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Determinan Gangguan Hipertensi Dalam Kehamilan (HDK) Di Wilayah Kerja Puskesmas Maospati Kabupaten Magetan Elly Marliana; Agung Suharto; Ayesha Hendriana Ngestiningrum
Gema Bidan Indonesia Vol. 10 No. 2 (2021): Juni
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v10i2.9

Penyakit hipertensi dalam kehamilan (HDK) merupakan kelainan vaskular yang terjadi pada kehamilan atau timbul dalam kehamilan atau pada masa nifas. Tujuan penelitian untuk mengetahui pengaruh determinan riwayat hipertensi, obesitas, penggunaan KB hormonal terhadap kejadian hipertensi dalam kehamilan (HDK). Penelitian observasi analitik, dengan rancangan cross sectional. Populasi penelitian ibu hamil yang berkunjung dan tercatat Puskesmas Maospati Kabupaten Magetan pada 2018 sebanyak 332. Teknik pengambilan sample dengan teknik Simpel Random Sampling, besar sampel 183. Variabel bebas dalam penelitian ini adalah riwayat hipertensi, obesitas dan riwayat penggunaan KB hormonal. Variabel terikat dalam penelitian ini adalah kejadian HDK. Pengumbulan data dengan pendekatan studi dokumentasi, dengan lembar observasi. Analisis data mengunakan uji statistic Regresi Logistic, dengan penetapan tingkat kesalahan α 0,05. Hasil penelitian ibu hamil yang mengalami HDK tersebut yang terpapar hipertensi sebanyak 11%, yang ada riwayat atau terpapar obesitas 45,6%, terpapar KB Hormon sebesar 36.3%. Hasil analisis bivariat variabel Riwayat hipertensi dengan HDK ρ 0,01< α 0,05 , hasil Riwayat obesitas dengan HDK dρ 0,024< α 0,05 , Riwayat KB Hormon dengan HDK ρ 0,21< α 0,05. Hasil analisis multivariat menunjukkan hanya variabel riwayat hipertensi yang memenuhi syarat uji Regresi logistic dengan hasil ρ < α 0,05 (0,002<0,05), OR sebesar 0,099. Kesimpulan: faktor riwayat hipertensi dan riwayat obesitas saja yang berpengaruh sangat signifikan. Riwayat hipertensi menyumbang 9,9% dalam kejadian HDK. Saran: pendampingan ibu hamil resiko tinggi oleh masyarakat, peningkatan pemanfaatan Buku KIA, Penguatan ANC Terpadu: peningkatan peran bidan dan dokter umum dalam melakukan skreening bumil risti. Kata Kunci : Riwayat Hipertensi, Obesitas, HDK.

Developing Midwives’ Role as A Stunting Center at The Village Government Level: A Case Study Nurlailis Saadah; Sulikah Sulikah; Agung Suharto; Budi Joko Santosa; Budi Yulianto; Syaifoel Hardy
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No S1: Supplement
Publisher : Universitas Aisyah Pringsewu

The handling of stunting at the village level so far cannot be said to be effective due to the absence of prevention centers by healthcare professionals. The objective is to develop the role of the village midwife as a central role for stunting prevention with a clear flow of tasks and responsibilities. The implication of this research will be to emphasize a more structured stunting prevention system. This research used a case study method with a descriptive design. The instrument used for data acquisition was a semi-structured question list through in-depth interviews, supported by document reviews from reputable journals for the last five years (2016-2021). The target of the interview was a village midwife in Trenggalek, East Java. The data analysis was PICO (Population, Intervention, Comparison, Output). There were 7 themes from the interviews and 8 reputable journals as supporting data for the PICO selection. The analysis concluded that developing the role of midwives in dealing with stunting, required management reform (SOP), increased collaboration between professions and sectors, family economy, and availability of funds. It was recommended that village midwives are the most appropriate health professionals at village-level stunting prevention centers who report to the BKKBN institution. Abstrak: Penanganan stunting di tingkat desa selama ini belum bisa dikatakan efektif karena belum adanya pusat pencegahan oleh tenaga kesehatan. Tujuannya untuk mengembangkan peran bidan desa sebagai peran sentral pencegahan stunting dengan alur tugas dan tanggung jawab yang jelas. Implikasi dari penelitian ini adalah untuk menekankan sistem pencegahan stunting yang lebih terstruktur. Penelitian ini menggunakan metode studi kasus dengan desain deskriptif. Instrumen yang digunakan untuk perolehan data adalah daftar pertanyaan semi terstruktur melalui wawancara mendalam yang didukung dengan telaah dokumen dari jurnal-jurnal bereputasi selama lima tahun terakhir (2016-2021). Sasaran wawancara adalah bidan desa di Trenggalek, Jawa Timur. Analisis data yang digunakan adalah PICO (Population, Intervention, Comparison, Output). Terdapat 7 tema hasil wawancara dan 8 jurnal bereputasi sebagai data pendukung seleksi PICO. Hasil analisis menyimpulkan bahwa untuk mengembangkan peran bidan dalam mengatasi stunting diperlukan reformasi manajemen (SOP), peningkatan kerjasama antar profesi dan sektor, ekonomi keluarga, dan ketersediaan dana. Direkomendasikan agar bidan desa merupakan tenaga kesehatan yang paling tepat di pusat penanggulangan stunting tingkat desa yang melapor kepada lembaga BKKBN

