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MOTHER'S KNOWLEDGE ABOUT LACTATION AMENORRHEA METHOD (LAM) OF BREASTFEEDING Ninik Azizah; Vivin Eka Rahmawati; Siti Roudhotul Jannah; Suyati Suyati; Zulfa Khusniyah
Jurnal Keperawatan Muhammadiyah Edisi Khusus (2023): International Conference of Health Innovation and Technology (ICHIT)
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v0i0.17865

Abstract

Objective: To Assess the Level of Knowledge of Breastfeeding Mothers About the Lactation Amenorrhea Method (LAM).Methods: Description research with a population of 75 respondents and sampling of all breastfeeding mothers. The data analysis used is univariate analysis.Results: Most of the respondents were aged between 26-35 years (73.3%), more than half of them had their last education at the upper secondary level (50.7%), most of the respondents were unemployed (72%), the most parity was primigravida (68%), all respondents had been exposed to information about LAM (100%) which was mostly sourced from electronic media (92%) and most respondents had sufficient knowledge about LAM (40%) .Conclusion: Most of the respondents have sufficient knowledge. Therefore, the role of health workers is needed to further intensify information about lactational amenorrhea contraceptive methods so that they can use them correctly.
TINGKAT PENGETAHUAN IBU TENTANG AKUPRESUR PADA BAYI DAN BALITA Roudhotul Jannah, Siti Roudhotul; Azizah, Ninik; Rahmawati, Vivin Eka
Jurnal EDUNursing Vol 7 No 2 (2023): September 2023 - Maret 2024
Publisher : Universitas Pesantren Tinggi Darul Ulum

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26594/edunursing.v7i2.4449

Abstract

A healthy baby is expected to grow into a healthy child. This depends on how to care for and pay attention to the baby's development both physically, emotionally and brain development. Direct interaction such as massaging, caressing, and inviting jokes can be one way to stimulate baby's development. Objective: To assess the level of knowledge of mothers about acupressure in infants and toddlers Methods: Descriptive research with a population of 55 respondents and sampling of all mothers who have babies and toddlers. The data analysis used was univariate analysis. Results: Most of the respondents were aged between 20-35 years (49.1%) and most of the respondents' last education was high school (43.6%). Most of the respondents' occupations were self-employed (65.5%), most of the respondents had received information about acupressure on toddlers (72.7%). Conclusion: Most of the respondents have good knowledge. Therefore, it is necessary for the role of health workers to further activate information about acupressure in infants and toddlers and to be able to do acupressure independently. Keywords: Acupressure, Babies, Healthy child.
Edukasi Makanan Pendamping ASI (MP-ASI) Sebagai Upaya Pencegahan Stunting di Desa Ngumpul Kecamatan Jogoroto Jombang Vivin Eka Rahmawati; Ninik Azizah; Lina Alfiyani; Luluk Nur Kholisoh
Jurnal Pengabdian Bidang Kesehatan Vol. 1 No. 4 (2023): Jurnal Pengabdian Bidang Kesehatan
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jpbidkes.v1i4.26

Abstract

Nutritional needs for babies are not only obtained from breast milk. Other nutritional needs can be obtained from complementary foods for breast milk complementary feeding. The condition of failure to thrive in children under five is caused by a lack of nutritional intake for a long time and the occurrence of recurrent infections and these two causal factors are influenced by inadequate parenting patterns, especially in the 1000 HPK. This community service activity takes the form of outreach using complementary feeding and stunting leaflets which is carried out using a question and answer discussion method to the target of the outreach. Activities are divided into 3 stages, namely preparation, implementation and evaluation stages. The targets for this activity are 25 mothers who have toddlers aged 6-24 months in Ngumpul Jogoroto Village, Jombang on June 5 2023. The tool used in this activity is leaflets. This community service program increases public knowledge about good and healthy complementary feeding to meet nutritional needs and prevent stunting.
Edukasi Antenatal Care Terpadu Sebagai Upaya Deteksi Dini Terjadinya Komplikasi pada Ibu Hamil di Puskesmas Mayangan Jogoroto Jombang Azizah, Ninik; Rahmawati, Vivin Eka; Wulandari, Dewi Triloka; Widaryanti, Yuni
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 4 No. 1 (2024): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v4i1.304

