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This thesis discusses the factors that influence the retention of doctors in community health center. The study was conducted by processing secondary data from the results of the Health Research in 2017 (Risnakes), with total sample of 14,091 doctors who served at the community health center. Processing data using path analysis. The results of the study showed that being close to extended families was the main reason for most retention (34%). The effect of total character variables on retention is 0.23, on job satisfaction 0.04, and on motivation 0.08. The effect of the total non-financial benefit variable on retention rate -0.15, and motivation 0.03. The effect of the total variable financial benefits on retention rate 0.04, job satisfaction 0.13 and motivation 0.11. There is no direct effect from the financial benefit variable on the level of retention, and from the non-financial benefit variable to satisfaction. The effect of total satisfaction variables on retention is 0.26 and on motivation 0.58. Effect of total motivational variables on retention of 0.05. It is recommended that the Central Government synchronize the recruitment and distribution policy for doctor, subsidize the budget incentives doctor for regional with low fiscal capacity and or have financial limitations, and continue 2 special assignment programs for the placement of doctor, compile and apply affirmative policies for the distribution of doctor in community health center, including programs official ties and medical education scholarships, datasering. Local Governments can carry out recruitment innovation and distribution of doctor through special assignments, regional scholarship programs for medical education, provide appropriate financial incentives for doctor, and provide sufficient facilitation for capacity building programs.
Kata Kunci : Leaflet, Media, Pengetahuan Gizi, Retensi, Video
The Purpose of this research is to understand the change of knowledge nutrition among studenst class 5 in elementary public school after being given tha intervention by using leaflet and video media. Design study that is used is quasy experiment with two treatment group. This research is aplicated to 46 students of the 5th grade in several Elementary School in Bekasi City. Leaflet group consists of 24 students and video group consists of 22 students. Tha data is taken 4 times in each group, included 1 pre test and 3 post test to observe the knowledge retention. The statistic test that is used is t test dependent to analyze the retention scor change within group and t independent to analyze the differences scor between groups and the relationship of characteristics of respondents to the level of knowledge. The result of this research shows the change of knowledge retention in each group (p<0,05), with decreased retention of knowledge is in video group compared to leaflet group.
Keywords : Leaflet, Media, Nutrition Knowledge, Retention, Video
ABSTRAK Retensi ARV Pada Pasien HIV Berdasarkan CD4 Awal Terapi ARV di RSPI Prof. Dr. Sulianti Saroso Jakarta Dari Tahun 2011 – 2014 Musa Rapang Perbedaan tingkatan imunodefesiensi memberikan kondisi klinis yang berbeda. Dampak perbedaan imunodefesiensi akan diperoleh retensi ARV yang berbeda pada tingkat imunodefesiensi berat dan sedang. Pasien dengan sistem imun yang baik (CD4 tinggi) kemungkinan akan memiliki retensi yang rendah. Tujuan penelitian ini adalah untuk melihat apakah perbedaan retensi ARV pada pasien HIV AIDS berdasarkan CD4 saat terapi ARV di RSPI Sulianti Saroso Jakarta. Penelitian ini menggunakan desain kohort retrospektif menggunakan 223 sampel yang diambil dari data rekam medik rumah sakit dari tahun 2011 – 2014 dengan waktu pengamatan selama satu tahun. Pasien yang retensi ada 70.85% dengan insident rate lost to follow up 2.9 per 100 orang bulan. Retensi ARV pada pasien dengan CD4 200-350 sel/mm lebih baik dengan HRadj lost to follow up sebesar 0.27 (CI 95% : 0.1 – 0.8) kali lebih rendah dibandingkan pasien dengan CD4 <200 sel/mm 3 . Selain itu pasien memiliki CD4 200350 sel/mm 3 pada stadium awal memiliki risiko lost to follow up yang lebih tinggi dengan HRadj 1.10 (CI 95% : 0.5 – 2.4) kali lebih tinggi dibandingkan dengan pasien yang memiliki CD4 < 200 sel/mm 3 pada stadium awal. Perlu dilakukan monitoring klinis, eduksi dan dukungan kepada pasien tentang manfaat ARV khususnya pada pasien dengan CD4 <200 sel/mm 3 . Kata kunci : Retensi ARV, CD4 Awal, lost to follow up
ABSTRACT ARV Retention HIV Patients Based On Early CD4 Therapy In Hospital Infection Disease of Prof. Dr. Sulianti Saroso Jakarta From Years 2011 - 2014 Musa Rapang The difference in the level of imunodefesiensi provide different clinical conditions. The impact will be acquired at different ARV retention rate of severe and moderate imunodefesiensi. HIV Patients with a good immune system (CD4 high) possibility have poor retention on antiretroviral drugs, so that the patient will tend to experience a lost to follow up. The purpose of this study was to see whether the difference in retention of antiretroviral drugs in HIV-AIDS patients by CD4 time ARV therapy in hospital Prof. Dr. Sulianti Saroso Jakarta. This research using retrospective cohort design using 223 samples taken from hospital medical records from the years 20112014 with the observation time for one year. The number of patients there was 70.85% retention with number incidents of lost to follow-up rate of 2.9 per 100 person-months. Retention ARV based on baseline CD4 200-350 cells / mm better with HRadj of lost to follow-up at 0.27 (CI 95% :0.1 – 0.8) times slower compared to patients with CD4 <200 cells / mm 3 in the early stages having lost to follow-up speed faster with HRadj 1.10 (CI 95% :0.5 – 2.4) times faster compared with patients with CD4 <200 cells/mm 3 . In addition patients had CD4 200-350 cells / mm 3 early stage. Needed to monitoring, education and supporting to patient for benfit to use ARV especially to patient with CD4 <200 cells/mm 3 . Keywords: Retention ARV, CD4 Earlier, Lost to follow up