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HUBUNGAN INFEKSI SALURAN PERNAPASAN AKUT BERULANG DENGAN KEJADIAN STUNTING PADA BALITA A’yuny, Adinda Elsyira Qurroty; Sari, Atriany Nilam; Maulina, Rufidah; Rokhayati, Evi; Kusmawati, Iffah Indri
E-Jurnal Medika Udayana Vol 13 No 5 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i05.P18

Latar Belakang: Balita yang mengalami stunting pada lima tahun pertama kehidupannya, memiliki kapasitas belajar dan produktivitas rendah, serta berisiko tidak mencapai potensi fisik dan mental/ kecerdasan yang maksimal sehingga berdampak pada prestasi buruk di sekolah yang mengakibatkan produktifitas ekonomi rendah saat dewasa. Penyakit infeksi merupakan faktor penyebab langsung stunting bergantung pada frekuensi kambuh atau berulang. Infeksi saluran pernafasan akut (ISPA) merupakan penyakit infeksi yang paling sering menyerang balita, dengan 3-6 episode setiap tahunnya. Penelitian ini bertujuan untuk mengetahui hubungan infeksi saluran pernapasan akut berulang dengan kejadian stunting pada balita. Metode: Penelitian observasional analitik dengan pendekatan cross-sectional pada 88 ibu balita usia 24-59 bulan yang terdiagnosis infeksi saluran pernapasan akut di Puskesmas Sibela dalam 1 tahun terakhir yang dipilih dengan purposive sampling. Pengambilan data dilakukan pada bulan Juni 2023. Ibu diwawancarai dengan kuesioner dan balita ditimbang dan diukur tinggi badannya, status imunisasi diperoleh dari buku kesehatan ibu dan balita. Hasil: Berat badan kurang berkontribusi terhadap kejadian stunting (p-value=0,001), sedangkan status pekerjaan ibu (p-value=0,015) dan status imunisasi yang tidak lengkap (p-value=0,005) berkontribusi terhadap infeksi saluran pernapasan akut berulang berulang. Uji chi-square menunjukkan bahwa infeksi saluran pernapasan akut berulang secara signifikan berhubungan dengan kejadian stunting (p-value=0,001). Kesimpulan: Terdapat hubungan yang signifikan antara infeksi saluran pernapasan akut berulang dengan kejadian stunting, serta ditemukan bahwa kelebihan berat badan berkontribusi terhadap kejadian stunting, sementara memiliki ibu yang bekerja dan status imunisasi yang tidak lengkap berkontribusi terhadap infeksi saluran pernapasan akut berulang pada balita.

Impact of Golden Nutrition Booklet (GNB) in knowledge and attitude changes of balanced nutrition implementation in women childbearing age Wahidah, Nurul Jannatul; Hatta Novika, Revi Gama; Nurhidayati, Siti; Sari, Atriany Nilam; Maulina, Rufidah; Maulida, Luluk Fajria; Fatmawati, Riswi Alida; Mufidah, Tsabita Hanan; Azizah, Anjani Nur; Haquw, Arina Dinal; Khasanah, Nurul Ismatun; Setiani, Sari Oktantri; Amalia, Zahra Azizah
Journal of Health Technology Assessment in Midwifery Vol. 6 No. 1 (2023): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.3055

Factors that lead stunting incidents are poor nutrition and inadequate psychosocial stimulation. Most parent especially in childbearing age may have lack of education about balanced nutrition that impact their feeding implementation to their children. This study investigated the impact of Golden Nutrition Booklet (GNB) in knowledge and attitudes changes of balanced nutrition implementation in women of childbearing age. Altogether 38 women in childbearing age were included in this quasi-experiment study, one group pre-test and post-test design. Â Before the intervention, respondents were given pre-test questionnaire to assess their knowledge and attitude about balance nutrition, then given the GNB to be read during the next 7 days. In the last day, the assessment was repeated after the health education by GNB given. The study showed that health education interventions regarding GNB directly influence the increasing knowledge and attitude outcomes of women of childbearing age p <0.05. However, we can conclude that the GNB can be used as health education media for woman to implementing balanced nutrition, that could enhance child nutrition outcomes.

