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Ahmad Fauzi; Pembimbing: Zarfiel Tafal; Penguji: Zulasmi Mamdy, Anwar Hasan, Yenny Bros, Sri Ida Yuniarti
Abstrak:
Dalam rangka meningkatkan pelayanan kesehatan terhadap ibu dan anak khususnya pada saat persalinan perlu didukung oleh tenaga kesehatan yang terampil termasuk didalamnya bidan yang melakukan praktek swasta. Bertitik tolak dari masalah tingginya angka kematian Ibu (AKI) dan Angka kematian Bayi (AKB) di Indonesia diketahui bahwa kematian tersebut sebagian besar terjadi pada saat persalinan, sedangkan penyebab terbesar adalah penyebab langsung yang sering disebut dengan "bias klasik" yaitu perdarahan, pre-eklampsi dan infeksi. Berdasarkan data tahun 1997 dan 1998, perdarahan dan pre-eklampsi mengalami penurunan, namun kejadian infeksi justru sebaliknya yaitu mengalami peningkatan.Cakupan pertolongan persalinan di kota Jambi tahun 2001 sebesar 84,6%, dari jumlah persalinan tersebut diketahui bahwa pertolongan persalinan sebagian besar dilaksanakan oleh tenaga bidan. Sebagaimana kita ketahui bahwa perilaku pencegahan seseorang berbeda masing-masing setiap individu, perilaku tersebut dipengaruhi beberapa faktor seperti faktor predisposisi, faktor pemungkin dan faktor penguat. 1. Variabel faktor predisposisi: lama praktek, pengetahuan dan persepsi berhubungan secara signifikan dengan perilaku pencegahan infeksi, sementara. variabel umur dan tingkat pendidikan tidak berhubungan.
In order to improve mother and child health care particularly at delivery, support in term of skillful health personnel including private practicing midwives is necessary. High Maternal Mortality Ratio (MMR) and high Infant Mortality Rate (IMR) in Indonesia was mainly occurred at delivery and mostly caused by direct causes called as classical triad namely bleeding, pre-eclampsia, and infection. The 1997 and 1998 data indicated declines on bleeding and pre-eclampsia but an increase figure for infection.
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Tujuan dari penelitian ini adalah untuk memperoleh informasi tentang faktor-faktor yang berhubungan dengan perilaku pencegahan infeksi oleh bidan praktek pada waktu melakukan pertolongan persalinan di kota Jambi.Penelitian ini bersifat deskriftif dan analitik yang dilakukan dengan menggunakan desain non experimental secara cross sectional. Besar sample sebanyak 55 orang yang terdiri dari bidan yang melakukan praktek swasta di kota Jambi dengan pengambilan sampel secara random.
Dari penelitian ini terungkap bahwa perilaku pencegahan infeksi responden pada pertolongan persalinan berada pada kategori kurang sebanyak 27 (49,1%) orang dan pada kategori baik sebanyak 28 (50,9%) orang.Selanjutaya dari uji Chi-Square terbukti bahwa
2. Variabel faktor pemungkin: fasilitas praktek berhubungan secara signifikan dengan perilaku pencegahan infeksi responden, sementara variabel jumlah persalinan yang ditolong tidak berhubungan.
3. Variabel faktor penguat: pelatihan berhubungan secara signifikan dengan perilaku pencegahan infeksi responder, sementara variabel bimbingan teknis dan pengawasan praktek tidak berhubungan.Analisis multivariate diketahui bahwa variabel fasilitas praktek dan pelatihan merupakan variabel yang berhubungan secara signifikan, namun dari kedua variabel tersebut fasilitas praktek merupakan faktor yang paling dominan berhubungan dengan perilaku pencegahan infeksi pada pertolongan persalinan dengan OR 11,88 (CI: 2,77-50,99).
