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Bambi activity tools more effective than brick blocks in early childhood development: a comparative study Asy-syifa Maulida Putri; Hernayanti, Munica Rita; Margono, Margono
Jurnal Kesehatan Ibu dan Anak Vol. 18 No. 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v18i2.2677

Abstract

Early childhood is a critical period for cognitive, motor, and social development. While various play-based tools are used to stimulate child development, there is limited evidence comparing the effectiveness of different tools. This study aimed to compare the effectiveness of Bambi Activity Tools and Brick Blocks in enhancing early childhood development, particularly in fine motor, gross motor, language, and social skills. This quasi-experimental study employed a pretest-posttest control group design. A total of 42 children aged 5–6 years were purposively selected from two kindergartens in Sleman Regency, Indonesia. The intervention was conducted over 4 weeks, with sessions held three times per week for 30–45 minutes. Children in the intervention group used Bambi Activity Tools guided by trained teachers, while the control group used Brick Blocks under similar conditions. Developmental progress was measured using the standardized Kuesioner Pra Skrining Perkembangan (KPSP), a validated and reliable instrument assessing four domains of development. Nutritional status was screened based on BMI-for-age, and baseline demographic comparability between groups was assessed. Both groups showed significant improvement in developmental scores after the intervention; however, the mean increase was significantly greater in the Bambi Activity Tools group (mean difference = 0.95; p < 0.001, Wilcoxon test). Post-intervention comparison between groups using the Mann–Whitney U test also revealed a significant difference favoring the Bambi group (p < 0.001). The findings align with prior studies emphasizing the importance of structured, guided play in promoting developmental milestones. The greater effectiveness of Bambi Activity Tools may be attributed to their multimodal design and targeted stimulation. Maternal education, occupation, and child gender were identified as contextual factors that may influence outcomes, although no significant baseline differences were found between groups. Bambi Activity Tools are more effective than Brick Blocks in enhancing early childhood development. These findings support their integration into early childhood education settings. Future research should explore long-term developmental outcomes and scalability in diverse populations.
Preventing Stunting from the Source: A Study of Premarital Couples on Participation in Preconception Care Nuriana Kartika Sari; Ismiyati, Atik; Hernayanti, Munica Rita; Sumarah, Sumarah; Siscadarsih, Indraswari
Jurnal Kesehatan Ibu dan Anak Vol. 19 No. 1
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v19i1.2907

Abstract

Indonesia ranks among the highest globally for childhood stunting, largely due to chronic nutritional deficiencies beginning during the first 8000 days of life—starting even before conception. Poor health and nutritional status among women of reproductive age prior to marriage significantly increase the risk of adverse pregnancy outcomes and childhood stunting. This study aimed to identify the determinants of premarital couples’ participation in preconception care as a strategy to reduce stunting. This cross-sectional analytical study involved 61 premarital couples recruited through total sampling at the Office of Religious Affairs (KUA) in Kapanewon Sewon, Bantul Regency, Yogyakarta, Indonesia. Inclusion criteria included couples aged 20–35 years who met the study requirements. Data were analyzed using univariate, bivariate (Chi-square), and multivariate logistic regression tests. Knowledge (p = 0.001), attitude (p = 0.007), and social support (p = 0.015) were significantly associated with participation in preconception care. Multivariate analysis showed that couples with good knowledge were 4.3 times more likely (AOR = 4.30; 95% CI: 1.65–11.22) to participate in preconception care. Improved knowledge, positive attitudes, and strong social support significantly increase premarital couples’ participation in preconception care. Strengthening early health promotion and community-based interventions is essential to optimize reproductive health preparation and prevent stunting from its earliest source.
Exclusive Breastfeeding History with The Incidence of Stunting in Children Aged 6-24 Months Sumarah, Sumarah; Hernayanti, Munica Rita
Jurnal Bidan Cerdas Vol. 7 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v7i2.3858

