scholarly journals The Compliance of Independent Practice Midwife (PMB) in Completing the MCH Handbook In Lamongan Regency, East Java

2020 ◽  
Vol 12 (1) ◽  
pp. 18
Author(s):  
Sulistiyowati Sulistiyowati ◽  
Ansih Khoiriyah

The government makes a policy for health workers to use MCH Handbook as a communication tool and medium for counseling mothers, families and the community regarding maternal and child health services including their references, mother and child service packages, nutrition, immunization and toddler development. The purpose of this study is to determine the factors that influence the compliance of MCH Handbook completion. This research is an analytic study with cross sectional approach. The population in the study were all Independent Midwife Practices (PMB) in the Lamongan district area which were listed in the IBI Branch Management as many as 572, which were divided into 38 branches. The samples were 82 PMB  obtained through simple random sampling, namely the lottery technique. The independent variables in this study were Knowledge, Motivation, Supervision and Work Time while the dependent variable is Compliance with the MCH Handbook. The collected data were processed using Bivariate and Multivariate tests. The results showed that the variables of knowledge, motivation, supervision and length of work affected the compliance of midwives in completing the MCH handbook with p <0.05. It means that H0 was rejected and H1 was accepted. The effects were also influenced the knowledge variable where p <0.05.    Based on the above data, it can be concluded that completing the MCH Handbook by midwives is important in order to monitor the development of maternal and infant health and as a means of communication to the patients. Keywords: Compliance, Midwife, Mother and Child Handbook

Author(s):  
Ayu Amalia Rahmi ◽  
Ella Nurlaella Hadi

ABSTRAKLatar belakang. Penduduk Indonesia mengalami peningkatan dari 265.015.300 orang pada tahun 2018 menjadi 268.074.600 orang pada tahun 2019. Pemerintah membuat program untuk mengintervensi masalah pertumbuhan penduduk yang tidak terkendali yaitu program keluarga berencana (KB). Metode Kontrasepsi Jangka Panjang (MKJP) dengan implan menjadi salah satu alat kontrasepsi unggulan dari BKKBN.Tujuan. Penelitian ini bertujuan untuk melihat gambaran perilaku pemilihan implan dan determinannya.Metode. Penelitian ini menggunakan metode kuantitatif dengan survei analitik cross sectional. Sampel 85 akseptor dari 560 dipilih dengan menggunakan simple random sampling. Pengumpulan data dilakukan melalui wawancara dengan menggunakan kuesioner. Data dianalisis secara univariat dan bivariat menggunakan uji chi-square.Hasil. Sebanyak 11.8% responden menggunakan metode implan. 71.8% responden memiliki pengetahuan kurang, 65.9% responden bersikap negatif, 83.5% responden menilai peran petugas kesehatan masih kurang dan 67.1% responden yang tidak mendapatkan dukungan suami. Hasil analisis bivariat menunjukkan bahwa terdapat hubungan antara pengetahuan, peran petugas kesehatan, dan dukungan suami dengan pemilihan kontrasepsi implan, sedangkan sikap menunjukkan tidak ada hubungan dengan pemilihan konstrasepsi implan.Kesimpulan. Ada hubungan antara variabel pengetahuan, peran tenaga kesehatan, dan dukungan suami dengan pemilihan Implan pada responden. ABSTRACTBackground. Indonesia's population has increased from 265,015.3 million in 2018 to 268,074.6 million in 2019. The government has created a program to intervene in the problem of uncontrolled population growth, namely the family planning (KB) program which is promoted and effective is the Long-Term Contraception Method (MKJP) with implants is one of the superior contraceptives of the BKKBN. Objective. This study aimed to to see the selection of implants and their determinations. Method. This study used a quantitative study with cross sectional analytic survey method. Sample of 85 acceptors from 560 were selected using simple random sampling. Data collection was carried out through interviews using a questionnaire. Data were analyzed by univariate and bivariate using chi-square test. Results. Study found 11.8% of respondents used the implant method. 71.8% respondents have less knowledge, 65.9% of respondents have a negative attitude, 83.5% of respondents think that the role of health workers is still lacking, and 67.1% of respondents did not get support from their husbands. The results of the bivariate analysis showed that there was a relationship between knowledge, the role of health workers, and husband's support with the choice of implant contraception, while attitudes showed no relationship with the choice of implant contraception.Conclusion. Knowledge variables, the role of health workers, and husband's support was related with the choice of implants in respondents.


