Article Per Year (5 Year)
p-Index From 2020 - 2025
3.683
P-Index
This Author published in this journals
All Journal International Journal of Public Health Science (IJPHS) E-Journal Of Cultural Studies JURNAL PROMOSI KESEHATAN INDONESIA Media Kesehatan Masyarakat Indonesia JURNAL ILMIAH KESEHATAN KEPERAWATAN Jurnal Kebijakan Kesehatan Indonesia Jurnal Ilmu keperawatan Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Jurnal Kesehatan Reproduksi Disease Prevention and Public Health Journal Jurnal Kesehatan Masyarakat Jurnal Kesehatan Masyarakat Andalas (Andalas Journal of Public Health) Journal of Health Education Jurnal Kesehatan GIZI INDONESIA Window of Health : Jurnal Kesehatan Jurnal Kesehatan Reproduksi Journal of Epidemiology and Public Health Unnes Journal of Public Health Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Kebidanan Indonesia Majalah Kesehatan Indonesia Jurnal Cakrawala Promkes Jurnal Kesehatan Primer Masker Medika Basic and Applied Nursing Research Journal Journal of Information Systems for Public Health Journal of Health Technology Assessment in Midwifery Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Mohammad Hakimi
Unknown Affiliation
Arts Humanities Computer Science & IT Decision Sciences, Operations Research & Management Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

Published : 67 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 67 Documents
Search

 1   2   3   4   5 
EFEK PEMANFAATAN PROGRAM PEMANTAUAN DAN PROMOSI PERTUMBUHAN TERHADAP STATUS GIZI BALITA DI KOTA CIREBON Nurcahyani, Lia; Hakimi, Mohammad; Sudargo, Toto
GIZI INDONESIA Vol 34, No 1 (2011): Maret 2011
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (161.417 KB)

Abstract

Kekurangan  gizi  merupakan  kunci  pokok  persoalan  kematian  balita  di  dunia,  yang  salah  satu penyebabnya yaitu kurangnya pemanfaatan program pemantauan dan promosi pertumbuhan. Kasus gizi kurang di Kota Cirebon melebihi angka provinsi dan  nasional. Pada tahun 2008, partisipasi masyarakat dalam  program  pemantauan  dan  promosi  pertumbuhan  meningkat  sebesar  19  persen  dari  tahun sebelumnya,  tetapi  kasus  gizi  kurang  meningkat  juga sebesar  0,23  persen.  Penelitian  bertujuan  untuk mengkaji efek pemanfaatan program pemantauan dan promosi pertumbuhan terhadap status gizi balita. Jenis  penelitian  observasional  dengan  rancangan  kohort  retrospektif.  Subjek  penelitian  sebanyak  246 balita  usia  17-59  bulan  beserta  ibu  yang  memenuhi  kriteria  inklusi  dan  eksklusi.  Pengambilan  sampel menggunakan teknik three stage samplingdipadukan dengan purposive dan random sampling.Data yang digunakan  berupa  data  primer  dan  sekunder  dengan  instrumen  penelitian  meliputi  kuesioner,  kartu menuju sehat, register gizi, laporan bulan penimbangan balita Kota Cirebon tahun 2008, timbangan injakdigital, length board/ microtoiseserta softwareantropometri WHO (2006). Pengolahan data menggunakan analisis univariabel, bivariabeldengan chi-square dan multivariabel dengan uji regresi logistik. Penelitian ini  didukung  oleh  data  kualitatif  untuk  mengetahui  indikator  input  dan  proses  serta  hambatan  dalam pemanfaatan  program  pemantauan  dan  promosi  pertumbuhan.  Hasil  penelitian  menunjukkan  bahwa pemanfaatan  program  pemantauan  dan  promosi  pertumbuhan  berpengaruh  secara  signifikan  terhadap status  gizi  balita  dengan  p  <  0,05.  Insidensi  gizi  kurang  pada  balita  yang  tidak  memanfaatkan  program pemantauan  dan  promosi  pertumbuhan  secara  teratur  2,7  kali  lebih  besar  dibandingkan  balita  yang memanfaatkan  secara  teratur  setelah  mempertimbangkan  kontribusi  pengetahuan  dan  sikap  ibu  serta umur  balita.  Indikator  input,  khususnya  peran  kader dalam  proses  program  pemantauan  dan  promosi pertumbuhan tidak optimal. Hambatan pemanfaatan program meliputi faktor individu (kesehatan balita), faktor  provider  (alasan  sosial),  serta  faktor  komunitas  (lokasi  rumah  secara  geografis).  Pemantauan pertumbuhan  pada  balita  harus  dilakukan  setiap  bulan,  terutama  pada  umur   0-24  bulan.  Keberhasilan program  pemantauan  dan  promosi  pertumbuhan  dapat  dicapai  apabila  mendapat  dukungan  secara komprehensif dari segi penerima pelayanan, pemberi pelayanan dan pembuat kebijakan. Kata kunci: status gizi, pemantauan pertumbuhan,promosi pertumbuhan, balita
ASUPAN SENG YANG RENDAH SEBAGAI FAKTOR RISIKO KEPARAHAN PNEUMONIA PADA ANAK USIA 12-59 BULAN Nasution, Meiry; Hakimi, Mohammad; Hartini, Ninuk Sri
GIZI INDONESIA Vol 40, No 1 (2017): Maret 2017
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (222.665 KB)

