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Dimas Abdullah Marha, Mohammad Zainal Fatah, Winarko Winarko
Published: 24 September 2020
Jurnal PROMKES, Volume 8, pp 172-181; doi:10.20473/jpk.v8.i2.2020.172-181

Abstract:
Background: Dengue Hemorrhagic Fever (DHF) is still one of the major public health problems in Indonesia. With the increasing mobility and population density, the number of people and vast distribution area is increasing. Village of Tawanganom is one endemic region, for three consecutive years, there is an incidence of dengue. The incidence of dengue can be influenced by several aspects, including vectors, climate change, environment, mobility of people, and people's behavior. The participation of health workers and community leaders become important related behavior. These include the role of motivation, coordination, policy implementation, as well as healthy behaviors. Objective: This study aimed to determine the role of health workers and community leaders in response to the incidence of dengue in the Village Tawanganom. Methods: Using qualitative research with a phenomenological approach, as well as in-depth interviews carried out with supporting data, the number of informants were 13 informants. Consisting of health professionals that the holder of dengue program, Health Promotor, and village midwives, community leaders the Head of the village, RW, as well as health cadres. Results: The motivation of public figures came from the concern over them because of the many cases of DHF and personal experiences of informants and families. Health workers motivate people to do counseling, which was supported because of responsibility as health professionals. Coordination has been made with the relevant sectors. Reporting cases of executed massively and focused. Implementation of policies in the prevention of dengue fever has been carried out based dengue prevention program Magetan District Health Office. Healthy behavior is shown with dengue prevention measures such as 3M Plus, giving abate powder in the bathroom, as well as maintaining the cleanliness of the home environment. Conclusion: The motivation to do a public figure driven intrinsic motivation of the individuals themselves, while medical personnel with extrinsic motivation based on the responsibility as health workers to encourage people to do the prevention of dengue. Coordination has been carried out massively and regularly within the scope of cross-fertilization. Implementation of policies based on the program of the Health Service Magetan. Healthy behavior implemented preventive and promotive measures.
Siska Maytasari, Ratu Ayu Dewi Sartika
Published: 24 September 2020
Jurnal PROMKES, Volume 8, pp 146-153; doi:10.20473/jpk.v8.i2.2020.146-153

Abstract:
Background: Abnormalities of the heart and blood vessels marked by an increase in blood pressure are known as hypertension. Worldwide, high blood pressure is estimated to affect more than one in three adults aged 25 years and over, or about one billion people. Overall, high-income countries have a lower prevalence of hypertension (35% of adults) than low and middle-income groups (40% of adults). The prevalence of hypertension in Indonesia based on the Basic Health Research (Riskesdas) data in 2018 was 34.1%. Objective: This study determines the relationship of family support, social support, and health worker support with compliance of hypertensive patients. Methods: This research was conducted at the Tegal Gundil Community Health Center, North Bogor District, Bogor City, Indonesia, which was conducted from May to December 2017. The design of this study was cross-sectional. Sampling was carried out with a purposive sampling method with inclusion and exclusion criteria. The former consisted of all hypertensive patients aged 25-65 years who routinely control during the last six months who are present and willing to be interviewed during the study. The later includes hypertensive patients who have memory disorders with the number of samples of 110 respondents. Results: The results showed the respondents were dominated by the age of under 59 (75.5%), female (86.4%), junior high school as the highest education (68.2%), have no job (81.8%), and the prevalence of their sufferers’ compliance was 47.3%. The results of the Chi-square test showed that family support, social environment, and health workers were associated with compliance in hypertensive patients (OR = 2.461; CI 95% 1.140 to 5.310; P Value = 0.034). Conclusion: In order to improve compliance of patients with hypertension, it is necessary to pursue a program of activities focused on health promotion activities not only for patients but also involving family and social members.
Rif'Atin Haibah, Muji Sulistyowati, Ismayani Ismayani
Published: 24 September 2020
Jurnal PROMKES, Volume 8, pp 190-197; doi:10.20473/jpk.v8.i2.2020.190-197

Abstract:
Background: Overweight and obesity are two of the main non-communicable disease risks, causing mortalities in developed and developing countries. Obesity is a condition of excessive body fat, which causes overnutrition and obesity in children increases each year. Child obesity raises physical health problems that have the impact on the quality of life and the child’s body development. Moreover, it potentially makes children suffer from diseases. Purpose: This study aims to identify the related factors of preventive behavior for obesity among elementary school students in Surabaya by using the Health Belief Model Theory. Methods: This study was a cross-sectional study, which involved 104 elementary school students in fourth and fifth grade in SD Dr. Soetomo V, Surabaya as samples. These samples were taken with simple random sampling. The independent variables in this study were perceived susceptibility, perceived severity, perceived benefits, perceived barriers, self-efficacy and cues to action. While the dependent variable was preventive behavior for obesity. Data were analyzed by using double logistic regression after the candidates selectionwith p
Sindi Eka Putri, Sri Widati
Published: 24 September 2020
Jurnal PROMKES, Volume 8, pp 163-171; doi:10.20473/jpk.v8.i2.2020.163-171

Abstract:
Background: One of the efforts made by the government to reduce the rate of population growth was through the Family Planning program. Many contraceptive methods are used by Fertile Age Couples (FAC), including the Long-Term Contraception Method (MKJP) and the non-Long-Term Contraception Method (non-MKJP). Low interest in fertile-couples for long-term use of contraception cannot be separated from family support to use these contraceptives. There is a need for an understanding of MKJP for FAC. Family support was defined as the attitude, actions, and acceptance of the family of its members. Family members see that those who are supportive are always ready to provide help and assistance. With family support, FAC can easily decide which contraception will be used. Objective: The purpose of this study was to analyze the relationship of family social support to the interest of FAC in using the long-term contraception method in RW 5, Sidotopo Village. Methods: This research was an observational analytic study using a cross-sectional research design. The sample of this research consists of 48 participants, taken randomly using multistage random sampling. The research instrument was in the form of a questionnaire. Then, the data were analyzed using the Chi-square test. Results: The characteristics of family planning acceptors in RW 5 of the Sidotopo sub-district starting from the dominating age are 21-35 years old with high school as the highest level of education. The income level in the area is middle to the upper level from 2 million to 5 million rupiahs per month. Based on the results of statistical tests, there is a correlation between family instrumental social support with the interest of Fertile Age Couples to use MKJP. Conclusion: Based on the results of the bivariate test using Chi-Square, it was found that between the four support variables, only one of them has a relationship that is instrumental support. The results of this study can be used as a rationale for policymaking in order to increase the number of long-term family planning acceptors.
Ghaisani Ikramina Aiffah, Wandera Ahmad Religia
Published: 24 September 2020
Jurnal PROMKES, Volume 8, pp 238-252; doi:10.20473/jpk.v8.i2.2020.238-252

Abstract:
Background: Child Sexual Abuse (CSA) was a global problem widespread in many countries. Komisi Perlindungan Anak Indonesia or Indonesian Children Protection Commission (KPAI) recorded as many as 1.880 children become victims of sexual abuse such as rape, fornication, sodomy and paedophilia. The Government of Indonesia become made become efforts both national and international scale, but there is no effective and applicable program that has been implemented. Objective: The purpose of this article was to analyse the programs had been implemented to prevent sexual violence against children. Method: This article was a literature study by examining 38 articles related to the program against child abuse. The researcher was looking for reference sources from the Science Direct, Sage pub and Google Scholar online become. The keywords used were Child Sex Abuse Prevention Program, Parenting Program, Parent Training, Parent Intervention, Maltreatment, Violence, and Violence Prevention. Result: In children, programs that had been implemented include C-SAPE; IGEL; Train the trainer; BST; A program for minorities in Australia; Cool and Safe. For parents, the programs that had been applied include ACT-RSK; Triple-P; RETHINK; The Incredible Years Parents, Teachers, and Children Training Series; PACE; The Making Choices and Strong Families; The African Migrant Parenting; Strengthening Families; 123 Magic; PDEP and FAST. Conclusion: The sexual violence prevention program for children that can be implemented by the Indonesian government was using teaching methods based on school curricula that can be delivered by teachers. For parent, the program that could be implemented by the Indonesian government was using positive parenting methods that focus on preventing sexual violence against children and delivered by expert facilitators. To reach children and families with different cultural backgrounds, the Indonesian government could adapt sexual violence prevention programs for the Australian minorities and The African Migrant Parenting.
Retananda Ragiliawati, Mochammad Bagus Qomaruddin
Published: 24 September 2020
Jurnal PROMKES, Volume 8, pp 219-227; doi:10.20473/jpk.v8.i2.2020.219-227

Abstract:
Background: Garbage is one of the unsolved problems in Indonesia. Riskesdas data for 2018 show that 63.2% of the quality of household waste management in Indonesia is in a bad category. The landfill site in Magetan Regency is currently overloaded. The waste bank is an alternative solution for solving problems. Tawanganom Village, Magetan District, Magetan Regency, won the Regency Level Healthy Village Competition in 2017 with fifth community association (RW 5) as the competition representative because it fulfilled the criteria of the championship, namely the existence of a waste bank. It is inseparable from the active role and social support of community leaders who motivate the community to participate in waste bank management. Objectives: Describe the role of community leaders as motivators in supporting waste bank management, including emotional support, appreciation, instrumental, and information. Methods: The method used in this research is qualitative with a case study approach. In-depth interviews were conducted with informants consisting of housewives and community leaders involved in waste bank activities. The determination of informants was carried out purposively with in-depth interviews using an interview guide. Results: It shows that the role of community leaders as motivators significantly affects the sustainability of the waste bank in RW 5, Tawanganom Village, Magetan Regency. Community leaders show patience in guiding the community, providing appreciation and various rewards so that the community feels proud and appreciated, and enables the community to move independently in managing the waste bank. Conclusion: The role of community leaders as motivators impacts increasing community participation in waste bank management. The waste bank can run smoothly, supported by the attention and concern of the local government and community leaders who are aggressively providing information and suggestions related to waste bank management.
Nurshe Aliviolla Azmi, Malik Afif
Published: 24 September 2020
Jurnal PROMKES, Volume 8, pp 182-189; doi:10.20473/jpk.v8.i2.2020.182-189

