School of Health Sciences Jenderal Achmad Yani Page 252 Jenderal Sudirman Canal Road – Cimahi 40533 Phone: +62-22-6631622 - 6631624
THE RELATIONSHIP BETWEEN CHARACTERISTICS, KNOWLEDGE, AND MOTIVATION WITH THE PERFORMANCE OF JUMANTIK CADRES IN KOTABARU
VILLAGE, UPTD PUSKESMAS CIBEUREUM, TASIKMALAYA CITY
Iman Syarifuddin Aljabbari*, Iin Inayah, Murtiningsih [email protected]
Department of Nursing, School of Health Sciences Jenderal Achmad Yani Cimahi, Indonesia ABSTRACT
Tasikmalaya City Health Office report that there were 29 dengue fever cases in UPTD Puskesmas Cibeureum in January-April 2019, where 12 people were in the Kotabaru village and ABJ results were still below the target, which was 82.7%. Monitoring the presence and inhibiting the early development of dengue vector becomes an important step to prevent the increase of dengue cases so that the performance of jumantik cadres is needed in carrying out this activity. This study aims to determine the relationship between characteristics, knowledge, and motivation with the performance of jumantik cadres. This research was a descriptive correlative research with cross sectional approach. The sampling technique used a total sampling of 70 respondents. The instrument used a questionnaire of knowledge, motivation, and performance of jumantik cadres with Dis-continuum scale and Likert scale. A data analysis employed Chi Square test. The results showed that age have p value (1,000), education have p value (0.288), work have p value (1,000), income have p value (0.268), knowledge have p value (0.613), and motivation have p value (0.675) so do not have significant relationship with the performance of jumantik cadres (p value> α 0.05).
The achievement of performance is due to the efforts and actions generated through knowledge, skills and attitudes in dealing with work situations.
It is recommended that Puskesmas provide training, develop evaluation and monitoring programs, create motivational programs, provide adequate facilities and infrastructure.
Keywords: charakteristics, knowledge, motivation, and performance of jumantik cadres.
INTRODUCTION
Dengue Hemorrhagic Fever (DHF) is a disease that is transmitted from a sick person to a healthy person, generally through the bite of an infectious mosquito (vector). This disease is caused by dengue virus infection through Aedes mosquito bites, namely Aedes aegypti. DHF is a disease caused by dengue virus which until now has not found a drug or vaccine (Ministry of Health Republic of Indonesia, 2017).
DHF has occurred in 65 countries in the world, according to the Word Health Organization (WHO) until 2015 it was reported that the average case occurred was 925,896 per year. Tropical and subtropical countries have a high risk of dengue virus transmission. This is related to the increase in high temperatures and changes in the rainy and dry season which is a factor in the transmission of this virus (Achmadi, 2010).
Indonesia is one of the countries in the world that has a tropical climate, so the number of dengue cases is still a problem. This is because DHF morbidity has not reached the government's target, which is less than 49 per 100,000 population. Data
obtained from the Ministry of Health (Kemenkes) mentions that in 2012 the number of dengue fever was 59.02 per 100,000 population. The following year this figure declined rapidly to 27.67 per 100,000 population. However, the number of dengue fever rose again the following year to 37.23 per 100,000 population. In 2015 the DHF morbidity rate reached 50.75 per 100,000 population (RI Ministry of Health, 2016). The morbidity and mortality due to DHF struck several provinces in Indonesia.
DHF is still a serious problem that occurs in West Java Province, it is proven that there are 35 districts / cities that have been infected with DHF.
The DBD Case Fatality Rate (CFR) in 2014 was 1.7% higher than in 2013 which was 1.21%, and is still higher than the National target and the National Medium-Term Development Plan/RPJMD (less than 1%). While the DHF Incidence Rate (IR) in West Java Province in 2014 was 36.2 per 100,000 population and lower than in 2013 which was 45.53 per 100,000 population. This shows that the DBD morbidity rate in West Java is lower than the National target, which is less than 51 per 100,000
Third International Seminar on Global Health (3rd ISGH) Page 253 Vol 3 | No. 1 | October 2019 |
population, but higher when compared to the RPJMD target (less than 20 per 100,000) (West Java Health Office, 2017). In 2015 the tolerance for dengue morbidity in West Java was less than 50 per 100,000 population.
