cover
Article Per Year (5 Year)
All
Home Page
OAI Link
Editorial Team
Contact
Reviewer
Google Scholar
Contact Name
Dewi Susanna
Contact Email
jurnalkesmas.ui@gmail.com
Phone
-
Journal Mail Official
jurnalkesmas.ui@gmail.com
Editorial Address
G301 Building G 3th Floor Faculty of Public Health Universitas Indonesia Kampus Baru UI Depok 16424
Location
Kota depok,
Jawa barat
INDONESIA
Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Published by Universitas Indonesia
ISSN : 19077505     EISSN : 24600601     DOI : https://doi.org/10.7454/kesmas
Core Subject : Health,
Health Professions Public Health
The focus of Kesmas is on public health as discipline and practices related to preventive and promotive measures to enhance the public health through a scientific approach applying a variety of technique. This focus includes areas and scopes such as Biostatistics, Environmental Public Health, Epidemiology, Health Policy, Health Services Research, Nutrition, Occupational Health and Industrial Hygiene, Public Health, Public Health Education and Promotion, Women Health.
Arjuna Subject : Kedokteran - Epidemilogi
Articles 928 Documents
 64   65   66   67   68 
Extrovert Personality Type and Prolonged Second Stage of Labor Kusmiyati, Yuni; Nurfitria, Chandra Tyas; Suherni, Suherni; Wahyuningsih, Heni Puji
Kesmas Vol. 11, No. 4
Publisher : UI Scholars Hub

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

Abstract

Kepribadian dapat memengaruhi respons individu yang dapat berdampak pada proses persalinan lama. Penelitian sebelumnya menunjukkan adanya hubungan kepribadian dengan waktu persalinan. Tipe kepribadian ekstrover (tipe A) cenderung lebih rentan terhadap stres dibandingkan orang dengan tipe kepribadian introvert (tipe B). Penelitian ini bertujuan untuk mengetahui hubungan tipe kepribadian ekstrover dan variabel luar (pendidikan, ekonomi, usia ibu dan paritas) dengan persalinan kala II lama. Studi kasus kontrol dilakukan pada 156 ibu bersalin yang memenuhi kriteria inklusi pada tahun 2015 di Yogyakarta. Sampel kasus adalah 52 ibu dengan persalinan kala II lama dan kontrol adalah 104 ibu dengan persalinan kala II normal. Penelitian ini menggunakan metode purposive sampling. Tipe kepribadian dinilai menggunakan kuesioner tipe A/B Jenkins Activity Survey. Analisis data menggunakan regresi logistik. Hasil penelitian menunjukkan 80,8% kala II persalinan lama terjadi pada ibu dengan kepribadian tipe Adan 19,2% pada ibu dengan kepribadian tipe B. Tipe kepribadian ekstrover memiliki hubungan signifikan terhadap kala II persalinan lama (nilai p = 0,00). Ibu dengan kepribadian tipe A berisiko 8.2 kali (95% CI: 3,7-18,4) mengalami persalinan kala II lama dibandingkan ibu dengan kepribadian tipe B setelah dikontrol variabel status ekonomi, paritas, pendidikan dan usia ibu. Personality can affect individual’s response that implicate in duration of labor. Previous studies showed relationship between personality and duration of labor. People with extrovert personality type (type A) tend to be more susceptible to stress than introvert personality type (type B). This study aimed to determine correlation between extrovert personality type and prolonged second stage of labor by considering external variables such as maternal education, economy, age and parity. A case control study was conducted on 156 parturient women who fulfilled the inclusion criteria of study, such as in Yogyakarta in 2015. Case samples were 52 women with prolonged second stage of labor and control were 104 women with normal second stage of labor. Purposive sampling method was used. Personality type assessment used type A/B questionnaire of Jenkins Activity Survey. Data analysis used logistic regression. Results showed that 80.8% prolonged second stage of labor occurred in type A mothers and 19.2% in type B mothers. Extrovert personality type had a significant correlation with prolonged second stage of labor (p value = 0.00). Type A mothers have a risk 8.2 times (95% CI: 3.7-18.4) of prolonged second stage of labor than type B mothers after be controlled with economic status, parity, maternal education and age.
Controlling Factors that Potentially against Transmission of Dengue Hemorrhagic Fever at State Elementary Schools in Yogyakarta Satoto, Tri Baskoro Tunggul; Alvira, Nur; Wibawa, Tri; Diptyanusa, Ajib
Kesmas Vol. 11, No. 4
Publisher : UI Scholars Hub

