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MOTHER'S BEHAVIORAL FACTORS REGARDING UMBILICAL CORD CARE IN INFANTS AGED 0-14 DAYS AT DELIMA BELAWAN CLINIC IN 2025 Julaiha Siregar; Cahya Cahya; Ristika Julianty.S
Benih : Journal of Midwifery Vol. 4 No. 01 (2025): Benih : Journal of Midwifery
Publisher : Cattleya Darmaya Fortuna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54209/benih.v4i01.330

Abstract

In 2022, WHO (World Hearth Organization) found that infant mortality rate was 560,000 caused by umbilical cord infection. In Southeast Asian countries, it is estimated that there are 220,000 infant deaths caused by unclean umbilical cord care. Umbilical cord care is to treat and tie the umbilical cord which causes physical separation of mother and baby. Then, the umbilical cord is treated in a clean condition and free from umbilical cord infection. Good and correct umbilical cord care will have a positive impact, namely the umbilical cord will "fall off" on the 5th to 7th day without any complications, while the negative impact of improper umbilical cord care is that the baby will experience neonatal tetanus and can result in death. The study was conducted in February – April 2025. This study is an Analytical Correlation study, namely to determine the mother's knowledge about umbilical cord care in babies aged 0-14 days. The population in this study were all postpartum mothers who had babies aged 0-14 days at the Delima clinic with 30 respondents. From the results of the study conducted, it can be concluded that from 30 respondents who had good knowledge, there were 6 respondents (20%), who had sufficient knowledge, 11 respondents (36.67%) and who had poor knowledge, 13 respondents (43.33%). It is expected that health workers, especially midwives, will provide counseling on umbilical cord care for babies aged 0-14 days.
Community Empowerment in Postpartum Mothers' Behavior Regarding Umbilical Cord Care in Babies Aged 0-14 Days in Ladang Bambu Village, Medan Tuntungan District Julaiha Siregar; Cahya Cahya; Ristika Julianty.S
Benih : Journal of Midwifery Vol. 4 No. 01 (2025): Benih : Journal of Midwifery
Publisher : Cattleya Darmaya Fortuna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54209/benih.v4i01.335

Abstract

Umbilical cord care is a care process that aims to care for the umbilical cord of a newborn baby to keep it dry and prevent infection. Improper umbilical cord care techniques will cause umbilical cord infection. The principle of umbilical cord care is to keep the umbilical cord dry, not wet and clean, therefore, it is not recommended to apply any material to the umbilical cord. Good umbilical cord care is one of the efforts to prevent neonatal infection. The purpose of this empowerment is to find out about umbilical cord care with the open method and the sterile gauze method on the length of umbilical cord release. Based on the results of a survey conducted on May 8, 2025 in Ladang Bambu Village, Medan. The methods used in the series of stages include counseling/education Health education. Providing material in the form of an understanding of the umbilical cord, how to care for the umbilical cord with the open method, how to care for the umbilical cord with the sterile gauze method. The results achieved after participating in community empowerment and discussion in Ladang Bambu Village, Medan Tuntungan District to find out about umbilical cord care with the open method and the sterile gauze method.
STUDENTS' BEHAVIORAL FACTORS ON THE IMPACT OF PREMATURE SEX ON REPRODUCTIVE HEALTH AT SMU PARULIAN 1 MEDAN YEAR 2025 Karsana Karsana; Julaiha Siregar
Benih : Journal of Midwifery Vol. 4 No. 01 (2025): Benih : Journal of Midwifery
Publisher : Cattleya Darmaya Fortuna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54209/benih.v4i01.353

Abstract

Teenagers or "adolescence" (English), comes from the Latin "adolescere" which means growing towards maturity. The maturity in question is not only physical maturity, but also social and psychological maturity. This study is descriptive in nature with the aim of determining the Behavioral Factors of adolescents regarding the impact of premarital sex at SMA Parulian 1 Medan in 2025. Data collection was carried out on Sept - Jan, 2025. The population in this study were all adolescents at SMA Parulian 1 Medan, totaling 146 people. The sample of this study is part of the object being studied. The sample size in this study was obtained through stratified random sampling and after that it was carried out again with the simple random sampling formula. Based on the results of the study, it was found that out of 84 respondents, 40 respondents (47.6%) had good knowledge, 41 respondents (48%) had sufficient knowledge, and 3 respondents (3.5%) had insufficient knowledge. Getting information sources from media (electronic, print) as many as 50 respondents (59.5%), from health workers as many as 25 respondents (29.8%), and from friends as many as 9 respondents (10.7%). It turns out that teenagers who have sufficient knowledge are more than those who have good and less knowledge, due to the lack of information obtained by teenagers. It is hoped that teenagers will be more active in seeking information about reproductive health.
Community Empowerment of Mothers' Behavior in Overcoming the Occurrence of ISPA in Toddlers in Ladang Bambu Village, Medan Tuntungan District cahya cahya; Julaiha siregar
Benih : Journal of Midwifery Vol. 3 No. 02 (2024): Benih : Journal of Midwifery
Publisher : Cattleya Darmaya Fortuna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54209/benih.v3i02.340

