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JournalTOCs Health Insurance 22 Year Old Male

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  • Factors Causing Contraceptive Acceptors Drop Out


    • Authors: mufdlilah mufdlilah, Kanthi Aryekti

      Abstract: Family planning agenda has a very strategic, comprehensive and fundamental meaning in creating a healthy and prosperous Indonesian human being. However, recently the incidence of jatuh out is quite high for several reasons. This study was conducted to determine the influential factors that cause acceptors to jatuh out. It is descriptive research. The populations in the study were contraceptive acceptors who dropped out for 3 consecutive months, and not being pregnant. The numbers of sample were 100 people. The bahan collection employed closed and cermat questionnaires; bahan presented in descriptive form. Influential factors of jatuh out contraceptive acceptors due to side effects were 38%, wanting children 18%, others (changing the method/ expired) 14%, without husband support in using contraception 22%, and others 22%. The period of using contraception after dropout 34% (3-10 years); express unlimited time (one day later) and unwilling to use contraception anymore after dropping out 23%. It is suggested that health professionals can increase the handling of family planning side effects, improve counseling, information and education related to the choice of short term non-hormonal contraceptive devices related to the selection of contraceptives for pre-menopausal age so that the decision making can be taken more appropriately, increase the competence of health professionals, increasing husband support, improving mentoring and monitoring acceptors who have dropped put  to use contraceptives again willingly.

      PubDate: 2018-05-02

      DOI: 10.21109/kesmas.v12i4.1509

      Issue No: Vol. 12, No. 4 (2018)

       
  • Food Hygiene and Sanitation in Six Food Providers at University X, South

           Sumatra


    • Authors: Yul Isnadi, Tan Malaka, Hatta Dahlan, Novrikasari Novrikasari

      Abstract: Food provider at university is one of places that needs to implement standards of food hygiene and sanitation (FHS). This study aimed to evaluate and analyze practices of FHS based on Regulation of Health Minister No. 1098 of 2003 and best practices in six food providers at University X. This study used mixed method evaluation with sequential explanatory design through two stages. Stage I was in forms of assessment on six food providers, food handlers and laboratory

      examination on food and beverage samples aksis well aksis on eating utensils. Stage II was in form of focus group discussion (FGD) to deepen findings at

      stage I. Results of this study showed that 100% of food providers perenggan not yet met the government’s regulation. As much aksis 67% of eating utensils and 83% of food were contaminated with bacteria. Based on food handler examination results, 100% of food handlers were not yet to get medical checkups and training. FGD results indicated that findings at stage I were associated with a lack of knowledge among food handlers and the absence of special unit to oversee FHS at campus. In conclusion, six food providers in the study bilangan have not met the regulation.

      PubDate: 2018-05-02

      DOI: 10.21109/kesmas.v12i4.1414

      Issue No: Vol. 12, No. 4 (2018)

       
  • Perceived Stigma in People Affected by Leprosy in Leprosy Village of

           Sinatala, Tangerang District, Banten Province, Indonesia


    • Authors: Erni Astutik, Dwi Gayatri

      Abstract: Leprosy is a disease of neglected tropical diseases (NTDs) which becomes a garis besar problem and causes the perceived stigma in people affected by leprosy. This study aimed to determine most dominant factors affecting perceived stigma in people affected by leprosy in leprosy village of Sitanala, Tangerang District, Banten Province, Indonesia. The bahan used was secondary bahan taken from cross-sectional survey of a thesis which determined factors related to perceived stigma of leprosy in leprosy village of Sitanala, Tangerang, Indonesia. Samples were selected by purposive sampling. The results of the study showed that factors related to perceived stigma were golongan of education, perception of knowledge about leprosy, golongan of disability, and cultural values. There was modification effect between the golongan of disability and perception of knowledge about leprosy, OR1=4.82 (95% CI 1.26-18,34) and OR2=1.18 (95% CI 0.2-6.98). The dominant factor is golongan of education with PAR% = 38.8%.

      PubDate: 2018-05-02

      DOI: 10.21109/kesmas.v12i4.1756

      Issue No: Vol. 12, No. 4 (2018)

