scholarly journals IMPLEMENTASI PROGRAM ASI EKSKLUSIF DI PUSKESMAS ALAI KECAMATAN TEBING TINGGI BARAT KABUPATEN KEPULAUAN MERANTI TAHUN 2020

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

2020 ◽  
Vol 9 (1) ◽  
pp. 37
Author(s):  
Sri Maharani

 ABSTRACTAnxiety and fear experienced by the mother, especially primipara, can prolong the duration of labor and increase the incidence of labor by action, namely labor with cesarean section. Mental health including pregnancy anxiety has been proven to be reduced or eliminated through physical exercise. One of the recommended physical exercises is yoga because it is easy to do and is very beneficial for physical fitness and psychology. Yoga in pregnancy is more effective in reducing anxiety and depression. This study aims to describe the knowledge and attitudes of pregnant women about prenatal yoga. Quantitative research design. The subjects in this study were pregnant women trimester I, II and III in the working area of the Putri Ayu Public Health Center in Jambi. Research subjects were given questionnaires to measure the knowledge and attitudes of pregnant women regarding Prenatal Gentle Yoga. The study was conducted in the working area of the Putri Ayu Public Health Center in Jambi. The data collected was analyzed univariately. The results of the study revealed that 32 mothers who took classes in pregnant women in the working area of Putri Ayu Health Center had less knowledge about prenatal gentle yoga, namely 18 mothers (56.2%) and had a positive attitude of 25 mothers (78%). It is recommended for health workers to provide information about some of the development activities that pregnant women can do to provide comfort during pregnancy, for example with prenatal gentle yoga. 


2020 ◽  
Vol 8 (2) ◽  
pp. 152
Author(s):  
Casnuri Casnuri ◽  
Puspito Panggih Rahayu

<p>Integrated Management of Sick Toddler (MTBS) is an integrated approach whose governance is carried out on sick toddlers with outpatient facilities. MTBS is used as a service standard for sick infants and toddlers as well as a guideline for nursing staff (midwives and nurses) especially in primary health care facilities. In 2006 the MTBS program socialization and training for puskesmas staff were conducted, where each puskesmas was represented by 1 medical staff and 2 paramedics. MTBS aims to reduce morbidity and mortality due to diarrhea, pneumonia, DHF and infections. IMR in Sleman Regency is better than the national target. In 2015 there were 14,134 live births and 51 (3.61%) stillbirths. This tends to decrease from 2014 when the number of live births was 14,406 with 67 infant deaths (4.65%). The death was caused by diarrhea, pneumonia, DHF and infections. This shows that there is still a need to increase the role of cross-program and cross-sectoral efforts to reduce infant mortality, which is to evaluate the implementation of IMCI or MTBM in the Sleman D.I Yogyakarta Public Health Center.</p><p><strong>Research Purpose </strong>investigate the factors in the implementation of IMCI at the Sleman D.I Yogyakarta Public Health Center.</p><p><strong>Research Methods </strong>is descriptive qualitative. The main Informantts were 25 MTBS officers, 25 Puskesmas heads, and 1 Kasie Kesga District Health Office, Sleman D.I Yogyakarta with in-depth interviews.</p><p><strong>Research result: </strong>All puskesmas in Sleman Regency have implemented MTBS services according to service procedures with different achievements in each puskesmas. This is due to the disorderly officers in conducting data recapitulation. The achievement of the MTBS program in Sleman Regency was 65.39%.<strong></strong></p><p><strong>Conclusion</strong>: The MTBS program at the Sleman district health center has been implemented well due to several factors, namely Human Resources, both the number of trained health workers and the quality of the competencies of health workers, leadership support in the form of facilities and infrastructure, as well as funding support in increasing competence.</p><p> </p><p> </p>


2021 ◽  
Vol 1 (1) ◽  
pp. 9-15
Author(s):  
Nur Alfi Fauziah ◽  
Riting Yuliasari ◽  
Hellen Febriyanti

Coronavirus Disease 2019 (COVID-19) is an infectious disease caused by SARS-CoV-2. Based on data from the Lampung Provincial Health Office (2020), four patients who are pregnant have been confirmed positive for COVID-19. At Gilang Tunggal Makarta Public Health Center of West Tulangbawang Regency (2020) there is 1 pregnant woman aged 22 years old and who has a history of having travelled from DKI Jakarta to be confirmed positive for COVID-19. The purpose of this research is to know the correlation between knowledge and pregnant women attitudes with covid-19 prevention behaviours on new habits adaptation in the working area of Gilang Tunggal Makarta Public Health Center West TulangBawang Regency in 2021. This type of research is quantitative by applying an analytic research design with a cross-sectional approach, the population is all pregnant women as many as 34 people, the total sample size from the population. Univariate data analysis used a percentage frequency distribution and bivariate used the chi-square test. The research result showed that the frequency distribution of pregnant women knowledge was higher in the unfavourable category as many 20 people (58.8%), the pregnant women attitude were higher in the negative category as many as 19 people (55.9%) and the prevention behaviour of COVID-19 was higher in the unfavourable category amounted to 21 people (61.8%). The results of the chi-square test showed a correlation between knowledge (p-value = 0.000 0.05) and behavior (p-value = 0.001 0.05) with COVID-19 prevention behavior on new habits adaptation. It is hoped that health workers will be more active in socializing COVID-19 prevention behaviour through direct counselling on demonstration methods accompanied by discussion using leaflets or brochures using interesting pictures and writing also using simple language.