“ITU PILIHAN TERBAIK!”: MEMAHAMI PERSEPSI WANITA TERHADAP TUBEKTOMI Fatmawati, Riswi Alinda; Sari, Atriany Nilam; Argaheni, Niken Bayu; Sukamto, Ika Sumiyarsi; Putri, Noviyati Rahardjo
Jurnal Sains Kebidanan Vol 6, No 2 (2024): NOVEMBER 2024
Publisher : POLTEKKES KEMENKES SEMARANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jsk.v6i2.11914

Background: The participation of women as tubectomy acceptors in Indonesia is only 4.2%. Various factors play a role in decision making, this is also influenced by each woman's perception regarding tubectomy. Objective: To explore women's perceptions of tubectomy and their relationship to factors that influence decision making regarding tubectomy selection. Method: Qualitative research, phenomenological study using in-depth interviews with 8 informants at the Colomadu I Community Health Center. Informants were recruited using a linear snowball sampling technique. The findings were processed using NVivo version 12 Plus software inductively with analysis techniques according to Miles, et al. Results: Informants gave various statements regarding perceptions of tubectomy, including tubectomy as a contraceptive solution, permanent, effective in terminating pregnancy, permitted in Islam, economical, safe, easy to use and comfortable. The reasons behind the informants' desire to use tubectomy were varied, such as parity, husband's role, obstetric history, and age. Conclusion: All informants have a positive perception of tubectomy from the perspective of procedure, law, costs, and advantages of tubectomy. People closest to you, such as husbands and friends, are important when considering decision making. Health workers as the front guard have an equally important role in forming positive perceptions of tubectomy.

Hubungan Status Gizi dan Aktivitas Fisik dengan Menarche Dini pada Anak Sekolah Dasar di Surakarta Andieny, Pramudya Dwi; Sukamto, Ika Sumiyarsi; Sari, Atriany Nilam; Rokhayati, Evi; Kusmawati, Iffah Indri
Sari Pediatri Vol 27, No 1 (2025)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp27.1.2025.26-31

Latar belakang. Usia menarche bagi seorang anak perempuan sangat penting karena hal ini dapat menjadi prediksi kesehatan pada saat dewasa. Seiring berjalannya waktu, usia menarche secara signifikan semakin dini. Menarche dini ditemukan menjadi faktor risiko berkembangnya kanker payudara, kanker endometrium, leiomyomata uterus, penyakit kardiovaskular, diabetes mellitus type 2, dan obesitas. Faktor yang dapat memengaruhi menarche dini, di antaranya status gizi dan aktivitas fisik. Tujuan. Penelitian ini bertujuan untuk mengetahui hubungan antara status gizi dan aktivitas fisik dengan menarche dini pada anak sekolah dasar di Surakarta.Metode. Penelitian dilakukan di SDIT Insan Mulia Surakarta. Desain penelitian ini adalah observasional analitik dengan pendekatan cross-sectional. Sampel penelitian ini menggunakan teknik total sampling dengan jumlah 65 orang. Data dianalisis secara bivariat dengan chi-square dan analisis multivariat dengan regresi logistik biner. Hasil. Terdapat hubungan signifikan antara status gizi dengan menarche dini (p-value 0,013). Tidak terdapat hubungan signifikan antara aktivitas fisik dengan menarche dini (p-value 0,402). Status gizi (p-value 0,005) lebih berhubungan dengan menarche dini dibandingkan aktivitas fisik (p-value 0,477).Kesimpulan. Status gizi lebih berhubungan dengan menarche dini pada anak SDIT Insan Mulia. Oleh karena itu, diharapkan anak perempuan dapat menerapkan gaya hidup sehat untuk mencegah terjadinya menarche dini.

Global Research Trends on Preconception Care on the Infertility Prevention: A Bibliometric Study Novika, Revi Gama Hatta; Sari, Atriany Nilam; Nurhidayati, Siti; Maulina, Rufidah; Maulida, Luluk Fajria; Wahidah, Nurul Jannatul; Ilyas, Muhana Fawwazy
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.12