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

Abstract

Sekolah dasar merupakan tempat yang dapat mengakibatkan peningkatan penyakit dengue pada anak karena faktor lingkungan, adanya potensi penularan, belum adanya system manajemen lingkungan yang baik dan beberapa upaya pengendalian yang tidak lagi efektif. Penelitian ini bertujuan untuk mengetahui faktor yang berpotensi terhadap penularan demam berdarah dengue bagi anak, sehingga sistem kewaspadaan dini dapat ditegakkan. Jenis penelitian ini adalah analitik dengan rancangan potong lintang. Penelitian dilaksanakan pada 91 sekolah dasar negeri di Kota Yogyakarta. Variabel yang diobservasi adalah serotype virus DEN, resistensi insektisida, kepadatan vektor,dan kondisi fisik sekolah. Analisis data menggunakan analisis deskriptif dan korelasi-regresi (a = 0.05). Hasil menunjukkan bahwa terdapat delapan sekolah dengan virus dengue serotip 2 and 3, terjadi resistensi insektisida organofosfat tingkat ringan dan sedang, lingkungan sekolah telah rentan terhadap penularan demam berdarah berdasarkan container index, house index, breteau index dan ovitrap index, suhu dan kelembaban di dalam dan luar ruangan berpotensi terhadap tingginya kepadatan telur, ventilasi tidak terpasang kawat kasa, dan jarak antara bangunan sangat dekat dapat menyebabkan penularan menjadi sangat cepat. Elementary school is a place that can result in increase of dengue disease among children because of environmental factors, potential transmission, the absence of good environmental management system and some control efforts which are no longer effective. This study aimed to determine factors that potentially against transmission of dengue hemorrhagic fever in state elementary school, so the early warning system can be enforced. Type of study was analytic with cross-sectional design. The study was conducted in 91 state elementary schools in Yogyakarta City in 2014. Variables in the observation are virus serotype DEN, insecticide resistance, the density of vector and physical condition of schools. Data analysis used descriptive and correlation-regression (a = 5%). Results showed that there were eight schools with dengue virus serotype 2 and 3 mosquitoes declared to have mild and moderate resistance to organophosphate, the school environment was susceptible to transmission of dengue hemorrhagic fever based on the container index, house index, breteau index and ovitrap index, temperature and humidity inside and outside were potential to the high density of eggs, wire netting was not installed on ventilation and the very close distance between the buildings could lead to transmission.
Impact of Women’s Empowerment on Infant Mortality in Indonesia Stiyaningsih, Hanik; Wicaksono, Febri
Kesmas Vol. 11, No. 4
Publisher : UI Scholars Hub

