Latar Belakang: Masalah rokok pada saat ini sudah menjadi masalah besar yang menyebabkan kematian diIndonesia. UU No. 44/2009 Tentang Rumah Sakit (RS) menyebutkan setiap RS mempunyai kewajibanmemberlakukan seluruh lingkungan RS sebagai Kawasan Tanpa Merokok (KTR). RS Umum Daerah(RSUD) Kabanjahe telah menerapkan KTR sesuai SK direktur RS namun sejauh ini pelaksanaannya belumberhasil. Tujuan penelitian ini untuk menganalisis pelaksanaan SK Direktur RSUD Kabanjahe No. 1255 /RSU / 2016 Tentang penerapan KTR di RSUD Kabanjahun tahun 2017.Metode: Penelitian ini menggunakan metode kualitatif dengan teknik wawancara, observasi berperan serta,dokumentasi dan triangulasi dengan sampel terdiri dari 4 orang pegawai dan 2 orang pasien RSUDKabanjahe dan menggunakan instrumen buku catatan, tape recorder, kamera dan peneliti sebagai instrumen.Kepercayaan terhadap hasil penelitian dilakukan dengan pengujian kredibilitas, depenabilitas, proses danhasil penelitian. Penelitian dilakukan di RSUD Kabanjahe.Hasil Penelitian: Hasil penelitian menunjukkan bahwa penerapan KTR di RSUD Kabanjahe belum berjalandengan baik walaupun telah dilaksanakan selama delapan tahun. Hal ini dikarenakan beberapa faktorpenghambat seperti Direktur RS dan jajarannya masih merokok, tidak ada perda yang mengatur tentangKTR, tidak adanya komitmen Direktur dalam menjatuhkan sanksi dan membentuk komite pengawas KTR.Kesimpulan: Penerapan KTR di RSUD Kabanjahe belum sesuai dengan SK Direktur atau belum berhasil.Pimpinan rumah sakit diharapkan dapat meningkatkan disposisi, dan struktur birokrasi dalam mendukungkebijakan KTR.Kata Kunci: Kawasan tanpa rokok; implementasi; rumah sakit
Smoke free area implementation is one of the effective efforts to protect people from cigarette smoke. Health promotion can improve community behavior until they want and able to do healthy behavior and free from health problems. This study aims to explore the role of health promotion that has been implemented by the Langsa City Health Office in relation of smoke free area implementation, especially in regional work unit (SKPK). This is a qualitative study with narrative research design. Data are collected by indepth interview. The results show the role of the health promotion has been done in the implementation of the smoke free area are controlling social or environmental changes in the workplace through advocacy, socialization, development of promotional media, and monitoring and evaluation of smoke freea area implementation. The conclusion of this study that health promotion plays an important role in implementing the smoke free area including advocacy with regional government, disseminate information about the hazard of cigarettes to the public, set a regional regulation and socializing Qanun regarding smoke free area, and carried out smoke free area evaluation meeting to the head of regional work unit for commitment and support the smoke free area implementation at workplace.
Introduction: Older adults experience deterioration of body functions which hinders them in carrying out daily activities, thus affecting their quality of life. The quality of life of older adults also reflects their health and well-being status. Objective: The purpose of this study was to determine the influence of fundamental conditioning factors on the quality of life of Indonesian older adults. Materials and Methods: Data were analyzed using descriptive statistics. Simple logistic regression was also used to estimate the odds ratio of good health-related quality of life. Two research instruments, a demographic data form and the SF-36 Indonesian version were utilized for data collection. Results: Findings showed that the total score of the quality of life was at an appropriate level. The logistic regression of occupation and illness duration revealed a relationship with the quality of life of the older adults (p < .05); however, age, gender, marital status, and morbidity did not affect the quality of life (p > .05). Conclusion: Older adults with jobs are highly likely to improve their quality of life as they can carry out activities, have social interactions, and make ends meet. However, the length of illness suffered by older adults may affect their quality of life. It is expected that nursing intervention provided, such as teaching proper health behavior for disease management, may help prevent complications and enhance the quality of life of older adults.
Wood and wood-based products are very vulnerable to termite attacks. One of the methods to control termite attacks is using chemical insecticide. However, the use of chemical insecticide is considered a negative effect on the environment. The aim of this research was to determine the anti-termite properties of liquid smoke against Coptotermes curvignathus Holmgren. The liquid smoke derived from bintangur wood pyrolysis at 370°C, 400°C, and 430°C was assessed as an anti-termite activity. Anti-termite activities against C. curvignathus were conducted by using liquid smoke with the concentration of 2%, 4%, 6%, and 8% (v/v). Simple linear regression was used to measure the effect of liquid smoke concentration against C. curvignathus. The results showed that the liquid smoke concentration of 6% and 8% at the three pyrolysis temperatures effectively controlled the subterranean termite's attack and resulted in 100% termites mortality. The chemical content of bintangur wood vinegar has contained phenol (1.23–1.65%) and acid (4.33–6.68%). Keywords: acid content, antitermitic activity, bintangur wood, phenol content, wood vinegar
Background: Tuberculosis can cause a substantial challenge against public health, especially in the developing countries which have low level of socio-economic condition that does not support the control over tuberculosis transmission and infection. Objective: To find a new surveillance model of tuberculosis transmission control based on geographic information system data in improving the tuberculosis transmission control and treatment outcome. Methods: Effectiveness test of the self-monitoring of calendar documentation on the tuberculosis transmission control and outcome treatment with quasi-experimental post-test only with control group design. The analytical unit consisted of 96 tuberculosis cases as the self-monitoring group of calendar documentation (intervention) and 87 tuberculosis cases as the control group sourced of two different primary health care. Results: The self-monitoring intervention of calendar documentation increased the average treatment effect on medicines intake control 0.11 (95% CI: 0.01-0.21), environment control 0.32 (95% CI: 0.19-46), droplets nuclei control 0.49 (95% CI: 0.36-0.61), cured 0.22 (95% CI: 0.09-0.36), completed 0.18 (95% CI: 0.09-0.26), drop out 0.09 (95% CI: 0.01-0.16), and failure of treatment 0.18 (95% CI: 0.09-0.26) of the control group (baseline). Conclusion: The final result of this research found a new surveillance model of tuberculosis transmission control in google earth mapping aplication based on Geographic Information system.
Banda Aceh city is dominated by coastal areas which are vulnerable areas as malaria vector breeding sites, Syiah Kuala Sub-district is one of the Sub-districts located in coastal areas with Annual Malaria Incident of 133 cases in 2017. This study aims to analyze coastal environmental factors and social environment against malaria. This type of research is a survey, using the mixed method model Concurrent Embedded method with a population of all households in 6 Villages of 5,628 households taking a sample of 112 respondents using the proportion formula. Data collection was done through questionnaires, observations, distance measurements and in-depth interviews with 6 informants, the data were analyzed bivariately using the chi-square test. The results showed that there were influences of lagoons, fish ponds, activities at certain times and knowledge of the incidence of malaria. Maintenance of malaria elimination can be optimized with coordinated, integrated planning and implementation efforts in the malaria breakdown forum. Raising and enhancing partnerships with various programs, sectors, NGOs, religious organizations, professional organizations, international organizations, donor institutions, business institutions and all levels of society by conducting migration surveys, investigating at-risk residents and monitoring the mobility of people who come and go to endemic areas to prevent malaria cases from re-entering. Malaria vector control in larva and positive larvae in the location focus by involving the community to support malaria elimination maintenance programs, especially in potential mosquito breeding sites such as lagoons, unproductive fish ponds by maintaining tilapia and blue panchax.
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