Abstract

Pemeriksaan kehamilan atau Antenatal Care penting untuk menjamin agar proses kehamilan dapat berjalan dengan baik dan mendeteksi ibu hamil yang tidak normal sehingga komplikasi yang mungkin terjadi selama masa kehamilan dapat terdeteksi secara dini serta tertangani secara memadai. Untuk itu, diperlukan upaya dan tindakan semua kalangan, baik lintas sektoral maupun lintas program, agar berperan aktif dalam menurunkan angka kematian ibu dan balita. Pemeriksaan Antenatal Care yang berkualitas, teratur, dan berkelanjutan selama kehamilan dapat menentukan status kesehatan ibu hamil dan bayi yang dilahirkan. Tujuan kegiatan pengabdian kepada masyarakat ini adalah memberikan edukasi bagi ibu hamil mengenai pentingnya melakukan Antenatal Care Terpadu sebagai deteksi dini terjadinya komplikasi dalam masa kehamilan. Pengabdian kepada masyarakat ini dilaksanakan di wilayah kerja Puskesmas Mayangan Jogoroto Jombang pada tanggal 31 Mei 2023. Pendekatan yang digunakan adalah edukasi dan sosialisasi tentang pelayanan Antenatal Care terpadu sebagai upaya deteksi dini terjadinya komplikasi pada ibu hamil. Prosedur pelaksanaan kegiatan terbagi menjadi tiga tahap, yaitu tahap persiapan, tahap pelaksanaan, dan tahap evaluasi serta monitoring. Metode yang digunakan adalah ceramah, diskusi, dan tanya jawab oleh sasaran. Media yang digunakan adalah leaflet Antenatal Care terpadu yang memberikan kemudahan dalam mengembangkan bahan dan mempermudah penjelasan materi. Peserta edukasi sebanyak 14 ibu hamil yang datang di Puskesmas Mayangan untuk melakukan pemeriksaan Antenatal Care terpadu. Hasil dari kegiatan pengabdian masyarakat adalah diketahuinya tidak ada ibu hamil yang mempunyai risiko tinggi dalam kehamilan, meningkatnya pengetahuan ibu hamil mengenai manfaat Antenatal Care terpadu dalam mendeteksi risiko tinggi pada kehamilan, dan terpenuhinya target cakupan K1 maupun K4-K6 di wilayah kerja Puskesmas Mayangan Jogoroto Jombang.
The Behavior of Exclusive Breastfeeding and Complementary Feeding (MP-ASI) as Causes of Stunting in Toddlers in Jombang: A Case Study Rahmawati, Vivin Eka; Azizah, Ninik; Annuchasari, Helmi
Ahmar Metastasis Health Journal Vol. 4 No. 1 (2024): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v4i1.290

Abstract

Exclusive breastfeeding, food preparation, and food sanitation are part of parental care patterns that also influence the occurrence of stunting. Stunting is a condition of impaired growth in toddlers due to chronic malnutrition, particularly during the first 1000 days of life. The issue of stunting in toddlers indicates chronic nutritional problems, influenced by many factors including the condition of the mother, the intranatal period, infancy or toddlerhood, and illnesses suffered during toddlerhood, as well as other issues that indirectly affect health. The purpose of this research is to explain and provide an understanding and interpretation of the internal dimension, namely the behavior of exclusive breastfeeding and complementary feeding for toddlers in Jombang District. This study uses a qualitative method with a case study approach conducted at the Health Office of Jombang Regency, East Java, and Mayangan Health Center. A total of 3 key informants, 11 mothers of toddlers as the main informants, and 1 supporting informant were selected purposively and by snowball sampling. Data collection was done using interviews, observations, and documentation. Data were analyzed using the Miles and Huberman approach. The results of the study indicate that parental education level, exclusive breastfeeding, and complementary feeding (MP-ASI) are among the factors causing stunting in Jombang Regency, East Java. The impact unrelated to the occurrence of stunting is parental occupation. There are several other internal and external factors causing stunting in Jombang Regency, East Java, such as parental education level, parental occupation, exclusive breastfeeding, and complementary feeding (MP-ASI).
Mothers' Perceptions Of The Influence Of Environmental Sanitation On The Causes Of Stunting In Toddlers Annuchasari, Helmi; Azizah, Ninik; Wulandari, Dewi Triloka; Rahmawati, Vivin Eka
Jurnal EduHealth Vol. 16 No. 01 (2025): Jurnal EduHealt, Edition January - March, 2025
Publisher : Sean Institute