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

Abstract

Secara umum, otonomi dan pemberdayaan perempuan menjadi salah satu faktor penting dalam pembangunan. Kurangnya otonomi dan pemberdayaan perempuan dapat menyebabkan hasil negatif pada kesehatan dan kematian anak. Belum terdapat penelitian terkini yang menganalisis hubungan antara pemberdayaan perempuan dan kematian bayi di Indonesia. Penelitian ini berusaha mengisi kekosongan tersebut dengan menelusuri pengaruh pemberdayaan perempuan terhadap kematian bayi di Indonesia. Sampel berjumlah 9.754 perempuan berusia 15-49 tahun yang terakhir melahirkan pada periode tahun 2007-2012 diambil dari Survei Demografi dan Kesehatan Indonesia 2012. Pemberdayaan perempuan diukur dengan menggunakan indeks komposit yang dibangun dari delapan indikator dari tiga dimensi pemberdayaan perempuan, yaitu partisipasi dalam pengambilan keputusan di bidang ekonomi, partisipasi dalam pengambilan keputusan di bidang kesehatan, dan kebebasan untuk berpindah. Selanjutnya, estimasi dampak pemberdayaan perempuan pada kematian bayi menggunakan model regresi logistik. Hasil penelitian menunjukkan bahwa perempuan dengan tingkat pemberdayaan yang lebih baik akan memiliki peluang yang lebih rendah untuk mengalami kejadian kematian bayi. Hal ini menekankan pentingnya pemberdayaan perempuan untuk mengurangi kematian bayi. Women’s autonomy and empowerment has generally been recognized as one of most important factors of development. A lack of autonomy and empowerment may lead to negative outcomes on child health and mortality. Yet no study to-date has analyzed links between women’s empowerment and infant mortality in Indonesia. This study tried to fill this gap to investigate the effect of women’s empowerment on infant mortality in Indonesia. Sample of 9,754 women aged 15-49 years who had their last childbirth in period 2007-2012 were drawn from 2012 Indonesia Demographic and Health Survey. Composite index was considered to measure women’s empowerment. Eight indicators were considered to measure three dimensions of women’s empowerment, namely participation in economic decision-making, participation in health decision-making, and autonomy in mobility. Furthermore, the binary logistic model had been specified and estimated to investigate the effect of women’s empowerment on infant mortality. Results showed that women who were more empowered were significantly less likely to experience infant mortality. This highlights the importance of women’s empowerment in efforts to reduce infant mortality.
Risk Factors of Acute Respiratory Infections in Practice Area for Community of Medical Students in Semarang Zulaikhah, Siti Thomas; Soegeng, Purwito; Sumarawati, Titiek
Kesmas Vol. 11, No. 4
Publisher : UI Scholars Hub

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

Abstract

Infeki saluran pernapasan akut (ISPA) menempati urutan pertama dari 10 besar penyakit di Puskesmas Bangetayu dengan persentase terbanyak di Kelurahan Penggaron Lor. Keterampilan untuk mempelajari distribusi dan frekuensi penyakit serta faktor determinan yang memengaruhi manusia sangat diperlukan untuk menetapkan intervensi yang paling efektif untuk meningkatkan derajat kesehatan masyarakat. Perlu dilakukan penelitian untuk mengetahui faktor risiko yang paling dominan berhubungan dengan kejadian ISPA di lokasi praktik komunitas mahasiswa Fakultas Kedokteran Universitas Islam Sultan Agung Semarang. Penelitian ini menggunakan desain potong lintang dengan jumlah responden 100 orang dan sampel dikumpulkan dengan menggunakan stratified random sampling. Sepuluh variabel yang diteliti adalah faktor risiko sanitasi lingkungan, sedangkan enam faktor risiko terkait dengan perilaku dan pelayanan kesehatan. Data dianalisis secara bivariat dengan uji kai kuadrat dan multivariat dengan regresi logistik ganda. Faktor yang berhubungan dengan kejadian ISPA adalah ventilasi, lubang asap dapur, ruang tidur, dan kepadatan hunian. Faktor yang paling dominan adalah kebiasaan anggota keluarga yang merokok di Kelurahan Penggaron Lor. Lokasi ini dapat digunakan sebagai lahan praktik komunitas bagi mahasiswa kedokteran yang sedang kepaniteraan di program studi Ilmu Kesehatan Masyarakat karena memiliki permasalahan kesehatan yang kompleks. Acute respiratory infection (ARI) ranks first of 10 major diseases in Primary Health Care Bangetayu with the highest percentage in Penggaron Lor Subdistrict. Skill to learn distribution and frequency of diseases as well as determinant factors that affect human health is needed in determine the most effective intervention to increase public health level. This study aimed to determine dominant factors related to ARI incidence in location of practice for community of medical students of Islam Sultan Agung University, Semarang. This study used cross-sectional design with 100 respondents and the samples were collected by stratified random sampling. Ten variables examined were environmental sanitation risk factors, while six related to behavior and health care. Data analysis used a chi-square test (bivariate) and multiple regression logistic (multivariate). Environmental sanitation factors were significantly related to ARI including the presence of ventilation, smoke hole kitchen, bedroom, residential density and the most dominant factor was the habit of smoker family members in Penggaron Lor Subdistrict. This location can be used as a practice area for the community of medical students who take Public Health Studies due to complex health problems.
Effects of Multilevel Intervention in Workplace Health Promotion on Workers’ Metabolic Syndrome Components Zahtamal, Zahtamal; Rochmah, Wasilah; Prabandari, Yayi Suryo
Kesmas Vol. 11, No. 4
Publisher : UI Scholars Hub

