equal to 1.44), while the knowledge variable (OR equal to 17.9; 95 percent Cl equal to 5.644 – 56.788) and the attitude variable (OR equal to 21.0 ; 95 percent Cl 6,621 – 66,98) meaning that there is a relationship to BSE behavior (p value less than 0.05), where the more dominant variable affecting BSE behavior is the attitude variable. So with this research, it is hoped that it can improve BSE behavior in the community through BSE-related programs run by puskesmas and cadres such as BSE counseling and training. Abstrak: Kanker Payudara menjadi beban kesehatan didunia dimana kasus kanker payudara menjadi determinan utama kesakitan dan kematian pada wanita. Sebagian besar penderita kanker payudara terlambat melakukan pemeriksaan dan sudah berada dalam stadium lanjut. Meski telah ada program skrining salah satunya pemeriksaan payudara sendiri (SADARI), akan tetapi praktik SADARI di masyarakat masih rendah. Padahal kasus kanker payudara mayoritas ditemukan pertama kali oleh penderitanya sendiri. Penelitian ini dilakukan guna mengetahui hubungan riwayat kanker payudara keluarga, pengetahuan dan sikap terhadap perilaku SADARI. Merupakan penelitian kuantitatif dengan pendekatan desain studi cross-sectional . Populasi pada penelitan ini yaitu wanita berusia 20-29 tahun yang berdomisili di wilayah kerja Puskesmas Kendalsari. Besar sampel yaitu 115 orang, berdasarkan teknik purposive sampling. Data primer selanjutnya dianalisis univariat melalui tabel distribusi frekuensi, bivariat menggunakan uji chi-square serta multivariat dengan uji regresi logistik ganda. Hasil uji statistik menyatakan bahwa riwayat kanker payudara keluarga tidak memiliki hubungan dengan perilaku SADARI (psama dengan1,44), sedangkan variabel pengetahuan (OR sama dengan 17,9 ; 95 persen Cl sama dengan 5,644 – 56,788) serta variabel sikap (OR sama dengan 21,0 ; 95 persen Cl 6,621 – 66,98) artinya terdapat hubungan terhadap perilaku SADARI (nilai p kurang dari 0,05), dimana variabel yang lebih dominan berpengaruh terhadap perilaku SADARI adalah variabel sikap. Sehingga dengan adanya penelitian ini diharapkan dapat meningkatkan perilaku SADARI pada masyarakat melalui program terkait SADARI yang dijalankan oleh puskesmas maupun kader seperti penyuluhan dan pelatihan SADARI.
Abstract: The handling of Covid-19 is carried out by implementing the 7M health protocol which needs to be carried out in public places such as markets where large numbers of people meet for a long duration so as to allow transmission of the Covid-19 virus. Therefore, the purpose of this study is to determine the relationship between predisposing factors (knowledge and attitudes) and reinforcing factors (counseling) on the compliance level of fast food traders in the Sukorejo market applying the 7M health protocol. This research includes quantitative research with a cross sectional approach and uses a sample of traders who sell ready-to-eat food or drinks with a total of 83 respondents. This study uses a questionnaire and analyzed using spearman test. From 83 respondents, 71.1 percent of non-compliant traders were found and the most willing were women (56.6 percent), 26-45 years old (43.4 percent), and high school graduates/equivalent (41 percent). After statistical testing, it can be seen that there is a significant relationship between predisposing factors (knowledge and attitudes) and reinforcing factors (counseling) on the level of merchant compliance with p-value less than 0.005. Research advice is given to market officers, Sukorejo Covid-19 officers and respondents to be more attention for applying the 7M health protocol. Abstrak: Penaganan kasus Covid-19 dilakukan dengan cara penerapan protokol kesehatan 7M yang perlu dilakukan pada tempat umum seperti pasar dimana tempat