scholarly journals The Effectiveness of Booklets in Stimulation, Detection and Early Intervention of Growth and Development (SDEIGD) for Health Cadres in Implementing the Growth and Development Screenings of Toddlers

Author(s):  
Monalisa Monalisa ◽  
Ernawati Ernawati ◽  
Wilda Sinaga ◽  
Abbasiah Abbasiah

The importance of monitoring the growth and development of early childhood is helpful for all parties involved, especially for Health Integrated Service (HIS), teachers, parents, and the children themselves. HIS is expected to determine what steps or efforts can be taken in helping children's development because from the family, in this case, the parents, the beginning of growth and development begins. The purpose of this study was to develop a Booklet of Stimulation, Detection and Early Intervention on Growth and Development (SDEIGD) for health cadres in the implementation of screening for growth and development of toddlers.  This study involved 32 health cadres in the Aur Duri Public Health Center Jambi City working area as the intervention group and the Penyengat Olak Jambi Health Center as many as 32 people as controls. This research will be conducted in August 2019 at the Putri Ayu Public Health Center, Jambi City. There are two stages in this study, consisting of the instrument preparation stage and administrative preparation. The next stage is the implementation which consists of making booklets for Health integrated services cadres, enriching and developing the skills of Health integrated services cadres, small group discussions, practicum and simulation of the implementation of growth and development stimulation, early detection and screening of growth and development, early intervention on growth and development in children aged 0-6 years, and knowledge measurement. Data were analyzed using the Shapiro-Wilk test at a 95% confidence level (α ≤ 0.05).  The results of the validation of materials experts and linguists, it is known that the SDEIGD booklet media meets the criteria and is worthy of being a guide for health cadres in understanding Stimulation, Detection, and Early Intervention of Toddler Development. The media trial starting from small groups, large groups and understanding tests of SDEIGD material indicate that the SDEIGD Media Booklet is worthy of being a handbook for health cadres for the implementation of screening for toddlers growth and development.

2020 ◽  
Vol 11 (3) ◽  
pp. 264-271
Author(s):  
Iwan Stia Budi ◽  
Bella Liany Putri

Toddlers are the age group that most often suffer from malnutrition and lack of nutrition. Based on data  from the Batam City Health Office in 2017 regarding the scope of monitoring the growth and development of infants at 49.6% of the target set by the Ministry of Health of the Republic of Indonesia which is 80%. Baloi Permai Public Health Center is the lowest public health center with 35.8% achievement coverage. This study aims to analyze of monitoring growth and development of toodlers in the working area of Baloi Permai Public Health Center. The study design used qualitative methods. The number of informants in this study were 8 people. Data analysis using content analysis methods. The results of this study indicate that coordination of growth and development monitoring for toddlers is pooled interdependence, lack of standard operating procedure and standardization of skills. Indirect supervision in the form of recording and reporting has not been implemented. Coordination in monitoring the growth and development of toddlers in the working area of Baloi Permai Public Health Center is not optimal so it needs cooperation with related parties and the active role of all parties to reach the scope of growth and development of toddlers.


Author(s):  
Wiwi Wardani Tanjung

The Exclusive Breastfeeding has been shown to have an impact better on health growth, development, and all the impacts short and long term, but there are still many mothers who do not provide exclusive breastfeeding. One of the reasons mom does not provide exclusive breastfeeding to the baby was due to the release of breast milk that was not smooth that happened due to inhibition of the hormone prolactin which produces breast milk. Rolling Massase Technique was one action which gives a relaxing sensation to the mother and smooth the flow of nerves as well as the milk duct. The purpose of this research was to know the influence of rooling massage techniques on the smooth release of breast milk  in third trimester pregnant women in the work area In Public Health Center Of Batunadua 2020. This type of research was quantitative research with a quasi experimental design used the Post Test Only Design with Control Group design. The population in this study are all trimester III pregnant women who came to the Public Health Center Of Batunadua as many as 32 people. The sample in this study was 16 people in the intervention group and 16 people in the control group   by used accidental sampling method.  The analysis used was the Wilcoxon test. The results showed that massage rooling technique effect on smoothness expressing breastmilk in pregnant women Trimester III with p value = 0.008 (p <0.05). It was hoped that the Public  Health Center Of Batunadua In  Padangsdimpuan to do health education or health promotion which can be given to pregnant women  to prepare for smooth operation expressing breastmilk like  perform rooling massage technique.


