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All Journal JURNAL ILMIAH KESEHATAN KEPERAWATAN Jurnal Kesehatan Reproduksi JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Jurnal Kesehatan Reproduksi Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Jurnal Kesehatan Holistic Manuju : Malahayati Nursing Journal Jurnal Keperawatan Respati Yogyakarta Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Journal of Community Empowerment for Health Berita Kedokteran Masyarakat Jurnal Pengabdian Masyarakat Bhinneka Jurnal Keperawatan 'Aisyiyah Community Development in Health Journal Jurnal Keperawatan Profesional Service Quality (Jurnal Pengabdian Masyarakat)

Shinta Prawitasari

Department Of Obstetrics And Gynaecology, Faculty Of Medicine, Public Health And Nursing, Universitas Gadjah Mada/Dr Sardjito Hospital, Yogyakarta, Indonesia

Author-ID : 346668

Agriculture, Biological Sciences & Forestry Computer Science & IT Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Physics Public Health Other

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Training Detection of Preeclampsia Risk Factors for Physicians in Primary Care with Experience-Based Learning Methods: A Quasi Experimental Study Brantas Prayoga; Shinta Prawitasari; Mora Claramita
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 2 (2018): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Background: Training for primary care physicians in the management of pregnant women often combines detection of the risk of bleeding, risk of infection and the risk of preeclampsia. Meanwhile, preeclampsia contributes to the world's largest maternal mortality rate, including in Indonesia. Primary care physicians’ knowledge about the risk factors and the early detection of preeclampsia is still very limited. It is therefore necessary to detect preeclampsia risk factors as early as possible and perform proper, fast and effective therapeutic diagnosis to prevent the onset of preeclampsia and to make efforts to safeguard maternal health and the survival and wellness of her baby. Experiential learning was selected in this training as it allows for sustainable learning.Methods: Quasi experimental study was conducted with 30 physicians of Community and Primary Health Care Center (Puskesmas) who were randomly divided into 2 groups, i.e. treatment group and control group each with 15 people. The treatment group was given training by 2 cycles of experiential learning, then both groups rated knowledge with vignette questionnaires from international sources that have been validated by experts in obstetrics, with 1-week interval time between the post-test and pre-test.Results: There was an increase of knowledge in primary care physicians after receiving training for both the treatment group (p = 0.034) or the control group (p = 0.000). The increase of knowledge in the treatment group after training was higher than the control group with the mean difference of 5.733. This result shows that the use of experiential learning methods proved effective.Conclusion: The detection training of risk factors for preeclampsia increases the physician's knowledge in managing preeclampsia in primary care.

The Effect of Reproductive Health Counseling to the Perception on Prevention Behavior of Leucorrhea in Female Students at SMAN 1 Temon (Based on the Health Belief Model/HBM Theory) Beti Wulansari; Wahyudi Istiono; Shinta Prawitasari
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 3 (2018): September
Publisher : Faculty of Medicine, Public Health, and Nursing

ABSTRACTBackground: Leucorrhea is a problem that is often experienced by women. Female adolescents have inadequate knowledge about handling and preventing leucorrhea. This inadequate knowledge has an impact on the perception that leucorrhea will not affect their health. But in reality, for the last 3 (three) years from 2014 to 2016, there was an increase in complaints according to the screening results by Puskesmas Temon 2 (Community Health Center). Because of this reason, interventions are needed regarding the knowledge about leucorrhea prevention applying the Health Belief Model (HBM) theory, including perceptions of seriousness, vulnerability, benefits, obstacles, and impulse to act that can be measured by a perceptual score.Objectives: This study aimed to determine the effect of reproductive health counseling on the perceptual score of seriousness, vulnerability, benefits, obstacles, and impulse to act involving female students’ perceptions in leucorrhea prevention behavior of SMAN 1 Temon (Senior High School) before and after health counseling. The score was measured by the HBM.Methods: The research was a quasi-experimental study with a time series design. The population of this research was the female students of class X and XI SMAN 1 Temon. The sample consisted of 55 female students who had fulfilled the inclusion and exclusion criteria by using simple random sampling technique. Data were analyzed using eepeated ANOVA test with significance level (α) of 0.05.Results: The results of this study indicated that there were significant differences in perception scores (p = 0.000) before counseling and after counseling in perceptions of seriousness in prevention, vulnerability to leucorrhea, benefits in prevention, barriers to preventive action, encouragement to act and total HBM score. Conclusions: Reproductive health counseling about leucorrhea based on the Health Belief Model theory is effective to improve female adolescent students' perception in taking action to prevent leucorrhea, especially in perception scores of seriousness, vulnerability, benefits, obstacles, and impulse to act in leucorrhea prevention behavior of female students in SMAN 1 Temon.

