The Medsains Scientific Journal is a scientific journal in the fields of Health that helps academics, researchers and practitioners in publishing their scientific articles as open references that can be accessed for various purposes.
Unit Penelitian dan Pengabdian Masyarakat Politeknik Banjarnegara
OVERVIEW OF KNOWLEDGE ATTITUDES AND PRACTICES AMONG DENGUE FEVER PATIENTS IN THE WORKING AREA OF BAWANG 1 HEALTH CENTER
Dengue Hemorrhagic Fever (DHF) remains a public health issue in Indonesia. In 2024, a total of 210,644 cases were reported, including 94 cases in the working area of UPTD Bawang 1 Health Center from January to March 2025. This highlights the importance of understanding community behavior in controlling DHF. This study aims to describe the knowledge, attitudes, and practices of DHF patients as a basis for prevention strategies.This research is a descriptive study with a cross-sectional approach, conducted in May–June 2025 involving 49 DHF patients selected using random sampling. Data were collected through questionnaires, observations, and secondary data from the health center. Univariate analysis was used to assess the frequency distribution of each variable.The results showed that most patients were female (61.2%), aged between 12–25 years, and were students. The majority of respondents had good knowledge (69.4%), positive attitudes (95.9%), and positive practices (98%) related to DHF prevention.In conclusion, DHF patients in the UPTD Bawang 1 Health Center area demonstrated good knowledge and behavior in preventing DHF. The health center is expected to collaborate with village authorities in formulating policies related to population mobility to help prevent the spread of DHF.
Copyright (c) 2025 Medsains Scientific Journal
OVERVIEW OF SANITATION AND BACTERIOLOGICAL QUALITY OF PRODUCTION WATER AT DRINKING WATER DEPOTS IN THE WORKING AREA OF PUNGGELAN 1 HEALTH CENTER
Safe drinking water is a primary need for supporting public health. Drinking Water Depots (DWDs) are an alternative source of clean water, yet require proper supervision to ensure safety. This research aims to describe the sanitation and bacteriological quality of production water in DWDs in the working area of Puskesmas Punggelan 1. The study uses a descriptive quantitative design with a cross-sectional approach. Data were collected using observation checklists, interviews, and laboratory tests for Coliform and Escherichia coli. Results showed 65% of DWDs met sanitation standards, 100% met equipment sanitation, and 75% met hygiene standards. Bacteriological analysis revealed 45% of water samples were free from Coliform, and 85% were free from E. coli. The study concludes that while sanitation is generally met, improvements in water quality are needed to align with Indonesian Ministry of Health Regulation No. 2 of 2023.
OVERVIEW OF LIQUID WASTE MANAGEMENT AND QUALITY TESTING AT THE HEALTH CENTER OF BANJARMANGU 2
The Wastewater Treatment Plant (IPAL) plays a crucial role in preventing environmental pollution caused by liquid waste from healthcare services in community health centers. However, many IPAL units in primary healthcare facilities still operate suboptimally. This study aimed to describe the management of the IPAL and the results of physicochemical wastewater testing at UPTD Banjarmangu 2 Public Health Center, as well as to evaluate its compliance with the quality standards based on Regulation of the Minister of Environment and Forestry No. P.68 of 2016. This descriptive research used a cross-sectional approach. Data were collected through direct observation, pH and flow rate measurements using measuring instruments, and laboratory tests for BOD, COD, ammonia, and TSS. Wastewater samples were taken three times from the IPAL outlet using grab sampling. The results showed that eight out of nine IPAL components met technical standards, except for the absence of a grease trap. All laboratory test parameters met the quality standards: pH (7.6–8), BOD (15–18 mg/L), COD (25–29 mg/L), ammonia (<0.03 mg/L), TSS (17–20 mg/L), and flow rate (73–79 L/person/day). It is concluded that the IPAL at UPTD Banjarmangu 2 has met the required quality standards. It is recommended to install a grease trap and conduct regular laboratory tests to maintain IPAL performance and prevent environmental pollution.
OVERVIEW OF KNOWLEDGE, ATTITUDES, AND PRACTICES OF REFILL WATER DEPOT OPERATORS AND MICROBIOLOGICAL TESTING OF DRINGKING WATER IN THE WORKING AREA OF PUNGGELAN 2 COMMUNITY HEALTH CENTER IN 2025
Refill Drinking Water Depots (DAM) are one of the main sources of drinking water for the community due to their practicality and affordability. However, the quality of the refill water produced by DAMs remains a concern, particularly in relation to microbiological contamination such as Escherichia coli and Coliform, which can pose health risks. An inspection of DAMs in the working area of UPTD Puskesmas Punggelan 2 in January 2025 found Coliform bacteria in two DAMs, indicating suboptimal implementation of hygiene and sanitation principles. This study aims to describe the knowledge, attitudes, and practices of DAM operators, as well as to assess the microbiological quality of drinking water in the working area of UPTD Puskesmas Punggelan 2. This research was conducted in May–June 2025. The study is descriptive in nature and used a cross-sectional approach through interviews and observations, with data collection instruments in the form of questionnaires and checklists. The subjects of the study were all operators and DAMs within the scope of UPTD Puskesmas Punggelan 2. The results showed that 57.1% of operators had moderate knowledge, 71.4% displayed positive attitudes, but only 42.9% demonstrated hygienic practices. Microbiological test results revealed that two depots were still contaminated with Coliform and E. coli bacteria. The findings indicate that Coliform and E. coli contamination is not directly related to the operators’ knowledge and behavior. There is a need to improve hygiene and sanitation training, provide regular supervision from the Health Center and Health Department, and implement strict monitoring of DAM operational practices.
