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All Journal International Journal of Public Health Science (IJPHS) Jurnal Kesehatan Masyarakat Indonesia MEDIA MEDIKA INDONESIANA Media Kesehatan Masyarakat Indonesia JURNAL GIZI INDONESIA Jurnal Kesehatan Lingkungan indonesia JURNAL PROMOSI KESEHATAN INDONESIA Jurnal Kesehatan Masyarakat Journal of Nutrition College Jurnal Kebijakan Kesehatan Indonesia VISIKES Jurnal Kesehatan Masyarakat Media Ilmu Keolahragaan Indonesia Jurnal Bidan Prada Jurnal Keolahragaan JURNAL KESEHATAN LINGKUNGAN (Journal of Environmental Health) Jurnal Manajemen Kesehatan Indonesia IJNP (Indonesian Journal of Nursing Practices) HIGEIA (Journal of Public Health Research and Development) Journal of Health Education Paediatrica Indonesiana Promotif: Jurnal Kesehatan Masyarakat Jurnal Penelitian Pendidikan IPA (JPPIPA) AcTion: Aceh Nutrition Journal Jurnal Gizi Klinik Indonesia Jurnal Keperawatan Silampari Jurnal Epidemiologi Kesehatan Komunitas Journal of Health Promotion and Behavior Proceedings of the International Conference on Applied Science and Health Amerta Nutrition Jurnal Kreativitas PKM Manuju : Malahayati Nursing Journal International Journal of Nursing and Health Services (IJNHS) Care : Jurnal Ilmiah Ilmu Kesehatan Public Health Perspective Journal Jurnal Formil (Forum Ilmiah) Kesmas Respati Jurnal Kesehatan Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Ners Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Jurnal Kebidanan Indonesia Jurnal Pengabdian Kesehatan MAHESA : Malahayati Health Student Journal Interdisciplinary Social Studies Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Journal of Social Research Jurnal Multidisiplin Madani (MUDIMA) Jurnal Locus Penelitian dan Pengabdian Jurnal Indonesia Sosial Teknologi International Journal of Integrative Sciences Eduvest - Journal of Universal Studies International Journal of Health and Medicine Jurnal Info Kesehatan

Apoina Kartini

Departemen Gizi Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro, Semarang

Author-ID : 296375

Aerospace Engineering Agriculture, Biological Sciences & Forestry Humanities Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Pemberian Cairan Karbohidrat Elektrolit, Status Hidrasi dan Kelelahan pada Pekerja Wanita Mardiana Mardiana; Apoina Kartini; Baju Widjasena
MEDIA MEDIKA INDONESIANA 2012:MMI VOLUME 46 ISSUE 1 YEAR 2012
Publisher : MEDIA MEDIKA INDONESIANA

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Carbohydrate electrolyte solution improve hydration status and decrease fatigue among women workersBackground: Heat exposure cause dehydration and fatigue if water intake is insufficient. Carbohydrate electrolyte drinks consumption maintans workers hydration status and prevent fatigue. Women workers at ironing department in garment industry are at risk of dehydration and fatigue because of the heat exposure.Objective: To determine the effect of carbohydrate electrolyte solution on hydration and fatigue status among women workers.Method: This quasy experiment was conducted in pre post test control group design. Population of this study was women workersaged 18-35 years in ironing department of garment industry. Thirty-three subjects were selected by inclution criteria. Subjects were given three treatments, without intervention, drink water and carbohydrate electrolyte solution. Body weight and fatigue of the subjects were measured on the third, fourth, and fifth intervention days before and after each treatment. Body weight was measuredusing digital scales. Fatigue was measured by reaction timer to flash light. Data were analyzed using paired t test, Wilcoxon test, and Ancova.Result: Body weight decreased 0.1?0.2 kg after work without intervention and drinking water, while increased body weight of 0.1?0.1 kg after given carbohydrate electrolyte. Reaction timed to flash light decreased 12.2?49.0 milliseconds after given carbohydrate electrolyte solution increased 14.9?62.3 and 26.4?33.8 milliseconds after drinking water and without intervention respectively. Drinking carbohydrate electrolyte solution improved hydration status and decreased fatigue status before and aftercontrolled for energy and fluid intake, vitamin B1 and B6 intake.Conclusion: Carbohydrate-electrolyte solution improved the hydration status and decreased fatigue among women workers.Keywords: Carbohydrate-electrolyte solution, hydration status, fatigue, women workers ABSTRAKLatar belakang: Paparan panas selama bekerja dapat menyebabkan dehidrasi dan kelelahan jika asupan cairan tidak cukup. Penambahan cairan karbohidrat elektrolit selama bekerja diduga dapat mencegah dehidrasi dan kelelahan. Pekerja wanita di bagian ironing perusahaan garmen terpapar panas sehingga berisiko dehidrasi dan kelelahan. Tujuan penelitian ini untuk mengetahui pengaruh pemberian cairan karbohidrat elektrolit terhadap status hidrasi dan kelelahan pada pekerja wanita.Metode: Desain penelitian nonrandomized pre-post test control group design. Populasi adalah pekerja wanita perusahaan garmen berusia 18-35 tahun di bagian ironing. Subyek berjumlah 33 orang yang dipilih berdasarkan kriteria inklusi. Subyek mendapat tiga perlakuan, yaitu tanpa intervensi, pemberian air minum dan karbohidrat elektrolit. Subyek diukur berat badan dan kelelahan sebelum dan setelah bekerja selama tiga hari berturut-turut untuk setiap perlakuan. Pengukuran berat badan menggunakan timbangan injak digital. Kelelahan diukur melalui kecepatan dalam merespon cahaya dengan menggunakan alat reaction timer. Data dianalisis menggunakan paired t test, Wilcoxon, repeated measure, dan uji Ancova.Hasil: Pada kondisi tanpa intervensi dan pemberian air minum terjadi penurunan berat badan (0,1?0,1 kg) setelah bekerja, sedangkan pada pemberian karbohidrat elektrolit terjadi peningkatan berat badan sebesar 0,1?0,2 kg. Waktu reaksi rangsang cahaya menurun sebesar 12,2?49,0 millidetik setelah pemberian karbohidrat elektrolit dan meningkat sebesar 26,4?33,8 millidetik pada kondisi tanpa intervensi serta 14,9?62,3 millidetik pada pemberian air minum. Pemberian cairan karbohidrat elektrolit memperbaiki status hidrasi sebelum dan setelah dikontrol dengan asupan energi dan cairan serta menurunkan kelelahan sebelum dan setelah dikontrol dengan asupan energi, cairan, vitamin B1, dan vitamin B6. Simpulan: Pemberian cairan karbohidrat elektrolit dapat memperbaiki status hidrasi dan menurunkan kelelahan

