scholarly journals LACTATION MANAGEMENT AGAINST NUTRITIONAL STATUS IN INFANT IN SUNGAI RAYA DALAM PRIMARY HEALTHCARE CENTER, KUBU RAYA REGENCY, WEST KALIMANTAN

2021 ◽  
Vol 16 (1) ◽  
pp. 156
Author(s):  
Otik Widyastutik ◽  
Yeni Pratiwi ◽  
Abrori , ◽  
Ratna ,

During the covid19 pandemic, malnutrition should be prevented. Nutritional status in infants may weaken their immunity, intelligence and productivity and arises their vulnerability to diseases and stunting during their development. The initial survey showed that in the working area of Sungai Raya Dalam Primary Healthcare Center, Kubu Raya District, West Kalimantan 60% of mothers have infants with malnutrition. This study aims to determine the relationship between lactation management (techniques, duration and frequency of breastfeeding) and the nutritional status of infants (0-12) months. This study used a case-control design. The research sample was 98 respondents (49 cases and 49 controls) selected by purposive sampling technique. The results showed that there was a significant relationship between mother's breastfeeding technique (p = 0.001; OR = 4.471; 95% CI = 1.882-10.620), duration of breastfeeding (p = 0.004; OR = 3.692; 95% CI = 1.578-8.638), and the frequency of breastfeeding (p = 0.009; OR = 3.257, OR = 1.422-7.459) with nutritional status of infants aged 0-12 months in the working area of Sungai Raya Dalam Primary Healthcare Center. Reflecting on the study, it is recommended for the health workers to provide counseling materials related to the techniques, duration and frequency of breastfeeding, and encourage mothers to get the required knowledge about them using Kartu Menuju Sehat (KMS) or Health Cards.Keywords: lactation management, malnutrition, breastfeeding technique, duration, frequency

2018 ◽  
Vol 11 (2) ◽  
pp. 114-120
Author(s):  
Lilis Maghfuroh

In general, the process of each child's developmental stages is the same, that is the result of the maturation process. But in accomplishment, every child has a different speed.  Based on the initial survey 5 (50%) children doubt in the development. The purpose of this study was to determine the relationship among nutritional status with the development of children age toddler. This research design using correlation analytical method with Cross Sectional approach. The number of 45 samples of children under five with simple random sampling technique with the independent variable of nutritional status and the dependent variable of development, analysis using Spearmen test with ρ <0.05. The test results obtained significant 0.002 (ρ <0.05).  Shows there is a relationship of nutritional status with the development of children age toddler. Mother's efforts to improve the development of toddler age children by improving nutritional status that includes 4 healthy 5 perfect in accordance with the needs of children aged toddler and provides stimulation of development through the provision of educational games and immediately bring the child to health personnel if there is suspected deviation of development


2020 ◽  
Vol 8 (1) ◽  
pp. 19
Author(s):  
Shabrina Ayu Margirizki ◽  
Sri Sumarmi

