Gambaran Kesehatan Reproduksi Remaja di Panembong Girang Desa Mekarsari Cianjur

2020 ◽  
Vol 3 (2) ◽  
pp. 382-387
Author(s):  
Helvy Yunida

Abstrak: AKI (Angka Kematian Ibu) dan AKB (Angka Kematian Bayi)  di wilayah kerja Puskesmas Nagrak  masih tinggi  pada umumnya dan wilayah Desa Mekarsari pada khususnya. Salah satu Penyebab  tidak langsung kematian  ibu dan bayi karena  masih rendahnya pengetahuan remaja tentang reproduksi remaja. Sehingga remaja tersebut sebagai calon ibu kurang mempersiapkan dirinya menyongsong masa hamil dan masa memiliki  anak  setelah menikah. Penelitian ini menggunakan metode  kuantitatif dan kualitatif. Tempat penelitan di Panembong girang, sample 30 orang remaja.  Data awal diambil dari profil Desa Mekarsari, profil Pusksmas Nagrak dan tatap muka dengan 32 orang remaja untuk menggali masalah sebagai  pengumpulan data awal yang didokumentasikan dalam bentuk photo. Abstract: MMR (Maternal Mortality Rate) and IMR (Infant Mortality Rate) in the working area of the Nagrak Community Health Center are still high in general and the Mekarsari Village area in particular. One of the indirect causes of maternal and infant deaths is due to the low knowledge of adolescents about adolescent reproduction. So that the teenager as a prospective mother is less prepared to welcome pregnancy and having children after marriage. This research uses quantitative and qualitative methods. Research place in Panembong excited, sample of 30 teenagers. Preliminary data were taken from the Mekarsari Village profile, the Nagrak Pusksmas profile and face to face with 32 teenagers to explore the problem as initial data collection documented in the form of photos.

2019 ◽  
pp. tobaccocontrol-2019-054923 ◽  
Author(s):  
Thomas Hone ◽  
Andre Salem Szklo ◽  
Filippos T Filippidis ◽  
Anthony A Laverty ◽  
Isabela Sattamini ◽  
...  

ObjectiveTo examine the associations of partial and comprehensive smoke-free legislation with neonatal and infant mortality in Brazil using a quasi-experimental study design.DesignMonthly longitudinal (panel) ecological study from January 2000 to December 2016.SettingAll Brazilian municipalities (n=5565).ParticipantsInfant populations.InterventionSmoke-free legislation in effect in each municipality and month. Legislation was encoded as basic (allowing smoking areas), partial (segregated smoking rooms) or comprehensive (no smoking in public buildings). Associations were quantified by immediate step and longer term slope/trend changes in outcomes.Statistical analysesMunicipal-level linear fixed-effects regression models.Main outcomes measuresInfant and neonatal mortality.ResultsImplementation of partial smoke-free legislation was associated with a −3.3 % (95% CI −6.2% to −0.4%) step reduction in the municipal infant mortality rate, but no step change in neonatal mortality. Comprehensive smoke-free legislation implementation was associated with −5.2 % (95% CI −8.3% to −2.1%) and −3.4 % (95% CI −6.7% to −0.1%) step reductions in infant and neonatal mortality, respectively, and a −0.36 (95% CI −0.66 to−0.06) annual decline in the infant mortality rate. We estimated that had all smoke-free legislation introduced since 2004 been comprehensive, an additional 10 091 infant deaths (95% CI 1196 to 21 761) could have been averted.ConclusionsStrengthening smoke-free legislation in Brazil is associated with improvements in infant health outcomes—particularly under comprehensive legislation. Governments should accelerate implementation of comprehensive smoke-free legislation to protect infant health and achieve the United Nation’s Sustainable Development Goal three.


2021 ◽  
Vol 5 (2) ◽  
pp. 77-86
Author(s):  
Nur Indah Noviyanti ◽  
◽  
Gusrian Gusrian ◽  

Indonesia is currently still experienced problems related to the high maternal mortality rate (MMR) and infant mortality rate (IMR). So that the government makes efforts to reduce MMR and IMR. In this effort, in 1994 the government issued the MCH booklet, which is one of the strategies in reducing maternal and infant mortality rates, this strategy involves empowering the community, especially families and communities. In order to ensure the use of the MCH handbook in the community, the implementation of the MCH handbook is coordinated directly by the respective regional health offices. During the pandemic postpartum mothers find it difficult to access health facilities because of the right to service. Therefore, to increase mother's knowledge, both about early detection of complications, health education, health promotion, it is hoped that mothers can support them through the KIA book that every pregnant and postpartum mother has. This study aims to determine the relationship between postpartum mother’s adherence to the use of MCH book as an education to prevent complications in the Pandemic Era in the Sebengkok Community Health Center. This type of research used analytical research with cross sectional design. The population in this study were all postpartum mothers who were in the working area of the pusksemas Sebengkok from January to June 2020. The sampling technique in this study was purposive sampling. Based on the chi square test, the value of ρ = 0.011 was obtained, which shows ρ <α (0.05), which means that there is a relationship between postpartum mothers' knowledge of the use of the MCH book during the COVID-19 pandemic.


