Priscilla Jessica Pihahey
Politeknik Kesehatan Kementerian Kesehatan Sorong

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Health Belief Model: Analysis of Maternal Perception on Completeness of Child Immunization Status in Manokwari, West Papua Pihahey, Priscilla Jessica
Journal of Maternal and Child Health Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.01.01.04

Abstract

Background: Immunization can save millions of lives and is one of the most economical health interventions in the world. Parental perception is crucial in decision-making, but the mother’s characteristics, family, beliefs, culture, and environment influence perception. The Health Bilieu Model theory can show evidence that supports predictions about parents’ decisions to immunize their children. Subjects and Method: The design of this study is observational analysis with a case-control design. The research was conducted in 3 working areas of the Puskesmas in the Manokwari district, namely the Prafi SP IV Health Center, the Pasir Putih Health Center, and the Sanggeg Health Center. The research was conducted from July to August 2023. The target population is mothers who have children >9 months old. A total of 96 samples were selected using the fixed disease sampling tech­nique. The incomplete immunization case group was 24, and the complete immunization control group was 72. The dependent variable is the completeness of immunization status, and the inde­pen­dent variable is the maternal perception of threats, benefits, seriousness, obstacles, and vulne­rabilities. The data were analyzed by PATH analysis. Results: The completeness of basic immunization, as reviewed from the Health Belief Model during the Covid-19 Pandemic, was directly influenced by the perception of barriers to the completeness of immunization status (b= 0.99; 95% CI= -0.43 to 2.02; p= 0.060), the perception of benefits to the completeness of immunization status (b= 1.15; 95% CI= 0.11 to 2.19; p= 0.029) and the perception of threats to the completeness of immunization status (b= 1.36; 95% CI= 0.30 to 2.41; p= 0.012). Indirect influence through threat perception is: Vulnerability perception (b= 0.08; 95% CI= -0.87 to 1.04; p= 0.858) and Vulnerability perception (b= 0.25; 95% CI= -0.69 to 1.18; p= 0.606).   Conclusion: Maternal characteristics and maternal perception of obstacles, benefits, threats, seriousness, and vulnerability significantly affect the completeness of basic immunization for infants aged 0 months to 9 months.
Pengembangan Model Lengan sebagai Alat Peraga Alternatif Sederhana untuk Praktikum Imunisasi BCG Erawati, Deasy; Wigunarti, Mirna; Pihahey, Priscilla Jessica
MAHESA : Malahayati Health Student Journal Vol 5, No 6 (2025): Volume 5 Nomor 6 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i6.18429

