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All Journal Jurnal Kebidanan Journal of Maternal and Child Health Jurnal Kesehatan Tambusai Borobudur Nursing Review
Pangestuti, Restu
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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CONTEXTUAL FACTORS OF POSYANDU ON CADRE PERFORMANCE IN PROVIDING MATERNAL AND CHILD HEALTH SERVICE IN SURAKARTA, CENTRAL JAVA Pangestuti, Restu; Dewi, Yulia Lanti Retno; Sulaeman, Endang Sutisna
Journal of Maternal and Child Health Vol 5, No 1 (2020)
Publisher : Journal of Maternal and Child Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (545.196 KB)

Abstract

Background: Cadre performance is an indicator of the success of the Posyandu program in maternal and child health services. Individual and social factors can influence the performance of cadres in providing health services. The purpose of this study was to determine factors affecting cadre performance in Surakarta, Central Java.Subjects and Method: This was an analytic observational study with a cross sectional design. The study was conducted on 25 integrated health services (posyandu) in Surakarta, Central Java, from June to July 2019. A sample of 200 cadres was selected by simple random sampling. The de­pendent variable was cadre performance. The independent variables were age, marital status, edu­cation, work, tenure, training, knowledge, and information. The data were collected by ques­tion­naire and analyzed by a multilevel logistic regression run on Stata 13.Results: Good cadre performance increased with age ?39 years (b = 1.70; 95% CI= 0.67 to 2.74; p= 0.035), education ?senior high school (b= 2.69; 95% CI= 1.10 to 4.28; p= 0.030), working at home (b= 1.87; 95% CI= 0.81 to 2.93; p= 0.024), tenure >3 years (b= 2.39; 95% CI= 1.21 to 3.56; p= 0.009), had trained (b= 1.94; 95% CI= 0.86 to 3.01; p= 0.021), married (b= 1.68; 95% CI= 0.75 to 2.60; p= 0.021), good knowledge (b= 2.17; 95% CI= 0.95 to 3.40; p= 0.023), and good infor­mation (b= 1.50; 95% CI= 0.36 to 2.63; p= 0.091). Posyandu had strong contextual effect on cadre performance with intraclass correlation (ICC)= 53.22%.Conclusion: Good cadre performance increases with age ?39 years, education ?senior high school, working at home, tenure >3 years, had trained, married, good knowledge, and good infor­mation. Posyandu has strong contextual effect on cadre performance.Keywords: work performance, maternal and child health, health services, cadreCorrespondence: Restu Pangestuti. Masters Program in Public Health, Universitas Sebelas Maret, JL. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: restupanges@gmail.com. Mobile: 085741405163 Journal of Maternal and Child Health (2020), 5(1): 28-36https://doi.org/10.26911/thejmch.2020.05.01.04
PENGARUH PENGETAHUAN DAN PELATIHAN KADER POSYANDU TERHADAP PELAYANAN KESEHATAN IBU DAN ANAK DI KABUPATEN PURWOREJO Zuliyanti, Nurma Ika; Pangestuti, Restu
Jurnal Kebidanan VOLUME 11. No.02, Desember 2019
Publisher : Sekolah Tinggi Ilmu Kesehatan Estu Utomo Boyolali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jurkeb.v11i02.407

