UPAYA PENCARIAN PENGOBATAN DIARE DI WILAYAH KERJA PUSKESMAS YANG MENDAPAT PENUGASAN NUSANTARA SEHAT BERBASIS TIM
Abstract
Diarrhea is a primary problem especially in remote and underdeveloped areas, borderland and outlying islands (DTPK) which Team-based Nusantara Sehat have been distributed in primary health center (PHC). The purpose of this paper was to know drug-seeking behavior for diarrhea in primary health center where Team-based Nusantara Sehat distributed. It is a part of evaluative research on Team-based Nusantara Sehat Placement in 2017. Research design was cross-sectional. The study was conducted at the placement location of Nusantara Sehat as many as 30 PHCs spread across 27 districts in 15 provinces. Data collection was carried out by interview using questionnaires and simple random sampling. A survey included 6,190 households with a total of 18,930 people and was done one month before tenure of Team-based Nusantara Sehat ended. The results of this study showed that diarrhea prevalence based on diagnosed by professional and based on symptoms (watery or mushy stool, more than 3 times day) is 4%. The respondents’ efforts in treating their diarrhea are taking oralit (31.1%), doctor’s prescription medicine (24.1%), self-medication either buying drugs from drug store or taking a traditional medicine (38.9%). The community requires enhanced education on the significance of maintaining a clean and healthy lifestyle to help lower diarrhea rates, as well as instruction on proper self-medication to promote the rational use of medications.
Full text article
Generated from XML file
References
1. Organization WH. Diarrhoea: why children are still dying and what can be done. Published online 2009. Accessed March 23, 2024. https://www.who.int/publications-detail-redirect/9789241598415
2. Farthing M, Salam MA, Lindberg G, et al. Acute diarrhea in adults and children: a global perspective. J Clin Gastroenterol. 2013;47(1):12-20. doi:10.1097/MCG.0b013e31826df662
3. Tareen AM, Ullah K, Asmat TM, et al. Incidence of Diarrheagenic Escherichia coli Pathotypes in Children Suffering from Diarrhea in Tertiary Care Hospitals, Quetta, Pakistan. Pak J Zool. 2019;51(6).
4. Cumming O, Arnold BF, Ban R, et al. The implications of three major new trials for the effect of water, sanitation and hygiene on childhood diarrhea and stunting: a consensus statement. BMC Med. 2019;17(1):173. doi:10.1186/s12916-019-1410-x
5. Ramanathan M, Vijayan B. Covariates of diarrhoea among under-five children in India: Are they level dependent? PLoS One. 2019;14(8):e0221200.
6. State CR, Ekpo O. Careseeking for childhood diarrhoea at the primary level of care in communities in. J Epidemiol Glob Health. 2017;6(4):303-313. doi:10.1016/j.jegh.2016.08.002
7. Santika NKA, Efendi F, Rachmawati PD, Has EMM, Kusnanto K, Astutik E. Determinants of diarrhea among children under two years old in Indonesia. Child Youth Serv Rev. 2020;111:104838. doi:https://doi.org/10.1016/j.childyouth.2020.104838
8. Suyitno S, Chompikul J, Tiraphat S, Anye KS. Prevalence and risk factors for diarrhea among children aged less than two years in Central Kalimantan Province, Indonesia. Journal of Public Health and Development. 2019;17(1):31-45.
9. Pratama ANW, Ningsih LWC, Rachmawati E, Triatmoko B, Tan EY, Nugraha AS. A study of treatment preference for diarrhea among Tengger people in Pasuruan, East Java, Indonesia. J Health Res. 2021;35(3):202-213. doi:10.1371/journal.pone.0281543
10. Latunji OO, Akinyemi OO. Factors Influencing Health-Seeking Behaviour Among Civil Servants in Ibadan, Nigeria. Ann Ib Postgrad Med. 2018;16(1):52-60. http://www.ncbi.nlm.nih.gov/pubmed/30254559%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC6143883
11. Lucky RA, Widowati T, Trisno AW. Determinan Sosial Kejadian Diare Akut Pada Anak Usia 0-59 Bulan di Purworejo. BKM Journal of Community Medicine and Public Health. 2017;33(7):365-370.
12. Widia ES, Novrikasari N, Sunarsih E. Determinan Kajadian Diare Pada Anak Balita di Indonesia (Analisis Lanjut Data SDKI 2012). Jurnal Ilmu Kesehatan Masyarakat. 2016;7(1):64-72. doi:10.26553/jikm.2016.7.1.64-72
13. Ragil D, Dyah Y. Hubungan Antara Pengetahuan Dan Kebiasaan Mencuci Tangan Pengasuh Dengan Kejadian Diare Pada Balita. JHE. 2017;2(1):39-6. http://journal.unnes.ac.id/sju/index.php/jhealthedu/
14. Triwinarto A, Harimat H, Rosita. Laporan Hasil Penelitian Riset Khusus Nusantara Sehat (Team Based) Tahun 2015.; 2015.