Determinan Growth Faltering (Guncangan Pertumbuhan) pada Bayi Umur 2-6 Bulan yang Lahir dengan Berat Badan Normal Dyah Umiyarni Purnamasari; Martha I Kartasurya; Apoina Kartini
MEDIA MEDIKA INDONESIANA 2009:MMI VOLUME 43 ISSUE 5 YEAR 2009
Publisher : MEDIA MEDIKA INDONESIANA

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Growth faltering determinants among 2-6 years old infants born with normal birth weightBackground: Poor growth in infants can be indicated by a decrease in WAZ score, and is started at the age of 3-6 months. Growth faltering can lead to growth failure. Therefore it is important to investigate growth faltering determinants to solve the growth problems.Methods: This case controls study was conducted at Kangkung subdistrict, Kendal district. Cases were the subjects who had growth faltering, and controls were the subjects who had normal growth. Thirty six subjects were included in each group. The determinant variables investigated were non-exclusive breastfeeding, no-colostrum feeding, formula feeding, early complementary food feeding, pacifier used, diarrhea, upper respiratory tract infections and lack of mother’s allocation time for caretaking. Analyses were conducted by bivariate and multivariate logistic regression.Results: Based on the results of bivariate logistic regression analyses, the determinants of growth faltering were: Non-exclusive breastfeeding (OR=3.30; 95%CI:1.15-9.52; PAR=0.61), formula feeding (OR=2.96; 95%CI:1.03-8.53 PAR=0.38), early complementary food feeding at ≤3 months (OR=16; 95%CI: 1.78-143.15) and upper respiratory tract infections (OR=3.35; 95%CI: 1.23-9,10; PAR=0.48). No-colostrum feeding, pacifier used, diarrhea, and lack of mother’s allocation time for caretaking were not the determinants of growth faltering. Multivariate logistic regression analyses showed that non-exclusive breastfeeding (OR=3.43; 95%CI: 1.15-10.17) and upper respiratory tract infections (OR=3.09; 95%CI: 1.09-8.73) were the main determinants of growth faltering.Conclusions: The main determinants of growth faltering among infants aged 2-6 months at Kangkung sub-district were nonexclusive breastfeeding and upper respiratory tract infections. It is recommended to promote exclusive breast-feeding and prevent upper respiratory tract infections among infants.Keywords: Growth faltering, non-exclusive breastfeeding, upper respiratory tract infections, infants, normal birth weight ABSTRAKLatar belakang: Gangguan pada pertumbuhan bayi ditunjukkan dengan penurunan skor Z menurut indeks BB/U, dan pada umumnya dimulai pada umur 2-6 bulan. Gangguan tersebut bila tidak ditangani lebih lanjut akan menjadi growth failure (kegagalan pertumbuhan). Oleh karena itu perlu diketahui faktor determinan growth faltering agar dapat dilakukan pencegahan dan penanggulangan masalah tersebut.Metode penelitian: Penelitian observasional dengan disain penelitian kasus-kontrol, yang dilakukan di Kecamatan Kangkung, Kabupaten Kendal. Subyek adalah bayi yang mengalami growth faltering, dan kontrol adalah bayi yang mengalami pertumbuhan normal. Jumlah subyek masing-masing kelompok kasus dan kontrol adalah 36 subyek. Variabel yang diamati meliputi tidak diberikannya kolostrum, pemberian ASI tidak eksklusif, susu formula, MP-ASI dini, penggunaan kempongan, kejadian diare, ISPA danalokasi waktu asuh ibu. Analisis data dilakukan dengan menggunakan regresi logistik bivariat dan multivariat.Hasil: Berdasarkan analisis regresi logistik bivariat, determinan growth faltering adalah: pemberian ASI tidak eksklusif (OR=3,30; 95%CI: 1,15-9,52; PAR=0,61), susu formula (OR=2,96; 95%CI: 1,03-8,53 PAR=0,38), MP-ASI dini umur ≤3 bulan (OR=16; 95%CI: 1,78-143,15) dan ISPA (OR=3,35; 95%CI: 1,23-9,10; PAR=0,48). Variabel tidak diberikannya kolostrum, penggunaan kempongan, kejadian diare dan alokasi waktu asuh ibu yang kurang bukan merupakan faktor determinan. Analisis regresi multivariat menunjukkan bahwa pemberian ASI tidak eksklusif (OR=3,43; 95%CI: 1,15-10,17) dan kejadian ISPA (OR=3,09; 95%CI:1,09-8,73) merupakan variabel yang paling berpengaruh terhadap kejadian growth faltering.Simpulan: Determinan growth faltering utama pada bayi umur 2-6 bulan di Kecamatan Kangkung adalah Pemberian ASI tidak eksklusif dan kejadian ISPA. Disarankan untuk melakukan penyuluhan tentang pemberian ASI eksklusif dan pencegahan terhadap ISPA pada bayi.