Urinary Tract Infection as a Risk Factor for Preterm Delivery: A Tertiary Hospital-Based Study: Infeksi Saluran Kemih (ISK) sebagai Faktor Risiko Persalinan Preterm: Penelitian Berbasis Rumah Sakit Tersier Nuring Pangastuti; Lathifa N Indraswari; Shinta Prawitasari
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 2 April 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

ABSTRACT Background: Preterm delivery is the leading cause of perinatal morbidity and mortality in developing countries. Urinary tract infection is one of the infectious diseases that often occur in pregnant women. Despite, the correlation between bacteriuria, either symptomatic or asymptomatic, and preterm delivery is still controversial. Purpose: To investigate the correlation between the incidence of UTI and preterm delivery. Methods: We conducted a cohort retrospective research using patients medical records. We analyzed the incidence of UTI and preterm delivery from January to December 2015, in Dr. Sardjito Hospital, Yogyakarta. Results: The sample of this study covers medical records of 45 patients with preterm delivery. From total sampel, only 25 patients (55.6%) underwent urinalysis. Of these 25 patients, 15 (60%) had UTIs and all of them had preterm delivery. The result showed 13 (86.7%) of 15 patients with bacteriuria were asymptomatic. Bacteriuria that was found in 15 subjects was not statistically significant when compared to preterm delivery indicated with relative ratio of 1,083 (p = 0,581 > 0,05). Multivariate logistic regression analysis showed that preterm delivery were not directly related to UTI (p = 0.704), gestational age (p = 0.274), symptom of UTI (0.699), history of UTI (p=0.999), and history of coitus (p = 0.872). Conclusion: The study revealed that preterm delivery was not related to UTI. Other causes should be considered. However, the discovery of asymptomatic bacteriuria in patients with preterm delivery indicated that this might be one of the risk factors for preterm delivery. Routine urinalysis test for pregnant woman considered for the prevention. Keywords: UTIs, preterm delivery, bacteriuria

Ketepatan Rumus Risanto untuk Memprediksi Berat Lahir Janin pada Ibu dengan Berat Badan Berlebih Nadia Mutiara Zahra; Shinta Prawitasari; Vicky Admiral Aprizano; Muhammad Nurhadi Rahman; Risanto Siswosudarmo
JURNAL KESEHATAN REPRODUKSI Vol 9, No 1 (2022)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.64595