Health Profile in 2016 showed that a number of big cities in West Java did not meet the tolerance of dengue fever, one of them was Tasikmalaya, where in 2016 the dengue fever was 114.31 per 100,000 population. In fact, from February to March 2019 the increase in dengue cases was quite significant.
At the beginning of February, 64 dengue cases were recorded. Furthermore, during February 2019 it increased to 125 cases, but there were no fatalities.
After that there tends to be an increase in cases in these two months (Iskandarsjah, 2019, ¶ 1, http://nasional.republika.co.id, obtained on 23 June 2019).
Based on the Tasikmalaya City Extraordinary Event, the UPTD Puskesmas Cibeureum is an area that is easily infected with DHF (endemic), has a high number of DHF cases, always increasing 5%
every year, and the highest mortality rate compared to other regions. This puskesmas has nine urban work areas. Data reports from the Tasikmalaya City Health Office for DHF cases in UPTD Puskesmas Cibeureum during 2018 were 20 people and the latest data for January-April 2019 DBD increased to 29 people. Twelve DHF sufferers were in the Kotabaru Village during January-March 2019.
The government has tried to reduce the bite of infectious mosquitoes (vectors) through efforts to eradicate mosquito nests (PSN) and fogging, as well as vector and case monitoring and monitoring through early vigilance. In addition, the government since 2005 has been fostering clean and healthy living behaviors (PHBS) in households, where one of the indicators is activities to eradicate larvae at home. Eradicate larvae at home is a member of the household carrying out eradication of mosquito nests at home and yard at least once a week so that there is no mosquito larvae in water reservoirs, bathtubs, water barrels, flower vases, flower pots / pedestals, water dispenser disposal containers / refrigerator, and used goods / a place that can hold water (West Java Health Office, 2016).
DBD PSN activities are carried out through the 3M movement (Drain, Cover, & Bury). The success of PSN activities can be measured by increasing the rate of larvae free (ABJ) obtained from periodic larvae examination (PJB). In order for the residential area to be safe from the threat of dengue
fever, ABJ must be pursued continuously until an indefinite time with continuous PSN activities (Hasyimi, in Rosidi & Adisasmito, 2009). In the implementation of DBD PSN activities involving the participation of the community accompanied by a larva monitor (jumantik).
In addition, research conducted by Pratamawati (2012) states that one of the factors is the ineffectiveness of dengue prevention in Indonesia due to the weakness of the early alert system. Early alert system functions to monitor the existence and inhibit the early development of dengue vector. Strict supervision of early reporting of vector density monitoring results can influence the taking of actions when receiving case reports from the location of the outbreak so that there is no delay. The existence of jumantik is very important in this system.
Jumantik is a working group on dengue eradication activities at the village level. The duties and responsibilities of a jumantik in DBD PSN are to make plans for home visits, PJBs, DBN PSN counseling, to record and report PJB results, and to monitor the area together with supervisors. The jumantik activity aims to reduce the number of dengue infectious mosquitoes and their larvae by moving the community in DHF PSN so as to reduce the number of dengue fever.
Based on research conducted by Hadi, Rusminingsih, and Marwati (2015) shows that the role of jumantik can reduce DHF IR. This is shown by the average larval monitoring results in Denpasar that have been able to approach the Ministry of Health's target, namely ABJ of 94.85. The greater the ABJ the smaller the IR of DHF disease.
The performance of jumantik cadres as the implementation of PSN is very important because these cadres come from people who are in the same area so that people will trust them more. The presence of cadres in the success of DBD PSN activities is carried out by motivating the community to conduct PSN activities once a week because there are monitoring the existence of larvae in homes, providing counseling when there are larvae in the homes of residents, and increasing public awareness to always do PSN. The inactivity of jumantik cadres has an impact on PSN and ABJ activities, ie the community ignores PSN activities because no one is monitoring, larvae are not carried out weekly, and ABJ does not reach the standard (>
95%).
