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Factors Associated with Breastfeeding Self-Efficacy and COVID-19 Pandemic Anxiety in Post Partum Mothers Aprillia, Yuna Trisuci; Adawiyah, Asyifa Robiatul; Ambarwati, Kusmayra; Tenrilemba, Faradibha
Jurnal Kesehatan Masyarakat Vol 20, No 1 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i1.45047

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The relationship between breastfeeding self-efficacy and perceived insufficient milk among Japanese mothers. JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing, 37(5), 546–555. https://doi.org/10.1111/j.1552-6909.2008.00277.xProcianoy, R. S., Silveira, R. C., Manzoni, P., Sant’Anna, G. (2020). Neonatal COVID-19: little evidence and the need for more information. Jornal de Pediatria, 96(3), 269. https://doi.org/10.1016/J.JPED.2020.04.002Richard, S. A., McCormick, B. J. J., Seidman, J. C., Rasmussen, Z., Kosek, M. N., Rogawski, E. T., Petri, W., Bose, A., Mduma, E., Maciel, B. L. L., Chandyo, R. K., Bhutta, Z., Turab, A., Bessong, P., Mahfuz, M., Caulfield, L. E., Acosta, A. M., De Burga, R. R., Chavez, C. B., … Svensen, E. (2018). Relationships among Common Illness Symptoms and the Protective Effect of Breastfeeding in Early Childhood in MAL-ED: An Eight-Country Cohort Study. 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Case Study and Policy Analysis in Enhancing Midwifery Students' Understanding of the International Code of Marketing of Breastmilk Substitutes Ambarwati, Kusmayra; Hidayana, Irma
Global Education Journal Vol. 3 No. 1 (2025): Global Education Journal (GEJ)
Publisher : Civiliza Publishing, Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59525/gej.v3i1.956

Background: The International Code of Marketing of Breastmilk Substitutes (the Code), adopted by the World Health Assembly in 1981, remains a cornerstone in protecting breastfeeding from inappropriate commercial influence. Purpos of study: This study aims to evaluate the combined use of case study and policy analysis methods in enhancing midwifery students’ understanding of the Code. Methods: This qualitative study applied a dual-method approach case study and policy analysis to enhance student understanding of the Code within the context of Indonesia. Case reports of Code violations were documented by midwifery students through field assignments, while a policy analysis component utilized lecture materials, government regulations (PP 33/2012; Ministry of Health regulation 39/2013), and WHO/UNICEF guidance. Results: Findings demonstrate that combining case-based learning with structured policy analysis significantly improved students’ ability to identify Code breaches, link them to specific articles, and recommend appropriate reporting and advocacy measures. This approach not only strengthened academic learning but also fostered professional advocacy skills. Conclusion: The study concludes that integrating case study and policy analysis into midwifery curricula can be an effective pedagogical model to prepare health professionals as protectors of breastfeeding rights in line with international and national commitments.

Keikutsertaan Ibu Hamil Dalam Melakukan Vaksinasi Covid-19 Pada Masa Pandemi (Rekomendasi Pogi) Sari, Fitria; Adawiyah, Asyifa Robiatul; Ambarwati, Kusmayra; Jannah, Miftahul
Jurnal Untuk Masyarakat Sehat (JUKMAS) Vol 7, No 1 (2023): Jurnal Untuk Masyarakat Sehat (JUKMAS)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/jukmas.v7i1.3065

COVID-19 selama kehamilan dikaitkan dengan risiko morbiditas dan mortalitas. Wanita hamil yang terkena COVID-19 berat berisiko mengalami persalinan preterm hingga kematian. 95% dari pasien yang dirawat di rumah sakit dan/atau meninggal karena COVID-19 adalah pasien yang tidak divaksinasi. Tujuan: mengetahui perbedaan antara keikutsertaan ibu hamil dalam melakukan vaksinasi COVID-19 dengan persepsi kebijakan pemerintah dalam penanganan COVID-19, persepsi vaksin COVID-19, dan penerimaan vaksin COVID-19 serta korelasi antara variabel dependen. Metode: Rancangan penelitian menggunakan cross-sectional uji. Sampel pada penelitian adalah seluruh ibu hamil di Pulau Jawa dan luar Pulau Jawa sebanyak 234 orang menggunakan teknik purposive sampling. Waktu penelitian dilakukan pada Bulan September 2022 sampai dengan Januari 2023. Analisis menggunakan metode T-Independen dan korelasi regresi. Hasil: Pada penelitian ditemukan terdapat perbedaan antara status vaksinasi ibu kebijakan penanganan COVID-19, mean skor tertinggi pada status vaksin 2 yaitu 25,07 (95%CI: 24,37-25,77); persepsi tentang vaksin COVID-19, mean skor tertinggi pada status vaksin 2 yaitu 25,06 (95%CI: 24,39-25,72); dan penerimaan vaksin, mean skor tertinggi pada status vaksin booster yaitu 36,83 (95%CI: 35,08-38,58). Kesimpulan: Dalam upaya peningkatan status vaksin pada ibu hamil, tenaga kesehatan perlu melakukan edukasi tentang manfaat ibu hamil melakukan vaksinasi. Sehingga tidak ada rasa ketakutan atau kekhawatiran ibu hamil terhadap vaksinasi COVID-19.

