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Determinan Perilaku Pemeriksaan HIV pada Wanita Penjaja Seks Langsung di Eks Lokalisasi Sari, Nirma Lidia
Jurnal Kesehatan Vol 13 No 1 (2022): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v13i1.2662

HIV testing is the most important entry point in HIV/AIDS prevention, care, support, and treatment services. In implementing HIV/AIDS and STI control, the government recommends re-testing for HIV at least once every 6 months in groups with high-risk behavior. However, the coverage of HIV testing in key populations vulnerable to HIV infection, including Direct Female Sex Workers (DFSW) is still low. The purpose of this study was to determine the factors associated with HIV testing behavior among DFSW. The sample in this study amounted to 103 people. Data were analyzed using univariate, bivariate, and multivariate multiple logistic regression methods. The test results showed that the source of the information was related to HIV testing (p-value 0.045); odds ratio 4.401. Peer support was related to HIV testing (p-value 0.023) odds ratio 5.22. Support from field officers was related to compliance with HIV testing (p-value 0.000); odds ratio 19.02. There are two confounding variables, namely health worker support (p-value 0.28); odds ratio 3.747 and attitude (p-valule 0.242); odds ratio 0.461 as a protective factor. From the results of the analysis, it was found that field staff variables had more influence on HIV testing. Efforts to improve HIV testing behavior are carried out by increasing the number of information sources that are presented as attractive as possible. The role of field officers and peers as partners in encouraging DFSW to carry out HIV testing needs to be increased.

Gambaran Kejadian Balita Dengan Berat Badan Dibawah Garis Merah (BGM) Di Wilayah Kerja Puskesmas Raja Basa Indah sari, nirma lidia
Jurnal Ilmu Gizi Indonesia (JIGZI) Vol 2, No 2 (2021)
Publisher : Universitas Mitra Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57084/jigzi.v2i2.1538

AbstrakBerat badan balita yang berada di bawah garis merah pada KMS dapat menjadi indikator awal bahwa anak tersebut mengalami masalah gizi yaitu gizi kurang atau gizi buruk sehingga perlu mendapatkan perhatian. Balita BGM tidak selalu berarti menderita gizi buruk. Akan tetapi, itu dapat menjadi indikator awal bahwa balita tersebut mengalami masalah gizi. Tujuan penelitian : untuk mengetahui gambaran kejadian balita dengan berat badan di bawah garis merah di Puskesmas Rajabasa Indah tahun 2022. Penelitian ini merupakan jenis penelitian deskriptif, yaitu untuk melihat gambaran dari suatu variabel. Penelitian ini menggunakan rancangan penelitian cross sectional. Populasi dalam penelitian ini adalah semua keluarga yang mempunyai balita dengan berat badan dibawah garis merah (BGM) diwilayah kerja Puskesmas Rajabasa Indah tahun 2023 yang berjumlah 21 balita pada bulan januari-februari. Sedangkan jumlah sampel dalam penelitian ini adalah 21 balita. Teknik analisa data dengan analisa univariat untuk menjabarkan dan mendeskripsikan karakteristik setiap variabel penelitian Hasil : Balita dengan BB di bawah Garis Merah di Wilayah Kerja Puskesmas Rajabasa Indah Bandar Lampung berjumlah 21 Balita. Ibu yang memiliki balita dengan berat badan dibawah garis merah lebih banyak pada kategori pendidikan dasar yaitu sebanyak 15 responden (71,40%). Ibu yang memiliki balita dengan berat badan dibawah garis merah lebih banyak pada kategori ekonomi rendah yaitu sebanyak 13 responden (61,90%). Ibu yang memiliki balita dengan berat badan dibawah garis merah lebih banyak pada kategori pengetahuan cukup yaitu sebanyak 9 responden (42,90%).Kata kunci : balita, berat badan di bawah garis merah (BGM), Pendidikan, Status Ekonomi, Pengetahuan AbstractA toddler's weight below the red line on the KMS can be an early indicator that the child is experiencing nutritional problems, namely malnutrition, so they need attention. BGM toddlers do not always mean suffering from malnutrition. However, it can be an early indicator that the toddler is experiencing nutritional problems. Research objective to determine the incidence of toddlers with a body weight below the red line at the Rajabasa Indah Community Health Center in 2022. This research is a type of descriptive research, namely to see a description of a variable. This research uses a cross sectional research design. The population in this study were all families who had toddlers with a weight below the red line (BGM) in the working area of the Rajabasa Indah Health Center in 2023, totaling 21 toddlers in january-february. Meanwhile, the number of samples in this study was 21 toddlers. Data analysis technique: univariate analysis to describe the characteristics of each research variable. Results: There were 21 toddlers with weight below the red line in the Rajabasa Indah Bandar Lampung Community Health Center working area. There were more mothers who had toddlers with a weight below the red line in the basic education category, namely 15 respondents (71.40%). There were more mothers who had toddlers with a weight below the red line in the low economic category, namely 13 respondents (61.90%). There were more mothers who had toddlers with a weight below the red line in the sufficient knowledge category, namely 9 respondents (42.90%).Keywords: toddlers, body weight below the red line (BGM), Education, Economic Status, KnowledgeKeywords : BGM

