scholarly journals KONSELING MEMENGARUHI PERUBAHAN PERILAKU CALON AKSEPTOR DALAM PEMILIHAN ALAT KONTRASEPSI IUD

Author(s):  
Evi Desfauza ◽  
Idau Ginting ◽  
Elizawarda Elizawarda

Indonesia is a large population of about 215 million people, the fourth largest in the world with quality is still very low, ranks 112 out of 175 in 2003. In 2005 Indonesia's population increased from 219.9 million to 231.3 million in 2009 with a population growth rate of 1.29% per year. Based on the 2002-2003 IDHS, that TFR Popinsi North Sumatra in the position of numbers: 3, achieving an active participant KB 2006 was 1.187.815 or 62.06% of the EFA: 1914002, and tends hormonal contraceptive options, the pill: 35.37%, 33.15% whereas injections IUD only 11.63%. The research design using design methods Quasi Experiments with one group before and after intervention. The population is all couples of childbearing age is recorded in the clinis as many as 4,241 people Tuntungan Medan. Sample of 79 people, sampling the accidental sampling all potential acceptors from June to October 2012. Analysis of univariate and bivariate implemented using computer software. The results are significant differences between the behavior before and after counseling about family planning contraceptive IUD is an average increase of knowledge 11:08, SD = 16.87. p-value = 0.00, mean increase Attitude 9899 with SD = 11.189. p=0.00, and an average increase of 2392 action with SD = 7,305, p = 0.005, Behavior change takes a along time and repeated information, it is expected to midwives and other health workers can provide counseling using the media / props repeatedly untul the patient make their own decisions with the rigth and need further research on husband.

2020 ◽  
Vol 2 (2) ◽  
pp. 66-71
Author(s):  
Parti ◽  
Sumiati Malik ◽  
Nurhayati

Most causes of infant death are problems that occur in newborn/neonatal (0-28 days old), Low Birth Weight Babies (LBW) is one of the factors which has a contribution to infant mortality, especially in the neonatal period. Infant Mortality Rate (IMR) is a benchmark in determining the degree of public health, both at the National and Provincial levels. This study aimed to determine the effect of the Kangaroo Mother Care Method (KMC) on the prevention of hypothermia in low birth weight infants at Morowali District Hospital in 2019. The type of research used was a quasi-experiment. The population is all low birth weight babies born from May to July 2019. The sample in this study was all newborns with low birth weight born from May to July 2019, totaling 30 babies. There is a difference (influence) on the baby's body temperature before and after KMC with a p-value=0,000. The kangaroo mother care can continue to be affiliated considering its benefits for both infants and mothers, as well as increasing the ability of health workers in conducting KMC so that they can provide in-house training for mothers to be carried out at home.


2019 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Ajeng Fitria ◽  
Leonardo Lubis ◽  
Ambrosius Purba

The increasing number of elderly and elderly life expectancy is a challenge for health workers. Decreased cardiac endurance, muscle strength and increased incidence of inflammation will occur in the elderly as we get older. health cardio exercises series-I is an aerobic exercise that has moderate intensity and is carried out for 30 minutes, research is needed to analyze the effect on cardiac endurance, muscle strength and decrease plasma TNF-? levels in the elderly. Research design with experimental method, pre-test and post-test design approach. The study was conducted for 4 weeks on 25 samples which were divided into 3 groups of frequency of health cardio exercises series-I to measure endurance of the heart. A 6-minute road test and muscle strength were used for hand grip strength dynamometer, test back and leg dynamometer. Measurement of plasma TNF-? levels is carried out using the Elisa method. The data was then analyzed using paired t-test to see differences before and after health cardio exercises series-I. The results showed health cardio exercises series-I performed 3x / mg can increase the heart's endurance compared to the frequency of 4x / mg and 5x / mg (-16.11 vs 15.62 vs -47.62 meters). health cardio exercises series-I frequency of 3x / mg and 4x / mg can increase back muscle strength (p-value = 0.019, p <0.05) and the frequency of 5x / mg can increase the strength of attractive shoulder muscles. (p-value = 0.033, p <0.05). Health cardio exercises series-I performed 3x / mg, 4x / mg and 5x / mg did not have a significant effect on plasma TNF-? protein expression in the elderly (0.506 vs 0.856 vs. 0.382, p <0.05). It is suggested that the elderly can do I-1 series heart exercise with a frequency of 3x / mg to increase the heart's lung endurance and back muscle strength, a health cardio exercises series-I 4x / mg series to increase muscle strength of the back back, a series of health cardio exercises series-I frequency of 5x / mg to increase attractive shoulder muscle strength.