AbstrakLatar Belakang: Pengukuran taksiran berat janin (TBJ) harus dilakukan seakurat mungkin agar dapat mencerminkan keadaan janin yang sesungguhnya guna merencanakan manajemen persalinan. Rumus Risanto adalah salah satu rumus TBJ yang yang praktis digunakan dengan memanfaatkan komponen tinggi fundus uteri (TFU). Namun, sering kali, penentuan TFU pada ibu hamil dengan berat badan berlebih sulit dilakukan secara teliti, akibat dari tingginya ketebalan lemak subkutan abdomen. Sehingga, terdapat kemungkinan penurunan ketepatan pengukuran TBJ menggunakan TFU pada ibu dengan berat badan berlebih.Tujuan: Untuk menilai ketepatan rumus Risanto dalam memprediksi berat lahir janin pada ibu dengan berat badan berlebih.Metode: Desain penelitian nested cross sectional, yang bersarang pada penelitian induk oleh author pada tahun 2018. Subjek yang terlibat yakni ibu hamil aterm dengan indeks massa tubuh (IMT) ≥25 kg/m2 di RSUP dr Sardjito dan beberapa RS jejaring. Selisih antara rata-rata taksiran berat janin rumus Risanto (TBJR) dan berat bayi lahir (BBL) dianalisis menggunakan paired t-test. Kemudian, TBJR dinilai ketepatannya menggunakan rata-rata persentase kesalahan absolut, serta proporsi kasus yang berada pada persentase kesalahan absolut ≤5%, ≤10%, ≤15%, dan ≤20%. TBJ dikatakan akurat apabila rata-rata persentase kesalahan absolut ≤10% dan/atau jumlah kasus dengan TBJ yang berada pada rentang ± 10% dari BBL sebanyak >75%.Hasil dan Pembahasan: Dari 205 subjek penelitian didapatkan rata-rata TBJR sebesar 3050,49 ± 421,96 gram (rentang 1995-4745 gram). Sedangkan, rata-rata BBL sebesar 3129,29 ± 406,67 gram (rentang 1800-4880 gram). TBJR cenderung memberikan hasil taksiran yang lebih kecil daripada BBL, dengan selisih rerata diantara keduanya (∆mean) sebesar 78,8 gram (95% CI: 50,031-107,569 dan nilai P=0,000). Artinya terdapat perbedaan yang bermakna secara statistik. Namun, apabila ∆mean diubah kedalam persentase maka akan didapatkan selisih rata-rata sebesar 2,52%. Selain itu, didapatkan rata-rata persentase kesalahan absolut sebesar 5,8 ± 4,11 %. Apabila dilihat proporsi data yang berada pada persentase kesalahan absolut ≤5%, ≤10%, ≤15%, dan ≤20%, maka berturut turut didapatkan cakupan sebesar 47,3%, 85,9%, 96,6%, dan 100% dari keseluruhan data.Kesimpulan: Rumus Risanto dapat dikatakan akurat dalam memperkirakan BBL pada ibu dengan berat badan berlebih berdasarkan indikator rata-rata persentase kesalahan absolut ≤10% dan jumlah kasus dengan TBJR yang berada pada rentang ±10% dari BBL sebanyak >75%. AbstractBackground: Estimated Fetal Weight (EFW) needs to be as accurate as possible to reflect the actual condition of the fetus for labor-management planning. Risanto’s formula is one of the easy to use formula to estimate fetal weight using fundal height (FH). But, oftentimes, the measurement of fundal height in overweight pregnant mothers is hard to be done precisely due to the thickness of the abdominal subcutaneous fat layer. Therefore, there is a possibility of a decrease in EFW’s accuracy in overweight mothers by using FH measurement.Objective: To determine the accuracy of Risanto’s formula in estimating fetal weight in overweight mothers.Method: It was a cross-sectional study nested within research by author in 2018. Mothers at term pregnancies with body mass index (BMI) ≥25 kg/m2 from Sardjito and affiliated hospitals were included in the study. The difference between the mean Risanto’s estimated fetal weight (R_EFW) and the mean actual birth weight (ABW) was analyzed using a paired t-test. Later on, the accuracy of R_EFW was analyzed based on the mean absolute percentage error and the number of cases within ≤5%, ≤10%, ≤15%, and ≤20% absolute percentage error. EFW can be defined as accurate if the mean absolute percentage error is ≤10% and/or the number of EFW within ± 10% from the ABW is >75%.Results and Discussion: From the 205 research subjects, the mean R_EFW was 3050,49 ± 421,96 gram (ranged from 1995 to 4745 gram), while the mean ABW was 3129,29 ± 406,67 gram (ranged from 1800-4880 gram). Risanto’s formula tends to give a smaller estimation compared to the ABW with the mean difference (∆mean) between the two was 78,8 gram (95% CI: 50,031-107,569 and P=0,000). The mean difference was statistically significant. But, if we convert the ∆mean into a percentage, the mean difference was 2,52%. Other than that, the mean absolute percentage error was 5,8 ± 4,11 %. The number of case within the absolute percentage error of ≤5%, ≤10%, ≤15%, and ≤20% was 47,3%, 85,9%, 96,6%, and 100% from the overall data in consecutive order.Conclusion: Risanto’s formula was accurate in estimating fetal birth weight in overweight mothers based on the two indicators, in which the mean absolute percentage error was ≤10% and the number of cases within the ± 10% from the ABW was >75%.

