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Effectiveness of Counseling in Increasing Mothers' Behavior (Knowledge and Attitudes) Regarding Post-Placental IUD Selection to Realize the SDG Goals of Good Health and Well-Being Suharto, Agung; Nur Hanifah, Astin; Nurtatik
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 12 No. SI1 (2024): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V12.ISI1.2024.44-50

Abstract

Background: The low coverage of post-placenta IUDs is due to the non-optimal family planning counseling for third-trimester pregnant women. Aims: This study aims to analyze the effectiveness of ABPK and SKB counseling in increasing mothers' knowledge and attitudes about choosing a post-placenta IUD at Tawangrejo Health Center, Madiun City. Methods: This type of research is quasi quasi-experimental nonequivalent control group design. Data were analyzed using Marginal Homogeneity, Mann-Whitney, Mc Nemar, and Chi-Square. Results: The results showed that the Marginal Homogeneity test in the experimental group (SKB) obtained an increase in knowledge with a p-value of 0.000 (<0.05) and the control group (ABPK) obtained an increase in knowledge with a p-value of 0.000 (<0.05) so that it can be interpreted both effective in increasing the mother's knowledge about the selection of the Post Placenta IUD at the Tawangrejo Health Center. The result of the McNemar test on the attitude of the ABPK group was 0.227 (> 0.05) and the attitude of the SKB group was 0.146 (> 0.05) so it can be interpreted that both were not effective in increasing the attitude of mothers about the selection of the Post Placenta IUD at the Tawangrejo Health Center. The results of the Mann-Whitney test on knowledge after ABPK with knowledge after LCS show a p-value of 0.02 the mean rank at ABPK is 23 and the mean rank SKB is 28 meaning that there is a difference between ABPK counseling and SKB counseling in improving mothers' attitudes about choosing the Post Placenta IUD and counseling SKB is more effective. Conclusion: The conclusion of SKB counseling is more effective in increasing the mother's knowledge about the selection of the Post Placenta IUD at the Tawangrejo Health Center. Suggestions to further improve SKB counseling in Post Placenta IUD family planning services.
Capacity Building for Adolescent Health Cadres Regarding Adolescent Reproductive Health at The Tawangrejo Health Center Madiun City Maria Oktaviani; Suharto, Agung; Nur Hanifah, Astin; Santosa Wahito Nugroho, Heru
International Journal of Advanced Health Science and Technology Vol. 3 No. 4 (2023): August
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v3i4.259

Abstract

Adolescence is a phase of development between childhood and adulthood, lasting between the ages of 12-21 years. Some of the problems faced by adolescent are closely related to reproductive health. Data at the Tawangrejo Health Center for adolescent pregnancy in 2020 were 6 cases, in 2021 were 6 cases, and the first semester of 2022 were 4 cases. The purpose of the study was to determine the increased capacity of adolescent reproductive health pocket book training. The type of research is pre experiment One Group Pre Test - Post Test. The results showed a relationship between the provision of training on adolescent reproductive helath pocket book with increased capacity of adolescent health cadres. The conclusion of this study is that adolescent reproductive health pocket book training is very effective to increase the capacity of adolescent health cadres on adolescent reproductive health.
Risk Factors For Anemia In Pregnant Women In The Third Trimester swastika, swastika; Surtinah, Nani; Santoso, Budi Joko; Suharto, Agung
International Journal of Advanced Health Science and Technology Vol. 4 No. 3 (2024): June
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v4i3.354

