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Muji Lestari
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Pelaksanaan Kelas Ibu Hamil Dalam Mewujudkan Ibu Hamil Sehat dan Bebas Malaria Di Puskesmas Abepura Kota Jayapura Lestari, Muji; Purba, Ellen; Suci, Eka Styaning; Putri, Btari A.K. Dwi; Wenda, Alita
Jurnal Masyarakat Madani Indonesia Vol. 3 No. 1 (2024): Februari
Publisher : Alesha Media Digital

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59025/js.v3i1.197

Abstract

Terjadi peningkatan kasus malaria pada ibu hamil tiap tahunnya di wilayah Kota Jayapura. Tercatat pada tahun 2019 sebanyak 291 kasus dan meningkat menjadi 328 kasus pada tahun 2020. Puskemas Abepura di Kota Jayapura juga melaporkan bahwa terjadi 65 kasus malaria pada ibu hamil selama tahun 2021. Infeksi malaria sangat merugikan baik ibu maupun janin yang dikandungnya karena infeksi ini dapat meningkatkan kejadian morbiditas dan mortalitas ibu dan janin. Upaya yang dilakukan dalam penanggulangan penyakit malaria dalam kehamilan yaitu memberikan edukasi dan pemberian dukungan serta nasehat positif yang diharapkan dapat mempengaruhi perilaku ibu untuk menjadi lebih melalui kelas ibu hamil. Kegiatan pengabdian masyarakat ini bertujuan untuk mewujudkan ibu hamil yang sehat dan bebas dari malaria melalui kelas ibu hamil di Puskesmas Abepura Kota Jayapura. Pelaksanaan kegiatan dilakukan dengan metode promosi kesehatan dan diskusi tentang penyakit malaria yang berlangsung selama 4 bulan. Kegiatan diikuti oleh 20 ibu hamil di wilayah kerja Puskesmas Abepura Kota Jayapura. Efektivitas pelaksanaan di ukur dengan metode pre dan post test pada pengetahuan responden. Hasil capaian yaitu pretest menunjukkan tingkat pengetahuan berada pada kategori cukup sebanyak 12 responden (60%) dan setelah dilakukan evaluasi berupa post test diperoleh hasil tingkat pengetahuan berada pada kategori baik sebanyak 20 responden (100%). Hasil pemeriksaan kehamilan pada 20 ibu hamil juga didapatkan ibu dan janin dalam keadaan sehat. Kegiatan tersebut diharapkan dapat meningkatkan kesadaran dan kesehatan ibu hamil sehingga terbebas dari penyakit malaria
ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PELAKSANAAN INISIASI MENYUSU DINI PADA IBU BERSALIN DI KLINIK BERSALIN ASIH WALUYO JATI YOGYAKARTA Lestari, Muji
Jurnal Ilmiah Kesehatan Ar-Rum Salatiga Vol 2, No 2 (2018)
Publisher : STIKES Ar-Rum Salatiga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36409/jika.v2i2.15

Abstract

Inisiasi menyusui dini mempunyai manfaat yang besar untuk bayi maupun ibu serta berperan dalam rangka menekan angka kematian bayi. Beberapa faktor yang mempengaruhi pelaksanaan inisiasi menyusu dini diantaranya adalah pengetahuan ibu tentang inisiasi menyusu dini, peran tenaga kesehatan dalam upaya melaksanankan inisiasi menyusu dini, dukungan suami terhadap pelaksanaan inisiasi menyusu dini serta pengalaman ibu terkait pernah atau tidaknya melakukan inisiasi menyusu dini. Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor apa sajakah yang berhubungan dengan pelaksanaan inisiasi menyusu dini di klinik bersalin Asih Waluyo Jati Yogyakarta. Metode yang digunakan dalam penelitian ini adalah deskriptif korelasi dengan pendekatan crossectional dimana populasinya adalah ibu bersalin di klinik bersalin Asih Waluyo Jati jumlahnya sebanyak 30 orang ibu bersalin perbulan. Sampel yang digunakan dalam penelitian ini adalah accidental sampling dengan jumlah 24 responden. Hasil dari penelitian ini ada hubungan bermakna antara pengetahuan dengan pelaksanaan inisiasi menyusu dini di klinik bersalin Asih Waluyo Jati dimana nilai P value 0.00. Ada hubungan bermakna antara peran tenaga kesehatan dengan pelaksanaan inisiasi menyusu dini di klinik bersalin Asih Waluyo Jati dimana nilai P value 0.06. Ada hubungan bermakna antara dukungan suami dengan pelaksanaan inisiasi menyusu dini di klinik bersalin Asih Waluyo Jati dimana nilai P value 0.07. Tidak ada hubungan bermakna antara pengetahuan dengan pelaksanaan inisiasi menyusu dini di klinik bersalin Asih Waluyo Jati dimana nilai P value 0.361. Diharapkan kepada instansi terkait untuk memberikan informasi yang seluas-luasnya mengenai inisiasi menyusu dini dan memberikan motivasi kepada ibu bersalin untuk melakukan inisiasi menyusu dini.
Pengaruh Edukasi TOGA Cegah Malaria terhadap Perilaku dalam Pemanfaatan Pekarangan Rumah Pada Kader Posyandu di Kampung Nolokla Sentani Lestari, Muji; Romauli, Suryati; Yogi, Ruth; Margareta, Martini
Jurnal Pendidikan Tambusai Vol. 9 No. 1 (2025)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jptam.v9i1.26397

