Avicenna: Jurnal Ilmiah

FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN TUBERKULOSIS PARU DI WILAYAH KERJA UPT PUSKESMAS PASAR KEPAHIANG

Regita Maheswari — 2025-01-04

Background : The infectious disease known as bacterial tuberculosis (TB) mainly affects the lungs, leading to respiratory problems like coughing and breathing problems. The study's focus was on instances of pulmonary tuberculosis (TB) at UPT Pasar Kepahiang Health Center's Working Area. Method : The research used a quantitative approach with observational methods, and for univariate analysis it used frequency distribution tables; for bivariate analysis, it used the Chi-Square test. Results : It was shown that the majority of knowledge factors were in the poor category (46 people or 76.7%), the majority of attitude factors were in the negative category (45 people or 75.0%), the majority of behavioral factors were in the good category (31 people or 35.0%), and the majority of pulmonary tuberculosis cases were in the category of Passive TB (37 people or 61.7%). The results of the investigation showed a significant correlation (p-value 0.001<0.05) between TB knowledge and TB incidence in the Kepahiang Health Center's Working Area. In the same region, attitudes and tuberculosis incidence was significantly correlated (p-value 0.021<0.05). And there is a clear connection (p-value 0.013 0.05) between conduct and the incidence of tuberculosis. Conclusion : In conclusion, the incidence of pulmonary tuberculosis in the Working Area of UPT Pasar Kepahiang Health Center is significantly correlated with knowledge, attitudes, and actions..

Keywords : Disease, Lung, Tuberculosis

KEPUASAN PASIEN DI POLIKLINIK GIGI DAN BEDAH MULUT DI RUMAH SAKIT

Sarah Maya Monalisa — 2025-01-22

Background: Consumer satisfaction is closely related to service quality. The standard for patient satisfaction in health services is set nationally by the Ministry of Health of the Republic of Indonesia, with a minimum of patient satisfaction of above 95% (Ministry of Health of the Republic of Indonesia, 2016). The results of a survey of public satisfaction with Hospital services in South Sumatra from January to June 2022 showed a survey result with a value of 88.18 (very good). Method: This type of research is quantitative with an analytical survey design with a cross-sectional approach, the population is patients at the Dental and Oral Surgery Polyclinic of Martapura OKU Timur Hospital with sample of 59 respondents and the sampling technique is accidental sampling. Univariate, and bivariate data analysis Result : Based on the results of univariate analysis, it was found that women (91.5%), young age (57.6%), higher education (55.9%), dissatisfied (64.4%), poor tangible (54.2%), poor reliability (69.5%), poor responsiveness (74.6%), poor assurance (79.7%), and poor empathy (71.2%). The results of statistical tests using chi square showed a relationship between tangible (p value 0.000), reliability (p value 0.000), responsiveness (p value 0.003), assurance (p value 0.002), empathy (p value 0.000) and patient satisfaction. Conclusion : Conclusion of the existence of a real relationship, reliability, responsiveness, assurance, empathy with patient satisfaction. It is expected that health workers in Hospital area will further improve the quality of service in order to increase patient satisfaction.

Keywords: Patient satisfaction, service quality, hospital

RIWAYAT IMUNISASI DAN KONSUMSI GIZI RUMAH TANGGA SEBAGAI FAKTOR RISIKO STUNTING PADA MASYARAKAT PERBATASAN KOTA DI KABUPATEN KUBU RAYA

Amanda Harzuna — 2025-01-04

Background : Stunting remains a significant public health problem in Indonesia, particularly in Kubu Raya Regency, which had the highest stunting prevalence in West Kalimantan at 40.35% in 2021. This study aimed to analyze the influence of complete basic immunization history and household nutritional consumption on stunting incidence among children under five. Method : The research employed a case-control design with a sample of 120 children under five, consisting of 60 stunted children (cases) and 60 normal children (controls) in Mega Timur and Sungai Malaya Villages, Sungai Ambawang District. Data collection used random sampling technique and data analysis used chi-square test. Results: The results showed significant relationships between complete basic immunization history (p=0.015; OR=2.704) and household nutritional consumption (p=0.040; OR=2.333) with stunting incidence. Children with incomplete immunization history had 2.7 times greater risk of experiencing stunting, while children from food-insecure households had 2.3 times greater risk of stunting. Conclusion: Basic immunization history and household nutritional consumption were identified as contributing factors to stunting incidence among under-five children. The study findings revealed significant associations between complete basic immunization history (p=0.015; OR=2.704) and household nutritional consumption (p=0.040; OR=2.333) with stunting risk in under-five children.

Keywords: Food Expenditure Blood glucose, Immunization, Nutrition, Stunting.

