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Abstrak
Cakupan K4 menggambarkan tingkat perlindungan yang diberikan oleh tenaga kesehatan kepada ibu hamil. Pencapaian cakupan K4 di Kabupaten Bengkulu Selatan tahun 2012 sebesar 84,17%, ini jauh dibawah target. Tujuan penelitian ini untuk mengetahui faktor yang mempengaruhi cakupan K4 oleh bidan di desa di Kabupaten Bengkulu Selatan Tahun 2012. Desain penelitian adalah cross sectional. Sampel adalah seluruh bidan di desa di Kabupaten Bengkulu Selatan.
Hasil penelitian menunjukkan bahwa, variabel yang berpengaruh adalah lama kerja, pembinaan kelompok KIA, dan sarana. Pelaksanaan pemantauan dan evaluasi program KIA perlu ditingkatkan kualitasnya. Bidan perlu dibekali alat yang lengkap dan sesuai standar.
Coverage of K4 describes the performance of midwives at the village level. Achievement of K4 coverage in South Bengkulu in 2012 was 84,17 %. Below the target. This study is aiming at determining the factors that effect the coverage of K4 by a midwife in South Bengkulu. This cross sectional study covered all midwives in South Bengkulu as samples.
The study revealed that length of employment, coaching for MCH groups and equipment were significantcy related to the K4 achivement. Implementation of the monitoring and evaluation of MCH programs need to be improved. Midwives need to be equipped with a complete set of tools and standards.
The coverage of deliveries at health facilities in West Papua Province in 2019 only reached 55.39% and is one of the provinces with the lowest coverage rates in Indonesia. This coverage figure is still far from the national target of the Ministry of Health, which is 85%. The low coverage of deliveries in health facilities can be caused by several factors that vary in each district/city of West Papua Province. Spatial analysis was carried out to see the distribution of coverage along with the factors that might affect the coverage and to see the correlation between the determinant factors and the number of delivery coverage in health facilities. This research is ecology research that uses a spatial analysis approach and correlation. The data used is secondary data from the website of the Ministry of Health, the West Papua Provincial Health Office, and the Central Statistics Agency. The results of the spatial analysis show that there are 8 districts/cities with high scores, 3 districts with moderate scores, and 2 districts with low scores. Correlation analysis shows that HDI, ratio of health workers, and ratio of health facilities have no significant relationship to the coverage of deliveries in health facilities. Further research requires more specific factors or digging deeper into the factors that have been studied in West Papua Province.
Abstrak
Filariasis (penyakit kaki gajah) adalah penyakit menular menahun yang disebabkan oleh cacing filarial dan ditularkan oleh nyamuk.Program Pemberian Obat Massal Pencegahan (POMP) merupakan salah satu program pencegahan filariasis.Cakupan Program Pemberian Obat Massal Pencegahan (POMP) filariasis dari tahun 2005-2009 berkisar antara 28% -59,48%. Persentase kasus klinis yang ditatalaksana berkisar antara 17%- 40%. Pencapaian ini belum mencapai target yang ditetapkan oleh WHO (85%).
Penelitian ini bertujuan untuk mengetahuihubungan cakupan pemberian obat massal pencegahan (POMP) terhadap keberhasilan pemberantasan filariasis di 32 Kabupaten/Kota di Indonesia tahun 2012. Penelitian ini menggunakan desain Cross Sectionaldengan pendekatan data ekologi. Penelitian ini dilaksanakan terhadap Kabupaten/kota di Indonesia yang telah melaksanakan pemberian obat massal pencegahan filarisis. Berdasarkan laporan pemeriksaan mikrofilaria dalam darah hasil dari Subdit Pencegahan Filariasis dan Kecacingan Direktorat Pengendalian Penyakit Bersumber Binatang Ditjen PP dan PL Kementrian Kesehatan RI pada tahun 2012 terhadap kabupaten/kota yang telah melaksanakan pemberian obat massal pencegahan filariasis selama lima tahun yang diberikan sekali dalam setahun. Analisis data menggunakan cox regression.
