Themes by Jurnal Kesehatan Komunitas <p>Published by :<br /><strong>Sekolah Tinggi Ilmu Kesehatan (STIKes) Hang Tuah Pekanbaru</strong><br />Jl. Mustafa Sari No. 5 Pekanbaru Riau Telp.0761-33815 Fax 0761-868666. <br />Website: Email:</p> Jurnal Kesehatan Komunitas (Journal of Community Health) Published by : P3M STIKes Hang Tuah Pekanbaru en-US Jurnal Kesehatan Komunitas 2088-7612 <p>Copyright @2017. This is an open-access article distributed under the terms of the Creative Commons&nbsp;Attribution-NonCommercial-ShareAlike 4.0 International License (<a href="" target="_blank"></a>) which permits unrestricted non-commercial used, distribution and reproduction in any medium&nbsp;</p> Behavior Analysis of Drop-out Patients Physiotherapy Services at the Regional General Hospital Arifin Achmad, Riau Province <p><em>The number of drop-out patients of Physiotherapy services at the Arifin Achmad Regional General Hospital in 2019 was 10 percent, while the target is below 5 percent of the 5,079 patients. To achieve the optimal result of physiotherapy, the patient must visit according to schedule. This research aim is to obtain in-depth information about the behavior of drop-out patients of Physiotherapy services at Arifin Achmad regional public hospital. This was a descriptive qualitative study about patients' behavior with a phenomenological design. Research data collection was carried out by in-depth interviews and observations. The number of main informants was 5 people and the supporting informants were 5 people and validated by triangulation. The results showed that the patient’s knowledge about Physiotherapy services was good, the patient’s perception of physiotherapy was good,</em> <em>patient motivation to physiotherapy was good</em>, <em>and the attitude of patients who do not follow a predetermined schedule. The phenomenon that occurs as the patient’s attitudes such as calling a physiotherapist to their home, buying equipment, do-self therapy at home, and move to another hospital nearby that has physiotherapy practice until evening. Advocacy to management was needed setting one man one patient and 2 shift service hours setting,</em> a<em>dvocacy enabling factors to add Physiotherapy tools, partnerships with first-rate health facilities to improve referral systems.</em><em> </em></p> Triyana Triyana Tri Krianto Karjoso Agus Alamsyah Novita Rany Emy Leonita Copyright (c) 2021 Jurnal Kesehatan Komunitas 2021-09-02 2021-09-02 7 2 182 188 The Effectiveness of Online COVID-19 Education at Peer Support Group Top Support Pelita Ilmu Foundation <p>Abstract</p> <p><em>Corona virus or severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a virus that can cause mild disorders of the respiratory system, severe lung infections, and death. The large number of confirmed cases is positive, giving special attention to groups that are vulnerable to infection such as groups with immunodeficiency, one of which is the group of people with HIV.</em></p> <p><em>This study aims to assess the effectiveness of presenting online COVID-19 education to increase knowledge, attitudes and practices to prevent COVID-19 in the Peer Support Group (KDS) Top Support Pelita Ilmu Foundation (YPI) located in Jakarta. This study used a qualitative method. Target of interventions are mentors and peer educators. Data were collected through semi-structured interviews, self-administered questionnaire and report. The data analysis technique was carried out with three main activities, namely: data reduction, data presentation, and drawing conclusions. The validity of the data was carried out by means of credibility through the triangulation of sources and methods. The results showed that providing COVID-19 education online by involving mentoring and empowering peer educators was effective in increasing knowledge about the COVID-19 prevention protocol. Providing online educational assistance through a peer educator approach is useful as a chain message to oneself, family, community and peers. People who are educated are becoming more diligent in implementing 3M and healthy lifestyles, but to know this behavior change consistently, further research is needed.</em></p> ruri mutia ichwan Hadi Pratomo Putri Diyah Patni Dame Artha Ria Reza Dara Pertiwi Andi M Yusuf Ridwan Farandi Agesti Ramadhan Copyright (c) 2021 Jurnal Kesehatan Komunitas 2021-09-13 2021-09-13 7 2 136 143 10.25311/keskom.Vol7.Iss2.875 Developing “My Plate” Poster as a Nutrition Education Media of Pregnant Women in Efforts to Prevent Stunting <p><em>One of nutritional problems experienced by toddlers is stunting, which is a short or very short body condition in children due to chronic malnutrition that occurs from pregnant women to children aged 2 years. Nutrition education is a method and effort to increase knowledge of nutrition and eating behavior in order to create optimal nutritional status. Education for the “My Plate” poster is important for pregnant women to implement a healthy diet and to meet daily nutritional needs as an effort to prevent stunting. This research was conducted by interview method. From the