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Elvi Suryani
Program Studi DIII Kebidanan, Sekolah Tinggi Ilmu Kesehatan Darmais Padangsidimpuan
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The Relationship of Learning of ASKEB II Course Practicum Laboratory With the Achievement of Level II Students' Competence Suryani, Elvi; Harahap, Maryam Latifah; Siregar, Rahmah Juliani; Ihram Kurnia Agusta
International Journal of Public Health Excellence (IJPHE) Vol. 1 No. 2 (2022): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (194.55 KB) | DOI: 10.55299/ijphe.v1i2.41

Abstract

Practical learning is a process to improve the skills of participants by using various methods according to the skills provided and the equipment used. This type of research is descriptive analytic with a cross sectional approach. Data analysis was performed using the chi square formula. The results showed that from the results of the cross table between laboratory practicum learning and competency achievement, the majority of both categories were good, namely as many as 22 people (39.3 %), the majority category was sufficient, namely 15 people (26.8%). And the less majority category is sufficient, namely 2 students ( 3.6 %). The results of statistical tests with the Chi-Square test showed that the value of X 2 count (22.485) > (9.488) and the value of p = 0.000 < 0.05 . It means that Ho is rejected and Ha is accepted, so that there is a relationship between laboratory practicum learning for the Askeb II subject and the achievement of competence level II students. The conclusion of this study is that bivariate analysis with the Chi-Square test is known to have a relationship between laboratory practicum learning for the Askeb II subject and the achievement of competence level II students.
Quality Evaluation of the Implementation of the Fe Tablet Program for Pregnant Women at Nasywa Clinic, Kisaran Pratiwi, Debby; Anggriani, Ririn; Suryani, Elvi
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 1 (2023): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i1.467

Abstract

Globally, the prevalence of iron deficiency remains a significant concern among pregnant women, with an estimated 43.9% affected. The estimated prevalence of iron deficiency in pregnant women is 49.4% in Asia, 59.1% in Africa, 28.1% in the Americas, and 26.1% in Europe. The prevalence of substance deficiency in pregnant women in Indonesia remains relatively high, and deficiency plays a role in contributing to the high maternal and infant mortality rates observed in the country (Paridah, 2022). According to the Health Office profile (2020), the TTD coverage in pregnant women in North Sumatra Province in 2019 was 92.49%, representing a decline from the 2018 figure of 94.30%. The provincial coverage remains below the performance indicator and target for nutrition improvement activities in 2019, which is 95%. Furthermore, there was a reduction in the provision of TTD in four districts/cities. In Kisaran City, for instance, the coverage rate decreased from 93.30% in 2018 to 92.93% in 2019. This study employs a qualitative approach with a phenomenological design, with the aim of elucidating the phenomenon of implementing the Fe tablet program at the Nasywa Clinic in Kisaran in 2022. The study at Nasywa Clinic in Kisaran involved 50 pregnant women. It evaluated the Fe tablet supplementation program in 2022, revealing that health workers' collaboration in procuring and planning Fe tablets, along with midwives' distribution efforts, were crucial. However, the program's coverage did not meet targets, and pregnant women's compliance in taking Fe tablets was less than optimal.
Determinants of Stunting Among Children Under Five Years in Indonesia: Evidence from the 2021-2022 Demographic and Health Survey Siregar, Rahmah Juliani; Harahap, Maryam Latifah; Suryani, Elvi
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.794