Abstract

Anemia is a condition in which the percentage of erythrocytes and hemoglobin (Hb) levels of pregnant women fall below normal. Ponorogo Regency Health Profile Data in 2022, there were 1,746 anemic pregnant women out of 10,878 (16.50%). This study aims to provide an overview of risk variables and initiatives aiming to decrease the proportion of anemia cases among pregnant women. Method: Analytical observational research was used to conduct the study, which was conducted retrospectively from quantitative data. All 62 pregnant women with anemia in the third trimester formed the study sample for the case population. Two independent (free) factors were used in this study: parity, education, nutritional status, maternal age, and gestational age. The prevalence of anemia in third trimester pregnant women is the dependent variable. The instrument used by researchers is an observation sheet. Data analysis to test the truth of the hypothesis uses Regression Logistic Analysis. Result: The findings of the study revealed that maternal age (p-value 0.009) and gestational age (p-value 0.027) were risk factors that had an impact on the incidence of anemia at the North Ponorogo Health Center, indicating that gestational age affects the incidence of anemia. Maternal age has a significant risk impact on the occurrence of anemia. The data showed that the incidence of anemia with a risk of 0.884 times was not affected by nutritional status (p-value = 0.727), parity (p-value = 0.043), education (p-value = 0.043), while the incidence of anemia with a risk of 8.483 times was influenced by parity. Discussion: The findings of this study lead to the conclusion that influencing risk factors were gestational age, maternal age and parity, while nutritional status and education were risk factors that had no effect on anemia in pregnant women. Suggestion: It is expected to provide advice or reference to health centers in order to conduct early detection or further improve comprehensive examinations in order to reduce the prevalence of anemia in the third trimester of pregnancy among several parameters that have been examined by researchers.
Integrative Empowerment Of Health Cadres In Efforts To Monitor Stunting Risk Through The Use Of Smartphone-Based Electronic Child Card Applications In Ngiliran Village, Panekan District, Magetan Regency Wisnu, Nurwening Tyas; Suharto, Agung; Purwanto, Triana Septianti; Herlina, Tutiek; Sumasto, Hery
Frontiers in Community Service and Empowerment Vol. 3 No. 3 (2024): September
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ficse.v3i3.68

Abstract

ABSTRACT The Community Engagement activity, conducted from May to August 2024, aimed to empower various stakeholders, such as early childhood integrated health service cadres, prospective brides and grooms, pregnant women, and mothers of young children, in their endeavors to monitor early stunting effectively. It addressed the pressing issue of stunting prevalence in Ngiliran Village, which had reached an alarming 18.6%, surpassing the national target set for 2024, which is 14%. Partners, including integrated health service cadres, prospective brides and grooms, pregnant women, and mothers, faced challenges like limited knowledge in measuring children's nutritional status, inconsistent monitoring, and inadequate stunting prevention education. To address these issues, the activity utilized the Electronic Child Card (KARANEL) smartphone application. KARANEL accurately measured children's height and weight, stored data electronically, presented nutritional status visually, and offered guidance. It empowered partners to identify, prevent, and manage stunting effectively. The results demonstrated that KARANEL enhanced the knowledge, skills, and motivation of integrated health service cadres and partners. Conclusion: the smartphone-based KARANEL application proved highly beneficial for early stunting monitoring in Ngiliran Village, providing a practical solution to combat stunting
Community Empowerment in Efforts to Prevent Stunting Based on the Health Belief Model in Milangasri Village, Panekan District, Magetan Regency Suharto, Agung; Santosa, Budi Joko; Setiyani, Astuti
Frontiers in Community Service and Empowerment Vol. 3 No. 4 (2024): December
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ficse.v3i4.87

Abstract

ABSTRACT Introduction, stunting is a disruption in the growth and development of children due to chronic malnutrition and recurrent infections, which is characterized by their body length or height being below standard. The number of stunted toddlers in Milangasri Village, Panekan District, Magetan Regency in 2022 will be 4 (four) toddlers. Milangasri Village, which is part of the Panekan sub-district, contributes around 4% of all malnourished children under five in Magetan Regency. Coverage of healthy living behavior at household level in Panekan sub-district is around 46%, this achievement is smaller than the national standard of 60%. Efforts to overcome stunting directly touch aspects of knowledge, attitudes, behavior and skills of families and communities through integrated community service activities and are carried out starting from monitoring from pregnancy until the child is at least two years old. Method, community service by providing education about stunting prevention using pre-test-posttest. Location of community service activities in Milangasri Village, Panekan District, Magetan Regency. Results. Characteristics of community service participants, most of whom are 31-35 years old, 38%, most of the participants' education is secondary (high school or equivalent) as much as 57% and the occupation of most of the community service participants is housewives, 35%. There has been an increase in posyandu prevention knowledge regarding stunting prevention based on the health belief model. Conclusion: There has been an increase in posyandu prevention knowledge regarding stunting prevention based on the health belief model.
Pemberian Makanan Pendamping Air Susu Ibu Terlalu Dini Sebagai Faktor Risiko Terjadinya Kekurangan Gizi pada Balita Febriana, Citra Nurwidya; Handayani, Tinuk Esti; Suparji, Suparji; Suharto, Agung
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 14, No 3 (2024): Juli-September 2024
Publisher : FORUM ILMIAH KESEHATAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/2trik14305