result of this research, a poster of “My Plate-Pregnant Women” has been designed as a nutrition education media. </em></p> <p><em>&nbsp;</em></p> <p><strong><em>Keywords</em></strong><em>: Nutriotion Education </em><em>Poster, </em><em>Pregnant Women</em><em>, Stunting</em></p> hesti Atasasih Alkausyari Aziz Copyright (c) 2021 Jurnal Kesehatan Komunitas 2021-08-31 2021-08-31 7 2 226 233 10.25311/keskom.Vol7.Iss2.937 Associated Factors Related To The Existence Of Aedes Aegypti Mosquito In Puskesmas Harapan Raya <p><em>The cause of Dengue Hemorrhagic Fever is the bite of the mosquito Aedes Aegypty which enters the human blood circulation. It was found that the percentage of the House Index was 93.3% of the mosquito larvae in the houses of residents in the working area of ​​the Harapan Raya Health Center. The Objective is to determine the factors associated with the presence of mosquito larvae Aedes Aegypti. This study is quantitative analytic observational with a design cross sectional. The measuring instrument uses a questionnaire through interviews, observations, and checklists. The population is 13,750 heads of house hold (KK), the total sample is 189 house holds. Technique Purposive Sampling. Data analysis usingtest Chi square. Results showed the proportion of larvae Aedes Aegypti is 58.7%. Factors related to the presence of mosquito larvae Aedes Aegypti were knowledge (P=0.001; POR=18,494 (CI=8,796-38,881), attitude (P=0.001; POR=5,000 (CI=2,608-9.587), jumantic activity (P = 0.001; POR = 4.717 (CI = 2.519-8.834), the presence of solid waste (P = 0.001; POR = 2.996 (CI = 1.632-5.498), the practice of eradicating mosquito nests (P = 0.001; POR = 136,000 (CI = 46,363- 398,935), and water reservoirs (P=0,028; POR=0,400 (CI=0,335-0,447) The conclusion of seven factors studied were: knowledge, attitudes, jumantic activity, presence of solid waste, practice of eradicating mosquito nests, and water reservoirs. significantly related to the presence of mosquito larvae Aedes Aegypti.</em></p> marni juliastari Herlina Susmaneli Sri Wardani Ikhtiaruddin Ikhtiaruddin Christine Vita Gloria Purba Copyright (c) 2021 Jurnal Kesehatan Komunitas 2021-09-02 2021-09-02 7 2 150 156 Nutritional Status of Toddlers in Talang Babat Village, East Tanjung Jabung Regency <p><em>Nutrition is a very important part of growth and development. Community problems are considered serious if the prevalence of underweight is between 10.0-14.0%, and is considered critical if it is greater than 15.0% (WHO, 2010). In 2013, nationally the prevalence of underweight in children under five was still 12.1%. For Jambi Province itself, cases of malnutrition tended to increase over the last two years, in 2017 there were 85 cases of malnutrition and four cases died, while in 2018 it rose to 92 cases with six of them died. This study is an analytical study with a cross-sectional design that aims to determine the relationship between diet and mother's knowledge with the nutritional status of children under five in Talang Babat Village, Tanjung Jabung Timur Regency in 2019. This research was conducted in July 2019. The population in this study was 220 toddlers. The number of samples was calculated based on Ariawan's formula as many as 67 people. The sampling technique was carried out by means of quota sampling. Data analysis used the chi-square test with a significant limit of = 5%. The results of the study Most of the respondents had normal nutritional status as many as 50 respondents (74.6%), had a good diet for toddlers as many as 37 respondents (55.2%) and had less knowledge about the nutritional status of toddlers as many as 43 respondents (64.2%). Based on the chi-square statistical test with p-values ​​of 0.028 and 0.001 which means there is a significant relationship between diet and knowledge with the nutritional status of children under five in Talang Babat Village, Tanjung Jabung Timur Regency. From the results of the study, it can be concluded that there is a significant relationship between diet and knowledge with the nutritional status of toddlers in Talang Babat Village, Tanjung Jabung Timur Regency.</em></p> Enny Susilawati Herinawati Herinawati Lia Artikasari Deliyana Fatilaya Copyright (c) 2021 Jurnal Kesehatan Komunitas 2021-08-31 2021-08-31 7 2 202 207 10.25311/keskom.Vol7.Iss2.918 Sistem Management Of Medical Solid Waste In The Midwife In The Puskesmas Pangkalan Kasai Districts Seberida Districts Indragiri Hulu Year 2020 <p><em>Medical waste is the result of the activities of a hospital,clinic</em><em>. The purpose of this research in figuring out how the management medical waste which in done in every puskesmas. This research is qualitative research descriptive research design, Data collection by conduct</em><em>or health service unit that is dangerous and can cause health probelms for the community, patients, visitors and officers who contribute to control in the community health center.