Pemberian ASI (Air Susu Ibu) eksklusif adalah pemberian air susu ibu kepada bayi umur 0 6 bulan tanpa diberikan makanan atau minuman tambahan. ASI mempunyai manfaat yang besar bagi bayi karena memiliki efek positif terhadap pertumbuhan dan perkembangan. Bayi yang mendapatkan ASI akan lebih sehat dan terhindar dari berbagai penyakit infeksi. Hal inilah yang dapat menurunkan Angka Kematian Bayi. Dari aspek hukum, pemberian ASI eksklusif berarti memenuhi hak anak untuk hidup sehat sejahtera lahir dan batin. Berdasarkan hal tersebut, pemerintah mengeluarkan peraturan yang menjamin hak anak untuk mendapatkan ASI, seperti yang tertuang dalam Undang-undang Nomor 36 Tahun 2009 Tentang Kesehatan serta Peraturan Pemerintah Nomor 33 Tahun 2012 Tentang ASI Eksklusif.Metode penelitian yang digunakan dalam penelitian tesis ini adalah yuridis normatif yang didasarkan pada data sekunder. Spesifikasi penelitian yang digunakan adalah deskriptif analitis, sedangkan analisis datanya menggunakan metode normatif kualitatif. Penelitian yuridis normatif merupakan penelitian yang menganalisa tentang ketentuan hukum/norma hukum, yaitu hubungan antara kebijakan ASI eksklusif yang terdapat dalam Undang-undang Nomor 36 Tahun 2009 Tentang Kesehatan dengan kebijakan kesejahteraan anak yang terdapat dalam Undang-undang Nomor 4 Tahun 1979 Tentang Kesejahteraan Anak.Kebijakan program ASI eksklusif didasarkan pada Undang-undang Dasar Negara Republik Indonesia Tahun 1945, dengan tujuan untuk mencapai derajat kesehatan yang optimal dari seorang anak, sehingga diharapkan akan menurunkan Angka Kematian Bayi di Indonesia. Sedangkan tujuan akhir yang ingin dicapai dalam kebijakan kesejahteraan anak adalah terpenuhinya kebutuhan lahir batin dari anak Indonesia, sehingga akan tercapai anak yang sehat. Apabila hal itu dapat terwujud, berarti tujuan dari kesejahteraan anak akan tercapai pula. Saran yang diberikan, diperlukan kerjasama yang erat antar berbagai pihak, baik antara ibu, keluarga, masyarakat, pemerintah dan lembaga-lembaga terkait untuk mewujudkan suksesnya kebijakan program ASI eksklusif
Abstrak Setiap tempat kerja selalu mempunyai risiko kemungkinan terjadinya kecelakaan dan penyakit akibat kerja. Sebagai upaya pengendalian risiko kecelakaan dan penyakit akibat kerja, perlu diidentifikasi sumber bahaya yang ada di tempat kerja dan dievaluasi tingkat risikonya serta dilakukan pengendalian yang memadai. Insiden kecelakaan dan cedera di tempat kerja dapat dikurangi dengan penggunaan Job Safety Analysis. Tujuan dari penelitian ini adalah untuk mengetahui potensi bahaya serta pengendalian yang tepat pada bagian workshop PT. Total Dwi Daya. Penelitian ini adalah penelitian deskriptif kualitatif dengan pendekatan observasional. Data yang digunakan dalam penelitian adalah data primer hasil observasi pada proses kerja dan wawancara kepada supervisor, serta data sekunder yang digunakan yaitu instruksi kerja dan data kecelakaan kerja. Dari hasil penelitian didapatkan bahwa risiko kecelakaan kerja yang terdapat pada bagian workshop yaitu: kejang otot, terkena plat jatuh, terkilir, terpeleset,terjepit plat, terjepit mesin, tersengat listrik, terbentur mesin, tersayat plat, tersambar plat, terkena permukaan panas, terkena api, menghirup asap, tersandung kabel, terkena gerinda, terkena percikan api, tersambar pipa, terkena mata bor, tertimpa, terkena steelwool, terkena paku, tersandung plat, terkena pisau dan tergores. Saran untuk PT. Total Dwi Daya yaitu peningkatan pengawasan terhadap pekerja serta pelatihan pembuatan Job Safety Analysis Abstract Every workplace always have risk and possibility of accidents and occupational diseases. In an effort to control the risk of accidents and occupational diseases, sources of hazards that exist in the workplace need to be identified, evaluated its level of risk and proper control. The incident of accident and injury at work can be reduced by using Job Safety Analysis. The purpose of this research was to understand the potential of danger and right control of it in workshop division Total Dwi Daya Corporation. Thisstudy was using qualitative descriptive research with observational approach. Primary data used in this research were observation in working process and interview with supervisor. Secondary data were work instruction and accident data. Conclusion of this research, potential dangers found in workshop division were: muscle spasms, hit by fallen plate, sprains, slips, squished by plate, squished by machine, electric shock, collide, cut by plate, strucked by plate, exposed to hot surfaces, exposed to fire, smoke inhalation, tripping over wires, grinding exposed, exposed to sparks, struck pipe, drill hit, exposed nails and scraped. Suggestions for Total Dwi Daya Corporation are raising a control of workers and training Job Safety Analysis training.
