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PERBANDINGAN KUALITAS PELAYANAN PERSALINAN ANTARA PUSKESMAS DENGAN PRAKTIK MANDIRI BIDAN DI KABUPATEN KUDUS Solichati Solichati; Martha Irene Kartasurya; Farid Agushybana
Jurnal Ilmu Keperawatan dan Kebidanan Vol 15, No 1 (2024): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v15i1.2156

Abstract

Kebutuhan pelayanan kesehatan mempengaruhi masyarakat untuk memilih sarana kesehatan yang berkualitas. Tingkat kunjungan ibu bersalin di Praktik Mandiri Bidan (PMB) semakin menurun sedangkan tingkat kunjungan ibu bersalin di Puskesmas semakin meningkat. Penelitian bertujuan menganalisis perbandingan kualitas pelayanan persalinan antara Puskesmas dengan PMB. Penelitian ini merupakan penelitian kuantitatif. Populasi penelitian adalah seluruh ibu bersalin yang melakukan persalinan baik di Puskesmas maupun di PMB periode waktu Januari – Juni 2023 di Kecamatan Gebog, Kabupaten Kudus. Sampel penelitian di Puskesmas sebanyak 58 orang dan di PMB sebanyak 42 orang yang diambil dengan metode purposive sampling. Analisis univariat dengan tabel distribusi frekuensi dan analisis bivariat dengan uji Mann-Whitney. Tidak terdapat perbedaan dimensi kehandalan, jaminan, dan bukti fisik dalam pelayanan persalinan pada responden melahirkan di Puskesmas dan PMB. Namun, terdapat perbedaan dimensi daya tanggap dan empati dalam pelayanan persalinan. Berdasarkan rerata skor, responden melahirkan di Puskesmas merasa lebih puas terhadap dimensi daya tanggap dan empati dibandingkan dengan responden melahirkan di PMB. Peningkatan kualitas pelayanan persalinan di Puskesmas dapat dilakukan dengan menambah dokter jaga sedangkan di PMB dengan bidan mendatangi ibu yang akan bersalin.
Environmental Enteric Dysfunction as a Risk Factor for Growth Failure in the Agricultural Areas of Brebes Regency Gandha Sunaryo Putra; Suhartono; Cahya Tri Purnami; Martha Irene Kartasurya
JURNAL KESEHATAN LINGKUNGAN Vol. 18 No. 1 (2026): JURNAL KESEHATAN LINGKUNGAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jkl.v18i1.2026.53-62

Abstract

Background: Growth faltering in early childhood remains a global concern. Major contributing factors include poor sanitation, recurrent infections, a history of low birth weight (LBW), and environmental enteric dysfunction (EED) that reduces nutrient absorption. This study examines the determinants of growth faltering among children aged 6–23 months in the agricultural areas of Brebes Regency, Indonesia. Methods: This study employed a case–control design involving non-stunted children aged 6–23 months. The case group consisted of 64 children with weight-for-age (WAZ) < 5th percentile, while the control group included children with WAZ ≥ 5th percentile, classified according to the WHO Child Growth Standards. Data were collected through anthropometric assessments and standardized, structured interviews, with participants selected through purposive sampling. Multivariable logistic regression analysis was performed to identify the determinants of growth faltering. Results and Discussion: There were no significant differences between groups in mean maternal age, child age, or maternal employment status. Maternal education levels were lower in the case group. Acute respiratory infection (ARI) (OR = 2.3; 95% CI: 1.10–5.08), history of LBW (OR = 4.9; 95% CI: 1.21–19.94), and EED (OR = 2.0; 95% CI: 0.93–4.32) were identified as determinants of growth faltering among children living in the agricultural areas of Brebes Regency. Conclusion: EED is a key determinant of growth faltering among children aged 6–23 months in the agricultural areas of Brebes Regency, alongside recent ARI and a history of LBW. Keywords: Brebes Regency, Environmental Enteric Dysfunction, Growth failure, Low Birth Weight, Upper Respiratory Tract Infections
Disparitas Regional Gagal Tumbuh pada Balita di Indonesia: Analisis CIAF dan E-CIAF dari SSGI 2022: Regional Disparities of Growth Failure among Children Under Five in Indonesia: Insights from CIAF and E-CIAF Analysis of SSGI 2022 Suyatno, Suyatno; Kartasurya, Martha Irene; Fatimah, Siti; Nugraheni, Sri Achadi; Wijayanti, Lilis; Latifah, Hasna Izdihar
Amerta Nutrition Vol. 9 No. 1SP (2025): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 5th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i1SP.2025.8-13

