Latar Belakang: Difteri adalah penyakit pada saluran pernapasan bagian atas yang disebabkan oleh bakteri Corynebacterium Diphtheriae. Kasus difteri di Rumah Sakit Umum Kabupaten Tangerang bulan agustus hingga desember tahun 2017 sebanyak 44 kasus dan meningkat kembali pada tanggal 01 Januari 2018 hingga 31 Maret 2018 sebanyak 44 kasus, tahun sebelumnya tidak ditemukan kasus difteri.Tujuan: Tujuan penelitian ini adalah untuk memahami dan menjelaskan faktor-faktor yang berhubungan dengan kejadian difteri di rumah sakit umum kabupaten tangerang tahun 2018.Metode: Metode penelitian yaitu penelitian kuantitatif menggunakan desain case control. Teknik pengambilan sampel kasus dengan total populasi sebanyak 21 anak dan sampel kontrol menggunakan simple random sampling dengan perbandingan 1:1 maka sebanyak 21 anak sehingga total sampel 42 anak. Analisis univariat menggunakan persentase, bivariate menggunakan chi-square dan multivriat menggunakan regresi logistik ganda.Hasil: Hasil penelitian menunjukkan variabel yang berhubungan signifikan dengan kejadian difteri adalah jenis kelamin (p=0,011; OR=5,667), pendidikan orang tua (p=0,024; OR=4,675), pekerjaan orang tua (p=0,013; OR=0,200) dan imunisasi pentabio (PB)3 (p=0,014; OR=7,125). Variabel yang dominan terhadap kejadian difteri adalah imunisasi pentabio (PB)3 (p=0,020; OR 25,051). Kesimpulan: variabel yang dominan terhadap kejadian difteri adalah kelengkapan imunisasi pentabio (PB)3 setelah di kontrol variabel umur, jenis kelamin, pendidikan orang tua dan pekerjaan orang tua. Saran untuk Rumah Sakit Umum Kabupaten untuk terus menggalakkan program pemerintah dalam imunisasi dasar. Dinas Kesehatan Kabupaten Tangerang meningkatkan pentingnya imunisasi dengan memberikan penyuluhan dan meningkatkan kualitas pelayanan kesehatan ke masyarakat.
Neonates are newborns up to 28 days old, where there is a very big change from life inside the womb to outside the womb. Lactation counseling is most effective for increasing exclusive breastfeeding in infants. The success of exclusive breastfeeding cannot be separated from being influenced by several factors including age, level of education, experience and husband's support. Mothers who give birth for the first time do not have health information about breastfeeding, so midwives need to conduct lactation counseling. Lactation counseling about exclusive breastfeeding, how to care for breasts and proper breastfeeding techniques. This case study describes the management of midwifery care for Mrs. A, a 20-year-old primipara, who was confused about caring for a baby after giving birth. Handling efforts are carried out with a lactation counseling and guidance approach. Case studies use assistive devices in the form of a midwifery care format for normal newborns and status sheets or patient documentation and a list of interview questions. Data analysis used is data reduction, data presentation and conclusion. The result of the case study was that Mrs. A's baby's weight increased by 550 grams for 14 days after being given lactation counseling and breastfeeding guidance. Comprehensive midwifery care provided increases mothers' understanding of newborn care.
The stage of growth and development of young women will be disrupted if anemia occurs. Anemia in adolescents is a problem that requires great attention because the incidence of anemia in adolescent girls is still very high, namely 72.3%. This study aims to determine the effect of giving green beans to increase hemoglobin levels in adolescent girls at UPT Paccing Health Center, City of Bone. The research method is quasi-experimental with a one group pretest and posttest design, sampling using accidental sampling technique where 30 samples of young women are obtained. This research uses a digital hemoglobin measuring device and an observation sheet. The research was carried out by giving 700 grams of green beans per day and then consumed in the form of green beans which were consumed for 18 days. The results of pre-post measurements showed that female adolescents whose hemoglobin was normal from 43.3% increased to 80%, those with mild anemia from 43.3% decreased to 20% while those with severe anemia were 13.3% to 0%. The results of the chi-square test showed that giving green beans to young women had an effect on increasing hemoglobin (p = 0.000). So that consuming green bean vegetables can be used as an alternative and prevention of the incidence of anemia in young women.
Following the Child-Friendly School (CFS) Guidelines made by the Deputy for Child Development, Ministry of Women Empowerment and Child Protection (2015), one of the components that must be fulfilled is a commitment to make schools a Smoke-Free Area (SFA). Kulon Progo has District Regulation No. 5 of 2014 concerning SFA, thus it can be used as a commitment by a school guide, making it an SFA. The results of interviews with the District Social Service for Women's Empowerment and Child Protection Office stated that CFS currently remains at the initiation stage. Efforts should be made to create comfortable learning conditions for children with the support of the SFA District Regulation in the formation of CFS in Kulon Progo Regency. Analysis of the implementation monitoring checklist/compliance with District Regulation No. 5/2014 concerning SFA in 2020 which is carried out by the SFA supervision task force. Descriptive analysis method by looking at trends based on the proportion of the 10 variables used. The results of the data study show that 89.5% have been exposed to the socialization of District Regulations, 52.6% have a supervisory task force, 86.8% have installed SFA signs at the Entrance, 100% have a smoking ban warning installed, 23.7% has a place specifically for smoking, 10.5% found an ashtray in the building, 7.9% found cigarette butts, 2.6% found cigarette advertisements, 5.3% found cigarette sellers, 7.9% smoked people. From the data analysis, it is known that 81.58% have complied with SFA. However, this compliance is not optimal. This is indicated by the high percentage of availability of designated smoking areas in schools and ashtrays, cigarette butts, cigarette advertisements, cigarette sellers, and smoking people found. Schools should have a zero percentage in these variables; thus, they are not fully committed as a condition for the formation of CFS. It is necessary to optimize the application of District Regulations to create a smoke-free school environment as evidenced by not providing smoking places in schools, not allowing cigarette advertisements, smoking outside, and imposing sanctions for non-smoking violators in the school environment. Keywords: Support, Smoke-Free Area (SFA), Child Friendly Schools, Kulon Progo
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