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INDONESIA
Jurnal Kesehatan Reproduksi
Published by Universitas Gadjah Mada
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Core Subject : Health,
Health Professions
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Articles 14 Documents
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Search results for , issue "Vol 1, No 1 (2014)" : 14 Documents clear
PERSEPSI REMAJA TERHADAP FAKTOR PENGHAMBAT PEMANFAATAN PELAYANAN KESEHATAN REPRODUKSI DI PUSKESMAS GAMBOK KABUPATEN SIJUNJUNG Dwi Yani, Vella; Emilia, Ova; Kusnanto, Hari
JURNAL KESEHATAN REPRODUKSI Vol 1, No 1 (2014)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (535.252 KB) | DOI: 10.22146/jkr.4913

Abstract

PERSEPSI REMAJA TERHADAP FAKTOR PENGHAMBATPEMANFAATAN PELAYANAN KESEHATAN REPRODUKSIDI PUSKESMAS GAMBOK KABUPATEN SIJUNJUNGVella Dwi Yani, Ova Emilia, Hari KusnantoABSTRACTBackground: Reproductive health service is an important component that has to be improved globally becauseteenagers often lack basic information about reproductive health. Despite the need for reproductive health serviceonly a few teenagers utilize the service due to several constraints in having reproductive and sexual health serviceas a result of limited access to the service and negative perception about center of reproductive health service.Data of Sijunjung District Health Office Sumatera Barat show that only 20% of teenagers utilize reproductivehealth service available. Whereas cases in teenagers indicate that 9.2% of teenagers have had premarital sexualintercourse and 40% are married at teenage period (<20 years) and 10% is caused by unwanted pregnancy.Objective: To study the perception of teenagers about physical, process, economic and psychosocial factors asobstacles in the utilization of reproductive health service.Method: The study was observational with cross sectional design and descriptive quantitative approach thatused qualitative data obtained from indepth interview. Subject of the study were students of SMU 1 and 2 of 14-16 years old around the working area of Health Centers that have health service for teenagers with as many as131 respondents.Result and Discussion: Perception of teenagers about physical, process and economic factors showed that themajority had good perception so these factors were not obstacles for teenagers in utilizing reproductive healthservice. The majority of teenagers (68%) had bad perception about psychosocial factor so this was an obstacle inthe utilization of reproductive health service.Conclusion: Obstacles in the utilization of reproductive health service at the health center were caused bypsychosocial factor because of shame and unwillingness to tell the problem to staff that was considered asstrangers. Teenagers also doubted the confidentiality of the problem they told to the staff.Keywords: perception, teenagers, reproductive health, utilizationABSTRAKLatar belakang: Pelayanan kesehatan reproduksi merupakan komponen penting yang harus diperbaiki secaraglobal. Remaja sering kali kekurangan informasi dasar tentang kesehatan reproduksi. Meskipun kebutuhanpelayanan kesehatan reproduksi tinggi namun pemanfaatannya masih rendah karena berbagai hambatanmemperoleh pelayanan dan juga adanya persepsi negatif terhadap pusat pelayanan kesehatan reproduksi. Datadari dinas Kesehatan kabupaten Sijunjung Sumatera Barat menunjukkan hanya 20% remaja yang memanfaatkanpelayanan kesehatan reproduksi. Sedangkan kasus dan masalah kesehatan reproduksi menunjukkan 9,2% sudahberhubungan seks sebelum menikah, dan 40% menikah pada usia remaja (<20 tahun) serta 10% mengakibatkankehamilan tak dikehendaki.Tujuan: Untuk mempelajari persepsi remaja terhadap faktor fisik, proses, ekonomi dan psikososial untukmemanfaatkan pelayanan kesehatan reproduksi remaja.melalui wawancara mendalam.Subyek penelitian adalah siswa SMA kelas 1 dan 2 usia 14-16 tahun di wilayahkerja puskesmas sebanyak 131 responden.Hasil dan Pembahasan: Mayoritas remaja memiliki persepsi baik terhadap faktor fisik, proses, dan ekonomi. Tigafaktor bukanmerupakan penghambatmemperoleh layanan kesehatan reproduksi. Sementara itu faktor psikososialdianggap sebagai penghambat (68%) untuk memanfaatkan pelayanan kesehatan reproduksi.Kesimpulan: Hambatan pemanfaatan layanan kesehatan reproduksi adalah faktor psikososial karena malu dantidak percaya untuk menceritakan masalah pada petugas kesehatan yang tidak dikenal. Remaja juga meragukankerahasiaan masalah yang diungkapkan.Kata kunci: persepsi, remaja, kesehatan reproduksi, pemanfaatan
Hubungan Pemakaian Antibiotik dengan Kejadian Infeksi Sectio Caesarea pada Pasien di RSUD Abepura Jayapura Papua Emma, Nani; Emilia, Ova; Prawitasari, Shinta
JURNAL KESEHATAN REPRODUKSI Vol 1, No 1 (2014)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (329.207 KB) | DOI: 10.22146/jkr.36477

