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Humayoon Gardiwal; Pembimbing: Rita Damayanti; Penguji: Sabarinah Prasetyo, Mondastri Korib Sudaryo, Hartati Kurniadi, Riza Sarasvita
Abstrak:

Drug users in Indonesia are threatened by many health and social challenges of which HIV, HBV and HCV are dominant and hence the utilization of health services is vital for them. This study was aimed to determine the individual factors that influence the health service utilization among drug users in west Java (Bandung), Indonesia. We used secondary data from the National Drug Survey Indonesia 2008, with a sample size of 130 drug users. The individual determinant of health service utilization were studied in three categories, predisposing, enabling and need factors we found that living with parents, drug overdose, respiratory and miscellaneous symptoms were significantly associated with health service utilization. Those living with parents were more likely to use health services than those living with others. Those who had Digestive and Miscellaneous symptoms and did not experience drug overdose were also more likely to use health service utilization. We did not find any association among the predisposing factors and health service utilization among drug users.

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T-3295
Depok : FKM-UI, 2011
S2 - Tesis   Pusat Informasi Kesehatan Masyarakat
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Abdul Subor Momand; Pembimbing: Sabarinah; Penguji: Rita Damayanti, Mondastri Korib Sudaryo, Hartati Kurniadi, Riza Saravista
Abstrak:

ABSTRACT Objective of the study to identify Social and drug related factors associated with injecting drug use among drug users? in Jakarta. Method the design of the study was cross sectional total respondents were 135 drug users (72 IDUs and 63 None-IDUs) personal, family Social factors, and drug related factors are included in the analysis. Result Multivariate analysis showed that student are at low risk (AOR=0.09) of using injection than those who are working, also those whose family don?t know about his/her drug using habit are at low risk (AOR=0.07) of injection than those whose family member aware, and those who use tranquilizer as first drug are at higher risk (AOR=3.89) of using injection than who use marijuana. Conclusion Primary prevention activities focusing on improving social conditions, controlling black market of tranquilizers and improving family knowledge and skills to detect drug use in family as early as possible would help drug users to prevent them from indulging in injecting drug use, according to this study job, family and type of drug should be considered in the designing and planning of addicts? treatment and harm reduction activities.

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T-3296
Depok : FKM-UI, 2011
S2 - Tesis   Pusat Informasi Kesehatan Masyarakat
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Diah Setia Utami; Promotor: Budi Utomo; Ko-Promotor: Sabarinah Prasetyo, Eunike Sri Tyas; Penguji: Anhari Achadi, Kemal Nazaruddin Siregar, Rita Damayanti, Hartati Kurniadi, Fidiansjah
Abstrak: Penggunaan Amphetamine Type Stimulants (ATS) di Indonesia meningkat secara signifikan, sehingga tren penggunaan narkotika berubah. Cara penggunaan juga berubah dari mayoritas melalui jarum suntik menjadi melalui alat isap (bong). Penggunaan ini berpotensi menularkan infeksi saluran pernafasan akut seperti TBC dan pneumonia, selain itu penggunaan ATS memberi efek stimulan yang lebih meningkatkan risiko gangguan kardiovaskuler dan gangguan psikiatris. Efek ATS terhadap fisik, psikis maupun sosial, yang berbeda dari penggunaan zat non-ATS perlu mendapatkan intervensi yang spesifik. Saat ini model layanan rehabilitasi yang tersedia memberikan layanan yang sama kepada seluruh pengguna narkotika, sehingga belum memenuhi layanan rehabilitasi spesifik bagi pengguna ATS.
 
