53-99Z - Book Manuscript-136-1-10-20131122

ABSTRACT BOOK
Regional Symposium
On Health Research and Development
Towards Universal Health

Coverage and Equity
Yogyakarta-Indonesia
October 9-12, 2012
2 | Regional Symposium on Health Research and Development
ABSTRACT BOOK
Contents
Oral Presentation
1. FACTOR INFLUENCE MIDWIVES REFERING PREGNANT WOMEN TO UNDERGO VCT CLINICS :
STIGMA IS AROUND US ................................................................................................................... 12
2. DIARRHEA OUTBREAK IN KAIMANA DISTRICT, WEST PAPUA PROVINCE :A WATER RESOURCES
EXAMINATION ................................................................................................................................. 12
3. MODEL PREDIKSI INDEKS MASSA TUBUH REMAJA BERDASARKAN RIWAYAT LAHIR DAN STATUS
GIZI ANAK(STUDI LONGITUDINAL IFLS 1993-2007) ........................................................................... 13
4. LEVEL OF RADIATION EXPOSURE IN SEVERAL HOSPITALS IN INDONESIA .................................. 15
5. TRANSLATING RESEARCH TO POLICY: A CASE STUDY OF NOT FOR PROFIT HOSPITALS IN
INDONESIA ...................................................................................................................................... 15
6. CLEAN WATER AND TOILET AVAILABILITY SUPPORTED MULTIPLE GOALS AND TARGETS OF
MILLENNIUM DEVELOPMENT GOALS. A CASE REPORT ON EAST LOMBOK ELEMENTARY
SCHOOLS, INDONESIA...................................................................................................................... 16
7. RELATED FACTORS TO MIDWIFES COMPLIANCE IN PARTOGRAPH FULFILLMENT OF CHILDBIRTH
PROCESS AT PRACTICE MIDWIFE CLINIC IN EAST BEKASI AREA IN 2012 ............................................ 17
8. ETHNOSAINS COMMUNITY OF MALARIA IN OUTBREAK AREA: ROWOKELE SUBDISTRICT,
KEBUMEN REGENCY, JAWA TENGAH PROVINCE .............................................................................. 17
9. BIOECOLOGY STUDY ON ABOUT MALARIA VECTOR Anopheles spp IN ROWOKELE SUBDISTRICT,
KEBUMEN REGENCY, JAWA TENGAH PROVINCE .............................................................................. 18
10. THE ABILITY OF RHIZOPUS OLIGOSPORUS MOULD TO SYNTHESIS THE VITAMIN B1, B2, B12
DAN FOLIC ACID ON THE PALM OIL WASTE SUBSTRAT IN THE SOLID FERMENTATION) .................... 18
11. RELATIONSHIP BETWEEN LIFESTYLE WITH THE QUALITY OF LIFE OF THE ELDERLY IN STABAT
DISTRICT LANGKAT REGENCY 2012 .................................................................................................. 19
12. NEIGHBOURHOOD EFFECT IN PNEUMONIA IN INDONESIA CHILDREN UNDER-5: A MULTILEVEL
ANALYSIS......................................................................................................................................... 20
13. MODEL OF TRAFFIC ACCIDENT SURVEILLANCE SYSTEM IN SURABAYA, 2012 ........................ 20
14. THE USE OF CLINICAL PATHWAY AND STROKE REGISTRY FOR IMPROVING QUALITY OF CARE
IN STROKE PATIENTS ....................................................................................................................... 21
15. A DECADE OF INEQUALITY IN UNMET NEED FAMILY PLANNING IN INDONESIA (1997-2007). 22
16. PREVALENCE AND DETERMINANT OF OBESITY AMONG ELDERLY IN JAKARTA ...................... 23
17. ARTEMISININ PLUS NAPTHOQUINE VERSUS DIHYDROARTEMISININ PLUS PIPERAQUINE IN
ADULT SUBJECTS WITH PLASMODIUM VIVAX INFECTION IN INDONESIA .......................................... 23
18. EFFICACY AND SAFETY OF ARTESUNATE - AMODIAQUINE AND CHLOROQUINE IN
PLASMODIUM VIVAX MALARIA INFECTION, MAUMERE, EAST NUSA TENGGARA ............................. 24
Towards Universal Heal th Coverage and Equity | 3

19. QUALITY OF LIFE OF THE ELDERLY IN SUMBERSARI SUB-DISTRICT JEMBER, 2012: QoL
Comparison Based On Their Sosio Demographic And Sosio Economic Characteristic. ....................... 25
20. LYMPHATIC FILARIASIS EPIDEMIOLOGY IN KOTA BESI SUBDISTRICT, KOTAWARINGIN TIMUR
DISTRICT CENTRAL BORNEO PROVINCE ........................................................................................... 25
21. THE ASSOCIATION BETWEEN SEX, NUTRITIONAL STATUS, PHYSICAL ACTIVITY, AND
NUTRITION INTAKES WITH PHYSICAL FITNESS STATUS OF SENIOR HIGH SCHOOL STUDENTS IN
KEBUMEN DISTRICT, CENTRAL JAVA PROVINCE, INDONESIA 2011 ................................................... 26
22. THE INDICATORS OF CHEMICALLY WATER POLLUTION MODELING (BOD) WITH
GEOGRAPHICALLY WEIGHTED REGRESSION ..................................................................................... 27
23. SEA CUCUMBER CRACKERS, NUTRITIOUS SNACKS THAT ARE SAFE FOR CONSUMPTION AND
CAN COPE WITH CONSTIPATION...................................................................................................... 27
24. NUTRITIOUS RICE, PROPERLY AND SAFELY CONSUMED PRESERVED IN MAGIC- COM FOR 24
HOURS 28
25. TYPE OF TREATMENT OBSERVERS AND THEIR INFLUENCE IN TUBERCULOSIS TREATMENT IN
MAJALENGKA DISTRICT, WEST JAVA PROVINCE ............................................................................... 29
26. UNDERSTANDING INFANT MORTALITY IN JEMBER REGENCY ................................................ 30
27. ENVIRONMENTAL HEALTH RISK ASSESSMENT TO DETERMINE SANITATION RISK AREA IN
JEMBER DISTRICT IN SUPPORTING MILLENNIUM DEVELOPMENT GOALS ......................................... 30
28. DETERMINANT OF STROKE DISEASE IN THE KEBON KALAPA COMMUNITY OF BOGOR(Baseline
on Cohort Study of Non Communicable Disesases Risk Factors, 2011) ............................................. 31
29. COST OF MENTAL HEALTH PROGRAM IN PRIMARY LEVEL: DEMONSTRATION OF COST STUDY
IN ACEH ........................................................................................................................................... 31
30. INFLUENZA CASES FROM SURVEILLANCE ACUTE RESPIRATORY INFECTION , 2011 ................ 32
31. THE ASSOCIATION OF JAK2 V617F MUTATION AND CLINICAL SEVERITY OF PHILADELPHIA
CHROMOSOME-NEGATIVE MYELOPROLIFERATIVE NEOPLASMS PATIENTS ...................................... 32
32. LESS VEGETABLES AND NUTS-SEEDS-PEAS CONSUMPTION ARE ASSOCIATED WITH HIGH
LEVEL OF LIPID PEROXIDATION IN TYPE 2 DIABETES MELLITUS ........................................................ 33
33. KARAKTERISTIK PENDERITA DEMAM BERDARAH DENGUE KLINIS DAN DBD KONFIRMASI
SEROLOGI DI LIMA RSUD JAKARTA................................................................................................... 34
34. KARAKTERISTIK DAN LAMA PERAWATAN PENDERITA HUMAN IMMUNODEFICIENCY VIRUS /
ACQUIRED IMMUNE DEFICIENCY SYNDROME (HIV/AIDS) DEWASA DI RSPI SULIANTI SAROSO ......... 35
35. CAUSE OF DEATH AND CHALLENGES FACED BY ELDERLY CAUSE OF DEATH AND CHALLENGES
FACED BY ELDERLY POPULATION IN INDONESIA ACCORDING TO 2007 BASELINE HEALTH RESEARCH
36
36. POLA DIARE DAN TERAPINYA PADA BALITA DI RUMAH SAKIT ............................................... 36
37. STREET LEVEL BUREAUCRAT DISCRETIONTHREAT OF IMPLEMENTING UNIVERSAL HEALTH
COVERAGE ...................................................................................................................................... 37
38. VITAMIN D DEFICIENCY AMONG CHILDREN 2-12 YEARSOLD IN INDONESIA (DEFISIENSI
VITAMNIN D PADA ANAK 2-12 TAHUN DI INDONESIA) ..................................................................... 38

ABSTRACT BOOK
39. THE ENERGY INTAKE AND ENERGY EXPENDITURE OF PREGNANT WOMWEN:Longitudinal

study 38
40. PROFILE OF MOTHERS HEALTH AND NUTRITIONAL STATUS DURING PREGNANCY ON
STUNTED AND LOW BIRTH WEIGHT BABIES ..................................................................................... 39
41. SPATIAL PATTERN OF SCHISTOSOMIASIS SNAILS DISTRIBUTION USING REMOTE SENSING
DATA AND GEOGRAPHIC INFORMATION SYSTEM IN LINDU SUB-DISTRICT , SIGI DISTRICT,
CENTRALSULAWESI PROVINCE, INDONESIA ..................................................................................... 39
42. APPLICATION OF OCCUPATIONAL HEALTH AND SAFETY (OHS ) MANAGEMENT WEARING
MASK AS PPE AND MELATONIN IN LOWERING LEVELS OF SOD, H2O2 AND TOTAL INFLAMATORY
CELLS AT LABORATORY RATS STRAIN WISTAR EXPOSED TO COAL DUST DAY OR NIGHT ................... 40
43. INSIDENSI DEMAM BERDARAH DENGUE (DBD) DI KOTA KUPANG, PROPINSI NTT, 1998-2007
41
44. INFEKSI TRANSOVARIAL VIRUS DENGUE PADA NYAMUK AEDES AEGYPTI DAN AEDES
ALBOPICTUS DI KOTA KUPANG ........................................................................................................ 41
45. POTENCY OF QUERCETIN-3-O-GLUCOSIDE (Q3G) DAN QUERCETIN-4-O-GLUCOSIDE (Q4G)
ISOLATED FROM MIMBA LEAVES (Azadirachta indica A.Juss) TO THE GLUCOSE UPTAKE OF RAT
INTESTINAL MEMBRANE.................................................................................................................. 42
46. CORRELATION OF KATG CATALYTIC ACTIVITY WITH ISONIAZID RESISTANCE TO A CLINICAL
ISOLATE OF MYCOBACTERIUM TUBERCULOSIS ................................................................................ 42
47. THE ANTIBACTERIAL AND ANTIOXIDANT ACTIVITIES OF DRACONTOMELON dao EXTRACT ... 43
48. EVALUATION OF PSYCHOLOGIST PLACEMENT TO PROVIDE INTEGRATIVE MENTAL HEALTH
SERVICE IN PRIMARY HEALTH CARE (PHC) IN SLEMAN YOGYAKARTA, 2011...................................... 44
49. FACTORS ASSOCIATED WITH THE SEVERITY OF CARIES EXPERIENCE IN THE PROVINCE OF
BANGKA BELITUNG ISLAND, INDONESIA .......................................................................................... 44
50. THE EFFECT OF EDUCATIONAL LEVEL, KNOWLEDGE ABOUT ENVIRONMENTAL HEALTH, AND
HEALTHY LIVING BEHAVIOR TOWARDS YOUNG (10-24 YEARS OLD) POPULATIONS HEALTH
STATUS IN CENTRAL JAKARTA .......................................................................................................... 45
51. CURE RATE OF TB TREATMENT USING DOTS STRATEGY IN HOSPITAL ................................... 45
52. KETAHANAN PANGAN RUMAH TANGGA, KONSUMSI DAN STATUS GIZI KELOMPOK RENTAN
(BALITA, WANITA, LANSIA) DI KABUPATEN PRIORITAS MASALAH KERAWANAN PANGAN DI
INDONESIA ...................................................................................................................................... 46
53. ANALISIS POLA MAKAN (TERKAIT DENGAN HOMOSISTEIN) PADA REMAJA OBESITAS DI
INDONESIA ...................................................................................................................................... 46
54. PEMETAAN DAN PEMODELAN BALITA GIZI BURUK DI JAWA TIMUR DENGAN PENDEKATAN
REGRESI SPASIAL ............................................................................................................................. 46
55. FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN CACAT PADA ANAK USIA 24 - 59
BULAN 47
56. PARTIAL LEAST SQUARE PATH MODELING (STUDI KASUS QUALITY ASSURANCE RUMAH SAKIT
PONEK BERDASARKAN DATA RIFASKES 2011) .................................................................................. 47

57. THE CORRELATION OF MOTHER NUTRITIONAL STATUS AND OTHER FACTORS TO INFANTS
BIRTH WEIGHT IN BUDI KEMULIAAN HOSPITAL JAKARTA IN JANUARY 2012 ..................................... 47
Poster Presentation
58. FIRST DENGUE HEMORHAGIC FEVER OUTBREAK IN KAIMANA DISTRICT, WEST PAPUA
PROVINCE, EPIDEMIOLOGY AND ENTOMOLOGY INVESTIGATION .................................................... 48
59. UJI MUTAGENIK EKSTRAK GAMBIR (Uncaria gambir Roxb.) SEBAGAI KANDIDAT
ANTIRETROVIRAL UNTUK HIV .......................................................................................................... 49
60. THE RELATIONSHIP WITH ENVIRONMENTAL SANITATION ON DIARRHEA INCIDENCE OF
DISEASE SOCIETY COASTALAREAS VILLAGE NAMBO ABELI DISTRICTS KENDARI CITY ........................ 49
61. BASELINE DATA OF STUDY COHORT OF RISK FACTORS NCD OF CHRONIC OBSTRUCTIVE
PULMONARY DISEASE (COPD)IN CENTRAL BOGOR CITY, WEST JAVA, INDONESIA ............................ 50
62. PROMOSI KESEHATAN UNTUK KESEJAHTERAAN: EFEKTIVITAS INTERVENSI PENYULUHAN DAN
BACAAN PADA IBU MENYUSUI ........................................................................................................ 50
63. THE EFFECT OF STEAMED BROCCOLI (BRASSICA OLERASEA L VAR. ITALICA) COMPARED WITH
CAULIFLOWER (BRASSICA OLERASEA L VAR.BOTRYTIS) TO CLINICAL SIGN AND HISTOPHATOLOGY OF
COLON IN MICED INDUCED BY DSS .................................................................................................. 51
64. PEMANFAATAN FASILITAS KESEHATAN DALAM PELAKSANAAN JAMINAN KESEHATAN
DAERAH DI KOTA TARAKAN, KALIMANTAN TIMUR .......................................................................... 52
65. BERAT LAHIR DAN KELANGSUNGAN HIDUP NEONATAL DI INDONESIA ANALISIS DATA SDKI
2007) 53
66. ANALISIS KETAHANAN HIDUP SATU TAHUN PASIEN STROKE DI RUMAH SAKIT UMUM
BANYUMAS TAHUN 2010 ................................................................................................................ 54
67. RELATED FACTORS TO INCIDENT OF PULMONARY TUBERCULOSISOF CHILD AGE 0-12 YEARS
OLD BY LESS NUTRIENT STATUS IN PUSKESMAS JEMBATAN SERONG AREA, PANCORAN MASSUB-
DISTRICT, DEPOK CITY, 2009 ............................................................................................................ 54
68. BIO-ECOLOGY MALARIA VECTOR IN GALANG BATAM CITY, KEPULAUAN RIAU PROVINCE ..... 55
69. IN VITRO AND IN OVO INHIBITION OF TYPE-A AVIAN INFLUENZA VIRUS BY XANTHONE
DERIVATES FROM GARCINIA MANGOSTANA LINN FRUIT RIND ........................................................ 55
70. ASSOCIATION BETWEEN IRON INTAKE AND ANEMIA IN THIRD TRIMESTERS PREGNANCY AT
BUNGUS HEALTH CENTER,PADANG IN 2012. ................................................................................... 56
71. PENGEMBANGAN JARINGAN PUSKESMAS DAN GAMBARAN KETENAGAAN PUSKESMAS KOTA
BEKASI 56
72. RISK FACTORS OF CORONARY HEART DISEASE IN NORTH SULAWESI PROVINCE INDONESIA . 58
73. ASSOCIATED NUTRITION CONSUMPTION, LEVEL OF KNOWLEDGE, ATTITUDE WITH PEPTIC
ULCER DESEASE EVENT ON TENAGERS IN SMAN 2 PADANG CITY 2011 ............................................ 58
74. DETERMINANTS OF NUTRITIONAL STATUS AMONG CHILDREN AGED 2-5 YEARS IN
PUSKESMAS TLOGOSARI WETAN PEDURUNGAN SUB DISTRIC SEMARANG 2007 .............................. 59

ABSTRACT BOOK
75. VALUE DENTAL CARIES (DMF-T) TO THE WEST IN THE DISTRICT IN 2010 KETAPANG
KALIMANTAN .................................................................................................................................. 59
76. HUBUNGAN KARAKTERISTIK REMAJA TERKAIT RISIKO PENULARAN HIV-AIDS DAN PERILAKU
SEKS TIDAK AMAN DI INDONESIA .................................................................................................... 60
77. ASSOCIATED FACTORS WITH THE BEHAVIOUR OF MIDWIVES IN IMPLEMENTATION OF EARLY
INITIATION IN SECANGGANG SUB DISTRICT OF LANGKAT DISTRICT YEAR 2012 ................................ 60
78. CONTRIBUTIONS OF MATERNAL ANEMIA TOWARDS LOW BIRTH WEIGHT (LBW) ................. 61
79. OBESITY STATUS AND NUTRIENT INTAKE BALINESE WOMEN AGED ABOVE 40 YEARS OLD IN
DISTRICT OF SOUTH DENPASAR BALI PROVINCE .............................................................................. 61
80. AN IMPACT OF BODY IMAGE TO FEMALE STUDENT EATING BEHAVIOR AND NUTRITIONAL
STATUS AT SMUN 1 MEDAN CITY, NORTH SUMATRA ....................................................................... 62
81. THE ROLE OF WOMEN IN REPRODUCTIVE HEALTH SERVICES DECISION MAKING AT MEDAN
AMPLAS SUB-DISTRICT, MEDAN CITY ............................................................................................... 63
82. GEOGRAPHIC DISTRIBUTION OF NON POLIO ENTEROVIRUSES (NPEV) FROM ACUTE FLACCID
PARALYSIS CASES IN WESTERN PART OF INDONESIA 2007-2010 ...................................................... 63
83. CITY AND MUNICIPALITY AS DETERMINANT FACTORS OF AGING DISABILITY IN WEST JAVA
AND BANTEN INDONESIA ................................................................................................................ 64
84. TRADISIONAL HERBAL MEDICINE IN KARET BIVAK CEMETERY FOR HEALING THE DISEASES
AFTERMATH THE FLOOD DISASTER IN URBAN COMMUNITY ............................................................ 65
85. FAMILY DOCTOR,STRATEGIC AND OPERATIONAL HEALTH SERVICES MANAGEMENT MODEL, A
REVOLUTION ON PRIMARY HEALTH CARE, IN INDONESIA ................................................................ 66
86. THE POTENTIAL HOST OF FASCIOLOPSIS BUSKI IN KALUMPANG DALAM VILLAGE, BABIRIK
SUBDISTRICT, HULU SUNGAI UTARA REGENCY, PROVINCE OF SOUTH KALIMANTAN ....................... 67
87. THE EPIDEMIOLOGY OF MALARIA IN AN INLAND AREA OF KALIMANTAN (KEKAYAP VILLAGE,
SEBUKU DISTRICT, NUNUKAN REGENCY, PROVINCE OF EAST KALIMANTAN ..................................... 68
88. FAKTOR RISIKO KEJADIAN MALARIA DI KABUPATEN TANAH BUMBU PROPINSI KALIMANTAN
SELATAN.......................................................................................................................................... 68
89. UTILIZATION OF HEALTH FACILITIES IN THE IMPLEMENTATION OF LOCAL HEALTH INSURANCE
IN TARAKAN CITY, EAST KALIMANTAN, INDONESIA .......................................................................... 69
90. TANTANGAN PROGRAM PENURUNANANGKA KEMATIAN BAYI PADA DESA TERPENCIL(STUDI
KASUS DI DESA MANTAR KECAMATAN POTO TANO KABUPATEN SUMBAWA BARAT) ...................... 70
91. BASIC STUDY ON PATIENTS PROFILE AND NEEDS ACCORDING TO HIVAIDS PROGRAM
AND VCT CLINIC IN ENDE DISTRICT, EAST NUSA TENGGARA ............................................................. 70
92. STRATEGY OF SISTEM INFORMASI DAN KOMUNIKASI (SISFOKOM) UNIVERSAL
COVERAGE OF HEALTH SERVICES TO SUPPORT THE HEALTH SYSTEM REFORM AND
IMPLEMENTATION OF UNIVERSAL HEALTH COVERAGE CONCERNING EQUITY AND QUALITY ........... 71
93. MATERNAL MORTALITY IN INDONESIA: FOLLOW UP STUDY OF PREGNANCY RELATED DEATH
OF THE INDONESIA 2010 CENSUS POPULATION ............................................................................... 72

94. COMPILATION OF STUDIES FOOD CONSUMPTION, PHYSICAL EXERCISE, HEALTHY LIFESTYLE
AND NUTRITIONAL STATUS IN INDONESIA ADOLESCENCE ............................................................... 73
95. ROLE OF HEPARIN IN TISSUE FACTOR PATHWAY INHIBITOR WAY TO INHIBIT TISSUE FACTOR
AND VASCULAR ENDOTHELIAL GROWTH FACTOR OF MENINGIOMA TISSUE .................................... 74
96. ANALISIS PERBEDAAN TINGKAT KEPUASAN PASIEN PESERTA JAMKESMAS DENGAN PASIEN
PESERTA JAMINAN KESEHATAN ACEH (JKA) TERHADAP PELAYANAN KESEHATAN DIRUANG RAWAT
INAP RUMAH SAKIT IBU DAN ANAK PEMERINTAH ACEH TAHUN 2011 ............................................. 74
97. WHAT ARE THE RELATIONSHIPS BETWEEN DRINKING-WATER SUPPLY, SANITATION AND
UNIVERSAL HEALTH CARE COVERAGE? RESULTS FROM THE INDONESIA BASIC HEALTH RESEARCH
2010 75
98. SKRINING FITOKIMIA DAN UJI POTENSI ANTIDIABETES EKSTRAK ETANOL AKAR GATEP
(Inocarpus fagiferus (Parkinson) Fosb.) PADA TIKUS PUTIH JANTAN GALUR SPRAGUE DAWLEY ....... 76
99. DETECTION OF NUCLEOPHOSMIN (NPM1) GENE MUTATIONS AND ITS ASSOCIATION WITH
IMMUNOPHENOTYPING AND CYTOGENETICS IN ACUTE MYELOID LEUKEMIA (AML) ....................... 77
100. CHARACTERISTICS OF BREAST CANCER PATIENTS IN SANGLAH HOSPITAL, DENPASAR, BALI . 77
101. PERILAKU PEMENUHAN KEBUTUHAN SEKSUAL NARAPIDANA NARKOBADAN RISIKONYA
TERHADAP PENULARAN HIV/AIDSDI LAPAS KELAS IIA JEMBER(THE BIHAVIOUR OF DRUG INMATES IN
SEXUAL FULFILLMENT IN PENITENTIARY AND ITS RISK TOWARD HIV/AIDS INFECTION IN CLASS IIA
JEMBER) .......................................................................................................................................... 78
102. ANTIGENIC CHARACTERIZATION OF THE PANDEMIC H1N1PDM09 PATIENTS IN INDONESIA IN
2009 79
103. PREVENTION MODEL OF MALARIA INCIDENCE IN AMBON ................................................... 79
104. DETERMINANTS OF EXCLUSIVE BREASTFEEDING IN RURAL JAVA. RESULT OF AN EXCLUSIVE
BREASTFEEDING PROMOTION ......................................................................................................... 80
105. GEOGRAPHICAL CONDITIONS AND CULTURAL DETERMINANTS AND IMPLICATIONS OF
INFANT MORTALITY IN MUNTIGUNUNG VILLAGE, KARANGASEM REGENCY ,BALI PROVINCE ........... 81
106. SOCIAL HEALTH FINANCING AND COMMUNITY EMPOWERMENT ON MATERNAL DEATHS IN
INDONESIA: USING THE FOLLOW UP STUDY OF INDONESIA 2010 POPULATION CENSUS DATA ........ 82
107. CARE SEEKING BEHAVIOR AMONG MATERNAL DEATH CASES IN INDONESIA: FOLLOW UP
STUDY OF PREGNANCY RELATED DEATH OF THE INDONESIA 2010 POPULATION CENSUS ................ 82
108. ANALISIS LANJUT RISET KESEHATAN DASAR 2010: PENGGUNAAN ARTEMISININ-BASED
COMBINATION THERAPY DI INDONESIA .......................................................................................... 83
109. ANALISIS LANJUT RISET KESEHATAN DASAR 2010:FAKTOR YANG BERPERAN TERHADAP
KEJADIAN MALARIA DI WILAYAH INDONESIA BAGIAN TIMUR .......................................................... 84
110. THE EFFECT ON LIFE QUALITY OF ORAL CANCER PATIENTS AFTER THE ORTHOPEDIC SURGERY
85
111. DOSIS TUNGGAL ARTEMISININ-NAFTOKUIN DIBANDINGKAN DENGAN DIHIDROARTEMISININ-
PIPERAKUIN PADA SUBYEK DEWASA TERINFEKSI PLASMODIUM FALCIPARUM TANPA KOMPLIKASI DI
INDONESIA ...................................................................................................................................... 85

ABSTRACT BOOK
112. EPIDEMIOLOGIC TRANSITION IN INDONESIA FOR 21 YEARS AND HEALTH CARE IMPLICATION
ACCORDING TO HOUSEHOLD HEALTH SURVEY, NATIONAL HEALTH SURVEY, BASELINE HEALTH
RESEARCH (1986-2007) ................................................................................................................... 86
113. PROFILAKSIS PRIMER TUBERKULOSIS PADA ANAK DI PUSKESMAS KOTA BEKASI................... 87
114. MOLECULAR IDENTIFICATION OF PLASMODIUM KNOWLESI FROM SOUTH KALIMANTAN .... 88
115. CONFIRMATION OF PLASMODIUM FALCIPARUM TREATMENT FAILURE CASES BY PCR
GENOTYPING ................................................................................................................................... 88
116. THE EFFECTIVENESS OF HYPERTENSION QUARTET FOR PRIMARY AND SECONDARY
STUDENT TO PREVENT HYPERTENSION CASES IN DISTRICT REMPOA, 2012" .................................... 89
117. PROFIL OF STAPHYLOCOCCUS AUREUSS CONTAMINANT IN INFANT FORMULAS IN
INDONESIA IN 2011 ......................................................................................................................... 90
118. TUBERCULOSIS SUPPORT GROUP "AWASI" (ATASI PENYAKITNYA, WASPADA PENULARANNYA,
IKUTI PENGOBATANNYA): CONCRETE STEP TOWARDS INDONESIA FREE OF TUBERCULOSIS ............ 90
119. REVIEW OF CULTURE FOOD EVENTS TABOO ANEMIA IN PREGNANT WOMEN IN THE VILLAGE
OF SUNGAI ALAT SUB DISTRICT ASTAMBUL BANJAR 2011................................................................ 91
120. IMPROVING QUALITY AND COMMUNITY HEALTH AWARENESS THROUGH RECOVERY
PROGRAM FOR DRUG ADDICT ......................................................................................................... 91
121. NILAI KESEPAKATAN MIKROSKOPIS MALARIA DI BEBERAPA RUMAH SAKIT DI JAYAPURA ..... 92
122. COMPLETE BASIC IMMUNIZATION SERVICES IN INDONESIA ................................................. 93
123. KEBIASAAN IBU MENIMBANG BALITA DI POSYANDU DI PUSKESMAS SEPATAN, KABUPATEN
TANGERANG TAHUN 2008 ............................................................................................................... 94
124. THE EFFECT OF TEMPE EXTRACT ON BREAST CANCER CELLS APOPTOSIS AND PROLIFERATION
IN DMBA-INDUCED RATS STRAIN WISTAR........................................................................................ 96
125. IMPACT OF JAMINAN PERSALINAN POLICY TO JKBM PERSALINAN IN CITY OF DENPASAR(CASE
STUDY IN PUSKESMAS II DENPASAR BARAT, RSUD WANGAYAAND DINAS KESEHATAN KOTA
DENPASAR) ..................................................................................................................................... 97
126. EVALUATION OF MANAGEMENT INFORMATION SYSTEMS IN PURI RAHARJA HOSPITAL
APPROACH TO TECHNOLOGY ACCEPTANCE MODEL (TAM) 2012...................................................... 97
127. POSITIVE DEVIANCE IN FEEDING AND CARE HABITS OF TODDLER IN REMOTE AREAS
SIDOARJO DISTRICT ......................................................................................................................... 98
128. COMPUTERIZED PHYSICIAN ORDER ENTRY (CPOE) APPLICATION SYSTEM ON CLINICAL
INFORMATION SYSTEMS STRENGTHENING OF PRESCRIBING IN GMC HEALTH CENTER, GADJAH
MADA UNIVERSITY, YOGYAKARTA ................................................................................................... 99
129. POTENTIAL OF TOBACCO PLANTS (NICOTIANA BENTHAMIANA) AS THE MEDIA DEVELOPMENT
OF ANTI-RETROVIRAL THERAPY SEXUALLY TRANSMITTED DISEASES HIV/AIDS ............................... 100
130. IMPLEMENTATION of BIORISK MANAGEMENT in OCCUPATIONAL HEALTH AND SAFETY
DIVISION at CENTER FOR BIOMEDICAL AND BASIC TECHNOLOGY OF HEALTH (CBBTH) LABORATORIES
100
131. SOYBEAN (GLYCINE MAX (L.) MERILL) AS A ANTI-CANCER SOLUTION IN INDONESIA ........... 101

132. MATERNAL BEHAVIOR IN IMPLEMENTING THE BALANCED NUTRITION IN PADANG CITY .... 102
133. PARINGAN, THE PSYCHOTIC KAMPONGA CONTROVERSIAL MENTAL HEALTH
ISSUE IN PONOROGO, EAST JAVA .................................................................................................. 102
134. THE RELATIONSHIP MATERNAL HEIGHT WITH THE INCIDENCE OF LOW BIRTH WEIGHT ..... 103
135. DIFFERENCES MATERNAL WEIGHT DURING PREGNANCY IN LBW AND NO LBW CHILDREN . 104
136. POTENTIAL OF DRIED CASSAVA (MANIHOT UTILISSIMA) LEAVES AS CAROTENE SOURCE FOR
PRE-SCHOOL CHILDREN ................................................................................................................. 104
137. CLINICAL AND LABORATORY DIFFERENCES BETWEEN PRIMARY AND SECONDARY INFECTION
IN ADULTS ..................................................................................................................................... 105
138. GENDER INEQUITY IN FAMILY PLANNING ........................................................................... 106
139. OCCUPATIONAL HEALTH AND SAFETY (OHS ) MANAGEMENT IMPLEMENTATION IN ANTI TB
LUNG DISEASE GLOBAL FUND PROGRAM EVALUATION YEAR 2011 IN DISTRICT OF KOTABARU -
SOUTH KALIMANTAN - INDONESIA ................................................................................................ 107
140. DETERMINANT OF BACK PAIN AMONG SEVERAL HOSPITALS PARAMEDICS IN JAKARTA ..... 107
141. THE EFFECT OF HEALTH PROMOTION INTERVENTION ON COMMUNITY BEHAVIOR CHANGE
ABOUT BASIC HEALTH ISSUES/PROBLEMS: AN OVERVIEW OF A MEDICAL STUDENT PROGRAM
NAMED PENGALAMAN BELAJAR LAPANGAN IN CAWANG AREA, EAST JAKARTA ............................ 108
142. PERILAKU BERISIKO REMAJA JALANAN KOTA BANDUNG TAHUN 2010 ............................... 108
143. PENGETAHUAN REMAJA TENTANG PELAYANAN KESEHATAN PEDULI REMAJA DI KOTA
BANDUNG TAHUN 2010 ................................................................................................................ 109
144. KEBIJAKAN PELAYANAN KESEHATAN HAJI INDONESIA DI EMBARKASI ................................ 110
145. POLA PENYAKIT ISPA DAN DIARE BERDSARKAN POLA RUMAH SEHAT DI INDONESIA DALAM
KURUN WAKTU SEPULUH TAHUN TERAKHIR.................................................................................. 111
146. ANALISIS KETERSEDIAAN OBAT ESENSIAL DI RUMAH SAKIT DAN PUSKESMAS MENURUT
REGIONALISASI BERDASARKAN SURAT KEPUTUSAN OBAT GENERIK NOMOR HK.03.01/MENKES/146/
I/2010 111
147. ANALISIS SPASIAL DAN STATISTIK TERHADAP PERUBAHAN STATUS GIZI ANAK BALITA DI
INDONESISA (ANALISIS LANJUT RISKESDAS 2007 DAN 2010) .......................................................... 112
148. ANALISIS MAPPING TOPOGRAFIS (KETERPENCILAN, KEPULAUAN, PERBATASAN) TENTANG
KETERSEDIAAN DAN KELAYAKAN FASILITAS FISIK PUSKESMAS BERDASAR DEMOGRAFI DAN
GEOGRAFIS DI INDONESIA ............................................................................................................. 112
149. ANALISIS DETERMINAN PADA IBU MENYUSUI DI JAWA TIMUR YANG BERPENGARUH
TERHADAP PERILAKU KONSUMSI OBAT TRADISIONAL ................................................................... 113
150. THE STUDY OF DEVELOPMENT MODEL OF INTEGRATED ERADICATION OF NEGLECTED
TROPICAL DISEASE(COMPLETING THE MODEL FROM FINANCING SIDE) ......................................... 113
10 | R e g i o n a l S y m p o s i u m o n H e a l t h R e s e a r c h a n d D e v e l o p m e n t
ABSTRACT BOOK
T o w a r d s U n i v e r s a l H e a l t h C o v e r a g e a n d E q u i t y | 11
of reluctant from pregnant women due to
ORAL PRESENTATION strong stigma of HIV, time and working load of
midwives, distance between home and VCT
ID: 41
clinic, no transport from home to VCT clinics,
1. FACTOR INFLUENCE MIDWIVES lack of husband support and no match
REFERING PREGNANT WOMEN TO schedule between VCT clinics and pregnant
UNDERGO VCT CLINICS : STIGMA IS women who were working. Conclusion Fear of
AROUND US reluctant from pregnant women indicated
that stigma of HIV is still appear both among
Dinar Lubis, LPL Wulandari, Kadek Tresna midwives and pregnant women and husband.
Adhi, Putu Suariani Working load and lack of time from midwife
should be consider if wanting to integrate VCT
Udayana University and ANC services in one stop health services.
Background Development of HIV/AIDS cases

ID: 44
in Bali and Indonesia shows an alarm
situation. There is an afraid the epidemic ia 2. DIARRHEA OUTBREAK IN KAIMANA
slowly moving from concentrated to general DISTRICT, WEST PAPUA PROVINCE :A
population. Based of the development cases WATER RESOURCES EXAMINATION
of HIV among pregnant women, it shows a
Antonius Oktavian, Evi Iriani Natalia, Irawati
steady increase from 0.2% in 2009 and
Wike, Mardi Rahardjo
increase into 0.5% in 2010. PMTCT program
has been establish since 5 years ago in Bali. Balai Penelitian dan Pengembangan Biomedis
One of the program is to integrate ANC Papua
services and HIV program in community
health centre and in midwives private clinics. Background: Diarrhea is one of infectious
However, the number of pregnant women diseases that arise due to the low quality of
refer to VCT clinics is far from the target of the environment , particularly influenced by
the programs. The aims of this study is to the poor quality of water . Diarrhea outbreak
examine influence factors of midwives and associated deaths was reported in
referring pregnant women to undergo VCT October 2011 from Kaimana District , West
Clinics. Methods This was a qualitative, cross Papua Province. Base on West Papua Health
sectional study employed focus group Department showed there have been 222
discussion (FGD) as data collection method. cases of diarrhea in which 167 patients aged
Participants were midwives who formerly 0-5 years. Also recorded 3 cases died.
participated in PMTCT project run by Kerti Objectives A water examination was
Praja Foundation and Denpasar Municipality conducted to assess the biological parameters
Health Department in Bali. A guideline of water quality and identify the pathogens
questions was used to assess barrier of that contaminate water sources . Methods
midwives referred pregnant women to VCT The study was carried out in Kaimana District
clinics. Thematic analysis was used to do data on 7 to 10 November 2011 consist s of water
analysis. Result Finding revealed a number of collecting from water resources ,
barrier factor for midwife in refer pregnant environmental observation (surrounding
women to VCT clinics. These factors are fear water resources) and interview to determine
the clinical symptoms of disease. In that time
ABSTRACT BOOK
we found three diarrhea cases and we memprediksi indeks massa tubuh (IMT)
decided to collected their stool sample. remaja berdasarkan riwayat lahir dan status
Bacteriological examination of water carried gizi anak dengan mengontrol karakteristik
in the Provincial Health Laboratory of Papua in anak, orang tua, kesehatan lingkungan, dan
Jayapura , and the virological examination for status sosial ekonomi keluarga. Penelitian ini
water and feces conducted at the National menggunakan data Indonesian Family Life
Laboratory of National Institute Of Health Survey (IFLS) dengan desain studi longitudinal.
Research and Development in Jakarta. Results Sampel berjumlah 837 balita dipilih secara
The laboratory tests found that there was multistage random sampling. Riwayat lahir
fecal coliform bacteria and E. coli in water diukur dari berat lahir dan umur kehamilan.
samples , which indicate the presence of fecal Pengukuran status gizi dilakukan 4 kali, yaitu
contamination in water resources. The result saat balita (IFLS 1993), 5-9 tahun (IFLS 1997),
of 3 stool samples found that two were 8-12 tahun (IFLS 2000) dan remaja 15-19
positive for rotavirus Conclutions The water tahun (IFLS 2007). Analisis regresi logistik
quality in Kaimana district was less qualified multinomial akan memprediksi risiko remaja
as a source of drinking water based on kurus/sangat kurus dan gemuk/obesitas. Hasil
biological parameters included the penelitian menunjukkan rata-rata berat lahir
environmental condition surround the bayi perempuan 147 gram lebih rendah
resources . We suggested that diarrhea dibandingkan bayi laki-laki. Terdapat 7,4 bayi
outbreak in Kaimana District caused by BBLR, dengan prevalensi lebih tinggi pada bayi
rotavirus Health education program and perempuan (9,3%). Tidak ada perbedaan rata-
water treatment process for water sources rata usia kehamilan menurut jenis kelamin.
before it consumed are needed for this area. Ditemukan beban ganda masalah gizi pada
usia balita. 47% stunting, 29,7% underweight,
10% wasting dan 13,9% gemuk/obesitas,
ID: 61 dimana status gizi balita perempuan lebih
buruk dibandingkan laki-laki. Berdasarkan
3. MODEL PREDIKSI INDEKS MASSA TUBUH indeks antropometri komposit, 51,7% balita
REMAJA BERDASARKAN RIWAYAT LAHIR
mengalami gangguan pertumbuhan, dengan
DAN STATUS GIZI ANAK(STUDI
LONGITUDINAL IFLS 1993-2007) kontribusi terbanyak dari stunting diikuti
underweight dan wasting. Status gizi buruk
Demsa Simbolon saat balita cenderung tetap bertahan sampai
remaja. Balita stunting cenderung tetap
Politeknik Kesehatan Bengkulu stunting sampai remaja, demikian juga
masalah IMT. Risiko remaja kurus/sangat
Populasi remaja yang semakin meningkat kurus dapat diprediksi dari anak kurus/sangat
diikuti dengan peningkatan masalah gizi kurus saat usia 5-9 tahun (OR= 8,5 95% CI:
ganda di negara berkembang, termasuk 3,04-24,03) dan usia 8-12 tahun (OR=7,7
Indonesia, karena usia remaja merupakan 95%CI: 3,06 19,43). Remaja
salah satu kelompok umur yang rentan gemuk/obesitas dapat diprediksi dari umur
terhadap masalah gizi sebagai akibat riwayat kehamilan kurang bulan (OR = 2,7 95%CI: 1,02
lahir dan status gizi sebelumnya yang buruk, 7,53), stunting usia 8-12 tahun (OR = 2,9
kemudian mempunyai konsekuensi buruk 95%CI: 1,14 7,84), dan gemuk/obesitas
dalam daur hidup berikutnya. Penelitian usia 8-12 tahun (OR = 10,2 95%CI: 4,08
bertujuan memperoleh model untuk 25,41). Risiko remaja gemuk/obesitas yang
dipengaruhi oleh faktor lain, yaitu anak logistic regression would predict adolescent
berjenis kelamin perempuan, riwayat ASI non- risk of thin/very thin and overweight/obesity.
eksklusif, ibu pendek, dan ibu The results showed mean of birth weight
gemuk/obesitas. Untuk memutus mata rantai women less than147 grams. There are 7.4%
kelanjutan gangguan pertumbuhan sejak lahir born with low birth weight, with a higher
sampai remaja perlu intervensi yang prevalence of women infants (9.3%). There
diprioritaskan pada remaja wanita yang was no difference in mean gestational age by
berperan penting dalam melanjutkan siklus sex (36.9 weeks). Discovered the double
kehidupan, sehingga saat hamil bahkan burden of nutritional problems at under five
sebelumnya dapat mencegah bayi lahir years children. 47% stunting, 29.7%
kurang bulan dan fetal programming yang underweight, 10% wasting and 13.9%
konsekuensinya berkelanjutan pada usia overweight/obesity, where the nutritional
berikutnya. Perlu evaluasi program pemberian status of children of women worse than men.
makanan tambahan yang lebih memfokuskan Composite index anthropometry showed that
pada penambahan berat badan tanpa 51.7% had under five year children growth
mempertimbangkan tinggi badan. Kata Kunci: faltering, stunting as the highest contribution
BBLR, lahir kurang bulan, pendek, IMT, Kurus, and then followed by wasting and
gemuk, obesitas, remaja PREDICTION MODEL underweight. Poor nutritional status in
ADOLESCENT BODY MASS INDEX BASED ON infancy tend to persist through adolescence.
THE BIRTH HISTORY AND CHILDREN Stunting in under five year tend to remain
NUTRITION STATUS (IFLS LONGITUDINAL stunted through adolescence, as well as BMI
STUDY 1993- 2007) ABSTRACT Increasing problem. Risk adolescents thin/very thin can
adolescent population followed by an be predicted from thin/very thin at the age of
increase double burden nutrition problems in 5-9 years (OR = 8.5 95% CI: 3.04 to 24.03) and
developing countries, including Indonesia, age 8-12 years (OR = 7.7 95% CI: 3.06 to
because adolescence is one of the age groups 19.43). Adolescent overweight/obesity can be
vulnerable nutritional problems as a result of predicted from the gestational age preterm
poor birth history and nutritional status, and (OR = 2.7 95% CI: 1.02 to 7.53), stunting aged
then have bad consequences the next life 8-12 years (OR = 2.9 95% CI: 1.14 - 7.84), and
cycle. This study aimed to obtain a predictive overweight/obese aged 8-12 years (OR = 10.2
model body mass index (BMI) based on the 95% CI: 4.08 to 25.41). The risk of adolescent
birth history and children nutritional status by overweight/obesity influenced by other
controlling the characteristics of children, factors: women children, non-exclusive
parents, environmental health, and family breastfeeding, short maternal height, and
socioeconomic status. This study uses data of maternal overweight/obesity. To break the
the Indonesian Family Life Survey (IFLS) a chain of continuity of growth disorders from
longitudinal study design. The number of birth through adolescence need priority
sample is 837 under five children selected by interventions in young women who play an
multistage random sampling. The birth history important role in continuing the life cycle,
measured from birth weight and gestational prevent preterm and fetal programming
age. Measurement of nutritional status before pregnancy of the consequences
carried out 4 times, when under five years sustained in the life cycle. Need evaluation of
(IFLS 1993), 5-9 years (IFLS 1997), 8-12 years supplementary feeding programs are more
(IFLS 2000) and adolescents 15-19 years (IFLS focused on weight gain without considering
2007). Method of analysis using multinomial the height. Keywords: LBW, preterm, stunting,
ABSTRACT BOOK
BMI, Thinness, overweight, obesity, uSv/hour in radiotherapy and 3 to 8 uSv/hour

adolescent in the nuclear medicine. Conclusion: Heart
catheterization workers had beyond allowable
per hour radiation exposure. The others
workers had less allowable per hour radiation
ID: 62 exposure. Key words: radiation exposure,
4. LEVEL OF RADIATION EXPOSURE IN radiation worker and limited dose value
SEVERAL HOSPITALS IN INDONESIA
Frans Suharyanto suharyanto, Ratih ID: 66

