scholarly journals Hubungan Pengetahuan Anemia dengan Kebiasaan Makan pada Remaja Putri di SMPN 237 Jakarta

2020 ◽  
Vol 4 (3) ◽  
pp. 193
Author(s):  
Qorri Febriyana Romandani ◽  
Teti Rahmawati

ABSTRAKLatar belakang: Anemia merupakan keadaan dimana kadar Hemoglobin (Hb) di dalam tubuh di bawah normal. Hal ini dialami oleh remaja yang salah satunya disebabkan oleh kebiasaan makan yang tidak sehat, sehingga dibutuhkan pengetahuan untuk merubah perilaku remaja supaya tidak mengalami anemia. Tujuan: Penelitian ini bertujuan untuk mengidentifikasi hubungan pengetahuan anemia dengan kebiasaan makan pada remaja putri di SMP N 237 Jakarta. Metode: Desain penelitian adalah deskriptif analitik menggunakan pendekatan cross sectional terhadap 100 remaja yang diambil dengan teknik Stratified Random Sampling. Pengambilan data dilakukan pada bulan April 2019. Kuesioner dikembangkan oleh peneliti dan digunakan setelah diuji validitas dan reliabilitasnya. Data dianalisis secara univariat dan bivariat (chi-square test). Hasil penelitian: Hasil analisis uji chi-square dengan tingkat kepercayaan 95% (p-value=0,05) menunjukkan hubungan yang bermakna antara pengetahuan anemia dengan kebiasaan makan pada remaja putri di SMP N 237 Jakarta (p-value=0,015). Kesimpulan: Peneliti merekomendasikan adanya pemberian edukasi terkait penyakit anemia dengan kebiasaan makan yang baik bagi remaja, bekerja sama dengan guru konseling atau UKS dan terintergrasi dalam kurikulum intra maupun ekstra kurikuler.Kata Kunci: anemia, kebiasaan makan, remaja putriRelationship of Anemia Knowledge with Eating Habits in Young Women at SMP N 237 Jakarta ABSTRACTBackground: Anemia is a condition where the levels of hemoglobin (Hb) in the body are below normal. This is experienced by teenagers, one of which is caused by unhealthy eating habits, so knowledge is needed to change the behavior of adolescents so they did not experience anemia. Aim: This study aims to identify the relationship of anemia knowledge with eating habits in young women at SMP N 237 Jakarta. Method: The study design was descriptive analytic using a cross sectional approach to 100 adolescents taken with the Stratified Random Sampling technique. Data was collected in April 2019. A set of questionnaire was developed by the researchers and used after its validity and reliability were tested. Data was analyzed with using univariate and bivariate analysis. Results: The results of the chi-square test analysis with a confidence level of 95% (p-value=0.05) showed a significant relationship between knowledge of anemia and eating habits in adolescent girls at SMP N 237 Jakarta (p-value=0.015). Conclusion: The researcher recommends providing education related to anemia with good eating habits for adolescents, working with counseling teachers or UKS and integrating it in the intra and extra curricular curriculum.Keywords: anemia, eating habits, young women

2019 ◽  
Vol 9 (2) ◽  
pp. 88-98
Author(s):  
Sherly Vermita w ◽  
M Dedi Widodo ◽  
Leon Candra ◽  
Fenti Rialita

Anemia is a condition where there is a decrease in the number of red cell mass which is indicated by adecrease in hemoglobin level <11 g / dl, hematocrit, and erythrocyte count (red cell count). The Indragiri HilirDistrict Health Office for girlsin 2016 amounted to 22.8% of 880, 201 young women who experienced anemia.General Objectives Describe and determine Determinants that affect the incidence of anemia in youngwomen in SMA 1 Reteh in 2018. This type of research is observational analytic with Cross Sectional researchdesign. The population in this study were all young female in SMA 1 Reteh with a total of 405 female studentsand the number of samples in this study was 198 students taken using simple random techniques. Theanalysis used was univariate and bivariate analysis with chi-square test. The results showed values forknowledge (P value = 0.001), eating habits for inhibiting iron absorption (P value = 0.001), menstrual patterns(P value = 0.001) and nutritional status (P value = 0.001) meaning that there was a significant relationshipwith the incidence of anemia. It is better for the SMA 1 Reteh to be expected by the teacher to provide anemiaknowledge to the students and put information on anemia. And it is expected that students consumenutritious foods to avoid anemia


