scholarly journals Kepatuhan ibu pada masa kehamilan, persalinan, dan nifas dalam pelaksanaan program pencegahan penularan HIV

2018 ◽  
Vol 12 (1) ◽  
pp. 38-45
Author(s):  
Sri Wahyuni

This research aim is to explore the  adherence of mother during the PPIA programme. Qualitative metodhe was used especially with explanatory research. Purposive sampling continued with snowball sampling was used. Results from this study is the third of five informants did not comply with PPIA. During labour, R4 giving birth in community health center. While R1,R2,R5 already adherence gave birth at Hospital Dr. Sardjito. The examination results VCT and Viral Load for children R1, R3, and R5 can be demonstrated to children not infected with HIV by her mother. For children of R4 is already infected with HIV by her mother because it did not comply with the PPIA. For children from R3 can not be proven contracting or not because it is still in gestation. 

2017 ◽  
Vol 3 (6) ◽  
pp. 765-770
Author(s):  
Iin Wahyuni ◽  
Noor Pramono ◽  
Titi Suherni ◽  
Melyana Nurul Widyawati

Objective: This study aimed to examine the pregnancy exercise during the third trimester of pregnancy on duration of the first and second stage of labor in primigravida at the Community Health Center of Sukamaju, Bandar lampung, Indonesia.Methods: This study employed a quasy experimental design with posttest-only non-equivalent control group. This study was conducted from 8 January 2017 to 12 February 2017 at the Community Health Center of Sukamaju. Forty-eight primigravida mothers were selected using consecutive sampling, with 24 assigned in the experiment and control group. Data were analyzed using Mann whitney and Chi square test.Results: The average duration of the first stage of labor in the experiment group was 495 minutes and in the control group was 685 minutes (p= 0.000); while the average duration of the second stage of labor in the experiment group was 42.5 minutes and in the control group was 68.75 minutes (p=0.000).Conclusion: There was a statistically significant difference in the duration of the first and second stage of labor between experiment and control group. It is expected for midwives in the community health centers to implement pregnancy exercise program to help mothers in accelerating the delivery process.


2020 ◽  
Vol 7 (1) ◽  
pp. 16
Author(s):  
Nita Pujianti ◽  
Lia Anggraini

ABSTRAKPneumonia merupakan penyebab banyak kematian balita di dunia. Selama tahun 2016 terdapat 568.146 (65,27%) jumlah kasus pneumonia pada balita yang ada di Indonesia. Berdasarkan data Dinas Kesehatan Provinsi Kalimantan Selatan tercatat kasus pneumonia tahun 2017 sebesar 66,52%, data tertinggi pada Puskesmas Beruntung Raya dengan angka 105 kasus (10,80%) di tahun 2017. Tujuan penelitian ini adalah untuk menganalisis faktor-faktor yang berhubungan dengan kepatuhan penggunaan antibiotika pada orang tua pasien anak yang terdiagnosa pneumonia di wilayah kerja Puskesmas Beruntung Raya serta menganalisa faktor yang paling dominan mempengaruhi. Penelitian ini menggunakan rancangan observasional analitik melalui pendekatan cross sectional. Populasi dalam penelitian ini adalah semua orang tua yang memeriksakan anaknya dalam satu tahun terakhir di Puskesmas Beruntung Raya. Sampel dalam penelitian ini berjumlah 77 responden ditentukan dengan teknik purposive sampling dan berlangsung selama 3 (tiga) bulan. Analisa data menggunakan uji chi square dan regresi logistik biner dan kuisioner sebagai Instrumen penelitian. Hasil penelitian menunjukkan bahwa terdapat hubungan antara kedisiplinan (p-value= 0,001), sugesti sembuh (p-value= 0,012), dan komunikasi (p-value= 0,025). Variabel kedisiplinan merupakan yang paling berpengaruh dominan terhadap kepatuhan penggunaan antibiotika, sehingga pasien yang disiplin lakan lebih patuh dalam meminum obat antibiotika daripada pasien yang tidak disiplin.Kata-kata kunci: Kepatuhan, pneumonia, kedisiplinan, sugesti sembuh, komunikasiABSTRACTPneumonia is the cause of many under-five deaths in the world. During 2016 there were 568,146 (65.27%) of the number of pneumonia cases in children under five in Indonesia. From the data of the South Kalimantan Provincial Health Office recorded pneumonia cases in 2017 amounted to 66.52%, the highest data in Beruntung Jaya Community Health Center with a number of 105 cases (10.80%) in 2017. The purpose of this study was to analyze the factors related by adhering to the use of antibiotics in the parents of pediatric patients with diagnosed with pneumonia in the work area of Beruntung Jaya Community Health Center and analysis the most dominant factor influencing. This study uses an observational analytic design through a cross sectional approach. The population in this study were all parents who had their children examined in the past year at Beruntung Raya Health Center. The sample in this study amounted to 77 respondents determined by purposive sampling technique and lasted for 3 (three) months. Data analysis using chi square test and binary logistic regression and questionnaires as research instruments. The results showed that there was a relationship between discipline (p-value= 0.001), recovery suggestions (p-value= 0.012), and communication (p-value= 0.025). Disciplinary variable is the most dominant influence on adherence to the use of antibiotics, so that disciplined patients are more obedient in taking antibiotic drugs than patients who are not disciplined.Key words: Compliance, pneumonia, discipline, healing suggestion, communication