Abstract

Most of the causes of under-five deaths are related to malnutrition due to improper feeding practices during infancy, for example giving complementary foods to breast milk that are too early or too late. This study aims to analyze the relationship between the provision of complementary foods for breast milk and the nutritional status of toddlers aged 6-36 months. This study applied a cross-sectional design, involving 88 toddlers aged 6-36 months, who were selected by simple random sampling technique. Data was collected by filling out questionnaires, weighing and measuring height. To analyze the relationship between the two variables, the Kendall's Tau correlation test was used. The results showed that the majority of children under five who were given complementary food to breast milk at the age of <6 months experienced nutritional problems. Meanwhile, the majority of toddlers who were given complementary food for breast milk ≥ 6 months had normal nutritional status. The Kendall's Tau test results showed p-value of 0.000. It could be concluded that there is a relationship between the age at first giving complementary foods for breast milk and the nutritional status of toddlers.Keywords: complementary food for breast milk; toddler; nutritional status ABSTRAK Sebagian besar penyebab kematian balita berkaitan dengan kekurangan gizi akibat praktik pemberian makan yang tidak benar pada masa bayi, misalnya pemberian makanan pendamping air susu ibu yang terlalu dini atau terlambat. Penelitian ini bertujuan untuk menganalisis hubungan antara pemberian makanan pendamping air susu ibu dengan status gizi balita umur 6-36 bulan. Penelitian ini menerapkan rancangan cross-sectional, yang melibatkan 88 balita berumur 6-36 bulan, yang dipilih dengan teknik simple random sampling. Data dikumpulkan melalui pengisian kuesioner, penimbangan berat badan dan pengukuran tinggi badan. Untuk menganalisis adanya hubungan antara kedua variabel digunakan uji korelasi Kendall’s Tau. Hasil penelitian menunjukkan bahwa mayoritas balita yang diberi makanan pendamping air susu ibu pada umur <6 bulan mengalami masalah gizi. Sedangkan mayoritas balita yang diberi makanan pendamping air susu ibu ≥6 bulan memiliki status gizi normal. Hasil uji Kendall’s Tau menunjukkan nilai p = 0,000. Dapat disimpulkan bahwa ada hubungan antara umur pertama pemberian makanan pendamping air susu ibu dengan status gizi balita. Kata kunci: makanan pendamping air susu ibu; balita; status gizi
Faktor-Faktor yang Mempengaruhi Kejadian Stunting di Wilayah Kerja Pusat Kesehatan Masyarakat Panekan, Magetan Rahmawati, Debby; Handayani, Tinuk Esti; Suparji, Suparji; Suharto, Agung
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 14, No 3 (2024): Juli-September 2024
Publisher : FORUM ILMIAH KESEHATAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/2trik14301