bertemunya orang dalam jumlah banyak dengan durasi lama sehingga memungkinkan terjadinya penularan virus Covid-19. Oleh karena itu tujuan dari penelitian yaitu untuk mengetahui hubungan antara faktor predisposisi (pengetahuan dan sikap) dan faktor penguat (penyuluhan) terhadap tingkat kepatuhan pedagang siap saji di pasar Sukorejo menerapkan protokol kesehatan 7M. Penelitian ini termasuk penelitian kuantitatif dengan pendekatan cross sectional dan menggunakan sampel pedagang yang menjual makanan atau minuman siap saji dengan total 83 responden. Penelitian ini menggunakan kuisioner dan dianalisis menggunakan bantuan uji spearman. Dari 83 responden didapatkan pedagang yang tidak patuh 71.1 persen dan yang paling banyak bersedia adalah perempuan (56.6 persen) usia 26-45 tahun (43.4 persen), serta tamatan SMA/sederajat (41 persen). Setelah dilakukan uji statistik dapat diketahui bahwa terdapat hubungan signifikan antara faktor predisposisi (pengetahuan dan sikap) dan faktor penguat (penyuluhan) terhadap tingkat kepatuhan pedagang dengan hasil pvalue kurang dari 0,005. Saran penelitian diberikan pada petugas pasar, petugas Covid-19 wilayah Sukorejo serta responden agar lebih memperhatikan penerapan protokol kesehatan 7M.
Abstract: The Covid-19 pandemic was still happening in Indonesia, Malang City had held Face-to-face Learning (PTM) activities since September 2021. This causes students and teachers to have direct contact with other people inside and outside the school during the Covid-19 pandemic. Prevention of Covid-19 can be done indoors and outdoors while still making efforts to implement health protocols. A person's behavior when implementing a health protocol is influenced by several factors, namely predisposing, supporting and enabling. The purpose of this study was to identify students' knowledge and attitudes about health protocols at SDN Jodipan, Malang City. The research method used is descriptive quantitative with a Cross Sectional Study approach. Data analysis in this study was univariate using the SPSS application and bivariate analysis using the gamma correlation test. The conclusion of the research shows that the majority of students have a high level of knowledge and good attitudes in grade 4 to grade 6 students at SDN Jodipan, Malang City. The results of the analysis showed that the student knowledge factor was moderately correlated with the attitudes of grade 4 to grade 6 students regarding health protocols at SDN Jodipan, Malang City. Abstrak: Pandemi Covid-19 masih terjadi di Indonesia, Kota Malang telah melangsungkan kegiatan Pembelajaran Tatap Muka (PTM) sejak bulan September 2021. Hal ini menyebabkan terjadinya kontak langsung antara para siswa dan guru dengan orang lain ketika berada di dalam dan luar ruangan sekolah. Pencegahan Covid-19 dapat dilakukan di dalam dan di luar ruangan dengan tetap melakukan upaya menerapkan protokol kesehatan. Perilaku seseorang ketika melaksanakan protokol kesehatan dipengaruhi dengan beberapa faktor yaitu predisposisi, pendukung dan pemungkin. Tujuan dari penelitian ini untuk mengidentifikasi pengetahuan siswa dan sikap siswa mengenai protokol kesehatan di SDN Jodipan, Kota Malang. Metode penelitian yang digunakan adalah deskriptif kuantitatif dengan pendekatan Cross Sectional Study. Analisis data dalam penelitian adalah univariat menggunakan aplikasi SPSS dan analisis bivariat menggunakan uji korelasi gamma. Kesimpulan dari hasil penelitian menggambarkan mayoritas tingkat pengetahuan siswa yang tinggi dan sikap yang baik pada siswa kelas 4 sampai kelas 6 di SDN Jodipan, Kota Malang. Hasil analisis menunjukkan bahwa faktor pengetahuan siswa berkorelasi sedang dengan sikap siswa kelas 4 sampai kelas 6 mengenai protokol kesehatan di SDN Jodipan, Kota Malang.
