scholarly journals Factors Associated with Utilization of Primary Preventive Services of Tamang Serbisyo para sa Kalusugan ng Pamilya (TSeKaP) among PhilHealth Indigent Members in Manila

2018 ◽  
Vol 52 (3) ◽  
Author(s):  
Allan John R. Barcena ◽  
Carl Robert A. Casimiro ◽  
Gil Dominic R. Catalan ◽  
Camille A. Pestano ◽  
Fenny Mariechit Q. Quinto ◽  
...  

Background. The primary preventive services of TSeKaP promote disease prevention among marginalized groups. The threat of non-utilization, however, undermines the effective implementation of the program. To fill in the knowledge gap regarding utilization of primary preventive services, rate of utilization and factors associated with utilization of primary preventive services must be determined. Objective. To determine the rate of utilization and the association of selected factors with utilization of primary preventive services of TSeKaP among PhilHealth Indigent Member of Manila. Methods. Using a two-stage cluster sampling, 145 PhilHealth Indigent Members were randomly selected and interviewed. Chi-square test and Fisher’s exact test were used to determine associations. FGDs were also conducted to gather reasons related to utilization. Results and Conclusion. Among those surveyed, 68.28% were found to have utilized at least one primary preventive service. Age (p-value=0.021), knowledge (p-value=0.015), familiarity (p-value=0.029), and accessibility (p-value=0.013) were found to be associated with utilization. Utilization generally increases as age group increases. Those with satisfactory knowledge on TSeKaP, those familiar with their health center, and those who report that their health center is accessible were 1.45 times, 2.12 times and 2.83 times more likely to utilize than their counterpart, respectively. Results showing a significant proportion of non-utilization emphasize the need to improve implementation strategies by improving not only the knowledge of respondents’ on TSeKaP but also their familiarity with their health centers. The use of various communication channels, such as barangay bulletin, public address system, radio or television, may aid the dissemination of pertinent information regarding the program as perceived by the respondents.

2017 ◽  
Vol 2 (2) ◽  
pp. 100
Author(s):  
Lailathul Husna ◽  
Abdiana Abdiana ◽  
Sunesni Sunesni

Maternal mortality in Indonesia can occur during pregnancy, labor and delivery. The biggest cause is bleeding. Bleeding can occur during labor or postpartum. Birth attendant can be an indirect determinant of the incidence in postpartum hemorrhage. The aim of this study is to determine factors associated to choice of birth attendance.An analitycal research based cross sectional study was conducted from November 2016-November 2017. The study included 66 subjects who gave birth in 2016 were selected by purposive sampling technique. Data were collected by questionnaire. The collected data were analyze with chi square test using p value <0,05The result of statistic test showed that there was a significant correlation between knowledge (p = 0,000) and attitude (p=001) with the choice of birth attendant. There was no significant correlation between age (p = 0,253), education (p=0,071), employment (p=0,227) and accesibility (p=p=1,000) with the choice of birth attendant. Meanwhile, for support of the husband  level chi square test was not performed.From the results of the study it can be concluded that knowledge and attitude were factors related to choice of birth attendance. Meanwhile, age, education, employment  and accesibility were not factors associated to choice of birth attendance in work area of Silago Health Center.


2020 ◽  
Vol 2 (2) ◽  
pp. 231-235
Author(s):  
Elis Yuliarti ◽  
Komalasari Komalasari ◽  
Fitriana Fitriana ◽  
Septika Yani Veronica