Author(s):  
Rini Mayasari Rini Mayasari

ABSTRACT According to the health of the World Health Organization (WHO) in poor countries and developing countries, mortality in infants and young children from diarrhea about two million children each year, the purpose of this study was to determine the relationship between education and employment to women with the incidence of diarrhea in children in health centers in 2011 Pelembang Basuki Rahmat This study uses survey Cross sectional analytic approach. The population in this study were all mothers who have young children who come to visit the health center Palembang Basuki Rahmat which amounts to 448 people and a random sample random sampling. Variable that is examined in the analysis using univariate and bivariate analysis via Chi-Square test at α = 0.05. The results of univariate analysis showed that mothers who have children diagnosed with diarrhea as many as 94 people (65.7%) and diarrhea are not diagnosed in 49 men (34.3%), mothers with higher education as many as 68 people (47.6%) and low education as many as 75 people (52.4 %) and mothers who worked as many as 91 people (63.6%) and that does not work as many as 52 people (36.4%). The results of bivariate analysis showed that the incidence of diarrhea in toddlers higher education less mothers were 36 (52.9%) compared with the incidence of diarrhea in children with poorly educated mothers as much as 58 (77.3%), the incidence of diarrhea in infants whose mothers work as much as 72 larger (79.1 %) compared with the non-occurrence of diarrhea in infants whose mothers worked were 19 (20.9%). chi-square test showed no significant association between education with incidence of diarrhea (p value = 0.004) and there was a significant association between maternal work (p value = 0.000) with the incidence of diarrhea in health centers Basuki Rahmat Palembang in 2011. Expected to health workers in order to improve health services, especially education about risk factors for the incidence of diarrhea in infants.     ABSTRAK 21       Menurut badan kesehatan world health organization (WHO) di negara negara miskin dan sedang berkembang, kematian pada bayi dan anak anak akibat diare berkisar dua juta anak tiap tahunnya tujuan penelitian ini adalah untuk mengetahui hubungan antara pendidikan dan pekerjaan ibu dengan kejadian diare pada balita di puskesmas basuki rahmat pelembang tahun 2011. Penelitian ini menggunakan metode survey analitik dengan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah semua ibu yang mempunyai anak balita yang datang berkunjung ke puskesmas basuki rahmat Palembang  yang berjumlah 448 orang dan pengambilan sampel secara random sampling. Variable yang di teliti di analisis dengan menggunakan analisis univariat dan bivariat melalui uji Chi-Square pada α = 0,05.  Hasil analisis univariat menunjukkan ibu yang memiliki balita yang terdiagnosa diare sebanyak 94 orang (65.7%) dan yang tidak terdiagnosa diare sebanyak 49 orang ( 34.3%), ibu dengan pendidikan tinggi sebanyak 68 orang (47.6%) dan pendidikan rendah sebanyak 75 orang (52.4%) dan ibu yang bekerja sebanyak 91 orang (63.6%) dan yang tidak bekerja sebanyak 52 orang (36.4%). Hasil analisis bivariat menunjukkan kejadian diare pada balita yang pendidikan ibunya tinggi lebih kecil sebanyak 36 (52.9%) dibandingkan dengan terjadinya diare pada balita dengan ibu berpendidikan rendah sebanyak 58 (77.3%), kejadian diare pada balita yang ibunya bekerja lebih besar sebanyak 72 (79.1%) dibandingkan dengan tidak terjadinya diare pada balita yang ibunya bekerja sebanyak 19 (20.9%). uji chi-square menunjukkan ada hubungan yang bermakna antara pendidikan dengan kejadian diare ( p value = 0,004) dan ada hubungan yang bermakna antara pekerjaan ibu (p value =0,000) dengan kejadian diare di Puskesmas Basuki Rahmat Palembang tahun 2011. Diharapkan kepada petugas kesehatan agar dapat meningkatkan pelayanan kesehatan terutama penyuluhan tentang faktor  resiko kejadian diare pada balita.