Oemiati, Mulyono Notosiswoyo
5. TRANSLATING RESEARCH TO POLICY: A
CASE STUDY OF NOT FOR PROFIT
Pusat Teknologi Terapan Kesehatan dan HOSPITALS IN INDONESIA
Epidemiologi Klinik (Pusat 2)
Mia Urbano, Shita Dewi and Dr Laksono
Level of radiation exposure in several Trisnantoro, Dr Krishna Hort
hospitals in Indonesia Abstract Background:
The Nuclear Energy Regulatory Agency of Universitas Gadjah Mada, Nossal Institute
Indonesia (BAPETEN) decreed the standard for Global Health, University of Melbourne
dose of the exposed worker (radiation
workers). The purpose of this study was to BACKGROUND: This presentation describes
know the dose of the radiation exposure to the findings of a case study that examined the
workers in their workplaces in several policy influence of research on not for profit
hospitals in Indonesia. Methods: Cross (NFP) hospitals in Indonesia. In 2009, the
sectional study, interviewing, observing and Centre for Health Service Management
measuring the dose of the radiation exposure (CHSM) at University of Gadja Mada
to workers in their workplaces. The dose of undertook research into the scale and role of
the radiation exposure to workers will be the non-state hospital sector in Indonesia. The
divided according to their workplaces such as research found that non-state hospitals
radio-diagnostic, radio therapy and nuclear account for 50% of the total number of
medicine. Population of this study was all the hospitals in Indonesia, and that NFP hospitals
medical workers who were exposed to are the dominant non-state provider and are
radiation in nine hospitals in six provinces. often the only health care provider located
Results: The total respondents involved in this outside district capitals. Further findings
study were 103 people of 9 hospitals. More revealed that the growth of NFP hospitals in
male (51.3%) than female, and they were Indonesia had stagnated over the last decade,
mostly 40-44 years old (27%). The highest and that NFP hospitals were tending to
exposure on the exposed workers in several neglect their public welfare mission, as a
workplaces was occurred while they were result of financial pressures from the lack of
doing heart catheterization, with the range government subsidies or taxation
dose of 5 to 32.50 uSv/hour ( limited dose concessions. Recognising the threat to health
value is 25 uSv/hour) . Meanwhile, in other service access for the poor, especially in rural
radio-diagnostic places (CT scan, fluoroscopy, and remote areas, the researchers
and C-arm) the radiation exposure was in the communicated their findings to NFP hospital
range of 0.20 to 10 uSv/hour, 0.11 to 25 associations and together they advocated for
tax concessions to be included within the new
Indonesian Hospital Act. While this advocacy Background: Improved water and sanitation is
contributed to new provisions in relation to linked to school enrolment and attendance,
NFP hospitals in the hospital law of 2009, especially for girls and it empower women
further engagement with policy makers in the because it will contribute to gender equality
Ministry of Health (MoH) failed to finalize the (goal 3). Goal 7 of the Millennium
necessary regulations over the subsequent 2 Development Goals (MDGs) addresses
years. OBJECTIVES: Examination of how environmental sustainability, with a target
research can be utilised to influence health (target 10) to halve, by 2015, the
policy is recognized as complex, with few proportion of people without sustainable
published studies of actual implementation. access to safe drinking water and basic
The case study that is the focus of this sanitation. The achievement of target 10
presentation was undertaken in mid-2012, also contributes to lowering child mortality
and investigated whether the CHSM research (target 5), a reduction of the incidence of
had any influence on policy and how that major infectious diseases (target 8), and a
influence occurred. METHODS: The case study better quality of life for slum populations
consisted of documentary analysis of research (target 11). Objectives: to observe the
papers, communication materials, and policy availability of water sources, toilet and soap
documents, supplemented by interviews of availability within selected elementary
key stakeholders. Data collection and analysis schools. To observe the gender needs for
used a framework developed from the toilet usage. Method: the respondents were
literature of the factors identified as 420 students grade 4 and 5 selected by a
potentially influencing knowledge translation. simple random sampling and 80 teachers
RESULTS AND CONCLUSION: The case study which were chosen purposively from 20
identified changes in the attitudes and selected schools that participated in hand
willingness to engage with government washing school program conducted by WFP
among NFPs and MoH policy makers, but also and Unilever at East Lombok. Results: The
found barriers within the MoH which water source for latrine and hand washing
constrained the engagement of non state came from protected well (52.5%), piped
groups in policy making, and suggest the need water (31.3%), unprotected well (8.8%), river
for new governance mechanisms. (6.3%), and spring
water/stream/pond/lake/dam (5%). Most
water sources were located at school
ID: 70 premises (87.5%). There were 95.0%
functioning latrines for teachers, 88.8%
6. CLEAN WATER AND TOILET
functioning latrines for boys and girls
AVAILABILITY SUPPORTED MULTIPLE
combined and 11.3% functioning separated
GOALS AND TARGETS OF MILLENNIUM
DEVELOPMENT GOALS. A CASE latrines between boys and girls. There were
REPORT ON EAST LOMBOK ELEMENTARY 90 toilets within 20 schools, i.e. approximately
SCHOOLS, INDONESIA one toilet for about 50 students and teachers.
There were only 8 schools that had toilet just
Dwi Susilowati Susilowati for female students, while that is important to
give the girls more privacy especially during
Pusat Humaniora, Kebijakan Kesehatan dan
menstruation. Conclusions: water, toilet and
Pemberdayaan Masyarakat (Pusat 4)
soap availability were partially available in
ABSTRACT BOOK
those schools. Toilet separation between boys (double logistic regression). The result of
and girls are still needed. Key words: water, univariat analysis indicates that obedient
toilet, gender, elementary school, Indonesia. midwives are 56,3%, equal or more than 35
years old midwives are 56,3%, midwives with
high education (80,4%), midwives with very
ID: 83 good knowledge (73,2%), midwives with 5
years experience or more (70,5%), midwives
7. RELATED FACTORS TO MIDWIFES with negative attitude (61.6%), midwives who
COMPLIANCE IN PARTOGRAPH
have partographs (89,3%), trained midwives
FULFILLMENT OF CHILDBIRTH PROCESS
AT PRACTICE MIDWIFE CLINIC IN EAST (53,6%), midwives with colleague support
BEKASI AREA IN 2012 (62,5%). The result of bivariat analysis
indicates that there is no correlation between
Aprilya Sintarini, Prof. Herman Sudiman, ages, education and experiences to the
SKM, APU, dr. Noegroho Iman Santoso compliance of partograph usage. The final
MKes. result of multivariat analysis indicates that
colleague support is the most dominant
Respati Indonesia University variable (OR 62,148) after controlled by
knowledge and attitude variables. Conclusions
Partograph is an early warning system to help from this quantitative research are, the most
midwife in decision making whether the respondents education level are at least
childbirth has to be referred or to be diploma; negative attitude of the respondents
accelerated or to be ended. Nowadays, have major influences in how-to fill up the
partograph has not yet used as it has to be. partograp; half of the respondents are already
When referring the childbirth with got the training; more than half of the
complication, midwife often excludes the respondents supported each others;
partograph as attachment. This indicates that respondents age are almost spreaded equally
midwives do not fill the partograph or do not on each age level and compliant levels are
understand how to do it. The purpose of this almost the same at 50%; there are still non-
research is to describe the midwifes compliant respondents, although they have
compliance in Partograph Fulfillment of partograph near by their clinic/practice area.
Childbirth Process at Practice Midwife Clinic, Qualitative result indicates that compliant
and the correlation with ages, educations, level determined by the amount of
knowledges, experiences, attitudes, patients/visitors; lack of resources; fatigues;
apparatus, trainings and colleagues sleepiness; and laziness. Good leadership in
support. This research is using Quantitative how to comply and to fill the partograph, will
approach with cross sectional design and influence midwifes assistant and in-house
qualitative method with participative training students, as a good major habit.
observation technique. This research is
implemented at East Bekasi area on May
July 2012. Subjects of this research are private ID: 95
practice midwives at East Bekasi area with
total 112 people, based on inclusion criteria. 8. ETHNOSAINS COMMUNITY OF MALARIA
The analysis of this research is using univariat IN OUTBREAK AREA: ROWOKELE
analysis (frequency distribution), bivariat SUBDISTRICT, KEBUMEN REGENCY,
JAWA TENGAH PROVINCE
analysis (chi square), and multivariat analysis
Anggi Septia Irawan, Aryani Pujiyanti Malaria-Free 2015, this research was
conducted in the village of Wagirpandan
Balai Besar Litbang Vektor dan Reservoir Rowokele Subdistrict Kebumen Regency
Penyakit Central Java Province. This study aimed to
identify and study the fauna, the
Malaria is becoming a re-emerging diseases in characteristic behavior of mosquito vectors
Central Java, especially for Kebumen Regency, and the characteristics of its habitat (breeding
it has been hit by malaria outbreak with the location) mosquito vectors of malaria,
increasing case. A study was conducted in furthermore was to know the location
rural area of sub district Rowokele, Kebumen, characteristics of the spread of mosquitoes in
Central Java to identify local knowledge and the research area. This type of research is
practice of the community, becoming one of descriptive exploratif by taking population.
the importance factor for vector borne
disease controlling, including
malarias controlling.
The overall objective of the study is to obtain ID: 108
and interpret detailed grassroots information
10. THE ABILITY OF RHIZOPUS
of Rowokele Society understanding about the
OLIGOSPORUS MOULD TO SYNTHESIS
causation and transmission of malaria so as to
THE VITAMIN B1, B2, B12 DAN FOLIC
select priority of interventions to improve ACID ON THE PALM OIL WASTE
home based management and prevention of SUBSTRAT IN THE SOLID
malaria. This research was conducted FERMENTATION)
between June 2011 and November 2011,
apply qualitative method of ethnography Drs. Erwin Affandi dan Heru Yuniati
focused on ethnosains study. Data were
retrieved from 33 in-depth interviews and Pusat Teknologi Terapan Kesehatan dan
focus-group discussions and unstructured Epidemiologi Klinik (Pusat 2)
observations. Qualitative thematic content
Background: The experiment was conducted
analysis was apply to understanding .
to test the ability of Rhizopus oligosporus
mould to synthesis the vitamin B1, B2, B12,
and Folic acid on palm oil waste substrate in
ID: 107
the solid state fermentation. The objectives of
9. BIOECOLOGY STUDY ON ABOUT the study based on the abundant amount of
MALARIA VECTOR Anopheles spp IN palm oil waste product and the ability of
ROWOKELE SUBDISTRICT, KEBUMEN R.oligosporus to synthesis the vitamin B
REGENCY, JAWA TENGAH PROVINCE
through the biotechnology fermentation
process.Metodology: To enrich the substrate
Dhian Prastowo, Yusnita Mirna Anggraini
was conducted by formulated the substrate
with added the urea as a source of nitrogen
Balai Besar Penelitian dan Pengembangan
and sucrose as a source of carbon. The mould
Vektor dan Reservoir Penyakit Salatiga
R.oligosporus was used as a mix culture which
(B2P2VRP)
is used in the fermented soybean production.
In order to support local government health The fermentation was carried out for 3 days in
program for The Central Java Provincial incubator at 370C. Product of fermentation
was analyzed the water, vitamin B1, B2, B12,
ABSTRACT BOOK
and folic acid contents.Result: There was a Life expectancy is one of the main indicators
distinct result in the water content, where the of the quality of healthcare, acccording to the
palm oil waste as a control and palm oil waste assessment of Human Depelovment Index.
added urea decreased and the palm oil waste Indonesia is ranked at 108 with a life
added sucrose increased. In general, the expectancy of 71.5 years with only a 0.677
vitamin B contents in the all substrates HDI. A special problem faced by the elderly is
increased, while the vitamin B1 decreased. influence of the aging process can cause
The vitamin B1 value in substrates of palm oil various problems in achieving good quality of
waste as a control, added with urea, and life, whether physically, biologically, mentally
added with sucrose decreased 46,91, 20,31 and socio-economically. The quality of life for
and 30,76 percent. The vitamin B2 value in the elderly, other than depending on
substrates of palm oil waste as a control, engineering factors every living creature that
added with urea, and added with sucrose is hereditary and can not be changed, also
consecutively increased 45,07; 14,89; and depends on external factors for example, a
57,57 percent. The vitamin B12 value was also healthy lifestyle that does not run properly. In
increasing by 30,0; 12,5; and 25,0 percent for Stabat District, many elderly have difficulties
all the substrate . The vitamin folic acid value in daily activities due to pain and other
was also increased 37,31; 4,19; and 15,17 diseases, where the percentage of sick elderly
percent for all the substrate.Conclusion: people reached 32%. The objective of the
During the fermentation process of palm oil research was to determine the relationship
waste, the Rhizopus oligosporus mould has an between lifestyle with the quality of life of the
ability to produce vitamin B2, B12, and folic elderly in Stabat District, Langkat Regency,
acid, while the vitamin B1 decreased. The 2012. The type of the research was
palm oil waste substrate without supplement quantitative descriptive research with "cross
is the best substrate in producing vitamin B2, sectional" design. The population were the
B12, and folic acid. Sucrose as a source of entire elderly people in Stabat District Langkat
carbon has positive effects on increasing Regency, with the sampling using the
vitamin B2, B12, and folic acid contents. Urea randomly (simple random sampling) with
as a source of nitrogen shows the slightly lottery technique to select as many as 110
effect in increasing the vitamin B. Keywords: people. The data was collected by interview
palm oil waste, Rhizopus oligosporus, vitamin with questionnaire with the quality of life
B, and solid state fermentation. instrument taken from WHOQOL BREF and
the lifestyle instrument. The data analysis was
done with chi square test and multiple logistic
ID: 110 regression test. The study bivariat results
showed that tere is a relationship between
11. RELATIONSHIP BETWEEN LIFESTYLE lifestyle with the quality of life for the elderly.
WITH THE QUALITY OF LIFE OF THE
Variables related were eating habits (p =
ELDERLY IN STABAT DISTRICT LANGKAT
REGENCY 2012 0,003), exercise habits (p = 0,000), smoking (p
= 0,009), stress controlling (p = 0,019), resting
Setia Sihombing, Prof. Dr. Herman habits (p = 0,002), and recreational habits (p =
Sudiman, SKM, AP, Atik Kridawati, ST, 0,047). Thus it can be concluded that a good
MKes exercise habit is the most dominant lifestyle
variable (OR = 5.156) after controlled with the
Respati University Of Indonesia eating habits variable. It is recommended to
the healthcaree workers to increase their role odds ratio (IOR). This was done to determine
in implementing elderly health program by the relative contribution of neighborhood and
providing counseling with sport habit. household level risk factors on the incidence
Bibliography : 45 (1992-2012) Keyword(s) : of pneumonia. Results: Odds to have
Lifestyle, The quality of life of the elderly. pneumonia was 4.9% (95% CI: 3.4-7.1). The
ICC calculation result that relative
contributions of households level on
ID: 112 occurrence pneumonia was 10.56%; then the
contribution the district is 10.19%. The
12. NEIGHBOURHOOD EFFECT IN calculation of the MOR and the IOR for some
PNEUMONIA IN INDONESIA CHILDREN
selected significant house hold and district
UNDER-5: A MULTILEVEL ANALYSIS
level factors show; On a household level, the
Rizanda Machmud, Sudarto Ronoatmodjo, MOR between the person with higher risk
Darfioes Basir, Adang Bakhtiar,Panji pneumonia and the person with lower risk of
Hadisoemarto, Philips Loh, Anuraj H pneumonia is estimated to be 1.85 with an
Shankar IOR 2.17-23.0. On a district level, we found
the MOR was 1.88 with the IOR 2.13-23.47.
Faculty of Medicine, Andalas University Conclusions: We found several neighborhood
level risk-factors that are significantly
Background: In Indonesia, Pneumonia associated with the incidence of pneumonia in
contributes greatly to under-5 mortality rates. Indonesia. The Ministry of Health should
Though previous studies have found that consider these risk factors and create
many significant individual level risk factors programs that are target populations most-at-
for pneumonia exist, little work has been risk for developing pneumonia. It means that
done on neighborhood-level risk factors. Thus, the strategic planning might not make target
this paper aims to supplement previous program be the same for all district. And must
working by considering the neighborhood be selected which kind of house hold should
level risk factors that might influence the be come promotive target. Keywords:
rates of pneumonia by determining whether pneumonia, house hold level, district level,
differences existing the odds of having multilevel analysis, neighborhood effect
pneumonia for an under-five child between
different house hold and district levels risk
factors. Methods: The study uses data from ID: 116
the Benefit Evaluation Study (BES) II,
undertaken by the Center of Health Study at 13. MODEL OF TRAFFIC ACCIDENT
SURVEILLANCE SYSTEM IN SURABAYA,
the University of Indonesia and funded by the
2012
Intensified Communicable Disease Control
(ICDC) Project and the Indonesian Ministry of Arief Hargono, Lucia Y Hendrati
Health. Research was done in 27 districts from
7 provinces in Indonesia in 2005, with a School of Public Health, Airlangga
sample size of 7,170 children under-5 within University
10,900 households. We used multilevel
logistic regression to determine the Backgrounds Traffic accident is second leading
Intracluster Correlation Coefficient (ICC), the cause of death for age groups 15-60. National
median odds ratio (MOR) and the Interval police data mentions that in 2009 there have
ABSTRACT BOOK
been 57,726 traffic accidents. Traffic accidents offenders. The generated information is used
in Surabaya in 2010 reached 711 cases with to determine accident-prone areas and
941 deaths. Unfortunately, the accident traffic accident prevention program. Data
control has not been programmed optimally. disseminated to Polres, Polda, District Health
The monitoring program such as surveillance Office, insurance companies and hospitals.
hopefully could do coordination among Conclusions Some data need to be added to
relevant institution to collect data and improve the quality of traffic accidents
generate useful information to prevent and surveillance. The data are proportion of the
reduce the incidence of traffic accidents. number of cases investigated among reported
Objectives The objectives of this research are cases, the length of time officers got to the
to develop model of traffic accidents scene, length of time victim was taken to
surveillance system in Surabaya based on hospital and risk factors data such as medical
surveillance components. Surveillance history of victims. The data can be used to
components studied were data collection, measure the quality of services and identify
data analysis, generated information and the causes of the accident. Keywords:
dissemination of information. Method This surveillance, traffic, accident, model
study was an operational research to describe
model of traffic accident surveillance system.
The respondent was the officer whom ID: 117
responsible for recording and reporting in
Satlantas Polwiltabes Surabaya and 14. THE USE OF CLINICAL PATHWAY AND
STROKE REGISTRY FOR IMPROVING
surveillance officers in Surabaya District
QUALITY OF CARE IN STROKE PATIENTS
Health Office. The data was collected by in-
depth interview using in-depth interview Rizaldy Pinzon, Laksmi Asanti, Sugianto,
guide. Research supported by document study Kriswanto Widyo
using observational sheets to studied accident
data and form of recording and reporting of Bethesda Hospital Yogyakarta
traffic accidents. Results Type of data required
by the surveillance of traffic accidents are Background: The stroke care pathway is a
characteristics of victims and accident simple resource that provides the user with a
information. Characteristics of victims summary of the key aspects of care that
data are age, occupation, education, gender, should be considered for people with stroke
ownership of driving license and the at any stage in their care. The hospital based
victims status. Accident information data stroke registry is developed for monitoring
consist of time of accident, the parties the process and outcome of stroke patients.
involved, types of injuries, loss of material, There is very limited study about the use of
cause of the incident, number of vehicles, stroke clinical pathway in Indonesia. Aim: This
type of vehicle and weather conditions. Data study described the process of developing and
analyzed by descriptive analysis on a monthly implementation of clinical care pathway for
basis. Data interpretation produces trend patients with acute stroke. Method: The
analysis and comparing data with the previous method of this study is after-before analysis.
month. The results of data analysis are We compare the process and outcome of
information of accidents character, ischemic stroke patients before and after the
characteristic of victim, causes an accident, pilot implementation of the pathway. The
settlement process and characteristic of data was obtained from the stroke registry.
The data was analyzed descriptively and through unwanted pregnancy prevention.
analytically. Result: The data obtained from Nationally, there has been an increased
124 ischemic stroke patients. The data consist contraceptive prevalence rate in Indonesia.
of 62 patients after the implementation of However, it is not in line with a decreased
clinical pathway and 62 patients before the unmet need for family planning. The change
implementation. The analysis showed that of policy on family planning financing which
there are improvement in the tracing for benefits poor families can hopefully meet the
stroke risk factors, swallowing assessment, contraceptive needs, especially those living in
nutritional consultation, and functional status developing countries. Objective: To examine
measurement after the pathway trends in the odds ratio of unmet need family
implementation. The use of clinical pathway planning according to key socio-economic
decrease the complications (3,2% VS 14,5%, status. Method: We used data from three
RR : 0,22; 95% CI : 0,05 0,99, p : 0,027) . Indonesian Demographic and Health Surveys
There is no significant difference of mortality conducted between 1997 and 2007. The
rate after clinical pathway implementation subjects were all married women aged 15-49
(6,5% VS 1,6%, RR : 4, 95% CI:0,46 34,78, years old. Data analysis used a chi-square
p :0,365). The mean cost of care is lower Rp technique to assess the effect of socio-
1.492.136,25 in clinical pathway group. There economic status on the odds of unmet need
are not significant reductions on the average for family planning. Result: Based on the IDHS
length of stay and mortality rate between the 1997, 2002-2003 and 2007, the odds ratio of
two periods. Conclusion: Our study showed unmet need was greater in poorest women
that clinical pathway is improving the than richest, never attending any formal
indicator of stroke care services. The use of education, and having low level of family
clinical pathway is associated with fewer planning knowledge. Other significant factors
complications. Key words: clinical pathway- for the odds of unmet need were unexposed
stroke registry-outcome of care women with family planning information,
problems in the access for contraceptive
service and residential status in urban area.
ID: 119 According economic status, education, family
planning knowledge and exposed family
15. A DECADE OF INEQUALITY IN UNMET planning information, trend in the odds ratio
NEED FAMILY PLANNING IN INDONESIA
of unmet need was decreased from IDHS 1997
(1997-2007)
to 2007, but there was no changed in the
Ni'mal Baroya access for contraceptive service and
residential status. Conclusion: The
Department of Epidemiology, Biostatistics implementation of policy on family planning
and Population - Public Health Faculty - financing for poor households can reduce the
University of Jember odds of unmet need in which the policy is
then followed by the efforts on the
Background: Indonesia was committed to the improvement of women education, family
fifth Millennium Development Goal (MDG-5) planning knowledge and exposed family
target of reducing its maternal mortality ratio planning information. Keywords: family
by three-quarters between 1990 and 2015. planning, unmet need, inequality
The met need for safe and effective
contraception can reduce maternal mortality
ABSTRACT BOOK
< 0.05). Multivariate analysis shows that

ID: 122 elderly aged 65 - 74 year (OR = 2.0; CI 95% =
1.28 3.12;), elderly aged 55-65 year (OR =
16. PREVALENCE AND DETERMINANT OF
1.9, CI 95% = 1.2-2.7), household mother (OR
OBESITY AMONG ELDERLY IN JAKARTA
= 1.73; CI 95% = 1.3 2.4), elderly with
higher socioeconomic status (OR = 1.8; CI 95%
Regina Satya Wiraharja, Charles Surjadi
= 1.25 2.56), elderly with mild physical
activities (OR = 1.9 ; CI 95% = 1.3 2.71;),
Atma Jaya Catholic University
and regular smokers (OR = 1.61; 95% CI = 1.19
Objectives: In Indonesia few attention are put 2.16;) are more likely to be overweight
on nutrition status of elderly people, while and obese. Conclusions: This study calls for
obesity is a risk factor of non communicable attention on obesity prevention program for
diseases, we look for the prevalence and elderly people at Jakarta as part of NCD and
determinants of obesity among elderly people elderly program. The program should targets
in Jakarta, based on 2007 national health on household mothers and smokers, and
research data. Methods: Census block were facilitates higher social economic groups to
selected by probability proportional to size actively do physical activities.
methods. Households were selected by simple
random sampling of selected census blocks.
People aged 55 year and above from selected ID: 125
households were included as individual
17. ARTEMISININ PLUS NAPTHOQUINE
samples (1671 respondents). Respondents
VERSUS DIHYDROARTEMISININ PLUS
were asked on their characteristics (age, sex, PIPERAQUINE IN ADULT SUBJECTS WITH
marriage status, number of household PLASMODIUM VIVAX INFECTION IN
members), socioeconomic status (education, INDONESIA
work, economic percentile), health problems
(heart diseases, mental problems, dental Armedy Ronny Hasugian, Hadjar
problems, diabetes, arthritis, joint problems, Siswantoro, Telly Purnamasari, Srilaning
hypertension) and behavior (fruit intake, Driyah, Lidwina Yanuar, Tersila Adolorata
alcohol intake, vegetables intake, physical Dua Dedang, Asep Purnama, Emiliana
activities). Body Mass Index was used to Tjitra
measure obesity (underweight: less than 18.5,
normal: 18.5-24.9, overweight and obese: 25 Pusat Teknologi Terapan Kesehatan dan
or above). Data was analyzed by chi square Epidemiologi Klinik (Pusat 2)
and multiple logistic regression methods.
Background: Dihydroartemisinin plus
Results: Prevalence of overweight and obesity
piperaquine (DHP) against Plasmodium vivax
among elderly persons is 30.3 %. There are
(Pv) was reported highly effective with a cure
25.2 % smokers and 30 % household mothers.
rate of >95% and mild adverse event.
Age less than 75 years old, being women,
Artemisinin plus napthoquine (AN) is a new
being as household mother, higher
promising artemisinin-based combined drug
socioeconomic status, not being head of
which is given only with a single dose and
households, do medium physical activities,
effective for P.vivax malaria. However, there
smoking regularly, have non communicable
was reported an increasing proportion of Pv in
diseases (such as diabetes and cardiac
Indonesia. Therefore, we conduct a clinical
diseases) are significantly related to obesity (p
trial of these artemisinin-based combined INFECTION, MAUMERE, EAST NUSA
drugs in Pv malaria cases. Objective: To TENGGARA
determine the efficacy and safety of AN
compared with DHP in adults subjects Armedy Ronny Hasugian, Emiliana Tjitra
infected with P vivax. Methods: This is a part
of phase III clinical trial of AN versus DHP in Pusat Teknologi Terapan Kesehatan dan
adult subjects with uncomplicated malaria Epidemiologi Klinik (Pusat 2)
using the 2003 WHO protocol for assessing
Background: Indonesia as a high endemic
drug efficacy. A total of 158 Pv subjects were
malaria country has a problem with
recruited in the trial, 80 subjects were
chloroquine (CQ) resistance. In 2006, East
randomized selected with AN and other 78
Nusa Tenggara province reported 618.364
subjects with DHP. Subjects were observed
malaria cases with an annual malaria
clinically and parasitologically for 42 days. The
incidence (AMI) of 145 per 1000 population,
efficacy of the drug was analysed in intention
and an annual parasite incidence (API) of 30
to treat (ITT), modified ITT (MITT) and per
per 1000 population. Although artesunate-
protocol (PP) population and presented in
amodiaquine (AsAq) was started use in 2004,
survival curves using SPSS 17. Results: Efficacy
the efficacy of AsAq showed only 52% for
of AN versus DHP on day 42 in the ITT
P.vivax malaria in Papua. There is also a need
population were 93.7% (95% CI: 88.4% - 99%)
to evaluate the efficacy of CQ and AsAq in
vs 89.7% (95% CI: 83% - 96.4%) with Log Rank
East Nusa Tenggara province, other endemic
Mantel Hazel =0.354, in MITT were 97.3%
area. Objective: To compare the efficacy and
(95% CI: 93.6% - 100%) vs 94.6% (95% CI:
safety of AsAq and CQ for P vivax malaria in
89.7% - 94.6%) with Log Rank Mantel Hazel=
Maumere. Methods: This was a prospective
0.380 and in PP were 100% in both groups.
evaluation of AsAq and CQ using the 2001
The proportion of parasite clearance was
WHO protocol for assessment the therapeutic
100% after 64 hours post-treatment with a
efficacy of antimalarial drug at the Kopeta
median of parasite clearance times 24 (8-64)
Primary Health Care in 2007. The subject with
hours in AN, and 16 (8-56) hours in DHP.
monoinfection of P. vivax was selected
Adverse events (nausea, sleeping disturbance,
according to the inclusion and exclusion
abdominal pain and fatigue in AN; and
criteria, and randomly given AsAq or CQ under
vomiting in DHP) were reported mild and
close supervision. Subjects were followed for
occurred <10%. Conclusion: The results
28 day clinically and microscopically for
demonstrate that the efficacies of AN and
malaria parasites. The therapeutic efficacy
DHP do not significantly different and meet
was presented in survival curve using SPSS 15.
with the WHO recommendation. Both drugs
The safety was assessed by clinical only.
were tolerated with mild adverse events.
Results: A total of 100 subjects were recruited
Keywords: malaria, artemisinin,
with a ratio of 1:1. The day-28 efficacy of
dihydroartemisinin, napthoquine, P vivax
AsAq versus CQ by Intention To Treat (ITT)
analysis were 88% (44/50) versus 38.0%
(19/50) with p<0.000 and per protocol (PP)
ID: 126
analysis were 93.6% (44/47) versus 51.4% (
18. EFFICACY AND SAFETY OF ARTESUNATE - 19/37) with p<0.000. Two cases treated with
AMODIAQUINE AND CHLOROQUINE IN CQ had early treatment failure (ETF) by day 3.
PLASMODIUM VIVAX MALARIA The common reported adverse events in AsAq
ABSTRACT BOOK
were vomiting (26%), anorexia ( 22%) and (p-value=0,000; CI=95%). The Quality of life
nausea (18 %). Either in CQ, vomiting (20.4% ) difference according to age, gender, marital
was the most common reported adverse status, occupational and acquisition variance
event. (10/49). Two cases were hospitalized were not significant. Conclusions: Quality of
due to repeated vomiting after CQ treatment. life of elderly in Sumbersari Sub-district
Conclusion: The efficacy of AsAq was Jember was different according to their ethnic
significantly better than CQ for treatment. Of variance. It means that quality of life of
P. vivax. Vomiting is the frequent adverse Javanese, Maduranese and other settler in
event in AsAq and CQ. An alternative Sumbersari sub-district was different. Based
tolerated ACT is needed for having a better on this research, health promotion throuh
efficacy. Key word: artesunate, amodiaquine, elderly integrated service and developing
choloquine, P. vivax. multi sector approach between department of
health and departement of education need to
be improved. Keywords: Eldery, quality of life
ID: 132
19. QUALITY OF LIFE OF THE ELDERLY IN ID: 133

SUMBERSARI SUB-DISTRICT JEMBER,
2012: QoL Comparison Based On Their 20. LYMPHATIC FILARIASIS EPIDEMIOLOGY
Sosio Demographic And Sosio Economic IN KOTA BESI SUBDISTRICT,
Characteristic. KOTAWARINGIN TIMUR DISTRICT
CENTRAL BORNEO PROVINCE
Ratna Frenty Nurkhalim, Nur Fahita
Budi Setiawan, Soeyoko, Tri Baskoro T
Jember University Satoto
Backgrounds: The increasing population of

Tropical Medicine, Faculty of Medicine,
elderly has recently become a focus of
University of Gadjah Mada
interest in developing countries because of
increasing life expectancy. Objectives: This Background. In Southeast Asia, as much as
research aims to compare elderly peoples 60% of the population has been infected with
quality of life based on their sosio filariasis. Meanwhile, according to Indonesia's
demographic and sosio economic health profile, filariasis cases increase each
characteristic. Methods: A cross-sectional year in Indonesia. In 2008 as many as 11.699
study was conducted among 211 elderly aged cases has been reported. Distribution of the
60 and over, who lived in Sumbersari sub- disease tends to spread in rural areas and
district Jember. Data were collected by using epidemiological data needed about filariasis
WHOQOL-BREF questionnaire from May to elimination program should be limited. AIM.
June, 2012. Statistics used for data analysis The research aims to find out filariasis vector
were Chi Square, Mann Whitney and Kruskal species and their bionomic aspect, to find out
Wallis analysis. Results: The study found the cause of lymphatic filariasis microfilaria
45.5% elderly had a good level of quality of species and to find out the clinical symptoms
life, followed by moderate (25.6%), poor of human patients with lymphatic filariasis.
(22.3%,) very good (4.7%) and very poor METHOD. This research conducted from
(1.9%). Data analysis showed a significant February to June, 2011. This research is a
different of quality of life in ethnic variance descriptive observational study with 386
samples of citizens who are willing to be Eskaning Pawestri, dr. H. Engkus Kusdinar
respondent and to have blood drawn. Achmad, MPH
Capillary blood sampling did at night by such
loop coils sampling. Collecting mosquitoes PUSKA FKM UI
done 10 times by people indoor and outdoor
as bait, using light traps and in the morning. Many researches showed concern regarding
RESULT. 386 peripheral blood samples physical fitness condition among Indonesian
examined, the results are 4 people suffering people. The concern is related to the fact that
microfilaremia, the average density of low physical fitness status leads to adverse
microfilaria in the blood 4.45 and found filarial effects for health, such as cardiovascular
species Brugia malayi. Periodicity of diseases. This research is aimed to analyze the
microfilariae is nocturnal periodic with relation between sex, nutritional status,
harmonic waves and some nocturnal sub- physical activity, and nutrition intakes with
periodic with the non harmonic waves. Mf physical fitness status. The study applied
cross-sectional design. A total of 293 students
rate is 1.04%, Acute Disease Rate is 5.44%,
(adolescent aged 1518 years old) from
while Cronic Disease Rate is 0%. The five
months collecting vector mosquitoes gains as Kebumen District, Central Java Province,
many as 23.194 heads, most mosquitoes are Indonesia were enrolled in the study. Physical
Mansonia uniformis (25.60%), Ma. Bonneae fitness was measured using by Indonesian
(20.70%), Culex tritaeniorhynchus (19.41%), Physical Fitness Test for Adolescent 16-19
An. maculatus (16.75%), An. balabacensis Years (Indonesian terms: Test Kesegaran
(15.27%), Ae. albopictus (1.39%), Ae. aegypti Jasmani Indonesia untuk Remaja Usia 16-19
(0.88%). The highest density was caught in Tahun/TKJI). Components of the test are
June with peak biting activity at 09:00 p.m to sprint (60 m), pull up (60 s), sit up (60 s),
10:00 p.m. However, this study found no larva vertical jump, and running (1000-1200 m).
3 (L3) in the mosquitoes body examined, so it Moreover, nutritional status variable was
needs further experiments in laboratory using measured by percent of body fat and
membrane feeding. Conclusion. Filariasis BMI/Year. Meanwhile, sex, nutrition intakes,
occurring in Kotabesi is lymphatic filariasis and physical activity variables were measured
caused by Brugia malayi, an infection in the by using questionnaire. The study showed
evening related to the behaviour of that 58.7% respondents were identified as
mosquitoes acting as vectors. Key words : having low physical fitness status. The
variables having statistically significant
Brugia malayi, Lymphatic filariasis, Periodisity,
Mansonia uniformis. association with physical fitness status are
sex, nutritional status (BMI/Year and percent
of body fat), physical activity (exercise), intake
ID: 138 of macronutrient (fat) and micronutrient
(vitamin C). The result also showed that
21. THE ASSOCIATION BETWEEN SEX, mens physical fitness status is higher than
NUTRITIONAL STATUS, PHYSICAL womens. Based on food recall 24 hours-
ACTIVITY, AND NUTRITION INTAKES questionnaires, most of students have low
WITH PHYSICAL FITNESS STATUS OF
mineral and micronutrient intake. The author
SENIOR HIGH SCHOOL STUDENTS IN
suggests that District Education, Youth, and
KEBUMEN DISTRICT, CENTRAL JAVA
PROVINCE, INDONESIA 2011 Exercise Office makes a curriculum which
obligate schools to conduct fitness test twice
ABSTRACT BOOK
a year in order to monitor student physical GWR model on the data of BOD values of
fitness status. Moreover schools should rivers in Surabaya shows geographical factors
provide more variety of food at cafeteria, or spatial variations that influence
particularly vegetables and fruits. These are significantly. In other words, there is a
essential in fulfilling micronutrient intake for significant difference between OLS and GWR
student. Furthermore schools should support models. Based on significant variables, rivers
student activities such as basketball, football, in Surabaya can be grouped into eight river
aerobic, in purpose improving physical fitness. groups that have the similar characteristics.
The GWR model produces R2 value of 90,90%
that tends to be larger, and SSE tends to be
ID: 140 smaller with the value 30,78961 compares to
OLS model with the R2 value = 69,91% and
22. THE INDICATORS OF CHEMICALLY SSE 101,85050. Conclusions. In short, the
WATER POLLUTION MODELING (BOD)
modeling study of the water pollution
WITH GEOGRAPHICALLY WEIGHTED
REGRESSION indicators is that GWR model is better and
appropriate to be used in the real world than
Ronny Koesnariyanto OLS model. Keywords : BOD values, Spatial,
Ordinary Least Square, Geographically
BBTKLPP Surabaya Weighted Regression.
The Indicators of Chemically Water Pollution

Modeling (BOD) With Geographically ID: 149
Weighted Regression Background. Spatial
data is measurement data of location 23. SEA CUCUMBER CRACKERS, NUTRITIOUS
SNACKS THAT ARE SAFE FOR
information. On spatial data, an observation
CONSUMPTION AND CAN COPE WITH
in a location frequently depends on
CONSTIPATION
neighboring locations. Objectives. To
overcome the problem of spatial data, the Tutik Wahyuni, Sunarto, Sri Noor
statistical method that will be used is Mintarsih
Geographically Weighted Regression (GWR),
namely a model that uses geographical factors Lecturer Department of Nutrition, Ministry
as a predictor variable that can affect of Health Polytechnic Semarang,
response variables. Result. The indicators of Indonesia
body water pollution of water river of BOD
values from rivers in Surabaya is closely Backgrounds: Sea cucumbers crackers are
related to location or position of the river processed of the sea cucumber. Criteria sea
point because each river has the cucumbers crackers are the colors: dark
characteristics of a river network such as brown, texture: crispy (like crackers
width of a river, depth of a river, river flow rambak), flavors: savory and aroma: a
rate, stream flow, and temperature of a river little fishy. Sea cucumber extrac processed by
that are different from one another. The the drug industry in the form of capsules or
analysis to know the significant on BOD values jelly. For example brand: Gold-G, Gamat's and
and to get the best model is done with the Gama Fit, which can cure various diseases.
analysis of GWR regression by using weighting Sea cucumbers crackers are also beneficial for
kernel bisquare functions. The application of cope constipation. This is evidenced by the
Nutrition Department staff of ten people / Keywords: Sea cucumber crackers, the
family, who after consumptions can cope prevalence of constipation, nutrients, fiber,
constipation. Objective: To find the dose of mercury. students.
sea cucumber crackers that can cope
constipation and determine levels of
nutrients, fiber as well as mercury sea ID: 151
cucumber crackers. Method: Design: A quasi-
experimental study. Subjects: The new 24. NUTRITIOUS RICE, PROPERLY AND
SAFELY CONSUMED PRESERVED IN
student Health Polytechnic 2011/2012
MAGIC- COM FOR 24 HOURS
Semarang, which are grouped into 3 dose
groups: 15, 30 and 45 g. Inclusion criteria: Tutik Wahyuni, Sri Noor Mintarsih,
willing to follow the research, defecation Kustiono
constipation, not allergies are sea fish, not the
cure constipation, no diarrhea, no fasting. Lecturer Department of Nutrition, Ministry
Exclusion criteria: resignation, illness, suffered of Health Polytechnic Semarang,
complications after research, crackers Indonesia
consumed when not constipated. Defecation
event before and after consumption of Background : Processed the food with that are
crackers, given feces type based on the less good heating, after storage will change
standard scale "Bristol Stool Scale". Results of the color, flavor and texture was slimy
analysis of nutrients and fiber is descriptive unwanted, due to the growth of microbes
analyzed by comparing other similar food. thermofilik (Supardi, 1999). In general, people
Levels of mercury, compared to standard added lemon juice , so the rice stays white
health safety limit (500 ppb). Statistical tests: color (not yellow) and the taste has not
Fisher's Exact test at = 0.05. Results: The changed. Objective: The aim of the study was
prevalence of constipation: 19.4%, with the to understand the influence of natural acids
old constipation 1 s/d 7 days. After research, added and preservation length of time to total
the group that consumed the crackers dose: bacteria, organoleptic test and protein and
5-15 g; 22.5 to 30 g and 37.5 to 45 g. Dose vitamin C concentration of cooked and
group was able to overcome constipation on preserved rice inside the Magic-Com. Method:
+1 day, respectively: 84.4%, 82.6% and 87.5%. The study design was factorial nested
Statistical tests showed the influence of sea (different time series experiment). Rice used
cucumber crackers consumption at various was of Delanggu variety, given 3 treatments,
doses on the incidence defication on one day i.e. without any acid as control, + lemon , +
after, at the second day and the third day, bilimbi. Acid concentration given was 2.5% .
with a value of p and C respectively: p = 0.014 The rice were cooked and kept inside the
& C = 0.423, p = 0.015 & C = 0.399 and p = Magic Com for 0 hours (control), 6 , 12 , 18
0.021 & C = 0.381. Sea cucumber crackers and 24 hours. To Analyze total bacteria , Total
contain more nutrients than prawn crackers, Plate Count method was used . Organoleptic
krupuk ACI and rambak. test was done , limited to 3 expert panelists.
Mercury levels: 11.5 ppb (<500 ppb), so it is Protein measured by Kjeldahl , while Vitamin
safe for consumption. Conclusion: Sea C concentration by Iodometric methods.
cucumber crackers is a nutritious snack and ANOVA was used to test the influence of
safe for consumption, and can cope with treatments to total bacterial ( = 0.01),
constipation to 84.4% at doses of 15 g. continued by Duncan's . Organoleptic test was
ABSTRACT BOOK
analyzed using Hedonic quality test. cause is the drop out from treatment because
Dependent t-test was used to see the many patients receiving self-administered
defference of protein and vitamin C kept in 0 treatment will not adhere to treatment. WHO
and 24 hours ( = 0.01). Results: Organoleptic recommended a strategy to control Tb (DOTs)
test : the color of rice preserved to 24 hours that involves treatment observer
was white in rice+Lemon, while in rice+bilimbi (PMO) to supervise patients in swallowing
and control , they become yellowish-white . tablets. Objectives. To identify the types of
The smell were rotten in control and treatment observers (PMOs) in treatment of
rice+lemon, while no smell in rice+bilimbi. The TB for improving the quality of patients
tekstur was good in rice+ bilimbi , but watery compliance in developing an effective
and lumpy in control and rice+lemon. . The program to reduce tuberculosis rate in
taste was insipidous. Total bacteria after 24 Majalengka District. Methods. This study
hours preservation on rice in control 2.83 design was exploratory with a qualitative
x106, which was greater than in rice+lemon approach. Majalengka district was chosen as a
(8.74 x 105) and rice+bilimbi (6.39 x105 ). study area since it was ranked as an area
Natural acid supplementation and where having the second highest percentage
preservation time gave influence to total of smear-positive pulmonary TB patients in
bacteria growth (p = 0.003). No difference 2000. Information was obtained from
between concentration of protein and vitamin treatment observers (PMOs), Tb patients, Tb
C of 0 and 24 hours preservation found in health provider in subdistrict health center,
rice+bilimbi.. Conclusion: Rice would become the head of health center and Tb health
nutritious, properly and safely up to 24 hours control program officer (Wasor) in district
preserved in Magic-Com , if it cooked with health office. Results. This study showed that
addition of bilimbi. Keywords : Rice, Protein, patients admitted that having PMOs
Vitamin C, Organoleptic Test, Total Bacteria. assisted them to be more compliant and
reduced the risk of boredom likely to be
encountered during treatment. Treatment
observers came from family members were
ID: 152 highly motivated to encourage patients to
25. TYPE OF TREATMENT OBSERVERS AND comply treatment and always available,
THEIR INFLUENCE IN TUBERCULOSIS whereas PMOs from health center had better
TREATMENT IN MAJALENGKA DISTRICT, knowledge about Tb but were less available to
WEST JAVA PROVINCE the patients. Conclusion. The most important
criteria of selection PMO is to choose PMOs
Noor Edi W Sukoco, Puti Sari H who have a close relationship with patients.
This can be patients family member or a
Pusat Humaniora, Kebijakan Kesehatan combination of a family member and a
dan Pemberdayaan Masyarakat (Pusat 4) voluntary health cadre or health provider. It is
recommended to give an incentive to PMOs
Background. Tuberculosis (Tb) causes death
for their time and costs and enable them to
and prolonged suffering for millions of men,
carry out their duties better. Training should
women and children in many parts of the
be given to family members as a PMO, and
world. There is an increasing number of new
not limited to cadres and health workers only.
cases of Tb occur every year worldwide
including in Indonesia. One of the problem
ID: 157 ID: 159
26. UNDERSTANDING INFANT MORTALITY 27. ENVIRONMENTAL HEALTH RISK