Hasil analisis diperoleh prevalensi kabupaten/kota cakupan pemberian obat kategori tinggi sebesar 85% dan berhasil dilakukan pemberantasan sebanyak 22 kabupaten/kota. Penelitian ini menunjukkan ada hubungan cakupan pemberian obat massal pencegahan (POMP) terhadap keberhasilan pemberantasan filariasis sebesar 2,04 kali (PR = 2,04; 1,019-4,05), hasil uji multivariat menunjukkan cakupan pemberian obat massal kategori tinggi berpeluang berhasil dalam pemberantasan filariasis sebesar 1,591 kali (PR = 1,591; 0,561-4,512) setelah dikontrol variabel tingkat pendidikan dan sex ratio. Dengan melakukan pemberian obat massal pencegahan (POMP) filariasis yang diberikan satu tahun sekali selama lima tahun berturut-turut maka eliminasi filariasis di Indonesia dapat tercapai.
Filariasis (elephantiasis) is achronic infectious disease caused byfilarial worms and transmitted by mosquitoes. Mass Drug Administration Program (MDAP) is one of filariasis prevention programs. Filariasis Mass Drug Administration Program (MDAP) Coverage from 2005-2009 ranged from 28% - 59.48%. Percentage of clinical cases are administered ranged from 17% -40%. This achievement has not reached the assigned target by the WHO (85%0.
This study aims to determine the relationship coverage of mass drug administration against the success of the prevention of filariasis in Indonesia in 2012. This study was using a cross sectional design with ecological data approach. This study was conducted to district / city in Indonesia that have implemented Mass Drug Administration (MDA) filarisis prevention which is based on inspection reports of microfilariae in the blood in the districts / cities that have implemented preventive filariasis Mass Drug Administration for five years, given once a year. Data obtained from the Filariasis Prevention and Worm Sub Directorate - Directorate of Animal Disease Control Sourced , Directorate General of Disease Control and Enviromental Health, Ministry of Health in 2012. Data analysis using cox regression.
Results of analysis, the prevalence of the district/city high coverage of drug categories by 85% and successfull in preventing 22 districts/cities. This study showed that there are correlation of Mass Drug Administration against the success of filariasis prevention of 2.04 times(PR =2:04; 1.019 to 4.05), test showing the coverage of Mass Drug Administration likely to succeed in the high category for the prevention of filariasis 1,591 times (PR =1,591;0.561 to 4.512) after controlling variable level of education and sex ratio. By doing preventive filariasis Mass Drug Administration give nonce a year for five years regularly then the elimination of filariasis in Indonesia can be achieved.
Tuberculosis is still the main cause of death worldwide, including Indonesia as the 3rd country with the highest number of tuberculosis sufferers in the world. Meanwhile, at the provincial level, Depok City is in 11th place with the largest contributor to tuberculosis cases in West Java Province. This study aims to determine the relationship between healthy homes, TB treatment coverage, and TB treatment success rates with the Incidence Rate (IR) tuberculosis in Depok City in 2021. This study uses an ecological study design based on place with a population of all communities recorded in 11 sub-districts in Depok. Depok City, which was diagnosed with tuberculosis. The results of the study through the correlation test showed that the independent variables that had a significant relationship with the Incidence Rate (IR) of tuberculosis is treatment coverage in Bojongsari District (p = 0.000). Meanwhile, the results of the correlation test between healthy home coverage, TB treatment coverage, and TB treatment success rates in Depok City showed an insignificant relationship. The results of other analyzes showed that the coverage of healthy homes in Depok City had a weak negative correlation (r = -0.173), TB treatment coverage had a weak positive correlation (r = 0.184), and the success rate of TB treatment had a strong negative correlation (r = -0.584).
