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Overcoming Unmet Family Planning Needs in Indonesia: The Crucial Role of Community Empowerment in Addressing Challenges Susanti, Dewi; Erwani, Erwani; Yusefni, Elda
Alifah Health Science Symposium Proceeding 2023: The 2nd Alifah Health Science College Symposium
Publisher : STIKes Alifah Padang

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

Abstract

Family planning plays a central role in individual well-being and community development. In Indonesia, with a population of over 270 million people and rapid population growth, family planning has become increasingly important. Unmet Family Planning (FP) Needs in Indonesia remain high, which has serious implications for health and social development. This in-depth study explores the factors contributing to Unmet FP Needs and highlights the crucial role of community empowerment in addressing this issue. The research employs an exploratory qualitative approach, with in-depth interviews and focus group discussions as the primary data collection methods. The findings identify low knowledge of contraception, unsupportive attitudes, the influence of religious factors, and the role of husbands in family planning decisions as key factors. Additionally, limited access to FP services is also a significant barrier. To address these issues, more intensive education, awareness, and socialization efforts are needed, along with strong collaboration with religious leaders and involving husbands in family planning. Improving access to FP services, especially in remote areas, is also critically important. The findings of this study have significant policy implications for reducing Unmet FP Needs in Indonesia.
Upaya Peningkatan Keberlanjutan Akseptor KB Melalui Aplikasi Pengingat KB di Kampung KB Kota Padang Erwani; Dewi Susanti; Elda Yusefni; Doni, Alsri Windra; Metri Lidya; Aprizal Ponda
Jurnal Pengabdian Masyarakat Cendikia Jenius Vol. 1 No. 2 (2024): Juni 2024
Publisher : CV. CENDIKIA JENIUS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70920/pengabmaskes.v1i2.39

Abstract

(The incidence of unmet need for family planning in Indonesia increases from year to year. In West Sumatra in 2017 it was 18.54%. The third highest incidence of unmet need in Padang City was in Bungus District (29.62%), Nanggalo (22, 47). %) and Lubuk Kilangan 28.22%). The aim of this activity is to provide a reminder application for re-controls and complaints from acceptors regarding the contraception they are using and to cover if the acceptor wants to change to another type of contraception. Appropriate technology is a family planning reminder application for acceptors. The implementation method uses 2 methods, namely the participatory planning method and the practical method. The results of this activity were able to increase the knowledge of family planning cadres about the concept of unmet need for family planning and the use of the family planning reminder application by 81.7% after training. 100% of family planning cadres were able to use the family planning reminder application and were able to socialize it to family planning acceptors. The conclusion of this activity is that there is an increase in family planning cadres' knowledge about the concept of unmet need and in using the family planning reminder application. It is recommended to stakeholders to ensure the continued use of the family planning reminder application.
Midwifery assessment and interventions protocol for adolescent pregnancy: a Delphi method approach Susanti, Dewi; Yuda, Rahmi Andrita; Handayani, Sri; Sirait, Reni Aprinawaty; Sinambela, Megawati; Yusefni, Elda
MEDISAINS Vol 22, No 2 (2024)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v22i2.23317

Abstract

Background: Adolescence pregnancy poses risks for both mothers and infants, often due to insufficient prenatal care resulting from societal stigmatization and lack of awareness. Around 16 million adolescents aged 15-19 years in the world give birth each year; in Indonesia, the first pregnant women aged <20 years are 45.10%, while in West Sumatra, it is 33.7%. To address this issue, integrated programs and midwifery care have been implemented. However, providing such care to adolescent mothers comes with its own set of challenges.Purpose:  This study aims to conduct a midwifery assessment and intervention protocol for adolescent pregnancy.Method: Qualitative approach The Delphi method involved two rounds of evaluation, with twenty-one participants who were independent practice midwives, six midwives involved in the mother and child health program, and nine midwifery lecturers from accredited educational institutions A (excellent). Participants had at least five years of clinical experience and were selected using purposive non-probability sampling. Participants evaluated statements related to midwifery care during the Delphi process. The validity of these statements was determined by participants providing a minimum score of 3, and the Content Validity Ratio (CVR) was calculated. Statements with a CVR greater than 0.8 were considered valid.Results: Based on expert consensus, important assessments for adolescent pregnant women include addressing issues of gender equality and domestic violence, reproductive and sexual health, risks associated with smoking and substance abuse, maintaining a healthy pregnancy, and adequately preparing for labor and parenthood.Conclusion: Midwifery management and midwifery information were deemed valid dimensions of midwifery care; relational care had one invalid item.
Analisis Faktor dan Upaya Pencegahan Unmet Need KB di Kota Padang Erwani Erwani; Dewi Susanti; Elda Yusefni; Muhammad Faisal
Jurnal Kesehatan - STIKes Prima Nusantara Vol 14 No 1 (2023): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v14i1.980

