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SIREGAR, RAHMAH JULIANI
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Determinants of Stunting Among Children Under Five Years in Indonesia: Evidence from the 2021-2022 Demographic and Health Survey Siregar, Rahmah Juliani; Harahap, Maryam Latifah; Suryani, Elvi
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.794

Abstract

At the global level, the prevention of stunting is one of the Sustainable Development Goals (SDGs). Indonesia is currently working towards achieving the second Sustainable Development Goal, which entails ending hunger, ensuring food security, improving nutrition, and supporting sustainable agriculture. As a part of this objective, efforts are being made to decrease the prevalence of stunting in children by 2025. Attention towards stunting is crucial as it can adversely affect children's physical and cognitive development well into adulthood if not addressed appropriately. This paper conducted a literature review from various sources, with a focus on google scholar and prioritizing sources from the last five years, as well as research on the population in Indonesia. It was determined through the analysis of several sources that maternal, child, and environmental factors pose various risks for stunting in Indonesia. Maternal factors that may play a role in child development include the mother's age, upper arm circumference, height, breastfeeding or complementary feeding practices, early initiation of breastfeeding and food quality during pregnancy. A history of low birth weight or prematurity, male sex, neonatal illness, frequent and recurrent diarrhea, infectious diseases, and lack of immunization are among the child factors associated with developmental outcomes. Factors such as living in a low socio-economic environment, limited family education, especially maternal education, insufficient household income, open defecation in rivers, gardens or inadequate latrines, consumption of untreated drinking water and high exposure to pesticides are also associated with the prevalence of stunting.
The Influence of Postpartum Exercise on Uterine Involution Speed in Postpartum Mothers Fatimah; Harahap, Maryam Latifah; Siregar, Rahmah Juliani; Suryani, Elvi
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 1 (2024): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i1.950

Abstract

The postpartum period begins a few hours after the birth of the placenta and continues until approximately 6 weeks after childbirth. According to the World Health Organization (WHO), an estimated 830 women die every day due to complications from pregnancy and childbirth. In 2015, approximately 303,000 women died during pregnancy, childbirth, or in the postpartum period. The theme of this study is to investigate the influence of postpartum exercise on the speed of uterine involution among postpartum mothers at BPM Mona Durryah Siregar, SKM in North Padangsidimpuan District. This study utilized a quasi-experimental design with a pretest-posttest only design. The research was conducted at BPM Mona Durryah Siregar, SKM in North Padangsidimpuan District. The population consisted of 10 postpartum mothers, with a sample size of 10. Data analysis included univariate and bivariate analyses. The results of the study showed a significant decrease in uterine fundus height among the 10 respondents, with a percentage of 2.70%. None of the respondents experienced subinvolution after the postpartum exercise intervention. However, 10 respondents faced challenges in decreasing uterine fundus height both before and after the intervention. The Wilcoxon ρ-value test of 0.004 indicates that postpartum exercise influences the speed of uterine involution among postpartum mothers. The implications of this study suggest that implementing postpartum exercise therapy can accelerate uterine involution among postpartum mothers. It is recommended that these findings be used to develop counseling programs related to postpartum exercise at BPM Mona Durryah Siregar, SKM.
Promotion the Dangers of Smoking in Adolescents at SMAN 8 Padang Sidempuan in 2022 Siregar, Rahmah Juliani; Lisna Khairani Nasution; Elvi Suryani; Dewi Aminasty Siregar; Fatimah
IJCS: International Journal of Community Service Vol. 1 No. 2 (2022): IJCS: International Journal of Community Service
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijcs.v1i2.282

Abstract

Smoking is a habit of smoking cigarettes that is carried out in everyday life, is a necessity that cannot be avoided for people who have a tendency towards smoking. Cigarettes are one of the addictive substances that can lead to dependence for the wearer. The addictive nature of cigarettes comes from the nicotine they contain. After someone inhales cigarette smoke, within 7 seconds nicotine will reach the brain. All health experts including the World Health Organization (WHO) have long concluded that smoking has many negative health impacts, especially for children and their future. Cigarettes contain 4000 chemicals with 200 types of which are carcinogenic (can cause cancer), where these toxic materials are found in the main smoke, namely cigarette smoke which is inhaled directly into the smoker's lungs and side smoke, namely cigarette smoke produced by the tip of the cigarette that is burning, for example carbon monoxide, benzopyrene, and ammonia. This PKM activity aims to increase the knowledge of teenagers at SMA N 8 Padangsidimpuan about the dangers of smoking by providing education related to efforts to increase knowledge about MKJP. The method used in carrying out this activity is through lectures and discussions. The results of this PKM activity aim to increase knowledge by providing Communication, Information and Education (IEC) with good KIE there will be a communication process with the dissemination of information that accelerates behavior change from the community.
Implementation of Continuity of Care in New Born and Toddlers in the Era of the Covid 19 Pandemic In Napa Village, Angkola Selatan District, Tapanuli Selatan Regency Harahap, Maryam Latifah; Rahmah Juliani Siregar; Fatimah; Elvi Suryani; Cut Khairunnisah Harahap; Ayu Ariana; Aisyah Siregar
IJCS: International Journal of Community Service Vol. 1 No. 2 (2022): IJCS: International Journal of Community Service
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijcs.v2i1.287