Survei Penerapan Prinsip Who dan Unicef Dalam Pemberian Makanan Pendamping Air Susu Ibu (MP-ASI) ( Studi Eksplanatori) Mawarni, Endang Siti; Ambarwati, Kusmayra; Aprillia, Yuna Trisuci
Jurnal Untuk Masyarakat Sehat (JUKMAS) Vol 8, No 1 (2024): Jurnal Untuk Masyarakat Sehat (JUKMAS)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/jukmas.v8i1.4165

Angka stunting dan gizi tidak baik masih tinggi di indonesia. Banyak faktor yang berhubungan dengan hal ini. Salah satunya adalaha pola pemberian makan yang tidak tepat. Gencarnya pemberian makanan ultra proses berhubungan dengan hal ini. Padahal organisasi kesehatan dunia telah memberikan panduan yang tepat dalam pemberian makanan ini. Akan tetapi angka gizi buruk dan stunting semakin tinggi. Ditambah lagi tidak adanaya regulasi yang tegas mengatur konsumsi makanan yang diproses secara pabrikan. Hal ini meimbulkan pertanyaan besar apakah pedoman yang diberikan dilakukan dengan baik. Studi ini bertujuan untuk mengetahui penerapan pedoman pemberian makanan yang tepat oleh para ibu, kader dan stakeholder terkait. Studi ini menggunakan metode campuran dengan spesifikasi strategi eksplanatoris skuensial. Ini dicapai dengan melakukan analisis kuantitatif, analisis kualitatif, dan kesimpulan bersama. Sekitar sebelas kader penyuluh mp-asi terlibat pada survey ini dan dua ibu yang memiliki anak di bawah 24 bulan, serta petugas kesehatan setempat dan stakeholder setempat. Kegiatan ini dilakukan pada bulan januari 2023 di wilayah kerja posyandu Wijaya Kusuma, kelurahan, Kedaung Sawangan Depok. Hasil studi yang telah dilakukan, diketahui bahwa kader dan ibu masih belum menerapkan standar pemberian mp-asi dengan tepat, terutama pada pemberian jenis makanan dan prinsip aktif responsive. Perlu adanya edukasi menyeluruh, baik mulai tenaga kesehatan setempat, kader hingga para orang tua. Kata kunci: MP-ASI, anak, stunting

ANALISIS PERSEPSI ORANG TUA PADA VAKSINASI RUTIN ANAK SELAMA PANDEMI COVID 19 Ambarwati, Kusmayra; Agistina, Santi; Sangadji, Ismail
Jurnal Kesehatan Tambusai Vol. 5 No. 1 (2024): MARET 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i1.26182

Imunisasi merupakan upaya untuk menurunkan angka kesakitan dan kematian anak. Masa pandemi COVID 19 membatasi setiap kegiatan sosial. Berbagai upaya dilakukan, langkah-langkah kontrol dan pencegahan termasuk pembatasan pergerakan (lockdown) mengakibatkan terganggunya layanan perawatan kesehatan termasuk imunisasi rutin. Hal ini juga terjadi di Indonesia, dimana pembatasan sosial ini berdampak pada penurunan angka imunisasi karena keengganan orang tua ke fasilitas kesehatan. Sehingga angka cakupan imunisasi rutin menurun dan banyak anak tidak divaksin lengkap. Studi ini bertujuan untuk mengetahui persepsi ibu terkait pelaksanaan vaksinasi rutin pada anak. Metode yang digunakan dalam peneliatan ini adalah campuran/ mixed-method dengan strategi eksplanatoris skuensial. Responden penelitian ini adalah 578 ibu dan sepuluh narasumber ibu dan tenaga kesehatan. Analisis yang dilakukan adalah uji deskriptif sederhana (untuk data kuantitatif) dan verifikasi analisis dari hasil wawancara untuk memperkaya dan mendukung hasil uji kuantitatif. Pengumpulan dan validasi data menggunakan kuesioner dan wawancara; divalidasi dengan verifikasi; triangulasi dan dokumentasi.Hasil analisis menunjukkan bahwa mayoritas ibu masih memiliki persepsi yang kurang baik terhadap pelaksanaan vaksinasi dengan latar belakang ketidaktahuan, merasa nyaman tidak divaksin dan ketakutan ke fasilitas kesehatan.Banyaknya faktor pene nyu yang berkaitan dengan pengetahuan, informasi dan keyakinan ibu, menunjukkan perlunya adanya dukungan langsung. Perlu adanya sosialisasi dan edukasi yang menyeluruh hingga tingkat rumah tangga agar ibu tahu dan lebih percaya diri dalam melakukan vaksinasi rutin.

Case Study and Policy Analysis in Enhancing Midwifery Students' Understanding of the International Code of Marketing of Breastmilk Substitutes Ambarwati, Kusmayra; Hidayana, Irma
Global Education Journal Vol. 3 No. 1 (2025): Global Education Journal (GEJ)
Publisher : Civiliza Publishing, Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59525/gej.v3i1.956

Background: The International Code of Marketing of Breastmilk Substitutes (the Code), adopted by the World Health Assembly in 1981, remains a cornerstone in protecting breastfeeding from inappropriate commercial influence. Purpos of study: This study aims to evaluate the combined use of case study and policy analysis methods in enhancing midwifery students’ understanding of the Code. Methods: This qualitative study applied a dual-method approach case study and policy analysis to enhance student understanding of the Code within the context of Indonesia. Case reports of Code violations were documented by midwifery students through field assignments, while a policy analysis component utilized lecture materials, government regulations (PP 33/2012; Ministry of Health regulation 39/2013), and WHO/UNICEF guidance. Results: Findings demonstrate that combining case-based learning with structured policy analysis significantly improved students’ ability to identify Code breaches, link them to specific articles, and recommend appropriate reporting and advocacy measures. This approach not only strengthened academic learning but also fostered professional advocacy skills. Conclusion: The study concludes that integrating case study and policy analysis into midwifery curricula can be an effective pedagogical model to prepare health professionals as protectors of breastfeeding rights in line with international and national commitments.

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