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ANALISIS HASIL JANGKA PENDEK PELAKSANAAN KONSELING PEMBERIAN MAKAN BAYI DAN ANAK MENGGUNAKAN PEMODELAN RASCH Nurwulansari, Fitria; Sunjaya, Deni Kurniadi; Gurnida, Dida Akhmad
GIZI INDONESIA Vol 41, No 2 (2018): September 2018
Publisher : PERSATUAN AHLI GIZI INDONESIA

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The first thousand days of life is a golden period that determines the quality of life in the future. Practice of Infant and Young Child Feeding (IYCF) that are not appropriate during this period can cause stunting. One of the government’s efforts to improve IYCF practice is IYCF Counseling. IYCF counseling can improve knowledge, attitude, and encourage the occurance of IYCF behavior. This study aims to analyze the short results of IYCF counseling on the knowledge and attitude of Mothers who have and have not been given IYCF counseling in Cireunghas District, Sukabumi. The instrument was used a modified knowledge and attitude questionnaire about IYCF. Rasch modeling was used for analysis of questionnaire data, the design of this study was a survey method with a cross sectional approach in April 2018 with maternal subjects having children aged 6-23 months totaling 90 people. The items on the instrument are found to have varying discrimination, which indicates that the instrument has the ability to measure. The results show that the counseling material that needs to be emphasized during IYCF counseling is about giving breastfeeding using bottles, giving up to 2 yearsof breastfeeding, the texture of food at the beginning of complementary feeding, and responsive feeding. There needs to be increase in the quality and frequency of IYCF counseling to achieve the expected changes of knowledge and attitude. ABSTRAK Seribu Hari Pertama Kehidupan (1000 HPK) merupakan periode emas yang menentukan kualitas kehidupan di masa yang akan datang. Praktik Pemberian Makan Bayi dan Anak (PMBA) yang tidak tepat pada masa tersebut dapat menyebabkan terjadinya stunting. Salah satu upaya pemerintah dalam meningkatkan praktik PMBA yaitu dengan konseling PMBA. Konseling PMBA dapat meningkatkan pengetahuan, sikap, dan mendorong terjadinya perilaku PMBA sesuai rekomendasi. Penelitian ini bertujuan untuk menganalisis hasil jangka pendek dari pelaksanaan konseling PMBA pada pengetahuan dan sikap ibu yang sudah dan belum diberikan konseling PMBA di Kecamatan Cireunghas Kabupaten Sukabumi. Instrumen yang digunakan adalah kuesioner pengetahuan dan sikap tentang PMBA yang telah dimodifikasi. Pemodelan Rasch digunakan untuk analisis data kuesioner, desain penelitian ini adalah metode survei dengan pendekatan waktu cross sectional pada bulan April 2018 dengan subjek ibu yang mempunyai anak usia 6–23 bulan yang berjumlah 90 orang. Item pada instrumen didapati mempunyai daya diskriminasi yang beragam, yang menunjukkan instrumen mempunyai kemampuan mengukur. Hasil analisis menunjukkan bahwa materi konseling yang perlu ditekankan pada saat konseling PMBA yaitu tentang pemberian ASI menggunakan botol, pemberian ASI hingga 2 tahun, tekstur makanan pada awal MP-ASI, dan responsive feeding. Perlu adanya peningkatan kualitas dan frekuensi dari konseling PMBA untuk mencapai perubahan pengetahuan dan sikap yang diharapkan. Kata kunci: konseling PMBA, pengetahuan, sikap, pemodelan Rasch

A Qualitative Evaluation Study of The Infant and Young Child Feeding Counselling Fitria Nurwulansari; Deni Kurniadi Sunjaya; Dida Akhmad Gurnida; Dewi Marhaeni Diah Herawati; Ieva Baniasih Akbar
Pediomaternal Nursing Journal Vol. 7 No. 2 (2021): VOLUME 7 NO 2 SEPTEMBER 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pmnj.v7i2.28375

Introduction: The Infant and young child feeding (IYCF) counselling program is an international strategy to improve IYCF practices in the community. This study aimed to explore the implementation of the program through the logic model approach.Methods: A qualitative method was employed for this evaluation study. Fifteen participants were selected by purposive random sampling, and data collection was conducted by in-depth interview, focus group discussion, observation, and document study. Data were processed from transcription, reduction, coding, categorizing to data interpretation and assessed by content analysis.Results: IYCF training is a cascading training and a combination of adult and fun learning that effectively produces a mixture of counsellors who can provide counselling using the counselling cards. However, the gap in the number of cadre counsellors and the target of counselling, as well as the limited time, low financial support, over workload, and inadequate supervision, resulted in poor recording and low numbers of clients who had been exposed to counselling. Nevertheless, this counselling has a positive effect on maternal knowledge and attitude. Still, the existence of traditional community practices, family and environmental factors are barriers to the implementation of proper IYCF practices.Conclusion: IYCF counselling effectively improved IYCF practices, so it has to be continued with strengthening the number of counsellors, recording and supervision activities. Changing strategy in counselling by involving other adult household members like grandmother or neighbours are explicitly targeted for more effective in improving the practices of infant and young child feeding.

