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KARAKTERISTIK AKSEPTOR KONTRASEPSI INTRA UTERIN DEVISE POST PLACENTA DI PUSKESMAS WILAYAH KABUPATEN BANJARNEGARA TAHUN 2017 Ratih Subekti; Lia Aria Ratmawati; Ratih Subekti; Lia Aria Ratmawati
Viva Medika Vol 11 No 2 (2018)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (537.825 KB) | DOI: 10.35960/vm.v10i1.392

Abstract

The most ideal contraceptive for postpartum and breastfeeding mothers is not to suppress breast milk production such as Intra Uterine Device IUD, 3 month injections of contraception, minipil and condom. The IUD is a flexible plastic contraceptive device placed in the uterus, where as IUD post placenta is an IUD that is performed 10 minutes after birth or before uterine tailoring in the Section of Sesaria action. The purpose of this research is to know the characteristics of IUD post placenta respondents in Puskesmas of Banjarnegara Regency in 2017. This research uses descriptive research method with Cross Sectional approach. The instrument used is a table for recapitulation of contraceptive IUD post placenta acceptor data obtained from RM Puskesmas. The number of samples is 38 respondents. Data analysis using univariate analysis. The result of research is post placenta IUD acceptor age mostly in age group 20-35 years old that is 30 people (78.9%), education of post placenta IUD predominant are mostly Senior High School and Academic / PT that is 20 people (52.7%), parity acceptor post IUD placenta is mostly parity two that is as much as 20 people (52.6%) and the job of post placenta IUD acceptors are mostly IRT counted 35 people (91.1%). It is expected that health workers to improve family planning services through counseling and counseling to candidates KB post placenta IUD acceptors so that the number of acceptors can be improved. Key Words: post placenta IUD, age, education, parity, job
KARAKTERISTIK AKSEPTOR KONTRASEPSI INTRA UTERIN DEVISE POST PLACENTA DI PUSKESMAS WILAYAH KABUPATEN BANJARNEGARA TAHUN 2017 Ratih Subekti; Lia Aria Ratmawati; Ratih Subekti; Lia Aria Ratmawati
Viva Medika Vol 11 No 2 (2018)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (537.825 KB) | DOI: 10.35960/vm.v10i1.392

Abstract

The most ideal contraceptive for postpartum and breastfeeding mothers is not to suppress breast milk production such as Intra Uterine Device IUD, 3 month injections of contraception, minipil and condom. The IUD is a flexible plastic contraceptive device placed in the uterus, where as IUD post placenta is an IUD that is performed 10 minutes after birth or before uterine tailoring in the Section of Sesaria action. The purpose of this research is to know the characteristics of IUD post placenta respondents in Puskesmas of Banjarnegara Regency in 2017. This research uses descriptive research method with Cross Sectional approach. The instrument used is a table for recapitulation of contraceptive IUD post placenta acceptor data obtained from RM Puskesmas. The number of samples is 38 respondents. Data analysis using univariate analysis. The result of research is post placenta IUD acceptor age mostly in age group 20-35 years old that is 30 people (78.9%), education of post placenta IUD predominant are mostly Senior High School and Academic / PT that is 20 people (52.7%), parity acceptor post IUD placenta is mostly parity two that is as much as 20 people (52.6%) and the job of post placenta IUD acceptors are mostly IRT counted 35 people (91.1%). It is expected that health workers to improve family planning services through counseling and counseling to candidates KB post placenta IUD acceptors so that the number of acceptors can be improved. Key Words: post placenta IUD, age, education, parity, job
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN KELANCARAN PENGELUARAN ASI PADA IBU POSTPARTUM NORMAL Ratih Subekti; Dwi Atin Faidah
PROSIDING SEMINAR NASIONAL LPPM UMP Vol 1 (2019): PROSIDING SEMINAR NASIONAL LPPM UMP 2019
Publisher : Lembaga Publikasi Ilmiah dan Penerbitan (LPIP)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1094.451 KB)