Third International Seminar on Global Health (3rd ISGH) Page 254 Vol 3 | No. 1 | October 2019 |
UPTD Puskesmas Cibeureum has carried out PSN routinely once a week by involving the active role of the community and carrying out coaching PHBS. In addition, the City Government of Tasikmalaya has sought to collaborate with the Fish Quarantine Agency of the Ministry of Maritime Affairs and Fisheries together with the Cimahi betta fish farming community, namely Cimahi Betha Comunity (CBC), which have distributed 1,200 betta fish to several DHF endemic areas in Tasikmalaya City such as in Kotabaru. However, all efforts that have been made have not been able to reduce DHF cases optimally because the incidence of DHF every month is still high and the results of PJB in UPTD Puskesmas Cibeureum obtained an average ABJ result of 82.7% is still below the target of 95%.
Based on the results of the initial survey that was carried out with interviews and field observations on 10 jumantik cadres. It is known that in the implementation of mosquito and larva eradication is not good enough because of the availability of facilities that have not been evenly distributed, and inadequate honorariums as a substitute for transportation in carrying out their duties. In addition, there are cadres who are not directly involved in various activities to clean the environment, cadres who have dual tasks , cadres only provide encouragement to the community to carry out PSN activities, and cadres' motivation in carrying out their tasks is sometimes lackluster.
Based on the results of interviews with DHF eradication and control officers conducted at UPTD Puskesmas Cibeureum in Tasikmalaya City, information was obtained that the DHF prevention efforts that have been carried out are periodic larvae monitoring every Friday. In fact, not all jumantik cadres monitor larvae every week and the ABJ in UPTD Puskesmas Cibereum is still below standard.
In this activity often the jumantik cadres also feel bored with their work. Even so, jumantik cadres in Kotabaru are known to have the attitude of helping one another and in carrying out their duties to work with full sincerity and voluntary.
The results of research conducted by Yunita (2016) concluded that there is a relationship between motivation and jumantic participation. The better motivation for jumantik, the better jumantik in carrying out their duties. Motivation of a jumantik cadre is needed for the implementation of PSN DBD in order to have optimal performance.
Factors that can influence the performance of
jumantik cadres in addition to motivation, are individual characteristics (age, education, work, &
income) and knowledge (Gibson, 2012).
Based on the foregoing, the purpose of this study is to determine the relationship of characteristics, knowledge, and motivation with the performance of jumantik cadres in the Kotabaru Village, UPTD Puskesmas Cibeureum, Tasikmalaya City ".
METHODS
This research was conducted using descriptive correlative with cross-sectional approach, with the following research design:
Scheme 1. Research Design
The sampling technique in this study used total sampling, as many as 70 cadres of jumantik.