</em><em>ing in-depth interviews and observations with the leader puskesmas, environmenral health, nourse,clenaing service. The study was conducted in july 2020 at the Puskesmas Pangkalan Kasai Kecamatan Seberida Kabupaten Indragiri Hulu. Research’s outcome has showed that system management of medical waste has not been standart yet, that one is happaned caused by the limitation of infrastructure as well as there is no keman’rule in every Puskesmas that should banish their own medical waste. Then this research’s outcomethat has been done by the researcher givean advice to Puskesmas Pangkalan Kasai to carry out the banishing their own medical waste to a health service having a incinerator.</em></p> Desty Andria Lista andrialista Nila Puspita Sari Hastuti Marlina Copyright (c) 2021 Jurnal Kesehatan Komunitas 2021-10-01 2021-10-01 7 2 254 262 Complementary Feeding or Infants Aged 0-6 Months and The Related Factors <p><em>Complementary food for breast milk is food or drink containing nutrition given to infants or children aged 6-24 months to meet their nutritional needs. Giving complementary foods to breast milk too early in infants can cause indigestion, diarrhea, food allergies, disturbances in appetite regulation and changes in appetite. This research was conducted in June 2019 in the Sungai Manau Health Center Work Area, Merangin Regency. This study is a descriptive study with a cross sectional design, with a sample of 96 mothers who have babies aged 0-6 months. The data analysis used was the chi square test with a significant level of = 0.05. Based on the research that has been done, it was found that there is a relationship between family support and the provision of complementary foods (p&lt;0.01), there is a relationship between mother's knowledge and the provision of complementary foods (p&lt;0.00), there is a relationship between family habits and the provision of complementary foods (p&lt;0.00). &lt;0.00). Based on the results of the study, it is hoped that it can provide input in the Sungai Manau Health Center Work Area in order to increase socialization to the community regarding the provision of complementary feeding.</em></p> <p><em>&nbsp;</em></p> Lia Artikasari Taty Nurti Nelly Priyanti Enny Susilawati Herinawati Herinawati Copyright (c) 2021 Jurnal Kesehatan Komunitas 2021-08-31 2021-08-31 7 2 176 181 10.25311/keskom.Vol7.Iss2.930 FACTORS RELATED TO THE EVENT OF STUNTING IN THE WORK AREA OF THE UPTD KUSKESMAS KAMPAR KAMPAR DISTRICT <p><em>Stunting is a chronic condition that describes growth retardation due to long-term malnutrition with a threshold (z-score) between -3 elementary school to &lt;-2 elementary school. Based on the results of the 2013 Riskesdas UPTD Kampar Health Center is a Puskesmas that has two villages which are designated as stage II stunting loci, with the prevalence of stunting occurrence 29.4%. The purpose of this study was to determine the factors associated with stunting in the work area of ​​the Kampar UPTD Public Health Center, Kampar district in 2018. This type of research was observational through a quantitative analytic approach with case control design with a sample of 59 stunting mothers and control samples. 59 mother respondents of children under five were not stunting. The data analysis was performed by a computerized system using Univariate and Bivariate analysis with Chi-Square Test. The results showed a relationship between knowledge (P value = 0,000 CI = 5,408-32,065), Parenting Style (P value = 0,039 CI = 1,109-5,005) history of ANC (P value = 0,034 CI = 1,099-4,861) Birth Weight (P value = 0.034 CI = 1,137-5,390), Exclusive breastfeeding (P value = 0,027 CI = 1,169-5,134), immunization history (P value = 0,025 CI = 1,187-5,359), Revenue (P value = 0,002 CI = 1,674-7,753) and family support (P value = 0.020 CI = 1.264-7.458) for the incidence of stunting and no association between history of infectious disease (P value = 1,000 CI = 0.311-2.439) for the incidence of stunting. It is recommended for puskesmas to be able to prepare facilities and infrastructure as a medium in providing counseling and counseling on stunting to the community through posyandu as a place for integrated activities from various sectors.</em></p> riri maharani Endang Purnawati Rahayu Septi Sholehawati Copyright (c) 2021 Jurnal Kesehatan Komunitas 2021-09-02 2021-09-02 7 2 234 240 Analysis of The Impact of Covid-19 Pandemic Toward The Implementation of School Health Programs in PrimarySchools in Musi Rawas Regency <p><em>Coronavirus Disease</em> 2019 (<em>COVID-19) pandemic changes the order of life in society, so a clean and healthy lifestyle or Perilaku Hidup Bersih dan Sehat (PHBS) has to be implemented in daily life to prevent COVID-19 deployment. One of the efforts to adapt to a clean and healthy lifestyle is education. School Health or well know in Indonesia as Usaha Kesehatan Sekolah (UKS) is expected able to become a platform for improving student’s skills and capability regarding designing a clean and healthy lifestyle. PHBS is a key to cut off COVID-19 chain deployment. The research has a goal to analyze the pandemic’s effect COVID-19 pandemic towards UKS implementation in elementary school in Tuah Negeri District in Musi Rawas Regency, Sumatera Selatan Province. It was explorative