2017 ◽  
Vol 8 (2) ◽  
pp. 134-145
Author(s):  
Wiena Arynda ◽  
Rosmida M Marbun

In Indonesia, 93.5% of the population aged ≥10 years still consume less fruits and vegetables 5 servings per day for 7 days a week (RISKESDAS, 2013).  The preliminary study conducted at SDN Mekarjaya I shows that the level of knowledge of school children about vegetables and fruits by 60% is still low and 93.3% of vegetable and fruit consumption is still lacking. In addition, SDN Mekarjaya I has never been used as a place of prior research. Therefore, it is necessary to conduct research on the knowledge of fruit vegetables in the fourth grade students of SDN Mekarjaya I. One of them is by doing counseling with the media of puzzle game. This research was conducted to know the increase of knowledge about vegetables and fruits before and after given counseling with puzzle game media in fourth grade students of SDN Mekarjaya I. This research was conducted by Pre-exsperiment method using "One group pretest and posttest" research design. Sampling by purposive sampling is 66 people. The statistical test used is paired sample t-test. Based on the results of the analysis shows that there is a significant difference of knowledge where p-value 0.000 or p <0,05 means there is a meaningful difference between before and after given counseling with puzzle game media.This puzzle game media can be developed by the teachers as a medium of learning in the classroom so that students are more motivated in following the learning process and make students do not feel bored


2021 ◽  
Vol 7 (2) ◽  
pp. 110-115
Author(s):  
Agustina Widayati

Berdasarkan Profil Kesehatan Indonesia cakupan KB implant sebesar 11,20%. Proporsi KB aktif implan di Jawa Timur sebesar 10,23%. Data dari Dinas Kesehatan Kota Probolinggo tahun 2019, di Kelurahan Sumbertaman terdapat KB Aktifnya yaitu 1.470 PUS dan Implan (146 PUS) serta yang ber KB di RW 1 sebanyak 21 orang. Tujuan menganalisis Pengaruh  Dukungan Suami Dan Kader Posyandu terhadap Minat Ibu Menggunakan KB Implan di RW 1 Kelurahan Sumbertaman  Kota Probolinggo. Desain penelitian analitik korelasional dengan metode cross sectional. Penelitian dilaksanakan Bulan Mei - Juni di kelurahan Sumbertaman Kota Probolinggo dengan 107 sampel. Data dianalisis dengan uji Spearman dan Regresi Ordinal ?: 0,05. Hasil penelitian menunjukkan dukungan suami sangat mendukung sebesar 47 responden (43,9%), dukungan kader posyandu kurang mendukung sebesar 59 responden (55,1%), minat ibu dalam menggunakan alat kontrasepsi implant dengan kategori minat tinggi sebesar 57 responden (53,5%) dengan p value : 0,000. Kesimpulan  ada Pengaruh  Dukungan Suami Dan Kader Posyandu Terhadap Minat Ibu Menggunakan KB Implan. Saran bagi  puskesmas/tenaga kesehatan meningkatkan pemberian edukasi secara berkala kepada suami dan keluarga tentang pentingnya menggunakan alat kontrasepsi dan membentuk kelompok peduli KB.   Kata kunci: Dukungan Suami, Dukungan Kader Posyandu, Minat Ibu, Alat Kontrasepsi Implan   ABSTRACT Based on the Indonesian Health Profile, the coverage of implant family planning is 11.20%. The proportion of active implant family planning in East Java is 10.23%. Data from the Probolinggo Health Office in 2019, in Sumbertaman Village there were, namely 1,470 Childbearing Age Couple and implants (146 Childbearing Age Couple ) and 21 people who had an interest in implant Contraceptive in RW 1. The purpose was to analize the influence between husband support and Posyandu cadres to maternal interest in using implant family planning in RW 1, Sumbertaman, Probolinggo. The design of this research is correlational analytic using cross sectional method. The research was conducted on May - June in Sumbertaman, Probolinggo with 107 samples. Data collection analyzed by Spearman test and Ordinal Regression ?: 0.05. The results showed husband's support in the very supportive category was 47 respondents (43.9%), the support of posyandu cadres with less supportive criteria was 59 respondents (55.1%), the mother's interest in using implant contraceptives with high interest categories was 57 respondents (53,5%) with p value: 0,000. The conclusion of the study shows there is a influence between husband support and Posyandu cadres to maternal interest in using implant family planning. Suggestions are put forward for health centers / health workers to increase the provision of regular education to husbands and families about the importance of using contraceptives and to form family planning care groups or family planning villages.   Keywords: Husband's Support, Posyandu Cadre Support, Mother's Interest, Implant Contraceptives


