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All Journal JURNAL KEBIDANAN KESTRA (JKK) Jurnal Kesmas dan Gizi (JKG)
Lely Masnita
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Public Health

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DETERMINANT FACTORS ASSOCIATED WITH DISCIPLINE AND WORK MOTIVATION OF OFFICERS HEALTH AT PUSKESMAS PLUS PERBAUNGAN SERDANG BEDAGAI DISTRICT Lely Masnita; Ahmad Hafizullah R; Novita Br Ginting
JURNAL KESMAS DAN GIZI (JKG) Vol. 6 No. 1 (2023): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v6i1.1884

Abstract

The problem with the low coverage of health services at puskesmas is partly due to the low performance of health workers who are not yet optimal. This is due to low motivation and discipline of health workers. Based on initial observations of several health workers at the Plus Perbaungan Health Center, it was found that there were problems with the discipline and work motivation of health workers. The purpose of this study was to determine the relationship between the determinant factors (goals and abilities, sanctions, achievement, recognition and responsibility) with the discipline and work motivation of health workers at the Health Center Plus Perbaungan. The research design used in this research is an analytical survey using a cross sectional study approach. The population of this study was all 78 health workers with a sample using a total sampling technique of 78 people. Data collection methods are primary data, secondary and tertiary data. The data analysis used was univariate and bivariate analysis using the chi-square statistical test. And what will happen in the study shows that there is a relationship between goals and abilities with a p value (0.000), sanctions p (0.000), firmness p (0.000) and recognition p (0.000) with discipline and work motivation, while achievement p (0.683) and responsibility p (0.577) have no relationship with discipline and work motivation. The conclusion of this study is that there is a relationship between goals and abilities, punishment, firmness and recognition with discipline and motivation, while achievement and responsibility have no relationship with discipline and work motivation in health workers.
The Relationship Between Postpartum Mothers' Knowledge About Breast Care and Smooth Breast Milk Flow at The Millennium Clinic Sri Putriani Sinaga; Dinar Manalu; Sunengsih; Lely Masnita; Nova SJ
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 2 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v7i2.2733

Abstract

The smooth provision of breast milk (ASI) during the postpartum period is still a challenge that needs special attention, one of which is influenced by the level of knowledge of mothers about breast care. This study aims to analyze the relationship between the level of knowledge of postpartum mothers about breast care and the smoothness of breastfeeding at the Millenium Clinic in 2024. This study used an analytical survey design with a cross-sectional approach. The population in this study were all postpartum mothers who visited the Millenium Clinic as many as 31 people (N = 31). The total population technique was used so that the entire population was used as a sample. The results showed that most postpartum mothers (19 respondents, 61.3%) had a low level of knowledge, while 7 respondents (22.6%) had a sufficient level of knowledge, and only 5 respondents (16.1%) had good knowledge. In addition, the majority of postpartum mothers (21 respondents, 67.7%) experienced poor breastfeeding, while 10 respondents (32.3%) reported smooth breastfeeding. The results of statistical analysis with a 95% confidence level showed a significant relationship between the level of knowledge of postpartum mothers about breast care and the smoothness of breast milk production (p < 0.001). It can be concluded that increasing postpartum mothers' knowledge about breast care is closely related to the smoothness of breast milk production. Therefore, it is recommended for health workers to develop comprehensive health promotion and education programs regarding breast care, especially for postpartum mothers in their respective work areas.
The Effect of Giving Soy Milk (Glycine Max) on Breast Milk Production in Breastfeeding Mothers at the Nurtiana Midwife Clinic Sinaga, Sri Putri; Dinar Manalu; Sunengsih; Lely Masnita; SJ, Nova
JURNAL KEBIDANAN KESTRA (JKK) Vol. 8 No. 1 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/6rnd8n33

Abstract

Suboptimall brealst milk production remalins al problem for some brealstfeeding mothers, primalrily due to inaldequalte intalke of nutrients thalt support lalctaltion, such als plalnt protein, fluids, alnd phytoestrogens. Soy milk (Glycine malx) is known to contalin isoflalvones alnd proteins thalt stimulalte the hormones prolalctin alnd oxytocin, thereby helping to increalse brealst milk production. This study alimed to determine the effect of soy milk on brealst milk production in brealstfeeding mothers alt the Nurtialnal Midwife Clinic. This study used al qualsi-experimentall design with al one-group pretest–posttest design. The study populaltion consisted of 10 brealstfeeding mothers, alll of whom were salmpled using al totall salmpling technique. Daltal were collected through observaltions before alnd alfter the intervention of aldministering 250 ml of soy milk three times dalily for seven dalys. Daltal were alnallyzed using univalrialte methods to determine frequency distribution, alnd bivalrialte methods using the Wilcoxon test to determine differences in brealst milk production before alnd alfter the intervention. ALfter the intervention, 80% of respondents experienced improved brealst milk production. The Wilcoxon test showed al p-vallue of 0.005 (<0.05), indicalting al significalnt relaltionship between soy milk consumption alnd increalsed brealst milk production. Therefore, it caln be concluded thalt soy milk consumption hals al positive impalct on increalsing brealst milk production in brealstfeeding mothers. Consuming soy milk caln allso be al nalturall allternaltive to support the success of aln exclusive brealstfeeding progralm.
Co-Authors Ahmad Hafizullah Ritonga Dinar Manalu Nova SJ Novita Br Ginting Sinaga, Sri Putri SJ, Nova Sri Putriani Sinaga Sunengsih