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Qualitative Analysis on the Factors Affecting Exclusive Breastfeeding among Working Mothers at Community Health Center in Bangkalan, Madura Tiyas, Dwi Wahyuning; Murti, Bhisma; Indarto, Dono
Journal of Maternal and Child Health Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (208.373 KB)

Abstract

Background: Exclusive breast milk is the main food for infants aged 0-6 months. Breast feeding can be extended up to 2 years with complementary food. The prevalence of exclusive breast feeding is targeted to exceed 80%. Study have shown some factors may determine exclusive breastfeeding among working mothers, such as desire to return to work soon after giving birth, distance from home to the workplace, and supporting facilities (e.g. space, freezer) at the workplace. This study aimed to investigate factors affecting exclusive breast feeding among working mother at the workplace.Subjects and Method: This was a qualitative study with phenomenology approach. This study was conducted at the Community Health Center, Bangkalan, Madura. A total of 9 working mothers were purposively selected as informants. The administrators at the workplace were interviewed as another source of information. Some family members were also selected as informants. The data were collected by interview, observation, taking photos, and document review (e.g. maternal and child health book).Results: Exclusive breastfeeding was associated with workplace support for breastfeeding. Adequacy of breastfeeding facility at the workplace was described by mothers as having a place allocated for expressing breast milk and provision of flexible time to express breast milk other than the usual rest time. Most of mothers who were interviewed breastfed their babies for less than three months. Mothers who worked in workplaces that did not provide breastfeeding rooms and refrigerators were more likely to discontinue breastfeeding. Lack of flexible time to express breast milk was also associated with breastfeeding discontinuation. The existence of policies breastfeeding leave, arrangement for light duty after delivery, and flexible working hours, were associated with breastfeeding.Conclusion: Provision of adequate breastfeeding facilities at the workplace, such as a room in which to express breast milk, and a refrigerator, as well as the existence of policy that allows mothers to have flexible time to express breast milk, are important determinants for exclusive breast feeding among employed mothers.Keywords: exclusive breast feeding, working mothers, workplace Correspondence: Dwi Wahyuning Tiyas. Masters Program in Public Health, Sebelas Maret UniversityJournal of Maternal and Child Health (2016), 1(2): 110-118https://doi.org/10.26911/thejmch.2016.01.02.06
Peningkatan Partisipasi Kunjungan Posyandu Balita Melalui Penguatan Dukungan Mitra Tiyas, Dwi Wahyuning
Jurnal Pengabdian Masyarakat Bangsa Vol. 1 No. 11 (2024): Januari
Publisher : Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/jpmba.v1i11.648

Abstract

Pos Pelayanan Terpadu (Posyandu) menjadi wadah upaya Kesehatan Bersumber Daya Masyarakat (UKBM) diselenggarakan, dikelola dari, oleh, untuk, bersama Masyarakat untuk pembangunan kesehatan didesa, target minimal pemerintah terhadap jumlah kunjungan balita yang datang untuk melakukan penimbangan (D/S) setiap bulannya diangka 75%, Berdasarkan Laporan Kesehatan tahun 2022 di Bangkalan kunjungan ke posyandu baru mencapai target pada angka 54,3%, kurangnya partisipasi Masyarakat dalam kunjungan keposyandu dipengaruhi oleh faktor dukungan keluarga, keterbatasan sarana, termasuk penyediaan Makanan Tambahan, dana, peran kader, kurangnya pengetahuan dan pengalaman dalam pelaksanaan posyandu. Memerlukan upaya keterlibatan Pihak ketiga dalam Pembangunan partisipasi Masyarakat dalam mengatasi faktor keterbatasan yang ada, dan sebagai wujud partisipasi Masyarakat dalam penyelenggaran Kesehatan dasar dipedesaan yaitu pada kegiatan posyandu agar terlaksana dengan baik, serta mendorong penyelesaian permasalahan  rendahnya partisipasi kunjungan ibu bayi/ Balita keposyandu, dan keterbatasan kader dalam penyelenggaraan kegiatan posyandu, diperlukan keterlibatan dosen dan mahasiswa kesehatan sebagai mitra penyelenggara kegiatan posyandu. Terjadi Peningkatan angka partisipasi kunjungan keluarga/ibu Bayi dan Balita ke Posyandu setiap bulannya melalui Manipulasi pelaksanaan kegiatan posyandu 5 meja oleh mahasiswa sebagai mitra pendamping kader, sehingga terlaksana kegiatan posyandu dengan system 5 meja oleh  kader posyandu, pemberian Dukungan fasilitas untuk kegiatan posyandu (Papan system 5 meja, alat timbangan ,ukur Tinggi Badan)dan dukungan Makanan Tambahan oleh mitra, Pemberian edukasi tentang posyandu telah Meningkatkan pengetahuan dan pemahaman ibu/keluarga bayi balita tentang posyandu, penyampaian informasi kegiatan posyandu melalui aplikasi Group WA sebagai wadah bagi kader, keluarga balita dan tenaga kesehatan membantu penyebar luasan adanya kegiatan posyandu yang akan dilaksanakan setiap bulannya.
Theory of Planned Behaviour Perilaku Orang Tua Dalam Pencegahan Stunting Pada Anak Ferdianto, Angga; Tiyas, Dwi Wahyuning; Amalia, Rizkiyatul
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.38754

