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Handayani, Tinuk Esti
Poltekkes Kemenkes Surabaya
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Health Workers' Anxiety Experience Against Dengue Hemorrhagic Fever During Rainy Season: A Phenomenological Study Budi Joko Santosa; Budi Yulianto; Nurlailis Saadah; Sulikah Sulikah; Tinuk Esti Handayani; Syaifoel Hardy
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No S1: Supplement
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (653.615 KB) | DOI: 10.30604/jika.v8iS1.1605

Abstract

Dengue Hemorrhagic Fever (DHF) is still a health problem and a severe threat in some areas of Indonesia. This disease not only has an impact on the health sector, the social sector, and the community's economy but also anxiety for health workers during the rainy season. The objective is to find out the anxiety experienced by health workers regarding DHF during the rainy season, the causal factors, and how to anticipate them. The method was a phenomenological approach with descriptive analysis. The stages include bracketing, intuitive, analyzing, and describing. The research was conducted during the rainy season in December 2022. Five informants were randomly selected to represent the regions of Aceh, West Java, East Java, Flores, South Maluku, and Papua. Primary data were obtained from semi-structured interviews with four. Secondary data were obtained from official documents and reputable journals for the last five years. The data were processed using phenomenology (bracketing, intuitive, analyzing, and describing) and descriptively analyzed. Results show healthcare workers experience anxiety that can potentially arise due to changing seasons during the rainy season (18.75%), the dynamics of government regulations against DHF (31.25%), increased workload especially during the Covid-19 pandemic (31.25%), and the location of the place work (18.75%). Program enrichment in the form of debriefing training in dealing with DHF for healthcare workers in case-prone places needs to emphasize helping psychological and mental readiness so that it can reduce the level of anxiety when there is a change in weather which is followed by an increase in the incidence rate of DHF. Abstrak: Dengue Hemorrhagic Fever (DHF) masih menjadi masalah kesehatan dan ancaman serius di sejumlah wilayah di Indonesia. Penyakit ini tidak hanya berdampak terhadap sektor kesehatan, sektor sosial dan ekonomi masyarakat, namun juga terhadap kecemasan bagi petugas kesehatan. Tujuannya untuk mengetahui sejauh mana kecemasan petugas kesehatan terhadap DHF selama musim penghujan, faktor penyebab serta bagaimana mengantisipasinya. Pendekatan penelitian ini fenomenologi dengan analisis descriptive. Tahapannya mencakup bracketing, intuiting, analyzing, dan describing. Penelitian dilakukan selama musim hujan bulan Desember 2022. Lima informan dalam penelitian ini dipilih secara random untuk mewakili wilayah Aceh, Jawa Barat, Jawa Timur, Flores, Maluku Selatan dan Papua. Data primer diperoleh dari hasil interview semi struktur dengan empat tema. Data sekunder diperoleh dari dokumen resmi dan jurnal bereputasi selama lima tahun terakhir. Olah data menggunakan fenomenologi (bracketing, intuiting, analyzing and describing) dan dianalisis secara descriptive. Hasilnya petugas mengalami kecemasan yang secara potensial bisa timbul karena adanya perubahan musim khususnya pada musim hujan (18.75%), dinamika aturan pemerintah terhadap DHF (31.25%), peningkatan beban kerja khususnya selama pandemic Covid-19 (31.25%), dan lokasi tempat kerja (18.75%). Kesimpulannya pengkayaan program berupa pelatihan pembekalan dalam menghadapi DHF bagi healthcare workers di tempat yang rawan kasus perlu penekanan dalam membantu kesiapan mental psikologis sehingga bisa mengurangi tingkat anxiety ketika terjadi  perubahan cuaca yang diikuti meningkatnya incidence rate DHF
Hubungan Pola Makan Dengan Perubahan Kadar Hemoglobin Ibu Hamil Khoirunnisa, Khoirunnisa; Usnawati, Nana; Santoso, Budi Joko; Handayani, Tinuk Esti
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 12, No 4 (2022): November 2022
Publisher : FORUM ILMIAH KESEHATAN