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

Abstract

Nutritional status is an important health indicator where the age of toddlers is a group that is very vulnerable to nutritional problems, especially stunting, which is a condition of failure to grow in children under five years of chronic lack of nutrition so that height is less at their age. Research Objectives: to determine the Mother's Perception of the Effect of Environmental Sanitation on the Causes of Stunting in Toddlers. This research is a qualitative research with a case study approach. This research was conducted in the Mayangan Health Center area, Jombang Regency. The informants of this study amounted to 12 consisting of 3 key informants, 8 main informants and 1 supporting informant. Informants were selected by purposive sampling and snowball sampling to obtain the information needed to answer the research questions. The results of the study were that the mother's education level and sanitation were associated with the incidence of stunting, while parental labor and clean water were not associated with the incidence of stunting in Jombang Regency. Environmental sanitation factors are one of the triggers for the emergence of stunting in Jombang District.
Optimization of Early Detection of Growth and Motor Development in Preschool Children Using the DDST and KPSP Methods at KB As-Salamah Peterongan, Jombang Wulandari, Dewi Triloka; Azizah, Ninik; Rahmawati, Vivin Eka; Annuchasary, Helmi
Indonesia Berdaya Vol 5, No 4 (2024)
Publisher : UKInstitute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/ib.20241047

Abstract

Early age is the age of 0-8 years which is the age in the golden age of a child. At this time, all potentials at this age must be developed comprehensively in terms of cognitive, language, social-emotional, and physical motor. With regard to its potential in motor physical development, early childhood has high energy. This energy is needed to carry out various activities necessary to improve physical skills, both related to improving gross motor and fine motor skills. Physical activity and the release of large amounts of energy are characteristic of children's activities during this period. This is because the energy possessed by children in large quantities requires distribution through various physical activities, both physical activities related to gross motor movements and fine motor movements. The purpose of this community service activity is to detect early childhood delays or deviations in development. This community service was held at KB As Salamah Peterongan Jombang on November 12, 2024. The approach used is to screen children's growth and development using DDST and KPSP sheets as an effort to detect early delays in child development. The procedure for implementing activities is divided into three stages, namely the preparation stage, the implementation stage, and the evaluation and monitoring stage. The method used is question and answer by the target. The media used are game props and DDST and KPSP sheets and Height and Weight Measuring Instruments that provide convenience in developing materials and facilitate the explanation of the material. Educational participants were 10 children at KB As Salamah Peterongan Jombang to conduct growth and development screening examinations. The result of community service activities is that it is known that no child has a risk of delay in growth and development, and the growth and development of children is in accordance with their age
Community-based insights on maternal nutrition knowledge and its role in preventing stunting and wasting in rural Indonesian children Wulandari, Dewi Triloka; Azizah, Ninik; Rahmawati, Vivin Eka; Annuchasari, Helmi
Journal of Current Health Sciences Vol. 5 No. 3: 2025
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/jchs.2025128