IN JEMBER REGENCY ASSESSMENT TO DETERMINE
SANITATION RISK AREA IN JEMBER
Dwi Martiana Wati , Thohirun, Ludfia DISTRICT IN SUPPORTING MILLENNIUM
Hermin DEVELOPMENT GOALS
Khoiron
Public Health Faculty Of Jember University
Background: Infant mortality is an important Faculty of Public Health, Jember University

indicator to assess the level of community
Backgrounds : Sanitation generally refers to
health status, even the welfare of the country.
the provision of facilities and services for the
In 2009, infant mortality in Jember Regency
safe disposal of urine and feces. Inadequate
was 58 per 1,000 live births. Infant mortality is
sanitation is the major cause of disease
caused by endogenous and exogenous
throughout the world and sanitation is known
factors, which the endogenous factors were
to have a positive impact on health both
brought during pregnancy. Meanwhile, the
within the household and in society in
exogenous factors related to external
general. The word 'sanitation' also refers to
environment whose effects may be indirect
the ability to maintain hygienic conditions,
because of having to go through a particular
through garbage collection and disposal of
biological mechanism that causes a risk of
wastewater services. One purpose of
death. Objective: The aims of this research
Millennium Development Goals (MDGs) is
was to analyze the endogenous and
Inaccessibility of sanitation services.
exogenous factors related to infant mortality
Environmental Health Risk Assessment (EHRA)
in Jember Regency. Method: The research was
is a district-level participative survey aimed to
conducted in 5 districts in Jember, named
determine the condition of sanitation
Sumbersari, Kalisat, Panti, Mayang, and
infrastructure, health / hygiene, as well as the
Kencong on January 2011. The method used
behavior of the community that can be
here was path analysis to cover the indirect
utilized for the development of sanitation and
effects of exogenous factors to the infant
advocacy programs at the district level to the
mortality. Result: The significant factors of the
village. Objective : This study aimed to
result of this research were the level of
determine the sanitation risk area in Jember.
knowledge of the mother, antenatal care,
Methods : Number of samples in the study of
infant morbidity, and birth weight.
EHRA is 2000 respondents spread in 50
Conclusion: Gaining the effectiveness of
villages in 7 sub-districts, divided into 3
antenatal care by communication,
clusters. Sampling is done by cluster random
information, and education (known as KIE) to
sampling system. Results : The results showed
the mother before planning of pregnancy and
that risk areas affected by these factors: 1)
during pregnancy could reduce the infant
Household Waste Management, 2) Domestic
mortality rate in Jember regency, even in
Wastewater Disposal, 3) Environmental
Indonesia. Key words: infant mortality,
Drainage Around The House and Flooding, 4)
indirect effects, path analysis
Water Resources, 5) Hygiene Behavior, 6)
Diarrhea Cases. Conclusions : There are 7
ABSTRACT BOOK
villages at very high risk, 14 villages at high 2.20n to 8.03], coronary heart disesase
risk, 27 villages at moderate risk, and 2 (CHD has 2 times the risk [odds ratio
villages are not at risk. Key words : EHRA, adjustments (ORA) = 2.74,1.51 to 4.99]
sanitation, risk area, MDGs Diabetes Mellitus (DM) has nearly three times
the risk [odds ratio adjustments (ORA) = 2.89,
95% CI = 1.47 to 5.64] and low economic
ID: 164 status of nearly 2 times the risk [odds ratio
adjustments (ORA) = 1.83, 95% CI = 1.03 to
28. DETERMINANT OF STROKE DISEASE IN 3.33] suffered a stroke disease. Prevention
THE KEBON KALAPA COMMUNITY OF
stroke disesase should be done by increasing
BOGOR(Baseline on Cohort Study of Non
Communicable Disesases Risk Factors, education (campaign) through the control of
2011) major risk factors of hypertension and
prevention of other degenerative diseases are
Woro riyadina, Woro Riyadina, Anna CHD and DM. Keywords: determinants, risk
Maria Sirait, Marice Sihombing, Ratih factors, stroke, Bogor
Oemiati, Sulistyowati Tuminah
Pusat Teknologi Intervensi Kesehatan ID: 171

Masyarakat (Pusat 3)
29. COST OF MENTAL HEALTH PROGRAM IN
Stroke disease is the leading factor cause of PRIMARY LEVEL: DEMONSTRATION OF
COST STUDY IN ACEH
death and chronic disability in the age group
most over the age of 45 years in Indonesia.
Sri Idaiani
The aim of this study to identify the major
determinant of stroke disease in community
Pusat Teknologi Terapan Kesehatan dan
in Kebon Kalapa village of Bogor. The study
was a deep analyses conducted 1912
respondents base on the subset of baseline Background. Aceh is the only province in
data Cohor study of Non Communicable Indonesia that has been implementing
Diseases Risk Factors. Data were collected community mental health programs. since
by questionnaire interviews on community recovery from tsunami .The program was held
resident to remain in the Kebon Kalapa by the Aceh government in all districts and
village, central district of Bogor in 2012. cities. The aim of this analysis is to provide
Stroke were diagnosed by anamnesis and information on the cost of mental health
neurological examination by a neurolog. programs implemented by the community
Independent variables included health centre (CHC). With this result, local
sociodemographic characteristics, health governments are expected to allocate the cost
status and risk behavior. Data were analyzed of a mental health program in accordance
with multiple logistic regression test. Stroke with the current situation. Method: This study
disease was found in 49 people (2.6%). The is a further analysis of the data Health Facility
main determinant of stroke include Research or Riset Fasilitas Kesehatan
hypertension, diabetes mellitus, coronary (Rifaskes) 2011. Cost calculation performed
heart disease and low economic status. on a CHC in Aceh Besar district (KM) with the
Hypertension has stroke risk 4 times [odds consideration of the location which is located
ratio adjustments (ORA) = 4.20, 95% CI = 23 km from the provincial capital, it is
estimated that the program runs smoothly. such as shortness of breath/ difficulty of
We conducted cost analysis of mental health breathing, infiltrates in the lung showed by
program in the CHC with assessment Chest X-Ray. With funding from the CDC and
component of the cost such as investment, DIPA, Center for Biomedical and Basic
maintenance, operations. Activity Based Technology of Health (CBBTH) NIHRD
Costing was used to identifies cost sources. carried out sentinel surveillance SARI at 10
Results Total cost of mental health program hospitals in 10 provinces in 2011. SARI has a
without drug is Rp 131,379,585. Unit cost for major contribution in the morbidity and
a mental disorder patient is Rp 1,799,720. The mortality, however, so far Indonesia still has
highest cost comes from the cost of the inside no epidemiological an pattern of bacterial and
activities, there is Rp 62,390,425 (47.5% of the viral etiology data of SARI cases Methodology
total cost of the program) followed by outside Every patient who meets the criteria of SARI
activities cost Rp 22,684,465 (17.3% of the will be included in this study. Serum and
total cost of the program). Cost of setting up throat swab / nasal swab were taken and
program is Rp 46,304,694. Conclusion. The examined at the laboratory CBBTH to figure
unit cost per mental health patient found in out both viral and bacterial etiology. RT-PCR
this study is higher than calculation of test was used to detect influenza virus in
previous studies, although there are several specimens, not only the type of Influenza but
different components that are assessed. The also the subtype. Specimens which positive
results of this study may be a reference to influenza by RT-PCR then cultured in MDCK
allocate mental health costs. Cost for training cells. Results In 2011, nine sentinel hospitals
the team when program was set up can be were active participate. The total number of
considered to conduct refresh training for SARI cases was 400.We found 5 % specimens
improving community-based mental health were positive influenza through RT-PCR
services by community health centers. examination. The proportion of Influenza A
Keywords: mental health program, cost, was 4 % and influenza B 2% from total
Rifaskes 2011. influenza cases. We detected that seasonal
influenza subtype A/H1N1pdm 2009 and
A/H3N2 were circulated in Indonesia.
ID: 173 Conclusion SARI surveillance can be used as
tool to detect influenza virus circulating in
30. INFLUENZA CASES FROM SURVEILLANCE Indonesia, especially from hospitalized
ACUTE RESPIRATORY INFECTION , 2011
patients and also if there is new influenza
strain that potentially caused pandemic. It is
Krisna N A Pangesti, Krisna N. A Pangesti,
important to consider sentinel system of SARI
Ni Ketut Susilarini, Hana Apsari P, Vivi
surveillance in the limited resources situation
Setiawaty
as in Indonesia. Keywords: Influenza, SARI,
surveillance
Pusat Biomedis dan Teknologi Dasar
Kesehatan (Pusat 1)
Introduction Severe Acute Respiratory ID: 178

Infection (SARI) or Pneumonia is an acute
31. THE ASSOCIATION OF JAK2 V617F
infectious process in the lung tissue (alveolar
MUTATION AND CLINICAL SEVERITY OF
or interstitial tissue) with clinical symptoms of PHILADELPHIA CHROMOSOME-
fever and cough accompanied by symptoms NEGATIVE MYELOPROLIFERATIVE
ABSTRACT BOOK
NEOPLASMS PATIENTS mean values of hemoglobin, hematocrite,

leukocyte, and thrombocyte) were not
Fanti Saktini, Santosa, Puspita K. Dewi, significantly different in patients with and
Sultana MH Faradz without mutation. Both groups were not
different according to the degree of
Medical Faculty Diponegoro University hemoglobin, hematocrite, thrombocyte,
leukocyte, frequency of phlebotomy, history
Bacground: Chronic myeloproliferative
of thrombosis, degree of spleen size, liver size,
disorders are clonal stem cell disease which is
anemia, history of bleeding, frequency of PRC
characterized by proliferation of one or more
transfusion. Nineteen non-MPN subjects that
myeloid cell lines in the bone marrow and by
are matched by sex and age were negative for
the increase of mature and imature cells in
the mutation. Conclusion: High frequency
the peripheral blood. William Damashek in
(73,68%) of JAK2 V617F mutation were found
1951 introduced the term myeloproliferative
in MPN patients with negative Philadelphia
neoplasm (MPN) to designate Polycythemia
chromosome. JAK2 V617F mutation was less
Vera (PV), Essential Thrombocythemia (ET),
likely correlated with severity of MPN
Primary Myelofibrosis (PMF) dan Chronic
patients. Keywords: ARMS-PCR, biomarker,
Myeloid Leukemia (CML). JAK2 V617F is the
Jak2 V617F, myelofibrosis primer, negative
most frequent mutation in MPN with negative
Philadelphia chromosome, neoplasma
Philadelphia chromosome. The mutation
myeloproliferatif, polisitemia vera,
occurs in ~95% PV, ~50% TE and ~65% PMF
trombositemia esensial.
cases. JAK2 V617F is associated with
thrombotic risk factors in PV and ET patients,
pruritus in PV, splenomegali, and leukemic
ID: 184
transformation in PMF. The study aims to
know the correlation between JAK2 V617F 32. LESS VEGETABLES AND NUTS-SEEDS-
mutation and clinical severity in MPN patients PEAS CONSUMPTION ARE ASSOCIATED
with negative Philadelphia chromosome. WITH HIGH LEVEL OF LIPID
Methods: Subjects were recruited through PEROXIDATION IN TYPE 2 DIABETES
MELLITUS
consecutive sampling in RSUP Dr. Kariadi
Semarang. Clinical data and hematologic
Nazarina Nazarina, Dr. Reviana, Yunita
parameters were obtained by anamnesis and
Dianasari
medical records abstraction. Cytogenetic
testing was done from bone marrow to detect
Philadelphia chromosome. DNA was extracted
from blood and analyzed using Amplification
Refractory Mutation System polymerase chain Less Vegetables and Nuts-Seeds-Peas
reaction (ARMS-PCR) to identify JAK2 V617F Consumption are Associated with High Level
mutation. Results: Diagnosis distribution were of Lipid Peroxidation in Type 2 Diabetes
5 (26,3%) PV, 11 (57,9%) ET, 1 (5,3%) PMF, Mellitus ABSTRACT Background. Diabetic is
dan 2 (10,5%) unspecified MPN. All 19 associated with the risk of having lipid
subjects were negative for Philadelphia peroxidation causing macro and micro
chromosome. Fourteen (73,68%) out of 19 vascular diseases. Malondialdehyde (MDA) is
cases were positive for JAK2 V617F mutation. a mutagen product of lipid peroxidation.
Subjects characteristics (age, sex, and Objective. This researchh was to identify some
factors, associated to Plasma MDA (P-MDA) 33. KARAKTERISTIK PENDERITA DEMAM
level in type 2 diabetes mellitus. Methods. BERDARAH DENGUE KLINIS DAN DBD
Eighty two respondents were recruited by KONFIRMASI SEROLOGI DI LIMA RSUD
JAKARTA
purposive sampling. Respondents were
members of Persadia, physical training club
Rossa Avrina, Emiliana Tjitra, M.Karyana,
for diabetic at Mardjoeki Mahdi Hospital in
Siti Nur Hasanah
Bogor. Data of fruits, vegetables, nuts, seeds
and legumes consumption were collected by
interviewing using semi quantitative food
frequency questionnaires. Fasting blood
glucose and plasma MDA were assayed using Latar belakang: Diagnosis demam berdarah
spectrophotometry method. Other data such dengue (DBD) di Indonesia umumnya hanya
as physical training, smoking status, and berdasarkan hasil pemeriksaan darah rutin
diseases history were collected by hematokrit dan trombosit (DBD klinis).
interviewing using structured questionnaires. Seharusnya, diagnosis DBD berdasarkan
Nutritional status data was as Body Mass pemeriksaan serologi (IgG, IgM) atau deteksi
Index. All data was analyzed using Odds Ratio antigen NS1. Di Jakarta, kasus DBD cenderung
(OR) and logistic regression test to identify the meningkat. Oleh karena itu perlu diketahui
dominant factors, contributed to MDA-P level. penyebaran dan karakteristik penderita di
Results. Factors that contribute to Plasma beberapa wilayah DKI Jakarta. Tujuan:
MDA level is vegetables and nuts-seeds- mengidentifikasi musim dan karakteristik
legumes consumption and physical trainning. penderita DBD Metode: Penelitian ini
Consuming vegetables less than 300 g/d and merupakan penelitian retrospektif
nuts-seeds-legumes less than 2,5 porsion/d menggunakan data rekam medis 2010 di lima
are associated significantly with having high RSUD Jakarta. Kasus DBD dikelompokkan
level of Plasma MDA (0.8 nmol/L), menjadi DBD klinis yaitu berdasarkan klinis
respectively OR:5 (95% CI: 1,154 ; 22,02) and dan laboratorium darah rutin dan DBD
OR:4,8 (1,26 ; 18.57). Not having physical konfirmasi serologi (IgG dan IgM atau NS1).
activity routinely is risk for having high level P- Data yang dianalisis meliputi data individual
MDA (OR:1,3, 95%CI: 1,12 ; 1,45). Those (umur dan jenis kelamin), bulan rawatan, data
factors are contributed to MDA-P level penyakit (manifestasi klinis, hasil
independently. Discussion. Although laboratorium, komplikasi). Data dianalisis
vegetables and nuts-seeds-legumes secara deskriptif dengan program SPSS 17 for
consumption have significant contribution to windows. Hasil: Jumlah data rekam medik
P-MDA level, it is important to know further yang dikumpulkan sebanyak 425, terdiri dari
which type and chemical content in those 244 penderita DBD klinis dan 181 penderita
food that can prevent lipid peroxidation. Key DBD konfirmasi serologi ( dua kasus
Words: Type 2 Diabetes Mellitus, MDA- diantaranya juga diperiksa NS1). RSUD
Plasma, vegetables, nuts-seeds-legumes, Cengkareng paling banyak mendiagnosis DBD
physical training klinis (79,3%), sedangkan RSUD Tarakan
mendiagnosis penderita 100% berdasarkan
konfirmasi serologi. DBD klinis paling banyak
ID: 186 terjadi pada bulan Februari (82,1%). DBD
konfirmasi serologi terbanyak pada bulan
Agustus (59,5%). Jumlah penderita DBD
ABSTRACT BOOK
antara laki-laki dan perempuan serta anak- Heni Kismayawati, Aris Yulianto, Arga
anak (<15 tahun) dan dewasa 15 tahun Yudhistira
hampir sama. Penderita DBD klinis memiliki
rata-rata kadar hematokrit 40,5%, median Pusat Teknologi Terapan Kesehatan dan
jumlah leukosit adalah 3600/mm dan Epidemiologi Klinik (Pusat 2)
median jumlah trombosit 64.000/mm,
sedangkan gejala klinis yang banyak Latar Belakang : Informasi mengenai
dikeluhkan adalah demam (79,5%). Korelasi karakteristik penderita HIV/AIDS rawat inap
trombositopenia (<100.000/mm) dengan dan panduan untuk memprediksi lama
perdarahan pada kasus DBD klinis perawatan inap penderita HIV/AIDS masih
berhubungan erat (r=-0,979). Komplikasi terbatas. Sementara itu, penderita yang
terbanyak pada penderita adalah efusi pleura dirawat inap dalam waktu lama akan
(2%). Penderita DBD konfirmasi serologi menghadapi risiko timbulnya infeksi
memiliki rata-rata kadar hematokrit 41,8%, nosokomial. Besarnya biaya yang dikeluarkan
juga akan memperberat beban ekonomi
median jumlah leukosit adalah 3920/mm
penderita. Tujuan : Menilai hubungan
dan median jumlah trombosit 80.000/mm,
sedangkan gejala klinis yang banyak karakteristik penderita HIV/AIDS dewasa
dikeluhkan adalah mual (73,5%). Korelasi dengan lama waktu perawatan inap. Metode :
trombositopenia (<100.000/mm) dengan Desain penelitian adalah potong lintang. Data
perdarahan berhubungan erat (r=-0,990). diambil dari rekam medis penderita rawat
Sebagian besar komplikasi penderita DBD inap dewasa di Instalasi Rekam Medik RSPI
konfirmasi serologi adalah juga efusi pleura Sulianti Saroso, Jakarta dari tahun 2009 -
(9,4%). Kesimpulan: Di beberapa RSUD 2011. Sampel diambil secara purposive,
Jakarta, sebagian besar kasus DBD didiagnosis meliputi aspek sosioekonomi (usia, jenis
klinis. Distribusi penderita DBD klinis dan DBD kelamin, tingkat pendidikan, jenis pekerjaan),
konfirmasi serologi hampir sama jumlahnya faktor risiko penderita, stadium penyakit,
berdasarkan usia dan jenis kelamin. infeksi oportunistik yang diderita, jumlah
Penyebaran kasus DBD tidak tergantung pada limfosit CD4, riwayat pengobatan ARV dan
musim. Perdarahan dengan jumlah trombosit lama waktu perawatan inap penderita
berhubungan erat baik pada kasus DBD klinis HIV/AIDS. Hubungan karakteristik penderita
maupun DBD konfirmasi serologi. Gejala dengan lama perawatan inap akan dinilai
terbanyak yang ditemukan pada penderita dengan analisis bivariat menggunakan
program SPSS. Hasil : Dari 289 rekam medis
DBD klinis adalah demam sedangkan pada
penderita DBD konfirmasi serologis adalah penderita HIV/AIDS dewasa diperoleh data
mual bahwa 46% penderita HIV/AIDS adalah
dewasa muda berusia 20-29 tahun, 78,3%
adalah penderita laki-laki, dan 47,1% adalah
ID: 190 pengguna jarum suntik. Sebanyak 40,8%
pasien berobat pada stadium lanjut terutama
34. KARAKTERISTIK DAN LAMA stadium 3 (28%), 86,8% dengan jumlah CD4
PERAWATAN PENDERITA HUMAN rendah < 350 sel/mm3 dimana 83% penderita
IMMUNODEFICIENCY VIRUS / ACQUIRED dengan CD4 < 200 sel/mm3. Hanya 29,1%
IMMUNE DEFICIENCY SYNDROME
penderita yang pernah menjalani pengobatan
(HIV/AIDS) DEWASA DI RSPI SULIANTI
ARV. Lebih dari separuh (61,6%) penderita,
SAROSO
mengalami infeksi oportunistik (IO) lebih dari
satu, dengan lima yang tersering adalah Baseline Health Research 2007 using cross-
kandidiasis mulut (69,9%), TBC (67,8%), sectional method for the death over a period
Toxoplasma cerebral (28%), Kriptokokus (1%) of one year before the survey in selected
dan CMV (0,7%). Dari analisis bivariat, subyek households. The sample was using a Susenas
yang menderita IO lebih dari satu, mempunyai core sample and or module that include
risiko 2 kali menjalani perawatan lebih lama 258,366 HH, taken with a Probability
dari 11 hari (OR= 2,8; 95% CI: 1,7-4,6; Proportional to Size (PPS). The cause of death
p=0,000). Penderita berusia sampai diatas 30 data was collected by quesioner using verbal
tahun juga berisiko 1,7 kali (OR=1,7; 95% CI: autopsy technique and was classified
1,0-2,7; p=0,029) dirawat lebih lama. Semakin according to ICD 10. The first rank of cause of
berat stadium, lebih lama juga perawatan death was the circulatory system, followed by
inap penderita (OR=1,1; 95% CI: 0,1-17,5; infection, respiratory system, digestive,
p=0,962). Sama halnya pada pasien yang tidak musculoskeletal, endocrine, neoplasm,
pernah diterapi ARV (OR=1,1; 95% CI: 0,6-1,8; accidents/injuries. The cause of deaths
p=0,767). Sedangkan jumlah CD4 >= 200 proportion of the circulatory system and
sel/mm3 dapat mengurangi waktu perawatan endocrine were greater in urban than in rural
inap 3 kali (OR=0,3; 95% CI: 1,1-1,13; areas, while deaths due to infectious diseases,
p=0,078). Kesimpulan : Karakteristik penderita respiratory system, and digestive were
yang berhubungan dengan lama waktu greater in rural than in urban areas. The
perawatan inap penderita HIV/AIDS dewasa infectious diseases are tuberculosis, diarrhea,
adalah usia dan banyaknya IO yang diderita. viral hepatitis, malaria. The diseases of the
Kata Kunci : Karakteristik, HIV/AIDS dewasa, circulatory system are stroke, hypertensive
lama rawat inap. heart diseases and ischemic heart disease.
Neoplasm recorded were breast cancer,
gastrointestinal, lymphoid, pharynx, lung,
ID: 194 brain, thyroid, nervous system, and ill defined.
The highest proportion of respiratory system
35. CAUSE OF DEATH AND CHALLENGES disease is bronchitis, asthma, emphysema.
FACED BY ELDERLY CAUSE OF DEATH
The risk factors that are detected, however if
AND CHALLENGES FACED BY ELDERLY
POPULATION IN INDONESIA ACCORDING those are not prevented or treated, then in
TO 2007 BASELINE HEALTH RESEARCH subsequent years will develop into non-
communicable diseases and end up as the
Sarimawar Djaja underlying cause of death. The Ministry of
Health should already make all efforts to
Pusat Teknologi Intervensi Kesehatan improve the health status of all ages and the
Masyarakat (Pusat 3) maintenance of health and well-being of the
elderly. Keywords: cause of death, the elderly,
Indonesia's elderly population continues to the survey
increase approximately 3 million every 10
years, in 2010 there were 18 million, was 7.59
percent of the total population. Analysis of ID: 209
cause of death in elderly from the Baseline
Health Research 2007 is expected to give an 36. POLA DIARE DAN TERAPINYA PADA
idea of the cause of death aged 55 years and BALITA DI RUMAH SAKIT
above and the challenges faced in Indonesia.
ABSTRACT BOOK
Armaji Kamaludi Syarif, Syachroni, Aniska probiotik, 93,4% diberi zinc, dan 35,7%
Novita Sari, Emiliana Tjitra dirawat selama tiga hari. Kesimpulan: Diare
akut banyak terjadi di Rumah Sakit. Diare
Pusat Teknologi Terapan Kesehatan dan pada balita paling banyak terjadi pada
Epidemiologi Klinik (Pusat 2) kelompok umur kurang dari satu tahun. Terapi
cairan merupakan terapi utama untuk diare di
Latar Belakang: Insiden diare tertinggi di rumah sakit. Pemberian antibiotik pada
Indonesia adalah pada balita. Rumah sakit penderita diare akut masih tinggi, jenis
merupakan pusat rujukan penderita diare. antibiotik yang terbanyak diberikan adalah
Untuk mencegah komplikasi dan kematian cefotaxime. Probiotik dan zinc sudah
karena diare, program penanggulangan diare merupakan terapi diare pada balita yang lazim
membuat pedoman penanganan diare dilakukan. Secara umum standar tatalaksana
berdasarkan penyebab atau jenis diare dan diare sudah dijalankan dengan baik di rumah
beratnya penyakit. Oleh sebab itu sakit. Kata kunci: diare, balita, terapi.
pelaksanaan penanganan kasus diare di
rumah sakit perlu dievaluasi. Tujuan:
Menggambarkan pola diare dan ID: 215
penanganannya pada pasien balita di Rumah
Sakit rujukan. Metode: Penelitian ini 37. STREET LEVEL BUREAUCRAT
merupakan penelitian retrospektif dengan DISCRETIONTHREAT OF IMPLEMENTING
desain potong lintang menggunakan data UNIVERSAL HEALTH COVERAGE
rekam medis bulan Juli 2011 sampai bulan
Agustus 2012 dari Rumah Sakit Penyakit Arief Priyo Nughroho
Infeksi Sulianti Suroso, Jakarta. Data dianalisis Pusat Humaniora, Kebijakan Kesehatan
secara deskriptif. Karakteristik balita dengan dan Pemberdayaan Masyarakat (Pusat 4)
diare, jenis diare dan jenis pengobatan
disajikan dalam persen menggunakan Puskesmas (Primary Health Care) can be
program SPSS. Hasil: Didapatkan 213 catatan described as street level bureaucrat that has
rekam medis balita penderita diare yang ada important role in improving health services.
di rumah sakit. Dari total 213 kasus balita The study aimed to analyze street level
dengan diare, 75,6% berumur kurang dari satu bureaucrat threat in implementing Universal
tahun, dan 59,2% adalah laki-laki. Jenis diare Health Coverage. We introduce Michael
adalah sebagai berikut: 96,7% merupakan Lipsky theory about street level bureaucrat to
diare akut, 37,1% diare dengan lendir atau explain why and how they take central role in
darah dalam tinja, dan 80,3% disertai policy implementation. This case study
dehidrasi sedang, Hampir semua (96,7%) research was conducted in South
kasus diperiksa darah rutin dan 27,8% Krembangan, Surabaya. Observation and
diantaranya mengalami leukositosis, 74,3% secondary data analysis are the main tools to
diperiksa elektrolitnya dan 36.2% diantaranya trace the daily pattern of street level
normal, Sebanyak 59,6% diberi rehidrasi oral bureaucrat discretion in implement a kind of
dan 31,0% diantaranya diberi oralit, semua policy. The findings shows that there are
diberi cairan parenteral dan 33% diantaranya significant threat for implementing universal
diberi cairan Ringer Laktat, 46,9% diberi health coverage caused by ambiguity on goals
antibiotik dan 18,5% diantaranya diberi and performance measure that usually as
cefotaxime, 1,9% diberi antidiare, 93% diberi street level bureaucrat, medical staff take a
safe zone for their interest. Besides that there Conclusion.The Vitamin D may be the new
are human resources problem and emerging nutrition problem in Indonesia
insufficiency of infrastructure. This two main though the criteria for Vitamin D deficiency is
problem result policy discretion which usually still debated. Key words. Vitamin D, 25OHD,
regularly practice by medical staff in population based, criteria for vitamin D
Puskesmas. deficiency.
ID: 217 ID: 244
38. VITAMIN D DEFICIENCY AMONG 39. THE ENERGY INTAKE AND ENERGY
CHILDREN 2-12 YEARSOLD IN EXPENDITURE OF PREGNANT
INDONESIA (DEFISIENSI VITAMNIN D WOMWEN:Longitudinal study
PADA ANAK 2-12 TAHUN DI INDONESIA)
Yuniar Rosmalina, Amalia Safitri, Fitrah
Basuki Budiman, Sandjaja, Fitrah Ernawati
Ernawati, Victoria Valentia
Pusat Teknologi Terapan Kesehatan dan Epidemiologi Klinik (Pusat 2)
Background: The energy intake during
Background. Vitamin D is necessary nutrient pregnancy is a factor contribute to maternal
to bone health; however prevalence of body weight gain to ensure the growth of the
stunted among children in Indonesia is high. foetus. The adequte energy intake is also
The severity vitamin D deficiency in Indonesia needed to do their daily physical activities.
has not been reported yet. Objective. A The deficiency of energy intake can influence
current Vitamin D state of children 2-12 years the nutritional status of newborn baby.
old in Indonesia was reported. Method. A Objective: To determine energy consumption
National population based clinical study was and the energy expenditure of the mother
conducted in 2011. Stratified random sample during pregnancy Method: The subject of the
technique was applied to cover 4800 children study were 323 pregnant women who were
2-12 years old. Gender and residence were participated starting from 12- 16 months of
considered. About 276 children among them pregnancy untill the babies were born. Data
were examined 25OHD as marker of vitamin D collection included nutrient intake data 2
state. The level was classified into <30 ng/mL times every month, daily phisical activities
(deficiency); 30-39 (insufficiency);40- every month dan the characteristic data of
49(sufficient) and 50 (optimal).Results. About the mothers (age, eduction level, occupation,
352991 (13%)children in Indonesia were parity etc.). The method of energy
estimated deficiency and insufficiency in consumption was 24 recall, and and daily
vitamin D (<40 ng/mL 25OHD;and girls more physical activities was 24 recall method using
suffered than boys (p<0.00) especially among stuctural questioner Result: the average age
5-12 years old. The older group seemed less was 26.5 years old with the minimum 16 years
prevalent (p<0.00). A Different prevalent and maximum 45 years and the parity 0 8.
between urban and rural was not found The energy intake varies between mothers.
(p=0.82). This feature was not stand along The energy intake were 1008 Kcals, 1108 Kcals
with stunted feature in children. , 1247 Kcals, 1296 Kcals, 1298 Kcals and 1308
ABSTRACT BOOK
Kcals at 3 mo, 4 mo, 5 mo, 6 mo, 7 mo and 8 early pregnancy and late pregnancy, birth
mo of pregnancy respectively. While the weight baby and birth height baby. The
energy expenditure were 2088 Kcals,2099 statistical analysis used descriptive. Results:
Kcals, 2118 Kcals, 2113 Kcals, 2138 Kcals and There were 4.6 percent of babies who had low
2120 Kcals at same month of pregnancy. birth weight(LBW) and stunted, 4.6 percent
Conclusion: The energy intake of pregnant had LBW and normal height, 5.7 percent had
women increase as the age of pregnancy normal birth weight and stunted, 85.1 percent
increase and the balance of energy among had normal birth weight and normal height.
pregnant mother was negative. Key words: The maternal weight, serum protein
energy intake, energy expenditure and concentration and hemoglobin concentration
pregnant women of mother during pregnancy were lower in
mother who had stunted and LBW babies
compare to mother who had normal birth
ID: 247 weight and normal height babies. Conclusion:
Health and nutritional status of the mothers
40. PROFILE OF MOTHERS HEALTH AND
during pregnancy affects the nutritional status
NUTRITIONAL STATUS DURING
of babies. Key words; stunted, low birth
PREGNANCY ON STUNTED AND LOW
BIRTH WEIGHT BABIES weight (LBW), pregnant women, nutritional
status.
Fitrah Ernawati, Yuniar Rosmalina, Made
Dewi Susilawati, Abas Basuni
ID: 250
41. SPATIAL PATTERN OF SCHISTOSOMIASIS
Epidemiologi Klinik (Pusat 2) SNAILS DISTRIBUTION USING REMOTE
SENSING DATA AND GEOGRAPHIC
Background: Nearly one-third of children in
INFORMATION SYSTEM IN LINDU SUB-
developing world underweight or stunted. DISTRICT , SIGI DISTRICT,
Under nutritritions most damaging effect CENTRALSULAWESI PROVINCE,
occurs during pregnancy and in the first two INDONESIA
years of life, therefore health and nutritional
status of mother during pregnancy is very Mujiyanto, Jastal, Triwibowo A Garjito
important. Objectives: To know the
relationship between health and nutritional Balai Penelitian dan Pengembangan P2B2
status of the mother during pregnancy with Donggala
nutritional status of new born babies.
Background. Schistosomiasis is a water borne
Methods : The study design is a longitudinal
parasitic disease endemic in sub-tropical and
study. The samples were pregnant mother
tropical areas . In Indonesia, schistosomiasis
with gestational age between 12-16 weeks
endemic areas found only in limited areas, in
who were followed until the babies were
the Lindu, Napu, and Bada Plateau, Central
born. The number of samples were 261 pairs
Sulawesi. Geographical Information system
of mother and their babies. Data collection
(GIS) and remote sensing have a wide range of
started from March to December 2011. Data
applications in health. These technologies
collection included maternal education, early
have been applied to strengthening early
age of marriage, age at birth, maternal height,
warning system especially in water borne
birth spacing, blood biochemistry levels in
diseases, such Schistosomiasis. Remote
sensing (RS) systems are designed to measure Lambung Mangkurat University
and record reflected, absorbed, or emitted
Background , coal mining activities have
electromagnetic energy from features of the
snails habitat or foci. Objectives. This research impact to the air quality at mine site has
to analyze distribution patten of snails foci exceeded the threshold and cause respiratory
using spatial analysis in Lindu Sub-District. system disorders. Generally, coal miners work
Method . In this case, application of GIS, RS in shift work patterns. This pattern will disrupt
and fieldtrip data were used to define the circadian rhythm directly related to the
broad environment and landscape distribution melatonin production that affect the miner's
of snails foci. Result.This research found 111 health. Respiratory diasease that caused by
of snail foci in Lindu Sub-district. The spatial coal dust can be minimized by wearing mask
pattern of snails foci tend to cluster with the as PPE. Objectives , this study aims to know
Nearest Neighbor Ratio 0,21, Z Score -15,98 the effect of exogenous melatonin on coal
dust exposed wistar strain rats day and night .
and p value 0,01. Conclusion. The
Methods, research carried out by dividing the
combination of RS data (Quickbird, Landsat
imagery, SRTM imagery, or Google Earth rats into 5 groups each consist of 4 rats ,
application) and GIS provides a best solution control group, exposure to coal without
tool for monitoring snails habitat, such melatonin, exposure with melatonin 0.5
breeding sites and landscape variations from mg/kg /day, exposure with melatonin 1 mg
lowland to highland that are suitable to water /kg/day and exposure with melatonin 2 mg/kg
borne diseases. The environmental of snails /day. The study was conducted in 2 phases, I
can be detected with RS data then processed exposed during the day and stage II exposed
using GIS.. The results are very promising to at night. Melatonin given for 6 days before
create landscape distribution of the time of exposure. The period of dust
schistosomiasis snails map in Lindu Sub- exposure was 3 days of each 30 minutes.
District, Central Sulawesi, Indonesia and view Result , the results showed that exposure to
them in three dimensional forms (3 D). coal dust lead to significantly increased levels
Keywords : spatial, schistosomiasis, of SOD BAL during unit/100g 125.115 55.662
geographic information system, Lindu Sub- 38.162 161.005 and night unit/100g.
district. H2O2 BAL 5.510 1.002 day pg / mL and
1.777 0.636 night pg / ml. Lung
histopathology structural damage caused by
ID: 257 exposure to coal dust subacute indicated by
an increase in the thickness of the alveolar
42. APPLICATION OF OCCUPATIONAL wall during gram/m3 24.995 41.363 and
HEALTH AND SAFETY (OHS ) 18.82 46.57 a night gram/m3 Conclusion ,
MANAGEMENT WEARING MASK AS PPE there is no significant difference in value to
AND MELATONIN IN LOWERING LEVELS
the difference in exposure time of day or
OF SOD, H2O2 AND TOTAL
INFLAMATORY CELLS AT LABORATORY
night, which is thought to be caused by the
RATS STRAIN WISTAR EXPOSED TO COAL lack of adaptation of rats as nocturnal animal
DUST DAY OR NIGHT against the natural human shifts. Exogenous
melatonin dose of 2 mg/kg bw/day
Qomariyatus Sholihah significantly proven effective as an antioxidant
against oxidative stress and lung inflammation
ABSTRACT BOOK
caused by exposure to coal dust. And wearing Climate factors also had a positif significant
PPE mask specifically made for mice was able correlation with DHF incidence. This study
to inhibit the coal dust particles in the recommends that central and northern part of
mentioned into mice. Keywords: Exposure to the Kupang City have to get more attention
coal dust, shifts, inflammation of lung tissue, for DHF control activities. Children and young
SOD, H2O2 ,number of inflammatory cells, age groups have to be the priority of the DHF
exogenous melatonin, mask control program. DHF control activities have
to start around October to November to
reduce DHF transmissions before of rainy
ID: 261 season.
43. INSIDENSI DEMAM BERDARAH DENGUE

(DBD) DI KOTA KUPANG, PROPINSI NTT,
ID: 262
1998-2007
44. INFEKSI TRANSOVARIAL VIRUS DENGUE
Wanti Ndoen, Irfan PADA NYAMUK AEDES AEGYPTI DAN
AEDES ALBOPICTUS DI KOTA KUPANG
Environmental Health Academy
Wanti Ndoen, Sugeng Juwono, Siti Rahma
Dengue Haemorrhagic Fever (DHF) is one of Umniyati
the main public health global problems, which
is caused by Dengue Virus (Denvir) and
Environmental Health Academy
transmitted by mosquito. Kupang Municipality
is one of the DHF endemic districts in NTT Dengue Haemorrhagic Fever (DHF) is one of
Province, where DHF incidence and mortality the global public health problems. NTT
were higher than national standard. This Province is one of DHF endemic province
study aimed to explore the spatial and which Kupang Municipality is an endemic DHF
temporal pattern, and risk factors of DHF area with the highest IR in this province.
incidence in Kupang Municipality. It was Aedes sp can transmit DHF through their
expected that the outcomes from this project biting. The understanding about its
will be useful for the betterment of DHF epidemiology factors such as transovarial
control program in order to forecast, prevent infection of Dengue virus in Aedes aegypti and
and reduce the incidence of DHF in the Aedes albopictus is needed for predict the
future.This study was an ecological study, incidence of DHF in the the future and for
focused in 45 boroughs of four sub districts in prevention activity. Therefore, this research
Kupang Municipality. This study used Excel, aims to describe the transovarial infection of
Ms Word, Arcview GIS software to analysed Denvir in Aedes sp in Kupang Municipality,
the research variables. The spatial pattern NTT. This research was designed as an
shows that DHF incidence was higher around observational descriptive with a cross
the central and northern part of Kupang City sectional study. The subjek of this research is
and not correlated with the population Aedes sp mosquitoes in Kupang Municipality.
density. The temporal pattern shows that DHF Ovitraps were used to collect mosquitoes`
incidence was correlated with the change of eggs. Furthermore, eggs were reared in the
season. Males and females had a similarly risk laboratory up to F1 for Denvir examination
to get DHF infection. Children and young age with ISBPC technique. Data analysis used
have higher DHF incidence than other groups. software Excel, and Microsoft Word. This
research found the transovarial transmission study employed 30 male rats, meeting the
in Aedes sp which the transovarial inclusion criteria. They were divided into 5
transmission rate (TOT) in Ae. aegypti was groups (n=6). Group I is control group, only
20.1%, while it was 8.3% for Ae. albopictus. received glucose solution 3,0 x 10-3 M. Group
The positive transovarial transmission can be II, III, IV, and V received glucose solution with
found in both of female and male Aedes sp Q3G 1 mg/kgBW, Q3G 2 mg/kgBW, Q4G 1
which the transovarial transmission rate was mg/kgBW and 2 mg/kgBW. The inhibitory
higher in female than male. The presence of potency of Q3G and Q4G to glucose uptake
transovarial transmission of Denvir in Aedes was measured every 15 minutes for one hour,
sp shows that both Ae. aegypti and Ae. using Perfusi in situ equipment designed by
albopictus in Kupang Municipality can Soedigdo. Data were analyzed by Oneway
transmit the Denvir from adult mosquitoes to Anova and Duncan test. This research showed
next generation and also can be as a reservoir that Q3G 1 mg/kgBW, Q4G 1 mg/kgBW, and
of Denvir. Key words: DHF, transovarial Q4G 2 mg/kgBW, had significant potency in
transmission, Aedes aegypti, Aedes albopictus inhibit the glucose uptake from rat intestinal
membrane (Rattus rattus norvegicus). The
study concluded that Q3G and Q4G isolated
ID: 263 from mimba leaves has potency in inhibit the
glucose uptake from rat intestinal membrane
45. POTENCY OF QUERCETIN-3-O- (Rattus rattus novergicus). Key words: Q3G,
GLUCOSIDE (Q3G) DAN QUERCETIN-
Q4G, mimba leaves, glucose uptake
4-O-GLUCOSIDE (Q4G) ISOLATED
FROM MIMBA LEAVES (Azadirachta
indica A.Juss) TO THE GLUCOSE UPTAKE
OF RAT INTESTINAL MEMBRANE ID: 264
Enny Rohmawaty, Vycke Yunivita KD 46. CORRELATION OF KATG CATALYTIC