Abstract

Medium Indonesian face disaster non-nature national Covid-19 so that service maternal and neonatal health to be wrong one affected services impact good in a manner access nor quality. order mother and baby permanent could always get care continuous During period pandemic, then as power health especially midwife could conducted care sustainable midwifery (Continuity of care) on Mother and family. On period pandemic this power health must more innovative in carry out care to family , however permanent must notice protocol health related Covid-19 in give care on mother especially newborns (BBL) and ba lita. The goal to be achieved in activity this is for ensure that Mother accept all his upbringing from one midwife or team in practice, also for know the definition, benefits, implementation and for increase tkan number level more health good on newborns (BBL) to toddlers, healthy physical and grow as well as develop normally in the era pandemic C ovid-19. The method used with do surveys and interview for data collection, data analysis, data presentation , formulating discussion and next given communication, information and education (KIE) conducted with 2 method , that is online with use including applications SMS, zoom, WA and application other . And the direct way is to hold counseling by complying with health protocols.
Application of Sujok Complementary Alternative Therapy to Reduce Pain Scale Levels in Patients with Heel Pain Harahap, Maryam Latifah; Suryani, Elvi; Siregar, Rahmah Juliani
IJCS: International Journal of Community Service Vol. 3 No. 1 (2024): January-June
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijcs.v3i1.793

Abstract

Heel Pain is pain at the bottom, back, or inside of the heel due to musculoskeletal disorders or specific conditions. One of the complementary alternative therapies that can be used to reduce the pain scale of Patients with heel pain are using Sujok therapy. Providing Sujok therapy is part of the integration of teaching and community service activities carried out by students and lecturers in Nursing at the Faculty of Medicine, Public Health and Nursing, Gadjah Mada University. Two patients with heel pain problems provided with Sujok therapy using a massage method with a probes in the hand which is a basic correspondence system. After that, fenugreek seeds were placed on the painful points that have been massaged previously. The pain scale was measured before and after therapy. It was found that the pain decreased from scale 7 to scale 5 in the first patient and scale 5 to scale 3 in the second patient. The conclusion from the results of community service activities shows that Sujok therapy uses a massage method on basic correspondence system and also attaching fenugreek seeds can be an effective alternatives complementary therapy for reducing the levels of pain scale in patients with heel pain.
HUBUNGAN LAMA PEMAKAIAN DENGAN EFEK SAMPING KONTRASEPSI SUNTIK 3 BULAN PADA AKSEPTOR KB Siregar, Rahmah Juliani; Harahap, Maryam Latifah
Jurnal Ilmiah Keperawatan Vol 4 No 2 (2021): JURNAL MUTIARA NERS
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v4i2.1951

Abstract

PENGARUH SIMPLISIA DAUN PEPAYA TERHADAP KECUKUPAN ASI PADA BAYI USIA 0-6 BULAN DI DESA PURBA TUA KECAMATAN PADANGSIDIMPUAN TENGGARA TAHUN 2021 Harahap, Maryam Latifah; Siregar, Rahmah Juliani
Jurnal Ilmiah Keperawatan Vol 5 No 1 (2022): JURNAL MUTIARA NERS
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v5i1.1964

Abstract

Breast milk contains high nutrients and substances that are useful for the needs of optimal growth and development needed by babies. Its high nutritional content and the presence of immune substances in it make breast milk the main and most perfect source of food for babies. Breast milk contains substances for development, intelligence, immune substances (prevents various diseases), can establish love between mother and baby, delay pregnancy, reduce the risk of breast cancer, and is a special happiness for mothers (Linda, 2019). One of the factors that causes a lack of breastfeeding is less milk production. Problems in the mother are inverted nipples, mastitis or breast abscess, swollen breasts, and sore nipples. In infants, generally it is an error in lactation management, which causes a decrease in breast milk production (lack of breast milk syndrome) (Kumala, Rini, 2017). Papaya leaf simplicia contains alkaloids that are useful for breastfeeding mothers in facilitating breast milk. Because the content can stimulate the release of breast milk (Kurnia, 2018). The purpose of this study was to find out how the Effect of Papaya Leaf Simplicia (Carica Papaya L) on the Adequacy of Breastfeeding in Infants Age 0-6 Months in PurbaTua Village, Southeast Padangsidimpuan District in 2021. Types The research used was experimental research with a prettestposttest only control group design. Using purposive sampling with the number of respondents as many as 16 people, namely the experimental group respondents as many as 8 people and the control group as many as 8 people. Based on the results of the study, it showed that there was an effect of papaya leaf simplicia (Carica Papaya L.) on the adequacy of breast milk in infants aged 0-6 months in PurbaTua Village, Southeast Padangsidimpuan District in 2021 with p-value = 0.028 <0.05. This study is expected to be useful for midwifery services and the development of midwifery science in using papaya leaf extract as an alternative to facilitate breastfeeding so that breastfeeding is sufficient. It is recommended for postpartum mothers, in order to get sufficient milk output, they can use alternatives to consume papaya leaf simplicia (Carica Papaya L) during breastfeeding.
Counseling on Hypertension in the Elderly in Lubuk Raya Village in 2024 Siregar, Rya Anastasya; Batubara, Novita Sari; Said, Arisa Harfa; Harahap, Maryam Latifah; Siregar, Rahmah Juliani
IJCS: International Journal of Community Service Vol. 3 No. 2 (2024): July-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijcs.v3i2.617

