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Journal : Science Midwifery

Analysis of Factors Related to Bone Density in Trimester III Pregnant Women in The Working Area of Community Health Center of Andalas Padang Violita Dianatha Puteri; Athica Oviana; Roza Sriyanti; Cimi Ilmiawati
Science Midwifery Vol 9 No 2 (2021): April: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The decrease of bone density becomes a serious health problem because of its increasing prevalence worldwide, especially for women. Parity is one of the factors that can affect bone density, apart from physical activity, consumption of caffeinated and carbonated drinks, intake of protein, magnesium, phosphorus, calcium, and serum 25(OH)D levels. This study aimed to comprehensively analyze the factors associated with bone density in pregnant women. This cross-sectional study was conducted in the working area of Community Health Center of Andalas Padang towards 73 pregnant women in the third trimester with a purposive sampling technique.Structured interviews were conducted by using a semi-quantitative food frequency questionnaire (nutritional intake), Baecke's questionnaire (physical activity) and examination of serum 25(OH)D levels using the ELISA method. Data were analyzed by using One Way ANOVA, Kruskal-Wallis test and multiple linear regression. The results of statistical tests showed that there was no significant relation (p> 0.05) among parity, physical activity, serum 25 (OH) D levels, consumption of caffeinated and carbonated drinks, intake of protein, phosphorus, magnesium, and calcium on bone density at pregnant women. The dominant factor related to bone density are parity (adjustedR2=0,191 ; standardized β coefficient= -0,357 ; p=0,004) and calcium intake (adjusted R2=0,191;standardized β coefficient=0,308 ; p=0,005). The conclusion of this study is that calcium intake and parity play important roles in bone density in pregnant women.
Analysis of the Implementation of the Basic Immunization Program for Infants during the Covid-19 Pandemic in the Work Area of the Bukittinggi City Health Office Intan Julianingsih; Roza Sri Yanti; Bobby Indra Utama
Science Midwifery Vol 10 No 5 (2022): December: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i5.1061

Abstract

The basic immunization program is a national program from the Government in the field of immunization which is useful for achieving an international commitment, namely Universal Child Immunization (UCI) in infancy. The achievement of the basic immunization program for infants in Bukittinggi City in 2020 is 56.4%, which is still below the national target. The aim of the study was to analyze the implementation of the basic immunization program for infants during the Covid-19 pandemic in the Work Area of the Bukittinggi City Health Office. The research was conducted using a qualitative approach, a case study research design. The research was conducted in the Work Area of the Bukittinggi City Health Office. Selection of research informants with purposive sampling . The results of data processing and analysis on the input component, human resources are sufficient but have dual duties at the Puskesmas. Funds have been budgeted through the BOK budget. Adequate facilities and infrastructure. The number of guidelines/SOPs is still insufficient. Policies from the government affect community activities. Process : the planning and organizing has been done. Implementation of basic immunization is carried out according to the zone of each region/RT/RW. Recording and reporting has been going quite well. Monev during the Covid-19 pandemic was still not optimal, it could not be done routinely. The conclusion of this study is that the input and process components have not been implemented optimally. The achievements of the basic immunization program at the Bukittinggi City Health Center in 2021 are still below the achievement target.
Determinant analysis of infant’s basic immunization visits during the covid-19 pandemic Rionitara Wikarya; Roza Sriyanti; Rinang Mariko
Science Midwifery Vol 10 No 6 (2023): February: Midwifery and Health Sciences
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i6.1069

Abstract

The COVID-19 pandemic had an impact on the implementation of health programs, especially immunization services. This is certainly a risk for the occurrence of PD3I Extraordinary Events. The coverage of basic immunization in Padang City was so far from the national basic immunization target that has been set were 95%, coverage of BCG immunization (74.6%), DPT-HB-HIB immunization (55.5%), polio immunization (49%) and MR immunization (46%). Health behavior, especially basic immunization, can be influenced by several determinants. This study aims to determine the determinants of basic immunization visits for infants during the COVID-19 pandemic in the West Rawang Health Center, Padang City working area. This research was a quantitative approach with a cross-sectional design. This research was conducted from January to November 2022. The total sample was 206 mothers with children aged 12-28 months in the Rawang Barat Health Center working area. The sampling technique used proportional random sampling. Data were collected through questionnaires and univariate, bivariate, and multivariate analyses were performed. The results of the study on the determinants of the infant’s basic immunization visits during the COVID-19 pandemic in the Rawang Barat Health Center working area, namely mother's knowledge (p-value<0.001), socioeconomic (p-value 0.444), family support (p-value<0.001), healthcare professionals support (p-value<0.001). The dominant factor related was the mother's knowledge (OR 24,301). The conclusion of this study that there was a significant correlation between maternal knowledge, family support, and health worker support but socioeconomic factors had no significant correlation with basic immunization visits for infants during the COVID-19 pandemic, and the most dominant factor related was the mother's knowledge
The relationship of chronic energy deficiency (CED), exclusive breastfeeding, and economic with stunting in Nagari Aua Kuning West Pasaman Wiwie Putri Adila; Roza Sri Yanti; Mayetti
Science Midwifery Vol 10 No 6 (2023): February: Midwifery and Health Sciences
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i6.1165

Abstract

Stunting is a chronic malnutrition problem caused by poor nutritional intake, repeated infections, and inadequate psycho-social stimulation at the first 1000 days of life, characterized by height for age below the applicable standard, Prevalence of stunting in Indonesia in 2019 was 27.7%. In 2021 it became 24.4%, and although it has decreased, Indonesia is still far from the target. Objective: This study aims to determine the relationship between CED, exclusive breastfeeding, and economic status with the incidence of stunting in children. This research is an observational analytic study with a cross-sectional design. A total of 224 respondents were selected randomly by proportional random sampling, and the study was conducted in July-September 2022. Data collection was carried out by measuring height, looking at the MCH book, interviews, and questionnaires. Bivariate analysis was performed using chi-square and multivariate using multiple logistic regression. The results showed that 50.9% of children are stunted. Chi-square results show a significant relationship between the history of CED with a p-value of 0.000, exclusive breastfeeding with a p-value of 0.020, and economic status with a p-value of 0.003 and the incidence of stunting. CED is the most dominant factor affecting the incidence of stunting. Statistically, CED has a risk of 11.278 times, affecting the occurrence of stunting. This study suggests Health agencies and related parties to collaborate in early detection, reduce the risk of stunting, and be able to run programs that the government has made.