2018 ◽  
Vol 9 (2) ◽  
pp. 27-36
Author(s):  
Bani Sauli ◽  
Fitrianty Sutadi Lanyumba ◽  
Marselina Sattu ◽  
Dwi Wahyu Balebu ◽  
Muhammad Syahrir ◽  
...  

Tujuan penelitian ini yaitu mengetahui gambaran pelaksanaan P4K di wilayah kerja Puskesmas Bualemo Kabupaten Banggai Tahun 2014. Jenis penelitian ini adalah penelitian deskriptif, pada 13 bidan, 47 ibu hamil, dan 25 responden tokoh masyarakat yang dipilih secara Purposive Sampling. Waktu penelitian pada bulan Juni Tahun 2014. Pengambilan data dilakukan dengan wawancara secara langsung terhadap responden berdasarkan daftar pertanyaan yang telah disediakan. Hasil penelitian menunjukkan bahwa pelaksanaan P4K pada bidan dengan kriteria baik 4 responden (30,8%), dan kriteria kurang baik 9 responden (69,2%). Pelaksanaan P4K pada ibu hamil dengan kriteria baik sebanyak 6 responden (12,8%), dan kriteria kurang baik 41 responden (87,2%). Pelaksanaan P4K pada tokoh masyarakat dengan kriteria baik 5 responden (20%), dan kriteria kurang baik 20 responden (80%). Secara keseluruan dari 3 variabel yang di teliti pelaksanaan program perencanaan persalinan dan pencegahan komplikasi di wilayah kerja Puskesmas Bualemo tidak terlaksana dengan baik. Saran dari penelitian ini diharapkan kerja sama semua sektor terkait dalam mendukung terlaksananya program perencanaan persalinan dan pencegahan komplikasi (P4K) di Kabupaten Banggai secara umum dan di wilayah kerja Puskesmas Bualemo Khususnya. The purpose of this study was to find out the description of the implementation of P4K in the Bualemo Community Health Center in Banggai District in 2014. This type of research is a descriptive study, on 13 midwives, 47 pregnant women, and 25 respondents community leaders who were selected by Purposive Sampling. The time of the study was in June 2014. Data was collected by direct interview with respondents based on a list of questions provided. The results showed that the implementation of P4K on midwives with good criteria 4 respondents (30.8%), and 9 respondents (69.2%) unfavorable criteria. The implementation of P4K in pregnant women with good criteria was 6 respondents (12.8%), and unfavorable criteria were 41 respondents (87.2%). The implementation of P4K on community leaders with good criteria is 5 respondents (20%), and criteria are less good for 20 respondents (80%). Overall, the 3 variables examined in the implementation of the birth planning and complications prevention program in the work area of ​​the Bualemo Community Health Center were not implemented properly. Suggestions from this research are expected to cooperate with all related sectors in supporting the implementation of the birth planning and complications prevention (P4K) program in Banggai Regency in general and in the work area of ​​the Bualemo Community Health Center in particular.


2017 ◽  
Vol 3 (6) ◽  
pp. 722-728
Author(s):  
Dewi Candra Resmi ◽  
Suharyo Hadisaputro ◽  
Runjati Runjati

