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HUBUNGAN PENGETAHUAN DAN SIKAP IBU DENGAN PEMBERIAN MP-ASI PADA BAYI DI PUSKESMAS MELATI KECAMATAN PERBAUNGAN KABUPATEN SERDANG BEDAGAI TAHUN 2021 Nurhayati, Tengku; Purba, Edy Marjuang; Situmorang, Tetti Seriati; Sinaga, Siti Nurmawan
Excellent Midwifery Journal Vol. 4 No. 2 (2021): EDISI OKTOBER
Publisher : STIKes Mitra Husada Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55541/emj.v4i2.176

Abstract

Pemberian MP-ASI terlalu dini pada masyarakat merupakan masalah yang serius. Berdasarkan survei pendahuluan yang dilakukan kepada  10 orang ibu yang memiliki bayi  di Puskesmas Melati diketahui bahwa adalah 6 orang yang memberikan MP-ASI terlalu dini (kurang dari 6 bulan) dengan alasan supaya asupan makanannya lebih banyak dan bayi lebih kenyang. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan dan sikap ibu dengan pemberian MP-ASI pada bayi di Puskesmas Melati Kecamatan Perbaungan Kabupaten Serdang Bedagai Tahun 2021. Jenis penelitian merupakan survey bersifat analitik dengan pendekatan cross sectional study. Populasi dalam penelitian ini adalah ibu yang mempunyai bayi usia > 6 bulan. Sampel  diambil dengan metode total sampling yaitu semua ibu yang mempunyai bayi > 6 bulan di  Puskesmas Melati Kecamatan Perbaungan Kabupaten Serdang Bedagai yaitu sebanyak 57 orang. Teknik analisis data menggunakan chi square. Lebih banyak ibu memberikan MP-ASI kepada bayi sebelum berusia 6 bulan yaitu sebanyak 34 orang (59,6). Ada hubungan pengetahuan dan sikap ibu dengan Pemberian MP-ASI Pada Bayi di Puskesmas Melati Kecamatan Perbaungan Kabupaten Serdang Bedagai Tahun 2021. Pengetahuan kurang dan sikap yang negatif menjadi faktor yang dapat mendorong ibu untuk memberikan MP-ASI terlalu dini. Disarankan kepada petugas kesehatan untuk dapat lebih meningkatkan pengetahuan masyarakat tentang MP-ASI dan meningkatkan perannya dalam upaya pencapaian ASI eksklusif melalui penyuluhan, untuk yang dapat dilaksanakan pada acara pertemuan desa, posyandu dan konseling pada saat pemeriksaan kehamilan.
Pembinaan Keluarga Terhadap Pencegahan Stunting Pada Balita di Kelurahan Padang Bulan Medan Anna Waris Nainggolan; Eka Purnama Sari; Edy Marjuang Purba; Lusiatun Lusiatun; Imarina Tarigan; Iqra Manisah
JURNAL AKADEMIK PENGABDIAN MASYARAKAT Vol. 2 No. 1 (2024): Januari: Jurnal Akademik Pengabdian Masyarakat
Publisher : CV. KAMPUS AKADEMIK PUBLISING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61722/japm.v2i1.1027

Abstract

In Indonesia, the incidence of stunting among toddlers is still high. The results of the Republic of Indonesia Basic Health Research (RISKESDAS) in 2018 showed that around 30.8% of children under five were stunted. This figure makes stunting in Indonesia a serious problem because the WHO recommendation for the incidence of stunting in children is less than 20%, if the prevalence of stunting is 30-39% then it is categorized as a serious problem. Based on the results of community service activities carried out in the Padang Bulan sub-district, it is known that family knowledge regarding preventing stunting in toddlers is still quite low, so it is necessary to carry out family development towards preventing stunting in toddlers. After the coaching was carried out, it was discovered that there was an increase in the family's knowledge and ability to prevent and reduce the risk of stunting in toddlers. It is hoped that they will form and implement stunting prevention programs for toddlers to increase mothers' knowledge about stunting and parenting patterns for feeding toddlers.
HUBUNGAN PENGETAHUAN DAN SIKAP LANSIA DENGAN PEMANFAATAN POSYANDU LANSIA DI DESA UJUNG LABUHAN KECAMATAN NAMORAMBE KABUPATEN DELI SERDANG TAHUN 2021 Nismala Dewi; Eva Ratna Dewi; Edy Marjuang Purba
JURNAL RISET RUMPUN ILMU KESEHATAN Vol. 1 No. 2 (2022): Oktober: Jurnal Riset Rumpun Ilmu Kesehatan
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (101.271 KB) | DOI: 10.55606/jurrikes.v1i2.437