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

Abstract

Sekitar 10-30% orang Asia dewasa mengalami sindrom metabolik. Penelitian ini bertujuan untuk mengungkap efek Promosi Kesehatan di Tempat Kerja PKDTK dengan intervensi multilevel pada komponen/penanda pekerja yang menderita sindrom metabolik. Penelitian ini dilakukan pada tahun 2014-2015 dengan menggunakan desain quasi experimental dengan intervensi subjek secara multilevel di Indonesia. Program PKDTK untuk kelompok intervensi multilevel berupa kombinasi latihan fisik, diet, pendidikan kesehatan, dukungan sosial, dan advokasi salama 12 minggu. Program PKDTK untuk kelompok kontrol hanya pendidikan kesehatan. Instrumen penelitian seperti IPAQ, table food recall 24 jam, alat pengukuran fisik, dan laboratorium klinis. Analisis data menggunakan Marginal Homogeneity, paired sample t, Mc Nemar, dan uji Wilcoxon. Intervensi PKDTK multilevel dapat meningkatkan aktivitas fisik dan asupan makanan yang sesuai dengan diet sindrom metabolik, khususnya untuk meningkatkan jumlah serat pangan dan pengurangan asupan kolesterol. Komponen sindrom metabolik yang membaik karena pengaruh PKDTK secara multilevel adalah tekanan darah sistolik dan diastolik, serta kadar glukosa darah puasa (nilai p < 0,05). Secara keseluruhan, intervensi PKDTK multilevel efektif untuk pengelolaan komponen sindroma metabolik pada pekerja. Approximately 10–30% of adult Asian people had metabolic syndrome. This study aimed to reveal effects of workplace health promotion (WHP) with multilevel interventions on workers’ metabolic syndrome component. This study was conducted in 2014-2015 using quasi-experimental design with multilevel subject intervention in Indonesia. The WHP program for multilevel intervention group included 12 weeks of combined physical training, diet, health education, social support, and advocacy. The WHP program for control group included only health education. Instruments used included IPAQ, table of 24-hour food recall, physical measurement tools, and clinical laboratories. Data analysis used Marginal Homogeneity, paired sample t-test, Mc Nemar, and Wilcoxon test. WHP multilevel intervention could improve physical activity and the nutrition in accordance with diet of workers, in particular to increase the amount of fiber and a reduce cholesterol intake. The improved metabolic syndrome components due to the influence of multilevel WHP were systolic and diastolic blood pressure, and fasting blood glucose levels (p value < 0.05). Overall, workplace health promotion multilevel interventions are effective for the management of metabolic syndrome components.
Efektivitas Kebijakan Daerah dalam Penurunan Angka Kematian Ibu dan Bayi Saputra, Wiko; Fanggidae, Victoria; Mafthuchan, Ah
Kesmas Vol. 7, No. 12
Publisher : UI Scholars Hub