Abstract

Background: Growth failure among children under five years remains a key public health issue in Indonesia and requires appropriate measurement indicators. Conventional parameters such as stunting, wasting, or underweight might not adequately address the multidimensionality of malnutrition. Therefore, the Composite Index of Anthropometric Failure (CIAF) and the Extended Composite Index of Anthropometric Failure (E-CIAF) will provide a better, more detailed, and inclusive population-level representation of growth failure. Objectives: To determine the frequency of growth failure among Indonesian children under five based on CIAF and E-CIAF among the population and in a regionalized setting, and to identify the more sensitive indicator. Methods: Secondary data were obtained from the Indonesian Nutrition Status Survey (SSGI) 2022, which included 281,651 children (aged 0–59 months) in 34 provinces. Nutritional status was assessed using anthropometric failure classification by CIAF and E-CIAF. The difference in prevalence in different regions was ascertained by Chi-square testing, and significance was defined as a p-value<0.05. Results: E-CIAF had a higher rate of failure of Indonesian child growth than CIAF (27.0% vs 25.0%). Prevalence of non-Java-Bali kids was high as compared to the Java–Bali region (E-CIAF=28.1%, CIAF=26.9%). In the Eastern region of Indonesia, it had the high prevalence (E-CIAF) (32.0%, CIAF 30.8%). Conclusions: The finding suggested that E-CIAF is more sensitive than CIAF for assessing growth failure. The highest burden of this disease occurs outside Java Bali in Eastern Indonesia, stressing the importance of localized nutrition interventions.
The Effect of Antepartum Yoga Sequences on Anxiety Levels, Vital Sign Values, and Fetal Heart Rate in Third-Trimester Primigravida Reni Yuli Astutik; Noor Pramono; Hardhono Susanto; Martha Irene Kartasurya
Jurnal Ilmu Kesehatan Masyarakat Vol. 13 No. 2 (2022): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2022.13.2.236-246

Abstract

Anxiety in the third-trimester pregnancy can affect the physical and psychological aspects of the mother and fetus. Until now, there has been no study comparing yoga sequences that are effective in reducing anxiety levels in third-trimester primigravida. The yoga sequence will cause the heart rate to return to normal after finishing exercising, and the body will feel more comfortable. This study aims to determine the effect of antepartum yoga sequences on anxiety levels, vital sign values, and fetal heart rate in third-trimester primigravida. This study was quasi experiments with a pretest posttest control group design conducted in January-April 2022. The sampling technique used cluster sampling to determine the intervention group and control group. The intervention group was given antepartum yoga sequences for six sessions with a duration of 60 minutes, consisting of 18 respondents in A group model and 18 respondents in B group model. The control group consisting of 18 respondents, received pregnancy exercise for six sessions with a duration of 60 minutes. Data analysis using T-test. The results showed differences in the control group for anxiety (p-value = 0.042), pulse (p-value = 0.021) and respiratory frequency (0.032). In the intervention group model A, there were differences in anxiety, diastolic blood pressure, pulse, and respiratory rate with p-values ​​of 0.032, 0.005, 0.005, and 0.005, respectively. While in the intervention group model B, there were significant differences in anxiety, systolic blood pressure, diastolic blood pressure, pulse, respiratory rate, and fetal heart rate, namely p-values ​​of 0.005, 0.002, 0004, 0.005, 0.005, 0.005. The results of this study can be used by midwifery service providers as one of the complementary treatments for reducing anxiety experienced by third-trimester primigravida mothers, namely by giving antepartum yoga, which is done for 60 minutes.
Maternal and Birth History Risk Factors of Stunting Among Underfive Children in Demak Regency, Central Java, Indonesia Pradigdo, Siti Fatimah; Kartasurya, Martha Irene; Suyatno; Naintina Lisnawati
Media Gizi Indonesia Vol. 21 No. 2 (2026): MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v21i2.263-274

