Dengue Hemorrhagic Fever is an infectious disease caused by dengue virus and transmitted by Aedes aegypti mosquitoes. The data of DHF patients of Public Health Department Palu of 2014 were 580 patients, in 2015 were 653 patients and 2016 were 637 patients. The data indicate that the incidence of DHF in Palu City in 2014-2016 fluctuates. This research aims to find out the Environmental Risk Analysis and the Use of insect repellent on Dengue Hemorrhagic Fever at Kamonji Public Health Center Palu. The type of research used in this research is observational research using case control method. The case subjects were DHF patients and the control group was people who did not suffer from DHF in the working area of Kamonji Public Health Center. Case samples were 93 and control 93 by matching sex, age and case location. Sampling was done with total sampling. The research analysis used odd ratio test. The results show that the use of mosquito repellent (OR=3.870 and CI=2.099-7.138), waste processing (OR=2.895 and CI=1.593-5.261), water reservoir (TPA) (OR=2.005 and CI=1.118-3.596), exposure (OR=3.018 and CI=1.660-5.486), and ventilation (OR=2.292 and CI=1.274-4.123) is a risk factor of DHF at Kamonji Public Health Center Area Palu City in 2016. To cope with the risk of DHF incidence should always behave healthy and clean the environment in around the home.
Keberadaan jentik nyamuk erat kaitannya dengan angka kejadian Deman Berdarah Dengue (DBD). Data Sulawesi Tengah tahun 2019 kasus DBD berjumlah 170 kasus dan Incidance Rate sebesar 35,54/100.000 penduduk dengan CFR sebesar 0,65% dan IR yang masih di atas indikator nasional yaitu 52/100.000 penduduk. Tahun 2019 kejadian DBD di Puskesmas Sangurara dilaporkan berjumlah 145 kasus DBD dengan 1 orang meninggal. Perkembangan penyakit ini sangat cepat dan menyebabkan kematian dalam waktu yang singkat, salah satu faktor yang menyebabkan kasus DBD adalah banyaknya keberadaan jentik nyamuk. Tujuan penelitian ini adalah untuk mengetahui Faktor yang Berhubungan Dengan Keberadaan Jentik Nyamuk Aedes Aegepty di Wilayah Kerja Puskesmas Sangurara Kota Palu. Populasi dalam penelitian ini adalah rumah masyarakat yang berjumlah 2.700 KK menggunakan rumus lameshow diperoleh jumlah sampel 109 KK, alat ukur menggunakan kuisioner dan lembar observasi yang diambil dari masing-masing kelurahan teknik pengambilan sampel menggunakan proportional stratified random sampling dan menggunakan uji chi-square. Analisis data dilakukan secara univariat dan bivariat pada derajat kepercayaan 95% (α=0,05). Hasil menunjukkan pengetahuan (p=0,000), Sikap (p=0,001), Warna TPA (p=0,000) Tutup TPA (p=0,000) dan Peran Petugas kesehatan (p= 0,000), berhubungan dengan Keberadaan Jentik. Di harapkan pengelola program DBD khusunya survey jentik agar lebih meningkatkan penyuluhan dan sering melakukan pemeriksaan jentik.