Anemia Kehamilan dan Kejadian Bayi Berat Lahir Rendah Ike Mutiarasari; Agung Suharto; Astin Nur Hanifah; Sulikah Sulikah; Sunarto Sunarto
Jurnal Penelitian Kesehatan SUARA FORIKES 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13nk455

Anemia is of particular concern to the health of mothers and children because iron deficiency can cause complications for both mother and baby. Anemia also has an impact on the fetus, such as impaired physical and cognitive development of children, increased morbidity in infants and young children, as well as low birth weight babies (LBW). So research is needed which aims to determine the effect of the incidence of anemia during pregnancy on the incidence of LBW. This type of research was ex post facto. Data was collected from secondary data, namely the mother's cohort report and the MCH handbook. The results showed that the proportion of mothers with at-risk age was 19.6%, at-risk parity was 67.4% and those with lower secondary education were 22.8%. The results of the analysis with the Fisher's Exact test showed a p-value of 0.001. It was concluded that the incidence of anemia in pregnant women affects the incidence of LBW.Keywords: anemia; low birth weight babies; pregnancy ABSTRAK Anemia menjadi perhatian khusus bagi kesehatan ibu dan anak karena kekurangan zat besi dapat menyebabkan komplikasi bagi ibu dan bayi. Anemia juga berdampak pada janin, seperti gangguan perkembangan fisik dan kognitif anak, peningkatan morbiditas pada bayi dan anak kecil, juga bayi berat lahir rendah (BBLR). Maka diperlukan penelitian yang bertujuan untuk mengetahui pengaruh kejadian anemia selama kehamilan dengan kejadian BBLR. Jenis penelitian ini adalah ex post facto. Data dikumpulkan dari data sekunder yaitu laporan kohort ibu dan buku KIA. Hasil penelitian menunjukkan bahwa proporsi ibu dengan usia berisiko adalah 19,6%, paritas berisiko adalah 67,4% dan memiliki tingkat pendidikan menengah ke bawah adalah 22,8%. Hasil analisis dengan Fisher's Exact test menunjukkan nilai p = 0,001. Disimpulkan bahwa kejadian anemia pada ibu hamil berpengaruh terhadap kejadian BBLR.Kata kunci: anemia; bayi berat lahir rendah; kehamilan

PEMBENTUKAN KELOMPOK PENDUKUNG AIR SUSU IBU (KP-ASI) DI DESA SUMBERDODOL KECAMATAN PANEKAN KABUPATEN MAGETAN Astin Nur Hanifah; Agung Suharto; Heru SWN; Teta Puji Rahayu; Sunarto Sunarto; Sulikah Sulikah; Nurweningtyas Nurweningtyas; Tinuk Esti Handayani; Tutiek Herlina; Nurlailis Saadah; Budi Joko Santosa; Nana Usnawati; Suparji Suparji; Rahayu Sumaningsih; Nuryani Nuryani; Triana Septianti; Astuti Setiyani
MAJU : Indonesian Journal of Community Empowerment Vol. 3 No. 1 (2026): MAJU : Indonesian Journal of Community Empowerment, January 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/maju.v3i1.2050