Abstract

ABSTRAK            Latar Belakang: Kinerja kader merupakan salah satu indikator keberhasilan program Posyandu dalam pelayanan kesehatan ibu dan anak. Adanya faktor individu dan sosial dapat mempengaruhi kinerja kader dalam memberikan pelayanan kesehatan. Tingkat pengetahuan dan pelatihan yang diberikan kepada kader mampu menunjang kinerja dalam pelayanan Posyandu. Tujuan Penelitian: Mengetahui pengaruh pengetahuan dan pelatihan kader Posyandu terhadap pelayanan kesehatan ibu dan anak di Kabupaten Purworejo. Metode Penelitian: Jenis penelitian yang digunakan yaitu observasional analitik dengan pendekatan cross sectional. Penelitian dilakukan pada 25 Posyandu dari bulan Juni - Juli 2019 di Purworejo, Jawa Tengah. Subjek penelitian sebanyak 200 kader dengan teknik pengambilan sampel menggunakan simple random sampling. Variabel dependen dalam penelitian ini adalah pelayanan kesehatan. Variabel independen yang digunakan yaitu pengetahuan dan pelatihan. Pengumpulan data menggunakan kuesioner dan analisis data menggunakan uji Chi-Square dengan Stata 13. Hasil Penelitian: Kader dengan pengetahuan yang baik memiliki kemungkinan untuk melakukan pelayanan yang baik 24,56 kali daripada kader dengan pengetahuan yang kurang. Kader dengan pelatihan yang baik memiliki kemungkinan untuk melakukan pelayanan yang baik 35,55 kali daripada kader yang memiliki pelatihan kurang dalam memberikan pelayanan kesehatan ibu dan anak. Nilai signifikansi p yaitu <0.001. Kesimpulan: Pengetahuan kader yang baik dan pelatihan yang baik yang diberikan kepada kader dapat meningkatkan pelayanan kesehatan ibu dan anak dalam kegiatan Posyandu dengan nilai p<0.001. Hasil tersebut menunjukkan bahwa pengetahuan dan pelatihan sangat berpengaruh dalam meningkatkan pelayanan. Saran: Memberikan pelatihan untuk meningkatkan ketrampilan dan pengetahuan pada semua kader Posyandu secara berkala dan menyeluruh.Kata kunci : Kader Posyandu, Pelayanan Kesehatan, Kesehatan Ibu dan AnakTHE EFFECT OF POSYANDU CADRE KNOWLEDGE AND TRAINING ON MATERNAL CHILD HEALTH SERVICES IN PURWOREJO REGENCYABSTRACTBackground: Cadre performance is one of the indicators Posyandu program in maternal and child health services. The existence of individual and social factors can affect the performance of cadres in providing health services. The level of knowledge and training given to cadres is able to support the performance in Posyandu services. Purpose: Knowing the effect of posyandu cadre knowledge and training on maternal and child health services in Purworejo Regency. Subjects and Method: The type of research used is observational analytics with a cross sectional approach. The research was conducted on 25 Posyandu from June - July 2019 in Purworejo, Central Java. The study subjects were 200 cadres with sampling techniques using simple random sampling. The dependent variable in this study is the health service. Independent variables used are knowledge and training. Data collection using questionnaires and data analysis using Chi-Square test with Stata 13. Results: Cadres with good knowledge have the possibility to perform good service 24.56 times than cadres with less knowledge. Cadres with good training are more likely to perform good service 35.55 times than cadres who have less training in providing maternal and child health services. The value of p significance is <0.001. Conclusion: Good cadre knowledge and good training provided to cadres can improve maternal and child health services in Posyandu activities with p value <0.001. These results show that knowledge and training are very influential in improving services. Suggestions: Providing training to improve skills and knowledge to all Posyandu cadres periodically and comprehensive.Keywords: Posyandu Cadre, Health Services, Maternal and Child Health
Efektifitas Pendidikan Kesehatan Vagina Hygiene Tentang Keputihan Terhadap Pengetahuan dan Sikap Remaja di SMK Kesehatan Bantul Wulandari, Baiq Rina; Fatimah, Fatimah; Pangestuti, Restu; Paramita, Dyah Pradnya; Mulyaningsih, Sundari
Borobudur Nursing Review Vol 4 No 2 (2024): Borobudur Nursing Review Vol 4 No 2 (July-December 2024)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/bnur.10645

