Faktor Sikap Ibu terhadapKelengkapan Imunisasi Lanjutan pada Anak

Introduction: Immunization is one tool that parents may use to track their child's growth and development. Immunization is a method of developing immunity against infectious illnesses and disorders that may result in disability or death. Objective: The purpose of this study was to ascertain the influence of maternal attitudes on the completion of advanced vaccination in infants. Method: The cross-sectional correlational analysis was utilized in this research. Purposive sampling was used in this research, with 58 samples collected. The data were gathered via KIA books and questionnaires, with the Spearman Rank test used for statistical analysis. Results: The research discovered that the majority of respondents (72.4 percent) had received comprehensive basic vaccination and that the majority of respondents (56.9 percent) had a favorable opinion toward immunization. The findings of the Spearman Rank test give a p-value of 0.000. (0.05). Conclusion: It is well established that the majority of moms have a positive attitude about immunizing their children. Conclusion: The results indicate that the majority of responders gave comprehensive vaccinations. The findings indicated that there was a correlation between the mother's attitude and the completion of children's basic vaccination.

ANALISIS JALUR FAKTOR-FAKTOR YANG MEMENGARUHI KEGEMUKAN BALITA DI KOTA DENPASAR TAHUN 2020

ABSTRAK Kota Denpasar memiliki prevalensi balita gemuk tertinggi di Bali, yaitu sebesar 10,5%. Balita gemuk berisiko menderita penyakit degenaratif ketika beranjak dewasa. Tujuan penelitian ini untuk mengetahui faktorfaktor yang memengaruhi kegemukan balita di Kota Denpasar. Penelitian ini merupakan penelitian survey analitik dengan rancangan cross-sectional study. Sampel penelitian adalah ibu yang memiliki bayi usia 24 – 59 bulan dan tinggal di Kota Denpasar sebanyak 120 sampel yang dipilih secara Convenient Sampling. Variabel yang diteliti yaitu aktivitas fisik, screen time, kebiasaan makan balita, pengetahuan dan sikap ibu yang dikumpulkan menggunakan kuesioner online dan dianalisis menggunakan analisis jalur. Hasil penelitian ini menunjukan bahwa kegemukan balita secara langsung dipengaruhi kebiasaan makan dengan loading factor sebesar -0,096 dan secara tidak langsung dipengaruhi screen time melalui aktivitas fisik dengan loading factor sebesar -0,054; dan sikap ibu melalui screen time, aktivitas fisik, dan kebiasaan makan dengan loading factor sebesar 0,079. Aktivitas fisik balita menunjukkan loading factor terbesar, yaitu sebesar 0,214, tetapi tidak bermakna secara statistik. Pengetahuan ibu tidak memengaruhi kegemukan balita dengan loading factor sebesar -0,009. Upaya yang dapat dilakukan bagi orangtua adalah memperbaiki pemahaman mengenai screen time, kebiasaan makan, dan sikap ibu dalam menyikapi perilaku anaknya. Kata Kunci: Kegemukan Balita, Analisis Jalur, Aktivitas Fisik, Screen Time, Sikap Ibu ABSTRACT Denpasar City has the highest prevalence of toodler’s overweight in Bali, which is 10,5%. Toodlers with overweight are at risk of suffering from degenerative diseases when they grow up. The purpose of this study is to determine the factors that influencing toodler’s overweight in Denpasar City. This research is an analytic survey with cross-sectional study. Sample of this research is mothers who have babies aged 24-59 months and live in Denpasar City which is 120 sample that selected by Convenient Sampling. Variables of this research are physical activity, screen time, toddler’s eating habits, mother’s knowledge and attitudes which were collected using an online questionnaire and analyzed using path analysis. The result showed that overweight toddlers are directly affected by eating habits with loading factor 0,096 and indirectly affected by screen time through physical activity -0,054; eating habits through physical activity 0,096; and maternal attitudes through screen time, physical activity, and eating habits 0,079. Toddler’s physical activity provides the greatest loading factor which is 0,214, but not significant. Mother’s knowledge doesn’t affect toddler’s overweight with loading factor is -0,009. Parents are suggested to improve understanding of toddler’s screen time and eating habits, and mother’s attitude in responding to their children’s behaviour. Key Words: Toddlers Overweight, Path Analysis, Physical Activity, Screen Time, Mother’s Attitude

