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"ABSTRAKSalah satu penyebab kematian ibu karena kehamilan dan persalinan erat kaitanyadengan tenaga penolong persalinan. Cakupan persalinan oleh tenaga Kesehatan di KotaBekasi tahun 2009 78,6% dan bukan tenaga kesehatan 3,7% Pada Puskesmas Telukpucung dengan cakupan 80,3 % jauh dibawah target yang harus dicapai yaitu 95 %.Sedangkan persalinan oleh dukun diperoleh 3,8 %.Penelitian ini dilakukan dengan menggunakan metode penelitian deskriptifdengan desain cross sectional. Dari penelitian yang dilakukan untuk mencari hubunganfactor karakteristik ibu yaitu umur, pendidikan, pekerjaan, dan paritas, factor pendapatankeluarga, dukungan yang diberikan suami, serta factor bauran pemasaran yaitu produk,place, price, dan promosi dengan pemilihan tenaga penolong persalinan. Respondensebanyak 125 ibu bayi sebagai sampel dengan menggunakan cluster pada 63 posyandudan setiap posyandu 2 responden. Penelitian dilaksanakan pada bulan April 2011 denganmetode kuantitatif menggunakan kuesioner.Hasil penilitian didapatkan hasil hubungan yang bermakna antara pendapatankeluarga, dukungan suami dan bauran pemasaran produk, price, place, dan promotiondengan pemilihan tenaga penolong persalinan oleh tenaga kesehatan.

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ABSTRACTOne cause of maternal deaths due to pregnancy and child birth is closely relatedto labor birth attendant. Scope of delivery by health personnel in the City of Bekasi in2009 78.6% and not a health personnel 3.7%. At the Teluk Pucung health center with80.3% coverage far below the targets to be achieved that is 95%. While delivery byshamans gained 3.8%.This research was conducted using descriptive research method with crosssectional design. Research conducted to find the relationship between maternalcharacteristics such as age, education, employment, parities factor family income, thesupport given her husband, and marketing mix factors that is product, place, price, andpromotion by the selection of birth attendant. Respondents were mothers of 125 infantsin the sample by using the cluster in 63 neighborhood health center and everyneighborhood health center 2 respondents. The experiment was conducted in April 2011with quantitative methods using questionnaires.Research results found that the result was a significant correlation betweenfamily income, husband's support and marketing mix product, price, place, andpromotion by election workers by skilled birth attendant health."

"Angka Kematian Ibu di Banjarnegara masih tinggi, salah satu penyebab kematian ibu adalah komplikasi kehamilan, upaya penurunan kematian ibu adalah dengan deteksi komplikasi sedini mungkin sehingga akan segera memperoleh pelayanan rujukan yang efektif. Cakupan deteksi dini ibu hamil risiko tinggi oleh bidan di Kabupaten Banjarnegara tahun 2010 11,6% masih di bawah Standar Pelayanan Minimal, Untuk itulah penelitian ini dilakukan, untuk mengetahui faktor-faktor yang berhubungan dengan deteksi dini ibu hamil risiko tinggi oleh bidan di Kabupaten Banjarnegara Tahun 2011. Penelitian ini dilakukan menggunakan metode penelitian kuantitatif dengan desain cross sectional. Dari penelitian yang dilakukan didapatkan hasil yaitu 58,8 pengetahuan responden rendah, 51% responden tidak mendapat pelatihan, 61,9% responden mendapat buku pedoman, ada hubungan bermakna antara pengetahuan, pelatihan dan pemanfaatan buku pedoman dengan praktik deteksi dini ibu hamil risiko tinggi oleh bidan. Untuk meningkatkan ketrampilan bidan dalam praktik deteksi dini ibu hamil risiko tinggi, Dinas kesehatan perlu melakukan pelatihan, pengadaan buku pedoman tehnis bagi bidan,koordinasi dengan organisasi terkait.

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Maternal Mortality in Banjarnegara still high, one of the causes of maternal death is complications of pregnancy, maternal mortality reduction efforts is to detect complications as early as possible so that it will soon acquire an effective referral service. Coverage of early detection of high risk pregnant women by midwives in Banjarnegara District in 2010 was still 11.6% below the Minimum Service Standards, for the research was conducted, to determine factors associated with early detection of high risk pregnant women by midwives in the District Banjarnegara 2011. This research was carried out using methods of quantitative research with a design of cross section.

Research determined that the result is 58.8 survey under knowledge, 51% of respondents did not receive training, 61.9 per cent of respondents receive manuals, significant relationship between knowledge, training and the use of the guidelines to the practice of the early detection of the mothers of high risk of pregnancy by midwives. To improve the skills of midwives in the practice of early detection of pregnant women at high risk, the Health Department needs to carry out the training, the provision of technical manuals for midwives, coordination with relevant organizations."