Abstract

In Indonesia, stunting remains a public health problem, with a prevalence of > 20%. The objective of this study was to find the determinants of under five children stunting in family characteristics, maternal factors, birth history, and environmental factors. This case-control study was conducted on 1,093 children in ten villages with high stunting rates in Demak District based on stunting loci from the Ministry of Health. A total of 537 stunted children and 556 non-stunted children were found. Data were collected through structured interviews, maternal and child health cards, and anthropometric measurements of children using an infantometer, stadiometer, and digital weighing scales, conducted by trained personnel. The data were analyzed using Chi Square, and multiple logistic regression. Factors associated with stunting were: number of children (OR=1.441; CI 95%= 1.096-1.895), child food expenditure (OR=1.379; CI 95%= 1.087-1.750), Maternal height (OR=2.633; CI 95%=1.994-3.478), MUAC (p=0.04; OR=1.350; CI 95%=1.013–1.798), maternal knowledge (OR=1.630; CI 95%=1.262–2.105), complementary feeding (OR=1.387; OR 95%=1.087–1.771), Birth weight (OR=2.178; CI 95%=1.397–3.396). Birth length (1.638; CI 95%=1.263-2.125). Upper respiratory tract infection (OR=1.302; 95% CI=1.023 – 1.658). The main determinants of stunting were the number of children >2, low birth weight, low expenditure for child' food, upper respiratory tract infection, stunted mother and early complementary feeding.
Sistem Digital Pencatatan Berbasis Buku Kesehatan Ibu dan Anak (KIA) untuk Pencegahan Dini Risiko Mortalitas Maternal dan Neonatal: Sebuah Systematic Literature Review Vitania Mutiara Sari Siregar; Martha Irene Kartasurya; Cahya Tri Purnami
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.56095

Abstract

Child Health (MCH) Handbook (Buku KIA) has long been used as a manual recording tool, but limitations in accuracy, continuity, and data integration hinder effective monitoring and early detection of complications. Digitalization of the MCH Handbook is considered an innovative solution to strengthen preventive strategies and support data-driven health policies. Objective This study aims to map and analyze literature on the implementation of digital MCH Handbook systems and to identify trends, challenges, and opportunities in reducing maternal and neonatal mortality. Method The study employed a scoping review approach with systematic stages based on the PRISMA framework. A total of 10–13 selected journals using keywords related to addressed digital maternal and child health records. Results Integration with mobile applications and telemedicine supports family education and early detection of complications. Key challenges include limited infrastructure, low digital literacy among health workers and communities, and data security concerns. Government policy support, training, and community engagement are critical for successful implementation. Conclusion Despite challenges, opportunities are substantial, particularly in strengthening continuity of care, supporting health policy, and improving digital literacy. Comprehensive, adaptive, and evidence-based strategies are essential to ensure sustainable success in Indonesia. Keywords: Maternal and Child Health Handbook, digitalization, maternal mortality, neonatal mortality, health information system, systematic review.
Analisis Implementasi Pemeriksaan USG dalam Antenatal Care (ANC) di Puskesmas Kota Semarang Aulia Ulfah Mutiara Dewi; Martha Irene Kartasurya; Cahya Tri Purnami
MAHESA : Malahayati Health Student Journal Vol 6, No 2 (2026): Volume 6 Nomor 2 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i2.20925

