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Journal : Jurnal Kesehatan

Determinan Ibu Hamil Kurang Energi Kronis (KEK) dan Anemia Indrasari, Nelly; Octaviana, Amrina; Widhi Sastri, IGA Mirah
Jurnal Kesehatan Vol 13 No 2 (2022): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v13i2.2973

Abstract

Pregnant women who experienced anemia in 2013 were 37.1% and increased in 2018 to as many as 48.9%. In Lampung Province, the largest percentage of women of childbearing age who are at risk of Chronic Energy Deficiency are in Tulang Bawang Barat (17.1%), while the highest percentage of the incidence of Chronic Energy Deficiency in pregnant women is in Tulang Bawang Barat (26.3%). The purpose of the study is to determine the determinants of pregnant women with Chronic Energy Deficiency and Anemia at the Karta Raharja & Marga Kencana Public Health Center, Tulang Bawang Barat Regency in 2020. This research is a correlation analytic study that uses a cross-sectional approach. The subject of this study was pregnant women in the Karta Raharja & Marga Kencana Public Health Center, Tulang Bawang Barat Regency in 2020. Each respondent was observed, interviewed, and examined. The data were processed and analyzed using a logistic test. The results showed that pregnant women who experienced Chronic Energy Deficiency were 22% and those who experienced anemia were 26%. The variables most related to the incidence of Chronic Energy Deficiency are parity above 4 children, 106 times the risk of suffering from malnutrition (95%CI=105.502), pregnant women with age <20 or >35 years are 6 times at risk of experiencing malnutrition (95%CI=6.327 ), and pregnant women with malnutrition were 10 times more at risk of experiencing Chronic Energy Deficiency (95% CI=10.224). The variables most related to the incidence of anemia were parity above 4 children 5 times at risk of developing anemia (95%CI=4.995), pregnant women with age <20 or > 35 years 4 times at risk of anemia (95%CI=3.918), and maternal Pregnant women with birth spacing <2 years are 2 times more at risk of developing anemia (95%CI=1.579).
Dominant Factors in Complementary Food Feeding in Babies and Toddlers Octaviana, Amrina; Roslina, Roslina; Trianingsih, Indah; Marlina, Marlina; Indrasari, Nelly
Jurnal Kesehatan Vol 14 No 3 (2023): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v14i3.4150

Abstract

52.8% of all Indonesian children, or those between the ages of 6 and 23 months, do not obtain the nourishment they require throughout the first two years of life in order to grow and develop as they should. One of Lampung province's areas, Tulang Bawang Regency, has the highest rate of children under five who are very thin (BB/TB), at 7.7%. The purpose of the research was to determine the important element in supplemental feeding of babies and toddlers in Tulang Bawang Regency in 2021. Analytic correlation using a cross-sectional design characterized this sort of study. A sample of 132 women who have children between the ages of 6 and 24 months was acquired by sampling utilizing stratified random sampling. Chi Square analysis in bivariate form and Logistics Regression Analysis in multivariate form. According to statistical analyses, complementary feeding behavior is significantly influenced by a number of internal and external factors, including type of food, frequency of feeding, amount of feeding, and community culture, as well as internal factors like age of knowledge of food, child's activities, and child's health history. Babies and toddlers at the Banjar Baru Community Health Center in the Tulang Bawang Regency in 2021 (p = 0.05). Based on the OR values of these factors, Child Health (OR=8,449) is the most important factor in providing complementary feeding to babies and toddlers in the Banjar Baru Health Center region of the Tulang Bawang Regency in 2021. For families with young children, there is a need for socialization over how to feed newborns and toddlers complementary feeding that are healthy and appropriate, as well as to revive the role of the posyandu in neighborhood events.
Overview of Delivery Complications Using IKAlin Instruments in Bandar Lampung Octaviana, Amrina; Roslina, Roslina; Elmeida, Ika Fitria; Nurlaila, Nurlaila; Indrasari, Nelly; Rosmadewi, Rosmadewi
Jurnal Kesehatan Vol 15 No 1 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i1.4316

