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Chronic Energy Deficiency and Its Associated Factors among Pregnant Women Living in Rural Areas, Indonesia: A Community Based Study Anggriani Harahap, Dewi; Afrinis, Nur; Lasepa, Wanda; Apriyanti, Fitri
Jurnal Kesehatan Manarang Vol 11 No 1 (2025): April 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i1.1982

Abstract

Chronic energy deficiency (CED) in Indonesia is highly prevalent among pregnant women, becoming a public health problem that requires immediate action due to the adverse effects on the growth and development of the fetus as well as the health of the mother. This study aims to assess factors associated with CED among pregnant women in a particular rural area, in Siak Regency, which has a high prevalence of CED. A cross-sectional study was employed involving 122 pregnant women in the first and second trimesters from December 2024 to January 2025. Probability proportional to size (PPS) was used to select the subjects in 10 villages. Mid-Upper Arm Circumference (MUAC) was measured to determine CED incidence with less than 23.5 cm as a cut-off point. A structured questionnaire was used to collect socio-demographic, food security, and food taboo data. The HFIAS questionnaire was used to collect food security data. This study has found that the prevalence of CED among pregnant women is 35.2%. In bivariate analysis, economic status, dietary diversity, parity, dietary pattern, food security, and food taboo have a significant association with CED. After adjusted by several variables using binary logistic, parity (AOR: 25.47; 95% CI:2.6- 78.23), food security (AOR: 6.19; 95% CI: 2.05- 18.73) and food taboo (AOR: 6.44; 95%CI: 2.0- 20.648) are exhibited to be determinant factors of CED with p-value less than0.05. The percentage of CED among pregnant women is higher compared to the national prevalence, which leads to urgent actions. Interventions targeting the causes of CED, such as parity, food security, and food taboo, are essential to reduce the incidence of CED. The results of this study are expected to guide policymakers in creating innovative interventions to reduce CED among pregnant women.
Hubungan Sikap Ibu Dengan Ketepatan Waktu Pemberian Imunisasi Campak Pada Bayi Di Desa Sungai Jalau Wilayah Kerja Upt Puskesmas Sawah Mariani, Dina; Dewi Anggraini Harahap; M.Nizar Syarif Hamidi
JHN: Journal of Health and Nursing Vol. 1 No. 1 (2023): JHN: Journal of Health and Nursing, Mei 2023
Publisher : ASIAN PUBLISHER

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58738/jhn.v1i1.281

Abstract

Dalam menentukan keberhasilan pemberian imunisasi campak dapat dilihat dari cakupan imunisasi campak yang merata dan tinggi. Imunisasi campak harus dilakukan sesuai dengan aturan agar berfungsi dengan baik sehingga bekerja secara optimal, sedangkan imunisasi yang tidak tepat waktu tidak bekerja secara optimal sehingga menyebabkan KLBPD3I dan gagalnya pelaksanaan imunisasi secara merata. Tujuan dalam penelitian ini adalah hubungan sikap ibu dengan ketepatan waktu pemberian imunisasi campak di Desa Sungai Jalau Wilayah Kerja UPT Puskesmas Sawah. Desain penelitian menggunakan cross sectional. Sampel penelitian ini adalah ibu yang memiliki bayi berusia 9–12 bulan menggunakan teknik pengambilan sampel dengan total sampling. Alat pengumpulan data menggunakan adalah kuesioner. Analisis data menggunakan kuesioner. Hasil penelitian didapatkan adanya hubungan sikap ibu dengan ketepatan waktu pemberian imunisasi campak dengan p value 0,002 (<0,05). Berdasarkan hasil uji chi square didapatkan sebanyak 26 responden bersikap baik, dengan imunisasi tepat waktu 18 orang dan tidak tepat waktu 8 orang, sedangkan yang bersikap kurang baik sebanyak 12 orang dengan 11 orang tidak tepat waktu dan 1 orang tepat waktu. Dengan hasil penelitian ini, peneliti mengharapkan kepada sseluruh ibu dapat memberikan imunisasi  campak kepada anaknya sesuai dengan waktu yang dietentukan dan dapat memahami pentingnya imunisasi campak kepada anak–anaknya.
Hubungan Peran Petugas Kesehatan dengan Pemeriksaan Haemoglobin Ibu Hamil di Puskesmas Rumbio Jaya Sari, Rosyulia; Harahap, Dewi Anggriani; Parmin, Joria
Evidence Midwifery Journal Vol. 1 No. 1 (2022): Oktober 2022
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/emj.v1i1.19555