Abstract:
Background: Below the Red Line is the main cause of death among children
Farida Wahyu Ningtyias, Diana Febriyanti Quraini, Ninna Rohmawati
Published: 24 September 2020
Jurnal PROMKES, Volume 8, pp 154-162; doi:10.20473/jpk.v8.i2.2020.154-162

Abstract:
Latar Belakang: Anemia merupakan masalah gizi pada remaja putri yang perlu dicegah dan ditanggulangi karena akan berdampak pada periode 1000 Hari Pertama Kehidupan (HPK). Pemerintah memprioritaskan program suplementasi Tablet Tambah Darah (TTD) remaja putri dan Wanita Usia Subur (WUS) untuk menurunkan prevalensi anemia pada kelompok tersebut. Salah satu indicator keberhasilan program tersebut yakni kepatuhan remaja putri dalam mengonsumsi TTD. Perilaku seorang individu dapat diprediksi dari niat individu tersebut yang dirumuskan dalam Theory of Planned Behavior (TPB). Tujuan: Menganalisis hubungan kontrol perilaku dengan niat patuh dalam mengonsumsi TTD secara teratur. Metode: Jenis penelitian ini adalah analitik observasional dengan pendekatan cross sectional. Sampel berjumlah 328 remaja putri yang diambil dengan metode stratified proporsional random sampling. Variabel penelitian adalah persepsi kontrol perilaku dan niat patuh minum TTD yang dianalisis dengan uji statistik Chi-Square. Hasil: Hasil penelitian ini didapatkan 51,2% responden berumur ≤ 13 tahun, 85,7% responden mengalami pubertas yang normal, dan 85,4% responden mengalami gejala anemia yang rendah serta mayoritas 81,4% responden memiliki status gizi normal. Terdapat hubungan antara kontrol perilaku (P Value= 0,000; OR= 3,906; 95 % Cl= 1,906-6,640) dengan niat patuh konsumsi TTD teratur. Kesimpulan: Remaja yang memiliki kontrol perilaku yang kuat akan memiliki niat patuh konsumsi TTD teratur 3,906 kali dibandingkan remaja putri dengan kontrol perilaku lemah terhadap konsumsi TTD.
Nilce Astin, Andi Alim, Zainuddin Zainuddin
Published: 24 September 2020
Jurnal PROMKES, Volume 8, pp 132-145; doi:10.20473/jpk.v8.i2.2020.132-145

Abstract:
Latar Belakang: Malaria di Indonesia sampai saat ini masih merupakan masalah kesehatan masyarakat. Dinas Kesehatan Provinsi Papua Barat menyebutkan, hingga Agustus 2018, tercatat 4.182 kasus Malaria di Provinsi Papua Barat. Dari jumlah tersebut, 2.346 kasus Malaria terjadi di Kabupaten Manokwari atau hampir 50%. Di urutan kedua ditempati Kabupaten Manokwari Selatan dengan 692 kasus dan ketiga, Kabupaten Teluk Wondama dengan 286 kasus. Tujuan: Penelitian ini mempunyai tujuan untuk mengeksplorasi informasi tentang upaya pencegahan Malaria pada masyarakat di Kecamatan Manokwari Barat Kabupaten Manokwari. Metode: Penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologi. Informan penelitian sebanyak 9 orang yang ditetapkan dengan teknik snowball, informan tersebut terdiri 8 orang warga yang berdomisili di Kecamatan Manokwari Barat dan 1 orang petugas kesehatan dari Puskesmas yang menangani program Malaria. Hasil: Penelitian ini menunjukkan bahwa upaya pencegahan Malaria dengan cara membunuh jentik dan nyamuk Malaria dewasa melalui penyemprotan rumah, larvaciding dan biological control tidak pernah dilakukan oleh masyarakat karena anggapan hal ini merupakan tanggung jawab petugas kesehatan. Untuk mencegah gigitan nyamuk Malaria terhadap mereka yang memiliki kebiasaan berada di luar rumah pada malam hari dengan cara memakai pakaian baju kaos lengan panjang, jaket, dan sarung panjang. Penggunaan kelambu saat tidur malam tetap dilakukan akan tetapi tidak digunakan secara rutin, hanya sesekali dan bahkan ada yang tidak menggunakan kelambu sama sekali. Pemakaian obat anti nyamuk jenis obat nyamuk bakar, selain karena hemat juga harganya terjangkau. Pemakaian kawat kasa tidak dilakukan, sebab sebagian rumah masyarakat masih semi permanen yang jendelanya terbuat dari papan dan memakai plastik bening serta kain sebagai gorden sebagai penutup jendela. Kesimpulan: Upaya pencegahan Malaria oleh masyarakat tidak dilakukan secara konsisten dan menyeluruh karna adanya anggapan bahwa upaya pemberantasan nyamuk Malaria merupakan tanggung jawab petugas kesehatan.
Maninggar Kayuningtyas, Ismayani Ismayani
Published: 24 September 2020
Jurnal PROMKES, Volume 8, pp 228-237; doi:10.20473/jpk.v8.i2.2020.228-237

Abstract:
Background: Complications of hypertension causes 9.4 million of death worldwide each year. The risk factors for hypertension include heredity and environmental factors such as obesity, salt intake, physical activity, and alcohol. One-third of teenagers spent their time on school activities, so schools contribute to preventing hypertension in adolescents through Health School Program activities. Objective: to compare the health-promoting school program in Indonesia and Western in the prevention of hypertension. Method: The method used in writing this article was a literature review from 11 specific articles that were collected through google scholar, ProQuest, and SAGE pub search engines, with article inclusion criteria published in 2013-2019. Result: the review found that health promotion program in schools which was implemented in Indonesia have not been effective in preventing the emergence of risk factors for the incidence of hypertension in adolescents, compared with implementation in western. Ineffectiveness that occurs due to nutritional control patterns in adolescents in schools in the absence of regulations governing the nutritional content of student food, the lack of the teacher’s role in implementing health education due to high academic demands, and the lack of parental involvement. Conclusion: There are differences in the implementation of the health promotion program in Indonesia and the Western. The government priority for increasing the quality of live students trough health-promoting schools.
Ilhami Ilhami, Malik Afif
Published: 24 September 2020
Jurnal PROMKES, Volume 8, pp 198-205; doi:10.20473/jpk.v8.i2.2020.198-205

Abstract:
Background: Primary immunizations is a series of vaccination given to babies before the age of one, and it can actively increase immunity to diseases such as Hepatitis B, Poliomyelitis, Tuberculosis, Diphtheria, Pertussis, Tetanus, Pneumonia, and Meningitis caused by Hemophilus influenza type B, and measles. Family support is one of the essential factors for the completeness of immunization because it will encourage parents to immunize their children. The social support theory was used here since it assumes that the source of support from families such as parents, siblings, children, relatives, and partners provides examples for individuals to perform or suggest a positive behavior. Objective: This study aimed to determine the effect of family support on the provision of complete primary immunization at the Sidotopo Health Center in Surabaya. Methods: This research used a descriptive-analytic method with a simple random sampling of 54 respondents with a degree of significance (α=0.05). Sample inclusion criteria include mothers who have children aged 12-24 months, have a health card (KMS), and live around the area of Sidotopo Health Centre. The exclusion criteria are those who were not willing to be respondents. Results: The effect of family support on immunization has a significant value of 0.015 (P Value 0.05). Conclusion: Family support for complete primary immunizations includes emotional support, appreciation support, instrumental support, and informative support. Overall, emotional support has a direct influence on providing immunization. Therefore, appreciation support, instrumental support, and informative support did not significantly affect immunization.
Maulana Satria Aji, Gita Putra Heru Yudianto
Published: 24 September 2020
Jurnal PROMKES, Volume 8, pp 206-218; doi:10.20473/jpk.v8.i2.2020.206-218

Abstract:
Latar Belakang: Kampung Keluarga Berencana (KB) merupakan kegiatan pemberdayaan masyarakat berbasis keluarga dan komunitas. Kampung Keluarga Berencana merupakan program yang didasarkan pada Nawacita. kajian tentang program Kampung KB banyak dianalisis dari berbagai perspektif. Namun tidak banyak yang menganalisis dari perspektif Ottawa Charter, hal ini yang membedakan dengan penelitian lainnya . Tujuan: Tujuan dari penelitian ini adalah untuk mengeskplorasi implementasi pemberdayaan masyarakat Program Kampung KB dari perspektif ottawa charter. Metode: Penelitian ini merupakan penelitian kualitatif, dengan menggunakan metode studi kasus yang didukung dengan pengambilan data berupa wawancara mendalam dan Focus Group Discussion (FGD). Informan dalam pelaksanaan in-depth interview sebanyak 15 orang. Lokasi penelitian di Surabaya di RW 12 Sidotopo Kecamatan Semampir Surabaya. Hasil: Hasil analisis berdasarkan poin Ottawa charter, menunjukkan Kampung KB RW 12 belum optimal, seperti belum adanya kebijakan kesehatan tertulis. Komunikasi antara Puskesmas dan DP5A masih lemah sehingga terjadi penumpukan tugas, kurangya anggaran operasional, serta anggaran dana dari pemerintah yang belum tuntas. Uniknya, pengurus mampu menggalang dana swadaya untuk operasional Kampung KB. Pihak luar pun turut membantu masyarakat dalam hal bantuan pendidikan hingga pelatihan UMKM. Kampung KB membawa banyak perubahan di masyarakat, seperti gerakan bimbingan belajar pada remajanya hingga proyek bank sampah. Kesimpulan: Implementasi pemberdayaan masyarakat pada program kampung ditinjau dari perspektif ottawa charter belum memenuhi semua aspek dengan sempurna, terutama dalam hal kebijakan dan reorientasi health services.
Riza Ramli
Published: 6 May 2020
Jurnal PROMKES, Volume 8, pp 36-46; doi:10.20473/jpk.v8.i1.2020.36-46