OVERVIEW OF KNOWLEDGE, ATTITUDES AND BEHAVIORS OF TUBERCULOSIS (TB) PATIENTS IN THE WORKING AREA OF UPTD PUNGGELAN 1 HEALTH CENTER 2024
Tuberculosis (TB) is an infectious disease caused by the Tuberculosis germ (Mycobacterium Tuberculosis). Tuberculosis is included in 10 environment- based infectious diseases in the 3rd rank in the working area of the Punggelan 1 Health Center. The purpose of this study is to find out the overview of knowledge, attitudes and behaviors of TB patients towards the disease, prevention and treatment of TB in the work area of UPTD Pukesmas Punggelan 1. This study is a descriptive research with a cross sectional method and by interview method with a sample of 47 respondents. The variables studied were the characteristics of the respondents (age, gender, education, occupation) , home condition of the patient as well as knowledge, attitude and behavior. This research was carried out in May-June 2024, located in the work area of the UPTD Punggelan 1 Health Center. The results of the study showed that the age characteristics of the respondents were most commonly found in the adult age category (1) 76.6%, male 61.7%, low education level 80.9%, the type of work the majority of workers 34.0%, and the condition of the patient's home with the unhealthy category of 87.2%. Meanwhile, the respondents' knowledge about tuberculosis and prevention and treatment was in the good category of 83.0%, the respondent's attitude was classified as good 89.4%, and the respondent's behavior was good 93.6% The conclusion of this study is that the knowledge, attitudes and behaviors of the largest respondents are in the good category, but there are still many respondents' houses with unhealthy house categories. The Punggelan 1 Health Center needs to carry out follow-up programs to increase awareness of the importance of a healthy home environment in the prevention and treatment of tuberculosis as well as conduct routine monitoring and periodically evaluate the programs that have been running to ensure their effectiveness.
ANALYSIS OF NUTRITIONAL STATUS OF PREGNANT WOMEN IN THE 3RD TERM IN BANJARNEGARA REGENCY
The nutritional status of pregnant women is a crucial factor determining maternal health and fetal development, particularly during the third trimester, a period of rapid fetal growth. Risk factors such as nutritional status, anemia, gestational age, socioeconomic status, and maternal health behaviors significantly influence the incidence of stunting in children. Therefore, analyzing these factors is crucial to prevent stunting during pregnancy. The objectives of this study were to analyze maternal risk factors associated with stunting in infants and to identify the dominant factors influencing the risk of stunting during pregnancy. This study is a quantitative observational study with a cross-sectional design. It was conducted in Banjarnegara Regency, involving pregnant women in their third trimester. Stratified random sampling was used as the sampling technique, with 66 respondents. Data will be collected through primary and secondary data. Data analysis will be conducted using univariate methods. Overall, the nutritional status of pregnant women in their third trimester in Banjarnegara Regency is quite good. However, several nutritional issues, such as iron deficiency and weight gain below recommended levels, were still identified in a small portion of the population. These results emphasize the importance of more targeted and personalized nutrition education programs, especially for pregnant women at risk, to prevent pregnancy complications and ensure optimal fetal growth.
A DESCRIPTIVE STUDY OF THE PROVIDING SUPPLEMENTARI FEEDING PROGRAM FOR MALNOURISHED TODDLERS
The success of human resource development is influenced by good nutritional status. Toddlers are a vulnerable group and remain a major problem in Indonesia. The 2022 Indonesian Nutritional Status Survey (SSGI) showed a prevalence of stunting in toddlers of 21.6%. Banjarnegara Regency has 4,056 undernourished toddlers, 3,000 underweight toddlers, and 7,000 toddlers who are not gaining weight. The impact of toddlers with nutritional problems can disrupt their growth and development. Providing Supplementary Feeding (PMT) made from local foods is one of the strategic steps taken through the First 1,000 Days of Life. Banjarnegara 1 Community Health Center is one of the Community Health Centers within the Banjarnegara Regency Health Office's working area. In 2024, the target of PMT was 752 toddlers. PMT was provided to 68 toddlers with undernourished status, with 67 toddlers receiving full PMT, while one toddler dropped out due to severe malnutrition and was referred to the hospital. This study aims to describe the implementation of the PMT program for malnourished toddlers at the Banjarnegara 1 Community Health Center, Banjarnegara Regency. This study was an observational study with a cross-sectional approach using the Monitoring and Evaluation sheet of the Local PMT Program from the Indonesian Ministry of Health. This study used a total sampling of 67 respondents. Research results most experienced changes in weight gain of 64 respondents (95.52%). Most experienced changes in length/height increase of 65 respondents (97.01%). The coverage of malnourished toddlers consuming additional food was 78.82%. The percentage of malnourished toddlers who experienced adequate weight gain was 95.52%. The percentage of malnourished toddlers with improved nutritional status based on weight reference according to length or height was 95.52%. It is hoped that after receiving PMT, mothers of toddlers can continue the menus that have been provided during the PMT program in order to increase weight and improve the nutritional status of toddlers, thereby preventing toddlers from falling into more serious nutritional problems (stunting).