Abstract

Latar belakang: Presentase bayi yang mendapatkan ASI eksklusif di kabupaten Banjarnegara pada tahun 2018 sebesar 62,0%. Angka capaian ASI eksklusif ini masih belum optimal, meskipun target capaian di Kabupaten Banjarnegara adalah 80%. Ketidaklancaran dalam pengeluaran ASI menjadi salah satu penyebab yang ditemukan.Tujuan penelitian: mengetahui hubungan antara umur ibu, paritas, IMD, frekuensi menyusui dan frekuensi BAK dengan kelancaran pengeluaran ASI pada ibu postpartum normal di Puskesmas PONED Kabupaten Banjarnegara. Metode Penelitian: Penelitian ini merupakan penelitian kuantitatif menggunakan desain analitik korelasional dengan rancangan cross sectional. Analisis data dilakukan secara univariat dengan distibusi frekuensi dan bivariat dengan uji statistik korelasi chi- square. Sebanyak 30 ibu postpartum normal diambil sebagai sampel yang telah memenuhi kriteria penelitian dengan consecutive sampling.Hasil Penelitian: Umur ibu tidak berhubungan dengan kelancaran pengeluaran ASI (p=0,414), paritas tidak berhubungan dengan kelancaran pengeluaran ASI (p=0,232), IMD berhubungan dengan kelancaran pengeluaran ASI (p=0,004), frekuensi menyusui berhubungan dengan kelancaran pengeluaran ASI (p=0,002), frekuensi BAK berhubungan dengan kelancaran pengeluaran ASI (p= 0,002). Kesimpulan: Ada hubungan antara IMD, frekuensi menyusui dan frekuensi BAK dengan kelancaran pengeluaran ASI pada ibu postpartum normal di Puskesmas PONED Kabupaten Banjarnegara.
Pengetahuan Dan Pencegahan Stunting Dalam Perspektif Ibu Hamil Barni Barni; Ratih Subekti
Jurnal SMART Kebidanan Vol 10, No 1 (2023): JUNI 2023
Publisher : Universitas Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34310/sjkb.v10i1.812

Abstract

ABSTRAK Prosentase angka stunting di Banjarnegara tahun 2022 sebanyak 22,7% atau lebih tinggi dari prosentase angka kasus di Jawa Tengah yang mencapai 20,9%. Salah satu permasalahan utama stunting adalah pemenuhan gizi yang dimulai sejak dalam kandungan. Kegagalan dalam pemenuhan gizi ibu hamil berisiko pada tumbuh kembang anak yang dilahirkan. Pengetahuan berkaitan dengan stunting dan cara pencegahannya menjadi hal yang penting untuk diketahui khususnya bagi ibu hamil. Penelitian dilakukan guna mengetahui bagaimana pengetahuan dan upaya pencegahan stunting dalam sudut pandang ibu hamil pada Puskesmas Madukara 2. Penelitian menggunakan pendekatan deskriptif kualitatif dengan melibatkan 11 Informan terdiri dari ibu hamil, petugas kesehatan dan bidan. Pengambilan sampel penelitian dengan teknik purposive sampling. Pengumpulan data-data dengan teknik wawancara secara mendalam untuk mengungkap tema-tema penelitian. Proses analisis data menggunakan analisis data tematik. Pengertian stunting telah dipahami oleh informan ibu hamil, namun definisi secara utuh belum dipahami. Upaya pencegahan stunting yang dilakukan oleh ibu hamil telah diperhatikan, namun porsi atau kulitas pemenuhannya yang belum berimbang dengan kebutuihan sesungguhnya yang harus dipenuhi ibu hamil. Oleh karena itu perlu penguatan materi tentang stunting dan cara pencegahannya perlu diberikan pada ibu hamil. Pengetahuan yang baik dan utuh tentang stunting akan menjadi dasar pola sikap dan perilakunya terhadap permasalahan stunting. Kegiatan sosialisasi perlu terus menerus dilaksanakan kepada masyarakat tentang stunting. Kata Kunci: Stunting; ibu hamil; pengetahuanABSTRACT  The percentage of stunting rates in Banjarnegara in 2022 is 22.7% or higher than the percentage of cases in Central Java which reaches 20.9%. One of the main problems of stunting is the fulfillment of nutrition which starts in the womb. Failure to fulfill the nutrition of pregnant women risks the growth and development of the child being born. Knowledge related to stunting and how to prevent it is important to know, especially for pregnant women. The research was conducted to find out how knowledge and efforts to prevent stunting from the point of view of pregnant women at the Madukara 2 Health Center. The study used a qualitative descriptive approach involving 11 informants consisting of pregnant women, health workers and midwives. The research sample was taken using purposive sampling technique. Collecting data using in-depth interview techniques to uncover research themes. The data analysis process uses thematic data analysis. The definition of stunting had been understood by pregnant women informants, but the full definition had not been understood. Efforts to prevent stunting carried out by pregnant women have been considered, but the portion or quality of their fulfillment has not been balanced with the real needs that must be met by pregnant women. Therefore, it is necessary to provide material on stunting and how to prevent it, to be given to pregnant women. Good and complete knowledge about stunting will form the basis of their attitudes and behavior patterns towards stunting problems. Outreach activities need to be continuously carried out to the community about stunting. Keywords: Stunting; pregnant mother; knowledge
AGE AND PREGNANCY DISTANCE AS A RISK FACTOR FOR ANEMIA CAUSES IN PREGNANT MOTHERS IN THE AREA OF PUBLIC HEALTH CENTRE OF BANJARNEGARA REGENCY Dewie Sulistyorini; Ratih Subekti
Siklus : Journal Research Midwifery Politeknik Tegal Vol 9, No 1 (2020)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v9i1.1667