Abstract

The maternal mortality rate (MMR) in Lampung Province in 2020 has increased compared to 2019, namely from 110 cases to 115 cases. Bandar Lampung City is one of the regions in Lampung Province with the third highest MMR, 10 cases (8.69%). This research aims to determine the description of childbirth complications experienced by postpartum mothers using the IKAlin instrument (Labour Complications Instrument) in Bandar Lampung in 2023. This type of research uses a descriptive survey method with random sampling. A sample of 222 postpartum mothers with labor complications. This research method involves interviews with postpartum mothers using the IKAlin instrument. The average results of mothers' answers show that the complication of preeclampsia that is felt is high blood pressure, the bleeding complication that is most often felt during labor is experiencing heavy bleeding, and the complication of dystocia that is most often felt is undergoing a prolonged second stage. The advice given is to encourage education about early detection in the community so that people, especially pregnant women, are aware of the importance of monthly pregnancy checks at health facilities to detect birth complications as early as possible.
Analysis of Demographic Factors Affecting Exclusive Breastfeeding Success among Breastfeeding Mothers Indrasari, Nelly; Mugiati; Nurlaila; Warjidin Aliyanto; Indah Trianingsih
Jurnal Kesehatan Vol 15 No 3 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i3.4632

Abstract

Successful breastfeeding significantly impacts the health of both mothers and infants. This study aims to analyze factors affecting breastfeeding success through a quantitative design incorporating bivariate and multivariate analyses. Data were collected from 90 breastfeeding mothers and analyzed using statistical tests. The results reveal that maternal age is a significant factor (p-value=0.007); mothers aged 20–35 are 1.6 times more likely to breastfeed successfully than those younger than 20 or older than 35. Maternal education also plays a critical role (p-value=0.002); mothers with higher education levels are 2.3 times more likely to succeed in breastfeeding than those with primary education. Employment status is another significant factor (p-value=0.013); non-working mothers are 1.8 times more likely to breastfeed successfully than working mothers. Parity also influences success (p-value=0.029); multiparous mothers are 1.2 times more likely to succeed than primiparous mothers. These findings highlight the need for targeted interventions. Educational programs should prioritize mothers with primary or secondary education and those employed. Support mechanisms for working and primiparous mothers are crucial to address breastfeeding challenges. Policies such as extended maternity leave and workplace lactation facilities are also recommended to foster breastfeeding success. In conclusion, maternal age, education, employment status, and parity significantly impact breastfeeding outcomes. Tailored programs and supportive policies can improve breastfeeding rates and enhance maternal and infant health.
Determinants of The Incidence of Childbirth Complications in Bandar Lampung City Roslina, Roslina; Octaviana, Amrina; Indrasari, Nelly; Berliana, Eva; Riyanto, Riyanto
Jurnal Kesehatan Vol 16 No 1 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i1.4817

Abstract

In 2021, the Maternal Mortality Ratio (MMR) in Lampung Province increased significantly, rising from 115 to 187 cases compared to 2020. Bandar Lampung emerged as one of the areas with the fourth highest MMR, recording 15 cases (8.02%). This study aims to identify determinants of childbirth complications among mothers in Bandar Lampung in 2024. This type of research is analytical-descriptive, with random sampling, so that samples are obtained from 432 post-natal mothers. This research method uses interviews and observations of post-natal mothers analyzed through a quantitative cross-sectional approach with a random sampling of 432 participants. Results indicate a correlation between birth spacing (p=0.015, OR=2.725), history of pregnancy complications (p=0.000, OR=2.049), and parity (p=0.011, OR=1.764) with childbirth complications. Recommendations include improving healthcare services at the primary level and educating pregnant women and families on risk factors to reduce maternal mortality.
Exploration of Contextual Factors Affecting the Effectiveness of E-Kescatin Application Utilization: A Qualitative Study in Pringsewu Regency Indrasari, Nelly; Risneni, Risneni; Aliyanto, Warjidin; Nurlaila, Nurlaila; Berliana , Eva; Marlina, Marlina
Jurnal Kesehatan Vol 16 No 2 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i2.5108

Abstract

The E-Kescatin application was developed as an innovation in premarital health services to support stunting prevention efforts through a digital approach. However, the effectiveness of utilization of this application still shows variations between regions and is not optimal at the implementation level. This study aims to explore the contextual factors that influence the effectiveness of the E-Kescatin application utilization in Pringsewu District, Lampung Province. The research used a qualitative approach with an exploratory study design. Informants were selected purposively, consisting of midwives, brides-to-be, Health Office officers, and MCH program managers. Data collection was conducted through in-depth interviews and focus group discussions. Data analysis was done thematically with an interpretative approach. The results identified five main themes that influence the effectiveness of app utilization, namely: (1) accessibility of technology and digital infrastructure; (2) digital competence of health workers; (3) perceived benefits from the user side; (4) policy and regulatory support at the local level; and (5) cross-sector integration in the implementation of premarital services. It is concluded that the effectiveness of E-Kescatin application utilization is influenced by contextual factors that include technical, social, and institutional aspects. Therefore, improving the success of application implementation requires a collaborative and adaptive approach to local conditions. The findings of this study provide a significant contribution to strengthening digital transformation policies in the field of reproductive health.