Abstract

Tingginya kasus malaria di Papua, dapat diatasi dengan memanfaatkan halaman rumah sebagai TOGA dengan menanam tumbuhan pengusir nyamuk yang disebut insektisida alami. Penelitian ini bertujuan untuk mengkaji dampak pengajaran TOGA terhadap perilaku pencegahan malaria pada pemanfaatan pekarangan rumah pada kader Posyandu di Desa Nolokla Sentani. Metode : Penelitian ini menggunakan desain pra-eksperimen dengan format uji-coba satu kelompok dan uji-coba satu kelompok. Populasi penelitian adalah seluruh kader posyandu, dengan sampel sebanyak 20 responden yang dipilih dengan teknik purposive sampling. Data diperoleh melalui survei. Data dievaluasi berdasarkan uji normalitas. Hasil : Diperoleh perilaku kader posyandu dalam pemanfaatan pekarangan rumah sebagai TOGA cegah malaria sebelum mendapat edukasi memiliki nilai rata-rata 50.50, std.deviasi 6.863 dengan nilai terendah 40, tertinggi 70, dan setelah edukasi nilai rata-rata meningkat menjadi 94.00 dengan std.deviasi 7.539 serta nilai terendah 70, dan tertinggi 100. Kesimpulan : Edukasi toga cegah malaria berpengaruh signifikan terhadap perilaku dalam pemanfaatan pekarangan rumah pada kader Posyandu, dimana nilai sig (2-tailed)=0.000 < 0.05
Evaluating The Effectiveness of The PMTCT Program at RSUD Jayapura: A Mixed Method Study Lestari, Muji; Wahyuni, Sri
JURNAL KEBIDANAN Vol. 14 No. 2 (2024): Oktober 2024
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v14i2.12417

Abstract

At RSUD Jayapura, from 2021 to 2023, 62 babies were born to HIV-positive mothers. However, no prior study has evaluated whether all these babies were tested for HIV. Babies born directly into the delivery room without passing through the VCT clinic often face challenges in follow-up, especially with high dropout rates in the Prevention of Mother-To-Child HIV Transmission (PMTCT) program.  This study aimed to evaluate HIV transmission in babies enrolled in the PMTCT program at RSUD Jayapura and assess the involvement of healthcare providers (doctors, midwives, nurses, counselors, and lab technicians) in the program. A mixed-methods approach was used, combining quantitative (case-control design) and qualitative (content analysis of in-depth interviews). The quantitative sample included 64 babies born to HIV-positive mothers who participated in the PMTCT program from 2021 to 2023. The qualitative sample comprised 5 healthcare providers involved in the program. Data were analyzed using Chi-Square tests for quantitative analysis and content analysis for qualitative data. Chi-Square analysis showed a significant association with a p-value of 0.00 (<0.05) and an Odds Ratio (OR) of 217.000, indicating a strong impact of the PMTCT program in preventing HIV transmission. In-depth interviews with the VCT head revealed many cases were lost to follow-up, especially those whose families moved out of the city. Babies who remained in the area were mostly HIV-negative by 18 months. Interviews with midwives highlighted that HIV-positive mothers with low viral loads typically delivered via caesarean section, though they faced delayed wound healing and higher infection risks. No discrimination was observed in room usage for HIV-positive mothers.
Health Belief Model Pencegahan Malaria Pada Ibu Hamil Lestari, Muji; Amal, Fachry; Mulyana, A. Saputri
Jurnal Kebidanan Malakbi Vol 4 No 2 (2023): Agustus 2023
Publisher : Jurusan Kebidanan Poltekkes Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/b.v4i2.738

