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Factors That Influence of Family Planning Acceptors in The Selection of IUD Contraceptive Device at The Working Area of Public Health Center in Kemiling Bandar Lampung Yunitasari, Eva; Boa, Grasiana Florida; Suswanto, Didi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S1 (2022): Suplement 1
Publisher : Universitas Aisyah Pringsewu

The program launched by the government to suppress the high rate of population growth is the Family Planning program. Nonhormonal contraceptives such as the IUD used by the user are more effective in reducing the failure rate than hormonal contraceptives such as pills, injections, implants. Users of IUD acceptors at the Public Health Center in Kemiling 2022 were IUD 7.78%, MOP (Medical Surgery for Men) 24 11.05%, MOW (Medical Surgery for Women) 26.26%, Implant 44.70%, Injection 86.34%, pill 13.26% and condom 0.03%. The objective of the research was to determine the factors that influence of family planning acceptors in the selection of IUD contraceptive device at the working area of Public Health Center in Kemiling Bandar Lampung 2022. This research type was quantitative research with a cross-sectional approach. The sample in this research were all 151 active family planning participants. The objects in this research were the selection of contraceptives, knowledge, family support, the role of health care workers, and economic status. This research was carried out on December 2021 at the working area of Public Health Center of Kemiling Bandar Lampung. Collecting data with questionnaire sheets, data analysis used univariate and bivariate used Chi-Square. The results showed that there was correlation between knowledge (p-value = 0.041), husband's support (p-value = 0.010), economic status (p-value = 0.020) with the selection of IUD contraceptive devices at the public health center in Kemiling Bandar Lampung 2022, and there is no correlation between the role of health care workers and the selection of IUD contraceptive device at the working area of public health center in Kemiling Bandar Lampung 2022 (p-value = 1,000). It is planned that the public health facility will be able to offer workshops for women of reproductive age, such as contraceptive counseling activities, contraceptive use counseling, and monthly direct contraceptive services. Abstrack: Program yang dicanangkan pemerintah untuk menekan tingginya laju pertumbuhan penduduk yaitu dengan program Keluarga Berencana (KB). Kontrasepsi nonhormonal seperti IUD yang digunakan oleh pemakai lebih efektif menekan tingkat kegagalan dibandingkan alat kontrasepsi hormonal seperti pil, suntik, susuk. Pengguna akseptor IUD di Puskesmas Kemiling tahun 2022 yaitu KB IUD 7.78%, KB MOP: 24 11.05%, KB MOW 26.26%, KB Implant 44.70%, KB Suntik 86.34%, KB pil 13.26% dan KB kondom 0.03%. Tujuan penelitian ini adalah diketahui faktor-faktor yang mempengaruhi Akseptor KB dalam pemilihan alat kontrasepsi IUD di Wilayah Kerja Puskesmas Kemiling Bandar Lampung tahun 2022. Jenis penelitian kuantitatif dengan pendekatan Cross-Sectional. Sampel dalam penelitian ini adalah seluruh peserta KB aktif sebanyak 151. Objek dalam penelitian ini adalah pemilihan alat kontrasepsi, pengetahuan, dukungan keluarga, peran petugas, dan status ekonomi. Penelitian ini telah dilaksanakan pada bulan Desember 2021 di wilayah kerja Puskesmas Kemiling Bandar Lampung. Pengumpulan data dengan lembar kuesioner, analisis data secara univariate dan bivariat (Chi-Square). Hasil penelitian ada hubungan pengetahuan (p-value=0,041), dukungan suami (p-value = 0,010), status ekonomi (p-value = 0,020) dengan pemilihan alat kontrasepsi IUD di Wilayah Kerja Puskesmas Kemiling Bandar Lampung Tahun 2022, dan Tidak ada hubungan peran petugas kesehatan dengan pemilihan alat kontrasepsi IUD di Wilayah Kerja Puskesmas Kemiling Bandar Lampung Tahun 2022 (p-value= 1.000). Diharapkan puskesmas dapat membuka kelas bagi WUS, seperti: kegiatan penyuluhan kontrasepsi, konseling penggunaan kontrasepsi dan pelayanan kontrasepsi langsung yang dilakukan rutin setiap bulan.

