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All Journal Jurnal Kesehatan Reproduksi Jurnal Ekologi Kesehatan Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research)
Ika Saptarini
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Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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PREGNANCY INTENTION AND UTILIZATION OF MATERNAL AND CHILD HEALTH CARE SERVICES IN INDONESIA Ika Saptarini; Diahhadi Setyonaluri
Jurnal Kesehatan Reproduksi Vol 9 No 1 (2018): JURNAL KESEHATAN REPRODUKSI VOL 9 NO.1 TAHUN 2018
Publisher : Puslitbang Upaya Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (354.389 KB)

Abstract

Background: Antenatal care, delivery by skilled birth attendants postnatal care and completed immunization help improve maternal and child health. Objective: This study investigates the association between pregnancy intention and utilization of mother and child health care. Method: The study used The Indonesian Demographic Health Survey 2012. Four regression models were used to identify the association between pregnancy intention and continuum of care for mothers and their children. Results: More than one-fifth (25.5%) of the respondents received the five types of maternal and child health care. Fifteen percent of women reported that their last pregnancy was undesirable. Pregnancy intention was significantly associated with receiving adequate antenatal care (OR: 0.53, 95% CI, 0.46-0.60), utilization of antenatal care and delivery by skilled birth attendants (OR: 0.62, 95% CI, 0.55-0.71), utilization of antenatal care, skilled birth attendance and postnatal care (OR: 0.82, 95% CI, 0.72-0.93), but not for utilization of antenatal care, skilled birth attendance, postnatal care and completed immunization (OR: 1.06, 95% CI, 0.91-1.22) after controlling for socio-demographic variables and obstetric factors. Conclusion: Interventions are needed to reduce unintended pregnancies such as improving access to family planning services.
HUBUNGAN KEPEMILIKAN BUKU KIA TERHADAP PENINGKATAN PEMANFAATAN PELAYANAN KESEHATAN MATERNAL DI INDONESIA Suparmi Suparmi; Anissa Rizkianti; Iram Barida Maisya; Ika Saptarini
Jurnal Kesehatan Reproduksi Vol 9 No 2 (2018): JURNAL KESEHATAN REPRODUKSI VOLUME 9 NO. 2 TAHUN 2018
Publisher : Puslitbang Upaya Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (261.416 KB) | DOI: 10.22435/kespro.v9i2.1014.159 - 166

Abstract

Background: One effort to reduce maternal mortality (MMR) is to increase the use of maternal and child health books (MCH books) as a source of information and maternal health record. However, there are still limited research findings related to the ownership of MCH books. Objective: This study aimed to measure the relationship of MCH book ownership to the increased utilization of maternal health services in Indonesia. Method: Secondary data analysis of the 2016 National Health Indicator Survey (Sirkesnas) was used with a cross-sectional design. The population is all women 10-54 years who gave birth to the last child in the last three years. The number of samples was 7149 respondents. The dependent variable includes antenatal visits, delivery assisted by health professionals and delivery in a health facility. The independent variable is the ownership of the MCH book and the characteristics of the mother (age, occupation, education and residence). Multivariate analysis used multiple logistic regression with 95 percent confidence interval. Results: More than half (57.5%) of mothers have MCH books. After being controlled by maternal characteristics (age, education, place of residence and occupation), MCH book ownership is related to the use of antenatal care services (OR = 2.31, 95% CI: 0,000), delivery by health professionals (OR = 4.49, 95% CI: 0,000), and delivery in a health facility (OR = 2.71, 95% CI: 0,000). Conclusion: The ownership of the MCH handbook is related to the increased utilization of antenatal (K4) services, delivery assisted by health professionals and delivery in a health facility. Latar belakang: Salah satu upaya menurunkan angka kematian ibu (AKI) adalah meningkatkan pemanfaatan buku kesehatan ibu dan anak (buku KIA) sebagai sumber informasi dan pencatatan kesehatan ibu. Namun, masih terbatas hasil penelitian yang berhubungan dengan kepemilikan buku KIA. Tujuan: Studi ini bertujuan mengukur hubungan kepemilikan buku KIA terhadap peningkatan pemanfaatan pelayanan kesehatan maternal di Indonesia. Metode: Analisis data sekunder Survei Indikator Kesehatan Nasional (Sirkesnas) 2016 digunakan dengan desain potong lintang. Populasi adalah semua wanita 10-54 tahun yang melahirkan anak terakhir dalam kurun waktu tiga tahun terakhir. Jumlah sampel adalah 7149 responden. Variabel dependen meliputi kunjungan antenatal, persalinan ditolong oleh tenaga kesehatan dan persalinan di fasilitas kesehatan. Variabel independen adalah kepemilikan buku KIA dan karakteristik ibu (umur, pekerjaan, pendidikan dan tempat tinggal). Analisis multivariat menggunakan regresi logistik ganda dengan derajat kepercayaan 95 persen. Hasil: Lebih dari separuh (57,5%) ibu memiliki buku KIA. Setelah dikontrol oleh karakteristik ibu (umur, pendidikan, tempat tinggal dan pekerjaan), kepemilikan buku KIA berhubungan dengan pemanfaatan pelayanan pemeriksaan kehamilan (OR = 2,31, 95% CI: 0,000), persalinan oleh tenaga kesehatan (OR = 4,49, 95% CI: 0,000), dan persalinan di fasilitas kesehatan (OR = 2,71, 95% CI: 0,000). Kesimpulan: Kepemilikan buku KIA berhubungan dengan peningkatan pemanfaatan layanan antenatal (K4), persalinan ditolong oleh tenaga kesehatan dan persalinan di fasilitas kesehatan.
HUBUNGAN DEPRESI MATERNAL DENGAN FUNGSI KOGNISI ANAK USIA 7 – 14 TAHUN Ika Saptarini; Anissa Rizkianti; Prisca Petty Arfines; Suparmi Suparmi
Jurnal Kesehatan Reproduksi Vol 11 No 2 (2020): JURNAL KESEHATAN REPRODUKSI VOLUME 11 NOMOR 2 TAHUN 2020
Publisher : Puslitbang Upaya Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/kespro.v11i2.3824

