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Factors that Influence the Implementation of Early Initiation of Breastfeeding in RSUP Haji Adam Malik Medan Ali Imron; Ida Yustina; Etti Sudaryati
Berita Kedokteran Masyarakat (BKM) Vol 36, No 6 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (450.192 KB) | DOI: 10.22146/bkm.55443

Abstract

Early Initiation of Breastfeeding (EIB) is placing the baby in the mother's stomach immediately after birth in a position of skin contact with the mother in an hour after birth, if there is no medical indication. RSUP Haji Adam Malik Medan was one of the government hospitals, education, national referrals, and plenary status had implementing EIB. Achievement of EIB in this hospital decreased from (27.71%) in 2016 to (23.08%) in 2017. The purpose of this study was to explore the implementation of EIB in RSUP Haji Adam Malik Medan. This was a qualitative research with a phenomenological approach through in-depth interviews. The informants were 6 people, consisting of 2 midwives and 1 structural official in medical services, 2 patients and 1 gynecologist. Implementation of EIB in the hospital wasn’t going well, the factors that influence EIB were communication, disposition and management’s function. The successful implementation of EIB can reduce maternal and infant mortality rates, suggested to RSUP Haji Adam Malik Medan forms a special team to monitoring and evaluates the implementation of EIB, set and carry out sanctions for implementation of EIB, and increases the competence and motivation of health workers.
Kualitas Pelayanan BPJS Kesehatan di Masa Pandemi Covid-19 Muchti Yuda Pratama; Ida Yustina; Nurmaini Nurmaini; Zulkarnain Zulkarnain
Jurnal Riset Hesti Medan Vol 7, No 1 (2022)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v7i1.272

Abstract

This study aims to analyze the quality of BPJS Health services during the COVID-19 pandemic at the Mampang Health Center based on the dimensions of Tangible, Reliability, Responsiveness, Assurance and Empathy. This research design uses a quantitative approach with a descriptive type of research. The location of this research is the Mampang Public Health Center, Kotapinang District, South Labuhanbatu Regency. Based on the results of the research conducted by researchers on 150 respondents who were patients or participants who visited the Mampang Public Health Center, Kotapinang District using BPJS Health, the results were (88.6%) rated moderate on Tangible dimensions, (85.7%) assessed on the Reliability dimension, (94.3%) rated it moderate on the Responsiveness dimension, (82.9%) rated it moderate on the Assurance dimension, and (97.1%) rated yes it meets the Empathy dimension. None of the respondents' statements stated that the quality of service was poor even though they were BPJS users.
Factors Related to the Participation of Mothers’ Toddlers in the Stunting Prevention Program at Sicanang Health Center Medan City Sri Hajijah Purba; Ida Yustina; Etti Sudaryati
Randwick International of Social Science Journal Vol. 4 No. 2 (2023): RISS Journal, April
Publisher : RIRAI Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47175/rissj.v4i2.672

Abstract

One of the wholesome issues in the world nowadays is the issue of hindering which is being experienced by toddlers, especially in developing and poor countries. Malnutrition during the growth and development of toddlers will hinder their physical development, increase morbidity, hinder children's mental development, and can cause death. Based on data of Medan City Health Office or Dinas Kesehatan Kota Medan, stunting cases in 2022 as of August reached 555 cases. The sub-district with the highest stunting cases was in Secanang Sub-District with the number of verified cases as of August 2022 of 61 (6.40%) cases of stunting under five. This study aims to analyze the Factors Associated with the Participation of Mothers under Toddlers in the Stunting Prevention Program in the Working Area of the Sicanang Health Center, Medan City. This research is a quantitative analytic survey research with a cross sectional design. The sample used amounted to 100 people. Data analysis used univariate and bivariate analysis. The outcomes about appeared that the related factors were Eagerness (p=0.018), Capacity (p=0.026), Opportunity (p=0.037) and Social Back (p=0.001) with the Cooperation of Moms Little children within the Stunting Avoidance Program within the Work Range of the Sicanang City Wellbeing Center Medan.Suggestions for this research are that the stunting prevention program officers are expected to conduct education about the stunting prevention program for mothers of toddlers who have stunted children or not, so that it can be prevented and treated early so that stunting rates can be reduced and nutrition can be improved from an early age. And also stunting prevention program officers can make improvements to the program by conducting socialization on how to prevent counseling in health-based community activities to coordinate with each other and have good communication.
Support and Advice for the Participation of Non-working Mothers at PTM Posbindu in Medan City Sri Yusnani; Ida Yustina; Nurmaini Chalik
Randwick International of Social Science Journal Vol. 4 No. 2 (2023): RISS Journal, April
Publisher : RIRAI Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47175/rissj.v4i2.675

