Articles
Pelatihan Peduli Dukun Bayi Sebagai Agen Promotor Air Susu Ibu Eksklusif pada Ibu Hamil
Martha, Evi;
Normala, Shinta
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 11, No 2 (2017): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan
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DOI: 10.12928/kesmas.v11i2.7494
Background: Promotions of exclusive breastfeeding during the first six months of a childâs life have been made throughout the world, including Indonesia. Exclusive breastfeeding movement in Indonesia specifically supported through Government Regulation Number 33 of 2012. Unfortunately, the report shows that the proportion of exclusive breastfeeding EBF) is low. Government regulation is not the only way to reach successful EBF practice, while other people supports are also needed. Traditional Birth Attendants (TBA) are the people closest to the mothers especially in rural areas. The role and potency of traditional birth attendants can be used to promote exclusive breastfeeding on the mother. Method: Therefore training program was held involving 55 TBAs as participants at Ciampea District, Bogor Regency to support and improve exclusive breastfeeding practices in this area. Furthermore, to determine the effectiveness of the provision of material for the training is done using the method of cross-sectional studies. Training activities and the measurement were conducted in May and October 2013. Result: The result showed that the training was able to provide new knowledge about exclusive breastfeeding at TBAs. Conclusion: Furthermore, after all the training, there was increase in knowledge, attitude and practice of Exclusive breastfeeding promotion by TBAs. Knowledge increased two times, attitude 1.5 times, and practice two times.
Pelatihan Peduli Dukun Bayi Sebagai Agen Promotor Air Susu Ibu Eksklusif pada Ibu Hamil
Martha, Evi;
Normala, Shinta
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 11, No 2 (2017): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan
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DOI: 10.12928/kesmas.v11i2.7494
Background: Promotions of exclusive breastfeeding during the first six months of a child’s life have been made throughout the world, including Indonesia. Exclusive breastfeeding movement in Indonesia specifically supported through Government Regulation Number 33 of 2012. Unfortunately, the report shows that the proportion of exclusive breastfeeding EBF) is low. Government regulation is not the only way to reach successful EBF practice, while other people supports are also needed. Traditional Birth Attendants (TBA) are the people closest to the mothers especially in rural areas. The role and potency of traditional birth attendants can be used to promote exclusive breastfeeding on the mother. Method: Therefore training program was held involving 55 TBAs as participants at Ciampea District, Bogor Regency to support and improve exclusive breastfeeding practices in this area. Furthermore, to determine the effectiveness of the provision of material for the training is done using the method of cross-sectional studies. Training activities and the measurement were conducted in May and October 2013. Result: The result showed that the training was able to provide new knowledge about exclusive breastfeeding at TBAs. Conclusion: Furthermore, after all the training, there was increase in knowledge, attitude and practice of Exclusive breastfeeding promotion by TBAs. Knowledge increased two times, attitude 1.5 times, and practice two times.
DETERMINANT OF UNWANTED PREGNANCY IN INDONESIA 2017 (A SECONDARY DATA ANALYSIS OF 2017 IDHS)
Guspaneza, Essi;
Martha, Evi
Proceedings of the International Conference on Applied Science and Health No 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)
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Background: The unwanted pregnancy will cause some problems, not only increasing the population but also affecting reproductive health among woman. The unwanted pregnancy can cause miscarriage or abortion, obstructed labour, bleeding and maternal mortality. Based on 2017 Indonesian Demographic and Health Survey (IDHS), the prevalence of unwanted pregnancy is 14% from total pregnancy. This number is increasing compare with Riskesdas in 2013 there was 5.8% unwanted pregnancy. This study aims to examine the determinant of unwanted pregnancy in Indonesia.Methods: This study was a cross sectional design used secondary data analysis of 2017 IDHS. The sample of this study was woman who had aged 15-49 years old and had been pregnant in (?). Totally, 1,997 respondents were recruited in this study. The data was analyzed in univariate and bivariate analysis used Chi-square. Logistic regression analysis was used to analyzed in multivariate. Results: The prevalence of woman who had unwanted pregnancy was 12.8% from total pregnancy. Bivariate analysis showed aged less than 20 years old and more than 35 years old, lived in rural area and had more than 3 children associated with having unwanted pregnancy. Multivariate analysis showed that respondents who had age less than 20 and more than 35 years old (p=0.0001; OR= 1.826) more likely had unwanted pregnancy.Conclusion: This study showed that woman who had risky reproductive aged, lived in rural area and had children more than 3 were statistically significant with unwanted pregnancy. The risky reproductive aged was the most influenced factor for having unwanted pregnancy. So that, the government must support the National Population and Family Planning Board to promote the use of contraceptive among woman in reproductive aged especially in the risky reproductive aged.