15. Dharmayanti I, Tjandrarini DH. Peran Lingkungan Dan Individu Terhadap Masalah Diare Di Pulau Jawa Dan Bali. JURNAL EKOLOGI KESEHATAN. 2020;19(2):84-93. doi:10.22435/jek.v19i2.3192
16. Kusumawati PD, Fahma NZ, Kurnia D, Surya SS, Husada M. Komunikasi Health Education Terhadap Pengetahuan Lansia Tentang Pertolongan Pertama Pada Diare di Wilayah Kerja Puskesmas Ngadiluwih Kabupaten Kediri. Jurnal Nomosleca. 2017;3(2):605-613.
17. Ningsih H, Syafar M, Nyorong M. Perilaku Ibu Terhadap Pencegahan Dan Pengobatan Balita Penderita Diare Di Wilayah Kerja Puskesmas Belawa. Jurnal MKMI. Published online April 2014:51-56.
18. Hermawan C, Anggraeni R, studi Ilmu Keperawatan P, Tinggi Ilmu Kesehatan Kendal S. Gambaran Upaya Dalam Mencari Bantuan Kesehatan Pada Masyarakat. Published online 2017.
19. Sitindaon LA. Perilaku Swamedikasi. Jurnal Ilmiah Kesehatan Sandi Husada. 2020;9(2):790791. doi:10.35816/jiskh.v10i2.405
20. Fitria E. Upaya Pengobatan Sendiri pada Balita dalam Era Cakupan Semesta Jaminan Kesehatan. Jurnal Kesehatan Masyarakat Nasional. 2013;8(5):199-202. Accessed September 25, 2024. https://media.neliti.com/media/publications/39736-ID-upaya-pengobatan-sendiri-pada-balita-dalam-era-cakupan-semesta-jaminan-kesehatan.pdf
21. Jajuli M, Sinuraya RK. Artikel Tinjauan: Faktor-Faktor Yang Mempengaruhi Dan Risiko Pengobatan Swamedikasi. Farmaka. 2018;16(1):48-51. Accessed September 25, 2024. https://jurnal.unpad.ac.id/farmaka/article/view/16789/pdf
22. Rahmad HN. Upaya Pencegahan Diare Berulang Pada Anak Usia Toodler. (Universitas Muhammadiyah Surakarta, ed.).; 2017.
23. Purnamasari H, Santosa B, Puruhita N. Pengaruh Suplementasi Seng dan Probiotik Terhadap Kejadian Diare Berulang. Sari Pediatri. 2011;13(2):96. Accessed September 25, 2024. https://saripediatri.org/index.php/sari-pediatri/article/view/464/402
24. Prety P, Hendrartini Y, Wahyuni H. Pemanfaatan Pelayanan Kesehatan Berdasarkan Status Wilayah dan Kepemilikan Jaminan Kesehatan Nasional (Kajian Susenas Tahun 2015). Tunas-Tunas Riset Kesehatan. 2019;9(1):23-30.
25. Indriani L, Fitriyanti D, Ahli Azzikri A. Penilaian Rasionalitas Pengobatan Diare Pada Balita Di Puskesmas Bogor Utara Tahun 2016. Fitofarmaka. 2019;9(1):9-15.
26. Rahmad I, Emilyani D, Fathoni A. Leaflet method for effectiveness of health counseling on diarrhea prevention behavior. International research journal of engineering, IT & scientific research. 2019;5(4):55-67.
27. Agegnehu MD, Zeleke LB, Goshu YA, Ortibo YL, Mehretie Adinew Y. Diarrhea Prevention Practice and Associated Factors among Caregivers of Under-Five Children in Enemay District, Northwest Ethiopia. J Environ Public Health. 2019;2019. doi:10.1155/2019/5490716
28. Oliver Cumming, Benjamin F. Arnold, Radu Ban, Thomas Clasen, Joanna Esteves Mills, Matthew C. Freeman, Bruce Gordon, Raymond Guiteras, Guy Howard, Paul R. Hunter, Richard B. Johnston, Amy J. Pickering, Andrew J. Prendergast, Annette Prüss-Ustün, Jan Wille JHH& JMCJr. The implications of three major new trials for the effect of water, sanitation and hygiene on childhood diarrhea and stunting: a consensus statement. BMC Med. 2019;17(173):1-9. doi:10.1186/s12916-019-1414-6
29. Sari ID, Winarto AT, Su’udi A, et al. Laporan Akhir Penelitian Riset Evaluatif Penempatan Team Based Nusantara Sehat Tahun 2017, Puslitbang Sumber Daya dan Pelayanan Kesehatan, Balitbangkes, Kementerian Kesehatan RI.; 2017.
