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Determinan Gangguan Hipertensi Dalam Kehamilan (HDK) Di Wilayah Kerja Puskesmas Maospati Kabupaten Magetan Elly Marliana; Agung Suharto; Ayesha Hendriana Ngestiningrum
Gema Bidan Indonesia Vol. 10 No. 2 (2021): Juni
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Penyakit hipertensi dalam kehamilan (HDK) merupakan kelainan vaskular yang terjadi pada kehamilan atau timbul dalam kehamilan atau pada masa nifas. Tujuan penelitian untuk mengetahui pengaruh determinan riwayat hipertensi, obesitas, penggunaan KB hormonal terhadap kejadian hipertensi dalam kehamilan (HDK). Penelitian observasi analitik, dengan rancangan cross sectional. Populasi penelitian ibu hamil yang berkunjung dan tercatat Puskesmas Maospati Kabupaten Magetan pada 2018 sebanyak 332. Teknik pengambilan sample dengan teknik Simpel Random Sampling, besar sampel 183. Variabel bebas dalam penelitian ini adalah riwayat hipertensi, obesitas dan riwayat penggunaan KB hormonal. Variabel terikat dalam penelitian ini adalah kejadian HDK. Pengumbulan data dengan pendekatan studi dokumentasi, dengan lembar observasi. Analisis data mengunakan uji statistic Regresi Logistic, dengan penetapan tingkat kesalahan α 0,05. Hasil penelitian ibu hamil yang mengalami HDK tersebut yang terpapar hipertensi sebanyak 11%, yang ada riwayat atau terpapar obesitas 45,6%, terpapar KB Hormon sebesar 36.3%. Hasil analisis bivariat variabel Riwayat hipertensi dengan HDK ρ 0,01< α 0,05 , hasil Riwayat obesitas dengan HDK dρ 0,024< α 0,05 , Riwayat KB Hormon dengan HDK ρ 0,21< α 0,05. Hasil analisis multivariat menunjukkan hanya variabel riwayat hipertensi yang memenuhi syarat uji Regresi logistic dengan hasil ρ < α 0,05 (0,002<0,05), OR sebesar 0,099. Kesimpulan: faktor riwayat hipertensi dan riwayat obesitas saja yang berpengaruh sangat signifikan. Riwayat hipertensi menyumbang 9,9% dalam kejadian HDK. Saran: pendampingan ibu hamil resiko tinggi oleh masyarakat, peningkatan pemanfaatan Buku KIA, Penguatan ANC Terpadu: peningkatan peran bidan dan dokter umum dalam melakukan skreening bumil risti. Kata Kunci : Riwayat Hipertensi, Obesitas, HDK.

Survey Kualitas Pelayanan Posyandu Balita di Desa Majasem, Kecamatan Kendal, Kabupaten Ngawi Mufida Aziza Baroroh; Heru Santoso Wahito Nugroho; Ayesha Hendriana Ngestiningrum
Gema Bidan Indonesia Vol. 10 No. 1 (2021): Maret
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v10i1.2

Posyandu is the role of the community, which organizes a system services to fulfill basic needs, improve human quality, empirically has been able to equalize services in the health sector. The utilization rate of posyandu services by the community especially to maternal is still not running optimally. This is show by the number of Posyandu visits that have not reach 70% target of Ngawi Regency. Therefore, researcher wanted to conduct a Quality Survey for child Posyandu Services. This research type is descriptive. The sample was 220 maternal. This research used Simple Random Sampling techniques. The instrument of this research closed questionnaire filled by respondents. The research only uses a single variable that’s Quality of child Posyandu Services. The results of the study shown that almost every attribute Quality of child posyandu services based on the leve l of importance and performance in relatively encouraging posyandu patients. Priority attributes include posyandu places, availability of toilets, consultation with officers (cadres or midwivery), officers in measuring height quickly and precisely and subsequent posyandu schedule information. Keywords: quality; attributes; posyandu.

