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Analisis Faktor-Faktor yang Berhubungan dengan Pemilihan Tempat Persalinan Ibu di Wilayah Kerja Puskesmas Ambukha Kecamatan Lolofitu MOI Kabupaten Nias Barat Tahun 2024 Gulo, Mery Kristinawati; Ginting, Daniel; Sirait, Asima; Manurung, Kesaktian; Sinaga, Janno
Journal of Pharmaceutical and Sciences JPS Volume 8 Nomor 4 (2025)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v8i4.1202

Abstract

Background: Maternal mortality remains a significant public health concern in Indonesia, where 19.3% of deliveries are still conducted outside healthcare facilities or without skilled birth attendants. The working area of Ambukha Public Health Centre (Puskesmas) has the lowest proportion of facility-based deliveries in the West Nias District (67% in 2023), indicating the need to analyse factors associated with delivery place choice. Objective: To identify factors related to the selection of delivery place among mothers in the working area of Ambukha Public Health Centre, Lolofitu Moi Subdistrict, West Nias District. Methods: This study employed an observational analytic design with a cross-sectional approach. The population consisted of all mothers who delivered within the Ambukha Public Health Centre area in 2023 (N=78), and samples were obtained using a total sampling approach. Data were collected using structured questionnaires and analysed using Chi-square tests and logistic regression. Results: Significant associations were found between the choice of delivery place and maternal knowledge (p=0.000; OR=2.267), maternal attitude (p=0.000; OR=4.250), national health insurance (JKN) membership (p=0.000; OR=5.333), access to healthcare facilities (p=0.000; OR=6.038), husband’s support (p=0.000; OR=4.250), perceived need factors (p=0.000; OR=3.333), as well as cultural beliefs (p=0.004; OR=2.473). Multivariate logistic regression identified maternal knowledge as the most influential factor in delivery place selection, as indicated by the most significant coefficient value (B = –4.204) and statistical significance (p=0.005). Conclusion: Maternal knowledge, attitude, JKN membership, access to healthcare facilities, husband’s support, perceived need, and cultural beliefs are significantly associated with the selection of delivery place. Efforts to increase facility-based delivery coverage in this area should prioritise improving maternal knowledge, followed by strengthening other supporting factors.
Determinan Kejadian Stunting di UPT Puskesmas Sumbul Kecamatan Sumbul Kabupaten Dairi Tahun 2024 Sihotang, Nola Winarta; Manurung, Kesaktian; Lia Rosa Veronika; Sembiring, Rinawati; Ginting, Daniel
Journal of Pharmaceutical and Sciences JPS Volume 8 Nomor 4 (2025)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v8i4.1206

Abstract

malnutrition so that the child is too short for his age. Stunting has an impact on children's cognitive decline and productivity in the future. So far, addressing malnutrition has focused on babies from birth to five years old. In fact, the golden period is when the child is still in the womb until the age of two years. Therefore, a paradigm shift in handling malnutrition is needed. Therefore, the government is implementing the Acceleration of Nutrition Improvement Program with the First 1000 Days of Life Movement. SKI data for 2023, Dairi district is in second place with a figure of 32.6% of stunted toddlers out of 439 toddlers and based on the entry of toddler data on the e-PPGBM application in December 2024, the prevalence of stunted toddlers in the Sumbul Community Health Center, Sumbul District is around 13.98% or 258 toddlers. The incidence of stunting is influenced by several factors, namely maternal height, maternal education, compliance with taking blood supplement tablets and smoking. The aim of this research is to determine the determinants of stunting incidents at the Sumbul Community Health Center UPT, Sumbul District, Dairi Regency in 2024. This type of research is cross sectional with research methods. The population in this study were all mothers with toddlers. The number of samples in this study was 70 mothers.  Based on the research results, it was found that there was a relationship between height and stunting (p-value=0.004), there was a relationship between maternal education and stunting (p-value=0.004), there was a relationship between adherence to taking blood supplement tablets and stunting (p-value=0.000) and there was a relationship between smoking and stunting (p-value=0.000). Increasing health promotion to the community about the importance of parenting patterns and fulfilling nutrition in the First 1000 Days of Life, starting from pregnant women until children are 2 years old, as well as outreach about the health of young women and prospective brides.
Co-Authors Adiansyah Adiansyah, Adiansyah Aditya Nirwana Aini, Syafrida Alyakin Dachi, Rahmad Aritonang, Ester Taruli Bangun, Adriana Bevy Gulo, Adventy Riang Brahmana, Netti Etalia Br. Brahmana, Nettietalia Br. Budi Santoso, Stephanie Bunga, Faldin Adrianus Christiatmojo, Anastasia Seraphine Cristiana, Eva Dachi, Rahmat Elisabeth Purba, Ivan Etalia Brahmana, Netti Fajrinur, Fajrinur Fentiana, Nina Frida Lina Tarigan, Frida Lina Gaol, Mery Cristina Lumban Gulo, Mery Kristinawati Gulo, Moralman Gultom, Rumondang Haidar, Hala Halawa, Ebensaluran Halin, Hamid Harefa, Karnerius Harjantoko, Lalu Angger Hutajulu, Johansen Irawan, Jessica J. Sitorus, Mido Ester Jiuangga, Vincentius Valiandy Karnirius Harefa Ketaren, S. Otniel Lahagu, Ardianto Laia, Fidalina Lazuarni, Shafiera Lelo, Sisulince Levana, Eldana Reza Lia Rosa Veronika Lumban Gaol, Hoddi Raju Mailisa, Wan Ria Manurung, Jasmen Manurung, Kesaktian Marnisah, Luis Masdalina Pane Maysyarah, Maysyarah Meida Manurung, Meida Munthe, Seri Asnawati MYRNAWATI CRIE HANDINI Mz, Miftahul Qurnaini Nababan, Donal Nasution, Fajarudin Nurkholis, Kgs, M. Nurmawati Nurmawati Pardosi, Magdalena Pasaribu, Dormaulina Patrisius Istiarto Djiwandono Pransika, Eka Purba, Agnes Rahmat Alyakin Dakhi Rika Rosnelly Rivany, Hany Athaya Syifa Robby Anto, Rachelia Giovanny Rosdiana, Eva Saleleubaja, Sulastri Sembiring, Rinawati Sembiring, Rinawati Siagian, Mindo Tua Sihotang, Junita Lisbet Sihotang, Nola Winarta Silitonga, Evawani M. Silitonga, Evawani Martalena Simamora, Doni Pacarella Simanjuntak, Hermanto Sinaga, Janno Sinaga, Taruli Rohana Sipayung, Rosetty Sirait, Asima Siregar, Linda Siterisno, Edi Sitorus, Mido Ester Sopiyan, Muhammad Yogie Pratama Subarma, Didik Suharto Suharto Tarigan, Antje Irmella Telaumbanua, Hendrikus Togatorop, Lamtiar Betty Toni Wandra Trini Sudiarti Vierto Wahyudi, Harry Warouw, Sonny Priajaya Welly Satria Dewi Wijaya, Irene Puspita Yulianto, Wawan Eko