Infeksi Covid-19 pada Ibu Hamil dan Kejadian Anomali Kongenital: Scoping Review Patricia Alika Kurniawan; Eugenia Maria Alodia Hartono; Shinta Prawitasari
JURNAL KESEHATAN REPRODUKSI Vol 9, No 1 (2022)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.74685

Latar belakang: Covid-19 (coronavirus disease 2019) disebabkan oleh Severe Acute Respiratory Coronavirus (SARS-CoV 2). Ibu hamil memiliki risiko lebih untuk terkena infeksi, termasuk infeksi covid-19. Transmisi vertikal dari ibu hamil ke janin tampaknya tidak terjadi pada infeksi covid-19, namun hal ini masih perlu diteliti lebih lanjut. Beberapa laporan menemukan adanya maternal vascular malperfusion dan intervilositis histiositik kronis dengan nekrosis tropoblas pada plasenta ibu yang terinfeksi covid-19, dimana dapat secara langsung mempengaruhi perkembangan janin dalam rahim. Hingga saat ini, dampak infeksi SARS-CoV 2 pada kehamilan masih banyak belum diketahui. Namun demikian, infeksi SARS-CoV 2 memiliki potensi untuk menyebabkan komplikasi kehamilan pada trimester 1 meliputi keguguran dan anomali kongenital.Tujuan: Penelitian ini bertujuan untuk mengetahui bagaimana pengaruh infeksi covid-19 pada ibu hamil dan kejadian anomali kongenital pada janin.Metode: Penelitian ini menggunakan metode scoping review. Jurnal yang memenuhi kriteria inklusi dan eksklusi akan dikumpulkan dan dianalisis. Kriteria inklusi yakni jurnal yang membahas infeksi covid-19 pada ibu hamil terkait luaran bayi dengan kelainan kongenital. Kriteria eksklusi meliputi jurnal yang tidak berbahasa inggris ataupun tidak full text. Pencarian jurnal dilakukan di PubMed. Hasil tinjauan data disajikan dalam bentuk tabel.Hasil dan Pembahasan: Penelitian dilakukan pada 9 jurnal yang sesuai dengan kriteria inklusi dan eksklusi. Sebanyak 6 jurnal tidak menunjukkan adanya hubungan anomali kongenital pada bayi yang lahir dari ibu terinfeksi covid 19. Tiga dari enam jurnal tersebut tidak menemukan anomali kongenital, sedangkan tiga jurnal lainnya secara berurutan menyatakan tidak adanya hubungan antara infeksi covid-19 maternal dengan gangguan pendengaran, penyakit jantung bawaan, serta perlambatan perkembangan saraf (gangguan pendengaran dan retinopati prematuritas) bayi. Satu jurnal menyimpulkan adanya hasil peningkatan abnormalitas transien motorik halus yang signifikan. Satu jurnal menyimpulkan adanya kemungkinan abnormalitas mata yang disebabkan oleh transmisi fetomaternal covid-19 atau efek indirek dari infeksi covid-19 maternal pada saat perkembangan traktus optikus. Satu jurnal lainnya tidak dapat menyimpulkan hasil abnormal MRI otak pada 3 subyek bayi memiliki korelasi dengan paparan covid 19 pada saat kehamilan. Adapun sebanyak dua jurnal menemukan adanya insufisiensi plasenta pada subyek yang terinfeksi covid-19.Kesimpulan: Hubungan antara anomali kongenital dan infeksi covid-19 maternal masih perlu diteliti lebih lanjut. Hingga saat ini, belum dapat disimpulkan apakah infeksi covid-19 pada ibu hamil meningkatkan risiko terjadinya anomali kongenital pada janin.

The effect of midwife training in strengthening the mental health of postpartum mother Sumarni Sumarni; Shinta Prawitasari; ika putri
Journal of Community Empowerment for Health Vol 3, No 1 (2020)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.41269

