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Corrie Wawolumaya
PP-80
Jakarta : FK UI, 2002
Pidato Pengukuhan Guru Besar Pusat Informasi Kesehatan Masyarakat
☉
Agra Mohamad Khaliwa; Pembimbing: Zulkifli Djunaidi; Penguji: Mufti Wirawan, Chandra Satrya, Bambang Wibawarta, Yose Tireza Arizal
Abstrak:
Persepsi risiko berkendara memiliki peran penting dalam terjadinya perilaku berisiko yang mengakibatkan kecelakaan di jalan raya, tak terkecuali pengemudi ojek daring. PT.X sebagai salah satu penyedia jasa layanan aplikasi ojek daring memiliki peran besar dalam mempengaruhi persepsi risiko berkendara pengemudinya. Selain itu, lingkungan sosial yang meliputi komunitas PT.X juga memiliki peran yang sama dalam menyampaikan isu-isu terkait keselamatan pada pengemudi ojek daring PT.X. Penelitian ini akan membahas mengenai pengaruh faktor organisasi dan komunitas terhadap persepsi risiko berkendara pengemudi ojek daring PT.X di 3 kota di Jawa Barat. Penelitian ini adalah penelitian kuantitatif dengan desain studi potong lintang yang dilakukan di 3 kota di Jawa Barat. Hasil penelitian menjelaskan bahwa terdapat hubungan yang signifikan antara organisasi dan komunitas terhadap persepsi risiko berkendara pengemudi PT.X. Adapun aspek sosial-budaya di masing-masing kota menjadi salah satu temuan yang mempengaruhi pengaruh perspesi risiko berkendara pengemudi PT.X. Perlu ada peran serta pemerintah dan pihak terkait lainnya untuk dapat menciptakan peraturan dan program terintegrasi terkait keselamatan demi mencipatakan persepsi risiko berkendara yang baik bagi para pengemudi ojek daring
Driving risk perception has an important role in the occurrence of safety behavior that results in road accidents, and online motorcycle taxi drivers are no exception. PT.X as one of the online motorcycle taxi application service providers has a big role in influencing their drivers risk perception. In addition, the social environment which includes the PT.X community also has the same role in conveying issues related to safety to PT.X online motorcycle taxi drivers. This study will discuss the influence of organizational and community factors against PT.X online motorcycle taxi drivers driving risk perception in 3 cities on West Java. This research is a quantitative research with a cross-sectional design which was conducted in 3 cities on West Java. The results explain that there is a significant relationship between organization and community against PT.X drivers driving risk perception. The socio-cultural aspects in each city are one of the findings that affect the influence of PT.X's driver's driving risk perception. There needs to be the participation of the government and other relevant stakeholders to be able to create integrated regulations and safety related program in order to create a good driving risk perception for online motorcycle taxi drivers
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Driving risk perception has an important role in the occurrence of safety behavior that results in road accidents, and online motorcycle taxi drivers are no exception. PT.X as one of the online motorcycle taxi application service providers has a big role in influencing their drivers risk perception. In addition, the social environment which includes the PT.X community also has the same role in conveying issues related to safety to PT.X online motorcycle taxi drivers. This study will discuss the influence of organizational and community factors against PT.X online motorcycle taxi drivers driving risk perception in 3 cities on West Java. This research is a quantitative research with a cross-sectional design which was conducted in 3 cities on West Java. The results explain that there is a significant relationship between organization and community against PT.X drivers driving risk perception. The socio-cultural aspects in each city are one of the findings that affect the influence of PT.X's driver's driving risk perception. There needs to be the participation of the government and other relevant stakeholders to be able to create integrated regulations and safety related program in order to create a good driving risk perception for online motorcycle taxi drivers
