PEMBERDAYAAN MASYARAKAT UNTUK MENINGKATKAN PEMBERIAN ASI EKSKLUSIF KELURAHAN AMPEL KOTA SURABAYA

ASI adalah cairan hasil sekresi kelenjar payudara Ibu, dan eksklusif apabila diberikan pada bayi sejak kelahiran hingga 6 bulan tanpa menambahkan dan atau mengganti dengan minuman yang lain kecuali obat. Pemberian ASI Eksklusif dapat menurunkan angka kesakitan dan kematian pada bayi. Cakupan ASI Eksklusif di Kelurahan Ampel sejumlah 59,2% dari 1418 balita hal ini menunjukkan capaian ASI Eksklusif di Kelurahan Ampel dibawah standar (77%). Tujuan kegiatan ini adalah memberdayakan masyarakat untuk meningkatkan pemberian ASI Eksklusif di Kelurahan Ampel Kota Surabaya. Manfaat kegiatan ini untuk memandirikan masyarakat dalam meningkatkan status kesehatan masyarakat khususnya dalam pemenuhan ASI Eksklusif di Kelurahan Ampel.Metode pelaksanaan kegiatan ini berupa FGD dan indepth interview yang diikuti oleh 10 ibu, penyuluhan yang diikuti oleh 44 orang, leadership, dan kaderisasi pemantau pemberian ASI Eksklusif yang diikuti oleh 7 orang. Hasil FGD menunjukkan bahwa perlu adanya intervensi di bidang kesehatan tentang pemberian ASI Eksklusif di Kelurahan Ampel. Inovasi kegiatan yang dapat dilakukan untuk meningkatkan pemberian ASI Eksklusif melalui program ASI eKsklusif Bayi kUat (ASIK BU). Program ASIK BU di Kelurahan Ampel dilakukan melalui kegiatan yang berupa kaderisasi karang taruna dan penyuluhan kepada WUS, Bumil dan Busui. Saran dari kegiatan ini berupa perlu adanya pemantauan dari penanggung jawab puskesmas Sidotopo secara berkala untuk melakukan monitoring dan evaluasi terhadap pelaksanaan program ASIK BU. Diharapkan masyarakatberkomitmen penuh dalam melaksanakan program ASIK BU. Pemerintah setempat dapat memberikan dukungan sosial maupun material salah satunya dalam bentuk pemberian penghargaan kepada kader dan ibu yang dapat memberikan ASI secara eksklusif. ABSTRACT Breastmilk is a fluid secretion from mother mammary gland, and called exclusive when breastmilk given to newborn until six months without adding and or replace with another fluid except medicine. Exclusive Breastfeeding can reduce infant morbidity and mortality rate. Breastfeed performance at Ampel Village is 59,2% from 1418 infants. It showed that is under standard of breastfeed (77%). Aim of this program is made empowerment to increase exclusive breastfeed performance at Ampel Village. Benefit of this program is Ampel People can increase health status especially exclusive breastfeed by themselves. Method of this program by using FGD, indepth interview that followed by 10 mothers, health education was followed 44 people. Leadership and forming of breastfeed cadres is followed by 7 peoples. FGD Result showed that necessity of health intervention especially exclusive breastfed monitoring at Ampel Village. Innovation can be done by ASI eKsklusif Bayi kUat (ASIK BU) program. ASIK BU at Ampel village done by forming of breastfeed cadres and gave health education to fertile woman, breastfeed mother, and pregnant woman. Recommendation of this program isperiodically monitored and evaluated by Puskesmas Sidotopo. Ampel Village people must put fully committed for this program. Government should support socially and materially which one by giving reward to mother who finished exclusive breastfeed and cadre who helping mother.

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The Impact of a Health Education Program Targeting Patients with High Visit Rates in a Managed Care Organization

American Journal of Health Promotion ◽

10.4278/0890-1171-17.2.101 ◽

2002 ◽

Vol 17 (2) ◽

pp. 101-111 ◽

Cited By ~ 12

Author(s):

Diana L. Dally ◽

Wendy Dahar ◽

Ann Scott ◽

Douglas Roblin ◽

Allan T. Khoury

Keyword(s):