Tujuan penelitian ini adalah mempelajari layanan rehabilitasi yang ada, dan selanjutnya membuat usulan model layanan rehabilitasi khusus pengguna ATS. Metode penelitian adalah kombinasi kuantitatif dan kualitatif. Untuk mempelajari pelayanan yang tersedia saat ini, dilakukan studi kuantitatif membandingkan indikator keluaran yaitu produktivitas dan kekambuhan dari klien yang telah selesai dirawat di One Stop Center (OSC) dan Community Based Unit (CBU) dengan wawancara menggunakan kuesioner. Untuk membuat usulan model dilakukan studi kualitatif dengan wawancara mendalam kepada klien pengguna ATS, manajer program dan kepala OSC; telaah literatur dan telaah data sekunder; serta diskusi kelompok terarah terhadap petugas layanan rehabilitasi, program manajer, akademisi, organisasi profesi dan pengambil kebijakan.
 
Hasil studi awal memperlihatkan tidak adanya perbedaan indikator keluaran pada pengguna ATS yang direhabilitasi di OSC maupun CBU (p>0,05). Ini berarti, perbedaan sumber daya dan metode layanan tidak menghasilkan perbedaan luaran terhadap pengguna ATS. Ditengarai beberapa kelemahan dari layanan yang tidak spesifik bagi pengguna ATS, mencakup prosedur skrining dan asesmen yang belum memisahkan kondisi klinis dan penyulit, intervensi yang belum sesuai dengan kondisi dan tujuan rehabilitasi individu, penilaian faktor risiko dan kualitas hidup belum dilakukan dan belum adanya monitoring evaluasi untuk indikator mutu layanan rehabilitasi. Berdasarkan hasil ini, diusulkan model layanan rehabilitasi bagi pengguna ATS. Model dikembangkan mengacu pada alur perjalanan klinis penggunaan ATS, meliputi metode intervensi sesuai kategori dan kebutuhan individu -terutama perlunya skrining dan asesmen terhadap risiko gangguan psikiatrik-, kemudian kebutuhan sarana prasarana minimal -terutama terkait perlunya ruang observasi psikiatrik-, dan terakhir, kapasitas minimal SDM -khususnya keterampilan penilaian psikopatologi gejala gangguan psikiatris serta kompetensi dalam penatalaksanaan dasar gangguan penggunaan narkotika disertai gangguan mental dan fisik (co-occurring disorders). Diperlukan uji coba lebih lanjut guna menilai penerapannya dalam berbagai tatanan layanan rehabilitasi di Indonesia.
 

 
Major drug of abused in Indonesia has changed from heroin to amphetamine type stimulants (ATS) recently. Major route of administration has also changed from injection of heroin to smoking of ATS. Unlike heroin users who tended to be dependent, ATS users in general tended to be a recreational user. However, pattern of ATS usage has also potential risks, such as respiratory diseases -like TB and pneumonia-, as well as cardiovascular diseases and psychiatric disorders. Effects of ATS towards physical, psychological and social of its users were different with other non-ATS users, while existing drug treatment and rehabilitation program tended to provide ?one-size fits all?-where all clients received similar program and approach regardless their uniqueness and background. Therefore, there is a need to develop specific intervention for ATS users who need treatment.
 
This study was aimed to provide drug rehabilitation model for ATS users that can accommodate individual needs and minimize harmful effect of its usage. This study applies both qualitative and quantitative methods. Study population is stakeholders from One Stop drug-treatment Center (OSC) and Community Based drug-treatment Unit (CBU), includes clients, clinical staff and management. Primary data is taken from three sources, first, clients who have completed treatment program, second, from literature review, and third, from secondary data review.
 