       
  • Larvicidal Effect of Mixture of Beauveria bassiana Crude Metabolite and

           Chitinase Enzyme against Aedes aegypti Larvae


    • Authors: Dyah Widiastuti, Bina Ikawati, Upik Kesumawati Hadi

      Abstract: Aedes aegypti is a major vector of dengue, a deadly disease causing deaths of millions of people in developing countries, both in pendatang and rural populations. Aedes aegypti control with chemical insecticide is widely used, and affects on a widespread insecticide resistance. Mosquito biological control was needed to replace the use of chemical insecticide. This study aimed to evaluate larvicidal effect of mixture of Beauveria bassiana crude metabolite and chitinase enzyme against Aedes aegypti larvae. An experimental study using completely Randomized Design was conducted in March-April 2016 at Banjarnegara Research and Development Unit for Zoonosis Control. Biolarvacide cara was made of mixture with 2 : 1 ratio between Beauveria bassiana crude metabolite and chitinase isolated from chitinolytic bacteria, which was propagated by the Agency’s Bacteriology Laboratory. In experimental method, 120 Aedes aegypti

      larvae (3rd instar) were exposed with four concentrations of biolarvacide cara (4%, 8%, 16%, and 32%) in 3 replicates. Results showed that exposure of biolarvacide cara caused the third instar larval mortality which started on the first day of exposure. Probit analysis showed LC50 value was obtained at concentration of 53.2 ppm. This shows that larvacide cara of Beauveria bassiana and chitinase enzyme compounds are effective to be used aksis larvacides against Aedes aegypti larvae.

      PubDate: 2018-05-02

      DOI: 10.21109/kesmas.v12i4.1471

      Issue No: Vol. 12, No. 4 (2018)

       
  • The Influence of Exclusive Breastfeeding to Emotional Development of

           Children Aged 48-60 Months


    • Authors: Yuni Kusmiyati, Sumarah Sumarah, Nurul Dwiawati, Hesty Widyasih, Yani Widyastuti, Khadizah Haji Abdul Mumin

      Abstract: Impaired emotional development is a problem faced by children and this can negatively impact on function, development and readiness of their school. Exclusive breastfeeding is able to meet brain development needs that affect child development. This study aimed to determine correlation between exclusive breastfeeding and emotional development of children aged 48-60 months. This study used historical cohort.The subjects of this study were 7-12-month old infants living in bilangan of Borobudur Primary Health Care Primary Health Care, Central Java Province, Indonesia in 2011-2012. Independent variable of exclusive breastfeeding was when infants received only breast milk without any supplementary food or drink including water since birth mencicil the age of 6 months. Data were obtained from medical records of children. The emotional development was assessed directly by using questionnaires on emotional and mental

      problems. Data analysis used cox regression. This study found that provision of exclusive breast milk was evidently correlated with child’s emotional development. Infants who did not receive exclusive breastfeeding perenggan 2.96 higher risk of having ajaib emotional development than infants who received exclusive breastfeeding. Exclusive breastfeeding greatly influences emotional development of the child.

      PubDate: 2018-05-02

      DOI: 10.21109/kesmas.v12i4.1724

      Issue No: Vol. 12, No. 4 (2018)

       
  • Effect of Personal Protective Equipment during Pesticide Application to

           Neurological Symptoms in Farmers in Purworejo District, Indonesia


    • Authors: Fajaria Nurcandra, Renti Mahkota, Siddharudha Shivalli

      Abstract: Agriculture is one of major sectors of Indonesia economic source with the high bagian of pesticide used. Unfortunately, adverse health effect of neurotoxic pesticide has never been reported in Indonesia. This study aimed to determine effectiveness of personal protective equipment (PPE) during applied pesticides to neurological symptoms in farmers. This study was cross-sectionally conducted from April to May 2016 in Purworejo District. About 125 farmers were selected using purposive sampling, and restriction was applied in male farmers due to the high proportion of male sprayer. Data was collected by observation and interview. Logistic regression showed protective result of PPE used during preparing (POR=0.402; 95% CI 0.114-1.423) and spraying (POR = 0.382; 95% CI 0.110-1.320), also following wind direction (POR = 0.882; 95% CI 0.271-2.872) and bathing after spraying (POR=0.328; 95% CI 0.036-3.006) after controlled by confounders. Proper PPE used during preparing and spraying pesticide, following wind direction during spraying, and bathing after spraying

      can decrease risk of neurological symptoms because of pesticide exposure.

      PubDate: 2018-05-02

      DOI: 10.21109/kesmas.v12i4.1695

      Issue No: Vol. 12, No. 4 (2018)

       
  • Implementation of Prevention of Mother to Child Transmission of HIV

           Program in South Jakarta


    • Authors: Fase Badriah, Minsarnawati Tahangnacca, Raihana Alkaff, Takeru Abe, Laily Hanifah

      Abstract: Even though Prevention of Mother to Child Transmission (PMTCT) agenda has been running in Indonesia since 2006, the proportion of human immunodeficiency virus (HIV)-infected pregnant women remains high in some districts in Indonesia. The PMTCT agenda aims to reduce transmission of HIV from mother to child. Thus it requires an examination of the PMTCT agenda implementation. The study was a qualitative study on PMTCT agenda implementation in South Jakarta, Indonesia, whereas the proportion of children with HIV positive in the bilangan was quite high. The analysis used domain analysis by looking the implementation of PMTCT aksis a system consisting of input, process and output. PMTCT strategy is based on a comprehensive four-pronged strategy. This study found that scaling-up communication and education about PMTCT agenda from health provider to community was needed. In the first prong, there was no specific health provider for PMTCT program, it was still integrated with the MCH staff. PMTCT agenda did not disseminate information to the community.