Determinan Gangguan Hipertensi Dalam Kehamilan (HDK) Di Wilayah Kerja Puskesmas Maospati Kabupaten Magetan Elly Marliana; Agung Suharto; Ayesha Hendriana Ngestiningrum
Gema Bidan Indonesia Vol. 10 No. 2 (2021): Juni
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v10i2.9

Penyakit hipertensi dalam kehamilan (HDK) merupakan kelainan vaskular yang terjadi pada kehamilan atau timbul dalam kehamilan atau pada masa nifas. Tujuan penelitian untuk mengetahui pengaruh determinan riwayat hipertensi, obesitas, penggunaan KB hormonal terhadap kejadian hipertensi dalam kehamilan (HDK). Penelitian observasi analitik, dengan rancangan cross sectional. Populasi penelitian ibu hamil yang berkunjung dan tercatat Puskesmas Maospati Kabupaten Magetan pada 2018 sebanyak 332. Teknik pengambilan sample dengan teknik Simpel Random Sampling, besar sampel 183. Variabel bebas dalam penelitian ini adalah riwayat hipertensi, obesitas dan riwayat penggunaan KB hormonal. Variabel terikat dalam penelitian ini adalah kejadian HDK. Pengumbulan data dengan pendekatan studi dokumentasi, dengan lembar observasi. Analisis data mengunakan uji statistic Regresi Logistic, dengan penetapan tingkat kesalahan α 0,05. Hasil penelitian ibu hamil yang mengalami HDK tersebut yang terpapar hipertensi sebanyak 11%, yang ada riwayat atau terpapar obesitas 45,6%, terpapar KB Hormon sebesar 36.3%. Hasil analisis bivariat variabel Riwayat hipertensi dengan HDK ρ 0,01< α 0,05 , hasil Riwayat obesitas dengan HDK dρ 0,024< α 0,05 , Riwayat KB Hormon dengan HDK ρ 0,21< α 0,05. Hasil analisis multivariat menunjukkan hanya variabel riwayat hipertensi yang memenuhi syarat uji Regresi logistic dengan hasil ρ < α 0,05 (0,002<0,05), OR sebesar 0,099. Kesimpulan: faktor riwayat hipertensi dan riwayat obesitas saja yang berpengaruh sangat signifikan. Riwayat hipertensi menyumbang 9,9% dalam kejadian HDK. Saran: pendampingan ibu hamil resiko tinggi oleh masyarakat, peningkatan pemanfaatan Buku KIA, Penguatan ANC Terpadu: peningkatan peran bidan dan dokter umum dalam melakukan skreening bumil risti. Kata Kunci : Riwayat Hipertensi, Obesitas, HDK.

Effectiveness of the Problem-Based Learning (PBL) Method to Increase Students' Knowledge and Attitudes About Early Marriage Sri Ayomi; Ayesha Hendriana Ngestiningrum; Tutiek Herlina
Health Dynamics Vol 1, No 1 (2024): January 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10103

Background: High number of teenage marriages is a very worrying phenomenon because it causes various negative impacts on both reproductive health and social life. Indonesia is ranked second in ASEAN and eighth in the world for cases of early marriage. In the Mlarak sub-district, Ponorogo Regency, 8% of marriages were under 19 years of age. The purpose of the study was to determine the effectiveness of the Problem Based Learning (PBL) method to increased students' knowledge and attitudes about early marriage. Method: Research design was pre- experimental with a pretest - post test one group design. The sample was class VIII SMP Negeri 1 Mlarak, Ponorogo Regency, taken by proportional random sampling technique followed by Simple Random Sampling as many as 60 students. Collecting data using a questionnaire instrument. The independent variable is the PBL method while the dependent variable is knowledge and attitudes about early marriage. Data analysis used Paired Sample T Test with 0.05. Results: The results showed there is increase in the average knowledge of student by 14.08 and student attitudes by 12.2 after using the Problem Based Learning method. The results of the Paired Sample T Test 0.000 for the knowledge variable and 0.000 for the attitude variable, which means Ho is rejected and Ha is accepted. Conclusion: PBL method is effective in increasing knowledge about early marriage. The PBL method is effective in increasing attitudes about early marriage. Suggestions for teenagers to increase their knowledge about early marriage so that students' attitudes about early marriage can increase.

