scholarly journals PROFIL IKLAN SUSU FORMULA SEBAGAI PRODUK PENGGANTI ASI YANG DIMUAT PADA MAJALAH KEDOKTERAN

2021 ◽  
pp. 1059
Author(s):  
Michelle Ruth Natalie ◽  
Wiyarni Pambudi

The rampant marketing of Breastmilk Substitutes products, especially infant formula in various mass media has caused many mothers to stop providing breast milk for their babies. One of the media used to market Breastmilk Substitutes products is medical journals. Marketing of infant formula and other Breastmilk Substitutes products is regulated by regulations that are still applicable until now. The purpose of this study was to determine how the profile of infant formula advertisements as Breastmilk Substitutes product in medical journals, as well as the level of compliance with the applicable regulations. In addition, researcher also wanted to know about the level of knowledge of health workers regarding the regulations governing the marketing of Breastmilk Substitutes products. This study used a descriptive design with a cross-sectional approach and included 24 advertisements for infant formula and 27 health workers. The sampling technique used was simple random sampling and data collection was carried out online from December 2020 to January 2021. The instruments used were a checklist contains the suitability of the infant formula advertisement with the applicable regulations governing it and also a questionnaire. 15 out of 24 advertisements of infant formula (62.50%) were categorized at the moderate level of conformity, which fulfilled 6 to 8 predetermined criteria. There were 21 out of 27 health workers (77.78%) who had a sufficient level of knowledge, which fulfilled 2 to 5 of the total 8 questions on the questionnaire. Overall, the conformity level of the infant formula advertisements with the Breastmilk Substitutes regulations is moderate; and the health workers’ knowledge about the Breastmilk Substitutes regulations is sufficient.Maraknya pemasaran produk Pengganti ASI, khususnya susu formula di berbagai media massa menyebabkan banyak ibu yang tidak lagi memberi ASI kepada bayinya. Salah satu media yang digunakan untuk memasarkan produk Pengganti ASI adalah majalah kedokteran. Pemasaran susu formula beserta produk Pengganti ASI lainnya diatur dalam peraturan-peraturan yang masih berlaku sampai saat ini. Tujuan daripada penelitian ini adalah untuk mengetahui bagaimana profil iklan susu formula sebagai produk Pengganti ASI pada majalah kedokteran, serta tingkat kesesuaiannya dengan ketentuan yang mengatur mengenai pemasaran produk Pengganti ASI. Selain itu peneliti juga ingin mengetahui mengenai tingkat pengetahuan tenaga kesehatan mengenai peraturan yang mengatur tentang pemasaran Pengganti ASI. Penelitian ini menggunakan desain deskriptif dengan pendekatan cross-sectional dan mengikutsertakan 24 iklan susu formula bayi serta 27 tenaga kesehatan. Teknik pengambilan sampel yang digunakan adalah simple random sampling dan seluruh pengambilan data dilakukan secara daring pada bulan Desember 2020 sampai Januari 2021. Instrumen yang digunakan berupa daftar tilik kesesuaian iklan susu formula bayi dengan peraturan yang berlaku beserta kuesioner. Sebanyak 15 dari 24 iklan susu formula bayi (62,5%) dikategorikan pada tingkat kesesuaian sedang, dimana memenuhi 6 hingga 8 kriteria yang telah ditentukan. Terdapat 21 dari 27 orang tenaga kesehatan (77,78%) memiliki tingkat pengetahuan cukup, dimana memenuhi 2 hingga 5 dari total 8 pertanyaan pada kuesioner. Secara keseluruhan, tingkat kesesuaian iklan susu formula bayi dengan ketentuan yang mengatur mengenai pemasarannya adalah sedang; dan tingkat pengetahuan tenaga kesehatan mengenai peraturan pemasaran produk Pengganti ASI adalah cukup. 

