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IMPLEMENTATION OF TEN STEPS TOWARDS SUCCESSFUL BREASTFEEDING AT TANAH KALIKEDINDING HEALTH CENTER SURABAYA CITY, 2020 Wahyuni Mahmud Date; Wahyul Anis; Dwiyanti Puspitasari
Indonesian Midwifery and Health Sciences Journal Vol. 5 No. 2 (2021): Indonesian Midwifery and Health Sciences Journal, April 2021
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v5i2.2021.209-223

Abstract

 Abstract Background One of the government's efforts to increase the achievement of exclusive breastfeeding is the 10 LMKM program. Since 1991 in Indonesia, it has been introduced, but in its implementation it is not yet known by all health facilities even though several existing steps have been implemented, but the 10 LMKM policy has not been known by providers.Objectives Describe implementation and barriers to providers in program implementation, identify compliance and barriers to mothers as program recipients. Methods The research used descriptive qualitative research. The sampling technique used was purposive sampling to explore the implementation of 10 LMKM in Tanah Kalikedinding Health Center. Informants in accordance with the inclusion criteria 7 providers and 8 mothers as program recipients. Researchers interacted offline and online via video calls while adhering to health protocols. Results The implementation of 10 LMKM has been running with the internal policies of the Puskesmas referring to the Permenkes, carrying out tasks according to the SOP. Several providers have attended training and disseminated it to staff. Monitoring and evaluation is carried out through the credential team at the Puskesmas. Officers in implementing 10 LMKM to support the achievement of exclusive breastfeeding are committed to complying with the SOP. Provider barriers from external factors are the lack of health workers, especially midwives on duty, so that KIE regarding breastfeeding and others is not optimal. Mothers as program recipients when ANC is already in IEC, obediently follow the services provided and have not been fostered or referred to breastfeeding support groups. Barriers to exclusive breastfeeding in program implementation are influenced by external factors of working mothers. Conclusion The implementation of the 10 LMKM program at the Tanah Kalikedinding heath center has not been maximized. 
THE DIFFERENCES OF BEHAVIOUR TOWARDS PREGNANCY READINESS AMONG PREGNANT WOMEN BASED ON PARITY Fitri Indah Pratiwi; Wahyul Anis; Aditiawarman Aditiawarman; Reny I’tishom
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 2 (2020): Indonesian Midwifery and Health Sciences Journal, April 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i2.2020.121-128

Abstract

Abstract Background : Low pregnancy planning can cause unwanted pregnancy, abortion, loss of reproductive health, domestic violence until death. 40% of 85 million pregnancies in the world are unplanned and 38% end with abortions, miscarriage and unplanned childbirth. Unplanned pregnancy are associated with an increased risk of birth outcomes, including preterm birth, low birth weight (LBW), high risk of congenital anomalies, and developmental delay. Most woman who have plan to get pregnant don’t prepare their pregnancy as well. Women who have children (Multiparous) having unreadiness of pregnancy as same as women who do not have children (Nulliparous). Therefore, pregnancy planning is required to avoid risks so that women become more prepared on facing the pregnancy. This study aimed to analyze the differences behaviour toward readiness of pregnancy among pregnancy women based on parity. Method : This study used observational analytical research with cross sectional approach. The sampling technique used was total sampling which was conducted for 2 months and the sample obtained 92 pregnant women (include nulliparous, primiparous and multiparous) who met the inclusion criteria. The collected data was analyzed by Fisher Exact levels with a degree of α = 0.05. Result : The study showed there were 12 respondents who ready to face pregnancy. Meanwhile, there were 80 respondents who were not ready enough to face pregnancy, it was based on the result of Fisher Exact test with the value obtained was P value = 0.223 (P > 0.223). Conclusion : This showed that there was no difference of attitudes about pregnancy readiness of nulliparous, primiparous and multiparous woman
ADOLESCENT PHENOMENONS THAT WORK AS FEMALE SEX WORKERS IN KUPANG CITY ON MAY - OCTOBER 2019 Luisa Octoviana Eluama; Wahyul Anis; Nining Febryana
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 2 (2020): Indonesian Midwifery and Health Sciences Journal, April 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i2.2020.137-149