Black swan theory: legal policy of the Indonesian national healthcare Budiono, Arief; Absori, Absori; Ngestiningrum, Ayesha Hendriana; Dewi, Elya Kusuma; Nurhayati, Nunik; Arum Prastyanti, Rina; Ibrahim, Alisa
Legality : Jurnal Ilmiah Hukum Vol. 30 No. 1 (2022): March
Publisher : Faculty of Law, University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/ljih.v30i1.16867

The Indonesian National Health Service (NHS) is part of Indonesia’s national social security system. Its implementation is full of problems, such as the rejection of patients, the NHS payment which is lower than the real health cost, sanctions, fines, etc. The Indonesian National Social Security System, especially the NHS services, was established by the state to give social protection to its citizens. The Black Swan Theory is based on the presumption that all swans are white, thus in this case, the Indonesian NHS is truly a program aimed to give social security in the health sector, just as the general conditions of social securities applied in other countries. This research studies this theory to explore the paradoxes which happen in the Indonesian NHS to find the black swan. In this case, the black swan is a paradoxical symbol regarding the regulations and the problems of the Indonesian NHS. This research uses the juridical-doctrinal or the normative method and is descriptive research with a qualitative approach. Based on the Black Swan theory, this research tries to find paradoxical, extreme, and unpredictable discrepancies in the Indonesian NHS. It is found that the Indonesian NHS is a black swan or unpredicted according to black swan theory. The objectives, practices, and regulations of this NHS are truly different from the NHS which is supposed to be given to the Indonesians. It transfers the government’s burden in establishing the health service and the rights of the citizens to the citizens, coupled with the threat of sanctions which is unknown in NHS. The applied Indonesian NHS has an extensive impact on hundreds of millions of Indonesian citizens.

Prevention of Early Jaundice in Babies Through Empowerment: Quasi-Experiments with Pregnant Women Nainggolan, Lenny; Wahyuni, Tengku Sri; Rahayu, Teta Puji; Ngestiningrum, Ayesha Hendriana
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. 1 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.I1.2025.18-26

Background: Jaundice is a health problem for newborns that occurs in around 60% of term pregnancies and around 80% of premature pregnancies. Babies who experience severe jaundice need to receive proper examination and treatment to prevent morbidity and death. Mothers' role in overcoming the lack of breast milk in newborn babies is important. Hence, they need to be educated and empowered to avoid health problems that can be prevented if mothers and babies receive timely care. Objectives: This research aims to analyze the effect of maternal empowerment on preventing early jaundice in babies in Pematangsiantar City. Method: The method used was the quasi-experimental design with a non-equivalent control group design model, carried out on 62 pregnant women and jaundice assessment on 62 newborns (31 pregnant women who were given education and monitored for empowerment and 31 mothers who were given education but not monitored). Sampling was taken using consecutive sampling. Data collection used a validated questionnaire and statistical tests with chi-square. Results: Statistical tests showed that, after empowering mothers, 90.3% implemented IMD in the intervention group and 83.9% in the control group (p=0.707). The results showed that after empowering mothers there were 93.5% of babies did not experience jaundice, and in the control group 71.0% did not experience jaundice. Statistically, there was a difference between the two groups (p=0.46). Conclusion: Maternal empowerment can influence the prevention of jaundice in babies. Implementation of empowerment through providing education about IMD, breastfeeding, and jaundice needs to be carried out by health workers.

Platform E-Learning Belajar Kesga Kelas Ibu Balita berhasil Meningkatkan Pengetahuan Ibu Mengenai Pertumbuhan dan Perkembangan Anak Herlina, Tutiek; Nisrina, Salsabilla; Ngestiningrum, Ayesha Hendriana; Purwanto, Triana Septianti
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 14, No 3 (2024): Juli-September 2024
Publisher : FORUM ILMIAH KESEHATAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/2trik14302

