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Stunting Coaching Training for Midwives and Cadres about Stunting Prevention and Management in the First 1000 Days of Life Pardosi, Maida; Hutabarat, Julietta; Surbakti, Elisabeth; Sianturi, Efendi; Pasaribu, Rina Doriana
Journal of Health Science and Medical Therapy Том 2 № 03 (2024): Journal of Health Science and Medical Therapy
Publisher : PT. Riset Press International

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59653/jhsmt.v2i03.1089

Abstract

Stunting is a problem of chronic malnutrition caused by a lack of nutritional intake in the past and a failure to achieve physical development as measured by height for age. This research aims to analyze the effect of stunting coaching training on the knowledge and skills of midwives and cadres. This research was conducted in Tarutung Regency. The research used a quasi-experimental method with a "Pretest-Posttest One Group Design" design. The target selection for training participants was purposive, namely midwives and cadres in stunting locus areas with the highest percentage of stunted toddlers. The sample in this study was 15 people (9 people were midwives, and 6 were health cadres). The evaluation results were analyzed using the Paired T-Test with the SPSS Version 22 application. The research results show that Training for midwives and health cadres saw an increase in the average knowledge score of 34.67, and all training participants were in the excellent knowledge category regarding stunting coaching training. The results of statistical tests using paired t-test statistics show a difference in the average knowledge of stunting coaching training participants before and after the Training with p-value = 0.001. Midwife and cadres always provide outreach in the form of information and education about stunting so that mothers with toddlers can participate or attend to listen to the outreach to motivate them to want to prevent stunting. Researchers also hope that families can provide good emotional, informational, and instrumental support to mothers to create healthy behavior and prevent stunting.
Karakteristik Ibu Hamil yang Melakukan Kunjungan Antenatal Care Kinara, Witri Sinte; Sitorus, Samsidar; Hutabarat, Julietta
Jurnal Bidan Komunitas Vol 7, No 3 (2024): EDISI SEPTEMBER
Publisher : LPPM Institut Kesehatan Helvetia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33085/jbk.v7i3.6145

Abstract

Pendahuluan: prevalensi cakupan ANC di Indonesia masih tergolong rendah yaitu sebesar 82% apabila dibandingkan dengan negara  lain seperti Korea Utara 95%, Sri Langka 93%, Maladewa 85%. Tujuan: untuk mengetahui karakteristik ibu hamil dalam melakukan kunjungan ANC di Desa Jati Kesuma Wilayah Kerja Puskesmas Namorambe periode Januari-Desember. Metode: penelitian menggunakan penelitian kuantitatif dengan metode desain penelitian observasional deskriptif. Teknik pengambilan sampel pada penelitian ini total populasi yaitu sebanyak 60 orang ibu hamil. Hasil: penelitian dari 60 responden mayoritas ibu melakukan kunjungan ANC tidak sesuai sebanyak 42 orang (70%). Mayoritas ibu yang melakukan kunjungan ANC berusia 20-35 tahun sebanyak 48 orang (80%). Mayoritas ibu yang melakukan kunjungan ANC terdapat pada kategori primigravida sebanyak 27 orang (45%). Mayoritas ibu yang melakukan kunjungan ANC terdapat pada kategori nulipara sebanyak 28 orang (46,7%). Kesimpulan: karakteristik ibu hamil yang melakukan kunjungan ANC berdasarkan gravida, usia, paritas yaitu semua ibu melakukan kunjungan ANC tidak sesuai ketentuan minimal kunjungan serta tidak sesuai jadwal yang sudah disepakati.
Pengaruh Edukasi terhadap Pengetahuan Ibu tentang Ruam Popok pada Anak Dibawah 3 Tahun Austin Tarigan, Rossie Olivia; Hutabarat, Julietta; Sitorus, Samsidar
Jurnal Bidan Komunitas Vol 7, No 3 (2024): EDISI SEPTEMBER
Publisher : LPPM Institut Kesehatan Helvetia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33085/jbk.v7i3.6049