Abstract: In 2019, female Family Planning method users reached 98.3 percent. Meanwhile, male family planning method users are only 2.2 percent. Several factors were identified to influence this, including the wife's perception and support. The aim is to find out whether the perception and support of the wife and the use of family planning in men are related. This research is quantitative correlation and cross sectional. The population is the residents of Kampung KB Mergayu, Bandung, Tulungagung Regency with a total sample of 102 people and using purposive sampling technique. The results were tested by Spearman and there was a relationship between the wife's perception of the male family planning status and the relationship between the wife's support for the male family planning status p value 0.000 for both. The conclusion of the study is that there is a relationship between the perception and support of the wife on the use of family planning in men. Abstrak: Tahun 2019 pengguna metode Keluarga Berencana wanita mencapai 98,3 persen. Sedangkan pengguna metode Keluarga Berencana pria hanya sebesar 2,2 persen. Beberapa faktor yang teridentifikasi mempengaruhi hal ini antara lain persepsi dan dukungan istri. Tujuannya untuk mengetahui apakah persepsi dan dukungan istri serta penggunaan KB pada pria berhubungan. Penelitian ini adalah kuantitatif korelasi dan cross sectional. Populasinya adalah adalah warga Kampung KB Desa Mergayu Kecamatan Bandung Kabupaten Tulungagung dengan jumlah sampel sebesar 102 orang dan menggunakan teknik purposive sampling. Hasilnya diuji dengan Spearman dan terdapat hubungan antara persepsi istri dengan status KB pria serta adanya hubungan antara dukungan istri terhadap status KB pria p value 0,000 untuk keduanya. Kesimpulan penelitian adalah terdapat hubungan antara persepsi dan dukungan istri terhadap penggunaan KB pada pria.
The number of COVID-19 cases in Brebes Regency within a year is still quite high. The elderly, Hypertension and Diabetes Mellitus are the most important COVID-19 vulnerable groups and have the highest risk of death. The purpose of this study is to determine the distribution of COVID-19 vulnerable groups and their spatial relationship to COVID-19 cases in Brebes Regency. This study used a correlation or ecology study design. The data used is secondary data obtained from the Brebes Regency Health Office, namely the number of COVID-19 cases, the number of elderly, people with hypertension and diabetes mellitus in 2021. The data then analyzed using univariate, bivariate analysis and spatial analysis with the help of QuantumGIS software (QGIS). The results showed that the proportion of the elderly age group correlated with the number of COVID-19 cases (p value is 0.005), while the prevalence of hypertension and diabetes mellitus had no correlation with the number of COVID-19 cases (p value more than 0.05). The high-risk areas are Brebes, Wanasari, Banjarharjo and Bumiayu Districts. The existence of this study, the local government is expected to be able to optimize the Testing, Tracing and Treatment program (3T), posyandu for the elderly and achieve vaccination targets, especially in high elderly population areas, in order to detect and predict the spread of COVID-19 and the selection of appropriate treatment.