ACTIVITY WITH ISONIAZID RESISTANCE
TO A CLINICAL ISOLATE OF
Pharmacology and theurapeutic MYCOBACTERIUM TUBERCULOSIS
department, Faculty of Medicine,
Universitas Padjadjaran Purkan Purkan, Wiwin Retnowati
Mimba leaves (Azadirachta indica A.Juss) used
Chemistry Department/ Airlangga
in this study taken from Brigade Proteksi
University
Tanaman (BPT) Situbundo, contains active
compound quercetin-3-O-glucoside (Q3G) and An isoniazid resistant of Mycobacterium
quercetin-4-O-glucoside (Q4G). These tuberculosis clinical isolate (L) had mutation in
compounds isolated using Thin Layer katG gene encoding catalase-peroxidase. The
Chromatography (TLC). From previous study, research want to know the basis of INH
Q3G and Q4G had already known could inhibit resistance of the isolate at the protein level.
the glucose uptake from intestinal membrane. The katG gene expression of L isolate and the
This study was conducted in order to know characterization of its protein had been done.
whether the Q3G and Q4G isolated from Expression of mutant dan wild type katG have
mimba leaves has potency in inhibit the been conducted in Escherichia coli and
glucose uptake from rat intestinal membrane showed a molecular weight of 80 kDa in SDS
(Rattus rattus norvegicus). This experimental PAGE. The catalase activity of KatG L show
ABSTRACT BOOK
lower of 1.7 time than the value of the natural 5:5, 6:4, 7:3, 8:2 , 9:1, 10:0. Then do the test
type KatG (Kcat / KM = 8.62 x 104 M-1S-1). with DPPH antioxidant activity and
Moreover the peroxidase activity also antibacterial activity test by disc diffusion thus
decrease 2 time from the wild type value obtained with a ratio of solvent extracts of the
(Kcat / KM = 1.99 x 105 M-1S-1). The KatG L most optimal.After serial dilution test was
variant also showed a decrease in isoniazid performed to determine MIC and MBC values
oxidizing activity at 2.6 time lower than the of the standard ATCC S.aureus bacteria, E. coli
wild type value. Decreasing of the and L. monocytogenes is so known
catalase/peroxidase of the KatG mutant is bacteriostatic and bactericide activity.
suspected as the cause of INH resistance for Bioautography assay was performed to
M. tuberculosis clinical isolate (L) at the determine the secondary metabolites
protein level. Keywords: M. tuberculosis, INH contained in extracts of the stem D.dao.
resistance, katG, catalase-peroxidase Results : Maceration rod D. dao with a ratio of
60% ethanol-water has antibacterial activity
and antioxidant potential. One-way ANOVA
ID: 275 statistical test found 60% ethanol extract of
the stem D. dao significantly different when
47. THE ANTIBACTERIAL AND ANTIOXIDANT compared with standard curcumin and
ACTIVITIES OF DRACONTOMELON dao
vitamin E with p <0.001. In MIC testing looks
EXTRACT
bark extract D. dao has a MIC against MSSA
Nurul Hasanah, Yuniati bacteria (2.2 + 1.0), MRSA (1.8 + 0.4), L.
monocytogenes (1.7 + 0.5), E. coli MDR (2.7 +
FK UNMUL 1.0) mg / mL. In MBC testing results obtained
subcultures that are not encountered bacteria
Background: Synthesis of new antibacterial are as follows MSSA (3.3 + 1.0), MRSA (3.0 +
costly and high technology, while the plant is 1.1), L. monocytogenes (2.7 + 1.0), E. coli MDR
a source of medicinal raw materials for (3.7 + 9.8) mg / mL. Secondary metabolites
thousands of years ago. Dracontomelon dao with antibacterial activity in extracts stem D.
potential to be further investigated on the dao polyphenols found in groups and are
ability of the present invention with the known to also have antioxidant activity at Rf
antibacterial activity of antioxidants. value = 0.78. Conclusion: Extracts of the stem
Objective: Determine the ratio of solvent D. dao has a stronger antioxidant activity
ethanol - water is optimal for the extraction of when compared to standard antioxidant
selected, determine the antioxidant and vitamin E, but is weaker when compared with
antibacterial activity against the bacteria standard curcumin, has antibacterial activity
MRSA (Methicillin Resistance Staphylococcus against MRSA microbes, bacteria E. coli MDR,
aureus) and E.coli, L.monocytogenes. and L. Monocytgenes, has antibacterial
Determining the secondary metabolites, the activity that is bactericidal against MSSA
MIC (minimum inhibition concentration) and bacteria, MRSA, L. Monocytgenes and E. coli
MBC (minimum bactericidal concentration) MDR, has the secondary metabolites with
bacteria (S. aureus, E. coli, L.monocytogenes). antibacterial and antioxidant activity of the
Methods: The study design using the post-test polyphenols group. Key words: D.dao,
only control group design. Simplicia D.dao rod antioxidants, MIC, MBC, bioautografi assay
macerated using ethanol-water solvent with
11 the comparison of 0:10, 1:9, 2:8, 3:7, 4:6,
useful to provide holistic approach at person
ID: 276 level to complement existing services
provided by PHCs. Colleagues revealed at first
48. EVALUATION OF PSYCHOLOGIST
there was patient refusal to be referred to
PLACEMENT TO PROVIDE INTEGRATIVE
psychologist, for fear of community stigma,
MENTAL HEALTH SERVICE IN PRIMARY
HEALTH CARE (PHC) IN SLEMAN but eventually community acceptance
YOGYAKARTA, 2011 improved. In addition to provide community
treatment and medication monitoring,
Siti Isfandari, Tety Rahmawati, Selma psychologists are valuable in promoting
Siahaan, Betty Rooshermiaty, Idawaty healthy life style. Conclusion Psychologist
Abbas, Tina Afiatin, Rusdi Maslim placement in PHC is beneficial for mental
health treatment and health promotion.
Pusat Humaniora, Kebijakan Kesehatan Implementation The program could be
dan Pemberdayaan Masyarakat (Pusat 4) extended in the district with sufficient
resources.
Objective The program was designed to bring
mental health service closer to the
community for early detection of emotional ID: 278
problem and support community care
provision. The objective was to evaluate 49. FACTORS ASSOCIATED WITH THE
psychologist placement in PHC in Sleman SEVERITY OF CARIES EXPERIENCE IN
THE PROVINCE OF BANGKA BELITUNG
Yogyakarta. Background As response to the
ISLAND, INDONESIA
2001 WHO recommendation that mental
health treatment provision in PHC is a
Ch. M. Kristantigunarso Gunarso,
fundamental step in community access to
Christiana Titaley
services, faculty of Psychology Universitas
Gadjah Mada (UGM) and Sleman District
Health Office set up collaboration of
Kesehatan (Pusat 1)
psychologist placement in several PHC in
2004. Since the word mental health Introduction: Approximately 87% of
still bore stigma, it was covered as population aged 12 years or more in the
reproductive health service provision for Province of Bangka Belitung Islands,
young couple to be married, but colleagues in Indonesia, had tooth decay (Ministry of
the PHC help to socialize the existence of Health, 2007). This study aims to factors
mental health service in PHC by psychologist. associated with DMFT>8 in Bangka Belitung
The information will be used by the Ministry Province, Indonesia. Methods: Data were
of Health to decide for implementation of derived from a cross sectional survey, the
such program in other places. Method 2010 Oral Health Care Service Model
Information was obtained by focus group Development in the Province of Bangka
discussion with directors, medical doctors, Belitung Islands. This survey included
psychologists, responsible persons of information from 1152 respondents,
community health program of 8 PHCs, as well consisting of 288 samples aged 12 years (6th
as interviews with policy makers.. Result grade of primary school), 288 aged 18 years
Policy makers revealed that, although further (3rd year of senior high school), 288 aged 35-
research is needed, psychologists are very 44 years, and 288 aged 60+ years. Based on
ABSTRACT BOOK
the WHO recommendation, the outcome used investigate the effect of educational level,
was DMFT (Decay, Missing, Filled Teeth) index knowledge about environmental health and
of nine and above (DMFT>8). To identify healthy living behavior towards young
factors associated with this outcome, logistic populations health status. Methods: The
regression analysis was conducted. Statistical study was conducted towards adolescents,
analyses performed in this study used the male and female, among ages 10-24 years old
STATA/MP v10.0. Results: Our results show (n=300) from five districts in ten selected
that approximately 47% of population in neighborhoods in Central Jakarta and
Bangka Belitung Island had DMFT>8. Most of analyzed by using Path Analysis. Results:
health care service received by the population There are simultaneous significant
was tooth extraction (Mean Missing = 8) contribution between educational level and
compared to filling (Mean=0.5). Our study knowledge about environmental health to
found that factors significantly associated healthy living behavior (18.2%). The direct
with DMFT>8 were increased age, low contribution rate of education level to healthy
educational status, self treatment, and use of behavior is 12.1 percent, and the direct
non-professional services to treat any dental contribution between knowledge of
problem. In contrast, it was found that regular environmental health to healthy behavior is
visit to dentist (one or more visit per year) will 3.4 percent. There is no significance
significantly decrease the odds for DMFT>8 contribution in both the level of education to
(OR=0.16, p=0.01). Conclusion: Efforts to the health status and knowledge of
increase community awareness about the environmental health to the health status.
importance of dental health should become a Only healthy behavior have direct
priority. Five levels of preventions should be contribution to health status (58.7%).The
conducted comprehensively, using dental indirect effect of education on health status
health professional service. through healthy behavior is 8.6 percent, and
the indirect effect of knowledge of
environmental health to health status through
ID: 279 healthy behavior is 1.99 percent. Conclusion:
There is no direct effect between the
50. THE EFFECT OF EDUCATIONAL LEVEL, educational level nor knowledge about
KNOWLEDGE ABOUT ENVIRONMENTAL
environmental health towards health status.
HEALTH, AND HEALTHY LIVING
BEHAVIOR TOWARDS YOUNG (10-24 The direct effect is through healthy behaviors.
YEARS OLD) POPULATIONS HEALTH Keywords: knowledge about environmental
STATUS IN CENTRAL JAKARTA health, healthy living behavior, level of
education, health status
Julianty Pradono
Pusat Teknologi Intervensi Kesehatan ID: 286

51. CURE RATE OF TB TREATMENT USING
Background: Health status is one reflection of DOTS STRATEGY IN HOSPITAL
human resources, an important capital in the
development of a nation. Improving the Meryani Girsang, Dr. Lia Gardenia
quality of human resources can increase the Partakusuma
productivity. The purpose of this study is to
Kesehatan (Pusat 1)
ID: 288
Background: Tuberculosis is still become the
public health problem in Indonesia. One of 52. KETAHANAN PANGAN RUMAH TANGGA,
the effort to control tuberculosis disease is a KONSUMSI DAN STATUS GIZI KELOMPOK
strategy of DOTS (Directly Observed RENTAN (BALITA, WANITA, LANSIA) DI
KABUPATEN PRIORITAS MASALAH
Treatment Short course Chemotherapy). The
KERAWANAN PANGAN DI INDONESIA
aim of this study is to analyze and compare
the cure rate of the tuberculosis patient in
Dr. Ir. Annis Catur Adi, M.Si ,
two different hospital using DOTS and Non
DOTS strategy. Method: Design of the study is
Unair Surabaya
Quasi-experimental with control group. Data
of the study were patients who came to the
hospital for treatment on May 2007 till May writing writing writing writing writing
2008 with the clinical symptom of having
cough with large amounts of purulent
sputum, out of breath, chest pain, and loss
body weight. The patient were categorized as ID: 289
TB suspect based on the laboratory
examination of smear positive and lung 53. ANALISIS POLA MAKAN (TERKAIT
DENGAN HOMOSISTEIN) PADA REMAJA
abscess. Result: The cure rate in the hospital
OBESITAS DI INDONESIA
using DOTS strategy were higher compare
with the cure rate in the hospital using Non
Dr.dr. Citrakesumasari, M.Kes ,
DOTS strategy, 74.0% and 19.0% respectively.
{(95% confident interval(CI) =2.3;(1.6-3.5)}.
FKM Unhas Makassar
The cure rate of the patient who treated in
the hospital using DOTS were 1.4 fold higher writing writing writing writing writing
compare with the cure rate of the patient writing writing writing writing writing
who treated in the hospital using Non DOTS.
The proportion of recovery patient female is
higher compare with male, 30 (85.7 %) and 14
(37.7 %) respectively, Many factors which
infuent for improvement of TB patients are
drug antituberculosis such as streptomycin, ID: 290
ethambutol, result of Acid Fast Bacilli (AFB),
54. PEMETAAN DAN PEMODELAN BALITA
and increased of body weight is significantly GIZI BURUK DI JAWA TIMUR DENGAN
to judge whether suspect TB is cure or not PENDEKATAN REGRESI SPASIAL
(OR =0.123; 95% CI=0.017-0.904). Conclusion.
The study conclude that the cure rate of TB Mochamad Setyo, S.Si, M.Si
patients who received treatment using DOTS
strategy are higher than the patients who Pusat Humaniora, Kebijakan Kesehatan
treated with Non DOTS strategy. Key words: dan Pemberdayaan Masyarakat (Pusat 4)
Tuberculosis (TB), DOTS strategy, Hospital,
Cure rate.
ABSTRACT BOOK
writing writing writing writing writing Birth weight is an important factor that its
impact on health will continue toward
adulthood period. The weight of 2500 g is still
being used as the cut off point to predict the
ID: 291 risk of babys morbidity and mortality.
Recently birth weight of less than 3000 is
55. FAKTOR-FAKTOR YANG BERHUBUNGAN being rigorously assess as a risk factor for non
DENGAN KEJADIAN CACAT PADA ANAK
communicable disease in adulthood.
USIA 24 - 59 BULAN
Therefore, it is important to assess factors
DR. Ir. Heryudarini Harahap, M.Kes , that are affecting the fetal growth and
development. The objectives of this study is to
Pusat Teknologi Terapan Kesehatan dan determine the relationship between
Epidemiologi Klinik (Pusat 2) infants birth weight and mothers
nutritional status, i.e. pre-pregnancy weight,
writing writing writing writing writing weight gain during pregnancy, and maternal
Hb level in the 3rd trimester as well as several
other factor. The study design is cross
sectional using secondary data from medical
ID: 292 record of Budi Kemuliaan Hospital Jakarta
which was measured in January 2012. The
56. PARTIAL LEAST SQUARE PATH
result of chi square and correlation regression
MODELING (STUDI KASUS QUALITY
test show there is significant relationship
ASSURANCE RUMAH SAKIT PONEK
BERDASARKAN DATA RIFASKES 2011) between pre-pregnancy weight and weight
gain during pregnancy and birth weight. The
Sigit Ari Saputro, SKM , multiple logistic regression test reveals that
pre-pregnancy weight, weight gain during
Unair Surabaya pregnancy, maternal age, and birth order are
factors that are effecting birth weight
significantly, with pre-pregnancy weight as
the dominant factor (OR=6,643). Therefore, it
writing writing writing writing writing
is imperative to give more attention to
undernou rished women who are planning
ID: 299 their pregnancy Keywords : Birth Weight,
Mother Nutritional Status, 3000 g.
57. THE CORRELATION OF MOTHER
NUTRITIONAL STATUS AND OTHER
FACTORS TO INFANTS BIRTH WEIGHT IN
BUDI KEMULIAAN HOSPITAL JAKARTA IN
JANUARY 2012
Khaula Karima, Endang L Achadi
Universitas Indonesia
Krismawati, Mardi Rahardjo, Evi Iriani
Natalia
Balai Penelitian dan Pengembangan

Biomedis Papua
Background : Dengue outbreak first case had

been occured in May-July in Kaimana District
West Papua. This Dengue was the first case in
Kaimana in last 50 years base on records of
West Papua Health Department,
presumptively caused by transmission of
Dengue virus from infected temporer visitor
that participating one of religious event, held
by local goverment. Objectives: The porpuse
of this investigation was to study the
distribution of the DHF cases related to
patient household. Entomological survey was
intended to identified the species, breeding
habitat of suspected mosquito vectors.
Method: Interview on positives patients and
an entomology investigation were overtaken
on Juny 2012. Mosquitoes sample were
collected on resting habitat as well as human
landing collection. Larvae were collected from
water container at 25 sampling site consist of
patient household, school, and hospital.
Larvae collection was rearranged in
Entomology Laboratory. Dengue virus were
detected in mosquitoes that had been
collected from research area as well as from
rearranged mosquitoes using RT-PCR method
Lancioti primer. Result: Case report show that
the age majority of DHF cases is 6-12 (48,1%)
and dominan patients were woman (63%).
The study found one dead (3,7%) cases and 26
POSTER PRESENTATION (96,3%) sick cases. The symptomps of DHF
patients were fever (100%), headache
ID: 42
(74,1%), hemorhagic (25,9%), patechiae
58. FIRST DENGUE HEMORHAGIC FEVER (100%), nausea (44,4%) and vomit (51,9%).
OUTBREAK IN KAIMANA DISTRICT, Result of entomology survey indicated that
WEST PAPUA PROVINCE, EPIDEMIOLOGY Aedes agyepti had been known as dengue
AND ENTOMOLOGY INVESTIGATION main vector in most area in Indonesia were
absent, while the second vector Aedes
Tri Nury Kridaningsih, Kridaningsih, Hana albopictus was present abundantly in adult
ABSTRACT BOOK
stage as well as in larvae stage that had been Pharmacopoeia Indonesia and WHO methods.
collected. The mosquitoes were found more The results showed that extract of gambir in
in their resting habitat than in patients this study contains 86.60% of catechin,
houses. The most abundant of the mosquitoes 12.92% moisture content, 22.49% water-
was found at 13.00 in SDN Kaimana one of soluble extract content, 80.63% ethanol-
MTQ event took place. The container that soluble extract content, 0.81% total ash,
contain A.albopictus larvae were unused tire, 0.32% acid insoluble ash content and 10.38%
plastic container and ceramic container. The in dryness level. Ames mutagenicity test
study from 25 sampling location indicated utilized a colorimetric microplate in mutant
that 40% Aedes albopictus breteau with Salmonella typhimurium TA 98, Salmonella
House Indek 26,6% and Container Indek typhimurium TA 100 and Escherichia coli WP2
21,2%.The house index was more than 10% uvrA with and without the addition of S-9
mean that this area has high susceptibility in enzyme. From the experiment, it was showed
DHF outbreak according to Ministry of Health that there is no potentially mutagenic effect
criteria. Key words: Dengue, Aedes albopictus, of gambir extract. Keywords: Uncaria gambir
outbreak Roxb., Ames method, mutagenic, catechin,
HIV
ID: 45
ID: 50
59. UJI MUTAGENIK EKSTRAK GAMBIR
(Uncaria gambir Roxb.) SEBAGAI 60. THE RELATIONSHIP WITH
KANDIDAT ANTIRETROVIRAL UNTUK ENVIRONMENTAL SANITATION ON
HIV DIARRHEA INCIDENCE OF DISEASE
SOCIETY COASTALAREAS VILLAGE
Novi Sulistyaningrum, Lina Rustanti, NAMBO ABELI DISTRICTS KENDARI CITY
Sukmayati Alegantina
Ramadhan Tosepu, Ramadhan Tosepu
Kesehatan (Pusat 1) FKM Universitas Haluoleo
UJI MUTAGENIK EKSTRAK GAMBIR (Uncaria Incidence of diarrhea in Nambo village in 2008
gambir Roxb.) SEBAGAI KANDIDAT as many as 72 patients, in 2009 as many as 97
ANTIRETROVIRAL UNTUK HIV ABSTRACT The patients, and in 2010, 104 patients. The
main compound of Uncaria gambir Roxb. purpose of this study was to investigated the
(gambir), catechin and its derivates have relationship between the provision of clean
been believed to be potential as antiviral. water, latrines, waste water management,
EGCG and ECG are catechin derivates which waste management, and personal hygiene
are found to be potential as antiviral against with diarrheal disease. The research method
HIV. However, gambir extract also contains used was an observational analytic Cross
quercetin that has possibility to be mutagenic. Sectional Study. The samples in this study was
Therefore, a preliminary study towards safety carried out by simple random sampling. The
of those compounds within gambir extract, results showed that the value of statistical
mutagenicity assay using Ames Method has tests at significance level of alpha 0.05
been performed. The extract was obtained there was a significant correlation
characterized according to Herbal between the management of waste water
(Value = 0.000), processing waste (Value = test, and filling the questionnaires about
0.004), personal hygiene (Value = 0.012), respiratory symptoms, health status, and
with diarrhea and no there was a significant exposure of pollutans to COPD risk factors.
correlation between water supply (Value = There was two steps of WHO steps criteria in
0.160) and family latrines (Value = 0.385) Non Communicable Major disease research
with diarrheal disease. Results analysis standard. Based on spirometrys test had
showed variable mulitvariat waste water prevalence of COPD 8.5 %, most of them men
management was a major factor with a value with ages groups in 50 60 years old
of Exp (B) = 2.651 95% CI = lower limit upper with lower education and Sundaness ethnic
limit = 1.223 = 5.743. Keywords: Diarrhea, groups. According to risk factors most
environmental sanitation, coastal zone respondent had smoking habits, majority
pollutan in door was stoves smoke, out
door pollutan was vehicles smoke and
ID: 51 work area pollutan was dust and chemical
componds.
61. BASELINE DATA OF STUDY COHORT OF
RISK FACTORS NCD OF CHRONIC
OBSTRUCTIVE PULMONARY DISEASE
(COPD)IN CENTRAL BOGOR CITY, WEST ID: 53
JAVA, INDONESIA
62. PROMOSI KESEHATAN UNTUK
KESEJAHTERAAN: EFEKTIVITAS
Ratih Oemiati Lisa Andriyani, Lisa INTERVENSI PENYULUHAN DAN BACAAN
Andriyani PADA IBU MENYUSUI
Pusat Teknologi Intervensi Kesehatan Inge Wattimena, Elisabet Widyaning

Masyarakat (Pusat 3) Hapsari, M.Psi, Psi
Chronic obstructive pulmonary disease

Fakultas Keperawatan Universitas Katolik
(COPD) is a growing cause of morbidity and
Widya Mandala Surabaya
mortality worldwide, and accurate estimates
of the prevalence of this disease are needed ABSTRAK Backgrounds: Air Susu Ibu (ASI)
to anticipate the future burden of COPD, adalah asupan alami dan Ilahi yang dahsyat.
target key risk factors, and plan for providing Dalam ASI terdapat zat pertumbuhan yang
COPD-related health services. According to setiap hari berubah kandungan gizinya sesuai
World Health Organization (WHO) estimates, dengan kebutuhan anak. ASI mengandung zat
about 80 million people have moderate to kekebalan ibu yang mengalir masuk ke dalam
severe COPD and 3 million died of COPD in tubuh anak. Selain itu melalui proses
2005, which corresponds to 5% of all deaths menyusui terbentuk ikatan batin ibu-anak
globally. Total deaths due to COPD are yang semakin kuat. Kenyataan ini
projected to increase by more than 30% in the menunjukkan bahwa ASI tidak tergantikan.
next 10 years. This was an secondary data Sementara itu target World Health
analysis of observasional study with cohort Organization maupun Pemerintah Indonesia
prospective study to individual who had agar 80% ibu menyusui minimal 6 bulan
common risk factors in non communicable belum tercapai. Angka keberhasilan adalah
major disease. The respondents had sekitar 30%. Objectives: Untuk mengantisipasi
completed post bronchodilator spirometry ketidakberhasilan ini, perlu dilakukan usaha
ABSTRACT BOOK
Promosi Kesehatan antara lain melalui mengusulkan agar pengertian tentang ASI
penyuluhan dan bacaan (adalah buku ciptaan juga disosialisasikan kepada keluarga serta
peneliti). Studi ini meneliti efektivitas mereka yang berkecimpung dalam proses
intervensi ini. Methods: Ada dua kelompok kesehatan anak di awal kehidupannya.
penelitian: I) kelompok ibu hamil yang diberi Conclusion: Intervensi penyuluhan dan
intervensi suluh atau intervensi suluh+bacaan bacaan sebagai sarana Promosi Kesehatan
(ada 76 kelompok 3-5 ibu, intervensi dapat diimplementasikan dalam masyarakat.
dilakukan dalam tahun 2010-2011). Kelompok Diharapkan dengan semakin gencarnya usaha
ini ditelusuri kembali berdasarkan data ini, semakin dimengerti dinamika ASI, dan
tercatat bahwa anak mereka yang sudah lahir, semakin sehat sejahtera keluarga, bangsa,
sekarang berumur lebih dari 6 bulan. Ada 100 dan negara.
ibu yang terpilih, dan kepada mereka dikirim
(per surat) kuesioner yang terdiri dari 18
pernyataan dengan pilihan jawaban dan 3 ID: 56
pertanyaan terbuka. Kuesioner yang
63. THE EFFECT OF STEAMED BROCCOLI
dikembalikan sebanyak 45. Jawaban dianalisis
(BRASSICA OLERASEA L VAR. ITALICA)
secara kuantitatif (one shot case study) dan
COMPARED WITH CAULIFLOWER
kualitatif; II) kelompok eksperimen, terdiri (BRASSICA OLERASEA L VAR.BOTRYTIS)
dari 30 ibu hamil dan 30 ibu pasca melahirkan TO CLINICAL SIGN AND
kurang dari 1 bulan. Tiap kelompok dibagi 3 HISTOPHATOLOGY OF COLON IN MICED
sub-kelompok (a 10 orang). Masing-masing INDUCED BY DSS
sub-kelompok mendapat satu bentuk
intervensi, yaitu intervensi suluh, atau Lusiana Darsono
intervensi bacaan, atau intervensi
suluh+bacaan. Kuesioner diisi sebelum dan Maranatha Christian University
sesudah intervensi (pre-post test design).
Backgrounds: Chronic inflammation is an
Results: a) penelitian kuantitatif I: 84% ibu
important risk factor for cancers. There have
menyusui anak lebih dari 6 bulan; yang paling
been reported that chronic inflammation
efektif berperan adalah intervensi
could develop carcinogenesis and Ulcerative
suluh+bacaan; b) penelitian kuantitatif II: ke
colitis (UC) is a predisposition for colorectal
tiga bentuk intervensi berperan positif pada
cancer. Cruciferous vegetables such as
peningkatan wawasan. Yang terkuat perannya
broccoli and cauliflower are vegetables that
adalah intervensi suluh+bacaan pada ibu
could reduce risk of UC by its fitochemical
pasca melahirkan; c) penelitian kualitatif: para
component, sulforaphane that effective as
ibu merasa mendapat keuntungan dari
anti-inflammation. Objectives: of this study is
intervensi, semakin cerdas, dan termotivasi.
to examine the effect of broccoli- and
Perilaku positif ibu untuk bertanggung jawab
cauliflowers-steamed in reducing clinical score
memberi ASI sebagai hak anak berakibat pada
of colitis and histological feature of colon in
kesejahteraan keluarga. Di pihak lain mereka
dextran sulfate sodium (DSS)-induced colitis
mengutarakan bahwa belum sepenuhnya tim
mice. The method of this study was
medis berpartisipasi dalam menggalakkan
completely randomized design by comparing
program menyusui. Keadaan ini dapat
1,5 g of broccoli- or cauliflower-steamed
berakibat pada kebingungan, ketidak-tahuan,
treated mice to 2, and 5 % (w/v) DSS-treated
serta kegagalan ibu mencapai target untuk
control group. Clinical score of diarrhea and
menyusui setidaknya selama 6 bulan. Para ibu
colon histological analysis of each group were Pendahuluan : Dalam sistem pelayanan
observed. All data were analyze using Kruskal- kesehatan maka pelayanan yang dilakukan
Wallis H test and continue by Mann-Whitney adalah dengan sistem rujukan berjenjang.
U test with = 0.05. The results showed that Mulai dari puskesmas dan selanjutnya baru ke
broccoli and cauliflower significantly reduce rumah sakit. Namun manakala puskesmas
diarrhea in DSS-induced colitis mice compared yang ada kurang kuat dan kurang bermutu
to control group (p<0, 05). No differences maka sistem rujukan tidak akan banyak
could be observed between broccoli and berfungsi dan pemanfaataan puskesmas
cauliflowers in reducing diarrhea (p=456). rendah. Sebaliknya RS menjadi sebuah
Histopathological feature of proximal, medial, puskesmas raksasa. Tujuan : Untuk
and distal colon significantly different among melihat angka pemanfataan puskesmas
DSS group to negative control (p<0, 05). sebelum dan sesudah pelaksanaan jaminan
Treated groups broccoli and cauliflower- kesehatan daerah di kota Tarakan. Metode :
steamed significantly different compared to Penelitian ini memakai metode studi kasus,
negative control on proximal and medial subyek penelitian adalah dokumen resmi
colon. Broccoli or cauliflower significantly dinas kesehatan Hasil Penelitian : Terdapat
improved medial and distal colon peningkatan angka pemanfaatan fasilitas
histopatological features compared to DSS- kesehatan khususnya puskesmas setelah
treated mice (p<0, 05). No differences could adanya pelaksanaan jaminan kesehatan
be observed between broccoli and daerah. Penguatan puskesmas dalam hal
cauliflowers in improving colon input (jenis dan jumlah tenaga serta
histopathological features. As conclusion, pembiayaan), program (layanan 24
both broccoli and cauliflower steamed could jam/layanan gawat darurat) dan manajemen
reduce diarrhea and improve histological mutu mempunyai pengaruh yang cukup besar
feature of colon in DSS-induced colitis mice, dalam meningkatkan angka pemanfaatan
especially medial and distal colon. Broccoli puskesmas dan rumah sakit. Pelaksanaan
and cauliflower steamed have no different jaminan kesehatan daerah meningkatkan
effect to reduce diarrhea and improve pemanfaatan fasilitas kesehatan karena barier
histopathological feature of colon. Keywords: pembiayaan tidak ada lagi. Penguatan
broccoli, cauliflower, ulcerative colitis, puskesmas dalam semua segi akan menjadi
sulforaphane, fitochemical, mice kendali yang cukup kuat terhadap jumlah
rujukan ke rumah sakit. Kesimpulan :
Pemanfaatan fasilitas kesehatan dalam
ID: 58 pelaksanaan jamkes mengalami peningkatan
yang sangat berarti. Penguatan puskesmas
64. PEMANFAATAN FASILITAS KESEHATAN
akan berpengaruh pada keberhasilan
DALAM PELAKSANAAN JAMINAN
pelaksanaan jaminan kesehatan. Saran :
KESEHATAN DAERAH DI KOTA
TARAKAN, KALIMANTAN TIMUR Dalam pelaksanaan jamkesta 2014, penguatan
puskesmas dalam hal input, program dan
Tri Astuti Sugiyatmi manajemen adalah penting. Kata Kunci :
Penguatan Mutu puskesmas, angka
Pusat kebijakan Pembiayaan dan pemanfaatan puskesmas, puskesmas, jaminan
Manajemen Asurasansi Kesehatan FK kesehatan.
UGM dan Dinas Kesehatan Kota Tarakan
ABSTRACT BOOK
penanganan intensif pada bayi lahir BBLR.

ID: 60 Kata kunci: Berat lahir, Kelangsungan Hidup
Neonatal, regresi cox BIRTH WEIGHT AND
65. BERAT LAHIR DAN KELANGSUNGAN
NEONATAL SURVIVAL IN INDONESIA (IDHS
HIDUP NEONATAL DI INDONESIA
DATA ANALYSIS 2007) ABSTRACK Neonatal
ANALISIS DATA SDKI 2007)
mortality rate of Indonesia was ranked the
Demsa Simbolon 10th highest in the world as predicted from
still high prevalence of low birth weight
Politeknik Kesehatan Bengkulu infants (LBW). This research used of data
Indonesia Demographic and Health Survey
Angka kematian neonatal Indonesia 2007 with retrospective cohort design. The
menduduki peringkat ke-10 tertinggi di dunia purposes of the research is to know
yang diperkirakan karena masih tingginya probability of neonatal survival according to
kejadian bayi berat badan lahir rendah (BBLR). birth weight and to identify effect of birth
Penelitian menggunakan data SDKI 2007 weight on neonatal survival. The number of
dengan desain kohort retrospektif bertujuan sample is 11.748 infant with inclusion criteria
untuk mengetahui probabilitas kelangsungan is last infant and the interview at least 28 days
hidup neonatal menurut berat lahir dan old, alivebirth in the year 2002-2007, single
mengidentifikasi pengaruh berat lahir birth, complete date of birth and status and
terhadap kelangsungan hidup neonatal. time of death. The study found the cumulative
Sampel sebanyak 11.748 bayi dengan kriteria probability of neonatal survival in Indonesia
inklusi yaitu bayi anak terakhir dan saat was 98.49%. The lower birth weight,
wawancara bayi berumur minimal 28 hari, probability of neonatal survival also lower,
lahir hidup, lahir tunggal, data kelahiran dan 95.68% at neonatal low birth weight (2000-
status serta waktu kematian lengkap. Hasil 2499 gr) and 89.83% at neonatal very low
penelitian menemukan bahwa probabilitas weight (1500-1999 gr). The Cox regression
kumulatif kelangsungan hidup neonatal di analysis showed that birth weight
Indonesia adalah 98,49%. Semakin rendah modification effect with maternal parity, so
berat lahir semakin rendah probabilitas that the influence of birth weight on neonatal
kelangsungan hidup neonatal. 95,68% pada survival dependent on the the maternal parity
neonatal dengan berat lahir rendah (2000- after controlling birth spacing and area of
2499 gram) dan 89,83% pada neonatal berat residence. LBW infants of multiparous
lahir sangat rendah (1500-1999 gram). Hasil maternal parity risk 2.9 times (95% CI = 1.5 to
analisis regresi cox menunjukkan berat lahir 5.6 HR) and grandemultiparous risk 3.9 times
berinteraksi dengan paritas ibu, sehingga (95% CI HR = 1.9 to 7.6) experienced a death
pengaruh berat lahir terhadap kelangsungan in the neonatal period compared with normal
hidup neonatal tergantung pada paritas ibu birth weight. Necessary early interventions to
setelah dikontrol pengaruh paritas dan daerah prevent low birth weight and intensive care to
tempat tinggal. Bayi BBLR dari ibu paritas infants with LBW. Keywords: Birth weight,
multipara berisiko 2,9 kali (95% CI HR = 1,5- Neonatal Survival, cox regression
5,6) dan grandemultipara berisiko 3,9 kali
(95% CI HR = 1,9 7,6) mengalami kematian
pada periode neonatal dibandingkan dengan ID: 63
bayi lahir berat normal. Perlu upaya intervensi
untuk mencegah bayi lahir BBLR sejak dini dan
66. ANALISIS KETAHANAN HIDUP SATU
TAHUN PASIEN STROKE DI RUMAH
SAKIT UMUM BANYUMAS TAHUN 2010 ID: 69
Supriyadi 67. RELATED FACTORS TO INCIDENT OF

PULMONARY TUBERCULOSISOF CHILD
Universitas Muhammadiyah Purwokerto AGE 0-12 YEARS OLD BY LESS NUTRIENT
STATUS IN PUSKESMAS JEMBATAN
Latar belakang :Penyakit stroke merupakan SERONG AREA, PANCORAN MASSUB-
salah satu penyebab kematian ketiga setelah DISTRICT, DEPOK CITY, 2009
penyakit jantung koroner dan kanker. Stroke

Dipo Wicaksono
merupakan sindrom klinis yang terjadi akibat
gangguan pembuluh dalam otak, timbul
Faculty of Public Health, University of
mendadak dan biasanya menyerang penderita
Indonesia
usia 45-80 tahun. Tujuan : Menganalisis
Ketahanan Hidup Satu Tahun Pasien Stroke It had been taken a research about nutrient
yang dipengaruhi oleh Umur, Tipe/Jenis status and the other factor for incident of
Stroke, Lama hari rawat, Diabetes Melitus, pulmonary tuberculosis to child age 0-12
Hipertensi, Hiperkolesterol, Penyakit Jantung, years old in Puskesmas Jembatan Serong.
Merokok, Jenis Kelamin dan Riwayat Stroke. Purpose of this research is to find out related
Metode : Desain penelitian ini menggunakan factors to incident of pulmonary tuberculosis
desain kohort restrospektif. Hasil : based on working area of Puskesmas. This is
Probabilitas ketahanan hidup pasien stroke control case study using primary and
pada jangka waktu 52 minggu (satu tahun) secondary data analyzed by Chi Square test.
sebesar 61% dengan median ketahanan hidup Working area of Puskesmas Jembatan Serong
52 minggu. Kesimpulan : Ketahanan Hidup is the most area by incident of pulmonary
Satu Tahun Pasien Stroke yang dipengaruhi tuberculosis for year 2008 by which 144 cases.
oleh riwayat stroke, penyakit jantung dan In consequence of many child age 0-12 years
kolesterol. Pasien stroke yang memiliki old suffered pulmonary tuberculosis and less
riwayat stroke berulang memiliki resiko untuk nutrient status. Cases of pulmonary
meninggal adalah 2,0 kali dibandingkan yang tuberculosis for these child were less
memiliki riwayat stroke pertama pada riwayat attention by parents because it was difficult
penyakit jantung dan kadar kolesterol yang to diagnose. In accordance of it, then the
sama, pasien stroke yang menderita penyakit research title is Less status and other
jantung memiliki resiko untuk meninggal factors related to incident of pulmonary
adalah 2,8 kali dibandingkan dengan yang tuberculosis to child age 0-12 years old in
tidak menderita penyakit jantung pada Puskesmas Jembatan Serong Area, Year
riwayat stroke dan kadar kolesterol yang 2009. There were 11 variables and 3 for
sama, pasien stroke yang memiliki riwayat meaning variables, air ventilation, residential
kolesterol memiliki resiko untuk meninggal crowded, and parents knowledge of
adalah 1,8 kali dibandingkan dengan yang pulmonary tuberculosis. Based on this
tidak memiliki riwayat kolesterol pada riwayat research, it was expected that health service
stroke dan penyakit jantung yang sama. Kata institution especially Puskesmas Jembatan
kunci : Ketahanan hidup, pasien stroke, Serong to develop knowledge for less
stroke, Daftar Pustaka : 40 (1995-2012) nutrient, pulmonary tuberculosis and give an
ABSTRACT BOOK
counseling about home health physic Anopheles sundaicus bites, the most common
environment, and monitor evaluation of mosquitoes biting occurred 0-1 AM and 4-5
pulmonary tuberculosis, because, it is believe AM. On the other hand the scarce time biting
that many pulmonary tuberculosis sufferers to was 6-8 PM. Conclusion : breeding places of
child age 0-12 years old had not checked their Anopheles that the highest Anopheles larvaes
condition in Puskesmas Jembatan Serong. per dip concentration was among fishpond.
ID: 71 ID: 74
68. BIO-ECOLOGY MALARIA VECTOR IN 69. IN VITRO AND IN OVO INHIBITION OF

GALANG BATAM CITY, KEPULAUAN RIAU TYPE-A AVIAN INFLUENZA VIRUS BY
PROVINCE XANTHONE DERIVATES FROM GARCINIA
MANGOSTANA LINN FRUIT RIND
Muhammad Hasyimi, Supratman
Sukowati Amar Muslim, Sarah Fitriani, Sherryn
Sunny Albanny, Fajar Islam Sitanggang
Pusat Teknologi Intervensi Kesehatan
Masyarakat (Pusat 3) Bogor Agricultural University
BIO-ECOLOGY MALARIA VECTOR IN GALANG IN VITRO AND IN OVO INHIBITION OF TYPE-A

BATAM CITY, KEPULAUAN RIAU PROVINCE AVIAN INFLUENZA VIRUS BY XANTHONE
Abstract Background : Galang as one of the 12 DERIVATES FROM GARCINIA MANGOSTANA
sub districts in the Batam city, still has the LINN FRUIT RIND Mangosteen fruit (Garcinia
problem of malaria, it has a unique mangostana Linn) is very popular in Indonesia.
topography because it consists of several Experimental studies have demonstrated that
islands, coastal areas and population extracts of GML have antiviral activities. The
distribution concentrated on certain islands. pericarp of GML is a source of xanthones. The
Other, Galang has annual parasite index (API) two most beneficial xanthones have been
43.3 in 2006. The number of malaria cases named -mangostin and -mangostin. The -
in Galang showed an increase from 788 in mangostin and -mangostin in pericarp
2006 to 2447 in 2007. For supporting malaria extract of GML previously used as HIV-1
control programs in the Galang district, then protease inhibitor and now becoming an
conducted a study with the aim to understand emerging investigational antiviral drug due to
the bio-ecology malaria vector. Objective : to its protease inhibitor has the same type with
understand the bio-ecology malaria vector at avian influenza virus. To explore this
Galang district. Methods :The study was possibility, n-hexane, ethyl acetate, and
conducted in 2008, by identification of vector methanol extracts from some GML were
breeding habitat, vector incrimination and investigated for their -mangostin, dan -
collections of the adult Anopheles by catching mangostin inhibitory activities using high
the bait human body methods. Results :The performance liquid chromatography (HPLC).
results showed that in the district of Galang For in ovo study, eggs from Lohmann type
were found breeding places of Anopheles that between 9 and 11 days of age were used and
the highest Anopheles larvaes per dip injected with different levels of - and -
concentration was among fishpond and mangostin extract at 30 days of incubation.
followed by drainages. In term of time of There were five treatments and ten replicates
allocated to each treatment. The extracts and method. Results: This research found out that
compounds were also evaluated using a range 60% of pregnant women have anemia, and
of concentrations in the in vitro Vero cell. The 76.2% among them have low iron intake.
aim of this review is to summarize findings of Conclusions: There was association between
beneficial properties on - and -mangostin iron intake and incidence of anemia. Pregnant
of GML extracts as avian influenza protease women who have inadequate intake of iron,
inhibitors. Although this evidence is still far 18 times risk to get anemia than pregnant
from being definitive, the results so far women who have adequate iron intake after
obtained suggest that protease inhibitor adjusted by protein intake and iron
should be seriously taken into consideration supplementation. Iron intake is important in
for further testing as potential therapeutic incidence of anemia, therefore pregnant
agents for avian influenza. Further studies women should have adequate iron diets to
need to be done in order to investigate the provide optimal health for maternal and
effects of GML extracts as avian influenza infant.
antiviral in human. Keywords : Garcinia
mangostana Linn, type-A influenza, extracts,
protease inhibitor, - and -mangostin ID: 76
71. PENGEMBANGAN JARINGAN PUSKESMAS

DAN GAMBARAN KETENAGAAN
ID: 75
PUSKESMAS KOTA BEKASI
70. ASSOCIATION BETWEEN IRON INTAKE
AND ANEMIA IN THIRD TRIMESTERS Dra. Raharni, Apt, MKes , Rini Sasanti H
PREGNANCY AT BUNGUS HEALTH
CENTER,PADANG IN 2012. Pusat Teknologi Intervensi Kesehatan
Mery Ramadani, Suryati, Bertha Helena
Backgrounds Community health center is a
Faculty of Public Health Andalas technical implementation unit in District/City
University health office (UPTD) which is responsible for
the health development in an area of work
Background: Anemia is one of the most that is generally located in district level
frequent complications related to pregnancy. administrative areas. Health care services that
Severe anemia may have adverse effects on are managed by the community health center
the mother and the fetus. There is also is a primary health care, i.e. for the individual
evidence that less severe anemia is associated health and public health effort, and it require
with poor pregnancy outcome. Bungus was an adequate health care resources needs in
the second highest for incidence of anemia in both quantity and quality. On the other hand,
Padang city. Objectives: The objective of this community health center networking
research was to know the association development is needed to support primary
between Iron intake and anemia at working health care services to be closer to the
areas of Bungus Health Centre, Padang in community. Objectives The objective of this
2012. Methods: Cross sectional design was study is to provide the community health
used in this research. The respondents were center networking development and an
pregnant women in third trimesters. overview of community health center human
Assessment of iron intake using food recall resources in Bekasi city, so that health care
ABSTRACT BOOK
services could be run is accordance to the COMMUNITY HEALTH CENTER HUMAN

goals. Methods The research design was RESOURCES IN BEKASI CITY Abstrak
cross-sectional and the study used a desk Puskesmas merupakan Unit Pelaksana Teknis
study to examine the various references of Dinas Kesehatan Kabupaten/Kota (UPTD) yang
the documents required in the community bertanggungjawab menyelenggarakan
health centers and sub of community health pembangunan kesehatan di suatu wilayah
centers (Pustu) in Bekasi city. Conclusions The kerja yang pada umumnya berada ditingkat
results shown the availability of human wilayah administrasi kecamatan. Pelayanan
resources in community health centers in kesehatan yang diselenggarakan puskesmas
Bekasi city was still not sufficient and did not adalah pelayanan kesehatan dasar yaitu
yet meet the needs especially of nurses, upaya kesehatan perorangan dan upaya
midwives and labor analyst, assistant kesehatan masyarakat, memerlukan tenaga
pharmacist. The resources allocation has not kesehatan yang memadai baik dari segi
been based of the right health education kuantitas maupun kualitas. Disamping itu
accordingly. Distribution of medical personnel diperlukan pengembangan jaringan
especially specialists in community health puskesmas untuk lebih mendekatkan
centers in Bekasi city was uneven and the pelayanan kesehatan dasar kepada
general doctor look not proportionate, masyarakat. Tujuan penelitian ini adalah
because there are some community health untuk memberikan gambaran ketenagaan dan
centers have only one general practitioner. pengembangan jaringan puskesmas dan pustu
Not all of community health centers in Bekasi kota Bekasi, sehingga pelayanan kesehatan
city have human resources who specializes in dapat berjalan sesuai tujuan yang akan
supporting pharmaceutical drugs and dicapai. Metode penelitian adalah potong
pharmacies.Thus, effort were gradually lintang dan desk study dengan mengkaji
provide resources in accordance with the field berbagai referensi mengenai dokumen-
work and the provision of training, so that the dokumen yang diperlukan di puskesmas dan
health service can be run better. Based on the pustu di kota Bekasi. Hasil Penelitian
location of community health centers, it was menunjukkan jumlah ketersediaan tenaga
various, i.e. in the residential, the community kesehatan di puskesmas kota Bekasi saat ini
health center is occupy the unclear ownership masih belum mencukupi dan belum sesuai
land tittle, i.e. the public/ social facility, in the kebutuhan terutama tenaga perawat, bidan
office area is government owned land and dan tenaga analis, asisten apoteker.
some occupy the waqf land. Community Penempatan tenaga belum dilatarbelakangi
health center networking development is pendidikan tenaga kesehatan yang sesuai.
performed through the development and Persebaran tenaga medis terutama tenaga
establishment of sub community health spesialis puskesmas di kota Bekasi saat ini
center (Pustu) for residential areas that tidak merata dan sebaran dokter umum
located far from the reach of community terlihat belum proporsional karena ada
health centers and the provision of mobile beberapa puskesmas yang hanya memiliki
community health centers for health services satu dokter umum. Tenaga penunjang
to be closer to the community. Key word: kefarmasian yang khusus menangani obat dan
Community Health Center, Networking apotik tidak dimiliki oleh semua puskesmas di
Development, Human resources, kota bekasi. Dengan demikian diperlukan
COMMUNITY HEALTH CENTER NETWORKING upaya secara bertahap pemenuhan tenaga
DEVELOPMENT AND PREVIEW OF yang belum sesuai dengan bidang
pekerjaannya dan penyelenggaraan pelatihan, observational study with the design of case-
sehingga pelaksanaan pelayanan kesehatan control study in November 2010 until April
dapat berjalan dengan baik. Berdasarkan 2011. Data in this research were hospital
lokasi puskesmas cukup beragam yaitu di area based data and conducted in the BLU RSUP
perumahan menempati tanah fasos/fasum Prof. dr. R. D. Kandou Manado because this
yang menghadapi ketidakjelasan status tanah, hospital was referral hospital CHD patients in
di area perkantoran merupakan lahan milik North Sulawesi. The population of this
pemerintah dan beberapa menempati tanah research is all outpatients in cardiology and
wakaf. Pengembangan jaringan pelayanan general interna clinic BLU RSUP Prof. dr. R.D
kesehatan dilakukan melalui pengembangan Kandou Manado. Sample size was calculated
dan pendirian puskesmas pembantu (pustu) using the formula in order to obtain the total
untuk daerah-daerah dekat pemukiman yang study sample to 110 patients for case group
lokasinya jauh dari jangkauan puskesmas and 110 patients for control group, so the
serta penyediaan puskesmas keliling untuk total sample taken of 220 patients. Sampling
lebih mendekatkan pelayanan kesehatan pada using simple random sampling method. The
masyarakat. Key word : Pengembangan independent variables is hypertension and the
Jaringan, Puskesmas, Ketenagaan dependent variable is incidence of coronary
heart disease. Data was obtained and
analyzed using univariate after that bivariate
ID: 77 with chi-square test. Based on the results of
data analysis founded that age, family history,
72. RISK FACTORS OF CORONARY HEART hypertension, smoking and type of behavior
DISEASE IN NORTH SULAWESI PROVINCE
were risk factors for CHD. There is need a
INDONESIA
promotion for adult community about
Jeini Ester Nelwan, Oksfriani J. improving the quality of life through healthy
Sumampouw behavior and avoid risk factors heart disease
from health personnel, escpecially for
Faculty of Public Health Sam Ratulangi coronary heart disease.
University Manado
Based on the Basic Health Research ID: 82