Abstract

WHO in 2018 noted that of the 675 million elderly deaths in the world due to degenerative diseases, 225 million (33.33% proportion) were in developed countries and 450 million (66.66 proportions) were in developing countries. The elderly population is estimated at almost 600 million people, which is projected to be 2 billion in 2050. Problems that often occur in the elderly include physical changes: cell decline, changes in the cardiovascular system, decreased respiration. Efforts to improve the health status of the elderly in the community are through Posyandu services for the elderly. Utilization of Posyandu for the Elderly is low even though it provides the benefits needed for the health of the elderly. This study is an analytic observational study with a cross sectional approach to analyze whether or not there is a relationship between knowledge and attitudes of the elderly with the use of posyandu for the elderly. The elderly population in Ujung Labuhan Village, Namorambe District, Deli Serdang Regency in 2021, as many as 72, the sample was taken by purposive sampling with a total of 45 elderly. Data analysis using chi square test. Most of the respondents have a low level of knowledge, namely 26 respondents (57.8%), a small proportion have good knowledge, 19 respondents (42.2%). Most of the respondents had a positive attitude towards the elderly posyandu as many as 23 people (51.1%), a small number of respondents had a negative attitude as many as 22 people (48.9%). Based on the results of the chi square test, it is known that the value of p = 0.000 <0.05 means that there is a relationship between attitudes and the use of posyandu for the elderly. There is a relationship between knowledge and attitudes of the elderly with the use of posyandu for the elderly. The elderly population in Ujung Labuhan Village, Namorambe District, Deli Serdang Regency in 2021. It is hoped that health workers will take a more innovative approach in providing health services to the elderly while still implementing health protocols.
Edukasi pada Ibu Tentang Persiapan Menghadapi Perubahan Masa Menopause Lusiatun Lusiatun; Anna Waris Nainggolan; Imarina Tarigan; Edy marjuang Purba
Natural: Jurnal Pelaksanaan Pengabdian Bergerak bersama Masyarakat. Vol. 2 No. 3 (2024): August : Natural: Jurnal Pelaksanaan Pengabdian Bergerak bersama Masyarakat
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/natural.v2i3.685

Abstract

Menopause is the phase where menstruation stops for a woman. Menopause is caused by the loss of function of the ovarian follicles and a decrease in estrogen levels in the blood circulation. The menopausal transition period can occur gradually, usually starting with changes in the menstrual cycle. This transition period is called perimenopause. Perimenopause can last several years and can affect physical, emotional, mental and social well-being. So physical and mental preparation is needed to face this transition period. The aim of this community service is to provide education about menopause and prepare mothers as early as possible to face the menopause period. This activity was carried out in Sungai Jernih Hamlet, RT 10, Bajubang District, Batanghari Regency. Educational activities are carried out using lecture and discussion methods using leaflet media. The results of this activity showed that there was an increase in the level of maternal knowledge in the good category in the pre-test from 4 respondents (21%) to 16 respondents (84.2%) in the post-test results. So it can be concluded that there is an increase in knowledge among mothers before and after being given education about preparations for facing menopause.
Household Food Insecurity and its Association with Nutritional Status of Under Five Children in Indonesia Firmansyah, Hardi; Purba, Edy Marjuang; Purba, Rasita; Rosmiati, Risti
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 10 (2024): October 2024
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i10.6197