Abstract

Pendahuluan: angka kejadian ruam popok mencapai 7-35% dengan bayi yang berusia dibawah 3 Tahun dari angka kelahiran 4.746.438 anak. Pengetahuan yang kurang pada ibu dapat menyebabkan ruam popok yang mengakibatkan anak menjadi tidak nyaman dan gelisah. Tujuan: penelitian ini adalah untuk mengetahui pengaruh edukasi terhadap pengetahuan ibu tentang ruam popok pada anak dibawah 3 tahun. Metode: jenis penelitian yang digunakan adalah Pre-Eksperimen, rancangan pre and post test design. Populasi sebanyak 360 orang, dan jumlah sampel diambil dengan teknik purposive sampling sebanyak 78 orang. Alat ukur yang digunakan adalah kuesioner pengetahuan dengan jumlah soal 20 butir. Selanjutnya dianalisis menggunakan Paired Sample T-Test. Hasil: ditemukan hasil rerata pengetahuan ibu sebelum diberikan edukasi  tentang ruam popok adalah 10.3974 dan sesudah diberikan edukasi tentang ruam popok adalah 15.8590. Diperoleh selisih rata-rata 5.4616, dengan p-value 0.000 0.05 maka H1 diterima. Kesimpulan: artinya terdapat peningkatan pengetahuan ibu sebelum dan sesudah diberikan edukasi.
Hubungan Pengetahuan dengan Tindakan IVA Test pada Pasangan Usia Subur Siahaan, Yenni Radot Caoriati; Hutabarat, Julietta; Sitorus, Samsidar
Jurnal Bidan Komunitas Vol 7, No 3 (2024): EDISI SEPTEMBER
Publisher : LPPM Institut Kesehatan Helvetia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33085/jbk.v7i3.6038

Abstract

Pendahuluan: kanker serviks adalah tumor ganas yang mengenai lapisan permukaan epitel dari leher rahim yang disebabkan oleh infeksi dari Human Papiloma Virus (HPV). kanker sebagai kasus terbanyak di Indonesia yang memerlukan tindakan/intervensi kesehatan masyarakat dalam bentuk program penanggulangan nasional berupa deteksi dini menggunakan pemeriksaan Inspeksi Visual Asam Asetat (IVA). Tujuan: penelitian ini untuk mengetahui Hubungan pengetahuan dan tindakan IVA test pada PUS di wilayah kerja Puskesmas Deli Tua. Metode: jenis penelitian ini menggunakan survei analitik dengan rancangan cross sectional. Teknik pengambilan sampel menggunakan accidental sampling dengan jumlah sampel sebanyak 65 responden. Jenis data adalah data primer dan sekunder dengan menggunakan instrumen kuesioner, analisis data yang digunakan fisher exact test. Hasil: analisis hubungan pengetahuan dengan tindakan diperoleh PUS yang melakukan tindakan pemeriksaan IVA sebanyak 3 orang (37,5%) yang memiliki pengetahuan baik dan sebanyak 3 orang (7,1%) pada pengetahuan cukup sedangkan PUS yang tidak melakukan tindakan pemeriksaan IVA sebanyak 5 orang (62,5%) pada pengetahuan baik. maka diperoleh hasil test p = 0,000 0,05. Kesimpulan: ada hubungan pengetahuan dan tindakan IVA test pada PUS.
Pengaruh Video Antenatal Care (ANC) Standar 10T Terhadap Pengetahuan Ibu Hamil Sitorus, Samsidar; Sianipar, Tania Panata; Hutabarat, Julietta; Pardosi, Maida
Jurnal Kesehatan Global Vol 7, No 1 (2024): Edisi Januari
Publisher : LPPM Institut Kesehatan Helvetia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33085/jkg.v7i1.6020

Abstract

      World Health Organization (WHO) tahun 2020 cakupan data kunjungan ante natal care (ANC)  di dunia sebanyak 64% melakukan kunjungan ANC. Hasil Riset Kesehatan Dasar tahun 2021 di Sumatera Utara cakupan kunjungan ANC meningkat sebanyak 85%. Permasalahan yang terjadi pada saat ANC adalah penargetan, ibu hamil, tidak sesuai dengan kondisi di lapangan, sarana dan prasarana yang tidak mendukung, serta rendahnya kesadaran masyarakat akan pentingnya ANC. Tujuan penelitian untuk mengetahui pengaruh video antenatal care (ANC) standar 10T terhadap pengetahuan ibu hamil di Desa Delitua Kabupaten Deli Serdang. Jenis penelitian menggunakan quasi eksperimen dengan desain one group pretest dan posttest. Pengambilan sample dilakukan secara accidental sampling dengan jumlah sampel yang diambil sebanyak 30 Ibu hamil. Alat ukur yang digunakan adalah kuesioner pengetahuan dengan jumlah soal 20 butir kemudian dianalisis menggunakan Paired Sampple T-Test. Hasil penelitian rerata pengetahuan kelompok intervensi sebelum diberikan video 59,33 sedangkan setelah diberikan video 69,5000 serta selisih rerata sebesar 10,1667 dengan p-value=0,0000,05. Berdasarkan hasil penelitian dapat disimpulkan bahwa pendidikan kesehatan melalui promosi kesehatan dengan menggunakan media video efektif memberikan dampak positif terhadap pengetahuan ibu hamil tentang pemeriksaan ANC standar 10T.
Hubungan Lama Penggunaan Kontrasepsi Hormonal Terhadap Kejadian Hipertensi Pada Pasangan Usia Subur Sagita, Putri; Hutabarat, Julietta; Sitorus, Samsidar
Jurnal Sehat Indonesia (JUSINDO) Vol. 6 No. 02 (2024): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jsi.v6i02.127