Table 2. Research Sampling No Citizens
Association
Integrated Healthcare Center
Number of cadres (people)
1 01 Nusa Indah 5
2 02 Pebrik 3
3 03 Melati Mekar 4
4 04 Melati Indah 5
5 05 Mustika Indah 5
6 06 Rose Indah 4
7 07 Mawar Indah 6
8 08 & 09 Teratai Indah 5
9 10 Pasir Ipis 6
10 11 Tanjung 4
11 12 Cempaka 4
12 13 & 14 Matahari 6
13 15 & 16 Kenanga 4
14 17 Sakura 4
15 18 Yasmin 5
Total 70
This research was conducted in the Kotabaru Village of UPTD Pusekesmas Cibeureum
Characteristics:
1. Age 2. Education 3. Work 4. Income
Knowledge
Motivation
Performance of cadre jumantik
Third International Seminar on Global Health (3rd ISGH) Page 255 Vol 3 | No. 1 | October 2019 |
Tasikmalaya City in July-August 2019. Data collection tools used by researchers used a questionnaire that had been tested for validity and reliability. Data was collected directly by researchers and assisted by two village midwives in the form of respondents' identities, answers to the questionnaire results in knowledge, motivation, and performance. The collected data is then analyzed using the frequency percentage formula and the Chi Square test with normally distributed data. Then to find out the magnitude of the relationship using the POR (Prevalence Odds Ratio)
RESULTS AND DISCUSSION
The distribution of respondents based on the characteristics, knowledge, motivation, and performance of jumantik cadres is shown as follows:
Table 3. Description of characteristics, knowledge, motivation, and performance of
jumantik cadres
Characteristics Amount %
Age
1 Adult ≥ 35 years old 58 82.9 2 Young Adults < 35
years
12 17.1 Education
1 Senior High School 46 65.7
2 Lower Intermediate 24 34.3
Occupation
1 Housewife (IRT) 67 95.7
2 Not Housewife (IRT) 3 4.3 Income
1 Above Regional Minimum Wages (UMR)
24 34.3
2 Under Regional Minimum Wages (UMR)
46 65.7
Knowledge Amount %
1 Good 49 70.0
2 Not Good 21 30.0
Motivation Amount %
1 High 36 51.4
2 Low 34 48.6
Jumantik Cadre Performance Amount %
1 Optimal 48 68.6
2 Not Optimal 22 31.4
In table 3. it is known that almost all jumantik cadres are at the age of adulthood ≥ 35 years old, as many as 58 respondents (82.9%). While education is known that the majority of jumantik cadre education is senior high, which is 46 respondents
(65.7%). Based on the requirements of the Puskesmas to become a jumantik at the RW level, they must have a minimum requirement of high school graduates and equivalent and a maximum age of 35 years.
In table 3. it is known that almost all jumantic cadre jobs are housewives (IRT), which is 67 respondents (95.7%) and the majority of jumantic cadre income is below the regional minimum wage (UMR), which is 46 respondents (65 7%). Although as a housewife (IRT) and family income below the regional minimum wage (UMR), every jumantik cadre always tries to carry out the work procedures of jumantik cadres by carrying out activities to eradicate mosquito nests (PSN).
In table 3. it is known that most of the knowledge of jumantik cadres has good knowledge of 49 respondents (70.0%), some jumantik cadres have good motivation of 36 respondents (51.4%), and most of the performance of jumantic cadres has optimal performance as many as 48 respondents (68.6%). Conceptual knowledge and motivation are known to influence performance. Knowledge is known to include the abilities and skills acquired by cadres through training and experience. While motivation is an impetus to influence one's behavior to do something like behavior to improve health.
Knowledge can provide good understanding and motivation will encourage cadres to carry out their duties so that it is expected to be able to optimally improve the performance of cadres.
Distribution of respondents based on the relationship of characteristics, knowledge, motivation, and performance of jumantik cadres as follows:
Table 4. Relationship between characteristics and jumantik cadre performance
Charateristics
Jumnatik Cadre Performance
Total
POR P value Opti
mal
Not Optimal
% % %
Age
1.11
1 1.000 1 Adult ≥ 35
years old
69.0 31.0 100
2 Young Adults
< 35 years
66.7 33.3 100
Knowledge 1 Senior High
School
73.9 26.1 100
2.02
4 0.288 2 Lower
Intermediate
58.3 41.7 100
Third International Seminar on Global Health (3rd ISGH) Page 256 Vol 3 | No. 1 | October 2019 |
Occupation 1 Housewife
(IRT)
68.7 31.3 100
1.09
5 1.000 2 Not
Housewife
66.7 33.3 100
Income 1 Above
Regional Minimum Wages (UMR)
79.2 20.8 100
2.22
8 0.268 2 Under
Regional Minimum Wages
63.0 37.0 100
In table 4. it is known that there is no significant relationship between age and performance of jumantik cadres because p value (1,000)> α value (0.05), the POR results show that young jumantik cadres aged <35 years old have a risk of 1.1 times more High performance is not optimal compared to cadres with adults aged ≥ 35 years. This is in line with research conducted by Rezania and Handayani (2015) which states that there is no relationship between age and the practice of jumantic cadres in eradicating dengue mosquito nests.
