Fitness Media Health Promotion Tropical Diseases Dengue Fever

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Published on International Journal of Health, Nursing, & Medicine
Publication Date: June 3, 2019

Dwi Santika, Rahayu Purwasih & Rini Cantikasari
Majapahit School of Health Sciences, Mojokerto
Insan Cendekia Medika School of Health Sciences, Jombang
Tulungagung School of Health Sciences, Tulungagung

Journal Full Text PDF: Fitness Media Health Promotion Tropical Diseases Dengue Fever.

This study was conducted to analyze the appropriateness of health promotion media conducted by the Health Department of Surabaya in conveying the message to the public or preventive measures against the tropical disease dengue fever. The media campaign that used by the Health Department of Surabaya is in the form of posters, stickers and leaflets. The problem faced by the Health Department of Surabaya is a media campaign that used less acceptable to the public caused by a design that is less interesting, the size and the design is made not from the experts, so that the resulting design does not meet the elements of a good graphics and a less attractive community. So that the campaign carried out by the Health Department of Surabaya city less attractive to the public.

Keywords: Media promotion of health, tropical diseases, dengue fever.

1. Introduction
Dengue fever is a disease caused by the mosquito Aedes aegypti females. The spread of the Aedes Aegypti mosquito population with regard to the development of human settlements. Given the mosquito Aedes aegypti is widespread, then for this disease needs to be done membrantas mosquito nest eradication (PSN) by all walks of life at home and in public places as well as their respective environments simultaneously and continuously. Therefore, to prevent the spread of dengue fever need to be developed, namely community participation by health counseling (MOH, 1995). The environment around the house or around the net nelayanan ill health can support the development of the mosquito Aedes aegypti. That is why,
Therefore, to consider a lot of things to take into account the supporting factors or factors that interfere with communication components into account and due attention. First, recognize the campaign targets. Society as a health communication objectives need to be identified so that the message can be delivered in accordance with the situation and conditions of the community that will be addressed. Dengue disease if it is due to the behavior of people who are still reluctant to behave clean and uninformed about the dangers of Dengue Fever, it is time for society as key stakeholders of any disease prevention program will be sweeter when placed as the main actors to reduce prevalence of Dengue. By placing the community as a subject disease prevention program,
Second, the election media campaign. The use of several types of media in communication can occur, but the advantages and disadvantages of each media need to be calculated to fit the circumstances of the communication. Use interpersonal communication, education, and counseling. Face to face communication with the target communication generally has a greater long-term effect in changing behavior. Third, the assessment purpose communication message. The purpose of communication and message communication has a very close relationship. Therefore, the initial goal of health communication needs to be assessed properly so that messages can be shaped and adapted to the purpose of communication. Prevent Dengue and recognize signs of danger are two important things that should be known to the public. Fourth, the role of communicator in communication.
The role of government (communicator) in improving the quality of public health is absolutely necessary. Key to prevention of disease dengue fever is on the priority and political commitment. This commitment can only work in the presence of strong leadership, including in the area. Without strong leadership, the rules will not be enforced and people can not be moved. However, preventive measures in the health field must remain priority. For example, the health department and UPTD under health services, including midwifery, should start by providing disease prevention program campaign.

2. Communication and Health Promotion
Health communication is communication between Health Organization, Government and people to improve public health. So the nature of health communication is interactive and participatory communication. Interactivity occurs when the medium used, the mass media, involving the community as elements not passive, but active. While participatory fulfilled by the support of social groups (civil society), NGO, government and corporate.
Instructive means that the message content / health information is a set of information that contain elements of causality associated with the disease, pain sakit.yang not be delivered to the communicant. Constructive for messages deliberately arranged in order to be understood by the recipient of the message. This is where the relevance of this research using health communications perspective to see how the real people understand the message that was conveyed through the mass media.
Here a paradigm shift that is very important. Previously, many seen that patients or clients tend to be submissive at once tend to passively accept what the physician in treatment decisions. Similarly, in the implementation of health programs. This reality must be changed according to the rapid advancement of communication technology, as well as the strengthening of community participation.