2021 ◽  
Vol 1 (2) ◽  
pp. 50-57
Author(s):  
Iwan Setiawan ◽  
Arif Sabta Aji ◽  
Wahyuningsih Wahyuningsih

Exclusive breastfeeding practice in Ngombol public health center is below the regency target which was only 54.4% from 80% in Purworejo in 2019. Program to improve exclusive breastfeeding such as counseling is one of the best ways to increase community participation as this is a crucial phase to fulfill newborn nutrition needs. The aim of this study was to determine the effect of media counseling on increasing breastfeeding practice and improving newborn weight in the first-month-old. We created a quasi-experimental design with one group pre-test and a post-test with a control group design. Of 40 post-partum mothers and newborns were recruited in this study. Data collection was gathered such as socio-demography, breastfeeding observation form, and newborn’s weight both before and after the one-month intervention. The intervention group had been counseled with media such as leaflets, breastfeeding flipcharts, breast props, and newborn dolls. On the other hand, the control group had no received counseling with media. A statistical paired t-test test was created to find the association between those variables using SPSS 20.0 for windows. The mean average of newborn weight after the intervention was 1,005.55 g and 964,50 g for the intervention and control group, respectively. There were differences before and after a month of giving exclusive breastfeeding between the control and intervention groups (p<0.001). Mothers in the intervention group had 80% achieved minimum recommended weight gain (≥800 g/month). Exclusive breastfeeding counseling with media has an impact on improving newborn weight at the first-month-old in Ngombol Public health Center, Purworejo-Indonesia. Using media during breastfeeding counseling regularly may help the awareness and knowledge of exclusive breastfeeding for mothers, yet improve breastfeeding practice.


2021 ◽  
Vol 2 (2) ◽  
pp. 54-62
Author(s):  
Aji Patriajati

Background: The maternal mortality rate in Semarang is 121.5 per 100,000 live births, the second-highest in Central Java. The early warning system with the Early Warning Score and the maternal emergency early warning system (PDKM) still has various shortcomings to reduce MMR.Objective: This study aims to prove the effectiveness of the application of the PDKM Modified Early Obstetric Warning System (MEOWS) as an assessment of the risk of pregnancy in primary health facilities to reduce MMR in Semarang.Methods: The study was conducted on all pregnant women who came to Tlogosari Wetan, Tlogosari Kulon, Bandarharjo, and Bangetayu public health center in Semarang and were willing to participate in the study and were referred to government hospitals using national health assurance BPJS. Sampling was done by cluster random sampling by dividing the intervention and control groups. The study used a pretest-posttest control group design method by comparing the use of the MEOWS and the Poedji Rochjati Scorecard (KSPR) to the number of public health center referrals in Semarang. The data obtained will be analyzed statistically with the bivariate test, Mann-Whitney difference test, relative risk reduction, and absolute risk reduction.Results: The results showed that 21 of 43 (48.8%) patients were referred to the control group and 26 of 36 (72.2%) patients were referred to the intervention group. Mann-Whitney test of the number of referrals after the intervention within 3 months showed significant results (p = 0.033; p <0.05). There was an increase in the number of maternal referrals at the public health center in Semarang after the implementation of the MEOWS score by 1.48 times compared to using the KSPR (RR : 1.48 ; 95% CI : 1.02 – 2.13).Conclusion:The use of the MEOWS score can increase awareness of potential referrals and is associated with complications in patients.Background: The maternal mortality rate in Semarang is 121.5 per 100,000 live births, the second-highest in Central Java. The early warning system with the Early Warning Score and the maternal emergency early warning system (PDKM) still has various shortcomings to reduce MMR.Objective: This study aims to prove the effectiveness of the application of the PDKM Modified Early Obstetric Warning System (MEOWS) as an assessment of the risk of pregnancy in primary health facilities to reduce MMR in Semarang.Methods: The study was conducted on all pregnant women who came to Tlogosari Wetan, Tlogosari Kulon, Bandarharjo, and Bangetayu public health center in Semarang and were willing to participate in the study and were referred to government hospitals using national health assurance BPJS. Sampling was done by cluster random sampling by dividing the intervention and control groups. The study used a pretest-posttest control group design method by comparing the use of the MEOWS and the Poedji Rochjati Scorecard (KSPR) to the number of public health center referrals in Semarang. The data obtained will be analyzed statistically with the bivariate test, Mann-Whitney difference test, relative risk reduction, and absolute risk reduction.Results: The results showed that 21 of 43 (48.8%) patients were referred to the control group and 26 of 36 (72.2%) patients were referred to the intervention group. Mann-Whitney test of the number of referrals after the intervention within 3 months showed significant results (p = 0.033; p <0.05). There was an increase in the number of maternal referrals at the public health center in Semarang after the implementation of the MEOWS score by 1.48 times compared to using the KSPR (RR : 1.48 ; 95% CI : 1.02 – 2.13).Conclusion: The use of the MEOWS score can increase awareness of potential referrals and is associated with complications in patients.