T-6299
Depok : FKM-UI, 2022
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Asri Nur Maulidya; Pembimbing: Dumilah Ayuningtyas; Penguji: Anhari Achadi, Junadi Purnawan, Budi Hartono, Marisa Aristiawati Hardigaloeh
Abstrak:
Pengabaian hak akan kesehatan menyebabkan munculnya disparitas kesehatan antaramasyarakat adat. Suku Baduy Dalam merupakan masyarakat adat di Indonesia yangmenolak mengikuti perkembangan kehidupan modern. Capaian pelayanan kesehatanpada masyarakat Baduy Dalam sebagai indikator kinerja pemerintah dalam meratakanpelayanan kesehatan belum tercatat dengan baik. Ketersediaan, keterjangkauan, danketerimaan Pelayanan kesehatan sebagai hal fundamental dalam pemerataan hak akankesehatan perlu ditelaah lebih lanjut.Penelitian kualitatif dengan menggunakan pendekatan paradigma Hak Asasi Manusiabertujuan untuk menggali informasi mendalam mengenai pelayanan kesehatan padamasyarakat Baduy. Metode yang digunakan adalah wawancara mendalam dan informandipilih berdasarkan teknik purposif untuk memenuhi kesesuaian dan kecukupan informasipenelitian. Informan dalam penelitian ini adalah instansi pemerintah di bidang kesehatan,tenaga kesehatan, stakeholder di Desa Kanekes, kader kesehatan, dan masyarakat. Hasilpenelitian dianalisis menggunakan matriks dan menggunakan content analysis untukmenyimpulkan fenomena tematik. Untuk menjaga keabsahan data, dilakukan penelaahandokumen dan literatur terkait topik penelitian sebagai triangulasi.Adanya larangan menggunakan alat transportasi ke wilayah Baduy Dalam membuattenaga kesehatan tidak memiliki pilihan lain selain berjalan kaki melewati jalan setapakyang terjal. Pemberian pelayanan kesehatan mobile terkendala dengan jumlah tenagakesehatan dan kemampuan masyarakat dalam menerima pelayanan kesehatan modern.Pelayanan kesehatan modern belum bisa dilakukan karena masih terdapat anggapanpelayanan kesehatan modern mengancam kelestarian adat. Keterlibatan dan perhatianinstansi pemerintah terhadap pelayanan kesehatan pun sangat rendah.Kesimpulan dari penelitian ini adalah pelayanan kesehatan untuk Baduy Dalam belumdilaksanakan dengan baik karena adanya kendala dari sisi ketersediaan tenaga kesehatan,akses geografis, dan penerimaan terhadap pelayanan kesehatan modern yang rendah.
Differences in rights to health cause a disparity between indigenous communities andpeople in general, which should be avoidable. The Baduy Dalam Tribe is one of theindigenous communities in Indonesia that refuses to follow modern developments. Theprovision of health services to the Baduy Dalam community has become an indicator ofthe government rsquo s performance, in an effort to better equalize undocumented healthservices. Availability, affordability, and acceptance of health services as a fundamentalequalizer of rights to health needs to be further analyzed.This qualitative research uses a Basic Human Rights paradigm approach to obtain indepthinformation regarding health services among the Baduy community. The methodused was in depth interviews, and informants were chosen using a purposive techniqueto achieve correct and adequate information for this research. The informants includedthe government health department, healthcare personnel, Kanekes Village stakeholders,health cadres, and the community. Results were analyzed using a matrix and contentanalysis to identify the thematic information. To maintain validity, document review andliterature review on the subject were conducted.Restrictions to use vehicles in the Baduy Dalam area caused healthcare personnel toalways have to walk on a narrow road to reach the area. The provision of mobilehealthcare services is also made difficult due to the lack of healthcare personnel andcommunity acceptance of modern healthcare services. The community does not acceptthese services as there is an assumption that it threatens the survival of their traditions.Involvement of government institutions in these healthcare programs is also minimal.Healthcare services to the Baduy Dalam Community is not performed well as there arevarious obstacles in the availability of healthcare personnel, geographical access, and lowacceptance level of modern healthcare services.
