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Implementasi Deteksi Dini Kanker Payudara dan Kanker Leher Rahim dengan Menggunakan Metode CBE dan IVA di Kabupaten Lampung Selatan Sudarmi Sudarmi; Nurchairina Nurchairina
Jurnal Kesehatan Vol 8, No 2 (2017): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Breast cancer and cervical cancer are the highest female cancers in Indonesia. Both of these cancers become one of the main problems in health. From 2007 Up to 2014, the program has been running at 1,986 Puskesmas in 304 districts/ cities located in 34 provinces in Indonesia, including southern Lampung regency. The purpose of this study was to evaluate the implementation of prevention / early detection program of breast cancer and cervical cancer. The research method used is descriptive qualitative, research time July to December 2016. Technique of collecting data using documentation study, interview, observation, and active participation, using protocol research, Data analysis is done by testing the prevalence of data, classify data according to sub focus and Research question, merging of data in matrix or table form and triangulation strategy to describe the result of analysis and research findings. The results of the implementation of early detection of breast cancer and cancers of the womb of Rahim 2016, CBE Implementation 75% according to SOP, Implementation of IVA 86.3% according to SOP and from target 28.138 (20%) WUS only reached 14.821 (52.67%), and found lesions White (Accetowhite) 357 (2.49%) and CBE positive 198 (1.34%). Recommendations addressed to the Health Department, head of Puskesmas and cancer detection operators in the process of cancer detection are expected in accordance with Standard Operating Procedures (SOP) so that the expected program objectives can be achieved.

Analisis Mutu Pembelajaran Praktik Laboratorium sebagai Upaya Peningkatan Mutu Praktik Asuhan Kebidanan di Program Studi DIII Kebidanan Sudarmi Sudarmi
Jurnal Kesehatan Vol 7, No 1 (2016): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Untuk menghasilkan tenaga bidan yang profesional dan mempunyai kompetensi sesuai standar, membutuhkan pengelolaan pendidikan yang berkualitas. Upaya mencapai kualitas pendidikan, dalam proses belajar mengajar secara teori maupun praktik diperlukan usaha peningkatan mutu pembelajaran. Penelitian ini mendeskripsikan mutu pembelajaran praktik laboratorium yang terdiri dari perencanaan, implementasi, evaluasi dan upaya peningkatan mutu pembelajaran. Jenis penelitian ini adalah deskriptif kualitatif dengan pengumpulan data melalui wawancara, dokumentasi dan pengamatan. Hasil penelitian menunjukkan bahwa mutu pembelajaran praktik laboratorium di prodi DIII kebidanan tanjungkarang belum sesuai dengan standar, sebagian besar mahasiswa kurang puas mendapatkan pelayanan pembelajaran praktik laboratorium kebidanan yang diberikan oleh dosen dan petugas laboratorium. terbukti dengan banyaknya keluhan yang dirasakan mahasiswa. Diperlukan langkah-langkah untuk meningkatkan mutu pembelajaran praktik laboratorium kebidanan dengan menerapkan Konsep PDCA (Plan-Do-Chek-Act), dan untuk pengembangan dimensi mutu pembelajaran praktik laboratorium, dalam kualitas pelayanan yaitu dengan peningkatan: kehandalan (reliability), daya tanggap (respon-siveness), kepastian (assurance), empati (emphaty) dan berwujud (tangible).