Jumlah penduduk dunia terus tumbuh dan telah mencapai 7,2 milyar pada tahun 2013, demikian juga di Indonesia. MKJP Tujuan dari penelitian ini untuk mengetahui Hubungan Sikap dan Dukungan Suami Dengan Pemakaianan MKJP Aseptor KB Baru di Puskesmas Tanjung Agung Baturaja Tahun 2020. Jenis penelitian kuantitatif rancangan penelitian analitik dengan pendekatan crossectional. Populasi yaitu seluruh akseptor KB baru di wilayah kerja Puskesmas Tanjung Agung Baturaja yaitu dari data bulan Januari-Desember tahun 2019 sebanyak 510. Pengambilan sampel dengan menggunakan cluster sampling. Analisis data yang menggunakan uji chi square. Hasil analisis dan pengolahan data didapatkan ada hubungan sikap dengan pemakaian  MKJP Aseptor KB Baru diperoleh p-value 0,003 (kurang dari 0.05) dan tidak ada hubungan dukungan suami dengan pemakaian MKJP Aseptor KB Baru diperoleh p-value 0,964 (lebih dari 0.05). Hasil penelitian ini diharapkan dapat menambah pengetahuan dan pemahaman ibu usia reproduksi tentang metode kontrasepsi khususnya pada kontrasepsi jangka panjang sehingga lebih memantapkan mereka dalam memilih MKJP.Abstract: The world population continues to grow and has reached 7.2 billion in 2013, as well as in Indonesia.LTCM The research objective was to determine the Relationship Between Husband's Attitude and Support of  Using  LTCM on Primary Birth Control Acceptor at Community Health Center Tanjung Agung Baturaja in 2020. The type is a quantitative analytical research design with a cross-sectional approach. The population was all primary birth control acceptors in the working area of Community Health Center TanjungAgungBaturaja, from January up to December 2019 as much as 510. In taking the sample is using cluster sampling. The data analysis uses the chi-square test. The results of analysis and processing data show that there is a relationship between attitude and the use of LTCM on Primary Birth Control Acceptorwith p-value 0.003 (less than 0.05) and there is no relationship between husband's support and the use of LTCM on Primary Birth Control Acceptorwith p-value 0.964 (more than 0.05). It is expected that the results of this research increase the knowledge and understanding of reproductive-age mothers about contraceptive methods, especially in long-term contraception so that they are more stable in choosing the LTCM.


Author(s):  
Evi Rosita ◽  
Siti Nurnaningrum

There are about 2.8 million incident of perineal rupture in maternal physiological labor. In 2050,it is estimated that the incidence of perineal rupture can be 6.3 million if it is not accompanied by a good midwifery care. In 2016, in Trawas, there was (89%) perineal rupture in primiparas and (57%) perineal rupture in multiparas. Perineal rupture incidences due to parity were still very high. This study aims to analyze the relationship between parity and the incidence of perineal rupture . It is quantitative studyusing a cross sectional approach, by using analysis of physiological maternity women  medical record data from January to April 2017 of 130 peoplein Trawas Public Health Center, Mojokerto Regency.The dataanalysis used was Chi - Square , indicated by p value = 0,000 with ɑ = 0,05. It means that the value of p <ɑ, so H1 is accepted. It can be concluded that there is a relationship between parity and the incidence of perineal rupture on physiological maternity women in Trawas Public Health Center,Mojokerto Regency. Midwives can apply collaboration with patients and their families to have physical and psychologicalpreparation with an alternative of hypnobirthing methods.