Kolaborasi Pada Program Kursus Calon Pengantin di Kabupaten Grobogan Rafika Farianita; Sri Achadi Nugraheni; Apoina Kartini
Jurnal Kebijakan Kesehatan Indonesia Vol 9, No 1 (2020)
Publisher : Center for Health Policy and Management

ABSTRAKJumlah pernikahan di Kabupaten Grobogan tahun 2018 sebanyak 13.915 pasang, tetapi yang mengikuti kursus calon pengantin hanya sekitar 12% (1680 pasang), maka 88% (12.235 pasang) tidak mendapatkan kursus calon pengantin.Tujuan penelitian menganalisis kolaborasi pada program kursus calon pengantin di Kabupaten Grobogan. Penelitian menggunakan kualitatif observasional dengan wawancara mendalam dan observasi secara purposive sampling yaitu Puskesmas yang sudah memiliki MOU dengan KUA. Informan utama 5 orang Bidan Koordinator Puskesmas dan informan triangulasi 4 orang Kepala KUA, 1 orang Kepala Seksi Bidang Kesehatan Ibu dan Anak Dinas Kesehatan, dan 1 orang Kepala Seksi Bimbingan Masyarakat Islam Kantor Kementerian Agama, dan dianalisis dengan analisis isi. Hasil penelitian menunjukkan bahwa pelaksanaan bimbingan mandiri dilakukan sesuai jadwal Puskesmas dan bimbingan tatap muka dilakukan satu angkatan saja setiap tahunnya, karena keterbatasan anggaran dan jumlah calon pengantin yang ikut bimbingan sudah ditentukan oleh pusat, sehingga tidak semua calon pengantin dapat mengikuti bimbingan tatap muka, hal tersebut kurang didukung juga, banyak calon pengantin tidak bisa hadir, karena kegiatan bersamaan dengan jam kerja ataupun salah satu pasangannya tinggal didaerah berbeda, sedangkan kendala bimbingan mandiri yaitu tidak semua calon pengantin ke Puskesmas akan mendapatkan KIE kesehatan reproduksi, KIE kesehatan reproduksi hanya diberikan kepada calon pengantin yang memiliki risiko atau dibawah umur saja, karena kekurangan tenaga kesehatan disebabkan oleh banyaknya tugas selain pelayanan kesehatan calon pengantin. Kolaborasi ini memiliki MOU, dan kurangnya koordinasi pembagian tanggung jawab pelaporan. Rekomendasi penelitian yaitu menambahkan tenaga kesehatan dan anggaran, pelaporan saling berkoordinasi, dan menambahkan jadwal pelaksanaan bimbingan, sehingga semua calon pengantin mendapatkan KIE kesehatan reproduksi.Kata kunci: Kolaborasi, Kesehatan reproduksi, Calon Pengantin.ABSTRACTThe number of marriages in the Grobogan Regency in 2018 was 13,915 pairs, but only 12% (1680 pairs) attended the bride and groom courses, so 88% (12,235 pairs) did not get a bride-to-be course. The purpose of the study was to analyze collaboration in the bride-to-be course in the Regency Grobogan The study uses qualitative observational in-depth interviews and observations by purposive sampling, namely Puskesmas that already have an MOU with KUA. Main informants were 5 Puskesmas Coordinating Midwives and triangulation informants 4 KUA Heads, 1 Head of the Health and Mother Section of the Health Office, and 1 Head of the Islamic Community Guidance Section of the Ministry of Religion Office, and analyzed with content analysis. The results showed that the implementation of independent guidance was carried out according to the Puskesmas schedule and face-to-face guidance was carried out by one batch each year, due to budget constraints and the number of prospective brides participating in the guidance had been determined by the center so that not all prospective brides could follow face-to-face guidance, this matter less supported too, many brides cannot attend, because the activities coincide with working hours or one of their partners lives in a different area, while the obstacle of independent guidance is that not all brides to the Puskesmas will get reproductive health IEC, IEC of reproductive health is only given to the bride and groom who have risks or are underage only, due to lack of health workers caused by many tasks other than the bride and groom’s health services. This collaboration has an MOU and a lack of coordination of the division of reporting responsibilities. Research recommendations are adding health workers and budget, coordinating reporting, and adding guidance on implementing the schedule so that all brides-to-be receive reproductive health IEC.Keywords: Collaboration, Reproduction health, Prospective bride.

HUBUNGAN TINGKAT KONSUMSI ENERGI DAN PROTEIN DENGAN KADAR Immunoglobulin M (IgM) anti Phenolic Glycolipid-1 (PGL-1) NARAKONTAK SERUMAH PENDERITA KUSTA DI KOTA SEMARANG M. Zen Rahfiludin; Apoina Kartini; Distrika Philani
Jurnal Kesehatan Masyarakat Indonesia Volume 2. No. 2. Tahun 2005
Publisher : Universitas Muhammadiyah Semarang

IgM anti PGL-I merupakan penanda bahwa seorang narakontak serumah terinfeksi atau tidak oleh kuman Mycobacterium leprae. konsumsi energi dan protein yang rendah secara bermakna mengganggu sistem imun tubuh sehingga dapat menimbulkan infeksi. Tujuan dari penelitian ini adalah untuk mengetahui hubungan tingkat konsumsi energi protein dengan kadar IgM anti PGL-I narakontak penderita kusta di Kota Semarang. Penelitian ini merupakan penelitian penjelasan dengan metode survei melalui pendekatan cross sectional. Populasi yang diambil adalah narakontak serumah penderita kusta serumah di kota Semarang. Pengambilan sampel dengan cara purposive sampling diperoleh sampel sebanyak 69 narakontak serumah. Analisis univariat dan analisis bivariat dengan menggunakan uji statistik Korelasi Product Moment. Hasil penelitian menunjukkan bahwa rata-rata tingkat konsumsi energi narakontak adalah 60,57 %, rata-rata tingkat konsumsi protein narakontak adalah 92,59 % dan rata-rata kadar IgM anti PGL-I narakontak 768,67 unit. Ada hubungan negatif bermakna antara tingkat konsumsi energi dan tingkat konsumsi protein dengan kadar IgM anti PGL-I narakontak penderita kusta di Kota Semarang (p=0,008, r= -0,317 dan p = 0,02, r= -0,27). Saran yang dapat diberikan pada narakontak kusta khususnya yang belum terinfeksi adalah meningkatkan konsumsi energi dan protein agar kekebalan tubuhnya dapat terjaga.Kata kunci: kusta, Igm anti PGL-I, konsumsi energi, konsumsi protein