Abstract

Period prevalence of infant pneumonia in Indonesia is 18.5 per mile. The high mortality rate due to pneumonia of 62 percent was found in 10 countries and 5 countries was located in Asia. Zinc is one of micronutrients which is reported to prevent pneumonia as   an acute phase response to infection and help to boost the body immune response. The objective of the study was to determine the impact of zinc intake as risk factor of severe pneumonia in children. A case control study was conducted among children aged 12–59  months in 2 hospitals and 6 health centres, Yogyakarta city. Thirty four children were categorized as having severe pneumonia (cases) and 102 children were categorized as having pneumonia (control).  All sample’s mothers completed a semi-quantitative food frequency questionnaire during March-April 2014. Data analysis was performed  using Mantel-Haenszel test and conditional logistic regression, α = 0,05. Results of the study showed that there were 41.2 percent cases and 56.9 percent control were exclusively breast-fed. The  proportion of cases who had inadequate zink intake was higher than control group. There was no difference between inadequate zinc intake and the severe pneumonia (OR 1,08 and  95% CI 0,5-2,3). There was a statistically significant correlation between low-zinc intake and severe pneumonia if second  disease exist (OR 3,8  and 95% CI 1,4 -10,8). As an conclusion, Inadequate zinc intake affected severe pneumonia when the secondary diseases exist in children with pneumonia. ABSTRAK Period prevalence pneumonia balita di Indonesia adalah 18,5 per mil. Angka kematian yang tinggi akibat pneumonia sebesar 62 persen terdapat di 10 negara dan 5 negara di antaranya merupakan negara di Asia. Defisiensi seng menyebabkan penurunan kekebalan sel sehingga meningkatkan kerentanan terhadap penyakit pneumonia. Tujuan penelitian ini menganalisis asupan seng yang kurang sebagai faktor risiko keparahan pneumonia pada anak. Desain penelitian case control pada 136 anak usia 12-59 bulan yang diperoleh dari 2 RS dan 6 puskesmas di Kotamadya Yogyakarta. Sampel terdiri dari 34 anak menderita pneumoni berat (kasus) dan 102 anak menderita pneumonia sebagai kontrol. Ibu sampel melengkapi data asupan seng melalui frekuensi makan semi-kuantitatif pada bulan Maret-April 2014. Sejumlah 45 makanan dicantumkan pada kuesioner frekuensi makan. Analisis data dilakukan dengan uji Mantel-Haenszel dan regresi logistik bersyarat dengan α =0,05. Hasil penelitian menunjukkan bahwa sejumlah 41,2 persen kelompok kasus dan 56,9 persen kontrol mendapat air susu ibu (ASI) eksklusif. Proporsi kasus yang asupan sengnya kurang ternyata lebih tinggi dari kelompok kontrol. Tidak ada perbedaan antara asupan seng dan keparahan pneumonia (OR 1,08 dan 95% CI 0,5-2,3). Ada korelasi yang signifikan  antara asupan seng yang kurang dan keparahan pneumonia jika disertai penyakit penyerta (OR 3,8 dan 95% CI 1,4 -10,8). Kurangnya asupan seng berpengaruh terhadap terjadinya keparahan pneumonia jika disertai adanya penyakit penyerta pada anak-anak penderita  pneumonia usia 12-59 bulan. Kata kunci: asupan seng, pneumonia, faktor risiko, anak usia 12-59 bulan
Internal Stigma of an HIV-Infected Housewife: a Phenomenological Study Wisotowardono, Ossie Sosodoro; Ahmad, Riris Andono; Prabandari, Yayi Suryo; Hakimi, Mohammad
KEMAS: Jurnal Kesehatan Masyarakat Vol 13, No 2 (2017)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v13i2.9970