The Quality of Life of Women with Cervical Cancer in Indonesia: A Cross-Sectional Study
Afiyanti, Yati;
Wardani, Ice Yulia;
Martha, Evi
Nurse Media Journal of Nursing Vol 9, No 2 (2019): (DECEMBER 2019)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University
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DOI: 10.14710/nmjn.v9i2.26014
Background: Cervical cancer have significant impacts on the quality of life (QOL) of the women experiencing it. Limited studies are exploring QOL among Indonesian women diagnosed with cervical cancer.Purpose: This study aimed to investigate the QOL of women with cervical cancer who received radiation therapy and chemotherapy. Methods: A cross-sectional study was conducted to evaluate the QOL among 164 women with cervical cancer undergoing treatment. A consecutive sampling technique was used to recruit the samples. The EORTC QLQ-C 30 and QLQ-CX 24 were used to measure the QOL and sexual-related symptoms. The data collected were analyzed and presented as descriptive statistics in the form of means and standard deviations.  Results: The mean of the global health status of general well-being and QOL of the women was 54.56 ± 25.47. In the QOL subgroups of functional status, the physical function (55.94) and role functions (55.34) were most frequently reported to affect QOL. Regarding sexual-related symptoms of the women, sexual worry (52.72) and menopause symptoms (48.03) were the two most prevalent symptoms which impacted QOL.Conclusions: The quality of life of women with cervical cancer in Indonesia was generally at the higher end of the scale, and yet the majority of the women reported high prevalent symptoms of cancer and adverse effects of treatments. Comprehensive, high quality and culturally sensitive care for women with cervical cancer needs to be implemented in Indonesia, which has unique social and cultural beliefs.Â
Knowledge, Attitude, and Practice using the Kangaroo Method Care in Maternal with Low Birth Weight Babies
Mustikawati, Intan Silviana;
Pratomo, Hadi;
Martha, Evi;
Murty, Ade Iva
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 3 (2022)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v17i3.29548
Newborn mortality is still quite high in the world, including Indonesia, one of which is caused by complications of premature birth. Kangaroo Method Care (KMC) is one way to keep the newborn’s body temperature warm by making direct contact between the baby’s skin and the mother’s skin. The purpose of this study was to analyze the relationship between knowledge, attitude, and practice of Kangaroo Care Method for mothers with low birth weight (LBW) infants. This study is a quantitative study with a cross-sectional approach. Respondents in this study were mothers who had LBW after treatment from the Regional General Hospital (RSUD) Koja, North Jakarta who were domiciled in Koja, Tanjung Priok, and Cilincing Districts, North Jakarta, amounting to 50 people. Data was collected using questionnaires and observations, and analyzed using the Spearman Correlation statistical test. Based on the results of the study, the average score of mother’s knowledge about Kangaroo Care Method was 21.76 (SD 1.06); the average score of the mother’s attitude towards the Kangaroo Care Method is 26.74 (SD 0.80); and the average duration of practice for Kangaroo Care Method is 2.92 hours/day (SD 0.90). Based on the results of observations, it was found that most of the LBW mothers had practiced Kangaroo Method Care by holding the right position from Kangaroo Method Care. Based on the Spearman Correlation statistical test, it was found that there was a relationship between knowledge, attitude, and practice of the Kangaroo Care Method in LBW mothers.
