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The Barriers of Antenatal Care Visits in Rural Mother’s Community in Padang Lawas Regency: A Qualitative Study Ariescha, Putri Ayu Yessy; Machmud, Rizanda; Ocviyanti, Dwiana; Syah, Nur Afrainin; Yusrawati, Yusrawati; Bachtiar, Adang; Chatra, Emeraldy; Yani, Finny Fitry
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3779

Abstract

The low utilization of antenatal care services has an impact on the condition of the pregnancy not being monitored which will cause danger signs of pregnancy to go undetected and can lead to maternal death. Padang Lawas is the area with the lowest coverage of antenatal care visits in north Sumatra province. The majority of pregnant women in Padang Lawas district do not receive standard antenatal care services. Efforts to increase coverage rates for Antenatal Care visits have been carried out by the Health Service but have not produced any real impact. Objective: This study aims to find out more about the perspective of antenatal care visits for pregnant women. Method: This study was qualitative with a grounded theory approach. The informants in this study were 5 mothers, 5 husbands, 3 midwives, and 1 community figure who were recruited using purposive sampling. Data were collected using semi-structured interviews. Data were analyzed using the Content Analysis. Results: The study emerged 4 themes: (1) Culture about pregnancy, (2) Infrastructure in antenatal care, (3) Economic issues, and (4) Mother's behavior in carrying out antenatal care. Conclusions: The findings show that there are several barriers of antenatal care visits in rural maternal communities, so the government needs to pay attention to them in following up on the barriers found in these areas.
Weight of Pregnant Women in Deli Serdang Regency: A Qualitative Study Sari, Nur Mala; Lipoeto, Nur Indrawaty; Bachtiar, Adang; Ariadi, Ariadi; Machmud, Rizanda; Defrin, Defrin; Mudjiran, Mudjiran; Sulastri, Delmi
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.3982

Abstract

Weight gain that is not according to recommendations during pregnancy has become an epidemic throughout the world today and is a clinical problem with high prevalence and can affect the health of mothers and babies. Objective: This study aims to find out more about the perspective of increase in weight of pregnant women in deli serdang regency. Method: This study was qualitative with a descriptive approach. The informants in this study were 3 pregnant women with weight gain above recommendations, 3 pregnant women with weight gain below recommendations, 1 ob-gyn, 1 midwife, and 1 nutrition who were recruited using purposive sampling. Data were collected using semi-structured interviews. Data were analyzed using the Content Analysis. Results: The study emerged 5 themes: (1) Knowledge, (2) Perspective, (3) Behaviour, (4) Family support, and (5) Physical activity. Conclusions: The findings show that several factors influence the increase in weight of pregnant women in Deli Serdang Regency, so the health care provider needs to pay attention to improve their knowledge about weight gain during pregnancy according to the needs of pregnant women.
Perspectives on Neonatal Visits Coverage in Serdang Bedagai Regency Indonesia: A Qualitative Munthe, Novita Br Ginting; Machmud, Rizanda; Semiarty, Rima; Serudji, Joserizal; Bachtiar, Adang; Yani, Finny Fitry; Symond, Denas; Nelwati, Nelwati
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.4092

Abstract

The purpose of neonatal visits is to re-examine newborns, review counseling and anticipation guidelines with parents, identify symptoms of illness, and educate and support parents. The purpose of neonatal visits is to improve neonatal access to basic health services and to find out as early as possible if there are abnormalities in the baby or if there are problems. One important indicator to describe the level of public health is the infant mortality rate. Objective to find out more about the perspectives on neonatal visit coverage in Serdang Bedagai District, Indonesia. The study was a qualitative with phenomenology approach. Twenty-five informants were applied in this study using purposive sampling. Data were collected using in-depth interviews. Data were analyzed using content analysis by the collaizi method. The study emerged nine themes, namely: 1) knowledge about neonatal visits; 2) neonatal visit quantity standards; 3) neonatal visit quality standards; 4) health care workers providing neonatal visiting services; 5) purpose of neonatal visits; 6) relationship between education and neonatal visit compliance; 7) relationship between husband/family support and neonatal visit compliance; 8) reasons for non-compliance with neonatal visits; and 9) culture in support of public health. These results can be input for policymakers to increase the coverage of neonatal visits in Serdang Bedagai Regency, Indonesia.
Faktor-Faktor yang Berhubungan dengan Kepatuhan Berobat Pasien Tuberkulosis Paru di Puskesmas Andalas Utami, Sherly Putri; Machmud, Rizanda; Herman, Deddy; Rasyid, Rosfita; Russilawati, Russilawati; Khaira, Fathiyyatul
MESINA (Medical Scientific Journal) Vol 6, No 1 (2025): Medical Scientific Journal (MESINA)
Publisher : Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/msj.v6i1.6390

