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PERCEIVED INSUFFICIENT MILK (PIM) AMONG MOTHERS OF 0-6 MONTHS INFANTS IN CIPAYUNG HEALTH CENTRE, DEPOK INDONESIA: A QUALITATIVE STUDY Bakara, Stella Maris; Fikawati, Sandra
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Background: Exclusive breastfeeding is breast milk given to infant since their birth to the age of 6 (six) months, without adding and/or replacing with other foods or beverages (except medicines, vitamins, and minerals). One of the factors that affect the exclusive breastfeeding was the perceptions of insufficient milk. Milk insufficiency is considered to happen when the mother stops breastfeeding exclusively with some reasons such as no breast milk, low milk supply, or insufficient milk. This research was to examine more deeply the perception of insufficient milk and factor influencing it. Methods: This was a qualitative study that used a primary data of study "Intervention of Breastfeeding Enhancement and Weaning Food in the Implementation of the First-1000-Days-of-Life Program". Informants selected through who has been intervened research by PKGK. Triangulation of data sources was a midwife, informantsâ husbands, documents of mother and child health books (MCH) and secondary data from PKGK research. Results: Based on the result from the interview: a) there was found a tendency of knowledge increase on mothers receiving treatment. b) Mostly, the lactation guidance was given without supporting device. c) Mother perception about their will gained weight if giving the sufficient milk has not been in line with Body Mass Index (BMI) before pregnancy. d). Family support towards mothers breastfeeding has not been provided optimally. e) Early breast-feeding (EBF) was not complete in accordance with the standard. Conclusions: Mothers who had not received treatment were having lack of knowledge on exclusive breastfeeding. Implementation of EBF was not in line with the procedure. The role of a delivery helper on EBF is vital in order to make the implementation of the EBF carried out according to the procedure.Â

PERCEIVED INSUFFICIENT MILK (PIM) AMONG MOTHERS OF 0-6 MONTHS INFANTS IN CIPAYUNG HEALTH CENTRE, DEPOK INDONESIA: A QUALITATIVE STUDY Stella Maris Bakara; Sandra Fikawati
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Background: Exclusive breastfeeding is breast milk given to infant since their birth to the age of 6 (six) months, without adding and/or replacing with other foods or beverages (except medicines, vitamins, and minerals). One of the factors that affect the exclusive breastfeeding was the perceptions of insufficient milk. Milk insufficiency is considered to happen when the mother stops breastfeeding exclusively with some reasons such as no breast milk, low milk supply, or insufficient milk. This research was to examine more deeply the perception of insufficient milk and factor influencing it. Methods: This was a qualitative study that used a primary data of study "Intervention of Breastfeeding Enhancement and Weaning Food in the Implementation of the First-1000-Days-of-Life Program". Informants selected through who has been intervened research by PKGK. Triangulation of data sources was a midwife, informants’ husbands, documents of mother and child health books (MCH) and secondary data from PKGK research. Results: Based on the result from the interview: a) there was found a tendency of knowledge increase on mothers receiving treatment. b) Mostly, the lactation guidance was given without supporting device. c) Mother perception about their will gained weight if giving the sufficient milk has not been in line with Body Mass Index (BMI) before pregnancy. d). Family support towards mothers breastfeeding has not been provided optimally. e) Early breast-feeding (EBF) was not complete in accordance with the standard. Conclusions: Mothers who had not received treatment were having lack of knowledge on exclusive breastfeeding. Implementation of EBF was not in line with the procedure. The role of a delivery helper on EBF is vital in order to make the implementation of the EBF carried out according to the procedure.

Faktor-Faktor yang Berhubungan dengan Keberhasilan ASI Eksklusif di Wilayah Kerja Puskesmas Cipayung Kota Depok Shelvi Novianita; Sandra Fikawati; Stella Maris Bakara
Media Penelitian dan Pengembangan Kesehatan Vol 32 No 1 (2022)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/mpk.v32i1.5256

