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The Determinants of Behavior of HIV Testing in Pregnant Mothers Harahap, Meilani; Pulungan, Nikmatul Khoiriyah; Hasibuan, Ennysah
International Journal of Public Health Excellence (IJPHE) Vol. 1 No. 1 (2022): Agustus 2021-January 2022 (First Release)
Publisher : PT Inovasi Pratama Internasional

HIV infection in Indonesia is one of the health problems and infectious diseases that can affect maternal and child mortality. More than 90% of HIV-infected infants are infected by HIV-positive mothers. Transmission can occur during pregnancy, during delivery and during breastfeeding. Early detection of HIV is important so that antiretroviral virus (ARV) drug therapy is carried out more quickly to reduce the rate of HIV transmission from mother to baby. The research, which was conducted at the Balongan Subdistrict Health Center, Indramayu Regency, was conducted to determine the determinants associated with HIV testing behavior during pregnancy. This type of research is quantitative with a cross-sectional study design using the total population. The results of the univariate analysis showed that 71.1% of mothers did not take an HIV test during pregnancy. and education about HIV/AIDS, because the husband is the closest person to the mother so that the husband makes a big contribution to providing support to the mother

Factors Affecting Sectio Caesarea Delivery at the Padangsidimpuan City Regional General Hospital Pulungan, Nikmatul Khoiriyah; Harahap, Meilani; Hasibuan, Ennysah
International Journal of Public Health Excellence (IJPHE) Vol. 1 No. 1 (2022): Agustus 2021-January 2022 (First Release)
Publisher : PT Inovasi Pratama Internasional

Indonesia is one of the countries with the highest maternal mortality rate (MMR) in Asia compared to other ASEAN countries, reaching 359 maternal deaths per 100,000 births. This study aims to determine the Factors Affecting Sectio Caesarea Delivery in Regional General Hospitals Padangsidimpuan City 2018. The research design is an observational analytic study with a case control design and takes 100 respondents, consisting of 50 cases and 50 controls. Data collection was carried out using a check list sheet which was carried out in July 2018. The results of the hypothesis test showed that there was an effect of maternal age (p=0.001; OR 10.5), fetal position abnormalities (p=0.004; OR 9.2), prolonged labor (p=0.005; OR 8.5), premature rupture of membranes ( p=<0.000 OR 23.1), and placenta previa (p=0.001; OR 60.3) with cesarean section delivery and there was no effect of macrosomia (large baby) with cesarean section delivery (p=0.092) in Padangsidimpuan City Hospital. The dominant variable was placenta previa (p=0.001; OR 60.3; 95% CI 5,437-668,215). It is recommended to pregnant women to provide information about sectio caesarea and provide counseling to mothers who check their pregnancy so that mothers better understand risky conditions and can prepare themselves to avoid them.

Factors in the Selection of Uterine Contraceptives in Women of Childbearing Age Hasibuan, Ennysah; Harahap, Meilani; Pulungan, Nikmatul Khoiriyah
International Journal of Public Health Excellence (IJPHE) Vol. 1 No. 1 (2022): Agustus 2021-January 2022 (First Release)
Publisher : PT Inovasi Pratama Internasional

Intrauterine contraceptives are devices or objects that are inserted into the uterus which are very effective, reversible and long-term, and can be used by all women of reproductive age. The study design was an observational analytic survey with a case-control design that was conducted by comparing those who did not use an intrauterine device (IUD) as a case with those who used an intrauterine device (IUD) as a control. The sampling method in this study is proportional. The population in this study were women with pus with a total sample of 96 people. The results of the bivariate analysis of knowledge p = 0.000 value obtained OR 9.348 (95% CI: 3.157-27.678), attitude p = 0.567 OR 0.567 (95% CI: 0.240-1.340), husband's support p = 0.031 value OR 2.929 (95% CI : 1,076-7,971) Service KB p = value 0.000 OR 5,909 (95% CI: 2,290-15,248). The most influential multivariate results from knowledge p = value 0.001 OR 6.472. The conclusion of the research is the relationship between knowledge, attitudes, husband's support and family planning services. And the most influential factor in choosing an IUD is the husband's attitude and support.

Relationship Between Diet and Physical Activity with the Event of Anemia in Pregnant Women Dewi, Sri Sartika Sari; Hasibuan, Darma Afni; Aswan, Yulinda; Harahap, Meilani; Anggraini, Wiwik
International Journal of Public Health Excellence (IJPHE) Vol. 1 No. 2 (2022): January-May
Publisher : PT Inovasi Pratama Internasional

The prevalence of anemia in pregnant women is 41.8 % . The causes of anemia in pregnancy include gravida, age, parity, education level, economic status and compliance with Fe tablet consumption, diet and physical activity. The purpose of this study was to determine the relationship between diet and physical activity with the incidence of anemia in pregnant women at Batunadua Health Center, Padangsidimpuan City in 2021 . The type of research is quantitative research with a cross sectional approach study . The population in this study were all pregnant women at Batunadua Health Center Padangsidimpuan City as many as 229 people. The sample in this study were 70 pregnant women at Batunadua Public Health Center, Padangsidimpuan City using random sampling method . The analysis used is Chi Square and Kolmogorov-Smirnov test . The results of this study indicate that there is a relationship between diet ( p=0.000) , and physical activity ( p=0.000) with the incidence of anemia in pregnant women. The conclusion is that diet and physical activity have a relationship with the incidence of anemia in pregnant women. Suggestions for pregnant women to increase antenatal care visits and find out about the incidence of anemia in pregnancy.