Analysis on Nutrition Replacement Therapy Program for Undernourished Children in Jombang District Miftahul Mualimah; Apoina Kartini; Ayun Sriatmi
Jurnal Manajemen Kesehatan Indonesia Vol 2, No 1 (2014): April 2014
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

AbstrakPrevalensi status gizi balita di Kabupaten Jombang (2008-2011) yang dinilai dari BB/U, TB/U dan BB/TB cenderung turun. Pada tahun 2009 PemKab Jombang membuat suatu kebijakan dalam penanggulangan masalah gizi dengan tema “BERTABUR BINTANG”. Salah satunya dibentuk TPG, dalam 2 tahun TPG yang sudah terbentuk 102 TPG. Survey pendahuluan menunjukkan bahwa kurangnya pengetahuan kader terkait TPG sehingga kader kurang aktif, sikap cenderung positif tetapi partisipasi masyarakat masih kurang, dukungan dari keluarga sebagian besar hanya mengingatkan saja, tidak ada anggaran lebih dari desa, supervisi dari puskesmas belum rutin. Tujuan penelitian ini adalah menganalisa bagaimana pelaksanaan TPG yang ditinjau dari variabel pengetahuan, sikap, persepsi tentang supervisi, ketersediaan sumber daya dan dukungan serta dari aspek pelaksana maupun pembina.Jenis penelitian deskriptif kualitatif. Populasi terbagi menjadi 2 yaitu bidan desa sebagai pembina dan kader kesehatan sebagai pelaksana. Informan utama 8 bidan desa dan 8 kader dari 4 puskesmas terpilih dengan kriteria puskesmas yang mempunyai angka prevalensi gizi kurang yang tinggi dan rendah dan juga berdasarkan wilayah geografis. Informan triangulasi tingkat pembina yaitu 8 perangkat desa, 4 petugas gizi puskesmas dan Kasie Gizi Dinas Kesehatan, sedangkan informan triangulasi tingkat pelaksana yaitu 8 ibu balita. Pengumpulan data melalui wawancara mendalam dan observasi sedangkan analisisnya dengan content-analysis.Hasil penelitian menunjukkan bahwa pengetahuan kader terkait TPG masih kurang karena belum ada pelatihan bagi kader terkait TPG, pelatihan terkait positif deviance hanya untuk bidan itupun belum semua bidan dan juga petugas gizi. Sikap kader positif dalam mendukung TPG karena dapat membantu menanggulangi balita dengan masalah gizi, tidak ada juknis dan juklak untuk TPG. Dana untuk program TPG sudah berasal dari swadaya masyarakat yang berupa donatur, jimpitan dan ADD tetapi dalam pelaksanannya dana masih menjadi kendala utama. Sarana prasarana dari Dinas Kesehatan hanya berupa peralatan masak, makan dan minum serta papan TPG selebihnya memakai peralatan posyandu. Pelaksanaan supervisi selama ini tidak terjadwal begitu juga dengan materi tidak terstruktur serta lebih bersifat insidentil, dukungan baik dari keluarga maupun masyarakat lebih berupa informasi verbal dan masyarakat masih kurang berpartisipasi. AbstractPrevalence of under-five nutritional status in Jombang district (2008-2011), measured by BB/U, TB/U, and BB/TB tended to decrease. In 2009, Jombang district government developed a policy for controlling nutritional problems with the theme: Bertabur Bintang (scattered stars). One of activities for controlling nutritional problems was to build therapeutic feeding center (TPG); in the last two years, 102 TPGs have been established. Preliminary survey indicated that cadres knowledge related to TPG were insufficient; as a consequence, cadres were non active. Attitude of the cadres was positive, however, community participation was low; supports from members of the family were mostly only reminding the people; no village spare funding was available; routine supervision from a primary healthcare center (puskesmas) was not available. Objective of this study was to analyze the implementation of TPG viewed from knowledge, attitude, perception on supervision, availability of resources, support variables; and also viewed from executor and supervisor aspects.This was a descriptive-qualitative study. Study population was divided into two: village midwives as supervisors and health cadres as executors. Main informants were eight village midwives and eight cadres from four selected puskesmas. These Puskesmas were selected based on selection criteria: puskesmas with high and low prevalence of moderate malnutrition, and based on geographical area. Triangulation informants from supervisor level were eight village government office staffs, four puskesmas nutrition workers, and a head of nutrition section of district health office. Triangulation informants from the executor level were eight mothers of under-five children. Data were collected through in-depth interview and observation. Content analysis was applied for data analysis.Results of the study showed that cadres knowledge related to TPG were insufficient due to no TPG related trainings for cadres; training related to positive deviance was only for midwives, and not all midwives and nutrition workers received the training. Cadres attitude were positive in supporting TPG, they believed that what they did would help controlling nutritional problems for under-five children. No technical and implementation guidelines for TPG. Funding for TPG program was from the community, it was in the form of donation, ‘jimpitan’, and ADD. However, in the implementation of TPG funding was still a main problem. Facilities from district health office were in the form of cooking and eating wares and TPG notification board; the rest of facilities for TPG was using posyandu facilities. Supervision was not scheduled or incidental and materials for supervision were not structured. Supports from family members and community were mostly in the form of verbal information; community participation was low.