Abstract

Introduction: Food insecurity remains a global challenge for public health, particularly among children. In Indonesia, where childhood malnutrition persists despite progress, regional disparities in food access, exacerbated by dietary shifts and income inequalities, underscore the importance of understanding how household food insecurity impacts child nutrition. Objective: to analyze the association between household food insecurity and nutritional status of Indonesian under-five children. Method: Data were collected from children participating in the 2014 Indonesia Family Life Survey (IFLS). The 17 items of the Food Frequency Questionnaire (FFQ) were used in the food consumption score analysis to assess food insecurity based on the World Food Program (WFP) concept. Height and weight were measured to determine z-scores of weight-for-lengths. A multinomial logistic regression model was used to test the hypothesis. Result: The study included 4,391 children aged 1-5 years. Multinomial logistic regression revealed that children from moderately and severely food-insecure households had significantly higher odds of being wasted, overweight, or obese compared to food-secure households. The analysis highlighted the dual burden of malnutrition, with food insecurity associated with both undernutrition and overnutrition. Conclusion: Household food insecurity is strongly linked to both undernutrition and overnutrition in Indonesian children, presenting a dual burden of malnutrition. Public health interventions should target improving food security and ensuring access to diverse, nutrient-rich diets to reduce malnutrition in vulnerable populations.
Empowerment Of Kader Mantap (Independent, Skilled, Adaptive) With Victor Vroom's Theory Approach To Realize Families Aware Of Exclusive Breastfeeding In Sembahe Baru Village Nainggolan, Anna Waris; Tetti Seriati Situmorang; Parningotan Simanjuntak; Iqra Manisah; Jasica Pratini; Edy Marjuang Purba
PAKDEMAS : Jurnal Pengabdian Kepada Masyarakat Vol 4 No 1 (2024): Desember
Publisher : Fakultas Pertanian

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/pakdemas.v4i1.290

Abstract

The coverage of exclusive breastfeeding in Sembahe Baru Village has not met the target (<70%). Limitations in manpower and time among health center staff or healthcare workers in Sembahe Baru Village hinder their ability to educate, monitor, and motivate mothers in providing exclusive breastfeeding. Additionally, many cadres remain inactive, and postpartum mothers often lack knowledge about exclusive breastfeeding, making them easily influenced by others. The community engagement activities were conducted in several stages: preparation, socialization of the community engagement activities, and surveys for collecting supporting data; training on using the ASIVroom application; application implementation; and monitoring progress and evaluation. Cadre training was conducted using Victor Vroom's theoretical approach to enhance cadre motivation. This approach emphasizes three key concepts: (1) Expectancy: The belief that a given effort will result in a desired behavior. (2) Valence: The value or significance of the outcomes resulting from specific behaviors, perceived as motivational force by individuals. (3) Instrumentality: The perception that achieving the first-level or best outcome will lead to further results. The ASIVroom application was introduced to breastfeeding mothers, cadres, and healthcare workers, enabling them to utilize the application effectively. Statistical analysis revealed that the education provided significantly improved mothers' knowledge about exclusive breastfeeding (p < 0.05). Evaluation of partner skills indicated that:(1) 62.5% of cadres found the ASIVroom application easy to use. (2) 53.1% rated the accessibility of information within the application as good.
Enhancing the independence of pregnant women in preventing anemia using the Anvent application in Tanjung Anom Village, Deli Serdang Regency Purba, Edy Marjuang; Ginting, Laurena; Purba, Saut; Dermawan; Nainggolan, Anna Waris
Transformasi: Jurnal Pengabdian Masyarakat Vol. 20 No. 2 (2024): Transformasi Desember
Publisher : LP2M Universitas Islam Negeri Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20414/transformasi.v20i2.11806