Abstract

Background: The number of caesarean section (CS) operations in the world has increased sharply within the last 20 years. Increase of the need for CS operations also increases the problem related to surgical process. Infection happens about 2% to 16% after CS operation. The incidence of post CS is associated with some factors such as supplementation of prophylaxis antibiotics, duration of childbirth, width of membrane wound, duration of surgical nursing monitoring and number of CS. CS infection associated with antibiotic use occurs before or after CS operation. The incidence increases 3 times in patients that do not use antibiotics before CS operation. Use of prophylaxis antibiotics in CS operation significantly minimizes the incidence of infection.Objective: To identify antibiotic use according to standard operational procedure to the incidence of infection in CS mothers.Method: The study was analytical with cross sectional design, undertaken at Abepura Local Hospital. Population were all mothers who gave birth through CS at the hospital. Samples were taken using systematic random sampling technique as many as 44 samples. Data were obtained through questionnaire, interview and document studies  and analyzed using chi square and logistic regression test, risk prevalence at confidence interval (CI) 95% and significance p<0.05.Result: The majority of subject (56.82%) had no infection; 59.09% used antibiotics according to the procedure; 52.27% had good nutrition status; 54.55% had emergency operation; 50% had anemia. Average length of CS operation was 2.26 +1.38 hours. There was significant association between antibiotic use, nutrition status, Hb level, and types of operation and the incidence of CS infection (p<0.05). The result of multivariate analysis showed there was significant association between antibiotic use, nutrition status, types of operation and the incidence of infection. Use of antibiotic brought dominant risk for the incidence of CS infection (PR=2.36; 95% CI=1.45-3.38) whereby antibiotic use, nutrition status and types of operation could predict the incidence of CS infection as much as 10.7%.Conclusion: The majority of subject had no infection and used antibiotic according to the procedure. The probability for the incidence of CS infection was greater in antibiotic use irrelevant with the procedure. Factor most dominantly affecting the incidence of CS infection was antibiotic use irrelevant with the procedure. Keywords: antibiotic use, caesarean section, incidence of infection
PENGARUH INISIASI MENYUSU DINI TERHADAP JUMLAH PERDARAHAN PASCA PERSALINAN Sumarah, Sumarah; Hakimi, Muhammad; Prawitasari, Shinta
JURNAL KESEHATAN REPRODUKSI Vol 1, No 1 (2014)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (367.167 KB) | DOI: 10.22146/jkr.4915