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Abstract

Kehamilan merupakan proses natural bagi seorang perempuan, dimulai dari konsepsi sampai lahirnya janin dengan, namun sebesar 10-20% kehamilan dapat disertai dengan komplikasi. Anemia merupakan salah satu komplikasi yang sering terjadin pada ibu hamil dikarenakan pola makan yang tidak sehat. Tahun 2021 kunjungan K1 yang melakukan pemeriksaan Hemoglobin (Hb) sejumlah 1.694 diantaranya  371 (21,9%) ibu hamil mengalami anemia. Terdapat anemia dengan kadar Hb 8-11 gr/dL dan <8 gr/dL sejumlah 357 (96,2%) dan 14 (3,8%). Penelitian ini bertujuan untuk mengetahui hubungan pola makan dengan perubahan kadar Hb pada ibu hamil. Penelitian ini merupakan penelitian analitik dengan rancangan studi kohort. Populasi penelitian ialah 31 ibu hamil di Desa Panekan. Teknik pengambilan sampel menggunakan teknik Simple random sampling didapatkan sampel sejumlah 29 ibu hamil. Variabel bebas penelitian ialah pola makan dan variabel terikat ialah perubahan kadar Hb ibu hamil. Pengumpulan data menggunakan tabel food record dan dilakukan pengamatan selama 14 hari. Analisa hubungan antar variabel menggunakan uji statistika chi square α 0,05. Dari hasil analisis menggunakan chi square disimpulakan ada hubungan pola makan dengan perubahan kadar Hb ibu hamil. Responden diharapkan mampu menjaga pola makan dengan sehat sesuai dengan isi piringku, sehinngga kadar Hb menjadi normal.
Improving Knowledge and Skills Through ECEP and Integrated Service Posts for Stunting Prevention Suparji, Suparji; Rahayu, Teta Puji; Handayani, Tinuk Esti
Health Dynamics Vol 1, No 7 (2024): July 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10706

Abstract

Stunting is a serious health problem in Indonesia, affecting children's growth and development and the future of the younger generation. This community service aims to accompany early childhood education program (ECEP)and Integrated Service Post in implementing Early Stimulation, Detection and Intervention for Growth and Development of Children (ESDIGDC) services as an effort to prevent stunting. This activity involves training and mentoring for ECEP teachers and Integrated Service Post toddler cadres, focusing on understanding stunting, growth measurement techniques and appropriate early stimulation. The results of this program show a significant increase in participants' knowledge and skills regarding stunting and early detection. Parent participation in Integrated Service Post activities has also increased, with more children being checked regularly. In addition, several cases of stunting were detected early, allowing immediate intervention. The positive impact of this program is not only seen in stunting prevention, but also in increasing public awareness of the importance of monitoring children's growth and development and strengthening collaboration between ECEP and Integrated Service Post. Overall, this assistance has proven to be effective as a stunting prevention service intervention. It is hoped that this program can be adopted in other regions as a model in efforts to reduce stunting rates nationally.
Relationship Between Diet Patterns and Anemia in Female Adolescents Widhawati, Setya; Suparji, Suparji; Handayani, Tinuk Esti; Herlina, Tutiek
Health Dynamics Vol 1, No 8 (2024): August 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10805

