scholarly journals Dukungan Tenaga Kesehatan dalam Meningkatkan Pemberian ASI Eksklusif Ibu di Posyandu Wilayah Puskesmas Kecamatan Mampang Prapatan Jakarta

Author(s):  
Najah Syamiyah ◽  
Helda Helda

Abstrak Cakupan ASI eksklusif di wilayah Puskesmas Kecamatan Mampang Prapatan masih rendah, sementara pendidikan tentang ASI eksklusif kepada masyarakat harus terus dilakukan karena dapat memberikan informasi penting untuk calon ibu dan keluarga. Penelitian dilakukan untuk mengetahui dukungan tenaga kesehatan terhadap perilaku pemberian ASI eksklusif pada Ibu bayi usia 0-5 bulan 29 hari di Posyandu Wilayah Puskesmas Kecamatan Mampang Prapatan. Penelitian dengan disain cross sectional ini dilakukan terhadap 250 ibu bayi yang terdaftar di Posyandu yang diwawancara menggunakan kuesioner terstruktur pada bulan November–Desember 2017. Berdasarkan hasil analisis multiple cox regression didapatkan bahwa peluang kelompok ibu yang mendapatkan dukungan tenaga kesehatan dengan baik untuk memberikan ASI eksklusif adalah 1,6 (CI 95% 1,02-2,34) kali dibandingkan dengan kelompok ibu yang kurang mendapatkan dukungan dari tenaga kesehatan. Disimpulkan bahwa Ibu yang mendapatkan 4 atau lebih dari 5 perlakuan diantaranya konseling ASI saat ANC, dilakukan IMD, dirawat gabung bersama bayi, bayinya tidak diberikan makanan dan minuman selain ASI selama masa perawatan, serta ibu pernah mendapatkan penyuluhan, maka peluangnya untuk memberikan ASI eksklusif lebih besar dibandingkan dengan ibu yang hanya mendapatkan 0-3 perlakuan tersebut. Diharapkan kepada penyedia layanan kesehatan Ibu dan anak dapat menetapkan kebijakan terkait pelayanan manajemen laktasi. Kata kunci: Dukungan Tenaga Kesehatan, ASI Eksklusif, Posyandu Abstract The coverage of exclusive breastfeeding in Mampang Prapatan Public Health Center was still low. Meanwhile, education about exclusive breastfeeding to the community should continue to be done because it can provide important information for prospective mothers and families. Then conducted a study to determine the support of health workers to exclusive breastfeeding on the mother of the baby aged 0-5 months 29 days in Posyandu Mampang Prapatan Public Health Center. This cross sectional study was conducted on 250 infant mothers enrolled at Posyandu who were interviewed using structured questionnaire in November-December 2017. Based on data analysis with multiple cox regression, it was found that the opportunity of maternal group that get good health support to give exclusive breastfeeding is 1,547 (95% CI 1.023-2,339) times bigger than those group of mothers who get less support from health worker. It can be concluded that if the mothers get 4 or more of 5 treatments such as breastfeeding counseling during ANC, early breastfeeding initiation, treated together with baby, the baby is not given any food and drink other than breastmilk during the treatment period, and the mother has got counseling, the possibility to give exclusive breastfeeding greater than mothers who only get 0-3 of these treatments. It was expected that health providers can establish policies related to lactation management services. Keywords: Health Workers Support, Exclusive Breastfeeding , Posyandu

2020 ◽  
Vol 2 (1) ◽  
pp. 1-11
Author(s):  
Katarina Maria Tjung ◽  
Intje Picauly ◽  
Rut Rosina Riwu