Abstract

Malaria in pregnant women can infect the fetus. Pregnant women are the most vulnerable population because of the greater risk of contracting malaria. This finding is consistent with the findings obtained by the Eijkman team who found that the immunity level of women who were pregnant for the first time was lower than that of women in the second, third, and so on, thus making the group of women with first pregnancies more susceptible to malaria infection. Malaria cases in pregnant women in 2019, were the highest in Papua Province, which was around 1,769 cases. It is necessary to take preventive measures so that no more pregnant women are affected by malaria. The purpose of this study was to determine the relationship between the components of the Health Belief Model which included perceptions of vulnerability, perceptions of the severity of poor health, perceived barriers to taking action, perceived benefits of behavior change and self-efficacy with malaria prevention measures in pregnant women at the Arso Public Health Center, Keerom Papua Province. This research uses a cross-sectional design. The results of the multiple linear regression test showed that perception of severity had the greatest influence value (0.238). The results of each t-test showed that only perception of severity had a positive effect on preventive action, while perceptions of vulnerability, perceived barriers and self-efficacy had no effect. The results of the simultaneous f-test of the five components of the Health Belief Model have no effect on malaria prevention measures in pregnant women. The perception of severity has a positive effect on malaria prevention measures in pregnant women, while the perceived benefits have a negative effect. The other three components of the Health Belief Model have no effect. Simultaneously, the five components of the Health Belief Model do not affect preventive measures.
Parental Support is Associated with An Adolescent Girl’s Readiness to Facing Menarche Oktavia, Tesya; Lestari, Muji; Sari, Gita Nirmala
Journal of Midwifery Vol. 8 No. 2 (2023): Published on Desember 2023
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.8.2.36-41.2023

Abstract

Adolescent girls need information about the menstrual process and health during menstruation. Young women will experience difficulties in facing their first menstruation if they have never previously known or discussed it with their peers or parents. This research aimed to determine the association between parental support and the readiness of adolescent girls to face menarche. This is a cross-sectional study with a sample of 105 adolescent girls and parents who were determined using a simple random sampling technique using a questionnaire on parental support and readiness to face menarche via Google Form. Based on the Chi-Square test, there is a significant association between parental support and the readiness of young women to face menarche (p-value = 0.002). Adolescent girls with good family support are three times more prepared to face menarche than those who do not have good family support, with an OR (95% CI) = 2.981 (1.263–7.037).
Association Between Maternal Preeclampsia and Neonatal Asphyxia: A Cross-Sectional Study in a Referral Hospital in Lampung, Indonesia Lestari, Muji; Dahliana, Maya Dika; Sari, Gita Nirmala
Journal of Midwifery Vol. 10 No. 1 (2025): Published on June 2025
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.10.1.1-7.2025

Abstract

Preeclampsia is a significant contributor to neonatal complications, particularly neonatal asphyxia, which remains one of the leading causes of early neonatal mortality. This study aimed to determine the association between maternal preeclampsia and neonatal asphyxia and to examine the modifying effects of maternal age and parity. A retrospective cross-sectional study was conducted at a referral hospital in Lampung Province using secondary data from 96 laboring mothers and their newborns in 2024. Preeclampsia was identified based on clinical diagnosis, and neonatal asphyxia was defined by a 1-minute Apgar score below 7. Chi-square test and multivariable logistic regression were used for statistical analysis. The results showed that 62.5% of mothers were diagnosed with preeclampsia, and 43.8% of newborns experienced neonatal asphyxia. A significant association was found between preeclampsia and neonatal asphyxia, with an adjusted odds ratio (OR) of 3.14 (95% CI: 1.29–7.61; p = 0.011). Interaction analysis indicated that maternal age under 20 years (adjusted OR = 4.25; p = 0.039) and primiparity (adjusted OR = 3.78; p = 0.027) significantly increased the risk of neonatal asphyxia among mothers with preeclampsia. These findings highlight the compounded risks in younger and first-time mothers with hypertensive disorders of pregnancy. This study underscores the importance of early detection of preeclampsia, tailored antenatal care, and close monitoring of high-risk pregnancies, particularly among adolescents and primiparous women, to prevent adverse neonatal outcomes such as asphyxia
Co-Authors Abdul Rahman Afriani, Puput Andriansyah Andriansyah Anjarsari, Fitri Iriani Dahliana, Maya Dika Fachry Amal Haeni, Pina Kultsum, Fadilah Ummu Margareta, Martini Mulyana, A. Saputri Ningsih, Nining Ade Oktasari, Emelia Oktavia, Tesya Permatasari, Agustin Shinta Purba, Ellen Putra, Deko Agenty Putri, Btari A.K. Dwi Riswana, Savira Linggar Romauli, Suryati Sari, Gita Nirmala Sri Wahyuni Suci, Eka Styaning Wenda, Alita Yogi, Ruth