(Riskesdas) 2007, the national prevalence of
heart disease is 7.2% (based on the diagnosis 73. ASSOCIATED NUTRITION CONSUMPTION,
LEVEL OF KNOWLEDGE, ATTITUDE WITH
of health worker and symptoms). The lowest
PEPTIC ULCER DESEASE EVENT ON
prevalence of heart disease is around 2.6% in TENAGERS IN SMAN 2 PADANG CITY
Lampung Province and the highest in the NAD 2011
is 12.6%, while in North Sulawesi is 8.2%.
Coronary heart disease (CHD) is a dr. Fauziah Elytha, M. Sc, Azrimaidaliza,
multifactorial disease, because many risk SKM, MKM, Vivi Triana, SKM, M. PH.
factors such as hypertension, obesity, physical
activity/sports, smoking, type of behavior, Public Health Faculty
stress, diabetes mellitus, cholesterol, and
alcohol consumption. The purpose of this Adolescents are particularly vulnerable
study is to analyze the risk factors of CHD in nutrition. Health problems, one of which ulcer
North Sulawesi Province. This study is an disease. Prevalence of gastritis as much as
ABSTRACT BOOK
0.99%, the incidence of gastritis 115/100.000

population. Desert Health Center's annual Fakultas Kedokteran Universitas Swadaya
report the number of visits of cases in Gunung Jati
January-December 2010 totaled 1818 cases of
traffic (new + old), while cases of gastritis in Backgrounds : In Semarang, Pedurungan sub
adolescents (15-19 years) amounted to 259 district had the highest undernourished
cases. This study aimed to determine the prevalence of underfive children. 8.24% and
relationship of diet and knowledge of the 11.11% of the underfive children were
incidence of ulcer disease in adolescents in classified as very thin and thin respectively.
the city of Padang in 2011. This type of Objectives : This research aimed to investigate
research is descriptive analytic cross sectional the factors influencing nutritional status of
study research design. The entire population under five children in Puskesmas Tlogosari
of juvenile cases is a status of high school Wetan, Pedurungan sub district. Methods :
students in the city of Padang. The samples The population of this cross sectional study
was 776 children aged 2-5 years. Seventy
taken were high school students Teenagers N
three children were chosen as the subjects by
2 Padang city meet inclusion and exclusion
criteria. Data were analyzed with Chi-square multi stage sampling method. Anthropometric
test. The results found a significant data in weight height z scores were collected
relationship between the diet and the by weighing and measuring height. In
incidence of ulcer disease (p <0.05), no addition, interviews by structured
significant relationship between the level of questionnaires were also conducted to their
knowledge of the incidence of ulcer disease mothers. Determinant variables analyzed
(p> 0.05) and no significant relationship were: mothers
between the attitude of the incidence of ulcer education level, and nutritional knowledge,
disease (p > 0.05). irregular eating patterns family income percapita, the energy and
such as poor eating habits can lead to ulcer protein adequacy level, diarrhea and upper
disease. Respondents who have a high level of respiratory tract infections (URTI) incidences."
knowledge and low will have no effect on the
incidence of ulcer disease in adolescents.
Researchers suggest that adolescents are ID: 92
given the attention of all parties, especially 75. VALUE DENTAL CARIES (DMF-T) TO THE
the families and health care to remind the WEST IN THE DISTRICT IN 2010
dangers of ulcer disease, as well as how need KETAPANG KALIMANTAN
a regular diet.
Indirawati Tjahja, Magdarina D.A.,
Sintawati, Made Ayu Lely S, Lely
ID: 90 Andayasari
74. DETERMINANTS OF NUTRITIONAL P2

STATUS AMONG CHILDREN AGED 2-5
YEARS IN PUSKESMAS TLOGOSARI Value Dental Caries (DMF-T) TO THE WEST IN
WETAN PEDURUNGAN SUB DISTRIC
THE DISTRICT IN 2010 KETAPANG
SEMARANG 2007
KALIMANTAN Abstract Background : Dental
caries are usually caused by poor oral hygiene,
Ignatius Wirandoko, Hertanto Wahyu
resulting in the accumulation of plaque that
Subagio, Laksmi Widajanti
contains a variety of bacteria. Method : This remaja sebagai variabel dependen.
study uses diagnostic test research design. Pencegahan penularan HIV-AIDS yang bersifat
The study was conducted at the health center nominal sebagai variabel dependen, maka uji
Kedondong ,Ketapang district of West analisis melalui 2 tahap analisis. Analisis tahap
Kalimantan. Subjects numbered 150 person, pertama yaltu analisis univariat, dan bivariat.
consisting of men and women aged 12 years, Analisis tahap ke dua dilanjutkan dengan
eged 15 years, eged 18 years, eged 35-44 analisis regressi binomial.
years, and up to 65 years, each subject will be
examined by 10 dentists and 10 non-dentists.
Non dentists include nursing academy, ID: 111
academy of nutrition, pharmaceutical
academy, academy of enviromental health 77. ASSOCIATED FACTORS WITH THE
BEHAVIOUR OF MIDWIVES IN
and public health scholers. The research
IMPLEMENTATION OF EARLY
objective was to compare the results of the INITIATION IN SECANGGANG SUB
DMF-T (Decay Missing Filling Treatment) DISTRICT OF LANGKAT DISTRICT YEAR
between a dentist and non dentist. 2012
Ernita Ruslaini Caniago, dr. Nugroho Iman

ID: 101 Santoso, SKM, Prof. Dr. Herman Sudiman,
SKM, APU
76. HUBUNGAN KARAKTERISTIK REMAJA
TERKAIT RISIKO PENULARAN HIV-AIDS
Respati University Of Indonesia
DAN PERILAKU SEKS TIDAK AMAN DI
INDONESIA
ASSOCIATED FACTORS WITH THE BEHAVIOUR
OF MIDWIVES IN IMPLEMENTATION OF EARLY
Niniek Lely Pratiwi, Hari Basuki
INITIATION IN SECANGGANG SUB DISTRICT OF
LANGKAT DISTRICT YEAR 2012. IX + 100 pages
Pusat Humaniora, Kebijakan Kesehatan
+ 24 table + 8 appendixes ABSTRACT Infant
dan Pemberdayaan Masyarakat (Pusat 4)
mortality rate is one important indicator in
ABSTRAK Salah satu fase yang mempunyai determining the level of public health. Lot of
kerentanan yang tinggi terhadap penularan action are relatively inexpensive and easily
HIV-AIDS adalah masa remaja, suatu masa applied to improve the health and survival of
yang mempunyai mobilitas sosial yang paling newborns. One of them is immediately
tinggi dibandingkan masa usia lainnya. Pada breast-feeding after birth or called early
tahun terakhir ini terdapat kecenderungan initiation of breastfeeding. Based on Riskesdas
peningkatan kasus penyakit HIV-AIDS report (2010) most of the process of started
khususnya pada kelompok remaja yang lactation performed in the range of time 1-6
merupakan usia reproduktif. Penelitian ini hours after birth but there are cases started
bertujuan untuk menganalisis hubungan feeding after 48 hours. The purpose of the
karakteristik remaja dalam risiko kerentanan research is to get descriptions of behavior in
dalam penularan HIV-AIDS dengan Perilaku implementation of early initiation of
seksual tidak aman pada remaja usia 15-24 breastfeeding in Secanggang sub district. The
tahun. Metode analisis berdasarkan jenis data design of the research is quantitative survey
Karakteristik remaja sebagai variabel research using cross sectional approach. The
independen dan perilaku seks tidak aman population in this study were all midwives
ABSTRACT BOOK
working at Secanggang areas of Langkat bleeding during delivery and anemia is an

District during the month of April 2012. Total important trigger of maternal mortality. An
midwives (population) in Secanggang sub estimated 20% mortality was closely
district was cased in this research. Primary associated with low levels of hemoglobin
data collected using questionnaires and (anemia) during pregnancy. The purpose of
secondary data obtained from health centers this study was to determine the contribution
and district Secanggang. Analyzed in of anemia on the incidence of LBW in the
univariate, bivariate with Chi square test and District of North Indralaya Ogan Ilir. The study
multivariate logistic regression using a test design used was cross-sectional. The study
with 95% CI. It was found midwives population was all pregnant women residing
implemented the IMD 41.4%. Bivariate test in the District of North Indralaya Ogan Ilir.
got significant variables in this study is Study sample was pregnant with the second
educational with P value = 0.028, length of trimester of gestation in. (16 weeks-24
employment with Pvalue = 0.033, knowledge weeks), who are willing and chosen as the
with P value = 0.000 attitude with Pvalue = sample. Trimester II is selected based upon
0.013, the training with P value = 0.000 and consideration of the needs of most high red
Policy with Pvalue = 0.018. The dominant blood cells in pregnant women. The sample
factor affecting the implementation of early number is 70 people. Data analysis included
initiation is training for midwifes with OR univariate, bivariate analysis and multivariate
values of 7.875. The suggestion o the District analysis using Multiple Regression. In this
Health Langkat give training for midwives study the known prevalence of Low Birth
about early initiation of breastfeeding and Weight (LBW) is equal to 16.31% and anemia
provide rewards to midwives who perform for pregnant women as much as 48%.
early initiation breastfeeding according to mothers with anemia risk 2.5 times greater
Government policy and the rules of the IBI for LBW babies compared to women who are
Organization. Bibliography : 44 (1978 not anemic. (OR = 2.53, 95% CI 0:44 to 14:57)
2011). Keywords : Behaviour of Midwives, after the work is controlled by a variable,
Early Initiation of Breastfeeding. parity, and frequency of the ANC.
Recommended to the Health Department /
Community Health Center to conduct health
ID: 113 education for pregnant women so that people
know about the importance of prenatal care
78. CONTRIBUTIONS OF MATERNAL ANEMIA
to prevent the occurrence of LBW and the
TOWARDS LOW BIRTH WEIGHT (LBW)
community to check the pregnancy with the
frequency specified by the Ministry of Health
RINI MUTAHAR
is at least 4 (four) times the examination so
that the health of pregnant women can
Sriwijaya University
monitored by health officials.
Anemia remains a major nutritional problems
suffered by pregnant women. Anemia in
pregnant women may increase the risk of ID: 114
miscarriage, premature birth, giving birth to
79. OBESITY STATUS AND NUTRIENT
babies with low birth weight (LBW), stillbirth,
INTAKE BALINESE WOMEN AGED ABOVE
perinatal death. Various studies show that 40 YEARS OLD IN DISTRICT OF SOUTH
40% of maternal deaths are caused by DENPASAR BALI PROVINCE
circumference greater than 80 cm that
Kadek Tresna Adhi Tresna Adhi indicate of obesity and most of them have
nutrient intake more than 100%RDA.
School of Public Health, Faculty of Keywords: obesity, waist circumference,
Medicine, Udayana University women
Background: Waist Circumference (WC) is one

of parameter body fat to indicates abdominal ID: 115
obesity. A high waist circumference is
associated with an increased risk for type 2 80. AN IMPACT OF BODY IMAGE TO FEMALE
diabetes, hypertension and cardiovascular STUDENT EATING BEHAVIOR AND
disease. Determinant factors lead to central NUTRITIONAL STATUS AT SMUN 1
MEDAN CITY, NORTH SUMATRA
obesity, such as consumption habit, genetic
and also social factors. Objective: To
Diana Sembiring,
determine obesity status based on waist
circumference measurement, characteristic
STIKes Sumatera Utara
(age, education, labor), nutrient intake in
Balinese women aged above 40 years in South Background. Body image is a mentally
Denpasar Bali. Method: This study used cross- personal description about ones shape and its
sectional approach. The samples was 82 size. Teenagers who have negative body
women aged 40 years in South Denpasar. image tend to have a bad eating behavior and
Samples selected by systematic random as consequences they have a bad nutritional
sampling. Nutrient intake such as energy, status like thin or conversely fat. Objective.
protein, carbohydrate, fat and fiber intake This research aimed to analyze the impact of
data obtained from interviews with Semi body image to eating behavior and nutritional
Quantitative Food Frequency Questionnaire level among teenagers at SMUN 1 Medan,
(SQ-FFQ), and then compared Recommended 2011. Method. An analytic study has been
Dietary Allowance (RDA) for women aged 40 done to randomly select female student from
years. Characteristics obtained from X, XI and XII class at study site. Body image
interviews using a questionnaire. Obesity have been measured by adapted
status was obtained by measurement of waist questionnaire from Concordia Health Service,
circumference (cm). Result: The results and eating behavior measured by using food
showed the majority of sample aged 40-47 frequency table while nutritional status
years (70.7%), work as housewives (43.9%) compare to IMT WHO 2005. Result. This study
with secondary education level (63.4%) and has shown that 93 percent of students have
had a family history of obesity (42.7%). Waist positive body image and the rest were having
circumference greater than 80 cm (73.2%) and negative body image. In addition, there were
classified as obese. Level of nutrient intake 60.1 percent student have a good eating
which was over than 100%RDA for energy behavior. It is found also of total respondent
(58.8%), protein (70.7%) and carbohydrates students, 26.4 percent were below normal
(73.2%), while the consumption of fat (81.7%) nutrition level while 23.3 percent above
was quite enough (100%RDA). Fiber normal nutrition level. Statistically, eating
intake (95.1%) was less than 25 g/day. behavior affected by body image (p<0.05),
Conclusion: Most of the Balinese women who and body image contributed to nutritional
live in South of Denpasar had waist status (p<0.01). At the same time, nutritional
ABSTRACT BOOK
status affected by eating behavior (p<0.01). husband. The role of women in making
Students with negative body image potentially decision about delivery place, number and
become obese compare to students with children sex, women and child health services
positive body image (OR=1.093). At p=0.368, access, contraceptive access, and health
students with bad eating behavior potentially budget were questioned. Methods. This is a
become thin (OR=8.818) or become obese quantitative research, located at Medan
(OR=1.362). Conclusion. It is recommended to Amplas Sub-District in Medan City. Women at
promote eating behavior for teenagers reproductive age, married and have children,
especially at school and regularly provide interviewed at 25 health facilities, by
nutrition campaign trough Usaha Kesehatan structured-questionnaire about
Sekolah (UKS) activities, covering body image, husband, wife, or
eating behavior and ideal weight material. together domination decision making
Keywords: body image, eating behavior and role. Results. Most of respondents were 20-30
nutritional status, female student years old. Respondents were dominated by
housewives and have 1-2 two children. Of 134
respondents, choosing delivery places,
ID: 123 children number, and contraceptive methods,
were dominated together by husband-wife.
81. THE ROLE OF WOMEN IN REPRODUCTIVE Wifes decision making was tend to be
HEALTH SERVICES DECISION MAKING AT
dominated by nutritional consumption,
MEDAN AMPLAS SUB-DISTRICT, MEDAN
CITY seeking information for children nutrient,
immunization and place for immunization.
Fotarisman Zaluchu Women also dominated for children feeding.
In contrast, husband decision making
Research and Development Institute, dominated among children sex and budget for
North Sumatra Province health. Conclusions. Women role was still
dominated by traditional side, like feeding
Background. Womens health indicators children and children health. Yet, mens
are influenced by women status. Women role was dominated by essential decision
status is an important entry point of reaching making in family. Therefore, women status in
women Millennium Development Goals urban area seems not changing significantly.
where women status is improved. Of all
womens health problems, women
reproductive health decision making is still ID: 127
need to be improved. In making decisions,
regarding to their own health, women 82. GEOGRAPHIC DISTRIBUTION OF NON
POLIO ENTEROVIRUSES (NPEV) FROM
position is still weak and usually women has
ACUTE FLACCID PARALYSIS CASES IN
no power. Women role in reproductive health
WESTERN PART OF INDONESIA 2007-
services decision making in urban area is 2010
important to reflect womens
development and progress after decades of Nike Susanti, Krisna N.A Pangesti,
women and gender program application in Yeremiah RC2
Indonesia. Objectives. This research aimed to
know the role of women in their reproductive Pusat Biomedis dan Teknologi Dasar
health decisions in comparison to their Kesehatan (Pusat 1)
Background Acute Flaccid Paralysis (AFP)
surveillance which comprises cases and ID: 128
laboratory investigation has been established
83. CITY AND MUNICIPALITY AS
by WHO in order to achieving the goal of
DETERMINANT FACTORS OF AGING
global eradication of polio. NIHRD is one of
DISABILITY IN WEST JAVA AND BANTEN
national reference polio laboratory in INDONESIA
Indonesia that conduct diagnostic test for AFP
cases specimen from Western part of Charles Surjadi, Yunisa Astiarani, Anisa
Indonesia. AFP cases can be caused by Riza Chaerunnisa, Siti Isfandari
poliovirus and non polio viruses, such as
enteroviruses. This recent study investigate Faculty of Medicine Atma Jaya chatolic
the serotype of Non Polio Entero Viruses university of Indonesia
(NPEV) from AFP cases in 2007-2010 and its
geographical distribution. Method This recent CITY AND MUNICIPALITY AS DETERMINANT
study used biological archive from AFP cases FACTORS OF AGING DISABILITY IN WEST JAVA
in 2007-2010. APF specimens was cultured in AND BANTEN INDONESIA Objectives: One of
cell line (RD/L20B) in BSL-2 laboratory. challenge in health for elderly is active aging.
Positive isolates from RD cell line and negative Some determinants factor play role on this
in L20B cell line were tested by neutralization matter such as city and municipality policies.
test to determine serotype of NPEV. Therefore we analyze 2007 national health
Demography data were also collected from research data for determinants affecting
case investigation form of the patients and disability of elderly people in West Java and
geographical data was analyzed using GIS Arc Banten. Methods: Census block were selected
View 3.3. Results From total 2625 AFP cases, by probability proportional to size methods.
6,8 % are NPEV. NPEV cases were mostly Households were selected by simple random
found in North Sumatera provinces (20,4%), sampling of selected census blocks. People
There is variation of the number of NPEV aged 55 year and above from selected
cases found each year in 16 province that households were included as individual
send AFP specimens to NIHRD. NPEV cases is samples (10121 persons). Data on age, sex,
commonly found in age group 1-5 years old, number of household members,
(54,3 % in 2007, 86,7% in 2008, 62,2% in 2009, socioeconomic status, and disability (based on
and 66,3% in 2010). Serotyping using WHO WHO questionnaire) was analyzed.
standard antisera showed that Echovirus is Questionnaires were distributed to cities and
the common serotype found in 2007-2010. municipalities. Interviews were done to
However, there were unidentified or several cities to collect data on important
untypeable NPEV isolates that need further policy and socio ecological factors in
investigation. Conclusion NPEV is one of the preventing disability. Chi-square (p < 0.05)
etiology that cause Acute Flaccid Paralysis and multiple logistic regression is performed
(AFP) in Western part of Indonesia. Further to find significant variables for the ultimate
detection of NPEV serotype using molecular model. Result: There are 40.8% of disabled
technology is needed to reveal other etiology elderly in West Java and Banten province. The
of AFP. Keyword: Acute Flaccid Paralysis, Non city of Sukabumi has highest percentage of
Polio Enterovirus, serotype aging disability (59.4%), while the city of
Tangerang has the lowest (25.3%). Four
cities/municipalities have low disability
ABSTRACT BOOK
percentage (less than 30%). Multivariate community, who live in flood plain at Karet
analysis shows that most of disabled elderly Tengsin Tanah Abang Jakarta dealing with
are 75 years old and above (OR = 2.6, CI 95% = flood disaster and disease which came
2.2- 3.2), women (OR=1.3, CI 95% =1.1-1.5), aftermath frequently. Flood disaster can
low education (OR = 1.9, CI= 95%=1.5-2.3), did cause a wide range of health impacts to the
not work (OR =1.5, CI 95%= 1.3-1.8), have no members of community. General diseases
teeth (OR =1.6 CI 95%=1.3-1.8), underweight which came aftermath the flood are diarrhea,
(OR =1.3, CI 95%=1.1-1.5), low socioeconomic common cold, Dengue Hemorroic Fever
status (OR= 1.2, CI 95%=1-1.5), residing (DHF), pulmonary infection, and skin
outside Municipality of Sukabumi (OR= 3.1,CI infection. Objectives : The aims of this study
95%=2.1-4.4), outside Municipality of are to understand the meaning of flood
Kuningan (OR =2.3,CI 95%=1.7-3.2) outside disaster and the disease from the
Municipality of Tangerang (OR =2.3,CI members experiences that always
95%=1.5-3.4 ), and outside City of Tangerang encounter the same vulnerabilities frequently;
(OR =1.6, CI 95%=1-2.4). Some diseases also and to know how the members of community
related to diability such as respiratory disease make response and strategy dealing with
(OR= 1.5,CI 95%=1.2-1.8), cardiac disease (OR those vulnerabilities. Methods : this study
=1.4 1.1-1.8), hypertension (OR =1.2, CI used ethnographys method which datas
95%=1.1-1.5), joint pain (OR= 1.5, CI 95%=1.1- collecting with actors approaches, while
2), mental health problem (OR= 3.2, CI actors were the members of the community
95%=2.8-3.6) and paralysis (OR 2, CI 95%=1.5- who life for years on flood plain. Building
2.7), Conclusion:Individual characteristics and rapport, observation participants, and
socio contextual factors at municipalities and unstructured interviews with historically
cities play roles in reducing prevalence of records were used to gain datas about
disability among aging. Efforts on aging health experiences and responses from members of
program on district level, which involve socio community, who live in flood plain dealing
ecological factors, should be increased. There with flood disaster and disease which came
is a need to call attention of three areas of aftermath frequently. Results : The result
active aging (health, participation and shows that flood disaster has been seen as
security) to achieve active aging. normal occurrence, and so as with diseases
aftermath. When flood disaster come
frequently, members of community have
ID: 129 many strategies faced the disease aftermath.
One of the strategy was using the herbal
84. TRADISIONAL HERBAL MEDICINE IN medicine to medicate their vulnerable
KARET BIVAK CEMETERY FOR HEALING
disease. Herbal medicine plants were
THE DISEASES AFTERMATH THE FLOOD
DISASTER IN URBAN COMMUNITY available free on 16.2 ha Karet Bivak cemetery
area which were still on the same area where
Weny Lestari the community lived. There were nine items
plants which were used by the members of
Pusat Humaniora, Kebijakan Kesehatan community for medication the diseases
dan Pemberdayaan Masyarakat (Pusat 4) tradisionally, like Jarak (Ricinus communis),
Saga (Adenanthera pavonina), Sente (Alocasia
Backgrounds : This study concerns about macrorrhiza), Kamboja (Plumeria), Sigsag
experiences and responses from members of (Euphorbia tithymaloides), Dadap (Erythrina
variegata), Waru (Hibiscus tiliaceus), Jambu (which are: individual, family and community
biji ((Psidium guajava), and Lidah buaya (Aloe base, preferred to prevention instead of
vera). Conclusions : utilization of plants on the medication, holistic, continuous, advocative,
Karet Bivak cemetery area for herbal medicine rational health intervention (safety, effective,
to medicate the disease aftermath effcient, acceptable). The most health service
tradisionally, was the one of the strategies of run for employee, family and community in
coping mechanism by members of community PT. PLN (Persero) Malang owns such
to deal with vulnerability that the culture characteristics of liberalistic model, resulting
adjust to disaster which deal as normal the high cost of health service profile and
occurence. Keywords : Flood disaster, difficult to do a performance measurement.
diseases aftermath, response and strategy, By 1997, the reseacher appointed for PT. PLN
herbal medicine, Karet Bivak cemetery (Persero) Malang to design the management
model of health service for employee and
family, aiming at achieving the cost efficiency
ID: 131 and improving the health service quality. The
researcher has utilized the new approach of
85. FAMILY DOCTOR,STRATEGIC AND health service model as stated above (family
OPERATIONAL HEALTH SERVICES
doctor). The characteristic of family doctor
MANAGEMENT MODEL, A REVOLUTION
ON PRIMARY HEALTH CARE, IN has declared in the new health service
INDONESIA management by several fixations including: 10
kinds of rational drugs for common desease
Dr. dr. Jack Roebijoso, MSc (OM), PKK and 10 standart operating procedure of basic
Roebijoso, dr. Alidha family health service. The result of the record
and health service history (new model)
Faculty of Medicine Brawijaya Univ conducted since august of 1997, 1998, 1999
(18 month), for 550 KK (house hold ) about
The former National Health System (NHS) 5786 abulatory cases and some hospitalized
before 2004, has less paid attention especially cases, was applied as the basis of research
to first strata health service upon personal using qualitative research model and case
and yet has encouraged more on liberalistic study methode (Robert K Yin and Lexy J
health service by means: personal approach, Moeleong), and was discussed by using
curative, non holistic, fragmentative, non- theoritical generalization and proposition
advocative (exploitative), high medical service explanation, applied for drawing conclusion
cost. On the other hand, it is running another and suggestion. The analysis of reseach result,
health service called socialistic health service indicates several positive outcomes
model, by means similar to almost the influencing the cost of health service including
liberalistic one, but it cost minimally and non (ambulatory) and (hospitalized) service. This
advocative (obscurantism). The former NHS result is proved by the significant decreasing
has long been revised by the government number of patiens both for ambulatory and
(Depkes RI, 2004), to improve first strata hospitalized case. On the other side, the
health service upon personal, with the family discussion to explore the invisible cost spent
doctor health service practice mainly by employees, when their family members
conducted by private sector. The approach of must undertake referal specialist doctor and
family doctor practice has such contrast hospitalization had presented by this research
characteristics with the previous two systems as well. The analysis of the case study is
ABSTRACT BOOK
demonstrated through: profile matching, time be adopted in the National and Local Health
series analysis and using logical model of System, aimed at establishing the fixed family
Robert K Yin and its explanation. The result doctor health service networking based on
illustrates the phenomenon indicating the quality, that it would brings to the efficiency
new health service management, which are: of budgeting and improving the health service
1. Integrating medical healths service quality as well as absorbing more health
activities through five dimensions of location: staffs, compared to the previous model.
at clinic, house, workplace, hospital and public The application of this family doctor model
site. 2. Using the ten products of family doctor needs to be applied broadly in the health
health service (ten basics family doctor health service for employee and family in the state-
service products). 3. Fixing several drug owned Enterprise (BUMN), health insurance,
facilities (ten kinds of rational medication). 4. public health centre medical clinics of strata I,
Funding the activities for doctor/medical to support the national coverage target of
staffs depending upon health service health insurance service in Indonesia by the
indication. All has addressed to conclusions up coming 2014, could be manage better. KEY
that: the new management model could be WORDS Individual strata I health
applied as a basis to design the strategic service/family doctor, strategic and
management and operational for family operational, quality based.
doctors health service model, fixed on quality.
The discussion that employs the SWOT model
analysis, has been conducted in accordance ID: 135
with the broad range future and situation of
family doctor practice in Indonesia. The 86. THE POTENTIAL HOST OF FASCIOLOPSIS
BUSKI IN KALUMPANG DALAM VILLAGE,
analysis of this new insight has been able to
BABIRIK SUBDISTRICT, HULU SUNGAI
construct the development with idea of the UTARA REGENCY, PROVINCE OF SOUTH
new proposition and theory, about KALIMANTAN
balancing the health service cost (family
doctors teams income), compared to Annida Hasan, Annida, Lukman Waris
the total health cost, than it can be
used as indicator of success of the health Balai Penelitian dan Pengembangan P2B2
service performance for individual, by Tanah Bumbu
applying the new family doctor health service
management, based on quality. While the THE POTENTIAL HOST OF FASCIOLOPSIS BUSKI
conclusion of this research has led to several IN KALUMPANG DALAM VILLAGE, BABIRIK
important suggestions for the decision maker SUBDISTRICT, HULU SUNGAI UTARA REGENCY,
in relation to: The curriculum material of PROVINCE OF SOUTH KALIMANTAN Abstract
medical education, the training of family Backgrounds: In Indonesia, fasciolopsiasis has
doctor and its medical staffs, that must be been found since 1982 in Sei Papuyu Village,
structured and reviced by the usage of Babirik Subdistrict, Hulu Sungai Utara (HSU)
bottom up, besides top down approach, Regency, South Kalimantan Province with 27%
which is not just need areal competency, but of infection rate. Results of a survey
it needs strategic and practical competencies, conducted in 1991-2007 at 20 endemic
as needed during a real health service practice villages showed a high prevalence of trend at
at any place in Indonesia . The health Kalumpang Dalam Village, prevalence rates
services of family doctor management should have never showed on 0% (0.2-15.2%).
Objectives: The purpose of this study was to Background : In 2007, AMI of Nunukan
identify the potential host in fasciolopsiasis at 22.85/1,000 population, prevalence of Sebuku
Kalumpang Dalam Village. Methods: This 44.50 classified as HIA. In 2008, 2009 and
study used cross sectional design with 2010 the morbidity of malaria in Sebuku
purposive sampling. Freshwater snail survey decreased significantly until the year 2010
to identify the cercariae by the crushing there are only 1 case of malaria in Sebuku.
method, and aquatic plants survey to identify Related with the decrease of malaria cases,
the metacercariae by the sedimentation the reporting crosscheck of malaria is needed
method, whereas stool survey of the fowl to in Sebuku. Methods: The study is a
identify the eggs of Fasciolopsis buski were prospective study carried out by cross-
examined by the formalin-ether and sectional conducted in the Village Kekayap
technique. Result: Redia and cercariae found Sebuku. Observed variables are host, agent,
in the snail of Indoplanorbis and Lymnea, environment and health care policies. The
were potentially as the first intermediate host population was all residents in Sebuku,
of F. buski. The trematodes eggs are similar to samples are people residing in the village
F. buski eggs was found in the stool samples selected as research samples. Activities are
of Alabio ducks (Anas platyrinchos borneo) parasitology, entomology, KAP survey,
and chicken (Gallus domesticus), but with a environmental survey and depth interview of
smaller size, which is between 93-100m x policy makers at the district level. Results: The
58-70m in the feces of alabio ducks, and results of the research SPR 7.14% consisting of
between 90-140m x 60-85m in the feces falciparum and vivax, mosquito An. maculatus
of chicken. Metacercariae was not been found as the highest density. The knowledge and
in the aquatic plants. Conclusions: The snail of attitudes people against malaria has been
Indoplanorbis dan Lymnea were potentially as good enough but there are some behaviors
the intermediate host of F. buski or the other that are still supporting malaria transmission
trematodes, and Alabio ducks (Anas such as habits to go out at night. The
platyrinchos borneo) and chicken (Gallus government focus on malaria because malaria
domesticus) were potentially as the reservoir is a serious problem in Nunukan currently
host of F. buski. Key Words: fasciolopsiasis, handled by a global fund. At this time there
Fasciolopsis buski, Indoplanorbis, Lymnea, are only 2 laboratory analysts in Nunukan.
Anas Plathyrinchos borneo, Gallus Target to reduce malaria is 5/1000
domesticus, Hulu Sungai Utara Regency. population. Conclusion: Transmission of
malaria in the Village Kekayap Sebuku caused
by the opening of new land and the
ID: 136 construction of houses with holes making it
easier for mosquitoes to enter into the house
87. THE EPIDEMIOLOGY OF MALARIA IN AN with the suspected mosquito An. maculatus as
INLAND AREA OF KALIMANTAN
a vector-borne diseases. Keywords : malaria,
(KEKAYAP VILLAGE, SEBUKU DISTRICT,
NUNUKAN REGENCY, PROVINCE OF EAST vector, epidemiology
KALIMANTAN
Lukman Waris, Liestiana Indriyati ID: 137
88. FAKTOR RISIKO KEJADIAN MALARIA DI

Balai Penelitian dan Pengembangan P2B2
KABUPATEN TANAH BUMBU PROPINSI
Tanah Bumbu
ABSTRACT BOOK
KALIMANTAN SELATAN the garden, will be protected 19.7% were not

exposed to malaria. Advice: Counseling to
Nita Rahayu prevent and combat malaria: use mosquito
nets, use mosquito coil, does not work in the
Balai Penelitian dan Pengembangan P2B2 garden at night, installing mosquito netting,
Tanah Bumbu cattle sheds away with the house. Key words:
risk factors, the environment, the incidence of
Faktor risiko kejadian malaria di Kabupaten
malaria
Tanah Bumbu Propinsi Kalimantan Selatan
THE RISK FACTOR OF MALARIA IN TANAH
BUMBU REGENCY, PROVINCE OF SOUTH
ID: 142
KALIMANTAN Abstract Background: Malaria is
one of the major diseases that threaten public 89. UTILIZATION OF HEALTH FACILITIES IN
health, the number of acute cases worldwide THE IMPLEMENTATION OF LOCAL
more than 300 million people and causing the HEALTH INSURANCE IN TARAKAN CITY,
death of more than one million lives each EAST KALIMANTAN, INDONESIA
year. This study to determine risk factors for
the incidence of malaria in endemic areas of Tri Astuti Sugiyatmi
South Kalimantan province District 6
Methods: cross-sectional design. Population City Health Office, Tarakan City, East
and study sample inclusion criteria and Kalimantan /Center for Health Financing
exclusion criteria, are willing to have blood Policy and Insurance Management,
drawn and interviewed. Results: 112 samples Faculty of Medicine, Gadjah Mada
Mentawakan Mulia city, 42 samples (41%) University
positive malaria, falciparum malaria 6 Background: In a health care system that
samples, 36 samples of vivax malaria. The services should be done with tiered referral
results of bivariate tests: age, gender, system. In the situations of barrier of funding
education, occupation, risk factors for malaria reduced or none at all, the utilization of
(working in the garden at night, use of bed health care centers and hospitals tend to
nets), environmental factors (the distance to increase. Objective: To see clinic utilization
health facilities, travel time to health facilities, before and after the implementation of local
cattle pens inside or outside home, the health insurance in the city of Tarakan
distance a house close to the breeding place). Methods: This study used the case study
Multivariate analysis there are 6 variables: method, the study subjects were documents
gender, education, risk factors for malaria of district health office Results: There is a
(working in the garden at night, use of bed significant increase in the utilization of health
nets), environmental factors (the distance to facilities, especially in the public health center
health facilities, the distance a house near the after the implementation of local health
cattle pens inside or outside the home). insurance program. The implementation of
Conclusion: Risk factors that were most the local health insurance program increases
responsible is the habit of working in the the utilization of the health facilities because
garden at night p = 0.000, CI95% = 2.270 to there is no more financing barrier. However,
6.445. Working in the garden at night the strengthening of community health
increases the risk of malaria in 80.3% centers in the input (type and amount of
compared to respondents who did not work in health human resources ; finance resources),
program (24 hour / emergency services) and Kabupaten Sumbawa Barat. Angka tersebut
quality management also have considerable merupakan jumlah terbesar kasus kematian
influence in increasing the utilization rates of bayi di Desa Mantar. Penelitian ini bertujuan
clinics. Without efforts to strengthen the untuk mengetahui kendala-kendala program
health center would only be a place to look penurunan AKB pada Desa Mantar Kecamatan
for a referral through it. While the hospital Poto Tano Kabupaten Sumbawa Barat.
would be a "giant health centers" that will Penelitian deskriptif ini melibatkan Kepala
deal with minor ailments that could be Desa, Bidan Desa, dan ibu bayi meninggal
implemented in health centers. Therefore, sebagai subyek penelitian. Hasil penelitian
strengthening community health centers in all menunjukkan bahwa faktor sosial budaya
aspects will be strong enough to control the berupa keyakinan terhadap suatu penyakit
number of referrals to the hospital dan pola pemberian makanan kepada bayi
Conclusions: Utilization of health facilities in merupakan kendala utama dalam program
the implementation of health insurance has penurunan AKB. Masyarakat cenderung
increased significantly. Strengthening health menganggap penyakit-penyakit tertentu pada
center will have an effect on the successful bayi merupakan pengaruh magis sehingga
implementation of health insurance pengobatannya pun dilakukan secara magis.
Suggestion: In the implementation of national Masyarakat juga sulit mengakses pelayanan
health insurance 2014, strengthening kesehatan karena jarak tempat pelayanan
community health centers in terms of inputs, sangat jauh dan akses jalan yang belum
program and management is essential. memadai. Untuk itu disarankan kepada Dinas
Keywords: strengthening health center, Kesehatan Kabupaten Sumbawa Barat untuk
utilization rates of health center , local health menggiatkan promosi kesehatan kepada
insurance. masyarakat desa terpencil. Kepada
Pemerintah Daerah Kabupaten Sumbawa
Barat agar mempercepat akses transportasi
ID: 143 menuju desa terpencil.
90. TANTANGAN PROGRAM

PENURUNANANGKA KEMATIAN BAYI
ID: 145
PADA DESA TERPENCIL(STUDI KASUS DI
DESA MANTAR KECAMATAN POTO TANO
91. BASIC STUDY ON PATIENTS PROFILE
KABUPATEN SUMBAWA BARAT)
AND NEEDS ACCORDING TO HIVAIDS
PROGRAM AND VCT CLINIC IN ENDE
Syaifuddin Naim, Muhammad Iqbal DISTRICT, EAST NUSA TENGGARA
Dinas Kesehatan Kabupaten Sumbawa Luxi Pasaribu, Rachmalina S. Prasodjo, Siti

Barat Isfandari, Lutfah Rifati, Roselinda
Penurunan Angka Kematian Bayi (AKB) yang

merupakan isu global masih terkendala oleh
Kesehatan (Pusat 1)
faktor sosial budaya masyarakat dan
keterbatasan akses pelayanan kesehatan, Background: The spread of HIV-AIDS in
terutama di daerah terpencil. Pada tahun Indonesia has reach wider population and
2011, terdapat 7 (tujuh) kasus kematian bayi impacting the general population, including
di Desa Mantar Kecamatan Poto Tano Ende District in East Nusa Tenggara. It is said
ABSTRACT BOOK
because of the increasing mobilization of the ARV, and training need to be prearranged
people due to tourism, commerce, and more and monitored so the availability is
migrant employment and decreasing of moral assure. Conclusion: The felt and normative
and spiritual value that lead to growing the needs show that leaders, health worker, VCT
risk population. In Ende, the VCT clinic has not clinic and HIV-AIDS program should be
been used optimally as most patients are prepared further and closer to the risk
detected on late AIDS stage. The mortality is population in order to decrease the stigma
high (85%). Objectives: To determine the basic and to increase participation. Keywords: HIV
profile, wants, hope, and needs of patients, and AIDS, need assessment, Voluntary
their family, and the high risk population to Counseling and Test, Ende District
increase the usage of VCT clinic and to
participate in HIV and AIDS program.
Moreover, to determine the VCT clinic ID: 146
workers, formal and informal leaders need to
92. STRATEGY OF SISTEM INFORMASI
improve the early detection. Methodology:
DAN KOMUNIKASI (SISFOKOM)
This is a qualitative research. Data collected
UNIVERSAL COVERAGE OF HEALTH
by in-depth interview. The subjects were the SERVICES TO SUPPORT THE HEALTH
patients and their family, high-risk people, SYSTEM REFORM AND
health workers and VCT clinic worker, also IMPLEMENTATION OF UNIVERSAL
formal and informal leaders. The data HEALTH COVERAGE CONCERNING
analyzed by thematic analysis. Additionally, EQUITY AND QUALITY
data and processes related to HIV-AIDS
program was analyzed. Results: Half of the Zahrina Laborahima, Zahrina
patients stay in the city, but half stay in
villages which increasing the need for closer University of Indonesia
VCT to them; mode of transmission mostly sex Backgrounds Health is the primary
and some because of migrant work. Most of requirement and should be the responsibility
subjects have low comprehensive knowledge of the state to people, but this time the
about HIV and AIDS, especially the community population of Indonesia who have health
and leaders. Health promotion given but have insurance simply reserve the 151.5 million or
to employ more suitable method and should 63.5 percent. Through the Law Commission.
collaborate with more preferred people to 40 of 2004 on National Social Security System
approach patients, groups and community. (Navigation). Indonesian people get health
Senior local health worker or senior health insurance without exception, then backed up
worker accompanied by local people is with the enactment of Law No. 24 Year 2011
expected to go down to villages or groups so regarding BPJS which start to be implemented
communication between health worker and from January 2014. Objectives To improve the
community can be revived and stigma that is health state of Indonesia people. Health
very high can be reduce, and the fear of test insurance is absolutely necessary, as the right
result also expected lessening. Extensive and of all citizens to have health care and the
intensive support for early detection and guarantee in the form of health insurance.
patients care need to be prepared so the The universal health insurance that will be
high risk population can be persuaded to do applied have to consider the matters related
the test and to participate in prevention of the roles and responsibilities of all part
wider transmission. Funding, reagent, facility,
completely, human resources, and Health Tin Afifah, Teti Tejayanti, Yuslely Usman,
Insurance Professionals good governance. Felly Senewe, Putisari, Oster Suriani,
Moreover, the ignorance of the people Lamria Pangaribuan, Thoman Pardosi,
against the government policy be one of the Poetrijanti
issues that must be considered. Many people
that did not know about the Universal Health Pusat Teknologi Intervensi Kesehatan
Coverage. So strategy of communication and Masyarakat (Pusat 3)
information system is necessary for policies
that have made. It able to be implemented, Background: MMR in Indonesia is the highest
appropriate and sustainable. Methods With in South Asia. It is important to find maternal
the observation and review of the literature. cause of death as evident based for decision
This Papper will explain the strategy to make makers. This paper is the part of The
the strong and accountable system of Pregnancy Related Death Follow Up Study
socialization to promote and give information were derive from Indonesia 2010 Census
Population data. Objectives: finding the
about universal health coverage. SISFOKOM
underlying cause of maternal death in
will involve all stakeholders include RT/RW
and have the program Saya tahu Indonesia. Methods: The population of this
Jamkesta. Results The expected result study is pregnancy related death cases which
from the sisfokom strategy is to refine the is determined solely by timing of death
effective and efficient methods of jamkesmas. relative to pregnancy, childbirth and two
Indonesia people from various background months after birth (8484 cases). The primary
have to know about the universal health sampling unit is the distric and the sample
coverage, the system, the fee of contribution unit of this study is all pregnancy related
and the facilities that will be accepted. In death cases in every district. The list of all the
order to there are no social problem that will district with the number cases which listed
happen in next time. Conclusions The strategy based on 5 regions (Sumatera, Java-Bali,
to inform the governmet policy or program is Kalimantan, Sulawesi and East/others) as the
important. Public have to understand what sample frame. The 134 districts were selected
the health service that become their rights by Stratified Probability Proportional to Size
and what is the people responsible to get it. (PPS) technique. The total number of 4167
Involving components of the society from the cases was derived 134 districts in 27
simplest level have to do to solve the issue of provinces. The intervewers were revisit the all
4167 cases. Data collection was conducted in
bureaucracy. The media of information also
must be suitable with the output and mid November until mid Desember 2011 by
outcome which is expected. Keywords : using autopsy verbal instrumen. The
interviewer was selected from those who
Universal Health Coverage; Strategy;
Sisfokom; Health have DIII or parmedic education background,
and have experience on health survey. The
cause of death was diagnosed by medical
ID: 148 doctor based on ICD 10 and follow the rule of
principles causal relathipships use The MMDS
93. MATERNAL MORTALITY IN INDONESIA: books to finding the final of underlying cause
FOLLOW UP STUDY OF PREGNANCY of death. Result: The respons rate of revisit
RELATED DEATH OF THE INDONESIA was 91 percent (3796 cases) which 3389 cases
2010 CENSUS POPULATION
was diagnosed. The result showed that 53
ABSTRACT BOOK
percent maternal death at after birth periode. for adolescent in Indonesia. Objective: To
The big five underlying cause of death in compile results of nutrition studies conducted
Indonesia are hypethention in Indonesia between 2000-2010. Methods :
disorder/eclampsia and preeclamsia (32,61%), Literature search was done using library visit
hemorraghage at 22 weeks gestation (25.53 and internet searching. Studies with sample
percent), Others (12,20%), other infection 80 adolescents were included in the
(9,11%) and cardiovaskuler diseases (7,47%). compilation. Results : This review identified
Conclusion: Maternal death is various 130 studies. The percentage range of intake
between region. The most cause of maternal compared tothe RDA wa as follows: energy
death in Indonesia is hypertention disorder 82-107%, protein 60-124%, carbohydrates 78-
and followed by haemorrhage. Its must 92%, fat 68-115%, iron 95-99%, and vitamin- A
prevendable with adequate antenatal care. Its 875%. Consumption of other nutrients and
difference pattern between region. Keyword: nutrition related items that were available
maternal mortality, maternal cause of death, included fiber, folic acid, vitamiB1, C, calcium,
pregnancy related death, population census zinc, iodized salt. More adolescents who live
in rural areas consumed vegetables and fruits
than their counterparts in urban areas (80%
ID: 150 vs.60% for vegetables and 61% vs. 45% for
fruits respectively. Adolescents who had
94. COMPILATION OF STUDIES FOOD breakfast and consumed supplements (mostly
CONSUMPTION, PHYSICAL EXERCISE,
vitamin C) varied in 23-94% and 5-65%.
HEALTHY LIFESTYLE AND NUTRITIONAL
STATUS IN INDONESIA ADOLESCENCE Populer physical exercises for adolescent
were jogging (79%) and sport games (71%).
Tutik Wahyuni, Sri Krisnamurni About one-third (29%) of adolescents had
healthy lifestyle, which included ten healthy
Department of Nutrition, Ministry of life behaviors and consuming food. From 30
Health Polytechnic Semarang, Indonesia studies that measured nutritional status using
Body Mass Index, 23%-88% of adolescents
Backgrounds: Adolescent is an age of were found normal, 0%-60% severe
transition from childhood to adulthood, underweight, and 0-13% obese. The
whereby physical changes and seeking self- prevalence of anemia was 2-87%, while for
identity are some of its characteristics. The goiter 31-52%. Other information available
interest of having ideal "body image" may was Iodine Concentration in Urine (129 -
lead to insufficient food intake and problems 213g/L) and Night Blindness (3.6% females;
of adolescent health, such as bulimia or 2.5% males). Conclusions Setting populations
anorexia . Other heaIth problems that often goals for nutrient intake and healthy lifestyle
occur are eating disorder, lack of sleep, is necessary to address unhealthy behaviors
smoking, use of alcohol and illegal drugs. and nutrition problems exist Key Words: food
Based on the above matters, it is necessary to consumption, physical exercise, healthy
review nutrition studies that exist in lifestyle, nutritional status, adolescence,
Indonesia, by looking at the current condition Indonesia.
of adolescent food consumption, physical
activity pattern, lifestyle, and nutrition status.
The data will be useful as baseline data to ID: 153
support the design of Nutritional Guidelines
95. ROLE OF HEPARIN IN TISSUE FACTOR immunohistochemical staining of Ki67
PATHWAY INHIBITOR WAY TO INHIBIT antibody, one for protein extraction, and one
TISSUE FACTOR AND VASCULAR for cell culture. Each culture cells received
ENDOTHELIAL GROWTH FACTOR OF
intervention by adding FVIIa, FXa, TFPI, and
MENINGIOMA TISSUE
heparin. VEGF level from the cell culture
medium and TF and VEGF levels from protein
Tiara Aninditha, Alida R. Harahap, Nurjati
extraction were measured by using ELISA.
C. Siregar, Esti Dwi Sabarati, Santoso
Results: A total of 56 meningioma patients
Cornain, Lugyanti Sukrisman,
were included, which mean age was 45 years
Rahayuningsih Darma, Teguh AS
(28 - 73 years), dominated by female (83,9%)
Ranakusuma
and most of them (66,1%) have grade I tumor.
A median of TF and VEGF levels of the
Faculty of Medicine University of
samples were 284,02 (0,23 2624,62) and
Indonesia
640,68 (0,88 37.177,17) pg/mg protein.
Background: Meningioma is the most There was a significant association between
common primary intracranial tumors and TF level and VEGF level (p = 0,004), but no
quite difficult to treat. As 90% of tumor cells significant association between degree of
cause hypercoagulation by secreting tissue malignancy and TF and VEGF. This study also
factor (TF), the coagulation pathway was found that there was a significant association
hypothesized as an alternative approach to between Ki67 proliferation index (cut off point
treat meningiomas. Not only acts as a 2,4%) and the grade of meningioma (p =
procoagulant, but TF also triggers intracellular 0,036). From the cell culture study, it was
signaling for angiogenesis by increasing found that there was 7,5% increment of VEGF
vascular endothelial growth factor (VEGF) and level after addition of FVIIa and 16,1%
cells proliferation which can be evaluated by increment of VEGF level after addition of TFPI
Ki67 index. The administration of heparin in compared to controls. Conclusion: There was
malignancy may result in a better outcome. In an asociation between coagulation factor (TF)
normal condition, TF is inhibited by tissue and angiogenesis (VEGF). There was
factor pathway (TFPI) which its inhibitory significant correlation between Ki67
potential can be increased by heparin via its proliferation index and the grade of
binding to the third domain of TFPI. Thus meningioma. Addition of FVIIa and TFPI tend
heparin may inhibit TF activity and function to increase VEGF level of the cell culture,
including those related to angiogenesis. Aims: whereas addition of heparin, though not
To evaluate the role of heparin in TFPI statistically significant, tend to decrease its
pathway in inhibiting TF and VEGF levels. level. Keywords: meningioma, heparin, tissue
Furthermore, to evaluate the association factor, VEGF, TFPI, Ki67.
between grade of meningioma (based on
WHO) and TF and VEGF levels, and Ki67
proliferation. Methods: This was a cross ID: 154
sectional and experimental study to
96. ANALISIS PERBEDAAN TINGKAT
meningioma tissues which were collected
KEPUASAN PASIEN PESERTA JAMKESMAS
consecutively from January 2010 to January DENGAN PASIEN PESERTA JAMINAN
2012. Tissue samples were divided into three KESEHATAN ACEH (JKA) TERHADAP
different parts; one devoted for PELAYANAN KESEHATAN DIRUANG
histopathology examination and RAWAT INAP RUMAH SAKIT IBU DAN
ABSTRACT BOOK
ANAK PEMERINTAH ACEH TAHUN 2011 dan pasien JKA memiliki nilai mean/rata-rata
yang hampir sama (15,28 berbanding 15,68,
Fahmi Ichwansyah, Hafnidar nilai p=0,522) dan Empathy (11,73 berbanding
11,15 nilai p=0,230).
Loka Litbang Biomedis NAD
Jaminan Kesehatan Masyarakat dan Jaminan