The results of primary data analysis showed that there was no significance difference of treatment outcome between OSC and CBU (p>0,05). Meaning that different resources and approaches does not differentiate treatment outcomes toward ATS users. Existing rehabilitation programs have not accommodate ATS users specific needs. Existing drug treatment and rehabilitation program had potential limitation in treating ATS users. The study proposes drug rehabilitation model for ATS users which theoretically can accommodate their specific needs. The model covers intervention method which is based on individual needs and categories -particularly screening and assessment of psychiatric problem risks-, then minimum facilities requirements -particularly availability of psychiatric observation room-, and lastly, human resources capacity -particularly competencies in screening and assessing psychiatric signs and symptoms, as well as managing co-occurring disorder-. This model will be piloted in various rehabilitation setting. This model will be piloted in various rehabilitation setting to review its applicability in the field.
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D-325
Depok : FKM-UI, 2016
S3 - Disertasi   Pusat Informasi Kesehatan Masyarakat
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Shanti RIskiyani; Promotor: Sabarinah Prasetyo; Kopromotor: Rita Damayanti, Riza Saraswati; Penguji: Evi Martha, Nurul Ilmi Idrus, Ridwan M Thaha, Fidiasnjah, Hartati Kurniadi, H. Ahmad
Abstrak:

Penyalahgunaan narkoba di kalangan remaja merupakan fenomena yang umum terjadi pada saat ini. Program peningkatan kecakapan hidup bagi remaja merupakan salah satu strategi untuk menyiapkan mereka menghadapi tantangan dan maupun tekanan dari lingkungan sosial mereka. Studi ini bertujuan menilai efektifitas modul Caradde’ dalam upaya pencegahan penyalahgunaan narkoba bagi pelajar di kota Makassar. Intervensi dengan pembelajaran menggunakan modul Caradde’ yang dikembangkan dengan mengadaptasi terhadap nilai lokal masyarakat Sulawesi Selatan. Studi ini menggunakan pendekatan mix methodologi dengan desain eksplorasi sekuensial; pendekatan kualitatif dilakukan di awal kemudian hasilnya menjadi bahan pengembangan instrument pendekatan kuantitatif. Hasil penelitian menunjukkan bahwa frekuensi intervensi hendaknya diperhatikan dan disesuaikan dengan komponen dari perilaku yang akan di tingkatkan. Pelibatan fasilitator di luar tenaga pengajar yang ada di sekolah hendaklah memiliki kemampuan dasar dalam mengajarkan materi tentang kecakapan hidup.

Kata kunci: Narkoba, kecakapan hidup, pelajar


The effectivity of Caradde’ as a Life Skills Education on Drugs Prevention among Students in Makassar Substance abuse is a current prevalent issue among adolescents.

Life skills improvement programs for adolescents is a strategy to prepare them to face the challenges and pressures in their social life. The study aimed to develop learning methods with life skills education as a prevention on drugs abuse among students in the Makassar. The intervention utilized the Caradde’ module which adapted the local values of people in South Sulawesi. This study used a mixed methodology approach with a sequential exploratory design. The findings suggested that the frequency of the intervention should be considered and adjusted to the components of the specific behavior to be improved. Finally, the involvement of external facilitators needs to consider their teaching skills relevant to the life skills education materials.

Keywords : Drugs, life skills, students

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D-462
Depok : FKM-UI, 2023
S3 - Disertasi   Pusat Informasi Kesehatan Masyarakat
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Rico Januar Sitorus; Promotor: Ratna Djuwita; Ko-Promotor: Sabarinah B. Prasetyo, Siti Dharmayati B. Utoyo; Penguji: Nuning MK. Masjkuri, Asri C. Adisasmita, Syahrizal Syarif, Hartati Kurniadi, Evi Martha
Abstrak: Penyalahgunaan narkotika merupakan masalah kesehatan yang sangat penting di seluruh dunia yang dapat mengakibatkan ketergantungan, kerugian ekonomi, kerugian kesehatan dan dampak sosial. Di Indonesia sebagai salah satu negara berkembang, penyalahgunaan narkotika dari tahun ke tahun tetap tinggi. Angka yang pernah menggunakan narkotika di populasi diperkirakan sebesar 2,4 % dengan laki-laki jauh lebih besar daripada perempuan. Berdasarkan kelompok umur, prevalensi penyalahguna narkotika yang paling tinggi pada kelompok usia kelompok usia 20-29 tahun sebesar yaitu 4,41 % sedangkan yang paling rendah pada kelompok usia di atas 40 tahun sebesar 1,06 %. (BNN, 2012). Penelitian ini bertujuan mengetahui efek tahapan rehabilitasi melalui skor rata-rata self efficacy sebelum mengikuti komunitas terapeutik dibanding dengan sesudah mengikuti komunitas terapeutik pasien ketergantungan narkotika. Penelitian ini menggunakan desain before and after yang bersifat longitudinal, dimana pengukuran terhadap outcome dilakukan beberapa kali (berulang). Pada penelitian ini pengukuran terhadap self efficacy dilakukan sebanyak empat kali.
 
