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Usia Ibu Hamil Risiko Tinggi dan Kejadian Anemia Pada Trimester III Putri, Salsabila Isnaning; Sugijati, Sugijati; Umami, Riza
Malang Journal of Midwifery (MAJORY) Vol. 6 No. 1 (2024): MAJORY
Publisher : Poltekkes Kemenkes Malang & IBI Ranting Pendidikan Kota Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/majory.v6i1.4374

Abstract

Ibu hamil trimester III secara fisiologis terjadi hemodilusi yang berdampak pada penurunan kadar hemoglobin yang memungkinkan ibu hamil terjadi anemia. Hasil data Riset Kesehatan Dasar (Riskesdas), dari tahun 2013 sampai dengan tahun 2018 menyatakan bahwa di Indonesia kejadian anemia pada ibu hamil mengalami peningkatan yaitu dari 37,1% menjadi 48,9%. Tujuan penelitian adalah menganalisis hubungan kelompok usia ibu hamil risiko tinggi dengan kejadian anemia pada trimester III. Penelitian ini menggunakan metode pendekatan studi retrospektif. Adapun populasi yang digunakan adalah ibu hamil trimester III di Puskesmas Kalisat sebanyak 69 orang pada bulan Januari sampai dengan Desember 2022 berdasarkan usia risiko tinggi sebanyak jumlah sampel 41 dan menggunakan simple random sampling. Alat ukur menggunakan lembar observasi studi rekam medis dengan analisis Uji Chi Square. Pada penelitian didapatkan hasil p value 0.233 > ? 0.005 yang berarti tidak ada hubungan kelompok usia ibu hamil risiko tinggi dengan kejadian anemia pada trimester III di Puskesmas Kalisat. Pada penelitian ini, melalui uji analisis bivariat chi-square didapatkan hasil (p-value = 0,233), diketahui bahwa tidak ada hubungan kelompok usia ibu hamil risiko tinggi dengan kejadian anemia pada trimester III di Puskesmas Kalisat
Hubungan Penggunaan Gadget Dengan Perkembangan Anak Prasekolah Usia 5-6 Tahun Di TK Dharma Wanita I Tempurejo Aprianingrum, Aulia Istihana; Kiswati, Kiswati; Umami, Riza
Malang Journal of Midwifery (MAJORY) Vol. 5 No. 2 (2023): MAJORY
Publisher : Poltekkes Kemenkes Malang & IBI Ranting Pendidikan Kota Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/majory.v5i2.3996

Abstract

Preschool children have a very fast growth and development phase. One of the factors that influences children's development is playing with gadgets. In modern times like today, playing with gadgets has become routine. The 2020 Indonesian Internet Service Providers Association survey showed that 73.7% of smartphone users in Indonesia were preschool children. Based on the results of a preliminary study of 5 mothers who have preschool children, it was found that the children used gadgets for >1 hour every day and were already clever at operating gadgets. The purpose of this study was to determine the relationship between the use of gadgets and the development of preschool children aged 5-6 years. The research design used is correlation with a cross-sectional approach. Respondents were 33 children aged 5-6 years at Dharma Wanita I Tempurejo Kindergarten using purposive sampling technique. Data analysis used the Spearman rank test. The results of the research show that the majority of gadget use is in the moderate category (>40-60 minutes/day) as much as 39.4%, most of the development of preschool children aged 5-6 years is in the normal category as much as 81.8%, and the results of the p-value analysis value= 0.001<0.05 which means there is a relationship between gadget use and the development of preschool children aged 5-6 years with a correlation coefficient value of -0.568 indicating there is a negative relationship which means that the higher the intensity of gadget use, the development of preschool children will decrease. The use of gadgets in preschool children does not always have a bad impact. Parents need to accompany children in playing with gadgets. Parents must set time limits and choose applications to provide stimulation to children that is appropriate for their age.
PENDAMPINGAN PADA REMAJA SEBAGAI UPAYA PENCEGAHAN ANEMIA DAN PERSIAPAN PRANIKAH Umami, Riza; Restanty, Dian Aby
Jurnal Pengabdian Masyarakat Sasambo Vol 5, No 2 (2024): Mei
Publisher : Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jpms.v5i2.1431