ID: 160
Kesehatan Aceh merupakan Program berobat
gratis yang dibiayai oleh pemerintah pusat 97. WHAT ARE THE RELATIONSHIPS
dan pemerintah daerah, kedua program ini BETWEEN DRINKING-WATER SUPPLY,
memiliki ketentuan yang berbeda yaitu SANITATION AND UNIVERSAL HEALTH
pembiayaan, fasilitas, pemberian jasa bagi CARE COVERAGE? RESULTS FROM THE
INDONESIA BASIC HEALTH RESEARCH
petugas dan ketersedian obat, perbedaan
2010
tersebut dihipotesiskan terhadap kepuasan
pasien. Untuk mengetahui lebih jauh
Sri Irianti, Puguh Prasetyoputra, SE,
dilakukan penelitian yang bertujuan untuk
MHEcon, D. Anwar Musadad, SKM, M.Kes
mengetahui perbedaan tingkat kepuasan
pasien peserta Jamkesmas dengan pasien
peserta JKA diruang rawat inap rumah sakit
ibu dan anak pemerintah aceh tahun 2011.
Penelitian ini dilakukan di Rumah Sakit Ibu BACKGROUND: The Millennium Development
dan Anak Pemerintah aceh mulai dari tanggal Goal (MDG) drinking-water target was met in
20 Mei - 10 Juni 2011 yang bersifat analitik 2010, five years ahead of schedule. However,
dengan desain cross sectional. Populasi in 2010, 43 million Indonesians are still
adalah pasien rawat inap yang menggunakan without access to an improved water source,
kartu Jamkesmas sebanyak 899 orang dan while 110 million do not have access to
yang menggunakan JKA sebanyak 1618 orang, improved sanitation. Lack of access to
ukuran sampel dicari dengan menggunakan improved drinking-water and sanitation brings
rumus estimasi beda dua proporsi dengan severe health and economic consequences. In
jumlah 40 peserta Jamkesmas dan 40 peserta 2008, 4.3% of global deaths are attributable
JKA. Pengambilan sampel menggunakan to diarrhoeal diseases, which can be
teknik purposive sampling dengan kriteria prevented by improving drinking water and
yang disesuaikan dengan tujuan penelitian. sanitation. Moreover, poor sanitation and
Pengambilan data dengan menggunakan hygiene costs Indonesia a hefty IDR 56 trillion,
kuesioner/metode wawancara. Data di equivalent to 2.3% of gross domestic product.
analisis dengan metode independen t-test dua The per capita losses are also known to be
sampel. Dari hasil penelitian diperoleh Nilai higher in rural areas. Universal
mean/rata-rata kepuasan pasien JKA lebih implementation of improved sanitation and
tinggi daripada pasien Jamkesmas terhadap hygiene could lead to up to IDR 40 trillion
dimensi kualitas mutu Tanggapan (15,23 (USD 4.5 billion) of economic saving.
berbanding 15,5, nilai p=0,016), Jaminan Accounting for health impacts, the economic
(18,15 berbanding 15.68, nilai p=0,0005), saving would become even higher. The
Bukti langsung (17,95 berbanding 15,75 nilai Indonesian government will implement
p=0,0005), sedangkan untuk dimensi kualitas universal health care coverage by 2014, and
mutu kehandalan antara pasien Jamkesmas the economic saving from improved
sanitation and hygiene could be used to fund 98. SKRINING FITOKIMIA DAN UJI POTENSI
the universal health care coverage. Both ANTIDIABETES EKSTRAK ETANOL AKAR
national- and household-based interventions GATEP (Inocarpus fagiferus (Parkinson)
Fosb.) PADA TIKUS PUTIH JANTAN
have been proven to be cost-effective.
GALUR SPRAGUE DAWLEY
However, their applicability depends on
socioeconomic context of Indonesian
Dewa Ayu Putu Rasmika Dewi, Desak
households. If we can identify the significant
Gede Diah Dharma Santhi, Ni Putu. E.
factors determining access to drinking-water
Leliqia
and sanitation, then appropriate policies can
be implemented to modify the feasible factors
Faculty of Medicine & Health Sciences
to improve access to proper water and
Udayana University
sanitation. Therefore, health benefits and
economic saving can be gained. OBJECTIVES: Telah dilakukan penelitian terhadap ekstrak
This study aims to identify the significant etanol akar Inocarpus fagiferus (Parkinson)
factors affecting access to improved water Fosb. yang bertujuan untuk mengetahui profil
and sanitation including equity. METHODS: kandungan kimia berdasarkan hasil skrining
This study uses data from the Indonesia Basic fitokimia dan KLT-Densitometer serta potensi
Health Survey in 2010 and by applying logistic antidiabetes yang dimiliki. Penelitian ini
regression, access to water and sanitation will dilakukan dalam dua tahap. Tahap pertama
be regressed on distance to water source, dilakukan penentuan profil kandungan kimia
time taken to reach the source, person in berdasarkan hasil skrining fitokimia dan KLT-
charge of accessing the water, availability of Densitometer. Tahap kedua dilakukan uji
water all year long, controlled by geographical potensi antidiabetes pada 6 kelompok tikus
locations, socioeconomic indicators proxied jantan galur Sprague Dawley terdiri dari
by expenditure and housing characteristics. kontrol normal, kontrol positif, kontrol negatif
Access to sanitation will also be regressed on dan 3 kelompok perlakuan yang diberi ekstrak
socioeconomic indicators and geographical etanol akar Inocarpus fagiferus (Parkinson)
locations. RESULTS: Distance to water source, Fosb. berturut-turut sebesar 250, 500 dan
time taken to reach the water source, person 1000 mg/kgBB. Kadar glukosa darah seluruh
in charge of accessing the water, and tikus diukur pada menit ke-0, 30, 60, 90 dan
availability of water significantly determine 120 kemudian data dianalisis dengan ANOVA-
access to drinking-water; while socioeconomic one way dan LSD dengan taraf kepercayaan
indicators significantly determine access to 95%. Hasil skrining fitokimia dan KLT-
sanitation. CONCLUSION: Appropriate policies Densitometer menunjukkan bahwa ekstrak
can be implemented to modify the significant etanol akar Inocarpus fagiferus (Parkinson)
factors determining access to improved Fosb. mengandung golongan senyawa
drinking-water and sanitation and thus triterpenoid, tanin dan flavonoid. Hasil
bringing health benefits and economic savings penentuan profil ekstrak etanol akar
which can be used to fund universal health Inocarpus fagiferus (Parkinson) Fosb. dengan
care coverage. KLT-Densitometer menggunakan fase gerak n-
heksan-etil asetat (1:1 v/v) menunjukkan
bahwa terdapat bercak ungu Rf 0,70 (maks
ID: 162 206 nm) yang diduga golongan triterpenoid;
pada fase gerak etil asetat-toluen (2:8 v/v)
menunjukkan bahwa bercak ungu Rf 0,48
ABSTRACT BOOK
(maks 290 nm) diduga golongan tanin; pada population of Indonesia, so there is no data
fase gerak toluen-etil asetat-asam formiat and reports of NPM1 mutations in a
(4:6:1 v/v) menunjukkan bahwa bercak hijau population of Indonesia. Given Indonesia is a
kekuningan Rf 0,79 (maks 287 nm) diduga multi-ethnic state, it also allows the existence
golongan flavonoid. Hasil penelitian ini of variations of a new type of NPM1
menunjukkan bahwa ekstrak etanol akar mutations. Patients suspected of AML fills
Inocarpus fagiferus (Parkinson) Fosb. dosis informed consent and subsequently sampled
250 mg/kgBB dan 500 mg/kgBB mempunyai peripheral blood and bone marrow. The
potensi dalam menurunkan kadar glukosa sample was then preserved, performed
darah hewan coba tikus putih jantan galur immunophenotyping, cytomorphology, and
Sprague Dawley setelah pembebanan glukosa cytogenetic. Examined samples of A type
monohidrat pada menit ke-60. NPM1 mutations using the techniques of the
ASO-RT-PCR, a negative result followed by
seminested-ASO-RT-PCR. To find other types
ID: 163 of NPM1 mutations performed PCR exon 12
and subsequent direct sequencing. From this
99. DETECTION OF NUCLEOPHOSMIN study, we found that only type A NPM1
(NPM1) GENE MUTATIONS AND ITS
mutations were detected and the frequency is
ASSOCIATION WITH
IMMUNOPHENOTYPING AND 23.53%. This mutations express CD34 and
CYTOGENETICS IN ACUTE MYELOID HLA-DR and had an abnormal cytogenetic.
LEUKEMIA (AML)
Delta Fermikuri Akbar, Lyana ID: 168

Setiawan,Meilani Syampurnawati
100. CHARACTERISTICS OF BREAST
CANCER PATIENTS IN SANGLAH
Faculty of Medicine University of
HOSPITAL, DENPASAR, BALI
Indonesia
Mutations in nucleophosmin gene (NPM1) Putu Suariyani, Estuning Hanindyta

exon 12 is the most frequent genetic Mediasta, Pasek Kardiwinata, Made
alteration detected in AML patients with Sutarga
normal karyotype. The incidence of NPM1
mutations in adult AML approximately 25% - Udayana University
35%. The A Type mutation, tetranucleotide
CHARACTERISTICS OF BREAST CANCER
TCTG duplication at position 956-959, is the
PATIENTS IN SANGLAH HOSPITAL, DENPASAR,
most common mutations in adult AML with
BALI Background: Currently, Indonesia is
normal karyotype. The existence of NPM1
experiencing an epidemiological transition
mutations in AML associated with good
where there is a shift from infectious diseases
response to therapy. These mutations can
to non-infectious diseases. There is an
also be used as a marker to detect minimal
increase in breast cancer cases, where breast
residual disease (MRD). Therefore, the
cancer the second numerous cases among
analysis of NPM1 mutations emerged as a
cancer incidence in the community. Risk
new step in the diagnostic or prognostic AML
factors of breast cancer is multifactorial.
patients with normal karyotype. There has
Objectives: The purpose of this study was to
been no research on NPM1 mutations in a
determine the characteristics of breast cancer
patients in Sanglah Hospital, Denpasar, Bali PERILAKU PEMENUHAN KEBUTUHAN SEKSUAL
Methods: This research was a descriptive NARAPIDANA NARKOBADAN RISIKONYA
study with case control design in Sanglah TERHADAP PENULARAN HIV/AIDS DI LAPAS
Hospital. The case of these research was KELAS IIA JEMBER (THE BIHAVIOUR OF DRUG
breast cancer patients as many as 40 people INMATES IN SEXUAL FULFILLMENT IN
and the control as many as 40 who were by PENITENTIARY AND ITS RISK TOWARD
simple random. Results: In this study, the HIV/AIDS INFECTION IN CLASS IIA JEMBER)
distribution of age groups in the cases group ABSTRACT From 101.036 inmates in
was the age group 40-49 years as many as 15 penitentiary, 23.409 of them are because of
people (37.5%). While most age groups in the drug case. 70% of them are addict and 40%
control group aged 30-39 years were 19 are injection drug user (IDU). Most of them
people (47.5%). There is a significant are on active sexual aged. Penitentiary is the
difference between the level of education of high risk place in HIV Infection because
the case group and the control sample (p- enhancement of high risk bihaviour. This
value = 0.025). education level which were situation get worse because of high residental
high school graduate / equivalent in cases level and limited health facility for inmates.
group and control group, respectively 18 Consequently the mount of inmates test
people (45.0%) and 22 (55.0%). Group of case result HIV positive always be increas. This
was not working or housewives as many as 14 research aimed to analyse behaviour of drug
people (32.5%). Whereas in most of the inmates in sexual fulfillment in penitentiary
control that works as a civil servant 11 people and its risk toward HIV/AIDS infection in Class
(27.5%). There were significant differences IIA Jember. This research used qualitative
between case groups work and control group methode with fenomenology approach. The
Conclusion: Therefore, the health department data is collected by purposive sampling to 8
needs to pay attention to the community drug inmates, aged 20-55 by indepth
targeted group, especially its characteristics interview. The result of this research showed
which will be the target in breast cancer that the majority of drug inmates have libido
prevention program. in penitentiary. Only a few of them can
diverted their libido with doing another
activity in work area or praying. The behaviour
ID: 169 of sexual fulfillment of drug inmates are
warious. Majority of drug inmates did
101. PERILAKU PEMENUHAN KEBUTUHAN
masturbation. A few of them used blue film
SEKSUAL NARAPIDANA NARKOBADAN
from MP3. A few of them did another activity
RISIKONYA TERHADAP PENULARAN
HIV/AIDSDI LAPAS KELAS IIA in order to fulfill their sexual satisfaction of
JEMBER(THE BIHAVIOUR OF DRUG themself and their sexual partner by inserting
INMATES IN SEXUAL FULFILLMENT IN 2-20 bullets from toothbrush handle to their
PENITENTIARY AND ITS RISK TOWARD penis using knife making from toothbrush
HIV/AIDS INFECTION IN CLASS IIA handle and coffee powder as depresant.
JEMBER)
Another responden said when libido came
and they did not have any actifity, they
Dewi Rokhmah, S.KM, M.Kes Rokhmah,
drawed tatoo from dynamo toys modificated
Husni Abdul Gani
with bateray. This actities caused transmision
HIV/AIDS to inmates because there was blood
Public Health Faculty University of Jember
contact from unsteril tools between inmates.
ABSTRACT BOOK
This research concluded that there were risk Hemagglutinasi inhibition (HI) methods with
behaviour in drug inmates in sexual reference antisera A/California/07/2009
fulfillment. Extra controling is needed to drug (H1N1) pdm and A / Influenza / Brisbane /
inmates actifity and tools were carried in H1N1pdm. Results There are 205 specimens
penitentiary. Keywords : drug inmates, sexual that met inclusion criteria for virus cultured.
fulfillment behaviour, HIV/AIDS All isolates that can be grown were detected
by using Hemagglutinasi (HA) test. Total 68
specimens or 33.2% out of 205 specimens
ID: 172 were successfully grown and 3 specimens
(1.46%) who eventually were excluded
102. ANTIGENIC CHARACTERIZATION OF
because of contamination. Of the 68 positive
THE PANDEMIC H1N1PDM09 PATIENTS
isolates of influenza followed by
IN INDONESIA IN 2009
Hemagglutinasi Inhibition (HI) examination to
Ni Ketut Susilarini, N.K Susilarini, Vivi identify antigenic characterization using two
Setiawaty, Mursinah, Herna Hariandja, reference antisera ; A/California/07/2009
Nur Ika Hariastuti, Krisna Nur A.P (H1N1) and A/Influenza/Brisbane/H1N1pdm.
All isolates (100%) showed antibodies to the
Pusat Biomedis dan Teknologi Dasar antigen binding antisera A/California/07/2009
Kesehatan (Pusat 1) (H1N1) pdm. Conclusion Regarding to the
result, definitely, all H1N1pdm09 human cases
Background Until December 2009, in which were circulating in Indonesia in 2009
Indonesia, 1892 suspected cases of H1N1 had an A/California/07/2009 (H1N1) pdm
were reported and the laboratory type. Keyword : H1N1pdm09,Indonesia, 2009
examination was conducted at the Center for
Biomedical and Basic Health Technology,
NIHRD. 890 positive cases were confirmed ID: 174
Influenza A/H1N1pdm09 and 12 deaths
103. PREVENTION MODEL OF MALARIA
(Unpublished data). Influenza is a disease
INCIDENCE IN AMBON
caused by influenza viruses that normally
infect the human respiratory system that
Richard Nahumury, Chatarina U.Wahyuni,
often require hospitalization until death.
Lucia Y. Hendrati
Antigenic characterization of influenza should
be identified from virus isolates which are
BTKL & PP Ambon
obtained from clinical specimens is an
essential part of influenza surveillance in the PREVENTION MODEL OF MALARIA INCIDENCE
whole world. This study will conduct the IN AMBON Ambon is one of the 11 districts /
antigenic characterization of influenza virus city in the province of Maluku to the number
isolates from cases Influenza A/H1N1pdm09 of cases of malaria is high. Annual Parasite
in 2009 in Indonesia which have not been Incidence (API) of Ambon in 2011 was 4.7 per
elucidated. Methods Positive clinical 1000 population. Of the 50 villages in Ambon
specimens Influenza A/H1N1pdm09 by RT- 32% of them are in areas with a high case
PCR from archive samples were cultured using incidence stratification. The purpose of this
MDCK cell. Firstly, grown culture was study is to formulate a model of the incidence
confirmed by using Hemagglutinasi (HA) test. of malaria prevention in Ambon. The study
Afterward, it will be characterized using was observational, using case-control design,
which was done to measure the risk of the
independent variables include the Semarang Health Polytechnic
environment in the home, outside the home
Abstract Backgrounds: Exclusive breastfeeding
environment, socio-cultural, health care and
the dependent variable was the incidence of (EBF) during the six months of life plays an
malaria. Groups of cases are individuals who important role in child survival. However, the
tested positive for malaria by microscopic prevalence and duration of EBF tend to
examination, while control is the individual decrease in Indonesia. To improve EBF
who expressed negative microscopic malaria duration, we have to treat the suspected
with laboratory test centers. The results factors of the decline of EBF. Objective. The
showed that the risk factors for not suffering aim of the study is to identify EBF
from malaria is the use of wire netting (OR = determinants at maternal, family, community,
2.538, 95% CI = 1.214 to 5.306), the presence and organizational level. Methods. This was a
of the ceiling (OR = 2.854, 95% CI = 1.461 to pretest posttest control group design with
one group per condition which two public
5.574), the presence of larvae (OR = 3.248,
health centers (PHC) in the Demak District as
95% CI = 1.280 to 8.240), use of bed nets (OR
= 2.667, 95% CI = 1.315 to 5.409), and using a unit intervention. A total of 163 families
insect repellent (OR = 2.638, 95% CI = 1393 to were enrolled, including pregnant mothers,
4.996). Dominant factor for the prevention of fathers, and grandmothers. We also recruited
malaria is the presence of Anopheles the social environments of the mothers, i.e.
mosquito larvae. The resulting model is the voluntary health workers, traditional birth
use of wire netting, where ceiling of the attendants, Muslim scholars, heads of villages,
house, the presence of Anopheles mosquito village midwives, and PHC staff. The outcome
larvae the use of mosquito nets and the use of measured were EBF duration and the
anti-mosquito with predictive value for predictors at multiple levels. We analyzed
malaria does not occur as much as 92%. It is using Cox proportional-hazard model. We did
recommended for the environmental clean up not analyze using multilevel analysis due to
activities around especially in places where some reasons. Results. We analyzed EBF
potentially serve as a breeding place, for the determinants at each level and the final
Department of Health is to maximize the model for all levels. At maternal level,
vector control program to control larvae of mothers who had lower knowledge, lower
Anopheles sp with a chemical (larvaciding) attitudes, and breastfeeding difficulties were
more likely to stop EBF. At family level,
and against adult mosquitoes. Keywords:
Malaria, Prevention, Risk Factors. mothers who lived with fathers with low
knowledge and attitudes, and grandmothers
with low attitudes were more likely to feed
ID: 175 their babies. At community level, mothers
who lived in the village which village midwives
104. DETERMINANTS OF EXCLUSIVE had low knowledge and attitudes, and Muslim
BREASTFEEDING IN RURAL JAVA. scholars had low knowledge were more likely
RESULT OF AN EXCLUSIVE to stop EBF. At organizational level, mothers
BREASTFEEDING PROMOTION
who received free sample milk formula at
discharge and breastfeeding initiation >1 hour
Kun Aristiati Susiloretni, Yati S Sunarto,
were more likely to give food to their babies.
Hamam Hadi, RR Yayi Suryo Prabandari
The final model showed a greater chance to
ABSTRACT BOOK
stop EBF in mothers with low knowledge explorative in the form of case studies. The
score (HR 2.36, 95%CI1.10-5.07), fathers with case are families that came from the top and
low attitudes (HR 1.43, 95%CI 1.02-1.99), and bottom of the hills who have experienced the
mothers received free sample milk formula at death of a baby one or more times in the last
discharge (HR 3.17, 95%CI 1.86-5.42). 5 years. Data collection uses qualitative
Conclusions. The determinants of EBF approach through observation and in-depth
identified were categorized into maternal, interviews. Transcripts were analyzed by
family, community, and organizational levels. descriptive-qualitative content according to
Those should be addressed when conducting the purpose. Results: Geographical factors
EBF promotion to prolong its duration and influence infant mortality rate in the region.
prevalence. Keywords. determinants, Geographical factors seen from the ratio of
exclusive breastfeeding, , maternal level, officers and health care to population and
family level, community level, organizational transportation allows people to access health
level services. Result of this research note that the
ratio of health workers to population in
Muntigunung is 1 / 5319. The road in
ID: 177 Muntigunung does not reach all the groups
and existing transit systems are also
105. GEOGRAPHICAL CONDITIONS AND
inadequate. This will affect access to health
CULTURAL DETERMINANTS AND
services at the health centers. Access
IMPLICATIONS OF INFANT MORTALITY
IN MUNTIGUNUNG VILLAGE, difficulties affect the quality of maternal care,
KARANGASEM REGENCY ,BALI PROVINCE clean delivery and newborn care in
Muntigunung. Cultural factors also affect the
Ni Putu Widarini Widarini, I Ketut existence of the belief that childbirth is a
Tangking Widarsa, Luh Putu Suariyani, normal delivery at home, mostly labor helped
Sutiari Ketut Rina Listyowati her husband and other family members and
the umbilical cord is cut with "ngad
PS IKM FK Universitas Udayana "(sharpened bamboo) without sterilization.
This issue also contribute to high infant
Background: The condition of the area in the mortality rate in Muntigunung Conclusions:
village of Muntigunung Tianyar Kubu Sub The condition of geographical and cultural
District, Karangasem, Bali Province, is very determinants associated with lower access to
alarming. This area consists of dry hills and health care is a serious issue that has
have no springs. Residents live scattered in 35 implications for the survival of poor children
groups and a total of 12 groups are located in as the next generation. To improve a
the upper area, in the hills that are hard to comprehensive and collaborative child health
reach. The village has the largest number of status, efforts are needed in the population to
poor households in Karangasem regency and increase the access to quality services with
is known as a contributor of Bali's biggest the improvement of the transport system so
beggar and the highest infant mortality rate in that people's access to better health care and
Karangasem. Objective:This study aims to equitable. Other efforts include Pustu
identify the determinants of geographical and revitalization in Muntigunung, posyandu in its
cultural and the implications for infant infrastructure, personnel and programs.
mortality in the village Muntigunung. Keywords: Determinants, geographical,
Methods: The study design was a descriptive- cultural, Infant Mortality
collection was used verbal autopsy
instruments and interviews were done by BPS
ID: 182 enumerators during November-December
2011. Variables of the study were included
106. SOCIAL HEALTH FINANCING AND
demographic characteristics (age, rural/urban,
COMMUNITY EMPOWERMENT ON
educational background, and employment),
MATERNAL DEATHS IN INDONESIA:
USING THE FOLLOW UP STUDY OF the community status (availability of
INDONESIA 2010 POPULATION CENSUS emergency response vehicle Ambulans
DATA Desa and village alert system Desa
Siaga), and also social health financing
Anissa Rizkianti, Tin Afifah, Rika (ownership and utilization of health
Rachmalina, Prisca P. Arfines insurance). Results: The study result shows
that 43% cases had social health insurance,
Pusat Teknologi Intervensi Kesehatan while 60,5% of them used Jamkesmas, 8,9%
Masyarakat (Pusat 3) used SKTM, and 5,8% used Jamkesda.
Although there were only 70% who utilized
Backgrounds: One of the health development
the insurances. Meanwhile, only 19% cases
goals is to improve the optimal level of public
lived on the district with village alert system
health, where Maternal Mortality Ratio
Desa Siaga and 8,8% cases with
(MMR) is the important indicator. MMR in
emergency response vehicle Ambulans
Indonesia is the highest in Southeast Asia.
Desa. Conclusions: The utilization of social
Low accessibility of maternal health care is
health insurance on maternal death cases is
related to high cost and low community
still relatively low. It is also occurred to the
participation that contributes to the high of
level of community empowerment of some
MMR. A follow-up study of Indonesia 2010
emergency cases related to maternal death
Population Census which had been
that remains low. Keyword: maternal death,
implemented by National Institute of Health
social health financing, community
Research and Development provided some
empowerment.
information of social health financing and
community empowerment on maternal
deaths, and this article is part of the report.
ID: 183
Objectives: To obtain an overview of health
financing and community empowerment on 107. CARE SEEKING BEHAVIOR AMONG
maternal deaths Methods: Follow-up study of MATERNAL DEATH CASES IN INDONESIA:
Indonesia 2010 Population Census is a non- FOLLOW UP STUDY OF PREGNANCY
interventional study with a cross-sectional RELATED DEATH OF THE INDONESIA
2010 POPULATION CENSUS
design. Population is all reported deaths
occurred during pregnancy for up to 2 months
Ika Saptarini, Tin Afifah, Novianti, Anissa
after birth (1 January 2009 until data
Rizkianti
collection) as 8464 cases, with a sample of
4167 cases based on 134 districts/cities
selected. Samples were obtained by PPS
stratified probability sampling technique.
2572 samples were met the inclusion criteria Background: Every pregnant woman exposed
of death up to 42 days after birth. Data to the risk of maternal death. Maternal
ABSTRACT BOOK
Mortality Ratio in Indonesia is the highest in (35%), economics problems (32%) and
Southeast Asia. The under existing socio- transportations (26%). Conclusion: Universal
economic conditions, inadequate of health coverage for pregnancy women vary between
facilities and care seeking behavior are the regions. Pregnancy women tend to visit health
potential risks of pregnancy related death. facility but in some area still more likely to
This paper is the part of report the Follow up traditional birth attendant and delivered at
Study of pregnancy related death from home. Keyword: maternal mortality, care
Indonesia 2010 Population Census. seeking behavior, pregnancy related death,
Objectives: To describe the care seeking population census
behavior among maternal death Methods:
Population is pregnancy related deaths in
Indonesia (8484 cases). All cases in every ID: 185
district were defined as a unit sample. All
108. ANALISIS LANJUT RISET KESEHATAN
districts and the number of cases were listed
DASAR 2010: PENGGUNAAN
as sample frame and referred to 5 regions
ARTEMISININ-BASED COMBINATION
(Sumatera, Java-Bali, Kalimantan, Sulawesi THERAPY DI INDONESIA
and East Indonesia). The sampling of districts
used Stratified Probability Proportional to Size Yenni Risniati, Emiliana Tjitra
(PPS) technique. There were a total of 4167
cases selected at 134 districts in 27 provinces Pusat Teknologi Terapan Kesehatan dan
since 1 January 2009 until census, but only Epidemiologi Klinik (Pusat 2)
2575 cases matched to inclusion criteria of
pregnancy related death until 42 days after Latar belakang : Artemisinin-Based
birth. The samples of pregnancy related death Combination Therapy (ACT) saat ini
cases of Indonesia 2010 Population Census merupakan pengobatan malaria pada kasus
were interviewed by enumerator with criteria yang hanya sudah dikonfirmasi dengan
of D3 education, experience in health survey pemeriksaan darah. Riset Kesehatan Dasar
or paramedic educated. Data collection used (Riskesdas) 2010 melaporkan hanya 49% dari
autopsy verbal instrument during November responden yang positif malaria mendapatkan
until December 2011. Variables are ACT. Di Indonesia, Obat ACT di tiap daerah
demographic background of the cases (age, berbeda-beda. Artesunat-amodiakuin di Jawa
urban/rural, educational background) and mulai digunakan tahun 2004 dan di
care seeking behavior (antenatal care, birth Kalimantan-Sulawesi pada tahun 2010,
attendant, post natal care and emergency sedangkan di Papua sejak tahun 2008
care). Result: The maternal death in rural is menggunakan dihidrortemisinin-piperakuin.
higher than urban. Almost 92% maternal Obat ACT sebagian besar sudah tersedia di
mortality that reported used antenatal care. Puskesmas, sedangkan sarana kesehatan
The midwife is the highest percentage as birth lainnya terutama swasta dan praktik pribadi
attendant (42%), 27% cases still asked the mendapatkan obat ACT dari Dinas Kesehatan.
traditional birth attendant and 40% still Tujuan : Menggambarkan penggunaan ACT di
delivered at home. Among complication Indonesia. Metode : Penelitian ini merupakan
cases, only 80% got the treatment. Some analisis lanjut dari data Riskesdas 2010. Data
cases faced the referral system problem. The diperoleh dari laboratorium data Badan
three most common reasons of low Penelitian dan Pengembangan Kesehatan.
affordability of health services were distant Variabel dependen dalam analisis lanjut ini
adalah ACT pada kasus malaria yang 109. ANALISIS LANJUT RISET KESEHATAN
didiagnosis oleh tenaga kesehatan dalam satu DASAR 2010:FAKTOR YANG BERPERAN
bulan terakhir, dan sebagai variabel TERHADAP KEJADIAN MALARIA DI
WILAYAH INDONESIA BAGIAN TIMUR
independen adalah karakteristik, daerah dan
sarana kesehatan termpat responden
Eni Yuwarni, Yenni Risniati, Dwi Hapsari,
didiagnosis. Hasil : Dari 1632 responden yang
Emiliana Tjitra
didiagnosis malaria dengan pemeriksaan
darah dalam 1 bulan terakhir, hanya 761
(46,6%) mendapatkan ACT. ACT pada anak
Kesehatan (Pusat 1)
(40%) lebih sedikit dibandingkan dewasa
(49,2%) (OR 0,7, CI 95%: 0,55-0,86, p=0,001). Latar belakang: Kejadian malaria dipengaruhi
Terdapat 35,2% responden yang mendapat oleh penjamu, parasit malaria dan lingkungan.
ACT dalam 24 jam, dan 41,7% responden yang Hasil Riset Kesehatan Dasar (Riskesdas) 2010
meminum obat ACT sampai habis. Hanya 32% melaporkan angka kejadian malaria di seluruh
responden mendapat ACT dalam 24 jam dan provinsi wilayah Indonesia bagian Timur
meminumnya hingga habis (pengobatan diatas angka nasional yaitu 22,9 permil. Pada
efektif). Pengobatan efektif pada anak 26,8% Riskesdas 2010 tersedia data karakteristik
dan lebih banyak pada dewasa 34,1% dengan penderita malaria dan data lingkungan tempat
OR 0,7 (95% CI: 0,56-0,90, p=0,005). Terdapat tinggal yang terbatas. Analisis lebih lanjut data
36,4% responden di kota dan hanya 29,6% yang tersedia tersebut dengan kejadian
responden di desa yang mendapat malaria di Indonesia bagian Timur menarik
pengobatan efektif (OR=1,4, CI 95%: 1,10- dilakukan. Tujuan: Menilai hubungan kejadian
1,69, p=0,005). Penggunaan ACT tertinggi di malaria dengan faktor karakteristik penduduk
Jawa-Bali (70,8%), Sumatra (52,8%), Papua dan lingkungan fisik . Metode: Penelitian ini
(51,7%), Maluku dan sekitarnya (Maluku merupakan analisis lanjut dari data wilayah
Utara, NTB dan NTT) (46,8%), Kalimantan- Indonesia bagian Timur yang dikumpulkan
Sulawesi (44,9%), dan terendah di Papua pada Riskesdas 2010. Variabel dependen
Barat (15,8%). Sarana kesehatan tempat adalah kejadian malaria dalam satu tahun
responden terakhir didiagnosis malaria yang terakhir yang didiagnosis oleh tenaga
paling banyak menggunakan ACT adalah kesehatan berdasarkan hasil pemeriksaan
Poskesdes (87,5%), sarana kesehatan lainnya darah, dan sebagai variabel independen
yang banyak adalah Puskesmas (51,6%), adalah karakteristik individu dan lingkungan
Rumah Sakit Pemerintah (49,8%) dan Polindes fisik. Analisis data dilakukan dengan uji regresi
(51,2%). Sarana kesehatan yang sedikit logistik ganda untuk menentukan faktor yang
menggunakan ACT adalah Puskesmas berperan terhadap kejadian malaria. Hasil:
Pembantu (43,5%), praktik dokter (42,2%), Dari 23.451 responden di wilayah Indonesia
praktik bidan (41,1%), Rumah Sakit Swasta bagian Timur, sebanyak 11,7% (95% CI:10,6-
(35,5%) dan Klinik/balai pengobatan (34,5%). 12,8) mengalami kejadian malaria. Responden
Kesimpulan : Penggunaan ACT di Indonesia yang tinggal di Papua mengalami kejadian
belum merata dan masih perlu ditingkatkan malaria 4,2 (95% CI: 3,5-5.1, p=0,000) kali
terutama pada anak. lebih tinggi dibandingkan responden yang
tinggal diluar Papua, sedangkan responden
laki-laki mengalami kejadian malaria 1,2 (95%
ID: 187 CI: 1,1-1,4), p=0,000) kali responden
perempuan, dan responden yang tinggal
ABSTRACT BOOK
dekat pemeliharaan hewan besar mempunyai consent . The participants completed 2

risiko 1,9 (95% CI: 1,5-2,4, p=0,000) kali established questionnaires, SCL-
dibandingkan dengan yang tidak tinggal di 90R scale and SF-36.Descriptive and
disekitar tempat pemeliharaan hewan besar. inferential statistics were used in the analysis.
Kesimpulan: Masyarakat di Papua, laki-laki Additionally, we conducted regression
dan tinggal di dekat tempat pemeliharaan analyses to determine predictors of quality of
hewan besar adalah kelompok berisiko life among study patients. Results The
terhadap kejadian malaria di Indonesia bagian proposed model predicted 54.6% of the
Timur. variance in patients SF-36 Mental
Component scores. Patient Physical
Component summary scores were associated
ID: 188 with older age ( = 0.308, P =0.006), state of
education ( = 0.308, P = 0.006),smoking
110. THE EFFECT ON LIFE QUALITY OF
habit ( = -0.249, P = 0.048) , surgical
ORAL CANCER PATIENTS AFTER THE
management( = 0.193, P = 0.048) and
ORTHOPEDIC SURGERY
Positive Symptom Distress Index (i.e., the
Chi-Chang Chang intensity of psychological symptoms; = -
0.782, P = 0.022). In addition , the proposed
Chung-Shan Medical University model predicted 47.4%of the variance in
patients SF-36 Physical Component
Backgrounds According to statistics of the scores. Patient Mental Component summary
Department of Health in scores were associated with Somatization ( =
Taiwan, the percentage of oral cancer -0.354, P = 0.002) , Anxiety(= 0.654,P
death ranked the fourth among =0.022), Hostility(= -0.375,P =0.048),
men, there were 35.9 people with oral Psychoticism (= -0.5,P =0.031),and Global
cancer per ten thousand, and oral cancer Severity Index (= 4.463,P =0.005) .
occur death age have been dropping as Conclusions In a prospective study of 64
well. One can only imagine the impact of patients, 1 in 3 met the threshold for
these changes to their quality of life as a psychological distress. psychological
result of these changes . Objectives The symptoms were significantly associated with
objective of this study was to investigate the both SF-36 Physical Component and Mental
extent of psychological symptoms that Component summary scores. Future research
individuals experience following orthopedic is necessary to determine whether orthopedic
trauma and whether these are associated surgery patients would benefit from early
with quality of life. Further, this study can act screening and intervention to address
as a guide in improving and creating a quality comorbid psychopathology.
of life rehabilitation of care for patients
with oral cancer . Methods This study
adopted the cross-sectional survey, the ID: 192
sample consisted of one sixty-four patients (>
age 18) with oral cancer, recruited from 111. DOSIS TUNGGAL ARTEMISININ-
NAFTOKUIN DIBANDINGKAN DENGAN
the orthopedic clinic of Medical Center at
DIHIDROARTEMISININ-PIPERAKUIN
central Taiwan, were Chinese speaking , were PADA SUBYEK DEWASA TERINFEKSI
cognitively able to complete the PLASMODIUM FALCIPARUM TANPA
questionnaires and provided informed KOMPLIKASI DI INDONESIA
(95% CI: 96.8-100%), dan pada DHP adalah
Hadjar Siswantoro, Armedy Ronny 89.2 % (95% CI:87.1-92.5) dan 97.1% (95%
Hasugian, Telly Purnamasari, Sri Laning, CI:95.0-99.4). Rerata bebas parasit dan bebas
Lidwina Yanuar, Tersila Dedang, Emiliana demam dengan ANT adalah 22.2+10.8 jam
Tjitra dan 12.8 + 7.2 jam, dan 20.7+9.0 jam dan 12.3
+ 6.2 jam dengan DHP. Perbaikan kadar
Pusat Teknologi Terapan Kesehatan dan hemoglobin terjadi pada hari ke 28 setelah
Epidemiologi Klinik (Pusat 2) pengobatan ANT dan DHP. Kejadian
sampingan yang dilaporkan dengan ANT
LATAR BELAKANG: Saat ini progam adalah batuk sebanyak 2.5% dan 1.4% dengan
menggunakan kombinasi dihidroartemisinin- DHP. KESIMPULAN: Artemisinin-naftokuin
piperakuin (DHP) sebagai obat lini pertama menunjukkan efikasi dan keamanan yang
untuk malaria falsiparum tanpa komplikasi. sama dengan dihidroartemisinin-piperakuin
Telah dilaporkan terjadinya penurunan efikasi pada pengobatan subyek dewasa dengan
ACT yang dapat diakibatkan karena dosis obat
malaria falsiparum tanpa komplikasi. Kata
tidak diminum sesuai petunjuk dokter.
kunci: dihidroartemisinin-piperakuin,
Kombinasi artemisinin-napthokuin (ANT) artemisinin-napthokuin, Plasmodium
merupakan obat ACT baru dengan dosis sekali falciparum, Indonesia.
minum yang dapat memperbaiki kepatuhan
minum obat. TUJUAN: Membuktikan
keamanan dan efektifitas ANT dosis tunggal ID: 195
sama dengan DHP pada pengobatan subyek
dewasa terinfeksi P. falciparum tanpa 112. EPIDEMIOLOGIC TRANSITION IN
komplikasi. METODE: Penelitian ini INDONESIA FOR 21 YEARS AND HEALTH
merupakan bagian dari studi invivo: a CARE IMPLICATION ACCORDING TO
HOUSEHOLD HEALTH SURVEY,
phase III, randomized, open label, to assess
NATIONAL HEALTH SURVEY, BASELINE
the efficacy and safety of orally administered
HEALTH RESEARCH (1986-2007)
fixed single dose artemisinin plus
naphthoquine (Arco) in comparison with Sarimawar Djaja
dihydroartemisinin plus piperaquine (Duo-
Cotecxin), 1:1 (Arco:Duo-Cotecxin) Pusat Teknologi Intervensi Kesehatan
in adult patients affected by acute, Masyarakat (Pusat 3)
uncomplicated Plasmodium falciparum,
Plasmodium vivax malaria and other malaria: The result of cause of death from several
A Multi-centre study in Indonesia. Uji national health surveys could provide an
klinik dilakukan sesuai protokol WHO 2003. analysis of the epidemiological transition in
Subyek penelitian diobservasi selama 42 hari, Indonesia as well as health care efforts to
dan analisis efikasi dilakukan dengan improve public health. Material taken from
menggunakan survival curve program SPSS 17 the Household Health Survey (HHS) 1986,
pada sampel intention to treat (ITT) dan 1992, 1995, National Heath Survey
menurut protokol (PP). Keamanan dinilai (NHS/Surkesnas) 2001, Baseline Health
secara klinis. HASIL: Sebanyak 153 subyek Research (BHR/Riskesdas) 2007 using cross-
direkruit pada penelitian ini. Efikasi terapeutik sectional method for the death over a period
ANT pada hari ke 42 per populasi ITT dan PP of one year before the survey in selected
adalah 96.2% (95% CI: 94.1-99.5%) dan 100% households. The sample of the 1986 HHS
ABSTRACT BOOK
comes from 7 provinces covering 56,900 Syarif

households (HH) based on stratified random
sampling technique. Household Health Survey Pusat Teknologi Terapan Kesehatan dan
sample in 1992, 1995, 2001, 2007 using a Epidemiologi Klinik (Pusat 2)
Susenas Core sample and or module that
include 65.664 HH, 206.240 HH,211.168 HH, Latar Belakang : Tuberkulosis pada anak dapat
258.366 HH. Susenas samples taken with a menyebabkan penurunan kualitas generasi.
Probability Proportional to Size (PPS). Cause Imunisasi dasar BCG tidak menjamin
of death data was collected by quesioner kekebalan anak terhadap penyakit
using verbal autopsy technique and was tuberkulosis. Pemberian INH profilaksis
classified based on ICD 9 and 10. Ongoing merupakan salah satu cara untuk mencegah
epidemiological transition period continues in penularan. Pedoman Nasional Pengendalian
Indonesia and unfinished, this Epidemiological Tuberkulosis mencantumkan pemberian
Transition has started earlier in Java and Bali, profilaksis pada anak, terutama balita yang
kontak erat dengan penderita tuberkulosis
more powerful, and run faster than in regions
dewasa. Dalam rangka mendukung
outer Java and Bali. Reduction burden of
disease is focused on communicable disease penurunanan angka kesakitan tuberkulosis
(infectious, maternal-perinatal, nutritional pada anak, perlu diketahui gambaran
deficiencies) and non-communicable disease. pelaksanaan kegiatan profilaksis primer
Non-communicable diseases to be prevented tuberkulosis pada anak di kota yang padat
and treated properly is endocrine disease, penduduknya. Tujuan : Menggambarkan
diseases of the circulatory system (heart and fasilitas dan pelaksanaan kegiatan profilaksis
blood vessels including stroke), and neoplasm. primer tuberkulosis pada anak di Puskesmas
In Java Bali region, the burden to overcome Kota Bekasi. Metode : Penelitian ini berupa
non communicable disease is greater than the survei di 31 Puskesmas kota Bekasi. Survei
burden to overcome communicable disease. dilakukan terhadap petugas pemegang
In outer Java Bali region, the burden to handle program tuberkulosis dengan wawancara dan
communicable disease including maternal menggunakan kuesioner terstruktur. Data
disease and perinatal disorder is greater than dianalisis secara deskriptif dan disajikan dalam
in Java Bali region. The Government persen. Hasil : Seluruh Puskesmas tidak
responsible for realising equitable health care mempunyai fasilitas pemeriksaan rontgen
for all citizens, improving the quality of health thorax. Empat (12,5%) Puskesmas dapat
melakukan pemeriksaan tuberkulin, dan 27
care resources and arrangement performance
of duty are evenly distributed throughout (87,5%) Puskesmas lainnya merujuk ke Rumah
Indonesia. Key words: epidemiologic Sakit atau Puskesmas lainnya. Sediaan INH
untuk dewasa tersedia di 12 (38,8%)
transition, diseases, region
Puskesmas. Semua Puskesmas mempunyai
buku Pedoman Nasional Penanggulangan
ID: 197 Tuberkulosis. Sebanyak 20 (64,5%) Puskesmas
mempunyai 1 petugas yang telah dilatih
113. PROFILAKSIS PRIMER program direct observe treatments (DOTs), 9
TUBERKULOSIS PADA ANAK DI (29%) Puskesmas memiliki 2 petugas yang
PUSKESMAS KOTA BEKASI telah dilatih DOTs, dan 2 (6,5%) Puskesmas
mempunyai 3 petugas yang telah ikut
Retna Mustika Indah, Armaji Kamaludi pelatihan DOTs. Rata-rata masa kerja di
Puskesmas selama 8.5 tahun. Hanya 2 (6,5%) Therefore, a confirmation diagnoses using
petugas pemegang program TB menjawab molecular techniques is required to obtain
seluruh 11 pertanyaan mengenai skoring definitive result. Samples are blood spot of
tuberkulosis dan profilaksis dengan benar. malaria patients collected from an exploration
Dari 13 (41,9%) Puskesmas yang telah study of P knowlesi in several sites in
melakukan skoring pada tuberkulosis anak Kalimantan. The DNA was extracted using
sebagai dasar untuk pengobatan atau commercial column method. A Nested PCR
pemberian profilaksis, hanya 3 (9,7%) method was applied using primers of rPLU1-
Puskesmas yang melakukan profilaksis primer rPLU5 for the first round PCR, and rPLU3
pada anak yang kontak erat sejak tahun 2011. rPLU4 for a nested PCR to identify the
Puskesmas dengan kasus BTA positif Plasmodium genus. When the result is
terbanyak belum melaksanakan kegitan positive, another nested PCR using primer of
profilaksis. Demikian pula, Puskesmas dengan Kn1f and Kn3r is run to identity P knowlesi
kasus anak terbanyak juga belum from the first PCR product. Nucleotide
melaksanakan pemberian profilaksis. sequence analysis was conducted to confirm
Kesimpulan : Profilaksis primer tuberkulosis the result. The result shows that there was
pada anak belum dilaksanakan rutin. one sample identified as P knowlesi, the size
Sosialisasi, pelatihan secara berkala kepada of the band is 290 bp. Sequence analysis from
petugas, dan peningkatan fasilitas Puskesmas the PCR product showed that the sequence is
diperlukan untuk menunjang pemberian 100 % identical with ss ribosomal RNA P
profilaksis. Kata kunci: tuberkulosis, anak, knowlesi gene previously submitted to
profilaksis, primer, Bekasi GenBank. Key words: Plasmodium knowlesi,
identification, molecular
ID: 202
ID: 203
114. MOLECULAR IDENTIFICATION OF
PLASMODIUM KNOWLESI FROM SOUTH 115. CONFIRMATION OF PLASMODIUM
KALIMANTAN FALCIPARUM TREATMENT FAILURE
CASES BY PCR GENOTYPING
Rita Marleta Dewi, Rita Kusriastuti, Retno
Triastuti, Sarwo Handayani, Endah Aryani, Ervi Salwati, Emiliana Tjitra
Ryanti Ekowatiningsih, Budi Prasetyrini,
Basundari Sri Utami, Sahat Ompusunggu, Pusat Biomedis dan Teknologi Dasar
Sekar Tuti, and Balbir Singh Kesehatan (Pusat 1)
Pusat Biomedis dan Teknologi Dasar This study was a part of the activity in clinical
Kesehatan (Pusat 1) trial artemisinin-naphthoquine (AN) in
comparison with dihydroartemisinin-
ABSTRACT Plasmodium knowlesi is the fifth piperaquine (DHP) in Maumere and Jayapura.
human Plasmodium which previously infected Treatment failure in clinical trial, may be
macaques. Microscopically, this Plasmodium caused by P. falciparum resistant to
was doubtly identified as P falciparum or P antimalarial drug or new infection. PCR
malariae, since in the young stage the genotyping with three markers, merozoite
morphology is look like P falciparum and its surface protein 1 (MSP1), merozoite surface
similar to P malariae in mature stage. protein 2 (MSP2) and the glutamate-rich
ABSTRACT BOOK
protein (GLURP) has been recommended by 116. THE EFFECTIVENESS OF