Most midwives in the Cangkringan Community Health Center and Pakem Health Center are not familiar with the symptoms of blues depression. Data shows that in Cangkringan Community Health Center, blues depression occurs 60%, 2 cases due to delayed treatment (the mother almost killed her baby). In the Pakem Health Center area, blues depression occurs at 48.1%, 2 cases experience postpartum depression due to late handling, 1 mother tries suicide. If blues depression is not handled properly and immediately, it would cause postpartum depression, which can cause the worst complications, namely postpartum psychosis. One effort to overcome this is by providing midwife training on early detection and handling of blues depression accompanied by social support. Social support and spiritual training held in six steps (once in a week a during 1,5 months. The tools in this research consist of early detection for blues depression module, social support and spiritual for blues depression prevention, Edinburgh Postnatal Depression Scale questionnaire, knowledge, and skill of blues depression early detection module and social support and spiritual questionnaire. The method in this research use presentation, discussion, role-play, practice, association, and implementation. Analyze data using the quantitative descriptive approach. Research subjects are consist of 47 midwives in the Cangkringan Community Health Center and Pakem Health Center Area and 67 postpartum women in the Cangkringan Community Health Center and Pakem Health Center Area. The results show the average value of blues depression prevention knowledge is 43.45 after training increases 85,20. The average value of blues depression early detection knowledge is 57.56; after training increase 91,27. The average value of Blues depression prevention skills is 36.45, after training increase 80,25, and the average value of blues depression early detection is 51.30, after training increase 90,20. Blues Depression in postpartum women in the Cangkringan and Pakem health centers is 57%. Changes in the average value of knowledge about blues depression control before training were 43.45% to 85.20% after training increased 41.75. Changes in the average value of skills regarding prevention and early detection of blues depression before training amounted to 36.45 to 80.85 after training increased by 44.40. The whole series of training midwives in the Cangkringan Community Health Center and Pakem Health Center Area can improve the knowledge and skills of midwives to overcome blues depression in postpartum women, reduce the incidence of blues depression in postpartum women, and reduce maternal and child mortality due to postpartum mental disorders.

Improving early detection of reproductive health through empowering cadres in Kepuharjo village, Cangkringan, Sleman Sumarni Sumarni; Shinta Prawitasari; Adi Heru Sutomo; ika putri; Santi Yuliani
Journal of Community Empowerment for Health Vol 3, No 3 (2020)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.41274

After the catastrophic eruption of Merapi, which was very traumatic, some people had to move to a new neighbourhood which also was a stressor and further might cause mental disorders, especially women's psychiatric disorders. Prolonged stress will suppress the immune system which affects reproductive health, such as menstrual disorders, vaginal discharge, and urinary tract infections. One of the efforts to deal with this problem is to provide assistance related to early detection and overcoming reproductive health disorders for PKK cadres. The purpose of this study was to evaluate the PKK cadre’s skills in early detection and control of reproductive health disorders and to evaluate the decrease of women’s reproductive health disorders in Kepuharjo Village. The target of this study consisted of 40 PKK cadres and 60 women in Kepuharjo Village, Sleman. The early detection module, reproductive health disorder prevention module and early detection skills, reproductive health disorder prevention module, and urine and pap smear laboratory tests were used in the research. The data was presented in quantitative descriptive, using secondary data from community service in June-October 2017. The results of this study were (1) Increasing the average value of early detection skills for reproductive health disorders: stress increased from 39.83 to 57.5; menstrual disorders increased from 29.65 to 57.5; UTI disorders increased from 29.52 to 53.75; vaginal discharge disorders increased from 26.25 to 56.25; breast cancer increased from 16.25 to 51.25. (2) Increasing the average value of reproductive health disorders prevention skills: humour games increased from 41.25 to 82.5 and social support increased from 27.25 to 62.5. (3) Decreased tendency of women’s reproductive health disorders: stress decreased from 39 people (65%) to 21 people (35%); menstrual disorders fell from 51 people (85%) to 31 people (17.67%); UTI disorders decreased from 25 people (41.67%) to 16 people (26.67%); and vaginal discharge decreased from 34 people (56.67%) to 19 people (31.67%). It can be concluded that empowering cadres can improve PKK cadre’s skills in early detection of reproductive health disorders and overcoming reproductive health disorders.