2020 ◽  
Vol 17 (4) ◽  
pp. 437-442
Author(s):  
Binita Dhakal

Background: Adolescence is a critical period and is associated with physical and psycho-social changes induced by puberty, which builds personality, behaviour, and future health of the adolescents. Thus, the aim of the study was to find out the knowledge and attitude regarding pubertal health of adolescence girls.Methods: A descriptive cross sectional study was conducted in Bharatpur Metropolitan City’s secondary level schools. A total of 183 adolescent girls were selected using probability simple random sampling from 5 schools out of total 43 schools which were also selected by simple random sampling technique. Data was collected by using structured self-administered questionnaire for knowledge and likert’s scale was used for attitude regarding pubertal health. Results: Study findings revealed that 61.4% of the students belonged to early adolescence (11-14) age group with the mean age 14.27±1.33 years. Majority (80.3%) had moderate level of knowledge and around half (48.6%) had positive attitude. Knowledge and attitude varied with the respondents’ level of education (p=0.001), relation to sibling (p=0.013) and source of information by elder sister (p=0.022), teachers/school (p=0.001).Moderately positive correlation was found between knowledge and attitude which was highly significant (r=0.395, p<0.001).Conclusions: Majority of respondents had moderate level of knowledge and half of the respondent had positive attitude regarding pubertal health. Findings of the study emphasizes on improvement in education of adolescent girls which can help uplift health status and minimize vulnerability to health issues of pubertal health. Keywords: Adolescents; attitude; knowledge; pubertal health; puberty.


2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Taqiyyah Barroh Thoyyib ◽  
Yunik Windarti

The purposed to find out the relationship between the knowledge about implant and implant contraceptive used of acceptors at BPS Farohah Gresik. Implant is one of hormone contraceptive methode with high effectiveness. But, know fact that there were acceptors refused to use implant. The caused factor is the less off acceptors knowledge about implant. Therefore, this research was purposed to find out the relationship between the knowledge about implant and implant contraceptive used of acceptors at BPS Farohah Gresik. The type of this research was analytic by cross sectional methode. The population involved 42 acceptors of hormonal contraceptive who attended on June at BPS Farohah Gresik. 38 respondents were taken as the samples using simple random sampling technique. The independent variable was knowledge where as, the dependent one was the used of implant. Questionnaires was used to collect the data. Analyzed by using MannWhitney test with the significance level α = 0,05. The result of this research showed that most of respondents (60,5%) had less knowledge and almost all respondents (89,5%) did not use implant. Furthermore, the statistic test has obtarned p = 0,039 < α = 0,05. So H0 was refused that there was a relationship between knowledge about implant and the used of implant contraceptive at BPS Farohah Gresik. The research concluded that the less of acceptors knowledge about implant. The used of this contraceptive is vower. Hence, the health workers should improve the counselling and implant extension to people.


2020 ◽  
Vol 3 (1) ◽  
pp. 23
Author(s):  
Erlina Puspitaloka Mahadewi ◽  
Ade Heryana

