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HUBUNGAN RIWAYAT PEMBERIAN ASI DENGAN KEJADIAN STUNTING PADA ANAK BALITA (USIA 3-5 TAHUN) DI KABUPATEN TAPANULI UTARA TAHUN 2016 Simbolon, Juana Linda; Nainggolan, Dimpu Rismawaty; Sianturi, Elly
JURNAL HEALTH REPRODUCTIVE Vol 2 No 1 (2017): Jurnal Health Reproductive
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

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

Abstract

Introduction : Toddler age is a period of rapid growth and development so it needs to get attention as well as age groups that are vulnerable to malnutrition.There are 162 million short toddlers in Indonesia, if the continuing trend without effort is estimated to be 127 million in 2025. Stunting is welfare indicator, education and society income. Fulfilling nutrients and monitoring health during pregnancy, the exclusive breast feeding up to age of 6 months from birth as well as feeding as a companion of breast milk that has sufficient and quality can break the chain of stunting cause.Aim : this study aims to know the the history description of breast feeding with the incidence of stunting against toddlers at the age of 3-5 years in North Tapanuli Regency.Method : type of observational research with design cross sectional. The number of sample in this research is 309 children. Data analyze using chi square with CI 95% and the level of meaning is p<0.05.Result :as many 76 children (24,6%) are stunted and 13 children (9,2%) severe stunting (4,2%) or one of three quarter one from 3-4 children short stunting or very short. Short male (13, 13%) more than female (11,3%). The breastfeeding history the lower prevalence of stunting 19, 3%) and severe stunting 5,7%)Conclusion :there is a significant relationship between the breastfeeding history and the incidence of stunting (p=0,002 CI 95%)
Upaya Peningkatan Kualitas Kesehatan Dasar Lansia di Dinas Sosial Lanjut Usia Siborong-Borong Elly Sianturi; Dimpu Rismawati; Riance Ujung
COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat Vol. 1 No. 4 (2021): COMSERVA: Indonesian Journal of Community Services and Development
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (489.411 KB) | DOI: 10.59141/comserva.v1i4.16

Abstract

Penduduk lansia merupakan kelompok usia yang rentan mengalami gangguan kesehatan dengan mortalitas dan morbiditas yang tinggi. keterlibatan wanita bekerja di sektor formal yang menghambat wanita mengurus lansia, sumber-sumber ekonomi yang berkurang dan hilangnya kemampuan merawat diri dalam kehidupan sehari-hari karena penyakit degeneratif dan infeksi mendorong masyarakat modern memasukkan anggota keluarga yang lansia ke panti jompo. Pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan warga lansia tentang penyakit degeneratif, upaya pencegahan, deteksi dini penyakit degeneratif melalui pemeriksaan laboratorium sederhana dan pemberian nutrisi tambahan. Metode pengabdian masyarakat dilaksanakan dengan memberikan penyuluhan kesehatan yang diberikan mampu meningkatkan pengetahuan tentang tanda dan gejala, upaya pencegahan serta peningkatan kualitas hidup dimasa lansia. Berdasarkan anmnesa ditemukan sebanyak 17 orang (53,13%) mengalami penyakit degeneratif, berdasarkan hasil pemeriksan laboratorium sederhana ditemukan 9 orang (28,12%) dengan nilai di atas normal. Setelah pelaksanaan pengabdian masyarakat ini diharapkan warga lansia mampu meningkatkan kualitas hidup dengan menjaga kesehatan melalui upaya pencegahan dan pemeliharaan kesehatan.
The Effectiveness of Coleus Amboinicus l. Leaves Extract Solution for Grade II Laceration of the Perineal Tears in Postpartum Mothers Sulastry Pakpahan; Elly Sianturi
Science Midwifery Vol 10 No 2 (2022): April: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i2.564