Pendidikan Kesehatan tentang Anemia dalam kehamilan dan Pemeriksaan Hb sebagai Langkah Deteksi Dini Sari, Nirma Lidia
Jurnal Pengabdian Masyarakat Jajama (JPMJ) Vol 2 No 1 (2023): JPMJ Vol 2 No 1 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Panca Bhakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47218/jpmj.v2i1.268

Berdasarkan data World Health Organization (WHO) 2015, di seluruh dunia angka prevalensi anemia pada ibu hamil mencapai 41,8%. Sedangkan di Indonesia prevalensinya meningkat, di tahun 2013 ibu hamil dengan anemia sebanyak 37,1% sedangkan di tahun 2018 menjadi 48,9% (Riskesdas, 2018). Kondisi anemia saat hamil bisa memberi efek buruk terutama di kehamilan, persalinan dan nifas. Misalnya saat kehamilan, ibu menjadi mudah sakit akibat daya tahan tubuh turun, sehingga pertumbuhan janin terhambat dan berat badan lahirnya rendah. Terjadi persalinan prematur, anemia menjadi lebih berat (HB < 6 gr%), kematian janin, proses persalinan lama, dan perdarahan pascasalin. Tenaga kesehatan melakukan penanganan ibu hamil yang anemia dengan cara memberikan tablet Fe sebanyak 90 tablet. Adapun cara mengkonsumsinya diminum bersamaan dengan vitamun C agar penyerapannya menjadi baik sebaliknya konsumsi tablet Fe tidak dibarengi minum kopi, susu, dan teh agar tidak mengganggu proses penyerapan zat besi. Dan untuk mengurangi keluhan mual, sebaiknya diminum pada malam hari sebelum tidur.

Iron Tablet Side Effects And Role Of Health Workers In Improving Adherence Among Pregnant Women Sari, Nirma Lidia; Yuliasari, Alfiyana
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 10 (2024): Volume 10 No.10 Oktober 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i10.17063

Latar Belakang: Anemia pada ibu hamil merupakan ancaman serius bagi kesehatan ibu dan bayi baru lahir dan merupakan masalah kesehatan masyarakat yang utama. Selama kehamilan normal, tubuh wanita mengalami perubahan fisiologis dan menyebabkan anemia fisiologis. Namun, anemia fisiologis jika tidak ditangani dengan baik dapat berkembang menjadi anemia patologis yang ditandai dengan kadar hemoglobin < 10 mg/dl.Tujuan: menganalisis pengaruh efek samping pemberian tablet zat besi dan peran petugas kesehatan terhadap konsumsi tablet zat besi lengkap pada ibu hamil.Metode: Penelitian ini merupakan penelitian kualitatif dengan pendekatan cross sectional. Sampel pada penelitian ini berjumlah 115 ibu hamil dengan Teknik pengambilan sampel simple random sampling. Pengumpulan data dilakukan dengan kuesioner. Test statistic used Chi Square test.Hasil: Dibandingkan dengan ibu yang tidak mengalami efek samping Fe, ibu yang mengalami efek samping Fe memiliki kemungkinan 15 kali lebih besar untuk tidak mengkonsumsi Fe sesuai petunjuk. Selain itu, ibu yang memiliki persepsi negatif terhadap peran petugas kesehatan terkait penggunaan zat besi memiliki kemungkinan 30 kali lebih besar untuk melanggar pedoman konsumsi zat besi dibandingkan dengan ibu yang memiliki persepsi positif terhadap peran petugas kesehatan terkait penggunaan zat besi.Kesimpulan: Terdapat hubungan positif efek samping dan peran petugas terhadap kelengkapan konsumsi tablet Fe pada ibu hamil di wilayah Puskesmas Kota Karang Bandar Lampung.Saran: Untuk meningkatkan cakupan konsumsi tablet Fe secara lengkap pada ibu hamil, petugas kesehatan diharapkan dapat memberikan edukasi terkait pentingnya mengkonsumsi tablet Fe dan cara mengatasi efek samping tablet Fe. Selain itu, peran petugas yang mendorong ibu hamil untuk mengkonsumsi tablet Fe akan meningkatkan kepatuhan konsumsi. Kata Kunci : Efek Samping, Ibu Hamil, Peran Petugas, Tablet Fe ABSTRACT Background: Anemia in pregnant women is a serious threat to maternal and newborn health and is a major public health problem. During normal pregnancy, a woman's body undergoes physiological changes and causes physiological anemia. However, physiological anemia if not treated properly can develop into pathological anemia characterized by hemoglobin levels < 10 mg/dl.Purpose: To analyze the effect of side effects of iron tablet administration and the role of health workers on the consumption of complete iron tablets among pregnant women.Methods: This research is a qualitative study with a cross-sectional approach. The sample in this study amounted to 115 pregnant women with simple random sampling technique. Data collection was done by questionnaire. Test statistic used Chi Square test.Results: Compared to mothers who did not experience Fe side effects, mothers who experienced Fe side effects were 15 times more likely to not consume Fe as directed. In addition, mothers who had a negative perception of the role of health workers related to iron use were 30 times more likely to violate iron consumption guidelines compared to mothers who had a positive perception of the role of health workers related to iron use.Conclusion: There is a positive relationship between side effects and the role of officers on the completeness of Fe tablet consumption among pregnant women in the Kota Karang Health Center area in Bandar Lampung.Suggestions: To increase the coverage of complete Fe tablet consumption among pregnant women, health workers are expected to provide education related to the importance of consuming Fe tablets and how to overcome the side effects of Fe tablets. In addition, the role of officers who encourage pregnant women to consume Fe tablets will increase consumption compliance. Keywords: Side Effects, Role of Health Workers, Fe Tablets, Pregnant Women