Abstract

[Bahasa]: Prevalensi anemia pada ibu hamil di Desa Tanjung Anom cukup tinggi (38,5%). Pemerintah melalui puskesmas telah berupaya menurunkan prevalensi anemia dengan memberikan tablet Fe  kepada setiap ibu hamil dan diwajibkan untuk mengonsumsi sebanyak minimal 90 tablet selama kehamilan. Namun sebagian besar ibu hamil di Desa Tanjung Anom tidak memiiliki kemandirian dalam mencegah anemia dan mengonsumsi Tablet Fe yang telah diberikan oleh Puskesmas. Kegiatan pengabdian ini bertujuan untuk meningkatkan kemandirian ibu hamil untuk mencegah anemia dengan aplikasi Anvent (Anemia Prevention) di Desa Tanjung Anom Kabupaten Deli Serdang. Metode kegiatan dilakukan dengan tahapan persiapan, sosialisasi, edukasi pencegahan anemia pada ibu hamil, pelatihan penggunaan aplikasi Anvent, evaluasi pengetahuan dan keterampilan ibu hamil. Kegiatan dilakukan di Balai Desa Tanjung Anom pada bulan September sampai Oktober 2024 dan diikuti oleh sebanyak 96 orang ibu hamil. Aplikasi Anvent dibuat dengan tampilan yang menarik dan informatif  dan memiliki 5 menu yaitu : Home, Menu Pangan Lokal, Pantau, Bagan Koordinasi, dan Chat. Hasil kegiatan menunjukkan adanya peningkatan yang siginifikan pengetahuan ibu hamil tentang anemia dan pencegahannya setelah mengikuti kegiatan pengabdian kepada masyarakat. Keterampilan ibu hamil dalam menggunakan aplikasi Anvent menunjukkan sebagian besar memiliki kemampuan yang baik. Sebagian besar ibu hamil juga dapat melihat tingkat kepatuhan mereka dalam mengonsumsi tablet Fe pada aplikasi Anvent. Aplikasi ini dapat menjadi solusi yang dapat dimanfaatkan oleh setiap ibu hamil untuk meningkatkan pengetahuan tentang pencegahan anemia dan menjadi alat pemantau dalam tablet Fe. Kata Kunci: anemia, aplikasi Anvent, ibu hamil, pantau, tablet Fe [English]: The prevalence of anemia among pregnant women in Tanjung Anom Village is relatively high at 38.5%. Through the health center, the government has implemented efforts to reduce this prevalence by providing pregnant women with iron tablets (Fe), requiring them to consume at least 90 tablets during pregnancy. However, most pregnant women in the village lack independence in preventing anemia and are inconsistent in consuming the Fe tablets provided. This community service program aims to improve the independence of pregnant women in preventing anemia by using the Anvent (Anemia Prevention) application in Tanjung Anom Village, Deli Serdang Regency. The program was carried out through several stages, including preparation, socialization, education on anemia prevention, training on using the Anvent application, and evaluation of participants’ knowledge and skills. The program was conducted at the Tanjung Anom Village Hall from September to October 2024 and involved 96 pregnant women. The Anvent application was designed to be informative and user-friendly, featuring five menus: Home, Local Food Menu, Monitor, Coordination Chart, and Chat. The program showed a significant increase in the knowledge of pregnant women regarding anemia prevention after their participation. Most participants demonstrated good skills in using the application and were able to monitor their compliance with consuming Fe tablets through Anvent. This application presents a practical and innovative solution for pregnant women to enhance their knowledge of anemia prevention and serves as an effective tool for monitoring Fe tablet consumption. Keywords: anemia, Anvent application, pregnant women, monitor, Fe tablets
Efektivitas E-booklet Tentang ASI Eksklusif dalam Peningkatan Pengetahuan dan Sikap Ibu Hamil Trimester III: Effectiveness of an E-booklet on Exclusive Breastfeeding in Enhancing Knowledge and Attitudes of Third-Trimester Pregnant Women Purba, Edy Marjuang; Sandy, Yatty Destani; Damanik, Kanaya Yori; Purba, Saut; Nainggolan, Anna Waris
Amerta Nutrition Vol. 8 No. 3SP (2024): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 4th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i3SP.2024.305-314