Abstract

Stunting is one of the nutritional problems that has not been resolved and the incidence rate is still quite high in Magetan Regency, especially in the Panekan Community Health Center working area, namely 49.1%. Toddlers with stunting have an impact on growth and development that is not optimal physically and psychomotorically. This research aimed to analyze the factors that cause stunting. This research was an analytical survey study with a cross-sectional design. The population was 251 toddlers in 17 villages in Panekan District. The sample size was 163 toddlers taken using proportional random sampling and simple random sampling techniques. Independent variables were gender, exclusive breastfeeding, history of LBW and parity; while the dependent variable was the incidence of stunting. Data collection was carried out using children's cohort book documentation and recapitulation data from the Panekan Community Health Center. The collected data was analyzed using a logistic regression test. The research results showed that the majority of toddlers with stunting were male, born LBW, not given exclusive breast milk, and born to mothers with grandemultiparous parity. The results of statistical analysis showed that factors that were significantly related to the incidence of stunting were gender (p = 0.033, OR = 1.84), history of low birth weight  (p = 0.000, OR = 28.3), exclusive breastfeeding (p = 0.000, OR = 58.8) and parity (p = 0.002, OR = 6.49). It was concluded that the factors that contributed to the occurrence of stunting at the Panekan Community Health Center included gender, low birth weight, exclusive breastfeeding, and parity. The dominant factor causing stunting is breastfeeding.Keywords: exclusive breastfeeding; low birth weight; gender; parity; stuntingABSTRAK Stunting merupakan salah satu masalah gizi yang belum terselesaikan dan masih cukup tinggi angka kejadiannya di Kabupaten Magetan, khususnya di wilayah kerja Puskesmas Panekan yaitu sebesar 49,1%. Balita dengan stunting berdampak pada pertumbuhan dan perkembangan yang tidak optimal secara fisik dan psikomotorik. Penelitian ini bertujuan untuk menganalisis faktor-faktor penyebab terjadinya stunting. Penelitian ini merupakan studi survey analitik dengan desain cross-sectional. Populasi adalah 251 balita pada 17 desa di Kecamatan Panekan. Ukuran sampel 163 balita yang diambil dengan teknik proportional random sampling dan simple random sampling. Variabel independent adalah jenis kelamin, pemberian ASI eksklusif, riwayat BBLR dan paritas; sedangkan variabel dependent adalah kejadian stunting. Pengumpulan data dilakukan menggunakan dokumentasi buku kohort anak dan data rekapitulasi data Puskesmas Panekan. Data yang telah terkumpul dianalisis menggunakan uji regresi logistik. Hasil penelitian menunjukkan bahwa sebagian besar balita dengan stunting berjenis kelamin laki-laki, lahir dengan bayi berat lahir rendah, tidak diberikan ASI eksklusif, dan lahir dari ibu dengan paritas grandemultipara. Hasil analisis statistik menunjukkan bahwa faktor yang berhubungan secara signifikan dengan kejadian stunting adalah jenis kelamin (p = 0,033, OR = 1,84), riwayat BBLR (p = 0,000, OR = 28,3), pemberian ASI eksklusif (p = 0,000, OR = 58,8) dan paritas (p = 0,002, OR = 6,49). Disimpulkan bahwa faktor yang memberikan kontribusi terhadap terjadinya stunting di Puskesmas Panekan meliputi jenis kelamin, bayi berat lahir rendah, pemberian ASI eksklusif, dan paritas. Faktor dominan penyebab stunting adalah pemberian ASI.Kata kunci: ASI eksklusif; bayi berat lahir rendah; jenis kelamin; paritas; stunting
Behavior of Providing Additional Recovery Food to Increase Weight of Malnourished Toddlers Aged 24-59 Months at Magetan District Health Center Suharto, Agung; Harviandani, Berliana Septy
JURNAL INFO KESEHATAN Vol 21 No 4 (2023): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol21.Iss4.1153

Abstract

The percentage of under-five malnutrition problems in Indonesia was 17.8%, with 3.8% and 14% of under-five cases being malnutrition. The Magetan Health Service reports that as of 2021, there were 332 cases of undernourished toddlers; however, the Panekan Health Center reported 116 cases of undernourished toddlers in 2020 based on weight/body length data. The undernourished toddlers was defined as those who were between the ages of 24 and 59 months. This kind of study employs secondary data sources, an analytical approach, a quasi-experimental design, and a non-equivalent control group design. This study included 73 toddlers as subjects: 31 toddlers who did not receive any nutrition, 42 toddlers who did receive nutrition, and malnourished toddlers aged 24-59 months. Data collection uses data collection sheets. The Independent and Paired t-tests are the analysis methods employed. The average difference in body weight between the two groups was found to be 0.594 with a range of 0.0324 kilograms – 1.156 kilograms. The study's results were obtained using the Paired t-test with a p-value = 0.000 with a significance level of 0.05 and the independent t-test with a p-value = 0.038 with a significance level of 0.05. The study concludes that supplementary feeding has an impact on the weight of undernourished toddlers at the Panekan Health Center who are between the ages of 24 and 59 months. It is hoped that by continuing to supplement food, the recovery program may decrease the number of undernourished children under five.