Ibu Hamil Sehat Bebas Penyakit Menular dan Malaria melalui Edukasi Triple Eliminasi Plus dan Pemeriksaan Malaria pada Kelas Ibu Hamil Widyastuti, Ririn; Boa, Grasiana Florida; Saghu, Maria Mencyana Pati; Belarminus, Petrus; Kristin, Diyan Maria
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 9 (2024): Volume 7 No 9 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i9.16407

ABSTRAK Ibu hamil merupakan kelompok rentan tertularnya penyakit HIV (Human immunodeficiency virus), sifilis dan hepatitis B. HIV, hepatitis B dan sifilis dapat ditularkan dari ibu yang terinfeksi kepada bayinya yang dapat menyebabkan morbiditas dan mortalitas yang yang tinggi. Selain penyakit menular malaria juga masih menjadi tantangan bagi ibu hamil. Triple eliminasi plus merupakan program yang diadakan oleh Kementerian Kesehatan Republik Indonesia untuk menanggulangi penularan HIV (Human immunodeficiency virus), sifilis hepatitis B dan penambahan pemeriksaan malaria pada ibu hamil kepada bayinya. Triple eliminasi plus dilakukan untuk memastikan bahwa sekalipun ibu terinfeksi HIV, sifilis, dan atau hepatitis B sedapat mungkin tidak menularkan kepada bayinya serta malaria tidak memberikan efek kepada kehamilannya. Deteksi dini, skrining atau penapisan kesehatan pada ibu hamil dilaksanakan pada saat pelayanan antenatal terpadu sehingga mampu menjalani kehamilan hingga persalinan yang sehat. Meningkatkan pengetahuan kader dan ibu hamil tentang pencegahan penyakit menular pada ibu hamil melalui edukasi triple eliminasi plus dan pemeriksaan malaria pada kelas ibu hamil di Desa Baliloku wilayah kerja Puskesmas Lahihuruk Kec. Wanukaka Kab. Sumba Barat. Bentuk kegiatan PKM melalui edukasi kelas ibu hamil tentang pemeriksaan triple eliminasi plus dan pemeriksaan malaria pada ibu hamil. Kegiatan pengabmas dapat dilaksanakan dengan baik yang ditandai dengan antusias peserta pengabmas baik ibu hamil maupun kader. Hasil pemeriksaan malaria pada ibu hamil menunjukkan semua ibu hamil negatif malaria. Kata Kunci: Penyakit Menular, Malaria, Ibu Hamil, Triple Eliminasi Plus ABSTRACT Pregnant women are a vulnerable group for contracting HIV (Human immunodeficiency virus), syphilis and hepatitis B. HIV, hepatitis B and syphilis can be transmitted from infected mothers to their babies which can cause high morbidity and mortality. Apart from infectious diseases, malaria is also still a challenge for pregnant women. Triple elimination plus is a program held by the Ministry of Health of the Republic of Indonesia to tackle HIV transmission (Human immunodeficiency virus), syphilis hepatitis B and additional malaria screening for pregnant women and their babies. Triple elimination plus is carried out to ensure that even if the mother is infected with HIV, syphilis and/or hepatitis B, as far as possible, she does not infect her baby and that malaria does not have an effect on her pregnancy. Early detection, screening or health screening of pregnant women is carried out during integrated antenatal care so that they are able to undergo a healthy pregnancy and delivery. Increasing knowledge of cadres and pregnant women about preventing infectious diseases in pregnant women through triple elimination plus education and malaria screening in pregnant women's classes in Baliloku Village, Lahihuruk District Health Center working area. Wanukaka District. West Sumba. The form of PKM activities is through class education for pregnant women about triple elimination plus examination and malaria examination in pregnant women. Community service activities can be carried out well, which is marked by the enthusiasm of community service participants, both pregnant women and cadres. The results of malaria tests on pregnant women showed that all pregnant women were negative for malaria. Keywords: Infectious Diseases, Malaria, Pregnant Women, Triple Elimination Plus

