scholarly journals Edukasi Gizi dengan CAMIL Sama Efektif dengan Leaflet dalam Prilaku Pencegahan Anemia pada Ibu Hamil

2018 ◽  
Vol 6 (1) ◽  
pp. 82-93
Author(s):  
Rista Elmika ◽  
Demsa Simbolon ◽  
Emy Yuliantini

Iron nutritional anemia is anemia caused by iron deficiency in the blood, meaning the concentration of hemoglobin in the blood is less than 11 gr / dl. According to WHO, the incidence of pregnancy anemia ranges between 20% and 89% by setting Hb 11 g% (g / dl). The pregnancy anemia rate occurred 3.8% in the first trimester, 13.6% trimester II, and 24.8% in the third trimester. To know the effectiveness of CAMIL media (iron anemia disc pregnant mother) to behavior of prevention of iron anemia in pregnant mother in work area of ​​Beringin Raya Public Health Center of Bengkulu City.  This type of  research uses Quasy Experimental Study with Pretest-Postest Control Group Design. The population in this study were pregnant women listed in the Register of Beringin Raya Public Health Center of Bengkulu Year 2018. total samples were 40 respondents.20 respondents of the intervention group and 20 control groups. Data analysis using T-test.  The result of the research is the effect of CAMIL on knowledge, attitude and action where the sign value 0.000 <0.05. While the Leaflet of behavior (knowledge, attitude, and action) there is influence where the sign value is 0.000 <0.05. There is no difference of knowledge on CAMIL group and leaflet where sign value is 0.106> 0.05. For attitudes on the CAMIL group and the leaflet is the same where the sign value is 0.146> 0.05. Action on the CAMIL group and the same leaflet where the sign value is 0.064> 0.05.  Conclusion From the results of this study it can be concluded that health education is important to improve knowledge, attitude, and action, using CAMIL media and leaflets, both media are equally efketif because it is written with the added pictures

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.


2021 ◽  
Vol 1 (2) ◽  
pp. 50-57
Author(s):  
Iwan Setiawan ◽  
Arif Sabta Aji ◽  
Wahyuningsih Wahyuningsih

Exclusive breastfeeding practice in Ngombol public health center is below the regency target which was only 54.4% from 80% in Purworejo in 2019. Program to improve exclusive breastfeeding such as counseling is one of the best ways to increase community participation as this is a crucial phase to fulfill newborn nutrition needs. The aim of this study was to determine the effect of media counseling on increasing breastfeeding practice and improving newborn weight in the first-month-old. We created a quasi-experimental design with one group pre-test and a post-test with a control group design. Of 40 post-partum mothers and newborns were recruited in this study. Data collection was gathered such as socio-demography, breastfeeding observation form, and newborn’s weight both before and after the one-month intervention. The intervention group had been counseled with media such as leaflets, breastfeeding flipcharts, breast props, and newborn dolls. On the other hand, the control group had no received counseling with media. A statistical paired t-test test was created to find the association between those variables using SPSS 20.0 for windows. The mean average of newborn weight after the intervention was 1,005.55 g and 964,50 g for the intervention and control group, respectively. There were differences before and after a month of giving exclusive breastfeeding between the control and intervention groups (p<0.001). Mothers in the intervention group had 80% achieved minimum recommended weight gain (≥800 g/month). Exclusive breastfeeding counseling with media has an impact on improving newborn weight at the first-month-old in Ngombol Public health Center, Purworejo-Indonesia. Using media during breastfeeding counseling regularly may help the awareness and knowledge of exclusive breastfeeding for mothers, yet improve breastfeeding practice.