Hubungan Pengetahuan dengan Perilaku Pencegahan Penularan Covid-19 Pada Ibu Hamil Fitria Nurwulansari; Solihah
Al Tamimi Kesmas: Jurnal Ilmu Kesehatan Masyarakat (Journal of Public Health Sciences) Vol 11 No 1 (2022): Al-Tamimi Kesmas: Jurnal Ilmu Kesehatan Masyarakat (Journal of Public Health Sci
Publisher : STIKes Al-Insyirah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35328/kesmas.v11i1.2160

Non-natural disasters caused by the Corona Virus or Covid-19 have spread and have an impact on maternal and child health problems. Covid-19 virus infection in pregnant women as a vulnerable group worsen the conditions of their pregnancy. Thus, an understanding of Covid-19 and its prevention is needed which will increase the awareness of pregnant women to take preventive measures against Covid-19. The purpose of this study was to analyze the relationship between knowledge and Covid-19 prevention behavior in pregnant women in the Independent Practice of Midwife "T" Bandung Regency. The research design was analytic observational using a cross-sectional approach which was carried out in 2020. The respondents were 55 pregnant women who were selected using a purposive sampling technique. The research instrument used a questionnaire to measure knowledge and behavior to prevent Covid-19. Data analysis were univariate analysis and bivariate analysis using chi square. The results showed that there was a significant relationship between knowledge and Covid-19 prevention behavior in pregnant women with a p-value (0.032) <0.05. Efforts are needed to increase awareness of pregnant women regarding the prevention of Covid-19 both during antenatal service and by developing education through various information media.

Hubungan Pengetahuan dengan Perilaku Pencegahan Penularan Covid-19 Pada Ibu Hamil Fitria Nurwulansari; Solihah
Al Tamimi Kesmas: Jurnal Ilmu Kesehatan Masyarakat (Journal of Public Health Sciences) Vol 11 No 1 (2022): Al-Tamimi Kesmas: Jurnal Ilmu Kesehatan Masyarakat (Journal of Public Health Sci
Publisher : Institut Kesehatan dan Teknologi Al Insyirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35328/kesmas.v11i1.2160

Non-natural disasters caused by the Corona Virus or Covid-19 have spread and have an impact on maternal and child health problems. Covid-19 virus infection in pregnant women as a vulnerable group worsen the conditions of their pregnancy. Thus, an understanding of Covid-19 and its prevention is needed which will increase the awareness of pregnant women to take preventive measures against Covid-19. The purpose of this study was to analyze the relationship between knowledge and Covid-19 prevention behavior in pregnant women in the Independent Practice of Midwife "T" Bandung Regency. The research design was analytic observational using a cross-sectional approach which was carried out in 2020. The respondents were 55 pregnant women who were selected using a purposive sampling technique. The research instrument used a questionnaire to measure knowledge and behavior to prevent Covid-19. Data analysis were univariate analysis and bivariate analysis using chi square. The results showed that there was a significant relationship between knowledge and Covid-19 prevention behavior in pregnant women with a p-value (0.032) <0.05. Efforts are needed to increase awareness of pregnant women regarding the prevention of Covid-19 both during antenatal service and by developing education through various information media.

Pengaruh Edukasi Media Buku Saku Terhadap Pengetahuan dan Sikap Anemia Pada Siswi SMK Islam (Tikung Kabupaten Lamongan) Hidayati Wijaya; Rekawati Susilaningrum; Fitria Nurwulansari; Mamik
Gema Bidan Indonesia Vol. 12 No. 1 (2023): Maret
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v12i1.185