Pelatihan Pijat untuk Stimulasi Tumbuh Kembang Balita pada Kader Posyandu dan Orang Tua Balita Stunting Awang, Mariana Ngundju; Boa, Grasiana Florida; Wanti, Wanti; Simbolon, Demsa; Irfan, Irfan; Widyastuti, Ririn; Agustine, Uly; Sine, Juni Gressilda Louisa; Belarminus, Petrus; Saghu, Maria Mencyana Pati; Lende, Julianus
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 4 No. 1 (2024): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v4i1.303

Stunting adalah kondisi gagal tumbuh pada anak yang ditandai dengan tinggi badan lebih rendah dari rata-rata usianya. Prevalensi balita stunting di Provinsi NTT adalah 35,3% dam kabupaten Sumba Barat 23,3%. Di tingkat kecamatan terdapat 2 kecamatan yang mengalami kenaikan kasus di tahun 2022 yakni kecamatan Lamboya dan Wanukaka. Data balita stunting kec Wanukaka berjumlah 222 balita. Desa tertinggi dengan kasus stunting adalah Desa Baliloku dengan jumlah balita stunting 22 anak dengan status gizi 4 anak sangat pendek dan 18 anak pendek. Data ini belum mencapai target penurunan angka stunting menjadi 14% yang tertuang dalam Peraturan Presiden Republik Indonesia Nomor 72 Tahun 2021 tentang percepatan penurunan stunting. Solusi yang dilakukan adalah melakukan pelatihan pijat untuk stimulasi tumbuh kembang balita pada kader posyandu dan arangtua balita stunting. Tujuan dari kegiatan ini adalah untuk stimulasi tumbuh kembang balita stunting yang ditandai dengan penambahan berat badan balita stunting. Peserta kegiatan terdiri dari kader posyandu (20 orang) dan orangtua balita stunting (21 orang). Hasil dari kegiatan ini adalah terdapat pengaruh pijat pengaruh pijat bayi/balita terhadap stimulasi tumbuh kembang (penambahan berat badan) dengan p-value 0.000 (p < 0.005).

The Knowledge And Socio-Economic Relationships Of Mothers With Exclusive Breastfeeding Boa, Grasiana Florida; Bata, Verayanti Albertina; P. Saghu, Maria Mencyana; Widyastuti, Ririn
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.v10i10.17868