WHO to distinguish between parasite HYPERTENSION QUARTET FOR
resistant and new infection. In this study, PRIMARY AND SECONDARY STUDENT TO
PREVENT HYPERTENSION CASES IN
Plasmodium falciparum infections on failure
DISTRICT REMPOA, 2012"
cases were genotyped for allelic variation in
the 3 markers, before (D0) and after
Nadia Tahsinia, Badra Al- Aufa
antimalarial drug treatment (DF). The
genotypes at D0 were compared by DF to
Fakultas Kedokteran dan Ilmu Kesehatan,
confirm 13 of 19 P.falciparum treatment
UIN Jakarta
failure cases whether resistant or new
infection. PCR amplifications completely Background: Hypertension is a major risk
successful 100% for MSP1 (D0 &DF), MSP2 factor for cardiovascular diseases. Based on
(DF) and GLURP (D0) and the lowest (76,9% ) the results of field studies found on 2011, the
for GLURP (DF) and 69,2% (9 0f 13) when all 3 biggest health problems in the Rempoa Village
genes were combined. Interestingly, 3 of 4 is hypertension. In January October 2011,
(75%) samples with no amplification (mean there are more than 1.140 prevalence of
asexual parasite 4049 /ul), were found for hypertension. Most people with hypertension
GLURP locus with day failure in the same day in Rempoa is elderly. Then, based on depth
(D35) and also shown there were gametocyts interview there are many risk factors that
at D0. Identification allele for each locus affect the cases of hypertension in the elderly,
genes shown that MSP1 had alleles lower (13 include stress, lack of rest, lifestyle, and diet
alleles) than others because MSP1 locus just high in sodium. Prevention of hypertension
had one allele (D0 and DF). Conversely, for should be done early. Primary prevention can
MSP2 and GLURP, there were some additional be aimed to children and adolescents, so it
alleles either at D0 and DF. By comparing the can be expected to break the chains of
pattern of genotype P.falciparum at D0 and hypertension. Left from thes thought,
DF each locus genes, the confirmation of researchers developed an interactive game
P.falciparum resistant from new infection called Hypertension Quartet. This
could be determined Outcome resistance and game can do by 3-4 people and assisted by an
new infection were interpreted based on the instructor at the end of game will provide an
WHO guidance. We found that the proportion explanatory of hypertension. Methods: The
of recrudescence and new infection almost method used in this study is a qualitative
the same (54% and 46%, respectively). method (semi-structured interviews), by
Recrudescence occurred within 17 days after giving a few questions before and after the
treatment and new infection occurred >28 game progresses. Results: After the game, the
days after treatment. Key words: students know about the dangers of
P.falciparum, PCR, MSP1, MSP2, GLURP, allele hypertention, how symptomps and
_____________ 1 National Institute of Health prevention for it. So, they begin to avoid the
Research and Development, Ministry of risk factors. From 10 children who play, there
Health, Jakarta, Indonesia are 8 students increased their knowledge.
Discussion and Conclusions: The results
showed that: Hypertention Quartet was
ID: 204 independently with increased hypertention
risk in School Child.
118. TUBERCULOSIS SUPPORT GROUP
ID: 206 "AWASI" (ATASI PENYAKITNYA,
WASPADA PENULARANNYA, IKUTI
117. PROFIL OF STAPHYLOCOCCUS PENGOBATANNYA): CONCRETE STEP
AUREUSS CONTAMINANT IN INFANT TOWARDS INDONESIA FREE OF
FORMULAS IN INDONESIA IN 2011 TUBERCULOSIS
Mariana Raini, Ani Isnawati, Nelly Bastomy Ali Burhan, Amalia Riza Umami,
Puspandari, Ondri Dwi Sampurno Mochammad Sholehuddin
Pusat Biomedis dan Teknologi Dasar Public Health Faculty University of Jember
Kesehatan (Pusat 1)
Background In Indonesia, tuberculosis is the
Abstract Scope of exclusive breastfeeding is third leading cause of death and including
still low because parents choose to give infant East Java in Indonesia's largest contributor. In
formula. In 2010, Riskesdas 2010 report Jember Regency there is an increasing
showed national exclusive breastfeeding rates number of people alleged to be positive and
is 15,3% (Riskesdas 2010). Powdered Infant suffers from tuberculosis. These health
formula are not sterile product and could be problems have to be solved with the building
contaminated with various bacteria including of effective partnerships in tackling
certain pathogen such as Staphylococcus tuberculosis and one step to solve the
aureus. The aim of this study was to detect problem is with the tuberculosis support
the prevalence of Staphylococcus aureus in groups. Objectives Tuberculosis support group
infant formula in Indonesia. The study were AWASI aims to help decrease
conducted in the Center of National numbers of TB problems in Sukowono District
Laboratory of Drug and Food (CNLDF) and the Jember Regency Methods This activity is
National Inastitute of Health Research and carried out by direct interview, observation
Development (NIHRD) Laboratory from and documentation of the data. Data sources
January through June 2011. Methods used to used are primary and secondary data. The
detect and enumerate S.aureus were location of the execution of the activities
conventional culture method, biochemical carried out in the District of Sukowono. The
examination and API staph (BAM-FDA). Eighty analysis of the situation carried out on the
eight brand name powdered infant formula 20th-27th June 2011 while socializing
were collected from retails in Indonesia by activities and declarations tuberculosis
Provincial Office the National Agency of Drug support group was held on July 29, 2011
and Food Control (NADFC). Result showed all Results Tuberculosis support group was
of powdered infant formula (88 samples) are formed with a Chairman, Secretary, Treasurer
not contaminated with S. aureus. All of and three sections namely netting section,
powdered infant formula meet the accompaniment section and counseling
requirements of the National Agency of Drug section. Netting section functioned trapping
and Food Control (NADFC). Key words : infant sufferers, mentoring section served as PMO
formula, Staphylococcus aureus, (Pengawas Minum Obat/Trustees on
contamination medication), and counseling section give you
guidance about TB. Conclusions Tuberculosis
support group AWASI is to build a
ID: 210 partnership within the community as the
ABSTRACT BOOK
container to produce independent community more than half of the informants trust the
who care about health, espescially diseases of food taboos. Taboo food on abstinence by the
the pulmonary tuberculosis. Stewardship in informants are animal groups such as eggs,
this tuberculosis support group consists of ex- catfish and meat. Groups in abstinence fruits
former sufferers of tuberculosis, patients and like mango, kuini, kasturi, pineapple and
health workers from the Puskesmas durian. Group vegetables in cucumber
Sukowono. In this tuberculosis support group abstinence, abstinence and other foods in ice
AWASIcontained three sections water and herbs. Conclusion The occurrence
namely netting, mentoring and counseling of anemia in pregnant women because of the
section that synergistically tackle tuberculosis belief that food taboos should not be
in Sukowono. Keywords : tuberculosis, consumed, but these foods contain many
tuberculosis support group, netting, nutrients for pregnant women. Keywords:
mentoring, counseling Pregnancy, Food Taboos, Anemia
ID: 216 ID: 218
119. REVIEW OF CULTURE FOOD EVENTS 120. IMPROVING QUALITY AND

TABOO ANEMIA IN PREGNANT WOMEN COMMUNITY HEALTH AWARENESS
IN THE VILLAGE OF SUNGAI ALAT SUB THROUGH RECOVERY PROGRAM FOR
DISTRICT ASTAMBUL BANJAR 2011 DRUG ADDICT
Meitria Syahadatina Noor, Adi Noegroho, Riki Irawan, Eka Prahadian Abdurahman
Siti Nur Fitriyana
Yayasan Caritas PSE
FK UNLAM
Background According to data from BNN
Iron nutritional anemia in pregnant women is 2011 the number of addicts and drug abusers
one public health problem in Indonesia in Indonesia 2% of the total population of
because the prevalence is quite high. The Indonesia The number of addicts and drug
main cause of anemia is iron deficiency. abusers in North Sumatra by BNNP 259.715
Cultural food taboos is one of the causes of people of a total population of 12.985.075
anemia. The purpose of this study identifies people. The habit of some people in
and analyzes the cultural factors of pregnant North Sumatra who like to drink alcohol as a
women about food taboos on the incidence of behavioral addiction. The majority of
maternal anemia in the Village District addicts and drug abusers are in the productive
equipment River Astambul Banjar Regency in age and live in the family. Understanding
2011. This type of research is exploratory Addiction by WHO, UNODC and Narcotics
study using qualitative methods. The subject Law, addicts are sick people in the Bio-Psycho-
of this study were 8 pregnant women with Social. Addiction and drug abuse has a
anemia informant, the informant secondary direct impact on the family (wife, children,
education that is second bottom, two parents and other family members). The
informants lower middle income and upper disease is generally attack the addicts, drug
secondary education two informants, two abusers and families such as HIV, hepatitis,
informants upper middle income. The method tuberculosis, sexually transmitted infections,
used in-depth interviews. The study found impaired organ (heart, liver, stomach, etc.),
and Mental Disorder. Co-depency as a recorded 566 drug addicts who access
disease that often occurs in families addicts. services at the information center. In
Addiction Recovery is a main strategy to addiction recovery treatment center and
improve the quality and health of addicts and established a year since there are 26 people
family awareness. Recovery of drug who follow the inpatient addicts. 26
addiction aims to improve the quality of life of resident has performed medical examinations
addicts and families. Four aspects that and medical treatment. The presence of
restored the physical, mental, emotional and health problems such as addiction and family
spiritual. Addicts and their families as a HIV, TB, STDs, hepatitis, organ disorders and
community. Objectives The goal of the mental disorders. Relationships with
recovery program are : Improve access to family addicts improved. Families
health care for addicts and families. participate and be actively involved in the
Restore the life pattern addict to a normal life recovery program. Families have the right
before he used drugs. Improve the quality information about addiction, a disease
of life of an addict. Improved quality of common in addicts and how to access needed
life of an addict is obtained when: improved health services. Increased awareness and
family relationships with addicts, addicts able quality of health of addicts and their families.
to face the problem, addicts have a purpose in Conclusion Drug addiction recovery programs
life, addicts have lifeskill, and 4 aspects: are implemented with the active involvement
physical, mental, and spiritual emosioanl of families basically have a significant impact
recovered. Methods The methods used to on improving the quality of public health
answer the problems : Provide awareness and given the high rate of
information centers and treatment centers addiction and drug abuse in the community.
and drug addiction recovery community
based in North Sumatra. Design and carry
out daily activities in drug addiction recovery ID: 219
treatment center that touches aspects of Bio-
121. NILAI KESEPAKATAN MIKROSKOPIS
Psycho-Social. Provide outpatient services
MALARIA DI BEBERAPA RUMAH SAKIT
and inpatient ward for addicts. Intake and
DI JAYAPURA
assessment processes as a starting point early
intervention addiction recovery. Establish Endah Ariyanti, Riyanti Ekowatiningsih
a referral system and collaboration with
health care providers and other service Pusat Biomedis dan Teknologi Dasar
providers. Dissemination of information Kesehatan (Pusat 1)
services through the involvement of an addict,
media, outreach, community churches, Latar Belakang. Papua merupakan daerah
schools, schools, law enforcement, the public endemisitas tinggi malaria, oleh karena itu
and others. Implementation of individual kemampuan tenaga mikroskopis sangat
counseling and family counseling services diperlukan dalam mendiagnosis malaria. Hal
available. Result Community Churches, ini berkaitan juga dengan kebijakan
schools, addiction recovery, law enforcement Artemisinin-based Combination Therapy (ACT)
officers and community members affected yang memerlukan konfirmasi diagnosis
communities refer to the program are mikroskop. Tujuan penelitian adalah menilai
available. From the activities carried out ketepatan tenaga mikroskopis rumah sakit
in the information center is affordable and dalam diagnosis malaria. Metode. Cek silang
ABSTRACT BOOK
pemeriksaan mikroskopis dilakukan pada 301 percentage of villages that achieve Universal
apusan darah malaria yang diambil pada hari Child Immunization (UCI) is a in infant full
0 (sebelum pengobatan) dari subyek 100% rural/urban villages in 2010 (MOH
penelitian uji klinik artemisin naptokuin vs 2005). Indonesia has complete basic
dihidro artemisin piperakuin di tiga rumah immunization coverage rates are already
sakit di Jayapura. Cek silang dilakukan oleh quite good, but some areas are still
mikroskopis Badan Litbangkes terhadap low(Riskesdas 2007). Objective: Objective of
ketepatan hasil bacaan mikroskop yang the analysis is to describe a complete basic
dinyatakan dengan nilai kesepakatan (kappa). immunization in Indonesia 2010. Methods
Hasil. Hasil cek silang menunjukkan bahwa /Description : Cross Sectional Study with
kemampuan tenaga mikroskopis di ketiga interviewsnusing a questionare covering all
Rumah Sakit di Jayapura dalam mendeteksi provinces in Indonesia to the group of mother
malaria baik (100%), namun masih terdapat who had children aged 12-23 month. Results /
kesalahan dalam menentukan spesies Outcomes: The percentage of the children
Plasmodium. Ketepatan menentukan spesies aged 12-23 month sare fully immunized
P falciparum sebesar 71,15%, P vivax (85,07%) according to a province in 2010 amounted
dan infeksi campuran (53,97%). Nilai kappa to53.8% and incomplete at 33.5%, the lowest
untuk penentuan spesies di ketiga RS tersebut found in Papua (28.2%) and highest in DI
adalah 0,53 0,79. Pelatihan, penyegaran Yogyakarta (91.1%). Found 12.7% of children
dan supervisi mikroskopis terus diperlukan 12-23 months who have not been immunized,
untuk meningkatkan atau menjaga with the highest found in Papua (35.3%) and
kemampuan dan ketrampilan tenaga lowest in DI Yogyakata (0.0%). Meanwhile,
mikroskopis. according to the characteristic tendency of
the higher level of education and economic
status, the higher the full immunization
ID: 220 coverage. Differences in full immunization
coverage of children age 12-23 months
122. COMPLETE BASIC IMMUNIZATION
according to the education of family heads
SERVICES IN INDONESIA
who are not heads of households with school
and college education is 30,5%. Differences in
Idawati Muas
full immunization coverage among children
aged 12-23 months of low economic status
(quintile-1) and highest (quintile-5) 21.6%.
The percentage of complete immunization in
Background: The Ministry of Health urban areas is higher (59.1%) than in rural
implement the DevelopmentProgram on (48.3%) and there are still 17.7% of children
Immunization of children in an effort to 12-23 months in rural areas who are not
reduce the incidence of disease in children. immunized at all. Many studies show that fully
Imunization programs for disease preventable immunized in the implementation of such
disease by imunizations for children covered factors influenced a lot of education,
under the program is a one ime immunization economic level and location of residence
of BCG, three DPT-HB, four times a polio Conclusions / lessons learned: Services have
immunization and one measles immunization. not been fully immunized according to the
Indicators used to measure the achievement proper, seen from the coverage of 53.8% of
of the immunization program is the that in programed 100%. It is hoped the public
would know the importance of immunization penimbang berumur 25 tahun dan 35 tahun,
to carry out a complete basic immunization. dilihat kelompok umur tersebut adalah ibu-
And relevant agencies to carry out programs ibu muda yang aktif melakukan penimbang
for the achievement of targets are fully bulanan, dan yang produktif untuk melakukan
immunized. Keyword : basic immunization aktifitas penimbangan, serta faktor umur
adalah sebagai indikator faktor pemicu:
.....saya masih muda saya usahakan untuk
ID: 225 menimbang anak saya supaya sehat. Selain itu
pada tenyata anak balita yang tidak ditimbang
123. KEBIASAAN IBU MENIMBANG BALITA
dengan dengan umur yang sudah tua untuk
DI POSYANDU DI PUSKESMAS SEPATAN,
membawa cucu ditimbang di posyandu
KABUPATEN TANGERANG TAHUN 2008
dirasakan sangat melelahkan dan merepotkan
Feri Ahmadi, MPH untuk melaksanakannya, hal ini dipertegas
dengan pernyataan nenek tersebut :
Pusat Teknologi Intervensi Kesehatan .....saya sudah tua malas sekali untuk
Masyarakat (Pusat 3) melakukan penimbang cucunya, jalan aja
sudah ngak kuat untuk ke posyandu
Background Untuk mengetahui status gizi Disamping umur pekerjaan rumah tangga Ibu
balita dilakukan penimbangan secara berkala juga akan mempengaruhi ibu datang ke
yang dilakukan di posyandu, atau fasilitas posyandu untuk menimbangkan balitanya hal
kesehatan yang ada. Dari hasil penimbangan ini dipertegas pada pernyataan berikut ini
balita pada tahun 2005, sebanyak 291.634 untuk ibu balita yang mau datang ke
balita dan yang berada pada kondisi gizi buruk posyandu : .....saya mau datang ke
sebanyak 0,38%. Objective Untuk mengetahui posyandu, walaupun pekerjaan rumah tangga
secara rinci dan mendalam tentang alasan- banyak, tetapi ada keluarga yang
alasan kebiasan menimbang balita oleh ibu di mengingatkan untuk ke posyandu. Sedang
posyandu dan faktor-faktor menghambat dan untuk Ibu balita yang tidak mau datang ke
menunjang Subjects and Methods Penelitian posyandu terlihat dari pernyataan ibu balita
Kualitatif dengan rancangan studi kasus. tersebut yaitu : .....saya malas untuk ke
Penelitian dilakukan pada empat desa dalam posyandu, pekerjaan rumah tangga ngak
wilayah kerja Puskesmas Sepatan Kec. putus-putus, boro boro mau ke posyandu pak
Sepatan Kabupaten Tangerang Provinsi ngurus rumah aja repot benar. Dengan
Banten tahun 2008.Sampel dipilih secara demikian pekerjaan rumah tangga merupakan
Purposive random sampling untuk ibu balita salah satu penyebab ibu balita balita tidak
yang rutin menimbangkan balita, dan ibu menimbangankan balita di posyandu.
balita yang tidak rutin menimbangkan balita Disamping pekerjaan yang menjadi pemicu
indepth interview, Focus group discussion adalah pengetahuan ibu balita tersebut
(FGD).Untuk Petugas Gizi, dan Pimpinan tentang manfaat menimbang,dengan
Puskesmas dilakukan indepth interview. Data menimbang berat badan secara rutin,berkala
diolah dengan menggunakan software diketahui pertumbuhan berat badan
kualitatif yang ada. Data kualitatif hasil diskusi balitanya. Hal ini terlihat dari pernyataan ibu
kelompok terarah dan wawancara mendalam balita tersebut: .....supaya tahu berat
diolah melalui teknik triangulasi berdasarkan badannya, kalau berat badannya turun berarti
temuan atau makna Results 1. Predisposing kurang sehat. .....sehat aja pak kalau
factors: Pada umumnya ibu yang melakukan ditimbang tiap bulannya .....supaya tahu
ABSTRACT BOOK
berat badannya, kalau sakit beratnya jadi tempat khusus untuk penimbang tidak ada,
kurang Dengan demikian ibu balita jadi rumah saya (rumah kader) dibuat untuk
mengetahui keaktifnya untuk memanfaatkan tempat penimbangan balita. .....kalau KMS
posyandu agar menimbang balitanya secara sudah lama ngak ada, jadi untuk pencatatan
rutin tiap bulan, dengan demikian diharapkan penimbangan dilakukan dibuku. .....ya
melakukan penimbangan tiap bulannya balita yang bantu diposyandu melati 2 hanya dua
diketahui kondisi kesehatannya. Sedang ibu orang kader yang membantu kegiatan
balita yang tidak aktif melakukan penimbang posyandu, yang lain pak, ogah mau jadi kader.
tiap bulannya mempunyai belum mengetahui Hanya saya membilangi warga, kader yang
dari manfaat melakukan penimbangan tiap satu lagi punya anak kecil masih repot. Jika
bulan hal ini terlihat dari pernyataan berikut dilihat dengan kodisi posyandu tersebut masih
ini : .....anak saya ma ditimbang atau tidak banyak kekurangan yang dibutuhkan untuk
beratnya sebegitu aja. Kebiasaan ibu balita melaksanakan kegiatan posyandu: antara lain
untuk menimbangkan balita adalah pekerjaan meja untuk kegiatan pelaksanaan posyandu,
yang rutin, dan berkala yang dilakukan oleh Kartu Menuju Sehat, yang seharus dimiliki
ibu, kebiasaan ini dilakukan agar supaya oleh tiap-tiap ibu balita yang melaksanakan
balitanya menjadi sehat, dan berat badan kegiatan penimbangan, sehingga hasil
terpantau karena dilakukan penimbangan penimbangan yang diperoleh tiap-tiap dari
bulanan. Hal ini terlihat dari ungkapan ibu penimbangan dapat diketahui tingkat
balita yang disampaikan yaitu : Ibu balita yang pertumbuhan anak tersebut, sehingga dapat
aktif melakukan penimbangan tiap bulannya. disimpulkan bahwa anak tersebut naik
.....pokoknya sudah rutin aja melakukan beratnya atau turun dari hasil penimbangan
penimbangan tiap bulannya. .....rutin aja tersebut. b.Kemudahan untuk menimbang.
tiap awal bulan melakukan penimbangan di Kemudahan untuk menimbang oleh ibu-ibu
rumah ibu kader. Ibu balita yang tidak aktif yang mempunyai balita tidak menjadi
tidak ada upaya untuk melakukan permasalahan, yaitu mudah dari akses yang di
penimbangan dikarenakan kebiasaan untuk jangkau,maksud jarak yang ditempuh antara
menimbangkan anak tidak ada. Hal ini terlihat rumah dan tempat posyandu tidak terlalu
dari ungkapan ibu yang disampaikan. jauh. Seluruh responden menyatakan bahwa
.....malas untuk menimbangkan anaknya jarak sangat dekat, dan waktu tempuh tidak
.....badan sudah tua malas untuk terlalu lama, hal ini terlihat dari ungkapan
membawa posyandu 2.Enabling Factors yang dinyatakan oleh ibu balita . .....ya
a.Kondisi Posyandu. Untuk melaksanakan cuma 100 meter dari rumah, kira-kira 10
proses kegiatan penimbangan balita di menit, jalan kaki. .....mudah pak hanya 300
laksanakan di posyandu, adapun sarana yang meter dekat kok dari rumah. Disamping
dibutuhkan untuk kegiatan tersebut antara kemudahan dari segi jarak dan waktu,
lain yaitu : adanya dacin untuk menimbang, kemudahan untuk mendapatkan pelayanan
adanya sarung timbang, buku pencatatan dan penimbang tidak menjadi permasalahan, serta
pelaporan. Disamping itu adanya tempat penimbang tidak dikenakan biaya untuk
untuk melakukan kegiatan penimbang, karena penimbang, hal ini terlihat dari ungkapan yang
tempat khusus untuk menimbang tersebut dinyatakan oleh ibu balita . .....mudah pak,
tidak ada, maka tempat untuk menimbang datang daftar dulu tak lama kemudian
tersebut dilaksanakan di rumah kader sebagai dipanggil untuk ditimbang. .....gratis tidak
pos tempat penimbangan. .....sarana yang bayar setiap kali penimbangan. Keramahan
ada yaitu dacin, sarung timbang, tetapi untuk yang diberikan oleh para kader, sangat baik
hal ini terlihat dari ungkapan yang dinyatakan Enabling Factors kemudahan dan letak
oleh ibu balita . ......enak di posyandu ini posyandu yang dekat dari rumah ibu
ada yang mau memperhatikan kesehatan balita,dan keramahan petugas posyandu.
orang yang kurang mampu. ......pelayanan Reinforcing Factors adalah dorongan suami,
yang diberikan oleh kader ramah sekali. tetangga untuk melakukan penimbangan
3.Reinforcing Factors a. Dorongan suami dan balita. Advice: Dinas Kesehatan Kabupaten
keluarga Peran keluarga atau suami untuk Tangerang menyediakan KMS, memberikan
mendorong ibu balita dalam melakukan support kepada bidan, kader agar lebih aktif
penimbangan anak sangat besar sekali, untuk memberikan pelayanan di posyandu,
walaupun motivasi ibu balita ada, tetapi tanpa serta perlu refresh training bagi para kader
dorongan dari keluarga dan suami tidak akan lama, dan pelatihan bagi kader baru.
mungkin seorang ibu balita untuk melakukan
penimbangan. Hal ini terlihat dari ungkapan
yang dinyatakan oleh ibu balita yang aktif ID: 226
menimbangkan anaknya di posyandu.
124. THE EFFECT OF TEMPE EXTRACT ON
.....kalau saya lupa suami saya yang
BREAST CANCER CELLS APOPTOSIS AND
mengingatkan .....waknya bilang tu ada
PROLIFERATION IN DMBA-INDUCED
posyandu, cepat dibawa biar ditimbang. RATS STRAIN WISTAR
.....anak yang tua yang mengingatkan, ma
dedek belum ditimbang. Tetapi kenyataan Bastomy Ali Burhan, dr. Candra Bumi,
tersebut berbeda dengan ibu balita yang tidak M.Si
aktif menimbangkan balitannya. Hal ini
terlihat dari ungkapan yang disampaikan oleh Public Health Faculty University of Jember
ibu balita .....malas pak, suami pagi-pagi
udah kerja, repot, anak sewaktu ada kegiatan Background Cancer is the leading cause of
posyandu selalu tidur. b. Dorongan tetangga. death worldwide and breast cancer is second
Disamping peran keluarga dan suami peran rank of largest cancer in the world. Breast
tetangga ikut juga seorang ibu balita untuk cancer ranked first on the patients
membawa anaknya untuk melakukan hospitalization throughout hospital in
penimbangan berat badan anaknya. Hal ini Indonesia and ranked second in East Java.
terlihat dari ungkapan yang dinyatakan oleh Breast cancer require high costs, for both
ibu balita yang aktif menimbangkan anaknya preventions and treatments.Tempe contain
di posyandu. .....tetangga bilang che ma isoflavones that suspected be able to induce
(mari) bawa anak besok ada ke posyandu apoptosis and inhibit proliferation of breast
......yuk bareng aja (tetangganya bilang) cancer cells. Objectives Therefore this
besok keposyandu. Tetapi kenyataan tersebut research needs to be done to find out the
berbeda dengan ibu balita yang tidak aktif effect of tempe as breast cancer prevention
menimbangkan balitannya. Hal ini terlihat dari through increasing apoptosis and decreasing
ungkapan yang disampaikan oleh ibu balita proliferation of breast cancer cells. The
......yuk (tetangga mengajak) ke posyandu, objective of this research is to examine and
anak saya lagi tidur duluan aja. Conclusion analyze the effect of tempe extract to
Umur Ibu balita yang 25-35 tahun, increasing apoptosis and decreasing
Predisposing factors antara lain adaanya proliferation of breast cancer cells in DMBA-
upaya ibu balita untuk menimbangkan balita induced rats strain Wistar and to know the
ke posyandu, agar balitanya menjadi sehat. effective doses of tempe extract. Methods
ABSTRACT BOOK
This research is a true experimental design in-depth interview with 9 key informants,
study using randomized posttest control which is selected through purposive sampling
group design with completely randomized methods. It consists of 2 informants from
design. Research done to Rattus norvegicus Denpasar City Health Department, 3
strain Wistar induced DMBA and given tempe informants from Puskesmas II Denpasar Barat
extracts according to the oral dose per group. (West Denpasar Community Health Center II),
The number of apoptosis and proliferation of and 4 informants from RSUD Wangaya
calculated and analyzed with MANOVA test (District Hospital). Results : In JKBM persalinan
(Multivariate Analysis of Variance) and Simple program, access to health care services for
Linear Regression test. Results The results is pregnant women are still limited. After
there are significant differences effect of Jampersal is being implemented, access to
giving tempe extract against apoptosis and public services is increasing. There are no
proliferation of breast cancer cells in all dose much different regarding tarif of both
groups. Dose of 20 mg/kgBW has a significant programs in West Denpasar Community
differences with the other treatment group. Health Center II. However, in RSUD Wangaya
The results showed the most effective dose is JKBM persalinan rate is considered higher
the dose of 20 mg/kgBW. Keywords : tempe than Jampersal and award given Jampersal
extract, apoptosis, proliferation, breast cancer program felt very less, not comparable with
cells the specialist services provided. Regional
autonomy Wangaya hospitals should submit
proposals to Walikota Denpasar about the
ID: 227 subsidy cost of labor through cost sharing
from JKBM persalinan. Conclusion : Jampersal
125. IMPACT OF JAMINAN PERSALINAN
has bring equity to all pregnant women in
POLICY TO JKBM PERSALINAN IN CITY OF
Bali. This is because access to public services
DENPASAR(CASE STUDY IN PUSKESMAS
II DENPASAR BARAT, RSUD is increasing. Since Jampersal can be used for
WANGAYAAND DINAS KESEHATAN KOTA those who live in Bali but not Balinese The
DENPASAR) thing need to taken into consideration is
synergy between Jampersal with Indonesia
Putu Ayu Indrayathi, Ngakan Bagus Danip family planning program and the
Pradipta development of Jampersal should considering
Undang-Undang No. 32 Tahun 2004 about
Udayana University Pemerintahan Daerah. . Key word: JKBM
persalinan, Jampersal, City of Denpasar.
Backgrounds : In July 2011, Jampersal
program replaced the implementation of
JKBM persalinan in Denpasar. Since both
ID: 228
programs has different criteria therefore
several problems appeared. Objectives : This 126. EVALUATION OF MANAGEMENT
study intended to find out implementation of INFORMATION SYSTEMS IN PURI
such programs from management and health RAHARJA HOSPITAL APPROACH TO
TECHNOLOGY ACCEPTANCE MODEL
workers perspective in Denpasar.
(TAM) 2012
Methods : This research is a collective case
study with a qualitative descriptive, cross-
I Made Adi Sastrawan, Ketut Hari
sectional design. Data was collected through
Mulyawan
Faculty of Public Health, Airlangga
Udayana University University
Puri Raharja Hospital has been using hospital Backgrounds.Generally, children in poor
management information system (MIS RS) families, poor environmental sanitation, and
that is integrated with client-server based. in remote areas with limited access to food
The units that have integrated the medical and health facilities, have impaired growth
records, operator, cashier, pharmacy, ICU, ER, and malnutrition. However, there are few
VK, Laboratory, Askes, Warehouse, Patient children actually have a good nutritional
Care, and Finance. With the development of status even in such unfavorable conditions.
information systems should be coupled with This situation is called a positive deviance.
increasing user are more competent. Objectives.This research was conducted to
Implementation of new systems in an describe the positive deviance in feeding and
organization, resulting in the user tends to be care habits of toddler in remote areas
difficult to adapt to the system. This study a Sidoarjo district. Methods.This research was a
descriptive research wich used cross sectional qualitative descriptive study with cross
approace. Sample used 32 user MIS RS in Puri sectional design. The number of informants
Raharja hospital.. Variable used is the was 8 mothers from poor families who had
Perceived Ease of Use (PEOU)Perceived children aged 6-60 months in good nutrition,
Usefulness (PU), Attitude Toward Using (ATU), which was determined by purposive sampling
Behavioral Intention to Use (ITU)and Actual technique. The data was obtained through
System Using (ASU). this study analyzed with anthropometric measurements of children, in-
descriptive statistics. And the result, the depth interviews, and direct observation. The
variable is the acceptance percentage from research variables were family characteristics,
the user is 84,4% (PEOU), 83,3% (PU), 63,5% environmental conditions, socio-culture,
(ATU), 87,6% (ITU) and 81,2% (ASU). MIS RS consumption level of energy and protein, and
well received by users. User acceptance of the positive deviance in feeding and care
SIM in the hospital is very good. Although habits. Results.The results showed that
there are things that are still considered to be although the parents of toddler was poor
lacking the security of stored file. In this study family with low education levels, they had
suggested to add anti-virus software. So that some positive habits in terms of feeding were
file stored on each computer is secure. giving colostrum and breastmilk since born,
Keyword: Technology Acceptance Model giving various solid foods, and never give up
(TAM), Information Systems Evaluation, feeding when her toddler was sick. Positive of
Hospital Management Information System care habits were talking and introducing
things around toddlers since childhood, never
got lazy to answer the questions asked
ID: 229 toddler, watchfull toddlers when played and
father didnt smoke around them.
127. POSITIVE DEVIANCE IN FEEDING AND
Conclusions.The conclusion is the positive
CARE HABITS OF TODDLER IN REMOTE
deviance in the nutritional status of toddler
AREAS SIDOARJO DISTRICT
happens due to the positive habits that
Lailatul Muniroh, Wahyu Dian Pratiwi parents do to their children, especially feeding
and care habits. Positive deviant mothers
should share their positive habits to the
ABSTRACT BOOK
people around them so that the whole conducted in academic healthcare facility
community can implement the positive habits GMC Health Center. The subject was
in their own family. In addition, the health managers, physicians, and farmacists as end-
workers should give more attention to health user of CPOE system on presribing. From
services in remote areas. Keywords : positive interview guide and check list observation
deviance, feeding and care habits, nutritional tools obtained that CPOE on prescribing
status, toddler, remote areas implementation in GMC Health Center
influenced by some principles from existing
themes. Technology themes consisted by
ID: 235 technology itself/temporal concern, meeting
information needs, integrated systems, and
128. COMPUTERIZED PHYSICIAN ORDER
security system. Organizational themes
ENTRY (CPOE) APPLICATION SYSTEM ON
comprise with vision and leadership,
CLINICAL INFORMATION SYSTEMS
STRENGTHENING OF PRESCRIBING IN organizational context, project management
GMC HEALTH CENTER, GADJAH MADA and continuous implementation, while
UNIVERSITY, YOGYAKARTA usefulness, entry behaviour, special people,
and training/support were about personal
Al Asyary themes. The results obtained that the
application system demonstrate absoultely
University of Indonesia end-user (user comprising; management,
physicians, and pharmacists) agreed with the
Health is the discipline with data usage, which
needs of existing service flow. However,
is used to make the correct decision for
based on the analysis of correlations in the
optimizing health care. This way continues to
system, the diagnosis of disease present with
develop in real-time or in routine which is
prescribed drug therapy found the use of
used to being as an good information in
doses of prescription drugs pattern had
decision-making in all management's levels. In
possibility of prescribing errors. CPOE systems
major of its applying, CPOE has been shown to
can not give a warning of the use of certain
improve patient safety by reducing
drugs (alert) directly (real-time), also in the
medication errors and subsequent adverse
decision making (decision support) from
drug events (ADEs). Medication error such as
information in the existing applications. For
elixir writing, determination of dose and
that the need, about of optimum utilization of
correct drug type use at patient with the
this application systems has given the
certain health condition in health service can
usefulness of the efficiency of the service, but
be depressed. But, and so do own the
its effectiveness in reducing or minimizing the
negative impact. One of them is the existence
main goal in every health care need to be
of time addition in entry of patient
improved. So it is not just paperless, but also
information by physician. The goals was to
the system is used as a decision-support.
identify how far the CPOE on prescribing
Keywords : CPOE, case study, successful
implementation or also called with electronic
principle, GMC Health Center
prescribing in academic health facility of GMC
Health Center currently, especially from
technological themes, organizational policy,
ID: 236
and consumer perceived. This case study
design, depth interview and observation was
129. POTENTIAL OF TOBACCO PLANTS monoclonal antibody (mAb), 2G12 (have
(NICOTIANA BENTHAMIANA) AS THE depending on carbohydrates) and (mAb) 48d,
MEDIA DEVELOPMENT OF ANTI- which binds CD4. Conclusions There are three
RETROVIRAL THERAPY SEXUALLY
main points in the working of griffithsin
TRANSMITTED DISEASES HIV/AIDS
against HIV activity there are (1) worked on
the viral envelope glycoprotein of HIV/AIDS
Bastomy Ali Burhan, Yasmin Alissa
(gp120, gp41 and gp24), there could
preventing HIV to enter and infect CD4 cells,
Public Health Faculty University of Jember
(2) because griffithsin worked on the viral
Background Sexually transmitted diseases envelope of HIV / AIDS, the griffithsin can
HIV/AIDS is a disease that attacks the human keep other CD4 cells that are still healthy and
immune system and until now there is no not infected by HIV so that the spread of HIV
meaningful recovery or treatment. There budding from an invasion of previous CD4 cell
were 19.973 cases with the fatality cases were can be prevented, (3) work in reverse
3846 in Indonesia from January 1st, 1987 until trancryptase (RT) of HIV to prevent the
December 31st, 2009. Presumably because of increasing of viral load in CD4 cells and
the high cost of treatment, then there is only decreased the RT activity so that griffithsin as
5-10% with HIV who could seek treatment virucide to reduce the viral load in which the
using recents drugs. Objectives Alternatives decrease in RT activity on the HIV virus
way of HIV/AIDS treatment can be developed constantly will result in the death of the virus.
using tobacco plant as a media development
of anti-retroviral drugs called griffithsin
through tobacco virus (Tobacco Mosaic Virus) ID: 237
as the main of the protein production.
130. IMPLEMENTATION of BIORISK
Tobacco plants grown a lot since, especially in
MANAGEMENT in OCCUPATIONAL
Indonesia and to explore the positive side of HEALTH AND SAFETY DIVISION at
this tobacco plant which until now is used as a CENTER FOR BIOMEDICAL AND BASIC
cigarette and become health hazard, so this TECHNOLOGY OF HEALTH (CBBTH)
plant is suitable for use as a media LABORATORIES
development of anti-retroviral. Methods This
scientific paper is descriptively consisting of Frans Dany, Frans Dany, N.K Susilarini,
references, and the analysis is based on the Herlinda, Vivi Lisdawati
data and/or information gotten and
converted with the references. Meanwhile, Pusat Biomedis dan Teknologi Dasar
the synthesis describes that this writing can Kesehatan (Pusat 1)
show the information about the potential of
Background Hazard to laboratory worker may
tobacco plants as a media development of
occur due to the negligence or other causes
anti-retroviral griffithsin (GFRT) for sexually
beyond human ability. Inter alia, laboratory
transmitted diseases HIV/AIDS. Result From
workers have a high risk of exposure to many
the analysis and synthesis problems we can
blood borne diseases that can be transmitted
get the information that GRFT block or
through blood penetration such as HIV,
prevent the activity of gp120 to CD4 cells and
Hepatitis B, Hepatitis C and other viral
also prevent the same activity on the viral
infections. The high risk of exposure in the
envelope gp41 and gp24. GRFT perform
laboratory requires biorisk management to
significantly inhibit the binding of gp120
ABSTRACT BOOK
prevent intentional and unintentional release Conclusion Vaccination Program included