Abstract

PENGARUH INISIASI MENYUSU DINI TERHADAPJUMLAH PERDARAHAN PASCA PERSALINANSumarah,Mohammad Hakimi, Shinta PrawitasariABSTRACTBackground: Mortality and morbidity among women during pregnancy and labour are a major problem in poorand developing countries including Indonesia. The prevalence of postpartum hemorrhage is between 2-11% outof all childbirth. Postpartum hemorrhage is the main cause of maternal mortality (28%). Maternal mortalitymainly occurs within the first 4 hours after childbirth. Uterus contraction after childbirth greatly minimizes therisk of hemorrhage. Early breastfeeding initiation stimulates the back of hypofiche gland to produce oxytoxinthat ignites womb muscle contraction so that the risk for the prevalence of postpartum hemorrhage can beminimized.Objective: To identify the impact of early breastfeeding initiation to the amount of postpartum hemorrhage.Method: The study was observational with prospective cohort design. Subject of the study were normal partummothers at Sleman Hospital taken using non probability with consecutive sampling technique (62 samples). Dataanalysis used univariate with frequency distribution and percentage, bivariate with independent t-test andmultivariate with linear regression.Result and Discussion: Average amount of blood in postpartum mothers that practised early breastfeedinginitiation (EBI) was lower than those without EBI. The average amount of hemorrhage in mothers that practiceEBI was 77,26 + 33,6 cc, and in mothers that did not practiced EB was 115,4 +31,0 cc. Average difference in theamount of hemorrhage in the two groups was -38,1 cc. This difference was statistically significant with p<0,05(p=0,000), 95%CI=-54,6- -21,7. External variables, either age, parity or education of mothers, had no significantassociation with the amount of postpartum hemorrhage (p>0,05).Conclusion: EBI affected the amount of postpartum hemorrhage. Average amount of postpartum hemorrhage inmothers that practiced practised EBI was 38,1 cc less than in those that did not practise EBI.Keywords: postpartum, early breastfeeding initiation, skin to skin contactABSTRAKLatar Belakang: Mortalitas dan morbiditas pada wanita selama kehamilan dan persalinan adalah masalah besardi negara-negara miskin dan berkembang termasuk Indonesia. Prevalensi perdarahan postpartum adalah 2-11%dari semua persalinan. Perdarahan postpartum merupakan penyebab utama kematian ibu (28%). Kematian ibuterutama terjadi dalam 4 jam pertama setelah melahirkan. Kontraksi rahim setelah melahirkan sangatmeminimalkan risiko perdarahan. Inisiasi menyusui dini merangsang bagian belakang kelenjar hypofiche untukmenghasilkan oxytoxin yangmemicu kontraksi otot rahimsehingga resiko untuk prevalensi perdarahan postpartumdapat diminimalkan.Tujuan: Untuk mengidentifikasi dampak dari inisiasi menyusui dini terhadap jumlah perdarahan postpartum.Metode: Jenis penelitian ini adalah observasional dengan rancangan kohort prospektif. Subyek penelitian adalahibu yang melahirkan normal di Rumah Sakit Sleman diambil menggunakan non probability dengan teknikpengambilan sampel berturut-turut (62 sampel). Analisis data yang digunakan univariat dengan distribusi frekuensidan persentase, bivariat dengan t-test independen dan multivariat dengan regresi linier.Hasil dan Pembahasan: Jumlah rata-rata darah pada ibu pasca melahirkan yang dilakukan tindakan inisiasimenyusui dini (IMD) lebih rendah dibandingkan mereka yang tidak dilakukan IMD. Jumlah rata-rata perdarahanpada ibu yang berlatih IMD adalah 77,26 + 33,6 cc, dan pada ibu yang tidak melakukan IMD adalah 115,4 + 31,0cc. Rata-rata perbedaan jumlah perdarahan pada kedua kelompok adalah -38,1 cc. Perbedaan ini secara statistiksignifikan dengan p <0,05 (p = 0,000), 95% CI = 54,6—21,7. Variabel eksternal, baik usia, paritas atau pendidikanibu, tidak memiliki hubungan yang signifikan dengan jumlah perdarahan postpartum dengan p> 0,05.Kesimpulan: IMD mempengaruhi jumlah perdarahan postpartum. Jumlah rata-rata perdarahan postpartum padaibu yang dilakukan IMD adalah 38,1cc lebih sedikit dibanding mereka yang tidak berlatih IMD.Kata kunci: postpartum, inisiasi menyusui dini, kontak kulit dengan kuli
PAJANAN ASAP DALAM RUMAH TERHADAP KEJADIAN ISPA NONPNEUMONIA PADA ANAK BALITA DI KABUPATEN KAPUAS Hugo, Mayae; Emilia, Ova; Sitaresmi, Mei Neni
JURNAL KESEHATAN REPRODUKSI Vol 1, No 1 (2014)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (356.816 KB) | DOI: 10.22146/jkr.4916