Pemberian ASI eksklusif pada bayi diharapkan dapatmeningkatkan pencapaian target Sustainable Development Goals (SDGs) ke-3 target ke-2 yaitu pada tahun 2030 mengakhiri kematian bayi dan balita, dengan seluruh negara berusaha menurunkan angka kematian neonatal setidaknya hingga 12 per 1.000 kelahiran hidup. World Health Organization (WHO) dan United Nations Childrens Fund (UNICEF) (Artini, 2013).Meskipun demikian cakupan ASI eksklusif di seluruh dunia hanya sekitar 37,3% selama periode 2007-2018 (Riskesdas 2018). Rikesdas (2018) juga menjelaskan bahwa perilaku Ibu dalam memberikan MP-ASI dini di Indonesia juga tergolong tinggi, dibuktikan dengan jumlah bayi yang mendapatkan ASI eksklusif hanya 30,2% sedangkan bayi yang telah diberikan MP-ASI dini adalah 69,8% dari seluruh total bayi di Indonesia. Bayi usia 0-6 bulan di Nusa Tenggara Timur sebagian besar sudah memperoleh ASI eksklusif, namun karena alasan sosial ekonomi keluarga dan minimnya pengetahuan tentang ASI Ekslusif sehingga masih terdapat Ibu yang memberikan MP-ASI dini kepada bayi sebelum berusia enam bulan yaitu sebanyak 22,2% (Profil Kes. NTT, 2013).Khususnya di Kabupaten Sumba Barat, salah satunya ialah di wilayah kerja Puskesmas Kabukarudi, tingkat pemberian MP-ASI dini masih cukup tinggi. Sebanyak 12,9% bayi usia 0-6 bulan pada tahun 2014 telah diberi MP-ASI dini seperti air tajin, the, biskuit, dan susu formula. Pada Bulan Januari sampai dengan April 2020 terdapat 68,2% bayi sudah diberikan MP-ASI dini oleh Ibu (Puskesmas Kabukarudi, 2021). Adapun Tujuan dari penelitian ini adalah Menganalisis hubungan status sosial ekonomi dan pengetahuan Ibu dengan pemberian ASI Eksklusif di wilayah kerja Puskesmas Kabukarudi Kabupaten Sumba Barat. Metode penelitian adalah analisis univariat dan bivariat menggunakan uji Chi Square. Hasil Penelitian menunjukkan Terdapat hubungan status sosial ekonomi (pendidikan, pekerjaan dan penghasilan) Ibu dengan pemberian ASI Eksklusif di wilayah kerja Puskesmas Kabukarudi Kabupaten Sumba Barat. Perlunya pencegahan dini terjadinya pemberian MP-ASI dini dengan pelaksanaan program kunjungan rumah secara berkala, pola penyuluhan berdasarkan tingkatan pendidikan dan pengetahuan masyarakat dan proses pengontrolan ketat serta evaluasi pelaksanaan program dalam upaya menurunkan angka kejadian pemberian MP-ASI dini. Kata Kunci: Pengetahuan, Bayi 0-6 Bulan, Status Sosial Ekonomi Ibu Menyusui ABSTRACT Exclusive breastfeeding of infants is expected to improve the achievement of the 3rd Sustainable Development Goals (SDGs) target 2, which is to end infant and under-five mortality by 2030, with all countries striving to reduce neonatal mortality to at least 12 per 1,000 live births. The World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) (Artini, 2013). However, exclusive breastfeeding coverage worldwide was only around 37.3% during 2007-2018 (Riskesdas 2018). Rikesdas (2018) also explains that the behavior of mothers in providing early complementary foods in Indonesia is also relatively high, as evidenced by the number of babies who are exclusively breastfed is only 30.2% while babies who have been given early complementary foods are 69.8% of all babies in Indonesia. Infants aged 0-6 months in East Nusa Tenggara have mostly received exclusive breastfeeding. However, due to socioeconomic reasons and lack of knowledge about exclusive breastfeeding, there are still mothers who give early complementary foods to infants before the age of six months, as many as 22.2% (Profile Kes. NTT, 2013). Especially in West Sumba Regency, one of which is in the working area of the Kabukarudi Health Center, the level of early complementary feeding is still quite high. 12.9% of infants aged 0-6 months in 2014 were given early complementary foods such as air tajin, biscuits, and formula milk. From January to April 2020, 68.2% of infants were given early solids by their mothers (Puskesmas Kabukarudi, 2021). The purpose of this study was to analyze the relationship between socioeconomic status and maternal knowledge with exclusive breastfeeding in the work area of the Kabukarudi Health Center, West Sumba Regency. The research method is univariate and bivariate analysis using the Chi-Square test. The results showed that there was a relationship between socioeconomic status (education, employment, and income) of mothers with exclusive breastfeeding in the working area of the Kabukarudi Health Center, West Sumba Regency. The need for early prevention of early complementary feeding by implementing regular home visit programs, counseling patterns based on the level of education and knowledge of the community, and the process of strict control and evaluation of program implementation to reduce the incidence of early complementary feeding. Keywords: Knowledge, Infants 0-6 Months, Socioeconomic Status of Breastfeeding Mothers

Home Environmental Conditions With Dengue Hemorrhagic Fever Incidence In West Sumba Regency Agustine, Uly; Belarminus, Petrus; Ora, Anderias Tarawatu; Boa, Grasiana Florida
Jurnal EduHealth Vol. 15 No. 02 (2024): Jurnal eduHealt, Edition April - June , 2024
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Dengue hemorrhagic fever, caused by the dengue virus and spread by the Aedes aegypti mosquito, is characterised by sudden fever lasting 2 to 7 days without a clear cause, weakness/lethargy, restlessness, heartburn, and skin bleeding in the form of petechiae, ecchymosis, or purpura. Sometimes nosebleeds, diarrhoea, bloody vomit, loss of consciousness, or shock Dengue fever was identified in West Sumba District, mainly in Dira Tana Village, Loli District, with 50 cases. This study examines West Sumba Regency's Dengue Hemorrhagic Fever incidence and home environmental variables. This quantitative case-control study compares Dengue Hemorrhagic Fever patients to controls. This quantitative case-control study compares Dengue Hemorrhagic Fever patients to controls.Statistical analysis with a significance value of 5% (0.05) yielded a p-value of 0.491, indicating no association between house shape or type and dengue illness. Because almost every respondent's house, both stilt and permanent, has waste water drainage channels, breeding places, resting places, and containers inside and outside the house, dengue fever incidence is unrelated to house type.