Author(s):  
Dini Kesumah Dini Kesumah

ABSTRACT According to World Health Organization Health Organization (WHO) in 2005 showed 49% of deaths occur in children under five in developing countries. Nutritional problems can not be done with the medical and health care approach alone. Causes related to malnutrition that maternal education, socioeconomic families, poor environmental sanitation, and lack of food supplies. This study aims to determine the relationship between education and socioeconomic status of families with nutrition survey using a cross sectional analytic approach, with a population of all mothers of children under five who visited the health center in Palembang Keramasan Accidental sampling Sampling the number of samples obtained 35 respondents. Variables include the study independent and dependent variables and univariate analysis using Chi-Square test statistic with a significance level α = 0.05. The results from 35 respondents indicate that highly educated mothers earned as many as 16 people (45.7%), and middle and upper income families as many as 12 people (34.3%) and bivariate test results show that highly educated respondents toddler nutritional status good for 81.3% (13 people) is larger than the less educated respondents balitanya good nutritional status 26.3% (5 persons) as well as respondents who have middle and upper socioeconomic families with good nutritional status of children at 91.7% ( 11 people) is larger when compared to respondents who have family socioeconomic medium with good nutritional status of children at 30.4% (7 people). Statistical tests show that education has a significant relationship with nutritional status of children P value = 0.004 and socioeconomic families have a meaningful relationship with nutritional status of children P value = 0.002. Based on the results of the study suggested the health professionals in the health center should further improve the education, information about the importance of nutrition to the development of the child in the mothers through the selection and processing of good food and a good diet through health centers and integrated health.   ABSTRAK  Menurut badan kesehatan World Health Organization (WHO) tahun 2005 menunjukkan 49% kematian yang terjadi pada anak dibawah umur lima tahun di negara berkembang. Masalah gizi ini tidak dapat dilakukan dengan pendekatan medis dan pelayanan kesehatan saja. Penyebab yang berhubungan dengan kurang gizi yaitu pendidikan ibu, sosial ekonomi keluarga, sanitasi lingkungan yang kurang baik,dan kurangnya persediaan pangan. Penelitian ini bertujuan untuk mengetahui hubungan antara pendidikan dan sosial ekonomi keluarga dengan status gizi balita dengan menggunakan metode survei analitik pendekatan secara Cross Sectional, dengan populasi semua ibu yang memiliki anak balita yang berkunjung ke Puskesmas Keramasan Palembang dengan pengambilan sampel secara Accidental Sampling diperoleh jumlah sampel 35 responden. Variabel penelitian meliputi variabel independen dan dependen serta analisis univariat menggunakan uji statistik Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian ini menunjukkan dari 35 responden didapatkan ibu yang berpendidikan tinggi sebanyak 16 orang  (45,7%), dan keluarga yang berpenghasilan menengah keatas sebanyak 12 orang (34,3%) dan hasil uji bivariat menunjukkan bahwa responden yang berpendidikan tinggi status gizi balitanya baik sebesar 81,3% (13 orang) lebih besar bila dibanding responden yang berpendidikan rendah status gizi balitanya baik 26,3% (5 orang) serta responden yang mempunyai sosial ekonomi keluarga menengah keatas dengan status gizi balita baik sebesar 91,7% (11 orang) lebih besar bila dibanding responden yang mempunyai sosial ekonomi keluarga menengah kebawah dengan status gizi balita baik sebesar 30,4% (7 orang). Uji statistik menunjukkan bahwa pendidikan mempunyai hubungan yang bermakna dengan status gizi balita P value = 0,004 dan sosial ekonomi keluarga mempunyai hubungan yang bermakna dengan status gizi balita P value = 0,002. Berdasarkan hasil penelitian disarankan pada petugas kesehatan di Puskesmas hendaknya lebih meningkatkan penyuluhan-penyuluhan tentang pentingnya gizi terhadap tumbuh kembang anak pada ibu-ibu melalui cara pemilihan dan pengolahan bahan makanan yang baik serta pola makanan yang baik melalui kegiatan Puskesmas dan Posyandu.


Author(s):  
Brain Guntoro ◽  
Kasih Purwati

Hypertension is one of the number one causes of death and disability in the world. Hypertension contributes nearly 9.4 million deaths from cardiovascular disease each year. Hypertension can cause undesirable effects, it needs good handling, one of them is by doing a hypertension diet. To carry out a hypertension diet requires knowledge, lack of knowledge can increase risk factors for hypertension. This study aims to determine the relationship of the level of knowledge about hypertension diet to the incidence of hypertension in the elderly at the Baloi Permai Public Health Center Batam City. This research method is an analytic observational with a cross-sectional approach conducted at the Baloi Permai Public Health Center Batam City 2018. Sampling technique is a total sampling with a sample of 64 people in 2018 determined by inclusion and exclusion criteria. The results of the study were analyzed with frequency distribution and then tested with the Chi-square test. Based on the results of this study indicate that of the 64 respondents found elderly who have a good level of knowledge are 41 people (64.1%), 48 people (75.0%) have an age range between 60-70 years. 27 people (42.2%) elderly have the last high school education and 40 people (62.5%) have jobs as entrepreneurs. Elderly people who have normal blood pressure are 40 people (62.5%), and those affected by hypertension are 24 people (37.5%). The elderly who have a family history of hypertension is 21 people (32.8%) and those who do not have a history of hypertension are 43 people (67.2%). Chi-Square Test analysis results show the significance value p = 0.009. This number is significant because the p-value is smaller than the significance level (α) ≤ 5% (0.05), so H0 is rejected and Ha is accepted. Therefore it can be concluded that there is a significant relationship about the level of knowledge about the hypertension diet to the incidence of hypertension in the elderly. From the results of this study it was concluded that there was a relationship between the level of knowledge about the hypertension diet and the incidence of hypertension in the elderly at the Baloi Permai Public Health Center Batam City in 2016.