Abstract

Background: Knowledge and attitudes of third-trimester pregnant women significantly affect the success of exclusive breastfeeding. This period is critical for mothers to prepare for childbirth, including understanding infant nutrition. Enhancing knowledge and attitudes requires effective media aligned with technological advancements, such as an E-booklet. Objectives: To evaluate the impact of an E-booklet on exclusive breastfeeding in enhancing the knowledge and attitudes of third-trimester pregnant women in the Tuntungan Health Center area. Methods: This quasi-experimental study used a pre-test and post-test design with a control group. A total of 60 third-trimester pregnant women (30 in the experimental group and 30 in the control group) were chosen through purposive sampling. The intervention consisted of distributing an E-booklet over a two-week period. Changes in knowledge and attitudes were evaluated using the Wilcoxon and Mann-Whitney tests. Results: Most participants in both groups were aged 20–25 years (50.0% and 56.7%), had higher education (73.3% and 70.0%), parity ≤2 (63.3% and 66.7%), were unemployed (63.3% and 56.7%), and had high incomes (60.0% and 56.7%). The experimental group showed a mean knowledge score increase of 5.70 (SD=2.57) compared to 0.86 (SD=1.37) in the control group. Attitude scores increased by 8.87 (SD=3.37) in the experimental group compared to 1.43 (SD=3.65) in the control group. Mann-Whitney analysis indicated that the E-booklet significantly improved knowledge and attitudes (p-value=0.001). Conclusions: The E-booklet effectively enhanced the knowledge and attitudes of third-trimester pregnant women regarding exclusive breastfeeding. It is a promising educational tool to promote exclusive breastfeeding in communities.
THE EFFECT OF OXYTOCIN MASSAGE ON FLUENCY BREASTFEEDING IN MULTIPAROUS POSTPARTUM MOTHERS IN THE WORKING AREA PUSKESMAS MEDAN JOHOR YEAR 2022 Ndraha, Destin Murni Yanti; Sinaga, Siti Nurmawan; Simanullang, Ester; Purba, Edy Marjuang
Journal of Public Health Science Vol. 1 No. 4 (2024): Desember
Publisher : Yayasan Nuraini Ibrahim Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70248/jophs.v1i4.1984

Abstract

Exclusive breastfeeding in Indonesia has an achievement of 66.06% according to the Ministry of Health's 2020 research. For North Sumatra, it is 53% and exclusive breastfeeding coverage in Medan city is still low with the 9th lowest or 30.41% and IMD coverage in Medan city is 22.19%. The cause of low exclusive breastfeeding is low milk production, especially in the first day after childbirth, due to the lack of stimulation to increase oxytocin and prolactin hormones. Nonpharmacological efforts, namely oxytocin massage, can help smooth breast milk. This study aims to analyse the effect of oxytocin massage on breast milk fluency in multiparous postpartum mothers in the Medan Johor Health Centre working area in 2022. This study used quantitative research, with a Quasi Experiment research design with a Nonequivalent Control Group Design approach. Sampling technique with purpose sampling with 12 respondents for the control group and 12 respondents for the experimental group. The results of the Wilcoxon test with a p value of 0.002 showed that the p value < α (0.005) stated that there was an effect of oxytocin massage on the smoothness of breast milk in multiparous postpartum women in the Medan Johor Health Centre working area in 2022.
HUBUNGAN PENGETAHUAN DAN PENDAPATAN KELUARGA DENGAN KEJADIAN STUNTING PADA BALITA DI WILAYAH KERJA PUSKESMAS IDI RAYEUK KABUPATEN ACEH TIMUR TAHUN 2023 Mariatun Mariatun; Anna Waris Nainggolan; Edy Marjuang Purba
JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL Vol. 2 No. 1 (2024): Februari
Publisher : CV. ALIM'SPUBLISHING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59024/jikas.v2i1.735