Abstract

At the global level, the prevention of stunting is one of the Sustainable Development Goals (SDGs). Indonesia is currently working towards achieving the second Sustainable Development Goal, which entails ending hunger, ensuring food security, improving nutrition, and supporting sustainable agriculture. As a part of this objective, efforts are being made to decrease the prevalence of stunting in children by 2025. Attention towards stunting is crucial as it can adversely affect children's physical and cognitive development well into adulthood if not addressed appropriately. This paper conducted a literature review from various sources, with a focus on google scholar and prioritizing sources from the last five years, as well as research on the population in Indonesia. It was determined through the analysis of several sources that maternal, child, and environmental factors pose various risks for stunting in Indonesia. Maternal factors that may play a role in child development include the mother's age, upper arm circumference, height, breastfeeding or complementary feeding practices, early initiation of breastfeeding and food quality during pregnancy. A history of low birth weight or prematurity, male sex, neonatal illness, frequent and recurrent diarrhea, infectious diseases, and lack of immunization are among the child factors associated with developmental outcomes. Factors such as living in a low socio-economic environment, limited family education, especially maternal education, insufficient household income, open defecation in rivers, gardens or inadequate latrines, consumption of untreated drinking water and high exposure to pesticides are also associated with the prevalence of stunting.
The Influence of Postpartum Exercise on Uterine Involution Speed in Postpartum Mothers Fatimah; Harahap, Maryam Latifah; Siregar, Rahmah Juliani; Suryani, Elvi
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 1 (2024): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i1.950

Abstract

The postpartum period begins a few hours after the birth of the placenta and continues until approximately 6 weeks after childbirth. According to the World Health Organization (WHO), an estimated 830 women die every day due to complications from pregnancy and childbirth. In 2015, approximately 303,000 women died during pregnancy, childbirth, or in the postpartum period. The theme of this study is to investigate the influence of postpartum exercise on the speed of uterine involution among postpartum mothers at BPM Mona Durryah Siregar, SKM in North Padangsidimpuan District. This study utilized a quasi-experimental design with a pretest-posttest only design. The research was conducted at BPM Mona Durryah Siregar, SKM in North Padangsidimpuan District. The population consisted of 10 postpartum mothers, with a sample size of 10. Data analysis included univariate and bivariate analyses. The results of the study showed a significant decrease in uterine fundus height among the 10 respondents, with a percentage of 2.70%. None of the respondents experienced subinvolution after the postpartum exercise intervention. However, 10 respondents faced challenges in decreasing uterine fundus height both before and after the intervention. The Wilcoxon ρ-value test of 0.004 indicates that postpartum exercise influences the speed of uterine involution among postpartum mothers. The implications of this study suggest that implementing postpartum exercise therapy can accelerate uterine involution among postpartum mothers. It is recommended that these findings be used to develop counseling programs related to postpartum exercise at BPM Mona Durryah Siregar, SKM.
Application of Sujok Complementary Alternative Therapy to Reduce Pain Scale Levels in Patients with Heel Pain Harahap, Maryam Latifah; Suryani, Elvi; Siregar, Rahmah Juliani
IJCS: International Journal of Community Service Vol. 3 No. 1 (2024): January-June
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijcs.v3i1.793

Abstract

Heel Pain is pain at the bottom, back, or inside of the heel due to musculoskeletal disorders or specific conditions. One of the complementary alternative therapies that can be used to reduce the pain scale of Patients with heel pain are using Sujok therapy. Providing Sujok therapy is part of the integration of teaching and community service activities carried out by students and lecturers in Nursing at the Faculty of Medicine, Public Health and Nursing, Gadjah Mada University. Two patients with heel pain problems provided with Sujok therapy using a massage method with a probes in the hand which is a basic correspondence system. After that, fenugreek seeds were placed on the painful points that have been massaged previously. The pain scale was measured before and after therapy. It was found that the pain decreased from scale 7 to scale 5 in the first patient and scale 5 to scale 3 in the second patient. The conclusion from the results of community service activities shows that Sujok therapy uses a massage method on basic correspondence system and also attaching fenugreek seeds can be an effective alternatives complementary therapy for reducing the levels of pain scale in patients with heel pain.
ANALISIS PENGARUH BEBAN KERJA PERAWAT TERHADAP KUALITAS PELAYANAN KEPERAWATAN RSUD KOTA PADANGSIDIMPUAN Suryani, Elvi; Rambe, Normayanti
Jurnal Ilmiah Keperawatan Vol 5 No 1 (2022): JURNAL MUTIARA NERS
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v5i1.1956