Abstract

Remaja mepunyai peluang mengalami anemia karena berhubungan dengan siklus menstruasi. Anemia dapat terjadi pada saat hamil dan akan mempengaruhi tumbuh kembang janin, berpeluang pula pada proses persalinan bahkan dapat menyebabkan kematian. Permasalahan mitra adalah remaja yang sudah lulus SMU tidak mendapatkan bantuan suplementasi tablet besi. Tujuan kegiatan ini adalah melakukan pendampingan pra nikah dan pencegahan anemia pada remaja di wilayah kerja Puskesmas “M” Kabupaten Jember pada Juni-Agustus 2023. Metode yang digunakan adalah melalui Foccus Group Discussion, pendidikan kesehatan, pemeriksaan kadar Hb serta pemberian vitamin C dan tablet besi. Sasaran kegiatan ini remaja putri dengan usia >18 sampai dengan 24 tahun. Adapun hasil kegiatan adalah terdapat peningkatan tingkat pengetahuan dengan kategori baik adalah 10 orang (25%) saat pre test menjadi 38 orang (95%) saat post test, kejadian anemia sebanyak 8 orang (20%) sebelum intervensi pemberian tablet besi dan setelah intervensi menjadi 2 orang (5%) yang anemia dan untuk pendewasaan usia nikah, remaja menyatakan bahwa akan menikah pada usia >21 tahun, selain itu remaja juga menyatakan bahwa alasan tidak patuh mengkonsumsi tablet besi secara teratur karena setelah konsumsi tablet besi, remaja mengalami mual dan pusing sehingga mengganggu aktifitas harian.
Development of an Android-based virtual laboratory as a database learning media for vocational school Umami, Riza; Leksono, Ibut Priono; Rohman, Ujang
Jurnal Inovasi dan Teknologi Pembelajaran Vol 10, No 3 (2023)
Publisher : Universitas Negeri Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17977/um031v10i32023p212

Abstract

Abstract: Tujuan pengembangan dan penelitian ini adalah menghasilkan produk laboratorium virtual berbasis android sebagai media pembelajaran basis data kelas XI SMK dilengkapi buku petunjuk penggunaan “Vlab base” dan meningkatkan pemahaman serta hasil belajar siswa pada topik pengelolaan tabel pada basis data menggunakan Bahasa SQL. Prosedur pengembangannyamenggunakan  metode Research and Development (R&D) dan pendekatan pengembangan aplikasi model waterfall. Hasil validasi dari ahli media mencapai prosentase 92 (sangat layak), ahli desain 93 (sangat layak), dan ahli materi 94 (sangat layak). Uji kepraktisan mencapai prosentase 95 (sangat layak), kelompok kecil 90,67 (sangat layak), dan uji coba kelompok besar 93 (sangat layak) yang mempermudah siswa belajar dan praktikum mandiri memahami pengelolaan database berkategori sangat layak dan dapat digunakan guru dalam pembelajaran. Hasil pre dan post test siswa meningkatkan nilai hasil belajar siswa sebesar 100% berdasarkan kriteria efektivitas ketika digunakan dalam pembelajaran. Abstract: The goal of this research and development is to create an Android-based virtual laboratory product as a database learning medium for class XI Vocational School equipped with a manual for using "Vlab base" and to improve understanding and results of student learning in the topic of managing tables in databases using SQL language. The development procedure employed the research and development (R&D) method to create Android-based learning materials and the waterfall model application development approach. The validation results are 92% (very feasible) from the media experts, 93% (very decent) from the design experts, and 94% (very decent) from the material experts. The practicality test reaches 95% (very feasible), the small group reaches 90.67% (very feasible), and the large group trial obtains 93% (very feasible), making individual practice and learning simpler for pupils to understand database management that is categorized as very feasible and can be used by teachers in learning. Based on the criteria of effectiveness for learning, the results of the students' pre-test and post-test showed a 100% improvement in the value of student learning outcomes.
Penerapan Metode Belajar Interaksi Sosial oleh Kader pada Pencapaian ASI Ekslusif 1 Umami, Riza; Restanti, Dian Aby
JIDAN Jurnal Ilmiah Bidan Vol 10 No 1 (2022): Vol 10 No 1 ( Edisi Juli - Desember 2022 )
Publisher : POLTEKKES KEMENKES MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jib.v10i1.1864