Abstract

Stunting is a national and global nutritional problem that requires attention from various sectors. Each individual's nutrition can be considered as an indicator to determine a person's health status, including the toddler group. Nutrition also has an impact on the level of harmony between a person's physical condition and mental condition. Insufficient knowledge and low family income are thought to be important factors in increasing the risk of stunting. The aim of this research is to determine the relationship between knowledge and family income and the incidence of stunting among toddlers in the work area of ​​the Idi Rayeuk Community Health Center, East Aceh Regency in 2023. This type of research is analytical observational with Cross-Sectional. The population in this study is the population in this study is all toddlers or all toddlers in the Idi Rayeuk Community Health Center Working Area, East Aceh Regency in 2023, a total of 61 people. The sample was taken as a total sampling, namely 61 people. Data analysis was carried out using statistical tests using chi-square, to see the relationship between the independent variable and the dependent variable. The results of the research show that there is a relationship between knowledge and family income (p<0.005) with the incidence of stunting among toddlers in the Idi Rayeuk Community Health Center Working Area, East Aceh Regency in 2023. It is recommended that the Community Health Center provide education to parents so that they have good knowledge of skills in the pattern of take care of toddlers so that the risk of stunting can be reduced.
Co-Authors Anna Waris Nainggolan Aritonang, Ribur Cristianna Simanjuntak Dalimunthe, Tetty Dermawan Dermawan Desi Yolanda Ginting Desyandri Desyandri Dewi, Eva Ratna Dewi, Eva Ratna Diah Retno Wahyuningrum Diana Wulan Eka Falentina Tarigan Eka Purnama Sari Eka Purnama Sari, Eka Purnama Eka Purnamasari Emilia, Esi Eris Junaeti Erni Rukmana Eva Ratna dewi Eva Ratna Dewi Fau, Yentiria Febriana Sari, Febriana Fitri Jelita Fransiari, M.Edwin Friza N. S Situmorang ginting, laurena Hardi Firmansyah Haryana, Nila Reswari Hendrik Edison Siahaineinia Herni Maulina Azhar Hidayati, Fitni Hondro, Surya Meistin Kristianti Imarina Tarigan Imarina Tarigan Iqra Manisah Jasica Pratini Jelita, Fitri Juliana Juliana Juniara Fetriani Kanaya Yori Damanik Kurnia, Oni Latifah Rahman Nurfazriah Laurena Ginting Lidya Natalia Br Sinuhaji Lusiatun Lusiatun Lusiatun, Lusiatun Magdalena Barus magdalena Barus Manullang, Rasmi Manurung, Herna Rinayanti Mariatun Mariatun Markus Doddy Marliani Marliani Marliani Marliani Marlina Lamawati Simbolon Martaulina Sinaga Mayla Atika Sari Melpa Agripa S Mohammad Hakimi Muhammmad Edwin Fransiari Nadeak, Yasrida Ndraha, Destin Murni Yanti Nila Reswari Haryana Nismala Dewi Nova Marianti Purba Nur Azizah Nur Azizah Lubis Nur Fatimah Sam Pohan Nurhayati, Tengku Nursi Oktaviani Oni Kurnia Painem, Painem Parningotan Simanjuntak Pasaribu, Karl Fritzs Pasaribu, Veronika Sinar Open Pratiwi, Caca Purba, Rasita Putri, Kalasta Ayunda Rahmawati Rahmawati Rasita Purba Rasmi Manullang Ridesman Ridesman Rismalia Tarigan Rismalia Tarigan Risnawati Tanjung Risti Rosmiati Romauli Silalahi Rukmana , Erni Rumondang Sitorus SAUT PURBA Saut Purba seh malem Sembiring, Mediana Siadari, Yemima Silalahi, Romauli Simamora, Cike Grenada Sriningsih Simamora, Lasria Simanjuntak Simanjuntak Simanullang, Ester SINAGA, ROSMANI Sinaga, Siti Nurmawan Sinuhaji, Lidya Natalia Sinuhaji, Lidya Natalia Br Sitanggang, Tressy Siti Nurmawan Sinaga Situmorang, Friza N. S situmorang, tetti seriati Tengku Nurhayati tetti seriati situmorang Theodola Baning Rahayujati Turipah Turipah Utami Nurhafsari Putri Yasrida Nadeak Yatty Destani Sandy Yemima Siadari Zurkaidah Zurkaidah