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DIFFERENCES KNOWLEDGE, ATTITUDE, AND MOTIVATION PARTICIPANTS BPJS HEALTH MOTHER POST BID TO CHOOSE CONTRACEPTIVE MKJP TOOLS IN BANYUMAS DISTRICT Ulfah Musdalifah; Anita Widiastuti; Sumiyati Sumiyati
JURNAL KEBIDANAN Vol 6, No 13 (2017): Oktober 2017
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v6i13.2865

Maternal has greatest mortality of reproductive age (20-35 years), this age throughs the phases of the life cycle so it needs a continuum carelife cycle. PUS data in Puskesmas 1 Baturraden of Banyumas Regency 5079, while those who participated in BPJS Health 4079.Some factors such as knowledge, attitude, and motivation affect the choice of contraception method MKJP Based on the background, researchers are interested to take the title ".Differences of knowledge, attitude, and motivation Participants BPJS Health PBI In Post-Copy Mother To Select Contraception MKJP in Banyumas Regency The purpose of this study is to analyze the differences of knowledge, attitude, and motivation between Participants BPJS Maternal Health Post Copy To Select Contraception MKJP. This research is useful for researchers, Puskesmas, BPJS Health, and Mother Post partum as input to immediately join BPJS Health so that it can monitor health throughout health cycle especially at reproductive age. The type of research is comparative observational analytics with cross sectional design. The study population were all post-partum mothers in Puskesmas II Baturraden of Banyumas Regency with the formula of Lemesow obtained sample of 96 post-saline mothers. Sampling technique is Proporsive Sampling. Independent variables include knowledge, attitude, and motivation while the Dependent variable is MKJP's contraceptive tool. Data analysis are univariate, and bivariate by Chi-Square. Results of research on knowledge obtained P = 1.82 while P 0.05, attitudes obtained P = 0.403 while P 0.05, the motivation obtained P = 1.82 while P 0.05, all showed no differenceConclusion there is no difference of knowledge, attitudes, and motivation of BPJS participants Maternal post-salt mothers to choose MKJP contraceptives. Sugges-tions are directed to health workers to be more active in providing information, involving professional organizations and non-governmental organizations assisting the MKJP program.

MODEL IMPLEMENTASI PEMBERIAN TABLET TAMBAH DARAH DI SEKOLAH MENENGAH Anita Widiastuti; Ulfah Musdalifah; Fitria Zuhriyatun
Jurnal LINK Vol 16, No 1 (2020): MEI 2020
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Kementerian kesehatan menyelenggarakan program pemberian tablet tambah darah untuk remaja putri. Ini merupakan program baru dari pemerintah. Tablet dibagikan gratis untuk remaja putri usia sekolah menengan melalui Puskesmas. Tujuan penelitian ini adalah untuk mengetahui model yang efektif dalam implementasi program pemberian tablet tambah darah pada remaja putri di kabupaten Banyumas. Metode penelitian yang digunakan adalah deskriptif kualitatif. Data diperoleh melalui wawancara mendalam. Informan adalah pelaksana gizi di puskesmas, guru UKS pelaksana program di sekolah, dan siswi. Diperoleh tiga model atau pola dalam implementasi pemberian tablet tambah darah pada penelitian ini. Model pertama ada pemberdayaan petugas puskesmas terhadap guru sekolah dan perwakilan siswi dalam mengelola ditribusi dan konsumsi tablet tambah darah. Model kedua ada pemberdayaan pihak puskesmas dengan pihak sekolah, tetapi tidak ada koordinasi konsumsi tablet tambah darah. Sedangkan model ketiga tidak ada pemberdayaan pihak sekolah oleh pihak puskesmas. Untuk meningkatkan kepatuhan remaja putri dalam mengkonsumsi tablet tambah darah, diperlukan peningkatan pemberdayaan pihak guru dan siswi oleh pelaksana gizi puskesmas supaya tujuan program pemberian tablet tambah darah untuk remaja putri bisa efektif.

