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Pengembangan Aplikasi TUKKOT ASI Berbasis Budaya Batak Mambosuri Dalam Peningkatan Kesiapan Pemberian ASI Eksklusif Pada Ibu Hamil Trimester III: Development of the TUKKOT ASI Application Based on Batak Mambosuri Culture to Enhance Readiness for Exclusive Breastfeeding among Third-Trimester Pregnant Women Nainggolan, Anna Waris; Silaban, Marta Armita; Simanjuntak, Parningotan; Simanullang, Cesy Marlianata; Siagian, Lastini
Amerta Nutrition Vol. 10 No. 1 (2026): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v10i1.2026.83-95

Abstract

Background: Exclusive breastfeeding rate in Indonesia was 68%, which were also lower than the targeted national 80%. One such cause is unpreparedness of pregnant women for breastfeeding. In Batak culture, the Moumbasuri method during pregnancy month seven is regarded as a social, spiritual and psychosocial intervention to support pregnant women, but has not been adequately utilised to reinforce breastfeeding preparation. This type of local wisdom can be incorporated into digital media for better readiness toward exclusive breastfeeding among third trimester pregnant mothers. Objective: To develop and evaluate the Technology for Optimal Readiness (TUKKOT) ASI application, grounded in Mambosuri culture, as an educational tool to enhance readiness for exclusive breastfeeding. Methods: The used Research and Development (R&D) model was based on the structure of Analysis, Design, Development, Implementation, and Evaluation (ADDIE). It was composed by needs analysis, content design, validation with specialists and implementation (40 pregnant women on the third trimester) and evaluated using Wilcox test. Outcomes: The analysis showed that 57.5% of participants had low knowledge, while 47.5% demonstrated good readiness. The application featuring home, Mambosuri, readiness, and profile sections received an expert feasibility score of 88.9%. After a one month period, a user satisfaction level of 90.8% was achieved. Significant improvements were demonstrated through statistical analysis in knowledge (p-value<0.001), family support (p-value<0.005), and readiness for breastfeeding (p-value<0.001). Conclusion: An effective increase in knowledge, family support, and breastfeeding preparedness among women in the third trimester of pregnancy was achieved through the use of the Mambosuri based TUKKOT ASI application. Embedding local wisdom in digital media is one strategic method to support the success of Indonesia’s exclusive breastfeeding program.
Faktor – Faktor yang Berkaitan dengan Pemberian Vitamin A pada Balita di Posyandu Wilayah Kerja Puskemas Aek Parombunan Kota Sibolga Provinsi Sumatera Utara Tahun 2024 Irayanti Manalu; Zulkarnain Batubara; Marta Armita Silaban; Rosmega Rosmega
Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi Vol. 2 No. 4 (2024): Antigen: Jurnal Kesehatan Masyarakat dan Ilmu Gizi
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/antigen.v2i4.482

Abstract

Health problems related to nutrition due to lack of intake of vitamin A obtained from food in the body due to metabolic disorders in the body, especially in toddlers in Aek Parombunan Posyandu Sibolga city, therefore the aim of this research is to analyze the factors related to giving Vitamin A to Toddlers at posyandu in Aek Parombunan, Sibolga City, North Sumatera Province in 2024. This type of research is quantitative with a cross sectional study design. The research was conducted in February-June 2024 with a sample of 32 toddlers using Random Sampling Technique. The population in this study were all mothers with toddlers (6-59 months) who visited the Kelambir Village posyandu February – June 2024. Data collection technique was questionnaire. The data analysis used was univariate and bivariate analysis with the Chi Square test. The research results showed that variables related to giving vitamin A to toddlers were the mother's knowledge variable value (p=0.006) and the toddler's activeness variable in visiting the posyandu value (p=0.018). Meanwhile, the variable that is not related is the role of value cadres (p=0.201). The conclusion is that there is a relationship between maternal knowledge and toddlers' activeness in visiting the posyandu with the provision of Vitamin A to toddlers at the posyandu in Aek Parombunan, Sibolga City, North Sumatera Province in 2024.
PENINGKATAN KESIAPAN PERSALINAN MELALUI EDUKASI MANDIRI BAGI IBU HAMIL TRIMESTER KETIGA DI PMB SHINTA KOTA MEDAN PROVINSI SUMATERA UTARA TAHUN 2025: PENINGKATAN KESIAPAN PERSALINAN MELALUI EDUKASI MANDIRI BAGI IBU HAMIL TRIMESTER KETIGA DI PMB SHINTA KOTA MEDAN PROVINSI SUMATERA UTARA TAHUN 2025 Marta Armita Silaban; Yasrida Nadeak; Novita Andriani Br.Manjorang; Damayanty S; Eva Dona Sinaga
Jurnal Pengabdian Vol. 4 No. 2 (2025): Juli-Desember
Publisher : Bengkulu Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/jp.v4i2.1399

