Ditemukan 411 dokumen yang sesuai dengan query :: Simpan CSV
Jumlah penderita TBC paru dari tahun ke tahun di Indonesia terus meningkat. Beberapa keadaan diduga merupakan faktor yang memegang peranan penting dalam meningkatnya infeksi TBC pada saat ini, antara memburuknya kondisi sosial ekonorni, belum optimalnya fasilitas pelayanan kesehatan masyarakat, meningkatnya jumlah penduduk yang tidak mempunyai tempat tinggal, meningkatnya infeksi HIV, daya tahan tubuh yang lemah/menurun, virulensi dan jumlah kuman yang meningkat. (Kardiana, 2007). Penelitian ini bertujuan untuk mengetahui gambaran mutu pelayanan program TB di Puskesmas terhadap tingkat keberhasilan program TB di Kabupaten Ciamis tahun 2007. Desain penelitian adalah kualitatif dengan melakukan wawancara mendalam terhadap petugas yang berkaitan langsung dengan program, diskusi kelompok terarah dengan masyarakat pengguna pelayanan dan telaah dokumen. Hasil penelitian menunjukan pada kelompok Puskesmas yang berhasil dalam peneapaian program penanggulangan TB, pelak.sanaan kegiatan melibatkan seluruh petugas dan sumber daya yang ada di Puskesmas. Sedangkan pada kelompok Puskesmas yang belurn berhasil dalam pencapaian program penangguIangan TB, belum terjalin kerja sama baik lintas program .dan lintas sektor serta belum adanya kepedulian dari seluruh staf Puskesmas terhadap program. Saran yang diajukan dalam penelitian ini adalah adanya kepedulian petugas dan karyawan Puskesmas terhadap program, peran aktif dokter terhadap program, peningkatan frekuensi penyuluhan dan sosialisasi program di lintas sektor, pemberian pelayanan yang bermutu sesuai standar dengan mengutamakan kepuasaxi pasien sebagai pelanggan ekstemal dalam pelayanan kesehatan, adanya pembinaan dan pertemuan rutin dari Dinas Kesehatan pengahargaan terhadap prestasi kerja.
Amount of TBC paru patient from year to year in Indonesia increasing. Some situation anticipated to represent factor playing a part important in the increasing of TBC infection at the moment, for example: deteriorating it condition of social economic, not yet is optimal of service facility of health society, the increasing of amount of resident which don't have residence, the increasing of HIV infection, weak body endurance/ downhill, germ amount and virulence which mounting. (Kardiana, 2007). This research aim to to know picture quality of TB program service in Puskesmas to level efficacy of TB program in Sub-Province Ciamis year 2007. Research Design is qualitative by conducting interview to direct interconnected officer with program, directional group discussion with service consumer society and document study. Research place conducted by in four Self-Supporting Puskesmas Executor (PPM) in TB program with selection of research place in two a success Puskesrnas in attainment of Puskesmas and program which not yet succeeded in attainment of program. Result of research show of a success Puskesmas group in attainment of TB overcome program, activity execution entangle entire resource and officer exist in Puskesmas, existence the same of activity pass by quickly program and pass by quickly good sector. While at Puskesmas group which not yet succeeded in attainment of TB overcome program not yet intertwined the same of activity the goodness pass by quickly program and pass by quickly sector. Recommendation in this research the existence of officer caring and Puskesmas employees to program, active the role of doctor on the program, the improving make-up of counseling frequency pass by quickly sector socialization, giving of certifiable service according to standard by majoring satisfaction of patient as the external client in health service, existence of routine meeting and construction from Public Health Service appreciation and reward to the achievement activity.
Background: Globally, stroke is the highest cause of death due to NCD and a high cause of life-adjusted disability (DALYs). Stroke causes premature death of productive age. The largest population in Indonesia is in the west java province and is mainly dominated by the productive age group. Objective: This study aims to determine the risk factors associated with the incidence of stroke in the population of productive age (15-64 years) in West Java. Methods: This study used a cross-sectional study design with univariate and bivariate analysis. The sample of this research was 46,440 residents aged 15-64 years in West Java based on Riskesdas 2018 data as secondary data. Results: The prevalence of stroke at productive age in West Java is 0.8%. The results of the analysis of the dependent and independent variables show a relationship between age (POR=6.48 95%CI; 5.31 ? 7.91), hypertension (POR=5.93 95%CI; 4.84 ? 7.27), diabetes mellitus based on doctor's diagnosis (POR=8.81 95%CI;6.53 ? 11.89), body mass index (POR=1.52 95%CI;1.25 ? 1.85), abdominal obesity (POR= 2.24 95%CI;1.84 ? 2.73), former smoker (POR=3.28 95%CI;2.46 ? 4.37) and smoking behaviour (POR=0.73 95%CI;0 .57 ? 0.92) with the incidence of stroke and each has a p-value> 0.05. Conclusions: There is a significant relationship between age, hypertension, diabetes mellitus, body mass index, central obesity, and former smoking with the incidence of stroke. While smoking behaviour has a protective relationship to the incidence of stroke.