Abstract:
Background: Low level of knowledge about exclusive breastfeeding and mother's employment status become factors causing flawed exclusive breastfeeding in Indonesia. The high number of working mothers makes babies unable to be exclusively breastfed. Objective: This study determined the relationship of knowledge and mother's employment status with exclusive breastfeeding in Sidotopo. Method: This study was a descriptive analytical study with a cross-sectional design. The sampling technique used purposive sampling with a total sample of 57 respondents. The primary data were collected through questionnaires and then analyzed by using chi-square test. Results: There were 52 mothers (91%) who did not exclusively breastfeed. Most of them (94.4%) had insufficient knowledge and did not exclusively breastfeed. The number of mothers who had good knowledge and exclusively breastfed was only 3 mothers (14.3%). Most mothers (73.7%) who did not work did not exclusively breastfed their babies (90.5%). Among 15 working mothers (26.3%), only 1 mother (6.7%) exclusively breastfed. Based on the bivariate analysis test, there was no relationship of mother's knowledge with exclusive breastfeeding (P value = 0.346 > 0.05). There was no relationship of mother's employment status with exclusive breastfeeding (P value= 0.604
Bagus Pratama Suwardono, Mohammad Zainal Fatah, Ninin Nuryantini Farid
Published: 6 May 2020
Jurnal PROMKES, Volume 8, pp 121-131; doi:10.20473/jpk.v8.i1.2020.121-131

Abstract:
Background: The Family Planning Program is a government policy in the area of population to suppress the occurrence of an unstable population growth. Conditions of participation in family planning acceptors in Bangkalan Regency are still low, which caused the function of family planning as an effort to reduce the population rate becomes less. Objective: The purpose of this study is to find a picture of the participation of family planning acceptors and a description of the factors that influence it in Bangkalan Regency. Method: The method in this research is a literature study whose data is obtained from journals, central statistics and theoretical bodies that have been available. The independent variables are education, social economy, number of KB Field Officers, and community / village apparatus support and are associated with Green Lawrence theory. Results: Factors causing the low number of active family planning participants in Bangkalan District were the level of education, the large number of poor families, the low number of PLKBs in each village, and the low level of education of village officials in Bangkalan Regency. Conclusion: the participation of family planning acceptors in Bangkalan is influenced by driving factors (education and social economy), enabling factors (number of KB Field Officers) and reinforcing factors (community support or village apparatus).
Published: 6 May 2020
Jurnal PROMKES, Volume 8, pp 21-35; doi:10.20473/jpk.v8.i1.2020.21-35

Abstract:
Background: Since the beginning of HIV epidemic in the world, about 70 million people have been infected with the HIV, and 35 million have died for HIV. HIV-AIDS is a chronic disease that requires a comprehensive treatment on People Living With HIV and AIDS (PLWHA) who need family support in facing their problems. Family in a community have a different social class, one of which is socioeconomic status. Objective: This study analyzed the relationship between socioeconomic status (education level, job status, and income) and family support with the quality of life of PLWHA. Method: This study was an observational study with a cross-sectional analytic design. The population were PLWHA who were outpatients in the clinical stage 3 based on the medical records of IPIPI RSUD Dr. Soetomo Surabaya. The sample size was 93 respondents selected by using simple random sampling technique. Data were collected through self-administered instrument with WHOQOL HIV BREF and analyzed with chi-square test. The study was conducted from April to May 2018 at IPIPI RSUD Dr. Soetomo Surabaya. Results: Results showed that there was no correlation between education level (P value = 0.141), job status (P value = 1.000), and income (P value = 0.678) with the quality of life of PLWHA, and there was significant correlation of family support (P value = 0.030) with the quality of life of PLWHA. Support that is significantly related to the quality of life is social network support (P value = 0.034). Conclusion: There is no correlation of education, employment status, and income with the quality of life of People Living with HIV/AIDS (PLWHA). There is a significant correlation of social network support from families with the quality of life of PLHA.
, Iswari Hariastuti
Published: 6 May 2020
Jurnal PROMKES, Volume 8, pp 12-20; doi:10.20473/jpk.v8.i1.2020.12-20

Abstract:
Background: Child marriage is still common in Indonesia both in urban and rural areas. One of possible causes is socio-cultural background. In Madura, the community still stick to culture and customs. Child marriage, one of among others, has become Madurese culture and legalized custom that was inherited to this day as seen in Pagarbatu Village, Sumenep. Objective: The study analyzed the effect of socio-cultural factors on the occurrence of child marriage to girls. Method: This study used a descriptive research design with a qualitative approach. It took place in Pagarbatu Village, Saronggi Sub-District, Sumenep District. The research subjects were women under the age of 18 who engaged in child marriages. Data were collected from April to May 2018. Results: The results showed that socio-cultural factors affect misconduct practices that leads to child marriage, especially among girls. Misconduct practices in child marriage are arranged marriages, age manipulations, witchcraft practices. Child marriage becomes a reason to ease family’s financial burden and also to keep tracing lineage to early ancestors. Religious beliefs are still strong in Madurese community. When females were tranced, they would be married for such mystical experience to get out of trance. Besides, there were other factors of child marriage, such as the lack of community leaders’ roles (village officials), the lack of health workers’ roles, age, education, knowledge, and family economy. Conclusion: There is a relationship between social and cultural factors with child marriage.
Published: 6 May 2020
Jurnal PROMKES, Volume 8, pp 79-86; doi:10.20473/jpk.v8.i1.2020.79-86

Abstract:
Background: Indonesia is ranked 4th in the World with the largest population in 2017 of 261,890,882 million. According to the 2017 Central Bureau of Statistics, the elderly population is 23.4 million (8.97%) of the Indonesian population. The habit of the elderly attending the Integrated Health Center (Posyandu) can have a good impact on the health of the elderly in the future. Objective: The aims of this study was to analyze the factors associated with the participation of the elderly following the Posyandu. Method: This study used Cross Sectional design with a sample of 210 respondents aged 45-59 years; 60-74 years; 75-84 years; and >84 years old. The technique used in sampling is simple random sampling with its independent variables namely intention, social support, information access, personal autonomy, and action situations in the elderly. The dependent variable is the activity of the elderly following the Posyandu. The data collection technique used primary data and secondary data. Data were analyzed by the chi square test through the SPSS application to see factors related to the activity of the elderly following the Posyandu. Result: From the results of the analysis, all independent variables showed a relationship between the independent variables on the activity of the elderly in attending the Elderly Posyandu (P
Published: 6 May 2020
Jurnal PROMKES, Volume 8, pp 87-98; doi:10.20473/jpk.v8.i1.2020.87-98

Abstract:
Background: Environmental problems in Indonesia are complex to solve. Most people in Indonesia still inappropriately dispose feces in wrong places. Based on the Joint Monitoring Program WHO/UNICEF, 55 million people in Indonesia still had unhygienic defecation behavior. Rangkah Village, Tambaksari District face the same problem because its population is not balance with its area, so settling septic-tank becomes a problem. Objective: This study identified community’s feces disposal behavior in Community Association Number 8 of Rangkah Village. Method: The primary data were collected through questionnaires, interview, and observation distributed to 249 respondents in Community Association Number 8 of Rangkah Village. While the secondary data were obtained through primary healthcare report. The analysis was done by using Slovin formula. Results: The respondents had good knowledge and attitude towards the importance of having latrines, septic-tank, and the danger of disposing feces into a river. However, environment has a big impact on the respondents to dispose fece into the river. They have already had latrines, but not septic-tank due to the lack of landfill for septic-tank and community’s low economic level. Conclusion: Feces drain from the toilet to the river through pipes, and this causes environmental pollution which spreads diseases to people around the river. This problem still cannot be solved by the healthcare providers and local government although they have done a program that deals with this problem.
, Yuly Sulistyorini
Published: 6 May 2020
Jurnal PROMKES, Volume 8, pp 1-11; doi:10.20473/jpk.v8.i1.2020.1-11

Abstract:
Background: The target of exclusive breastfeeding has not been achieved because complementary feeding (MPASI) has been given earlier. Infants aged 0-6 months should only get breastfed without any complementary food. Objective: This paper aimed to analyze factors related to maternal behavior towards complementary feeding (MPASI) in Pegirian Village. Method: This study was observational and cross-sectional, involving all mothers and caregivers of under-five-year-old children in Pegirian Village. The sample size was 35 mothers and caregivers of toddlers in Neighborhood Association No. 06 Community Association 02 Pegirian Village, Surabaya City. Sampling technique in use was saturated sampling or census method because the total population was less than 100. The research variables included educational background, income, and actions in giving MPASI. Correlation test was in use to see the relationship among factors. Results: The results showed that there was a relationship between knowledge and attitude with complementary feeding behavior (P value = 0.001 and 0.015). There was no relationship between the level of education and employment status with complementary feeding behavior towards infants aged less than 6 months (P values = 0.425 and 0.134). Conclusion: Knowledge and attitude of mothers and caregivers can influence complementary feeding for infants aged less than 6 months.
, Hario Megatsari
Published: 6 May 2020
Jurnal PROMKES, Volume 8, pp 66-78; doi:10.20473/jpk.v8.i1.2020.66-78