Abstract

Abstract Background: Investing in early childhood growth and development is a strategy for preparing a better future generation. Ensuring maternal mental health, including maternal depression, is a significant effort to achieve responsive care. Objective: This study aims to analyse the association between maternal depression and cognitive function of children aged 7 – 14 years at two points, in 2007/2008 and 2014/2015. Methods: This study used IFLS-4 and IFLS-5 data. The unit of analysis were children aged 7 – 14 years and mothers who lived in the same household. Children's cognitive function was measured using the Raven method, while maternal depression was measured using CESD-10. The analysis was performed using linear regression. Results: From the IFLS-4 data, there was a significant association between maternal depression and cognitive function of children aged 7 – 14 years. Children aged 7 – 14 years with mothers with depression have a risk of having cognitive function 0.1 lower which measure with Z-score (SE: 0.05) than children with mothers without depression. However, in IFLS-5, there was no significant association between maternal depression and cognitive function. Conclusion: There were different results regarding the association between maternal depression and cognitive function of children aged 7 – 14 at the two points observed. Further studies need to be done to analyse the causality between maternal depression and cognitive function in children. Keywords: cognitive function, maternal depression. CESD-10, the raven test Abstrak Latar belakang: Investasi pada tumbuh kembang anak usia dini merupakan strategi menyiapkan generasi penerus bangsa yang lebih baik. Menjaga kesehatan mental ibu termasuk depresi maternal merupakan upaya untuk mencapai pengasuhan yang responsif. Tujuan: Studi ini bertujuan untuk melihat hubungan antara depresi maternal dengan fungsi kognisi anak usia 7 – 14 tahun pada dua titik yaitu tahun 2007/2008 dan tahun 2014/2015. Metode: Studi ini menggunakan data IFLS-4 dan IFLS-5. Unit analisis adalah anak usia 7 – 14 tahun dan ibu yang tinggal dalam satu rumah. Kognisi anak diukur menggunakan metode Raven, sedangkan depresi maternal diukur menggunakan CESD-10. Analisis dilakukan menggunakan regresi linear. Hasil: Dari data IFLS-4 didapatkan hubungan yang bermakna antara depresi maternal dan fungsi kognisi anak usia 7 – 14 tahun. Anak usia 7 – 14 tahun dengan ibu mengalami depresi berisiko memiliki fungsi kognisi 0,1 lebih rendah yang dinilai menggunakan Z-score (SE:0,05) dibanding anak dengan ibu tanpa depresi. Namun pada IFLS-5 tidak terdapat hubungan yang bermakna antara depresi maternal dan fungsi kognisi. Kesimpulan: Terdapat hasil yang berbeda terkait hubungan depresi maternal dan fungsi kognisi anak usia 7 – 14 tahun pada dua titik tahun yang diamati. Perlu dilakukan studi lanjutan untuk melihat kausalitas antara depresi maternal dan fungsi kognisi anak. Kata kunci: fungsi kognisi, depresi maternal, CESD-10, tes raven
PROFIL LINGKUNGAN HIDUP BALITA DAN TINGKAT KEMATIAN ANAK MENURUT FAKTOR LINGKUNGAN: DATA SDKI 2017 Tin Afifah; Ika Saptarini; Joko Irianto; Heny Lestary; Cahyorini Cahyorini; Andi Susilowati
JURNAL EKOLOGI KESEHATAN Vol 20 No 3 (2021): JURNAL EKOLOGI KESEHATAN VOLUME 20 NOMOR 3 TAHUN 2021
Publisher : Puslitbang Upaya Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/jek.v20i3.5418