Objective: To examine the effect of yoga and acupressure in lower back pain and functional capability in pregnant women during the third semester of pregnancy.Methods: A quasy experimental design with pretest posttest with non-equivalent control group. The research was conducted at the Community Health Center of Kalikajar I, Selomerto I and Garung I in Wonosobo regency in January 2017. The samples of this research were 42 pregnant women in trimester III selected using purposive sampling, which 14 samples assigned in the yoga group, acupressure group, and control group. A Visual Analog Scale (VAS) was used to measure pain level, and Oswestry Disability Index to measure functional capability of lower back. Data were analyzed using paired t-test and one-way ANOVA.Results: Findings showed that there was a statistically significant effect of yoga, acupressure, and pregnancy exercise (control group) in reducing lower back pain and lower back functional capability with p <0.05. Pregnancy exercise (mean=-1.43) was more effective in reducing lower back pain compared with yoga (mean=-2.29) and acupressure (mean=-2.71); and acupressure (mean=-14.29) was more effective in improving lower back functional capability than yoga (mean=-6.57) and pregnancy exercise (mean= -13.29).Conclusion: There were significant effects of yoga, acupressure, and pregnancy exercise in reducing pain and in improving the functional ability of the lower back. It is recommended for midwife to use these interventions as an alternative to deal with back pain and functional capability in pregnant women, especially in the Community Health Center in Wonosobo regency. 


2021 ◽  
Vol 7 (1) ◽  
pp. 80-86
Author(s):  
Suharman Suharman ◽  
Rostina Rostina ◽  
Lolita Sary ◽  
Susilawati Susilawati

ABSTRACT INFLUENCE OF BANANA HEART VEGETABLE CONSUMPTION ON ASI BREASTFEEDING ASI ADMINISTRATION  Background By comparing 5 health centers with the lowest ASI coverage, namely Gedong Tataan Health Center 26.27%, Pedada Health Center 29.58%, Padang Cermin Health Center 33.33%, Kalirejo Health Center 36.11, and Kedondong Health Center 37.03%. The heart of a banana is a type of plant that contains laktagogum has the potential to stimulate the hormone oxytocin and prolactin such as alkaloids, polyphenols, steroids, flavonoids and other substances most effective in increasing and facilitating the production of breast milk.The purpose of the study was to know the effect of vegetable consumption of banana heart on the smooth breastfeeding of breastfeeding mothers in the Kalirejo Pesawaran Community Health Center Working Area in 2019.Methods This quantitative study used, experimental quasy method with one group pretest - posttest design approach. Population and sample were 30 people, purposive sampling sampling technique. Data analysis using univariate and bivariate, with t-test statistical test. The study was conducted for 1 week.Result Smooth breastfeeding before being given banana heart vegetables in nursing mothers in the Kalirejo Puskesmas Working Area is offered to 17 breastfeeding mothers, with a mean of 5.00, standard deviation of 0.935, error standard 0.227 and min-max 4-7. After being given a banana heart vegetable with a mean of 7.65 standard deviation of 0.606, the error standard was 0.147 and the min-max value was 7-8. The test-dependent statistical test results obtained a p-value of 0.000 (α <0.05)Conclusion there is an influence of vegetable consumption of banana heart on the adequacy of breastfeeding mothers in the Pesawaran Kalirejo Community Health Center Working Area in 2019.Suggestion It is expected that nursing mothers can use vegetable banana heart 200gr / day as a non-pharmacological alternative to facilitate milk production Keywords : Banana Heart Vegetables, Breastfeeding Sufficiency, Breastfeeding Mothers ABSTRAK Latar Belakang Dengan membandingkan 5 puskesmas dengan cakupan ASI terendah, yaitu puskesmas Gedong Tataan 26,27%, Puskesmas Pedada 29,58%, Puskesmas Padang Cermin 33,33%, Puskesmas Kalirejo 36,11, dan Puskesmas Kedondong 37,03%. Jantung pisang merupakan jenis tanaman yang mengandung laktagogum memiliki potensi dalam menstimulasi hormon oksitosin dan prolaktin seperti alkaloid, polifenol, steroid, flavonoid dan substansi lainnya paling efektif dalam meningkatkan dan memperlancar produksi ASI. Tujuan penelitian Diketahui pengaruh konsumsi sayur jantung pisang terhadap kelancaran ASI ibu menyusui di Wilayah Kerja Puskesmas Kalirejo Pesawaran Tahun 2019.Metode Jenis penelitian kuantitatif, metode quasy eksperimental dengan pendekatan one group pretest – posttest design. Populasi dan sampel sebanyak 30 orang, teknik sampling purposive sampling. Analisa data menggunakan univariat dan bivariate, dengan uji statistik t-tes. Penelitian dilakukan selama 1 minggu.Hasil Kelancaran ASI sebelum diberi sayur jantung pisang pada Ibu menyusui di Wilayah Kerja Puskesmas Kalirejo Pesawaran terhadap 17 orang ibu menyusui, dengan mean 5,00, standar deviasi 0,935, standar eror 0,227 dan nilai min-max 4-7. Setelah diberi sayur jantung pisang dengan mean 7,65 standar deviasi 0,606, standar eror 0,147 dan nilai min-max 7-8. Hasil uji statistik menggunakan tes-dependen didapat nilai p-value 0.000 (α<0.05)Kesimpulan terdapat pengaruh konsumsi sayur jantung pisang terhadap kecukupan ASI Ibu menyusui di Wilayah Kerja Puskesmas Kalirejo Pesawaran Tahun 2019.Saran diharapkan untuk ibu menyusui agar dapat memanfaatkan sayur jantung pisang 200gr/ hari sebagai alternatif non farmakologi untuk memperlancar produksi ASI Kata Kunci           : Sayur Jantung Pisang, Kecukupan ASI, Ibu Menyusui


