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All Journal SAINS MEDIKA : JURNAL KEDOKTERAN DAN KESEHATAN Jurnal SOLMA Jurnal Ners Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran Aksi Nyata : Jurnal Pengabdian Sosial dan Kemanusiaan Borneo Nursing Journal
Endang Puji Ati
Department Of Midwifery Profession Education, Universitas Muhammadiyah Manado Street Raya Pandu Lingkungan III, Pandu Urban Village, Bunaken, Manado
Agriculture, Biological Sciences & Forestry Humanities Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Other

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Faktor Penghambat Pelaksanaan Inisiasi Menyusu Dini Di Puskesmas Ranomuut Kota Pratiwi Nisa Setia Sari; Nelawati Radjamuda; Endang Puji Ati; Irne Wida Desiyanti; Risna Ayu Rahmadani
Borneo Nursing Journal (BNJ) Vol. 8 No. 2b (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2b.1729

Abstract

Latar belakang : Inisiasi Menyusu Dini (IMD) merupakan intervensi penting dalam pelayanan kesehatan ibu dan bayi baru lahir karena memberikan kesempatan kepada bayi melakukan kontak kulit ke kulit dan mulai menyusu secara alami pada satu jam pertama setelah lahir. Meskipun memiliki berbagai manfaat, pelaksanaan IMD di wilayah kerja Puskesmas Ranomuut Kota Manado masih belum optimal. Penelitian ini bertujuan menganalisis faktor penghambat pelaksanaan IMD berdasarkan pendekatan Social Ecological Model (SEM). Penelitian menggunakan metode kualitatif dengan pendekatan deskriptif. Informan berjumlah tujuh orang yang terdiri dari kepala puskesmas, dua bidan, dua ibu nifas, seorang suami, dan seorang anggota keluarga. Data dikumpulkan melalui wawancara mendalam menggunakan pedoman semi terstruktur, kemudian dianalisis melalui reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa faktor individu meliputi keterbatasan pengetahuan dan pemahaman mengenai IMD serta kondisi psikologis berupa kelelahan, keraguan, kecemasan, dan kekhawatiran terhadap keamanan bayi. Faktor interpersonal meliputi keterbatasan pengetahuan dan dukungan suami serta keluarga, pengaruh kepercayaan dan kebiasaan keluarga, serta komunikasi dan pendampingan tenaga kesehatan yang belum optimal. Faktor organisasi berkaitan dengan keterbatasan media edukasi khusus IMD dan sumber daya manusia pada situasi persalinan tertentu, meskipun fasilitas dasar tersedia. Faktor kebijakan menunjukkan bahwa SOP dan program edukasi melalui ANC serta kelas ibu hamil telah tersedia, tetapi masih terdapat kesenjangan antara kebijakan formal dan implementasi teknis. Faktor interpersonal menjadi hambatan paling dominan. Pelaksanaan IMD memerlukan penguatan edukasi, dukungan keluarga, pendampingan tenaga kesehatan, sumber daya, dan monitoring penerapan SOP secara berkelanjutan.
Pemberdayaan Remaja Peduli Kesehatan Reproduksi Melalui “Youth Care Circle : Remaja Peduli Bersama” di SMA Negeri 1 Bolangitang Timur Endang Puji Ati; Irne Wida Desiyanti; Risna Ayu Rahmadani; Meinita Wulansari; Sri Atikah; Herlina Herlina; Novia Adjilahu; Rizkia Deaswyta Mantang; Trisna Samin; Nurlaila Pakaya; Fatmawati Fatmawati; Fatma Nur Baba; Nurnikma Lantong; Ummu Mutmaina Mokodompit; Sity Farida Angraini Puasa; Vivianingsi Kaluku
Aksi Nyata : Jurnal Pengabdian Sosial dan Kemanusiaan Vol. 3 No. 3 (2026): Juli : Aksi Nyata : Jurnal Pengabdian Sosial dan Kemanusiaan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/aksinyata.v3i3.3562

