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ABSTRACT Health development aim to for increase the awareness, willingness and ability of healthy life for every people in order to existed by degree of health of society which at the farthest as well as representing of human rights being, what require to be fought for by each and everyone, socialize, inclusive of related/relevant part?s Integrated Health Post (Posyandu) represent to exist reality strive of community based health effort, having principle from, by and to community. Self reliant of Posyandu can only be reached with the improvement participate each; every element community exist in the region and motorized by cadre Posyandu. Factor influence role of cadre in improving self reliant of Posyandu for example cadre characteristic, others factor consisted of financing and construction and local policy to supporting execution of activity of Posyandu in the region. This research use approach qualitative to dig circumstantial information hit factor influencing the cadre role in improving independence Posyandu in region Public Health Center (PHC) Karang Kitri, Sub district of East Bekasi, District Bekasi by focus group discussion and others have from through in-depth interview conducted for builder coming from PHC, Leader of PKK, and chief of RW as elite figure of community. Informants in focus group discussion amount to 40 from 8 chosen Posyandu and represent cadre Posyandu have worked to become cadre during > 5 year. Result obtained there's only 2 self-reliant of Posyandu exist in region work CHC Karang Kitri. Characteristic factor of cadre have important influence in cadre lifelines execute activity Posyandu. Generally cadre age range from 31-60 year. Cadre old (aging) can only conduct balance activity, what have the low education of Faktor yang mempengaruhi..., Darmayanti, FKM UI, 2007 indigent do counseling. While cadre residence distance not have an effect on their activity execute in Posyandu, because they work voluntarily. This research concluded that active role of cadre in given the task to improve the development of the quality operational of activity Posyandu and to move community effort potency exist in this area of Posyandu. Others factor, availability of facility Posyandu, resources from community, including defrayal, to build and guidance by technical worker, joint responsibility among stakeholders as like as chief of RW as elite figure in community, community organization (PKK), and the local policy in this area. As potential human resources, cadre Posyandu have duty assist provider in collecting of data, surveillance in community health and to move empowering community participate. Finally, make-up of performance and quality of Posyandu will push reaching of self-reliant of that Posyandu itself.
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
Posyandu merupakan salahsatu bentuk partisipasi masyarakat dalam upaya meningkatkan derajat kesehatan. Salah satu fimgsi posyandu adalah untuk memantau kcschatan dan pertumbuhan perkembangan balita lewat kegiatan-kegiatan yang dilaksanakan di posyandu. Kehadiran ibu di posyandu dengan membawa anak balitanya sangat mendukung tercapainya salah satu tujuan posyandu yaitu meningkatkan kesehatan ibu dan anak serta memantau tumbuh kemhang balita dalam upaya menoegah tenjadinya kasus gizi kurang atau gizi buruk. Tujuan dari penelitian ini adalah untuk m getahui faktor-faktor yang berhubungan dengan tindakan ibu untuk membawa anak balitany kc posyandu. Penelitian ini merupakan penelitian dengan desain penelitian non-experimental dcngan rancangan potong lintang (cross sectional). Pengumpulan data dilakukan dengan wawancam menggunakan kuesioner. Penelitian ini dilakukan di semua posyandu di Kecamatan Palas Kabupaten Lampung Selatan. Sampei penelitian ini adalah ibu-ibu yang mempunyai anak balita yang berusia diatas l tahun. Teknik pengambilan sampel dilakukan dengan metode acak sederhana. Hasil penelitian menunjukkan bahwa dari 8 vaziabel yang dimasukkan sebagai variabel kandidat yaitu 5 faktor yang dimasukkan karena bermakna (p value <0,05), 2 faktor karena mempunyai nilai p<0,25, dan 1 &ktor (umur anak balita) karena secara substantif dianggap berpengamh pada tindakan ibil untuk membawa anak balitanya ke posyandu mendapatkan hasil bahwa pengetahuan ibu tentang posyandu dan adanya dorongan dari tokoh masyarakat adaiah faktor yang mempunyai hubungan bermakna. Sedangkan faktor umur anak balita, pengetahuan ibu tentang KMS dan jadwal pelaksanaan posyandu sebagai variabel kontbunding. Kesimpulan dari penelitian ini adalah bahwa faktor yang paling dominan adalah pengetahuan ibu tentang posyandu dengan OR sebesa: 2,689 yang aninya rcsponden yang memiliki pengetahuan tentang posyandu yang baik akan selalu datang kc posyandu dalam 3 bulau terakhir sebesar 3 kali lebih tinggi dibandingkan ibu yang memiliki pengetahuan tentang posyandu yang kurang, setelah dikontml variabel dorongan dari tokoh masyarakat, umur anak balita, pengetahuan ibu tentang KMS dan jadwal pelaksanaan posyandu. Untuk itu disarankan untuk lebih menggalakkan kegiatan promosi kesehatan sebagai upaya untuk meningkatkan pengetahuan masyarakat dan xnengaktifkan tokoh masyarakat agar dapat mendorong ibu untuk membawa anak baljtanya ke posyandu.