The development of the health sector, as part of national development, is directed toward improving the quality of human resources. One of the indicators of successful health development is the reduction of infant mortality rates and the improvement of community nutritional status. Optimal nutritional status can only be achieved when good nutritional practices are implemented at every stage of life, including during infancy . Failures in breastfeeding often stem from a lack of information. The study by Ambarwati, Setiyani, and Usnawati (2017) indicates that breastfeeding discussion classes can improve breastfeeding practices among breastfeeding mothers (Ambarwati, Setiyani, and Usnawati, 2017). Parents’ Education has also been shown to be effective in improving the knowledge and attitudes of primigravida couples regarding exclusive breastfeeding. Efforts to enhance knowledge and attitudes toward exclusive breastfeeding must be continuously strengthened and followed by an evaluation of exclusive breastfeeding practices (Usnawati, 2017). Based on these findings, it is necessary to establish a Breastfeeding Support Group (KP-ASI) and implement breastfeeding assistance programs. The establishment of KP-ASI and the breastfeeding assistance program will be carried out through the following strategies: Phase 1: Issuance of an official request letter from Sumberdodol Village for the formation of a breastfeeding support group. Educational materials will be provided to third-trimester pregnant women and breastfeeding mothers. Phase 2: Delivery of educational materials to Posyandu cadres, third-trimester pregnant women, and breastfeeding mothers. The training session will be conducted once. The education session in the village is scheduled for Tuesday, September 9, 2025. Phase 3: Developing a meeting plan and activity schedule for the members and committee of the Breastfeeding Support Group (KP-ASI) for the following month.

REFRESING KADER POSYANDU TENTANG PENCEGAHAN DAN DETEKSI STUNTING DI DESA TAPAK KECAMATAN PANEKAN KABUPATEN MAGETAN Agung Suharto; Astin Nur Hanifah; Heru SWN; Teta Puji Rahayu; Sunarto Sunarto; Sulikah Sulikah; Nurweningtyas Nurweningtyas; Tinuk Esti Handayani; Tutiek Herlina; Nurlailis Saadah; Budi Joko Santosa; Nana Usnawati; Suparji Suparji; Rahayu Sumaningsih; Nuryani Nuryani; Triana Septianti; Astuti Setiyani
MAJU : Indonesian Journal of Community Empowerment Vol. 3 No. 1 (2026): MAJU : Indonesian Journal of Community Empowerment, January 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/maju.v3i1.2227

Introduction: Posyandu cadres are community members who are involved in the community health center to manage the posyandu voluntarily. They are the main pillar and the front line of defense in improving the health status of the community because they are the ones who best understand the characteristics of the community in their area. Cadres also remind the community about the posyandu schedule, encourage pregnant women and parents of toddlers to come to the posyandu to monitor nutritional status and health. Objective: To determine the increase in knowledge of posyandu cadres in preventing stunting. Method: Conducting refresher posyandu cadres about prevention and detection of stunting in Tapak Village, the working area of the Panekan Community Health Center, Magetan Regency, including providing health information to cadres so that it can be passed on to the community. Training on measuring and determining nutritional status aims to enable cadres to determine the nutritional status of toddlers accurately and provide actual and accurate reports to the community health center. Results: Of the 18 Posyandu cadre participants who attended the Posyandu refreshing activity held on September 9, 2025 with material on stunting prevention and toddler growth detection at the Tapak Village Hall, Panekan District, Pre-test scores were obtained, a small portion received a score of 8, namely 11% and most received a score of 10, namely 44%. While the post-test results obtained a small portion received a score of 9, namely 28% and most received a score of 10, namely 72%. Conclusion: There was an increase from the pre-test results to the post-test of knowledge and skills about stunting prevention in Posyandu cadres.

STIMULASI DETEKSI INTERVENSI DINI TUMBUH KEMBANG ANAK BAGI GURU PAUD/RA KABUPATEN MAGETAN Tinuk Esti Handyani; Agung Suharto; Tutiek Herlina; Nana Usnawati; Nuryani Nuryani; Astuti Setiyani; Sulikah Sulikah; Astin Nur Hanifah; Nurlailis Sa’adah; Rahayu Sumaningsih; Nurweningtyas Wisnu; Triana Septianti Purwanto; Teta Puji Rahayu
MAJU : Indonesian Journal of Community Empowerment Vol. 3 No. 4 (2026): MAJU : Indonesian Journal of Community Empowerment, Juli 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/maju.v3i4.2842

Background: Stimulation, Early Detection, and Early Intervention for Child Growth and Development (SDIDTK) is an essential strategy for identifying developmental deviations at an early stage, enabling timely intervention. Early childhood teachers play a strategic role in implementing SDIDTK but require adequate competency through technical training. Objective: To analyze the effectiveness of SDIDTK Technical Guidance (Bimbingan Teknis/Bimtek) in improving the knowledge of PAUD/RA teachers in Magetan Regency. Methods: A one-group pretest–posttest design was conducted involving 71 PAUD/RA teachers participating in a two-day technical training. Data were analyzed descriptively and using the Wilcoxon Signed Rank Test. Results: The proportion of participants with good knowledge increased from 5.64% to 63.38%, while poor knowledge decreased from 74.64% to 0%. Overall, 92.96% of participants demonstrated improved scores, with a statistically significant difference (p < 0.001). Conclusion: SDIDTK technical training effectively improved teachers' knowledge and has the potential to strengthen SDIDTK implementation and early identification of child growth and developmental disorders.

