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Benarkah puskesmas poned efektif? Christina Pernatun Kismoyo; Mubasysyir Hasanbasri; Mohammad Hakimi
Jurnal Kebijakan Kesehatan Indonesia Vol 1, No 2 (2012)
Publisher : Center for Health Policy and Management

Basic emergency maternal care at public health center: are they effective Background: Every pregnancy and birth is a risky event; therefore, every pregnant woman and maternity must be located as close as possible to the basic emergency obstetric care. As a health care unit, near and reachable health centers are expected to provide basic emergency neonatal and obstetric care (PONED or EmOC in primary health level). In Bantul District, there are six PONED health centers. Health centers in their implementation need an evaluation to improve or maintain a mechanism to measure whether they are good or not good. This study aimed to determine the implementation of PONED in the health centers of Bantul District.Method: This was a qualitative descriptive study. The analysis unit was service providers such as doctors, midwives, nurses, laboratory and driver as well as the head of Bantul District Health Office. The research instrument was the researcher and the tools used were cameras, tape recorders, checklists and interview guides.Results: PONED health centers were viewed more as a routine work because the service provider had not been able to understand the purpose of a good service. Emergency obstetric and neonatal care had not been fully able to be served at six health centers. Sewon I Health Center was the only PONED health center with available support system, but the availability of the service such as tools, medicine and infrastructure had not yet fully available. This was because of the rare cases of obstetric and neonatal complications handled so that the drugs and equipment available were expired and damaged. Management of emergency obstetric and neonatal referral had not been going well according to the case; thus, early referral was frequently preferable.Conclusion: The management of PONED health center’s services was more on the bureaucracy not based on the setting of emergency obstetric and neonatal care, so that the orientation of service providers was seen as a routine job. Support from the government and incentives were still very influential on service providers’ work motivation. Keywords: evaluation, PONED health center, maternal mortality rateLatar belakang: Setiap kehamilan dan persalinan merupakan kejadian berisiko, oleh karena itu setiap ibu hamil dan bersalin harus berada sedekat mungkin dengan pelayanan obstetrik emergensi dasar. Unit pelayanan kesehatan yang dekat dan mampu terjangkau oleh masyarakat puskesmas diharapkan mampu memberikan pelayanan obstetrik neonatal emergensi dasar. Di Kabupaten Bantul ada 6 puskesmas mampu PONED. Puskesmas dalam pelaksanaannya perlu adanya suatu langkah evaluasi guna meningkatkan ataupun mempertahankan suatu mekanisme yang sudah baik atau kurang baik.Tujuannya adalah untuk melihat implementasi pelayanan puskesmas mampu kegawatdaruratan Obstetrik dan Neonatal Dasar (PONED) di Kabupaten Bantul.Metode: Penelitian diskriptif kualitatif dengan unit analisis adalah petugas (dokter, bidan, perawat, laboran dan sopir) serta kepala Dinas Kesehatan Kabupaten Bantul. Instrumen penelitian adalah peneliti sendiri, alat yang digunakan kamera, tape recorder, daftar tilik, dan pedoman wawancara.Hasil: Puskesmas PONED lebih dipandang sebagai pekerjaan rutinitas karena provider pelayanan belum mampu memahami tujuan pelayanan dengan baik. Pelayanan kegawatdaruratan obstetrik dan neonatal belum seluruhnya dapat dilayani di 6 puskesmas hanya Sewon I. Sistem pendukung pelayanan PONED tersedia, namun ketersediaan pelayanan belum seluruhnya tersedia yakni; alat, obat dan infrastruktur. Hal ini karena jarangnya kasus komplikasi obstetri dan neonatus yang ditangani sehingga obat dan alat yang tersedia kadaluarsa serta rusak. Pengelolaan rujukan kasus kegawatdaruratan obstetri dan neonatal belum berjalan dengan baik sesuai dengan kasus, cenderung melakukan rujukan dini. Kesimpulan: Manajemen pelayanan puskesmas PONED lebih pada birokrasi belum berdasarkan pada setting pelayanan kegawatdaruratan obstetrik dan neonatal, sehingga orientasi petugas pelayanan dipandang sebagai pekerjaan rutinitas. Dukungan pemerintah dalam support insentif sangat berpengaruh pada motivasi kerja petugas pelayanan.