Anemia adalah suatu kondisi dimana kadar hemoglobin kurang dari normal. Kadar Hb normal pada remaja putri >12 g/dl. Remaja putri dikatakan anemia jika Hb <12 gr/dl. Anemia remaja putri berdampak negatif menurunkan fokus belajar di sekolah, mempengaruhi pertumbuhan fisik remaja, mempengaruhi imunitas tubuh, dan meningkatkan kejadian infeksi pada remaja. Penelitian ini bertujuan mengetahui pengaruh edukasi media buku saku terhadap pengetahuan dan sikap remaja tentang anemia. Penelitian ini menggunakan design Pre Eksperimenal dengan one group pretest-posttest. Penelitian dilakukan di SMK Islam Tikung Kabupaten Lamongan pada bulan Januari–April 2023 dengan jumlah sampel 89 remaja putri. Responden dipilih menggunakan simple random sampling. Pengumpulan data menggunakan lembar kuisioner yang sudah di uji validitas dan reliabilitasnya. Analisis data akhir pada penelitian ini menggunakan uji Wilcoxon dengan signifikansi p value < 0,005. Tingkat pengetahuan sebelum dilakukan edukasi kesehatan dengan media buku saku menunjukkan 52,8% remaja memiliki pengetahuan cukup, 30,3% memiliki pengetahuan baik dan 16,9% remaja memiliki pengetahuan kurang. Terkait data sikap sebelum intervensi 51.7% remaja memiliki sikap negative terhadap anemia dan 48.3% sisanya memiliki sikap positif. Setelah dilakukan dilakukan edukasi kesehatan dengan media buku saku, pengetahuan dan sikap remaja menunjukkan peningkatan. Sebagian besar remaja atau 88.8% memiliki pengetahuan yang baik dan 11.2% sisanya memiliki pengetahuan yang cukup. Sedangkan data sikap sebagian remaja memiliki sikap positif 77.5% dan sebagian kecil sebesar 22.5 % meliliki sikap negatif. Berdasarkan uji statistik didapatkan р value 0,000 < 0,05, ini menunjukkan bahwa edukasi kesehatan pada remaja tentang anemia dengan media buku saku terbukti meningkatkan pengetahuan dan sikap remaja terhadap anemia.

Hubungan Perilaku Ibu Nifas Dengan Penyembuhan Luka Pada Perineum di Puskesmas Krembangan Selatan Kota Surabaya Dwi Lia Rahmawati; Sherly Jeniawaty; Fitria Nurwulansari; Sri Utami
Gema Bidan Indonesia Vol. 13 No. 1 (2024): Maret
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v13i1.201

Robekan perineum terjadi hampir pada semua persalinan sehingga diperlukan perawatan yang intensif untuk mencegah infeksi. Meskipun bukan penyebab langsung, infeksi jalan lahir yang tidak di tangani dengan benar akan menyebabkan komplikasi sehingga terjadi kematian ibu. Profil Kesehatan Indonesia 2021 menyebutkan jumlah kematian ibu karena infeksi yaitu sebanyak 207 kasus. Tujuan penelitian ini adalah untuk mengetahui hubungan perilaku ibu nifas dengan penyembuhan luka pada perineum di Wilayah Puskesmas Krembangan Selatan Kota Surabaya. Desain penelitian ini menggunakan survei analitik dengan rancangan cross sectional. Jumlah sampel penelitian adalah 39 ibu hamil yang dipilih menggunakan non probability sampling yaitu purposive sampling. Variabel independen dalam penelitian ini adalah pengetahuan, sikap, dan tindakan, sedangkan variabel dependen adalah penyembuhan luka pada perineum. Tehnik pengumpulan data secara primer dengan kuiosioner dan lembar penilaian. Analisis yang digunakan dalam menguji penelitian ini adalah chi square dan fisher exact.Hasil penelitian ini menunjukan bahwa terdapat hubungan pengetahuan dengan penyembuhan luka perineum dengan p-value 0,047 < α (0,05), terdapat hubungan sikap dengan penyembuhan luka perineum dengan p-value 0,033 < α (0,05), dan terdapat hubungan tindakan dengan penyembuhan luka perineum dengan nilai p-value 0,019< α (0,05). Penyembuhan luka pada perineum berhubungan dengan pengetahuan, sikap, dan tindakan ibu selama masa nifas. Oleh karena itu upaya yang dapat dilakukan untuk meningkatkan pelayanan kesehatan terutama pada ibu nifas yang mengalami luka perineum adalah dengan memberikan penyuluhan serta asuhan tentang cara menjaga dan merawat luka perineum sampai luka perineum sembuh dan membaik.