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Differences in rights to health cause a disparity between indigenous communities andpeople in general, which should be avoidable. The Baduy Dalam Tribe is one of theindigenous communities in Indonesia that refuses to follow modern developments. Theprovision of health services to the Baduy Dalam community has become an indicator ofthe government rsquo s performance, in an effort to better equalize undocumented healthservices. Availability, affordability, and acceptance of health services as a fundamentalequalizer of rights to health needs to be further analyzed.This qualitative research uses a Basic Human Rights paradigm approach to obtain indepthinformation regarding health services among the Baduy community. The methodused was in depth interviews, and informants were chosen using a purposive techniqueto achieve correct and adequate information for this research. The informants includedthe government health department, healthcare personnel, Kanekes Village stakeholders,health cadres, and the community. Results were analyzed using a matrix and contentanalysis to identify the thematic information. To maintain validity, document review andliterature review on the subject were conducted.Restrictions to use vehicles in the Baduy Dalam area caused healthcare personnel toalways have to walk on a narrow road to reach the area. The provision of mobilehealthcare services is also made difficult due to the lack of healthcare personnel andcommunity acceptance of modern healthcare services. The community does not acceptthese services as there is an assumption that it threatens the survival of their traditions.Involvement of government institutions in these healthcare programs is also minimal.Healthcare services to the Baduy Dalam Community is not performed well as there arevarious obstacles in the availability of healthcare personnel, geographical access, and lowacceptance level of modern healthcare services.
T-5270
Depok : FKM UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Strategi Pemasaran Klinik Nyeri Dengan Pendekatan Komunitas Geriatri di Rumah Sakit Mandaya Karawang
Farida Apriani Utami; Pembimbing: Wahyu Sulistyadi; Penguji: Adang Bachtiar, Dumilah Ayuningtyas, Imas Rahmi Wisdiani
Abstrak:
Pelayanan klinik nyeri adalah pelayanan kesehatan di poliklinik yang berfokus pada manajemen nyeri akut dan kronis. Klinik nyeri dibuka akhir September 2019, dan hanya ada satu-satunya di Karawang. Dari data pasien poliklinik tahun 2018, pasien dengan keluhan nyeri sekitar 50% total pasien dari poliklinik yang dapat menjadi potensi klinik nyeri. Dari data kunjungan klinik nyeri diketahui usia terbanyak yang berkonsultasi adalah usia produktif dan usia lanjut (geriatri). Di RS Mandaya sudah terbentuk komunitas geriatri yang diberi nama Golden Club. Penelitian ini merupakan penelitian studi kasus dengan pendekatan kualitatif, dimulai pada bulan Oktober 2019 sampai Mei 2020. Informan penelitian, yaitu Direktur Utama, Kepala Divisi Pemasaran, Dokter penanggung jawab klinik nyeri, Sub unit pemasaran bagian community office, perawat klinik nyeri, pasien dan atau keluarga pasien klinik nyeri, anggota komunitas golden club. Data diambil dari data primer dan sekunder. Hasil dari penelitian ini adalah segmentasi dan target klinik nyeri yaitu pasien yang mempunyai keluhan nyeri kronis baik yang sudah ataupun belum mendapatkan pengobatan sebelumnya, perempuan, usia produktif (³20-64 tahun) dan usia lanjut (³65 tahun), tempat tinggal di kecamatan karawang Barat dan Telukjambe Timur, jenis pembayaran dengan jaminan pribadi. Dengan spesialisasi produk intervensi nyeri menggunakan penuntun C-Arm atau Ultrasonografi. Posisi pasar klinik nyeri sebagai market leader pelayanan klinik nyeri untuk rujukan dari internal maupun eksternal RS Mandaya. Bauran pemasaran Co-creation ingin mengembangkan intratechal analgesia, Currency yang ditawarkan di klinik nyeri masih perlu evaluasi dari manajemen untuk penentuan tarif, Communal activation dan Coversation dilakukan secara online melalui sosial media, grup whatsapp, dan telekonsultasi. Strategi pemasaran klinik nyeri melalui pendekatan komunitas geriatri saat ini belum seperti yang diharapkan dan tercapai