Abstract:
Background: Humans daily activities are inseparable from public places. Public places are facilities used for communal public activities, such as buying and selling in supermarket. The management of supermarkets have to ensure clean, healthy, safe, and comfortable facilities which do not give disadvantages for health. In responding this issue, health promotion is required in public places to get rid of environmental pollution and disease transmission. Objective: This study described health promotion in public places as found in Sakinah Supermarket. Method: This study was descriptive research with a quantitative approach. Data were categorized into primary data through observation and in-depth interview, as well as secondary data through Sakinah Supermarket’s document. The analysis was explored by using Ottawa Charter's 5 means of action as basic health promotion tool. Results: Health promotion in Sakinah Supermarket was still lacking. Health promotion efforts that have been done well are the concept of a No-Smoking Area, where Sakinah Supermarket did not sell cigarettes and did not provide smoking area. Conclusion: Sakinah Supermarket has not supported healthy public places since it does not give adequate information to improve individual’s awareness of health.
, Trias Mahmudiono, Stefani Verona Indi Andani
Published: 6 May 2020
Jurnal PROMKES, Volume 8, pp 59-65; doi:10.20473/jpk.v8.i1.2020.59-65

Abstract:
Background: The foodservice system in Children Penitentiary is an action for fulfilling the nutritional needs of prisoners. Lack of nutrition that is not by the standard, will result in the occurrence of nutritional problems and reduce the health status for prisoners during the coaching period. One indicator for better quality access to food services is to explore how the perceptions of prisoners on food services which are provided by the institution. Objective: The aims of this study was to determine the perceptions of inmates on the quality of service and provision of food at the Children Penitentiary Class IA, Blitar Regency. Method: This study used a qualitative approach with a semi-structured deep interview and observation method to explore data deeply and holistically. The informants consisted of 10 people and the criteria for key informants were between age range from 15 until 20 years old. Result: The results of the study showed that there were factors that influenced the perception of food quality assessment in LPKA, including internal factors, such as the emergence of eating behaviour and formation of eating culture among other prisoners. Besides assessment, there also included the taste of food, a portion of food, variety of menus, food hygiene, also the food from visitors or family. Conclusion: Eating behavior among prisoners forms a new culture in the scope of Class IA LPKA Blitar, which is a culture of joint eating or "kembul" which creates a sense of family among prisoners.
Published: 6 May 2020
Jurnal PROMKES, Volume 8, pp 99-110; doi:10.20473/jpk.v8.i1.2020.99-110

Abstract:
Background: Most smokers begin to smoke at or before the age of 19. The number of young male smokers is more than that of female smokers. Purpose: This study identified the characteristics of children in a foster care and analyzed factors related to compliance with Non-Smoking Area in Regional Technical Implementation Unit of Kampung Anak Negeri Surabaya in terms of responsibility and peer support. Method: This study was a descriptive observational study using a cross sectional approach. The number of samples was 31 foster children who were asked to fill out questionnaires and participated in interview, selected by using a total sampling method. The data were analyzed with cross tabulation. Results: The of foster children majority (58.1%) were 12-16 years old. Most of them (58.1%) were still in elementary school/equivalent. The results of cross tabulation implied that children with adequate personal responsibility had sufficient compliance and strong correlation (0.530). Good peer support resulted in sufficient compliance, but the correlation of peer support with compliance was poor (0.214). Conclusion: All of the variables had a correlation with compliance with the implementation of Non-Smoking Area Regulation, but the value of each variable was different. The Regional Technical Implementation Unit of Kampung Anak Negeri Surabaya need to create peer educators among the foster children.
Published: 6 May 2020
Jurnal PROMKES, Volume 8, pp 111-121; doi:10.20473/jpk.v8.i1.2020.111-121

Abstract:
Background: Traditional markets are a place to fulfill basic daily needs with trading practices accompanied by direct interaction between sellers and buyers. Health promotion in public places needs to be carried out by providing facilities that can support healthy behavior for visitors. One of the effort is through the indicators of Clean and Healthy Behavior. Objective: This research aims to explore and seek appropriate recommendations so that it can be a reference in improving clean and healthy living in the traditional market environment. Method: The instruments used in this study were the field observation form, assessment form, and in-depth interview guide. Taking informants using purposive sampling techniques with inclusion criteria is the market manager. The assessment was carried out on the components of a Healthy Clean Lifestyle in traditional markets, namely 8 indicators including clean water supply, hand washing behavior with soap, healthy latrines, behavior to dispose of rubbish in its place, not smoking in public places, closing food and drinks, prohibiting indiscriminate spitting, and efforts to eradicate mosquito larvae. Results: The results of this study indicate that the four markets studied were in the Poor category. The Main Market gained 447 points, the Pamenang Market 350 points, the Pare Lama Market 352 points, the Bendo Market 366 points. There are four indicators that have the results with the lowest achievement score, namely indiscriminate spitting, smoking bans in public places, washing hands with soap, and combating mosquito larvae. Conclusion: several Traditional Markets in Pare Sub-district have not implemented 8 Indicators of Clean and Healthy Behavior in public places (Traditional Markets) properly.
, Ilham Akhsanu Ridlo
Published: 6 May 2020
Jurnal PROMKES, Volume 8, pp 47-58; doi:10.20473/jpk.v8.i1.2020.47-58

Abstract:
Background: The Surabaya City Health Office report showed, the coverage of hygienic and healthy lifestyle in 2016 was 75.07%. In Rangkah Village, a total of 2,770 (11.84%) out of 23,390 families were monitored, and as many as 1,552 of them (56.03%) had applied hygienic and healthy lifestyle. Objective: This study identified the relationship between knowledge and attitude with the implementation of clean and healthy lifestyle in Rangkah Village. Method: This study deployed quantitative research with a cross-sectional design. As many as 249 people became the sample selected by using the cluster random sampling. The independent variables were knowledge of and attitudes towards hygienic and healthy lifestyle, while the dependent variable was hygiene and healthy lifestyle. The data were then processed with SPSS to identify whether there is a relationship among the variables observed. Results: Knowledge variable obtained P value of 0.014<α (0.05), meaning there is a relationship of knowledge with hygienic and healthy lifestyle. While attitude variable had P value of 0.082>α (0.05), suggesting that there is no relationship of attitudes with hygienic and healthy lifestyle. Conclusion: One of the factors which greatly influences hygienic and healthy lifestyle in the familiesis knowledge.
Published: 20 December 2019
Jurnal PROMKES, Volume 7, pp 173-181; doi:10.20473/jpk.v7.i2.2019.173-181

Abstract:
Background: Hypertension data based on age groups in Surabaya showed an increase in hypertension trends in the young age group. It is known that hypertension risk factors are gender, behavior or lifestyle, age, sex, race/ethnicity, genetics, effective stress management, and obesity. Of all these risk factors, behavioral factors or specifically referred to as lifestyle are closely related to hypertension morbidity in the aged 18-35 years. Objective: The aims of this study is to determine the determinants that most influence the incidence of hypertension in order to reduce the prevalence of hypertension at 18-35 years old in the western and eastern parts of the city of Surabaya. Method: This studi employed cross-sectional observational analysis using Chi Square and logistic regression. Sample of this studi were 404 respondents taken by Cluster Random Sampling, with inclusion criteria as follows: 18-35 years old, currently not in hypertension medication, never having a stroke and suffering from a heart condition. The respondent's blood pressure check is carried out before and after completing the questionnaire. Results: The results of research shows unfavorable behavior towards healthy lifestyle, smoking behavior, exercise, fast food consumption, stress, and sleep time have significant results on the incidence of hypertension. Of all factors, smoking behavior was the highest (p = 0,000; OR 14,366). Conclusion: To prevent an increase in the prevalence of hypertension in 18-35 years, it is necessary to implement regulation of non-smoking area.
Published: 20 December 2019
Jurnal PROMKES, Volume 7, pp 124-132; doi:10.20473/jpk.v7.i2.2019.124-132

Abstract:
Background: The consumption of narcotics, psychotropic and addictive substances are increased among teenagers in Bima. Efforts to prevent and suppress drug trafficking and their abuse need to be implemented continuously through the process of education and information sharing among families who has teenagers. The use of local wisdom in health promotion can be done by using media with local language. Purpose: This study aims to determine the effect of delivering information about the characteristics of drug users using the local Bima Language booklet towards family knowledge. Methods: This study was conducted by using post-test only design that use control group with 30 respondents for each group. The data was obtained by observation and interview.The data analysis used a Nonparametric Test with the Mann-Whitney test. Results: The results showed that there was no difference in understanding between respondents who read booklets in local Bima language and respondents who read booklets in Indonesian language with p = 0.058. Conclusion: The use of the Booklet in local Bima language has the same effect as the use of booklets in Indonesian language
Published: 20 December 2019
Jurnal PROMKES, Volume 7, pp 233-239; doi:10.20473/jpk.v7.i2.2019.233-239

Abstract:
Background: Exclusive breastfeeding is a process of giving only breast milk to babies since they are born until they are six month old. Membramo Public Health Office reported that according to the health profile report from Kobakma Public Health Centre, the exclusive breastfeeding program has not achieved the national target, which is 80%, only 55,4% babies who got exclusive breastfeeding in 2015. The chairperson from Kobakma Public Health Centre states that one of the problem is the misunderstanding about breastmilk among mothers in the surroundin. They throw their breast milk away and feed their babies with formulated milk during the period of postpartum for three months. Purpose: This study is aimed to know the effect of counseling program using two sided flipchart on exclusive breastfeeding. Methods: This study uses quasi experiment method with non equivalent control group. The samples of this study are mothers who have 0-6 month old babies and live in working area of Kobakma Public Health. 60 mothers are selected using purposive sampling technique. The Instrument of this study uses questionnaire, data ccollection was done by face to face method. The data was then analyzed using chi square and wilcoxon signed rank test. Results: The result of this study shows significant difference in the improvement of knowledge, behaviour, and practice before and after the counseling program of the intervention group (p=0,000). Conclusion: The implementation of counseling program using two sided flipcharts is effective to improve mothers’ knowledge, behaviour and practice in exclusive breastfeeding.
Published: 20 December 2019
Jurnal PROMKES, Volume 7, pp 223-232; doi:10.20473/jpk.v7.i2.2019.223-232