Latar Belakang: Anemia padaibu hamil dapat berdampak pada kematian janin selama masa kehamilan dankematian ibu saat melahirkan.Salah satu upaya pemerintah dalam penanganan dan penanggulangan anemia padaibu hamil tercantum dalam Permenkes RI Nomor 97 tahun 2014, dengan melakukan pendistribusian suplementablet tambah darah dan pemberian edukasi gizi.Tujuan:Tujuan penelitian ini adalahmenganalisis ketimpangan melalui pelaksanaanprogram tablet tambahdarah untukibu hamil di Kota Bogor.Metode:Penelitian ini termasuk kedalam penelitian deskriptifkualitatifdan menggunakan metode pengumpulandata wawancara mendalam.Informan utamaberjumlah 9 orang,yaitu 1 orang tenaga gizi Dinas Kesehatan KotaBogor, 4 orang tenaga kesehatan bidan dan gizi puskesmas, dan 4 orang ibu hamil.Hasil:Hasil penelitian menunjukkan bahwa implementasi program tablet tambah darah untuk ibu hamil di KotaBogor dilakukan melalui program distribusi tablet tambah darah dan edukasi gizi namun menunjukkanperbedaan pada penerimaan informasi yang diterima ibu hamil di puskesmas dengan cakupan rendah. Kesulitanmemahami media yang digunakan tenaga kesehatan gizi ditemukan pada puskesmas dengan cakupan tinggi.Data cakupan tablet tambah darah untuk ibu hamil belum terdata secaraaktual dari tenaga kesehatan bidanswasta karenakoordinasiyang rendahantara bidan swasta dan pihak pemerintah.Kesimpulan:Program tablet tambah darah untuk ibu hamil dapat dioptimalkan dengan meningkatkan intensitaskomunikasi antara tenaga kedinasandan tenaga kesehatan bidan swasta untuk menyamakan informasi cakupan,memberikan acuan pokok terkait media konseling dan edukasi yang digunakan oleh tenaga kesehatan dalamproses konseling dan edukasi, dan menetapkan Standar Prosedur Operasional kepada tenaga kesehatan untukmemberikan informasi yang baik dan jelas kepada ibu hamil terkait tablet tambah darah.ABSTRACTBackground:Anemia in pregnant women may impactingto miscarriage during pregnancy and death on deliveryprocess. One amongst many governments’ efforts to cope with anemia on pregnancy mentioned in Permenkes RINo 97 published on 2014 are distributing iron tablet to pregnant women and giving nutritional relatededucation. Those programsdone by primary local healthcare center.Objectives:Objective of this study was to analyzethe inequalityof iron tablet program for pregnant womenthrough intervention programmesin Kota Bogor.Methods:This was adescriptive qualitative study. Main informants were 1 nutrition staff in Dinas KesehatanKota Bogor, 4 health workers in primary healthcare center, and 4 pregnant women.Results:Result of study shown that iron tablet implementation program for pregnant women in Kota Bogor wasdone by using same method but show differences impact of pregnant women in low coverage of primaryhealthcare center. The difficulties in understanding the media facility was found in high coverage of primaryhealthcare center. Current data for iron tablet coverage for pregnant women is not the actual data due to lack ofcoordination between private midwife and government.Conclusions:Iron tablet program for pregnant women can be optimized by increasing communication intensitybetween private midwife and government to integrate the data, providing standard reference for media facilitythat used in counseling and education process, and establishing Standard Operational Procedure to every healthworkers in primary healthcare center togive right and clear explanation about iron tablet to pregnant women.


2020 ◽  
Vol 15 (3) ◽  
pp. 315
Author(s):  
Novrin Senselia Putri Ziliwu ◽  
Lina Dewi Anggraeni ◽  
Rosa Nora Lina

The number of children under five years of age suffering from underweight was 28.0% in Gunungsitoli district. Out of six primary Healthcare centers in the district, Gunungsitoli Idanoi Primary Healthcare Center Healthcarewas one of the six primary healthcare centers with the highest malnutrition prevalence. Sixty-four children under five years of age there Healthcaresuffered from malnutrition. This study aimed to identify factors associated with the nutritional status of children under five in Gunungsitoli Idanoi Primary Healthcare Center, Gunungsitoli district. It was an analytical survey with a cross-sectional approach conducted in Gunungsitoli Idanoi Primary Healthcare Center in February 2019. Data were collected using a questionnaire. This study had samples as many as 246 mothers of children under five years of age selected using a purposive random sampling technique. The bivariate analysis indicates the nutritional status of children under five was significantly associated with mother’s employment status (p=0.043) and family size (p=0.015). While the nutritional status of children under five had no significant association with mother’s knowledge of nutrition (p=0.485), mother’s education (p=0.616), family income (p=0.511), infectious disease (p=0.913), and history of breastfeeding (p=0.847). Mother’s employment status and family size affected the nutritional status of children under five. The primary Healthcare center should cooperate with stakeholders across sectors, especially conduct training for improving economic business skills of the people in the village, and promote family planning program for couples of childbearing age. Keywords: Breastfeeding, children under five years of age, underweight, mother’s knowledge, mother’s employment.


2021 ◽  
Vol 16 (1) ◽  
pp. 101
Author(s):  
Kadek Risma Yulina Sari

Ubud I Primary Healthcare Center's working area showed an annual increase in dengue hemorrhagic fever (DHF) cases and deaths. It reported the highest DHF cases out of 13 Primary Healthcare Centers in Gianyar district. The purpose of this study was to analyze the determinants of the Aedes aegypti larvae' existence in the Ubud I Primary Healthcare Center 's working area, Gianyar district, Bali. This research was an analytic observational study with a cross-sectional study design. The research sample was 95 respondents chosen randomly using the simple random sampling technique. The high DHF cases in the Ubud I Primary Healthcare Center working area can be referred to environmental factors and community behavior factors. Interviews, larvae observation and other observations were done to collect data. Chi-square statistical test was used for data analysis. The results showed that there was a relationship between the MNE-DHF actions (p = 0.047), water PH (p = 0.001), container color (p = 0,000) to Aedes aegypti larvae' presence. On the other hand, MNE-DHF knowledge (p = 1.00) and room humidity (p = 0.357) showed no relationship with Aedes aegypti larvae' presence. Thus, it has been concluded that community actions, container color, and water pH have significant relationships with the larvae' existence. It is recommended to increase community awareness of applying more environmental management precautions.Keywords: Container’s Color, Dengue Fever, Aedes aegypti 