Abstract

ABSTRACT Background: The disparity in maternal mortality rates (MMR) between developed countries and low-middle income countries was very large, including in Indonesia. One of the differences between the two was the ultrasound examination that had been used for a long time in developed countries. Semarang was one of the capital city that had implemented ultrasound examination as one of the examinations for pregnant women since 2022. To determine the implementation of ultrasound examination as an early detection of pregnancy complications at primary health care (PHC) in Semarang. Qualitative research with a case study research design. Research data were obtained through interviews, observations, and other documents collected in the period September-December 2024 at 4 PHCs in Semarang. Ultrasound examinations at PHCs were good, but there were several examination indicators that had not been carried out optimally. Two factors that influence its implementation were human resources (HR) and infrastructure. Constraints on HR include uneven distribution, mutations of trained doctors, and varying training curricula. Meanwhile, the constraints encountered in infrastructure were technical constraints on ultrasound equipment, the response of the equipment provider vendor, and the ultrasound room that were not yet up to standard. Improvement efforts were needed in the aspects of human resources and infrastructure in order to improve the quality of USG examination services at PHCs in Semarang. Keywords: Obstetric Ultrasound, Antenatal Care, Primary Health Care.  ABSTRAK Ketimpangan angka kematian ibu (AKI) antara negara maju dengan negara berkembang sangat besar, termasuk di Indonesia. Salah satu perbedaan keduanya adalah pemeriksaan USG telah digunakan sejak lama di negara maju. Kota Semarang merupakan salah satu ibu kota yang telah menerapkan pemeriksaan USG sebagai salah satu pemeriksaan bagi ibu hamil sejak 2022. Untuk mengetahui implementasi pemeriksaan USG sebagai deteksi sebagai deteksi dini komplikasi kehamilan di Puskesmas Kota Semarang. Penelitian kualitatif dengan desain penelitian studi kasus. Data penelitian diperoleh melalui wawancara, observasi, dan dokumen lainnya yang dikumpulkan pada periode September-Desember 2024 pada 4 puskesmas di Kota Semarang. Pemeriksaan USG pada ANC di Puskesmas Kota Semarang sudah baik, namun terdapat beberapa indikator pemeriksaan yang belum dijalankan secara optimal. Dua faktor yang memengaruhi pelaksanaannya adalah sumber daya manusia (SDM) dan sarana prasarana. Kendala pada SDM meliputi distribusi yang belum merata, mutasi terhadap dokter yang terlatih, dan kurikulum pelatihan yang bervariasi. Sedangkan kendala yang ditemui pada sarana prasarana adalah kendala teknis alat USG, respon vendor penyedia alat, dan ruang USG yang belum sesuai standar.Diperlukan upaya perbaikan pada aspek SDM dan sarana prasarana demi meningkatkan kualitas pelayanan pemeriksaan USG pada ANC di Puskesmas Kota Semarang. Kata Kunci: Pemeriksaan USG, ANC, Puskesmas.
Kurang Energi Kronis Pada Ibu Hamil di Kota Pekalongan Zaenal Amirudin; Bagoes Widjanarko; Martha Irene Kartasurya
Jurnal Promosi Kesehatan Indonesia Volume 6, No. 2, Agustus 2011
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (64.833 KB) | DOI: 10.14710/jpki.6.2.169-176