Pain clinic services are health services in polyclinics that focus on acute and chronic pain management. This pain clinic was opened at the end of September 2019, and there is in only one in Karawang. From polyclinic patient data in 2018, patients with pain complains were about 50% of the total patients from polyclinic which could be a potential pain clinic. From the pain clinic visit data of patients, it is known that the most consulted are the productive age and old age (geriatrics). At Mandaya Hospital, a geriatric community has been formed, which is called The Golden Club. This research is a case study research with a qualitative approach, begins in October 2019 to May 2020. Research informants including the President Director, Head of Marketing Division, Doctor in charge of Pain Clinic, Marketing sub-unit of the community office section, Pain clinic nurse, Patient and or family of pain clinic patients, Members of the golden club community. Data taken from primary and secondary data. The results of this study are segmentation and targets of pain clinic, namely patients who have complaints of chronic pain whether or not they have received prior treatment, women, productive age (³20-64 years old) and old age (³65 years old), living in West Karawang and East Telukjambe districs, types of payment with personal guarantee. Specialized in pain intervention products using C-Arm or USG guide. Pain clinic market position as the market leader in pain clinic services for internal and external referrals of Mandaya Hospital. The marketing mix of Co-creation wants to develop intratechal analgesia, Currency offered in pain clinics need evaluation from management for determining rates, Communal activation and Conversation are carried out online through social media, WhatsApp groups, and teleconsultation. The pain clinic marketing strategy with the geriatric community approach is currently not as expected and achieved
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Pain clinic services are health services in polyclinics that focus on acute and chronic pain management. This pain clinic was opened at the end of September 2019, and there is in only one in Karawang. From polyclinic patient data in 2018, patients with pain complains were about 50% of the total patients from polyclinic which could be a potential pain clinic. From the pain clinic visit data of patients, it is known that the most consulted are the productive age and old age (geriatrics). At Mandaya Hospital, a geriatric community has been formed, which is called The Golden Club. This research is a case study research with a qualitative approach, begins in October 2019 to May 2020. Research informants including the President Director, Head of Marketing Division, Doctor in charge of Pain Clinic, Marketing sub-unit of the community office section, Pain clinic nurse, Patient and or family of pain clinic patients, Members of the golden club community. Data taken from primary and secondary data. The results of this study are segmentation and targets of pain clinic, namely patients who have complaints of chronic pain whether or not they have received prior treatment, women, productive age (³20-64 years old) and old age (³65 years old), living in West Karawang and East Telukjambe districs, types of payment with personal guarantee. Specialized in pain intervention products using C-Arm or USG guide. Pain clinic market position as the market leader in pain clinic services for internal and external referrals of Mandaya Hospital. The marketing mix of Co-creation wants to develop intratechal analgesia, Currency offered in pain clinics need evaluation from management for determining rates, Communal activation and Conversation are carried out online through social media, WhatsApp groups, and teleconsultation. The pain clinic marketing strategy with the geriatric community approach is currently not as expected and achieved
B-2180
Depok : FKM-UI, 2021
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Lilis Nurul Husna; Pembimbing: Laila Fitria; Penguji: Zakianis, Nur Fajarudin
S-9925
Depok : FKM UI, 2019
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
☉
Dormaringan Hotmatua Saragih; Pembimbing: Hasbullah Thabrany; Penguji: I Made Djaja, Pujiyanto, Hening Darpito, Ardi
T-3474
Depok : FKM-UI, 2011
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Ajeng Tias Endarti; Promotor: Sudarto Ronoatmodjo; KoPromotor: Mondastri Korib Sudaryo, Isbandi Rukminto Adi; Penguji: Guritnaningsih, Syahrizal Syarif, Evi Martha, Sutopo Purwo Nugroho
Abstrak:
Upaya meminimalisir penurunan kualitas hidup pada populasi rawan bencana dapat dilakukan dengan peningkatan ketangguhan. Penelitian ini bertujuan untuk mengetahui pengaruh ketangguhan pada tingkat individu, keluarga dan komunitas dengan kualitas hidup individu di daerah rawan bencana pascaerupsi Gunungapi Kelud 2014. Pendekatan studi yang digunakan adalah mixed method dengan strategi eksplanatoris sekuensial dengan penekanan pada studi kuantitatif. Pada pendekatan kuantitatif, peneliti menggunakan desain hybrid cross sectional ecology pada 252 responden terpilih yang berada di wilayah rawan bencana. Sedangkan untuk studi kualitatif menggunakan metode FGD pada 5 kelompok dan wawancara mendalam kepada 12 informan. Sebanyak 13,1% responden memiliki kualitas hidup yang buruk. 