DESCRIPTION OF HAND WASHING BEHAVIOR AND UTARA USE AMONG RECIPIENTS OF THE UTARA ENVIRONMENT PROGRAM IN SOKANANDI VILLAGE, BANJARNEGARA REGENCY
The degree of public health can be pursued by applying clean and healthy living behaviors. Washing hands and using latrines are indicators of clean and healthy living behavior in the household setting. Both of these behaviors can prevent a person from the risk of disease, but in practice not fully realized. The purpose of this study was to analyze clean and healthy living behaviors which include washing hands and using latrines. This research is a type of descriptive research with cross sectional approach. The study was conducted in Sokanandi Village, Banjarnegara District. Data collection is done by observation and interviews with a questionnaire guide. This study uses univariate analysis with a sample of 30 informants receiving latrine program. The results obtained show the behavior of washing hands before and after eating after bowel movements, after work, using running water and soap is already high. Hand washing behavior with the correct procedure is still low. There are behaviors that do not use healthy latrines in families of latrine program recipients as much as 16.7%. Health workers are expected to continue to increase awareness about washing hands and using latrines to the community in various activities involving local community leaders.
DESCRIPTION OF FACTORS CAUSING ASPHYXIA IN NEWBORN BABIES AT BANJARNEGARA 2 PUBLIC HEALTH CENTER, BANJARNEGARA DISTRICT
Child health efforts are expected to reduce child mortality. One of the indicators is the Infant Mortality Rate. The purpose of this study was to determine the description of the factors of asphyxia in newborns at the Banjarnegara Puskesmas 2 Banjarnegara District. This type of quantitative research is analytic survey design, cross sectional approach method. The population is all mothers who give birth to newborns with asphyxia in January - May 2020 at the Banjarnegara Health Center 2 as many as 22 newborns with asphyxia. The sampling technique uses total sampling. Univariate analysis looked at the frequency distribution and the percentage of each variable studied, namely maternal age, maternal parity, gestational age, difficult delivery and amniotic fluid conditions. The results of the study are mothers who give birth to newborns with asphyxia, the majority of those at low risk are 77.27%. Parity of mothers giving birth all included in the category of primipara and grandemultipara by 100%. The gestational age of mothers in all categories of term pregnancy is 100%. The majority of asphyxia occurs in mothers with difficult births in the amount of 90.91%. The condition of amniotic fluid the majority of amniotic fluid mixed with meconium of 68.18%.
A DESCRIPTIVE STUDY OF NORMAL POSTPARTUM MOTHERS' KNOWLEDGE REGARDING LACTATION MANAGEMENT AT THE PONED COMMUNITY HEALTH CENTER IN BANJARNEGARA DISTRICT
Lactation is the whole process of breastfeeding from breast milk produced to the process of babies sucking and swallowing breast milk. The success of the breastfeeding process can be achieved by applying good lactation management. Lactation management starts from pregnancy (antenatal), immediately after giving birth (natal) and breastfeeding (post-natal). The purpose of this study was to determine the description of the knowledge of normal postpartum mothers regarding lactation management at the PONED Community Health Center in Banjarnegara District. This type of research is quantitative research with a descriptive approach. Sampling using consecutive sampling, the sample size is 60 normal postpartum mothers. Analysis of the data used is univariate analysis. In this analysis only produces a frequency distribution. The research instrument used a questionnaire sheet containing the characteristics of respondents and regarding lactation management which consisted of six indicators namely knowledge about breastfeeding, breast care, IMD, correct breastfeeding techniques, breastfeeding on demand and breast milk. The results of this study show a picture of normal postpartum maternal knowledge about lactation management with good knowledge of 20 people (33.3%), enough that is 34 people (56.7%) and less than 6 people (10.0%).
PREGNANT WOMEN'S PERCEPTION OF HIV/AIDS TESTING IN BANYUMAS
Human Immunodeficiency Virus / Acquired Immunodeficiency Syndrome (HIV / AIDS) is still a global problem, including in Indonesia. Where the morbidity and mortality rate have to increase. HIV is a virus that attacks the human immune system, so sufferers are susceptible to various diseases. AIDS is a collection of symptoms and infections resulting from damage to the human immune system caused by HIV infection. Finding of HIV / AIDS cases in Banyumas, has increased cases from year to year. In 2015, there were 251 HIV cases and 125 AIDS cases. Case data in Banyumas is derived from the VCT (Voluntery Counseling and Test) report from general Hospital Prof. Dr. Margono Soekardjo and RSUD Banyumas. This research uses a qualitative method with a case study. Data collection used indepth interviews of 8 primary informants and 12 secondary informants as triangulation. The results showed that health care workers in this case midwives did not maintain patient privacy, did not carry out pre and post counseling. HIV / AIDS testing is based on the Health Workers Initiative, and the implementation of integrated examinations in integrated ANC services. There is a gap between theory and implementation in the field.
