Sebagai aset utama pembangunan bangsa, sumber daya manusia selalu dijadikan tolak ukur keberhasilan kualitas pembangunan suatu bangsa. Indonesia berada di urutan 111 dari 176 negara-negara di dunia, atau urutan ke 6 dari 10 negara-negara Asia Tenggara (Asean). Artikel ini bertujuan untuk membahas berbagai aspek ketertinggalan bangsa Indonesia di bidang kesehatan serta upaya untuk memperbaikinya. Metoda yang digunakan adalah kajian yang rasional melalui tinjauan pustaka dan pemikiran yang logis. Untuk mengejar ketinggalan di bidang kesehatan perlu dilakukan perubahan pradigma dari “health for survival” yang berorientasi pada orang sakit dan mengutamakan kuratif dan rehabilitatif kepada “heath for human development” yang mengutamakan orang sehat yang berorientasi pada promotif dan preventif. Aset utama bangsa meliputi sumber daya alam (SDA) dan sumber daya manusia (SDM). Namun, sumberdaya manusia berperan lebih menentukan karena peranannya dalam mengelola sumber daya alam. Dalam pembangunan bangsa aspek kualitas lebih penting daripada kuantitas yang telah menempatkan bangsa Indonesia peringkat keempat terbesar di dunia, setelah India, Cina dan Amerika Serikat. Urutan Indonesia yang jauh di bawah Singapura, Jepang dan Korea membuktikan bahwa kualitas sumber daya manusia Indonesia masih rendah.Kata kunci : Kesehatan, pembangunan, sumber daya manusia.AbstractAs the main asset of national development, human resource is always used as success indicator of quality development in the country. Indonesia ranked in position 111 out of 176 countries in the world, ranked number 6 out of 10 Southeast Asian (ASEAN) countries. This article aimed at discussing aspects relating to the slow and under development of health sector and efforts to accelerate it. Method used is rational review through literature review and logical thinking. To catch up health sector under development, there is a need for paradigm change from “health for survival” which is oriented toward sick people and prioritizing curative and rehabilitative approaches to “health for human development” which is oriented toward healthy people and prioritizing promotive and preventive approaches. Main assets of a nation include natural resources and human resources, however, human resources is deemed more important due to its role to manage the natural resources. In national development, quality is more important than quantity. Quantitatively, Indonesia ranked fourth after India, China, and USA as the most populated countries, but in term of rank of development index, Indonesia is positioned far below Singapore, Japan, and Korea which are less populated an inarguable evidence of low quality of Indonesia’s human resources.Keywords : Health, development, human resources.

Coronary heart disease (CHD) is a chronic inability of heart to draw an adequate blood on myocardium due to specific problem in coronary artery. When the artery that supplies myocardium is interrupted, thus the heart is unable pumping the blood effectively to fill up an adequate blood perfusion to vital organs and other peripheral tissues. If the perfusion is impaired in time of oxygenation, the patient will threatened by a sudden death. This is a quantitative, analytical and observational research with a design of case study control, in which the subject is CHD patients and the control is non-CHD patients. The research populations were 2318 outpatients with CHD who visited Heart Polyclinic at Zainoel Abidin Hospital Banda Aceh. The sample studied were 92 patients with CHD and 92 patients with non-CHD (control). We used primary and secondary data that processed through editing, coding, entry, cleaning and tabulating. The data was analyzed using univariate, bivariate and multivariate analysis. The results showed that the CHD occurrences are significantly influenced by eating behavior (p = 0,000), smoking habit (p = 0,000) and sporting habit (p = 0,000). Therefore, health workers are expected to increase health promotion in order to improve the quality of life of people, especially in elderly people, by adopting a healthy lifestyle and avoiding CHD risk factors. Moreover, people are also suggested to take regular lipid profile check up and keep off smoking habit in order to do early prevention of CHD.