PEMBENTUKAN KELOMPOK PENDAMPING IBU HAMIL DI DESA KARANGGINTUNG KECAMATAN SUMBANG KABUPATEN BANYUMAS Diki Retno Yuliani; Ulfah Musdalifah; Affi Zakiyya; Fitria Zuhriyatun
Jurnal LINK Vol 14, No 1 (2018): MEI 2018
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Salah satu Program Likes Jateng adalah “jateng gayeng nginceng wong meteng (5 NG)”, yang bertujuan menekan AKI AKB dengan melibatkan peran serta masyarakat dalam pengawasan ibu sejak sebelum hamil sampai masa nifas. Untuk mensukseskan program tersebut, pengabdi membuat kelompok pendamping ibu hamil didesa karanggintung, kecamatan sumbang, kabupaten banyumas. Tujuan kegiatan adalah terbentuk kelompok pendamping ibu hamil, untuk meningkatkan pencatatan, deteksi dini faktor resiko dan tanda bahaya ibu hamil sampai masa nifas dan neonatus.Kegiatan pengabdian dilaksanakan oleh dosen dan mahasiswa prodi Kebidanan Purwokerto Poltekkes Kemenkes Semarang Tahun 2017 dengan sasaran kader kesehatan dan kader PKK sebagai calon pendamping. Kegiatan pembentukan kelompok pendamping meliputi penunjukan calon pendamping, pemaparan materi dan demonstrasi cara pendataan ibu hamil, membangun komitmen bersama, evaluasi tahap awal serta evaluasi tahap akhir.Hasil yang diperoleh adalah terbentuknya kelompok pendamping ibu hamil yang berkomitmen menjadi pendamping secara sukarela. Kelompok pendamping telah melakukan pendataan ibu hamil. Kendala yang ditemukan adalah pelaksanaan tidak sesuai jadwal, 31% calon pendamping tidak hadir saat pemaparan materi, tabel penolong yang masih memerlukan perbaikan, pendataan tidak lengkap, belum melaksanakan pendataan, serta kegiatan evaluasi tahap akhir yang belum terlaksana. Pendataan awal telah mampu mendeteksi faktor resiko.Temuan di lapangan yang sesuai dengan kepustakaan adalah peran serta kader PKK dalam pendampingan ibu hamil. Sedangkan temuan yang tidak sesuai dengan kepustakaan adalah HPHT belum dikaji, trimester I tidak melakukan ANC dan hamil pada usia 35 tahun. Kesimpulan dan saran adalah kelompok pendamping ibu hamil di Desa Karanggintung sudah mulai berjalan, namun diperlukan banyak perbaikan agar dapat berfungsi secara maksimal.

HUBUNGAN PITC ( PROVIDER INITIATED TESTING AND COUNSELING ) OLEH BIDAN KIA/KB DENGAN PENGETAHUAN IBU HAMIL TENTANG PPIA ( PENCEGAHAN PENULARAN HIV DARI IBU KE ANAK ) DI WILAYAH KERJA PUSKESMAS BRATI Desiliana Puji Andari; Nur Khafidhoh; Ulfah Musdalifah
Midwifery Care Journal Vol 1, No 5 (2020): October 2020
Publisher : Politeknik Kesehatan Kementrian Kesehatan Semarang

Pregnant women are one of the key populations who have the risk of comparative HIV/AIDS to the fetus it contains. Such as transmission can occur during pregnancy, childbirth, and lactation. In Grobogan district there was always a baby or child with HIV possitive in every year. Therefore, the policy arises that every pregnant woman must be examined by HIV. The examination was named PITC (Provider Initiated Testing and Counseling).PITC colaborated with ANC (Ante Natal Care) in Primary Health Center. The purpose of this study is to know the relationship of PITC (Provider Initiated Testing and Counseling) by Midwife KIA/KB with the knowledge of pregnant women about PPIA in the work area of Brati Primary Health Center. This type of this research is correlative analytic with a cross-sectional approach. The method of this research used questionnaires. The samples in this study around 56 pregnant mothers who tested HIV in Brati Puskesmas. Sampling techniques using Accidental sampling were incidentally met by researchers. And data analysis bivariateused Chi-Square. The results of statistical analysis with Chi-Square get p-value of 0.032 0.05. Ha received that there was a relationship between PITC (Provider Initiated Testing and Counseling) by midwife KIA/KB with the knowledge of pregnant women about PPIA. Based on the results this research is expected to midwife KIA/KB in Brati Primary Health Center more improve the quality of service PITC.Because the PITC given by midwives affects the knowledge of pregnant women