2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Olaolu T. Olufemi ◽  
Danjuma B. Dantala ◽  
Paul A. Shinggu ◽  
Umesi A. Dike ◽  
Gbeminiyi R. Otolorin ◽  
...  

A cross-sectional study was conducted in Wukari, Taraba state, Nigeria, to determine the prevalence of Brucella antibodies and the risk factors associated with brucellosis in indigenous breeds of goats. A total of 386 goats were sampled from three political wards: Puje, Avyi, and Hospital: harvested sera samples were subjected to Rose Bengal Plate Test (RBPT). GraphPad Prism version 7.03 for Windows (GraphPad Software, La Jolla California, USA) was used to analyse the association between seroprevalence of brucellosis and age, sex, breed, location, and management system by using Chi square and Fisher’s exact test as appropriate. Brucellosis was detected in all three wards: Puje; 15%, Avyi; 6.6%, and Hospital; 7.6%. A prevalence rate of 2.8%, 8%, 18.7%, and 1% was recorded for <20-month, 22-35-month, 36-45-month, and ≥46-55-month age categories, respectively (P < 0.05). Only 9.5% was observed for male animals while 9.8% was observed for female animals with no statistical difference between the males and females. Breed-specific seroprevalence yielded 7.4%, 5.4% 12%, 12.8%, and 11.6%, for Cross, West Africa Dwarf, Red Sokoto, Kano Brown, and Sahel breeds of goat, respectively. There is an evidence of brucellosis (9.6%) in Wukari L.G.A, Taraba State, and age is a risk factor for the disease in the study area. There is a need to enlighten the public on the zoonotic potentials and economic impacts of brucellosis.


2021 ◽  
Vol 4 (1) ◽  
pp. 29-37
Author(s):  
Sitti Marya Ulva ◽  
Sinar Jannah

The percentage of families in Lapulu Village that had healthy latrines was 64,84% who met the health requirements and 35,16% who did not meet the health requirements in 2019. This shows that the ownership of healthy latrines is still lower than the national achievement. This study aims to determine the factors associated with low ownership of healthy latrines in the coastal areas of Lapulu Village, Kendari City. The research design was observational, with a cross-sectional approach. The population in this study was 437 respondents, while the study sample was 209 respondents. The sampling technique used was proportional random sampling technique. The analysis were performed using the Chi-Square test. The results of statistical tests with chi-square obtained the value of land availability (p-value=0,000), knowledge (p-value=0,031), and income (p-value=0,000). It can be concluded that there is a relationship between land availability, knowledge, and income levels associated with low ownership of healthy latrines in the tidal area of ​​Lapulu Village, Kendari City. Therefore, it is hoped that the community and local government will establish this inter sector collaboration with related agencies to increase community ownership of healthy latrines.


2020 ◽  
Vol 2 (2) ◽  
pp. 61-68
Author(s):  
Nourmayansa Vidya ◽  
Efa Apriyanti ◽  
Ayunda Nia Agustina ◽  
Maharaufa Fathmanda