40% responden merupakan individu yang tangguh, 40% individu tinggal di keluarga yang tangguh dan sebanyak 79,4% individu berada di komunitas yang tangguh. Secara komposit, ketangguhan individu, keluarga dan komunitas tidak berhubungan dengan kualitas hidup. Namun komponen ketangguhan pada tingkat individu (umur dan pekerjaan) dan komunitas (kapital sosial dan SOP bencana) menunjukkan hubungan yang bermakna dengan kualitas hidup. Variabel tingkat komunitas dapat menjelaskan variasi risiko kualitas hidup buruk sebesar 56,33%. Hasil analisis kualitatif menunjukkan bahwa karakter kapital sosial yang kuat pada populasi ini adalah bonding dan bridging, sedangkan untuk karakter linking masih perlu ditingkatkan. Variabel umur, pekerjaan dan SOP terintegrasi dalam suatu dinamika kapital sosial di masyarakat untuk meningkatkan kualitas hidup, yang disebut dengan model model peningkatan kualitas hidup melalui peningkatan ketangguhan komunitas. Dengan demikian dapat direkomendasikan bahwa peningkatan kualitas hidup dapat dilakukan dengan penguatan kapital sosial.
Decreased of health-related quality of life (HRQoL) among disaster prone population could be minimized by increased of resilience. The study was intended to determine the effect of individual, family and community resilience to HRQoL within disaster prone area post Kelud Volcano eruption 2014. Mixed method approach was used with the sequential explanatory strategy that weighted into quantitative study. In the quantitative approach, hybrid cross sectional ecology design was employed to 252 selected respondents. Qualitatively approach, FGD and In-depth Interview methods were employed to 5 groups and 12 informants. Poor quality of life status was reported by 13,1% respondents. Individual resilience was about 40% of respondents. Around 40% and 79,4% of respondents living in a resilient family and community, respectively. Composite variables of each individual, family and community resilience were not significantly associated with individual HRQoL. However, components of both individual resilience (age and occupation) and community resilience (capital social and SOP) were found having significant association with HRQoL. Community level was able to explain risk variation of poor HRQoL about 56,3%. Qualitative study revealed that the character of a strong social capital in this population was bonding and bridging, while character of linking still need to be improved. Age, occupation and SOP were integrated into a community dynamics of social capital in improving HRQOL, called as the model of HRQoL improvement through increased of community resilience. It was therefore recommended that the improvement of HRQoL within disaster prone community can be implemented along with the strengthening of social capital.
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Decreased of health-related quality of life (HRQoL) among disaster prone population could be minimized by increased of resilience. The study was intended to determine the effect of individual, family and community resilience to HRQoL within disaster prone area post Kelud Volcano eruption 2014.
D-355
Depok : FKM-UI, 2016
S3 - Disertasi Pusat Informasi Kesehatan Masyarakat
☉
Zaitun; Pembimbing: Wahyu Kurnia Yusrin Putra; Penguji: Triyanti, Mutmainah Indriyati
Abstrak:
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Motivasi pemilihan makanan merupakan salah satu faktor penting karena dapat menentukan pola makan seseorang. Motivasi pemilihan makanan dapat membentuk intervensi yang efisien dan adaptif dalam memodifikasi kebiasaan makan untuk menjaga kesehatan dan kesejahteraan, terutama di kalangan pekerja yang merupakan hampir separuh populasi global untuk meningkatkan produktivitas mereka. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan motivasi pemilihan makanan pada komunitas bike to work kota Depok. Penelitian ini adalah penelitian kuantitatif dengan desain cross-sectional. Total responden pada penelitian ini yaitu 251 anggota komunitas bike to work kota Depok tahun 2024 dengan menggunakan cara total sampling. Hasil penelitian dengan menggunakan skala likert rentang 1-4 menunjukkan bahwa 8 dari 9 motivasi pemilihan makanan adalah hal yang penting bagi komunitas bike to work kota Depok tahun 2024 dengan rerata tertinggi yaitu pada motivasi kesehatan (mean= 3,45), susasana hati (mean= 3,34), dan kandungan alami (mean= 3,33). Sementara motivasi pemilihan makanan yang kurang penting bagi komunitasi bike to work Kota Depok yaitu perhatian etis (mean= 2,82). Selain itu, faktor usia, jenis kelamin, status pernikahan, pekerjaan, sosial ekonomi, pendidikan, dan tingkat stres memiliki hubungan yang bermakna (p-value <0,05) dengan motivasi pemilihan makanan pada komunitas bike to work kota Depok tahun 2024.