THE RELATIONSHIP BETWEEN AGE, NUTRITION AND BODY MASS INDEX ON POST-SCI WOUND HEALING IN POST-POST MOTHERS
In Indonesia, the incidence of caesarean section increased by 9.8 percent from a total of 49,603 births from 2010 to 2013. Sections of caesarea are the primary choice for medical personnel to save mothers and fetuses. Post operative wound infection is one of the main problems in surgical practice. The purpose of this study was to determine the relationship between age, nutrition and body mass index on post-SC wound healing in postpartum mothers. Quantitative research methods with a cross sectional approach. The sample in this study were all post SC postpartum mothers at Hj.Anna Lasmanah Banjarnegara Hospital. The results of age study were not related to post SC wound healing p value 0.369. Nutrition is related to post SC wound healing value of p value 0.001. The mother's body mass index is not related to post-SC wound healing value of p value 0.354. Suggestions for health workers Hj. Anna Lasmanah, the executor in the puerperium service room, collaborated with the nutrition department to provide nutrients that contain lots of protein
OVERVIEW OF WC OWNERSHIP IN PESODONGAN VILLAGE, KALIWIRO DISTRICT, WONOSOBO DISTRICT, 2020
The results of Basic Health Research (Riskesdas) in 2018 showed that the number of households in Indonesia using latrines is 88,2%. One of the districts in Central Java whose coverage of access to healthy latrines is still lowest is Wonosobo district (58%). The purpose of this study was to find out the description of ownership of latrines in Pesodongan Village, Kaliwiro Sub-District. This research is a descriptive study with a cross sectional research design approach. The study was conducted in April-May 2020. The sample in this study was 596 families. Data collection is done through secunder data from Kaliwiro Public Health Center. The data is processed through the process of cleaning, editing, coding, tabulating and entry and then performed statistical analysis using SPSS version 19.0. The statistical design used is univariate analysis. The results showed that the most respondents have permanent healthy latrines are in Pesodongan Hamlet (52,7%), the most respondents have semi-permanent healthy latrines are in Gintung Hamlet (62,5%), the most respondents who share latrines are in Pesodongan Hamlet (42,9%) and most respondents who still have open defecation behavior are in Majaina Hamlet (49,1%). It is hoped that the government will expected to be able to do more intensive triggering and provide assistance in the form of latrines that meet the requirements for residents who do not have latrines.
THE INFLUENCE OF BIOTIC AND ABIOTIC ENVIRONMENTAL FACTORS ON THE INCIDENT OF MALARIA IN BANJARNEGARA DISTRICT
Of the 34 Health center areas, the incidence was found in eleven Puskesmas areas (1.54%) in 2017 as endemic areas. Based on data from the Banjarnegara District Health Office (2015), four sub-districts were declared as endemic areas. Subdistricts that investigated were 61 cases in Banjarmangu Subdistrict, 11 cases in Purwonegoro Subdistrict, 7 cases in Kalibening Subdistrict, and 4 cases in Purworejo Klampok. This study aims to determine the effect of the physical environment, on the perception of malaria endemic local community in Banjarnegara District, determine the effect of mosquito species on the perception of malaria endemic areas, Analyze the influence of the physical environment and mosquito species on community perception. This research is an explorative analytic. The total sampling of respondents was 45 malaria positive people at four sampling stations. The results of research conducted on malaria endemic areas of Banjarnegara Regency were two factors from the physical environment for the perception of the community in malaria endemic areas, namely humidity and wind speed. Mosquito species will not affect the community, but from the results of the spread of the number of species of Anopheles mosquitoes that found the station affected by the highest malaria incidence, namely in the Banjarmangu Subdistrict with a height varying between 500-1000masl which is a suitable height for Anopheles mosquito habitat as the main vector malaria.
SNAKEHEAD FISH (Channa striata) EXTRACT TO INCREASE HEMOGLOBIN LEVELS IN ANEMIC POSTPARTUM MOTHERS AT HJ. ANNA LASMANAH REGIONAL HOSPITAL, BANJARNEGARA
In labor with CS, the mortality rate is twice the rate of vaginal deliveries. SC action can result in changes in the physiological functions of the body, including loss of a lot of blood during surgery which can cause anemia. The research objective was the effect of snakehead fish extract (Channa Striata) on the increase in hemoglobin levels in anemic postpartum mothers. Snakehead fish has the highest albumin content compared to other fish. Albumin has the function of accelerating the recovery of divided / damaged body cell tissues and also as a means of carrying materials that are less water-soluble through blood plasma and cell fluids, one of these materials is iron. This type of research is quasy experimental with pre test post test control group design. Sample of 30 respondents. The intervention group was given snakehead fish extract, antibiotics and Fe tablets for the control group was given antibiotics and Fe tablets. The independent variable was snakehead fish extract and the dependent variable was hemoglobin level. The research instrument of snakehead fish extract using observation sheets, for Hb levels using a spectrophotometer. Data analysis using Independent t test. Research result; 1000 mg of snakehead fish extract for 14 days increased the average hemoglobin level by 1.08 g%. Suggestion: postpartum mothers who have anemia in addition to drinking Fe tablets also drink snakehead fish extract.
THE EFFECT OF VARIATIONS IN CONCENTRATION OF CONCENTRATED SULFURIC ACID CATALYST ON THE DEGREE OF ETHYL LAURATE ESTERIFICATION RESULTS
Ethyl laurate can be synthesized through an esterification process by reacting lauric acid and ethanol plus H2SO4(p) as a catalyst. The esterification reaction requires a catalyst to accelerate the reaction besides the influence of the addition of the catalyst concentration also affects the ester results so it is necessary to do research that aims to determine the effect of catalyst H2SO4(p) concentration on the results of ethyl lauric esterification. This type of research is an experimental study to determine the effect of variations in H2SO4 catalyst concentration on the synthesis results of ethyl laurate. The experimental design used in this study was a factorial Completely Randomized Design (CRD), which was a comparison of the variation in catalyst H2SO4(p) concentration. The variables observed were variations in H2SO4 (1%, 2%, 3%, 4% and 5%) catalyst concentrations on the esterification degree reacted for 5 hours with a comparison of the variation of the molar ratio of lauric acid and ethanol used 1: 7. Analysis of statistical data obtained was tested using the Oneway Anova test. The results showed that variations in H2SO4(p) catalyst concentration had an effect on the results of the esterification degree. The best degree of esterification was obtained at concentration catalyst H2SO4(p) 4%, which amounted to 90.24%. Statistical data analysis obtained a significant value of 0,000 (p <0.05) which means that there is an influence of variations in the catalyst concentration on the synthesis results of ethyl laurate.