3. Definition of Health Promotion
Health promotion is the science and art of helping people in an effort to make a healthy lifestyle and optimal community. Optimal health is defined as a healthy balance between the physical, emotional, social, spiritual, and intellectual. As for lifestyle modification may be facilitated through the merger:
a. Creating an environment that supports
b. Changing people’s behavior toward health
c. Increase public awareness of the importance of health for life.
Health promotion is a combination of a variety of support regarding education, organization, policies and legislation to change the behavior of a favorable environment and health. Health promotion is also a process of community empowerment to be able to maintain and improve their health.
The empowerment process is carried out of, by, for and with the community, which means that the empowerment process is done through a potential groups within the community itself, even by all components within a community. The empowerment process is conducted in accordance with the local socio-cultural, according to the circumstances, problems and potential of the local area. The empowerment process also must be jointly conducted in line with efforts to influence the environment, both physical and non-physical environment, including laws and policies.
The health promotion activities is one who often influence the attitudes of others towards consumer products. Concretely, these people are a source of information about the products offered (including services such as health care), can give advice or suggestions regarding what is allowed (or not), thereby reducing the risk of (financial) and can also offer feedback (feedback) they are positive to support and strengthen the decisions made by followers advised. So opinion leaders play an important role as information carriers, persuader and amplifier, which from a marketing aspect can be equated with health promotion tool. Similar functions are run by market mavens, as an aspect of resources to each family in a society.
In addition to functioning as a carrier of information, opinion leader is also someone who serves as an agent of change which plays an important role in order to realize the value internalize society more harmonious. Because every health promotion will be oriented in a change to be achieved mainly to increase the intensity level of human health for the better and best.
Definition of the strategy comes from the Greek, meaning “leadership” (leadership). Strategy is the overall actions taken by an organization to achieve its goals. “Strategy is planning (planning) and management (management) to reach the goal. However, to achieve these objectives the strategy does not function as a road map that only shows the direction only, but must be able to demonstrate how the operational tactics. ”
In essence, the strategy is a tactic or operational way of planning and management of an organization or institution in an effort to achieve its goals and objectives. In this case the strategy will support the success of the targets to be achieved. Promotions related to public health, in essence is a way to obtain the desired acyl accordance with the vision and mission that is to be secured. Besides that health promotion will require a fairly effective communication strategy ang ultimately be accepted by the community later.

4. Promotion media Health
Media or props in health promotion can be interpreted as tools for health promotion can be seen, heard, touched, felt or smell, to facilitate communication and information dissemination.

4.1 Poster
Poster is a short message in the form of gambarr in order to influence someone to be interested in something, or affect that person acts will something. Posters can not be members of a lesson in itself, because of the limitations of words. The poster is more suitable if intended as a follow-up of a message which has been delivered some time ago. Thus the poster aims to recall and directs the reader toward a specific action in accordance with what is desired by the communicator.
Based on the contents of the message, the poster can be referred to as the Thematic poster, poster and Practical Tactrical poster. Thematic poster is a poster that explains what and why, Tractical poster answered when and where, while the poster Practical menerangka whom, to whom, what, why and where.
The requirements that need to be considered:
a. Created in an attractive layout, such as the size of font, color image, striking
b. Readable (eye catcher) passersby
c. Words no more than seven words
d. Using a provocative word, thereby attracting attention
e. Can be read from a distance of six meters
f. Must be able to arouse emotions, for example by using a factor of envy, pride, etc.
g. The large size (50X70) cm, small (35X50) cm
Installation place Poster
a. Posters are usually installed in public places where people often congregate, such as bus stops, near market, near shops / stalls
b. Crossroads village, village office, village hall, Posyandu, and others

4.2 Leaflet
leafletor sometimes called the pamphlet is a sheet of paper with printed writing about something specific problem for a specific goals and objectives. Leaflet size is usually 20 x 30 cm, containing writing 200-400 words. The contents should be captured by a single read. Eg leaflets about diarrhea for people living on the banks of the river and dispose of defecation.
Some things to consider in making Leaflets
a. Define the target group to be achieved
b. Write down what purpose
c. Determine the brief contents of the things that would be written in the leaflets
d. Gather on the subject which will be delivered
e. Create an outline of how the presentation of the message, including how the form of text and layout drawings
f. Make concept
g. The concept first tested on the target group is nearly equal to the target group
h. Refine the concept and create illustrations that match the contents