Abstract

In connection with the transmission of the HIV virus, housewives may have experienced internal stigma, which can have an effect on HIV prevention and the treatment of AIDS. Twenty-three HIV-infected housewives were interviewed in a qualitative study conducted in North Jakarta. The data were analyzed using a phenomenological approach. Seven themes emerged to explore internal stigma housewives and to compose the essence of the internal stigma. The essence of an HIV-infected housewife who has internalized the stigma can be illustrated as an Indonesian proverb which is “Hidup Segan Mati Tak Mau” or in English can be interpreted as ‘having lost the will to live, but not wanting to die’. This could explain that AIDS forces them to live in anxiety in all aspects of life but as housewives, they must keep thinking about continuing life especially with regard to the future of their beloved children.
Family Structure and Early Marriage on Women in Indramayu Regency Muharry, Andy; Hakimi, Mohammad; Wahyuni, Budi
KEMAS: Jurnal Kesehatan Masyarakat Vol 13, No 3 (2018)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v13i3.8946

Abstract

Early marriage in Indramayu Regency in the past two years had increased to three times. The purpose of this research was to identify the age of marriage and the factors which caused early marriage by looking at the variables of family structure, education and economic status of the household. This research used matched case control study design. The data were collected using questionnaires and interview guidelines. The samples were taken using simple random sampling technique. The subject consisted of 94 people. The data were analysed using McNemar test and conditional logistic regression. The variables which had significant relationship with early marriage were father’s education, education of the respondents, and economic status of the household. Meanwhile, family structure and mother’s education had no significant relationship with early marriage. It can be concluded that women with low father’s education and came from poor families had greater chance of getting married early.
Emotional Freedom Techniques for Reducing Anxiety and Cortisol Level in Pregnant Adolescent Primiparous Mardjan, Mardjan; Prabandari, Yayi Suryo; Hakimi, Mohammad; Marchira, Carla R.
Unnes Journal of Public Health Vol 7 No 1 (2018): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (231.971 KB) | DOI: 10.15294/ujph.v7i1.19212

Abstract

ABSTRACT Anxiety during pregnancy in &nbsp;primiparous mother will be a hard burden because of the immature both psycologic and reproductive organs which can increase the risk of maternal mortality, infant mortality, prolonged childbirth, LBW, postpartum depression, etc. An effort to minimize the anxiety is the implementation of EFT (Emotional Freedom Techniques) during the third trimester.&nbsp; This research purposed to assess the effectiveness of EFT to decrease anxiety in facing childbirth. This research used the quasi-experimental pre-test and post-test method of treatment and control. The treatment was done during the third trimester, started and followed for 3 months ie month 7th, 8th, 9th. The EFT was implemented every month then continued independently by the mother, until before childbirth process. The research instrument used TMAS (Taylor Manifest Anxiety Scale) and cortisol blood test. The subjects were 38 respondents consisted of 19 interventions and 19 controls. Result with paired t-test, TMAS1,2,3, each stage got significant difference, pre and post blood cortisol level p = 0.0001. Linear regression analysis on TMAS p = 0.001 and R² = 0.57, whereas blood cortisol level p = 0.004 and R² = 0.43. This analysis proved EFT contributed significantly 57% to lower anxiety levels and 43% to lower blood cortisol level, indirectly affected the readiness to face childbirth process. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; ABSTRAK &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Kecemasan selama kehamilan pada ibu primipara akan memberatkan kondisi bayi dalam kandungan karena secara psikologis kejiwaannya belum siap dan organ reproduksi belum sempurna yang dapat meningkatkan risiko dalam persalinan dan merupakan salah satu faktor penyebab kematian ibu, bayi, partus lama, BBLR, depresi postpartum, dll. Upaya meminimalisasi kecemasan ini dilakukan dengan metode EFT (Emotional Freedom Techniques) selama trimester ketiga.&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Tujuan penelitian untuk mengetahui efektivitas EFT terhadap penurunan kecemasan dalam menghadapi persalinan. Penelitian ini menggunakan metode quasi eksperimen pre test dan post terhadap perlakuan dan kontrol. Perlakuan&nbsp; dilakukan selama trimester III, dimulai dan diikuti selama 3 bulan yaitu&nbsp; bulan ke-7, 8, 9. EFT dilakukan setiap bulan dan dilanjutkan secara mandiri oleh ibu, sampai menjelang persalinan. Instrumen penelitian menggunakan TMAS (Taylor Manifest Anexity Scale) dan pemeriksaan darah kortisol. Subyek penelitian 38 responden, terdiri atas 19 intervensi dan 19 kontrol. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Hasil penelitian&nbsp; dengan uji paired t-test, TMAS1,2,3, setiap tahapannya didapatkan perbedaan bermakna yaitu kortisol darah pre dan post p=0,0001, analisa regresi liniear TMAS&nbsp;&nbsp; p = 0,001, dan R² = 0,57; serta kortisol darah p=0,004 dan R²=0,43. Analisa ini membuktikan EFT berkontribusi 57% menurunkan tingkat kecemasan dan 43%&nbsp; dalam menurunkan kortisol darah secara signifikan yang secara tidak langsung&nbsp; berpengaruh terhadap kesiapan menghadapi persalinan. &nbsp;&nbsp;
Social Determinants of Health of Child Marriage (Analysis of IFLS 2000, 2007, 2014) Wahyudi, Tri; Hasanbasri, Mubasysyir; Kusnanto, Hari; Hakimi, Mohammad
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 1 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v15i1.16514

