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Pengaruh Pengembangan Klinik Sanitasi Puskesmas Minggir Terhadap Peningkatan Pengetahuan dan Mutu Lingkungan Rumah Pasien
Eventhough the prevention efforts for communicable diseases through sanitation clinic has been implemented for a long time, it is stiII not optimal. As an example, the average number of patients in a month who come for counseling in the sanitation clinic of the Community Health Center (Puskesmas) of Minggir is only four. Meanwhile, in 2011, at the same puskesmas, the number of cases of communicable diseases such as diarrhoea, scure respiratory infection (ARI) and de¬ngue haemorrhagic fever (DHF) were stiII found at high level. Therefore, it is argued that the existing sanitation clinic should be more developed.
The study was aimed to know whether the knowledge and the quality of house condition of the patients as well as the revenue of sanitation clinic can be increased by developing the activity of the sanitation clinic itself, by conducting a pre-experiment study which employed one group pre-test and post-test design. The number of sampIe size was 36 people, which were consisted of 20 diarrhoea patients, 15 ARI patients and 20 DHF patient with his neighbours. The collection of pre-test and post-test data were separated by the activity of the counseling and home visii whose purpose was to improve the environ¬mental condition of the patients, by means of chlorine diffuser installation and fly sticker appli-cation, for diarrhoea cases; advice of avoiding smoke from kitchen and the rearrangement of ventilation, for ARI cases; and the distribution of Abate and mosquito trap in stalIation , for DHF cases.
Statistical examination on the data by using i-test at 95 % significancy level showed that the counseling raised the knowledge of patients of the environmentally based diseases, and the home visit could also improving the quality of patients' houses, which was indicated by the re¬auction of the MPN E. Coli, the fly density and the ovitrap index. In addition, the increase of re¬venue from the sanitation clinic was influenced, as well.
Keywords: sanitation clinic, sanitation counselling, home visit, environmental based diseases
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