qualitative research which is conducted in five different elementary schools in the District of Tuah Negeri, Musi Rawas Regency, Sumatera Selatan Province. The informants are Head of Air Beliti health care, Person in Charge of UKS program from health care, Principal, Person in Charge of UKS from elementary school, and several elementary school students. The data analysis used Miles and Huberman's theory. The steps are reduction, presentation, verification. Testing of validity is processed through the Triangulation method. The result found conduction of UKS Triassic in elementary school in Tuah Negeri District during the COVID-19 pandemic was still implemented. Health education tends to emphasize more on PHBS counseling health protocol. Health service is limited on nutrition status observation through weight and height measurement. The immunization program for a student was still held by health care but did not achieve the target. In school environment’s coaching, in general, every school has provided handwashing facilities and infrastructure in each class. Implementation of UKS during the pandemic of COVID-19 in elementary school under the administration of Tuah Negeri Regency, Musi Rawas Regency, Sumatera Selatan Province is still on conduction. But not all the program has an optimal outcome. Because there was a limitation due to the pandemic situation. It showed by the total number of students who attend the school physically has to be reduced.</em></p> Deasi Novia Misnaniarti Misnaniarti Rostika Flora Risnawati Tanjung Copyright (c) 2021 Jurnal Kesehatan Komunitas 2021-09-02 2021-09-02 7 2 241 247 Analysis of the Characteristics of Chronic Energy Deficiency in Pregnant Women during the Covid 19 Pandemic <p><em>Pregnant women who experience chronic energy deficiency (KEK) tend to give birth to LBW babies and have a greater risk of death. Objective: This study was to analyze the factors associated with the incidence of KEK in pregnant women. Methods: The study was conducted for 2 months, in 2020 at Anggaberi Health Center and Soropia Health Center in Konawe district. Design: cross sectional, quantitative data collection and secondary data. The research sample was pregnant women who were registered in the maternal cohort data, which were taken randomly as many as 115 people. Univariate data analysis was carried out descriptively to see the distribution of the values ​​of the causal factors, bivariate analysis was carried out to analyze the relationship between the causal factors and the incidence of KEK through statistics, namely Chi-square test and cross tabulation with a significance value of 0.05. The results of the study found that the factors associated with the incidence of KEK were age (p-value = 0.000), education level (p-value = 0.000), employment status (p-value = 0.000), and pregnancy weight (p-value = 0.000 ). The incidence of KEK is more likely in mothers who have characteristics such as age &lt; 20 years and &gt; 35 years, low education, not working and low pregnant weight. Therefore, it is hoped that an increase in food security at the family level can be socialized through providing information to preconception women through counseling, flip-charts and posters.</em></p> Hardianti Mukkadas I Made Cristian B Wa Ode Salma Copyright (c) 2021 Jurnal Kesehatan Komunitas 2021-08-31 2021-08-31 7 2 170 175 10.25311/keskom.Vol7.Iss2.941 The Factors Releated To Community Behavior In Preventing Dengue Fever With 3M Plus In The Work Area Of The Harapan Raya Community Health Center In 2020 <p><span class="s58"><span class="bumpedFont15">Dengue</span></span><span class="s15"><span class="bumpedFont15"> fever is an acute an endemic disease caused by </span></span><span class="s58"><span class="bumpedFont15">dengue</span></span><span class="s15"><span class="bumpedFont15"> virus that is transmitted by aegypti mosquito in urban areas and in rural areas of </span></span><span class="s58"><span class="bumpedFont15">aedes</span></span><span class="s58"><span class="bumpedFont15">albopictus</span></span><span class="s15"><span class="bumpedFont15">.</span></span><span class="s54"><span class="bumpedFont15">Who ( 2015 ) % 2,5 billion or 40 percent of the population in the world at risk of dengue fever living chiefly in tropical and subtropical regions. in the work Puskesmas Harapan Raya obtained 182 case in the last years, Found a kind of water body in a state of open garbage and, like a bottle plastic, former canscontaining a puddle where </span></span><span class="s59"><span class="bumpedFont15">The </span></span><span class="s60"><span class="bumpedFont15">aedes</span></span> <span class="s60"><span class="bumpedFont15">aegypti</span></span><span class="s59"><span class="bumpedFont15">mosquito. R</span></span><span class="s54"><span class="bumpedFont15">esearch aims to understand the factors that relating to the behavior of the people in the prevention of dengue fever case with 3M Plus in the work area of Puskesmas Harapan Raya 2020. </span></span><span class="s59"><span class="bumpedFont15">A method of this research is </span></span><span