Untuk mencegah terjadinya infeksi pada pertolongan persalinan oleh bidan praktek disarankan agar dinas kesehatan mengadakan evaluasi kebijakan tentang pemberian izin praktek bidan dengan terlebih dahulu mengadakan studi kelayakan terhadap fasilitas praktek sebelum mengeluarkan izin praktek sesuai dengan Kepmenkes nomor 900 tahun 2002, dan mengadakan pengawasan yang rutin secara bulanan maupun tribulanan baik dari aspek kuantitas maupun kualitas peralatan yang dimiliki praktek bidan. Untuk peningkatan keterampilan bidan praktek, dinas kesehatan kota Jambi perlu mengusulkan kegiatan pelatihan pengembangan keterampilan yang memungkinkan mereka untuk mencapai tingkat mahir (skill proficiency), dengan melibatkan pihak terkait diantaranya organisasi profesi IBI dan POGI.Daftar bacaan : 51 (1971-2002)
In order to improve mother and child health care particularly at delivery, support in term of skillful health personnel including private practicing midwives is necessary. High Maternal Mortality Ratio (MMR) and high Infant Mortality Rate (IMR) in Indonesia was mainly occurred at delivery and mostly caused by direct causes called as classical triad namely bleeding, pre-eclampsia, and infection. The 1997 and 1998 data indicated declines on bleeding and pre-eclampsia but an increase figure for infection.
Coverage of health personnel assisted delivery in City of Jambi in 2001 was 84.6%, mostly assisted by midwife. It is known that infection prevention behavior is differed among persons and was influenced by predisposing, enabling, and reinforcing factors.The aim of this study is obtain information on factors related to infection prevention behavior among private practicing midwives at delivery in City of Jambi.
This study is descriptive and analytical conducted using cross sectional non-experimental design. There were 55 subjects (private practicing midwives in City of Jambi) who were randomly selected.The study shows that 27 subjects (49.1%) were in poor category of infection prevention behavior at delivery and 28 subjects (50.9%).
The Chi-Square test shows that:
1. For predisposing factors: there were significant relationships between infection prevention behavior and length of practice, knowledge, and perception; while there were no significant relationship found for age and level of education.2. For enabling factors: significant relationships were found for practice facility; while no significant relationship was found for number of assisted delivery.3. For reinforcing factors: training was significantly related to infection prevention behavior while no significant relationships were found for technical assistance and practice monitoring.The multivariate analysis shows that both practice facility and training on infection prevention were significantly related to infection prevention behavior with practice facility posed as the most dominant factor with OR of 11.88 (CI: 2.77-50.99).
In order to prevent infection at delivery care by private practicing midwives, it is suggested that health office evaluate the policy on licensing midwife practice by inserting a feasibility study on practice facility according to Kepmenkes No 900/2002, and conduct routine monitoring either monthly or tri-monthly on both quantity and quality of private practicing midwife facility. To improve midwife's skill, health office of City of Jambi should propose training activities as to enable midwives to achieve a level of skill proficiency collaborating with related institutions such as IBI and POGI.
References: 51 (1971-2002)
T-1521
Depok : FKM-UI, 2002
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Wenni Haristia; Pembimbing: Zarfiel Tafal; Penguji: Dian Ayubi, Roji Suherman
S-7264
Depok : FKM-UI, 2012
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Inda Amalia Khoiriyah; Pembimbing: Ella Nurlaela Hadi; Penguji: Triyanti, Luluk Ernawati
Abstrak:
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Anemia pada ibu hamil dapat dicegah dengan melakukan perilaku pencegahan anemia yang meliputi makan-makanan bergizi, rutin konsumsi tablet tambah darah, dan rutin melakukan kunjungan Antenatal Care (ANC). Cakupan ANC di Puskesmas Kedungkandang dibawah standar Provinsi Jawa Timur (Cakupan K1 98,2% dan pada K4 89,93%) dan Kota Malang (Cakupan K1 89,10% dan pada K4 84,41%) yaitu pada K1 sebesar 88% dan cakupan K4 sebesar 84%. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan perilaku pencegahan anemia pada ibu hamil di Wilayah Kerja Puskesmas Kedungkandang Kota Malang Tahun 2023. Penelitian ini merupakan penelitian kuantitatif, desain cross sectional pada 115 ibu hamil yang diambil secara proportional random sampling dan dilaksanakan pada bulan Juni-Juli 2023. Pengumpulan data dilakukan melalui wawancara menggunakan kuesioner. Hasil penelitian menunjukkan terdapat hubungan yang signifikan antara faktor predisposisi: pengetahuan (P-value = 0,000) dan sikap (P-value = 0,000), faktor pemungkin: kelas ibu hamil (P-value = 0,012), dan faktor penguat: dukungan suami (P-value = 0,000) dengan perilaku pencegahan anemia pada ibu hamil. Untuk itu, diperlukan upaya peningkatan perilaku pencegahan anemia pada ibu hamil dengan peningkatan pengetahuan, sikap, keikutsertaan dalam kelas ibu hamil dan dukungan suami agar perilaku pencegahan anemia pada ibu hamil semakin baik.