Author(s):  
Sudarsono Sudarsono ◽  
Roni Aldiano

Background : In Indonesia, it is estimated that 15,000 new cases of cervical cancer occur each year, while the death rate is estimated at 7500 cases per year (Emilia, 2010). Frequent delays in treatment have resulted in many cervical cancer sufferers dying, even though cervical cancer can be treated if it has not reached an advanced stage, of course by knowing in advance whether it is infected or not by using several early detection methods, including the Pap smer method, IVA ( Visual Inspection with Acetic Acid), Thin Prep, and Colposcopy, vicography, papnet (computerized). (Nugroho, 2010). The purpose of this study was to determine the behavior of posyandu cadres towards iva examination at the Kundur barat public health center. Method : This research design is descriptive. The research was conducted at the West Kundur Community Health Center. Population is a generalization area consisting of objects (objects) / subjects (people) that have certain qualities and characteristics that are determined by the researcher for research and conclusions are drawn (Sulistyaningsih, 2011). In the study, the population was the posyandu cadres in the West Kundur Community Health Center (Puskesmas) as many as 214 cadres. In taking the sample in this study using purposive sampling technique, namely purposive sampling in accordance with the requirements / sample criteria required. The type of instrument used in this study was a questionnaire, in the form of a written question addressed to the respondent to be answered. Univariate analysis is used to explain or describe the characteristics of each variable under study by presenting a description of the frequency distribution. The instrument used for knowledge is a questionnaire, the form of questions used is a true or false statement for the assessment of the respondent's answer, if the respondent answers correctly each question item is given a value of 1 and if it is wrong it is given a value of 0. Result : The results and conclusions in this study are: know the behavior of posyandu cadres regarding IVA examinations at the West Kundur Puskesmas in 2018 the majority never conducted IVA examinations, namely 38 respondents (55.9%) out of 68 respondents. Congclusions : It is known that the behavior of posyandu cadres regarding the IVA examination at the West Kundur Puskesmas in 2018 the majority never conducted an IVA examination, namely as many as 38 respondents (55.9%) out of 68 respondents


2019 ◽  
Vol 5 (1) ◽  
pp. 80-87
Author(s):  
Fritria Dwi Anggraini ◽  
Yasi Anggasari

Abstract                : Perineal rupture may occur spontaneously (ruptured) or deliberately (episiotomy). An attempt to Flex the perineum perineum massage among others who haven't performed in clinics jagir. The objective of this research was to find out the effect of perineal massage during the third trimester of pregnancy on the prevention of primigravida perineal rupture in Community Health Center in Jagir -Surabaya. The research design was Quasi-experimental with post-test only group model. The population was all pregnant mothers - of primigravida physiologic category of the third trimester - who delivered at Community Health Center in Jagir Surabaya with its sample of 20 respondents, that is, 10 respondents of the treatment group and 10 respondents of the control group. The independent variable was perineal massage, and the dependent variable was perineal rupture. The data collection was carried out using SOP and partographic sheet / medical record. The data were analyzed by Mann Whintney test with α = 0.05. The Result of the research showed that almost all respondents (80.0%) did not experience perineal rupture in treatmen group and most (60.0%) of those respondents experiencing torn perineum were suffering from perineal tear in control group. The result of the statistic test using Mann Whitney showed p = 0.001 <α = 0.05, then Ho was refused, meaning there was effect of perineal massage during the third trimester pregnancy on the prevention of primigravida perineal rupture at Community Health Center in ​​Jagir surabaya. Respondents who do the massage the perineum almost everything does happen rips therefore massage the perineum can Flex the perineum so as not happening rips the perineum. Therefore it was suggested that the health workers encourage the pregnant mothers to have perineal massage treatment during theperiod of maternity preparation.