Statistical results showed that cadres who were aged dewasa 35 years old had optimal performance of 40 respondents (69.0%) and young adults <35 years had optimal performance of 8 respondents (66.7%). This shows that older adult cadres have more optimal performance than young adults. Age is the period of time between birth to the time of data retrieval of individuals calculated at the last birthday (Notoatmodjo, 2012). The more age, the level of maturity and strength of a person will be more mature, the more trusted as a result of the experience and maturity of the soul (in Wawan &
Dewi, 2010).
In table 4. it is known that there is no significant relationship between education with the performance of jumantik cadres because p value (0.288)> α value (0.05), the POR results show that jumantik cadres with lower secondary education have a 2.0 times higher risk of having suboptimal performance compared to cadres with senior secondary education. In line with research conducted by Trisnaniyanti, et al. (2010) stated that there was no relationship between the level of education with the perception of cadre eradication of dengue mosquito nests in the prevention of DHF.
Statistical results revealed that cadres with senior secondary education had optimal performance as many as 34 respondents (73.9%) and 14 respondents (58.3%) with lower secondary education had optimal performance as well. This can be due to the health experiences that have been obtained from traditions, customs, and religion as a legacy of ancestors who can provide health awareness. Whereas someone with higher education and who has a busy activity does not necessarily pay attention to health, as in the case of preventing DHF.
although formal education will basically provide the ability for someone to think rationally and objectively in dealing with life problems.
In table 4. it is known that there is no significant relationship between work and jumantik cadre performance because p value (1,000)> α value (0.05), POR results show that jumantik cadre with non-housewife (IRT) work has a risk of 1, 0 times higher than suboptimal performance compared to cadres who work as housewives (IRT). This is in line with research conducted by Rezania and Handayani (2015) which states that there is no relationship between employment status and the practice of jumantic cadres in eradicating dengue mosquito nests. While the concept of work affects the performance of jumantik cadres.
The statistical results revealed that cadres with jobs as IRTs had optimal performance of 46 respondents (68.7%). A person who has a job does not necessarily have the awareness to eradicate the dengue mosquito nest, compared to those who do not work. Whereas 2 respondents (66.7%) with non- housewife jobs (IRT) had optimal performance as well. This can be caused by someone who works also has the possibility to create self-awareness in maintaining health, where the work environment can provide experience for someone directly or indirectly related to his health. Public awareness and concern is the initial key to the decline in the number of DHF in an area.
In table 4. it is known that there is no significant relationship between income with the performance of jumantik cadres because p value (0.268)> α value (0.05), the POR results show that jumantik cadres with income below the regional minimum wage (UMR) have a risk of 2, 2 times higher has suboptimal performance compared to cadres with income above the regional minimum wage (UMR). In line with research conducted by Rezania and Handayani (2015), there is no relationship between per capita family income with
Third International Seminar on Global Health (3rd ISGH) Page 257 Vol 3 | No. 1 | October 2019 |
the practice of jumantic cadres in eradicating dengue mosquito nests.
The statistical results revealed that cadres with an income above the UMR had optimal performance as many as 19 respondents (79.2%) and 29 respondents (63.0%) with an income below the regional minimum wage (UMR) had optimal performance as well. High and low income does not prevent a cadre from creating welfare in the health sector. In carrying out their duties, a cadre does not expect material, the existence and appreciation he receives as a cadre makes the cadre feel valued in the community.
Table 5. Relationship between knowledge and jumantik cadre performance
Knowledge
Jumantik Cadre Performance
Total
POR P
value Opti
mal
Not Optimal
% % %
1.538 0.613
1 Good 71.4 28.6 100
2 Not Good
61.9 38.1 100
In table 5. it is known that there is no significant relationship between knowledge with the performance of jumantik cadres because p value (0.613)> α value (0.05), the POR results show that jumantik cadres with not good knowledge have 1.5 times higher risk of having suboptimal performance compared to cadres with good knowledge. This is in line with research conducted by Rezania and Handayani (2015) which shows that age, education level, employment status, per capita family income, how to become a cadre, training, and knowledge are not related to the practice of jumantic cadres in PSN.