UNICEF and WHO data showed that exclusive breastfeeding can reduce infant morbidity and mortality by 88%. The coverage of exclusively breastfeeding infants was 61.33%, the highest percentage was in West Nusa Tenggara (87.35%) and the lowest percentage was in Papua (15.32%). Exclusive breastfeeding is given when the baby is born until the age of 6 months. In Indonesia there are 31.36% of 37.94% of children sick because they do not receive exclusive breastfeeding. Aim of this study to determine the relationship of knowledge, work, and family support with the behavior of exclusive breastfeeding health center working area Bekasi City. This study was a cross sectional approach with a sample of 130 respondents. The sampling in this study using simple random sampling technique, analyzed by the chi square test conducted in July 2019 to April 2020. Results of this study there were 96 respondents (73.8%) mothers who did not provide exclusive breastfeeding and 34 resondents (26.2%) mothers who give exclusive breastfeeding to their babies. There was a significant relationship between knowledge (p = 0,000 and PR = 1,588), employment (p = 0,000 and PR = 1,995), family support (p = 0,001 and PR = 1,514) with exclusive breastfeeding health center working area Bekasi. It was concluded that knowledge, employment, and family support were related to exclusive breastfeeding. It was recommended for health workers to create innovations and new programs to increase exclusive breastfeeding, and in the family level should provide support for exclusive breastfeeding practices.Berdasarkan data UNICEF dan juga data WHO pemberian ASI eksklusif dapat menurunkan angka kesakitan dan kematian bayi lebih dari 88%. Cakupan bayi yang mendapat ASI eksklusif sebesar 61,33%, persentase tertinggi terdapat pada Nusa Tenggara Barat (87,35%) dan persentase terendah terdapat di Papua (15,32%). ASI eksklusif diberikan saat bayi mulai dilahirkan sampai pada usia 6 bulan. Di Indonesia terdapat 31,36% dari 37,94% anak yang sakit dikarenakan tidak dapat menerima ASI eksklusif. Penelitian ini bertujuan mengetahui hubungan pengetahuan, pekerjaan dan dukungan keluarga dengan perilaku pemberian ASI eksklusif di wilayah kerja Puskesmas Bekasi. Penelitian menggunakan pendekatan cross sectional, dengan besar sampel sebanyak 130 responden. Pengambilan sampel pada penelitian ini menggunakan teknik simple random sampling, dan analisis data menggunakan uji chis-quare yang dilakukan pada bulan Juli 2019 sampai April 2020. Hasil penelitian terdapat 96 (73,8%) ibu yang tidak memberikan ASI eksklusif dan 34 responden (26,2%) yang telah memberikan ASI eksklusif kepada bayinya. Terdapat hubungan yang signifikan antara pengetahuan (p = 0,000 dan PR = 1,588), pekerjaan (p = 0,000 dan PR = 1,995) dan dukungan keluarga (p = 0,001 dan PR = 1,514) dengan perilaku pemberian ASI eksklusif di wilayah kerja Puskesmas Kota Bekasi. Disimpulkan bahwa pengetahuan, pekerjaan, dan dukungan keluarga berhubungan dengan pemberian ASI eksklusif. Disarankan untuk petugas kesehatan membuat inovasi dan program baru untuk meningkatkan pemberian ASI eksklusif, dan pada tingkat keluarga kiranya memberikan dukungan terhadap pemberian ASI eksklusif.


2019 ◽  
Vol 4 (3) ◽  
pp. 470
Author(s):  
Nova Arikhman ◽  
Tri Meva Efendi ◽  
Gusliani Eka Putri