Pengaruh Penggunaan Selimut Inisiasi Menyusu Dini (SIMDi) terhadap Suhu Tubuh Bayi Saat Inisiasi Menyusu Dini (IMD) Sudarmi Sudarmi; Supriatiningsih Supriatiningsih; Nora Isa Tri Novadela
Jurnal Kesehatan Vol 10, No 1 (2019): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Efforts to launch breast milk (ASI) products by doing Early Breastfeeding Initiation (IMD). Results of Nutrition Status Monitoring (PSG) in 2016, in Lampung province the IMD figure was 48.5 below the national average. The quality of the implementation of IMD in Indonesia was lacking, the achievement of IMD was 51.9% consisting of 42.7% getting IMD in <1 hour after birth, and 9.2% in one hour or more after birth. The aim of the study was to determine the effect of using turtle blanket on infant body temperature during IMD. Research experiment with, type of true experiment, design of pre-post test group design. The population of all babies was born normal, a sample of 60 infants. Data analysis using a two-way Anova test. Results There was a significant difference between the body temperature of the infant group before and after 60 minutes of IMD implementation. With the value of Fcount=44.52 (Ftable=3.92). There was a significant difference between the body temperature of the group of babies given the Turtle Blanket blanket and the group of babies given a contemporary blanket. With the value of Fcount=11.83 (Ftable=3.92) and There is no interaction factor between the treatment of infants and types of blankets. With the value of Fcount=0.83 (Ftable value=3.92).

Efektifitas penerapan interprofessional education-collaborative practice (IPE–CP) tentang gizi seimbang terhadap pengetahuan dan sikap ibu hamil Sudarmi Sudarmi; Bertalina Bertalina; Aprina Aprina
AcTion: Aceh Nutrition Journal Vol 5, No 1 (2020): AcTion Vol 5 No 1 Tahun 2020
Publisher : Jurusan Gizi Politeknik Kesehatan Kemenkes Aceh

The behavior of a pregnant mother to consume healthy food, including the quality and quantity of food that is diverse and balanced according to the needs during pregnancy, is very desirable. Effective education to deliver a balanced nutrition message requires an Interprofessional Educative Collaboration Practice (IPE-CP) approach. The involvement of various professions is thought to be effective in increasing mothers' knowledge and attitudes about balanced nutrition. The purpose of this study was to determine the effect of the application of IPE-CP on balanced nutrition on the knowledge and attitude of a pregnant mother. The research is a quasi-experimental one-group pretest-posttest design. Samples were taken as many as 60 pregnant women using the Federer formula. Interventions in the form of education and assistance on balanced nutrition provided by the application of IPE-CP. Data is taken by pre-test and post-test questions about balanced nutrition. Data analyzed using the Dependent T-test and the Cohen Effect test. The results showed that there was a significant influence on the application of IPE-CP to maternal knowledge (p=0,003), maternal attitudes (p=0,000) about balanced nutrition. The most influential effect size is the mother's attitude (0,92), so it has a big effect. In conclusion, IPE-CP is very effective in increasing the knowledge and attitude of pregnant women about balanced nutrition. Suggestions for health workers to be able to implement IPE-CP in solving nutrition problems. Perilaku ibu hamil untuk mengkonsumsi makanan sehat, mencakup kualitas maupun kuantitas makanan yang beragam dan berimbang sesuai dengan kebutuhan di masa kehamilannya sangatlah diharapkan. Edukasi yang efektif untuk menyampaikan pesan gizi seimbang diperlukan strategi pendekatan Interprofessional Educatif Calaboration Practice (IPE-CP). Keterlibatan berbagai profesi diduga efektif untuk meningkatkan pengetahuan dan sikap ibu tentang gizi seimbang. Tujuan penelitian untuk mengetahui pengaruh penerapan IPE-CP tentang gizi seimbang terhadap pengetahuan dan sikap ibu hamil. Jenis penelitian kuasi eksperimen rancangan one group pretest–posttest design. Sampel 60 ibu hamil diperoleh berdasarkan perhitungan rumus Federer. Intervensi berupa edukasi dan pendampingan tentang gizi seimbang yang diberikan dengan penerapan IPE-CP. Data diambil dengan pre-test dan post-tes soal tentang gizi seimbang. Data dianalisis menggunakan uji Dependent T-test serta uji cohen effect. Hasil menunjukkan terdapat pengaruh signifikan penerapan IPE-CP terhadap pengetahuan ibu (p= 0,003), sikap ibu (p= 0,000) tentang gizi seimbang. Effect Size yang paling berpengaruh yaitu sikap ibu (0,92) sehingga berpengaruh besar. Kesimpulan, IPE-CP sangat efektif untuk meningkatkan pengetahuan dan sikap ibu hamil tentang gizi seimbang. Saran, kepada petugas kesehatan untuk dapat menerapkan IPE-CP dalam memecahkan masalah gizi ibu hamil.