Using a mobile application (“PrimaKu”) to promote childhood immunization in Indonesia: A cross-sectional study

Background: Universal immunization coverage among children in Indonesia is low compared to the global target. Many children in Indonesia are not fully immunized as recommended by the government, which results in a high mortality rate. The government has developed a mobile application (PrimaKu) to provide information on vaccinations and reminder features. However, the successful use of the immunization features of the app has not been widely studied.Objective: This study aimed to evaluate the use of PrimaKu on maternal attitudes toward immunization and complete basic immunizations status among Indonesian children aged 12 to 24 months.Methods: A cross-sectional research was conducted at a public health center in West Java Province, Indonesia, from August to December 2020. Convenience sampling was used to select the respondents. Data were collected using validated questionnaires and analyzed using binomial logistic regression.Results: A total of 119 mothers were included. About 44.5% of children had a complete basic immunization status. Mothers who had a supportive attitude toward immunization were 3.58 times (95% CI 1.49-8.57, p 0.003) more likely to complete the basic immunization, and those who used the mobile app were 3.23 times (95% CI 1.18-8.87, p 0.034) more likely to complete the immunization. Conclusion: Using the PrimaKu mobile application could increase maternal attitudes toward immunization and complete basic immunization status. Therefore, public health nurses should provide comprehensive education and improve mothers’ literacy to use the application.Funding: This study was funded by Universitas Indonesia, Indonesia.

PERBEDAAN EFEKTIVITAS PROMOSI KESEHATAN MENGGUNAKAN MEDIA FILM DENGAN DEMONSTRASI TERHADAP PENGETAHUAN DAN SIKAP PUS TENTANG PEMERIKSAAN IVA

Cervical cancer is one of the leading causes of death and health problems in women. Cervical cancer can be prevented by early detection using the IVA method. Until 2018, only 7,34% of women underwent IVA examinations. IVA examination is not widely known by the public, so an effort is needed to increase the knowledge and attitudes of mothers about IVA examinations by providing health promotion with the right methods and media. The research objective was to determine the differences in the effectiveness of health promotion with film and demonstration media on the knowledge and attitudes of mothers about IVA examination. This type of research is a quasi-experimental design with a non-randomized two group pretest posttest design. The population was all women in the working area of ​​Lubuk Buaya Health Center. There was a significant difference in the knowledge of mothers before and after being given health promotion with film and demonstration media (p <0,05), however, there was no significant difference in the attitudes of mothers before and after being given health promotion using film and demonstration media (p>0,05). It can be concluded that demonstrations are more effective than films in increasing maternal knowledge, whereas maternal attitudes, demonstrations and films are equally influential. It is hoped that midwives can provide health promotion by means of demonstration media because it is more effective in increasing knowledge and attitudes about IVA examinations.

Crisis of the First Year and Its Manifestations Due to Family Interaction

The study involved 117 people from 43 families of Saint-Petersburg. Among them there were 31 triads “mother – father -child” and 12 dyads “mother - child”, i.e. 43 children (20 boys and 23 girls), 43 mothers and 31 fathers. The age of children differed from 10 months to 2 years. The sample was divided into 2 age groups: from 10 months to 1 year 6 months; and from 1 year 7 months to 2 years. The methods we used were the following: “Manifestations of the crisis of the first year” questionnaire by V. Vasilenko, “Child and parent emotional interaction” questionnaire by E. Zakharova, Maternal postnatal attachment scale by J. Condon, Parental Attitude Research Instrument (РARI) by E.S. Schaefer & R.Q. Bell, Test of marriage satisfaction by Y.E. Aleshina, L.Y. Gozman, E.M. Dubovskaya. The study revealed that constructive formations of the crisis prevail over negativistic manifestations; the main formation is autonomous child speech. The postcritical phase has not been identified. The data in general show the well-being in the child and parent emotional interaction, the high maternal attachment to children, and prevalence of attitudes towards optimal emotional contact with the child and the high level of marriage satisfaction. At the same time we revealed reduced indicators of ability to perceive the child's state (29% mothers and 48% fathers), understand what causes the child’s state (26% mothers and 39% fathers), influence to the child's state (29% mothers and 26% fathers). Constructive formations of the crisis are positively correlated with the sensitivity of the mother, the maturity of her behavioral manifestations in interaction and negatively correlated with positive feelings in interaction and emotional acceptance from fathers, as well as with the maternal attitudes to excessive concentration on the child. Negativistic manifestations of the crisis are less pronounced in the case of mother’s ability to influence to the child’s state, to support him, the child’s emotional acceptance and mother’s marriage satisfaction, and more pronounced in the case of maternal attitudes to the excessive emotional distance with the child, severity and, at the same time, to partnership with the child. Thus, the mother’s sensitivity, maturity of her behavioral manifestations in interaction and parental attitudes combined with some "conditional love" from fathers can be regarded as resources for the successful flowing of the crisis of the first year. Parents need to move from strengthening their previous parenting methods to searching for new forms of interaction.