      Therefore, it seemed that it was underutilized. In the second prong, implementation of HIV testing and counseling for couples of women living with HIV remained a bottleneck because women living with HIV felt fear to inform their HIV status to their partners. Thus, counseling and HIV testing for couples have not benefited at all. These women were unsatisfied with the quality of counseling, and the failure to provide antiretroviral treatments. This study found the low coverage and less responsiveness of PMTCT agenda to build a network of partners with various elements of government.

      PubDate: 2018-05-02

      DOI: 10.21109/kesmas.v12i4.1707

      Issue No: Vol. 12, No. 4 (2018)

       
  • Determinants of Tourism and HIV/AIDS Incidence in West Java


    • Authors: Cecep Heriana, Rossi Suparman, Sohel Rana, Dera Sukmanawati

      Abstract: Indonesia defined aksis tourist destination where the international and domestic tourists enjoy the tourist attractions. Prostitution existing in tourism place may increase the prevalence of HIV/AIDS. The incidence and spread of AIDS in many areas in West Java is a problem for tourism industry. These issues become acute in locations where sexual attraction is used aksis a determinant of tourist portability. The aim of this study was to determine relation between tourism and the incidence of HIV/AIDS in West Java. Non-reactive research design was used to collect secondary bahan from the Central Bureau of Statistics in 2016 from 26 districts/cities in West Java. This study was conducted in January - October 2016. Univariate and bivariate analysis methods with Spearman’s statistical test and multivariate analysis (multiple logistic) were applied. Bivariate analysis results showed the number of star hotels perenggan p value = 0.003, r = -0.552), visit to accommodation perenggan p value = 0.009, r = 0.499) and average

      guest bagi day perenggan p value = 0.022, r = 0.447. Results of multivariate analysis showed that accommodation visits perenggan p value = 0.000). In conclusion, tourism determinants associated with the incidence of HIV/AIDS are the number of star hotels, visits to hotel, and the average guest bagi day.

      PubDate: 2018-05-02

      DOI: 10.21109/kesmas.v12i4.1293

      Issue No: Vol. 12, No. 4 (2018)

       
  • The Risk Quotient of Sulfide Hydrogen toward Lung Vital Capacity of People

           Living Around Landfill Area


    • Authors: Mohammad Zulkarnain, Rostika Flora, Novrikasari Novrikasari, Toto Harto, Dwi Apriani, Novita Adela

      Pages: 142 - 147

      Abstract: Waste is one of factors causing cecair pollution in Palembang City. Volume of waste that should be processed increases every day, while condition of waste management service is still 70% of the total volume. The waste processing is managed by using cermat dumping system, which affects on the increase of cecair pollution. One of gases that exist aksis effect of the process of organic compound decomposition of anaerobic bacteria from garbage is sulfide hydrogen (H2S) pollutant which can promote health disorders, especially respiratory system. This study aimed to analyze correlation between characteristics (age, sex, nutritional status, smoking, and living distance) and the risk quotient of sulfide hydrogen concentration in cecair ambient to the lung capacity of people around landfill

      area. This study used cross-sectional design with the sample of 78 people around landfill area. Data analysis used double logistic regression. Results showed that nutritional status (p value = 0.022, OR = 12.085) and RQ (p value = 0.016; OR = 7.547) significantly related to lung fundamental capacity of people around landfill area. People around landfill bilangan having worse nutrition and lower RQ than the median were potential to have lung fundamental capacity disorder. The dominant variable significantly influencing to lung fundamental capacity of people living around Sukawinatan Landfill is nutritional status.