Abstract

Stunting and wasting remain significant public health challenges in Indonesia, with the 2023 SSGI survey reporting prevalences of 21.6% and 7.7% respectively—figures that exceed global targets, especially in rural areas. This qualitative case study, conducted in Mojowarno, Jombang Regency, was chosen due to its persistently high rates of child undernutrition and limited access to nutrition education. The study aimed to explore the relationship between maternal nutrition knowledge and the incidence of stunting and wasting among toddlers. Data were collected from 24 informants, including mothers, health workers, and a community volunteer, through in-depth interviews and triangulated with document and observation data. Results revealed that low maternal nutrition knowledge—characterized by limited understanding of balanced meals, meal timing, and child feeding practices—was a primary driver of malnutrition, regardless of parental occupation or income. The study highlights the urgent need for sustainable, community-based nutrition education interventions and cross-sectoral collaboration. Findings inform local policy and support targeted strategies for reducing stunting and wasting in similar rural contexts. Abstrak: Stunting dan wasting tetap menjadi tantangan kesehatan masyarakat yang signifikan di Indonesia, di mana Survei Status Gizi Indonesia (SSGI) 2023 melaporkan prevalensi masing-masing sebesar 21,6% dan 7,7%—angka yang masih melebihi target global, terutama di wilayah pedesaan. Studi kasus kualitatif ini dilakukan di Mojowarno, Kabupaten Jombang, yang dipilih karena tingginya angka kekurangan gizi pada anak dan terbatasnya akses edukasi gizi di wilayah tersebut. Penelitian ini bertujuan untuk mengkaji hubungan antara pengetahuan gizi ibu dengan kejadian stunting dan wasting pada balita. Data dikumpulkan dari 24 informan yang terdiri dari ibu balita, tenaga kesehatan, dan kader masyarakat melalui wawancara mendalam, serta triangulasi dengan data dokumen dan observasi. Hasil penelitian menunjukkan bahwa rendahnya pengetahuan gizi ibu—yang tercermin pada pemahaman terbatas tentang pola makan seimbang, jadwal makan, dan praktik pemberian makan anak—menjadi faktor utama terjadinya malnutrisi, terlepas dari pekerjaan atau pendapatan orang tua. Studi ini menyoroti perlunya intervensi edukasi gizi berbasis komunitas yang berkelanjutan serta kolaborasi lintas sektor. Temuan ini dapat menjadi acuan kebijakan lokal dan mendukung strategi terarah untuk menurunkan angka stunting dan wasting di wilayah pedesaan serupa.
KUALITAS HIDUP PENDERITA KANKER SERVIKS DI KOTA KEDIRI TAHUN 2023 Rahmah, Anindita Hasniati; Rahmawati, Vivin Eka; Alfiyani, Lina; Putri, Widya Kaharani; Kusparlina, Eny Pemilu; Fatimah, Nurul; Setiawan, Arif; Prastyo, Andik
Jurnal Kesehatan Tambusai Vol. 4 No. 4 (2023): DESEMBER 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v4i4.22290

Abstract

Kanker serviks adalah masalah utama kesehatan di seluruh dunia. Penilaian kualitas hidup terkait kesehatan tetap menjadi elemen penting dalam mengevaluasi status kesehatan pasca perawatan kanker serviks. Dampak negatif pengobatan terhadap kualitas hidup yang berhubungan dengan kesehatan dipengaruhi oleh fisik, somatik, emosional, psikologis, keuangan dan sosial. Penelitian ini menggunakan pendekatan kuliatatif  dengan menggunakan metode sudi kasus. Informan yang  diwawancarai adalah sejumlah 7 orang dimana 2 orang sebagai kunci informan. Dan dilakukan di bulan Juni.   Dimensi Kualitas hidup adalah Kualitas hidup (QOL) adalah persepsi publik tentang apakah. Kualitas hidup adalah konsep berbasis luas yang tunduk pada sistem kompleks yang dipengaruhi oleh kesehatan fisik, status psikologis, tingkat ketergantungan dan hubungan sosial, dan fitur lingkungan yang menonjol. Dimensi Kualitas hidup adalah Kualitas hidup (QOL) adalah persepsi publik tentang apakah kebutuhan mereka terpenuhi, dan apakah peluang untuk kebahagiaan dan kepuasan tersedia. Menurut Organisasi Kesehatan Dunia (WHO), kualitas hidup didefinisikan sebagai persepsi individu tentang posisi mereka dalam kehidupan dan dalam sistem budaya dan nilai tempat mereka tinggal, dan dalam hal pemahaman tentang tujuan, harapan, standar, dan minat mereka. Kualitas hidup adalah konsep berbasis luas yang tunduk pada sistem kompleks yang dipengaruhi oleh kesehatan fisik, status psikologis, tingkat ketergantungan dan hubungan sosial, dan fitur lingkungan yang menonjol. Konsep kualitas hidup, sebagai refleksi integral dari rasa kesehatan pribadi, mencakup semua faktor yang berkontribusi terhadap kepuasan manusia, dan sebagian besar dipengaruhi oleh kualitas sosial, ekonomi, dan lingkungan kota.
How Family and Health Cadres Enable Routine Integrated Antenatal Care (ANC) Attendance Among Pregnant Women: A Descriptive Phenomenological Study in Jombang, Indonesia Azizah, Ninik; Annuchasari, Helmi; Rahmawati, Vivin Eka; Wulandari, Dewi Triloka
Journal of Current Health Sciences Vol. 6 No. 1: 2026
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/jchs.2026147