2019 ◽  
Vol 5 (2) ◽  
Author(s):  
Ramadhan Rifandy Widodo ◽  
Tantut Susanto ◽  
Latifa Aini Susumaningrum

ABSTRAKPeran ganda pada ibu yang bekerja rawan menimbulkan stress yang dapat mempengaruhi pembentukan sikap ibu terutama sikap pemberian ASI, dimana sikap merupakan salah satu faktor penting yang mendorong keberhasilan pemberian ASI. Penelitian ini bertujuan mengidentifikasi hubungan pekerjaan dan status paritas ibu dengan sikap pemberian ASI (Air Susu Ibu) pada bayi usia 0-6 bulan di Kecamatan Panti Kabupaten Jember. Penelitian dengan desain cross sectional dilakukan pada 273 ibu yang memiliki bayi usia 0-6 bulan dengan stratified random sampling. Kuesioner digunakan untuk mengidentifikasi karakteristik responden dan sikap ibu dalam pemberian ASI eksklusif. Chi-square test digunakan untuk menjawab tujuan penelitian ini. Hasil penelitian menunjukkan sebagian besar pekerjaan ibu adalah ibu rumah tangga (80,2%) dan sebagian besar ibu memiliki sikap pemberian ASI yang cukup (90,8%). Analisis bivariat menunjukkan tidak terdapat hubungan antara pekerjaan  ibu dengan sikap pemberian ASI (χ2= 2,089; p-value= 0,352). Akan tetapi teridentifikasi bahwa status paritas ibu berhubungan dengan sikap pemberian ASI (χ2= 14,050; p-value= 0,001). Dapat disimpulkan dari penelitian ini bahwa pekerjaan ibu tidak berhubungan dengan sikap pemberian ASI, tetapi status paritas ibu berhubungan dengan sikap pemberian ASI. Program KB (Keluarga Berencana) perlu ditingkatkan dengan tujuan mendorong ibu memberikan ASI kepada anaknya sesuai usia yang ditentukan. ABSTRACTDouble roles for working mothers caused stress which effects on their attitude towards breastfeeding practice. The objective of this study was to identify the correlation between mother’s employment and parity and attitudes towards breastfeeding among mothers in Panti district, Jember regency. A cross-sectional study was conducted among 273 mothers who have infants 0-6 months using stratified random sampling. Respondents’ characteristics and attitudes towards breastfeeding were measured using a questionnaire. A chi-square test was used to analyze the data. The results showed most of the mother was housewives (80,2%), most of the mother were multipara (64,5%) and most of the respondents have sufficient attitudes towards breastfeeding (90,8%). There were no relationship between mother’s employment and attitudes towards breastfeeding (χ2= 2,089; p-value= 0,352). However, there were significant relationship between maternal’s parity and attitudes towards breastfeeding (χ2= 14,050; p-value= 0,001). This study showed there was no relationship between mother’s employment and attitudes towards breastfeeding, although maternal’s parity showed different results. Therefore, family planning program should be improved correctly to support mothers breastfeed their babies until the six month age to achieve exclusive breastfeeding practice. 


2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Septia Endike ◽  
Yaslinda Yaunin ◽  
Rima Semiarty