2021 ◽  
Vol 2 (2) ◽  
pp. 54-62
Author(s):  
Aji Patriajati

Background: The maternal mortality rate in Semarang is 121.5 per 100,000 live births, the second-highest in Central Java. The early warning system with the Early Warning Score and the maternal emergency early warning system (PDKM) still has various shortcomings to reduce MMR.Objective: This study aims to prove the effectiveness of the application of the PDKM Modified Early Obstetric Warning System (MEOWS) as an assessment of the risk of pregnancy in primary health facilities to reduce MMR in Semarang.Methods: The study was conducted on all pregnant women who came to Tlogosari Wetan, Tlogosari Kulon, Bandarharjo, and Bangetayu public health center in Semarang and were willing to participate in the study and were referred to government hospitals using national health assurance BPJS. Sampling was done by cluster random sampling by dividing the intervention and control groups. The study used a pretest-posttest control group design method by comparing the use of the MEOWS and the Poedji Rochjati Scorecard (KSPR) to the number of public health center referrals in Semarang. The data obtained will be analyzed statistically with the bivariate test, Mann-Whitney difference test, relative risk reduction, and absolute risk reduction.Results: The results showed that 21 of 43 (48.8%) patients were referred to the control group and 26 of 36 (72.2%) patients were referred to the intervention group. Mann-Whitney test of the number of referrals after the intervention within 3 months showed significant results (p = 0.033; p <0.05). There was an increase in the number of maternal referrals at the public health center in Semarang after the implementation of the MEOWS score by 1.48 times compared to using the KSPR (RR : 1.48 ; 95% CI : 1.02 – 2.13).Conclusion:The use of the MEOWS score can increase awareness of potential referrals and is associated with complications in patients.Background: The maternal mortality rate in Semarang is 121.5 per 100,000 live births, the second-highest in Central Java. The early warning system with the Early Warning Score and the maternal emergency early warning system (PDKM) still has various shortcomings to reduce MMR.Objective: This study aims to prove the effectiveness of the application of the PDKM Modified Early Obstetric Warning System (MEOWS) as an assessment of the risk of pregnancy in primary health facilities to reduce MMR in Semarang.Methods: The study was conducted on all pregnant women who came to Tlogosari Wetan, Tlogosari Kulon, Bandarharjo, and Bangetayu public health center in Semarang and were willing to participate in the study and were referred to government hospitals using national health assurance BPJS. Sampling was done by cluster random sampling by dividing the intervention and control groups. The study used a pretest-posttest control group design method by comparing the use of the MEOWS and the Poedji Rochjati Scorecard (KSPR) to the number of public health center referrals in Semarang. The data obtained will be analyzed statistically with the bivariate test, Mann-Whitney difference test, relative risk reduction, and absolute risk reduction.Results: The results showed that 21 of 43 (48.8%) patients were referred to the control group and 26 of 36 (72.2%) patients were referred to the intervention group. Mann-Whitney test of the number of referrals after the intervention within 3 months showed significant results (p = 0.033; p <0.05). There was an increase in the number of maternal referrals at the public health center in Semarang after the implementation of the MEOWS score by 1.48 times compared to using the KSPR (RR : 1.48 ; 95% CI : 1.02 – 2.13).Conclusion: The use of the MEOWS score can increase awareness of potential referrals and is associated with complications in patients.


2019 ◽  
Vol 9 (2) ◽  
pp. 63-72
Author(s):  
Nova Nurwinda Sari ◽  
Herlina Herlina