Abstract

Background: Posyandu is a community-based health effort driven by selected cadres to carry out routine Posyandu activities as reform agents who act as community mobilizers, counseling and monitoring related to the success of achieving exclusive breastfeeding. The success of exclusive breastfeeding includes E1 to E6 status, but in practice, there are obstacles experienced by cadres in carrying out their duties because the level of education is still lacking and they have not received training. Purpose: this study was to examine the application of social interaction learning models by cadres in achievement of exclusive breastfeeding status 1. Method: this study uses a correlational method. Results: the study showed that there were differences in the level of knowledge of Cadres before and after mentoring p-value = 0.010, achievement of E1 Status was 78% (28 people) and the application of social interaction learning models by Cadres was only 33% (24 people) then the data was analyzed using chi square, while the p-value = 0.777. which means that there is no relationship between the application of the social interaction learning model and the attainment of Exclusive ASI status 1. It can be assumed that there are factors that influence a person's knowledge including age, level of education, occupation, interests, and sources of information.
UPAYA PENINGKATAN PERAN KADER POSYANDU DALAM PENCAPAIAN STATUS ASI EKSKLUSIF 1 Umami, Riza; Sutrisno, Sutrisno; Bachri, Syaiful
Jurnal Pendidikan Kesehatan (e-Journal) Vol. 11 No. 1 (2022): Jurnal Pendidikan Kesehatan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jpk.v11i1.2703

Abstract

Posyandu plays a role in suppressing MMR or IMR through data collection activities, being a health communicator, making approaches and persuasion, conducting visitations and being a liaison as well as conducting monitoring and evaluation. There are obstacles experienced by cadres in carrying out community development activities in terms of the level of education that is still lacking and has not received training on the duties of cadres in Posyandu. The purpose of this study was to analyze differences in the level of knowledge of posyandu cadres in achieving E1 exclusive breastfeeding status. The research method used is an experiment with a quasi experimental approach. The research design chosen was one group pretest-posttest design. Respondents were posyandu cadres in the Mangli Health Center area as many as 30 people. This research was carried out through several activities, namely Focus Group Discussion, training and mentoring of skill demonstrations on respondents where the activities began with a pre test and ended with a post test. The result of calculating the t test is that there are differences in the level of knowledge and demonstration of skills before and after training (0.00 more than 0.05). The success of Posyandu management certainly requires strong support from various parties, including moral, material and financial support. In addition, it is necessary to have the cooperation and dedication of the managers, including Cadres. If this Posyandu activity is well organized, it will have a major impact on reducing Maternal and Child Mortality Rates as well as reducing stunting rates.
FAKTOR YANG MELATARBELAKANGI IBU HAMIL MELAKUKAN KUNJUNGAN ANC K1 AKSES DI WILAYAH KERJA PUSKESMAS KLATAKAN Kusumawati, Citra Suko; Umami, Riza; Kiswati, Kiswati
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 4 No. 3 (2025)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v4i3.7042