Abstract

Background: In the process of becoming a mother, a young woman must prepare herself, especially in meeting nutritional needs to prevent anemia, in order to ensure a quality next generation of the nation. Anemia can cause fatigue, decreased productivity, and disorders in cognitive and motor development in children. This study aims to determine the relationship between diet and the incidence of anemia in young women. Methods: The research design used was cross-sectional to examine the relationship between diet and anemia status. The population in this study were 127 students of grade VII of SMP Negeri 5 Ponorogo, with samples taken using a total sampling of 127 students. The independent variable in this study was diet, while the dependent variable was anemia. The instruments used included questionnaires and hemoglobin (Hb) level examination tools. Data collection was carried out through Hb level screening and filling out questionnaires distributed via Google Form. Data analysis used cross-tabulation and Chi-square test. Results: The results showed that 75.59% of adolescents had good diets, while 24.41% had poor diets. Anemia status showed that 79.53% did not have anemia and 20.47% had anemia. The Chi-square test showed the analysis result p = 0.017, which indicated a significant relationship between diet and the incidence of anemia in adolescent girls. Conclusion: This study shows a significant relationship between diet and the incidence of anemia in adolescent girls. Adolescents with good diets tend to have a lower risk of anemia. It is recommended that adolescent girls continue to maintain a good diet to prevent anemia, which can affect their overall health, including productivity and cognitive development.
The Influence of HIV/AIDS Literacy in Pregnant Women on Willingness to Undergo PMTCT Examination in Pematangsiantar City, North Sumatra, Indonesia Safrina, Safrina; Sirait, Sri Hernawati; Handayani, Tinuk Esti; Ngestiningrum, Ayesha Hendriana
Health Dynamics Vol 1, No 8 (2024): August 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10801

Abstract

Background: In 2019, 2,370,473 pregnant women in Indonesia were tested for HIV, with 6,439 (0.27%) testing positive. Despite the importance of HIV testing during pregnancy to prevent mother-to-child transmission of HIV (PMTCT), not all pregnant women are willing to undergo testing. This study aims to evaluate the impact of health literacy about HIV/AIDS on pregnant women’s willingness to participate in PMTCT examinations in Pematangsiantar City. Methods: A quasi-experimental design with pretest and posttest, including a control group, was employed. The study population comprised pregnant women in Pematangsiantar City who had not undergone voluntary counseling and testing (VCT). A total of 102 participants (51 in the experimental group and 51 in the control group) were selected based on specific inclusion and exclusion criteria through consecutive sampling. Health literacy was measured using the Indonesian version of the health literacy questionnaire (HLS-EU-SQ10-IND). Data were analyzed using the McNemar test with a significance level set at p < 0.05. Results: In the HIV/AIDS literacy group, 32 participants (62.7%) were willing to undergo PMTCT, whereas in the control group, 32 participants (62.7%) were not willing. The literacy group showed significant improvements in willingness to undergo PMTCT after receiving information, with p-values of 0.012 (overall), 0.003 (understanding), 0.021 (assessing), and 0.007 (implementing). Conversely, the control group did not show significant changes, with p-values of 0.375, 0.210, 0.063, and 0.227, respectively. Conclusion: Health literacy about HIV/AIDS significantly enhances pregnant women’s willingness to participate in PMTCT. Increased counseling and information from health workers are crucial for improving PMTCT coverage.
Trend of Anemia Prevalence in Pregnant Women in the Working Area of Sukosari Health Center, Madiun City, 2018-2022 Sari, Nur Heliana; Nugroho, Heru Santoso Wahito; Handayani, Tinuk Esti; Rahayu, Teta Puji
Health Dynamics Vol 1, No 2 (2024): February 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10203