2013 ◽  
Vol 2 (1) ◽  
pp. 24-27 ◽  
Author(s):  
Manish K Singh ◽  
JV Singh ◽  
Rema Kumari ◽  
Naim Ahmad ◽  
Anish Khanna

To address poor utilization of maternal and child health services by the rural community, the National Rural Health Mission (NRHM) was launched in 2005 in India. Under NRHM, ASHA (Accredited Social Health Activist) was identified as an effective link between the government and poor pregnant women.  The aim of the present study was to examine the utilization of ASHA services under NRHM in relation to maternal health by the Recently Delivered Women (RDW) in the study area. A cross-sectional study was conducted at PHC Sarojini Nagar, Lucknow and its rural field areas. A sample of 350 RDW, chosen by simple random sampling, were interviewed at bedside by a preformed schedule and then were followed up after six weeks. Antenatal registration was reported by 97% RDW of which 73% registered early. About 53% RDW had three or more antenatal care visits. Two dose Tetanus Toxoid coverage was 92.9%. Receipt and consumption of iron and folic acid was low. ASHA was the major facilitator for higher utilization of antenatal care services, except for Iron and Folic Acid receipt/consumption.  Low utilization of postnatal care (21.5% RDW had at least one postnatal check-up) is a matter of concern. Knowledge and awareness of ASHA on importance of postnatal care needs to be enhanced via hands on training by specialists and regular orientation programs. Better and intense advocacy in the community regarding importance of availing services of ASHA in relation to maternal health needs to be addressed.South East Asia J Public Health | Jan-June 2012 | Vol 2 Issue 1 | 24-27 DOI: http://dx.doi.org/10.3329/seajph.v2i1.15261


2018 ◽  
Vol 4 (1) ◽  
pp. 8-15
Author(s):  
Hayana Hayana ◽  
Hastuti Marlina ◽  
Anggun Kurnia

Hygienic behavior that includes the habit or behavior of defecation (BAB). Behavior defecation is considered correct is when residents do it in the toilet. Many villagers in TanjungMedang village who do not have a toilet that is eligible to defecate.Caused Because of lack of information and knowledge of the community so that people do defecate carelessly. This study aims to determine the relationship of education, knowledge, income, habits, attitudes, social support and the role of health officers to behavior open defacation free In TanjungMedang Village, Rangsang District, Kepulauan Meranti Regency in 2017 This research uses Cross Sectional design and using Simple Random Sampling technique. The sample of research as many as 191 people. Measuring tool used in this research is questionnaire and data processing using computerized. Independent variables in this research are education, knowledge, income, habit, attitude, social support and role of health officer. Dependent variable is behavior open defacation free. The analysis used is Univariat and Bivariat with Chi-Square test, The results showed that the knowledge variable (ph = 0.005); Income (p = 0.003); Attitude (p = 0.002); Custom (p = 0.022) related to behavior open defacation free. And educational variables (p = 0.205); Social support (p = 0.267); And the role of health workers (p = 0.103) has no relationship to behavior open defacation free The conclusion of the research is attitude as the dominant factor related to behavior open defacation free To reduce behavior open defacation free Can be run a clean and healthy lifestyle in everyday life by applying it to behave BAB to be able to keep the house always stay clean and healthy


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.


2021 ◽  
Vol 6 (1) ◽  
pp. 27-31
Author(s):  
Aulia Aulia ◽  
Dian Ika Puspitasari ◽  
Nailiy Huzaimah ◽  
Yulia Wardita ◽  
Aldi Prawira Sandi

Stunting and Maternal Factors. Stunting is still one of the unresolved priority issues. Maternal factors greatly influence the incidence of stunting in children. This study explains the relationship between stunting and maternal factors, namely education, knowledge of nutrition, parenting patterns, and mother's motivation. This qualitative research is a type of correlational analytic research with the cross-sectional method. The subjects of this study were stunting mothers and toddlers at Dungkek Health Center (n=40), obtained using simple random sampling. Data collection using questionnaires and met lines. Data were analyzed using a contingency correlation test. The results showed a relationship between stunting in children with education, nutritional knowledge, and self-efficacy (p= 0.001; p= 0.033; p= 0.01). Edit was not related to parenting (p = 0.866). Health workers need to pay attention to maternal factors as the target of promotive and preventive activities in stunting cases because maternal factors make an important contribution in the first 1000 days of life, preventing stunting.


2019 ◽  
Vol 19 (3) ◽  
pp. 661
Author(s):  
Desi Andriani ◽  
Husna Yetti ◽  
Roza Sriyanti