Kecelakaan lalu lintas menjadi salah satu penyebab kematian ke-8 di Indonesia dan merupakan penyebab utama kematian pada usia 14– 40 tahun. Secara global, kecelakaan lalu lintas juga menjadi penyebab pertama kematian akibat cedera dengan jumlah terbanyak. Terdapat kenaikan angka kejadian kecelakaan lalu lintas pertahunnya di Indonesia, begitu pula kenaikan jumlah korban meninggal dan luka-luka. Kota Semarang merupakan kota dengan kejadian kecelakaan yang cukup tinggi. Angka kejadian kecelakaan di Kota Semarang meningkat dan jumlah korban terus bertambah, maka diperlukan suatu tindakan untuk mencegah terjadinya hal tersebut. Kajian epidemiologi deskriptif dilakukan guna mendapatkan berbagai informasi yang berkaitan dengan kecelakaan. Faktor kelalaian manusia, kendaraan dan faktor lingkungan dikaji berdasarkan data yang tersedia untuk menemukan faktor-faktor berkontribusi terhadap terjadinya kecelakaan lalu lintas. Kajian epidemiologi analitik juga dilakukan guna mendapatkan hasil analisis mendalam terkait data yang telah ditampilkan kemudian dikaji menggunakan berbagai penelitian serupa yang telah dilakukan di daerah lain. Hasil akhir semua kajian akan didapatkan berbagai tantangan dalam mencegah terjadinya kecelakaan lalu lintas. Berbagai solusi juga ditawarkan sebagai jawaban dari tantangan yang tersedia untuk mencegah kejadian kecelakaan lalu lintas dan mencegah jatuhnya korban lebih banyak.
The stunting rate in Jepara Regency continues to change every year. In 2017 there were 16.5% of the 84,717 children under five who were convicted of stunting. In 2018 there was an increase in the percentage to 27%. Public Health in working are of Bangsri II is the area with the highest rating with an incidence rate of 26.44%, was still far from the government's target of reducing the stunting rate to 14% by 2024. Purpose of the research was to determine the evaluation of the 1000 HPK in the work area of the Bangsri II Primary Health Care. The type and design of this research used descriptive qualitative conducted with in-depth interviews. This research informant were 8 people who were selected by purposive sampling technique. Data collection techniques using interviews and observation.The results of this research evaluation of the program’s 1000 HPK indicate that the human aspect is still lacking in human resources for nutrition services. Facilities and infrastructure need to be added and improved so that they are sufficient for program implementation. Aspects of the process for mobilization and implementation there are obstacles in the form of the presence of participants and the lack of awareness of mothers about the importance of weighing toddlers. In the aspect of supervision, control and assessment in the form of recording and reporting has been going well. Routine evaluation is carried out every month in order to improve services. Supervision is carried out periodically every 2-3 times a year by Dinas Kesehatan Kabupaten Jepara. As for the external aspect, there were 3 indicators that have not been achieved due to the COVID-19 pandemic situation accompanied by the implementation of activity restrictions in the community.
Globally, it is estimated that 10-20% of adolescents experience mental health problems and remains underdiagnosed and untreated. Mental health activities have not been active in Sekaran Public Health Center. Community partnership provide mental health education, training to overcome and prevent mental health problems, and to be peer educators by HOPE (Health Educated, Organized, Practiced, and Empowered) method. Twelve adolescents were screened by Strengths and Difficulties Questionnaire (SDQ). All youth cadres had normal difficulty scores, emotional symptoms, and hyperactivity. Two adolescents have threshold category in behavior problems, an adolescent has threshold category in peer problems, and an adolescent has abnormal category in proposocial behavior. There is a difference in mental health knowledge between before and after education is given (p=0,014). It is important for health facilities to regularly provide education and empowerment of adolescents in mental health. This HOPE method can be implemented for other health facilities.