THE REBORN OF EXCLUSIVE BREASTFEEDING METHOD: ANTENATAL BREAST EXPRESSION (ABE) : A LITERATURE REVIEW Aida Amalia Nur Ramadhian; Sheyla Najwatul Maula; Ulfah Musdalifah
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Antenatal Breast Expression (ABE) is believed as a potential method to improve colostrum secretion upon labor which the complex content of colostrum can prevent the infection, obesity, diabetes and malignant diseases among newborns. This study aims to to analyze and provide detailed description on the practice of ABE to support the exclusive breastfeeding program. Method: Literature review was conducted in this study using the PRISMA protocol guidelines. Data were obtained by accessing electronic resources from Science Direct, Sage Publications, PubMed, and Google Scholar with ‘antenatal breast expression’, ‘antenatal milk expression’, and ‘colostrum secretion’ as the keywords. The articles analyzed in this study were published from 2009 to 2018 and written in English. Results: There were eighty articles recorded, of which eight articles were included in the systematic review. ABE was performed every day when the pregnancy reaches 37 weeks. The average secretion time of this practice was 5-10 minutes each for 1-4 times a day, preferably during showers. The ABE affected babies in that it allowed them to get timely nutritional intake in order to stabilize blood sugar and to prevent icterus. Even though the practice of ABE was viewed differently among women ofreproductive age, it nonetheless helped to improve self-confidence among breastfeeding mothers, to reduce transition interval from Early Initiation of Breastfeeding (EIB) to full lactation, to improve lactation performance, and to induce natural delivery. However, it was not yet widely practiced as it was still under consideration by the International Board Certified Lactation Consultant (IBCLC). Conclusion: ABE has proven to benefit both mothers and babies, despite existing pros and cons. Therefore, there is a need for more systematic review using other keywords and methods on the safety and efficacy of ABE practice to ensure its benefit for breastfeeding. Keywords: Antenatal breast expression, colostrum secretion, exclusive breastfeeding

COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM) IN THE FIRST STAGE OF LABOR PAIN: A LITERATURE REVIEW Dwi Apriani; Ulfah Musdalifah; Tecky Afifah Santy Amartha
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Excessive pain in labor leads to the side effects on the maternal and neonatal health. Many strategies for labor pain management have been studied, including complementary therapies, yet the comparison of the effectiveness among them needs to be explored more. This study aims to analyze he effectiveness of complementary therapies to reduce pain in the first stage of labor. Methods: This was a literature review using electronic databases from Google Scholar, PubMed, Science Direct, EBSCOhost and text books. The keywords of searching literature were ‘complementary therapy’, ‘pain’, and ‘first stage labor’. All articles reviewed in this study were written in English and Indonesian language with the published year 2010 until 2018. Results: In total, there were 44 out of 232 publications included in this study. Complementary therapies that can be used to reduce first-stage labor pain were aromatherapy, acupressure, and hypnotherapy. Using lavender aromatherapy, pressing the point of L14, SP6, BL32 as well as the use of hypnobirthing showed significant influence in reducing the pain at the first stage of labor among pregnant women. Conclusion: Acupressure is more effective in reducing the pain at the first stage of labor than other alternative techniques. In order to effectively manage the pain at the first stage of labor, a combination of complementary therapies and pharmacological treatment is needed. Keywords: complementary and alternatives medicine, first stage labor pain

INISIASI POS PEMBINAAN TERPADU DALAM PENCEGAHAN PENYAKIT TIDAK MENULAR Suparmi Suparmi; Ulfah Musdalifah; Titik Sapartinah; Hesti Kurniasih
JMM (Jurnal Masyarakat Mandiri) Vol 7, No 5 (2023): Oktober
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v7i5.16548

