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Evaluasi Program Pelayanan Kesehatan Ramah Remaja (PKRR) dalam Pendidikan Kesehatan Reproduksi Remaja Awal Grhasta Dian Perestroika; Dewi Andang Prastika; Nawang Swastika Raras; Rosiana Alfa Risqi; Riadini Wahyu Utami; Sinta Rosita Sari
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol 10, No 2: Agustus 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan Akbidyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/jik.v10i2.197

Introduction: In Indonesia, one of the efforts to prevent risky sexual behavior is to provide reproductive health education among adolescents. One of the programs that collaborate with schools in providing reproductive health education is the pelayanan kesehatan ramah remaja (PKRR) organized by the Dinas Kesehatan. However, studies on the evaluation of the PKRR program among early adolescents in Indonesia have not been widely studied. Methods: A qualitative study was conducted on 14 early adolescents, 1 provider and 1 practitioner PKRR in November 2019-February 2020. Data were collected by Focused Group Discussion (FGD) and semi-structured interviews using the RE-AIM framework. Data was analyzed using Stevick-Colaizzi-Keen method in Nvivo 12 software. Result: The advantage of this program is that it can reach the target of early adolescents in the school. One of the weaknesses of this program is the limited time when socialization was carried out in schools. In addition, another weakness is the implementation at the community level, in the form of Posyandu remaja and counseling. It is difficult to reach early adolescents in the community level, because there is a feeling of shame to come to the place of services. Conclusion: This evaluation succeeded in revealing the needs of adolescents for reproductive health information, including the desire of adolescents to better understand reproductive health. The implication of this study is that there is a need for improvement in the implementation of the PKRR program. Improvements include the addition of comprehensive sexual education, cross-sectoral collaboration and the regeneration of young implementers for better implementation. Keywords: Evaluation, Early Adolescents, PKRR, Reproductive Health Education, RE-AIM.

Evaluasi Program Pelayanan Kesehatan Ramah Remaja (PKRR) dalam Pendidikan Kesehatan Reproduksi Remaja Awal Grhasta Dian Perestroika; Dewi Andang Prastika; Nawang Swastika Raras; Rosiana Alfa Risqi; Riadini Wahyu Utami; Sinta Rosita Sari
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol 10, No 2: Agustus 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan Akbidyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/jik.v10i2.197

Introduction: In Indonesia, one of the efforts to prevent risky sexual behavior is to provide reproductive health education among adolescents. One of the programs that collaborate with schools in providing reproductive health education is the pelayanan kesehatan ramah remaja (PKRR) organized by the Dinas Kesehatan. However, studies on the evaluation of the PKRR program among early adolescents in Indonesia have not been widely studied. Methods: A qualitative study was conducted on 14 early adolescents, 1 provider and 1 practitioner PKRR in November 2019-February 2020. Data were collected by Focused Group Discussion (FGD) and semi-structured interviews using the RE-AIM framework. Data was analyzed using Stevick-Colaizzi-Keen method in Nvivo 12 software. Result: The advantage of this program is that it can reach the target of early adolescents in the school. One of the weaknesses of this program is the limited time when socialization was carried out in schools. In addition, another weakness is the implementation at the community level, in the form of Posyandu remaja and counseling. It is difficult to reach early adolescents in the community level, because there is a feeling of shame to come to the place of services. Conclusion: This evaluation succeeded in revealing the needs of adolescents for reproductive health information, including the desire of adolescents to better understand reproductive health. The implication of this study is that there is a need for improvement in the implementation of the PKRR program. Improvements include the addition of comprehensive sexual education, cross-sectoral collaboration and the regeneration of young implementers for better implementation. Keywords: Evaluation, Early Adolescents, PKRR, Reproductive Health Education, RE-AIM.