Abstract

Early marriage is defined as a marriage of women aged <18 years old. The current world prevalence is declining, but when compared with the growth in population, the total number of married children tends to increase. Today, early marriage reaches 41.000 every day, especially in Sub-Saharan Africa and South Asia. This research aims to identify the social determinants of health that encourage early marriage. This research used a quantitative observational analytic study with cross-sectional design. The number of <18 year-old married women were 1.96% (IFLS5), <18 year-old married men were 0.15% (IFLS5). The average age at first birth was 22.96 years old. The economic status of early marriage was mostly in Quintile 1, and the majority of residences were in rural area. The ratio of married women and men aged <18 years old was 11-14: 1. Employment, education, residence and poverty were associated with early marriage and were statistically significant.
THE PERCEPTION OF THE TEENAGERS OF PREMARITAL SEXUAL IN DENPASAR: CULTURE STUDIES PERSPECTIVE Pradnyaparamita DuarsaI, Dyah; Ardika, Wayan; Hakimi, Mohammad; Mariyah, Emiliana
E-Journal of Cultural Studies Vol. 4, No. 1 Januari 2010
Publisher : Cultural Studies Doctorate Program, Postgraduate Program of Udayana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (26.078 KB)

Abstract

The Balinese culture, mainly the community of Denpasar, is the result of along process of culture assimilation and aculturization. The modern culture whichenters Bali in some aspects includes their teenagers’ way of life and modern lifestyle. This research’s purposes: what are the teenagers’ perceptions aboutpremarital sex themselves? what are the factors that shaped the teenagers’perception?, and what is the effect and significance of the teenagers’ perception ofpremarital sex within their group in social and value systems? This research isconducted by qualitative methods with a hermeneutic and phenomenologicalapproach. The data are obtained by in-depth interview, focused group discussion(FGD) and by taking a picture with using in-depth interview, FGD andobservational guide as instruments. The informants are teenagers between 10 – 24years old in Denpasar, and the key informants are teenagers who have done sex.Teenagers are students of high school, universities as well as teens who workedand have earned. In-depth interviews are also carried out on public and religiousfigures, policy-maker in education affair, student advisors, onlooker sexualproblems as well as parents. Informants selected purposively, who have a lot ofinformation related sex among teenagers. Theories are used: The Theory ofPerception, The Theory of Hegemony, The Theory of Lifestyle and Youth Sub-Culture, and The Theory of Power and Knowledge.The result shown teenagers generally still have an ideal perception. On theother hand, there are teens who have committed premarital sex have a realityperception. The determinant factors of the perception are internal and externalfactors. The reality perception of teenagers stimulates premarital sex to becomemore widespread. The perception also influences a socio-cultural phenomenonwhich includes: cultural, social and health dimension. The perception need to beanticipated in a constructive way; that is by increasing the power of internalfactors and eliminating negative aspect of external factors.
KEMATIAN IBU SEBELUM DAN SELAMA PELAYANAN JAMINAN PERSALINAN (JAMPERSAL) DI RSUD DR. MOEWARDI SURAKARTA TAHUN 2009 - 2013 Sunaryo, Rustam; Hakimi, Mohammad; Suhadi, Agung
JURNAL KESEHATAN REPRODUKSI Vol 1, No 2 (2014)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (180.609 KB) | DOI: 10.22146/jkr.5345