PEDIATRICS ◽  
1958 ◽  
Vol 22 (6) ◽  
pp. 1189-1192

FOR THE first time in many years, it is necessary to report that the infant mortality rate has increased over the preceding year. From 1936 through 1956 the infant mortality rate had declined steadily each year, decreasing 54% during this period from the figure of 57.1 per 1,000 live births for 1936 to 26.1 in 1956. These and other basic data on vital statistics in the United States are reported each year in preliminary form by the National Office of Vital Statistics in its regular publication Monthly Vital Statistics Report. The data in this column are taken from this year's summary, published in Volume 6, No. 13, of Monthly Vital Statistics Report on April 9, 1958, from which Figure 1 and Table I (abridged) are reproduced. It is to be noted that although this report is based on estimates they are nevertheless considered quite reliable. Previous experience has shown that the final report is not significantly different from the estimates and for all practical purposes the latter present the correct situation. In 1956, for example, the final report indicated that the actual number of infant deaths was approximately one-tenth of 1% below the estimate. NATURE AND SOURCE OF DATA Birth and death figures in the Monthly Vital Statistics Report summarize information from monthly reports of the numbers of birth and death certificates received in registration offices between two dates a month apart, regardless of when the events occurred. Final figures, by contrast, are obtained from copies of certificates received in the National Office of Vital Statistics for events actually occurring in the reporting year.


2018 ◽  
Vol 36 (12) ◽  
pp. 1271-1277
Author(s):  
Alireza Ebrahimvandi ◽  
Niyousha Hosseinichimeh ◽  
Jay Iams

Objective To exploit state variations in infant mortality, identify diagnoses that contributed to reduction of the infant mortality rate (IMR), and examine factors associated with preterm-related mortality rate (PMR). Study Design Using linked birth-infant deaths files, we examined patterns in the leading causes of IMR. We compared these rates at both national and state levels to find reduction trends. Creating a cross-sectional time series of states' PMR and some explanatory variables, we implemented a fixed-effect regression model to examine factors associated with PMR at the state level. Results We found substantial state-level variations in changes of the IMR (range =  − 2.87–2.08) and PMR (−1.77–0.67). Twenty-one states in which the IMR declined more than the national average of 0.99 (6.89–5.90) were labeled as successful. In the successful states, we found reduction in the PMR accounted for the largest decline in the IMR—0.90 fewer deaths. Changes in the other subgroups of leading causes did not differ significantly in successful and unsuccessful states. Conclusion Trends in the causes of mortality are heterogeneous across states. Although its impact is not large, reducing the percentage of pregnant women with inadequate care is one of the mechanisms through which the PMR decrease.


2020 ◽  
Vol 23 (1) ◽  
pp. 55-60
Author(s):  
Yoko Imaizumi

AbstractUsing vital statistics in Japan (1995–2008), 154,578 live-born twin pairs (128,236 monozygotic [MZ] and 180,920 dizygotic [DZ]) were identified. The proportion of severe discordance among live-born twin births was twice as high in Japanese than Caucasian infants. There were 1858 MZ and 1620 DZ infant deaths. Computation of the relationship between infant mortality rate and birth weight discordance among the twins was performed. Discordance levels were classified into seven groups: <5%, five groups from 5–9% to 25–29%, and ≥30%.The mortality rate was significantly higher in MZ than DZ twins for discordances except at 5–9% and 10–14%. The lowest rate for MZ twins was at 5–9% (7.5 per 1000 live twins) and significantly increased from 10–14% (9.4) to ≥30% (83.4), while the lowest rate for DZ twins was at <5% (6.7), which significantly increased at 10–14% (8.0) and from 25–29% (12.1) to ≥30% (35.5). The relationship was also computed in two gestational age groups (<28 and ≥28 weeks). For births at <28 weeks, three discordances (after 20–24%) in MZ twins were associated with adverse mortality rate. For births at ≥28 weeks, the same relationship was obtained after 10–14% in MZ and after 20–24% in DZ twins. The relationship from 2002 to 2008 showed that the mortality rates significantly increased after 10–14% for both types of twins. In conclusion, five discordance levels in MZ and three levels in DZ twins were associated with adverse mortality rates.