Abstract

ABSTRACT Background : The problem of adolescence becoming sex workers in Indonesia is still high. Tanpa Batas Foundation in Kupang City on May-October 2017 shows adolescence as women who have sex workers that identified almost all aged 13-24 years of 190 cases. Meanwhile, there are many unidentified practices of prostitution like an iceberg phenomenon. This study aimed to identified the level of education, income, knowledge, perception, the reason, experience, the effect of social media and expectations that affects adolescence becoming sex workers. Method : Qualitative study with a phenomenological approach. Determination of respondents conducted with non-probability sampling techniques used purposive sampling and obtained respondents as much as 10 adolescence of sex workers. The collected data used indepth interview guidelines with semi structured questions. Instruments of this study were transcripts, notebooks, questionnaire and cameras for documentation. Data analysis was starting with the transcript of data, by analyzing the words from the respondent, finding the keyword, making the category followed by identifying the theme and interpretation into a descriptive. Result : This study showed the level of education respondents started from : not went to school, junior high school, senior high school with monthly average income of 1-2 million. Most of the respondents have a bad preception of their self, economic problems were still the main reason and facebook was the most effect from social media to women’s sex worker, in addition to the results of knowledge level showed that all respondents have a good knowledge, they also hope could find another job better and decent. Conclusion : Economic insistence, the adverse effect of social media and peers became the main cause of adolescence become sex workers despite having a good knowledge and they also had the hope that could stop and exit of the employment as a sex workers by finding a better job and feasible of the norm and culture of society. 
FACTORS RELATED TO NUTRITIONAL STATUS IN PRE-SCHOOL CHILDREN Dwi Rahayu Candra Pertiwi; Ivon Diah Wittiarika; Atika Atika; Wahyul Anis
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 4 (2020): Indonesian Midwifery and Health Sciences Journal, October 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i4.2020.332-343

Abstract

AbstractBackground: The problem of nutrition in children at Indonesia was still an unresolved problem. Unicef said that one in ten children were underweighted and a fifth of children were overweighted or obesed. This number will not decrease and it will increase if we not handled this problem seriously. This study was conducted with the aimed of analyzed the factors that influenced nutritional status in pre-school children, so that more effective prevention and treatment can be carried out. Method: This research was a cross sectional study with a total sample of 150 preschool child in the age of 3 to 6 years old and the parents with online questionnaire. Sampling was done by cluster random sampling. The study was conducted in PAUD at Tanah Kali Kedinding, Kenjeran, Surabaya. The data was analyzed with Spearmean test, Chi-square, and Fisher exact. Result: Knowledge p value = 0,025 r = 0,182. Income p value < 0,001 r = 0,368. Eating frequency p value < 0,001 r = 0,721. The amount of food p value < 0,001 r = 0,738. The kind of food p value < 0,001 C = 0,443. Physical activity p value = 0,438. Conclusion: Parental knowledge and income, and children's eating patterns were related to the nutritional status of pre-school children, while the physical activity of children does not affected the nutritional status of children. 
THE IMPACT OF THE COVID-19 PANDEMIC ON MATERNAL MORTALITY ATTRIBUTES Dyah Ayu Fatmaningrum; Wahyul Anis; Muhammad Ardian Cahya Laksana
Indonesian Journal of Health Administration Vol. 10 No. 1 (2022): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v10i1.2022.70-78

Abstract

Background: The COVID-19 pandemic is a challenge for mothers to access health services in Indonesia. Patient management, referral processes, and maternal screening protocols are the reasons for this issue. Aims: This study aimed to analyze maternal mortality trends in East Java Province before and during the COVID-19 pandemic. Methods: This study was conducted using retrospective observation with a cross-sectional design, and samples were selected using a total sampling technique. The number of maternal deaths in East Java was 520 in 2019 and  565 in 2020. The independent variable in this study is the number of maternal deaths, and the dependent variables include age, gravida, place of death, rescue relay, time of death, and maternal complications. The variables of age, place of death, rescue relay, and gravida were assessed using the Chi-square test. Results: Statistical tests showed a ρ value of 0.195 for age; 0.916 for place of death; 0.646 for rescue relay; and 0.048 for gravida. Conclusion: Maternal mortality showed different trends before and after the pandemic in East Java.  Significant differences in maternal mortality rate are influenced by gravida status.
Relationship Between Physical Activity and Personal Hygiene with Pathological Leukorrhea in Female Sports Students TITANIA ARFINISA KIRANA; BAMBANG PURWANTO; WAHYUL ANIS
HANG TUAH MEDICAL JOURNAL Vol 19 No 2 (2022): Hang Tuah Medical Journal
Publisher : Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/htmj.v19i2.149

