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Pramana, Cipta
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Dukungan Sosial Suami Terhadap Pemberian ASI Eksklusif di Wilayah Puskesmas Sinorang Kabupaten Banggai Kasio, Yarike; Gunarmi, Gunarmi; Pramana, Cipta
JURNAL KESEHATAN REPRODUKSI Vol 11, No 1 (2024)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.92510

Abstract

Background: Exclusive breastfeeding is one of the world's efforts to prepare healthy future generations from an early age.Objective: This research is to determine the relationship between husband's social support and exclusive breastfeeding for breastfeeding mothers at the Sinorang Community Health Center, Banggai Regency.Method: This research is quantitative research with a cross-sectional approach. Data analysis used in this research used the chi square test.Results and Discussion: There is a significant relationship (p value = 0.000) of husband's informative support with exclusive breastfeeding; there is a significant relationship (p value = 0.047) of husband's emotional support with exclusive breastfeeding; there is a significant relationship (p value = 0.000) of husband's instrumental support with exclusive breastfeeding; There is a significant relationship (p value = 0.024) of husband's appraisal support with exclusive breastfeeding.Conclusion: There is a relationship between social support consisting of informative support, emotional support, instrumental support, appraisal support and exclusive breastfeeding.
Pelatihan Kader Dalam Upaya Pencegahan Stunting Di Desa Talang Curup Lorenza, Gracelia Mona; Pramana, Cipta; Fadhilah, Siti
Jurnal Dehasen Mengabdi Vol 4 No 2 (2025): September-Februari
Publisher : Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jdm.v4i2.9345

Abstract

Stunting in Indonesia is a health issue that continues to receive serious attention from the government. According to data from the Indonesian Nutritional Status Survey (SSGI), the prevalence of stunting in Indonesia has shown a significant downward trend in recent years. The most striking decline occurred between 2021 and 2022, when the prevalence of stunting dropped from 24.4% to 21.6% (Ministry of Health, 2023a). The 2024 Indonesian Health Survey showed that the prevalence of stunting in toddlers aged 0-59 months was 15.8%, while in children aged 0-23 months (toddlers) it was 12.9% (Ministry of Health, 2023b). The government aims to reduce the stunting rate to 14% by the end of 2024, requiring an average reduction of 1.8% to achieve this target (Teja, 2022). The objectives to be achieved through the activity "Training cadres in efforts to prevent stunting in Talang Curup Village" are to increase cadre knowledge about efforts to prevent stunting, Increase cadre awareness about efforts to prevent stunting, Reduce the risk of stunting, improve the quality of life of toddlers, increase cadre participation in improving parenting and eating patterns. In this activity, cadres are given material supplies in the form of counseling, which begins with a pre-test, after which they are given materials, then a question and answer session is carried out which is then to evaluate the cadre's understanding, ending with a post-test. In the pre-test and post-test sessions, cadres are given ten questions with a score of <60 meaning poor knowledge and a score> 60 meaning good knowledge. It is hoped that after participating in this counseling, cadres will be able to maintain and have a high awareness to maintain parenting and nutritional intake in toddlers. Lack of cadre knowledge about efforts to prevent stunting can cause various problems in growth and development and nutrition in toddlers. Stunting is a condition of failure to grow in toddlers due to chronic malnutrition so that children are shorter for their age. (malnutrition occurs since the baby is in the womb and in the early life after birth, but only appears after the child is 2 years old). Understanding of stunting prevention efforts for cadres does not have good knowledge regarding stunting prevention. So with the provision of this education in Talang Curup Village, it is hoped that it can increase the knowledge of cadres and influence behavior in maintaining parenting and eating patterns as well as clean and healthy living. The method used is lectures and group discussions that take place interactively. The number of cadres who attended was 10 people. Cadres really need health education that discusses stunting prevention efforts. The results of this activity achieved the goal, The outreach activity of providing education on stunting prevention efforts to increase the knowledge of cadres in Talang Curup Village has increased the knowledge of cadres so that it is expected to continue to increase the knowledge of cadres about stunting, The achievement of the target in this community service activity which is targeted is cadres with a total of 10 people, The achievement of the target of this community service activity is increasing adolescent knowledge about stunting prevention efforts. This can also be seen from the post-test results which are better than the pre-test results. In the post-test results, it can be seen that most of the cadres who initially had low scores have improved. This is certainly a benchmark that the material presented can be well received by the counseling participants. From the results of this counseling, it can be concluded that the counseling material on "Cadre Training in Stunting Prevention Efforts in Talang Curup Village" is an effective method in increasing cadre knowledge regarding stunting and its prevention, this can also be seen from the results of the post-test and pre-tests which are better than the results of the pre-test. In the post-test results, it can be seen that most of the adolescents who initially had low scores have improved. This is certainly a benchmark that the material presented can be well received by the counseling participants, it is hoped that this increase in knowledge can change the attitude of cadres to be more concerned with stunting prevention.
Wanita pada Kehamilan 31 Minggu dengan Sindrom HELLP: Laporan Kasus Siregar, Rayhan Al-ghifari Iridansyah; Binui, Evander Antonio; Kurniawati, Bernice Helsa; Evalyn, Elsa; Pramana, Cipta
Jurnal Sehat Indonesia (JUSINDO) Vol. 7 No. 2 (2025): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/.v7i2.357

