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ABSTRAK Penyakit kusta masih menjadi masalah kesehatan masyarakat di Indonesia. Kabupaten Majalengka salah satu daerah endemis kusta di Indonesia dengan angka kecacatan tingkat 2 tertinggi di Jawa Barat yang berhubungan dengan keterlambatan penemuan kasus baru dan pengobatan. Berdasarkan hal tersebut, maka diperlukan suatu penelitian yang mendalam mengenai pencarian pertolongan pengobatan pada penderita kusta. Tujuan penelitian ini adalah untuk memperoleh informasi yang mendalam mengenai pencarian pertolongan pengobatan penderita kusta serta faktor penghambat dan penunjangnya. Penelitian ini dilakukan di Kecamatan Sindangwangi, Argapura, dan Sumberjaya Kabupaten Majalengka dengan metode kualitatif yang pengumpulan datanya dilakukan dengan wawancara mendalam. Jumlah informan dalam penelitian ini sebanyak 31 orang yang meliputi informan penderita kusta dan informan kunci. Untuk menguji validitas hasil penelitian, dilakukan triangulasi sumber dan metode. Pengolahan data yang dilakukan terdiri dari mengumpulkan catatan hasil wawancara, membuat rekapitulasi hasil wawancara, membuat kategorisasi data, dan membuat matriks. Analisis yang dilakukan adalah Analisis isi atau content analysis untuk melihat kecenderungan hubungan antar variabel. Hasil penelitian menunjukkan, bahwa pencarian pertolongan pengobatan memiliki kecenderungan berhubungan dengan persepsi keparahan dan bahaya penyakit, dorongan tokoh masyarakat, keluarga, media, dan penyuluhan petugas kesehatan. Pemilihan pelayanan kesehatan memiliki kecenderungan berhubungan dengan kebiasaan dan pengalaman berobat, sedangkan keteraturan berobat memiliki kecenderungan berhubungan dengan persepsi terhadap kualitas pelayanan kesehatan. Keterlambatan mencari pertolongan pengobatan memiliki kecenderungan berhubungan dengan pengetahuan penderita kusta mengenai penyakit kusta yang rendah, ketidaktahuan penderita kusta kalau di Puskesmas terdapat pengobatan untuk kusta dan salah diagnosa. Untuk itu perlu dilakukan advokasi terhadap Pemerintah Daerah Kabupaten Majalengka dan Dinas Kesehatan Kabupaten Majalengka, meningkatkan promosi kesehatan dengan mengikutsertakan petugas promosi kesehatan di Puskesmas, menjalin kerjasama dengan lintas program dan lintas sektor, pelatihan keterampilan deteksi tanda kusta bagi petugas puskesmas, sosialisasi tentang pengobatan kusta dan keterampilan deteksi tanda kusta bagi dokter praktek di wilayah kerja puskesmas, pelatihan (training of trainers) penyuluhan kusta, penyuluhan intensif dan pemberdayaan masyarakat. Daftar Bacaan : 39 (1974 - 2007) Kata Kunci: Kusta, Pencarian Pertolongan Pengobatan Kusta
ABSTRACT Leprosy disease is still become the problem for public health in Indonesia. This matter happened, caused by factor pursuing effort of early case finding and leprosy treatment directly and also indirectly. Based on these, hence it is needed a circumstantial research in health seeking behavior of leprosy patient. The objective this research is to obtain circumstantial information on heatlh seeking behavior of leprosy patient . This research was conducted in Sindangwangi, Argapura, and Sumberjaya Sub- districts with qualitative method, which its data collecting conducted by in-depth interview. The number of informants in this research is 31 people, which consisting of leprosy patient and key informant . To assess the validity of result of the research, it was conducted triangulation resources. The Data analysis consist of collect the record of interview results, made summary of the result of interview, made the transcript, made data categorization, and made matrix. The next step is content analysis to see the tendency of the relationship between those variables. The result of this research show, that seeking help of medication have tendency relate to hard perception and the severeness of disease, motivation of community leader, family, media, and education of health service officer. Election of the health service have tendency relate to experience and habit of medication, while regularity of medication have tendency relate to perception to the quality of health service. The delay in seeking help of medication have tendency relate to knowledge of Leprosy suspect on Leprosy disease is still low, the lack of knowledge of Leprosy patient, where in Community Health Center there is medical treatment for leprosy and wrong diagnosed. Thereby require to be conducted advocacy to Local Government of Majalengka District, and Health Service of Majalengka District for the allocation of fund and support Leprosy Program with curative and preventive priorities, improving health promotion by involve health promotion officer in Community Health Center, cooperation between cross section that is religion section, and education in order to apply the Leprosy Program specially counseling, training about leprosy detection for health workers, socialization about leprosy treatment and leprosy sign for private doctors in Puskesmas area, training of trainers for leprosy IEC (information, education, and communication, intensive counseling with the target is Leprosy patient, family member of Leprosy patient, and also community, and enforce community participation in leprosy control. References: 39 (1974-2007) Key word: Leprosy, Health Seeking Behavior of Leprosy Patient.