Abstract

Ketidakpatuhan pasien tuberkulosis dalam pengobatan merupakan penyebab terpenting kegagalan pengobatan dan menjadi hambatan untuk mencapai kesembuhan Tujuan penelitian ini yaitu untuk mengetahui faktor-faktor yang berhubungan dengan kepatuhan berobat pasien tuberkulosis di Puskesmas Andalas. Penelitian ini adalah penelitian analitik observasional dengan rancangan cross sectional. Teknik pengambilan sampel menggunakan total sampling dengan jumlah sampel sebanyak 53 responden. Sampel penelitian adalah pasien tuberkulosis sensitif obat yang berusia diatas 18 tahun dan memiliki kartu TB-01. Pengumpulan data dilakukan dengan wawancara terstruktur menggunakan kuesioner. Analisis data menggunakan uji  Chi-square. Analisis 53 sampel didapatkan sebanyak 43 responden (86,8%) patuh dalam pengobatan, sedangkan sebanyak 7 responden (13,2%) tidak patuh dalam pengobatan TB paru. Hasil penelitian menunjukkan variabel yang berhubungan dengan kepatuhan berobat adalah efek samping obat (p=0,015) dan peran pengawas minum obat (p=0,001), dan variabel yang tidak berhubungan adalah umur (p=0,419), jenis kelamin (p=0,223), tingkat pendidikan (p=0,443), pekerjaan (p=1,000), lama pengobatan (p=0,661) dan jarak rumah (p=0,451). Kesimpulan penelitian ini didapatkan faktor-faktor yang berhubungan dengan kepatuhan berobat pasien TB yaitu, efek samping selama pengobatan dan peran pengawas minum obat
PERBANDINGAN KEJADIAN KEHAMILAN PREEKLAMPSIA BERDASARKAN KOMPONEN METABOLIK Sari, Yulia Margaretta; Serudji, Joserizal; Machmud, Rizanda
Andalas Obstetrics And Gynecology Journal Vol. 3 No. 2 (2019)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.3.2.116-129.2019

Abstract

In preeclampsia occurring carbohydrate and fat metabolism disorders. Components of the metabolic syndrome such as insulin resistance, obesity, and dyslipidemia contributes to the occurrence of preeclampsia. This was an obser-vational analytic study with Kohort design and has been performed in Obgyn Department of M. Djamil Hospital Padang, primary health care in Koto Berapak, Private Practice Midwive in Lintau from July 2013 to May 2014. 60 samples of second trimester of pregnancy with positive Roll over test. Each subject was examined BMI, fasting blood glucose, LDL, HDL, triglycerides, and insulin levels. Then divided into two groups, positive metabolic components group and negative metabolic components group. Statistical analysis to assess significance using the unpaired t test and chi square on SPSS 18.0 for windows. There was no significant association between metabolic components and preeclampsia (p> 0.05). Other metabolic components such as HDL level and insulin resistance were not statistically significant with preeclampsia (p> 0.05). HOMA IR examination also showed no significant association with the in-cidence of preeclampsia. However, the subgroup analysis showed a mean insulin levels higher in preeclampsia patients compared with normal pregnancies (p <0.05). BMI showed a significant association with preeclampsia (p <0.05). subgroup analysis showed a mean insulin levels higher in preeclampsia patients compared with normal pregnancies (p <0.05). BMI showed a significant association with preeclampsia (p <0.05). subgroup analysis showed a mean insulin levels higher in preeclampsia patients compared with normal pregnancies (p <0.05). BMI showed a significant association with preeclampsia (p <0.05).Keywords: Preeclampsia, metabolic syndrome, fasting blood glucose, LDL, HDL, triglycerides, HOMA-IR, BMI
PERBANDINGAN KEJADIAN PENINGKATAN TEKANAN DARAH PADA TRIMESTER II BERDASARKAN LAJU FILTRASI GLOMERULUS (LFG) Serudji, Joserizal; Machmud, Rizanda
Andalas Obstetrics And Gynecology Journal Vol. 3 No. 1 (2019)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.3.1.15-26.2019