Memprediksi Perilaku Penggunaan Kontrasepsi Menggunakan Theory Health Belief Model Retno Heru Setyorini; Riadini Wahyu Utami
Jurnal Kesehatan Komunitas Vol 8 No 2 (2022): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol8.Iss2.1221

Although the achievement of the Modern Contraceptive Prevelance Rate in Indonesia is high, unmet need is still a target that has not been in accordance with the target that has been set. This still shows the low use of contraceptives by women of childbearing age. The purpose of this study was to determine the factors associated with the use of contraception. A cross sectional study was conducted from January to February 2022 in Sewon District, Bantul Regency. Data were collected using a questionnaire on 116 women of childbearing age who have children and have WhatsApp media. The sample size was calculated using the Raosoft Sample Size Calculator software with a 95% confidence level from 165 women of childbearing age. By using path analysis, it can be seen that perceived threat perception has a direct effect on contraceptive use behavior (b=1.26, 95% CI= 0.48 to 2.05, p=0.001). Perception of seriousness had an indirect effect on contraceptive use through perceived threat perception (b=2.14, 95% CI=1.12 to 3.15, p<0.001). Perceived severity had an indirect effect on contraceptive use through perceived threat perception (b=1.98, 95% CI=.93 to 3.04, p<0.001). Initiatives are needed to improve contraceptive use behavior. Furthermore, these findings can be considered in the formulation of health care policies to overcome problems that hinder the use of contraception by women of childbearing age.

Menyusui Setelah Kembali Bekerja: Sistematik Review Siti Nurjanah; Riadini Wahyu Utami
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol. 10 No. 3: Desember 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan Akbidyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/jik.v10i3.217

ABSTRACT The work of the mother is cited as a major potential obstacle in exclusive breastfeeding and is a factor that can reduce the duration of breastfeeding. The time the mother returns to work has an impact on the duration of breastfeeding. This study used systematic review where a systematic review was conducted following a combination of preferred reporting items for systematic review and meta-analysis (PRISMA). The database uses ScienceDirect, SpringerLink, CINAHL, ProQuest, SAGE journals, and PubMed). Based on the results of the article search, 15 selected articles related to breastfeeding mothers returning to work were obtained. The prevalence of exclusive breastfeeding was 75.7%. Have a short period of maternity leave (AOR 9.3; 95%CI 3.8, 23), be a full-time employee (AOR 3.5;95% CI 1,7,11), be a private employee (AOR 2.1), less flexible working time (AOR 3.0 95% CI 1.2) do not pump breast milk (AOR 4.3 95%CI 1.7, 11), lack of breastfeeding rest rest (AOR 6.7;95% CI 3,14,5) and a workplace away from her child (AOR 3.1;95% CI 3.1, 6.3) significantly associated with the cessation of EBF among working mother. The conclusion of this research is That maintaining breastfeeding requires time and commitment from the mother, as well as a supportive workplace or learning environment. Keywords: breastfeeding, work, systematic review

Menyusui Setelah Kembali Bekerja: Sistematik Review Siti Nurjanah; Riadini Wahyu Utami
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol. 10 No. 3: Desember 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan Akbidyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/jik.v10i3.217

ABSTRACT The work of the mother is cited as a major potential obstacle in exclusive breastfeeding and is a factor that can reduce the duration of breastfeeding. The time the mother returns to work has an impact on the duration of breastfeeding. This study used systematic review where a systematic review was conducted following a combination of preferred reporting items for systematic review and meta-analysis (PRISMA). The database uses ScienceDirect, SpringerLink, CINAHL, ProQuest, SAGE journals, and PubMed). Based on the results of the article search, 15 selected articles related to breastfeeding mothers returning to work were obtained. The prevalence of exclusive breastfeeding was 75.7%. Have a short period of maternity leave (AOR 9.3; 95%CI 3.8, 23), be a full-time employee (AOR 3.5;95% CI 1,7,11), be a private employee (AOR 2.1), less flexible working time (AOR 3.0 95% CI 1.2) do not pump breast milk (AOR 4.3 95%CI 1.7, 11), lack of breastfeeding rest rest (AOR 6.7;95% CI 3,14,5) and a workplace away from her child (AOR 3.1;95% CI 3.1, 6.3) significantly associated with the cessation of EBF among working mother. The conclusion of this research is That maintaining breastfeeding requires time and commitment from the mother, as well as a supportive workplace or learning environment. Keywords: breastfeeding, work, systematic review