30. Ridderstedt F, Widerström M, Lindh J, Lilja M. Sick leave due to diarrhea caused by contamination of drinking water supply with Cryptosporidium hominis in Sweden: a retrospective study. J Water Health. 2018;16(5):704-710.
31. Rohmah N, Syahrul F. Hubungan Kebiasan Cuci Tangan dan Penggunaan Jamban Sehat Dengan Kejadian Diare Balita. Jurnal Berkala Epidemologi. 2017;5(1):95-106. doi:10.20473/jbe.v5i1
2. Farthing M, Salam MA, Lindberg G, et al. Acute diarrhea in adults and children: a global perspective. J Clin Gastroenterol. 2013;47(1):12-20. doi:10.1097/MCG.0b013e31826df662
3. Tareen AM, Ullah K, Asmat TM, et al. Incidence of Diarrheagenic Escherichia coli Pathotypes in Children Suffering from Diarrhea in Tertiary Care Hospitals, Quetta, Pakistan. Pak J Zool. 2019;51(6).
4. Cumming O, Arnold BF, Ban R, et al. The implications of three major new trials for the effect of water, sanitation and hygiene on childhood diarrhea and stunting: a consensus statement. BMC Med. 2019;17(1):173. doi:10.1186/s12916-019-1410-x
5. Ramanathan M, Vijayan B. Covariates of diarrhoea among under-five children in India: Are they level dependent? PLoS One. 2019;14(8):e0221200.
6. State CR, Ekpo O. Careseeking for childhood diarrhoea at the primary level of care in communities in. J Epidemiol Glob Health. 2017;6(4):303-313. doi:10.1016/j.jegh.2016.08.002
7. Santika NKA, Efendi F, Rachmawati PD, Has EMM, Kusnanto K, Astutik E. Determinants of diarrhea among children under two years old in Indonesia. Child Youth Serv Rev. 2020;111:104838. doi:https://doi.org/10.1016/j.childyouth.2020.104838
8. Suyitno S, Chompikul J, Tiraphat S, Anye KS. Prevalence and risk factors for diarrhea among children aged less than two years in Central Kalimantan Province, Indonesia. Journal of Public Health and Development. 2019;17(1):31-45.
9. Pratama ANW, Ningsih LWC, Rachmawati E, Triatmoko B, Tan EY, Nugraha AS. A study of treatment preference for diarrhea among Tengger people in Pasuruan, East Java, Indonesia. J Health Res. 2021;35(3):202-213. doi:10.1371/journal.pone.0281543
10. Latunji OO, Akinyemi OO. Factors Influencing Health-Seeking Behaviour Among Civil Servants in Ibadan, Nigeria. Ann Ib Postgrad Med. 2018;16(1):52-60. http://www.ncbi.nlm.nih.gov/pubmed/30254559%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC6143883
11. Lucky RA, Widowati T, Trisno AW. Determinan Sosial Kejadian Diare Akut Pada Anak Usia 0-59 Bulan di Purworejo. BKM Journal of Community Medicine and Public Health. 2017;33(7):365-370.
12. Widia ES, Novrikasari N, Sunarsih E. Determinan Kajadian Diare Pada Anak Balita di Indonesia (Analisis Lanjut Data SDKI 2012). Jurnal Ilmu Kesehatan Masyarakat. 2016;7(1):64-72. doi:10.26553/jikm.2016.7.1.64-72
13. Ragil D, Dyah Y. Hubungan Antara Pengetahuan Dan Kebiasaan Mencuci Tangan Pengasuh Dengan Kejadian Diare Pada Balita. JHE. 2017;2(1):39-6. http://journal.unnes.ac.id/sju/index.php/jhealthedu/
14. Triwinarto A, Harimat H, Rosita. Laporan Hasil Penelitian Riset Khusus Nusantara Sehat (Team Based) Tahun 2015.; 2015.
15. Dharmayanti I, Tjandrarini DH. Peran Lingkungan Dan Individu Terhadap Masalah Diare Di Pulau Jawa Dan Bali. JURNAL EKOLOGI KESEHATAN. 2020;19(2):84-93. doi:10.22435/jek.v19i2.3192
16. Kusumawati PD, Fahma NZ, Kurnia D, Surya SS, Husada M. Komunikasi Health Education Terhadap Pengetahuan Lansia Tentang Pertolongan Pertama Pada Diare di Wilayah Kerja Puskesmas Ngadiluwih Kabupaten Kediri. Jurnal Nomosleca. 2017;3(2):605-613.
17. Ningsih H, Syafar M, Nyorong M. Perilaku Ibu Terhadap Pencegahan Dan Pengobatan Balita Penderita Diare Di Wilayah Kerja Puskesmas Belawa. Jurnal MKMI. Published online April 2014:51-56.