Abstract

Protein Energy Malnutrition (PEM) in Pekalongan is still quite high, 11.95% and affects most of one’s life, which began in fetus in the womb, infancy and continue until the child enters school age. This research is to analyze the incidence of risk factors in pregnant woman PEM. A total of 76 samples comprising 38 cases and 38 controls were recruited in this study. Upper Arm Circumference was measured in pregnant woman and used a structured questionnaire to obtain information about predisposing factors such as knowledge, attitudes, eating habits and abstinence of certain foods. The results showed that maternal attitudes toward nutrition (p=0.02) and eating habits of pregnant woman (p = 0.03) significantly influenced the incidence of PEM. Analysis of risk factors for maternal nutrition knowledge (p=0.3) and abstinence from food to pregnant woman (p = 1.0) obviously has no effect on the incidence of PEM.
Co-Authors A.A. Ketut Agung Cahyawan W Achadi Nugraheni, Sri Adi, Matheus Sakundarno Adiba, Cholida Adriana Egam Adzika, Alda Alfi Fairuz Asna Ali Rosidi Ana Puji Astuti Andika Rikarno Putra Andini Aridewi Angela Astrid Pramesti, Angela Astrid ANGELINE DEWI SUHENDRO Anggriani Septiana Ani Margawati Ani Margawati Anies Anies Anies Anies Anisatul Khofidzoh Anna Mieke Anneke Suparwati Anneke Suparwati Antono Surjoputro Apoina Kartini Apoina Kartini Kartini Ardiati Setianingsih Ari Suwondo Ariawan Soejoenoes Arie Nugroho, Arie Ariyanti, Lilik Arulita Ika Fibriana Asif Yuliati Astri Praba Shinta Atik Mawarni Aulia Ulfah Mutiara Dewi Awanis Farisa Setyarahma Ayesha, Rebecca Ayun Sriatmi Bagoes Widjanarko Banundari Rahmawati Bintari Fajar Kurnianingtyas Budhi Setianto Cahya Tri Purnami Cahya Tri Purnami Choirun Nissa Choirun Nissa Cholida Adiba Daniati Ristia Ayu, Daniati Ristia Desy Kustiyanti Dewi Susilowati Dewi, Aulia Ulfah Mutiara Dharmawan, Ligar Tresna Dharminto Dharminto Diah Krisnansari Diah Retno Wahyuningrum Dian Fajriyah Pangestika Dian Isti Cahyani Dian Ratna Sawitri Dina Mila Aulia Dina Rahayuning Pangestuti, Dina Djauharoh A. Hadie Djoko Tri Hadi Lukmono Dodik Pramukarso Dwi Indah Iswanti Dwi Pudjonarko Dwi Sutiningsih Dyah Umiyarni Purnamasari Eko Wigiantoro Emy Shinta Dewi Endah Purwaningsih Endang Mahati Endang Purwaningsih Etika Ratna Noer Farid Agushybana Farid Farid Agushybana Faridah Faridah Farinisa, Aliva Nabila FILLAH FITHRA DIENNY Fillah Fithra Dieny Firman Firman Gandha Sunaryo Putra Hagnyonowati Hagnyonowati Hana Sofia Anugraheni Hanifa Maher Denny, Hanifa Maher Hanik Machfudloh Hanin Imtinan Alwina Hapsari, Rani Ayu Hardhono Susanto Hardhono Susanto Hardhono Susanto Harima M Hayuningsih, Akmaliya Henry Setyawan Henry Setyawan Susanto Henry Setyawan Susanto Hernayanti, Munica Rita Hertanto Wahyu Subagio Hijra Hijra, Hijra Hikma Hikma Hilaria Dita Regi Indarwati, Novi Indarwati, Novi Indra Gunawan Intan Pratama Ismisari, Melly Adya Janet Pandora Jauhanita, Denisa Jauharany, Firdananda Fikri Jayawarsa, A.A. Ketut Joni Periade Judiono Judiono Julia Pertiwi Julia Pertiwi, Julia Jumianti Lestari Thamrin Karina Marcelia, Karina Kartika Nuraini Kasriatun Kasriatun Kis Djamiatun Kudarti Kudarti