Ridwan M. Thaha

Quality of Antenatal Care at Community Health Centers and Midwifery Practitioner in Jeneponto

This research aims to determine the difference of antenatal care quality at Pukesmas and midwifery practitioner in Jeneponto Regency.The type of research was observational analysis with cross sectional study design. The populations were pregnant women in Jeneponto regency from October 2015-may 2016 as many as 4,156 samples. The samples were pregnant women and midwifery practitioners, there were 182 respondents, and respectively 91 samples at puskesmas and 91 samples at midwifery practitioners. The samples were drawn with stratified random sampling method then analyzed using computer application of SPSS examined with chi square test. The results indicate that 72% of antenatal care both at puskesmas and at midwifery practitioner quality is categorized bad. There is difference of antenatal care quality at puskesmas and midwifery practitioner quality based on indicator of antenatal care examination such as body height (p=0.023), body weight (p=0.011), blood pressure (p=0.000), height of fundus uteri (p=0.001), fetus heart beat (p=0.000), immunization of TT (p=0.000), administration of Fe tablet (p=0.005), blood type test (p=0.011), and haemoglobin (Hb) examination (p=0.000). There is no quality difference of antenatal care based on measurement of upper arm (p=0.098).

Relationship Between Hormonal Contraception Use with Age of Menopause Among Elderly at Posyandu Sidodadi Village Wonomulyo Subdistrict Polewali Mandar District

This research aims to determine the correlation of the use of hormonal contraception with menopause age. The type of this study was analytical observational research with cross sectional study design. The samples are all married women aged 45-59 who were menopause in sub district of Sidodadi amounted to 97 respondents. The data were analyzed in univariate, bivariate and multivariate manner using stratification analysis with Mantel-Haenszel test. The result indicate that there is a significant relationship between hormonal contraception use with menopause age (p=0.001). Multivariate test with analysis of stratification (Mantel Haencsel Test) is obtained that menarche age, parity, physical activity, and fitoestrogen consumption do not influence the relationship of hormonal contraception use with menopause age though all controlling variables have value Cochrans and Mante; Haenzsel < 0.05 this indicate that menopause age depends on the use of hormonal contraception with controlling variable.

Analysis of the Environmental Factors and the Efforts of the Community to Avoid the Mosquito Bites Against the Endemic Dengue in Rappocini Sub-District, Makassar City

This research aimed to analyze the differences of the environmental factors and the efforts of the community to avoid the mosquito bites in the dengue endemic area and in dengue non-endemic area in Rappocini Sub-District. Makassar City. The research used the ecological study design with the analytical or observational comparative study. The total samples comprised 125 households. which were divided into two areas: 62 households in the endemic area and 63 households in the non-endemic area. The research was conducted from May through July, 2016. The samples were chosen using the purposive sampling technique. The data were then analyzed using Mann-Whitney and Fishers Exact tests and the logistic regression test. The data were processed SPSS version 20. The research results indicated that the difference test revealed that the variables which had a significant difference towards the endemic denque were the temperature (p=0.031), the humidity (p=0.000), the lightning (p=0.000), the presence of larvae (p=0.020), the uses of mosquito nets (p=0.046), the anti• mosquito chemicals (p=0.003). the installation of wire netting (p=0.001), the uses of long sleeves (p=0.000), while the variable which did not have a difference with the level of endemic dengue was the mobility of the population (p=0.592). The result of the logistic regression test showed that the variables which caused the most significant difference between the endemic area and the non-endemic area in Rappocini Sub-District was the uses of the anti-mosquito drugs (p=0.001).