Blood Pressure ◽

Health Promotion ◽

Health Status ◽

Treatment Group ◽

Health Education ◽

Managed Care ◽

The Other ◽

Care Organization ◽

Significant Change ◽

Health Education Materials

Purpose. To determine if a mailed health promotion program reduced outpatient visits while improving health status. Design. Randomized controlled trial. Setting. A midsized, group practice model, managed care organization in Ohio. Subjects. Members invited (N = 3214) were high utilizers, 18 to 64 years old, with hypertension, diabetes, or arthritis (or all). A total of 886 members agreed to participate, and 593 members returned the initial questionnaires. The 593 members were randomized to the following groups: 99 into arthritis treatment and 100 into arthritis control, 94 into blood pressure treatment and 92 into blood pressure control, and 104 into diabetes treatment and 104 into diabetes control. Measures. Outpatient utilization, health status, and self-efficacy were followed over 30 months. Interventions. Health risk appraisal questionnaires were mailed to treatment and control groups before randomization and at 1 year. The treatment group received three additional condition-specific (arthritis, diabetes, or hypertension) questionnaires and a health information handbook. The treatment group also received written health education materials and an individualized feedback letter after each returned questionnaire. The control group received condition-specific written health education materials and reimbursement for exercise equipment or fitness club membership after returning the 1-year end of the study questionnaire. Results. Changes in visit rates were disease specific. Parameter estimates were calculated from a Poisson regression model. For intervention vs. controls, the arthritis group decreased visits 4.84 per 30 months (p < 0.00), the diabetes group had no significant change, and the hypertension group increased visits 2.89 per 30 months (p < 0.05), the overall health status improved significantly (−6.5 vs. 2.3, p < 0.01) for the arthritis group but showed no significant change for the other two groups, and coronary artery disease and cancer risk scores did not change significantly for any group individually. Overall self-efficacy for intervention group completers improved by −8.6 points (p < 0.03) for the arthritis group, and the other groups showed no significant change. Conclusions. This study demonstrated that in a population of 18 to 64 years with chronic conditions, mailed health promotion programs might only benefit people with certain conditions.

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Health status of children in ancient Sirmium

Starinar ◽

10.2298/sta1666065m ◽

2016 ◽

pp. 65-80 ◽

Cited By ~ 1

Author(s):

Natasa Miladinovic-Radmilovic ◽

Vulovic Dragana ◽

Ksenija Djukic

Keyword(s):

Health Status ◽

Mortality Rate ◽

Child Mortality ◽

Middle Ear ◽

Metabolic Diseases ◽

Enamel Hypoplasia ◽

The Social ◽

Haematological Disorders ◽

Child Mortality Rate ◽

Inadequate Nutrition

This paper presents diseases which directly leave traces on osteological material (enamel hypoplasia, caries, traumatic conditions, haematological disorders, metabolic diseases and middle ear inflammation) and diseases that leave no visible marks on bones, and may indeed be the direct cause of death of children in ancient Sirmium. In paleodemographic research, child mortality rate is an important element of a population?s progress. Child mortality is considered an adequate criterion for the social and sanitation conditions of a community and a sensitive indicator of inadequate nutrition.

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Pendidikan Kesehatan Masyarakat Perawatan Payudara pada Ibu Nifas di Posyandu Dewi Sri Pamulang Kota Tangerang Selatan

JPKMI (Jurnal Pengabdian Kepada Masyarakat Indonesia) ◽

10.36596/jpkmi.v2i1.121 ◽

2021 ◽

Vol 2 (1) ◽

pp. 17-22

Author(s):

Ikada Septi Arimurti ◽

Rita Dwi Pratiwi ◽

Wannasta Alayya

Keyword(s):