<p><em>Early marriage is marriage for teenagers under the age of 20 who should not be ready to carry out marriage. The 2018 Riskesdas data held by BPS, namely the existence of early marriage among women aged ≤ 16 years, 15.66% were married at the age of 17-18 years there were 20.03%. The purpose of this study was to determine the factors that influence early marriage in Baru Village, Air Warm Barat District, Kerinci Regency in 2019.</em><em> </em><em>This type of research is analytic with cross sectional design. The population of this study was all married women in Baru Village, Air Warm Barat District, totaling 207 people with a sample of 67 people. Data collection using a questionnaire by interview. The sampling technique in this study is simple random sampling. The study was conducted in January - August 2019. Data collection was carried out on 09 - 19 July 2019. Data were analyzed univariately and bivariately using computerization.</em><em> </em><em>The results showed less than half (47.8%) of respondents married early, more than half (61.2%) had a low level of knowledge about early marriage, more than half (53.7%) had a supportive culture about early marriage, More out of half (62.7%) having the role of peers plays a role. There is a relationship between the level of knowledge, culture, the role of peers and early marriage in Baru Village, Air Warm Barat District, Kerinci Regency in 2019</em><em></em></p><p> </p><p><em>Pernikahan dini adalah pernikahan pada remaja di bawah usia 20 tahun yang seharusnya belum siap untuk melaksanakan pernikahan.</em><em> Data </em><em>Riskesdas 2018 yang diadakan oleh BPS yaitu adanya pernikahan dini pada perempuan usia ≤ 16 tahunterdapat 15,66% menikah pada usia 17-18 tahun terdapat 20,03%</em><em>. Tujuan penelitian ini adalah untuk mengetahui </em><em>faktor-faktor yang memengaruhi pernikahan usia dini di Desa Baru Kecamatan Air Hangat Barat Kabupaten Kerinci tahun 2019</em><em>. </em><em>Jenis penelitian </em><em>ini adalah a</em><em>nalitik</em><em> dengan </em><em>desain </em><em>c</em><em>ross sectional</em><em>. </em><em>Populasi penelitian ini adalah seluruh wanita yang sudah menikah di Desa Baru Kecamatan Air Hangat Barat, yang berjumlah 207 orang</em><em> dengan sampel 67 orang. Pengumpulan data menggunakan kuesioner dengan cara wawancara. Teknik pengambilan sampel pada penelitian ini adalah simple random sampling. Penelitian dilakukan pada bulan </em><em>Januari - Agustus 2019. Pengumpulan data dilaksanakan pada tanggal 09 – 19 Juli 2019.</em><em> Data dianalisis secara univariat dan bivariat menggunakan komputerisasi. </em><em>Hasil penelitian menunjukkan kurang dari separoh </em><em>(</em><em>47,8</em><em>%) </em><em>responden menikah dini, lebih dari separoh </em><em>(</em><em>61,2</em><em>%) </em><em>memiliki tingkat pengetahuan rendah tentang pernikahan dini, lebih dari separoh </em><em>(</em><em>53,7</em><em>%) </em><em>memiliki budaya mendukung tentang pernikahan dini , Lebih dari separoh </em><em>(</em><em>62,7</em><em>%)</em><em> memiliki peran teman sebaya berperan. Ada hubungan tingkat pengetahuan, budaya, peran teman sebaya dengan penikahan dini di Desa Baru Kecamatan Air Hangat Barat Kabupaten Kerinci tahun 2019.</em><em> </em><em></em></p>


