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Sugianto, Made Agus

Jurnal Kesehatan Medika Udayana 2022 Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

ABSTRACTBackground: The report of the Covid-19 Task Force in Badung Regency shows an increasing trend of Covid-19 cases in Badung Regency from March to August 2020.Purpose: the purpose of this study is to obtain a map of the Covid-19 risk areas in the Badung Regency. Methods: the method in this study is a descriptive-analytic with a cross-sectional study design. This research was conducted in Badung Regency for two months from 15 July to 15 September 2020 using secondary data from the daily reports of the Covid-19 Task Force in Badung Regency from 23 August 2020 to 23 September 2020. Results: the results of the zoning mapping from the Epidemiological aspect showed that 4 sub-districts (66.6%) of the 6 sub-districts were the Covid-19 red zones. From the aspect of Regional Capability in Handling Cases of Covid-19 Infection, it shows that all districts are included in the High Response category in handling Covid-19, and from the aspect of Regional Ability to Trace the History of Close Contact of People Infected with Covid-19 it appears that 3 districts (50%) are included in the category of areas with moderate ability, while the other 3 sub-districts are included in the category of regions with low ability. Conclusion: Based on the results of this study, it is concluded that the level of the spread of Covid-19 in the Badung Regency is very high, even though the level of readiness of the Government in handling Covid-19 cases is very good. The geography of the area bordering other districts/ cities and high population mobility are suspected to be the triggers for the high number of Covid-19 cases.Keywords: Mapping; Covid-19; Badung Regency ABSTRAKLatar belakang: laporan Satuan Tugas Covid-19 Kabupaten Badung menunjukan tren peningkatan kasus Covid-19 di Kabupaten Badung dari bulan Maret hingga Agustus 2020. Tujuan: tujuan penelitian ini adalah untuk memperoleh gambaran peta daerah risiko Covid-19 di Kabupaten Badung. Metode: metode dalam penelitian ini adalah descriptive analytic dengan desain crosssectional Study. Penelitian ini dilaksanakan di Kabupaten Badung selama dua bulan dari tanggal 15 Juli sampai dengan 15 September 2020 dengan menggunakan data sekunder laporan harian Satuan Tugas Covid-19 Kabupaten Badung dari tanggal 23 Agustus 2020 sampai dengan 23 September 2020. Hasil: hasil pemetaan daerah dari aspek Epidemiologi menunjukan sebanyak 4 kecamatan (66,6%) dari 6 kecamatan merupakan zona merah Covid-19. Dari aspek Kemampuan Daerah Dalam Menangani Kasus Infeksi Covid-19 menunjukan bahwa semua kecamatan masuk dalam kategori Respon Tinggi dalam penanganan Covid-19 dan dari aspek Kemampuan Daerah Dalam Melakukan Penelusuran Riwayat Kontak Dekat Orang Yang Terinfeksi Covid-19 nampak bahwa 3 kecamatan (50%) masuk dalam kategori Daerah Dengan Kemampuan Sedang, sedangkan 3 kecamatan lainnya masuk dalam kategori Daerah Dengan Kemampuan Rendah. Simpulan: berdasarkan hasil penelitian tersebut disimpulkan bahwa tingkat persebaran Covid-19 di Kabupaten Badung sangat tinggi, meskipun tingkat kesiapan Pemerintah dalam menangani kasus Covid-19 sangat bagus. Geografis daerah yang berbatasan dengan kabupaten/kota lain serta tingginya mobilitas penduduk di duga sebagai pemicu tingginya kasus Covid-19.Keywords: Pemetaan; Covid-19; Kabupaten Badung

Sugianto, Made Agus; I Gusti Ayu Ngurah Lita Rumiati,

Jurnal Kesehatan Medika Udayana 2022 Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Background: Stunting rates in Badung Regency show an upward trend while information on funding and utilization and who is the beneficiary is still very limited. Therefore, through the District Health Account, it is expected that decision makers will be able to overcome the problem of adequacy, equity, efficiency, effectiveness and sustainability. Objective: to analyze the cost of stunting prevention using the District Health Account Approach. Method: This research is descriptive using cross-sectional studies, data collection through in-depth interviews to the manager of the District Health Office in Bandung District and the manager of the Provincial Health Department of Bali Nutrition and documentation studies. Results: Most stunting prevention costs came from the central government (70.16%), and the highest proportion of the budget was managed by puskesmas (56.74%). Most of the stunting prevention funding was used for operational expenditure (79.43%), and the financing was mainly directed towards all age groups (48.53%). In the lowest 40% (poor families) the average monthly expenditure is only Rp.438,944 or equivalent to 1,962.55 Kcal per person per day, this figure is below the stipulated calorie adequacy rate of 2,200 - 2,500 Kcal per person per day. Conclusion: The cost of stunting prevention program is only sourced from the government, where most costs come from the central government (70.16%), far exceeding the Badung Regency Government (21.16%) and the Provincial Government of Bali (8.69%). The cost of puskesmas stunting prevention program is used for operational expenses for the bottom 40% (poor families) whose average monthly expenditure is only equivalent to consuming 1,962.55 Kcal of food per person per day. Badung Regency Government to increase the financing of stunting prevention which is prioritized for the lowest 40% population (poor population).Keywords: Stunting; Financing; Badung Regency

Kadek Agus Dwija Putra

Jurnal Kesehatan Medika Udayana 2022 Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Background: The prevalence of anemia in adolescent girls in Indonesia according to WHO reaches 30%, and in the 2013 Riskesdas report recorded 18.4% of adolescents have anemia with the highest percentage in the female sex of 23.9%. Anemia in adolescents can cause delay in physical growth and behavior and emotional disorders. This study aims to determine the relationship between knowledge about anemia and nutritional status with the incidence of anemia in young women in Badung Regency. Method: This study uses analytic cross sectional design with a sample of 106 adolescent girls aged 15-18 years in high school, Badung Regency. Data collection was carried out directly on respondents in each school, for anemia data was collected by examining blood samples or hematology panels (hemograms) with an Hematology Autoanalyzer tool, data on knowledge of anemia was carried out by means of interviews using questionnaire guidelines, and nutritional status data was carried out by how to measure anthropometry (body weight and height) to get a IMT value. The analysis conducted is univariate analysis to determine the distribution and frequency of variables and bivariate analysis using the Kai-Kuadrat/Chi-Square test with the help of the SPSS program. Result: The prevalence of anemia in young women is 13.2%. Most had normal nutritional status of 77.4%, while others were categorized as abnormal / malnutrition (2.8% thin, 17.0% fat, 2.8% obese). For the level of knowledge obtained, the majority of 77.4% have a good level of knowledge in the category of anemia. Kai-Square / Chi-Square test results showed that, there was a significant relationship between knowledge about anemia and anemia in adolescent girls (95% CI: 1.93-20.77; p = 0.003). There was no significant relationship between nutritional status and anemia in adolescent girls (p = 0.301). Conclusion: Poor knowledge about anemia is associated with the incidence of anemia in young women, whereas nutritional status is not related to the incidence in young women. It is expected that related parties make a policy regarding anemia screening and education activities especially for young women. Keywords: Anemia; Knowledge; Nutritional status