Health Education ◽

Community Service ◽

Exclusive Breastfeeding ◽

P Value ◽

Breastfeeding Rate ◽

Care Health ◽

Breast Care ◽

Postpartum Mothers ◽

The Impact ◽

Provide Health Education

Abstrak: Data Riskesdas tahun 2018 menyatakan bahwa pada bayi umur 0-5 bulan di Indonesia, proporsi pola pemberian ASI sebanyak 37,3% ASI ekslusif, sedangkan pada ASI parsial dan ASI predominan masing-masing sebesar 9,3%, dan 3,3%. Hal ini menunjukkan bahwa angka ASI eksklusif kita masih tergolong rendah. Perawatan payudara adalah faktor yang berpengaruh terhadap keberhasilan proses menyusui pada ibu nifas, selain faktor lainnya. Penelitian sebelumnya mengungkapkan terdapat hubungan yang signifikan antara perawatan payudara dengan keberhasilan proses menyusui dengan p-value sebesar 0,007. Tujuan pengabdian masyarakat ini adalah memberi edukasi kepada masyarakat khususnya ibu nifas untuk dapat melakukan perawatan payudara pada masa nifasnya sehingga bisa mendukung program ASI eksklusif. Metode pengabdian masyarakat dilakukan melalui ceramah dan simulasi perawatan payudara. Pendidikan kesehatan dilakukan oleh dosen dan mahasiswa STIKes Widya Dharma Husada Tangerang. Kegiatan bertempat di Posyandu Dewi Sri Pamulang Kota tangerang Selatan. Pelaksanaannya pada saat kegiatan posyandu lalu disertakan pendidikan kesehatan dengan tema perawatan payudara pada ibu nifas. Peserta kegiatan sebanyak 15 orang ibu nifas. Terdapat antusiasme warga saat kegiatan berlangsung. Dampak kegiatan ini peserta mengetahui cara melakukan perawatan pada payudara sehingga sangat bermanfaat dalam proses menyusuinya. Harapan selanjutnya adalah kader posyandu juga dapat terus memberikan pendidikan kesehatan mengenai perawatan payudara pada ibu nifas yang belum memahami bagaimana merawat payudara selama proses menyusui.Abstract: Riskesdas data for 2018 states that in infants aged 0-5 months in Indonesia, the proportion of breastfeeding patterns is 37,3% exclusive breastfeeding, while partial breastfeeding and predominant breastfeedings are 9,3% and 3,3%, respectively. This shows that our exclusive breastfeeding rate is still low. Breast care is one of the factors that influence the success of the breastfeeding process in postpartum mothers and other factors. Previous research revealed a significant relationship between breast care and the success of the breastfeeding process with a p-value = 0,007. This community service aims to provide education to the community, especially postpartum mothers, to carry out breast care during the puerperium so that they can support the exclusive breastfeeding programs. Community service methods are carried out through lectures and simulations of breast care. Health education is carried out by lecturers and students of STIKes Widya Dharma Husada Tangerang. The activity took place at Posyandu Dewi Sri Pamulang, South Tangerang City. It was implemented during the posyandu activities and then included health education with breast care for postpartum mothers. Participants in the activity were about 15 mothers. There was enthusiasm from the residents when the activity took place. The impact of this activity, participants know how to do a treatment on the breast, so it is very beneficial in breastfeeding. The next hope is that posyandu cadres can also continue to provide health education on breast care to mothers who do not understand how to care for the breast during the breastfeeding process.

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Poor health status, inappropriate glucose-lowering therapy and high one-year mortality in geriatric patients with type 2 diabetes

BMC Geriatrics ◽

10.1186/s12877-020-01780-9 ◽

2020 ◽

Vol 20 (1) ◽

Cited By ~ 1

Author(s):

Antoine Christiaens ◽

Benoit Boland ◽

Marie Germanidis ◽

Olivia Dalleur ◽

Séverine Henrard

Keyword(s):

Health Status ◽

Mortality Rate ◽

Geriatric Patients ◽

Poor Health ◽

Poor Health Status ◽

Glucose Lowering ◽

Lowering Therapy ◽

One Year ◽

Glucose Lowering Therapy

Abstract Background Glucose-lowering therapy (GLT) should be individualized in older patients with type 2 diabetes (T2D) according to their health status and their life expectancy. This study aimed at assessing the inappropriateness of GLT prescribing and the one-year mortality rate in geriatric patients with T2D. Methods Retrospective cohort study of consecutive inpatients with T2D admitted to a geriatric ward of a Belgian university hospital. Inclusion criteria were age ≥ 75 years, T2D with GLT before admission, and HbA1c measurement during the hospital stay. Comorbidities and geriatric syndromes were collected. GLT agents were classified into hypoglycaemic and non-hypoglycaemic ones, and their dosages were expressed in daily defined dose (DDD). Health status (intermediate or poor) and GLT appropriateness (appropriate, overtreatment, undertreatment) were assessed according to the 2019 Endocrine Society guideline on diabetes treatment in older adults, in which GLT overtreatment requires the presence of hypoglycaemic therapy. One-year mortality was determined using the National Registry of vital status, and its associated factors were analysed using multivariable Cox’ regression. Results The 318 geriatric patients with T2D (median age 84 years; 46% female) were in intermediate (33%) or poor health (67%). These two groups reached similar low HbA1c values (median 6.9%) with similar GLT regimens. GLT overtreatment was frequent (57%) irrespectively of the geriatric features. One-year mortality rate was high (38.5%) and associated in multivariate analysis with poor health status (HR: 1.59, p = 0.033), malnutrition (HR: 1.67, p = 0.006) and GLT overtreatment (HR: 1.73, p = 0.023). Patients with GLT overtreatment had a higher mortality rate (44.5%). Conclusions GLT overtreatment was present in more than half of these geriatric patients. Many of them were in poor health status and died within one-year. Special attention should be paid to individualisation of the HbA1c goals in the geriatric patients with diabetes, and to GLT de-intensification in those being over-treated.