The Relationship Between Food Intake and The Incidence of Chronic Energy Deficiency (CED) In Pregnant-Women of Sugio Public Health Center Lamongan Fitria, Nuraini; Esyuanik, -; Pipitcahyani, Tatarini Ika; Nurwulansari, Fitria
Journal Midwifery Jurusan Kebidanan Politeknik Kesehatan Gorontalo Vol 10, No 2 (2024): Journal Midwifery
Publisher : Politeknik Kesehatan Kementrian Kesehatan Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jm.v10i2.1161

Nutrition of pregnant women must be considered, there will be problems for the mother and fetus if maternal nutrition is not provided properly. The purpose of this study was to determine whether there is a relationship between food intake and the incidence of CED in pregnant women. The sampling method used purposive sampling. The sample of this study was 100 pregnant women. This study was conducted from August 2023 to May 2024. Spearman Rank (Rho) test was used to analyze univariate and bivariate data. The results found a correlation between energy, protein, fat, and carbohydrate intake with a p value of 0.000. This study found that food intake (protein, fat, carbohydrate, and energy) of pregnant women at the Sugio Lamongan Health Center is associated with cases of Chronic Energy Deficiency (CED).

Pemberdayaan Kader dan Keluarga Berbasis Buku Kesehatan Ibu dan Anak (KIA) sebagai Upaya Pencegahan Komplikasi Kehamilan di Desa Popoh Kecamatan Wonoayu Kabupaten Sidoarjo Sholikah, Siti Mar’atus; Nurwulansari, Fitria; Aini, Elfira Nurul
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 3 (2025): Volume 8 No 3 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i3.17754

ABSTRAK Kehamilan resiko tinggi dapat berpengaruh terhadap keadaan ibu dan janin serta berisiko dapat menyebabkan proses persalinan menjadi patologis. kondisi kesehatan ibu hamil berperan penting dalam pencegahan komplikasi kehamilan. Strategi pemerintah untuk mencegah risiko komplikasi kehamilan adalah dengan pendekatan keluarga berbasis Buku KIA sejak masa kehamilan. Pada tahun 2021, AKI 4/100.000 KH. Cakupan Kunjungan Kehamilan (K6) di desa Popoh belum mencapai target 100% yaitu tercapai 33,33%. Komplikasi kehamilan targetnya 15-20%, tercapai 38,89% dan penanganan komplikasi kebidanan tercapai 57,14% dari target 100%. Sedangkan deteksi resiko tinggi kehamilan oleh masyarakat tercapai 5,56% dari target 20%. Tujuan kegiatan ini adalah meningkatkan pengetahuan dan kesadaran masyarakat melalui pemberdayaan kader dan keluarga berbasis buku KIA sebagai upaya pencegahan komplikasi kehamilan di desa Popoh Kecamatan Wonoayu Sidoarjo. Penyuluhan dilaksanakan selama tiga hari diikuti kader 23 orang dan keluarga ibu hamil 18 orang dengan ceramah tanya jawab, pre test dan post test. Hasil kegiatan adalah peningkatan kualitas Kader yaitu peningkatan pengetahuan dengan nilai rata-rata post tes 92%, keterampilan dengan nilai rata-rata 83,53%, dan terbentuknya komitmen bersama dalam mendukung pemanfaatan buku KIA sebagai upaya pencegahan komplikasi kehamilan. Luarannya peningkatan pemahaman dan keterampilan kader serta keluarga, HKI, Modul dan jurnal. Saran: sosialisasi mengenai deteksi dini upaya komplikasi kehamilan pada Kader dan keluarga yang belum mengikuti penyuluhan serta menerapkannya pada lingkungan sekitar terhadap ibu hamil. Kata Kunci: Kader, Keluarga, Pencegahan Komplikasi Kehamilan, Penyuluhan. ABSTRACT High-risk pregnancies could affect the condition of the mother and fetus and could lead to pathological labor processes. The health condition of pregnant women played an important role in preventing pregnancy complications. The government's strategy to prevent the risk of pregnancy complications was through a family-based approach using the MCH Book from the pregnancy period. In 2021, the MMR was 4/100,000 live births. The coverage of Pregnancy Visits (K6) in Popoh village had not reached the target of 100%, achieving only 33.33%. The target for pregnancy complications was 15-20%, but 38.89% was achieved, and the handling of obstetric complications reached 57.14% of the target of 100%. Meanwhile, the detection of high-risk pregnancies by the community reached 5.56% of the target of 20%. The goal of this activity was to increase community knowledge and awareness through the empowerment of cadres and families based on the MCH book as an effort to prevent pregnancy complications in Popoh village, Wonoayu District, Sidoarjo. The counseling was conducted over three days and was attended by 23 cadres and 18 families of pregnant women with lectures, Question and Answer sessions, pre-tests, and post-tests. The results of the activity included an improvement in the quality of cadres, marked by an increase in knowledge with an average post-test score of 92%, skills with an average score of 83.53%, and the formation of a joint commitment to support the use of the MCH book as an effort to prevent pregnancy complications. The outcomes were an increase in understanding and skills of the cadres and families, intellectual property rights, modules, and journals. Suggestions: socialization regarding the early detection of efforts to prevent pregnancy complications among cadres and families who had not participated in the counseling and applying it to the surrounding environment for pregnant women. Keywords: Cadres, Families, Prevention of Pregnancy Complications, Counseling.