Anemia in pregnant women can be prevented by carrying out anemia prevention behaviors which include eating nutritious foods, routinely consuming blood-boosting tablets, and carrying out routine antenatal care (ANC) visits. ANC coverage at the Kedungkandang Health Center is below the standard for East Java Province (Coverage of K1 98.2% and in K4 89.93%) and Malang City (Coverage of K1 89.10% and in K4 84.41%), namely in K1 it is 88% and K4 coverage of 84%. This study aims to determine the factors related to anemia prevention behavior in pregnant women in the Working Area of the Kedungkandang Health Center, Malang City in 2023. This research is a quantitative study, cross-sectional design on 115 pregnant women who were taken by proportional random sampling and carried out in the month June-July 2023. Data collection was carried out through interviews using a questionnaire. The results showed that there was a significant relationship between predisposing factors: knowledge (P-value = 0.000) and attitudes (P-value = 0.000), enabling factors: class of pregnant women (P-value = 0.012), and reinforcing factors: husband's support ( P-value = 0.000) with anemia prevention behavior in pregnant women. For this reason, efforts are needed to increase anemia prevention behavior in pregnant women by increasing knowledge, attitudes, participation in classes for pregnant women and husband's support so that anemia prevention behavior in pregnant women is getting better.
S-11451
Depok : FKM-UI, 2023
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Yusup Rosidin; Pembimbing: Anwar Hassan
T-1066
Depok : FKM-UI, 2001
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Muria Herlina: Pembimbing: Adi Sasongko; Penguji; Sutanto Priya Hastono, Sudarti Kresno, Agnes
Abstrak:
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Salah satu dampak krisis ekonomi adalah obat dan pengobatan oleh dokter menjadi mahal yang menyebabkan masyarakat beralih ke pengobatan alternatif. Pada kenyataannya, ilmu pengetahuan dan teknologi kesehatan belum sepenuhnya mampu menangani masalah-masalah kesehatan. Tujuan penelitian ini adalah untuk mengetahui gambaran pemilihan jenis pengobatan alternatif dan faktor-faktor yang berhubungan dengan hal tersebut di Kota Bengkulu. Rancangan penelitian ini adalah cross sectional untuk menyelidiki hubungan antara umur, pendidikan, pekerjaan, pendapatan, pengetahuan, keyakinan dan sikap terhadap pemilihan jenis pengobatan alternatif. Responden adalah 100 orang kepala keluarga yang berdomisili lebih dari 3 tahun dilokasi penelitian. Hasil penelitian menunjukkan bahwa variabel sikap dan variabel pekerjaan yang berhubungan dengan pemilihan jenis pengobatan alternatif, sementara umur, pendidikan, pendapatan, pengetahuan dan keyakinan tidak berhubungan dengan pemilihan jenis pengobatan alternatif. Dari variabel-variabel tersebut, yang paling dominan hubungannya dengan pemilihan jenis pengobatan alternatif adalah sikap dengan nilai OR = 3,2937 (CI = 1,3511-8,0297). Proporsi pengobatan alternatif yang memilih jenis keterampilan adalah 62% yang terdiri dari 49% ditolong oleh tukang pijat, 10% oleh pijat refleksi dan 3% oleh sinshe akupuntur. Sementara itu proporsi yang memilih pengobatan alternatif jenis ramuan obat adalah 38% yang terdiri dari ramuan (19%), penjual jamu (16%), tabib (2%), dan pengobatan dengan pendekatan agama yang dipadukan dengan ramuan (1%). Sebagai upaya untuk meningkatkan kualitas pengobatan alternatif dimasa yang akan datang maka disarankan untuk melakukan pengawasan dan pelatihan disamping memberikan sertifikat khususnya kepada tukang pijat, tukang pijat refleksi, penjual jamu dan pengobatan yang menggunakan ramuan. Disamping hal ini juga disarankan untuk meningkatkan kerjasama antara pengobatan altematif dengan para dokter sesuai bidang keahlian masing-masing.
