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Anemia in Pregnant Women and Its Determinants: A Cross-Sectional Study at Ummu Hani Mother and Children's Hospital, Purbalingga Regency Fitriyani, Novita Endang; Amalia, Ary Nahdiyani; Jayanti, Rosita Dwi; Febriyanti, Rizka; Maryati, Leni
Kesmas Indonesia Vol 16 No 1 (2024): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ki.2024.16.1.11311

Abstract

Anemia in pregnant women is still a global problem, almost half of all pregnant women throughout the world experience anemia. Ummi Hani Mother and Children Hospital is one of the referral hospitals for mothers and children in Purbalingga that provides the antenatal care service. This research aimed to identify the determinants of anemia in pregnant women at Ummi Hani Mother and Children Hospital, Purbalingga. This research was an analytical observational study with a cross-sectional design. The total sample was 100 pregnant women. Data sources were obtained from medical records, parturition registers, and cohorts of pregnant women at Ummi Hani Mother and Children Hospital. Primary data collection used a structured questionnaire. Bivariate analysis used chi square and/or Fisher exact, and multivariate analysis used logistic regression. This research found that 51% of pregnant women suffered from anemia. The results of multivariate analysis showed that educational level (p value=0.002; OR=5.07; 95% CI=1.79-14.37) and employment status (p value=0.045; OR=2.73; 95% CI=1.02-7.29) were determinants of anemia in pregnant women. This research highlights importance of improving health promotion regarding dangers of anemia and prevention measures such as consuming nutritious and varied foods at affordable prices which is focused on groups of low-educated and unemployed pregnant women.
HUBUNGAN DUKUNGAN KELUARGA DENGAN KEPATUHAN MINUM OBAT ANTIHIPERTENSI PADA PASIEN PROLANIS LANSIA DI WILAYAH KERJA PUSKESMAS TAMBAK KABUPATEN BANYUMAS Amalia, Ary Nahdiyani; Fitriyani, Novita Endang; Arfani, Anun
Medical and Health Journal Vol 4 No 1 (2024): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2024.4.1.12172

Abstract

Family is a factor that has a big impact on compliance because it will motivate sufferers to be more confident when dealing with the health problems they are experiencing. This study aims to determine the relationship between support provided by the family and compliance with hypertension treatment in elderly prolanis patients at Tambak 1 and 2 Community Health Centers. The study design used was cross-sectional analytical observation. The research began in April-May 2023 at Tambak 1 and 2 Community Health Centers and was conducted on 92 patients. Data were collected using a questionnaire and Spearman's Rho testing was carried out. The results of the study showed a value of p = 0.002 (p < 0.05), which means that there is a significant relationship between family support and compliance with taking medication for elderly prolanis patients at Tambak 1 and 2 Community Health Centers. The correlation coefficient (r) was obtained at 0.321 and the direction of the relationship obtained a positive r value, meaning that the more the family supports the sufferer, the higher the degree of compliance with treatment. The conclusion that can be drawn is that compliance with hypertension treatment is closely related to the support provided by family members of elderly prolanis patients at Tambak 1 and 2 Community Health Centers. The Community Health Center can provide information, education or health counseling to hypertension prolanis participants about the importance of hypertension treatment compliance and the role of the family. in providing support to maintain stable blood pressure in prolanis patients.
Peningkatan Kapasitas Kader dalam Pencegahan Penyakit Tidak Menular (PTM) melalui Pemanfaatan Pos Pembinaan Terpadu (Posbindu) PTM Fitriyani, Novita Endang; Jayanti, Rosita Dwi; Octaviana, Devi; Sugiharto, Septiono Bangun
Jurnal Pengabdian Masyarakat Progresif Humanis Brainstorming Vol 7, No 4 (2024): Jurnal Abdimas PHB : Jurnal Pengabdian Masyarakat Progresif Humanis Brainstormin
Publisher : Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/japhb.v7i4.7605