Background: Infertility affects approximately one in six individuals globally and remains a growing reproductive health concern, often linked to modifiable risk factors present before conception. Preconception care (PCC) has gained recognition as a preventive strategy, however the implementation of PCC at scale remains challenged and yet its research landscape in relation to infertility remains under-mapped.This study aimed to analyze global research trends on preconception care in the context of infertility prevention using bibliometric methods.Subjects and Method: A bibliometric analysis was conducted using the Scopus database, with data retrieved on May 12, 2024. The search strategy included terms related to PCC and infertility, yielding 486 eligible publications after screening. Included documents were English-language publications in final form, relevant to preconception care and infertility, and classified as articles, reviews, conference papers, or book materials. Analysis was performed using Scopus tools, Biblioshiny (R), and VOSviewer to examine publication trends, key contributors, and thematic evolution.Results: A total of 486 publications from 1991 to 2025 were identified, with an annual growth rate of 6.43%. Most documents were original articles (67.7%) and reviews (28.4%), authored by 2,529 contributors across 307 publication sources. Several national strategies have formalized PCC into broader public health policy to reduce disparities in pregnancy outcomes and unmet fertility needs, but there remains a critical gap in the global PCC research agenda, such as the heterogeneity in intervention protocols.Conclusion: Research on preconception care in the context of infertility prevention has expanded steadily. However, Future research should prioritize longitudinal and interventional studies, foster global collaboration, and align with broader reproductive justice goals to strengthen the evidence base. Ultimately, enhancing the visibility and implementation of PCC in both clinical and public health domains will be pivotal in addressing modifiable infertility risks and promoting equitable reproductive outcomes worldwide.

Effectiveness of the Gladdy Moddy intervention in enhancing parental readiness and maternal-fetal attachment Maulina, Rufidah; Novika, Revi Gama Hatta; Sari, Atriany Nilam; Maulida, Luluk Fajria; Nurhidayati, Siti; Wahidah, Nurul Jannatul
BKM Public Health and Community Medicine Vol 41 No 04 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i04.18748

Purpose: This study aims to assess the impact of Gladdy Moddy (Glad Mom and Daddy), an intervention comprising education, a gratitude journal, and a support group, on maternal-fetal attachment and parental readiness. Methods: This research was conducted from June to July 2024 in the villages of Trengguli and Sidomukti, under the jurisdiction of the Jenawi Health Center in Karanganyar. A pre-experimental design with a one-group pre-test and post-test was employed. A total of 23 couples were recruited using purposive sampling. Results: Initial scores for mother-fetus bonding, measured using the Prenatal Attachment Inventory (PAI), were 59.2, while scores for parental readiness, measured by the Maturity to Parenthood Scale (MPS), were 140.7. Post-test results indicated a significant increase, with PAI scores rising to 64.5 and MPS scores to 149.4. Bivariate analysis using a paired t-test revealed significance levels of 0.028 (p < 0.05) for PAI and 0.020 (p < 0.05) for MPS. Conclusion: The Gladdy Moddy intervention had a significant positive impact on prenatal attachment and parental readiness among mothers. This approach can be effectively used to prepare couples for parenthood and enhance the bond between mother and fetus.

Global Research Trends on Preconception Care on the Infertility Prevention: A Bibliometric Study Novika, Revi Gama Hatta; Sari, Atriany Nilam; Nurhidayati, Siti; Maulina, Rufidah; Maulida, Luluk Fajria; Wahidah, Nurul Jannatul; Ilyas, Muhana Fawwazy
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.12

Background: Infertility affects approximately one in six individuals globally and remains a growing reproductive health concern, often linked to modifiable risk factors present before conception. Preconception care (PCC) has gained recognition as a preventive strategy, however the implementation of PCC at scale remains challenged and yet its research landscape in relation to infertility remains under-mapped.This study aimed to analyze global research trends on preconception care in the context of infertility prevention using bibliometric methods.Subjects and Method: A bibliometric analysis was conducted using the Scopus database, with data retrieved on May 12, 2024. The search strategy included terms related to PCC and infertility, yielding 486 eligible publications after screening. Included documents were English-language publications in final form, relevant to preconception care and infertility, and classified as articles, reviews, conference papers, or book materials. Analysis was performed using Scopus tools, Biblioshiny (R), and VOSviewer to examine publication trends, key contributors, and thematic evolution.Results: A total of 486 publications from 1991 to 2025 were identified, with an annual growth rate of 6.43%. Most documents were original articles (67.7%) and reviews (28.4%), authored by 2,529 contributors across 307 publication sources. Several national strategies have formalized PCC into broader public health policy to reduce disparities in pregnancy outcomes and unmet fertility needs, but there remains a critical gap in the global PCC research agenda, such as the heterogeneity in intervention protocols.Conclusion: Research on preconception care in the context of infertility prevention has expanded steadily. However, Future research should prioritize longitudinal and interventional studies, foster global collaboration, and align with broader reproductive justice goals to strengthen the evidence base. Ultimately, enhancing the visibility and implementation of PCC in both clinical and public health domains will be pivotal in addressing modifiable infertility risks and promoting equitable reproductive outcomes worldwide.