The integrated health post is one of community participation in enhancing the health status. One of functions of the integrated health post is to monitor the health, development, and growth of under-five children through activities conducted in it. Mothers attendance in the integrated health post with their children encourage to achieve the aim of the integrated health post that is to increase the mother and children health as well as to monitor the children’s growth and development in preventing malnutrition. The objective of this study was to assess factors related to mothers decision to bring their children to the integrated health post. It was non-experimental study with cross sectional design. Interview using questionnaire was conducted to collect data. The study wa conducted in all ofthe integrated health posts at Palas Sub District in South Lampung District. Sample in this study were mothers whose under-tive children with age above one year old. Simple random sampling method was chosen to take the sample. The study showed that out of 8 variables included as candidate variables in which 5 (tive) factors included had p-value <0.05, 2 (two) factors had p-value <0.25, and the rest (the children age) substantively had an influenced to mo1.her's decision to bring their children to the integrated health posts. The study revealed that mothers knowledge about the integrated health post and encouragement from the public figure in their commtmity were factors that had signihcant association. While the children age, mother's knowledge about health monitoring card, and schedule of integrated health post were confounding factors in the study. The study concluded that the most dominant factor was mother's knowledge about the integrated health post with 0R=’2.689. It means that respondents whose good knowledge about the integrated health post will always come to the post in the last three months as many as 3 (three) times higher than those whose less knowledge about the integrated health post after controlled by variables of encouragement Bom public figure, children age, mother's knowledge about health monitoring card, and schedule ofthe integrated health post. It recommended strengthening the health promotion program as effort to increase the community knowledge and to make the local public figure to be more active encouraging mothers to bring their children to the integrated posts.
Hasil pembangunan kesehatan adalah meningkatuya umur harapan hidup, sehingga terjadi peningkatan jumlah lansia di Indonesia dengan berbegai masalah kesehatannya. Untuk mengatasi masalah tersebut maka dilakukanlah suatu upaya dalam bentuk kegiatan posyandu lansia yang bertujuan agar pra lansia (45-59 tahun) dan lansia kegiatan sosial secara rutin. Angka pemanfaatan Posyandu Lansia di Wliayah Kerja Puskesmas Naras Kola Pariaman masih sangat rendah yaitu 13,23% pada talmn 2007, angka ini masih jauh dari SPM yaitu 40"/o. Penelitian ini bertujuan unlnk mendapatkan informasi yang mendalam tentang posyandu lansia karena ketidalctahuan terhadap kegiatan posyandu lansia dan adanya pengaruh keluarga yang sangat kuat dalam memanfaatkan pengobatan tradisional. Mengatasi masalah tersebut maka perlu adanya penyuluhan tentang posyandu lansia secara intensif dengan langkah-langkah sebagai berikut: advokasi kepeda Dinas Kesehatan Kota Pariaman untuk mendapatkan dukuagan dana sosialisasi posyandu untuk perbaikan alat kesehatan dan pengadaan Kartu Menuju Sehat (KMS) lansia, meningkatkan sosialisasi posyandu lansia melalui pelatihan petugas pembina wilayah dan kader, penyuluhan melalui media lokal serta meningkatkan komitmen Puskesmas Naras dalam memberikan pelayanan di posyandu lansia dengan menamhah petugas kesebatan posyandu lansia di daerah pegunungan, melakukan perneriksaao laberatorium saderhana dan mendatangkan petugas PKM dalam sadap kegiatan posyandu lansia serta melakukan senam lansia secara rutin.
As the consequence of the result of health development is the increase of life expectacy age that leads to the increase in the number of the elderly people in Indonesia including its health problem. In order to overcome the problem, an effort is conducted in the form of activities of the integrated health posts (posyandu) for the elderly that aims to make the pre elderly people (aged 45-59) aod elderly people (aged'?:60) become healthy and self reliant by conducting their health examination and social activities regularly. The number of utilization of the integrated health posts for the elderly in the working area of Naras Health Center of Pariaman City was still low (13.23%) in 2007. The number was lower than Minimal Service Staodard (SPM), that was 40%. The study aimed to obtain the information of the utilization of the integrated health posts for the elderly and factors supported and delayed in utilizing the integrated health posts for the elderly in the working area of Naras Health Center of Pariaman City. To overcome the problems mentioned above, it is needed a elucidation (communication, information, and education) about the integrated health posts fur the elderly intensively with following steps: advocacy towards the Health Office of Pariaman City to get the financial support of socialization of the integrated health posts to repair the medical appliances and to procure the health monitoring card (KMS) for the elderly, to maintain the socialization of the integrated health posts for the elderly through training for regional assistance staffs and health volunteers, to run the elucidation through local media and to maintain the commitment of Naras Health Center in providing the service in the integrated health posts for elderly by adding health staffs at mountain area, to conduct the simple laboratorium test, and to make the health center staffs attended in every activity conducted in the integrated health posts, as well as to conduct the exercise for elderly regularly.