Pengaruh Booklet Terhadap Pengetahuan dan Sikap Kesehatan Reproduksi Calon Pengantin Terkait Pencegahan Risiko Kehamilan di Kabupaten Pemalang Heni Irawati; Apoina Kartini; Sri Achadi Nugraheni
Jurnal Manajemen Kesehatan Indonesia Vol 7, No 2 (2019): Agustus 2019
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

One of the causes of a high maternal mortality rate is the low knowledge of women's reproductive health, especially about the prevention of pregnancy risks. This can be overcome by increasing the knowledge of prospective brides, one of them is by providing health education with booklet media. The purpose of this study was to determine the effect of booklets on the knowledge and attitudes of reproductive health of brides related to the prevention of the pregnancy risks. This type of research is quasi-experimental with a non-equivalent control group design. The study population was the future brides who attended the course of Future Bride and Groom at the Religious Affairs Office in Pemalang Regency. The samples were 50 brides for the intervention group and 50 brides for the control group. The instruments were questionnaires and booklets. An intervention group and a control group were compared based on the result of pre and post intervention. Statistical analysis used t-test and mann whitney test. The results showed that there is a differentiation in reproductive health knowledge after intervention between intervention group and control group (p = 0,000 <0,05) and there is a differentiation in reproductive health attitudes after intervention between intervention group and control group (p = 0,008 <0,05). The knowledge average of future brides increased by 4.28 points and the attitude average increased by 1.84 points after intervention. It can be concluded that the booklet can be used to increase the reproductive health knowledge and attitudes of future brides in prevention of pregnancy risks, especially in the case of anemia causing bleeding, chronic energy deficiency, and puerperal danger signs. It is recommended that the booklet can be developed as a media for reproductive health education in the course of Bride and Groom at the Religious Affairs Office.Key Words: Reproductive health; Knowledge; Attitudes; Booklet; Brides

Supplementary Feeding Program Evaluation Restoration Malnourished In Children Under Five In The District Wonogiri Seen From Input and Process Aspects Ratna Indriati; Sri Achadi Nugraheni; Apoina Kartini
Jurnal Manajemen Kesehatan Indonesia Vol 3, No 1 (2015): April 2015
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Salah satu upaya untuk mengatasi masalah kurang gizi di Kabupaten Wonogiri adalah dengan program PMT-P. Program ini sudah dilakukan sejak tahun 2007 namun belum menunjukkan hasil yang bermakna. Hasil studi pendahuluan menunjukkan masih ada kendala dalam aspek input dan proses dalam pelaksanaan program ini. Tujuan penelitian untuk mengevaluasi pelaksanaan program PMT-P balita kurang gizi. Jenis penelitian observasional analitik dengan metode kualitatif untuk mengevaluasi pelaksanaan program PMT-P oleh TPG dan kuantitatif untuk membandingkan pelaksanaan program PMT-P oleh bidan desa antara puskesmas yang mengalami peningkatan dan penurunan kasus balita kurang gizi. Informan utama 4 TPG dari 4 puskesmas yang mengalami peningkatan dan penurunan kasus balita kurang gizi. Informan triangulasi yaitu 4 kepala puskesmas, Kasi Kesga dan Gizi DKK, 4 bidan desa, 4 kader posyandu, dan ibu balita penerima PMT-P. Subjek penelitian kuantitatif adalah 60 bidan desa yang dipilih secara purposif dari puskesmas tersebut. Pengumpulan data kualitatif melalui wawancara mendalam dan kuantitatif dengan angket. Analisis data kualitatif dengan contentanalysis dan kuantitatif dengan uji statistik Mann Whitney. Pelaksanaan PMT-P di puskesmas yang mengalami penurunan kasus kurang gizi lebih banyak yang optimal (83,3%) dibandingkan puskesmas yang mengalami peningkatan kasus (56,7%). Perbedaan mencolok pada pelaksanaan meliputi sosialisasi ke masyarakat, registrasi sasaran, pemantauan daya terima makanan tambahan, penggunaan kartu pemantauan serta pendampingan bidan terhadap kader lebih banyak dilakukan oleh puskesmas yang mengalami penurunan kasus balita kurang gizi. Pemberian paket PMT-P di puskesmas yang mengalami peningkatan kasus dilakukan pada semua balita dengan rata-rata pemberian selama satu bulan. Selain itu puskesmas kurang melibatkan perangkat desa dan kecamatan dalam PMT-P. Penentuan sasaran dengan tepat dan peningkatan peran serta masyarakat dapat menurunkan kasus kurang gizi. One of efforts to solve undernourishment problems in Wonogiri district was a recovery food supplement distribution (PMT-P) program. This program has been implemented since 2007. However, it had not shown significant results. Preliminary studies showed that there were problems in input and process aspects in the implementation of this program. Objective of the study was to evaluate the implementation of PMT-P program for undernourished under-five children (balita). This was an observational-analytical study. A qualitative method was applied to evaluate the implementation of PMT-P program by TPG. A quantitative method was used to compare the implementation of PMT-P program by midwives in the primary healthcare centers (puskesmas) with increasing and decreasing numbers of undernourished under-five children cases. The main informants were four TPG from four puskesmas that experienced the increase and decrease numbers of undernourished under-five children cases. Triangulation informants were four heads of puskesmas, a head of Kesga and nutrition section of the district health office, four village midwives, four posyandu cadres, and mothers of under-five children who received PMT-P. Subject of the quantitative study were 60 midwives selected purposively from each puskesmas. Qualitative data were collected through in-depth interview; quantitative data were collected using questionnaire. Content analysis was applied for qualitative data analysis, and Mann-Whitney statistic test was applied for quantitative data analysis. Implementation of PMT- P in puskesmas that experienced the decrease of the number of undernourished cases was more optimal (83.3%) than in puskesmas that experienced the increase of the cases (56.7%). Distinct difference that was shown in the implementation included socialization to the community, target registration, monitoring of PMT absorption ability, monitoring card usage. Midwives accompaniment to cadres was conducted more frequent by puskesmas that experienced the decrease of the number of undernourished under-five children cases. PMT-P packages were distributed continually to all under-five children in the puskesmas that experienced the increase of the cases for a month in average. Additionally, puskesmas did not optimally involve village staffs and sub district office staffs in the PMT-P program activities. The implementation of PMT- P in puskesmas that experienced the decrease of undernourished cases is better. Accurate determination of the target and improvement of community involvement should be able to decrease undernourished cases.