class="s53"><span class="bumpedFont15">Analytic observational</span></span><span class="s54"><span class="bumpedFont15"> with the design </span></span><span class="s53"><span class="bumpedFont15">cross sectional</span></span><span class="s54"><span class="bumpedFont15"> and use </span></span><span class="s53"><span class="bumpedFont15">test chi square</span></span><span class="s54"><span class="bumpedFont15">. This study was conducted in august 2020, This is all subject of study the people residing in the work area Puskesmas Harapan Raya </span></span><span class="s59"><span class="bumpedFont15">With a population about 13.750 and the number of samples from the190 people. </span></span><span class="s54"><span class="bumpedFont15">Sampling techniques used is </span></span><span class="s53"><span class="bumpedFont15">purposive sampling</span></span><span class="s54"><span class="bumpedFont15"> .The result showed that there is a connection between environmental sanitation:( p value</span></span><span class="s54"><span class="bumpedFont15"> 0,000, the por = 4,426 ), </span></span><span class="s54"><span class="bumpedFont15">education:</span></span><span class="s54"><span class="bumpedFont15"> (</span></span><span class="s54"><span class="bumpedFont15">p value</span></span><span class="s54"><span class="bumpedFont15"> &nbsp;0,010, the </span></span><span class="s54"><span class="bumpedFont15">por = 2,341 )</span></span><span class="s54"><span class="bumpedFont15">, knowledge ( p </span></span><span class="s54"><span class="bumpedFont15">value</span></span><span class="s54"><span class="bumpedFont15"> 0,002</span></span><span class="s54"><span class="bumpedFont15"> , the por = 2,627 )</span></span><span class="s54"><span class="bumpedFont15">, Solid waste management</span></span> <span class="s54"><span class="bumpedFont15">( p</span></span> <span class="s54"><span class="bumpedFont15">value: 0,036, the por = 2,061 )&nbsp;meaningful relationship with behavior in prevention of the</span></span> <span class="s54"><span class="bumpedFont15">disease with 3m plus </span></span><span class="s59"><span class="bumpedFont15">It is hoped that the Harapan Raya Puskesmas will carry out counseling on abuse by implementing 3M Plus,</span></span><span class="s54"><span class="bumpedFont15">Always urge people to maintain clean environment in not letting the thrift</span></span><span class="s62"><span class="bumpedFont15">developing the </span></span><span class="s63"><span class="bumpedFont15">dengue</span></span></p> Rossa anugerah putri Rossa Hoppy Dewanto Nila Puspita Sari Copyright (c) 2021 Jurnal Kesehatan Komunitas 2021-08-31 2021-08-31 7 2 157 163 10.25311/keskom.Vol7.Iss2.701 Factors Associated with Active Aging at Payung Sekaki Health Center Pekanbaru City <p><em>Quality healthy elderly refers to the active aging concept, namely the aging process that remains physically, socially and mentally healthy so that they remain prosperous throughout life. Many factors are related to the activity of the elderly such as: sports, income and gender with education as a confounding variable because it has two unique relationships, namely it is positively related to the exposure variable and positively related to the exposed variable (active aging). The purpose of the study was to determine the health factors associated with active aging. This type of quantitative analytic research, using a cross sectional design. The study population was the elderly group registered in each Posyandu in the Payung Sekaki Community Health Center. The sample is 121 respondents. Data was collected by distributing questionnaires. Data analysis used Chi Square test and multiple logistic regression. The results of the analysis show that there is a significant relationship between exercise, income, gender and education with active aging. It is better for the government to consistently carry out efforts to improve social welfare for the elderly, so as to support healthy aging and active aging.</em></p> chaliza bebby ewys Kiswanto Kiswanto Jasrida Yunita Mitra Mitra Kamali Zaman Copyright (c) 2021 Jurnal Kesehatan Komunitas 2021-08-31 2021-08-31 7 2 208 213 10.25311/keskom.Vol7.Iss2.927 Outpatient Behavior Toward Utilizing of Health Service Insurance in A Private Hospital in Pekanbaru <p style="margin: 0cm; text-align: justify; text-justify: inter-ideograph;"><em><span lang="EN-US" style="font-size: 11.0pt; color: #0e101a;">The hospital has a very large role as a provider of health services to BPJS Health participants. The implementation of the BPJS Health program in the Hospital is inseparable from various problems such as BPJS participants who do not understand their rights and obligations as a result of lack of knowledge, community work related to BPJS Health, lack of exposure to information related to BPJS health to the attitudes and behavior of health workers towards patients. The purpose of the study was to find out what factors were related to the attitude of utilizing BPJS health services to outpatients in Petala Bumi Hospital, Riau Province. This was a quantitative analytic research