The statistical results revealed that cadres with good knowledge had optimal performance as many as 35 respondents (71.4%) and 13 respondents (61.9%) with not good knowledge had optimal performance as well. Most of the knowledge is obtained through the eyes and ears (Notoatmodjo, 2014). Knowledge is one of the factors that can influence someone to behave positively or negatively in his life. The theory of Lawrence Green in Notoatmodjo (2012) explains that knowledge is one of the predisposing factors for changes in a person's behavior, especially behavior related to health. Behavior based on knowledge and awareness will last longer and vice versa (in Ma'rifah & Rachma, 2014).
Table 6. Relationship between motivation and jumantik cadre performance
Motivation
Jumantik Cadre
Performance Total POR P value Optimal Not
Optimal
% % %
1.418 0.675
1 High 72.2 27.8 100
2 Low 64.7 35.3 100
In table 6. it is known that there is no significant relationship between motivation and performance of jumantik cadres because p value (0.675)> α value (0.05), POR results show that jumantik cadres with low motivation have 1.4 times higher risk of having performance which is not optimal compared to cadres with high motivation.
This is in line with research conducted by Zubaedah (2007) which shows that there is no relationship between workload, motivation, attitude, and rewards with the performance of DBD Working Group officers.
Statistical results showed that cadres with high motivation had optimal performance of 26 respondents (72.2%). According to Herzberg's theory, the best way to motivate is to meet the high level needs, namely prestige and self-actualization.
Motivation in individuals is actually based on a need. While as many as 22 respondents (64.7%) with low motivation but have optimal performance.
The higher the task demands for achievement, the higher the level of encouragement that leads to productive and efficiency. In relation to a person's performance will be judged unsatisfactory due to low motivation and lack of resources or low expertise.
CONCLUSIONS
1. The age of the jumantik cadres is almost entirely old adults ≥ 35 years old, which is 58 respondents (82.9%).
2. Most of the jumantik cadres are mostly senior high school, with 46 respondents (65.7%).
3. Most of the jumantik cadres work as housewives (IRT), with 67 respondents (95.7%).
4. Jumantik cadres' income is mostly below the regional minimum wage (UMR), which is 46 respondents (65.7%).
5. Most of the knowledge of pneumatic cadres is having good knowledge, which is 49 respondents (70.0%).
Third International Seminar on Global Health (3rd ISGH) Page 258 Vol 3 | No. 1 | October 2019 |
6. Motivation of some jumantik cadres is having good motivation, that is 36 respondents (51.4%).
7. The performance of most jumantik cadres is to have optimal performance, which is 48 respondents (68.6%).
8. There is no significant relationship between age and the performance of cadre jumantik P value (1,000)> α value (0.05). POR results show that jumantik cadres who are young adults <35 years old have a 1.1 times higher risk of having suboptimal performance compared to jumantik cadres who are older than tahun 35 years old.
9. There is no significant relationship between education with the performance of cadres of jumantik P value (0.288)> α value (0.05). POR results show that jumantik cadres who have lower secondary education have a 2.0 times higher risk of not having optimal performance compared to jumantik cadres with senior secondary education.
10. There is no meaningful relationship between work and the performance of cadre jumantik P value (1,000)> α value (0.05). The POR results show that jumantik cadres who have jobs not housewives (IRT) have a 1.0 times higher risk of not having optimal performance compared to jumantik cadres with jobs as housewives (IRT).
11. There is no significant relationship between jumantik cadre income and jumantik cadre performance P value (0.268)> α value (0.05).
POR results show that jumantik cadres who have an income below the regional minimum wage (UMR) have a 2.2 times higher risk of not having optimal performance compared to jumantik cadres with income above the regional minimum wage (UMR).