The Mother Toddler Class program facilitates parents in monitoring their children's growth and development. During the pandemic, the Mother Toddler Class program cannot be implemented, but independent monitoring of children's growth and development can be carried out using the e-learning platform Belajar Kesga. This study aims to determine the effect of the e-learning platform Belajar Kesga Mother Toddler Class on mothers' knowledge of child growth and development. This study used a non-equivalent control group design, involving 88 mothers of toddlers selected using the cluster sampling method, divided into two groups: a treatment group and a control group, each with 44 people. Knowledge was measured in both groups, both before and after the intervention, using Google Forms. Data were then analyzed using the Wilcoxon test and the Mann-Whitney test. In the treatment group, a p-value of 0.000 was obtained, indicating a significant difference in knowledge levels before and after the intervention. In the control group, a p-value of 0.443 was obtained, indicating no significant difference in knowledge levels before and after the intervention. The comparison test of the final knowledge levels between the two groups yielded a p-value of 0.000, indicating a difference in knowledge levels between the two groups, with higher levels in the treatment group. In conclusion, the e-learning platform "Learning Kesga" successfully increased the knowledge of mothers of toddlers regarding child growth and development. Therefore, it is hoped that the use of the e-learning platform "Learning Kesga" can be encouraged.Keywords: toddlers; growth; development; e-learning platform; mothers' knowledge ABSTRAK Kegiatan kelas ibu balita menjadikan orangtua terfasilitasi dalam mendeteksi pertumbuhan dan perkembangan anak. Di masa pandemi, kegiatan kelas ibu balita tidak dapat terlaksana, namun dapat dilakukan pemantauan pertumbuhan dan perkembangan anak secara mandiri dengan menggunakan platform e-learning belajar kesga. Penelitian ini bertujuan untuk mengetahui pengaruh platform e-learning belajar kesga kelas ibu balita terhadap pengetahuan ibu mengenai pertumbuhan dan perkembangan anak. Penelitian ini menggunakan rancangan non-equivalent control group, yang melibatkan 88 ibu balita yang dipilih menggunakan metode cluster sampling, yang dibagi menjadi dua untuk kelompok perlakuan dan kelompok kontrol, masing-masing 44 orang. Pada kedua kelompok dilakukan pengukuran pengetahuan, baik pada fase sebelum maupun sesudah intervensi, menggunakan Google Form. Selanjutnya data dianalisis menggunakan uji Wilcoxon dan uji Mann-Whitney. Pada kelompok perlakuan didapatkan nilai p = 0,000 yang bisa dimaknai bahwa ada perbedaan tingkat pengetahuan secara signifikan antara sebelum dan sesudah intervensi. Pada kelompok kontrol didapatkan nilai p = 0,443 yang bisa dimaknai bahwa ada tidak perbedaan tingkat pengetahuan secara signifikan antara sebelum dan sesudah intervensi. Pada uji perbandingan tingkat pengetahuan akhir antara kedua kelompok didapatkan nilai p = 0,000, yang bisa dimaknai bahwa ada perbedaan tingkat pengetahuan antara kedua kelompok, dengan tingkat yang lebih tinggi pada kelompok perlakuan. Sebagai kesimpulan, platform e-learning belajar kesga berhasil meningkatkan pengetahuan ibu balita mengenai pertumbuhan dan perkembangan anak, sehingga diharapkan penggunaan platform e-learning belajar kesga dapat digalakkan.Kata kunci: balita; pertumbuhan; perkembangan; platform e-learning; pengetahuan ibu

CEGAH ANEMIA SANTRIWATI DI WILAYAH PONDOK PESANTREN KOTA SURABAYA Mairo, Queen Khoirun Nisa’; Jeniawaty, Sherly; Ginarsih, Yuni; Ngestiningrum, Ayesha Hendriana; Harumi, Ani Media; Alfiah, Siti; Purwanti, Dwi; Sari, Ira Rahayu Tiyar
MAJU : Indonesian Journal of Community Empowerment Vol. 2 No. 6 (2025): MAJU : Indonesian Journal of Community Empowerment, November 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/maju.v2i6.1900