Correlation Between Life Style and Dyslipidemia with Impaired Fasting Blood Sugar in State Junior High School and State Senior High School Having Central Obesity

The aim of the research was to determine correlation between life style (physical activities, consumption, behaviour, smoking status and stress level) and dyslipidemia and impaired fasting blood sugar in State Junior High School and State senior High School who have central obesity in Makassar. The research was an observational study with cross sectional approach consisting of 150 teachers. The data consisted of abdominal circumference, dyslipidemia, fasting blood sugar and stress level. Correlation between life style and dyslipidemia and impaired fasting blood sugar was analyzed using chi square analysis. The results of the research indicate that there is a correlation between behaviour (0.014) and its domain, which is knowledge (0.007), attitude (0.005), practise (0.014) and impaired fasting food blood sugar. There is a significant correlation between triglyceride (0.003) and impaired fasting blood sugar, but there is no correlation between physical activities (0.305), total cholesterol (0.064), HDL (0.710), LDL (0.122), consumption pattern (carbohydrate (0.367), fat (0.508), vegetables (0.835) abd fruits (0.601), smoking status (0.366), stress level (0.159) and impaired fasting blood sugar

A Spatial Analysis of Malaria Cases Using Geographic Information System (GIS) Application in Gorontalo Regency in 2016

This study aims to analyze the relationship between mosquito breeding places, the use of insecticide-treated nets, the use of anti- mosquito substances, the habit of going out at night, and the presence of farm animals; and malaria incidence; and examine map of malaria distribution in Gorontalo regency. The research was conducted at some places in Gorontalo regency, including Limboto Community Health Center, Telaga Biru Community Health Center, and Asparaga Community Health Center. The study was conducted as an observational research with as cross sectional study design. The samples were 246 people, the data were collected through direct interviews with a questionnaire; and they were analyzed using the univariate test, bivariate statistical test with Chi Square and multivariate test with logistic regression. The distribution maps of malaria was determined using Quantum GIS. The results show that four risk factors -- the use of insecticide- treated nets (p = 0.000), Utilization of anti-mosquito substances (p= 0.040), the habit of going out at night (p = 0.000), and the presence of farm animals (p = 0.019) are associated with the incidence of malaria. In contrast, mosquito breeding place is not associated with malaria incidence (p= 0.780). Multivariate test with logistic regression test results reveal that the utilization of insecticide-treated nets is the most influential factor on the incidence of malaria with a wald value = 48.510, Exp (B) = 48.147 and B value = 3.874.

Drug Adherence with Hypertension Status at the Bajoe Community Health Centre of Bone Regency in 2016

This study aimed to understand the relation between compliance of taking medicine and the hypertension status in Bajoe community health centre of bone regency. The study was observational analytical and used cross sectional study design. Population of the research was all hypertension patients in working area in Bajoe Community health center of bone regency in 2015. purposive sampling technique was utilized and 310 respondents were chosen as primary hypertension patients that consume anti hypertension medicine Data were analyzed through a SPSS program with chi square and logistic regression test. Further, stratification analysis to evaluate the relationship between the main independent variable and dependent variable was standardized by each covariate variables potential confounder (age, sex, family history, salty food intake, smoking habit, physical activity and obesity). The research result indicated that more hypertension suffered from respondents who were not compliant in taking medicine (66.7%). Incompliance in taking medicine who experienced hypertension was found mostly on elderly (73.1%), females were the same as males (66.7%), family history (73.7%), consuming salty food (67.1%), smoking (67.4%), tendency not to participate in physical activity (69.6%) and obesity (89.2%) with p value <0.05. This study concluded that there is relationship between compliance in taking medicine with hypertension status after been controlled by age, sex, family history, salty food intake, smoking habit, physical activity and obesity, but the variables is not cofounder.