Abstract

KEMATIAN IBU SEBELUM DAN SELAMA PELAYANAN JAMINAN PERSALINAN (JAMPERSAL) DI RSUD DR. MOEWARDI SURAKARTA TAHUN 2009 - 2013 Rustam Sunaryo1, Mohammad Hakimi2, Agung Suhadi3  ABSTRACT Background: Maternal mortality rate in Indonesia is considered to be one of the highest among South East Asia Countries. One of the main reason is access for health services cost, which leads to massive numbers of birth outside health facility. Some programs are initiated to address these issues in order to achieve Millenium Development Goals (MDG’s) with maternal mortality target of 102/100.000 live births on 2015. Jaminan Persalinan “JAMPERSAL” is one of government policy to reduce cost barrier.Objectives: To analyze the effect of Jampersal on reducing maternal mortality rate in Moewardi General Hospital, Surakarta.Methods: This was an observational Analysis with cross sectional design. Data were collected from all maternal mortality cases at Moewardi General Hospital from 1 st of January 2009 until 31stDecember 2013. Maternal mortality rate before and during Jampersal was taken into account for statistical analysis using Chi square Test.Results: Total number of births were significantly increasing, for about 3.5 times. Maternal mortality percentage was decreasing significantly during Jampersal, from 1.45% to 0.53% (p=0.000). The most frequent etiology of maternal death was preeclampsia/eclampsia (53.33% - 72.40%). For this cause, Jampersal also had a potential role on lowering case fatality rate from 5.95% to 3.64% (p=0.025, p<0.05)Conclusions: Jampersal has significantly reduce maternal mortality rate but on the other side increase number of birth in me hospital. The policy would be considerd as supportive for achieving MDG’s. Keywords: Jampersal, Maternal Mortality, cause of death  ABSTRAK Latar belakang: Angka kematian ibu di Indonesia masih menduduki tempat tertinggi di antara negara Asia Tenggara. Salah satu penyebabnya adalah biaya persalinan sehingga sebagian ibu melahirkan tidak di fasilitas kesehatan. Beberapa program dilakukan untuk mengatasi masalah ini agar dapat mencapai target Millenium Development Goals (MDG’s) dengan AKI 102/100.000 lahir hidup di 2015. Jaminan Persalinan “JAMPERSAL” merupakan salah satu kebijakan pemerintah untuk mengurangi hambatan biayaTujuan: Mengananlisis pengaruh Jampersal untuk menurunkan kematian ibu di RS Moewardi, Surakarta. Metode: Penelitian ini merupakan penelitian observasional dengan desain cross sectional. Data dikumpulkan dari semua kasus kematian ibu di RS Moewardi dari 1 Januari 2009 hingga 31 Desember 2013. Kematian ibu sebelum dan setelah dilaksanakannya Jampersal dihitung dan dianalisis dengan Chi square Test.Hasil: Jumlah total persalinan meningkat signifikan, sekitar 3,5 kali. Persentase kematian ibu menurun signifikan selama program Jampersal dilaksanakan, yaitu 1.45% hingga 0.53% (p=0.000). Penyebab kematian tersering adalah preeklampsia/eklampsia (53.33% - 72.40%). Jampersal menurunkan angka fatalitas kasus preeklamsia secara signifikan dari 5.95% menjadi 3.64% (p=0.025, p<0.05)Kesimpulan: Jampersal dapat menurunkan kematian ibu di rumah sakit secara signifikan tetapi di sisi lain meningkatkan jumlah persalinan. Kebijakan ini dianggap dapat mendukung tercapainya target MDGs. Kata kunci: Jampersal, Maternal Mortality, cause of death1 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran UNS2 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran UGM3 RSUD Wonosobo  
PENGARUH PEMBERIAN ASI EKSKLUSIF TERHADAP KEMBALINYA MENSTRUASI PADA IBU MENYUSUI DI RS ST. CAROLUS JAKARTA Irawati, Popy; Hakimi, Mohammad; Emilia, Ova
JURNAL KESEHATAN REPRODUKSI Vol 1, No 2 (2014)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (386.626 KB) | DOI: 10.22146/jkr.5346