Abstract

Vaginal laceration (perineal tears) is one of the risks that often occurs in the process of vaginal delivery, because of the intense stretching and pressure in the birth canal when the mother pushes to deliver her baby, causing tears in the skin and muscle tissue around the birth canal. Treating birth perineal laceration is very important to accelerate healing and prevent infection of the birth canal and bladder in postpartum mothers. The leaves have a composition that can be used as an antimicrobial and antiseptic. This study aims to determine the effectiveness of a solution of extracts of the leaves of Coleus amboinicus on pain and healing of perineal lacerations in postpartum mothers. This type of quantitative research with experimental design. The research sample of postpartum mothers met the inclusion criteria, pain observation using the UPAT scale and wound healing using the REEDA scale, data analysis with the WMean Score. The results showed that postpartum pain decreased on the 5th day with an average of 1.97 (mild pain), and the healing time of perineal lacerations occurred on the 5th day, with a mean of 2.90 (good). Wax leaf extract solution is effective in reducing pain and healing time for second-degree perineal lacerations in postpartum mothers
Sosialisasi Hidup Berdampingan Dengan Covid 19 dan Pemeriksaan Kesehatan (Asam Urat, Kgd dan Tekanan Darah) Pada Lansia di Desa Dolok Nauli / Lobupining Kecamatan Adiankoting Kabupaten Tapanuli Utara Tahun 2022 Naomi Isabella Hutabarat; Janner Pelanjani Simamora; Elly Sianturi
COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat Vol. 2 No. 6 (2022): COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/comserva.v2i6.360

Abstract

The world is currently undergoing changes in all fields including lifestyle and mindset. This change is further caused by the spread of covid in the last two years, which makes all parties have to make the best decisions. One of the goals is to provide knowledge to the elderly about the importance of socialization of coexistence with covid 19. Counseling on the socialization of coexistence with covid 19 in the elderly and health checks (Uric Acid, KGD and Blood Pressure) in Dolok Nauli Village / Lobupining Adiankoting District 20 people. Counseling and discussion about the socialization of coexistence with covid 19 in the elderly went well and smoothly and the elderly group was enthusiastic and excited in responding to the counseling that was carried out.
Status Gizi Balita Masa Pandemi Covid-19 di Kabupaten Tapanuli Utara Elly Sianturi; Sulastri Pakpahan
COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat Vol. 2 No. 6 (2022): COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/comserva.v2i6.441

Abstract

The problem of under-five nutrition is one of the highest health problems in Indonesia with "three burdens of malnutrition" long before Covid-19. More than 2 million children are underweight toddlers. Although there is a tendency to decrease the malnutrition rate from 5.7% in 2013 to 3.9% in 2018, this figure is still quite high compared to countries in the ASEAN region. This situation has been exacerbated by the COVID-19 pandemic. The significant impact of Large-Scale Social Restrictions (PSBB) is related to the economic sector and all aspects of children's lives, both in terms of health, welfare, development and future of children. Based on the results of Riskesdas (2018), the proportion of very thin and thin children under five in Indonesia decreased significantly from 12.1 percent in 2013 to 10.2 percent in 2018, while the proportion of thin and very thin toddlers in North Tapanuli in 2017 was 10.1 percent. It takes hard work and maximum effort to maintain this achievement by regularly monitoring the nutritional status of toddlers so that they get immediate treatment and do not become chronic nutritional problems. This research method is an analytic survey with a cross sectional research design, aiming to determine the relationship between the independent variables, namely maternal education, family income, knowledge of parenting patterns, number of family members and food consumption, with the dependent variable being the nutritional status of toddlers Weight according to Height (BB/TB). Education is not related to the nutritional status of toddlers with p value 0.15 > 0.05, family income in this study is related to the nutritional status of toddlers where p value is 0.008 < 0.05, there is a relationship between mother's knowledge about parenting patterns and nutritional status of toddlers. The results of this study indicate that there is a relationship between mother's knowledge about parenting with p-value 0.015 <0.05. Those with low knowledge are 5.9 times more at risk of having under-fives with underweight nutritional status. The number of family members is not related to the nutritional status of children under five where the p value is 0.698 > 0.05. Food consumption is related to nutritional status where p value is 0.008 <0.05, multivariate test, where toddlers with a history of poor food consumption will be at risk 4.5 times compared to toddlers with a history of good food consumption. Family income, mother's knowledge, food consumption is related to the nutritional status of toddlers, education and the number of family members are not related to the nutritional status of under five years.
DETERMINAN FAKTOR RISIKO STUNTING PADA BALITA DETERMINANTS OF STUNTING RISK FACTORS IN TODDLERS Sulastry Pakpahan; Elly Sianturi
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol. 17 No. 3 (2022): Jurnal Ilmiah PANNMED Periode September- Desember 2022
Publisher : Poltekkes Kemenkes Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (734.793 KB) | DOI: 10.36911/pannmed.v17i3.1505