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Predictors of mortality among HIV exposed infants at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia

Italian Journal of Pediatrics ◽

10.1186/s13052-019-0740-9 ◽

2019 ◽

Vol 45 (1) ◽

Cited By ~ 1

Author(s):

Chalachew Adugna Wubneh ◽

Aklilu Endalamaw ◽

Nigusie Birhan Tebeje

Keyword(s):

Birth Weight ◽

Mortality Rate ◽

Low Birth Weight ◽

Hiv Infection ◽

Exclusive Breastfeeding ◽

Cox Regression ◽

Growth Failure ◽

Predictors Of Mortality ◽

Hiv Exposed Infants ◽

Hiv Exposed

Abstract Background In the era of highly active antiretroviral therapy, vertical HIV transmission has been decreased. This may increase fertility desire of HIV infected women and an increasing number of HIV exposed infants as a result. A high probability of mortality among HIV exposed infants was reported across different countries. However, few studies are found on mortality of HIV exposed infants, in particular, no study was conducted before in the current study area. Methods Institution based retrospective cohort study from July 2013 to December 2017 was conducted. A total of 408 HIV exposed children were selected through simple random sampling technique. Data were extracted from registration book by using data extraction tool, which is adapted from the Ethiopian Federal Ministry of Health HIV exposed infant follow-up form. Kaplan–Meier survival curve was used to show the probability of mortality rate. Bivariable and multivariable cox regression models were used to identify predictors of mortality. Results Overall mortality rate was found to be 8.88 (95% CI: 6.36–12.36) per 100 child-year. Infant with death of at least one parent (AHR = 3.32; 95% CI: 1.503–7.32), non-exclusive breastfeeding (AHR = 0.10; 95% CI: 0.037–0.302), growth failure (AHR = 2.9; 95% CI: 1.09–8.09), presence of sign and symptom of HIV infection (AHR = 2.99; 95% CI: 1.33–6.74), and low birth weight (AHR = 2.6; 95% CI: 1.007–6.78) were found to be predictors of infant mortality. Conclusions Mortality of HIV exposed infants was high in Ethiopia. Prevention of the occurrence of HIV infection symptom, growth failure, and low birth weight is essential and further treat early whenever they occurred. Still, behavioral change interventions on mother who practice non-exclusive breastfeeding are indicated. Especial care for orphan infants is required due to their nature of vulnerability to varieties of health problem.

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Health Education of the Pregnant Woman

Health Education Journal ◽

10.1177/001789694600400309 ◽

1946 ◽

Vol 4 (3) ◽

pp. 131-136 ◽

Cited By ~ 2

Author(s):

Grantly Dick Read

Keyword(s):

Pregnant Woman ◽

Health Education

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Validity of the Spanish surname infant mortality rate as a health status indicator for the Mexican American population.

American Journal of Public Health ◽

10.2105/ajph.74.9.998 ◽

1984 ◽

Vol 74 (9) ◽

pp. 998-1002 ◽

Cited By ~ 12

Author(s):

M L Selby ◽

E S Lee ◽

D M Tuttle ◽

H D Loe

Keyword(s):

Health Status ◽

Mortality Rate ◽

Infant Mortality ◽

Mexican American ◽

Infant Mortality Rate ◽

American Population ◽

Status Indicator ◽

Health Status Indicator ◽

Mexican American Population

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Trends in Health and Healthcare Utilization in Manitoba

Healthcare Management Forum ◽

10.1016/s0840-4704(10)60180-9 ◽

2002 ◽

Vol 15 (4_suppl) ◽

pp. 35-38 ◽

Cited By ~ 2

Author(s):

Lisa M. Lix ◽

Christine V. Newburn-Cook ◽

Noralou P. Roos ◽

Shelley Derksen

Keyword(s):

Health Status ◽

Mortality Rate ◽

Healthcare Utilization ◽

Hospital Admissions ◽

Premature Mortality ◽

Contact Rates ◽

Physician Contact ◽

Per Capita ◽

The Difference ◽

Hospital Days

Trends in health status and healthcare utilization were examined for regions of Manitoba from 1985 to 2000. While the provincial premature mortality rate decreased, the difference between the northern and southern regions increased. Hospital admissions remained stable despite major bed closures and an aging population; a decrease in hospital days per capita was observed in all regions. Physician contact rates also remained constant despite a 40% increase in the number of seniors.

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