STUDY OF MATERNAL ATTITUDES TO PRIMARY SCHOOL AGE CHILDREN WITH SEVERE SPEECH DISORDERS

Statement of the problem. The authors study the characteristics of maternal attitudes towards children of primary school age with severe speech disorders. Currently, a large number of studies of the impact of the family on the development of the child are recorded, while there are practically no studies of parental attitudes towards children with developmental disorders, including children with severe speech disorders. The purpose of the article is to describe the specifics of maternal attitudes to children of primary school age with severe speech disorders and to substantiate the directions and content of psychological and pedagogical work with this category of mothers. The research methodology is composed of scientific concepts reflecting the general and specific laws of the mental development of children, presented in the works of L.S. Vygotsky, A.N. Leontiev, V.V. Lebedinsky; studies by V.V. Tkacheva, characterizing the relationship of parents and children in families raising children with developmental disabilities; works by A.Y. Varga, A.S. Spivakovskaya, R.V. Ovcharova, Y.B. Hippenreuter, substantiating the significance of psychological support of the family to ensure the full mental and personal development of the child. The study involved 30 mothers raising primary school age children with severe speech disorders. The psychodiagnostic tool was the methodology for studying parental attitudes, developed by A.Y. Varga and V.V. Stolin, aimed at identifying the predominant type of parental attitudes towards the child; the methodology “Questionnaire of child-parental emotional interaction”, proposed by E.I. Zakharova, which allows assessing the severity of such indicators of parent-child interaction as sensitivity, emotional acceptance, behavioral manifestations. Research results. The peculiarities of maternal attitudes towards children of primary school age with severe speech disorders are described. It was established that mothers are characterized by a destructive attitude towards a child: the predominant types of parental relationship are “Authoritarian Hypersocialization” and “Little Loser”, which indicates the desire of mothers to exercise total control over the behavior of the child, based on the belief that the child is too small, immature, compared to peers, is not adapted to independent life. At the same time, the emotional interaction of mothers with children is characterized by insufficient expression of emotional acceptance, the ability to provide emotional support to the child. Conclusion. Based on the identified features of parental attitude to children with severe speech disorders, the authors proposed and substantiated a system of psychological and pedagogical work with mothers, which involves: informing parents about the features of mental and personal development of a child with severe speech disorder; mastering techniques of effective communication with the child; establishing a friendly parent-child relationship. The main content of this work is psychological education, as well as individual and group counselling of parents.

The Relationship Support Relationship, Economic Status And Mother Attitudes In Fertile Age Couples (EFA) In Iva Examination To Detect Cervical Caps In Puskesmas Pulo Brayan

Each year more than 300,000 women die from cervical cancer more than half a million women are diagnosed. Every minute, a woman is being ionogized. Cervical cancer is one of the biggest threats to women's health. Method; analytical survey research method with cross sectional approach. The population of this study were all women of childbearing age in the work area , totaling 117 people with a sample size of 54 respondents using proportional stratified random sampling technique. Sempel used the total population technique, namely the entire population of the chi-square statistical test. . Result; results of statistical tests, namely the Chi-square, concluded that there was a relationship between husband's support and IVA examination at PUS (p = 0.006 <α = 0.05),. and (p = 0.624> α 0.05), which means that economic status has no influence on the effect of IVA on EFA. and (p = 0.006 <α 0.05) which means that there is an effect of maternal attitudes with IVA examinations at PUS. Conclusion; There is a relationship between partner support, economic status and maternal attitudes with IVA examination at PUS.