AbstrakMenurut data Riskesdas (2013) sebanyak 40 persen orang meninggal karena serangan jantung tidak mengetahui kalau dirinya mengidap penyakit jantung koroner. Bila ditinjau dari gaya hidup masyarakat Aceh ada beberapa faktor risiko meningkatkan kejadian PJK terutama bila dilakukan secara berlebihan, antara lain merokok, minum kopi, makan makanan berlemak dan kurangnya aktifitas fisik serta tidak mampu mengendalikan stress. Faktor-faktor tersebut sebagai gaya hidup sangat berpotensi meningkatkan risiko PJK yang dibuktikan dari beberapa laporan statistik menunjukkan PJK di Aceh tertinggi. Tujuan penelitian untuk menganalisis determinan gaya hidup penderita penyakit jantung koroner di Rumah Sakit Zainoel Abidin. Penelitian kuantitatif dengan desain case control pada Bulan April 2017 di RSUD Zainoel Abidin menganalisis 206 kasus PJK dan 206 non PJK berdasarkan dokumen rekam medik dan menggunakan kuesioner tentang gaya hidup yang telah diuji validitas dan reliabilitas. Hasil penelitian menunjukkan determinan gaya hidup yang berhubungan bermakna adalah pola pengendalian stress, gaya hidup dan minum kopi dengan PJK (p<0,05), sedangkan pola makan tidak menunjukkan hubungan bermakna dengan PJK (p>0,05). Determinan gaya hidup yang paling dominan sebagai faktor risiko PJK adalah pengendalian stress dan kebiasaan minum kopi, yaitu pasien dengan riwayat pengendalian stress yang kurang efektif dan kebiasaan minum kopi lebih berisiko 4 kali dibandingkan pasien dengan pola pengendaian stress yang efektif dan tidak memiki kebiasaan minum kopi. Pengaruh gaya hidup terhadap PJK turut dipengaruhi oleh faktor pendapatan. Implikasi penelitian menawarkan kebijakan keterlibatan aktif berbagai pihak untuk melakukan upaya-upaya promotif dan preventif dengan melibatkan masyarakat dengan mengembangkan berbagai inovasi. Kata Kunci: Determinan, gaya hidup, penyakit jantung koroner, RS Zainoel Abidin AbstrackAccording to Riskesdas data (2013) as many as 40 percent of people die due to no heart attack know that he has coronary heart disease. When viewed from the lifestyle of the people of Aceh there are several risk factors for increasing the incidence of CHD, especially if done excessively, including smoking, drinking coffee, eating fatty foods and lack of physical activity and unable to control stress. These factors as lifestyle have the potential to increase the risk of CHD as evidenced by several statistical reports showing the highest CHD in Aceh. The purpose of this study was to analyze the lifestyle determinants of patients with coronary heart disease at Zainoel Abidin Hospital. Quantitative research with case control design in April 2017 at Zainoel Abidin Regional Hospital analyzed 206 cases of CHD and 206 non-CHDs based on medical record documents and used a questionnaire about lifestyle that had been tested for validity and reliability. The results showed that lifestyle determinants that were significantly related were stress control patterns, lifestyle and drinking coffee with CHD (p <0.05), while diet did not show a significant r...

Kontrasepsi digunakan untuk merencanakan kapan kehamilan akan berlangsung dan juga untuk mengatur jarak antara kelahiran pertama dan kelahiran berikutnya. Hasil wawancara langsung dari 10 WUS menggunakan Non. MKJP ada 7 WUS dan yang menggunakan MKJP ada 3 WUS. Tujuan dari penelitian ini yaitu mempelajari dan menjelaskan tentang hubungan pengetahuan dan sikap terhadap pemilihan alat kontrasepsi jangka panjang pada wanita usia subur di Wilayah Kerja Polindes Kefa Utara Kab. TTU Prov. NTT tahun 2021. Penelitian ini bersifat kuantitatif dengan pendekatan cross sectional. Teknik sampling menggunakan accidental sampling. Populasinya 830 WUS dan sampelnya 106 WUS. Data diolah dan dianalisa dengan cara analisis univariat, analisis bivariat dengan uji Chi-Square dan analisis multivariat dengan regresi logistic. Penelitian ini menemukan WUS menggunakan alkon MKJP sebanyak 35,80%. Hasil analisis bivariat, variabel yang berhubungan secara signifikan pengetahuan dan sikap. Dan variabel yang paling dominan adalah pengetahuan. Diharapkan bagi tenaga kesehatan dapat melakukan penyuluhan langsung dengan melibatkan para kader KB sehingga dapat mempercepat terwujudnya peningkatan jumlah penggunaan MKJP.

Completeness of immunization is something that is already complete, while is an effort to provide immunity to infants and children by incorporating BCG, Hepatitis, Polio, DPT, Measles vaccines into the body so that the body makes antibodies to prevent disease. The factors of completeness of immunization are knowledge, attitudes, availability of facilities and infrastructure, affordablity of distance, the role of posyandu cadres, the role of health workers and the role of the husband. The purpose of this study was to determine the factors that most influence the completeness of basic immunization for infants at the Semparuk Sambas public health center. This research is quantitative with a cross sectional approach. The population in this study were all mothers who had babies age 9-12 months as many as 129 mothers. Sampling technique by means of total sampling. Analyze using multiple logistic regression test using SPSS 16.0. The results of the study that the completeness of immunization in infants was 69%. The results of logistic regression showed that there was a ralitonship between education, work, attitudes, the role of posyandu cadres, the role of health workers and the role of the husband. Attitude is the most dominant variabel with an OR 3,444. Its hoped that the more positive the mother attitude will tend to pay attention to the schedule of giving immunization to her baby, the positive mother attitude will be better in giving the perception of something she knows.Keyword: immunization equipment, attitude, the role of health workers