Community Empowerment in Stunting Prevention Through the Complete Stunting Response Mothers Movement (GITa TingTas) Astuti Setiyani; Hery Sumasto; Agung Suharto
Frontiers in Community Service and Empowerment Vol. 5 No. 1 (2026): March
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ficse.v5i1.118

Currently, Indonesia is facing the problem of stunting, including in Magetan. The prevalence of stunting in 2022 was 17.2%, decreasing by 4.34% to 14.9%. Although this prevalence has decreased, it has not yet reached the 2024 RPJMN target of less than 14%. In Pandeyan Village, 14% of toddlers still experience stunting. Strong efforts are needed to reduce the stunting target. This stunting problem will be more easily prevented through Posyandu (Integrated Health Posts). Posyandu (Integrated Health Post) is an integrated service post for mothers and toddlers in a specific, agreed-upon area, driven by the community to provide health services. Posyandu is a form of community-based health service (UKBM) established by the community based on community initiative and needs, particularly for toddlers. The purpose of this community service is to raise public awareness of stunting prevention through health promotion, education for mothers of toddlers, and the formation of the Complete Stunting Response Mothers Movement Group (GITa TingTas). The method used is training to provide mothers of toddlers with understanding and competencies about exclusive breastfeeding, complementary feeding (MP-ASI), monitoring child growth and development, and the importance of environmental cleanliness. The results of the knowledge test before and after the test (post-test) showed that knowledge about stunting increased from 11% to 23%, and knowledge about stunting increased from 48% to 61%. Meanwhile, in the sufficient and insufficient knowledge categories, the percentages decreased during the pre- and post-tests. The sufficient knowledge category decreased from 23% to 16%, and the insufficient knowledge category decreased from 18% to 0%. Conclusion: The Cadre Training has had an impact on increasing mothers' knowledge about stunting prevention in Pandeyan Village, Maospati District, Magetan Regency. Recommendations: Ongoing training on stunting is needed to ensure mothers remain responsive to stunting prevention. Continuous cross-sectoral and cross-program efforts are needed so that stunting can be addressed with the participation of the entire community.

Hubungan Usia dan Paritas Ibu dengan Kejadian Postpartum Blues di PMB “W” Magetan: The Relationship between Age and Maternal Parity with the Incidence of Postpartum Blues in PMB "W" Magetan Oktavia Puspita Sari; Agung Suharto; Tutiek Herlina
Gema Bidan Indonesia Vol. 11 No. 1 (2022): Maret
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v10i2.3

Indonesia's postpartum blues incidence is 50-70% of postpartum women, postpartum blues occur in postpartum women caused by several factors such as childbirth experience, increased hormones, infant behavior, maternal age, and parity. The aim of the study was to determine the relationship of age and parity with the incidence of postpartum blues in PMB "W" Magetan. Type of analytic research, cross-sectional study design, the postpartum maternal population in Magetan PMB "W" 24 respondents, 23 respondents were taken by accidental techniques, free age, and parity variables while dependent variable postpartum blues. Data collection with EPDS questionnaire, data analysis using chi-square test. The results of the study obtained mothers with primipara 83%, and in multiparas 17%, mothers aged <20 years 44%, at the age of 20-35 years 26% and age> 35 years 30%. The results of statistical tests on age variables with the incidence of postpartum blues obtained p= 0.031 (0.05) so it was concluded that there was a relationship between age and postpartum blues events, the results of statistical tests on variable parity with postpartum blues events obtained p = 0.040 (0.05) so it can be concluded that there is a relationship between parity postpartum blues. The conclusion of the study is that there is a relationship between parity and age with postpartum blues events, it is suggested that prospective mothers can prepare the pregnancy properly so that it will minimize the incidence of postpartum blue, and midwives can detect symptoms of postpartum blues so that they can prevent postpartum blues.