An analysis of factors causing stunting in toddlers in the lahihuruk health center working area, west sumba regency Boa, Grasiana Florida; Belarminus, Petrus; Saghu, Maria Mencyana P.; Widyastuti, Ririn; Bata, Verayanti A.
Science Midwifery Vol 12 No 6 (2025): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i6.1810

Stunting is a long-standing nutritional problem caused by low dietary intake over a long period due to inadequate feeding. Stunting can appear when a child is two years old or earlier. When a person grows up, stunting becomes one of the causes of their lack of productivity. It can also hinder economic growth increase poverty and widen inequality. Therefore, the nutritional intake of pregnant women, the lactation process, the adequacy of breast milk, complementary foods that contain enough nutrients, and how deworming is done for infants and toddlers should be reviewed from the beginning. These are thought to cause stunting. This study aims to determine the relationship between various factors that cause stunting in toddlers in the working area of the Lahihuruk Health Center, West Sumba Regency. This research was conducted in the Lahihuruk Community Health Center Working Area, West Sumba Regency, with a total sample of 60 stunting and healthy toddlers. The results showed that several factors cause stunting in toddlers, including maternal age, history of maternal illness during pregnancy, history of breastfeeding, complementary feeding, parenting history, environmental factors, and socioeconomic status. The results of chi-square analysis obtained a p-value of 0.000 where there is an association between these factors and the incidence of stunting in toddlers. It is hoped that health facilities can conduct home visits, provide additional food for stunted toddlers, and closely evaluate their development.

Hubungan ketuban pecah dini dan preeklampsia dengan persalinan preterm Yunitasari, Eva; Fitri, Feni Elda; Boa, Grasiana Florida
Holistik Jurnal Kesehatan Vol. 19 No. 5 (2025): Volume 19 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i5.693