Determinants of Abortion in the Pandeglang District General Hospital Harahap, Meilani; Eva Angraini; Nikmatul Khoiriyah Pulungan; Darma Afni Hasibuan; Rahmi Wahidah Siregar
International Journal of Public Health Excellence (IJPHE) Vol. 2 No. 1 (2022): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v2i1.304

Abortion results from excessive bleeding due to cervical dilatation. Abortion is a threat or release of the results of conception before the fetus can live outside the womb of gestational age less than 20 weeks. In Indonesia the maternal mortality rate (MMR) in Indonesia is one of the highest in Southeast Asia, which is 228 per 100,000 live births. This research is to find out the determinants of the incidence of abortion in the Regional Hospital of Berkah Pandeglang . This type of research is quantitative analytic with a case control design with a ratio of 1: 1, using medical record data. The study population was all pregnant women in the Hospital of Berkah Pandeglang in 2019 namely 862, in the case of a population of 193 mothers who experienced abortion in 2019, the control population of mothers who did not experience abortion 669 in 2019. Sampling using a total sampling technique was obtained 193 and control samples using systematic random sampling that is 193. Analysis using univariate, bivariate with chi square test and multivariate with multiple logistic regression tests. The results of bivariate analysis obtained variables related to the incidence of abortion, namely age, parity, distance of pregnancy, education, history of abortion. Multivariate analysis results obtained a dominant variable, namely the distance of pregnancy with OR 5.114 after being controlled with parity, education, and history of abortion.

Factors Influencing the Risk of Early Marriage Among Adolescents at SMPN 5 Panyabungan, Mandailing Natal Regency in 2024 Wahida Siregar, Rahmi; Batubara, Khoirunnisa; Yanti, Asmima; Harahap, Meilani; Hasibuan, Darma Afni; Pulungan, Nikmatul Khoiriyah
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 1 (2024): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i1.948

Indonesia is the country with the second highest early marriage rate in the ASEAN after Cambodia. Almost 10% of girls become mothers at the age of 16 in poor and developing countries with the highest rate, one of which is in Southeast Asia. The researcher's aim: to analyze of Factors That Influence Adolescents on the Risk of Early Marriage at SMPN 5 Panyabungan Mandailing Natal Regency 2024. Research method: namely a correlational method, the sample size is 55 people. The instrument used was a questionnaire. The results of the analysis prove that the majority of teenagers with poor knowledge are 27 people (49%), while the minority are teenagers with good knowledge as many as 6 people (10.9%). The results of the research show that there is a relationship between knowledge based on age (pvalue=0.021), and knowledge based on sources of information (pvalue=0.014) for young women regarding maturing marriage age and the risk of early marriage at SMP Negeri 5 Panyabungan, Mandailing Natal Regency. The conclusion of the research results was that there was a relationship between knowledge based on age and knowledge based on information sources for young women regarding early marriage at SMP Negeri 5 Panyabungan, Mandailing Natal Regency in 2024.

The Effectiveness of Prenatal Yoga in Reducing Anxiety and Improving Sleep Quality Among Pregnant Women A Randomized Controlled Trial Hasibuan, Darma Afni; Siregar, Rahmi Wahida; Harahap, Meilani; Andria, Andria; Nasution, Muhammad Darwin Zulheddy; Siregar, Nurmasinar; Rangkuti, Layla Fadhilah
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 1 (2024): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i1.1414

Anxiety and sleep disturbances are common complications during pregnancy, affecting maternal well-being and fetal development . Prenatal yoga has emerged as a promising non-pharmacological intervention for addressing these concerns . This study aimed to evaluate the effectiveness of prenatal yoga in reducing anxiety and improving sleep quality among pregnant women through a mixed-methods randomized controlled trial. A convergent parallel mixed-methods design was employed with 120 pregnant women (20-36 weeks gestation) randomized to intervention (n=60) and control (n=60) groups . The intervention group received 8 weeks of structured prenatal yoga sessions twice weekly, while the control group received standard antenatal care . Quantitative measures included the State-Trait Anxiety Inventory (STAI) and Pittsburgh Sleep Quality Index (PSQI), assessed at baseline, 4 weeks, and 8 weeks . Qualitative data were collected through semi-structured interviews and analyzed using thematic analysis. Significant reductions in anxiety levels were observed in the yoga group compared to controls (p < 0.001) . Sleep quality improved significantly in the intervention group, with PSQI scores decreasing from 7.2 ± 1.8 to 4.1 ± 1.2 (p < 0.001) . Qualitative themes revealed enhanced emotional regulation, increased self-efficacy, and improved pregnancy experiences. Prenatal yoga is an effective intervention for reducing anxiety and improving sleep quality during pregnancy . The integration of quantitative and qualitative findings provides comprehensive evidence supporting the implementation of prenatal yoga programs in maternal healthcare services.