Pengetahuan remaja putri tentang kesehatan reproduksi dengan status gizi remaja Hanik Malikhatin; Christina Pernatun Kismoyo; Masyi Wimmy Johandika
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol 6, No 1: Maret 2018
Publisher : Sekolah Tinggi Ilmu Kesehatan AKBIDYO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/jik.v6i1.80

Background: The age of adolescents is the most vulnerable age to experience reproductive health problems. Basic Health Research Results (2013) showed in DIY the prevalence of adolescents with malnutrition status was 2.4%, underweight nutrition at 4.9%, and obesity by 4.2%. The health status of today's adolescents will determine the picture of the health status of the adult population in the following decade, therefore adolescent health occupies an important position on a global scale.Objective: To find out the relationship between the knowledge of young women about reproductive health and nutritional status in SMA Negeri 1 Srandakan.Research Methods: Quantitative research, with analytic survey design, cross-sectional approach, population 148 and samples taken 66 using stratified random sampling techniques, data collection tools using questionnaires, univariate analysis with frequency distribution and bivariate analysis using Kendal-tau.Results: Knowledge of young women about reproductive health with a good category (53.1%) with normal nutritional status. Knowledge of good categories (34.7%) with underweight nutritional status and good level of adolescent knowledge (12.2%) with overweight nutritional status. There is no significant relationship between the level of knowledge of reproductive health with adolescent nutritional status p-value (0.313)> significant level (0.05).Conclusion: There is no relationship between the knowledge of young women about reproductive health and nutritional status in SMA Negeri 1 Srandakan INTISARI Latar Belakang: Usia remaja merupakan usia paling rawan mengalami masalah kesehatan reproduksi. Hasil Riset Kesehatan Dasar (2013) menunjukkan di DIY prevalensi remaja dengan status gizi kurang sebesar 2,4%, gizi kurus sebesar 4,9%, dan obesitas sebesar 4,2%. Status kesehatan remaja masa kini akan menentukan gambaran status kesehatan penduduk dewasa dalam dekade berikutnya, oleh sebab itu kesehatan remaja menempati posisi penting dalam skala global.Tujuan: Untuk mengetahui hubungan pengetahuan remaja putri tentang kesehatan reproduksi dengan status gizi di SMA Negeri 1 Srandakan.Metode Penelitian: Penelitian kuantitatif, dengan rancangan survey analitik, pendekatan cross-sectional, jumlah populasi 148 dan sampel yang diambil 66 menggunakan teknik stratified random sampling, alat pengumpulan data menggunakan kuesioner, analisis univariat dengan distribusi frekuensi dan analisis bivariat menggunakan Kendal-tau.Hasil : Pengetahuan remaja putri tentang kesehatan reproduksi dengan kategori baik (53,1%) dengan status gizi normal. Pengetahuan kategori baik (34,7%) dengan status gizi kurus dan tingkat pengetahuan remaja baik (12,2%) dengan status gizi gemuk. Tidak terdapat hubungan yang bermakna antara tingkat pengetahuan kesehatan reproduksi dengan status gizi remaja p-value (0,313) > taraf signifikan (0,05).Kesimpulan: Tidak ada hubungan antara pengetahuan remaja putri tentang kesehatan reproduksi dengan status gizi di SMA Negeri 1 Srandakan.

PENGETAHUAN DENGAN SIKAP IBU HAMIL TENTANGPELAYANAN OBSTETRI NEONATAL EMERGENCY DASAR (PONED) Noviana Puspitasari; Christina Pernatun Kismoyo; Ida Rumawat Astuti
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol 2, No 1: Maret 2014
Publisher : Sekolah Tinggi Ilmu Kesehatan AKBIDYO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/jik.v2i1.51