Kualitas Hidup Penderita Insomnia Pada Mahasiswa

Insomnia adalah kelainan dalam tidur berupa kesulitan berulang untuk tidur atau mempertahankan tidur walaupun ada kesempatan untuk itu dan gejala tersebut biasanya diikuti gangguan fungsional saat bangun dan beraktivitas pada siang hari. Sepertiga orang dewasa mengalami kesulitan memulai tidur dan mempertahankan tidur dalam setahun, dengan 17% diantaranya mengganggu kualitas hidup. Penelitian ini bertujuan mengetahui faktor yang mempengaruhi kualitas hidup penderita insomnia pada Mahasiswa Pascasarjana Universitas Hasanuddin. Jenis penelitian yang digunakan rancangan cross sectional study. Sampel penelitian dipilih dengan metode exhaustive sampling sebanyak 215 responden yang menderita insomnia. Data dianalisis menggunakan analisis jalur. Hasil analisis bivariat menunjukkan ada pengaruh antara perilaku merokok terhadap tingkat insomnia dengan nilai koefisien 0.425 dan terhadap kualitas hidup dengan nilai koefisien -0.205. Ada pengaruh konsumsi kafein terhadap tingkat insomnia dengan nilai koefisien 0.392 dan terhadap kualitas hidup dengan nilai koefisien -0.142. Ada pengaruh aktivitas fisik terhadap tingkat insomnia dengan nilai koefisien 0.192 dan terhadap kualitas hidup dengan nilai koefisien -0.409. Kesimpulan terdapat pengaruh perilaku merokok, konsumsi kafein dan aktivitas fisik terhadap tingkat insomnia dan Kualitas hidup.

Self-Care Activity determination of diabetes Mellitus Type-2 Patient in labuang baji hospital

Non infectious diseases in the community are a sign of epidemiological transition. One of the non infectious diseases that are found is Diabetes Mellitus (DM) type-2 diseases. The purpose of this research is to know the determination of self-care diabetes activity in patients with type-2 diabetes at Labuang Baji Hospital in Makassar City. The research design is cross-sectional study. The population were all patients with DM type 2 treatment in 2016. Sampling was done by probability sampling technique with simple random sampling method and the number of sample was 136 people. The results showed that respondents with self-care activities were less than 35 people (25.7%) and respondents with good self-care activities as many as 101 people (74.3%). The result of bivariate analysis (chi-square) showed that significant factor was correlated with self-care activity of DM type 2 patients with p-value <0, 05 is knowledge (p = 0, 000), health insurance ownership (p = 0, 022) health workers support (p = 0, 000). The result of logistic regression analysis showed that the factors significantly correlated with the self-care activity in Diabetes Mellitus type-2 patients were knowledge (OR = 7.900; 95% CI: 2, 497-24, 998). The conclusion of knowledge is a factor significantly associated with diabetes self-care activities.

ESTIMATED MODELS OF OCCURRENCE DIARRHEA IN MAKASSAR

Diarrhea estimation is a vital aspects of diarrehea prevalence in Makassar city.This study aims to estimate the occurrence of Diarrhea in Makassar City for 10 years (2017 - 2027) with the approach of dynamic model without scenario (pessimistic level), estimate the occurrence of Diarrhea in Makassar City for 10 years (2017 - 2027) with dynamic model approach with combined scenario improvement of basic sanitation, food and beverage sanitation, snack consumption and moderate hygiene scenario scenarios, and estimates the incidence of Diarrhea in Makassar City for 10 years (2017 - 2027) using a dynamic model approach with optimistic mixed scenarios. The design of this research is cross sectional with dynamic system model approach. The research was conducted in Makassar City which was chosen purposively. For estimation model of diarrhea occurrence using dynamic modeling with Stella 5.0. The population in this study is the entire community residing in Makassar City. The sample of the study is the people affected by diarrhea recorded in the case report records in the Health Office of Makassar City 2012-2016. Result of research of Diarrhea event estimation in Makassar City for 10 years (2017 - 2027) without scenario (pessimistic level) shows that 10 years to come that is 2017 - 2027 incidence Diarrhea in Makassar City increased up to 1,10 times every month with percentage by 110% within 10 years with Diarrhea case of 145,855 cases in 2017 to 471,884 cases in 2027. Estimated incidence of diarrhea (for 2017-2027) with dynamic model approach with combined scenario of basic sanitation, sanitation food and beverages, the scenario of reducing the consumption of snacks and moderate-level personal hygiene scenario shows that during 2017 - 2027 incidence Diarrhea has decreased to 3.00 times every month with percentage of 300% when compared to the level scenario pessimist within 10 years with Diarrhea case of 48,167 cases at t 2017 to 155,057 cases in 2027.