Abstract: Maternal Mortality Rate (MMR) in Indonesia is 4,627 deaths and under-five mortality is 28,158 deaths in 2020. Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are included in the scope of Maternal and Child Health (MCH), which is an indicator of successfuless health promotion programs where the implementation of MCH health promotion programs is inseparable from the factors related to the implementation of the program. This study aims to determine the relationship between Lawrence Green’s behavioral theory, namely predisposing factors, enabling factors, and reinforcing factors on the implementation of mothers and child health promotion programs at Ponkesdes Gambiran, Tulungagung Regency. This research is a descriptive quantitative research using a survey method with cross-sectional research design. The research subjects were 100 respondents. The chi-square test was used to analyze the data in this study. The result of data analysis shows that there is a significant relationship between predisposing, enabling, and reinforcing factors with the implementation of mothers and child health promotion programs, with details: (1) knowledge with health promotion programs (2) facilities and infrastructure with health promotion programs (3) distance to health care facilities with health promotion programs, and (4) attitude of health workers with health promotion programs. Abstrak: Angka Kematian Ibu (AKI) di Indonesia adalah 4.627 kematian dan kematian balita adalah 28.158 kematian pada tahun 2020. Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB) termasuk kedalam ruang lingkup Kesehatan Ibu dan Anak (KIA), yang merupakan indikator keberhasilan program promosi kesehatan dimana pelaksanaan program promosi kesehatan KIA tidak terlepas dari faktor-faktor yang berhubungan dengan implementasi program tersebut. Penelitian ini bertujuan guna mengetahui adanya hubungan antara teori perilaku Lawrence Green yaitu predisposing factor, enabling factor, dan reinforcing factor terhadap implementasi program promosi kesehatan ibu dan anak di Ponkesdes Gambiran Kabupaten Tulungagung. Penelitian ini adalah penelitian kuantitatif deskriptif menggunakan metode survey dengan desain penelitian cross sectional. Subjek penelitian sebanyak 100 responden. Uji chi square digunakan untuk menganalisa data dalam penelitian ini. Hasil analisis data menunjukkan bahwa ada hubungan antara faktor predisposing, enabling, reinforcing dengan pelaksanaan program promosi kesehatan ibu dan anak, dengan rincian: (1) pengetahuan dengan program promosi kesehatan (2) fasilitas dan prasarana dengan program promosi kesehatan (3) jarak dengan program promosi kesehatan, dan (4) sikap petugas kesehatan dengan program promosi kesehatan.
Introduction: One of the keys to success in efforts to overcome the COVID-19 pandemic is to comply with health protocols. The COVID-19 health protocol compliance level is known to be low in the adolescent age group. The low level of compliance is related to the role of Karang Taruna as a village-level organization in providing education and examples to their peers, namely adolescents. Aims: This study was conducted to describe the level of compliance of Karang Taruna members in Pandanlandung Village, Wagir District, Malang Regency to the COVID-19 Health Protocol. Methods: The design used in this research is cross sectional with a quantitative descriptive method. This research was conducted in March-October 2021 with the number of respondents as many as 24 members of the Karang Taruna Pandanlandung Village who were selected using a total sampling technique. Results: This research study found that the compliance level of members of the Karang Taruna Pandanlandung Village was in the "Good" category, especially in the aspects of "Using Masks" 70.83%, "Washing Hands" 79.17%, "Avoiding Crowds" 50% and "Limiting Mobility" 50%. Conclusion: from this study is that, in general, the implementation of the COVID-19 health protocol is good, but the implementation of health protocols in daily life must still be improved by reminding fellow members of Karang Taruna to continue to carry out the health protocol because the pandemic is not over so as to reduce the transmission rate of COVID-19.
Abstract: Low birth weight is a problem in babies born with a weight less than 2,500 grams. In 2018 LBW at the Arjuno Health Center, Malang doubled from 2017. The research design is a case-control study design. The purpose of the study was to analyze the relationship between maternal education level, ANC, parity, and exposure to cigarette smoke with the incidence of LBW in Arjuno Health Center Malang City. The research subjects were mothers who gave birth to live-born babies in 2019, recorded at the Arjuno Health Center. Sampling using purposive sampling with a sample size of 93. Data collection using interviews and cohort register book documentation. Bivariate analysis used the chi-square test. The results obtained the value of X2 equal to21.3 which means that there is a relationship between the mother's education level and LBW. The results of ANC and LBW were obtained by