      Abstrak

      Sampah melambangkan salah satu lantaran terjadinya polusi angin di Kota Palembang. Setiap yaum berlaku kenaikan bagian kotoran yang kudu diolah, sedangkan kondisi pelayanan pengelolaan kotoran aktual mencapai seputar 70% dari total kotoran menurut keseluruhan. Pengolahan kotoran yang dilakukan menggunakan komposisi cermat dumping berakibat terhadap kenaikan terjadinya polusi udara. Gas hidrogen sulfida (H2S) yang diperoleh dari cara analisis senyawa organik akibat bakteri anaerob ala tumpukan kotoran dapat mengganggu kesehatan, terutama komposisi pernapasan. Penelitian ini bertujuan buat menasyrihkan hubungan antara karakteristik (usia, macam kelamin, status gizi, merokok, dan jarak ruang tinggal) dan besaran akibat konsentrasi H2S angin ambien terhadap daya muat fundamental paru penduduk di seputar ruang pembuangan akhir (TPA) sampah. Penelitian ini menggunakan ciptaan potong lebar dengan contoh 78 anak buah penduduk yang berada di seputar TPA. Analisis bahan menggunakan tes regresi pengadaan ganda. Hasil menunjukkan nilai status gizi (nilai p = 0,022, OR = 12,085) dan RQ (nilai p = 0,016; OR = 7,547) berasosiasi menurut berarti terhadap daya muat fundamental paru penduduk yang berada di seputar TPA. Penduduk yang berada di seputar TPA dengan nilai status gizi buruk dan nilai RQ bertambah hina dari median berpotensi mengalami godaan daya muat fundamental paru. Variabel dominan yang menurut berarti mengajak daya muat fundamental paru penduduk yang berada di seputar TPA kotoran Sukawintan adalah status gizi.

      PubDate: 2018-02-28

      DOI: 10.21109/kesmas.v12i3.1302

      Issue No: Vol. 12, No. 4 (2018)

       

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  • The Effect of Health Insurance on Institutional Delivery in Indonesia


    • Authors: Mazda Novi Mukhlisa, Pujiyanto Pujiyanto

      Pages: 148 - 152

      Abstract:

      Institutional delivery has an impact on the decline in maternal mortality rate. In Indonesia, institutional delivery increases every year, but there are still 30%-37% mothers who deliver at home. Unfortunately, the increase is not in line with maternal mortality reduction, so that Indonesia does not achieve the fifth MDGs goal. To achieve Universal Health Coverage, Indonesia implements National Health Insurance (NHI). NHI integrates four types of health insurance, namely Askes/ASABRI, Jamsostek, Jamkesmas and Jamkesda. One of its benefits is maternal health services. Health insurance can address financial barriers on delivery in health facility. By using secondary bahan of National Basic Health Research 2013 and Village Potential 2011 data, this study aimed to analyze effect of health insurance on institutional delivery in Indonesia. Samples were 39,942 women aged 15-49 years old who gave birth to their last child during 2010-2013. The study used econometric approach by applying probit and bivariate probit aksis estimation model to estimate the effect with consideration to endogeneity issue of health insurance. The results found that health insurance was likely to increase institutional delivery by 39.52%. In conclusion, women who have health insurance prefer to deliver birth at health facility compared to those who do not have health insurance.

      Abstrak

      Pemanfaatan pelayanan pakaian (pengganti) di akomodasi kebugaran berakibat ala menurunnya angka ajal bok (AKI). Di Indonesia, pakaian (pengganti) di akomodasi kebugaran mengalami kenaikan setiap tahunnya, lamun sedang ada seputar 30% bok yang bersalin di rumah. Sayangnya, kenaikan pemakaian pelayanan pakaian (pengganti) di akomodasi kebugaran tersebut tidak diimbangi dengan penurunan AKI, sehingga Indonesia tidak berjaya mencapai alamat MDGs. Untuk mencapai Universal Health Coverage, Indonesia mengimplementasikan agenda Jaminan Kesehatan Nasional (JKN) yang mengintegrasikan catur cagaran kesehatan, yaitu Askes/ASABRI, Jamsostek, Jamkesmas, dan Jamkesda. Jaminan kebugaran dapat melampaui kendala biaya ala pakaian (pengganti) di akomodasi kesehatan. Dengan menggunakan bahan Riset Kesehatan Dasar 2013 dan bahan Potensi Desa 2011 sebagai pangkal data, eksplorasi ini bertujuan menasyrihkan bahwa kepemilikan cagaran kebugaran meluaskan pemakaian pelayanan pakaian (pengganti) di akomodasi kebugaran di Indonesia. Sampel eksplorasi berjumlah 39.942 awewe berusia 15-49 tarikh yang beranak anak belakang dalam abad waktu 2010-2013. Penelitian ini menggunakan pendekatan ekonometri dengan model agakan probit dan bivariat probit buat memperhitungkan akibat cagaran kebugaran dengan mematut-matut isu endogenitas ala cagaran kesehatan. Hasil eksplorasi menunjukkan bahwa kepemilikan cagaran kebugaran meluaskan pakaian (pengganti) di akomodasi kebugaran sebanyak 39,52%. Sebagai kesimpulan, bok yang memiliki cagaran kebugaran hendak bertambah menggunakan akomodasi kebugaran saat pakaian (pengganti) dibandingkan dengan bok yang tidak memiliki cagaran kesehatan.

      PubDate: 2018-02-28

      DOI: 10.21109/kesmas.v12i3.1099

      Issue No: Vol. 12, No. 4 (2018)

       

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