Kurnia Purwandini Kusmiyati Kusmiyati Kusmiyati kusmiyati Kusmiyati Tjahjono Kusmiyati Tjahjono Kusumastuti, K Lailil Masruron Laksmi Widajanti Laksmi Widajanti Latifah, Hasna Izdihar Layli, Alvia Nur Lazendra, Arien Delfi Lela Hartini Lia Awwalia Majida Liagustri Maulisazen Basuki Lilis Endang Wijayanti, Lilis Endang Lucia Ratna Kartika Wulan Lucia Ratna Kartika Wulan Lucia Ratna Kartika Wulan, Lucia Ratna Kartika Lukmono, Djoko Tri Hadi M. Zen Rahfiluddin Mahalul Azam Manurung, Togar Hasudungan Marantina Diska Widayani, Marantina Diska Maria Mexitalia Maria Yensiska Siahaan Martini Martini Mateus Sakundarno Mateus Sakundarno Adi, Mateus Sakundarno Matheus Sakundarno Adi Mohammad Z. Rahfiludin Mohammad Zen Rahfiludin Morse, Avery Muchlis Achsan Udji Sofro mufakhhir, Abdulaziez Muhamad Nur Aini Munica Rita Hernayanti Mutiara Dewi, Aulia Ulfah Nadia Hapsari Oktarina Naintina Lisnawati Naluri Widyaningsih Syamsiedi Nani Purwati Nico L. Kana Niken Puruhita Ninik Dwi Ambarwati Noer, Etika Noor Pramono Noor Pramono Novi Kardyanti Nugroho P, Priyadi Nunuk Sri Lestari Nuridzin, Dion Zein Nurjazuli Nurjazuli Nyoman Suci Widyastiti Pamungkas, Motris Patemah Patemah, Patemah Pujo Semedi Pusaka, Semerdanta Putri Lili Heldawati Putri Sriwulandari Pangestika Putri, Ligar Tresna Darmawan Qusna Nur Anisa R. Rizal Isnanto RA Kisdjamiatun RMD, RA Kisdjamiatun Rahmah, Farida Noor Rani Ayu Hapsari Ratmawati Ratmawati Ratnawati Ratnawati Reni Yuli Astutik Retnaningsih Retnaningsih Retnaningsih Retnaningsih Retno Murwani Retno Widyaningsih, Retno Retno Wulandari Revi Rosavika Kinansi Revi Rosavika Kinansi Rhisma Nasita Sianti Ria Risti Komala Dewi Riezky Aulia Yulandani Rifatul Masrikhiyah Rika Andriani Rimbun Situmorang Riny Henderawaty Riski, Finia Rismayanti Rismayanti Rita Sariani Saragih Riva Mustika Anugrah Rizka Dwiyovita Rohani Retnauli Simanjuntak Rohma Yuanita Roifatun Nisa Ronny Aruben Rr. Sri Ratna Rahayu Selamat Budijitno Sentha Kusuma PJ Septo Pawelas Arso Silitonga, Steward Febrianto Silvia Etika Sari Simamora, Deborah Siti Fatimah Siti Fatimah Siti Fatimah Siti Fatimah Muis Siti Fatimah Pradigdo Siti Fatimah-Muis, Siti Siti Nurul Huda Siti Syofiatul Rohmah Siva Candra Rukmana Solichati Solichati Sri Achadi Nugraheni SRI RAHAYU Sri Rulihari Sri Winarni Stephani Nesya Renamastika Sugeng Maryanto Suhartono Suhartono, Suhartono Sulistiyani Sulistiyani SULISTIYANI SULISTIYANI Susanti Lestari Susi Herawati Susilani, Amalina Tri Sutopo Patria Jati SUYATNO Suyatno Suyatno Suyatno Suyatno Suyatno Suyatno Syamsulhuda BM Teguh Ady Nur Cahyo, Teguh Ady Teguh Akbar Budiana Teungku Nih Farisni Thamrin, Jumianti Lestari Thijs Eijsvogels Tjahjono Kuntjoro Togar Hasudungan Manurung Togar Hasudungan Manurung Tri Wardhani, Ria Triana Widiastuti Udin Bahrudin Udin Bahrudin, Udin Ustriyaningsih, Ustriyaningsih Vinna Audinni Putri Vitania Mutiara Sari Siregar Warih Respitowati Wati, Erna K. Wellina, Wiwien Fitrie Wening Widjajanti Wening Widjajanti Winda Meirina Yade Kurnia Yasin, Yade Kurnia Yasi Anggasari Yohanes Mario Vianney Yudhy Dharmawan Yuliastuti, Erni Yuni Atika Sari Yurizka, Berta Zaenab Ismail Zaenal Amirudin Zahroh Shaluhiyah