The nutritional status in the first 1000 days of life is very important. WHO and UNICEF recommend that newborn babies should only be breastfed for at least six months, so that babies can grow and develop optimally. The recommendation has been applied, but the failure of exclusive breastfeeding still occurs. This study aimed to analyze the determinants of exclusive breastfeeding of not working mothers in the work area of Oesapa Public Health Center, Kelapa Lima subdistrict in 2019. This is a quantitative study with cross-sectional study design. This research was conducted in the work area of Oesapa Public Health Center with a sample of 61 babies. Data analysis used the Chi-Square test and multiple logistic regression tests. The results showed that the variables of mother’s knowledge (ρ= 0,001), mother’s trust (ρ= 0,024), family’s support (ρ= 0,000), and health care provider’s support (ρ= 0,028) are related to exclusive breastfeeding, but mothers’ age (ρ= 0.257) and information exposure (ρ= 1,000) are not related to exclusive breastfeeding. The factor of family’s support (ρ= 0,001) and mother’s knowledge (ρ= 0,005) had the highest correlation with exclusive breastfeeding. The mothers' level of knowledge also had a major contribution to the success of exclusive breastfeeding. To achieve exclusive breastfeeding success, mothers need support from the family (especially husband) and complete information from health workers so the mothers’ knowledge can be improved. The health centers need to utilize various health promotion media to increase the coverage of exclusive breastfeeding.


2020 ◽  
Vol 2 (2) ◽  
pp. 60-67
Author(s):  
Nurmala Nurmala ◽  
Elisabeth Dame Manalu ◽  
Selamat Ginting

The high rate of infant mortality  and  infant morbidity  in Indonesia is still one of the health problems in Indonesia. One way to reduce the rate by early breastfeeding. In 2017 early breastfeeding initiation coverage in the area of public health center of early breastfeeding initiationThis research aims to  impove  the target  perfromance of early breastfeeding in Pijor Koling Public Health Center. This research is survey analytic with cross sectional. The sampel of researah is 54 mothers who just giving birth baby. The analysis data  use chi square test. The sampling technique is  purposing sampling. The result of research indicate that there is meaningful between knowledge  P=0,016 (P<0,05), occupation P=0,010 (P<0,05), the suppot of family p= 0,002 (p<0,05), attitude  P=0,059 (P<0,05), Age P= 0,007 (P<0,05), and there is no relation between knowledge with culture. P=0,1000 (P>0,05), The result of regression logistict test show that the  family support is having strongly relation with early breastfeeding initiation with the high of value 5,369 (95% CI: 1,178-22,056 Intiation  as many as 5,098 times more bigger than mothers who have support  family. The suggestion of Researcher  to health workers of health of mother and child of Pijor Koling Public Health Center more increase  information abaut early  breastfeeding initiation to mothers who have no job.  


