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Aliyanto, Warjidin
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Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Education Energy Environmental Science Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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PENGETAHUAN IBU HAMIL TENTANG PROGRAM PERENCANAAN PERSALINAN DAN PENCEGAHAN KOMPLIKASI (P4K) PADA ANTENATAL CARE Aliyanto, Warjidin; Rosmadewi, Rosmadewi
Jurnal Keperawatan Vol 10, No 1 (2014): Jurnal Keperawatan
Publisher : Jurusan Keperawatan Politeknik Kesehatan Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (48.184 KB) | DOI: 10.26630/jkep.v10i1.323

Abstract

Pelayanan antenatal yang berkualitas mempunyai kedudukan penting dalam upaya menurunkan angka kematian ibu dan perinatal. Salah satu solusi terbaru untuk mempercepat penurunan AKI dan AKB adalah dengan melaksanakan Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) melalui pemasangan stiker persalinan pada semua rumah ibu hamil. Masalah dalam penelitian ini adalah cakupan K4 nya belum mencapai target dan 60% ibu hamil belum mengetahui tentang P4K yang berkaitan dengan kehamilannya.Tujuan penelitian ini adalah untuk mengetahui hubungan antara pengetahuan ibu hamil tentang Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) dengan Antenatal Care di wilayah Puskesmas Natar tahun 2013.Desain penelitian ini berjenis analitik dengan pendekatan crossectional. Populasi dalam penelitian ini adalah semua ibu hamil trimester III yang ada diwilayah Puskesmas Natar tahun 2013 yang berjumlah 337 orang. Sampel dalam penelitian berjumlah 183 orang. Teknik pengambilan sampel menggunakan simple random sampling dengan cara diundi. Data yang digunakan data primer. Pengumpulan data menggunakan kuesioner. Analisis data secara univariat dan bivariat dengan menggunakan chi square.Hasil penelitian ini didapatkan tidak ada hubungan antara pengetahuan ibu hamil tentang Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) dengan Antenatal Care (p value 0,787). Kesimpulan  dalam penelitian ini tidak ada hubungan pengetahuan ibu hamil tentang P4K dengan antenatal care di wilayah Puskesmas Natar Kabupaten Lampung Selatan Tahun 2013. Saran yang penulis ajukan kinerja yang selama ini dilakukan oleh bidan lebih ditingkatkan terutama berkaitan dengan pemberian promosi kesehatan tentang Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K). 
Efektifitas Perawatan Metode Kangguru (PMK) dan Terapi Murottal terhadap Peningkatan Berat Badan dan Suhu pada Bayi BBLR Putriana, Yeyen; Aliyanto, Warjidin
Jurnal Kesehatan Vol 9, No 1 (2018): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjungkarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (487.531 KB) | DOI: 10.26630/jk.v9i1.731

Abstract

Infants with low birth weight (LBW) are at high risk of health problems. LBW infants require special care to minimize the risk of infant mortality. LBW treatments apart from the treatment in the incubator and kangaroo mother care (KMC). This study was to determine the increase in body weight and body temperature through murottal therapy as one of the stimulations of nursing LBW infants. The research design was quasi-experimental with pretest control group design. The study was conducted at Dr. H Abdul Moeloek Hospital (RSUAM) Bandar Lampung. The population of the study was all babies of LBW treated in the RSUAM Perinatology Room. Sampling technique was using probability sampling. The sample size was determined using different hypothesis test formula. The results showed there were differences in weight and body temperature increase on days II, III and IV in the intervention group. This study recommends the use of morottal therapy in the treatment of LBW with KMC.  Because therapy morottal system works similar to therapy music that causes a sense of comfort and improves sleep patterns baby.
Faktor yang Berpengaruh pada Perilaku Seksual Remaja di Perkotaan dan Pedesaan Suarni, Lisa; Fitarina, Fitarina; Aliyanto, Warjidin
Jurnal Kesehatan Vol 11, No 3 (2020): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v11i3.2345