Abstract

Examination of the blood hemoglobin level of pregnant women is carried out at least once in the first trimester and once in the third trimester. The goal is to determine whether or not anemia during pregnancy because anemia can affect the process of fetal growth and development in the womb. The purpose of this study was to determine the relationship between the role of health workers and hemoglobin examination at the Rumbio Jaya Health Center. The research design was cross sectional. The population of this study were all pregnant women in the first and third trimesters, with a sample of 54 people, the sampling technique was accidental sampling. The measuring instrument used is a questionnaire. Analysis of the data used is univariate and bivariate. Univariate analysis revealed that from 54 officers there were 32 people (59.3%) who did not play a role while 22 people (40.7%) had a role. Bivariate results with a P-value of 0.014 <0.05, it means that there is a relationship between the role of health workers by checking hemoglobin in pregnant women at the Rumbio Jaya Health Center, by checking hemoglobin in pregnant women at the Rumbio Jaya Health Center. It is hoped that health workers can provide information about the importance of carrying out Hb checks in pregnant women and increase knowledge of pregnant women through counseling activities in Pregnant Women Classes and health facilities
Hubungan Tingkat Stres dengan Kejadian Gastritis pada Masyarakat di UPT Puskesmas Kampa Novalista, Yolanda; Harahap, Dewi Anggriani; Alini, Alini
Evidence Midwifery Journal Vol. 2 No. 3 (2023): JULI 2023
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/emj.v2i3.19588

Abstract

Gastritis is one of the most common and frequently encountered digestive tract problems. Incidence of gastritis can be found in various countries such as England 22%, Japan 14.5%, Canada 35%, France 29.5% and China 31%. In Indonesia, the incidence of gastritis is quite high, namely 40.8%. One of the causes of gastritis is stress which plays a role in increasing stomach acid production. The purpose of this study was to determine the relationship between stress levels and the incidence of gastritis in the community in the working area of the UPT Puskesmas Kampa. This research is a quantitative study using a cross sectional design. This research was conducted at the General and Elderly Polyclinic at the Kampa Health Center, which was conducted on 03-13 October 2022. The population in this study were people seeking treatment at the General and Elderly Polyclinic at the Kampa Health Center, with a total sample of 96 respondents using an accidental sampling technique. The instrument in this study used the Perceived Stress Scale questionnaire (PSS-10). Based on the results of the Chi-Square statistical test analysis, a p value = 0.000 (<0.05) means that there is a significant relationship between stress levels and the incidence of gastritis in the community in the working area of the UPT Puskesmas Kampa. For this reason, the community is expected to be able to avoid the risk factors for gastritis, one of which is stress, so that they can manage stress and not cause gastritis.
Hubungan Berat Badan Lahir Rendah dengan Kejadian Asfiksia Neonatorum di Klinik Fatiha Salni, Indriani; Harahap, Dewi Anggriani; Syahda, Syukrianti
Evidence Midwifery Journal Vol. 3 No. 1 (2024): JANUARI 2024
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/emj.v3i1.22064

Abstract

In Indonesia, of all infant deaths, 57% die at <1 month of age, where every 6 minutes 1 baby dies. The causes of death of newborn babies in Indonesia are low birth weight babies, asphyxia, birth trauma, neonatal tetanus, congenital abnormalities and other infections. Neonatal asphyxia is a condition where a newborn cannot breathe spontaneously and regularly, which can reduce oxygen and further increase carbon dioxide levels, which can have bad consequences in later life. The aim of this research is to determine the relationship between Low Birth Weight (LBW) Babies and the incidence of Neonatal Asphyxia at the Fatiha Clinic in 2022. This research design uses quantitative research methods with a case control approach. Case samples were taken using total sampling technique and control samples using simple random sampling. This research was carried out at the Fatiha clinic. The research population of all babies in the Fatiha clinic was 174 babies. There were 33 babies who experienced neonatal asphyxia and 141 babies who did not experience neonatal asphyxia. The research used a secondary data check list sheet. Univariate and bivariate data analysis using the chi square test. These results show that there is a relationship between low birth weight babies and the incidence of neonatal asphyxia. The P value for low birth weight babies is 0.000 < 0.05. The advice in this research is that pregnant women are expected to be diligent in carrying out pregnancy checks so that complications are detected early during pregnancy and can anticipate or prevent things that may occur during pregnancy until delivery
Hubungan Preeklamsia dengan Kejadian Berat Bayi Lahir Rendah di Klinik Fatiha Nabila, Nabila Aswina; Harahap, Dewi Anggriani; Afiah
Evidence Midwifery Journal Vol. 3 No. 1 (2024): JANUARI 2024
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/emj.v3i1.22688