Factors Affecting Low Birth Weight During the 2020-2021 Pandemic Period at the Yogyakarta City Regional General Hospital Meilani Dwi Astuti; Istri Bartini; Riadini Wahyu Utami; Ari Andriyani
JETISH: Journal of Education Technology Information Social Sciences and Health Vol 2, No 2 (2023): September 2023
Publisher : CV. Rayyan Dwi Bharata

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57235/jetish.v2i2.1012

Background: Coronavirus Disease 2019 (COVID-19) is a new type of disease that has never been identified in humans before. COVID-19 can be transmitted from human to human through coughing/sneezing droplets. People most at risk of contracting this disease are people who have close contact with COVID-19 patients, including those caring for COVID-19 patients (RI Ministry of Health, 2020). Low Birth Weight (LBW) is a baby born weighing the same or less than 2500 grams (WHO, 2014). Low birth weight newborns have a higher risk of death in the first 28 days of life. (Jornayvaz, 2016). This study aims to determine what factors can influence the incidence of LBW in Yogyakarta City Hospital. Based on the results of a preliminary study at the Yogyakarta City Hospital in January-December 2020, data on LBW babies were 43. While the data obtained in 2021 in January-December LBW data is 48 babies. Research Method: this research is a quantitative analytical descriptive study with a cross sectional approach. This research was conducted at the Yogyakarta City Hospital. The population in this study were all pregnant women who gave birth to LBW babies. Determination of the sample using a total sample of 72 people. Results: The results showed that the majority of respondents were aged 20-29 years, with 37 respondents (51.4%), last mother's education, the majority being high school, 38 respondents (52.8%), mother's occupation as housewife, 30 respondents (41.7%) , The highest maternal parity G1 was 33 respondents (45.8%), the sex of the baby, the majority of weight was female, 41 respondents (56.8%), the most gestational age 37 weeks, 43 respondents (59.7%), anemia in pregnant women 11 gr (51.4%), the most gestational interval 2 years was 41 respondents 56.9%, and the causes of LBW and LBW were most common in KPD as many as 24 (33.3%). Conclusion: the results of the study show that of the 9 factors, there are 6 factors that influence the incidence of LBW, namely education, occupation, sex of the baby, anemia, disease and pregnancy complications.

Proses Komunikasi Informasi Edukasi Pada Program Keluarga Berencana Retno Heru Setyorini; Era Revika; Riadini Wahyu Utami
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol. 8 No. 3 (2020): Jurnal Ilmu Kebidanan (Journal of Midwifery Science)
Publisher : Jurnal Ilmu Kebidanan (Journal of Midwivery Science)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/0ktd4b92

Background: The contraceptive method that is most in demand by the public is the injection typecontraceptive method, even though the IUD and Implant are more effective. Cadres, Family PlanningField Officers, and Midwives are officers who directly carry out IEC on contraceptives for fertile agedcouples. The poor quality of IEC will affect the receipt of information about IUD contraceptives andimplants.Objective: The purpose of this study was to determine the implementation of IEC in the FamilyPlanning Program in improving IUD and implantsMethods: This study is a qualitative study with a case study design. The unit of analysis in this studyis at the individual level. Research subjects for the qualitative study were 1 person from P3AP2KBSleman Regency, namely the Head of IEC, 4 Family Planning Field Officers, 17 family planningcadres, and 4 PUS, 2 midwives in the Moyudan Health Center and Mlati Health Center. The samplingtechnique was done by using purposive sampling technique. Data analysis was performed by usingexplanation techniques (explanation building)Results: Cadres and Family Planning Field Officers do not use the media optimally and materialpresented is limited. The obstacles experienced by cadres in the Information and EducationCommunication process were not mastering the material and not having the skills to do IEC, while theobstacles experienced by Family Planning Field Officers were a lack of Human Resources and adouble workload so they could not directly provide IEC to couples of childbearing age.Conclusion: The implementation of Information and Education Communication for Fertile Couples byCadres and Family Planning Field Officers generally does not work properly. The impact is that manyfertile aged couples do not use contraceptives.Keyword: Communication, Information, Education, Family Planning