Abstract

Adolescents are an age group vulnerable to reproductive health problems, including the risk of early-age marriage, due to limited access to information and community attitudes that still regard sexuality as a taboo topic. The community service program "Youth Care Circle: Caring Teens Together" was carried out at SMA Negeri 1 Bolangitang Timur on January 27, 2026, with the aim of improving adolescents' knowledge, attitudes, and behavior in maintaining reproductive health and preventing risky behaviors such as early-age marriage. The program applied a promotive and preventive approach based on community outreach, including interactive counseling, question-and-answer sessions, nutritional status screening (height, weight, and upper-arm circumference), screening using a questionnaire on menstrual pattern disorders, and a digital poster-making competition themed around the prevention of early-age marriage. The target participants were 28 female students aged 17-19 years. Results showed 100% participant attendance and engagement, with the majority of participants found to have underweight nutritional status, along with an increase in knowledge and a positive shift in attitudes toward reproductive health and the prevention of early-age marriage. All three outcome targets - improved knowledge, attitude change, and active adolescent participation - were achieved. Challenges encountered included limited implementation time, variation in participants' knowledge levels, and inadequate facilities and infrastructure. This program is expected to serve as a model for sustainable adolescent reproductive health education through cross-sector collaboration among schools, health workers, and the community.
Hubungan Pengetahuan Dengan Sikap Pencegahan HIV/IADS Pada Remaja Di Kota Manado Lisa Ardiningtyas; Sri Atikah; Endang Puji Ati
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 1 No. 4 (2023): Oktober : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v1i4.2288

Abstract

AIDS (Acquired Immune Deficiency Syndrome) adalah sekumpulan gejala penyakit yang timbul karena menurunnya sistem kekebalan tubuh yang disebabkan oleh Human Immunodeficiency Virus. Kelompok umur dengan kasus AIDS tertinggi adalah: kelompok umur 20-29 tahun, ini berarti jika sejak terinfeksi sampai masuk ke kondisi AIDS lamanya 5 tahun, maka usia terendah saat terinfeksi sekitar 15-24 tahun. Jenis penelitian korelasional menggunakan pendekatan cross sectional dengan jumlah 67 sampel dengan teknik pengambilan sampel dalam penelitian ini yaitu pusposive sampling. Melakukan analisa data untuk mengetahui hubungan pengetahuan dengan sikap pencegahan HIV/AIDS pada remaja adalah dengan menggunakan uji statistic non parametis Spearman Rank. Berdasarkan hasil perhitungan menggunakan uji korelasi spearmandengan taraf kesalahan sebesar 5% (0,05) maka diperoleh hasil perhitungan t = (6,36). Kemudian t hitung tersebut dibandingkan dengan t tabel, dan didapatkan t hitung 6,27 > t tabel 1,996 maka Ho ditolak dan H1 diterima, artinya ada hubungan antara pengetahuan dengan sikap pencegahan HIV/AIDS pada remaja di Kota Manado.
The influence of parental eating patterns on the nutritional status of Manado city children aged 6-24 months Rakhmawati Agustina; Endang Puji Ati
Sains Medika: Jurnal Kedokteran dan Kesehatan Vol. 13 No. 2 (2022): December 2022
Publisher : Faculty of Medicine, Universitas Islam Sultan Agung (UNISSULA), Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/sainsmed.v13i2.21022

Abstract

Parental eating habits have a positive effect on children's nutritional health. Numerous studies have examined children's eating patterns; however, few studies have examined the association between parental eating patterns based on the dimensions of demandingness and responsiveness in children and the nutritional status of 6- to 24-month-old children. This study aimed to examine the relationship between parental dietary habits and the nutritional status of children aged 6–24 months in Manado City. The research employed a quantitative approach with a cross-sectional design in the working area of the Ranomut Health Center, which included six neighborhoods from three villages: Paal 2, Ranomut, and Perkamil. This village was chosen because it has the highest concentration of children under the age of five in the Ranomut Health Center's service area. In this study, 96 samples were selected using the method of purposive sampling based on the criteria established by the researcher. The instrument used was the validated and reliable Feeding Practices and Structure Questionnaire for Infants, followed by data analysis using the Spearman rank test. The respondents' parental eating styles were authoritarian (31.3%), permissive (27.1%), democratic (20%), and negligent (20%). The nutritional status of children under the age of five was 26% malnourished and 74% well-nourished. The Spearman rank test resulted in a p-value of 0.674. This can be attributed to other factors, such as family composition and age-inappropriate food portions.
Co-Authors Anggun Sasmita Dewi Rokhanawati Ekawaty Lutfia Haksari Fatma Nur Baba Fatmawati Fatmawati Herlina Herlina Irne Wida Desiyanti Lisa Ardiningtyas Megawati Husna Laiya Meinita Wulansari Nelawati Radjamuda Noormah Juwita Novia Adjilahu Nurfadila Kemhay Nurlaila Pakaya Nurnikma Lantong Pratiwi Nisa Setia Sari Pritty Natasya Latampung Putri Wulandari Midu Rahmadani, Risna Ayu Rakhmawati Agustina Risna Ayu Rahmadani Rizkia Deaswyta Mantang Sity Farida Angraini Puasa Sri Atikah Sri Atikah Trisna Samin Ummu Mutmaina Mokodompit Vivianingsi Kaluku Zainar Kasim