Determinan Gangguan Hipertensi dalam Kehamilan (HDK) di Wilayah Kerja Puskesmas Maospati Kabupaten Magetan: Determinants of Hypertension Disorders in Pregnancy (HDK) in the Working Area of the Maospati Health Center, Magetan Regency Elly Marliana; Agung Suharto; Ayesha Hendriana Ngestiningrum
Gema Bidan Indonesia Vol. 11 No. 1 (2022): Maret
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v10i2.9

Penyakit hipertensi dalam kehamilan (HDK) merupakan kelainan vaskular yang terjadi pada kehamilan atau timbul dalam kehamilan atau pada masa nifas. Tujuan penelitian untuk mengetahui pengaruh determinan riwayat hipertensi, obesitas, penggunaan KB hormonal terhadap kejadian hipertensi dalam kehamilan (HDK). Penelitian observasi analitik, dengan rancangan cross sectional. Populasi penelitian ibu hamil yang berkunjung dan tercatat Puskesmas Maospati Kabupaten Magetan pada 2018 sebanyak 332. Teknik pengambilan sample dengan teknik Simpel Random Sampling, besar sampel 183. Variabel bebas dalam penelitian ini adalah riwayat hipertensi, obesitas dan riwayat penggunaan KB hormonal. Variabel terikat dalam penelitian ini adalah kejadian HDK. Pengumbulan data dengan pendekatan studi dokumentasi, dengan lembar observasi. Analisis data mengunakan uji statistic Regresi Logistic, dengan penetapan tingkat kesalahan α 0,05. Hasil penelitian ibu hamil yang mengalami HDK tersebut yang terpapar hipertensi sebanyak 11%, yang ada riwayat atau terpapar obesitas 45,6%, terpapar KB Hormon sebesar 36.3%. Hasil analisis bivariat variabel Riwayat hipertensi dengan HDK ρ 0,01< α 0,05 , hasil Riwayat obesitas dengan HDK dρ 0,024< α 0,05 , Riwayat KB Hormon dengan HDK ρ 0,21< α 0,05. Hasil analisis multivariat menunjukkan hanya variabel riwayat hipertensi yang memenuhi syarat uji Regresi logistic dengan hasil ρ < α 0,05 (0,002<0,05), OR sebesar 0,099. Kesimpulan: faktor riwayat hipertensi dan riwayat obesitas saja yang berpengaruh sangat signifikan. Riwayat hipertensi menyumbang 9,9% dalam kejadian HDK. Saran: pendampingan ibu hamil resiko tinggi oleh masyarakat, peningkatan pemanfaatan Buku KIA, Penguatan ANC Terpadu: peningkatan peran bidan dan dokter umum dalam melakukan skreening bumil risti. Kata Kunci : Riwayat Hipertensi, Obesitas, HDK.

The Effectiveness of Audiovisual and Posters on Increasing SADARI Behavior in Couples of Childbearing Age Desti Ria Fortuna Isatanto; Nana Usnawati; Agung Suharto; Suparji Suparji
International Journal of Advanced Health Science and Technology Vol. 6 No. 4 (2026): August
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i4.637

Low awareness of early detection of breast cancer causes SADARI practice to still not be optimal. This study aims to analyze the effectiveness of audiovisual media and posters in improving knowledge, attitudes, and practices of SADARI in Couples of Childbearing Age (PUS) aged 30–49 years. This quantitative research uses a quasi-experimental type with a pretest-posttest control group design. The study population amounted to 255 Couples of Childbearing Age (PUS), with a sample of 156 respondents determined using the Slovin formula and selected through purposive sampling techniques. The sample was divided equally into the audiovisual group (78 respondents) and the poster group (78 respondents). The independent variables of the research are health education media (audiovisual and posters), while the dependent variables include knowledge, attitudes, and practices of SADARI. Data were collected using a questionnaire that had met the validity and reliability test (Cronbach's Alpha). Data analysis was carried out using paired t-test and independent t-test with the help of SPSS software version 34.00. The results showed that the audiovisual group experienced a significant increase in knowledge, attitudes, and practices of SADARI (p<0.001). In the poster group, a significant increase occurred in knowledge and practice (p<0.001), but attitudes did not increase significantly (p=1,000). The results of the independent t-test confirmed that there was a significant difference in effectiveness between the two media on, attitudes, and practices of AWARENESS (p<0.001). Audiovisual media has been proven to be more effective than poster media in increasing knowledge, attitudes, and practices of SADARI in couples of childbearing age, so it is recommended as a health education medium to support early detection of breast cancer.

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