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Factor Related to Women's Delay in Undergoing Breast Cancer Examination at Dr. H. Andi Abdurrahman Noor Tanah Bumbu Regional Hospital ariyanti, eva mismaya wahyu; Rusmilawaty, Rusmilawaty; Hipni, Rubiati; Yuliastuti, Erni
JURNAL KEBIDANAN BESTARI Vol 9 No 1 (2025): Jurnal Kebidanan Bestari (On Progress)
Publisher : Midwifery Departement Poltekkes Kemenkes Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/jkb.v9i1.191

Abstract

Introduction: Delayed examination is the subject's delay in checking themselves to a health facility or medical professional, after realizing the signs and symptoms of breast cancer. From several studies that concluded that the delay in examination ≥3 months, based on the register data, monthly reports and medical records of RSUD dr. H. Andi Abdurrahman Noor Tanah Bumbu, most of the research subjects experienced late examination. The aim of this study is to Analyzing Factors Associated with Women's Delay in Undergoing Breast Cancer Screening. Methods: This research uses an analytical survey, with a cross-sectional approach. The population in this study was all 149 women who had breast cancer who underwent examination, taken using the Total Sampling Technique. Education, Pain/Pain Complaints, Health Insurance, and Affordability of Health Facilities. The dependent variable is the delay in women undergoing breast cancer examination. Collection and use of Secondary Data. Data were analyzed using the chi square test with significance α=0.05. Results: The majority of study subjects experienced a delay in breast cancer examination ≥3 months (52.3%), were highly educated (45%), experienced pain complaints (53%), had health insurance (54.4%), and the accessibility of health facilities was very far (82.6%). There was a significant relationship between delay and education (p-value = 0.004), delay with complaints of pain (p-value = 0.010; OR = 0.39), delay with health insurance (p-value = 0.008; OR = 2.58), delay with accessibility of health facilities (p-value = 0.001). Conclusion: There is a relationship between delays in breast cancer screening and education, complaints of pain, health insurance, and affordability of health facilities. Keyword: Factors, Delayed Examination, Breast Cancer.
Hubungan Pengetahuan Ibu Dengan Pemberian Imunisasi HPV Di Puskesmas Pemurus Dalam Wafa, Wafa; Rusmilawaty, Rusmilawaty; Rafidah, Rafidah; Yuliastuti, Erni
JURNAL KEBIDANAN BESTARI Vol 9 No 1 (2025): Jurnal Kebidanan Bestari (On Progress)
Publisher : Midwifery Departement Poltekkes Kemenkes Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/jkb.v9i1.199

Abstract

Abstract Background: Cervical cancer is cancer that grows in the cervix, originating from the epithelium, or outer surface layer of the cervix, and 99.7% is caused by the HPV (Human Papilloma Virus) virus. The most commonly identified HPV viruses in cervical cancer are HPV types 16 and 18. Data from the Banjarmasin City Health Office states that of the 27 health centers spread throughout the city of Banjarmasin in 2023, Puskesmas Pemurus Dalam is ranked 18th with a target of 220 HPV immunization for 5th grade elementary school children who get immunized 181 people (82.3%) below the Banjarmasin City target of 95%. Objectives: Identifying the provision of HPV immunization, identifying maternal knowledge and analyzing the relationship between maternal knowledge and the provision of HPV immunization at Pemurus Dalam Health Center in 2024. Method: Using cross sectional method. The population is all mothers who have daughters in grade 5 SD in the Pemurus Dalam Health Center area with a total of 220 people with a quota sampling technique sample of 69 people. Analysis used with the Chi-Square test Results: Of the 69 respondents who did not get HPV immunization as many as 39 people (56.5%), and poor maternal knowledge as many as 29 people (42.1%) This study shows there is a relationship with the results of statistical tests obtained P-Value 0.003. Conclusion: There is a relationship between maternal knowledge and the provision of HPV immunization at Pemurus Dalam Health Center in 2024. Keywords: HPV Immunization, Maternal Knowledge
Hubungan Mobilisasi dengan Kelancaran ASI pada ibu Sectio Caesaria di RSUD H.Boejasin Pelaihari Tahun 2024 Mufdalifah, Nina; Yuliastuti, Erni; Kristiana, Efi; Rusmilawaty, Rusmilawaty
JURNAL KEBIDANAN BESTARI Vol 9 No 1 (2025): Jurnal Kebidanan Bestari (On Progress)
Publisher : Midwifery Departement Poltekkes Kemenkes Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/jkb.v9i1.196