Abstract:
Latar Belakang: Diabetes Mellitus Tipe 2 merupakan penyebab kematian nomor 6 di dunia. Diabetes Mellitus dengan komplikasi merupakan penyebab kematian tertinggi ketiga di Indonesia. Provinsi Jawa Timur menempati jumlah perkiraan terbesar penderita Diabetes Mellitus yaitu 605.974 penderita. Tujuan: Tujuan dari penelitian ini untuk mengetahui hubungan antara pengetahuan dan tindakan pencegahan Diabetes Mellitus tipe 2 di SMA Muhammadiyah 7 Surabaya. Metode: Jenis penelitian ini adalah kuantitatif. Desain yang digunakan yaitu cross sectional. Sampel penelitian ini sebanyak 70 responden. Penelitian ini menggunakan teknik simple random sampling. Variabel independen yaitu pengetahuan tentang Diabetes Mellitus, sedangkan variabel dependen adalah tindakan pencegahan Diabetes Mellitus tipe 2. Analisis data menggunakan uji chi square. Hasil: Hasil penelitian ini menujukkan p value 0,0001<α=0,1 sehingga hasil p<α. Hal ini bermakna bahwa terdapat hubungan yang signifikan antara pengetahuan tentang Diabetes Mellitus tipe 2 dengan tindakan pencegahan Diabetes Mellitus tipe 2 pada siswa-siswi SMA Muhammadiyah 7 Surabaya. Kesimpulan: Pengetahuan Siswa-Siswi SMA Muhammadiyah 7 Surabaya berhubungan dengan upaya pencegahan penyakit Diabetes Mellitus tipe 2.
Published: 20 December 2019
Jurnal PROMKES, Volume 7, pp 193-203; doi:10.20473/jpk.v7.i2.2019.193-203

Abstract:
Latar belakang: Perilaku pencarian pengobatan merupakan segala tindakan atau upaya yang dilakukan oleh individu dengan tujuan menemukan pengobatan yang tepat saat merasa/menganggap dirinya sedang memiliki gangguan kesehatan. Mahasiswa sebagai individu yang sudah dianggap mampu bertanggung jawab atas diri sendiri memiliki kuasa atas dirinya untuk menentukan perilakunya, termasuk dalam upaya pencarian pengobatan. Tujuan: Penelitian ini bertujuan untuk mengetahui gambaran perilaku pencarian pengobatan pada mahasiswa Fakultas Kesehatan Masyarakat Universitas Airlangga. Method: Jenis penelitian yang digunakan adalah observasional analitik dengan studi korelasi chi-square dan rancang bangun cross sectional. Sampel penelitian berjumlah 96 mahasiswa yang diambil dari total populasi sebesar 2462 mahasiswa FKM UNAIR dan dipilih secara acak menggunakan teknik sampel acak sederhana. Variabel pada penelitian ini terdiri dari perilaku pencarian pengobatan sebagai variabel terikat, sedangkan persepsi kerentanan, persepsi keseriusan, persepsi manfaat dan persepsi hambatan sebagai variabel bebas. Hasil: Hasil penelitian menunjukkan bahwa jumlah mahasiswa Fakultas Kesehatan Masyarakat Universitas Airlangga yang melakukan tindakan pengobatan saat pertama kali merasakan gejala penyakit sebesar 37,5%. Berdasarkan hasil uji statistik dapat diketahui jika variabel perceived seriousness (P value = 0,176) dan perceived benefit (P value = 0,446). Sedangkan variabel perceived susceptibility (P value = 0,003) dan perceived barriers (P value = 0,005). Kesimpulan: Terdapat hubungan antara persepsi kerentanan dan hambatan yang dirasakan dengan timbulnya perilaku pencarian pengobatan pada mahasiswa Fakultas Kesehatan Masyarakat Universitas Airlangga, Surabaya.
Published: 20 December 2019
Jurnal PROMKES, Volume 7, pp 156-162; doi:10.20473/jpk.v7.i2.2019.156-162

Abstract:
Background: Every year an average of 9 million people suffer from Tuberculosis and about 2 million people die every year in the world. The Behavior Area is divided into attitudes and actions. Purpose: The purpose of this study was to analyze the relationship between attitude, smoking behavior, physical activity and the incidence of Diabetes Mellitus–pulmonary Tuberculosis. Method: This study was an observational analytic study using a case control matching design. The research sample is 30 case samples and 30 control samples. Results: From the results of the Chi Square analysis, it is known that there is a significant relationship that is the attitude towards pulmonary Tuberculosis disease and physical activity towards pulmonary Tuberculosis (p0.05) between smoking behavior towards Pulmonary of Diabetes Mellitus–pulmonary Tuberculosis. Odds Ratio of this study is the attitude towards pulmonary Tuberculosis disease of 3.455 and physical activity of 9.036. Conclusion: the attitude of patients with Diabetus Mellitus towards Pulmonary Tuberculosis and physical activity of patients with Diabetus Mellitus risked the incidence of Pulmonary Tuberculosis.
Ike Niki
Published: 20 December 2019
Jurnal PROMKES, Volume 7, pp 182-192; doi:10.20473/jpk.v7.i2.2019.182-192

Abstract:
Latar Belakang: Infeksi Saluran Pernafasan Akut (ISPA) adalah infeksi yang terjadi pada saluran pernafasan akut seperti hidung, tenggorokan, dan paru-paru yang bisa berlangsung hingga kurang lebih 14 hari. Kasus ISPA pada balita di wilayah kerja Puskesmas Sidotopo menempati urutan 10 besar daftar penyakit. Tujuan: Penelitian ini dilakukan untuk melihat hubungan antara pengetahuan tentang ISPA dan dukungan keluarga terhadap upaya pencegahan penyakit ISPA. Metode: Penelitian ini dilakukan di RW XIII dan RW XIV di Kelurahan Ampel dengan penelitian Cross Sectional dan menggunakan Uji Chi-Square. Populasi dalam penelitian ini adalah ibu yang memiliki balita, dan dalam pengambilan sampel menggunakan Teknik Simple Random Sampling didapatkan hasil 48 responden. Dalam upaya pencegahan penyakit ISPA peneliti membedakan antara upaya pencegahan dengan imunisasi dan non imunisasi. Hasil: Hubungan antara pengetahuan dengan upaya pencegahan dengan imunisasi diperoleh hasil p=0.011 < α=0.05. Hubungan pengetahuan dengan upaya pencegahan penyakit ISPA non imunisasi, yaitu ASI Ekslusif (p=0,031), merokok dalam rumah (p=0.006), penggunaan obat nyamuk (p=0.037), dan membuka jendela (p=0,008). Hubungan antara dukungan keluarga dan upaya pencegahan penyakit ISPA dengan imunisasi (p=0,047) dan non-imunisasi berupa status ASI Ekslusif (p=0,0001). Kesimpulan: Terdapat hubungan antara pengetahuan dengan upaya pencegahan dengan imunisasi dan non imunisasi (ASI eksklusif, merokok dalam rumah, penggunaan obat nyamuk dan membuka jendela rumah). Ada hubungan antara dukungan keluarga dengan upaya pencegahan ISPA.
Published: 20 December 2019
Jurnal PROMKES, Volume 7, pp 133-143; doi:10.20473/jpk.v7.i2.2019.133-143

Abstract:
Latar Belakang: Penyelenggaraan Ujian Nasional dimulai sejak tahun ajaran 2002/2003 ternyata masih banyak menyisakan permasalahan dan kekurangan. Perubahan sistem dari hasil evaluasi pemerintah dapat menyebabkan kecemasan terhadap siswa peserta Ujian Nasional Berbasis Komputer. Self efficacy dan dukungan sosial merupakan komponen penting yang harus ditinjau untuk mencegah terjadinya gangguan psikologis siswa dalam menghadapi UNBK. Tujuan: Penelitian ini dilakukan untuk melihat gambaran mengenai self efficacy dengan dukungan sosial agar dapat dijadikan acuan untuk mencegah gangguan psikologi siswa pada SMP ‘X’. Metode: Penelitian ini merupakan penelitian deskriptif. Sampel penelitian ini sebanyak 38 responden dengan teknik pengambilan sampel menggunakan total sampling. Instrument yang digunakan adalah kuesioner. Hasil: Hasil penelitian menunjukkan bahwa dukungan sosial dengan kategori rendah sebanyak 44,8%, kategori sedang 36,4% dan kategori tinggi hanya mencapai angka 18,4%. Self efficacy pada siswa ada pada kategori tinggi yaitu sebesar 50%, kategori sedang menunjukkan angka 28,9% sedangkan pada kategori rendah 21,1%. Kesimpulan: Dukungan sosial keluarga meningkatkan rasa percaya diri. Self efficacy siswa termasuk dalam kategori tinggi, mereka dapat mencari informasi dari berbagai sumber.
Published: 20 December 2019
Jurnal PROMKES, Volume 7, pp 144-155; doi:10.20473/jpk.v7.i2.2019.144-155