ANALISIS FAKTOR PENYEBAB KEJADIAN ANEMIA PADA IBU HAMIL DI INDONESIA (ANALISIS DATA SDKI 2017)
Essi Guspaneza;
Evi Martha
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 5, No 2 (2019): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh
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DOI: 10.37598/jukema.v5i2.735
Latar belakang: Anemia merupakan masalah kesehatan masyarakat terbesar di dunia terutama bagi kelompok Ibu hamil. Menurut WHO prevalensi anemia pada Ibu hamil diseluruh Asia sebesar 48.2%, Sedangkan prevalensi anemia pada ibu hamil di Indonesia sebesar 37.1%. Tujuan Penelitian ini untuk mengetahui faktor penyebab kejadian anemia pada ibu hamil di Indonesia. Metode: Penelitian ini adalah kuantitatif, desain cross-sectional. Populasinya adalah semua wanita hamil dari data SDKI 2017 di Indonesia berjumlah 1999 wanita, dianalisis secara univariat, bivariat dan multivariat. Hasil: Ibu hamil yang mengalami anemia sebesar 39% dan menunjukan adanya hubungan konsumsi tablet Fe (P value=0.0001, OR=311.630), jarak kelahiran (P value=0.0001, OR=164.300) dan paritas (P value=0.0001, OR=0.095) terhadap kejadian anemia pada Ibu hamil setelah dikontrol oleh umur saat hamil (P value=0.067, OR=1.658). Probabilitas pengaruh variabel tersebut sebagai penyebab anemia pada Ibu hamil sebesar 99.17%. Kesimpulan: Faktor yang paling dominan penyebab terjadinya anemia pada Ibu hamil yaitu konsumsi tablet Fe. Saran untuk petugas kesehatan dalam melakukan promosi kesehatan khususnya promosi pada ibu hamil lebih menekankan pada perubahan-perubahan yang terjadi pada ibu hamil khususnya promosi anemia ibu hamil dan cara meminum tablet zat besi (Fe) salah satunya dengan sosialisasi pentingnya konsumsi tablet zat besi yang tepat.
DETERMINAN PERILAKU SEKSUAL DALAM BERPACARAN PADA REMAJA DI INDONESIA
Emi Marfuqoh;
Evi Martha
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 6, No 2 (2020): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh
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DOI: 10.37598/jukema.v6i2.898
Latar Belakang: Fenomena pacaran pada remaja terus meningkat sejalan dengan meningkatnya perilaku seksual pranikah dalam berpacaran seperti pegangan tangan, berpelukan, berciuman, petting, dan hubungan seksual sebelum menikah. Penelitian ini bertujuan untuk mengetahui determinan atau faktor-faktor yang mempengaruhi perilaku seksual dalam berpacaran pada remaja serta faktor yang paling dominan terhadap kejadian tersebut. Metode: Penelitian ini adalah kuantitatif dengan desain cross-sectional, pada remaja laki-laki dan perempuan (15-24 tahun) di Indonesia yang belum menikah, pernah mempunyai pacar atau sedang berpacaran dan tercatat sebagai sampel SDKI 2017 dengan total berjumlah 17.374 remaja. Data di analisis secara univariat, analisis bivariat dengan uji chi square, dan analisis multivariat dengan uji regresi logistik. Hasil: Penelitian menunjukan bahwa jenis kelamin, usia responden, pendidikan, mempunyai teman yang sudah pernah melakukan sex sebelum menikah, sikap terhadap keperawanan dan sikap terhadap hubungan seksual sebelum menikah berpengaruh terhadap perilaku seksual dalam berpacaran pada remaja. Saran: Kepada pemerintah atau instansi terkait (Dinas Kesehatan dan BKKBN) untuk lebih meningkatkan dan memaksimalakan program promosi kesehatan reproduksi pada remaja sehingga dapat menurunkan perilaku seksual sebelum menikah.
A QUALITATIVE STUDY ON IMPLEMENTATION OF ORAL AND DENTAL HEALTH SERVICES FOR PREGNANT WOMEN IN PUSKEMAS SUKAMAKMUR BOGOR REGENCY
Tika Puspa Ryanthi;
Evi Martha
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 6, No 1 (2020): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh
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DOI: 10.37598/jukema.v6i1.801
Backgraund: Changes in the oral cavity during pregnancy might affect the fetus. If a pregnant woman suffers from a periodontal infection, she is exposed to low birth weight or premature 19.2 times compared to healthy pregnant women. The effects is as big as smoking or alcohol abuse. This study aims to analyze the quality of the oral and dental health service for pregnant women in Puskesmas Sukamakmur according to PMK No 89 of 2015. Method: The design of the research is a qualitative study, by employing RAP in Puskesmas Sukamakmur Bogor Regency in April 2019. Data collection was conducted by in-depth interviews, secondary data and observation. The informants involved in the research were the Head, Dental Clinic Coordinator, KIA Coordinator, midwives, and pregnant women in the working area of Puskesmas Sukamakmur. Result: The research shows that Puskesmas Sukamakmur is supported by adequate human resources and there is no financial and facilities problem. Dental examination are not included in the SOP for ANC there by pregnant women who are referred are only those with dental problems. Conclusion: Based on the analysis of the result, Puskesmas Sukamakmur is not ready yet to perform oral and dental service for pregnant women. Socialization the importance of dental health in pregnant women has not been evenly distributed. Support is needed from Dinas Kesehatan and also Kementrian Kesehatan should include an oral assessment to the guidelines of ANC.