Abstract

ISPA is an upper respiratory tract disease that often attacks children and is the number one cause of death in infants and toddlers in Indonesia. Community Empowerment is one way to involve the community so that they can play an active role, especially in overcoming ISPA cases in toddlers. This community service program focuses on educating mothers of toddlers, posyandu cadres to be empowered and independent, so that it is hoped that posyandu cadres can become the main pillars of the community in preventing and overcoming ISPA in families. Based on the results of a survey conducted on August 21, 2024 in Ladang Bambu Village, Medan Tuntungan District. This community service activity was carried out in Ladang Bambu Village, Medan Tuntungan District with a health education method for cadres and mothers who have toddlers. This community service activity is divided into three stages, namely the first stage is the preparation stage, which includes licensing, data collection, situation analysis, and brainstorming; the second stage is the implementation of education on how to overcome ISPA in toddlers. Evaluation is carried out to determine the level of success of community service activities by observing the activities that have been carried out. This activity contributes to increasing knowledge and behavior of mothers who have toddlers and integrated health post cadres, therefore the sustainability of this activity needs to be facilitated by cadres and health center officers.
ANALYSIS OF RISK FACTORS OF ISPA WITH THE OCCURRENCE OF ISPA IN TODDLERS AT SIMALINGKAR COMMUNITY HEALTH CENTER, MEDAN TUNGUNGAN DISTRICT IN 2024 Cahya Cahya; Ristika J. Singarimbun; Julaiha Siregar
Benih : Journal of Midwifery Vol. 3 No. 02 (2024): Benih : Journal of Midwifery
Publisher : Cattleya Darmaya Fortuna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54209/benih.v3i02.345

Abstract

Acute Respiratory Tract Infection (ARI) is one of the causes of death in children in developing countries. ARI causes 4 out of 15 million deaths in children under 5 years of age each year. In general, there are 3 (three) risk factors for ARI, namely environmental factors consisting of indoor air pollution, home ventilation, housing density, individual child factors consisting of child age, birth weight, nutritional status, and immunization status, and behavioral factors, namely ARI management practices in the family. The purpose of this study was to analyze risk factors for ARI with the occurrence of ARI in toddlers at the Simalingkar Health Center, Medan Tuntungan District in 2024. This study was descriptive correlative with a cross-sectional design. The population in this study were all toddlers diagnosed with ARI totaling 248 and a sample of 72 toddlers was taken by accidental sampling. Data collection was carried out by observation and providing questionnaires directly. Data were analyzed using the chi square test with a significant value of p <0.05. The results show that the risk factors for ARI that are often experienced by toddlers are behavioral factors with a p value smaller than other factors, namely 0.000 and a value of x² = 19.502. Therefore, it is expected that toddler families increase their knowledge by listening to counseling and maintaining the cleanliness of the family environment, as well as providing balanced nutrition to toddlers. Health center officers provide counseling on behavior to prevent ARI, foster relationships with the sub-district to invite the community to clean the environment so as to reduce the risk factors for ARI in the environment.
PENGEMBANGAN SISTEM INFORMASI KESEHATAN KELUARGA BERBASIS BUDAYA UNTUK MENINGKATKAN PEMBERDAYAAN KELUARGA DALAM PENGAMBILAN KEPUTUSAN KESEHATAN DI KECAMATAN MEDAN TUNTUNGAN Ristika Julianty Singarimbun; Julaiha Siregar; Widia Astuti Tanjung; Cahya Aisyah Daulay
Journal of Innovative and Creativity (Joecy) Vol. 6 No. 2 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v6i2.12859

Abstract

Pemberdayaan keluarga dalam pengambilan keputusan kesehatan merupakan determinan penting keberhasilan program kesehatan berbasis komunitas. Namun, sistem informasi kesehatan keluarga yang berkembang saat ini masih bersifat generik, teknokratis, dan belum mengakomodasi nilai budaya lokal masyarakat Sumatera Utara, khususnya di Kecamatan Medan Tuntungan yang multietnis. Penelitian ini bertujuan mengembangkan Sistem Informasi Kesehatan Keluarga Berbasis Budaya (SIKKBu) serta menguji efektivitasnya dalam meningkatkan literasi kesehatan, pemberdayaan keluarga, kualitas komunikasi, partisipasi, dan pengambilan keputusan kesehatan keluarga. Penelitian menggunakan desain Research and Development (R&D) yang dipadukan dengan mixed methods sequential exploratory melalui delapan tahap, yakni analisis kebutuhan, identifikasi budaya lokal, perancangan, validasi ahli, uji coba terbatas, revisi, uji lapangan, dan evaluasi efektivitas. Sampel berjumlah 250 keluarga yang dipilih melalui multistage random sampling, ditunjang oleh 20 informan kualitatif. Instrumen meliputi kuesioner tervalidasi (Cronbach α = 0,86–0,92), wawancara mendalam, FGD, observasi, dan System Usability Scale (SUS). Data kuantitatif dianalisis menggunakan uji paired t-test, independent t-test, regresi linier berganda, dan Structural Equation Modeling berbasis Partial Least Square (SEM-PLS), sedangkan data kualitatif dianalisis dengan thematic analysis. Hasil validasi ahli memperoleh nilai Content Validity Index (CVI) sebesar 0,93 (kategori sangat valid) dan nilai SUS 82,4 (kategori excellent). Uji efektivitas menunjukkan peningkatan signifikan (p < 0,001) pada literasi kesehatan (Δ = 22,7), pemberdayaan keluarga (Δ = 24,3), dan kualitas pengambilan keputusan (Δ = 20,9). Analisis SEM-PLS mengonfirmasi bahwa SIKKBu berpengaruh langsung terhadap pemberdayaan keluarga (β = 0,612; p < 0,001) dan tidak langsung melalui budaya kesehatan keluarga serta dukungan sosial. Penelitian menyimpulkan bahwa integrasi nilai budaya lokal ke dalam sistem informasi kesehatan keluarga terbukti efektif memberdayakan keluarga dan meningkatkan kualitas keputusan kesehatan sehingga layak diadopsi oleh puskesmas dan pemerintah daerah.