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THE USE OF CONTRACEPTION IN COUPLES OF REPRODUCTIVE AGE DURING THE COVID-19 PANDEMIC IN INDONESIA : LITERATURE REVIEW Ermi, Nurmalia
Avicenna: Jurnal Ilmiah Vol 16, No 2 (2021): Jurnal Ilmiah Avicenna
Publisher : Public Health Department, Faculty of Health Science University Muhammadiyah Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36085/avicenna.v16i2.1772

Background: The use of contraception is one of the benchmarks for the success of family planning programs. The COVID-19 pandemic has had an impact on people to limit activities outside the home. The appeal from the government also has an impact on the possibility of hampering access to family planning services. The delay in family planning services will lead to a decrease in the use of contraception will ultimately have an impact on the uncontrolled birth rate (Baby Boom). The purpose of this study was to see how the use of contraception in couples of childbearing age during the COVID-19 pandemic. Methods: This study is a literature review related to the use of EFA contraceptives during the COVID-19 pandemic through the Google Scholar database, PubMed, government publication data. Results: Contraceptive use among new family planning participants decreased in general as well as among MKJP participants in the NTB area. The prevalence of contraceptive use in Indonesia has increased but has not yet reached the national target of 61.8%. In the DIY region, there was a decrease in contraceptive use among active family planning participants, as well as a decrease in the use of pill and injectable contraception. The research conducted in the Kalimantan region found that most women of childbearing age used the contraceptive method with the highest dropout rate, namely the pill. The number of unmet need for family planning in the NTB area has decreased, but the drop out rate for family planning in the early days of the COVID-19 pandemi has increased. Conclusion: The use of contraception during the COVID-19 pandemi in several regions in Indonesia is still fluctuating, but has a tendency to decrease.

Occupational Health and Safety Risk Assessment on Informal Workers in Ogan Ilir, South Sumatra Adisyah Fitrah Rahmadini; Desheila Andarini; Anita Camelia; Nurmalia Ermi; Mona Lestari
The Indonesian Journal of Occupational Safety and Health Vol. 10 No. 3 (2021): The Indonesian Journal of Occupational Safety and Health
Publisher : Universitas Airlangga

Introduction: One of the blacksmith industry centers in South Sumatra is in Limbang Jaya I, Ogan Ilir. Informal businesses such as blacksmiths are businesses that do not have operational standards in their work processes. Various risks from the work process can, therefore, arise, from injury to hearing loss. Therefore, it is necessary to carry out risk analysis in the work of blacksmith sector using Preliminary Hazard Analysis. Methods: This study used a descriptive research method with a qualitative approach through in-depth interviews, hazard checklists, and PHA worksheets. There were 12 informants in this study consisting of 4 key informants and 8 blacksmith worker informants. Results: The results showed that the hazards identified based on the work process were physical hazards, chemical hazards, ergonomic hazards, and psychosocial hazards. The efforts could be made by performing audiometric checks on workers, working time arrangements, stretching before and after work, and the use of Personal Protective Equipment (PPE). Conclusion: Based on the results of risk ranking, it is known that out of 34 lists of hazards that existed in the blacksmith's work process in Limbang Jaya 1 Village, there were 8 types of hazards included in the high risk group, 12 hazards included in the serious risk group, 12 hazards included in the medium risk group, and 2 hazards included in the low risk group.Keywords: blacksmith, preliminary hazard analysis, risk management

THE USE OF CONTRACEPTION IN COUPLES OF REPRODUCTIVE AGE DURING THE COVID-19 PANDEMIC IN INDONESIA : LITERATURE REVIEW Nurmalia Ermi
Avicenna: Jurnal Ilmiah Vol. 16 No. 2 (2021): Avicenna: Jurnal Ilmiah
Publisher : Public Health Department, Faculty of Health Science University Muhammadiyah Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36085/avicenna.v16i2.1772

Background: The use of contraception is one of the benchmarks for the success of family planning programs. The COVID-19 pandemic has had an impact on people to limit activities outside the home. The appeal from the government also has an impact on the possibility of hampering access to family planning services. The delay in family planning services will lead to a decrease in the use of contraception will ultimately have an impact on the uncontrolled birth rate (Baby Boom). The purpose of this study was to see how the use of contraception in couples of childbearing age during the COVID-19 pandemic. Methods: This study is a literature review related to the use of EFA contraceptives during the COVID-19 pandemic through the Google Scholar database, PubMed, government publication data. Results: Contraceptive use among new family planning participants decreased in general as well as among MKJP participants in the NTB area. The prevalence of contraceptive use in Indonesia has increased but has not yet reached the national target of 61.8%. In the DIY region, there was a decrease in contraceptive use among active family planning participants, as well as a decrease in the use of pill and injectable contraception. The research conducted in the Kalimantan region found that most women of childbearing age used the contraceptive method with the highest dropout rate, namely the pill. The number of unmet need for family planning in the NTB area has decreased, but the drop out rate for family planning in the early days of the COVID-19 pandemi has increased. Conclusion: The use of contraception during the COVID-19 pandemi in several regions in Indonesia is still fluctuating, but has a tendency to decrease.