Antenatal care or antenatal care is a planned program that is observation, education and medical treatment for pregnant women, to obtain a safe and satisfying pregnancy and childbirth process. The indicator used to assess the access of pregnant women to antenatal care is K1 direction (first visit) is the contact of pregnant women to health workers and K4 (perspective visit) is 4 or more times contact with health workers. From the data of the Padang City Health Office, it was found that the Air Tawar Puskesmas with this low level was caused by various factors. The purpose of this study was to determine factors related to the use of antenatal services. This type of research is a quantitative study with cross sectional study design with 110 respondents of third trimester pregnant women with purposive sampling technique. Data analysis was performed univariate, bivariate with Chi squre test. From the research results obtained from the five factors studied, it was found that the factors related to the use of antenatal services in freshwater health centers were access or distance with pvalue 0.009 = OR 21.676), service availability factors with a p value of 0.001 = OR 9.293, the role factor midwives with a p value of 0.001 = OR 12.302, while the family income factor, disease complaints obtained results have nothing to do with the use of antenatal services. The author's suggestion is that there is a need for good coordination with the Independent Practice Midwife (BPM), revitalize puskesmas to more strategic places and improve better facilities, improve accessibility that can be minimized, strive to reach pregnant women, especially for accessibility that is less affordable.


2021 ◽  
Author(s):  
Rofiatul Uzza ◽  
Sapto Adi ◽  
Suci Puspita Ratih

Prenatal classes in Indonesia are government’s effort to improve the knowledge and skills of pregnant women. Several factors influence the participation of pregnant women in these classes. This research aimed to identify the factors that correlate with pregnant women’s participation in prenatal classes in several rural villages of Magetan Regency, Indonesia. This observational analytical research was performed quantitatively using a cross-sectional design. Seventy-eight pregnant women meeting the research criteria were included in this study. Data were collected through a questionnaire that has been tested through validity and reliability tests. A binary logistic regression was employed to conduct a statistical analysis. Results showed that supports from family (OR 32.40, p-value < 0.01, 95% CI 4.55–230.64) and from health workers (OR 22.53, p-value < 0.001, 95% CI 3.96–128.19) were significantly associated with the respondent’s participation in prenatal classes after controlling the potential confounding factors such as knowledge, attitudes and information availability. Keywords: maternal health, health promotion program, pregnancy, infant health


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.


2015 ◽  
Vol 1 (2) ◽  
pp. 38
Author(s):  
Ni Putu Rusmini

ABSTRAKPetugas TPS atau petugas pengangkut sampah merupakan pekerja yang setiap harinya mengambil atau mengangkut sampah dari rumah ke rumah untuk dikumpulkan kemudian di pilah-pilah di TPS dan akan dikirimkan ke tempat pembuangan yang lebih besar yaitu Tempat Pembuangan Akhir (TPA). Sepanjang hari petugas TPS bekerja dengan sampah sehingga membuat mereka mempunyai risiko tinggi terkena penularan penyakit kulit, baik yang memiliki efek secara langsung maupun tidak langsung. Salah satu upaya yang dapat dilakukan untuk mengurangi resiko terkena penularan penyakit kulit adalah dengan menggunakan Alat Pelindung Diri (APD) Kurangnya kesadaran, kepatuhan dan informasi tentang risiko bahaya, sebagian dari mereka tidak tidak menggunakan APD. APD yang kurang lengkap dapat memungkinkan kontak langsung dengan sampah sehingga mengakibatkan terjadinya gangguan kesehatan salah satunya yaitu menyebabkan penularan penyakit kulit. Jenis penelitian ini adalah analitik korelasi dengan pendekatan cross-sectional. Data diuji dengan Spearman rank test. Pengumpulan data dengan cara observasi, wawancara dan kuesioner. Peneliti menggunakan metode total sampling. Hasil uji statistik menunjukkan p=0.00 (α<0.05) dan r=0.761, sehingga terdapat hubungan yang kuat antara perilaku pemakaian APD dengan penularan penyakit kulit pada petugas TPS. Oleh sebab itu, diharapkan program pemerintah dan petugas kesehatan dapat mendukung penggunaan APD sebagai upaya preventif terhadap penularan penyakit kulit pada petugas TPS.Kata kunci : sampah, petugas TPS, alat pelindung diri (APD), penularan penyakit kulitABSTRACTA garbage worker who take or hauling garbage from house to house and collected and then sorted into the TPS every day and will be sent to landfills larger is the final disposal (landfill). Throughout the day poll workers working with litter so as to make them have a higher risk of skin disease transmission, both of which have the effect of directly or indirectly. One effort that can be done to reduce the risk of skin disease transmission is to use Personal Protective Equipment (PPE) Lack of awareness, compliance and information about the risk of harm, some of them not using PPE. APD incomplete can allow direct contact with garbage, which causes health problems one of which causes the skin disease transmission. This type of research is an analytic correlation with cross-sectional approach. Data were tested with Spearman rank test. The collection of data by means of observation, interviews and questionnaires. Researchers used total sampling method. Statistical analysis showed p = 0.00 (α <0,05) and r = 0.761, so there is a strong relationship between the behavior of the use of PPE with the skin disease transmission at the polling station officials. Therefore, it is expected the government programs and health workers can support the use of PPE as a preventative measure against the spread of skin disease at polling station officials.Keywords: garbage, garbage workers, Personal Protective Equipment (PPE), skin disease transmission. DOWNLOAD FULL TEXT PDF >>


