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Dukungan Suami dalam Pemberian ASI Eksklusif di Wilayah Kerja Puskesmas Air Tawar Kota Padang, Sumatera Barat Ramadani, Mery; Hadi, Ella Nurlaella
Kesmas Vol. 4, No. 6
Publisher : UI Scholars Hub

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Abstract

Manfaat pemberian ASI yang sangat besar ternyata belum mampu meningkatkan angka cakupan ASI eksklusif. Hal tersebut terlihat pada tingkat pemberian ASI eksklusif di tanah air yang masih rendah berada pada kisaran 39%-40%. Tujuan penelitian ini mengetahui dukungan suami dalam pemberian ASI eksklusif di Wilayah Kerja Puskesmas Air Tawar, Kota Padang Tahun 2009. Rancangan penelitian potong lintang digunakan pada bulan Maret-April 2009 dengan responden ibu bayi usia 7-12 bulan. Hasil penelitian mendapatkan 55,4% ibu memberikan ASI eksklusif dan 57% ibu mendapat dukungan suami dalam pemberian ASI eksklusif. Ada hubungan antara dukungan suami dengan pemberian ASI eksklusif, ibu yang suaminya mendukung pemberian ASI eksklusif berpeluang memberikan ASI eksklusif 2 kali daripada ibu yang suaminya kurang mendukung pemberian ASI eksklusif setelah dikontrol oleh pekerjaan suami, dukungan petugas kesehatan, dan pekerjaan ibu. Oleh karena peran suami penting dalam pemberian ASI eksklusif, maka suami harus dijadikan sasaran penyuluhan ASI dan didorong untuk lebih aktif mencari informasi serta aktif belajar mengenai ASI, sehingga lebih paham dalam memberikan dukungan kepada ibu untuk menyusui secara eksklusif. The objective of this study was to know husband’s support in exclusive breastfeeding at working areas of Puskesmas Air Tawar, Padang in 2009. Cross sectional design was used in this study that was conducted from March to April 2009. The respondents were mothers with baby of 7 to 12 months. This study found out that 55.4% of mothers did exclusive breastfeeding, and 57% mothers gained husband’s support in exclusive breastfeeding. There was a relationship between husband’s support and exclusive breastfeeding whereas mothers who had husbands’ support likely do exclusive breastfeeding two times than mothers without husband’s support after adjusted by husband’s occupation, health provider’s support and mother’s occupation. As the role of husband is important in exclusive breastfeeding, therefore husbands should became the target of education on exclusive breastfeeding and encourage them to be more active in searching information about exclusive breastfeeding, so that they would support their wives in exclusive breastfeeding.
Praktek Ibu dalam Perawatan Neonatus di Kabupaten Garut, Jawa Barat Haryanto, Aji; Hadi, Ella Nurlaella
Kesmas Vol. 3, No. 6
Publisher : UI Scholars Hub

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Angka kematian bayi (AKB) di Kabupaten Garut pada tahun 2005 (54,8 per 1000 kelahiran hidup) merupakan yang tertinggi di provinsi Jawa Barat, akibat kematian neonatus dalam tiga tahun terakhir terus meningkat. Studi yang bertujuan mengetahui determinan praktek ibu dalam perawatan neonatus, dilakukan dengan analisis lanjut data Survei Dasar Kesehatan Neonatus Esensial di Kabupaten Garut tahun 2007. Analisis dilakukan dengan menggunakan metoda regresi logistik ganda. Hasil studi menunjukkan, dari 577 ibu bayi 1-11 bulan yang menjadi sampel penelitian, sekitar 51,5% ibu melakukan praktek perawatan neonatus kurang baik. Faktor yang paling dominan berhubungan dengan praktek perawatan neonatus adalah pengetahuan ibu setelah dikontrol oleh dukungan keluarga, pendidikan ibu, pekerjaan ibu dan penyuluhan oleh tenaga kesehatan. Ibu yang berpengetahuan baik melakukan praktek perawatan neonatus baik 2,2 kali lebih besar daripada ibu yang dengan pengetahuan kurang baik. Disarankan agar Bidan di Desa (BdD) mengubah cara pemberian informasi kepada ibu dan keluarganya dengan metode diskusi dan menggunakan gambar serta buku Kesehatan Ibu dan Anak (KIA), sehingga ibu lebih mudah memahami dan menerapkan kepada bayinya. Infant Mortality Rate (IMR) in 2005 at Garut District (54.8/1000 live births), is the highest in West Java Province, due to ever increasing neonatus mortality rates in the last three year. The purpose of this study was to investigate the determinant of mother’s practice in neonatus care at Garut District, conducted by advance analysis of Baseline Survey of Essential Neonatus Health Services at Garut District data in 2007. The data was analyzed using chi square test and multiple logistic regression. The result of this study showed that out of 577 baby mothers who had 1-11 months as the sample of this research, 51.5% had unfavorable practice in neonatus care. The most dominant factor related to practice in neonatus care was knowledge of mother after adjusting by family support, mother’s education, mother’s occupation and counseling by health provider. Mothers who have good knowledge in neonatus care practice had chance 2.2 times higher compared to mothers who had unfavorable knowledge to implement good practice. Based on the result of this study, it is suggested that the Village Midwives should change the way in giving of information to mothers and her families by using more discussion method and utilizing picture, and also utilizing Maternal and Child Health book, so that it would be easier for the mothers to understand and to apply good practices to their babies.
Studi Kualitatif : Pelayanan Rujukan Asfiksia Bayi Baru Lahir di Kabupaten Cirebon Jawa Barat Hadi, Ella Nurlaella
Kesmas Vol. 3, No. 3
Publisher : UI Scholars Hub