Abstract

Preliminary study conducted from August 24-27, 2024, with 10 post-cesarean section mothers on the second day at the Nifas Room of RSUD H.Boejasin showed that 7 mothers had difficulties in breastfeeding their babies due to pain following the caesarean section. This pain made it challenging for them to find a comfortable position to nurse. The purpose of this study is to determine whether there is a relationship between mobilization and the smoothness of breast milk production in post-cesarean section mothers. This study used an observational analytic design with a cross-sectional approach. The population consisted of all postpartum mothers who had undergone a cesarean section, totaling 30 respondents. The sampling technique used was non-probability sampling with accidental sampling. Data collection instruments were used to gather direct data through observation sheets adapted from a previous study. Data analysis was performed using the Chi-Square test. The Spearman test yielded a p-value of 0.000, which means (p<0.05). This indicates that Ha (alternative hypothesis) is accepted, and Ho (null hypothesis) is rejected, suggesting that there is a significant relationship between mobilization and the smoothness of breast milk production in post-cesarean section mothers at RSUD H. Boejasin Pelaihari. The strength of the relationship is very strong and positive. There is a significant relationship between mobilization and the smoothness of breast milk production in post-cesarean section mothers, with a very strong positive correlation.
HUBUNGAN PENGETAHUAN DAN SIKAP ORANG TUA DENGAN KUNJUNGAN KE POSYANDU DI DESA GUNUNG BESARPUSKESMAS DARUL AZHAR TAHUN 2024 Misnawati, Rusmilawaty, Vonny Khresna Dewi
Integrative Perspectives of Social and Science Journal Vol. 2 No. 01 Februari (2025): Integrative Perspectives of Social and Science Journal
Publisher : PT Wahana Global Education

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Abstract

Datang ke posyandu adalah indikator terjangkaunya pelayanan kesehatan pada balita, tercakupnya balita hadir di posyandu maka akan terpantau perkembangan dan pertumbuhannya. Cakupan kunjungan Desa Batu Ampar Tahun 2022 yaitu 49,06%, sedangkan tahun 2023 ialah 49,93 % atau 68 anak dari total sasaran 137 anak. Tujuan penelitian: mengetahui hubungan pengetahuan dan sikap orang tua dengan kunjungan balita ke posyandu di Desa Gunung Besar Puskesmas Darul Azhar Tahun 2024. Penelitian menggunakan metode cross sectional. Sampel diambil menggunakan teknik Accidental Sampling. Jumlah sampel sebanyak 57 orang. Instrumen yang digunakan adalah kuesioner. Uji statistik menggunakan Chi Square. Hasil penelitian yaitu jumlah responden yang tidak rutin kunjungan posyandu sebanyak 30 orang (52,6%), Responden yang memiliki pengetahuan cukup sebnyak 27 orang (47,4%). Responden memiliki sikap yang netral sebanyak 23 orang (40,4%)/ Ada hubungan pengetahuan dengan kunjungan ke posyandu (p value 0,001).Ada hubungan sikap dengan kunjungan ke posyandu (p value  0,001). Hal ini dapat disimpulkan bahwa semakin tinggi baik pengetahuan seseorang, maka semakin baik pula perilaku untuk mendapatkan akses Kesehatan. Disarankan pada petugas Kesehatan Memfasilitasi pelatihan bagi kader posyandu tentang cara memberikan konseling kepada orang tua mengenai pentingnya imunisasi dan pemantauan tumbuh kembang anak
HUBUNGAN PENGETAHUAN DAN PARITAS DENGAN KEJADIAN  STUNTING PADA BALITA UMUR 1-3 TAHUN DI WILAYAH KERJA PUSKESMAS BATULICIN TAHUN 2024 Selvy Anatarias.SB, Rubiati Hipni, Rusmilawaty, Efi Kristiana
Integrative Perspectives of Social and Science Journal Vol. 2 No. 01 Februari (2025): Integrative Perspectives of Social and Science Journal
Publisher : PT Wahana Global Education