2020 ◽  
Author(s):  
Kristin Natal Riang Gea

AbstrakKeselamatan pasien merupakan dasar dari pelayanan kesehatan yang baik. Pengetahuan tenaga kesehatan dalam sasaran keselamatan pasien terdiri dari ketepatan identifikasi pasien, peningkatan komunikasi yang efektif, peningkatan keamanan obat yang perlu diwaspadai, kepastian tepat lokasi, prosedur, dan tepat pasien operasi, pengurangan risiko infeksi, pengurangan risiko pasien jatuh. Tujuan penelitian untuk mengetahui hubungan antara pengetahuan dengan penerapan keselamatan pasien pada petugas kesehatan di Puskesmas Kedaung Wetan Kota Tangerang. Metode Penelitian menggunakan deskriptif korelasi menggunakan pendekatan cross sectional. Populasi sebanyak 50 responden. Teknik pengambilan sampel menggunakan total sampling. Instrumen yang digunakan berupa lembar kuesioner. Teknik analisa diatas menggunakan analisa Univariat dan Bivariat. Hasil Penelitian ada Hubungan Pengetahuan dengan Penerapan Keselamatan Pasien pada Petugas Kesehatan, dengan hasil, p value sebesar 0,013 &lt; 0,05 maka dapat disimpulkan bahwa ada Hubungan Pengetahuan dengan Penerapa Keselamatan Pasien pada Petugas Kesehatan. Kesimpulan penelitian ada Hubungan Pengetahuan dengan Penerapan Keselamatan Pasien.. AbstrackPatient safety is the basis of good health services. Knowledge of health personnel in patient safety targets consists of accurate patient identification, increased effective communication, increased safety of the drug that needs to be watched, certainty in the right location, procedure, and precise patient surgery, reduction in risk of infection, reduction in risk of falling patients. The purpose of this study was to determine the relationship between knowledge and the application of patient safety to health workers in the Kedaung Wetan Health Center, Tangerang City. The research method uses descriptive correlation using cross sectional approach. The population is 50 respondents. The sampling technique uses total sampling. The instrument used was a questionnaire sheet. The analysis technique above uses Univariate and Bivariate analysis. The results of the study there is a Relationship of Knowledge with the Implementation of Patient Safety in Health Officers, with the result, p value of 0.013 &lt;0.05, it can be concluded that there is a Relationship between Knowledge and Patient Safety Implementation in Health Officers. The conclusion of the study is the Relationship between Knowledge and the Implementation of Patient Safety.Keywords Knowledge, Patient safety, Health workers


Author(s):  
Nailufar Firdaus

Anxiety is something that afflicts almost everyone at a certain time in his life. Anxiety is a normal reaction to a situation that is very pressing for one's life. Anxiety can arise alone or join with other symptoms of various emotional disorders (Savitri Ramaiah, 2003: 10). Based on the results of the preliminary study, it is known that there are still mothers who experience anxiety about facing labor in PEB pregnant women, which is 29%. The purpose of this study was to determine the relationship between coping strategies and the anxiety of facing labor in PEB pregnant women at Syarifah Ambami Hospital Rato Ebhu Bangkalan. This research method is Analytical, while the research design uses cross sectional. Independent variables are coping strategies, and the dependent variable is anxiety. Population, namely all pregnant women with PEB as many as 33 pregnant women with an average of each month. Samples taken as many as 30 pregnant women with simple random sampling technique. Data collection using questionnaires and HARS scale were processed using cross tabulation and lambda statistical tests. From the results of the study, almost half of 45.8% of PEB pregnant women with mild anxiety with adaptive coping strategies were obtained. Based on the lambda statistical test, get pValue = 0.045 and a = 0.05. Thus the results obtained p = 0.045 <a = 0.05, which means that H0 is rejected and H1 is accepted, namely there is a significant relationship between Coping and Anxiety Strategy in Facing Labor in PEB Pregnant Women at Syarifah Ambami Hospital Rato Ebhu Bangkalan. The results of this study are expected to be a reference for midwives that a high-risk pregnant woman also has excessive anxiety that can affect the delivery process. By doing so, health workers should be able to provide detailed information to pregnant women about the high risks they experience.


