scholarly journals Access to childbirth care by adolescents and young people in the Northeastern region of Brazil

2016 ◽  
Vol 50 (0) ◽  
Author(s):  
Érida Zoé Lustosa Furtado ◽  
Keila Rejane Oliveira Gomes ◽  
Silvana Granado Nogueira da Gama

ABSTRACT OBJECTIVE To identify the factors that interfere with the access of adolescents and young people to childbirth care for in the Northeast region of Brazil. METHODS Cross-sectional study with 3,014 adolescents and young people admitted to the selected maternity wards to give birth in the Northeast region of Brazil. The sample design was probabilistic, in two stages: the first corresponded to the health establishments and the second to women who had recently given birth and their babies. The data was collected by means of interviews and consulting the hospital records, from pre-tested electronic form. Descriptive statistics were used for the univariate analysis, Pearson’s Chi-square test for the bivariate analysis and multiple logistic regressions for the multivariate analysis. Sociodemographic variables, obstetrical history, and birth care were analyzed. RESULTS Half of the adolescents and young people interviewed had not been given guidance on the location that they should go to when in labor, and among those who had, 23.5% did not give birth in the indicated health service. Furthermore, one third (33.3%) had to travel in search of assisted birth, and the majority (66.7%) of the postpartum women came to maternity by their own means. In the bivariate analysis, the variables marital status, paid work, health insurance, number of previous pregnancies, parity, city location, and type of health establishment showed a significant association (p < 0.20) with inadequate access to childbirth care. The multivariate analysis showed that married adolescents and young people (p < 0.015), with no health insurance (p < 0.002) and from the countryside (p < 0.001) were more likely to have inadequate access to childbirth care. CONCLUSIONS Adolescents and young women, married, without health insurance, and from the countryside are more likely to have inadequate access to birth care. The articulation between outpatient care and birth care can improve this access and, consequently, minimize the maternal and fetal risks that arise from a lack of systematic hospitalization planning.

2021 ◽  
Vol 5 (2) ◽  
pp. 73
Author(s):  
Desi Nuraini ◽  
Doni Hikmat Ramdhan

Background: PT. X implements a daily trip method that takes ±1,5 hours to arrive at the offshore platforms. Travel time that’s too long can cause fatigue. Purpose: Analyzing the effect of a daily trip system on PT. X contractor worker fatigue at offshore site. Method: This research was conducted at one of PT. X’s offshore Gresik Sites in June 2021 used Fatigue Assessment Scale (FAS) questionnaire with observational analytics method and cross-sectional study design. Research samples were taken from the population of 153 construction workers PT. X at offshore site. The data obtained were analyzed using quantitative approach, data analysis used univariate analysis and bivariate analysis, chi-square statistical test with significance value or confidence interval was 95% and error interval was 5%  (CI = 95% and α = 0.05). Result: PT. X Contractor workers at the offshore site had 85 workers (55.56%) that get fatigue. Statistical analysis test showed there was no significant relationship between a daily trip system with fatigue on PT. X Contractor workers at the offshore site (p-value = 0.140). Factors that affect fatigue on PT. X Contractor workers at the offshore site were age, body mass index, and workload (p-value successive were 0.047, 0.014, and 0.001). Conclusion: A daily trip system has no effect with fatigue on PT. X contractor worker at the offshore site, recommended for the contractor to improve the BMI and manage the workload so that its more evenly distributed.


2020 ◽  
Vol 8 (2) ◽  
pp. 112-118
Author(s):  
Yulaeka Yulaeka

Anemia is a condition when the levels of hemoglobin and erythrocytes are lower than normal. The normal value of hemoglobin in women is 12 -16 g / dl with erythrocytes from 3.5 to 4.5 jt / mm3. This study aimed to determine the relationship between nutritional status and Anemia of teenage girl. This research is analytic with cross sectional study design. The samples taken are 66 teenage girls, chosen by quote sampling. The data of this research used primary data obtained through checking up of body mass index and hemoglobin level. The data analysis used univariate analysis and bivariate analysis used Chi-square test. The results of this study indicate that there is a relationship between nutritional status and Anemia (p value 0.001).