Abstract

Anemia is a condition where the body has a few numbers of red blood cells (erythrocytes). This condition is commonly found in pregnant women. WHO determines the incidence of anemia in pregnancy ranging from 20% to 89% by determining Hb less than 11 gr%. The purpose of this study was to determine the age and distance of pregnancy in pregnant women with anemia in the public health centre in Banjarnegara. The method used in this study was descriptive analysis. Sampling-based on total sampling, amounting to 29 people. The results showed that most of the "low-risk age group" numbered 25 respondents (86%), and the majority of respondents "low-risk pregnancy distance" totalled 27 respondents (93%). In conclusion, most respondents in the age and distance of pregnancy were low-risk categories. However, it was better for a woman who plans to become pregnant to pay attention to proportional age to get pregnant, and a healthy pregnancy distance, one of the things that can be done is to use contraception that is appropriate to the conditions the woman and her purpose whether to deploy, thin out or stop the pregnancy. Keywords: Age, pregnancy distance, anemia, pregnant women
STUDI DESKRIPTIF PENGETAHUAN TENTANG PERAN KADER DALAM MENURUNKAN ANGKA KEMATIAN IBU MELALUI INOVASI ONE CLIENT ONE KADER SIASAT KEREN DI KABUPATEN BANJARNEGARA Ratih Subekti; Dewie Sulistyorini
Siklus : Journal Research Midwifery Politeknik Tegal Vol 11, No 2 (2022)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v11i2.3611

Abstract

Maternal and child mortality is an indicator of a region's health. In 2018 there were 9 cases of maternal death in Banjarnegara district. The One Client One Cadre strategy method is a form of involving health cadres in monitoring the health of pregnant women in the local area which can help minimize the factors causing maternal and infant mortality. The purpose of this study was to determine the knowledge of cadres about the role of health cadres in reducing Maternal Mortality Rate (MMR) through the innovation of One Client One Kader strategy method at Banjarnegara District Health Center. The method used is descriptive analysis. Sampling based on non-probability sampling with accidental sampling technique as many as 67 people. The results showed that the respondents were dominated by the age of 30-39 years as many as 31 people (46.3%), high school education / equivalent as many as 30 people (44.8%) and the status of not working as many as 49 people (73.1%). The most knowledge about reminding pregnant women to check pregnancy with "good" knowledge 28 people (41.8%), about how to detect risk factors in pregnant women the most with "good" knowledge 34 people (50.8%), about fetal monitoring the most with "good" knowledge 42 people (62.7%) and about P4K commitment the most with "good" knowledge is 32 people (47.8%).Keywords: cadres, knowledge, One Client One Kader (Oce Oke)
STUDI DESKRIPTIF PENGETAHUAN TENTANG PERAN KADER DALAM MENURUNKAN ANGKA KEMATIAN IBU MELALUI INOVASI ONE CLIENT ONE KADER SIASAT KEREN DI KABUPATEN BANJARNEGARA Ratih Subekti; Dewie Sulistyorini
Siklus : Journal Research Midwifery Politeknik Tegal Vol 11, No 2 (2022)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v11i2.3611

Abstract

Maternal and child mortality is an indicator of a region's health. In 2018 there were 9 cases of maternal death in Banjarnegara district. The One Client One Cadre strategy method is a form of involving health cadres in monitoring the health of pregnant women in the local area which can help minimize the factors causing maternal and infant mortality. The purpose of this study was to determine the knowledge of cadres about the role of health cadres in reducing Maternal Mortality Rate (MMR) through the innovation of One Client One Kader strategy method at Banjarnegara District Health Center. The method used is descriptive analysis. Sampling based on non-probability sampling with accidental sampling technique as many as 67 people. The results showed that the respondents were dominated by the age of 30-39 years as many as 31 people (46.3%), high school education / equivalent as many as 30 people (44.8%) and the status of not working as many as 49 people (73.1%). The most knowledge about reminding pregnant women to check pregnancy with "good" knowledge 28 people (41.8%), about how to detect risk factors in pregnant women the most with "good" knowledge 34 people (50.8%), about fetal monitoring the most with "good" knowledge 42 people (62.7%) and about P4K commitment the most with "good" knowledge is 32 people (47.8%).Keywords: cadres, knowledge, One Client One Kader (Oce Oke)
The Role of Midwifery in Improving the Success of Exclusive Breastfeeding: A Systematic Literature Review Ratih Subekti; Olyvia Rosalia
Oshada Vol. 2 No. 2 (2025): Oshada Journal - April
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/dmengk39