with a cross-sectional design. Data analysis was carried out by univariate, bivariate, and multivariate using multiple logistic regression tests. The results showed that the variables significantly related to the attitudes of outpatients in the utilization of the Social Security Organizing Agency (BPJS) services namely knowledge (POR: 3.99; 95% CI; 1, 782-8,935), education (POR: 16, 67; 95% CI; 7,206-38,575) and exposure to information POR: 2.65; 95% CI; 1,228-5,704). It is recommended for health workers to further enhance their role in providing health promotion on health BPJS through integrated counseling by establishing cross-program and cross-sectoral cooperation including through integrated socialization from various parties involving ulemas, and community leaders through activities carried out by the community.</span></em></p> yeni afriani henny Djuhaeni Nurmaimun Nurmaimun Jasrida Yunita Arief Wahyudi Copyright (c) 2021 Jurnal Kesehatan Komunitas 2021-08-31 2021-08-31 7 2 214 220 10.25311/keskom.Vol7.Iss2.436 Dengue Haemorrhagic Fever and Its Relationship With The Weather Factors in Bandar Lampung City, 2009-2018 <p><strong><em>Background: </em></strong><em>DHF is the most serious vector-borne disease in Bandar Lampung. Dengue virus and its vector Aedes aegypti are sensitive to weather changes, especially rainfall, temperature, and humidity. </em></p> <p><strong><em>Objective: </em></strong><em>This study aims to determine the relationship between weather factors and dengue cases using 2009-2018. </em></p> <p><strong><em>Methods: </em></strong><em>The data were obtained from reports on the number of monthly cases of the Bandar Lampung City Health Office and daily climate reports from the Meteorology, Climatology, and Geophysics Agency, converted into monthly averages. The SPSS 24.0 was used at all levels of analysis (CL = 95%), including Pearson Correlation, Spearman rank Correlation, and Multiple Linear Regression.</em></p> <p><strong><em>Results: </em></strong><em>We found the highest cases of DHF are in January, February, and March. Rainfall has a positive correlation with the number of dengue cases in 2011 (p-value = 0.012) and 2015 (p-value = 0.020). Each year, the rainy period precedes the start of the increase in dengue cases. Temperature has a negative correlation in 2014 (p-value = 0.036). Humidity has a positive correlation in 2014 (p-value = 0.024), and 2015 (p-value = 0.018). Rainfall has the greatest influence on DHF cases in Bandar Lampung City (36.9%). </em></p> <p><strong><em>Conclusion: </em></strong><em>These findings provide empirical evidence regarding the relationship between weather factors and DHF transmission and are expected to provide a scientific basis for the prevention and control of DHF.</em></p> Prayudhy Yushananta Copyright (c) 2021 Jurnal Kesehatan Komunitas 2021-10-01 2021-10-01 7 2 263 270 Healthy Elderly in Pandemic: Physical Activities During The Covid-19 Pandemic <p>The<em> elderly experience a decline in health due to decreased body functions caused by increasing age. Covid-19 has spread since March 2020 has led to the emergence of restrictions on activities, namely PSBB. These conditions lead to various changes related to efforts to overcome health problems. The purpose of this study is to explore physical activity by paying attention to social and environmental conditions during the Covid-19 pandemic in the elderly in Kebumen Village, Banyubiru District. The research used a descriptive qualitative research method. The data used structured interviews with 4 elderly people in Banyubiru District, Kebumen Village who were disabled at the Banyubiru Health Center. The participants involved elderly with inclusion criteria of women aged 55 - 61 years, physically and mentally healthy, often doing physical activities, domiciled in Kebumen Village, Banyubiru District. The study was conducted in February - July 2020 in Kebumen Village, Kebumen Village, Banyubiru District, Semarang Regency. The results showed that most of the participants experienced changes in physical activity due to the PSBB. The elderly must adapt to conditions during a pandemic that causes a reduction in the quality and quantity of physical, social, and environmental activities. Gathering activities that are not useful are not carried out by the elderly group even though they are useful for maintaining their health.