Latar Belakang: Pelayanan obstetri dan neonatal regional merupakan upaya penyediaan pelayanan bagi ibu dan bayi baru lahir secara terpadu dalam bentuk (PONED) di tingkat puskesmas. Kunci keberhasilan PONED adalah ketersediaan tenaga kesehatan yang sesuai kompetensi, prasarana, sarana dan manajemen yang handal. Se- lain itu kurangnya pengetahuan dan sikap ibu hamil juga dapat mempengaruhi keberhasilan adanya Puskesmas PONED. Untuk itu diperlukan adanya kesadaran dari setiap ibu hamil dalam memperoleh informasi yang baik ten- tang Pelayanan Puskesmas PONED.Tujuan: Mengetahui hubungan Pengetahuan dengan sikap Ibu Hamil tentang Pelayanan Obstetri Neonatal Emer- gency Dasar (PONED) di Puskesmas Sewon I Bantul Tahun 2013.Metode: Penelitian deskriptif analitik dengan metode cross sectional. Populasi adalah ibu hamil yang berkunjung di Puskesmas Sewon I Bantul periode 1 Januari 2013. Teknik sampling yang digunakan dalam penelitian ini adalahaccidental sampling dengan 155 responden.Hasil: Pengetahuan ibu hamil baik 55,5% sedangkan sikap ibu hamil positif 88,3%. Berdasarkan hasil analisis pengetahuan dengan sikap Ibu hamil tentang pelayanan puskesmas PONED didapatkan hasil nilai χ² hitung = 56,246 > χ² tabel = 5,991 dan p value = 0,000. p < 0,05 sehingga hipotesis diterima, ada hubungan pengetahuan dan sikap ibu hamil tentang PONED di Puskesmas Sewon I Bantul Tahun 2013.Simpulan: Pengetahuan ibu hamil baik dalam memahami PONED dapat mempengaruhi sikap ibu hamil menerimadengan positif tentang PONED di Puskesmas Sewon I Bantul.Background: Obstetrics and neonatal services regional service provision is an attempt for the mother and newborn integrated in the form of EmOC in clinics level. The key to success of EmOC is the availability of health care person- nel according to competencies, infrastructure, facilities and reliable management. In addition, the lack of knowledge and attitude of pregnant women can also affect the success of Clinics EmOC. It is necessary for the realization of any expectant mothers in obtaining good information about Service Clinics EmOC.Objectives: To ﬁnd out the relationship of knowledge with pregnant mothers attitude about Basic Emergency Ob- stetric Neonatal Care (EmOC) in clinic Bantul I Sewon Year of 2013.Methods: Descriptive analytic Study with cross sectional method. The population was pregnant women who are visiting Clinic Bantul Sewon in period I January 1, 2013. The sampling technique used in this research is accidental sampling with 155 respondents.Results: Knowledge of pregnant women either 55.5% whereas the attitude of expectant mothers to positive 88,3%. Based on the results of the analysis of knowledge with the attitude of expectant mothers about the Health Ministry EmOC obtained results the value of χ ² count 56,246 > χ ² 5,991 table and p value 0.000. p < 0,05 so the hypothesis is accepted.Conclusion: There is a relationship of knowledge and attitude to pregnant women about EmOC in clinic Bantul I Sewon Year of 2013.

SIKAP IBU HAMIL DENGAN KEPATUHAN KUNJUNGAN ANTENATAL CARE PERTAMA (K1) A.A. Putri Pratiwi Suandewi; Christina Pernatun Kismoyo; Suharni Suharni
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol 3, No 1: Maret 2015
Publisher : Sekolah Tinggi Ilmu Kesehatan AKBIDYO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/jik.v3i1.71