Abstract

During normal pregnancy, glomerolus filtration rate (GFR) is increased so that the concentration of urea and creatinine decreased. With the onset of hypertension in pregnancy, renal perfusion and glomerular filtration decreases, the greater of decline showed more severe illness. This was an observational analytic study with Cohort design and performed in Obgyn Department of M. Djamil Hospital Padang, general district hospital in Batusangkar and Achmad Mukhtar, Private Practice Midwife in Batusangkar from June-December 2014. 100 samples of first trimester of pregnancy, each subject were examined ureum, creatinine, cystatin-c and glomerular filtration rate (GFR) based on CKD-EPI Cystatin and Creatinine 2012 Equation formula. Then divided into two groups, high glomerular filtration rate (GFR) high and low glomerular filtration rate (GFR) group. Each subject was evaluated blood pressure every 3 weeks and statistical analysis was done using the Independent samples test and chi square. There was significant association difference in the levels of urea, creatinine and cystatin-c between high GFR group and low GFR group (p <0.05). There was a statistically significant relationship between low GFR group of pregnant women with changes in systolic and diastolic blood pressure that persists or increases of 5-10 mmHg (p <0.05).Keywords: Preeclampsia, glomerular filtration rate (GFR), ureum, creatinine, cystatin-c, blood pressure
OMPHE-VIA (Obedient Male Partner in Health-Education and Engagement for Visual Inspection with Acetic Acid Examination) Model Was Solution to Save Cervical Cancer Ferry, Ferdinal; Machmud, RIzanda; Soetrisno, Soetrisno; Bachtiar, Adang
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 1 (2023)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.1.286-294.2023

Abstract

Background: VIA screening is very suitable for developing countries such as Indonesia, because the technique is easy, simple, low cost/cheap, high sensitivity, fast and accurate for early detection of cervical cancer. The coverage of early detection in Indonesia is <5% so that many cases of cervical cancer are found to be at an advanced stage and often cause death in women.Methods: This study uses a mix-method study approach with a sequential exploratory approach. The research was carried out sequentially with qualitative methods first (interviews and FGDs), then continued with quantitative methods. In this study, the sampling technique used was multi-stage random sampling in 7 selected sub-districts.Results: The variable perception of vulnerability with a good perception of vulnerability have a 2.64 times greater risk of carrying out an VIA examination. In multivariate modeling, knowledge is the most dominant variable because it has the largest POR of 6.3, which means the N-Gain value is in the medium category with a fairly effective interpretation of the effectiveness of the module, namely an increase in knowledge of 63.86% after being given education using the OMPHE-VIA module. Conclusion: Based on the implementation of the OMPHE-VIA module, it was found that there was an increase in the average value of knowledge, before and after the education was given. It was also found that there was a significant difference in knowledge, and husband's support, construct between before and after the education was given using the OMPHE-VIA module.
Gambaran Histopatologi Limpa Mencit (Mus Musculus Balb/C) yang Diinfeksi dengan Plasmodium Berghei Hendriani, Intania Dwiputri; Adrial, Adrial; Machmud, Rizanda; Hasmiwati; Yenita; Nita Afriani
Majalah Kedokteran Andalas Vol. 48 No. 1 (2025): MKA January 2025
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v48.i1.p37-45.2025

Abstract

Objective: to determine the histopathological picture of the spleen of mice (Mus musculus Balb/C) infected with Plasmodium berghei which has been immunized with An. sundaicus salivary gland extract. Method: This type of research is a descriptive study with a quantitative approach. This research was conducted at the Histology Laboratory of the Faculty of Medicine, Andalas University, from March 2023 to September 2024. Result: research on the histopathological picture of the spleen of mice Mus musculus Balb / C infected with Plasmodium berghei showed the number of spleen cell megakaryocytes in the control group with an average of 2.63 per field of view, in the pellet extract group 2.23 per field of view and in the supernatant extract group 2.13 per field of view. Conclusion: the average megakaryocyte cells in the spleen were the highest in mice injected with the control group and the average megakaryocyte cells in the spleen were the lowest in mice injected with the supernatant extract group.
PROGRAM “ASMARA - AYO SELAMATKAN MASA REMAJA” UNTUK MENCEGAH PERILAKU BERISIKO PADA SISWA SMPN 23 PADANG: Capacity Enhancement of Adolescent Health Cadres Through the Asmara - Let's Save Adolescence Program to Prevent Risky Behavior Among Students of 23 Junior High School, Padang Yetti, Husna; Burhan, Ida Rahmah; Rasyid, Rosfita; Lestari, Yuniar; Semiarty, Rima; Astiena, Adila Kasni; Fadila, Zurayya; Silvia, Nelmi; Abdiana; Machmud, Rizanda; Firdawati; Hardisman
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 8 No. 3 (2025)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v8i3.798