the value of X² equal to24, which means that there is a relationship between ANC and LBW. The results obtained the value of obtained an X² equal to0.9, which means that there is no relationship between parity and LBW. The results obtained the value of obtained an X² equal to7, which means that there is a relationship between exposure to cigarette smoke and LBW. Abstrak: Berat Badan Lahir Rendah merupakan masalah pada bayi lahir dengan berat badan kurang dari 2.500gram. Tahun 2018 BBLR di Puskesmas Arjuno Kota Malang mengalami kenaikan dua kali lipat dari tahun 2017. Rancangan penelitian ini menggunakan deskriptif analitik observasional dengan desain studi case control. Tujuan penelitian yaitu menganalisis hubungan antara tingkat pendidikan ibu, ANC, paritas, dan paparan asap rokok pada ibu dengan kejadian BBLR di wilayah kerja Puskesmas Arjuno Kota Malang. Subjek penelitian adalah ibu yang melahirkan bayi lahir hidup tahun 2019, tercatat di Puskesmas Arjuno. Pennarikan sampel memakai purposive sampling dengan besar sampel 93. Pengambilan data menggunakan wawancara dan dokumentasi buku register kohort. Analisis bivariat dilakukan dengan uji chi kuadrat. Hasil analisis didapatkan nilai X2 hitung 21,3 yang berarti ada hubungan antara tingkat pendidikan ibu dengan kejadian BBLR. Hasil analisis antara ANC dengan kejadian BBLR didaptkan nilai X² hitung 24 yang berarti ada hubungan antara ANC dengan kejadian BBLR. Hasil analisis paritas dengan kejadian BBLR didapatkan nilai X² hitung 0,9 yang berarti tidak ada hubungan antara paritas dengan kejadian BBLR. Hasil analisis antara paparan asap rokok pada ibu dengan kejadian BBLR didaptkan nilai X² hitung 7 yang artinya ada hubungan anatara paparan asap rokok pada ibu dengan kejadian BBLR.
Abstract: According to Basic Health Research data, the coverage of Complete Basic Immunization has not yet met the targets of the Strategic Plan (Renstra) for Maternal and Child Health (KIA). The purpose of this study is to review previous research that discusses the factors that influence the provision of complete basic immunization to infants in Indonesia. The type of research used is a literature review. The conceptual framework used is the PRISMA Flow Diagram. PRISMA Flow Diagram consists of identification by formulating a research question and determining the database and search terms; screening, namely adjusting articles with inclusion and exclusion criteria; the feasibility test is a full paper identification with a critical appraisal tool, namely Strengthening the Reporting of Observational Studies in Epidemiology (STROBE); and the analysis was carried out in a narrative qualitative manner. The method used in previous research is cross sectional. Based on the selection results, there are 9 articles that discuss the influence of knowledge and attitudes with immunization, then 8 articles only discuss the influence of knowledge with immunization. These results state that all articles significantly affect knowledge of immunization. Meanwhile, in 9 articles discussing attitudes, 8 of them stated that there was a significant relationship with immunization and 1 of them refused. Apart from the knowledge and attitude factors, previous studies have also examined other factors, namely age, education, occupation, beliefs, distance and health facility services, the role of health workers, behavior, family support, and economic status. Abstrak: Data Riskesdas memaparkan cakupan imunisasi dasar lengkap masih belum memenuhi target Rencana Strategi (Renstra) Kesehatan Ibu dan Anak (KIA), sehingga peneliti ingin mengkaji ulang penelitian terdahulu yang membahas beberapa faktor yang berpengaruh dalam pemberian imunisasi dasar lengkap pada bayi di Indonesia. Jenis penelitian yang digunakan adalah literature review. Kerangka konsep yang digunakan adalah PRISMA Flow Diagram. PRISMA Flow Diagram terdiri dari identifikasi dengan merumuskan research question serta menentukan database dan search term; skrining yaitu menyesuaikan artikel dengan kriteria inklusi dan eksklusi; uji kelayakan merupakan identifikasi full paper dengan critical appraisal tool yaitu Strengthening the Reporting of Observational Studies in Epidemiology (STROBE); kemudian analisis dilakukan secara kualitatif naratif. Penelitian terdahulu yang dijadikan sumber referensi adalah penelitian yang menggunakan metode penelitian cross sectional. Berdasarkan hasil seleksi terdapat 9 artikel yang membahas tentang pengaruh pengetahuan dan sikap dengan imunisasi, kemudian 8 artikel lainnya hanya membahas tentang pengaruh pengetahuan dengan imunisasi. Hasil tersebut menyatakan bahwa semua artikel secara signifikan mempengaruhi pengetahuan terhadap pemberian imunisasi. Sedangkan pada 9 artikel yang membahas tentang sikap, 8 diantaranya menyatakan adanya hubungan yang signifikan dengan imunisasi dan 1 diantaranya menolak. Selain dari faktor pengetahuan dan sikap, penelitian terdahulu juga meneliti faktor lain, yaitu usia, pendidikan, pekerjaan, kepercayaan, jarak dan pelayanan fasilitas kesehatan, peran tenaga kesehatan, perilaku, dukungan keluarga, dan status ekonomi.
