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Journal : Jurnal Kesehatan

Manfaat dan Hambatan Telehealth pada Asuhan Antenatal: Studi Literatur Sari, Kirana Candra; Purwaningsih, Dewi
Jurnal Kesehatan Vol 14 No 3 (2023): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v14i3.4249

Abstract

Indikator penting kesehatan ibu dan anak dalam mengukur derajat kesehatan suatu negara adalah status kesehatan ibu dan anak. Jumlah Angka Kematian Ibu (AKI) dapat diakibatkan komplikasi kehamilan. Pada kehamilan, diperlukan asuhan yang berkesinambungan dan berkualitas oleh petugas kesehatan melalui pemeriksaan antenatal. Pada awal pandemi COVID-19, praktik telehealth untuk layanan terkait kehamilan diterapkan dengan cepat. Telehealth untuk layanan terkait kehamilan kemungkinan akan terus berlanjut  walaupun pandemi telah berlalu. Agar sistem kesehatan dapat memberikan layanan terkait kehamilan yang berpusat pada individu melalui telehealth, maka diperlukan telaah untuk memahami manfaat dan hambatan pelaksanaan telehealth agar bisa terus dikembangkan. Metode yang digunakan adalah studi literatur. Database yang digunakan adalah Pubmed dan Google scholar. Kata kunci telehealth, pregnancy, dan antenatal. Kriteria inklusi adalah literatur yang dapat diakses PDF, terbit dalam kurun waktu 2019-2023. Terpilih 5 artikel yang selanjutnya ditelaah. Hasil diperoleh bahwa telehealth memiliki manfaat diantaranya membatasi paparan COVID-19, memastikan akses berkelanjutan terhadap layanan,  kenyamanan, efisiensi waktu. Hambatannya diantaranya ketidakkonsistenan mengenai kualitas dan jenis layanan telehealth yang tersedia, logistik penjadwalan telehealth yang belum teratur, serta kurangnya privacy. Disimpulkan bahwa telehelath merupakan inovasi pelayanan yang harus terus dikembangkan dengan memperhatikan manfaat dan hambatan yang telah terjadi.
Analysis of Determinants of Exclusive Breastfeeding in Breastfeeding Mothers Purwaningsih, Dewi; Sudarmi, Sudarmi
Jurnal Kesehatan Vol 15 No 3 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i3.4799

Abstract

Exclusive breastfeeding for babies aged 0-6 months, which continues until the age of 2 years accompanied by adequate complementary feeding, has an essential meaning, especially regarding the fulfillment of nutritional needs and other substances to form the body's immunity to disease, because at that age the baby's condition is still precarious. This study uses an analytic survey research cross-sectional design. The aim was to analyze the relationship between determinants of exclusive breastfeeding. The population of all mothers with babies aged 6-12 months amounted to 127, using a purposive random sampling technique. Sample calculation, according to Slovin, obtained a sample of 84. Data collection using a questionnaire. Univariate analysis with percentages, bivariate analysis with chi-square test. There is a relationship between knowledge (p-value=0.026), Early initiation breastfeeding (EIBF) history (p-value=0.005), breastfeeding self-efficacy (p-value=0.042), breastfeeding motivation (p-value=0.016), cultural customs (p-value=0.012), and family support (p-value=0.036) with exclusive breastfeeding in mothers who have babies aged 6-12 months at the Tanjung Sari Health Center, South Lampung Regency in 2024. A relationship exists between breastfeeding self-efficacy knowledge, motivation, and exclusive breastfeeding. There is a relationship between breastfeeding self-efficacy knowledge, breastfeeding motivation, cultural customs, and family support with exclusive breastfeeding. Suggested improving IEC (Communication, Information, and Education), implementing lactation management programs, making behavioral changes, and providing support for exclusive breastfeeding.
The Influence of Interpregnancy Interval and Iron Tablet Adherence on the Occurrence of Anemia Among Pregnant Women Sudarmi, Sudarmi; Asih, Yusari; Purwaningsih, Dewi; Nurlaila, Nurlaila; Pranajaya, R
Jurnal Kesehatan Vol 16 No 3 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i3.5347

Abstract

Anemia in pregnancy is a significant public health concern that contributes to maternal morbidity, adverse pregnancy outcomes, and neonatal complications. This study aimed to analyze the effects of the interpregnancy interval and adherence to iron–folic acid (IFA) tablet use on the incidence of anemia among pregnant women. A cross-sectional analytic survey was conducted in Tanjung Sari District, Lampung, Indonesia, involving 114 pregnant women selected through purposive random sampling from a total population of 334, including pregnant women aged 18–45 years in the first or second trimester, with at least one previous pregnancy, complete ANC records, and willingness to participate. Data were collected through structured questionnaires, anthropometric measurements, and documentation review. Anemia was assessed based on hemoglobin levels, while interpregnancy interval and IFA adherence were measured using standardized tools. Bivariate analysis was performed using the chi-square test, and multivariate analysis employed logistic regression to identify predictive factors. Results revealed that 40.4% of respondents were anemic. Pregnant women with an interpregnancy interval of less than 24 months were more likely to experience anemia compared to those with an interval of 24 months or more (p = 0.002). In addition, poor adherence to IFA tablet consumption was strongly associated with a higher prevalence of anemia (p<0.001). Logistic regression confirmed both interpregnancy interval and IFA adherence as significant predictors of anemia. Maintaining an optimal interpregnancy interval and improving adherence to IFA supplementation are critical strategies to prevent anemia during pregnancy.