</em></p> Angkit Kinasih Theresia P.E Sanubari Hidayat Hidayat Copyright (c) 2021 Jurnal Kesehatan Komunitas 2021-09-07 2021-09-07 7 2 221 225 the Obese Risk Factors on Students in STIKes Hang Tuah Pekanbaru <p><em>Obesity is an excessive accumulation of body fat that can pose a health risk to individuals such as type 1 or 2 diabetes, high blood pressure, stroke, heart attack, heart failure, cancer, and other diseases caused by obesity. Obesity is still a serious health problem, Indonesia has obese people as much as 31.0% while for Riau Province obese people as much as 33.5%. Pekanbaru city ranks 11th in Riau Province with 1,880 or 36.35% obese people and for STIKes Hang Tuah Pekanbaru, students with obesity for the year 2018 as much as 170 or 24.0%. The purpose of this study is to determine the risk factors of obesity incidence in students at STIKes Hang Tuah Pekanbaru Year 2020. This was an quantitative study with analytical design and cross-sectional approach. The research was conducted at STIKes Hang Tuah Pekanbaru in July-August 2020. The study sample was 154 respondents. The sampling technique was used purposive sampling by the grouping of the study program. Data analysis includes uni-variate and bi-variate analysis, using chi-square tests. The results of the uni-variate analysis showed low knowledge variables (49.4%), less sleep duration (45.5%), less physical activity (55.8%), poor diet (40.3%). The results of bi-variate analysis showed variables related to obesity incidence in students namely knowledge (p-value = 0.000, POR = 19,697), sleep duration (p-value = 0.000, POR = 4,362), physical activity (p-value = 0.000, POR = 4.006), diet (p-value = 0.003, POR = 0.353).</em></p> <p><em>Keywords : </em><em>Physical Activity, Sleep Duration, Obesity, Knowledge</em></p> Guntur Pamungkas Pamungkas Christine Vita GP Agus Alamsyah Copyright (c) 2021 Jurnal Kesehatan Komunitas 2021-09-02 2021-09-02 7 2 196 201 Analysis of Factors Causing High Non-Specialized Referral Ratio of Inpatient Primary Health Centers <p><em>As part of the quality control and cost control system in health services, the provision of health services to JKN participants must be carried out in stages according to medical indications. The fact shows that the Puskesmas has not carried out its function as a gatekeeper properly due to the high number of referrals, especially for non-specialist services. The purpose of this study was to obtain an overview of the causes of the high ratio of non-specialist referrals at the Pasuruan District Health Center. This research is a quantitative descriptive study with a cross sectional research design. The research sample was 4 inpatient health centers with a non-specialist referral ratio &gt; 2% in Pasuruan Regency. The results showed that the most frequently referred disease was insulin-dependent diabetes mellitus. All inpatient health centers with a high ratio of non-specialist referrals do not have complete facilities and infrastructure according to standards. In addition, as many as 75% of Puskesmas do not have type of health worker based on Permenkes 43 of 2019. In this case, local governments must always strive the needs of facilities, infrastructure and health workers, so that puskesmas can provide excellent health services.</em></p> Rizki Fadila Alifia Firda Purnomo Copyright (c) 2021 Jurnal Kesehatan Komunitas 2021-08-31 2021-08-31 7 2 144 149 10.25311/keskom.Vol7.Iss2.910 Effects Of The Covid-19 Pandemic On Eating Habits And Exercise Habits Of The Selected High School Adolescents In West Lampung Regency <p><strong>ABSTRAK</strong></p> <p><em>Coronavirus Disease-19</em> (COVID-19) merupakan pandemi global yang telah menginfeksi berbagai negara di dunia, termasuk Indonesia. Pembatasan pada kegiatan di luar rumah termasuk penutupan sekolah dalam menekan penularan COVID-19 berdampak pada perubahan aktifitas fisik dan perilaku makan dalam arah yang membahayakan kesehatan dan menimbulkan masalah gizi, serta meningkatkan risiko NCD yang dapat memperparah penyakit COVID-19. Penelitian ini bertujuan untuk mengetahui perbedaan kebiasaan olahraga dan kebiasaan konsumsi sebelum dan saat pandemi COVID-19 pada siswa SMAN terpilih di Kabupaten Lampung Barat. Desain studi penelitian ini adalah <em>cross-sectional</em> dengan menggunakan data primer yang didapatkan melalui pengisian kuesioner dan FFQ. Penelitian dilakukan pada bulan juli 2020. Sampel penelitian berjumlah 295 siswa yang dipilih dengan metode <em>purposive sampling</em> pada SMA Negeri terpilih di Kabupaten Lampung Barat. Data penelitian ini dianalisis menggunakan SPSS 2.0 menggunakan analisis bivariat uji Mc Nemar. &nbsp;Hasil penelitian menunjukkan ada perbedaan variabel frekuensi olahraga (<em>p-value</em> 0,000), durasi olahraga (<em>p-value</em> 0,000), kebiasaan konsumsi sayur (<em>p-value</em> 0,021) dan buah (<em>p-value</em> 0,000) sebelum dan saat pandemi COVID-19. Tidak terdapat perbedaan variabel kebiasaan konsumsi jajanan (<em>p-value</em> 0,280), <em>fast food</em> (<em>p-value</em> 0,207), gorengan (<em>p-value</em> 0,180) dan <em>soft drink</em> (<em>p-value</em> 0,103). <strong>&nbsp;</strong>Dapat disimpulkan bahwa, masa pandemi COVID-19 berdampak pada perubahan kebiasaan olahraga baik pada frekuensi dan durasi olahraga serta kebiasaan konsumsi sayur dan buah siswa SMAN terpilih di Kabupaten Lampung Barat.