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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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Journal : Jurnal Kesehatan Reproduksi

 1 
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
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