Education on Nutrition, Sanitation, and IYCF to Increase Mother's Knowledge in Lokus Stunting Village Antun Rahmadi; Bertalina Bertalina; Sudarmi Sudarmi; Aprina Aprina
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 2: June 2022
Publisher : Universitas Aisyah Pringsewu

Stunting is a condition of growth failure on children under five only years caused by chronic malnutrition. Stunting is caused by multi-dimensional factors, not due to malnutrition in pregnant women and toddlers. The research aims to prove the influence of education on nutrition, sanitation, and also infant and young children feeding (IYCF) on increasing maternal knowledge. This type of research is experimental research using quasi experiment approach with non randomized control group pre-test– post test design research. The study population was mothers who had children aged 0 to 5 years. The variables studied were education on nutrition, sanitation, and IYCF. The test of differences in knowledge before and after the intervention in each group used statistical paired t-test.The results showed that there were differences in nutritional knowledge in the control group and intervention group (p-value=0,006 and 0,0001). There was no difference in sanitation knowledge in the control group (p-value=0,208) but there was difference in sanitation knowledge in the intervention group (p-value=0,669). There was no difference in IYCF knowledge in the control group (p-value=0,083) and there was a difference in IYCF knowledge in the intervention group (p-value=0,001). Height for age before and after intervention with p value 0.018 in the intervention group. There was no difference in maternal knowledge about nutrition, sanitation and IYCF before and after the intervention between the control and intervention groups, at the initial measurement with p-values 0.309, 0.991, 0.915 and the final measurements with p values of 0.289, 0.150 and 0.753 There was no difference in Z-score weight for age before and after between control and intervention groups with p value of 0.531 and there was no difference in z-score height for age between before and after intervention with p value 0.616. Based on the research results, it is hoped that local governments and related sectors will create innovative programs that can increase the scope of appropriate infant and ypung child feeding practices, including breastfeeding and complementary breastfeeding. In addition, the puskesmas is expected to increase cooperation among health workers in providing education related to IYCF and maximizing coaching activities for posyandu cadres in the context of increasing family assistance as an effort to prevent the incidence of stunting in toddlers from pregnancy.

PENGARUH EFEKTIVITAS MANAJERIAL, SELF-EFFICACY, STRES KERJA DAN MOTIVASI KERJA TERHADAP KINERJA DOSEN KEBIDANAN DI PROVINSI LAMPUNG Sudarmi Sudarmi
Jurnal Manajemen Vol. 19 No. 1 (2015): February 2015
Publisher : Fakultas Ekonomi dan Bisnis, Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/jm.v19i1.103

Tujuan dari penelitian ini adalah untuk mengetahui pengaruh efektivitas manajerial, self-efficacy, stres kerja dan motivasi kerja terhadap kinerja dosen kebidanan di Provinsi Lampung. Penelitian ini menggunakan metode survei kuantitatif. Pengumpulan data dilakukan dengan kuesioner dan dianalisis menggunakan teknik analisis jalur. populasi dosen penelitian kebidanan provinsi Lampung sebesar 167 dosen, sampel 118 responden teknik pengambilan sampel dengan hasil pengambilan sampel acak proporsional method.The penelitian ini: efektivitas manajerial efek positif langsung pada kinerja, self-efficacy dari efek positif langsung kinerja, stres kerja dari efek negatif langsung terhadap kinerja, motivasi efek positif langsung pada kinerja, efektivitas manajerial efek negatif langsung terhadap stres kerja, self-efficacy efek negatif langsung terhadap stres kerja, efektivitas manajerial berpengaruh positif langsung pada pekerjaan bekerja motivasi, self-efficacy yang positif secara langsung motivasi kerja dan stres kerja dan efek negatif langsung terhadap motivasi kerja.The objective of this research is to explore the effect of managerial effectiveness, self-efficacy, job stress and work motivation on the performance of midwifery lecturer in Lampung Province. This research used a quantitative survey method. The data was collected with questionnaires and analyzed using path analysis technique. population of the research study midwifery lecturer of province Lampung totaling 167 lecturer, sampled 118 respondents sampling technique with proportional random sampling method.The results of this research: the managerial effectiveness of a direct positive effect on performance, self-efficacy of a direct positive effect on performance, work stress of a direct negative effect on performance, work motivation of a direct positive effect on performance, managerial effectiveness direct negative effect on job stres, self-efficacy direct negative effect on job stress, managerial effectiveness of direct positive effect on work motivation, self-efficacy positive direct effect on work motivation and work stress and negative direct effect on work motivation