Abstract

The workload given determines a nurse can carry out nursing care well or not. Nurses who have more workload than they should, meaning doing other work outside of nursing that results in the quality of nursing services can not achieve optimal results. Types in quantitative research with cross-sectional approach. The population in this study was all implementing nurses in the inpatient room class I Padangsidimpuan Regional General Hospital as many as 30 people using total sampling techniques. Hypothesis test using Chi-Square test. The result of the study is that the quality of nursing services in the Inpatient Room Class I Padangsidimpuan City General Hospital is sufficient and the workload of nurses average - the average productive nursing conducted has not been effective. The result of the study is that the quality of nursing services in the Inpatient Room Class I Padangsidimpuan City General Hospital is sufficient and the workload of nurses average - the average productive nursing conducted has not been effective. The results of the analysis obtained a value of p = 0.001 shows a relationship between the workload of implementing nurses and the quality of nursing services. In this study, the management of Padangsidimpuan Regional Hospital must equip facilities and infrastructure to support nursing services and be a consideration in the nursing management department to take policy in adding energy gradually in each inpatient room based on wins method.
Analysis of Anemia Screening Policy Implementation for Pregnant Women in Tier I Healthcare Facilities: A Mixed-Methods Study in Urban-Rural Areas of South Tapanuli Fatimah, Fatimah; Suryani, Elvi; Siregar, Rahmah Juliani; Harahap, Maryam Latifah
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 1 (2025): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i1.1066

Abstract

Background: Anemia in pregnant women remains a significant public health issue in Indonesia, including in South Tapanuli. Anemia screening is a crucial policy for early detection and timely intervention, yet its implementation in primary healthcare facilities (Tier I) remains suboptimal. Objective: This study aims to analyze the implementation of anemia screening policies for pregnant women in Tier I healthcare facilities across urban-rural areas of South Tapanuli using a mixed-methods approach. Methods: The study employed a sequential explanatory mixed-methods design, combining quantitative data (a survey of 150 pregnant women and 30 healthcare workers) and qualitative data (in-depth interviews with 15 stakeholders, including health workers and policymakers). Quantitative data were analyzed using descriptive statistics, while qualitative data were examined using framework analysis. Results: Quantitatively, anemia screening coverage reached 68%, with disparities between urban (78%) and rural (58%) areas. Barriers included limited equipment, insufficient healthcare worker training, and low public awareness. Qualitative findings revealed issues in inter-stakeholder coordination, uneven budget allocation, and inadequate policy socialization. Conclusion: The implementation of anemia screening policies in South Tapanuli remains suboptimal, particularly in rural areas. Improvements in infrastructure, healthcare worker training, and culturally adapted community education are needed to enhance screening coverage.
Determinants of First-Trimester Antenatal Care Delay in Indonesia's Disadvantaged Regions: A Cross-Sectional Study of Socioeconomic Barriers in South Tapanuli Suryani, Elvi; Fatimah, Fatimah; Siregar, Rahmah Juliani; Harahap, Maryam Latifah
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 1 (2025): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i1.1100

Abstract

Background: Delayed access to first-trimester Antenatal Care (ANC) among pregnant women in underdeveloped, frontier, and outermost (3T) regions is a significant public health issue, as it increases the risk of pregnancy complications. This study aims to analyze the socio-economic determinants associated with delayed ANC access in South Tapanuli, a 3T region in Indonesia. Methods: This cross-sectional study involved 250 pregnant women selected through purposive sampling in South Tapanuli. Data were collected through structured interviews using a questionnaire covering socio-demographic variables (education, income, occupation, distance to health facilities) and ANC practices. Statistical analysis employed chi-square tests and logistic regression to identify dominant factors influencing ANC delay. Results: A total of 62.4% of respondents delayed accessing ANC in the first trimester. Significant socio-economic factors associated with delayed ANC included low income (OR=3.21; 95% CI: 1.87-5.49), low education (OR=2.45; 95% CI: 1.42-4.22), distance to health facilities >10 km (OR=4.12; 95% CI: 2.34-7.25), and lack of knowledge about ANC importance (OR=2.89; 95% CI: 1.65-5.07). Conclusion: Socio-economic factors such as income, education, geographic access, and maternal knowledge significantly influence delayed ANC access in 3T regions. Community-based interventions and equitable health service policies are needed to improve first-trimester ANC coverage.
The Effect of Simplicia Leaves of Papaya (Carica Papaya L) on Adequacy of Breast Milk in Babies Aged 6 Months Batubara, Novita Sari; Rangkuti, Nur Aliyah; Siregar, Rya Anastasya; Suryani, Elvi; Siregar, Ratna Dewi; Harahap, Maryam Latifah
International Journal of Public Health Excellence (IJPHE) Vol. 1 No. 1 (2022): Agustus 2021-January 2022 (First Release)
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v1i1.3

