• Cougar

    LPPM UNS

    Lembaga Penelitian dan Pengabdian Kepada Masyarakat

  • Lions

    LPPM UNS

    Lembaga Penelitian dan Pengabdian Kepada Masyarakat

  • Snowalker

    LPPM UNS

    Lembaga Penelitian dan Pengabdian Kepada Masyarakat

  • Howling

    LPPM UNS

    Lembaga Penelitian dan Pengabdian Kepada Masyarakat

  • Sunbathing

    LPPM UNS

    Lembaga Penelitian dan Pengabdian Kepada Masyarakat

Posts tagged: Tuberculosis

Optimalization Model For The Promotion Of Tuberculosis Free Hidangan Ekonomi Kecil (HEK) Kampongs In Surakarta

Keywords: Group education, HEK sellers, individual counseling, leaflet, tuberculosis.

Murti, Bhisma; Hanim, Diffah; Lestari, Anik; Pamungkas, Eti Poncorini*)
LPPM UNS, Penelitian, Balitbang Jateng, Riset Unggulan Daerah, 2009

Intervention model comprising group education, counseling, and leaflet use for optimizing the promotion of Hidangan Ekonomi Kecil (HEK) kampongs as a strategy for the prevention and control of tuberculosis has not been implemented. Tuberculosis (TB) is a public health importance at the global, regional, nationaal, and local levels. In line with this background, a research question was raised, i.e. what is the appropriate model for optimzing the promotion of Hidangan Ekonomi Kecil (HEK) kampongs for the prevention and control of tuberculosis and the improvement of social welfare. This study aimed to examine the intervention model for optimizing the promotion of HEK kampongs for the prevention and control of tuberculosis and the improvement of social welfare. This study was an action research. The interventiuon comprised group education, counseling, and use of leaflet. The independent variable was an intervention comprising group education, counseling, and use of leaflet. The dependent variables included health-related behavior, quality of environmental health, and ability to pay.(ie. income - subsistence). Continuous data was described by mean and SD. Categorical data was described by percentage. The effectiveness of intervention was analyzed by McNemar nonparametric test. The results showed that HEK is an important employment in the informal sector, which provides income for the economically weak community. This enterprise is acceptable and is needed by the community. Buyers of HEK are usually community members with low or medium income. The mean profit is Rp 38,500 per day, ranging from Rp 25,000 to Rp 300,000 per day. Mean net income from HEK is Rp 1,021,774 per month, median Rp 900,000 per month, ranging from Rp 560,000 to Rp 2,600,000 per month. Living condition around HEK kampongs has yet to mee health requirement. The health intervention can help change the behaviors of the sellers, family members, and buyers, to have healthy behaviors. This study concludes that the promotion of Hidangan Ekonomi Kecil (HEK) kampongs for the prevention and control of tuberculosis, and the improvement of social welfare can be attained by an intervention that include group education, counseling, and use of leaflet.

Development exclusive breastfeeding for six months with respect to lactating mothers affected by lung Tuberculosis and the impact of nutritional status of their infants

Keywords: development of exclusive breastfeed, Tuberculosis, infant nutritional status

Hanim, Diffah; Lestari, Anik; Abidin, Zainal*)

LPPM UNS, Penelitian, DP2M, Hibah Kompetitif Penelitian Sesuai Prioritas Nasional, 2009

In 2002 WHO revised its recommendation on a longer exclusive breastfeeding from 4-6 months to 6 months for all mothers including those who are affected by a tropical disease such as lung Tuberculosis (lung TB). In Indonesia the implementation of exclusive breastfeeding for 4-6 months has faced some obstacles, particularly with respect to lactating mothers affected by lung TB, due the fear for an infection to their infants. As a result the prevalence of exclusive breastfeeding remained low (20-25%). This study aimed to examine the leverage capacity of lactating mothers with lung TB in providing exclusive breastfeeding for six months. It was an experimental study with nutritional education to lactating mothers as the intervention. The outcome variables under study included the comparison of the quality of breast milk between mothers with lung TB and healthy mothers, supplementary food for breast milk in families of mothers with lung TB, lactation management (frequency and duration of breastfeeding) for mothers with lung TB, nutritional and health status of mothers and their infants, and the effect of formulated milk’s promotion. The comparison of the outcome variables between healthy mothers and mothers with lung TB was carried out by t-test. ANOVA was used to analyze the promoting or inhibiting factors in the development of exclusive breastfeeding for 6 months in mothers with lung TB before and after the intervention. The results showed a statistically significant difference in body weight and body length of infants at birth between mothers with lung TB and health mothers (p<0.001). However, after the infants had reached 4-6 months of age, the difference in body weight was not statistically significant, while the difference in body length remained statistically significant (p<0.001). Furthermore, it appeared that the difference in the breast-feeding pattern was not statistically significant betwee healthy mothers and mothers with lung TB (p=0.495). The important factors supporting the success of exclusive breastfeeding provision rested on family and mothers’ initiative, instead of midwife, nurse, or medical doctor factor. This study concluded that the development of exclusive breastfeeding from four month to six month among mothers with lung TB has shown to have a positive impact on ifant nutritional and health status, although on average breast milk can be produced as early as day 2. The formulation of strategies for the development of exclusive breastfeeding should include the promotion on safe exclusive breastfeeding for mothers with any condition, including those affected by a tropical disease such as lung TB.

Integration Of Posyandu-Puskesmas-BBKP For The Control Of Lung Tuberculosis In Surakarta

Keywords: Integration Model, Tuberculosis, Innovative Early Detection Card

Murti, Bhisma; Hanim, Diffah; Lestari Anik
LPPM UNS, Penelitian, DP2M, Hibah Kompetitif Penelitian Strategis Nasional, 2009

Morbidity and mortality rates of lung Tuberculosis (TB) remain high in Indonesia. Case detection rate has not reached 70% target, while cure rate has yet to be increased (>90%). TB control has not been optimal in Indonesia. However as evidence has shown that Posyandu has contributed much to the improvement of mother and child nutrition and health, TB control may be similarly improved by integrating Posyandu-Puskesmas-Balai Besar Kesehatan Paru Masyarakat (BBKPM). This initiative was an action research empoying a quasi experimental design. An integration model involving Posyandu-Puskesmas-BBKPM was implemented in 5 subdistricts in Surakarta, for early detection and treatment of lung TB. An innovative early detection card was devised to help cadres to screen and detect suspect TB cases.The results showed that the innovated detection card can help improve early detection of TB cases. Training of cadres has increased ignficantly their knowledge in TB disease, as well as its detection, treatment, and prevention. Integration of Posyandu-Puskesmas-BBKPM can identify vulnerable groups for TB such as poor families or families who live in poor living environment. The integration also allows the adoption of healthier behaviours as an important fundamental for the pursuit of Tuberculosis-free city such as Surakarta. This integration model can be extrapolated to other similar areas.