Abstract

The disinfected illness or PTM is the chronic illness which is disinfected one to another. Globally, 70% of the death in the world caused by PTM. The SPM target states that every Indonesian citizen aged 15-59 years will receive health screening according to standards, while the percentage of PTM screening aged ≥ 15 years in the city of Medan in 2020 is 15%. The aim of the study was to analyze the relationship between tool's support and the participation of non-working mothers at Posbindu PTM in Medan City. This type of quantitative research with survey methods. Cross-sectional study design. The total population is 21,485 people, the total sample is 100 people. Data were analyzed by Rank Spearmen correlation. The results of the Rank Spearman test obtained a value of P=0.029 (P <0.05) meaning that there is a significant relationship between tool's support and the participation of non-working mothers in Posbindu PTM in Medan City. Participation of non-working mothers can be increased by socializing posbindu, increasing supporting facilities and infrastructure, increasing the ability to establish partnerships.
EXPERIENCES OF ADOLESCENT WOMEN WHO MARRIED AT AN EARLY AGE IN THE PAYA PASIR DISTRICT OF MEDAN MARELAN Wellina BR Sebayang; Ida Yustina; Nurmaini Nurmaini; Kintoko Rochadi; Fikarwin Zuska
International Journal of Midwifery Research Vol. 2 No. 3 (2023): International Journal of Midwifery Research
Publisher : Department of Midwifery, Faculty of Nursing and Midwifery, Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

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Abstract

Cases of early marriage are a problem in various countries including Indonesia. Early marriage has an impact on reproductive health and risks experiencing emergencies during pregnancy and childbirth. Early marriage also tends to make children lose their right to play and get an education. The purpose of this study was to explore the experiences of young women who married at an early age in Paya Pasir Village, Medan Marelan District. The research design used was a qualitative phenomenological research design. The participants in this study were 10 married young women in the Paya Pasir sub-district . The results showed several sub-themes , namely: The causes of early marriage are due to romantic relationships, arranged marriages and economic factors, all participants did not have the mental readiness to face marriage. Experience in intercourse tends to mention surrender because of obligation and not enjoy. During pregnancy, two participants experienced an unexpected pregnancy, and even planned to have an abortion but it didn't happen. The contraceptive used by the participants was of the hormonal type, and all experienced symptoms of severe side effects. Experience in caring for babies all participants have felt anxiety, sadness and crying.
CAUSES OF COMPLEMENTARY FOODS GIVEN TO BABIES AGED 0-6 MONTHS IN PAYA PASIR, MEDAN MARELAN DISTRICT Debora Lestari Simamora; Ida Yustina; R. Kintoko Rochadi; Nurmaini Nurmaini; Fikarwin Zuska
International Journal of Midwifery Research Vol. 2 No. 3 (2023): International Journal of Midwifery Research
Publisher : Department of Midwifery, Faculty of Nursing and Midwifery, Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