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Abstract

Latar Belakang: Stunting adalah suatu  kondisi  dimana  terjadi  gagal  tumbuh  pada  anak  balita  disebabkan  oleh kekurangan  gizi  kronis  sehingga  anak  terlalu  pendek  untuk  usianya. Berdasarkan data SSGI (Survei Studi Gizi Indonesia) Kabupaten Tanah Bumbu angka prevelensi stunting di Tanah Bumbu, tahun 2021 yaitu 18,7%, pada tahun 2022 prevalansi turun menjadi 16,1% dan tahun 2023 prevelensi stunting tetap diangka 16,1% dan Puskesmas Batulicin  tahun 2021 yaitu 3,91%, pada tahun 2022 yaitu 2,94%, pada tahun 2023 yaitu 3,48%, dan periode juni 2024 yaitu 1,84%.Tujuan: Untuk menganalisis hubungan pengetahuan dan paritas dengan kejadian stunting pada balita umur 1-3 Tahun di Wilayah kerja Puskesmas Batulicin Tahun 2024. Metode: menggunakan desain survey analitik dengan rancangan cross-sectional terhadap 83 ibu balita usia 1-3 tahun di Puskesmas Batulicin melalui teknik accidental sampling dengan dua variabel yaitu variabel dependen dan variabel Independen. Data dikumpulkan melalui kuesioner serta rekapitulasi data laporan bulanan kemudian dianalisis menggunakan uji chi square. Hasil: Hasil penelitian menunjukkan terdapat balita stunting yang signifikan antara Pengetahuan dengan kejadian stunting pada balita umur 1-3 tahun p-value = 0,000 0,05, sedangkan hasil penelitian antara paritas dengan kejadian stunting didapatkan nilai p-value = 0,000  0,05, yang berarti ada hubungan yang signifikan antara pengetahuan dan Paritas dengan kejadian Stunting pada balita umur 1-3 tahun. Kesimpulan: Rendahnya tingkat pengetahuan ibu dan paritas berisiko berkontribusi signifikan terhadap kejadian stunting. Maka, upaya edukasi gizi dan pengendalian jumlah anak penting dilakukan untuk menurunkan angka stunting.
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ANEMIA PADA IBU HAMIL DIPUSKESMAS BATULICIN TAHUN 2024 Nour Hayati, Erni Yuliastuti, Suhrawardi, Rusmilawaty
Integrative Perspectives of Social and Science Journal Vol. 2 No. 01 Februari (2025): Integrative Perspectives of Social and Science Journal
Publisher : PT Wahana Global Education

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Abstract

Latar Belakang : Anemia pada ibu hamil menjadi penyebab utama terjadinya perdarahan. Berdasarkan studi pendahuluan pada Puskesmas Batulicin banyak ditemukan ibu hamil yang anemia sebesar 25,7%, Sehingga peneliti ingin melakukan penelitian yang bertujuan untuk Mengetahui Faktor yang berhubungan dengan kejadian anemia pada ibu hamil di Puskesmas Batulicin tahun 2024. Metode : Penelitian menggunakan metode cross sectional. Populasi sebanyak 276 ibu hamil dan Sampel menggunakan teknik Total Sampling yaitu 276 ibu hamil  yang memeriksakan kehamilannya kePuskesmas Batulicin. Instrumen yang digunakan dalam penelitian ini data subjektif yang diambil dari buku register KIA dan kohort ibu hamil di Puskesmas Batulicin Januari-Agustus tahun 2024. Hasil : Responden mengalami anemia sebanyak 128 responden(46,4%). Usia berisiko sebanyak 116 responden (42,0%), Paritas tidak aman sebanyak 70 responden (24,4%) dan yang melakukan kunjungan ANC tidak sesuai standar sebanyak 108 responden (39,1%). Analisis uji Chi Square diperoleh hasil: Usia dengan kejadian Anemia dipuskesmas Batulicin nilai P-value sebesar 0,000, Paritas dengan kejadian Anemia dipuskesmas Batulicin nilai P-value sebesar 0,009. kunjungan ANC dengan dengan kejadian Anemia diPuskesmas Batulicin nilai P-value sebesar 0,000. Kesimpulan : Ada hubungan signifikan antara Usia dengan kejadian Anemia dipuskesmas Batulicin, Ada hubungan signifikan antara Paritas dengan kejadian Anemia dipuskesmas Batulicin dan Ada hubungan signifikan antara kunjungan ANC dengan dengan kejadian Anemia diPuskesmas Batulicin.
Empowerment of youth posyandu cadres as an effort to delay the age of marriage and prevent teenage pregnancy Hapisah, Hapisah; Rusmilawaty, Rusmilawaty; Rafidah, Rafidah
Journal Pengabdian Masyarakat Politeknik Sandi Karsa Vol 4 No 2 (2025): Abdimas Polsaka: Jurnal Pengabdian Masyarakat
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat,Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/abdimaspolsaka.v4i2.117