2020 ◽  
Vol 29 (4) ◽  
Author(s):  
Made Ayu Lely Suratri ◽  
Delima Delima ◽  
Hadi Siswoyo ◽  
Vebby Amelia Edwin

Abstract Human Resources (HR) is the main and strategic factor for the achievement of the development of a nationStrong and highly competitive human resources in various aspects will support increased development, both in the economic, health and social and cultural fields. The performance of an organization will be determined by one of the main elements, namely the quality of human resources. Factors that can be used to improve employee performance, including job satisfaction and work motivation. The purpose of this study was to determine the relationship between jobs satisfaction and workforce motivation in the health sector in hospitals in Indonesia.The research method is a non-intervention study with a cross-sectional design, conducted by the National Institute of Health Research and Development, Ministry of Health of the Republic of Indonesia  through National Health Workforce Research (Risnakes)2017.The study sample was health workers working in 2,325 hospitals, namely General Hospitals (RSU) in the Government, Private Hospital, Military/Police General Hospital, Government Specific Hospital, Private Specific Hospital and Military/Police Specific Hospital. Determination of selected hospitals in each province is done by simple random sampling.  Data collection on job satisfaction and work motivation was obtained through filling out the 2014 happiness measurement survey questionnaires from the Central Bureau of Statistics (CBS)  by 30 health workers in selected hospitals . The variables studied were the characteristics of respondents (age, sex, education, employment status, length of work, health insurance), hospital characteristics (hospital status, hospital accreditation status, and type of hospital), job satisfaction and work motivation. Data were analyzed by univariate, bivariate, and logistic regression models.The results showed that respondents who worked for 10 years and below had a  t significant relationship with work motivation compared to those who worked more than 10 years, with a value of p <0.05 (p = 0.0001). There is a significant relationship between jobs satisfaction and work motivation on respondents, with a value of p <0.005 (p = 0.0001). The conclusion, that the job satisfaction of health workers is significantly related to work motivation.   Abstrak Sumber daya manusia (SDM) merupakan faktor utama dan strategis bagi tercapainya keberhasilan pembangunan suatu bangsa. SDM yang kuat dan berdaya saing tinggi dalam berbagai aspek akan mendukung peningkatan pembangunan, baik di bidang ekonomi, kesehatan maupun di bidang sosial dan budaya. Kinerja suatu organisasi akan ditentukan oleh salah satu unsur utama yaitu kualitas sumber daya manusia. Faktor-faktor yang dapat digunakan untuk meningkatkan kinerja pegawai, diantaranya kepuasan kerja dan motivasi kerja. Tujuan dari penelitian ini adalah untuk mengetahui  adanya  hubungan antara kepuasan kerja dan motivasi kerja tenaga kerja di bidang kesehatan di rumah sakit di Indonesia. Metode penelitian merupakan penelitian non intervensi dengan desain cross sectional, yang dilaksanakan oleh Badan Litbang Kesehatan, Kementerian Kesehatan RI melalui Riset Ketenagaan di Bidang Kesehatan (Risnakes) 2017. Sampel penelitian adalah tenaga kesehatan yang bekerja di  2.325 rumah sakit (RS) yaitu di Rumah Sakit Umum (RSU) Pemerintah, RSU Swasta, RSU TNI/Polri, RS Khusus Pemerintah, RS Khusus Swasta, dan RS Khusus TNI/Polri. Penetapan rumah sakit terpilih di setiap provinsi dilakukan secara acak sederhana (simple random sampling). Pengumpulan data diperoleh melalui pengisian kuesioner survei pengukuran tingkat kebahagiaan 2014 dari Badan Pusat Statistik (BPS) oleh 30 orang tenaga kesehatan di RS terpilih. Variabel yang diteliti adalah karakteristik responden (umur, jenis kelamin, pendidikan, status kepegawaian, lama bekerja, jaminan kesehatan), karakteristik rumah sakit (status RS, status akreditasi RS, dan jenis RS), kepuasan kerja dan motivasi kerja. Data dianalisis secara univariat, bivariat, dan model regresi logistik. Hasil penelitian menunjukkan bahwa responden yang bekerja selama 10 tahun ke bawah ada hubungan yang signifikan dengan motivasi kerja dibandingkan yang bekerja lebih dari 10 tahun, dengan nilai p<0,05 (p= 0,0001). Adanya hubungan yang signifikan antara kepuasan kerja dengan motivasi kerja pada responden, dengan nilai p< 0,005 (p=0,0001). Kesimpulan, bahwa kepuasan kerja dari tenaga kesehatan berhubungan secara signifikan dengan motivasi kerja.


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