Abstract

Stunting merupakan ancaman besar terhadap kualitas penduduk Indonesia dan juga merupakan ancaman terhadap daya saing negara. Anak yang mengalami stunting tidak hanya pertumbuhan fisiknya yang terhambat, namun juga perkembangan otaknya yang terhambat. Hal ini tentu saja berdampak besar pada kemampuan dan prestasi anak di sekolah, serta produktivitas dan kreativitas mereka diusia produktif. Perilaku orang tua termasuk kedalam salah satu strategi dalam hal pencegahan stunting. Tujuan penelitian ini menganalisis perilaku orang tua dalam melakukan pencegahan stunting pada anak dengan Theory of Planned Behavior. Metode yang digunakan adalah analytic observasional dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah ibu, dan jumlah sampel sebanyak 200 responden, analisis yang digunakan regresi logistic ganda. Hasil menunjukkan Perilaku pencegahan stunting dipengaruhi oleh Pendidikan rendah ?SMA nilai p=0.000, sikap positif dengan nilai p=0.07, norma subjektif yang positif dengan nilai p=0.035, persepsi kendali perilaku yang kuat dengan nilai p=0.010, niat yang kuat dengan nilai p=0.023. Kesimpulan Pendidikan ?SMA, sikap yang positif, norma subjektif yang mendukung, persepsi kendali perilaku yang kuat, niat yang kuat berpengaruh terhadap perilaku pencegahan stunting. Kata Kunci: Stunting, Pencegahan, TPB, Perilaku
SUPPORTING THE PREVENTION OF PREECLAMPSIA IN PREGNANT WOMEN THROUGH PRENATAL YOGA RELAXATION TRAINING Tiyas, Dwi Wahyuning
JURNAL PARADIGMA (PEMBERDAYAAN & PENGABDIAN KEPADA MASYARAKAT) Vol 7 No 1 (2025): JURNAL PARADIGMA VOLUME 7 NOMOR 1 APRIL 2025
Publisher : STIKES NGUDIA HUSADA MADURA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/pgm.v7i1.2687

Abstract

Blood pressure above 140 mmHg in pregnant women is an indicator of preeclampsia during pregnancy. Hypertension experienced by pregnant women can lead to complications such as seizures (eclampsia), cardiovascular disorders, stroke, and even maternal death. Based on observations of pregnant women in Lantek Timur Village, Galis district, Bangkalan Regency, it was found that 28% of pregnant women were at risk of developing preeclampsia. This highlights the need for preventive efforts to reduce blood pressure, inflammation of endothelial function, and physical stress during pregnancy. One effective approach to promote relaxation, calmness, and comfort in pregnant women is through prenatal yoga relaxation exercises. Prenatal yoga is a productive solution that helps return the body to a calmer state. The combination of physical techniques, structured breathing, and meditation stimulates a sense of well-being as mothers face the challenges of pregnancy. Because this technique requires repeated practice, health education and facilitated prenatal yoga sessions are necessary and can be incorporated into maternal health classes as an additional activity. Health education on the prevention of preeclampsia through prenatal yoga had been implemented in a planned manner. Educational media, including PowerPoint presentations, instructional videos, and pre- and post-tests, were provided. The results showed that most pregnant women had a good level of knowledge, with scores above 76% on the post-test. The facilitated implementation of prenatal yoga exercises was conducted through demonstration by facilitators, the distribution of booklets as guides for home practice, and the use of audiovisual media. During the sessions, all participating pregnant women were able to follow and imitate the prenatal yoga movements. Furthermore, every participant expressed that they felt calm and relaxed, and stated a desire to continue practicing prenatal yoga independently at home.