Abstract

Sindrom hemolysis, elevated liver enzymes, and low platelet (HELLP) adalah gangguan multisistem yang ditandai dengan hemolisis, peningkatan enzim hati, dan trombositopenia. Sindrom ini telah diketahui sebagai komplikasi dan progresivitas dari preeklamsia berat atau eklampsia. Beberapa faktor risiko yang telah diidentifikasi antara lain primigravida, mola hidatidosa, gemelli, diabetes melitus, usia terlalu muda atau terlalu tua, riwayat preeklamsia, penyakit ginjal, riwayat hipertensi sebelum kehamilan atau kehamilan sebelumnya, dan obesitas. Kami melaporkan seorang wanita berusia 28 tahun, G2P1A0, hamil 31 minggu yang datang ke Instalasi Gawat Darurat (IGD) Rumah Sakit Daerah Kanjeng Raden Mas Tumenggung (KRMT) Wongsonegoro dengan kejang dan kehilangan kesadaran. Saat masuk, pasien ini juga mengalami hipertensi, trombositopenia, peningkatan enzim hati, penurunan fungsi ginjal, dan proteinuria. Tujuan penelitian ini adalah memberikan gambaran klinis dan manajemen mengenai sindrom HELLP dan gangguan ginjal akut pada kehamilan 31 minggu. Kesimpulan pada penelitian ini adalah sindrom HELLP dan gangguan ginjal akut terjadi akibat kurangnya deteksi dan pengobatan secara dini. Sehingga, operasi caesar dilakukan setelah stabilisasi kondisi ibu dan pematangan paru-paru janin. Kondisi bayi setelah dilahirkan ditemukan memiliki berat badan lahir sangat rendah dengan asfiksia berat. Baik ibu dan bayi dipulangkan dengan kondisi yang telah membaik.
PENGARUH EDUKASI DENGAN APLIKASI SKOPIA TERHADAP PENGETAHUAN KADER TERKAIT KOMPLEMENTER PENCEGAHAN STUNTING Hadi, Selasih Putri Isnawati; Hakim, Riska Ismawati; Pramana, Cipta; Maimunah, Siti; Tirtana, Arif
Prosiding Seminar Informasi Kesehatan Nasional 2023 : SIKesNas 2023
Publisher : Fakultas Ilmu Kesehatan Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/sikenas.vi.2960