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

Abstract

Di Indonesia, desentralisasi sektor kesehatan tidak selalu berdampak baik pada upaya penurunan angka kematian ibu, bayi dan anak balita. Desentralisasi tidak hanya memberi kewenangan pengembangan kebijakan lokal spesifik yang tepat, tetapi juga kebijakan yang tidak mendukung kebijakan nasional sehingga berdampak pencapaian yang rendah. Penelitian ini bertujuan mengetahui efektivitas desentralisasi kesehatan dalam mendorong pemerintah daerah menurunkan angka kematian ibu dan bayi. Penelitian ini menggunakan metode kualitatif wawancara semi terstruktur, observasi, dan diskusi kelompok terarah pada informan kunci yang terlibat dalam penyusunan dan pelaksanaan kebijakan daerah. Tiga kabupaten dipilih secara purposif berdasarkan expert judgement meliputi Kabupaten Pasuruan, Kabupaten Takalar dan Kabupaten Kupang. Kebijakan desentralisasi ditemukan bukan saja memberikan kewenang pelayanan kesehatan, tetapi juga menuntut kreativitas penyusunan kebijakan kesehatan. Tiga kabupaten tersebut ternyata mampu membuat kebijakan kesehatan yang menurunkan angka kematian ibu dan bayi. Di setiap daerah, ditemukan inovasi kebijakan yang mengarah pada perbaikan sistem pelayanan kesehatan ibu dan bayi. Pemerintah pusat perlu mendorong pemerintah daerah untuk berinovasi mengembangkan kebijakan kesehatan sehingga target MDGs bidang kesehatan pada tahun 2015 dapat tercapai. In Indonesia, health sector desentralization does not always show good effect reduction measure of infant, maternal and under five children mortality. Local government can make appropriate local spesific health policy, but not always appropriate to national policy, that effect on low coverage. The objective of this study is to analyzes the rule of local policies in reducing maternal and infant mortality rate in Indonesia. The approach used is qualitative research with semi-structured interviews to key informants involved in the preparation and implementation of local policies, making direct observation and Focus Group Discussion (FGD). Three districts were selected purposively based on expert judgment are Pasuruan District, Takalar District and Kupang District. The results showed that decentralization gives local governments the authority to conduct health services and local government demanded creativity in formulating health policy. The three districts were able to make health policy related to reducing maternal and infant mortality. This policy is effective to a decrease in maternal and infant mortality rates in the three districts. Although found in every area of innovation policy but its direction is towards the improvement of the health care system for mothers and babies. Therefore, the central government needs to encourage local governments to undertake innovative health policies mainly to decrease maternal and infant mortality rates in order to achieve the MDGs health targets to be achieved by 2015.
Status Gizi Balita Berdasarkan Composite Index of Anthropometric Failure Rahmadini, Nurani; Sudiarti, Trini; Utari, Diah Mulyawati
Kesmas Vol. 7, No. 12
Publisher : UI Scholars Hub

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

Abstract

Upaya menurunkan prevalensi kurang gizi pemerintah membuat program Keluarga Sadar Gizi (Kadarzi). Cakupan Kadarzi Kota Depok tahun 2011 rendah (12,7%) dan prevalensi gizi kurang, pendek, kurus berturut-turut 7,89%, 7%, 4,75%. Penelitian bertujuan mengetahui faktor dominan terhadap status gizi balita 6 - 59 bulan berdasarkan Composite Index of Anthropometric Failure (CIAF). Penelitian menggunakan data sekunder hasil survei Kadarzi 2011. Survei dilakukan di sebelas kecamatan Kota Depok menggunakan desain cross sectional. Sampel sebanyak 1.176 keluarga yang memiliki balita termuda umur 6 _ 59 bulan. Variabel yang diteliti adalah status gizi balita, perilaku Kadarzi, status Kadarzi, karakteristik balita, dan karakteristik keluarga. Hasil penelitian menunjukkan prevalensi balita gagal tumbuh 31%. Terdapat dua variabel yang memberikan pengaruh status gizi balita secara bersama-sama yaitu penimbangan balita (nilai p = 0,003) dan pendidikan ibu (nilai p = 0,034). Uji regresi logistik ganda menunjukkan penimbangan balita sebagai faktor dominan terhadap status gizi balita. Balita yang ditimbang tidak teratur berisiko 1,5 kali mengalami gagal tumbuh dibandingkan yang ditimbang teratur. Indeks CIAF berguna untuk mengetahui prevalensi gizi kurang secara keseluruhan dan penanggulangannya. Diperlukan penyuluhan dan promosi yang lebih aktif kepada masyarakat mengenai pentingnya pemantauan pertumbuhan balita melalui posyandu dan melakukan pembinaan kader posyandu dalam pemantauan status pertumbuhan anak sebagai deteksi dini adanya gangguan pertumbuhan. Effort to reduce malnutrition governments make Keluarga Sadar Gizi (Kadarzi). Kadarzi in Depok 2011 still low (12,7%) and the prevalence of underweight, stunting, wasting are respectively 7,89%, 7%, 4,75%. This study aimed to determine the dominant factor for nutritional status of children based on Composite Index of Anthropometric Failure (CIAF). Research using secondary data survey Kadarzi 2011. The survey was conducted using a cross sectional study in 11 districts. Samples of 1,176 families who have children youngest aged 6 - 59 months. The variables studied were the nutritional status, Kadarzi behaviors, Kadarzi status, children characteristics, and family characteristics. Results showed prevalence of growth faltering (31%). There are two variables that influence nutritional status, child’s weighing (p value = 0,003) and mother’s education (p value = 0,034). Multiple logistic regression analysis show child’s weighing as a dominant factor to the nutritional status of children. Children who are weighed not regularly are more risky 1,5 to get growth faltering then children who are weighed regularly. CIAF is useful to determine prevalence of undernutrition clearly and its solution. Counseling and promotion about child’s growth monitoring are required as early detection of growth faltering.
Prevalensi dan Faktor Risiko Tuli Akibat Bising pada Operator Mesin Kapal Feri Jumali, Jumali; Sumadi, Sumadi; Andriani, Sylvia; Subhi, Misbahul; Suprijanto, Damianus; Handayani, Wuri Diah; Chodir, Abdul; Noviarmi, Fadilatus Sukma Ika; Indahwati, Leli
Kesmas Vol. 7, No. 12
Publisher : UI Scholars Hub