Abstract

Penyakit Tidak Menular saat ini menjadi trending topik masalah kesehatan global serta menyumbang peningkatan morbiditas maupun mortalitas khususnya di negara-negara berkembang. Masyarakat masih beranggapan PTM tidak berbahaya, sehingga deteksi dini terhadap faktor risiko tidak dilakukan dengan baik. Deteksi dini harus dilakukan secara maksimal di Posbindu PTM sebagai sarana pemberdayaan masyarakat dalam wadah UKBM. Peningkatan pengetahuan dan keterampilan kader dalam melakukan deteksi dini PTM di Posbindu harus terus menerus dilakukan. Tujuan pengabdian ini adalah untuk meningkatkan pengetahuan dan keterampilan dalam deteksi dini faktor risiko PTM. Metode pengabdian  diawali dengan sosialisasi dan refreshing kader tentang PTM, pengukuran tekanan darah, lingkar perut, berat badan, dan tinggi badan, IMT, kadar kolesterol dan kadar glukosa serta tentang manajemen Posbindu PTM. Hasil pengabdian ini diperoleh rata-rata peningkatan skor pengetahuan responden pada post-test sebesar 26,4% dari rata-rata skor pengetahuan responden pada pre-test, yaitu dari skor 74,0 pada pre-test menjadi 93,5 pada post-test. Peningkatan kapasitas kader Posbindu harus terus menerus dilakukan sehingga kemampuan kader dalam mengenali secara awal PTM di Posbindu dalam upaya promotif dan preventif kejadian PTM dapat berjalan efektif serta meningkatkan motivasi masyarakat untuk aktif dalam pencegahan bersama-sama PTM di masyarakat.
Analysis of Factors Influencing the Utilization of the Non-Communicable Diseases Community Health Post (Posbindu) in the South Purwokerto Community Health Center, Banyumas Regency Razan, Nadia Nisrina; Octaviana, Devi; Fitriyani, Novita Endang; Jayanti, Rosita Dwi
Insights in Public Health Journal Vol 6 No 1 (2025): Insights in Public Health Journal
Publisher : Department of Public Health, Faculty of Health Sciences, Jenderal Soedirman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.iphj.2025.6.1.17016

Abstract

Background: Non-communicable diseases (NCDs) are the leading cause of global death. The Non-Communicable Diseases Community Health Post (Posbindu PTM) aims to prevent and control NCDs, but utilization at the South Purwokerto Community Health Center remains low. The average attendance rate at each Posbindu was only 2.6 %, far below the 100% target. This study aims to analyze the factors influencing the utilization of Posbindu PTM in the region. Methods: This study analyzes the influence of variables such as gender, education level, employment status, income, knowledge, individual perception, availability of facilities, access to health services, access to information, cadre support, and family support on the utilization of Posbindu PTM in the South Purwokerto Community Health Center area. The research design used is cross-sectional , the population is the productive age community with sampling using proportional random sampling technique of 110 people. Data collection through observation and questionnaire interviews. Research data analysis consists of univariate analysis, bivariate analysis, and multivariate analysis. Results: The utilization of Posbindu PTM in the Purwokerto Selatan Community Health Center Working Area was significantly influenced by access to information (p = 0.021; OR = 5.000; CI 95% = 1.268 – 19.714). Conclusions: Access to information is a significant factor influencing the utilization of Posbindu PTM in the South Purwokerto Community Health Center working area. Therefore, the dissemination of information regarding Posbindu PTM should be expanded through routine community activities and by strengthening the role of health cadres as key implementers. Enhancing these efforts will enable the South Purwokerto community to gain a better understanding of Posbindu and recognize the importance of preventing non-communicable diseases through early detection at Posbindu PTM.
Studi Prevalensi dan Faktor Risiko Hipotensi pada Remaja di Wilayah Kerja Puskesmas Lumbir Tahun 2024 Nurlela; Octaviana, Devi; Fitriyani, Novita Endang
Jurnal Penelitian Sains dan Kesehatan Avicenna Vol 4 No 3 (2025): Jurnal Penelitian Sains dan Kesehatan Avicenna
Publisher : Lembaga Penelitian Dan Pengabdian Kepada Masyarakat (LPPM), Institut Teknologi Dan Kesehatan (ITK) Avicenna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69677/avicenna.v4i3.184

Abstract

Latar Belakang: Temuan kasus hipotensi sebesar 16% pada remaja di Desa Cingebul dalam wilayah kerja Puskesmas Lumbir mengindikasikan adanya masalah kesehatan yang perlu diperhatikan. Kondisi ini juga menimbulkan dugaan adanya kasus serupa di desa lain yang belum terdeteksi akibat keterbatasan pemeriksaan kesehatan. Beberapa faktor risiko, seperti jenis kelamin, genetik, dan kebiasaan sehari-hari berpotensi untuk menyebabkan hipotensi. Tujuan: Mengetahui prevalensi dan faktor risiko hipotensi pada remaja di wilayah kerja Puskesmas Lumbir. Metode: Desain studi cross-sectional pada 160 remaja menggunakan teknik proportional random sampling. Instrumen penelitian berupa kuesioner, pengukuran tekanan darah, serta analisis data menggunakan aplikasi SPSS. Hasil: Prevalensi hipotensi sebesar 56,9% (91 dari 160 remaja). Faktor yang berhubungan dengan kejadian hipotensi meliputi jenis kelamin (0,043), riwayat penyakit kardiovaskular pada keluarga (0,003), aktivitas fisik (0,031), dan kualitas tidur (0,001). Faktor yang berpengaruh terhadap kejadian hipotensi berupa kualitas tidur buruk (POR = 5,010), jenis kelamin perempuan (POR = 3,905), riwayat penyakit kardiovaskular pada keluarga (POR = 3,078), dan status gizi kurang (POR = 2,221). Simpulan: Prevalensi hipotensi di wilayah kerja Puskesmas Lumbir cukup tinggi dengan faktor yang paling dominan adalah kualitas tidur, dimana remaja dengan kualitas tidur buruk berisiko mengalami hipotensi lebih dari lima kali lipat dibandingkan remaja dengan kualitas tidur baik.
Pemberdayaan Kelompok Tani Melalui Edukasi dan Pelatihan Penanganan Luka untuk Pencegahan Leptospirosis Fitriyani, Novita Endang; Jayanti, Rosita Dwi; Amalia, Ary Nadiyani
Jurnal Pengabdian Masyarakat Progresif Humanis Brainstorming Vol 9, No 1 (2026): Jurnal Abdimas PHB : Jurnal Pengabdian Masyarakat Progresif Humanis Brainstormin
Publisher : Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/japhb.v9i1.9778