Latar Belakang: Pentingnya pelayanan ANC karena setiap kehamilan dapat berkembang menjadi masalah atau komplikasi setiap saat. Di Puskesmas Sewon II kunjungan pertama (KI) sudah 95%, yaitu sudah mencapai target yang ditetapkan oleh Departemen Kesehatan. Namun masih ada ibu hamil yang belum melakukan kunjungan pertama (KI).Tujuan: untuk mengetahui adanya hubungan sikap ibu hamil dengan kepatuhan KI.Metodologi: Penelitian ini deskriptif analitik menggunakan pendekatan cross sectional. Variabel independen dalam penelitian ini adalah sikap ibu hamil. Variabel dependent dalam penelitian ini adalah kepatuhan kunjungan. Sampel yang digunakan ibu hamil sebanyak 90 responden, pengambilan sampel menggunakan accidental sampling di Puskesmas Sewon II.Hasil Penelitian : Hasil analisis data cross sectional dapat diperoleh sebesar 95,6% ibu hamil yang melakukan pe- meriksaan di Puskesmas Sewon II memiliki sikap setuju yaitu ibu hamil peduli dengan kehamilannya. Kemudian ke- patuhan ibu hamil sebesar 97,8%, ibu hamil patuh melakukan kunjungan antenatal care pertama (KI). Berdasarkan analisis statistik menggunakan uji chi square di dapatkan hasil x2 hitung = 9.995 dan x2 tabel = 3,841 (x2 hitung>x2tabel) dengan nilai signiftikan P value 0,002. Berdasarkan nilai x2 hitung > x2 tabel dan P value <0,05 maka Ho ditolak dan Ha diterima. Hal ini berarti bahwa ada hubungan antara sikap ibu hamil dengan kepatuhan kunjunganantenatal care pertama (KI) di Puskesmas Sewon II.Simpulan: Ibu yang telah memahami kehamilannya berpotensi memiliki sikap yang baik dalam memeriksakan kehamilannya.ABSTRACTBackground: Antenatal Care (ANC) is very important in every pregnancy, in order to early detection in the develop- ment of future pregnancies. Community health centers Sewon II at the ﬁrst ANC has been 95%, has reached the target set by the Ministry of Health of the Republic of Indonesia, but there are still 5% of pregnant women who have their ﬁrst ANC.Objective: To determine the relationship attitude of pregnant women with antenatal care visits in the ﬁrst compli- ance.Methodology: descriptive analytic research using cross sectional approach. The independent variables in this study is the attitude of pregnant women. The dependent variable in this study is a compliance visit. Sample used in pregnant women as much as 90 respondents, sampling accidental sampling in Community health centers Sewon II.Results: cross sectional data analysis can be obtained pregnant women who carry out checks on Community health centers Sewon II with a positive attitude or agree 95.6%. Mothers who are obedient and do antenatal care 97.8%. Based on the results of statistical analysis using chi square test showed statistical analysts using chi square test in getting the results count = 9,995 X2 and X 2 table = 3.841 (X 2 count> X 2 tables) with values signiftikan P value of 0.002. Due to the value of X 2 count> X 2 tables and a P value <0.05 then Ho is rejected and Ha accepted. There is a relationship between the attitude of pregnant women with antenatal care visits in the ﬁrst compliance in Community health centers Sewon II.Conclusion: Women who have agreed attitude towards antenatal care tend to do antenatal care obediently in Community health centers Sewon II.

Evaluasi Penilaian Model Mini CEX pada Praktik Klinik Asuhan Kebidanan Komprehensif Continuity of Care Christina Pernatun Kismoyo
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol 9, No 2: Agustus 2021
Publisher : Sekolah Tinggi Ilmu Kesehatan Akbidyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/jik.v9i2.110

Mini CEX is an authentic assessment method, carried out in a clinic with direct clients and equipped with feedback as a development for the next student's skills. Mini CEX has not been widely used in assessing the Continuity of Care Comprehensive Midwifery Clinical Practice. Evaluation is needed to see the suitability of clinical assessment with reference standards. The aim of the study was to evaluate the mini CEX assessment at the planning, implementation and outcome stages of the assessment. Descriptive evaluation research using the CIPP model. Taking a total sample of samples, a total of 176 respondents who were involved in midwifery clinical practice activities in the Yogyakarta and Purworejo areas. Collecting data using a questionnaire that has been tested for the validity of Aiken, all instruments are valid with a result of 0.75 (≥ 0.72). The evaluation results of the assessment planning were very good (77.86%), the implementation by the preceptor was in the good category (76%) and the assessment by the mentor was in the poor category (56%). Midwifery clinical practice assessment method using Mini CEX and feedback is concluded as good and can be continued. Instructor clinical input needs to be provided intensively or given CEX mini assessment training.Key words: evaluation, mini CEX, midwifery clinical practice

PENYULUHAN KESEHATAN PEDULI REMAJA TERHADAP PENGETAHUAN DAN SIKAP REMAJA TENTANG SEKS PRANIKAH Christina Pernatun Kismoyo
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol 3, No 2: Agustus 2015
Publisher : Sekolah Tinggi Ilmu Kesehatan AKBIDYO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/jik.v3i2.78