Anemia remains a global public health problem and continues to pose a significant burden in many developing countries. Several national and regional studies have reported that the prevalence of anemia among adolescent girls ranges from 14% to 50%, depending on location and survey methods, with many studies showing rates exceeding 30% in certain populations. Female students (santriwati) living in Islamic boarding schools (pondok pesantren) are particularly vulnerable to anemia. Common contributing factors include inadequate iron intake, irregular communal eating practices, limited nutritional knowledge, excessive menstrual bleeding, and restricted access to health services. The implementation of the community engagement program consisted of three main stages: (1) Socialization and initial hemoglobin (Hb) screening to obtain a preliminary overview of anemia status; (2) Health education and interactive discussions delivered through lectures, question-and-answer sessions, and educational video presentations; and (3) Evaluation and post-activity monitoring through joint reflections involving both the boarding school administrators and the participants. The combination of Hb screening, interactive counseling sessions, leaflet-based educational media, and institutional support from the boarding schools proved effective in creating a conducive environment for promoting healthy behaviors. However, challenges such as limited availability of Hb testing equipment and negative perceptions toward iron supplementation still need to be addressed through continuous approaches and cross-sectoral collaboration.

The Effectiveness Of Key Lime (Citrus Aurantifolia) And Slaked Lime (Calcium Hydroxide) In Reducing Stretch Marks In Postpartum Women Lidia Widia; Ngestiningrum, Ayesha Hendriana; Ashriady, Ashriady
Jurnal Kesehatan Manarang Vol 11 No 3 (2025): December 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i3.2117

Key lime (Citrus aurantifolia) contains vitamin C and bioactive compounds that promote tissue repair and skin regeneration. The combination of key lime and slaked lime may help reduce stretch marks in postpartum women. Vitamin C in key lime and hydroxide compounds in slaked lime are thought to accelerate skin regeneration while exfoliating dead skin cells. This study aimed to analyze the effectiveness of the combination of key lime and slaked lime in reducing stretch marks among postpartum women. The research employed a pre-experimental design with a one-group pretest–posttest approach. The sample consisted of twenty postpartum women (6 hours to 7 days after delivery) selected through purposive sampling, conducted from September to December 2024 at Paradise Mother and Child Hospital, Tanah Bumbu Regency. Inclusion and exclusion criteria were applied to determine eligible participants. The results of the study showed that the Sign Test yielded a p-value (Exact Sig. 2-tailed) of 0.002 (<0.05), indicating a significant effect of the treatment. Therefore, it can be concluded that the combination of key lime (Citrus aurantifolia) and slaked lime (calcium hydroxide) is effective in reducing stretch marks in postpartum women. It is recommended that this natural combination be used as an alternative treatment for postpartum stretch marks.

Development And Validation Of Simanis Mobile Application For Early Sti Detection Among Adolescents : A Digital Health Promotion And Innovation Study Nur Hanifah, Astin; Usnawati, Nana; Nuryani, Nuryani; Ayesha Hendriana Ngestiningrum; Ashriady, Ashriady
Jurnal Kesehatan Manarang Vol 11 No 3 (2025): December 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i3.2154

The increasing incidence of sexually transmitted infections (STIs) has become more significant among the productive age group. The World Health Organization (WHO) reports that more than one million people are diagnosed with STIs every day, making early detection a crucial step. Preventive efforts include improving knowledge and promoting early detection of STI symptoms; however, many individuals still face difficulties in accessing information related to symptoms, prevention, and treatment. Feelings of shame and the perception that seeking care at health facilities is taboo often result in STI cases being identified at a more advanced stage. Evaluation of health promotion media shows that more than 50% are no longer relevant in the digital era. This study aims to help the public better understand information related to STIs. To develop an Android-based mobile application for the early detection of sexually transmitted infections. This study employed a Research and Development (R&D) design using the 4D model: Define, Design, Develop, and Disseminate. The first year involved evaluating existing health promotion media and identifying strategic issues through focus group discussions (FGDs), followed by application design, expert appraisal, and trials involving 30 respondents. The evaluation revealed that most existing health promotion media were no longer relevant in terms of content, format, and timeliness. The “SIMANIS” mobile application was developed with six main menus: definition, types, symptoms, impacts, transmission, prevention, and self-detection, plus a knowledge questionnaire on STIs. Content validity testing (CVI) by three experts confirmed the application’s validity, while the reliability test yielded a Cronbach’s Alpha value of 0.728. The “SIMANIS” mobile application is valid, reliable, and can be used by adolescents as well as healthcare institutions. The dissemination phase is planned for 2026

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