Abstract

Background: Stunting is nutritional health issues in Indonesia affecting children under 5 years. Numerous variables, including exclusive breastfeeding, can contribute to stunting. This study aims to find out the influence of history of exclusive breastfeeding to stunting in children between the ages of 6 and 24 months in the Turi Health Center working area. Methods: This study used a case-control study design and an observational-analytic sampling with a simple random sampling method. All children aged 6-24 months in Turi Health Center's toddler registration who met the inclusion and exclusion criteria were listed as study subjects. There were 100 subjects with 50 subjects being cases and 50 subjects being controls. Data analysis used univariable, bivariable using Chi-square, and multivariable using logistic regression. Results: The characteristics of respondents with male and female gender had the same proportion (50%), while the children age were mostly 13-24 months old (62%). Most of respondents had a history of exclusive breastfeeding (80%) dan had never experiencing infectious diseases (58%). The findings demonstrated a significant correlation between exclusive breastfeeding history and stunting among children aged 6-24 months with a p-value of 0.012 OR 3.857 (95% CI:1.278-11.638). Conclussion: Exclusive breastfeeding is one of the keys to provide sufficient nutrients among children under five. Exclusive breastfeeding continues to be promoted to decrease the prevalence of stunting in children aged 6-24 months.or exploring other variables that influence labor progress.
Determinants of antenatal care visits among adolescent pregnancy Hernayanti, Munica Rita; Arum, Dyah Noviawati Setya; Maranata, Maranata; Laksmita, Okki Dhona
Jurnal Kesehatan Ibu dan Anak Vol. 17 No. 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v17i2.2052

Abstract

Adolescent pregnancy is a serious problem. Adolescent pregnancy can lead to reduced antenatal care (ANC) visits and result in significant consequences in the form of untreated pregnancy complications that will result in increased Maternal Mortality Rate (MMR). The primary objective of this study was to ascertain and scrutinize the factors influencing antenatal care (ANC) visitation patterns among adolescent pregnant women within Bantul Regency. This study is an observational analytic study with a cross-sectional design. The outcomes of the chi-square test for the facilitating factor yielded results about the level of education (p= 0.041), marriage status (p= 0.006), and pregnancy status (p= 0.000) while on the reinforcing factor of family support (p= 0.027). The results of this study's logistic regression test stated that health worker support (p= 0.020) and pregnancy status (p= 0.001). The conclusion of this research suggests that the pivotal determinants significantly influencing ANC utilization among adolescent pregnant women in Bantul Regency are the presence of health worker support and the particular status of pregnancy.
Factors Related to Adolescent Behavior towards HIV/AIDS Prevention Purnamaningrum, Yuliasti Eka; Nugrahawati, Ratyas Ekartika Puspita Candra; Hernayanti, Munica Rita; Vajee, Anne
Kesmas Vol. 13, No. 4
Publisher : UI Scholars Hub

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Abstract

In 2016 Special Region of Yogyakarta was ranked 9th as the province with the highest number of people suffered from HIV/AIDS especially at Sleman regency. Globally, AIDS was the second leading cause of adolescents’s death aged of 10-19 years. The purpose of this study was to find out factors affecting the behaviour of the adolescents towards HIV/AIDS prevention. This research using with cross sectional study design. The sampling technique which used was stratified random sampling resulted in 59 respondents from 11th grade students at SMA Negeri 2 Sleman were selected as sample. Data were collected using questionnaire and analyzed using Chi-Square test and Multiple Logistic Regression. The result showed that most respondents 66,1% had sufficient knowledge. Students who showed supportive attitude was 54,2%. Information obtained were mostly from electronic media. Thirty one students (52,5%) showed a positive behaviour toward HIV/AIDS prevention. Chi-Square test’s result showed that factors significantly related to adolescent’s behaviour toward HIV/AIDS prevention were knowledge and attitude. Variables most affecting was attitude (p-value=0,008; PR=4,4; 95% CI=1,4-13,1).
AKSESIBILITAS MEDIA KOMUNIKASI TERHADAP PENGETAHUAN TENTANG KANKER PAYUDARA PADA MAHASISWA POLITEKNIK PIKSI GANESHA Maranata, Maranata; HernayantI, Munica Rita; Salsabilla, Dinda Anindita; Asmara, Liddya Ganda
Jurnal Kesehatan Tambusai Vol. 5 No. 2 (2024): JUNI 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i2.29372