Abstract

Preparing for childbirth is one of the most important strategies to reduce the risk of complications for both mother and baby. However, many pregnant women, especially those in their third trimester, do not fully understand the signs of labor, how to deliver a baby, and how to prepare for referrals. Pregnant women about to give birth often experience anxiety due to their inability to cope with the discomfort caused by the mental and physical changes that occur during pregnancy. This community service program aims to improve the readiness of pregnant women in their third trimester for childbirth through independent learning based on educational e-books. This community service activity took place at PMB Shinta, Medan Johor District, Medan City, involving thirty-two expectant mothers. Activities included small group discussions, counseling, distribution of e-books, and prenatal and postnatal examinations for evaluation. The results of this community service program indicated that participants now have a better understanding and are prepared for the labor process. Pregnant women can gain the basic knowledge needed before giving birth through this e-book. The goal of this community service initiative is to improve the readiness of pregnant women in their third trimester for childbirth through independent learning based on educational e-books.
Hubungan Pengetahuan dan Sikap Ibu dengan Pemberian Asi Eksklusif di Klinik Bersalin Evie Kec Babalan Kabupaten Langkat Tahun 2022 Damayanty S; Marta Armita Silaban; Ika Damayanti Sipayung; Ade Rachmat Yudianto
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 1 No. 1 (2022): Januari: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v1i1.1979

Abstract

According to WHO data (2016), the coverage of exclusive breastfeeding worldwide was only around 36% during the 2007-2014 period. The achievement of exclusive breastfeeding in Indonesia in 2016 was 54%, but again decreased in 2017 to only 35% (Ministry of Health RI, 2017). In accordance with Health Law No. 36 of 2009 article 128 paragraph 1 states that every baby has the right to get exclusive breastfeeding from birth for six months except for medical indications and in paragraph (2) it says "during breastfeeding, the family, government, government regions and communities must fully support the baby by providing time and public facilities. Furthermore, in article 200 paragraph 1 it is stated "Everyone who deliberately obstructs the exclusive breastfeeding program as stated in article 128 is subject to imprisonment for 1 year and a maximum fine of Rp. 100,000,000 (one hundred million rupiah). The type of research used is an analytical survey. Analytic survey is research that tries to explore how and why the phenomenon occurs. Then analyze the dynamics of the correlation between phenomena, both between risk factors and effect factors. Test results The results of the chi square statistical test at a confidence level of 0.05 obtained a p value = 0.004 <0.05, then H0 was rejected and Ha was accepted. So it can be concluded that there is a significant relationship between knowledge and exclusive breastfeeding at the Evie Childbirth Clinic Langkat district in 2022. The results of the chi-square statistical test at the 0.05 confidence level obtained a p value = 0.003 <0.05, Ha was accepted. So that it can be concluded that there is a significant relationship between knowledge and exclusive breastfeeding at the Evie Childhood Clinic in Langkat Regency in 2022.
Faktor Risiko Maternal yang Memengaruhi Kejadian Preeklamsia di RSU Rahmad Hidayah Provinsi Sumatera Utara Marta Armita Silaban; Dear Megawati Situmorang
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 1 (2025): Januari : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i1.3982

Abstract

The Development of the Research and Health Agency of the Ministry of Health explained that the largest cause of AKI in Indonesia is 32.4% hypertension and/or preeclampsia and 20.3% of postpartum hemorrhage. Hypertension in pregnancy is the main cause of direct death in Indonesia at this time. Severe preeclampsia is a condition where blood pressure is >160/110 mmHg at >20 weeks gestational age without seeing proteinuria and accompanied by involvement of other organs. Preeclampsia is also still a problem, 10% of pregnant women worldwide suffer from preeclampsia, and is the cause of 76,000 maternal deaths and 500,000 infant deaths 566 each year. The purpose of this study is to find out the maternal risk factors that affect the incidence of preeclampsia at Rahmad Hidayah Hospital. The research method used a cross sectional with a sample of 60 mothers. The results of the study were that there was a correlation between the maternal age variable and the incidence of preeclampsia with a value of p=0.004 (α<0.05); There was a correlation between the maternal parity variable and the incidence of preeclampsia with a value of p=0.019 (α<0.05); There was a correlation between the variable history of hypertension/preeclamsia and the incidence of preeclampsia with a value of p=0.000 (α<0.05).
Determinan Faktor Kejadian Anemia Pada Ibu Hamil Di Klinik Bersalin Suriani Kecamatan Medan Johor Kelurahan Kwala Bekala Provinsi Sumatera Utara Tahun 2025 Damayanty Sitorus; Marta Armita Silaban; Ade Rachmat Yudiyanto; Erin Padilla Siregar; Sri Rezeki; Hazizah Sabilah Siagian
Jurnal Vokasi Kesehatan Vol 4 No 2 (2025)
Publisher : Gayaku Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/juvokes.v4i2.1401

Abstract

Anemia ditandai dengan kadar hemoglobin (Hb) darah di bawah normal. Fungsi jaringan dapat terganggu akibat kekurangan oksigen. Misalnya, gejala seperti kesulitan berkonsentrasi dan kurangnya kebugaran untuk melakukan aktivitas dapat disebabkan oleh kekurangan oksigen di otak dan otot. Penelitian yang digunakan adalah kuantitatif. Proses penemuan pengetahuan kuantitatif mencakup survei retrospektif yang menggunakan data numerik untuk menilai informasi tentang apa yang dicari. Sampel pada penelitian ini adalah 54 orang ibu hamil yang terkena anemia dengan keriteria inklusi dan eksklusi. Dari hasi uji chi Square terhadap usia ibu nilai p value 0,016 (p < α=0,05), Dari hasi uji chi Square terhadap paritas ibu nilai p value 0,032 (p < α=0,05), Dari hasi uji chi Square terhadap Paritas nilai p value 0,017 (p < α=0,05), Dari hasi uji chi Square terhadap Paritas nilai p value 0,003 (p < α=0,05). Kesimpulan ddiapatkan bahwa kejadian anemia pada ibu hamil dipengaruhi oleh beberapa faktor determinan utama yaitu terdapat pada ibu yang mengalami KEK