Abstract

The effect of free sex on reproductive health is very real, namely the transmission of sexually transmitted infections (STIs) with all its consequences, a pregnancy outside of marriage and consequently an increase in the incidence of abortion, the psychological pressure to depression. It can be seen that the increasing incidence of STIs, abortion, and depression rates in society is increasing. The research objective was to determine the factors related to Adolescent Sexual Behavior in North Lampung. This study used an explanatory research design with a cross-sectional approach. A sample of 500 people, with a proportion of 250 samples from urban and 250 rural adolescents. The variables related to adolescent sexual behavior in rural areas were the variable of religiosity with a p-value of 0,00, knowledge with a p-value of 0,00, sexual attitudes with a p-value of 0,00, sexual activity with a p-value of 0.06, social support. with a p-value of 0,00 and in urban areas the related variables were self-esteem with a p-value of 0,10, religiosity with a p-value of 0,00, social activity with a p-value of 0,12, health service attitudes with a p-value 0,00, sexual attitude with a p-value of 0,00, sexual activity with a p-value of 0,00, self-confidence with a p-value of 0,24. Multivariate analysis found that the most dominant factor associated with sexual behavior is sexual attitudes with an OR=28,748. Religiosity, sexual activity, sexual attitudes affect sexual behavior in rural and urban areas. Sexual attitudes are the most dominant factor affecting adolescent sexual behavior in rural and urban areas.
Pengembangan Telehealth “SIPISPeKa” sebagai Solusi Mensukseskan Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK) Aliyanto, Warjidin; Suarni, Lisa; Sono, Sono; Hajar, Alex Iskandar
Jurnal Kesehatan Vol 12, No 1 (2021): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v12i1.2553

Abstract

There is a phenomenon in Indonesia that shows that the use of telehealth is not optimal in hypertension management in Indonesian health services which has an impact on cost efficiency both for the government and patients in the community. Based on this, researchers are interested in researching the use of telehealth in PISPK-based homecare services in health services in Indonesia. The purpose of this study was to assess the quality of Telehealth Applications in the Program Indonesia Sehat Pendekatan Keluarga (PISPK). The research design was the development of a telehealth prototype named SIPISPeKa which was by the needs of the Community Health centers in providing health services for families in the category of troubled families in the PISPK assessment. Research respondents are families with the unhealthy category in the Healthy Family Index in Tanjung Aman Village, Kotabumi Selatan District was 147 respondents. Processing and data analysis in this study using univariate analysis using frequency distribution. SIPISPeKa as a telehealth/telehealth media is declared worthy of being assessed from 4 aspects of assessment, namely: telehealth media principles, governance, web-based communication media, and relevance to the PISPK program. Assessors' comments and suggestions for SIPISPeKa include the need to improve the SIPISPeKa application to make it friendlier, easier to use and more able to replace the presence of health workers in families with low IKS scores.
Pengaruh Pengembangan Model Suami Siaga terhadap Dukungan Suami pada Pelaksanaan Inisiasi Menyusu Dini Rosmadewi, Rosmadewi; Aliyanto, Warjidin
Jurnal Kesehatan Vol 13 No 1 (2022): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v13i1.2968

Abstract

Breastfeeding is one of the first steps for a human being to get a healthy and prosperous life. UNICEF states that IMD is one of 10 steps towards successful breastfeeding that will have a positive impact on the health of mothers and babies. Babies who are allowed to breastfeed early are eight times more successful in exclusive breastfeeding and breastfeeding for a long time until the age of 2 years. This study aims to determine the effect of the development of the standby husband model on the husband's support in preparation for the implementation of Early Breastfeeding Initiation. This type of research is a quantitative (analytic) research method using a quasi-experimental design with a post-test-only control group design. The research subjects were husbands of multigravida mothers with a gestational age of 32 weeks with a total of 94 people. Collecting data using primary data. Univariate data analysis using percentages and bivariate analysis using chi-square. The results showed that there was an effect of developing the standby husband model by giving a pocketbook to the husband's support in preparation for the implementation of Early Breastfeeding Initiation (IMD) with a p-value of 0.01, Suggestions are addressed to midwives who provide services to pregnant women and maternity mothers to include husbands in preparation for the implementation of Early Breastfeeding Initiation by providing information about the need for husband's support in preparation for the implementation of IMD through the provision of pocketbooks. 
The Effectiveness of The Marmet Technique Breast Massage is Comparable to Standard Breast Massage Oktaviani, Ika; Aliyanto, Warjidin
Jurnal Kesehatan Vol 14 No 1 (2023): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v14i1.3715