1970 ◽  
Vol 7 (02) ◽  
pp. 99-107
Author(s):  
Widya Juliarti ◽  
Atifa Merlin

Exclusive breastfeeding is the only breast milk given to infants without additional other liquids without solid food for six additional 6 months. Breastfed babies have a greater chance of early success exclusive breastfeeding. Based on preliminary studies in December 2015 in BPM Khairani Asnita, in the know of 20 people who gave birth to entirely successfully perform IMD but only 3-5 people who exclusively breastfed rest melanjutlan with formula. The purpose of this study to determine the factors associated with exclusive breastfeeding in mothers who carry BPM Khairani Asnita IMD in Riau Province in 2015. This type of research is analytic survey with cross sectional study design. The population is mothers delivered in BPM Khairani Asnita and do IMD with babies aged 16-12 months amounted to 60 m people. The sampling technique used is total sampling. Bivariate data analysis with test of chi-square test. Based on the results of the univariate analysis showed that the majority of mothers breastfeed as much as 56.7% exclusive. The results of the bivariate analysis pvalue values obtained for each variable with α 0.05 is for attitude p = 0.000, husband support the value of p = 0.004, p = success IMD 0,007, maternal age the value of p = 0.031. The conclusion of this study that the attitude of the mother, husband support, the success of IMD and the mother's age is a factor that affects exclusively breastfeeding mothers do IMD in BPM Khairani Asnita Year 2015. It is expected the next BPM Khairani Asnita able to reassure patients who visit or maternity there for can give only breast milk until the child is 6 months old, as well as explaining the benefits of exclusive breastfeeding for babies and mothers.


2020 ◽  
Vol 20 (1) ◽  
pp. 39-46
Author(s):  
Fahruniza Meiga Mawarni ◽  
Mona Lestari ◽  
Yuanita Windusari ◽  
Desheila Andarini ◽  
Anita Camelia ◽  
...  

Latar Belakang : Sick Building Syndrome (SBS) merupakan kumpulan gejala yang dialami oleh seseorang atau perasaan tidak sehat tanpa penyebab yang jelas saat melakukan pekerjaan di dalam gedung dan akan menghilang saat seseorang meninggalkan gedung tersebut. Sirkulasi udara yang tidak baik, ditambah dengan adanya faktor fisik, kimia, biologi, dan individu, serta faktor lingkungan lainnya yang terdapat di dalam suatu bangungan dapat menjadi penyebab terjadinya SBS. Oleh sebab itu, penelitian ini bertujuan untuk mengetahui faktor apa saja yang mempengaruhi keluhan SBS pada karyawan di gedung PT. X Palembang.Metode: Penelitian ini menggunakan pendekatan kualitatif dengan desain studi cross sectional. Sampel penelitian sebanyak 107 karyawan yang terpilih sesuai dengan kriteria inklusi dan ekslusi yang telah ditetapkan. Analisis data yang digunakan adalah analisis univariat untuk melihat gambaran keluhan SBS, usia, jenis kelamn, masa kerja, suhu, pencahayaan dan kembaban, serta analisis bivariat dengan menggunakan uji chi-square dan uji alternatif fisher exact untuk melihat pengaruh faktor risiko terhadap keluhan SBS.Hasil : Dari hasil penelitian diketahui bahwa prevalensi keluhan SBS sebesar 75,7%, dengan usia terbanyak ≤40 tahun (80,4%), didominasi oleh laki-laki (60,7%), dengan masa kerja paling banyak ≥5 tahun (62,6%), serta lingkungan kerja dengan suhu, pencahayaan, dan kelembaban yang tidak memenuhi syarat secara berurutan sebesar 18,7%, 49,5%, dan 36,4%.Simpulan: Hasil analisis bivariat menunjukan bahwa kelembaban mempengaruhi terjadinya keluhan SBS pada karyawan PT. X Palembang (p-value = 0,005). Untuk menyeimbangkan kualitas udara di dalam ruangan, salah satu upaya yang dapat dilakukan adalah dengan meletakkan tanaman sanseviera sebagai menyeimbang dan penyerap polutan di dalam ruangan. ABSTRACT Tittle : Sick Building Syndrome Complain in PT. X BuildingBackground : Sick Building Syndrome (SBS) is a syndrome where people experience unexplained malaise symptoms while working in a building that will disappear once they leave the building.  Poor air circulation combined with the presence of physical, chemical, biological and individual factors, and other environmental factors  within a building may cause SBS.  This study aimed to determine factors that influence SBS complain among employees of PT.  X in Palembang.Method : This study used a qualitative approach with cross sectional study design.  The research sample was 107 employees selected according to inclusive and exclusive criteria.  The data analysis methods in the study are univariate analysis to describe SBS complain, age, sex, years of service, temperature, lighting and humidity. Bivariate analysis using the chi-square test and fisher exact alternative test to determine risk factors influence to SBS complain.Result : The prevalence of SBS complain in the study is 75,7%, with ≤40 as majority age (80,4%), dominated by male workers (60,7%), with ≥5 years as the largest portion of years of service (62,6%), and work environment with temperature, lighting, and humidity that is not adequate 18,7%, 49,5%, and 36,4% respectively.Conclusion : Bivariate analysis showed that humidity influenced the occurrence of SBS complain in PT.X Palembang (p-value = 0,005). To balance out indoor air quality, one of countermeasures that can be applied is to place sansevieria plant as indoor pollutants absorber.  