Determinants of Abortion in the Pandeglang District General Hospital Harahap, Meilani; Eva Angraini; Nikmatul Khoiriyah Pulungan; Darma Afni Hasibuan; Rahmi Wahidah Siregar
International Journal of Public Health Excellence (IJPHE) Vol. 2 No. 1 (2022): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v2i1.304

Abortion results from excessive bleeding due to cervical dilatation. Abortion is a threat or release of the results of conception before the fetus can live outside the womb of gestational age less than 20 weeks. In Indonesia the maternal mortality rate (MMR) in Indonesia is one of the highest in Southeast Asia, which is 228 per 100,000 live births. This research is to find out the determinants of the incidence of abortion in the Regional Hospital of Berkah Pandeglang . This type of research is quantitative analytic with a case control design with a ratio of 1: 1, using medical record data. The study population was all pregnant women in the Hospital of Berkah Pandeglang in 2019 namely 862, in the case of a population of 193 mothers who experienced abortion in 2019, the control population of mothers who did not experience abortion 669 in 2019. Sampling using a total sampling technique was obtained 193 and control samples using systematic random sampling that is 193. Analysis using univariate, bivariate with chi square test and multivariate with multiple logistic regression tests. The results of bivariate analysis obtained variables related to the incidence of abortion, namely age, parity, distance of pregnancy, education, history of abortion. Multivariate analysis results obtained a dominant variable, namely the distance of pregnancy with OR 5.114 after being controlled with parity, education, and history of abortion.

The Determinants of Behavior of HIV Testing in Pregnant Mothers Harahap, Meilani; Pulungan, Nikmatul Khoiriyah; Hasibuan, Ennysah
International Journal of Public Health Excellence (IJPHE) Vol. 1 No. 1 (2022): Agustus 2021-January 2022 (First Release)
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v1i1.5

HIV infection in Indonesia is one of the health problems and infectious diseases that can affect maternal and child mortality. More than 90% of HIV-infected infants are infected by HIV-positive mothers. Transmission can occur during pregnancy, during delivery and during breastfeeding. Early detection of HIV is important so that antiretroviral virus (ARV) drug therapy is carried out more quickly to reduce the rate of HIV transmission from mother to baby. The research, which was conducted at the Balongan Subdistrict Health Center, Indramayu Regency, was conducted to determine the determinants associated with HIV testing behavior during pregnancy. This type of research is quantitative with a cross-sectional study design using the total population. The results of the univariate analysis showed that 71.1% of mothers did not take an HIV test during pregnancy. and education about HIV/AIDS, because the husband is the closest person to the mother so that the husband makes a big contribution to providing support to the mother

Factors Affecting Sectio Caesarea Delivery at the Padangsidimpuan City Regional General Hospital Pulungan, Nikmatul Khoiriyah; Harahap, Meilani; Hasibuan, Ennysah
International Journal of Public Health Excellence (IJPHE) Vol. 1 No. 1 (2022): Agustus 2021-January 2022 (First Release)
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v1i1.6

Indonesia is one of the countries with the highest maternal mortality rate (MMR) in Asia compared to other ASEAN countries, reaching 359 maternal deaths per 100,000 births. This study aims to determine the Factors Affecting Sectio Caesarea Delivery in Regional General Hospitals Padangsidimpuan City 2018. The research design is an observational analytic study with a case control design and takes 100 respondents, consisting of 50 cases and 50 controls. Data collection was carried out using a check list sheet which was carried out in July 2018. The results of the hypothesis test showed that there was an effect of maternal age (p=0.001; OR 10.5), fetal position abnormalities (p=0.004; OR 9.2), prolonged labor (p=0.005; OR 8.5), premature rupture of membranes ( p=<0.000 OR 23.1), and placenta previa (p=0.001; OR 60.3) with cesarean section delivery and there was no effect of macrosomia (large baby) with cesarean section delivery (p=0.092) in Padangsidimpuan City Hospital. The dominant variable was placenta previa (p=0.001; OR 60.3; 95% CI 5,437-668,215). It is recommended to pregnant women to provide information about sectio caesarea and provide counseling to mothers who check their pregnancy so that mothers better understand risky conditions and can prepare themselves to avoid them.

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