Abstrak: Posbindu PTM merupakan salah satu upaya kesehatan berbasis masyarakat yang bersifat promotif dan preventif dalam rangka deteksi dini dan pemantauan faktor risiko PTM Utama yang dilaksanakan secara terpadu, rutin, dan periodik. Masyarakat diberi fasilitas dan bimbingan dalam mengembangkan wadah untuk berperan, dibekali pengetahuan . Bentuk pengabdian berupa pelatihan pada kader baru posbindu yang ditargetkan 15 orang di Kelurahan Gedawang. Kemudian dilakukan pemeriksaan faktor risiko PTM. Pelaksanaan pengabdian masyarakat mengacu pada pedoman penyelenggaraan posbindu PTM. Tahap pelaksanaan kegiatan meliputi perencanaan kegiatan, pelaksanaan kegiatan dan evaluasi kegiatan. Telah terbentuk Posbindu di Kelurahan Gedawang. Kegiatan pelatihan hanya diikuti oleh 10 orang kader. Hasil pre dan posttest menunjukan peningkatan nilai rata-rata dari 34 menjadi 81 dan proporsi nilai 8 keatas meningkat. Kegiatan pelatihan pada kader diharapkan dapat dilakukan secara berkala oleh Dinkes dan pihak Puskesmas dapat memberikan tindak lanjut pada masyarakat yang terjaring memiliki faktor risiko PTM. Untuk posbindu PTM, jumlah partisipan yang dating berjumlah 20 orang. Didapatkan berdasarkan ahsil pemerikasaan IMT melebihi nilai normal, 67% tekanan darah tinggi, 87% kolesterol tinggi. Kurang dari 50% partisipan punya kebiasaan olahraga, konsumsi makanan asin, berlemak dan manis. Kegiatan pelatihan pada akder diharapkan dapat dilakukan secara berkala oleh Dinkes dan pihak Puskesmas dapat memberikan tindak lanjut pada masyarakat yang terjaring memiliki faktor risiko PTM.Abstract: Posbindu NCD is one of the community-based health efforts that are promotive and preventive in the context of early detection and monitoring of the main NCD risk factors which are carried out in an integrated, routine and periodic manner. Communities are given facilities and guidance in developing platforms to play a role, equipped with knowledge. The form of service is in the form of training for new posbindu cadres targeted at 15 people in the Gedawang Village. Then an examination of NCD risk factors is carried out. The implementation of community service refers to the guidelines for the implementation of Posbindu NCD. The activity implementation phase includes activity planning, activity implementation and activity evaluation. Posbindu has been formed in Gedawang Village. Only 10 cadres participated in the training activities. The results of the pre and posttest showed an increase in the average score from 34 to 81 and the proportion of scores above 8 increased. Training activities for cadres are expected to be carried out periodically by the Health Office and the Puskesmas to provide follow-up to people who are caught having NCD risk factors. For Posbindu NCD, the number of participants who came was 20 people. Obtained based on BMI examination results exceeding normal values, 67% high blood pressure, 87% high cholesterol. Less than 50% of participants have a habit of exercising, consuming salty, fatty and sweet foods. It is hoped that the training activities for akder can be carried out periodically by the Health Office and the Puskesmas to provide follow-up to people who are caught having NCD risk factors.

Innovation of the health monitoring system for pregnant and breastfeeding mothers through independent health applications as an effort to reduce stunting Ngadiyono Ngadiyono; Suparmi Suparmi; Ulfah Musdalifah; Izzatul Arifah
Malahayati International Journal of Nursing and Health Science Vol 6, No 5 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i5.12561

Background: Failure to grow in children or what is often called stunting is one of the focuses of global problems, including Indonesia. Globally, stunting is one of the goals Sustainable Development Goals (SDGs). Stunting is a problem of chronic malnutrition caused by inadequate nutritional intake over a long period of time due to providing food that does not meet nutritional needs. Stunting can occur when the fetus is still in the womb and only appears when the child is two years old. Based on the results of the Indonesian Nutrition Status Survey (SSGI), the stunting prevalence rate in Indonesia fell from 24.4% in 2021 to 21.6% in 2022. This figure is still above the threshold set by the World Health Organization (WHO), namely 20%. The stunting prevalence rate in Demak Regency was ranked seventh highest in Central Java in 2019 at 50.23% and is one of 60 stunting districts. In 2019 in Demak Regency there were 4.25% or 6,129 toddlers out of a total of 97,212 toddlers who had the potential to experience stunting. This situation is a priority for the Demak Regency government to handle by determining 10 locations that will be prioritized in 2020 and 2021Purpose: To produce monitoring and promotion system application for pregnant and postpartum mothers as well as breastfeeding mothers including toddlers can detect early health problems for mothers and toddlers and is named the child stunting preventive application (ASTA).Method: This research uses research and development methods orResearch and Development (R&D). This research method is used to produce certain products and test the effectiveness of a product. This research was conducted in December 2022. The population of this study was pregnant women in Demak Regency with a sample of 24 people who were divided into two, namely 12 people as the intervention group and 12 people as the control group. The influencing variable in this study is ASTA and the influenced variable is health maintenance behavior during pregnancy, postpartum and toddlers. This research is divided into four stages, namely design, analysis, engineering and evaluation.Results: Based on the statistical test output, it is known that Asymp. Sig. (2-tailed) is worth 0.025. From this value it can be concluded that H0 rejected. This means that there are differences in the level of potential stunting in the control group respondents in terms of the pre-post treatment results. Meanwhile, it is known that in the intervention group the value of Asymp. Sig. (2-tailed) namely 0.157. This value is >0.05, so it can be concluded that H0 accepted. This means that there is no difference in the level of potential stunting between pre-post treatments in the intervention group given the ASTA application.Conclusion: There is no significant effect of using the ASTA application on the criteria for potential stunting and there is no significant difference in potential stunting data between the control and intervention groups, either before or after treatment. However, the stunting prevalence ratio is 0.7 (<1) indicating that the ASTA application is a factor that can reduce the potential for stunting.