What Makes Woman Afraid of Their Childbirth?: A Qualitative Study Nurhidayati, Siti; Novika, Revi Gama Hatta; Wahidah, Nurul Jannatul; Sari, Atriany Nilam; Maulida, Luluk Fajria; Maulina, Rufidah; Habiba, Chusna; Anggi, Ramadhani
JURNAL INFO KESEHATAN Vol 21 No 4 (2023): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol21.Iss4.1401

Fear generally fills the minds of pregnant women as they enter the third trimester of gestation. The older the gestational age, the more attention and thoughts of pregnant women are drawn to the approaching climax of childbirth, intensifying their anxiety and fear. This study aimed to assess the knowledge of birth preparedness and fear of childbirth. A qualitative facility-based descriptive study design and client exit interview questionnaire were utilized, conducted in Primary Health Care Mondokan, Sragen, from April until June 2023 with 33 pregnant women. Study participants were selected through purposive sampling. Three categories highlighted the preparedness for childbirth, including finding primary sources of information, the importance of birth companions, and reminding about the natural process of childbirth. The fear of childbirth was associated with fear of the childbirth process, fear of the tools used during childbirth, and the condition of the unborn baby. The findings suggest that pregnant women should prepare for childbirth and increase their knowledge of delivery by participating in antenatal classes to reduce fear about the childbirth process. Therefore, family healthcare providers, health facilities, other partners, program-level managers, and policymakers must take responsibility for improving health education and increasing preparedness and complication readiness through easily accessible health education strategies.

Optimalisasi Peran Kader Kesehatan dalam Edukasi Keluarga Berencana Pasca Persalinan Wahidah, Nurul Jannatul; Novika, Revi Gama Hatta; Sari, Atriany Nilam; Maulina, Rufidah; Maulida, Luluk Fajria; Nurhidayati, Siti
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 1 (2024): Volume 7 No 1 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i1.12985

ABSTRAK Edukasi Keluarga Berencana Pasca Persalinan (KBPP) yang diberikan kepada kader kesehatan telah menjadi salah satu pendekeatan yang penting dalam upaya peningkatan kualitas hidup masyarakat. Kader merupakan ujung tombak dalam pelaksanaan program KBPP karena pemahaman kader tentang konsep KBPP dapat membantu msyarakat merencanakan dan merawat kehidupan keluarga yang sehat. Pengabdian masyarakat ini bertujuan untuk mengkaji dampak edukasi KBPP bagi kader dalam meningkatkan pengetahuan, keterampilan, dan kemampuan mereka dalam memberikan layanan KBPP yang berkualitas. Metode yang digunakan dalam pengabdian masyarakat ini adalah Optimalisasi Peran kader meliputi kegiatan Assesment yakni analisis kebutuhan sasaran; Planning and Development yakni menentukan tujuan, strategi, dan sumber daya; Implementation yakni melaksanakan rencana yang telah disusun, dan Evaluation yakni mengevaluasi ketercapaian kegiatan. Kegiatan dilakukan di wilayah kerja Puskesmas Joyosuran Surakarta, pada bulan Juni 2023 dengan sasaran 29 kader kesehatan. Kegiatan pengabdian masyarakat ini menunjukkan bahwa edukasi KBPP telah memberikan manfaat yang signifikan bagi kader, meningkatkan pengetahuan mereka tentang berbagai metode KBPP, dan meningkatkan keterampilan kader dalam memberikan edukasi tentang KBPP pada masyarakat. Kegiatan pengabdian masyarakat ini menegaskan pentingnya eduiasi KBB bagi kader sebagai strategi untuk meningkatkan akses dan kualitas layanan KBPP di masyarakat. Kata Kunci: Edukasi, Keluarga Berencana Pasca Persalinan, Kader, Pengetahuan ABSTRACT Postpartum Family Planning (KBPP) provided to health cadres has become an important approach in efforts to improve the qulity of life in the community. Cadres are at the forefront of implementing the KBPP program because their understanding of the KBPP concept can help te community plan and care for healty family lives. This community sevice aims to assess the impact of KBPP education on cadres in enhancing their knowledge, skills, and abilities to provide good quality in KBPP services. The method used in this community service was Cadre Role optimizing, including Assessments, that’s analysing the target’s need; Planning and Development, that’s determining objectives, strategies, and resources; Implementation, thatas implementing the prepared plan; and Evaluation, that’s evaluating the achievement of the implementation. This activity was conducted in the Joyosuran Healt’s Centres, Surakarta in June 2023, targeting 29 health cadres. This community service activity has shown that KBPP education has provided significant benefits to the cadres, increasing their knowledge of various KBPP methods and enhancing their skills in providing KBPP education to the community. This community services activity empasize the importance of KBPP education for cadres as a strategy to improve access and quality of KBPP services in the community. Keywords: Education, Postpartum Family Planning, Cadre, Knowledge