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


Author(s):  
Juliana Widyastuti Wahyuningsih Juliana Widyastuti Wahyuningsih

Menopause adalah penghentian permanen menstruasi (haid), berarti pula akhir dari masa reproduktif. Ada beberapa faktor yang mendukung menopause terjadi diantaranya adalah usia saat haid pertama kali (menarche), faktor psikis, Jumlah anak, usia melahirkan, pemakaian kontrasepsi, merokok dan sosial ekonomi. Tujuan dari penelitian ini adalah untuk mengetahui adakah hubungan antara usia melahirkan dan pemakaian alat kontrasepsi dengan usia menopause di kelurahan Sukajaya kecamatan Sukarame Kotamadya Palembang. Jenis penelitian ini merupakan penelitian analitik dengan pendekatan cross sectional.  Populasi dalam penelitian ini adalah semua wanita usia 55 tahun ke atas di Kelurahan Sukajaya kecamatan Sukarame Kotamadya Palembang pada bulan Spetember tahun 2018 yaitu sebanyak 684 orang.  Sampel yang digunakan diambil dengan teknik simple random sampling yaitu sebanyak 252 orang. Analisis data yang digunakan adalah uji statistik chi square. Hasil penelitian dengan menggunakan uji chi square menunjukkan hasil bahwa tidak ada hubungan antara usia melahirkan dengan usia menopause (p = 0,764), Ada hubungan antara alat kontrasepsi dengan usia menopause (p=0,043). diharapkan bidan dan petugas kesehatan lebih proaktif lagi  dalam memberikan pendidikan kesehatan reproduksi sehingga perempuan lebih siap menghadapi masa menopause dan mengatasi gangguan-gangguan masa menopause.       ABSTRACT Menopause is the permanent cessation of menstruation (menstruation), meaning also the end of the reproductive period. There are several factors that support menopause occur, including age at first menstruation (menarche), psychological factors, number of children, age of childbirth, use of contraception, smoking and socio-economic. The purpose of this study was to determine whether there was a relationship between the age of childbirth and the use of contraception with the age of menopause in the Sukajaya village, Sukarame sub-district, Palembang Municipality. This type of research is analytical research with a cross sectional approach. The population in this study were all women aged 55 years and over in Sukajaya Village, Sukarame sub-district, Palembang Municipality in September 2018, which was 684 people. The sample used was taken by simple random sampling technique that is as many as 252 people. Analysis of the data used is the chi square test. The results of the study using the chi square test showed that there was no relationship between the age of childbirth and the age of menopause (p = 0.764), there was a relationship between contraception and age of menopause (p = 0.043). It is expected that midwives and health workers will be more proactive in providing reproductive health education so that women are better prepared to face menopause and overcome menopause disorders. 