2020 ◽  
Vol 50 (2) ◽  
pp. 209-217
Author(s):  
Onur Hamzaoglu

The primary purpose of the present study was to determine whether there are infant deaths not included in infant mortality rate calculations declared by the Republic of Turkey Ministry of Health since 2009, and if so, to investigate the dimension of these deaths. The secondary purpose of this study was to calculate the presence, magnitude, and the direction of change of interregional inequalities over the years. The study revealed that infant mortality rates included in statistics by the Republic of Turkey Ministry of Health since 2009 do not reflect real mortality rates and conceal 36% to 57% of infant deaths occurring annually. In addition, the study also showed an increase in interregional inequalities over the years with respect to infant mortality rates.


Author(s):  
Yona Septina ◽  
Luthfiah Zakiyah ◽  
Heri Hermansyah ◽  
Siti Nunung Nurjannah

Infant mortality is a death incident that occurs in newborns up to <1 year of age. Infant mortality is measured as the infant mortality rate, which is the number of deaths for children under 1 year of age per 1000 births. According to WHO, the infant mortality rate in Indonesia reaches 27/1000 live births. Based on the health profile of West Java, the number of infant deaths in 2017 reached 3.4 / 1000 live births. In the UPTD Puskesmas Japara there are 34 cases of infant mortality. Infant mortality is caused by several factors, including maternal age, education, birth attendants, and parity. The research objective was to determine the analysis of the characteristics of the incidence of infant mortality in 2015-2019 at the UPTD Puskesmas Japara, Kuningan Regency. The research method used was quantitative with a retrospective design, taken from secondary data 2015-2019, the population in the study was all infant deaths in the UPTD Puskesmas Japara, amounting to 34 people. Selection of a sample of 34 people using the total sampling technique. The statistical test technique uses the Chi Square test. The results showed that there was a relationship between parity (p-value = 0.006) and there was no relationship between maternal age (p-value = 0.129), education (p-value = 0.156), birth attendants (p-value = 0.781) and death. babies in 2015-2019 at UPTD Puskesmas Japara, Kuningan Regency. It can be concluded that the incidence of infant mortality occurs in some mothers with no risk age, some mothers with primary education, some mothers with multiparity parity. Suggestions for health centers are expected to increase the priority of health programs in an effort to reduce the incidence of infant mortality.


1981 ◽  
Vol 30 (4) ◽  
pp. 281-284 ◽  
Author(s):  
Yoko Imaizumi ◽  
Eiji Inouye ◽  
Akio Asaka

The rate of infant mortality of triplet individuals (deaths under one year of age) was computed using 34 sets of triplets born in the first half of 1974. The rates were 8.82%, 9.68%, and 10.34% for the first-, second-, and the third-born triplets, respectively. For males and females the rates were 8.33% and 10.34%, respectively, and the difference was not significant. The rate decreased with gestational age up to 32-35 weeks. For those with heavier weight at birth (≤2,000 g) the rate was lower (0%) than for those with lighter weight (<2,000 g, 8.16%), but the difference is not significant (P = 0.087). Infant mortality rate of triplets decreased with increased monthly expenditure of the household.


1986 ◽  
Vol 10 (4) ◽  
pp. 427-465 ◽  
Author(s):  
Richard H. Steckel

Mortality rates in early childhood are widely regarded as a sensitive index of the health and living standards of a population (United Nations, 1973: 138-139; Williamson, 1981; Haines, 1985). The debate over the health and treatment of American slaves has led scholars to investigate various data and methods to construct these measures. Early work based on plantation records placed the infant mortality rate (the proportion of live births that die within one year of birth) at 152.6 per thousand (Postell, 1951: 158). Using census data and indirect techniques, estimates of the infant mortality rate climbed from 182.7 per thousand by Evans (1962: 212) to 274 to 302 per thousand by Farley (1970: 33) and 246 to 275 per thousand by Eblen (1972; 1974). Recent work based on height data and indirect techniques places the infant mortality rate in the neighborhood of 350 per thousand and total losses before the end of the first year (stillbirths plus infant deaths) at nearly 50% (Steckel, 1986a). Thus, measurements over the past four decades have gravitated toward the judgment of southern planter Thomas Afflick (1851: 435) who wrote, “Of those born, one half die under one year.”


2016 ◽  
Vol 32 (1) ◽  
pp. 194
Author(s):  
Nusar Hajarisman ◽  
Yayat Karyana

In geographic modeling, global models such as ordinary linear regression (OLR) model theoretically it provides quite reliable local information if there is not any spatial diversity by region. In other words, OLR model cannot describe the relations between variables in heterogeneous difference of each region. This study will consider a model that will be used to estimate or predict the infant mortality rate in the several regencies / cities in West Java Province. Because the response variable observed in this study is count data which is assumed Poisson distributed, geographically weighted Poisson regression model (GWPR) is used. A better model is used to analyze the data of infant deaths in each regency / city in West Java based on the AIC value, GWPR model has the smallest value (compared to Poisson regression model), in which there is an interesting and important difference from each regency/city about the factors that significantly influence the Infant Mortality rate in each region.


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