Abstract

The gap in K1 access achievement in the Klatakan Community Health Center working area causes ANC according to standards not to be met. Based on the performance report of the Jember Regency Health Office, the K1 achievement target was set at 100% and the Klatakan Community Health Center's achievement was only 72%. Therefore, an analysis of the factors underlying pregnant women's visits to ANC K1 Access is needed. The type of research used is descriptive with a population of 99 pregnant women. Sampling used a purposive sampling technique to 45 pregnant women. Data processing using frequency distribution is presented in tabular form. The distribution of good knowledge levels was 16 respondents (35.6%). The distance from their residence to the community health center was far (>3 km) namely 37 respondents (82.2%). Family support was included in the sufficient category of 21 people (46.7%). A small number of mothers had good knowledge, good knowledge will encourage better maternal health behavior in performing ANC. The distance from their residence was far for almost all respondents, that respondents felt reluctant to come because it required a long travel time and incur transportation costs. Nearly half of respondents had adequate family support, and pregnant women with good family support were found to have increased adherence to ANC visits. Suggestions for the Klatakan Community Health Center, the research site, include increasing the reach of ANC services by scheduling doctors at the Community Health Center (Pustu), Village Health Center (Polindes), and Village Health Post (Ponkesdes) and providing mobile ultrasound services. ABSTRAKKesenjangan capaian K1 akses di wilayah kerja Puskesmas Klatakan menyebabkan ANC sesuai standar tidak terpenuhi. Berdasarkan laporan kinerja  Dinkes Kabupaten Jember target capaian K1 yang ditetapkan 100% dan capaian Puskesmas Klatakan hanya 72%, sehingga diperlukan analisa faktor-faktor apa saja yang melatarbelakangi ibu hamil melakukan kunjungan ANC K1 Akses. Jenis penelitian menggunakan deskriptif dengan populasi ibu hamil sebanyak 99. Pengambilan sampel menggunakan teknik purposive sampling menjadi 45 ibu hamil. Pengolahan data menggunakan distribusi frekuensi disajikan dalam bentuk tabel. Distribusi tingkat pengetahuan baik sebanyak 16 responden (35,6%). Jarak tempat tinggal dengan puskesmas jauh (>3 km) yaitu 37 responden (82,2%). Dukungan keluarga termasuk kategori cukup 21 orang (46,7%). Sebagian kecil ibu berpengetahuan baik, pengetahuan yang baik akan mendorong perilaku kesehatan ibu menjadi lebih baik dalam melakukan ANC. Jarak tempat tinggal jauh hampir seluruh dari responden, bahwa responden merasa enggan untuk datang karena memerlukan waktu tempuh lama dan mengeluarkan biaya transportasi. Hampir setengah dari responden memiliki dukungan keluarga cukup, ibu hamil dengan dukungan keluarga baik akan berdampak meningkatkan kepatuhan kunjungan ANC. Saran bagi Puskesmas Klatakan sebagai tempat penelitian adalah meningkatkan jangkauan pelayanan ANC dengan menjadwalkan dokter di Pustu/Polindes/Ponkesdes dan memberikan pelayanan USG mobile.
HUBUNGAN DUKUNGAN SUAMI DENGAN PERILAKU PEMERIKSAAN IVA PADA PASANGAN USIA SUBUR DI WILAYAH KERJA PUSKESMAS PUGER Ulfa, Maria; Umami, Riza; Maryanti, Syiska Atik; Restanty, Dian Aby
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 4 No. 3 (2025)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v4i3.7045