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Pada tahun 2005, studi penatalaksanaan asfiksia bayi baru lahir (BBL) oleh bidan di desa Kabupaten Cirebon menemukan kematian asfiksia BBL yang dirujuk ke rumah sakit masih tinggi. Penelitian ini bertujuan untuk mendapatkan informasi yang mendalam tentang proses rujukan, alur penanganan rujukan kasus asfiksia BBL di RS dan kualitas pelayanan di RS rujukan Kabupaten Cirebon. Untuk itu, digunakan pendekatan kualitatif dengan metode studi kasus. Hasil penelitian menunjukkan BdD sudah menangani asfiksia BBL dengan benar, tetapi rujukan sering terlambat karena adanya faktor penghambat dari keluarga (ekonomi dan keputusan merujuk harus melibatkan keluarga besar) dan faktor lingkungan (transportasi di desa terpencil sulit terutama pada malam hari). Disamping, karena penanganan rujukan asfiksia BBL di RS belum optimal, karena masih kurangnya keterampilan petugas bagian UGD dalam manajemen asfiksia BBL dan tidak tersedianya alat resusitasi neonatus di bagian UGD, padahal prosedur penanganan kasus rujukan pertama kali di bagian UGD. In Cirebon district (2005) research on village midwives’s experience in managing birth asphyxia showed mortality of newborns with asphyxia who were referred to the hospitals were still high. This research was aimed to assess referral process, management procedure of referral birth asphyxia cases and quality of care given in the referral hospitals. This study was conducted using qualitative approach focusing on case study method. The result of this study showed that village midwives managed birth asphyxia correctly, but referral of newborn cases was often delayed, because of community factors (finance and delayed decision making by whole family to refer the newborn to the hospitals) and environmental factor (transportation in remote villages was difficult, especially at night. Besides that, referral hospitals were not yet providing adequate emergency care for referral cases of birth asphyxia. These were primarily due to lack of skills in management of birth asphyxia and unavailability of resuscitation device in emergency room.
Determinants of an integrated management of childhood illness program implementation in Indonesia Amalia, Dwi Octa; Hadi, Ella Nurlaella
BKM Public Health and Community Medicine Vol 39 No 03 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i03.6974

Abstract

Purpose: This study aims to identify the factors related to health system support that influence the implementation of Integrated Management of Childhood Illness (IMCI) in primary health care facilities in Indonesia, specifically in relation to leadership. Methods: The research method used is a literature review. Database searches of Garuda, Google Scholar, Proquest, Science Direct, Biomed, and Pubmed were performed from 2012 to 2022 using the keywords “manajemen terpadu balita sakit”, “IMCI Indonesia”. Results: A total of 1,238 articles were screened for eligibility and five published articles met the inclusion criteria and objectives of this literature review. Based on five articles reviewed, nine variables associated with IMCI implementation were analyzed in this study, including leadership support, supervision, completeness of medicine and medical equipment, presence of consultation room, motivation, attitudes, knowledge, and completeness of filling out forms. Conclusion: The support of the health system is a key challenge in implementing IMCI. Therefore, strengthening health system support is needed to optimize the implementation of IMCI. In addition, there is a need to strengthen leadership and provide regular supervision and feedback to ensure that IMCI implementation is in accordance with standards and to increase health worker motivation to improve their performance in providing health services.
Visual inspection with acetic acid screening use determinants: a systematic literature review Ayu, Septi; Hadi, Ella Nurlaella
BKM Public Health and Community Medicine Vol 40 No 04 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i04.12397