Abstract

Exclusive breastfeeding is essential for human infants' physical and mental development. However, breastfeeding problems can hamper this low quantity of breast milk. This study aimed to evaluate the benefits of Marmet breast massage for increasing the amount of breast milk in post-partum mothers. This is an experimental study design. The subjects of 100 breastfeeding mothers were randomly assigned to two groups; a control group (which received standard breast care massage) and the treatment group (who received the Marmet technique breast massage). Although there were no significant differences in the rate of change over time between the Marmet technique group and the control group (p-value>0.05), there was an increase in breastfeeding fluency scores in the Marmet technique group. The Marmet breast massage technique increased milk production in term infants at a rate comparable to usual breast massage. Therefore, this technique could be used to improve exclusive breastfeeding rates, including for mothers with nipple abnormalities.
Telehealth “SIPISPeKa_G2” sebagai Tindak Lanjut Program Indonesia Sehat Berbasis Keluarga Suarni, Lisa; Aliyanto, Warjidin; Sono, Sono
Jurnal Kesehatan Vol 14 No 2 (2023): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v14i2.3764

Abstract

Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK) telah dimulai tahun 2015, yang diharapkan pencapaiannya tahun 2019. Program ini merupakan program pendataan indeks setiap keluarga dengan 12 indikator dan selanjutnya dilakukan intervensi bagi keluarga bermasalah sesuai dengan indikator permasalahannya. Persoalan yang muncul dari program ini adalah capaian pendataan yang masih kurang dari target dan adanya ketimpangan cakupan pendataan dan pemberian intervensi pada pelaksanaan PIS-PK mulai dari awal perencanaan hingga pelaksanaan. Oleh karenanya aplikasi Telehealth SIPISPeKa_G2 merupakan salah satu solusi untuk memperkecil ketimpangan tersebut. Aplikasi SIPISPeKa_G2 merupakan aplikasi berbasis android yang dirancang untuk pendataan indeks keluarga sehat (IKS) secara mandiri (Self Assesment) dan merupakan media komunikasi tindak lanjut terhadap permasalahan hasil pendataan bagi keluarga yang bermasalah. Desain penelitian adalah quasi eksperiman, uji coba SIPISPeKa_2. Pengambilan sampel dengan metode non probability sampling, sebagai kriteria inklusi adalah Keluarga dengan nilai IKS rendah, dan dapat mengoperasikan android, besar sampel 132. Analisis data untuk menilai kelayakan aplikasi telehealth dan dengan menggunakan T-Test Sampel Dependent. Hasil analisis univariat menyatakan bahwa SIPISPeKa_G2 layak digunakan, dan hasil analisis bivariat menunjukkan bahwa tidak ada perbedaan nilai IKS antara yang menggunakan SIPISPeKa_G2 dengan hasil survey langsung. Hal ini membuktikan bahwa SIPISPeKa_G2 dapat menjadi alternatif self assessment IKS dan sebagai media komunikasi untuk tindak lanjut intervensi bagi keluarga dengan IKS rendah.
Implementation of Minimum Antenatal Care Service Standards in North Lampung Regency Suarni, Lisa; Kodri, Kodri; Aliyanto, Warjidin; Primadila, Hasti; Wahyudi, Fajar Desma
Jurnal Kesehatan Vol 15 No 1 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i1.4440