  ABSTRAK Salah satu indicator derajat kesehatan suatu Negara adalah angka kematian ibu dan bayi. 52.4% ibu-ibu di Indonesia memiliki akses ke pelayanan maternal. Angka Kematian Ibu (AKI) di Indonesia tahun 2008 menurut Survei Demografi Kesehatan Indonesia adalah 307 per 100.000 kelahiran hidup, jauh dari target yang seharusnya yaitu 110 per 100.000 kelahiran hidup. Tujuan umum penelitian ini adalah untuk mengetahui faktor-faktor berhubungan dengan keputusan ibu memilih tempat bersalin, diantaranya adalah pelayanan kesehatan, fasilitas kesehatan, biaya persalinan, dan kebijakan di tempat bersalin. Sample penelitian adalah ibu-ibu yang berada di kelurahan Kemiri Muka – Depok berjumlah 125 orang. Penelitian ini menggunakan kuesioner dan Return rate = 100%. Penelitian ini menggunakan metode cross sectional dan analisa data univariat menggunakan distribusi frekuensi serta bivariat menggunakan chi-square. Hasil penelitian menunjukan adanya hubungan bermakna antara dan fasilitas kesehatan (p Value = 0.033; = 0.05) dengan pilihan tempat bersalin. Kata Kunci: faktor, ibu, Kemiri Muka, pemilihan tempat bersalin   ABSTRACT One indicator of a country's health status is the maternal and infant mortality rate. 52.4% of mothers in Indonesia have access to maternal services. Maternal Mortality Rate (MMR) in Indonesia in 2008 according to the Demographic Health Survey of Indonesia is 307 per 100,000 live births, its far from the supposed target of 110 per 100,000 live births. The general objective of this study was to determine the factors associated with mother's decision when choosing a birth place, including the choice of giving birth. The factors that affect mother's decision when choosing a birth place are characteristic of the respondents and distance delivery and home place. Research sample is mothers residing in RW 03 Kelurahan Kemiri Muka - Depok totaling 125 people. This study uses a questionnaire and return rate = 100%. This study uses cross sectional data analysis using univariate and bivariate frequency distribution using the chisquare test. The results showed that there was a significant relationship between respondent’s education (p-value = 0.009; = 0.05), the husband's income & (pvalue = 0.046; = 0.05), and health facilities (p -value = 0.033; = 0.05) with a choice of place of birth. Key words: factor, mother, Kemiri Muka, choosing a birth place


Author(s):  
Wahyuni Herda ◽  
Insan Sosiawan A Tunru ◽  
Yusnita Yusnita

Tuberculosis is a disease of global concern. By 2015 six countries contributing to 60% of the global total are India, Indonesia, China, Nigeria, Pakistan and South Africa. China, India and Indonesia alone accounted for 45% of cases in the world.The World Health Organization (WHO)has recommended the Directly Observed Treatment Shortcourse (DOTS) strategy for TB control by involving Drug Supervisors (PMO). It aims to achieve patient recovery, prevent transmission, and avoid drug resistant cases. This study aims to determine the relation between the roles of treatment observers (PMO) with the success of tuberculosis treatment at community health center of Johar Baru Central Jakarta in 2016.This research was conducted by Cross-Sectional non-experimental quantitative method. Population and sample are the patient of adult pulmonary and extrapulmonary tuberculosis at community health center of Johar Baru Central Jakarta in 2016. Samples are selected by using Simple Random Sampling. The data were collected by interview using questionnaire. Data analysis using SPSS with Chi-Square test.There were 45 respondents (80,4%) succeed in TB treatment and respondent with PMO roles category were 40 (71,4%). Result of statistical test using Chi-Square test obtained P value = 1,000 (> 0,05).There is no relation between the roles of treatment observers (PMO) with the success of tuberculosis treatment at community health center of Johar Baru Central Jakarta in 2016.


2018 ◽  
Vol 1 (1) ◽  
pp. 053
Author(s):  
Juli Gladis Claudia ◽  
Wirdawaty S Adam

Exercise in pregnancy have positive effect on the pregnancy outcomebecause stumulate to strengthen and maintain elasticity in abdominalmuscles and pelvic muscles which was associated with labor that whenstraining the muscles will relax actively that the head baby will outeasily and the pelvic floor muscle is weak, will not easily tear when willgive birth. The incidence of perineum rupture at Limboto CommunityHealth Center is 46,7%. The purpose of this study was to analyze theeffectiveness of gymnastics pregnancy against rupture perineum inMaternity at Limboto Community Health Center. The method of researchwas used pre-experimental research with statistical group comparisondesign with using chi square test. The population in this study were allthirty pregnant trimester III which amounted 30 people. The sample inthis study were 15 case groups and 15 control groups. The variablepregnant exercise was independent variabel and the dependentvariable was incidence of perineal rupture. The result of this researchby using chi square statistic test was showed t arithmetic 8,571, thatmean the respondent who have high pregnancy exercise did notexperience rupture perineum. Results p - value 0.009 with degree ofsignificance 0.05 (p < 0.05). The conclusion there was a significant effectof pregnancy exercise effectiveness on the incidence of perineal rupturein maternal mothers at Limboto Community Health Center.


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