Abstract

The elderly are an age group that is vulnerable to various health problems. Classification of the elderly According to WHO, an elderly person is someone who has reached the age of 60 years and above. Hypertension is a high blood pressure disease whose prevalence is still high in Indonesia. According to data from the Ministry of Health, the prevalence of hypertension in Indonesia itself reaches 34.11% of the population. Factors that influence the incidence of hypertension include genetics, race, regional, socio-culture which also relate to different lifestyles so that the incidence rates vary. The form of this activity is counseling to the community with lecture methods, discussions and demonstrations equipped with various media and snack distribution. Results: Based on the evaluation results, the elderly have understood what has been conveyed. It is expected that the community will control their blood pressure regularly every day.
Health Education on Vaginal Discharge in Adolescents in Pargarutan Jae Village in 2025 Siregar, Rya Anastasya; Harahap, Maryam Latifah; Siregar, Rahmah Juliani; Heriansyah, Rizka; Endang, Tapi; Batubara, Novita Sari
International Journal of Community Service (IJCS) Vol. 4 No. 1 (2025): January-June
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijcs.v4i1.1055

Abstract

Vaginal discharge is a reproductive health issue among adolescents, particularly among women. Vaginal discharge in adolescents requires special attention. If left untreated, it can lead to serious health problems. Vaginal discharge is normal. It occurs before menstruation. It is within normal limits as long as it is clear or translucent, odorless, non-itchy, and not excessive in quantity. The purpose of this community service program is to provide knowledge about vaginal discharge to adolescent girls. The sample consisted of 18 adolescent girls in Pargarutan Jae Village, Padangsidimpuan. The results of this community service program indicate that health education regarding vaginal discharge for adolescent girls can have a positive impact on their personal hygiene, as seen before and after the education. The conclusion is that education about vaginal discharge is essential for adolescent girls to maintain personal hygiene and prevent cervical cancer.
Analysis of Anemia Screening Policy Implementation for Pregnant Women in Tier I Healthcare Facilities: A Mixed-Methods Study in Urban-Rural Areas of South Tapanuli Fatimah, Fatimah; Suryani, Elvi; Siregar, Rahmah Juliani; Harahap, Maryam Latifah
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 1 (2025): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i1.1066

Abstract

Background: Anemia in pregnant women remains a significant public health issue in Indonesia, including in South Tapanuli. Anemia screening is a crucial policy for early detection and timely intervention, yet its implementation in primary healthcare facilities (Tier I) remains suboptimal. Objective: This study aims to analyze the implementation of anemia screening policies for pregnant women in Tier I healthcare facilities across urban-rural areas of South Tapanuli using a mixed-methods approach. Methods: The study employed a sequential explanatory mixed-methods design, combining quantitative data (a survey of 150 pregnant women and 30 healthcare workers) and qualitative data (in-depth interviews with 15 stakeholders, including health workers and policymakers). Quantitative data were analyzed using descriptive statistics, while qualitative data were examined using framework analysis. Results: Quantitatively, anemia screening coverage reached 68%, with disparities between urban (78%) and rural (58%) areas. Barriers included limited equipment, insufficient healthcare worker training, and low public awareness. Qualitative findings revealed issues in inter-stakeholder coordination, uneven budget allocation, and inadequate policy socialization. Conclusion: The implementation of anemia screening policies in South Tapanuli remains suboptimal, particularly in rural areas. Improvements in infrastructure, healthcare worker training, and culturally adapted community education are needed to enhance screening coverage.
Co-Authors Aisyah Siregar Ayu Ariana Bagaskorowati, Riana Batubara, Novita Sari Cut Khairunnisah Harahap Dewi Aminasty Siregar Elvi Suryani Endang, Tapi Fatimah fatimah Fatimah Fernaldy, Devrich Heriansyah, Rizka Ihram Kurnia Agusta Lisna Khairani Nasution Maryam Latifah Harahap Maryam Latifah Harahap Mohamed , Rasidah Binti Norma Yanti Rambe Normayanti Rambe Rambe, Norma Yanti Rya Anastasya Siregar Said, Arisa Harfa Siregar, Rya Anastasya Suryani, Elvi Susi Febriani Yusuf