Abstract

PENGARUH PEMBERIAN ASI EKSKLUSIF TERHADAP KEMBALINYA MENSTRUASI PADA IBU MENYUSUI DI RS ST. CAROLUS JAKARTA Popy Irawati1, Mohammad Hakimi2, Ova Emilia3  ABSTRACT Background: Exclusive breastfeeding has benefit for both the baby and mother. The breastfeeding patterns have a close relation with return of menses. Breastfeeding practice in Indonesia is rare (27-40%) and 37,4% babies received a weaned food, and only 10% babies received six months exclusive breastfeeding. In Jakarta, most mothers realized benefit of breastfeeding for their babies and family themselves. This research is located at St. Carolus Hospital because St. Carolus is a centre of lactation in JakartaObjective: To identify the impact of exclusive breastfeeding on median time of return of menses on breastfeeding mother in St. Carolus hospital.Method: An observational study with retrospective cohort study design. Samples are a year breastfeeding’s mother in St. Carolus Hospital. The total samples are 129 respondents. The samples are available with consecutive sampling. The data were analyzed using univariable, bivariable and multivariable methods. Bivariable statistic tests were chi square, log rank and Kaplan Meier’s survival analyzed methods. The multivariable statistic test was cox regression Hazard model.Result and Discussion: Median time of the return of menses on exclusive breastfeeding group was 20 weeks, and an unexclusive breastfeeding is 12 weeks. The breastfeeding pattern and the return of menses on breastfeeding mother are significant related (HR=2,4; CI 95%=1,65-3,55 ;P<0,05). The return menses an exclusive breastfeeding mother was 2,4 times longer than unexclusive breastfeeding mother at a certain survival point. The variables of ages, parity, education, occupation, family economic status and health status are not significantly associated with the return of menses.Conclusion: There is a significant different median time of the return of menses between exclusive and unexclusive breastfeeding mothers. Keywords: exclusive breastfeeding, the return of menses, breastfeeding. ABSTRAK Latar Belakang: Menyusui secara eksklusif memiliki manfaat baik untuk ibu maupun bayinya. Pola menyusui berhubungan erat dengan kembalinya menstruasi. Praktek menyusui di Indonesia relatif jarang (27-40%) dan sebanyak 37,4% bayi menerima makanan tambahan, serta hanya 10% saja yang mendapatkan ASI eksklusif selama 6 bulan. Di Jakarta, sebagian besar ibu sebenarnya menyadari manfaat menyusui untuk bayi dan keluarganya. Penelitian ini mengambil lokasi di RS St. Carolus karena St. Carolus merupakan pusat laktasi di Jakarta.Tujuan: Mengidentifikasi pengaruh menyusui eksklusif dengan nilai median kembalinya menstruasi pada ibu menyusui di RS St. Carolus.Metode: Penelitian ini adalah penelitian observasional dengan disain kohort retrospektif. Subyek penelitian adalah ibu menyusui di RS St. Carolus dalam periode 1 tahun. Jumlah total subyek sebanyak 129 responden. Subyek penelitian diambil dengan metode consecutive sampling. Data dianalisis secara univariat, bivariat dan multivariat. Analisis statistik untuk data bivariat menggunakan chi square, log rank dan Kaplan Meier. Analisis multivariat menggunakan metode cox regression hazard.Hasil dan Pembahasan: Nilai median untuk kembalinya menstruasi pada ibu yang menyusui eksklusif adalah 20 minggu sedangkan pada ibu yang menyusui tidak eksklusif adalah 12 minggu. Pola menyusui dan kembalinya menstruasi berhubungan secara bermakna (HR=2,4; CI 95%=1,65-3,55 ;P<0,05). Risiko untuk kembali menstruasi pada ibu yang menyusui eksklusif sebesar 2,4 kali lebih lama dibandingkan ibu yang tidak menyusui eksklusif. Variabel usia, paritas, pendidikan, pekerjaan, status sosial ekonomi dan status kesehatan tidak berhubungan secara bermakna dengan kembalinya menstruasi. Kata Kunci: pemberian ASI eksklusif, kembalinya menstruasi, pemberian ASI1    Badan Koordinator Keluarga Berencana Nasional Pusat2,3 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran, UGM          
EFEK PEMANFAATAN PROGRAM PEMANTAUAN DAN PROMOSI PERTUMBUHAN TERHADAP STATUS GIZI BALITA DI KOTA CIREBON Nurcahyani, Lia; Hakimi, Mohammad; Sudargo, Toto
JURNAL KESEHATAN REPRODUKSI Vol 1, No 3 (2014)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (483.522 KB) | DOI: 10.22146/jkr.5745