Latar Belakang: Data World Health Organization (WHO) tahun 2010 setiap tahun 210 juta remaja yang hamil di seluruh dunia, 46 juta di antaranya melakukan aborsi karena seks pra nikah. Salah satu penyebab dari kehamilan diluar nikah adalah ketidak mampuan remaja dalam mengendalikan dorongan biologis. Dari data Kementerian Agama kabupaten Bantul kasus pernikahan dini meningkat, dan 95% dari pernikahan dini tersebut disebabkan oleh kehamilan pranikah.Tujuan Penelitian: Mengetahui tingkat pengetahuan dan sikap para remaja di desa Girirejo seks pranikah sebelum dan sesudah penyuluhan.Metode Penelitian: Penelitian ini menggunakan metode eksperimen semu (quasi experiment) dengan pendekatan one group pretestposttest dengan sampe sampel dengan metode purposive sampling 56 remaja karang taruna desa Girirejo, Imogiri, Bantul dan dianalisis dengan Data di analisis dengan paired sample t-test dengan SPSS for windows 17.0 keputusan uji statistik menggunakan taraf signiﬁkan p<0,05.Hasil: Terjadi peningkatan pengetahuan dan sikap tentang remaja seks pranikah kearah yang lebih baik setelah kegiatan konseling. Hasil pengujian yang diperoleh pada efek dari kegiatan konseling bagi pengetahuan remaja dan sikap tentang seks pranikah dengan nilai p = 0,001 < α = 0,05 dihasilkan nilai ratarata pengetahuan 2321 dan sikap-2857Kesimpulan dan saran : Metode penyuluhan dalam PKPR efektif meningkatkan pengetahuan dan sikap remaja tentang seks pranikah di desa Girirejo, Imogiri. Kegiatan PKPR dijadikan kegiatan rutin pihak Puskesmas minimal 6 bulan sekali dan pihak desa memberikan dukungan baik saranaprasarana serta dana. Revolusi mental mencip-takan generasi yang bersih, sehat, dan kuat dalam membangun bangsa dan negara.ABSTRACTBackground: World Health Organization (WHO) in 2010 to 210 million each year for pregnant teenagers around the world, 46 million of them have an abortion because of the sex before marriage. One of the causes of pregnancy outside of marriage is the inability of a teenager in a biological impulse control. From the data of the Ministry of Re- ligious Bantul increasing cases of early marriage, and 95% of early marriage are caused by premarital pregnancy.Objective: To identify the level of knowledge and attitudes of teenagers in the village Girirejo premarital sex before and after counseling.Methods: This study used a quasiexperimental (quasi experiment) with the approach of one group pretestposttest with a till sample with purposive sampling method 56 adolescent youth village Girirejo, Imogiri and analyzed data was analyzed by paired sample ttest with SPSS for windows 17.0 statistical test decision to use a signiﬁcant level of p <0.05.Results: An increase in knowledge and attitudes about premarital sex teens toward better after counseling. The test results obtained on the effects of counseling for adolescent knowledge and attitudes about premarital sex with a value of p = 0.001 <α = 0.05 is generated average value knowledge and attitudes 2857 2321Conclusions and suggestions: Method PKPR effective counseling in improving knowledge and attitudes about premarital sex in adolescents Girirejo village, Imogiri. Activity PKPR the health center used as a routine activity for at least 6 months and the village provides good support infrastructure and funding. Mental revolution to create a generation that is clean, healthy, and strong in building the nation.

PENGETAHUAN DAN PERSEPSI REMAJA TENTANG PENYAKIT MENULAR SEKSUAL Siti Robiatun; Henri Soekirdi; Christina Pernatun Kismoyo
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol 1, No 1: Maret 2013
Publisher : Sekolah Tinggi Ilmu Kesehatan AKBIDYO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/jik.v1i1.36