Abstract

Data from the World Health Organization (WHO) shows that in 2019 as many as 45% of under-five deaths occurred in the first month of life and almost one million neonatal deaths occurred on the day of birth. Low birth weight is a condition when a baby is born with a body weight of less than 2500 grams. The aim of this research is to determine the relationship between preeclampsia and the incidence of low birth weight babies at the Fatiha Clinic in 2022. This research design uses quantitative research methods with a case control approach. Case samples were taken using total sampling technique and control samples using simple random sampling. The research was carried out at the Fatiha Clinic. The research population of all newborns at the Fatiha Clinic was 174 newborns. There were 35 babies born who experienced Low Birth Weight and 139 babies who did not experience Low Birth Weight. The research uses a secondary data checklist sheet. Univariate and Bivariate data analysis using the Chi-Squere test. These results indicate a relationship between preeclampsia and the incidence of low birth weight babies, with a p value of 0.001 < 0.05. For this reason, the clinic frequently provides health education to the public regarding the importance of paying attention to parity factors in planning pregnancy.
Hubungan Paritas dengan Kejadian Berat Bayi Lahir Rendah di Klinik Fatiha Yuswitira, Melly; Syahda, Syukrianti; Harahap, Dewi Anggriani
Evidence Midwifery Journal Vol. 3 No. 1 (2024): JANUARI 2024
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/emj.v3i1.22696

Abstract

According to WHO, the world infant mortality rate (IMR) is still quite high, namely 54 per 1000 live births. Causes of death include LBW (38.94%), neonatal asphyxia (27.97%), infections including neonatal sepsis (5.68%), pneumonia 5.68%) and congenital abnormalities. Low birth weight is a condition when a baby is born with a body weight of less than 2500 grams. The aim of this research is to determine the relationship between parity and the incidence of low birth weight babies at the Fatiha Clinic in 2022. This research design uses quantitative research methods with a case control approach. Case samples were taken using total sampling technique and control samples using simple random sampling. The research was carried out at the Fatiha Clinic. The research population of all newborns at the Fatiha Clinic was 174 newborns. There were 35 newborns who experienced Low Birth Weight and 139 babies who did not experience Low Birth Weight. The research uses a secondary data checklist sheet. Univariate and Bivariate data analysis using the Chi-Squere test. These results show that there is a relationship between parity and the incidence of low birth weight babies, with a p value of 0.000 <0.05. For this reason, the clinic frequently provides health education to the public regarding the importance of paying attention to parity factors in planning pregnancy.
Hubungan Prematur dengan Kejadian Asfiksia Neonatorum di Klinik Fatiha Yundi, Yundi; Harahap, Dewi Anggriani; Afiah
Evidence Midwifery Journal Vol. 3 No. 2 (2024): APRIL 2024
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/emj.v3i2.23039