 
Hasil penelitian ini membuktikan ada perbedaan yang bermakna skor rata-rata self efficacy sebelum komunitas terapeutik dibanding dengan skor rata-rata self efficacy sesudah komunitas terapeutik, nilai p = 0,014 < (α ; 0,05). Pasien telah menjalani tahapan komunitas terapeutik selama dua bulan atau 60 hari. Pada tahapan komunitas terapeutik selama satu bulan pertama, terlihat bahwa tidak ada perbedaan yang bermakna skor rata-rata self efficacy bila dibandingkan dengan skor rata-rata self efficacy sebelum komunitas terapeutik, p value 0,25 > (α ; 0,05), tetapi pada komunitas terapeutik bulan kedua terlihat ada perbedaan yang bermakna skor rata-rata self efficacy dibandingkan dengan sebelum komunitas terapeutik, nilai p = 0,005 < (α ; 0,05). Dari peningkatan skor rata-rata self efficacy, terbukti bahwa program ini bermanfaat bagi pasien dengan ketergantungan narkotika yang akan menjalani rehabilitasi dengan menjalani program minimal 60 hari atau dua bulan.
 

 
Drug abuse is a very important health problem worldwide which can lead to dependence, economic loss, loss of health and social impacts. In Indonesia as a developing country, drug abuse over the years remains high. Figures ever using drugs in a population is estimated at 2.4% with males much larger than females. By age group, the prevalence of drug abusers is highest in the age group of 20-29 years age group is 4.41% while the lowest in the age group above 40 years amounted to 1.06%. (BNN, 2012). This study aims to determine the effect of the rehabilitation phase through an average score of self-efficacy before following therapeutic communities compared with patients after participating in a therapeutic community drug dependence. The design of this study before and after that is longitudinal, where the measurement of the outcome done several times (repeated). In this study, measurement of self-efficacy was done four times.
 
 
The results of this research prove there were significant differences in mean score before the self efficacy of therapeutic communities compared with an average score of self-efficacy after therapeutic communities, p value 0.014 < (α; 0.05). Patients had undergone stages of therapeutic communities for two months or 60 days. At the stage of therapeutic communities during the first month, it appears that there are no significant differences of mean score of self-efficacy when compared to the average score of self-efficacy prior to therapeutic communities, p value 0.25 > (α; 0.05), but the therapeutic communities in both show no significant differences mean score of self-efficacy compared to prior therapeutic communities, p value 0.0005 <(α; 0.05). The increase in the average score of self-efficacy, proved that this program is very beneficial for patients with drug addiction which will undergo a program of rehabilitation with a minimum of 60 days or two months.
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D-323
Depok : FKM-UI, 2015
S3 - Disertasi   Pusat Informasi Kesehatan Masyarakat
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Bona Simanungkalit; Promotor: Nuning M. K. Masjkuri; Kopromotor: Wimpie Pangkahila, Asri C. Adisasmita/ Penguji: Wahyuning Ramelan, Sudarto Ronoatmodjo; Sabarinah B. Prasetyo, Hartati Kurniadi, Diah Setia Utami, Riza Sarasvita
D-382
Depok : FKM-UI, 2018
S3 - Disertasi   Pusat Informasi Kesehatan Masyarakat
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