 AbstrakPadang adalah salah satu kota di Indonesia yang rawan terhadap kejadian gempa dan Tsunami.  Orang yang selamat dari peristiwa Tsunami bukan hanya menderita bencana yang sifatnya fisik dan harta benda saja, tetapi lebih pada trauma mental yang tidak mudah dilupakan. Trauma mental itu sendiri bila tidak ditangani dengan sungguh-sungguh dan profesional dapat berlanjut pada gangguan jiwa salah satunya adalah ansietas. Tujuan penelitian ini adalah untuk mengetahui hubungan risiko tsunami terhadap tingkat ansietas pada anak sekolah dasar di zona merah dan hijau Kota Padang. Penelitian analitik observasional ini menggunakan desain cross-sectional dengan jumlah subjek sebanyak 117 responden yang dipilih secara stratified random sampling di SDN 02 Ulak Karang Selatan (zona merah) dan SDN 33 Kalumbuk (zona hijau). Data dikumpulkan melalui wawancara responden menggunakan kuesioner HRS-A yang kemudian dianalisis menggunakan uji chi-square. Hasil penelitian menunjukkan tingkat ansietas pada anak-anak yang bersekolah di zona merah yaitu 7 anak (14%) ringan, 8 anak (16%) sedang dan 1 anak (2%) berat, sedangkan di zona hijau didapatkan 16 anak (23,9%) ringan, 8 anak (11,9%) sedang dan tidak ada anak yang mengalami ansietas berat. Berbagai simulasi gempa dan Tsunami yang dilakukan terhadap anak sekolah di zona merah menurunkan angka ansietas pada anak tersebut. Hasil uji chi-square menunjukkan bahwa nilai p = 0,151 (p < 0,05) yang artinya tidak ada hubungan yang bermakna antara risiko tsunami terhadap tingkat ansietas pada pada anak-anak di zona merah dan zona hijau.Kata kunci: ansietas, tsunami, anak AbstractPadang is one of the city in Indonesia that have a high risk to tsunami disaster. For those who survived at the tsunami attack, it is not only a physical and property damage, but rather on the mental trauma that is not easily forgotten and can lead to mental disorders such as anxiety. The objective of this study was to examined the correlation of the tsunami risk to the anxiety level on children in the red and green zone of Padang.This research was an observational analytic study using cross-sectional design with a total sample of 117 respondents were selected by stratified random sampling in SDN 02 Ulak Karang Selatan (red zone) and SDN 33 Kalumbuk (green zone). Data were collected through interviewing respondents using a HRS-A questionnaire, then analyzed with chi-square test. The results of this study indicate the level of anxiety in children who attend school in the red zone as many as 7 (14%) mild, 8 (16%) moderate and 1 (2%) severe, whereas the green zone obtained in 16 (23, 9%) mild, 8 (11.9%) moderate, and no child is experiencing severe anxiety. Additional findings indicate that a variety of simulated earthquake and tsunami were conducted on the red zoned school children decrease the anxiety in the child. The results of chi-square test showed that the p value = 0.151 (p <0.05), which means there is no significant association between the risk of a tsunami on the level of anxiety in children at red zone and green zone. Keywords:  anxiety, tsunami, children


2020 ◽  
Vol 10 (2) ◽  
pp. 78-83
Author(s):  
Heru Ginanjar Triyono ◽  
Dian Novita K ◽  
Sugiarto Sugiarto ◽  
Tengku Isni Yuli ◽  
Winda Rofiyati

Abstract Kidney is one the organs that has an important function in the body. These functions include regulating the concentration of salt in the blood, and regulating the balance of acid base and the excretion of excess salt.Design Of this study was analytic with total Random Sampling. Research that uses descriptive quantitative type using cross sectional. This researcher only observed and measured variables without giving treatment. Cross sectional design or cross-sectional study, researchers only make observations and measure variables at one time. The Sampling in this study. The sampling in this study were 30 respondents who underwent hemodialysis. The amount was obtained based on data on the number of patients. The results of the analysis of the relationship of diet adherence with the quality of life of hemodialysis patients at Hospital using the chi square test. From table 4.4 the chi suare correlation test results obtained sig (2-tailed) values ​​with the results of 0.003 p value <0.05 to 0.003 <0.05 showed a relationship between diet compliance with quality of life. Data generated from the bivariate analysis of respondents who comply with good quality of life were 14 respondents (66.7%), while respondents who were not compliant and with less quality of life were 4 respondents (44.4%). Key word: Diet, Kidney Failure, Quality Of Life, Hemodialysis  