Author(s):  
Teungku Nih Farisni ◽  
Zakiyuddin Zakiyuddin

Stunting adalah kondisi gagal tumbuh pada anak balita akibat kekurangan gizi kronis terutama pada 1.000 Hari Pertama Kehidupan (HPK). Provinsi Aceh merupakan penyumbang stunting cukup tinggi yaitu 40,3 %. (Riskesdas, 2018).  Pada Tahun 2018 Angka Stunting di wilayah kerja Dinas Kesehatan Kabupaten Aceh Barat sangat tinggi sebesar 43.2%. Penurunan stunting ditetapkan sebagai program prioritas nasional yang harus dimasukkan ke dalam Rencana Kerja Pemerintah (RKP). Tujuan dari pengabdian ini adalah untuk membentuk dan mengintervensi Kelompok Preventif (KP) stunting yang terdiri dari 16 kader kesehatan kecamatan Meureubo dalam mencegah kejadian stunting pada 1000 HPK. Metode pengabdian melalui 3 pendekatan yaitu pembentukan, pelaksanaan, monitoring, pendampingan dan evaluasi. Hasil pengabdian menunjukkan bahwa adanya peningkatan pengetahuan sebelum dan sesudah edukasi oleh KP stunting dengan hasil uji statistic diperoleh nilai P-Value = 0,00. 85% kader telah mampu melakukan pengukuran antroprometri dengan tepat, dan 90% kader KP stunting mampu menjadi konselor dan motivator bagi khalayak sasaran KP stunting yang terdiri dari pasangan usia subur, ibu hamil dan ibu menyusui. Oleh karena itu, dinas kesehatan diharapakan terus memberikan dukungan kepada para kader KP stunting sehingga mampu menekan angka stunting. Kata kunci: Kelompok Preventif (KP), Stunting, Pasangan usia subur, Ibu hamil, Ibu menyusui ABSTRACT Stunting is a thrive failure condition of under five children due to chronic malnutrition problem, especially in 1,000 Days of Life (HPK). The province of Aceh was a high contributor to stunting, which was 40.3% (Riskesdas, 2018). Specifically, In 2018, Stunting Rate was 43.2% in working area of ​​the West Aceh District Health Office. It is classified as the higher number among the years. Therefore, Stunting reduction is determined as a national priority program that must be included in the Government Work Plan (RKP). The purpose of this program is to create and intervene the stunting Preventive Group (KP) consisting of 16 cadres of Meureubo sub-district in preventing the occurrence of stunting at 1000 Days of Life (HPK). The method used through 3 approaches, namely the formation, implementation, monitoring, assistance and evaluation. The result of program showed that there is a significant development of stunting preventive groups’ knowledge before and after education proven by pre-test and post-test score. 85% of cadres were able to take anthroprometry measurements correctly, and 90% of KP stunting cadres were able to be counselors and motivators for target audiences consisting of couples of childbearing age, pregnant women and nursing mothers. Therefore, the health department is expected to sustainably support stunting Preventive Group (KP stunting) so that the rate of stunting can be decreased comprehensively. Keywords: Preventive group (KP), Stunting, Couples of childbearing age, Pregnant women, Nursing mothers


2021 ◽  
Vol 6 (2) ◽  
pp. 82-87
Author(s):  
Vina Agustina ◽  
Suryagustina Suryagustina ◽  
Henry Wiyono