ANALYSIS OF THE RELATIONSHIP BETWEEN KNOWLEDGE, ATTITUDE AND BEHAVIOR ABOUT HEALTHY TOLIRES TOWARDS OWNERSHIP IN PESODONGAN VILLAGE, KALIWIRO DISTRICT, WONOSOBO REGENCY IN 2020
One of the goals of the 17 Sustainable Development Goals (SDGs) at the sixth point is to ensure the availability of clean water and sustainable sanitation for everyone. Universal access to adequate sanitation are basic needs and human rights (WHO, 2017). The results of Basic Health Research (Riskesdas) in 2018 showed that the number of households in Indonesia using latrines is 88,2%. One of the districts in Central Java whose coverage of access to healthy latrines is still lowest is Wonosobo district (58%). 1n 2019, based on data from Kaliwiro Public Health Center, the coverage of healthy latrine access in Pesodongan village is still at 91%. The purpose of this study was to analyze the relationship between knowledge, attitude and practice about healthy latrines with ownership of latrines in Pesodongan Village, Kaliwiro Sub-District. This research is a descriptive study with a cross sectional research design approach. The study was conducted in July-August 2020. The sample in this study was 85 head of household. Data collection is done through interview with structured questionnaire. The data is processed through the process of cleaning, editing, coding, tabulating and entry and then performed statistical analysis using SPSS version 19.0. The statistical design used is bivariate analysis. The results showed that most research respondents are in the age group 41-60 years old (72,95%), elementary school graduates (72,9%), work as farmers (89,4%), monthly income is still below the UMK (97,6%), already have latrines (84,7%), latrines that meet health requirements only reach 43 latrines (59,7%), have a good level of knowledge (65,9%), have good attitudes (90,6%) and have good practice positive ones (91,8%). There is a relationship between knowledge of healthy latrines and ownership of healthy latrines and there is no relationship between attitudes and practice about healthy latrines and ownership of healthy latrines in Pesodongan Village. It is hoped that there will be counseling regarding the importance of healthy latrines to meet basic sanitation needs. In addition, strengthening the latrine program either independently or with government assistance.
MIDWIFERY CARE SUPERVISION USING THE ONE STUDENT ONE CLIENT (OSOC) METHOD FOR MKJP KB ACCEPTORS IN BANJARNEGARA DISTRICT
In order to reduce the rate of population growth, the government has implemented various development programs. MKJP is a government effort to suppress population growth. This study aims to determine the effect of midwifery care assistance with the One Student One Client (OSOC) method on the increase in KB MKJP acceptors in Banjarnegara. The research design used was quasy experimental, the design used was pre test post test control group design. In this study, divided into 2 groups, namely the control group and the treatment group. The number of samples used in this study amounted to 30 respondents. Univariate analysis was used to describe the data results from the pretest and posttest. Bivariate analysis using the Mc Nemar test using a significance level of 0.05 and 95% CI.The results showed a p value of 0.000, which means there is a significant change in the choice of contraceptives for respondents who are provided assistance with the OSOC method. Midwifery care assistance to pregnant women using the OSOC method for 3 months showed a difference in the choice of contraceptive methods in the intervention group and the control group.
MATERNAL AGE AND PARITY AS RISK FACTORS FOR PREMATURE BIRTH AT MANDIRAJA 1 COMMUNITY HEALTH CENTER, BANJARNEGARA REGENCY
Infant Mortality Rate (IMR) is calculated from the number of infant deaths 0 <12 months per 1000 live births in an area in one year. The Infant Mortality Rate (IMR) in Banjarnegara Regency in 2018 was 14.1 / 1000 live births, which in absolute terms was calculated from the number of infant deaths of 216 with live births of 15,317. The Infant Mortality Rate (IMR) in 2018 increased compared to 2017 which was only 13.37 / 1000 live births with the number of deaths of 204 cases from 15,255 live births. One of the important obstacles for the progress of MDGs 4 so that it fails to reduce infant mortality, namely death from a single cause, prematurity. Preterm labor is a dangerous thing because of the potential to increase perinatal mortality by about 65% -75%, generally associated with low infant weight weighing less than 2,500 grams. Several factors have contributed to the occurrence of preterm labor such as factors in the mother, fetal and placental factors, or other factors such as socioeconomic. The research objective was to determine the picture of maternal age and parity as risk factors for preterm birth. The basic method of research used in this research is descriptive analysis research method by looking at the mother's age as a risk of preterm birth. The sampling technique was carried out by the total sampling method, namely taking all samples from the total population. The data collection method in this study was carried out through secondary data, namely taking medical records. The results showed that most of the respondents 90.3% (37 people) were in the low risk age category (20-35 years), and there were 9.7% (4 people) in the high risk age category (<20 and> 35 years). More than half of maternal parity was in the low risk category, namely 22 respondents (53.7%) and the other part, namely 19 respondents (46.3%), which were in the high risk category.