EMBRIO ◽  
2021 ◽  
Vol 13 (1) ◽  
pp. 80-85
Author(s):  
Retno setyo Iswati ◽  
Tri Mardiyanti ◽  
Asworoningrum Yulindahwati

Indonesia is the third Southeast Asia country that has the highest prevalence of stunting toddler. Stunting is a chronic malnutrition condition that can start within the first thousand days of life and detectable up to two years of age by height. However, the measurement of the toddler's height can be influenced by the skills of Posyandu cadres using existing tools, so that the growth mattress is launched which is easier and faster to use detect stunting. The purpose of this study was to determine the effectiveness of using growth mattress for stunting early detection in toddlers aged 3-24 months. This research is a descriptive study with a cross sectional approach which is carried out at Posyandu of Siwalankerto Community Health Center working area. Respondents involved in this study were 42 toddlers aged 3-24 months and 54.8% of them were male.  Data were obtained through questionnaires and observation sheets which were filled in by Posyandu cadres independently. The results showed that the effectiveness of using growth mattress was in the range of 80.9% and could detect the presence of stunting by 7.2%. The conclusion of this study is that the use of growth mattress as a medium for early detection of stunting is mostly effective


2020 ◽  
Vol 7 (1) ◽  
pp. 16
Author(s):  
Nita Pujianti ◽  
Lia Anggraini

ABSTRAK Pneumonia merupakan salah satu penyebab banyaknya kematian balita di dunia. Selama tahun 2016, terdapat 568.146 (65,27%) jumlah kasus pneumonia pada balita yang ada di Indonesia. Berdasarkan data Dinas Kesehatan Provinsi Kalimantan Selatan tercatat kasus pneumonia tahun 2017 sebesar 66,52%, data tertinggi pada Puskesmas Beruntung Raya dengan angka 105 kasus (10,80%) di tahun 2017. Tujuan penelitian ini untuk menganalisis faktor yang berhubungan dengan kepatuhan penggunaan antibiotika pada orang tua pasien anak yang terdiagnosa pneumonia di wilayah kerja Puskesmas Beruntung Raya serta menganalisa faktor yang paling dominan mempengaruhi. Penelitian ini menggunakan rancangan observasional analitik melalui pendekatan cross sectional. Populasi dalam penelitian ini adalah semua orang tua yang memeriksakan anaknya dalam satu tahun terakhir di Puskesmas Beruntung Raya. Sampel dalam penelitian ini berjumlah 77 responden ditentukan dengan teknik purposive sampling dan berlangsung selama 3 (tiga) bulan. Analisa data menggunakan uji chi square dan regresi logistik biner dan kuisioner sebagai Instrumen penelitian. Hasil penelitian menunjukkan terdapat hubungan antara kedisiplinan (p-value= 0,001), sugesti sembuh (p-value = 0,012), dan komunikasi (p-value= 0,025). Variabel kedisiplinan merupakan yang paling berpengaruh dominan terhadap kepatuhan penggunaan antibiotika, sehingga pasien yang disiplin akan lebih patuh dalam meminum obat antibiotika daripada pasien yang tidak disiplin. Kata-kata kunci: Kepatuhan, pneumonia, kedisiplinan, sugesti, sembuh, komunikasi  ABSTRACT            Pneumonia is the cause of many under-five deaths in the world. During 2016 there were 568,146 (65.27%) of the number of pneumonia cases in children under five in Indonesia. From the data of the South Kalimantan Provincial Health Office recorded pneumonia cases in 2017 amounted to 66.52%, the highest data in Beruntung Jaya Community Health Center with a number of 105 cases (10.80%) in 2017. The purpose of this study was to analyze the factors related by adhering to the use of antibiotics in the parents of pediatric patients with diagnosed with pneumonia in the work area of Beruntung Jaya Community Health Center and analysis the most dominant factor influencing. This study uses an observational analytic design through a cross sectional approach. The population in this study were all parents who had their children examined in the past year at Beruntung Raya Health Center. The sample in this study amounted to 77 respondents determined by purposive sampling technique and lasted for 3 (three) months. Data analysis using chi square test and binary logistic regression and questionnaires as research instruments. The results showed that there was a relationship between discipline (p-value= 0.001), recovery suggestions (p-value = 0.012), and communication (p-value= 0.025). Disciplinary variable is the most dominant influence on adherence to the use of antibiotics, so that disciplined patients are more obedient in taking antibiotic drugs than patients who are not disciplined. Keywords: Compliance, pneumonia, discipline, healing,  suggestion, communication


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