Diabetes mellitus dapat menyebabkan cukup banyak komplikasi seperti kelainan mata, kelainan ginjal, kelainan pembuluh darah dan kelainan pada kaki. Penderita diabetes mellitus yang mengalami komplikasi kronis perlu diberikan upaya preventif untuk mencegah komplikasi, salah satunya adalah kemampuan perawatan kaki. Penelitian ini dilakukan untuk menguji efektivitas supportive educative system dalam meningkatkan kemandirian perawatan kaki pada pasien dengan diabetes mellitus Tipe II di Puskesmas Permata Sukarame, Bandar Lampung. Penelitian ini menggunakan metode quasy eksperimen dengan desain pretest-posttest with control group dengan total masing-masing kelompok sebanyak 18 responden. Pengumpulan data dilakukan dengan menyebarkan kuesioner kepada responden yang memenuhi kriteria inklusi penelitian. Penelitian ini diuji menggunakan analisis univariat, bivariat dan uji T-test. Hasil penelitian menunjukkan bahwa terdapat perbedaan rata-rata dalam kemandirian perawatan kaki pada kelompok intervensi dan kelompok kontrol dengan p-value 0,000. Pendidikan dan praktik perawatan kaki harus diberikan sejak dini sebagai upaya pencegahan untuk komplikasi.   Kata kunci : Supportive educative system, kemandirian perawatan kaki   SUPPORTIVE EDUCATIVE SYSTEM IN IMPROVING INDEPENDENCE OF FOOT CARE IN PATIENTS WITH DIABETES MELLITUS TYPE II   ABSTRACT Diabetes mellitus can cause quite a lot of complications such as eye disorders, kidney disorders, vascular disorders and abnormalities in the legs. Patients with diabetes mellitus who have chronic complications need to be given a preventive effort to prevent complications, one of which is foot care ability. This research was conducted to examine the effectiveness of supportive educative systems in increasing the independence of foot care in patients with Type II diabetes mellitus in the Permata Sukarame Health Center Bandar Lampung Working Area. This study used a quasi-experimental method with pretest-posttest with control group design with a total of 18 respondents each. Data collection is done by distributing questionnaires to respondents who meet the research inclusion criteria. This study was tested using univariate, bivariate, T-Test analysis. The results showed that the mean differences in the independence of foot care in the intervention group and the control group in the Permata Sukarame Community Health Center work area with a p-value of 0,000. Education and practice of foot care should be given early as a preventative effort for complications.   Keywords: Supportive educative system, independence of foot care


2020 ◽  
Vol 11 (1) ◽  
pp. 22-37
Author(s):  
Rheina Magvira

Based on data of Health Office of Palu City in 2019 about HIV/AIDS cases, it reached 818 cases of HIV and 306 cases of AIDS, and 109 of sufferers died. The highest cases of HIV/AIDS were in Talise Public Health Center with 13 of HIV. The factor that causes the highest number of HIV/AIDS cases in Talise Public Health Center is the lack of patients participation in counseling, mobile VCT, and many of them do not follow the instruction of Public Health Center in conducting the treatment to the patients of HIV/AIDS. Another factor is the lack of human resources as counselors and lab staff, there is no special room for HIV/AIDS patients inside or outside the Health Center, and there is no incentive provided by the Health Center for the field workers. This study aims to describe the Implementation on Regulation of Ministry of Health Number 21 of 2013 about HIV/AIDS Prevention in work area of Talise Public Health Center, Mantikulore Subdistrict. The study applied qualitative research using a case study approach. Technique of selecting the informants was purposive sampling. There were 6 informants, nameley key informant (Head Of Public Health Center). Ordinary informants (HIV/AIDS program holders), and additional informants were HIV/AIDS patients. Data collection techniques were through triangulations: indept interview, observation and ducumentation using interview guidelines. The result of the study shows that communication is one of an obstacle. Many patients are shy and do not want to take part in examining the reproductive organs. Therefore, they do not receive the status as PLHIV patient. Resources and disposition are not good enough because health center  does not allocate addition staff as well as rewards to officers, the budget only for operational, the bureaucratic structure is good enough, and the cross-sector role is supportive. It is expected that Talise Publich Health Center can improve more about the management and standards releted to the Regulation of Ministry of Health Number 21 of 2013 concerning the tackling of HIV/AIDS.


2018 ◽  
Vol 10 (2) ◽  
pp. 173-178
Author(s):  
Iis Ria Fitriani

Infant Mortality in Bengkulu Province is still high, this can be prevented through breastfeeding as a staple food in infants 0-6 months without other complementary foods because breast milk boosts immune status for infants and thus can reduce mobility and mortality rates but exclusive ASI coverage still low, this is influenced by pralactal feeding in infants 0-3 days of birth. Research Objective to increase knowledge and attitude of cadre through training as promotion effort of prevention of pralactal food in 0-3 days old baby. Quasi pre and post test experiments with comparison groups. The study population were all cadres in Talang Tinggi Public Health Center, which were 50 people in Talang Tinggi Public Health Center, Seluma District with experimental group samples were cadres who were given training by using module and control group were cadres who were trained by using lecture and question and answer method. There is an average difference of attitude and knowledge before and after intervention in the cadres given training on prevention of pralactal food in infants 0-3 days. There is an effect of training on prevention efforts of pralactal feeding using modules with cadre attitude. Puskesmas should increase the promotion of prevention of pralactal food to change cadre attitude to support program exclusive breastfeeding.