OVERVIEW OF RISK FACTORS FOR ACUTE RESPIRATORY TRACT INFECTION (ARI) SYMPTOMS IN WORKERS OF PT. JAKARTA CAKRATUNGGAL STEEL MILLS PULO GADUNG EAST JAKARTA IN 2018
Workers are not only at risk of suffering from communicable and non-communicable diseases but workers can suffer from occupational diseases and / or work-related diseases. One of the occupational diseases found in PT. Jakarta Cakratunggal Steel Mills is an ARI in 2017 it shows that the incidence of ARI tends to fluctuate with the highest incidence rate in November with 51 workers showing symptoms of ARI in the production unit. The purpose of this study was to describe the risk factors for symptoms of ARI among workers in the production unit of PT. Jakarta Cakratunggal Steel Mills. This research is a descriptive study with cross sectional method. The population in this study were all workers in the production unit with a total of 117 workers. Sampling was done by simple random sampling and found a sample of 91 workers. The data used in this study are primary data and secondary data. Based on the results of the study, it was found that most of the respondents experienced mild ARI symptoms (41.8%) moderate ARI symptoms (58.2%), aged 31-40 years who experienced mild ARI symptoms (51.6%), the highest working period was 9 -16 years (38.5%) with most of them working in the steel melting unit (52.7%), most of the length of work is 8 hours / day (87.9%), the behavior of using PPE is not complete (56.0%) . The conclusion of this study is that most of the respondents experienced moderate ARI symptoms and the behavior of using Personal Protection Equipment was not good. The suggestion from this research is that workers pay more attention to K3 in doing their work.
DESCRIPTION OF BEHAVIOR TOWARDS CIGARETTES AMONG RESIDENTS IN SOKANANDI VILLAGE, BANJARNEGARA REGENCY
Smoking is a dangerous form of bad behavior for health. Consumption Cigarettes can cause various diseases such as lung cancer, heart disease, narrowing of blood vessels and others. Amount smoker in Indonesia is increasing from year to year. The purpose of this study is to describe behavior to cigarettes on residents in Sokanandi Village, Banjarnegara Regency. This research is a descriptive research with cross sectional method. The research was carried out in Sokanandi Village, Banjarnegara Regency. Data collection was done with observation and interview techniques. Analysis of the data used is univariate analysis. Amount a sample of 30 respondents. The results obtained showed that some of the respondents did not smoke 86.7%, behaved avoiding cigarette smoke 63.3%, behaved reprimanding when disturbed by cigarette smoke, 73.3%, behaved reminding their families not to smoke 66.6%. Various the form of behavior towards smoking shows that more than half of the informants have implemented good behavior. Therefore, it is hoped that health agencies will continue to strengthen the campaign no smoking so that public awareness to avoid the dangers of smoking increases.
PAIN AND DURATION OF THE FIRST STAGE OF LABORAT BANJARNEGARA 1 PUBLIC HEALTH CENTER, BANJARNEGARA REGENCY
World Health Organization (WHO) estimated 800 women die d every day due to pregnancy complications and the birth process. About 80% of deaths maternal is the result of increased complications during pregnancy, childbirth and breath. Maternal Mortality Rate (MMR) in the world which is 289,000 inhabitants. Almost two thirds Maternal death is caused by direct i.e. bleeding (25%), infection/ sepsis (15%), eclampsia (12%), abortion unsafe (13%), obstructed labor (8%), and other direct causes such as pregnancy ectopic, embolism, and other things related to anesthesia problems (8%), other causes (19%). A preliminary study was conducted at the Banjarnegara 1 Health Center regarding labor pain in the active phase of the 1st stage and it was found that 67% of mothers stated moderate pain and 33% said severe pain. The purpose of this study was to determine the relationship between pain and duration of labor first stage at the Banjarnegara 1 Public Health Center, Banjarnegara Regency. Analytical descriptive research design with a cross sectional approach. The research population was mothers who gave birth at the Banjarnegara Health Center 1. The sampling technique was using a purposive sampling technique as many as 35 respondents. All samples will be given a questionnaire about pain and the duration of labor is calculated using hours. The results showed that more than half the level of labor pain in the first stage of the respondents were in the moderate category, namely 18 respondents (52%), most of the duration of labor in the first stage of the respondents were included in the normal category, namely as many as 24 respondents (68%) and there was a relationship between pain and first stage of labor with p_value 0.018. Things that can be done by health workers to reduce labor pain and duration of labor is to bring birth attendants and be taught deep breathing techniques in addition to reducing anxiety.
DESCRIPTION OF KNOWLEDGE, ATTITUDES AND BEHAVIOR OF ISPA PATIENTS IN THE WORKING AREA OF PURWANEGARA 2 PUBLIC HEALTH CENTER, BANJARNEGARA REGENCY
One of the diseases that are often encountered is an acute respiratory infection (ARI). The incidence of ARI always ranks first of the 10 most common diseases in Indonesia. Factors causing ARI are environmental factors and behavioral factors. Health profile data for 2020 shows that ARI is ranked first out of the top 10 most common diseases in the work area of ​​Purwanegara 2 Health Center, Banjarnegara. The purpose of this research was to describe the knowledge, attitudes and behavior of patients with acute respiratory infections (ARI) in the working area of ​​Purwanegara 2 Public Health Center, Banjarnegara Regency in 2021. This research is quantitative descriptive. The research was carried out in the Purwanegara 2 Health Center Work Area, Banjarnegara Regency with a sample of 34 patients with ARI disease in April 2021. Sampling using purposive sampling technique. Data collection techniques used interviews with questionnaires regarding the level of knowledge, attitudes and behavior of patients with ARI. Analysis of the data used is descriptive statistics. The results showed that ARI patients who had knowledge level in the Good category were 6.47%, Enough as much as 2.94%, and Less as much as 70.59%. The attitudes of ARI sufferers are categorized as Good (100%), as well as the behavior of ARI patients are also in the Good category (100%). The conclusion of this study is that most of the knowledge possessed by patients is still lacking but their attitudes and behavior are in the good category. Therefore, it is necessary to make efforts to increase knowledge about ARI so that their attitudes and behavior are stronger based on proper knowledge of ARI. The conclusion of this study is that most of the knowledge possessed by patients is still lacking but their attitudes and behavior are in the good category. Therefore, it is necessary to make efforts to increase knowledge about ARI so that their attitudes and behavior are stronger based on proper knowledge of ARI.