Abstract

Background: Women's reproductive health must receive serious attention, especially a problem that is often experienced by most women, namely leukorrhea. These problems are often ignored and taken lightly, even though if handled too late it can be very fatal. In Indonesia, more than 80% of vaginal discharge complaints are pathological. Analysing of the risk factors for pathological vaginal discharge can be the first step in preventing leukorrhea early, especially in the community of women who are active in sports. Methods: This study used observational analytic with a cross-sectional approach. The sample size is 70 sports students in Surabaya. The sampling technique used is simple random sampling. Data were analyzed using the chi-square test on SPSS. Results: The results showed that there was no relationship between the level of physical activity; frequency of changing underwear; the use of underwear material; use of vaginal cleansing soap; and the use of panty liners with the event of pathological leukorrhea (p-value > 0.05). But there is a relationship between the way of washing the vagina with the incidence of pathological leukorrhea (p-value 0.007). Conclusion: The risk factor that has a significant relationship with the incidence of pathological leukorrhea is how to wash the vagina. Meanwhile, other factors such as the level of physical activity, the frequency of changing underwear, the use of underwear material, the use of vaginal soap/antiseptic, and the use of panty liners have no relationship with the incidence of pathological leukorrhea in female sports study program students in Surabaya. Keywords : risk factor, activity, vaginal hygiene, leukorrhea
HUBUNGAN PENGETAHUAN, SIKAP DAN MOTIVASI TERHADAP PERILAKU MENJAGA HIGIENE VAGINA SAAT MENSTRUASI PADA REMAJA PUTRI Alfiyah Zahra Ulya; Gadis Meinar Sari; Wahyul Anis
JURNAL ILMIAH DHDT - KEBIDANAN Vol 5 No 1 (2022): JURNAL PENELITIAN KEBIDANAN & KESPRO
Publisher : Fakultas Kebidanan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpk2r.v5i1.944

Abstract

Background: Lack of behavior to maintain vaginal hygiene during menstruation in adolescent girls, often causes harm to the reproductive organs, such as pruritus vulvae, and even reproductive tract infections (ISR). The purpose of this study was to describe and analyze the relationship of knowledge, attitude and motivation to the behavior of maintaining vaginal hygiene during menstruation in adolescent girls. Methods: The study was conducted at SMP Negeri 45 Surabaya using a quantitative design with a cross-sectional approach. The number of research samples was 114 respondents who met the inclusion criteria. Collecting data using a questionnaire and analyzed by Chi-square test. Results: The results of the Chi-Square analysis showed that there was a relationship between knowledge and behavior (p = 0.001) with an OR value of 4.916, which means that knowledge has a four times greater chance of influencing vaginal hygiene behavior during menstruation. There is a relationship between attitudes towards behavior (p < 0.001) with an OR value of 12.632, which means that attitudes have a 12 times greater influence in influencing vaginal hygiene behavior during menstruation in adolescent girls. While the relationship between motivation and behavior (p = 0.492) vaginal hygiene during menstruation in adolescent girls did not have a significant relationship. Conclusion: Vaginal hygiene behavior during menstruation in adolescent girls is influenced by knowledge and attitudes. The behavior of maintaining bad vaginal hygiene during menstruation can cause germs to easily enter and cause reproductive infections that have a bad impact in the future. Keywords: knowledge, attitude, motivation, behavior in adolescence menstruation
ANTENATAL CARE AND MATERNAL OUTCOME OF PREECLAMPSIA Nurul Mardiyah; Ernawati Ernawati; Wahyul Anis
Indonesian Midwifery and Health Sciences Journal Vol. 6 No. 3 (2022): Indonesian Midwifery and Health Sciences Journal, July 2022
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v6i3.2022.298-309

Abstract

Background: In Indonesia, preeclampsia is the second most common cause of maternal death. One of the government's steps to reduce it by antenatal care policy. This study aimed to analyze whether the frequency of antenatal care and antenatal health care facilities are assosiated with maternal mortality and morbidity of preeclampsia patients treated at a tertiary hospital in Surakarta. Methods: Analytic observational study with a cross-sectional design using secondary data. The sample was preeclampsia patients at RSUD Dr.Moewardi Surakarta from January to December 2019 who were taken by total sampling. Independent variables are frequency of antenatal care and antenatal health care facilities, dependent variables are maternal mortality and morbidity. Data analysis using Chi-Square Test. Results: From 182 samples, antenatal care frequency average was 7,5 times (range: 0-16 times), the most antenatal healthcare facilities were advanced health facilities (85,5%), maternal mortality was 1,6%, and morbidity was 71,4%. Frequency of ANC was not associated with maternal mortality (p=1,000), frequency of ANC was not associated with morbidity of preeclampsia (p=1,000), antenatal healthcare facilities were not associated with maternal mortality (p=1,000), antenatal healthcare facilities were not associated with morbidity of preeclampsia (p=0,223). Conclusion: The frequency of antenatal care and antenatal healthcare facilities were not associated with maternal mortality and morbidity due to preeclampsia. Keywords: antenatal care, maternal outcome, preeclampsia
Optimalisasi Peran Kader Kesehatan dalam Upaya Promotif dan Preventif Tuberkulosis Paru pada Kehamilan Farida Fitriana; Wahyul Anis; Euvanggelia Dwilda Ferdinandus
Aksiologiya: Jurnal Pengabdian Kepada Masyarakat Vol 6, No 3 (2022): Agustus
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/aks.v6i3.12201