PEMANFAATAN DANA ALOKASI KHUSUS NON FISIK TERHADAP PENCAPAIAN KINERJA SPM KESEHATAN

Zully Rhomadona — 2025-01-22

Background: The successful implementation of health sector activities needs to be supported by non-physical Special Allocation Funds (DAK). Non-physical DAK for health is a fund to improve access and quality of health services in the region. Several service targets in North Musi Rawas Regency show that they have not yet reached 100%. This research aims to analyze the use of non-physical DAK on the achievement of health SPM performance at the North Musi Rawas District Health Service. Method: Qualitative research design with a descriptive approach. The research was carried out at 8 Community Health Centers and the North Musi Rawas District Health Service. Information collection was carried out from March to April 2024. Information was collected by in-depth interviews and document review. Result : The research results show that the majority of health workers do not have sufficient competence because they have never attended training. Health workers do not yet have clear duties and functions. All Community Health Centers have a budget for the diabetes mellitus program, but the elderly program budget is only available for 3 Community Health Centers. The available facilities and infrastructure are not yet complete. Health workers do not yet know the policies related to the Diabetes Mellitus (DM) program and the elderly. Program reporting is still manual. Health services for DM sufferers and the elderly have been carried out well. The SPM achievement of DM health services has met the target of 100%, but elderly services have not met the target. The total budget absorption coverage for DM services is 100%, while for the elderly it does not reach 100%. Conclusion : Health service factors, SPM services and non-physical DAK absorption are still not up to standard.

Keywords: SPM, Utilization, Funds, Non-Physical DAK, Performance

IDENTIFICATION OF SIDE EFFECTS OF USE OF ANTI TUBERCULOSIS DRUGS IN PADANG SERAI AND TELAGA DEWA HEALTH CENTERS BENGKULU CITY 2024

Heti Rais Khasanah — 2025-01-04

Background: Tuberculosis is an infectious disease caused by Mycobacterium Tuberculosis, which can attack the lungs and other organs. Despite the progress that has been achieved, the number of tuberculosis cases is one of the biggest challenges faced and requires attention from all parties. Method: This study is a prospective observational study. The population in this study was 37 patients at the Telaga Dewa and Padang Serai Health Centers, Bengkulu City. The sampling technique was total sampling with inclusion criteria for patients seeking treatment at the Telaga Dewa and Padang Serai Health Centers, Bengkulu City. Results: The side effects of anti-tuberculosis drugs that occurred at the UPTD of the Padang Serai and Telaga Dewa Community Health Centers were red urine 100%, lack of appetite and nausea, vomiting 51.35%, weakness and pain 37.83%, stomach ache 32.43% , itching 29.72%, tingling and shortness of breath 16.21%, skin and eye color 13.51%, hearing loss 8.10%, visual disturbances, seizures and unconsciousness 2.7%. Conclusion; The majority of TB sufferers are male. The most frequent side effects of anti-tuberculosis drugs are red urine, lack of appetite, nausea, vomiting, pain.

Keywords : Side effects; OAT; tuberculosis,

Edukasi Menu Bergizi Terhadap Perilaku Menyuapi Aktif Ibu Balita

Nadyah Noora Safira — 2025-01-04

ABSTRACT

Background: Linear growth failure caused by lack of nutritional intake, infection, and inadequate parenting patterns is a stunting event. This condition has an impact on increasing mortality and morbidity rates, and inhibits children's cognitive, psychomotor, and mental development. Responsive feeding is an important step for stunted toddlers to increase food acceptance and support optimal cognitive, psychomotor, and mental growth and development. This study is needed to identify behavioral features related to stunting and the factors that influence it. Methods: This study is a quantitative descriptive study, with a Quasi-Experiment One Group without Control design, and data collection techniques are carried out through direct observation. The sample was selected by purposive sampling from a population of 379 and a sample of 30 according to the criteria of families at risk of stunting and children under five years of age. Results: The results of the study obtained a p-value = 0.000. This shows that the intervention carried out has a significant effect on increasing active feeding behavior in mothers of toddlers from the early stage to the active stage. This difference can be interpreted as the success of the intervention in improving mothers' skills or consistency in active feeding, which can have a positive impact on their children's eating behavior. Conclusion: Education about nutritious menus has a significant effect on active feeding behavior in mothers of toddlers. Increasing mothers' knowledge about the importance of balanced nutritional intake has a positive impact on their ability to choose and prepare nutritious food for children.