One of the impact of economic crisis was the medicine as well as medication by doctor became expensive therefore many of the community turn to alternative medication. In fact, the science and technology of medication couldn't fully handle all health problems. The purpose of this research to know the description choosing kind of alternative medication usage and factors related it in Bengkulu City. The design of this research was cross sectional to investigate relationship between ages, education, occupation, income, knowledge, believe and attitude with choosing kind of alternative medication. The respondents are 100 head of families who had lived more than three years in the location of the research. The result of the research showed that attitude and occupation variables had relationship with choosing kind of alternative medication while age, education, occupation, income, and knowledge have no relationship. From those variables, the most dominant variable to alternative medication choosing kind was attitude with OR = 3, 2937 (CI = 1, 3511 - 8, 0297 ). The proportion of alternative medication who choose kind skilled was 62% which consist of 49% helped by message attendant, 10% by reflection message and 3% by sinshe acupuncture (Chinese healer). Meanwhile, the proportion who choose kind of alternative medication using compounds was 38% which consist of compounds (19%), jamu seller (16%), tabib (traditional healer) 2% as well as medication by using religious approach combined with compound (1%). In order to increase the quality of alternative medication choosing kind in the future, it was suggested to hold supervision and training and giving certificate especially to message attendants, reflection messenger, jamu sellers as well as medication using herbal compound. Besides this, it was also recommended to enhance the cooperation between alternative healers with doctors according to their skill respectively.
T-1159
Depok : FKM-UI, 2001
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Asnawi; Pembimbing: Tri Krianto
T-1228
Depok : FKM UI, 2002
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Theresia Rhabina Noviandari Purba; Pembimbing: Caroline Endah Wuryaningsih; Penguji: Zarfiel Tafal, Enny Ekasari
S-7112
Depok : FKM-UI, 2012
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Oktrina Gustanela; Pembimbing: Hadi Pratomo; Penguji: Dian Ayubi, Kemal Nazaruddin Siregar, Tutwuri Handayani, Hendra Gunawan
Abstrak:
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Pada 11 Maret 2020 World Health Organization mengumumkan COVID-19 sebagai pandemi. Upaya pengendalian COVID-19 dapat dilakukan dengan menerapkan protokol kesehatan dan vaksinasi agar mendapat perlindungan optimal. Pandemi tidak hanya berdampak pada kesehatan, tetapi juga pada pelaku usaha mikro. Menurut skala usahanya penurunan penjualan pada usaha mikro sebesar 43,3%. Percepatan vaksinasi pada pelaku usaha bertujuan untuk percepatan pemulihan kesehatan dan ekonomi. Teori Health Belief Model (HBM) bertujuan mengajarkan informasi tentang risiko dan perilaku untuk meminimalkan risiko tersebut. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang berhubungan dengan perilaku vaksinasi COVID-19 pada pelaku usaha mikro di Kota Padang. Metode pada penelitian ini dengan desain Cross Sectional. Sasaran pada penelitian ini adalah pelaku usaha mikro di Kota Padang dengan sampel 190 responden. Pengumpulan data dilakukan menggunakan kuesioner dengan KoboToolbox secara daring dan luring. Hasil penelitian menunjukkan 56,8% melakukan vaksinasi COVID-19 dua dosis. Pengetahuan, persepsi manfaat, dan persepsi hambatan berhubungan dengan perilaku vaksinasi COVID-19. Persepsi manfaat merupakan faktor yang paling dominan berhubungan dengan perilaku vaksinasi COVID-19. Berdasarkan teori HBM pengetahuan akan membawa perubahan, pengetahuan tentang COVID-19 dan vaksin COVID-19 akan menentukan tindakan terhadap pelaksaaan Vaksinasi COVID-19. Tingginya persepsi manfaat dibandingkan persepsi hambatan terhadap vaksinasi COVID-19 dapat memengaruhi seseorang untuk melakukan vaksinasi COVID-19.