"Infeksi Saluran Pernafasan Atas (ISPA) adalah penyakit terbanyak di Puskesmas Pejuang tahun 2012, dengan Insiden Rate 9,58%. Particulate Matter 10 (PM10) merupakan salah satu faktor resiko penyebab ISPA. Penelitian ini bertujuan untuk mengetahui pengaruh PM10 udara rumah tinggal terhadap kejadian ISPA Balita. Metode penelitian cross sectional. Populasinya seluruh balita di kecamatan Medan Satria, sampelnya 130 balita. Hasil pengukuran didapatkan kadar rata-rata PM10 udara rumah tinggal sebesar 72μg/m3 dan terdapat 88 balita (67,7%) mengalami ISPA. Disimpulkan bahwa kadar PM10 yang tidak memenuhi syarat berpeluang 11,33 kali lebih besar terkena ISPA dibandingkan dengan kadar PM10 yang memenuhi syarat.

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Acute Respiratory Infections (ARI) the first from ten ranks of most diseases in district Medan Satria in 2012, with Incidence Rate 9.58%. Particulate Matter 10 (PM10) is one of their risk factors of Acute Respiratory Infections. This research aims to know the effects of PM10 of Residential Air on respiratory events in toddlers. This research method using cross sectional. The population is the entire toddler in district Medan Satria, the sample are 130 toddlers. Measurement results obtained average PM10 levels air House of 72 μg/m3 and there are 88 toddlers experiencing respiratory. It was concluded that PM10 levels are not eligible have the opportunity to be a cause of respiratory infection in toddler by 11,33 times compared with PM10 in homes that meet the requirements."

"Pemanfaatan pelayanan proram UKGM dipengaruhi oleh perilaku ibu dan pengelolaan program oleh Puskesmas. Karies masih termasuk dalam sepuluh penyakit terbesar dan cakupan pembinaan kesehatan gigi di masyarakat masih rendah yaitu 19,6 %. Tujuan penelitian ini untuk mengetahui faktor-faktor yang mempengaruhi pemanfaatan program UKGM oleh ibu yang memiliki anak usia 2 sampai 5 tahun di Posyandu Kecamatan Medan Satria Kota Bekasi. Penelitian ini adalah penelitian sekuensial eksplanatori (mixed methods) dengan desain cross sectional dan jumlah sampel 400 responden. Untuk menggali lebih mendalam permasalahan rendahnya pemanfaatan program UKGM, penelitian ini dilengkapi dengan pendekatan kualitatif melalui wawancara mendalam kepada manajemen puskesmas dan diskusi kelompok terarah kepada kader posyandu mengenai permasalahan yang ada.Berdasarkan hasil penelitian kuantitatif, pekerjaan, dukungan keluarga dan kebutuhan perawatan gigi dan mulut anak merupakan variabel yang berhubungan dengan pemanfaatan program UKGM di posyandu. Sedangkan sikap, dukungan keluarga dan kebutuhan perawatan gigi dan mulut anak merupakan variabel paling signifikan dalam pemanfaatan program UKGM di posyandu. Berbeda dengan hasil pendekatan kualitatif yang memperlihatkan bahwa justru fasilitas yang lebih mempengaruhi pemanfaatan program UKGM. Selain itu monitoring dan evaluasi belum dilakukan secara rutin. Rekomendasi pada penelitian ini adalah diharapkan untuk melengkapi fasilitas terutama alat peraga penyuluhan dan alat periksa gigi (diagnostic set), memberikan pelatihan UKGM pada kader posyandu serta melakukan monitoring setiap bulan dan evaluasi setiap tiga bulan sekali.

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The utilization of UKGM program is influenced by maternal behavior and program management by the Puskesmas. Caries is still among the top ten diseases and the scope of dental health development in the community is still low at 19.6%. The purpose of this study was to determine the factors that influence the utilization of the UKGM program by mothers who have children aged 2 to 5 years at Posyandu, Medan Satria District, Bekasi City. This research is an explanatory sequential study (mixed methods) with a cross sectional design and a sample of 400 respondents. To find out more about the problem of the low utilization of the UKGM program, this study was supplemented by a qualitative approach through in-depth interviews with puskesmas management and focus group discussions on posyandu workers regarding existing problems.

Based on the results of quantitative research, work, family support and dental and oral care needs of children were variables related to the utilization of the UKGM program at the posyandu. Whereas attitudes, family support and children's dental and oral care needs were the most significant variables in the utilization of the UKGM program at the posyandu. It is different from the results of a qualitative approach that shows that it is precisely the facilities that influence the utilization of the UKGM program. In addition, monitoring and evaluation have not been carried out routinely. Recommendations in this study are expected to complement facilities, especially counseling teaching aids and dental kits (diagnostic set), provide UKGM training to posyandu workers and conduct monitoring every month and evaluation every three months."