2020 ◽  
Vol 2 (2) ◽  
pp. 297-302
Author(s):  
Linda Timor Yanti ◽  
Nur Alfi Fauziah ◽  
Septika Yani Veronica ◽  
Hellen Febriyanti

Stimulasi Deteksi dan Intervensi Dini Tumbuh Kembang (SDIDTK) implementation for children under two years old in the village of Kuripan is 35 percent (out of 117 under two years) in 2018 and the lack of attention and knowledge of parents in the need for the importance of SDIDTK. The purpose research was to determine the correlation between parents’ knowledge about SDIDTK to the Implementation of Detection Stimulation and Early Intervention of Growth and Development (SDIDTK) on under-aged children in Kuripan village on Working Area of Inpatient Public Health Center of Penengahan, Penengahan district South Lampung in 2019. The design of this research is Correlative Analytics with a cross-sectional approach. The population in this study are parents who have children under two years old in the village of Kuripan Penegahan district South Lampung in 2018 numbering 117 people, a sample of 117 people with a total sampling technique analysis of data used in this study was univariate data analysis using percentage and bivariate using Chi-Square. The results showed that there was a relationship between parents' knowledge about SDIDTK and the implementation of SDIDTK in children under two years old in the village of Kuripan Penengahan district South Lampung (p-value 0,001) and OR 5,246.


2018 ◽  
Vol 6 (1) ◽  
pp. 82-93
Author(s):  
Rista Elmika ◽  
Demsa Simbolon ◽  
Emy Yuliantini

Iron nutritional anemia is anemia caused by iron deficiency in the blood, meaning the concentration of hemoglobin in the blood is less than 11 gr / dl. According to WHO, the incidence of pregnancy anemia ranges between 20% and 89% by setting Hb 11 g% (g / dl). The pregnancy anemia rate occurred 3.8% in the first trimester, 13.6% trimester II, and 24.8% in the third trimester. To know the effectiveness of CAMIL media (iron anemia disc pregnant mother) to behavior of prevention of iron anemia in pregnant mother in work area of ​​Beringin Raya Public Health Center of Bengkulu City.  This type of  research uses Quasy Experimental Study with Pretest-Postest Control Group Design. The population in this study were pregnant women listed in the Register of Beringin Raya Public Health Center of Bengkulu Year 2018. total samples were 40 respondents.20 respondents of the intervention group and 20 control groups. Data analysis using T-test.  The result of the research is the effect of CAMIL on knowledge, attitude and action where the sign value 0.000 <0.05. While the Leaflet of behavior (knowledge, attitude, and action) there is influence where the sign value is 0.000 <0.05. There is no difference of knowledge on CAMIL group and leaflet where sign value is 0.106> 0.05. For attitudes on the CAMIL group and the leaflet is the same where the sign value is 0.146> 0.05. Action on the CAMIL group and the same leaflet where the sign value is 0.064> 0.05.  Conclusion From the results of this study it can be concluded that health education is important to improve knowledge, attitude, and action, using CAMIL media and leaflets, both media are equally efketif because it is written with the added pictures