2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Indah Paradifa Sari ◽  
Arina Widya Murni ◽  
Masrul Masrul

Abstrak   Setiap individu memiliki pola defekasi berbeda-beda yang dipengaruhi oleh beberapa faktor diantaranya adalah asupan serat. Secara fisiologis serat makanan didefenisikan sebagai karbohidrat yang resisten terhadap enzim hidrolisis saluran pencernaan manusia. Berdasarkan data RISKESDAS 2013, Sumatera Barat menempati urutan ketiga terendah konsumsi serat di seluruh provinsi Indonesia. Tujuan penelitian ini adalah menentukan hubungan antara konsumsi serat dan pola defekasi pada mahasiswi Fakultas Kedokteran Unand angkatan 2012. Ini merupakan penelitian analitik dengan rancangan cross sectional yang dilakukan pada 114 responden. Data primer dikumpulkan dengan wawancara menggunakan kuesioner dan food recall 2x24 jam dan diolah dengan menggunakan Nutrisurvey untuk food recall dan uji statistik chi-square. Hasil analisis univariat menunjukkan bahwa sebagian besar mahasiswi Fakultas Kedokteran Unand angkatan 2012 mengkonsumsi serat rendah dan mengalami resiko terjadinya konstipasi. Hasil analisis bivariat menunjukkan tidak adanya hubungan yang bermakna antara konsumsi serat terhadap pola defekasi dengan nilai p > α (0,408 > 0,05).Kata kunci: konsumsi serat, pola defekasi, kuesioner, food recall AbstractEach individual has a different pattern of defecation which is influenced by several factors such as intake of fiber. Dietary fiber is defined as carbohydrates that are resistant to hydrolysis enzymes in human digestive. Based on data RISKESDAS 2013, West Sumatra ranks third lowest fiber intake across Indonesian provinces. The objective of this study was to determine the relationship between fiber intake and defecation pattern in the student of the Faculty of Medicine Unand 2012. This was a cross sectional study that conducted on 114 respondents. Primary data was collected by interviews using questionnaires and food recall 2x24 hours and processed using Nutrisurvey for food recall and  chi-square statistic test. Results of univariate analysis showed that most of the student of the Faculty of Medicine Unand 2012 consume low fiber and the risk of experiencing constipation. Results of bivariate analysis showed no significant association between fiber intake and defecation patterns with p-value > α (0.408> 0.05). Keywords: fiber consumption, defecation pattern, questionnaires, food recall


2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Hasnal Laily Yarza ◽  
Yanwirasti Yanwirasti ◽  
Lili Irawati