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

Abstract

Kebisingan ruang mesin dapat menyebabkan gangguan pendengaran. Tujuan penelitian ini adalah menganalisis prevalensi tuli akibat bising Noise Induced Hearing Loss (NIHL) dan faktor yang memengaruhi pada operator mesin kapal feri penyeberangan Ketapang-Gilimanuk. Penelitian observasional dengan pendekatan cross sectional ini menggunakan metode pengumpulan data dengan wawancara, pengukuran intensitas kebisingan ruang mesin dan pemeriksaan audiometri terhadap operator. Besar sampel adalah 66 operator dari 36 kapal feri yang memenuhi kriteria inklusi dipilih secara acak. Hasil studi menunjukkan 36% kapal memiliki intensitas kebisingan ² 85 dBA dan 64% > 85 dBA. Pemeriksaan audiometri dengan nada murni pada 66 operator didapatkan 34,85% responden mengalami NIHL. Hasil analisis regresi logistik menunjukkan faktor dominan yang memengaruhi NIHL adalah usia dan lama paparan (p < 0,05). Hasil uji kai kuadrat didapatkan intensitas kebisingan berpengaruh signifikan terhadap NIHL setelah dikoreksi dengan umur dan lama paparan (p < 0,05). Disarankan untuk mengurangi waktu paparan terhadap operator yang terpajan kebisingan tinggi dan menjaga jarak antara operator dengan sumber kebisingan untuk meminimalkan pajanan bising. Engine room noise can cause hearing loss. The objective of this research was to analyze the prevalence of Noise Induced Hearing Loss (NIHL) and its affecting factors on machinery ferry operators at Ketapang-Gilimanuk. This was an observational with cross sectional design, the techniques for collecting data were interviews, noise intensity measurements and audiometric examination.The sample was 66 operators who were selected randomly after inclusion. The study results showed that 36% of ferry have noise intensity ² 85 dBA and 64% have > 85 dBA. The audiometric examination with pure tone result of the 66 operators showed that 34.85% of respondent had NIHL. The age and length of exposure affected NIHL incidence (p < 0.05). While the noise intensity affected the incidence of NIHL (p > 0.05) together with age and lenght of exposure. It is important to reduce exposure time of noisy operations on workers, automation of activities and increase the distance between workers and noisy equipment to minimise the noise exposure.
Sampel Susu Formula dan Praktik Pemberian Air Susu Ibu Eksklusif Nuraini, Tuti; Julia, Madarina; Dasuki, Djaswadi
Kesmas Vol. 7, No. 12
Publisher : UI Scholars Hub