Abstract

Maternal Mortality Rate (MMR) in North Lampung is high. Coverage of antenatal care visits in 2021 (88.7%) has yet to reach the target (100%), even though the number of midwives and integrated health post (Posyandu) services increases every year. The Minimum Service Standard report also indicates that the budget for maternal care services is around 17% of the total budget allocation. This study aims to provide an overview of the implementation of the 10 Antenatal Care (ANC) services in North Lampung. The research design employs a quantitative method with a documentation study using Maternal and Child Health (MCH) books and questionnaires to measure midwives' knowledge in North Lampung. The sample size was determined using the open-source calculator SSPropor (OpenEpi, version 3), resulting in 595 collected samples for this study. Data were analyzed using univariate and bivariate analyses. None (0%) of the pregnant women received all 10 ANC services. Almost all pregnant women (>90%) received blood pressure examinations, counseling, and referral services. Meanwhile, the ANC service received least frequently (<50%) was the provision of Iron and Folic Acid (IFA) tablets. There is a significant difference in the mean coverage based on the three clusters, and there is a weak relationship between Midwives' Knowledge and the implementation of 10 ANC services. Recommendations: There is a need for programs to comprehensively improve knowledge about ANC standards among health workers and volunteers. Discipline in recording needs to be enhanced. Further qualitative studies are required to gain a broader perspective.
The Qualitative Study: Evaluation of Tuberculosis Control Program in Bandar Lampung City Karbito, Karbito; Purwaningsih, Dewi; Aliyanto, Warjidin; Muslim, Azhari; Fikri, Ahmad; Purwanto, Bambang
Jurnal Kesehatan Metro Sai Wawai Vol. 17 No. 1 (2024): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsaw.v17i1.4544

Abstract

Introduction: Indonesia has committed to implementing a TB control programme that is directed at accelerating the achievement of TB elimination by 2030, including Lampung Province and Bandar Lampung city is an area with a high prevalence of TB. Implementation of the TB control programme has been carried out. However, the cause of the high prevalence of TB remains unknown. Purpose: This study aims to evaluate the implementation of the TB control programme in Bandar Lampung City. Thus, it can contribute to planning efforts to reduce TB prevalence. Methods: This study is a qualitative research with a system approach based on input, process and output components. Data were collected at the Health Office of Bandar Lampung City and at three Community Health Centres in Bandar Lampung City. Data were collected using in-depth interviews, observation, and document review. Informants included policy makers, managers, cadres and TB patients. Data were analysed by collaborating the research data using triangulation methods, both source triangulation, method triangulation and data triangulation to draw conclusions. Results: The findings of this study showed that the TB control program in Bandar Lampung City has been running well and is in line with the achievement of the TB elimination acceleration program target in the input, process and output components, but TB prevention health promotion efforts are still not optimally implemented and coverage figures that describe TB prevention behaviour are not yet available. Conclusion: In general, the TB control programme in Bandar Lampung City is good and in line with the targets of the TB elimination acceleration programme.  However, there is no evaluation of TB prevention health promotion efforts related to the attitudes and behaviour of TB prevention by vulnerable communities. Latar Belakang: Indonesia telah berkomitmen melaksanakan program penanggulangan TB yang diarahkan untuk mempercepat pencapaian eliminasi TB tahun 2030, termasuk Provinsi Lampung dan kota Bandar Lampung yang merupakan wilayah dengan prevalensi TB yang tinggi. Implementasi program penanggulangan TB telah dilakukan. Namun belum diketahui penyebab prevalensi TB masih tinggi. Tujuan: Penelitian ini untuk mengevaluasi program pelaksanaan penanggulangan TB di Kota Bandar Lampung. Sehingga, dapat memberikan kontribusi untuk upaya perencaan penurunan prevalensi TB. Metode: Penelitian ini merupakan penelitian kualitatif dengan pendekatan sistem berdasarkan komponen input, proses dan output. Pengumpulan data dilakukan di Dinas Kesehatan Kota Bandar Lampung dan di tiga Pusat Kesehatan Masyarakat di kota Bandar Lampung. Data dikumpulkan dengan metode wawancara mendalam, observasi, dan telaah dokumen. Informan terdiri dari para pengambil kebijakan, pengelola, kader dan pasien TB. Analisis data dilakukan dengan mengkolaborasikan data hasil penelitian menggunakan metode triangulasi, baik triangulasi sumber, triangulasi metode maupun triangulasi data untuk diambil kesimpulan. Hasil: Temuan pada penelitian ini diketahui bahwa program penanggulangan TB di Kota Bandar Lampung sudah berjalan baik dan sejalan dengan pencapaian target program percepatan eliminasi TB baik pada komponen input, proses dan output, namun upaya promosi kesehatan pencegahan TB masih belum terlaksana secara optimal dan angka cakupan yang menggambarkan perilaku pencegahan TB belum tersedia. Simpulan: Secara umum program penanggulangan TB di Kota Bandar Lampung sudah baik dan sejalan dengan pencapaian target program percepatan eliminasi TB.  Namun, upaya promkes pencegahan TB tidak ada hasil evaluasi terkait sikap dan prilaku pencegahan TB oleh masyarakat yang rentan.
Pengetahuan Dan Status Gizi Terhadap Kejadian Anemia Pada Ibu Hamil Di Wilayah Kerja Puskesmas Labuhan Maringgai Indrasari, Nelly; Putriana, Priska; Risneni, Risneni; Jaya, Prana; Nurlaila, Nurlaila; Aliyanto, Warjidin
ANJANI Journal (Medical Science & Healthcare Studies) Vol 4, No 2 (2024)
Publisher : Perkumpulan Dosen Muda Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37638/anjani.v4i2.1181