18. Hermawan C, Anggraeni R, studi Ilmu Keperawatan P, Tinggi Ilmu Kesehatan Kendal S. Gambaran Upaya Dalam Mencari Bantuan Kesehatan Pada Masyarakat. Published online 2017.
19. Sitindaon LA. Perilaku Swamedikasi. Jurnal Ilmiah Kesehatan Sandi Husada. 2020;9(2):790791. doi:10.35816/jiskh.v10i2.405
20. Fitria E. Upaya Pengobatan Sendiri pada Balita dalam Era Cakupan Semesta Jaminan Kesehatan. Jurnal Kesehatan Masyarakat Nasional. 2013;8(5):199-202. Accessed September 25, 2024. https://media.neliti.com/media/publications/39736-ID-upaya-pengobatan-sendiri-pada-balita-dalam-era-cakupan-semesta-jaminan-kesehatan.pdf
21. Jajuli M, Sinuraya RK. Artikel Tinjauan: Faktor-Faktor Yang Mempengaruhi Dan Risiko Pengobatan Swamedikasi. Farmaka. 2018;16(1):48-51. Accessed September 25, 2024. https://jurnal.unpad.ac.id/farmaka/article/view/16789/pdf
22. Rahmad HN. Upaya Pencegahan Diare Berulang Pada Anak Usia Toodler. (Universitas Muhammadiyah Surakarta, ed.).; 2017.
23. Purnamasari H, Santosa B, Puruhita N. Pengaruh Suplementasi Seng dan Probiotik Terhadap Kejadian Diare Berulang. Sari Pediatri. 2011;13(2):96. Accessed September 25, 2024. https://saripediatri.org/index.php/sari-pediatri/article/view/464/402
24. Prety P, Hendrartini Y, Wahyuni H. Pemanfaatan Pelayanan Kesehatan Berdasarkan Status Wilayah dan Kepemilikan Jaminan Kesehatan Nasional (Kajian Susenas Tahun 2015). Tunas-Tunas Riset Kesehatan. 2019;9(1):23-30.
25. Indriani L, Fitriyanti D, Ahli Azzikri A. Penilaian Rasionalitas Pengobatan Diare Pada Balita Di Puskesmas Bogor Utara Tahun 2016. Fitofarmaka. 2019;9(1):9-15.
26. Rahmad I, Emilyani D, Fathoni A. Leaflet method for effectiveness of health counseling on diarrhea prevention behavior. International research journal of engineering, IT & scientific research. 2019;5(4):55-67.
27. Agegnehu MD, Zeleke LB, Goshu YA, Ortibo YL, Mehretie Adinew Y. Diarrhea Prevention Practice and Associated Factors among Caregivers of Under-Five Children in Enemay District, Northwest Ethiopia. J Environ Public Health. 2019;2019. doi:10.1155/2019/5490716
28. Oliver Cumming, Benjamin F. Arnold, Radu Ban, Thomas Clasen, Joanna Esteves Mills, Matthew C. Freeman, Bruce Gordon, Raymond Guiteras, Guy Howard, Paul R. Hunter, Richard B. Johnston, Amy J. Pickering, Andrew J. Prendergast, Annette Prüss-Ustün, Jan Wille JHH& JMCJr. The implications of three major new trials for the effect of water, sanitation and hygiene on childhood diarrhea and stunting: a consensus statement. BMC Med. 2019;17(173):1-9. doi:10.1186/s12916-019-1414-6
29. Sari ID, Winarto AT, Su’udi A, et al. Laporan Akhir Penelitian Riset Evaluatif Penempatan Team Based Nusantara Sehat Tahun 2017, Puslitbang Sumber Daya dan Pelayanan Kesehatan, Balitbangkes, Kementerian Kesehatan RI.; 2017.
30. Ridderstedt F, Widerström M, Lindh J, Lilja M. Sick leave due to diarrhea caused by contamination of drinking water supply with Cryptosporidium hominis in Sweden: a retrospective study. J Water Health. 2018;16(5):704-710.
31. Rohmah N, Syahrul F. Hubungan Kebiasan Cuci Tangan dan Penggunaan Jamban Sehat Dengan Kejadian Diare Balita. Jurnal Berkala Epidemologi. 2017;5(1):95-106. doi:10.20473/jbe.v5i1
Authors
Yulianto, A. ., Sasanti, R., Diana Sari, I. ., Delima, D., Andayasari, L., Faatih, M. ., & Wirasmi, S. (2025). UPAYA PENCARIAN PENGOBATAN DIARE DI WILAYAH KERJA PUSKESMAS YANG MENDAPAT PENUGASAN NUSANTARA SEHAT BERBASIS TIM. JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, 17(1), 189–196. https://doi.org/10.34011/juriskesbdg.v17i1.2575
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.