Risk Model for Third Hand Smoke Against Health Problems in Children in Palembang City Amrina Rosyada; Dini Arista Putri; Nurmalia Ermi
Berita Kedokteran Masyarakat (BKM) Vol 36, No 12 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.61086

Introduction The cigarette smoke residue left on home furnishings, clothes and on smokers' bodies is known to have an impact on health, especially toddlers and children. In the long term this exposure triggers the incidence of cancer. Purpose This study aims to determine the risk of third hand smoke in children under five to their health problems in Palembang. Method This study used a cross sectional design in Palembang. The sample amounted to 180 toddlers who were selected using the cluster sampling method. The analysis performed was univariate, bivariate and multivariate analysis of risk factor models. Results Based on the analysis, it is known that respondents who are classified as Third Hand Smoke (THS) have a risk of 2.905 (1,341-6,296) times for experiencing health problems than those who are not classified as THS. After controlling for socio-economic variables, smoker status, gender, child's age, father's attitude, the risk of THS against health problems increased from 8,752 (2,656-28,843). Discussion It is necessary to educate the public, especially fathers, about the dangers of exposure to cigarette smoke residues for children's health problems.Keywords : Third Hand Smoke, Smoker Father, smoke residue, Health Problems

PERBANDINGAN KADAR ZAT BESI DAN VITAMIN C PADA IBU HAMIL ANEMIA DAN TIDAK ANEMIA DI KABUPATEN SELUMA Rostika Flora; Mohammad Zulkarnain; Hamzah Hasyim; Nurmalia Ermi; Risnawati Tanjung; Sri Martini; Aguscik Aguscik; Ikhsan Ikhsan; Nurlaili Nurlaili; Samwilson Slamet; Yetti Purnama; Neshy Sulung
Prosiding Seminar Nasional Unimus Vol 5 (2022): Inovasi Riset dan Pengabdian Masyarakat Guna Menunjang Pencapaian Sustainable Developm
Publisher : Universitas Muhammadiyah Semarang

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Latar belakang: Zat besi dan vitamin C sangat dibutuhkan oleh ibu hamil untuk mencegah terjadinya anemia. Zat besi berperan untuk pembentukan eritrosit, sedangkan vitamin C membantu meningkatkan penyerapan zat besi. Kekurangan asupan zat besi dan vitamin C akan berdampak terhadap kesehatan ibu hamil dan janin yang dikandung. Penelitian ini bertujuanuntuk membandingkan kadar zat besi dan vitamin C pada ibu hamil anemia dan tidak anemia. Metode: Penelitian ini merupakan penelitian case-control yang diadakan di Kabupaten Seluma. Sampel berjumlah 30 orang ibu hamil, terdiri dari 15 orang ibu yang mengalami anemi dan 15orang ibu yang tidak anemia. Dilakukan pengambilan sampel darah untuk pemeriksaan kadar Hb, zat besi dan vitamin C. Pengukuran kadar Hb dilakukan menggunakan Hb meter digital, pengukuran kadar Fe dan vitamin C menggunakan metode colorimetric. Data karakteristikdiperoleh dari kuisioner. Data dianalisis secara univariat dan bivariat menggunakan SPSS versi 22. Hasil: Data karakteristik menunjukkan bahwa, mayoritas (53%) ibu hamil anemia berusia 20-35 tahun dan berada di usia kehamilan Trimester II (60%). Sebagian besar (53,3%)merupakan kehamilan pertama. 73,3% ibu berpendidikan rendah, tidak bekerja (80%) serta mempunyai status ekonomi yang rendah (73,3%). Hasil pemeriksaan hematologi menunjukkan bahwa, rerata kadar Hb (10,38 ± 0,83 vs 12,72 ± 1,10 g/dL), zat besi (90,54 ± 12,55 vs 99,38 ±9,59 µg/dL) dan vitamin C (1,97 ± 1,01 vs 2,82 ± 0,97 µg/dL) pada ibu anemia lebih rendah dibandingkan ibu yang tidak anemia dan secara statistik terdapat perbedaan yang bermakna (p<0,05). Kesimpulan: Terdapat perbedaan yang bermakna antara zat besi (p=0,039) danvitamin C (0,026) ibu hamil yang mengalami anemia dan tidak anemia. Konsumsi zat besi dan vitamin C serta monitoring kadar hemoglobin selama kehamilan sangat diperlukan untuk mencegah terjadinya anemia. Kata kunci: anemia, kadar hemoglobin, zat besi, vitamin C