The exclusive breastfeeding in some parts of Indonesia is still relatively low, whereas exclusive breastfeeding is very important for the growth and development of babies. Many factors influence the success of exclusive breastfeeding. Health service factor is the most important factor. One of the efforts to improve these health services is through improving the quality of Antenatal Care (ANC). Quality ANC services include 10T standards, including an assessment of the mother's nutritional status and talks/counseling about exclusive breastfeeding. ANC coverage in Depok City has reached the target, but exclusive breastfeeding coverage is still low. The purpose of this study was to determine the factors associated with the success of exclusive breastfeeding, and also to overview the quality of ANC in the working area of the Cipayung Public Health Center, Depok City. This cross-sectional study used secondary data conducted on 169 breastfeeding mothers. Bivariate analysis conducted by using chi-square test, and multivariate analysis using multiple logistic regressions. The results of the bivariate analysis showed that the quality of ANC, occupation, knowledge, and energy supplementation for mothers were related to the success of exclusive breastfeeding (p-value <0.05). The results of multivariate analysis showed that the dominant factor for the success of exclusive breastfeeding was energy supplementation for mothers (OR=5.460; 95% CI=1.63-18.18). The description of the quality of ANC related to exclusive breastfeeding is shown by measurements of BB, TB, LILA and counseling related to exclusive breastfeeding which have not been fully (100%) carried out. It can be concluded that the factors related to the success of exclusive breastfeeding are the quality of ANC, occupation, knowledge, and energy supplementation as the dominant factor. It is recommended that health stakeholders increase support for energy supplementation (milk) program for mothers, as well as improve the quality of ANC through counseling services about exclusive breastfeeding during ANC visits. Abstrak Pemberian Air Susu Ibu (ASI) eksklusif di beberapa wilayah Indonesia masih terbilang rendah. Padahal ASI eksklusif sangat penting untuk pertumbuhan dan perkembangan bayi. Banyak faktor yang memengaruhi keberhasilan ASI eksklusif. Faktor pelayanan kesehatan merupakan faktor yang paling berperan. Salah satu upaya meningkatkan pelayanan kesehatan tersebut adalah melalui peningkatan kualitas Antenatal Care (ANC). Pelayanan ANC berkualitas meliputi standar 10T, diantaranya adalah penilaian status gizi ibu dan temu wicara/konseling seputar ASI eksklusif. Cakupan ANC di Kota Depok sudah mencapai target, tetapi cakupan ASI eksklusif masih rendah. Tujuan penelitian ini adalah mengetahui faktor-faktor yang berhubungan dengan keberhasilan ASI eksklusif, serta gambaran kualitas ANC di wilayah kerja Puskesmas Cipayung Kota Depok. Studi cross-sectional ini menggunakan data sekunder yang dilakukan terhadap 169 ibu menyusui. Analisis bivariat menggunakan uji chi-square, dan analisis multivariat dengan uji regresi logistik ganda. Hasil analisis bivariat menunjukkan bahwa kualitas ANC, pekerjaan, pengetahuan, dan suplementasi energi pada ibu berhubungan dengan keberhasilan ASI eksklusif (p-value <0,05). Hasil analisis multivariat menunjukkan bahwa faktor dominan keberhasilan ASI eksklusif adalah suplementasi energi pada ibu (OR=5,460; CI 95%=1,63-18,18). Gambaran kualitas ANC yang berhubungan dengan ASI eksklusif ditunjukkan oleh pengukuran BB, TB, LILA serta konseling terkait ASI eksklusif yang belum sepenuhnya (100%) dilakukan. Dapat disimpulkan bahwa faktor yang berhubungan dengan keberhasilan ASI eksklusif adalah kualitas ANC, pekerjaan, pengetahuan, dan suplementasi energi sebagai faktor dominan. Disarankan agar para stakeholderkesehatan meningkatkan dukungan program pemberian suplementasi energi (susu) pada ibu, serta meningkatkan kualitas ANC melalui pelayanan konseling seputar ASI eksklusif pada saat kunjungan ANC.

PERCEIVED INSUFFICIENT MILK (PIM) AMONG MOTHERS OF 0-6 MONTHS INFANTS IN CIPAYUNG HEALTH CENTRE, DEPOK INDONESIA: A QUALITATIVE STUDY Stella Maris Bakara; Sandra Fikawati
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Background: Exclusive breastfeeding is breast milk given to infant since their birth to the age of 6 (six) months, without adding and/or replacing with other foods or beverages (except medicines, vitamins, and minerals). One of the factors that affect the exclusive breastfeeding was the perceptions of insufficient milk. Milk insufficiency is considered to happen when the mother stops breastfeeding exclusively with some reasons such as no breast milk, low milk supply, or insufficient milk. This research was to examine more deeply the perception of insufficient milk and factor influencing it. Methods: This was a qualitative study that used a primary data of study "Intervention of Breastfeeding Enhancement and Weaning Food in the Implementation of the First-1000-Days-of-Life Program". Informants selected through who has been intervened research by PKGK. Triangulation of data sources was a midwife, informants’ husbands, documents of mother and child health books (MCH) and secondary data from PKGK research. Results: Based on the result from the interview: a) there was found a tendency of knowledge increase on mothers receiving treatment. b) Mostly, the lactation guidance was given without supporting device. c) Mother perception about their will gained weight if giving the sufficient milk has not been in line with Body Mass Index (BMI) before pregnancy. d). Family support towards mothers breastfeeding has not been provided optimally. e) Early breast-feeding (EBF) was not complete in accordance with thestandard. Conclusions: Mothers who had not received treatment were having lack of knowledge on exclusive breastfeeding. Implementation of EBF was not in line with the procedure. The role of a delivery helper on EBF is vital in order to make the implementation of the EBF carried out according to the procedure.