Abstract

EFEK PEMANFAATAN PROGRAM PEMANTAUAN DAN PROMOSI PERTUMBUHAN TERHADAP STATUS GIZI BALITA DI KOTA CIREBONLia Nurcahyani 1, Mohammad Hakimi 2, Toto Sudargo 3ABSTRACT Background: Undernourishment is the main cause of mortality in underfives, one of which is the lack of growth monitoring and promotion program utilization. Cases of undernourishment at Cirebon Municipality exceed the provincial and national figures. In 2008, community participation in growth monitoring and promotion program increased 19% from the previous year, however cases of undernourishment also increased 0.23%.Objective: To study the effect of growth monitoring and promotion program utilization toward nutritional status of underfive.Method: The study was observational with retrospective cohort design. Subject consisted of 246 underfives of 17-59 months and mothers that met inclusion and exclusion criteria. Sampling used three stage combined with purposive and random sampling technique. Data consisted of primary and secondary data obtained from questionnaire, growth chart, nutrition registry, monthly report of underfive weighing at Cirebon Municipality in 2008, digital scale, measurement board/microtoise and 2006 is WHO anthropometric software. Data analysis used univariate, bivariate with chi square, and multivariate with logistic regression. The study was supported with qualitative data obtained from observation and indepth interview with 6 cadres and 2 nutrition staff to identify input and process indicators and constraints in the utilization of growth monitoring and promotion program.Result and Discussion: The utilization of growth monitoring and promotion program affected nutritional status of underfive significantly p<0,05. Incidence of undernourished underfives that did not utilize the program regularly was 2.7 times greater than in those utilizing the program regularly after considering the contribution of knowledge and attitude of mothers and age of underfives. Input indicator especially role of cadres in the process of growth monitoring and promotion program at Cirebon Municipality was not optimum. Constraints in program utilization consisted of individual (health reason), provider (social reason) and community (geographical reason).Conclusion: Monthly growth monitoring should be prioritized on underfives for the first 24 month. Target of growth monitoring and promotion program could be achieved when there is comprehensive support from people that received the service, service providers and policy makers.Keywords:  nutritional status, underfives, growth monitoring, promotion program, program utilization ABSTRAK Latar Belakang: Kurang gizi adalah penyebab utama mortalitas balita, salah satunya karena kurangnya penggunaan pemantau pertumbuhan dan promosi program. Kasus kurang gizi di Kotamadya Cirebon melebih angka provinsi dan nasional. Di tahun 2008, partisipasi masyarakat dalam pemantauan pertumbuhan dan program promosi meningkat 19% dibanding tahun sebelumnya, namun kasus kurang gizi tetap meningkat 0,23%.Tujuan: Untuk meneliti efek pemanfaatan pemantauan pertumbuhan dan program promosi terhadap status gizi balita.Metode: Penelitian ini merupakan studi observasional dengan rancangan retrospective cohort. Subyek terdiri dari 246 balita usia 17-59 bulan dan ibu yang memenuhi kriteria inklusi dan eksklusi. Sampling memakai tiga tahap dikombinasikan dengan teknik sampling purposif dan acak. Data berasal dari data primer kuesioner dan sekunder, grafik pertumbuhan, register gizi, laporan bulanan berat badan balita di Kotamadya Cirebon tahun 2008, timbangan berat badan, papan pengukur/microtoise dan WHO anthropometric software 2006. Analisis data memakai univariat, bivariat dan multivariat dengan regresi logistik. Penelitian ini juga