Abstract

Cervical cancer in Indonesia ranks second after breast cancer. The cause of the high incidence of cervical cancer is the low early detection with IVA examination. This study aims to determine the relationship between husband's support and IVA examination behavior in the Puger Health Center work area. This study uses a correlation method with a quantitative approach. The population of this study was fertile couples with mothers aged 30-50 years totaling 5,008 people. With the Purposive sampling technique, the number of samples was 98 respondents. Data collection using a questionnaire. The results of the chi square analysis showed a p value of 0.001, which means that there is a relationship between husband's support and IVA examination behavior. In the correlation coefficient d test, the r value was obtained at 0.445, meaning that the closeness of the relationship was in the medium category. There is a relationship between husband's support and IVA examination behavior in fertile couples in the Puger Health Center work area, Jember Regency. To improve the behavior of IVA examination in PUS mothers, counseling and approaches need to be carried out to husbands so that they can provide good support to their wives to undergo IVA examinations. ABSTRAKKanker serviks di Indonesia menempati peringkat kedua setelah kanker payudara. Penyebab tingginya kejadian kanker serviks adalah rendahnya deteksi dini dengan pemeriksaan IVA Penelitian ini bertujuan untuk mengetahui hubungan dukungan suami dengan perilaku pemeriksaan IVA di wilayah kerja Puskesmas Puger. Penelitian ini menggunakan metode korelasi dengan pendekatan kuantitatif. Populasi penelitian ini adalah Pasangan usia subur dengan usia ibu 30-50 tahun sebanyak 5.008 orang. Dengan Teknik Purposive sampling, jumlah sampel sebanyak 98 responden. Pengumpulan data dengan kuesioner. Hasil Analisa chi square menunjukkan p value 0.001 yang artinya ada hubungan dukungan suami dengan perilaku pemeriksaan IVA. Pada uji koefisien korelasi d diperoleh hasil nilai r sebesar 0,445 artinya keeratan hubungan kategori sedang. Ada hubungan antara dukungan suami dengan perilaku pemeriksaan IVA pada pasangan usia subur di wilayah kerja puskesmas Puger Kabupaten Jember. Untuk meningkatkan perilaku pemeriksaan IVA pada ibu PUS perlu dilakukan penyuluhan dan pendekatan kepada suami agar dapat memberikan dukungan yang baik pada istri untuk melakukan pemeriksaan IVA.
FAKTOR-FAKTOR YANG MEMPENGARUHI KEJADIAN WASTING DI WILAYAH KERJA PUSKESMAS KASIYAN TAHUN 2024 Widiasari, Hesrul; Umami, Riza; Kiswati, Kiswati
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 4 No. 3 (2025)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v4i3.7049

Abstract

Wasting is a condition when a child's weight decreases, is very low, or even below the normal range based on their height BB/TB (Z score) <-2 SD. The incidence of wasting in Indonesia in 2022 was 10.2%. In East Java it was 7.2% and in Jember Regency it was 12.7% while in Kasiyan Health Center it was 9.4%. (SSGI 2022). The major impact that can be given by children with wasting is a decrease in cognitive abilities. This study aims to describe the factors that influence the incidence of wasting. The research design used descriptive analytic. The study population was 406 mothers/caregivers of wasting toddlers, a sample of 89 respondents and the sampling technique used non-probability sampling with a purposive sampling approach. Data were collected using questionnaires and analyzed using descriptive analysis. The results showed inadequate food intake (49.81%), a history of illness (diarrhea, fever) of (66.5%) and inappropriate nutritional parenting patterns of (72.73%). Conclusion: A history of infectious diseases in toddlers and inappropriate nutritional care are risk factors for wasting. Increasing mothers' knowledge about adequate food intake, infectious diseases, and nutritional care through integrated health posts (Posyandu) and classes for mothers of toddlers. ABSTRAKWasting  adalah  kondisi  ketika  berat  badan  anak  menurun,  sangat  kurang,  atau  bahkan  berada  di  bawah  rentang  normal  berdasarkan  tinggi  badannya  BB/TB  (Z  score) <  -2  SD. Angka kejadian wasting di Indonesia tahun 2022 10,2%. Di Jawa Timur sebesar 7,2% dan di Kabupaten Jember 12,7% sedangkan di Puskesmas Kasiyan sebesar 9,4%.(SSGI 2022). Dampak besar yang dapat di berikan oleh anak dengan wasting adalah penurunan kemampuan kognitif. Penelitian ini bertujuan untuk mendeskripsikan  faktor  faktor  yang  mempengaruhi kejadian Wasting. Design penelitian menggunakan deskriptif analitik. Populasi penelitian 406 ibu/ pengasuh balita wasting, sample sebanyak 89 responden dan tekhnik sampling menggunakan non probability sampling dengan pendekatan purposive sampling. Data di kumpulkan menggunakan kuesioner dan di analisa menggunakan analisa deskriptif. Hasil penelitian menunjukkan asupan makanan tidak adekuat (49,81%) riwayat penyakit (diare, demam) sebesar (66,5%) dan pola asuh gizi tidak sesuai sebesar (72,73%). Kesimpulan riwayat penyakit infeksi pada balita dan pola asuh gizi yang tidak sesuai merupakan faktor risiko kejadian wasting. meningkatkan pengetahuan ibu mengenai asupan makanan yang adekuat, penyakit infeksi dan pola asuh gizi melalui posyandu dan kelas ibu balita.
HUBUNGAN DUKUNGAN KADER DENGAN PENDAMPINGAN K1 DI DESA GARAHAN WILAYAH PUSKESMAS SILO 1 KABUPATEN JEMBER Agustini, Devi Ika; Palupi, Jenie; Umami, Riza
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 4 No. 4 (2025)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v4i4.7172