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

Abstract

Cakupan pemberian air susu ibu (ASI) eksklusif di Kota Pagar Alam, tahun 2011 sekitar 43% tergolong rendah. Sebaliknya, pemberian susu formula meningkat tiga kali lipat dari 10,3% menjadi 32,5%. Iklan susu formula telah menyentuh bidan swasta dan puskesmas melalui pendekatan produsen susu formula dan pemberian susu formula secara gratis kepada ibu menyusui. Penelitian yang bertujuan mengetahui determinan kegagalan praktik pemberian ASI eksklusif di Kota Pagar Alam Provinsi Sumatera Selatan ini menggunakan desain studi unmatching kasus kontrol. Populasi adalah seluruh ibu yang mempunyai bayi berusia 7-12 bulan. Penarikan sampel dilakukan dengan metode proportional random sampling. Variabel terikat praktik adalah pemberian ASI eksklusif, variabel bebas adalah pemberian sampel susu formula. Ibu yang mendapat sampel susu formula dan yang tidak mendapat dukungan tenaga kesehatan berisiko 3,67 dan 4,2 kali lebih besar untuk tidak memberikan ASI eksklusif. The coverage of exclusive breastfeeding in the City of Pagar Alam in 2011 was by 43%. Advertising of infant formula has reached privately practicing midwives or health centers. The approach from infant formula manufacturers to midwives in health centers is by providing free milk formula to nursing mothers to be distributed under the pretext of promotion. The objective of this study is to analyze the determinants of exclusive breastfeeding practice failures in the City of Pagar Alam of South Sumatra Province. The population study with an unmatched case-control design was conducted in the City of Pagar Alam. The population was all breastfeeding mothers who had babies in the city of Pagar Alam of South Sumatra Province. The research subjects are breastfeeding mothers who had babies aged 7 - 12 months who selected with proportional random sampling method. The variables of the study included the dependent variable, i.e, the practice of exclusive breastfeeding, the independent variable, i.e, promotion of free milk formula samples. The risk of not exclusively breast feeding amang mothers who had accepted formula milk samples and who absence of support posed by health workers is 3.67 and 4.20 times higher the mothers who had not accepted the formula milk sample and who absence of support posed by heath worker.
Frekuensi Pemeriksaan Kehamilan, Konseling Laktasi, dan Pemberian Air Susu Ibu Eksklusif Djami, Moudy Emma Unaria; Noormartany, Noormartany; Hilmanto, Dany
Kesmas Vol. 7, No. 12
Publisher : UI Scholars Hub

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

Abstract

Pemberian air susu ibu (ASI) eksklusif pada bayi penting karena erat hubungannya dengan kelangsungan hidup bayi, pertumbuhan dan perkembangan yang optimal serta peningkatan kualitas generasi berikutnya. Penelitian ini bertujuan menentukan hubungan frekuensi pemeriksaan kehamilan dan konseling laktasi dengan pemberian ASI eksklusif. Rancangan penelitian adalah kohor historikal. Analisis multivariabel dilakukan menilai hubungan dan faktor paling dominan antara variabel bebas (frekuensi pemeriksaan kehamilan dan konseling laktasi), variabel perancu (pengetahuan, pendidikan, pekerjaan, paritas dan tingkat pendapatan keluarga) dan variabel terikat (ASI eksklusif). Pada analisis regresi logistik ditemukan pengetahuan sebagai faktor paling dominan dalam pemberian ASI eksklusif (OR = 4,30; 95% CI = 1,98 - 9,31). Pengetahuan yang baik tentang ASI eksklusif meningkatkan pemberian ASI eksklusif 4,30 kali lebih besar. Kesimpulan penelitian ini adalah semakin sering frekuensi pemeriksaan kehamilan akan semakin tinggi pemberian ASI eksklusif, serta semakin sering pemberian konseling laktasi oleh tenaga kesehatan semakin tinggi pemberian ASI eksklusif. Exclusive breastfeeding is important because it is connected with infant survival, optimal growth and development and improving the quality of the next generation. This study aims to analyze and determine the frequency of prenatal care and relationship counseling lactation with exclusive breastfeeding. A historical cohort study design and bivariate and multivariable analyzes performed to look for association and dominant factor among the independent variables (frequency of prenatal care and counseling lactation), confounding variables (knowledge, education, employment, parity and level of family income) with the dependent variable (exclusive breastfeeding). In the logistic regression analysis found knowledge as a dominant factor in the exclusive breastfeeding (OR = 4,30; 95% CI = 1,98 _ 9,31). The conclusion of this study is that the more often the frequency of antenatal care will increase exclusive breastfeeding, and the more lactation counseling given by health provider during antenatal visit will increase exclusive breastfeeding.