12. There is no significant relationship between jumantik cadre knowledge and jumantik cadre performance P value (0.613)> α value (0.05).
The POR results showed that jumantik cadres who had not good knowledge had 1.5 times higher risk of not having optimal performance compared to jumantik cadres with not good knowledge.
13. There is no significant relationship between jumantik cadre motivation and jumantik cadre performance P value (0.675)> α value (0.05).
POR results show that jumantik cadres who have low motivation have a 1.4 times higher
risk of not having optimal performance compared to jumantik cadres with high motivation.
Suggestion
1. Health promotion officers take part in training to improve the knowledge and motivation of jumantik cadres in eradicating mosquito larvae through regular discussions or meetings.
2. Develop an evaluation and monitoring program for Puskesmas staff on the eradication of mosquito larvae in their working area.
3. Creating a motivational program that involves community participation in the eradication of mosquito larvae.
4. Conduct research related to other factors that can influence the performance of jumantik cadres in the eradication of mosquito larvae.
5. Conduct comparative research related to the performance of jumantik cadres by using the concept of what is studied and not examined.
6. Conduct research using better methods, populations and samples and instruments such as using a wider sample (sub-district) and using the appropriate formula, and adding question items to the questionnaire (job description & performance achievement).
REFERENCE
1. Achmadi, U., (2010), Epidemiology Window Bulletin, Jakarta: Data and Epidemiological Surveillance Center of the Indonesian Ministry of Health.
2. West Java Health Office, (2016), Health Profile, Bandung: West Java Province Health Office.
3. The electronic reference format recommended by Iskandarsjah, 2019, DHF in Tasikmalaya City Reaches 125 Cases, available http://nasional.republika.co.id/berita/nasional/d aerah/pnvu6b459/dbd-di-kota-tasikmalaya- capai- 125 kasus, June 23, 2019.
4. Gibson. (2012). Organization, Behavior, Structure, and Process. Jakarta: Erlangga.
5. Hadi, M., Rusminingsih, N., & Marwati, N.
(2015). Role of Jumantik in Reducing DHF Incidence Rate in Denpasar. Husada Scale Journal, Vol. 12, No.1, 89-95.
Third International Seminar on Global Health (3rd ISGH) Page 259 Vol 3 | No. 1 | October 2019 |
6. RI Ministry of Health, (2016). Indonesia Health Profile in 2017, Jakarta: Ministry of Health Republic of Indonesia.
7. ____________, (2017). Indonesia Health Profile in 2017, Jakarta: Ministry of Health Republic of Indonesia.
8. Ma'rifah, S., & Rachma, N. (2014). Relationship between Jumantik's Knowledge of Dengue Hemorrhagic Fever and Jumantik's Performance. Journal of Community Nursing, Vol.2. No.1, 39-45.
9. Notoatmodjo, S. (2012). Health Education and Behavior. Jakarta: PT Rineka Cipta.
10. _____________. (2014). Health Research Methodology. Jakarta: PT Rineka Cipta.
11. Rezania, N., & Handayani, O. (2015).
Relationship of Individual Characteristics with Jumantik Cadre Practices in PSN in Sampangan
Village, Semarang. Unnes Journal of Public Health, Vol.4, No.1, 31-38.
12. Rosidi, A., & Adisasmito, W. (2009). The Relationship between the Driving Factors for the Eradication of Dengue Hemorrhagic Fever Nest with larvae-free numbers, Sumberjaya District, Majalengka Regency, West Java, Jakarta, University of Indonesia.
13. Yunita, D. (2016). Relationship between Training, Motivation and Facilities Availability with Jumantik Participation in Blitar City. The Indonesian Jorunal of Pulbic Health, Vol.11, No1, 40-50.
14. Zubaedah, I.S. (2007). The Relationship between Human Resources Factors and the Performance of Village Level Dengue Group Workers in Tasimalaya City. Thesis, Diponegoro University, Semarang