Abstract

ABSTRACT One of the midwifery services is providing complete basic immunization to babies, toddlers and pre-school children. In Indonesia, to prevent children from becoming infected with TB, the government has designated Bacille Calmette Guerin (BCG) immunization as mandatory immunization. When administering the BCG vaccine, it may occur that the BCG vaccine scar does not appear at the injection area. This can happen because the antibody level is too low, the dose is too low, the injection method is wrong, the child's immune system is decreasing) or the quality of the vaccine is not good due to the wrong storage method. To increase the knowledge and skills of midwives in providing BCG immunization, it is necessary to hold training/practicum on BCG immunization injections for students using appropriate learning media through laboratory practical activities. The aim of this research is to produce alternative teaching aids to support practical activities and to determine the feasibility of the BCG immunization injection teaching aids that have been made. This research used Research and Development (R&D) method. The research subjects were 38 respondents who were taken using purposive sampling techniques and consisted of students, lecturers and Clinical Instructor. The research was conducted at the D-III Midwifery Study Program, Manokwari, Health Polytechnic, Ministry of Health, Sorong, in May-October 2024. The teaching aids obtained were Simple Alternative Simulator for BCG Immunization developed by researchers which were equipped with a feature capable of displaying pale lumps on the surface of the skin follicles at the injection site as a sign that the injection was given correctly. The results is 25 respondents who took part in the field study, the total questionnaire score obtained was 3,396 with an ideal maximum total score of 3,750. The feasibility percentage obtained was 90.56%, so it can be concluded that the BCG immunization injection simulator is very suitable for use in the laboratory. Keywords: Intracutan, Simulator, Laboratory, BCG, Midwife  ABSTRAK Salah satu kompetensi pelayanan KIA oleh bidan adalah pemberian imunisasi dasar lengkap pada Bayi, balita dan anak pra sekolah. Di Indonesia untuk menghindari anak terinfeksi TB, pemerintah menetapkan imunisasi Bacille Calmette Guerin (BCG) sebagai imunisasi wajib. Pada pemberian vaksin BCG bisa terjadi scar vaksin BCG tidak muncul di daerah suntikan. Hal itu dapat terjadi karena kadar antibodinya terlalu rendah, dosis terlalu rendah, cara penyuntikkan yang salah, daya tahan anak sedang menurun) atau kualitas vaksinnya kurang baik akibat cara penyimpanan yang salah. Untuk meningkatkan pengetahuan dan keterampilan bidan dalam pemberian imunisasi BCG, maka perlu di adakan pelatihan/praktikum penyuntikan imunisasi BCG bagi mahasiswa dengan menggunakan media pembelajaran yang sesuai melalui kegiatan praktik laboratorium. Tujuan penelitian ini adalah menghasilkan alat peraga alternative sebagai penunjang kegiatan praktikum serta mengetahui kelaikan alat peraga peyuntikan imunisasi BCG yang telah dibuat. Penelitian ini merupakan Research and Develompment (R&D). Subjek penelitian berjumlah 38 responden yang diambil menggunakan teknik purposive sampling dan terdiri atas mahasiswa, dosen dan CI. Penelitian dilakukan di Prodi D-III Kebidanan Manokwari Poltekkes Kemenkes Sorong pada bulan Mei-Oktober 2024. Alat peraga yang diperoleh adalah Alat Peraga Alternatif Sederhana Untuk Praktikum Imunisasi BCG yang dikembangkan oleh peneliti yang dilengkapi dengan fitur mampu menampilkan benjolan pucat pada permukaan folikel kulit tempat suntikan sebagai tanda suntikan diberikan dengan benar. Dari 25 responden yang mengikuti studi lapangan, total skor kuesioner yang didapatkan sebesar 3.396 dengan total skor maksimal ideal 3.750. Prosentase kelayakan didapatkan hasil sebesar 90,56% sehingga dapat disimpulkan bahwa alat peraga penyuntikan imunisasi BCG yang dibuat Sangat Layak digunakan di laboratorium kebidanan untuk keperluan praktikum pemberian imunisasi BCG pada bayi. Kata Kunci: Intrakutan, Alat Peraga, Laboratorium, BCG, Bidan
DAMPAK KONSUMSI MINUMAN KERAS TERHADAP PERILAKU BERISIKO REMAJA PRIA DI INDONESIA (ANALISIS DATA SDKI KRR 2017) Pihahey, Priscilla Jessica; May, Nunang Lamaek
JURNAL KEDOKTERAN Vol. 7 No. 2 (2022): Juli 2022
Publisher : Fakultas Kedokteran Universitas Islam Al-Azhar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36679/kedokteran.v7i2.555

Abstract

Konsumsi minuman keras dapat menyebabkan gangguan kesehatan dan kematian. Remaja yang mengkonsumsi minuman keras pada umumnya bersekolah dan telah terpapar informasi tentang bahaya minuman keras melalui sekolah, fasilitas kesehatan, tenaga kesehatan, peneliti, pendidik, media masa, media sosial, dan internet. Penelitian ini menganalisis dampak minuman keras terhadap perilaku beresiko remaja di Indonesia. Penelitian ini menggunakan desain cross sectional data sekunder SDKI KRR 2017. Sampel penelitian adalah remaja pria belum menikah sejumlah 13.079. Analisis data dilakukan dengan analisis univariat, bivariat dan multivariat dengan model regresi logistik. Hasil analisis menunjukkan hubungan signifikan antara konsumsi alkohol dengan umur (OR=1.82;95% CI 1.68-1.97; p=0.000), perilaku merokok OR=5.70;95% CI=5.03-6.45; p=0.000), penyalahgunaan narkoba (OR= 10.8;95% CI= 7.91-14.8; p=0.000) dan seks pranikah (OR=8.05; 95% CI=6.79-9.56; p=0.000). Kesimpulannya, konsumsi minuman keras pada remaja pria berdampak pada perilaku berisiko remaja, yakni merokok, penyalahgunaan narkoba, dan seks pranikah. Perilaku berisiko ini menyebabkan menurunnya kualitas hidup, sehingga sangat penting melakukan edukasi tentang dampak minuman keras pada remaja. Kata kunci: Remaja pria; SDKI 2017; Minuman Keras; Perilaku Berisiko.