didukung data kualitatif dari hasil observasi dan wawancara mendalam dengan 6 kader dan 2 staf gizi untuk mengidentifikasi indikator input dan proses serta hambatan dalam penggunaan pemantau pertumbuhan dan program promosi.Hasil dan Pembahasan: Penggunaan pemantau pertumbuhan dan program promosi mempengaruhi status gizi balita secara signifikan p<0,05. Insidensi kurang gizi balita yang tidak memanfaatkan program secara reguler 2,7 kali lebih tinggi dibanding yang memanfaatkan. Kemungkinan kontribusi pengetahuan dan sikap ibu serta usia balita juga mempengaruhi. Indikator input terutama peran kader dalam proses pemantauan pertumbuhan dan program promosi di Kotamadya Cirebon belum optimal. Hambatan penggunaan meliputi faktor individu (alasan kesehatan), petugas kesehatan (alasan sosial) dan komunitas (alasan geografis).Kesimpulan: Pemantauan pertumbuhan balita bulanan harus diprioritaskan untuk 24 bulan pertama. Target pemantauan pertumbuhan dan promosi dapat dicapai bila ada dukungan dari sisi kebutuhan masyarakat yang menerima layanan, dukungan tenaga kesehatan dan kebijakan pengambil kebijakan.Kata kunci: status gizi, balita, pemantau pertumbuhan, program promosi, pemanfaatan program 1 Politeknik Kesehatan Cirebon, Program Kebidanan, Tasikmalaya2 Magister Kesehatan Ibu dan Anak – Kesehatan Reproduksi, Fakultas   Kedokteran Universitas Gadjah Mada3 Magister Kesehatan dan Gizi, Fakultas Kedokteran Universitas Gadjah Mada
Co-Authors - Anggorowati Abd Rahman Adi Utarini Agung Suhadi Ahmad Husein Asdie Aji Setiawan Ambar Relawati, Ambar Anak Agung Istri Sri Wiadnyani Andy Muharry Anggarini, Inge Anggi Anjarwati Anjarwati, Anjarwati Anna Marie Wattie Annisa Nurrachmawati Astuti, Andari Wuri Astuti, Bariana Widitia Astuti, Dyah Puji Basri, Mubasysyir Hasan Batubara, Rini Amalia Bernadette Josephine Istiti Kandarina Carla R. Marchira Claudia Banowati Subarto Deny Eka Widyastuti, Deny Eka Dewanto, Agung Djauhar Ismail Donal Donal Dyah Pradnyaparmita Duarsa Eddy Tiro Elli Nur Hayati Emiliana Mariyah Fadillah Fadillah Fitri Fitri Fitriahadi, Enny Ganap, Eugenius Phyowai Hamam Hadi Hani EN, Umu Harahap, Yanna Wari Hari Kusnanto Hartono Hartono Helmyati, Siti Herta Masthalina, Herta Hidayat, Asri I Wayan Ardika Ibrahim Rahmat Irine Christiany, Irine Iswardani, Octaldina Jumiati, Raodiatul khusnul khotimah Khusnul Khotimah Kurnia, Arif Rahmat Kusmaryanto Kusmaryanto, Kusmaryanto Lestari, Abriana Lia Nurcahyani Luluk Rosida Lutfan Lazuardi Madarina Julia Mappaware, Nasrudin Andi Mappaware, Nasrudin Andi Mardjan Mardjan Mayasari, Ade Tyas Meiry Nasution, Meiry Mora Claramita Mubasysyir Hasanbasri Mufdlilah, Mufdlilah Mursyid, Muhammad Nana Diana Ni Komang Yuni Rahyani Ninuk Sri Hartini, Ninuk Sri Nofrisa Mutia P, Nofrisa Noor Pramono Noor Pramono Nunuk Pusorowati, Nunuk Nur Siyam NURUL HIDAYAH Ova Emilia Perwitasari Perwitasari Phyowai Ganap, Eugenius Popy Irawati Pratiwi, Cesa Septiana Putri Hidayati Rahmansyah, Ardian Retno Heru Rina Triasih Rini Amalia Batubara Riris Andono Ahmad Risanto Siswosudarmo Riska Dwi Pramita Sari Rofita, Desi Rukmono Siswishanto Rustam Sunaryo Saraswati, Putu Ayu Dina Sari Sudarmiati Setyonugroho, Winny Shinta Prawitasari Siswanto Agus Wilopo Siti Solekah Soenarto Sastrowijoto, Soenarto Soerjo Hadijono Soetrisno Soetrisno Soewadi Soewadi SRI SETIYARINI, SRI Sri Wahyuni Subarda, Subarda Suci Musvita Ayu Sulistyaningsih Sulistyaningsih Susetyo, Dwi Susetyowati T. Ninuk Sri Hartini Titih Huriah Toto Sudargo Tri Wahyudi Umar Malinta Utami, Iis Tri Verayanti Albertina Bata Veronica Silalahi Veronika Evita Setianingrum Wahida Yuliana Wahyuni, Budi Willopo, Siswanto Agus Wisotowardono, Ossie Sosodoro Wiwin Lismidiati Yayi Suryo Prabandari Yayu Yuliarti Yuli Isnaeni Yuni Purwati Zulaidah, Hana Shafiyyah