The government implements social assistance programs for poor families and vulnerable groups. Therefore, the implementation is still facing various challenges. One of the toughest challenges is smoking behaviour. As the income has been increasing, the cigarette’s expense is also high. Cigarette’s expenditure substitutes other basic needs, such as nutritional foods, health, and education expenses. This study analyses smoking behaviour in social assistance recipients and its impact on quality of life. By using qualitative method, particularly the Rapid Assessment Procedure, data were obtained through in-depth interviews. The study uses purposive method to collect samples in East Java, both Malang City and Kediri Regency. Results show that all the informants have family members who were heavy smokers. The daily cigarette’s expenditure of social assistance’s recipients was significant compared to their daily expenses. It substitutes basic needs expenses and affects their quality of life specifically for nutritional, health, and child’s education status. Furthermore, due to nicotine addiction, it is very difficult for smokers to reduce the number of cigarette consumption, even though at difficult economies. Smoking behaviour also leads to family conflicts. It is important to regulate social assistance recipients who still disburse their budget for temptation goods such as cigarette. In addition, government must inform the negative impacts of smoking, as well as promote the healthy life behaviour using the existing program, Family Capacity Building Meeting/Pertemuan Peningkatan Kemampuan Keluarga (P2K2). As part of effective solutions to reduce smoking prevalence, unaffordable cigarette price is important due to lowering the consumption of addictive product.
Indonesia is one of the countries that contribute the most mortality of TB in the world. The tuberculosis treatment success rate in Indonesia is 86% meanwhile is still far from the target coverage of the TB treatment success rate (90%). This study conducted to determine the determinant factors of successful TB treatment in Puskesmas Singosari. A cross-sectional design study was constructed for this study and used SITB and form TB as a research instrument. The population of this study were all drug-susceptible TB patients who had completed treatment at the Puskesmas Singosari in 2020, 2021, and QI-QII in 2022. The sample of this study was 71 people from 99 total population. The dependent variable is the success of drug-susceptible TB treatment. Independent variables are sex, age, weight, regular use of anti-tuberculosis drugs, and comorbidities. The data processing and analysis are being conducted using SPSS software. Chi-square analysis showed that the variable weight changes have a significant assosiation to successful tuberculosis treatment (p = 0,014; OR = 9,818). Puskesmas Singosari's TB Team can collaborate with the nutritionist team to optimize TB treatment by monitoring nutritional status and weight gain of drug-susceptible TB patients.