Abstract:
Latar Belakang: Perilaku merokok sudah meluas pada seluruh kelompok masyarakat baik secara global maupun nasional, termasuk pada remaja. Sekolah Menengah Pertama (SMP) dan sederajat merupakan pendidikan utama untuk remaja awal, sehingga perlu mewujudkan kawasan tanpa rokok di lingkungan sekolah. Tujuan: Tujuan penelitian ini adalah menganalisis implementasi Kawasan Tanpa Rokok (KTR) di sekolah. Metode: Penelitian menggunakan deskriptif analitik dan observasi dengan pendekatan cross-sectional. Data diperoleh dengan menggunakan kuesioner terstruktur yang telah diuji cobakan di sepuluh sekolah. Populasi penelitian ini sebanyak 86 sekolah di Kabupaten Madiun. Wawancara dilakukan pada penanggung jawab Kawasan Tanpa Rokok di SMP. Penanggung jawab tersebut bisa pada jabatan kepala sekolah, wakil, guru, atau humas. Data dianalisis secara univariat dan bivariat. Hasil: Analisis bivariat menunjukkan terdapat hubungan implementasi kawasan tanpa rokok dengan ketersediaan sumber dana dengan p-value 0,004 dan dukungan sarana prasarana dengan p-value 0,001. Sedangkan tidak ada hubungan antara implementasi Kawasan Tanpa Rokok dengan ketersediaan sumber daya manusia dan dukungan kebijakan. Kesimpulan: Implementasi Kawasan Tanpa Rokok di SMP dan sederajat masih belum maksimal, karena masih terdapat siswa, guru, dan karyawan yang berperilaku merokok di lingkungan sekolah
Published: 20 December 2019
Jurnal PROMKES, Volume 7, pp 215-222; doi:10.20473/jpk.v7.i2.2019.215-222

Abstract:
Latar Belakang: Setiap tahun 6 juta anak kehilangan nyawa yang disebabkan oleh kasus diare. Sebagian kematian tersebut terjadi di negara berkembang. Data dari Dinas Kesehatan Kota Surabaya menyebutkan bahwa jumlah kasus diare sebanyak 65.447 yang telah di tangani pada tahun 2015. Sedangkan tahun 2017 di Puskesmas Sidotopo yang membawahi kelurahan Ampel terjadi kasus diare sebanyak 611 kasus. Tujuan: Penelitian ini untuk mengetahui hubungan perilaku ibu dengan kejadian diare pada balita. Metode: Populasi adalah seluruh ibu balita di RT 2-3 RW XIII dan RT 1 RW XIV Kelurahan Ampel Kecamatan Semampir Kota Surabaya. Jenis penelitian adalah kuantitatif dengan design cross sectional. Pengambilan sampel penelitian dalam penelitian ini adalah menggunakan metode Slovin dengan teknik simple random sampling. Jumlah populasi sebanyak 55 ibu dengan besar sample 35 responden. Hasil: Dua variabel menunjukkan hasil yang signifikan. Ada hubungan yang signifikan antara penyimpanan air minum di tempat yang bersih dan tertutup dengan kejadian diare pada balita (p value = 0,021). Ada hubungan yang signifikan antara pemberian ASI Eksklusif dengan kejadian diare pada (p value= 0,048). Perilaku cuci tangan pakai tidak berhubungan dengan kasus diare pada balita di Kelurahan Ampel. Kesimpulan: Faktor yang berpengaruh terhadap kejadian diare di Kelurahan Ampel adalah penyimpanan air minum di tempat yang bersih dan tertutup serta pemberian ASI Eksklusif.
, Arief Hargono
Published: 20 December 2019
Jurnal PROMKES, Volume 7, pp 163-172; doi:10.20473/jpk.v7.i2.2019.163-172

Abstract:
Latar Belakang: Salah satu penyakit infeksi yang menjadi penyebab utama tingginya Angka Kebatian Bayi di dunia adalah pneumonia. Banyak faktor yang dapat meningkatkan angka kejadian pneumonia pada anak dibawah 4 tahun, termasuk pengetahuan dan sikap ibu tentang pola asuh dan keberadaan anggota keluarga yang merokok, jumlah anggota keluarga yang merokok, serta tempat merokok anggota keluarga yang merokok (paparan asap rokok). Tujuan: Tujuan penelitian ini untuk menganalisis perbedaan risiko pneumonia berdasarkan pola asuh ibu dan paparan asap rokok pada anak dibawah 4 tahun. Metode: Penelitian ini menggunakan rancang bangun penelitian case control dengan 50 responden menggunakan perbandingan 1:4 (10 kasus dan 40 kontrol). Kriteria kasus adalah anak berumur dibawah 4 tahun yang didiagnosis pneumonia oleh dokter atau paramedis pada Bulan April-Mei 2018 dan kriteria kontrol adalah anak berumur dibawah 4 tahun yang tidak didiagnosis pneumonia atau penyakit lainnya oleh dokter atau paramedis. Penelitian ini dilakukan Puskesmas Bulak Banteng pada bulan April-Mei 2018 dengan wawancara menggunakan kuesioner. Analisis data dilakukan dengan analisis univariat dan bivariat menggunakan uji Chi Square. Hasil: Hasil penelitian menunjukkan bahwa tempat merokok memiliki perbedaan besar risiko pneumonia pada anak dibawah 4 tahun terbesar (44,62%), sedangkan faktor lainnya diurutkan dari RD terbesar yaitu pengetahuan praktik kesehatan di rumah (32%), keberadaan anggota keluarga yang merokok (27,3%), jumlah anggota keluarga yang merokok (20%5), dan sikap praktik kesehatan di rumah (9,6%). Kesimpulan: Perbedaan risiko (RD) terbesar untuk kejadian pneumonia anak 0-4 tahun adalah variabel tempat merokok anggota keluarga yang merokok, kemudian diikuti variabel pengetahuan praktik kesehatan di rumah, keberadaan anggota keluarga yang merokok, jumlah anggota keluarga yang merokok, dan yang memiliki risiko terkecil adalah sikap ibu dalam praktik kesehatan di rumah.
Published: 20 December 2019
Jurnal PROMKES, Volume 7, pp 204-214; doi:10.20473/jpk.v7.i2.2019.204-214

Abstract:
Latar Belakang: Infeksi terkait pelayanan kesehatan dapat mempengaruhi keselamatan pasien, petugas kesehatan dan pengunjung di pelayanan kesehatan termasuk rumah sakit. Rumah Sakit Islam Jemursari Surabaya melaksanakan program Duta Hand Hygiene salah satu tujuannya yaitu untuk meningkatkan kepatuhan hand hygiene petugas rumah sakit. Tujuan: Tujuan penelitian ini untuk mengetahui efektivitas dengan menguji pengaruh pelaksanaan program Duta Hand Hygiene terhadap kepatuhan five moment hand hygiene petugas dan menjelaskan strategi promosi kesehatan berdasarkan startegi multimodal WHO dalam peningkatan hand hygiene di rumah sakit. Metode: Penelitian ini dilakukan di Rumah Sakit Islam Jemursari dengan metode pengumpulan data sekunder dari laporan bulanan Komite Pencegahan dan Pengendalian Infeksi terkait monitoring kepatuhan hand hygiene, wawancara dan observasi. Teknik analisa data yang digunakan yaitu kuantitatif yang diuji menggunakan uji-T berpasangan. Hasil: Kepatuhan five moment hand hygiene petugas meningkat setelah diberlakukannya program duta hand hygiene di rumah sakit. Berdasarkan hasil uji statisktik yaitu uji-T berpasangan didapat bahwa terdapat perbedaan yang signifikan kepatuhan hand hygiene petugas pada momen dua sampai momen lima dan hasil uji statistik secara keseluruhan menunjukan hasil yang signifikan sebesar 0.000001. Hasil penelitian ini menunjukkan ada perbedaan kepatuhan sebelum dilaksanakan program Duta Hand Hygiene dan selama program Duta hand hygiene berlangsung. Kesimpulan: Program ini efektif dilakukan serta pelaksanaannya didukung oleh strategi multimodal WHO untuk peningkatan praktik hand hygiene antara lain perubahan sistem, pelatihan atau edukasi, evaluasi dan umpan balik, pengingat di tempat kerja dan iklim institusional yang aman.
Wiwik Eko Pertiwi, Annissa Annissa
Published: 20 August 2019
Jurnal PROMKES, Volume 7, pp 100-104; doi:10.20473/jpk.v7.i1.2019.100-104

Abstract:
Background: Health promotion is an effort to distribute health messages to all levels of society. In order for the achievement of the main purpose of health promotion , media or tools are needed so health promotion becomes effective and efficient. The lack of availability of health promotion media especially in elementary schools is still low, so that it affects the low condition of student knowledge and attitudes in healthy behaviors. Purpose: This study was aimed to determine the availability of health promotion media in elementary schools (SD) in Kramatwatu District, Serang Regency, Banten Province. Methods: This study was conducted on December 2017 to July 2018 with a total sample of 31 elementary schools. The study uses a descriptive design that is described in depth about the availability of health promotion media in elementary schools. Results: The results showed that out of 31 elementary schools located in Kramatwatu sub-district, it was found that 64.5% of elementary schools had health promotion media, 29.0% of elementary schools stated that the type of health promotion media were posters, 19.4% were available as health promotional media in book form. A total of 38.7% stated that the number of health promotion media was lacking, 25.8% of the number of health promotion media was sufficient. The health promotion media that are most often accessed by elementary school students were books (67.7%). Conclusion: the availability of health promotion media in elementary schools of Kramatwatu District is still categorized as low.
Malida Nurul Hidayah
Published: 20 August 2019
Jurnal PROMKES, Volume 7, pp 56-66; doi:10.20473/jpk.v7.i1.2019.56-66

Abstract:
Background: Ministry of Health Republic of Indonesia create a vision in health development that is "Independent and Justice of Healthy Community". The embodiment of the mission statement is poured in the form of a strategic programs which is District Alert programs through Village Community Deliberation and Community Self Survey. Purpose: The purpose of this study is to evaluate the implementation of Village Community Deliberation I and II of 2017 year in X Community Health Center. Methods: This type of research is descriptive observational. Data collection techniques used through interviews and secondary data collection. Methods of data analysis are done by doing a comparison between the data already obtained with the theory and guidelines in the implementation of research materials. This study lasted on February 26, 2018 - March 4, 2018. Results: Terms of implementers are still not in accordance with existing provisions, while for SMD executor already corresponding. In the aspect of the implementation of MMK and SMD is in accordance with the intended purpose as well as the results or output expected at the all stage. Conclusion: The stages of activities have held with appropriate the standards of existing regulations in Village Community Deliberation and Community Self Survey.
Debby Daviani Prawati
Published: 20 August 2019
Jurnal PROMKES, Volume 7, pp 34-45; doi:10.20473/jpk.v7.i1.2019.34-45