Abstract

Integrated Antenatal Care (ANC) depends on sustained attendance across pregnancy, yet routine participation remains uneven. This study explored how pregnant women interpret family and health cadre support for maintaining routine Integrated ANC at the Jarak Kulon Primary Health Care Center, Jombang. Routine was defined as attending scheduled Integrated ANC contacts (PHC/Posyandu) and rescheduling any missed appointment within the same month. Using descriptive phenomenology, purposive sampling recruited pregnant women residing in the catchment area who had attended Integrated ANC in the current pregnancy, along with health cadres and key family supporters. Data were collected in March 2025 through in-depth semi-structured interviews (10 pregnant women, 4 cadres, 3 family members), supported by participatory observation and document review, and analyzed iteratively using Miles and Huberman’s reduction–display–verification procedures with NVivo. Two interrelated themes were identified. Cadre support functioned mainly as informational and instrumental support—education on ANC and danger signs, schedule reminders (including WhatsApp), home follow-up after missed visits, and assistance navigating access constraints. Family support operated primarily as emotional and instrumental support—reassurance, accompaniment, financial prioritization, and household task adjustments that made attendance feasible. Overall, participants described support as strengthening confidence and capability to keep visits on schedule, consistent with House’s (1981) social support dimensions. Abstrak. Pelayanan Antenatal Terpadu (ANC) memerlukan kehadiran yang berkelanjutan sepanjang kehamilan, namun partisipasi rutin masih belum merata. Penelitian ini mengeksplorasi bagaimana ibu hamil memaknai dukungan keluarga dan kader kesehatan dalam mempertahankan kunjungan ANC Terpadu yang rutin di Puskesmas Jarak Kulon, Jombang. “Rutin” didefinisikan sebagai menghadiri kontak ANC Terpadu yang terjadwal (Puskesmas/Posyandu) dan menjadwalkan ulang setiap kunjungan yang terlewat dalam bulan yang sama. Dengan menggunakan fenomenologi deskriptif, teknik purposive sampling merekrut ibu hamil yang tinggal di wilayah kerja dan telah mengikuti ANC Terpadu pada kehamilan saat ini, serta kader kesehatan dan anggota keluarga pendukung utama. Data dikumpulkan pada Maret 2025 melalui wawancara mendalam semi-terstruktur (10 ibu hamil, 4 kader, 3 anggota keluarga), didukung observasi partisipatif dan telaah dokumen, lalu dianalisis secara iteratif menggunakan prosedur reduksi–penyajian–verifikasi Miles dan Huberman dengan NVivo. Ditemukan dua tema yang saling terkait. Dukungan kader terutama berfungsi sebagai dukungan informasional dan instrumental—edukasi tentang ANC dan tanda bahaya, pengingat jadwal (termasuk WhatsApp), tindak lanjut ke rumah setelah kunjungan terlewat, serta bantuan menavigasi kendala akses. Dukungan keluarga terutama berfungsi sebagai dukungan emosional dan instrumental—penguatan, pendampingan, prioritas pembiayaan, dan penyesuaian tugas rumah tangga sehingga kunjungan menjadi mungkin. Secara umum, partisipan memaknai dukungan sebagai penguat kepercayaan diri dan kemampuan untuk menjaga kunjungan tetap sesuai jadwal, selaras dengan dimensi dukungan sosial House (1981).