Kata kunci: Perilaku, Perilaku Pencarian Pengobatan, Diare, Balita
Handling of diarrhea cases in infants in Bekasi City has only reached 28.5%. In fact, according to the Republic of Indonesia Ministry of Health Regulation No. 1457/MENKES/SK/X/2003 concerning Minimum Service Standards for Health in Districts/Cities, it is stated that the Minimum Service Standards for cases of toddlers with diarrhea are handled at 100%. For this reason, this study aims to determine what factors are associated with treatment seeking behavior in diarrhea infants in Bekasi City in 2020. This research is a quantitative study with a cross-sectional study design. The total sample used in this study is as many as 163 mothers who have children under five in the city of Bekasi. With the results of the study that as much as 83.4% of mothers have sought treatment to health facilities with the highest percentage doing treatment to clinics and hospitals. As for several factors that have a significant relationship with treatment seeking behavior such as the age of toddlers, a p value of 0.025, maternal knowledge of a p value of 0.036, and perception of the seriousness of the disease obtained a p value of 0.035. The need for increased education about diarrhea, it aims to improve the behavior of seeking treatment to health facilities in mothers who have children under five.
Keywords: Behavior, Health Care Seeking Behavior, Diarrhea, Children Under Five
Non-Communicable Diseases (NCDs) are the main cause of death in the world (74%), in Southeast Asia (55%) and even in Indonesia (73%). One of the government's efforts to prevent and control PTM is early detection of PTM risk factors through the UKBM program called Posbindu PTM. This research aims to explore in-depth information regarding the implementation of Posbindu PTM at the Madiun Health Center, Madiun Regency. This research was conducted qualitatively with a case study design. In-depth interview data collection techniques were carried out with PJ Posbindu PTM informants, Heads of Health Centers, Health Cadres, Health Services, Heads of Village Financial Affairs, while FGDs were carried out with Posbindu PTM participants in the Madiun Health Center area. Meanwhile, for secondary data, observations were made on facilities and infrastructure and documents reviewed on personnel and funding documents. The research results show components input For Posbindu PTM activities, funds, facilities, infrastructure and SOPs are available. However, the number of community health center officers is still limited and the role of health cadres is less than optimal. In components process, Posbindu PTM activities include risk factor interviews, anthropometric measurements, laboratory examinations, consultations and education or counseling as well as referrals if necessary. However, reporting activities are still not carried out optimally. On components output Problems were found, namely related to fund allocation, lack of community knowledge and lack of socialization by cadres and health center officers and the timing of implementation. Therefore, it is recommended for the health center to increase socialization of Posbindu PTM and carry out activities outside working hours. It is hoped that the Public Health office can ensure that the Posbindu Kit is provided on time, so pay more attention expired date BHP and increase its supervision. Then it is recommended that the village or sub-district government help motivate the community to come and increase the use of ADD for the health sector.
his thesis discusses the analysis of feeding behavior, parenting behavior, hygiene behavior, and health care behavior as Positive Deviance behavior in families of low economic status with non-stunting in Sleman Regency, Yogyakarta. This research is a qualitative research using the phenomenology approach. The results of this study are Positive Deviance Behavior in families of low economic status with non-stunting are 1) feeding behavior or MPASI with a frequency of three times a day each for main meals and snack foods, (2) the food ingredients consumed by children with good nutritional value with the main meal of the four-star menu and snacks such as green beans and fruit such as bananas and papayas, (3) the quantity of time parents spend together with children where parents whose children are not stunted have 24 hours with the child, (4) the role of parents when with the child is to invite children to actively interact, not only watch TV and play on handphones, (5) joint activities carried out before bedtime such as massaging , telling stories about daily activities and singing, and (6) the behavior of keeping the child's body clean such as brushing their teeth before bed.