Abstract: Immunization is one of the preventive interventions for infant and toddler mortality. During the pandemic, Indonesia experienced a decline in basic immunization coverage. Gondanglegi Subdistrict is one of Malang Regency which has experienced a decrease in complete basic immunization coverage to 10 percent in 2021. This research method uses a quantitative research type using a cross sectional approach. The purpose of this study was to analyze factors related to complete basic immunization coverage in Gondanglegi District during the COVID-19 pandemic. Data analysis in this study used the chi square test. The population in this study were mothers who had children aged 12-24 months in Gondanglegi District. The number of samples as many as 100 respondents were taken using the Cluster Random Sampling technique. The instruments used were questionnaires and KMS books. The results of the analysis showed that there was a relationship between the variables characteristic of age (p-value 0.039), education (p-value 0.004) and occupation (0.015) on complete basic immunization. The results of the analysis of attitude variables (p-value 0.000), distance (p-value 0.006), and family support (p-value 0.000) showed a significant relationship to complete basic immunization. Meanwhile, the trust variable (p-value 0.153) and support from health workers (p-value 0.558) had no significant relationship to complete basic immunization. The conclusion is that there is a relationship between age, education, occupation, attitude, distance, and family support to complete basic immunization. Abstrak: Imunisasi merupakan salah satu intervensi preventif terhadap angka mortalitas bayi dan balita. Namun pada masa pandemi, Indonesia mengalami penurunan cakupan imunisasi dasar. Kecamatan Gondanglegi termasuk wilayah Kabupaten Malang yang mengalami penurunan cakupan imunisasi dasar lengkap hingga 10 persen pada tahun 2021. Metode pada penelitian ini menggunakan jenis penelitan kuantitatif dengan menggunakan pendekatan cross sectional. Tujuan penelitian ini adalah untuk menganalisis faktor yang berhubungan dengan cakupan imunisasi dasar lengkap di Kecamatan Gondanglegi pada masa pandemi covid-19. Analisis data pada penelitian ini menggunakan uji chi square. Populasi dalam penelitian ini adalah ibu yang memiliki anak usia 12 – 24 bulan di Kecamatan Gondanglegi. Teknik pengambilan menggunakan teknik Cluster Random Sampling dengan jumlah sampel sebanyak 100 responden. Instrumen yang digunakan kuesioner dan buku KMS. Hasil analisis menunjukkan ada hubungan antara variabel karakteristik usia (p-value 0,039), pendidikan (p-value 0,004) dan pekerjaan (0,015) terhadap cakupan imunisasi dasar lengkap. Hasil analisis variabel sikap (p-value 0,000), jarak (p-value 0,006), dan dukungan keluarga (p-value 0,000) menunjukkan ada hubungan signifikan terhadap cakupan imunisasi dasar lengkap. Sedangkan variabel kepercayaan (p-value 0,153) dan dukungan petugas kesehatan (p-value 0,558) tidak ada hubungan signifikan terhadap cakupan imunisasi dasar lengkap. Kesimpulannya adalah terdapat hubungan antara usia, pendidikan, pekerjaan, sikap, jarak, dan dukungan keluarga terhadap cakupan imunisasi dasar lengkap.
Abstract: Covid-19 is an infectious disease caused by a new virus and transmitted through fluids from the nose or saliva (droplets) of an infected person. The most effective prevention of Covid-19 apart from implementing health protocols is by implementing Clean and Healthy Life Behavior in daily life. The orphanage is a place to take care and fulfil the basic needs of orphans as an effort to replace the role of parents should be. The children in the orphanage who gather together in one place are condition that vulnerable to the transmission of Covid-19. Therefore, the purpose of this study is to determine the description of knowledge, attitude and health infrastructure about Clean and Healthy Life Behavior (PHBS) at Muhammadiyah Malang Orphanage during the Covid-19 pandemic. This research is a quantitative research with cross sectional method. The research population were all children at Muhammadiyah Malang Orphanage. The sample in this study used the total sampling method, as many as 42 respondents. Based on the results of the research, it showed that majority of respondents knowledge was in the sufficient category (47.6 percent), majority of children's attitudes were in the sufficient category (52.4 percent) and health infrastructure facilities were in the sufficient category (70.6 percent). Abstrak: Covid-19 adalah penyakit yang menular akibat virus baru dan menular melalui cairan hidung atau air liur (droplet) seseorang yang terinfeksi. Pencegahan Covid-19 yang paling efektif selain menerapkan protokol kesehatan yaitu dengan menerapkan Perilaku Hidup Bersih dan Sehat. Panti asuhan merupakan wadah untuk merawat dan memenuhi kebutuhan pokok anak yatim piatu sebagai upaya mengganti peran orang tua yang seharusnya. Anak-anak di panti asuhan yang berkumpul bersama dalam satu tempat merupakan kondisi yang beresiko tinggi terinfeksi Covid-19. Oleh karenanya, tujuan penelitian ini adalah untuk mengetahui gambaran pengetahuan, sikap dan sarana prasarana kesehatan tentang Perilaku Hidup Bersih dan Sehat (PHBS) di Panti Asuhan Muhammadiyah Malang selama pandemi Covid-19. Penelitian ini merupakan penelitian kuantitatif dengan metode cross sectional. Populasi penelitian adalah seluruh anak asuh di Panti Asuhan Muhammadiyah Malang. Sampel pada penelitian ini menggunakan metode total sampling yaitu sebanyak 42 responden penelitian. Berdasarkan hasil penelitian menunjukkan bahwa mayoritas pengetahuan responden dalam kategori cukup (47,6 persen), mayoritas sikap anak-anak dalam kategori yang cukup (52,4 persen) dan sarana prasarana kesehatan dalam kategori cukup (70,6 persen).