Background: Prematurity is the leading cause of neonatal death and is now the second leading cause of death in infants. The incidence of preterm birth generally ranges from 6-10%, with only 1.5% of births occurring at less than 32 weeks' gestation and 0.5% at less than 28 weeks' gestation. Purpose: To determine the relationship between premature rupture of membranes and preeclampsia and preterm birth. Method: This quantitative study, using a case-control approach, was conducted on February 13-14, 2025, at Bhayangkara Hospital in Bandar Lampung. The sample consisted of 206 respondents divided into two groups: a case group consisting of 103 respondents with preterm labor and a control group consisting of 103 respondents with term (non-preterm) labor. The sampling technique used was simple random sampling. Data were collected using a checklist based on medical records, then analyzed univariately and bivariately. The statistical test used was Chi-square, as all data were categorical. Results: 86 respondents (83.5%) from the case group and 41 respondents (39.8%) from the control group experienced premature rupture of membranes. Furthermore, 84 respondents (81.6%) from the case group and 48 respondents (46.6%) from the control group experienced preeclampsia. There was a significant association between premature rupture of membranes and preterm labor (p-value = 0.000) with an odds ratio (OR) of 7.6. Similarly, there was a significant association between preeclampsia and preterm labor (p-value = 0.001) with an OR of 5.0. Conclusion: Premature rupture of membranes and preeclampsia play a significant role in increasing the risk of preterm birth. Suggestion: Hospitals can provide more intensive care and treatment for preterm births in accordance with established protocols. This can be achieved by providing outreach through the distribution of brochures, leaflets, and other media to inform pregnant women about the risk factors for preterm birth. Keywords: Pre-Eclampsia; Premature Rupture of Membranes; Preterm Labor. Pendahuluan: Prematuritas adalah penyebab utama kematian neonatal dan sekarang menjadi penyebab utama kedua kematian pada anak-anak bawah lima tahun. Angka kejadian persalinan preterm pada umumnya adalah sekitar 6-10%, hanya 1.5% persalinan terjadi pada umur kehamilan kurang dari 32 minggu dan 0.5% pada kehamilan kurang dari 28 minggu. Tujuan: Untuk mengetahui hubungan ketuban pecah dini dan preeklampsia dengan persalinan preterm. Metode: Penelitian kuantitatif dengan pendekatan case control yang dilaksanakan pada tanggal 13–14 Februari 2025, di Rumah Sakit Bhayangkara Bandar Lampung. Sampel terdiri dari 206 responden yang terbagi menjadi dua kelompok, yaitu kelompok kasus sebanyak 103 responden dengan persalinan preterm dan kelompok kontrol sebanyak 103 responden dengan persalinan maturitas (non-preterm). Teknik pengambilan sampel menggunakan simple random sampling. Data dikumpulkan melalui lembar checklist berdasarkan data rekam medis, kemudian dianalisis secara univariat dan bivariat. Uji statistik yang digunakan adalah Chi Square karena seluruh data bersifat kategorik. Hasil: Responden yang mengalami ketuban pecah dini berjumlah 86 responden (83.5%) dari kelompok kasus dan 41 responden (39.8%) dari kelompok kontrol. Selain itu, responden yang mengalami preeklampsia tercatat sebanyak 84 responden (81.6%) dari kelompok kasus dan 48 responden (46.6%) dari kelompok kontrol. Terdapat hubungan yang signifikan antara ketuban pecah dini dengan persalinan preterm (p-value = 0.000) dengan nilai odds ratio (OR) sebesar 7.6. Demikian pula, terdapat hubungan yang signifikan antara preeklampsia dan persalinan preterm (p-value = 0.001) dengan OR sebesar 5.0. Simpulan: KPD dan preeklamsia memiliki peran yang signifikan dalam meningkatkan risiko terjadinya persalinan preterm. Saran: Rumah sakit dapat memberikan penanganan dan perawatan yang lebih intensif terhadap kejadian persalinan preterm sesuai dengan protap yang ada dengan cara memberikan pemahaman melalui penyebaran brosur, leaflet dan lain sebagainya, sehingga ibu hamil memperoleh informasi tentang faktor yang berisiko terhadap kejadian persalinan preterm. Kata Kunci: Ketuban Pecah Dini (KPD); Preeklampsia; Persalinan Preterm.

Pemberdayaan Masyarakat Untuk Mencegah Stunting Melalui 3P (Penyuluhan Kesehatan, Pemanfaatan Bahan Pangan Lokal dan Pijat Bayi) Widyastuti, Ririn; Boa, Grasiana Florida; Dafroyati, Yuliana; Belarminus, Petrus; Bata, Verayanti Albertina; Saghu, Maria Mencyana Pati; Riti, Dessy Natalia
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 2 (2024): Volume 7 No 2 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i2.13040