Abstract

Ante Natal Care (ANC) is the service received by mothers during pregnancy, ANC is important in ensuring that both the mother and the fetus are healthy. The coverage of K1 for pregnant women visiting healthcare providers in Garahan Village, under the Puskesmas Silo 1 work area, is still low at 63%. This is far from the K1 target in Jember Regency, which is 100%. Various efforts have been made by the government to increase K1 coverage. The purpose of the research is to determine the relationship between cadre support and K1 assistance in Garahan Village, Silo 1 Health Center area, Jember Regency. This research is a quantitative study. The research design uses correlation analysis with a cross- sectional approach with a population of 60 respondents. The sampling technique used was probability sampling with simple random sampling, data collection was conducted using a questionnaire, and data analysis was performed using the Chi- square test. The sample consisted of 38 respondents. This study shows that the majority of cadres support and assist pregnant women in performing K1 (94.7%). The p-value analysis is 0.001 < ? 0.05. The contingency coefficient of 0.308 indicates a weak relationship between cadre support and K1 assistance in Garahan Village, Silo 1 Health Center area, Jember Regency. Cadres can provide support and K1 assistance as recipients, providers, and in the composition and structure of social networks. ABSTRAKAnte Natal Care (ANC) adalah pelayanan yang diterima ibu selama kehamilan, ANC penting dalam memastikan bahwa ibu dan janin dalam keadaan sehat. Cakupan K1 ibu hamil periksa kehamilan ke tenaga kesehatan di Desa Garahan wilayah kerja Puskesmas Silo 1, cakupan kunjungan ibu hamil (K1) masih rendah, yaitu 63%, ini terpaut jauh dengan target K1 di Kabupaten Jember yaitu sebesar 100%. Berbagai upaya dilakukan pemerintah untuk meningkatkan cakupan K1. Tujuan penelitian adalah untuk mengetahui hubungan dukungan kader dengan pendampingan K1 di Desa Garahan wilayah Puskesmas Silo 1 Kabupaten Jember. Penelitian ini merupakan penelitian kuantitatif. Desain penelitian menggunakan analisis korelasi dengan pendekatan cross sectional dengan populasi 60 responden. Teknik sample menggunakan probability sampling dengan teknik simple random sampling, data penelitian dikumpulkan dengan kuesioner, analisis data menggunakan uji Chi square. Sample yang diambil sejumlah 38 responden. Penelitian ini menunjukkan sebagian besar kader mendukung dan mendampingi ibu hamil melakukan K1 (94.7%). Nilai analisis p-value 0.001< ? 0.05 Koefisien kontingensinya 0.308 mengartikan hubungan lemah antara dukungan kader dengan pendampingan K1 di Desa Garahan Wilayah Puskesmas Silo 1 Kabupaten Jember Kader dapat memberikan dukungan dan pendampingan K1 sebagai recipients, providers, komposisi dan struktur jaringan sosial.