Latar Belakang: Permasalahan kesehatan reproduksi remaja semakin meningkat dari tahun ke tahun, tak terke- cuali penyakit menular seksual. Perilaku hubungan seksual pranikah makin sering terjadi dan amat disayang- kan tidak sedikit remaja melakukan tindakan aborsi. Penyakit Menular Seksual (PMS) selalu menjadi salah satu masalah yang tak kunjung habis untuk dibahas. Setiap tahunnya selalu meningkat jumlah pengidap penyakit PMS, oleh karena itu peningkatan pengetahuan dan persepsi penyakit menular seksual perlu ditekankan terutama pada kelompok remaja.Tujuan: Untuk mengetahui hubungan antara pengetahuan dan persepsi remaja tentang penyakit menular seksual pada siswa MTs Hasyim Asy’ari Piyungan Bantul Yogyakarta.Metode: Penelitianini merupakan penelitian analitik-korelasi dengan menggunakan rancangan penelitian cross sectional. Tehnik pengambilan sampel purposive sampling, dengan kuesioner tertutup. Analisis data menggunakan uji statistik pearson product moment.Hasil: Tingkat pengetahuan dikategorikan baik sebanyak 15 responden (37,5%), sebanyak 19 responden (47,5%)mempunyai pengetahuan cukup serta sebanyak 6 responden (15%) mempunyai pengetahuan kurang. Persepsi tentang PMS 13 responden (32,5%) mempunyai persepsi baik tentang PMS, sebanyak 23 responden (57,5%)mempunyai persepsi cukup serta sebanyak 4 responden (10%) mempunyai persepsi kurang. Hasil uji kendall-taumempunyai p-value sebesar 0.612 dengan tingkat signiﬁkan 0.000.Kesimpulan: Ada hubungan antara pengetahuan dan persepsi remaja tentang penyakit menular seksual di MTsHasyim Asy’ari Piyungan Bantul Yogyakarta Tahun 2011.Background: Adolescent reproductive health problems are increasing from year to year, not to mention sexually transmitted diseases. Premarital sexual behavior occurs more frequently and very unfortunate many teen abortion- saction. Sexually Transmitted Diseases (STDs) has always been one endless problems to be discussed. Every year has increased the number of people with the disease PMS, there fore an increase in knowledge and perceptions of sexually transmitted diseases should be emphasized, especially in the adolescent group.Objective:To determine the relationship between knowledge and perceptions of adolescents about sexually trans- mitted diseases at Hasyim MTs students Piyungan Bantul, Yogyakarta.Methods:This research is analytic-correlation using cross sectional research design. Purposive samplingtechnique, with the enclosed questionnaire. Statistical data analysis using Pearson product moment test.Results:The level of knowledge categorized by 15 respondents (37.5%), a total of 19 respondents (47.5%) have sufﬁcient knowledge as well as 6 respondents (15%) had less knowledge. Perceptions of STDs 13 respondents(32.5%) had a good perception about STDs, as many as 23 respondents (57.5%) had sufﬁcient perception and by 4respondents(10%) perceiveless. Kendall-tau test results have p-value of 0612 with a signiﬁcant level of 0.000.Conclusion: There is a relationship between knowledge and perceptions of adolescents about sexually transmitteddiseases at Hasyim MTs Piyungan Bantul,Yogyakarta in 2011.

PENYULUHAN KESEHATAN PEDULI REMAJA TERHADAP PENGETAHUAN DAN SIKAP REMAJA TENTANG SEKS PRANIKAH Christina Pernatun Kismoyo
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol 3, No 2: Agustus 2015
Publisher : Sekolah Tinggi Ilmu Kesehatan AKBIDYO

Latar Belakang: Data World Health Organization (WHO) tahun 2010 setiap tahun 210 juta remaja yang hamil di seluruh dunia, 46 juta di antaranya melakukan aborsi karena seks pra nikah. Salah satu penyebab dari kehamilan diluar nikah adalah ketidak mampuan remaja dalam mengendalikan dorongan biologis. Dari data Kementerian Agama kabupaten Bantul kasus pernikahan dini meningkat, dan 95% dari pernikahan dini tersebut disebabkan oleh kehamilan pranikah.Tujuan Penelitian: Mengetahui tingkat pengetahuan dan sikap para remaja di desa Girirejo seks pranikah sebelum dan sesudah penyuluhan.Metode Penelitian: Penelitian ini menggunakan metode eksperimen semu (quasi experiment) dengan pendekatan one group pretestposttest dengan sampe sampel dengan metode purposive sampling 56 remaja karang taruna desa Girirejo, Imogiri, Bantul dan dianalisis dengan Data di analisis dengan paired sample t-test dengan SPSS for windows 17.0 keputusan uji statistik menggunakan taraf signiﬁkan p<0,05.Hasil: Terjadi peningkatan pengetahuan dan sikap tentang remaja seks pranikah kearah yang lebih baik setelah kegiatan konseling. Hasil pengujian yang diperoleh pada efek dari kegiatan konseling bagi pengetahuan remaja dan sikap tentang seks pranikah dengan nilai p = 0,001 < α = 0,05 dihasilkan nilai ratarata pengetahuan 2321 dan sikap-2857Kesimpulan dan saran : Metode penyuluhan dalam PKPR efektif meningkatkan pengetahuan dan sikap remaja tentang seks pranikah di desa Girirejo, Imogiri. Kegiatan PKPR dijadikan kegiatan rutin pihak Puskesmas minimal 6 bulan sekali dan pihak desa memberikan dukungan baik saranaprasarana serta dana. Revolusi mental mencip-takan generasi yang bersih, sehat, dan kuat dalam membangun bangsa dan negara.ABSTRACTBackground: World Health Organization (WHO) in 2010 to 210 million each year for pregnant teenagers around the world, 46 million of them have an abortion because of the sex before marriage. One of the causes of pregnancy outside of marriage is the inability of a teenager in a biological impulse control. From the data of the Ministry of Re- ligious Bantul increasing cases of early marriage, and 95% of early marriage are caused by premarital pregnancy.Objective: To identify the level of knowledge and attitudes of teenagers in the village Girirejo premarital sex before and after counseling.Methods: This study used a quasiexperimental (quasi experiment) with the approach of one group pretestposttest with a till sample with purposive sampling method 56 adolescent youth village Girirejo, Imogiri and analyzed data was analyzed by paired sample ttest with SPSS for windows 17.0 statistical test decision to use a signiﬁcant level of p <0.05.Results: An increase in knowledge and attitudes about premarital sex teens toward better after counseling. The test results obtained on the effects of counseling for adolescent knowledge and attitudes about premarital sex with a value of p = 0.001 <α = 0.05 is generated average value knowledge and attitudes 2857 2321Conclusions and suggestions: Method PKPR effective counseling in improving knowledge and attitudes about premarital sex in adolescents Girirejo village, Imogiri. Activity PKPR the health center used as a routine activity for at least 6 months and the village provides good support infrastructure and funding. Mental revolution to create a generation that is clean, healthy, and strong in building the nation.