2020 ◽  
Vol 4 (2) ◽  
pp. 171
Author(s):  
Rochana Tsaralatifah

Background: Stunting is a condition of a child’s growth disorder where the child's height does not match his age. Stunting is a problem caused by multifactorial. Children who grow stunting before the age of 6 months, will experience growth that is distrupted so that stunted more than severe by the age of two years. East Java province based on the result of Riskesdas in 2018 was recorded at 32,81% of toddelrs severe stunted and short. It is still a health problem because it still exceeds the standars set by WHO, where an area experiences acute nutritional problems if the prevalence of stunting babies is the same or more than 20%. While the percentage of  short babies in Indonesia is still more than 29% and is targeted to 19% in 2024. To reduce the number of stunting need to know what factors are associated with the incident. Such as the low frequency of maternal attendance at the neighborhood health services (Posyandu) which has an impact on the low level of maternal knowledge regarding child health. Objectives: To determine the relationship between family characteristics and the characteristics of respondents with the incidence of stunting in children under two years old in RW 06 Kelurahan Ampel Kota Surabaya.Methods: This research was conducted in RW 06 Ampel sub-district Semampir sub-district starting from December 2018-January 2019. This research was an observational analytic study with cross sectional study design and sampling using a simple random sampling technique. The population used in this study were all children under two years old living in RW 06, Ampel, Surabaya. Data collection methods were interview using structured questionnaire. Data was analyzed using the fisher exact test with a confidence level of 95% (α=0.05)Results: The results showed that the level of maternal knowledge (p=0.046) and the frequency of attendance at the neighborhood health services (Posyandu) (p=0.01) were factors related to stunting. While the variable family characteristics (number of family members, household income level, mother's education level) and respondent characteristics (gender, birth weight, birth length, birth history of exclusive breastfeeding) have no relationship with the incidence of stunting (p>0,05).Conclusions: Knowledge and frequency of attendance at the neighborhood health services (Posyandu) by Children Under Two Years Old mothers were related to stunting incidence. Therefore, health workers need to disseminate information to the public about the importance of PosyanduABSTRAKLatar Belakang: Stunting adalah kondisi pertumbuhan tinggi badan anak mengalami gangguan dimana tinggi badan tidak sesuai dengan usianya. Stunting merupakan permasalahan yang disebabkan karena multifaktor. Anak yang mengalami stunting sebelum usia 6 bulan, akan mengalami pertumbuhan yang terganggu sehingga terjadi kekerdilan lebih berat menjelang usia dua tahun. Data stunting di provinsi Jawa Timur berdasarkan hasil Riskesdas  tahun 2018 tercatat sebesar 32,81% balita dengan gizi sangat pendek dan pendek. Hal tersebut masih menjadi masalah kesehatan karena masih melebihi standar yang ditetapkan oleh WHO, dimana suatu wilayah dikatakan mengalami masalah gizi akut bila prevalensi bayi stunting sama atau lebih dari 20%. Sementara prosentase bayi pendek di Indonesia saat ini masih lebih dari 29% dan ditargetkan turun mencapai 19% pada tahun 2024. Untuk menurunkan angka stunting perlu diketahui faktor apa saja yang berhubungan dengan kejadian tersebut. Seperti rendahnya frekuensi kunjungan ibu ke posyandu yang berdampak pada rendahnya pengetahuan ibu terkait kesehatan anak.Tujuan: Mengetahui hubungan antara karakteristik keluarga dan karakteristik responden dengan kejadian stunting pada baduta di RW 06 kelurahan Ampel kota Surabaya.Metode: Penelitian ini dilakukan di RW 06 kelurahan Ampel kecamatan Semampir mulai dari bulan Desember 2019-Januari 2019. Penelitian ini menggunakan metode observasional analitik dengan desain studi cross sectional dan penarikan sampelnya menggunakan teknik simple random sampling. Populasi yang digunakan dalam penelitian ini adalah seluruh baduta yang bertempat tingggal di RW 06 kelurahan Ampel kota Surabaya. Metode pengumpulan data dengan melakukan pengukuran, wawancara dan analisis data menggunakan uji fisher exact dengan tingkat kepercayaan 95% (α=0,05)Hasil: Hasil penelitian menunjukkan bahwa tingkat pengetahuan ibu (p=0,046) dan frekuensi datang ke posyandu (p=0,01) merupakan faktor yang berhubungan dengan kejadian stunting. Sedangkan variabel karakteristik keluarga (jumlah anggota keluarga, tingkat pendapatan rumah tangga, tingkat pendidikan ibu) dan karakteristik responden(jenis kelamin, BB lahir, PB lahir, riwayat ASI eksklusif) tidak terdapat hubungan dengan kejadian stunting (p>0,05).Kesimpulan: : Hasil penelitian menunjukkan pengetahuan dan frekuensi kunjungan posyandu ibu baduta berhubungan dengan kejadian stunting sehingga petugas  kesehatan perlu melakukan sosialisasi kepada masyarakat tentang pentingnya kegiatan posyandu dengan adanya sosialisasi tersebut diharapkan dapat menambah pengetahuan ibu terkait kesehatan anak, sehingga dapat meningkatkan frekuensi kunjungan baduta keposyandu. 