A fracture or often called a fracture is a break in the continuity of bone tissue and is determined according to its type and extent. Pain is the most common complaint in fracture patients. Based on the results of the preliminary survey on February 14, 2018, in the Dahlia room, RSUD dr. Doris Sylvanus Palangka Raya, from 10 patients, it was found that 6 patients did not know that warm water compress therapy could reduce pain and 4 patients had heard that warm water compresses could reduce pain but still did not dare to take action alone without advice from a health professional. The results of the analysis research with the Wilcoxon test obtained a significant p-value (0.008 <0.05), then Ha is accepted, which means that there is an effect of giving warm water compress therapy before and after on the postoperative pain of ORIF in fracture patients. It can be concluded that the factors that influence the provision of warm water compress therapy to postoperative pain in ORIF fracture patients are age and gender (internal factors) and external factors including the compressing medium, warm water temperature, and the duration of the compress so that the warm water compress method is effective against decreasing intensity. pain. Health workers are advised to apply warm compress therapy as an intervention to reduce postoperative pain in patients with ORIF fractures.


2020 ◽  
Vol 1 (1) ◽  
pp. 29-35
Author(s):  
Sumiaty Sumiaty ◽  
Muliani Muliani ◽  
Lisnawati Lisnawati

Inadequate milk production in the first days after delivery is caused by a lack of stimulation of the hormone prolactin and the hormone oxytocin. Decreasing milk production is caused by decreased stimulation of hormones prolactin and oxytocin. Efforts that can be made to stimulate the increase of hormone prolactin and oxytocin, including initiating early breastfeeding, expressing breast milk, and doing oxytocin massage, are practical and efficient in increasing milk production. Data from the Public Health Office of Palu in 2017 and 2018 showed that the average of exclusive breastfeeding coverage in 11 sub-districts in Central Sulawesi Province is <50% and specifically Kota Palu exclusive breastfeeding coverage only 49.6% in 2017 and then dropped to 49, 3% in 2018. Oxytocin massage training has never been conducted at the Tawaeli Community Health Center, especially for postpartum mothers companions such as Posyandu Cadres, Husbands, or Families. The method used in community service activities was discussions, simulations, and demonstrations using leaflet and audiovisual media. The number of puerperal mothers who attended the training was 25 people. The results of training activities for postpartum mothers in the Kayumalue Ngapa village obtained that the results of knowledge analysis overall increased in the knowledge of 25 participants after attending the training, with an average increase of 13 points. The p-value<0,001 results meant that statistically, there was a significant effect on the increase of knowledge of postpartum mothers companion after attending oxytocin massage training. To sum up that there is a significant increase in knowledge between before and after training on oxytocin massage in stimulating milk production. It is recommended that health workers need to be consistent and continuous in giving training to the companion of the postpartum mother (husband, family or cadre) in order to be able to assist the process of changing behavior for the postpartum mother to provide exclusive breastfeeding and conduct care during the postpartum period.


2019 ◽  
Vol 1 (1) ◽  
pp. 19-24
Author(s):  
Vina Nurul Utami ◽  
Riza Amalia

Many children are found to experience growth and development delays caused by a lack of caring parents in the early detection of growth and development. Health education can make a change of attitude. The purpose of this study was to determine the effect of video on maternal attitudes regarding early detection of growth and development in infants. The method used is pre-experimental design with pretest-posttest. The sample of this study was mothers who had 30 babies with cluster sampling. One group first observes their attitude and then is given a video at the beginning of the meeting, the material is given through strength points, videos and leaflets after that every day using video via WhatsApp and observing again after 2 weeks. The results obtained are different test with Wilcoxon test obtained p-value 0.008, it means that there are differences in attitude before and after exposure to a video about early detection of growth and development of infants. And the conclusion in this study is the provision of health education, videos that can change the attitude of mothers regarding the early detection of growth and development in infants significantly. It is hoped that policy makers will provide training facilities for early detection of children's growth and development for health workers and cadres so that they can be widely applied to children, especially infants.