ADOLESCENT KNOWLEDGE AND PERCEPTION OF HIV/ AIDS STIGMATIZATION IN THE INDONESIAN CONTEXT: Hubungan Tingkat Pengetahuan dan Persepsi Remaja Terhadap Stigma Kepada Orang Dengan HIV/AIDS Di Indonesia Stella Maris Bakara; Elvi Sahara Lubis; Yessy Fitriani
Jurnal Berkala Epidemiologi Vol. 11 No. 3 (2023): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V11I32023.287-294

Background: Stigmatization of People Living with HIV/AIDS (PLWHA) among adolescents today has become a significant barrier to preventing the increase of HIV/AIDS cases, including understanding those at risk and PLWHA themselves. Adolescents' knowledge and perceptions about PLWHA significantly influence HIV/AIDS stigma, given that adolescence signifies a phase of profound biological, psychological, and social transition. Objective: This research aims to determine the correlation between knowledge and perception of the stigma against people living with HIV/AIDS. Methods: This study utilizes secondary data from the Indonesian Demographic and Health Survey (IDHS) 2017, analyzed using a cross-sectional method. The sample consisted of 14,270 adolescents in Indonesia aged 15 to 24 years. The study employed questionnaires on HIV/AIDS knowledge, perception towards PLWHA, and stigma towards PLWHA. Data analysis was conducted using univariate analysis to observe frequency distribution and bivariate analysis with a chi-square test to examine the relationship between two variables. Results: The research results indicate a significant correlation between adolescents' knowledge and stigma towards PLWHA at 0.00 (p<0.05), as well as a significant correlation between adolescents' perception and stigma towards people with HIV/AIDS at 0.00 (p<0.05). Conclusion: Prevention efforts through education and comprehensive approaches in delivering health information in a way that is well-received by adolescents can be presented innovatively.

Pengaruh Latihan Meditasi Terhadap Perkembangan Kejiwaan Dan Kecerdasan Anak-Anak Willie Japaries; Suminah Suminah; Stella Maris Bakara; Frisca Desma Ayu; Shally Joncicilia
JURNAL FISIOTERAPI DAN ILMU KESEHATAN SISTHANA Vol. 5 No. 2 (2023): Juli : Jurnal Fisioterapi dan Ilmu Kesehatan Sisthana
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jufdikes.v5i2.428

Background: Meditation practice has been widely known in Indonesia and abroad. Initially it was practised by adults. Later on, meditation is also practised by children as it brings significant benefit for their growth and development of mind and personality. Methods: This study is a systematic review of published articles on data base of PubMed, Researchgate, CNKI, about effects of meditation for children, within the last 10 years. Results: From dozens of clinical studies reported in scientific journals, it is apparent that meditation can be practised by healthy children, children with ADHD and diseases. In general, meditation practice brings positive effects for children and their parents.. Conclusion: Meditation practice is safe and effective for children to bring benefit for their growth and development of mind and personality.

Husband's Support for Pregnant Women's Unwillingness with Covid-19 Vaccination Frisca Desma Ayu Kusuma Wardani; Stella Maris Bakara; Suminah Suminah
Jurnal Ilmiah Kesehatan (JIKA) Vol. 5 No. 2 (2023): Volume 5 Nomor 2 Agustus 2023
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v5i2.437

The development of Covid-19 cases shows that the number of confirmed cases of pregnant women with Covid-19 in serious condition has increased in several large cities in Indonesia. This study aimed to explore the correlation between husband's support and pregnant women's disapproval of Covid-19 vaccination. This research used analytical methods with a cross sectional design. Data was collected between October 14 and November 14 2022 in the Piyeung Community Health Center working area. All pregnant women in the area became the research population, and 85 people were taken as samples using the total sampling method. The research instrument consists of primary data collected through questionnaires and secondary data obtained from the Covid-19 Vaccination Achievement Report for Pregnant Women at the Aceh Besar Health Service and Piyeung Community Health Center. Data analysis involves univariate analysis techniques to distribute variable frequencies, as well as bivariate analysis using the chi-square test to assess the relationship between independent and dependent variables. The results of the univariate analysis showed that the majority of subjects (73 people or 85.9%) were not willing to be vaccinated. The research results showed that there was a significant correlation between husband's support (p-value=0,000) and pregnant women's unwillingness to be vaccinated against Covid-19. Therefore, it is hoped that health workers will be more proactive in promoting Covid-19 vaccination to pregnant women and provide the necessary information to increase awareness and acceptance of this vaccination.