Hubungan Kepatuhan Tim Bedah dalam Penerapan Surgery Safety Checklist dengan Infeksi Luka Operasi dan Lama Rawat Inap pada Pasien Seksio Sesarea di Rumah Sakit Umum Daerah Kabupaten Barru Amiruddin Amiruddin; Ova Emilia; Shinta Prawitasari; Leo Prawirodihardjo
JURNAL KESEHATAN REPRODUKSI Vol 5, No 3 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Background: Surgical Patient Safety is essential to be carried out in operating theatre to prevent mortality and surgical complication. Patient safety is the basic principal in medical care and a major component of medical care management in hospital (WHO, 2009).Objective: To investigate association between SSC implementation among surgical team, surgical site infection and duration of hospital stay.Method: This is an analytical cross sectional study. Population of this study was women who underwent cesarean section with live birth in Barru general hospital during 1 December 2016-30 April 2017. This study was carried out in Barru general hospital, 137 samples met inclusion and exclusion criteria. Data was obtained from medical records. Maternal outcome were duration of hospital stay, surgical site infection, and maternal mortality. Besides, this study also assesed knowledge and compliance of surgical team in implementation of SSC. The result of this study was analysed with computer statisctics analysis program.Result adn Discussion: One-hundred thirty seven patients met study criteria. Compliance of surgery team in SSC was 64%,. SSC was not implemented precisely in 36% patients (49 patients). There is no significant association between surgical team compliance with surgical site infection in cesarean section patients (p=0.078). A significant association was found between surgical team compliance with duration of hospital stay (p=0.006).Conclusion: The surgical team compliance in implementation of SSC was not yet optimal. An intensive socialization is needed to improve compliance of team in order that SSC implementation run promptly. This was part of efforts to reduce post operative complication and shorten hospital stay.Keywords: SSC, cesarean section, compliance, infection, duration of hospital stay

Perbandingan metode promosi kesehatan terhadap perubahan persepsi ibu tentang sex education pada anak prasekolah Evi Septiani; Shinta Prawitasari; Ova Emilia
Berita Kedokteran Masyarakat (BKM) Vol 32, No 11 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Latar Belakang: Kasus kekerasan seksual terhadap anak di Indonesia berdasarkan laporan Komisi Nasional Perlindungan Anak semakin meningkat setiap tahun. Hal ini menunjukkan pentingnya pemahaman tentang pengetahuan seksual sejak usia dini. Promosi kesehatan dilakukan untuk meningkatkan pengetahuan ibu sehingga diharapkan dapat merubah persepsi tentang pentingnya sex education pada anak usia prasekolah sebagai salah satu upaya pencegahan kekerasan seksual terhadap anak. Penelitian ini bertujuan membandingkan pengaruh promosi kesehatan melalui metode ceramah dengan audiovisual dan media leaflet terhadap perubahan persepsi ibu tentang sex educationpada anak usia prasekolah. Metode: Penelitian quasi experiment dengan rancangan non-equivalent control group design with pretest and postest. Sampel penelitian adalah ibu yang memiliki anak usia prasekolah berjumlah 64 orang yang bersekolah di TK.ABA Pringwulung dan TK Al-Islam Kecamatan Depok. Pengambilan sampel dilakukan dengan teknik purposive sampling dan analisis menggunakan uji paired t-test dan independent t-test pada tingkat signifikansi p < 0,05.Hasil: Metode ceramah dengan audiovisual memiliki nilai peningkatan rerata persepsi antara pretest dan posttest-1 sebesar 5,3 (CI: 3,01-7,56) dan antara pretest dan posttest-2 sebesar 3,8 (CI: 1,33-6,29), sedangkan pada kelompok dengan media leaflet memiliki nilai peningkatan rerata persepsi antara pretest dan posttest-1 sebesar 0,4 (CI: -1,28-2.15) dan antara pretest dan posttest-2 sebesar 0,1 (CI: -2,17-2,35).Kesimpulan: Promosi kesehatan melalui metode ceramah dengan audiovisual mengalami peningkatan skor persepsi ibu tentang sex education pada anak usia prasekolah lebih tinggi dibandingkan dengan kelompok media leafletKata Kunci: Promosi kesehatan, persepsi, kekerasan seksual pada anak, sex education, anak usia prasekolah.