Abstract:
Background: Diarrhea is an illness which characterized by changed in shape, consistency of the stool and with excessive bowel frequency (more than 3 times within a day). Diarrhea disease is the third contributor of children’s morbidity and mortality rate around the world. Purpose: This study aims to analyzing factors that caused diarrhea’s cases. This research were an observational analytic type. Sampling technique were used random sampling / probability sampling. Methods: Data were analyzed by chi-square test. Data collection techniques were divided into primary data (direct observation and questionnaire) and secondary data (journals and articles). Results: On this research showed theres no significant correlation between sex, age, education, income, hand washing behavior using soap, clean water facility and trashbin condition with diarrhea occurrence during last 3 months in RW.VI Kelurahan Rangkah Buntu, Surabaya. There were a significant relation between cleaning up the environment, making and consuming oralit, and the behavior of handwashing with soap before meals at the rate of diarrhea cases during the last 3 months in RW VI Kelurahan Rangkah Buntu, Surabaya. Conclusion: theres no significant correlation between social demography, behavior using soap, clean water facility and trasbin and a significant relation between clean up the environtment, behavior handwashing, making and consuming oralit during the last 3 month in RW VI Kelurahan Rangkah Buntu, Surabaya.
Angga Satria Prayogo, Muji Sulistyowati
Published: 20 August 2019
Jurnal PROMKES, Volume 7, pp 105-112; doi:10.20473/jpk.v7.i1.2019.105-112

Abstract:
Background: Breakfast is an important activity for people of all ages, including teenagers, before starting their daily activities. There are many benefits of breakfast that can be felt by the body, but some studies showed that some teens have a poor breakfast habit. Purpose: This research was conducted to analyze the effect of social support on breakfast behavior in teenager in the Sidoarjo Islamic State Senior High School (SHS). Methods: This study was an analytic observational study with cross-sectional. The population of this study were 906 teenagers of 11th and 12th grade who were registered as active students in Sidoarjo Islamic State SHS in 2018/2019, while for the sample were 442 teenagers in that school who were willing to be respondents of the study. The sample was taken through cluster random sampling technique. Results: The results showed that 44.1% of respondents had moderate breakfast behavior and 53.8% of respondents had high social support to have breakfast. Good breakfast behavior tends to be more owned by respondents who have high social support, which is 35.3%. Based on the ordinal regression test results, there is an influence of social support on breakfast behavior in teenagers at Sidoarjo Islamic State SHS with Sig. = 0.011. Parents tend to give big contribution to breakfast behavior in teenagers in Sidoarjo Islamic State SHS, namely giving idea of having breakfast, preparing food for breakfast, telling them to have breakfast, and explaining the importance of having breakfast so that the form of social support from parents already includes emotional, informational, instrumental, and appreciation support. Friends also have a contribution to breakfast behavior in teenagers even though it only includes emotional support (explaining the importance of having breakfast) and informational (explaining the importance of having breakfast). Conclusion: The conclusion of this study is social support from parents and friends can influence breakfast behavior in teenagers in Sidoarjo Islamic State SHS.
Published: 20 August 2019
Jurnal PROMKES, Volume 7, pp 1-11; doi:10.20473/jpk.v7.i1.2019.1-11

Abstract:
Implementing clean and healthy living behaviors is useful to prevent, cope and protect against disease threats and utilize quality health services, effective and efficient. Hand washing with soap is an indicator of clean and healthy living behavior. Washing hands with soap can prevent various diseases. One of them is diarrhea. The fingers can be the pathway for pathogens, bacteria or viruses that can cause diarrhea. Therefore, hand washing becomes one of effective and efficient prevention efforts to avoid the occurrence of disease. Purpose: This research has a purpose to know the relationship between knowledge and attitude towards hand washing action in RW III Pegirian Village Semampir District Surabaya. Methods: This research used descriptive method with Simple Random Sampling technique, samples of 84 respondents. The independent variables in this study consisted of knowledge of handwashing and attitude towards hand washing. The dependent variable in this research is hand washing action. The collected data were analyzed using spearman correlation test with the aim of knowing the relationship and strong relationship of research subjects. Results: The result of this research is the correlation between knowledge with hand washing with p value 0,009 with strong correlation with correlation coefficient 0,282. And there is a relationship between attitude to hand washing with hand washing result p value sebasar 0,017 and strong relationship is strong with correlation coefficient 0,271. Conclusion: There is a relationship between knowledge and attitudes with the act of hands washing and strong relationships are strong.
Published: 20 August 2019
Jurnal PROMKES, Volume 7, pp 22-33; doi:10.20473/jpk.v7.i1.2019.22-33

Abstract:
Dengue Hemorrhagic Fever is still one of the major public health problems in Indonesia. In 2016, the number of deaths in East Java due to dengue as much as 339 people or 1.4% of total patients. At the end of 2017, 4 cases of dengue fever were found in the RW.VI, Rangkah Buntu Village, Surabaya. One of the causes of dengue is the presence of larvae. The purpose of this study to analyze the factors that affecting the presence of larvae in Rangkah Buntu Village. This research is an observational analytic research with quantitative approach. The study included cross sectional with a sample of 211 respondents. The sampling technique used is simple random sampling. The independent variables in this study were education, income, knowledge, attitude, 3M+, hanging dirty clothes for more than one day, draining the bath at least once a week and cleaning the house. And the dependent variable is the presence of larvae. Data collection techniques are divided into primary data (direct observation and questionnaire) and secondary data (journals and articles). Then the data were analyzed by chi square test with the help of SPSS program to see the influencing factor. The results of this study indicate that the knowledge, activity of draining the bath tub at least once a week and hanging dirty clothes more than one day have an influence with the presence of larvae (chi square obtained p <α (α = 0,05)).
Published: 20 August 2019
Jurnal PROMKES, Volume 7, pp 88-99; doi:10.20473/jpk.v7.i1.2019.88-99

Abstract:
Background: Noise has an impact on hearing loss and decreased power. Therefore the need for noise control one of them by using the ear protector. However, some studies have been done that workers who do not use personal protective equipment as the highest risk compared with others. It is necessary to change the behaviour of workers who do not use personal protective equipment to be obedient in using personal protective equipment. Purpose: the aims of this study to identify several factors that encourage obedient behaviour toward the use of ear protector in PT. Pupuk Kalimantan Timur. Methods: This research method using descriptive research by using Primary and secondary data. Primary data collected from in-depth interview and observation. Results: The results of the study explained that all operators of ammonia and urea compressors of PT. Pupuk Kalimantan Timur was Already Compliant in using ear protection. However, there are still a number of factors that are less appropriate. The driving factors are knowledge of noise engineering control, the direct impact of noise, intensity and duration of exposure. Conclusion: The driving factors are knowledge of noise engineering control, the direct impact of noise, intensity and duration of exposure.
Published: 20 August 2019
Jurnal PROMKES, Volume 7, pp 46-55; doi:10.20473/jpk.v7.i1.2019.46-55

Abstract:
Background: School is one of the important institution to implementing health promotion program. The problem that need to be noticed is low awareness to wash hands with running water and soap among students. Purpose: The aim of this research is to describe knowledge, attitudes, practice, facility availability, and the teacher’s role to support handwashing with soap (HWS) habit among students at Madrasah Ibtidaiyah (MI) Taswirul Afkar Surabaya.Methods: This study used observational descriptive method. The population were students in 4th until 6th grade. Results: Results of the study showed that the majority of students (49.1%) had good knowledge. Regarding the attitudes, the majority of students (66.7%) had positive attitudes and most of them (78.4%) had good practices on handwashing with soap. The majority of respondents (56.8%) get support from teachers such as counseling. The teachers was not always controlling the facility availability of handwashing (94.1%) and carrying out supervision handwashing with soap practices among students (76.5%). Based on observations, it is found that washbasin is only available in the schoolyard and four bathroom rooms. Conclusion: Student’s knowledge, attitude, and Practice about handwashing with soap in a good category. There is counseling from teachers and there is no control on handwashing facilities.
Published: 20 August 2019
Jurnal PROMKES, Volume 7, pp 12-21; doi:10.20473/jpk.v7.i1.2019.12-21

Abstract:
Background: The workplace is every room where the workers work with various sources of danger. Hazards that can occur include fire, work accidents and occupational diseases. Fire may occur due to electrical short circuit, human negligence and ignition of flammable liquids and gases. Workers who throw cigarettes carelessly become a trigger of fire and even blasting at work. Therefore, the government made a policy on restrictions on the use of cigarettes in the workplace, the Non Smoking Area. Although regulations relating to non smoking areas have been established and legalized, there are still non smoking area violations. PT. PAL Indonesia (Persero) has had regulations related to non smoking areas that have been applied in the company. But in some places still found a cigarette butts are scattered. This indicates that there are still workers who smoke indiscriminately and do not throw cigarette butts to the proper place. Purpose: The purpose of this study is to analyze factors relates to non smoking area adherence at PT. PAL Indonesia (Persero) in terms of Milgram’s Obedience theory. Methods: The method in this research is analytic observasional with quantitative approach and cross sectional research design. Results: The results of this study indicate that factors related to obedience of non smoking area are personal responsibility with a significant value of 0,031 (p
Tri Anisca Dillyana
Published: 20 August 2019
Jurnal PROMKES, Volume 7, pp 67-77; doi:10.20473/jpk.v7.i1.2019.67-77