2020 ◽  
Vol 1 (2) ◽  
Author(s):  
Nadhila Shafira Fitri

Setiap orang memerlukan kadar tidur yang cukup agar tubuh dapat berfungsi normal. Kurangnya kebutuhan tidur akan berdampak pada menurunnya kemampuan untuk berkonsentrasi, membuat keputusan, dan berpartisipasi dalam aktivitas sehari-hari. Dewasa muda banyak yang mengalami hambatan dalam proses belajar yang disebabkan oleh rasa mengantuk dan lelah akibat kurang tidur. Mahasiswa kedokteran adalah salah satu subkelompok dari populasi yang sangat rentan terhadap kualitas tidur yang buruk. Hal ini diduga karena tuntutan akademis yang tinggi, tugas klinis, pilihan gaya hidup, sampai pekerjaan yang menantang secara emosional. Penelitian ini bertujuan untuk mengetahui hubungan kualitas tidur terhadap konsentrasi belajar mahasiswa kepaniteraan klinik FK Unand. Jenis penelitian yang digunakan adalah secara analitik dengan metode cross sectional. Teknik pengambilan sampel dilakukan secara stratified random sampling dengan total sampel didapatkan sebanyak 222 orang. Dengan menggunakan kuesioner PSQI dan kuesioner konsentrasi belajar yang kemudian hasilnya dianalisis secara univariat dan bivariat menggunakan uji Chi-Square, didapatkan sebanyak 65,32% mahasiswa mengalami gangguan tidur dan 77,48% mahasiswa memiliki tingkat konsentrasi yang tergolong kurang. Dari hasil uji Chi-Square (p=0,000) dapat disimpulkan bahwa terdapat bermakna antara kualitas tidur dengan tingkat konsentrasi belajar mahasiswa. Kata kunci:  kualitas tidur, konsentrasi belajar, mahasiswa kepaniteraan klinik, koas   Everyone needs enough sleep so the body can function normally. Lack of sleep will result in decreased ability to concentrate, make decisions, and participate in daily activities. Most of the difficulties young adults experience in their learning process are caused by drowsiness and fatigue due to lack of sleep. Medical students are a subgroup of the population who are vulnerable to poor sleep quality. This is thought to be due to high academic demands, clinical assignments, lifestyle choices, and emotionally challenging work. This study aims to determine the relationship between sleep quality and the concentration level of clinical clerkship students from Faculty of Medicine, Andalas University. This is a cross-sectional study. The sampling technique was carried out by stratified random sampling with a total sample of 222 people. By using the PSQI questionnaire and the learning concentration questionnaire which were then analyzed univariately and bivariately using the Chi-Square test, the results obtained were as many as 65.32% of students experiencing sleep disturbances and 77.48% of students had relatively poor concentration levels. From the Chi-Square test results (p=0,000) it can be concluded that there is a significant correlation between the quality of sleep and the students’ concentration level. Keyword: sleep quality, concentration level, clinical clerkship students


2020 ◽  
Vol 20 (2) ◽  
pp. 545
Author(s):  
Nurul Mouliza

Dysmenorrhea is a complaint that is often experienced in adolescent girls during menstruation precisely in the lower abdomen. The incidence of dysmenorrhea in Indonesia is 76%. The results of an initial survey of 22 young women had 16 young women experiencing dysmenorrhea and 6 other young women not experiencing dysmenorrhea. The purpose of this study was to determine the factor associated with dysmenorrhea in Teenage girls in MTs State 3 Medan in 2019. Methods this research was conducted with an analytic survey research design with a cross-sectional approach. The population is young women in MTS State 3 Medan, taken by simple random sampling technique amounted to 57 people. Data analysis used univariate analysis using frequency distribution and bivariate analysis using chi-square test. Chi-square test results obtained value of P-Value = .045 which means there is a significant relationship between the age of menarche with dysmenorrhea, P-Value = .033 which means there is a significant relationship between menstrual period with dysmenorrhea, P-Value = .009 which it means that there is a significant relationship between family history and dysmenorrhea in MTs State 3 Medan. Based on the results of research can be concluded that there is an age relationship menarche, long menstruation and family history with Dysmenore in young women in MTs Negeri 3 Medan in 2019. 


2019 ◽  
Vol 2 (2) ◽  
pp. 109
Author(s):  
Zumrotul Choiriyah ◽  
Devi Anis Ramonda ◽  
Yunita Galih Yudanari