Food choice motivation is an important factor because it can determine a person's eating patterns. Food choice motivation can form an efficient and adaptive intervention in modifying eating habits to maintain health and well-being, especially among workers who constitute almost half of the global population to increase their productivity. This study aims to determine the factors related to food choice motivation in the bike to work community in Depok city. This study is a quantitative study with a cross-sectional design. Total respondents in this study were 251 members of the Depok city bike to work community in 2024 with total sampling. The results of this study using a Likert scale ranging from 1-4 show that 8 out of 9 motivations for choosing food are important for the bike to work community in Depok city in 2024 with the highest mean being health motivation (mean= 3.45), mood (mean = 3.34), and natural content (mean= 3.33). Meanwhile, the motivation for choosing food that is less important for the bike to work community in Depok City is ethical concern (mean= 2.82). Age, gender, marital status, employment, socio-economics, education, and stress level have a significant relationship (p-value <0,05) with food choice motivation for the bike to work community in Depok city in 2024.
S-11685
Depok : FKM UI, 2024
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
☉
Anggy Febiarthy; Pembimbing: Evi Martha; Penguji: Tri Krianto, Zakianis, Widyawati Garini, Dian Kusuma Wardhani
Abstrak:
Read More
Peliknya masalah sampah berkaitan erat dengan perilaku dan aktivitas manusia sehingga dibutuhkan pendekatan perubahan perilaku dan partisipasi masyarakat salah satunya melalui pengelolaan sampah berbasis zero waste. Konsep zero waste dikemas oleh komunitas virtual Belajar Zero Waste (BZW) dalam inovasi kelas BZW yaitu pembelajaran daring selama 16 pekan untuk membentuk perilaku pro lingkungan. Penelitian secara kualitatif dilakukan untuk menganalisa proses perubahan perilaku pro lingkungan pada komunitas BZW menggunakan model konseptual pengambilan keputusan teori difusi inovasi. Hasil penelitian menujukkan bahwa perubahan perilaku pro lingkungan diawali dengan pembentukan kesadaran pro lingkungan melalui pembelajaran kelas BZW sehingga membentuk sikap positif dan implementasi zero waste secara konsisten. Optimalisasi praktik baik komunitas BZW melalui pengembangan panduan program BZW yang sistematis dan dukungan kemitraan dengan berbagai pihak sangat diperlukan agar praktik baik kelas BZW dapat direplikasi pada lingkup yang lebih luas.
The complexity of the waste problem is closely related to human behavior and activities so that it requires a behavior change approach and community participation, one of which is through zero waste-based waste management. The concept of zero waste is packaged by the Belajar Zero Waste (BZW) virtual community in the BZW class innovation, which is online learning for 16 weeks to shape pro-environmental behavior. Qualitative research was conducted to analyze the process of pro-environmental behavior change in the BZW community using the conceptual model of decision making of innovation diffusion theory. The results showed that changes in pro-environmental behavior began with the formation of pro environmental awareness through BZW class learning to form a positive attitude and consistent implementation of zero waste. Scaling up the good practices of the BZW community through the development of systematic BZW program guidelines and partnership support with various parties is needed so that the good practices of the BZW class can be replicated at a wider scope.