Tuberculosis is a disease caused by the bacterium Mycobacterium tuberculosis that attacks the lungs and other organs. The target for case finding until August is 176 cases, but the Bulu Lor Health Center has only reached 38 case finding with 21 positive cases. The purpose of the study was to find out how to implement the DOTS strategy policy during the COVID-19 in the work area of the Bulu Lor Health Center Semarang. The study uses a qualitative with determination uses purposive sampling technique with all 18 informants. The results showed that communication on the DOTS strategy during the pandemic used electronic media. There have perception problems when communicating. Human resources and funding are fulfilled, but there are candidates who have resigned. DOTS rooms during the COVID-19 pandemic combine with COVID-19 services. The commitment has been fulfilled, except for the commitment cadres who resigned and patients who dropped out of treatment due to drug side effects. The organizational structure of the DOTS strategy refers to the Regulation of the Minister of Health Number 67 of 2016, but the sputum examination doesn't comply with regulations. Keyword: Tuberculosis, DOTS Strategy, COVID-19, Policy Implementation, Bulu Lor Primary Health Care
The COVID-19 pandemic has become a world concern including in Indonesia. As one of the public facilities that function to provide health services, Puskesmas is required to continue to provide good quality services during the COVID-19 pandemic. The Ministry of Health reported a total of 3,908,247 confirmed cases and 121,141 deaths caused by COVID-19 on August 18, 2021. The quality of health services is important during the COVID-19 pandemic to prevent the transmission of the virus. This study aims to analyze the quality of COVID-19 vaccination services at Puskesmas Srondol. This study used a qualitative analysis method to find out the quality of COVID-19 vaccination services in Puskesmas Srondol based on the SERVQUAL dimension. The subjects of this study were key informants and triangulation. Data were analyzed qualitatively based on the Miles & Huberman model. The results of the qualitative analysis showed that the quality of the COVID-19 vaccine service at Puskesmas Srondol in Semarang City could be measured from 5 dimensions of public service as proposed by Parasuraman including tangible, reliability, responsiveness, assurance, and empathy. It can be seen that the COVID-19 vaccination service at Puskesmas Srondol is satisfactory and appropriate. However, some aspects like parking facilities for cars and data collection on vaccination participants need to be improved. Puskesmas Srondol is expected to improve all aspects of providing COVID-19 vaccination services to satisfy the vaccination participants.
The TB case notification rate (CNR) in Semarang City has decreased from 2019 of 258 per 100,000 population to 155 per 100,000 population in 2020. The main focus in controlling tuberculosis cases is case detection in the community. The purpose was to increase TB knowledge and provide training on TB screening methods to adolescent cadres using the SIKRIBO application. The methods used in this community service are health education and Training of Trainers (ToT). The participants were 27 adolescent representatives from the Adolescent Integrated Healthcare Center working areas of the Sekaran Public Health Center, Semarang City. The results showed that adolescent cadres' average score knowledge about tuberculosis disease and screening improves after receiving TB health education and adolescent cadres can operate the application properly. The SIKRIBO application can be a means to facilitate the discovery of TB suspects in the community and is expected to be applied in various health facilities. ABSTRAK Angka notifikasi kasus (CNR) TB di Kota Semarang mengalami penurunan dari tahun 2019 sebesar 258 per 100.000 penduduk menjadi 155 per 100.000 penduduk pada tahun 2020. Fokus utama dalam mengendalikan kasus TB merupakan penemuan kasus di masyarakat. Rendahnya penemuan kasus TB berdampak pada tingginya angka penularan TB. Tujuan pengabdian masyarakat ini untuk meningkatkan pengetahuan TB dan memberi pelatihan terkait cara skrining TB melalui aplikasi SIKRIBO pada kader remaja. Metode yang digunakan pada pengabdian masyarakat ini adalah penyuluhan kesehatan dan Training of Trainer (ToT). Jumlah partisipan sebanyak 27 remaja perwakilan dari Posyandu Remaja dan Posyandu Pesantren wilayah Puskesmas Sekaran, Kota Semarang. Hasil kegiatan bahwa terdapat peningkatan rata-rata skor pengetahuan terkait penyakit TB dan skrining TB pada kader remaja setelah diberi penyuluhan kesehatan TB dan kader remaja dapat mengoperasikan aplikasi SIKRIBO dengan baik. Aplikasi SIKRIBO dapat menjadi sarana untuk mempermudah penemuan suspek TB di masyarakat dan diharapkan dapat diterapkan di berbagai fasilitas kesehatan.
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