ABSTRAK Stunting adalah kondisi gagal pertumbuhan pada anak usia di bawah lima tahun (balita) akibat kekurangan gizi kronis. Stunting ditandai dengan tinggi badan anak yang lebih pendek dari standar usianya. Deteksi dini stunting merupakan hal yang penting dilakukan, karena stunting dapat memiliki dampak yang signifikan terhadap kesehatan dan kesejahteraan anak. Kader posyandu merupakan tenaga kesehatan yang berperan penting dalam deteksi dini stunting. Deteksi dini stunting dapat dilakukan dengan cara mengukur pertumbuhan dan perkembangan anak secara rutin. Deteksi dini bisa dilakukan melalui pemantauan tumbuh kembang setiap bulan. Selain itu kader posyandu dapat memberikan penyuluhan dan edukasi tentang stunting kepada masyarakat, mengajarkan pengolahan bahan pangan lokal untuk PMT dan mengajarkan pijat bayi kepada orangtua bayi/balita untuk stimulasi tumbuh kembang. Tujuan memberdayakan Masyarakat (kader dan orangtua bayi/balita) untuk mencegah stunting melalui 3P (Penyuluhan kesehatan, pemanfaatan bahan pangan lokal dan pijat bayi). Metode Penelitian Penyuluhan kesehatan, pelatihan pemanfaatan bahan pangan lokal dan pelatihan pijat bayi pada kader posyandu. Kegiatan pengabdian Masyarakat dapat dilakukan dengan baik yang ditandai dengan antusiasme peserta mengikuti kegiatan, kader dan orangtua dapat mempraktikkan cara pembuatan PMT Modisco modifikasi dengan bahan pangan lokal serta dapat mempraktikkan kembali pijat bayi untuk stimulasi tumbuh kembang. Pemberdayaan masyarakat (kader dan orangtua) melalui program 3P sudah terlaksana dengan baik sesuai dengan waktu yang telah ditetapkan dan diharapkan dapat digunakan sebagai alternatif untuk mencegah stunting. Kata Kunci: Stunting, Penyuluhan, Pangan Lokal, Pijat Bayi ABSTRACT Stunting is a condition of growth failure in children under five years of age (toddlers) due to chronic malnutrition. Stunting is characterized by a child's height being shorter than the age standard. Early detection of stunting is important because stunting can have a significant impact on children's health and welfare. Posyandu cadres are health workers who play an important role in the early detection of stunting. Early detection of stunting can be done by regularly measuring a child's growth and development. Early detection can be done by monitoring growth and development every month. Apart from that, posyandu cadres can provide counselling and education about stunting to the community, teach local food processing for providing additional food and teach baby massage to parents of babies/toddlers to stimulate growth and development. Purpose to empower the community (cadres and parents of babies/toddlers) to prevent stunting through health education, use of local food ingredients and baby massage. Health education, training on the use of local food ingredients and baby massage training for posyandu cadres. Community service activities can be carried out well as indicated by the enthusiasm of the participants in participating in the activities, cadres and parents can spread the method of making Modisco modifications using local food ingredients and can retransmit baby massage to stimulate growth and development. Community empowerment (cadres and parents) through the 3P program has been implemented well in accordance with the stipulated time and is expected to be used as an alternative to prevent stunting. Keywords: Stunting, Counselling, Local Food, Baby Massage

Pengaruh Pendidikan Kesehatan Terhadap Perilaku Pemangku Adat Dalam Penemuan Kasus TB Belarminus, Petrus; Boa, Grasiana Florida; S, Maria Ch Endang.
JURNAL KESEHATAN PRIMER Vol 5 No 1 (2020): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/jkp.v5i1.458

Introduction: Find the TB cases is the first step to TB client medication stage. Find and treat the TB infectious client steadily will reduction the number of the infectious and deadly cases. Besides, it could be the best preventive action to stop the TB amount. The best strategy to catch the TB suspect is by make a good collaboration with the district community by the involved of customary stakeholder (Rato). The purpose of this research is to know the effect of health education to the Rato behavior (knowledge, attitudes and actions) also other factor that influence the Rato in deciding the best treatment need for the TB suspect at Wanukaka regions. Method: this research is a quantitative research using the Quasi Experimental Pre-Posttest with Control Group research design. The sample are taken with Purpose Sampling. There are 28 subjects of Wanukaka region locality customary stakeholders. Fourteen of them are for intervention group and 14 others for the controlling group. The intervention given is three times of health education. Results: the analysis show that the health education effects the increasing of knowledge and attitude toward p value < 0,005, also show that there is difference of knowledge and behavior in deciding the best attitude toward the TB suspect to the intervention group and the control group p value < 0,005. With an increase in the value of knowledge in the intervention group by 11.5 points and a change in the value of the attitude of the intervention group by 10.71 points, as well as showing differences in knowledge and attitudes in TB case finding in the intervention group and the control group. Conclusion: This study shows that health education influences the behavior of RATO in TB case finding in Wanukaka. Pendahuluan: Penemuan kasus merupakan langkah pertama dalam kegiatan tatalaksana klien TB. Penemuan dan penyembuhan klien TB secara bermakna akan menurunkan angka kesakitan dan kematian serta merupakan kegiatan pencegahan penularan TB yang paling efektif di masyarakat. Strategi kunci untuk dapat menemukan kasus TB adalah dengan melibatkan peran serta masyarakat termasuk tokoh adat (Rato). Tujuan penelitian ini adalah diketahuinya pengaruh pendidikan kesehatan terhadap perilaku pemangku adat (Rato) dalam penemuan Kasus TB. Metode: penelitian Quasi Eksperimental Pre-Post test with Control Group desain. Teknik pengambilan sampel dengan total sampling. Jumlah responden masing-masing 14 orang untuk kelompok intervensi dan 14 orang untuk kelompok kontrol. Intervensi yang diberikan adalah pendidikan kesehatan yang dilakukan sebanyak 3 kali. Hasil: analisis menunjukan bahwa pendidikan kesehatan berpengaruh terhadap peningkatan pengetahuan sikap dan tindakan dengan p value 0,005 < 0,05. Dengan peningkatan nilai pengetahuan pada kelompok intervensi sebesar 11,5 poin dan perubahan nilai sikap kelompok intervensi sebesar 10,71 poin, serta menunjukan ada perbedaan pengetahuan dan sikap dalam penemuan kasus TB pada kelompok intervensi dan kelompok kontrol. Kesimpulan: Penelitian ini menunjukkan bahwa pendidikan kesehatan mempengaruhi perilaku RATO dalam penemuan kasus TBC di Wanukaka.