Breastfeeding Practices During The First 1000 Days And Their Long-Term Association With Stunting In Children Under Five: A Systematic Literature Review Widyantari, Kadek Yuke; Fatriani, Rully; Sari, Nirma Lidia; listiana, Akma
JKM (Jurnal Kebidanan Malahayati) Vol 11, No 7 (2025): Volume 11, Nomor 7 Juli 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v11i7.21055

Latar Belakang: Stunting merupakan masalah kesehatan masyarakat yang masih bertahan di negara-negara berpenghasilan rendah dan menengah, dengan dampak jangka panjang terhadap pertumbuhan fisik dan perkembangan kognitif anak. Praktik menyusui selama 1000 Hari Pertama Kehidupan telah diidentifikasi sebagai faktor penting yang memengaruhi pertumbuhan linear, meskipun hasil penelitian sebelumnya menunjukkan temuan yang beragam.Tujuan: Penelitian ini bertujuan untuk meninjau secara sistematis bukti terkini mengenai hubungan antara praktik menyusui selama 1000 HPK dengan risiko stunting pada anak di bawah usia lima tahun.Metode: Tinjauan literatur sistematis dilakukan mengikuti pedoman PRISMA. Pencarian dilakukan pada database PubMed, ScienceDirect, dan ProQuest, dengan batasan tahun terbit 2020–2025. Seleksi artikel menggunakan kerangka PICOS, dan penilaian kualitas menggunakan instrumen dari Joanna Briggs Institute.Hasil: Sebanyak 12 artikel memenuhi kriteria inklusi. ASI eksklusif secara konsisten dikaitkan dengan penurunan risiko stunting. Inisiasi menyusui dini bersifat protektif, sementara menyusui lebih dari 12 bulan pada keluarga berpenghasilan rendah dikaitkan dengan peningkatan risiko stunting akibat rendahnya keberagaman makanan. MP-ASI yang tidak memadai, berat badan lahir rendah, dan infeksi berulang turut memperburuk risiko.Kesimpulan: Praktik menyusui yang optimal selama 1000 HPK sangat penting untuk mencegah stunting. Keberhasilan menyusui perlu didukung oleh pendidikan ibu, pemberian MP-ASI yang sesuai, serta intervensi multifaktorial.Saran: Diperlukan program edukasi yang berkelanjutan bagi ibu mengenai praktik menyusui dan pemberian MP-ASI yang tepat, serta kebijakan yang mendukung intervensi lintas sektor untuk menanggulangi faktor risiko stunting secara komprehensif. Kata Kunci: menyusui, stunting, 1000 hari, MP-ASI, nutrisi dini, pertumbuhan anak ABSTRACT Background: Stunting remains a persistent public health issue in low- and middle-income countries, with long-term consequences for children's physical and cognitive development. Breastfeeding during the first 1000 days has been identified as a critical factor influencing linear growth, though previous studies have yielded mixed findings.Objective: This study aims to systematically review recent evidence on the relationship between breastfeeding practices during the first 1000 days and the risk of stunting among children under five.Methods: A systematic literature review was conducted using the PRISMA framework. Articles were retrieved from PubMed, ScienceDirect, and ProQuest, limited to studies published between 2020 and 2025. The PICOS model guided the inclusion criteria, and the Joanna Briggs Institute checklist was used for quality appraisal.Results: Twelve articles met the inclusion criteria. Exclusive breastfeeding was consistently associated with reduced stunting risk. Early initiation of breastfeeding had a protective effect, whereas prolonged breastfeeding beyond 12 months in poor households increased stunting risk, likely due to poor dietary diversity. Inadequate complementary feeding, low birth weight, and recurrent infections further compounded the risk.Conclusion: Optimal breastfeeding during the first 1000 days significantly reduces the risk of stunting. However, successful breastfeeding requires maternal education, appropriate complementary feeding, and multifactorial interventions.Suggestion: Sustainable maternal education programs and integrated policy support are essential to promote optimal feeding practices. Multisectoral interventions addressing nutrition, healthcare access, food security, and sanitation are recommended to effectively reduce stunting rates in vulnerable populations. Keywords: breastfeeding, stunting, 1000 days, complementary feeding, early nutrition, child growth

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