2020 ◽  
Vol 11 (1) ◽  
pp. 57-67
Author(s):  
Artika Dewi Amri ◽  
Ni Luh Putu Suariyani

Abstract Background: The further examination after breast ultrasound is needed because the ultrasound examination is not merely recommended for early detection of breast cancer; however by the combination of ultrasound and mammography, the disorder in the breast could be determined more accurately. Mammography method is a method that could detect breast cancer with an accuracy up to 90 percent. Objective: This study is aimed to identify the determinant of women to conduct further examination after breast ultrasound in Badung. Method: The study’s design used a descriptive observational study with cross-sectional design. The sampling technique used was simple random sampling with a sample of 100 people. The bivariate analysis used chi-square with α = 0.05. Result: The results of this study showed that, among the 100 respondents, there were 43 percent have done further examination. The proportion of women taking a further examination was 41 percent with high education, 38 percent with good knowledge, 18 percent stated the distance of health services were far, 43 percent were able to pay the further examination, 38 percent had ever received the information about breast cancer, 43 percent gained the support of health workers and 41 percent received good support from family. The results showed that there were four factors that had a relationship with the further examination after breast ultrasound, including the level of knowledge (OR = 8,65; 95% CI 3,19-23,86), affordability (p-value <0,0001), the support of health workers (p-value <0,0001) and the support of family (OR = 30,3; 95% CI 6,52-273,73). Conclusion: The conclusion of this study is that the determinant of women to undertake the further examination after breast ultrasound depends on the level of knowledge, affordability, the support of health workers and the support of family. There is a need of an increase in socialization about breast cancer to women and husband/family. In addition, to increase further examination there is a need of socialization regarding the utilization of BPJS. Keywords: breast cancer, advanced examination, breast ultrasound Abstrak Latar belakang: Pemeriksaan lanjutan setelah USG payudara perlu dilakukan karena pemeriksaan USG saja tidak direkomendasikan untuk deteksi dini kanker payudara, tetapi dengan kombinasi USG dan mammografi kelainan pada payudara dapat ditentukan lebih akurat. Metode mammografi merupakan metode yang dapat mendeteksi kanker payudara dengan akurasi sampai 90 persen. Tujuan: Penelitian ini bertujuan untuk mengetahui determinan wanita untuk melakukan pemeriksaan lanjutan setelah USG payudara di Kabupaten Badung. Metode: Desain penelitian menggunakan studi observasional deskriptif dengan desain potong lintang. Teknik pengambilan sampel yang digunakan simple random sampling  dengan jumlah sampel 100 orang. Analisis bivariat menggunakan chi-square dengan α=0,05. Hasil: Hasil penelitian ini menggambarkan dari 100 responden sebanyak 43 persen sudah melakukan pemeriksaan lanjutan. Proporsi wanita yang melakukan pemeriksaan lanjutan sebanyak 41 persen orang berpendidikan tinggi, 38 persen orang berpengetahuan baik, 18 persen orang menyatakan jarak pelayanan kesehatan jauh, 43 persen orang mampu untuk membiayai pemeriksaan lanjutan, 38 persen pernah memperoleh informasi tentang kanker payudara, 43 persen orang memperoleh dukungan petugas kesehatan, dan 41 persen memperoleh dukungan baik dari keluarga. Hasil penelitian menunjukkan terdapat empat faktor yang memiliki hubungan terhadap pemeriksaan lanjutan setelah USG payudara yaitu tingkat pengetahuan (OR = 8,65; 95% CI 3,19-23,86), keterjangkauan biaya (p-value <0,0001), dukungan petugas kesehatan (p-value <0,0001) dan dukungan keluarga (OR = 30,3; 95% CI 6,52-273,73). Kesimpulan: Simpulan penelitian adalah determinan wanita untuk melakukan pemeriksaan lanjutan setelah USG payudara adalah tingkat pengetahuan, keterjangkauan biaya, dukungan petugas kesehatan, dan dukungan keluarga. Perlu adanya peningkatan sosialiasasi mengenai kanker payudara kepada wanita dan suami/keluarga. Selain itu untuk meningkatkan pemeriksaan lanjutan perlu adanya sosialisasi mengenai pemanfaatan BPJS Kesehatan. Kata kunci: kanker payudara, pemeriksaan lanjutan, USG Payudara  


2021 ◽  
Vol 9 (E) ◽  
pp. 1026-1031
Author(s):  
Fauziyatun Nisa ◽  
Nyoman Damayanti ◽  
Fendy Suhariadi ◽  
Yasi Anggasari ◽  
Ficky Erika Dewi ◽  
...  

A mother, who has low self-confidence in her ability to provide exclusive breastfeeding, supported by culture and myth, think when a baby cries it means that the baby is hungry and breast milk only is not enough. Therefore, a lot of mothers decided to give banana, porridge, honey, and other additional foods. This research aimed to determine the relationship between breastfeeding self-efficacy and social support with breastfeeding in Wonokromo, Surabaya. This research was conducted through analytical design using cross-sectional approach. The research samples involved were 112 mothers who had baby aged 6-12 months old. Among them, 106 mothers were chosen as research respondents using simple random sampling technique. The independent variable of this research was breastfeeding self-efficacy and social support, while the dependent variable was breastfeeding. Data were collected using a questionnaire, and then analyzed through Chi-Square test using SPSS program with the level of significance determined was α = 0.05. The results showed that most of the respondents had poor breastfeeding self-efficacy  (77.4%) and low social support (51.9%), as well as did not exclusively breastfeed (66.9%). Based on the Chi-square test, the value obtained was ρ - 0.00 < α - 0.05, so H0 rejected, indicating that there was a relationship between breastfeeding self-efficacy and breastfeeding. Another value obtained was ρ - 0.00 < α - 0.05 so H0 rejected, which also means that there was a relationship between social support and breastfeeding. This outcome concluded that the better the breastfeeding self-efficacy and higher social support, the higher level of breastfeeding without additional food. Therefore, we suggested that health workers and the community will be able to motivate mothers and provide social support in terms of providing breast milk to babies without additional food.