PENGETAHUAN DENGAN SIKAP IBU HAMIL TENTANGPELAYANAN OBSTETRI NEONATAL EMERGENCY DASAR (PONED) Noviana Puspitasari; Christina Pernatun Kismoyo; Ida Rumawat Astuti
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol 2, No 1: Maret 2014
Publisher : Sekolah Tinggi Ilmu Kesehatan AKBIDYO

Latar Belakang: Pelayanan obstetri dan neonatal regional merupakan upaya penyediaan pelayanan bagi ibu dan bayi baru lahir secara terpadu dalam bentuk (PONED) di tingkat puskesmas. Kunci keberhasilan PONED adalah ketersediaan tenaga kesehatan yang sesuai kompetensi, prasarana, sarana dan manajemen yang handal. Se- lain itu kurangnya pengetahuan dan sikap ibu hamil juga dapat mempengaruhi keberhasilan adanya Puskesmas PONED. Untuk itu diperlukan adanya kesadaran dari setiap ibu hamil dalam memperoleh informasi yang baik ten- tang Pelayanan Puskesmas PONED.Tujuan: Mengetahui hubungan Pengetahuan dengan sikap Ibu Hamil tentang Pelayanan Obstetri Neonatal Emer- gency Dasar (PONED) di Puskesmas Sewon I Bantul Tahun 2013.Metode: Penelitian deskriptif analitik dengan metode cross sectional. Populasi adalah ibu hamil yang berkunjung di Puskesmas Sewon I Bantul periode 1 Januari 2013. Teknik sampling yang digunakan dalam penelitian ini adalahaccidental sampling dengan 155 responden.Hasil: Pengetahuan ibu hamil baik 55,5% sedangkan sikap ibu hamil positif 88,3%. Berdasarkan hasil analisis pengetahuan dengan sikap Ibu hamil tentang pelayanan puskesmas PONED didapatkan hasil nilai χ² hitung = 56,246 > χ² tabel = 5,991 dan p value = 0,000. p < 0,05 sehingga hipotesis diterima, ada hubungan pengetahuan dan sikap ibu hamil tentang PONED di Puskesmas Sewon I Bantul Tahun 2013.Simpulan: Pengetahuan ibu hamil baik dalam memahami PONED dapat mempengaruhi sikap ibu hamil menerimadengan positif tentang PONED di Puskesmas Sewon I Bantul.Background: Obstetrics and neonatal services regional service provision is an attempt for the mother and newborn integrated in the form of EmOC in clinics level. The key to success of EmOC is the availability of health care person- nel according to competencies, infrastructure, facilities and reliable management. In addition, the lack of knowledge and attitude of pregnant women can also affect the success of Clinics EmOC. It is necessary for the realization of any expectant mothers in obtaining good information about Service Clinics EmOC.Objectives: To ﬁnd out the relationship of knowledge with pregnant mothers attitude about Basic Emergency Ob- stetric Neonatal Care (EmOC) in clinic Bantul I Sewon Year of 2013.Methods: Descriptive analytic Study with cross sectional method. The population was pregnant women who are visiting Clinic Bantul Sewon in period I January 1, 2013. The sampling technique used in this research is accidental sampling with 155 respondents.Results: Knowledge of pregnant women either 55.5% whereas the attitude of expectant mothers to positive 88,3%. Based on the results of the analysis of knowledge with the attitude of expectant mothers about the Health Ministry EmOC obtained results the value of χ ² count 56,246 > χ ² 5,991 table and p value 0.000. p < 0,05 so the hypothesis is accepted.Conclusion: There is a relationship of knowledge and attitude to pregnant women about EmOC in clinic Bantul I Sewon Year of 2013.