Abstract

Stunting is a nutritional problem characterized by chronic growth and development disorders in children, has an impact on the physical (short/dwarf stature), and interferes with brain development, affecting children's abilities and achievements, productivity, and creativity. Based on SSGI data for 2021 in North Tapanuli Regency, the percentage of stunting is around 26.7% of the number of children under five. This figure is still below the national stunting rate target of below 24%. The purpose of this study was to determine the risk factors associated with stunting. This analytic cross-sectional study was conducted from February to April 2022. The sample in this study consisted of 96 toddlers divided into 2 groups, namely the toddler group with stunting of 48 people and the group of toddlers with normal nutritional status of 48 people. Sampling was taken by purposive sampling, namely those who came to be brought by their mothers to monitor growth and development at posyandu in the North Tapanuli Regency area. The inclusion criteria were toddlers aged 24-59 months, domiciled in North Tapanuli Regency, lived with their parents, and had a mother and child health record book (KIA). Data were obtained using questionnaires, and the MCH handbook and based on the results of anthropometric examinations. Based on the results of logistic regression, it showed that the most dominant risk factor was a history of chronic infection in toddlers with stunting (OR=24.8; 95% CI 4.43 - 140.11; p<0.000), mother's knowledge (OR=18.2; 95%CI 3.62 – 91.24;p<0.000), history of exclusive breastfeeding (OR=10.7; 95%CI 2.15 – 53.92;p<0.004) and maternal weight during pregnancy (OR = 8.1; 95% CI 1.62 – 40.36; p <0.01). It is hoped that the active participation of the family, especially mothers of toddlers, will prevent stunting by fulfilling nutrition during pregnancy and nutrition for toddlers, preventing chronic infections, and provide exclusive breastfeeding.
PENINGKATAN PENGETAHUAN IBU HAMIL DENGAN MEDIA POSTER DAN DETEKSI DINI FAKTOR RISIKO STUNTING PUSKESMAS SIPAHUTAR : INCREASING THE KNOWLEDGE OF PREGNANT WOMEN USING POSTER MEDIA AND EARLY DETECTION OF STUNTING RISK FACTORS SIPAHUTAR PUSKESMAS Janner Simamora; Naomi Isabella Hutabarat; Elly Sianturi
Jurnal Mitra Prima Vol. 5 No. 1 (2023): Jurnal Mitra Prima
Publisher : Mitra prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/mitraprima.v5i1.3522

