Latar Belakang: Kesehatan mental merupakan sektor penting dalam mewujudkan kesehatan secaramenyeluruh. Terdapat sekitar 450 juta orang menderita gangguan mental dan perilaku di seluruh dunia,terbanyak di India (4,5%). Satu dari empat orang menderita satu atau lebih gangguan mental selama masahidup mereka. Gangguan mental jika tidak ditangani dengan tepat, akan bertambah parah, dan akhirnya dapatmembebani keluarga, masyarakat, serta pemerintah. Studi ini bertujuan mengetahui situasi kesehatan mentalpada masyarakat Indonesia dan strategi penanggulangannya.Metode: Tulisan ini menggunakan analisis deskriptif eksploratif, melalui tinjauan literatur dan kajian datasekunder. Unit analisis yaitu situasi kesehatan mental di Indonesia.Hasil Penelitian: Berdasarkan kajian data Riskesdas 2013 diketahui prevalensi gangguan mental berat padapenduduk Indonesia 1,7%, terbanyak di Yogyakarta, Aceh, Sulawesi Selatan. Adapun gangguan mentalemosional dengan gejala-gejala depresi dan kecemasan sekitar 6%. Hingga saat ini, masih terdapat stigmadan diskriminasi terhadap orang dengan gangguan mental di Indonesia, sehingga mengalami penangananserta perlakuan salah seperti pemasungan. Oleh karena itu strategi yang optimal perlu dilakukan bagi setiapindividu, keluarga dan masyarakat dengan pendekatan promotif, preventif, kuratif, dan rehabilitatif secaramenyeluruh, terpadu dan berkesinambungan. Kesehatan mental dapat ditingkatkan dengan intervensikesehatan masyarakat yang efektif. Paradigma dalam gerakan kesehatan mental yang lebih mengedepankanpada aspek pencegahan serta peran komunitas untuk membantu optimalisasi fungsi mental individu.Kesimpulan: Masih banyaknya kasus gangguan kesehatan mental pada masyarakat, dan penanganannyayang salah di Indonesia. Pemerintah perlu melakukan upaya penanggulangan yang menyeluruh, dimulaiadanya peraturan kebijakan yang menjadi dasar dukungan pendanaan dan akses ke pelayanan kesehatanmental serta didukung pendekatan berbasis komunitas.Kata kunci: adanya peraturan kebijakan yang menjadi dasar dukungan pendanaan dan akses ke pelayanan kesehatanmental serta didukung pendekatan berbasis komunitas.Kata kunci: Depresi, gangguan mental, psikososial, psikososial, skizofrenia., gangguan mental, psikososial, pemasungan, skizofrenia.
Chronic diarrhea is defecation with a frequency of 3 or more times in infants and children lasting for 14 days. The impact of diarrheal disease in general causes loss of fluid in the body (dehydration) and chronic diarrhea can cause a child to experience poor nutritional status and experience growth failure. This study uses a case-control design using a retrospective approach. The number of samples in this study was 135 respondents. Instruments for collecting data in the form of questionnaires and observations. Data were analyzed by univariate, bivariate using the Chi-Square test, and multivariate analysis with multiple logistic regression. The statistical test results obtained p-value on the variables of clean water supply (0.007), latrine ownership (0.001), sewerage system (0.04), confidence degree 95% Confidence Interval (95% CI) and p-value ˂ 0, 05, it can be concluded that there is a significant relationship with chronic diarrheal disease in infants. The results of multiple logistic regression tests, on the variable wastewater discharge obtained OR = 3.801, meaning that sewerage is closely related to causing chronic diarrheal disease in infants.
Feeding or eating good upbringing which affects the development growth and intelligence of children. For that it is necessary feeding patterns or parenting eat right and balanced in order to stay healthy and avoid infection or other diseases related to nutrition. A balanced diet is eating according to composition of food that our body needs in portions adapted to needs of children at each age. Respondents in this study are the parents of kindergarten children Rabbani North Indaralaya with range of aged 4-6 years. Implementation of FGD was attended by 12 people, consisting; three researchers, two minutes, and seven respondents. Respondents selected through purposive sampling, based on predetermined criteria and is considered capable of answering research problems. The purpose of study is to explore more deeply about parenting feeding mothers in Ogan Ilir associated with understanding (the concept of balanced nutrition, quantity of feeding practices in terms, frequency, form, variety and type of food). This study used a qualitative approach. The data collection technique are Focus Group Discussion. Data processing was done manually using content analysis method (analysis). The results showed majority of mothers do not understand that concept of balanced nutrition, for this aspect the number of feeding infants in Ogan Ilir still do not meet the nutritional needs to children as seen from the children often do not prepared food to consume by their mother if the child does not like the dishes being served. From the aspect of the frequency almost mothers only give meal 2-3 times and 1 times a additional food during the day. From this aspect of mother form has given the same food with family to meal but this menu give only food in like a child. In terms of variety of food provided to children are still less and almost children do not consume vegetables and fruit. Mother feeding patterns in children is not good, lack of parental support in providing food resulted in children accustomed to eating that is not good. Appropriate educational media is required age of children to increase the child's knowledge about nutritious food and motivate children to want to eat nutritious food.
Many countries are trying to achieve Universal Health Coverage. Indonesia wanted to do this by implementing National Health Insurance in 2014. The purpose of this study is to explore the demand for health services based on visits to service providers, for both outpatient and inpatient care. This study used secondary data from wave five of the Indonesia Family Life Survey (IFLS). The sample used in this study comprised 34,177 individuals who were aged >15 years old. In this study, the demand for health services was measured based on whether respondents had visited a healthcare facility and their number of visits to healthcare facilities. Data was analysed using bivariate analysis with chi-square and multivariate analysis using the negative binomial regression model and probit model. The proportion of respondents visiting healthcare facilities for outpatient care was 16%, while for inpatient visits it was 5%. Both models produced almost the same effect in indicating the probability of individuals visiting a healthcare facility and their number of visits. Age, gender, marital status, education level, economic level, having health insurance, region, health status, chronic disease, and the number of diseases were statistically significant (P < 0.001) in influencing outpatient service demand. Age, gender, marital status, education level, economic level, having health insurance, regional status, health status, and the number of diseases were statistically significant (P < 0.001) in influencing inpatient service demand. Individual characteristics, demographics, and health status were independent factors associated with demand for healthcare services. The government should consider these factors in expanding health service demand in Indonesia.
Local-food-based complementary feeding (LFBCF) practice may be an important approach in the growth and development of children aged 6 to 24 months. This study aimed to describe potential barriers in implementing local food-based complementary feeding practices among mothers in Banyuasin regency, Indonesia. A qualitative study was conducted by using 24 semi-structured interviews and a focus group discussion. Participants were 24 mothers with children aged 6 to 24 months in Banyuasin Regency, Indonesia that recruited purposively. Data were analyzed using thematic analysis. The majority of the mothers were 20-30 years old. All participants have implemented LFBCF practice because local food ingredients are easy to find locally at an affordable price. Community cadres assisted village midwives in integrated health post service such as disseminating information concerning local food recipes and facilitating information exchange among mothers regarding complementary feeding practice. Three main emerged themes identified from this study were: mother's knowledge about local food recipes, mother's knowledge about healthy complementary food preparation, child-eating behavior. Improving the nutritional status of children starts with the family by motivating mothers to provide complementary foods, which also requires the support of local cadres.
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