Page 66 of 93 | Total Record : 928

 64   65   66   67   68 

Filter by Year

2006 2025


Reset
Filter By Issues
All Issue Vol. 20, No. 5 Vol. 20, No. 3 Vol. 20, No. 2 Vol. 20, No. 1 Vol. 19, No. 5 Vol. 19, No. 4 Vol. 19, No. 3 Vol. 19, No. 2 Vol. 19, No. 1 Vol. 18, No. 5 Vol. 18, No. 4 Vol. 18, No. 3 Vol. 18, No. 2 Vol. 18, No. 1 Vol. 17, No. 5 Vol. 17, No. 4 Vol. 17, No. 3 Vol. 17, No. 2 Vol. 17, No. 1 Vol. 16, No. 5 Vol. 16, No. 4 Vol. 16, No. 3 Vol. 16, No. 2 Vol. 16, No. 1 Vol. 15, No. 5 Vol. 15, No. 4 Vol. 15, No. 3 Vol. 15, No. 2 Vol. 15, No. 1 Vol. 14, No. 2 Vol. 14, No. 1 Vol. 13, No. 4 Vol. 13, No. 3 Vol. 13, No. 2 Vol. 13, No. 1 Vol. 12, No. 4 Vol. 12, No. 3 Vol. 12, No. 2 Vol. 12, No. 1 Vol. 11, No. 4 Vol. 11, No. 3 Vol. 11, No. 2 Vol. 11, No. 1 Vol. 10, No. 4 Vol. 10, No. 3 Vol. 10, No. 2 Vol. 10, No. 1 Vol. 9, No. 4 Vol. 9, No. 3 Vol. 9, No. 2 Vol. 9, No. 1 Vol. 8, No. 8 Vol. 8, No. 7 Vol. 8, No. 6 Vol. 7, No. 12 Vol. 7, No. 11 Vol. 7, No. 10 Vol. 8, No. 5 Vol. 8, No. 4 Vol. 8, No. 3 Vol. 8, No. 2 Vol. 8, No. 1 Vol. 7, No. 9 Vol. 7, No. 8 Vol. 7, No. 7 Vol. 7, No. 6 Vol. 7, No. 1 Vol. 7, No. 5 Vol. 7, No. 4 Vol. 7, No. 3 Vol. 7, No. 2 Vol. 6, No. 6 Vol. 6, No. 5 Vol. 6, No. 4 Vol. 6, No. 3 Vol. 6, No. 2 Vol. 6, No. 1 Vol. 5, No. 6 Vol. 5, No. 5 Vol. 5, No. 4 Vol. 5, No. 3 Vol. 5, No. 2 Vol. 5, No. 1 Vol. 4, No. 6 Vol. 4, No. 5 Vol. 4, No. 4 Vol. 4, No. 3 Vol. 4, No. 2 Vol. 4, No. 1 Vol. 3, No. 6 Vol. 3, No. 5 Vol. 3, No. 4 Vol. 3, No. 3 Vol. 3, No. 2 Vol. 3, No. 1 Vol. 2, No. 6 Vol. 2, No. 5 Vol. 2, No. 4 Vol. 2, No. 3 Vol. 2, No. 2 Vol. 2, No. 1 Vol. 1, No. 6 Vol. 1, No. 5 Vol. 1, No. 4 Vol. 1, No. 3 Vol. 1, No. 2 Vol. 1, No. 1 More Issue