Abstract

Pendahuluan : Masalah malnutrisi yang mendapat banyak perhatian akhir-akhir ini adalah masalah kurang gizi kronis dalam bentuk anak pendek atau stunting. Stunting adalah masalah kurang gizi kronis yang disebabkan oleh asupan gizi yang kurang dalam waktu cukup lama akibat pemberian makanan yang tidak sesuai dengan kebutuhan gizi. Tujuan : Melakukan pemeriksaan deteksi dini faktor resiko stunting pada ibu hamil melalui pemeriksaan Hb pada ibu hamil, penimbangan Berat Badan ibu hamil, pengukuran Lingkar Lengan Atas (LILA), serta pemberian suplemen zat besi. Metode : Melaksanakan pre test tentang stunting pada ibu hamil sebelum diberikan penyuluhan, Memberikan penyuluhan dengan metode ceramah dan media poster tentang stunting, Melaksanakan post test untuk mengukur pengetahuan tentang stunting sebelum penyuluhan. Hasil : Berdasarkan hasil pre test dan post test dapat dilihat ada peningkatan jumlah ibu hamil yang berpengetahuan baik dari 50 orang (65,8%) pada saat pre test menjadi 69 orang (90,80%). Ibu yang berpengetahuan cukup pada saat pre test ada 15 orang (19,7%) menjadi 7 orang (9,20%) pada saat post test dan tidak di temukan lagi ibu yang berpengetahuan kurang. Kesimpulan : Kegiatan penyuluhan tentang stunting berlngsung sangat antusias dimana banyak peserta bertanya dan semangat mengikuti setiap kegiatan pada pengabdian kepada masyarakat. Saran : Diharapkan kepada para ibu hamil agar dapat memahami dan mengerti tentang stunting yang telah diberikan dan diajarkan oleh pelaksana pengabdi kepada masyarakat untuk mempersiapkan ibu hamil dalam menjaga kehamilan dan proses persalinannya.
Self-Efficacy in Non-Exclusive Breastfeeding Mothers in North Tapanuli Regency Elly Sianturi; Riance M Ujung
Jurnal Penelitian Pendidikan IPA Vol 9 No 11 (2023): November
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i11.5485

Abstract

Mother's milk (ASI) is the best food for babies, the composition of the nutrients contained in it is complete and easy for the body to absorb. In addition, breast milk components can provide immunity for the baby's body. The World Health Organization (WHO) recommends giving only breast milk, better known as exclusive breastfeeding, until the baby is six months old, and continued until the baby is 2 years old. The various benefits of breastfeeding that mothers and babies get do not necessarily have an impact on the percentage of mothers who breastfeed exclusively. According to data from the North Tapanuli District Health Service in 2021, the exclusive breastfeeding coverage rate was 58.9%. One of the positive factors in the success of exclusive breastfeeding is the self-efficacy of breastfeeding mothers. This research aims to analyze the self-efficacy of non-exclusive breastfeeding mothers. The research design was cross-sectional, with a total population of mothers who had babies aged 6-12 months who were non-exclusively breastfeeding and met the inclusion criteria. The results of the bivariate analysis showed that maternal occupation and type of delivery were not related to breastfeeding mothers' self-efficacy, while parity (p-value = 0.004 < 0.05) and breastfeeding problems (p-value = 0.021 < 0.05) were related to efficacy, breastfeeding mother herself. Multivariate analysis shows that parity has a significant influence on breastfeeding mothers' self-efficacy with a p-value = 0.014 < 0.05.
Edukasi Perawatan Payudara Dalam Upaya Meningkatkan Efikasi Diri Menyusui pada Ibu Hamil Trimester Akhir Sianturi, Elly; Siregar, Marni
Jurnal Pelayanan dan Pengabdian Masyarakat (Pamas) Vol 9, No 3 (2025): Jurnal Pelayanan dan Pengabdian Masyarakat (PAMAS)
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM Universitas Respati Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/pamas.v9i3.5999

Abstract

Breast milk (ASI) is the best food for infants up to six months old, supporting their growth and development. Gastrointestinal infections such as diarrhea, caused by unhygienic milk and bottle preparation, can lead to dehydration and malnutrition, thereby increasing the risk of stunting. Breastfeeding self-efficacy refers to a mother's confidence in her ability to breastfeed her baby. Research shows that mothers who do not practice exclusive breastfeeding in North Tapanuli Regency have low self-efficacy, at 58.90% (Sianturi, 2023). Knowledge and breastfeeding self-efficacy should be established during pregnancy so that once the baby is born, particularly in the first hour of life, the baby can immediately receive breast milk as a vital source of life. This community service activity was conducted at the Parbaju Julu Village Head Office in Tarutung, targeting 31 third-trimester pregnant women from the working area of the Hutabaginda Public Health Center. The method used in this program included lectures with Q&A sessions about breast anatomy and breastfeeding using PowerPoint media, as well as demonstrations on breast care and solutions to breastfeeding problems using a breast model, towel, baby oil, pillow, washcloth, warm and cold water basins, and baby dolls. The team also explored the experiences of pregnant women, especially multigravida mothers, regarding breastfeeding challenges. A post-test was conducted to assess changes in breastfeeding knowledge and self-efficacy after the educational session, and the results showed that 29 mothers (76.31%) had good knowledge and 31 mothers (81.57%) had high breastfeeding self-efficacy. The education proved effective in increasing breastfeeding knowledge and self-efficacy among women in their third trimester of pregnancy. Keywords: Breastfeeding self-efficacy, Maternal knowledge, Health education, Third trimester, Stunting.
Edukasi Hipnoparenting pada Ibu Todler dalam Meningkatkan Nafsu Makan di Puskesmas Pangaribuan Sianturi, Elly; Hutabarat, Naomi Isabella; Simamora, Janner Pelanjani
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 11 (2024): Volume 7 No 11 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i11.16840