Abstract

Adolescence is a transitional period that is vulnerable to the emergence of risky behaviors, such as smoking, promiscuity, and lack of health concern. These behaviors can negatively impact adolescent growth and development physically, mentally, and socially. This community service activity aims to increase knowledge and awareness regarding preventing risky behaviors through a health education program for students of SMPN 23, Padang City. The activity methods include preparation and problem identification stages, coordination with partners, and implementation stages, including interactive counseling, group discussions, and distribution of leaflets and promotional banners. The first day of education targeted all students in grades VII and VIII of SMPN 23 Padang. On the second day, education focused on members of the Adolescent Health Cadre (KKR) and the Student Council (OSIS), totaling 27 people. Evaluation was carried out with pre-tests and post-tests to measure the increase in knowledge. The activity results showed a significant increase in the average knowledge score of the cadre students (77.78 to 94.07). In addition, the students showed enthusiasm and active involvement throughout the activity. This educational activity was successfully implemented smoothly and brought about an increase in knowledge among students, KKR cadres, and OSIS. Cadre students understand their role and are expected to be able to serve as peer educators when their peers encounter health issues or risky behavior. Similar activities, involving teachers and parents, need to be implemented continuously to optimize risky behavior prevention.
Exploring Adolescent Pregnancy Expectations in Continuity of Midwifery Care: A Qualitative Study in Indonesia Susanti, Dewi; Hardisman, Hardisman; Yusrawati, Yusrawati; Mudjiran, Mudjiran; Machmud, Rizanda; Nursal, Dien Gusta Anggraini; Maputra, Yantri; Hasnita, Evi
Jurnal Bidan Cerdas Vol. 5 No. 4 (2023)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v5i4.2339