T-7043
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Novie Irawaty Laura Manurung; Pembimbing: Ede Surya Darmawan; Penguji: Adang Bachtiar, Wiku Bakti Bawono Adisasmito, Galuh Budhi Leksono Adhi, Retno Kusuma Dewi
Abstrak:
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Pada tahun 2022, diperkirakan TBC anak 0-14 tahun menyentuh angka tertinggi yaitu 12% dari total kasus global atau sebesar 1,3 juta jiwa setiap tahunnya dan setengahnya merupakan anak dibawah usia 5 tahun. Indonesia berada pada peringkat kedua TBC terbanyak dimana 9,7% diantaranya adalah kasus TBC anak. Tingkat cakupan penemuan kasus TBC anak mencapai 158% namun penegakan TB pada anak yang cenderung sulit masih menjadi tantangan di lapangan, kemungkinan overdiagnosis atau underdiagnosis pada kasus anak masih cukup besar. Faktor sumber daya kesehatan dan faktor akses pelayanan kesehatan menjadi kendala dari penemuan kasus TBC anak secara aktif dan pasif. Tujuan dari penelitian ini adalah untuk mengetahui determinan faktor yang berhubungan dengan cakupan penemuan kasus tuberkulosis anak di Indonesia. Penelitian menggunakan pendekatan kuantitatif dengan desain potong lintang (cross sectional) dan dengan unit penelitian 514 kabupaten kota di Indonesia. Temuan penelitian ini mengungkapkan bahwa masih terdapat ketimpangan pada tingkat cakupan penemuan kasus TB anak, faktor ketersediaan SDM kesehatan yang terlatih, ratio ketersediaan faskes, realisasi belanja kesehatan per kapita, pelaporan dengan SITB, keterlibatan komunitas, tingkat kemiskinan, dan kewilayahan. Faktor-faktor yang berhubungan dengan cakupan penemuan kasus TBC anak adalah pelaporan fasilitas kesehatan menggunakan SITB, keterlibatan komunitas,tingkat kemiskinan, dan kewilayahan. Variabel yang paling dominan berhubungan dengan tingkat cakupan penemuan kasus TBC anak adalah keterlibatan komunitas masyarakat. Wilayah kabupaten kota yang memiliki keterlibatan komunitas masyarakat berpeluang 4,059 kali (95% CI 2,360-6,983) untuk cakupan penemuan kasus TBC anak tercapai dibandingkan dengan wilayah kabupaten kota yang tidak memiliki keterlibatan komunitas masyarakat setelah variabel lainnya dikontrol. Keterlibatan komunitas masyarakat untuk mendukung program TBC akan meningkatkan penemuan kasus TBC anak secara aktif dengan terselenggaranya kegiatan investigasi kontak dan skrining TB yang semakin kuat di masyarakat
In 2022, it is estimated that tuberculosis (TB) in children 0–14 years old will touch 12% of the total global cases (1.3 million children), meanwhile in Indonesia 9.7% of the total case being childhood TB. The coverage rate of finding childhood TB reaches 158%; however, difficulty diagnosing tuberculosis in children is still a challenge in the field. The possibility of overdiagnosis or underdiagnosis is still quite large. Health resource factors and health service access factors are obstacles to the implementation of active and passive discovery of childhood TB. The purpose of this study is to determine the determinants of factors related to the scope of finding childhood TB in Indonesia. This study used a quantitative approach with a cross-sectional design and with research units from 514 urban districts in Indonesia. The findings of this study reveal that there are still inequalities in the level of coverage of finding childhood TB due to factors such as the availability of trained human resources, the ratio of availability of health facilities, the realisation of health spending, reporting with SITB, community involvement, poverty levels, and territoriality. Factors related to the coverage of finding childhood TB are the reporting of health facilities using SITB, community involvement, poverty rates, and territoriality. The most dominant variable related to the level of coverage for finding child TB cases is community involvement. It was possible to find 4,059 times as many cases of childhood TB (CI 95% 2,360–6,983) in districts with community involvement as in districts without community involvement, even when other factors were taken into account. Community involvement to support TB programmes will increase the discovery of active child TB cases by conducting stronger contact investigations and TB screening activities in the community.
T-6854
Depok : FKM-UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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