Abstract

ABSTRAKAnemia merupakan suatu kondisi dimana jumlah sel darah merah lebih rendah dari biasanya. Anemia dalam kehamilan dapat menyebabkan beberapa komplikasi atau resiko terhadap ibu hamil, dimana kebanyakan dari mereka mengalami anemia defisiasi zat besi.Untuk mengetahui hubungan status gizi dan pengetahuan dengan kejadian anemia pada ibu hamil di Wilayah Puskesmas Labuhan Maringgai Tahun 2024.Penelitian kuantitatif dengan menggunakan desain Cross Sectional. Populasi pada penelitian ini adalah 91 ibu hamil cara mengambil sampel  menggunakan teknik Purposive Sampling. Data diperoleh dengan kuisioner dan dokumentasi buku rekam medis. Analisis data yang dilakukan analisis univariant dan bivariant menggunakan test Chi-square.Hasil penelitian menunjukkan 62(68,1%) responden anemia. status gizi beresiko 48(52,7%), pengetahuan kurang baik 58 (63,7%) responden. Kesimpulan dari penelitian ini menunjukkan bahwa ada hubungan yang signifikan antara status gizi, dan pengetahuan ibu hamil dengan kejadian anemia di Wilayah kerja Puskesmas Labuhan Maringgai.Saran untuk puskesmas dapat menjadi acuan bagi bidan di tempat penelitian untuk memberikan edukasi bagi masyarakat terutama ibu hamil untuk memperhatikan faktor-faktor determinan kejadian anemia pada ibu hamil. ABSTRACTAnemia is a condition in which the number of red blood cells is lower than normal. Anemia in pregnancy can cause several complications or risks to pregnant women, most of whom experience iron deficiency anemia. To find out the relationship between maternal age, parity, nutritional status, and knowledge with the incidence of anemia in pregnant women in the Labuhan Maringgai Health Center Area in 2024. Quantitative research using Cross Sectional design. The population in this study is 91 pregnant women using the Purposive Sampling technique. Data was obtained by questionnaires and documentation of medical record books. Data analysis was carried out univariant and bivariant analysis using the Chi-square test. The results of the study showed that 62 (68.1%) respondents were anemic. nutritional status was at risk 48 (52.7%), and poor knowledge was 58 (63.7%) respondents. The conclusion of this study shows that there is a significant relationship between nutritional status, and knowledge of pregnant women and the incidence of anemia in the working area of the Labuhan Maringgai Health Center. Suggestions for health centers can be a reference for midwives in research sites to provide education for the community, especially pregnant women, to pay attention to the determinants of anemia incidence in pregnant women. 
Co-Authors Ahmad Fikri Aminuyati Amrina Octaviana Azhari Muslim Bambang Purwanto Berliana , Eva Dewi Purwaningsih Dwi Indah Putrianingsih, Dwi Indah Fitarina, Fitarina Hajar, Alex Iskandar INDRASARI, NELLY Jaya, Prana Karbito Karbito, Karbito Kodri Kodri, Kodri Marita, Elvia Marlina Marlina Mugiati, Mugiati murwanto, bambang Novadela, Nora Isa Tri Nurlaila Nurlaila Oktaviani, Ika Primadila, Hasti Putriana, Priska Risneni, Risneni Rosmadewi, Rosmadewi Rosmadewi, Rosmadewi Rusyantina, Anggun Safutri, Dessy Sari, Adinda Juwita Sono, Sono Suarni, Lisa Sulistianingrum, Lely Wahyudi, Fajar Desma Yeyen Putriana