Contaceptive use spacing after childbirth with contraception failure: IDHS 2012 analysis Chamy Rahmatiqa; Shinta Prawitasari; Siswanto Agus Wilopo
Berita Kedokteran Masyarakat (BKM) Vol 32, No 8 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Contraceptive use after childbirth and contraception failure: an analysis of Indonesia Demographic Health Survey 2012PurposeThis research aimed to evaluate the use of contraception after childbirth with contraception failure. MethodsThis research was an observational study using IDHS 2012 with a retrospective cohort design. Married women who got pregnant while using contraceptives were the unit of analysis. Statistical analysis used survival analysis with stratified Cox Regression methods.ResultsAnalysis showed a higher failure rate in the traditional contraceptive methods such as coitus interruptus and periodic abstinence. The failure rate of the contraceptive method implant in Indonesia was higher by 10 times the global failure rate. Women who had used contraceptive for 33-48 weeks and >48 weeks after childbirth had higher risk of pregnancy with contraceptive failure (respectively HR=1.25; 95% CI: 0.63-2.47 and 1.91; 95% CI: 1-3.67), respectively. Other factors influencing the contraceptive failure were age and met or unmet needs.ConclusionContraceptive use after childbirth is associated with contraceptive failure among woman of childbearing age in Indonesia. Providers of contraceptive implants may introduce additional variations of implantable contraceptives in Indonesia and are supported by qualified health personnel.

Co-Authors Adi Heru Sutomo Adintyo Rahman, Muhammad Nur Adolfina Nilasari Ahsanudin Attamimi Ajeng Arumsari Yayi Pramesti, Ajeng Arumsari Amiruddin Amiruddin anggraini, heni_anggraini Anisa, Tiara Aulia Ardhanu Kusumanto Ariawan Soejoenoes Arumsari, Regina Astuti, Dyah Puji Barirah, Ratih Beti Wulansari Brantas Prayoga Carla Raymondalexas Marchira Carla Raymondalexas Marchira, Carla Raymondalexas Chairunisa, Ratu Chamy Rahmatiqa Dalri Nur Fidina Diah Rumekti Hadiati Diannisa I E Sangun Efriyan Imantika Eka Mega Sari Ernawati Ernawati Eugenia Maria Alodia Hartono Evi Septiani Fatikha, Amira Nada Fidina, Dalri Nur Hafizh, Muhammad Raihan Hanif Reza Hanifah Mirzanie Harahap, Sarah Geltri Hardiknas Steven Saneba Herlina Pradjatmo Heru Pradjatmo ika putri ika putri Indraswari, Lathifa N Irwan Taufiqur Rachman Ismail Joko Sutresno Kartika Wijayanti Kartika Wijayanti Kuncoro, Teguh Tri Lathifa N Indraswari Leo Prawirodihardjo Leo Prawirodihardjo Leo Prawirodihardjo Lisa Soldat Ludovikus, Ludovikus Madarina Julia Madarina Julia Mailintina, Yurita Majidah, Nur Aulia Maya Safitri Miftakhul Muslichah Milhan Milhan Milhan Milhan, Milhan Mirzanie, Hanifah Mohammad Hakimi Mora Claramita muhammad hafiizh, muhammad Muhammad Hakimi Muhammad Hakimi Muhammad Lutfi Muhammad Lutfi Muhammad Nurhadi Rahman Muslichah, Miftakhul Nadia Mutiara Zahra Nani Emma Nani Emma Naufal, Hanif Zain Nuring Pangastuti Nuring Pangastuti Nuring Pangastuti, Nuring Ova Emilia Pangastuti †, Nuring Panjaitan, Ribka Sabarina Patricia Alika Kurniawan Pradjatmo, Herlina Pramana Pananja Putra Prima Daniyati Kusuma Prima Daniyati Kusuma Putri Sekar Wiyati Rahmaningsih, Ary Ramba, Hardin La Ridwan, Rizal Riris Andono Ahmad Risanto Siswosudarmo Rizal Ridwan Rohmah, Ulfa Nur Rukmono Siswishanto Sangun, Diannisa Ekarumi Enisar Sangun, Diannisa I E Santi Yuliani Saputra, Aldi Sari, Eka Mega Satriagraha, Oky Ardian Shofwal Widad Sibualamu, Khalida Ziah Siswanto Agus Wilopo Soejoenoes, Ariawan Suarti, Ni Made Sumarah Sumarah Sumarah Sumarah Sumarni Sumarni Sutresno, Ismail Joko Tri Setyaningsih Udayani, Ni Putu Eka Chandra Vicky Admiral Aprizano Wahyudi Istiono Weni Guslia Refti Wenny Wenny Wenny, Wenny Winda Nurmayani M Yari, Yarwin Yayuk Hartriyanti Yosi Tamara

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