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DETERMINANTS ANALYSIS OF EARLY NEONATAL DEATH AGE 0-7 DAYS IN EAST NUSA TENGGARA PROVINCE (NTT) Syaharasyi, Rayyan; Abdullah, Asnawi; Dharina, Dharina; Adamy, Aulina; Fajriana, Eulisa
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 9, No 2 (2023): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37598/jukema.v9i2.2103

Background: Neonatal mortality is one of the focuses of world health problems, one of the goals of the Millennium Development Goals (MDGs). The neonatal mortality rate in Indonesia was higher than in 2 Asian countries such as Thailand and Malaysia in 2014. The neonatal mortality rate in NTT Province is quite high, at 26/1000 live births, compared to the national rate of 20/1000 live births. This study aim to determine the relationship between early neonatal death 0-7 days in NTT and several influencing determinants. Method: This study used a descriptive-analytical method with a case-control design. The data used are secondary data by AIPMNH (Australian International Partnership of Maternal and Neonatal Health). The population in this study were all neonates born in NTT Province from 220 villagesand70 health centers, consist of 154 cases, and 308 controls. Sampling using the case-control study formula was then grouped into ages 0-7 days so that 114 were obtained as case groups and 228 as control groups. Data collection was carried out for 9 months from January 1 to September 31, 2013, processed and presented in 2015 using a questionnaire through interviews, then the existing secondary data was reprocessed by researchers with different variables in 2018. Data analysis used the Logistic Regression test with the STATA 13 program. Results: The results of the study obtained variables related to Poverty (OR=2.12; P=0.006), Complications During Pregnancy (OR=3.41; P=0.003), Complications During Birth (OR=3.89; P=0.000), Having a Disease During Pregnancy (OR=1.61; P=0.091), Gravida (OR=2.88; P=0.014), Abortion (OR=2.27; P=0.056), IMD (OR=9.69; P=0.000), Place of Birth (OR=5.23; P=0.000), and Health Services (OR=5.23; P=0.000). Furthermore, based on the multivariate analysis of IMD (OR=8.71; P=0.000), Pregnancy Complications (OR=2.97; P=0.040), and Poverty (OR=2.16; P=0.041) are the most influential factors in early morning neonatal deaths in the East Nusa Tenggara (NTT) region. Recommendation: It is expected that the Leader (Governor) of NTT Province and NTT Central Health Officers will provide more counseling and guidance to mothers to increase their knowledge about pregnancy and neonatal.

ANALYSIS FACTOR INCIDENCE OF DIARRHEA IN STUDENT OF SDN 1 TRIENGGADENG SUB DISTRICT PIDIE JAYA Agustian, Rian; Azwar, Eddy; Dharina, Dharina
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 10, No 2 (2024): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37598/jukema.v10i2.2358

Background: Diarrhea is one of the major health problems among elementary school students, which can affect their attendance and academic performance. This study aims to analyze the factors associated with the incidence of diarrhea in elementary school children. Method: This research is a descriptive-analytic study with a cross-sectional design involving 95 students as samples. Data analysis was conducted using univariate analysis with frequency percentages and bivariate analysis using the chi-square statistical test (p value 0.05). Result: The results showed a significant relationship between the incidence of diarrhea and access to clean water facilities (p value=0.000), the role of health workers (p value=0.001), handwashing behavior (p value=0.001), and consumption of snacks (p value=0.004). Meanwhile, no significant relationship was found between knowledge (p value=0.609) and the role of teachers (p value=0.189) with the incidence of diarrhea among students. Recommendation: There is a need to improve health education, school sanitation, and the involvement of parents and teachers in shaping clean and healthy living behaviors among children. In addition, integrating school health programs (UKS) more actively and conducting regular monitoring of the school environment are also recommended.