Abstract:
Background: Basic immunization is the first immunization that should be given to everyone, especially infants and children from birth to protect lifes from dangerous diseases. The immunization program in Indonesia requires every infant (0-11 months) to receive complete basic immunization consist of 1 dose of Hepatitis B, 1 dose of BCG, 3 doses of DPT-HB-Hib, 4 doses of polio, and 1 dose of measles. Basic Immunization in RW 8 Wonokusumo Urban Village in 2017 has not reached the target. Only 73 infants (67%) of 108 have received complete basic immunization which the target of Puskesmas is 95%. This study aims to know the correlation of knowledge, attitude and mother perception with the basic immunization status in Wonokusumo. This study is an observational analytic research with quantitative approach. The study was cross sectional with a sample of 39 respondents. The sampling technique used is purposive sampling. Respondents in this study are mothers who have children under three and have KMS in RW 8 Wonokusumo Urban Village. Primary data collection techniques obtained from questionnaires while secondary data obtained from Wonokusumo Puskesmas and Surabaya City Health Office reports .The result of bivariate statistic test shows that there is correlation between knowledge, attitude, and mother perception with the immunization status of children under three with p = 0,001 (p < 0,05). Conclusion: There is correlation between knowledge, attitude, and mother perception with the basic immunization status in RW 8, Wonokusumo Village.
Published: 20 August 2019
Jurnal PROMKES, Volume 7, pp 78-87; doi:10.20473/jpk.v7.i1.2019.78-87

Abstract:
Background: Adolescent health services is one of the government programs aimed at teenagers in Indonesia with the intention that teenagers have a comfortable place to grip or help deal with all sorts of teenage problems that are being faced. This PKPR is implemented in every Health Care. Purpose: the aims of this study was seen implementation PKPR in Dupak Health Care, Surabaya. Methods: This study was conducted at Dupak Health Care, Surabaya using qualitative descriptive research with observation method and in-depth interview at Head of Dupak Health Care Surabaya, holder of UKBM program (The Effort of Health Community Based Services) in Health Care, PKPR program holder, and some teenagers working area of Health Care. Results: The results and discussion in this journal that describes the implementation of health care services adolescents at Puskesmas Dupak Surabaya Health Center by adjusting the reference of National Standard PKPR 2014 and in line with previous similar research. Conclusion: There is a mismatch between the implementation of PKPR and the national standard of health care for adolescents that is influenced by various factors.
Published: 20 August 2019
Jurnal PROMKES, Volume 7, pp 113-123; doi:10.20473/jpk.v7.i1.2019.113-123

Abstract:
Background: Family Planning Program is a program that can be adopted by men and women but for male participation is still low that is 0.3%. In Surabaya, the target of vasectomy from 31 sub-districts is only 8 districts (26%) who have reached the target of active participants of KB Vasectomy. Kenjeran sub-district is one of the sub-districts that has reached the target of vasectomy and has family vasectomy group which has active participants. Purpose: The aims of this study was to identify the factors oh male participation in vasectomy contraception in the Kenjeran District of Surabaya. Methods: The design of this research is qualitative research with phenomenology approach. The research informants were 9 people, 6 were key informants ie men who followed KB vasectomy and 3 additional informants, the wife of the key informant. Results: The results showed the number of informants as many as 9 people with age range elderly. The predisposing factor showed good knowledge, attitude and belief about vasectomy method. The reinforcing factors showed most informants have the support of the wives and the male family planning group who has a role as a motivator and disseminator. The affordability cost and good service are enabling factors, men, to participate in the vasectomy method. Conclusion: The conclusion of this research is informant has the desire to participate in KB vasectomy, proved by the finding of factors that support man to do KB vasectomy.
Putri Mindianata
Published: 12 December 2018
Jurnal PROMKES, Volume 6, pp 213-226; doi:10.20473/jpk.v6.i2.2018.213-226

Abstract:
Kesehatan merupakan suatu keadaan yang seimbang dan dinamis antara tubuh seseorang dengan fungsi dan berbagai faktor yang mempengaruhinya. Sehingga kesehatan menjadi suatu indikator tinggi atau rendahnya kualitas hidup seseorang. Lanjut usia sehat berkualitas mengacu pada konsep active ageing WHO yaitu proses penuaan yang tetap sehat secara fisik, sosial dan mental sehingga dapat tetap sejahtera sepanjang hidup dan tetap berpartisipasi dalam rangka meningkatkan kualitas hidup sebagai anggota masyarakat. Sebagai upaya Pemerintah dalam meningkatkan derajat kesehatan usia lanjut, salah satunya ialah dengan membentuk Posyandu Lansia. Tujuan diadakannya Posyandu Lansia yaitu untuk meningkatkan pengetahuan, sikap, perilaku positif, serta meningkatkan mutu dan derajat kesehatan lansia. Puskesmas Bulak Banteng merupakan Puskesmas yang membawahi 3 Posyandu Lansia dengan angka kepesertaan Posyandu Lansia terendah di Surabaya yaitu berjumlah 215 peserta. Berdasarkan hasil perhitungan target cakupan pelaksanaan Posyandu Lansia di Puskesmas Bulak Banteng dihasilkan sebuah angka yaitu sebesar 3,79% yang artinya angka tersebut masih jauh dari target yang diharapkan. Tujuan penelitian ini yaitu untuk menganalisis pengaruh Attitudes toward Behavior, Subjective Norm, dan Perceived Behavioral Control terhadap Niat aktif mengikuti Posyandu Lansia. Penelitian ini merupakan jenis penelitian analitik observasional dengan pendekatan kuantitatif. Berdasarkan waktu pengambilan data, penelitian ini merupakan penelitian cross sectional. Hasil dari penelitian ini menunjukkan bahwa Sikap terhadap perilaku berpengaruh terhadap niat responden untuk aktif mengikuti Posyandu Lansia dengan nilai (sig. 0,008) dan (Exp(B) 11,25). Norma subyektif tidak menunjukkan adanya pengaruh yang signifikan terhadap niat responden untuk aktif mengikuti Posyandu Lansia. Sedangkan Kontrol Perilaku yang dirasakan berpengaruh terhadap niat responden untuk aktif mengikuti Posyandu Lansia dengan nilai (sig. 0,002) dan (Exp(B) 0,236). Maka perlu adanya upaya untuk meningkatkan sikap lansia untuk aktif mengikuti Posyandu Lansia melalui peningkatan pengetahuan lansia tentang kesehatan dan Posyandu Lansia dan pengoptimalan penyuluhan kesehatan di Posyandu serta upaya untuk memudahkan akses waktu untuk menjangkau kegiatan Posyandu Lansia.Kata Kunci: keaktifan, lanjut usia, posyandu lansia
Ratih Indraswari
Published: 12 December 2018
Jurnal PROMKES, Volume 6, pp 201-212; doi:10.20473/jpk.v6.i2.2018.201-212

Abstract:
Maternal Mortality Rate (MMR) is still a serious concern of the government. Various efforts have been made to reduce the number in all regions in Indonesia. Village health cadres have an important role in delivering health information and monitoring the health of pregnant women. Maternal health problems are often caused by maternal feeding behaviors that are incompatible with the Balanced Nutrition Guidelines. This study aimed to find out the knowledge of cadres about nutrition of pregnant women. The research method used cross-sectional with quantitative approach and total population sample technique. The sample in this research is 30 health cadres in Pucakwangi Village, Pati Regency, Central Java. The results showed that most cadres knew the definition of nutrition as a substance contained in food (80%). As many as 50% of respondents knew the nutritional function for growth, 10% of cadres did not know that exclusive breastfeeding is only for infants aged 0-6 months, 23.3% did not know about the provision of Fe tablets to pregnant women. Only 33.3% of cadres knew that carbohydrates and minerals are nutrients. In addition, only 80% of cadres knew that basic food needs to be consumed daily. Less than half of cadres who know that milk (26.7%) and nuts (30%) are a source of protein. Knowledge of health cadres on the nutrition of pregnant women still needs to be improved, especially regarding the source of nutrition in food and the provision of Fe tablets. Keywords: Knowledge, nutrition, pregnant women, cadre. Abstrak: Angka Kematian Ibu (AKI) masih menjadi perhatian serius pemerintah. Berbagai upaya telah dilakukan untuk menekan tingginya AKI di seluruh wilayah di Indonesia. Kader kesehatan di tingkat desa memiliki peran penting dalam menyampaikan informasi kesehatan dan memantau kesehatan ibu hamil. Masalah kesehatan ibu seringkali disebabkan oleh perilaku makan ibu yang tidak sesuai dengan Pedoman Gizi Seimbang. Penelitian ini bertujuan untuk mencari tahu gambaran pengetahuan kader mengenai gizi ibu hamil. Metode penelitian menggunakan metode cross-sectional dengan pendekatan kuantitatif dan teknik sampel total populasi. Sampel dalam penelitian ini adalah 30 kader kesehatan di Desa Pucakwangi Kabupaten Pati Jawa Tengah. Hasil penelitian menunjukkan bahwa sebagian besar kader mengetahui pengertian gizi sebagai zat yang terkandung dalam makanan (80%). Sebanyak 50% responden mengetahui fungsi gizi untuk pertumbuhan, 10% kader tidak tahu bahwa ASI eksklusif adalah pemberian ASI saja untuk bayi usia 0-6 bulan, 23,3% tidak tahu mengenai pemberian tablet Fe kepada ibu hamil. Hanya 33,3% kader yang mengetahui bahwa karbohidrat dan mineral merupakan zat gizi. Selain itu, hanya 80% kader yang mengetahui bahwa makanan pokok perlu dikonsumsi setiap hari. Kurang dari separuh kader yang mengetahui bahwa susu (26,7%) dan kacang-kacangan (30%) merupakan sumber protein. Pengetahuan kader kesehatan mengenai gizi ibu hamil masih perlu ditingkatkan, khususnya...
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