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Clean and Healthy Behavior to Prevent Diarrhea Diseases

Clean and Healthy Behavior to Prevent Diarrhea Diseases . Oleh :. DR. Dr. Bagoes Wijanarko, MPH. Disarikan dari Berbagai Sumber. British cholera epidemics. 1831-1832 : first modern outbreak in Britain 23,000 deaths helped to launch the sanitary reform movement 1848-1849 :

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Clean and Healthy Behavior to Prevent Diarrhea Diseases

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  1. Clean and Healthy Behavior to Prevent Diarrhea Diseases Oleh : DR. Dr. Bagoes Wijanarko, MPH Disarikan dari Berbagai Sumber

  2. British cholera epidemics • 1831-1832: • first modern outbreak in Britain • 23,000 deaths • helped to launch the sanitary reform movement • 1848-1849: • 250,000 cases and 53,000 deaths • Prompted John Snow (and others) to investigate causes

  3. The Broad Street Pump Outbreak

  4. The London Cholera Epidemic of September 1848 – August 1849 • Based on his clinical experience and review of epidemiologic characteristics of cholera, Snow formulated a theory of causation and transmission of the disease.

  5. The London Cholera Epidemic of September 1848 – August 1849 Causal hypothesis Sewage-contaminated drinking water was a causal agent for the cholera epidemic Arguing the Miasma Theory and He proved his hypothesis

  6. Current situation • Diarrhea still become health problem • Many factors related, encounter various sectors

  7. Community behavior

  8. Unsecured water system

  9. House Environtment

  10. Oral-Fecal Transmission • Diarhea • - typhoid fever • - disentri • - Helminthiasis • - hepatitis A

  11. Diarrhea disesase related behavior • Open defecation • Water usage • Others personal hygiene behavior (washing hand etc)

  12. Factors important to adopt new behavior • Complexity • Compatibility • Triallibility • Tangibility

  13. PUBLIC HEALTH CHALLENGE • People’s health is influenced not just by, or even principally by, the availability of medical treatment but by a range of measures in outside the health sector (Lalonde, 1974)

  14. Determinant factors of unhealthy behavior • Knowledge • Attitude • Social norms • Skill • Social influence • Enabling factors

  15. HEALTH EDUCATION • Is any combination of learning experiences designed to facilitate voluntary adoptions of behavior conducive to health • The process of enabling people to increase control over, and to improve their health

  16. HEALTH PROMOTION • Any combination of educational, organizational, policy and regulatory support for environmental and behavioral changes conducive to health

  17. OTTAWA CHARTER 1986 * build healthy public policy * create supportive environments * strengthen community action * develop personal skills * reorient health services

  18. Clean & Hygienic Behaviour • Individual • Family • Community • Public space • School • Market (Tradisional) • Hotel & Restaurant

  19. Pengertian “… Tindakan yang dilakukan oleh Perorangan-Kelompok-Masyarakat yg sesuai dengan norma-norma kesehatan untuk memperoleh Derajat Kesehatan yang optimal, menolong dirinya sendiri dan berperan serta aktif dalam Pembangunan Kesehatan…”

  20. INDICATORS RumahTangga yang memenuhi : • Sembilan (9) indikator PHBS diRumahTangga • Pertolonganpersalinanolehtenagakesehatan • Bayidiberi ASI sajasejaklahir – 6 bulan • Mempunyai JPK (JaminanPemeliharaanKesehatan) • Ketersediaan air bersih • Ketersediaanjamban • Kesesuaianluaslantaidenganpenghuni (9 m2/orang) • Lantairumahbukandaritanah • Cucitangandengansabun • Rumahbebasjentik • Tiga (3) indikatorgayahidup • Makanbuahdansayursetiaphari • Melakukanaktifitasfisiksetiaphari • Tidakmerokokdidalamrumah

  21. Principle of CHB program • Healthy Paradigm • Pro active increasing health status • Preventing Community to do Risk factors • Protect people from health hazards • Working together with community (participatory) • Facilitating community to do healthy behavior

  22. Strategy • ADVOKASI • SOCIAL SUPPORT • EMPOWERMENT

  23. STRATEGI, BENTUK & PESAN UTAMA PHBS • STRATEGI : • ADVOKASI • SOCIAL SUPPORT • EMPOWERMENT BENTUK KEGIATAN PESAN UTAMA • PEMBERDAYAAN MASY • PEMBEDY. KEMITRAAN • PENGEMBANGAN SDM & IPTEK • PENGEMBANGAN INFRA STRUKTUR, MEDIA & SARANA TEMA  KES = HAM DAN INVESTASI. FOKUS  Ketahan Keluarga, Kepedulian Terhadap Lingkungan. Prioritas Aktivitas Fisik/Olahraga, Diet/Gizi Seimbang, No Smoking dll

  24. Advocation

  25. Working with community

  26. Building the social support

  27. Working with community

  28. PHBS TATANAN RUMAH TANGGA

  29. Pengertian “....Upaya untuk memberdayakan anggota RT agar tahu, mau, dan mampu mempraktikkan perilaku hidup bersih dan sehat serta berperan aktif dalam gerakan kesehatan di masyarakat ....”

  30. Sasaran • PUS • Ibu Hamil & Ibu Menyusui • Anak & Remaja • Usila • Pengasuh Anak

  31. Indikator PHBS Tatanan RT • Pertolongan Persalinan o/ Nakes • Bayi diberi ASI Eksklusif • Mempunyai JPKM • Ketersediaan Air Bersih • Ketersediaan Jamban Sehat • Kesesuaian Luas lantai dgn Jumlah Penghuni • Lantai Rumah bukan Tanah • Tidak Merokok di dalam Rumah • Melakukan Aktifitas Fisik Setiap Hari • Makan Buah dan Sayur Setiap Hari

  32. Pola Pembinaan PHBSpd Tatanan Rumah Tangga • TAHAP PERSIAPAN : A. Sosialisasi & Advocacy Kesehatan B. Persiapan Sarana C. Persiapan Administrasi D. Persiapan Pelaksana

  33. Pola Pembinaan PHBSpd Tatanan Rumah Tangga • TAHAP PENGKAJIAN : A. Pengkajian Masalah Penyakit ( 10 Penyakit terbesar) B. Pengkajian Sumber Daya C. Pemetaan Wilayah D. Pengakajian Sumber Daya

  34. Pola Pembinaan PHBSpd Tatanan Rumah Tangga • TAHAP PERENCANAAN : A. Menentukan Prioritas B. Menentukan Tujuan C. Menentukan Jenis Kegiatan/Intervensi D. Jadwal Kegiatan

  35. Pola Pembinaan PHBSpd Tatanan Rumah Tangga • TAHAP PENGGERAKKAN / PELAKSANAAN : A. Advocacy B. Social Support C. Empowerment

  36. Pola Pembinaan PHBSpd Tatanan Rumah Tangga • TAHAP PEMANTAUAN & EVALUASI : A. Pemantauan B. Evaluasi

  37. TERIMA KASIH

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