Layanan Kesehatan Lingkungan Untuk Meningkatkan Kesehatan Ibu Dan Anak Stella Maris Bakara; Adhy Prasetyo Widodo; Frisca Desma Ayu Kusuma Wardani; Elvi Sahara Lubis
Jurnal Ilmiah Kesehatan Vol. 17 No. 1 (2024): Jurnal Ilmiah Kesehatan
Publisher : Universitas Muhammadiyah Pekajangan Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.48144/jiks.v17i1.1749

Salah satu faktor yang memengaruhi kesehatan ibu dan anak adalah kesehatan lingkungan. Kesehatan lingkungan di fasilitas pelayanan kesehatan (Kesling di Fasyankes) merupakan salah satu upaya yang ditujukan untuk mendukung pencegahan dan pengendalian penyakit sehingga meningkatkan kesehatan masyarakat. Tujuan penelitian ini adalah untuk mengidentifikasi lima domain kesehatan lingkungan di fasilitas layanan kesehatan. Penelitian ini adalah penelitian deskriptif dengan analisis univariat. Penelitian menggunakan data sekunder yang diambil dari sistem informasi kelola limbah medis (Sikelim). Populasinya yaitu rumah sakit se-Indonesia dengan sampel sebanyak 941 rumah sakit yaitu dengan kriteria inklusi adalah rumah sakit yang mengisi formulir secara lengkap pada sistem. Penelitian ini menyatakan pentingnya lima domain yaitu air, sanitasi, limbah, higiene, dan kebersihan di fasilitas layanan kesehatan untuk menunjang kesehatan ibu dan anak di rumah sakit di Indonesia.

Persepsi Ketidakcukupan ASI (PKA) Sebagai Salah Satu Faktor Kegagalan ASI Eksklusif Bakara, Stella Maris; Fikawati, Sandra
Jurnal Mutiara Kesehatan Masyarakat Vol 7 No 2 (2022): Jurnal Mutiara Kesehatan Masyarakat
Publisher : Program Studi Kesehatan Masyarakat Universitas Sari Mutiara Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmkm.v7i2.3442

Pemberian ASI eksklusif 6 bulan dapat mengurangi risiko kematian pada bayi. Banyak faktor yang mempengaruhi kegagalan pemberian ASI eksklusif, salah satunya yaitu Persepsi Ketidakcukupan ASI (PKA). Penelitian ini bertujuan untuk mengetahui secara mendalam masalah kegagalan ASI dan hubungannya dengan pekerjaan dan pengetahuan terhadap keberhasilan ASI esklusif. Jenis penelitian ini yaitu kuantitatif dengan metode cross sectional. Penelitian menggunakan data sekunder dari penelitian “Intervensi Peningkatan ASI dan MPASI Dalam Rangka Penerapan Program 1000 HPK” dari PKGK UI di UPT Puskesmas Cipayung sejak bulan Juli 2016 sampai dengan Mei 2017. Populasi penelitian yaitu seluruh ibu menyusui di wilayah kerja UPTD Puskesmas Cipayung dengan jumlah sampel yaitu 169 ibu menyusui . Hasil penelitian menunjukkan bahwa sebanyak 51% alasan ibu gagal memberikan ASI eksklusif adalah karena persepsi ketidakcukupan ASI. Hasil penelitian bivariat menggunakan uji chi square menunjukkan ada hubungan bermakna antara pengetahuan dan pekerjaan (CI 95%: OR: 4,032: 3,083).

TERAPI KOMPREHENSIF BERBASIS TCM-BSM DENGAN KASUS NYERI ULU HATI DI RUMAH TERAPI HOLISTIK PONDOK SEHAT Karya, Karya; Hilman Rama Pratama; RM. Alfian; Stella Maris Bakara
Journal of Innovation Research and Knowledge Vol. 5 No. 4: September 2025
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Gastritis or epigastric pain is a common digestive disorder with a high prevalence in Indonesia. Pharmacological management often causes side effects, thus complementary therapy is needed. This study aims to evaluate the effectiveness of comprehensive therapy based on Traditional Chinese Medicine (TCM) and Body Space Medicine (BSM) in gastritis cases. The research method used a case study on three chronic gastritis patients with different syndromes: Spleen–Stomach Yang deficiency, Cold-Damp in Spleen–Stomach, and Spleen–Stomach Qi deficiency. The therapy was implemented in six sessions using BSM techniques: foot pushing, foot shaking, vibratory pressing on Dan Tian (Qihai), abdominal pressing, back tapping, and fire therapy (Huo Jiu). Results showed a decrease in pain scores from 6–7 to 1–2, along with improvement of nausea, vomiting, and regurgitation. Patients continued self-therapy through Hand Gesture Exercise (GITA)/Dong Yi Gong with therapist supervision. In conclusion, TCM-BSM therapy is effective in reducing epigastric pain and supporting holistic health

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