Abstract

Di Negara berkembang seperti Indonesia banyak ditemukan Masalah kesehatan yang berkaitan dengan kekurangan kebutuhan mikronutrien, apalagi di umur anak masih balita (5 tahun kebawah). Di masa kritis ini menjadi fokus perhatian karena merupakan masa kritis serta menjadi golden age yang tidak dapat terulang kembali. Masalah gizi anak yang utama saat ini sedang dialami adalah tingginya angka stunting. Masalah ini bisa diatasi salah satunya dengan peningkatan pengehuan kader posyandu balita menggunakan media teknologi. Penelitian ini menggunakan pendekatan quasy eksperimen dengan sasaran kader posyandu balita sejumlah 38 orang. Penentuan sampel ini dilakukan dengan teknik purposive sampling. Hasilnya ada peningkatan pengethuan kader pada kelompok yang menggunakan media aplikasi SKOPIA (Serikat Pendidikan Komplementer Ibu dan Anak) dengan p-value <0,05. Aplikasi ini dapat direkomendasikan sebagai media untuk meningkatkan pengethaun kader terkait terapi komplementer untuk pencegahan stunting pada anak
Optimalisasi Manfaat Teknik Pijat Marmet sebagai Metode Keberhasilan ASI Eksklusif Rajadiah, Ervina Yuni; Pramana, Cipta; Fadhilah, Siti
ABDI UNISAP: Jurnal Pengabdian Kepada Masyarakat Vol. 2 No. 1 (2024): ABDI UNISAP: Jurnal Pengabdian Kepada Masyarakat
Publisher : UPT Publikasi dan Penerbitan Universitas San Pedro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59632/abdiunisap.v2i1.236

Abstract

Manfaat pemberian ASI eksklusif sangat banyak namun prevalensi pemberian ASI masih relatif rendah. Ibu yang mengalami ketidakefektifan proses menyusui disebabkan produksi dan sekresi ASI yang sedikit di hari-hari pertama sehingga ibu enggan untuk menyusui bayinya. Praktek Mandiri Bidan Ervina Yuni Rajadiah masih banyak ibu yang belum mengetahui apa itu pijat marmet. Kegiatan PKM bertujuan untuk meningkatkan pengetahuan ibu menyusui dalam upaya meningkatkan keberhasilan ASI eksklusif. Sasaran PKM yaitu ibu menyusui di Praktek Mandiri Bidan Ervina Yuni Rajadiah. Metode edukasi dengan pre test dan post test, pemberian materi dan praktik. Hasil kegiatan edukasi ada peningkatan pengetahuan ibu tentang ASI eksklusif dengan rata-rata pretest berpengetahuan baik 20% dan rata-rata post test berpengetahuan baik 75%, serta ibu menyusui dapat melakukan praktik pijat marmet. Kegiatan edukasi dapat meningkatkan pengetahuan ibu tentang asi eksklusif dan keterampilan pijat marmet sebagai metode keberhasilan menyusui. 
Implementation of the “Kamoe Sajan Gata” Innovation Towards the Reduction of Maternal Mortality Rate Muaddah, Muaddah; Pabidang, Siswanto; Pramana, Cipta
Indonesian Journal of Global Health Research Vol 6 No S5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS5.4383

Abstract

Various efforts have been made by the government to achieve the target of reducing maternal and infant mortality rates in Indonesia, but these efforts have not provided maximum results. MMR and IMR are still far from the expectations achieved, this is influenced and driven by various medical and non-medical factors such as lack of support from husbands and families, customs that are still strongly embedded in society and gender factors that still dominate, one of the breakthrough efforts made by the Jeumpa Health Center is the "Kamoe Sajan Gata" innovation, namely accompanying and providing care to high-risk pregnant women from pregnancy to the end of the postpartum period by actively involving cross-sectors as policy makers. Objective to determine the performance of the implementation of the "Kamoe Sajan Gata" innovation on reducing maternal mortality rates in the Jeumpa Health Center work area, Bireuen Regency. This type of research is qualitative with a phenomenology study design. The population of this study were high-risk pregnant women in the Jeumpa Health Center area and across sectors. Research informants 17 people from the elements of the Acting Health Office, Head of Health Center, cross-sector, pregnant women and village midwives, The informant selection technique is purposive sampling. Review of aspects of standards, targets and objectives of the Innovation program policy has been carried out quite well, review of aspects of human resources is not yet fully available, review of aspects of implementer characteristics, review of aspects of communication between implementers and review of aspects of implementer attitudes are very good, and review of environmental aspects, support from all parties is very good while economic support is still very lacking. The performance of the implementation of the Innovation program policy "Kamoe Sajan Gata" has a great influence on efforts to reduce MMR and IMR.
The Effect of Yoga on Back Pain, Anxiety and Sleep Quality of Pregnant Women: A Systematic Literature Review Setyowati, Eka; Widyawati, Melyana Nurul; Pramana, Cipta
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5494