2020 ◽  
Vol 17 (2) ◽  
pp. 159
Author(s):  
WISNU TRI PAMUNGKAS ◽  
INDIRA RA ◽  
IRMA ANDRIANI PASARIBU

<p><strong>Abstrak</strong></p><p><strong>Latar Belakang : </strong>Prevalensi Hipertensi di Indonesia semakin meningkat mencapai 25,8% pada penduduk berusia 18 tahun keatas.  Amlodipin merupakan salah satu pilihan obat untuk terapi Hipertensi yang termasuk golongan Calsium Channel Blocker (CCB). Penggunaan obat antihipertensi sendiri merupakan salah satu faktor risiko yang menyebabkan sindroma mata kering.</p><p><strong>Tujuan : </strong>Penelitian ini bertujuan untuk mengetahui pengaruh penggunaan obat antihipertensi terhadap sindroma mata kering pada penderita Hipertensi di wilayah kerja Puskesmas Jagir kota Surabaya.</p><p><strong>Metode penelitian : </strong>Penelitian ini adalah penelitian observasional analitik dengan metode cross-sectional. Subyek pada penelitian ini adalah 48 responden yang didapatkan dibagi kedalam 2 kelompok yakni, kelompok minum obat antihipertensi &gt;6 bulan dan tidak minum obat. Dilakukan pengisian kuesioner DEQ-5 dan pemeriksaan schirmer I.</p><p><strong>Hasil penelitian : </strong>Analisa deskriptif dari tes schirmer I frekuensi sindroma mata kering lebih tinggi pada responden yang mengkonsumsi obat antihipertensi dari pada responden yang tidak minum obat antihipertensi. Hasil analisa statistik menggunakan uji chi-square signifikansinya yaitu sebesar &lt;0,001 atau dapat dikatakan bahwa p&lt;α (0,05), menunjukkan ada pengaruh pemberian obat antihipertensi terhadap sindroma mata kering yang berdasarkan tes Schirmer pada pasien Hipertensi di wilayah kerja puskesmas Jagir  kota Surabaya.</p><p><strong>Simpulan : </strong>Penggunaan obat antihipertensi berpengaruh terhadap sindroma mata kering pada penderita hipertensi di wilayah kerja Puskesmas Jagir kota Surabaya</p><p><strong>Kata Kunci : </strong>Sindroma mata kering, obat antihipertensi, hipertensi</p><p><strong> </strong></p><p><strong>Abstract</strong></p><p><strong>Background: </strong>Hypertension prevalence in Indonesia is increasing to reach 25.8% in the population aged 18 years and over. Amlodipine is one of the drugs for hypertension therapy which is included in the Calcium Channel Blocker (CCB) class. The use of antihypertensive medication itself is one of the risk factors that cause dry eye syndrome.</p><p><strong>Purpose</strong>: This study aims to determine the effect of the use of antihypertensive drugs on dry eye syndrome in patients with hypertension at Jagir Public Health Center in Surabaya working area.</p><p><strong>Methods:</strong> This study was an observational analytic study with a cross-sectional method. The subjects in this study were 48 respondents found divided into 2 groups namely, the group taking antihypertensive drugs&gt; 6 months and not taking medication. The DEQ-5 questionnaire was completed and Schirmer I was examined.</p><p><strong>Results:</strong> Descriptive analysis of the Schirmer I test for the frequency of dry eye syndrome was higher in respondents who took antihypertensive drugs than those who did not take antihypertensive drugs. The results of statistical analysis using the chi-square test of significance that is equal to &lt;0.001 or it can be said that p &lt;α (0.05), indicates there is an effect of antihypertensive drug administration on dry eye syndrome based on the Schirmer test in hypertension patients at Jagir Public Health Center in Surabaya..</p><p><strong>Conclusion:</strong> The use of antihypertensive drugs has an effect on dry eye syndrome in patients with hypertension at the Jagir Public Health Center in Surabaya</p><strong>Keywords:</strong> Dry eye syndrome, antihypertensive drugs, hypertension


Author(s):  
Evi Rosita ◽  
Siti Nurnaningrum

There are about 2.8 million incident of perineal rupture in maternal physiological labor. In 2050,it is estimated that the incidence of perineal rupture can be 6.3 million if it is not accompanied by a good midwifery care. In 2016, in Trawas, there was (89%) perineal rupture in primiparas and (57%) perineal rupture in multiparas. Perineal rupture incidences due to parity were still very high. This study aims to analyze the relationship between parity and the incidence of perineal rupture . It is quantitative studyusing a cross sectional approach, by using analysis of physiological maternity women  medical record data from January to April 2017 of 130 peoplein Trawas Public Health Center, Mojokerto Regency.The dataanalysis used was Chi - Square , indicated by p value = 0,000 with ɑ = 0,05. It means that the value of p <ɑ, so H1 is accepted. It can be concluded that there is a relationship between parity and the incidence of perineal rupture on physiological maternity women in Trawas Public Health Center,Mojokerto Regency. Midwives can apply collaboration with patients and their families to have physical and psychologicalpreparation with an alternative of hypnobirthing methods.


2020 ◽  
Author(s):  
Ashar Prima ◽  
Hani fauziah ◽  
achmad Ramadhan

Hipertensi adalah salah satu penyakit kardiovaskuler yang paling umum terjadi di dunia. Tujuan studi kasus adalah memperoleh pengalaman atau gambaran secara nyata dalam pemberian terapi Slow Stroke Back Massage terhadap penurunan tekanan darah pada pasien hipertensi di wilayah kerja Puskesmas Bekasi Jaya tahun 2019. Studi kasus dengan rancangan deskriptif, jumlah subyek yaitu 2 orang dengan kriteria laki- laki, berusia 46-65 tahun, dan tidak ada gangguan seperti fraktur tulang rusuk, luka bakar, kemerahan pada kulit dan luka terbuka. Pengukuran tekanan darah dengan menggunakan sphygmomanometer digital dan diobservasi. Hasil studi kasus menunjukan tekanan darah mengalami penurunan dan kenaikan pada subyek 1 dan 2. Kesimpulan dari studi kasus ini, slow stroke back massage mampu menurunkan tekanan darah jika subyek dalam keadaan rileks.


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