Abstract

Adequacy of breast milk is the condition of the baby or mother showing several signs that indicate satisfaction in the production or consumption of breast milk. Infants aged 6 months, can be judged to have adequate breastfeeding, one of which is marked by the baby drinking breast milk every 2-3 hours or in 24 hours at least getting breast milk 8 times in the first 2-3 weeks. Papaya leaf simplicia can be one way to increase the rate of secretion and milk production and a strategy to overcome the failure of exclusive breastfeeding caused by low milk production. Based on this background, the researchers conducted a study on the effect of papaya leaf simplicia (Carica Papaya L.) on the adequacy of breast milk in infants aged 6 months. This type of research is a quasi-experiment with a one-group pretest-posttest design. The results showed that there was an effect of Papaya Leaf Simplicia (Carica Papaya L.) on the adequacy of breast milk in infants aged 6 months (sig=0,000<α=0,05). This shows that consuming Papaya Leaf Simplicia (Carica Papaya L.) is proven to be effective in increasing the adequacy of breast milk.
The Effect of Hypnobreastfeeding Technique on the Production of Breast Milk in Postpartum Mothers in Independent Practice Midwives Rangkuti, Nur Aliyah; Batubara, Novita Sari; Siregar, Rya Anastasya; Suryani, Elvi; Siregar, Ratna Dewi; Harahap, Maryam Latifah
International Journal of Public Health Excellence (IJPHE) Vol. 1 No. 1 (2022): Agustus 2021-January 2022 (First Release)
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v1i1.4

Abstract

Breastfeeding is influenced by several factors, including breast milk does not come out immediately after giving birth, the baby's difficulty in sucking, the condition of the mother's nipples being unsupported, the mother working, and the influence/promotion of breast milk substitutes. The purpose of this study was to determine the effect of the hypnobreastfeeding technique on breast milk production in postpartum mothers at BPM Atikah, Panyabungan District. The research design is an analytic experimental pre-experimental type with a pretest-post test one group design approach. all postpartum mothers < 24 hours at BPM Atikah as many as 25 postpartum mothers, the sampling technique was total sampling. The results of the research on breast milk production before the hypnobreastfeeding technique was carried out in postpartum mothers were mostly less than 7-123 ml as many as 12 (48%) and after hypnobreastfeeding in postpartum mothers at BPM Atikah mostly good > 7-123 ml as many as 12 (48%). There is an effect of hypnobreastfeeding technique on milk production with a p value of 0.001 < 0.05. Postpartum mothers should increase their knowledge and experience in an effort to increase breast milk production so that mothers can give breast milk optimally.
Co-Authors Anggriani, Ririn Batubara, Novita Sari Eva Yusnita Nasution Fatimah Fatimah fatimah Fatimah Ihram Kurnia Agusta Joharmi, Joharmi MARIA BINTANG Maryam Latifah Harahap Maryam Latifah Harahap meiranny, arum Normayanti Rambe pratiwi, Debby Rahma Juliani Siregar Rahmah Juliani Siregar Rambe, Normayanti Rangkuti, Nur Aliyah Siregar, Ratna Dewi Siregar, Rya Anastasya Wiwi Wardani Tanjung