2021 ◽  
Vol 2 (3) ◽  
pp. 1-5
Author(s):  
Suyani Suyani ◽  
Erni Retna Astuti

The population in this study were all pregnant women who participated in pregnant women classes implementation at public health center Sanden, Bantul Regency, with a total sample of 32 people who were determined by total sampling. The results showed that the satisfaction of pregnant women in the pregnant women classes implementation at public health center Sanden, Bantul Regency were mostly satisfied as many as 22 people (68.8%). ), The satisfaction of pregnant women with the quality of class service for pregnant women at public health center Sanden, Bantul Regency was mostly satisfied as many as 24 people (75%). %), and pregnant women satisfaction with the class service system for pregnant women at public health center Sanden, Bantul Regency, was mostly satisfied as many as 22 people (68.8%). It’s advisable for health workers to maintain the quality of existing class services for pregnant women and always increase pregnant women knowledge about high-risk pregnancies by providing direct information.


Author(s):  
Wiwi Wardani Tanjung

The Exclusive Breastfeeding has been shown to have an impact better on health growth, development, and all the impacts short and long term, but there are still many mothers who do not provide exclusive breastfeeding. One of the reasons mom does not provide exclusive breastfeeding to the baby was due to the release of breast milk that was not smooth that happened due to inhibition of the hormone prolactin which produces breast milk. Rolling Massase Technique was one action which gives a relaxing sensation to the mother and smooth the flow of nerves as well as the milk duct. The purpose of this research was to know the influence of rooling massage techniques on the smooth release of breast milk  in third trimester pregnant women in the work area In Public Health Center Of Batunadua 2020. This type of research was quantitative research with a quasi experimental design used the Post Test Only Design with Control Group design. The population in this study are all trimester III pregnant women who came to the Public Health Center Of Batunadua as many as 32 people. The sample in this study was 16 people in the intervention group and 16 people in the control group   by used accidental sampling method.  The analysis used was the Wilcoxon test. The results showed that massage rooling technique effect on smoothness expressing breastmilk in pregnant women Trimester III with p value = 0.008 (p <0.05). It was hoped that the Public  Health Center Of Batunadua In  Padangsdimpuan to do health education or health promotion which can be given to pregnant women  to prepare for smooth operation expressing breastmilk like  perform rooling massage technique.


2020 ◽  
Vol 4 (1) ◽  
pp. 242-247
Author(s):  
Qurotul Aini ◽  
Byba Melda Suhita ◽  
Novita Ana Anggraini

Nutritional problems, especially stunting in infants can inhibit a child's development, with negative impacts that will take place in the next life. The purpose of this study was to analyze the influence of parenting, breastfeeding, the role of health workers on the incidence of stunting in infants at the Gandusari  Public Health Center in Blitar Regency. This research design is correlational analytic with cross sectional approach. with the focus of his research directed to be analyzing some of the factors that influence the incidence of stunting in UPT Public Health Center Gandusari Blitar Regency with a population of 163 respondents and a sample of 115 respondents taken by the Simple Random Sampling technique. Data collection using a questionnaire, data analysis with logistic regression test at α = 0.05. The results showed that there was an influence of parenting on the incidence of stunting in infants (p-value = 0,000), there was an effect of breastfeeding on the incidence of stunting in infants (p-value = 0.008), there was an influence on the role of health workers on the incidence of stunting in infants (p -value = 0.003). It can be concluded that the incidence of stunting in infants at the Gandusari Community Health Center is influenced by parenting, breastfeeding, and the role of the health worker at 33% while the remaining 67% is influenced by other factors. parenting, breastfeeding, the role of health workers are factors that influence the incidence of stunting. Lack of knowledge leads to the formation of negative attitudes towards stunting prevention efforts by mothers and cadres due to lack of information.