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Abstract

The majority of experts accept that complementary foods shouldn't be introduced before 4 months of age, despite inconsistent advice regarding the best time to do so. Regardless of recommendations, studies show that 20% to 40% of infants in the US start eating before they are 4 months old. Previous research was non-representative of the country and concentrated on the introduction of solid foods. While baby-led weaning (BLW) is a popular complementary feeding practice, evidence supporting the potential benefits and/or risks for infant growth, development, and health could be considered. The research method is qualitative with a phenomenological approach. Thematic analysis was used with the help of the Nvivo 12 Plus software. The findings of this study indicated three major themes regarding the causes of complementary feeding: inadequate knowledge, working mothers, and slow baby growth. The purpose of this study is to provide evidence-based guidelines and increase mothers' knowledge about the benefits of complementary foods in infants aged 0–6 months
STUDY OF BEHAVIOR AND ABOUT FOOD POSTPARTUM MOTHER OF THE BANJAR TRIBE IN PALUH KURAU VILLAGE Nova Linda Rambe; Ida Yustina; Nurmaini Nurmaini; Kintoko Rochadi; Fikarwin Zuska
International Journal of Midwifery Research Vol. 2 No. 3 (2023): International Journal of Midwifery Research
Publisher : Department of Midwifery, Faculty of Nursing and Midwifery, Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

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Abstract

Indonesian people cannot be separated from behavior and habits based on culture or customs that are believed to provide positive benefits and impacts. The Banjar tribe is an indigenous people who inhabit most of South Kalimantan. This tribe has spread, one of which is in Paluh Kurau Village, Hamparan Perak District. Nifas mothers in the Banjar tribe also know the taboos passed down from their ancestors. The strong taboo associated with the postpartum period causes the Banjar tribe to always be associated with local traditions. This research was a qualitative research with an ethnographic approach. The research was conducted in Paluh Kurau Village, Hamparan Perak District. Respondents in this study were postpartum mothers who carried out the Banjar tribal tradition which was taken by purposive sampling. Data collection techniques were carried out by interviews and FGD (Focus Group Discussion). Total informants in this study were 11 people. The results of the study revealed that the behavior of postpartum mothers of the Banjar tribe in Paluh Kurau Village was grouped into 3 categories of receiving treatment, namely from village shamans, customs and from health workers. While the taboos of postpartum mothers are grouped into 3 categories, namely behavioral and dietary restrictions.
ANTENATAL CARE IN THE PERSPECTIVE OF PREGNANT WOMEN IN THE VILLAGE OF BANDAR SETIA, DELI SERDANG REGENCY Riska Susanti Pasaribu; Ida Yustina; Nurmaini Nurmaini; Kintoko Rochadi; Fikarwin Zuska
International Journal of Midwifery Research Vol. 3 No. 1 (2023): International Journal of Midwifery Research
Publisher : Department of Midwifery, Faculty of Nursing and Midwifery, Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

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Abstract

Antenatal care is care for the mother and fetus during pregnancy. How important are antenatal care visits Very important. Through antenatal care various information and education related to pregnancy and childbirth preparation can be given to mothers as early as possible. The number of MMR in Deli Serdang Regency has continued to decrease since 2015. In 2020 the number of maternal deaths in Deli Serdang Regency is 12 people per 44,298 live births. There are several factors that cause maternal death in Deli Serdang Regency, including: 6 (six) due to bleeding cases, due to infection in 1 (one) case and other consequences there were 5 (five) cases such as genetic disease, amniotic fluid embolism, placenta previa and supect COVID-19. This was a qualitative research with a narrative approach. The research was conducted in Bandar Setia Village, Deli Serdang Regency. The respondents in this study were pregnant women who live in Bandar Setia Village who were taken by purposive sampling, namely the selection of respondents was carried out deliberately according to their needs. So that the total respondents in this study were 17 people. Data collection techniques were carried out by interviews and FGD (Focus Group Discussion). The number of pregnant women were 17 people with a gestational age of 20-40 weeks. The results of the study revealed that all pregnant women gave a complete and clear explanation of their opinion about prenatal visits or antenatal care and explained in detail about their respective experiences during pregnancy, the perceived obstacles as the reason for not carrying out prenatal visits or antenatal care. Therefore, pregnant women say in detail what are the obstacles or problems as the main cause so that pregnancy visits cannot be carried out in accordance with government recommendations, namely at least 6 visits during pregnancy.
POST-STROKE ELDERLY POSITIVE DEVIANCE IN BANDAR SETIA VILLAGE, PERCUT SEI TUAN DISTRICT, PERCUT SEI TUAN DISTRICT IN 2023 Lidya Natalia Br Sinuhaji; Ida Yustina; Nurmaini Nurmaini; R Kintoko Rochadi; Fikarwin Zuska; Fazidah Fazidah
International Journal of Midwifery Research Vol. 3 No. 1 (2023): International Journal of Midwifery Research
Publisher : Department of Midwifery, Faculty of Nursing and Midwifery, Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