Pengawasan dan pengendalian Schistosomiasis merupakan prioritas masalah kesehatan masyarakat di Sulawesi Tengah. Penelitian tunggal tidaklah cukup mendasari pengambilan kebijakan dan penyusunan program eliminasi yang komprehensif, sehingga diperlukan sebuah review sistematik untuk memperoleh gambaran terkait faktor sosial budaya, kondisi lingkungan dan faktor-faktor penghambat tercapainya target eliminasi. Hasil review dari 34 jurnal dan 4 laporan tahunan terpublikasi melalui PubMed, Google Scholar, Web of Science, Research Gate, Biomed Central, diketahui bahwa kesadaran masyarakat menjadi kunci mencapai target eliminasi. Hasil review ini dilanjutkan dengan Focus Group Discussion (FGD) untuk menggali pengetahuan dan perilaku masyarakat yang merupakan faktor risiko Schistosomiasis. Pada dasarnya peserta sudah memahami bahwa penggunaan air parit/sungai dan bekerja diwilayah fokus tanpa sepatu boot merupakan faktor risiko infeksi Schistosomiasis, namun mereka belum mampu merubahnya. Hal ini disebabkan sarana air bersih sangat terbatas dan penggunaan sepatu boot dianggap kurang nyaman terutama jika bekerja disawah. Program-program eliminasi saat ini diantaranya penyuluhan rutin terkait upaya preventif, namun belum maksimal dalam mendorong perubahan mindset masyarakat untuk lebih mengutamakan tindakan pencegahan dibandingkan menerima pengobatan. FGD ini berjalan cukup efisien, peserta berperan aktif dan secara terbuka memberikan masukannya. Melalui FGD ini juga mengemuka ide membentuk kader Schistosomiasis tingkat RT di desa-desa endemik dan berpotensi endemik. Hal ini diharapkan dapat lebih mendorong partisipasi masyarakat sehingga cakupan pemeriksaan tinja rutin dapat tercapai, masyarakat mau menggunakan sepatu boot serta menggunakan air bersih yang aman. Penyediaan sarana dan prasarana sanitasi, pembangunan irigasi, senpadan dan penanda wilayah fokus keoang sangat penting untuk mendukung perubahan perilaku masyarakat, ini dapat diwujudkan melalui kerjasama lintas sektor.
Diarrhea can infect victims of disasters due to the poor sanitation and the unavailability of clean water facilities caused by disaster damage. Biromaru Public Health Center is the health center with the highest diarrhea cases in earthquakes and liquefaction disasters. The purpose of this study was to determine the relationship between personal hygiene and food processing on the incidence of diarrheal diseases in post-disaster toddlers in the evacuation area of Biromaru Public Health Center. This research is analytic observational. Samples in the study were 130 respondents, taken using the proportional stratified random sampling method. Data were analyzed using univariate and bivariate analysis with a chi-square test using ɑ = 5%. Chi-square test results showed hand washing with soap habits (ρ = 0,000), nail hygiene (ρ = 0,000) and food processing (ρ = 0,000). The conclusion of this study there is a relationship between hand washing with soap habits with the incidence of toddler diarrhea in the refugee working area of the Biromaru Public Health Center, there is a relationship between nail hygiene with the incidence of toddler diarrhea in the refugee working area of the Biromaru Public Health Center, and there is a relationship between food processing and the incidence of toddler diarrhea in the refugee working area of the Biromaru Public Health Center. We expected mothers/caregivers of toddlers to take hand washing with soap actions, maintain nail hygiene, and process food properly
Background: The problem generally faced by hospital is unable to provide something really needed by the customers. One of the main factors is the poor marketing mix of hospital that impacts to low quality and influences the patients loyality.Objective: The research aims to investigate the relationship between marketing mix and patient loyalty in intensive care unit at Anutapura Public Hospital Palu.Methods: This was a cross sectional study involving 97 persons who were randomly selected without considering the level of population. The data were analyzed thought univariat and bivariat on the significance level 95% (p0,05). The marketing mix concept of 7P (product, price, place, promotion, people, process, dan physical evidence). Was used to guide this study.Results: The result of chi-square test indicated that there was a relationship of marketing mix product (p= 0,01), price (p= 0,00), promotion (p= 0,04), people (p= 0,00); and no relationship of marketing mix place (p= 0,21), process (p= 1,00), dan physical evidence (p= 1,00) with patient loyalty.Conclusion: It is expected tht the hospital of Anutapura Palu could increase the strategy of marketing mix for the sake of keeping the patients loyalty as the profit value of the hospital, especially for marketing place, process, and physical evidence.
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