Abstract

Prevalensi hipertensi lebih tinggi pada wanita, mencapai 5,6% lebih tinggi dibandingkan laki-laki. Penggunaan kontrasepsi hormonal meningkatkan risiko hipertensi dua kali lipat dibandingkan dengan kontrasepsi non hormonal. Kontrasepsi hormonal dapat mengganggu keseimbangan hormon tubuh dan menyebabkan peningkatan tekanan darah. Penelitian ini bertujuan untuk mengevaluasi hubungan antara durasi penggunaan kontrasepsi hormonal dan kejadian hipertensi pada pasangan usia subur di wilayah Puskesmas Lalang. Penelitian ini berjenis observasional analitik dengan pendekatan cross-sectional. Metode pengambilan sampel menggunakan total sampling, di mana seluruh populasi (45 responden) menjadi sampel penelitian. Instrumen yang digunakan meliputi lembar angket, tensimeter, dan stetoskop. Hasil uji Fisher Exact Test menunjukkan adanya korelasi antara durasi penggunaan kontrasepsi hormonal dan kejadian hipertensi. Diharapkan tenaga kesehatan Puskesmas Lalang untuk memperhatian tekanan darah pada PUS akseptor KB hormonal berdasarkan lama penggunaannya, dan menyarankan agar PUS akseptor KB horomonal dengan lama penggunaan > 3 tahun untuk beralih ke metode kontrasepsi non hormonal.
EDUKASI TERHADAP PENGETAHUAN IBU HAMIL TENTANG HIPERTENSI DALAM KEHAMILAN Kartika, Amelia; Hutabarat, Julietta; Sitorus, Samsider
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol. 18 No. 3 (2023): Jurnal Ilmiah PANNMED Periode September- Desember 2023
Publisher : Poltekkes Kemenkes Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36911/pannmed.v18i3.1704

Abstract

From North Sumatra Sectoral Statistics data (2021), it is known that from 2018 to 2021 the incidence of hypertension in pregnancy has increased by 25 cases caused by late early detection. This delay is caused by inadequate education and knowledge of pregnant women about hypertension in pregnancy. The purpose of this study was to determine the effect of education on pregnant women's knowledge about hypertension in pregnancy in the working area of the Dalu Sepuluh Health Center. This research is a quasi-experimental study with nonequivalent control group design, examined 46 respondents, obtained through accidental sampling technique, and divided into two groups, 23 respondents in the intervention group and 23 others in the control group, and used a knowledge questionnaire with 20 questions as measuring instrument and then analyzed with the Paired Sampling T-Test. Through research, the results were obtained that: the average knowledge of the intervention group on the first day was 12.82, while on the seventh day it was 15.47 with a mean difference of 2.65 with p-value = 0.000 <0.05, so H1 was accepted; whereas in the control group the average knowledge on the first day was 11.65 while on the seventh day it was 12.91 with a mean difference of 1.26 where p-value = 0.092> 0.05, then H1 was rejected. It is expected that the health workers at the Dalu Sepuluh Health Center will provide education while giving dissemination to increase mothers' knowledge, presented in various media, such as leaflets.
THERAPEUTIC COMMUNICATION AGAINTS LABOR OF KALA I AND KALA II IN PRIMIGRAVIDA AT KLINIK PRATAMA NIAR IN 2018 Surahman, Rayi Al Hay; Hutabarat, Julietta
Journal of Applied Health Management and Technology Vol. 2 No. 1 (2020): January 2020
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v2i1.5504