Aktivasi Bank Sampah dan “Omah Sampah” sebagai Alternative Business Income di Gunungpati, Semarang, Jawa Tengah Listyaning Eko Martanti; Hanifa Andisetyana Putri; Yuniarti Yuniarti; Ulfah Musdalifah
Mitra Akademia: Jurnal Pengabdian Masyarakat Vol 7 No 3 (2024): Mitra Akademia: Jurnal Pengabdian Masyarakat
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat (P3M) Politeknik Negeri Jakarta

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Waste can contribute to environmental pollution, which in turn impacts public health. As an alternative solution to address waste issues in urban areas, the development of waste banks represents a social engineering initiative aimed at teaching the community to sort waste and raising awareness about waste management. The objective of the activities conducted is to empower the community through waste sorting programs, encouraging them to become waste bank customers, and managing household waste by producing aromatherapy candles and ecoenzymes. These activities are carried out at the Department of Midwifery, Poltekkes Kemenkes Semarang, and in the Green Village Ngijo, Gunungpati, Semarang, which is a foster village. The methods of implementation include awareness campaigns, technical training, and support to drive the waste sorting programs, participation as waste bank customers, as well as the production of aromatherapy candles and ecoenzymes, taking place from July to August 2024. The outcome of these activities is the creation of a community that is environmentally conscious and able to process waste into economically valuable items with high market potential. The training on household waste management was successfully conducted with the involvement of both the academic community and the general public. It is hoped that this waste management initiative will continue as a routine activity, benefiting both the academic community and the foster village by promoting the production of aromatherapy candles and ecoenzymes. Keywords: waste bank, aromatherapy candles, ecoenzymes Sampah dapat mempengaruhi terhadap pencemaran lingkungan yang akan berdampak pada kesehatan masyarakatnya. Untuk alternatif solusi dalam mengatasi masalah sampah di perkotaan, pengembangan bank sampah merupakan kegiatan bersifat social engineering yang mengajarkan masyarakat untuk memilah sampah serta menumbuhkan kesadaran masyarakat dalam pengolahan sampah. Tujuan dari kegiatan yang dilakukan adalah melakukan pemberdayaan masyarakat melalui program kegiatan pilah sampah dan aktivasi sebagai nasabah bank sampah dan pengolahan sampah rumah tangga dengan pembuatan lilin aromaterapi dan juga ecoenyzme. Kegiatan dilaksanakan di Jurusan Kebidanan Poltekkes Kemenkes Semarang serta di desa binaan Green Village Ngijo, Gunungpati, Semarang. Metode pelaksanaan dengan melakukan sosialisasi, pelatihan teknis, serta pendampingan untuk menggerakan program kegiatan pilah sampah dan aktivasi sebagai nasabah bank sampah serta pembuatan lilin aromaterapi dan juga ecoenzym yang dilaksanakan dari bulan JuliAgustus 2024. Hasil dari kegiatan yang dilakukan adalah menghasilkan masyarakat yang peduli terhadap lingkungan serta mengolah sampah menjadi barang dengan nilai ekonomis yang memiliki daya jual tinggi. Pelaksanaan pelatihan pengelolaan limbah rumah tangga dapat terlaksana dengan baik oleh sivitas akademika maupun masyarakat. Diharapkan kegiatan pengolahan limbah sampah ini dapat dilanjutkan sebagai kegiatan rutin yang menghasilkan baik civitas akademika maupun desa binaan dengan menggerakkan produksi lilin aromaterapi dan ecoenzym. Kata kunci: bank sampah, lilin aromaterapi, ecoenzym

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