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Abstract

Elderly is a human age group that is susceptible to disease and even has a high risk of paralysis. One of the diseases that are often experienced by the elderly is stroke. Post-stroke sufferers often experience depression caused by inability to work due to disabilities and lack of social activities, so that stroke sufferers depend on emotional and physical support from their families. Stroke is a disease that is a problem in the world, the world stroke organization notes that 85% of people have a stroke risk. In Asian countries, one of which is Indonesia, it is estimated that 500 thousand people have a stroke every year. According to the incident figures, around 2.5% died, and the rest experienced mild to severe disabilities. Stroke is the number 1 cause of serious disability and persists in the world. In Indonesia, the problem of stroke is important because the incidence rate is highest in Asian countries. The type of research used by researchers was qualitative research with a descriptive approach. This type of research was chosen because the researcher wanted to see or explore a deep understanding and meaning of what happened to individuals or groups in this context, namely the elderly who had a stroke. In this study there are four data conclusions that will be discussed by researchers. The conclusions of the four data are: (1) The physical condition of the elderly after a stroke, (2) The psychological condition of the elderly after a stroke, (3) The social condition of the elderly after a stroke, (4) The environmental condition of the elderly after a stroke.
BARRIERS TO EARLY DETECTION OF HIV/AIDS IN PREGNANT WOMEN IN MEDAN HELVETIA SUB-DISTRICT MEDAN CITY 2023 Martalena Br S Kembaren; Ida Yustina; Nurmaini Nurmaini; R Kintoko Rochadi; Fikarwin Zuska; Fazidah Fazidah
International Journal of Midwifery Research Vol. 3 No. 1 (2023): International Journal of Midwifery Research
Publisher : Department of Midwifery, Faculty of Nursing and Midwifery, Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

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Abstract

Pregnant women are one of the populations at risk of contracting Human immunodeficiency Virus (HIV), Syphilis, and Hepatitis B diseases in children more than 90% are infected from their mothers. The risk of mother-to-child transmission for HIV/AIDS is 20%-45%, for Syphilis is 69-80%, and for Hepatitis B is more than 90%. All three have the same transmission routes in the form of sexual intercourse, blood, and this transmission mostly occurs through vertical transmission from mother to fetus during pregnancy. Triple elimination is a program that aims to achieve and sustain mother-to-infant elimination of HIV/AIDS, Hepatitis B, and Syphilis in order to achieve better health for women, children, and their families through a coordinated approach. Detection and prevention of HIV incidence during pregnancy or postpartum should be prioritized and is essential to reduce mother-to-child transmission of HIV. In line with the increasing cases of mother-to-child HIV transmission, the government has made various control efforts through the PPIA or PMTCT (Prevention of Mother-to-Child Transmission) program. This research used field research to obtain qualitative data. Researchers go to the field to make observations about a phenomenon in a natural situation and are closely related to participant-observation. The results of the research obtained ANC services have been running well. Barriers to ANC access are related to cultural aspects and organizational systems that have not made maximum efforts to improve services, especially STIs (HIV/AIDS). At Puskesmas Helvetia, every pregnant woman will be directed to do HIV testing. Integrated ANC services have been running well. Routine technical training to improve obstetric competence for midwives and other supporting training needed as well as laboratory examination training for laboratory analysts (including STI and HIV/AIDS testing training) has been running well and systematically.