Abstract

Purpose: In Indonesia, in 2022, of 36,964 cervical cancer cases, 56% ended in death due to cervical cancer. Cervical cancer can be identified at an early stage through routine examinations, allowing for more effective treatment and increasing the chances of cure. The visual inspection of acetic acid (VIA) screening has emerged as a simple, effective, and affordable option. Methods: The research method uses a systematic literature review, carried out using primary studies from PubMed, Proquest, and Google Scholar using the keywords "woman; VIA; preventing cervical cancer" published between 2019 and 2024, full text and open access articles and according to the topic. Results: 25,999 research articles were screened for eligibility, and 10 met the inclusion criteria. The coverage of the VIA screening was due to age, social norms, opinions, behavior of other people, the availability of health facilities, support from husbands, support from health workers, and economic conditions. Conclusion: Educational interventions at the community and health facilities are needed to increase VIA examination coverage. Socialization and education involving women and men are expected to help increase public participation in VIA examinations and reduce morbidity and mortality due to cervical cancer.
Lifestyle Risk Factors and Hypertension on Students: a Cross Sectional Study Martiningsih, Martiningsih; Novieastari, Enie; Gayatri, Dewi; Nursasi, Astuti Yuni; Hadi, Ella Nurlaella
Jurnal Kesehatan Prima Vol. 18 No. 2 (2024): AUGUST
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkp.v18i2.1692

Abstract

The incidence of hypertension is likely to occur at an increasingly younger age. The incidence is mainly due to risk factors for unhealthy behavior and lifestyle in adolescents. The purpose of this study was to analyze behavioral and lifestyle risk factors that affect the incidence of hypertension in adolescents. This research design is a descriptive-analytic with the cross-sectional study. The subjects in this study were 407 respondents from 10 junior and senior high schools in Bima City. Independent variables were gender, age, some behaviors like smoking, alcoholic, drug abuse, exercise, and healthy diet, abdominal circumference, and body mass index. Whereas, the dependent variable covers the incidence of hypertension. Results: In this study, behavioral risk factors in adolescents that correlate with hypertension are body mass index, age, and smoking behavior. The omnibus test results p value = 0.018 (
Hubungan Persepsi Pola Asuh Orang Tua dan Karakteristik Siswa dengan Kecemasan Siswa Kelas 7 - 12 di Sekolah X Jakarta Apryanti, Andi Rika; Hadi, Ella Nurlaella; Damayanti, Rita
Perilaku dan Promosi Kesehatan : Indonesian Journal of Health Promotion and Behavior Vol. 7, No. 1
Publisher : UI Scholars Hub

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Background. Anxiety is a negative emotional response that is subjective with physical symptoms. Anxiety is influenced by various factors such as parenting styles and student characteristics. Objective. The purpose of this study was to determine the relationship between perceived parenting styles and student characteristics with anxiety in 7th – 12th grade students at School X Jakarta. Method. This research is a quantitative study using a cross-sectional design. Data from 220 of 486 students who were willing to take part of this study and had permission from their parents were collected by filling out a questionnaire independently. Data were analyzed using the chi-square test. Results. The results showed that the prevalence of anxiety in 7th – 12th grade students at School X Jakarta were 27.3%. The most dominate student’s perceptions of their parenting styles are authoritative (36.4%) and neglectful (36.4%). Meanwhile, the characteristics of the students were early teens (58.2%), female (50.5%), and junior high school level (72.7%). The results of the analysis showed a significant relationship between neglectful parenting, indulgent parenting, student gender, and grade level with student anxiety. Conclusion. Student at risk of experiencing anxiety are female, high school level, and parenting style is neglectful or indulgent. For this reason, School X needs to conduct an evaluation to these student, as well as providing a "student’s mail box" and parenting workshops.
Promosi Kesehatan dalam Meningkatkan Pengetahuan Kesehatan Gigi dan Mulut pada Siswa di SD Muhammadiyah 24 Jakarta Muh Agung S; Ella Nurlaella Hadi; Rohman Daka; Mufti As Siddiq M. Irzal; Erwin Gunawan
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.38591