2019 ◽  
Vol 13 (2) ◽  
pp. 172-183
Author(s):  
Nurhayati Nurhayati ◽  
Zaenal Arifin ◽  
Hardono Hardono

ABSTRACT: THE INCIDENCE OF BREAST CANCER IN LAMPUNG INDONESIA: A RETROSPECTIVE COHORT ANALYSISBackground: Cancer is the second leading cause of death in the world, the highest type of cancer in women in the world is breast cancer with an incidence of 38 per 100,000 women. In Indonesia by 2012 the incidence of breast cancer in Indonesia is 40 per 100,000 women. The incidence of breast cancer in the city of Bandar Lampung is 80 per 100,000 population.Purpose : Knowing risk factors incidence of breast cancer in the Foundation of Cancer Indonesia in Bandar Lampung 2017.Methods: The quantitative and observational research with case control design. The population of this study were all patients who had done counseling and examination by Cancer counseling institute of Indonesia during the period of research as much as 691 respondent, with the required number of samples 126 rspondent. Bivariate analysis was done with chi square (X2), while multivariate analysis using multiple linear logistic regression .Results: The risk factors such as menarche (p-value = 0.002), parity (p-value = 0,018), breastfeeding (p-value = 0,000) and duration of contraceptive use (p-value = 0, 02), while factors unrelated to breast cancer were family history (p-value = 0.112) and age (value = 0.357).Conclusion: The most influential variable on the incidence of breast cancer is the variable duration of contraceptive use. For health workers need to do counseling about breast cancer risk factors. Women of childbearing age should use non-hormonal family planning, when using a type of hormonal contraception need to be consult with local health workers and avoid births that are too frequent.Keywords: Factor Analysis, Breast Cancer, Breast Cancer History, Age of Menarche, Age, Parity, Breastfeeding Status, Hormonal Contraception.Pendahuluan : Kanker adalah penyebab kematian nomor dua di dunia, jenis kanker tertinggi pada wanita di dunia adalah kanker payudara dengan insidensi 38 per 100.000 wanita. Di Indonesia pada tahun 2012, insiden kanker payudara di Indonesia adalah 40 per 100.000 wanita. Angka kejadian kanker payudara di kota Bandar Lampung adalah 80 per 100.000 penduduk.Tujuan: Diketahui faktor-faktor risiko kejadian kanker payudara di Yayasan Kanker Indonesia di Bandar Lampung 2017.Metode: Jenis penelitian yang akan digunakan peneliti adalah kuantitatif. Desain penelitian yang digunakan adalah penelitian observasional dengan desain case control. Populasi penelitian ini adalah semua pasien yang telah melakukan konseling dan pemeriksaan oleh lembaga konseling kanker Indonesia selama periode penelitian sebanyak 691 orang, dengan jumlah sampel yang dibutuhkan 126 orang. Analisis bivariat dilakukan dengan chi square (X2), sedangkan analisis multivariat menggunakan regresi logistik linier berganda.Hasil: faktor risiko kanker payudara seperti menarche (p-value = 0,002), paritas (p-value = 0,018), menyusui (p-value = 0,000) dan durasi penggunaan kontrasepsi (p-value = 0, 02), sedangkan faktor-faktor yang tidak berhubungan dengan kanker payudara adalah riwayat keluarga (p-value = 0,112) dan usia (nilai = 0,357).Simpulan: Variabel yang paling berpengaruh pada kejadian kanker payudara adalah variabel lamanya penggunaan kontrasepsi. Untuk tenaga kesehatan perlu melakukan penyuluhan tentang faktor risiko kanker payudara. Untuk WUS, sebaiknya menggunakan KB non hormonal, jika terpaksa menggunakan jenis kontrasepsi hormonal sebaiknya dikonsultasikan terlebih dahulu dengan petugas kesehatan setempat dan hindari kelahiran yang terlalu rapat.


2019 ◽  
Vol 1 (1) ◽  
pp. 1-7
Author(s):  
Maria T. E. Koba ◽  
Frans G. Mado ◽  
Yoseph Kenjam

Family planning aims at reducing maternal mortality rates and reducing population growth rate with the main target of couples of childbearing age. One of the family planning options offered is long-term reversible contraceptive method (MKJP). The purpose of this study was to determine the factors associated with interest in using MKJP in the work area of Camplong health center, Fatuleu sub-district, Kupang regency in 2018. The research was quantitive study with cross-sectional approach. The sample of 77 people was selected using simple random sampling. The instrument uses was a questionnaire. Data analysis techniques consisted of descriptive and bivariate analysis (chi-square test) with α= 0,05. The study indicated that knowledge (p-value= 0,09) and the role of health workers (p-value =0,001) were associated with the use of the MKJP while attitude (p-value = 0,765) and husband support (p-value = 0,131) had no relationship with MKJP. Health center needs to regularly provide information to the community about the advantages of MKJP especially for couples of childbearing age who have already had more than three children.


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