Abstract

Pregnant women often experience various physical and psychological discomforts, such as back pain, anxiety, and sleep disorders that adversely affect maternal and fetal health. One approach that has to widely studied is yoga, which is believed to be able to reduce discomfort.Objective: To analyze and evaluate the literature regarding the effects of yoga on back pain, anxiety and sleep quality in pregnant women.Methods: This study used the Systematic Literature Review (SLR) method with the PRISMA approach. The articles analyzed were obtained from the Google Scholar, PubMed, and ResearchGate databases with the keywords "pregnancy, yoga, anxiety, low back pain, and sleep quality." Inclusion criteria used the PICOS framework and resulted in 15 relevant articles.Results: An analysis of 15 articles showed that yoga is consistently effective in reducing back pain, reducing anxiety, and improving sleep quality in pregnant women, especially in the second and third trimesters.Conclusion: Yoga is a safe and effective intervention for pregnant women to reduce back pain, reduce anxiety and improve sleep quality so it can be used as an alternative to improve the overall well-being of pregnant women.
Edukasi Lancar Meng-ASI-hi dengan Pijat Laktasi di Desa Doy Kecamatan Ulee Kareng Kota Banda Aceh Susandari, Cut; Pramana, Cipta; Merida, Yunri
Jurnal Pengabdian Sosial Vol. 1 No. 7 (2024): Mei
Publisher : PT. Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/8yt4s387

Abstract

Kegiatan pengabdian kepada masyarakat yang dilaksanakan berupa edukasi kepada ibu menyusui tentang ASI dan juga pengenalan pijat laktasi melalui kegiatan penyuluhan dengan mengunakan proyektor dan juga praktek secara langsung pijat laktasi. Sasaran dalam kegiatan pengabdian masyarakat ini adalah ibu menyusui di Desa Doy Kecamatan Ulee Kareng Kota Banda Aceh. Pelaksanaan pengabdian kepada masyarakat dilakukan dengan pemberian pre test berupa kuesioner terlebih dahulu selanjutnya penyuluhan kemudian baru melakukan pendampingan akan praktek dari penyuluhan tersebut dan yang terakhir dilakukan post test berupa pengisian kuesioner pada semua ibu menyusui. Ketersediaan tenaga kader, para tenaga pembantu dalam pendokumentasian, peserta yaitu ibu menyusui, serta pejabat setempat sehingga terlaksananya kegiatan pengabdian mayarakat ini. Manfaat yang didapatkan dari kegiatan pengabdian kepada masyarakat ini antara lain dapat mengedukasi tentang Lancar meng-ASI-hi dengan pijat laktasi, serta menambah pengetahuan dan wawasan kepada masyarakat khususnya ibu menyusui. Sehingga dapat meningkatkan keberhasilan dalam program pemberian ASI sampai anak berusia 2 tahun.
Determinants of tetanus toxoid immunization uptake among brides-to-be: a mixed-method analysis Murniati, Murniati; Pramana, Cipta; Pabidang, Siswanto
Journal of Midwifery Vol. 9 No. 1 (2024): Published on June 2024
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.9.1.9-19.2024