Keywords: Nutritional Menu Education, Active Feeding Behavior, Stunting, Mother, Toddler

ABSTRAK

Latar Belakang : Kegagalan pertumbuhan linier yang disebabkan oleh kurangnya asupan gizi, infeksi, dan pola pengasuhan yang tidak memadai merupakan kejadian stunting. Kondisi ini berdampak pada meningkatnya angka mortalitas dan morbiditas, serta menghambat perkembangan kognitif, psikomotorik, dan mental anak. Pemberian makan yang responsif merupakan langkah penting untuk balita stunting guna meningkatkan penerimaan makanan dan mendukung tercapainya pertumbuhan serta perkembangan kognitif, psikomotorik, dan mental secara optimal. Penelitian ini diperlukan untuk mengidentifikasi gambaran perilaku yang terkait dengan stunting dan faktor-faktor yang memengaruhinya. Metode : Penelitian ini merupakan penelitian deskriptif kuantitaif, dengan desain Quasi-Experiment One Group without Control, dan teknik pengumpulan data dilakukan melalui pengamatan secara langsung. Sampel dipilih secara purposive sampling dari populasi sebanyak 379 dan sampel sebanyak 30 responden dengan kriteria meliputi keluarga berisiko stunting dan anak usia di bawah lima tahun. Hasil : Hasil penelitian diperoleh p-value = 0,000. Hal ini menunjukkan bahwa intervensi yang dilakukan memiliki pengaruh signifikan terhadap peningkatan perilaku menyuapi aktif pada ibu balita dari tahap awal ke tahap aktif. Perbedaan ini dapat diartikan sebagai keberhasilan intervensi dalam meningkatkan keterampilan atau konsistensi ibu dalam menyuapi aktif, yang dapat berdampak positif pada perilaku makan anak-anak mereka. Kesimpulan : Edukasi mengenai menu bergizi memiliki pengaruh signifikan terhadap perilaku menyuapi aktif pada ibu balita. Peningkatan pengetahuan ibu tentang pentingnya asupan nutrisi yang seimbang berdampak positif pada kemampuan mereka dalam memilih dan menyiapkan makanan yang bergizi bagi anak.

Kata Kunci : Edukasi Menu Bergizi, Perilaku Menyuapi Aktif, Stunting, Ibu, Balita

Analisis Kejadian Stunting pada balita di wilayah kerja Puskesmas Tebing Tinggi Kabupaten Empat Lawang tahun 2024

Tri Josih Pebriani — 2025-01-22

Background: Stunting in toddlers can result in impaired growth and development of children due to chronic malnutrition and recurrent infections, which is characterized by their body length or height being below standard. The prevalence of stunting in Empat Lawang Regency is higher (18,5%) than Suoth Sumatra Province (14%). Based on nutritional reporting data, the highest number of stunting cases occuraed in Tebing Tinggi District. Method: The research method used is quantitative with an analytical survey research design with a cross-sectional approach. The population in this study were parents of toddlers in the Tebing Tinggi Community Health Center working area with a sample size of 100 respondents and the sampling technique was purposive sampling. Univariate and bivariate data analysis using the square test. Results: Based on the results of univariate analysis, it was found that age 12-23 months (50,5%), male gender (50,5%), exclusive breastfeeding (73,7%), income not according to minimum wage (66,3%), LBW (3,2%), and stunting (36,8%). The result of statistical tests using chi square showed that there was a relationship between age (P _Value = 0,40), exclusive breastfeeding (P _Value = 0,002), BBLR (P _Value = 0.047) and the incidence of stunting in toddlers. Kesimpulan: There is a relationship between age, gender, exclusive breastfeeding, income and LBW with the incidence of stunting. It is hoped that health workers in the Puskesmas work area will provide education to the public about stunting and the factors that influence it.

Keywords: Exclusive Breastfeeding, LBW, Stunting

ANALISIS PENGOLAHAN LIMBAH CAIR PADA PENGRAJIN BATIK BESUREK DI KELURAHAN BETUNGAN KOTA BENGKULU

Aulia Kartika — 2025-01-04

Background: Bengkulu has besurek batik handicrafts with rafflesia motifs. Betungan Village is one of the areas for making besurek batik in Bengkulu City. Besurek batik here is made using the chemical dyes Naptol, Remasol and Indigasol. Batik waste water is dumped in the gutter so it is dangerous for the environment. Method: The type of research is Qualitative Descriptive. The data collection method was interviews with the Head of Bengkulu City DLH, the head of Santi Batik, members of Santi Batik, residents of Betungan Village and documentation. The research location was in Betungan Batik Village, Selebar District, Bengkulu City. Held for 1 month (March 27 – April 27). Result: The batik waste water service does not distribute it to storage tanks, waste water collection cannot be carried out because processing facilities are not yet available. There is no processing of batik waste water such as storage, absorption, filtering, settling and disposal. Besurek batik craftsmen have not implemented waste water management in accordance with PUPR Ministerial Decree 04 of 2017 concerning the Implementation of a Domestic Waste Water Management System. DLH Bengkulu City collaborated with the Betungan Village Youth Organization to create a miniature wastewater treatment plant. DLH is tasked with providing permits, guidance and supervision. The monitoring of Santi batik waste carried out by DLH is still lacking, it was scheduled to be carried out every 2 months, but this was not achieved. Conclusion: Batik waste water services that are not channeled to storage tanks, without waste water treatment facilities, mean that no waste water treatment can be carried out.

Keywords: Service, Collection, Liquid Waste Processing