Abstract

This study presents a systematic literature review exploring the multifaceted role of midwives in enhancing exclusive breastfeeding practices. Drawing from 64 peer-reviewed sources, the research highlights how midwives transcend clinical responsibilities to become pivotal agents of education, emotional support, and community mobilisation. Key findings reveal that midwifery-led education significantly boosts maternal knowledge and awareness, while psychological counselling increases mothers’ confidence and perseverance in breastfeeding. Additionally, midwives play a crucial role in addressing physical and technical challenges that often hinder breastfeeding continuation. Their involvement in community empowerment initiatives and their interpersonal communication skills further amplify their impact, fostering environments that support sustained breastfeeding practices. However, systemic limitations such as inadequate training, workforce shortages, and lack of policy reinforcement frequently obstruct midwives from delivering optimal support. These insights underscore the urgent need for structural reforms that empower midwives with the tools, training, and institutional backing required to effectively promote exclusive breastfeeding. Overall, the study reinforces the critical and multi-dimensional role of midwives as both health practitioners and change agents in maternal and child health strategies.  
STUDI DESKRIPTIF PROGRAM PEMBERIAN MAKANAN TAMBAHAN PADA BALITA GIZI KURANG Lia Aria Ratmawati; Ratih Subekti
Jurnal Ilmiah Medsains Vol 11 No 02 (2025): Jurnal Ilmiah Medsains
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Banjarnegara

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Keberhasilan pembangunan sumber daya manusia dipengaruhi oleh status gizi yang baik. Balita merupakan kelompok rawan gizi yang masih menjadi masalah utama di Indonesia. Survei Status Gizi Indonesia (SSGI) pada tahun 2022 menunjukkan prevalensi balita stunting sebesar 21,6%. Kabupaten Banjarnegara memiliki balita gizi kurang sejumlah 4.056 balita, balita berat badan kurang sejumlah 3.000 balita dan balita yang tidak naik berat badannya sejumlah 7.000 balita. Dampak balita dengan masalah gizi dapat mengganggu periode pertumbuhan dan perkembangannya. Pemberian Makanan Tambahan (PMT) berbahan pangan lokal menjadi salah satu langkah strategis yang dilakukan melalui 1.000 Hari Pertama Kehidupan. Puskesmas Banjarnegara 1 merupakan salah satu Puskesmas wilayah Kerja Dinas Kesehatan Kabupaten Banjarnegara. Pada tahun 2024 terdapat sasaran yang mendapatkan PMT 752 balita dengan pemberian PMT pada balita dengan status gizi kurang sejumlah 68 balita dengan 67 balita diberikan PMT secara penuh sedangkan 1 balita dropout karena status gizinya menjadi gizi buruk  dan dilakukan rujukan ke Rumah Sakit. Penelitian ini bertujuan untuk mengetahui gambaran pelaksanaan program PMT pada balita gizi kurang di Puskesmas Banjarnegara 1 Kabupaten Banjarnegara. Jenis penelitian observasional dengan pendekatan cross sectional dengan menggunakan lembar Monev Program PMT Lokal Kemenkes RI. Penelitian ini menggunakan total sampling sejumlah 67 responden. Hasil penelitian bahwa sebagian besar mengalami perubahan kenaikan berat badan sebanyak 64 responden (95,52%). Sebagian besar mengalami perubahan kenaikan panjang/tinggi badan sejumlah 65 responden (97,01%). Cakupan balita gizi kurang mengkonsumsi makanan tambahan sebesar 78,82%. Prosentase balita gizi kurang yang mengalami peningkatan berat badan yang adekuat sebesar 95,52%. Prosentase balita gizi kurang dengan perbaikan status gizi berdasarkan acuan berat badan menurut panjang badan atau tinggi badan sebesar 95,52%. Diharapkan setelah mendapatkan PMT, ibu balita dapat melanjutkan menu-menu yang sudah diberikan selama program PMT agar dapat meningkatkan berat badan dan memperbaiki status gizi pada balita sehingga mencegah balita jatuh pada masalah gizi yang lebih berat (stunting).