AbstrakAntibiotik merupakan obat yang digunakan untuk penyakit infeksi. Tingginya insiden penyakit infeksi mengakibatkan tinggi pula penggunaan antibiotik. Sekarang ini banyak antibiotik digunakan tanpa resep dokter, padahal antibiotik seharusnya digunakan dengan resep dokter dan dibeli di apotik. Penggunaan antibiotik tanpa resep dokter ini akan menimbulkan resistensi. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat pengetahuan dan sikap masyarakat dengan penggunaan antibiotik tanpa resep dokter di Kampung Seberang Pebayan RW IV Kelurahan Batang Arau Padang Selatan.Penelitian ini dilakukan dengan metode penelitian cross sectional study analytic dengan subjek 152 orang yang diambil secara simple random sampling. Analisis data yang digunakan yaitu analisis univariat dan bivariat dengan menggunakan chi square. Hasil uji statistik chi square menunjukkan terdapat hubungan yang bermakna antara sikap dengan penggunaan antibiotik tanpa resep dokter (p < 0,05), tetapi tidak terdapat hubungan yang bermakna antara tingkat pengetahuan dan kepemilikan asuransi kesehatan dengan penggunaan antibiotik tanpa resep dokter (p > 0,05).Kata Kunci : tingkat pengetahuan, sikap, asuransi kesehatan, antibiotik tanpa resep dokterAbstractAntibiotics are medicine while use to infection disease. The high incidence of infectious diseases are resulting in higher use of antibiotics. Now many antibiotics are used without doctors prescription, whereas antibiotics must be used with doctors prescription and bought in drug strore. Use antibiotics without doctors prescription will be impact resistence. The objective of this study was to determine the correlation between the level of knowledge, attitude as well as health insurance towards the use of antibiotics without doctors prescriptions in Kampung Seberang Pebayan RW IV Kelurahan Batang Arau Padang Selatan.This research is conducted using cross sectional analytic study method with 152 people taken as a sample by using simple random sampling. The data analysis was based on univariate and bivariate analysis equipped with chi-square. Statistical test has been conducted by "Chi-Square". It shows that there is a significant correlation between attitude toward the use of antibiotics without doctors prescriptions (p ˂ 0.05), it shows that there is no significant correlation between the level of knowledge and the ownership of health insurance toward the use of antibiotics without doctors prescriptions (p ˂ 0.05).Keywords : knowledge level, attitude, health insurance, antibiotics without doctorspresription


2018 ◽  
Vol 9 (1) ◽  
pp. 78
Author(s):  
Indah Kumala Sari

ABSTRACT Performance was an accomplished or accomplished achievement. Based on the observation of the researcher, the reality shows that there are posyandu that have limited cadres so that the service is not running smoothly. The purpose of this research is to determine whether there is a relationship of Motivation and Incentives with  Posyandu Nagari Aripan’s.The design of the research is Descriptive Analytic with Cross Sectional Study. The research conducted in Nagari Aripan, area of Puskesmas Singkarak on August 7thto15th2017. Sampling consist of 30 respondents with total sampling technique. Data collection was obtained from the primary data trough interviews using a questionnaire, processed by computerization. For the results of statistical analysis univariate and bivariate  used the chi-square test. Univariate analysis prove that more than half 60,0% respondents had low performance, 56,7% respondents had low motivation, and 53,3% respondents were satisfied with the incentive. Bivariate analysis prove there is relationship between motivation and cadres performance with pvalue 0,013 <0,05 and there is relationship between incentives with cadre performance with pvalue 0,001<0,05. This research is expected to give an advice for puskesmas in guidance and planning to improve the performance of posyandu cadres, increase the posyandu cadres to remain active in posyandu activities.It is suggested that training activities for posyandu’s cadres are required, so that posyandu activities can do well.