KAJIAN FAKTOR PENYEBAB DAN INTERVENSI GIZI SPESIFIK UNTUK PENCEGAHAN STUNTING DI KABUPATEN LAMPUNG UTARA
Heryanto Heryanto;
Evi Martha
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 5, No 2 (2019): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh
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DOI: 10.37598/jukema.v5i2.737
Latar belakang: Stunting merupakan bentuk kegagalan pertumbuhan (growth faltering) akibat akumulasi ketidak cukupan nutrisi yang berlangsung lama mulai dari kehamilan sampai usia 24 bulan. Penyebab langsung stunting adalah kurangnya asupan makanan dan adanya penyakit infeksi. Upaya penurunan stunting dilakukan melalui dua intervensi, yaitu intervensi gizi spesifik dan intervensi gizi sensitif. Intervensi gizi spesifik ini umumnya diberikan oleh sektor kesehatan untuk mengatasi penyebab langsung. Tujuan penelitian ini adalah untuk mengidentifikasi faktor penyebab stunting dan intervensi gizi spesifik untuk pencegahan stunting di Kabupaten Lampung Utara tahun 2017. Metode: Yang digunakan pada kajian ini adalah review dan analisis statitistik deskripitif data sekunder yang sudah dianalisa secara univariat yaitu data profil kesehatan dan laporan program kesehatan Kabupaten Lampung Utara tahun 2018. Kemudian direview dengan beberapa literatur hasil penelitian di Indonesia. Hasil: Identifikasi diketahui bahwa faktor-faktor penyebab stunting adalah 26.8% ibu hamil mengalami anemia zat besi, 17.3% ibu hamil mengalami KEK, 1.2% bayi mengalami BBLR, 38.07% balita menderita diare dan 35.09% balita mendirita ISPA, 49.2% bayi tidak ASI eksklusif, 53.4% balita mengkonsumsi makanan kurang beragam, 24% RT belum terakses air bersih dan jamban sehat, 44.6% RT belum ber-PHBS. Kesimpulan: Hasil identifikasi intervensi gizi spesifik untuk pencegahan stunting yang dilakukan antara lain: pemberian tablet Fe bagi ibu hamil, PMT bagi ibu hamil KEK, Pemeriksaan kehamilan sesuai standar, pemberian vitamin A bagi balita, pemberian imunisasi lengkap bagi bayi, pemantauan dan promosi pertumbuhan serta sanitasi total berbasis masyarakat (STBM).
Pengaruh Perilaku Ibu Selama Kehamilan terhadap Status Kehamilan yang Tidak Diinginkan di Indonesia
Essi Guspaneza;
Evi Martha
Media Kesehatan Masyarakat Indonesia Vol. 15 No. 4: DESEMBER 2019
Publisher : Faculty of Public Health, Hasanuddin University, Makassar
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DOI: 10.30597/mkmi.v15i4.7986
Unwanted pregnancy status occurs because the mother have not ready to get pregnant and will theimpact on maternal behavior during pregnancy made mother tend to less doing the antenatal care visits, orprenatal care visits. This study aims to know the effect of maternal behavior during pregnancy towards unwantedpregnancy status. This study is a quantitative with using cross-sectional study design. The population is allpregnant women from 2017 IDHS survey in Indonesia of 1990 women, analyzed with univariate, bivariate andmultivariate. The results of the research showed women who having unwanted pregnancy of 12.8% and there arerelationship between maternal behavior during pregnancy (p=0.0001;OR=39,640) with unwanted pregnancy,after controlled age at pregnancy and parity. The probability of mothers who not doing ANC visit, parity >3and age at pregnancy <20 or >35 years having unwanted pregnancy status by 55%. Conclusion of this studyis that there are effect maternal behavior during pregnancy (ANC visits) towards unwanted pregnancy status.