Abstract

Anak-anak merupakan kelompok yang rentan terhadap masalah kesehatan gigi seperti gigi berlubang dan bau mulut, yang dapat mengganggu fungsi gigi dan aktivitas sehari-hari. Penelitian ini bertujuan untuk mengevaluasi dampak promosi kesehatan menggunakan poster terhadap pengetahuan kesehatan gigi dan mulut pada anak-anak di SD Muhammadiyah 24 Jakarta pada tahun 2024. Metode: Penelitian ini menggunakan desain kuasi-eksperimental satu kelompok pre-post-test dengan 42 anak berusia 10-11 tahun dari kelas 5A dan 5B. Metode ceramah dengan poster digunakan sebagai intervensi. Data dikumpulkan melalui pre-test dan post-test dan dianalisis menggunakan uji-t dependen. Hasil: Rata-rata skor pengetahuan meningkat dari 60 sebelum intervensi menjadi 79,05 setelah intervensi. Peningkatan yang signifikan secara statistik diamati (p-value = 0,005), yang menunjukkan efektivitas intervensi. Kesimpulan: Penggunaan ceramah dan poster secara signifikan meningkatkan pengetahuan anak-anak tentang kesehatan gigi dan mulut. Strategi ini dianggap efektif untuk mempromosikan pengetahuan kesehatan gigi yang lebih baik di kalangan anak-anak Kata Kunci: Anak-anak, ceramah, kesehatan gigi dan mulut, pengetahuan.
The Influence of Early Marriage History on Stunting Risk: A Systematic Literature Review Ade Fadly H Masse; Ella Nurlaella Hadi; Mufti As Siddiq M. Irzal; Rezki Nurfatmi
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.40001

Abstract

Stunting, a chronic growth condition characterized by a height-for-age Z-score below -2 SD of the WHO median, poses significant health, developmental and cognitive challenges. This systematic literature review investigates the relationship between early marriage and the prevalence of stunting, emphasizing its impact on intergenerational malnutrition. Using databases such as ProQuest, Scopus, PubMed and Google Scholar, the study screened 6,679 articles and narrowed them down to 11 high-quality studies based on PRISMA guidelines. Findings showed that children born to teenage mothers face a higher risk of stunting due to lack of nutrition knowledge, limited access to health services and socioeconomic constraints. Early marriage is significantly correlated with high-risk fertility behaviors, including short birth spacing and high parity, which exacerbate stunting rates. In addition, cultural norms that encourage early marriage further exacerbate these challenges. The study highlights the need for multidimensional interventions that focus on delaying marriage and childbirth, improving maternal education, increasing access to healthcare, and empowering women through community- based programs. These strategies aim to break the intergenerational cycle of malnutrition, thereby advancing sustainable development goals and improving children's well-being in the long term.
Strategi Promosi Kesehatan di Komunitas Terhadap Stigma Penderita HIV/ AIDS/ AIDS : Sistematik Review Dina Putri Yulianti; Ella Nurlaella Hadi
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.41271

Abstract

HIV/AIDS is a significant global health challenge, both medically and socially. Stigma and discrimination against People Living with HIV/AIDS (PLWHA) are major barriers in addressing this issue, hindering access to healthcare and worsening the quality of life of PLWHA. This study aims to evaluate community-based health promotion strategies in reducing HIV/AIDS-related stigma. The research employs a systematic literature review method based on PRISMA guidelines, analyzing 28 relevant articles from Scopus, PubMed, and ProQuest databases. The results indicate that community-based public education, healthcare worker training, and social support play crucial roles in reducing stigma against PLWHA. Public education involving community and religious leaders is effective in improving understanding and reducing discrimination. Providing training for healthcare workers enhances their capacity to deliver non-discriminatory care. Social support from family, friends, and communities positively impacts the well-being of PLWHA. With this holistic approach, an inclusive and supportive environment for PLWHA is expected to be created. Keywords: HIV/AIDS, stigma, health promotion, social support, public education