Abstract

Kanker payudara merupakan masalah kesehatan global yang menjadi salah satu penyebab utama kematian pada wanita. Kurangnya pengetahuan tentang kanker payudara dan kurangnya deteksi dini menjadi faktor utama yang menyebabkan tingginya angka kejadian dan kematian akibat kanker payudara, terutama di negara berkembang seperti Indonesia. Angka kejadian kanker payudara tertinggi di Indonesia tercatat sebesar 30,11% dari total kasus kanker, dengan sekitar 66.271 kasus pada tahun 2022. Di tingkat regional, di Jawa Barat, khususnya di Kota Bandung, terdapat sekitar 173 kasus yang dirujuk pada tahun 2022. Penelitian ini bertujuan untuk mengeksplorasi pengaruh aksesibilitas media komunikasi terhadap pengetahuan mahasiswa tentang kanker payudara. Penelitian ini merupakan studi deskriptif kuantitatif dengan pendekatan cross-sectional, dengan jumlah sampel 96 mahasiswa Politeknik Piksi Ganesha yang dipilih dengan metode purposive sampling, dilakukan analisis dengan uji chi-square. Berdasarkan hasil analisis, ditemukan bahwa aksesibilitas mahasiswa terhadap televisi dan radio berpengaruh signifikan terhadap pengetahuan tentang kanker payudara (p< 0.05). Namun, aksesibilitas terhadap internet, media sosial, koran/majalah tidak menunjukkan pengaruh yang signifikan terhadap pengetahuan tentang kanker payudara (p> 0.05). Meskipun semua mahasiswa memiliki aksesibilitas terhadap internet dan media sosial, tidak semua dari mereka memiliki pengetahuan yang baik tentang kanker payudara. Sementara itu, aksesibilitas terhadap leaflet/brosur juga memengaruhi pengetahuan tentang kanker payudara, di mana sebagian besar mahasiswa yang tidak memiliki aksesibilitas terhadap leaflet/brosur memiliki pengetahuan yang kurang.  
PENGARUH VIDEO CAMAR (CEGAH ANEMIA REMAJA) TERHADAP PERILAKU PENCEGAHAN ANEMIA PADA REMAJA DI KABUPATEN KULON PROGO Maranata; Hernayanti, Munica Rita; Estiwidani, Dwiana
Media Bina Ilmiah Vol. 19 No. 1: Agustus 2024
Publisher : LPSDI Bina Patria

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Abstract

Abstrak Anemia merupakan suatu keadaan kadar Hb dalam darah leih rendah dari nilai normal. Survei tahun 2018 menunjukkan remaja putri di Kabupaten Kulon Progo memiliki risiko tertinggi anemia di DIY. Salah satu upaya penanggulangan anemia remaja dengan penyuluhan Video CAMAR. Video CAMAR didesain berisi pengetahuan mengenai anemia. Tujuan penelitian ini untuk mengetahui pengaruh video CAMAR terhadap perilaku pencegahan anemia pada remaja putri di Kabupaten Kulon Progo. Penelitian ini merupakan penelitian quasi experiment dengan teknik sampling purposive sampling. Total responden 45 tiap kelompok. : Hasil penelitian ini menunjukkan terdapat hubungan yang signifikan penggunaan video CAMAR terhadap perilaku pencegahan anemia remaja pada posttest 1 dan posttest 2, terdapat hubungan yang signifikan penggunaan leaflet terhadap perilaku pencegahan anemia remaja pada post test 1 dan post test 2. Terdapat perbedaan efektifitas yang bermakna perilaku pencegahan anemia pada remaja dengan media video CAMAR (p=0,003) selisih mean 1,16 dan media leaflet (p=0,001) selisih mean 0,66. Media video CAMAR lebih efektif dalam meningkatkan perilku pencegahan anemia pada remaja di Kabupaten Kulon Progo.
EFEKTIVITAS PENDAMPINGAN OLEH TIM PENDAMPING KELUARGA (TPK) TERHADAP PERILAKU PENCEGAHAN STUNTING KABUPATEN KULON PROGO Hernayanti, Munica Rita; Ismiyati, Atik; Sumarah, Sumarah; Widyastuti, Erna
Media Bina Ilmiah Vol. 19 No. 8: Maret 2025
Publisher : LPSDI Bina Patria

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Abstract

Kulon Progo merupakan satu-satunya Kabupaten yang mengalami peningkatan prevalensi gizi buruk dari tahun 2021 ke 2021. Salah satu upaya kolaboratif yang dilakukan untuk mengatasi gizi buruk dan stunting adalah dengan pendampingan oleh Tim TPK. Penelitian ini merupakan quasi experimental dengan rancangan penalitian pre test and post test without control grup desain. Penelitian ini dilakukan di Kabupaten Kulon Progo, DIY pada bulan Maret sampai Juni 2024. Sampel dalam penelitian ini adalah remaja/calon pengantin, ibu hamil, ibu nifas, ibu balita dan keluarga yang memiliki balita yang masing-masing berjumlah 20 sampel. Hasil penelitian ini menyatakan terdapat kenaikan bermakna (Sig. < 0.05) skor rata-rata perilaku pencegahan stunting pada kelompok remaja/calon pengantin, ibu hamil, ibu nifas, dan orang tua balita.