Abstract: The prevalence of teenage smokers in Indonesia is still high. Various factors cause adolescents to smoke, such as easy to find cigarette advertisements. In Malang City, especially Lowokwaru, is one of the districts with the densest number of cigarette retailers as well as a large number of high school/equivalent students. This study aims to determine the relationship between cigarette advertisements and student’s smoking behavior, whether conventional, electric cigarettes, or both in Lowokwaru District. The method used in this study is a quantitative study with a cross sectional approach. In this study, there were 328 students sampled from total population of 17.120 students. The analysis used is the chi-square test and binary logistic regression test. The results showed a significant relationship between age (p equal to 0,000), gender (p equal to 0,000), knowledge and attitudes (p equal to 0,000), television advertising (p equal to 0,000), outdoor media (p equal to 0,011) and smoking behavior student. Meanwhile, advertisements in several media did not have a significant relationship with student’s smoking behavior. Then on the number of types of media, advertising in outdoor media and perceptions are not the main determining factors for smoking behavior. Thus, it can be concluded that cigarette advertisements are not the only predictor of smoking behavior of high school students/equivalents in Lowokwaru District. Abstrak: Prevalensi perokok remaja di Indonesia masih tinggi. Berbagai macam faktor yang menyebabkan remaja merokok, salah satunya adalah iklan rokok yang mudah dijumpai. Di Kota Malang khususnya Kecamatan Lowokwaru menjadi salah satu kecamatan dengan jumlah retailer rokok terpadat serta jumlah siswa SMA/sederajat yang tergolong banyak. Penelitian ini bertujuan untuk mengetahui hubungan antara iklan rokok dengan perilaku merokok siswa baik rokok konvensional, elektrik maupun keduanya di Kecamatan Lowokwaru. Metode penelitian yang digunakan berupa penelitian kuantitatif dengan pendekatan cross sectional. Pada penelitian ini terdapat 328 siswa yang dijadikan sampel dari total populasi sebanyak 17.120 siswa. Analisis penelitian ini yakni uji chi-square dan uji regresi logistic biner. Hasil penelitian didapatkan hubungan signifikan antara usia (p sama dengan 0,000), jenis kelamin (p sama dengan 0,000), pengetahuan dan sikap (p sama dengan 0,000), iklan di tv (p sama dengan 0,000), media luar ruang (p sama dengan 0,011) dengan perilaku merokok siswa. Sedangkan untuk iklan di beberapa media lain tidak berhubungan signifikan dengan perilaku merokok siswa. Kemudian pada jumlah jenis media, iklan di media luar ruang dan persepsi terhadap iklan rokok bukan menjadi faktor penentu utama perilaku merokok. Dengan begitu, dapat disimpulkan bahwa iklan rokok bukan menjadi satu-satunya prediktor perilaku merokok siswa SMA/sederajat di Kecamatan Lowokwaru.