Abstract

Indonesia menjadi negara tertinggi kedua jumlah kasus Tuberkulosis (TB) terbanyak di dunia. Dampak TB akan lebih besar pada ibu hamil yang dapat mengakibatkan beban ganda baik bagi ibu maupun bayinya. Pemberdayaan masyarakat dalam upaya promotif dan preventif merupakan salah satu upaya strategis penanggulangan TB di Indonesia. Kader kesehatan merupakan anggota masyarakat yang peduli kesehatan dan telah dilatih mengenai tugas khusus dalam bidang kesehatan. Selama ini kegiatan kader ibu hamil belum pernah terintegrasikan dengan upaya pencegahan dan deteksi dini TB Paru dalam kehamilan. Metode kegiatan pengabdian masyarakat ini terdiri dari tiga bagian, yaitu pelatihan kader, tindak lanjut pelatihan, dan evaluasi. Sejumlah tiga puluh kader di wilayah kerja Puskesmas Guluk-Guluk mengikuti program ini. Rangkaian program terbukti efektif dan efisien dalam upaya peningkatan pengetahuan, baik kader maupun ibu hamil mengenai TB Paru, keterampilan kader dalam mengedukasi ibu hamil, dan cakupan skrining mandiri TB Paru oleh ibu hamil serta tindak lanjut hasil skrining oleh kader. Hal tersebut dapat dilihat dari nilai pre dan post-test yang dianalisis menggunakan uji statistik Paired T-test menunjukkan p-value: 0.00 (p-value < α: 0,05) sehingga didapatkan adanya peningkatan pengetahuan kader sebelum dan setelah pelatihan, jumlah ibu hamil yang diberi edukasi oleh kader dan melakukan skrining TB Paru mandiri, serta kesan kader selama mengikuti program ini. Peran kader kesehatan ibu hamil dalam TB Paru diharapkan optimal dan dapat diterapkan di wilayah lain di Indonesia untuk mewujudkan eliminasi TB pada tahun 2030.
THE CORRELATION BETWEEN HEREDITY AND MASS MEDIA EXPOSURE FACTORS ON THE EARLY MENARCHE INCIDENT ON ADOLESCENT GIRLS Agrini Yesiska Tamo; Wahyul Anis; Budi Presetyo
Jurnal Biometrika dan Kependudukan (Journal of Biometrics and Population) Vol. 11 No. 02 (2022): JURNAL BIOMETRIKA DAN KEPENDUDUKAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbk.v11i02.2022.156-164

Abstract

Menarche is the first menstruation that occurs in young women. The normal age is 12-14 years, but now there’s a tendency to decrease to younger age. The purpose of this study was to analyze the correlation of heredity and mass media exposure factors with the incidence of early menarche in adolescent girls at SMPN 56 Surabaya. The study used an observational analytic design with a cross-sectional approach. The sample of this research was adolescent girls of 7th-8th grade of SMPN 56 Surabaya and mothers, taken using simple random sampling method. The instrument was a questionnaire distributed online. The research data analyzed using the Chi-square test. The results showed that 39.13% adolescent girls who experienced early menarche had mothers who had a history of early menarche. The mass media exposure with a light level was 15.21% experienced premature menarche, while 84.78% experienced early menarche. The results of the Chi-square correlation test analysis between heredity and the incidence of early menarche in young girls stated that there was no relationship between the two variables with p = 0.068. The results of Chi-square analysis between the mass media exposure factors and the incidence of early menarche in young women obtained p value = 0.030, which can be concluded that there is a relationship between the two variables. The study concluded that there is a relationship between exposure to mass media and the incidence of menarche in young women so that supervision of adolescent girls is needed in accessing information in the mass media.