Pop-Up Book “Siasui” sebagai Langkah Peningkatan Breastfeeding Self Efficacy pada Ibu Hamil Trimester III Maulida, Luluk Fajria; Maulina, Rufidah; Wahidah, Nurul Jannatul; Novika, Revi Gama Hatta; Sari, Atriany Nilam; Nurhidayati, Siti
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 1 (2024): Volume 7 No 1 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i1.12823

ABSTRAK Rendahnya tingkat pemberian ASI eksklusif berbanding lurus dengan kurangnya kepercayaan diri ibu (breastfeeding self-efficacy). Hampir 2 dari 3 bayi tidak disusui secara eksklusif selama 6 bulan dan tidak membaik dalam dua dekade terakhir. Menyusui merupakan salah satu cara paling efektif untuk memastikan kesehatan dan kelangsungan hidup anak. Pemberian Pendidikan kesehatan tentang menyusui dapat dilakukan ketika ibu memasuki trimester ketiga sebagai langkah persiapan menjadi orang tua pencetak generasi emas. Meningkatkan kepercayaan diri ibu hamil untuk siap menyusui dan harapannya mereka dapat mengatasi hambatan ketika menyusui. Pengabdian ini dilakukan metode penyuluhan dan demostrasi dengan media Pop-Up book “SIASUI”. Pelaksanaan penyuluhan dan demonstrasi dilakukan di wilayah kerja Puskesmas Mondokan. Setelah pemberian intervensi berupa penjelasan materi mengenai ASI, responden pada kelompok intervensi memiliki rerata breastfeeding self-efficacy 79 (SD=6.1) sedangkan pada kelompok kontrol sebesar 76.6 (SD=8.6). Pop-up book “SIASUI” dapat menjadi alternatif media dalam meningkatkan breastfeeding self-efficacy pada ibu hamil. Kata Kunci: ASI Eksklusif, Efikasi Diri, Penyuluhan, Pop-Up Book ABSTRACT The low rate of exclusive breastfeeding is directly associated with mothers' lack of self-confidence, or breastfeeding self-efficacy. Nearly two out of three babies are not exclusively breastfed for the recommended six months, and this situation has shown little improvement over the last two decades. Breastfeeding stands as one of the most effective means to ensure the health and survival of children. Providing health education about breastfeeding during the third trimester can serve as a preparatory step towards nurturing a generation of capable parents. The aims of this study is to enhance the confidence of pregnant women in their readiness to breastfeed, with the hope that they can effectively overcome obstacles encountered during the breastfeeding process. This service was carried out through counseling and demonstrations, using the "SIASUI" pop-up book as a media for education. Counseling and demonstrations were conducted within the Mondokan Community Health Center's, Sragen, Central java. Following the intervention, which included the explanation of material related to breastfeeding, the respondents in the intervention group had an average score of 79 (SD=6.1), while the control group scored an average of 76.6 (SD=8.6). The "SIASUI" pop-up book can be considered as alternative media for enhancing breastfeeding self-efficacy in pregnant women. Keywords: Exclusive Breastfeeding, Self-Efficacy, Counseling, Pop-Up Book

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