2020 ◽  
Vol 13 (2) ◽  
pp. 109
Author(s):  
Yuyun Sarinengsih

ABSTRAKStunting yaitu keadaan gagal tumbuh akibat dari kekurangan gizi kronis. Prevalensi stunting di Kabupaten Tasikmalaya menempati urutan keempat, dimana kecamatan Sukahening menempati urutan pertama tertinggi dengan jumlah 155 balita mengalami stunting. Faktor yang dapat mempengaruhi kejadian stunting yaitu pengasuhan anak yang kurang baik dimana tidak diberikannya ASI secara Ekslusif. Pencegahan stunting yaitu pada 1000 hari kehidupan dimana salah satunya pemberian ASI secara Ekslusif.Penelitian ini bertujuan untuk mengetahui hubungan antara pemberian ASI Ekslusif dengan kejadian stunting pada balita 1-5 tahun di Puskesmas Sukahening Kecamatan Sukahening Kabupaten Tasikmalaya.Jenis Penelitian yang digunakan adalah deskriptif korelasional dengan pendekatan cross-sectional. Populasi total sampling sebanyak 95 responden menggunakan teknik purposive sampling.Hasil Penelitian diperoleh lebih dari setengah responden 51,6% tidak diberikan ASI secara Ekslusif, dan sebagian besar 65,3% balita mengalami stunting. Hasil perhitungan chi-square diperoleh ρ.value (0,000<0,05) maka H0 ditolak sehingga terdapat hubungan antara Pemberian ASI Ekslusif dengan kejadian stunting pada balita 1-5 tahun di Puskesmas Sukahening Kecamatan Sukahening Kabupaten Tasikmalaya.Hasil penelitian ini diharapkan dapat memberi informasi yang bermanfaat dan perlu dilakukan pendidikan kesehatan ulang yang terjadwal terkait nutrisi yang terjangkau dan sehat sehingga dapat meningkatkan cakupan ASI Ekslusif dan dapat menurunkan angka stunting.Kata Kunci : ASI Ekslusif, StuntingDaftar Pustaka : 25 buku (2010-2018)9 jurnal (2013-2019)2 Website (2010-2017) ABSTRACTStunting is a condition of growth failure due to chronic malnutrition. The stunting prevalence in Tasikmalaya Regency was at the fourth place where Sukahening sub-district was at the highest with 155 stunting. Factor that can influence the occurrence of stunting is a poor parenting where exclusive breastfeeding is not given. The best prevention of stunting is on 1000 days of life where exclusive breastfeeding is given. The impact, if the baby is not given exclusive breastfeeding, they will lack of nutrition and also will have an impact on the growth or inappropriate height. This aims of the research is to determine the relationship between exclusive breastfeeding and the incidence of stunting on toddler under 5 years of at Sukahening Public Health Center, Sukahening Sub district, Tasikmalaya Regency. The type of research used is descriptive correlation with a cross-sectional approach. The total samplings were 95 respondents which used purposive sampling technique. The results of the research were obtained more than half of the respondents 51.6% were given exclusive breastfeeding, and most 65.3% of children under five had stunting. The chi-square calculation results obtained that ρ.value (0,000 <0,05) then H0 is rejected so that there is a relationship between exclusive breastfeeding and the incidence of stunting on toddlers under 5 years in Sukahening Public Health Center, Sukahening Sub district, Tasikmalaya Regency. Performed the health education related to affordable and healthy nutrition so that it can increase the coverage of exclusive breastfeeding and can reduce stunting rates. Keywords : Exclusive breastfeeding, Stunting Bibliography : 25 books (2010-2018) 9 journals (2013-2019) 2 Websites (2010-2017) 


2020 ◽  
Vol 2020 ◽  
Author(s):  
Agussalim

Hypertension is a disease that usually occurs in the circulatory system which can cause an increase in blood pressure above the normal value, which exceeds 140/90 mmHg. The intention of this study aims to understand the relationship between lifestyle and the incidence of hypertension in Antang Makassar Public Health Center in 2018. This research method uses quantitative analytic motives using a cross sectional approach with a population of 46 people and a sample of 36 respondents. This research was conducted on July 14-16 June. The method used is simple random sampling and the tool used to obtain data is a questionnaire. The scale used is Liker and Guttmann scale with univariate, bivariate analysis and chi-square test with significant a = 0, 05. The results of this study indicate there is a relationship between lifestyle and the incidence of hypertension in the Makassar Antang Health Center with P = 0, 01 smaller than the value of a = 0.05. Suggestions are for hypertensive patients, namely the need to check their health routinely to health workers in order to know the development of blood pressure and obtain information from health workers.


2018 ◽  
Vol 25 (2) ◽  
pp. 47-57
Author(s):  
Yulita Elvira Silviani ◽  
Ayu Amalia Pranciska