Abstract

ABSTRACT Environmental health is one of the factors that play a role in the level of health status of the population. Child mortality is one indicator of health status. The survival of children is very dependent on environmental conditions. The purpose of this article is to present a profile of the distribution of children under five years according to the health of the family's living environment and the child's mortality rate according to the characteristics and health of the environment. Data analysis of the 2017 IDHS used was toddlers who were born alive with de jure residence status. The variables studied were sources of drinking water, sanitation facilities, and main floor materials as well as mother's education, and place of residence. The descriptive analysis according to the classification of residence and the estimation of the calculation of the mortality rate for neonatal mortality rate, infant mortality rate, child mortality rate and under-five mortality rate using STATA 15 techniques. The results showed that 1 in 10 children under five in Indonesia lives in a household that does not have sanitation facilities. Most of the children under five live with families uses proper drinking water sources, and 8 out of 10 children under five live in houses with floors made of finished materials. Children under five who live in families with sanitation facilities, sources of proper drinking water and floors made of finished materials have a tendency for lower child mortality rates compared to other groups. It can be concluded that sanitation facilities and proper drinking water sources as well as floors made of finished materials support the survival of children under five years in Indonesia. Keywords: survival of children, child mortality rate, environmental health, sanitation, drinking water source ABSTRAK Kesehatan lingkungan merupakan salah satu faktor yang berperan dalam tingkat derajat kesehatan penduduk. Angka kematian anak merupakan salah satu indikator derajat kesehatan. Kelangsungan hidup anak sangat tergantung dari kondisi lingkungannya. Tujuan penulisan artikel adalah menyajikan profil distribusi balita menurut kesehatan lingkungan rumah tinggal keluarga serta tingkat kematian anak menurut karakteristik dan kesehatan lingkungannya. Analisis data SDKI 2017 yang digunakan adalah balita yang lahir hidup dengan status tempat tinggal de jure. Variabel yang diteliti adalah sumber air minum, fasilitas sanitasi, dan bahan lantai utama serta pendidikan ibu, dan tempat tinggal. Analisis secara deskripsi menurut klasifikasi tempat tinggal dan estimasi penghitungan angka kematian neonatal, angka kematian bayi, angka kematian anak balita dan angka kematian balita secara teknik langsung menggunakan STATA 15. Hasil menunjukkan terdapat 1 dari 10 balita di Indonesia tinggal di rumahtangga yang tidak memiliki fasilitas sanitasi. Sebagian besar balita tinggal dengan keluarga yang menggunakan sumber air minum layak, dan terdapat 8 dari 10 balita yang tinggal di rumah dengan lantai dari bahan jadi. Balita yang tinggal pada keluarga dengan fasilitas sanitasi, sumber air minum layak dan lantai dari bahan jadi mempunyai kecenderungan angka kematian anak yang lebih rendah dibanding dengan kelompok lainnya. Dapat disimpulkan bahwa fasilitas sanitasi dan sumber air minum yang layak serta lantai dari bahan jadi mendukung terhadap kelangsungan hidup balita di Indonesia. Kata kunci: kelangsungan hidup anak, angka kematian anak, kesehatan lingkungan, sanitasi, sumber air minum
FAKTOR DETERMINAN BALITA STUNTING PADA DESA LOKUS DAN NON LOKUS DI 13 KABUPATEN LOKUS STUNTING DI INDONESIA TAHUN 2019 Yurista Permanasari; Ika Saptarini; Nurilah Amalia; aditianti aditianti; Amalia Safitri; Nuzuliyati Nurhidayati; Yunita Diana Sari; Prisca Pretty Arfines; Irlina R. Irawan; Dyah Santi Puspitasari; Febriani Syahrul; Budi Setyawati; Rika Rachmawati; Elisa Diana Julianti; Rika Rachmalina; Andi Susilawati; Novianti Sihombing; Sisca Dwi Kumlasari
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 44 No. 2 (2021): PGM VOL 44 NO 2 TAHUN 2021
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v44i2.5665