2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Tutik Ekasari ◽  
Mega Silvian Natalia ◽  
Muthmainnah Zakiyyah

 AbstrakPreeklampsia merupakan masalah kebidanan yang masih belum bisa dipecahkan secara tuntas dan merupakan penyebab kematian ibu. Angka Kematian Ibu (AKI) di Indonesia sekitar 1,5% - 2,5%. Pada tahun 2016 di Kabupaten Probolinggo Angka Kematian Ibu (AKI)  sebanyak 15 orang sedangkan 10 orang diantaranya dikarenakan Preeklampsia. Berdasarkan survei pendahuluan di Dinas Kesehatan Kabupaten Probolinggo pada tahun 2014 Angka Kematian Ibu akibat preeklampsi yaitu 16,66%, pada tahun 2015 sebanyak 30,77% dan pada tahun 2016 sebanyak 66,66%. Tujuan penelitian ini adalah mengetahui faktor dominan yang mempengaruhi kejadian preeklampsia. Desain yang digunakan dalam penelitian ini adalah analitik korelasional dengan pendekatan cross sectional. Populasi yang digunakan adalah semua ibu hamil preeklampsi pada bulan Juni - Agustus 2017 sebanyak 134 orang. Teknik pengambilan sampel dengan simple random sampling dan diperoleh sampel sejumlah 100 orang. Uji statistik yang digunakan adalah Chi Square dan uji Regresi logistik. Hasil penelitian menunjukkan kejadian preeklampsia adalah 71% dan variabel yang berhubungan secara signifikan adalah umur ibu, paritas, riwayat komplikasi, dan penyakit kronik. Variabel yang dominan pada penelitian ini adalah umur ibu dengan OR 4,302 artinya responden yang umur <20 tahun dan >35 tahun berpeluang 4,302 kali lebih berisiko preeklampsia dibandingkan dengan yang berumur 20 – 35 tahun. Saran petugas kesehatan lebih mengoptimalkan pelayanan ANC. Kata Kunci : preeklampsia, ibu hamil, AKI, AKB AbstractPreeclampsia is a midwifery problem that has not been completely resolved and the cause of maternal death. Maternal Mortality Rate (MMR) in Indonesia ranges from 1.5% - 2.5%. In 2016 in Probolinggo Regency the Maternal Mortality Rate (MMR) was 15 people while 10 of them were due to Preeclampsia. Based on a preliminary survey at the Probolinggo District Health Office in 2014 the maternal mortality rate due to preeclampsia was 16.66%, in 2015 it was 30.77% and in 2016 66.66%. The aim of the study was to determine the dominant factors that influence the incidence of preeclampsia. The design used in this study is correlational analytic with cross sectional approach. The population used was all preeclamptic pregnant women in June - August 2017 as many as 134 people. The sampling technique was simple random sampling and a sample of 100 people was obtained. The statistical test used is Chi Square and logistic regression test. The results showed that the incidence of preeclampsia was 71% and the variables that were significantly related were maternal age, parity, history of complications, and chronic disease. The dominant variable in this study is the age of the mother with OR 4.302 which means that respondents aged <20 years and> 35 years have a chance of 4.302 times more at risk of preeclampsia than those aged 20 - 35 years. Advice from health workers to optimize ANC services. Keywords : preeclampsia, pregnant mother, AKI, AKB


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