Abstract

ABSTRAK Anak usia toddler antara usia 12 sampai 36 bulan adalah periode eksplorasi lingkungan yang intensif. Perkembangan biologis selama masa toddler ditandai dengan kemampuan motorik kasar dan motorik halus yang memungkinkan anak menguasai berbagai aktivitas. Toddler secara psikologis membutuhkan cinta dan kasih sayang, rasa aman atau bebas dari ancaman. Perkembangan anak sangat dipengaruhi oleh lingkungan eksternal yang mampu memberikan rasa aman, peduli, dan penuh kasih sayang. Diperoleh data dari kepala Puskesmas Pangaribuan jumlah anak toddler sebanyak 80 orang. Sasarannya adalah ibu toddler di Wilayah Kerja Puskesmas Pangaribuan Kecamatan Pangaribuan Kabupaten Tapanuli Utara. Metode pelaksanaan kegiatan pengabdian adalah melaksanakan pre test tentang nafsu makan anak toddler, kemudian melakukan edukasi dan role play hypnoparenting untuk meningkatkan nafsu makan anak toddler.Hypnoparenting oleh ibu pada toddler secara rutin selama satu bulan, dan dilakukan evaluasi untuk menilai efektivitas hypnoparenting terhadap permasalahan nafsu makan anak melalui post test. Hasil pelaksanaan pre test toddler yang mengalami nafsu makan (kurang) sebanyak 47 orang (58,75%) dan yang memiliki nafsu makan baik 33 orang (41,25%). Hasil post test (dilakukan setelah rutin dilaksanakan hypnoparenting), didapatkan hasil toddler dengan nafsu makan baik sebanyak 74 orang (92,5%), toddler dengan nafsu makan kurang 6 orang (7,5%). Hypnoparenting efektif meningkatkan nafsu makan toddler. Kata Kunci: Hypnoparenting, Anak Toddler  ABSTRACT Toddlers between the ages of 12 and 36 months are a period of intensive environmental exploration. Biological development during the toddler years is characterized by gross motor and fine motor skills that enable children to master various activities. Toddlers psychologically need love and affection, a sense of security or freedom from threats. Children's development is greatly influenced by the external environment which is able to provide a sense of security, care and affection. Data obtained from the head of the Pangaribuan Community Health Center included 80 toddlers. The target is toddler mothers in the Pangaribuan Community Health Center Working Area, Pangaribuan District, North Tapanuli Regency. The method for carrying out service activities is to carry out a pre-test on toddler children's appetite, then carry out education and hypnoparenting role play to increase toddler children's appetite. Hypnoparenting by mothers on toddlers regularly for one month, and an evaluation is carried out to assess the effectiveness of hypnoparenting on appetite problems children through a post test. The results of the pre-test implementation included 47 toddlers (58.75%) who had poor appetite and 33 people (41.25%) who had good appetite. The results of the post test (carried out after routine hypnoparenting) showed that 74 toddlers had a good appetite (92.5%), 6 toddlers with a poor appetite (7.5%). Hypnoparenting is effective in increasing a toddler's appetite.  Keywords: Hypnoparenting, Toddler Children