2017 ◽  
Vol 3 (3) ◽  
pp. 131-137
Author(s):  
Syukra Alhamda

Background: Dengue fever in Tigo baleh Bukittinggi community is one of the infectious diseases resulting in serious health problems. Understanding the factors associated with the disease is necessity.Objective: To determine the relationships of the implementation of 3M plus program and the existence of Aedes aegypti larvae towards the number of dengue fever cases in the public health center of Tigo Baleh Bukittinggi, West Sumatera, Indonesia.Methods: This was a case control study conducted between January and December 2016 in the Public Health Center of Tigo Baleh Bukittinggi. There were 78 samples recruited by total sampling, with 39 were assigned in the case and control group. House index (HI) and Container index (CI) were used to measure the presence of Aedes aegypti larvae. The implementation of 3M plus program was measured using questionnaire developed by the researcher. Chi Square was performed for data analysis. Result: Findings showed that house index value was 43.6% and container index was 17.9%. The presence of larvae at home contributes to 24 (61.5%) cases of DHF in the case group and 10 (25.6%) cases in the control group. Poor implementation of the program contributes to 27 (69.2%) cases in the case group and 17 (43.6%) in the control group. Chi square test showed p 0.040 (0.05) for the 3M plus implementation and p 0.03 (0.05) for the presence of Aedes aegypti. Conclusion: There were significant associations between the implementation of 3m plus program and the existence of Aedes aegypti larvae towards the number of dengue fever cases in the public health center of Tigo Baleh Bukittinggi, West Sumatera, Indonesia. It is suggested that the community should do more efforts to prevent the occurrence of DHF through mosquito nest eradication, such as the implementation of 3M Plus and sanitation efforts, and pay attention to any places that potentially become a breeding ground for Aedes aegypti mosquitoes.


2019 ◽  
Vol 9 (02) ◽  
pp. 80-87
Author(s):  
Dewi Rury Arindari ◽  
Hendi Rifqi Alhafis

One in ten adults in the world has high blood pressure. World Health Organization (WHO) year (2016) called hypertension as "an epidemic that spreads beyond. Management of hypertension from it all can be prevented through nonpharmacological therapy that is by exercising regularly. According to data obtained from the Alang-Alang Lebar Public Health Center in Palembang it is known that the number of hypertensive sufferers in 2018 is 1,781 people. The purpose of this study was to determine the effect of hypertension exercise on blood pressure reduction in the Alang - Alang Lebar Puskesmas Work Area in 2019. This research method uses Quasy Experiment with a Non-Equivolent Control Group. The population of this study was all hypertension sufferers in the Work Area of Alang-Alang Lebar Health Center in Palembang in January - March 2019 as many as 84 people. The sample used in this study was a portion of the population, namely some patients with hypertension in the Alang-Alang Lebar Puskesmas Work Area in Palembang totaling 30 respondents. Data analysis uses univariate and bivariate analysis. The results showed an average value of blood pressure in the control group before hypertension was 160.56/100.56 mmHg and the intervention group averaged 159.4/96.6 mmHg. After hypertension gymnastics, the mean blood pressure in the control group was 160/99.44 mmHg and in the intervention group the average value was 136.11/93.89 mmHg. The results of the bivariate analysis revealed that there was an effect of hypertension exercise on the reduction of blood pressure in the Work Area of Palembang Alang-Alang Lebar Health Center in 2019 p value = 0,000. The results of this study can be used as one of the considerations in providing alternative non-pharmacological therapies in non-communicable disease (PTM) programs at the Alang-Alang Lebar Health Center in Palembang.


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