On March 11, 2020, the World Health Organization declared COVID-19 as a pandemic. Efforts to control COVID-19 can be carried out by implementing health protocols and vaccinations to get optimal protection. The pandemic does not only have an impact on health, but also on micro-enterprises. According to the scale of business, the sales decline for micro businesses were 43.3%. Acceleration of vaccination for business actors aim to accelerate health and economic recovery. The Health Belief Model (HBM) theory aims to teach information about risks and behaviors to minimize these risks. This study aims to identify factors related to COVID-19 vaccination behavior in micro-enterprises in Padang City. The method in this research was a cross sectional design. The target of this research wàs micro business actors in Padang City with a sample of 190 respondents. Data was collected using a questionnaire with KoboToolbox online and offline. The results showed 56,8% took two doses of COVID-19 vaccination. Knowledge, perceived benefits, and perceived barriers are related to COVID-19 vaccination behavior. Perceived benefits is the most dominant factor related to the behavior of COVID-19 vaccination. Based on the HBM theory, knowledge will bring about change, knowledge of COVID-19 and the COVID-19 vaccine will determine the actions that will be taken to carry out COVID-19 vaccinations. The high perceived benefits compared to perceived barriers toward COVID-19 vaccination can influence someone to get COVID-19 vaccination.
T-6573
Depok : FKM UI, 2022
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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T-3382
[s.l.] :
[s.n.] :
s.a.]
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Shelly Shalihat; Pembimbing: Tri Krianto; Penguji: Anhari Achadi, Dien Anshari, Evy Kurniawati, M. Mathla'il Fajri
Abstrak:
Latar Belakang: Berdasarkan data per 20 September 2021 di 46.500 sekolah, ada 2,8 persen atau 1.296 sekolah yang melaporkan klaster COVID-19. Klaster COVID-19 paling banyak terjadi di SD/MI yaitu 2,78 persen. Per tanggal 18 Maret 2021 Angka kematian di Provinsi Lampung mencapai 5,32 persen atau berada di atas rata-rata nasional, yakni 2,71 persen. Berdasarkan SE Kepala Dinas Pendidikan dan Kebudayaan Bandar Lampung Nomor : 420/1254/IV.40/2022 tentang pembelajaran tatap muka pada masa pandemi COVID-19 dilaksanakan pada hari senin tanggal 14 Maret 2022. MIN 8 Bandar Lampung adalah MIN percontohan yang terletak sangat dekat dengan pemukiman padat penduduk, luas bangunan sekolah yang tidak terlalu besar memiliki jumlah siswa paling banyak serta memiliki interaksi dengan masyarakat luar yang sangat aktif. Berdasarkan dari studi pedahuluan yang sudah peneliti lakukan ternyata didapatkan hasil bahwa perilaku 3M siswa MIN 8 Bandar Lampung masih kurang disiplin.Tujuan: Mengetahui faktor-faktor yang berhubungan dengan penerapan perilaku 3M pencegahan COVID-19 pada siswa MIN 8 Bandar Lampung Tahun 2022. Metode: Menggunakan desain penelitian cross sectional survey, subjek diukur dan diamati hanya satu kali dalam penelitian ini. Hasil: Siswa kelas 5 (62,9%) MIN 8 Bandar Lampung tahun 2022 menerapkan perilaku 3M. Variabel pengetahuan (56,7%), sikap (62,9%), pola asuh (58,8%), dukungan guru (70,1%), dukungan teman sebaya (62,9%), peraturan sekolah (50,5%) dan sarana prasarana (56,7). Variabel terpenting yang terkait dengan penggunaan perilaku 3M adalah kebiasaan orang tua, dengan OR 3.095 (95% CI: 1.315-7.284). Kesimpulan: Kebiasaan orang tua dan peraturan sekolah secara signifikan berhubungan dengan perilaku 3M. Variabel yang paling dominan terkait dengan perilaku 3M adalah kebiasaan orang tua dan peraturan sekolah setelah mengontrol dukungan teman sebaya.