Efektifitas Back Massage terhadap Produksi ASI pada Ibu dengan Post Sectio Caesarea Boa, Grasiana Florida; S, Maria Christina Endang; Belarminus, Petrus
JURNAL KESEHATAN PRIMER Vol 6 No 1 (2021): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/jkp.v6i1.528

Abstract: Introductions: Production of little or no fluent milk in the first days of childbirth becomes an obstacle in breastfeeding for mothers with post-sectio caesarea. Back Massage is an alternative solution to overcome the smooth production of breast milk. The purpose of this study was to see the effectiveness of Back Massage on the production of breast milk in mothers with cesarean post section. Methods: This study design used two groups of pre-post-test designs. The population of this study was all 22 post-sectio Caesarea patients in the Midwifery room of the Waikabubak Regional Hospital. The research instrument used a questionnaire, indicator guidelines, and observation sheets. T-test data analysis for bivariate data. Results: The results showed that back massage interventions were effective in increasing milk production in post-sectio Caesarean mothers. Univariate and bivariate test analysis results obtained p-value from each test is the normality test of 0.193, homogeneity test of 0.676, and the T-test of Dependent Paired T-Test of 0,000 which means that there are significant results regarding the production of breast milk between the two test groups. In the Back-massage intervention group, the value of p-value is 0,000 <0.05, which means that milk production increases. Conclusion: Mothers who get back massage are more effective in milk production more than mothers who do not get back massage. Abstrak: Pendahuluan: Produksi ASI yang sedikit atau tidak lancar pada hari-hari pertama persalinan menjadi kendala dalam pemberian ASI bagi ibu post sectio caesarea. Pijat punggung merupakan salah satu solusi alternatif untuk mengatasi kelancaran produksi ASI. Tujuan penelitian ini adalah untuk melihat efektivitas Pijat Punggung terhadap produksi ASI pada ibu post seksio sesarea. Metode: Desain penelitian ini menggunakan dua kelompok desain pre-post-test. Populasi penelitian ini adalah seluruh 22 pasien post sectio caesarea di ruang kebidanan RSUD Waikabubak. Instrumen penelitian menggunakan angket, pedoman indikator, dan lembar observasi. Analisis data uji-t untuk data bivariat. Hasil: Hasil penelitian menunjukkan bahwa intervensi pijat punggung efektif dalam meningkatkan produksi ASI pada ibu pasca seksio sesarea. Hasil analisis uji univariat dan bivariat diperoleh p-value dari masing-masing uji yaitu uji normalitas 0,193, uji homogenitas 0,676, dan uji T Dependent Paired T- Test sebesar 0,000 yang artinya terdapat hasil yang signifikan mengenai produksi payudara. susu antara dua kelompok uji. Pada kelompok intervensi pijat punggung nilai p-value 0,000<0,05 yang berarti produksi ASI meningkat. Kesimpulan: Ibu yang mendapatkan pijat punggung lebih efektif dalam produksi ASI dibandingkan ibu yang tidak mendapatkan pijat punggung.

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