Analysis on the Implementation of Clinical Performance Management Development in the Obstetric Inpatient Ward of Belu District General Hospital East Nusa Tenggara Yusfina Modesta Rua; Apoina Kartini; Septo Pawelas Arso
Jurnal Manajemen Kesehatan Indonesia Vol 3, No 2 (2015): Agustus 2015
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

ABSTRAKPMKK adalah upaya pengembangan kemampuan manajerial dan kinerja Bidan dalam memberikan pelayanan asuhan kebidanan di institusi pelayanan kesehatan yang bermutu. Beradasarkan surat keputusan Kep. Menkes RI. No 836/MENKES/SK/VI/2005 tentang Pengembangan Manajemen Kinerja Klinik (PMKK) maka program tersebut selanjutnya di jalankan oleh RSUD Atambua pada tahun 2006 namun kenyataannya program tersebut sulit dilaksanakan dengan hasil evaluasi yang menunjukkan bahwa program PMKK belum berjalan dengan baik. Penelitian ini menggunakan rancangan observasional dengan pendekatan kualitatif. Informan utama yaitu 7 orang bidan yang bertugas di ruang rawat inap kebidanan RSUD Atambua. Sedangkan informan triangulasi adalah kepala ruang rawat Inap kebidanan, kepala seksi pelayanan, kepala bidang pelayanan dan pasien. Struktur birokrasi secara khusus terkait PMKK misalnya SK petugas tidak ada, sehingga kejelasan bentuk dan tanggung jawabnya sulit diketahui dan dipahami oleh petugas PMKK. Telah tersedia SOP, uraian tugas, dan indikator kinerja namun pelaksanaannya hanya berdasarkan rutinitas. Tidak ada DRK maupun monitoring dan evaluasi yang disusun sesuai dengan standar PMKK, akan tetapi pelaksanaan diskusi, monitoring dan evaluasi selalu dilakukan secara bersamaan dan terjadwal. umumnya komunikasi antara petugas dengan pimpinan kurang baik khususnya PMKK dilihat dari tidak adanya sosialisasi program PMKK kepada bidan selaku pelaksana sehingga ada beberapa bidan yang tidak mengetahui program PMKK. Tidak ada tim khusus yang dibentuk secara resmi untuk pelaksanaan program PMKK, sarana dan prasarana dalam program PMKK belum tersedia sesuai dengan yang dibutuhkan. RSUD Atambua Perlu membentuk tim PMKK, untuk meningkatkan pemahaman bidan terhadap program PMKK perlu dilakukan sosialisasi kebijakan dengan meningkatkan intensitas forum interaktif antara DKK dengan RS serta pelatihan tahunan khusus program PMKK, Demi kesinambungan program, sebaiknya diskusi refleksi kasus, monitoring dan evaluasi program lebih ditingkatkan dan terjadwal dengan baik dan evaluasi dilakukan dengan menggunakan daftar tilik.Kata kunci : Program PMKK, Implementasi Kebijakan, Rawat Inap KebidananABSTRACTDevelopment of clinical performance management (PMKK) was an effort to develop managerial ability and performance of midwives in implementing obstetric care service in the qualified health service institution. Based on the Indonesian Health Minister Decree no. 836/MENKES/SK/VI/ 2005 regarding PMKK, accordingly, that program would be implemented by Atambua District General Hospital (RSUD) in 2006 but in the reality that program was difficult to be implemented.The result of an evaluation showed that PMKK program had not run well. This study used applied observational design and qualitative approach. The main informants were 7 midwives working at the obstetric inpatient wards of RSUD Atambua. Triangulation informants were the head of the obstetric inpatient wards, head of the service unit, head of the service department and patients. Bureaucracy structure was specifically related to PMKK such as no workers decree, consequently clarity of their task form and responsibilities were difficult to know and understood. Standard operating procedure, job description and performance indicator had been provided however the implementation was based only on the rutinity. No DRK or monitoring and evaluation that were designed according to PMKK standard, but the implementation of discussion, monitoring and evaluation were done together and scheduled. In general, there was poor communication between workers and their leaders specifically on PMKK. It could be seen that there was no PMKK program socialization to midwives and as a results several midwives have no knowledge on PMKK program. No special team formed formally to implement PMKK program. Facilities for PMKK program had not been provided according to the need.Atambua district general hospital needs to assemble PMKK team. To improve midwives understanding on PMKK program, the hospital needs to do socialization of the policies by increasing the intensity of interactive forum between District Health Office and Hospital and also conducting special training on PMKK program annually. For program continuity, it is better to increase the frequency of case reflection discussion, program monitoring and evaluation. It has to be scheduled properly and using check list when conducting evaluation.Keywords : PMKK program, policy implementation, obstetric inpatient

Pengaruh Film Pendek melalui Peer Educator terhadap Perilaku Remaja SMA terkait Kesehatan Reproduksi di Kota Semarang Wahyu Ratri Sukmaningsih; Sri Achadi Nugraheni; Apoina Kartini
Jurnal Manajemen Kesehatan Indonesia Vol 6, No 1 (2018): April 2018
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.6.1.2018.50-59