Abstract

Background: Unmet needs for family Planning as an indicator of family planning program marketing is still low in West Sumatra, namely 1 and 3 provinces with the lowest coverage. In the city of Padang shows almost the same conditions. Padang City is one of the cities with a high number of unmet needs for family planning. The Municipal Government of Padang created the Kampung KB program as an innovative breakthrough that requires various supports for development. Community empowerment is very necessary for the success of  KB villages.Purpose : This study aims to find the causes of unmet need for family planning and community empowerment to prevent unmet need for family planningMethods: This research is explorative qualitative research, data collection was carried out by means of in-depth interviews. The informants were PUS, family planning cadres, Kelurahan family planning program holders and heads of RT.Results: The results of the study found 5 factors causing family planning not to be fulfilled, namely knowledge, attitudes, access to information, religion and husband's support. The component of prevention efforts is by empowering the community to prevent unmet needs, namely the role of parents in preventing PSP based on the causal factors found, namely community awareness, improving attitudes regarding the importance of family planning programs, capacity building (providing knowledge and facilities), empowerment (making programs and authorization)Conclusion: Factors that cause unmet need for family planning are knowledge, attitudes, access to information, religion and husband's support. Prevention efforts, namely community empowerment, are one of the strategies that can be implemented to prevent unmet need, especially in the KB villages which are the government's priority programs. it caused an area with family planning problems higher.
Pengaruh Pemberian Air Rebusan Pepaya Muda terhadap Peningkatan Produksi Air Susu Ibu Menyusui Merry , Yussie Ater; Yusefni, Elda
Jurnal Pengabdian Masyarakat Cendikia Jenius Vol. 1 No. 2 (2024): Juni 2024
Publisher : CV. CENDIKIA JENIUS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70920/pengabmaskes.v1i2.38

Abstract

Breast milk (ASI) is a fluid secreted by the mother's breast glands, which is the first, main and best food for babies. The aim of this community service activity is to determine the effect of giving young papaya boiled water on increasing baby weight in breastfeeding mothers. The location of the activity is in Kurao Pagang Village, Nanggalo Health Center Working Area, Padang City. This activity was carried out on 23 September – 08 November 2019 with a target number of breastfeeding mothers of 33 people. The method for this activity is to provide counseling, discussions and demonstrations about problems surrounding breast milk production and how to boil young papaya fruit. Evaluation was carried out using pretest and posttest questionnaires and it was found that respondents' knowledge about issues surrounding breast milk was 100% and how to boil papaya to increase baby weight in breastfeeding mothers by 98%. Conclusion: There has been an increase in knowledge of breastfeeding mothers regarding issues surrounding 100% breast milk and how to boil papaya to increase baby weight in breastfeeding mothers. It is recommended that breastfeeding mothers practice the knowledge that has been given to increase breast milk production for breastfeeding mothers.
Peningkatan Pengetahuan Ibu tentang Perawatan Nifas dan Tanda Bahaya melalui Edukasi di Puskesmas Nanggalo Yusefni, Elda; Dewi Susanti; Erwani
Jurnal Pengabdian Masyarakat Cendikia Jenius Vol. 2 No. 1 (2024): Desember 2024
Publisher : CV. CENDIKIA JENIUS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70920/pengabmaskes.v2i1.127

Abstract

Sixty percent of maternal deaths occur during the postpartum period, and 50% of these deaths happen within the first 24 hours. According to the 2019 Health Profile data of Padang City, Puskesmas Nanggalo has the highest number of visits by high-risk pregnant women, accounting for 80%. The purpose of this Community Service activity is to improve maternal knowledge about postpartum care and danger signs at Puskesmas Nanggalo, Padang City, in 2024. The method of this Community Service activity involves education and promotion to increase the knowledge of mothers and health cadres about postpartum care and danger signs, as well as to provide mothers with an understanding of the benefits of the Maternal and Child Health (MCH) book. The results achieved show that, from 32 pregnant and postpartum women prior to the community service activity, 28.2% had poor knowledge of postpartum care and danger signs. After the community service, there was an increase in knowledge, with 90.6% of mothers having good knowledge and 4.4% having insufficient knowledge. The conclusion is that there was an improvement in maternal knowledge regarding postpartum care and danger signs. It is recommended to enhance the role of husbands in planning, implementation, and monitoring to ensure that mothers receive education about postpartum care and danger signs, as well as health services during pregnancy and postpartum.
Edukasi tentang Kurang Energi Kronis (KEK) pada Ibu Hamil dan Stunting pada Anak Yusefni, Elda; Dewi Susanti; Erwani
Jurnal Pengabdian Masyarakat Cendikia Jenius Vol. 3 No. 1 (2025): Desember 2025
Publisher : CV. CENDIKIA JENIUS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70920/pengabmaskes.v3i2.319