5. Discussion
5.1 Promotion in the Form Poster, Stickers and Leaflet
Findings Data from the Health Department of Surabaya on the suitability of health promotion media show if DHO Surabaya more practice suitability media campaign through posters, stickers and leaflets. Interview that researchers do to the Sub section on Program found that the health office focused health promotion through posters, stickers and leaflets. Based on an internal study of the health of the health office, the suitability of the media campaign through posters, stickers and leaflets would be helpful in disseminating information on Dengue Fever. PHO insert messages in media content based on the identification of problems, according to research health office, namely:
a. Seedy lifestyle
b. Places toilets were seldom drained
c. The bad environment because the garbage or junk.
d. Bad behavior for the health of others who are still often done by people and children (at school), as the owner of a cafeteria / shop / seller does not close snack foods, other bad habits
e. Dengue high mortality due to delays in treatment (late taken to the doctor or do not get a good first aid).
f. Media communication about health is still minimal, both print and electronic
In connection with the identification of the above issues, the following researchers attach forms utilize health promotion posters, stickers and leaflets. There are two dominant media used to disseminate the tropical disease dengue, namely posters, stickers and leaflets. Ideally, the poster is a piece of paper or a board that contains the images with a few words. The words in the poster should be clear in its meaning, the right message and can be easily read at a distance of approximately six meters. Posters are usually attached to a place that is easily seen and traversed many people for example in the village hall walls, curbs, bulletin boards, and others.
Pictures of the poster can be a painting, illustration, cartoons, drawings or pictures. Poster primarily made to influence people, providing a short message. Therefore how made to be attractive, simple and contain only one idea or one fact alone. Good poster is a poster that has the power to stay long in the memories of those who saw it and could lead to action. Meanwhile, the sticker is a print media that can be taped to the wall or outdoors, containing a message, only smaller and relatively unlimited messages able to be delivered in this medium.
Other media are leaflets. Leaflets are paper leaflets containing the text with short sentences, solid, easy to understand and simple drawings. There are some who served more than doubled. Leaflets are used to give a brief description tentan a problem, such as descriptions of water treatment at household level, a description of the diarrhea and prevention, and others. Leaflets can be provided or distributed during the meetings conducted as focus group meetings, IHC meetings, home visits, and others. Leaflets can be made with simple multiplication as photocopied.

Excess health promotion using promotional both above (ie print) is selected for the paper material can be durable and affordable, do not cost too high. In addition, the Department of Health considered that the print media such as posters could be used as a medium that can reach as many audiences or targets. This kind of health promotion can be very economical but capable of producing a range of fairly large. Another important aspect is that the print media as a medium for health promotion is because it is simple and can be taken anywhere targets (people) away. While the electronic media than its greatest weakness is the lack of stimulation can create sound effects and motion effects (audio-visual).
Print media should be selected within the range of areas for public service announcements basically have a disadvantage in terms of space to fill the tag line, message body can not be limited by spase complete, and the time and the high cost of ad serving if using an electronic medium. So from here we can conclude the reasons why the Department of Health Surabaya take a print medium to perform health promotion techniques.

5.1 Implementation of Health Promotion Surabaya City Health Office
Based on the results of the search and interview the researchers did during research in the Health Department of Surabaya City has one thing holding the suitability of the media campaign conducted by the Health Department of Surabaya against tropical disease dengue fever: the implementation of promotions conducted by the Secretariat SubPenyusunan program, not performed by parts specially assigned in the implementation of the promotion. A special section that researchers mean the design used in the promotion of preventive measures against dengue fever.
Surabaya City Health Office should put special staff who have the educational background to handle graphic design promotional design, so it can produce the design of promotional acceptability and clearly understood by the public. Promotion is done is no longer just an appeal or invitation only, but the public are invited to carry out concrete actions with a form of preventive action before contracting dengue fever.