Penerapan Asuhan Berpusat Pada Perempuan Dalam Asuhan Kebidanan Berkelanjutan Nyonya S Di Puskesmas Sewon 1 Bantul Rana Dhiya Fadhilah; Eka Nur Rahayu; Riadini Wahyu Utami
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol. 10 No. 1 (2022): Jurnal Ilmu Kebidanan (Journal of Midwifery Science)
Publisher : Jurnal Ilmu Kebidanan (Journal of Midwivery Science)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/ysynqz13

Maternal and child health is a problem in Indonesia and even the world. It isproven in the Sustainable Development Goals (SDG's), one of the goals in the healthsector is to improve the welfare of mothers and children. In addition, according to theIndonesian Ministry of Health in 2015, the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) each year reached 450 per hundred thousand live births.However, this can still be prevented by providing appropriate and intensive care to theclient. One of the intensive care is comprehensive care. Comprehensive midwiferycare if done properly can prevent or detect early complications that will occur in themother. The client is Mrs. S, she has one risk, which is over 35 years old, so it is arisky pregnancy. Midwives in the case of midwifery students provide comprehensivemidwifery care. Students are able to apply continuous midwifery care from pregnancyto the puerperium to Ny. S at Sewon 1 Health Center Bantul. The care provided duringpregnancy is pregnancy massage because Mrs. S several times complained offatigue. During childbirth the author provides care by teaching the mother breathingrelaxation techniques and motivating the mother. During the postpartum period, themother was worried because her breast milk had not yet come out, so she was givenoxytocin massage and motivation for the mother. During the neonatal period, Mrs. Shad experienced jaundice, the care provided was to breastfeed the baby to the motherand recommended breastfeeding at least every 2 hours even though the milk had notcome out. Continuing midwifery care has been provided to Mrs. S by taking intoaccount the various risk factors that Mrs. S and the baby.Keywords: Continuity of Care, Pregnancy Massage, Oxytocin Massage

Description of Knowledge and Age of Couples of Reproductive Age Using Long-Term Contraception Methods in Kunden Hamlet, Sendangsari Village Olivia Laora Todang; Retno Heru Setyorini; Riadini Wahyu Utami; Ari Andriyani
Journal of Education Technology Information Social Sciences and Health Vol 3, No 1 (2024): March 2024
Publisher : CV. Rayyan Dwi Bharata

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57235/jetish.v3i1.1010

Government policy in order to reduce the rate of population growth is the Family Planning (KB) movement. The longterm contraceptive method (MKJP) has a high level of effectiveness in minimizing the number of births. This method can be used for a long period of time, can reduce birth rates or terminate pregnancy. The purpose of this study was to determine the relationship between the level of knowledge about MKJP and age with the use of long-term contraceptive methods. The method used in this research is to use descriptive method. The population used in this study were couples of childbearing age who live in Kunden Hamlet. Sampling in this study using probability sampling technique based on inclusion and exclusion criteria amounted to 74 respondents. The research instrument used was a questionnaire distributed to respondents. Data analysis is presented in the frequency distribution table. The results of this study found that most of the respondents had a relatively low level of knowledge, namely 50 respondents (67.6%) and the other 24 respondents (32.4%) had a sufficient level of knowledge. Based on frequency distribution data, only 2 respondents (28.6%) were aged 20 years old using long-term contraception methods (28.6%), 4 respondents were aged 20-35 years (57.1%) and those aged 35 years were only amounted to 1 respondent (14.3%). So it can be concluded that the description of knowledge about long-term contraceptive methods is in the less category. While the age is dominated at the age of 20-35 years.

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