Pola makan remaja saat ini sudah mulai bergeser pada pola makan yang tidak seimbang sehingga meningkatkan kejadian obesitas pada remaja.  Salah satu faktor yang mempengauhi pola makan pada remaja yaitu body image, dan jenis kelamin. Penelitian ini bertujuan untuk mengetahuihubungan antara body image dan jenis kelamin terhadap pola makan pada remaja di SMA Negeri 1 Ungaran. Jenis penelitian ini adalah Diskriptive Korelasional dengan menggunakan pendekatan Cross Sectional. Teknik pengambilan sampel yang digunakan adalah Proportinate Random Sampling dengan total populasi 1212 siswa dan  jumlah sampel 92 siswa. Analisi data menggunakan Uji Chi Square. Hasil penelitian menunjukkan bahwa body image pada siswa SMA N 1 Ungaran dalam kategori positif60 responden (65,2 %). Hasil penelitian didapatkan 56 orang berjenis kelamin perempuan (60,9%). Pola makan siswa dalam kategori kurang baik 61 responden (66,3%). Hasil uji chi squaretentang hubungan body image terhadap pola makan didapatkan p value sebesar 0,047< α (0,05). Hasil uji chi squaretentang hubungan jenis kelamin terhadap pola makan didapatkan p value sebesar 0,048 < α (0,05). Terdapat hubungan yang bermakna antara body image dan jenis kelamin terhadap pola makan pada remaja di SMA N 1 Ungaran. Diharapkan sekolah dapat memberikan konseling kepada siswanya mengenai pentingnya pola makan yang baik dan benar. Kata Kunci: Body image, jenis kelamin, pola makan, remaja THE CORRELATION BETWEEN BODY IMAGE AND GENDER TO FOOD PATTERN IN ADOLESCENCE  ABSTRACTThe current food pattern of adolescents has begun to shift to an unbalanced food pattern that increases the incidence of obesity in adolescents. One of the factors that influence diet in adolescence is body image, and gender. The purpose of this study was to determine the correlation between body image and gender to food pattern in adolescence at SMAN 1 Ungaran. This type of reaserch was descriptive correlational with cross-sectional approach. The sampling technique used proportionate random sampling with a total pupulation 1212 students and sample size of 92 students. Data analysis used Chi Square Test. The results of the study show that the body image at SMAN 1 Ungaran in the positive category as many as 61 respondents (65,2%). The results show that 56 people are female (60.9%). The food pattern of students in the poor category as many as 61 respondents (66,3%). The result of the chi square test about the correlation of body image to food pattern obtain p value of 0.047 < α (0.05). The result of the chi square test about the correlation of gender to food pattern obtain p value 0.048 < α (0.05). There is a significant correlation between body image and gender to food pattern in adolescence at SMAN 1 Ungaran. It is expected that schools can provide counseling for their students regarding the importance of good and right of food pattern. Keywords: Body image, gender, food pattern, adolescence


2020 ◽  
Vol 1 (3) ◽  
pp. 129-136
Author(s):  
Wahidah Rohmawati ◽  
Dyah Ayu Wulandari

The result of interview with 10 students found that they have ever experienced (dysmenorrheal) they did not focus on teaching and learning until they asleep in the classroom and asked to permission to went home because unable to bear the pain that they feel, one of them rarely did physical activity such as sports, then they feel (dysmenorrheal) when menstrual, they also were burdened by tasks and routines of study, if they did examination. The purpose of this study was: to analyze the factors of primary dysmenorrheal on students at SMA Negeri 15 Semarang. This research was quantitative and it used cross-sectional method, the samples of this study were 138 respondents, and the researcher used proportionate stratified random sampling. The researcher also used chi-square test. The result of this study: it is shown that there was correlation between menarche with primary dysmenorrheal with evidence p-value <0,001, there were correlation between routinely of sport with primary dysmenorrheal with evidence p-value <0,001, there were correlation between stress with primary dysmenorrheal with evidence p-value <0,001. Recommendation: the teenagers are expected to increase sports activity and avoid stress so that can reduce the pain of dysmenorrheal.


2018 ◽  
Vol 1 (1) ◽  
pp. 34
Author(s):  
Ni Nyoman Novita ◽  
Gusman Arsyad

Implementation of IMD in hospitals has decreased from the previous year and has not reached the target set by the government. Some IMD implementation processes have not been carried out according to applicable standards. So that babies do not get an IMD in accordance with existing SOPs. The purpose of this study was to determine the determinant factors associated with the implementation of the IMD by midwives in the Midwifery and Maternity Room Emergency Room (IGD) at the Anutapura General Hospital in Palu. This research method is analytical with cross sectional approach. The population of this study was that all midwives in the obstetrics emergency room and maternity room at Anutapura Palu Hospital were 37 respondents. The sample in this study is total sampling. The analysis used was univariate, and bivariate analysis using the chi square test with a confidence level of 95% (α = 0.05). The results of statistical tests on variable knowledge of midwives with the implementation of IMD p value: 0.018 (p value <0.05). APN training with the implementation of IMD p value: 0.697 (p value> 0.05). length of work with the implementation of IMD p value: 0.029 (p value <0.05). and peer support with the implementation of IMD p value: 0.007 (p value <0.05). Conclusions there is a relationship between knowledge, length of work, peer support with the implementation of the IMD, and training factors that have nothing to do with IMD implementation. The strongest factor in the relationship is peer support. It is recommended that the Anutarapura Palu Hospital be able to motivate midwives so that they can further enhance their role in the implementation and provide support to their colleagues so that the implementation of the IMD can be carried out in accordance with applicable standards.Keywords: Knowledge, APN Training, Duration of work, Implementation of IMD


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