Permasalahan seksualitas pada remaja terjadi karena rendahnya pengetahuan kesehatan reproduksi dan umur berpacaran pertama kali pada umur 15-17 tahun, sehingga dikhawatirkan mereka berisiko melakukan perilaku seks pranikah yang berdampak pada kehamilan yang tidak diinginkan, aborsi, penyakit menular seksual, dan HIV/AIDS. Tujuan penelitian ini adalah menganalisis pengaruh film pendek melalui peer educator terhadap tingkat pengetahuan, sikap, dan praktik remaja SMA terkait kesehatan reproduksi. Jenis penelitian yang digunakan adalah eksperimental, pendekatan kuasi eksperimen dengan Nonequivalent Control Group Design. Populasi yaitu seluruh siswa kelas XI SMA Negeri di Kota Semarang berdasarkan kriteria. 100 sampel kelompok perlakuan dan 100 sampel kelompok tanpa perlakuan diambil secara Purposive Sampling. Variabel bebas adalah pemberian film pendek melalui peer educator dan variabel terikat adalah tingkat pengetahuan, sikap, dan praktik. Uji Mann Whitney digunakan sebagai analisis data. Diperoleh hasil ada perbedaan tingkat pengetahuan (p= 0,001), sikap (p= 0,023), dan praktik (p= 0,001) remaja SMA terkait kesehatan reproduksi setelah diberikan media antara kelompok perlakuan dan kelompok tanpa perlakuan. Ada perbedaan perubahan tingkat pengetahuan (p= 0,004), sikap (p= 0,019), dan praktik (p= 0,001) remaja SMA terkait kesehatan reproduksi antara kelompok perlakuan dan kelompok tanpa perlakuan. Nilai rata-rata pada kelompok perlakuan lebih tinggi dibandingkan kelompok tanpa perlakuan. Hal ini menunjukkan bahwa pemberian film pendek melalui peer educator dan leaflet lebih efektif dalam meningkatkan pengetahuan, sikap, dan praktik remaja SMA terkait kesehatan reproduksi dibandingkan dengan pemberian leaflet. Perubahan praktik responden dapat dilihat dalam waktu minimal dua bulan. Metode dalam upaya pencegahan perilaku seksual berisiko ini diharapkan dapat diterapkan di sekolah.

Determinant Factors of Formula Milk Feeding to Infant of 0-6 months (A Study to the Mothers of the Infants of 7-12 months in the Area of Public Health Centers in Demak Regency) Ida Nurmawati; Sri Achadi Nugraheni; Apoina Kartini
Jurnal Manajemen Kesehatan Indonesia Vol 3, No 1 (2015): April 2015
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Cakupan ASI Eksklusif di Kabupaten Demak sebesar 41,3% masih di bawah Standar Pelayanan Minimal Provinsi Jawa Tengah. Rendahnya cakupan ASI Eksklusif dikarenakan masih banyak ibu yang memberikan susu formula pada bayi usia 0-6 bulan. Tujuan penelitian adalah menganalisis faktor determinan pemberian susu formula pada bayi usia 0-6 bulan. Jenis penelitian ini merupakan Explanatory Survey dengan pendekatan cross sectional. Pengumpulan data dilakukan dengan wawancara menggunakan kuesioner terstruktur yang telah diuji validitas dan reliabilitasnya. Subyek 77 ibu bayi usia 7-12 bulan yang dipilih dengan Clustered Random Sampling. Analisis bivariat menggunakan uji chi square dan analisis multivariat menggunakan regresi logistik. Hasil penelitian menunjukkan bahwa pemberian susu formula pada bayi usia 0-6 bulan sebesar 72,7%. Karakteristik ibu : 55,8% berpendidikan dasar, 64,9% tidak bekerja, 50,6% berpendapatan keluarga tinggi. Sebagian besar ibu berpengetahuan kurang (92,2%), bersikap negatif (50,6%), melaksanakan IMD (80,5%), tidak memiliki fasilitas untuk pemberian ASI (51,9%), akses yang jauh (64,9%), petugas kesehatan tidak mendukung (50,6%), keluarga mendukung (50,6%), dan teman tidak mendukung (57,1%). Ada hubungan pengetahuan (p=0,005), status bekerja (p=0,038), pendapatan keluarga (p=0,034), sikap (p=0,002), dukungan petugas kesehatan (p=0,013), dan dukungan keluarga (p=0,0001) dengan pemberian susu formula pada bayi usia 0-6 bulan. Tidak ada hubungan pendidikan (p=0,690), pelaksanaan IMD (p=0,215), ketersediaan fasilitas (p=0,185), akses susu formula (p=0,942), dan dukungan teman (p=0,438) dengan pemberian susu formula pada bayi usia 0-6 bulan. Variabel yang berpengaruh secara bersama-sama terhadap pemberian susu formula adalah dukungan keluarga (ExpB=41,863) dan sikap ibu (ExpB=6,996) terhadap pemberian susu formula. Dinas Kesehatan Kabupaten Demak perlu meningkatkan pengetahuan ibu dan keluarga ibu dengan memberikan informasi tentang ASI Eksklusif dan dampak negatif susu formula. Coverage of Exclusive Breastfeeding in District of Demak was 41.3% below the Minimum Service Standards in Province of Central Java. It was due to most of the mothers preferred to provide formula milk for their babies aged 0-6 months. This research aimed to analyze determinant factors of providing formula milk for babies aged 0-6 months. This was Explanatory Survey with cross-sectional approach. Data were collected by interview using a structured questionnaire which had been tested validity and reliability. Number of respondents were 77 mothers of babies aged 7-12 months selected using Clustered Random Sampling. Furthermore, data were analysed using bivariate analyses consisted of Chi Square test and multivariate analyses (Logistic Regression test). The result of this research showed that most of the respondents had provided formula milk to their babies aged 0-6 months (72.7%). Most of them had basic education (55.8%), did not work (64.9%), had high family income (50.6%), had low knowledge (92.2%), had negative attitude (50.6%), did early initiation of breastfeeding (EIB) (80.5%), and did not have facilities for providing breastfeeding (51.9%). In addition, most of them had far access (64.9%), did not have health worker support (50.6%), had family support (50.6%), and did not have friend support (57.1%). Factors of knowledge (p=0.005), work status (p=0.038), family income (p=0.034), attitude (p=0.002), health worker support (p=0.013), and family support (p=0.0001) had significant relationship with providing formula milk aged 0-6 months. Otherwise, factors of education (p=0.690), implementing EIB (p=0.215), availability of facilities (p=0.185), access to formula milk (p=0.942), and friend support (p=0.438) were not significant. Furthermore, factors of family support (ExpB=41.863) and attitude (ExpB=6.996) jointly influenced providing formula milk. As suggestions, Demak District Health Office needs to improve knowledge of mothers and their families regarding information of exclusive breastfeeding and adverse effects of formula milk.