SIKAP IBU HAMIL DENGAN KEPATUHAN KUNJUNGAN ANTENATAL CARE PERTAMA (K1) A.A. Putri Pratiwi Suandewi; Christina Pernatun Kismoyo; Suharni Suharni
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol 3, No 1: Maret 2015
Publisher : Sekolah Tinggi Ilmu Kesehatan AKBIDYO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/jik.v3i1.71

Latar Belakang: Pentingnya pelayanan ANC karena setiap kehamilan dapat berkembang menjadi masalah atau komplikasi setiap saat. Di Puskesmas Sewon II kunjungan pertama (KI) sudah 95%, yaitu sudah mencapai target yang ditetapkan oleh Departemen Kesehatan. Namun masih ada ibu hamil yang belum melakukan kunjungan pertama (KI).Tujuan: untuk mengetahui adanya hubungan sikap ibu hamil dengan kepatuhan KI.Metodologi: Penelitian ini deskriptif analitik menggunakan pendekatan cross sectional. Variabel independen dalam penelitian ini adalah sikap ibu hamil. Variabel dependent dalam penelitian ini adalah kepatuhan kunjungan. Sampel yang digunakan ibu hamil sebanyak 90 responden, pengambilan sampel menggunakan accidental sampling di Puskesmas Sewon II.Hasil Penelitian : Hasil analisis data cross sectional dapat diperoleh sebesar 95,6% ibu hamil yang melakukan pe- meriksaan di Puskesmas Sewon II memiliki sikap setuju yaitu ibu hamil peduli dengan kehamilannya. Kemudian ke- patuhan ibu hamil sebesar 97,8%, ibu hamil patuh melakukan kunjungan antenatal care pertama (KI). Berdasarkan analisis statistik menggunakan uji chi square di dapatkan hasil x2 hitung = 9.995 dan x2 tabel = 3,841 (x2 hitung>x2tabel) dengan nilai signiftikan P value 0,002. Berdasarkan nilai x2 hitung > x2 tabel dan P value <0,05 maka Ho ditolak dan Ha diterima. Hal ini berarti bahwa ada hubungan antara sikap ibu hamil dengan kepatuhan kunjunganantenatal care pertama (KI) di Puskesmas Sewon II.Simpulan: Ibu yang telah memahami kehamilannya berpotensi memiliki sikap yang baik dalam memeriksakan kehamilannya.ABSTRACTBackground: Antenatal Care (ANC) is very important in every pregnancy, in order to early detection in the develop- ment of future pregnancies. Community health centers Sewon II at the ﬁrst ANC has been 95%, has reached the target set by the Ministry of Health of the Republic of Indonesia, but there are still 5% of pregnant women who have their ﬁrst ANC.Objective: To determine the relationship attitude of pregnant women with antenatal care visits in the ﬁrst compli- ance.Methodology: descriptive analytic research using cross sectional approach. The independent variables in this study is the attitude of pregnant women. The dependent variable in this study is a compliance visit. Sample used in pregnant women as much as 90 respondents, sampling accidental sampling in Community health centers Sewon II.Results: cross sectional data analysis can be obtained pregnant women who carry out checks on Community health centers Sewon II with a positive attitude or agree 95.6%. Mothers who are obedient and do antenatal care 97.8%. Based on the results of statistical analysis using chi square test showed statistical analysts using chi square test in getting the results count = 9,995 X2 and X 2 table = 3.841 (X 2 count> X 2 tables) with values signiftikan P value of 0.002. Due to the value of X 2 count> X 2 tables and a P value <0.05 then Ho is rejected and Ha accepted. There is a relationship between the attitude of pregnant women with antenatal care visits in the ﬁrst compliance in Community health centers Sewon II.Conclusion: Women who have agreed attitude towards antenatal care tend to do antenatal care obediently in Community health centers Sewon II.

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