Abstract

Pregnancy anemia poses a significant national challenge due to its adverse impact on human resource (HR) quality. Without proper management, it can lead to maternal and fetal complications, even death. This study aimed to determine the trend of anemia prevalence of pregnant women from 2018-2022 in the working area of Sukosari Health Center, Madiun City. Conducted as descriptive quantitative research with predictive elements, it encompassed 2157 pregnant women in the center's jurisdiction. Utilizing the total population as the sample, data was collected from maternal LB3 documents. Trendline analysis in MS Office Excel revealed the trend and prediction of the anemia prevalence in the following year by displaying the equation display on chart. The results showed a trend and prediction of the anemia prevalence for pregnant women at the end of 2023, the total Sukosari Health Center increased. The trend and prediction of the prevalence of pregnant women in each village and each trimester of pregnancy also increased. The highest increase in the anemia prevalence for pregnant women occurred in Klegen Village and in the first trimester of pregnancy. From these results, it can be concluded that the trend of anemia prevalence of pregnant women at the health center has increased and exceeds the target set by the Madiun City Health Office, which is <15%. This condition needs to be monitoring and paid special attention to by increasing education on the prevention and treatment of anemia among adolescent girls and pregnant women, monitoring and evaluating the program of giving blood-added tablets, and maximizing local area monitoring of pregnant women. Innovative efforts can also be made in the form of taking blood tablets together on the opening day of pregnancy check-up services and during the implementation of classes for pregnant women and organizing classes for brides-to-be at health centers.
Early Marriage Age Trends in Magetan Regency, Indonesia: A Review of 2021-2023 Kusumaningtias, Rifky Ayu; Handayani, Tinuk Esti; Suparji, Suparji; Hanifah, Astin Nur
Health Dynamics Vol 1, No 8 (2024): August 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10806

Abstract

Background: Early marriage is a significant women's reproductive health issue, especially because of its association with the risk of abortion, stunting, malnutrition and infection in infants. The aim of the study was to describe the age trend of early marriage in Magetan Regency from 2021 to 2023. Methods: This type of research is descriptive quantitative with the population of all couples who married in Magetan Regency during the period. The sample of this study included all married individuals with a total of 12,772 people. The main variable was age at marriage. Data were collected through a documentation study of age of marriage reports recorded at the PPKBPP and PA Office of Magetan Regency using a data recapitulation table. Data analysis was conducted with descriptive statistics, in the form of frequency distribution and percentage. Results: The results showed an increasing trend of early marriage in most sub-districts, with a predicted prevalence that tends to increase until the end of 2024. Between 2021 and 2023, the trend of early marriage age in Magetan Regency showed a varied pattern, with some years increasing and others decreasing. The main factors influencing this trend include economic factors, education, and local policies. The impacts of early marriage include challenges in health and education, which require continued attention in mitigation and response efforts. Conclusion: The conclusion of this study is that there is a need for serious attention to this problem, including prevention efforts through education, counseling, and improving the quality of education and policies to prevent early marriage from the government and related institutions.
Impact of Menopause Counselling on Maternal Anxiety in Gebyog Village, Magetan, Indonesia Chotijah, Putri Indriyani Renti; Hanifah, Astin Nur; Handayani, Tinuk Hesti; Suparji, Suparji
Health Dynamics Vol 1, No 7 (2024): July 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10704

Abstract

Background: Menopause signifies the end of menstruation and ovarian follicle activity in women. It is diagnosed after 12 consecutive months of amenorrhea without other causes. Typically occurring between 40 and 50 years, menopause often induces anxiety, especially among women with limited knowledge. To address this, the government promotes health counseling to improve women's understanding and management of menopause. Methods: This study utilized a pre-experimental design involving 63 respondents fromGebyog Village, Magetan, Indonesia, selected by simple random sampling. The study examined two variables: the independent variable (counseling) and the dependent variable (anxiety level). Data was collected using the Hamilton Rating Scale for Anxiety (HARS) questionnaire, administered both before and after counseling sessions. Descriptive analysis was conducted using frequency distribution, and the Mann-Whitney U test was used for inferential analysis. Results: The counseling intervention led to a significant reduction in anxiety levels among the participants. The Mann-Whitney U test results indicated a P value of 0.000, demonstrating a statistically significant effect of counseling on reducing anxiety levels (P = 0.000 < α = 0.05). Conclusion: Counseling effectively reduces anxiety in women facing menopause. It is recommended that health workers enhance their efforts in providing menopause-related counseling, particularly through village health posts like posbindu and poslansia, to support women during this transition.
Community Empowerment in Stunting Prevention: Implementation of the UBaMa Method (Ultra Violet Rays and Baby Massage) Handayani, Tinuk Esti; Rahayu, Teta Puji
Health Dynamics Vol 1, No 10 (2024): October 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd11005