Exclusive breastfeeding is breastfeeding without giving other foods or drinks immediately after birth until the age of 6 months. Exclusive breastfeeding for 6 months is recommended by international guidelines based on scientific evidence about the benefits of breastfeeding for infants, mothers, families and countries. This study aims to study the relationship of maternal attitudes and husband's support with exclusive breastfeeding in the work area of Jembatan Kecil Puskesmas in Bengkulu City. This study uses descriptive correlational method, with cross sectional design. The population in this study were all mothers who had babies aged 6 months who were in the working area of the Jembatan Kecil Health Center in Bengkulu City, which were 193 people. The technique in this study uses accidental sampling and obtained a sample of 66 samples. Collecting data in this study uses a questionnaire by distributing and filling questionnaires. The analysis used was univariate and bivariate. The results of the study were obtained: (1) out of 66 samples in the working area of the Jembatan Kecil Public Health Center in Bengkulu City there were 35 people (53.0%) not giving exclusive breastfeeding. (2) out of 66 samples in the working area of the Jembatan Kecil Public Health Center in Bengkulu City, there were 29 people (43.9%) negative attitudes in exclusive breastfeeding. (3) out of 66 samples in the working area of the Jembatan Kecil Public Health Center in Bengkulu City there were 23 people (34.8%) husbands who did not support exclusive breastfeeding. (4) There is a significant relationship between the attitudes of mothers with exclusive breastfeeding in the working area of the Jembatan Kecil Health Center in Bengkulu City, with a moderate relationship category. (5) There is a significant relationship between the husband's support and exclusive breastfeeding in the working area of the Jembatan Kecil Health Center in Bengkulu City, with a moderate relationship category. To further enhance the provision of information about exclusive breastfeeding through health promotion, health education and counseling that not only involves mothers but also includes husbands as motivators in the practice of exclusive breastfeeding and control of other factors such as mass media, socio-cultural so as not to affect mothers. Keywords: exclusive breastfeeding, mother's attitude, husband's support


2019 ◽  
Author(s):  
Adhar Arifuddin ◽  
St. Rahmadhani ◽  
Muh Jusman Rau

Illness Acute Respiratory Infections (ARI) especially pneumonia is a major health problem in toddlers in Indonesia because it is still a cause of morbidity, infant mortality and under-fives so that WHO calls it pneumonia is the leading killer of children worldwide but not much attention to this disease so pneumonia is called also a forgotten toddler killer or the forgotten killer of children. This study aims to determine the relationship between low birth weight, immunization status, feeding pattern, level of mother’s knowledge and the presence of smokers in the home on the incidence of pneumonia in infants in the work area of Kamonji Public Health Center, Palu City. The type of research used is analytical survey research with a cross sectional approach. The number of samples was 188 respondents. Data were analyzed by univariate and bivariate, at 95% confidence level (ρ &lt;0.05). The results of the Chi-Square test showed that the history of LBW, immunization status, feeding pattern, level of mother’s knowledge, and the presence of smokers in the home were associated with the incidence of pneumonia in infants with a value of ρ &lt;0.05. Kamonji Public Health Center is expected to provide health services through promotive and preventive efforts that aim to increase mother’s knowledge about the practice of preventing pneumonia in toddlers, besides that an active role in early detection and management of pneumonia is needed between health workers and all mother’s toddler so that coverage of case discovery pneumonia can increase.


2020 ◽  
Vol 7 (1) ◽  
pp. 209-220
Author(s):  
Lisa Rahmawati ◽  
Mahdalena Prihatin Ningsih