Abstract

Berdasarkan Riskesdas pada tahun 2018 prevalensi kasus KEK pada wanita usia subur (WUS) yang tidak hamil sebesar 14,5% sedangkan pada ibu hamil sebesar 17,3% dan anemia pada ibu hamil sebesar 48,9 %. Menurut Badan Pusat Statistik (BPS) Kota Padang ibu hamil yang mengalami kekurangan energi kronik setiap tahun semakin bertambah yaitu pada tahun 2018 sebanyak 1.034 orang (Dinkes Kota Padang,2019). Tujuan pengabdian kepada Masyarakat ini adalah mengatasi masalah rendahnya pengetahuan ibu tentang Pencegahan KEK dan Risiko Stunting pada Anak dan meningkatkan kesadaran akan pentingnya perawatan kesehatan selama hamil serta ibu dan keluarga mampu secara mandiri dalam meningkatkan kesehatan ibu dan keluarga serta masyarakat dalam pencegahan stunting pada anak dalam pertumbuhannya. Metode pelaksanaan melalui tahap perencanaan, pengumpulan data dengan angket dan implementasi kegiatan berupa sosialisasi, edukasi. Peningkatan kapasitas ibu,pendampingan dengan memberikan percontohan, monitoring, umpan balik. Hasil Sebagian besar oleh ibu hamil (87,5 %) dengan tingkat Pendidikan SD s.d SMA , tingkat Pendidikan tinggi sebanyak 12,5 %. Jenis pekerjaan ibu hamil tidak bekerja (Ibu rumah tangga) sebanyak sebanyak 95 % dan 5 % bekerja sebagai PNS dan swasta. Sebagian besar ibu hamil Multigravida (78,2 %), sebagian kecil ibu masih dengan berat badan kurang(6,3 %). Ibu dengan LILA <23,5 cm yaitu sebanyak 6,3 %. Kesimpulan ada peningkatan pengetahuan ibu sebelum dan setelah edukasi yaitu sebelum Edukasi kurang dari separoh ibu hamil (28,2 %) memiliki pengetahuan yang kurang baik tentang pencegahan KEK dan stunting pada anak .Setelah kegiatan ada peningkatan pengetahuan ibu hamil yaitu ibu dengan pengetahuan baik sebanyak 90,6 % sedang ibu dengan pengetahuan kurang sebanyak 4,4 %.
Pemberdayaan Remaja Melalui Pendidikan dan Pelatihan GenRe untuk Pendewasaan Usia Perkawinan dan Pencegahan Stunting Susanti, Dewi; Muhammad Faisal; Elda Yusefni; Erwani
Jurnal Pengabdian Masyarakat Cendikia Jenius Vol. 3 No. 1 (2025): Desember 2025
Publisher : CV. CENDIKIA JENIUS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70920/pengabmaskes.v3i1.323

Abstract

Adolescents constitute the largest population group in Indonesia and hold a strategic role in national development. However, high rates of early marriage and stunting indicate low readiness for transitioning into adulthood. This community service research aims to empower adolescents through the Generasi Berencana (GenRe) education and training program to promote marriage maturity and prevent stunting in Nanggalo District, Padang City. The study employed a Participatory Action Research (PAR) approach including education, training, GenRe Ambassador selection, work program development, and monitoring and evaluation. Results showed a 35% increase in adolescents' knowledge and the establishment of a GenRe Forum and 12 active youth change agents. Outputs include mass media publications, an accredited national journal article, video documentation, and an ISBN-registered handbook. In conclusion, the program effectively enhanced adolescents' capacity as agents of change in preventing early marriage and stunting.
PENGARUH PEMBERIAN TUMBUKAN BAWANG MERAH SEBAGAI PENURUN SUHU TUBUH PADA BALITA DEMAM DI PUSKESMAS LUBUK BUAYA KOTA PADANG TAHUN 2018 BD, Faridah; Yusefni, Elda; Myzed, Ingges Dahlia
JIK-JURNAL ILMU KESEHATAN Vol 2, No 2 (2018): JIK-Oktober Volume 2 No 2 Tahun 2018
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (145.171 KB) | DOI: 10.33757/jik.v2i2.128