Abstract

Background: WHO states that 5% of teenagers in the world are infected with sexually transmitted diseases with symptoms of vaginal discharge every year. In Indonesia, as many as 90% of women experience vaginal discharge and as many as 60% are experienced by teenage girls. Adolescents who are in a transitional period, accompanied by the maturity of their reproductive organs, need special attention. This study aims to determine the effectiveness of vaginal hygiene health education on the knowledge and attitudes of adolescents at the Bantul Health Vocational School. Objective: To determine the effectiveness of vaginal hygiene health education on the knowledge and attitudes of Bantul Health High School students. Research Method: Research was conducted in February – March 2023 at Bantul Health Vocational School. This type of research is Quasi Experimental research with a Pretest and Posttest Design with a sample size of 30 people consisting of class XII female students. Sampling was taken using total sampling technique. Data collection was carried out using Pretest and Posttest questionnaires. Data were analyzed using the Shapiro Wilk Normality test because the amount of data in each group was lower than 50 and the Wilcoxson test because the results of the normality test showed that the data was not normally distributed. Results: 1) Before being given education, students' knowledge was 0.061 (significant p>0.05), indicating that the data was normally distributed, and after being given education, knowledge was 0.007 (significant p<0.05), indicating that the data was not normally distributed. Meanwhile, students' attitudes before being given education was 0.028 (significant p<0.05) indicating the data was not normally distributed and after being given education was 0.000 (significant p<0.05) indicating data was not normally distributed 2) There was a difference in knowledge before and after being given education of 0.000 (significant p<0.05) 3) There is a difference in attitudes before and after being given education of 0.030 (significant p<0.05). So it shows that there is a correlation between treatment in the form of Vaginal Hygiene Health Education and the knowledge and attitudes of teenagers at the Bantul Health Vocational School. Conclusion: there are differences in the knowledge and attitudes of Bantul Health High School students before and after being given education. Based on the results of this research, researchers suggest that female students should increase their insight and knowledge regarding reproductive health, including attitudes about vaginal hygiene, in order to improve reproductive health.
STUDI KASUS EFEKTIVITAS MEDIA BUKU SAKU TERHADAP PEMBERIAN ASUHAN KOMPREHENSIF PADA NY. Y DENGAN HIPERTENSI GESTASIONAL Salsabila, Natasya; Nurunniyah, Siti; Pangestuti, Restu; Mulyaningsih, Sundari
Jurnal Kesehatan Tambusai Vol. 6 No. 3 (2025): SEPTEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i3.49290

Abstract

Angka kematian ibu di Indonesia masih tinggi. Provinsi Yogyakarta masih terbilang cukup banyak AKI yang terjadi dan paling tinggi berada di Kabupaten Bantul dengan 7 kasus AKI per bulan Januari sampai Agustus 2024. Kematian ibu di Indonesia masih didominasi dengan perdarahan, hipertensi gestasional atau Hipertensi dalam Kehamilan (HDK) dan infeksi. Kasus perdarahan dan infeksi cenderung menurun berbeda dengan kasus hipertensi dalam kehamilan yang cenderung naik. Faktor yang menyebabkan hipertensi yakni usia, paritas, jarak kehamilan, obesitas, hiperplasentosis, stress, pola makan yang salah, masalah emosional, hipertiroid dan koarklatasi aorta. Hipertensi gestasional dapat menyebabkan berbagai dampak bagi ibu maupun janin yang dikandungnya. Jenis penelitian yang digunakan yaitu observational deskriptif dan menggunakan pendekatan Studi Kasus continuity of care, partisipan dalam penelitian ini yakni 1 ibu hamil yang mengalami hipertensi gestasional dan diberikan intervensi menggunakan media buku saku. Hasil asuhan kebidanan secara komprehensif yang telah diberikan sesuai dengan standar pelayanan Asuhan Kebidanan, ditemukan adanya komplikasi yakni oligohidramnion, dan IUGR yang mengharuskan untuk bersalin segera secara SC.  Bayi baru lahir mengalami neojaundice. Masa nifas berlangsung dengan kondisi normal dan merencanakan akan menggunaan KB IUD. Pendampingan secara komperhensif dan pemberian edukasi menggunakan media buku saku dapat mengatasi komplikasi dan masalah-masalah yang terjadi pada saat kehamilan, bersalin, nifas, BBL dan tidak menimbulkan resiko lebih lanjut terhadap kondisi pasien serta membantu pasien mengambil keputusan  untuk menggunakan KB.
Co-Authors Endang Sutisna Sulaeman fatimah Fatimah Mulyaningsih, Sundari Nurma Ika Zuliyanti Nurunniyah, Siti Paramita, Dyah Pradnya Salsabila, Natasya Wulandari, Baiq Rina yulia lanti retno dewi