Abstract

Introduction: Adolescent pregnancy presents a significant challenge to global reproductive health, including in Indonesia. The unique obstacles that young pregnant women encounter when seeking appropriate and supportive healthcare services call for a deeper understanding to improve maternal care. Purpose: This study aims to explore the expectations of young pregnant women regarding continuous midwifery care in Indonesia. Method: This research employed an exploratory qualitative approach, conducting 13 face-to-face interviews between January and June 2022. Participants included midwives, young mothers, a coordinating midwife, and Mother and Child Health (MCH) program holders. Interviews, lasting 1-1.5 hours, were conducted, and the interview data were rigorously analyzed thematically by the research team, strengthening data reliability through triangulation. Results: Continuity management emphasizes friendly service, privacy, clear communication, and comprehensive health assessments. Informational continuity involves comprehensive information, direct communication, attractive aids, and health education evaluation. Relational continuity highlights comprehensive maternal care, family tradition approval, reminders, and efficient care. The study underscores the importance of tailored, holistic, and culturally sensitive midwifery care for young pregnant women's overall well-being. Conclusion:   This study highlights adolescent pregnant women's unique needs, focusing on continuity management, informational continuity, and relational continuity. Proposed strategies include tailored health services, comprehensive maternal education, cultural sensitivity training for healthcare providers, policy integration, and diverse research. Successfully implementing these measures can significantly enhance maternal care outcomes for Indonesian adolescents.
Co-Authors - Afrizal A. Aziz Djamal Abdi Setya Putra Abdiana Abdiana Abdiana, Abdiana Adang Bachtiar Addientya Maykeza Adelin, Prima Adrial Adrial, Adrial Afrizal Afrizal Afrizal Afrizal Amelin, Fitrisia Amrin Alkamar Andani Eka Putra Anna Faluzi ANNISA WAHYUNI Apriyeni, Emira Ari Sukma Nela Ariadi, Ariadi Ariescha, Putri Ayu Yessy arif, yulastri Arina Widya Murni Artha Budi Susila Duarsa Astiena, Adila Kasni Audia Tria Putri Ayu Nurdiyan Aziz Djamal Azrimaidaliza Basok, Buhari Bestari Jaka Budiman Bobby Indra Utama Br Ginting Munthe, Novita Candra Deni Mairosa Cantika Dinia Zulda Dally Rahman DEDI FATRIDA Defriman Djafri Defrin, Defrin Delfilaura, Asyifa Delmi Sulastri Denas Symond Desmiwarti Desmiwarti Desmiwarti Desmiwarti Desy Nofita Sari Devi Gusmaiyanto Dewi Susanti Dhyna Lidya Lestari Dia Rofinda, Zelly Dia Dian Pertiwi Dolly Irfandy Dorisnita Dorisnita Dorisnita Dorisnita dorisnita, dorisnita Dwiana Ocviyanti Edi Efian Edison Edison Effy Huriyati Efrida Efrida Eko Setiawan Ekowati Rahajeng Elly Usman Elyasina Elyasina Emeraldy Chatra Eny Yantri Erlina Burhan Esi Afriyanti Evi Hasnita Ezalina, Ezalina Fachry Abda El Rahman Fadila, Zurayya Fairuza Muharammy Fakhri, Muhamad Fathiyyatul Khaira Fathiyyatul Khaira, Fathiyyatul Fauziah Elytha Febrina, Raissa Fenty Anggraini Ferdinal Ferry Ferry, Ferdinal Finny Fitri Yani Finny Fitry Yani Firdawati Firdawati, Firdawati Fitra Dini Fitra Gusfriyanto Fitrayeni Fitrayeni Hamzah, Prima Kurniati Hardisman Harinal Afri Resta Harmawati Harum Nurdinah Haryadi Mangkuto Hasmiwati Hendriani, Intania Dwiputri Hendriati, Hendriati Herman, Deddy Husna Yetti Huvaid, Sevilla Ukhtil Ida Rahmah Burhan Indah Edranovi Putri Indah Syafira Praja Irvan Medison Irvan Medison Irvan Medison Irwanto, Engga Lift Isnati Isnati Isniati Jafril Jafril Jendrius Jendrius Kamal Kasra Kuswardani Susari Putri Lendrawati Lendrawati Leona, Denada Florencia Lili Fajria Lindesi Yanti Linosefa Linosefa M. Abduh Firdaus Mahata, Liganda Endo Mahathir, Mahathir Mahyuni, Eni Maryeti Maryeti Masrul Masrul Mayetti Mayetti Melinda Noer Mery Febriyeni Mike Ayu Wulandari mimi rosiska Mira Susanti Monalisa Monalisa Mudjiran Muhamad Ivan Munthe, Novita Br Ginting Murniwati Murniwati Murniwati Murniwati Nasman Puar Neherta, Meri Nelmi Silvia Nelwati, Nelwati Nency Agustia Nilakesuma, Nur Fadjri Nita Afriani Nopriadi . Novi Yudia Nur Afrainin Syah Nur Indrawati Lipoeto Nur Indrawaty Lipoeto Nurmaines Adhyka, Nurmaines Nursyirwan Effendi, Nursyirwan Nursyrwan Effendi Nurulia Muthi Karima Nusyirwan Effendi Nuzulia Irawati P.A Kodrat Pramudho Prof. Syed Mohamed Aljunid Prof. Syed Mohammed Aljunid Putri Nelly Syofiah Putri Nilam Sari Putri Sri Lasmini Putri Sri Lasmini, Putri Sri R Nona Millani Rahayuningsih, Atih Rahmad Gurusinga Rahmat Syawqi Rasyid, Hauda El Ratna Lestari Habibah Rena Regina Erwin Reni Prima Gusty Renty Ahmalia Rika Sarfika Rima Berlian Putri Rima Semiarty Rima Suryani Rina Jumita Rismawati Yaswir Riza Yefri Rizki Rahmadian Rohim, Muhamad Fatchur Rosdiyanto, Rosdiyanto Rosfita Rasyid Roslaili Rasyid Rosmeri Rosha Rosmery Rosmery Rulifa Syahroel Russilawati, Russilawati Sari, Nur Mala Sari, Yulia Margaretta Soetrisno Soetrisno Soetrisno Soetrisno Suci Rahmasari Sukri Rahman Surya Nelis Susi Erianti Suspenti Dewi Syafrawati Syahredi Adnani Utami, Sherly Putri Vera Sesrianty Vitro Darma Yusra Vivi Syofia Sapardi Wahyuni, Annisa Widayat Alviandi Widiya Wati Yan Edward Yandrizal Yandrizal Yanni, Mefri Yantri Maputra Yashinta Octavian Setyanda Yaslinda Yaunin Yefri Zulfiqar Yenita . Yolazenia Yolazenia Yonrizal Nurdin Yudhia Fratidhina Yulia Efni Yulia Margaretta Sari Yuliarni Syafrita Yunarti Yunarti Yundari, Yundari Yuniar Lestari Yuriko Andre Yurniwati Yurniwati Yusrawati Yusrawati