Abstract

ABSTRACT Anxiety in labor can be reduced by using non-pharmacological method related to the basic purpose of reducing anxiety and transfer of pain in labor that is by doing therapeutic communication to patient with the aim to keep the patient and fetus as far as possible remain free from depressive effect by way of gives a sense of comfort so as not to interfere with uterine contractions. Therefore, the authors are interested to examine the effect of therapeutic communication on the first and second stage of labor in the mother primigravida. Research type was Quasi Eksperimen, and Non-Equivalent Control Group, sample 20 respondents (primigravida mother). Data analysis with Independent T-Test. From 10 respondents of the experimental group and 10 non experimental groups, the duration of the active phase in the experimental group averaged 272.00 minutes (Sd.14.56), the mean second time was 22.50 minutes (Sd 6.34 ), The mean duration of labor was 299.00 minutes (Sd.19,40), whereas the first non-experimental group in the first stage was on average 316.00 minutes (Sd.15,95), the second stage was 32.00 minutes (Sd .7,52), the mean duration of labor was 348.00 minutes (Sd.19,60). Test T-Test value p (0,000) <α (0,05) at time of I,value p (0,007) <α (0,05) at second stage and value   p (0,000) <α (0,05) length of labor. It was concluded that there was an effect of therapeutic communication with the time period I and Kala II of labor.             Keywords : Therapeutic Communication, Kala I and Kala II Childbirth
PENGARUH PEMBERIAN BUBUR KACANG HIJAU TERHADAP PENINGKATAN KADAR HEMOGLOBIN IBU HAMIL DI DESA PSR IV NAMU TERASI KECAMATAN SEI BINGAI KABUPATEN LANGKAT TAHUN 2019 Krisna, Putri; Hutabarat, Julietta; Desfauza, Evi
Colostrum Jurnal Kebidanan Vol. 1 No. 1 (2019): Desember 2019
Publisher : Poltekkes Kemenkes Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction: Anemia prevalence Indonesia in 2018 reaches 48.9% (Baritbankes, 2018). 100 grams of green beans is contained 6.7 mg of iron serves to increase Hb levels and 6.9 mg of vitamin C serves to help iron absorption. Consuming 200 gr of green beans per day can meet almost 50% of the iron needs of pregnant women (Tuhana Taufiq, 2004). This study aims to determine the effect of green bean porridge on increasing Hb levels of pregnant women in Pasar IV the Village of Namu Terasi, Sei Bingai Subdistrict, Langkat Regency 2019. Methods: This study was a Pre-experiment study designed with the design of one group pretest-posttest and where 11 pregnant mothers of Trimester II were used as research samples taken through purposive sampling technique. Results and Discussion: Through the Paired Simples test the T-test obtained the value of ? (0.01) <? (0.05), which means that green bean porridge proved to significantly increase the Hb levels of pregnant women. The mean of Hb level of pregnant women before given green bean porridge was 10.9 gr / dl to 1.26, and the mean became 11.9 gr / dl to 0.93 after being given green bean porridge, it is found an increase in mean Hb levels before and after the treatment 1.01 gr / dl to 1.02 gr / dl. .Conclusion: Green bean porridge has the effect of increasing Hb level in pregnant women. Health workers are expected to encourage every pregnant woman to consume green bean porridge as an supplementary food.
HUBUNGAN DUKUNGAN SUAMI DAN TENAGA KESEHATAN PADA WANITA PASANGAN USIA SUBUR TERHADAP PEMILIHAN ALAT KONTRASEPSI IUD DI KEL. PANGKALAN MANSYUR KEC. MEDAN JOHORTAHUN 2020 Hasibuan, Yusrawati; Padang, Arnianta Rizka; Hutabarat, Julietta
Colostrum Jurnal Kebidanan Vol. 2 No. 2 (2021): Juni 2021
Publisher : Poltekkes Kemenkes Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The high birth rate can cause population problems. To keep the birth rate can be prevented by using contraception. One contraceptive device that is still low in use is the Intra Uterine Device (IUD). The low use of an IUD can be caused by lack of husband support and counseling from health workers. This study aims to determine the relationship of husband and health workers’ support in women of fertile age with the selection of IUD contraception in Medan Johor community  health center of Pangkalan Mansyur village in 2020. This type of research was analytic survey with cross sectional design. The sample used was 60 fertile age couple who was IUD users and non-IUD users, as well as health workers totaling of 17 respondents. Data collection using a questionnaire and data analyzed with chi square test. The results showed that the majority of husbands did not provide emotional support (58.3%). The majority of husbands do not provide instrumental support (76.7%). The majority of husbands did not provide information support (86.7%). The majority of husbands did not provide award support (71.7%). The majority of health workers did not support (58.8%). The majority of fertile age couple did not choose an IUD (70%). There was a relationship between husband support for fertile age women and the selection of IUD contraception (p = 0,000). There was a correlation between the support of health workers in fertile age women and the selection of IUD contraception (p = 0.035). It is recommended that midwives routinely conduct counseling on IUD to individual or fertile age women group ; It is recommended that husbands should work to increase their support regarding the selection of an IUD. Keywords: Fertile Age Couple , IUD, Husband Support, Support of Health Workers