of pathogen. Biorisk management identify all screening of Hepatitis-B is a must for
hazards, the entry and exit infectious laboratory workers and must be done
material, evaluation of the potential for annually to prevent an increase cases of
misuse and prevention of infectious materials Laboratory-Acquired Infection.
and prioritize the handling of emergencies.
There are several implementation of biorisk
management for the prevention of number of ID: 238
diseases that can be carried out by the
131. SOYBEAN (GLYCINE MAX (L.)
Occupational Health and Safety Division in
MERILL) AS A ANTI-CANCER SOLUTION
every institution to the safety of laboratory
IN INDONESIA
worker such as: the annual vaccination
program. Occupational Health and Safety Bastomy Ali Burhan, dr. Candra Bumi,
Division at Center for Biomedical and Basic M.Si
Technology of Health (CBBTH) in National
Institute of Health Research and Development Public Health Faculty University of Jember
(NIHRD), Indonesian Ministry of Health, had
already implemented biorisk management by Background Cancer is the leading cause of
doing the annual vaccination program. death in the world (about 13% of all causes of
Hepatitis B is one of an infection of the death), estimated to number about 7.9 million
potentially life-threatening liver and included deaths in 2007.In Indonesia are expected to
in a preventable disease by vaccination. The have at least 170-190 new cancer cases each
annual vaccination program in CBBTH is year for every 100 000 people. Asian women
included hepatitis B vaccination. The data will have a lower incidence of breast cancer than
be presented as follow Methods Data were Western women, because a diet rich in soy
obtained from laboratory workers at CBBTH in and fiber and low in fat. This suggests that soy
November 2011 to July 2012. ELISA was used may also be a prostate cancer prevention.
to test sera for HbsAg and anti-HBs. For those Epidemiological data has resulted in the
with adequate antibody levels (anti-HbS >100 tendency of the benefits of soy as a cancer
IU/ml) and positive HbsAg, vaccination was prevention. Objectives Based on the above
not implemented. The workers with anti-HBs information, the author will review and
titer of 51-100 IU/ml will be administered analyze the potential anti-cancer properties of
booster shot once. Those having the titer of soy effectively and efficiently in cancer control
11-50 IU/ml got booster shot twice and levels efforts in Indonesia. Methods This scientific
<10 IU/ml received 3 dose of the vaccine. Staff work written in a descriptive literature review,
which is experiencing immunization series while this analysis is based on the data and or
were screened again to check their immunity information obtained and adapted to review
status by using ELISA. Results Of 148 persons, the existing literature. While the synthesis
38 (25.67%) already had adequate anti-HbS, illustrates that scientific writing is to produce
thus deemed having immunity to hepatitis B, an information about the potential of soy in
3 (2.02%) were HbSAg positive, 94 (63.5%) preventing cancer disease in Indonesia.
were negative, 13 participants (8.78%) Results Soybeans contain many substances
dropped out from vaccination. After re- that are useful for the human body. One of
screening, 93 of 94 (98.9%) vaccinated had them is phytoestrogens. Of the several types
adequate antibody against Hepatitis-B. of phytoestrogens, genistein is a compound
that can prevent the occurrence of cancer in was conducted on 110 women who lived in
the human body through the mechanism of Padang city. Maternal behavior, education,
increased apoptosis (programmed death) in knowledge, attitude, economic status and role
cancer cells. Conclusions Research has shown of health worker towards balanced nutrition
that genistein can induce apoptosis in various were collected by questionnaire. Especially,
malignant cell types. Inducting apoptosis is maternal food consumption behavior were
one mechanism of genistein are expected to collected by food recall 24-hours then
affect the expression of Bcl-2 proteins are compared with general guidelines balanced
important in the regulation of apoptosis nutrition. Results: The result showed that 40%
protein. Due to an increase in apoptosis, of maternal had low education, 72.7% lower
cancer cells growth can be prevented. To knowledgeable balanced nutrition, 12.7%
increase consumption requires the being negative towards balanced nutrition.
development of soybean variety are The results also obtained 57.3% of maternal
processed. Therefore, efforts to diversify the with poor economic status and 73.6% of
processed soy needed. Soy can be processed health workers with poor role. Maternal
in Tempe, tofu, soy sauce, attackers know behavior in implementing the balanced
beancurd, Nata de soya, milk, soyghurt, and nutrition unknown 76.4% had unfavorable
others. The existence of some processed soy behavior. Analysis Chi-Square showed that
products can result in increased public education (P=0,019) and knowledge about
interest in the consumption of soy. High balanced nutrition (P=0,006) associated with
consumption of soya by diversifying its maternal balanced nutrition behavior. Then,
products to further enhance the consumption by logistic regression analysis obtained
of soy genistein in preventing cancer. knowledge of balanced nutrition is the most
dominant factor related to the behavior of
balanced nutrition (P=0,003, CI=1,644-11,916,
ID: 239 OR=4,426). Conclusions: Knowledge of
balanced nutrition is the dominant factors
132. MATERNAL BEHAVIOR IN
associated with maternal behavior in
IMPLEMENTING THE BALANCED
implementing the balanced nutrition in
NUTRITION IN PADANG CITY
Padang city. Therefore to Health Institutions
Azrimaidaliza, Idral Purnakarya, Dewi can socialize about balanced nutrition to the
Yurika Sari public through routine counseling and the
media so that they can apply in the family.
Public Health Faculty Andalas University
Backgrounds: West Sumatra is one of the ID: 240

provinces in Indonesia that have a higher
133. PARINGAN, THE PSYCHOTIC
prevalence of malnutrition above the national
KAMPONGA CONTROVERSIAL
average (20.22%). Thus the implementation of
MENTAL HEALTH ISSUE IN PONOROGO,
balanced nutrition has not been going well in EAST JAVA
the family to address the nutritional
problems. Objectives: The aim of this study is Aan Kurniawan, Pramita Andarwati,
to determine factors associated with maternal Yunita Fitrianti
behavior in implementing balanced nutrition
in Padang city. Methods: Cross sectional study
ABSTRACT BOOK
Pusat Humaniora, Kebijakan Kesehatan be PWMI. This conception influenced the way
dan Pemberdayaan Masyarakat (Pusat 4) PWMI were treated. Family, as the primary
care giver were treating PWMI based on their
Backgrounds Kampung Gila or the
conception on ill-health condition.
Psychotic Kampong was a phrase that
introduced by several media to claim their
findings on 60 people with mental illness ID: 243
(PWMI) lived in a village in East Java, namely
Paringan. Those report had become a multi- 134. THE RELATIONSHIP MATERNAL
level controversy for quite a while. The HEIGHT WITH THE INCIDENCE OF LOW
government considered this report as a BIRTH WEIGHT
questione about their credibility in dealing
with mental health issues in Indonesia. The Erna Luciasari, Yurista Permanasari, Fitrah
society preceived it differently. Some confront Ernawati
it, some other considered it a bless as
attentions and aids were coming afterward. A Pusat Teknologi Terapan Kesehatan dan
big change happened to this village as a result Epidemiologi Klinik (Pusat 2)
of those releases. Objectives This research Backgrounds. The prevalence of stunting
aimed to describe Paringan village with its among under five years in Indonesia reached
socio-cultural condition. We underlies the 36,8 %. The impact of stunting in adulthood
Paringan peoples experiences in dealing such as limited in working capacity. Stunted
with PWMI, including their explanation on woman will have high risk pregnancy because
mentall illness, deviant attitudes, emotional they have a small pelvic size and risk of having
expressions and behaviours shown by people infants with low birth weight. When the
who was subjected as PWMI. The result of situation is not corrected it will be more
this research is intended to contribute stunted mothers in the future. Stunted
community based mental-health efforts in mother will give birth an infant with low
Paringan village. Methods This research was a weight (< 2500 gram) . Objective.To assess
case study employed an exploratory- differences between maternal height with the
qualitative method. Data were collected incidence of low birth weight. Methods. Type
during 3 weeks of live-in at the Paringan of this research was cohort prospective . It
village by conducting indepth interview and continuously observing pregnant women from
participant observation. Results The findings 12-16 week of pregnancy until giving birth.
of this research showed that there is a change Maternal height were measured at baseline
in the Paringan society in terms of health care using microtoise. Stunted mother who those
to PWMI. The press releases did give a big have height less than 145 cm. Birth weight
change to it. The estabilishment of infants were weighed using scales for infants
Community Health Care in Paringan village as (baby scale) digital. Data analyzed was
one of the answer to the Psychotic performed with univariate and bivariate.
Kampong case has changed the way a Univariate analyzed was conducted to identify
treatment is given to PWMI. They get a better the distribution of the sample. Bivariate
access to health care than before. We also analyzes to determine the differences birth
found that the people of Paringan has a weight child from normal and stunted mother
various conception in explaining ill-health using t- test with a significance limit of 0.05.
condition of people that were considered to Results. There were 261 pair of mothers and
infants. There were 24 ( 9,2%) of infants had trimester and birth weight were grouped into
low birth weight, only 1 of 24 infant who low birth weight (<2500 g) and non low birth
those have a height <145 cm. The T- test weight or normal (> = 2,500 g). Results: From
results no significant difference between birth 115 subject, there were 13.9% LBW children
weight child on maternal height <145 cm and and 86.1% children who are not LBW. The
more. Conclusions. There was no differences statistical test showed that there are
of weight birth on infants in this study was not difference in maternal weight during
due to a low birth with mothers height less pregnancy on low birth weight children and
than 145 cm. There was no association children who are not LBW with p = 0.00 (
between maternal height and incidence low <0.05). Conclusion: Birth weight babies are
birth weight child . different depending on maternal weight
during pregnancy. Keywords: low birth
weight, maternal weight
ID: 246
135. DIFFERENCES MATERNAL WEIGHT

ID: 248
DURING PREGNANCY IN LBW AND NO
LBW CHILDREN 136. POTENTIAL OF DRIED CASSAVA
(MANIHOT UTILISSIMA) LEAVES AS
Yurista Permanasari, Fitrah Ernawati, Erna CAROTENE SOURCE FOR PRE-SCHOOL
Luciasari, Made Dewi Susilawati CHILDREN
Pusat Teknologi Terapan Kesehatan dan Almasyhuri, Erna Luciasari

Background: A healthy child should be Kesehatan (Pusat 1)
prepared during pregnancy. That because the
fetus expereienced period of rapid Abstract Foreword. Vitamin A deficiency
developments during pregnancy. Therefore, especially on women and children from low
sufficient nutrients needed to achieve it. socio-economic income are abundant in
Increased nutritional needs during pregnancy world. Vitamin A deficiency can lead to
influence maternal weight gain during blindness and moreover it also brings 2.2
pregnancy. Enough weight during pregnancy million babies to death per year because of
can prevent LBW (low birth weight) or below diarrhea and 1 million died because of
2500 grams. Therefore, a mother must measles. In 2005, WHO estimated 250 million
maintain his physical condition to replenish pre-school children were lack of vitamin A,
their nutritional needs.. The purpose of this and 250,000 500,000 of them will suffer
study was to determine the difference in blindness every year. Vitamin A can be
maternal weight in LBW and non LBW. obtained from foods and supplements. One of
Methods: Data were obtained from a vegetable which contains high vitamin A is
prospective cohort study in Bogor district in Cassava leaf. Moreover, in most case in
2011-2012 against pregnant women who Indonesia cassava leaves are rarely used as
were followed from the first trimester untill food. Those leaves are abundant considering
they delivery the baby. Data obtained from the big area of fields. Cassava leaves
this study the average maternal weight during consumed usually come from the younger
pregnancy from the first trimester to the third leaves which have tendency cant last long
ABSTRACT BOOK
in storage. Furthermore, drying can be one of 137. CLINICAL AND LABORATORY

traditional way in preserving foodstuffs. DIFFERENCES BETWEEN PRIMARY AND
Objective. This research aims to get to know SECONDARY INFECTION IN ADULTS
the potency of dried cassava leaves as a
source of -carotene for pre-school children. Taufiqur Rakhim Aditra, Umi Solekhah,
Methods. Young and matured cassava leaves Yanri Wijayanti
are blanched, dried, and then cooked with
gulai seasoning. Three kinds of gulai: (1) dried Gadjah Mada University
young cassava leaves gulai, (2) dried mature Background: Dengue infection has been
cassava leaves gulai, (3) fresh cassava leaves known to affect mostly children, especially
gulai are designed as complete menus and those aged less than 16 years. However some
furthermore portion acceptance tests are studies proved that there is a shift in the age
conducted. Three groups of pre-school distribution to older age. In children, primary
children act as panelists, be given those gulai infection is not uncommon and was
three days in row, and documented. The emphasized to be less severe than secondary
difference in three kinds of gulai portion infection. Adults, when infected, showed
acceptance is analyzed by using Anova and different clinical manifestations from children.
Duncan test in SPSS 15.0. -carotene level of Thus, it is necessary to also investigate the
cassava leaves in gulai and the fresh one are profile differences between primary and
also analyzed. Result. The average secondary infection in adults. Objective: To
consumption of dried young cassava leaves compare the severity of primary and
are 81.3 g / day, dried mature cassava leaves secondary infection in adults based on
are 64.9 g / day, and 91.8 g / day for the fresh laboratory and clinical manifestations. Design:
one. Result of Anova test shows there is no This study is retrospective using secondary
significance between those kinds of gulai data derived from medical record data of
(P>0.05). -carotene content in dried young patients in Ciptomangunkusumo Hospital
cassava leaves gulai is 2,363 g with 81.9 g (RSCM) in the year 2008 Subject and
water per 100 g, dried mature cassava leaves materials: The subjects included in this
gulai with 2,394 g of -carotene and 82.7 g research are patients of Ciptomangukusumo
water per 100 g, fresh cassava leaves gulai Hospital that has been diagnosed with
with 2,233 g of -carotene and 84.0 g water Dengue infection. The data collected from the
per 100 g. Dried cassava leaves that come medical records include age, sex, clinical
from young or mature cassava leaves can be presentations, and laboratory findings
well-accepted by pre-school children and Results: We collected 244 patient data who
there is no difference in portion compared were diagnosed with dengue hemorrhagic
with fresh cassava leaves gulai. All of those fever (DHF). Out of those, 116 (47,5%) were
kinds of cassava leaves being used can be diagnosed with secondary dengue infection.
utilized as a source of -carotene. Keywords: In the primary dengue group the common
Dried cassava leaves gulai, Portion acceptance symptoms recorded were presence of nausea
test, -carotene (86,7%), vomiting (47,7%), headache (87,5%),
myalgia (71,1%), and arthralgia (70,3%),
epistaxis (7%), ptechiae (49,2%), melena
ID: 249 (3.1%) and positive Rumple Leede test
(14.1%). The secondary dengue group
presented with similar clinical symptoms but condoms as a tool for family planning in the
none of the clinical manifestations differ age group of 35-39 years old was at 1,6%.
significantly from the primary dengue group Compared to the 2000 and 2005 National
(p=0,05). Among the laboratory parameters, Health Surveys, percentage of condom use in
the mean maximum hematocrit (45,1 this age group increased from 0.3% and 0.4%
volume%) and the mean maximum respectively. Objectives The objective of the
hemoglobin (14.9 g/dL) were significantly study was to discover information about the
higher than that of the primary dengue group. different role of husbands and wives who are
The mean minimum platelet count succeeded in condom use. The specific target
(43.300/mm3) was significantly lower. The of the study is to raise males role in using
hematocrit, hemoglobin, and thrombocyte condom as their reliable contraception device.
count upon admission were also significantly Methods The method used in this study was
different. Clinical categorization between Positive Deviance (PD) approach to observe
both groups was not significantly different and imitate the uncommon behaviors and
(p=0,05). Conclusion: There were no strategies that had been successfully done by
significant differences in the clinical the PD initiators though there were only 1% of
manifestations between primary and the community use condom as their
secondary infection groups. It was found that contraception device. We collected data from
hematocrit, thrombocyte and haemoglobin 163 respondents in Jakarta and South
values were significantly different between Tangerang in 2012 by using questionnaire to
the two study groups, suggesting a more screen potential informants who have been
severe manifestation in secondary dengue using condom consistently. Forum Group
infection. However, leukocyte count did not Discussion was conducted on non-condom
show significant differences. The two groups user and wives of non-condom users. In depth
did not vary in severity according to WHO interviews was held on 3 condom users, 2
1997 disease classification. Keywords: Primary condom users wives and 3 non-condom
dengue; secondary dengue; DHF users wives. Results Among 163
respondents, there were 80 people did not
use any contraception. Of the contraception
ID: 251 users, there were only 16 people (10%) who
consistently using condom in the last 8
138. GENDER INEQUITY IN FAMILY
months. Other respondents mostly used
PLANNING
hormonal contraception such as injection
(22%) and pill (15%). Behaviors related to
Dwidjo Susilo, Nurfadhilah, Triana
condom use equally and fairly simple.
Srisantyorini
Condom is easy to use because the usage
instructions clearly stated on the packaging.
Universitas Muhammadiyah Jakarta
However, there are significant differences in
Backgrounds Condom is one of the most ideal motivation of husbands for using condom.
contraception devices for family planning due Some husbands used condoms because of
to the high effectiveness and without side negative experiences of wife when using
effect. However, the utility of condom in hormonal contraception. Others decided not
Indonesia is very low. The 2010 Basic Health to use condom because of low support from
Research revealed that the highest wife. Conclusions The determinants of
percentage of married women who use behavioral intention for using condom are the
ABSTRACT BOOK
wifes support without showing activities P2TBC lung in health centers and
unpleasant feeling while using condom and one district Wasor. The results showed that
health professional suggestion to use condom overall both the input, process and output
as the ideal contraception method. increased from before Global Fund
Comprehensive information on advantages intervention . Input funds increased 100%,
and disadvantages of contraception methods 100% officers had been trained , and
is necessary to reduce gender inequity in equipment like Mikrokop 95% binocular, OAT
family planning. fulfilled 100%. The process of program
implementation is also progressing as 100%
SPS sputum examination, supervision,
ID: 258 minitoring 100%, negligent patient tracking
and inspection of patient contacts increased
139. OCCUPATIONAL HEALTH AND
to 80%, recording and reporting from regular
SAFETY (OHS ) MANAGEMENT
and complete 80%. Output activities such as
IMPLEMENTATION IN ANTI TB LUNG
DISEASE GLOBAL FUND PROGRAM patient findings BTA (+) increased 40.1% to
EVALUATION YEAR 2011 IN DISTRICT OF 67%, Conversion from 80% to 81.5%, the cure
KOTABARU - SOUTH KALIMANTAN - rate increased from 78.2% to 90.7% and the
INDONESIA error rate dropped from <3, 4% to <2.7%.
Conclusion P2TBC implementation has been
Qomariyatus Sholihah successful with the application of
occupational safety and health ( OSH )
Lambung Mangkurat University management from inputs to outcomes. For
that program continued to reduce and
Background Tuberculosis still a health
suppress the development of pulmonary TB
problem in Indonesia. Prevalence of
disease. Keywords: pulmonary P2TBC
pulmonary tuberculosis with sputum smear
program, the Global Fund interventions,
(+) was higher by 0.3%. TBCTreatment
program evaluation
program has performed nationally since 1969,
then in 2004 joined the donor countries in the
Global Fund to fund all activities related to the
ID: 272
program in the District Kotabaru P2TBC lung.
Objectives , This study aim to reveal the 140. DETERMINANT OF BACK PAIN
implementation of the program before and AMONG SEVERAL HOSPITALS
after lung P2TBC Global Fund interventions in PARAMEDICS IN JAKARTA
the District Kotabaru year 2010 - 2012.
Looking at the inputs and processes in the Lusianawaty Tana, FX Suharyanto Halim
implementation of the program, the number
of program outcomes include patient Pusat Teknologi Terapan Kesehatan dan
discovery rate, conversion rate, the cure rate Epidemiologi Klinik (Pusat 2)
and error rate. The research method was
Determinant of Back Pain among Several
descriptive describe the actual state of
Hospitals Paramedics in Jakarta Abstract: Back
implementation of the P2TBC lung program,
pain is a major health problem for workers in
evaluating aspects of the input, process and
the world. Many risk factors are related to
output using a questionnaire. The population
back pain, such as manual handling of the
of the study sample were all officers in
patient, physical stretching, psychological
factor, and age. The purpose of this study was more challenging. Poor behavior on personal
to analyze determinants of the back pain hygiene (individually or collectively), poverty
among paramedics who are working in several and demographic transformation caused by
hospitals in Jakarta. A cross sectional study massive urbanization with distribution of
was conducted to paramedics who are health inequalities in urban areas will lead to
working in medical care unit in three hospitals serious and profound implication for health.
in Jakarta. Back pain was diagnosed based on One of alternative approach for solution is to
clinical diagnosis by general practitioner and improve health status through health
neurologist. The inclusion criterias were age promotion/education in the community. The
2045 years old, have been working in the aim of this study was to review the effect of
hospital for at least 1 year, without spinal health promotion intervention on community
congenital disorder, and not pregnant. There behavior change in basic health
were 382 samples that fulfilled the study issues/problems through a medical student
criteria. The percentage of back pain is 28.5%. program of the Christian University of
Determinant factors of back pain among Indonesia named Pengalaman Belajar
paramedics were trauma history, back pain Lapangan (PBL). This program held
prevention practice, smoking habit, age, and periodically (3-4 times a year) in Cawang, a
psychological distress.(p<0.05). Increasing of crowded sub urban area located in east
the back pain prevention practice is important Jakarta. Methods: a systematic review of the
to prevent back pain. Keywords: occupation, program report published during 2006-2012
back pain, determinant, paramedics was undertaken. Report were considered
eligible for inclusion if it evaluate the impact
of intervention using valid indicator or specific
ID: 277 measure of health issue baseline. Results:
altogether, 19 program report were found to
141. THE EFFECT OF HEALTH
match the inclusion criteria. With a total
PROMOTION INTERVENTION ON
sample size of 2549 respondent which live in
COMMUNITY BEHAVIOR CHANGE ABOUT
BASIC HEALTH ISSUES/PROBLEMS: AN the area during the program held. Pooled
OVERVIEW OF A MEDICAL STUDENT results indicated small but positive overall
PROGRAM NAMED PENGALAMAN effect of the interventions with respect to
BELAJAR LAPANGAN IN CAWANG AREA, community behavior change Conclusions:
EAST JAKARTA health promotion intervention can be
considered effective to change the behavior
Forman Erwin Siagian of the community on basic health
issues/problems Keywords: Cawang, health
Faculty Of Medicine The Christian indicator, education, community, intervention
University Of Indonesia
Background: Indonesia still faces numerous

health problem challenges, from maternal ID: 280
mortality to malnutrition and also infection 142. PERILAKU BERISIKO REMAJA
caused by soil transmitted helminths or vector JALANAN KOTA BANDUNG TAHUN 2010
borne disease such as malaria. Its geography
makes extending coverage of healthcare Heny Lestary, Sugiharti
services to sub-urban and rural areas even
ABSTRACT BOOK
Pusat Teknologi Intervensi Kesehatan serta alasan ekonomi. Kesimpulan :Perilaku

Masyarakat (Pusat 3) berisiko kelompok remaja 15-19 tahun
dengan kelompok 20-24 tahun berbeda. Pada
Latar Belakang :Usia remaja merupakan usia
umumnya mereka yang berusia 20-24 tahun
yang paling bergejolak dalam kehidupan sudah bosan melakukan perilaku berisiko dan
seorang manusia. Remaja cenderung ingin kembali ke jalan yang benar. Sedangkan
mencoba berbagai perilaku berisiko seperti remaja 15-19 tahun masih terbiasa dengan
merokok, alkohol, narkoba, sex bebas, aborsi, perilaku berisikonya.Pada umumnya tidak ada
penyakit menular seksual, mencuri, tawuran, perbedaan yang nyata antara perilaku berisiko
dan sebagainya. Remaja jalanan merupakan remaja laki-laki dan perempuan. Remaja
kelompok remaja paling berisiko karena tidak menikah lebih memilih untuk mencari nafkah
ada lembaga yang melindunginya. untuk keluarganya, dibandingkan dengan
Tujuan:Penelitian ini bertujuan mengetahui remaja yang belum menikah. Perlu adanya
gambaran perilaku berisiko remaja jalanan di dukungan dari puskesmas, dinas sosial, dan
Kota Bandung dan harapan mereka terhadap
swasta untuk menangani masalah perilaku
layanan peduli remaja baik di Puskesmas
berisiko remaja jalanan di Kota Bandung. Kata
maupun lembaga lainnya. Metode :Penelitian kunci: perilaku berisiko, remaja jalanan,
ini merupakan penelitian kualitatif dengan alkohol, narkoba, sex bebas
menggunakan metode Wawancara Mendalam
(WM) dan Kelompok Diskusi Terarah (KDT).
Populasi adalah anak jalanan Kota Bandung ID: 281
yang berumur 15-24 tahun. Informan terpilih
secara acak dari beberapa kantong remaja 143. PENGETAHUAN REMAJA TENTANG
jalanan di berbagai penjuru Kota Bandung. PELAYANAN KESEHATAN PEDULI
KDT dan WMdikelompokkan berdasarkan REMAJA DI KOTA BANDUNG TAHUN 2010
jenis kelamin, usia, dan status kawin. KDT
dilakukan pada 8 kelompok dan WM Sugiharti Ananda, Heny Lestary
dilakukan terhadap 8 informan dengan
karakteristik yang berbeda. Hasil :Hampir Pusat Teknologi Intervensi Kesehatan
semua remaja jalanan Kota Bandung pernah Masyarakat (Pusat 3)
melakukan perilaku sex bebas, alkohol, PENGETAHUAN REMAJA TENTANG
narkoba, dan merokok. Sebagian pernah PELAYANAN KESEHATAN PEDULI REMAJA DI
mengalami penyakit menular seksual dan KOTA BANDUNG TAHUN 2010 Abstrak Latar
ditolak pengobatannya oleh Puskesmas Belakang Masa remaja merupakan periode
karena tidak mempunyai jaminan sosial. terjadinya pertumbuhan dan perkembangan
Sebagian kecil pernah terlibat pencurian dan pesat baik fisik, psikologis maupun sosial. Pola
dipenjara. Beberapa remaja pernah karakteristik pesatnya tumbuh kembang ini
melakukan percobaan bunuh diri karena menyebabkan remaja mempunyai sifat khas
frustasi dengan kehidupannya yang tidak yang sama yaitu rasa keingintahuan yang
berjalan seimbang. Sebagian besar mulai besar, menyukai petualangan dan tantangan
hidup di jalanan sejak berusia 10-12 tahun, serta cenderung berani menanggung risiko
bahkan ada yang mulai sejak usia 6 tahun. atas perbuatannya tanpa didahului
Hampir semua remaja mengakui turun ke pertimbangan yang matang. Pelayanan
jalan karena perceraian orangtua atau Kesehatan Peduli Remaja (PKPR) merupakan
kehidupan keluarga yang tidak harmonis, pelayanan yang memenuhi hak remaja,
mengakomodasi semua segmen remaja yang dan penentuan laik terbang seorang calon
beragam, termasuk kelompok yang rapuh dan haji. Pada kenyataannya masih terjadi jemaah
rawan, tidak membatasi etnik, status, haji yang dinyatakan tidak laik berangkat
kecacatan, memperhatikan keadilan/ tetapi masih tetap diberangkatkan (meninggal
kesetaraan gender, menjamin privasi dan di pesawat, di jeddah) serta setiap tahun
kerahasiaan, mempromosikan kemandirian terjadi kasus persalinan dan keguguran di
remaja, menjamin biaya yang Arab Saudi. Kematian jemaah haji banyak
terjangkau/gratis. Tujuan Tujuan penelitian ini terjadi pada kelompok Risti karena usia
adalah mengetahui gambaran pengetahuan maupun karena penyakit yang dideritanya
remaja di Kota Bandung terhadap Puskesmas sejak dari tanah air. Pada 10 tahun terkahir ini
PKPR. Metode Jenis penelitian ini adalah studi jemaah haji Indonesia wafat 2,1 3,2 per
potong lintang dengan metode penelitian 1000 jemaah, jauh lebih besar dibandingkan
kualitatif. Populasi penelitian ini adalah dengan kematian jemaah haji di negara
remaja kawin usia 15 24 tahun dan remaja negara Asean lainnya. Pelayanan kesehatan
belum kawin usia 15 -24 tahun. Hasil Dari hasil haji diselenggarakan dengan memanfaatkan
wawancara mendalam dan diskusi kelompok ilmu pengetahuan dan teknologi yang
terarah terhadap remaja menunjukkan bahwa berkembang, serta mengutamakan
semua informan remaja menyatakan belum pendekatan komprehensif yaitu promotif,
pernah mengetahui dan mendengar adanya preventif, kuratif rehabilitatif. Tujuan Umum
Puskesmas PKPR, sebagian besar informan penelitian adalah tersedianya kajian tentang
remaja menyatakan memerlukan adanya Kinerja dan Kebijakan Pelayanan Kesehatan
pelayanan yang peduli terhadap remaja. Haji di embarkasi tahun 2010/1431 H. Tujuan
Pelayanan yang diharapkan sebagian besar Khusus memperoleh informasi tentang
informan remaja adalah pelayanan dengan jumlah, jenis, unit asal petugas, waktu yang
biaya yang terjangkau atau gratis, petugas terpakai untuk setiap tupoksi, kegiatan
yang ramah dan mau mendengarkan keluhan pemeriksaan dokumen dan pemeriksaan
remaja, menghargai remaja, bisa menjaga kesehatan fisik dan kehamilan, pelayanan
rahasia remaja dan dapat memberikan kesehatan di poliklinik, kebijakan pelayanan
pemecahan masalah yang dihadapi remaja. kesehatan haji di embarkasi. Studi kualitatif
Kesimpulan Puskesmas PKPR belum banyak terkait kinerja pelayanan kesehatan jemaah
diketahui dan dikenal oleh remaja. Kata kunci haji pada 15 embarkasi di Indonesia dilakukan
: Remaja, PKPR, Puskesmas pada tahun 2010/1431 H. Informan adalah
seluruh petugas pelayanan kesehatan yang
sedang bertugas pada saat pengumpulan
ID: 282 data. Cara pengumpulan data dengan
observasi, wawancara mendalam dan diskusi
144. KEBIJAKAN PELAYANAN KESEHATAN
kelompok terarah serta telaah dokumen
HAJI INDONESIA DI EMBARKASI
manajemen dan kebijakan. Temuan penelitian
Lama jemaah berada di embarkasi
Qomariyatus Alwi, Ratih Oemiyati
sebelum berangkat hanya 1x 24jam,
sedangkan jumlah petugas terbatas untuk
memeriksa kelengkapan dokumen dan kondisi
kesehatan seluruh calon jamaah (1kloter
Pelayanan kesehatan haji di embarkasi sangat sampai 450 orang), sehingga kadang
krusial karena merupakan penapisan akhir pemeriksaan kesehatan tidak dilakukan
ABSTRACT BOOK
dengan baik sesuai SOP Karena waktu reward dan punishment terhadap kinerja
terbatas, tidak semua embarkasi melakukan setiap petugas dan terhadap manajemen
pemeriksaan kesehatan pada seluruh calhaj, pelayanan dengan indikator angka kematian
sebagian hanya memeriksa yang Risti saja. di setiap embarkasi dan kasus
Belum ada standard kebutuhan jumlah tenaga persalinan/keguguran 3. Perlu dibentuk tim
kesehatan yg bertugas di embarkasi dan pengawasan dan tim penilaian terhadap
belum ada standar waktu pemeriksaan kinerja petugas di embarkasi dan di setiap unit
dokumen haji per calhaj. Pemeriksaan pelayanan kesehatan haji baik di tanah air
kehamilan tes urin dan palpasi kadang tidak maupun di arab saudi
dilakukan secara lengkap dan kurang teliti
sehingga membuka peluang calon jemaah haji
untuk berbohong (terjadi peristiwa persalinan ID: 293
di Mekah dan aborsi di Madinah) Ada
145. POLA PENYAKIT ISPA DAN DIARE
intervensi pihak Kemenag dalam menentukan
BERDSARKAN POLA RUMAH SEHAT DI
keberangkatan calhaj dengan alasan tertentu
INDONESIA DALAM KURUN WAKTU
sehingga menimbulkan kerancuan/polemik. SEPULUH TAHUN TERAKHIR
Kebijakan yang ada: PEDOMAN TEKNIS
PEMERIKSAAN KESEHATAN JEMAAH HAJI oleh Supraptini, SKM, M.Kes,
PUSAT KESEHATAN HAJI KEMENTERIAN
KESEHATAN RI 2010 Jemaah haji dinyatakan Pusat Teknologi Intervensi Kesehatan
TIDAK MEMENUHI SYARAT, apabila ; 1). Status Masyarakat (Pusat 3)
kesehatan termasuk kategori Tunda. 2).
Mengidap salah satu atau lebih penyakit
menular tertentu pada saat di embarkasi.
3).Tidak memenuhi persyaratan keselamatan
penerbangan. Ketentuan Keselamatan
Penerbangan a) Penyakit tertentu yang
berisiko kematian dikarenakan ID: 294
ketinggian/penerbangan. b) Usia kehamilan:
146. ANALISIS KETERSEDIAAN OBAT
Ibu hamil diperbolehkan berangkat apabila ESENSIAL DI RUMAH SAKIT DAN
pada saat berangkat dari embarkasi usia PUSKESMAS MENURUT REGIONALISASI
kehamilan mencapai di bawah 14 minggu dan BERDASARKAN SURAT KEPUTUSAN
di atas 26 minggu. Bukan kehamilan risiko OBAT GENERIK NOMOR
tinggi untuk ibu dan janin. Pertemuan HK.03.01/MENKES/146/ I/2010
Penetapan Kelaikan Kesehatan Jemaah
diselenggarakan oleh Kepala Dinas Kesehatan Dra. Selma A.S.Siahaan, Apt, MHA
Kabupaten/Kota. Paling lambat 2 minggu
sebelum mulai operasional haji. Opsi Pusat Humaniora, Kebijakan Kesehatan
Kebijakan dan Saran 1. Adanya kebijakan dan Pemberdayaan Masyarakat (Pusat 4)
terkait standar jumlah dan kualifikasi tenaga
kesehatan di embarkasi sesuai beban kerja
(jumlah jemaah haji). Untuk itu perlu
penelitian tentang standar jumlah dan
kualifikasi tenaga dikaitkan dengan beban
kerja 2. Adanya kebijakan terkait Penilaian
kesehatan yang sesuai dengan kebutuhan
masyarakat. Tujuan : menganalisis mapping
ID: 295 topografis (keterpencilan, kepulauan,
147. ANALISIS SPASIAL DAN STATISTIK perbatasan) tentang ketersediaan dan
TERHADAP PERUBAHAN STATUS GIZI kelayakan fasilitas fisik puskesmas
ANAK BALITA DI INDONESISA (ANALISIS berdasarkan faktor demografi dan geografis di
LANJUT RISKESDAS 2007 DAN 2010) Indonesia. Metode : dengan menganalisis
data sekunder Rifaskes tahun 2011 mengenai
Noviati Fuada, SP, MKM , Puskesmas. Hubungan antara kelayakan
fasilitas fisik dengan keterpencilan diuji
Pusat Teknologi Terapan Kesehatan dan dengan korelasi Spearman, hubungan
Epidemiologi Klinik (Pusat 2) kelayakan fasilitas fisik dengan puskesmas
kepulauan dan perbatasan dengan Mann
Whitney test, sedangkan hubungan kelayakan
fasilitas fisik Puskesmas dengan topografi
wilayah menurut jumlah peduduk dan lokasi
puskesmas perkotaan/pedesaan dengan Two-
Way Anova. Hasil : sebagian besar Puskesmas
ID: 296
terdapat pada wilayah dengan jumlah
148. ANALISIS MAPPING TOPOGRAFIS penduduk <30.000 jiwa (63,4%), daerah biasa
(KETERPENCILAN, KEPULAUAN, (73,6%) dan pedesaan (74,2%). Luas tanah
PERBATASAN) TENTANG KETERSEDIAAN puskesmas sebagian besar (%) sudah
DAN KELAYAKAN FASILITAS FISIK memenuhi persyaratan Kemekes RI, bila
PUSKESMAS BERDASAR DEMOGRAFI
Puskesmas memiliki 1 bangunan maka luas
DAN GEOGRAFIS DI INDONESIA
tanah 1,5 kali luas bangunan sedangkan bila
memiliki 1 bangunan dan atau bertingkat
Rukmini, Betty Rosihermiatie
maka luas tanah 2 kali luas bangunan.
Menurut bangunan Puskesmas, fungsi
bangunan sebagain besar (61%) adalah non
perawatan, jenis bangunan (93,5%)
Latar Belakang : Sarana pelayanan kesehatan permanen, kondisi bangunan lebih separuh
dasar milik pemerintah yaitu Puskesmas telah (55,2%) baik dan (79,8%) berlantai satu.
terdapat di semua kecamatan, namun akses Ruangan pelayanan Puskesmas terutama ;
terhadap pelayanan kesehatan belum merata yang tersedia (96,4%) poliklinik umum
yaitu masih terbatasnya sarana pelayanan sedangkan yang paling layak adalah (81,4%)
kesehatan dan tenaga kesehatan di Daerah poli gigi. Adapun ruangan non pelayanan yaitu
Tertinggal Terpencil Perbatasan dan ruang tunggu (99,6%), gudang obat (84,5%),
Kepulauan (DTPK). Bagi masyarakat di DTPK, toilet (77%) sebagian besar sudah tersedia
keterbatasan akses juga disebabkan kondisi dengan kategori layak. Demikian pula dengan
geografis yang sulit. Riset Fasilitas kesehatan ketersediaan air sepanjang tahun, sebagian
(Rifaskes) tahun 2011 dilaksanakan sebagai besar sudah tersedia (83,6%) dengan kategori
upaya mengetahui gambaran yang layak (81,2%). Namun untuk penanganan
komprehensif mengenai sarana pelayananan limbah puskesmas lebih dari separuh (66,8%)
kesehatan pemerintah sebagai perencanaan tersedia tetapi dengan kategori kurang layak
dalam rangka pengembangan pelayanan (72,7%). Terdapat hubungan signifikans antara
ABSTRACT BOOK
kelayakan ruangan pelayanan, non pelayanan,

air bersih dan penanganan limbah dengan
topografi wilayah. Demikian terdapat
hubungan antara kelayakan ruangan ID: 298
pelayanan, non pelayanan, air bersih dan
limbah tetapi hanya berdasar keterpencilan 150. THE STUDY OF DEVELOPMENT
menurut jumlah penduduk dan lokasi MODEL OF INTEGRATED ERADICATION
puskemas. Kesimpulan : Di Indonesia OF NEGLECTED TROPICAL
DISEASE(COMPLETING THE MODEL
ketersediaan fasilitas fisik Puskesmas, yaitu
FROM FINANCING SIDE)
tanah dan bangunan, ruangan pelayanan, non
pelayanan, air bersih, sebagian besar sudah
Wahyu Pudji Nugraheni
tersedia dengan kategori layak, baik
berdasarkan topografi, demografi maupun
geografi. Sedangkan fasilitas penanganan
limbah, sebagaian besar kategori kurang
layak. Menurut kelayakan fasilitas Puskesmas There are several diseases that fall into the
terdapat hubungan antara kelayakan ruangan group of neglected diseases (Neglected
pelayanan, non pelayanan, air bersih dan Disease) in Indonesia. There are
limbah dengan keterpencilan menurut jumlah Leprosy/Kusta, Yaws/Frambusia, Rabies,
penduduk dan lokasi puskemas. Japanesse encephalitis, Leptospirosis, Brain
cysticercosis and Soil Transmitted
Helminthiasis. Until now, the above-
mentioned diseases is still a public health
problem in Indonesia. Although the disease is
still quite problematic in Indonesia, but
received little attention in the control in the
absence of strategic importance for any party
and also the lack of political pressure groups
to defend his suffering. Besides these diseases
ID: 297 also have a lower mortality rate than TB,
malaria and HIV / AIDS, in addition to no
149. ANALISIS DETERMINAN PADA IBU
potential for outbreaks. The general objective
MENYUSUI DI JAWA TIMUR YANG
BERPENGARUH TERHADAP PERILAKU of the study is calculate the cost of an
KONSUMSI OBAT TRADISIONAL integrated eradication (by model) on a
neglected tropical disease Leprosy/Kusta,
Dr. Oeke Yunita, Ssi, Msi, Apt Yaws/Frambusia, Filariasis and disease more
caused. Expected results of this study
Universitas Surabaya complement previous research (Integrated
Model Development Neglected Tropical
Diseases) from the financing side. Research
Design: Cross Sectional conducted in three
districts namely Alor (NTT), District Piddie
(Aceh), and Pekalongan (Central Java). The
study was conducted over 10 months by way
of secondary data is data tracking coverage of
disease financing program in 2010 in each of
the District Health Department . The results
showed that the cost of an integrated
eradication (by model) at the four neglected
tropical diseases in Alor District in 2010 found
as many as 813 cases by the number of
operating costs for the eradication
Rp.44.745.722 case number. In 2011 found as
many as 333 cases by the number of
operating costs for the eradication
Rp.252.860.236 case number, and the
prediction of an integrated eradication costs
in 2012 amounted to Rp.242.831.986, - an
integrated eradication fee (according to the
model) in the four neglected tropical diseases
City Pekalongan: Total cost for integrated NTD
eradication of Rp. 616,688,474 (100%) in 2011
and Rp. 648,412,313, - (98.49%) in 2012.
While the cost of an integrated eradication
(by model) at the four neglected tropical
diseases in the district Piddie in 2011
amounted to Rp. 1742334507, -, and 2012
amounted to Rp. 1,852,967,709. -.
Suggestions for programs related to the
results of this research are activities and
programs to eradicate neglected tropical
disease control in health districts and health
centers reactivated, it is necessary financing
of the division of authority at central level,
provincial and district levels so that the costs
do not occur in the district, need role active in
other sectors such as education, water supply
and other related sectors in the eradication
and prevention activities, maximizing the BOK
funding for case finding activities in endemic
areas that lack operational costs, increase
activity so that limited funds of health
promotion integrated counseling in health
centers can be controlled, and training of
health supporting staff and personnel
associated with the program of neglected
tropical diseases more enhanced frequency
and done routinely.
ABSTRACT BOOK
ABSTRACT BOOK

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ABSTRACT BOOK

Towards Universal Health

Towards Universal Heal th Coverage and Equity | 3

4 | Regional Symposium on Health Research and Development

39. THE ENERGY INTAKE AND ENERGY EXPENDITURE OF PREGNANT WOMWEN:Longitudinal

Towards Universal Heal th Coverage and Equity | 5

6 | Regional Symposium on Health Research and Development

Towards Universal Heal th Coverage and Equity | 7

8 | Regional Symposium on Health Research and Development

Towards Universal Heal th Coverage and Equity | 9

Background Development of HIV/AIDS cases

BMI, Thinness, overweight, obesity, uSv/hour in radiotherapy and 3 to 8 uSv/hour

Frans Suharyanto suharyanto, Ratih ID: 66

< 0.05). Multivariate analysis shows that

19. QUALITY OF LIFE OF THE ELDERLY IN ID: 133

Backgrounds: The increasing population of

The Indicators of Chemically Water Pollution

26. UNDERSTANDING INFANT MORTALITY 27. ENVIRONMENTAL HEALTH RISK

Background: Infant mortality is an important Faculty of Public Health, Jember University

Pusat Teknologi Intervensi Kesehatan ID: 171

Introduction Severe Acute Respiratory ID: 178

NEOPLASMS PATIENTS mean values of hemoglobin, hematocrite,

ID: 217 ID: 244

43. INSIDENSI DEMAM BERDARAH DENGUE

Enny Rohmawaty, Vycke Yunivita KD 46. CORRELATION OF KATG CATALYTIC

Pusat Teknologi Intervensi Kesehatan ID: 286

Khaula Karima, Endang L Achadi

Balai Penelitian dan Pengembangan

Background : Dengue outbreak first case had

Pusat Teknologi Intervensi Kesehatan Inge Wattimena, Elisabet Widyaning

Chronic obstructive pulmonary disease

penanganan intensif pada bayi lahir BBLR.

Supriyadi 67. RELATED FACTORS TO INCIDENT OF

penyakit jantung koroner dan kanker. Stroke

68. BIO-ECOLOGY MALARIA VECTOR IN 69. IN VITRO AND IN OVO INHIBITION OF

BIO-ECOLOGY MALARIA VECTOR IN GALANG IN VITRO AND IN OVO INHIBITION OF TYPE-A

71. PENGEMBANGAN JARINGAN PUSKESMAS

services could be run is accordance to the COMMUNITY HEALTH CENTER HUMAN

Based on the Basic Health Research ID: 82

0.99%, the incidence of gastritis 115/100.000

74. DETERMINANTS OF NUTRITIONAL P2

Ernita Ruslaini Caniago, dr. Nugroho Iman

working at Secanggang areas of Langkat bleeding during delivery and anemia is an

Background: Waist Circumference (WC) is one

Lukman Waris, Liestiana Indriyati ID: 137

88. FAKTOR RISIKO KEJADIAN MALARIA DI

KALIMANTAN SELATAN the garden, will be protected 19.7% were not

90. TANTANGAN PROGRAM

Dinas Kesehatan Kabupaten Sumbawa Luxi Pasaribu, Rachmalina S. Prasodjo, Siti

Penurunan Angka Kematian Bayi (AKB) yang

Jaminan Kesehatan Masyarakat dan Jaminan

Delta Fermikuri Akbar, Lyana ID: 168

Mutations in nucleophosmin gene (NPM1) Putu Suariyani, Estuning Hanindyta

dekat pemeliharaan hewan besar mempunyai consent . The participants completed 2

comes from 7 provinces covering 56,900 Syarif

protein (GLURP) has been recommended by 116. THE EFFECTIVENESS OF

ID: 216 ID: 218

119. REVIEW OF CULTURE FOOD EVENTS 120. IMPROVING QUALITY AND

prevent intentional and unintentional release Conclusion Vaccination Program included

Backgrounds: West Sumatra is one of the ID: 240

135. DIFFERENCES MATERNAL WEIGHT

Pusat Teknologi Terapan Kesehatan dan Almasyhuri, Erna Luciasari

in storage. Furthermore, drying can be one of 137. CLINICAL AND LABORATORY