Background: Based on data as of September 20, 2021 in 46,500 schools, there were 2.8 percent or 1,296 schools that reported COVID-19 clusters. Most of the COVID-19 clusters occurred in SD/MI, namely 2.78 percent. As of March 18, 2021, the death rate in Lampung Province reached 5.32 percent or was above the national average, which was 2.71 percent. Based on the SE Head of the Education and Culture Office of Bandar Lampung Number: 420/1254/IV.40/2022 regarding face-to-face learning during the COVID-19 pandemic, it was held on Monday, March 14, 2022. MIN 8 Bandar Lampung is a pilot MIN located very close to with densely populated settlements, the school building area is not too large and has the largest number of students and has very active interactions with the outside community. Based on the preliminary study that has been carried out by the researchers, it turns out that the 3M students of MIN 8 Bandar Lampung still lack discipline. Objective: To determine the factors related to the application of 3M behavior as a prevention of COVID-19 in students of MIN 8 Bandar Lampung in 2022. Methods: using a cross sectional study design where in this study the subject was only measured and observed once. Result: 5th grade students of MIN 8 Bandar Lampung in 2022 (62.9%) apply 3M behavior. Variables of knowledge (56.7%), attitudes (62.9%), parenting (58.8%), teacher support (70.1%), peer support (62.9%) school regulations (50.5%) and infrastructure (56.7). The most dominant variable related to the application of 3M behavior is the habituation of parents with OR 3,095 (95% CI: 1.315-7,284). Conclusion: There is a significant relationship between parental habits and school rules with 3M behavior. The most dominant variables related to 3M behavior are parental habits after controlling for peer support, and school rules.
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Background: Based on data as of September 20, 2021 in 46,500 schools, there were 2.8 percent or 1,296 schools that reported COVID-19 clusters. Most of the COVID-19 clusters occurred in SD/MI, namely 2.78 percent. As of March 18, 2021, the death rate in Lampung Province reached 5.32 percent or was above the national average, which was 2.71 percent. Based on the SE Head of the Education and Culture Office of Bandar Lampung Number: 420/1254/IV.40/2022 regarding face-to-face learning during the COVID-19 pandemic, it was held on Monday, March 14, 2022. MIN 8 Bandar Lampung is a pilot MIN located very close to with densely populated settlements, the school building area is not too large and has the largest number of students and has very active interactions with the outside community. Based on the preliminary study that has been carried out by the researchers, it turns out that the 3M students of MIN 8 Bandar Lampung still lack discipline. Objective: To determine the factors related to the application of 3M behavior as a prevention of COVID-19 in students of MIN 8 Bandar Lampung in 2022. Methods: using a cross sectional study design where in this study the subject was only measured and observed once. Result: 5th grade students of MIN 8 Bandar Lampung in 2022 (62.9%) apply 3M behavior. Variables of knowledge (56.7%), attitudes (62.9%), parenting (58.8%), teacher support (70.1%), peer support (62.9%) school regulations (50.5%) and infrastructure (56.7). The most dominant variable related to the application of 3M behavior is the habituation of parents with OR 3,095 (95% CI: 1.315-7,284). Conclusion: There is a significant relationship between parental habits and school rules with 3M behavior. The most dominant variables related to 3M behavior are parental habits after controlling for peer support, and school rules.
T-6566
Depok : FKM UI, 2022
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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