Perceptions of Health Workers regarding the COVID-19 Vaccine Report Application in Ogan Ilir Regency, South Sumatra Idris, Haerawati; Rosyada, Amrina; Budiastuti, Anggun; Ermi, Nurmalia
Journal of Indonesian Health Policy and Administration Vol. 8, No. 2
Publisher : UI Scholars Hub

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The Lapor Vaksin COVID-19 Application was developed to support a vaccination coverage surveillance database sourced from community self-report. This application provides data on vaccination coverage and allows users to view updates to educational content about vaccines and visualization of COVID-19 vaccine data in real-time. This study aims to analyze the perception among health worker about Lapor Vaksin COVID-19 application in the community. This study uses descriptive research with a case study design. This study was conducted in September 2021 through a virtual zoom meeting, in Ogan Ilir Regency, South Sumatra. The research sample was 42 health workers consisting of vaccine officers at the Health Office, RSUD and Puskesmas in Ogan Ilir Regency who were selected by purposive sampling. Data is presented descriptively. Based on the evaluation results of the application's use, more than half of the respondents were quite satisfied (52.4%) with the Lapor Vaksin COVID-19 application. This application can be used and developed as an alternative to the COVID-19 surveillance database.

“WhatsApp” sebagai media telekonsultasi dalam upaya pemantauan tumbuh kembang balita di masa pandemi COVID-19 Sari, Indah Purnama; Yuliarti, Yuliarti; Ningsih, Windi Indah Fajar; Ermi, Nurmalia; Ardillah, Yustini
Jurnal Pengabdian Masyarakat: Humanity and Medicine Vol 3 No 3 (2022): Jurnal Pengabdian Masyarakat: Humanity and Medicine
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/Hummed.V3I3.88

The COVID-19 pandemic has had an impact on child health services at the posyandu, especially monitoring growth and development. The proportion of toddlers who are stunted will increase not only in Indonesia but also in Palembang if children had growth and development disorders that are not monitored as the Posyandu was temporarily closed during the pandemic. WhatsApp can be used as a medium for teleconsultation in an effort to monitor the growth and development of toddlers. This activity provided education to mothers who have toddlers through teleconsultation in the form of information, motivation and solutions for monitoring the growth and development of children. This activity was carried out online using the WhatsApp application by recruiting 37 women in the Whatsapp group. The results of the activity showed that WhatsApp can be used as a teleconsultation media in educating mothers in an effort to monitor the growth and development of toddlers during a pandemic as the Posyandu was temporarily closed. The mother's enthusiasm can be seen from the active teleconsultation process in the WhatsApp group. Through this activity, it concluded that WhatsApp can be used as a teleconsultation media to monitor children's growth even though the mother did not directly receive education at the Posyandu.

Penyuluhan terpadu dalam mencegah stunting terkait kesehatan reproduksi remaja dan MPASI Utama, Feranita; Rini Anggraini; Aerosta, Danny Kusuma; Sitorus, Rico Januar; Ermi, Nurmalia; Najmah, Najmah
Jurnal Pengabdian Masyarakat: Humanity and Medicine Vol 5 No 1 (2024): Jurnal Pengabdian Masyarakat: Humanity and Medicine
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/Hummed.V5I1.130

More than a third of toddlers in Indonesia are stunted and this condition can continue into their teens. The adverse effects of stunting on children can be in the short term, such as growth and development disorders, low immune system and leading to mortality, while long-term impacts, such as short stature in adulthood, low school performance and work productivity, and low reproductive health. Pregnancy in adolescents and inadequate of complementary foods for toddlers has also contributed to the increasing prevalence of stunting. Increasing adolescent knowledge about reproductive health-risk of teenage pregnancies and mothers' knowledge about healthy complementary foods will prevent pregnancy in adolescents and stunting in toddlers. This integrated socialization for adolescents who junior high school students in SMPN 4 Indralaya Utara and mothers in Soak Batok Village is expected to support the program to reduction of stunting in Soak Batok Village, Regency of Ogan Ilir. The results of the evaluation showed that socialization for adolescents increased their knowledge about reproductive health and socialization for mothers of Soak Batok Village was enthusiastically received by them.