Penyuluhan Pemberian Makan Bayi dan Anak (PMBA) Pada Kader Posyandu Puskesmas Karang Anyar Desa Jatimulyo Kecamatan Jati Agung Lampung Selatan Indah Trianingsih; Sudarmi Sudarmi; Nurlaila Nurlaila; Marlina Marlina
Jompa Abdi: Jurnal Pengabdian Masyarakat Vol. 2 No. 2 (2023): Jompa Abdi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar

Dalam pertumbuhan dan perkembangan anak, pola pemberian makan yang baik pada anak sejak lahir sampai berusia dua tahun merupakan salah satu point penting dalam memenuhi kualitas gizi yang optimal. Oleh karena itu pemberian makan yang baik sejak lahir hingga usia dua tahun merupakan salah satu upaya mendasar untuk menjamin tercapainya kualitas tumbuh kembang yang baik sekaligus pemenuhan akan hak anak. Pengabdian masyarakat ini bertujuan meningkatkan pengetahuan Kader Posyandu mengenai pemberian makan yang tepat pada bayi dan anak, dimulai dari pelaksanaan IMD, pemberian ASI ekslusif dan langkah-langkah pemberian MP ASI yang tepat pada bayi dan balita sehingga kader dapat menyebarluaskan pengetahuan yang dimilikinya kepada masyarakat sekitarnya, serta mendorong para ibu untuk dapat menerapkannya pada bayi dan balitanya.. Metode yang digunakan meliputi penyuluhan dan praktik pemberian ASI ekslusif dan pemberian MP-ASI. Hasil yang didapatkan para kader memahami pentingnya pemberian ASI Ekslusif dan MP ASI yang tepat untuk mengoptimalkan kualitas gizi untuk pertumbuhan dan perkembangan anak, serta dapat memberikan edukasi kepada masyarakat dengan baik terkait pemberian ASI Ekslusif dan pemberian MP-ASI yang tepat. Diharapkan kegiatan serupa dapat terus dilakukan secara berkesinambungan sehingga pengetahuan pemberian makan bayi dan anak dapat disebarluaskan dengan baik kepada masyarakat.

Pregnancy Class Model for High-Risk Pregnant Women (RESTIKOL) Sudarmi Sudarmi; Bertalina Bertalina; Fitriana Fitriana; Dewi Yunarti; Monica Dara Delia Suja
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 4: December 2022
Publisher : Universitas Aisyah Pringsewu