</p> <p>&nbsp;</p> <p><strong>Kata Kunci : </strong>COVID-19, Kebiasaan Konsumsi, Olahraga, Remaja</p> <p>&nbsp;</p> <p>&nbsp;</p> <p><strong><em>ABSTRACT </em></strong></p> <p><em>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Coronavirus Disease-19 (COVID-19) is a global pandemic that has infected various countries in the world, including Indonesia. Restrictions on activities outside the home including school closures in suppressing the transmission of COVID-19 have an impact on changes in physical activity and eating behavior in a direction that endangers health and causes nutritional problems, as well as increases the risk of NCDs that can exacerbate COVID-19 disease. This study aims to determine differences in exercise habits and consumption habits before and during the COVID-19 pandemic in selected high school students in West Lampung Regency. The study design of this study was cross-sectional using primary data obtained through filling out questionnaires and FFQ. The study was conducted in July 2020. The research sample consisted of 295 students who were selected using the purposive sampling method at selected public high schools in West Lampung Regency. The research data were analyzed using SPSS 2.0 using Mc Nemar test bivariate analysis. The results showed that there were differences in the frequency of exercise (p-value 0.000), exercise duration (p-value 0.000), vegetable consumption habits (p-value 0.021) and fruit (p-value 0.000) before and during the COVID-19 pandemic. There is no difference in the variables of snack consumption habits (p-value 0.280), fast food (p-value 0.207), fried food (p-value 0.180) and soft drinks (p-value 0.103). It can be concluded that, the COVID-19 pandemic has an impact on changes in exercise habits both in the frequency and duration of exercise as well as vegetable and fruit consumption habits of students selected high school in West Lampung Regency.</em></p> <p><strong><em>Keywords: </em></strong><em>COVID-19, Eating Habits, Sports, Adolescents</em></p> Rizti Millva Putri Ratu Ayu Dewi Sartika Copyright (c) 2021 Jurnal Kesehatan Komunitas 2021-08-31 2021-08-31 7 2 164 169 10.25311/keskom.Vol7.Iss2.942 Test of the Effectiveness of Dioscorea Hispida Dennust as Mosquitoescoils Effort to Aedes Aegypti Mosquito Control <p><em>Gadung Tuber (Dioscorea</em> <em>Hispida</em> <em>Dennst) containing alkoloid and HCN (Hydrogen Cyanide) which can be used as natural poisons to kill Aedes Aegypti mosquito. This study aims to determine the test of the effectiveness of gadung tuber as anti fuelin the control efforts of aedes aegypti. It wastrue experiment, pre and posttest designs with 5 treatments and</em> <em>4 times repetitions.</em> <em>The analysis data used the Shapiro-Wilk Normality Test, Homogenity of Variance Test, and One-way ANOVA Test. Total sample was 100 Aedes Aegypti mosquito. The results of this study indicate that the average mortality of mosquitoes at a concentration of 5 mg was 8 tails, a concentration of 10 mg was 16 tails, a concentration of 15 mg was 18 tails and a positive control (Fuel Hit) was 20 mosquito. Anova test results obtained that p-value = 0,000 (p&lt;0,05). Then it can be concluded that from the three concentrations tested 5 mg, 10 mg, and 15 mg, the concentration can kill the Aedes Aegypti mosquito but at different levels of ability. The concentration of 15 mg was declared the most effective in killing the Aedes Aegypti mosquito. Exposure time of 15 minutes was considered the most effective in killing Aedes Aegypti mosquitoes after 4 times repetitions.</em></p> suherman sohor Copyright (c) 2021 Jurnal Kesehatan Komunitas 2021-10-01 2021-10-01 7 2 248 253 Factors Associated with the Selection of Contraceptive Implants for Family Planning Acceptors in Jambi City <p><em>In several decades, based on the results of the census, Indonesia has experienced significant population growth. In the last ten years, the population has increased by 32.56 million. The KB I program was initiated to reduce the birth rate by using several methods, one of which is the hormonal contraceptive implant method. However, data from the Jambi health office shows that there are still quite a few family planning acceptors who use implant contraceptives, even though it is known that this type of contraception is very effective, with a long duration of use, and an affordable price. This study aims to analyze what factors are related to the choice of implant type contraceptives for family planning acceptors in the work area of ​​Putri Ayu Health Center, Jambi City. This type of research is analytic Observational with a cross sectional design. The population of this study was 3,029 people. Samples were taken by quota sampling as many as 96 respondents. Data collection was carried out using a questionnaire. Data analysis was carried out bivariately using the chi square test with a significance level of 0.05. The data collected is based on research variables, namely knowledge, attitudes, perceptions, and motivations of family planning acceptors. The results of Chi Square analysis showed that knowledge with p-value 0.002, attitude p-value 0.224, perception p-value 0.173, and motivation with p-value 0.005. Factors related to the selection of contraceptive implants for mothers of family planning acceptors in the working area of ​​Putri Ayu Health Center are knowledge and motivation</em></p> <p><em>&nbsp;</em></p> Enny Susilawati Neny Heryani Lia Artikasari Erni Pransiska Copyright (c) 2021 Jurnal Kesehatan Komunitas 2021-08-31 2021-08-31 7 2 189 195 10.25311/keskom.Vol7.Iss2.928