Abstract

Early marriage and teenage pregnancy remain serious public health issues, as they impact the health of mothers and babies, as well as the social and economic well-being of families. In this regard, integrated health service post (Posyandu) cadres play a crucial role as the spearhead of health education, particularly in providing accurate information to adolescents. This community service program aimed to increase the understanding of adolescent Posyandu cadres, toddler Posyandu cadres, and young women regarding the importance of maturing marriageable age and efforts to prevent teenage pregnancy. The program involved 25 adolescent Posyandu cadres, toddler Posyandu cadres, and young women from Simpang Warga Village, Aluh-Aluh District, Banjar Regency. The implementation phase included a pretest, interactive lecture presentation, a question-and-answer discussion, and a case study related to the phenomenon of teenage pregnancy. A posttest and field evaluation were then conducted to assess the extent of the material's implementation. The data obtained were analyzed descriptively to measure the increase in participants' knowledge. The results showed an increase in average knowledge scores after the intervention. The integrated health post (Posyandu) cadres also demonstrated their readiness to apply the material in youth Posyandu activities, particularly in providing education on the health risks of early marriage. Overall, this community service program has proven effective in strengthening the capacity of Posyandu cadres to support the movement to increase the age of marriage and prevent teenage pregnancy. For the program's sustainability, cross-sector collaboration, including with village governments and community health centers, is needed to strengthen promotive and preventive efforts at the community level.
A Optimalisasi Peran Suami Dan Masyarakat Dalam Support Lancar Asi Di Desa Kelampaian Ulu Kabupaten Banjar Hapisah, Hapisah; Rusmilawaty; Rafidah
JURNAL RAKAT SEHAT (JRS) : Pengabdian Kepada Masyarakat Vol 4 No 2 (2025): Jurnal Rakat Sehat
Publisher : UPPM Poltekkes Kemenkes Banjarmasin

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Abstract

Pemberian ASI ekslusif masih menjadi tantangan besar bagi ibu menyusui dalam menunjang pertumbuhan perkembngan dan kelangsungan hidup bayi. ASI ekslusif dapat menurunkan angka kesakitan dan kematian bayai karena meningkatkna sistem imunitas pada tubuh bayi untuk melawan berbagai macam penyakit. WHO merekomendasikan oemberian ASI ekslusif selam 6 bulan, namun cakupan pemberian ASI eksklusif  di bebrapa daerah di Indoensia masih di bawah target sebesar 80%. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan keterampilan ibu, suami, kader dan Masyarakat tentang optimalisasi peran suami dan Masyarakat dalam Support Lancar ASI di Desa Kelampaian Ulu Kabupaten Banjar. Program ini dilaksanakan melalui penyuluhan dan praktik langsung serta evaluasi dan monitoring. Kegiatan ini diikuti oleh 36 peserta, terdiri dari 10 orang ibu hamil, 10 orang suami, 10 orang kader dan 6 orang Masyarakat. Hasil yang dicapai meliputi peningkatan pengetahuan peserta tentang ASI eksklusif, menyusui on demand, pemberian makanan bergizi dan cara mencegah stress. Peserta memiliki ketrampilan untuk perawatan payudara dan pijat oksitosin. Evaluasi dilakukan sebanyak 2 kali untuk memantau penerapan perawatan payudara dan pijat oksitosin.
Towards Healthy Toddlers: The Role of Health Workers in the Prevention and Control of Malnutrition in Banjar Regency rusmilawaty, rusmilawaty; Hapisah; Rafidah
JURNAL RAKAT SEHAT (JRS) : Pengabdian Kepada Masyarakat Vol 4 No 2 (2025): Jurnal Rakat Sehat
Publisher : UPPM Poltekkes Kemenkes Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/jrs.v4i2.117