Abstract

ABSTRACT The implementation of government policies in stunting prevention has been carried out from the central level to the village level. The Ministry of Home Affairs annually establishes stunting locus villages in 34 provinces. At the stunting locus village, sensitive and specific interventions were carried out. Many factors influence the prevalence of stunting. This study aims to determine the determinants of stunting in locus and non-locus villages in 13 stunting locus districts in Indonesia. This study was a quantitative study with a cross-sectional design. The study was conducted in 13 districts of stunting locus. Each district was chosen one sub-district which was then selected one locus of stunting village and one village of non locus. In each village 90 children were selected. Data analysis was carried out univariate, bivariate, and multivariate with logistic regression test to see the relationship between independent and dependent variables after being controlled by several variables. The results showed that 20 percent lower chance of stunting in locus villages than non locus villages. Toddlers who are breastfed for more than 24 months have a 1.7 times risk of becoming stunted. Toddlers who do not do early initiation of breastfeeding have a 1.5 times risk of becoming stunted compared to toddlers who do early initiation of breastfeeding. High maternal education can prevent stunting 2 times compared to mothers with low education. The selection of stunting locus villages affects the prevalence of stunting. In addition, several determinant factors influence the incidence of stunting, namely the sex of the child, the duration of breastfeeding more than 24 months, the child's age, early initiation of breastfeeding, growth monitoring, the mother's age and the mother's education. ABSTRAK Implementasi kebijakan pemerintah dalam pencegahan stunting telah dilaksanakan mulai dari tingkat pusat sampai tingkat desa. Kementerian Dalam Negeri setiap tahun menetapkan desa lokus stunting di 34 provinsi. Pada desa lokus stunting dilakukan intervensi sensitif dan spesifik. Banyak faktor yang mempengaruhi prevalensi stunting. Studi ini bertujuan untuk mengetahui faktor determinan kejadian stunting pada desa lokus dan non lokus di 13 kabupaten lokus stunting di Indonesia. Studi ini merupakan studi kuantitatif dengan desain potong lintang. Penelitian dilakukan di 13 Kabupaten lokus stunting, setiap kabupaten dipilih satu kecamatan yang kemudian dipilih satu desa lokus stunting dan satu desa non lokus. Pada setiap desa dipilih 90 balita. Analisis data dilakukan secara univariat, bivariat, dan multivariat dengan uji regresi logistik untuk melihat hubungan variabel bebas dan terikat setelah dikontrol oleh beberapa variabel. Hasil penelitian memperlihatkan bahwa peluang terjadinya stunting 20 persen lebih rendah di desa lokus dibanding desa non lokus. Balita yang mendapatkan ASI lebih dari 24 bulan berisiko 1,7 kali menjadi stunting. Balita yang tidak melakukan inisiasi menyusui dini (IMD) berisiko 1,5 kali menjadi stunting dibandingkan dengan balita yang melakukan IMD. Pendidikan ibu yang tinggi dapat mencegah kejadian stunting 2 kali dibandingkan ibu berpendidikan rendah. Pemilihan desa lokus stunting memengaruhi kejadian stunting. Selain itu, terdapat beberapa faktor determinan yang memengaruhi kejadian stunting yaitu jenis kelamin anak, durasi menyusui ASi lebih dari 24 bulan, usia anak, IMD, pemantauan pertumbuhuan, umur ibu dan pendidikan ibu. [Penel Gizi Makan 2021, 44(2):79-92]
Co-Authors Aditianti Aditianti Amalia Safitri Andi Susilawati Andi Susilowati Anissa Rizkianti Budi Setyawati Cahyorini Cahyorini Diahhadi Setyonaluri Dyah Santi Puspitasari Elisa Diana Julianti Febriani Syahrul Heny Lestary Iram Barida Maisya Irlina R. Irawan Joko Irianto Novianti Sihombing Nurilah Amalia Nuzuliyati Nurhidayati Prisca Petty Arfines Prisca Pretty Arfines Rika Rachmalina Rika Rachmawati Sisca Dwi Kumlasari Suparmi Suparmi Suparmi Suparmi Tin Afifah Yunita Diana Sari Yurista Permanasari