Based on the health profile of Indonesia in 2016, the number of cases of diphtheria in 2016 CFR (Case Fatality Rate) diphtheria, namely by 5.8%. Of all cases of diphtheria, amounting to 51% of them do not get vaccinated. Known from the annual report of Padang City Health Department 2017 Immunization coverage DPT-HB-Hib lows are in Lubuk Buaya Public Health Center (70.26%) of the 95% targets. The aim of research to determine the relationship level of knowledge and attitude about AEFI with Mother Compliance in giving immunization of DPT-HB-Hib in Lubuk Buaya Public Health Center. This research method is analytical survey with cross sectional study, data collection was done on January 22-March 12, 2019 in Lubuk Buaya Public Health Center. The population was mothers with babies aged 3-9 months, using a sampling technique purposive sampling with a sample of 66 respondents. Collecting data using questionnaires. Data were analyzed using a computerized with chi-square test. Results of univariate analysis obtained 60.6% of mothers do not obey the immunization of DPT-HB-Hib, 51.5% of mothers good knowledge, 56.1% of women have a negative attitude and 87.9% of infants with AEFI DPT-HB-Hib fever. The results of the bivariate analysis contained levels of knowledge about AEFI relationship with Compliance mother in immunization of DPT-HB-Hib (p = 0.002) and there is a relationship with Compliance AEFI Attitudes about Women in Giving Immunization DPT-HB-Hib (p = 0.039). It was concluded that there is a relationship between the level of knowledge and attitudes about AEFI maternal immunization compliance in providing the DPT-HB-Hib. For that is expected to increase outreach health workers about the DPT-HB-Hib and AEFI in order to minimize the perception and poor view of the DPT-HB-Hib and AEFI. Keywords        : Immunization DPT-HB-Hib, Level of Knowledge, Attitude, AEFI


2020 ◽  
Vol 4 (2) ◽  
pp. 235-241
Author(s):  
Welly Sando ◽  
Dami Yanthi ◽  
Muhammad Dedi Widodo ◽  
Tengku Khairani

Implementation is the implementation of laws in which various actors, organizations, procedures, and techniques work together to carry out policies in an effort to achieve policy objectives or policy programs. Exclusive breastfeeding coverage The Meranti Islands District Health Office experienced the lowest exclusive breastfeeding coverage in 2019, namely Alai Community Health Center, which is 25% where the achievement of the exclusive Breastfeeding Program (ASI) in Meranti Islands Regency in 2019 is 50% and still far from the national target of 80%. This study aims to determine the implementation of the exclusive breastfeeding program at Alai Public Health Center, Tebing Tinggi Barat District, Meranti Islands Regency in 2020. This type of qualitative research uses observational research. When the research was conducted in June-August at the Alai Public Health Center, Tebing Tinggi Barat District, Meranti Islands Regency. The research subjects were the head of the puskesmas (IK1), pregnant women (IU1), PJ KIA (IP1), and posyandu cadres (IP2). Data analysis is used by systematically arranging the interview guidelines, then processing the data, data from observations are identified to describe each variable, a summary will be presented in narrative form. The results of this study indicate that the policies in the exclusive breastfeeding program have been implemented but the coverage of exclusive breastfeeding is still low because many pregnant women do not follow the recommendations that have been given by health workers in counseling such as the benefits of breastfeeding. It can be concluded that health workers in the policy of the exclusive breastfeeding program provide counseling to pregnant women and approach pregnant women in order to achieve an exclusive breastfeeding program. It is recommended that the head of the Alai Community


2017 ◽  
Vol 24 (2) ◽  
pp. 51-60
Author(s):  
Santoso Ujang Effendi ◽  
Yusran Fauzi ◽  
Yusran Fauzi ◽  
Winda Agustina ◽  
Winda Agustina