DETERMINANTS ANALYSIS OF EARLY NEONATAL DEATH AGE 0-7 DAYS IN EAST NUSA TENGGARA PROVINCE (NTT) Syaharasyi, Rayyan; Abdullah, Asnawi; Dharina, Dharina; Adamy, Aulina; Fajriana, Eulisa
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 9, No 2 (2023): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37598/jukema.v9i2.2103

Background: Neonatal mortality is one of the focuses of world health problems, one of the goals of the Millennium Development Goals (MDGs). The neonatal mortality rate in Indonesia was higher than in 2 Asian countries such as Thailand and Malaysia in 2014. The neonatal mortality rate in NTT Province is quite high, at 26/1000 live births, compared to the national rate of 20/1000 live births. This study aim to determine the relationship between early neonatal death 0-7 days in NTT and several influencing determinants. Method: This study used a descriptive-analytical method with a case-control design. The data used are secondary data by AIPMNH (Australian International Partnership of Maternal and Neonatal Health). The population in this study were all neonates born in NTT Province from 220 villagesand70 health centers, consist of 154 cases, and 308 controls. Sampling using the case-control study formula was then grouped into ages 0-7 days so that 114 were obtained as case groups and 228 as control groups. Data collection was carried out for 9 months from January 1 to September 31, 2013, processed and presented in 2015 using a questionnaire through interviews, then the existing secondary data was reprocessed by researchers with different variables in 2018. Data analysis used the Logistic Regression test with the STATA 13 program. Results: The results of the study obtained variables related to Poverty (OR=2.12; P=0.006), Complications During Pregnancy (OR=3.41; P=0.003), Complications During Birth (OR=3.89; P=0.000), Having a Disease During Pregnancy (OR=1.61; P=0.091), Gravida (OR=2.88; P=0.014), Abortion (OR=2.27; P=0.056), IMD (OR=9.69; P=0.000), Place of Birth (OR=5.23; P=0.000), and Health Services (OR=5.23; P=0.000). Furthermore, based on the multivariate analysis of IMD (OR=8.71; P=0.000), Pregnancy Complications (OR=2.97; P=0.040), and Poverty (OR=2.16; P=0.041) are the most influential factors in early morning neonatal deaths in the East Nusa Tenggara (NTT) region. Recommendation: It is expected that the Leader (Governor) of NTT Province and NTT Central Health Officers will provide more counseling and guidance to mothers to increase their knowledge about pregnancy and neonatal.

Studi Komparasi Faktor Risiko Non Medis pada Persalinan Normal dan Caesar di RSUD Cut Meutia Aceh Utara Syarkawi, Syarkawi; Dharina, Dharina; Hermansyah, Hermansyah; Zahara, Meutia; Nahrisah, Putri
Jurnal Ragam Pengabdian Vol. 3 No. 1 (2026): Januari-April. Synergy of Research and Community Service for Community Empowerm
Publisher : Lembaga Teewan Journal Solutions

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62710/4ppmyg81

Pelayanan persalinan di masyarakat telah mengalami perubahan besar. Lebih dari 1 dekade terakhir tren persalinan di dunia berubah dari normal berpindah menjadi persalinan SC (Sectio Caesarea). Peningkatan prevalensi persalinan normal dan caesar yang tidak selalu diikuti dengan pemahaman yang memadai mengenai indikasi medisnya menunjukkan perlunya penelitian yang lebih mendalam tentang studi komparasi faktor risiko non medis pada persalinan normal dan caesar di RSUD Cut Meutia Aceh Utara untuk membuat keputusan yang lebih tepat dan berbasis bukti, dari sisi non-medis. Penelitian bersifat deskriptif menggunakan desain case control. Sampel penelitian ini pasien yang melahirkan normal di RSUD Cut Meutia Aceh Utara sebanyak 48 orang dan yang melahirkan caesar sebanyak 48 orang. Pengambilan sampel dilakukan dengan teknik total sampling. Pengumpulan data menggunakan kuisioner pada tanggal 10 sampai 17 Juni 2025, sedangkan uji statistik yang digunakan adalah regresi logistik menggunakan Stata.Hasil analisis menunjukkan hanya kualitas tidur ibu yang menunjukkan perbedaan bermakna secara statistik antara persalinan pervaginam dan caesar (p = 0,035) dan yang dominan dengan terjadinya persalinan normal dan caesar di RSUD Cut Meutia Aceh Utara (P = 0,035 < 0,05).Disarankan bagi Dinas Kesehatan Kabupaten Aceh Utara terkait untuk meningkatkan program edukasi dan penyuluhan rutin kepada ibu hamil mengenai pentingnya menjaga kesehatan selama kehamilan, khususnya kualitas tidur, pengelolaan penyakit penyerta, serta pola hidup sehat. Penyuluhan sebaiknya melibatkan keluarga terdekat agar dukungan terhadap ibu hamil semakin optimal, serta disertai pemantauan kesehatan ibu secara berkala di fasilitas kesehatan

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