Abstract

Babies are an age group that is vulnerable to stunting. The incidence of stunting in Ngariboyo District in 2022 was 185 (13.14%) children under five, the highest occurred in Mojopurno Village, which was 49 (19.91%) children under five. The purpose of this activity is to improve the understanding, attitude and behavior of baby mothers in stimulation with the UBaMa method. The method carried out is to conduct a pre-test for baby mothers, followed by providing explanations and training on the UBaMa method. After that, the baby's mother was asked to carry out UBaMa at home, evaluated at the second meeting and so on until the fourth meeting. After the fourth meeting, a post-test was carried out. The results achieved were an improvement in the skills of mothers under five to do stimulation with the UBaMa Method with a proficiency of 68%.  Knowledge Improvement with pre-test 49 and post-test 83.75. The UBaMa Stimulation Method (Ultra Violet and Baby Massage) can improve the growth and development of babies. It is recommended that the baby's mother periodically stimulate UBaMa at least 3 times a week to increase breast milk production so that it can be used to prevent stunting.
Increased Success in Exclusive Breastfeeding with the Use of Guidelines for Lactation Cadre Assistance Rahayu, Teta Puji; Handayani, Tinuk Esti; Sumaningsih, Rahayu
Health Dynamics Vol 2, No 2s (2025): February 2025 (Special Issue)
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd202s06

Abstract

Background: The support of health cadres plays an important role in the success of the exclusive breastfeeding program. Health cadres have been widely involved in various activities carried out in the village, especially for maternal and child health programs, but for lactation cadre assistance to postpartum mothers is still not active because there are no lactation cadre assistance guidelines that can be used. The purpose of this study is to develop guidelines for assisting lactation cadres and assess their effectiveness in increasing the success of exclusive breastfeeding. Methods: This research is a Research and Development (R&D) research, starting with a literature study by studying journals and books related to health cadres and Exclusive Breastfeeding. Compile guidelines for assisting lactation cadres from the results of development. Data was collected using a questionnaire through FGD together with 50 health cadres, 2 village midwives and 3 representatives from the Magetan Regency Health Office, expert consuls followed by the revision and finalization of lactation cadre assistance guidelines. Results: This research produced guidelines for assisting lactation cadres, the results of the evaluation of guidelines for assisting lactation cadres through the process of development, formulation of strategic issues, and FGD. Conclusions: The guidebook for lactation cadres is a strategic step in supporting the success of the Exclusive Breastfeeding program so that it can increase the success of Exclusive Breastfeeding in the community.
Co-Authors Agung Suharto Agung Suharto Astin Nur Hanifah Budi Joko Santoso Budi Yulianto Chotijah, Putri Indriyani Renti Debby Rahmawati Febriana, Citra Nurwidya Fitriyanti Fitriyanti Herlina, Tutiek Herlina, Tutiek Heru Santoso Wahito Nugroho Kusumaningtias, Rifky Ayu Moh. Wildan N Surtinah Nana Usnawati Nani Surtinah Ngestiningrum, Ayesha Hendriana Nur Heliana Sari nurlailis saadah Rahayu, Diah Viptara Dwi Rahayu, Teta Puji Resyana, Hesti RR. Ella Evrita Hestiandari Safrina Safrina, Safrina Santosa, Budi Joko Sari, Nur Heliana Sarita, Sultina Sri Hernawati Sirait Suharto, Agung Suharto, Agung Sulikah Sulikah Sulikah, Sulikah Sumaningsih, Rahayu Suparji Suparji Syaifoel Hardy Teta Puji Rahayu Wahida Wahyu Fitri Yuliasih Widhawati, Setya Wisnu, Nurwening Tyas