Abstract

This study investigates the factors affecting Tetanus Toxoid (TT) immunization among brides-to-be in Aceh, using a mixed-method approach. Tetanus, a potentially fatal bacterial infection, poses a significant risk, particularly to maternal and neonatal health. Despite government mandates for TT immunization, uptake remains inconsistent. Quantitative data from structured questionnaires assessed respondents' knowledge, attitudes, and healthcare provider support. The qualitative component used in-depth interviews with brides-to-be, healthcare providers, and community leaders to explore contextual factors impacting TT immunization. Results showed that 92.9% of respondents were aged 20-35, indicating the importance of targeting this demographic. While 57.1% held college degrees or higher, a high unemployment rate (35.7%) suggested potential barriers to healthcare access. Misinformation, societal resistance, and religious concerns emerged as key challenges, with misconceptions about vaccine safety contributing to vaccine hesitancy. Recommendations for improving TT immunization uptake include targeted education campaigns, addressing religious and cultural concerns, and simplifying the immunization process. By implementing these strategies, public health authorities can increase TT immunization rates, leading to better maternal and neonatal health outcomes in Aceh
Analisa SWOT dalam Layanan Rumah Sakit Saat Ini Terhadap Kebijakan Pendirian Rumah Sakit Asing di Indonesia Biantara, Irgi; Susanto, Joko; Sumarlie, Franky; Afnita, Nur; Sukendro, Sulur Joyo; Pramana, Cipta
Jurnal Ners Vol. 10 No. 1 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.51454

Abstract

Penyelenggaraan rumah sakit asing ini, menumbuhkan persaingan sehat. Rumah Sakit memiliki peran yang sangat strategis dalam upaya mempercepat peningkatan derajat kesehatan masyarakat. Tujuan dari tinjauan analisa penelitian ini adalah untuk mengetahui bagaimana analisa SWOT terkait dengan kebijakan pendirian rumah sakit asing di Indonesia. Data yang telah dikumpulkan, diolah, dan dianalisis secara deskriptif dengan menggunakan alat analisis SWOT yang merupakan analisis kualitatif yang dilaksanakan dengan mengkaji faktor-faktor internal dan eksternal. Kebijakan mengizinkan rumah sakit asing di Indonesia merupakan peluang besar untuk meningkatkan kualitas layanan kesehatan nasional dan memanfaatkan investasi asing. Namun, penting bagi pemerintah untuk mengelola potensi risiko, seperti memastikan pemerataan akses layanan kesehatan dan mengantisipasi dampak pada tenaga kesehatan lokal, melalui regulasi yang tepat dan kebijakan pendukung yang kuat. Kata Kunci: Kebijakan Rumah Sakit, Layanan Rumah Sakit
Co-Authors Afnita, Nur Astuti, Haryati Azizatusolekhah, Eka Aprilya Biantara, Irgi Binui, Evander Antonio Dewi, Novita Puspita Edy Soesanto Eka Setyowati Evalyn, Elsa Gaofman, Brian Albert Gunarmi Gunarmi, Gunarmi Hadi, Selasih Putri Isnawati Hakim, Riska Ismawati Heru Subaris Kasjono, Heru Subaris Hilwa, Najwa Sufa Isabella, Chentia Misse Issabella, Chentia Misse JOKO SUSANTO Juliati, Juliati Kaesa Siska Hapsari, Shafira Kasio, Yarike Khaliza, Khaliza Kurniawati, Ayu Khuzaimah Kurniawati, Bernice Helsa Lorenza, Gracelia Mona Lubis, Mutia Sari Melyana Nurul Widyawati Merida, Yunri Muaddah, Muaddah Murniati . Pabidang, Siswanto Rachmiyani, Irmiya Rahayu Astuti Rajadiah, Ervina Yuni Sinta, Oka Apri Siregar, Rayhan Al-ghifari Iridansyah Siti Fadhilah, Siti Siti Maimunah Sitti Saleha, Sitti Sufiani, Andi Sulur Joyo Sukendro Sumarlie, Franky Susandari, Cut Tirtana, Arif TRI HARTITI Vivi Yosafianti Pohan Yudhoyono, Parindra Wira