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All Journal Jukema (Jurnal Kesehatan Masyarakat Aceh) Holistik Jurnal Kesehatan
Dharina, Dharina
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Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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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

Abstract

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

Abstract

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

Abstract

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.
Perbandingan quality of life pada ibu pasca persalinan normal dan sectio caesarea Karmila, Karmila; Dharina, Dharina; Maidar, Maidar; Zakaria, Radhiah; Nurjannah, Nurjannah
Holistik Jurnal Kesehatan Vol. 19 No. 8 (2025): Volume 19 Nomor 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i8.1442

Abstract

Background: Postpartum maternal quality of life is an important aspect encompassing physical, psychological, social, and environmental conditions. However, factors influencing this quality of life vary in research findings. Purpose: To analyze factors associated with postpartum maternal quality of life. Method: The study used a quantitative analytical design with a cross-sectional approach. The study sample consisted of postpartum mothers selected through purposive sampling. Data were collected using the WHOQOL-BREF quality of life questionnaire and analyzed using the chi-square test. Results: Most mothers had a good quality of life. Statistical analysis showed no significant association between age, occupation, education, economic status, husband's support, social support, number of children, pregnancy spacing, maternal health, breastfeeding, information, and type of delivery with postpartum maternal quality of life (p>0.05). Meanwhile, the condition of the infant was significantly associated with maternal quality of life (p=0.000). Conclusion: Postpartum maternal quality of life is more influenced by the condition of the infant than by other demographic or social factors. Health service interventions need to focus on comprehensive support for mothers with at-risk infants to improve postpartum quality of life.   Keywords: Normal Delivery; Postpartum Mother; Quality of Life; Sectio Caesarea.   Pendahuluan: Kualitas hidup ibu pasca persalinan merupakan aspek penting yang mencakup kondisi fisik, psikologis, sosial, dan lingkungan. Namun, faktor-faktor yang memengaruhi kualitas hidup tersebut masih bervariasi dalam temuan penelitian. Tujuan: Untuk menganalisis faktor-faktor yang berhubungan dengan kualitas hidup ibu pasca persalinan. Metode: Penelitian menggunakan desain kuantitatif analitik dengan pendekatan cross sectional. Sampel penelitian terdiri dari ibu pasca persalinan yang dipilih melalui teknik purposive sampling. Data dikumpulkan menggunakan kuesioner kualitas hidup WHOQOL-BREF dan dianalisis menggunakan uji chi-square. Hasil: Sebagian besar ibu memiliki kualitas hidup dalam kategori baik. Analisis statistik menunjukkan tidak ada hubungan signifikan antara usia, pekerjaan, pendidikan, ekonomi, dukungan suami, dukungan sosial, jumlah anak, jarak kehamilan, kesehatan ibu, pemberian ASI, informasi, serta jenis persalinan dengan kualitas hidup ibu pasca persalinan (p>0,05). Sementara itu, kondisi bayi terbukti berhubungan signifikan dengan kualitas hidup ibu (p=0,000). Simpulan: Kualitas hidup ibu pasca persalinan lebih dipengaruhi oleh kondisi bayi dibandingkan faktor demografi maupun sosial lainnya. Intervensi pelayanan kesehatan perlu difokuskan pada dukungan menyeluruh bagi ibu dengan bayi berisiko untuk meningkatkan kualitas hidup pasca persalinan.   Kata Kunci: Ibu Pasca Persalinan; Persalinan Normal; Quality of Life; Sectio Caesarea.
Co-Authors Adamy, Aulina Agustian, Rian Asnawi Abdullah Azwar, Eddy Fajriana, Eulisa karmila karmila Maidar, Maidar Nurjannah Nurjannah Syaharasyi, Rayyan Zakaria, Radhiah