Co-Authors - Mukhfi - Suyatno Adriana Rizki Novita Agnes Styfani Meko Ahmad Syauqy Alfan Afandi Alfi Fairuz Asna Amini, Musdalifah Nor Anggray Duvita Wahyani Ani Margawati Anies Anies Anna Herdina Ari Suwondo Ari Yulistianingsih Aulia Medina Sulistyowati Ayu Silvia Ayun Sriatmi Azkia, Bardiatul Bagoes Widjanarko Baju Widjasena Bintang Agustina Pratiwi Budhi R, Kamilah Budiyono Budiyono Cahaya Asdhany Cahya Tri Purnami Cahya Tri Purnami Cahya Tri Purnami, Cahya Cahyo Setiawan Camelia Nurjannah Chairunnisa, Syifa Al Janna Christin Desi Anggreyenti Dea Indartanti Dewi, Putu Lina Paramitha Dhea Salisa, Merisha Dian Fajriyah Pangestika Dian Ratna Sawitri Dina Rahayuning Pangestuti Dina Rahayuning Pangestuti, Dina Dini Indah Fauziah Distrika Philani Diwian Jaya Putra, I Putu Okta Donny Kristanto Mulyantoro dr. Antono Suryoputro, MPH., Ph.D Dwi Sutiningsih Dyah Krisnawati Dyah Primasari Dyah Umiyarni Purnamasari Efa Nugroho Eka Putri Rahmadhani Elisa Henny Eni Rumiyati Erizka Marwita Triyonate, Erizka Marwita Etika Hasna Dina Putri Etika Ratna Noer Eva Novianingsih Farid Agushybana Ferdian, Nizaar Ferry Ardhiansyah Fifiantyas Amalia Fillah Fithra Dieny Firmansyah Kholiq Pradana PH Fitry, Febriana Ramadhani Fristiwi, Pingkan Ghodiq Ufthoni Gunawan, Novia Riansari Habibah Abidin Hapsari, Kanya Hapsari, Rani Ayu Hendrawati, Menik Hendrixus Eko Surani Putro Heni Irawati Heri Gunawan Hermawati, Bertakalswa Hertanto Wahyu Subagio Hesti Ardini Rakhmiditya Hidayati Hidayati Ida Nurmawati Ilmiati, Fatia Indri Mulyasari Intan Claudina Jamhari Jamhari Jasman - - Jatu Safitri Cahyahati Jauharany, Firdananda Fikri Jayawarsa, A.A. Ketut Kamilah Budhi Rahardjani Karisma, Putu Ayu Khikmah Wati Kusworo Adi LA MANI, LA Laksmi Widajanti Latifahanun, Este Lestari, Rizky Aprilianti Lidiyawati Lidiyawati Liyana Putri Afifah Lu lu atul Khodijah M. Zen Rahfiluddin Ma'rifah Tri Citra Mahalul Azam Mandati, Dewi Anjani Mardiana Mardiana Mardiana Mardiana Martha Irene Kartasurya Martini - - Martini Martini Maya Erisna Meliati, Linda Merisha Dhea Salisa Mexitalia Setiawati Miftahul Mualimah Mochamad Abdul Hakam Mohammad Zen Rahfiludin Muflihatul Muniroh Muhtar, Muhammad Solihuddin Muniroh, Muflihatul Mursid Raharjo Naila Fauziatin Naili Farida Naintina Lisnawati Natalia Kristiani Nidya, Indriana Rahma Nizaar Ferdian Novia Luthviatin Novie Susanto Nunung Wulandari Nurjazuli Nurjazuli Nurul Dewi Anggraeni Nurul Laili Hidayati Rizqie Olivionita, Vita Onny Setiani Oqi Bintang Hapsari Ossie Happinasari Prastika Yulianasari Putra, I Putu Okta Diwian Jaya Putri Tiara Nur Mahardika Putu Ayu Karisma Rafika Farianita Ragil Sri Pamungkas rahmuniyati, merita eka Rasipin Rasipin Rasnasuri, Dita Ratna Indriati Retno Widyaningsih, Retno Rhisma Nasita Sianti Rhosidatus Salamah Rieny, Elzha Geniz Rizki Putri Anjani Rohma Yuanita Rohmatul Bariroh Al Faiqoh Ronny Aruben Rudi Pangarsaning Utami Rukman, Pingkan Fristiwi Runjati S. A. Nugraheni S. Fatimah Pradigdo S.A Nugraheni S.A. Nugraheni Safitri, Vania Arthamevia Sania Lailatul Rahmi Saraswati, Rizki Septia Sarman Sentha Kusuma PJ Septo Pawelas Arso Sianti, Rhisma Nasita Silvia Agus Widyaningtyas Sinta Lestari Sinta Wati Siti Fatimah Siti Fatimah Siti Fatimah SITI FATIMAH Siti Fatimah Muis Siti Fatimah Pradigdo Siti Fatimah-Muis, Siti Soakakone, Minnalia Sofwan Indarjo Solly Aryza Sophia Rose Sri Achadi Nugraheni Sri Achadi Nugraheni Sri Djokomoeljanto Sri Winarni Suhartono Suhartono Suhartono Suhartono, Suhartono Suharyo Hadisaputro Sulistyawati Sulistyawati Supriyana Supriyana Suroto Suroto Susi Yunita Haryanti Sutopo Patria Jati Suyatno Suyatno Suyatno Suyatno Suyatno Suyatno Syamsul Arifin Syamsulhuda BM Talitha Rahma Nur Aini Thomas Triadi Putranto, Thomas Triadi Tri Joko Vania Retno Nurastrini Wa Ode Asma Isra Wahyu Ratri Sukmaningsih Widya Widya Wulandari, Nunung Yusfina Modesta Rua Yusniar Hanani Darundiati Zahrah, Nabilah Ayu Az Zahroh Shaluhiyah Zhafira, Shabrina Nuril

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