Abstract

Aluh-aluh Besar Village is one of 22 villages located in the Aluh-aluh Subdistrict of Banjar Regency, South Kalimantan Province, consisting of 11 neighborhood associations with a relatively high prevalence of malnutrition among children aged 7-59 months, namely 49 children (34.7%) out of 141 children. The solution to address the issues in Aluh-aluh Besar Village is to conduct integrated training, provide guidance to Posyandu cadres and mothers of infants to enhance their knowledge and skills in detecting, preventing, and addressing malnutrition in infants, form infant nutrition support groups using social media (WA group), conduct continuous monitoring and evaluation, and collaborate between the village government, Aluh-aluh Health Center -Aluh Health Center to support the prevention and management of malnutrition. The method applied was to provide counseling and assistance to 20 mothers and 10 cadres. This activity involved mothers of toddlers, cadres, nutritionists, and 3 students. The final outcome of this community service activity is to enhance participants' knowledge and skills regarding infant nutrition, methods for determining nutritional status, and addressing malnutrition. A support group for infant nutrition was formed using social media (WhatsApp group) comprising mothers of infants and health workers to share knowledge, experiences, support, and useful information about toddler nutrition, and the establishment of cooperation between the local government in Aluh-aluh Besar Village and the Aluh-Aluh Health Center, as well as in supporting the malnutrition prevention program. The final evaluation in September 2025 showed a 5.75% decrease in malnourished toddlers.
PENDAMPINGAN KELUARGA DALAM KEBERHASILAN PEMBERIAN ASI EKSKLUSIF DI DESA KALIUKAN WILAYAH KERJA PUSKESMAS ASTAMBUL Dewi, Vonny Khresna Dewi; Rusmilawaty; Tunggal, Tri
JURNAL RAKAT SEHAT (JRS) : Pengabdian Kepada Masyarakat Vol 4 No 2 (2025): Jurnal Rakat Sehat
Publisher : UPPM Poltekkes Kemenkes Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/jrs.v4i2.118

Abstract

ABSTRACT Kaliukan Village is located in Astambul District, Banjar Regency, with 34 6-month-old babies, based on May 2024 data. Of the 6-month-old babies in Kaliukan Village who faced problems with exclusive breastfeeding, 33 were not exclusively breastfed, representing 97% of the total. The solution used is to provide counseling on the importance of providing exclusive breastfeeding, correct breastfeeding techniques and methods, breast care methods, Oxytocin Massage, how to express breast milk and how to store breast milk properly, especially with limited knowledge and inadequate practices and lack of support from husbands/families. by providing education and assistance related to providing exclusive breastfeeding, so as to increase the understanding and awareness of mothers, husbands/families and cadres about the importance of providing exclusive breastfeeding for optimal health and growth of babies. The method we will implement includes mentoring 20 parents and 5 cadres, through education and mentoring on Exclusive Breastfeeding including providing Exclusive Breastfeeding, correct breastfeeding techniques and methods, breast care methods, Oxytocin Massage, how to express breast milk and how to store breast milk properly by involving cadres. The contribution of target partners and target groups is responsible for facilitating the location of community service activities and maintaining the sustainability of the implementation of community activities for parents. The target of this community service is to increase the number of cadres and parents regarding exclusive breastfeeding, improve infant health and growth (BB/TB), and improve good nutrition in infants. Mandatory output targets are publication in online electronic media on the Poltekkes Banjarmasin YouTube, videos, leaflets and increased empowerment of partners. The implementation of community service activities and evaluations revealed that mothers understood and were able to practice them, and that breast milk flowed smoothly. This success was also due to the good collaboration between midwives and Posyandu cadres, as well as the support of husbands and families.