2019 ◽  
Vol 7 (2) ◽  
pp. 139
Author(s):  
Sutopo Patriajati ◽  
Ayun Sriatmi

Background: As a form of health promotion, Antenatal Education (AE) class is expected to improve the knowledge, attitudes, and practices of mothers facing their pregnancy. Access to antenatal classes for mothers has not been optimal because of the low level of participation. Not all mothers are willing to join antenatal classes for various reasons.Aim: This study aimed at analyzing the determinant factors that influence the mother’s participation in antenatal classes.Method: This study was a quantitative study with a cross-sectional approach. The population was all pregnant women in Semarang City with 140 pregnant mothers as samples from 3 Primary Healthcare Centers including Rowosari, Purwoyoso, and Gayamsari which were selected by using a purposive sampling technique. Data were collected through an interview using a structured questionnaire.Results: The findings showed that only 54.3% of mothers attended the antenatal classes. Knowledge, support from health personnel, facilities, and infrastructure, as well as a history of illness and pregnancy,  affect mothers’ participation in antenatal classes where the support of health workers had the most dominant influence (OR 5.394). The overall influence was 39.2%.Conclusion: The low mothers’ participation in antenatal classes was influenced by the lack of knowledge and support, inadequate facilities as well as the low health status of mothers. Further socialization and engagement across related sectors with strong networking are needed to solve this problem.Keywords:  antenatal education, participation, primary healthcare center.


2020 ◽  
Vol 1 (1) ◽  
pp. 16
Author(s):  
Hatijar Hatijar

Low birth weight babies are babies born with a weight less than 2500 grams. LBW (low birth weight) affects the high mortality rate in infants and is at risk of experiencing obstacles in growth and development. LBW is generally caused due to lack of nutrition and nutritional needs from mother to fetus while pregnant women aged less than 20 years and more than 35 years have the risk of giving birth to LBW. The purpose of this study is to determine the risk factors that cause LBW based on maternal age and nutritional status. The research method used was observational with a cross sectional study approach. The sampling technique was random sampling at the Regional Haji Makassar General Hospital in the January to July 2015 period with a total sample of 65 people. Analysis using the Chi Square Test. The results showed that there was a relationship between maternal age, nutritional status of LBW with a value (p value = 0.00 <α = 0.05). Maternal age and nutritional status are factors that influence low birth weight where the results of the study indicate that there is a relationship between maternal age and nutritional status on the incidence of low birth weight. To reduce the incidence of low birth weight, it is necessary to increase counseling about the causes of low birth weight babies by health workers, especially midwives to pregnant women to prevent the risk of low birth weight birth.


2019 ◽  
Vol 7 (2) ◽  
pp. 147 ◽  
Author(s):  
Ratna Dwi Wulandari ◽  
Agung Dwi Laksono

Background: Urban always attracts investors to invest. Health facilities in urban areas are growing rapidly compared to villages. This condition is estimated to contribute to the disparity of urban-rural areas in the utilization of health services. Studying the utilization of health services is a way to evaluate the performance of the health care system through its output.Aim: This study analyzed the urban-rural disparity in the utilization of primary healthcare center by the elderly.Method: This study used in the 2013 Basic Health Research raw data. The 2013 Basic Health Research was designed as a cross-sectional survey. With the multi-stage cluster random sampling method, 25,813 elderly people in East Java Province participated. Data were analyzed using Multinomial Logistic Regression tests.Results: Elderly people in urban areas have a better probability of outpatient use of 1.208 than those living in rural areas (OR 1.208; 95% CI 1.057-1.380). The elderly who have a primary school and under education have the possibility of 1.558 times more utilizing outpatients in primary healthcare centers than the elderly who have college education levels (OR 1.558; 95% CI 1.001-2.424).Conclusion: There was a disparity between urban and rural areas in the utilization of outpatient primary healthcare centers in East Java by the elderly. Policymakers in East Java are recommended to improve facilities and infrastructure of the primary healthcare centers in rural areas by paying attention to the results of this study.Keywords: elderly, urban-rural disparities, primary healthcare center, healthcare utilization, inpatient-outpatient. 


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