Abstract

ABSTRAKDemam adalah hal fisiologis yang biasa terjadi pada balita, demam dapat disebabkan oleh infeksi dan non infeksi. Berdasarkan data yang telah di dapatkan dari Dinas Kesehatan Kota Padang, sebanyak 5820 orang anak mengalami demam sepanjang tahun 2016 di Puskesmas Lubuk Buaya Kota Padang. Dari survey pendahuluan yang telah dilakukan, 2 dari 10 orang ibu telah menggunakan obat tradisional untuk mengatasi demam pada anaknya, tetapi menggunakan daun jarak. Tujuan penelitian ini untuk mengetahui pengaruh pemberian tumbukan bawang merah pada balita demam di Puskesmas Lubuk Buaya Kota Padang Tahun 2018. Metode penelitian eksperimental dengan jenis penelitian quasy eksperiment menggunakan rancangan one group pretest postest design. Penelitian dilakukan pada bulan Januari 2018 di Puskesmas Lubuk Buaya Kota Padang, jumlah sampel sebanyak 16 balita dengan menggunakan teknik pengambilan sampel purposive sampling. Instrumen yang digunakan lembar observasi dan termometer. Analisis data univariat dan bivariat menggunakan uji t dependen secara komputerisasi, dengan menggunakan SPSS. Hasil penelitian rata-rata suhu tubuh sebelum dilakukan pemberian tumbukan bawang merah yaitu 37,91oC dan setelah dilakukan pemberian tumbukan bawang merah yaitu 37,42oC. Setelah dilakukan uji t paired sample didapatkan rata-rata selisih sebelum dan sesudah perlakuan adalah -0,48. p value = 0,000 < 0,05 sehingga Ho ditolak, artinya bawang merah efektif terhadap penurunan suhu tubuh pada balita demam. Kesimpulan didapatkan, bawang merah efektif sebagai penurun suhu tubuh pada balita demam. Diharapkan penelitian ini dapat dijadikan sebagai informasi terbaru mengenai obat-obatan herbal yang dapat dijadikan salah satu alternatif untuk menurunkan suhu tubuh pada balita yang demam.Kata Kunci : Bawang Merah, Balita, Demam ABSTRACTFever is a physiological thing that is common in infants, fever can be caused by infection and non infection. Based on data that has been obtained from Padang City Health Office, as many as 5820 children have fever during 2016 at Lubuk Buaya Community Center in Padang City. From the preliminary survey that has been done, 2 of 10 mothers have used traditional medicine to overcome the fever in their children, namely using leaf distance. The purpose of this study to determine the effectiveness of the use of red onion under fives under age 2 years in Puskesmas Lubuk Buaya Padang City Year 2018. Experimental research method with quasi experimental research using one group pretest postest design. The study was conducted in January 2018 at Puskesmas Lubuk Buaya Padang City, the number of sample 16 by using purposive sampling sampling technique. Instruments used observation sheets, thermometers and informed consent sheets. Analysis of univariate and bivariate data using t test dependent with computerization. The results of the average body temperature before doing onion collision is 37.91oC and after doing the onion collision of 37.42oC. After the paired simple t test obtained the average difference between before and after treatment is -0.48. Ho is rejected with p value = 0.000 <0.05 means that onion is effective against decreasing body temperature in fever toddlers. The conclusion of red onion is effective as lowering body temperature in fever toddlers. It is expected that this research can be used as the latest information about herbal medicines that can be used as an alternative to lower body temperature in fever.Keywords: Red Onion, Fever, Toddlers
Upaya Peningkatan Cakupan Akseptor KB Melalui Pelatihan dan Pendampingan Kader di Kampung KB Kota Padang: Efforts to Increase Family Planning Acceptors through Training and Mentoring of Cadres in the KB Village of Padang City Erwani, Erwani; Susanti, Dewi; Yusefni, Elda; Doni, Alsri Windra; Hayati, Neni Fitra; Ponda, Aprizal
Poltekita: Jurnal Pengabdian Masyarakat Vol. 4 No. 3 (2023): Juli-September
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/pjpm.v4i3.1829

Abstract

The incidence of unmet need family planning in Indonesia is increasing from year to year. In West Sumatra in 2017 it was 18.54%, still far from the target of reducing unmet need, total  9.91%. The high incidence of unmeet need is caused by a lack of knowledge about contraception, as well as the side effects caused by contraception. The KB village in the city of Padang has only touched 0.12% of couples of childbearing age, which is not optimal in controlling population growth. For this reason, the role of KB Village still needs to be increased through community participation and cross-sectoral integration. The aim of this econduct training and mentoring of family planning cadres in KB Village, Padang City. The method used is the participatory planning method, namely cadre training conducted 2 times pre and post test to ensure the ability of family planning cadres in implementing the program. The practical method is assisting cadres in providing education to PUS. The evaluation is carried out in two stages, namely the evaluation being carried out before the training and after the training. The final evaluation is carried out by holding meetings and evaluations with family planning cadres to find out the obstacles and follow-up plans. The result of this activity was an increase in cadre knowledge of 48.7% after training. There is an increase in the coverage of family planning acceptors in KB villages seen from the reporting of new family planning acceptors.