Abstract

PAJANAN ASAP DALAM RUMAH TERHADAP KEJADIANISPA NONPNEUMONIA PADA ANAK BALITA DI KABUPATENKAPUASMayae Hugo, Ova Emilia,Mei Neni SitaresmiABSTRACTBackground: Acute respiratory infections (ARI) is one of themain causes of disease burden in developing countries,and 40-60% patients visits at the health center. Riskesdes analysis report the under–five children who suffer fromupper respiratory tract infection prevalence 42.8%. ARI occurrence is affected by many factors, includingenvironmental factors. Little attention has been given to indoor air pollution particularly for people in ruralareas, although the known particles of smoke in the room known as the most influential factors on the health ofchildren where children spend most of their time indoorsObjective: To know whether smoke exposure inside the house is a risk factor toward non pneumonia ARI amongunder-five children.Method: This was a study using a case control study design. Subjects were under-five children aged 12-59 monthsold in Kapuas District taken by non probability sampling method. Sample size was 106, divided into two groupsnamely case (n=53) and control (n=53). Data analysis used univariate analysis, bivariate analysis, and multivariateanalysis with logistic regression.Result: Non pneumonia ARI had a 2.7 time greater risk of contracting under-five children exposed by smokeinside their house (95%CI=1.16-6.60). Multivariate analysis proportion of house condition which was not reallyhygienic, member of family who contracted ARI, bad nutritional status had a significant relationship to nonpneumonia ARI among under-five children.Conclusion: Non pneumonia ARI among under-five children had a significant relationship to smoke exposureinside the house.Keywords: non pneumonia ARI, smoke exposure inside the house, under-five children   ABSTRAKLatar Belakang: Infeksi saluran pernapasan akut (ISPA) merupakan salah satu penyebab utama beban penyakit dinegara berkembang. Terdapat 40-60% kunjungan pasien di pusat layanan kesehatan. Analisis Riskesdesmelaporkanprevalensi anak-anak balita yang menderita infeksi saluran pernapasan atas 42,8%. Kejadian ISPA dipengaruhioleh banyak faktor, termasuk faktor lingkungan. Sedikitnya perhatian yang diberikan terhadap polusi udara dalamruangan terutama bagimasyarakat di daerah pedesaan,meskipun partikel yang berasal dari asap di dalam ruangandikenal sebagai faktor yang paling berpengaruh pada kesehatan anak di mana anak-anak menghabiskan sebagianbesar waktu mereka di dalam ruangan.Tujuan: Untuk mengetahui apakah paparan asap di dalam rumah merupakan faktor risiko terhadap non pneumoniaISPA pada balita.Metode: Penelitian ini merupakan penelitian dengan menggunakan disain penelitian kasus kontrol. Subyekpenelitian adalah balita berusia 12-59 bulan di Kabupaten Kapuas diambil dengan metode non probabilitysampling. Jumlah sampel adalah 106, dibagi menjadi dua kelompok yaitu kelompok kasus (n=53) dan kelompokkontrol (n=53). Analisis data yang digunakan analisis univariat, analisis bivariat, dan analisis multivariat denganregresi logistik. Hasil dan Pembahasan: ISPA non pneumonia memiliki risiko 2,7 kali lebih besar menjangkiti anak yang terpaparasap di dalam rumah mereka (95% CI=1,16-6,60). Proporsi analisis multivariabel kondisi rumah yang tidak benarbenarhigienis, anggota keluarga yang terjangkit ISPA, status gizi buruk memiliki hubungan yang signifikan terhadapISPA non pneumonia pada balita.Kesimpulan: ISPA non pneumonia pada balita memiliki hubungan yang signifikan terhadap paparan asap di dalamrumah.Kata kunci: ISPA non pneumonia, paparan asap di dalam rumah, balita

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