PENGARUH STRES PSIKOLOGIS TERHADAP KADAR KORTISOL ASI PADA IBU MENYUSUI DI KABUPATEN SELUMA Rosaria, Rini Rosaria; Flora, Rostika; Zulkarnain, Mohammad; Sitorus, Rico Januar; Hasyim, Hamzah; Fajar, Nur Alam; Ermi, Nurmalia; Jasmine, Annisah Biancika; Aguscik, Aguscik; Ikhsan, Ikhsan; Slamet, Samwilson; Purnama, Yetti; Sulung, Neshy
Mitra Raflesia (Journal of Health Science) Vol 15, No 2 (2023)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/mitraraflesia.v15i2.301

Breast milk is the gold standard in infant nutrition, which is the best food for babies compared to formula milk. Apart from containing the necessary nutrients, breast milk also contains various bioactive compounds that can affect the growth and development of the baby. Among these bioactive compounds there is also a glucocorticoid (GC) content, such as cortisol. It is known that cortisol levels are affected by the level of stress experienced by mothers during pregnancy and after childbirth. Purpose: this study aims to analyze the effect of maternal stress on breast milk cortisol levels in breastfeeding mothers in Seluma District. Method : : This research is an analytic survey, cross sectional study, conducted in Seluma Regency. A total of 77 rbreastfeeding mothers of children aged 0-24 months were taken as respondents by random sampling. Breast milk samples were taken to examine breast milk cortisol levels and were measured using the ELISA method. interviews using a questionnaire were conducted to collect data on maternal characteristics, while the stress level data were obtained by conducting interviews using the DASS 42 questionnaire. The data obtained was then processed and analyzed using univariate and bivariate analysis. Results: The results of measuring psychological stress showed that 35.1% of mothers experienced stress, while the results of measuring breast milk cortisol levels showed that 50% of mothers had high cortisol levels. The results of the Mann Whitney test found that there was a significant difference in the average breast milk cortisol levels in mothers who experienced psychological stress and those who did not (201.65 ± 97.82 μ/mL vs 150.32 ± 81.80 μ/mL, p=0.028) . Conclusion: psychological stress affects breast milk cortisol levels in breastfeeding mothers in Seluma Regency. Education related to handling stress in breastfeeding mothers needs to be done so that it does not hinder the breastfeeding process which can have an impact on the health of mothers and children. Keywords: Breastfeeding mothers, breast milk cortisol level, psychological stress

STUDI CROSS SECTIONAL TERHADAP HUBUNGAN ASUPAN PROTEIN DENGAN KADAR PROTEIN TOTAL ASI PADA IBU MENYUSUI Marissa, Febi Marissa; Flora, Rostika; Zulkarnain, Mohammad; Ermi, Nurmalia; Jasmine, Annisah Biancika; Aguscik, Aguscik; Ikhsan, Ikhsan; Slamet, Samwilson; Purnama, Yetti; Sulung, Neshy
Mitra Raflesia (Journal of Health Science) Vol 15, No 2 (2023)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/mitraraflesia.v15i2.283

Background: During breastfeeding, mothers need adequate nutritional intake, including protein intake. Essential amino acids play an important role in the process of breast milk protein synthesis and can increase the production and protein of breast milk. Breast milk protein is needed to support the growth and development of infants in the early stages of life. This study aims to analyze the relationship between protein intake and breast milk protein levels in breastfeeding mothers. Methods: This study was a quantitative study with a cross-sectional approach conducted in Seluma Regency. The sample used was 77 breastfeeding mothers aged 20-35 years who were randomly selected. Protein intake was obtained using 3x24 hour food recall, then calculated using the Nutri survey application. Breast milk protein levels were measured using the spectrophotometric method. Characteristic data were obtained through interviews. The data obtained were then processed and analyzed using univariate and bivariate analysis using SPSS version 20. Result: The measurement of protein intake showed that 76.6% of breastfeeding mothers had insufficient protein intake. Measurement of breast milk protein levels showed that 67.5% of breastfeeding mothers had insufficient breast milk protein levels. Statistical test results showed that there was a significant relationship between protein intake and breast milk protein levels in breastfeeding mothers (p=0.007; PR=1.961; CI=1.08-3.56). Mothers who have less protein intake have a 1.96 times greater risk of having low breast milk protein levels. Conclusion: There is a significant relationship between protein intake and breast milk protein levels in breastfeeding mothers (p<0.005). Education related to protein intake in breastfeeding mothers needs to be done. Adequate protein intake can produce the needed quality of breast milk to help the optimal growth and development of the baby.Key words: breast milk, breast milk, protein intake, breastfeeding mothers, milk protein levels

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