Abstract

Leptospirosis merupakan penyakit zoonosis yang menular melalui kontak dengan lingkungan yang terkontaminasi air kencing tikus yang mengandung bakteri leptospira. Petani merupakan kelompok dengan risiko tinggi terpapar penyakit ini.. Desa Panembangan, Kecamatan Cilongok, tercatat memiliki kasus leptospirosis tertinggi di wilayah Puskesmas Cilongok 1, sehingga edukasi kesehatan dan pelatihan penanganan luka menjadi strategi pencegahan yang penting. Kegiatan pengabdian masyarakat (PKM) dilaksanakan pada 30 petani perwakilan kelompok tani dengan metode ceramah interaktif, diskusi, dan simulasi praktik penanganan luka. Penilaian dilakukan menggunakan pre-test dan post-test guna mengukur pengetahuan peserta tentang leptospirosis dan penanganan luka. Hasil analisis memperlihatkan bahwa rata-rata skor pre-test dan post-test pada topik leptospirosis berturut-turut adalah 9,32 dan 9,41 (p=0,666), sementara pada topik penanganan luka masing-masing sebesar 8,32 dan 8,41 (p=0,833), sehingga tidak terdapat peningkatan signifikan. Temuan ini menandakan bahwa pengetahuan awal peserta sudah relatif tinggi. Tingginya jumlah kasus di wilayah tersebut memungkinkan masyarakat setempat telah memperoleh paparan informasi terkait leptospirosis dari petugas Puskesmas. PKM ini dapat menguatkan pengetahuan, sarana diskusi atas kendala di lapangan, serta wahana pemberdayaan masyarakat melalui praktik langsung penanganan luka yang aplikatif dan sesuai dengan kondisi kerja petani, sehingga meskipun peningkatan skor kuantitatif tidak signifikan, kegiatan ini tetap berpotensi mendukung penerapan upaya pencegahan leptospirosis di tingkat komunitas.
The Use of Flipchart Media and Anti-Hypertension Exercise in Preventing Hypertension among the Productive Age Group in Rawalo District Banyumas Regency Nurhayati, Siti; Fitriyani, Novita Endang; Zahra, Ridha Aisya; Ulya, Fudiyana; Banuyunanto, Radhliy; Kaunia, Hafsa; Indraswari, Karavitana Puri; Ramadhani, Fatia Rahma
Indonesian Journal of Community Services Cel Vol. 4 No. 3 (2025): Indonesian Journal of Community Services Cel
Publisher : Research and Social Study Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70110/ijcsc.v4i3.120

Abstract

Background: The incidence of hypertension in Banyumas Regency in 2023 was 172,022 people. Rawalo District, specifically Sanggreman Village, ranked eighth in terms of the number of hypertension cases among the productive age group, with 105 people with hypertension.Aims: This activity aims to provide interventions for the prevention and control of hypertension in the productive age group through extension and counseling using flipchart media and anti-hypertension exercises.Methods: This intervention was implemented at a community health post (Posbindu) with 55 people with hypertension. The activity began with a questionnaire for the Pre-test, followed by socialization using flipcharts and anti-hypertension exercises, and concluded with a Post-test. This activity used a pre-experimental approach with a one-group pre-post test design. The sampling technique used accidental sampling. The Pre-test and Post-test methods were used to measure the level of knowledge and attitudes before and after the intervention.Results: The results of a bivariate analysis using the Wilcoxon test on the knowledge and attitude variables for hypertension prevention and control interventions in the productive age group yielded a p-value of 0.000 <0.05. This means that the intervention, through socialization and counseling using flipcharts and anti-hypertension exercises, was deemed successful, as knowledge and attitudes improved. There was a significant increase in the difference between the mean Pre-test and Post-test scores, namely 2.15 for the knowledge variable and 1.71 for the attitude variable. This indicates that people with hypertension were able to receive the information provided well through flipchart media. Anti-hypertension exercise is an example of a positive physical activity that can be easily performed by patients as a preventive effort. It is recommended that anti-hypertension exercise and flipcharts be used as health education media to reduce the incidence of hypertension in Sanggreman Village, Rawalo District.