Differences in The Effect of Breast Care and Oketani Massage on Breast Milk Production in Postpartum Mothers Adzillina Alal Mukminin, Siti; Maharrani, Titi; Isfentiani, Dina; Nurwulansari, Fitria
Jurnal Ilmiah Kesehatan Vol 18 No 01 (2025): Jurnal Ilmiah Kesehatan (Journal of Health Science)
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v18i01.5938

The low breastfeeding coverage is proven by the high rate of infant stunting in Indonesia. Apart from inadequate implementation of breast care, maternal diet, and psychology also play a role in the limited coverage of exclusive breastfeeding. This research aimed to determine the mother's ability to produce breast milk after breast care and Oketani massage. Dupak Community Health Center was the research location, and a quasi-experimental nonrandomized control group pretest-posttest design was used. Thirty-two postpartum mothers were selected using purposive sampling. Breast milk production observation sheet as a research instrument. Data analysis with Wilcoxon and Mann Withney U. Results: The Mann Withney U test revealed no difference in the effect of breast care and massage on postpartum mothers' ability to produce breast milk, with a p-value of 0.093, meaning that H0 is accepted and H1 is rejected. The Wilcoxon test revealed that postpartum mothers' ability to produce breast milk was influenced by breast care and massage, with a p-value of 0.001. Conclusion: There is no real difference between the effects of Oketani massage and breast care on breast milk supply. It is recommended that more researchers develop new intervention strategies by including characteristics that influence postnatal mothers' ability to produce breast milk

ANALISIS FAKTOR INTENSI PEMBERIAN ASI EKSKLUSIF PADA IBU HAMIL MELALUI PENDEKATAN TEORI PERILAKU TERENCANA (THEORY OF PLANNED BEHAVIOR) Domas Nurchandra Pramudiant; Fitria Nurwulansari; Ahdatul Islamiah
Jurnal Ilmu Kebidanan Vol 14 No 2 (2025): Al-Insyirah Midwifery: Jurnal Ilmu Kebidanan (Journal of Midwifery Sciences)
Publisher : Institut Kesehatan dan Teknologi Al Insyirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35328/kebidanan.v14i2.3076

Menyusui merupakan sebuah aktivitas/kegiatan untuk memberikan nutrisi pada bayi baru lahir. Beberapa penelitian mengenai menyusui telah membuktikan bahwa pemberian ASI Eksklusif pada bayi baru lahir hingga usia 6 bulan mampu memberikan kontribusi pada nutrisi pertumbuhan dan perkembangan bayi. Intensi pemberian ASI eksklusif adalah intensi ibu untuk memberikan hanya ASI pada bayinya sejak dilahirkan hingga berusia enam bulan. Intensi pada periode prenatal merupakan penentu langsung pemberian ASI eksklusif. Penelitian ini bertujuan mengetahui faktor paling dominan berhubungan dengan intensi pemberian ASI eksklusif pada ibu hamil di Wilayah Kerja Puskesmas Wonoayu Sidoarjo. Penelitian dengan desain studi potong lintang dilakukan secara primer. Sampel berjumlah 120 ibu hamil trimester ketiga dipilih secara purposive sampling. Intensi pemberian ASI eksklusif diukur menggunakan kuesioner the Infant Feeding Intentions scale. Sedangkan sikap, norma subjektif dan persepsi kontrol perilaku dinilai menggunakan modifikasi kuesioner Breastfeeding Attrition Prediction Tool. Data dianalisis menggunakan analisis regresi logistik ganda. Sebanyak 45,8% ibu memiliki intensi kuat memberikan ASI eksklusif. Persepsi kontrol perilaku paling dominan berhubungan dengan intensi pemberian ASI eksklusif, (p=0,001; Odds Ratio 13,914; 95% CI 2,806-68.991). Faktor lainnya yang berhubungan dengan intensi adalah sikap, pekerjaan ibu, pengalaman menyusui. Ibu dengan persepsi kontrol perilaku tinggi berpeluang tiga belas kali lebih besar memiliki ‘intensi tinggi’ untuk memberikan ASI eksklusif dibandingkan ibu berpersepsi kontrol perilaku rendah

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