CHARACTERISTICS OF PULMONARY TUBERCULOSIS PATIENTS IN THE WORKING AREA OF MADUKARA 2 PUBLIC HEALTH CENTER IN 2020
Pulmonary tuberculosis is an environment-based disease that is the 10th leading cause of death in the world and Tuberculosis mortality globally is estimated at 1.3 million patients. The incidence of pulmonary tuberculosis in the Madukara 2 Public Health Center work area has increased every year. The increase was calculated from 2017 as many as 13 cases, in 2018 there were 18 cases and in 2019 there were an increase of 30 cases again. The purpose of this study was to knowing patient characteristics for pulmonary tuberculosis in the working area of Public Health Center Madukara 2 in 2017-2019. This study was included in the descriptive study with cross sectional method. The population of this study were all respondents recorded in the Pulmonary Tuberculosis program book at Madukara Health Center 2 from 2017-2019 as many as 61 respondents. Sampling in this study is total sampling. This research was conducted in the middle of a co-19 pandemic, so the data used were secondary data obtained from the Madukara 2 Public Health Center. Based on the results of research on patient characteristics for pulmonary tuberculosis from 2017-2019, there are more males than females, with age categories that are more than 25 years. The category shows the productive age category. The highest education level is elementary school and the type of work is labor, the most sufferers are new cases and the result of sputum examination with the highest BTA + status in 2018 is 61.1%. Public Health Center need to strive for the availability of data precisely to facilitate data processing and increase socialization activities and counseling about tuberculosis to reduce the discovery of new cases each year. And the community needs to increase prevention of cases of pulmonary tuberculosis by using masks for sufferers and maintain the cleanliness of the house from adequate ventilation and lighting conditions.
THE POTENTIAL OF ANGKAK (RED YEAST RICE) AS A PREVENTIVE FOR METABOLIC SYNDROME
Metabolic syndrome is a complex metabolic disorders that occur as a result of factors associated with the risk of cardiovascular problems. These factors are atherosclerosis, dyslipidemia, diabetes, hypertension, and obesity. From a treatment perspective, there is no multifunctional drug that can cure those factors simultaneously. Therefore, from a preventive perspective, adjuvant drugs are necessary to block the development of metabolic disease. Red yeast rice is a product that produced through fermentation of rice (Oryza sativa L.) with Monascus purpureus. The fermentation process produces rice with red pigment, a distinctive taste, and contains bioactive components. One of its component is monacolin-K that chemically identical to lovastatin. Red yeast rice’s bioactive components are the basis for the use of red yeast rice as a potential prevention of the factors that trigger metabolic syndrome. This systematic review aims to analyze red yeast rice as a food ingredient that can prevent metabolic syndrome. Articles are obtained from electronic databases, such as PubMed and Google Scholar, that published from 2011 to 2021. Keywords used are red red yeast rice, metabolic syndrome, atherosclerosis, dyslipidemia, diabetes, hypertension, and obesity. The results of 5 selected articles indicate that red yeast rice is potential in the prevention of metabolic syndrome, because monacolin-K and other bioactive components that contained in red yeast rice are able to reduce the factors of metabolic syndrome. Monacolin K is an inhibitor of the hydroxymethylglutaryl-CoA (HMG-CoA) reductase, which reduces the production of LDL-Cholesterol in the liver. Meanwhile, the other bioactive components can inhibit α-glucosidase enzyme that causes the catalization of complex carbohydrates becomes slower and glucose levels in the blood tend to be stable.
BENEFITS OF Sauropus androgynous L. MERR. LEAVES TO IMPROVE THE QUALITY OF BREAST MILK IN BREASTFEEDING MOTHERS
The problem of breastfeeding is part of the discomfort problem for postpartum mothers for 2 hours after delivery. This problem often causes trauma to postpartum mothers during breastfeeding, psychological disorders, and increased morbidity in both mothers and babies due to insufficient breastfeeding. Katuk leaf extract is a medicinal plant that has a role to increase milk production. Katuk (Sauropus androgynus (. (L.) Merr) has been known to increase milk production since ancient times in Indonesia. The aim of this research was to see the potential of katuk leaves to improve the quality of breastfeeding mothers. This research was conducted using in-depth interviews with purposive sampling technique. The results showed that there were variations in the use of katuk in 4 communities in East Java, the highest utilization of katuk was found in osing. Katuk leaves are one type of galactagogue herb which is believed to increase levels of prolactin and oxytocin, and contains nutrients that can be used as raw material for breast milk synthesis. The increase in milk volume is caused by katuk leaves which contain phytochemical compounds, namely alkaloids (papaverine) and sterols (phytosterols) which can increase levels of prolactin and oxytocin, and contain nutrients that can be used as raw material for breast milk synthesis. 100 g of fresh katuk leaves contain 79.8 g water, 7.6 g protein, 1.8 g fat, 6.9 g carbohydrates, and an energy value of 310 kJ. The conclusion of this study is, katuk leaves are proven to improve the quality of breast milk in nursing mothers.