Education  Level,  Mother’s Work,  and  Immunization  Completeness  of Babies  in  Working  Area  of  Basuki  Rahmad  Public  Health  Center  BengkuluABSTRAKPenelitian ini dilatarbelakangi oleh masih adanya cakupan imunisasi yang tidak lengkap di wilayah kerja Puskesmas Basuki Rahmad Kota Bengkulu. Dampak apabila bayi tidak melalukan imunisasi adalah daya tahan tubuh rendah, mudah terserang virus penyakit. Penelitian ini bertujuan untuk mempelajari hubungan pendidikan dan pekerjaan ibu dengan kelengkapan imunisasi pada bayi                             di Wilayah Kerja Puskesmas Kota Bengkulu. Penelitian ini menggunakan jenis penelitian Survey Analitik dengan desain Cross Sectional. Populasi dari penelitian ini adalah seluruh ibu yang mempunyai bayi 9 bulan sampai 18 bulan yang berjumlah 651 bayi. Teknik pengambilan sampel menggunakan teknik Simple Random Sampling yang berjumlah 87 bayi. Pengumpulan data dalam penelitian ini menggunakan data primer dan sekunder dengan teknik analisis data dilakukan dengan analisis univariat dan bivariat dengan menggunakan  uji statistik  Chi-Square (c²) melalui program SPSS. Hasil penelitian ini didapatkan : diketahui bahwa dari 87 orang ibu yang memiliki bayi, terdapat  66 orang ibu (75,9%) berpendidikan menengah, 67 orang ibu (77,0%) yang tidak bekerja, dan  69 orang ibu (79,3%) yang mempunyai bayi dengan imunisasi lengkap, dan ada hubungan yang signifikan antara tingkat pendidikan dan pekerjaan ibu dengan kelengkapan imunisasi pada bayi di wilayah kerja Puskesmas Basuki Rahmad Kota Bengkulu dengan kategori hubungan sedang.  Diharapkan petugas kesehatan untuk melakukan penyuluhan tentang imunisasi dan  meningkatkan pelayanan imunisasi pada bayi. Kata Kunci : bayi, kelengkapan imunisasi, pendidikan, pekerjaanABSTRACTThe background of  this study was the incomplete coverage of immunization in  working area of Basuki Rahmad  Public Health Center Bengkulu. Impacts if   baby did not pass immunization were low body resistance and  susceptible to viral diseases. This study aimed to study the relationship between education level and maternal work with the completeness of  immunization in babies in  working area of Basuki Rahmad  Public Health Center Bengkulu. This study used Analytical Survey research type with Cross Sectional design. The population of this study were all mothers who had babies 9 months to 18 months, amounting to 651 babies. The sampling technique used Simple Random Sampling technique which amounts to 87 babies. Data collection in this research used primary and secondary data with data analysis technique done by univariate and bivariat analysis with Chi-Square statistical test (c²) through SPSS program. The results of  this study were obtained : it was known that of 87 mothers who had babies, there were 66 mothers (75.9%) had medium education, 67 mothers (77.0%) who did not work, and 69 mothers (79.3% ) who had babies with complete immunization, and there was a significant relationship between the level of education and the mother's work with the completeness of immunization in babies in working area of Basuki Rahmad Public Health Center Bengkulu with medium relations category. It was expected that health workers to conduct counseling about immunization and improve immunization services in babies. Keywords : baby, completeness of  immunization, education, occupation


2021 ◽  
Vol 5 (1) ◽  
pp. 73-84
Author(s):  
Raden Bagus Khairul Anwar ◽  
Indasah Indasah

The role of health workers in administering health services is very important, especially as health service implementers, so it is natural that the ability and performance of health workers are one of the determinants of success in health services.. The purpose of this study was to analyze the influence of leadership style, motivation and discipline on employee performance at the public health center Pragaan, Sumenep Regency. The design of this study was an observational quantitative study with a cross sectional approach with the focus of the research being directed at analyzing the influence of leadership style, motivation and discipline on employee performance at public health center Pragaan, Sumenep Regency.with a population of 175 respondents and a sample of 114 respondents who were drawn using the simple random sampling technique. The findings showed that almost half of the respondents had a leadership style in the moderate category as many as 56 respondents (49.1%). Almost half of the respondents have medium category motivation as many as 48 respondents (42.1%). Nearly half of the respondents have sufficient work discipline as many as 49 respondents (43%). Nearly half of the respondents have a moderate performance category as many as 51 respondents (44.7%). Based on the results of the Multiple Linear Regression analysis, it shows that with a p-value of 0.000 <0.05, H0 is rejected and H1 is accepted, so it is concluded that simultaneously there is an influence of leadership style, Motivation and work discipline on employee performance at the Pragaan Public Health Center, Sumenep Regency with a magnitude of the influence of 75%. As a leader, the head of the puskesmas can provide appropriate direction, input and supervision to his subordinates so that the performance carried out by health workers can be well organized.


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