2018 ◽  
Vol 1 (2) ◽  
pp. 40
Author(s):  
Mutmainah Handayani ◽  
Tigor Abdurrahman Thomy

Gastritis occurs in people who have an irregular diet and eat foods that stimulate stomach acid production. Prevalence The WHO gastritis incidence rate (2009) in several regions in Indonesia is quite high with a prevalence of 274,396 cases of 238,452,952 inhabitants. Based on the identification of the problem above many factors that can affect the incidence of gastritis, but researchers limit the problems to be examined namely the frequency, type and portion of the meal. The purpose of this study was to look at the relationship between eating patterns and the incidence of gastritis in adolescents in Sungai Menang Community Health Center 2017 Type of quantitative research with Cross Sectional study design. the number of 60 respondents taken by the Stratified random sampling method. The data obtained were then performed chi-square statistical test. Univariate analysis results showed 55% of the majority of respondents had gastritis, which had a frequency of poor eating as much as 65%, and there were 76.7% of respondents who consumed irritated food, and 50% of the respondents eat poorly. Bivariate analysis using chi-square test, the results of the analysis there is a relationship between the type of meal and gastritis (P value = 0.023), there is a relationship between diet and gastritis (P value = 0.000), there is no correlation between eating frequency and gastritis (P value = 0.165), and there is no relationship between eating portions and gastritis (P value = 0.436). It is expected that Puskesmas can provide counseling / health promotion by distributing structured and phased educational brochures, which can increase knowledge about controlling and preventing gastritis. Keywords: Gastritis, diet


2019 ◽  
Vol 10 (2) ◽  
pp. 83
Author(s):  
Riyanto Riyanto ◽  
Gangsar Indah Lestari

<p>Anemia in adolescent girls is a common problem especially in<br />developing countries. Purpose: The purpose of this study was to determine the<br />relationship between factors of nutritional status, knowledge and patterns of<br />drinking tea with the incidence of anemia in young women. Methods: The study<br />design using a cross sectional study was carried out in November 2016. The<br />study population was young women in Tuma'ninah Yasin Islamic Boarding<br />School in Metro City with a total sample of 69 taken with total population<br />techniques. Data collection was done by examining peripheral blood, height,<br />weight and distributing questionnaires. Data analysis was carried out in stages,<br />namely univariate analysis and bivariate analysis using the chi square test.<br />Results: The results of the analysis showed the incidence of anemia in<br />adolescents amounted to 68.1%. Risk factors that increased the incidence of<br />anemia in adolescent boys, namely nutritional status or BMI (p = 0.32; POR =<br />3.096) and knowledge (p = 0.050; POR = 3.083). Conclusions: Factors of poor<br />or excessive nutritional status and lack of knowledge increase the incidence of<br />anemia in adolescent girls. The importance of health education efforts about<br />anemia to young women to increase knowledge and consume Fe tablets,<br />especially young women with good and poor nutritional status.</p>


2021 ◽  
Vol 8 (4) ◽  
pp. 253
Author(s):  
Puspita Sukmawaty Rasyid ◽  
Endah Yulianingsih

<p><em>Birth weight is an indicator of fetal growth whether healthy or experiencing problems during the womb. Low birth weight (LBW) has an effect on high infant morbidity and mortality rates. Data obtained from the delivery room of the Otanaha Hospital showed the prevalence of LBW births in 2018 was 1.83% and had increased in 2019 to 3.25%. The factors that influence birth weight included the age of the mother, parity and weight of the placenta. The research objective was to determine the effect of maternal age, parity and placental weight on birth weight at the Otanaha Hospital, Gorontalo City. This research type was analytic observation with cross sectional study approach. The sampling technique used was accidental sampling technique with a total of 60 respondents.</em><em>The data analysis used was the Chi-Square statistical test. The results of the univariate analysis of 60 respondents showed that the age group without risk was 42 (70.0%), parity without risk was 41 (68.3%), normal placental weight was 31 (51.7%) and normal birth weight was 46 (76.7%). Bivariate analysis showed the variable maternal age and parity with p-value 0.065 and 0.526 (p&gt; 0.05) and placental weight variable with p-value 0.000 (p &lt;0.05). The conclusion of the study showed that maternal age and parity had no effect on birth weight, while placental weight had an effect on birth weight of infants at Otanaha Hospital, Gorontalo City.</em></p>


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