OVERVIEW OF THE BACTERIOLOGICAL QUALITY OF WELL WATER IN KARANGANYAR VILLAGE, PURWANEGARA DISTRICT, BANJARNEGARA REGENCY IN 2021
The people of Karanganyar Village use water resources with the majority of the water supply system using dug wells to meet their daily water needs. Dug wells must be supported by good conditions, which are in accordance with the requirements of healthy dug wells, which include physical conditions and the location of the well with pollutant sources. This study aims to describe the content of coliform bacteria of water in dug wells in Karanganyar Village, Purwanegara District, Banjarnegara Regency in 2021. This research is descriptive research with cross sectional approach. Total of 44 samples were taken using the proportional random sampling method in a cluster divided into 5 RWs in Karanganyar Village. The data used in this study are primary data obtained from observations and laboratory examinations. The results showed that from 44 samples of well water examined, 35 wells (79.55%) had met the health requirements in terms of coliform content. This is based on the quality standards established by the Regulation of the Minister of Health of the Republic of Indonesia No. 32 of 2017 concerning Water Health Quality Standards for Sanitary Hygiene, Swimming Pools, Solus per Aqua and Public Baths. The physical conditions such as the well wall (77.3%), well floor (63.6%), waste water channel (4.5%), well border (77.3%), well cover (72.7%). environmental cleanliness of the wells (86.4%), indicating that most of them have met the requirements. Coliform bacterial contamination of water in dug wells can be minimized by increasing public awareness and knowledge of the conditions of dug wells that are in accordance with the requirements of healthy dug wells which include the physical condition of the well and the location of the well with pollutant sources as well as continuing to improve environmental cleanliness around the dug well location.
DESCRIPTION OF KNOWLEDGE, ATTITUDES AND BEHAVIOR OF SCABIES PATIENTS IN THE WORK AREA OF THE PEJAWARAN COMMUNITY HEALTH CENTER IN 2021
Pejawaran Public Health Center Regional Technical Implementation Unit is one of the Health Centers in Banjarnegara Regency which still has problems of skabies. Based on observations conducted from January to April 2021, the prevalence of skabies was still quite high. The purpose of this study was to know the knowledge, attitude, and behavior of people with skabies in the working area of Pejawaran Public Health Center Regional Technical Implementation Unit. This research is a descriptive research with cross sectional method. The population in this study are those with skabies who have checked themselves to the Health Center in the period of January to April 2021 which are 64 people, with total sa mpling as the sampling technique. The data that used in this study are primary data obtained from questionnaires and field obervations and secondary data from previous studies Based on the results of the study, it was found that most of people with skabies are female (56,3%), with age range between 12-16 (16 people), junior high school/equal educated (48,4%), and occupation as farmer (34,4%). The physical quality of the water that used is mostly qualified (93,8%). The level of knowledge of people with skabies is enough (64,1%), the attitude of people with skabies is good (95,3%), and all of them are behave positively (100%). Suggestions for this problem are to be more implementing healthy lifestyle. For the health workers to be more improving health promotions furthermore so public/citizens are able to add their knowledge regarding skabies.
MODIFICATION OF THE WET SCRUBBER TO REDUCE DUST LEVELS AND SMOKE CONCLUSIONS AT IMMOVABLE EMISSION SOURCES
The air quality in the environment is decreasing. Human activity is the main factor causing the decline in air quality in the environment. Changes in the air environment are caused by air pollution, namely the entry of pollutants (in the form of gases and small particles / aerosols) into the air. Pollutants that enter the air can be natural (smoke from forest fires, caused by volcanoes, meteorite dust, and salt emission from the sea) and human activities (transportation, industrial waste disposal). The concentration of air pollution in several big cities and industrial areas of Indonesia causes respiratory problems, irritation of the eyes and ears, the emergence of certain diseases and impaired visibility. Particles with a size between 0.01 – 5 m are the main source of air pollutants because their condition is not visible and continues to exist in the atmosphere for quite a long time. The purpose of the study was to determine the effect of chimney modifications on dust levels and smoke density as air pollution materials. Techniques for controlling particle emission are all based on capturing particles before they are released into the atmosphere. The method used to achieve this goal is influenced by the particle size. Some of the tools used for this purpose include gravity settling chamber systems, cyclone collectors, wet brush scrubbers and electrostatic precipitators. Environmental control is very necessary for the creation of a clean and healthy environment, it can be done by improving the quality of the tool and making modifications to node I, namely the pollutant source. an average of 0.2726 mg/L (54.2978%), and the parameter range of smoke density remains at levels 0 – 20%. The conclusion of the study is that there is a difference in the average dust content using a modified Wet Scrubber chimney but the smoke density parameter remains.
DESCRIPTION OF COMMUNITY KNOWLEDGE, ATTITUDE, AND BEHAVIOR ABOUT DHF DISEASE PREVENTION EFFORT IN KENTENG VILLAGE INBANJARNEGARA
Dengue Hemorrhagic Fever (DHF) is a disease caused by the dengue virus which is transmitted from person to person through the bite of the Aedes sp. The results of the preliminary survey found that in recent years the incidence of dengue fever has always occurred repeatedly in Kenteng Village. The purpose of this study was to describe the knowledge, attitudes, and behavior of the community regarding efforts to prevent dengue fever in Kenteng Village, Madukara Sub-District, Banjarnegara District in 2021. This is an observational study with cross sectional approach. The sample population is the family head of Kenteng Village, Madukara Sub-District, Banjarnegara Dsitrict. The number of samples after being determined by the Slovin formula is 74 respondents who will be selected by simple random sampling. The results showed that most of the respondents were in the age group of 20-40 years (47.3%), the education level was elementary school graduates (43.3%), having the type of work as housewives or not working (39.2%), and have a monthly income below the UMK (60.8%). While the knowledge of attitudes and behavior of respondents about prevention of DHF is mostly sufficient knowledge (82.4%), have a good attitude (78.4%) and have positive behavior (93.2%). Although most of the respondents' knowledge, attitudes and behavior were classified as good, there was still a need for regular socialization because the incidence of DHF always repeated in every season.