Abstract

In Indonesia, the incidence of neonatal asphyxia in referral hospitals of death due to neonatal asphyxia is 41.94%, the cause of neonatal death is estimated to be intrapartum asphyxia at 21%, while asphyxia in infants is 45% the cause of infant death. Asphyxia is a condition in which newborn babies experience failure to breathe spontaneously and regularly immediately after birth. The impacts of asphyxia include brain damage, hypoxic ischemic encephalopathy, acute kidney failure, respiratory distress, heart failure, entericolitis, necrotizing. Apart from causing infant death, the long-term impacts experienced by children can result in neurological disorders from mental retardation, systemic disorders. central nervous system, heart, kidneys, gastrointestinal tract, liver, blood and lungs. The impact on the mother is psychological disorders such as stress, anxiety and depression due to worries about her baby. The aim of this research is to determine the relationship between prematurity and the incidence of neonatal asphyxia at the Fatiha Clinic in 2022. This research design uses quantitative research methods with a case control approach. Case samples were taken using total sampling technique and control samples used systematic random sampling. The research was carried out at the Fatiha Clinic. The case population in this study was 33 newborns who experienced neonatal asphyxia, while the control population was 141 newborns who did not experience neonatal asphyxia. The research uses a secondary data checklist sheet. Univariate and Bivariate data analysis using the Chi-Squere test. These results show that there is a relationship between prematurity and the incidence of neonatal asphyxia, with a p value of 0.001 < 0.05. For this reason, the clinic can minimize the incidence of baby asphyxia and can improve health services even better by providing counseling to pregnant women to prevent asphyxia in newborn babies.
Gambaran Pengetahuan Ibu Tentang Gizi Seimbang dalam Pencegahan Stunting pada Balita Di Desa Tanjung Harapan Wilayah Kerja UPT Puskesmas Lipat Kain Tahun 2023 Alia, Alia Lestari; Harahap, Dewi Anggriani; Dhilon, Dhini Anggraini
Evidence Midwifery Journal Vol. 3 No. 2 (2024): APRIL 2024
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/emj.v3i2.26276

Abstract

National nutritional problems among children under five can be seen from data from Riau Province in 2021, the prevalence of stunting was 27.4% in 2019, 22.3% in 2021 and decreased to 17% in 2022, while in Kampar district it was 25.7% in 2021, one of which is in the region The work of the UPT Puskesmas folding cloth includes 98 toddlers. As such, moms need to be aware of and comprehend the dietary requirements of their toddlers. The purpose of this study is to examine how women in Tanjung Harapan village, the UPT Puskesmas Fold Kain's operational region in 2023, describe their understanding of the importance of a balanced diet in preventing toddler stunting. This study employed a quantitative descriptive research design. 49 respondents made up the entire sample for this study, which was selected using the total sampling technique. A questionnaire with univariate analysis displayed in a frequency distribution is used as the data gathering instrument. According to the research's findings, mothers' understanding of the benefits of toddlers' nutritional needs is in the good category for 49 (100%) respondents, and mothers' understanding of the concept of balanced nutrition is in the good category for 41 (83.67%) respondents. 32 (65.31%) of the respondents who are under five fall into the good category. Similarly, 47 (95.92%) of the respondents describe their mothers' knowledge of food processing; 48 (97.95%) describe mothers' knowledge of factors that influence toddlers' nutritional status; and 30 (61.22%) describe mothers' knowledge of balanced nutrition. It is hoped that mothers in the UPT Puskesmas Folding Cloth work area can apply knowledge about balanced nutrition in order to prevent stunting so that the number of stunting incidents is reduced.
Hubungan Preeklampsia dan Anemia pada Ibu Hamil dengan Kejadian Berat Badan Lahir Rendah di RSUD Bangkinang Warningsih, Ayu Dahlia; Syahda, Syukrianti; Harahap, Dewi Anggriani
Evidence Midwifery Journal Vol. 3 No. 2 (2024): APRIL 2024
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/emj.v3i2.26443

Abstract

One of the causes of infant death is due to Low Birth Weight (BBLR). WHO defines babies with a birth weight of less than 2500 grams as low weight, where this condition is at risk of neonatal, post-natal death and higher morbidity than babies born with normal weight. This study was conducted to determine the relationship between preeclampsia and anemia in pregnant women with the incidence of Low Birth Weight at Bangkinang Hospital in 2023. This type of research is quantitative research using a retrospective case control approach research design. The population in this study is all newborn data in 2022 as many as 474 babies. The sample in this study used a ratio of 1: 1, namely 62 with case samples (infants who experienced low birthweight) and 62 with control samples (infants who did not experience low birthweight). The data collection tool in this study used Checklist sheets Data analysis in this study used univariate and bivariate analysis. The results of the study found that there was a relationship between preeclampsia in pregnant women with the incidence of low weight with p value (0.003) and there was a relationship between anemia in pregnant women and the incidence of low weight with p value (0.004). It is hoped that mothers can prepare themselves better to prevent low birth weight by maintaining good nutrition during pregnancy and checking pregnancy regularly with health workers as a form of introspection. Health workers should be able to improve public education and health checks such as Hb and maternal blood pressure so that mothers can better maintain their pregnancies to anticipate low birth weight events.