The main causes of maternal death in Indonesia are bleeding and hypertension during pregnancy. Maternal mortality can be prevented by strengthening health services and increasing the knowledge of pregnant women about their pregnancy. To make the class of pregnant women effective, a strategy is needed to develop a class model for pregnant women that is intended for pregnant women who are at high risk, which is called RESTIKOL. The purpose of this study is to obtain a class model that focuses on high-risk pregnant women. This type of research is Research and development (RnD) developed by Borg and Gall. Data collection techniques are interviews, study documentation, and FGDs. The model trial was conducted on 100 pregnant women 20-32 weeks in five classes of pregnant women in the South Lampung district. Qualitative data analysis with data validation, classification and triangulation, and quantitative data using analytical descriptive. The results of this study are RESTIKOL class development model for pregnant women, planning for implementing teams consisting of several health professions, in the implementation: screening of pregnant women, the material provided in the form of audio-visual media, cross-sectoral collaboration and programs, and monitoring and mentoring for pregnant women at risk. The step-by-step procedure model for pregnant women for high-risk pregnant women RESTIKOL is ready to be used and feasible to be implemented in our health system. Recommendations for further research on pregnant women are implemented by application/online. Abstrak: Penyebab utama kematian ibu di Indonesia oleh karena perdarahan dan hypertensi dalam kehamilan. Kematian ibu dapat di cegah dengan penguatan pelayanan kesehatan dan meningkatkan pengetahuan ibu hamil tentang kehamilannya. Untuk mengefektifkan kelas ibu hamil agar hasil yang didapat bisa mencapai optimal diperlukan strategi dengan mengembangkan model kelas ibu hamil yang diperutukan bagi ibu hamil yang beresiko Tinggi yang di beri nama kelas ibu hamil RESTIKOL. Tujuan penelitian mendapatkan model kelas ibu hamil yang di fokuskan bagi ibu hamil yang beresiko tinggi. Jenis penelitian Reseach and depelovment (RnD) yang di kembangkan oleh Borg dan Gall. Teknik pengumpulan data dengan: wawancara, study dokumentasi, dan FGD. Uji coba model dilakukan pada 100 ibu hamil usia kehamilan 20-32 minggu di lima kelas ibu hamil wilayah kabupaten lampung selatan. Analisis data kualitatif dengan validasi data, klasifikasi dan triangulasi dan data kuantitatif menggunakan deskriptif analitik. Hasil model pengembangan Kelas ibu hamil RESTIKOL, perencanaan tim pelaksana terdiri dari beberapa profesi Kesehatan, pada pelaksanaan: dilakukan skrining ibu hamil, materi diberikan dalam bentuk media Audio-visual adanya kerjasama lintas sectoral dan program, serta dilakukan pemantaua da pendampingan pada ibu hamil yang beresiko. Kesimpulan Model prosedur langkah pelaksanaan kelas ibu hamil untuk ibu hamil beresiko tinggi RESTIKOL siap dimanfaatkan/layak untuk di laksanakan di lapangan. Rekomendasi untuk dilakukan penelitian lanjutan kelas ibu hamil di laksanakan secara aplikasi/online.

EVALUATION OF THE IMPLEMENTATION OF A NUTRITION SELF-SUFFICIENCY POLICY TO OVERCOME STUNTING Sudarmi Sudarmi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 2 (2024): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i2.2770

ABSTRACTThe strategy to accelerate the stunting reduction target of the South Lampung District Government of Lampung Province launched a nutrition self-sufficiency policy movement. The results of this evaluation are expected to provide an overview and provide input and recommendations for policymakers on accelerating the reduction and suppression of stunting cases as well as policy development in the future. Type of evaluation research with the evaluation model used by CIPP, which aims to evaluate the context, inputs, processes, and products of nutrition self-sufficiency policy. Data collection techniques using in-depth interviews, FGDs, documentation studies using research protocols, and CIPP model variables have become interview guide tools. The types of data collected are primary data to assess the implementation of the nutrition self-sufficiency policy and secondary data. Data analysis includes data validation, classifying data according to focus and research questions, combining data in the form of matrices or tables, and triangulation strategies to describe the results of analysis and research findings. Data analysis is done using NVivo 12 software. The results of the evaluation and the implementation of the nutrition self-sufficiency policy have been planned, socialized, and carried out by the main tasks and functions of related OPDs, which are carried out in an integrated manner. The stunting prevalence rate has decreased in prevalence to 9.9%. Recommendation, For the implementation of standardized activities to be made standard operating procedures (SOPs), it is necessary to strengthen operators in input and synchronize stunting data.

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