2021 ◽  
Vol 7 (4) ◽  
pp. 658-663
Author(s):  
Illa Arinta

Background. One of the major obstacles to the slow decline in MMR and IMR in Indonesia is the low maternal knowledge associated with pregnancy. Riskesdas 2012 research results nationally, mothers who own and bring books and understand the benefits only 29.1% and one of the provinces in Indonesia that is, East Java 42.1% of mothers who have books and 47.3% of mothers have but not Bring and 10.7% do not have (Ministry of Health RI, 2010).The Purpose It is known the relationship between the characteristics of pregnant women and knowledge of the MCH book at the Cempaka Putih Sub-district Health Center and the Sawah Besar Public Health Center, Central Jakarta for the period February to August 2017Research Method. The research design used was quantitative using cross sectional approach, the location of the research was conducted at Public Health Center and cempaka putih Public Health Center, with 214 samples of pregnant women. The instrument used is questionnaire. The variables used are education, occupation, parity and age.Results. much as 80.0% of mother's knowledge is good, and only 19.2% are knowledgeable less. There is no significant correlation between education, occupation, age, parity with mother's knowledge about book in pregnant women at Cempaka Putih Public Health Center and Sawah Besar Public Health Center. There is a significant relation of mother job (p = 0,048), OR = 4,596, with knowledge of books on pregnant women at Cempaka Putih Public Health Center and Sawah Besar Public Health Center. Conclusion.  Knowledge of Pregnant Women About Book Cempaka Putih Public Health Center and Sawah Besar Public Health Center the most category that is less category.Suggestion Maintain knowledge of pregnant women about the MCH handbook by evaluating pregnant women at every ANC examination so that mothers know more and actively understand about maternal and child health and mothers know better when to need help or an emergency. Keywords : Knowledge, Pregnant, Maternal and Child Health Books                ABSTRAK Latar Belakang. Salah satu kendala utama lambatnya penurunan AKI dan AKB di Indonesia adalah rendahnya pengetahuan ibu yang berhubungan dengan kehamilan. Hasil penelitian Riskesdas 2012 secara Nasional, ibu yang memiliki dan membawa buku KIA serta memahami manfaatnya hanya 29,1% dan salah satu propinsi di Indonesia yaitu, Jawa Timur 42,1% ibu yang memiliki buku KIA dan 47,3% ibu memiliki namun tidak membawa, dan 10,7% tidak memiliki ( Kemenkes RI, 2010). Hal ini menggambarkan masih banyak ibu hamil yang tidak mengetahui manfaat dan isi buku KIA.Tujuan. Diketahuinya Faktor- Faktor Yang Mempengaruhi Pengetahuan Tentang Buku KIA Pada Ibu Hamil Di Puskesmas Kecamatan Cempaka Putih Dan Puskesmas Sawah Besar  Jakarta Pusat Periode Februari s/d Agustus 2017 ”.Metode. Desain penelitian yang digunakan adalah kuantitatif dengan menggunakan pendekatan  cross sectional, lokasi penelitian dilaksanakan di Puskesmas Sawah Besar dan puskesmas cempaka putih Februari s/d Agustus 2017, dengan jumlah sampel 214 ibu hamil. Instrument yang digunakan adalah kuesioner. Variabel yang digunakan adalah pendidikan, pekerjaan, paritas, usia ibu.Hasil. Sebanyak 80,0 % pengetahuan ibu adalah baik, dan hanya 19,2 % yang berpengetahuan kurang. Tidak ada hubungan secara signifikan pendidikan, pekerjaan, usia, paritas dengan pengetahuan ibu tentang buku KIA pada ibu hamil di Puskesmas Kecamatan Cempaka Putih dan Puskesmas Sawah Besar Tahun 2017. Ada hubungan secara signifikan pekerjaan ibu (p=0,048), OR=4,596, dengan pengetahuan tentang buku KIA pada ibu hamil di Puskesmas Kecamatan Cempaka Putih dan Puskesmas Sawah Besar.Kesimpulan Tidak ada hubungan signifikan pendidikan, pekerjaan, usia, paritas dengan pengetahuan ibu tentang buku KIA, ada hubungan signifikan pekerjaan ibu dengan pengetahuan tentang buku KIA.Saran Mempertahankan pengetahuan ibu hamil tentang buku KIA dengan mengevaluasi ibu hamil pada setiap pemeriksaan ANC agar ibu lebih mengetahui dan memahami secara aktif tentang kesehatan ibu dan anak serta ibu lebih mengetahui kapan memerlukan pertolongan atau kegawatdaruratan. Kata kunci : Pengetahuan, Ibu hamil, Buku kesehatan ibu dan anak (KIA)            


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.


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


2021 ◽  
pp. 18-28
Author(s):  
Yunita Wiwit Widuri ◽  
Margono Margono ◽  
Yuliantisari Retnaningsih

Background: Danger signs of pregnancy before causing complications can be detected early independently through learning media such as videos and e-booklets. The purpose of this study was to determine the effectiveness of video and e-booklet media in improving the knowledge of pregnant women about the danger signs of pregnancy Methods: This study was conducted in December 2020-January 2021 at Jetis 1 Public Health Center, Bantul Regency and used the type of quasi-experimental research and pretest-posttest with control group design. The research subjects were pregnant women in the first, second and third trimesters as many as 24 people for each group. Sampling was collected using purposive sampling technique on respondents with the criteria of being willing to follow the research rules, there is no trouble in seeing/speaking/hearing, being capable to read and write. Respondents who resigned during the study, did not complete the questionnaire until the end and worked as health workers were not taken as research respondents. The measuring instrument used is a questionnaire that has been tested for validity and reliability. The data analysis used Wilcoxon test and Mann Whitney test Results: The results of the analysis show that the two media have an effect on increasing the knowledge of pregnant women with p-value 0,000 for videos and p-value 0,000 for e-booklet Conclusion: Video is more effective than e-booklet in improving the knowledge of pregnant women (p-value 0,031). Thus the video made by researchers can be used to provide health education about the danger signs of pregnancy


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