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All Journal Jurnal Kesehatan Masyarakat Journal of Health Promotion and Behavior
Rahmadani, Annisa Nurindra
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Medicine & Pharmacology Public Health

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IMPLEMENTASI KEBIJAKAN STANDAR PELAYANAN MINIMAL PENDERITA DIABETES MELLITUS DI PUSKESMAS PANDANARAN KOTA SEMARANG Rahmadani, Annisa Nurindra; Surjoputro, Antono; Budiyanti, Rani Tiyas
Jurnal Kesehatan Masyarakat (Undip) Vol 9, No 2 (2021): MARET
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (20.626 KB) | DOI: 10.14710/jkm.v9i2.29427

Abstract

Diabetes mellitus (DM) is the fifth most disease in Semarang, but the achievement of Minimum Service Standard (SPM) only reached 50.64% in 2017. The district with the highest morbidity in Semarang is South Semarang which has two health centers. Puskesmas Pandanaran has lower achievement than the other central health in South Semarang, which is 89%. The purpose of this study is to analyze the implementation of SPM for DM in Puskesmas Pandanaran. The research method is qualitative research with in-depth interviews. Research subjects include the head of puskesmas, the program in charge, the program implementer, and the community. The research was conducted in August-October 2020. The results showed that the implementation of SPM services is still constrained at the stage of logging and early detection of DM patients. Unfulfilled performance targets are affected by standard and policy objectives that are difficult to achieve due to differences in the amount of target with the actual population, lack of infrastructure resources and funding sources, there is no Standar Operational Procedure (SOP) in the implementation of SPM for DM patients, and community knowledge factors. The conclusion of this study is variable that affects the performance of SPM are standards and policy objectives, resources, characteristics of implementing organizations and the social environment of the community. Coordination between health services and health centers regarding the use of data as targets for achievement is required, addition and fulfillment of infrastructure and funds, creating SOPs, forming team to record DM patients, and giving education.
Meta-Analysis: Effect of Breastfeeding Education Program on the Breastfeeding Self-Efficacy and Exclusive Breastfeeding Rahmadani, Annisa Nurindra; Rahmawati, Anisya Fajar
Journal of Health Promotion and Behavior Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Improving self-efficacy in breastfeeding and the practice of exclusive breastfeeding is important for the health of infants and mothers. WHO recommends exclusive breastfeeding for six months without any additional food and fluids. One form of intervention that has been carried out is an educational program given to pregnant women. The purpose of this study was to determine the effect of breastfeeding education on self-efficacy in breastfeeding and exclusive breastfeeding.Subjects and Method: This was a meta-analysis study using PRISMA flowchart guidelines. The article search process was carried out between 2011-2021 using databases from PubMed and Sciencedirect. Based on the database, there were 15 articles that met the inclusion criteria. The analysis was carried out using RevMan 5.3 software.Results: There were 15 articles that met the inclusion criteria which were analyzed using the Randomized Controlled Trial method. Based on 7 studies on the effect of education and self-efficacy, it showed that pregnant women who received breastfeeding education interventions had a self-efficacy score of 0.43 times higher than the control group (SMD= 0.43; 95% CI= 0.27 to 0.60; p< 0.001) and 8 Research on the effect of education on the practice of exclusive breastfeeding showed an increase of 2.46 times in exclusive breastfeeding compared to the control group (RR= 1.59; 95% CI= 1.40 to 1.81; p=0.020).Conclusion: Breastfeeding education programs for pregnant women affect self-efficacy in breastfeeding and exclusive breastfeeding.Keywords: breastfeeding education, pregnant woman, self-efficacy, exclusive breastfeedingCorrespondence:Annisa Nurindra Rahmadani. Faculty of Public Health, Universitas Diponegoro. Jl. Prof. Soedarto, SH., Tembalang, Semarang. Email: annisanrahmadani@gmai.com. Mobile: +6283838761325.Journal of Health Promotion and Behavior, (2022), 07(01): 42-54DOI: https://doi.org/10.26911/thejhpb.2021.07.01.05 
Co-Authors Rahmawati, Anisya Fajar Rani Tiyas Budiyanti Surjoputro, Antono